Individual
HEIDI A NOVACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6686 JOLIET RD, COUNTRYSIDE, IL 60525-4575
(708) 784-0400
Mailing address
9S221 GRACELAND ST, DOWNERS GROVE, IL 60516-5029
(630) 910-8890
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
08/31/2006
Last updated
01/11/2008
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