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NPI Code Detail

MEDICARE: JENNIFER NOVAK MS, CCC-SLP

MEDICARE:   JENNIFER  NOVAK  MS, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1477119402
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER NOVAK MS, CCC-SLP
Provider Business Mailing Address
First Line : 1475 MAPLE AVE
Second Line :
City : NORTHBROOK
State : IL
Zip : 60062-5418
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1730 N BISSELL ST
Second Line :
City : CHICAGO
State : IL
Zip : 60614-5506
Country : US
Telephone Number : 773-870-2202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2019
Last Update Date : 05/15/2019

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Directions to “ JENNIFER NOVAK MS, CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.