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NPI Code Detail

MEDICARE: JOHN FRANCIS NOVAK D.C.

MEDICARE:   JOHN FRANCIS NOVAK  D.C.
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
1111N00000XChiropractor038-008479IL

General Provider Information

NPI Number : 1477666527
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN FRANCIS NOVAK D.C.
Provider Business Mailing Address
First Line : 2410 SAMPSON ST
Second Line : BLDG 237
City : GREAT LAKES
State : IL
Zip : 60088-2942
Country : US
Telephone Number : 847-688-3598
Fax Number :
Provider Business Practice Location Address
First Line : 2410 SAMPSON ST
Second Line : BLDG 237
City : GREAT LAKES
State : IL
Zip : 60088-2942
Country : US
Telephone Number : 847-688-3598
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2006
Last Update Date : 08/23/2012

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Directions to “ JOHN FRANCIS NOVAK D.C.” Practice Location

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