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NPI Code Detail

MEDICARE: ANDREW FRANCIS NOWAK P.T.,D.P.T.

MEDICARE: ANDREW FRANCIS NOWAK P.T.,D.P.T.
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
1225100000XPhysical Therapist070.007515IL

General Provider Information

NPI Number : 1770894628
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW FRANCIS NOWAK P.T.,D.P.T.
Provider Business Mailing Address
First Line : 3551 HIGHLAND AVE STE 100
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60515-2160
Country : US
Telephone Number : 630-275-2600
Fax Number : 630-275-2698
Provider Business Practice Location Address
First Line : 3551 HIGHLAND AVE STE 100
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60515-2160
Country : US
Telephone Number : 630-275-2600
Fax Number : 630-275-2698
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2010
Last Update Date : 01/20/2021

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