MEDICARE: LYDIA T NOVAK PT

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	225100000X	Physical Therapist	IL
2	2251S0007X	Sports Physical Therapist	IL
3	2251X0800X	Orthopedic Physical Therapist	IL

General Provider Information

NPI Number	:	1942373048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYDIA T NOVAK PT

Provider Business Mailing Address
First Line	:	14640 JOHN HUMPHREY DR
Second Line	:	SUITE 102
City	:	ORLAND PARK
State	:	IL
Zip	:	60462-5854
Country	:	US
Telephone Number	:	708-403-5199
Fax Number	:	708-403-7274

Provider Business Practice Location Address
First Line	:	14640 JOHN HUMPHREY DR
Second Line	:	SUITE 102
City	:	ORLAND PARK
State	:	IL
Zip	:	60462-5854
Country	:	US
Telephone Number	:	708-403-5199
Fax Number	:	708-403-7274

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	03/11/2008

Similar Medicare Providers

1568589844 — ORLAND THERAPY SPECIALISTS LTD
Practice Location Address:

14640 JOHN HUMPHREY DR , SUITE 102
ORLAND PARK, IL
60462-5854

Practice Phone: 708-403-5199
Practice Fax: 708-403-7274

1992980957 — DR. FADIME TUNA BURGUT
Practice Location Address:

400 CENTRAL PARK W APT 18E
NEW YORK, NY
10025-5854

Practice Phone: 212-665-2168
Practice Fax:

1669789582 — MRS. GINA VANLUVEN HC
Practice Location Address:

8813 CHEYENNE WAY
PARK CITY, UT
84098-5854

Practice Phone: 435-565-2062
Practice Fax: 435-213-2803

1972483139 — APRIL NICOLE MOSES MHA, BSN, RN
Practice Location Address:

5854 CANTON PARK DR
JACKSON, MS
39211-3432

Practice Phone: 832-893-0688
Practice Fax:

1699606228 — NYA MARTIN LCSW
Practice Location Address:

15255 S 94TH AVE
ORLAND PARK, IL
60462-3800

Practice Phone: 773-796-4048
Practice Fax:

1306697552 — HADEEL DAMRA
Practice Location Address:

14484 JOHN HUMPHREY DR
ORLAND PARK, IL
60462-2638

Practice Phone: 708-261-6391
Practice Fax:

Directions to “ LYDIA T NOVAK PT” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.