Novak Family Medical Center Llc | |
401 E North Ave Suite 5 Villa Park IL 60181-1218 | |
(630) 834-0132 | |
(630) 834-0319 |
Full Name | Novak Family Medical Center Llc |
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Speciality | Clinic/Center |
Location | 401 E North Ave, Villa Park, Illinois |
Authorized Official Name and Position | Teresa Novak (OFFICE MANAGER) |
Authorized Official Contact | 6308340132 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Novak Family Medical Center Llc 401 E North Ave Suite 5 Villa Park IL 60181-1218 Ph: (630) 834-0132 | Novak Family Medical Center Llc 401 E North Ave Suite 5 Villa Park IL 60181-1218 Ph: (630) 834-0132 |
NPI Number | 1942460381 |
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Provider Enumeration Date | 06/10/2008 |
Last Update Date | 03/28/2012 |
Medicare PECOS PAC ID | 7911895784 |
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Medicare Enrollment ID | O20040304001235 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942460381 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Richard B Novak |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154458321 PECOS PAC ID: 7012804727 Enrollment ID: I20040227000980 |
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