Novak, Gary James
Novak, Gary James is an sole proprietor health care provider with primary practice located at 2221 Elmwood Ave , Wilmette IL 60091-1435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Novak, Gary James can be contacted via phone (847) 251-3770.Contact Information
Primary practice address
2221 Elmwood Ave
Wilmette IL 60091-1435
Phone: (847) 251-3770
Fax: (847) 251-3771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-058228 | Illinois |
Profile Details
| NPI number | 1194876029 |
|---|---|
| LBN Legal business name | Novak, Gary James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Sep 23rd, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194876029 | NPPES |
| Illinois | Other | 0031600515 | BCBS |
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