SearchIllinois235Z00000X

Holly Novak

NPI 1710414255 · on the registry since 2017

Practice

Address
5312 W Woodsage Rd Apt 105
Peoria, IL 61615
Phone
(605) 988-4136

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-05-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois