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Search › Wisconsin › 225100000X

Jerome Novak, PT

NPI 1861424202 · on the registry since 2006 · sole proprietor

Practice

Address
6123 Green Bay Rd Ste 100
Kenosha, WI 53142
Phone
(262) 880-1034
Fax
(888) 972-3708
Organisation at this address
Mb Consultants Llc
Patel Foot & Ankle Llc
David Klimisch Lpc Inc
Kenosha Pain Center Llc
Great Lakes Surgery Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
2251X0800X
Licence states on file
IL, WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-19

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 Wisconsin