Novak, William V

Novak, William V is an individual health care provider with primary practice located at 1505 Eastland Dr. , Bloomington IL 61701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Novak, William V can be contacted via phone (309) 691-4410.

Contact Information

Primary practice address
1505 Eastland Dr. Bloomington IL 61701
Phone: (309) 691-4410
Fax: (309) 589-2830
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036-093560 Illinois

Profile Details

NPI number 1740367895
LBN Legal business name Novak, William V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Sep 10th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740367895 NPPES
Illinois MEDICAID 036-093560

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