Lynne Nowak, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036108140 Issued in IL

Practice address

305 S Illinois St
Belleville, IL 62220-2133

Phone

(618) 235-1703

Fax

(618) 235-3130

NPI assigned

Jun 28, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Lynne Willett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthcare Physicians of Southern Illinois, PC

  • Family Medicine Physician
  • Belleville, IL
  • NPI 1023034618

  Internal Medicine

  NPD (past)
• Hospice of Southern Illinois, Inc.

  • Community Based Hospice Care Agency
  • Belleville, IL
  • NPI 1720081805
  NPD (past)
• Palliative Care Consultants NFP

  • Case Management Agency
  • Belleville, IL
  • NPI 1518073840
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1174520746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 S ILLINOIS ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622202133",
            "telephone_number": "618-235-1703",
            "fax_number": "618-235-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S ILLINOIS ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622202133",
            "telephone_number": "618-235-1703",
            "fax_number": "618-235-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWAK",
        "first_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036108140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNNE",
            "last_name": "WILLETT",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Catherine Elizabeth Noble, M.D.
• Michael W Noble, D.M.D.
• Samantha Kay Noeth, MMSN
• David C Norman, MD
• Lauren G Norrenberns, CPNP-PC
• Nurturing by Faith Home Care, LLC
• Nurturing Essentials Doula Care LLC
• David J Nyquist, MD
• Kelly O'Brien
• Dwight William O'Dell, M.D.

• Internal Medicine Physician in Belleville, IL
• Providers in Belleville, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.