Gary James Novak, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036-058228 Issued in IL

Practice address

2221 Elmwood Ave
Wilmette, IL 60091-1435

Phone

(847) 251-3770

Fax

(847) 251-3771

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Afm Associates, S.C.

  • Physical Medicine & Rehabilitation Physician
  • Niles, IL
  • NPI 1750412805

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1194876029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 ROYAL OAK LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253160",
            "telephone_number": "847-644-2346",
            "fax_number": "847-998-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 ELMWOOD AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911435",
            "telephone_number": "847-251-3770",
            "fax_number": "847-251-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "GARY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-058228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0031600515",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Shore Physicians Group PLLC
• North Shore Physicians Group, LLC
• North Shore Physicians Group, LLC
• North Suburban Nephrologists
• Northshore Physicians Group, LLC
• Jaimee Lea Novak, M.S., L.C.P.C.
• Susan B. O'Connell, LCPC
• Brent Stuart O'Connor, M.D.
• Occupational Clinical Psychologists
• Martin H Okner, RPH

• Internal Medicine Physician in Wilmette, IL
• Providers in Wilmette, 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 Sep 23, 2015; 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.