Gary Novak MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036058228 Issued in IL

Legal business name

GARY NOVAK MD SC

Practice address

1329 Royal Oak LN
Glenview, IL 60025-3160

Phone

(847) 644-2346

Fax

(847) 998-1042

NPI assigned

Mar 19, 2008

Organization subpart

No

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

Authorized official

Name

Gary J Novak, MD

Title

Physician

Phone

(847) 644-2346

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1316118136",
    "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": "1329 ROYAL OAK LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253160",
            "telephone_number": "847-644-2346",
            "fax_number": "847-998-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY NOVAK MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "847-644-2346",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036058228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "660010",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regina Gardner, COTA/L
• Gretchen Garrage, COTA
• Rachel Nicole Garrett, MA, CCC-SLP
• Eileen Marie Garrigan-Breslin, PTA
• Eric Gartner, PHARMD
• Cathleen Mary Garza, PTA
• Elsa Grace Garza, APN-CNP
• Courtney Jane Gasswint, OTR
• Kellie Gates
• Robert Gathercoal

• Internal Medicine Physician in Glenview, IL
• Providers in Glenview, 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 Mar 12, 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.