Diane Lynn Novatnik, O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

201 Junior Ave
Grayslake, IL 60030-2326

Phone

(847) 223-6454

NPI assigned

Jul 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184976000000",
    "number": "1467652073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 JUNIOR AVE",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302326",
            "telephone_number": "847-223-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 JUNIOR AVE",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302326",
            "telephone_number": "847-223-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVATNIK",
        "first_name": "DIANE",
        "middle_name": "LYNN",
        "credential": "O.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-21",
        "last_updated": "2007-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Consultants in OB GYN SC
• North Suburban Counseling, PC
• Northern Rose Caregivers
• Northwestern Medical Faculty Foundation
• Jill Novacek, MSW, LCSW, LSOTP
• Prince Nzeata, MD
• Mary Gretchen O Connor, PT
• Megan Ann O'Brien, LCSW
• Jill O'Connor, OTR/L
• Sara T O'Dowd

• Occupational Therapist in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2007; 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.