Robert Allen Novak, MS, CO

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

213-000228 Issued in IL

Practice address

7025 Veterans Blvd Ste B
Burr Ridge, IL 60527-5695

Phone

(877) 320-6588

Fax

(877) 206-0235

NPI assigned

Jan 31, 2007

Last updated

Mar 24, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Credentials

Master of Science

State licenses

Practice roles

Locations

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

• NV Orthotics

  • Prosthetic/Orthotic Supplier
  • Park Ridge, IL
  • NPI 1245571660
  NPD (past) Authorized official
• Midwest Orthotic & Technology Center Merrillville, LLC

  dba Transcend Orthotics & Prosthetics

  • Prosthetic/Orthotic Supplier
  • Burr Ridge, IL
  • NPI 1447587829
  NPD

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1568509040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 ELLINGTON AVE",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605582034",
            "telephone_number": "708-246-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 VETERANS BLVD STE B",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275695",
            "telephone_number": "877-320-6588",
            "fax_number": "877-206-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "ROBERT",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "MS, CO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "IL",
            "license": "213-000228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahbaz Shahid Nisar, MD
• Nivein Care
• Chineze Nkemeh
• Elizabeth Ann Noell
• Avertano Noronha, MD
• Tzintzia Angelica Nunez Hernandez, ARNP
• Shahla Majid Nyaeme, MD
• Nyce Hearing Center, P.C.
• Shannon O'Brien
• Sarah Marie O'Connor, PTA

• Orthotist in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Orthotist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.