Novak Family Medical Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NOVAK FAMILY MEDICAL CENTER LLC

Practice address

401 E North Ave
Suite 5
Villa Park, IL 60181-1218

Phone

(630) 834-0132

Fax

(630) 834-0319

NPI assigned

Jun 10, 2008

Last updated

Mar 28, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa Novak

Title

Office Manager

Phone

(630) 834-0132

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Integrated Health Care Providers Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Integrated Health Care Providers, Inc.

  • Internal Medicine Physician
  • Charleston, WV
  • NPI 1225057185
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Bogumil Novak, M.D.

  • Family Medicine Physician
  • Villa Park, IL
  • NPI 1154458321
  Medicare reassignment NPD
• Jaroslaw Lipinski, PT

  • Physical Therapist
  • Des Plaines, IL
  • NPI 1881998094
  NPD

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1942460381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E NORTH AVE",
            "address_2": "SUITE 5",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601811218",
            "telephone_number": "630-834-0132",
            "fax_number": "630-834-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E NORTH AVE",
            "address_2": "SUITE 5",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601811218",
            "telephone_number": "630-834-0132",
            "fax_number": "630-834-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVAK FAMILY MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "630-834-0132",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Creation Home Care Services,Inc
• New Creation Home Care Services,Inc
• Dao Ngo
• Nocturnal Dialysis Spa LLC
• Ivanka Magdalyna Northrop, CF-SLP
• Richard Bogumil Novak, M.D.
• Jennifer Anne Nuter, CCC SLP
• Brittany Marie O'Brien
• Laurie O'Connell
• Anne O'Dowd

• Clinic/Center in Villa Park, IL
• Providers in Villa Park, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.