MICHELLE THERESE NOVAK

PEORIA, IL
NPI1770096877
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096003270)
Enumeration Date2017-11-10
Last Update Date2017-11-10
Business Address
MICHELLE THERESE NOVAK ATC
2338 W VAN WINKLE WAY STE 3300
PEORIA, IL 61615-7485
Phone number: 309-693-2020
Mailing Address
MICHELLE THERESE NOVAK ATC
1700 W HICKORY GROVE RD APT 4-203
DUNLAP, IL 61525-9189
Phone number: 309-830-3250
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