JEROME NOVAK

KENOSHA, WI
NPI1861424202
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: IL  070-013596)
Enumeration Date2006-07-07
Last Update Date2007-07-08
Business Address
-- JEROME NOVAK MPT
6834 53RD ST UNIT 38
KENOSHA, WI 53144-3769
Phone number: 630-430-4541
Mailing Address
-- JEROME NOVAK MPT
6834 53RD ST UNIT 38
KENOSHA, WI 53144-3769
Phone number: 630-430-4541
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