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Oscar A. Novick, M.D., P.C.

Pediatrics in Park Ridge, IL. Organization (NPI-2).

NPI number1124280102
StatusActive
Last updated in NPPESJun 30, 2008

Details

NPI
1124280102
Entity type
Organization (NPI-2)
Legal business name
Oscar A. Novick, M.D., P.C.
Organization subpart
No
Enumeration date
Jun 30, 2008
Last updated
Jun 30, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics036040048ILYes
207K00000X Allergy & Immunology036040048IL
207RA0000X Internal Medicine, Adolescent Medicine036040048IL
2080P0201X Pediatrics, Pediatric Allergy/Immunology036040048IL

Practice location

111 S Washington Ave
Suite 201
Park Ridge, IL 60068-4203

Phone 847-825-7171

Mailing address

111 S Washington Ave
Park Ridge, IL 60068-4203

Phone 847-825-7171

Authorized official

Janet S. Mallory
Asst. Office Manager
8478257171

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