Jaclyn Novak, APN
Nurse Practitioner in Chicago, IL. Individual provider (NPI-1).
NPI number1124486451
StatusActive
Last updated in NPPESSep 24, 2018
Details
- NPI
- 1124486451
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jaclyn Novak
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 1, 2016
- Last updated
- Sep 24, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209.013698 | IL | Yes |
Other names
- Jaclyn Gasior (Former Name)
Practice location
225 E Chicago AveChicago, IL 60611-2991
Phone 312-227-4000
Mailing address
225 E Chicago AveChicago, IL 60611-2991
Phone 312-227-4000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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