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Dr. Richard M Novak, DC,CCST
Chiropractor in Maryville, Illinois
NPI 1083619449

Richard M Novak is a Chiropractor based in Maryville, IL. Richard M Novak practices in Maryville, IL and has the professional credentials of DC,CCST. The NPI Number for Richard M Novak is 1083619449 and holds a License No. (Illinois).

The current practice location address for Richard M Novak is 4A Oak Dr, Maryville, IL and can be reached out via phone at 618-288-8075 and via fax at 618-288-8095.

Location: 4A Oak Dr, Maryville, IL, 62062-5809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083619449
Provider Name
Richard M Novak
Credential
DC,CCST
Provider Entity Type
Individual
Gender
Male
Address
4A Oak Dr, Maryville, IL, 62062-5809
Phone Number
618-288-8075
Fax Number
618-288-8095
Provider Enumeration Date
06/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2468996 01 IL AETNA
410486 01 IL HEALTHLINK
44-90308 01 IL UNITED HEALTH CARE
63313 01 IL CMR
0006026476 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
4A Oak Dr
City
Maryville
State
Illinois
Zip
62062-5809
Phone Number
618-288-8075
Fax Number
618-288-8095
person
Provider Business Mailing Address Details
Address
4A Oak Dr
City
Maryville
State
Illinois
Zip
62062-5809
Phone Number
618-288-8075
Fax Number
618-288-8095
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
(Illinois)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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