institution
Carl J Novotny Do Sc
General Practice Physician in North Riverside, Illinois
NPI 1972621035

Carl J Novotny Do Sc is a General Practice Physician based in North Riverside, IL. Carl J Novotny Do Sc practices in North Riverside, IL. The NPI Number for Carl J Novotny Do Sc is 1972621035 and holds a License No. (Illinois).

The current practice location address for Carl J Novotny Do Sc is 8709 W Cermak Rd, North Riverside, IL and can be reached out via phone at 708-442-7780 and via fax at 708-442-7797.

Location: 8709 W Cermak Rd, North Riverside, IL, 60546-1128
institution
Provider Profile Details
NPI Number
1972621035
Provider Name
Carl J Novotny Do Sc
Credential
Provider Entity Type
Organization
Address
8709 W Cermak Rd, North Riverside, IL, 60546-1128
Phone Number
708-442-7780
Fax Number
708-442-7797
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21621844 01 IL BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
8709 W Cermak Rd
City
State
Zip
60546-1128
Phone Number
708-442-7780
Fax Number
708-442-7797
person
Provider Business Mailing Address Details
Address
8709 W Cermak Rd
City
State
Zip
60546-1128
Phone Number
708-442-7780
Fax Number
708-442-7797
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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