CHRISTINE M NOVAK


Address: 1315 Memorial Dr, Mendota, IL 61342-1447
Phone: 8155012088

CHRISTINE M NOVAK (NPI# 1740256874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740256874
Entity Type Individual
Full Name CHRISTINE M NOVAK
Credential LCPC
Practice Address 1315 Memorial Dr
Mendota
IL 61342-1447
Mailing Address Po Box 364
Rochelle
IL 61068-0364
Practice Telephone 8155012088
Practice Fax Number 8152200843
Mailing Telephone 8155012088
Mailing Fax Number 8152200843
Enumeration Date 2006-02-28
Last Update Date 2008-06-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
180005483 IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
COMPSYCH 245739 01
BCBS IL 623783 01

Other Providers CHRISTINE NOVAK

NPI Name Taxonomy Address Enumeration
1689232472 Christine Novak Physical Therapist The Birches Assisted Living, 215 55th Street, Clarendon Hills, IL 60514-1578 2019-06-05
1730658477 Christine Lena Novak Registered Nurse 9301 Hog Eye Rd Unit 318, Austin, TX 78724-4608 2018-11-23
1609389022 Christine Novak Registered Nurse 1800 Mulberry St, Scranton, PA 18510-2369 2017-11-07

Office Location

Street Address 1315 MEMORIAL DR
City MENDOTA
State IL
Zip Code 61342-1447

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871577486 Krista Anne Pinter Occupational Therapist 1315 Memorial Dr, Mendota, IL 61342-1447 2005-12-06
1548573108 Changes Counseling, LLC Counselor 1315 Memorial Dr, Mendota, IL 61342-1447 2010-07-23
1932230455 Bhate & Bhate Radiology Ltd. Specialist 1315 Memorial Dr, Mendota, IL 61342-1447 2007-03-08
1245306166 Pamela A Hansen Physician Assistant 1315 Memorial Dr, Mendota, IL 61342-1447 2006-11-24
1518038488 William M Zander Emergency Medicine 1315 Memorial Dr, Mendota, IL 61342-1447 2006-11-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568536845 Keri Sundberg Dentist 709 Plaza Drive, Mendota, IL 61342 2006-11-20
1114022589 Goslin Drug Store Inc Pharmacy 1212 13th Ave, Mendota, IL 61342 2006-09-13
1467402412 Neungja Chung Acupuncturist Mendota Community Hospital, 1315 Memorial Drive, Mendota, IL 61342 2006-05-11
1487622205 Kelly R. Minihane Physician Assistant 1404 Washington Street, Mendota, IL 61342 2006-03-08
1134193022 Donald Wilbert Piller Chiropractor 1312 Lakewood Dr, Mendota, IL 61342 2006-02-15
1770975377 National Pain Clinic, LLC Anesthesiology 1401 E 12th St, Mendota, IL 61342 2015-02-19
1073869475 Katherine Rose Riva-foster Anesthesiology 1401 E 12th St, Mendota, IL 61342 2012-08-03
1386789220 Juli Renee Barrett Leifheit Chiropractor 901 Main St, Ste A, Mendota, IL 61342 2007-02-20
1205383197 Mendota Community Hospital Clinic/Center 1401 Washington Street, Mendota, IL 61342-0001 2016-09-08
1780699447 Linnea L Person Chiropractor 1301 14th Ave, Mendota, IL 61342-1001 2006-07-30
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710360326 Malery Mancha Counselor 121 Belmont Ave, Mendota, CA 93640-8232 2015-06-30
1194134254 Maria De Jesus Verdugo Lopez Counselor 121 Belmont Ave, Mendota, CA 93640-8232 2014-08-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730780602 Saba Aqel Counselor 107 W Van Buren St Ste 215, Chicago, IL 60605-1054 2020-11-05
1124629696 Audra Murphy Counselor 1020 E Ogden Ave Ste 204, Naperville, IL 60563-8610 2020-11-02
1811597412 Mindy Marie Eastling Counselor 27240 Dutton Rd, Beecher, IL 60401-5054 2020-11-01
1306446307 Oak Point Counseling, Pllc Counselor 1207 Mchenry Rd Ste 217b, Buffalo Grove, IL 60089-1371 2020-10-28
1508466061 Kathrin Simac Counselor 900 Royal Heights Rd # 2150, Belleville, IL 62226-5457 2020-10-26
1669071288 Kristin Smith Warden Counselor 566 Cedar St, Winnetka, IL 60093-2338 2020-10-24
1538768155 Angelicare LLC Counselor 6650 N Northwest Hwy Ste 215, Chicago, IL 60631-1363 2020-10-23
1568061612 Donnie L Winget Counselor 536 N Division St, Carterville, IL 62918-1006 2020-10-20
1013516145 Modern Soul Therapy LLC Counselor 2000 N Racine Ave Ste 2160, Chicago, IL 60614-4045 2020-10-20
1861090433 Ruth Elaine Rayfield Counselor 418 North Center Street, Apt# 206, South Elgin, IL 60177 2020-10-15
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Competitor

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City MENDOTA
Zip Code 61342

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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