| Carl J Novotny Do Sc | |
|
8709 W Cermak Rd North Riverside IL 60546-1128 | |
| (708) 442-7780 | |
| (708) 442-7797 |
| Full Name | Carl J Novotny Do Sc |
|---|---|
| Speciality | General Practice |
| Location | 8709 W Cermak Rd, North Riverside, Illinois |
| Authorized Official Name and Position | Carl J Novotny (PHYSICIAN) |
| Authorized Official Contact | 7084427780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carl J Novotny Do Sc 8709 W Cermak Rd North Riverside IL 60546-1128 Ph: (708) 442-7780 | Carl J Novotny Do Sc 8709 W Cermak Rd North Riverside IL 60546-1128 Ph: (708) 442-7780 |
| NPI Number | 1972621035 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 01/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972621035 | NPI | - | NPPES |
| 21621844 | Other | IL | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (Illinois) | Primary |
Rush Oak Park Physicians Group North Riverside Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7222 W Cermak Rd, Suite 700, North Riverside, IL 60546 Phone: 708-660-6400 | |
Cook County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 S. Harlem Ave, North Riverside, IL 60546 Phone: 708-783-9800 | |
Watermark Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7222 W Cermak Rd, Suite 301, North Riverside, IL 60546 Phone: 708-783-2410 Fax: 708-783-2452 |