| Doctor Name: | MRS. MARY NOVAK |
| NPI Number: | 1093904443 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | 180.006555 |
| Business Practice Address: | 26 W Saint Charles Rd Lombard, IL - 601482229 |
| Business Phone Number: | 6304958008 |
| Business Fax Number: | 6304959854 |
| Mailing Address: | 203 N Ottawa St, JOLIET |
| State: | IL |
| Postal Code: | 604324006 |
| Phone Number: | 8002407011 |
| Fax Number: | 8157304918 |
| NPI Enumeration Date: | 10/22/2007 |
| NPI Last Update Date: | 04/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 180.006555 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |