Most Relevant Information
Provider Data
| NPI Number: | 1003065236 |
| Provider Name: | CRYSTAL LYNN NOVAK |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/11/2008 |
| Last Updated: | 09/11/2008 |
Provider Practice Location
1001 ROHLWING RD
ELK GROVE VILLAGE
IL
600073217
Practice Location Phone/Fax
| Phone: | 8475248800 |
| Fax: | 8475248824 |
Provider Mailing Location
1001 ROHLWING RD
ELK GROVE VILLAGE
IL
600073217
Provider Mailing Phone/Fax
| Phone: | 8475248800 |
| Fax: | 8475248824 |