Novus Illinois Service Corporation

NPI #1295491744 in Kankakee, Illinois

Provider Information

NPI Number: 1295491744
Entity Type: Organization
Organization Name: Novus Illinois Service Corporation
Primary Specialty: Anesthesiology
Enumeration Date: Nov 9, 2021
Last Updated: Jan 29, 2025

Practice Location

Address: 350 N WALL ST
City: Kankakee
State: Illinois
ZIP Code: 60901-2901
Phone: (159) 357-2568

Authorized Official

Name: MR. JOSHUA POOLE
Title: PRESIDENT
Phone: (404) 285-8388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Anesthetist, Certified Registered	367500000X
Anesthesiology	207L00000X	Primary

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