# NOVA MEDICO SC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** United Vascular S.C., United Vascular SC, Nova Wound Care SC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497081863
- **Authorized official:** KIMBERLY MILLER (DIRECTOR OF RCM)
- **Authorized official phone:** (248) 331-7908

## Contact information

- **Practice address:** 9730 S WESTERN AVE STE B, EVERGREEN PARK, IL 60805-2814
- **Practice address phone:** (888) 402-0202
- **Practice address fax:** (888) 860-2960
- **Mailing address:** PO BOX 7412452, CHICAGO, IL 60674-2452
- **Mailing address phone:** (248) 607-0037
- **Mailing address fax:** (734) 462-0344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 042.619557 | IL | Yes |

## Other

- **Enumeration date:** 10/20/2009
- **Last updated:** 02/19/2026