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Organization
NOVA MEDICO S.C.
Active
Organization
NOVA MEDICO S.C.
Active
Other names
Chicago Wound Care
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MILLER (DIRECTOR OF RCM)
(248) 331-7908
Entity
Organization
Contact information
Practice address
1480 RENAISSANCE DR STE 211, PARK RIDGE, IL 60068-1353
(847) 296-6161
(847) 296-6262
Mailing address
PO BOX 5633, CAROL STREAM, IL 60197-5633
(847) 296-6161
(847) 296-6262
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
036092302
IL
Other
Enumeration date
10/05/2006
Last updated
07/08/2026
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