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Organization

NOVA MEDICO SC

Active
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Organization

NOVA MEDICO SC

Active
Other names
United Vascular S.C., United Vascular SC, Nova Wound Care SC
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY MILLER (DIRECTOR OF RCM)
(248) 331-7908
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
042.619557
IL

Other

Enumeration date
10/20/2009
Last updated
02/19/2026
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