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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