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 7412492, CHICAGO, IL 60674-2492
(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
03/19/2026
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