OrganizationActive
Nova Medico Sc
NPI 1497081863 · Physical Medicine & Rehabilitation Physician · Evergreen Park, IL
Provider details
- NPI number
- 1497081863
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kimberly Miller, Director of Rcm(248) 331-7908
- License
- 042.619557 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9730 S Western Ave Ste B
Evergreen Park, IL 60805-2814
Phone: (888) 402-0202
Fax: (888) 860-2960
Street-level locationGet directions
Mailing address
Po Box 7412452
Chicago, IL 60674-2452
Other names (DBA / former)
- Other name
- Nova Wound Care Sc
- Doing business as
- United Vascular Sc
Registry dates
- Enumerated
- 2009-10-20
- Last updated
- 2026-02-19
- Certified
- 2026-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.