Nova Medico SC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

042.619557 Issued in IL

Legal business name

NOVA MEDICO SC

Practice address

9730 S Western Ave Ste B
Evergreen Park, IL 60805-2814

Phone

(888) 402-0202

Fax

(888) 860-2960

NPI assigned

Oct 20, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Miller

Title

Director of RCM

Phone

(248) 331-7908

Specialties & licenses 1

Addresses

Other names 2

• United Vascular SC Doing business as
• Nova Wound Care SC Other name

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: juliek@novamedico.com

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olumide Adeyemo

  • Family Nurse Practitioner
  • Skokie, IL
  • NPI 1700335924
  NPD (past)
• Amy L. Robinson, PSY.D.

  • Clinical Psychologist
  • Park Ridge, IL
  • NPI 1891802757
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1497081863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412452",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742452",
            "telephone_number": "248-607-0037",
            "fax_number": "734-462-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 S WESTERN AVE STE B",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052814",
            "telephone_number": "888-402-0202",
            "fax_number": "888-860-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA MEDICO SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR OF RCM",
        "authorized_official_telephone_number": "248-331-7908"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "042.619557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JULIEK@NOVAMEDICO.COM",
            "affiliation": "N",
            "address_1": "1420 Renaissance Dr Ste 201",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "United Vascular SC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nova Wound Care SC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patricia Newell
• Ellen Isabelle Nicol
• Karen Leanne Nicol, P.T.
• Kim Niezgoda, WHNP
• Chadi Nouneh, M.D
• Kristin E Novak
• Anne Marie Novotny, LPC
• Diane L O'Connor, RNFA
• Lauren Marie O'Connor
• Mary Lou O'Keefe, PA-C

• Physical Medicine & Rehabilitation Physician in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.