Nova Med Womens Care PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

NOVA MED WOMENS CARE PLLC

Practice address

1717 W Algonquin Rd
Mount Prospect, IL 60056-5401

Phone

(847) 939-3139

NPI assigned

Aug 29, 2022

Last updated

Aug 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bakytbubu Arynova, MDNPI 1124467253

Title

Owner/Authorized Official

Phone

(847) 939-3139

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bakytbubu Arynova, M.D.

  • Obstetrics & Gynecology Physician
  • Rockford, IL
  • NPI 1124467253
  Medicare reassignment NPD Authorized official
• Esra Kezban Jozwiak

  • Nurse Practitioner
  • Gurnee, IL
  • NPI 1366076937
  Medicare reassignment NPD

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1801516182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W ALGONQUIN RD",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600565401",
            "telephone_number": "847-939-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W ALGONQUIN RD",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600565401",
            "telephone_number": "847-939-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA MED WOMENS CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "ARYNOVA",
        "authorized_official_first_name": "BAKYTBUBU",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "847-939-3139",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.