Nova Wound Care Sc

LBN: Nova Wound Care Sc
Nova Wound Care Sc is an health care organization with primary practice located at 1420 Renaissance Dr Ste 201 , Park Ridge IL 60068-1330. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. Nova Wound Care Sc can be contacted via phone (847) 559-9015, or through Kopacz, Julie via phone (847) 559-9015.

Contact Information

Primary practice address
1420 Renaissance Dr Ste 201 Park Ridge IL 60068-1330
Phone: (847) 559-9015
Fax: (847) 574-7444
Website:
Map and Directions
Authorized official contact:
Name: Kopacz, Julie
Phone: (847) 559-9015

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 042.619557 Illinois

Profile Details

NPI number 1497081863
LBN Legal business name Nova Wound Care Sc
DBA Doing business as Nova Wound Care Sc
Authorized official Kopacz, Julie
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2009
Last updated Mar 30th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497081863 NPPES
Wisconsin MEDICAID 100088299
Wisconsin MEDICAID 036.092302
Wisconsin MEDICAID 1871689208

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