Healthcare Provider Details

I. General information

NPI: 1669851465
Provider Name (Legal Business Name): NOVACARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2015
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1S280 SUMMIT AVE STE D4
OAKBROOK TERRACE IL
60181-3951
US

IV. Provider business mailing address

1S280 SUMMIT AVE STE D4
OAKBROOK TERRACE IL
60181-3951
US

V. Phone/Fax

Practice location:
  • Phone: 708-223-4667
  • Fax: 800-990-3770
Mailing address:
  • Phone: 708-223-4667
  • Fax: 800-990-3770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number4000463
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number3000991
License Number StateIL

VIII. Authorized Official

Name: SALLY NWAFOR
Title or Position: ADMINISTRATOR
Credential: RN, MSN, PHD
Phone: 708-953-1476