MEDICARE: NOVA MED CARE LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1952038317
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOVA MED CARE LTD

Provider Business Mailing Address
First Line	:	7113 W HIGGINS AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60656-1903
Country	:	US
Telephone Number	:	312-899-6118
Fax Number	:

Provider Business Practice Location Address
First Line	:	1717 W ALGONQUIN RD
Second Line	:
City	:	MOUNT PROSPECT
State	:	IL
Zip	:	60056-5401
Country	:	US
Telephone Number	:	847-939-3139
Fax Number	:	847-407-8316

Authorized Official
Title or Position	:	OWNER/AUTHORIZED OFFICIAL
Name	:	BAKYTBUBU ARYNOVA
Credential	:
Telephone Number	:	847-939-3139

Provider Enumeration Date	:	08/05/2022
Last Update Date	:	07/12/2023

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