Provider Demographics
NPI:1952038317
Name:NOVA MED CARE LTD
Entity Type:Organization
Organization Name:NOVA MED CARE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:BAKYTBUBU
Authorized Official - Middle Name:
Authorized Official - Last Name:ARYNOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-939-3139
Mailing Address - Street 1:7113 W HIGGINS AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60656-1903
Mailing Address - Country:US
Mailing Address - Phone:312-899-6118
Mailing Address - Fax:
Practice Address - Street 1:1717 W ALGONQUIN RD
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-5401
Practice Address - Country:US
Practice Address - Phone:847-939-3139
Practice Address - Fax:847-407-8316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-05
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care