NPI Registry.org

Angelica Revis

NPI Registration Record

Provider / OrganizationNPIDate Certified
ANGELICA REVIS10933931182021-04-04

Angelica Revis is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1093393118. Registration indicates Angelica Revis is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)

Entity TypeIndividual
Provider Name Angelica Revis
Practice Office Address1675 DEMPSTER ST
PARK RIDGE, IL US
Practice Office Telephone8473189300
Mailing Address1675 DEMPSTER ST
PARK RIDGE, IL 600681110 US
HPT Codes
CodePractice
License No
State
390200000X PRIMARY
Student, Health Care
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program

All Other Specialties & Provider Types

Student in an Organized Health Care Education/Training Program
Student, Health Care
OPI Codes

© 2021 NPIRegistry.org | Contact | Privacy Policy | NPI Resources
45 CFR Part 162