NPI 1568226553

Advantage Physical Medicine PLLC

Organisation Integrative Medicine Physician Breese, IL

Practice location

Address: 397 N Plum St, Breese, IL 62230-1528
Phone: (618) 526-4700
Fax: (618) 526-4702

Authorised official

Name: Craig Revermann
Title: Owner
Phone: (618) 972-0709

Registered specialties

Integrative Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202D00000X

Other Integrative Medicine providers in Illinois →

Registry record

NPI: 1568226553
Entity type: Organization
NPI issued: 9 Feb 2024
Record last updated: 9 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.