NPI 1093393118

Angelica Revis, DO

Practitioner Pediatrics Physician Skokie, IL

Practice location

Address: 9977 Woods Dr, Skokie, IL 60077-1057
Phone: (847) 663-8163

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 036169338 (IL)

Other Pediatrics providers in Illinois →

Registry record

NPI: 1093393118
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Mar 2021
Record last updated: 17 May 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.