| NPI | 1497593040 |
|---|---|
| Doing Business As | REVIVE MEDICAL AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | SABRINA ANTONINA INDYK Owner/Physician 224-520-8047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2025-07-30 |