PAUL REVIS MD SC

ROCKFORD, IL
NPI1952505422
Entity TypeOrganization
Authorized ContactPAUL REVIS
Owner Physician
815-227-1055
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: IL  036067857)
Enumeration Date2007-06-11
Last Update Date2008-07-16
Business Address
PAUL REVIS MD SC
1055 FEATHERSTONE
ROCKFORD, IL 61107
Phone number: 815-227-1055
Mailing Address
PAUL REVIS MD SC
1803 OLD WOOD RD
ROCKFORD, IL 61107-1363
Phone number:
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