| Revitalize Iv Solutions, Llc | |
|
7237 W Irving Park Rd Chicago IL 60634-3546 | |
| (773) 417-4556 | |
| (855) 958-5430 |
| Full Name | Revitalize Iv Solutions, Llc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 7237 W Irving Park Rd, Chicago, Illinois |
| Authorized Official Name and Position | Dawn Belvis (OWNER) |
| Authorized Official Contact | 7734174556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revitalize Iv Solutions, Llc 7237 W Irving Park Rd Chicago IL 60634-3546 Ph: (773) 417-4556 | Revitalize Iv Solutions, Llc 7237 W Irving Park Rd Chicago IL 60634-3546 Ph: (773) 417-4556 |
| NPI Number | 1942879572 |
|---|---|
| Provider Enumeration Date | 06/18/2021 |
| Last Update Date | 08/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942879572 | NPI | - | NPPES |
| 12345678 | Other | IL | INFUSION CLINIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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