Organization
REVITALIZE WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEETAL DECARIA MD (OWNER)
(847) 834-4018
Entity
Organization
Contact information
Practice address
2550 COMPASS RD UNIT AB, GLENVIEW, IL 60026-1610
(847) 957-1972
Mailing address
2550 COMPASS RD UNIT AB, GLENVIEW, IL 60026-1610
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
171400000X
Health & Wellness Coach
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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