Organization
REVITALIZE MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEETAL K DECARIA MD (OWNER)
(847) 834-4018
Entity
Organization
Contact information
Practice address
2550 COMPASS RD UNIT AB, GLENVIEW, IL 60026-1610
(847) 834-4018
(847) 834-4944
Mailing address
2550 COMPASS RD UNIT AB, GLENVIEW, IL 60026-1610
(847) 834-4018
(847) 834-4944
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
09/05/2018
Last updated
09/20/2023
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