Organization
REVOLUTION HEALTH SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF S. VANTIL (CEO/PRESIDENT)
(219) 728-1957
Entity
Organization
Contact information
Practice address
2214 E 70TH ST, SUITE 2N, CHICAGO, IL 60649-1714
(219) 728-1957
(219) 926-3400
Mailing address
1050 BROADWAY STE 6, CHESTERTON, IN 46304-2173
(219) 728-1957
(219) 926-3400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
17729-74848
IL
Other
Enumeration date
07/27/2010
Last updated
01/06/2011
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