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Revive 45 Inc
Prosthetics Case Management in Palos Hills, Illinois
NPI 1760162929

Revive 45 Inc is a Prosthetics Case Management based in Evergreen Park, IL and is specialized in Prosthetics Case Management. Revive 45 Inc practices in Palos Hills, IL. The NPI Number for Revive 45 Inc is 1760162929 and holds a License No. (Illinois).

The current practice location address for Revive 45 Inc is 10544 S Harlem Ave # 205, Palos Hills, IL and can be reached out via phone at 773-242-9408.

Location: 10544 S Harlem Ave # 205, Palos Hills, IL, 60805-1550
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760162929
Provider Name
Revive 45 Inc
Credential
Provider Entity Type
Organization
Address
10544 S Harlem Ave # 205, Palos Hills, IL, 60805-1550
Phone Number
773-242-9408
Fax Number
Provider Enumeration Date
07/24/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
10544 S Harlem Ave # 205
City
Palos Hills
State
Illinois
Zip
60465-2063
Phone Number
773-242-9408
Fax Number
person
Provider Business Mailing Address Details
Address
10544 S Harlem Ave # 205
City
Palos Hills
State
Illinois
Zip
60465-2063
Phone Number
773-242-9408
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
1744P3200X
License No.
()
Definition
Definition to come...
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