Revitalize Iv Solutions, Llc

LBN: Revitalize Iv Solutions, Llc
Revitalize Iv Solutions, Llc is an health care organization with primary practice located at 7237 W Irving Park Rd , Chicago IL 60634-3546. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Revitalize Iv Solutions, Llc can be contacted via phone (773) 417-4556, or through Belvis, Dawn via phone (773) 417-4556.

Contact Information

Primary practice address
7237 W Irving Park Rd Chicago IL 60634-3546
Phone: (773) 417-4556
Fax: (855) 958-5430
Website:
Map and Directions
Authorized official contact:
Name: Belvis, Dawn Doctor of Medicine (MD)
Phone: (773) 417-4556

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X

Profile Details

NPI number 1942879572
LBN Legal business name Revitalize Iv Solutions, Llc
DBA Doing business as
Authorized official Belvis, Dawn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2021
Last updated Aug 5th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942879572 NPPES
Illinois Other 12345678 INFUSION CLINIC

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