Revivo, Gadi Asher

Revivo, Gadi Asher is an individual health care provider with primary practice located at 355 E Erie St , Chicago IL 60611-3167. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine. Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine is his primary health care specialty. Revivo, Gadi Asher can be contacted via phone (312) 238-1000.

Contact Information

Primary practice address
355 E Erie St Chicago IL 60611-3167
Phone: (312) 238-1000
Fax: (312) 238-1208
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036-104471 Illinois
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine 2081P0010X 036-104471 Illinois

Profile Details

NPI number 1922179787
LBN Legal business name Revivo, Gadi Asher
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jun 23rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922179787 NPPES
Illinois MEDICAID 036104471-1

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