| Revive Medical and Wellness | |
|
1701 E Woodfield Rd Ste 215 Schaumburg IL 60173-5127 | |
| (224) 520-8047 | |
| (224) 520-8109 |
| Full Name | Revive Medical and Wellness |
|---|---|
| Speciality | Family Medicine |
| Location | 1701 E Woodfield Rd Ste 215, Schaumburg, Illinois |
| Authorized Official Name and Position | Sabrina Antonina Indyk (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2245208047 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Medical and Wellness 1701 E Woodfield Rd Ste 215 Schaumburg IL 60173-5127 Ph: (224) 520-8047 | Revive Medical and Wellness 1701 E Woodfield Rd Ste 215 Schaumburg IL 60173-5127 Ph: (224) 520-8047 |
| NPI Number | 1497593040 |
|---|---|
| Provider Enumeration Date | 07/17/2024 |
| Last Update Date | 07/30/2025 |
| Certification Date | 07/30/2025 |
| Medicare PECOS PAC ID | 4789115304 |
|---|---|
| Medicare Enrollment ID | O20241007000592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497593040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Sabrina Antonina Indyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124256136 PECOS PAC ID: 1951555952 Enrollment ID: I20130128000504 |
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