Organization · Type 2 NPI
Revive & Renew
Primary Care Clinic/Center · Lombard, IL
NPI number
1124902994
Active
Practice location
716 S Main St
Lombard, IL 60148-3344
Mailing address
1S122 Eliot Ln
Villa Park, IL 60181-3710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Other primary care clinic/center providers in Lombard
About NPI 1124902994
Revive & Renew's National Provider Identifier is 1124902994, issued on Aug 4, 2025. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Lombard, IL. The record was last updated on Aug 4, 2025.