Organization · Type 2 NPI

Revival Health and Wellness Clinic

Family Medicine Physician · Salem, IL

NPI number 1366241507 Active

Practice location

207 E Main St
Salem, IL 62881-2926

Mailing address

1602 Woods Ln
Centralia, IL 62801-6774

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2 other providers at this address

Other family medicine physician providers in Salem

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About NPI 1366241507

Revival Health and Wellness Clinic's National Provider Identifier is 1366241507, issued on Mar 11, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Salem, IL. The record was last updated on Jun 27, 2025.