Revolvemd S.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036109000 Issued in IL

Legal business name

REVOLVEMD S.C.

Practice address

800 Biesterfield Rd Ste 625
Elk Grove Village, IL 60007-3362

Phone

(847) 981-6061

Fax

(872) 241-0118

NPI assigned

Feb 22, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gopal S Rao, MD

Title

Owner

Phone

(847) 981-6061

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1013332402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 STURTZ ST",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600104243",
            "telephone_number": "847-981-6061",
            "fax_number": "833-972-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD STE 625",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073362",
            "telephone_number": "847-981-6061",
            "fax_number": "872-241-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLVEMD S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-22",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "GOPAL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-981-6061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036109000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herbert J Reisel, M.D.
• Renaissance Home Health Services Inc.
• Christina Marie Rentner
• Resolve PT and Performance LLC
• Natalia Rettmuller, MT
• Erasmo Reyes
• Susan Reynolds, LCSW
• Richard M Mruz MD SC
• Kandice Nicole Richards-Lanza, LCSW
• Margaret Adrienne Richey, MSW

• Internal Medicine Physician in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.