Organization Active NPI

Mavin Wound Physicians LLC

  • Family Medicine Physician
  • Schaumburg, IL
National Provider Identifier
1497593040
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MAVIN WOUND PHYSICIANS LLC
Practice address
1701 E Woodfield Rd Ste 215
Schaumburg, IL 60173-5127
Phone
(224) 520-8047
Fax
(224) 520-8109
NPI assigned
Jul 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Authorized official

Name
Dr. Sabrina Antonina Indyk, MDNPI 1124256136
Title
Owner/Physician
Phone
(224) 520-8047

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1701 E Woodfield Rd Ste 215
Schaumburg, IL 60173-5127

Mailing address

1701 E Woodfield Rd Ste 215
Schaumburg, IL 60173-5127
Phone (224) 520-8047

Other practice location 1

2556 Indian Ridge Ct
Glenview, IL 60026-2060
Phone (847) 287-6497

Other names 1

  • Revive Medical and Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241007000592 IL Part B Supplier - Clinic/Group Practice 4789115304 Receives reassigned benefits from 1 practitioner
Practice locations: Glenview, IL; Schaumburg, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2327122Revive Medical & Wellness1701 E Woodfield Rd - Ste 215, Schaumburg, IL 60173Certificate of waiverJul 15, 2027

National Provider Directory

National Provider Directory

Locations

1701 E Woodfield Rd
Ste 215
Schaumburg, IL 60173
Phone (224) 520-8047

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1497593040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E WOODFIELD RD STE 215",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735127",
            "telephone_number": "224-520-8047",
            "fax_number": "224-520-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E WOODFIELD RD STE 215",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735127",
            "telephone_number": "224-520-8047",
            "fax_number": "224-520-8109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2556 Indian Ridge Ct",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600262060",
            "country_code": "US",
            "telephone_number": "847-287-6497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAVIN WOUND PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "INDYK",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "ANTONINA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "224-520-8047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revive Medical and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.