Revolution Health Systems

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

17729-74848 Issued in IL

Legal business name

REVOLUTION HEALTH SYSTEMS

Practice address

2214 E 70TH St
Suite 2N
Chicago, IL 60649-1714

Phone

(219) 728-1957

Fax

(219) 926-3400

NPI assigned

Jul 27, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Jeff S. Vantil

Title

Ceo/President

Phone

(219) 728-1957

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1609180108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 BROADWAY STE 6",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463042173",
            "telephone_number": "219-728-1957",
            "fax_number": "219-926-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 E 70TH ST",
            "address_2": "SUITE 2N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606491714",
            "telephone_number": "219-728-1957",
            "fax_number": "219-926-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTION HEALTH SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "VANTIL",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "219-728-1957",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "17729-74848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revival Therapy & Wellness Inc
• Revive Chiropractic
• Revive Relationship Therapy Inc.
• Gadi Asher Revivo, D.O.
• Revolution Counseling and Wellness LLC
• Revolution Physical Therapy Weight Loss
• Revolution PTWL LLC
• Reweave Therapy PLLC
• Dorothy Rewinski, D.D.S.
• Kaitlyn Elizabeth Rewis, MD

• Durable Medical Equipment & Medical Supplies in Chicago, IL
• Providers in Chicago, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.