Revive 45 INC
NPI #1760162929 in Palos Hills, Illinois
Provider Information
- NPI Number
- 1760162929
- Entity Type
- Organization
- Organization Name
- Revive 45 INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jul 24, 2023
- Last Updated
- Mar 10, 2025
Practice Location
- Address
- 10544 S HARLEM AVE # 205
- City
- Palos Hills
- State
- Illinois
- ZIP Code
- 60465-2063
- Phone
- (773) 242-9408
Authorized Official
- Name
- LAVINA HAMILTON
- Title
- OWNER
- Phone
- (773) 242-9408
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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