Revive Wound Care LLC

NPI #1942057955 in Oak Brook, Illinois

Provider Information

NPI Number
1942057955
Entity Type
Organization
Organization Name
Revive Wound Care LLC
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
May 6, 2024
Last Updated
May 6, 2024

Practice Location

Address
2210 MIDWEST RD
ZIP Code
60523-1280
Phone
(630) 422-3943

Authorized Official

Name
LUQMAN BALOCH, MD
Title
PRESIDENT
Phone
(630) 422-3943

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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