Gadi Asher Revivo in Chicago - Pediatric Rehabilitation Medicine
Gadi Asher Revivo - NPI 1922179787
Gadi Asher Revivo is a Pediatric Rehabilitation Medicine in Chicago, Illinois. Gadi Asher Revivo practices all healthcare services and medical treatments related to Pediatric Rehabilitation Medicine. The NPI Number for Gadi Asher Revivo is 1922179787. The last update date is 2022-06-23.
Gadi Asher Revivo's current location address is 355 E Erie St, Chicago, Illinois. You can contact this provider via phone number 3122381000. The mailing address for Gadi Asher Revivo is 355 E Erie St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gadi Asher Revivo |
|---|---|
| Address | 355 E Erie St, Chicago, Illinois |
| Phone Number | 3122381000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1922179787 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2022-06-23 |
Provider Mailing Address Detail
| Address | 355 E Erie St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606113167 |
| Phone Number | 3122381000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Rehabilitation Medicine |
|---|---|
| Taxonomy | 2081P0010X |
| Licence No | 036-104471 |
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Definition: A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosoci |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 036104471-1 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Gadi Asher Revivo by the Centers for Medicare & Medicaid Services?
The Gadi Asher Revivo has been assigned the NPI (National Provider Identifier) 1922179787 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Gadi Asher Revivo is geographically located?
The Gadi Asher Revivo is physically situated at the following location: 355 E Erie St, Chicago, IL, 606113167.
What is Gadi Asher Revivo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gadi Asher Revivo is Pediatric Rehabilitation Medicine, and the taxonomy code that classifies this field of practice is 2081P0010X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1922179787 to Gadi Asher Revivo?
The Centers for Medicare & Medicaid Services originally issued the 1922179787 to Gadi Asher Revivo on 2006-11-13.
As of what date were the details pertaining to Gadi Asher Revivo last refreshed?
The information related to the Gadi Asher Revivo, including its address, specialty, and other relevant details, was last updated on 2022-06-23.