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ANGELICA REVIS DO
NPI 1093393118
Pediatrics in Skokie, IL

Active since March 30, 2021PECOS Enrolled
9977 WOODS DR, SKOKIE, IL 60077(847) 663-8163 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 17, 2024, Jun 14, 2021, Apr 4, 2021 (3 updates tracked since 2021).

About Angelica Revis Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELICA REVIS DO (NPI 1093393118) is an individual pediatrics provider in Skokie, Illinois, licensed in Illinois (036169338) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Park Ridge.

NPPES Registry Identity

NPI1093393118
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameANGELICA REVISCredential: DO
Location Address9977 WOODS DRSkokie, IL 60077-1057
Mailing Address9977 Woods DrSkokie, IL 60077-1057 · (847) 663-8163
Phone(847) 663-8163
Sole ProprietorNo
Enumeration DateMarch 30, 2021
Last NPPES UpdateMay 17, 20243 updates tracked since enumeration
NPPES CertifiedMay 17, 2024
✔ NPI 1093393118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036169338
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
9977 WOODS DR, Skokie, IL 60077
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Secondary Practice Location 1

Location 11675 Dempster StPark Ridge, IL 60068-1110 · Phone (847) 318-9300

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angelica Revis Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60077 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HERMAN BLOMEIER M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
9977 WOODS DR
SKOKIE, IL 60077
Cook County (847) 663-8540
OKSANA BURYADNYK APN
Nurse Practitioner
9977 WOODS DR
SKOKIE, IL 60077
Cook County (847) 663-2655
DR. MICHAEL PERRY ROSENBAUM MD
Pediatrics
9977 WOODS DR
SKOKIE, IL 60077
Cook County (847) 663-8163
MARK B LAMPERT
Internal Medicine (Cardiovascular Disease)
9977 WOODS DR, 3RD FLOOR
SKOKIE, IL 60077
Cook County (847) 663-8410
JILL B PATEL PA-C
Physician Assistant
9977 WOODS DR
SKOKIE, IL 60077
Cook County (224) 364-2273
NANCY SCHINDLER MD
Surgery (Vascular Surgery)
9977 WOODS DR, 3RD FLOOR
SKOKIE, IL 60077
Cook County (847) 663-8050
ALLYSON LUCERO
Nurse Practitioner
9977 WOODS DR
SKOKIE, IL 60077
Cook County (224) 364-5573
DR. KATARZYNA ZARNECKI DO
Internal Medicine (Endocrinology, Diabetes & Metabolism)
9977 WOODS DR
SKOKIE, IL 60077
Cook County (847) 663-8540

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelica Revis's NPI number?

The NPI number for Angelica Revis is 1093393118. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Angelica Revis located?

Angelica Revis practices at 9977 Woods Dr, Skokie, IL 60077. The listed phone number is (847) 663-8163.

What is Angelica Revis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Angelica Revis enrolled in Medicare?

Yes. Angelica Revis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angelica Revis was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.