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REVIVE & RENEW
NPI 1124902994
Clinic/Center - Primary Care in Lombard, IL

Active since August 04, 2025
716 S MAIN ST, LOMBARD, IL 60148(815) 573-8464 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revive & Renew NPPES

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

REVIVE & RENEW (NPI 1124902994) is a healthcare organization registered as a primary care in Lombard, Illinois and active in the NPI registry since August 2025. The organization lists Stephanie Wascher, Advanced Practice Nurse, as its authorized official.

NPPES Registry Identity

NPI1124902994
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameREVIVE & RENEW
Location Address716 S MAIN STLombard, IL 60148-3344
Mailing Address1s122 Eliot LnVilla Park, IL 60181-3710 · (815) 573-8464
Phone(815) 573-8464
Organization SubpartNo
Authorized OfficialStephanie WascherAdvanced Practice Nurse · (815) 573-8464
Enumeration DateAugust 4, 2025
NPPES CertifiedAugust 4, 2025
✔ NPI 1124902994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
716 S MAIN ST, Lombard, IL 60148
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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 Revive & Renew's NPI number?

The NPI number for Revive & Renew is 1124902994. It was assigned to this organization in the NPPES registry on August 4, 2025.

Where is Revive & Renew located?

Revive & Renew is located at 716 S Main St, Lombard, IL 60148. The listed phone number is (815) 573-8464.

What is Revive & Renew's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Revive & Renew was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.