Paul Revis MD Sc
Dermatology in Rockford, IL. Organization (NPI-2).
NPI number1952505422
StatusActive
Last updated in NPPESMar 16, 2026
Details
- NPI
- 1952505422
- Entity type
- Organization (NPI-2)
- Legal business name
- Paul Revis MD Sc
- Organization subpart
- No
- Enumeration date
- Jun 11, 2007
- Certification date
- Mar 16, 2026
- Last updated
- Mar 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 036067857 | IL | Yes |
Practice location
1055 Featherstone Rd Ste CRockford, IL 61107-5904
Phone 815-227-1055 · Fax 815-227-1006
Mailing address
1055 Featherstone Rd Ste CRockford, IL 61107-5904
Phone 815-227-1055 · Fax 815-227-1006
Authorized official
Paul Revis
Physician
8152271055
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