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General NPI Number Information
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NPI Number | 1518836220
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Entity Type | Organization
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Legal Business Name | REVIVE YOU PLLC
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Dates
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Enumeration Date | 10/31/2025
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 4256 N ARLINGTON HEIGHTS RD STE 204
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-7433
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Country | US
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Telephone | 847-250-0214
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Fax | 847-221-6961
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Provider Business Mailing Address
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Address Line | 4256 N ARLINGTON HEIGHTS RD STE 204
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-7433
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Country | US
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Telephone | 847-250-0214
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Fax | 847-221-6961
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Authorized Official
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Title or Position | FNP/OWNER
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Name | ANGELIKA OPIELA
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Credential | NP
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Telephone | 847-250-0214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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