MEDICARE: REVIVE YOU PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1518836220
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REVIVE YOU PLLC

Provider Business Mailing Address
First Line	:	4256 N ARLINGTON HEIGHTS RD STE 204
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-7433
Country	:	US
Telephone Number	:	847-250-0214
Fax Number	:	847-221-6961

Provider Business Practice Location Address
First Line	:	4256 N ARLINGTON HEIGHTS RD STE 204
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-7433
Country	:	US
Telephone Number	:	847-250-0214
Fax Number	:	847-221-6961

Authorized Official
Title or Position	:	FNP/OWNER
Name	:	ANGELIKA OPIELA
Credential	:	NP
Telephone Number	:	847-250-0214

Provider Enumeration Date	:	10/31/2025
Last Update Date	:	10/31/2025

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