IndividualActive
Angelica Revis, DO
NPI 1093393118 · Pediatrics Physician · Skokie, IL
Provider details
- NPI number
- 1093393118
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 036169338 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9977 Woods Dr
Skokie, IL 60077-1057
Phone: (847) 663-8163
Street-level locationGet directions
Mailing address
9977 Woods Dr
Skokie, IL 60077-1057
Additional practice locations (1)
- 1675 Dempster StPark Ridge, IL 60068-1110Phone: (847) 318-9300
Registry dates
- Enumerated
- 2021-03-30
- Last updated
- 2024-05-17
- Certified
- 2024-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.