OrganizationActive
Revive & Renew
NPI 1124902994 · Primary Care Clinic/Center · Lombard, IL
Revive & Renew is a Primary Care Clinic/Center organization in Lombard, IL (NPI 1124902994).
Provider details
- NPI number
- 1124902994
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stephanie Wascher, Advanced Practice Nurse(815) 573-8464
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
716 S Main St
Lombard, IL 60148-3344
Phone: (815) 573-8464
Street-level locationGet directions
Mailing address
1s122 Eliot Ln
Villa Park, IL 60181-3710
Registry dates
- Enumerated
- 2025-08-04
- Last updated
- 2025-08-04
- Certified
- 2025-08-04
Frequently asked questions
- What is Revive & Renew's NPI number?
- Revive & Renew's National Provider Identifier (NPI) is 1124902994, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive & Renew?
- Revive & Renew is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revive & Renew located?
- Revive & Renew's practice location on file with NPPES is 716 S Main St, Lombard, IL 60148-3344.
- What is Revive & Renew's phone number?
- The practice phone number listed in the NPPES registry for Revive & Renew is (815) 573-8464.
- Who is the authorized official for Revive & Renew?
- The authorized official listed on Revive & Renew's NPPES record is Stephanie Wascher, Advanced Practice Nurse. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive & Renew's NPI active?
- Yes — Revive & Renew's NPI (1124902994) is active in the NPPES registry as of the last update on 2025-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.