IndividualActive
Sergey Revega, CRNA
NPI 1487061636 · Anesthesiologist Assistant · Urbana, IL
Provider details
- NPI number
- 1487061636
- Entity type
- Individual
- Primary specialty
- Anesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- ARNP9296749 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
611 W. Park St.
Anesthesiology
Urbana, IL 61801-2500
Phone: (217) 383-3303
Fax: (217) 383-3265
Approximate (ZIP-level) locationGet directions
Mailing address
611 W. Park St.
Urbana, IL 61801-2500
Registry dates
- Enumerated
- 2014-07-21
- Last updated
- 2015-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.