OrganizationActive
Advantage Physical Medicine PLLC
NPI 1568226553 · Integrative Medicine Physician · Breese, IL
Provider details
- NPI number
- 1568226553
- Entity type
- Organization
- Primary specialty
- Integrative Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Craig Revermann, Owner
Practice location
397 N Plum St
Breese, IL 62230-1528
Phone: (618) 526-4700
Fax: (618) 526-4702
Mailing address
397 N Plum St
Breese, IL 62230-1528
Registry dates
- Enumerated
- 2024-02-09
- Last updated
- 2024-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.