Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Paul Revis MD SC

Organization Dermatology Physician · NPI 1952505422

Paul Revis MD SC is a Dermatology Physician in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

1055 Featherstone Rd Ste C
Rockford, IL 61107-5904
Phone: (815) 227-1055
Fax: (815) 227-1006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 036067857 (IL)

Record details

NPI number1952505422
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Revis — Physician · (815) 227-1055
NPI enumeratedJune 11, 2007
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026
Mailing address1055 Featherstone Rd Ste C, Rockford, IL 61107-5904

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