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

Revo Physician Group LLC

Organization Family Medicine Physician · NPI 1598601163

Revo Physician Group LLC is a Family Medicine Physician in Lincolnwood, Illinois. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7101 N Cicero Ave Ste 200
Lincolnwood, IL 60712-2112
Phone: (212) 734-6621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1598601163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nathaniel Montag — Owner · (212) 734-6621
NPI enumeratedApril 27, 2026
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026
Mailing address7101 N Cicero Ave Ste 200, Lincolnwood, IL 60712-2112

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