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

Revolution Ptwl LLC

Organization Psychologist · NPI 1164766606

Revolution Ptwl LLC is a Psychologist in Chicago, Illinois. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
3
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

845 N Michigan Ave Ste 973W
Chicago, IL 60611
Phone: (312) 878-8800
Fax: (312) 448-9978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Psychologist Taxonomy 103T00000X
Registered Dietitian Taxonomy 133V00000X

Record details

NPI number1164766606
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randolph Frieser — President · (312) 878-8800
Other names Revolution Physical Therapy Weight Loss; Revolution Physical Therapy Weight Loss
NPI enumeratedNovember 21, 2012
Last updated in NPPESJune 6, 2018
Mailing address845 N Michigan Ave, Suite 973w, Chicago, IL 60611-2252

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