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

Mr. Justin Revelo, LDN

Individual provider Registered Dietitian · NPI 1831022821

Mr. Justin Revelo, LDN is a Registered Dietitian in Cisne, Illinois. Works from 2 locations. Licensed in Illinois and Indiana.

Licensed in
IL, IN
In the registry since
2026
Specialties on file
2
What do these letters mean?
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

See every abbreviation used in this directory →

Practice location Address checks out

1628 County Road 1950 N
Cisne, IL 62823-9037
Phone: (618) 571-4999
Show map & directions

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

Additional practice locations (1)

  • 304 E Robinson St Ste 206b, Carmi, IL 62821-1935 — (872) 272-1935

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 164.023666 (IL)
Registered Dietitian Taxonomy 133V00000X · Licence 37004542A (IN)

Record details

NPI number1831022821
Entity typeIndividual (Type 1)
GenderMale
Credentials LDN
Sole proprietorNo
NPI enumeratedJune 8, 2026
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026