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

Paul Revis, MD

Individual provider Dermatology Physician · NPI 1518984293

Paul Revis, MD is a Dermatology in Rockford, Illinois. Graduated from University of Chicago, Pritzker School of Medicine in 1982, 44 years ago. Practices with Paul Revis MD SC, a 2-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
44
Trained at
University of Chicago, Pritzker School of Medicine
Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1055 Featherstone Rd
Rockford, IL 61107-5904
Phone: (815) 227-1055
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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 number1518984293
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026
Mailing address1055 Featherstone Rd Ste C, Rockford, IL 61107-5904

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduated 1982 (44 years in practice)
Group practice Paul Revis Md Sc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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