Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Paul Revis MD Sc

Dermatology Physician in Rockford, IL · enumerated 2007 · authorized official Paul Revis, Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1952505422

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Registry record

Entity type Organization (Type 2)

Legal business name Paul Revis MD Sc

Practice address 1055 Featherstone Rd Ste C, Rockford, IL, 61107

Phone (815) 227-1055

Fax (815) 227-1006

Enumeration date Jun 11, 2007

Last updated in NPPES Mar 16, 2026

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 036067857 (IL) Primary

Authorized official

Name Paul Revis

Title Physician

Phone (815) 227-1055

Other identifiers

Identifier	Type	State	Issuer
036067857	Medicaid	IL	-
0010132251	Other	IL	BCBS OF IL

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Paul Revis MD Sc located?

The practice location on file with NPPES is in Rockford, IL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-03-16. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Alexander Whitney Medical Physician Assistant · Rockford, IL NPI 1003307463 Olivia Lorenz Family Nurse Practitioner · Rockford, IL NPI 1578363354

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-16.