Search › Illinois › 133V00000X
Justin Revelo, LDN
NPI 1831022821 · on the registry since 2026
Practice
- Address
- 1628 County Road 1950 N
Cisne, IL 62823 - Phone
- (618) 571-4999
Additional practice sites
- 304 E Robinson St Ste 206b, Carmi, IL
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Also registered as
- 133V00000X
- Licence states on file
- IL, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois