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

Revival Health

Organization Registered Dietitian · NPI 1447194105

Revival Health provides Registered Dietitian services in Sherrard, Illinois. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1317 Fyre Lake Dr
Sherrard, IL 61281-9349
Phone: (925) 899-8450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1447194105
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Menegus — Dietitian/Owner · (925) 899-8450
NPI enumeratedApril 15, 2026
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026
Mailing address1317 Fyre Lake Dr, Sherrard, IL 61281-9349

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