Dermatology, Procedural Dermatology
REVIVE SKIN INSTITUTE LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1104178144 · enumerated 2012-10-14 · record updated 2012-10-14. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. ANUP CHAUDHRY M.D., Member · (618) 549-0300
Other names: DERMATOLOGY
Addresses and phones
- Mailing address 1175 CEDAR CT, CARBONDALE, CARBONDALE, IL, 62901-5333 (619) 549-0300 Google Maps Apple Maps OpenStreetMap
- Practice location 1175 CEDAR CT, CARBONDALE, CARBONDALE, IL, 62901-5333 (619) 549-0300 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · License 036094335 IL
- Dermatology, Procedural Dermatology 207NS0135X · Primary · License 036094335 IL
In this directory
IL Jackson County Carbondale Dermatology, Procedural Dermatology
Locations and evidence
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Practice location
CARBONDALE, IL, 629015333
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.