Crestwood Associated Medical Center Ltd

LBN: Crestwood Associated Medical Center Ltd
Crestwood Associated Medical Center Ltd is an health care organization with primary practice located at 13705 Cicero Ave , Crestwood IL 60418-1824. The organization recently has 4 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Ambulatory Health Care Facilities / Physical Therapy. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Crestwood Associated Medical Center Ltd can be contacted via phone (708) 385-4416, or through Revello, John William via phone (708) 385-4416.

Contact Information

Primary practice address
13705 Cicero Ave Crestwood IL 60418-1824
Phone: (708) 385-4416
Fax: (708) 388-8825
Website:
Map and Directions
Authorized official contact:
Name: Revello, John William Doctor of Chiropractic (DC)
Phone: (708) 385-4416

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038010310 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036.103914 Illinois
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036039801 Illinois
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 070.005243 Illinois

Profile Details

NPI number 1104341163
LBN Legal business name Crestwood Associated Medical Center Ltd
DBA Doing business as
Authorized official Revello, John William Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2017
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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