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

Crestwood Associated Medical Center Ltd

Organization Chiropractor · NPI 1104341163

Crestwood Associated Medical Center Ltd is a Chiropractor in Crestwood, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017
Specialties on file
4
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13705 Cicero Ave
Crestwood, IL 60418-1824
Phone: (708) 385-4416
Fax: (708) 388-8825
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036.103914 (IL)
Chiropractor Taxonomy 111N00000X · Licence 038010310 (IL)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 036039801 (IL)
Physical Therapy Clinic/Center Taxonomy 261QP2000X · Licence 070.005243 (IL)

Record details

NPI number1104341163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Revello — President · (708) 385-4416
NPI enumeratedAugust 10, 2017
Last updated in NPPESJuly 21, 2022
Mailing address13705 S. Cicero Ave., Crestwood, IL 60445

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