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

Crest Clinic LLC

Organization Family Medicine Physician · NPI 1164750725

Crest Clinic LLC provides Family Medicine Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2219 W Taylor St
Chicago, IL 60612-4424 Not confirmed with CMS for 11 years — call before visiting
Phone: (708) 323-7608
Fax: (708) 286-6461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036116618 (IL)

Record details

NPI number1164750725
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Obidike Nwakudu — President · (708) 323-7608
NPI enumeratedNovember 19, 2009
Last updated in NPPESNovember 26, 2014
Mailing address2219 W Taylor St, Chicago, IL 60612-4424

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