Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Crestwood Associated Medical Center Ltd

Organization Chiropractor · NPI 1104341163

Crestwood Associated Medical Center Ltd provides Chiropractor services 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.

See every abbreviation used in this directory →

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

Other providers in Crestwood