Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Crestwood Associated Medical Center Ltd

Family Medicine Physician in Crestwood, IL · enumerated 2017 · authorized official John Revello, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104341163

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Crestwood Associated Medical Center Ltd

Practice address 13705 Cicero Ave, Crestwood, IL, 60418

Phone (708) 385-4416

Fax (708) 388-8825

Enumeration date Aug 10, 2017

Last updated in NPPES Jul 21, 2022

Taxonomy & classification

111N00000X Chiropractor Chiropractic Providers · License 038010310 (IL) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 036.103914 (IL) Primary

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License 036039801 (IL) Secondary

261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities · License 070.005243 (IL) Secondary

Authorized official

Name John Revello

Title President

Phone (708) 385-4416

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Crestwood Associated Medical Center Ltd?

Crestwood Associated Medical Center Ltd is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.