Crest Medical Group LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CREST MEDICAL GROUP LLC

Practice address

23690 W Coal City Rd
Wilmington, IL 60481-9812

Phone

(720) 986-1342

NPI assigned

Oct 22, 2026

Last updated

Oct 22, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ted Birdsell

Title

Ceo

Phone

(720) 986-1342

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1792627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792627200000",
    "number": "1144127275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23690 W COAL CITY RD",
            "city": "WILMINGTON",
            "state": "IL",
            "postal_code": "604819812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23690 W COAL CITY RD",
            "city": "WILMINGTON",
            "state": "IL",
            "postal_code": "604819812",
            "telephone_number": "720-986-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREST MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-22",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A",
        "authorized_official_last_name": "BIRDSELL",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-986-1342"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Calhoun
• Gary Anthony Carollo, D.D.S.
• Larissa Chaidez
• Sanjay Chatrath, DO
• CJ Dziuban, LCSW, LLC
• Carrie Cullick, MSN, FNP
• Chester Joseph Dziuban, LCSW
• Elizabeth M Eaton, LCPC
• Embassy Care Center
• Embassy Holdings LLC (Embassy Health Care Center)

• Durable Medical Equipment & Medical Supplies in Wilmington, IL
• Providers in Wilmington, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.