Crest Health Solutions Co

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CREST HEALTH SOLUTIONS CO

Practice address

1045 Dixie Hwy Ste 200
Chicago Heights, IL 60411-2622

Phone

(708) 439-2271

Fax

(888) 984-4244

NPI assigned

Apr 25, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Mohammad Abdul Qayyum Siddiqui

Title

President

Phone

(773) 399-9523

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Barino, MD

  • Family Medicine Physician
  • Bolingbrook, IL
  • NPI 1255363305
  Medicare reassignment NPD

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1346038981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 DIXIE HWY STE 200",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604112622",
            "telephone_number": "773-399-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 DIXIE HWY STE 200",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604112622",
            "telephone_number": "708-439-2271",
            "fax_number": "888-984-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREST HEALTH SOLUTIONS CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-25",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "MOHAMMAD ABDUL QAYYUM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-399-9523",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Starsky Conner
• Marc Connery, MD
• Karol A Corey, OT
• Covenant Behavioral Health Services
• Covenant Medical Devices and Supplies
• Lashonda Crockett
• Catherine Cunningham, MSW
• Kristin Michelle Daugherty, M.D.
• Kierra Davenport
• Marcus David

• Clinic/Center in Chicago Heights, IL
• Providers in Chicago Heights, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.