John W. Revello, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

14406 John Humphrey Drive
Orland Park, IL 60462

Phone

(708) 364-0638

Fax

(708) 364-9805

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crestwood Associated Medical Center LTD

  • Family Medicine Physician
  • Crestwood, IL
  • NPI 1104341163

  Chiropractor

  Medicare reassignment NPD Authorized official
• Revello Chiropractic DC SC

  • Exclusive Provider Organization
  • Orland Park, IL
  • NPI 1063615094
  NPD (past) Authorized official
• Advanced Physicians, S.C.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Crest Hill, IL
  • NPI 1124075288
  NPD (past)
• Advanced Physicians, S.C.

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
  • NPI 1750337077
  NPD (past)
• Anchored in Health SC

  • Chiropractor
  • Orland Park, IL
  • NPI 1073173407
  NPD (past)
• James P Noonan DC SC

  • Chiropractor
  • Orland Park, IL
  • NPI 1245398809
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1710928056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14406 JOHN HUMPHREY DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622638",
            "telephone_number": "708-364-0638",
            "fax_number": "708-364-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14406 JOHN HUMPHREY DRIVE",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "60462",
            "telephone_number": "708-364-0638",
            "fax_number": "708-364-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVELLO",
        "first_name": "JOHN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Marie Rendulic, APRN, FNP-C
• Myrell Mae Requilme, PT
• Alan H. Resnick, M.D.
• Restorative Assurance
• Revello Chiropractic DC SC
• Joshua Michael Reyes, CCC-SLP
• Whal Ran Rhim Lavin, DDS
• Blair Andrew Rhode, M.D.
• Richard Eisaman
• Kristen Richard, PT, OCS

• Chiropractor in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.