Organization
J REVELLO CHIROPRACTIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN REVELLO (CHIROPRACTOR)
(708) 385-4416
Entity
Organization
Contact information
Practice address
13703 CICERO AVE, CRESTWOOD, IL 60445-1824
(708) 385-4416
(708) 388-8825
Mailing address
13703 CICERO AVE, CRESTWOOD, IL 60445-1824
(708) 385-4416
(708) 388-8825
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.010310
IL
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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