NPI 1063615094

Revello Chiropractic DC Sc

Organisation Exclusive Provider Organization Orland Park, IL

Practice location

Address: 14406 John Humphrey Dr, Orland Park, IL 60462-2638
Phone: (708) 364-0638
Fax: (708) 364-9805

Authorised official

Name: John W. Revello
Title: Owner
Phone: (708) 364-0638

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Registry record

NPI: 1063615094
Entity type: Organization
NPI issued: 7 Jun 2007
Record last updated: 14 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.