Revello Chiropractic Dc Sc in Orland Park - Exclusive Provider Organization

Revello Chiropractic Dc Sc - NPI 1063615094

Revello Chiropractic Dc Sc is a Exclusive Provider Organization in Orland Park, Illinois. Revello Chiropractic Dc Sc practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Revello Chiropractic Dc Sc is 1063615094. The last update date is 2007-08-14.

Revello Chiropractic Dc Sc's current location address is 14406 John Humphrey Dr, Orland Park, Illinois. You can contact this provider via phone number 7083640638 and fax number 7083649805. The mailing address for Revello Chiropractic Dc Sc is 14406 John Humphrey Dr, Orland Park, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Revello Chiropractic Dc Sc
Address 14406 John Humphrey Dr, Orland Park, Illinois
Phone Number 7083640638
Fax Number 7083649805
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Revello W. John
Credentials D.C.
Telephone Number 7083640638

NPI Number Detail

NPI Number 1063615094
Provider Enumeration Date 2007-06-07
Last Updated Date 2007-08-14

Provider Mailing Address Detail

Address 14406 John Humphrey Dr
City Orland Park
State Illinois (IL)
Post Code 604622638
Phone Number 7083640638
Fax Number 7083649805

Provider's Primary Taxonomy Detail

Speciality Exclusive Provider Organization
Taxonomy 302F00000X
Definition:
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f

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FAQs about Revello Chiropractic Dc Sc

What is the unique identifier code issued to Revello Chiropractic Dc Sc by the Centers for Medicare & Medicaid Services (CMS)?

The Revello Chiropractic Dc Sc has been assigned the NPI (National Provider Identifier) 1063615094. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Revello Chiropractic Dc Sc is located?

The Revello Chiropractic Dc Sc is situated at the following address: 14406 John Humphrey Dr, Orland Park, IL, 604622638.

What is Revello Chiropractic Dc Sc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Revello Chiropractic Dc Sc's specialized field of practice is Exclusive Provider Organization, and the corresponding taxonomy code that categorizes this area of specialization is 302F00000X.

On what date did the Revello Chiropractic Dc Sc receive the assignment of its 1063615094 from the Centers for Medicare & Medicaid Services?

The Revello Chiropractic Dc Sc was issued its 1063615094 by the Centers for Medicare & Medicaid Services on 2007-06-07.

When was the information related to Revello Chiropractic Dc Sc most recently updated or refreshed?

The details pertaining to the Revello Chiropractic Dc Sc, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-14.

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