Individual provider · Type 1 NPI
John W. Revello, DC
Chiropractor · Orland Park, IL
NPI number
1710928056
Active
Practice location
14406 John Humphrey Drive
Orland Park, IL 60462
Fax (708) 364-9805
Mailing address
14406 John Humphrey Dr
Orland Park, IL 60462-2638
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | None listed |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1710928056
John W. Revello, DC's National Provider Identifier is 1710928056, issued on Jun 9, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Orland Park, IL. The record was last updated on Aug 8, 2007.