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DR. JOHN W. REVELLO D.C.
NPI 1710928056
Chiropractor in Orland Park, IL

Active since June 09, 2006
14406 JOHN HUMPHREY DRIVE, ORLAND PARK, IL 60462(708) 364-0638(708) 364-9805 Get Directions Write a Review

NPPES record last updated: August 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. John W. Revello D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN W. REVELLO D.C. (NPI 1710928056) is an individual chiropractor in Orland Park, Illinois and active in the NPI registry since June 2006. He is a graduate of Other (2004).

NPPES Registry Identity

NPI1710928056
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JOHN W. REVELLOCredential: D.C.
Location Address14406 JOHN HUMPHREY DRIVEOrland Park, IL 60462
Mailing Address14406 John Humphrey DrOrland Park, IL 60462-2638 · (708) 364-0638 · Fax (708) 364-9805
Phone(708) 364-0638
Fax(708) 364-9805
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 9, 2006
Last NPPES UpdateAugust 8, 2007
✔ NPI 1710928056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
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.
14406 JOHN HUMPHREY DRIVE, Orland Park, IL 60462
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Other Identifiers 3

Medicare ID-Type UnspecifiedK19000IL
Medicare UPINV04614IL
Medicare ID-Type UnspecifiedK17700IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John W. Revello D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406894286
PECOS Enrollment IDI20050421001010

Medicare Billing Reassignment

Medicare enrollment records show John Revello reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Crestwood Associated Medical Center Ltd
5.9 mi
Family Medicine
13705 CICERO AVE
Crestwood, IL 60418
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
NPI 1104341163 (708) 385-4416

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
378 services21 patients
Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
151 services14 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Revello's NPI number?

The NPI number for John Revello is 1710928056. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is John Revello located?

John Revello practices at 14406 John Humphrey Drive, Orland Park, IL 60462. The listed phone number is (708) 364-0638.

What is John Revello's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is John Revello enrolled in Medicare?

Yes. John Revello is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Revello's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Revello reassigns Medicare benefits to Crestwood Associated Medical Center Ltd (Crestwood, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Revello's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Revello was last updated on August 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.