OrganizationActive
Crest Clinic LLC
NPI 1164750725 · Family Medicine Physician · Chicago, IL
Crest Clinic LLC is a Family Medicine Physician organization in Chicago, IL (NPI 1164750725).
Provider details
- NPI number
- 1164750725
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Obidike Nwakudu, President(708) 323-7608
- License
- 036116618 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2219 W Taylor St
Chicago, IL 60612-4424
Phone: (708) 323-7608
Fax: (708) 286-6461
Street-level locationGet directions
Mailing address
2219 W Taylor St
Chicago, IL 60612-4424
Registry dates
- Enumerated
- 2009-11-19
- Last updated
- 2014-11-26
Frequently asked questions
- What is Crest Clinic LLC's NPI number?
- Crest Clinic LLC's National Provider Identifier (NPI) is 1164750725, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crest Clinic LLC?
- Crest Clinic LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Crest Clinic LLC located?
- Crest Clinic LLC's practice location on file with NPPES is 2219 W Taylor St, Chicago, IL 60612-4424.
- What is Crest Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Crest Clinic LLC is (708) 323-7608.
- Who is the authorized official for Crest Clinic LLC?
- The authorized official listed on Crest Clinic LLC's NPPES record is Obidike Nwakudu, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crest Clinic LLC's NPI active?
- Yes — Crest Clinic LLC's NPI (1164750725) is active in the NPPES registry as of the last update on 2014-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.