Individual provider Active NPI

David Woods

  • Psychiatric/Mental Health Nurse Practitioner
  • Elgin, IL
National Provider Identifier
1003700907
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209032463 Issued in IL
Practice address
11 Douglas Ave Ste 273
Elgin, IL 60120-5590
Phone
(847) 595-0620
NPI assigned
Jun 5, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209032463 IL Primary

Addresses

Primary practice location

11 Douglas Ave Ste 273
Elgin, IL 60120-5590

Mailing address

11 Douglas Ave Ste 273
Elgin, IL 60120-5590
Phone (847) 595-0620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251209001008 IL Practitioner - Nurse Practitioner 0143714022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mathers Recovery LLCGroup PAC ID 2163781378, 6 clinicians
Mathers Clinic LLCGroup PAC ID 7214111582, 21 clinicians

Practice addresses (Care Compare)

145 S Virginia St
Crystal Lake, IL 60014-7226
Phone (815) 444-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209032463ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Mathers Clinic LLC CurrentSince Nov 21, 2025 Accepting new patients
Mathers Clinic LLC CurrentSince Nov 21, 2025 Accepting new patients
Mathers Recovery LLC CurrentSince Jan 21, 2026 Accepting new patients
Mathers Recovery LLC CurrentSince Jan 21, 2026 Accepting new patients

Locations

145 S Virginia St
Crystal Lake, IL 60014
Phone (815) 397-7654

145 S Virginia St
Ste C
Crystal Lake, IL 60014
Phone (815) 363-6055

420 Airport Rd
Ste C
Elgin, IL 60123
Phone (815) 444-9999

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1003700907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 DOUGLAS AVE STE 273",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601205590",
            "telephone_number": "847-595-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 DOUGLAS AVE STE 273",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601205590",
            "telephone_number": "847-595-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-06-05",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209032463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.