Individual provider Active NPI

Erick Mitchell McCormick, RN

  • Certified Registered Nurse Anesthetist
  • North Chicago, IL
National Provider Identifier
1366189250
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
041453025 Issued in IL
Practice address
3333 Green Bay Rd
North Chicago, IL 60064-3037
Phone
(847) 578-3000
NPI assigned
May 12, 2022
Last updated
May 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041.453025 IL
Certified Registered Nurse Anesthetist 367500000X 041453025 IL Primary

Addresses

Primary practice location

3333 Green Bay Rd
North Chicago, IL 60064-3037

Mailing address

10141 W York House Rd
Beach Park, IL 60087-2405
Phone (224) 723-7112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240306000339 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527414713 Reassigns benefits to 6 organizations
I20250326002906 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527414713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premiere Anesthesia Group LLCGroup PAC ID 6608187810, 17 clinicians
Priority Anesthesia LLCGroup PAC ID 2264780360, 8 clinicians
Northstar Anesthesia of Illinois, LLCGroup PAC ID 4688893878, 404 clinicians
City of Hope Medical Group of Illinois PLLCGroup PAC ID 3274446596, 129 clinicians

Practice addresses (Care Compare)

1100 W Central Rd
Suite 102
Arlington Heights, IL 60005-2465
Phone (847) 259-3080

119 Elizabeth LN
Genoa City, WI 53128-2124
Phone (262) 295-1213

1423 Chicago Rd
Chicago Heights, IL 60411-3400
Phone (708) 756-1000

2520 Elisha Ave
Zion, IL 60099-2676
Phone (847) 872-4561

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041.453025ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Premiere Anesthesia Group LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 12, 2024 Accepting new patients
360 Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2024 Accepting new patients
Priority Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 5, 2025 Accepting new patients
G & G Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 13, 2024 Accepting new patients
Oncology Hematology Associates of Northern Illinois, LTD CurrentSince Jun 6, 2024 Accepting new patients
City of Hope Medical Group of Illinois PLLC CurrentSince Jul 1, 2025 Accepting new patients
Waukegan Clinic Corp CurrentSince Jun 6, 2024 Accepting new patients
Northstar Anesthesia of Illinois, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 23, 2023 Accepting new patients

Locations

1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870

1100 W Central Rd
Ste 102
Arlington Hts, IL 60005
Phone (847) 259-3080

2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358

200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000

2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183

6495 S 27th St
Franklin, WI 53132
Phone (414) 574-0253

119 Elizabeth Ln
Genoa City, WI 53128
Phone (224) 678-1080

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4

Organizations & group practices 8

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1366189250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10141 W YORK HOUSE RD",
            "city": "BEACH PARK",
            "state": "IL",
            "postal_code": "600872405",
            "telephone_number": "224-723-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 GREEN BAY RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600643037",
            "telephone_number": "847-578-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "ERICK",
        "middle_name": "MITCHELL",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-12",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.453025",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "041453025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.