Active NPI
Erick Mitchell McCormick, RN
- Certified Registered Nurse Anesthetist
- North Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 041453025
- Practice address
- 3333 Green Bay Rd
North Chicago, IL 60064-3037 - Phone
- (847) 578-3000
- NPI assigned
- May 12, 2022
- Last updated
- May 24, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WI
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 041.453025 | IL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premiere Anesthesia Group LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| 360 Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Priority Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| G & G Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Oncology Hematology Associates of Northern Illinois, LTD | Current | Accepting new patients | |
| City of Hope Medical Group of Illinois PLLC | Current | Accepting new patients | |
| Waukegan Clinic Corp | Current | Accepting new patients | |
| Northstar Anesthesia of Illinois, LLC | Nurse Anesthetist, Certified Registered | Current | 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
- 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.
-
- Specialist
- Zion, IL
- NPI 1548258072
-
- Certified Registered Nurse Anesthetist
- Park Ridge, IL
- NPI 1720467392
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Park Ridge, IL
- NPI 1285174557
Nurse Anesthetist, Certified Registered, WI
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1962822395
IL, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Maryville, IL
- NPI 1487020111
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Waukegan, IL
- NPI 1306937289
-
- Anesthesiology Physician
- Wilkes Barre, PA
- NPI 1811637366
IL, Nurse Anesthetist, Certified Registered
-
- Hematology & Oncology Physician
- Gurnee, IL
- NPI 1093142135
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba City of Hope Cancer Center Chicago
- General Acute Care Hospital
- Zion, IL
- NPI 1811984388
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.