Active NPI
Rick A Chitwood, DO
- Pediatrics Physician
- McHenry, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 035-083318
- Practice address
- 3922 Mercy Dr
McHenry, IL 60050-3179 - Phone
- (815) 344-4499
- Fax
- (815) 344-4479
- NPI assigned
- Sep 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 035-083318 | IL | Primary |
Addresses
Primary practice location
3922 Mercy Dr
McHenry, IL 60050-3179
Mailing address
3922 Mercy Dr
McHenry, IL 60050-3151
Phone (815) 344-4499
Other practice location 1
901 Grant St
Harvard, IL 60033-1821
Phone (815) 943-5431
Other practice location 2
500 W Highway 22
Barrington, IL 60010-2313
Phone (847) 381-3000
Other practice location 3
875 South Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036083318 2 | Medicaid | IL | |
| CHITWRIC | Other | WI | MERCY CARE NUMBER |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035-083318 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients |
Locations
500 W Il Route 22
Barrington, IL 60010
Phone (847) 381-3000
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500
901 Grant St
Harvard, IL 60033
Phone (815) 943-5431
348 S Division St
Harvard, IL 60033
Phone (815) 943-1122
3922 Mercy Dr
McHenry, IL 60050
Phone (815) 344-4499
Interoperability endpoints
- rchitwood4000@direct.mhemail.org
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.
-
- Critical Access Hospital
- Harvard, IL
- NPI 1427001445
-
- Skilled Nursing Facility
- Harvard, IL
- NPI 1124195557
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1609977305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3922 MERCY DR",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600503151",
"telephone_number": "815-344-4499",
"fax_number": "815-344-4479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3922 MERCY DR",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600503179",
"telephone_number": "815-344-4499",
"fax_number": "815-344-4479"
}
],
"practiceLocations": [
{
"address_1": "901 Grant St",
"address_purpose": "LOCATION",
"city": "Harvard",
"state": "IL",
"postal_code": "600331821",
"country_code": "US",
"telephone_number": "815-943-5431",
"fax_number": "815-943-0659",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 W Highway 22",
"address_purpose": "LOCATION",
"city": "Barrington",
"state": "IL",
"postal_code": "600102313",
"country_code": "US",
"telephone_number": "847-381-3000",
"fax_number": "847-382-4755",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "875 South Route 31",
"address_purpose": "LOCATION",
"city": "Crystal Lake",
"state": "IL",
"postal_code": "600148190",
"country_code": "US",
"telephone_number": "779-220-5500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHITWOOD",
"first_name": "RICK",
"middle_name": "A",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2023-09-27",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "035-083318",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036083318 2",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY CARE NUMBER",
"identifier": "CHITWRIC",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.