Individual
RICK A CHITWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3922 MERCY DR, MCHENRY, IL 60050-3179
(815) 344-4499
(815) 344-4479
Mailing address
3922 MERCY DR, MCHENRY, IL 60050-3151
(815) 344-4499
(815) 344-4479
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
035-083318
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036083318 2
—
IL
01
—
CHITWRIC
MERCY CARE NUMBER
WI
Enumeration date
09/26/2006
Last updated
09/27/2023
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