MEDICARE: MR. MICHAEL SCOTT CHITWOOD SR. MHP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	405300000X	Prevention Professional	XXXXXXX	IA

General Provider Information

NPI Number	:	1982305173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL SCOTT CHITWOOD SR. MHP

Provider Business Mailing Address
First Line	:	2200 3RD AVE
Second Line	:
City	:	ROCK ISLAND
State	:	IL
Zip	:	61201-8840
Country	:	US
Telephone Number	:	309-779-2094
Fax Number	:

Provider Business Practice Location Address
First Line	:	1317 3RD AVE
Second Line	:
City	:	ROCK ISLAND
State	:	IL
Zip	:	61201-8562
Country	:	US
Telephone Number	:	309-794-1230
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2023
Last Update Date	:	09/13/2023

Similar Medicare Providers

1619851250 — APRIL CARA PICKERAL
Practice Location Address:

211 RIVER LANDING DR UNIT 120
DANIEL ISLAND, SC
29492-8562

Practice Phone: 912-614-2553
Practice Fax:

1215706494 — ABODE CARE PARTNERS LTC VB, LLC
Practice Location Address:

2545 24TH ST
ROCK ISLAND, IL
61201-5305

Practice Phone: 800-807-6555
Practice Fax: 855-316-2999

1427827740 — ABODE CARE PARTNERS AL VB, LLC
Practice Location Address:

2545 24TH ST
ROCK ISLAND, IL
61201-5305

Practice Phone: 800-807-6555
Practice Fax: 855-316-2999

1396677571 — GREYSON LANGENWALTER
Practice Location Address:

2200 3RD AVE
ROCK ISLAND, IL
61201-8840

Practice Phone: 309-779-2094
Practice Fax:

1336142629 — DR. DEEPAK AHUJA M.D.
Practice Location Address:

2701 17TH ST
ROCK ISLAND, IL
61201-5351

Practice Phone: 309-779-2904
Practice Fax: 309-779-2399

1659375343 — DR. CHAUDRY AHMAD WAHEED CHEEMA M.D.
Practice Location Address:

2570 24TH ST STE 121
ROCK ISLAND, IL
61201-5394

Practice Phone: 309-779-4800
Practice Fax: 309-779-4805

Directions to “ MR. MICHAEL SCOTT CHITWOOD SR. MHP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.