NPI 1982305173

Michael Scott Chitwood, MHP

Practitioner Prevention Professional Rock Island, IL

Practice location

Address: 1317 3rd Ave, Rock Island, IL 61201-8562
Phone: (309) 794-1230
Mailing address: 2200 3rd Ave, Rock Island, IL 61201-8840

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence XXXXXXX (IA)

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Registry record

NPI: 1982305173
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Mar 2023
Record last updated: 13 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.