Post on 18-Apr-2018
Health Alliance Medicare HMO Plan
Provider Directory
This directory provides a list of Health Alliance Medicare HMO network providers. This directory is for benefi ciaries in Bureau, Cass, Champaign, Christian, Coles, DeWitt, Douglas, Ford, Kankakee, Knox, Logan, Macon, Macoupin, Marshall, Mason, McLean, Menard, Montgomery, Morgan, Moultrie, Peoria, Piatt, Putnam, Sangamon, Scott, Stark, Tazewell, Vermilion and Woodford counties in Illinois.
This directory is current as of September 1, 2013. Some network providers may have been added or removed from our network after this directory was printed. We do not guarantee that each provider is still accepting new members. To get the most up-to-date information about Health Alliance Medicare HMO network providers in your area, you can visit HealthAllianceMedicare.org or call Health Alliance Medicare Services at 1-800-965-4022, Monday through Friday, 8 a.m. to 8 p.m. TTY/TDD users should call 711 or 1-800-526-0844 (Illinois Relay).
Health Alliance Medicare is an HMO plan with a Medicare contract. Enrollment in Health Alliance Medicare depends on contract renewal.
cps-ILMedHMOproviderdirectory-0713H1463_14_10139Accepted
1-800-965-4022TTY/TDD 711 or 1-800-526-0844 (Illinois Relay)
HealthAllianceMedicare.org
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Section 1 – IntroductionThis directory provides a list of Health Alliance Medicare HMO network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage.
You will have to choose one of our network providers who are listed in this directory to be your Primary Care Physician (PCP). The term “PCP” will be used throughout this directory. Generally, you must get your health care coverage from your PCP. In most situations, your PCP must give you approval in advance before you can use other providers in the Plan’s network, such as Specialists, Hospitals, Skilled Nursing Facilities or home health care agencies. This is called giving you a “referral.”
Referrals from your PCP are not required for Emergency Care or Urgently Needed Care. You can receive some other kinds of care without approval in advance from your PCP.
• Routine women’s health care, which include breast exams, mammograms (X-rays of the breast), Pap tests and pelvic exams, as long as you get them from a Network Provider.
• Flu shots and pneumonia vaccinations, as long as you get them from a Network Provider.
The “network providers” listed in this directory have agreed to provide you with your health care coverage. You may go to any of our network providers listed in this directory. However, some services may require a referral. If you have been going to one network provider, you are not required to continue going to that same provider. In some cases, you may get covered services from non-network providers.
If you receive care from a non-network provider and receive a bill from that provider, you should not pay it. Instead, please submit it to Health Alliance Medicare so we can determine what, if any, of the fees you actually must pay.
If you are using an out-of-network provider for Emergency Care, Urgently Needed Care or out-of-area dialysis, you may not have to pay a higher cost-sharing amount.
If you obtain routine care from out-of-network providers, it may cost more than if you went to an in-network provider.
HMO members:
Emergency care can always be obtained in or out of the service area from the nearest available provider. If you have a medical emergency:
• Get help as quickly as possible. Call 911 for help or go to the nearest emergency room, Hospital or urgent care center. Call for an ambulance if you need it. You do not need to get approval or a referral fi rst.
• As soon as possible, make sure to tell Health Alliance Medicare about your emergency. We need to follow up on your Emergency Care. You or someone else should call to tell us about your Emergency Care, usually within 48 hours.
You must use plan providers except in emergency or urgent care situations or for out-of-area renal dialysis or other services. When out of the service area, urgent care may be obtained from the fi rst available provider.
If you obtain routine care from out-of-network providers, neither Medicare nor Health Alliance Medicare will be responsible for the costs.
What is the service area for Health Alliance Medicare HMO?The counties in our service area are listed below. Bureau, Cass, Champaign, Christian, Coles, DeWitt, Douglas, Ford, Kankakee, Knox, Logan, Macon, Macoupin, Marshall, Mason, McLean, Menard, Montgomery, Morgan, Moultrie, Peoria, Piatt, Putnam, Sangamon, Scott, Stark, Tazewell, Vermilion and Woodford counties in Illinois.
How do you fi nd Health Alliance Medicare HMO providers in your area? This directory is organized by category (Primary Care Physicians, Specialty Care, etc.) and then alphabetically by city. Or, you can use the index that begins on page 503 to fi nd an alphabetical listing of all providers.
If you have questions about Health Alliance Medicare HMO or require assistance in selecting a PCP, please call our Member Services Department at 1-800-965-4022, Monday through Friday, 8 a.m. to 8 p.m. TTY\TDD users should call 711 or 1-800-526-0844 (Illinois Relay). Or, visit HealthAllianceMedicare.org.
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Primary Care Physicians
Section 2 ï List of Network Providers Midlevel providers (including nurse practitioners and physician assistants) cannot be selected as Primary Care Physicians. However, you may use the services of a midlevel provider by selecting his or her supervising physician as your designated Primary Care Physician. Midlevel providers are indicated by italics.
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
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1
FAMILY PRACTICE
BIGGS, ROBERT, MDGENDER: MPROVIDER #: 247111NPI #: 1699094995E-PRESCRIBE: NOSARAH BUSH LINCOLN HEALTH CENTER241 W SPRINGFIELD RDARCOLA, IL 61910PHONE: (217) 268-4444E-PRESCRIBE: NO
WADE, VIRGINIA A., MDGENDER: FPROVIDER #: 047861NPI #: 1720012024E-PRESCRIBE: NO600 E COUNTY RD 300 NARCOLA, IL 61910PHONE: (217) 268-5008E-PRESCRIBE: NO
GENERAL PRACTICE
CLIMACO, RAMON U., MDGENDER: MPROVIDER #: 006108NPI #: 1932195906E-PRESCRIBE: NO120 S LOCUSTARCOLA, IL 61910PHONE: (217) 268-4323E-PRESCRIBE: NO
FAMILY PRACTICE
HARTMAN, PATRICK, MDGENDER: MPROVIDER #: 053300NPI #: 1861508160E-PRESCRIBE: NOSBL ARTHUR CLINIC211 S WALNUTARTHUR, IL 61911PHONE: (217) 543-3444E-PRESCRIBE: NO
PHU, LIZA A., MDGENDER: FPROVIDER #: 207843NPI #: 1174758908E-PRESCRIBE: NO650 W COLUMBIAARTHUR, IL 61911PHONE: (217) 543-3869E-PRESCRIBE: NO
WILLIAMS, SHERRY M., MDGENDER: FPROVIDER #: 202910NPI #: 1104137140E-PRESCRIBE: NOARTHUR MEDICAL CENTER650 W COLUMBIAARTHUR, IL 61911PHONE: (217) 543-3869E-PRESCRIBE: NO
FAMILY PRACTICE
CUNNINGTON, WALTER H., MD
GENDER: MPROVIDER #: 133335NPI #: 1811024508E-PRESCRIBE: NOCOMMUNITY MEDICAL CLINIC OF ASSUMPTION118 N WALNUTASSUMPTION, IL 62510PHONE: (217) 226-3133E-PRESCRIBE: NO
KOCHER, JARED J., MDGENDER: MPROVIDER #: 119163NPI #: 1346299724E-PRESCRIBE: NOCOMMUNITY MEDICAL CLINIC OF ASSUMPTION118 N WALNUTASSUMPTION, IL 62510PHONE: (217) 226-3133E-PRESCRIBE: NO
TEODORO, CATHERINE D., MD
GENDER: FPROVIDER #: 225034NPI #: 1720373574E-PRESCRIBE: YESCOMMUNITY MEDICAL CLINIC118 N WALNUTASSUMPTION, IL 62510PHONE: (217) 226-3133E-PRESCRIBE: YES
ARCOLA, IL ARTHUR, IL ASSUMPTION, IL
ARCOLA, ILASSUMPTION, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
2
FAMILY PRACTICE
FORESTIER, LINDA K., MDGENDER: FPROVIDER #: 178154NPI #: 1144339730E-PRESCRIBE: NOCOMMUNITY MEDICAL CLINIC135 W BROADWAYASTORIA, IL 61501PHONE: (309) 323-2926E-PRESCRIBE: NO
WORNYO, JAMES D., MDGENDER: MPROVIDER #: 192999NPI #: 1174790042E-PRESCRIBE: NOCOMMUNITY MEDICAL CLINIC135 W BROADWAYASTORIA, IL 61501PHONE: (309) 323-2926E-PRESCRIBE: NO
GENERAL PRACTICE
ROSSI, ALFRED N., MDGENDER: MPROVIDER #: 005719NPI #: 1033157292E-PRESCRIBE: NOATLANTA DOCTORS OFFICE108 SW ARCH STATLANTA, IL 61723PHONE: (217) 648-5151E-PRESCRIBE: NO
ROSSI, MATTHEW B., MDGENDER: MPROVIDER #: 007408NPI #: 1205874310E-PRESCRIBE: NOATLANTA DOCTORS OFFICE108 SW ARCH STATLANTA, IL 61723PHONE: (217) 648-5151E-PRESCRIBE: NO
ROSSI, PHILLIP J., MDGENDER: MPROVIDER #: 010983NPI #: 1114965225E-PRESCRIBE: NOATLANTA DOCTORS OFFICE108 SW ARCH STATLANTA, IL 61723PHONE: E-PRESCRIBE: NO
FAMILY PRACTICE
MANINT, JAMES E., DOGENDER: MPROVIDER #: 002832NPI #: 1376534420E-PRESCRIBE: NOATWOOD RURAL HEALTH CLINIC108 S MAIN STATWOOD, IL 61913PHONE: (217) 578-3814E-PRESCRIBE: NO
GENERAL PRACTICE
WEISGERBER, GLEN A., MDGENDER: MPROVIDER #: 008482NPI #: 1760450134E-PRESCRIBE: NOAUBURN MEDICAL CLINIC100 S 5TH STAUBURN, IL 62615PHONE: (217) 438-6175E-PRESCRIBE: NO
GENERAL PRACTICE
MEHTA, SHRIKANT A., MDGENDER: MPROVIDER #: 003043NPI #: 1346358199E-PRESCRIBE: NOSAUNDERS CLINIC1800 23RD AVEAVON, IL 61415PHONE: (309) 465-3129E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
CRNKOVICH, DENNIS J., MDGENDER: MPROVIDER #: 091102NPI #: 1831164409E-PRESCRIBE: NOPROCTOR MEDICAL GROUP1506 W GARFIELD AVEBARTONVILLE, IL 61607PHONE: (309) 697-2416ESTEP, PATRICIA J., APN; PROVIDER #: 214206E-PRESCRIBE: NO
ASTORIA, IL
ATLANTA, IL
ATWOOD, IL
AUBURN, IL
AVON, IL
BARTONVILLE, IL
ASTORIA, ILBARTONVILLE, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
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3
JUJJAVARAPU, VIJAYA L., MD
GENDER: FPROVIDER #: 057719NPI #: 1750356226E-PRESCRIBE: NOPROCTOR MEDICAL GROUP1506 W GARFIELD AVEBARTONVILLE, IL 61607PHONE: (309) 697-2416ESTEP, PATRICIA J., APN; PROVIDER #: 214206E-PRESCRIBE: NO
FAMILY PRACTICE
HICOK, WILLIAM C., MDGENDER: MPROVIDER #: 039014NPI #: 1457326944E-PRESCRIBE: NOPROCTOR MEDICAL GROUP1506 W GARFIELD AVEBARTONVILLE, IL 61607PHONE: (309) 697-2416ESTEP, PATRICIA J., APN; PROVIDER #: 214206E-PRESCRIBE: NO
POPP, RICHARD J., MDGENDER: MPROVIDER #: 010782NPI #: 1194790675E-PRESCRIBE: NOPROCTOR MEDICAL GROUP1506 W GARFIELD AVEBARTONVILLE, IL 61607PHONE: (309) 697-2416E-PRESCRIBE: NO
FAMILY PRACTICE
BURGE, SUSAN J., DOGENDER: FPROVIDER #: 241832NPI #: 1386848042E-PRESCRIBE: YESPHYSICIANS GROUP ASSOCIATES111 S STATE STBEARDSTOWN, IL 62618PHONE: (217) 323-9703E-PRESCRIBE: YES
FORESTIER, LINDA K., MDGENDER: FPROVIDER #: 178154NPI #: 1144339730E-PRESCRIBE: NOELMER HUGH TAYLOR CLINIC100 W 15TH STBEARDSTOWN, IL 62618PHONE: (217) 323-2245E-PRESCRIBE: NO
SANCHEZ, DOMINIQUE F., DO
GENDER: FPROVIDER #: 215990NPI #: 1861654857E-PRESCRIBE: YESCASS COUNTY HEALTH CLINIC8590 ST LUKES DRBEARDSTOWN, IL 62618PHONE: (217) 323-2242E-PRESCRIBE: YES
TAILLEFER, MARGUERITE S., MD
GENDER: FPROVIDER #: 217417NPI #: 1588978241E-PRESCRIBE: NOELMER HUGH TAYLOR CLINIC100 W 15TH STBEARDSTOWN, IL 62618PHONE: (217) 323-2445E-PRESCRIBE: NO
WORNYO, JAMES D., MDGENDER: MPROVIDER #: 192999NPI #: 1174790042E-PRESCRIBE: NOELMER HUGH TAYLOR CLINIC100 W 15TH STBEARDSTOWN, IL 62618PHONE: (217) 323-2245E-PRESCRIBE: NO
WYNN, MARY, MDGENDER: FPROVIDER #: 171644NPI #: 1356310486E-PRESCRIBE: NOCASS COUNTY HEALTH CLINIC8590 ST LUKES DRBEARDSTOWN, IL 62618PHONE: (217) 323-2242BLESSMAN, DONNA, FNP; PROVIDER #: 172858STOCKER, KATHLEEN, APN; PROVIDER #: 172856E-PRESCRIBE: NO
BEARDSTOWN, IL
BARTONVILLE, ILBEARDSTOWN, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
4
ADULT/INTERNAL MEDICINE
MANDHAN, NARAIN D., MDGENDER: MPROVIDER #: 185109NPI #: 1730170655E-PRESCRIBE: NOBEMENT HEALTHCARE CENTER601 N MORGANBEMENT, IL 61813PHONE: E-PRESCRIBE: NO
FAMILY PRACTICE
MANINT, JAMES E., DOGENDER: MPROVIDER #: 002832NPI #: 1376534420E-PRESCRIBE: NOBEMENT HEALTH CARE CENTER601 N MORGANBEMENT, IL 61813PHONE: (217) 678-2191E-PRESCRIBE: NO
SAWLAW, JOSHUA E., MDGENDER: MPROVIDER #: 222916NPI #: 1922235944E-PRESCRIBE: NOBEMENT HEALTHCARE CENTER601 N MORGANBEMENT, IL 61813PHONE: E-PRESCRIBE: NO
FAMILY PRACTICE
POOS, JOSHUA D., MDGENDER: MPROVIDER #: 162610NPI #: 1134142540E-PRESCRIBE: NOCOMMUNITY FAMILY PRACTICE311 E CENTRAL AVEBENLD, IL 62009PHONE: (217) 835-4334E-PRESCRIBE: NO
FAMILY PRACTICE
APPEL, MIKKA M., MDGENDER: FPROVIDER #: 090042NPI #: 1275505505E-PRESCRIBE: NOJOHN DEERE MEDICAL GROUP OF THE QUAD CITIES3740 UTICA RIDGE RD SUITE BBETTENDORF, IA 52722PHONE: (563) 344-7400E-PRESCRIBE: NO
GEICK, LYNN B., MDGENDER: MPROVIDER #: 075390NPI #: 1326010299E-PRESCRIBE: NOJOHN DEERE MEDICAL GROUP OF THE QUAD CITIES3740 UTICA RIDGE RD SUITE BBETTENDORF, IA 52722PHONE: (563) 344-7400E-PRESCRIBE: NO
KANE, FRANCIS L., MDGENDER: MPROVIDER #: 055003NPI #: 1750353744E-PRESCRIBE: NOJOHN DEERE MEDICAL GROUP OF THE QUAD CITIES3740 UTICA RIDGE RD SUITE BBETTENDORF, IA 52722PHONE: (563) 344-7400E-PRESCRIBE: NO
KUMAR, POMILLA C., MDGENDER: FPROVIDER #: 071636NPI #: 1568431880E-PRESCRIBE: NOBETTENDORF PEDIATRIC & FAMILY PRACTICE ASSOCIATES4017 DEVILS GLEN RD SUITE 200BETTENDORF, IA 52722PHONE: (563) 332-3400E-PRESCRIBE: NO
LENSING, MARILYN A., MDGENDER: FPROVIDER #: 067343NPI #: 1881666972E-PRESCRIBE: NOJOHN DEERE MEDICAL GROUP OF THE QUAD CITIES3740 UTICA RIDGE RD SUITE BBETTENDORF, IA 52722PHONE: (563) 344-7400E-PRESCRIBE: NO
BEMENT, IL BENLD, IL
BETTENDORF, IA
BEMENT, ILBETTENDORF, IA
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
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5
LETNEY, TODD L., MDGENDER: MPROVIDER #: 055007NPI #: 1295709657E-PRESCRIBE: NOJOHN DEERE MEDICAL GROUP OF THE QUAD CITIES3740 UTICA RIDGE RD SUITE BBETTENDORF, IA 52722PHONE: (563) 344-7400E-PRESCRIBE: NO
TERRONEZ, JARED A., MDGENDER: MPROVIDER #: 201375NPI #: 1497990667E-PRESCRIBE: NOJOHN DEERE MEDICAL GROUP OF THE QUAD CITIES3740 UTICA RIDGE RD SUITE BBETTENDORF, IA 52722PHONE: (563) 344-7400E-PRESCRIBE: NO
WENCK, TODD, MDGENDER: MPROVIDER #: 087306NPI #: 1750353595E-PRESCRIBE: NOJOHN DEERE MEDICAL GROUP OF THE QUAD CITIES3740 UTICA RIDGE RD SUITE BBETTENDORF, IA 52722PHONE: (563) 344-7400E-PRESCRIBE: NO
PEDIATRICS
NAGENDRA, BADANAVAL, MD
GENDER: MPROVIDER #: 077004NPI #: 1932177094E-PRESCRIBE: NOBETTENDORF PEDIATRIC & FAMILY PRACTICE ASSOCIATES4017 DEVILS GLEN RD SUITE 200BETTENDORF, IA 52722PHONE: (563) 332-3400E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
ABADEER, PETER S., DOGENDER: MPROVIDER #: 107004NPI #: 1760469522E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311WILSON, DENISE D., CNP; PROVIDER #: 062426E-PRESCRIBE: NO
BERCK, LILLA, MDGENDER: FPROVIDER #: 134887NPI #: 1396946125E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311WILSON, DENISE D., CNP; PROVIDER #: 062426E-PRESCRIBE: NO
COCHRAN, MICHAEL, MDGENDER: MPROVIDER #: 007301NPI #: 1831176692E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311WILSON, DENISE D., CNP; PROVIDER #: 062426E-PRESCRIBE: NO
DEOSKAR, UDAY L., MDGENDER: MPROVIDER #: 070445NPI #: 1386733145E-PRESCRIBE: NOSENIOR HEALTH & GERIATRICS OF CENTRAL ILLINOIS2103 E WASHINGTON ST SUITE 2CBLOOMINGTON, IL 61701PHONE: (309) 663-5810ROOP, JAYCIE N., APN; PROVIDER #: 195083E-PRESCRIBE: NO
DUNCAN, ERIC D., MDGENDER: MPROVIDER #: 000042NPI #: 1841219763E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000KOTT, KATHRYN B., APN; PROVIDER #: 209877LANCE, KATHLEEN M., APN; PROVIDER #: 209091ROTH, CAROLYN, NP; PROVIDER #: 022398E-PRESCRIBE: NO
BLOOMINGTON, IL
BETTENDORF, IABLOOMINGTON, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
6
FARINAS, ERIC J., MDGENDER: MPROVIDER #: 078585NPI #: 1841277613E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311WILSON, DENISE D., CNP; PROVIDER #: 062426E-PRESCRIBE: NO
GALUE, GUSTAVO A., MDGENDER: MPROVIDER #: 146850NPI #: 1295903359E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
GRABHER, LYNN M., MDGENDER: FPROVIDER #: 172943NPI #: 1871645622E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
HALPERIN, IRA L., DOGENDER: MPROVIDER #: 032944NPI #: 1548352107E-PRESCRIBE: NOOSF MEDICAL GROUP302 ST JOSEPH DRBLOOMINGTON, IL 61701PHONE: (309) 662-5361E-PRESCRIBE: NO
HANCOCK, JAMES B., MDGENDER: MPROVIDER #: 106556NPI #: 1235116088E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311WILSON, DENISE D., CNP; PROVIDER #: 062426E-PRESCRIBE: NO
HOSCHEK, JEFFREY C., MDGENDER: MPROVIDER #: 152717NPI #: 1376641217E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311WILSON, DENISE D., CNP; PROVIDER #: 062426E-PRESCRIBE: NO
JANI, JAYDEV Y., MDGENDER: MPROVIDER #: 151627NPI #: 1851559942E-PRESCRIBE: NOOSF MEDICAL GROUP302 ST JOSEPH DRBLOOMINGTON, IL 61701PHONE: (309) 662-5361CARR, ABBI D., APN; PROVIDER #: 209082E-PRESCRIBE: NO
KANTAMNENI, ANURADHA, MD
GENDER: FPROVIDER #: 096577NPI #: 1447283015E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
KIM, DANIELLE F., DOGENDER: FPROVIDER #: 181966NPI #: 1770592487E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311E-PRESCRIBE: NO
KINDRED, STEPHEN L., MDGENDER: MPROVIDER #: 007306NPI #: 1720065584E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311WILSON, DENISE D., CNP; PROVIDER #: 062426E-PRESCRIBE: NO
KLAUSS, SVEN, MDGENDER: MPROVIDER #: 078597NPI #: 1619953486E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311E-PRESCRIBE: NO
BLOOMINGTON, ILBLOOMINGTON, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
77
7
KNEEZEL, LAWRENCE D., MDGENDER: MPROVIDER #: 000014NPI #: 1336174580E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000ROTH, CAROLYN, NP; PROVIDER #: 022398E-PRESCRIBE: NO
LAMB, CATHERINE, MDGENDER: FPROVIDER #: 136325NPI #: 1285842666E-PRESCRIBE: NOOSF MEDICAL GROUP302 ST JOSEPH DRBLOOMINGTON, IL 61701PHONE: (309) 662-5361E-PRESCRIBE: NO
MCLAIN, SCOTT W., MDGENDER: MPROVIDER #: 248542NPI #: 1669463436E-PRESCRIBE: NOOSF MEDICAL GROUP-BLOOMINGTON INTERNAL MEDICINE302 ST JOSEPH DRBLOOMINGTON, IL 61701PHONE: (309) 662-5361E-PRESCRIBE: NO
PEDERSEN, PAUL E., DOGENDER: MPROVIDER #: 008001NPI #: 1053403675E-PRESCRIBE: NOOSF MEDICAL GROUP302 ST JOSEPH DRBLOOMINGTON, IL 61701PHONE: (309) 662-5361NORRIS, PAMELA J., APN; PROVIDER #: 074338E-PRESCRIBE: NO
POAG II, JOHN L., MDGENDER: MPROVIDER #: 078592NPI #: 1770569550E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311WILSON, DENISE D., CNP; PROVIDER #: 062426E-PRESCRIBE: NO
POGUE, LUCAS C., MDGENDER: MPROVIDER #: 078595NPI #: 1033195847E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311WILSON, DENISE D., CNP; PROVIDER #: 062426E-PRESCRIBE: NO
RAY, WILLIAM J., MDGENDER: MPROVIDER #: 007311NPI #: 1689672859E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311WILSON, DENISE D., CNP; PROVIDER #: 062426E-PRESCRIBE: NO
SWANSON, JAMES E., MDGENDER: MPROVIDER #: 007314NPI #: 1538146394E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311WILSON, DENISE D., CNP; PROVIDER #: 062426E-PRESCRIBE: NO
VALENTINE, BLAIR O., MDGENDER: PROVIDER #: 071884NPI #: 1588756134E-PRESCRIBE: NOOSF MEDICAL GROUP302 ST JOSEPH DRBLOOMINGTON, IL 61701PHONE: (309) 662-5361E-PRESCRIBE: NO
WEMLINGER, LORI C., MDGENDER: FPROVIDER #: 000056NPI #: 1902906381E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000ROTH, CAROLYN, NP; PROVIDER #: 022398E-PRESCRIBE: NO
BLOOMINGTON, ILBLOOMINGTON, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
8
FAMILY PRACTICE
BELGRAVE, STEPHEN J., MDGENDER: MPROVIDER #: 000672NPI #: 1114951357E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000FURNACE, PATRICIA, NP; PROVIDER #: 000483E-PRESCRIBE: NO
BIRGE, KENNETH, MDGENDER: MPROVIDER #: 004787NPI #: 1194896720E-PRESCRIBE: NOSUMMITT FAMILY MEDICAL CENTER902 N HERSHEY RDBLOOMINGTON, IL 61704PHONE: (309) 662-6880E-PRESCRIBE: NO
BRAUN, DAVID A., MDGENDER: MPROVIDER #: 181517NPI #: 1568422806E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
CARMODY, SUSAN, MDGENDER: FPROVIDER #: 242489NPI #: 1841390481E-PRESCRIBE: NOOSF MEDICAL GROUP1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: E-PRESCRIBE: NO
CASH, JASON W., MDGENDER: MPROVIDER #: 169989NPI #: 1063593382E-PRESCRIBE: NOOSF COMMUNITY PRENATAL CLINIC502 S MORRIS AVE SUITE BBLOOMINGTON, IL 61701PHONE: (309) 829-6407E-PRESCRIBE: NO
CIPOLLA, ROBERTO, MDGENDER: MPROVIDER #: 237605NPI #: 1649370271E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
GINNETTI, RICHARD A., MDGENDER: MPROVIDER #: 006881NPI #: 1336231836E-PRESCRIBE: NOOSF MEDICAL GROUP308 ST JOSEPH DRBLOOMINGTON, IL 61701PHONE: (309) 663-5050E-PRESCRIBE: NO
KENNEY, TOM J., MDGENDER: MPROVIDER #: 073321NPI #: 1710070057E-PRESCRIBE: NOOSF MEDICAL GROUP1405 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 661-2400E-PRESCRIBE: NO308 ST JOSEPH DRBLOOMINGTON, IL 61701PHONE: (309) 663-5050E-PRESCRIBE: NO
LAMONT, TYLER A., DOGENDER: MPROVIDER #: 226382NPI #: 1679673222E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
MAERE, JANINE M., MDGENDER: FPROVIDER #: 179232NPI #: 1891894622E-PRESCRIBE: NOOSF MEDICAL GROUP1001 N MITSUBISHI MOTORWAYBLOOMINGTON, IL 61705PHONE: (309) 828-0806E-PRESCRIBE: NO1405 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 661-2400E-PRESCRIBE: NO
MARLEY, DANIEL S., MDGENDER: MPROVIDER #: 108737NPI #: 1154348969E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
MEHTA, SHILPA I., MDGENDER: PROVIDER #: 098186NPI #: 1174616411E-PRESCRIBE: NOOSF MEDICAL GROUP1405 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 661-2400E-PRESCRIBE: NO
BLOOMINGTON, ILBLOOMINGTON, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
99
9
MOORE, SAM A., DOGENDER: MPROVIDER #: 087708NPI #: 1972516797E-PRESCRIBE: NOOSF CENTER FOR HEALTH AT NORD FARMS-PROMPTCARE1001 N MITSUBISHI MOTORWAYBLOOMINGTON, IL 61704PHONE: (309) 828-0806E-PRESCRIBE: NO
OSF ST JOSEPH PROMPTCARE1505 EASTLAND DR SUITE 1100BLOOMINGTON, IL 61701PHONE: (309) 663-2100E-PRESCRIBE: NO
MOY, CALVIN, MDGENDER: MPROVIDER #: 239101NPI #: 1154558732E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE PROMPTCARE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
NASEER, JIBRAN, MDGENDER: MPROVIDER #: 202723NPI #: 1821261892E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
NEIL, WILLIAM L., MDGENDER: MPROVIDER #: 000654NPI #: 1639286131E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000FURNACE, PATRICIA, NP; PROVIDER #: 000483E-PRESCRIBE: NO
NORD, PAUL F., MDGENDER: PROVIDER #: 006671NPI #: 1346333689E-PRESCRIBE: NOOSF MEDICAL GROUP308 ST JOSEPH DRBLOOMINGTON, IL 61701PHONE: (309) 663-5050E-PRESCRIBE: NO
OSBORNE, CHAD S., MDGENDER: MPROVIDER #: 030464NPI #: 1235249921E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
PILCHER, STEPHEN C., MDGENDER: MPROVIDER #: 178680NPI #: 1265454607E-PRESCRIBE: NO1404 EASTLAND DR SUITE 104BLOOMINGTON, IL 61701PHONE: (309) 663-7642E-PRESCRIBE: NO
ROYYURU, SASIKALA D., MDGENDER: FPROVIDER #: 226914NPI #: 1982800876E-PRESCRIBE: NOADVOCATE MEDICAL GROUP3024 E EMPIRE STBLOOMINGTON, IL 61704PHONE: (309) 556-7337E-PRESCRIBE: NO
SHANKS, LACIE R., MDGENDER: FPROVIDER #: 218032NPI #: 1619189859E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
SHANMUGAM, RAJU M., MDGENDER: MPROVIDER #: 228277NPI #: 1043448111E-PRESCRIBE: NOADVOCATE MEDICAL GROUP3024 E EMPIRE STBLOOMINGTON, IL 61704PHONE: (309) 556-7556E-PRESCRIBE: NO
SPANIOL, JACK P., MDGENDER: MPROVIDER #: 118560NPI #: 1356379184E-PRESCRIBE: NOOSF MEDICAL GROUP308 ST JOSEPH DRBLOOMINGTON, IL 61701PHONE: (309) 663-5050E-PRESCRIBE: NO
BLOOMINGTON, ILBLOOMINGTON, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
10
STEVENS, JENNIFER E., MDGENDER: FPROVIDER #: 239592NPI #: 1043412893E-PRESCRIBE: NOOSF CENTER FOR HEALTH AT NORD FARMS-PROMPTCARE1001 N MITSUBISHI MOTORWAYBLOOMINGTON, IL 61704PHONE: (309) 828-0806E-PRESCRIBE: NO
OSF MEDICAL GROUP-COLLEGE AVE PROMPTCARE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
OSF PROMPTCARE1505 EASTLAND DR SUITE 1100BLOOMINGTON, IL 61701PHONE: (309) 663-2100E-PRESCRIBE: NO
SYEDA, QAMER F., MDGENDER: FPROVIDER #: 226675NPI #: 1588892509E-PRESCRIBE: NOADVOCATE MEDICAL GROUP3024 E EMPIRE STBLOOMINGTON, IL 61704PHONE: (309) 556-7337E-PRESCRIBE: NO
WOODS, MICHAEL J., MDGENDER: MPROVIDER #: 000674NPI #: 1871698761E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000FURNACE, PATRICIA, NP; PROVIDER #: 000483E-PRESCRIBE: NO
PEDIATRICS
BANDY, JOHN R., MDGENDER: MPROVIDER #: 017778NPI #: 1801844063E-PRESCRIBE: NOBLOOMINGTON PEDIATRICS & ALLERGY306 SAINT JOSEPH DRIVEBLOOMINGTON, IL 61701PHONE: (309) 662-0504E-PRESCRIBE: NO
BOE, ERIK P., MDGENDER: MPROVIDER #: 018008NPI #: 1942268271E-PRESCRIBE: NOBLOOMINGTON PEDIATRICS & ALLERGY306 SAINT JOSEPH DRIVEBLOOMINGTON, IL 61701PHONE: (309) 662-0504E-PRESCRIBE: NO
DEWEY, JODIE A., MDGENDER: FPROVIDER #: 009692NPI #: 1275559270E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000BRAUN, KRISTEN A., NP; PROVIDER #: 007424E-PRESCRIBE: NO
EMM, BRIAN A., MDGENDER: MPROVIDER #: 119839NPI #: 1043315021E-PRESCRIBE: NOBLOOMINGTON PEDIATRICS & ALLERGY306 SAINT JOSEPH DRIVEBLOOMINGTON, IL 61701PHONE: (309) 662-0504E-PRESCRIBE: NO
FARINAS, ERIC J., MDGENDER: MPROVIDER #: 078585NPI #: 1841277613E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311WILSON, DENISE D., CNP; PROVIDER #: 062426E-PRESCRIBE: NO
BLOOMINGTON, ILBLOOMINGTON, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
1111
11
HANCOCK, JAMES B., MDGENDER: MPROVIDER #: 106556NPI #: 1235116088E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311WILSON, DENISE D., CNP; PROVIDER #: 062426E-PRESCRIBE: NO
HOSCHEK, JEFFREY C., MDGENDER: MPROVIDER #: 152717NPI #: 1376641217E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311WILSON, DENISE D., CNP; PROVIDER #: 062426E-PRESCRIBE: NO
KNOLL, DEANNA M., DOGENDER: FPROVIDER #: 086028NPI #: 1629026398E-PRESCRIBE: NOBLOOMINGTON PEDIATRICS & ALLERGY306 SAINT JOSEPH DRIVEBLOOMINGTON, IL 61701PHONE: (309) 662-0504E-PRESCRIBE: NO
MARSHALL, KIMBERLY P., MD
GENDER: FPROVIDER #: 177468NPI #: 1255353603E-PRESCRIBE: NOBLOOMINGTON PEDIATRICS & ALLERGY306 SAINT JOSEPH DRIVEBLOOMINGTON, IL 61701PHONE: (309) 662-0504E-PRESCRIBE: NO
MILLIGAN, DAVID E., MDGENDER: MPROVIDER #: 224791NPI #: 1902131014E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
PEGRAM, LORI L., MDGENDER: FPROVIDER #: 000567NPI #: 1215947171E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000BRAUN, KRISTEN A., NP; PROVIDER #: 007424E-PRESCRIBE: NO
POGUE, LUCAS C., MDGENDER: MPROVIDER #: 078595NPI #: 1033195847E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311WILSON, DENISE D., CNP; PROVIDER #: 062426E-PRESCRIBE: NO
ROSA, MARIA R., MDGENDER: FPROVIDER #: 071605NPI #: 1992804793E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
TOOHILL, KAYE H., MDGENDER: FPROVIDER #: 119816NPI #: 1316905805E-PRESCRIBE: NOBLOOMINGTON PEDIATRICS & ALLERGY LTD306 SAINT JOSEPH DRBLOOMINGTON, IL 61701PHONE: (309) 662-0504E-PRESCRIBE: NO
BLOOMINGTON, ILBLOOMINGTON, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
12
TRAINOR, STEPHEN P., MDGENDER: MPROVIDER #: 000569NPI #: 1144331828E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000BRAUN, KRISTEN A., NP; PROVIDER #: 007424E-PRESCRIBE: NO
WEAVER, BARRY C., MDGENDER: MPROVIDER #: 002245NPI #: 1609824242E-PRESCRIBE: NOBLOOMINGTON PEDIATRIC & ALLERGY LTD306 ST JOSEPH DRBLOOMINGTON, IL 61701PHONE: (309) 662-0504E-PRESCRIBE: NO
ZIMMERMAN, JAMES D., MDGENDER: MPROVIDER #: 001774NPI #: 1891753620E-PRESCRIBE: NOBLOOMINGTON PEDIATRIC & ALLERGY LTD306 ST JOSEPH DRBLOOMINGTON, IL 61701PHONE: (309) 662-0504E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
KOTA, SRINIVAS C., MDGENDER: MPROVIDER #: 080582NPI #: 1659481562E-PRESCRIBE: NO726 S WEBER RDBOLINGBROOK, IL 60490PHONE: (630) 378-9785E-PRESCRIBE: NO
PEDIATRICS
DECKER, HEATHER A., MDGENDER: FPROVIDER #: 225572NPI #: 1336114529E-PRESCRIBE: NOPROVENA MEDICAL GROUP1000 REMINGTON BLVD SUITE 100BOLINGBROOK, IL 60440PHONE: (630) 914-2417E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
CHANDAN, NARESH C., DOGENDER: MPROVIDER #: 175000NPI #: 1811094550E-PRESCRIBE: NOALLIANCE INTERNAL MEDICINE SC370 LARRY POWER RD SUITE 2BOURBONNAIS, IL 60914PHONE: (815) 523-7020E-PRESCRIBE: NO
HUSSAINI, ASIMA K., MDGENDER: FPROVIDER #: 156446NPI #: 1437110970E-PRESCRIBE: NORIVERSIDE PRIMARY CARE ASSOCIATES400 RIVERSIDE DR SUITE 2800BOURBONNAIS, IL 60914PHONE: (815) 935-1100REDDICK, DENA K., FNPC; PROVIDER #: 195029E-PRESCRIBE: NO
MOPARTHI, VENKATA, MDGENDER: MPROVIDER #: 099434NPI #: 1699797548E-PRESCRIBE: NOPROVENA MEDICAL GROUP656 N CONVENT SUITE CBOURBONNAIS, IL 60914PHONE: (815) 936-5167E-PRESCRIBE: NO
MOSS, KEITH, MDGENDER: MPROVIDER #: 244026NPI #: 1588601819E-PRESCRIBE: YESRMG INTERNAL MED300 RIVERSIDE SUITE 2400BOURBONNAIS, IL 60914PHONE: (815) 935-2784E-PRESCRIBE: YES
OMOTOSHO, WURAOLA I., MD
GENDER: FPROVIDER #: 184428NPI #: 1427222884E-PRESCRIBE: NOPROVENA SERVICE CORPORATION656 N CONVENT SUITE CBOURBONNAIS, IL 60914PHONE: (815) 936-5167E-PRESCRIBE: NO
BOLINGBROOK, IL
BOURBONNAIS, IL
BLOOMINGTON, ILBOURBONNAIS, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
1313
13
OO, SAW, MDGENDER: FPROVIDER #: 170735NPI #: 1093813156E-PRESCRIBE: NOALLIANCE INTERNAL MEDICINE SC370 LARRY POWER RD SUITE 2BOURBONNAIS, IL 60914PHONE: (815) 523-7020E-PRESCRIBE: NO
THOMAS, ABRAHAM, MDGENDER: MPROVIDER #: 089063NPI #: 1063423655E-PRESCRIBE: NOPROVENA MEDICAL GROUP656 N COVENANT SUITE BBOURBONNAIS, IL 60914PHONE: (815) 936-5167E-PRESCRIBE: NO
VILLEGAS, JOEL P., MDGENDER: MPROVIDER #: 186983NPI #: 1518063205E-PRESCRIBE: NOALLIANCE INTERNAL MEDICINE SC370 LARRY POWER RD SUITE 2BOURBONNAIS, IL 60914PHONE: (815) 741-7590E-PRESCRIBE: NO
YALAMANCHILI, SARAT P., MD
GENDER: MPROVIDER #: 063144NPI #: 1194722942E-PRESCRIBE: NOSARAT P YALAMANCHILI MD1521 N CONVENT ST SUITE 100BOURBONNAIS, IL 60914PHONE: (815) 937-4500E-PRESCRIBE: NO
FAMILY PRACTICE
DOWNING, RASHIDA M., MDGENDER: FPROVIDER #: 208863NPI #: 1750536645E-PRESCRIBE: NORIVERSIDE PRIMARY CARE ASSOCIATES400 RIVERSIDE DR SUITE 2800BOURBONNAIS, IL 60914PHONE: (815) 935-1100E-PRESCRIBE: NO
GOODMAN, JORDAN A., MDGENDER: PROVIDER #: 132922NPI #: 1538244389E-PRESCRIBE: NOPROVENA MEDICAL GROUP656 N CONVENT SUITE BBOURBONNAIS, IL 60914PHONE: (815) 936-5186E-PRESCRIBE: NO
SUHAIL, JAWARIA T., MDGENDER: FPROVIDER #: 230311NPI #: 1699066084E-PRESCRIBE: NORIVERSIDE PRIMARY CARE ASSOCIATES400 RIVERSIDE DR SUITE 2800BOURBONNAIS, IL 60914PHONE: (815) 935-1100E-PRESCRIBE: NO
WAHEED, HARRIS, MDGENDER: MPROVIDER #: 207122NPI #: 1164511580E-PRESCRIBE: YESFIRST CARE FAMILY CLINIC581 WILLIAM LATHAM DR SUITE 102BOURBONNAIS, IL 60914PHONE: (815) 802-0000E-PRESCRIBE: YES
ZAHEER PEDIATRIC ASSOCIATES581 WILLIAM LATHAM DR SUITE 101BOURBONNAIS, IL 60914PHONE: (815) 802-0022E-PRESCRIBE: YES
WOITAS, MEGAN P., DOGENDER: FPROVIDER #: 207114NPI #: 1801091392E-PRESCRIBE: YESFIRST CARE FAMILY CLINIC581 WILLIAM LATHAM DR SUITE 102BOURBONNAIS, IL 60914PHONE: (815) 802-0000E-PRESCRIBE: YES
WOITAS, MEGAN, DOGENDER: FPROVIDER #: 211783NPI #: 1801091392E-PRESCRIBE: YESZAHEER PEDIATRIC ASSOCIATES581 WILLIAM LATHAM DR SUITE 101BOURBONNAIS, IL 60914PHONE: (815) 802-0022E-PRESCRIBE: YES
PEDIATRICS
BATISH, NAINA, MDGENDER: FPROVIDER #: 099729NPI #: 1063425296E-PRESCRIBE: NOABC PEDIATRICS OF KANKAKEE COUNTY SC370 LARRY POWER RD SUITE 1BOURBONNAIS, IL 60914PHONE: (815) 937-3515E-PRESCRIBE: NO
BOURBONNAIS, ILBOURBONNAIS, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
14
GARCIA, MARIA L., MDGENDER: FPROVIDER #: 110659NPI #: 1487667614E-PRESCRIBE: NOABC PEDIATRICS OF KANKAKEE COUNTY SC370 LARRY POWER RD SUITE 1BOURBONNAIS, IL 60914PHONE: (815) 937-3515E-PRESCRIBE: NO
KIM, YOU S., MDGENDER: FPROVIDER #: 005269NPI #: 1225041445E-PRESCRIBE: NOABC PEDIATRICS OF KANKAKEE COUNTY SC370 LARRY POWER RD SUITE 1BOURBONNAIS, IL 60914PHONE: (815) 937-3515E-PRESCRIBE: NO
LEAHY-AUER, JOANNE M., MD
GENDER: FPROVIDER #: 054745NPI #: 1548369317E-PRESCRIBE: NORIVERSIDE MEDICAL CENTER OF BOURBONNAIS338 LARRY POWER RDBOURBONNAIS, IL 60914PHONE: (815) 935-2991E-PRESCRIBE: NO
MCBRIDE, DOREENA M., MDGENDER: FPROVIDER #: 170971NPI #: 1801830799E-PRESCRIBE: YESPEDICLINIC PC461 BROWN BLVDBOURBONNAIS, IL 60914PHONE: (815) 933-5700E-PRESCRIBE: YES
OO, MYINT, MDGENDER: MPROVIDER #: 083190NPI #: 1215940143E-PRESCRIBE: NOABC PEDIATRICS OF KANKAKEE COUNTY SC370 LARRY POWER RD SUITE 1BOURBONNAIS, IL 60914PHONE: (815) 937-3515E-PRESCRIBE: NO
STERLING, LEIGH E., DOGENDER: FPROVIDER #: 184711NPI #: 1326225954E-PRESCRIBE: NOZAHEER PEDIATRIC ASSOCIATES581 WILLIAM LATHAM DR SUITE 101BOURBONNAIS, IL 60914PHONE: (815) 802-0022E-PRESCRIBE: NO
ZAHEER, SAADIA, MDGENDER: FPROVIDER #: 186459NPI #: 1629178264E-PRESCRIBE: NOZAHEER PEDIATRIC ASSOCIATES581 WILLIAM LATHAM DR SUITE 101BOURBONNAIS, IL 60914PHONE: (815) 802-0022E-PRESCRIBE: NO
FAMILY PRACTICE
BEVILL, ROBERT S., MDGENDER: MPROVIDER #: 008402NPI #: 1700886280E-PRESCRIBE: NOEAGLE FAMILY MEDICINE111 E KNOXVILLE AVEBRIMFIELD, IL 61517PHONE: (309) 446-3305E-PRESCRIBE: NO
FAMILY PRACTICE
ARNOLD, JOHN M., MDGENDER: MPROVIDER #: 014509NPI #: 1154327526E-PRESCRIBE: NOBUSHNELL FAMILY PRACTICE155 W HAIL STBUSHNELL, IL 61422PHONE: (309) 772-9444ADAMS, SUSAN E., APN; PROVIDER #: 108211E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
KROCK, KENNETH, MDGENDER: MPROVIDER #: 013495NPI #: 1699883868E-PRESCRIBE: NOGRAHAM MEDICAL GROUP180 S MAIN STCANTON, IL 61520PHONE: (309) 647-0201E-PRESCRIBE: NO
BRIMFIELD, IL
BUSHNELL, IL
CANTON, IL
BOURBONNAIS, ILCANTON, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
1515
15
PHILLIPS, BENJAMIN W., MDGENDER: MPROVIDER #: 133274NPI #: 1275678021E-PRESCRIBE: NOGRAHAM MEDICAL GROUP180 S MAIN STCANTON, IL 61520PHONE: (309) 647-0201ADAMS, SUSAN E., CNP; PROVIDER #: 154523E-PRESCRIBE: NO
SMITH, JIMMIE, MDGENDER: MPROVIDER #: 014146NPI #: 1194834937E-PRESCRIBE: NOGRAHAM MEDICAL GROUP180 S MAIN STCANTON, IL 61520PHONE: (309) 647-0201E-PRESCRIBE: NO
FAMILY PRACTICE
AGARWAL, DEVASHISH, MDGENDER: PROVIDER #: 225126NPI #: 1841382298E-PRESCRIBE: NOGRAHAM HOSPITAL ASSOCIATION210 W WALNUT STCANTON, IL 61520PHONE: (309) 647-5240E-PRESCRIBE: NO
BOWERS, JOSHUA D., MDGENDER: MPROVIDER #: 167250NPI #: 1194947002E-PRESCRIBE: NOGRAHAM MEDICAL GROUP180 S MAIN STCANTON, IL 61520PHONE: (307) 647-0201E-PRESCRIBE: NO
HOLTHAUS, SUZANNE E., MDGENDER: FPROVIDER #: 062751NPI #: 1174631337E-PRESCRIBE: NOGRAHAM MEDICAL GROUP180 S MAIN STCANTON, IL 61520PHONE: (309) 647-0201E-PRESCRIBE: NO
LANSER, TODD A., MDGENDER: MPROVIDER #: 166967NPI #: 1376765891E-PRESCRIBE: NOGRAHAM MEDICAL GROUP180 S MAIN STCANTON, IL 61520PHONE: (309) 647-0201E-PRESCRIBE: NO
RENICK, PATRICK B., MDGENDER: MPROVIDER #: 151022NPI #: 1760604193E-PRESCRIBE: NOGRAHAM MEDICAL GROUP180 S MAIN STCANTON, IL 61520PHONE: (309) 647-0201E-PRESCRIBE: NO
SAVEGNAGO, A KURT, MDGENDER: MPROVIDER #: 013497NPI #: 1003924085E-PRESCRIBE: NOGRAHAM MEDICAL GROUP180 S MAIN STCANTON, IL 61520PHONE: (309) 647-0201E-PRESCRIBE: NO
PEDIATRICS
KROCK, KENNETH, MDGENDER: MPROVIDER #: 013495NPI #: 1699883868E-PRESCRIBE: NOGRAHAM MEDICAL GROUP180 S MAIN STCANTON, IL 61520PHONE: (309) 647-0201E-PRESCRIBE: NO
PHILLIPS, BENJAMIN W., MDGENDER: MPROVIDER #: 133274NPI #: 1275678021E-PRESCRIBE: NOGRAHAM MEDICAL GROUP180 S MAIN STCANTON, IL 61520PHONE: (309) 647-0201ADAMS, SUSAN E., CNP; PROVIDER #: 154523E-PRESCRIBE: NO
WELL, MARCI, MDGENDER: FPROVIDER #: 049801NPI #: 1821107699E-PRESCRIBE: NOGRAHAM MEDICAL GROUP180 S MAIN STCANTON, IL 61520PHONE: (309) 647-0201E-PRESCRIBE: NO
CANTON, ILCANTON, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
16
ADULT/INTERNAL MEDICINE
CHOPRA, KAMAL K., MDGENDER: MPROVIDER #: 008537NPI #: 1598762262E-PRESCRIBE: NOCARLINVILLE MEDICAL CLINIC604 N BROAD STREETCARLINVILLE, IL 62626PHONE: (217) 854-9411DE WITT, NATHAN A., PA; PROVIDER #: 103380GUIDISH, CATHY L., FNP; PROVIDER #: 119668NORRIS, ARLENE, PA-C; PROVIDER #: 081057E-PRESCRIBE: NO
LAWS, GREGG L., MDGENDER: MPROVIDER #: 008526NPI #: 1861598534E-PRESCRIBE: NO1115 MORGANCARLINVILLE, IL 62626PHONE: (217) 854-4552E-PRESCRIBE: NO
OBRIEN, ELIZABETH E., MDGENDER: FPROVIDER #: 151137NPI #: 1881650570E-PRESCRIBE: YESSPRINGFIELD CLINIC101 MCCASLAND AVECARLINVILLE, IL 62626PHONE: (217) 854-5099JAVENS, HANNAH J., PA-C; PROVIDER #: 210674E-PRESCRIBE: YES
FAMILY PRACTICE
EMMERICH, KATE M., MDGENDER: FPROVIDER #: 189130NPI #: 1477735397E-PRESCRIBE: NOCARLINVILLE AREA HOSPITAL ASSOCIATION20733 NORTH BROAD STCARLINVILLE, IL 62626PHONE: (217) 854-3141E-PRESCRIBE: NO
PEDIATRICS
FLEISCHER, JULIE A., MDGENDER: FPROVIDER #: 069906NPI #: 1679500292E-PRESCRIBE: YESSPRINGFIELD CLINIC LLP101 MCCAUSLANDCARLINVILLE, IL 62626PHONE: (217) 854-5099VOLLMER, LARA, NP; PROVIDER #: 062226YODER, HOLLIE A., NP; PROVIDER #: 133307E-PRESCRIBE: YES
FAMILY PRACTICE
BOREN, PHILLIP D., MDGENDER: MPROVIDER #: 057337NPI #: 1750453841E-PRESCRIBE: NODOCTORS CLINIC106 APRIL AVECARMI, IL 62821PHONE: (618) 382-4193E-PRESCRIBE: NO
GENERAL PRACTICE
SAQIB, ZAHID, MDGENDER: MPROVIDER #: 004783NPI #: 1710063292E-PRESCRIBE: NODOCTORS CLINIC402 S PLUM STCARMI, IL 62821PHONE: (618) 382-4193E-PRESCRIBE: NO
FAMILY PRACTICE
JOSEPH, JINCY K., MDGENDER: FPROVIDER #: 180178NPI #: 1720009228E-PRESCRIBE: NO2201 RANDALL RDCARPENTERSVILLE, IL 60110PHONE: (847) 551-1589E-PRESCRIBE: NO
PEDIATRICS
MAW, THIDA, MDGENDER: FPROVIDER #: 189862NPI #: 1114927191E-PRESCRIBE: NO2201 RANDALL ROADCARPENTERSVILLE, IL 60110PHONE: (847) 428-1179E-PRESCRIBE: NO
CARLINVILLE, IL
CARMI, IL
CARPENTERSVILLE, IL
CARLINVILLE, ILCARPENTERSVILLE, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
1717
17
FAMILY PRACTICE
BROWN, DOUGLAS, DOGENDER: MPROVIDER #: 182629NPI #: 1033364674E-PRESCRIBE: NOBROWNS FAMILY MEDICINE LLC209 W COMMERCIAL SUITE HCARTERVILLE, IL 62918PHONE: (618) 985-9559E-PRESCRIBE: NO
FAMILY PRACTICE
SMITH, LIONEL J., MDGENDER: MPROVIDER #: 223678NPI #: 1386617249E-PRESCRIBE: NOHANCOCK CO HEALTH DEPT671 WABASH AVECARTHAGE, IL 62321PHONE: (217) 357-2171E-PRESCRIBE: NO
GENERAL PRACTICE
EDDINGFIELD, CHARLES F., MD
GENDER: MPROVIDER #: 157353NPI #: 1407041270E-PRESCRIBE: NOHANCOCK CO HEALTH DEPT671 W WABASH AVECARTHAGE, IL 62321PHONE: (217) 357-2171E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
BARTLETT, ANDREW, DOGENDER: MPROVIDER #: 091819NPI #: 1073520516E-PRESCRIBE: YESCHRISTIE CLINIC1801 W WINDSOR RDCHAMPAIGN, IL 61821PHONE: (217) 366-1200E-PRESCRIBE: YES
CINNAMON, SCOTT R., MDGENDER: MPROVIDER #: 047465NPI #: 1851326755E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1701 W CURTIS RDCHAMPAIGN, IL 61822PHONE: (217) 365-6207MATHEWS, BETH L., NP; PROVIDER #: 178024E-PRESCRIBE: YES
COLLINS, KATHLEEN L., MDGENDER: FPROVIDER #: 091616NPI #: 1962419432E-PRESCRIBE: YESCHRISTIE CLINIC1801 W WINDSOR RDCHAMPAIGN, IL 61821PHONE: (217) 366-1200E-PRESCRIBE: YES
HABIB, IHSAN, MDGENDER: MPROVIDER #: 229515NPI #: 1609958032E-PRESCRIBE: NOCHRISTIE CLINIC1801 W WINDSOR RDCHAMPAIGN, IL 61822PHONE: (217) 366-5434E-PRESCRIBE: NO
HO, DANG D., MDGENDER: MPROVIDER #: 091640NPI #: 1669489217E-PRESCRIBE: YESCHRISTIE CLINIC1801 W WINDSOR RDCHAMPAIGN, IL 61821PHONE: (217) 366-1200E-PRESCRIBE: YES
HSU-LUMETTA, JENNIE C., MD
GENDER: FPROVIDER #: 085865NPI #: 1811929219E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1701 W CURTIS RDCHAMPAIGN, IL 61822PHONE: (217) 365-6207E-PRESCRIBE: YES
MANDHAN, NARAIN D., MDGENDER: MPROVIDER #: 185109NPI #: 1730170655E-PRESCRIBE: NOHEARTLAND HOME HEALTHCARE309 E SPRINGFIELD AVECHAMPAIGN, IL 61820PHONE: E-PRESCRIBE: NO
PATEL, MAHINDRA D., MDGENDER: MPROVIDER #: 006780NPI #: 1841263258E-PRESCRIBE: NO410 E UNIVERSITY AVECHAMPAIGN, IL 61821PHONE: (217) 355-8880E-PRESCRIBE: NO
CARTERVILLE, IL
CARTHAGE, IL
CHAMPAIGN, IL
CARTERVILLE, ILCHAMPAIGN, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
18
QATTASH, ISMAIL, MDGENDER: MPROVIDER #: 150677NPI #: 1538329982E-PRESCRIBE: YESCHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
RAMAN, KAVITHA, MDGENDER: FPROVIDER #: 109082NPI #: 1699797555E-PRESCRIBE: NOPROVENA MEDICAL GROUP410 E UNIVERSITY AVE SUITE 200CHAMPAIGN, IL 61820PHONE: (217) 352-9755E-PRESCRIBE: NO
SCHUCHART, CHARLOTTE L., MD
GENDER: FPROVIDER #: 100310NPI #: 1659389393E-PRESCRIBE: YESCHRISTIE CLINIC1801 W WINDSOR RDCHAMPAIGN, IL 61822PHONE: (217) 366-8000E-PRESCRIBE: YES
SEHY, J TIMOTHY, MDGENDER: MPROVIDER #: 091666NPI #: 1548278229E-PRESCRIBE: YESCHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
SHANMUGHAM, ANURADHA, MD
GENDER: FPROVIDER #: 135811NPI #: 1992827299E-PRESCRIBE: YESCHRISTIE CLINIC1801 W WINDSOR RDCHAMPAIGN, IL 61822PHONE: (217) 366-8000E-PRESCRIBE: YES
SPERKA, GRETCHEN B., DOGENDER: FPROVIDER #: 085880NPI #: 1518067743E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1701 W CURTIS RDCHAMPAIGN, IL 61822PHONE: (217) 365-6207E-PRESCRIBE: YES
SUNDARAM, SUMUK, MDGENDER: MPROVIDER #: 091668NPI #: 1275542912E-PRESCRIBE: YESCHRISTIE CLINIC1801 W WINDSOR RDCHAMPAIGN, IL 61821PHONE: (217) 366-8000E-PRESCRIBE: YES
WALKER, NATHAN R., MDGENDER: MPROVIDER #: 109269NPI #: 1629087325E-PRESCRIBE: YESCHRISTIE CLINIC1801 W WINDSOR RDCHAMPAIGN, IL 61822PHONE: (217) 366-1200E-PRESCRIBE: YES
WELCH, JANET W., MDGENDER: FPROVIDER #: 009865NPI #: 1891898110E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1701 W CURTIS RDCHAMPAIGN, IL 61822PHONE: (217) 365-6207E-PRESCRIBE: YES
WILSON, PAUL R., MDGENDER: MPROVIDER #: 000026NPI #: 1710084124E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1701 W CURTIS RDCHAMPAIGN, IL 61822PHONE: (217) 365-6207E-PRESCRIBE: YES
ZABANEH, SAMI, MDGENDER: MPROVIDER #: 091839NPI #: 1548279110E-PRESCRIBE: YESCHRISTIE CLINIC1801 W WINDSOR RDCHAMPAIGN, IL 61821PHONE: (217) 366-1200E-PRESCRIBE: YES
FAMILY PRACTICE
ANTONSEN, INGRID C., MDGENDER: FPROVIDER #: 091696NPI #: 1508870601E-PRESCRIBE: YESCHRISTIE CLINIC1801 W WINDSOR RDCHAMPAIGN, IL 61821PHONE: (217) 366-6107E-PRESCRIBE: YES
CHAMPAIGN, ILCHAMPAIGN, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
1919
19
BAISA, MARIA LENNIE Q., MDGENDER: FPROVIDER #: 091869NPI #: 1326154188E-PRESCRIBE: YESCHRISTIE CLINIC1801 W WINDSOR RDCHAMPAIGN, IL 61821PHONE: (217) 366-1200E-PRESCRIBE: YES
BEITEL, JOYCE W., MDGENDER: FPROVIDER #: 000659NPI #: 1639109879E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1701 W CURTIS RDCHAMPAIGN, IL 61822PHONE: (217) 365-6201PARRETT, LAURA, NP; PROVIDER #: 000701ZUKOSKY, MARCIA, NP; PROVIDER #: 000506E-PRESCRIBE: YES
BRUNNER, DAWN C., MDGENDER: FPROVIDER #: 225404NPI #: 1063643187E-PRESCRIBE: NOCHRISTIE CLINIC1801 W WINDSOR RDCHAMPAIGN, IL 61822PHONE: (217) 366-6104E-PRESCRIBE: NO
FONS, DOMINIQUE K., MDGENDER: FPROVIDER #: 202201NPI #: 1134391881E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1701 W CURTIS RDCHAMPAIGN, IL 61822PHONE: (217) 365-6201E-PRESCRIBE: YES
HOFFMAN II, JOHN R., MDGENDER: MPROVIDER #: 220138NPI #: 1760480396E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1701 W CURTIS RDCHAMPAIGN, IL 61821PHONE: (217) 366-6107E-PRESCRIBE: YES
JAMMA, KIRANMAI, MDGENDER: FPROVIDER #: 095226NPI #: 1053328609E-PRESCRIBE: YESCHRISTIE CLINIC1801 W WINDSOR RDCHAMPAIGN, IL 61821PHONE: (217) 366-6104E-PRESCRIBE: YES
KANG, JOY H., DOGENDER: FPROVIDER #: 222044NPI #: 1063723112E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1701 W CURTIS RDCHAMPAIGN, IL 61822PHONE: (217) 365-6203E-PRESCRIBE: YES
KIM, JANE C., MDGENDER: FPROVIDER #: 151480NPI #: 1356511166E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1701 W CURTIS RDCHAMPAIGN, IL 61822PHONE: (217) 365-6201BANGERT, JODI L., PA; PROVIDER #: 206000E-PRESCRIBE: YES
MCCOY, DAWN K., MDGENDER: FPROVIDER #: 095770NPI #: 1356365779E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1701 W CURTIS RDCHAMPAIGN, IL 61822PHONE: (217) 365-6201PARRETT, LAURA, NP; PROVIDER #: 000701ZUKOSKY, MARCIA, NP; PROVIDER #: 000506E-PRESCRIBE: YES
MEGEFF, RANDALL A., MDGENDER: MPROVIDER #: 031712NPI #: 1083663918E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1701 W CURTIS RDCHAMPAIGN, IL 61821PHONE: (217) 366-6107E-PRESCRIBE: YES
SAWLAW, JOSHUA E., MDGENDER: MPROVIDER #: 222916NPI #: 1922235944E-PRESCRIBE: NOHEARTLAND HOME HEALTHCARE309 E SPRINGFIELD AVECHAMPAIGN, IL 61820PHONE: E-PRESCRIBE: NO
TROIANO, CYNTHIA M., DOGENDER: FPROVIDER #: 095241NPI #: 1366450520E-PRESCRIBE: YESCHRISTIE CLINIC1801 W WINDSOR RDCHAMPAIGN, IL 61821PHONE: (217) 366-6104E-PRESCRIBE: YES
CHAMPAIGN, ILCHAMPAIGN, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
20
UZODIKE, ONA, MDGENDER: FPROVIDER #: 109274NPI #: 1447269113E-PRESCRIBE: YESCHRISTIE CLINIC1801 W WINDSOR RDCHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
YANG, TINA Y., DOGENDER: FPROVIDER #: 204235NPI #: 1457590408E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1701 W CURTIS RDCHAMPAIGN, IL 61821PHONE: (217) 365-6200E-PRESCRIBE: YES
FAMILY PRACTICE OB
BEITEL, JOYCE W., MDGENDER: FPROVIDER #: 000659NPI #: 1639109879E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1701 W CURTIS RDCHAMPAIGN, IL 61822PHONE: (217) 365-6201PARRETT, LAURA, NP; PROVIDER #: 000701ZUKOSKY, MARCIA, NP; PROVIDER #: 000506E-PRESCRIBE: YES
PEDIATRICS
BASILIOS, FATHY, MDGENDER: MPROVIDER #: 091868NPI #: 1992710420E-PRESCRIBE: YESCHRISTIE CLINIC1801 W WINDSOR RDCHAMPAIGN, IL 61821PHONE: (217) 366-1200E-PRESCRIBE: YES
BOLTON, SUSAN, MDGENDER: FPROVIDER #: 113679NPI #: 1336156884E-PRESCRIBE: YESCHRISTIE CLINIC1801 WINDSOR RDCHAMPAIGN, IL 61822PHONE: E-PRESCRIBE: YES
HAUFFE, JAMES E., MDGENDER: MPROVIDER #: 000568NPI #: 1396752952E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1701 W CURTIS RDCHAMPAIGN, IL 61822PHONE: (217) 365-6202E-PRESCRIBE: YES
KEELEY, JOSEPH, MDGENDER: MPROVIDER #: 192709NPI #: 1093752370E-PRESCRIBE: YESCHRISTIE CLINIC1801 W WINDSOR RDCHAMPAIGN, IL 61822PHONE: (217) 366-1200E-PRESCRIBE: YES
MARANON, M LOUISA, MDGENDER: FPROVIDER #: 091647NPI #: 1588674105E-PRESCRIBE: YESCHRISTIE CLINIC1801 W WINDSOR RDCHAMPAIGN, IL 61821PHONE: (217) 366-1200E-PRESCRIBE: YES
PALAZZOLO, MICHAEL, MDGENDER: MPROVIDER #: 091833NPI #: 1427065028E-PRESCRIBE: YESCHRISTIE CLINIC1801 W WINDSOR RDCHAMPAIGN, IL 61821PHONE: (217) 366-1200E-PRESCRIBE: YES
PORTER, MYISHA Z., MDGENDER: FPROVIDER #: 150678NPI #: 1093975443E-PRESCRIBE: NOCHRISTIE CLINIC1801 W WINDSOR RDCHAMPAIGN, IL 61820PHONE: (217) 366-1257E-PRESCRIBE: NO
SEE, PAULETTE M., MDGENDER: FPROVIDER #: 084239NPI #: 1962419507E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1701 W CURTIS RDCHAMPAIGN, IL 61822PHONE: (217) 365-6202E-PRESCRIBE: YES
CHAMPAIGN, ILCHAMPAIGN, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
2121
21
STRIEGEL, JANE E., MDGENDER: FPROVIDER #: 000505NPI #: 1427169127E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1701 W CURTIS RDCHAMPAIGN, IL 61822PHONE: (217) 365-6200E-PRESCRIBE: YES
FAMILY PRACTICE
JEGAN-MOHAN, JANANDANA K., MD
GENDER: FPROVIDER #: 178973NPI #: 1942468145E-PRESCRIBE: NOPROVENA MEDICAL GROUP27025 W EAMES STCHANNAHON, IL 60410PHONE: (815) 467-1988E-PRESCRIBE: NO
FAMILY PRACTICE
ALVARADO, JOAN, MDGENDER: FPROVIDER #: 246976NPI #: 1033430624E-PRESCRIBE: NOCHARLESTON FAMILY PRACTICE116 W BUCHANAN AVECHARLESTON, IL 61920PHONE: (217) 345-7700E-PRESCRIBE: NO
BAJAJ, ARUN, MDGENDER: MPROVIDER #: 003987NPI #: 1841252087E-PRESCRIBE: NO735 18TH STCHARLESTON, IL 61920PHONE: (217) 345-6582E-PRESCRIBE: NO
DORNER, MATTHEW J., MDGENDER: MPROVIDER #: 192649NPI #: 1528176880E-PRESCRIBE: NOCHARLESTON FAMILY PRACTICE116 W BUCHANAN AVECHARLESTON, IL 61920PHONE: (217) 345-7700E-PRESCRIBE: NO
EMENECKER, MARK, DOGENDER: MPROVIDER #: 072301NPI #: 1285740571E-PRESCRIBE: NOSBL CHARLESTON FAMILY PRACTICE116 W BUCHANAN AVECHARLESTON, IL 61920PHONE: (217) 345-7700E-PRESCRIBE: NO
MARTINEZ, JAIME, MDGENDER: MPROVIDER #: 248888NPI #: 1962713909E-PRESCRIBE: NOSBL PRAIRIE FAMILY PRACTICE2040 LINCOLN AVECHARLESTON, IL 61920PHONE: (217) 345-2030E-PRESCRIBE: NO
RANCHERO, BERNIE C., MDGENDER: MPROVIDER #: 210303NPI #: 1568656445E-PRESCRIBE: NOSBL CHARLESTON FAMILY PRACTICE116 W BUCHANAN AVECHARLESTON, IL 61920PHONE: (217) 345-7700E-PRESCRIBE: NO
PEDIATRICS
STOLTZ, DAVID, MDGENDER: MPROVIDER #: 108923NPI #: 1578674420E-PRESCRIBE: NOSBL CHARLESTON FAMILY PRACTICE116 W BUCHANAN AVECHARLESTON, IL 61920PHONE: (217) 345-7700FULTON, PATRICIA, APN; PROVIDER #: 159947WOODARD, MICHELE, APN; PROVIDER #: 123343E-PRESCRIBE: NO
FAMILY PRACTICE
CRABTREE, CATHERINE, MDGENDER: FPROVIDER #: 189966NPI #: 1336168699E-PRESCRIBE: NOCHATHAM FAMILY PRACTICE345 N MAIN STCHATHAM, IL 62629PHONE: (217) 483-3333E-PRESCRIBE: NO
CHANNAHON, IL
CHARLESTON, IL
CHATHAM, IL
CHAMPAIGN, ILCHATHAM, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
22
CRABTREE, JAMES T., MDGENDER: MPROVIDER #: 189964NPI #: 1538188818E-PRESCRIBE: NOCHATHAM FAMILY PRACTICE345 N MAIN STCHATHAM, IL 62629PHONE: (217) 483-3333E-PRESCRIBE: NO
MOSQUERA, GUSTAVO, MDGENDER: MPROVIDER #: 190685NPI #: 1033395629E-PRESCRIBE: NOFAMILY MEDICAL CENTER OF CHATHAM LLC101 E PLUMMER RDCHATHAM, IL 62629PHONE: (217) 483-3487E-PRESCRIBE: NO
ROLLET, JOHN C., MDGENDER: MPROVIDER #: 189969NPI #: 1932119112E-PRESCRIBE: NOCHATHAM FAMILY PRACTICE345 N MAIN STCHATHAM, IL 62629PHONE: (217) 483-3333E-PRESCRIBE: NO
SCHEIBLER-VENTRESS, CHRISTINA L., MD
GENDER: FPROVIDER #: 119047NPI #: 1831148022E-PRESCRIBE: NOFAMILY MEDICAL CENTER OF CHATHAM LLC101 E PLUMMER RDCHATHAM, IL 62629PHONE: (217) 483-3487E-PRESCRIBE: NO
SHEEDY, MICHAEL, MDGENDER: MPROVIDER #: 041063NPI #: 1790758894E-PRESCRIBE: NOFAMILY MEDICAL CENTER OF CHATHAM LLC101 E PLUMMERCHATHAM, IL 62629PHONE: (217) 483-3487E-PRESCRIBE: NO
SUCHOMSKI, GERALD, MDGENDER: MPROVIDER #: 042838NPI #: 1538133350E-PRESCRIBE: NOFAMILY MEDICAL CENTER OF CHATHAM LLC101 E PLUMMER RDCHATHAM, IL 62629PHONE: (217) 483-3487E-PRESCRIBE: NO
WILLIAMS, DORIS M., MDGENDER: FPROVIDER #: 193613NPI #: 1891966792E-PRESCRIBE: NOCHATHAM FAMILY PRACTICE345 N MAIN STCHATHAM, IL 62629PHONE: (217) 483-3333E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
DENNIS, CHARLES A., MDGENDER: MPROVIDER #: 175733NPI #: 1851326508E-PRESCRIBE: NOOSF MEDICAL GROUP416 E LOCUST STCHATSWORTH, IL 60921PHONE: (815) 635-3177E-PRESCRIBE: NO
FAMILY PRACTICE
STEVENS, JENNIFER E., MDGENDER: FPROVIDER #: 182380NPI #: 1043412893E-PRESCRIBE: NOOSF MEDICAL GROUP416 E LOCUST STCHATSWORTH, IL 60921PHONE: (815) 635-3177E-PRESCRIBE: NO
PEDIATRICS
DENNIS, CHARLES A., MDGENDER: MPROVIDER #: 175733NPI #: 1851326508E-PRESCRIBE: NOOSF MEDICAL GROUP416 E LOCUST STCHATSWORTH, IL 60921PHONE: (815) 635-3177E-PRESCRIBE: NO
CHATSWORTH, IL
CHATHAM, ILCHATSWORTH, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
2323
23
ADULT/INTERNAL MEDICINE
PENNEPALLI, RAJENDRA S., MD
GENDER: MPROVIDER #: 005317NPI #: 1154371193E-PRESCRIBE: NO125 W 1ST NORTH STCHEBANSE, IL 60922PHONE: (815) 697-2323E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
DENNIS, CHARLES A., MDGENDER: MPROVIDER #: 175733NPI #: 1851326508E-PRESCRIBE: NOOSF MEDICAL GROUP918 E LINCOLN STCHENOA, IL 61726PHONE: (815) 945-2261E-PRESCRIBE: NO
FAMILY PRACTICE
LAU, DANIEL S., MDGENDER: MPROVIDER #: 206357NPI #: 1720398480E-PRESCRIBE: NOOSF MEDICAL GROUP918 E LINCOLN STCHENOA, IL 61726PHONE: (815) 945-2261E-PRESCRIBE: NO
NORRIS, STEVEN S., MDGENDER: MPROVIDER #: 077629NPI #: 1316988934E-PRESCRIBE: NOOSF MEDICAL GROUP918 E LINCOLN STCHENOA, IL 61726PHONE: (815) 945-2261E-PRESCRIBE: NO
PEDIATRICS
DENNIS, CHARLES A., MDGENDER: MPROVIDER #: 175733NPI #: 1851326508E-PRESCRIBE: NOOSF MEDICAL GROUP918 E LINCOLN STCHENOA, IL 61726PHONE: (815) 945-2261E-PRESCRIBE: NO
FAMILY PRACTICE
COLBERT, JAY R., DOGENDER: MPROVIDER #: 132466NPI #: 1437379021E-PRESCRIBE: NOCISSNA PARK MEDICAL CLINIC141 W GARFIELD AVECISSNA PARK, IL 60924PHONE: (815) 457-2146ARMSTRONG, PAMELA, NP; PROVIDER #: 170602E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
MOPARTHI, VENKATA, MDGENDER: MPROVIDER #: 099434NPI #: 1699797548E-PRESCRIBE: NOPROVENA MEDICAL GROUP335 E SIXTH AVECLIFTON, IL 60927PHONE: (815) 694-2044E-PRESCRIBE: NO
OMOTOSHO, WURAOLA I., MD
GENDER: FPROVIDER #: 184428NPI #: 1427222884E-PRESCRIBE: NOPROVENA MEDICAL GROUP335 E SIXTH AVECLIFTON, IL 60927PHONE: E-PRESCRIBE: NO
THOMAS, ABRAHAM, MDGENDER: MPROVIDER #: 089063NPI #: 1063423655E-PRESCRIBE: NOPROVENA MEDICAL GROUP335 E SIXTH AVECLIFTON, IL 60927PHONE: (815) 694-2044VEASEY, REBECCA E., PA-C; PROVIDER #: 102478E-PRESCRIBE: NO
CHEBANSE, IL
CHENOA, IL
CISSNA PARK, IL
CLIFTON, IL
CHEBANSE, ILCLIFTON, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
24
GENERAL PRACTICE
DEVAS-GUNAWARDHANE, TED, MD
GENDER: MPROVIDER #: 004002NPI #: 1235148693E-PRESCRIBE: NOTHE FAMILY MEDICAL CENTER OF CLIFTON102 COMMERCE DRCLIFTON, IL 60927PHONE: (815) 694-2381E-PRESCRIBE: NO
PEDIATRICS
DEVAS-GUNAWARDHANE, PADHMINI, MD
GENDER: FPROVIDER #: 004001NPI #: 1982613352E-PRESCRIBE: NOTHE FAMILY MEDICAL CENTER OF CLIFTON102 COMMERCE DRCLIFTON, IL 60927PHONE: (815) 694-2381E-PRESCRIBE: NO
FAMILY PRACTICE
OSARO, ODUAH D., MDGENDER: MPROVIDER #: 055959NPI #: 1821095787E-PRESCRIBE: NO108 S FOURTH STCLINTON, IA 52732PHONE: (563) 241-1239E-PRESCRIBE: NO
ROBINSON, RANDY R., MDGENDER: MPROVIDER #: 018396NPI #: 1497736326E-PRESCRIBE: YES2027 S 21ST STCLINTON, IA 52732PHONE: (563) 243-7200E-PRESCRIBE: YES
ADULT/INTERNAL MEDICINE
KUREISHY, FARRUKH, MDGENDER: MPROVIDER #: 056153NPI #: 1619950060E-PRESCRIBE: NOCLINTON INTERNAL MEDICINE LLC40 CLINTON PLAZACLINTON, IL 61727PHONE: (217) 935-7600E-PRESCRIBE: NO
WILLIAMS, BRIT M., MDGENDER: MPROVIDER #: 140841NPI #: 1780667816E-PRESCRIBE: NORURAL HEALTH CENTER422 W WHITE STCLINTON, IL 61727PHONE: (217) 937-5284E-PRESCRIBE: NO
FAMILY PRACTICE
CLAY, LAURA B., DOGENDER: FPROVIDER #: 152445NPI #: 1649284787E-PRESCRIBE: NOOSF MEDICAL GROUP1231 KLEEMANN DRCLINTON, IL 61727PHONE: (217) 935-5022E-PRESCRIBE: NO
DOWDEN, LAWRENCE M., MD
GENDER: MPROVIDER #: 034481NPI #: 1740380385E-PRESCRIBE: NOOSF MEDICAL GROUP1231 KLEEMANN DRCLINTON, IL 61727PHONE: (217) 935-5022E-PRESCRIBE: NO
RAUCH, DAREN J., MDGENDER: MPROVIDER #: 134195NPI #: 1174544407E-PRESCRIBE: NOOSF MEDICAL GROUP1231 KLEEMANN DRCLINTON, IL 61727PHONE: (217) 935-5022E-PRESCRIBE: NO
GENERAL PRACTICE
CIPOLLA, ROBERT P., MDGENDER: MPROVIDER #: 002773NPI #: 1649370271E-PRESCRIBE: NOOSF MEDICAL GROUP1231 KLEEMANN DRCLINTON, IL 61727PHONE: (217) 935-5022E-PRESCRIBE: NO
PEDIATRICS
SCERBA, TRICIA L., MDGENDER: FPROVIDER #: 089084NPI #: 1467534065E-PRESCRIBE: NORURAL HEALTH CENTER422 W WHITE STCLINTON, IL 61727PHONE: (217) 937-5284E-PRESCRIBE: NO
CLINTON, IA
CLINTON, IL
CLIFTON, ILCLINTON, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
2525
25
ADULT/INTERNAL MEDICINE
ANALYTIS, SPYRO D., MDGENDER: MPROVIDER #: 020444NPI #: 1407953441E-PRESCRIBE: NO460 N BROADWAY STCOAL CITY, IL 60416PHONE: (815) 634-4099E-PRESCRIBE: NO
DEEPANKAR, RAHUL, MDGENDER: MPROVIDER #: 194329NPI #: 1376503045E-PRESCRIBE: NORIVERSIDE MEDICAL CENTER OF COAL CITY5775 EAST STATE ROUTE 113COAL CITY, IL 60416PHONE: (815) 634-0100E-PRESCRIBE: NO
KHAN, AFTAB, MDGENDER: MPROVIDER #: 207554NPI #: 1720073729E-PRESCRIBE: NOLIBERTY MEDICAL CENTER4 E NORTH STCOAL CITY, IL 60416PHONE: (815) 942-8080E-PRESCRIBE: NO
KUCINSKI, LAURA J., DOGENDER: FPROVIDER #: 241169NPI #: 1093010126E-PRESCRIBE: NOKUCINSKI MEDICAL LTD400 N BROADWAY STCOAL CITY, IL 60416PHONE: (815) 634-8030E-PRESCRIBE: NO
FAMILY PRACTICE
JURAK, DANIEL M., DOGENDER: MPROVIDER #: 020496NPI #: 1912919259E-PRESCRIBE: NOFAMILY PHYSICIANS OF COAL CITY935 E DIVISION STCOAL CITY, IL 60416PHONE: (815) 634-8447E-PRESCRIBE: NO
LANGCAUON, HAZEL J., MDGENDER: FPROVIDER #: 211293NPI #: 1922386374E-PRESCRIBE: NORIVERSIDE MEDICAL CENTER5775 E STATE HIGHWAY 113COAL CITY, IL 60416PHONE: (815) 634-0100E-PRESCRIBE: NO
NGUYEN, HUNG, DOGENDER: MPROVIDER #: 064803NPI #: 1588688832E-PRESCRIBE: NOPROVENA MEDICAL GROUP410 N BROADWAY STCOAL CITY, IL 60416PHONE: (815) 634-4545E-PRESCRIBE: NO
SAFDAR, SAIMA, MDGENDER: FPROVIDER #: 208669NPI #: 1336449214E-PRESCRIBE: NOLIBERTY MEDICAL CENTER4 E NORTH STCOAL CITY, IL 60416PHONE: (815) 942-8080E-PRESCRIBE: NO
PEDIATRICS
KAPRAL, JANE L., MDGENDER: FPROVIDER #: 154835NPI #: 1033221767E-PRESCRIBE: NORIVERSIDE MEDICAL CENTER OF COAL CITY5775 EAST STATE ROUTE 113COAL CITY, IL 60416PHONE: (815) 634-0100E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
DEOSKAR, UDAY L., MDGENDER: MPROVIDER #: 070445NPI #: 1386733145E-PRESCRIBE: NOHERITAGE MANOR402 S HARRISON STCOLFAX, IL 61728PHONE: (309) 723-2591E-PRESCRIBE: NO
FAMILY PRACTICE
BECKEMEYER, SHAWN, MDGENDER: FPROVIDER #: 048692NPI #: 1023075264E-PRESCRIBE: NOCOULTERVILLE MEDICAL CLINIC203 E GRANTCOULTERVILLE, IL 62237PHONE: (618) 758-2331COOK, CANDACE, CFNP; PROVIDER #: 127611E-PRESCRIBE: NO
COAL CITY, IL
COLFAX, IL
COULTERVILLE, IL
COAL CITY, ILCOULTERVILLE, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
26
JAMES JR, FRANKLIN, MDGENDER: MPROVIDER #: 063400NPI #: 1659338713E-PRESCRIBE: NOCOULTERVILLE MEDICAL CLINIC203 E GRANTCOULTERVILLE, IL 62237PHONE: (618) 758-2331E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
MALHOTRA, BIKRAMJIT, MDGENDER: MPROVIDER #: 040585NPI #: 1942243472E-PRESCRIBE: NODANVILLE POLYCLINIC LTD416 UNION STCOVINGTON, IN 47932PHONE: (765) 793-2122E-PRESCRIBE: NO
PATEL, KEVAL D., MDGENDER: MPROVIDER #: 031778NPI #: 1447291182E-PRESCRIBE: NODANVILLE POLYCLINIC416 UNION STCOVINGTON, IN 47932PHONE: (765) 793-2122E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
ALVI, FARHANA P., MDGENDER: FPROVIDER #: 169061NPI #: 1568451276E-PRESCRIBE: NOALLIANCE HEALTH2208 WEBER RD UNIT ACREST HILL, IL 60403PHONE: (815) 741-7590E-PRESCRIBE: NO
PETHKAR, SANJAY, MDGENDER: MPROVIDER #: 041167NPI #: 1134181829E-PRESCRIBE: NOALLIANCE HEALTH1421 ESSINGTON RDCREST HILL, IL 60435PHONE: E-PRESCRIBE: NO
FAMILY PRACTICE
KANTAR, MOUHANNAD, MDGENDER: MPROVIDER #: 221789NPI #: 1710127576E-PRESCRIBE: NOPROVENA MEDICAL GROUP16151 WEBER RD SUITE 101CREST HILL, IL 60403PHONE: (815) 773-7827E-PRESCRIBE: NO
PEDIATRICS
STAMPLEY, ANDREA G., MDGENDER: FPROVIDER #: 138996NPI #: 1225102148E-PRESCRIBE: NO2224 WEBER RDCREST HILL, IL 60403PHONE: (815) 725-1600E-PRESCRIBE: NO
FAMILY PRACTICE
BRUNE, DANIEL H., MDGENDER: MPROVIDER #: 010785NPI #: 1982896551E-PRESCRIBE: NOCREVE COEUR FAMILY PHYSICIANS120 WAGNER DRCREVE COEUR, IL 61610PHONE: (309) 699-6921E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
DENNIS, CHARLES A., MDGENDER: MPROVIDER #: 175733NPI #: 1851326508E-PRESCRIBE: NOOSF MEDICAL GROUP105 W HACK STCULLOM, IL 60929PHONE: (815) 689-2126E-PRESCRIBE: NO
COVINGTON, IN
CREST HILL, IL
CREVE COEUR, IL
CULLOM, IL
COULTERVILLE, ILCULLOM, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
2727
27
FAMILY PRACTICE
MOY, CALVIN, MDGENDER: MPROVIDER #: 224829NPI #: 1154558732E-PRESCRIBE: NOOSF MEDICAL GROUP105 W HACK STCULLOM, IL 60929PHONE: (815) 689-2126E-PRESCRIBE: NO
MOY, LACEY D., MDGENDER: FPROVIDER #: 224830NPI #: 1013144021E-PRESCRIBE: NOOSF MEDICAL GROUP105 W HACK STCULLOM, IL 60929PHONE: (815) 689-2126E-PRESCRIBE: NO
PEDIATRICS
DENNIS, CHARLES A., MDGENDER: MPROVIDER #: 175733NPI #: 1851326508E-PRESCRIBE: NOOSF MEDICAL GROUP105 W HACK STCULLOM, IL 60929PHONE: (815) 689-2126E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
GOTARDO, CARLOS F., MDGENDER: MPROVIDER #: 007215NPI #: 1285674564E-PRESCRIBE: NODANVILLE POLYCLINIC LTD707 N LOGAN AVEDANVILLE, IL 61832PHONE: (217) 477-4732E-PRESCRIBE: NO
HALLORAN, THOMAS J., MDGENDER: MPROVIDER #: 000050NPI #: 1588696785E-PRESCRIBE: YESCARLE PHYSICIAN GROUP311 W FAIRCHILD STDANVILLE, IL 61832PHONE: (217) 431-7800KIENAST, CHERYL, NP; PROVIDER #: 082246LONG, JACQUELINE A., NP; PROVIDER #: 216679E-PRESCRIBE: YES
MALHOTRA, BIKRAMJIT, MDGENDER: MPROVIDER #: 040585NPI #: 1942243472E-PRESCRIBE: NODANVILLE POLYCLINIC LTD707 N LOGAN AVEDANVILLE, IL 61832PHONE: (217) 477-4748E-PRESCRIBE: NO
MUSHTAQ, MUHAMMAD, MDGENDER: MPROVIDER #: 001411NPI #: 1851460380E-PRESCRIBE: NO701 W FAIRCHILD STDANVILLE, IL 61832PHONE: (217) 431-1100E-PRESCRIBE: NO
PARUCHURI, SURENDRA P., MD
GENDER: PROVIDER #: 050050NPI #: 1902847437E-PRESCRIBE: NODANVILLE POLYCLINIC LTD707 N LOGAN AVEDANVILLE, IL 61832-4360PHONE: (217) 477-4730E-PRESCRIBE: NO
PATEL, KEVAL D., MDGENDER: MPROVIDER #: 031778NPI #: 1447291182E-PRESCRIBE: NODANVILLE POLYCLINIC LTD707 N LOGAN AVEDANVILLE, IL 61832-4360PHONE: (217) 477-4738E-PRESCRIBE: NO
RAVAEE, MANOUCHER, MDGENDER: MPROVIDER #: 003100NPI #: 1972610491E-PRESCRIBE: NO733 N LOGAN AVEDANVILLE, IL 61832PHONE: (217) 442-3268E-PRESCRIBE: NO
DANVILLE, IL
CULLOM, ILDANVILLE, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
28
SADIQ, RAJA IRFAN, MDGENDER: MPROVIDER #: 182447NPI #: 1316142755E-PRESCRIBE: NODANVILLE POLYCLINIC LTD707 N LOGAN AVEDANVILLE, IL 61832PHONE: E-PRESCRIBE: NO
SODHI, BRIJNANDAN S., MDGENDER: MPROVIDER #: 002055NPI #: 1700879178E-PRESCRIBE: NOSODHI MEDICAL SERVICES1010 W CLAY STDANVILLE, IL 61832PHONE: (217) 431-7200MARTINDILL, GREGORY L., PA-C; PROVIDER #: 057172SHELBY, JILL E., CNP; PROVIDER #: 151399E-PRESCRIBE: NO
FAMILY PRACTICE
BROADERS, KAREN M., MDGENDER: FPROVIDER #: 048103NPI #: 1699703777E-PRESCRIBE: YESCARLE PHYSICIAN GROUP311 W FAIRCHILD STDANVILLE, IL 61832PHONE: (217) 431-7850OSAZE, EBUN, PA; PROVIDER #: 072109E-PRESCRIBE: YES
DEBOER, JAMES E., MDGENDER: MPROVIDER #: 000150NPI #: 1801821558E-PRESCRIBE: YESCARLE PHYSICIAN GROUP311 W FAIRCHILD STDANVILLE, IL 61832PHONE: (217) 431-7850E-PRESCRIBE: YES
DIOKNO, RAFAEL M., MDGENDER: MPROVIDER #: 007214NPI #: 1801843404E-PRESCRIBE: NODANVILLE POLYCLINIC LTD707 N LOGAN AVEDANVILLE, IL 61832PHONE: (217) 477-4728E-PRESCRIBE: NO
GILBERT, JEANELLE, DOGENDER: FPROVIDER #: 167177NPI #: 1043480874E-PRESCRIBE: YESCHRISTIE CLINIC405 N SHERIDAN STDANVILLE, IL 61832PHONE: (217) 431-6330E-PRESCRIBE: YES
GINDI, GEORGE R., MDGENDER: MPROVIDER #: 015566NPI #: 1477503472E-PRESCRIBE: NOFAMILY PRACTICE MEDICAL CENTER LTD511 W FAIRCHILD STDANVILLE, IL 61832PHONE: (217) 431-2025OLIVIER, GEORGE F., PA-C; PROVIDER #: 119057E-PRESCRIBE: NO
GINDI, MARY Y., MDGENDER: FPROVIDER #: 060657NPI #: 1417907031E-PRESCRIBE: NOFAMILY PRACTICE MEDICAL CENTER LTD511 W FAIRCHILD STDANVILLE, IL 61832PHONE: (217) 431-2025OLIVIER, GEORGE F., PA-C; PROVIDER #: 119057E-PRESCRIBE: NO
HORNER, TIMOTHY, MDGENDER: MPROVIDER #: 121759NPI #: 1336246800E-PRESCRIBE: YESCHRISTIE CLINIC3545 N VERMILION STDANVILLE, IL 61832PHONE: (217) 442-8611KINNEY, TERESA; PROVIDER #: 190013E-PRESCRIBE: YES
JABINES-STEWART, HAYDEE, MD
GENDER: FPROVIDER #: 186758NPI #: 1558359240E-PRESCRIBE: YESCHRISTIE CLINIC3545 N VERMILLIONDANVILLE, IL 61832PHONE: (217) 442-8611E-PRESCRIBE: YES
MCFADDEN, JEFFREY A., DOGENDER: MPROVIDER #: 068501NPI #: 1487678652E-PRESCRIBE: YESCARLE PHYSICIAN GROUP311 W FAIRCHILD STDANVILLE, IL 61832PHONE: (217) 431-7800E-PRESCRIBE: YES
DANVILLE, ILDANVILLE, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
2929
29
PETERS, ELEANOR K., MDGENDER: FPROVIDER #: 102482NPI #: 1942217542E-PRESCRIBE: YESCHRISTIE CLINIC3545 N VERMILION STDANVILLE, IL 61832PHONE: (217) 442-8611MARTIN, JOLENA, PA-C; PROVIDER #: 120059E-PRESCRIBE: YES
SADIQ, NAVEED I., MDGENDER: MPROVIDER #: 181481NPI #: 1821064213E-PRESCRIBE: NODANVILLE POLYCLINIC LTD707 N LOGAN AVEDANVILLE, IL 61832PHONE: E-PRESCRIBE: NO
SADIQ, RAJA A., MDGENDER: MPROVIDER #: 181467NPI #: 1255488896E-PRESCRIBE: NODANVILLE POLYCLINIC LTD735 N LOGAN AVEDANVILLE, IL 61832PHONE: (217) 443-9100E-PRESCRIBE: NO
SHEIKH, RAHAT H., MDGENDER: MPROVIDER #: 240892NPI #: 1750488771E-PRESCRIBE: NOCHRISTIE CLINIC3545 N VERMILLION STDANVILLE, IL 61832PHONE: (217) 442-8611E-PRESCRIBE: NO
YE, LU, MDGENDER: FPROVIDER #: 212853NPI #: 1619130317E-PRESCRIBE: YESCARLE PHYSICIAN GROUP311 W FAIRCHILD STDANVILLE, IL 61832PHONE: (217) 431-7850E-PRESCRIBE: YES
FAMILY PRACTICE OB
BROADERS, KAREN M., MDGENDER: FPROVIDER #: 048103NPI #: 1699703777E-PRESCRIBE: YESCARLE PHYSICIAN GROUP311 W FAIRCHILD STDANVILLE, IL 61832PHONE: (217) 431-7850OSAZE, EBUN, PA; PROVIDER #: 072109E-PRESCRIBE: YES
PEDIATRICS
HOWARD, MONIQUE M., MDGENDER: FPROVIDER #: 237881NPI #: 1346243326E-PRESCRIBE: YESCARLE PHYSICIAN GROUP311 W FAIRCHILD STDANVILLE, IL 61832PHONE: (217) 431-7800E-PRESCRIBE: YES
JELIAZKOVA, ZLATKA K., MDGENDER: FPROVIDER #: 197393NPI #: 1346403060E-PRESCRIBE: NODANVILLE POLYCLINIC LTD707 N LOGAN AVEDANVILLE, IL 61832PHONE: (217) 477-4714E-PRESCRIBE: NO
MAES, HOLLY, MDGENDER: FPROVIDER #: 218732NPI #: 1548285612E-PRESCRIBE: NO737 NORTH LOGAN AVEDANVILLE, IL 61832PHONE: (217) 422-0433E-PRESCRIBE: NO
REDDY, PADMASHREE, MDGENDER: MPROVIDER #: 007229NPI #: 1912948282E-PRESCRIBE: NODANVILLE POLYCLINIC LTD707 N LOGAN AVEDANVILLE, IL 61832PHONE: (217) 477-4716E-PRESCRIBE: NO
ROBERTS, DANICE B., MDGENDER: FPROVIDER #: 182304NPI #: 1215199203E-PRESCRIBE: YESCARLE PHYSICIAN GROUP311 W FAIRCHILD STDANVILLE, IL 61832PHONE: (217) 431-7800E-PRESCRIBE: YES
ROWE, CAROL J., MDGENDER: FPROVIDER #: 167134NPI #: 1922074764E-PRESCRIBE: YESCARLE PHYSICIAN GROUP311 W FAIRCHILD STDANVILLE, IL 61832PHONE: (217) 431-7800E-PRESCRIBE: YES
DANVILLE, ILDANVILLE, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
30
ADULT/INTERNAL MEDICINE
AL-SHEIKHA, MOUHAMED W., MD
GENDER: MPROVIDER #: 065366NPI #: 1063418374E-PRESCRIBE: NOINTERNAL MEDICINE ASSOCIATES1230 E RUSHOLME ST SUITE 303DAVENPORT, IA 52803PHONE: (563) 326-6273MANY, FRANCE B., ARNP; PROVIDER #: 175580E-PRESCRIBE: NO
HAQUE, SYED M., MDGENDER: MPROVIDER #: 072992NPI #: 1720072960E-PRESCRIBE: NOCOMMUNITY HEALTH CARE OUTREACH303 WEST 6TH STREETDAVENPORT, IA 52803PHONE: (563) 322-8890E-PRESCRIBE: NO
COMMUNITY HEALTH CARE RIVER DRIVE500 WEST RIVER DRIVEDAVENPORT, IA 52801PHONE: (563) 336-3000CACCAMO, JOSEPH, PA-C; PROVIDER #: 113185DECKER, SUZANNE M., FNPC; PROVIDER #: 174058GUDGEL, ELIZABETH A., FNP; PROVIDER #: 170299HOBERT, DEANNE M., APN; PROVIDER #: 162845HULL, JULIA A., NP; PROVIDER #; 187817JOSIE, BRETT G., PA-C: PROVIDER #; 172232KAUFMAN, KENDRA R., PA-C; PROVIDER #; 137942E-PRESCRIBE: NO
COMMUNITY HEALTH CARE VIROLOGY1351 WEST CENTRAL PARK SUITE 360DAVENPORT, IA 52801PHONE: (563) 421-4244E-PRESCRIBE: NO
HASSAN, SYED, MDGENDER: MPROVIDER #: 104474NPI #: 1104810886E-PRESCRIBE: NOCOMMUNITY HEALTH CARE OUTREACH303 WEST 6TH STREETDAVENPORT, IA 52803PHONE: (563) 322-8890E-PRESCRIBE: NO
COMMUNITY HEALTH CARE RIVER DRIVE500 WEST RIVER DRIVEDAVENPORT, IA 52801PHONE: (563) 336-3000CACCAMO, JOSEPH, PA-C; PROVIDER #: 113185DECKER, SUZANNE M., FNPC; PROVIDER #: 174058GUDGEL, ELIZABETH A., FNP; PROVIDER #: 170299HOBERT, DEANNE M., APN; PROVIDER #: 162845HULL, JULIA A., NP; PROVIDER #: 187817JOSIE, BRETT G., PA-C; PROVIDER #: 172232KAUFMAN, KENDRA R., PA-C; PROVIDER #; 137942MALLY, EMILY E., PA-C: PROVIDER #; 161935MORRIS, MATTHEW W., PA; PROVIDER #; 186597E-PRESCRIBE: NO
COMMUNITY HEALTH CARE VIROLOGY1351 WEST CENTRAL PARK SUITE 360DAVENPORT, IA 52801PHONE: (563) 421-4244E-PRESCRIBE: NO
METUGE AHONE, ANNE A., MD
GENDER: FPROVIDER #: 248047NPI #: 1669623583E-PRESCRIBE: YESCOMMUNITY HEALTH CARE INC500 W RIVER DRDAVENPORT, IA 52801PHONE: (563) 336-3000E-PRESCRIBE: YES
DAVENPORT, IA
DAVENPORT, IADAVENPORT, IA
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
3131
31
MOTTO, EDWIN V., MDGENDER: MPROVIDER #: 077942NPI #: 1699774455E-PRESCRIBE: NOINTERNAL MEDICINE ASSOCIATES1230 E RUSHOLME ST SUITE 303DAVENPORT, IA 52803PHONE: (563) 326-6273MANY, FRANCE B., ARNP; PROVIDER #: 175580E-PRESCRIBE: NO
MOTTO, EDWIN, MDGENDER: MPROVIDER #: 127392NPI #: 1699774455E-PRESCRIBE: NORENAL DIALYSIS ASSOCIATE1228 E RUSHOLME SUITE 8DAVENPORT, IA 52803PHONE: (563) 326-6256E-PRESCRIBE: NO
PANCHOLI, SANJAY S., DOGENDER: MPROVIDER #: 195787NPI #: 1780894816E-PRESCRIBE: NOCOMMUNITY HEALTH CARE OUTREACH303 W 6TH STDAVENPORT, IA 52803PHONE: (563) 322-8890E-PRESCRIBE: NO
COMMUNITY HEALTH CARE RIVER DR500 W RIVER DRDAVENPORT, IA 52801PHONE: (563) 336-3000E-PRESCRIBE: NO
COMMUNITY HEALTH CARE VIROLOGY1351 W CENTRAL PARK SUITE 360DAVENPORT, IA 52801PHONE: (563) 421-4244E-PRESCRIBE: NO
SATTI, VINAY V., MDGENDER: MPROVIDER #: 170479NPI #: 1629099726E-PRESCRIBE: NOCOMMUNITY HEALTH CARE OUTREACH303 WEST 6TH STREETDAVENPORT, IA 52803PHONE: (563) 322-8890E-PRESCRIBE: NO
COMMUNITY HEALTH CARE RIVER DRIVE500 WEST RIVER DRIVEDAVENPORT, IA 52801PHONE: (563) 336-3000CACCAMO, JOSEPH, PA-C; PROVIDER #: 113185DECKER, SUZANNE M., FNPC; PROVIDER #: 174058GUDGEL, ELIZABETH A., FNP; PROVIDER #: 170299HOBERT, DEANNE M., APN; PROVIDER #: 162845HULL, JULIA A., NP; PROVIDER #: 187817JOSIE, BRETT G., PA-C; PROVIDER #: 172232KAUFMAN, KENDRA R., PA-C; PROVIDER #; 137942MALLY, EMILY E., PA-C: PROVIDER #; 161935MORRIS, MATTHEW W., PA; PROVIDER #; 186597E-PRESCRIBE: NO
COMMUNITY HEALTH CARE VIROLOGY1351 WEST CENTRAL PARK SUITE 360DAVENPORT, IA 52801PHONE: (563) 421-4244E-PRESCRIBE: NO
SHOBANDE, OLATOKUNBO, MD
GENDER: FPROVIDER #: 229877NPI #: 1972711513E-PRESCRIBE: NOGENESIS MEDICAL CENTER-EAST/INPT1227 E RUSHOLME STDAVENPORT, IA 52803PHONE: E-PRESCRIBE: NO
INTERNAL MEDICINE ASSOCIATES PC1228 E RUSHOLME STDAVENPORT, IA 52803PHONE: (563) 326-6273E-PRESCRIBE: NO
FAMILY PRACTICE
DAVIS, JASON G., DOGENDER: MPROVIDER #: 185859NPI #: 1588662050E-PRESCRIBE: NOWOUND MANAGEMENT CONSULTANTS PC1351 W CENTRAL PARK AVE SUITE 1225DAVENPORT, IA 52804PHONE: (563) 421-1585E-PRESCRIBE: NO
DAVENPORT, IADAVENPORT, IA
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
32
HAJI-ABDIRAHMAN, HASSAN, MD
GENDER: MPROVIDER #: 227583NPI #: 1972735785E-PRESCRIBE: YESCOMMUNITY HEALTH CARE500 W RIVER DRDAVENPORT, IA 52801PHONE: (563) 336-3000E-PRESCRIBE: YES
KUMAR, MUKESH, MDGENDER: PROVIDER #: 227592NPI #: 1164756920E-PRESCRIBE: YESCOMMUNITY HEALTH CARE500 W RIVER DRDAVENPORT, IA 52801PHONE: (563) 336-3000E-PRESCRIBE: YES
MILLER, JOANNE, MDGENDER: FPROVIDER #: 208353NPI #: 1093777518E-PRESCRIBE: NOWOUND MANAGEMENT CONSULTANTS PC1351 W CENTRAL PARK AVE SUITE 1225DAVENPORT, IA 52804PHONE: (563) 421-1585E-PRESCRIBE: NO
THOMPSON, STEPHEN, MDGENDER: MPROVIDER #: 184564NPI #: 1457357253E-PRESCRIBE: NOWOUND MANAGEMENT CONSULTANTS PC1351 W CENTRAL PARK AVE SUITE 1225DAVENPORT, IA 52804PHONE: (563) 421-1585E-PRESCRIBE: NO
PEDIATRICS
ENRIQUEZ, BERNARDITA, MD
GENDER: FPROVIDER #: 093469NPI #: 1952395972E-PRESCRIBE: NOCOMMUNITY HEALTH CARE OUTREACH303 WEST 6TH STREETDAVENPORT, IA 52803PHONE: (563) 322-8890E-PRESCRIBE: NO
COMMUNITY HEALTH CARE RIVER DRIVE500 WEST RIVER DRIVEDAVENPORT, IA 52801PHONE: (563) 336-3000CACCAMO, JOSEPH, PA-C; PROVIDER #: 113185DECKER, SUZANNE M., FNPC; PROVIDER #: 174058GUDGEL, ELIZABETH A., FNP; PROVIDER #: 170299HOBERT, DEANNE M., APN; PROVIDER #: 162845HULL, JULIA A., NP; PROVIDER #: 187817JOSIE, BRETT G., PA-C; PROVIDER #: 172232KAUFMAN, KENDRA R., PA-C; PROVIDER #; 137942MALLY, EMILY E., PA-C: PROVIDER #; 161935MORRIS, MATTHEW W., PA; PROVIDER #; 186597E-PRESCRIBE: NO
COMMUNITY HEALTH CARE VIROLOGY1351 WEST CENTRAL PARK SUITE 360DAVENPORT, IA 52801PHONE: (563) 421-4244E-PRESCRIBE: NO
KHADKE, NEELAM, MDGENDER: FPROVIDER #: 168617NPI #: 1528222882E-PRESCRIBE: NOCOMMUNITY HEALTH CARE OUTREACH303 WEST 6TH STREETDAVENPORT, IA 52803PHONE: (563) 322-8890E-PRESCRIBE: NO
COMMUNITY HEALTH CARE RIVER DRIVE500 WEST RIVER DRIVEDAVENPORT, IA 52801PHONE: (563) 336-3000CACCAMO, JOSEPH, PA-C; PROVIDER #: 113185DECKER, SUZANNE M., FNPC; PROVIDER #: 174058GUDGEL, ELIZABETH A., FNP; PROVIDER #: 170299HOBERT, DEANNE M., APN; PROVIDER #: 162845HULL, JULIA A., NP; PROVIDER #: 187817JOSIE, BRETT G., PA-C; PROVIDER #; 172232KAUFMAN, KENDRA R., PA-C: PROVIDER #; 137942MALLY, EMILY E., PA-C; PROVIDER #; 161935E-PRESCRIBE: NO
COMMUNITY HEALTH CARE VIROLOGY1351 WEST CENTRAL PARK SUITE 360DAVENPORT, IA 52801PHONE: (563) 421-4244E-PRESCRIBE: NO
DAVENPORT, IADAVENPORT, IA
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
3333
33
KUKREJA, DEEPNA, MDGENDER: FPROVIDER #: 209042NPI #: 1194017913E-PRESCRIBE: NOCOMMUNITY HEALTH CARE OUTREACH303 W 6TH STDAVENPORT, IA 52803PHONE: (563) 322-8890E-PRESCRIBE: NO
COMMUNITY HEALTH CARE RIVER DRIVE500 W RIVER DRDAVENPORT, IA 52801PHONE: (563) 336-3000E-PRESCRIBE: NO
COMMUNITY HEALTH CARE VIROLOGY1351 W CENTRAL PARK SUITE 360DAVENPORT, IA 52801PHONE: (563) 421-4244E-PRESCRIBE: NO
KUKREJA, GAUTAM, MDGENDER: MPROVIDER #: 184580NPI #: 1205151198E-PRESCRIBE: NOCOMMUNITY HEALTH CARE OUTREACH303 WEST 6TH STREETDAVENPORT, IA 52803PHONE: (563) 322-8890E-PRESCRIBE: NO
COMMUNITY HEALTH CARE RIVER DRIVE500 WEST RIVER DRIVEDAVENPORT, IA 52801PHONE: (563) 336-3000CACCAMO, JOSEPH, PA-C; PROVIDER #: 113185DECKER, SUZANNE M., FNPC; PROVIDER #: 174058GUDGEL, ELIZABETH A., FNP; PROVIDER #: 170299HOBERT, DEANNE M., APN; PROVIDER #: 162845HULL, JULIA A., NP; PROVIDER #: 187817JOSIE, BRETT G., PA-C; PROVIDER #: 172232KAUFMAN, KENDRA R., PA-C; PROVIDER #; 137942MALLY, EMILY E., PA-C: PROVIDER #; 161935MORRIS, MATTHEW W., PA; PROVIDER #; 186597E-PRESCRIBE: NO
COMMUNITY HEALTH CARE VIROLOGY1351 WEST CENTRAL PARK SUITE 360DAVENPORT, IA 52801PHONE: (563) 421-4244E-PRESCRIBE: NO
NUNNEWAR, SACHIN S., MDGENDER: MPROVIDER #: 167704NPI #: 1114161908E-PRESCRIBE: NOCOMMUNITY HEALTH CARE OUTREACH303 WEST 6TH STREETDAVENPORT, IA 52803PHONE: (563) 322-8890E-PRESCRIBE: NO
COMMUNITY HEALTH CARE RIVER DRIVE500 WEST RIVER DRIVEDAVENPORT, IA 52801PHONE: (563) 336-3000CACCAMO, JOSEPH, PA-C; PROVIDER #: 113185DECKER, SUZANNE M., FNPC; PROVIDER #: 174058GUDGEL, ELIZABETH A., FNP; PROVIDER #: 170299HOBERT, DEANNE M., APN; PROVIDER #: 162845HULL, JULIA A., NP; PROVIDER #: 187817JOSIE, BRETT G., PA-C; PROVIDER #: 172232KAUFMAN, KENDRA R., PA-C; PROVIDER #; 137942MALLY, EMILY E., PA-C: PROVIDER #; 161935MORRIS, MATTHEW W., PA; PROVIDER #; 186597E-PRESCRIBE: NO
COMMUNITY HEALTH CARE VIROLOGY1351 WEST CENTRAL PARK SUITE 360DAVENPORT, IA 52801PHONE: (563) 421-4244E-PRESCRIBE: NO
OZAKI, LINDA S., MDGENDER: FPROVIDER #: 065338NPI #: 1053305003E-PRESCRIBE: NOCOMMUNITY HEALTH CARE OUTREACH303 WEST 6TH STREETDAVENPORT, IA 52803PHONE: (563) 322-8890E-PRESCRIBE: NO
DAVENPORT, IADAVENPORT, IA
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
34
COMMUNITY HEALTH CARE RIVER DRIVE500 WEST RIVER DRIVEDAVENPORT, IA 52801PHONE: (563) 336-3000CACCAMO, JOSEPH, PA-C; PROVIDER #: 113185DECKER, SUZANNE M., FNPC; PROVIDER #: 174058GUDGEL, ELIZABETH A., FNP; PROVIDER #: 170299HOBERT, DEANNE M., APN; PROVIDER #: 162845HULL, JULIA A., NP; PROVIDER #; 187817JOSIE, BRETT G., PA-C: PROVIDER #; 172232KAUFMAN, KENDRA R., PA-C; PROVIDER #; 137942E-PRESCRIBE: NO
COMMUNITY HEALTH CARE VIROLOGY1351 WEST CENTRAL PARK SUITE 360DAVENPORT, IA 52801PHONE: (563) 421-4244E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
BAUMBERGER, DAVID W., MD
GENDER: MPROVIDER #: 008871NPI #: 1043277064E-PRESCRIBE: YESINTERNAL MEDICINE ASSOCIATES OF DECATUR304 W HAY ST SUITE 312DECATUR, IL 62526PHONE: (217) 876-5621E-PRESCRIBE: YES
DAWOOD, MOHAMMED, MDGENDER: MPROVIDER #: 101421NPI #: 1174589576E-PRESCRIBE: YES441 W HAY STDECATUR, IL 62526PHONE: (217) 876-6860E-PRESCRIBE: YES
ELRAKHAWY, AHMED T., MDGENDER: MPROVIDER #: 132616NPI #: 1306838503E-PRESCRIBE: YESDHM EXPRESS CARE EAST4455 US ROUTE 36 EASTDECATUR, IL 62521PHONE: (217) 876-5940E-PRESCRIBE: YES
DMH EXPRESS CARE NORTH3131 N WATER STDECATUR, IL 62526PHONE: (217) 876-5320E-PRESCRIBE: YES
DMH EXPRESS CARE WEST1663 W KING STDECATUR, IL 62522PHONE: (217) 876-5820E-PRESCRIBE: YES
INTERNAL MEDICINE ASSOCIATES304 W HAY ST SUITE 312DECATUR, IL 62526PHONE: (217) 876-5600E-PRESCRIBE: YES
FRANKLIN, WILLIAM B., MDGENDER: MPROVIDER #: 008870NPI #: 1407813389E-PRESCRIBE: NOINTERNAL MEDICINE ASSOCIATES OF DECATUR304 W HAY ST SUITE 312DECATUR, IL 62526PHONE: (217) 876-5623E-PRESCRIBE: NO
FRITZ, RICHARD H., MDGENDER: MPROVIDER #: 008960NPI #: 1528026473E-PRESCRIBE: NO418 W WOOD STDECATUR, IL 62522PHONE: (217) 422-8586E-PRESCRIBE: NO
KHAN, MUHAMMAD N., MDGENDER: MPROVIDER #: 060932NPI #: 1598767493E-PRESCRIBE: NOMIDWEST INTERNAL MEDICINE OF DECATUR2975 N WATER STDECATUR, IL 62526PHONE: (217) 875-3810E-PRESCRIBE: NO
NEWLIN, JOHN W., MDGENDER: MPROVIDER #: 004400NPI #: 1528159688E-PRESCRIBE: NOWEST HAY MEDICAL CENTER302 W HAY ST SUITE 130DECATUR, IL 62526PHONE: (217) 872-8100E-PRESCRIBE: NO
SMITH, KEITH R., MDGENDER: MPROVIDER #: 008868NPI #: 1659338309E-PRESCRIBE: NO304 W HAY ST SUITE 312DECATUR, IL 62526PHONE: (217) 876-5624E-PRESCRIBE: NO
DECATUR, IL
DAVENPORT, IADECATUR, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
3535
35
TOTEL, GREGORY L., MDGENDER: MPROVIDER #: 017514NPI #: 1558470690E-PRESCRIBE: NO1 MEMORIAL DR SUITE 201DECATUR, IL 62526PHONE: (217) 875-1090E-PRESCRIBE: NO
FAMILY PRACTICE
ALLEGA, ROHN S., MDGENDER: MPROVIDER #: 133426NPI #: 1316003098E-PRESCRIBE: NODMH EXPRESS CARE EAST4455 US RTE 36 EASTDECATUR, IL 62521PHONE: (217) 876-5940E-PRESCRIBE: NO
DMH EXPRESS CARE NORTH3131 N WATER STDECATUR, IL 62526PHONE: (217) 876-5320WRIGHT, JAMES V., PA-C; PROVIDER #: 165393E-PRESCRIBE: NO
DMH EXPRESS CARE WEST1663 W KING STDECATUR, IL 62522PHONE: (217) 876-5820E-PRESCRIBE: NO
ARGUELLES, CESAR S., MDGENDER: MPROVIDER #: 042464NPI #: 1518944248E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS250 W KENWOOD AVEDECATUR, IL 62526PHONE: (217) 872-3800E-PRESCRIBE: NO
BAIRSETTY, ADARSH R., MDGENDER: MPROVIDER #: 180386NPI #: 1285856278E-PRESCRIBE: NOADARSH R BAIRSETTY MD550 SOUTHLAND DR SUITE 1DECATUR, IL 62521PHONE: (217) 422-0311E-PRESCRIBE: NO
BAJWA, ALI M., MDGENDER: MPROVIDER #: 224806NPI #: 1659536852E-PRESCRIBE: NODMH EXPRESS CARE EAST4455 US ROUTE 36 EASTDECATUR, IL 62521PHONE: (217) 876-5940E-PRESCRIBE: NO
DMH EXPRESS CARE NORTH3131 N WATER STDECATUR, IL 62526PHONE: (217) 876-5320E-PRESCRIBE: NO
DMH EXPRESS CARE WEST1663 W KING STDECATUR, IL 62522PHONE: (217) 876-5820E-PRESCRIBE: NO
BARNES, RONALD L., MDGENDER: MPROVIDER #: 079575NPI #: 1962469981E-PRESCRIBE: NODMH URGENT CARE2120 N 27TH STDECATUR, IL 62526PHONE: (217) 876-4940E-PRESCRIBE: NO
DOCTORS FAMILY PRACTICE2975 N WATER STDECATUR, IL 62526PHONE: (217) 876-5320E-PRESCRIBE: NO
SHORE/DMH CORPORATE HEALTH2122 N 27TH STDECATUR, IL 62526PHONE: (217) 423-3100E-PRESCRIBE: NO
BRACO, ROBERT J., MDGENDER: MPROVIDER #: 176785NPI #: 1548278583E-PRESCRIBE: NO2120 N 27TH STDECATUR, IL 62526PHONE: (217) 423-6485E-PRESCRIBE: NO
3131 N WATER STDECATUR, IL 62526PHONE: (217) 876-5320E-PRESCRIBE: NO
BRADLEY, JOHN G., MDGENDER: MPROVIDER #: 021092NPI #: 1508843236E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS250 W KENWOOD AVEDECATUR, IL 62526PHONE: (217) 872-3800LAW, LAURA E., PA; PROVIDER #: 118113E-PRESCRIBE: NO
BROWN, CRAIG E., MDGENDER: MPROVIDER #: 162930NPI #: 1053315812E-PRESCRIBE: NODMH EXPRESS CARE EAST4455 E STATE RTE 36DECATUR, IL 62521PHONE: (217) 876-5940E-PRESCRIBE: NO
DECATUR, ILDECATUR, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
36
DMH EXPRESS CARE NORTH3131 N WATER STDECATUR, IL 62526PHONE: (217) 876-5320E-PRESCRIBE: NO
DMH EXPRESS CARE WEST1663 W KING STDECATUR, IL 62522PHONE: (217) 876-5820E-PRESCRIBE: NO
CAVANAGH, PATRICK J., MDGENDER: MPROVIDER #: 042195NPI #: 1669439584E-PRESCRIBE: YES550 SOUTHLAND DRDECATUR, IL 62521PHONE: (217) 425-9264E-PRESCRIBE: YES
DI MONDO, JOHN P., MDGENDER: MPROVIDER #: 095419NPI #: 1518050095E-PRESCRIBE: YESSPRINGFIELD CLINIC1770 E LAKE SHORE DR SUITE 105DECATUR, IL 62521PHONE: (217) 428-3424CONLIN, JESSICA A., CFNP; PROVIDER #: 211430NORTON, JENNIFER A., NP; PROVIDER #: 118299E-PRESCRIBE: YES
ELLINGTON, CHARLES R., MD
GENDER: MPROVIDER #: 114586NPI #: 1407833130E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS250 W KENWOOD AVEDECATUR, IL 62526PHONE: (217) 872-3800E-PRESCRIBE: NO
GOWDAR, PRASANNA S., MDGENDER: MPROVIDER #: 008953NPI #: 1316023559E-PRESCRIBE: NO741 W PERSHING RDDECATUR, IL 62526PHONE: (217) 876-7200E-PRESCRIBE: NO
GUNDA, ARUN, MDGENDER: MPROVIDER #: 184134NPI #: 1649325895E-PRESCRIBE: NO3131 N WATER STDECATUR, IL 62526PHONE: (217) 876-5320E-PRESCRIBE: NO
DMH EXPRESS CARE EAST4455 US RTE 36 EASTDECATUR, IL 62521PHONE: (217) 876-5940E-PRESCRIBE: NO
EXPRESS CARE WEST1663 W KING STDECATUR, IL 62522PHONE: (217) 876-5820E-PRESCRIBE: NO
RETAIL EAST4625 E MARYLAND AVEDECATUR, IL 62521PHONE: (217) 876-5520E-PRESCRIBE: NO
RETAIL NORTH4224 N PROSPECTDECATUR, IL 62526PHONE: (217) 876-5530E-PRESCRIBE: NO
HEIM, DENNIS, MDGENDER: MPROVIDER #: 032410NPI #: 1891891636E-PRESCRIBE: YESSPRINGFIELD CLINIC1770 E LAKE SHORE DR SUITE 105DECATUR, IL 62521PHONE: (217) 428-3424CONLIN, JESSICA A., CFNP; PROVIDER #: 211430FEDOR, JAYNE K., PA-C; PROVIDER #: 077314NORTON, JENNIFER A., NP; PROVIDER #: 118299E-PRESCRIBE: YES
HEIMBRECHT, KURT, MDGENDER: MPROVIDER #: 060668NPI #: 1497851232E-PRESCRIBE: YESSPRINGFIELD CLINIC1770 E LAKE SHORE DR SUITE 105DECATUR, IL 62521PHONE: (217) 428-3424CONLIN, JESSICA A., CFNP; PROVIDER #: 211430FEDOR, JAYNE K., PA-C; PROVIDER #: 077314NORTON, JENNIFER A., NP; PROVIDER #: 118299E-PRESCRIBE: YES
JONES, DAVID A., MDGENDER: MPROVIDER #: 070550NPI #: 1942292412E-PRESCRIBE: NOFAMILY PRACTICE MEDICAL CENTER1770 E LAKE SHORE DR SUITE 305DECATUR, IL 62521PHONE: (217) 424-9193E-PRESCRIBE: NO
DECATUR, ILDECATUR, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
3737
37
JUNKER, JESSIE A., MDGENDER: FPROVIDER #: 122770NPI #: 1205828084E-PRESCRIBE: NOSIU PHSYICIANS & SURGEONS250 W KENWOOD AVEDECATUR, IL 62526PHONE: (217) 872-3800E-PRESCRIBE: NO
KLEIN, SUSAN M., MDGENDER: FPROVIDER #: 042460NPI #: 1558348268E-PRESCRIBE: NOSIU PHSYICIANS & SURGEONS250 W KENWOOD AVEDECATUR, IL 62526PHONE: (217) 872-3800E-PRESCRIBE: NO
KONDA, SUDHAKAR R., MDGENDER: MPROVIDER #: 184008NPI #: 1376737346E-PRESCRIBE: NODECATUR MEMORIAL HOSPITAL2220 N MONROE STDECATUR, IL 62526PHONE: (217) 876-6330E-PRESCRIBE: NO
MARSCHNER, CYNTHIA C., DO
GENDER: FPROVIDER #: 079953NPI #: 1194721571E-PRESCRIBE: YES4775 E MARYLAND ST SUITE BDECATUR, IL 62521PHONE: (217) 864-3737E-PRESCRIBE: YES
MCCORMACK, ANTHONY T., MD
GENDER: MPROVIDER #: 008948NPI #: 1154388791E-PRESCRIBE: NOANTHONY T MCCORMACK MD102 W KENWOOD SUITE 130DECATUR, IL 62526PHONE: (217) 876-6350E-PRESCRIBE: NO
MULTANI, SUKHWINDER S., MD
GENDER: MPROVIDER #: 240337NPI #: 1518176601E-PRESCRIBE: NOUNIVERSAL WALK-IN URGENT CARE LLC3767 US ROUTE 36 EASTDECATUR, IL 62521PHONE: (217) 330-6153E-PRESCRIBE: NO
OLIGSCHLAEGER, DAVID M., DO
GENDER: MPROVIDER #: 069620NPI #: 1851383418E-PRESCRIBE: NOSIU DECATUR FAMILY PRACTICE250 W KENWOOD AVEDECATUR, IL 62526PHONE: (217) 872-3800E-PRESCRIBE: NO
PABALATE, ROBERTO G., MDGENDER: MPROVIDER #: 203189NPI #: 1528221504E-PRESCRIBE: NODMH EXPRESS CARE EAST4455 US RTE 36 EASTDECATUR, IL 62521PHONE: (217) 876-5940E-PRESCRIBE: NO
DMH EXPRESS CARE NORTH3131 N WATER STDECATUR, IL 62526PHONE: (217) 876-5320E-PRESCRIBE: NO
DMH EXPRESS CARE WEST1663 W KING STDECATUR, IL 62522PHONE: (217) 876-5820E-PRESCRIBE: NO
DMH WALMART RETAIL EAST4625 E MARYLAND AVEDECATUR, IL 62521PHONE: (217) 876-5520E-PRESCRIBE: NO
DMH WALMART RETAIL NORTH4224 N PROSPECT DRDECATUR, IL 62526PHONE: (217) 876-5530E-PRESCRIBE: NO
NORTH MONROE FAMILY MEDICINE2220 N MONROE ST SUITE 104DECATUR, IL 62526PHONE: (217) 876-6330E-PRESCRIBE: NO
PHU, LIZA A., MDGENDER: FPROVIDER #: 207843NPI #: 1174758908E-PRESCRIBE: NO4775 E MARYLAND ST SUITE ADECATUR, IL 62521PHONE: (217) 864-3737E-PRESCRIBE: NO
DECATUR, ILDECATUR, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
38
RADEMACHER, DENNIS J., MD
GENDER: MPROVIDER #: 027914NPI #: 1679673354E-PRESCRIBE: YESSPRINGFIELD CLINIC1770 E LAKE SHORE DR SUITE 105DECATUR, IL 62521PHONE: (217) 428-3424CONLIN, JESSICA A., CFNP; PROVIDER #: 211430FEDOR, JAYNE K., PA-C; PROVIDER #: 077314NORTON, JENNIFER A., NP; PROVIDER #: 118299E-PRESCRIBE: YES
SCOTT, MARK D., MDGENDER: MPROVIDER #: 005013NPI #: 1598867707E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS250 W KENWOOD AVEDECATUR, IL 62526PHONE: (217) 872-3800E-PRESCRIBE: NO
WALL, MICHAEL M., MDGENDER: MPROVIDER #: 051815NPI #: 1093772311E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS INC205 W KENWOOD AVEDECATUR, IL 62526PHONE: (217) 872-3800E-PRESCRIBE: NO
PEDIATRICS
BRANHAM, CHRISTINA M., MD
GENDER: FPROVIDER #: 108692NPI #: 1124001391E-PRESCRIBE: NO2220 N MONROE STDECATUR, IL 62526PHONE: (217) 423-7337E-PRESCRIBE: NO
GOWDAR, KUSUMA, MDGENDER: FPROVIDER #: 008955NPI #: 1669541728E-PRESCRIBE: NO741 W PERSHING RDDECATUR, IL 62526PHONE: (217) 876-7200E-PRESCRIBE: NO
GENERAL PRACTICE
ROSSI, ALFRED N., MDGENDER: MPROVIDER #: 005719NPI #: 1033157292E-PRESCRIBE: NODELEVAN DOCTORS OFFICE115 EAST FOURTH STREETDELAVAN, IL 61734PHONE: (309) 244-8311E-PRESCRIBE: NO
ROSSI, MATTHEW B., MDGENDER: MPROVIDER #: 007408NPI #: 1205874310E-PRESCRIBE: NODELEVAN DOCTORS OFFICE115 E FOURTH STDELAVAN, IL 61734PHONE: (309) 244-8311E-PRESCRIBE: NO
ROSSI, PHILLIP J., MDGENDER: MPROVIDER #: 010983NPI #: 1114965225E-PRESCRIBE: NODELEVAN DOCTORS OFFICE115 E FOURTH STDELAVAN, IL 61734PHONE: E-PRESCRIBE: NO
FAMILY PRACTICE
HAMEL, TIMOTHY J., MDGENDER: MPROVIDER #: 190099NPI #: 1417021882E-PRESCRIBE: NOMONROE CLINIC-DURAND400 S CENTER STDURAND, IL 61024PHONE: (815) 248-3443E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
HAQUE, SYED M., MDGENDER: MPROVIDER #: 072992NPI #: 1720072960E-PRESCRIBE: NOCOMMUNITY HEALTH CARE EAST MOLINE708 15TH AVEEAST MOLINE, IL 61244-2134PHONE: (563) 327-2105E-PRESCRIBE: NO
DELAVAN, IL
DURAND, IL
EAST MOLINE, IL
DECATUR, ILEAST MOLINE, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
3939
39
PANCHOLI, SANJAY S., DOGENDER: MPROVIDER #: 195787NPI #: 1780894816E-PRESCRIBE: NOCOMMUNITY HEALTH CARE EAST MOLINE708 15TH AVEEAST MOLINE, IL 61244-2134PHONE: (563) 327-2105E-PRESCRIBE: NO
SATTI, VINAY V., MDGENDER: MPROVIDER #: 170479NPI #: 1629099726E-PRESCRIBE: NOCOMMUNITY HEALTH CARE EAST MOLINE708 15TH AVEEAST MOLINE, IL 61244-2134PHONE: (563) 327-2105E-PRESCRIBE: NO
FAMILY PRACTICE
HAJI-ABDIRAHMAN, HASSAN, MD
GENDER: MPROVIDER #: 227583NPI #: 1972735785E-PRESCRIBE: YESCOMMUNITY HEALTH CARE708 15TH AVEEAST MOLINE, IL 61244PHONE: (563) 327-2000E-PRESCRIBE: YES
KUMAR, MUKESH, MDGENDER: PROVIDER #: 227592NPI #: 1164756920E-PRESCRIBE: YESCOMMUNITY HEALTH CARE708 15TH AVEEAST MOLINE, IL 61244PHONE: (563) 327-2000E-PRESCRIBE: YES
SHORT, NANCY J., MDGENDER: FPROVIDER #: 059704NPI #: 1134125032E-PRESCRIBE: NO4360 KENNEDY DR SUITE 1EAST MOLINE, IL 61244PHONE: (309) 792-6090E-PRESCRIBE: NO
PEDIATRICS
ENRIQUEZ, BERNARDITA, MD
GENDER: FPROVIDER #: 093469NPI #: 1952395972E-PRESCRIBE: NOCOMMUNITY HEALTH CARE EAST MOLINE708 15TH AVEEAST MOLINE, IL 61244-2134PHONE: (563) 327-2105E-PRESCRIBE: NO
KHADKE, NEELAM, MDGENDER: FPROVIDER #: 168617NPI #: 1528222882E-PRESCRIBE: NOCOMMUNITY HEALTH CARE EAST MOLINE708 15TH AVEEAST MOLINE, IL 61244-2134PHONE: (563) 327-2105E-PRESCRIBE: NO
KUKREJA, DEEPNA, MDGENDER: FPROVIDER #: 209042NPI #: 1194017913E-PRESCRIBE: NOCOMMUNITY HEALTH CARE EAST MOLINE708 15TH AVEEAST MOLINE, IL 61244-2134PHONE: (563) 327-2105E-PRESCRIBE: NO
KUKREJA, GAUTAM, MDGENDER: MPROVIDER #: 184580NPI #: 1205151198E-PRESCRIBE: NOCOMMUNITY HEALTH CARE EAST MOLINE708 15TH AVEEAST MOLINE, IL 61244-2134PHONE: E-PRESCRIBE: NO
NUNNEWAR, SACHIN S., MDGENDER: MPROVIDER #: 167704NPI #: 1114161908E-PRESCRIBE: NOCOMMUNITY HEALTH CARE EAST MOLINE708 15TH AVEEAST MOLINE, IL 61244-2134PHONE: (563) 327-2105E-PRESCRIBE: NO
OZAKI, LINDA S., MDGENDER: FPROVIDER #: 065338NPI #: 1053305003E-PRESCRIBE: NOCOMMUNITY HEALTH CARE EAST MOLINE708 15TH AVEEAST MOLINE, IL 61244-2134PHONE: (563) 327-2105E-PRESCRIBE: NO
EAST MOLINE, ILEAST MOLINE, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
40
ADULT/INTERNAL MEDICINE
ANTONY, NEDUVELIL A., MDGENDER: PROVIDER #: 016141NPI #: 1134212251E-PRESCRIBE: NOPROCTOR FIRST CARE2535 E WASHINGTON STEAST PEORIA, IL 61611PHONE: (309) 694-6464E-PRESCRIBE: NO
SIDLER, G GENE, MDGENDER: MPROVIDER #: 057275NPI #: 1396844932E-PRESCRIBE: NOPROCTOR FIRST CARE2535 E WASHINGTON STEAST PEORIA, IL 61611PHONE: (309) 694-6464E-PRESCRIBE: NO
FAMILY PRACTICE
HARMS, JAY S., MDGENDER: MPROVIDER #: 051654NPI #: 1518075282E-PRESCRIBE: NOPROCTOR FIRST CARE2535 E WASHINGTON STEAST PEORIA, IL 61611PHONE: (309) 694-6464E-PRESCRIBE: NO
JAVED, MAHWESH, MDGENDER: FPROVIDER #: 217800NPI #: 1710149224E-PRESCRIBE: NOPROCTOR FIRST CARE2535 E WASHINGTON STEAST PEORIA, IL 61611PHONE: (309) 694-6464E-PRESCRIBE: NO
MONTEFOLKA, MARK P., MDGENDER: MPROVIDER #: 103596NPI #: 1114026754E-PRESCRIBE: NOPROCTOR FIRST CARE2535 E WASHINGTON STEAST PEORIA, IL 61611PHONE: (309) 694-6464E-PRESCRIBE: NO
MUSAITIF, ZIAD A., DOGENDER: MPROVIDER #: 062698NPI #: 1316909328E-PRESCRIBE: NOPROCTOR FIRST CARE2535 E WASHINGTON STEAST PEORIA, IL 61611PHONE: (309) 694-6464E-PRESCRIBE: NO
PATEL, JUMUNA, MDGENDER: FPROVIDER #: 113913NPI #: 1033200928E-PRESCRIBE: NOPROCTOR FIRST CARE2535 E WASHINGTON STEAST PEORIA, IL 61611PHONE: (309) 694-6464E-PRESCRIBE: NO
POPP, RICHARD J., MDGENDER: MPROVIDER #: 010782NPI #: 1194790675E-PRESCRIBE: NOPROCTOR FIRST CARE2535 E WASHINGTON STEAST PEORIA, IL 61611PHONE: (309) 694-6464E-PRESCRIBE: NO
PRITZKER, EDWARD B., MDGENDER: MPROVIDER #: 008440NPI #: 1588763122E-PRESCRIBE: NOPROCTOR FIRST CARE2535 E WASHINGTON STEAST PEORIA, IL 61611PHONE: (309) 694-6464E-PRESCRIBE: NO
SAMUEL, ELDON M., MDGENDER: MPROVIDER #: 111572NPI #: 1427149210E-PRESCRIBE: NOPROCTOR FIRST CARE2535 E WASHINGTON STEAST PEORIA, IL 61611PHONE: (309) 694-6464E-PRESCRIBE: NO
SIAL, MUHAMMED I., MDGENDER: MPROVIDER #: 100173NPI #: 1447212469E-PRESCRIBE: NOPROCTOR FIRST CARE2535 E WASHINGTON STEAST PEORIA, IL 61611PHONE: (309) 694-6464E-PRESCRIBE: NO
STETTER, MATTHEW, DOGENDER: MPROVIDER #: 059603NPI #: 1205935848E-PRESCRIBE: NOPROCTOR FIRST CARE2535 E WASHINGTON STEAST PEORIA, IL 61611PHONE: (309) 694-6464E-PRESCRIBE: NO
EAST PEORIA, IL
EAST PEORIA, ILEAST PEORIA, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
4141
41
SUMNER, RONALD E., MDGENDER: MPROVIDER #: 077488NPI #: 1710078563E-PRESCRIBE: NOPROCTOR FIRST CARE2535 E WASHINGTON STEAST PEORIA, IL 61611PHONE: (309) 694-6464E-PRESCRIBE: NO
WEGMAN, CHERYL L., MDGENDER: FPROVIDER #: 214580NPI #: 1174590889E-PRESCRIBE: NOPROCTOR FIRST CARE2535 E WASHINGTON STEAST PEORIA, IL 61611PHONE: (309) 694-6464E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
HALPERIN, CAROLINE, DOGENDER: FPROVIDER #: 120776NPI #: 1912928805E-PRESCRIBE: NOCROSSROADS MEDICAL385 S ORANGE STEL PASO, IL 61738PHONE: (309) 527-4900E-PRESCRIBE: NO
JANI, JAYDEV Y., MDGENDER: MPROVIDER #: 151627NPI #: 1851559942E-PRESCRIBE: NOOSF PROMPTCARE100 DELANEY DREL PASO, IL 61738PHONE: (309) 527-2260E-PRESCRIBE: NO
FAMILY PRACTICE
CASH, JASON W., MDGENDER: MPROVIDER #: 169989NPI #: 1063593382E-PRESCRIBE: NOOSF PROMPTCARE100 DELANEY DREL PASO, IL 61738PHONE: (309) 527-2260E-PRESCRIBE: NO
CROWE, ALEX, MDGENDER: MPROVIDER #: 016591NPI #: 1235157066E-PRESCRIBE: NOADVOCATE MEDICAL GROUP385 S ORANGE STEL PASO, IL 61738PHONE: (309) 527-4900E-PRESCRIBE: NO
DJAGARIAN, ARTUR, MDGENDER: MPROVIDER #: 173513NPI #: 1598971137E-PRESCRIBE: NOADVOCATE MEDICAL GROUP385 S ORANGE STEL PASO, IL 61738PHONE: (309) 527-4900E-PRESCRIBE: NO
DOWDEN, LAWRENCE M., MD
GENDER: MPROVIDER #: 034481NPI #: 1740380385E-PRESCRIBE: NOOSF PROMPTCARE100 DELANEY DREL PASO, IL 61738PHONE: (309) 527-2260E-PRESCRIBE: NO
GINNETTI, RICHARD A., MDGENDER: MPROVIDER #: 006881NPI #: 1336231836E-PRESCRIBE: NOOSF PROMPTCARE100 DELANEY DREL PASO, IL 61738PHONE: (309) 527-2260E-PRESCRIBE: NO
HAKES, PAUL E., MDGENDER: MPROVIDER #: 004325NPI #: 1750315602E-PRESCRIBE: NOADVOCATE MEDICAL GROUP385 S ORANGE STEL PASO, IL 61738PHONE: (309) 527-4900BANKSTON, KIMBERLY, FNP; PROVIDER #: 074152FISCHER, DEBRA L., APN; PROVIDER #: 206358TYNER, JEAN MARIE, NP; PROVIDER #: 137005E-PRESCRIBE: NO
INGALSBE, STEVEN C., MDGENDER: MPROVIDER #: 007304NPI #: 1962428128E-PRESCRIBE: NOADVOCATE MEDICAL GROUP385 S ORANGE STEL PASO, IL 61738PHONE: (309) 527-4900BANKSTON, KIMBERLY, FNP; PROVIDER #: 074152FISCHER, DEBRA L., APN; PROVIDER #: 206358TYNER, JEAN MARIE, NP; PROVIDER #: 137005E-PRESCRIBE: NO
EL PASO, IL
EAST PEORIA, ILEL PASO, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
42
MAERE, JANINE M., MDGENDER: FPROVIDER #: 179232NPI #: 1891894622E-PRESCRIBE: NOOSF PROMPTCARE100 DELANEY DREL PASO, IL 61738PHONE: (309) 527-2260E-PRESCRIBE: NO
MEHTA, SHILPA I., MDGENDER: PROVIDER #: 098186NPI #: 1174616411E-PRESCRIBE: NOOSF PROMPTCARE100 DELANEY DREL PASO, IL 61738PHONE: (309) 527-2260E-PRESCRIBE: NO
MOORE, SAM A., DOGENDER: MPROVIDER #: 087708NPI #: 1972516797E-PRESCRIBE: NOOSF PROMPTCARE100 DELANEY DREL PASO, IL 61738PHONE: (309) 527-2260E-PRESCRIBE: NO
MUSTARD, MICHAEL R., MDGENDER: MPROVIDER #: 184070NPI #: 1295826675E-PRESCRIBE: NOADVOCATE MEDICAL GROUP385 S ORANGE STEL PASO, IL 61738PHONE: (309) 527-4900E-PRESCRIBE: NO
ORWIG, STACY C., MDGENDER: FPROVIDER #: 185662NPI #: 1982826384E-PRESCRIBE: NOADVOCATE MEDICAL GROUP385 S ORANGE STEL PASO, IL 61738PHONE: (309) 527-4900E-PRESCRIBE: NO
RANJAN, SUMIT, MDGENDER: MPROVIDER #: 185156NPI #: 1578786943E-PRESCRIBE: NOADVOCATE MEDICAL GROUP385 S ORANGE STEL PASO, IL 61738PHONE: (309) 527-4900E-PRESCRIBE: NO
SHEPPARD, SUSAN J., MDGENDER: FPROVIDER #: 054077NPI #: 1598857278E-PRESCRIBE: NOOSF PROMPTCARE100 DELANEY DREL PASO, IL 61738PHONE: (309) 527-2260E-PRESCRIBE: NO
STEFFEN, SAMUEL E., MDGENDER: MPROVIDER #: 093898NPI #: 1790704435E-PRESCRIBE: NOADVOCATE MEDICAL GROUP385 S ORANGE STEL PASO, IL 61738PHONE: (309) 527-4900FISCHER, DEBRA L., APN; PROVIDER #: 206358TYNER, JEAN MARIE, NP; PROVIDER #: 137005E-PRESCRIBE: NO
STEVENS, JENNIFER E., MDGENDER: FPROVIDER #: 239592NPI #: 1043412893E-PRESCRIBE: NOOSF PROMPTCARE100 DELANEY DREL PASO, IL 61738PHONE: (309) 527-2260E-PRESCRIBE: NO
WOODS, MICHAEL J., MDGENDER: MPROVIDER #: 235613NPI #: 1871698761E-PRESCRIBE: NOOSF PROMPTCARE100 DELANEY DREL PASO, IL 61738PHONE: (309) 527-2260E-PRESCRIBE: NO
GENERAL PRACTICE
CIPOLLA, ROBERT P., MDGENDER: MPROVIDER #: 002773NPI #: 1649370271E-PRESCRIBE: NOOSF PROMPTCARE100 DELANEY DREL PASO, IL 61738PHONE: (309) 527-2260E-PRESCRIBE: NO
EL PASO, ILEL PASO, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
4343
43
ADULT/INTERNAL MEDICINE
AHMED, NAZNEEN, MDGENDER: FPROVIDER #: 200939NPI #: 1215926621E-PRESCRIBE: NOPROVENA MEDICAL GROUP1975 LIN LOR LANE SUITE 205ELGIN, IL 60123PHONE: (847) 742-4488E-PRESCRIBE: NO
DAUDI, SHAZIA S., MDGENDER: FPROVIDER #: 179795NPI #: 1235137928E-PRESCRIBE: NOFIDAI MEDICAL GROUP1710 N RANDALL RD SUITE 380ELGIN, IL 60123PHONE: (847) 741-9800E-PRESCRIBE: NO
FIDAI, GULZAR S., MDGENDER: FPROVIDER #: 089032NPI #: 1851398218E-PRESCRIBE: NOFIDAI MEDICAL GROUP1710 N RANDALL RD SUITE 380ELGIN, IL 60123PHONE: (847) 741-9800E-PRESCRIBE: NO
GEPHART, ANANDITA G., MDGENDER: FPROVIDER #: 086130NPI #: 1790709343E-PRESCRIBE: NOPROVENA MEDICAL GROUP1975 LIN LOR LANE SUITE 205ELGIN, IL 60123PHONE: (847) 742-4488E-PRESCRIBE: NO
GOEL, ARCHANA, MDGENDER: FPROVIDER #: 141829NPI #: 1063529832E-PRESCRIBE: NOHERITAGE PRIMARY CARE SC1435 N RANDALL RD SUITE 210ELGIN, IL 60123PHONE: (847) 488-9589E-PRESCRIBE: NO
LIPOV, SERGEI G., MDGENDER: MPROVIDER #: 068593NPI #: 1982634127E-PRESCRIBE: NO1975 LIN LOR LN SUITE 285ELGIN, IL 60123PHONE: (847) 608-7542E-PRESCRIBE: NO
OLIVEROS, DESIREE F., MDGENDER: FPROVIDER #: 188909NPI #: 1205846128E-PRESCRIBE: NOPROVENA MEDICAL GROUP NEW LENOX1975 LIN LOR LN SUITE 295ELGIN, IL 60123PHONE: (847) 622-2086E-PRESCRIBE: NO
SUSARLA, VISWANATHAM, MD
GENDER: MPROVIDER #: 180824NPI #: 1922014315E-PRESCRIBE: NOV SUSARLA MD SC860 SUMMIT ST SUITE 123ELGIN, IL 60120PHONE: (847) 741-0026E-PRESCRIBE: NO
FAMILY PRACTICE
COLIN, VICTOR H., MDGENDER: MPROVIDER #: 182995NPI #: 1659369163E-PRESCRIBE: NOELGIN FAMILY PHYSICIANS SC1435 RANDALL RD SUITE 301ELGIN, IL 60123PHONE: (847) 888-3661E-PRESCRIBE: NO915 CENTER ST SUITE 3000ELGIN, IL 60120PHONE: (847) 888-3661E-PRESCRIBE: NO
FLORENTINO, POCHOLO S., MD
GENDER: MPROVIDER #: 062722NPI #: 1649359969E-PRESCRIBE: NOELGIN CARE CENTER530 N MCLEAN BLVDELGIN, IL 60123PHONE: (847) 695-4800E-PRESCRIBE: NO
ELGIN, IL
ELGIN, ILELGIN, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
44
GUPTA, VANITA, MDGENDER: FPROVIDER #: 111567NPI #: 1760583629E-PRESCRIBE: NOELGIN FAMILY PHYSICIANS SC1435 RANDALL RD SUITE 301ELGIN, IL 60123PHONE: (847) 888-3661E-PRESCRIBE: NO915 CENTER ST SUITE 3000ELGIN, IL 60120PHONE: (847) 888-3661E-PRESCRIBE: NO
MUELLER, CHRISTINE M., MDGENDER: FPROVIDER #: 180417NPI #: 1215925722E-PRESCRIBE: NOELGIN FAMILY PHYSICIANS SC1435 RANDALL RD SUITE 301ELGIN, IL 60123PHONE: (847) 888-3661E-PRESCRIBE: NO915 CENTER ST SUITE 3000ELGIN, IL 60120PHONE: (847) 888-3661E-PRESCRIBE: NO
POULOS, DOROTHEA, MDGENDER: FPROVIDER #: 180827NPI #: 1003804519E-PRESCRIBE: NOELGIN FAMILY PHYSICIANS SC1435 RANDALL RD SUITE 301ELGIN, IL 60123PHONE: (847) 888-3661E-PRESCRIBE: NO915 CENTER ST SUITE 3000ELGIN, IL 60120PHONE: (847) 888-3661E-PRESCRIBE: NO
SUSARLA, SAVITHA, DOGENDER: FPROVIDER #: 181015NPI #: 1518976323E-PRESCRIBE: NOV SUSARLA MD SC860 SUMMIT ST SUITE 123ELGIN, IL 60120PHONE: (847) 741-0026E-PRESCRIBE: NO
PEDIATRICS
FANG, HENRY Y., MDGENDER: MPROVIDER #: 017749NPI #: 1598850646E-PRESCRIBE: NO1590 WEATHERSTONE LANE SUITE 7ELGIN, IL 60123PHONE: (847) 695-8558E-PRESCRIBE: NO
YUEN, MICHAEL H., MDGENDER: MPROVIDER #: 043115NPI #: 1144326687E-PRESCRIBE: NO1590 WEATHERSTONE LANE SUITE 7ELGIN, IL 60123PHONE: (847) 695-8558E-PRESCRIBE: NO
FAMILY PRACTICE
BAYLOR, MARK C., MDGENDER: MPROVIDER #: 001414NPI #: 1740256700E-PRESCRIBE: NO120 W MAIN STELMWOOD, IL 61529PHONE: (309) 742-2921E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
HALPERIN, CAROLINE, DOGENDER: FPROVIDER #: 120776NPI #: 1912928805E-PRESCRIBE: NOTOWN & COUNTRY105 S MAJOREUREKA, IL 61530PHONE: (309) 467-4691E-PRESCRIBE: NO
FAMILY PRACTICE
CROWE, ALEX, MDGENDER: MPROVIDER #: 016591NPI #: 1235157066E-PRESCRIBE: NOADVOCATE MEDICAL GROUP105 S MAJOREUREKA, IL 61530PHONE: (309) 467-4691E-PRESCRIBE: NO
DJAGARIAN, ARTUR, MDGENDER: MPROVIDER #: 173513NPI #: 1598971137E-PRESCRIBE: NOADVOCATE MEDICAL GROUP105 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-4691E-PRESCRIBE: NO
ELMWOOD, IL
EUREKA, IL
ELGIN, ILEUREKA, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
4545
45
FOGO, SHANE C., MDGENDER: MPROVIDER #: 102295NPI #: 1063446318E-PRESCRIBE: NOADVOCATE MEDICAL GROUP105 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-4691E-PRESCRIBE: NO
HUGHES, CHRISTOPHER R., MD
GENDER: MPROVIDER #: 068435NPI #: 1235158924E-PRESCRIBE: NOADVOCATE MEDICAL GROUP105 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-4691E-PRESCRIBE: NO
JONES, STEVEN, MDGENDER: MPROVIDER #: 007305NPI #: 1942228101E-PRESCRIBE: NOADVOCATE MEDICAL GROUP105 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-4691JENKINS, SHERYL D., CNP; PROVIDER #: 030360E-PRESCRIBE: NO
MILLER, DAVID L., MDGENDER: MPROVIDER #: 007309NPI #: 1437178415E-PRESCRIBE: NOADVOCATE MEDICAL GROUP105 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-4691E-PRESCRIBE: NO
MROCZKO, MARK, MDGENDER: MPROVIDER #: 122386NPI #: 1528089885E-PRESCRIBE: NOADVOCATE MEDICAL GROUP105 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-4691E-PRESCRIBE: NO
MUSTARD, MICHAEL R., MDGENDER: MPROVIDER #: 184070NPI #: 1295826675E-PRESCRIBE: NOADVOCATE MEDICAL GROUP105 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-4691E-PRESCRIBE: NO
ORWIG, STACY C., MDGENDER: FPROVIDER #: 185662NPI #: 1982826384E-PRESCRIBE: NOADVOCATE MEDICAL GROUP105 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-4691E-PRESCRIBE: NO
RANJAN, SUMIT, MDGENDER: MPROVIDER #: 185156NPI #: 1578786943E-PRESCRIBE: NOADVOCATE MEDICAL GROUP105 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-4691E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
DENNIS, CHARLES A., MDGENDER: MPROVIDER #: 175733NPI #: 1851326508E-PRESCRIBE: NOOSF MEDICAL GROUP106 S FIRST STFAIRBURY, IL 61739PHONE: (815) 692-2833E-PRESCRIBE: NO
FAMILY PRACTICE
CROWE, ALEX, MDGENDER: MPROVIDER #: 016591NPI #: 1235157066E-PRESCRIBE: NOADVOCATE MEDICAL GROUP115 E WALNUT STFAIRBURY, IL 61739PHONE: (309) 692-2305E-PRESCRIBE: NO
DJAGARIAN, ARTUR, MDGENDER: MPROVIDER #: 173513NPI #: 1598971137E-PRESCRIBE: NOADVOCATE MEDICAL GROUP115 E WALNUT STFAIRBURY, IL 61739PHONE: (815) 692-2305E-PRESCRIBE: NO
FAIRBURY, IL
EUREKA, ILFAIRBURY, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
46
MUSTARD, MICHAEL R., MDGENDER: MPROVIDER #: 184070NPI #: 1295826675E-PRESCRIBE: NOADVOCATE MEDICAL GROUP115 E WALNUT STFAIRBURY, IL 61739PHONE: (815) 692-2305E-PRESCRIBE: NO
ORWIG, STACY C., MDGENDER: FPROVIDER #: 185662NPI #: 1982826384E-PRESCRIBE: NOADVOCATE MEDICAL GROUP115 E WALNUT STFAIRBURY, IL 61739PHONE: (815) 692-2305E-PRESCRIBE: NO
RANJAN, SUMIT, MDGENDER: MPROVIDER #: 185156NPI #: 1578786943E-PRESCRIBE: NOADVOCATE MEDICAL GROUP115 E WALNUT STFAIRBURY, IL 61739PHONE: (815) 692-2305E-PRESCRIBE: NO
SMITH, BONNIE J., MDGENDER: FPROVIDER #: 145996NPI #: 1306865084E-PRESCRIBE: NOADVOCATE MEDICAL GROUP115 E WALNUTFAIRBURY, IL 61739PHONE: (815) 692-2305E-PRESCRIBE: NO
STEVENS, JENNIFER E., MDGENDER: FPROVIDER #: 182380NPI #: 1043412893E-PRESCRIBE: NOOSF MEDICAL GROUP106 S FIRST STFAIRBURY, IL 61739PHONE: (815) 692-2308E-PRESCRIBE: NO
WENGER, RACHEL M., MDGENDER: FPROVIDER #: 185804NPI #: 1649436098E-PRESCRIBE: NOFAMILY HEALTHCARE OF FAIRBURY401 S CLAY STFAIRBURY, IL 61739PHONE: (815) 692-1150E-PRESCRIBE: NO
PEDIATRICS
DENNIS, CHARLES A., MDGENDER: MPROVIDER #: 175733NPI #: 1851326508E-PRESCRIBE: NOOSF MEDICAL GROUP106 S FIRST STFAIRBURY, IL 61739PHONE: (815) 692-2833E-PRESCRIBE: NO
FAMILY PRACTICE
RAY, DARRIN M., MDGENDER: MPROVIDER #: 161876NPI #: 1679785778E-PRESCRIBE: YESTHE FAMILY HEALTH CLINIC OF FARMER CITY1230 GEORGE ROCK DRFARMER CITY, IL 61842PHONE: (309) 928-9192E-PRESCRIBE: YES
GENERAL PRACTICE
CASTROVILLO, GEORGE, MDGENDER: MPROVIDER #: 003995NPI #: 1295763043E-PRESCRIBE: NO109 S MAINFARMER CITY, IL 61842PHONE: (309) 928-2131E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
CHAMBERLIN, JASON G., DOGENDER: MPROVIDER #: 069684NPI #: 1831207349E-PRESCRIBE: NOGRAHAM MEDICAL GROUP601 E FORT STFARMINGTON, IL 61531PHONE: (309) 245-2406E-PRESCRIBE: NO
FARMER CITY, IL
FARMINGTON, IL
FAIRBURY, ILFARMINGTON, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
4747
47
FAMILY PRACTICE
LANSER, TODD A., MDGENDER: MPROVIDER #: 166967NPI #: 1376765891E-PRESCRIBE: NOGRAHAM MEDICAL GROUP601 E FORT STFARMINGTON, IL 61531PHONE: (309) 124-2406E-PRESCRIBE: NO
PEDIATRICS
CHAMBERLIN, JASON G., DOGENDER: MPROVIDER #: 069684NPI #: 1831207349E-PRESCRIBE: NOGRAHAM MEDICAL GROUP601 E FORT STFARMINGTON, IL 61531PHONE: (309) 245-2406E-PRESCRIBE: NO
WELL, MARCI, MDGENDER: FPROVIDER #: 049801NPI #: 1821107699E-PRESCRIBE: NOGRAHAM MEDICAL GROUP141 E VERNON STFARMINGTON, IL 61531PHONE: (309) 245-2406E-PRESCRIBE: NO601 E FORT STFARMINGTON, IL 61531PHONE: (309) 245-2406E-PRESCRIBE: NO
FAMILY PRACTICE
HAGAN, DAVID J., MDGENDER: MPROVIDER #: 050892NPI #: 1467433557E-PRESCRIBE: YESFISHER FAMILY PRACTICE CENTER104 S THIRD STFISHER, IL 61843PHONE: (217) 897-1692E-PRESCRIBE: YES
ADULT/INTERNAL MEDICINE
DENNIS, CHARLES A., MDGENDER: MPROVIDER #: 175733NPI #: 1851326508E-PRESCRIBE: NOOSF MEDICAL GROUP103 W SOUTH STFLANAGAN, IL 61740PHONE: (815) 796-4591E-PRESCRIBE: NO
FAMILY PRACTICE
STALTER, LARRY P., MDGENDER: PROVIDER #: 002836NPI #: 1992898258E-PRESCRIBE: NOOSF MEDICAL GROUP103 W SOUTH STFLANAGAN, IL 61740PHONE: (815) 796-4591E-PRESCRIBE: NO
PEDIATRICS
DENNIS, CHARLES A., MDGENDER: MPROVIDER #: 175733NPI #: 1851326508E-PRESCRIBE: NOOSF MEDICAL GROUP103 W SOUTH STFLANAGAN, IL 61740PHONE: (815) 796-4591E-PRESCRIBE: NO
FAMILY PRACTICE
AUSTMAN, KATHERINE M., MD
GENDER: FPROVIDER #: 098058NPI #: 1396739462E-PRESCRIBE: NOPRAIRIE FAMILY MEDICINE & OBSTETRICS122 E WABASH AVEFORREST, IL 61741PHONE: (815) 657-8707E-PRESCRIBE: NO
BREWER, BENJAMIN E., MDGENDER: MPROVIDER #: 050891NPI #: 1184618258E-PRESCRIBE: YESPRAIRIE FAMILY MEDICINE & OBSTETRICS122 E WABASH AVEFORREST, IL 61741PHONE: (815) 657-8707E-PRESCRIBE: YES
FISHER, IL
FLANAGAN, IL
FORREST, IL
FARMINGTON, ILFORREST, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
48
PRAIRIE FAMILY MEDICINE AND OBSTETRICS CLINIC
GENDER: PROVIDER #: 158720NPI #: 1790778785E-PRESCRIBE: NO122 E WABASH AVEFORREST, IL 61741PHONE: (815) 657-8707E-PRESCRIBE: NO
FAMILY PRACTICE
MILLER, TIMOTHY A., MDGENDER: MPROVIDER #: 031109NPI #: 1588621205E-PRESCRIBE: NO241 WEAVER RD SUITE 210FORSYTH, IL 62535PHONE: (217) 876-5370E-PRESCRIBE: NO
FORSYTH PROFESSIONAL CENTRE241 W WEAVER RD SUITE 145-BFORSYTH, IL 62535PHONE: (217) 876-5220E-PRESCRIBE: NO
NEWCOME, KRISTIN K., MDGENDER: FPROVIDER #: 082357NPI #: 1134186141E-PRESCRIBE: YES241 WEAVER RD SUITE 145-AFORSYTH, IL 62535PHONE: (217) 876-5250E-PRESCRIBE: YES
QURESHI, MARYAM, MDGENDER: FPROVIDER #: 171570NPI #: 1639381817E-PRESCRIBE: YES241 W WEAVER RD SUITE 145-DFORSYTH, IL 62535PHONE: (217) 876-5250E-PRESCRIBE: YES
SCRIBNER, KENNETH W., MDGENDER: MPROVIDER #: 195230NPI #: 1992753172E-PRESCRIBE: NOFORSYTH PROFESSIONAL CENTRE241 WEAVER RD SUITE 190FORSYTH, IL 62535PHONE: (217) 876-5240E-PRESCRIBE: NO
WALL, MICHAEL M., MDGENDER: MPROVIDER #: 026056NPI #: 1093772311E-PRESCRIBE: YESFORSYTH PROFESSIONAL CENTRE241 WEAVER RD SUITE 145-CFORSYTH, IL 62535PHONE: (217) 876-5200E-PRESCRIBE: YES
YOCKS, BRIAN C., MDGENDER: MPROVIDER #: 079941NPI #: 1811954878E-PRESCRIBE: YESFORSYTH PROFESSIONAL CENTRE241 WEAVER RD SUITE 145-AFORSYTH, IL 62535PHONE: (217) 876-5270SHELTON, MEGAN A., NP; PROVIDER #: 167570E-PRESCRIBE: YES
FAMILY PRACTICE
GARCIA-BEACH, SYLVIA, MDGENDER: FPROVIDER #: 212468NPI #: 1598876583E-PRESCRIBE: NOPROVENA MEDICAL GROUP10289 W LINCOLN HIGHWAYFRANKFORT, IL 60423PHONE: (815) 464-9655E-PRESCRIBE: NO
FAMILY PRACTICE
ANDERSON, ERIC K., MDGENDER: MPROVIDER #: 182027NPI #: 1184645616E-PRESCRIBE: NOMONROE CLINIC-FREEPORT1301 S KIWANIS DRFREEPORT, IL 61032PHONE: (815) 235-1406E-PRESCRIBE: NO
HERNANDEZ, KATHERINE A., MD
GENDER: FPROVIDER #: 225862NPI #: 1396906749E-PRESCRIBE: NOMONROE CLINIC-FREEPORT1301 S KIWANIS DRFREEPORT, IL 61032PHONE: (815) 232-1406E-PRESCRIBE: NO
FORSYTH, IL
FRANKFORT, IL
FREEPORT, IL
FORREST, ILFREEPORT, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
4949
49
MUISE, MICHAEL J., MDGENDER: MPROVIDER #: 134364NPI #: 1659481844E-PRESCRIBE: NOMONROE CLINIC - FREEPORT1301 S KIWANIS DRFREEPORT, IL 61032PHONE: (815) 235-1406E-PRESCRIBE: NO
PEDIATRICS
JOHNSON, AMY L., MDGENDER: FPROVIDER #: 049969NPI #: 1619998242E-PRESCRIBE: NOMONROE CLINIC-FREEPORT1301 S KIWANIS DRFREEPORT, IL 61032PHONE: (815) 235-1406E-PRESCRIBE: NO
MILLER, ANGELA C., MDGENDER: FPROVIDER #: 056697NPI #: 1285738757E-PRESCRIBE: NOMONROE CLINIC-FREEPORT1301 S KIWANIS DRFREEPORT, IL 61032PHONE: (815) 235-1406E-PRESCRIBE: NO
FAMILY PRACTICE
ALEXANDER, JAMES O., MDGENDER: MPROVIDER #: 033074NPI #: 1114094851E-PRESCRIBE: NOGALATIA PRIMARY CARE124 E MAINGALATIA, IL 62935PHONE: (618) 268-4083E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
CHEEMA, USMAN A., MDGENDER: MPROVIDER #: 088062NPI #: 1518071760E-PRESCRIBE: NO834 N SEMINARY ST SUITE 401GALESBURG, IL 61401PHONE: (309) 343-5583E-PRESCRIBE: NO
HERSHKOWITZ, JEFFREY D., DO
GENDER: MPROVIDER #: 060776NPI #: 1922101104E-PRESCRIBE: NOOSF GALESBURG CLINIC3315 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-1000MURPHY, LYLE, PA; PROVIDER #: 169626E-PRESCRIBE: NO
JAMNADAS, BRIJ B., MDGENDER: MPROVIDER #: 051798NPI #: 1669575460E-PRESCRIBE: NOOSF GALESBURG CLINIC3315 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-1000E-PRESCRIBE: NO
KING, JAMES H., MDGENDER: MPROVIDER #: 169636NPI #: 1295838001E-PRESCRIBE: NOOSF GALESBURG CLINIC3315 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-1000E-PRESCRIBE: NO
LIU, YAN, MDGENDER: FPROVIDER #: 178156NPI #: 1366540684E-PRESCRIBE: NOOSF GALESBURG CLINIC3315 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-1000E-PRESCRIBE: NO
MASLAK, JOSEPH W., MDGENDER: MPROVIDER #: 053216NPI #: 1497754022E-PRESCRIBE: NOCOTTAGE INTERNAL MEDICINE GROUP834 N SEMINARY ST SUITE 301GALESBURG, IL 61401PHONE: (309) 342-9183E-PRESCRIBE: NO
MEEKER, MARK A., DOGENDER: MPROVIDER #: 049761NPI #: 1225139058E-PRESCRIBE: NOOSF GALESBURG CLINIC3315 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-1000HAJOSTEK, MELISSA A., APN; PROVIDER #: 227896E-PRESCRIBE: NO
GALATIA, IL
GALESBURG, IL
FREEPORT, ILGALESBURG, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
50
PATEL, KISHORBHAI K., MDGENDER: MPROVIDER #: 053275NPI #: 1396846853E-PRESCRIBE: NOOSF GALESBURG CLINIC3315 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-1000E-PRESCRIBE: NO
SOYANGCO, ANGELO J., MDGENDER: MPROVIDER #: 021380NPI #: 1730293986E-PRESCRIBE: NO834 N SEMINARY ST SUITE 401GALESBURG, IL 61401PHONE: (309) 343-5583E-PRESCRIBE: NO
STONEKING, ERIN I., MDGENDER: FPROVIDER #: 166727NPI #: 1083758403E-PRESCRIBE: NOOSF MEDICAL GROUP3375 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 343-5114QUAM, JULIE A., PA; PROVIDER #: 209892E-PRESCRIBE: NO
STRAUCH, CARL E., MDGENDER: MPROVIDER #: 002916NPI #: 1154320620E-PRESCRIBE: NOCOTTAGE INTERNAL MEDICINE GROUP834 N SEMINARY ST SUITE 303GALESBURG, IL 61401PHONE: (309) 342-9189E-PRESCRIBE: NO
VALENTIN, JEANETTE, MDGENDER: FPROVIDER #: 049768NPI #: 1952300485E-PRESCRIBE: NOCOTTAGE INTERNAL MEDICINE GROUP834 N SEMINARY ST SUITE 301GALESBURG, IL 61401PHONE: (309) 342-9181E-PRESCRIBE: NO
FAMILY PRACTICE
CARRIER, JEREMY R., MDGENDER: MPROVIDER #: 206440NPI #: 1871753921E-PRESCRIBE: NOMEDICAL ARTS CLINIC834 N SEMINARY ST SUITE 201GALESBURG, IL 61401PHONE: (309) 343-2072E-PRESCRIBE: NO
CONLEE, AMMEVAY C., MDGENDER: FPROVIDER #: 226186NPI #: 1053540237E-PRESCRIBE: NOOSF MEDICAL GROUP3375 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 343-5114E-PRESCRIBE: NO
CONLEE, AMMEVAY D., MDGENDER: FPROVIDER #: 230257NPI #: 1053540237E-PRESCRIBE: NOOSF GALESBURG CLINIC1707 N HENDERSON STGALESBURG, IL 61401PHONE: (309) 344-1000E-PRESCRIBE: NO
3315 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-1000E-PRESCRIBE: NO
CURRIE, ROBERT E., MDGENDER: MPROVIDER #: 015087NPI #: 1043219579E-PRESCRIBE: NOMEDICAL ARTS CLINIC834 N SEMINARY ST SUITE 201GALESBURG, IL 61401PHONE: (309) 343-7130E-PRESCRIBE: NO
FLACCO, RICHARD M., MDGENDER: MPROVIDER #: 049726NPI #: 1407955362E-PRESCRIBE: NOOSF MEDICAL GROUP3375 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 343-5114E-PRESCRIBE: NO
FLACCO, VALERIE, MDGENDER: FPROVIDER #: 229778NPI #: 1255430120E-PRESCRIBE: NOOSF GALESBURG CLINIC1707 N HENDERSON STGALESBURG, IL 61401PHONE: (309) 343-1017E-PRESCRIBE: NO
FLACCO-NESSELROAD, VALERIE A., MD
GENDER: FPROVIDER #: 050128NPI #: 1255430120E-PRESCRIBE: NOOSF MEDICAL GROUP3375 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 343-5114E-PRESCRIBE: NO
GALESBURG, ILGALESBURG, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
5151
51
GRADY, CLYDE M., MDGENDER: MPROVIDER #: 229780NPI #: 1851484075E-PRESCRIBE: NOOSF GALESBURG CLINIC1707 N HENDERSON STGALESBURG, IL 61401PHONE: (309) 343-1017E-PRESCRIBE: NO
HICKERSON JR, ROBERT G., MD
GENDER: MPROVIDER #: 049518NPI #: 1104916485E-PRESCRIBE: NOOSF MEDICAL GROUP3375 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 343-5114E-PRESCRIBE: NO
HILL, JEFFREY, MDGENDER: MPROVIDER #: 015084NPI #: 1609875145E-PRESCRIBE: NOMEDICAL ARTS CLINIC834 N SEMINARY ST SUITE 201GALESBURG, IL 61401PHONE: (309) 343-3162E-PRESCRIBE: NO
KELLEY-MUHAMMAD, JACARA, MD
GENDER: FPROVIDER #: 227929NPI #: 1689802282E-PRESCRIBE: NOOSF GALESBURG CLINIC3315 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-1000E-PRESCRIBE: NO
OSF MEDICAL GROUP-GALESBURG3375 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 343-5114E-PRESCRIBE: NO
LINK, GREG A., DOGENDER: MPROVIDER #: 049809NPI #: 1871692798E-PRESCRIBE: NOOSF MEDICAL GROUP3375 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 343-5114E-PRESCRIBE: NO
MAERE, JANINE M., MDGENDER: FPROVIDER #: 088840NPI #: 1891894622E-PRESCRIBE: NOOSF MEDICAL GROUP3375 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 343-5114E-PRESCRIBE: NO
NESSELROAD III, JAMES D., MD
GENDER: MPROVIDER #: 050580NPI #: 1164521928E-PRESCRIBE: NOOSF MEDICAL GROUP3375 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 343-5114E-PRESCRIBE: NO
PEACHEY, KEITH E., MDGENDER: MPROVIDER #: 015085NPI #: 1184623746E-PRESCRIBE: NOMEDICAL ARTS CLINIC834 N SEMINARY ST SUITE 201GALESBURG, IL 61401PHONE: (309) 343-7135E-PRESCRIBE: NO
PUTHENVEETIL, ELIZABETH J., MD
GENDER: FPROVIDER #: 090103NPI #: 1417058256E-PRESCRIBE: NOOSF GALESBURG CLINIC1707 N HENDERSON STGALESBURG, IL 61401PHONE: (309) 344-1000E-PRESCRIBE: NO
SLOAN, ROGER D., MDGENDER: MPROVIDER #: 156022NPI #: 1932207859E-PRESCRIBE: NOOSF MEDICAL GROUP3375 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 343-5114E-PRESCRIBE: NO
SLOAN, ROGER M., MDGENDER: MPROVIDER #: 246540NPI #: 1932207859E-PRESCRIBE: NOOSF PROMPTCARE1707 N HENDERSON STGALESBURG, IL 61401PHONE: (309) 343-1017E-PRESCRIBE: NO
GALESBURG, ILGALESBURG, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
52
WAGNER, ROBERT, MDGENDER: MPROVIDER #: 015092NPI #: 1588663017E-PRESCRIBE: NOMEDICAL ARTS CLINIC834 N SEMINARY ST SUITE 201GALESBURG, IL 61401PHONE: (309) 343-7132E-PRESCRIBE: NO
WILLIAMS, BONNIE M., MDGENDER: FPROVIDER #: 054295NPI #: 1497754436E-PRESCRIBE: NOMEDICAL ARTS CLINIC834 N SEMINARY ST SUITE 201GALESBURG, IL 61401PHONE: (309) 343-7139E-PRESCRIBE: NO
GENERAL PRACTICE
MEHTA, HARSHA S., MDGENDER: FPROVIDER #: 020819NPI #: 1104837285E-PRESCRIBE: NO575 N KELLOGG ST SUITE 2GALESBURG, IL 61401PHONE: (309) 343-0160E-PRESCRIBE: NO
MEHTA, SHRIKANT A., MDGENDER: MPROVIDER #: 003043NPI #: 1346358199E-PRESCRIBE: NO575 N KELLOGG ST SUITE 2GALESBURG, IL 61401PHONE: (309) 343-0160E-PRESCRIBE: NO
WIECHERT, MARK A., MDGENDER: MPROVIDER #: 169623NPI #: 1063513893E-PRESCRIBE: NOOSF GALESBURG CLINIC1707 N HENDERSON STGALESBURG, IL 61401PHONE: (309) 344-1000E-PRESCRIBE: NO
PEDIATRICS
GREELEY, LYNN L., MDGENDER: FPROVIDER #: 051036NPI #: 1275636425E-PRESCRIBE: NOOSF GALESBURG CLINIC3315 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-1000CHISM, RITA C., NP; PROVIDER #: 169627E-PRESCRIBE: NO
KESAVAN, B S., MDGENDER: MPROVIDER #: 007436NPI #: 1396744868E-PRESCRIBE: NOPEDIATRIC AND ADOLESCENT CARE834 N SEMINARY ST SUITE 302GALESBURG, IL 61401PHONE: (309) 342-2171E-PRESCRIBE: NO
LARSON, AMY, MDGENDER: FPROVIDER #: 126464NPI #: 1356442172E-PRESCRIBE: NOPEDIATRIC AND ADOLESCENT CARE834 N SEMINARY ST SUITE 304GALESBURG, IL 61401PHONE: (309) 342-2144E-PRESCRIBE: NO
PARALIKAR, SUBHASH, MDGENDER: MPROVIDER #: 018863NPI #: 1659370179E-PRESCRIBE: NOPEDIATRIC AND ADOLESCENT CARE834 N SEMINARY ST SUITE 302GALESBURG, IL 61401PHONE: (309) 342-2144E-PRESCRIBE: NO
PEPPERS, FRANK J., MDGENDER: MPROVIDER #: 060357NPI #: 1821097395E-PRESCRIBE: NOPEDIATRIC AND ADOLESCENT CARE834 N SEMINARY ST SUITE 302GALESBURG, IL 61401PHONE: (309) 342-2171E-PRESCRIBE: NO
PICA, CHRISTINA M., DOGENDER: FPROVIDER #: 188454NPI #: 1750580718E-PRESCRIBE: NOOSF GALESBURG CLINIC3315 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-1000E-PRESCRIBE: NO
GALESBURG, ILGALESBURG, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
5353
53
FAMILY PRACTICE
JEFFRIES, KEVIN, MDGENDER: MPROVIDER #: 090978NPI #: 1871541615E-PRESCRIBE: NOREGIONAL HEALTH PARTNERS336 FRONT STGALVA, IL 61434PHONE: (309) 932-3101E-PRESCRIBE: NO
RAMOS, JULIO A., MDGENDER: MPROVIDER #: 142325NPI #: 1982629044E-PRESCRIBE: NOREGIONAL HEALTH PARTNERS336 FRONT STGALVA, IL 61434PHONE: (309) 932-3101E-PRESCRIBE: NO
SATKAUSKAS, REMI, MDGENDER: MPROVIDER #: 092940NPI #: 1760430524E-PRESCRIBE: NOREGIONAL HEALTH PARTNERS336 FRONT STGALVA, IL 61434PHONE: (309) 932-3101BROKAW, JENNIFER, FNP; PROVIDER #: 089415E-PRESCRIBE: NO
SNIDER, CRYSTAL, MDGENDER: FPROVIDER #: 153721NPI #: 1700098845E-PRESCRIBE: NOREGIONAL HEALTH PARTNERS336 FRONT STGALVA, IL 61434PHONE: (309) 932-3101E-PRESCRIBE: NO
FAMILY PRACTICE
WEIS, CHRISTINE R., MDGENDER: FPROVIDER #: 211369NPI #: 1841451549E-PRESCRIBE: NOKISHWAUKEE PHYSICIAN GROUP INC599 PEARSON DRGENOA, IL 60135PHONE: (815) 784-2100E-PRESCRIBE: NO
FAMILY PRACTICE
GINDI, GEORGE R., MDGENDER: MPROVIDER #: 015566NPI #: 1477503472E-PRESCRIBE: NOFAMILY PRACTICE MEDICAL CENTER LTD302 N MAIN STGEORGETOWN, IL 61846PHONE: (217) 662-2282MCGUIRE, MARY, APN; PROVIDER #: 092625E-PRESCRIBE: NO
GINDI, MARY Y., MDGENDER: FPROVIDER #: 060657NPI #: 1417907031E-PRESCRIBE: NOFAMILY PRACTICE MEDICAL CENTER LTD302 N MAIN STGEORGETOWN, IL 61846PHONE: (217) 662-2282MCGUIRE, MARY, APN; PROVIDER #: 092625E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
NELSON, NEIL R., MDGENDER: MPROVIDER #: 011177NPI #: 1386637106E-PRESCRIBE: NO#8 DOCTORS PARKGIBSON CITY, IL 60936PHONE: (217) 784-8580RICHMOND, ANNE-MARIE R., PA; PROVIDER #: 079774E-PRESCRIBE: NO
FAMILY PRACTICE
AUSTMAN, KATHERINE M., MD
GENDER: FPROVIDER #: 098058NPI #: 1396739462E-PRESCRIBE: NOGIBSON AREA HOSPITAL7 DOCTORS PARKGIBSON CITY, IL 60936PHONE: (217) 784-5500E-PRESCRIBE: NO
GALVA, IL
GENOA, IL
GEORGETOWN, IL
GIBSON CITY, IL
GALVA, ILGIBSON CITY, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
54
DELOST, GREGORY J., MDGENDER: MPROVIDER #: 043508NPI #: 1992864672E-PRESCRIBE: YESFAMILY HEALTHCARE OF GIBSON CITY#3 DOCTORS PARKGIBSON CITY, IL 60936PHONE: (217) 784-4030E-PRESCRIBE: YES
HAGAN, DAVID J., MDGENDER: MPROVIDER #: 050892NPI #: 1467433557E-PRESCRIBE: YESGIBSON CITY CLINIC222 N SANGAMON AVEGIBSON CITY, IL 60936PHONE: (217) 784-8148E-PRESCRIBE: YES
RAY, BERNADETTE M., MDGENDER: FPROVIDER #: 156869NPI #: 1164634267E-PRESCRIBE: NOFAMILY HEALTHCARE OF GIBSON CITY#3 DOCTORS PARKGIBSON CITY, IL 60936PHONE: (217) 784-4030E-PRESCRIBE: NO
SPANGLER, MARK, MDGENDER: MPROVIDER #: 043507NPI #: 1336208347E-PRESCRIBE: NOFAMILY HEALTHCARE OF GIBSON CITY#3 DOCTORS PARKGIBSON CITY, IL 60936PHONE: (217) 784-4030E-PRESCRIBE: NO
FAMILY PRACTICE OB
DELOST, GREGORY J., MDGENDER: MPROVIDER #: 043508NPI #: 1992864672E-PRESCRIBE: YESFAMILY HEALTHCARE OF GIBSON CITY#3 DOCTORS PARKGIBSON CITY, IL 60936PHONE: (217) 784-4030E-PRESCRIBE: YES
ADULT/INTERNAL MEDICINE
REYES, CRISANTO M., MDGENDER: MPROVIDER #: 096136NPI #: 1154461978E-PRESCRIBE: NOIMH GILMAN CLINIC508 E CRESCENT STGILMAN, IL 60938PHONE: (815) 265-8889E-PRESCRIBE: NO
PEDIATRICS
FONTANILLA, ANGELITA, MDGENDER: FPROVIDER #: 192480NPI #: 1114076080E-PRESCRIBE: NOIMH GILMAN CLINIC508 E CRESCENT STGILMAN, IL 60938PHONE: (815) 265-8889E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
CHOPRA, KAMAL K., MDGENDER: MPROVIDER #: 008537NPI #: 1598762262E-PRESCRIBE: NOGIRARD FAMILY MEDICAL125 S SECOND STGIRARD, IL 62640PHONE: (217) 627-3350E-PRESCRIBE: NO
FAMILY PRACTICE
BAYLOR, MARK C., MDGENDER: MPROVIDER #: 001414NPI #: 1740256700E-PRESCRIBE: NO201 E MAIN STGLASFORD, IL 61533PHONE: (309) 245-4007E-PRESCRIBE: NO
FAMILY PRACTICE
BAILEY, SHAWN E., MDGENDER: MPROVIDER #: 031412NPI #: 1447363585E-PRESCRIBE: NOST MARGARETS HEALTH GRANVILLE CLINIC309 S MCCOY STGRANVILLE, IL 61326PHONE: (815) 339-6245E-PRESCRIBE: NO
GILMAN, IL
GIRARD, IL
GLASFORD, IL
GRANVILLE, IL
GIBSON CITY, ILGRANVILLE, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
5555
55
GRIVETTI, DAMIAN W., MDGENDER: MPROVIDER #: 085841NPI #: 1518970847E-PRESCRIBE: NOST MARGARETS HEALTH GRANVILLE CLINIC309 S MCCOY STGRANVILLE, IL 61326PHONE: (815) 339-6245E-PRESCRIBE: NO
FAMILY PRACTICE OB
BAILEY, SHAWN E., MDGENDER: MPROVIDER #: 031412NPI #: 1447363585E-PRESCRIBE: NOST MARGARETS HEALTH GRANVILLE CLINIC309 S MCCOY STGRANVILLE, IL 61326PHONE: (815) 339-6245E-PRESCRIBE: NO
FAMILY PRACTICE
ALI, MUHAMMAD, MDGENDER: MPROVIDER #: 179434NPI #: 1932201712E-PRESCRIBE: NOPROVENA MEDICAL GROUP895 S STATE ST SUITE 201HAMPSHIRE, IL 60140PHONE: (847) 683-7099E-PRESCRIBE: NO
FAMILY PRACTICE
ALEXANDER, JAMES O., MDGENDER: MPROVIDER #: 033074NPI #: 1114094851E-PRESCRIBE: NOALEXANDER FAMILY PRACTICE411 W POPLARHARRISBURG, IL 62946PHONE: (618) 252-0411EVERSMANN, ELIZABETH, ARNP; PROVIDER #: 228135E-PRESCRIBE: NO
EWELL, KIMBALL, MDGENDER: MPROVIDER #: 217278NPI #: 1457303943E-PRESCRIBE: NOTHE CLINIC AT WALMART710 S COMMERCIAL STHARRISBURG, IL 62946PHONE: (618) 253-7671E-PRESCRIBE: NO
MILLER, ANDREA K., MDGENDER: FPROVIDER #: 211750NPI #: 1750333241E-PRESCRIBE: NOTHE CLINIC AT WALMART710 S COMMERCIAL STHARRISBURG, IL 62946PHONE: (618) 253-7671FRANKLIN, STEPHANIE, CNP; PROVIDER #: 217251E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
YETTER, TAD A., MDGENDER: MPROVIDER #: 009446NPI #: 1245296979E-PRESCRIBE: NOHAVANA MEDICAL ASSOCIATES RURAL HEALTH615 N PROMENADEHAVANA, IL 62644PHONE: (309) 543-8564KIRCHNER, MARSHA R., FNP; PROVIDER #: 134649NOLL, CYNTHIA C., CFNP; PROVIDER #: 073746TURNER, SHERIE L., PA-C; PROVIDER #: 029708E-PRESCRIBE: NO
FAMILY PRACTICE
BITNER, BETHANY L., MDGENDER: FPROVIDER #: 228551NPI #: 1316173164E-PRESCRIBE: YESHAVANA MEDICAL ASSOCIATES615 N PROMENADEHAVANA, IL 62644PHONE: (309) 543-6600E-PRESCRIBE: YES
HAMPSHIRE, IL
HARRISBURG, IL HAVANA, IL
GRANVILLE, ILHAVANA, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
56
MARKLEY, MICHAEL, MDGENDER: MPROVIDER #: 115617NPI #: 1740246834E-PRESCRIBE: NOHAVANA MEDICAL ASSOCIATES RURAL HEALTH615 N PROMENADEHAVANA, IL 62644PHONE: (309) 543-8564KIRCHNER, MARSHA R., FNP; PROVIDER #: 134649E-PRESCRIBE: NO
SCHULTZ, BRUCE W., MDGENDER: MPROVIDER #: 090450NPI #: 1356307433E-PRESCRIBE: NOHAVANA MEDICAL ASSOCIATES RURAL HEALTH615 N PROMENADEHAVANA, IL 62644PHONE: (309) 543-8564KIRCHNER, MARSHA R., FNP; PROVIDER #: 134649E-PRESCRIBE: NO
PEDIATRICS
WAGONER, RICHARD W., MDGENDER: MPROVIDER #: 070921NPI #: 1861458952E-PRESCRIBE: NOHAVANA MEDICAL ASSOCIATES RURAL HEALTH615 N PROMENADEHAVANA, IL 62644PHONE: (309) 543-8564KIRCHNER, MARSHA R., FNP; PROVIDER #: 134649NOLL, CYNTHIA C., CFNP; PROVIDER #: 073746TURNER, SHERIE L., PA-C; PROVIDER #: 029708E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
TUN, THAW, MDGENDER: MPROVIDER #: 019463NPI #: 1326142902E-PRESCRIBE: NOST MARGARETS HEALTH HENRY CLINIC528 EDWARDS STHENRY, IL 61537PHONE: (309) 364-3088E-PRESCRIBE: NO
FAMILY PRACTICE
HAYS, WILLIAM F., MDGENDER: MPROVIDER #: 010668NPI #: 1083728000E-PRESCRIBE: NO3305 LOGAN DRHERRIN, IL 62948PHONE: (618) 997-4444E-PRESCRIBE: NO
FAMILY PRACTICE
CLAY, LAURA B., DOGENDER: FPROVIDER #: 152445NPI #: 1649284787E-PRESCRIBE: NOOSF MEDICAL GROUP801 FOX RUNHEYWORTH, IL 61745PHONE: (309) 473-2069E-PRESCRIBE: NO
PEDIATRICS
MILLIGAN, DAVID E., MDGENDER: MPROVIDER #: 233914NPI #: 1902131014E-PRESCRIBE: NOOSF MEDICAL GROUP801 FOX RUNHEYWORTH, IL 61745PHONE: (309) 473-2069E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
MULCH, BARBARA A., MDGENDER: FPROVIDER #: 008095NPI #: 1023118791E-PRESCRIBE: YESSPRINGFIELD CLINIC-HILLSBORO1250 E TREMONT EAST BLDGHILLSBORO, IL 62049PHONE: (217) 532-6911E-PRESCRIBE: YES
FAMILY PRACTICE
BYERS, DOUGLAS M., MDGENDER: MPROVIDER #: 008060NPI #: 1891805099E-PRESCRIBE: YESSPRINGFIELD CLINIC-HILLSBORO1250 E TREMONT EAST BLDGHILLSBORO, IL 62049PHONE: (217) 532-6911E-PRESCRIBE: YES
HENRY, IL
HERRIN, IL
HEYWORTH, IL
HILLSBORO, IL
HAVANA, ILHILLSBORO, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
5757
57
CADY, BENJAMIN W., MDGENDER: MPROVIDER #: 224139NPI #: 1487899662E-PRESCRIBE: NOSPRINGFIELD CLINIC LLP1280 E TREMONT STHILLSBORO, IL 62049PHONE: (217) 535-6911E-PRESCRIBE: NO
CADY, BRIAN J., MDGENDER: MPROVIDER #: 159935NPI #: 1811908775E-PRESCRIBE: YESSPRINGFIELD CLINIC-HILLSBORO1280 E TREMONT WEST BLDGHILLSBORO, IL 62049PHONE: (217) 532-2320E-PRESCRIBE: YES
MCFARLIN, ROGER C., MDGENDER: MPROVIDER #: 235140NPI #: 1417927658E-PRESCRIBE: YESHSHS MEDICAL GROUP400 ROUNTREE STHILLSBORO, IL 62049PHONE: (217) 532-9471LIPE, SHILOH M., PA-C; PROVIDER #: 235562E-PRESCRIBE: YES
MULCH JR, ROBERT F., MDGENDER: MPROVIDER #: 008096NPI #: 1578663241E-PRESCRIBE: YESSPRINGFIELD CLINIC-HILLSBORO1250 E TREMONT EAST BLDGHILLSBORO, IL 62049PHONE: (217) 532-6911E-PRESCRIBE: YES
ADULT/INTERNAL MEDICINE
PATEL, MAHINDRA D., MDGENDER: MPROVIDER #: 006780NPI #: 1841263258E-PRESCRIBE: NO210 N MAIN STHOMER, IL 61849PHONE: (217) 896-2491E-PRESCRIBE: NO
FAMILY PRACTICE
BARK, GEORGE A., MDGENDER: MPROVIDER #: 195800NPI #: 1487665071E-PRESCRIBE: NOFAMILY HEALTHCARE OF HOOPESTON837 E ORANGEHOOPESTON, IL 60942PHONE: (217) 283-5530E-PRESCRIBE: NO
COLBERT, JAY R., DOGENDER: MPROVIDER #: 132466NPI #: 1437379021E-PRESCRIBE: NOCHARLOTTE ANN RUSSELL MEDICAL CENTER801 E ORANGE STHOOPESTON, IL 60942PHONE: (217) 283-5644E-PRESCRIBE: NO
RAY, DARRIN M., MDGENDER: MPROVIDER #: 161876NPI #: 1679785778E-PRESCRIBE: YESFAMILY HEALTHCARE OF HOOPESTON837 E ORANGE STHOOPESTON, IL 60942PHONE: (217) 283-5530E-PRESCRIBE: YES
SMITH, LAURA, MDGENDER: FPROVIDER #: 229273NPI #: 1750518775E-PRESCRIBE: NOFAMILY HEALTHCARE OF HOOPESTON837 E ORANGE STHOOPESTON, IL 60942PHONE: (217) 283-5530E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
BAUMGARTNER, WILLIAM W., MD
GENDER: MPROVIDER #: 005029NPI #: 1568400679E-PRESCRIBE: NOMEDICAL ARTS PHYSICIANS OFFICE107 TREMONT STHOPEDALE, IL 61747PHONE: (309) 449-3311E-PRESCRIBE: NO
HOMER, IL
HOOPESTON, IL
HOPEDALE, IL
HILLSBORO, ILHOPEDALE, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
58
FAMILY PRACTICE
CAFFERY, DENNIS R., MDGENDER: MPROVIDER #: 013473NPI #: 1295825594E-PRESCRIBE: NOOSF MEDICAL GROUP143 FORD AVEHOPEDALE, IL 61747PHONE: (309) 449-3336E-PRESCRIBE: NO
GENERAL PRACTICE
ROSSI, ALFRED N., MDGENDER: MPROVIDER #: 005719NPI #: 1033157292E-PRESCRIBE: NOHOPEDALE MEDICAL COMPLEX107 TREMONT STHOPEDALE, IL 61747PHONE: (309) 449-4390E-PRESCRIBE: NO
ROSSI, MATTHEW B., MDGENDER: MPROVIDER #: 007408NPI #: 1205874310E-PRESCRIBE: NOMEDICAL ARTS PHYSICIANS OFFICE107 TREMONT STHOPEDALE, IL 61747PHONE: (309) 449-4338E-PRESCRIBE: NO
ROSSI, PHILLIP J., MDGENDER: MPROVIDER #: 010983NPI #: 1114965225E-PRESCRIBE: NOHOPEDALE MEDICAL COMPLEX107 TREMONT STHOPEDALE, IL 61747PHONE: (309) 449-3321E-PRESCRIBE: NO
PEDIATRICS
ALFORD, RODNEY S., MDGENDER: MPROVIDER #: 101964NPI #: 1427128909E-PRESCRIBE: NOPEMBROKE COMMUNITY HEALTH CENTER RHC3400 S MAIN STHOPKINS PARK, IL 60944PHONE: (815) 944-5545E-PRESCRIBE: NO
MCCUISTON JR, STONEWALL, MD
GENDER: MPROVIDER #: 050993NPI #: 1720072143E-PRESCRIBE: NOPEMBROKE COMMUNITY HEALTH CENTER3400 S MAIN STHOPKINS PARK, IL 60944PHONE: (815) 944-5545E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
COULTAS, DAVID D., MDGENDER: MPROVIDER #: 026904NPI #: 1902804495E-PRESCRIBE: NOMPS JACKSONVILLE1500 FOUNDERS LANE SUITE 100JACKSONVILLE, IL 62650PHONE: (217) 243-0300E-PRESCRIBE: NO
ELADASARI, BABU R., MDGENDER: MPROVIDER #: 184254NPI #: 1356393300E-PRESCRIBE: NOPASSAVANT PHYSICIANS GROUP559 N WESTGATE AVEJACKSONVILLE, IL 62650PHONE: (217) 243-5474E-PRESCRIBE: NO
GRIFFIN, ANTHONY M., MDGENDER: MPROVIDER #: 191788NPI #: 1770558603E-PRESCRIBE: NOMPS JACKSONVILLE1500 FOUNDERS LANE SUITE 100JACKSONVILLE, IL 62650PHONE: (217) 243-0300CUNNINGHAM, ABBY L., ARNP; PROVIDER #: 218844E-PRESCRIBE: NO
KOZMA, JOSEPH J., MDGENDER: MPROVIDER #: 011036NPI #: 1194895979E-PRESCRIBE: NO1440 W WALNUTJACKSONVILLE, IL 62650PHONE: (217) 243-5425E-PRESCRIBE: NO
FAMILY PRACTICE
BOHAN, JAMES A., MDGENDER: MPROVIDER #: 168834NPI #: 1295733830E-PRESCRIBE: NOMORGAN COUNTY HEALTH DEPARTMENT345 W STATE STJACKSONVILLE, IL 62650PHONE: (217) 245-5111E-PRESCRIBE: NO
HOPKINS PARK, IL
JACKSONVILLE, IL
HOPEDALE, ILJACKSONVILLE, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
5959
59
MPS JACKSONVILLE1500 FOUNDERS LANE SUITE 100JACKSONVILLE, IL 62650PHONE: (217) 243-0300E-PRESCRIBE: NO
COLEN, MICHELLE R., MDGENDER: FPROVIDER #: 151255NPI #: 1336138122E-PRESCRIBE: NOMPS JACKSONVILLE1500 FOUNDERS LANE SUITE 100JACKSONVILLE, IL 62650PHONE: (217) 243-0300E-PRESCRIBE: NO
FRY, SHAWN M., MDGENDER: FPROVIDER #: 083071NPI #: 1659467793E-PRESCRIBE: YESSPRINGFIELD CLINIC JACKSONVILLE15 FOUNDERS LNJACKSONVILLE, IL 62650PHONE: (217) 291-1041KING, MICHAEL, PA; PROVIDER #: 097262PIPER, JANE E., FNP; PROVIDER #: 218580E-PRESCRIBE: YES
HALE, MARSHALL T., MDGENDER: MPROVIDER #: 008543NPI #: 1245226372E-PRESCRIBE: NOMPS JACKSONVILLE1500 FOUNDERS LANE SUITE 100JACKSONVILLE, IL 62650PHONE: (217) 243-0300CUNNINGHAM, ABBY L., ARNP; PROVIDER #: 218844E-PRESCRIBE: NO
MALCOTT, JOHN L., MDGENDER: MPROVIDER #: 068502NPI #: 1134227135E-PRESCRIBE: YESSPRINGFIELD CLINIC LLP15 FOUNDERS LNJACKSONVILLE, IL 62650PHONE: (217) 291-1041E-PRESCRIBE: YES
MONTGOMERY, BENJAMIN E., MD
GENDER: MPROVIDER #: 169866NPI #: 1083609747E-PRESCRIBE: NOMPS JACKSONVILLE1500 FOUNDERS LANE SUITE 100JACKSONVILLE, IL 62650PHONE: (217) 243-0300E-PRESCRIBE: NO
PETERSON, JOHN A., MDGENDER: MPROVIDER #: 168860NPI #: 1164495941E-PRESCRIBE: NOMORGAN COUNTY HEALTH DEPARTMENT345 W STATE STJACKSONVILLE, IL 62650PHONE: (217) 245-5111E-PRESCRIBE: NO
MPS JACKSONVILLE1500 FOUNDERS LANE SUITE 100JACKSONVILLE, IL 62650PHONE: (217) 243-0300LIETZ, DIANE M., FNPC; PROVIDER #: 243865E-PRESCRIBE: NO
PEDIATRICS
BHAMIDIPATI, PRASANTA, MD
GENDER: FPROVIDER #: 192396NPI #: 1851601462E-PRESCRIBE: NOHSHS MEDICAL GROUP FAMILY MEDICINE1515 W WALNUT SUITE 2JACKSONVILLE, IL 62650PHONE: (217) 243-6454E-PRESCRIBE: NO
TAYLOR, JANE K., MDGENDER: FPROVIDER #: 202702NPI #: 1588827588E-PRESCRIBE: NOHSHS MEDICAL GROUP FAMILY MEDICINE-JACKSONVILLE1515 W WALNUT SUITE 2JACKSONVILLE, IL 62650PHONE: (217) 243-6454E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
AIJAZ, MAIMOONA, MDGENDER: FPROVIDER #: 188257NPI #: 1679518518E-PRESCRIBE: NO1717 GLENWOOD AVEJOLIET, IL 60435PHONE: (815) 274-2828E-PRESCRIBE: NO
JOLIET, IL
JACKSONVILLE, ILJOLIET, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
60
CHAKRABARTI, SUDARSANA, MD
GENDER: FPROVIDER #: 201946NPI #: 1104096940E-PRESCRIBE: NOWUNDERLICH MD SC310 N HAMMES SUITE 101JOLIET, IL 60435PHONE: E-PRESCRIBE: NO
CHAUHAN, KEYUR M., MDGENDER: MPROVIDER #: 232662NPI #: 1124261748E-PRESCRIBE: NOWUNDERLICH MD SC310 N HAMMES SUITE 101JOLIET, IL 60435PHONE: (815) 741-4445E-PRESCRIBE: NO
JOUDEH, MOHANAD, MDGENDER: MPROVIDER #: 229893NPI #: 1659546414E-PRESCRIBE: NOPROVENA MEDICAL GROUP333 MADISON STJOLIET, IL 60435PHONE: (815) 725-7133E-PRESCRIBE: NO
SHAH, YATIN M., MDGENDER: MPROVIDER #: 041205NPI #: 1235108911E-PRESCRIBE: NOPRIMARY CARE OF JOLIET2025 S CHICAGO STJOLIET, IL 60436PHONE: (815) 726-2200DRUHE, JODY L., ARNP; PROVIDER #: 245145HUSHAW, LINDA L., ARNP; PROVIDER #: 245194MANCKE, VICTORIA L., CFNP; PROVIDER #: 195053E-PRESCRIBE: NO
TRAGER, GARY M., MDGENDER: MPROVIDER #: 037798NPI #: 1982646535E-PRESCRIBE: NOFAMILY MEDICAL GROUP SC330 N MADISON ST SUITE 104JOLIET, IL 60435PHONE: (815) 725-3440E-PRESCRIBE: NO
WUNDERLICH, ANDREW W., MD
GENDER: MPROVIDER #: 118185NPI #: 1275528341E-PRESCRIBE: NOWUNDERLICH MD SC310 N HAMMES SUITE 101JOLIET, IL 60435PHONE: (815) 741-4445E-PRESCRIBE: NO
FAMILY PRACTICE
DOYLE, TIMOTHY W., DOGENDER: MPROVIDER #: 210600NPI #: 1548376510E-PRESCRIBE: NOWUNDERLICH MD SC310 N HAMMES AVE SUITE 101JOLIET, IL 60435PHONE: (815) 741-4445E-PRESCRIBE: NO
KRAVETS, SERGEI A., DOGENDER: MPROVIDER #: 182411NPI #: 1386686012E-PRESCRIBE: NOFAMILY MEDICAL GROUP SC330 N MADISON ST SUITE 104JOLIET, IL 60435PHONE: (815) 725-3440E-PRESCRIBE: NO
LATIF, MARIA R., MDGENDER: FPROVIDER #: 196449NPI #: 1063620607E-PRESCRIBE: NOINTERNAL MEDICINE & FAMILY PHYSICIANS SC1051 ESSINGTON RD SUITE 290JOLIET, IL 60435PHONE: (815) 773-0099E-PRESCRIBE: NO
MCVAY, MARK A., DOGENDER: MPROVIDER #: 177186NPI #: 1366541484E-PRESCRIBE: YESCROSSROADS COUNSELING SERVICES LLC3077 W JEFFERSON ST SUITE 108JOLIET, IL 60435PHONE: (815) 941-3882E-PRESCRIBE: YES
SHIVELY, KARLA R., DOGENDER: FPROVIDER #: 110156NPI #: 1871535450E-PRESCRIBE: NOFAMILY MEDICAL GROUP SC330 N MADISON ST SUITE 104JOLIET, IL 60435PHONE: (815) 725-3440E-PRESCRIBE: NO
WASZAK, MICHAEL L., MDGENDER: MPROVIDER #: 085578NPI #: 1215971809E-PRESCRIBE: NOFAMILY MEDICAL GROUP SC330 N MADISON ST SUITE 104JOLIET, IL 60435PHONE: (815) 725-3440E-PRESCRIBE: NO
JOLIET, ILJOLIET, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
6161
61
GENERAL PRACTICE
AJMERE, KISHOR G., MDGENDER: MPROVIDER #: 041213NPI #: 1144239369E-PRESCRIBE: NOKISHOR AJMERE MD LTD2435 GLENWOOD AVE SUITE 110JOLIET, IL 60435PHONE: (815) 744-6005E-PRESCRIBE: NO
PEDIATRICS
ALCALA, GILDA M., MDGENDER: FPROVIDER #: 108122NPI #: 1972591188E-PRESCRIBE: NOPROVENA MEDICAL GROUP301 N SPRINGFIELD AVE SUITE 4JOLIET, IL 60435PHONE: (815) 725-0007E-PRESCRIBE: NO
BELICENA, JONETTE P., MDGENDER: FPROVIDER #: 084671NPI #: 1134117344E-PRESCRIBE: NOPROVENA MEDICAL GROUP301 N SPRINGFIELD AVEJOLIET, IL 60435PHONE: (815) 725-0007E-PRESCRIBE: NO
GOPI, SHANTHI R., MDGENDER: FPROVIDER #: 200971NPI #: 1821012410E-PRESCRIBE: NOCITY CENTER HEALTHCARE300 N OTTAWA STJOLIET, IL 60432PHONE: (815) 726-0311E-PRESCRIBE: NO
JABER, NABIL, MDGENDER: MPROVIDER #: 058185NPI #: 1679649388E-PRESCRIBE: NODR JABER PEDATRICS PC1106 N LARKIN AVEJOLIET, IL 60435PHONE: (815) 725-6226E-PRESCRIBE: NO
NIAZI, SHERAHSAN K., MDGENDER: MPROVIDER #: 078149NPI #: 1902972516E-PRESCRIBE: NOJOLIET PEDIATRICS & FAMILY CARE LTD831 N LARKIN AVEJOLIET, IL 60435PHONE: (815) 741-8888E-PRESCRIBE: NO
ONAGAN, MARIA I., MDGENDER: FPROVIDER #: 220711NPI #: 1689871212E-PRESCRIBE: NOJOLIET PEDIATRICS & FAMILY CARE LTD831 N LARKIN AVEJOLIET, IL 60435PHONE: (815) 741-8888E-PRESCRIBE: NO
SETLUR, USHA, MDGENDER: FPROVIDER #: 173923NPI #: 1679533467E-PRESCRIBE: NO210 N HAMMES AVE SUITE 201JOLIET, IL 60435PHONE: (815) 741-8088E-PRESCRIBE: NO
WIBISONO, BERNADETA L., MD
GENDER: FPROVIDER #: 212715NPI #: 1003143504E-PRESCRIBE: NOJOLIET PEDIATRICS & FAMILY CARE LTD831 N LARKIN AVEJOLIET, IL 60435PHONE: (815) 741-8888E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
DAVULURI, SRIKANTH, MDGENDER: MPROVIDER #: 210682NPI #: 1205034998E-PRESCRIBE: NORIVERSIDE HEALTH SYSTEMS500 N WALL ST SUITE 100KANKAKEE, IL 60901PHONE: (815) 933-2557E-PRESCRIBE: NO
DEEPANKAR, RAHUL, MDGENDER: MPROVIDER #: 194329NPI #: 1376503045E-PRESCRIBE: NOLAUREN HANA MD375 N WALL ST SUITE P610KANKAKEE, IL 60901PHONE: (815) 939-9394E-PRESCRIBE: NO
KANKAKEE, IL
JOLIET, ILKANKAKEE, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
62
HANA, LAUREN M., MDGENDER: FPROVIDER #: 132208NPI #: 1477650141E-PRESCRIBE: NORIVERSIDE HEALTH SYSTEMS375 N WALL ST SUITE P610KANKAKEE, IL 60901PHONE: (815) 939-9394E-PRESCRIBE: NO
WROBLEWSKI, THOMAS, MDGENDER: MPROVIDER #: 244870NPI #: 1891833612E-PRESCRIBE: YESRMG INTERNAL MEDICINE401 N WALL ST SUITE 102KANKAKEE, IL 60901PHONE: (815) 937-4404E-PRESCRIBE: YES
FAMILY PRACTICE
AKINTILO, OLATUNJI R., MDGENDER: MPROVIDER #: 190101NPI #: 1760485007E-PRESCRIBE: NO1 DEERBORN SQUARE SUITE 600KANKAKEE, IL 60901PHONE: (815) 304-5106E-PRESCRIBE: NO
KOLLA, RAJASEKHAR, MDGENDER: MPROVIDER #: 120883NPI #: 1720160179E-PRESCRIBE: NOPROVENA MEDICAL GROUP455 W COURT ST SUITE 102KANKAKEE, IL 60901PHONE: (815) 937-8744BECKMAN, SHONNA C., PA-C; PROVIDER #: 238076E-PRESCRIBE: NO
WU, SIMON K., MDGENDER: MPROVIDER #: 092926NPI #: 1407044241E-PRESCRIBE: NO401 N WALL SUITE 101KANKAKEE, IL 60901PHONE: (815) 933-1664E-PRESCRIBE: NO
PEDIATRICS
ALFORD, RODNEY S., MDGENDER: MPROVIDER #: 101964NPI #: 1427128909E-PRESCRIBE: NORIVERSIDE COMMUNITY HEALTH NETWORK401 N WALL ST SUITE 206KANKAKEE, IL 60901PHONE: (815) 937-2044E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
FLORIDO, GONZALO, MDGENDER: MPROVIDER #: 007020NPI #: 1063552990E-PRESCRIBE: NOIMH KENTLAND CLINIC303 N SEVENTH STKENTLAND, IN 47951PHONE: (219) 474-5464MORGAN, DEBORAH L., APN; PROVIDER #: 144509E-PRESCRIBE: NO
REYES, CRISANTO M., MDGENDER: MPROVIDER #: 096136NPI #: 1154461978E-PRESCRIBE: NOIMH KENTLAND CLINIC303 N SEVENTHKENTLAND, IN 47951PHONE: (219) 474-5464E-PRESCRIBE: NO
FAMILY PRACTICE
HOLSINGER, JAMES F., MDGENDER: MPROVIDER #: 086395NPI #: 1760566327E-PRESCRIBE: NO1603 MORGAN ST SUITE 3KEOKUK, IA 52632PHONE: (319) 524-4300E-PRESCRIBE: NO
FAMILY PRACTICE
AHEARN, MICHAEL A., MDGENDER: MPROVIDER #: 084900NPI #: 1184687717E-PRESCRIBE: NOAHEARN & ASSOCIATES MEDICAL CENTER519 ELLIOTT ST SUITE S 1KEWANEE, IL 61443PHONE: (309) 853-2442ONEILL, KAROL, FNP; PROVIDER #: 091909E-PRESCRIBE: NO
KENTLAND, IN
KEOKUK, IA
KEWANEE, IL
KANKAKEE, ILKEWANEE, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
6363
63
JEFFRIES, KEVIN, MDGENDER: MPROVIDER #: 090978NPI #: 1871541615E-PRESCRIBE: NOREGIONAL HEALTH PARTNERS1258 W SOUTH ST SUITE 2KEWANEE, IL 61443PHONE: (309) 853-3677E-PRESCRIBE: NO
RAMOS, JULIO A., MDGENDER: MPROVIDER #: 142325NPI #: 1982629044E-PRESCRIBE: NOREGIONAL HEALTH PARTNERS1258 W SOUTH ST SUITE 2KEWANEE, IL 61443PHONE: (309) 853-3677E-PRESCRIBE: NO
SATKAUSKAS, REMI, MDGENDER: MPROVIDER #: 092940NPI #: 1760430524E-PRESCRIBE: NOREGIONAL HEALTH PARTNERS1258 W SOUTH ST SUITE 2KEWANEE, IL 61443PHONE: (309) 853-3677E-PRESCRIBE: NO
SNIDER, CRYSTAL, MDGENDER: FPROVIDER #: 153721NPI #: 1700098845E-PRESCRIBE: NOREGIONAL HEALTH PARTNERS1258 W SOUTH ST SUITE 2KEWANEE, IL 61443PHONE: (309) 853-3677E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
MASLAK, JOSEPH W., MDGENDER: MPROVIDER #: 053216NPI #: 1497754022E-PRESCRIBE: NOKNOXVILLE CLINIC904 E MAIN STKNOXVILLE, IL 61448PHONE: (309) 289-2341E-PRESCRIBE: NO
VALENTIN, JEANETTE, MDGENDER: FPROVIDER #: 049768NPI #: 1952300485E-PRESCRIBE: NOKNOXVILLE CLINIC904 E MAIN STKNOXVILLE, IL 61448PHONE: (309) 289-2341E-PRESCRIBE: NO
FAMILY PRACTICE
DEYOUNG, MARK B., MDGENDER: MPROVIDER #: 081957NPI #: 1306845045E-PRESCRIBE: NOKNOXVILLE CLINIC904 E MAIN STKNOXVILLE, IL 61448PHONE: (309) 289-2341E-PRESCRIBE: NO
GRADY, CLYDE M., MDGENDER: MPROVIDER #: 052173NPI #: 1851484075E-PRESCRIBE: NOOSF MEDICAL GROUP104 S BROAD STKNOXVILLE, IL 61448PHONE: (309) 289-2335E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
MILLER, DAVID L., DOGENDER: MPROVIDER #: 182536NPI #: 1861497612E-PRESCRIBE: NOFAMILY RURAL HEALTH OF LA HARPE501 E MAINLA HARPE, IL 61450PHONE: (217) 659-3844E-PRESCRIBE: NO
FAMILY PRACTICE
DAVIS, KURTIS W., MDGENDER: MPROVIDER #: 233574NPI #: 1639335193E-PRESCRIBE: YESFAMILY RURAL HEALTH OF LA HARPE501 E MAINLA HARPE, IL 61450PHONE: (217) 659-3844E-PRESCRIBE: YES
ADULT/INTERNAL MEDICINE
HALPERIN, CAROLINE, DOGENDER: FPROVIDER #: 120776NPI #: 1912928805E-PRESCRIBE: NOLE ROY FAMILY MEDICINE911 S CHESTNUTLE ROY, IL 61752PHONE: (309) 962-2081E-PRESCRIBE: NO
KNOXVILLE, IL LA HARPE, IL
LE ROY, IL
KEWANEE, ILLE ROY, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
64
FAMILY PRACTICE
CROWE, ALEX, MDGENDER: MPROVIDER #: 016591NPI #: 1235157066E-PRESCRIBE: NOADVOCATE MEDICAL GROUP911 S CHESTNUTLE ROY, IL 61752PHONE: (309) 962-2081E-PRESCRIBE: NO
DJAGARIAN, ARTUR, MDGENDER: MPROVIDER #: 173513NPI #: 1598971137E-PRESCRIBE: NOADVOCATE MEDICAL GROUP911 S CHESTNUTLE ROY, IL 61752PHONE: (309) 962-2081E-PRESCRIBE: NO
KUBE, BRENDA A., MDGENDER: FPROVIDER #: 083676NPI #: 1386660355E-PRESCRIBE: NOLE ROY FAMILY MEDICINE911 S CHESTNUT STLE ROY, IL 61752PHONE: (309) 962-2081E-PRESCRIBE: NO
MUSTARD, MICHAEL R., MDGENDER: MPROVIDER #: 184070NPI #: 1295826675E-PRESCRIBE: NOADVOCATE MEDCIAL GROUP911 S CHESTNUTLE ROY, IL 61752PHONE: (309) 962-2081E-PRESCRIBE: NO
ORWIG, STACY C., MDGENDER: FPROVIDER #: 185662NPI #: 1982826384E-PRESCRIBE: NOADVOCATE MEDICAL GROUP911 S CHESTNUT STLE ROY, IL 61752PHONE: (309) 962-2081E-PRESCRIBE: NO
RANJAN, SUMIT, MDGENDER: MPROVIDER #: 185156NPI #: 1578786943E-PRESCRIBE: NOADVOCATE MEDICAL GROUP911 S CHESTNUT STLE ROY, IL 61752PHONE: (309) 962-2081E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
GILL, SIMRUN K., MDGENDER: FPROVIDER #: 204752NPI #: 1740468800E-PRESCRIBE: NOMONROE CLINIC - LENA214 N SCHUYLER STLENA, IL 61048PHONE: (815) 369-4541E-PRESCRIBE: NO
LE, DANIEL, MDGENDER: MPROVIDER #: 067879NPI #: 1972524676E-PRESCRIBE: NOMONROE CLINIC-LENA214 N SCHUYLER STLENA, IL 61048PHONE: (815) 369-4541E-PRESCRIBE: NO
FAMILY PRACTICE
ANUMU, ELISABETH A., MDGENDER: FPROVIDER #: 204736NPI #: 1215185715E-PRESCRIBE: NOMONROE CLINIC-LENA214 N SCHUYLER STLENA, IL 61048PHONE: (815) 369-4541E-PRESCRIBE: NO
KEPNER, BARBARA J., MDGENDER: FPROVIDER #: 128438NPI #: 1326197468E-PRESCRIBE: NOMONROE CLINIC-LENA214 N SCHUYLER STLENA, IL 61048PHONE: (815) 369-4541E-PRESCRIBE: NO
PEDIATRICS
DUEMLER, BRUCE K., MDGENDER: MPROVIDER #: 058040NPI #: 1619041084E-PRESCRIBE: NOMONROE CLINIC-LENA214 SCHUYLER STLENA, IL 61048PHONE: (815) 369-4541E-PRESCRIBE: NO
LENA, IL
LE ROY, ILLENA, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
6565
65
FAMILY PRACTICE
BOWERS, JOSHUA D., MDGENDER: MPROVIDER #: 167250NPI #: 1194947002E-PRESCRIBE: NOGRAHAM MEDICAL GROUP2001 N MAIN STLEWISTOWN, IL 61542PHONE: (309) 547-9700E-PRESCRIBE: NO
PEDIATRICS
WELL, MARCI, MDGENDER: FPROVIDER #: 049801NPI #: 1821107699E-PRESCRIBE: NOGRAHAM MEDICAL GROUP2001 N MAIN STLEWISTOWN, IL 61542PHONE: (309) 647-0201E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
HALPERIN, CAROLINE, DOGENDER: FPROVIDER #: 120776NPI #: 1912928805E-PRESCRIBE: NOCROSSROADS MEDICAL128 W MAIN STLEXINGTON, IL 61753PHONE: (309) 527-4900E-PRESCRIBE: NO
FAMILY PRACTICE
CROWE, ALEX, MDGENDER: MPROVIDER #: 016591NPI #: 1235157066E-PRESCRIBE: NOADVOCATE MEDICAL GROUP128 W MAIN STLEXINGTON, IL 61753PHONE: (309) 527-4900E-PRESCRIBE: NO
DJAGARIAN, ARTUR, MDGENDER: MPROVIDER #: 173513NPI #: 1598971137E-PRESCRIBE: NOADVOCATE MEDICAL GROUP307 W MAINLEXINGTON, IL 61753PHONE: (309) 365-8608E-PRESCRIBE: NO
HAKES, PAUL E., MDGENDER: MPROVIDER #: 004325NPI #: 1750315602E-PRESCRIBE: NOADVOCATE MEDICAL GROUP307 W MAIN STLEXINGTON, IL 61753PHONE: (309) 365-8608E-PRESCRIBE: NO
INGALSBE, STEVEN C., MDGENDER: MPROVIDER #: 007304NPI #: 1962428128E-PRESCRIBE: NOADVOCATE MEDICAL GROUP307 W MAIN STLEXINGTON, IL 61753PHONE: (309) 365-8608E-PRESCRIBE: NO
MUSTARD, MICHAEL R., MDGENDER: MPROVIDER #: 184070NPI #: 1295826675E-PRESCRIBE: NOADVOCATE MEDICAL GROUP307 W MAINLEXINGTON, IL 61753PHONE: (309) 365-8608E-PRESCRIBE: NO
ORWIG, STACY C., MDGENDER: FPROVIDER #: 185662NPI #: 1982826384E-PRESCRIBE: NOADVOCATE MEDICAL GROUP307 W MAIN STLEXINGTON, IL 61753PHONE: (309) 365-8608E-PRESCRIBE: NO
RANJAN, SUMIT, MDGENDER: MPROVIDER #: 185156NPI #: 1578786943E-PRESCRIBE: NOADVOCATE MEDICAL GROUP307 W MAIN STLEXINGTON, IL 61753PHONE: (309) 365-8608E-PRESCRIBE: NO
STEFFEN, SAMUEL E., MDGENDER: MPROVIDER #: 093898NPI #: 1790704435E-PRESCRIBE: NOADVOCATE MEDICAL GROUP307 W MAIN STLEXINGTON, IL 61753PHONE: (309) 365-8608E-PRESCRIBE: NO
LEWISTOWN, IL
LEXINGTON, IL
LEWISTOWN, ILLEXINGTON, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
66
ADULT/INTERNAL MEDICINE
COX, MELISSA, MDGENDER: FPROVIDER #: 068917NPI #: 1871699603E-PRESCRIBE: NOSPRINGFIELD CLINIC100 STAHLHUT DRLINCOLN, IL 62656PHONE: (217) 735-9555KAESEBIER, ASHLEY J., FNPC; PROVIDER #: 168570REXROAD, MARIA E., APN; PROVIDER #: 023231E-PRESCRIBE: NO
FAMILY PRACTICE
BIVIN, RICHARD E., MDGENDER: MPROVIDER #: 069652NPI #: 1386641033E-PRESCRIBE: NOFAMILY MEDICAL CENTER OF LINCOLN LLC515 N COLLEGELINCOLN, IL 62656PHONE: (217) 732-9681MENDEZ, SUE MARIE S., NP; PROVIDER #: 126546MURPHY, ROSEMARIE, NP; PROVIDER #: 049849TUCHOLKE, KATHLEEN E., FNP; PROVIDER #: 154792E-PRESCRIBE: NO
CARROLL, DENNIS M., MDGENDER: MPROVIDER #: 007519NPI #: 1396838835E-PRESCRIBE: NOSPRINGFIELD CLINIC100 STAHLHUT DRLINCOLN, IL 62656PHONE: (217) 735-9555DRAPER, SHARON L., NP; PROVIDER #: 131153E-PRESCRIBE: NO
KASA, PAUL R., MDGENDER: MPROVIDER #: 008519NPI #: 1598751554E-PRESCRIBE: NOFAMILY MEDICAL CENTER OF LINCOLN LLC515 N COLLEGELINCOLN, IL 62656PHONE: (217) 732-9681MURPHY, ROSEMARIE, NP; PROVIDER #: 049849TUCHOLKE, KATHLEEN E., FNP; PROVIDER #: 154792E-PRESCRIBE: NO
LAYA, MARIA F., MDGENDER: FPROVIDER #: 020928NPI #: 1265428015E-PRESCRIBE: NOFAMILY MEDICAL CENTER OF LINCOLN LLC515 N COLLEGELINCOLN, IL 62656PHONE: (217) 732-9681MURPHY, ROSEMARIE, NP; PROVIDER #: 049849E-PRESCRIBE: NO
MIZEUR, TRACY A., MDGENDER: FPROVIDER #: 108193NPI #: 1467427716E-PRESCRIBE: NOFAMILY MEDICAL CENTER OF LINCOLN LLC515 N COLLEGELINCOLN, IL 62656PHONE: (217) 732-9681E-PRESCRIBE: NO
RIVERA, CHRISTOPHER E., MD
GENDER: MPROVIDER #: 201934NPI #: 1326200080E-PRESCRIBE: NOFAMILY MEDICAL CENTER OF LINCOLN LLC515 N COLLEGELINCOLN, IL 62656PHONE: (217) 732-9681TUCHOLKE, KATHLEEN E., FNP; PROVIDER #: 154792E-PRESCRIBE: NO
WAHAB, AMIR JOHN, MDGENDER: MPROVIDER #: 032754NPI #: 1881669158E-PRESCRIBE: NOFAMILY MEDICAL CENTER OF LINCOLN LLC515 N COLLEGELINCOLN, IL 62656PHONE: (217) 732-9681MURPHY, ROSEMARIE, NP; PROVIDER #: 049849TUCHOLKE, KATHLEEN E., FNP; PROVIDER #: 154792E-PRESCRIBE: NO
LINCOLN, IL
LINCOLN, ILLINCOLN, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
6767
67
ZWILLING, THOMAS J., MDGENDER: MPROVIDER #: 008515NPI #: 1427023704E-PRESCRIBE: NOFAMILY MEDICAL CENTER OF LINCOLN LLC515 N COLLEGELINCOLN, IL 62656PHONE: (217) 732-9681MURPHY, ROSEMARIE, NP; PROVIDER #: 049849E-PRESCRIBE: NO
PEDIATRICS
COX, MELISSA, MDGENDER: FPROVIDER #: 068917NPI #: 1871699603E-PRESCRIBE: NOSPRINGFIELD CLINIC100 STAHLHUT DRLINCOLN, IL 62656PHONE: (217) 735-9555KAESEBIER, ASHLEY J., FNPC; PROVIDER #: 168570REXROAD, MARIA E., APN; PROVIDER #: 023231E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
ANWAR, MUHAMMED UMAIR, MD
GENDER: MPROVIDER #: 087278NPI #: 1568485084E-PRESCRIBE: NOANWAR MED CENTER OF SOUTHWEST SUBURB SC300 READ ST SUITE BLOCKPORT, IL 60441PHONE: (815) 834-1903E-PRESCRIBE: NO
FAMILY PRACTICE
KARCAVICH, JOSEPH P., MDGENDER: MPROVIDER #: 143078NPI #: 1659377844E-PRESCRIBE: NOPROVENA MEDICAL GROUP300 READ ST SUITE BLOCKPORT, IL 60441PHONE: (815) 836-8656E-PRESCRIBE: NO
FAMILY PRACTICE
AZMAT, AWAIS, MDGENDER: MPROVIDER #: 227884NPI #: 1205067162E-PRESCRIBE: NOOSF MEDICAL GROUP-ROCK CUT PROMPT CARE9951 ROCK CUT CROSSINGLOVES PARK, IL 61111PHONE: (815) 639-8450E-PRESCRIBE: NO
TASHAKORI, MAHTAB, MDGENDER: FPROVIDER #: 172909NPI #: 1508895780E-PRESCRIBE: NOOSF MEDICAL GROUP-ROCK CUT PROMPT CARE9951 ROCK CUT CROSSINGLOVES PARK, IL 61111PHONE: (815) 639-8450E-PRESCRIBE: NO
GENERAL PRACTICE
ROSSI, MATTHEW B., MDGENDER: MPROVIDER #: 007408NPI #: 1205874310E-PRESCRIBE: NOMACKINAW DOCTORS OFFICE407 S ORCHARD STMACKINAW, IL 61755PHONE: (309) 359-3711E-PRESCRIBE: NO
ROSSI, PHILLIP J., MDGENDER: MPROVIDER #: 010983NPI #: 1114965225E-PRESCRIBE: NOMACKINAW DOCTORS OFFICE407 S ORCHARD STMACKINAW, IL 61755PHONE: E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
FLORES, NOEL L., MDGENDER: MPROVIDER #: 132755NPI #: 1316921000E-PRESCRIBE: NOMACOMB INTERNAL MEDICINE515 E GRANT ST SUITE 111MACOMB, IL 61455PHONE: (309) 837-9926E-PRESCRIBE: NO
LOCKPORT, IL
LOVES PARK, IL
MACKINAW, IL
MACOMB, IL
LINCOLN, ILMACOMB, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
68
GREATHOUSE, DAVID J., DOGENDER: MPROVIDER #: 014521NPI #: 1720071129E-PRESCRIBE: NOLAMOINE VALLEY CLINICFIVE DOCTORS LNMACOMB, IL 61455PHONE: (309) 836-3387E-PRESCRIBE: NO
GREATHOUSE, DAVID, DOGENDER: MPROVIDER #: 156388NPI #: 1720071129E-PRESCRIBE: NOMCDONOUGH DISTRICT HOSPITAL525 E GRANT STMACOMB, IL 61455PHONE: (309) 833-4101E-PRESCRIBE: NO
JALIL, YOUSAF, MDGENDER: MPROVIDER #: 212796NPI #: 1629384136E-PRESCRIBE: NOMACOMB INTERNAL MEDICINE515 E GRANT ST SUITE 111MACOMB, IL 61455PHONE: (309) 837-9926E-PRESCRIBE: NO
KARKARE, SUJATA A., MDGENDER: FPROVIDER #: 218650NPI #: 1164430161E-PRESCRIBE: NOMACOMB INTERNAL MEDICINE515 E GRANT ST STE 112MACOMB, IL 61455PHONE: (309) 837-2414E-PRESCRIBE: NO
MILLER, DAVID L., DOGENDER: MPROVIDER #: 067033NPI #: 1861497612E-PRESCRIBE: NOMEDICAL GROUP OF MACOMB LLC505 E GRANT ST SUITE 103MACOMB, IL 61455PHONE: (309) 833-3536E-PRESCRIBE: NO
REEM, DAVID W., MDGENDER: MPROVIDER #: 156504NPI #: 1336124668E-PRESCRIBE: NOMACOMB INTERNAL MEDICINE515 E GRANT ST SUITE 111MACOMB, IL 61455PHONE: (309) 837-9926E-PRESCRIBE: NO
FAMILY PRACTICE
ALBOUSHI, HANI, MDGENDER: MPROVIDER #: 200911NPI #: 1669624813E-PRESCRIBE: NOMCDONOUGH DISTRICT HOSPITAL505 E GRANT ST SUITE 202MACOMB, IL 61455PHONE: (309) 836-3091E-PRESCRIBE: NO
DHILLON, SUKHDIP S., MDGENDER: MPROVIDER #: 187838NPI #: 1932359551E-PRESCRIBE: NOMCDONOUGH MEDICAL GROUP505 E GRANT ST SUITE 202MACOMB, IL 61455PHONE: (309) 833-1729E-PRESCRIBE: NO
FARR, CURTIS C., MDGENDER: MPROVIDER #: 023406NPI #: 1700861937E-PRESCRIBE: NOFAMILY PRACTICE ASSOCIATES OF MACOMB LTD505 E GRANT ST SUITE 110MACOMB, IL 61455PHONE: (309) 833-1733E-PRESCRIBE: NO
LI, XIAOLU (SHERRY), MDGENDER: FPROVIDER #: 049467NPI #: 1396810644E-PRESCRIBE: NOWESTERN ILLINOIS MEDICAL GROUP909 E GRANT ST SUITE AMACOMB, IL 61455PHONE: (309) 837-2000E-PRESCRIBE: NO
ONEILL, CHARLES J., MDGENDER: MPROVIDER #: 014513NPI #: 1881673226E-PRESCRIBE: NOFAMILY PRACTICE ASSOCIATES OF MACOMB LTD505 E GRANT ST SUITE 110MACOMB, IL 61455PHONE: (309) 833-1733E-PRESCRIBE: NO
MACOMB, ILMACOMB, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
6969
69
REEVES, MICHELLE R., MDGENDER: FPROVIDER #: 068487NPI #: 1518942754E-PRESCRIBE: NOFAMILY PRACTICE ASSOCIATES OF MACOMB LTD505 E GRANT ST SUITE 110MACOMB, IL 61455PHONE: (309) 833-1733POUNDERS, MELISSA L., NP; PROVIDER #: 221315E-PRESCRIBE: NO
STORTZUM, CHRISTOPHER D., MD
GENDER: MPROVIDER #: 107971NPI #: 1124003843E-PRESCRIBE: NOFAMILY PRACTICE ASSOCIATES505 E GRANT ST SUITE 110MACOMB, IL 61455PHONE: (309) 833-1733E-PRESCRIBE: NO
STORTZUM, CHRISTOPHER, MD
GENDER: MPROVIDER #: 150201NPI #: 1124003843E-PRESCRIBE: NOMCDONOUGH DISTRICT HOSPI525 E GRANTMACOMB, IL 61455PHONE: (309) 833-4101E-PRESCRIBE: NO
WASCHULL, AMY S., MDGENDER: FPROVIDER #: 133973NPI #: 1639264625E-PRESCRIBE: NOFAMILY PRACTICE ASSOCIATES OF MACOMB LTD505 E GRANT ST SUITE 110MACOMB, IL 61455PHONE: (309) 833-1733E-PRESCRIBE: NO
WATERS, MICHAEL L., MDGENDER: MPROVIDER #: 049233NPI #: 1477536993E-PRESCRIBE: NOFAMILY PRACTICE ASSOCIATES OF MACOMB LTD505 E GRANT ST SUITE 110MACOMB, IL 61455PHONE: (309) 833-1733E-PRESCRIBE: NO
FAMILY PRACTICE OB
FARR, CURTIS C., MDGENDER: MPROVIDER #: 023406NPI #: 1700861937E-PRESCRIBE: NOFAMILY PRACTICE ASSOCIATES OF MACOMB LTD505 E GRANT ST SUITE 110MACOMB, IL 61455PHONE: (309) 833-1733E-PRESCRIBE: NO
ONEILL, CHARLES J., MDGENDER: MPROVIDER #: 014513NPI #: 1881673226E-PRESCRIBE: NOFAMILY PRACTICE ASSOCIATES OF MACOMB LTD505 E GRANT ST SUITE 110MACOMB, IL 61455PHONE: (309) 833-1733E-PRESCRIBE: NO
REEVES, MICHELLE R., MDGENDER: FPROVIDER #: 068487NPI #: 1518942754E-PRESCRIBE: NOFAMILY PRACTICE ASSOCIATES OF MACOMB LTD505 E GRANT ST SUITE 110MACOMB, IL 61455PHONE: (309) 833-1733POUNDERS, MELISSA L., NP; PROVIDER #: 221315E-PRESCRIBE: NO
WASCHULL, AMY S., MDGENDER: FPROVIDER #: 133973NPI #: 1639264625E-PRESCRIBE: NOFAMILY PRACTICE ASSOCIATES OF MACOMB LTD505 E GRANT ST SUITE 110MACOMB, IL 61455PHONE: (309) 833-1733E-PRESCRIBE: NO
MACOMB, ILMACOMB, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
70
WATERS, MICHAEL L., MDGENDER: MPROVIDER #: 049233NPI #: 1477536993E-PRESCRIBE: NOFAMILY PRACTICE ASSOCIATES OF MACOMB LTD505 E GRANT ST SUITE 110MACOMB, IL 61455PHONE: (309) 833-1733E-PRESCRIBE: NO
PEDIATRICS
BALBORT, LIBERTY A., MDGENDER: FPROVIDER #: 223246NPI #: 1356597090E-PRESCRIBE: NOMCDONOUGH DISTRICT HOSPITAL PEDIATRICS505 E GRANT ST SUITE 202MACOMB, IL 61455PHONE: (309) 833-1729E-PRESCRIBE: NO
LIN, AN-SHIH, MDGENDER: MPROVIDER #: 014527NPI #: 1194763458E-PRESCRIBE: NO505 E GRANT ST SUITE 201MACOMB, IL 61455PHONE: (309) 833-3068E-PRESCRIBE: NO
LOCKARD, MARY KATHLEEN, MD
GENDER: FPROVIDER #: 095260NPI #: 1679571152E-PRESCRIBE: NOMEDICAL GROUP OF MACOMB LLC505 E GRANT ST SUITE 103MACOMB, IL 61455PHONE: (309) 833-3536E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
SATHER, CARL A., MDGENDER: MPROVIDER #: 198681NPI #: 1174733034E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1001 HEATHER DRMAHOMET, IL 61853PHONE: (217) 586-8400E-PRESCRIBE: YES
FAMILY PRACTICE
BUCHANAN, CHARLES R., MD
GENDER: MPROVIDER #: 091820NPI #: 1184631632E-PRESCRIBE: YESCHRISTIE CLINIC1001 COMMERCIAL DRMAHOMET, IL 61853PHONE: (217) 586-6600E-PRESCRIBE: YES
HENRICHS, CHRISTINE E., MD
GENDER: FPROVIDER #: 093453NPI #: 1619908662E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1001 HEATHER DRMAHOMET, IL 61853PHONE: (217) 586-8400HUSMANN, JEAN H., PA-C; PROVIDER #: 016963E-PRESCRIBE: YES
MADDEN, JESSICA D., MDGENDER: FPROVIDER #: 222831NPI #: 1861627499E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1001 HEATHER DRMAHOMET, IL 61853PHONE: (217) 586-8400E-PRESCRIBE: YES
NELSON, CHRISTOPHER D., MD
GENDER: MPROVIDER #: 107462NPI #: 1083669519E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1001 HEATHER DRMAHOMET, IL 61853PHONE: (217) 586-8400E-PRESCRIBE: YES
SAMUEL-PARKS, CARLA, MDGENDER: FPROVIDER #: 170575NPI #: 1326245655E-PRESCRIBE: YESCHRISTIE CLINIC1001 COMMERCIAL DRMAHOMET, IL 61853PHONE: (217) 586-6600E-PRESCRIBE: YES
SCHAAP, PAUL A., MDGENDER: MPROVIDER #: 000146NPI #: 1467548248E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1001 HEATHER DRMAHOMET, IL 61853PHONE: (217) 586-8400HUSMANN, JEAN H., PA-C; PROVIDER #: 016963E-PRESCRIBE: YES
MAHOMET, IL
MACOMB, ILMAHOMET, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
7171
71
SINGLETON, DEBORAH S., MD
GENDER: FPROVIDER #: 023405NPI #: 1639279839E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1001 HEATHER DRMAHOMET, IL 61853PHONE: (217) 586-8400E-PRESCRIBE: YES
WEBB, DAVID K., MDGENDER: MPROVIDER #: 000679NPI #: 1619075017E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1001 HEATHER DRMAHOMET, IL 61853PHONE: (217) 586-8400HUSMANN, JEAN H., PA-C; PROVIDER #: 016963E-PRESCRIBE: YES
PEDIATRICS
SATHER, CARL A., MDGENDER: MPROVIDER #: 198681NPI #: 1174733034E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1001 HEATHER DRMAHOMET, IL 61853PHONE: (217) 586-8400E-PRESCRIBE: YES
GENERAL PRACTICE
ROSSI, ALFRED N., MDGENDER: MPROVIDER #: 005719NPI #: 1033157292E-PRESCRIBE: NOMANITO DOCTORS OFFICE101 E MASON STMANITO, IL 61546PHONE: (309) 968-6144E-PRESCRIBE: NO
FAMILY PRACTICE
HARRIS, JULIA R., MDGENDER: FPROVIDER #: 106352NPI #: 1619152014E-PRESCRIBE: NORIVERSIDE HEALTH SYSTEMS395 N LOCUSTMANTENO, IL 60950PHONE: (815) 468-6870E-PRESCRIBE: NO
REBADIO SY, RHODORA A., MD
GENDER: FPROVIDER #: 178950NPI #: 1710085535E-PRESCRIBE: NOPROVENA MEDICAL GROUP501 S LOCUST STMANTENO, IL 60950PHONE: (815) 468-6737E-PRESCRIBE: NO
FAMILY PRACTICE
ALEXANDER, JAMES O., MDGENDER: MPROVIDER #: 033074NPI #: 1114094851E-PRESCRIBE: NOALEXANDER FAMILY PRACTICE3106 OUTER DR SUITE 200MARION, IL 62959PHONE: (618) 997-4332E-PRESCRIBE: NO
FAMILY PRACTICE
MILLER, TIMOTHY A., MDGENDER: MPROVIDER #: 031109NPI #: 1588621205E-PRESCRIBE: NO114 E MAIN STMAROA, IL 61756PHONE: (217) 794-5472E-PRESCRIBE: NO
MANITO, IL
MANTENO, IL
MARION, IL
MAROA, IL
MAHOMET, ILMAROA, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
72
FAMILY PRACTICE
DAVIS, DAVID, MDGENDER: MPROVIDER #: 006686NPI #: 1053302240E-PRESCRIBE: NOCLARK COUNTY FAMILY MEDICINE890 RIDGELAWN RDMARTINSVILLE, IL 62442PHONE: (217) 382-4191HERSHFIELD, THERESA M., CNP; PROVIDER #: 074326MORRISON, RACHEL K., PA-C; PROVIDER #: 118328E-PRESCRIBE: NO
RICHARDS, JOHN J., MDGENDER: MPROVIDER #: 169168NPI #: 1215193651E-PRESCRIBE: NOCLARK COUNTY FAMILY MEDICINE890 RIDGELAWN RDMARTINSVILLE, IL 62442PHONE: (217) 382-4191E-PRESCRIBE: NO
FAMILY PRACTICE
BITNER, BETHANY L., MDGENDER: FPROVIDER #: 228551NPI #: 1316173164E-PRESCRIBE: YESMASON CITY MEDICAL ASSOCIATES122 E ELMMASON CITY, IL 62664PHONE: E-PRESCRIBE: YES
MARKLEY, MICHAEL, MDGENDER: MPROVIDER #: 115617NPI #: 1740246834E-PRESCRIBE: NOMASON CITY MEDICAL ASSOCIATES RURAL HEALTH100 N MAIN STMASON CITY, IL 62664PHONE: (309) 543-8564E-PRESCRIBE: NO
SCHULTZ, BRUCE W., MDGENDER: MPROVIDER #: 090450NPI #: 1356307433E-PRESCRIBE: NOMASON CITY MEDICAL ASSOCIATES RURAL HEALTH100 N MAIN STMASON CITY, IL 62664PHONE: (309) 543-8564E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
CAMDEN, TIMOTHY H., MDGENDER: MPROVIDER #: 099666NPI #: 1659323327E-PRESCRIBE: NOCARLE FOUNDATION PHYSICIAN SERVICES200 LERNA ROAD SOUTHMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
CARLE PHYSICIAN GROUP200 LERNA ROAD SOUTHMATTOON, IL 61938PHONE: (217) 258-5920PAINTON, KARA, NP; PROVIDER #: 113232E-PRESCRIBE: YES
GOOD, ROBERT G., DOGENDER: MPROVIDER #: 099668NPI #: 1639122922E-PRESCRIBE: NOCARLE FOUNDATION PHYSICIAN SERVICES200 LERNA ROAD SOUTHMATTOON, IL 61938PHONE: (217) 258-5900BAKER, JANET L., NP; PROVIDER #: 099691E-PRESCRIBE: NO
HULL, SAM F., MDGENDER: MPROVIDER #: 225334NPI #: 1053319277E-PRESCRIBE: NOCARLE FOUNDATION PHYSICIAN SERVICES LLC200 LERNA RD SMATTOON, IL 61938PHONE: (217) 258-5920E-PRESCRIBE: NO
JOAG, KIRAN, MDGENDER: MPROVIDER #: 004144NPI #: 1013023258E-PRESCRIBE: NOSBL FAMILY PRACTICE CENTER200 RICHMOND AVE EASTMATTOON, IL 61938PHONE: (217) 234-7400E-PRESCRIBE: NO
MARTINSVILLE, IL
MASON CITY, IL
MATTOON, IL
MARTINSVILLE, ILMATTOON, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
7373
73
KATSAMAKIS, CONSTANTINE D., DO
GENDER: MPROVIDER #: 202779NPI #: 1407906100E-PRESCRIBE: NOSBL MEDICAL OFFICE PAVILION500 HEALTH CENTER DR SUITE 107MATTOON, IL 61938PHONE: (217) 238-4960E-PRESCRIBE: NO
QATTASH, ISMAIL, MDGENDER: MPROVIDER #: 150677NPI #: 1538329982E-PRESCRIBE: YESCHRISTIE CLINIC105 B PROFESSIONAL PLAZAMATTOON, IL 61938PHONE: (217) 345-3000E-PRESCRIBE: YES
ROWLAND, KENDRITH M., MD
GENDER: MPROVIDER #: 224709NPI #: 1407955206E-PRESCRIBE: NOCARLE FOUNDATION PHYSICIAN SERVICES LLC200 LERNA RD SMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
VASSEY, JULIAN, MDGENDER: MPROVIDER #: 030247NPI #: 1003922782E-PRESCRIBE: NOSBL INTERNAL MEDICINE101 PROFESSIONAL PLAZAMATTOON, IL 61938PHONE: (217) 258-2110E-PRESCRIBE: NO
WINOGRAD, DAVID, DOGENDER: MPROVIDER #: 066193NPI #: 1144337767E-PRESCRIBE: NOSBL INTERNAL MEDICINE101 PROFESSIONAL PLAZAMATTOON, IL 61938PHONE: (217) 849-3151E-PRESCRIBE: NO
FAMILY PRACTICE
BEITEL, JOYCE W., MDGENDER: FPROVIDER #: 203838NPI #: 1639109879E-PRESCRIBE: NOCARLE FOUNDATION PHYSICIAN SERVICES LLC200 LERNA RD SMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
CASTLE, CARL, MDGENDER: MPROVIDER #: 063758NPI #: 1255306767E-PRESCRIBE: YESCARLE PHYSICIAN GROUP200 LERNA ROAD SOUTHMATTOON, IL 61938PHONE: (217) 258-5920E-PRESCRIBE: YES
CATT, LUCAS L., MDGENDER: MPROVIDER #: 164037NPI #: 1912174970E-PRESCRIBE: NOPRAIRIE FAMILY PRACTICEPRAIRIE PAVILION I SUITE 103 1005 HEALTH CENTER DRMATTOON, IL 61938PHONE: (217) 348-2525MONTGOMERY, PATRICIA, PA-C; PROVIDER #: 054487E-PRESCRIBE: NO
DETERS, GREGORY, MDGENDER: MPROVIDER #: 050449NPI #: 1497861702E-PRESCRIBE: NOSBL FAMILY MEDICAL CENTER200 RICHMOND AVE EASTMATTOON, IL 61938PHONE: (217) 234-7000E-PRESCRIBE: NO
KIM, JANE C., MDGENDER: FPROVIDER #: 245418NPI #: 1356511166E-PRESCRIBE: YESCARLE FOUNDATION PHYSICIANS SERVICES LLC200 LERNA RD SMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: YES
KIRBY, KEVIN, MDGENDER: MPROVIDER #: 240582NPI #: 1972528255E-PRESCRIBE: YESCARLE FOUNDATION PHYSICIANS SERVICES LLC200 LERNA RD SMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: YES
KREMER, MARLENE, MDGENDER: FPROVIDER #: 050701NPI #: 1831205749E-PRESCRIBE: NOSBL FAMILY PRACTICE CENTER200 RICHMOND AVE EASTMATTOON, IL 61938PHONE: (217) 234-7000LIDY, JUDITH, APN; PROVIDER #: 115007E-PRESCRIBE: NO
MATTOON, ILMATTOON, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
74
LIANG, CHARLES, DOGENDER: MPROVIDER #: 240601NPI #: 1275553216E-PRESCRIBE: YESCARLE FOUNDATION PHYSICIAN SERVICES LLC200 LERNA RD SMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: YES
LYSTILA, AJA, MDGENDER: PROVIDER #: 146249NPI #: 1215159744E-PRESCRIBE: NOCARLE FOUNDATION PHYSICIAN SERVICES200 LERNA ROAD SOUTHMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
MACKE, STEVEN, MDGENDER: MPROVIDER #: 166751NPI #: 1609867373E-PRESCRIBE: YESCARLE PHYSICIAN GROUP200 LERNA ROAD SOUTHMATTOON, IL 61938PHONE: (217) 258-5920E-PRESCRIBE: YES
MARTINEZ, JAIME, MDGENDER: MPROVIDER #: 248888NPI #: 1962713909E-PRESCRIBE: NOSBL PRAIRIE FAMILY PRACTICE1005 HEALTH CENTER DR SUITE 103MATTOON, IL 61938PHONE: (217) 258-2581E-PRESCRIBE: NO
MENEELY, TIMOTHY, DOGENDER: MPROVIDER #: 233816NPI #: 1629178181E-PRESCRIBE: YESCARLE FOUNDATION PHYSICIAN SERVICES LLC200 LERNA RD SMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: YES
MIKEL, GARY, MDGENDER: MPROVIDER #: 042299NPI #: 1962518746E-PRESCRIBE: NOSBL FAMILY MEDICAL CENTER200 RICHMOND AVE EASTMATTOON, IL 61938PHONE: (217) 234-7000E-PRESCRIBE: NO
NOMMENSEN, MICHAEL J., MD
GENDER: MPROVIDER #: 245329NPI #: 1831105808E-PRESCRIBE: YESCARLE PHYSICIAN GROUP200 LERNA ROAD SOUTHMATTOON, IL 61938-9388PHONE: (217) 258-5900E-PRESCRIBE: YES
SATHISH, PERUMAL, MDGENDER: MPROVIDER #: 240590NPI #: 1659583938E-PRESCRIBE: YESCARLE FOUNDATION PHYSICIAN SERVICES LLC200 LERNA RDMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: YES
THAIN, ROBERT, MDGENDER: MPROVIDER #: 241842NPI #: 1285737213E-PRESCRIBE: NOSBL FAMILY PRACTICE CENTER200 RICHMOND AVE EASTMATTOON, IL 61938PHONE: (217) 234-7000E-PRESCRIBE: NO
WOCHNER, ROBERT J., MDGENDER: MPROVIDER #: 001942NPI #: 1164538864E-PRESCRIBE: NOPRAIRIE FAMILY PRACTICEPRAIRIE PAVILION I SUITE 103 1005 HEALTH CENTER DRMATTOON, IL 61938PHONE: (217) 348-2525E-PRESCRIBE: NO
FAMILY PRACTICE OB
BEITEL, JOYCE W., MDGENDER: FPROVIDER #: 203838NPI #: 1639109879E-PRESCRIBE: NOCARLE FOUNDATION PHYSICIAN SERVICES LLC200 LERNA RD SMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
MATTOON, ILMATTOON, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
7575
75
GENERAL PRACTICE
JOHNSON, CARL R., MDGENDER: MPROVIDER #: 004355NPI #: 1275525701E-PRESCRIBE: YES500 HEALTH CENTER DR SUITE 206MATTOON, IL 61938PHONE: (217) 258-4080E-PRESCRIBE: YES
PO BOX 372MATTOON, IL 61938PHONE: (217) 258-4080E-PRESCRIBE: YES
PEDIATRICS
CAMDEN, TIMOTHY H., MDGENDER: MPROVIDER #: 099666NPI #: 1659323327E-PRESCRIBE: NOCARLE FOUNDATION PHYSICIAN SERVICES200 LERNA ROAD SOUTHMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
CARLE PHYSICIAN GROUP200 LERNA ROAD SOUTHMATTOON, IL 61938PHONE: (217) 258-5920PAINTON, KARA, NP; PROVIDER #: 113232E-PRESCRIBE: YES
KNOX, DAVID R., MDGENDER: MPROVIDER #: 099672NPI #: 1033222625E-PRESCRIBE: NOCARLE FOUNDATION PHYSICIAN SERVICES200 LERNA ROAD SOUTHMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
CARLE PHYSICIAN GROUP200 LERNA ROAD SOUTHMATTOON, IL 61938PHONE: (217) 258-5960E-PRESCRIBE: YES
KRAMER, KEVIN E., MDGENDER: MPROVIDER #: 015466NPI #: 1487617031E-PRESCRIBE: NOSBL PEDIATRIC CLINICPRAIRIE PAVILION 1 SUITE 100 1005 HEALTH CENTERMATTOON, IL 61938PHONE: (217) 348-2525E-PRESCRIBE: NO
LEIFHEIT, AMY J., MDGENDER: FPROVIDER #: 191681NPI #: 1376707687E-PRESCRIBE: NOSBL PEDIATRIC CLINICPRAIRIE PAVILION I SUITE 100 1005 HEALTH CENTER DRMATTOON, IL 61938PHONE: (217) 348-2525E-PRESCRIBE: NO
SNOWDEN, IVAN THOMAS, MD
GENDER: MPROVIDER #: 004045NPI #: 1720194483E-PRESCRIBE: NOSBL PEDIATRICSPRAIRIE PAVILION I SUITE 100 1005 HEALTH CENTER DRMATTOON, IL 61938PHONE: (217) 348-2525COPE, NOELLE R., APN; PROVIDER #: 050263E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
COMFORT, CHARLES D., MDGENDER: MPROVIDER #: 020482NPI #: 1861484321E-PRESCRIBE: NOMAZON MEDICAL CENTER522 DEPOT STMAZON, IL 60444PHONE: (815) 448-2423EGIZIO, BRANDI R., PA-C; PROVIDER #: 144981E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
OBRIEN, DANIEL E., MDGENDER: MPROVIDER #: 186033NPI #: 1275741829E-PRESCRIBE: NO928 W MT VERNONMETAMORA, IL 61548PHONE: (309) 367-2321E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
FLORIDO, GONZALO, MDGENDER: MPROVIDER #: 007020NPI #: 1063552990E-PRESCRIBE: NOIMH MILFORD CLINIC207 N AXTEL STMILFORD, IL 60953PHONE: (815) 889-4241E-PRESCRIBE: NO
MAZON, IL
METAMORA, IL
MILFORD, IL
MATTOON, ILMILFORD, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
76
REYES, CRISANTO M., MDGENDER: MPROVIDER #: 096136NPI #: 1154461978E-PRESCRIBE: NOIMH MILFORD CLINIC207 N AXTEL STMILFORD, IL 60953PHONE: (815) 889-4241E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
DENNIS, CHARLES A., MDGENDER: MPROVIDER #: 175733NPI #: 1851326508E-PRESCRIBE: NOOSF MEDICAL GROUP120 E 7TH STMINONK, IL 61760PHONE: (309) 432-2515E-PRESCRIBE: NO
WHITE, JESSICA L., MDGENDER: FPROVIDER #: 224721NPI #: 1902048986E-PRESCRIBE: NOOSF MEDICAL GROUP120 E 7TH STMINONK, IL 61760PHONE: (309) 432-2515E-PRESCRIBE: NO
FAMILY PRACTICE
HOLT, NATHAN P., MDGENDER: PROVIDER #: 169027NPI #: 1518127950E-PRESCRIBE: NOOSF MEDICAL GROUP120 E 7TH STMINONK, IL 61760PHONE: (309) 432-2515E-PRESCRIBE: NO
NORRIS, STEVEN S., MDGENDER: MPROVIDER #: 077629NPI #: 1316988934E-PRESCRIBE: NOOSF MEDICAL GROUP120 E 7TH STMINONK, IL 61760PHONE: (309) 432-2515E-PRESCRIBE: NO
PODZAMSKY, JOHN E., DOGENDER: MPROVIDER #: 006405NPI #: 1225013840E-PRESCRIBE: NOOSF MEDICAL GROUP120 E 7TH STMINONK, IL 61760PHONE: (309) 432-2441E-PRESCRIBE: NO200 E 6TH STMINONK, IL 61760PHONE: (309) 432-2441E-PRESCRIBE: NO
PEDIATRICS
DENNIS, CHARLES A., MDGENDER: MPROVIDER #: 175733NPI #: 1851326508E-PRESCRIBE: NOOSF MEDICAL GROUP120 E 7TH STMINONK, IL 61760PHONE: (309) 432-2515E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
KHAN, AFTAB, MDGENDER: MPROVIDER #: 047850NPI #: 1720073729E-PRESCRIBE: NOLIBERTY MEDICAL CENTER603 W MONDAMIN STMINOOKA, IL 60447PHONE: (815) 521-1010E-PRESCRIBE: NO
FAMILY PRACTICE
MCVAY, MARK A., DOGENDER: MPROVIDER #: 177186NPI #: 1366541484E-PRESCRIBE: YESCROSSROADS COUNSELING SERVICES LLC649 W MONDAMIN STMINOOKA, IL 60447PHONE: (815) 467-9810E-PRESCRIBE: YES
SAFDAR, SAIMA, MDGENDER: FPROVIDER #: 208118NPI #: 1336449214E-PRESCRIBE: NOLIBERTY MEDICAL CENTER603 W MONDAMIN STMINOOKA, IL 60447PHONE: (815) 521-1010E-PRESCRIBE: NO
MINONK, IL
MINOOKA, IL
MILFORD, ILMINOOKA, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
7777
77
SYED, HASSNAIN S., MDGENDER: MPROVIDER #: 186955NPI #: 1669798542E-PRESCRIBE: NOLIBERTY MEDICAL CENTER603 W MONDAMIN STMINOOKA, IL 60447PHONE: (815) 521-1010E-PRESCRIBE: NO
FAMILY PRACTICE
KAMBOJ, YUVRAJ, MDGENDER: MPROVIDER #: 191321NPI #: 1528237930E-PRESCRIBE: NORIVERSIDE MEDICAL CENTER OF MOMENCE3761 N STATE ROUTE 117MOMENCE, IL 60954PHONE: (815) 472-3923E-PRESCRIBE: NO
POWELL, JENNIFER M., MDGENDER: FPROVIDER #: 238069NPI #: 1124131966E-PRESCRIBE: NORIVERSIDE MEDICAL CENTER OF MOMENCE3761 N ROUTE 1-17MOMENCE, IL 60954PHONE: (815) 472-3923E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
ALUL, RUSHDI, DOGENDER: MPROVIDER #: 184100NPI #: 1649365529E-PRESCRIBE: NOOSF HOLY FAMILY CLINICS1000 W HARLEM AVEMONMOUTH, IL 61462PHONE: (309) 734-1414E-PRESCRIBE: NO
MEDRANO, RUBEN A., MDGENDER: MPROVIDER #: 066675NPI #: 1073509683E-PRESCRIBE: NOOSF HOLY FAMILY CLINICS1000 W HARLEM AVEMONMOUTH, IL 61462PHONE: (309) 734-1414WAKELAND, JUDITH A., PA-C; PROVIDER #: 113501E-PRESCRIBE: NO
PATEL, KISHORBHAI K., MDGENDER: MPROVIDER #: 053275NPI #: 1396846853E-PRESCRIBE: NOOSF GALESBURG CLINIC1000 W HARLEM AVEMONMOUTH, IL 61462PHONE: (309) 734-6639E-PRESCRIBE: NO
ROYEEN, ABDUL W., MDGENDER: MPROVIDER #: 201037NPI #: 1821227976E-PRESCRIBE: NOOSF HOLY FAMILY CLINICS1000 W HARLEM AVEMONMOUTH, IL 61462PHONE: (309) 734-1414E-PRESCRIBE: NO
VAKEESAN, NIGELARANI, MDGENDER: MPROVIDER #: 189678NPI #: 1780846477E-PRESCRIBE: NOOSF HOLY FAMILY CLINICS1000 W HARLEM AVEMONMOUTH, IL 61462PHONE: (309) 734-1414E-PRESCRIBE: NO
FAMILY PRACTICE
BATTENBURG, JAMES R., MDGENDER: MPROVIDER #: 100996NPI #: 1851387443E-PRESCRIBE: NOOSF HOLY FAMILY CLINICS1000 W HARLEM AVEMONMOUTH, IL 61462PHONE: (309) 734-1414KUSLER, KEVIN J., PA-C; PROVIDER #: 080024POTTER, ORIE R., PA-C; PROVIDER #: 070459E-PRESCRIBE: NO
CARRIER, JEREMY R., MDGENDER: MPROVIDER #: 206440NPI #: 1871753921E-PRESCRIBE: NOCOTTAGE MONMOUTH CLINIC2 AMERICINN WAYMONMOUTH, IL 61462PHONE: (309) 734-0100E-PRESCRIBE: NO
MOMENCE, IL
MONMOUTH, IL
MINOOKA, ILMONMOUTH, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
78
JNANANAND, NAYANTARA, MD
GENDER: FPROVIDER #: 178688NPI #: 1013128925E-PRESCRIBE: NOOSF HOLY FAMILY CLINICS1000 W HARLEM AVEMONMOUTH, IL 61462PHONE: (309) 734-1414E-PRESCRIBE: NO
KATCHEN, DEBRA, MDGENDER: FPROVIDER #: 163701NPI #: 1427057942E-PRESCRIBE: NOCOTTAGE MONMOUTH CLINIC2 AMERICINN WAY SUITE BMONMOUTH, IL 61462PHONE: (309) 734-0100E-PRESCRIBE: NO
LASALA, FRANK T., MDGENDER: MPROVIDER #: 119538NPI #: 1538116975E-PRESCRIBE: NOOSF HOLY FAMILY CLINICS1000 W HARLEM AVEMONMOUTH, IL 61462PHONE: (309) 734-1414E-PRESCRIBE: NO
MUSAITIF, ZIAD A., DOGENDER: PROVIDER #: 135509NPI #: 1316909328E-PRESCRIBE: NOOSF HOLY FAMILY CLINICS1000 W HARLEM AVEMONMOUTH, IL 61462PHONE: (309) 734-1414E-PRESCRIBE: NO
PADGETT, ROBERT D., MDGENDER: MPROVIDER #: 075613NPI #: 1306832910E-PRESCRIBE: NOOSF HOLY FAMILY CLINICS1000 W HARLEM AVEMONMOUTH, IL 61462PHONE: (309) 734-1414WAKELAND, JUDITH A., PA-C; PROVIDER #: 113501E-PRESCRIBE: NO
TROOP, THOMAS G., MDGENDER: MPROVIDER #: 174508NPI #: 1104893403E-PRESCRIBE: NOOSF HOLY FAMILY CLINICS1000 W HARLEM AVEMONMOUTH, IL 61462PHONE: (309) 734-1414E-PRESCRIBE: NO
PEDIATRICS
WEIDMAN, MATTHEW J., MDGENDER: MPROVIDER #: 158313NPI #: 1134226145E-PRESCRIBE: NOOSF HOLY FAMILY CLINICS1000 W HARLEM AVEMONMOUTH, IL 61462PHONE: (309) 734-1414E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
FARASAT, MORTEZA, MDGENDER: MPROVIDER #: 239025NPI #: 1891849105E-PRESCRIBE: NOKIRBY MEDICAL CENTER1000 MEDICAL CENTER DRMONTICELLO, IL 61856PHONE: (217) 762-2115E-PRESCRIBE: NO
MUHAMMAD, SAAD, MDGENDER: MPROVIDER #: 239024NPI #: 1417188418E-PRESCRIBE: NOKIRBY MEDICAL CENTER1000 MEDICAL CENTER DRMONTICELLO, IL 61856PHONE: (217) 762-2115E-PRESCRIBE: NO
SOMA, VIKAS R., MDGENDER: MPROVIDER #: 245469NPI #: 1326095894E-PRESCRIBE: NOKIRBY MEDICAL CENTER1000 MEDICAL CENTER DRMONTICELLO, IL 61856PHONE: (217) 762-2115E-PRESCRIBE: NO
FAMILY PRACTICE
ELLIS, DOUGLAS R., MDGENDER: MPROVIDER #: 235919NPI #: 1992790786E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1002 MEDICAL CENTER DRMONTICELLO, IL 61856PHONE: (217) 762-2518E-PRESCRIBE: YES
MONTICELLO, IL
MONMOUTH, ILMONTICELLO, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
7979
79
LANKER, WILLIAM K., MDGENDER: MPROVIDER #: 000664NPI #: 1568429009E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1002 MEDICAL CENTER DRMONTICELLO, IL 61856PHONE: (217) 762-2518MCFARLIN, DANNY L., PA; PROVIDER #: 127751E-PRESCRIBE: YES
MANINT, JAMES E., DOGENDER: MPROVIDER #: 002832NPI #: 1376534420E-PRESCRIBE: NOKIRBY MEDICAL CENTER1000 MEDICAL CENTER DRMONTICELLO, IL 61856PHONE: (217) 762-2115E-PRESCRIBE: NO
MARTY, ANN C., MDGENDER: FPROVIDER #: 000153NPI #: 1215958905E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1002 MEDICAL CENTER DRMONTICELLO, IL 61856PHONE: (217) 762-2518BARRE, CHRISTY, NP; PROVIDER #: 009608MCFARLIN, DANNY L., PA; PROVIDER #: 127751E-PRESCRIBE: YES
SAWLAW, JOSHUA E., MDGENDER: MPROVIDER #: 222916NPI #: 1922235944E-PRESCRIBE: NOKIRBY MEDICAL CENTER1000 MEDICAL CENTER DRMONTICELLO, IL 61856PHONE: (217) 762-2115E-PRESCRIBE: NO
SPARENBERG, STEVEN, DOGENDER: MPROVIDER #: 068602NPI #: 1386744506E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1002 MEDICAL CENTER DRMONTICELLO, IL 61856PHONE: (217) 762-2518MCFARLIN, DANNY L., PA; PROVIDER #: 127751PEARMAN, JENNIFER ANN, PA; PROVIDER #: 154247E-PRESCRIBE: YES
FAMILY PRACTICE OB
LANKER, WILLIAM K., MDGENDER: MPROVIDER #: 000664NPI #: 1568429009E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1002 MEDICAL CENTER DRMONTICELLO, IL 61856PHONE: (217) 762-2518MCFARLIN, DANNY L., PA; PROVIDER #: 127751E-PRESCRIBE: YES
MARTY, ANN C., MDGENDER: FPROVIDER #: 000153NPI #: 1215958905E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1002 MEDICAL CENTER DRMONTICELLO, IL 61856PHONE: (217) 762-2518BARRE, CHRISTY, NP; PROVIDER #: 009608MCFARLIN, DANNY L., PA; PROVIDER #: 127751E-PRESCRIBE: YES
FAMILY PRACTICE
BILYEU, ALAN D., MDGENDER: MPROVIDER #: 008961NPI #: 1417956798E-PRESCRIBE: YESMOWEAQUA FAMILY PRACTICE620 N PUTNAM STMOWEAQUA, IL 62550PHONE: (217) 768-3884E-PRESCRIBE: YES
BILYEU, ALISONGENDER: FPROVIDER #: 134756NPI #: 1568474823E-PRESCRIBE: YESMOWEAQUA FAMILY PRACTICE620 N PUTNAM STMOWEAQUA, IL 62550PHONE: (217) 768-3884E-PRESCRIBE: YES
BILYEU, SCOTT M., MDGENDER: MPROVIDER #: 209086NPI #: 1053516971E-PRESCRIBE: NOMOWEAQUA FAMILY PRACTICE CENTER620 N PUTNAMMOWEAQUA, IL 62550PHONE: (217) 768-3884E-PRESCRIBE: NO
MOWEAQUA, IL
MONTICELLO, ILMOWEAQUA, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
80
BILYEU, THOMAS M., MDGENDER: MPROVIDER #: 008962NPI #: 1215936562E-PRESCRIBE: YESMOWEAQUA FAMILY PRACTICE620 N PUTNAM STMOWEAQUA, IL 62550-9466PHONE: (217) 768-3884E-PRESCRIBE: YES
FAMILY PRACTICE
COY, THOMAS J., DOGENDER: MPROVIDER #: 188237NPI #: 1982690517E-PRESCRIBE: NOFAMILY PHYSICIANS OF SOUTHERN ILLINOIS1245 S MILL STNASHVILLE, IL 62263PHONE: (618) 327-8119AULD, DEBORAH, PA-C; PROVIDER #: 191028GLAUBER, WALTER R., ARNP; PROVIDER #: 147236E-PRESCRIBE: NO
GOFORTH, GARY A., DOGENDER: MPROVIDER #: 210218NPI #: 1114913746E-PRESCRIBE: NOFAMILY PHYSICIANS OF SOUTHERN ILLINOIS1245 S MILL STNASHVILLE, IL 62263PHONE: (618) 327-8119AULD, DEBORAH, PA-C; PROVIDER #: 191028GLAUBER, WALTER R., ARNP; PROVIDER #: 147236E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
ARLA-POLAVARAPU, LATHA P., DO
GENDER: FPROVIDER #: 179436NPI #: 1578548921E-PRESCRIBE: NOPROVENA MEDICAL GROUP410 E LINCOLN HIGHWAY SUITE 251NEW LENOX, IL 60451PHONE: (815) 485-2541E-PRESCRIBE: NO
FAMILY PRACTICE
COHEN-LEWE, ADAM S., DOGENDER: MPROVIDER #: 225680NPI #: 1831362946E-PRESCRIBE: NOPROVENA MEDICAL GROUP410 E LINCOLN HIGHWAY 251NEW LENOX, IL 60451PHONE: (815) 485-2541E-PRESCRIBE: NO
HINES-MAYS, CRYSTAL D., MD
GENDER: FPROVIDER #: 228631NPI #: 1154348951E-PRESCRIBE: NOPROVENA MEDICAL GROUP410 E LINCOLN HIGHWAY SUITE 251NEW LENOX, IL 60451PHONE: (815) 485-2541E-PRESCRIBE: NO
PEDIATRICS
DECKER, HEATHER A., MDGENDER: FPROVIDER #: 225572NPI #: 1336114529E-PRESCRIBE: NOPROVENA MEDICAL GROUP188 W ILLINOIS HIGHWAYNEW LENOX, IL 60451PHONE: E-PRESCRIBE: NO
PATTERSON, LEE V., MDGENDER: MPROVIDER #: 179797NPI #: 1700905981E-PRESCRIBE: NOPROVENA MEDICAL GROUP188 W ILLINOIS HIGHWAYNEW LENOX, IL 60451PHONE: (815) 463-0951E-PRESCRIBE: NO
FAMILY PRACTICE
CUNNINGTON, WALTER H., MD
GENDER: MPROVIDER #: 133335NPI #: 1811024508E-PRESCRIBE: NOCOMMUNITY MEDICAL CLINIC OF NAKOMIS120 S CEDARNOKOMIS, IL 62075PHONE: (217) 562-2544E-PRESCRIBE: NO
NASHVILLE, IL
NEW LENOX, IL
NOKOMIS, IL
MOWEAQUA, ILNOKOMIS, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
8181
81
TEODORO, CATHERINE D., MD
GENDER: FPROVIDER #: 225034NPI #: 1720373574E-PRESCRIBE: YESCOMMUNITY MEDICAL CLINIC120 S CEDARNOKOMIS, IL 62075PHONE: (217) 562-2544E-PRESCRIBE: YES
ADULT/INTERNAL MEDICINE
BURR, JOHN, MDGENDER: MPROVIDER #: 240838NPI #: 1770535940E-PRESCRIBE: NOADVOCATE BROMENN MEDICAL CENTER1304 FRANKLIN AVENORMAL, IL 61761PHONE: (309) 268-5717E-PRESCRIBE: NO
FAVILA, MARLITO P., MDGENDER: MPROVIDER #: 094716NPI #: 1114945912E-PRESCRIBE: NOADVOCATE BROMENN FAMILY HEALTH CLINIC1300 FRANKLIN AVE SUITE 100NORMAL, IL 61761PHONE: (309) 268-3761E-PRESCRIBE: NO
ADVOCATE WOUND HEALING CENTER1302 FRANKLIN AVE LL OF THE MED OFFICE BLDGNORMAL, IL 61761PHONE: (309) 268-2920E-PRESCRIBE: NO
HALPERIN, CAROLINE, DOGENDER: FPROVIDER #: 120776NPI #: 1912928805E-PRESCRIBE: NOCENTER FOR WOUND HEALING & HYPERBARIC MEDICINE1302 FRANKLIN AVE MOB LLNORMAL, IL 61761PHONE: (309) 268-2920E-PRESCRIBE: NO
HEALTHPOINT1437 E COLLEGE AVENORMAL, IL 61761PHONE: (309) 454-4411E-PRESCRIBE: NO
SUGAR CREEK MEDICAL1302 FRANKLIN AVE SUITE 1100NORMAL, IL 61761PHONE: (309) 268-2727E-PRESCRIBE: NO1302 FRANKLIN AVE SUITE 2500NORMAL, IL 61761PHONE: (309) 268-2727E-PRESCRIBE: NO
HALPERIN, IRA L., DOGENDER: MPROVIDER #: 032944NPI #: 1548352107E-PRESCRIBE: NOOSF WOUND CARE CLINIC2200 FORT JESSE RD SUITE 220NORMAL, IL 61761PHONE: (309) 661-6230E-PRESCRIBE: NO
PANOPIO, PHOEBE B., MDGENDER: FPROVIDER #: 087906NPI #: 1710070289E-PRESCRIBE: NOAMBULATORY MEDICAL ASSOCIATES2010 JACOBSSEN DRNORMAL, IL 61761PHONE: (309) 888-4009E-PRESCRIBE: NO
YAMBAY VALIENTE, LIZA C., MD
GENDER: FPROVIDER #: 248099NPI #: 1881840080E-PRESCRIBE: NOAMG/AHHC BROMENN1302 FRANKLIN AVE SUITE 2100NORMAL, IL 61761PHONE: E-PRESCRIBE: NO
FAMILY PRACTICE
AKWA, KARLA R., MDGENDER: FPROVIDER #: 153891NPI #: 1225059413E-PRESCRIBE: NOINTEGRATIVE HEALTH FOR WOMEN1300 FRANKLIN AVE SUITE 181NORMAL, IL 61761PHONE: (309) 268-2640E-PRESCRIBE: NO
NORMAL, IL
NOKOMIS, ILNORMAL, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
82
BUFFEY, TIMOTHY J., DOGENDER: MPROVIDER #: 152701NPI #: 1164422663E-PRESCRIBE: NOADVOCATE BROMENN FAMILY HEALTH CLINIC1300 FRANKLIN AVE SUITE 100NORMAL, IL 61761PHONE: (309) 268-3791E-PRESCRIBE: NO
ADVOCATE BROMENN HOSPITALISTS1300 FRANKLIN AVE SUITE 380NORMAL, IL 61761PHONE: (309) 268-3590E-PRESCRIBE: NO
CARRINGTON, SCOTT L., MDGENDER: MPROVIDER #: 119823NPI #: 1164513719E-PRESCRIBE: NOOSF MEDICAL GROUP2200 FORT JESSE RD SUITE 110NORMAL, IL 61761PHONE: (309) 661-6290E-PRESCRIBE: NO
CROWE, ALEX, MDGENDER: MPROVIDER #: 016591NPI #: 1235157066E-PRESCRIBE: NOADVOCATE MEDICAL GROUP1302 FRANKLIN AVE MOB LLNORMAL, IL 61761PHONE: (309) 268-2920E-PRESCRIBE: NO1302 FRANKLIN AVE SUITE 1100NORMAL, IL 61761PHONE: (309) 268-2727E-PRESCRIBE: NO
1302 FRANKLIN AVE SUITE 2500NORMAL, IL 61761PHONE: (309) 268-2727E-PRESCRIBE: NO1437 E COLLEGE AVENORMAL, IL 61761PHONE: (309) 454-4411E-PRESCRIBE: NO
DJAGARIAN, ARTUR, MDGENDER: MPROVIDER #: 173513NPI #: 1598971137E-PRESCRIBE: NOADVOCATE MEDICAL GROUP1302 FRANKLIN AVE LL OF THE MED OFFICE BLDGNORMAL, IL 61761PHONE: (309) 451-2920E-PRESCRIBE: NO1302 FRANKLIN AVE SUITE 1100NORMAL, IL 61761PHONE: (309) 268-2727E-PRESCRIBE: NO1302 FRANKLIN AVE SUITE 2500NORMAL, IL 61761PHONE: (309) 268-2727E-PRESCRIBE: NO1437 E COLLEGE AVENORMAL, IL 61761PHONE: (309) 454-4411E-PRESCRIBE: NO
DOWDEN, LAWRENCE M., MD
GENDER: MPROVIDER #: 145181NPI #: 1740380385E-PRESCRIBE: NOOSF PROMPTCARE2200 FORT JESSE RD SUITE 110NORMAL, IL 61761PHONE: (309) 661-6280E-PRESCRIBE: NO
HAUTER, MARCIA, MDGENDER: FPROVIDER #: 068806NPI #: 1548288327E-PRESCRIBE: NOSUGAR CREEK MEDICAL1302 FRANKLIN AVE SUITE 1100NORMAL, IL 61761PHONE: (309) 268-2727E-PRESCRIBE: NO
JANI, JYOTIR H., MDGENDER: MPROVIDER #: 086122NPI #: 1790877835E-PRESCRIBE: NOOSF MEDICAL GROUP2200 FORT JESSE RD SUITE 110NORMAL, IL 61761PHONE: (309) 661-6290E-PRESCRIBE: NO
KETTERING, TODD, MDGENDER: MPROVIDER #: 166336NPI #: 1972619526E-PRESCRIBE: NOADVOCATE BROMENN FAMILY HEALTH CLINIC1300 FRANKLIN AVE SUITE 100NORMAL, IL 61761PHONE: (309) 268-3791E-PRESCRIBE: NO
ADVOCATE BROMENN HOSPITALISTS1300 FRANKLIN AVE SUITE 250NORMAL, IL 61761PHONE: (309) 268-5052E-PRESCRIBE: NO1300 FRANKLIN AVE SUITE 380NORMAL, IL 61761PHONE: (309) 268-3590E-PRESCRIBE: NO
NORMAL, ILNORMAL, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
8383
83
LIU, JOSEPH H., MDGENDER: MPROVIDER #: 107949NPI #: 1669564738E-PRESCRIBE: NOOSF MEDICAL GROUP2200 FORT JESSE RD SUITE 110NORMAL, IL 61761PHONE: (309) 661-6290E-PRESCRIBE: NO
MADUGULA, MADHAVI, MDGENDER: PROVIDER #: 154798NPI #: 1144266065E-PRESCRIBE: NOOSF MEDICAL GROUP2200 FORT JESSE RD SUITE 110NORMAL, IL 61761PHONE: (309) 661-6290E-PRESCRIBE: NO
MOORE, SAM A., DOGENDER: MPROVIDER #: 087708NPI #: 1972516797E-PRESCRIBE: NOOSF PROMPTCARE2200 FT JESSE RD SUITE 110NORMAL, IL 61761PHONE: (309) 661-6280E-PRESCRIBE: NO
MROCZKO, MARK, MDGENDER: MPROVIDER #: 142287NPI #: 1528089885E-PRESCRIBE: NOADVOCATE BROMENN FAMILY HEALTH CLINIC1300 FRANKLIN AVE SUITE 100NORMAL, IL 61761PHONE: (309) 268-3761E-PRESCRIBE: NO
MUSTARD, MICHAEL R., MDGENDER: MPROVIDER #: 184070NPI #: 1295826675E-PRESCRIBE: NOADVOCATE MEDICAL GROUP1302 FRANKLIN AVE SUITE 1100NORMAL, IL 61761PHONE: (309) 451-2920E-PRESCRIBE: NO1302 FRANKLIN AVE SUITE 2500NORMAL, IL 61761PHONE: (309) 268-2727E-PRESCRIBE: NO1437 E COLLEGE AVENORMAL, IL 61761PHONE: (309) 268-2490E-PRESCRIBE: NO
NASEER, JIBRAN, MDGENDER: MPROVIDER #: 226420NPI #: 1821261892E-PRESCRIBE: NOOSF MEDICAL GROUP2200 FORT JESSE RD SUITE 110NORMAL, IL 61761PHONE: (309) 661-6290E-PRESCRIBE: NO
ORWIG, STACY C., MDGENDER: FPROVIDER #: 185662NPI #: 1982826384E-PRESCRIBE: NOADVOCATE MEDICAL GROUP1302 FRANKLIN AVE LL OF THE MED OFFICE BLDGNORMAL, IL 61761PHONE: (309) 451-2920E-PRESCRIBE: NO
1302 FRANKLIN AVE SUITE 1100NORMAL, IL 61761PHONE: (309) 268-2727E-PRESCRIBE: NO1302 FRANKLIN AVE SUITE 2500NORMAL, IL 61761PHONE: (309) 268-2727E-PRESCRIBE: NO1437 E COLLEGE AVENORMAL, IL 61761PHONE: (309) 454-4411E-PRESCRIBE: NO
PETERS, CARL N., MDGENDER: MPROVIDER #: 072614NPI #: 1053403915E-PRESCRIBE: NOOSF MEDICAL GROUP2200 FORT JESSE RD SUITE 110NORMAL, IL 61761PHONE: (309) 661-6290E-PRESCRIBE: NO
RANJAN, SUMIT, MDGENDER: MPROVIDER #: 185156NPI #: 1578786943E-PRESCRIBE: NOADVOCATE MEDICAL GROUP1302 FRANKLIN AVE LL OF THE MED OFFICE BLDGNORMAL, IL 61761PHONE: (309) 451-2920E-PRESCRIBE: NO1302 FRANKLIN AVE SUITE 1100NORMAL, IL 61761PHONE: (309) 268-2727E-PRESCRIBE: NO1302 FRANKLIN AVE SUITE 2500NORMAL, IL 61761PHONE: (309) 268-2727E-PRESCRIBE: NO
NORMAL, ILNORMAL, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
84
1437 E COLLEGE AVENORMAL, IL 61761PHONE: (309) 454-4411E-PRESCRIBE: NO
SHEPPARD, SUSAN J., MDGENDER: FPROVIDER #: 054077NPI #: 1598857278E-PRESCRIBE: NOOSF MEDICAL GROUP2200 FORT JESSE RD SUITE 110NORMAL, IL 61761PHONE: (309) 661-6290E-PRESCRIBE: NO
SMITH, BONNIE J., MDGENDER: FPROVIDER #: 145996NPI #: 1306865084E-PRESCRIBE: NOADVOCATE BROMENN FAMILY HEALTH CLINIC1300 FRANKLIN AVE SUITE 100NORMAL, IL 61761PHONE: (309) 268-3761E-PRESCRIBE: NO
STEVENS, JENNIFER E., MDGENDER: FPROVIDER #: 239592NPI #: 1043412893E-PRESCRIBE: NOOSF PROMPTCARE2200 FORT JESSE RD SUITE 100NORMAL, IL 61761PHONE: (309) 661-6280E-PRESCRIBE: NO
VALES, JAMES S., MDGENDER: MPROVIDER #: 137076NPI #: 1083724405E-PRESCRIBE: NOADVOCATE MEDICAL GROUP1302 FRANKLIN AVE SUITE 1100NORMAL, IL 61761PHONE: (309) 268-2727E-PRESCRIBE: NO
WELCH, ELAINE R., MDGENDER: FPROVIDER #: 186065NPI #: 1922206929E-PRESCRIBE: NOOSF MEDICAL GROUP2200 FORT JESSE RD SUITE 110NORMAL, IL 61761PHONE: (309) 661-6290E-PRESCRIBE: NO
PEDIATRICS
EBREO, ADAM, DOGENDER: MPROVIDER #: 133819NPI #: 1225144553E-PRESCRIBE: NOADVOCATE MEDICAL GROUP1302 FRANKLIN AVE SUITE 1100NORMAL, IL 61761PHONE: (309) 268-2727E-PRESCRIBE: NO
KANE, ANDREA M., MDGENDER: FPROVIDER #: 147935NPI #: 1285804724E-PRESCRIBE: NOADVOCATE MEDICAL GROUP1302 FRANKLIN AVE SUITE 2500NORMAL, IL 61761PHONE: (309) 268-2770E-PRESCRIBE: NO
TILLMAN, ANITA, MDGENDER: FPROVIDER #: 076746NPI #: 1821016502E-PRESCRIBE: NOADVOCATE MEDICAL GROUP1302 FRANKLIN AVE SUITE 1100NORMAL, IL 61761PHONE: (309) 268-2727E-PRESCRIBE: NO1302 FRANKLIN AVE SUITE 2500NORMAL, IL 61761PHONE: (309) 268-2770E-PRESCRIBE: NO
TRAEGER, AARON R., MDGENDER: MPROVIDER #: 181861NPI #: 1083890156E-PRESCRIBE: NOADVOCATE MEDICAL GROUP1302 FRANKLIN AVE SUITE 2500NORMAL, IL 61761PHONE: (309) 268-2770E-PRESCRIBE: NO
NORMAL, ILNORMAL, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
8585
85
FAMILY PRACTICE
GOFORTH, GARY A., DOGENDER: MPROVIDER #: 210218NPI #: 1114913746E-PRESCRIBE: NOFAMILY PHYSICIANS OF SOUTHERN ILLINOIS205 EAST BELLEVILLE STOKAWVILLE, IL 62271PHONE: (618) 327-8119E-PRESCRIBE: NO
FAMILY PRACTICE
SHETH, MANSI C., DOGENDER: FPROVIDER #: 244946NPI #: 1669600870E-PRESCRIBE: NODREYER CLINIC OSWEGO80 TEMPLETON DROSWEGO, IL 60543PHONE: (630) 554-3456E-PRESCRIBE: NO
FAMILY PRACTICE
MACKE, STEVEN, MDGENDER: MPROVIDER #: 243295NPI #: 1609867373E-PRESCRIBE: NOFAMILY MEDICAL CENTER727 E COURT STPARIS, IL 61944PHONE: (217) 465-8911E-PRESCRIBE: NO
FAMILY PRACTICE
BARK, GEORGE A., MDGENDER: MPROVIDER #: 195800NPI #: 1487665071E-PRESCRIBE: NOPAXTON CLINIC227 N MARKET STPAXTON, IL 60957PHONE: (217) 379-4864E-PRESCRIBE: NO
FOELLNER, RICHARD P., DOGENDER: MPROVIDER #: 007767NPI #: 1487659074E-PRESCRIBE: YESTHE PAXTON CLINIC227 N MARKET STPAXTON, IL 60957PHONE: (217) 379-4864OAKLEY, LISA, FNP; PROVIDER #: 074339E-PRESCRIBE: YES
HENRICHS, JEREMY W., MDGENDER: MPROVIDER #: 100925NPI #: 1154326759E-PRESCRIBE: YESTHE PAXTON CLINIC227 N MARKET STPAXTON, IL 60957PHONE: (217) 379-4864E-PRESCRIBE: YES
RAY, BERNADETTE M., MDGENDER: FPROVIDER #: 156869NPI #: 1164634267E-PRESCRIBE: NOTHE PAXTON CLINIC227 N MARKET STPAXTON, IL 60957PHONE: (217) 379-4864E-PRESCRIBE: NO
RAY, DARRIN M., MDGENDER: MPROVIDER #: 161876NPI #: 1679785778E-PRESCRIBE: YES227 N MARKET STPAXTON, IL 60957PHONE: (217) 379-4864E-PRESCRIBE: YES
THE PAXTON CLINICGENDER: PROVIDER #: 042672NPI #: 1396945960E-PRESCRIBE: NO227 N MARKETPAXTON, IL 60957PHONE: (217) 379-4864E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
AHMED, SAROSH, MDGENDER: FPROVIDER #: 169204NPI #: 1295994606E-PRESCRIBE: NOFAMILY HEALTH CENTER OF PEKIN19 OLT AVEPEKIN, IL 61554PHONE: (309) 353-6301E-PRESCRIBE: NO
AMANULLAH, JAMALUDDIN F., MD
GENDER: MPROVIDER #: 219864NPI #: 1184673147E-PRESCRIBE: YESCOMPREHENSIVE HEALTHCARE PC2401 BROADWAY STPEKIN, IL 61554PHONE: (309) 349-3175E-PRESCRIBE: YES
OKAWVILLE, IL
OSWEGO, IL
PARIS, IL
PAXTON, IL
PEKIN, IL
OKAWVILLE, ILPEKIN, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
86
HONAN, MICHAEL P., MDGENDER: MPROVIDER #: 229519NPI #: 1255424750E-PRESCRIBE: YESINTERNAL MEDICINE ASSOCIATES OF PEKIN600 S 13TH ST SUITE EPEKIN, IL 61554PHONE: (309) 353-0473E-PRESCRIBE: YES
LINDELL, JOHN R., MDGENDER: MPROVIDER #: 004584NPI #: 1548212517E-PRESCRIBE: NOFAMILY HEALTH CENTER OF PEKIN19 OLT AVEPEKIN, IL 61554PHONE: (309) 353-6301ROBISON, KIRK B., PA-C; PROVIDER #: 084014E-PRESCRIBE: NO
VON BUN, FRIEDRICH J., MDGENDER: MPROVIDER #: 010760NPI #: 1760489306E-PRESCRIBE: NOPEKIN PULMONARY CLINIC1327 EXECUTIVE COURTPEKIN, IL 61554PHONE: (309) 353-5864E-PRESCRIBE: NO
FAMILY PRACTICE
DUENSING, WILLIAM, DOGENDER: MPROVIDER #: 210918NPI #: 1982673190E-PRESCRIBE: YESMILLER FAMILY MEDICINE SC1503 VALLE VISTA BLVDPEKIN, IL 61554PHONE: (309) 353-6225E-PRESCRIBE: YES
FISHER II, CURTIS W., DOGENDER: MPROVIDER #: 081959NPI #: 1710941331E-PRESCRIBE: NOPEKIN FAMILY PRACTICE2355 BROADWAY STPEKIN, IL 61554PHONE: (309) 347-2700E-PRESCRIBE: NO
KABATAY-LEE HO, MARIA T., MD
GENDER: FPROVIDER #: 088922NPI #: 1174560353E-PRESCRIBE: NOPARK COURT FAMILY PRACTICE600 S 13TH ST SUITE IPEKIN, IL 61554PHONE: (309) 346-1102E-PRESCRIBE: NO
KHAN, MOHAMMED M., MDGENDER: MPROVIDER #: 238609NPI #: 1679703797E-PRESCRIBE: YESFAMILY HEALTH CENTER OF PEKIN19 OLT AVEPEKIN, IL 61554PHONE: (309) 353-6301E-PRESCRIBE: YES
MILLER, KEVIN E., DOGENDER: MPROVIDER #: 154610NPI #: 1770589012E-PRESCRIBE: NOMILLER FAMILY MEDICINE SC1503 VALLE VISTA BLVDPEKIN, IL 61554PHONE: (309) 353-6225E-PRESCRIBE: NO
MULTANI, SUKHWINDER S., MD
GENDER: MPROVIDER #: 168541NPI #: 1518176601E-PRESCRIBE: NOFAMILY HEALTH CENTER OF PEKIN19 OLT AVEPEKIN, IL 61554PHONE: (309) 353-6301E-PRESCRIBE: NO
SISON JR, GENEROSO N., MD
GENDER: MPROVIDER #: 156548NPI #: 1609085273E-PRESCRIBE: NOPROHEALTH FAMILY MEDICINE600 S 13TH ST SUITE IPEKIN, IL 61554PHONE: (309) 346-1102HARTMAN, JESSICA, APN; PROVIDER #: 233666E-PRESCRIBE: NO
SUMER, VOLKAN, DOGENDER: MPROVIDER #: 048335NPI #: 1730185125E-PRESCRIBE: NOILLINOIS CENTERS FOR PAIN & REHAB SC1491 VALLEY VISTA BLVDPEKIN, IL 61554PHONE: (309) 347-4277E-PRESCRIBE: NO
PEKIN, ILPEKIN, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
8787
87
PEDIATRICS
BOWMAN, REGINALD, DOGENDER: MPROVIDER #: 203021NPI #: 1316101892E-PRESCRIBE: NOPEKIN PEDIATRIC CENTER600 S 13TH ST SUITE APEKIN, IL 61554PHONE: (309) 347-2191E-PRESCRIBE: NO
KHAN, MOHAMMED A., MDGENDER: MPROVIDER #: 168542NPI #: 1396953485E-PRESCRIBE: NOPROHEALTH PEDIATRICS3223 GRIFFIN AVEPEKIN, IL 61554PHONE: (309) 353-1822OBERLE, BUFFI S., NP; PROVIDER #: 166305E-PRESCRIBE: NO
SWITZER-HUNTER, ERIKA L., MD
GENDER: FPROVIDER #: 100831NPI #: 1891749198E-PRESCRIBE: NOPROHEALTH PEDIATRICS3223 GRIFFIN AVEPEKIN, IL 61554PHONE: (309) 353-1822OBERLE, BUFFI S., NP; PROVIDER #: 166305E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
SIDLER, G GENE, MDGENDER: MPROVIDER #: 057275NPI #: 1396844932E-PRESCRIBE: NOPROCTOR FIRST CARE1120 E WAR MEMORIAL DRPEORIA HEIGHTS, IL 61616PHONE: (309) 685-4411E-PRESCRIBE: NO
FAMILY PRACTICE
AUSFAHL, JAMES D., MDGENDER: MPROVIDER #: 016137NPI #: 1518058619E-PRESCRIBE: NOPROCTOR FIRST CARE1120 E WAR MEMORIAL DRPEORIA HEIGHTS, IL 61616PHONE: (309) 685-4411E-PRESCRIBE: NO
HARMS, JAY S., MDGENDER: MPROVIDER #: 051654NPI #: 1518075282E-PRESCRIBE: NOPROCTOR FIRST CARE1120 E WAR MEMORIAL DRPEORIA HEIGHTS, IL 61616PHONE: (309) 685-4411E-PRESCRIBE: NO
MONTEFOLKA, MARK P., MDGENDER: MPROVIDER #: 103596NPI #: 1114026754E-PRESCRIBE: NOPROCTOR FIRST CARE1120 E WAR MEMORIAL DRPEORIA HEIGHTS, IL 61616PHONE: (309) 685-4411E-PRESCRIBE: NO
MUSAITIF, ZIAD A., DOGENDER: MPROVIDER #: 062698NPI #: 1316909328E-PRESCRIBE: NOPROCTOR FIRST CARE1120 E WAR MEMORIAL DRPEORIA HEIGHTS, IL 61616PHONE: (309) 685-4411E-PRESCRIBE: NO
PATEL, JUMUNA, MDGENDER: FPROVIDER #: 113913NPI #: 1033200928E-PRESCRIBE: NOPROCTOR FIRST CARE1120 E WAR MEMORIAL DRPEORIA HEIGHTS, IL 61616PHONE: (309) 685-4411E-PRESCRIBE: NO
POPP, RICHARD J., MDGENDER: MPROVIDER #: 010782NPI #: 1194790675E-PRESCRIBE: NOPROCTOR FIRST CARE1120 E WAR MEMORIAL DRPEORIA HEIGHTS, IL 61616PHONE: (309) 685-4411E-PRESCRIBE: NO
PRITZKER, EDWARD B., MDGENDER: MPROVIDER #: 008440NPI #: 1588763122E-PRESCRIBE: NOPROCTOR FIRST CARE1120 E WAR MEMORIAL DRPEORIA HEIGHTS, IL 61616PHONE: (309) 685-4411E-PRESCRIBE: NO
PEORIA HEIGHTS, IL
PEKIN, ILPEORIA HEIGHTS, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
88
SAMUEL, ELDON M., MDGENDER: MPROVIDER #: 111572NPI #: 1427149210E-PRESCRIBE: NOPROCTOR FIRST CARE1120 E WAR MEMORIAL DRPEORIA HEIGHTS, IL 61616PHONE: (309) 685-4411E-PRESCRIBE: NO
SIAL, MUHAMMED I., MDGENDER: MPROVIDER #: 100173NPI #: 1447212469E-PRESCRIBE: NOPROCTOR FIRST CARE1120 E WAR MEMORIAL DRPEORIA HEIGHTS, IL 61616PHONE: (309) 685-4411E-PRESCRIBE: NO
STETTER, MATTHEW, DOGENDER: MPROVIDER #: 059603NPI #: 1205935848E-PRESCRIBE: NOPROCTOR FIRST CARE1120 E WAR MEMORIAL DRPEORIA HEIGHTS, IL 61616PHONE: (309) 685-4411E-PRESCRIBE: NO
SUMNER, RONALD E., MDGENDER: MPROVIDER #: 077488NPI #: 1710078563E-PRESCRIBE: NOPROCTOR FIRST CARE1120 E WAR MEMORIAL DRPEORIA HEIGHTS, IL 61616PHONE: (309) 685-4411E-PRESCRIBE: NO
XIE, YANG, MDGENDER: MPROVIDER #: 133526NPI #: 1346257128E-PRESCRIBE: NOPROCTOR FIRST CARE1120 E WAR MEMORIAL DRPEORIA HEIGHTS, IL 61616PHONE: (309) 685-4411E-PRESCRIBE: NO
ADOLESCENT MEDICINE
HORNDASCH, RICHARD, MDGENDER: MPROVIDER #: 026199NPI #: 1134198856E-PRESCRIBE: NOU OF I COLLEGE OF MEDICINE420 NE GLEN OAK AVE SUITE 401PEORIA, IL 61603PHONE: (309) 655-3863E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
ADAMS, JAMES K., MDGENDER: MPROVIDER #: 043590NPI #: 1275613689E-PRESCRIBE: NOOSF MEDICAL GROUP8600 N STATE ROUTE 91 SUITE 130PEORIA, IL 61615PHONE: (309) 683-5050E-PRESCRIBE: NO
AGARWAL, ANITA, MDGENDER: FPROVIDER #: 160695NPI #: 1649293226E-PRESCRIBE: NOOSF MEDICAL GROUP5114 N GLEN PARK PLACE RD SUITE 220PEORIA, IL 61614PHONE: (309) 683-8100E-PRESCRIBE: NO
AGARWAL, NARESH K., MDGENDER: PROVIDER #: 160836NPI #: 1538134960E-PRESCRIBE: NOOSF MEDICAL GROUP8600 N STATE ROUTE 91 SUITE 130PEORIA, IL 61615PHONE: (309) 683-5050E-PRESCRIBE: NO
ASAM, TERESA, MDGENDER: FPROVIDER #: 203160NPI #: 1487851184E-PRESCRIBE: NOOSF MEDICAL GROUP5101 N EXECUTIVE DRPEORIA, IL 61614PHONE: (309) 677-0700E-PRESCRIBE: NO
OSF SISTERS COMMUNITY HEALTHCARE CENTER320 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 624-9690E-PRESCRIBE: NO
PEORIA, IL
PEORIA HEIGHTS, ILPEORIA, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
8989
89
BLAIN, TIMOTHY A., MDGENDER: MPROVIDER #: 084086NPI #: 1558451849E-PRESCRIBE: NOOSF MEDICAL GROUP5114 N GLEN PARK PLACE RDPEORIA, IL 61614PHONE: (309) 683-5600E-PRESCRIBE: NO
CHAVALI, MALINI, MDGENDER: PROVIDER #: 080370NPI #: 1245311778E-PRESCRIBE: NOOSF MEDICAL GROUP5114 N GLEN PARK PLACE RD SUITE 220PEORIA, IL 61614PHONE: (309) 683-8100E-PRESCRIBE: NO
COLE, SUSAN J., MDGENDER: FPROVIDER #: 146340NPI #: 1144313388E-PRESCRIBE: YESSUSAN J COLE MD & ASSOCIATES5401 N KNOXVILLE AVE SUITE 105PEORIA, IL 61614PHONE: (309) 691-2311E-PRESCRIBE: YES
GRAVLIN, DEAN A., MDGENDER: MPROVIDER #: 192150NPI #: 1053315861E-PRESCRIBE: NOOSF MEDICAL GROUP200 E PENNSYLVANIA AVE SUITE 105PEORIA, IL 61603PHONE: (309) 655-7888E-PRESCRIBE: NO
GULLEY, R MICHAEL, MDGENDER: MPROVIDER #: 160848NPI #: 1316028855E-PRESCRIBE: NOOSF MEDICAL GROUP5114 N GLEN PARK PLACE RD SUITE 220PEORIA, IL 61614PHONE: (309) 683-8100E-PRESCRIBE: NO
HERSHKOWITZ, JEFFERY D., DO
GENDER: MPROVIDER #: 244213NPI #: 1922101104E-PRESCRIBE: NOOSF MEDICAL GROUP5114 N GLEN PARK PLACE RDPEORIA, IL 61614PHONE: (309) 683-8108E-PRESCRIBE: NO
HIGGS, CRAIG L., MDGENDER: MPROVIDER #: 146541NPI #: 1649488925E-PRESCRIBE: NOOSF MEDICAL GROUP5114 N GLEN PARK PLACE RDPEORIA, IL 61614PHONE: (309) 683-5600E-PRESCRIBE: NO
HINZ, ANNE E., MDGENDER: FPROVIDER #: 192185NPI #: 1578750212E-PRESCRIBE: NOOSF MEDICAL GROUP200 E PENNSYLVANIA AVE SUITE 105PEORIA, IL 61603PHONE: (309) 655-7888E-PRESCRIBE: NO
HIPPLER, STEPHEN E., MDGENDER: MPROVIDER #: 050877NPI #: 1659451060E-PRESCRIBE: NOOSF MEDICAL GROUP8600 N STATE ROUTE 91 SUITE 130PEORIA, IL 61615PHONE: (309) 683-5050E-PRESCRIBE: NO
JAGER, MATTHEW D., DOGENDER: MPROVIDER #: 195226NPI #: 1356544472E-PRESCRIBE: NOOSF MEDICAL GROUP5101 N EXECUTIVE DRPEORIA, IL 61614PHONE: (309) 677-0700E-PRESCRIBE: NO
OSF SISTERS COMMUNITY HEALTHCARE CENTER320 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 624-9690E-PRESCRIBE: NO
JAGER, MATTHEW, DOGENDER: MPROVIDER #: 188477NPI #: 1356544472E-PRESCRIBE: NOU OF I COLLEGE OF MEDICINE530 NE GLEN OAK AVEPEORIA, IL 61637PHONE: (309) 655-6428E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
90
JOHNSON, DAVID M., MDGENDER: MPROVIDER #: 192227NPI #: 1235133935E-PRESCRIBE: NOOSF MEDICAL GROUP200 E PENNSYLVANIA AVE SUITE 105PEORIA, IL 61603PHONE: (309) 655-7888E-PRESCRIBE: NO
KNIGHT, REBECCA A., MDGENDER: FPROVIDER #: 057906NPI #: 1437261047E-PRESCRIBE: NOTHE KNIGHT CENTER FOR INTEGRATED HEALTH5401 N KNOXVILLE AVE SUITE 104PEORIA, IL 61614PHONE: (309) 692-0123E-PRESCRIBE: NO
KOURI, THOMAS F., MDGENDER: MPROVIDER #: 070927NPI #: 1568412773E-PRESCRIBE: NO5401 N KNOXVILLE AVE SUITE 204PEORIA, IL 61614PHONE: (309) 689-9088E-PRESCRIBE: NO
MCCREA, RANDOLPH L., MDGENDER: MPROVIDER #: 050139NPI #: 1891885182E-PRESCRIBE: NOOSF MEDICAL GROUP5114 N GLEN PARK PLACE RDPEORIA, IL 61614PHONE: (309) 683-5600E-PRESCRIBE: NO
MCSHANE, GERALD J., MDGENDER: MPROVIDER #: 051670NPI #: 1669553012E-PRESCRIBE: NOOSF HOSPITAL FOLLOW-UP CLINIC5101 N EXECUTIVE DRPEORIA, IL 61614PHONE: (309) 683-9471E-PRESCRIBE: NO
OSF MEDICAL GROUP5114 N GLEN PARK PLACE RD SUITE 220PEORIA, IL 61614PHONE: (309) 683-8100E-PRESCRIBE: NO
OSF MEDICAL GROUP-GLEN PARK INTERNAL MEDICINE5114 N GLEN PARK PLPEORIA, IL 61614PHONE: (309) 683-8100E-PRESCRIBE: NO
OSF MEDICAL GROUP-PEDIATRIC AFTER HOURS CLINIC420 NE GLEN OAK AVE SUITE 201PEORIA, IL 61603PHONE: (888) 627-5673E-PRESCRIBE: NO
MEISTER, ROBERT A., MDGENDER: MPROVIDER #: 008390NPI #: 1114992229E-PRESCRIBE: NOPROCTOR MEDICAL GROUP5401 N KNOXVILLE AVE SUITE 204PEORIA, IL 61614PHONE: (309) 683-1200E-PRESCRIBE: NO
MISCHLER, MATTHEW, MDGENDER: MPROVIDER #: 158639NPI #: 1174747885E-PRESCRIBE: NOU OF I COLLEGE OF MEDICINE530 NE GLEN OAK AVEPEORIA, IL 61637PHONE: (309) 655-6428E-PRESCRIBE: NO
MULCAHEY, KATHRYN A., MDGENDER: FPROVIDER #: 112130NPI #: 1568542975E-PRESCRIBE: NOOSF MEDICAL GROUP8600 N STATE ROUTE 91 SUITE 130PEORIA, IL 61615PHONE: (309) 683-5050BURGENER, TERRI N., ARNP; PROVIDER #: 215899E-PRESCRIBE: NO
NGUYEN, KATHY N., MDGENDER: FPROVIDER #: 134873NPI #: 1730207317E-PRESCRIBE: NOOSF MEDICAL GROUP5114 N GLEN PARK PLACE RDPEORIA, IL 61614PHONE: (309) 683-5600E-PRESCRIBE: NO
NULTY, WILLIAM G., MDGENDER: MPROVIDER #: 052671NPI #: 1639148356E-PRESCRIBE: NOOSF SISTERS COMMUNITY HEALTHCARE CENTER320 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 624-9690E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
9191
91
PAPROCKI, ALEXANDRA A., MD
GENDER: FPROVIDER #: 222798NPI #: 1720242605E-PRESCRIBE: NOOSF MEDICAL GROUP5114 N GLEN PARK PLACE RDPEORIA, IL 61614PHONE: (309) 683-5600E-PRESCRIBE: NO
RISK, ANNE C., MDGENDER: FPROVIDER #: 227938NPI #: 1871754309E-PRESCRIBE: NOOSF MEDICAL GROUP-GLEN PARK5114 N GLEN PARK PLPEORIA, IL 61614PHONE: (309) 683-5600E-PRESCRIBE: NO
RODENBERG, DAVID A., MDGENDER: MPROVIDER #: 050033NPI #: 1417038860E-PRESCRIBE: NOOSF MEDICAL GROUP5114 N GLEN PARK PLACE RD SUITE 220PEORIA, IL 61614PHONE: (309) 683-8100E-PRESCRIBE: NO
OSF MEDICAL GROUP-ADULT AFTER HOURS CLINIC5114 GLEN PARK PLPEORIA, IL 61614PHONE: (309) 683-5600E-PRESCRIBE: NO
OSF MEDICAL GROUP-GLEN PARK INTERNAL MEDICINE5114 N GLEN PARK PLPEORIA, IL 61614PHONE: (309) 683-8100E-PRESCRIBE: NO
RUFUS JR, EDWARD A., MDGENDER: MPROVIDER #: 021404NPI #: 1871597450E-PRESCRIBE: NO5401 N KNOXVILLE AVE SUITE 306PEORIA, IL 61614PHONE: (309) 691-7890E-PRESCRIBE: NO
SABHARWAL, ANITA, MDGENDER: FPROVIDER #: 034333NPI #: 1407829609E-PRESCRIBE: NONORTH PEORIA INTERNAL MEDICINE SC5401 N KNOXVILLE AVE SUITE 207PEORIA, IL 61614PHONE: (309) 692-0400ROSS, JEANNA M., APN; PROVIDER #: 196240E-PRESCRIBE: NO
SALAZAR, VIVIAN W., MDGENDER: FPROVIDER #: 069553NPI #: 1184704595E-PRESCRIBE: NOOSF MEDICAL GROUP8600 N STATE ROUTE 91 SUITE 130PEORIA, IL 61615PHONE: (309) 683-5050E-PRESCRIBE: NO
SEBASTIAN, GEOFFREY R., MD
GENDER: MPROVIDER #: 188456NPI #: 1114991163E-PRESCRIBE: NOOSF MEDICAL GROUP200 E PENNSYLVANIA AVE SUITE 105PEORIA, IL 61603PHONE: (309) 655-7888E-PRESCRIBE: NO
SHALLAT, JOHN S., MDGENDER: MPROVIDER #: 112740NPI #: 1942381306E-PRESCRIBE: NOOSF MEDICAL GROUP5114 N GLEN PARK PLACE RD SUITE 220PEORIA, IL 61614PHONE: (309) 683-8100E-PRESCRIBE: NO
SIDLER, G GENE, MDGENDER: MPROVIDER #: 057275NPI #: 1396844932E-PRESCRIBE: NOPROCTOR FIRST CARE3915 W BARRING TRACEPEORIA, IL 61615PHONE: (309) 689-3030E-PRESCRIBE: NO9118 N LINDBERGH DRPEORIA, IL 61615PHONE: (309) 693-3993E-PRESCRIBE: NO
SMITH, TERRY E., MDGENDER: PROVIDER #: 041992NPI #: 1861582165E-PRESCRIBE: NOOSF MEDICAL GROUP5114 N GLEN PARK PLACE RDPEORIA, IL 61614PHONE: (309) 683-5600E-PRESCRIBE: NO
TIMM, ANGELA L., MDGENDER: FPROVIDER #: 169051NPI #: 1821291287E-PRESCRIBE: NOOSF MEDICAL GROUP5114 N GLEN PARK PLACE RDPEORIA, IL 61614PHONE: (309) 683-5600E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
92
VAZQUEZ-MELENDEZ, ELSA L., MD
GENDER: FPROVIDER #: 195446NPI #: 1356542864E-PRESCRIBE: NOOSF MEDICAL GROUP5101 N EXECUTIVE DRPEORIA, IL 61614PHONE: (309) 677-0700E-PRESCRIBE: NO
YADAV, MANAJYOTI, MDGENDER: MPROVIDER #: 237986NPI #: 1932470044E-PRESCRIBE: NOU OF I COLLEGE OF MEDICINE530 N GLEN OAK AVEPEORIA, IL 61637PHONE: (309) 655-3292E-PRESCRIBE: NO
YANG, HONGMEI, MDGENDER: MPROVIDER #: 233576NPI #: 1083840698E-PRESCRIBE: NOOSF MEDICAL GROUP200 E PENNSYLVANIA AVE SUITE 105PEORIA, IL 61603PHONE: (309) 655-7888E-PRESCRIBE: NO
FAMILY PRACTICE
AGARWAL, DEVASHISH, MDGENDER: MPROVIDER #: 134883NPI #: 1841382298E-PRESCRIBE: NOHEARTLAND COMMUNITY HEALTH CLINIC1701 W GARDEN STPEORIA, IL 61605PHONE: (309) 680-7600E-PRESCRIBE: NO
HEARTLAND COMMUNITY HEALTH CLINIC AT CARVER711 W JOHN H GWYNN JR AVEPEORIA, IL 61605PHONE: (309) 672-5650E-PRESCRIBE: NO
HEARTLAND COMMUNITY HEALTH CLINIC AT EAST BLUFF2321 N WISCONSIN AVEPEORIA, IL 61603PHONE: (309) 681-4606E-PRESCRIBE: NO
BARNETT, JAMES W., MDGENDER: MPROVIDER #: 132039NPI #: 1730103722E-PRESCRIBE: NOHEARTLAND COMMUNITY HEALTH CLINIC1701 W GARDEN STPEORIA, IL 61605PHONE: (309) 680-7600LEMAN, SANDRA, PA; PROVIDER #: 131172E-PRESCRIBE: NO
HEARTLAND COMMUNITY HEALTH CLINIC AT EAST BLUFF2321 N WISCONSIN AVEPEORIA, IL 61603PHONE: (309) 681-4606E-PRESCRIBE: NO
BEVILL, ROBERT S., MDGENDER: MPROVIDER #: 008402NPI #: 1700886280E-PRESCRIBE: NOEAGLE FAMILY MEDICINE2809 W WILLOW KNOLLS SUITE CPEORIA, IL 61614PHONE: (309) 692-6604ESTEP, PATRICIA J., APN; PROVIDER #: 086784E-PRESCRIBE: NO
BHATIA, PREM, MDGENDER: FPROVIDER #: 016142NPI #: 1720179773E-PRESCRIBE: NOPROCTOR FIRST CARE9118 N LINDBERGH DRPEORIA, IL 61615PHONE: (309) 693-3993E-PRESCRIBE: NO
CADET-SAINTILUS, KAREN, MD
GENDER: FPROVIDER #: 158054NPI #: 1003936766E-PRESCRIBE: NOOSF MEDICAL GROUP5111 N GLEN PARK PLACE RDPEORIA, IL 61614PHONE: (309) 683-5700E-PRESCRIBE: NO
CARLSON, WADE D., MDGENDER: MPROVIDER #: 227892NPI #: 1275557498E-PRESCRIBE: NOOSF PROMPTCARE5114 N GLEN PARK PLPEORIA, IL 61614PHONE: (309) 683-2412E-PRESCRIBE: NO
CHAMBERS-DAMM, KRISTEN A., MD
GENDER: FPROVIDER #: 224705NPI #: 1447485693E-PRESCRIBE: NOOSF MEDICAL GROUP8600 N ROUTE 91 SUITE 130PEORIA, IL 61615PHONE: (309) 683-5050E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
9393
93
CLEMENTZ, GREGORY L., MDGENDER: MPROVIDER #: 040395NPI #: 1174605505E-PRESCRIBE: NOOSF MEDICAL GROUP5111 N GLEN PARK PLACE RDPEORIA, IL 61614PHONE: (309) 683-5700E-PRESCRIBE: NO
FORD, KIMBERLY, DOGENDER: FPROVIDER #: 173981NPI #: 1275724866E-PRESCRIBE: NOHEARTLAND COMMUNITY HEALTH CLINIC1701 W GARDEN STPEORIA, IL 61605PHONE: (309) 680-7600E-PRESCRIBE: NO
GILBERT, GEORGE C., MDGENDER: MPROVIDER #: 008444NPI #: 1215021100E-PRESCRIBE: NOSAMARITAN FAMILY MEDICAL SERVICES PC5401 N KNOXVILLE AVE SUITE 215PEORIA, IL 61614PHONE: (309) 689-0044BECKER, BARBARA A., CNP; PROVIDER #: 210732E-PRESCRIBE: NO
GOLEMON, THOMAS B., MDGENDER: MPROVIDER #: 115790NPI #: 1619981370E-PRESCRIBE: NOHEARTLAND COMMUNITY HEALTH CLINIC1701 W GARDEN STPEORIA, IL 61605PHONE: (309) 680-7600E-PRESCRIBE: NO
GRIEBEL, CRAIG P., MDGENDER: MPROVIDER #: 115785NPI #: 1740294347E-PRESCRIBE: NOHEARTLAND COMMUNITY HEALTH CLINIC1701 W GARDEN STPEORIA, IL 61605PHONE: (309) 680-7600E-PRESCRIBE: NO
GROSS, HENRY R., MDGENDER: MPROVIDER #: 020420NPI #: 1023190337E-PRESCRIBE: NOOSF MEDICAL GROUP5111 N GLEN PARK PLACE RDPEORIA, IL 61614PHONE: (309) 683-5700E-PRESCRIBE: NO
HARMS, JAY S., MDGENDER: MPROVIDER #: 051654NPI #: 1518075282E-PRESCRIBE: NOPROCTOR FIRST CARE3915 W BARRING TRACEPEORIA, IL 61615PHONE: (309) 689-3030E-PRESCRIBE: NO9118 N LINDBERGH DRPEORIA, IL 61615PHONE: (309) 693-3993E-PRESCRIBE: NO
HINCKS, KERRY L., DOGENDER: MPROVIDER #: 134902NPI #: 1104847458E-PRESCRIBE: NOOSF MEDICAL GROUP5111 N GLEN PARK PLACE RDPEORIA, IL 61614PHONE: (309) 683-5700E-PRESCRIBE: NO
JACQUES, RENALDO A., MDGENDER: MPROVIDER #: 161991NPI #: 1477528974E-PRESCRIBE: NOHEARTLAND COMMUNITY HEALTH CLINIC1701 W GARDEN STPEORIA, IL 61605PHONE: (309) 680-7600E-PRESCRIBE: NO
HEARTLAND COMMUNITY HEALTH CLINIC AT EAST BLUFF2321 N WISCONSIN AVEPEORIA, IL 61603PHONE: (309) 681-4606E-PRESCRIBE: NO
JOHNSON, LESLIE E., MDGENDER: MPROVIDER #: 010761NPI #: 1336111897E-PRESCRIBE: YESCARDINAL MEDICAL GROUP6339 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 693-3315E-PRESCRIBE: YES
JONGERIUS, N MICHAEL, MDGENDER: MPROVIDER #: 154240NPI #: 1235144056E-PRESCRIBE: NOJUNCTION MEDICAL SC5016 N UNIVERSITY ST SUITE 107PEORIA, IL 61614PHONE: (309) 740-4232E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
94
KIM-KUPFER, CAROLINE, MDGENDER: FPROVIDER #: 195723NPI #: 1083643480E-PRESCRIBE: NOHEARTLAND COMMUNITY HEALTH CLINIC1701 W GARDEN STPEORIA, IL 61605PHONE: (309) 680-7600E-PRESCRIBE: NO
HEARTLAND COMMUNITY HEALTH CLINIC AT EAST BLUFF2321 N WISCONSIN AVEPEORIA, IL 61603PHONE: (309) 680-7600E-PRESCRIBE: NO
LAHOOD, TIMOTHY, MDGENDER: MPROVIDER #: 020269NPI #: 1245223130E-PRESCRIBE: NOMIDWEST FAMILY MEDICAL5401 N KNOXVILLE AVE SUITE 400PEORIA, IL 61614PHONE: (309) 689-0909SHAY, KIM M., NP; PROVIDER #: 212124E-PRESCRIBE: NO
LIZER, ROBERT A., DOGENDER: MPROVIDER #: 026848NPI #: 1184624280E-PRESCRIBE: NO6339 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 693-3315E-PRESCRIBE: NO
MONTEFOLKA, MARK P., MDGENDER: MPROVIDER #: 103596NPI #: 1114026754E-PRESCRIBE: NOPROCTOR FIRST CARE3915 W BARRING TRACEPEORIA, IL 61615PHONE: (309) 689-3030E-PRESCRIBE: NO9118 N LINDBERGH DRPEORIA, IL 61615PHONE: (309) 693-3993E-PRESCRIBE: NO
MOSKOP, GREGORY T., MDGENDER: MPROVIDER #: 157529NPI #: 1033161054E-PRESCRIBE: NOOSF MEDICAL GROUP5111 N GLEN PARK PLACE RDPEORIA, IL 61614PHONE: (309) 683-5700E-PRESCRIBE: NO
MUNGEE, MEGHA, MDGENDER: FPROVIDER #: 160862NPI #: 1760670913E-PRESCRIBE: NOOSF MEDICAL GROUP5111 N GLEN PARK PLACE RDPEORIA, IL 61614PHONE: (309) 683-5700E-PRESCRIBE: NO
MUSAITIF, ZIAD A., DOGENDER: MPROVIDER #: 062698NPI #: 1316909328E-PRESCRIBE: NOPROCTOR FIRST CARE3915 W BARRING TRACEPEORIA, IL 61615PHONE: (309) 893-3030E-PRESCRIBE: NO
9118 N LINDBERGH DRPEORIA, IL 61615PHONE: (309) 693-3993E-PRESCRIBE: NO
NA'ALLAH, RAHMAT, MDGENDER: FPROVIDER #: 186480NPI #: 1730200791E-PRESCRIBE: NOHEARTLAND COMMUNITY HEALTH CLINIC1701 W GARDEN STPEORIA, IL 61605PHONE: (309) 680-7600E-PRESCRIBE: NO
OLORIEGBE, FATIMAH A., MD
GENDER: FPROVIDER #: 185892NPI #: 1760672554E-PRESCRIBE: NOHEARTLAND COMMUNITY HEALTH CLINIC1701 W GARDEN STPEORIA, IL 61605PHONE: (309) 680-7600E-PRESCRIBE: NO
PATEL, JUMUNA, MDGENDER: FPROVIDER #: 113913NPI #: 1033200928E-PRESCRIBE: NOPROCTOR FIRST CARE3915 W BARRING TRACEPEORIA, IL 61615PHONE: (309) 689-3030E-PRESCRIBE: NO9118 N LINDBERGH DRPEORIA, IL 61615PHONE: (309) 693-3993E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
9595
95
POPP, RICHARD J., MDGENDER: MPROVIDER #: 232812NPI #: 1194790675E-PRESCRIBE: NOPROCTOR FIRST CARE3915 W BARRING TRACEPEORIA, IL 61615PHONE: (309) 689-3030E-PRESCRIBE: NO9118 N LINDBERGH DRPEORIA, IL 61615PHONE: (309) 693-3993E-PRESCRIBE: NO
PRITZKER, EDWARD B., MDGENDER: MPROVIDER #: 008440NPI #: 1588763122E-PRESCRIBE: NOPROCTOR FIRST CARE3915 W BARRING TRACEPEORIA, IL 61615PHONE: (309) 689-3030E-PRESCRIBE: NO9118 N LINDBERGH DRPEORIA, IL 61615PHONE: (309) 693-3993E-PRESCRIBE: NO
SAMUEL, ELDON M., MDGENDER: MPROVIDER #: 111572NPI #: 1427149210E-PRESCRIBE: NOPROCTOR FIRST CARE3915 W BARRING TRACEPEORIA, IL 61615PHONE: (309) 689-3030E-PRESCRIBE: NO9118 N LINDBERGH DRPEORIA, IL 61615PHONE: (309) 693-3993E-PRESCRIBE: NO
SAN GERMAN, HENRY S., MDGENDER: MPROVIDER #: 010762NPI #: 1205928397E-PRESCRIBE: YESCARDINAL MEDICAL GROUP6339 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 693-3315E-PRESCRIBE: YES
SHOTICK JR, GEORGE K., MDGENDER: MPROVIDER #: 190106NPI #: 1104941657E-PRESCRIBE: NOHEARTLAND COMMUNITY HEALTH CLINIC1701 W GARDEN STPEORIA, IL 61605PHONE: (309) 680-7600E-PRESCRIBE: NO
SIAL, MUHAMMED I., MDGENDER: MPROVIDER #: 100173NPI #: 1447212469E-PRESCRIBE: NOPROCTOR FIRST CARE3915 W BARRING TRACEPEORIA, IL 61615PHONE: (309) 689-3030E-PRESCRIBE: NO9118 N LINDBERGH DRPEORIA, IL 61615PHONE: (309) 693-3993E-PRESCRIBE: NO
SPRINGER, DAVID G., MDGENDER: MPROVIDER #: 119993NPI #: 1205931318E-PRESCRIBE: NOHEARTLAND COMMUNITY HEALTH CLINIC AT CARVER711 W JOHN H GWYNN JR AVEPEORIA, IL 61605PHONE: (309) 672-5650E-PRESCRIBE: NO
HEARTLAND COMMUNITY HEALTH CLINIC AT EAST BLUFF2321 N WISCONSIN AVEPEORIA, IL 61603PHONE: (309) 681-4606E-PRESCRIBE: NO
STETTER, MATTHEW, DOGENDER: MPROVIDER #: 059603NPI #: 1205935848E-PRESCRIBE: NOPROCTOR FIRST CARE3915 W BARRING TRACEPEORIA, IL 61615PHONE: (309) 689-3030E-PRESCRIBE: NO9118 N LINDBERGH DRPEORIA, IL 61615PHONE: (309) 693-3993E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
96
STONER, GREGG, MDGENDER: MPROVIDER #: 008442NPI #: 1467546218E-PRESCRIBE: NOHEARTLAND COMMUNITY HEALTH CLINIC1701 W GARDEN STPEORIA, IL 61605PHONE: (309) 680-7600LACCI, KATHLEEN, PA; PROVIDER #: 178705LEMAN, SANDRA, PA; PROVIDER #: 131172LEONARDI, DENISE, CNP; PROVIDER #: 115795RAY, JANET, FNP; PROVIDER #: 115806E-PRESCRIBE: NO
HEARTLAND COMMUNITY HEALTH CLINIC AT EAST BLUFF2321 N WISCONSIN AVEPEORIA, IL 61603PHONE: (309) 681-4606E-PRESCRIBE: NO
SUMNER, RONALD E., MDGENDER: MPROVIDER #: 077488NPI #: 1710078563E-PRESCRIBE: NOPROCTOR FIRST CARE3915 W BARRING TRACEPEORIA, IL 61615PHONE: (309) 689-3030E-PRESCRIBE: NO9118 N LINDBERGH DRPEORIA, IL 61615PHONE: (309) 693-3993E-PRESCRIBE: NO
VILATTE, ALAIN W., MDGENDER: MPROVIDER #: 076551NPI #: 1417039736E-PRESCRIBE: NOOSF MEDICAL GROUP5111 N GLEN PARK PLACE RDPEORIA, IL 61614PHONE: (309) 683-5700E-PRESCRIBE: NO
WILLIAMS, LASHUNDA D., MD
GENDER: FPROVIDER #: 134717NPI #: 1629194089E-PRESCRIBE: NOPROCTOR FIRST CARE3915 W BARRING TRACEPEORIA, IL 61615PHONE: (309) 689-3030E-PRESCRIBE: NO
WYNN, KELVIN E., MDGENDER: MPROVIDER #: 165357NPI #: 1104928639E-PRESCRIBE: NOHEARTLAND COMMUNITY HEALTH CLINIC1701 W GARDEN STPEORIA, IL 61605PHONE: (309) 680-7600E-PRESCRIBE: NO
XIE, YANG, MDGENDER: MPROVIDER #: 123374NPI #: 1346257128E-PRESCRIBE: NOPEORIA INTEGRATIVE MEDICAL CENTER LTD4930 N EXECUTIVE DR SUITE APEORIA, IL 61614PHONE: (309) 683-6002E-PRESCRIBE: NO
GENERAL PRACTICE
ALI, SYED M., MDGENDER: MPROVIDER #: 005342NPI #: 1700805439E-PRESCRIBE: NOGLEN AVENUE FAMILY PRACTICE4930 N EXECUTIVE DRPEORIA, IL 61614PHONE: (309) 691-3707E-PRESCRIBE: NO
PEDIATRICS
AL-RAHAWAN, MOHAMAD M., MD
GENDER: MPROVIDER #: 148350NPI #: 1750316923E-PRESCRIBE: NOU OF I COLLEGE OF MEDICINE530 NE GLEN OAK AVEPEORIA, IL 61603PHONE: (309) 624-4945E-PRESCRIBE: NO
ALBARO, CECILIA A., MDGENDER: FPROVIDER #: 248567NPI #: 1497879290E-PRESCRIBE: NOCHILDRENS HOSPITAL OF ILLINOIS MEDICAL GROUP420 NE GLEN OAK AVE SUITE 301PEORIA, IL 61603PHONE: (309) 655-3453E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
9797
97
ALNATOUR, MOURAD, MDGENDER: PROVIDER #: 129805NPI #: 1891734257E-PRESCRIBE: NOOSF MEDICAL GROUP-PEDIATRIC AFTER HOURS CLINIC530 NE GLEN OAK AVEPEORIA, IL 61603PHONE: (309) 655-7951E-PRESCRIBE: NO
AMLANI, AARTI, MDGENDER: FPROVIDER #: 224747NPI #: 1730317454E-PRESCRIBE: NOOSF MEDICAL GROUP-PEDIATRIC AFTER HOURS CLINIC420 NE GLEN OAK AVE SUITE 201PEORIA, IL 61603PHONE: (888) 627-5673E-PRESCRIBE: NO
ASAM, TERESA, MDGENDER: FPROVIDER #: 203160NPI #: 1487851184E-PRESCRIBE: NOOSF MEDICAL GROUP5101 N EXECUTIVE DRPEORIA, IL 61614PHONE: (309) 677-0700E-PRESCRIBE: NO
OSF SISTERS COMMUNITY HEALTHCARE CENTER320 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 624-9690E-PRESCRIBE: NO
BECKER, JASON E., MDGENDER: MPROVIDER #: 136432NPI #: 1922215920E-PRESCRIBE: NOOSF MEDICAL GROUP2900 N KNOXVILLE AVEPEORIA, IL 61603PHONE: (309) 688-3616E-PRESCRIBE: NO
BLAIN, TIMOTHY A., MDGENDER: MPROVIDER #: 084086NPI #: 1558451849E-PRESCRIBE: NOOSF MEDICAL GROUP5114 N GLEN PARK PLACE RDPEORIA, IL 61614PHONE: (309) 683-5600E-PRESCRIBE: NO
BUEHLER, CHRISTINE J., MDGENDER: FPROVIDER #: 077570NPI #: 1902906571E-PRESCRIBE: NOOSF MEDICAL GROUP8600 N STATE ROUTE 91 SUITE 200PEORIA, IL 61615PHONE: (309) 692-1030E-PRESCRIBE: NO
CHATRATH, UMESH, MDGENDER: PROVIDER #: 031655NPI #: 1659336030E-PRESCRIBE: NOU OF I COLLEGE OF MEDICINE320 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 624-9680AUER, NANCY A., NP; PROVIDER #: 084276E-PRESCRIBE: NO
CHRISTISON, AMY, MDGENDER: FPROVIDER #: 212512NPI #: 1720029267E-PRESCRIBE: NOU OF I COLLEGE OF MEDICINE221 NE GLEN OAK AVE 7 WEST STE 401PEORIA, IL 61603PHONE: (309) 672-5522E-PRESCRIBE: NO
DEPPERMANN, MARTE L., MD
GENDER: FPROVIDER #: 188924NPI #: 1962602979E-PRESCRIBE: NOU OF I COLLEGE OF MEDICINE320 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 624-9680E-PRESCRIBE: NO
DESHPANDE, BENALI G., MDGENDER: FPROVIDER #: 150476NPI #: 1841489929E-PRESCRIBE: NOOSF MEDICAL GROUP2900 N KNOXVILLE AVEPEORIA, IL 61603PHONE: (309) 688-3616E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
98
GADEA LOPEZ, MERCEDES, MD
GENDER: FPROVIDER #: 226361NPI #: 1750693867E-PRESCRIBE: NOOSF MEDICAL GROUP-PEDIATRIC AFTER HOURS CLINIC420 NE GLEN OAK AVE SUITE 201PEORIA, IL 61603PHONE: (888) 627-5673E-PRESCRIBE: NO
GALBREATH, JOHN P., MDGENDER: MPROVIDER #: 052526NPI #: 1285724583E-PRESCRIBE: NOOSF MEDICAL GROUP2900 N KNOXVILLE AVEPEORIA, IL 61603PHONE: (309) 688-3616E-PRESCRIBE: NO
HARRIS, JEANNE A., MDGENDER: FPROVIDER #: 064781NPI #: 1295825586E-PRESCRIBE: NOOSF MEDICAL GROUP5101 N EXECUTIVE DRPEORIA, IL 61614PHONE: (309) 677-0700E-PRESCRIBE: NO
HARVEY, MARY A., MDGENDER: FPROVIDER #: 143169NPI #: 1215037890E-PRESCRIBE: YESCARDINAL MEDICAL GROUP6339 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 693-3315E-PRESCRIBE: YES
HO, TERRY A., MDGENDER: MPROVIDER #: 166693NPI #: 1104027572E-PRESCRIBE: NOOSF MEDICAL GROUP8600 N STATE ROUTE 91 SUITE 200PEORIA, IL 61615PHONE: (309) 692-1030E-PRESCRIBE: NO
HORNDASCH, RICHARD, MDGENDER: MPROVIDER #: 026199NPI #: 1134198856E-PRESCRIBE: NOU OF I COLLEGE OF MEDICINE420 NE GLEN OAK AVE SUITE 401PEORIA, IL 61603PHONE: (309) 655-3863E-PRESCRIBE: NO
KENDHARI, HARLEENA K., MD
GENDER: FPROVIDER #: 212475NPI #: 1265629760E-PRESCRIBE: NOU OF I COLLEGE OF MEDICINE320 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 624-9594E-PRESCRIBE: NO
KIM, JI YEON, MDGENDER: FPROVIDER #: 200883NPI #: 1922206135E-PRESCRIBE: NOU OF I COLLEGE OF MEDICINE320 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 624-9680E-PRESCRIBE: NO
KNEPP, MARC D., MDGENDER: MPROVIDER #: 224828NPI #: 1568686277E-PRESCRIBE: NOOSF CONGENITAL HEART CENTER420 NE GLEN OAK AVE SUTIE 301PEORIA, IL 61603PHONE: (309) 655-3453E-PRESCRIBE: NO
LAPKE, JALAYNE, MDGENDER: PROVIDER #: 031658NPI #: 1508837758E-PRESCRIBE: NOU OF I COLLEGE OF MEDICINE320 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 624-9680AUER, NANCY A., NP; PROVIDER #: 084276E-PRESCRIBE: NO
MAJCINA, KATHY A., MDGENDER: FPROVIDER #: 160855NPI #: 1164437729E-PRESCRIBE: NOOSF SISTERS COMMUNITY HEALTHCARE CENTER320 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 624-9690E-PRESCRIBE: NO
MCCARTHY, HEATHER, DOGENDER: FPROVIDER #: 053675NPI #: 1306819289E-PRESCRIBE: YESCARDINAL MEDICAL GROUP6339 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 693-3315E-PRESCRIBE: YES
PEORIA, ILPEORIA, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
9999
99
MCLAUCHLAN, HEATHER, MD
GENDER: FPROVIDER #: 086200NPI #: 1356319479E-PRESCRIBE: NOU OF I COLLEGE OF MEDICINE320 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 624-9680E-PRESCRIBE: NO
NEESE, ALLEN L., MDGENDER: MPROVIDER #: 010780NPI #: 1841261872E-PRESCRIBE: YESCARDINAL MEDICAL GROUP6339 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 693-3315E-PRESCRIBE: YES
NULTY, WILLIAM G., MDGENDER: MPROVIDER #: 052671NPI #: 1639148356E-PRESCRIBE: NOOSF SISTERS COMMUNITY HEALTHCARE CENTER320 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 624-9690E-PRESCRIBE: NO
NULTY, WILLIAM, MDGENDER: MPROVIDER #: 101542NPI #: 1639148356E-PRESCRIBE: NOU OF I COLLEGE OF MEDICINE530 NE GLEN OAK AVEPEORIA, IL 61603PHONE: (309) 655-3863E-PRESCRIBE: NO
OLIPHANT, CHRISTY A., MDGENDER: FPROVIDER #: 137535NPI #: 1184836561E-PRESCRIBE: NOOSF MEDICAL GROUP8600 N STATE ROUTE 91 SUITE 200PEORIA, IL 61615PHONE: (309) 692-1030E-PRESCRIBE: NO
PAPROCKI, ALEXANDRA A., MD
GENDER: FPROVIDER #: 222798NPI #: 1720242605E-PRESCRIBE: NOOSF MEDICAL GROUP5114 N GLEN PARK PLACE RDPEORIA, IL 61614PHONE: (309) 683-5600E-PRESCRIBE: NO
PETRAK, CHANNING, MDGENDER: MPROVIDER #: 086138NPI #: 1952370538E-PRESCRIBE: NOU OF I COLLEGE OF MEDICINE320 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 624-9594E-PRESCRIBE: NO
RISK, ANNE C., MDGENDER: FPROVIDER #: 227938NPI #: 1871754309E-PRESCRIBE: NOOSF MEDICAL GROUP-GLEN PARK5114 N GLEN PARK PLPEORIA, IL 61614PHONE: (309) 683-5600E-PRESCRIBE: NO
SANTORINEOS, DIANE J., DOGENDER: FPROVIDER #: 117367NPI #: 1518991066E-PRESCRIBE: NOOSF MEDICAL GROUP8600 N STATE ROUTE 91 SUITE 200PEORIA, IL 61615PHONE: (309) 692-1030E-PRESCRIBE: NO
SCHULTZ, MARY DRAEGER, MD
GENDER: FPROVIDER #: 159998NPI #: 1730289224E-PRESCRIBE: NOOSF SISTERS COMMUNITY HEALTHCARE CENTER320 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 624-9690E-PRESCRIBE: NO
SHALLAT, SHELLY S., MDGENDER: FPROVIDER #: 107245NPI #: 1184706988E-PRESCRIBE: NOOSF SISTERS COMMUNITY HEALTH CARE CENTER320 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 624-9690E-PRESCRIBE: NO
SIMENAUER, LORI E., MDGENDER: FPROVIDER #: 160898NPI #: 1780670794E-PRESCRIBE: NOOSF MEDICAL GROUP5401 N KNOXVILLE AVE SUITE 104PEORIA, IL 61614PHONE: (309) 692-1496E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
100
OSF MEDICAL GROUP-PEDIATRIC AFTER HOURS CLINIC420 NE GLEN OAK AVE SUITE 201PEORIA, IL 61603PHONE: (888) 627-5673E-PRESCRIBE: NO
TIMM, ANGELA L., MDGENDER: FPROVIDER #: 169051NPI #: 1821291287E-PRESCRIBE: NOOSF MEDICAL GROUP5114 N GLEN PARK PLACE RDPEORIA, IL 61614PHONE: (309) 683-5600E-PRESCRIBE: NO
VAZQUEZ-MELENDEZ, ELSA L., MD
GENDER: FPROVIDER #: 195446NPI #: 1356542864E-PRESCRIBE: NOOSF MEDICAL GROUP5101 N EXECUTIVE DRPEORIA, IL 61614PHONE: (309) 677-0700E-PRESCRIBE: NO
VAZQUEZ-MELENDEZ, ELSA, MD
GENDER: FPROVIDER #: 159694NPI #: 1356542864E-PRESCRIBE: NOU OF I COLLEGE OF MEDICINE530 NE GLEN OAK AVEPEORIA, IL 61603PHONE: (309) 671-3000E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
HYRE, MICHAEL C., MDGENDER: MPROVIDER #: 186217NPI #: 1083713978E-PRESCRIBE: NORIVERSIDE MEDICAL CENTER OF PEOTONE611 DIVISION STPEOTONE, IL 60468PHONE: (708) 258-9058E-PRESCRIBE: NO
PEDIATRICS
JONAS, ROY E., MDGENDER: MPROVIDER #: 071122NPI #: 1760582316E-PRESCRIBE: NORIVERSIDE MEDICAL CENTER OF PEOTONE611 DIVISION STPEOTONE, IL 60468PHONE: (708) 258-9058E-PRESCRIBE: NO
FAMILY PRACTICE
BILYEU, JOE A., MDGENDER: MPROVIDER #: 166012NPI #: 1023230968E-PRESCRIBE: NOMENARD MEDICAL CENTER1 CENTRE DRPETERSBURG, IL 62675PHONE: (217) 632-7761FESEN, TERESA A., FNP; PROVIDER #: 233808E-PRESCRIBE: NO
TELLEZ, MAOXIIM N., MDGENDER: FPROVIDER #: 133655NPI #: 1740311349E-PRESCRIBE: NOMENARD MEDICAL CENTER LLC1 CENTRE DRPETERSBURG, IL 62675PHONE: (217) 632-7761E-PRESCRIBE: NO
THOMPSON, VALERIE S., MDGENDER: FPROVIDER #: 120708NPI #: 1508954926E-PRESCRIBE: NOMENARD MEDICAL CENTER LLC1 CENTRE DRPETERSBURG, IL 62675PHONE: (217) 632-7761E-PRESCRIBE: NO
FAMILY PRACTICE
MANTELL, SUSAN K., MDGENDER: FPROVIDER #: 121371NPI #: 1881651461E-PRESCRIBE: NOCENTER FOR YOUR HEALTH LTD501 N LINCOLN STREETPHILO, IL 61864PHONE: (217) 684-2419E-PRESCRIBE: NO
PEOTONE, IL
PETERSBURG, IL
PHILO, IL
PEORIA, ILPHILO, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
101101
101
FAMILY PRACTICE
LOCKHART, DAVID W., MDGENDER: MPROVIDER #: 175377NPI #: 1619985827E-PRESCRIBE: YESILLINI COMMUNITY HOSPITAL RURAL HEALTH CLINIC321 W WASHINGTONPITTSFIELD, IL 62363PHONE: (217) 285-9447E-PRESCRIBE: YES
WAGONER, CHRISTOPHER, MD
GENDER: MPROVIDER #: 184863NPI #: 1750583506E-PRESCRIBE: NOILLINI COMMUNITY HOSPITAL RURAL HEALTH CLINIC321 W WASHINGTON STPITTSFIELD, IL 62363PHONE: (217) 285-9447E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
PETHKAR, SANJAY, MDGENDER: MPROVIDER #: 041167NPI #: 1134181829E-PRESCRIBE: NOALLIANCE HEALTH13415 S ROUTE 59PLAINFIELD, IL 60544PHONE: (815) 741-7590E-PRESCRIBE: NO
FAMILY PRACTICE
TURK, FARAH R., MDGENDER: FPROVIDER #: 182764NPI #: 1366453839E-PRESCRIBE: NOALLIANCE HEALTH13550 S ROUTE 30 SUITE 100PLAINFIELD, IL 60544PHONE: (815) 741-7590E-PRESCRIBE: NO
FAMILY PRACTICE
ALI, SYEDA, MDGENDER: PROVIDER #: 231498NPI #: 1265732176E-PRESCRIBE: YESKISHWAUKEE PHYSICIANS GROUP11000 E RT 34 SUITE 2PLANO, IL 60545PHONE: (630) 552-9830E-PRESCRIBE: YES
ADULT/INTERNAL MEDICINE
DENNIS, CHARLES A., MDGENDER: MPROVIDER #: 175733NPI #: 1851326508E-PRESCRIBE: NOOSF MEDICAL GROUP1506 W REYNOLDS STPONTIAC, IL 61764PHONE: (815) 844-6123E-PRESCRIBE: NO2500 W REYNOLDS ST SUITE 205PONTIAC, IL 61764PHONE: (815) 842-3633E-PRESCRIBE: NO
PATEL, MUKESH V., MDGENDER: PROVIDER #: 119833NPI #: 1780602946E-PRESCRIBE: NOOSF MEDICAL GROUP2500 W REYNOLDS ST SUITE 203PONTIAC, IL 61764PHONE: (815) 844-5115E-PRESCRIBE: NO
RINKER, JOHN M., MDGENDER: MPROVIDER #: 226351NPI #: 1316173636E-PRESCRIBE: NOOSF MEDICAL GROUP2500 W REYNOLDS ST SUITE 203PONTIAC, IL 61764PHONE: (815) 844-5115E-PRESCRIBE: NO
WHITE, JESSICA L., MDGENDER: FPROVIDER #: 224721NPI #: 1902048986E-PRESCRIBE: NOOSF MEDICAL GROUP2500 W REYNOLDS ST SUITE 203PONTIAC, IL 61764PHONE: (815) 844-5115E-PRESCRIBE: NO
FAMILY PRACTICE
CROWE, ALEX, MDGENDER: MPROVIDER #: 016591NPI #: 1235157066E-PRESCRIBE: NOADVOCATE MEDICAL GROUP1504 C W RENOLDS STPONTIAC, IL 61764PHONE: (815) 842-2893E-PRESCRIBE: NO
PITTSFIELD, IL
PLAINFIELD, IL
PLANO, IL
PONTIAC, IL
PITTSFIELD, ILPONTIAC, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
102
DOWDEN, LAWRENCE M., MD
GENDER: MPROVIDER #: 145181NPI #: 1740380385E-PRESCRIBE: NOOSF MEDICAL GROUP2500 W REYNOLDS ST SUITE 205PONTIAC, IL 61764PHONE: (815) 842-3633E-PRESCRIBE: NO
FERNANDEZ, ANGELITO J., MD
GENDER: PROVIDER #: 052172NPI #: 1700966116E-PRESCRIBE: NOOSF MEDICAL GROUP1506 W REYNOLDS STPONTIAC, IL 61764PHONE: (815) 844-6123E-PRESCRIBE: NO
HOLT, NATHAN P., MDGENDER: PROVIDER #: 169027NPI #: 1518127950E-PRESCRIBE: NOOSF MEDICAL GROUP2500 W REYNOLDS ST SUITE 205PONTIAC, IL 61764PHONE: (815) 844-3633DANIELSON, ANGELA B., PA-C; PROVIDER #: 160732E-PRESCRIBE: NO
LAU, DANIEL S., MDGENDER: MPROVIDER #: 206357NPI #: 1720398480E-PRESCRIBE: NOOSF MEDICAL GROUP2500 W REYNOLDS ST SUITE 205PONTIAC, IL 61764PHONE: (815) 844-3633E-PRESCRIBE: NO
LEMMERT, DAWN R., MDGENDER: FPROVIDER #: 088648NPI #: 1891888145E-PRESCRIBE: NOOSF MEDICAL GROUP2500 W REYNOLDS ST SUITE 205PONTIAC, IL 61764PHONE: (815) 842-3633E-PRESCRIBE: NO
MOY, CALVIN, MDGENDER: MPROVIDER #: 224829NPI #: 1154558732E-PRESCRIBE: NOOSF PROMPTCARE2500 W REYNOLDS STPONTIAC, IL 61764PHONE: (815) 842-2828E-PRESCRIBE: NO
MOY, LACEY D., MDGENDER: FPROVIDER #: 224830NPI #: 1013144021E-PRESCRIBE: NOOSF PROMPT CARE2500 W REYNOLDS STPONTIAC, IL 61764PHONE: (815) 842-2828E-PRESCRIBE: NO
MURPHY, THOMAS C., MDGENDER: MPROVIDER #: 202744NPI #: 1104087394E-PRESCRIBE: NOOSF MEDICAL GROUP1506 W REYNOLDS STPONTIAC, IL 61764PHONE: (815) 844-6123E-PRESCRIBE: NO
NORRIS, STEVEN S., MDGENDER: MPROVIDER #: 077629NPI #: 1316988934E-PRESCRIBE: NOOSF MEDICAL GROUP2500 W REYNOLDS ST SUITE 205PONTIAC, IL 61764PHONE: (815) 842-3633E-PRESCRIBE: NO
ORWIG, STACY C., MDGENDER: FPROVIDER #: 185662NPI #: 1982826384E-PRESCRIBE: NOADVOCATE MEDICAL GROUP1504 C W REYNOLDS STPONTIAC, IL 61764PHONE: (815) 842-2893E-PRESCRIBE: NO
PROEHL, REBECCA A., MDGENDER: FPROVIDER #: 112368NPI #: 1427141787E-PRESCRIBE: NOOSF MEDICAL GROUP1506 W REYNOLDS STPONTIAC, IL 61764PHONE: (815) 844-6123E-PRESCRIBE: NO2500 W REYNOLDS ST SUITE 203PONTIAC, IL 61764PHONE: (815) 844-2001E-PRESCRIBE: NO
OSF PROMPTCARE2500 W REYNOLDS ST SUITE 105PONTIAC, IL 61764PHONE: (815) 842-8501E-PRESCRIBE: NO
PONTIAC, ILPONTIAC, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
103103
103
RANJAN, SUMIT, MDGENDER: MPROVIDER #: 185156NPI #: 1578786943E-PRESCRIBE: NOADVOCATE MEDICAL GROUP1504 C W REYNOLDS STPONTIAC, IL 61764PHONE: (815) 842-2893E-PRESCRIBE: NO
SCHWEIZER, HEATHER D., MD
GENDER: FPROVIDER #: 109519NPI #: 1578656831E-PRESCRIBE: NOOSF MEDICAL GROUP918 E LINCOLN STPONTIAC, IL 61764PHONE: (815) 945-2261E-PRESCRIBE: NO
PEDIATRICS
DENNIS, CHARLES A., MDGENDER: MPROVIDER #: 175733NPI #: 1851326508E-PRESCRIBE: NOOSF MEDICAL GROUP1506 W REYNOLDS STPONTIAC, IL 61764PHONE: (815) 844-6123E-PRESCRIBE: NO2500 W REYNOLDS ST SUITE 205PONTIAC, IL 61764PHONE: (815) 842-3633E-PRESCRIBE: NO
MCCAIG, MISTY C., MDGENDER: FPROVIDER #: 160046NPI #: 1194947663E-PRESCRIBE: NOOSF MEDICAL GROUP2500 W REYNOLDS ST SUITE 107PONTIAC, IL 61764PHONE: (815) 844-6551E-PRESCRIBE: NO
PROEHL, REBECCA A., MDGENDER: FPROVIDER #: 112368NPI #: 1427141787E-PRESCRIBE: NOOSF MEDICAL GROUP1506 W REYNOLDS STPONTIAC, IL 61764PHONE: (815) 844-6123E-PRESCRIBE: NO2500 W REYNOLDS ST SUITE 203PONTIAC, IL 61764PHONE: (815) 844-2001E-PRESCRIBE: NO
OSF PROMPTCARE2500 W REYNOLDS ST SUITE 105PONTIAC, IL 61764PHONE: (815) 842-8501E-PRESCRIBE: NO
FAMILY PRACTICE
ARCHEY, JOANN, MDGENDER: FPROVIDER #: 092396NPI #: 1104831627E-PRESCRIBE: YESCHRISTIE CLINIC209 W BORMAN AVERANTOUL, IL 61866PHONE: (217) 892-9671E-PRESCRIBE: YES
FRANZEN, THOMAS L., MDGENDER: MPROVIDER #: 026213NPI #: 1609895499E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1540 E GROVERANTOUL, IL 61866PHONE: (217) 893-7700E-PRESCRIBE: YES
KAPLAN, BRUCE W., MDGENDER: MPROVIDER #: 000675NPI #: 1790700110E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1540 E GROVERANTOUL, IL 61866PHONE: (217) 893-7700JAHANBIGLAR, NASER, PA; PROVIDER #: 046816E-PRESCRIBE: YES
KRAMER, FRANCES K., MDGENDER: FPROVIDER #: 000148NPI #: 1306865605E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1540 E GROVERANTOUL, IL 61866PHONE: (217) 893-7700E-PRESCRIBE: YES
RUDAWSKI, STEPHEN M., DOGENDER: MPROVIDER #: 119484NPI #: 1053403055E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1540 E GROVERANTOUL, IL 61866PHONE: (217) 893-7700E-PRESCRIBE: YES
RANTOUL, IL
PONTIAC, ILRANTOUL, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
104
SLOCUM, ERICH, DOGENDER: MPROVIDER #: 249250NPI #: 1356625362E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1540 E GROVERANTOUL, IL 61866PHONE: (217) 893-7700E-PRESCRIBE: YES
FAMILY PRACTICE OB
FRANZEN, THOMAS L., MDGENDER: MPROVIDER #: 026213NPI #: 1609895499E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1540 E GROVERANTOUL, IL 61866PHONE: (217) 893-7700E-PRESCRIBE: YES
ADULT/INTERNAL MEDICINE
SAGINS, KENNETH R., MDGENDER: MPROVIDER #: 027202NPI #: 1275633968E-PRESCRIBE: NOSPRINGFIELD CLINIC RIVERTON1275 N 7TH STRIVERTON, IL 62561PHONE: (217) 528-7541E-PRESCRIBE: NO
PEDIATRICS
SAGINS, KENNETH R., MDGENDER: MPROVIDER #: 027202NPI #: 1275633968E-PRESCRIBE: NOSPRINGFIELD CLINIC RIVERTON1275 N 7TH STRIVERTON, IL 62561PHONE: (217) 528-7541E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
HALPERIN, CAROLINE, DOGENDER: FPROVIDER #: 120776NPI #: 1912928805E-PRESCRIBE: NOTOWN & COUNTRY415 W FRONTROANOKE, IL 61561PHONE: (309) 923-7456E-PRESCRIBE: NO
FAMILY PRACTICE
CROWE, ALEX, MDGENDER: MPROVIDER #: 016591NPI #: 1235157066E-PRESCRIBE: NOADVOCATE MEDICAL GROUP415 W FRONTROANOKE, IL 61561PHONE: (309) 923-7456E-PRESCRIBE: NO
DJAGARIAN, ARTUR, MDGENDER: MPROVIDER #: 173513NPI #: 1598971137E-PRESCRIBE: NOADVOCATE MEDICAL GROUP415 W FRONTROANOKE, IL 61561PHONE: (309) 923-7456E-PRESCRIBE: NO
FOGO, SHANE C., MDGENDER: MPROVIDER #: 102295NPI #: 1063446318E-PRESCRIBE: NOADVOCATE MEDICAL GROUP415 W FRONT STROANOKE, IL 61561PHONE: (309) 923-7456E-PRESCRIBE: NO
HUGHES, CHRISTOPHER R., MD
GENDER: MPROVIDER #: 068435NPI #: 1235158924E-PRESCRIBE: NOADVOCATE MEDICAL GROUP415 W FRONT STROANOKE, IL 61561PHONE: (309) 923-7456E-PRESCRIBE: NO
JONES, STEVEN, MDGENDER: MPROVIDER #: 007305NPI #: 1942228101E-PRESCRIBE: NOADVOCATE MEDICAL GROUP415 W FRONT STROANOKE, IL 61561PHONE: (309) 923-7456E-PRESCRIBE: NO
RIVERTON, IL
ROANOKE, IL
RANTOUL, ILROANOKE, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
105105
105
MILLER, DAVID L., MDGENDER: MPROVIDER #: 007309NPI #: 1437178415E-PRESCRIBE: NOADVOCATE MEDICAL GROUP415 W FRONT STROANOKE, IL 61561PHONE: (309) 923-7456E-PRESCRIBE: NO
MROCZKO, MARK, MDGENDER: MPROVIDER #: 122386NPI #: 1528089885E-PRESCRIBE: NOADVOCATE MEDICAL GROUP415 W FRONT STROANOKE, IL 61561PHONE: (309) 923-7456E-PRESCRIBE: NO
MUSTARD, MICHAEL R., MDGENDER: MPROVIDER #: 184070NPI #: 1295826675E-PRESCRIBE: NOADVOCATE MEDICAL GROUP415 W FRONTROANOKE, IL 61561PHONE: (309) 923-7456E-PRESCRIBE: NO
ORWIG, STACY C., MDGENDER: FPROVIDER #: 185662NPI #: 1982826384E-PRESCRIBE: NOADVOCATE MEDICAL GROUP415 W FRONT STROANOKE, IL 61561PHONE: (309) 923-7456E-PRESCRIBE: NO
STEFFEN, SAMUEL E., MDGENDER: MPROVIDER #: 093898NPI #: 1790704435E-PRESCRIBE: NOADVOCATE MEDICAL GROUP415 W FRONTROANOKE, IL 61561PHONE: (309) 923-7456E-PRESCRIBE: NO
STOECKER, BRAD A., MDGENDER: MPROVIDER #: 134493NPI #: 1508887860E-PRESCRIBE: NOOSF MEDICAL GROUP401 N MAIN STROANOKE, IL 61561PHONE: (309) 923-2661E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
GOODMAN, ELI G., MDGENDER: MPROVIDER #: 169162NPI #: 1053405589E-PRESCRIBE: NOSPRINGFIELD PRIORITY CARE400 SATTLEY DRROCHESTER, IL 62563PHONE: (217) 789-1403E-PRESCRIBE: NO
JURANEK, ROBERT H., MDGENDER: MPROVIDER #: 008556NPI #: 1336236264E-PRESCRIBE: NOSPRINGFIELD PRIORITY CARE400 SATTLEY DRROCHESTER, IL 62563PHONE: (217) 789-1403E-PRESCRIBE: NO
TOWNSEND, WINSTON J., MD
GENDER: MPROVIDER #: 043999NPI #: 1003889411E-PRESCRIBE: NOSPRINGFIELD PRIORITY CARE400 SATTLEY DRROCHESTER, IL 62563PHONE: (217) 789-1403E-PRESCRIBE: NO
YU, WILLIAM, MDGENDER: MPROVIDER #: 008558NPI #: 1003903931E-PRESCRIBE: NOSPRINGFIELD PRIORITY CARE400 SATTLEY DRROCHESTER, IL 62563PHONE: (217) 789-1403E-PRESCRIBE: NO
FAMILY PRACTICE
BODDU, LAVANYA, MDGENDER: FPROVIDER #: 158194NPI #: 1851503833E-PRESCRIBE: NOSPRINGFIELD PRIORITY CARE400 SATTLEY DRROCHESTER, IL 62563PHONE: (217) 789-1403E-PRESCRIBE: NO
ROCHESTER, IL
ROANOKE, ILROCHESTER, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
106
MULKANOOR, SHALINI, MDGENDER: FPROVIDER #: 202751NPI #: 1447558390E-PRESCRIBE: NOSPRINGFIELD PRIORITY CARE400 SATTLEY STROCHESTER, IL 62563PHONE: (217) 789-1403E-PRESCRIBE: NO
WIDICUS, DIANA T., MDGENDER: FPROVIDER #: 003147NPI #: 1851471072E-PRESCRIBE: NOSPRINGFIELD PRIORITY CARE400 SATTLEY DRROCHESTER, IL 62563PHONE: (217) 789-1403E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
HAQUE, SYED M., MDGENDER: MPROVIDER #: 072992NPI #: 1720072960E-PRESCRIBE: NOCOMMUNITY HEALTH CARE ROBERT YOUNG CENTER2200 3RD AVENUEROCK ISLAND, IL 61201PHONE: (563) 336-3000E-PRESCRIBE: NO
COMMUNITY HEALTH CARE ROCK ISLAND2750 11TH STREETROCK ISLAND, IL 61201PHONE: (563) 327-2100E-PRESCRIBE: NO
HASSAN, SYED, MDGENDER: MPROVIDER #: 104474NPI #: 1104810886E-PRESCRIBE: NOCOMMUNITY HEALTH CARE ROBERT YOUNG CENTER2200 3RD AVENUEROCK ISLAND, IL 61201PHONE: (563) 336-3000E-PRESCRIBE: NO
COMMUNITY HEALTH CARE ROCK ISLAND2750 11TH STREETROCK ISLAND, IL 61201PHONE: (563) 327-2100E-PRESCRIBE: NO
PANCHOLI, SANJAY S., DOGENDER: MPROVIDER #: 195787NPI #: 1780894816E-PRESCRIBE: NOCOMMUNITY HEALTH CARE INC2750 11TH STROCK ISLAND, IL 61201PHONE: (563) 327-2100ROWE, AMANDA S., CNP; PROVIDER #: 206156E-PRESCRIBE: NO
COMMUNITY HEALTH CARE ROBERT YOUNG CENTER2200 3RD AVEROCK ISLAND, IL 61201PHONE: (563) 336-3000E-PRESCRIBE: NO
SATTI, VINAY V., MDGENDER: MPROVIDER #: 170479NPI #: 1629099726E-PRESCRIBE: NOCOMMUNITY HEALTH CARE ROBERT YOUNG CENTER2200 3RD AVENUEROCK ISLAND, IL 61201PHONE: (563) 336-3000E-PRESCRIBE: NO
COMMUNITY HEALTH CARE ROCK ISLAND2750 11TH STREETROCK ISLAND, IL 61201PHONE: (563) 327-2100E-PRESCRIBE: NO
FAMILY PRACTICE
HAJI-ABDIRAHMAN, HASSAN, MD
GENDER: MPROVIDER #: 227583NPI #: 1972735785E-PRESCRIBE: YESCOMMUNITY HEALTH CARE2750 11TH STROCK ISLAND, IL 61201PHONE: (563) 327-2100E-PRESCRIBE: YES
JIT, SIMRAN, MDGENDER: PROVIDER #: 228478NPI #: 1336473198E-PRESCRIBE: YESCOMMUNITY HEALTH CARE2750 11TH STROCK ISLAND, IL 61201PHONE: (563) 327-2100E-PRESCRIBE: YES
KUMAR, MUKESH, MDGENDER: PROVIDER #: 227592NPI #: 1164756920E-PRESCRIBE: YESCOMMUNITY HEALTH CARE2750 11TH STROCK ISLAND, IL 61201PHONE: (563) 327-2100E-PRESCRIBE: YES
ROBERT YOUNG CENTER2200 3RD AVEROCK ISLAND, IL 61201PHONE: (309) 779-3086E-PRESCRIBE: YES
ROCK ISLAND, IL
ROCHESTER, ILROCK ISLAND, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
107107
107
PEDIATRICS
ENRIQUEZ, BERNARDITA, MD
GENDER: FPROVIDER #: 093469NPI #: 1952395972E-PRESCRIBE: NOCOMMUNITY HEALTH CARE ROBERT YOUNG CENTER2200 3RD AVENUEROCK ISLAND, IL 61201PHONE: (563) 336-3000E-PRESCRIBE: NO
COMMUNITY HEALTH CARE ROCK ISLAND2750 11TH STREETROCK ISLAND, IL 61201PHONE: (563) 327-2100E-PRESCRIBE: NO
KHADKE, NEELAM, MDGENDER: FPROVIDER #: 168617NPI #: 1528222882E-PRESCRIBE: NOCOMMUNITY HEALTH CARE ROBERT YOUNG CENTER2200 3RD AVENUEROCK ISLAND, IL 61201PHONE: (563) 336-3000E-PRESCRIBE: NO
COMMUNITY HEALTH CARE ROCK ISLAND2750 11TH STREETROCK ISLAND, IL 61201PHONE: (563) 327-2100E-PRESCRIBE: NO
KUKREJA, DEEPNA, MDGENDER: FPROVIDER #: 209042NPI #: 1194017913E-PRESCRIBE: NOCOMMUNITY HEALTH CARE ROBERT YOUNG CENTER2200 3RD AVEROCK ISLAND, IL 61201PHONE: (563) 336-3000E-PRESCRIBE: NO
COMMUNITY HEALTH CARE ROCK ISLAND2750 11TH STROCK ISLAND, IL 61201PHONE: (563) 327-2100E-PRESCRIBE: NO
KUKREJA, GAUTAM, MDGENDER: MPROVIDER #: 184580NPI #: 1205151198E-PRESCRIBE: NOCOMMUNITY HEALTH CARE ROBERT YOUNG CENTER2200 3RD AVENUEROCK ISLAND, IL 61201PHONE: (563) 336-3000E-PRESCRIBE: NO
COMMUNITY HEALTH CARE ROCK ISLAND2750 11TH STREETROCK ISLAND, IL 61201PHONE: (563) 327-2100E-PRESCRIBE: NO
NUNNEWAR, SACHIN S., MDGENDER: MPROVIDER #: 167704NPI #: 1114161908E-PRESCRIBE: NOCOMMUNITY HEALTH CARE ROBERT YOUNG CENTER2200 3RD AVENUEROCK ISLAND, IL 61201PHONE: (563) 336-3000E-PRESCRIBE: NO
COMMUNITY HEALTH CARE ROCK ISLAND2750 11TH STREETROCK ISLAND, IL 61201PHONE: (563) 327-2100E-PRESCRIBE: NO
OZAKI, LINDA S., MDGENDER: FPROVIDER #: 065338NPI #: 1053305003E-PRESCRIBE: NOCOMMUNITY HEALTH CARE ROBERT YOUNG CENTER2200 3RD AVENUEROCK ISLAND, IL 61201PHONE: (563) 336-3000E-PRESCRIBE: NO
COMMUNITY HEALTH CARE ROCK ISLAND2750 11TH STREETROCK ISLAND, IL 61201PHONE: (563) 327-2100E-PRESCRIBE: NO
FAMILY PRACTICE
AZMAT, AWAIS, MDGENDER: MPROVIDER #: 227884NPI #: 1205067162E-PRESCRIBE: NOOSF MEDICAL GROUP-SOUTHRIDGE PROMPT CARE4423 MANCHESTER DRROCKFORD, IL 61109PHONE: (815) 394-1391E-PRESCRIBE: NO
ROCKFORD, IL
ROCK ISLAND, ILROCKFORD, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
108
CROWE, SUSAN L., MDGENDER: FPROVIDER #: 204661NPI #: 1982729521E-PRESCRIBE: NONORTHERN ILLINOIS MEDICAL GROUP5301 E STATE STROCKFORD, IL 61108PHONE: (815) 397-8500E-PRESCRIBE: NO
TASHAKORI, MAHTAB, MDGENDER: FPROVIDER #: 172909NPI #: 1508895780E-PRESCRIBE: NOOSF MEDICAL GROUP6830 VILLAGREEN VIEWROCKFORD, IL 61107PHONE: (815) 282-1339E-PRESCRIBE: NO
OSF MEDICAL GROUP AT WALMART3849 NORTHRIDGE DRROCKFORD, IL 61114PHONE: (815) 921-8800E-PRESCRIBE: NO
OSF MEDICAL GROUP-SOUTHRIDGE IMMEDIATE CARE4423 MANCHESTER DRROCKFORD, IL 61109PHONE: (815) 394-1391E-PRESCRIBE: NO
FAMILY PRACTICE
ORWIG, STACY C., MDGENDER: FPROVIDER #: 185662NPI #: 1982826384E-PRESCRIBE: NOADVOCATE MEDICAL GROUP415 W FRONT STROME, IL 61562PHONE: (309) 923-7456E-PRESCRIBE: NO
RANJAN, SUMIT, MDGENDER: MPROVIDER #: 185156NPI #: 1578786943E-PRESCRIBE: NOADVOCATE MEDICAL GROUP415 W FRONT STROME, IL 61562PHONE: (309) 923-7456E-PRESCRIBE: NO
FAMILY PRACTICE
LEONARD, RONALD K., MDGENDER: MPROVIDER #: 042019NPI #: 1760562177E-PRESCRIBE: NOOSF MEDICAL GROUP235 E PENN AVEROSEVILLE, IL 61473PHONE: (309) 426-2128E-PRESCRIBE: NO
FAMILY PRACTICE
COLBERT, JAY R., DOGENDER: MPROVIDER #: 132466NPI #: 1437379021E-PRESCRIBE: NOROSSVILLE MEDICAL CENTER619 N CHICAGO STROSSVILLE, IL 60963PHONE: (217) 748-4141E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
TOWNSEND, WINSTON J., MD
GENDER: MPROVIDER #: 043999NPI #: 1003889411E-PRESCRIBE: NORUSHVILLE RURAL HEALTH225 E CONGRESSRUSHVILLE, IL 62681PHONE: (217) 322-3529HUBER-BARTLETT, SUE, PA; PROVIDER #: 180657E-PRESCRIBE: NO
FAMILY PRACTICE
FORESTIER, LINDA K., MDGENDER: FPROVIDER #: 178154NPI #: 1144339730E-PRESCRIBE: NORUSHVILLE FAMILY PRACTICE233 S CONGRESSRUSHVILLE, IL 62681PHONE: (217) 322-3345E-PRESCRIBE: NO
ROME, IL
ROSEVILLE, IL
ROSSVILLE, IL
RUSHVILLE, IL
ROCKFORD, ILRUSHVILLE, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
109109
109
SARAH D CULBERTSON MEMORIAL HOSPITAL238 S CONGRESSRUSHVILLE, IL 62681PHONE: (217) 322-4321E-PRESCRIBE: NO
WORNYO, JAMES D., MDGENDER: MPROVIDER #: 192999NPI #: 1174790042E-PRESCRIBE: NORUSHVILLE FAMILY PRACTICE CLINIC233 S CONGRESSRUSHVILLE, IL 62681PHONE: (217) 322-3345E-PRESCRIBE: NO
SARAH D CULBERTSON MEMORIAL HOSPITAL238 S CONGRESSRUSHVILLE, IL 62681PHONE: (217) 322-4321E-PRESCRIBE: NO
FAMILY PRACTICE
BROEKHUIZEN, JAMIE C., DOGENDER: FPROVIDER #: 220148NPI #: 1033312442E-PRESCRIBE: NOKISHWAUKEE PHYSICIAN GROUP INC1310 N MAIN ST SUITE 200SANDWICH, IL 60548PHONE: (815) 786-9988E-PRESCRIBE: NO
DELA CRUZ, MAUREEN O., MD
GENDER: FPROVIDER #: 221779NPI #: 1467767566E-PRESCRIBE: NOKISHWAUKEE PHYSICIAN GROUP INC1310 N MAIN ST SUITE 208SANDWICH, IL 60548PHONE: (815) 786-3770E-PRESCRIBE: NO
ENGLEHART, ERIK D., MDGENDER: MPROVIDER #: 208102NPI #: 1679581367E-PRESCRIBE: NOKISHWAUKEE PHYSICIAN GROUP INC1310 N MAIN ST SUITE 200SANDWICH, IL 60548PHONE: (815) 786-9988E-PRESCRIBE: NO224 E RAILROAD STSANDWICH, IL 60548PHONE: (815) 786-7150E-PRESCRIBE: NO
FAMILY PRACTICE
CERNOVICH, RICK S., MDGENDER: MPROVIDER #: 021719NPI #: 1508824723E-PRESCRIBE: NOSHEFFIELD FAMILY MEDICAL CENTER113 S MAIN STSHEFFIELD, IL 61361PHONE: (815) 454-2811E-PRESCRIBE: NO
PRATT, TIMOTHY A., MDGENDER: MPROVIDER #: 184875NPI #: 1073719357E-PRESCRIBE: NOSHEFFIELD FAMILY MEDICAL CENTER113 S MAIN STSHEFFIELD, IL 61361PHONE: (815) 454-2811E-PRESCRIBE: NO
FAMILY PRACTICE
BOWERS, DORIS A., MDGENDER: FPROVIDER #: 163937NPI #: 1275525990E-PRESCRIBE: NO207 S PINESHELBYVILLE, IL 62565PHONE: (217) 774-4305E-PRESCRIBE: NO
OLIGSCHLAEGER, DAVID M., DO
GENDER: MPROVIDER #: 051019NPI #: 1851383418E-PRESCRIBE: NODAVID OLIGSCHLAEGER DO LLC207 S PINE SUITE FSHELBYVILLE, IL 62565PHONE: (217) 774-7883E-PRESCRIBE: NO
SANDWICH, IL
SHEFFIELD, IL
SHELBYVILLE, IL
RUSHVILLE, ILSHELBYVILLE, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
110
GENERAL PRACTICE
DAUZ, URBANO A., MDGENDER: MPROVIDER #: 032062NPI #: 1962435669E-PRESCRIBE: NODAUZ & DAUZ, MDS, SC207 S PINE ST SUITE 6SHELBYVILLE, IL 62565PHONE: (217) 774-5508E-PRESCRIBE: NO
FAMILY PRACTICE
DRAPIZA, LETICIA, MDGENDER: FPROVIDER #: 026854NPI #: 1609963214E-PRESCRIBE: YESSPRINGFIELD CLINIC400 ST JOHNS DRSHERMAN, IL 62684PHONE: (217) 525-4150E-PRESCRIBE: YES
FAMILY PRACTICE
BENIG, VINCENT R., MDGENDER: MPROVIDER #: 182759NPI #: 1487609772E-PRESCRIBE: NOALLIANCE HEALTH1144 W JEFFERSON ST SUITE 200SHOREWOOD, IL 60404PHONE: (815) 741-7590E-PRESCRIBE: NO
PEDIATRICS
JERCINOVIC, SPOMENKA, MD
GENDER: FPROVIDER #: 041146NPI #: 1689637555E-PRESCRIBE: NOJERCINOVIC PEDIATRICS611 W JEFFERSON STSHOREWOOD, IL 60431PHONE: (815) 729-1144E-PRESCRIBE: NO
FAMILY PRACTICE
CHUNG, DAVID T., MDGENDER: MPROVIDER #: 068537NPI #: 1417914557E-PRESCRIBE: NOFAMILY HEALTH CENTRE207A S BURNSSPARTA, IL 62286PHONE: (618) 443-3084MILES, MICHON M., APRN; PROVIDER #: 203699E-PRESCRIBE: NO
COULTER, RUSSELL E., MDGENDER: MPROVIDER #: 047165NPI #: 1548227606E-PRESCRIBE: NOFAMILY HEALTH CENTRE207A S BURNSSPARTA, IL 62286PHONE: (618) 443-3084MILES, MICHON M., APRN; PROVIDER #: 203699E-PRESCRIBE: NO
SALARDA, ELVIRA S., MDGENDER: FPROVIDER #: 028373NPI #: 1114984283E-PRESCRIBE: NOBRADBURY RURAL HEALTH CLINIC211 S BURNSSPARTA, IL 62286PHONE: (618) 443-4889E-PRESCRIBE: NO
SPARTA MEDICAL OFFICE215A S BURNSSPARTA, IL 62286PHONE: (618) 443-3084E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
LUKANCIC, LOUIS R., MDGENDER: MPROVIDER #: 019513NPI #: 1326153651E-PRESCRIBE: NOST MARGARETS HEALTH FAMILY HEALTH CENTER415 E SECOND STSPRING VALLEY, IL 61362PHONE: (815) 664-1595E-PRESCRIBE: NO
MORROW, MICHAEL S., MDGENDER: MPROVIDER #: 073812NPI #: 1013920420E-PRESCRIBE: NOST MARGARETS HEALTH FAMILY HEALTH CENTER415 E SECOND STSPRING VALLEY, IL 61362PHONE: (815) 664-2366E-PRESCRIBE: NO
SHERMAN, IL
SHOREWOOD, IL
SPARTA, IL
SPRING VALLEY, IL
SHELBYVILLE, ILSPRING VALLEY, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
111111
111
MORROW, ROBERT W., MDGENDER: MPROVIDER #: 063399NPI #: 1295747137E-PRESCRIBE: NOFAMILY HEALTH CENTER415 E SECOND STSPRING VALLEY, IL 61362PHONE: (815) 664-2365E-PRESCRIBE: NO600 E FIRST ST 2ND FLRSPRING VALLEY, IL 61362PHONE: (815) 663-2811E-PRESCRIBE: NO
TUN, THAW, MDGENDER: MPROVIDER #: 019463NPI #: 1326142902E-PRESCRIBE: NOST MARGARETS HEALTH SPRING VALLEY CLINIC1302 N GREENWOOD STSPRING VALLEY, IL 61362PHONE: (815) 664-4308E-PRESCRIBE: NO
FAMILY PRACTICE
GRIVETTI, DAMIAN W., MDGENDER: MPROVIDER #: 085841NPI #: 1518970847E-PRESCRIBE: NOST MARGARETS HEALTH SPRING VALLEY CLINIC1302 N GREENWOOD STSPRING VALLEY, IL 61362PHONE: (815) 663-5511E-PRESCRIBE: NO
NORRIS, NICOLE E., MDGENDER: FPROVIDER #: 097129NPI #: 1689679599E-PRESCRIBE: YESST MARGARETS FAMILY HEALTH CLINIC415 E SECOND STSPRING VALLEY, IL 61362PHONE: (815) 663-5981E-PRESCRIBE: YES
SCHLAGHECK, DAVID, MDGENDER: MPROVIDER #: 034636NPI #: 1336255157E-PRESCRIBE: NOST MARGARETS HEALTH FAMILY HEALTH CENTER415 E SECOND STSPRING VALLEY, IL 61362PHONE: (815) 664-2367E-PRESCRIBE: NO
TWANOW, RICHARD, MDGENDER: MPROVIDER #: 019464NPI #: 1366558199E-PRESCRIBE: NOST MARGARETS HEALTH SPRING VALLEY CLINIC1302 N GREENWOOD STSPRING VALLEY, IL 61362PHONE: (815) 663-5511E-PRESCRIBE: NO
FAMILY PRACTICE OB
SCHLAGHECK, DAVID, MDGENDER: MPROVIDER #: 034636NPI #: 1336255157E-PRESCRIBE: NOST MARGARETS HEALTH FAMILY HEALTH CENTER415 E SECOND STSPRING VALLEY, IL 61362PHONE: (815) 664-2367E-PRESCRIBE: NO
PEDIATRICS
GOEL, NEELAM, MDGENDER: FPROVIDER #: 020933NPI #: 1457360828E-PRESCRIBE: NO600 E FIRST STSPRING VALLEY, IL 61362PHONE: (815) 664-5555E-PRESCRIBE: NO
LUKANCIC, LOUIS R., MDGENDER: MPROVIDER #: 019513NPI #: 1326153651E-PRESCRIBE: NOST MARGARETS HEALTH FAMILY HEALTH CENTER415 E SECOND STSPRING VALLEY, IL 61362PHONE: (815) 664-1595E-PRESCRIBE: NO
MORROW, ROBERT W., MDGENDER: MPROVIDER #: 063399NPI #: 1295747137E-PRESCRIBE: NOFAMILY HEALTH CENTER415 E SECOND STSPRING VALLEY, IL 61362PHONE: (815) 664-2365E-PRESCRIBE: NO600 E FIRST ST 2ND FLRSPRING VALLEY, IL 61362PHONE: (815) 663-2811E-PRESCRIBE: NO
VALENCIA, ROSEMARY B., MD
GENDER: FPROVIDER #: 005158NPI #: 1649285362E-PRESCRIBE: NO600 E FIRST STSPRING VALLEY, IL 61362PHONE: (815) 664-2630E-PRESCRIBE: NO
SPRING VALLEY, ILSPRING VALLEY, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
112
ADULT/INTERNAL MEDICINE
ASGHAR, MUHAMMED F., MDGENDER: MPROVIDER #: 184179NPI #: 1447416342E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS751 N RUTLEDGE SUITE 1100SPRINGFIELD, IL 62702PHONE: (217) 545-0182E-PRESCRIBE: NO
BLEYER, JOHN E., MDGENDER: MPROVIDER #: 044783NPI #: 1538166467E-PRESCRIBE: NOKOKE MILL MEDICAL ASSOCIATES LLC3132 OLD JACKSONVILLE RD SUITE 200 & 210SPRINGFIELD, IL 62704PHONE: (217) 862-0800E-PRESCRIBE: NO
BLEYER, LORIE A., MDGENDER: FPROVIDER #: 044784NPI #: 1952308884E-PRESCRIBE: NOKOKE MILL MEDICAL ASSOCIATES LLC3132 OLD JACKSONVILLE RD SUITE 200 & 210SPRINGFIELD, IL 62704-6487PHONE: (217) 862-0800E-PRESCRIBE: NO
BOTTUM, KATHLEEN M., MDGENDER: FPROVIDER #: 079068NPI #: 1124003025E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS751 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-0182E-PRESCRIBE: NO
BOWERS, STEVEN R., MDGENDER: MPROVIDER #: 044785NPI #: 1093713562E-PRESCRIBE: NOKOKE MILL MEDICAL ASSOCIATES LLC3132 OLD JACKSONVILLE RD SUITE 200 & 210SPRINGFIELD, IL 62704-6487PHONE: (217) 862-0800E-PRESCRIBE: NO
BURNS, GEORGE M., MDGENDER: MPROVIDER #: 010479NPI #: 1710957659E-PRESCRIBE: NOCAPITOL HEALTHCARE MEDICAL ASSOCIATES LLC2603 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-0307E-PRESCRIBE: NO
BUSSING, ROBERT C., MDGENDER: MPROVIDER #: 051673NPI #: 1699751354E-PRESCRIBE: NOKOKE MILL MEDICAL ASSOCIATES LLC3132 OLD JACKSONVILLE RD SUITE 200 & 210SPRINGFIELD, IL 62704-6487PHONE: (217) 862-0800E-PRESCRIBE: NO
CHALASANI, PRATIMA, MDGENDER: FPROVIDER #: 228116NPI #: 1477782522E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS INC751 N RUTLEDGE SUITE 1100SPRINGFIELD, IL 62702PHONE: (217) 545-0182E-PRESCRIBE: NO
COMERFORD, MICHAEL V., MD
GENDER: MPROVIDER #: 044786NPI #: 1497753974E-PRESCRIBE: NOKOKE MILL MEDICAL ASSOCIATES LLC3132 OLD JACKSONVILLE RD SUITE 200 & 210SPRINGFIELD, IL 62704-6487PHONE: (217) 862-0800E-PRESCRIBE: NO
CONSTANCE, ERIK, MDGENDER: MPROVIDER #: 062867NPI #: 1427033497E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS751 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-3880E-PRESCRIBE: NO
CRAMER, ROBERT F., MDGENDER: MPROVIDER #: 008548NPI #: 1366451791E-PRESCRIBE: NOPHYSICIANS GROUP ASSOCIATES SC2901 OLD JACKSONVILLE RDSPRINGFIELD, IL 62704PHONE: (217) 698-9722E-PRESCRIBE: NO
SPRINGFIELD, IL
SPRINGFIELD, ILSPRINGFIELD, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
113113
113
DEVANNA, SWAPNA, MDGENDER: FPROVIDER #: 229898NPI #: 1730317827E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS INC751 N RUTLEDGE SUITE 1100SPRINGFIELD, IL 62702PHONE: (217) 545-0182E-PRESCRIBE: NO
DRAKE, TIMOTHY G., MDGENDER: MPROVIDER #: 040222NPI #: 1679679658E-PRESCRIBE: YESSPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541AMIDON, LAURA, NP; PROVIDER #: 060237E-PRESCRIBE: YES
FLORENCE, NICOLE A., MDGENDER: FPROVIDER #: 061200NPI #: 1811983851E-PRESCRIBE: NOKOKE MILL MEDICAL ASSOCIATES LLC3132 OLD JACKSONVILLE RD SUITE 200 & 210SPRINGFIELD, IL 62704-6487PHONE: (217) 862-0800E-PRESCRIBE: NO
GAUEN, RALPH E., MDGENDER: MPROVIDER #: 099927NPI #: 1942219324E-PRESCRIBE: NOPHYSICIANS GROUP ASSOCIATES SC2901 OLD JACKSONVILLE RDSPRINGFIELD, IL 62704PHONE: (217) 698-9722E-PRESCRIBE: NO
GOODMAN, ELI G., MDGENDER: MPROVIDER #: 169162NPI #: 1053405589E-PRESCRIBE: NOLEWIS MEMORIAL CHRISTIAN VILLAGE3500 W WASHINGTONSPRINGFIELD, IL 62711PHONE: (217) 793-4062E-PRESCRIBE: NO
PRIORITY CARE ST JOHNS HEALTH CENTER1100 E LINCOLNSHIRE BLVD SUITE 200SPRINGFIELD, IL 62703PHONE: E-PRESCRIBE: NO
SPRINGFIELD PRIORITY CARE1836 S MACARTHUR BLVDSPRINGFIELD, IL 62704PHONE: (217) 789-1403E-PRESCRIBE: NO3631 S 6TH STSPRINGFIELD, IL 62702PHONE: (217) 789-1403E-PRESCRIBE: NO
HANSEN, MARK E., MDGENDER: MPROVIDER #: 028524NPI #: 1861488801E-PRESCRIBE: NOKOKE MILL MEDICAL ASSOCIATES LLC3132 OLD JACKSONVILLE RD SUITE 200 & 210SPRINGFIELD, IL 62704-6487PHONE: (217) 862-0800E-PRESCRIBE: NO
HARNEY, ALFRED N., MDGENDER: MPROVIDER #: 008550NPI #: 1972512374E-PRESCRIBE: NOPHYSICIANS GROUP ASSOCIATES SC2901 OLD JACKSONVILLE RDSPRINGFIELD, IL 62704PHONE: (217) 698-9722E-PRESCRIBE: NO
HINGLE, SUSAN T., MDGENDER: FPROVIDER #: 060086NPI #: 1124003124E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS751 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-0173E-PRESCRIBE: NO
HLAFKA, MARTHA L., MDGENDER: FPROVIDER #: 247018NPI #: 1215162102E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS INC751 N RUTLEDGE SUITE 1100SPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: NO
HOLDER, LARRY W., MDGENDER: MPROVIDER #: 239321NPI #: 1417914326E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS INC751 N RUTLEDGE SUITE 1100SPRINGFIELD, IL 62702PHONE: (217) 545-0182E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
114
JABEEN, SAYEEDA A., MDGENDER: FPROVIDER #: 132965NPI #: 1891882601E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS751 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-3880E-PRESCRIBE: NO
JOHNSTON, CHAD R., MDGENDER: MPROVIDER #: 237604NPI #: 1538239520E-PRESCRIBE: NOCAPITOL HEALTHCARE MEDICAL ASSOCIATES2603 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-0307E-PRESCRIBE: NO
JURANEK, ROBERT H., MDGENDER: MPROVIDER #: 008556NPI #: 1336236264E-PRESCRIBE: NOHERITAGE MANOR NURSING HOME900 N RUTHLEDGE STSPRINGFIELD, IL 62702PHONE: (217) 789-0930E-PRESCRIBE: NO
LEWIS MEMORIAL CHRISTIAN HOSPITAL3500 W WASHINGTONSPRINGFIELD, IL 62711PHONE: (217) 793-4062E-PRESCRIBE: NO
MEMORIAL HOME HEALTH701 N FIRST STSPRINGFIELD, IL 62781PHONE: (217) 788-3000E-PRESCRIBE: NO
MEMORIAL MEDICAL CENTER701 N FIRST STSPRINGFIELD, IL 62781PHONE: (217) 788-3000E-PRESCRIBE: NO
PRIORITY CARE ST JOHNS HEALTH CENTER1100 E LINCOLNSHIRE BLVD SUITE 200SPRINGFIELD, IL 62703PHONE: E-PRESCRIBE: NO
SPRINGFIELD PRIORITY CARE3631 S 6TH STSPRINGFIELD, IL 62702PHONE: (217) 789-1403E-PRESCRIBE: NO
SPRINGFIELD PRIORITY CARE ATTN PRACTICE MANAGER1836 S MACARTHUR BLVDSPRINGFIELD, IL 62704PHONE: (217) 789-1403E-PRESCRIBE: NO
ST JOHNS HOSPITAL800 E CARPENTERSPRINGFIELD, IL 62769PHONE: (217) 544-6464E-PRESCRIBE: NO
KIM, SOO AH, MDGENDER: FPROVIDER #: 222961NPI #: 1851529929E-PRESCRIBE: NOCAPITOL HEALTHCARE MEDICAL ASSOCIATES LLC2603 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-0307E-PRESCRIBE: NO
KOVACH, REGINA, MDGENDER: FPROVIDER #: 079073NPI #: 1164407169E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS751 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-0182E-PRESCRIBE: NO
KWONG, HELEN D., MDGENDER: FPROVIDER #: 230082NPI #: 1346357886E-PRESCRIBE: NOST JOHNS HEALTH CENTER AT PANTHER CREEK2801 MATHERS RDSPRINGFIELD, IL 62711PHONE: (217) 789-3600E-PRESCRIBE: NO
LAFATA, JAMESGENDER: MPROVIDER #: 091117NPI #: 1407866270E-PRESCRIBE: NOPHYSICIANS GROUP ASSOCIATES SC2901 OLD JACKSONVILLE RDSPRINGFIELD, IL 62704PHONE: (217) 698-9722E-PRESCRIBE: NO
LYTCHAKOV, VLADIMIR A., MD
GENDER: MPROVIDER #: 150901NPI #: 1184617201E-PRESCRIBE: NOSPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
115115
115
MAURER, JOSEPH J., MDGENDER: MPROVIDER #: 110132NPI #: 1265442883E-PRESCRIBE: NOPHYSICIANS GROUP ASSOCIATES2901 OLD JACKSONVILLE RDSPRINGFIELD, IL 62704PHONE: (217) 698-9722E-PRESCRIBE: NO
MCAFEE, CATHY L., MDGENDER: FPROVIDER #: 153951NPI #: 1154579308E-PRESCRIBE: YESSPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
MULLENDORE, MARK, MDGENDER: MPROVIDER #: 054501NPI #: 1275543910E-PRESCRIBE: NOPHYSICIANS GROUP ASSOCIATES SC2901 OLD JACKSONVILLE RDSPRINGFIELD, IL 62704PHONE: (217) 698-9722E-PRESCRIBE: NO
NAWOOR, A RAHMON, MDGENDER: FPROVIDER #: 053751NPI #: 1154331684E-PRESCRIBE: NOPHYSICIANS GROUP ASSOCIATES SC2901 OLD JACKSONVILLE RDSPRINGFIELD, IL 62704PHONE: (217) 698-9722E-PRESCRIBE: NO
NENABER, MICHAEL E., MDGENDER: MPROVIDER #: 184744NPI #: 1497765093E-PRESCRIBE: NOHSHS MEDICAL GROUP INC2801 MATHERS RDSPRINGFIELD, IL 62711PHONE: E-PRESCRIBE: NO
PAPIREDDY, MURALIDHAR R., MD
GENDER: MPROVIDER #: 186817NPI #: 1902136914E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS751 N RUTLEDGE SUITE 1100SPRINGFIELD, IL 62702PHONE: (217) 545-0812E-PRESCRIBE: NO
PITTMAN, DAVID D., MDGENDER: MPROVIDER #: 180758NPI #: 1124052030E-PRESCRIBE: NOSPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: NO
PRASAD, NENI, MDGENDER: PROVIDER #: 053701NPI #: 1730199829E-PRESCRIBE: NOPHYSICIANS GROUP ASSOCIATES SC2901 OLD JACKSONVILLE RDSPRINGFIELD, IL 62704PHONE: (217) 698-9722E-PRESCRIBE: NO
RAMADUGU, RAJEEV, MDGENDER: MPROVIDER #: 233872NPI #: 1235243379E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS INC751 N RUTLEDGE SUITE 1100SPRINGFIELD, IL 62702PHONE: (217) 545-0182E-PRESCRIBE: NO
REA, JOANNA R., MDGENDER: FPROVIDER #: 224548NPI #: 1487631974E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS INC751 N RUTLEDGE SUITE 1100SPRINGFIELD, IL 62702PHONE: (217) 545-0182E-PRESCRIBE: NO
ROBINSON, ROBERT L., MDGENDER: MPROVIDER #: 088063NPI #: 1306833843E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS INC751 N RUTLEDGE SUITE 1100SPRINGFIELD, IL 62702PHONE: (217) 545-0812E-PRESCRIBE: NO
ROSS II, STEWART D., MDGENDER: MPROVIDER #: 189420NPI #: 1437196599E-PRESCRIBE: NOHSHS MEDICAL GROUP PRIMARY CARE2524 FARRAGUT DR SUITE BSPRINGFIELD, IL 62704PHONE: (217) 726-8820E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
116
RULL, GARY, MDGENDER: MPROVIDER #: 078680NPI #: 1154306017E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS751 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-3880E-PRESCRIBE: NO
SALAZAR, LAURA Y., MDGENDER: FPROVIDER #: 186249NPI #: 1336333228E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS751 N RUTLEDGE SUITE 1100SPRINGFIELD, IL 62702PHONE: (217) 545-0182E-PRESCRIBE: NO
SANDERCOCK, DAVID B., MDGENDER: MPROVIDER #: 061220NPI #: 1770556565E-PRESCRIBE: NOKOKE MILL MEDICAL ASSOCIATES LLC3132 OLD JACKSONVILLE RD SUITE 200 & 210SPRINGFIELD, IL 62704-6487PHONE: (217) 862-0800E-PRESCRIBE: NO
SAUNDERS, MARY A., MDGENDER: FPROVIDER #: 011726NPI #: 1255301107E-PRESCRIBE: NOCAPITOL HEALTHCARE MEDICAL ASSOCIATES LLC2603 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-0307E-PRESCRIBE: NO
SHULL, GARY G., MDGENDER: MPROVIDER #: 008112NPI #: 1326148016E-PRESCRIBE: YESSPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541AMIDON, LAURA, NP; PROVIDER #: 060237E-PRESCRIBE: YES
STEWARD, DAVID, MDGENDER: MPROVIDER #: 040335NPI #: 1104801075E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS751 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-0173BAKER, JENNIFER A., CNP; PROVIDER #: 122222E-PRESCRIBE: NO
TABASSUM, VAJEEHA, MDGENDER: FPROVIDER #: 189516NPI #: 1699951582E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS520 N 4TH STSPRINGFIELD, IL 62702PHONE: (217) 757-8100E-PRESCRIBE: NO751 N RUTLEDGE SUITE 1100SPRINGFIELD, IL 62702PHONE: (217) 545-3880E-PRESCRIBE: NO
TODD, CHRISTINE, MDGENDER: FPROVIDER #: 063297NPI #: 1861477747E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS751 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-0182E-PRESCRIBE: NO
TOWNSEND, WINSTON J., MD
GENDER: MPROVIDER #: 043999NPI #: 1003889411E-PRESCRIBE: NOPRIORITY CARE ST JOHNS HEALTH CENTER1100 E LINCOLNSHIRE BLVD SUITE 200SPRINGFIELD, IL 62703PHONE: (217) 789-1403E-PRESCRIBE: NO
SPRINGFIELD PRIORITY CARE3631 S 6TH STSPRINGFIELD, IL 62702PHONE: (217) 789-1403E-PRESCRIBE: NO
SPRINGFIELD PRIORITY CARE ATTN PRACTICE MANAGER1836 S MACARTHUR BLVDSPRINGFIELD, IL 62704PHONE: (217) 789-1403BUSS, KRISTIN R., PA-C; PROVIDER #: 212044ELY, MARY E., FNP; PROVIDER #: 176114E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
117117
117
TSANG, CELINA C., MDGENDER: FPROVIDER #: 055218NPI #: 1447260344E-PRESCRIBE: NOPHYSICIANS GROUP ASSOCIATES SC2901 OLD JACKSONVILLE RDSPRINGFIELD, IL 62704PHONE: (217) 698-9722E-PRESCRIBE: NO
VARGAS, OMAR A., MDGENDER: MPROVIDER #: 197459NPI #: 1639390388E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS751 N RUTLEDGE SUITE 1100SPRINGFIELD, IL 62702PHONE: (217) 545-0182E-PRESCRIBE: NO
VARNEY, ANDREW, MDGENDER: MPROVIDER #: 049197NPI #: 1467437343E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS751 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-0173BLESSMAN, DONNA J., FNP; PROVIDER #: 133769E-PRESCRIBE: NO
VASCONCELLES, CARA E., MD
GENDER: FPROVIDER #: 044787NPI #: 1114992658E-PRESCRIBE: NOKOKE MILL MEDICAL ASSOCIATES LLC3132 OLD JACKSONVILLE RD SUITE 200 & 210SPRINGFIELD, IL 62704-6487PHONE: (217) 862-0800E-PRESCRIBE: NO
VENIGALLA, PRAMILA R., MDGENDER: FPROVIDER #: 073284NPI #: 1093815680E-PRESCRIBE: YESSPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
VERMA, AKSHRA, MDGENDER: FPROVIDER #: 185824NPI #: 1043480304E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS751 N RUTLEDGE SUITE 1100SPRINGFIELD, IL 62702PHONE: (217) 545-0182E-PRESCRIBE: NO
WHITE, NEVILLE, MDGENDER: MPROVIDER #: 008119NPI #: 1861589103E-PRESCRIBE: YESSPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
YU, SIEGFRIED W B W., MDGENDER: MPROVIDER #: 185261NPI #: 1386842565E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS751 N RUTLEDGE SUITE 1100SPRINGFIELD, IL 62702PHONE: (217) 545-0182E-PRESCRIBE: NO
YU, WILLIAM, MDGENDER: MPROVIDER #: 008558NPI #: 1003903931E-PRESCRIBE: NOHSHS MEDICAL GROUP INC2801 MATHERS RDSPRINGFIELD, IL 62711PHONE: (217) 789-3600E-PRESCRIBE: NO
PRIORITY CARE ST JOHNS HEALTH CENTER1100 E LINCOLNSHIRE BLVD SUITE 200SPRINGFIELD, IL 62703PHONE: (217) 789-1403E-PRESCRIBE: NO
SPRINGFIELD PRIORITY CARE1836 S MACARTHUR BLVDSPRINGFIELD, IL 62704PHONE: (217) 789-1403E-PRESCRIBE: NO3631 S 6TH STSPRINGFIELD, IL 62702PHONE: (217) 789-1403E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
118
FAMILY PRACTICE
ALBERS, JANET, MDGENDER: FPROVIDER #: 032830NPI #: 1023006913E-PRESCRIBE: NOSIU CENTER FOR FAMILY MEDICINE520 N 4TH STSPRINGFIELD, IL 62702PHONE: (217) 757-8100ETHERTON, AIRN A., FNPC; PROVIDER #: 163852HANNA, BECKY J., PA-C; PROVIDER #: 069526LEDBETTER, CYNTHIA A., CFNP; PROVIDER #: 052150E-PRESCRIBE: NO5220 S 6TH ST ROAD SUITE 1200SPRINGFIELD, IL 62703PHONE: (217) 757-8100E-PRESCRIBE: NO
ALBRACHT, BRYAN J., DOGENDER: MPROVIDER #: 020836NPI #: 1568572931E-PRESCRIBE: YESSPRINGFIELD CLINIC2200 WABASH AVESPRINGFIELD, IL 62704PHONE: (217) 787-0727COWELL, MARISSA M., PA-C; PROVIDER #: 075433MILNES, JILL L., PA; PROVIDER #: 110851E-PRESCRIBE: YES
ALDRIDGE, TRACY A., MDGENDER: FPROVIDER #: 069137NPI #: 1154310027E-PRESCRIBE: NOSIU CENTER FOR FAMILY MEDICINE520 N 4TH STSPRINGFIELD, IL 62702PHONE: (217) 757-8100SIMS, ZACHARY B., PA-C; PROVIDER #: 146253E-PRESCRIBE: NO5220 S 6TH ST ROAD SUITE 1200SPRINGFIELD, IL 62703PHONE: (217) 757-8100E-PRESCRIBE: NO
BARNHART, AMBER J., MDGENDER: FPROVIDER #: 021096NPI #: 1215926183E-PRESCRIBE: NOSIU CENTER FOR FAMILY MEDICINE520 N 4TH STSPRINGFIELD, IL 62702PHONE: (217) 757-8100E-PRESCRIBE: NO5220 S 6TH ST ROAD SUITE 1200SPRINGFIELD, IL 62703PHONE: (217) 757-8100E-PRESCRIBE: NO
BHUGRA, MUDITA, MDGENDER: FPROVIDER #: 230144NPI #: 1033347216E-PRESCRIBE: NOMEMORIAL MEDICAL CENTER701 N FIRSTSPRINGFIELD, IL 62781PHONE: E-PRESCRIBE: NO
BITAR, GERARD G., MDGENDER: MPROVIDER #: 191078NPI #: 1821222100E-PRESCRIBE: NOPRIORITY CARE ST JOHNS HEALTH CENTER1100 E LINCOLNSHIRE BLVD SUITE 200SPRINGFIELD, IL 62703PHONE: E-PRESCRIBE: NO
SPRINGFIELD PRIORITY CARE2329 N DIRKSEN PKWYSPRINGFIELD, IL 62702PHONE: (217) 789-1403E-PRESCRIBE: NO
BLAND, GEOFFREY A., MDGENDER: MPROVIDER #: 008053NPI #: 1629188958E-PRESCRIBE: YESSPRINGFIELD CLINIC2200 WABASH AVESPRINGFIELD, IL 62704PHONE: (217) 787-0727HARPER, CAROL M., PA; PROVIDER #: 042249E-PRESCRIBE: YES
BODDU, LAVANYA, MDGENDER: FPROVIDER #: 158194NPI #: 1851503833E-PRESCRIBE: NOPRIORITY CARE ST JOHNS HEALTH CENTER1100 E LINCOLNSHIRE BLVD SUITE 200SPRINGFIELD, IL 62703PHONE: E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
119119
119
SPRINGFIELD PRIORITY CARE3631 S 6TH STSPRINGFIELD, IL 62702PHONE: (217) 789-1825E-PRESCRIBE: NO
SPRINGFIELD PRIORITY CARE ATTN PRACTICE MANAGER1836 S MACARTHUR BLVDSPRINGFIELD, IL 62704PHONE: (217) 789-1403E-PRESCRIBE: NO
BRENHAM, CAREYANA M., MD
GENDER: FPROVIDER #: 082376NPI #: 1568451946E-PRESCRIBE: NOSIU CENTER FOR FAMILY MEDICINE520 N 4TH STSPRINGFIELD, IL 62702PHONE: (217) 757-8100E-PRESCRIBE: NO5220 S 6TH ST ROAD SUITE 1200SPRINGFIELD, IL 62703PHONE: (217) 757-8100E-PRESCRIBE: NO
BREWER, MICHAEL, MDGENDER: MPROVIDER #: 008056NPI #: 1588774756E-PRESCRIBE: YESSPRINGFIELD CLINIC2200 WABASH AVESPRINGFIELD, IL 62704PHONE: (217) 787-0727HENDRICKS, JENNIFER A., NP; PROVIDER #: 097269HUDGINS-BREWER, SANDRA, FNP; PROVIDER #: 008560E-PRESCRIBE: YES
BURGE, SUSAN J., DOGENDER: FPROVIDER #: 241832NPI #: 1386848042E-PRESCRIBE: YESPHYSICIANS GROUP ASSOCIATES2901 OLD JACKSONVILLE RDSPRINGFIELD, IL 62704PHONE: (217) 698-9722E-PRESCRIBE: YES
DRAPIZA, LETICIA, MDGENDER: FPROVIDER #: 030468NPI #: E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS701 N WALNUT STSPRINGFIELD, IL 62702PHONE: (217) 757-8137E-PRESCRIBE: NO
DYNDA, MICHAL, MDGENDER: MPROVIDER #: 186488NPI #: 1578749164E-PRESCRIBE: NOSIU CENTER FOR FAMILY MEDICINE520 N 4TH STSPRINGFIELD, IL 62702PHONE: (217) 757-8100E-PRESCRIBE: NO5220 S 6TH ST ROAD SUITE 1200SPRINGFIELD, IL 62703PHONE: (217) 757-8100E-PRESCRIBE: NO
ELLISON, JOSHUA R., MDGENDER: MPROVIDER #: 166828NPI #: 1972716033E-PRESCRIBE: NONORTH DIRKSEN MEDICAL ASSOCIATES LLC3220 ATLANTA STSPRINGFIELD, IL 62707PHONE: (217) 588-7400E-PRESCRIBE: NO
EWART, ROBERT M., MDGENDER: MPROVIDER #: 021446NPI #: 1790774172E-PRESCRIBE: NOSIU CENTER FOR FAMILY MEDICINE520 N 4TH STSPRINGFIELD, IL 62702PHONE: (217) 757-8100E-PRESCRIBE: NO5220 S 6TH ST ROAD SUITE 1200SPRINGFIELD, IL 62703PHONE: (217) 757-8100E-PRESCRIBE: NO
GLEASON, CHRISTOPHER, MD
GENDER: MPROVIDER #: 048442NPI #: 1649269887E-PRESCRIBE: NOSIU CENTER FOR FAMILY MEDICINE520 N 4TH STSPRINGFIELD, IL 62702PHONE: (217) 523-1848E-PRESCRIBE: NO5220 S 6TH ST ROAD SUITE 1200SPRINGFIELD, IL 62703PHONE: (217) 757-8100E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
120
GRAHAM, DAVID B., MDGENDER: MPROVIDER #: 147082NPI #: 1386759264E-PRESCRIBE: NOSIU CENTER FOR FAMILY MEDICINE520 N 4TH STSPRINGFIELD, IL 62702PHONE: (217) 757-8100E-PRESCRIBE: NO5220 S 6TH ST ROAD SUITE 1200SPRINGFIELD, IL 62703PHONE: (217) 757-8100E-PRESCRIBE: NO
HIGUCHI, MASAYA, MDGENDER: MPROVIDER #: 226268NPI #: 1457544892E-PRESCRIBE: NOSIU CENTER FOR FAMILY MEDICINE520 N 4TH STSPRINGFIELD, IL 62702PHONE: (217) 757-8100E-PRESCRIBE: NO5220 S 6TH ST ROAD SUITE 1200SPRINGFIELD, IL 62703PHONE: (217) 757-8100E-PRESCRIBE: NO
KOZAK, STEFAN P., MDGENDER: MPROVIDER #: 008085NPI #: 1265530596E-PRESCRIBE: YESSPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
LANZOTTI, DANIEL E., MDGENDER: MPROVIDER #: 008090NPI #: 1154429330E-PRESCRIBE: NOSPRINGFIELD CLINIC2200 WABASH AVESPRINGFIELD, IL 62704PHONE: (217) 787-0727ESSLINGER, CONSTANCE L., FNP; PROVIDER #: 030734HAZARD, MINDY L., NP; PROVIDER #: 117745E-PRESCRIBE: NO
LAUSEN, HARALD, DOGENDER: MPROVIDER #: 137464NPI #: 1396878674E-PRESCRIBE: NOSIU CENTER FOR FAMILY MEDICINE520 N 4TH STSPRINGFIELD, IL 62702PHONE: (217) 757-8100E-PRESCRIBE: NO5220 S 6TH ST ROAD SUITE 1200SPRINGFIELD, IL 62703PHONE: (217) 757-8100E-PRESCRIBE: NO
LEE, JOHN K., MDGENDER: MPROVIDER #: 228928NPI #: 1952566184E-PRESCRIBE: NOCAPITOL HEALTHCARE MEDICAL ASSOCIATES2603 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-0307E-PRESCRIBE: NO
SOUTH SIXTH MEDICAL ASSOCIATES LLC2950 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 588-7450E-PRESCRIBE: NO
LEWIS, STEVEN J., MDGENDER: MPROVIDER #: 135575NPI #: 1598763880E-PRESCRIBE: NOSPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: NO
LOESEL, LAURA L., MDGENDER: FPROVIDER #: 198591NPI #: 1295827566E-PRESCRIBE: NOSIU CENTER FOR FAMILY MEDICINE520 N 4TH STSPRINGFIELD, IL 62702PHONE: (217) 757-8100E-PRESCRIBE: NO5220 S 6TH ST ROAD SUITE 1200SPRINGFIELD, IL 62703PHONE: (217) 757-8100E-PRESCRIBE: NO
LOPP, LAURI F., MDGENDER: FPROVIDER #: 120504NPI #: 1831189539E-PRESCRIBE: NOSIU CENTER FOR FAMILY MEDICINE520 N 4TH STSPRINGFIELD, IL 62702PHONE: (217) 757-8100E-PRESCRIBE: NO5220 S 6TH ST ROAD SUITE 1200SPRINGFIELD, IL 62703PHONE: (217) 757-8100E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
121121
121
MCKAY, MARK T., MDGENDER: MPROVIDER #: 027204NPI #: 1013015031E-PRESCRIBE: YESSPRINGFIELD CLINIC2200 WABASH AVESPRINGFIELD, IL 62704PHONE: (217) 787-0727COWELL, MARISSA M., PA-C; PROVIDER #: 075433MILNES, JILL L., PA; PROVIDER #: 110851E-PRESCRIBE: YES
MIROCHA, NICHOLE J., DOGENDER: FPROVIDER #: 133981NPI #: 1457573388E-PRESCRIBE: NOSIU CENTER FOR FAMILY MEDICINE520 N 4TH STSPRINGFIELD, IL 62702PHONE: (217) 757-8100E-PRESCRIBE: NO5220 S 6TH ST ROAD SUITE 1200SPRINGFIELD, IL 62703PHONE: (217) 757-8100E-PRESCRIBE: NO
MORTON, SCOTT, MDGENDER: MPROVIDER #: 008094NPI #: 1407956170E-PRESCRIBE: NOSPRINGFIELD CLINIC2200 WABASH AVESPRINGFIELD, IL 62704PHONE: (217) 787-0727ESSLINGER, CONSTANCE L., FNP; PROVIDER #: 030734HENDRICKS, JENNIFER A., NP; PROVIDER #: 097269MERRILL, BRENDA K., FNP; PROVIDER #: 070191E-PRESCRIBE: NO
MULKANOOR, SHALINI, MDGENDER: FPROVIDER #: 202751NPI #: 1447558390E-PRESCRIBE: NOSPRINGFIELD PRIORITY CARE1100 E LINCOLNSHIRE BLVD SUITE 200SPRINGFIELD, IL 62703PHONE: (217) 789-1403E-PRESCRIBE: NO2329 N DIRKSEN PKWYSPRINGFIELD, IL 62702PHONE: (217) 789-1403E-PRESCRIBE: NO
SPRINGFIELD PRIORITY CARE ATTN PRACTICE MANAGER1836 S MACARTHUR BLVDSPRINGFIELD, IL 62704PHONE: (217) 789-1403E-PRESCRIBE: NO
OBRIEN, DANIEL K., MDGENDER: MPROVIDER #: 010730NPI #: 1356351811E-PRESCRIBE: NOPHYSICIANS GROUP ASSOCIATES SC2901 OLD JACKSONVILLE RDSPRINGFIELD, IL 62704PHONE: (217) 698-9722MORPHEW, SUZANNE, NP; PROVIDER #: 174783E-PRESCRIBE: NO
PHILLIPS, PAUL W., MDGENDER: MPROVIDER #: 166050NPI #: 1386850071E-PRESCRIBE: NOSPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: NO
RAHMAN, RACHEL L., MDGENDER: FPROVIDER #: 223001NPI #: 1568425353E-PRESCRIBE: NOSIU CENTER FOR FAMILY MEDICINE520 N 4TH STSPRINGFIELD, IL 62702PHONE: (217) 757-8100E-PRESCRIBE: NO5220 S 6TH ST ROAD SUITE 1200SPRINGFIELD, IL 62703PHONE: (217) 757-8100E-PRESCRIBE: NO
RICHARDS, JENNIFER E., MDGENDER: FPROVIDER #: 068918NPI #: 1013017797E-PRESCRIBE: NOSPRINGFIELD CLINIC1100 CENTRE WEST DRSPRINGFIELD, IL 62704PHONE: (217) 793-9960E-PRESCRIBE: NO
SAPETTI, LARRY, MDGENDER: MPROVIDER #: 121987NPI #: 1811929177E-PRESCRIBE: YESSPRINGFIELD CLINIC2200 WABASH AVESPRINGFIELD, IL 62704PHONE: (217) 528-7541E-PRESCRIBE: YES
SCHOENBURG, KIM Y., MDGENDER: FPROVIDER #: 008111NPI #: 1164522850E-PRESCRIBE: YESSPRINGFIELD CLINIC1100 CENTRE WEST DRSPRINGFIELD, IL 62704PHONE: (217) 793-9960E-PRESCRIBE: YES
SPRINGFIELD, ILSPRINGFIELD, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
122
STEGEMAN, JAMES R., MDGENDER: MPROVIDER #: 008113NPI #: 1205936895E-PRESCRIBE: YESSPRINGFIELD CLINIC2200 WABASH AVESPRINGFIELD, IL 62704PHONE: (217) 787-0727STEPHENS, TERESA L., CNP; PROVIDER #: 066225E-PRESCRIBE: YES
THOMAS, CYNTHIA, MDGENDER: FPROVIDER #: 038971NPI #: 1447249875E-PRESCRIBE: NOSIU CENTER FOR FAMILY MEDICINE520 N 4TH STSPRINGFIELD, IL 62702PHONE: (217) 757-8100E-PRESCRIBE: NO5220 S 6TH ST ROAD SUITE 1200SPRINGFIELD, IL 62703PHONE: (217) 757-8100E-PRESCRIBE: NO
THOMPSON, VALERIE S., MDGENDER: FPROVIDER #: 238199NPI #: 1508954926E-PRESCRIBE: NOHSHS MEDICAL GROUP2524 FARRAGUT DR SUITE BSPRINGFIELD, IL 62704PHONE: (217) 726-8820E-PRESCRIBE: NO
VILLAFUERTE, LYDIA S., MDGENDER: FPROVIDER #: 166842NPI #: 1548249469E-PRESCRIBE: YESSOUTH SIXTH MEDICAL ASSOCIATES LLC2950 S SIXTH STSPRINGFIELD, IL 62703PHONE: (217) 588-7450E-PRESCRIBE: YES
WELLS, TABATHA SELINA, MD
GENDER: FPROVIDER #: 229389NPI #: 1992933923E-PRESCRIBE: NOSIU CENTER FOR FAMILY MEDICINE520 N 4TH STSPRINGFIELD, IL 62702PHONE: (217) 757-8100E-PRESCRIBE: NO
WESTERN, JENNIFER, MDGENDER: FPROVIDER #: 008983NPI #: 1407957475E-PRESCRIBE: YESSPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
WESTERN, RANDY, MDGENDER: MPROVIDER #: 008984NPI #: 1760424584E-PRESCRIBE: YESSPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
WIDICUS, DIANA T., MDGENDER: FPROVIDER #: 003147NPI #: 1851471072E-PRESCRIBE: NOSPRINGFIELD PRIORITY CARE1100 E LINCOLNSHIRE BLVD SUITE 200SPRINGFIELD, IL 62703PHONE: (217) 789-1403E-PRESCRIBE: NO3631 S 6TH STSPRINGFIELD, IL 62702PHONE: (217) 789-1403E-PRESCRIBE: NO
SPRINGFIELD PRIORITY CARE-ATTN PRACTICE MANAGER1836 S MACARTHUR BLVDSPRINGFIELD, IL 62704PHONE: (217) 789-1403E-PRESCRIBE: NO
YAFFE, STUART A., MDGENDER: MPROVIDER #: 008123NPI #: 1992806988E-PRESCRIBE: YESSPRINGFIELD CLINIC1100 CENTRE WEST DRSPRINGFIELD, IL 62704PHONE: (217) 793-9960E-PRESCRIBE: YES
YAP, DENNIS D., MDGENDER: MPROVIDER #: 195269NPI #: 1508967597E-PRESCRIBE: NOPHYSICIANS GROUP ASSOCIATES SC2901 OLD JACKSONVILLE RDSPRINGFIELD, IL 62704PHONE: (217) 698-9722E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
123123
123
PEDIATRICS
BATTERMAN, CRAIG E., MDGENDER: MPROVIDER #: 069806NPI #: 1134101769E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS301 N 8TH STSPRINGFIELD, IL 62701PHONE: (217) 545-4238E-PRESCRIBE: NO
BENNETT, GREGORY, MDGENDER: MPROVIDER #: 048421NPI #: 1881677052E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS301 N 8TH STSPRINGFIELD, IL 62701PHONE: (217) 545-7732E-PRESCRIBE: NO
BHAMIDIPATI, PRASANTA, MD
GENDER: FPROVIDER #: 192396NPI #: 1851601462E-PRESCRIBE: NOHSHS MEDICAL GROUP PEDIATRICS-PRAIRIE CROSSING4337 CONESTOGA DRSPRINGFIELD, IL 62711PHONE: (217) 789-3600E-PRESCRIBE: NO
SPRINGFIELD PRIORITY CARE1100 E LINCOLNSHIRE BLVD SUITE 200SPRINGFIELD, IL 62703PHONE: (217) 789-1403E-PRESCRIBE: NO
SPRINGFIELD PRIORTY CARE3631 6TH STSPRINGFIELD, IL 62704PHONE: (217) 789-1411E-PRESCRIBE: NO
BLEYER, JOHN E., MDGENDER: MPROVIDER #: 044783NPI #: 1538166467E-PRESCRIBE: NOKOKE MILL MEDICAL ASSOCIATES LLC3132 OLD JACKSONVILLE RD SUITE 200 & 210SPRINGFIELD, IL 62704PHONE: (217) 862-0800E-PRESCRIBE: NO
BLEYER, LORIE A., MDGENDER: FPROVIDER #: 044784NPI #: 1952308884E-PRESCRIBE: NOKOKE MILL MEDICAL ASSOCIATES LLC3132 OLD JACKSONVILLE RD SUITE 200 & 210SPRINGFIELD, IL 62704-6487PHONE: (217) 862-0800E-PRESCRIBE: NO
BOWERS, STEVEN R., MDGENDER: MPROVIDER #: 044785NPI #: 1093713562E-PRESCRIBE: NOKOKE MILL MEDICAL ASSOCIATES LLC3132 OLD JACKSONVILLE RD SUITE 200 & 210SPRINGFIELD, IL 62704-6487PHONE: (217) 862-0800E-PRESCRIBE: NO
CASTALDO, RAYMOND L., MD
GENDER: MPROVIDER #: 008061NPI #: 1568558484E-PRESCRIBE: YESSPRINGFIELD CLINIC2200 WABASH AVESPRINGFIELD, IL 62704PHONE: (217) 787-0727E-PRESCRIBE: YES
COMERFORD, MICHAEL V., MD
GENDER: MPROVIDER #: 044786NPI #: 1497753974E-PRESCRIBE: NOKOKE MILL MEDICAL ASSOCIATES LLC3132 OLD JACKSONVILLE RD SUITE 200 & 210SPRINGFIELD, IL 62704-6487PHONE: (217) 862-0800E-PRESCRIBE: NO
DELA CRUZ, MARTHE K., MDGENDER: FPROVIDER #: 169164NPI #: 1326257098E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS301 N 8TH STSPRINGFIELD, IL 62701PHONE: (217) 545-4238E-PRESCRIBE: NO
DOLAN, VIRGINIA M., MDGENDER: FPROVIDER #: 009848NPI #: 1912905415E-PRESCRIBE: NOKOKE MILL MEDICAL ASSOCIATES LLC3132 OLD JACKSONVILLE RD SUITE 200 & 210SPRINGFIELD, IL 62704-6487PHONE: (217) 862-0800E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
124
EHRLICH, CHRISTOPHER B., MD
GENDER: MPROVIDER #: 094238NPI #: 1134213820E-PRESCRIBE: YESSPRINGFIELD CLINIC2532 FARRAGUT DRSPRINGFIELD, IL 62704PHONE: (217) 787-9424E-PRESCRIBE: YES
FLORENCE, NICOLE A., MDGENDER: FPROVIDER #: 061200NPI #: 1811983851E-PRESCRIBE: NOKOKE MILL MEDICAL ASSOCIATES LLC3132 OLD JACKSONVILLE RD SUITE 200 & 210SPRINGFIELD, IL 62704-6487PHONE: (217) 862-0800E-PRESCRIBE: NO
GILLISON, CLAUDINE T., MDGENDER: FPROVIDER #: 182717NPI #: 1013126317E-PRESCRIBE: NOSPRINGFIELD CLINIC2532 FARRAGUT DRSPRINGFIELD, IL 62704PHONE: (217) 528-7541E-PRESCRIBE: NO
JOHN, ASHISH, MDGENDER: MPROVIDER #: 166898NPI #: 1346452174E-PRESCRIBE: NOKOKE MILL MEDICAL ASSOCIATES LLC3132 OLD JACKSONVILLE RD SUITE 200 & 210SPRINGFIELD, IL 62704-6487PHONE: (217) 862-0800E-PRESCRIBE: NO
JOHN, TEENA, MDGENDER: FPROVIDER #: 166896NPI #: 1437371010E-PRESCRIBE: NOKOKE MILL MEDICAL ASSOCIATES LLC3132 OLD JACKSONVILLE RD SUITE 200 & 210SPRINGFIELD, IL 62704-6487PHONE: (217) 862-0800E-PRESCRIBE: NO
JONES, TERRY L., MDGENDER: MPROVIDER #: 008080NPI #: 1265530612E-PRESCRIBE: YESSPRINGFIELD CLINIC2200 WABASH AVESPRINGFIELD, IL 62704PHONE: (217) 787-0727KLUNICK, VALERIE A., CPNP; PROVIDER #: 061675YOUNKER, ANGELA G., CNP; PROVIDER #: 183057E-PRESCRIBE: YES
KINK, LYNN M., MDGENDER: FPROVIDER #: 180746NPI #: 1225255847E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS415 N 9TH ST SUITE 4W64SPRINGFIELD, IL 62701PHONE: (217) 545-0003E-PRESCRIBE: NO
LEE, CYNTHIA J., MDGENDER: FPROVIDER #: 181423NPI #: 1649283383E-PRESCRIBE: NOPHYSICIANS GROUP ASSOCIATES SC2901 OLD JACKSONVILLE RDSPRINGFIELD, IL 62704PHONE: (217) 698-9722E-PRESCRIBE: NO
LOWER, TRACY, MDGENDER: MPROVIDER #: 019246NPI #: 1023090578E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS415 N 9TH STSPRINGFIELD, IL 62701PHONE: (214) 545-0003E-PRESCRIBE: NO
MILBRANDT, TRACY P.GENDER: FPROVIDER #: 109485NPI #: 1063494516E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS301 N 8TH STSPRINGFIELD, IL 62701PHONE: (217) 545-7732E-PRESCRIBE: NO
MINER, MICHELLE M., MDGENDER: FPROVIDER #: 076725NPI #: 1285617456E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS301 N 8TH STSPRINGFIELD, IL 62701PHONE: (217) 545-4238E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
125125
125
MURRAY, BARBARA L.GENDER: FPROVIDER #: 131825NPI #: 1376679472E-PRESCRIBE: NOKOKE MILL MEDICAL ASSOCIATES LLC3132 OLD JACKSONVILLE RD SUITE 200 & 210SPRINGFIELD, IL 62704-6487PHONE: (217) 862-0800E-PRESCRIBE: NO
PUCZYNSKI, MARK STANLEY S., MD
GENDER: FPROVIDER #: 116963NPI #: 1477535946E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS301 N 8TH STSPRINGFIELD, IL 62701PHONE: (217) 545-4238E-PRESCRIBE: NO
SANDERCOCK, DAVID B., MDGENDER: MPROVIDER #: 061220NPI #: 1770556565E-PRESCRIBE: NOKOKE MILL MEDICAL ASSOCIATES LLC3132 OLD JACKSONVILLE RD SUITE 200 & 210SPRINGFIELD, IL 62704-6487PHONE: (217) 862-0800E-PRESCRIBE: NO
SAVAGE, VERONICA G., MDGENDER: FPROVIDER #: 014791NPI #: 1447350137E-PRESCRIBE: YESSPRINGFIELD CLINIC2200 WABASH AVESPRINGFIELD, IL 62704PHONE: (217) 787-0727E-PRESCRIBE: YES
STEH, BETH A., MDGENDER: FPROVIDER #: 009849NPI #: 1669572251E-PRESCRIBE: YESSPRINGFIELD CLINIC2200 WABASH AVESPRINGFIELD, IL 62704PHONE: (217) 787-0727E-PRESCRIBE: YES
TAYLOR, JANE K., MDGENDER: FPROVIDER #: 202702NPI #: 1588827588E-PRESCRIBE: NOHSHS MEDICAL GROUP PEDIATRICS-PRAIRIE CROSSING4337 CONESTOGA DRSPRINGFIELD, IL 62711PHONE: (217) 789-3620E-PRESCRIBE: NO
UNAL, SHEREF H., MDGENDER: MPROVIDER #: 136841NPI #: 1730297607E-PRESCRIBE: NOSIU PHYSICIANS & SURGEONS301 N 8TH ST PAV4ASPRINGFIELD, IL 62701PHONE: (217) 545-8000E-PRESCRIBE: NO
VASCONCELLES, CARA E., MD
GENDER: FPROVIDER #: 044787NPI #: 1114992658E-PRESCRIBE: NOKOKE MILL MEDICAL ASSOCIATES LLC3132 OLD JACKSONVILLE RD SUITE 200 & 210SPRINGFIELD, IL 62704-6487PHONE: (217) 862-0800E-PRESCRIBE: NO
VLAHOS, KORINE, MDGENDER: FPROVIDER #: 050433NPI #: 1720053267E-PRESCRIBE: NOKOKE MILL MEDICAL ASSOCIATES LLC3132 OLD JACKSONVILLE RD SUITE 200 & 210SPRINGFIELD, IL 62704-6487PHONE: (217) 862-0800E-PRESCRIBE: NO
FAMILY PRACTICE
PAUL, ALINA, MDGENDER: FPROVIDER #: 124938NPI #: 1225182702E-PRESCRIBE: NOPROVENA MEDICAL GROUP226 E LINCOLNST JOSEPH, IL 61873PHONE: (217) 469-8270E-PRESCRIBE: NO
FAMILY PRACTICE
POOS, JOSHUA D., MDGENDER: MPROVIDER #: 162610NPI #: 1134142540E-PRESCRIBE: NOCOMMUNITY FAMILY PRACTICE325 N CALDWELL STSTAUNTON, IL 62088PHONE: (618) 635-4333E-PRESCRIBE: NO
ST JOSEPH, IL
STAUNTON, IL
SPRINGFIELD, ILSTAUNTON, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
126
FAMILY PRACTICE
PREUSS, MARK D., MDGENDER: MPROVIDER #: 047169NPI #: 1952368110E-PRESCRIBE: NOSTEELEVILLE CLINICNINE WESTWOOD DRSTEELEVILLE, IL 62288PHONE: (618) 965-3466CHAMNESS, KAREN J., PA-C; PROVIDER #: 073739E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
BUKHARI, FAISAL, MDGENDER: MPROVIDER #: 033815NPI #: 1376545509E-PRESCRIBE: NOSULLIVAN FAMILY CARE CENTERTWO W ADAMS STSULLIVAN, IL 61951PHONE: (217) 728-7353MILLER, KIM L., ARNP; PROVIDER #: 089263E-PRESCRIBE: NO
FAMILY PRACTICE
ALLEGA, ROHN S., MDGENDER: MPROVIDER #: 133426NPI #: 1316003098E-PRESCRIBE: NOROHN S ALLEGA MD FAMILY PRACTICE1220 W JACKSON STSULLIVAN, IL 61951PHONE: (217) 728-2042E-PRESCRIBE: NO
COSTERISAN, DENNIS D., DOGENDER: MPROVIDER #: 006574NPI #: 1578565701E-PRESCRIBE: NOSULLIVAN FAMILY CARE2 W ADAMSSULLIVAN, IL 61951PHONE: (217) 728-8329STEWART, JOYA D., APN; PROVIDER #: 223299E-PRESCRIBE: NO
DORNER, MATTHEW J., MDGENDER: MPROVIDER #: 192649NPI #: 1528176880E-PRESCRIBE: NOSBL SULLIVAN CLINIC7 HAWTHORNE LANESULLIVAN, IL 61951PHONE: (217) 728-8441MUNCH, TAMMY, PA-C; PROVIDER #: 137788E-PRESCRIBE: NO
DUST, GLEN, MDGENDER: MPROVIDER #: 004005NPI #: 1477555738E-PRESCRIBE: NOSULLIVAN FAMILY CARE CENTER2 W ADAMS STSULLIVAN, IL 61951PHONE: (217) 728-7353CLAYTON, JACQUELINE R., APRN; PROVIDER #: 131335E-PRESCRIBE: NO
HARTMAN, PATRICK, MDGENDER: MPROVIDER #: 053300NPI #: 1861508160E-PRESCRIBE: NOSBL SULLIVAN CLINIC7 HAWTHORNE LNSULLIVAN, IL 61951PHONE: (217) 728-8441E-PRESCRIBE: NO
FAMILY PRACTICE OB
COSTERISAN, DENNIS D., DOGENDER: MPROVIDER #: 006574NPI #: 1578565701E-PRESCRIBE: NOSULLIVAN FAMILY CARE2 W ADAMSSULLIVAN, IL 61951PHONE: (217) 728-8329STEWART, JOYA D., APN; PROVIDER #: 223299E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
TOWNSEND, WINSTON J., MD
GENDER: MPROVIDER #: 043999NPI #: 1003889411E-PRESCRIBE: NOHSHS MEDICAL GROUP DBA FAMILY MEDICINE OF TABLE GR130 N BROADWAY STTABLE GROVE, IL 61482PHONE: (612) 227-4171FAWCETT, GRETCHEN W., PA-C; PROVIDER #: 180621E-PRESCRIBE: NO
STEELEVILLE, IL
SULLIVAN, IL
TABLE GROVE, IL
STEELEVILLE, ILTABLE GROVE, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
127127
127
ADULT/INTERNAL MEDICINE
DEL VALLE, RICHARD K., MDGENDER: MPROVIDER #: 008670NPI #: 1932290384E-PRESCRIBE: NOSPRINGFIELD CLINIC600 N MAIN STTAYLORVILLE, IL 62568PHONE: (217) 824-4939BRUMMET, SANDRA J., NP; PROVIDER #: 109503E-PRESCRIBE: NO
GILL, PAVINDERPAL S., MDGENDER: MPROVIDER #: 008510NPI #: 1245336148E-PRESCRIBE: NOSPRINGFIELD CLINIC600 N MAIN STTAYLORVILLE, IL 62568PHONE: (217) 824-8191MANSON, KAREN, FNP; PROVIDER #: 049851SCHNEIDER, PATRICIA A., FNPC; PROVIDER #: 150783E-PRESCRIBE: NO
MCCLINTOCK, ROGER, MDGENDER: MPROVIDER #: 016533NPI #: 1043318066E-PRESCRIBE: YESSPRINGFIELD CLINIC600 N MAIN STTAYLORVILLE, IL 62568PHONE: (217) 824-8191SCHNEIDER, PATRICIA A., FNPC; PROVIDER #: 150783E-PRESCRIBE: YES
PRABHU, MANJESHWAR, MDGENDER: MPROVIDER #: 008667NPI #: 1770683450E-PRESCRIBE: NOSPRINGFIELD CLINIC600 N MAIN STTAYLORVILLE, IL 62568PHONE: (217) 824-4939BRUMMET, SANDRA J., NP; PROVIDER #: 109503E-PRESCRIBE: NO
FAMILY PRACTICE
KIEL, DAVID J., MDGENDER: MPROVIDER #: 008511NPI #: 1447358726E-PRESCRIBE: YESSPRINGFIELD CLINIC600 N MAIN STTAYLORVILLE, IL 62568PHONE: (217) 824-8191CURRIE, REBECCA L., CNP; PROVIDER #: 078928E-PRESCRIBE: YES
MILICEVIC, DRAGICIA N., MDGENDER: FPROVIDER #: 225461NPI #: 1245344357E-PRESCRIBE: NOSPRINGFIELD CLINIC LLP600 N MAIN STTAYLORVILLE, IL 62568PHONE: (217) 824-8191E-PRESCRIBE: NO
PEDIATRICS
FREIJ, YASER B., MDGENDER: MPROVIDER #: 008507NPI #: 1104919836E-PRESCRIBE: NOSPRINGFIELD CLINIC115 E PLEASANT STTAYLORVILLE, IL 62568PHONE: (217) 824-8191TURNER, KIMBERLY V., FNP; PROVIDER #: 133632E-PRESCRIBE: NO
KALLADA, SAHLA, MDGENDER: FPROVIDER #: 167446NPI #: 1891976072E-PRESCRIBE: NOSPRINGFIELD CLINIC600 N MAIN STTAYLORVILLE, IL 62568PHONE: (217) 824-8191E-PRESCRIBE: NO
MCCLINTOCK, ROGER, MDGENDER: MPROVIDER #: 016533NPI #: 1043318066E-PRESCRIBE: YESSPRINGFIELD CLINIC600 N MAIN STTAYLORVILLE, IL 62568PHONE: (217) 824-8191SCHNEIDER, PATRICIA A., FNPC; PROVIDER #: 150783E-PRESCRIBE: YES
TAYLORVILLE, IL
TAYLORVILLE, ILTAYLORVILLE, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
128
FAMILY PRACTICE
KARINATTU, JOSEPH, MDGENDER: MPROVIDER #: 010605NPI #: 1861410011E-PRESCRIBE: YES100 E FIFTH STTILTON, IL 61833PHONE: (217) 443-5480E-PRESCRIBE: YES
FAMILY PRACTICE
RICCA, GLEN L., MDGENDER: MPROVIDER #: 021944NPI #: 1730134073E-PRESCRIBE: NOASTA CARE101 E VIA GHIGLIERITOLUCA, IL 61369PHONE: E-PRESCRIBE: NO
WARGO, MARK A., MDGENDER: MPROVIDER #: 049165NPI #: 1457304156E-PRESCRIBE: NOASTA CARE101 E VIA GHIGLIERITOLUCA, IL 61369PHONE: E-PRESCRIBE: NO
FAMILY PRACTICE
BAER, JOHN D., MDGENDER: MPROVIDER #: 010775NPI #: 1255331773E-PRESCRIBE: NOTREMONT MEDICAL CLINIC105 S LOCUST STTREMONT, IL 61568PHONE: (309) 925-2961E-PRESCRIBE: NO
KELLENBERGER, BRYAN, MDGENDER: MPROVIDER #: 184663NPI #: 1275733073E-PRESCRIBE: NOTREMONT MEDICAL CLINIC105 S LOCUST STTREMONT, IL 61568PHONE: (309) 925-2961E-PRESCRIBE: NO
KRALL, DIANE C., MDGENDER: FPROVIDER #: 108547NPI #: 1144215708E-PRESCRIBE: NOTREMONT MEDICAL CLINIC105 S LOCUST STTREMONT, IL 61568PHONE: (309) 925-2961E-PRESCRIBE: NO
LOVELL, JOHN, MDGENDER: MPROVIDER #: 010776NPI #: 1366442881E-PRESCRIBE: NOTREMONT MEDICAL CLINIC105 S LOCUST STTREMONT, IL 61568PHONE: (309) 925-2961OHNESORGE, AMANDA J., PA; PROVIDER #: 203247E-PRESCRIBE: NO
ADULT/INTERNAL MEDICINE
LEE, ISSAC, MDGENDER: MPROVIDER #: 162773NPI #: 1528260908E-PRESCRIBE: YESCHRISTIE CLINIC300 N MAIN STTUSCOLA, IL 61953PHONE: (217) 253-9258E-PRESCRIBE: YES
SNOWDEN, RICHARD M., MDGENDER: MPROVIDER #: 171517NPI #: 1407962160E-PRESCRIBE: YESCHRISTIE CLINIC300 N MAIN STTUSCOLA, IL 61953PHONE: (217) 366-1200E-PRESCRIBE: YES
FAMILY PRACTICE
JALIPARTHI, SWARNALATHA, MD
GENDER: MPROVIDER #: 120840NPI #: 1487892865E-PRESCRIBE: YESCARLE PHYSICIAN GROUP301 E SOUTHLINE RDTUSCOLA, IL 61953PHONE: (217) 253-5231E-PRESCRIBE: YES
TILTON, IL
TOLUCA, IL
TREMONT, IL TUSCOLA, IL
TILTON, ILTUSCOLA, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
129129
129
PARK, GRACE, MDGENDER: FPROVIDER #: 106349NPI #: 1619147592E-PRESCRIBE: YESCARLE PHYSICIAN GROUP301 W SOUTHLINE RDTUSCOLA, IL 61953PHONE: (217) 253-5231E-PRESCRIBE: YES
ROBERTS, NATHAN L., MDGENDER: MPROVIDER #: 068728NPI #: 1225089626E-PRESCRIBE: YESCARLE PHYSICIAN GROUP301 SOUTHLINE RDTUSCOLA, IL 61953PHONE: (217) 253-5231E-PRESCRIBE: YES
SALMONS, SALLY J., MDGENDER: FPROVIDER #: 106418NPI #: 1295834901E-PRESCRIBE: YESCARLE PHYSICIAN GROUP301 SOUTHLINE RDTUSCOLA, IL 61953PHONE: (217) 253-5231E-PRESCRIBE: YES
PEDIATRICS
LEE, ISSAC, MDGENDER: MPROVIDER #: 162773NPI #: 1528260908E-PRESCRIBE: YESCHRISTIE CLINIC300 N MAIN STTUSCOLA, IL 61953PHONE: (217) 253-9258E-PRESCRIBE: YES
ADULT/INTERNAL MEDICINE
JOHNSON, PHILIP B., MDGENDER: MPROVIDER #: 000232NPI #: 1710902127E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9646E-PRESCRIBE: YES
KALA, NOLEEN V., MDGENDER: FPROVIDER #: 079290NPI #: 1578596276E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9646E-PRESCRIBE: YES
KALIANI, NEELU J., MDGENDER: PROVIDER #: 108553NPI #: 1568495166E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9646E-PRESCRIBE: YES
MUTHEKEPALLI, SUDHA R., MD
GENDER: FPROVIDER #: 076764NPI #: 1437262631E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9646E-PRESCRIBE: YES
PETER, SUMA P., MDGENDER: FPROVIDER #: 040407NPI #: 1730199944E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9646E-PRESCRIBE: YES
SARAVANAN, PATHANJALI, MD
GENDER: MPROVIDER #: 183968NPI #: 1639284862E-PRESCRIBE: YESCHRISTIE CLINIC1400 W PARKURBANA, IL 61801PHONE: (217) 366-1200E-PRESCRIBE: YES
STOLL, JOHN F., MDGENDER: MPROVIDER #: 000052NPI #: 1295835429E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9646KALE, PETER J., NP; PROVIDER #: 000480E-PRESCRIBE: YES
YEKKIRALA, LALITHA, MDGENDER: FPROVIDER #: 183969NPI #: 1235240540E-PRESCRIBE: YESCHRISTIE CLINIC1400 W PARKURBANA, IL 61801PHONE: (217) 366-1200E-PRESCRIBE: YES
URBANA, IL
TUSCOLA, ILURBANA, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
130
FAMILY PRACTICE
CESNJAJ, MIRJANA, MDGENDER: FPROVIDER #: 148222NPI #: 1750553814E-PRESCRIBE: YESCARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3170E-PRESCRIBE: YES
GOPAL, BHARAT, MDGENDER: MPROVIDER #: 076190NPI #: 1336168574E-PRESCRIBE: YESCARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3170E-PRESCRIBE: YES
KIM, KEVIN S., DOGENDER: MPROVIDER #: 196016NPI #: 1962634519E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9500E-PRESCRIBE: YES
LEE, DANIEL J., DOGENDER: MPROVIDER #: 150676NPI #: 1568637189E-PRESCRIBE: YESCHRISTIE CLINIC1710 E WINDSOR RDURBANA, IL 61802PHONE: (217) 344-9440E-PRESCRIBE: YES
MENEELY, TIMOTHY S., DOGENDER: MPROVIDER #: 007956NPI #: 1629178181E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9500E-PRESCRIBE: YES
RAFFERTY, CARLA M., MDGENDER: FPROVIDER #: 195937NPI #: 1578719316E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9500E-PRESCRIBE: YES
SWEARINGEN, JEFFREY V., MD
GENDER: MPROVIDER #: 000677NPI #: 1689785305E-PRESCRIBE: YESCARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3170E-PRESCRIBE: YES
WAGNER, CHRISTIAN E., MDGENDER: MPROVIDER #: 019848NPI #: 1063514123E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9500E-PRESCRIBE: YES
WHITEHILL, DAVID L., MDGENDER: MPROVIDER #: 000658NPI #: 1366542763E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9500E-PRESCRIBE: YES
WU, STANLEY S., MDGENDER: MPROVIDER #: 106661NPI #: 1700981727E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 326-1330E-PRESCRIBE: YES
FAMILY PRACTICE OB
SWEARINGEN, JEFFREY V., MD
GENDER: MPROVIDER #: 000677NPI #: 1689785305E-PRESCRIBE: YESCARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3170E-PRESCRIBE: YES
WHITEHILL, DAVID L., MDGENDER: MPROVIDER #: 000658NPI #: 1366542763E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9500E-PRESCRIBE: YES
URBANA, ILURBANA, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
131131
131
GENERAL PRACTICE
HAMPTON, SIMONE R., MDGENDER: FPROVIDER #: 135588NPI #: 1033184247E-PRESCRIBE: YESCARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3170E-PRESCRIBE: YES
PEDIATRICS
BECK, DONNA T., MDGENDER: FPROVIDER #: 000571NPI #: 1255365797E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9700MOHR, JANET F., CNP; PROVIDER #: 010013E-PRESCRIBE: YES
BUETOW, M KATHLEEN, MDGENDER: FPROVIDER #: 000518NPI #: 1245267780E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9700E-PRESCRIBE: YES
DAVISON, DONALD F., MDGENDER: MPROVIDER #: 000557NPI #: 1780629485E-PRESCRIBE: YESCARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3100E-PRESCRIBE: YES
HELTON, RACHEL L., MDGENDER: FPROVIDER #: 131188NPI #: 1669671079E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9700E-PRESCRIBE: YES
HILL, MALCOLM C., MDGENDER: MPROVIDER #: 000491NPI #: 1043235112E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9700MOHR, JANET F., CNP; PROVIDER #: 010013E-PRESCRIBE: YES
MELVIN, TYRONE R., MDGENDER: MPROVIDER #: 000499NPI #: 1194745919E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9700MOHR, JANET F., CNP; PROVIDER #: 010013E-PRESCRIBE: YES
SCHUSTER, JOHN, MDGENDER: MPROVIDER #: 099142NPI #: 1245201607E-PRESCRIBE: YESCHRISTIE CLINIC1710 E WINDSOR RDURBANA, IL 61802PHONE: (217) 344-9440E-PRESCRIBE: YES
STEPHENS, FRANK J., MDGENDER: MPROVIDER #: 005189NPI #: 1871693002E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9700MOHR, JANET F., CNP; PROVIDER #: 010013E-PRESCRIBE: YES
SUM, ADA C., MDGENDER: FPROVIDER #: 203794NPI #: 1962667030E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9700E-PRESCRIBE: YES
TRIPATHY, NEENA, MDGENDER: FPROVIDER #: 068597NPI #: 1700997301E-PRESCRIBE: YESCARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9700MOHR, JANET F., CNP; PROVIDER #: 010013E-PRESCRIBE: YES
URBANA, ILURBANA, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
132
ADULT/INTERNAL MEDICINE
CHAPA, VITTAL V., MDGENDER: MPROVIDER #: 008544NPI #: 1003805151E-PRESCRIBE: NO138 E DEAN STVIRDEN, IL 62690PHONE: (217) 965-5481E-PRESCRIBE: NO
FAMILY PRACTICE
SANCHEZ, DOMINIQUE F., DO
GENDER: FPROVIDER #: 215990NPI #: 1861654857E-PRESCRIBE: YESCASS COUNTY HEALTH CLINIC331 S MAIN STVIRGINIA, IL 62691PHONE: (217) 452-3057E-PRESCRIBE: YES
WYNN, MARY, MDGENDER: FPROVIDER #: 171644NPI #: 1356310486E-PRESCRIBE: NOCASS COUNTY HEALTH CLINIC331 S MAIN STVIRGINIA, IL 62691PHONE: (217) 452-3057BEAVERS, LAURIE, FNP; PROVIDER #: 172866BLESSMAN, DONNA, FNP; PROVIDER #: 172862STOCKER, KATHLEEN, APN; PROVIDER #: 172850E-PRESCRIBE: NO
FAMILY PRACTICE
BAZ, SAMUEL T., MDGENDER: MPROVIDER #: 017560NPI #: 1689624470E-PRESCRIBE: NOWENONA HEALTH CENTER516 S CHESTNUT STWENONA, IL 61377PHONE: (815) 853-4402E-PRESCRIBE: NO
SUHAIL, JAWARIA, MDGENDER: FPROVIDER #: 245898NPI #: 1699066084E-PRESCRIBE: NOHSHS MEDICAL GROUP516 S CHESTNUT STWENONA, IL 61377PHONE: E-PRESCRIBE: NO
PEDIATRICS
BAZ, BELLA Y., MDGENDER: FPROVIDER #: 022250NPI #: 1770533648E-PRESCRIBE: NOWENONA HEALTH CENTER516 S CHESTNUT STWENONA, IL 61377PHONE: (815) 853-4402E-PRESCRIBE: NO
FAMILY PRACTICE
GARRETT, HARRY T., DOGENDER: MPROVIDER #: 034190NPI #: 1871589515E-PRESCRIBE: YES100 S MAIN STWEST SALEM, IL 62476PHONE: (618) 456-3727GREATHOUSE, GAIL M., FNP; PROVIDER #: 073667E-PRESCRIBE: YES
ADULT/INTERNAL MEDICINE
CHATRATH, SANJAY, DOGENDER: MPROVIDER #: 043585NPI #: 1861591711E-PRESCRIBE: NORIVERSIDE MEDICAL CENTER OF WILMINGTON105 N FIRST STWILMINGTON, IL 60481PHONE: (815) 476-5210E-PRESCRIBE: NO
FAMILY PRACTICE
MACEREN, RAYMOND G., MDGENDER: MPROVIDER #: 186677NPI #: 1891706503E-PRESCRIBE: NORIVERSIDE MEDICAL CENTER OF WILMINGTON105 S FIRST STWILMINGTON, IL 60481PHONE: (815) 476-5210E-PRESCRIBE: NO
VIRDEN, IL
VIRGINIA, IL
WENONA, IL WEST SALEM, IL
WILMINGTON, IL
VIRDEN, ILWILMINGTON, IL
Primary Care Physicians
* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
133133
133
FAMILY PRACTICE
JEFFRIES, KEVIN, MDGENDER: MPROVIDER #: 090978NPI #: 1871541615E-PRESCRIBE: NOREGIONAL HEALTH PARTNERS101 S GALENA AVEWYOMING, IL 61491PHONE: (309) 695-6448E-PRESCRIBE: NO
RAMOS, JULIO A., MDGENDER: MPROVIDER #: 142325NPI #: 1982629044E-PRESCRIBE: NOREGIONAL HEALTH PARTNERS101 S GALENA AVEWYOMING, IL 61491PHONE: (309) 695-6448E-PRESCRIBE: NO
SATKAUSKAS, REMI, MDGENDER: MPROVIDER #: 092940NPI #: 1760430524E-PRESCRIBE: NOREGIONAL HEALTH PARTNERS101 S GALENA AVEWYOMING, IL 61491PHONE: (309) 695-6448MARTIN, KATHLEEN, FNP; PROVIDER #: 096592E-PRESCRIBE: NO
SNIDER, CRYSTAL, MDGENDER: FPROVIDER #: 153721NPI #: 1700098845E-PRESCRIBE: NOREGIONAL HEALTH PARTNERS101 S GALENAWYOMING, IL 61491PHONE: (309) 695-6448E-PRESCRIBE: NO
WYOMING, IL
WYOMING, ILWYOMING, IL
Obstetrics/GynecologyCare Providers
Family Practice Physicians listed in this section may be selected to provide primary care or uncomplicated obstetrical care. Midlevel providers are indicated by italics.
134* Please contact Health Alliance at the number on the back of your member ID card.
OBSTETRICS/GYNECOLOGY
DAMERON, JENNIFER S., MDGENDER: FPROVIDER #: 101079NPI #: 1679685879DR WEAVER & ASSOCIATES326 FAIRWAY DRBLOOMINGTON, IL 61701PHONE: (309) 451-9595E-PRESCRIBE: NO
DUDLEY, HEATHER L., MDGENDER: FPROVIDER #: 107752NPI #: 1356320592CONTEMPORARY OBSTETRICS & GYNECOLOGY PC2304 STERN DRBLOOMINGTON, IL 61704PHONE: (309) 663-0411DEFFENBAUGH, JACKIE L., CNP; PROVIDER #: 074225NEUMANN, MARGARET, APN; PROVIDER #: 141634E-PRESCRIBE: NO
DUTTA, SARAH, MDGENDER: FPROVIDER #: 106613NPI #: 1083648240OSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
EMM, LISA R., MDGENDER: FPROVIDER #: 153137NPI #: 1386665966CONTEMPORARY OBSTETRICS & GYNECOLOGY PC2304 STERN DRBLOOMINGTON, IL 61704PHONE: (309) 663-0411E-PRESCRIBE: NO
OSF COMMUNITY PRENATAL CLINIC502 S MORRIS AVE SUITE BBLOOMINGTON, IL 61701PHONE: (309) 829-6407E-PRESCRIBE: NO
OSF MEDICAL GROUP107 REGENCY DR SUITE 3BLOOMINGTON, IL 61701PHONE: (309) 663-9334E-PRESCRIBE: NO
OSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
FULK, NONA P., MDGENDER: PROVIDER #: 152450NPI #: 1619974227OSF COMMUNITY PRENATAL CLINIC502 S MORRIS AVE SUITE BBLOOMINGTON, IL 61701PHONE: (309) 829-6407E-PRESCRIBE: NO
KOSSLER, KARLA R., MDGENDER: FPROVIDER #: 204182NPI #: 1780876961SHARON R WEAVER MD SC326 FAIRWAY DRBLOOMINGTON, IL 61701PHONE: (309) 451-9595E-PRESCRIBE: NO
NORD, DANIEL A., MDGENDER: MPROVIDER #: 002606NPI #: 1336144955NORD & WELLMAN OBSTETRICS/GYNECOLOGY1505 EASTLAND DR SUITE 230BLOOMINGTON, IL 61701PHONE: (309) 663-8888E-PRESCRIBE: NO
NYI, SHAI S., MDGENDER: MPROVIDER #: 173982NPI #: 1073606323OSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
OGUNLEYE, BAMIDELE A., MD
GENDER: MPROVIDER #: 229224NPI #: 1831209584ADVANCED WOMENS HEALTHCARE SC2111 E OAKLAND SUITE BBLOOMINGTON, IL 61704PHONE: E-PRESCRIBE: NO
BLOOMINGTON, IL
BLOOMINGTON, ILBLOOMINGTON, IL
Obstetrics/GynecologyCare Providers
135 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
SANTIAGO, JOSEPH A., MDGENDER: MPROVIDER #: 225542NPI #: 1831185487OBSTETRICS & GYNECOLOGY CARE ASSOC1505 EASTLAND DR SUITE 500BLOOMINGTON, IL 61701PHONE: (309) 662-2273E-PRESCRIBE: NO
OBSTETRICS AND GYNECOLOGY CARE ASSOCIATES SC1505 EASTLAND DR SUITE 500BLOOMINGTON, IL 61701PHONE: (309) 454-1250HAMANN, JOLENE M., CNM; PROVIDER #: 211553E-PRESCRIBE: NO
SLOTKY, BARRY, MDGENDER: MPROVIDER #: 002774NPI #: 1932194834BARRY SLOTKY MD SC107 N REGENCY DR SUITE 3BLOOMINGTON, IL 61701PHONE: (309) 663-6338E-PRESCRIBE: NO
WEAVER, SHARON R., MDGENDER: FPROVIDER #: 004053NPI #: 1215049416DR WEAVER & ASSOCIATES326 FAIRWAY DRBLOOMINGTON, IL 61701PHONE: (309) 451-9595E-PRESCRIBE: NO
WELLMAN, RICHARD W., MDGENDER: MPROVIDER #: 017332NPI #: 1184629701NORD & WELLMAN OBSTETRICS/GYNECOLOGY1505 EASTLAND DR SUITE 230BLOOMINGTON, IL 61701PHONE: (309) 663-8888E-PRESCRIBE: NO
OBSTETRICS/GYNECOLOGY
ANDREWS, LIZY, MDGENDER: FPROVIDER #: 223292NPI #: 1831218577RIVERSIDE MEDICAL CENTER OF BOURBONNAIS338 LARRY POWER RDBOURBONNAIS, IL 60914PHONE: (815) 935-2991E-PRESCRIBE: NO
OBSTETRICS/GYNECOLOGY
LOWE, JASON W., MDGENDER: MPROVIDER #: 086174NPI #: 1790792505WOMENS HEALTH INSTITUTE LTD2076 N MAIN STCANTON, IL 61520PHONE: (309) 671-5100E-PRESCRIBE: YES
QIAO, JING, MDGENDER: FPROVIDER #: 186407NPI #: 1285887711GRAHAM MEDICAL GROUP180 S MAIN STCANTON, IL 61520PHONE: (309) 647-0201E-PRESCRIBE: NO
STEUTERMANN, DAVID D., MD
GENDER: MPROVIDER #: 023700NPI #: 1336258185GRAHAM MEDICAL GROUP180 S MAIN STCANTON, IL 61520PHONE: (309) 647-0201E-PRESCRIBE: NO
FAMILY PRACTICE OB
BEITEL, JOYCE W., MDGENDER: FPROVIDER #: 000659NPI #: 1639109879CARLE PHYSICIAN GROUP1701 W CURTIS RDCHAMPAIGN, IL 61822PHONE: (217) 365-6201PARRETT, LAURA, NP; PROVIDER #: 000701ZUKOSKY, MARCIA, NP; PROVIDER #: 000506E-PRESCRIBE: YES
GYNECOLOGY
DABROWSKI, MELINDA, MDGENDER: FPROVIDER #: 000212NPI #: 1124053848CARLE PHYSICIAN GROUP1701 W CURTIS RDCHAMPAIGN, IL 61822PHONE: (217) 365-6201E-PRESCRIBE: YES
BOURBONNAIS, IL
CANTON, IL
CHAMPAIGN, IL
BLOOMINGTON, ILCHAMPAIGN, IL
Obstetrics/GynecologyCare Providers
136* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
SPAIN, MARTA T., MDGENDER: FPROVIDER #: 205078NPI #: 1326009705CARLE PHYSICIAN GROUP1701 W CURTIS RDCHAMPAIGN, IL 61822PHONE: (217) 365-6201KOCH, DIANE, NP; PROVIDER #: 000225E-PRESCRIBE: YES
OBSTETRICS/GYNECOLOGY
FRANCIS, CHRISTINA M., MDGENDER: FPROVIDER #: 203308NPI #: 1659542074CHRISTIE CLINIC ASSOCIATION101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1255E-PRESCRIBE: YES
HAUG, KEITH R., MDGENDER: MPROVIDER #: 091637NPI #: 1023024650CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200SCHEIDING, KATHRYN, APN; PROVIDER #: 207780E-PRESCRIBE: YES
HELFER, TAMARA, MDGENDER: FPROVIDER #: 115926NPI #: 1932102969CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1255E-PRESCRIBE: YES
KING, KIEYA, MDGENDER: FPROVIDER #: 118103NPI #: 1801810197CHRISTIE CLINIC100 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1304E-PRESCRIBE: YES
MCGREGOR, CANDACE, MDGENDER: FPROVIDER #: 166989NPI #: 1205007721CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
SMITH, MICHAEL A., MDGENDER: MPROVIDER #: 110706NPI #: 1952319667CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
YOUNG, SARAH B., MDGENDER: FPROVIDER #: 134175NPI #: 1477630523CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1255E-PRESCRIBE: YES
OBSTETRICS/GYNECOLOGY
HORVAT, MARIA, MDGENDER: FPROVIDER #: 007861NPI #: 1932109121100 DEERPATH RDCHARLESTON, IL 61920PHONE: (217) 345-2727E-PRESCRIBE: NO
HOUSEWORTH, WILLIAM H., MD
GENDER: MPROVIDER #: 004295NPI #: 1841311735102 W BUCHANAN AVECHARLESTON, IL 61920PHONE: (217) 345-3830E-PRESCRIBE: NO
FAMILY PRACTICE OB
BROADERS, KAREN M., MDGENDER: FPROVIDER #: 048103NPI #: 1699703777CARLE PHYSICIAN GROUP311 W FAIRCHILD STDANVILLE, IL 61832PHONE: (217) 431-7850OSAZE, EBUN, PA; PROVIDER #: 072109E-PRESCRIBE: YES
CHARLESTON, IL
DANVILLE, IL
CHAMPAIGN, ILDANVILLE, IL
Obstetrics/GynecologyCare Providers
137 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
OBSTETRICS/GYNECOLOGY
HSIEH, HUAN JANE, MDGENDER: FPROVIDER #: 002273NPI #: 1316993496DANVILLE POLYCLINIC LTD707 NORTH LOGAN AVEDANVILLE, IL 61832-4360PHONE: (217) 477-4718E-PRESCRIBE: NO
IBRAHIM, NASRELDIN M., MDGENDER: MPROVIDER #: 168510NPI #: 1750572053CARLE PHYSICIAN GROUP311 W FAIRCHILD STDANVILLE, IL 61832PHONE: (217) 431-7800E-PRESCRIBE: YES
KAPLAN, GLENDA, MDGENDER: FPROVIDER #: 169331NPI #: 1558465765CHRISTIE CLINIC800 N LOGAN AVEDANVILLE, IL 61832PHONE: (217) 366-1200E-PRESCRIBE: YES
RAJJOUB, MOHANNAD, MDGENDER: MPROVIDER #: 224833NPI #: 1255659587DANVILLE POLYCLINIC LTD707 N LOGAN AVEDANVILLE, IL 61832PHONE: (217) 446-6410E-PRESCRIBE: NO
SHAH, MANISHA C., MDGENDER: FPROVIDER #: 190590NPI #: 1306154984DANVILLE POLYCLINIC LTD707 N LOGAN AVEDANVILLE, IL 61832PHONE: (217) 446-6410E-PRESCRIBE: NO
SHMILA, KARIMA M., MDGENDER: FPROVIDER #: 183508NPI #: 1053525345CARLE PHYSICIAN GROUP311 W FAIRCHILD STDANVILLE, IL 61832PHONE: (217) 431-7800E-PRESCRIBE: YES
YOUNG, TERENCE, MDGENDER: PROVIDER #: 218023NPI #: 1639274491CHRISTIE CLINIC800 N LOGAN AVEDANVILLE, IL 61832PHONE: E-PRESCRIBE: NO
OBSTETRICS/GYNECOLOGY
HAILESELASSIE, MULUMEBET, MD
GENDER: FPROVIDER #: 070573NPI #: 1912991928COMMUNITY HEALTH CARE OUTREACH303 WEST 6TH STREETDAVENPORT, IA 52803PHONE: (563) 322-8890E-PRESCRIBE: NO
COMMUNITY HEALTH CARE RIVER DRIVE500 WEST RIVER DRIVEDAVENPORT, IA 52801PHONE: (563) 336-3000CACCAMO, JOSEPH, PA-C; PROVIDER #: 113185DECKER, SUZANNE M., FNPC; PROVIDER #: 174058GUDGEL, ELIZABETH A., FNP; PROVIDER #: 170299HOBERT, DEANNE M., APN; PROVIDER #: 162845HULL, JULIA A., NP; PROVIDER #: 187817JOSIE, BRETT G., PA-C; PROVIDER #: 172232KAUFMAN, KENDRA R., PA-C; PROVIDER #: 137942MALLY, EMILY E., PA-C; PROVIDER #: 161935E-PRESCRIBE: NO
COMMUNITY HEALTH CARE VIROLOGY1351 WEST CENTRAL PARK SUITE 360DAVENPORT, IA 52801PHONE: (563) 421-4244E-PRESCRIBE: NO
HANSEN, DELOS D., MDGENDER: MPROVIDER #: 185826NPI #: 1548234859WOUND MANAGEMENT CONSULTANTS PC1351 W CENTRAL PARK AVE SUITE 1225DAVENPORT, IA 52804PHONE: (563) 421-1585E-PRESCRIBE: NO
DAVENPORT, IA
DANVILLE, ILDAVENPORT, IA
Obstetrics/GynecologyCare Providers
138* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
RICAURTE, EDUARDO, MDGENDER: MPROVIDER #: 174564NPI #: 1285613422EDGERTONS WOMENS HEALTH CENTER1510 E RUSHOLME STDAVENPORT, IA 52803PHONE: (563) 359-6633E-PRESCRIBE: NO
WALKER-WATKINS, SHARON S., MD
GENDER: FPROVIDER #: 174780NPI #: 1619069002EDGERTONS WOMENS HEALTH CENTER1510 E RUSHOLME STDAVENPORT, IA 52803PHONE: (563) 359-6633E-PRESCRIBE: NO
OBSTETRICS/GYNECOLOGY
AMIEWALAN, ANTHONY O., MD
GENDER: MPROVIDER #: 098063NPI #: 1669486668VIVIAN WOMENS CENTER INC1750 E LAKE SHORE DR SUITE 320DECATUR, IL 62521PHONE: (217) 422-0560E-PRESCRIBE: NO
ANTHONY, ROBERT R., MDGENDER: MPROVIDER #: 214210NPI #: 1598892309VITA CENTER FOR WOMENONE MEMORIAL DR SUITE 300DECATUR, IL 62526PHONE: (217) 872-2400E-PRESCRIBE: NO
BYRKIT, GRETCHEN L., MDGENDER: FPROVIDER #: 064379NPI #: 1104800044WOMEN'S HEALTH CARE SPECIALISTS OF DECATUR LLCONE MEMORIAL DR SUITE 216DECATUR, IL 62526PHONE: (217) 875-5574E-PRESCRIBE: NO
HANNA, ADEL S., MDGENDER: MPROVIDER #: 090966NPI #: 1265418982LAKE SHORE OB/GYN OF DECATUR SC1770 E LAKE SHORE DR SUITE 303DECATUR, IL 62521PHONE: (217) 429-4119E-PRESCRIBE: NO
SIU PHYSICIANS & SURGEONS INC250 W KENWOODDECATUR, IL 62526PHONE: (217) 872-3800E-PRESCRIBE: NO
KELLER, JAY S., MDGENDER: MPROVIDER #: 218393NPI #: 1790760544VITA CENTER FOR WOMEN2 MEMORIAL DR STE 305DECATUR, IL 62526PHONE: (217) 876-8370E-PRESCRIBE: NO
ONE MEMORIAL DR SUITE 300DECATUR, IL 62526PHONE: (217) 872-2400E-PRESCRIBE: NO
MORISETTY, VIDYA SAGAR RAO, MD
GENDER: MPROVIDER #: 050982NPI #: 1265549174MIDWEST OB/GYN & INFERTILITY CENTER675 E SNYDER DRIVEDECATUR, IL 62526PHONE: (217) 875-1886GROMLEY, DEBRA R., NP; PROVIDER #: 078169WENDELL, MELISSA K., CNM; PROVIDER #: 243088E-PRESCRIBE: NO
PFEIFFER, JEFFREY S., MDGENDER: MPROVIDER #: 069444NPI #: 1134103070VITA CENTER FOR WOMEN LLCONE MEMORIAL DRIVE SUITE 300DECATUR, IL 62526PHONE: (217) 872-2400E-PRESCRIBE: NO
DECATUR, IL
DAVENPORT, IADECATUR, IL
Obstetrics/GynecologyCare Providers
139 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
ROMINGER, DERIN S., MDGENDER: MPROVIDER #: 009170NPI #: 1821072760WOMEN'S HEALTH CARE SPECIALISTS OF DECATUR LLCONE MEMORIAL DR SUITE 216DECATUR, IL 62526PHONE: (217) 875-5574E-PRESCRIBE: NO
STEPANIAN, MARSHALL W., MD
GENDER: MPROVIDER #: 209732NPI #: 1528061678VITA CENTER FOR WOMEN LLCONE MEMORIAL DR SUITE 300DECATUR, IL 62526PHONE: (217) 872-2400E-PRESCRIBE: NO
TSUDA, ROY, MDGENDER: MPROVIDER #: 009168NPI #: 1285610519VITA CENTER FOR WOMEN LLCONE MEMORIAL DRIVE SUITE 300DECATUR, IL 62526PHONE: (217) 872-2400E-PRESCRIBE: NO
WALTON, LAUREL A., DOGENDER: FPROVIDER #: 039262NPI #: 1508892530LAUREL A WALTON DO1770 LAKESHORE DR SUITE 309DECATUR, IL 62521PHONE: (217) 422-9740E-PRESCRIBE: NO
OBSTETRICS/GYNECOLOGY
HAILESELASSIE, MULUMEBET, MD
GENDER: FPROVIDER #: 070573NPI #: 1912991928COMMUNITY HEALTH CARE EAST MOLINE708 15TH AVEEAST MOLINE, IL 61244-2134PHONE: (563) 327-2105E-PRESCRIBE: NO
OBSTETRICS/GYNECOLOGY
INGRAM, SHARON T., MDGENDER: FPROVIDER #: 119842NPI #: 1124046214OSF MEDICAL GROUP106 S FIRST STFAIRBURY, IL 61739PHONE: (815) 692-2833E-PRESCRIBE: NO
NYI, SHAI S., MDGENDER: PROVIDER #: 023553NPI #: 1073606323OSF MEDICAL GROUP106 S FIRST STFAIRBURY, IL 61739PHONE: (815) 692-2833E-PRESCRIBE: NO
OBSTETRICS/GYNECOLOGY
PRAIRIE FAMILY MEDICINE AND OBSTETRICS CLINIC
GENDER: PROVIDER #: 158720NPI #: 1790778785122 E WABASH AVEFORREST, IL 61741PHONE: (815) 657-8707E-PRESCRIBE: NO
OBSTETRICS/GYNECOLOGY
MARTIN, KEITH R., MDGENDER: MPROVIDER #: 144336NPI #: 1801007190MONROE CLINIC-HIGHLAND WOMENS CARE3103 W KUNKLE BLVDFREEPORT, IL 61032PHONE: (815) 233-0999E-PRESCRIBE: NO
TURNER-TOWNSEND, ALYSIA
GENDER: FPROVIDER #: 205769NPI #: 1487611034MONROE CLINIC-HIGHLAND WOMENS CARE3103 W KUNKLE BLVDFREEPORT, IL 61032PHONE: (815) 233-0999E-PRESCRIBE: NO
EAST MOLINE, IL
FAIRBURY, IL
FORREST, IL
FREEPORT, IL
DECATUR, ILFREEPORT, IL
Obstetrics/GynecologyCare Providers
140* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
OBSTETRICS/GYNECOLOGY
BAUM, TARA L., MDGENDER: FPROVIDER #: 184678NPI #: 1275710477KNOX OBSTETRICS/GYNECOLOGY LTD834 N SEMINARY ST SUITE 402GALESBURG, IL 61401PHONE: (309) 343-5117E-PRESCRIBE: NO
CECIL, JAMES, DOGENDER: MPROVIDER #: 209153NPI #: 1700881471COTTAGE GYNECOLOGIC CARE834 N SEMINARY ST SUITE 501GALESBURG, IL 61401PHONE: (309) 343-3303E-PRESCRIBE: NO
FOX, SAMUEL D., MDGENDER: MPROVIDER #: 203837NPI #: 1881891240OSF GALESBURG CLINIC3315 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-1000E-PRESCRIBE: NO
GARLAND, LORRAINE A., MDGENDER: FPROVIDER #: 226600NPI #: 1225290083COTTAGE GYNECOLOGIC CARE834 N SEMINARY ST SUITE 501GALESBURG, IL 61401PHONE: (309) 343-3303E-PRESCRIBE: NO
PIPER, DANIEL, MDGENDER: MPROVIDER #: 019255NPI #: 1487648317KNOX OBSTETRICS/GYNECOLOGY LTD834 N SEMINARY ST SUITE 402GALESBURG, IL 61401PHONE: (309) 343-5117LYTLE, SHARON, CNM; PROVIDER #: 070911MEFFORD, AMY L., CNM; PROVIDER #: 047985E-PRESCRIBE: NO
SHAW, KATHLEEN M., MDGENDER: FPROVIDER #: 067788NPI #: 1326149162OSF GALESBURG CLINIC3315 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-1000E-PRESCRIBE: NO
STRUNIN, VLADIMAR M., MDGENDER: MPROVIDER #: 193236NPI #: 1104002690OSF GALESBURG CLINIC3315 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-1000E-PRESCRIBE: NO
WEST, TOMMY, MDGENDER: MPROVIDER #: 044223NPI #: 1952362055COTTAGE GYNECOLOGIC CARE834 N SEMINARY ST SUITE 501GALESBURG, IL 61401PHONE: (309) 343-3303E-PRESCRIBE: NO
FAMILY PRACTICE OB
DELOST, GREGORY J., MDGENDER: MPROVIDER #: 043508NPI #: 1992864672FAMILY HEALTHCARE OF GIBSON CITY#3 DOCTORS PARKGIBSON CITY, IL 60936PHONE: (217) 784-4030E-PRESCRIBE: YES
FAMILY PRACTICE OB
BAILEY, SHAWN E., MDGENDER: MPROVIDER #: 031412NPI #: 1447363585ST MARGARETS HEALTH GRANVILLE CLINIC309 S MCCOY STGRANVILLE, IL 61326PHONE: (815) 339-6245E-PRESCRIBE: NO
OBSTETRICS/GYNECOLOGY
AUDET, GUY, MDGENDER: MPROVIDER #: 035099NPI #: 1801805122WOMENS HEALTH CENTER OF WEST CENTRAL ILLINOIS1600 W WALNUTJACKSONVILLE, IL 62650PHONE: (217) 243-5584E-PRESCRIBE: NO
GALESBURG, IL GIBSON CITY, IL
GRANVILLE, IL
JACKSONVILLE, IL
GALESBURG, ILJACKSONVILLE, IL
Obstetrics/GynecologyCare Providers
141 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
HRYNEWYCH, ALEXANDER M., MD
GENDER: MPROVIDER #: 207995NPI #: 1780726430WOMENS HEALTH CENTER OF WEST CENTRAL ILLINOIS1600 W WALNUT STJACKSONVILLE, IL 62650PHONE: (217) 243-8455E-PRESCRIBE: NO
OLEJNIK, JEFFREY L., MDGENDER: MPROVIDER #: 086246NPI #: 1598727620FOCUS ON WOMENS HEALTH1600 W WALNUTJACKSONVILLE, IL 62650PHONE: (217) 243-5930E-PRESCRIBE: NO
TRACE, PETER A., MDGENDER: MPROVIDER #: 010986NPI #: 1346224052WOMENS HEALTH CENTER OF WEST CENTRAL ILLINOIS1600 W WALNUTJACKSONVILLE, IL 62650PHONE: (217) 243-8455E-PRESCRIBE: NO
OBSTETRICS/GYNECOLOGY
KHATER, AMIN M., MDGENDER: MPROVIDER #: 043692NPI #: 1063572584WILL COUNTY OB-GYN LTD1114 N LARKIN AVEJOLIET, IL 60435PHONE: (815) 725-6188E-PRESCRIBE: NO
KHATER, RUSSELL I., MDGENDER: MPROVIDER #: 043694NPI #: 1306904131WILL COUNTY OB-GYN LTD1114 N LARKIN AVEJOLIET, IL 60435PHONE: (815) 725-6188E-PRESCRIBE: NO
MERHI, NAHLA O., MDGENDER: FPROVIDER #: 146377NPI #: 1104928498SUBURBAN GYNECOLOGY LLC301 N MADISON SUITE 307JOLIET, IL 60432PHONE: E-PRESCRIBE: NO
OBSTETRICS/GYNECOLOGY
BRAY, KENNETH L., MDGENDER: MPROVIDER #: 244438NPI #: 1740295161PROVENA MEDICAL GROUP555 W COURT ST SUITE 214KANKAKEE, IL 60901PHONE: (815) 937-8741E-PRESCRIBE: NO
HAILE, DEGAULLE G., MDGENDER: MPROVIDER #: 207096NPI #: 1881782506PRAIRIEVIEW GYN LLC555 W COURT STKANKAKEE, IL 60901PHONE: (815) 935-1315E-PRESCRIBE: NO
PROVENA MEDICAL GROUP555 W COURT ST SUITE 214KANKAKEE, IL 60901PHONE: (815) 937-8741E-PRESCRIBE: NO
RAMAKRISHNA, RENUKA J., MD
GENDER: FPROVIDER #: 005260NPI #: 1548214711RIVERVIEW OB/GYN LTD400 N WALL STREET SUITE 403KANKAKEE, IL 60901PHONE: (815) 933-2231E-PRESCRIBE: NO
YALAMANCHILI, SAROJA, MD
GENDER: FPROVIDER #: 071602NPI #: 1124077326RIVERVIEW OB/GYN LTD400 N WALL STREET SUITE 403KANKAKEE, IL 60901PHONE: (815) 933-2231E-PRESCRIBE: NO
OBSTETRICS/GYNECOLOGY
MARTIN, KEITH R., MDGENDER: MPROVIDER #: 144336NPI #: 1801007190MONROE CLINIC-LENA214 N SCHUYLER STLENA, IL 61048PHONE: (815) 369-4541E-PRESCRIBE: NO
JOLIET, IL
KANKAKEE, IL
LENA, IL
JACKSONVILLE, ILLENA, IL
Obstetrics/GynecologyCare Providers
142* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
OBSTETRICS/GYNECOLOGY
GREEN-MORROW, KRISTEN, MD
GENDER: FPROVIDER #: 069170NPI #: 1235235052SPRINGFIELD CLINIC100 STAHLHUT DRLINCOLN, IL 62656PHONE: (217) 735-9555E-PRESCRIBE: NO
SIELAFF, DON, MDGENDER: MPROVIDER #: 008911NPI #: 1144320839SPRINGFIELD CLINIC311 EIGHTH STLINCOLN, IL 62656PHONE: (217) 735-9555E-PRESCRIBE: NO
FAMILY PRACTICE OB
FARR, CURTIS C., MDGENDER: MPROVIDER #: 023406NPI #: 1700861937FAMILY PRACTICE ASSOCIATES OF MACOMB LTD505 E GRANT ST SUITE 110MACOMB, IL 61455PHONE: (309) 833-1733E-PRESCRIBE: NO
ONEILL, CHARLES J., MDGENDER: MPROVIDER #: 014513NPI #: 1881673226FAMILY PRACTICE ASSOCIATES OF MACOMB LTD505 E GRANT ST SUITE 110MACOMB, IL 61455PHONE: (309) 833-1733E-PRESCRIBE: NO
REEVES, MICHELLE R., MDGENDER: FPROVIDER #: 068487NPI #: 1518942754FAMILY PRACTICE ASSOCIATES OF MACOMB LTD505 E GRANT ST SUITE 110MACOMB, IL 61455PHONE: (309) 833-1733POUNDERS, MELISSA L., NP; PROVIDER #: 221315E-PRESCRIBE: NO
WASCHULL, AMY S., MDGENDER: FPROVIDER #: 133973NPI #: 1639264625FAMILY PRACTICE ASSOCIATES OF MACOMB LTD505 E GRANT ST SUITE 110MACOMB, IL 61455PHONE: (309) 833-1733E-PRESCRIBE: NO
WATERS, MICHAEL L., MDGENDER: MPROVIDER #: 049233NPI #: 1477536993FAMILY PRACTICE ASSOCIATES OF MACOMB LTD505 E GRANT ST SUITE 110MACOMB, IL 61455PHONE: (309) 833-1733E-PRESCRIBE: NO
OBSTETRICS/GYNECOLOGY
ECKMAN, TROY, MDGENDER: MPROVIDER #: 059558NPI #: 1073518304WOMENS HEALTH CENTER OF MACOMB INC505 E GRANT ST SUITE 102MACOMB, IL 61455PHONE: (309) 833-5959MUDLOFF, SYBIL J., APN; PROVIDER #: 182430THOMPSON, MARY, CNM; PROVIDER #: 195282E-PRESCRIBE: NO
OBSTETRICS/GYNECOLOGY
MCGREGOR, CANDACE, MDGENDER: FPROVIDER #: 166989NPI #: 1205007721CHRISTIE CLINIC1001 COMMERCIAL DRMAHOMET, IL 61853PHONE: (217) 856-6600E-PRESCRIBE: YES
FAMILY PRACTICE OB
BEITEL, JOYCE W., MDGENDER: FPROVIDER #: 203838NPI #: 1639109879CARLE FOUNDATION PHYSICIAN SERVICES LLC200 LERNA RD SMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
LINCOLN, IL
MACOMB, IL
MAHOMET, IL
MATTOON, IL
LINCOLN, ILMATTOON, IL
Obstetrics/GynecologyCare Providers
143 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
GYNECOLOGY
LEVECK, KATHLEEN T., MDGENDER: FPROVIDER #: 099678NPI #: 1679688196CARLE FOUNDATION PHYSICIAN SERVICES200 LERNA ROAD SOUTHMATTOON, IL 61938PHONE: (217) 258-5900ESKER, KRISTI S., NP; PROVIDER #: 138349E-PRESCRIBE: NO
OBSTETRICS/GYNECOLOGY
BENSON, MICHAEL, DOGENDER: MPROVIDER #: 051300NPI #: 1790891133SBL WOMENS HEALTHCARE500 HEALTH CENTER DR SUITE 201MATTOON, IL 61938PHONE: (217) 258-4030E-PRESCRIBE: NO
FLEMING, MELVIN A., MDGENDER: MPROVIDER #: 221151NPI #: 1134235823SARAH BUSH LINCOLN HEALTH CENTER500 HEALTH CENTER DR SUITE 201MATTOON, IL 61938PHONE: (217) 258-4030E-PRESCRIBE: NO
HORVAT, MARIA C., MDGENDER: FPROVIDER #: 225296NPI #: 1932109121CARLE FOUNDATION PHYSICIAN SERVICES LLC200 LERNA RD SMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
MEYER, SCOTT E., MDGENDER: MPROVIDER #: 149253NPI #: 1306017751SBL WOMENS HEALTHCARE500 HEALTH CENTER DR SUITE 201MATTOON, IL 61938PHONE: (217) 258-4030E-PRESCRIBE: NO
MILLER, RICK, DOGENDER: MPROVIDER #: 006598NPI #: 1033225826SBL WOMENS HEALTHCARE500 HEALTH CENTER DR SUITE 201MATTOON, IL 61938PHONE: (217) 258-4030WOCHNER, NICOLE, APN; PROVIDER #: 102775E-PRESCRIBE: NO
OBSTETRICS/GYNECOLOGY
SETRINI-BEST, LETICIA R., MD
GENDER: FPROVIDER #: 111341NPI #: 1235113812TOUSSAINT OBSTETRICS & GYNECOLOGY PC201 S WABENA AVEMINOOKA, IL 60447PHONE: (815) 521-4600E-PRESCRIBE: NO
TOUSSAINT, DOUGLAS, DOGENDER: MPROVIDER #: 022113NPI #: 1710984901TOUSSAINT OBSTETRICS & GYNECOLOGY PC201 S WABENA AVEMINOOKA, IL 60447PHONE: (815) 521-4600E-PRESCRIBE: NO
OBSTETRICS/GYNECOLOGY
SREEDEVI, MINI, MDGENDER: FPROVIDER #: 228288NPI #: 1184930331RIVERSIDE IMMEDIATE CARE & CORP HEALTH25711 S EGYPTIAN TRLMONEE, IL 60449PHONE: (708) 534-7523E-PRESCRIBE: NO
OBSTETRICS/GYNECOLOGY
PIPER, DANIEL, MDGENDER: MPROVIDER #: 019255NPI #: 1487648317OSF HOLY FAMILY CLINICS1000 W HARLEM AVEMONMOUTH, IL 61462PHONE: (309) 734-9970E-PRESCRIBE: NO
MINOOKA, IL
MONEE, IL
MONMOUTH, IL
MATTOON, ILMONMOUTH, IL
Obstetrics/GynecologyCare Providers
144* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
FAMILY PRACTICE OB
LANKER, WILLIAM K., MDGENDER: MPROVIDER #: 000664NPI #: 1568429009CARLE PHYSICIAN GROUP1002 MEDICAL CENTER DRMONTICELLO, IL 61856PHONE: (217) 762-2518MCFARLIN, DANNY L., PA; PROVIDER #: 127751E-PRESCRIBE: YES
MARTY, ANN C., MDGENDER: FPROVIDER #: 000153NPI #: 1215958905CARLE PHYSICIAN GROUP1002 MEDICAL CENTER DRMONTICELLO, IL 61856PHONE: (217) 762-2518BARRE, CHRISTY, NP; PROVIDER #: 009608MCFARLIN, DANNY L., PA; PROVIDER #: 127751E-PRESCRIBE: YES
OBSTETRICS/GYNECOLOGY
FREDERIKSEN, MARILYNN C., MD
GENDER: FPROVIDER #: 239300NPI #: 1811996796KIRBY MEDICAL CENTER1000 MEDICAL CENTER DRMONTICELLO, IL 61856PHONE: (217) 762-2115E-PRESCRIBE: NO
SHUMWAY, JOSEPH B., MDGENDER: MPROVIDER #: 239303NPI #: 1932125242KIRBY MEDICAL CENTER1000 MEDICAL CENTER DRMONTICELLO, IL 61856PHONE: (217) 762-2115E-PRESCRIBE: NO
OBSTETRICS/GYNECOLOGY
MERHI, NAHLA O., MDGENDER: FPROVIDER #: 146377NPI #: 1104928498NEW LENOX WOMENS CENTER410 E LINCOLN HIGHWAYNEW LENOX, IL 60451PHONE: (815) 462-5566E-PRESCRIBE: NO
SUBURBAN GYNECOLOGY LLC1890 SILVER CROSS BLVD SUITE 375NEW LENOX, IL 60451PHONE: (815) 717-8727E-PRESCRIBE: NO
OBSTETRICS/GYNECOLOGY
DAMERON, JENNIFER S., MDGENDER: FPROVIDER #: 101079NPI #: 1679685879DR WEAVER & ASSOCIATES1302 FRANKLIN AVE SUITE 3400NORMAL, IL 61761PHONE: (309) 451-9595E-PRESCRIBE: NO
FULK, NONA, MDGENDER: FPROVIDER #: 170876NPI #: 1619974227NONA FULK MD SC1300 FRANKLIN AVE SUITE 360NORMAL, IL 61761PHONE: (309) 808-0940E-PRESCRIBE: NO
GALVAN, JEFFREY J., MDGENDER: MPROVIDER #: 146243NPI #: 1689693475GALVAN OB/GYN & ASSOCIATES LLC1300 FRANKLIN AVE SUITE 330NORMAL, IL 61761PHONE: (309) 454-7400E-PRESCRIBE: NO
GRATKINS, LAWRENCE V., MD
GENDER: MPROVIDER #: 079276NPI #: 1912003013OBSTETRICS & GYNECOLOGY II LTD1302 FRANKLIN AVE SUITE 2800NORMAL, IL 61761PHONE: (309) 454-1074E-PRESCRIBE: NO
HATFIELD DALTON, RACHEL M., DO
GENDER: FPROVIDER #: 206362NPI #: 1235360199HAROLD A NORD OB/GYN SC1302 FRANKLIN AVE SUITE 3000NORMAL, IL 61761PHONE: (309) 454-3456E-PRESCRIBE: NO
MONTICELLO, IL
NEW LENOX, IL
NORMAL, IL
MONTICELLO, ILNORMAL, IL
Obstetrics/GynecologyCare Providers
145 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
NORD, HAROLD A., MDGENDER: MPROVIDER #: 004750NPI #: 1548206519HAROLD NORD OB/GYN SC1302 FRANKLIN AVE SUITE 3000NORMAL, IL 61761PHONE: (309) 454-3456KLEIN, ANGELA, APN; PROVIDER #: 152067E-PRESCRIBE: YES
RISTIC, PATRICIA I., MDGENDER: FPROVIDER #: 104712NPI #: 1669506812OBSTETRICS & GYNECOLOGY II LTD1302 FRANKLIN AVE SUITE 2800NORMAL, IL 61761PHONE: (309) 454-1074E-PRESCRIBE: NO
SVIENTEK, SUSAN JEAN, MDGENDER: FPROVIDER #: 232023NPI #: 1023120227SUSAN SVIENTEK MD SC WOMEN FOR WOMEN1302 FRANKLIN AVE SUITE 2200NORMAL, IL 61761PHONE: (309) 888-9900E-PRESCRIBE: NO
THORNTON, SHERRI-LEE, MD
GENDER: FPROVIDER #: 056354NPI #: 1770695975WOMEN FOR WOMEN1302 FRANKLIN AVE SUITE 2200NORMAL, IL 61761PHONE: (309) 888-9900E-PRESCRIBE: NO
OBSTETRICS/GYNECOLOGY
BENSON, MICHAEL, DOGENDER: MPROVIDER #: 051300NPI #: 1790891133PARIS COMMUNITY HOSPITAL721 E COURT STPARIS, IL 61944PHONE: E-PRESCRIBE: NO
OBSTETRICS/GYNECOLOGY
BRINKMAN-MOSIMAN, LESLEY E., MD
GENDER: FPROVIDER #: 010754NPI #: 1649340019THE WOMENS CENTER FOR HEALTH2401 BROADWAY STPEKIN, IL 61554PHONE: (309) 478-1700KROENLEIN, KRISTI S., NP; PROVIDER #: 163892E-PRESCRIBE: NO
HARRINGTON, DOUGLAS C., MD
GENDER: MPROVIDER #: 010755NPI #: 1598736837HARRINGTON OBSTETRICS & GYNECOLOGY2709 BROADWAY RDPEKIN, IL 61554PHONE: (309) 353-3330E-PRESCRIBE: NO
REINERTSON, ERIC, MDGENDER: MPROVIDER #: 244517NPI #: 1497825863PREMIER OB/GYN2401 BROADWAY LOWER LEVELPEKIN, IL 61554PHONE: (309) 620-9980E-PRESCRIBE: YES
THE WOMENS CENTER FOR HEALTH2401 BROADWAY STPEKIN, IL 61554PHONE: (309) 478-1700KROENLEIN, KRISTI S., NP; PROVIDER #: 163892E-PRESCRIBE: NO
GYNECOLOGY
COURI, MICHELE A., MDGENDER: FPROVIDER #: 082784NPI #: 1861471583COURI CENTER FOR GYNECOLOGY AND INTEGRATIVE WOME6708 N KNOXVILLE AVE SUITE 1PEORIA, IL 61614PHONE: (309) 692-6838LANG, SUSAN, CNM; PROVIDER #: 097968POLANIN, TERRYL A., APN; PROVIDER #: 196147E-PRESCRIBE: NO
SHAY, SANIT S., MDGENDER: MPROVIDER #: 001779NPI #: 18716420411201 N NORTH ST SUITE 201PEORIA, IL 61606PHONE: (309) 671-2340E-PRESCRIBE: NO
PARIS, IL
PEKIN, IL
PEORIA, IL
NORMAL, ILPEORIA, IL
Obstetrics/GynecologyCare Providers
146* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
OBSTETRICS/GYNECOLOGY
ALI, MAQBOOL, MDGENDER: FPROVIDER #: 010796NPI #: 1801874565GREATER PEORIA OB/GYN CORPORATION4930 N EXECUTIVE DRPEORIA, IL 61614PHONE: (309) 671-8749E-PRESCRIBE: NO
ANNE, VASANATHA L., MDGENDER: FPROVIDER #: 193821NPI #: 1578870846JODY L KELLY MD & ASSOCIATES LLC2901 N KNOXVILLE AVEPEORIA, IL 61603PHONE: (309) 688-7010E-PRESCRIBE: NO
5401 N KNOXVILLE AVE SUITE 300PEORIA, IL 61614PHONE: (309) 688-7010E-PRESCRIBE: NO
BIRKHOLZ, JILL A., MDGENDER: FPROVIDER #: 049765NPI #: 1144233495EDWARD C LUAN MD SC7620 N UNIVERSITY ST SUITE 108PEORIA, IL 61614PHONE: (309) 692-5600E-PRESCRIBE: NO
BOCHANTIN, TRACY A., MDGENDER: FPROVIDER #: 066741NPI #: 1336255009BOCHANTIN OBSTETRICS & GYNECOLOGY SERVICES LTD5401 N KNOXVILLE AVE SUITE 308PEORIA, IL 61614PHONE: (309) 692-5100NALL, BARBARA J., APN; PROVIDER #: 161910E-PRESCRIBE: NO
OSF SISTERS COMMUNITY HEALTHCARE CENTER320 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 624-9690E-PRESCRIBE: NO
BOYD JR, WILLIAM M., DOGENDER: MPROVIDER #: 008992NPI #: 1770581456BOYD OBSTETRICS & GYNECOLOGY SC900 E MAIN ST SUITE 660PEORIA, IL 61602PHONE: (309) 687-4230CHEEK, KIMBERLY, NP; PROVIDER #: 175848GOFF, DANA H., CNM; PROVIDER #: 070312REEVES, SONIA, CNM; PROVIDER #: 070351E-PRESCRIBE: NO
BYLER DANN, REBECCA J., MD
GENDER: FPROVIDER #: 176437NPI #: 1114126364ILLINOIS CANCERCARE8940 N WOOD SAGE RDPEORIA, IL 61615PHONE: (309) 243-3000E-PRESCRIBE: NO
OSF SISTERS COMMUNITY HEALTHCARE CENTER320 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 624-9690E-PRESCRIBE: NO
BYLER DANN, REBECCA, MDGENDER: FPROVIDER #: 173086NPI #: 1114126364U OF I COLLEGE OF MEDICINE530 NE GLEN OAK AVEPEORIA, IL 61603PHONE: (309) 655-6892E-PRESCRIBE: NO
CATT, SUSAN, MDGENDER: FPROVIDER #: 237487NPI #: 1326200585TEVERBAUGH CROLAND & MUELLER OB/GYN & ASSOCIATES5114 N GLEN PARK PLACE SUITE 330PEORIA, IL 61614PHONE: (309) 692-2025E-PRESCRIBE: NO
COTTER, THUSITHA, MDGENDER: FPROVIDER #: 221929NPI #: 1649477555OSF SISTERS COMMUNITY HEALTHCARE CENTER320 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 624-9690E-PRESCRIBE: NO
U OF I COLLEGE OF MEDICINE530 NE GLEN OAK AVEPEORIA, IL 61603PHONE: (309) 655-6892E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Obstetrics/GynecologyCare Providers
147 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
CROLAND, JOSHUA A., MDGENDER: MPROVIDER #: 108742NPI #: 1215916093TEVERBAUGH CROLAND & MUELLER OB/GYN & ASSOCIATES5114 N GLEN PARK PLACE RD SUITE 220PEORIA, IL 61614PHONE: (309) 692-2025E-PRESCRIBE: NO
8600 N STATE ROUTE 91 SUITE 330PEORIA, IL 61615PHONE: (309) 692-2025LYNCH, JENNIFER, APN; PROVIDER #: 150699E-PRESCRIBE: NO
U OF I COLLEGE OF MEDICINE530 NE GLEN OAK AVEPEORIA, IL 61603PHONE: (309) 655-6892E-PRESCRIBE: NO
CYR, RONALD R., MDGENDER: MPROVIDER #: 160924NPI #: 1487747697OSF SISTERS COMMUNITY HEALTHCARE CENTER320 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 624-9690E-PRESCRIBE: NO
FUCHS, ESTHER, MDGENDER: FPROVIDER #: 212471NPI #: 1255572723HEARTLAND COMMUNITY HEALTH CLINIC1701 W GARDEN STPEORIA, IL 61605PHONE: (309) 680-7600E-PRESCRIBE: NO
2321 N WISCONSIN AVEPEORIA, IL 61605PHONE: (309) 680-7600E-PRESCRIBE: NO
OSF SISTERS COMMUNITY HEALTHCARE CENTER320 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 624-9690E-PRESCRIBE: NO
U OF I COLLEGE OF MEDICINE530 NE GLEN OAK AVEPEORIA, IL 61603PHONE: (309) 655-6892E-PRESCRIBE: NO
GARCIA, XOCHITL L., MDGENDER: FPROVIDER #: 205773NPI #: 1881893212JODY L KELLY MD & ASSOCIATES LLC2901 N KNOXVILLE AVEPEORIA, IL 61603PHONE: (309) 688-7010E-PRESCRIBE: NO
5401 N KNOXVILLE AVE SUITE 300PEORIA, IL 61614PHONE: (309) 688-7010E-PRESCRIBE: NO
GIBSON, JACK M., MDGENDER: MPROVIDER #: 008994NPI #: 1346235777900 MAIN ST SUITE 280PEORIA, IL 61602PHONE: (309) 671-2570E-PRESCRIBE: NO
OSF SISTERS COMMUNITY HEALTHCARE CENTER320 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 624-9690E-PRESCRIBE: NO
HARRINGTON, DOUGLAS C., MD
GENDER: MPROVIDER #: 010755NPI #: 1598736837HARRINGTON OBSTETRICS & GYNECOLOGY120 NE GLEN OAK AVE SUITE 207PEORIA, IL 61603PHONE: (309) 673-4471E-PRESCRIBE: NO
KELLY, JODY L., MDGENDER: FPROVIDER #: 093801NPI #: 1932107208JODY L KELLY MD & ASSOCIATES LLC2901 N KNOXVILLE AVEPEORIA, IL 61603PHONE: (309) 688-7010EETEN, ALISON B., CNM; PROVIDER #: 167702SPHAR, SUSAN B., CNM; PROVIDER #: 070354E-PRESCRIBE: NO
5401 N KNOXVILLE AVE SUITE 300PEORIA, IL 61614PHONE: (309) 688-7010E-PRESCRIBE: NO
KINDRED, DAVID H., MDGENDER: MPROVIDER #: 008996NPI #: 1508953258KINDRED LLC2806 N KNOXVILLE AVEPEORIA, IL 61604PHONE: (309) 687-6500HARTENBOWER, CHERYL, CNM; PROVIDER #: 131176TISDALE, MARY, CNM; PROVIDER #: 177482E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Obstetrics/GynecologyCare Providers
148* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
LEE, THOMAS G., DOGENDER: MPROVIDER #: 023867NPI #: 1407876519LEE OBSTETRICS & GYNECOLOGY SC6915 N KNOXVILLE AVE SUITE 1PEORIA, IL 61614PHONE: (309) 691-1259E-PRESCRIBE: NO
U OF I COLLEGE OF MEDICINE530 NE GLEN OAK AVEPEORIA, IL 61603PHONE: (309) 655-6892E-PRESCRIBE: NO
LEVASSEUR, ANTOINETTE, MD
GENDER: FPROVIDER #: 009027NPI #: 1144291055NORTH PEORIA WOMENS HEALTH & OB/GYN5401 N KNOXVILLE AVE SUITE 208PEORIA, IL 61614PHONE: (309) 692-7400E-PRESCRIBE: NO
LOCOCO, SALVATORE J., MDGENDER: MPROVIDER #: 193317NPI #: 1831104645HEARTLAND COMMUNITY HEALTH CLINIC AT EAST BLUFF2321 N WISCONSIN AVEPEORIA, IL 61603PHONE: (309) 680-7600E-PRESCRIBE: NO
ILLINOIS CANCERCARE8940 N WOOD SAGE RDPEORIA, IL 61615PHONE: (309) 243-3000E-PRESCRIBE: NO
LOCOCO, SALVATORE, MDGENDER: MPROVIDER #: 173059NPI #: 1831104645U OF I COLLEGE OF MEDICINE530 NE GLEN OAK AVEPEORIA, IL 61603PHONE: (309) 655-3024E-PRESCRIBE: NO
LOWE, JASON W., MDGENDER: MPROVIDER #: 086174NPI #: 1790792505WOMENS HEALTH INSTITUTE LTD7309 N KNOXVILLE AVE SUITE 300PEORIA, IL 61614PHONE: (309) 671-5100E-PRESCRIBE: YES
LUAN, EDWARD C., MDGENDER: MPROVIDER #: 084167NPI #: 1770596124EDWARD C LUAN MD SC7620 N UNIVERSITY ST SUITE 108PEORIA, IL 61614PHONE: (309) 692-5600E-PRESCRIBE: NO
MA, LINDSEY A., MDGENDER: MPROVIDER #: 010768NPI #: 1285688820PEORIA WOMENS HEALTH5401 N KNOXVILLE AVE SUITE 109PEORIA, IL 61614PHONE: (309) 692-2805E-PRESCRIBE: NO
MUELLER, JOHN C., MDGENDER: MPROVIDER #: 220357NPI #: 1730144650OSF SISTERS COMMUNITY HEALTHCARE CENTER320 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 624-9690E-PRESCRIBE: NO
MUELLER, JOHN, MDGENDER: MPROVIDER #: 004797NPI #: 1730144650TEVERBAUGH CROLAND & MUELLER OB/GYN & ASSOCIATES5114 N GLEN PARK PLACE RD SUITE 220PEORIA, IL 61614PHONE: (309) 692-2025E-PRESCRIBE: NO
8600 N STATE ROUTE 91 SUITE 330PEORIA, IL 61615PHONE: (309) 692-2025LYNCH, JENNIFER, APN; PROVIDER #: 150699E-PRESCRIBE: NO
OLT, TAMARA, MDGENDER: FPROVIDER #: 038638NPI #: 1104870708PEORIA WOMENS HEALTH5401 N KNOXVILLE AVE SUITE 109PEORIA, IL 61614PHONE: (309) 692-2805BRENENSTALL, DONNA J., APN; PROVIDER #: 212565E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Obstetrics/GynecologyCare Providers
149 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
OVERCASH, LARRY F., MDGENDER: MPROVIDER #: 009022NPI #: 1639136484WOMENS HEALTH INSTITUTE LTD7309 N KNOXVILLE AVE SUITE 300PEORIA, IL 61614-2085PHONE: (309) 671-5100E-PRESCRIBE: YES
SAAD, EDWARD, MDGENDER: MPROVIDER #: 083428NPI #: 1891764908U OF I COLLEGE OF MEDICINE530 NE GLEN OAK AVEPEORIA, IL 61603PHONE: (309) 655-6892E-PRESCRIBE: NO
STALLING, JILLIAN C., MDGENDER: FPROVIDER #: 212816NPI #: 1659593507TEVERBAUGH CROLAND & MUELLER OB/GYN & ASSOCIATES5114 N GLEN PARK PLACE RD SUITE 220PEORIA, IL 61614PHONE: (309) 692-2025E-PRESCRIBE: NO
8600 N STATE ROUTE 91 SUITE 330PEORIA, IL 61615PHONE: (309) 692-2025E-PRESCRIBE: NO
SWINGLER, JAMES L., MDGENDER: MPROVIDER #: 009037NPI #: 1982612982GYNECOLOGY & OBSTETRICS SC7501 N UNIVERSITY ST SUITE 109PEORIA, IL 61614PHONE: (309) 692-0072MOODIE, JODY; PROVIDER #: 049692E-PRESCRIBE: NO
TEVERBAUGH, LORI A., MDGENDER: FPROVIDER #: 220387NPI #: 1427037209OSF SISTERS COMMUNITY HEALTHCARE CENTER320 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 624-9690E-PRESCRIBE: NO
TEVERBAUGH CROLAND & MUELLER OB/GYN & ASSOCIATES5114 N GLEN PARK PLACE RD SUITE 220PEORIA, IL 61614PHONE: (309) 692-2025E-PRESCRIBE: NO
8600 N STATE ROUTE 91 SUITE 330PEORIA, IL 61615PHONE: (309) 692-2025LYNCH, JENNIFER, APN; PROVIDER #: 150699E-PRESCRIBE: NO
THOMPSON, STEPHEN C., MD
GENDER: MPROVIDER #: 010769NPI #: 1720039738STEPHEN C THOMPSON MD SC5401 N KNOXVILLE AVE SUITE 119PEORIA, IL 61614PHONE: (309) 692-1700E-PRESCRIBE: NO
WAGERS, DIEDRE A., MDGENDER: FPROVIDER #: 229399NPI #: 1124289277U OF I COLLEGE OF MEDICINE530 NE GLEN OAK AVEPEORIA, IL 61603PHONE: (309) 655-6892E-PRESCRIBE: NO
GYNECOLOGY
KIJEK, MARK A., MDGENDER: MPROVIDER #: 020489NPI #: 165933651923959 RENWICK RDPLAINFIELD, IL 60544PHONE: E-PRESCRIBE: NO
PLAINFIELD, IL
PEORIA, ILPLAINFIELD, IL
Obstetrics/GynecologyCare Providers
150* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
OBSTETRICS/GYNECOLOGY
INGRAM, SHARON T., MDGENDER: FPROVIDER #: 119842NPI #: 1124046214OSF MEDICAL GROUP2500 W REYNOLDS ST SUITE 212PONTIAC, IL 61764PHONE: (815) 842-3567E-PRESCRIBE: NO
NYI, SHAI S., MDGENDER: PROVIDER #: 023553NPI #: 1073606323OSF MEDICAL GROUP2500 W REYNOLDS ST SUITE 212PONTIAC, IL 61764PHONE: (815) 842-3567E-PRESCRIBE: NO
OBSTETRICS/GYNECOLOGY
LAVAVEJ, SRIPEN, MDGENDER: FPROVIDER #: 014436NPI #: 1386608099530 PARK AVE EAST SUITE 202PRINCETON, IL 61356PHONE: (815) 875-4428REIDNER, ANGELA G., CNM; PROVIDER #: 089086E-PRESCRIBE: NO
FAMILY PRACTICE OB
FRANZEN, THOMAS L., MDGENDER: MPROVIDER #: 026213NPI #: 1609895499CARLE PHYSICIAN GROUP1540 E GROVERANTOUL, IL 61866PHONE: (217) 893-7700E-PRESCRIBE: YES
OBSTETRICS/GYNECOLOGY
HAILESELASSIE, MULUMEBET, MD
GENDER: FPROVIDER #: 070573NPI #: 1912991928COMMUNITY HEALTH CARE ROBERT YOUNG2203 3RD AVENUEROCK ISLAND, IL 61201PHONE: (563) 336-3000E-PRESCRIBE: NO
COMMUNITY HEALTH CARE ROCK ISLAND2750 11TH STREETROCK ISLAND, IL 61201PHONE: (563) 327-2100E-PRESCRIBE: NO
OBSTETRICS/GYNECOLOGY
BEYER-NOLEN, ELISABETH, MD
GENDER: FPROVIDER #: 168858NPI #: 1306853684QUALITY HEALTHCARE CLINIC1300 N MARKET STSPARTA, IL 62286PHONE: (618) 443-4138E-PRESCRIBE: NO
BOYD, EMILY B., MDGENDER: FPROVIDER #: 188814NPI #: 1730257924QUALITY HEALTHCARE CLINIC1300 N MARKET STSPARTA, IL 62286PHONE: (618) 443-4138E-PRESCRIBE: NO
CARSON, DEBRA, DOGENDER: FPROVIDER #: 216828NPI #: 1043410392WOMENS HEALTHCARE1300 N MARKET STSPARTA, IL 62286PHONE: (618) 443-4138E-PRESCRIBE: NO
COVLIN, MICHAEL A., MDGENDER: MPROVIDER #: 166971NPI #: 1780641852QUALITY HEALTHCARE CLINIC1300 N MARKETSPARTA, IL 62286PHONE: (618) 443-4138E-PRESCRIBE: NO
PONTIAC, IL
PRINCETON, IL
RANTOUL, IL
ROCK ISLAND, IL
SPARTA, IL
PONTIAC, ILSPARTA, IL
Obstetrics/GynecologyCare Providers
151 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
JOYNER, SCOTT, DOGENDER: MPROVIDER #: 172519NPI #: 1720018617QUALITY HEALTHCARE CLINIC1300 N MARKET STSPARTA, IL 62286PHONE: (618) 443-4138E-PRESCRIBE: NO
PLETT, JAMIE L., MDGENDER: FPROVIDER #: 221971NPI #: 1033412531WOMENS HEALTHCARE1300 N MARKET STSPARTA, IL 62286PHONE: (618) 443-4138E-PRESCRIBE: YES
SCHIFANO, MICHAEL J., MDGENDER: MPROVIDER #: 166969NPI #: 1679507818QUALITY HEALTHCARE CLINIC1300 N MARKET STSPARTA, IL 62286PHONE: (618) 443-4138OBERNUEFEMANN, SYLVIA, CNM; PROVIDER #: 248324E-PRESCRIBE: NO
FAMILY PRACTICE OB
SCHLAGHECK, DAVID, MDGENDER: MPROVIDER #: 034636NPI #: 1336255157ST MARGARETS HEALTH FAMILY HEALTH CENTER415 E SECOND STSPRING VALLEY, IL 61362PHONE: (815) 664-2367E-PRESCRIBE: NO
OBSTETRICS/GYNECOLOGY
MASCHMANN, JENNIFER L., MD
GENDER: FPROVIDER #: 085137NPI #: 1023021433ST MARGARETS HOSPITAL600 E FIRST STSPRING VALLEY, IL 61362PHONE: E-PRESCRIBE: NO
ORTEZA, NORAH W., MDGENDER: FPROVIDER #: 085138NPI #: 1619082948ST MARGARETS HEALTH WOMENS HEALTH CLINIC600 E FIRST ST HAZEL MARIA BOYLE SECOND FLOORSPRING VALLEY, IL 61362PHONE: (815) 663-2300CHRISTENSEN, CATHERINE, PA-C; PROVIDER #: 074214E-PRESCRIBE: NO
WHATCOTT, CRAIG R., MDGENDER: MPROVIDER #: 032192NPI #: 1598871329ST MARGARETS HEALTH WOMENS HEALTH CLINIC600 E FIRST ST HAZEL MARIA BOYLE SECOND FLOORSPRING VALLEY, IL 61362PHONE: (815) 663-2300CHRISTENSEN, CATHERINE, PA-C; PROVIDER #: 074214E-PRESCRIBE: NO
GYNECOLOGY
ARBUTHNOT, JANE R., MDGENDER: FPROVIDER #: 098742NPI #: 1760489587WOMENS HEALTHCARE LLC747 N RUTLEDGE ST BAYLIS BLDG 2ND FLSPRINGFIELD, IL 62702PHONE: (217) 757-7932E-PRESCRIBE: NO
OBSTETRICS/GYNECOLOGY
AMIN, NEHA N., MDGENDER: FPROVIDER #: 040275NPI #: 1619974532WOMENS HEALTHCARE LLC747 N RUTLEDGE BAYLIS BLDG 2ND FLSPRINGFIELD, IL 62702PHONE: (217) 757-7932KELLEY, PAMELA S., CNP; PROVIDER #: 137935E-PRESCRIBE: NO
BEAL, HEATHER, MDGENDER: FPROVIDER #: 116731NPI #: 1912940545SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541HICKMAN, ROBIN J., FNPC; PROVIDER #: 148990E-PRESCRIBE: YES
SPRING VALLEY, IL
SPRINGFIELD, IL
SPARTA, ILSPRINGFIELD, IL
Obstetrics/GynecologyCare Providers
152* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
BENNETT, TARA Z., MDGENDER: FPROVIDER #: 008876NPI #: 1194713024SPRINGFIELD CLINIC350 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 525-0210E-PRESCRIBE: NO
BRADLEY, E MICHAEL, MDGENDER: MPROVIDER #: 008479NPI #: 1497744171SPRINGFIELD CLINIC350 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 525-0210E-PRESCRIBE: NO
BRARD, LAURENT, MDGENDER: MPROVIDER #: 200223NPI #: 1346278041SIU PHYS & SURG SIMMONS CANCER INSTITUTE315 W CARPENTER 1ST FLOORSPRINGFIELD, IL 62702PHONE: (217) 545-1322E-PRESCRIBE: NO
SIU PHYS & SURG-SIMMONS CANCER INSTITUTE315 W CARPENTER 2ND FLSPRINGFIELD, IL 62702PHONE: (217) 545-5117E-PRESCRIBE: NO
SIU PHYSICIANS & SURGEONS INC415 N 9TH ST STE 6W100SPRINGFIELD, IL 62701PHONE: (217) 545-5117E-PRESCRIBE: NO
BROWN, CHERYL L., MDGENDER: FPROVIDER #: 084242NPI #: 1548372097SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541HICKMAN, ROBIN J., FNPC; PROVIDER #: 148990E-PRESCRIBE: YES
CHAPMAN, DAVID C., MDGENDER: MPROVIDER #: 008478NPI #: 1164410163SPRINGFIELD CLINIC350 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 525-0210E-PRESCRIBE: NO
DIGNAN-MOORE, LESLIE A., MD
GENDER: FPROVIDER #: 167075NPI #: 1831311836SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
EDEN, RICHARD T., MDGENDER: MPROVIDER #: 133962NPI #: 1477589992SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541DITMAN, MARY BETH, FNPC; PROVIDER #: 162844E-PRESCRIBE: YES
ERICSSON, KRISTINA R., MDGENDER: FPROVIDER #: 202653NPI #: 1366640658SIU PHYSICIANS & SURGEONS INC415 N 9TH ST SUITE 6W100SPRINGFIELD, IL 62701PHONE: (217) 545-5117E-PRESCRIBE: NO
ERTMOED, ERNEST E., MDGENDER: MPROVIDER #: 008065NPI #: 1710073382SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541DITMAN, MARY BETH, FNPC; PROVIDER #: 162844WEIDLER, CAROL, NP; PROVIDER #: 054409E-PRESCRIBE: YES
FERRILL, ALYCE F., MDGENDER: FPROVIDER #: 098154NPI #: 1740279439SPRINGFIELD CLINIC350 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 525-0210E-PRESCRIBE: NO
GARZA-CAVAZOS, ARTURO, MD
GENDER: MPROVIDER #: 189924NPI #: 1336456367SIU PHYSICIANS & SURGEONS415 N 9TH STSPRINGFIELD, IL 62702PHONE: (217) 545-5117E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Obstetrics/GynecologyCare Providers
153 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
GILDNER, JAMES L., MDGENDER: MPROVIDER #: 008529NPI #: 1477549590WOMENS HEALTHCARE LLC747 N RUTLEDGE ST BAYLIS BLDG 2ND FLSPRINGFIELD, IL 62702PHONE: (217) 757-7932E-PRESCRIBE: NO
HALL, AMY E., MDGENDER: FPROVIDER #: 048440NPI #: 1508855479SPRINGFIELD CLINIC350 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 525-0210E-PRESCRIBE: NO
HANY, LUCINDA A., MDGENDER: FPROVIDER #: 133060NPI #: 1063535029SPRINGFIELD CLINIC350 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 525-0210E-PRESCRIBE: NO
HIGH, AMY K., MDGENDER: FPROVIDER #: 185048NPI #: 1780890913WOMENS HEALTHCARE LLC747 N RUTLEDGE BAYLIS BLDG 2ND FLSPRINGFIELD, IL 62702PHONE: (217) 757-7932E-PRESCRIBE: NO
HILD-MOSLEY, KATHERINE A., MD
GENDER: FPROVIDER #: 109551NPI #: 1932180981SIU PHYSICIANS & SURGEONS415 N 9TH STSPRINGFIELD, IL 62701PHONE: (217) 545-5117E-PRESCRIBE: NO
HUDEC, JOHN G., MDGENDER: MPROVIDER #: 023645NPI #: 1992791032WOMENS HEALTHCARE LLC747 N RUTLEDGE ST BAYLIS BLDG 2ND FLSPRINGFIELD, IL 62702PHONE: (217) 757-7932E-PRESCRIBE: NO
HUSTON, CHAD A., MDGENDER: MPROVIDER #: 023438NPI #: 1477534428SIU PHYSICIANS & SURGEONS415 N 9TH STSPRINGFIELD, IL 62701PHONE: (217) 545-5117E-PRESCRIBE: NO
KLEIN, TAMMIE A., MDGENDER: FPROVIDER #: 008082NPI #: 1366543464SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541HICKMAN, ROBIN J., FNPC; PROVIDER #: 148990E-PRESCRIBE: YES
NELSON, ERICA, MDGENDER: FPROVIDER #: 049668NPI #: 1447231493SIU PHYSICIANS & SURGEONS415 N 9TH STSPRINGFIELD, IL 62701PHONE: (217) 545-5117E-PRESCRIBE: NO
OH, B ROCK, MDGENDER: MPROVIDER #: 066304NPI #: 1174504153SIU PHYSICIANS & SURGEONS415 N 9TH STSPRINGFIELD, IL 62701PHONE: (217) 545-5117E-PRESCRIBE: NO
PUTMAN, WILLIAM D., MDGENDER: MPROVIDER #: 008104NPI #: 1386737237SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (517) 528-7541DITMAN, MARY BETH, FNPC; PROVIDER #: 162844WEIDLER, CAROL, NP; PROVIDER #: 054409E-PRESCRIBE: YES
QUINN, TONI M., MDGENDER: FPROVIDER #: 083373NPI #: 1528151487SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541DITMAN, MARY BETH, FNPC; PROVIDER #: 162844E-PRESCRIBE: YES
SPRINGFIELD, ILSPRINGFIELD, IL
Obstetrics/GynecologyCare Providers
154* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
RETTIG, ANGELIQUE S., MDGENDER: FPROVIDER #: 040122NPI #: 1649268509SPRINGFIELD CLINIC350 W CARPENTER STSPRINGFIELD, IL 62706PHONE: (217) 525-0210E-PRESCRIBE: NO
RODRIGO, GILBERTO, MDGENDER: MPROVIDER #: 169974NPI #: 1568653608SIU PHYSICIANS & SURGEONS415 N 9TH STSPRINGFIELD, IL 62701PHONE: (217) 545-5117E-PRESCRIBE: NO
RUNDLE, PAMELA J., MDGENDER: FPROVIDER #: 075680NPI #: 1144313008SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
SAINT, JOHN G., MDGENDER: MPROVIDER #: 008486NPI #: 1407837065SIU PHYSICIANS & SURGEONS415 N 9TH STSPRINGFIELD, IL 62701PHONE: (217) 545-5117E-PRESCRIBE: NO
SIDDIQUE, SOHAIL A., MDGENDER: MPROVIDER #: 164760NPI #: 1992770101SIU PHYSICIANS & SURGEONS301 N 8TH ST PAV 4BSPRINGFIELD, IL 62701PHONE: (217) 545-5117E-PRESCRIBE: NO
415 N 9TH STSPRINGFIELD, IL 62701PHONE: (217) 545-5117E-PRESCRIBE: NO
STEHLING, DUSTIN J., MDGENDER: MPROVIDER #: 224140NPI #: 1033371125SPRINGFIELD CLINIC LLP800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: NO
STONE, ERIN M., MDGENDER: FPROVIDER #: 133059NPI #: 1760505721SPRINGFIELD CLINIC350 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 525-0210E-PRESCRIBE: NO
SWEETLAND, DONNA J., MDGENDER: FPROVIDER #: 014792NPI #: 1740374909SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541KILLAM, BETH A., CNM; PROVIDER #: 182626E-PRESCRIBE: YES
VISNESKY, PATRICIA M., MDGENDER: FPROVIDER #: 008530NPI #: 1770558942WOMENS HEALTHCARE LLC747 N RUTLEDGE ST BAYLIS BLDG 2ND FLSPRINGFIELD, IL 62794PHONE: (217) 757-7932E-PRESCRIBE: NO
YOUNKIN, CASEY C., MDGENDER: MPROVIDER #: 008487NPI #: 1659352656SIU PHYSICIANS & SURGEONS415 N 9TH STSPRINGFIELD, IL 62701PHONE: (217) 545-5117E-PRESCRIBE: NO
ZEINO, MHD YAHIA, MDGENDER: MPROVIDER #: 166345NPI #: 1528271673SIU PHYSICIANS & SURGEONS415 N 9TH STSPRINGFIELD, IL 62701PHONE: (217) 545-5117E-PRESCRIBE: NO
ZINZILIETA, J M., MDGENDER: MPROVIDER #: 008126NPI #: 1366539165SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541KILLAM, BETH A., CNM; PROVIDER #: 182626E-PRESCRIBE: YES
SPRINGFIELD, ILSPRINGFIELD, IL
Obstetrics/GynecologyCare Providers
155 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
FAMILY PRACTICE OB
COSTERISAN, DENNIS D., DOGENDER: MPROVIDER #: 006574NPI #: 1578565701SULLIVAN FAMILY CARE2 W ADAMSSULLIVAN, IL 61951PHONE: (217) 728-8329STEWART, JOYA D., APN; PROVIDER #: 223299E-PRESCRIBE: NO
OBSTETRICS/GYNECOLOGY
QUINN, TONI M., MDGENDER: FPROVIDER #: 083373NPI #: 1528151487SPRINGFIELD CLINIC600 N MAIN STTAYLORVILLE, IL 62568PHONE: (217) 287-8855E-PRESCRIBE: YES
OBSTETRICS/GYNECOLOGY
YOUNG, SARAH B., MDGENDER: FPROVIDER #: 134175NPI #: 1477630523CHRISTIE CLINIC704 N MAINTUSCOLA, IL 61953PHONE: (217) 366-1200E-PRESCRIBE: YES
FAMILY PRACTICE OB
SWEARINGEN, JEFFREY V., MD
GENDER: MPROVIDER #: 000677NPI #: 1689785305CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3170E-PRESCRIBE: YES
WHITEHILL, DAVID L., MDGENDER: MPROVIDER #: 000658NPI #: 1366542763CARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9500E-PRESCRIBE: YES
OBSTETRICS/GYNECOLOGY
CARLSON, NANCY J., MDGENDER: FPROVIDER #: 245324NPI #: 1326158502CARLE PHYSICIAN GROUP602 W UNIVERSITY AVENUEURBANA, IL 61801-2530PHONE: (217) 383-4930E-PRESCRIBE: YES
DILLARD, TIFFANI E., MDGENDER: FPROVIDER #: 069431NPI #: 1871695684CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3140GRAFTON, VANESSA J., CNM; PROVIDER #: 174543HUDSON, AUBREY N., PA; PROVIDER #: 151498LAKE, JERI, CNM; PROVIDER #: 000501SMITH, KATHY L., NP; PROVIDER #: 000224SOLIS, ELLEN, CNM; PROVIDER #: 131989SPOONER, RAY, CNM; PROVIDER #: 033577E-PRESCRIBE: YES
FAY, NANCY E., MDGENDER: FPROVIDER #: 000204NPI #: 1215956099CARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9500DALBEY, THERESA M., PA; PROVIDER #: 191867MAJERS, TERESA L., CNP; PROVIDER #: 000221E-PRESCRIBE: YES
FULFER, JAMIE L., MDGENDER: PROVIDER #: 165863NPI #: 1093802001CARLE FOUNDATION PHYSICIAN SERVICES LLC611 W PARK STURBANA, IL 61801PHONE: E-PRESCRIBE: NO
SULLIVAN, IL
TAYLORVILLE, IL
TUSCOLA, IL
URBANA, IL
SULLIVAN, ILURBANA, IL
Obstetrics/GynecologyCare Providers
156* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3140HUDSON, AUBREY N., PA; PROVIDER #: 151498E-PRESCRIBE: YES
GALLOWAY, KEVIN L., DOGENDER: MPROVIDER #: 195130NPI #: 1073507547CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3140E-PRESCRIBE: YES
GOODWINE-WOZNIAK, NANCY, MD
GENDER: FPROVIDER #: 094513NPI #: 1700805942CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3140HUDSON, AUBREY N., PA; PROVIDER #: 151498LAKE, JERI, CNM; PROVIDER #: 000501SMITH, KATHY L., NP; PROVIDER #: 000224SOLIS, ELLEN, CNM; PROVIDER #: 131989SPOONER, RAY, CNM; PROVIDER #: 033577E-PRESCRIBE: YES
HENNESY, MICHAEL S., MDGENDER: MPROVIDER #: 232568NPI #: 1932194016CARLE FOUNDATION HOSPITAL611 W PARK STURBANA, IL 61801PHONE: (217) 383-3311E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3140E-PRESCRIBE: YES
HORVAT, MARIA C., MDGENDER: FPROVIDER #: 223137NPI #: 1932109121CARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9600E-PRESCRIBE: YES
MESEROW, JAMES A., MDGENDER: MPROVIDER #: 216342NPI #: 1609818657CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3140E-PRESCRIBE: YES
ROBINSON, CHRISTOPHER, MD
GENDER: MPROVIDER #: 176314NPI #: 1750353355CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-4930E-PRESCRIBE: YES
SCHMITZ, ANNA L., MDGENDER: FPROVIDER #: 210812NPI #: 1073720157CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3140E-PRESCRIBE: YES
SHEPHERD, JAMES L., MDGENDER: MPROVIDER #: 000206NPI #: 1821198094CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3140HUDSON, AUBREY N., PA; PROVIDER #: 151498LAKE, JERI, CNM; PROVIDER #: 000501MURDOCH, PATRICIA W., NP; PROVIDER #: 201370SMITH, KATHY L., NP; PROVIDER #: 000224SOLIS, ELLEN, CNM; PROVIDER #: 131989SPOONER, RAY, CNM; PROVIDER #: 033577E-PRESCRIBE: YES
SKANNAL, DEBORAH G., MDGENDER: FPROVIDER #: 212662NPI #: 1881678308CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3140E-PRESCRIBE: YES
WAGNER, REBECCA A., MDGENDER: FPROVIDER #: 000209NPI #: 1023110186CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 326-0390LAKE, JERI, CNM; PROVIDER #: 000501SMITH, KATHY L., NP; PROVIDER #: 000224SOLIS, ELLEN, CNM; PROVIDER #: 131989SPOONER, RAY, CNM; PROVIDER #: 033577E-PRESCRIBE: YES
URBANA, ILURBANA, IL
Obstetrics/GynecologyCare Providers
157 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
WEISBAUM, JON S., DOGENDER: MPROVIDER #: 017291NPI #: 1538262845CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3140HUDSON, AUBREY N., PA; PROVIDER #: 151498LAKE, JERI, CNM; PROVIDER #: 000501SMITH, KATHY L., NP; PROVIDER #: 000224SOLIS, ELLEN, CNM; PROVIDER #: 131989SPOONER, RAY, CNM; PROVIDER #: 033577E-PRESCRIBE: YES
URBANA, ILURBANA, IL
Optometry Care Providers
158
OPTOMETRY
ARBET, TIMOTHY, ODGENDER: MNPI #: MERCER COUNTY FAMILY EYECARE106 S COLLEGE AVEALEDO, IL 61231PHONE: (309) 582-2421
DISTIN, GARY D., ODGENDER: MNPI #: DRS DISTIN & DOYLE2108 SE THIRD STALEDO, IL 61231PHONE: (309) 582-5673
DOYLE, DANIEL R., ODGENDER: MNPI #: DRS DISTIN & DOYLE2108 SE THIRD STALEDO, IL 61231PHONE: (309) 582-5673
HAYS, JILL K., ODGENDER: FNPI #: MERCER COUNTY FAMILY EYECARE106 S COLLEGE AVEALEDO, IL 61231PHONE: (309) 582-2421
LEAR, CHRISTOPHER, ODGENDER: MNPI #: MERCER COUNTY FAMILY EYECARE106 S COLLEGE AVEALEDO, IL 61231PHONE: (309) 582-2421
NORDQUIST, JOSEPH J., ODGENDER: MNPI #: MERCER COUNTY FAMILY EYECARE106 S COLLEGE AVEALEDO, IL 61231PHONE: (309) 582-2421
OPTOMETRY
ROMSDAHL, ERIC M., ODGENDER: MNPI #: CHILD AND FAMILY VISION CENTER2525 N ANKENY BLVDANKENY, IA 50023PHONE: (515) 964-7541
OPTOMETRY
HEDDINGHAUS, SHAWNA L., OD
GENDER: FNPI #: FIRESIDE EYE CARE PC600 S 8TH STBENLD, IL 62009PHONE: (217) 835-7724
OPTOMETRY
BACKUS, ANDREW W., ODGENDER: MNPI #: BLOOMINGTON FAMILY EYE CARE CENTER2203 E WASHINGTON STBLOOMINGTON, IL 61701PHONE: (309) 663-03036 HEARTLAND DR SUITE CBLOOMINGTON, IL 61701PHONE: (309) 663-0303
BEREKETAB, ELILTA, ODGENDER: FNPI #: GAILEY EYE CLINIC1008 N MAIN STBLOOMINGTON, IL 61701PHONE: (309) 829-5311
BRTVA, DENNIS M., ODGENDER: MNPI #: DR DENNIS M BRTVA & ASSOCIATES2109 N VETERANS PKWY SUITE 2BLOOMINGTON, IL 61704PHONE: (309) 663-2211
CLARK, KRISTEN N., ODGENDER: FNPI #: GAILEY EYE CLINIC1008 N MAIN STBLOOMINGTON, IL 61701PHONE: (309) 829-5311
COUILLARD, JOHN F., ODGENDER: MNPI #: EYECARE ASSOCIATES2103 E WASHINGTON SUITE 1DBLOOMINGTON, IL 61704PHONE: (309) 662-2277
IMES, DAVID R., ODGENDER: MNPI #: GAILEY EYE CLINIC1008 N MAIN STBLOOMINGTON, IL 61701PHONE: (309) 829-5311
JENSEN, STEVEN T., ODGENDER: MNPI #: DENNIS M BRTVA & ASSOCIATES2109 VETERANS PARKWAY SUITE 2BLOOMINGTON, IL 61704PHONE: (309) 663-2211
ALEDO, IL
ANKENY, IA
BENLD, IL
BLOOMINGTON, IL
ALEDO, ILBLOOMINGTON, IL
Optometry Care Providers
159
KENNETT, ROBERT F., ODGENDER: MNPI #: EYE CARE ASSOCIATES2103 E WASHINGTON SUITE 1DBLOOMINGTON, IL 61704PHONE: (309) 662-2277
KLEIN, DREW, ODGENDER: MNPI #: BNL EYECARE INC2225 W MARKET STBLOOMINGTON, IL 61704PHONE: (309) 829-0636
MAHAFFEY, LINDA, ODGENDER: FNPI #: BOND EYE ASSOCIATES1228 N TOWANDA AVEBLOOMINGTON, IL 61701PHONE: (309) 647-3937
MAHAFFEY, THOMAS I., ODGENDER: MNPI #: ALLIANCE OPTICAL1228 N TOWANDABLOOMINGTON, IL 61701PHONE: (309) 828-7723
BOND EYE ASSOCIATES1228 N TOWANDA AVEBLOOMINGTON, IL 61701PHONE: (309) 647-3937
MAYGINNES, KYLE D., ODGENDER: MNPI #: DR DENNIS M BRTVA & ASSOCIATES2109 N VETERANS PKWY SUITE 2BLOOMINGTON, IL 61704PHONE: (309) 663-2211
MOVIC, WILSON W., ODGENDER: MNPI #: EYE CARE ASSOCIATES2103 E WASHINGTON SUITE 1DBLOOMINGTON, IL 61704PHONE: (309) 662-2277
NORELL, ERIC, ODGENDER: MNPI #: DR DENNIS M BRTVA & ASSOCIATES2109 N VETERANS PKWY SUITE 2BLOOMINGTON, IL 61704PHONE: (309) 663-2211
TALLIS, JAY E., ODGENDER: MNPI #: AMERICAN VISION CENTER915 N MAIN STBLOOMINGTON, IL 61701PHONE: (309) 827-8434
VIZE, KATHLEEN L., ODGENDER: FNPI #: DR DENNIS M BRTVA & ASSOCIATES2109 N VETERANS PKWY SUITE 2BLOOMINGTON, IL 61704PHONE: (309) 663-2211
WETZLER, CHRISTOPHER J., OD
GENDER: MNPI #: DR DENNIS M BRTVA & ASSOCIATES2109 N VETERANS PKWY SUITE 2BLOOMINGTON, IL 61704PHONE: (309) 663-2211
OPTOMETRY
LOCONTE, DONALD D., ODGENDER: MNPI #: FISHER SWALE NICHOLSON EYE CENTER352 BROWN BLVDBOURBONNAIS, IL 60914PHONE: (815) 932-2020
NICHOLSON, MATTHEW C., OD
GENDER: MNPI #: FISHER SWALE NICHOLSON EYE CENTER352 BROWN BLVDBOURBONNAIS, IL 60914PHONE: (815) 932-2020
PIETRZYK, JEFFREY M., ODGENDER: MNPI #: FISHER SWALE NICHOLSON EYE CENTER352 BROWN BLVDBOURBONNAIS, IL 60914PHONE: (815) 932-2020
OPTOMETRY
BACHMAN, DENA L., ODGENDER: FNPI #: SOUTHWESTERN EYE CARE101 N MAPLE STBRIGHTON, IL 62012PHONE: (618) 372-7000
JONES III, LEWIS F., ODGENDER: MNPI #: SOUTHWESTERN EYE CARE101 N MAPLE STBRIGHTON, IL 62012PHONE: (618) 372-7000
BOURBONNAIS, IL
BRIGHTON, IL
BLOOMINGTON, ILBRIGHTON, IL
Optometry Care Providers
160
OPTOMETRY
JOHNSON, THOMAS N., ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC580 S ROOSEVELT AVEBURLINGTON, IA 52601PHONE:
MCDOUGALL, JOHN H., ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC580 S ROOSEVELT AVEBURLINGTON, IA 52601-1666PHONE: (319) 753-0437
OPTOMETRY
ATKINS, CHARLES, ODGENDER: MNPI #: BARD OPTICAL127 N MAIN STCANTON, IL 61520PHONE: (309) 647-0366
BOBELL, ROBERT C., ODGENDER: MNPI #: PROGRESSIVE VISION CENTER LTD42 N MAIN STCANTON, IL 61520PHONE: (309) 647-2020
BUCZKO, MATTHEW, ODGENDER: MNPI #: PROGRESSIVE VISION CENTER LTD42 N MAIN STCANTON, IL 61520PHONE: (309) 647-2020
CROLAND, ROGER, ODGENDER: MNPI #: BOND EYE ASSOCIATES45 E SIDE SQUARECANTON, IL 61520PHONE: (309) 647-3937
FARLIK, JAMES A., ODGENDER: MNPI #: SPOON RIVER OPTICAL130 N MAIN STCANTON, IL 61520PHONE: (309) 647-3396
GABLER, DANIELLE M., ODGENDER: FNPI #: BARD OPTICAL127 N MAIN STCANTON, IL 61520PHONE: (309) 647-0366
HAHN, MARK D., ODGENDER: MNPI #: BARD OPTICAL127 N MAIN STCANTON, IL 61520PHONE: (309) 647-0366
HENSON, BRIAN D., ODGENDER: MNPI #: BARD OPTICAL127 N MAIN STCANTON, IL 61520PHONE: (309) 647-0366
JACKSON, JOSEPH B., ODGENDER: MNPI #: BARD OPTICAL127 N MAIN STCANTON, IL 61520PHONE: (309) 647-0366
KEITH, JEREMY D., ODGENDER: MNPI #: BARD OPTICAL127 N MAIN STCANTON, IL 61520PHONE: (309) 647-0366
KIRK, KARLA Y., ODGENDER: FNPI #: BARD OPTICAL127 N MAINCANTON, IL 61520PHONE: (309) 647-0366
KWAN, KATHERINE, ODGENDER: FNPI #: BARD OPTICAL127 N MAIN STCANTON, IL 61520PHONE: (309) 647-0366
LEAVITT, ERIC J., ODGENDER: MNPI #: BARD OPTICAL127 N MAIN STCANTON, IL 61520PHONE: (309) 647-0366
PATEL, TEJAL, ODGENDER: FNPI #: BARD OPTICAL127 N MAIN STCANTON, IL 61520PHONE: (309) 672-0366
PATEL-GARUD, RACHANA, OD
GENDER: FNPI #: BARD OPTICAL127 N MAIN STCANTON, IL 61520PHONE: (309) 647-0366
BURLINGTON, IA
CANTON, IL
BURLINGTON, IACANTON, IL
Optometry Care Providers
161
PELFREY-JONES, SANDRA R., OD
GENDER: FNPI #: BARD OPTICAL127 N MAIN STCANTON, IL 61520PHONE: (309) 647-0366
PETERSON, LELAND D., ODGENDER: MNPI #: BARD OPTICAL127 N MAIN STCANTON, IL 61520PHONE: (309) 647-0366
RADTKE, ELIZABETH, ODGENDER: FNPI #: BARD OPTICAL127 N MAINCANTON, IL 61520PHONE: (309) 647-0366
RICHMOND, RONALD L., ODGENDER: MNPI #: BARD OPTICAL127 N MAIN STCANTON, IL 61520PHONE: (309) 647-0366
SCHAIDLE, KENNETH A., ODGENDER: MNPI #: BARD OPTICAL127 N MAIN STCANTON, IL 61520PHONE: (309) 647-0366
SCHMIDT, ROBERT, ODGENDER: MNPI #: BARD OPTICAL127 N MAIN STCANTON, IL 61520PHONE: (309) 647-0366
SHELLEY, TIMOTHY D., ODGENDER: MNPI #: BARD OPTICAL127 N MAIN STCANTON, IL 61520PHONE: (309) 647-0366
SONNENBURG, DAVID P., ODGENDER: MNPI #: BARD OPTICAL127 N MAIN STCANTON, IL 61520PHONE: (309) 647-0366
SUTTLE, CARRIE A., ODGENDER: FNPI #: BARD OPTICAL127 N MAIN STCANTON, IL 61520PHONE: (309) 647-0366
TWENHAFEL, STACY A., ODGENDER: FNPI #: BARD OPTICAL127 N MAINCANTON, IL 61520PHONE: (309) 647-0366
VASILNEK, NICOLE M., ODGENDER: FNPI #: BARD OPTICAL127 N MAINCANTON, IL 61520PHONE: (309) 647-0366
OPTOMETRY
GOODMAN-THOMAS, KATIE M., OD
GENDER: FNPI #: EYECARE OF CARLINVILLE PC300 N BROAD STCARLINVILLE, IL 62626PHONE: (217) 854-7611
HEDRICK, KEITH, ODGENDER: MNPI #: 615 N BROADCARLINVILLE, IL 62626PHONE: (217) 854-3173
JANSSEN, ALICIA U., ODGENDER: FNPI #: CENTRAL ILLINOIS OPTOMETRY ASSOCIATES LTD615 N BROAD STCARLINVILLE, IL 62626PHONE: (217) 854-3173
LAPP, JOHN, ODGENDER: MNPI #: EYECARE OF CARLINVILLE PC300 N BROAD STCARLINVILLE, IL 62626PHONE: (217) 854-7611
RUBRICH, KAREN, ODGENDER: FNPI #: 615 N BROADCARLINVILLE, IL 62626PHONE: (217) 854-3173
CARLINVILLE, IL
CANTON, ILCARLINVILLE, IL
Optometry Care Providers
162
OPTOMETRY
BOCKHOLD, DINITA, ODGENDER: FNPI #: SUPERIOR PERFORMANCE EYECARE SPECIALISTS INC514 WABASH AVECARTHAGE, IL 62321PHONE:
HAYDEN, DANIEL L., ODGENDER: MNPI #: SUPERIOR PERFORMANCE EYECARE SPECIALISTS INC514 WABASH AVECARTHAGE, IL 62321PHONE: (217) 357-9750
OPTOMETRY
JOHNSON, THOMAS N., ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC125 N 13TH STCENTERVILLE, IA 52544PHONE: (641) 437-4099
MCDOUGALL, JOHN H., ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC125 N 13TH STCENTERVILLE, IA 52544PHONE:
MCDOWELL, JASON E., ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC125 N 13TH STCENTERVILLE, IA 52544PHONE: (641) 437-4099
THOELE, JONATHON P., ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC125 N 13TH STCENTERVILLE, IA 52544PHONE:
OPTOMETRY
ATKINS, CHARLES, ODGENDER: MNPI #: BARD OPTICAL907 MARKETVIEW DR SUITE 15CHAMPAIGN, IL 61822PHONE: (217) 351-8822
GABLER, DANIELLE M., ODGENDER: FNPI #: BARD OPTICAL907 MARKETVIEW DRCHAMPAIGN, IL 61822PHONE: (217) 351-8822
HAHN, MARK D., ODGENDER: MNPI #: BARD OPTICAL907 MARKETVIEW DR SUITE 15CHAMPAIGN, IL 61822PHONE: (217) 351-8822
HENSON, BRIAN D., ODGENDER: MNPI #: BARD OPTICAL907 MARKETVIEW DR SUITE 15CHAMPAIGN, IL 61822PHONE: (217) 351-8822
JACKSON, JOSEPH B., ODGENDER: MNPI #: BARD OPTICAL907 MARKETVIEW DR SUITE 15CHAMPAIGN, IL 61822PHONE: (217) 351-8822
KEITH, JEREMY D., ODGENDER: MNPI #: BARD OPTICAL907 MARKETVIEW DR SUITE 15CHAMPAIGN, IL 61822PHONE: (217) 351-8822
KIRK, KARLA Y., ODGENDER: FNPI #: BARD OPTICAL907 MARKETVIEW DR SUITE 15CHAMPAIGN, IL 61822PHONE: (217) 351-8822
KWAN, KATHERINE, ODGENDER: FNPI #: BARD OPTICAL907 MARKETVIEW DR SUITE 15CHAMPAIGN, IL 61822PHONE: (217) 351-8822
CARTHAGE, IL
CENTERVILLE, IA
CHAMPAIGN, IL
CARTHAGE, ILCHAMPAIGN, IL
Optometry Care Providers
163
LEAVITT, ERIC J., ODGENDER: MNPI #: BARD OPTICAL907 MARKETVIEW DR SUITE 15CHAMPAIGN, IL 61822PHONE: (217) 351-8822
PATEL, TEJAL, ODGENDER: FNPI #: BARD OPTICAL907 MARKETVIEW DR SUITE 15CHAMPAIGN, IL 61822PHONE: (217) 351-8822
PATEL-GARUD, RACHANA, OD
GENDER: FNPI #: BARD OPTICAL907 MARKETVIEW DR SUITE 15CHAMPAIGN, IL 61822PHONE: (217) 351-8822
PELFREY-JONES, SANDRA R., OD
GENDER: FNPI #: BARD OPTICAL907 MARKETVIEW DR SUITE 15CHAMPAIGN, IL 61822PHONE: (217) 351-8822
PETERSON, LELAND D., ODGENDER: MNPI #: BARD OPTICAL907 MARKETVIEW DR SUITE 15CHAMPAIGN, IL 61822PHONE: (217) 351-8822
RADTKE, ELIZABETH, ODGENDER: FNPI #: BARD OPTICAL907 MARKETVIEW DR SUITE 15CHAMPAIGN, IL 61822PHONE: (217) 351-8822
RICHMOND, RONALD L., ODGENDER: MNPI #: BARD OPTICAL907 MARKETVIEW DRCHAMPAIGN, IL 61822PHONE: (217) 351-8822
SCHAIDLE, KENNETH A., ODGENDER: MNPI #: BARD OPTICAL907 MARKETVIEW DR SUITE 15CHAMPAIGN, IL 61822PHONE: (217) 351-8822
SCHMIDT, ROBERT, ODGENDER: MNPI #: BARD OPTICAL907 MARKETVIEW DR SUITE 15CHAMPAIGN, IL 61822PHONE: (217) 351-8822
SHELLEY, TIMOTHY D., ODGENDER: MNPI #: BARD OPTICAL907 MARKETVIEW DR SUITE 15CHAMPAIGN, IL 61822PHONE: (217) 351-8822
SONNENBURG, DAVID P., ODGENDER: MNPI #: BARD OPTICAL907 MARKETVIEW DR SUITE 15CHAMPAIGN, IL 61822PHONE: (217) 351-8822
SUTTLE, CARRIE A., ODGENDER: FNPI #: BARD OPTICAL907 MARKETVIEW DR SUITE 15CHAMPAIGN, IL 61822PHONE: (217) 351-8822
TWENHAFEL, STACY A., ODGENDER: FNPI #: BARD OPTICAL907 MARKETVIEW DR SUITE 15CHAMPAIGN, IL 61822PHONE: (217) 351-8822
VASILNEK, NICOLE M., ODGENDER: FNPI #: BARD OPTICAL907 MARKETVIEW DR SUTIE 15CHAMPAIGN, IL 61822PHONE: (217) 351-8822
OPTOMETRY
CLARKE, SCOTT A., ODGENDER: MNPI #: CENTRAL ILLINOIS VISION ASSOCIATES838 W LINCOLN AVECHARLESTON, IL 61920PHONE: (217) 348-0800
DUZAN, DARCY L., ODGENDER: FNPI #: LIFETIME EYE CARE1700 18TH STCHARLESTON, IL 61920PHONE: (217) 344-6600
CHARLESTON, IL
CHAMPAIGN, ILCHARLESTON, IL
Optometry Care Providers
164
ESAREY, MARK D., ODGENDER: MNPI #: LIFETIME EYE CARE1700 18TH STCHARLESTON, IL 61920PHONE: (217) 345-6600
OPTOMETRY
GORDON, DONALD R., ODGENDER: MNPI #: 125 W MAIN STCLINTON, IL 61727PHONE: (217) 935-9451
WOLLENBERG, LYNN A., ODGENDER: FNPI #: 700 N SIDE SQUARECLINTON, IL 61727PHONE: (217) 935-6309
OPTOMETRY
SNODGRASS, KEVIN R., ODGENDER: MNPI #: SNODGRASS FAMILY EYECARE1250 NW 128TH SUITE 150CLIVE, IA 50325PHONE: (515) 223-9595
OPTOMETRY
BEREKETAB, ELILTA, ODGENDER: FNPI #: GAILEY EYE CLINIC47 E LIBERTY LANEDANVILLE, IL 61832PHONE: (217) 446-3937
BROTHERS, JOHN E., ODGENDER: MNPI #: CHITTICK FAMILY EYE CARE1104 N VERMILLIONDANVILLE, IL 61832PHONE: (217) 442-2631
CLARK, KRISTEN N., ODGENDER: FNPI #: GAILEY EYE CLINIC47 E LIBERTY LANEDANVILLE, IL 61834PHONE: (217) 446-3937
CLARKE, SCOTT A., ODGENDER: MNPI #: ILLINOIS EXPRESS EYECARE2807 N VERMILION STDANVILLE, IL 61832PHONE: (217) 446-5554
GRIDER, D ROBERT, ODGENDER: MNPI #: ILLINOIS EXPRESS EYECARE2807 N VERMILION STDANVILLE, IL 61832PHONE: (217) 446-5554
HARRIS, BERRY A., ODGENDER: MNPI #: ILLINOIS EXPRESS EYECARE2807 N VERMILION STDANVILLE, IL 61832PHONE: (217) 446-5554
HOPKINS, BRYAN J., ODGENDER: MNPI #: CHITTICK FAMILY EYE CARE1104 N VERMILLIONDANVILLE, IL 61832PHONE: (217) 442-2631
IMES, DAVID R., ODGENDER: MNPI #: GAILEY EYE CLINIC47 E LIBERTY LANEDANVILLE, IL 61832PHONE: (217) 446-3937
KALIA, MONICA, ODGENDER: FNPI #: DILLMAN EYE CLINIC600 N LOGANDANVILLE, IL 61832PHONE: (217) 443-2244
KELLEY, JAMES B., ODGENDER: MNPI #: CHITTICK FAMILY EYE CARE1104 N VERMILIONDANVILLE, IL 61832PHONE: (217) 442-2631
LEON, STEVE A., ODGENDER: MNPI #: CHITTICK FAMILY EYE CARE1104 N VERMILLIONDANVILLE, IL 61832PHONE: (217) 442-2631
LOHRBERG, JAMES D., ODGENDER: MNPI #: CHITTICK FAMILY EYE CARE1104 N VERMILIONDANVILLE, IL 61832PHONE: (217) 442-2631
MALLADY, SHAWN P., ODGENDER: MNPI #: CHITTICK FAMILY EYE CARE1104 N VERMILIONDANVILLE, IL 61832PHONE: (217) 442-2631
CLINTON, IL
CLIVE, IA
DANVILLE, IL
CHARLESTON, ILDANVILLE, IL
Optometry Care Providers
165
OSHIRO-JOHNSON, CHERIE A., OD
GENDER: FNPI #: CHITTICK FAMILY EYE CARE1104 N VERMILLIONDANVILLE, IL 61832PHONE: (217) 442-2631
PELLEGRINI, MARK A., ODGENDER: MNPI #: CHITTICK FAMILY EYE CARE1104 N VERMILIONDANVILLE, IL 61832PHONE: (217) 442-2631
SERFOSS, RONALD, ODGENDER: MNPI #: CHITTICK FAMILY EYE CARE1104 N VERMILIONDANVILLE, IL 61832PHONE: (217) 442-2631
OPTOMETRY
ATKINS, CHARLES, ODGENDER: MNPI #: BARD OPTICAL331 W 1ST DRDECATUR, IL 62521PHONE: (217) 422-3881
BLACKMAN, GARY L., ODGENDER: MNPI #: CENTRAL ILLINOIS VISION CENTER2442 NW ROUTE 121DECATUR, IL 62526PHONE: (217) 233-3101
BOYD, JAMISON T., ODGENDER: MNPI #: CENTER FOR SIGHT CENTRAL ILLINOIS304 W HAY ST SUITE 311DECATUR, IL 62526PHONE: (217) 877-5050
BRADLEY, JONATHAN R., ODGENDER: MNPI #: CENTRAL ILLINOIS VISION CENTER2442 NW ROUTE 121DECATUR, IL 62526PHONE: (217) 233-31014837 EAST ROUTE 36DECATUR, IL 62521PHONE: (217) 864-1362
CROUCH, NATHAN A., ODGENDER: MNPI #: CENTRAL ILLINOIS VISION CENTER2442 STATE ROUTE 121 NWDECATUR, IL 62526PHONE: (217) 233-3101
NATHAN A CROUCH OD4837 ROUTE 36DECATUR, IL 62521PHONE: (217) 864-1362
CYCOTTE, KAREN S., ODGENDER: FNPI #: CENTRAL ILLINOIS VISION CENTER2442 STATE ROUTE 121 NWDECATUR, IL 62526PHONE: (217) 233-31014837 E ROUTE 36DECATUR, IL 62521PHONE: (217) 864-1362
DAVIS, JAMES E., ODGENDER: MNPI #: 3411 N WOODFORDDECATUR, IL 62526PHONE: (217) 877-0312
DIECKOW, NATHAN C., ODGENDER: MNPI #: CENTRAL ILLINOIS VISION CENTER2442 STATE ROUTE 121 NWDECATUR, IL 62526PHONE: (217) 233-31014837 E ROUTE 36DECATUR, IL 62521PHONE: (217) 864-1362
GABLER, DANIELLE M., ODGENDER: FNPI #: BARD OPTICAL331 W 1ST DRDECATUR, IL 62521PHONE: (217) 422-3881
GRANT, BRADLEY, ODGENDER: MNPI #: GAILEY EYE CLINIC646 W PERSHING RDDECATUR, IL 62526PHONE:
GRAY JR, GARY G., ODGENDER: MNPI #: DECATUR VISION SOURCE2490 N WATER ST SUITE 16DECATUR, IL 62526PHONE: (217) 875-4646
HAHN, MARK D., ODGENDER: MNPI #: BARD OPTICAL331 W 1ST DRDECATUR, IL 62521PHONE: (217) 422-3881
DECATUR, IL
DANVILLE, ILDECATUR, IL
Optometry Care Providers
166
HENSON, BRIAN D., ODGENDER: MNPI #: BARD OPTICAL331 W 1ST DRDECATUR, IL 62521PHONE: (217) 422-3881
HERRMANN, TYSON J., ODGENDER: MNPI #: CENTER FOR SIGHT OF CENTRAL IL304 W HAY ST SUITE 311DECATUR, IL 62526PHONE: (217) 877-5050
JACKSON, JOSEPH B., ODGENDER: MNPI #: BARD OPTICAL331 W 1ST DRDECATUR, IL 62521PHONE: (217) 422-3881
KEITH, JEREMY D., ODGENDER: MNPI #: BARD OPTICAL331 W 1ST DRDECATUR, IL 62521PHONE: (217) 422-3881
KIRK, KARLA Y., ODGENDER: FNPI #: BARD OPTICAL331 W 1ST DRDECATUR, IL 62521PHONE: (217) 422-3881
KWAN, KATHERINE, ODGENDER: FNPI #: BARD OPTICAL331 W 1ST DRDECATUR, IL 62521PHONE: (217) 422-3881
LEAVITT, ERIC J., ODGENDER: MNPI #: BARD OPTICAL331 W 1ST DRDECATUR, IL 62521PHONE: (217) 422-3881
MILLER, DAVID W., ODGENDER: MNPI #: 2475 N MONROE STDECATUR, IL 62526PHONE: (217) 875-5900
MURPHY, C MICHAEL, ODGENDER: MNPI #: 2475 N MONROE STDECATUR, IL 62526PHONE: (217) 875-5900
OBERREITER, ANGELA M., OD
GENDER: FNPI #: GAILEY EYE CLINIC646 W PERSHING RDDECATUR, IL 62526PHONE: (217) 875-0300
PATEL, TEJAL, ODGENDER: FNPI #: BARD OPTICAL331 W 1ST DRDECATUR, IL 62521PHONE: (217) 422-3881
PATEL-GARUD, RACHANA, OD
GENDER: FNPI #: BARD OPTICAL331 W 1ST DRDECATUR, IL 62521PHONE: (217) 422-3881
PELFREY-JONES, SANDRA R., OD
GENDER: FNPI #: BARD OPTICAL331 W 1ST DRDECATUR, IL 62521PHONE: (217) 422-3881
PETERSON, LELAND D., ODGENDER: MNPI #: BARD OPTICAL331 W 1ST STDECATUR, IL 62521PHONE: (217) 422-3881
RADTKE, ELIZABETH, ODGENDER: FNPI #: BARD OPTICAL331 W 1ST DRDECATUR, IL 62521PHONE: (217) 422-3881
RICHMOND, RONALD L., ODGENDER: MNPI #: BARD OPTICAL331 W 1ST DRDECATUR, IL 62521PHONE: (217) 422-3881
SARMIENTO, MARC C., ODGENDER: MNPI #: MARC VISION CARE LTD2705 N WATER ST UNIT CDECATUR, IL 62526PHONE: (217) 875-7877
SCHAIDLE, KENNETH A., ODGENDER: MNPI #: BARD OPTICAL331 W 1ST DRDECATUR, IL 62521PHONE: (217) 422-3881
DECATUR, ILDECATUR, IL
Optometry Care Providers
167
SCHMIDT, ROBERT, ODGENDER: MNPI #: BARD OPTICAL331 W 1ST DRDECATUR, IL 62521PHONE: (217) 422-3881
SHELLEY, TIMOTHY D., ODGENDER: MNPI #: BARD OPTICAL331 W 1ST DRDECATUR, IL 62521PHONE: (217) 422-3881
SONNENBURG, DAVID P., ODGENDER: MNPI #: BARD OPTICAL331 W 1ST DRDECATUR, IL 62521PHONE: (217) 422-3881
STAUDER, MICHAEL, ODGENDER: MNPI #: 2980 N MAIN ST SUITE 1DECATUR, IL 62526PHONE: (217) 872-7200
SUTTLE, CARRIE A., ODGENDER: FNPI #: BARD OPTICAL331 W 1ST DRDECATUR, IL 62521PHONE: (217) 422-3881
TWENHAFEL, STACY A., ODGENDER: FNPI #: BARD OPTICAL331 W 1ST DRDECATUR, IL 62521PHONE: (217) 422-3881
VASILNEK, NICOLE M., ODGENDER: FNPI #: BARD OPTICAL331 W 1ST DRDECATUR, IL 62521PHONE: (217) 422-3881
OPTOMETRY
ATKINS, CHARLES, ODGENDER: MNPI #: BARD OPTICAL416 RIVERSIDE DREAST PEORIA, IL 61611PHONE: (309) 672-2273
GABLER, DANIELLE M., ODGENDER: FNPI #: BARD OPTICAL416 RIVERSIDE DREAST PEORIA, IL 61611PHONE: (309) 694-2273
HAHN, MARK D., ODGENDER: MNPI #: BARD OPTICAL416 RIVERSIDE DREAST PEORIA, IL 61611PHONE: (309) 694-2273
HENSON, BRIAN D., ODGENDER: MNPI #: BARD OPTICAL416 RIVERSIDE DREAST PEORIA, IL 61611PHONE: (309) 694-2273
JACKSON, JOSEPH B., ODGENDER: MNPI #: BARD OPTICAL416 RIVERSIDE DREAST PEORIA, IL 61611PHONE: (309) 694-2273
KEITH, JEREMY D., ODGENDER: MNPI #: BARD OPTICAL416 RIVERSIDE DREAST PEORIA, IL 61611PHONE: (309) 694-2273
KIRK, KARLA Y., ODGENDER: FNPI #: BARD OPTICAL416 RIVERSIDE DREAST PEORIA, IL 61611PHONE: (309) 694-2273
KWAN, KATHERINE, ODGENDER: FNPI #: BARD OPTICAL416 RIVERSIDE DREAST PEORIA, IL 61611PHONE: (309) 694-2273
LEAVITT, ERIC J., ODGENDER: MNPI #: BARD OPTICAL416 RIVERSIDE DREAST PEORIA, IL 61611PHONE: (309) 694-2273
MORGRET, DAVID, ODGENDER: MNPI #: BARD OPTICAL416 RIVERSIDE DREAST PEORIA, IL 61611PHONE: (309) 672-2273
PATEL, TEJAL, ODGENDER: FNPI #: BARD OPTICAL416 RIVERSIDE DREAST PEORIA, IL 61611PHONE: (309) 694-2273
EAST PEORIA, IL
DECATUR, ILEAST PEORIA, IL
Optometry Care Providers
168
PATEL-GARUD, RACHANA, OD
GENDER: FNPI #: BARD OPTICAL416 RIVERSIDE DREAST PEORIA, IL 61611PHONE: (309) 694-2273
PELFREY-JONES, SANDRA R., OD
GENDER: FNPI #: BARD OPTICAL416 RIVERSIDE DREAST PEORIA, IL 61611PHONE: (309) 694-2273
PETERSON, LELAND D., ODGENDER: MNPI #: BARD OPTICAL416 RIVERSIDE DREAST PEORIA, IL 61611PHONE: (309) 694-2273
RADTKE, ELIZABETH, ODGENDER: FNPI #: BARD OPTICAL416 RIVERSIDE DREAST PEORIA, IL 61611PHONE: (309) 694-2273
RICHMOND, RONALD L., ODGENDER: MNPI #: BARD OPTICAL416 RIVERSIDE DREAST PEORIA, IL 61611PHONE: (309) 694-2273
SCHAIDLE, KENNETH A., ODGENDER: MNPI #: BARD OPTICAL416 RIVERSIDE DREAST PEORIA, IL 61611PHONE: (309) 694-2273
SCHMIDT, ROBERT, ODGENDER: MNPI #: BARD OPTICAL416 RIVERSIDE DREAST PEORIA, IL 61611PHONE: (309) 694-2273
SHELLEY, TIMOTHY D., ODGENDER: MNPI #: BARD OPTICAL416 RIVERSIDE DREAST PEORIA, IL 61611PHONE: (309) 694-2273
SONNENBURG, DAVID P., ODGENDER: MNPI #: BARD OPTICAL416 RIVERSIDE DREAST PEORIA, IL 61611PHONE: (309) 694-2273
SUTTLE, CARRIE A., ODGENDER: FNPI #: BARD OPTICAL416 RIVERSIDE DREAST PEORIA, IL 61611PHONE: (309) 694-2273
TWENHAFEL, STACY A., ODGENDER: FNPI #: BARD OPTICAL416 RIVERSIDE DREAST PEORIA, IL 61611PHONE: (309) 694-2273
VASILNEK, NICOLE M., ODGENDER: FNPI #: BARD OPTICAL416 RIVERSIDE DREAST PEORIA, IL 61611PHONE: (309) 694-2273
OPTOMETRY
RYAN, EMILY K., ODGENDER: FNPI #: IMAGE EYE CARE PC5600 E VIRGINIA ST SUITE AEVANSVILLE, IN 47715PHONE: (812) 477-6243
OPTOMETRY
RADFORD, SASHA L., ODGENDER: FNPI #: FAIRBURY VISION CENTER2 ASPEN COURTFAIRBURY, IL 61739PHONE: (815) 692-2415
OPTOMETRY
ATKINS, CHARLES, ODGENDER: MNPI #: BARD OPTICAL1351 HICKORY POINT DR SUITE BFORSYTH, IL 62535PHONE: (217) 875-3724
BEREKETAB, ELILTA, ODGENDER: FNPI #: GAILEY EYE CLINIC322 W MARION AVEFORSYTH, IL 62535PHONE: (217) 872-7404
EVANSVILLE, IN
FAIRBURY, IL
FORSYTH, IL
EAST PEORIA, ILFORSYTH, IL
Optometry Care Providers
169
CLARK, KRISTEN N., ODGENDER: FNPI #: GAILEY EYE CLINIC322 W MARION AVEFORSYTH, IL 62535PHONE: (217) 872-7404
GABLER, DANIELLE M., ODGENDER: FNPI #: BARD OPTICAL1351 HICKORY POINT DR SUITE BFORSYTH, IL 62535PHONE: (217) 875-3724
HAHN, MARK D., ODGENDER: MNPI #: BARD OPTICAL1351 HICKORY POINT DR SUITE BFORSYTH, IL 62535PHONE: (217) 875-3724
HENSON, BRIAN D., ODGENDER: MNPI #: BARD OPTICAL1351 HICKORY POINT DR SUITE BFORSYTH, IL 62535PHONE: (217) 875-3724
IMES, DAVID R., ODGENDER: MNPI #: GAILEY EYE CLINIC322 W MARION AVEFORSYTH, IL 62535PHONE: (217) 872-7404
JACKSON, JOSEPH B., ODGENDER: MNPI #: BARD OPTICAL1351 HICKORY POINT DR SUITE BFORSYTH, IL 62535PHONE: (217) 875-3724
KEITH, JEREMY D., ODGENDER: MNPI #: BARD OPTICAL1351 HICKORY POINT DR SUITE BFORSYTH, IL 62535PHONE: (217) 875-3724
KIRK, KARLA Y., ODGENDER: FNPI #: BARD OPTICAL1351 HICKORY POINT DR SUITE BFORSYTH, IL 62535PHONE: (217) 875-3724
KWAN, KATHERINE, ODGENDER: FNPI #: BARD OPTICAL1351 HICKORY POINT DR SUITE BFORSYTH, IL 62535PHONE: (217) 875-3724
LEAVITT, ERIC J., ODGENDER: MNPI #: BARD OPTICAL1351 HICKORY POINT DR SUITE BFORSYTH, IL 62535PHONE: (217) 875-3724
OBERREITER, ANGELA M., OD
GENDER: FNPI #: GAILEY EYE CLINIC322 W MARION AVEFORSYTH, IL 62535PHONE: (217) 872-7404
PATEL, TEJAL, ODGENDER: FNPI #: BARD OPTICAL1351 HICKORY POINT DR SUITE BFORSYTH, IL 62535PHONE: (217) 875-3724
PATEL-GARUD, RACHANA, OD
GENDER: FNPI #: BARD OPTICAL1351 HICKORY POINT DR SUITE BFORSYTH, IL 62535PHONE: (217) 875-3724
PELFREY-JONES, SANDRA R., OD
GENDER: FNPI #: BARD OPTICAL1351 HICKORY POINT DR SUITE BFORSYTH, IL 62535PHONE: (217) 875-3724
PETERSON, LELAND D., ODGENDER: MNPI #: BARD OPTICAL1351 HICKORY POINT DR SUITE BFORSYTH, IL 62535PHONE: (217) 875-3724
RADTKE, ELIZABETH, ODGENDER: FNPI #: BARD OPTICAL1351 HICKORY POINT DR SUITE BFORSYTH, IL 62535PHONE: (217) 875-3724
FORSYTH, ILFORSYTH, IL
Optometry Care Providers
170
RICHMOND, RONALD L., ODGENDER: MNPI #: BARD OPTICAL1351 HICKORY POINT DR SUITE BFORSYTH, IL 62535PHONE: (217) 875-3724
SCHAIDLE, KENNETH A., ODGENDER: MNPI #: BARD OPTICAL1351 HICKORY POINT DR SUITE BFORSYTH, IL 62535PHONE: (217) 875-3724
SCHMIDT, ROBERT, ODGENDER: MNPI #: BARD OPTICAL1351 HICKORY POINT DR SUITE BFORSYTH, IL 62535PHONE: (217) 875-3724
SHELLEY, TIMOTHY D., ODGENDER: MNPI #: BARD OPTICAL1351 HICKORY POINT DR SUITE BFORSYTH, IL 62535PHONE: (217) 875-3724
SONNENBURG, DAVID P., ODGENDER: MNPI #: BARD OPTICAL1351 HICKORY POINT DR SUITE BFORSYTH, IL 62535PHONE: (217) 875-3724
SUTTLE, CARRIE A., ODGENDER: FNPI #: BARD OPTICAL1351 HICKORY POINT DR SUITE BFORSYTH, IL 62535PHONE: (217) 875-3724
TWENHAFEL, STACY A., ODGENDER: FNPI #: BARD OPTICAL1351 HICKORY POINT DR SUITE BFORSYTH, IL 62535PHONE: (217) 875-3724
VASILNEK, NICOLE M., ODGENDER: FNPI #: BARD OPTICAL1351 HICKORY POINT DR SUITE BFORSYTH, IL 62535PHONE: (217) 875-3724
OPTOMETRY
FRASER, MICHEL ANN E., ODGENDER: FNPI #: FREEPORT EYE CARE1110 S PARK BLVDFREEPORT, IL 61032PHONE: (815) 232-1105
JAMES, JEFFREY J., ODGENDER: MNPI #: FREEPORT EYE CARE1110 S PARK BLVDFREEPORT, IL 61032PHONE: (815) 232-1105
OPTOMETRY
ATKINS, CHARLES, ODGENDER: MNPI #: BARD OPTICAL1265 N HENDERSON STGALESBURG, IL 61401PHONE: (309) 343-7799
BOTTS, ERIC K., ODGENDER: MNPI #: DR ERIC BOTTS & ASSOCIATES659 KNOX SQUARE DRGALESBURG, IL 61401PHONE: (309) 343-6870
EILENFELDT, PAMELA J., ODGENDER: FNPI #: BARD OPTICAL1265 N HENDERSONGALESBURG, IL 61401PHONE: (309) 347-7799
GABLER, DANIELLE M., ODGENDER: FNPI #: BARD OPTICAL1265 N HENDERSON STGALESBURG, IL 61401PHONE: (309) 343-7799
HAHN, MARK D., ODGENDER: MNPI #: BARD OPTICAL1265 N HENDERSON STGALESBURG, IL 61401PHONE: (309) 343-7799
HENSON, BRIAN D., ODGENDER: MNPI #: BARD OPTICAL1265 N HENDERSON STGALESBURG, IL 61401PHONE: (309) 343-7799
FREEPORT, IL
GALESBURG, IL
FORSYTH, ILGALESBURG, IL
Optometry Care Providers
171
JACKSON, JOSEPH B., ODGENDER: MNPI #: BARD OPTICAL1265 N HENDERSON STGALESBURG, IL 61401PHONE: (309) 343-7799
JANI, SUBHASH N., ODGENDER: MNPI #: DR ERIC BOTTS & ASSOCIATES659 KNOX SQUARE DRGALESBURG, IL 61401PHONE: (309) 343-6870
KEITH, JEREMY D., ODGENDER: MNPI #: BARD OPTICAL1265 N HENDERSON STGALESBURG, IL 61401PHONE: (309) 343-7799
KIRK, KARLA Y., ODGENDER: FNPI #: BARD OPTICAL1265 N HENDERSONGALESBURG, IL 61401PHONE: (309) 343-7799
KURT, KEVIN D., ODGENDER: MNPI #: 834 N SEMINARY ST SUITE 105GALESBURG, IL 61401PHONE: (309) 345-2020
KWAN, KATHERINE, ODGENDER: FNPI #: BARD OPTICAL1265 N HENDERSON STGALESBURG, IL 61401PHONE: (309) 343-7799
LEAVITT, ERIC J., ODGENDER: MNPI #: BARD OPTICAL1265 N HENDERSON STGALESBURG, IL 61401PHONE: (309) 343-7799
MCLAUGHLIN, STEFAN T., OD
GENDER: MNPI #: OSF GALESBURG CLINIC3315 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-1000
PATEL, TEJAL, ODGENDER: FNPI #: BARD OPTICAL1265 N HENDERSON STGALESBURG, IL 61401PHONE: (309) 343-7799
PATEL-GARUD, RACHANA, OD
GENDER: FNPI #: BARD OPTICAL1265 N HENDERSON STGALESBURG, IL 61401PHONE: (309) 343-7799
PELFREY-JONES, SANDRA R., OD
GENDER: FNPI #: BARD OPTICAL1265 N HENDERSON STGALESBURG, IL 61401PHONE: (309) 343-7799
PETERSON, LELAND D., ODGENDER: MNPI #: BARD OPTICAL1265 N HENDERSON STGALESBURG, IL 61401PHONE: (309) 343-7799
RADTKE, ELIZABETH, ODGENDER: FNPI #: BARD OPTICAL1265 N HENDERSONGALESBURG, IL 61401PHONE: (309) 343-7799
RICHMOND, RONALD L., ODGENDER: MNPI #: BARD OPTICAL1265 N HENDERSON STGALESBURG, IL 61401PHONE: (309) 343-7799
SCHAIDLE, KENNETH A., ODGENDER: MNPI #: BARD OPTICAL1265 N HENDERSON STGALESBURG, IL 61401PHONE: (309) 343-7799
SCHMIDT, ROBERT, ODGENDER: MNPI #: BARD OPTICAL1265 N HENDERSON STGALESBURG, IL 61401PHONE: (309) 343-7799
SHELLEY, TIMOTHY D., ODGENDER: MNPI #: BARD OPTICAL1265 N HENDERSON STGALESBURG, IL 61401PHONE: (309) 343-7799
SKADAHL-KURT, ELISA J., OD
GENDER: FNPI #: DR ERIC BOTTS & ASSOCIATES659 KNOX SQUARE DRGALESBURG, IL 61401PHONE: (309) 343-6870
GALESBURG, ILGALESBURG, IL
Optometry Care Providers
172
SONNENBURG, DAVID P., ODGENDER: MNPI #: BARD OPTICAL1265 N HENDERSON STGALESBURG, IL 61401PHONE: (309) 343-7799
SUTTLE, CARRIE A., ODGENDER: FNPI #: BARD OPTICAL1265 N HENDERSON STGALESBURG, IL 61401PHONE: (309) 343-7799
TWENHAFEL, STACY A., ODGENDER: FNPI #: BARD OPTICAL1265 N HENDERSONGALESBURG, IL 61401PHONE: (309) 343-7799
VASILNEK, NICOLE M., ODGENDER: FNPI #: BARD OPTICAL1265 N HENDERSONGALESBURG, IL 61401PHONE: (309) 343-7799
OPTOMETRY
SHELUS, ELIZABETH J., ODGENDER: FNPI #: THIRD STREET EYECARE500 S 3RD ST SUITE 105GENEVA, IL 60134PHONE: (630) 232-7800
OPTOMETRY
BEREKETAB, ELILTA, ODGENDER: FNPI #: GAILEY EYE CLINIC220 E FIRST STGIBSON CITY, IL 60936PHONE: (217) 784-8442
CLARK, KRISTEN N., ODGENDER: FNPI #: GAILEY EYE CLINIC220 E FIRST STGIBSON CITY, IL 60936PHONE: (217) 784-8442
HEYMAN, DIANE, ODGENDER: FNPI #: HEYMAN & HEYMAN220 E FIRST STGIBSON CITY, IL 60936PHONE: (217) 784-4912
IMES, DAVID R., ODGENDER: MNPI #: GAILEY EYE CLINIC220 E FIRST STGIBSON CITY, IL 60936PHONE: (217) 784-8442
LEWIS, JEWEL, ODGENDER: FNPI #: HEYMAN & HEYMAN220 E FIRST STGIBSON CITY, IL 60936PHONE: (217) 784-4912
OPTOMETRY
WALLER, JENNIFER M., ODGENDER: FNPI #: PRAIRIE EYE CENTER LTD130 W CENTERGIRARD, IL 62640PHONE:
OPTOMETRY
RUDOLPH, CHASE A., ODGENDER: MNPI #: COMPLETE FAMILY EYECARE INC2813 S PARK AVEHERRIN, IL 62948PHONE: (618) 942-5465
OPTOMETRY
JOHNSON, DOUGLAS W., ODGENDER: MNPI #: FAMILY EYE CARE ASSOCIATES675 SCHOOL STHILLSBORO, IL 62049PHONE: (217) 532-5044
JOHNSON, ERIC M., ODGENDER: MNPI #: FAMILY EYE CARE ASSOCIATES675 SCHOOL STHILLSBORO, IL 62049PHONE: (217) 532-5044
GENEVA, IL
GIBSON CITY, IL GIRARD, IL
HERRIN, IL
HILLSBORO, IL
GALESBURG, ILHILLSBORO, IL
Optometry Care Providers
173
SAWYER, SCOTT M., ODGENDER: MNPI #: FAMILY EYE CARE ASSOCIATES675 SCHOOL STHILLSBORO, IL 62049PHONE: (217) 532-5044
OPTOMETRY
BROTHERS, JOHN E., ODGENDER: MNPI #: CHITTICK FAMILY EYE CARE851 E ORANGEHOOPESTON, IL 60942PHONE: (217) 283-7611
HOPKINS, BRYAN J., ODGENDER: MNPI #: CHITTICK FAMILY EYE CARE851 E ORANGEHOOPESTON, IL 60942PHONE: (217) 283-7611
KELLEY, JAMES B., ODGENDER: MNPI #: CHITTICK FAMILY EYE CARE851 E ORANGEHOOPESTON, IL 60942PHONE: (217) 283-7611
LEON, STEVE A., ODGENDER: MNPI #: CHITTICK FAMILY EYE CARE851 E ORANGEHOOPESTON, IL 60942PHONE: (217) 283-7611
LOHRBERG, JAMES D., ODGENDER: MNPI #: CHITTICK FAMILY EYE CARE851 E ORANGEHOOPESTON, IL 60942PHONE: (217) 283-7611
MALLADY, SHAWN P., ODGENDER: MNPI #: CHITTICK FAMILY EYE CARE851 E ORANGEHOOPESTON, IL 60942PHONE: (217) 283-7611
OSHIRO-JOHNSON, CHERIE A., OD
GENDER: FNPI #: CHITTICK FAMILY EYE CARE851 E ORANGEHOOPESTON, IL 60942PHONE: (217) 283-7611
PELLEGRINI, MARK A., ODGENDER: MNPI #: CHITTICK FAMILY EYE CARE851 E ORANGEHOOPESTON, IL 60942PHONE: (217) 283-7611
SERFOSS, RONALD, ODGENDER: MNPI #: CHITTICK FAMILY EYE CARE851 E ORANGEHOOPESTON, IL 60942PHONE: (217) 283-7611
OPTOMETRY
KROHN, AUSTIN C., ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC1689 W MORTON AVEJACKSONVILLE, IL 62650-2717PHONE: (217) 245-8800
LEAHY, TIMOTHY J., ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC1689 W MORTON AVEJACKSONVILLE, IL 62650-2717PHONE: (217) 245-8800
MCDOWELL, JASON E., ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC1689 W MORTON AVEJACKSONVILLE, IL 62650PHONE: (217) 245-8800
THOELE, JONATHON P., ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC1689 W MORTON AVEJACKSONVILLE, IL 62650-2717PHONE: (217) 245-8800
THOELE, RYAN, ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC1689 W MORTON AVEJACKSONVILLE, IL 62650-2717PHONE: (217) 245-8800
HOOPESTON, IL
JACKSONVILLE, IL
HILLSBORO, ILJACKSONVILLE, IL
Optometry Care Providers
174
OPTOMETRY
HUBBARD, NED B., ODGENDER: MNPI #: DRS HUBBARD & HUBBARD OPTOMETRISTS109 N TREMONT STKEWANEE, IL 61443PHONE: (309) 852-2236
OPTOMETRY
GEISER, JOHN J., ODGENDER: MNPI #: LACON EYE CLINIC114 FIFTH ST SUITE 1LACON, IL 61540PHONE: (309) 246-8177
OPTOMETRY
COUILLARD, JOHN F., ODGENDER: MNPI #: 102 E CENTERLE ROY, IL 61752PHONE: (309) 962-9419
JOHN COUILLARD OD102 E CENTER STLE ROY, IL 61752PHONE: (309) 962-9419
OPTOMETRY
DIECKOW, NATHAN C., ODGENDER: MNPI #: NOBBE EYE CARE CENTER LLC1400 WOODLAWN RDLINCOLN, IL 62656PHONE: (217) 735-2020
MONTGOMERY, JEFFREY E., OD
GENDER: MNPI #: PRAIRIE EYE CENTER LTD518 BROADWAYLINCOLN, IL 62656PHONE:
MOUSHON, GAYLAN W., ODGENDER: MNPI #: SPRINGFIELD CLINIC515 N COLLEGE STLINCOLN, IL 62656PHONE: (217) 732-9681
NOBBE, RAYMOND T., ODGENDER: MNPI #: NOBBE EYE CARE CENTER LLC1400 WOODLAWN RDLINCOLN, IL 62656PHONE: (217) 735-2020
RABE, DENNIS, ODGENDER: MNPI #: ADVANCED EYECARE623 PULASKI STLINCOLN, IL 62656PHONE: (217) 732-9606
SMOTHERS-CHAMPLEY, DEBRA S., OD
GENDER: FNPI #: ADVANCED EYECARE623 PULASKI STLINCOLN, IL 62656PHONE: (217) 732-9606
OPTOMETRY
JOHNSON, ERIC M., ODGENDER: MNPI #: FAMILY EYE CARE ASSOCIATES510 W UNION AVELITCHFIELD, IL 62056PHONE: (217) 324-3317
SHULTZ, SABRINA M., ODGENDER: FNPI #: FAMILY EYE CARE ASSOCIATION510 W UNION AVELITCHFIELD, IL 62056PHONE: (217) 324-3317
OPTOMETRY
BENGTSON, TIM, ODGENDER: MNPI #: PROFESSIONAL EYECARE CENTER820 E JACKSON STMACOMB, IL 61455PHONE: (309) 833-4242
KEWANEE, IL
LACON, IL
LE ROY, IL
LINCOLN, IL
LITCHFIELD, IL
MACOMB, IL
KEWANEE, ILMACOMB, IL
Optometry Care Providers
175
BOTTS, ERIC K., ODGENDER: MNPI #: DR ERIC BOTTS & ASSOCIATES1730 E JACKSONMACOMB, IL 61455PHONE: (309) 836-3373
CROSBY, GARY R., ODGENDER: MNPI #: PROFESSIONAL EYECARE CENTER820 E JACKSON STMACOMB, IL 61455PHONE: (309) 833-4242
JANI, SUBHASH N., ODGENDER: MNPI #: WAL-MART VISION CENTER1730 E JACKSONMACOMB, IL 61455PHONE: (309) 836-3373
SKADAHL-KURT, ELISA J., OD
GENDER: FNPI #: DR ERIC BOTTS & ASSOCIATES1730 E JACKSONMACOMB, IL 61455PHONE: (309) 836-3373
WILLIAMS, TIMOTHY L., ODGENDER: MNPI #: MCDONOUGH EYE ASSOCIATES505 E GRANT SUITE 206MACOMB, IL 61455PHONE: (309) 837-5451
OPTOMETRY
PIETRZYK, JEFF, ODGENDER: MNPI #: ILLINOIS EYE ASSOCIATES LTD530 W NORTH ST SUITE 107MANHATTAN, IL 60442PHONE: (815) 932-2020
OPTOMETRY
WEGNER, DAVID, ODGENDER: MNPI #: CHITTICK EYE CARE410 N SECOND STMARSHALL, IL 62441PHONE: (217) 826-2361
OPTOMETRY
FLEMING, RODNEY, ODGENDER: MNPI #: 1601 LAFAYETTE AVEMATTOON, IL 61938PHONE: (217) 234-3648
GOLDSTEIN, JAMES R., ODGENDER: MNPI #: JR GOLD INC1120 LAKELAND BLVD SUITE 1MATTOON, IL 61938PHONE: (217) 258-8466
OPTOMETRY
JUDGE, QUINN L., ODGENDER: FNPI #: MILAN MEDICAL JUDGE EYECARE LLC1929 E 10TH AVEMILAN, IL 61264PHONE: (309) 787-8100
OPTOMETRY
DISTIN, GARY D., ODGENDER: MNPI #: DRS DISTIN & DOYLE67 PUBLIC SQUAREMONMOUTH, IL 61462PHONE: (309) 734-3108
DOYLE, DANIEL R., ODGENDER: MNPI #: DRS DISTIN & DOYLE67 PUBLIC SQUAREMONMOUTH, IL 61462PHONE: (309) 734-3108
OPTOMETRY
JOHNSON, CURTIS E., ODGENDER: MNPI #: ILLINI EYECARE102 S CHARTERMONTICELLO, IL 61856PHONE: (217) 762-2551
MANHATTAN, IL
MARSHALL, IL
MATTOON, IL
MILAN, IL
MONMOUTH, IL
MONTICELLO, IL
MACOMB, ILMONTICELLO, IL
Optometry Care Providers
176
OPTOMETRY
JENNINGS, DAVID C., ODGENDER: MNPI #: 201 E MARKET STMORRISON, IL 61270PHONE: (815) 772-7455
YAKLICH, BRADLEY R., ODGENDER: MNPI #: DAVID C JENNINGS PC201 E MARKET STMORRISON, IL 61270PHONE: (815) 772-7455
OPTOMETRY
BOCKHOLD, DINITA, ODGENDER: FNPI #: SUPERIOR PERFORMANCE EYECARE SPECIALISTS INC110 W MAINMT STERLING, IL 62353PHONE:
CHEVALIER, KRISTIE, ODGENDER: FNPI #: INTERNATIONAL EYECARE CENTER INC105 W MAIN STMT STERLING, IL 62353-1223PHONE: (217) 773-3055
KROHN, AUSTIN C., ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC105 W MAIN STMT STERLING, IL 62353-1223PHONE: (217) 773-3055
MCDOUGALL, JOHN H., ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC105 W MAIN STMT STERLING, IL 62353-1223PHONE: (217) 773-3055
MCDOWELL, JASON E., ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC105 W MAIN STMT STERLING, IL 62353PHONE: (217) 773-3055
THOELE, JONATHON P., ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC105 W MAIN STMT STERLING, IL 62353-1223PHONE: (217) 773-3055
THOELE, RYAN, ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC105 W MAIN STMT STERLING, IL 62353-1223PHONE: (217) 773-3055
OPTOMETRY
ATKINS, CHARLES, ODGENDER: MNPI #: BARD OPTICAL1700 PARKWAY PLAZA DR SUITE 4NORMAL, IL 61761PHONE: (309) 454-2233
DUNN, JASON A., ODGENDER: MNPI #: MCLEAN COUNTY EYECARE CENTER1607 VISA DR SUITE 4NORMAL, IL 61761PHONE: (309) 454-2472
GABLER, DANIELLE M., ODGENDER: FNPI #: BARD OPTICAL1700 PARKWAY PLAZA DR SUITE 4NORMAL, IL 61761PHONE: (309) 454-2233
HAHN, MARK D., ODGENDER: MNPI #: BARD OPTICAL1700 PARKWAY PLAZA DR SUITE 4NORMAL, IL 61761PHONE: (309) 454-2233
HENSON, BRIAN D., ODGENDER: MNPI #: BARD OPTICAL1700 PARKWAY PLAZA DR SUITE 4NORMAL, IL 61761PHONE: (309) 454-2233
HUETTEMANN, JEFFREY A., OD
GENDER: MNPI #: MCLEAN COUNTY EYE CENTER1607 VISA DR SUITE 4NORMAL, IL 61761PHONE: (309) 454-2472
MORRISON, IL
MT STERLING, IL
NORMAL, IL
MORRISON, ILNORMAL, IL
Optometry Care Providers
177
JACKSON, JOSEPH B., ODGENDER: MNPI #: BARD OPTICAL1700 PARKWAY PLAZA DR SUITE 4NORMAL, IL 61761PHONE: (309) 454-2233
KEITH, JEREMY D., ODGENDER: MNPI #: BARD OPTICAL1700 PARKWAY PLAZA DR SUITE 4NORMAL, IL 61761PHONE: (309) 454-2233
KIRK, KARLA Y., ODGENDER: FNPI #: BARD OPTICAL1700 PARKWAY PLAZA DR SUITE 4NORMAL, IL 61761PHONE: (309) 454-2233
KWAN, KATHERINE, ODGENDER: FNPI #: BARD OPTICAL1700 PARKWAY PLAZA DR SUITE 4NORMAL, IL 61761PHONE: (309) 454-2233
LANDESS, DAVID K., ODGENDER: MNPI #: MCLEAN COUNTY EYE CENTER1607 VISA DR SUITE 4NORMAL, IL 61761PHONE: (309) 454-2472
LEAVITT, ERIC J., ODGENDER: MNPI #: BARD OPTICAL1700 PARKWAY PLAZA DR SUITE 4NORMAL, IL 61761PHONE: (309) 454-2233
MURFIN, JOHNNIE G., ODGENDER: MNPI #: WALMART VISION CENTER300 N GREENBRIAR DRNORMAL, IL 61761PHONE: (309) 451-1500
NORELL, ERIC, ODGENDER: MNPI #: RIEGER EYECARE LTD407 KAYS DR SUITE ANORMAL, IL 61761PHONE: (309) 454-1010
PATEL, TEJAL, ODGENDER: FNPI #: BARD OPTICAL1700 PARKWAY PLAZA DR SUITE 4NORMAL, IL 61761PHONE: (309) 454-2233
PATEL-GARUD, RACHANA, OD
GENDER: FNPI #: BARD OPTICAL1700 PARKWAY PLAZA DR SUITE 4NORMAL, IL 61761PHONE: (309) 454-2233
PELFREY-JONES, SANDRA R., OD
GENDER: FNPI #: BARD OPTICAL1700 PARKWAY PLAZA DR SUITE 4NORMAL, IL 61761PHONE: (309) 454-2233
PETERSON, LELAND D., ODGENDER: MNPI #: BARD OPTICAL1700 PARKWAY PLAZA DR SUITE 4NORMAL, IL 61761PHONE: (309) 454-2233
RADTKE, ELIZABETH, ODGENDER: FNPI #: BARD OPTICAL1700 PARKWAY PLAZA DR SUITE 4NORMAL, IL 61761PHONE: (309) 454-2233
RICHMOND, RONALD L., ODGENDER: MNPI #: BARD OPTICAL1700 PARKWAY PLAZA DR SUITE 4NORMAL, IL 61761PHONE: (309) 454-2233
RIEGER, MARY TERESA, ODGENDER: FNPI #: RIEGER EYECARE LTD407 KAYS DR SUITE ANORMAL, IL 61761PHONE: (309) 454-1010
NORMAL, ILNORMAL, IL
Optometry Care Providers
178
SCHAIDLE, KENNETH A., ODGENDER: MNPI #: BARD OPTICAL1700 PARKWAY PLAZA DR SUITE 4NORMAL, IL 61761PHONE: (309) 454-2233
SCHMIDT, ROBERT, ODGENDER: MNPI #: BARD OPTICAL1700 PARKWAY PLAZA DR SUITE 4NORMAL, IL 61761PHONE: (309) 454-2233
SHELLEY, TIMOTHY D., ODGENDER: MNPI #: BARD OPTICAL1700 PARKWAY PLAZA DR SUITE 4NORMAL, IL 61761PHONE: (309) 454-2233
SONNENBURG, DAVID P., ODGENDER: MNPI #: BARD OPTICAL1700 PARKWAY PLAZA DR SUITE 4NORMAL, IL 61761PHONE: (309) 454-22331700 PARKWAY PLAZA DR SUITE 4NORMAL, IL 61761PHONE: (309) 454-2233
SUTTLE, CARRIE A., ODGENDER: FNPI #: BARD OPTICAL1700 PARKWAY PLAZA DR SUITE 4NORMAL, IL 61761PHONE: (309) 454-2233
TWENHAFEL, STACY A., ODGENDER: FNPI #: BARD OPTICAL1700-4 PKWY PLAZA DRNORMAL, IL 61761PHONE: (309) 454-2233
VASILNEK, NICOLE M., ODGENDER: FNPI #: BARD OPTICAL1700 PARKWAY PLAZA DR SUITE 4NORMAL, IL 61761PHONE: (309) 454-2233
WILLENBRING, MICHELLE R., OD
GENDER: FNPI #: RIEGER EYECARE LTD407 KAYS DR SUITE ANORMAL, IL 61761PHONE: (309) 454-1010
OPTOMETRY
RHOADS, AARON G., ODGENDER: MNPI #: CHITTICK FAMILY EYE CARE112 S MAIN STPARIS, IL 61944PHONE: (217) 465-6461
WEGNER, DAVID, ODGENDER: MNPI #: CHITTICK FAMILY EYE CARE112 S MAIN STPARIS, IL 61944PHONE: (217) 465-6461
OPTOMETRY
HEYMAN, DIANE, ODGENDER: FNPI #: HEYMAN & HEYMAN145 W CENTERPAXTON, IL 60957PHONE: (217) 379-3121
HEYMAN, FLAVEL, ODGENDER: MNPI #: HEYMAN & HEYMAN145 W CENTERPAXTON, IL 60957PHONE: (217) 379-3121
LEWIS, JEWEL, ODGENDER: FNPI #: HEYMAN & HEYMAN145 W CENTER STPAXTON, IL 60957PHONE: (217) 379-3121
OPTOMETRY
ATKINS, CHARLES, ODGENDER: MNPI #: BARD OPTICAL3287 COURT STPEKIN, IL 61554PHONE: (309) 353-9313
BEREKETAB, ELILTA, ODGENDER: FNPI #: GAILEY EYE CLINIC101 N PARKWAY DRPEKIN, IL 61554PHONE: (309) 347-5115
PARIS, IL
PAXTON, IL
PEKIN, IL
NORMAL, ILPEKIN, IL
Optometry Care Providers
179
CLARK, KRISTEN N., ODGENDER: FNPI #: GAILEY EYE CLINIC101 N PARKWAY DRPEKIN, IL 61554PHONE: (309) 347-5115
FISH, WILLIAM E., ODGENDER: MNPI #: THE HEYDE EYE CENTER111 N FOURTH STPEKIN, IL 61554PHONE: (309) 346-1234
GABLER, DANIELLE M., ODGENDER: FNPI #: BARD OPTICAL3287 COURT STPEKIN, IL 61554PHONE: (309) 353-9313
HAHN, MARK D., ODGENDER: MNPI #: BARD OPTICAL3287 COURT STPEKIN, IL 61554PHONE: (309) 353-9313
HENLINE, JEFFREY R., ODGENDER: MNPI #: THE HEYDE EYE CENTER111 N FOURTH STPEKIN, IL 61554PHONE: (309) 346-1234
HENSON, BRIAN D., ODGENDER: MNPI #: BARD OPTICAL3287 COURT STPEKIN, IL 61554PHONE: (309) 353-9313
IMES, DAVID R., ODGENDER: MNPI #: GAILEY EYE CLINIC101 N PARKWAY DRPEKIN, IL 61554PHONE: (309) 347-5115
JACKSON, JOSEPH B., ODGENDER: MNPI #: BARD OPTICAL3287 COURT STPEKIN, IL 61554PHONE: (309) 353-9313
JOHNSON, BRENDON J., ODGENDER: MNPI #: BRENDON J JOHNSON OD2611 BROADWAT STPEKIN, IL 61554PHONE: (309) 347-5989
JUDGE, QUINN L., ODGENDER: FNPI #: BOND EYE ASSOCIATES725 S 14TH STPEKIN, IL 61554PHONE: (309) 353-6660
KEITH, JEREMY D., ODGENDER: MNPI #: BARD OPTICAL3287 COURT STPEKIN, IL 61554PHONE: (309) 353-9313
KIRK, KARLA Y., ODGENDER: FNPI #: BARD OPTICAL3287 COURT STPEKIN, IL 61554PHONE: (309) 353-9313
KWAN, KATHERINE, ODGENDER: FNPI #: BARD OPTICAL3287 COURT STPEKIN, IL 61554PHONE: (309) 353-9313
LEAVITT, ERIC J., ODGENDER: MNPI #: BARD OPTICAL3287 COURT STPEKIN, IL 61554PHONE: (309) 353-9313
MAHAFFEY, LINDA, ODGENDER: FNPI #: BOND EYE ASSOCIATES725 S 14TH STPEKIN, IL 61554PHONE: (309) 353-6660
MAHAFFEY, THOMAS I., ODGENDER: MNPI #: BOND EYE ASSOCIATES725 S 14TH STPEKIN, IL 61554PHONE: (309) 353-6660
MCEWAN, ROBERT B., ODGENDER: MNPI #: 3320 VETERANS DRPEKIN, IL 61554PHONE: (309) 353-4220
MORGRET, DAVID, ODGENDER: MNPI #: BARD OPTICAL3287 COURT STPEKIN, IL 61554PHONE: (309) 353-9313
PEKIN, ILPEKIN, IL
Optometry Care Providers
180
OBERREITER, ANGELA M., OD
GENDER: FNPI #: GAILEY EYE CLINIC101 N PARKWAY DRPEKIN, IL 61554PHONE: (309) 347-5115
PATEL, TEJAL, ODGENDER: FNPI #: BARD OPTICAL3287 COURT STPEKIN, IL 61554PHONE: (309) 353-9313
PATEL-GARUD, RACHANA, OD
GENDER: FNPI #: BARD OPTICAL3287 COURT STPEKIN, IL 61554PHONE: (309) 353-9313
PELFREY-JONES, SANDRA R., OD
GENDER: FNPI #: BARD OPTICAL3287 COURT STPEKIN, IL 61554PHONE: (309) 353-9313
PETERSON, LELAND D., ODGENDER: MNPI #: BARD OPTICAL3287 COURT STPEKIN, IL 61554PHONE: (309) 353-9313
RADTKE, ELIZABETH, ODGENDER: FNPI #: BARD OPTICAL3287 COURT STPEKIN, IL 61554PHONE: (309) 353-9313
RICHMOND, RONALD L., ODGENDER: MNPI #: BARD OPTICAL3287 COURT STPEKIN, IL 61554PHONE: (309) 353-9313
SCHAIDLE, KENNETH A., ODGENDER: MNPI #: BARD OPTICAL3287 COURT STPEKIN, IL 61554PHONE: (309) 353-9313
SCHMIDT, ROBERT, ODGENDER: MNPI #: BARD OPTICAL3287 COURT STPEKIN, IL 61554PHONE: (309) 353-9313
SHELLEY, TIMOTHY D., ODGENDER: MNPI #: BARD OPTICAL3287 COURT STPEKIN, IL 61554PHONE: (309) 353-9313
SONNENBURG, DAVID P., ODGENDER: MNPI #: BARD OPTICAL3287 COURT STPEKIN, IL 61554PHONE: (309) 353-9313
SUTTLE, CARRIE A., ODGENDER: FNPI #: BARD OPTICAL3287 COURT STPEKIN, IL 61554PHONE: (309) 353-9313
TWENHAFEL, STACY A., ODGENDER: FNPI #: BARD OPTICAL3287 COURT STPEKIN, IL 61554PHONE: (309) 353-9313
VASILNEK, NICOLE M., ODGENDER: FNPI #: BARD OPTICAL3287 COURT STPEKIN, IL 61554PHONE: (309) 353-9313
OPTOMETRY
ANDERSON, THOMAS E., ODGENDER: MNPI #: SAMS CLUB OPTICAL4100 W WILLOW KNOLLS RDPEORIA, IL 61615PHONE: (309) 691-6835
ATKINS, CHARLES, ODGENDER: MNPI #: BARD OPTICAL1200 W MAIN STPEORIA, IL 61601PHONE: (309) 672-22734620 N UNIVERSITY STPEORIA, IL 61614PHONE: (309) 692-82227715 N GRAND PRAIRIE DRPEORIA, IL 61615PHONE: (309) 691-1320
BIXBY, KREY A., ODGENDER: MNPI #: THE BIXBY EYE CENTER6807 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 692-0000
PEORIA, IL
PEKIN, ILPEORIA, IL
Optometry Care Providers
181
BRTVA, DENNIS M., ODGENDER: MNPI #: DR DENNIS M BRTVA & ASSOCIATES801 W LAKE AVE 300 EVERGREEN SQPEORIA, IL 61614PHONE: (309) 686-0763
BUEHLER, DONALD L., ODGENDER: MNPI #: ILLINOIS EYE CENTER8921 N WOOD SAGE RDPEORIA, IL 61615PHONE: (309) 243-2400
BURKE, MARK, ODGENDER: MNPI #: STANTON OPTICAL2415 W GLEN AVEPEORIA, IL 61614PHONE: (309) 966-1236
CLARK, KRISTEN N., ODGENDER: FNPI #: GAILEY EYE CLINIC4927 N GLEN PARK PLACEPEORIA, IL 61614PHONE: (309) 692-8460
CROCKER-WILSON, ROBIN, OD
GENDER: FNPI #: WILSON EYE CARE CENTER LTD2000 W PIONEER PKWY SUITE 23PEORIA, IL 61615PHONE: (309) 690-3336
CROLAND, ROGER, ODGENDER: MNPI #: BOND EYE ASSOCIATES6800 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 692-2020
CROW, JACQUELINE A., ODGENDER: FNPI #: ILLINOIS EYE CENTER8921 N WOOD SAGE RDPEORIA, IL 61615PHONE: (309) 243-2400
CUNDIFF, TIMOTHY G., ODGENDER: MNPI #: VISION CARE CENTER4900 N GLEN PARK PLACE SUITE CPEORIA, IL 61614PHONE: (309) 691-4500
FISH, WILLIAM E., ODGENDER: MNPI #: THE HEYDE EYE CENTER400 ST MARKS COURTPEORIA, IL 61603PHONE: (309) 674-1234
FITCH, ROGER W., ODGENDER: MNPI #: VISION CARE CENTER4900 N GLEN PARK PLACE SUITE CPEORIA, IL 61614PHONE: (309) 676-2575
GABLER, DANIELLE M., ODGENDER: FNPI #: BARD OPTICAL1200 W MAIN ST SUITE 21PEORIA, IL 61601PHONE: (309) 672-22734620 N UNIVERSITY STPEORIA, IL 61614PHONE: (309) 692-82227715 N GRAND PRAIRIE DRPEORIA, IL 61615PHONE: (309) 691-1320
GYSIN, JOHN P., ODGENDER: MNPI #: 5901 N PROSPECT RD SUITE 11PEORIA, IL 61614PHONE: (309) 692-2525
HAHN, MARK D., ODGENDER: MNPI #: BARD OPTICAL1200 W MAIN STPEORIA, IL 61601PHONE: (309) 672-22734620 N UNIVERSITY STPEORIA, IL 61614PHONE: (309) 692-82227715 N GRAND PRAIRIE DRPEORIA, IL 61615PHONE: (309) 691-1320
HENLINE, JEFFREY R., ODGENDER: MNPI #: THE HEYDE EYE CENTER400 ST MARKS COURTPEORIA, IL 61603PHONE: (309) 674-1234
HENSON, BRIAN D., ODGENDER: MNPI #: BARD OPTICAL1200 W MAIN ST SUITE 21PEORIA, IL 61601PHONE: (309) 672-22734620 N UNIVERSITY STPEORIA, IL 61614PHONE: (309) 692-82227715 N GRAND PRAIRIEPEORIA, IL 61615PHONE: (309) 691-1320
IMES, DAVID R., ODGENDER: MNPI #: GAILEY EYE CLINIC4927 N GLEN PARK PLACEPEORIA, IL 61614PHONE: (309) 692-8460
PEORIA, ILPEORIA, IL
Optometry Care Providers
182
JACKSON, JOSEPH B., ODGENDER: MNPI #: BARD OPTICAL1200 W MAIN STPEORIA, IL 61601PHONE: (309) 672-22734620 N UNIVERSITY STPEORIA, IL 61614PHONE: (309) 692-82227715 N GRAND PRAIRIE DRPEORIA, IL 61615PHONE: (309) 691-1320
JENSEN, STEVEN T., ODGENDER: MNPI #: DENNIS M BRTVA & ASSOCIATES801 WEST LAKE AVE #300PEORIA, IL 61614PHONE: (309) 686-0763
KEITH, JEREMY D., ODGENDER: MNPI #: BARD OPTICAL1200 W MAIN STPEORIA, IL 61601PHONE: (309) 672-22734620 N UNIVERSITY STPEORIA, IL 61614PHONE: (309) 692-82227715 N GRAND PRARIE DRPEORIA, IL 61615PHONE: (309) 691-1320
KERN, RICHARD C., ODGENDER: MNPI #: KERN OPTOMETRIC ASSOCIATES PC4408 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 682-6214
KIRCHGESSNER, THOMAS C., OD
GENDER: MNPI #: ILLINOIS EYE CENTER8921 N WOOD SAGE RDPEORIA, IL 61615PHONE: (309) 243-2400
KIRK, KARLA Y., ODGENDER: FNPI #: BARD OPTICAL1200 W MAIN ST SUITE 21PEORIA, IL 61606PHONE: (309) 672-22734620 N UNIVERSITY STPEORIA, IL 61614PHONE: (309) 692-82227715 N GRAND PRAIRIE DRPEORIA, IL 61615PHONE: (309) 691-1320
KWAN, KATHERINE, ODGENDER: FNPI #: BARD OPTICAL1200 W MAIN ST SUITE 21PEORIA, IL 61601PHONE: (309) 672-22734620 N UNIVERSITY STPEORIA, IL 61614PHONE: (309) 692-82227715 N GRAND PRAIRIE DRPEORIA, IL 61615PHONE: (309) 691-1320
LEAVITT, ERIC J., ODGENDER: MNPI #: BARD OPTICAL1200 W MAIN STPEORIA, IL 61606PHONE: (309) 672-22734620 N UNIVERSITY STPEORIA, IL 61614PHONE: (309) 692-82227715 GRAND PRAIRIE DRPEORIA, IL 61615PHONE: (309) 691-1320
MAYGINNES, KYLE D., ODGENDER: MNPI #: DR DENNIS M BRTVA & ASSOCIATES801 W LAKE AVE 300 EVERGREEN SQPEORIA, IL 61614PHONE: (309) 686-0763
MORGRET, DAVID, ODGENDER: MNPI #: BARD OPTICAL1200 W MAIN #21PEORIA, IL 61606PHONE: (309) 672-2273
OTT, BARBARA, ODGENDER: FNPI #: BOND EYE ASSOCIATES6800 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 692-2020
PATEL, TEJAL, ODGENDER: FNPI #: BARD OPTICAL1200 W MAIN STPEORIA, IL 61601PHONE: (309) 672-22734620 N UNIVERSITY STPEORIA, IL 61614PHONE: (309) 692-82227715 GRAND PRAIRIE DRPEORIA, IL 61615PHONE: (309) 691-1320
PATEL-GARUD, RACHANA, OD
GENDER: FNPI #: BARD OPTICAL1200 W MAIN STPEORIA, IL 61601PHONE: (309) 672-22734620 N UNIVERSITY STPEORIA, IL 61614PHONE: (309) 692-8222
PEORIA, ILPEORIA, IL
Optometry Care Providers
183
7715 N GRAND PRAIRIE DRPEORIA, IL 61615PHONE: (309) 691-1320
PELFREY-JONES, SANDRA R., OD
GENDER: FNPI #: BARD OPTICAL1200 W MAIN ST SUITE 21PEORIA, IL 61601PHONE: (309) 672-22734620 N UNIVERSITY STPEORIA, IL 61614PHONE: (309) 692-82227715 N GRAND PRAIRIE DRPEORIA, IL 61615PHONE: (309) 691-1320
PETERSON, LELAND D., ODGENDER: MNPI #: BARD OPTICAL1200 W MAIN ST SUITE 21PEORIA, IL 61601PHONE: (309) 672-22734620 N UNIVERSITY STPEORIA, IL 61614PHONE: (309) 692-82227715 N GRAND PRAIRIE DRPEORIA, IL 61615PHONE: (309) 691-1320
RADTKE, ELIZABETH, ODGENDER: FNPI #: BARD OPTICAL1200 W MAIN ST SUTIE 21PEORIA, IL 61606PHONE: (309) 672-22734620 N UNIVERSITY STPEORIA, IL 61614PHONE: (309) 692-82227715 GRAND PRAIRIE DRPEORIA, IL 61615PHONE: (309) 691-1320
RICHMOND, RONALD L., ODGENDER: MNPI #: BARD OPTICAL1200 W MAIN STPEORIA, IL 61601PHONE: (309) 672-22734620 N UNIVERSITY STPEORIA, IL 61614PHONE: (309) 692-82227715 GRAND PRAIRIE DRPEORIA, IL 61615PHONE: (309) 691-1320
SCHAIDLE, KENNETH A., ODGENDER: MNPI #: BARD OPTICAL1200 W MAIN STPEORIA, IL 61601PHONE: (309) 672-22734620 N UNIVERSITY STPEORIA, IL 61614PHONE: (309) 692-82227715 GRAND PRAIRIE DRPEORIA, IL 61615PHONE: (309) 691-1320
SCHMIDT, ROBERT, ODGENDER: MNPI #: BARD OPTICAL1200 W MAIN STPEORIA, IL 61606PHONE: (309) 672-22734620 N UNIVERSITY STPEORIA, IL 61614PHONE: (309) 692-82227715 N GRAND PRAIRIE DRPEORIA, IL 61615PHONE: (309) 691-1320
SHELLEY, TIMOTHY D., ODGENDER: MNPI #: BARD OPTICAL1200 W MAIN STPEORIA, IL 61606PHONE: (309) 672-22734620 N UNIVERSITY STPEORIA, IL 61614PHONE: (309) 692-8222
7715 N GRAND PRAIRIE DRPEORIA, IL 61615PHONE: (309) 691-1320
SONNENBURG, DAVID P., ODGENDER: MNPI #: BARD OPTICAL1200 W MAIN ST SUITE 21PEORIA, IL 61606PHONE: (309) 672-22734620 N UNIVERSITY STPEORIA, IL 61614PHONE: (309) 692-82227715 GRAND PRAIRIE DRPEORIA, IL 61615PHONE: (309) 691-1320
SUTTLE, CARRIE A., ODGENDER: FNPI #: BARD OPTICAL1200 W MAIN ST SUITE 21PEORIA, IL 61606PHONE: (309) 672-22734620 N UNIVERSITY STPEORIA, IL 61614PHONE: (309) 692-82227715 N GRAND PRAIRIE DRPEORIA, IL 61615PHONE: (309) 691-1320
TWENHAFEL, STACY A., ODGENDER: FNPI #: BARD OPTICAL1200 W MAIN ST SUITE 21PEORIA, IL 61606PHONE: (309) 672-22734620 N UNIVERSITYPEORIA, IL 61614PHONE: (309) 692-82227715 N GRAND PRAIRIE DRPEORIA, IL 61615PHONE: (309) 691-13208309 N KNOXVILLE AVEPEORIA, IL 61615PHONE: (309) 693-9540
PEORIA, ILPEORIA, IL
Optometry Care Providers
184
VASILNEK, NICOLE M., ODGENDER: FNPI #: BARD OPTICAL1200 W MAIN STPEORIA, IL 61606PHONE: (309) 672-22734620 N UNIVERSITY STPEORIA, IL 61614PHONE: (309) 692-82227715 N GRAND PRAIRIE DRPEORIA, IL 61615PHONE: (309) 691-1320
WETZLER, CHRISTOPHER J., OD
GENDER: MNPI #: DR DENNIS M BRTVA & ASSOCIATES801 W LAKE AVE 300 EVERGREEN SQPEORIA, IL 61614PHONE: (309) 686-0763
WILSON, JAMES P., ODGENDER: MNPI #: WILSON EYE CARE CENTER LTD2000 W PIONEER PKWY SUITE 23PEORIA, IL 61615PHONE: (309) 690-3336
OPTOMETRY
BRAND, RONALD A., ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC201 N MADISON STPITTSFIELD, IL 62363-1447PHONE: (217) 285-4800
CHEVALIER, KRISTIE, ODGENDER: FNPI #: INTERNATIONAL EYECARE CENTER INC201 N MADISON STPITTSFIELD, IL 62363-1447PHONE: (217) 285-4800
KROHN, AUSTIN C., ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC201 N MADISON STPITTSFIELD, IL 62363-1447PHONE: (217) 285-4800
LEAHY, TIMOTHY J., ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC201 N MADISON STPITTSFIELD, IL 62363-1447PHONE: (217) 285-4800
MCDOUGALL, JOHN H., ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC201 N MADISON STPITTSFIELD, IL 62363-1447PHONE: (217) 285-4800
MCDOWELL, JASON E., ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC201 N MADISON STPITTSFIELD, IL 62363PHONE: (217) 285-4800
MUELLER, KENNETH R., ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC201 N MADISON STPITTSFIELD, IL 62363-1447PHONE: (217) 285-4800
THOELE, JONATHON P., ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC201 N MADISON STPITTSFIELD, IL 62363-1447PHONE: (217) 285-4800
THOELE, RYAN, ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC201 N MADISON STPITTSFIELD, IL 62363-1447PHONE: (217) 285-4800
OPTOMETRY
BEREKETAB, ELILTA, ODGENDER: FNPI #: GAILEY EYE CLINIC1512 W REYNOLDS SUITE CPONTIAC, IL 61764PHONE: (815) 842-3306
CLARK, KRISTEN N., ODGENDER: FNPI #: GAILEY EYE CLINIC1512 W REYNOLDS SUITE CPONTIAC, IL 61764PHONE: (815) 842-3306
PITTSFIELD, IL
PONTIAC, IL
PEORIA, ILPONTIAC, IL
Optometry Care Providers
185
IMES, DAVID R., ODGENDER: MNPI #: GAILEY EYE CLINIC1512 W REYNOLDS SUITE CPONTIAC, IL 61764PHONE: (815) 842-3306
RADFORD, SASHA L., ODGENDER: FNPI #: FAMILY EYE CARE320 N LADDPONTIAC, IL 61764PHONE: (815) 842-4304
TWENHAFEL, STACY A., ODGENDER: FNPI #: BARD OPTICAL1712 W REYNOLDS RDPONTIAC, IL 61764PHONE: (815) 419-2019
OPTOMETRY
BOCKHOLD, DINITA, ODGENDER: FNPI #: SUPERIOR PERFORMANCE EYECARE SPECIALISTS INC195 S 36TH STQUINCY, IL 62301PHONE: (217) 224-7732
BRAND, RONALD A., ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC2445 BROADWAY STQUINCY, IL 62301-3257PHONE: (217) 222-8800
CHEVALIER, KRISTIE, ODGENDER: FNPI #: INTERNATIONAL EYECARE CENTER INC2445 BROADWAY STQUINCY, IL 62301-3257PHONE: (217) 222-8800
HAYDEN, DANIEL L., ODGENDER: MNPI #: SUPERIOR PERFORMANCE EYECARE SPECIALISTS INC195 S 36TH STQUINCY, IL 62301PHONE: (217) 224-7732
KROHN, AUSTIN C., ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC2445 BROADWAY STQUINCY, IL 62301-3257PHONE: (217) 222-8800
KVITLE, KIRK D., ODGENDER: MNPI #: FAMILY EYECARE & CONTACT LENS CENTER LLC3325 MAINE ST SUITE 1QUINCY, IL 62301-4438PHONE: (217) 231-3937
LEAHY, TIMOTHY J., ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC2445 BROADWAY STQUINCY, IL 62301-3257PHONE: (217) 222-8800
MCDOUGALL, JOHN H., ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC2445 BROADWAY STQUINCY, IL 62301-3257PHONE: (217) 222-8800
MCDOWELL, JASON E., ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC2445 BROADWAY STQUINCY, IL 62301PHONE: (217) 222-8800
MUELLER, KENNETH R., ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC2445 BROADWAYQUINCY, IL 62301-3257PHONE: (217) 222-8800
THOELE, JONATHON P., ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC2445 BROADWAY STQUINCY, IL 62301-3257PHONE: (217) 222-8800
THOELE, RYAN, ODGENDER: MNPI #: INTERNATIONAL EYECARE CENTER INC2445 BROADWAY STQUINCY, IL 62301-3257PHONE: (217) 222-8800
QUINCY, IL
PONTIAC, ILQUINCY, IL
Optometry Care Providers
186
OPTOMETRY
BROTHERS, JOHN E., ODGENDER: MNPI #: CHITTICK FAMILY EYE CARE1291 E GROVE STRANTOUL, IL 61866PHONE: (217) 892-2727
HOPKINS, BRYAN J., ODGENDER: MNPI #: CHITTICK FAMILY EYE CARE1291 E GROVE STRANTOUL, IL 61866PHONE: (217) 892-2727
KELLEY, JAMES B., ODGENDER: MNPI #: CHITTICK FAMILY EYE CARE1291 E GROVE STRANTOUL, IL 61866PHONE: (217) 892-2727
KRUGER, DAVID P., ODGENDER: MNPI #: WALMART VISION CENTER845 BROADMEADOW RDRANTOUL, IL 61866PHONE: (217) 892-5095
LEON, STEVE A., ODGENDER: MNPI #: CHITTICK FAMILY EYE CARE1291 E GROVE STRANTOUL, IL 61866PHONE: (217) 892-2727
LOHRBERG, JAMES D., ODGENDER: MNPI #: CHITTICK FAMILY EYE CARE1291 E GROVE STRANTOUL, IL 61866PHONE: (217) 892-2727
MALLADY, SHAWN P., ODGENDER: MNPI #: CHITTICK FAMILY EYE CARE1291 E GROVE STRANTOUL, IL 61866PHONE: (217) 892-2727
OSHIRO-JOHNSON, CHERIE A., OD
GENDER: FNPI #: CHITTICK FAMILY EYE CARE1291 E GROVE STRANTOUL, IL 61866PHONE: (217) 892-2727
PELLEGRINI, MARK A., ODGENDER: MNPI #: CHITTICK FAMILY EYE CARE1291 E GROVE STRANTOUL, IL 61866PHONE: (217) 892-2727
SERFOSS, RONALD, ODGENDER: MNPI #: CHITTICK FAMILY EYE CARE1291 E GROVE STRANTOUL, IL 61866PHONE: (217) 892-2727
OPTOMETRY
BEDWELL, WILLIAM H., ODGENDER: MNPI #: 905 W MEFFORD STROBINSON, IL 62454PHONE: (618) 544-3525
WIETIES, TAMMY L., ODGENDER: FNPI #: WILLIAM H BEDWELL OD905 W MEFFORD STROBINSON, IL 62454PHONE: (618) 544-3525
OPTOMETRY
MLSNA, REID E., ODGENDER: MNPI #: THE ROCHELLE EYE CARE CENTER719 LINCOLN AVEROCHELLE, IL 61068PHONE: (815) 562-6175
OPTOMETRY
ARBET, TIMOTHY, ODGENDER: MNPI #: ROCK ISLAND OPTOMETRIC CENTER LTD2501 24TH STROCK ISLAND, IL 61201PHONE: (309) 788-0604
RANTOUL, IL ROBINSON, IL
ROCHELLE, IL
ROCK ISLAND, IL
RANTOUL, ILROCK ISLAND, IL
Optometry Care Providers
187
ATKINS, CHARLES, ODGENDER: MNPI #: BARD OPTICAL4032 BLACKHAWK RDROCK ISLAND, IL 61201PHONE: (309) 786-9734
GABLER, DANIELLE M., ODGENDER: FNPI #: BARD OPTICAL4032 BLACKHAWK RDROCK ISLAND, IL 61201PHONE: (309) 786-9734
HAHN, MARK D., ODGENDER: MNPI #: BARD OPTICAL4032 BLACKHAWK RDROCK ISLAND, IL 61201PHONE: (309) 786-9734
HAYS, JILL K., ODGENDER: FNPI #: ROCK ISLAND OPTOMETRIC CENTER LTD2501 24TH STROCK ISLAND, IL 61201PHONE: (309) 788-0604
HENSON, BRIAN D., ODGENDER: MNPI #: BARD OPTICAL4032 BLACKHAWK RDROCK ISLAND, IL 61201PHONE: (309) 786-9734
JACKSON, JOSEPH B., ODGENDER: MNPI #: BARD OPTICAL4032 BLACKHAWK RDROCK ISLAND, IL 61201PHONE: (309) 786-9734
KEITH, JEREMY D., ODGENDER: MNPI #: BARD OPTICAL4032 BLACKHAWK RDROCK ISLAND, IL 61201PHONE: (309) 786-9734
KIRK, KARLA Y., ODGENDER: FNPI #: BARD OPTICAL4032 BLACKHAWK RDROCK ISLAND, IL 61201PHONE: (309) 786-9734
KWAN, KATHERINE, ODGENDER: FNPI #: BARD OPTICAL4032 BLACKHAWK RDROCK ISLAND, IL 61201PHONE: (309) 786-9734
LEAR, CHRISTOPHER, ODGENDER: MNPI #: ROCK ISLAND OPTOMETRIC CENTER LTD2501 24TH STROCK ISLAND, IL 61201PHONE: (309) 788-0604
LEAVITT, ERIC J., ODGENDER: MNPI #: BARD OPTICAL4032 BLACKHAWK RDROCK ISLAND, IL 61201PHONE: (309) 786-9734
NORDQUIST, JOSEPH J., ODGENDER: MNPI #: ROCK ISLAND OPTOMETRIC CENTER LTD2501 24TH STROCK ISLAND, IL 61201PHONE: (309) 788-0604
PATEL, TEJAL, ODGENDER: FNPI #: BARD OPTICAL4032 BLACKHAWK RDROCK ISLAND, IL 61201PHONE: (309) 786-9734
PATEL-GARUD, RACHANA, OD
GENDER: FNPI #: BARD OPTICAL4032 BLACKHAWK RDROCK ISLAND, IL 61201PHONE: (309) 786-9734
PELFREY-JONES, SANDRA R., OD
GENDER: FNPI #: BARD OPTICAL4032 BLACKHAWK RDROCK ISLAND, IL 61201PHONE: (309) 786-9734
PETERSON, LELAND D., ODGENDER: MNPI #: BARD OPTICAL4032 BLACKHAWK RDROCK ISLAND, IL 61201PHONE: (309) 786-9734
RADTKE, ELIZABETH, ODGENDER: FNPI #: BARD OPTICAL4032 BLACKHAWK RDROCK ISLAND, IL 61201PHONE: (309) 786-9734
RICHMOND, RONALD L., ODGENDER: MNPI #: BARD OPTICAL4032 BLACKHAWK RDROCK ISLAND, IL 61201PHONE: (309) 786-9734
ROCK ISLAND, ILROCK ISLAND, IL
Optometry Care Providers
188
SCHAIDLE, KENNETH A., ODGENDER: MNPI #: BARD OPTICAL4032 BLACKHAWK RDROCK ISLAND, IL 61201PHONE: (309) 786-9734
SCHMIDT, ROBERT, ODGENDER: MNPI #: BARD OPTICAL4032 BLACKHAWK RDROCK ISLAND, IL 61201PHONE: (309) 786-9734
SHELLEY, TIMOTHY D., ODGENDER: MNPI #: BARD OPTICAL4032 BLACKHAWK RDROCK ISLAND, IL 61201PHONE: (309) 786-9734
SONNENBURG, DAVID P., ODGENDER: MNPI #: BARD OPTICAL4032 BLACKHAWK RDROCK ISLAND, IL 61201PHONE: (309) 786-9734
SUTTLE, CARRIE A., ODGENDER: FNPI #: BARD OPTICAL4032 BLACKHAWK RDROCK ISLAND, IL 61201PHONE: (309) 786-9734
TWENHAFEL, STACY A., ODGENDER: FNPI #: BARD OPTICAL4032 BLACKHAWK RDROCK ISLAND, IL 61201PHONE: (309) 786-9734
VASILNEK, NICOLE M., ODGENDER: FNPI #: BARD OPTICAL4032 BLACKHAWK RDROCK ISLAND, IL 61201PHONE: (309) 786-9734
OPTOMETRY
HAHN, PAUL E., ODGENDER: MNPI #: NEW VISION OF IL LLC2929 MCFARLAND RDROCKFORD, IL 61107PHONE: (815) 654-2020
SHUMAKER, DOUGLAS T., OD
GENDER: MNPI #: NEW VISION OF IL LLC2929 MCFARLAND RDROCKFORD, IL 61107PHONE: (815) 654-2020
OPTOMETRY
BHAR, NINA, ODGENDER: FNPI #: NAYON EYE CENTER388 S WEBER RDROMEOVILLE, IL 60446PHONE: (815) 609-6300
OPTOMETRY
BROTHERS, JOHN E., ODGENDER: MNPI #: CHITTICK FAMILY EYE CARE8 DUNLAP CTSAVOY, IL 61874PHONE: (217) 398-2020
LEON, STEVE A., ODGENDER: MNPI #: CHITTICK FAMILY EYE CARE8 DUNLAP CTSAVOY, IL 61874PHONE: (217) 398-2020
OPTOMETRY
BLANCO, JEFFREY J., ODGENDER: MNPI #: BLANCO KAYS EYECARE LLC200 W DAKOTA STSPRING VALLEY, IL 61362PHONE: (815) 663-8281
KAYS, RYAN H., ODGENDER: MNPI #: BLANCO KAYS EYECARE LLC200 W DAKOTA STSPRING VALLEY, IL 61362PHONE: (815) 663-8281
ROCKFORD, IL
ROMEOVILLE, IL
SAVOY, IL
SPRING VALLEY, IL
ROCK ISLAND, ILSPRING VALLEY, IL
Optometry Care Providers
189
KLEIN, KELLY L., ODGENDER: FNPI #: EYESITE ILLINOIS VALLEY LLC215 RICHARD A MAUTINO DRSPRING VALLEY, IL 61362PHONE: (815) 664-5331
KUNKEL, BETH A., ODGENDER: FNPI #: EYESITE ILLINOIS VALLEY LLC215 RICHARD A MAUTINO DRSPRING VALLEY, IL 61362PHONE: (815) 664-5331
KUNKEL, KENT A., ODGENDER: MNPI #: EYESITE ILLINOIS VALLEY LLC215 RICHARD A MAUTINO DRSPRING VALLEY, IL 61362PHONE: (815) 664-5331
OPTOMETRY
BLOMBERG, SCOTT, ODGENDER: MNPI #: SPRINGFIELD VISION CARE ASSOCIATES2741 PRAIRIE CROSSING DRSPRINGFIELD, IL 62711PHONE: (217) 528-3233
SPRINGFIELD VISION CARE ASSOCIATION121 N GRAND AVE WESTSPRINGFIELD, IL 62702PHONE: (217) 528-3233
BLUMTHAL, ROBERT J., ODGENDER: MNPI #: PRAIRIE EYE CENTER LTD2020 W ILES AVESPRINGFIELD, IL 62704PHONE: (217) 698-3030
BRUCE, MICHAEL J., ODGENDER: MNPI #: SPRINGFIELD VISION CARE ASSOCIATES2741 PRAIRIE CROSSING DRSPRINGFIELD, IL 62711PHONE: (217) 528-3233
VISION CARE ASSOCIATES121 N GRAND AVESPRINGFIELD, IL 62702PHONE: (217) 528-3233
CLARK, ANDREW T., ODGENDER: MNPI #: SPRINGFIELD VISION CARE ASSOCIATES2741 PRAIRIE CROSSING DRSPRINGFIELD, IL 62711PHONE: (217) 528-3233
VISION CARE ASSOCIATES121 N GRAND AVESPRINGFIELD, IL 62702PHONE: (217) 528-3233
HENDERSON, D WADE, ODGENDER: MNPI #: HENDERSON EYE CENTER3330 GINGER CREEK DR SUITE CSPRINGFIELD, IL 62711PHONE: (217) 698-9477
HILL, SHAUN S., ODGENDER: MNPI #: SPRINGFIELD VISION CARE ASSOCIATES2741 PRAIRIE CROSSING DRSPRINGFIELD, IL 62711PHONE: (217) 528-3233
VISION CARE ASSOCIATES121 N GRAND AVE WESTSPRINGFIELD, IL 62702PHONE: (217) 528-3233
HOLLAND, DAVID, ODGENDER: MNPI #: SPRINGFIELD VISION CARE ASSOCIATES2741 PRAIRIE CROSSING DRSPRINGFIELD, IL 62711PHONE: (217) 528-3233
VISION CARE ASSOCIATES121 N GRAND AVESPRINGFIELD, IL 62702PHONE: (217) 528-3233
JOHNSON, KEVIN L., ODGENDER: MNPI #: HENDERSON EYE CENTER3330 GINGER CREEK DR SUITE CSPRINGFIELD, IL 62711PHONE: (217) 698-9477
JONES, W ERIC, ODGENDER: MNPI #: PRAIRIE EYE CENTER LTD2020 W ILES AVESPRINGFIELD, IL 62704PHONE: (217) 698-3030
KRAGER, KIM, ODGENDER: FNPI #: EYE SHOPPE1937 W ILESSPRINGFIELD, IL 62704PHONE: (217) 726-1299
SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541
SPRINGFIELD, IL
SPRING VALLEY, ILSPRINGFIELD, IL
Optometry Care Providers
190
KYSER, MARCY K., ODGENDER: FNPI #: PRAIRIE EYE CENTER LTD2020 W ILES AVESPRINGFIELD, IL 62704PHONE: (217) 698-3030
LOHRBERG, JAMES D., ODGENDER: MNPI #: HENDERSON EYE CENTER3330 GINGER CREEK DR SUITE CSPRINGFIELD, IL 62711PHONE: (217) 698-9477
MACK, HARVEY G., ODGENDER: MNPI #: PRAIRIE EYE CENTER LTD2020 W ILES AVESPRINGFIELD, IL 62704PHONE: (217) 698-3030
MONTGOMERY, JEFFREY E., OD
GENDER: MNPI #: PRAIRIE EYE CENTER LTD2020 W ILES AVESPRINGFIELD, IL 62704PHONE: (217) 698-3030
MOORE, BRIAN, ODGENDER: MNPI #: PRAIRIE EYE CENTER LTD2020 W ILES AVESPRINGFIELD, IL 62704PHONE: (217) 698-3030
MOORE, CHELSEY, ODGENDER: FNPI #: SPRINGFIELD-PRAIRIE EYE CENTER LTD2020 W ILES AVESPRINGFIELD, IL 62704PHONE: (217) 698-3030
MOUSHON, GAYLAN W., ODGENDER: MNPI #: SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541
NOAKES, NATHAN L., ODGENDER: MNPI #: PRAIRIE EYE CENTER LTD2020 W ILES AVESPRINGFIELD, IL 62704PHONE: (217) 698-3030
OTTINO, JONATHAN L., ODGENDER: MNPI #: SPRINGFIELD VISION CARE ASSOCIATES121 N GRAND AVE WSPRINGFIELD, IL 62702PHONE: (217) 528-32332741 PRAIRIE CROSSING DRSPRINGFIELD, IL 62711PHONE: (217) 528-3233
SABETTI, JOSEPH A., ODGENDER: MNPI #: PRAIRIE EYE CENTER LTD2020 W ILES AVESPRINGFIELD, IL 62704PHONE: (217) 698-3030
SWETLISHNOFF, DALE J., MDGENDER: MNPI #: SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541
VALENTI, ROBIN B., ODGENDER: FNPI #: EYE SHOPPE1937 W ISLESSPRINGFIELD, IL 62704PHONE:
SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541
VITS, DARRIN G., ODGENDER: MNPI #: EYE SHOPPE1937 W ILESSPRINGFIELD, IL 62704PHONE: (217) 726-1299
SPRINGFIELD CLINIC LLP1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541
SPRINGFIELD CLINIC OPTICAL CENTER WEST1937 W ILES AVESPRINGFIELD, IL 62704PHONE: (217) 726-1299
WALLER, JENNIFER M., ODGENDER: FNPI #: PRAIRIE EYE CENTER LTD2020 W ILES AVESPRINGFIELD, IL 62704PHONE: (217) 698-3030
WILKISON, THOMAS A., ODGENDER: MNPI #: SPRINGFIELD CLINIC1937 W ILESSPRINGFIELD, IL 62704PHONE: (217) 528-7541
SPRINGFIELD CLINIC LLP1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541
SPRINGFIELD, ILSPRINGFIELD, IL
Optometry Care Providers
191
OPTOMETRY
MOORE, STEVEN W., ODGENDER: MNPI #: TAYLORVILLE VISION CENTER207 W MAINSTAUNTON, IL 62088PHONE: (618) 635-2424
OPTOMETRY
ATKINS, CHARLES, ODGENDER: MNPI #: BARD OPTICAL3215 E LINCOLNWAYSTERLING, IL 61081PHONE: (815) 626-6006
GABLER, DANIELLE M., ODGENDER: FNPI #: BARD OPTICAL3215 E LINCOLNWAYSTERLING, IL 61081PHONE: (815) 626-6006
HAHN, MARK D., ODGENDER: MNPI #: BARD OPTICAL3215 E LINCOLNWAYSTERLING, IL 61081PHONE: (815) 626-6006
HENSON, BRIAN D., ODGENDER: MNPI #: BARD OPTICAL3215 E LINCOLNWAYSTERLING, IL 61081PHONE: (815) 626-6006
JACKSON, JOSEPH B., ODGENDER: MNPI #: BARD OPTICAL3215 E LINCOLNWAYSTERLING, IL 61081PHONE: (309) 693-9540
KEITH, JEREMY D., ODGENDER: MNPI #: BARD OPTICAL3215 E LINCOLNWAYSTERLING, IL 61081PHONE: (815) 626-6006
KIRK, KARLA Y., ODGENDER: FNPI #: BARD OPTICAL3215 E LINCOLNWAYSTERLING, IL 61081PHONE: (815) 626-6006
KWAN, KATHERINE, ODGENDER: FNPI #: BARD OPTICAL3215 E LINCOLNWAYSTERLING, IL 61081PHONE: (815) 626-6006
LEAVITT, ERIC J., ODGENDER: MNPI #: BARD OPTICAL3215 E LINCOLNWAYSTERLING, IL 61081PHONE: (815) 626-6006
PATEL, TEJAL, ODGENDER: FNPI #: BARD OPTICAL3215 E LINCOLNWAYSTERLING, IL 61081PHONE: (815) 626-6006
PATEL-GARUD, RACHANA, OD
GENDER: FNPI #: BARD OPTICAL3215 E LINCOLNWAYSTERLING, IL 61081PHONE: (815) 626-6006
PELFREY-JONES, SANDRA R., OD
GENDER: FNPI #: BARD OPTICAL3215 E LINCOLNWAYSTERLING, IL 61081PHONE: (815) 626-6006
PETERSON, LELAND D., ODGENDER: MNPI #: BARD OPTICAL3215 E LINCOLNWAYSTERLING, IL 61081PHONE: (815) 626-6006
RADTKE, ELIZABETH, ODGENDER: FNPI #: BARD OPTICAL3215 E LINCOLNWAYSTERLING, IL 61081PHONE: (815) 626-6006
RICHMOND, RONALD L., ODGENDER: MNPI #: BARD OPTICAL3215 E LINCOLNWAYSTERLING, IL 61081PHONE: (815) 626-6006
SCHAIDLE, KENNETH A., ODGENDER: MNPI #: BARD OPTICAL3215 E LINCOLNWAYSTERLING, IL 61081PHONE: (815) 626-6006
STAUNTON, IL
STERLING, IL
STAUNTON, ILSTERLING, IL
Optometry Care Providers
192
SCHMIDT, ROBERT, ODGENDER: MNPI #: BARD OPTICAL3215 E LINCOLNWAYSTERLING, IL 61081PHONE: (815) 626-6006
SHELLEY, TIMOTHY D., ODGENDER: MNPI #: BARD OPTICAL3215 E LINCOLNWAYSTERLING, IL 61081PHONE: (815) 626-6006
SONNENBURG, DAVID P., ODGENDER: MNPI #: BARD OPTICAL3215 E LINCOLNWAYSTERLING, IL 61081PHONE: (815) 626-6006
SUTTLE, CARRIE A., ODGENDER: FNPI #: BARD OPTICAL3215 E LINCOLNWAYSTERLING, IL 61081PHONE: (309) 693-9540
TWENHAFEL, STACY A., ODGENDER: FNPI #: BARD OPTICAL3215 E LINCOLN WAYSTERLING, IL 61081PHONE: (815) 626-6006
VASILNEK, NICOLE M., ODGENDER: FNPI #: BARD OPTICAL3215 E LINCOLNWAYSTERLING, IL 61081PHONE: (815) 626-6006
OPTOMETRY
BEST, THOMAS, ODGENDER: MNPI #: SULLIVAN EYECARE CLINIC108 E HARRISON STSULLIVAN, IL 61951PHONE:
BOYD, JAMISON T., ODGENDER: MNPI #: SULLIVAN EYECARE CLINIC108 E HARRISON STSULLIVAN, IL 61951PHONE:
OPTOMETRY
BLACKMAN, GARY, ODGENDER: MNPI #: CENTRAL ILLINOIS OPTOMETRY900 SPRINGFIELD RDTAYLORVILLE, IL 62568PHONE: (217) 824-4991
JANSSEN, ALICIA U., ODGENDER: FNPI #: CENTRAL ILLINOIS OPTOMETRY ASSOCIATES LTD900 SPRINGFIELD RDTAYLORVILLE, IL 62568PHONE: (217) 824-4991
MOORE, STEVEN W., ODGENDER: MNPI #: TAYLORVILLE VISION CENTER108 S MAINTAYLORVILLE, IL 62568PHONE: (217) 287-2020
RABE, DENNIS, ODGENDER: MNPI #: CENTRAL ILLINOIS OPTOMETRY900 SPRINGFIELD RDTAYLORVILLE, IL 62568PHONE: (217) 824-4991
SMOTHERS-CHAMPLEY, DEBRA S., OD
GENDER: FNPI #: CENTRAL ILLINOIS OPTOMETRY900 SPRINGFIELD RDTAYLORVILLE, IL 62568PHONE: (217) 824-4991
OPTOMETRY
BEST, THOMAS, ODGENDER: MNPI #: TUSCOLA EYE CARE CENTER902 S COURT ST SUITE 1TUSCOLA, IL 61953PHONE: (217) 253-2220
BOYD, JAMISON T., ODGENDER: MNPI #: TUSCOLA EYE CARE CENTER902 S COURT ST SUITE 1TUSCOLA, IL 61953PHONE: (217) 253-2220
SULLIVAN, IL
TAYLORVILLE, ILTUSCOLA, IL
STERLING, ILTUSCOLA, IL
Optometry Care Providers
193
OPTOMETRY
ELLIS, DAVID H., ODGENDER: MNPI #: CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3150
JOHNSON, DAVID A., ODGENDER: MNPI #: CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3150
OHL, D S., ODGENDER: MNPI #: CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3150
OSHIRO-JOHNSON, CHERIE A., OD
GENDER: FNPI #: CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3150
WILLIAMS, JOHN M., ODGENDER: MNPI #: CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3150
OPTOMETRY
LEON, STEVE A., ODGENDER: MNPI #: LEON OPTOMETRIC CLINIC10 W ADAMS PO BOX 200VILLA GROVE, IL 61956PHONE: (217) 832-2111
OPTOMETRY
HEDRICK, KEITH, ODGENDER: MNPI #: 119 N SPRINGFIELDVIRDEN, IL 62690PHONE: (217) 965-3306
JANSSEN, ALICIA U., ODGENDER: FNPI #: ADVANCED EYECARE OF VIRDEN119 N SPRINGFIELDVIRDEN, IL 62690PHONE: (800) 248-1170
RABE, DENNIS, ODGENDER: MNPI #: ADVANCED EYECARE119 N SPRINGFIELDVIRDEN, IL 62690PHONE: (800) 248-1170
RUBRICH, KAREN, ODGENDER: FNPI #: 119 N SPRINGFIELDVIRDEN, IL 62690PHONE: (217) 965-3306
OPTOMETRY
POLLASTRINI, MATTHEW J., OD
GENDER: MNPI #: P AND B EYE CARE LLC201 E BREMER AVEWAVERLY, IA 50677PHONE: (319) 483-5185
STEERE-BOLLMAN, BRIDGET J., OD
GENDER: FNPI #: P AND B EYE CARE LLC201 E BREMER AVEWAVERLY, IA 50677PHONE: (319) 483-5185
URBANA, IL VILLA GROVE, IL
VIRDEN, IL
WAVERLY, IA
URBANA, ILWAVERLY, IA
Specialty Care Providers
194* Please contact Health Alliance at the number on the back of your member ID card.
GENERAL SURGERY
RATTANANONT, PRASOP, MD
GENDER: MNPI #: 1154326072MEDICAL ASSOCIATES CLINIC1007 NW 3RD STALEDO, IL 61231PHONE: (309) 582-3789E-PRESCRIBE: NO
ORTHOPAEDICS
GERNANT, MICHAEL L., MDGENDER: MNPI #: 1740274240GALESBURG ORTHOPEDIC SERVICES409 N W 9TH AVEALEDO, IL 61231PHONE: (309) 342-0194E-PRESCRIBE: NO
SPORTS MEDICINE
HARTMAN, PATRICK, MDGENDER: MNPI #: 1861508160SBL ARTHUR CLINIC211 S WALNUTARTHUR, IL 61911PHONE: (217) 543-3444E-PRESCRIBE: NO
INFECTIOUS DISEASES
HUSTON, MARCIA J., MDGENDER: FNPI #: 1942234984OPEN DOOR CLINIC157 S LINCOLN AVE SUITE KAURORA, IL 60505PHONE: E-PRESCRIBE: NO
GENERAL SURGERY
REID, W SCOTT, DOGENDER: MNPI #: 1932180387MID ILLINI SURGICAL ASSOCIATES1506 W GARFIELD AVEBARTONVILLE, IL 61607PHONE: (309) 697-2416E-PRESCRIBE: NO
PODIATRY
EVANS, GRETCHEN M., DPMGENDER: FNPI #: 1477504710RUSKUSKY FOOT & ANKLE CLINIC1506 W GARFIELD AVEBARTONVILLE, IL 61607PHONE: (309) 694-7585E-PRESCRIBE: NO
RUSKUSKY, JEFFREY R., DPM
GENDER: MNPI #: 1639129851RUSKUSKY FOOT & ANKLE CLINIC1506 W GARFIELD AVEBARTONVILLE, IL 61607PHONE: (309) 694-7585E-PRESCRIBE: NO
OPHTHALMOLOGY
SUTTON, DAVID P., MDGENDER: MNPI #: 1508826918PRAIRIE EYE CENTER LTD106 E MAINBEARDSTOWN, IL 62618PHONE: E-PRESCRIBE: NO
GASTROENTEROLOGY
AGGARWAL, ANJANA, MDGENDER: FNPI #: 1467436899GASTROENTEROLOGY ASSOCIATES PC2222 53RD AVEBETTENDORF, IA 52722PHONE: (563) 383-2686E-PRESCRIBE: NO
DAVIDSON III, WILLIAM, MDGENDER: MNPI #: 1225010499GASTROENTEROLOGY ASSOCIATES PC2222 53RD AVEBETTENDORF, IA 52722PHONE: (563) 383-2686E-PRESCRIBE: YES
HUH, YOUNG B., MDGENDER: MNPI #: 1407830912GASTROENTEROLOGY ASSOCIATES PC2222 53RD AVEBETTENDORF, IA 52722PHONE: (563) 383-2686E-PRESCRIBE: NO
ALEDO, IL
ARTHUR, IL
AURORA, IL
BARTONVILLE, IL
BEARDSTOWN, IL
BETTENDORF, IA
ALEDO, ILBETTENDORF, IA
Specialty Care Providers
195 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
PRATT, DAVID S., MDGENDER: MNPI #: 1073597597GASTROENTEROLOGY ASSOCIATES PC2222 53RD AVEBETTENDORF, IA 52722PHONE: (563) 383-2686E-PRESCRIBE: NO
WEYMAN IV, RICHARD L., MDGENDER: MNPI #: 1295717478GASTROENTEROLOGY ASSOCIATES PC2222 53RD AVEBETTENDORF, IA 52722PHONE: (563) 383-2686E-PRESCRIBE: NO
THORACIC SURGERY
ABDULLAH, AFZAL H., MDGENDER: MNPI #: 1932199395VASCULAR SURGERY ASSOC1075 GOLDEN VALLEY DRBETTENDORF, IA 52722PHONE: (563) 322-8982E-PRESCRIBE: YES
VASCULAR SURGERY
ABDULLAH, AFZAL H., MDGENDER: MNPI #: 1932199395VASCULAR SURGERY ASSOC1075 GOLDEN VALLEY DRBETTENDORF, IA 52722PHONE: (563) 322-8982E-PRESCRIBE: YES
ALLERGY/IMMUNOLOGY
CULP, JEFFREY A., MDGENDER: MNPI #: 1023156734OSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
ULBRICH, MARK S., MDGENDER: MNPI #: 1578511390BLOOMINGTON PEDIATRICS & ALLERGY306 SAINT JOSEPH DRIVEBLOOMINGTON, IL 61701PHONE: (309) 662-0504E-PRESCRIBE: NO
CARDIOLOGY
AGARWAL, YOGESH K., MDGENDER: MNPI #: 1336142017HEARTCARE MIDWEST SC1505 EASTLAND DR SUITE 330BLOOMINGTON, IL 61701PHONE: (309) 663-9800E-PRESCRIBE: NO
BEST, DAVID G., MDGENDER: MNPI #: 1447284989HEARTCARE MIDWEST SC1505 EASTLAND DR SUITE 330BLOOMINGTON, IL 61701PHONE: (309) 663-9800E-PRESCRIBE: NO
CHU, ALFRED A., MDGENDER: MNPI #: 1922181916HEARTCARE MIDWEST SC1505 EASTLAND DR SUITE 330BLOOMINGTON, IL 61701PHONE: (309) 663-9800E-PRESCRIBE: NO
CHU, GUOXIANG, MDGENDER: MNPI #: 1295946580HEARTCARE MIDWEST SC1505 EASTLAND DR SUITE 330BLOOMINGTON, IL 61701PHONE: (309) 663-9800E-PRESCRIBE: NO
CRAWFORD, ROBERT D., MDGENDER: MNPI #: 1336179449HEARTCARE MIDWEST SC1505 EASTLAND DR SUITE 330BLOOMINGTON, IL 61701PHONE: (309) 665-5800E-PRESCRIBE: NO
GOLDBERG, STEVEN E., MDGENDER: MNPI #: 1316937725HEARTCARE MIDWEST SC1505 EASTLAND DR SUITE 330BLOOMINGTON, IL 61701PHONE: (309) 663-9800E-PRESCRIBE: NO
GUMM, DARREL C., MDGENDER: MNPI #: 1669406054HEARTCARE MIDWEST SC1505 EASTLAND DR SUITE 330BLOOMINGTON, IL 61701PHONE: (309) 665-5800E-PRESCRIBE: NO
BLOOMINGTON, IL
BETTENDORF, IABLOOMINGTON, IL
Specialty Care Providers
196* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
HSU, MARK, MDGENDER: MNPI #: 1376573428HEARTCARE MIDWEST SC1505 EASTLAND DR SUITE 330BLOOMINGTON, IL 61701PHONE: (309) 665-5800E-PRESCRIBE: NO
MALIK, MUHAMMAD, MDGENDER: MNPI #: 1447284864HEARTCARE MIDWEST SC1505 EASTLAND DR SUITE 330BLOOMINGTON, IL 61701PHONE: (309) 665-5800E-PRESCRIBE: NO
MCELROY, DONALD B., MDGENDER: MNPI #: 1598799926HEARTCARE MIDWEST SC1505 EASTLAND DR STE 110BLOOMINGTON, IL 61701PHONE: (309) 663-9800E-PRESCRIBE: NO
1505 EASTLAND DR SUITE 330BLOOMINGTON, IL 61701PHONE: (309) 665-5800E-PRESCRIBE: NO
MIKHAIL-WASSEF, MAHA, MD
GENDER: FNPI #: 1063511095HEARTCARE MIDWEST SC1505 EASTLAND DR SUITE 330BLOOMINGTON, IL 61701PHONE: (309) 663-9800E-PRESCRIBE: NO
MURPHY, PATRICK B., MDGENDER: MNPI #: 1497703367CARDIVASCULAR HEALTH SPECIALISTS1505 EASTLAND DR SUITE 1400BLOOMINGTON, IL 61701-3534PHONE: (309) 825-6252E-PRESCRIBE: NO
NOVAK, WILLIAM V., MDGENDER: MNPI #: 1740367895HEARTCARE MIDWEST SC1505 EASTLAND DR SUITE 110BLOOMINGTON, IL 61701PHONE: (309) 663-9800E-PRESCRIBE: NO
1505 EASTLAND DR SUITE 330BLOOMINGTON, IL 61701PHONE: (309) 663-9800E-PRESCRIBE: NO
PERINCHERY, ANITHA M., MD
GENDER: FNPI #: 1740292564HEARTCARE MIDWEST SC1505 EASTLAND DR SUITE 330BLOOMINGTON, IL 61701PHONE: (309) 663-9800E-PRESCRIBE: NO
RABJOHNS, RONALD R., MDGENDER: MNPI #: 1972533925HEARTCARE MIDWEST SC1505 EASTLAND DR STE 110BLOOMINGTON, IL 61701PHONE: (309) 663-9800E-PRESCRIBE: NO
1505 EASTLAND DR SUITE 330BLOOMINGTON, IL 61701PHONE: (309) 665-5800E-PRESCRIBE: NO
RASHID, JOHN F., MDGENDER: MNPI #: 1386674349HEARTCARE MIDWEST SC1505 EASTLAND DR STE 110BLOOMINGTON, IL 61701PHONE: (309) 663-9800E-PRESCRIBE: NO
1505 EASTLAND DR SUITE 330BLOOMINGTON, IL 61701PHONE: (309) 665-5800E-PRESCRIBE: NO
SCHMIDT, PAUL, MDGENDER: MNPI #: 1023048089HEARTCARE MIDWEST SC1505 EASTLAND DR SUITE 330BLOOMINGTON, IL 61701PHONE: (309) 665-5800E-PRESCRIBE: NO
STANCU, MIHAELA M., MDGENDER: FNPI #: 1689877136HEARTCARE MIDWEST SC1505 EASTLAND DR SUITE 330BLOOMINGTON, IL 61701PHONE: (309) 663-9800E-PRESCRIBE: NO
BLOOMINGTON, ILBLOOMINGTON, IL
Specialty Care Providers
197 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
CARDIOTHORACIC SURGERY
VANLE, JESSE L., MDGENDER: MNPI #: 1366435224HEARTCARE MIDWEST SC1505 EASTLAND DR STE 210BLOOMINGTON, IL 61701PHONE: (309) 662-5506E-PRESCRIBE: NO
DERMATOLOGY
LEONE, DOUGLAS M., MDGENDER: MNPI #: 1255523296DERMATOLOGY & MOHS SURGERY INSTITUTE LTD3024 E EMPIRE ST STE EBLOOMINGTON, IL 61704PHONE: (309) 451-3376E-PRESCRIBE: NO
TAULBEE, KENT S., MDGENDER: MNPI #: 13664424442418 E LINCOLNBLOOMINGTON, IL 61701PHONE: (309) 663-6386E-PRESCRIBE: NO
ENDOCRINOLOGY
KUMAR, VIJAY, MDGENDER: MNPI #: 1992858617OSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY
AMBLE, FINN R., MDGENDER: MNPI #: 1063442457OSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
GASTROENTEROLOGY
KHOKHAR, OMAR S., MDGENDER: MNPI #: 1386865244OSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
LEAK, BENJAMIN J., MDGENDER: MNPI #: 1043248867KULB, CHALIAN & LEAK UROLOGY1401 EASTLAND DR SUITE BBLOOMINGTON, IL 61701PHONE: (309) 663-9424E-PRESCRIBE: NO
POTTER, JON W., MDGENDER: MNPI #: 1093785180OSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
RZEPCZYNSKI, DAVID G., MDGENDER: MNPI #: 1497862817OSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
GENERAL SURGERY
ESCH, JOHN S., MDGENDER: MNPI #: 1558393124ESCH WIELAND & NAOUR LLC1505 EASTLAND DR SUITE 2300BLOOMINGTON, IL 61701PHONE: (309) 662-9022E-PRESCRIBE: NO
HOLT, TRAVIS A., MDGENDER: MNPI #: 1932320819OSF MEDICAL GROUP-COLLEGE AVE1505 EASTLAND DR SUITE 2300BLOOMINGTON, IL 61701PHONE: (309) 662-9022E-PRESCRIBE: NO
1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
HSU, JOHN W., MDGENDER: MNPI #: 1043439748RENALCARE ASSOCIATES1404 EASTLAND DR SUITE 103BLOOMINGTON, IL 61701PHONE: (309) 663-4766E-PRESCRIBE: YES
BLOOMINGTON, ILBLOOMINGTON, IL
Specialty Care Providers
198* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
KETEL, BEVERLEY L., MDGENDER: FNPI #: 1659402048RENALCARE ASSOCIATES1404 EASTLAND DR SUITE 103BLOOMINGTON, IL 61701PHONE: (309) 663-4766E-PRESCRIBE: NO
NAOUR, DAVID H., MDGENDER: MNPI #: 1174552228INTEGRATED SURGICAL SPECIALISTS LLC1505 EASTLAND DR SUITE 2300BLOOMINGTON, IL 61701PHONE: (309) 662-9022E-PRESCRIBE: NO
OCONNOR, TIMOTHY P., MDGENDER: MNPI #: 1710974597RENALCARE ASSOCIATES1404 EASTLAND DR SUITE 103BLOOMINGTON, IL 61701PHONE: (309) 663-4766E-PRESCRIBE: NO
RAINES, LAWRENCE A., MDGENDER: MNPI #: 1487747481SURGICAL ASSOCIATES OF BLOOMINGTON1404 EASTLAND DR SUITE 104BLOOMINGTON, IL 61701PHONE: (309) 663-4351E-PRESCRIBE: NO
WIDERBORG, KATHERINE, MD
GENDER: FNPI #: 1588757579INTEGRATED SURGICAL SPECIALISTS LLC1505 EASTLAND DR SUITE 2300BLOOMINGTON, IL 61701PHONE: (309) 662-9022E-PRESCRIBE: NO
WIELAND, JOHN M., MDGENDER: MNPI #: 1790717387INTEGRATED SURGICAL SPECIALISTS LLC1505 EASTLAND DR SUITE 2300BLOOMINGTON, IL 61701PHONE: (309) 662-9022E-PRESCRIBE: NO
YOUNG, MICHEAL S., MDGENDER: MNPI #: 1033214994OSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
GERIATRICS
DEOSKAR, UDAY L., MDGENDER: MNPI #: 1386733145SENIOR HEALTH & GERIATRICS OF CENTRAL ILLINOIS2103 E WASHINGTON ST SUITE 2CBLOOMINGTON, IL 61701PHONE: (309) 663-5810E-PRESCRIBE: NO
HEMATOLOGY
VUKOV, ALLEN M., MDGENDER: MNPI #: 1396744611ILLINOIS CANCERCARE1505 EASTLAND DR SUITE 110BLOOMINGTON, IL 61701PHONE: (309) 662-2102E-PRESCRIBE: YES
HEMATOLOGY/ONCOLOGY
GERSTNER, GREGORY J., MDGENDER: MNPI #: 1629288659ILLINOIS CANCERCARE1505 EASTLAND DR #LL1400BLOOMINGTON, IL 61701PHONE: (309) 662-2102E-PRESCRIBE: YES
1505 EASTLAND DR SUITE 110BLOOMINGTON, IL 61701PHONE: (309) 661-9400E-PRESCRIBE: YES
GOMEZ, PATRICK L., MDGENDER: MNPI #: 1972640134ILLINOIS CANCERCARE1505 EASTLAND DR SUITE LL1400BLOOMINGTON, IL 61701PHONE: (309) 662-2102E-PRESCRIBE: YES
KNOST, JAMES A., MDGENDER: MNPI #: 1245239565ILLINOIS CANCERCARE1505 EASTLAND DR SUITE 110BLOOMINGTON, IL 61701PHONE: (309) 662-2102E-PRESCRIBE: YES
BLOOMINGTON, ILBLOOMINGTON, IL
Specialty Care Providers
199 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
INTENSIVE CARE/CRITICAL CARE
DODDA, VENKATA R., MDGENDER: MNPI #: 1013194042OSF CRITICAL CARE PULMONARY & SLEEP MEDICINE1505 EASTLAND DR SUITE 320BLOOMINGTON, IL 61701PHONE: (309) 661-2368E-PRESCRIBE: NO
OSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
NEPHROLOGY
ALONSO, ALEXANDER J., MDGENDER: MNPI #: 1124152707RENALCARE ASSOCIATES1404 EASTLAND DR SUITE 103BLOOMINGTON, IL 61701PHONE: (309) 663-4766E-PRESCRIBE: NO
BRUHA, ROBERT, MDGENDER: MNPI #: 1043340367RENALCARE ASSOCIATES1404 EASTLAND DR SUITE 103BLOOMINGTON, IL 61701PHONE: (309) 663-4766E-PRESCRIBE: NO
DREYER, PAUL T., MDGENDER: MNPI #: 1194855528RENALCARE ASSOCIATES1404 EASTLAND DR SUITE 103BLOOMINGTON, IL 61701PHONE: (309) 663-4766E-PRESCRIBE: NO
HORINEK, ANTHONY R., MDGENDER: MNPI #: 1609907195RENALCARE ASSOCIATES1404 EASTLAND DR SUITE 103BLOOMINGTON, IL 61701PHONE: (309) 663-4766E-PRESCRIBE: NO
JAMES, GORDON W., MDGENDER: MNPI #: 1124158431RENALCARE ASSOCIATES1404 EASTLAND DR SUITE 103BLOOMINGTON, IL 61701PHONE: (309) 663-4766E-PRESCRIBE: NO
KETEL, BEVERLEY L., MDGENDER: FNPI #: 1659402048RENALCARE ASSOCIATES1404 EASTLAND DR SUITE 103BLOOMINGTON, IL 61701PHONE: (309) 663-4766E-PRESCRIBE: NO
PAMULAPARTHY, SMITHA R., MD
GENDER: FNPI #: 1447328828RENCALCARE ASSOCIATES1404 EASTLAND DR SUITE 103BLOOMINGTON, IL 61701PHONE: (309) 663-4766E-PRESCRIBE: YES
PFLEDERER, BENJAMIN R., MD
GENDER: MNPI #: 1306976964RENALCARE ASSOCIATES1404 EASTLAND DR SUITE 103BLOOMINGTON, IL 61701PHONE: (309) 663-4766E-PRESCRIBE: NO
PFLEDERER, TIMOTHY A., MD
GENDER: MNPI #: 1154451573RENALCARE ASSOCIATES1404 EASTLAND DR SUITE 103BLOOMINGTON, IL 61701PHONE: (309) 663-4766E-PRESCRIBE: NO
ROSBOROUGH, DAVID C., MD
GENDER: MNPI #: 1619007275RENALCARE ASSOCIATES1404 EASTLAND DR SUITE 103BLOOMINGTON, IL 61701PHONE: (309) 663-4766E-PRESCRIBE: NO
SADER, SAMER B., MDGENDER: MNPI #: 1831220318RENALCARE ASSOCIATES1404 EASTLAND DR SUITE 103BLOOMINGTON, IL 61701PHONE: (309) 663-4766E-PRESCRIBE: NO
BLOOMINGTON, ILBLOOMINGTON, IL
Specialty Care Providers
200* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
SPARROW, ROBERT T., MDGENDER: MNPI #: 1134259781RENALCARE ASSOCIATES1404 EASTLAND DR SUITE 103BLOOMINGTON, IL 61701PHONE: (309) 663-4766E-PRESCRIBE: NO
SRINIVASAN, PARTHASARATHY, MD
GENDER: MNPI #: 1134199359RENALCARE ASSOCIATES1404 EASTLAND DR SUITE 103BLOOMINGTON, IL 61701PHONE: (309) 663-4766E-PRESCRIBE: NO
NEUROLOGY
DAVID, EFRAIM P., MDGENDER: MNPI #: 1730120411OSF NEUROLOGY2204 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 662-9461E-PRESCRIBE: NO
DICK JR, HERMAN J., MDGENDER: MNPI #: 1891891370MCLEAN COUNTY NEUROLOGY2204 EASTLAND DRBLOOMINGTON, IL 61704PHONE: (309) 662-9461E-PRESCRIBE: NO
DICK, HERMAN J., MDGENDER: MNPI #: 1891891370MCLEAN COUNTY NEUROLOGY2204 EASTLAND DRBLOOMINGTON, IL 61704PHONE: (309) 662-9461E-PRESCRIBE: NO
HAYDEN, CURTIS J., MDGENDER: MNPI #: 1760588248MCLEAN COUNTY NEUROLOGY2204 EASTLAND DRBLOOMINGTON, IL 61704PHONE: (309) 662-9461E-PRESCRIBE: NO
LASHER, RICK, MDGENDER: MNPI #: 1972635803NEUROLOGY ASSOCIATES1015 S MERCER AVEBLOOMINGTON, IL 61701PHONE: (309) 662-7500E-PRESCRIBE: NO
LI, FANG, MDGENDER: FNPI #: 1356447841MCLEAN COUNTY NEUROLOGY2204 EASTLAND DRBLOOMINGTON, IL 61704PHONE: (309) 662-9461E-PRESCRIBE: NO
PEGG, EDWARD W., MDGENDER: MNPI #: 10433921601505 EASTLAND DR SUITE 2400BLOOMINGTON, IL 61701PHONE: (309) 661-7344E-PRESCRIBE: NO
RAINO, WILLIAM H., MDGENDER: MNPI #: 1386738375OSF MEDICAL GROUP2204 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 662-9461E-PRESCRIBE: NO
SEIBLY, JASON M., DOGENDER: MNPI #: 1972789238DIAGNOSTIC NEURO TECHNOLOGY LLC1015 S MERCER AVEBLOOMINGTON, IL 61702PHONE: (309) 663-0463E-PRESCRIBE: NO
NEURORADIOLOGY
MANNESS, WAYNE K., MDGENDER: MNPI #: 1710936497ADVOCATE CENTRAL ILLINOIS NEURORADIOLOGY LTD1401 EASTLAND DR SUITE CBLOOMINGTON, IL 61701PHONE: (309) 661-3355E-PRESCRIBE: NO
1709 JUMER DR SUITE BBLOOMINGTON, IL 61704PHONE: (309) 268-3444E-PRESCRIBE: NO
MANNESS, WAYNE, MDGENDER: MNPI #: 1710936497ADVOCATE CENTRAL ILLINOIS NEURORADIOLOGY LTD1709 JUMER DR SUITE BBLOOMINGTON, IL 61704PHONE: (309) 268-3444E-PRESCRIBE: NO
NEUROSURGERY
NARDONE, EMILIO M., MDGENDER: MNPI #: 1538195920CENTRAL ILLINOIS NEUROHEALTH SCIENCES1015 S MERCER AVEBLOOMINGTON, IL 61701PHONE: (309) 662-7500E-PRESCRIBE: NO
BLOOMINGTON, ILBLOOMINGTON, IL
Specialty Care Providers
201 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
DIAGNOSTIC NEURO TECHNOLOGY LLC1015 S MERCER AVEBLOOMINGTON, IL 61702PHONE: (309) 663-0463E-PRESCRIBE: NO
SEIBLY, JASON M., DOGENDER: MNPI #: 1972789238CENTRAL ILLINOIS NEUROHEALTH SCIENCES1015 S MERCER AVEBLOOMINGTON, IL 61701PHONE: (309) 662-7500E-PRESCRIBE: NO
STROINK, ANN R., MDGENDER: FNPI #: 1548290158CENTRAL ILLINOIS NEUROHEALTH SCIENCES1015 S MERCER AVEBLOOMINGTON, IL 61701PHONE: (309) 662-7500E-PRESCRIBE: NO
DIAGNOSTIC NEURO TECHNOLOGY LLC1015 S MERCER AVEBLOOMINGTON, IL 61702PHONE: (309) 663-0463E-PRESCRIBE: NO
OCCUPATIONAL MEDICINE
CHOW, MARY Y., MDGENDER: FNPI #: 1609896380OSF ST JOSEPH MEDICAL CENTER1505 EASTLAND DR SUITE 1000BLOOMINGTON, IL 61701PHONE: (309) 661-6270E-PRESCRIBE: NO
MATHERS III, LESLIE E., MDGENDER: MNPI #: 1487675161OSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
SUTTER, THOMAS, DOGENDER: MNPI #: 1972614683AMG OCCUPATIONAL HEALTH CENTRAL3024 E EMPIREBLOOMINGTON, IL 61704PHONE: E-PRESCRIBE: NO
ONCOLOGY
PRAGER, DIANE J., MDGENDER: FNPI #: 1003883562ILLINOIS CANCERCARE1505 EASTLAND DR SUITE 110BLOOMINGTON, IL 61701PHONE: (309) 662-2102E-PRESCRIBE: YES
OPHTHALMOLOGY
APRAHAMIAN, ARA D., MDGENDER: MNPI #: 1528015013GAILEY EYE CLINIC1008 N MAIN STBLOOMINGTON, IL 61701PHONE: (309) 829-5311E-PRESCRIBE: NO
APTE, DIPALI, MDGENDER: FNPI #: 1528145455GAILEY EYE CLINIC LTD1008 N MAIN STBLOOMINGTON, IL 61702PHONE: (800) 325-7706E-PRESCRIBE: YES
BARBA, KENNETH R., MDGENDER: MNPI #: 1265473706GAILEY EYE CLINIC1008 N MAIN STBLOOMINGTON, IL 61701PHONE: (309) 829-5311E-PRESCRIBE: NO
BHATIA, SUMIT P., MDGENDER: MNPI #: 1780670596GAILEY EYE CLINIC1008 N MAIN STBLOOMINGTON, IL 61701PHONE: (309) 829-5311E-PRESCRIBE: NO
2501 E COLLEGE AVE SUITE BBLOOMINGTON, IL 61704PHONE: (800) 325-7706E-PRESCRIBE: NO
BROWNSTONE, DANIEL D., MD
GENDER: MNPI #: 1942204599EYE SURGICAL ASSOCIATES SC1505 EASTLAND DR SUITE 2200BLOOMINGTON, IL 61701PHONE: (309) 662-7700E-PRESCRIBE: NO
CROCKETT, CATHERINE J., MD
GENDER: FNPI #: 1295739746EYE SURGICAL ASSOCIATES SC1505 EASTLAND DR SUITE 2200BLOOMINGTON, IL 61701PHONE: (309) 662-7700E-PRESCRIBE: NO
BLOOMINGTON, ILBLOOMINGTON, IL
Specialty Care Providers
202* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
HALPERIN, GREGORY I., MDGENDER: MNPI #: 1760423206GAILEY EYE CLINIC1008 N MAIN STBLOOMINGTON, IL 61701PHONE: (309) 829-5311E-PRESCRIBE: NO
HARMAN, JOSEPH G., MDGENDER: MNPI #: 1942241484GAILEY EYE CLINIC1008 N MAIN STBLOOMINGTON, IL 61701PHONE: (309) 829-5311E-PRESCRIBE: NO
KHODADADEH, SARAH, MDGENDER: FNPI #: 1467642371GAILEY EYE CLINIC1008 N MAIN STBLOOMINGTON, IL 61701PHONE: (309) 829-5311E-PRESCRIBE: NO
KNUPP, JAMES A., MDGENDER: MNPI #: 1548211774GAILEY EYE CLINIC1008 N MAIN STBLOOMINGTON, IL 61701PHONE: (309) 829-5311E-PRESCRIBE: NO
KRISTAL, LIBBY K., MDGENDER: FNPI #: 1326240144GAILEY EYE CLINIC1008 N MAIN STBLOOMINGTON, IL 61701PHONE: (309) 829-5311E-PRESCRIBE: NO
LEE, ROBERT M., MDGENDER: MNPI #: 1699716118GAILEY EYE CLINIC1008 N MAIN STBLOOMINGTON, IL 61701PHONE: (309) 829-5311E-PRESCRIBE: NO
OESTER, ALAN E., MDGENDER: MNPI #: 1750503819GAILEY EYE CLINIC1008 N MAIN STBLOOMINGTON, IL 61701PHONE: (309) 829-5311E-PRESCRIBE: NO
PINTER, SCOTT M., MDGENDER: MNPI #: 1174527626EYE SURGICAL ASSOCIATES SC1505 EASTLAND DR SUITE 2200BLOOMINGTON, IL 61701PHONE: (309) 662-7700E-PRESCRIBE: NO
QURAISHI, SABA, MDGENDER: FNPI #: 1801005384BOND EYE ASSOCIATES1228 N TOWANDA AVEBLOOMINGTON, IL 61701PHONE: (309) 662-3937E-PRESCRIBE: NO
RIGSBY, JESSE H., MDGENDER: MNPI #: 1447253646GAILEY EYE CLINIC1008 N MAIN STBLOOMINGTON, IL 61701PHONE: (309) 829-5311E-PRESCRIBE: NO
ORTHOPAEDICS
ATWATER, JOHN G., MDGENDER: MNPI #: 1932115656MCLEAN COUNTY ORTHOPEDICS2502 E EMPIRE STBLOOMINGTON, IL 61704PHONE: (309) 663-6461E-PRESCRIBE: NO
CHOKSHI, NIKHIL K., MDGENDER: MNPI #: 1942413018MCLEAN COUNTY ORTHOPEDICS2502 E EMPIRE STBLOOMINGTON, IL 61704PHONE: (309) 663-6461E-PRESCRIBE: NO
DANGLES, CHRIS J., MDGENDER: MNPI #: 1669403077ORTHOPEDICS & SPORTS ENHANCEMENT CENTER2406 E EMPIRE STBLOOMINGTON, IL 61704PHONE: (309) 663-9300E-PRESCRIBE: NO
DUSTMAN, J ANTHONY, MDGENDER: MNPI #: 1760498497ORTHOPEDIC & SPORTS ENHANCEMENT CENTER2406 E EMPIRE STBLOOMINGTON, IL 61704PHONE: (309) 663-9300E-PRESCRIBE: NO
HANSON, MARK, MDGENDER: MNPI #: 1548276256MCLEAN COUNTY ORTHOPEDICS2502 E EMPIRE STBLOOMINGTON, IL 61704PHONE: (309) 663-6461E-PRESCRIBE: NO
BLOOMINGTON, ILBLOOMINGTON, IL
Specialty Care Providers
203 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
KELLER, BRETT L., DOGENDER: MNPI #: 1407870876CENTRAL ILLINOIS ORTHOPEDIC SURGERY1505 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 662-2278E-PRESCRIBE: NO
808 ELDORADO RD SUITE 2WBLOOMINGTON, IL 61704PHONE: (309) 665-0232E-PRESCRIBE: NO
NEWCOMER, JOSEPH, MDGENDER: MNPI #: 1285633420MCLEAN COUNTY ORTHOPEDICS2502 E EMPIRE STBLOOMINGTON, IL 61704-3738PHONE: (309) 663-6461E-PRESCRIBE: NO
NORD, LAWRENCE A., MDGENDER: MNPI #: 1649290461CENTRAL ILLINOIS ORTHOPEDIC SURGERY1505 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 662-2278E-PRESCRIBE: NO
808 ELDORADO RDBLOOMINGTON, IL 61704PHONE: (309) 662-2278E-PRESCRIBE: NO
NORRIS, JOSEPH, MDGENDER: MNPI #: 1285847939MCLEAN COUNTY ORTHOPEDICS2502 E EMPIRE STBLOOMINGTON, IL 61704PHONE: (309) 663-6461E-PRESCRIBE: NO
ORTHOPEDIC & SPORTS ENHANCEMENT CENTER2406 E EMPIRE STBLOOMINGTON, IL 61704PHONE: (309) 663-9300E-PRESCRIBE: NO
NOVOTNY, JOSEPH A., MDGENDER: MNPI #: 1881601144MCLEAN COUNTY ORTHOPEDICS2502 E EMPIRE STBLOOMINGTON, IL 61704PHONE: (309) 663-6461E-PRESCRIBE: NO
OAKEY, JEROME W., MDGENDER: MNPI #: 1679580062MCLEAN COUNTY ORTHOPEDICS2502 E EMPIRE STBLOOMINGTON, IL 61704PHONE: (309) 663-6461E-PRESCRIBE: NO
SEIDL, ROBERT K., MDGENDER: MNPI #: 1215046313ORTHOPEDIC & SPORTS ENHANCEMENT CENTER2406 E EMPIRE STBLOOMINGTON, IL 61704PHONE: (309) 663-9300E-PRESCRIBE: NO
WINGATE, JEFFREY K., MDGENDER: MNPI #: 1235117524ORTHOPEDIC & SPORTS ENHANCEMENT CENTER2406 E EMPIRE STBLOOMINGTON, IL 61704PHONE: (309) 663-9300E-PRESCRIBE: NO
OTOLARYNGOLOGY
LEE, DENNIS, MDGENDER: MNPI #: 1760543615107 N REGENCY DRBLOOMINGTON, IL 61701PHONE: (309) 662-4411E-PRESCRIBE: NO
RUSSELL, ROBERT T., MDGENDER: MNPI #: 1992813174BLOOMINGTON NORMAL EAR NOSE THROAT1404 EASTLAND DR SUITE 209BLOOMINGTON, IL 61701PHONE: (309) 662-3277E-PRESCRIBE: NO
OTORHINOLARYNGOLOGY/HEAD AND NECK SURGERY
AMBLE, FINN R., MDGENDER: MNPI #: 1063442457OSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
PAIN MANAGEMENT
BENYAMIN, RAMSIN, MDGENDER: MNPI #: 1215924410MILLENNIUM PAIN CENTER1015 S MERCER AVEBLOOMINGTON, IL 61701PHONE: (309) 662-4321E-PRESCRIBE: NO
BLOOMINGTON, ILBLOOMINGTON, IL
Specialty Care Providers
204* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
BROADNAX, JOHN, MDGENDER: MNPI #: 1457409104MILLENNIUM PAIN CENTER1015 S MERCER AVEBLOOMINGTON, IL 61701PHONE: (309) 662-4321E-PRESCRIBE: NO
HENRY, KEVIN M., MDGENDER: MNPI #: 1063490183HEALTHCARE SOLUTIONS OF BLOOMINGTON11 CURRENCY DR SUITE 201BLOOMINGTON, IL 61704PHONE: (309) 665-0777E-PRESCRIBE: NO
LI, JI, MDGENDER: MNPI #: 1558347310APPLIED PAIN INSTITUTE LLC1015 S MERCER AVEBLOOMINGTON, IL 61701PHONE: (309) 662-0088E-PRESCRIBE: NO
REHMAN, ATIQ U., MDGENDER: MNPI #: 1457373730MILLENNIUM PAIN CENTER1015 S MERCER AVEBLOOMINGTON, IL 61701PHONE: (309) 662-4321E-PRESCRIBE: NO
TAIMOORAZY, BENJAMIN, MD
GENDER: MNPI #: 1134225790GUARDIAN HEADACHE & PAIN MANAGEMENT INSTITUTE2203 EASTLAND DR SUITE 7BLOOMINGTON, IL 61704PHONE: (309) 808-1700E-PRESCRIBE: NO
VALLEJO, RICARDO, MDGENDER: MNPI #: 1669469706MILLENNIUM PAIN CENTER1015 S MERCER AVEBLOOMINGTON, IL 61701PHONE: (309) 662-4321E-PRESCRIBE: NO
PEDIATRIC DEVELOPMENT
MORTON, CHARLES T., MDGENDER: MNPI #: 1548281082OSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
PEDIATRIC GASTROENTEROLOGY
WANG, MU, MDGENDER: MNPI #: 1194799684OSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
PEDIATRIC NEUROLOGY
KENNEDY, GAIL L., MDGENDER: FNPI #: 1457376725OSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
PEDIATRIC PULMONOLOGY
DAVISON, DONALD F., MDGENDER: MNPI #: 1780629485OSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
PHYSICAL MEDICINE/REHABILITATION
CARMICHAEL, CRAIG, MDGENDER: MNPI #: 1497761100MCLEAN COUNTY ORTHOPEDICS2502 E EMPIRE STBLOOMINGTON, IL 61704PHONE: (309) 663-6461E-PRESCRIBE: NO
JHEE, WON H., MDGENDER: MNPI #: 1861411027BLOOMINGTON REHABILITATION ASSOCIATES1015 S MERCER AVEBLOOMINGTON, IL 61701PHONE: (309) 662-7500E-PRESCRIBE: NO
RINK, CHRISTOPHER J., DOGENDER: MNPI #: 1063521169OSF MEDICAL GROUP COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
BLOOMINGTON, ILBLOOMINGTON, IL
Specialty Care Providers
205 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
PLASTIC RECONSTRUCTIVE SURGERY
ALLEN, OTIS, MDGENDER: MNPI #: 13068479001215 HOLIDAY LNBLOOMINGTON, IL 61704PHONE: (309) 827-3881E-PRESCRIBE: NO
HOLT, PAIGE B., MDGENDER: FNPI #: 1821026519OSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
OSF MEDICAL GROUP-COLLEGE AVENUE PLASTIC SURGERY2502 E EMPIRE SUITE CBLOOMINGTON, IL 61704PHONE: (309) 664-4444E-PRESCRIBE: NO
RANDOLPH, LAURA C., MDGENDER: FNPI #: 1710906557LAURA C RANDOLPH MD SC2502 E EMPIRE ST SUITE CBLOOMINGTON, IL 61704PHONE: (309) 664-6222E-PRESCRIBE: NO
TATTINI, CHAD D., MDGENDER: MNPI #: 1992721005CHAD D TATTINI MD LLC2502 E EMPIRE ST SUITE CBLOOMINGTON, IL 61704PHONE: (309) 664-1007E-PRESCRIBE: NO
PODIATRY
BROCK, KIRK, DPMGENDER: MNPI #: 1235240250MIDSTATE PODIATRY ASSOCIATES LTD2708 MCGRAW DRBLOOMINGTON, IL 61704PHONE: (309) 663-2306E-PRESCRIBE: NO
HADDEN, HAROLD, DPMGENDER: MNPI #: 1396766432MIDSTATE PODIATRY ASSOCIATES LTD2708 MCGRAW DRBLOOMINGTON, IL 61704PHONE: (309) 663-2306E-PRESCRIBE: NO
HAMM, BRIAN L., DPMGENDER: MNPI #: 1235101619MCLEAN COUNTY ORTHOPEDICS2502 E EMPIRE STBLOOMINGTON, IL 61704PHONE: (309) 663-6461E-PRESCRIBE: NO
LEONARD, W MARC, DPMGENDER: MNPI #: 1710098652MIDSTATE PODIATRY ASSOCIATES LTD2708 MCGRAW DRBLOOMINGTON, IL 61704PHONE: (309) 663-2306E-PRESCRIBE: NO
LOCKWOOD, MELISSA J., DPM
GENDER: FNPI #: 1669664595HEARTLAND FOOT AND ANKLE ASSOCIATES PC10 HEARTLAND DR SUITE BBLOOMINGTON, IL 61704PHONE: (309) 661-9975E-PRESCRIBE: NO
PAUL, GERALD W., DPMGENDER: MNPI #: 1790791416MCLEAN COUNTY ORTHOPEDICS2502 E EMPIRE STBLOOMINGTON, IL 61704PHONE: (309) 663-6461E-PRESCRIBE: NO
PAUL, GERALD, DPMGENDER: MNPI #: 1790791416ORTHOPEDIC & SPORTS ENHANCEMENT CENTER2406 E EMPIREBLOOMINGTON, IL 61704PHONE: (309) 663-9300E-PRESCRIBE: NO
SETTER, JOSEPH R., DPMGENDER: MNPI #: 1215048202MIDSTATE PODIATRY ASSOCIATES LTD2708 MCGRAW DRBLOOMINGTON, IL 61704PHONE: (309) 663-2306E-PRESCRIBE: NO
SNOEYINK, TODD C., DPMGENDER: MNPI #: 1811097033OSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
BLOOMINGTON, ILBLOOMINGTON, IL
Specialty Care Providers
206* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
PULMONOLOGY
BOBAT, ISMAIL A., MDGENDER: MNPI #: 1750310553OSF CRITICAL CARE PULMONARY & SLEEP MEDICINE1505 EASTLAND DR SUITE 320BLOOMINGTON, IL 61701PHONE: (309) 661-2368E-PRESCRIBE: NO
BURR, JOHN S., MDGENDER: MNPI #: 1770535940MIDWEST CENTER FOR SLEEP MEDICINE LLC1709 JUMER DRBLOOMINGTON, IL 61704PHONE: (309) 662-9997E-PRESCRIBE: NO
CHITTIVELU, SUBRAMANYAM, MD
GENDER: MNPI #: 1932195880OSF CRITICAL CARE PULMONARY & SLEEP MEDICINE1505 EASTLAND DR SUITE 320BLOOMINGTON, IL 61701PHONE: (309) 661-2368E-PRESCRIBE: NO
DODDA, VENKATA R., MDGENDER: MNPI #: 1013194042OSF CRITICAL CARE PULMONARY & SLEEP MEDICINE1505 EASTLAND DR SUITE 320BLOOMINGTON, IL 61701PHONE: (309) 661-2368E-PRESCRIBE: NO
OSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
HADID, WALID, MDGENDER: MNPI #: 1871549816OSF CRITICAL CARE PULMONARY & SLEEP MEDICINE1505 EASTLAND DR SUITE 320BLOOMINGTON, IL 61701PHONE: (309) 661-2368E-PRESCRIBE: NO
OSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
JAVAID, KAMRAN, MDGENDER: MNPI #: 1306030648OSF CRITICAL CARE PULMONARY & SLEEP MEDICINE1505 EASTLAND DR SUITE 320BLOOMINGTON, IL 61701PHONE: (309) 661-2368E-PRESCRIBE: NO
JON, MICHAEL C., MDGENDER: MNPI #: 1437244555OSF CRITICAL CARE PULMONARY & SLEEP MEDICINE1505 EASTLAND DR SUITE 320BLOOMINGTON, IL 61701PHONE: (309) 661-2368E-PRESCRIBE: NO
KASHYAP, RAVINDRA, MDGENDER: MNPI #: 1437145273OSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
KOH, DAVID, MDGENDER: MNPI #: 1154361038MIDWEST CENTER FOR SLEEP MEDICINE LLC1709 JUMER DRBLOOMINGTON, IL 61704PHONE: (309) 662-9997E-PRESCRIBE: NO
MCVAY, BRYAN P., MDGENDER: MNPI #: 1073714176OSF CRITICAL CARE PULMONARY & SLEEP MEDICINE1505 EASTLAND DR SUITE 320BLOOMINGTON, IL 61701PHONE: (309) 661-2368E-PRESCRIBE: NO
MICHEL, JON C., MDGENDER: MNPI #: 1437244555OSF CRITICAL CARE PULMONARY & SLEEP MEDICINE1505 EASTLAND DR SUITE 320BLOOMINGTON, IL 61701PHONE: (309) 661-2368E-PRESCRIBE: NO
BLOOMINGTON, ILBLOOMINGTON, IL
Specialty Care Providers
207 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
PATEL, SAURIN G., MDGENDER: MNPI #: 1336182880OSF CRITICAL CARE PULMONARY & SLEEP MEDICINE1505 EASTLAND DR SUITE 320BLOOMINGTON, IL 61701PHONE: (309) 661-2368E-PRESCRIBE: NO
OSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
TANEJA, DEEPAK, MDGENDER: MNPI #: 1841492394OSF CRITICAL CARE PULMONARY & SLEEP MEDICINE1505 EASTLAND DR SUITE 320BLOOMINGTON, IL 61701PHONE: (309) 661-2368E-PRESCRIBE: NO
TILLIS, WILLIAM P., MDGENDER: MNPI #: 1669468377OSF CRITICAL CARE PULMONARY & SLEEP MEDICINE1505 EASTLAND DR SUITE 320BLOOMINGTON, IL 61701PHONE: (309) 661-2368E-PRESCRIBE: NO
ZACHRIA, ANTHONY, MDGENDER: MNPI #: 1366542300MIDWEST CENTER FOR SLEEP MEDICINE LLC1709 JUMER DRBLOOMINGTON, IL 61704PHONE: (309) 662-9997E-PRESCRIBE: NO
RHEUMATOLOGY
RADDEN, GENENE P., MDGENDER: FNPI #: 1710917422OSF MEDICAL GROUP1505 EASTLAND DR SUITE 340BLOOMINGTON, IL 61701PHONE: (309) 665-4729E-PRESCRIBE: NO
WONG, KATY K., MDGENDER: FNPI #: 1942286760MEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311E-PRESCRIBE: NO
SLEEP MEDICINE
BOBAT, ISMAIL A., MDGENDER: MNPI #: 1750310553OSF CRITICAL CARE PULMONARY & SLEEP MEDICINE1505 EASTLAND DR SUITE 320BLOOMINGTON, IL 61701PHONE: (309) 661-2368E-PRESCRIBE: NO
BURR, JOHN S., MDGENDER: MNPI #: 1770535940MIDWEST CENTER FOR SLEEP MEDICINE LLC1709 JUMER DRBLOOMINGTON, IL 61704PHONE: (309) 662-9997E-PRESCRIBE: NO
KOH, DAVID, MDGENDER: MNPI #: 1154361038MIDWEST CENTER FOR SLEEP MEDICINE LLC1709 JUMER DRBLOOMINGTON, IL 61704PHONE: (309) 662-9997E-PRESCRIBE: NO
LI, FANG, MDGENDER: FNPI #: 1356447841MCLEAN COUNTY NEUROLOGY2204 EASTLAND DRBLOOMINGTON, IL 61704PHONE: (309) 662-9461E-PRESCRIBE: NO
MICHEL, JON C., MDGENDER: MNPI #: 1437244555OSF CRITICAL CARE PULMONARY & SLEEP MEDICINE1505 EASTLAND DR SUITE 320BLOOMINGTON, IL 61701PHONE: (309) 661-2368E-PRESCRIBE: NO
BLOOMINGTON, ILBLOOMINGTON, IL
Specialty Care Providers
208* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
PATEL, SAURIN G., MDGENDER: MNPI #: 1336182880OSF CRITICAL CARE PULMONARY & SLEEP MEDICINE1505 EASTLAND DR SUITE 320BLOOMINGTON, IL 61701PHONE: (309) 661-2368E-PRESCRIBE: NO
VERMA, KANINIKA, MDGENDER: FNPI #: 1265503429OSF CRITICAL CARE PULMONARY & SLEEP MEDICINE1505 EASTLAND DR SUITE 320BLOOMINGTON, IL 61701PHONE: (309) 661-2368E-PRESCRIBE: NO
ZACHRIA, ANTHONY, MDGENDER: MNPI #: 1366542300MIDWEST CENTER FOR SLEEP MEDICINE LLC1709 JUMER DRBLOOMINGTON, IL 61704PHONE: (309) 662-9997E-PRESCRIBE: NO
SPORTS MEDICINE
DUHIG, THOMAS J., MDGENDER: MNPI #: 1740448745ORTHOPEDIC & SPORTS ENHANCEMENT CENTER2406 E EMPIRE STBLOOMINGTON, IL 61704PHONE: (309) 663-9300E-PRESCRIBE: NO
ORTHOPEDIC & SPORTS ENHANCEMENT CENTER LLC2406 E EMPIRE STBLOOMINGTON, IL 61704PHONE: (309) 663-9300E-PRESCRIBE: NO
NORRIS, JOSEPH, MDGENDER: MNPI #: 1285847939MCLEAN COUNTY ORTHOPEDICS2502 E EMPIRE STBLOOMINGTON, IL 61704PHONE: (309) 663-6461E-PRESCRIBE: NO
THORACIC SURGERY
SMITH, GLEN B., MDGENDER: MNPI #: 1326031105HEARTCARE MIDWEST SC1505 EASTLAND DR SUITE 210BLOOMINGTON, IL 61701PHONE: (309) 662-5506E-PRESCRIBE: NO
UROLOGY
CHALIAN, VICKEN S., MDGENDER: MNPI #: 1871529594PREMIER MEDICAL GROUP-KULB,CHALIAN & LEAK UROLOGY1401 EASTLAND DR SUITE BBLOOMINGTON, IL 61701PHONE: (309) 663-9424E-PRESCRIBE: NO
GRAMPSAS, SAMUEL A., MDGENDER: MNPI #: 1386618833OSF MEDICAL GROUP1414 WOODBINE RDBLOOMINGTON, IL 61704PHONE: (309) 661-9999E-PRESCRIBE: NO
KULB, THOMAS, MDGENDER: MNPI #: 1770511594PREMIER MEDICAL GROUP-KULB,CHALIAN & LEAK UROLOGY1401 EASTLAND DR STE BBLOOMINGTON, IL 61701PHONE: (309) 663-9424E-PRESCRIBE: NO
LANGE, DANIEL P., MDGENDER: MNPI #: 1972522720OSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
MORGAN, SCOTT C., MDGENDER: MNPI #: 1679547947OSF MEDICAL GROUP1414 WOODBINE RDBLOOMINGTON, IL 61704PHONE: (309) 661-9999E-PRESCRIBE: NO
REID, CHURPHENA A., MDGENDER: FNPI #: 1548297252CHILDRENS HOSPITAL OF IL-PEDIATRIC UROLOGY2404 EMPIRE STBLOOMINGTON, IL 61704PHONE: (309) 495-0282E-PRESCRIBE: NO
RHEE, BENJAMIN K., MDGENDER: MNPI #: 1922041938CHILDRENS HOSPITAL OF IL-PEDIATRIC UROLOGY2404 EMPIRE STBLOOMINGTON, IL 61704PHONE: (309) 495-0282E-PRESCRIBE: NO
BLOOMINGTON, ILBLOOMINGTON, IL
Specialty Care Providers
209 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
TOLENTINO, MARIANO V., MD
GENDER: MNPI #: 1356315626OSF MEDICAL GROUP1414 WOODBINE RDBLOOMINGTON, IL 61704PHONE: (309) 661-9999E-PRESCRIBE: NO
ALLERGY/IMMUNOLOGY
AKHTAR, NAVEED, MDGENDER: MNPI #: 1912997933ADVANCED ALLERGY & ASTHMA CLINIC SC402 W BOUGHTON RD SUITE FBOLINGBROOK, IL 60440PHONE: (630) 378-4014E-PRESCRIBE: NO
INFECTIOUS DISEASES
OWAISI, ANJUM S., MDGENDER: FNPI #: 1942341409METRO INFECTIOUS DISEASE CONSULTANTS LLC396 REMINGTON BLVD SUITE 330BOLINGBROOK, IL 60440PHONE: (630) 754-4310E-PRESCRIBE: NO
OPHTHALMOLOGY
PHILLIPS, BRYAN J., MDGENDER: MNPI #: 1114923497718 S WEBER RDBOLINGBROOK, IL 60440PHONE: (630) 378-4799E-PRESCRIBE: NO
ORTHOPAEDICS
PULLURU, RAGHU R., MDGENDER: MNPI #: 1447269915REZIN ORTHOPEDICS & SPORTS MEDICINE329 REMINGTON BLVD SUITE 130BOLINGBROOK, IL 60440PHONE: (815) 942-4875E-PRESCRIBE: NO
SAUER, PAUL A., MDGENDER: MNPI #: 1902914401REZIN ORTHOPEDICS & SPORTS MEDICINE329 REMINGTON BLVD SUITE 130BOLINGBROOK, IL 60440PHONE: (815) 942-4875E-PRESCRIBE: NO
DERMATOLOGY
GREEN, SCOTT G., MDGENDER: MNPI #: 1760454821BOONE COUNTY SPECIALTY CLINIC1015 UNION STBOONE, IA 50036PHONE: (515) 433-8300E-PRESCRIBE: YES
ALLERGY/IMMUNOLOGY
CHUDWIN, DAVID S., MDGENDER: MNPI #: 1669472262ALLERGY & ASTHMA ASSOCIATES475 BROWN BLVD SUITE 104BOURBONNAIS, IL 60914PHONE: (845) 933-5092E-PRESCRIBE: NO
LAWSON, JOHN K., MDGENDER: MNPI #: 1689864357ALLERGY & ASTHMA ASSOCIATES475 BROWN BLVD SUITE 104BOURBONNAIS, IL 60914PHONE: (815) 933-5092E-PRESCRIBE: NO
OLIFF, IRMA M., MDGENDER: FNPI #: 1811976475ALLERGY & ASTHMA ASSOCIATES475 BROWN BLVD SUITE 104BOURBONNAIS, IL 60914PHONE: (815) 933-5092E-PRESCRIBE: NO
SONENTHAL, KATHY R., MDGENDER: FNPI #: 1265452940ALLERGY & ASTHMA ASSOCIATES475 BROWN BLVD SUITE 104BOURBONNAIS, IL 60914PHONE: (815) 933-5092E-PRESCRIBE: NO
BOLINGBROOK, IL
BOONE, IA
BOURBONNAIS, IL
BLOOMINGTON, ILBOURBONNAIS, IL
Specialty Care Providers
210* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
CARDIOLOGY
WIX JR, HERSHEL L., MDGENDER: MNPI #: 1962457101TALLGRASS CARDIOLOGY SERVICES475 BROWN BLVD SUITE 103BOURBONNAIS, IL 60914PHONE: (815) 937-9370E-PRESCRIBE: NO
DERMATOLOGY
BAUER, KIMBERLY A., MDGENDER: FNPI #: 1295946473DERMATOLOGY & PLASTIC SURGERY ASSOCIATES PC300 RIVERSIDE DR SUITE 2600BOURBONNAIS, IL 60914PHONE: (815) 744-8554E-PRESCRIBE: NO
LAPINSKI, PAULA, MDGENDER: FNPI #: 1437262482DERMATOLOGY & PLASTIC SURGERY ASSOCIATES SC300 RIVERSIDE DR SUITE 2600BOURBONNAIS, IL 60914PHONE: (815) 744-8554E-PRESCRIBE: NO
ENDOCRINOLOGY
OCONNOR, MAUREEN MORGAN, MD
GENDER: FNPI #: 1558460337RIVERSIDE MEDICAL CENTER OF BOURBONNAIS338 LARRY POWER RDBOURBONNAIS, IL 60914PHONE: (815) 935-2991E-PRESCRIBE: NO
RAVANAM, ARUNA J., MDGENDER: FNPI #: 1487875126PROVENA MEDICAL GROUP658 N CONVENT SUITE ABOURBONNAIS, IL 60914PHONE: (815) 937-2155E-PRESCRIBE: NO
GASTROENTEROLOGY
BHARGAVA, NIKHIL, DOGENDER: MNPI #: 1568649382DIGESTIVE DISEASES CONSULTANTS1615 N CONVENT STBOURBONNAIS, IL 60914PHONE: (815) 937-5200E-PRESCRIBE: NO
BOKHARI, SYED S., MDGENDER: MNPI #: 1710984224DIGESTIVE DISEASES CONSULTANTS OF KANKAKEE1615 N CONVENT STBOURBONNAIS, IL 60914PHONE: (815) 937-5200E-PRESCRIBE: YES
ERRAMPALLI, DANIEL, MDGENDER: MNPI #: 1689662975DIGESTIVE DISEASES CONSULTANTS OF KANKAKEE1615 N CONVENT STBOURBONNAIS, IL 60914PHONE: (815) 937-5200E-PRESCRIBE: YES
JURKOVIC, EDWARD, DOGENDER: MNPI #: 1558360842DIGESTIVE DISEASES CONSULTANTS OF KANKAKEE1615 N CONVENT STBOURBONNAIS, IL 60914PHONE: (815) 937-5200E-PRESCRIBE: NO
OCONNOR, THOMAS L., MDGENDER: MNPI #: 1760470033DIGESTIVE DISEASES CONSULTANTS OF KANKAKEE1615 N CONVENT STBOURBONNAIS, IL 60914PHONE: (815) 937-5200E-PRESCRIBE: NO
SASSO, BRIAN, DOGENDER: MNPI #: 1558460022DIGESTIVE DISEASES CONSULTANTS1615 N COVENT ST SUITE 1BOURBONNAIS, IL 60914PHONE: (815) 937-5200E-PRESCRIBE: NO
SUTHERLAND, DAVID B., MDGENDER: MNPI #: 1619976909DIGESTIVE DISEASES CONSULTANTS OF KANKAKEE1615 N CONVENT STBOURBONNAIS, IL 60914PHONE: (815) 937-5200E-PRESCRIBE: NO
BOURBONNAIS, ILBOURBONNAIS, IL
Specialty Care Providers
211 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
GENERAL SURGERY
SALERNO, GIOVANNI M., MDGENDER: MNPI #: 1942242698GIOVANNI M SALERNO MD PC461 BROWN BLVDBOURBONNAIS, IL 60914PHONE: (815) 933-7900E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
GUNDALA, SRILATA, MDGENDER: FNPI #: 1467646141LUDAG LLC100 PROVENA WAY SUITE 102BOURBONNAIS, IL 60914PHONE: (815) 937-2460E-PRESCRIBE: NO
ROSTAPSHOV, VICTOR M., MD
GENDER: MNPI #: 1548315435PROVENA ST MARYS CANCER CENTER100 PROVENA WAY SUITE 103BOURBONNAIS, IL 60914PHONE: (815) 937-8780E-PRESCRIBE: NO
NEPHROLOGY
HASHMI, NASHIB, MDGENDER: MNPI #: 1629194543KANKAKEE COUNTY DIALYSIS CENTER581 WILLIAM LATHAM DRBOURBONNAIS, IL 60914PHONE: E-PRESCRIBE: YES
OPHTHALMOLOGY
BURNS, STEVEN J., MDGENDER: MNPI #: 1831150465EYE PHYSICIANS OF KANKAKEE372 LARRY POWER RD SUITE 1BOURBONNAIS, IL 60914PHONE: (815) 933-5202E-PRESCRIBE: YES
FISHER, MARC L., MDGENDER: MNPI #: 1780692905FISHER SWALE NICHOLSON EYE CENTER352 BROWN BLVDBOURBONNAIS, IL 60914PHONE: (815) 932-2020E-PRESCRIBE: NO
SWALE, JEROME A., MDGENDER: MNPI #: 1669480844FISHER SWALE NICHOLSON EYE CENTER352 BROWN BLVDBOURBONNAIS, IL 60914PHONE: (815) 932-2020E-PRESCRIBE: NO
OTOLARYNGOLOGY
LOMBARDO, CHRISTOPHER P., MD
GENDER: MNPI #: 1639111404RIVERSIDE MEDICAL PLAZA300 RIVERSIDE DR SUITE 2100BOURBONNAIS, IL 60914PHONE: (815) 932-2541E-PRESCRIBE: NO
PLASTIC RECONSTRUCTIVE SURGERY
RIOS, JOSE, MDGENDER: MNPI #: 1699888644DERMATOLOGY & PLASTIC SURGERY ASSOCIATES SC300 RIVERSIDE DR SUITE 2600BOURBONNAIS, IL 60914PHONE: E-PRESCRIBE: NO
WILLIAMS, STEVEN D., MDGENDER: MNPI #: 1255426169RIVERSIDE HEALTH SYSTEMS300 RIVERSIDE DR SUITE 2500BOURBONNAIS, IL 60914PHONE: (815) 939-7141E-PRESCRIBE: NO
PODIATRY
BENOIT, DANIEL N., DPMGENDER: MNPI #: 1124016100ASSOCIATED FOOT AND ANKLE CLINICS11 BRIARCLIFF PROFESSIONAL CENTERBOURBONNAIS, IL 60914PHONE: (815) 933-7077E-PRESCRIBE: NO
WIESCH, AMY L., DPMGENDER: FNPI #: 1396733549ASSOCIATED FOOT AND ANKLE CLINICS11 BRIARCLIFF PROFESSIONAL CENTERBOURBONNAIS, IL 60914PHONE: (815) 933-7077E-PRESCRIBE: NO
BOURBONNAIS, ILBOURBONNAIS, IL
Specialty Care Providers
212* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
WITT, CHARLES S., DPMGENDER: MNPI #: 1265420418ASSOCIATED FOOT AND ANKLE CLINICS11 BRIARCLIFF PROFESSIONAL CENTERBOURBONNAIS, IL 60914PHONE: (815) 933-7077E-PRESCRIBE: NO
PULMONOLOGY
ABRAHAM, RAJU Z., MDGENDER: MNPI #: 1003830852PULMONARY & CRITICAL CARE ASSOCIATES19 HERITAGE PLAZABOURBONNAIS, IL 60914PHONE: (815) 933-3814E-PRESCRIBE: NO
ARONSON, ROBERT, MDGENDER: MNPI #: 1598824039656 N COVENENT STBOURBONNAIS, IL 60914-1391PHONE: (855) 983-6060E-PRESCRIBE: NO
COOLIDGE, BRADLEY S., MDGENDER: MNPI #: 1700986460656 N COVENENT STBOURBONNAIS, IL 60914-1391PHONE: (855) 983-6060E-PRESCRIBE: NO
KUTTY, AHAMED V., MDGENDER: MNPI #: 1881624054PULMONARY & CRITICAL CARE19 HERITAGE PLAZABOURBONNAIS, IL 60914PHONE: (815) 933-3814E-PRESCRIBE: NO
SUNDARAM, RAVI K., DOGENDER: MNPI #: 1811040595PRAIRIE STATE PULMONARY & SLEEP CONSULTANT656 N CONVENT STBOURBONNAIS, IL 60914PHONE: (855) 983-6060E-PRESCRIBE: NO
RADIATION ONCOLOGY
COON, ALAN B., MDGENDER: MNPI #: 1245496025AFFILIATED CANCER SPECIALISTS200 RIVERSIDE DRBOURBONNAIS, IL 60914PHONE: (815) 929-0010E-PRESCRIBE: NO
GRIFFIN, VIVIAN D., MDGENDER: FNPI #: 1801898614CANCER TREATMENT GROUP100 PROVENA WAY SUITE 102BOURBONNAIS, IL 60914PHONE: (815) 937-2460E-PRESCRIBE: NO
NARASIMHAN, GEETHA, MDGENDER: NPI #: 1427185172AFFILIATED CANCER SPECIALISTS200 RIVERSIDE DRBOURBONNAIS, IL 60914PHONE: (815) 929-0010E-PRESCRIBE: NO
SHAH, MIR J., MDGENDER: MNPI #: 1720035009AFFILIATED CANCER SPECIALISTS200 RIVERSIDE DRBOURBONNAIS, IL 60914PHONE: E-PRESCRIBE: NO
WOODBURN, ROBERT T., MDGENDER: MNPI #: 1407848849CANCER TREATMENT GROUP100 PROVENA WAY SUITE 102BOURBONNAIS, IL 60914PHONE: (815) 937-2460E-PRESCRIBE: NO
SLEEP MEDICINE
ABRAHAM, RAJU Z., MDGENDER: MNPI #: 1003830852PULMONARY & CRITICAL CARE ASSOCIATES19 HERITAGE PLAZABOURBONNAIS, IL 60914PHONE: (815) 933-3814E-PRESCRIBE: NO
SUNDARAM, RAVI K., DOGENDER: MNPI #: 1811040595PRAIRIE STATE PULMONARY & SLEEP CONSULTANT656 N CONVENT STBOURBONNAIS, IL 60914PHONE: (855) 983-6060E-PRESCRIBE: NO
BOURBONNAIS, ILBOURBONNAIS, IL
Specialty Care Providers
213 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
PODIATRY
LEONARD, W MARC, DPMGENDER: MNPI #: 1710098652COMPREHENSIVE FOOT & ANKLE CLINIC465 E REED STBRAIDWOOD, IL 60408PHONE: (309) 212-3066E-PRESCRIBE: NO
CARDIOLOGY
BRODY, ANTHONY D., MDGENDER: MNPI #: 1104856210GRAHAM HOSPITAL ASSOCIATION210 W WALNUT STCANTON, IL 61520PHONE: (309) 647-5240E-PRESCRIBE: NO
GUMM, DARREL C., MDGENDER: MNPI #: 1669406054HEARTCARE MIDWEST SC210 W WALNUT STCANTON, IL 61520PHONE: (309) 647-5240E-PRESCRIBE: NO
HSU, MARK, MDGENDER: MNPI #: 1376573428HEARTCARE MIDWEST SC210 W WALNUT STCANTON, IL 61520PHONE: (309) 647-5240E-PRESCRIBE: NO
JACKSON, MARK D., MDGENDER: MNPI #: 1952331019HEARTCARE MIDWEST SC210 W WALNUT STCANTON, IL 61520PHONE: (309) 647-5240E-PRESCRIBE: NO
MALIK, MUHAMMAD, MDGENDER: MNPI #: 1447284864HEARTCARE MIDWEST SC210 W WALNUT STCANTON, IL 61520PHONE: (309) 647-5240E-PRESCRIBE: NO
MCELROY, DONALD B., MDGENDER: MNPI #: 1598799926HEARTCARE MIDWEST SC210 W WALNUT STCANTON, IL 61520PHONE: (309) 647-5240E-PRESCRIBE: NO
PERINCHERY, ANITHA M., MD
GENDER: FNPI #: 1740292564HEARTCARE MIDWEST SC210 W WALNUT STCANTON, IL 61520PHONE: (309) 647-5240E-PRESCRIBE: NO
COLON/RECTAL SURGERY
BONELLO, JULIUS P., MDGENDER: MNPI #: 1093751257GRAHAM MEDICAL GROUP180 S MAIN STCANTON, IL 61520PHONE: (309) 647-0201E-PRESCRIBE: NO
GENERAL SURGERY
CRAWFORD, DAVID, MDGENDER: MNPI #: 1306874128GRAHAM MEDICAL GROUP180 S MAIN STCANTON, IL 61520PHONE: (309) 647-0201E-PRESCRIBE: NO
DEBORD, JAMES R., MDGENDER: MNPI #: 1649206533GRAHAM MEDICAL GROUP180 S MAIN STCANTON, IL 61520PHONE: (309) 647-0201E-PRESCRIBE: NO
GOWDA, RAMAYYA, MDGENDER: MNPI #: 1255449484GRAHAM MEDICAL GROUP180 S MAIN STCANTON, IL 61520PHONE: (309) 647-0201E-PRESCRIBE: NO
HSU, JOHN W., MDGENDER: MNPI #: 1043439748RENALCARE ASSOCIATES210 W WALNUT THIRD FLOORCANTON, IL 61520PHONE: (309) 676-8123E-PRESCRIBE: YES
KETEL, BEVERLEY L., MDGENDER: FNPI #: 1659402048RENALCARE ASSOCIATES210 W WALNUT THIRD FLOORCANTON, IL 61520PHONE: (309) 676-8123E-PRESCRIBE: NO
BRAIDWOOD, IL
CANTON, IL
BRAIDWOOD, ILCANTON, IL
Specialty Care Providers
214* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
OCONNOR, TIMOTHY P., MDGENDER: MNPI #: 1710974597RENALCARE ASSOCIATES210 W WALNUT THIRD FLOORCANTON, IL 61520PHONE: (309) 676-8123E-PRESCRIBE: NO
PAULSEN, JOHN K., MDGENDER: MNPI #: 1174552681GRAHAM MEDICAL GROUP180 S MAIN STCANTON, IL 61520PHONE: (309) 647-0201E-PRESCRIBE: NO
ROSSI, THOMAS, MDGENDER: MNPI #: 1851320238GRAHAM MEDICAL GROUP180 S MAIN STCANTON, IL 61520PHONE: (309) 647-0201E-PRESCRIBE: NO
TSORAIDES, STEVEN S., MDGENDER: MNPI #: 1760689764GRAHAM MEDICAL GROUP180 S MAIN STCANTON, IL 61520PHONE: (309) 647-0201E-PRESCRIBE: NO
HEMATOLOGY
WESLY, OSVALDO, MDGENDER: MNPI #: 1356441943GRAHAM HOSPITAL210 W WALNUT ST SUITE 102CANTON, IL 61520PHONE: (309) 688-1345E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
FISHKIN, PAUL A., MDGENDER: MNPI #: 1063411379ILLINOIS CANCERCARE210 W WALNUT STCANTON, IL 61520PHONE: (209) 647-5240E-PRESCRIBE: YES
NEPHROLOGY
ALONSO, ALEXANDER J., MDGENDER: MNPI #: 1124152707RENALCARE ASSOCIATES210 W WALNUT THIRD FLOORCANTON, IL 61520PHONE: (309) 676-8123E-PRESCRIBE: NO
BRUHA, ROBERT, MDGENDER: MNPI #: 1043340367RENALCARE ASSOCIATES210 W WALNUT THIRD FLOORCANTON, IL 61520PHONE: (309) 676-8123E-PRESCRIBE: NO
DREYER, PAUL T., MDGENDER: MNPI #: 1194855528RENALCARE ASSOCIATES210 W WALNUT ST THIRD FLOORCANTON, IL 61520PHONE: (309) 676-8123E-PRESCRIBE: NO
RENALCARE CANTON210 W WALNUT ST THIRD FLOORCANTON, IL 61520PHONE: (309) 676-8123E-PRESCRIBE: NO
HORINEK, ANTHONY R., MDGENDER: MNPI #: 1609907195RENALCARE ASSOCIATES210 W WALNUT THIRD FLOORCANTON, IL 61520PHONE: (309) 676-8123E-PRESCRIBE: NO
JAMES, GORDON W., MDGENDER: MNPI #: 1124158431RENALCARE ASSOCIATES210 W WALNUT THIRD FLOORCANTON, IL 61520PHONE: (309) 676-8123E-PRESCRIBE: NO
KETEL, BEVERLEY L., MDGENDER: FNPI #: 1659402048RENALCARE ASSOCIATES210 W WALNUT THIRD FLOORCANTON, IL 61520PHONE: (309) 676-8123E-PRESCRIBE: NO
PAMULAPARTHY, SMITHA R., MD
GENDER: FNPI #: 1447328828RENALCARE ASSOCIATES210 W WALNUT THIRD FLOORCANTON, IL 61520PHONE: (309) 676-8123E-PRESCRIBE: YES
PFLEDERER, BENJAMIN R., MD
GENDER: MNPI #: 1306976964RENALCARE ASSOCIATES210 W WALNUT THIRD FLOORCANTON, IL 61520PHONE: (390) 676-8123E-PRESCRIBE: NO
CANTON, ILCANTON, IL
Specialty Care Providers
215 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
PFLEDERER, TIMOTHY A., MD
GENDER: MNPI #: 1154451573RENALCARE ASSOCIATES201 W WALNUT THIRD FLOORCANTON, IL 61520PHONE: (309) 676-8123E-PRESCRIBE: NO
ROSBOROUGH, DAVID C., MD
GENDER: MNPI #: 1619007275RENALCARE ASSOCIATES210 W WALNUT THIRD FLOORCANTON, IL 61520PHONE: (309) 676-8123E-PRESCRIBE: NO
SADER, SAMER B., MDGENDER: MNPI #: 1831220318RENALCARE ASSOCIATES210 W WALNUT THIRD FLOORCANTON, IL 61520PHONE: (309) 676-8123E-PRESCRIBE: NO
SPARROW, ROBERT T., MDGENDER: MNPI #: 1134259781RENALCARE ASSOCIATES210 W WALNUT THIRD FLOORCANTON, IL 61520PHONE: (309) 676-8123E-PRESCRIBE: NO
SRINIVASAN, PARTHASARATHY, MD
GENDER: MNPI #: 1134199359RENALCARE ASSOCIATES210 W WALNUT THIRD FLOORCANTON, IL 61520PHONE: (309) 676-8123E-PRESCRIBE: NO
NEUROLOGY
BLUME, GREGORY M., MDGENDER: MNPI #: 1326146994INI NEUROLOGY GROUP210 W WALNUT STCANTON, IL 61520PHONE: (309) 647-5247E-PRESCRIBE: NO
OPHTHALMOLOGY
MEHTA, JAY, MDGENDER: MNPI #: 1417905456BOND EYE ASSOCIATES45 E SIDE SQUARECANTON, IL 61520PHONE: (309) 647-3937E-PRESCRIBE: NO
QURAISHI, SABA, MDGENDER: FNPI #: 1801005384BOND EYE ASSOCIATES45 E SIDE SQUARECANTON, IL 61520PHONE: (309) 647-3937E-PRESCRIBE: NO
ORTHOPAEDICS
BARNHART, BRETT M., MDGENDER: MNPI #: 1487762035GRAHAM MEDICAL GROUP180 S MAIN STCANTON, IL 61520PHONE: (309) 647-0201E-PRESCRIBE: NO
GERNANT, MICHAEL L., MDGENDER: MNPI #: 1740274240GALESBURG ORTHOPEDIC SERVICES175 S MAIN STCANTON, IL 61520PHONE: (309) 342-0194E-PRESCRIBE: NO
OTOLARYNGOLOGY
URETZKY, IRA, MDGENDER: MNPI #: 1013916428GRAHAM MEDICAL GROUP180 S MAIN STCANTON, IL 61520PHONE: (309) 647-0201E-PRESCRIBE: NO
PHYSICAL MEDICINE/REHABILITATION
LI, YIBING, MDGENDER: FNPI #: 1013923929GRAHAM HOSPITAL210 W WALNUT STCANTON, IL 61520PHONE: (309) 688-2767E-PRESCRIBE: NO
CANTON, ILCANTON, IL
Specialty Care Providers
216* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
SNYDER, LISA, MDGENDER: FNPI #: 1790715092INSTITUTE OF PHYSICAL MEDICINE & REHAB/IPMR210 W CANTON STCANTON, IL 61520PHONE: (309) 692-8110E-PRESCRIBE: NO
SUREKA, OMPRAKASH, MDGENDER: MNPI #: 1518902469INSTITUTE OF PHYSICAL MEDICINE & REHAB/IPMR210 W WALNUT STCANTON, IL 61520PHONE: (309) 692-8110E-PRESCRIBE: NO
PODIATRY
DECEANNE, ANTHONY V., DPM
GENDER: MNPI #: 1083613293ACPM PODIATRY GROUP LTD111 S MAIN STCANTON, IL 61520PHONE: (309) 691-3664E-PRESCRIBE: NO
PARRY, BRENT, DPMGENDER: MNPI #: 1891794004ACPM PODIATRY GROUP LTD111 S MAIN STCANTON, IL 61520PHONE: (309) 647-3664E-PRESCRIBE: NO
WARD, CURTIS L., DPMGENDER: MNPI #: 1114926748ACPM PODIATRY GROUP LTD111 S MAIN STCANTON, IL 61520PHONE: (309) 647-3664E-PRESCRIBE: NO
UROLOGY
COLOMBO, GIOVANNI, MDGENDER: MNPI #: 1679537831GRAHAM MEDICAL GROUP180 S MAIN STCANTON, IL 61520PHONE: (309) 647-0201E-PRESCRIBE: NO
DRINIS, SOPHIA, MDGENDER: FNPI #: 1932175924GRAHAM MEDICAL GROUP180 S MAIN STCANTON, IL 61520PHONE: (309) 647-0201E-PRESCRIBE: NO
RICHIER, JOHN, MDGENDER: MNPI #: 1437116324GRAHAM MEDICAL GROUP180 S MAIN STCANTON, IL 61520PHONE: (309) 647-0201E-PRESCRIBE: NO
SABHARWAL, SARAT, MDGENDER: MNPI #: 1114983392GRAHAM MEDICAL GROUP180 S MAIN STCANTON, IL 61520PHONE: (309) 647-0201E-PRESCRIBE: NO
VASCULAR SURGERY
DEBORD, JAMES R., MDGENDER: MNPI #: 1649206533GRAHAM MEDICAL GROUP180 S MAIN STCANTON, IL 61520PHONE: (309) 647-0201E-PRESCRIBE: NO
HUSSAIN, SYED, MDGENDER: MNPI #: 1245264324HEARTCARE MIDWEST SC210 W WALNUT STCANTON, IL 61520PHONE: (309) 647-5240E-PRESCRIBE: NO
ALLERGY/IMMUNOLOGY
SIRI, DAREEN D., MDGENDER: FNPI #: 1730272998SPRINGFIELD CLINIC20733 N BROAD STCARLINVILLE, IL 62626PHONE: (217) 854-3141E-PRESCRIBE: YES
CARDIOLOGY
YAKEL, DONALD L., MDGENDER: MNPI #: 1568559359CARLINVILLE FAMILY PRACTICE15574 ROUTE 108CARLINVILLE, IL 62626PHONE: (217) 854-4319E-PRESCRIBE: NO
CARLINVILLE, IL
CANTON, ILCARLINVILLE, IL
Specialty Care Providers
217 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
DERMATOLOGY
CLAMAN, CASSANDRA C., MD
GENDER: FNPI #: 1356380281SPRINGFIELD CLINIC20733 N BROAD STCARLINVILLE, IL 62626PHONE: (217) 854-3141E-PRESCRIBE: NO
GENERAL SURGERY
ANDERSEN, JON E., DOGENDER: MNPI #: 1841304888CARLINVILLE AREA HOSPITAL1115 E MORGAN STCARLINVILLE, IL 62626PHONE: (217) 854-3891E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
GIANNONE, LEONARD, MDGENDER: MNPI #: 1245297571SPRINGFIELD CLINIC20733 N BROAD STCARLINVILLE, IL 62626PHONE: (217) 854-3141E-PRESCRIBE: NO
NEUROLOGY
BECKER, CECILE F., MDGENDER: FNPI #: 1750493540SPRINGFIELD CLINIC20733 N BROAD STCARLINVILLE, IL 62626PHONE: (217) 854-3141E-PRESCRIBE: YES
ORTHOPAEDICS
WOLTERS, BRETT W., MDGENDER: MNPI #: 1235177023SPRINGFIELD CLINIC20733 N BROAD STCARLINVILLE, IL 62626PHONE: (217) 854-3141E-PRESCRIBE: YES
RHEUMATOLOGY
GUTHRIE, JASON P., MDGENDER: MNPI #: 1437299682SPRINGFIELD CLINIC20733 N BROAD STCARLINVILLE, IL 62626PHONE: (217) 854-3141E-PRESCRIBE: YES
UROLOGY
SEVERINO, WILLIAM C., MDGENDER: MNPI #: 1659464493SPRINGFIELD CLINIC20733 N BROAD STCARLINVILLE, IL 62626PHONE: (217) 854-3141E-PRESCRIBE: YES
DERMATOLOGY
GREEN, SCOTT G., MDGENDER: MNPI #: 1760454821ST ANTHONY REGIONAL SPECIALTY CLINIC311 S CLARK STCARROLL, IA 51401PHONE: (712) 792-3581E-PRESCRIBE: YES
NEUROLOGY
DHUNA, ANIL, MDGENDER: MNPI #: 1912019118BURLINGTON NEUROLOGY & SLEEP CLINIC PLC402 S ADAMS STCARTHAGE, IL 62321PHONE: (319) 754-4400E-PRESCRIBE: NO
ONCOLOGY
VEEDER, MICHAEL H., MDGENDER: MNPI #: 1568463305ILLINOIS CANCERCARE150 S ADAMS STCARTHAGE, IL 62321PHONE: (217) 357-3131E-PRESCRIBE: YES
ALLERGY/IMMUNOLOGY
ZECH, JOHN R., MDGENDER: MNPI #: 1639277346CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821PHONE: (217) 383-3450E-PRESCRIBE: YES
CARDIAC ELECTROPHYSIOLOGY
KOCHERIL, ABRAHAM, MDGENDER: MNPI #: 1639194541CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
CARROLL, IA
CARTHAGE, IL
CHAMPAIGN, IL
CARLINVILLE, ILCHAMPAIGN, IL
Specialty Care Providers
218* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
RAJAGURU, SUBBIAH, MDGENDER: MNPI #: 1366450678CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-5434E-PRESCRIBE: YES
CARDIOLOGY
ATHERTON, LAWRENCE, MDGENDER: MNPI #: 1124033642CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
SUTTON, JOSEPH M., MDGENDER: MNPI #: 1013926765CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1285E-PRESCRIBE: YES
THOPIAH, PRAKASH, MDGENDER: MNPI #: 1033205208CHRISTIE CLINIC401 E UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 351-7788E-PRESCRIBE: NO
WINGO, MICHAEL W., MDGENDER: MNPI #: 1568471118CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
DERMATOLOGY
FAHRNER, LESTER J., MDGENDER: MNPI #: 1811903677CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
NEITZEL, CRAIG D., MDGENDER: MNPI #: 1275640617CARLE PHYSICIAN GROUP1701 W CURTIS RDCHAMPAIGN, IL 61822PHONE: (217) 365-6204E-PRESCRIBE: YES
YOUSE, JEREMY, MDGENDER: MNPI #: 1538289012CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
ENDOCRINOLOGY
DAVE, SHRUTI M., MDGENDER: NPI #: 1558387217CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821PHONE: (217) 383-3490E-PRESCRIBE: YES
ONYEMERE, KINGSLEY U., MD
GENDER: NPI #: 1790798015CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821PHONE: (217) 383-3490E-PRESCRIBE: YES
STOKES, JOHN, MDGENDER: MNPI #: 1376551085CHRISTIE CLINIC1801 W WINDSOR RDCHAMPAIGN, IL 61821PHONE: (217) 366-1200E-PRESCRIBE: YES
SUBBIAH, SATHYA, MDGENDER: FNPI #: 1033128764CHRISTIE CLINIC1801 W WINDSOR RDCHAMPAIGN, IL 61822PHONE: (217) 366-5434E-PRESCRIBE: YES
WILSON, KATHRYN A., MDGENDER: FNPI #: 1598860512CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821PHONE: E-PRESCRIBE: YES
GASTROENTEROLOGY
HAMMOUD, IHAB, MDGENDER: MNPI #: 1538378617CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
NUGENT, CLAUDIA E., MDGENDER: FNPI #: 1629085212CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
CHAMPAIGN, ILCHAMPAIGN, IL
Specialty Care Providers
219 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
RAMKUMAR, DAVENDRA, MDGENDER: MNPI #: 1063420370CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
GENERAL SURGERY
FEINBERG, SAMUEL J., MDGENDER: MNPI #: 1952318222CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
HAYNES, FREDERICK P., MDGENDER: MNPI #: 1861409013CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
JONES, DOUGLAS, MDGENDER: MNPI #: 1649287210CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
ROHRSCHEIB, SIDNEY, MDGENDER: MNPI #: 1073580122ILLINOIS BARIATRIC CENTER1002 W INTERSTATE DRCHAMPAIGN, IL 61822PHONE: (217) 693-5700E-PRESCRIBE: NO
INFERTILITY/REPRODUCTIVE ENDOCRINOLOGY
REUTER, LAURA M., MDGENDER: FNPI #: 1124036132CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61822PHONE: (217) 366-8130E-PRESCRIBE: YES
NEPHROLOGY
QATTASH, ISMAIL, MDGENDER: MNPI #: 1538329982CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
NEUROLOGY
HABIB, AAMER, MDGENDER: MNPI #: 1922128560CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: NO
HELFRICH, JOHN S., MDGENDER: MNPI #: 1841207099CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
RISKIN, BARRY, MDGENDER: MNPI #: 1326233271CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
SADIQ, SCHEIKH M., MDGENDER: MNPI #: 1164474102CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
SHYU, CHARLES C., MDGENDER: MNPI #: 1699939694CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
ONCOLOGY
CHAUDHRY, SOHAIL A., MDGENDER: MNPI #: 1245247717CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
EIKRAM, MOHAMMED, MDGENDER: MNPI #: 1134135973CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
CHAMPAIGN, ILCHAMPAIGN, IL
Specialty Care Providers
220* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
OPHTHALMOLOGY
BULL, DOUGLAS S., MDGENDER: MNPI #: 1083621544CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
SCHMIDT, CHRIS W., MDGENDER: MNPI #: 1154339430CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
ORAL/MAXILLOFACIAL SURGERY
BAILEY, JONATHAN S., DMDGENDER: MNPI #: 1366476947CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821PHONE: (217) 383-3280E-PRESCRIBE: YES
ESCOBAR, VICTOR, DDSGENDER: MNPI #: 1750397501CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
SABOL, STEPHEN R., DDSGENDER: MNPI #: 1104925908CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821PHONE: (217) 383-3280E-PRESCRIBE: YES
ORTHOPAEDICS
DETHMERS, DANIEL A., MDGENDER: MNPI #: 1356393060CHRISTIE CLINIC2110 FOX DRCHAMPAIGN, IL 61820PHONE: (217) 366-1237E-PRESCRIBE: NO
JOHNSON, CLIFFORD B., MDGENDER: MNPI #: 1578585725CARLE PHYSICIAN GROUP1802 S MATTIS AVECHAMPAIGN, IL 61821PHONE: (217) 383-3260E-PRESCRIBE: YES
KAWAKITA, ERICK M., MDGENDER: MNPI #: 1861692394CARLE PHYSICIAN GROUP1802 S MATTIS AVECHAMPAIGN, IL 61821PHONE: (217) 383-3260E-PRESCRIBE: YES
LOVE, SHAWN L., MDGENDER: FNPI #: 1538175369CHRISTIE CLINIC2110 FOX DR STE BCHAMPAIGN, IL 61820PHONE: (217) 366-1237E-PRESCRIBE: YES
LOW, JEFFREY M., MDGENDER: MNPI #: 1407884141CARLE PHYSICIAN GROUP1802 S MATTIS AVECHAMPAIGN, IL 61821PHONE: (217) 383-3260E-PRESCRIBE: YES
MORAN, MICHAEL C., MDGENDER: MNPI #: 1073565784CARLE PHYSICIAN GROUP1802 S MATTIS AVECHAMPAIGN, IL 61821PHONE: (217) 383-3260E-PRESCRIBE: YES
PALERMO, MARK E., DOGENDER: MNPI #: 1437352960CARLE PHYSICIAN GROUP1802 S MATTIS AVECHAMPAIGN, IL 61822PHONE: (217) 383-3260E-PRESCRIBE: YES
SOBESKI, JAMES K., MDGENDER: MNPI #: 1982704102CARLE PHYSICIAN GROUP1802 S MATTIS AVECHAMPAIGN, IL 61821PHONE: (217) 383-3260E-PRESCRIBE: YES
WILLIAMS, DENIS, MDGENDER: MNPI #: 1750552881CHRISTIE CLINIC2110 FOX DRCHAMPAIGN, IL 61820PHONE: (217) 366-1237E-PRESCRIBE: NO
ZEMAN, DAVID R., MDGENDER: MNPI #: 1447327036CARLE FOUNDATION PHYSICIAN SERVICES LLC1802 S MATTIS AVECHAMPAIGN, IL 61821-5923PHONE: (217) 383-3260E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP1802 S MATTIS AVECHAMPAIGN, IL 61821PHONE: (217) 383-3260E-PRESCRIBE: YES
CHAMPAIGN, ILCHAMPAIGN, IL
Specialty Care Providers
221 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
OTOLARYNGOLOGY
DATE, AMIT S., MDGENDER: MNPI #: 1831311984CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1243E-PRESCRIBE: NO
KURAMOTO, ROBERT K., MDGENDER: MNPI #: 1043227598CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
LIPPS, HENRY, DOGENDER: MNPI #: 1194732412CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
YOUNGERMAN, WILLIAM, MDGENDER: MNPI #: 1528077195CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 336-1200E-PRESCRIBE: YES
PAIN MANAGEMENT
JUNG, HYUNCHUL, MDGENDER: MNPI #: 1255310629CARLE PHYSICIAN GROUP1802 S MATTISCHAMPAIGN, IL 61821PHONE: (217) 326-1330E-PRESCRIBE: YES
KING, STUART C., MDGENDER: MNPI #: 1790764462CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
RAUTHER, SHABEERA, MDGENDER: FNPI #: 1881807642CARLE PHYSICIAN GROUP1802 S MATTIS AVECHAMPAIGN, IL 61821PHONE: (217) 326-1330E-PRESCRIBE: YES
THATCHER, STEVEN W., MDGENDER: MNPI #: 1699783969CHRISTIE CLINIC1801 W WINDSOR RDCHAMPAIGN, IL 61822PHONE: (217) 366-7450E-PRESCRIBE: YES
PEDIATRIC DEVELOPMENT
MORTON, CHARLES T., MDGENDER: MNPI #: 1548281082CARLE PHYSICIAN GROUP1701 W CURTIS RDCHAMPAIGN, IL 61822PHONE: (217) 365-6202E-PRESCRIBE: YES
PEDIATRIC NEPHROLOGY
STRIEGEL, JANE E., MDGENDER: FNPI #: 1427169127CARLE PHYSICIAN GROUP1701 W CURTIS RDCHAMPAIGN, IL 61822PHONE: (217) 365-6200E-PRESCRIBE: YES
PLASTIC RECONSTRUCTIVE SURGERY
DECAMARA, DONNA L., MDGENDER: FNPI #: 1043241425CARLE PHYSICIAN GROUP1702 S MATTIS AVECHAMPAIGN, IL 61821PHONE: (217) 326-2000E-PRESCRIBE: YES
LI, PAUL K., MDGENDER: MNPI #: 1801907431CARLE PHYSICIAN GROUP1702 S MATTIS AVECHAMPAIGN, IL 61821PHONE: (217) 326-2000E-PRESCRIBE: YES
PODIATRY
BORN, ROBERT J., DPMGENDER: MNPI #: 1134170590CARLE PHYSICIAN GROUP1802 S MATTIS AVECHAMPAIGN, IL 61821PHONE: (217) 383-3260E-PRESCRIBE: YES
EICKMEIER, KIMBERLY, DPMGENDER: FNPI #: 1811903651CHRISTIE CLINIC1801 W WINDSOR RDCHAMPAIGN, IL 61821PHONE: (217) 366-8000E-PRESCRIBE: YES
GRAMBART, SEAN T., DPMGENDER: MNPI #: 1134148307CARLE PHYSICIAN GROUP1802 S MATTIS AVECHAMPAIGN, IL 61821PHONE: (217) 383-3260E-PRESCRIBE: YES
CHAMPAIGN, ILCHAMPAIGN, IL
Specialty Care Providers
222* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
KLUESNER, ANDREW, DPMGENDER: MNPI #: 1184889578CHRISTIE CLINIC1801 W WINDSOR RDCHAMPAIGN, IL 61822PHONE: (217) 366-8000E-PRESCRIBE: YES
LOGSDON, PHILLIP K., DPMGENDER: MNPI #: 1043230089CARLE PHYSICIAN GROUP1802 S MATTIS AVECHAMPAIGN, IL 61821PHONE: (217) 383-3260E-PRESCRIBE: YES
PIERCE, WILLIAM, DPMGENDER: MNPI #: 1063420461CHRISTIE CLINIC1801 W WINDSOR RDCHAMPAIGN, IL 61821PHONE: (217) 366-1200E-PRESCRIBE: YES
SPIZZIRRI, SARAH, DPMGENDER: FNPI #: 1063566727CHRISTIE CLINIC1801 W WINDSOR RDCHAMPAIGN, IL 61822PHONE: (217) 366-8000E-PRESCRIBE: YES
PULMONOLOGY
SHEIKH, SALMAN Q., MDGENDER: NPI #: 1396753083CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
THAMEEM, DANISH, MDGENDER: MNPI #: 1821035106CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
TOPOLOSKY, MAURY K., MDGENDER: MNPI #: 1396753679CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
RADIATION ONCOLOGY
SHULTZ, GARY L., DOGENDER: MNPI #: 1538177241CHRISTIE CLINIC109 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-5180E-PRESCRIBE: YES
RHEUMATOLOGY
KOHLI, MANOJ, MDGENDER: MNPI #: 1215948146CHRISTIE CLINIC1801 W WINDSOR RDCHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
MUNOZ, ALBERTO J., MDGENDER: MNPI #: 1447367081CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
RASHEED, MEHMOODUR, MD
GENDER: MNPI #: 1215978473CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821PHONE: (217) 383-3131E-PRESCRIBE: YES
SESSIONS, NATALIE R., DOGENDER: FNPI #: 1992997175CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821PHONE: (217) 383-3131E-PRESCRIBE: YES
SLEEP MEDICINE
SHEIKH, SALMAN Q., MDGENDER: NPI #: 1396753083CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
UROLOGY
HELFER, ERIC, MDGENDER: MNPI #: 1518064062CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1304E-PRESCRIBE: YES
REGAN, JOHN S., MDGENDER: MNPI #: 1588672802CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
CHAMPAIGN, ILCHAMPAIGN, IL
Specialty Care Providers
223 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
ZALAR JR, JOSEPH A., MDGENDER: MNPI #: 1942219522CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 336-1200E-PRESCRIBE: YES
VITREOUS/RETINAL SURGERY
LOWENTHAL, ROBERT A., MD
GENDER: MNPI #: 1871509323SPRINGFIELD EYE CONSULTANTS PC101 W UNIVERSITYCHAMPAIGN, IL 61820PHONE: (217) 544-2020E-PRESCRIBE: NO
DERMATOLOGY
PATEL, HARIKRISHNA P., MDGENDER: MNPI #: 1891805792506 W LINCOLN AVECHARLESTON, IL 61920PHONE: (217) 348-8727E-PRESCRIBE: NO
OPHTHALMOLOGY
DERANIAN, MARCUS S., MDGENDER: MNPI #: 19523673511700 18TH STCHARLESTON, IL 61920PHONE: (217) 345-6600E-PRESCRIBE: YES
PINE, RYAN, MDGENDER: MNPI #: 1255599452ADVANCED OPHTHALMOLOGY1605 REYNOLDS DRCHARLESTON, IL 61920PHONE: (217) 348-0221E-PRESCRIBE: YES
SCHUBERT, WILLIAM G., MDGENDER: MNPI #: 15584411541605 REYNOLDS DRCHARLESTON, IL 61920PHONE: (217) 348-0221E-PRESCRIBE: YES
ORTHOPAEDICS
KOHLMANN, JAMES, MDGENDER: MNPI #: 1588663272100 DEERPATH RDCHARLESTON, IL 61920PHONE: (217) 345-2727E-PRESCRIBE: NO
PODIATRY
BORREGGINE, JOSEPH S., DPM
GENDER: MNPI #: 1114921483TOUCHING GROUND PODIATRY2111 18TH STCHARLESTON, IL 61920PHONE: (217) 348-0888E-PRESCRIBE: YES
NEUROLOGY
GOLDRING, JAMES M., MDGENDER: MNPI #: 1992715775MEMORIAL HOSPITAL CHESTER SPECIALTY CLINIC1900 STATE STCHESTER, IL 62233PHONE: (314) 567-3663E-PRESCRIBE: NO
OTOLARYNGOLOGY
FIERSTEIN, JEFFREY T., MDGENDER: MNPI #: 1740259043MEMORIAL HOSPITAL OF CHESTER SPECIALTY CLINIC1900 STATE STCHESTER, IL 62233PHONE: (618) 826-4581E-PRESCRIBE: NO
VASCULAR SURGERY
RAO, RICARDO, MDGENDER: MNPI #: 1427029362MEMORIAL HOSPITAL OF CHESTER SPECIALTY CLINIC1900 STATE STCHESTER, IL 62233PHONE: (618) 826-4581E-PRESCRIBE: NO
CHARLESTON, IL
CHESTER, IL
CHAMPAIGN, ILCHESTER, IL
Specialty Care Providers
224* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
GENERAL SURGERY
NADEAU, JOHN P., DOGENDER: MNPI #: 1366623548FAMILY MEDICAL CENTER-CHRISMAN112 W MADISON STCHRISMAN, IL 61924PHONE: E-PRESCRIBE: NO
DERMATOLOGY
GREEN, SCOTT G., MDGENDER: MNPI #: 1760454821WRIGHT MEDICAL CENTER SPECIALTY CLINIC1316 S MAIN STCLARION, IA 50525PHONE: (515) 532-3406E-PRESCRIBE: YES
PAIN MANAGEMENT
SWANSON, MICHAEL A., MDGENDER: MNPI #: 18513771702745 LINCOLN WAYCLINTON, IA 52732PHONE: (563) 242-3208E-PRESCRIBE: NO
PODIATRY
CHAPMAN, PATRICIA A., DPM
GENDER: FNPI #: 1689645608ADVANCED PODIATRY1320 11TH ST NW SUITE FCLINTON, IA 52732PHONE: (563) 242-3434E-PRESCRIBE: NO
CRAIG, STEVEN E., DPMGENDER: MNPI #: 1073512448CLINTON FOOT & ANKLE CLINIC2745 LINCOLNWAYCLINTON, IA 52732PHONE: (563) 242-5763E-PRESCRIBE: NO
CARDIOLOGY
BRAASTAD, ROBERT A., MDGENDER: MNPI #: 1487619573ADVOCATE MEDICAL GROUP422 W WHITE STCLINTON, IL 61727PHONE: (217) 935-9571E-PRESCRIBE: NO
GANDHI, SIDDHARTH J., MDGENDER: MNPI #: 1831226042ADVOCATE MEDICAL GROUP422 W WHITE STCLINTON, IL 61727PHONE: (217) 935-9571E-PRESCRIBE: NO
JARZABKOWSKI, DORY, DOGENDER: FNPI #: 1083651939ADVOCATE MEDICAL GROUP422 W WHITE STCLINTON, IL 61727PHONE: (217) 935-9571E-PRESCRIBE: NO
MCCRISKIN, JAMES, DOGENDER: MNPI #: 1700826617ADVOCATE MEDICAL GROUP422 W WHITE STCLINTON, IL 61727PHONE: (217) 935-9571E-PRESCRIBE: NO
SHAH, SAMIR H., MDGENDER: MNPI #: 1720028632ADVOCATE MEDICAL GROUP422 W WHITE STCLINTON, IL 61727PHONE: (217) 935-9571E-PRESCRIBE: NO
TEMIYASATHIT, THANOM, MD
GENDER: MNPI #: 1023041175ADVOCATE MEDICAL GROUP422 W WHITE STCLINTON, IL 61727PHONE: (217) 935-9571E-PRESCRIBE: NO
TUMILTY, BETH L., DOGENDER: FNPI #: 1033159959ADVOCATE MEDICAL GROUP422 W WHITE STCLINTON, IL 61727PHONE: (217) 935-9571E-PRESCRIBE: NO
CHRISMAN, IL
CLARION, IA
CLINTON, IA
CLINTON, IL
CHRISMAN, ILCLINTON, IL
Specialty Care Providers
225 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
WERAARCHAKUL, WITOON, MD
GENDER: MNPI #: 1366494544ADVOCATE MEDICAL GROUP422 W WHITE STCLINTON, IL 61727PHONE: (217) 935-9571E-PRESCRIBE: NO
DERMATOLOGY
LEONE, DOUGLAS M., MDGENDER: MNPI #: 1255523296DERMATOLOGY & MOHS SURGERY INSTITUTE LTD422 WHITE STCLINTON, IL 61727PHONE: (217) 937-5279E-PRESCRIBE: NO
GENERAL SURGERY
ROHRSCHEIB, SIDNEY P., MD
GENDER: MNPI #: 1073580122RURAL HEALTH CLINIC422 W WHITE STCLINTON, IL 61727PHONE: (217) 937-5284E-PRESCRIBE: NO
ROHRSCHEIB, SIDNEY, MDGENDER: MNPI #: 1073580122803 ILLINI DRCLINTON, IL 61727PHONE: (217) 935-7037E-PRESCRIBE: NO
NEUROLOGY
LI, FANG, MDGENDER: FNPI #: 1356447841422 W WHITE STCLINTON, IL 61727PHONE: (217) 935-9571E-PRESCRIBE: NO
OPHTHALMOLOGY
DERANIAN, MARCUS S., MDGENDER: MNPI #: 1952367351DR JOHN WARNER HOSPITAL CLINIC422 W WHITE STCLINTON, IL 61727PHONE: (217) 937-5279E-PRESCRIBE: YES
PODIATRY
MARROCHELLO, VERONICA S., DPM
GENDER: FNPI #: 1326050378CORTESE FOOT & ANKLE CLINIC PC422 W WHITECLINTON, IL 61727PHONE: (217) 935-9571E-PRESCRIBE: NO
PULMONOLOGY
BURR, JOHN S., MDGENDER: MNPI #: 1770535940ADVOCATE MEDICAL GROUP422 W WHITE STCLINTON, IL 61727PHONE: (217) 935-9571E-PRESCRIBE: NO
CHU, CHAE O., MDGENDER: MNPI #: 1043250954ADVOCATE MEDICAL GROUP422 W WHITE STCLINTON, IL 61727PHONE: (217) 935-9571E-PRESCRIBE: NO
KOH, DAVID W., MDGENDER: MNPI #: 1154361038ADVOCATE MEDICAL GROUP422 W WHITE STCLINTON, IL 61727PHONE: (217) 935-9571E-PRESCRIBE: NO
ZACHRIA, ANTHONY, MDGENDER: MNPI #: 1366542300ADVOCATE MEDICAL GROUP422 W WHITE STCLINTON, IL 61727PHONE: (217) 935-9571E-PRESCRIBE: NO
SLEEP MEDICINE
BURR, JOHN S., MDGENDER: MNPI #: 1770535940ADVOCATE MEDICAL GROUP422 W WHITE STCLINTON, IL 61727PHONE: (217) 935-9571E-PRESCRIBE: NO
KOH, DAVID W., MDGENDER: MNPI #: 1154361038ADVOCATE MEDICAL GROUP422 W WHITE STCLINTON, IL 61727PHONE: (217) 935-9571E-PRESCRIBE: NO
CLINTON, ILCLINTON, IL
Specialty Care Providers
226* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
LI, FANG, MDGENDER: FNPI #: 1356447841422 W WHITE STCLINTON, IL 61727PHONE: (217) 935-9571E-PRESCRIBE: NO
GERIATRICS
DEOSKAR, UDAY L., MDGENDER: MNPI #: 1386733145HERITAGE MANOR402 S HARRISON STCOLFAX, IL 61728PHONE: (309) 723-2591E-PRESCRIBE: NO
INFECTIOUS DISEASES
PATEL, KEVAL D., MDGENDER: MNPI #: 1447291182DANVILLE POLYCLINIC416 UNION STCOVINGTON, IN 47932PHONE: (765) 793-2122E-PRESCRIBE: NO
GERIATRICS
GANDHI, BHAVESH R., MDGENDER: MNPI #: 1417994013PROVENA MEDICAL GROUP16151 WEBER RD SUITE 101CREST HILL, IL 60403PHONE: (815) 773-7827E-PRESCRIBE: NO
NEUROLOGY
FEHR, MARK L., MDGENDER: MNPI #: 1275781338CENTER FOR NEUROLOGICAL DISEASES2222 WEBER RDCREST HILL, IL 60403PHONE: (815) 741-9719E-PRESCRIBE: NO
KANNAN, SREEPATHY, MDGENDER: MNPI #: 1295793529CENTER FOR NEUROLOGICAL DISEASES2222 WEBER RDCREST HILL, IL 60403PHONE: (815) 741-9719E-PRESCRIBE: NO
NADKARNI, NITIN, MDGENDER: MNPI #: 1841262961CENTER FOR NEUROLOGICAL DISEASES2222 WEBER RDCREST HILL, IL 60403PHONE: (815) 741-9719E-PRESCRIBE: NO
PATEL, SOHAL K., MDGENDER: MNPI #: 1588821649CENTER FOR NEUROLOGICAL DISEASES2222 WEBER ROADCREST HILL, IL 60403PHONE: (815) 741-9719E-PRESCRIBE: NO
ALLERGY/IMMUNOLOGY
ZECH, JOHN R., MDGENDER: MNPI #: 1639277346CARLE PHYSICIAN GROUP311 W FAIRCHILD STDANVILLE, IL 61832PHONE: (217) 431-7600E-PRESCRIBE: YES
CARDIOLOGY
BRASCH, ANDREA V., MDGENDER: FNPI #: 1740353457CARLE PHYSICIAN GROUP2300 N VERMILIONDANVILLE, IL 61832PHONE: (217) 431-7850E-PRESCRIBE: YES
FABRIZIO, JOSEPH M., MDGENDER: NPI #: 1922055698DANVILLE POLYCLINIC LTD707 N LOGAN AVEDANVILLE, IL 61832-4360PHONE: (217) 477-4774E-PRESCRIBE: NO
MOKRAOUI, MALEC A., MDGENDER: MNPI #: 1215949656CARLE PHYSICIAN GROUP2300 N VERMILION STDANVILLE, IL 61832PHONE: (217) 431-7601E-PRESCRIBE: YES
PATEL, BHASKAR N., MDGENDER: NPI #: 1588607014DANVILLE POLYCLINIC LTD707 N LOGAN AVEDANVILLE, IL 61832-4360PHONE: (217) 477-4773E-PRESCRIBE: NO
COLFAX, IL
COVINGTON, IN
CREST HILL, IL
DANVILLE, IL
CLINTON, ILDANVILLE, IL
Specialty Care Providers
227 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
SANCHEZ-TORRES, REINALDO J., MD
GENDER: MNPI #: 1467468553CARLE PHYSICIAN GROUP2300 N VERMILIONDANVILLE, IL 61832PHONE: (217) 431-7850E-PRESCRIBE: YES
DERMATOLOGY
PATEL, HARIKRISHNA P., MDGENDER: MNPI #: 1891805792701 W FAIRCHILD SUITE CDANVILLE, IL 61832PHONE: (217) 442-0400E-PRESCRIBE: NO
PATEL, HARIKRISHNA, MDGENDER: NPI #: 1891805792DANVILLE POLYCLINIC LTD707 N LOGAN AVEDANVILLE, IL 61832PHONE: (217) 477-4774E-PRESCRIBE: NO
GASTROENTEROLOGY
SEKAR, VENKAT E., MDGENDER: MNPI #: 1114974441DANVILLE POLYCLINIC LTD707 N LOGAN AVEDANVILLE, IL 61832PHONE: (217) 477-4772E-PRESCRIBE: NO
GENERAL SURGERY
BOWEN, WILLIAM J., MDGENDER: MNPI #: 1225019508DANVILLE POLYCLINIC LTD707 N LOGAN AVEDANVILLE, IL 61832PHONE: (217) 447-6410E-PRESCRIBE: NO
KAKARLA, VENKATA R., MDGENDER: MNPI #: 1437390150CHRISTIE CLINIC800 N LOGAN AVEDANVILLE, IL 61832PHONE: (217) 431-8930E-PRESCRIBE: NO
ROHRSCHEIB, SIDNEY P., MD
GENDER: MNPI #: 1073580122PROVENA UNITED SAMARITANS MEDICAL CENTER812 N LOGAN AVEDANVILLE, IL 61832PHONE: (217) 477-4784E-PRESCRIBE: NO
SAVAGE, JAMES E., MDGENDER: MNPI #: 1194806620800 N LOGAN SUITE 204DANVILLE, IL 61832PHONE: (217) 446-1827E-PRESCRIBE: NO
SCAVONE, DEAN J., MDGENDER: MNPI #: 1033202262CARLE PHYSICIAN GROUP2300 N VERMILIONDANVILLE, IL 61832PHONE: (217) 554-1800E-PRESCRIBE: YES
THANGAVELU, MUTHIAH, MDGENDER: NPI #: 1386681658DANVILLE POLYCLINIC LTD707 N LOGAN AVEDANVILLE, IL 61832-4360PHONE: (217) 477-4762E-PRESCRIBE: NO
GERIATRICS
PARUCHURI, SURENDRA P., MD
GENDER: NPI #: 1902847437DANVILLE POLYCLINIC LTD707 N LOGAN AVEDANVILLE, IL 61832-4360PHONE: (217) 477-4730E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
LABAYOG, JOMEL, MDGENDER: MNPI #: 1326053299PROVENA MEDICAL GROUP806 N LOGANDANVILLE, IL 61832PHONE: (217) 431-4290E-PRESCRIBE: NO
VASIREDDY, VAMSI K., DOGENDER: NPI #: 1801802996CARLE PHYSICIAN GROUP2300 N VERMILIONDANVILLE, IL 61832PHONE: (217) 431-7825E-PRESCRIBE: YES
INFECTIOUS DISEASES
PATEL, KEVAL D., MDGENDER: MNPI #: 1447291182DANVILLE POLYCLINIC LTD707 N LOGAN AVEDANVILLE, IL 61832-4360PHONE: (217) 477-4738E-PRESCRIBE: NO
DANVILLE, ILDANVILLE, IL
Specialty Care Providers
228* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
NEPHROLOGY
ATTIA, ABDEL-MONEIM M., MD
GENDER: MNPI #: 1316977614CARLE PHYSICIAN GROUP2300 N VERMILIONDANVILLE, IL 61832PHONE: (217) 431-7600E-PRESCRIBE: YES
SODHI, BRIJNANDAN S., MDGENDER: MNPI #: 1700879178SODHI MEDICAL SERVICES1010 W CLAY STDANVILLE, IL 61832PHONE: (217) 431-7200E-PRESCRIBE: NO
NEUROLOGY
ARONSON, KENNETH S., MDGENDER: MNPI #: 1316971153CARLE PHYSICIAN GROUP2300 N VERMILIONDANVILLE, IL 61832PHONE: (217) 431-7789E-PRESCRIBE: YES
TAZUDEEN, VATHIAR A., MDGENDER: MNPI #: 1366451163NEUROLOGY CLINIC OF DANVILLE LLC701 W FAIRCHILD STDANVILLE, IL 61832PHONE: (217) 431-8400E-PRESCRIBE: NO
ONCOLOGY
ROWLAND, KENDRITH, MDGENDER: MNPI #: 1407955206CARLE PHYSICIAN GROUP2300 N VERMILIONDANVILLE, IL 61832PHONE: (217) 431-7825E-PRESCRIBE: YES
OPHTHALMOLOGY
APRAHAMIAN, ARA D., MDGENDER: MNPI #: 1528015013GAILEY EYE CLINIC47 E LIBERTY LANEDANVILLE, IL 61832PHONE: (217) 446-3937E-PRESCRIBE: NO
BHATIA, SUMIT P., MDGENDER: MNPI #: 1780670596GAILEY EYE CLINIC47 E LIBERTY LNDANVILLE, IL 61832PHONE: (217) 446-3937E-PRESCRIBE: NO
DILLMAN, DAVID, MDGENDER: MNPI #: 1326076142DILLMAN EYE CENTER600 N LOGAN AVEDANVILLE, IL 61832PHONE: (217) 443-2244E-PRESCRIBE: YES
DVORAK, ANDREW, MDGENDER: MNPI #: 1770561714DILLMAN EYE CARE ASSOCIATES600 N LOGAN AVEDANVILLE, IL 61832PHONE: (217) 443-1189E-PRESCRIBE: NO
HALPERIN, GREGORY I., MDGENDER: MNPI #: 1760423206GAILEY EYE CLINIC47 E LIBERTY LANEDANVILLE, IL 61832PHONE: (217) 446-3937E-PRESCRIBE: NO
HARMAN, JOSEPH G., MDGENDER: MNPI #: 1942241484GAILEY EYE CLINIC47 E LIBERTY LANEDANVILLE, IL 61832PHONE: (217) 446-3937E-PRESCRIBE: NO
KNUPP, JAMES A., MDGENDER: MNPI #: 1548211774GAILEY EYE CLINIC47 E LIBERTY LANEDANVILLE, IL 61832PHONE: (217) 446-3937E-PRESCRIBE: NO
KRISTAL, LIBBY K., MDGENDER: FNPI #: 1326240144GAILEY EYE CLINIC47 E LIBERTY LANEDANVILLE, IL 61834PHONE: (217) 446-3937E-PRESCRIBE: NO
LEE, ROBERT M., MDGENDER: MNPI #: 1699716118GAILEY EYE CLINIC47 E LIBERTY LANEDANVILLE, IL 61832PHONE: (217) 446-3937E-PRESCRIBE: NO
DANVILLE, ILDANVILLE, IL
Specialty Care Providers
229 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
OESTER, ALAN E., MDGENDER: MNPI #: 1750503819GAILEY EYE CLINIC47 E LIBERTY LANEDANVILLE, IL 61834PHONE: (217) 446-3937E-PRESCRIBE: NO
RIGSBY, JESSE H., MDGENDER: MNPI #: 1447253646GAILEY EYE CLINIC47 E LIBERTY LANEDANVILLE, IL 61834PHONE: (217) 446-3937E-PRESCRIBE: NO
ORTHOPAEDICS
KOHLMANN, JAMES, MDGENDER: MNPI #: 1588663272800 N LOGAN AVEDANVILLE, IL 61832PHONE: (217) 443-0300E-PRESCRIBE: NO
PLATTNER, PAUL F., MDGENDER: MNPI #: 1922100742CARLE PHYSICIAN GROUP2300 N VERMILIONDANVILLE, IL 61832PHONE: (217) 431-7830E-PRESCRIBE: YES
OTOLARYNGOLOGY
GOEL, NARESH C., MDGENDER: MNPI #: 1780624320DANVILLE POLYCLINIC LTD707 N LOGAN AVEDANVILLE, IL 61832PHONE: (217) 477-4768E-PRESCRIBE: NO
PAIN MANAGEMENT
SANTIAGO, IVAN, MDGENDER: MNPI #: 1275795841CHRISTIE CLINIC3545 N VERMILION STDANVILLE, IL 61832PHONE: (217) 442-8611E-PRESCRIBE: YES
PHYSICAL MEDICINE/REHABILITATION
JOHNSON, VICTORIA, MDGENDER: FNPI #: 1043235450CARLE PHYSICIAN GROUP2300 N VERMILIONDANVILLE, IL 61832PHONE: (217) 431-7800E-PRESCRIBE: YES
LI, JIAN, MDGENDER: FNPI #: 1336169440CARLE PHYSICIAN GROUP311 FAIRCHILD AVEDANVILLE, IL 61832PHONE: (217) 444-5835E-PRESCRIBE: YES
SANTIAGO, IVAN, MDGENDER: MNPI #: 1275795841CHRISTIE CLINIC3545 N VERMILION STDANVILLE, IL 61832PHONE: (217) 442-8611E-PRESCRIBE: YES
TIPIRNENI, SAMATHA, MDGENDER: FNPI #: 1598883076CARLE PHYSICIAN GROUP311 FAIRCHILD AVEDANVILLE, IL 61832PHONE: (217) 444-5800E-PRESCRIBE: YES
PLASTIC RECONSTRUCTIVE SURGERY
SCHNEIDER, SUSAN M., MDGENDER: FNPI #: 1083781587PROVENA SERVICES CORPORATION800 N LOGAN AVE SUITE 207DANVILLE, IL 61832PHONE: (217) 431-4038E-PRESCRIBE: NO
PODIATRY
LOGSDON, PHILLIP K., DPMGENDER: MNPI #: 1043230089CARLE PHYSICIAN GROUP2300 N VERMILIONDANVILLE, IL 61832PHONE: (217) 431-7830E-PRESCRIBE: YES
PULMONOLOGY
BOBAT, ISMAIL A., MDGENDER: MNPI #: 1750310553PROVENA MEDICAL GROUP800 N LOGAN AVE SUITE 102DANVILLE, IL 61832PHONE: E-PRESCRIBE: NO
GREELEY, DONALD A., MDGENDER: MNPI #: 1942224134CARLE PHYSICIAN GROUP2300 N VERMILIONDANVILLE, IL 61832PHONE: (217) 431-7650E-PRESCRIBE: YES
DANVILLE, ILDANVILLE, IL
Specialty Care Providers
230* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
SLEEP MEDICINE
BOBAT, ISMAIL A., MDGENDER: MNPI #: 1750310553PROVENA MEDICAL GROUP800 N LOGAN AVE SUITE 102DANVILLE, IL 61832PHONE: E-PRESCRIBE: NO
GREELEY, DONALD A., MDGENDER: MNPI #: 1942224134CARLE PHYSICIAN GROUP2300 N VERMILIONDANVILLE, IL 61832PHONE: (217) 431-7650E-PRESCRIBE: YES
UROLOGY
CIANCIO, SEBASTIAN, MDGENDER: MNPI #: 1891893525DANVILLE POLYCLINIC LTD707 N LOGAN AVEDANVILLE, IL 61832-4360PHONE: (217) 447-4766E-PRESCRIBE: NO
HELFER, ERIC, MDGENDER: MNPI #: 1518064062CHRISTIE CLINIC3545 N VERMILION STDANVILLE, IL 61832PHONE: (217) 442-8611E-PRESCRIBE: YES
VASCULAR SURGERY
CONNELLY, TIMOTHY L., MDGENDER: MNPI #: 1801821509CARLE PHYSICIAN GROUP2300 N VERMILIONDANVILLE, IL 61832PHONE: (217) 431-7600E-PRESCRIBE: YES
CARDIOTHORACIC SURGERY
SADLER, RICHARD L., MDGENDER: MNPI #: 1740250026CHEST & VASCULAR SURGERY PC3385 DEXTER CT SUITE 100DAVENPORT, IA 52807PHONE: (563) 324-3818E-PRESCRIBE: NO
COLON/RECTAL SURGERY
KHOURY, DOUGLAS A., MDGENDER: MNPI #: 1457321754DAVENPORT SURGICAL GROUP PC1228 E RUSHOLME ST SUITE 302DAVENPORT, IA 52803PHONE: (563) 823-9300E-PRESCRIBE: NO
DERMATOLOGY
GANGADHARIAH, RAVINDRAKUMAR, MD
GENDER: MNPI #: 1922047869CARING DERMATOLOGY CENTER PC4624 PROGRESS DR SUITE DDAVENPORT, IA 52807PHONE: (563) 355-0015E-PRESCRIBE: NO
GENERAL SURGERY
AANESTAD, DAVID J., MDGENDER: MNPI #: 1548230832DAVENPORT SURGICAL GROUP PC1228 E RUSHOLME ST SUITE 302DAVENPORT, IA 52803PHONE: (563) 823-9300E-PRESCRIBE: NO
CHRISTOPHERSEN, MATTHEW C., MD
GENDER: MNPI #: 1629048939DAVENPORT SURGICAL GROUP PC1228 E RUSHOLME ST SUITE 302DAVENPORT, IA 52803PHONE: (563) 823-9300E-PRESCRIBE: NO
DEWALL, BRADLEY T., MDGENDER: MNPI #: 1255427597WOUND MANAGEMENT CONSULTANTS PC1351 W CENTRAL PARK AVE SUITE 1225DAVENPORT, IA 52804PHONE: (563) 421-1585E-PRESCRIBE: NO
HARSON, ROBERT E., MDGENDER: MNPI #: 1356390207DAVENPORT SURGICAL GROUP1228 E RUSHOLME SUITE 302DAVENPORT, IA 52803PHONE: (563) 823-9300E-PRESCRIBE: NO
DAVENPORT, IA
DANVILLE, ILDAVENPORT, IA
Specialty Care Providers
231 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
HARTMAN, KENNETH J., MDGENDER: MNPI #: 1366407322DAVENPORT SURGICAL GROUP1228 E RUSHOLME ST SUITE 302DAVENPORT, IA 52803PHONE: (563) 823-9300E-PRESCRIBE: NO
KHOURY, DOUGLAS A., MDGENDER: MNPI #: 1457321754DAVENPORT SURGICAL GROUP PC1228 E RUSHOLME ST SUITE 302DAVENPORT, IA 52803PHONE: (563) 823-9300E-PRESCRIBE: NO
LOHMULLER, JOSEPH L., MDGENDER: MNPI #: 1831169135DAVENPORT SURGICAL GROUP PC1228 E RUSHOLME ST SUITE 302DAVENPORT, IA 52803PHONE: (563) 823-9300E-PRESCRIBE: NO
PHELPS, MICHAEL A., MDGENDER: MNPI #: 1073583308DAVENPORT SURGICAL GROUP PC1228 E RUSHOLME ST SUITE 302DAVENPORT, IA 52803PHONE: (563) 823-9300E-PRESCRIBE: NO
INFECTIOUS DISEASES
KAUR, AMANDEEP, MDGENDER: FNPI #: 1619195534COMMUNITY HEALTH CARE OUTREACH303 W 6TH STDAVENPORT, IA 52803PHONE: (563) 322-8890E-PRESCRIBE: NO
COMMUNITY HEALTH CARE RIVER DRIVE500 W RIVER DRDAVENPORT, IA 52801PHONE: (563) 336-3000E-PRESCRIBE: NO
COMMUNITY HEALTH CARE VIROLOGY CLINIC1351 W CENTRAL PARK AVE SUITE 360DAVENPORT, IA 52804PHONE: (563) 421-4244E-PRESCRIBE: NO
MOTWANI, BHARAT A., MDGENDER: MNPI #: 1902885445COMMUNITY HEALTH CARE OUTREACH303 WEST 6TH STREETDAVENPORT, IA 52803PHONE: (563) 322-8890E-PRESCRIBE: NO
COMMUNITY HEALTH CARE RIVER DRIVE500 WEST RIVER DRIVEDAVENPORT, IA 52801PHONE: (563) 336-3000E-PRESCRIBE: NO
COMMUNITY HEALTH CARE VIROLOGY1351 WEST CENTRAL PARK SUITE 360DAVENPORT, IA 52801PHONE: (563) 421-4244E-PRESCRIBE: NO
NEPHROLOGY
AL SHEIKHA, MOUHAMED W., MD
GENDER: MNPI #: 1063418374RENAL DIALYSIS ASSOCIATE1228 E RUSHOLME SUITE 8DAVENPORT, IA 52803PHONE: (563) 326-6256E-PRESCRIBE: NO
SHOBANDE, OLATOKUNBO, MD
GENDER: FNPI #: 1972711513GENESIS MEDICAL CENTER-EAST/INPT1227 E RUSHOLME STDAVENPORT, IA 52803PHONE: E-PRESCRIBE: NO
INTERNAL MEDICINE ASSOCIATES PC1228 E RUSHOLME STDAVENPORT, IA 52803PHONE: (563) 326-6273E-PRESCRIBE: NO
OTOLARYNGOLOGY
DVORAK, DOUGLAS W., MDGENDER: MNPI #: 1346229762ENT PROFESSIONAL SERVICES PC3385 DEXTER CT SUITE 101DAVENPORT, IA 52807PHONE: (563) 359-1646E-PRESCRIBE: NO
DAVENPORT, IADAVENPORT, IA
Specialty Care Providers
232* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
TOMEK, MICHAEL S., MDGENDER: MNPI #: 1912977232ENT PROFESSIONAL SERVICES PC3385 DEXTER CT SUITE 101DAVENPORT, IA 52807PHONE: (563) 359-1646E-PRESCRIBE: NO
TYNER, RALPH A., MDGENDER: MNPI #: 1215916168ENT PROFESSIONAL SERVICES PC3385 DEXTER CT SUITE 101DAVENPORT, IA 52807PHONE: (563) 359-1646E-PRESCRIBE: NO
PHYSICAL MEDICINE/REHABILITATION
AHMED, FAREEDUDDIN, MDGENDER: MNPI #: 15987452671401 W CENTRAL PARK AVEDAVENPORT, IA 52804PHONE: (309) 762-9711E-PRESCRIBE: NO
PODIATRY
SCHROEDER, DAVID W., DPMGENDER: MNPI #: 1225091671WOUND MANAGEMENT CONSULTANTS PC1351 W CENTRAL PARK AVE SUITE 1225DAVENPORT, IA 52804PHONE: (563) 421-1585E-PRESCRIBE: NO
SHAY, BEAU B., DPMGENDER: MNPI #: 1831351584WOUND MANAGEMENT CONSULTANTS1351 W CENTRAL PARKDAVENPORT, IA 52804PHONE: E-PRESCRIBE: YES
ALLERGY/IMMUNOLOGY
GIBSON, BETHANY T., MDGENDER: FNPI #: 1043278013101 W MCKINLEY AVEDECATUR, IL 62526PHONE: (217) 876-3682E-PRESCRIBE: NO
1770 E LAKE SHORE DR SUITE 203DECATUR, IL 62521PHONE: (217) 876-3682E-PRESCRIBE: NO
CARDIAC ELECTROPHYSIOLOGY
CADMAN, CHRISTOPHER S., MD
GENDER: MNPI #: 1639104615ILLINOIS HEART SPECIALISTS2300 N EDWARD SUITE 2400DECATUR, IL 62526PHONE: (217) 876-2400E-PRESCRIBE: NO
CARDIOLOGY
ADDAI, THEODORE R., MDGENDER: MNPI #: 1912985185PRAIRIE CARDIOVASCULAR CONSULTANTS LTD2300 N EDWARDS STDECATUR, IL 62526PHONE: (217) 422-6100E-PRESCRIBE: YES
AKER, NIDAL M., MDGENDER: MNPI #: 1083671911ILLINOIS HEART SPECIALISTS2300 N EDWARD SUITE 2400DECATUR, IL 62526PHONE: (217) 876-2400E-PRESCRIBE: NO
CACERES, LUIS J., MDGENDER: MNPI #: 1942381496PRAIRIE CARDIOVASCULAR CONSULTANTS LTD1800 E LAKE SHORE DRDECATUR, IL 62521PHONE: (217) 422-6100E-PRESCRIBE: YES
JYOTHINAGARAM, MADHU G., MD
GENDER: MNPI #: 1114983491ILLINOIS HEART SPECIALISTS2300 N EDWARD SUITE 2400DECATUR, IL 62526PHONE: (217) 876-2400E-PRESCRIBE: NO
DECATUR, IL
DAVENPORT, IADECATUR, IL
Specialty Care Providers
233 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
KAIROUZ, JEANNE M., MDGENDER: FNPI #: 1003846908PRAIRIE CARDIOVASCULAR CONSULTANTS LTD1800 E LAKE SHORE DRDECATUR, IL 62521PHONE: (217) 422-6100E-PRESCRIBE: NO
KOLA, MANOHAR, MDGENDER: MNPI #: 1982786273PRAIRIE CARDIOVASCULAR CONSULTANTS LTD2300 N EDWARDS STDECATUR, IL 62526PHONE: (217) 422-6100E-PRESCRIBE: NO
KOLLURU, ANURADHA, MDGENDER: FNPI #: 1124261532ILLINOIS HEART SPECIALIST2300 N EDWARD ST SUITE 2400DECATUR, IL 62526PHONE: (217) 876-2400E-PRESCRIBE: NO
PATEL, KRISHAN, MDGENDER: MNPI #: 1699857615PRAIRIE CARDIOVASCULAR CONSULTANTS LTD2300 N EDWARDS STDECATUR, IL 62526PHONE: (217) 422-6100E-PRESCRIBE: YES
TURGUT, TANSEL, MDGENDER: MNPI #: 1104829886ILLINOIS HEART SPECIALISTS2300 N EDWARD SUITE 2400DECATUR, IL 62526PHONE: (217) 876-2400E-PRESCRIBE: NO
WATERS, JOHN S., MDGENDER: MNPI #: 1033176656ILLINOIS HEART SPECIALISTS2300 N EDWARD SUITE 2400DECATUR, IL 62526PHONE: (217) 876-2400E-PRESCRIBE: YES
COLON/RECTAL SURGERY
DEKOJ, THOMAS R., MDGENDER: MNPI #: 1053514646SURGICAL SPECIALISTS OF CENTRAL IL1750 E LAKE SHORE DR SUITE 200DECATUR, IL 62521PHONE: (217) 428-6300E-PRESCRIBE: NO
DERMATOLOGY
BABICH, DEBRA, MDGENDER: FNPI #: 1649215757304 W HAY ST SUITE 313DECATUR, IL 62526PHONE: (217) 876-6890E-PRESCRIBE: NO
LEE, FRANCIS C., MDGENDER: FNPI #: 1396735114THE LEE INSTITUTE OF SKIN AND LASER606 W PERSHING RD SUITE EDECATUR, IL 62526PHONE: (217) 877-7171E-PRESCRIBE: NO
GASTROENTEROLOGY
BARPUJARI, VIKRAM, MDGENDER: MNPI #: 1396729190HSHS MEDICAL GROUP1750 E LAKE SHORE DRDECATUR, IL 62521PHONE: (217) 464-1220E-PRESCRIBE: NO
DILORENZO, RICHARD R., DO
GENDER: MNPI #: 1528090164INTERNAL MEDICINE SUBSPECIALTY ASSOCIATES LTDTWO MEMORIAL DR SUITE 101DECATUR, IL 62526PHONE: (217) 875-2640E-PRESCRIBE: NO
ELOY, VICTOR, MDGENDER: MNPI #: 1942232558INTERNAL MEDICINE SUBSPECIALTY ASSOCIATES LTDTWO MEMORIAL DR SUITE 101DECATUR, IL 62526PHONE: (217) 875-2640E-PRESCRIBE: NO
SHETH, SUDHAKAR K., MDGENDER: MNPI #: 1699707679INTERNAL MEDICINE SUBSPECIALTY ASSOCIATES LTDTWO MEMORIAL DR SUITE 101DECATUR, IL 62526PHONE: (217) 875-2640E-PRESCRIBE: NO
DECATUR, ILDECATUR, IL
Specialty Care Providers
234* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
GENERAL SURGERY
BAILEY, TIMOTHY S., MDGENDER: MNPI #: 10533789761770 E LAKE SHORE DR SUITE 203DECATUR, IL 62521PHONE: E-PRESCRIBE: NO
DECATUR MEMORIAL HOSPITAL2300 N EDWARD STDECATUR, IL 62526PHONE: (217) 877-5421E-PRESCRIBE: NO
DEKOJ, THOMAS R., MDGENDER: MNPI #: 1053514646SURGICAL SPECIALISTS OF CENTRAL IL1750 E LAKE SHORE DR SUITE 200DECATUR, IL 62521PHONE: (217) 428-6300E-PRESCRIBE: NO
GILMAN III, ALBERT F., MDGENDER: MNPI #: 1225094436302 W HAY ST SUITE 140DECATUR, IL 62526PHONE: (217) 877-5421E-PRESCRIBE: NO
LIU, GEORGE, MDGENDER: MNPI #: 1528164951DECATUR MEMORIAL HOSPITAL304 W HAY ST SUITE 205DECATUR, IL 62526PHONE: (217) 877-7718E-PRESCRIBE: NO
MAIBENCO, DOUGLAS C., MD
GENDER: MNPI #: 1366424061SURGICAL SPECIALISTS OF DECATUR SC1750 E LAKESHORE DR SUITE 200DECATUR, IL 62521PHONE: (217) 428-6300E-PRESCRIBE: NO
ROGERS, DWAIN M., MDGENDER: MNPI #: 1548310543SURGICAL SPECIALISTS OF CENTRAL ILLINOIS1750 E LAKE SHORE DR SUITE 200DECATUR, IL 62521PHONE: (217) 428-6300E-PRESCRIBE: NO
SHERWOOD, SCOTT E., MDGENDER: MNPI #: 1295791341302 W HAY ST SUITE 205DECATUR, IL 62526PHONE: (217) 877-7718E-PRESCRIBE: NO
TRACHTENBERG, JEFFREY D., MD
GENDER: MNPI #: 1821070517SURGICAL SPECIALISTS OF DECATUR SC1750 E LAKESHORE DR SUITE 200DECATUR, IL 62521PHONE: (217) 428-6300E-PRESCRIBE: NO
GERIATRICS
MCCORMACK, ANTHONY T., MD
GENDER: MNPI #: 1154388791ANTHONY T MCCORMACK MD102 W KENWOOD SUITE 130DECATUR, IL 62526PHONE: (217) 876-6350E-PRESCRIBE: NO
PATEL, DHIRENDRA K., MDGENDER: MNPI #: 1306837471ST MARYS ADULT & GERATRIC MEDICINE2981 N MAIN STDECATUR, IL 62526PHONE: (217) 877-9775E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
ESPARAZ, BENJAMIN T., MDGENDER: MNPI #: 1275502940CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS210 W MCKINLEY AVE SUITE 1DECATUR, IL 62526PHONE: (217) 876-6600E-PRESCRIBE: NO
ESTRADA, DELORES, MDGENDER: FNPI #: 1316950033CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS210 W MCKINLEY SUITE 1DECATUR, IL 62526PHONE: (217) 876-6600E-PRESCRIBE: NO
DECATUR, ILDECATUR, IL
Specialty Care Providers
235 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
GUAGLIANONE, PERRY P., MD
GENDER: MNPI #: 1932168309CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS210 W MCKINLEY SUITE 1DECATUR, IL 62526PHONE: (217) 876-6600E-PRESCRIBE: NO
KAIROUZ, SEBASTIEN S., MDGENDER: MNPI #: 13967010091990 E LAKESHORE DRDECATUR, IL 62521PHONE: (217) 464-2900E-PRESCRIBE: YES
CANCER CARE SPECIALISTS OF CENTRAL IL210 W MCKINLEY SUITE 1DECATUR, IL 62526PHONE: (217) 876-6600E-PRESCRIBE: YES
VELASCO JR, MARIO R., MDGENDER: MNPI #: 1326007782CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS210 W MCKINLEY SUITE 1DECATUR, IL 62526PHONE: (217) 876-6600E-PRESCRIBE: NO
WADE, JAMES L., MDGENDER: MNPI #: 1992774459CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS210 W MCKINLEY AVE SUITE 1DECATUR, IL 62526PHONE: E-PRESCRIBE: NO
INFECTIOUS DISEASES
MINNAGANTI, VENKAT R., MD
GENDER: MNPI #: 1407812746INFECTIOUS DISEASE SPECIALISTS OF CENTRAL IL304 W HAY ST SUITE 212DECATUR, IL 62526PHONE: (217) 876-4390E-PRESCRIBE: NO
SALIK, SYED Z., MDGENDER: MNPI #: 1265408694SUITE 3401900 E LAKE SHORE DRDECATUR, IL 62521PHONE: (217) 791-6703E-PRESCRIBE: NO
INTERVENTIONAL RADIOLOGY
BRUMIT, J MARK, MDGENDER: MNPI #: 1306826052DECATUR MEMORIAL HOSPITAL2300 N EDWARD STDECATUR, IL 62526PHONE: (217) 876-6730E-PRESCRIBE: NO
WIARDA, HOWARD E., MDGENDER: MNPI #: 1801881255DECATUR MEMORIAL HOSPITAL2300 N EDWARD STDECATUR, IL 62526PHONE: (217) 876-6730E-PRESCRIBE: NO
NEPHROLOGY
DAWOOD, MOHAMMED, MDGENDER: MNPI #: 1174589576441 W HAY STDECATUR, IL 62526PHONE: (217) 876-6860E-PRESCRIBE: YES
HASNAIN, MOHAMMAD, MDGENDER: MNPI #: 1093772998441 W HAY STDECATUR, IL 62526PHONE: (217) 876-6860E-PRESCRIBE: YES
QURESHI, MUHAMMAD M., MD
GENDER: MNPI #: 1427042985411 W HAY ST 2ND FLOORDECATUR, IL 62526PHONE: (217) 876-6860E-PRESCRIBE: YES
NEUROLOGY
COLLINS, ANTHONY F., MDGENDER: MNPI #: 1851358774MIDWEST NEUROLOGY ASSOCIATES SC302 W HAY ST SUITE LL110DECATUR, IL 62526PHONE: (217) 872-7000E-PRESCRIBE: NO
DEVLESCHOWARD, ALLEN, MD
GENDER: MNPI #: 1326191503DECATUR NEUROLOGICAL ASSOCIATES LTD302 W HAY ST SUITE 210DECATUR, IL 62526PHONE: (217) 877-5943E-PRESCRIBE: NO
DECATUR, ILDECATUR, IL
Specialty Care Providers
236* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
DOVE, DOUGLAS J., MDGENDER: MNPI #: 1356418586TWO MEMORIAL DR SUITE 200DECATUR, IL 62526PHONE: (217) 876-2770E-PRESCRIBE: NO
MAHMOOD, RANA H., MDGENDER: MNPI #: 1043363211DECATUR NEUROLOGICAL ASSOCIATES LTD302 W HAY ST SUITE 210DECATUR, IL 62526PHONE: (217) 877-5943E-PRESCRIBE: NO
NEUROSURGERY
DOLD, OLIVER N R., MDGENDER: MNPI #: 1508822701TWO MEMORIAL DR SUITE 207DECATUR, IL 62526PHONE: (217) 876-2780E-PRESCRIBE: NO
FULBRIGHT, THOMAS D., MDGENDER: MNPI #: 1659381531DECATUR NEUROSURGICAL ASSOCIATESTWO MEMORIAL DR SUITE 207DECATUR, IL 62526PHONE: (217) 876-2780E-PRESCRIBE: NO
KRAUS JR, ROBERT R., MDGENDER: MNPI #: 1962469734DECATUR NEUROSURGICAL ASSOCIATESTWO MEMORIAL DR SUITE 207DECATUR, IL 62526PHONE: (217) 876-2780E-PRESCRIBE: NO
PENCEK, TERRENCE L., MDGENDER: MNPI #: 1417061086ST MARYS NEURO & ORTHOPAEDIC MEDICINE1750 E LAKESHORE DR SUITE 110DECATUR, IL 62521PHONE: (217) 464-1200E-PRESCRIBE: NO
RAHMAN, MOHAMMED A., DO
GENDER: MNPI #: 1396073813HSHS MEDICAL GROUP1750 E LAKE SHORE DR SUITE 110ADECATUR, IL 62521PHONE: (217) 464-1200E-PRESCRIBE: NO
OCCUPATIONAL MEDICINE
BARNES, RONALD L., MDGENDER: MNPI #: 1962469981DMH URGENT CARE2120 N 27TH STDECATUR, IL 62526PHONE: (217) 876-4940E-PRESCRIBE: NO
DOCTORS FAMILY PRACTICE2975 N WATER STDECATUR, IL 62526PHONE: (217) 876-5320E-PRESCRIBE: NO
SHORE/DMH CORPORATE HEALTH2122 N 27TH STDECATUR, IL 62526PHONE: (217) 423-3100E-PRESCRIBE: NO
ETHIRAJ, RAJESH K., MDGENDER: MNPI #: 1669667242HSHS MEDICAL GROUP1750 E LAKE SHORE DRDECATUR, IL 62521PHONE: (217) 464-1440E-PRESCRIBE: NO
FISCHER, DON A., MDGENDER: MNPI #: 19828837812120 N 27TH STDECATUR, IL 62526PHONE: (217) 876-4041E-PRESCRIBE: NO
DOCTORS FAMILY PRACTICE2975 N WATER STDECATUR, IL 62526PHONE: (217) 876-5320E-PRESCRIBE: NO
OPHTHALMOLOGY
ALWARD, PHILLIP D., MDGENDER: MNPI #: 1699735415CENTER FOR SIGHT OF CENTRAL ILLINOIS304 W HAY ST SUITE 311DECATUR, IL 62526PHONE: (217) 877-5050E-PRESCRIBE: NO
APRAHAMIAN, ARA D., MDGENDER: MNPI #: 1528015013GAILEY EYE CLINIC646 W PERSHING RDDECATUR, IL 62526PHONE: (217) 875-0300E-PRESCRIBE: NO
DECATUR, ILDECATUR, IL
Specialty Care Providers
237 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
BARBA, KENNETH R., MDGENDER: MNPI #: 1265473706GAILEY EYE CLINIC646 W PERSHING RDDECATUR, IL 62526PHONE: (217) 875-0300E-PRESCRIBE: NO
DERANIAN, MARCUS S., MDGENDER: MNPI #: 1952367351CENTRAL ILLINOIS VISION CENTER2442 STATE ROUTE 121 NWDECATUR, IL 62526PHONE: (217) 233-3101E-PRESCRIBE: YES
4837 E ROUTE 36DECATUR, IL 62521PHONE: (217) 864-1362E-PRESCRIBE: YES
FARRIS, STUART R., MDGENDER: MNPI #: 1144279498PRAIRIE EYE CENTER LTD2422 NW RT 121DECATUR, IL 62526PHONE: E-PRESCRIBE: NO
HALPERIN, GREGORY I., MDGENDER: MNPI #: 1760423206GAILEY EYE CLINIC646 W PERSHING RDDECATUR, IL 62526PHONE: (217) 875-0300E-PRESCRIBE: NO
HARMAN, JOSEPH G., MDGENDER: MNPI #: 1942241484GAILEY EYE CLINIC646 W PERSHING RDDECATUR, IL 62526PHONE: (217) 875-0300E-PRESCRIBE: NO
LEE, JOHN C., MDGENDER: MNPI #: 10130729901714 BLAINE LANEDECATUR, IL 62526PHONE: (217) 423-9000E-PRESCRIBE: NO
LEE, ROBERT M., MDGENDER: MNPI #: 1699716118GAILEY EYE CLINIC646 W PERSHING RDDECATUR, IL 62526PHONE: (217) 875-0300E-PRESCRIBE: NO
ODIN, LANNY S., MDGENDER: MNPI #: 1457309130PRAIRIE EYE CENTER304 W HAY ST SUITE 311DECATUR, IL 62526PHONE: (217) 877-5050E-PRESCRIBE: NO
TIN, MAUNG M., MDGENDER: MNPI #: 1760592414ADVANCE VISION EYECARE1770 E LAKE SHORE DR SUITE 206DECATUR, IL 62521PHONE: (217) 233-1405E-PRESCRIBE: NO
ORTHOPAEDICS
BRITT, JOHN E., MDGENDER: MNPI #: 1366543910ST MARYS NEURO & ORTHOPAEDIC MEDICINE1750 E LAKE SHORE DR SUITE 110DECATUR, IL 62521PHONE: (217) 464-1200E-PRESCRIBE: NO
HUSS, STEPHEN M., MDGENDER: MNPI #: 1285638072304 W HAY ST SUITE 213DECATUR, IL 62526PHONE: (217) 875-1518E-PRESCRIBE: NO
TUAN, KENNETH, MDGENDER: MNPI #: 1477520955ORTHOPAEDIC & REHABILITATION SPECIALISTS304 W HAY ST SUITE 218DECATUR, IL 62526PHONE: (217) 877-2088E-PRESCRIBE: NO
OTOLARYNGOLOGY
ASLAM, AZHAR, MDGENDER: MNPI #: 19220573711770 E LAKESHORE DR SUITE 103DECATUR, IL 62521PHONE: (217) 422-9036E-PRESCRIBE: NO
CHADWICK, STEPHEN J., MDGENDER: MNPI #: 11048837351770 E LAKE SHORE DR SUITE 203DECATUR, IL 62521PHONE: (217) 876-3342E-PRESCRIBE: NO
DECATUR MEMORIAL HOSPITAL MEDICAL GROUP101 W MCKINLEY AVEDECATUR, IL 62524PHONE: (217) 876-3342E-PRESCRIBE: NO
DECATUR, ILDECATUR, IL
Specialty Care Providers
238* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
SOBOL, STEVEN M., MDGENDER: MNPI #: 15987227121770 E LAKE SHORE DR SUITE 203DECATUR, IL 62521PHONE: (217) 876-3682E-PRESCRIBE: NO
DECATUR MEMORIAL HOSPITAL MEDICAL GROUP101 W MCKINLEY AVEDECATUR, IL 62524PHONE: (217) 876-3682E-PRESCRIBE: NO
ULIS, JEFFREY M., MDGENDER: MNPI #: 1568646842DECATUR MEMORIAL HOSPITAL MEDICAL GROUP101 W MCKINLEY AVEDECATUR, IL 62524PHONE: (217) 876-3342E-PRESCRIBE: NO
WOODS, TERENCE R., MDGENDER: MNPI #: 15280265801770 E LAKE SHORE DR SUITE 203DECATUR, IL 62521PHONE: (217) 876-3682E-PRESCRIBE: NO
DECATUR MEMORIAL HOSPITAL MEDICAL GROUP101 W MCKINLEY AVEDECATUR, IL 62526PHONE: (217) 876-3682E-PRESCRIBE: NO
PAIN MANAGEMENT
BENYAMIN, RAMSIN, MDGENDER: MNPI #: 1215924410DMH MILLENNIUM PAIN CENTER302 W HAY SUITE LL 100DECATUR, IL 62526PHONE: (217) 876-6640E-PRESCRIBE: NO
FANCHER, SHANE R., MDGENDER: MNPI #: 1427055433CENTRAL ILLINOIS ASSOCIATES1800 E LAKESHORE DRDECATUR, IL 62521PHONE: (217) 464-2729E-PRESCRIBE: NO
FANCHER, SHANE, MDGENDER: MNPI #: 1427055433PAIN CONSULTANTS OF CENTRAL IL1800 E LAKESHORE DR SUITE 2500DECATUR, IL 62521PHONE: (217) 464-2729E-PRESCRIBE: NO
FURRY, JOHN M., MDGENDER: MNPI #: 1245237304CENTRAL ILLINOIS ASSOCIATES1800 E LAKESHORE DRDECATUR, IL 62521PHONE: (217) 464-2729E-PRESCRIBE: NO
FURRY, JOHN, MDGENDER: MNPI #: 1245237304PAIN CONSULTANTS OF CENTRAL IL1800 E LAKESHORE DRIVE SUITE 2500DECATUR, IL 62521PHONE: (217) 464-2729E-PRESCRIBE: NO
REHMAN, ATIQ U., MDGENDER: MNPI #: 1457373730DMH MILLENNIUM PAIN CENTER302 W HAY SUITE LL 100DECATUR, IL 62526PHONE: (217) 876-6640E-PRESCRIBE: NO
UNDERWOOD, JOHN (RANDALL), MD
GENDER: MNPI #: 1962467555PAIN CONSULTANTS OF CENTRAL IL1800 E LAKESHORE DRIVE SUITE 2500DECATUR, IL 62521PHONE: E-PRESCRIBE: NO
UNDERWOOD, JOHN, MDGENDER: MNPI #: 1962467555CENTRAL ILLINOIS ASSOCIATES1800 E LAKESHORE DRDECATUR, IL 62521PHONE: (217) 464-2729E-PRESCRIBE: NO
DECATUR, ILDECATUR, IL
Specialty Care Providers
239 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
VALLEJO, RICARDO, MDGENDER: MNPI #: 1669469706DMH MILLENNIUM PAIN CENTER302 W HAY SUITE LL 100DECATUR, IL 62526PHONE: (217) 876-6640E-PRESCRIBE: NO
PEDIATRIC CARDIOLOGY
BASH, STEPHEN E., MDGENDER: MNPI #: 14170416662300 N EDWARDS STDECATUR, IL 62526PHONE: (309) 655-3453E-PRESCRIBE: NO
PHYSICAL MEDICINE/REHABILITATION
WU, SUSAN, MDGENDER: FNPI #: 1639146111ORTHOPAEDIC AND REHABILITATION SPECIALISTS304 W HAY ST SUITE 218DECATUR, IL 62526PHONE: (217) 876-2868E-PRESCRIBE: NO
PLASTIC RECONSTRUCTIVE SURGERY
YOUNGERMAN, JORDAN S., MD
GENDER: FNPI #: 1992724553110 PHYSICIANS PLAZA EAST1 MEMORIAL DRDECATUR, IL 62526PHONE: (217) 424-2442E-PRESCRIBE: NO
PODIATRY
CLARK, MICHAEL E., DPMGENDER: MNPI #: 1346343944102 W KENWOOD AVE SUITE 160DECATUR, IL 62526PHONE: (217) 877-0444E-PRESCRIBE: NO
KOVACH, STEPHEN, DPMGENDER: MNPI #: 1447397468FAMILY FOOT & ANKLE CLINIC PC1390 N FAIRVIEW AVEDECATUR, IL 62526PHONE: (217) 429-1512E-PRESCRIBE: NO
LEONARD, W MARC, DPMGENDER: MNPI #: 1710098652CFAC INCORPORATED1390 N FAIRVIEW AVEDECATUR, IL 62526PHONE: (309) 212-3066E-PRESCRIBE: NO
PIERSON, LYNAE A., DPMGENDER: FNPI #: 1952448961FAMILY FOOT & ANKLE CLINIC PC1390 N FAIRVIEW AVEDECATUR, IL 62526PHONE: (217) 429-1512E-PRESCRIBE: NO
POTTS, SAMUEL E., DPMGENDER: MNPI #: 1326058447TWO MEMORIAL DR SUITE 201DECATUR, IL 62526PHONE: (217) 875-6980E-PRESCRIBE: NO
VAUGHN, DENNIS R., DPMGENDER: MNPI #: 1497789572102 W KENWOOD AVESUITE 160DECATUR, IL 62526PHONE: (217) 877-0444E-PRESCRIBE: NO
PULMONOLOGY
ARNOLD, J STEVEN, MDGENDER: MNPI #: 1851366967CENTRAL ILLINOIS LUNG INTERNISTS2300 N EDWARD STDECATUR, IL 62526PHONE: (217) 876-4200E-PRESCRIBE: NO
COHEN, CAROL A., MDGENDER: FNPI #: 1295700763CENTRAL ILLINOIS LUNG INTERNISTS2300 N EDWARD STDECATUR, IL 62526PHONE: (217) 876-4200E-PRESCRIBE: NO
NAZZAL, KHALED M., MDGENDER: MNPI #: 1881859726CENTRAL ILLINOIS LUNG INTERNISTS ASSOC2300 N EDWARD STDECATUR, IL 62526PHONE: (217) 876-4200E-PRESCRIBE: NO
VERMA, AJAY, MDGENDER: MNPI #: 1285609321CENTRAL ILLINOIS LUNG INTERNISTS2300 N EDWARD STDECATUR, IL 62526PHONE: (217) 876-4200E-PRESCRIBE: NO
DECATUR, ILDECATUR, IL
Specialty Care Providers
240* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
RADIATION ONCOLOGY
DEPAZ, MARYANNE C., MDGENDER: FNPI #: 1700846664CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS1990 E LAKESHORE DRDECATUR, IL 62521PHONE: (217) 464-2900E-PRESCRIBE: NO
210 W MCKINLEY SUITE 2DECATUR, IL 62526PHONE: (217) 876-6600E-PRESCRIBE: NO
2300 N EDWARD STDECATUR, IL 62526PHONE: (217) 876-2350E-PRESCRIBE: NO
ELLIOTT, EDWARD C., MDGENDER: MNPI #: 1790748119CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS1990 E LAKESHORE DRDECATUR, IL 62521PHONE: (217) 464-2900E-PRESCRIBE: NO
210 W MCKINLEY SUITE 2DECATUR, IL 62526PHONE: (217) 876-6600E-PRESCRIBE: NO
2300 N EDWARD STDECATUR, IL 62526PHONE: (217) 876-2350E-PRESCRIBE: NO
MOORE, RENATA C., MDGENDER: FNPI #: 1851483572CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS1990 E LAKESHORE DRDECATUR, IL 62521PHONE: (217) 464-2900E-PRESCRIBE: NO
YOON, HAROLD A., MDGENDER: MNPI #: 1558566984CANCER CARE SPCIALISTS OF CENTRAL ILLINOIS210 W MCKINLEY SUITE 2DECATUR, IL 62526PHONE: (217) 876-6600E-PRESCRIBE: NO
CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS1990 E LAKESHORE DRDECATUR, IL 62521PHONE: (217) 464-2900E-PRESCRIBE: NO
2300 N EDWARD STDECATUR, IL 62526PHONE: (217) 876-2350E-PRESCRIBE: NO
RHEUMATOLOGY
TAN, NEHEMIAH T., MDGENDER: MNPI #: 1578520995NEHEMIAH TAN MD SC2499 N MONROE STDECATUR, IL 62526PHONE: (217) 876-6880E-PRESCRIBE: NO
THORACIC SURGERY
DERRICK, MARVIN J., MDGENDER: MNPI #: 14978558862300 N EDWARD ST SUITE 2350DECATUR, IL 62526PHONE: (217) 876-2880E-PRESCRIBE: NO
UROLOGY
CANHAM, JEFFREY R., MDGENDER: MNPI #: 1770582983302 W HAY ST SUITE 200DECATUR, IL 62526PHONE: (217) 877-8925E-PRESCRIBE: NO
FONDAHN, DEAN, MDGENDER: MNPI #: 1710074653HSHS MEDICAL GROUP1750 E LAKE SHORE DR SUITE 310DECATUR, IL 62521PHONE: (217) 464-1220E-PRESCRIBE: NO
TARTER, THOMAS H., MDGENDER: MNPI #: 1114913225CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS210 W MCKINLEY AVE SUITE 1DECATUR, IL 62526PHONE: (217) 876-6600E-PRESCRIBE: YES
TELLE, W BRIAN, MDGENDER: MNPI #: 1942267984301 W HAY STDECATUR, IL 62526PHONE: (217) 876-6840E-PRESCRIBE: NO
DECATUR, ILDECATUR, IL
Specialty Care Providers
241 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
VASCULAR SURGERY
GRAM, CHRISTOPHER H., MD
GENDER: MNPI #: 1528040219SURGICAL SPECIALISTS OF DECATUR SC1750 E LAKESHORE DR SUITE 200DECATUR, IL 62521PHONE: (217) 428-6300E-PRESCRIBE: NO
PEDIATRIC CARDIOLOGY
CHAN, DAVID P., MDGENDER: MNPI #: 1427057595OSF CHILDRENS MEDICAL GROUP-CONGENITAL HEART CEN215 E FIRST STDIXON, IL 61021PHONE: (815) 227-5600E-PRESCRIBE: NO
NEPHROLOGY
STUART, CHARLES M., MDGENDER: MNPI #: 1548227317MONROE CLINIC-DURAND400 S CENTER STDURAND, IL 61024PHONE: (815) 248-3443E-PRESCRIBE: NO
GENERAL SURGERY
PEPA, LEO G., MDGENDER: MNPI #: 1669551685201 PENNY AVE SUITE 200EAST DUNDEE, IL 60118PHONE: (847) 428-0400E-PRESCRIBE: NO
INFECTIOUS DISEASES
KAUR, AMANDEEP, MDGENDER: FNPI #: 1619195534COMMUNITY HEALTH CARE EAST MOLINE708 15TH AVEEAST MOLINE, IL 61244-2134PHONE: (563) 327-2105E-PRESCRIBE: NO
MOTWANI, BHARAT A., MDGENDER: MNPI #: 1902885445COMMUNITY HEALTH CARE EAST MOLINE708 15TH AVEEAST MOLINE, IL 61244-2134PHONE: (563) 327-2105E-PRESCRIBE: NO
PODIATRY
EVANS, GRETCHEN M., DPMGENDER: FNPI #: 1477504710RUSKUSKY FOOT & ANKLE CLINIC100 N MAIN ST SUITE 204EAST PEORIA, IL 61611PHONE: (309) 698-8637E-PRESCRIBE: NO
RUSKUSKY, JEFFREY R., DPM
GENDER: MNPI #: 1639129851RUSKUSKY FOOT & ANKLE CLINIC100 N MAIN ST SUITE 204EAST PEORIA, IL 61611PHONE: (309) 698-8637E-PRESCRIBE: NO
WHITE, SUZANNE S., DPMGENDER: FNPI #: 1033160437RUSKUSKY FOOT & ANKLE CLINIC100 N MAIN ST SUITE 204EAST PEORIA, IL 61611PHONE: (309) 698-8637E-PRESCRIBE: NO
GERIATRICS
HAKES, PAUL E., MDGENDER: MNPI #: 1750315602ADVOCATE MEDICAL GROUP385 S ORANGE STEL PASO, IL 61738PHONE: (309) 527-4900E-PRESCRIBE: NO
NEUROLOGY
CHAUHAN, SUNIL M., MDGENDER: MNPI #: 1912922881ADVOCATE MEDICAL GROUP385 S ORANGE STEL PASO, IL 61738PHONE: (309) 527-4900E-PRESCRIBE: NO
DIXON, IL
DURAND, IL
EAST DUNDEE, IL
EAST MOLINE, IL
EAST PEORIA, IL
EL PASO, IL
DECATUR, ILEL PASO, IL
Specialty Care Providers
242* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
PODIATRY
HINNERS, DEAN D., DPMGENDER: MNPI #: 1457374340901 STATE ST SUITE 2ELDORADO, IL 62930PHONE: (618) 273-9466E-PRESCRIBE: NO
CARDIAC ELECTROPHYSIOLOGY
MAHESHWARI, PRADEEP, MD
GENDER: MNPI #: 1568420578CARDIAC ARRHYTHMIA SERVICES LTD1425 N RANDALL RDELGIN, IL 60123PHONE: (847) 429-8988E-PRESCRIBE: NO
CARDIOLOGY
BERRY, CHRISTOPHER J., MD
GENDER: MNPI #: 1770668527PROVENA MEDICAL GROUP1435 N RANDALL RD SUITE 201ELGIN, IL 60123PHONE: (847) 931-4579E-PRESCRIBE: NO
BROMET, DAVID S., MDGENDER: MNPI #: 1841250958PROVENA MEDICAL GROUP1975 LIN LOR LANE SUITE 175ELGIN, IL 60123PHONE: (847) 717-0600E-PRESCRIBE: NO
BURKS, JAMES H., MDGENDER: MNPI #: 1821058819PROVENA MEDICAL GROUP1975 LIN LOR LANE SUITE 175ELGIN, IL 60123PHONE: (847) 717-0600E-PRESCRIBE: NO
HASAN, SYED A., MDGENDER: MNPI #: 1730115791VALLEY MEDICAL & CARDIAC CLINIC LTD87 N AIRLITE SUITE 100ELGIN, IL 60123PHONE: (847) 888-2320E-PRESCRIBE: NO
MAHESHWARI, PRADEEP, MD
GENDER: MNPI #: 1568420578CARDIAC ARRHYTHMIA SERVICES LTD1425 N RANDALL RDELGIN, IL 60123PHONE: (847) 429-8988E-PRESCRIBE: NO
NISAR, ASIM, MDGENDER: MNPI #: 1487754743PROVENA MEDICAL GROUP1435 N RANDALL RD SUITE 201ELGIN, IL 60123PHONE: (847) 931-4579E-PRESCRIBE: NO
PARK, RICHARD B., MDGENDER: MNPI #: 1568579027VALLEY MEDICAL & CARDIAC CLINIC LTD87 N AIRLITE SUITE 100ELGIN, IL 60123PHONE: (847) 888-2320E-PRESCRIBE: NO
RIAZ, MUHAMMAD K., MDGENDER: MNPI #: 1356433320PROVENA MEDICAL GROUP1435 N RANDALL RD SUITE 201ELGIN, IL 60123PHONE: (847) 931-4579E-PRESCRIBE: NO
SILBERT, AGNEISZKA J., MDGENDER: FNPI #: 1871543447PROVENA MEDICAL GROUP-WOMENS HEART CENTER77 N AIRLITEELGIN, IL 60123PHONE: (847) 654-1281E-PRESCRIBE: NO
ZAMANI, NEDA, MDGENDER: FNPI #: 1811935844PROVENA MEDICAL GROUP1435 N RANDALL RD SUITE 201ELGIN, IL 60123PHONE: (847) 931-4579E-PRESCRIBE: NO
ELDORADO, IL
ELGIN, IL
ELDORADO, ILELGIN, IL
Specialty Care Providers
243 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
DERMATOLOGY
BANGASH, SULEMAN J., DOGENDER: MNPI #: 1942302864MOHS SURGERY AND DERMATOLOGY CENTER1750 N RANDALL RD SUITE 120ELGIN, IL 60123PHONE: (847) 608-6647E-PRESCRIBE: NO
COX, JOHN W., MDGENDER: MNPI #: 1285838219MOHS SURGERY AND DERMATOLOGY CENTER1750 N RANDALL RD SUITE 120ELGIN, IL 60123PHONE: (847) 608-6647E-PRESCRIBE: NO
GERIATRICS
SUSARLA, VISWANATHAM, MD
GENDER: MNPI #: 1922014315V SUSARLA MD SC860 SUMMIT ST SUITE 123ELGIN, IL 60120PHONE: (847) 741-0026E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
ASLAM ZAHIR, SYED, MDGENDER: MNPI #: 1538156732FOX VALLEY HEMATOLOGY AND ONCOLOGY LTD1701 N RANDALL RD SUITE 300ELGIN, IL 60123PHONE: (847) 931-0909E-PRESCRIBE: NO
CAO, THOMAS L., MDGENDER: MNPI #: 1194797266MIDWEST ONCOLOGY HEMATOLOGY1435 N RANDALL RD SUITE 402ELGIN, IL 60123PHONE: (847) 717-6860E-PRESCRIBE: NO
DESAI, APURVA A., MDGENDER: MNPI #: 1861468100FOX VALLEY HEMATOLOGY AND ONCOLOGY LTD1710 N RANDALL RD SUITE 300ELGIN, IL 60123PHONE: (847) 931-0909E-PRESCRIBE: NO
MANJUNATH, RAJINI, MDGENDER: FNPI #: 1043207251FOX VALLEY HEMATOLOGY AND ONCOLOGY LTD1710 N RANDALL RD SUITE 300ELGIN, IL 60123PHONE: (847) 931-0909E-PRESCRIBE: NO
NABRINSKY, STANISLAV, MDGENDER: MNPI #: 1568459774FOX VALLEY HEMATOLOGY AND ONCOLOGY LTD1710 N RANDALL RD SUITE 300ELGIN, IL 60123PHONE: (847) 931-0909E-PRESCRIBE: NO
SINGH, VEERPAL, MDGENDER: MNPI #: 1295952596FOX VALLEY HEMATOLOGY AND ONCOLOGY LTD1710 N RANDALL RD SUITE 300ELGIN, IL 60123PHONE: (847) 931-0909E-PRESCRIBE: YES
YESHWANT, CHILAKAMARRI, MD
GENDER: MNPI #: 1518954890FOX VALLEY HEMATOLOGY AND ONCOLOGY LTD1710 N RANDALL RD SUITE 300ELGIN, IL 60123PHONE: (847) 931-0909E-PRESCRIBE: NO
INFECTIOUS DISEASES
AHMED, NOORUZSABHA, MDGENDER: FNPI #: 1407886401GERMBUSTERS1710 RANDALL RD SUITE 160ELGIN, IL 60123PHONE: (847) 741-4376E-PRESCRIBE: NO
CHUNDI, VISHNU, MDGENDER: MNPI #: 1558357905PROVENA ST JOSEPH MEDICAL CENTER77 N AIRLITE STELGIN, IL 60123PHONE: (847) 931-5534E-PRESCRIBE: NO
ELGIN, ILELGIN, IL
Specialty Care Providers
244* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
HUSTON, MARCIA J., MDGENDER: FNPI #: 1942234984OPEN DOOR CLINIC164 DIVISION ST SUITE 607ELGIN, IL 60120PHONE: (847) 695-1093E-PRESCRIBE: NO
IMDAD, ZARQA, MDGENDER: FNPI #: 1689660995METRO INFECTIOUS DISEASE CONSULTANTS LLC1435 N RANDALL RD SUITE 404ELGIN, IL 60120PHONE: (847) 741-5091E-PRESCRIBE: NO
PATEL, JANKI N., DOGENDER: FNPI #: 1659527281GERMBUSTERS1710 N RANDALL RD SUITE 160ELGIN, IL 60123PHONE: (847) 741-4376E-PRESCRIBE: NO
PHILLIPS, MARTIN T., MDGENDER: MNPI #: 1003802349PROVENA ST JOSEPH HOSPITAL77 N AIRLITE STELGIN, IL 60123PHONE: E-PRESCRIBE: NO
SAJO, MYRIA L., MDGENDER: FNPI #: 1710169065GERMBUSTERS1710 N RANDALL RD #160ELGIN, IL 60123PHONE: (847) 741-1790E-PRESCRIBE: NO
SCHIAPPA, DEBORAH A., DOGENDER: FNPI #: 1174553176GERMBUSTERS1710 RANDALL RD SUITE 160ELGIN, IL 60123PHONE: (847) 741-4376E-PRESCRIBE: NO
SHARMA, MONICA, DOGENDER: FNPI #: 1477710788GERMBUSTERS1710 RANDALL RD SUITE 160ELGIN, IL 60123PHONE: (847) 741-4376E-PRESCRIBE: NO
TAORMINA, MIA A., DOGENDER: FNPI #: 1972716017GERMBUSTERS1710 RANDALL RD SUITE 160ELGIN, IL 60123PHONE: (847) 741-4376E-PRESCRIBE: NO
TIBALLI, ROBERT N., DOGENDER: MNPI #: 1194757427GERMBUSTERS1710 RANDALL RD SUITE 160ELGIN, IL 60123PHONE: (847) 741-4376E-PRESCRIBE: NO
INTENSIVE CARE/CRITICAL CARE
AHMAD, ZUBAIR, MDGENDER: MNPI #: 1215920533PULMONARY CRITICAL CARE & SLEEP MED SPECIALISTS1710 N RANDALL RD SUITE 260ELGIN, IL 60123PHONE: (847) 931-7900E-PRESCRIBE: NO
HUSSAIN, MUJAHID, MDGENDER: MNPI #: 1063405223PULMONARY CRITICAL CARE & SLEEP MED SPECIALISTS1710 N RANDALL RD SUITE 260ELGIN, IL 60123PHONE: (847) 931-7900E-PRESCRIBE: NO
IVANOVICH, MATTHEW A., MD
GENDER: MNPI #: 1174516314PULMONARY CRITICAL CARE & SLEEP MED SPECIALISTS1710 N RANDALL RD SUITE 260ELGIN, IL 60123PHONE: (847) 931-7900E-PRESCRIBE: NO
NEPOMUCENO, DANIEL, MDGENDER: MNPI #: 1366435513PULMONARY CRITICAL CARE & SLEEP MED SPECIALISTS1710 N RANDALL RD SUITE 260ELGIN, IL 60123PHONE: (847) 931-7900E-PRESCRIBE: NO
NEPHROLOGY
DAMARAJU, RAVI K., MDGENDER: MNPI #: 16695864751710 N RANDALL RD STE 330ELGIN, IL 60123PHONE: (847) 531-5911E-PRESCRIBE: NO
ELGIN, ILELGIN, IL
Specialty Care Providers
245 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
NEUROLOGY
SETHI, PRADIP, MDGENDER: MNPI #: 1013009653NORTHWEST SLEEP CENTER40 N AIRLITE ST SUITE 2ELGIN, IL 60123PHONE: (847) 695-0985E-PRESCRIBE: NO
PULMONARY CRITICAL CARE & SLEEP MED SPECIALISTS1710 N RANDALL RD SUITE 260ELGIN, IL 60123PHONE: (847) 931-7900E-PRESCRIBE: NO
NUCLEAR MEDICINE
NISAR, NIGHAT, MDGENDER: MNPI #: 1487774782PROVENA MEDICAL GROUP1435 N RANDALL RD SUITE 201ELGIN, IL 60123PHONE: (847) 931-4200E-PRESCRIBE: NO
ORTHOPAEDICS
BERKSON, MICHAEL H., MDGENDER: MNPI #: 1427057728ASSOCIATES IN ORTHOPAEDIC SURGERY SC1435 N RANDALL RD SUITE 103ELGIN, IL 60123PHONE: (847) 888-0750E-PRESCRIBE: NO
KAZAGLIS, JEFFREY A., MDGENDER: MNPI #: 1295846038ASSOCIATES IN ORTHOPAEDIC SURGERY SC1435 N RANDALL RD SUITE 103ELGIN, IL 60123PHONE: (847) 888-0750E-PRESCRIBE: NO
MOX, SCOTT W., MDGENDER: MNPI #: 1043210701ASSOCIATES IN ORTHOPAEDIC SURGERY SC1435 N RANDALL RD SUITE 103ELGIN, IL 60123PHONE: (847) 888-0750E-PRESCRIBE: NO
PEDIATRIC CARDIOLOGY
CHAN, DAVID P., MDGENDER: MNPI #: 1427057595OSF CHILDRENS MEDICAL GROUP-CONGENITAL HEART CEN1435 N RANDALL RD SUITE 408ELGIN, IL 60123PHONE: (815) 227-5600E-PRESCRIBE: NO
PULMONOLOGY
AHMAD, ZUBAIR, MDGENDER: MNPI #: 1215920533PULMONARY CRITICAL CARE & SLEEP MED SPECIALISTS1710 N RANDALL RD SUITE 260ELGIN, IL 60123PHONE: (847) 931-7900E-PRESCRIBE: NO
HUSSAIN, MUJAHID, MDGENDER: MNPI #: 1063405223PULMONARY CRITICAL CARE & SLEEP MED SPECIALISTS1710 N RANDALL RD SUITE 260ELGIN, IL 60123PHONE: (847) 931-7900E-PRESCRIBE: NO
IVANOVICH, MATTHEW A., MD
GENDER: MNPI #: 1174516314PULMONARY CRITICAL CARE & SLEEP MED SPECIALISTS1710 N RANDALL RD SUITE 260ELGIN, IL 60123PHONE: (847) 931-7900E-PRESCRIBE: NO
JORDAN, ASHBY M., MDGENDER: MNPI #: 1326031436PULMONARY CRITICAL CARE & SLEEP MED SPECIALISTS1710 N RANDALL RD SUITE 260ELGIN, IL 60123PHONE: (847) 931-7900E-PRESCRIBE: NO
NEPOMUCENO, DANIEL, MDGENDER: MNPI #: 1366435513PULMONARY CRITICAL CARE & SLEEP MED SPECIALISTS1710 N RANDALL RD SUITE 260ELGIN, IL 60123PHONE: (847) 931-7900E-PRESCRIBE: NO
ELGIN, ILELGIN, IL
Specialty Care Providers
246* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
RADIATION ONCOLOGY
BUGNO, TERRENCE J., MDGENDER: MNPI #: 1235163437MIDWEST RADIATION ONCOLOGY CONSULTANTS LTD77 N AIRLITE STELGIN, IL 60123PHONE: (847) 931-5520E-PRESCRIBE: NO
COKE, COURTNEY C., MDGENDER: MNPI #: 1841224045MIDWEST RADIATION ONCOLOGY CONSULTANTS LTD77 N AIRLITE STELGIN, IL 60123PHONE: (847) 931-5520E-PRESCRIBE: NO
SHAFER, JEFFREY P., MDGENDER: MNPI #: 1003841289MIDWEST RADIATION ONCOLOGY CONSULTANTS LTD77 N AIRLITE STELGIN, IL 60123PHONE: (847) 931-5520E-PRESCRIBE: NO
SUH, DAVID B., MDGENDER: MNPI #: 1396768255MIDWEST RADIATION ONCOLOGY CONSULTANTS LTD77 N AIRLITE STELGIN, IL 60123PHONE: (847) 931-5520E-PRESCRIBE: NO
SLEEP MEDICINE
JORDAN, ASHBY M., MDGENDER: MNPI #: 1326031436PULMONARY CRITICAL CARE & SLEEP MED SPECIALISTS1710 N RANDALL RD SUITE 260ELGIN, IL 60123PHONE: (847) 931-7900E-PRESCRIBE: NO
NEPOMUCENO, DANIEL, MDGENDER: MNPI #: 1366435513PULMONARY CRITICAL CARE & SLEEP MED SPECIALISTS1710 N RANDALL RD SUITE 260ELGIN, IL 60123PHONE: (847) 931-7900E-PRESCRIBE: NO
SETHI, PRADIP, MDGENDER: MNPI #: 1013009653NORTHWEST SLEEP CENTER40 N AIRLITE ST SUITE 2ELGIN, IL 60123PHONE: (847) 695-0985E-PRESCRIBE: NO
PULMONARY CRITICAL CARE & SLEEP MED SPECIALISTS1710 N RANDALL RD SUITE 260ELGIN, IL 60123PHONE: (847) 931-7900E-PRESCRIBE: NO
CARDIOLOGY
BRAASTAD, ROBERT A., MDGENDER: MNPI #: 1487619573ADVOCATE MEDICAL GROUP101 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-2371E-PRESCRIBE: NO
GANDHI, SIDDHARTH J., MDGENDER: MNPI #: 1831226042ADVOCATE MEDICAL GROUP101 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-2371E-PRESCRIBE: NO
JARZABKOWSKI, DORY, DOGENDER: FNPI #: 1083651939ADVOCATE MEDICAL GROUP101 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-2371E-PRESCRIBE: NO
SHAH, SAMIR H., MDGENDER: MNPI #: 1720028632ADVOCATE MEDICAL GROUP101 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-2371E-PRESCRIBE: NO
EUREKA, IL
ELGIN, ILEUREKA, IL
Specialty Care Providers
247 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
TEMIYASATHIT, THANOM, MD
GENDER: MNPI #: 1023041175ADVOCATE MEDICAL GROUP101 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-2371E-PRESCRIBE: NO
TUMILTY, BETH L., DOGENDER: FNPI #: 1033159959ADVOCATE MEDICAL GROUP101 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-2371E-PRESCRIBE: NO
WERAARCHAKUL, WITOON, MD
GENDER: MNPI #: 1366494544ADVOCATE MEDICAL GROUP101 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-2371E-PRESCRIBE: NO
GASTROENTEROLOGY
AL-RASHDAN, ABDULLAH, MD
GENDER: MNPI #: 1588831721ILLINOIS GASTROENTEROLOGY INSTITUTE SC101 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-2371E-PRESCRIBE: NO
BALDWIN, TERRY L., MDGENDER: MNPI #: 1346276284ILLINOIS GASTROENTEROLOGY INSTITUTE SC101 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-2371E-PRESCRIBE: NO
CAMACHO, KENNETH, MDGENDER: MNPI #: 1750323424ILLINOIS GASTROENTEROLOGY INSTITUTE SC101 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-2371E-PRESCRIBE: NO
ELLAHI, WASIM, MDGENDER: MNPI #: 1285678599ILLINOIS GASTROENTEROLOGY INSTITUTE SC101 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-2371E-PRESCRIBE: NO
KHAISER, NOOR A., MDGENDER: MNPI #: 1487696126ILLINOIS GASTROENTEROLOGY INSTITUTE SC101 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-2371E-PRESCRIBE: NO
KUGANESWARAN, ELIATHAMBY, MD
GENDER: MNPI #: 1073555488ILLINOIS GASTROENTEROLOGY INSTITUTE SC101 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-2371E-PRESCRIBE: NO
LILLICH, MAUREEN A., MDGENDER: FNPI #: 1497796700ILLINOIS GASTROENTEROLOGY INSTITUTE SC101 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-2371E-PRESCRIBE: NO
MISRA, VIJAY L., MDGENDER: FNPI #: 1164475877DIGESTIVE DISEASE CONSULTANTS LTD101 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-2371E-PRESCRIBE: NO
PENN JR, DONALD E., MDGENDER: MNPI #: 1780628388ILLINOIS GASTROENTEROLOGY INSTITUTE SC101 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-2371E-PRESCRIBE: NO
EUREKA, ILEUREKA, IL
Specialty Care Providers
248* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
TREANOR, MICHAEL R., MDGENDER: MNPI #: 1255375200ILLINOIS GASTROENTEROLOGY INSTITUTE SC101 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-2371E-PRESCRIBE: NO
WU, SCOTT Y., MDGENDER: MNPI #: 1760426308ILLINOIS GASTROENTEROLOGY INSTITUTE SC101 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-2371E-PRESCRIBE: NO
GENERAL SURGERY
BRAASTAD, FRED W., MDGENDER: MNPI #: 1003818451ASSOCIATED SURGICAL GROUP101 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-2371E-PRESCRIBE: NO
PATEL, GAVISH N., MDGENDER: MNPI #: 1821080078ASSOCIATED SURGICAL GROUP101 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-2371E-PRESCRIBE: NO
GERIATRICS
JONES, STEVEN, MDGENDER: MNPI #: 1942228101ADVOCATE MEDICAL GROUP105 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-4691E-PRESCRIBE: NO
NEUROLOGY
CHAUHAN, SUNIL M., MDGENDER: MNPI #: 1912922881ADVOCATE MEDICAL GROUP105 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-4691E-PRESCRIBE: NO
PODIATRY
OCONNOR, SCOTT B., DPMGENDER: MNPI #: 1992792261PROPODIATRY105 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-2371E-PRESCRIBE: NO
PULMONOLOGY
BURR, JOHN S., MDGENDER: MNPI #: 1770535940ADVOCATE MEDICAL GROUP101 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-2371E-PRESCRIBE: NO
CHU, CHAE O., MDGENDER: MNPI #: 1043250954ADVOCATE MEDICAL GROUP101 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-2371E-PRESCRIBE: NO
GINZBURG, ALAN S., MDGENDER: MNPI #: 1659390888ADVOCATE MEDICAL GROUP101 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-2371E-PRESCRIBE: NO
KOH, DAVID W., MDGENDER: MNPI #: 1154361038ADVOCATE MEDICAL GROUP101 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-2371E-PRESCRIBE: NO
ZACHRIA, ANTHONY, MDGENDER: MNPI #: 1366542300ADVOCATE MEDICAL GROUP101 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-2371E-PRESCRIBE: NO
SLEEP MEDICINE
BURR, JOHN S., MDGENDER: MNPI #: 1770535940ADVOCATE MEDICAL GROUP101 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-2371E-PRESCRIBE: NO
EUREKA, ILEUREKA, IL
Specialty Care Providers
249 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
KOH, DAVID W., MDGENDER: MNPI #: 1154361038ADVOCATE MEDICAL GROUP101 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-2371E-PRESCRIBE: NO
CARDIOLOGY
BRAASTAD, ROBERT A., MDGENDER: MNPI #: 1487619573ADVOCATE MEDICAL GROUP115 E WALNUT STFAIRBURY, IL 61739PHONE: (815) 692-2305E-PRESCRIBE: NO
GANDHI, SIDDHARTH J., MDGENDER: MNPI #: 1831226042ADVOCATE MEDICAL GROUP115 E WALNUT STFAIRBURY, IL 61739PHONE: (815) 692-2305E-PRESCRIBE: NO
JARZABKOWSKI, DORY, DOGENDER: FNPI #: 1083651939ADVOCATE MEDICAL GROUP115 E WALNUT STFAIRBURY, IL 61739PHONE: (815) 692-2305E-PRESCRIBE: NO
SHAH, SAMIR H., MDGENDER: MNPI #: 1720028632ADVOCATE MEDICAL GROUP115 E WALNUT STFAIRBURY, IL 61739PHONE: (815) 692-2305E-PRESCRIBE: NO
TEMIYASATHIT, THANOM, MD
GENDER: MNPI #: 1023041175ADVOCATE MEDICAL GROUP115 E WALNUT STFAIRBURY, IL 61739PHONE: (815) 692-2305E-PRESCRIBE: NO
TUMILTY, BETH L., DOGENDER: FNPI #: 1033159959ADVOCATE MEDICAL GROUP115 E WALNUT STFAIRBURY, IL 61739PHONE: (815) 692-2305E-PRESCRIBE: NO
WERAARCHAKUL, WITOON, MD
GENDER: MNPI #: 1366494544ADVOCATE MEDICAL GROUP115 E WALNUT STFAIRBURY, IL 61739PHONE: (815) 692-2305E-PRESCRIBE: NO
NEUROLOGY
CHAUHAN, SUNIL M., MDGENDER: MNPI #: 1912922881ADVOCATE MEDICAL GROUP115 E WALNUT STFAIRBURY, IL 61739PHONE: (815) 692-2305E-PRESCRIBE: NO
PULMONOLOGY
BURR, JOHN S., MDGENDER: MNPI #: 1770535940ADVOCATE MEDICAL GROUP115 E WALNUT STFAIRBURY, IL 61739PHONE: (815) 692-2305E-PRESCRIBE: NO
CHU, CHAE O., MDGENDER: MNPI #: 1043250954ADVOCATE MEDICAL GROUP115 E WALNUT STFAIRBURY, IL 61739PHONE: (815) 692-2305E-PRESCRIBE: NO
KOH, DAVID W., MDGENDER: MNPI #: 1154361038ADVOCATE MEDICAL GROUP115 E WALNUT STFAIRBURY, IL 61739PHONE: (815) 692-2305E-PRESCRIBE: NO
FAIRBURY, IL
EUREKA, ILFAIRBURY, IL
Specialty Care Providers
250* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
ZACHRIA, ANTHONY, MDGENDER: MNPI #: 1366542300ADVOCATE MEDICAL GROUP115 E WALNUT STFAIRBURY, IL 61739PHONE: (815) 692-2305E-PRESCRIBE: NO
SLEEP MEDICINE
BURR, JOHN S., MDGENDER: MNPI #: 1770535940ADVOCATE MEDICAL GROUP115 E WALNUT STFAIRBURY, IL 61739PHONE: (815) 692-2305E-PRESCRIBE: NO
KOH, DAVID W., MDGENDER: MNPI #: 1154361038ADVOCATE MEDICAL GROUP115 E WALNUT STFAIRBURY, IL 61739PHONE: (815) 692-2305E-PRESCRIBE: NO
OPHTHALMOLOGY
APRAHAMIAN, ARA D., MDGENDER: MNPI #: 1528015013GAILEY EYE CLINIC322 W MARION AVEFORSYTH, IL 62535PHONE: (217) 872-7404E-PRESCRIBE: NO
BARBA, KENNETH R., MDGENDER: MNPI #: 1265473706GAILEY EYE CLINIC322 W MARION AVEFORSYTH, IL 62535PHONE: (217) 872-7404E-PRESCRIBE: NO
BHATIA, SUMIT P., MDGENDER: MNPI #: 1780670596GAILEY EYE CLINIC322 W MARION AVEFORSYTH, IL 62535PHONE: (217) 872-7404E-PRESCRIBE: NO
HALPERIN, GREGORY I., MDGENDER: MNPI #: 1760423206GAILEY EYE CLINIC322 W MARION AVEFORSYTH, IL 62535PHONE: (217) 872-7404E-PRESCRIBE: NO
HARMAN, JOSEPH G., MDGENDER: MNPI #: 1942241484GAILEY EYE CLINIC322 W MARION AVEFORSYTH, IL 62535PHONE: (217) 872-7404E-PRESCRIBE: NO
KHODADADEH, SARAH, MDGENDER: FNPI #: 1467642371GAILEY EYE CLINIC322 W MARION AVEFORSYTH, IL 62535PHONE: (217) 872-7404E-PRESCRIBE: NO
KNUPP, JAMES A., MDGENDER: MNPI #: 1548211774GAILEY EYE CLINIC322 W MARION AVEFORSYTH, IL 62535PHONE: (217) 872-7404E-PRESCRIBE: NO
KRISTAL, LIBBY K., MDGENDER: FNPI #: 1326240144GAILEY EYE CLINIC322 W MARION AVEFORSYTH, IL 62535PHONE: (217) 872-7404E-PRESCRIBE: NO
LEE, ROBERT M., MDGENDER: MNPI #: 1699716118GAILEY EYE CLINIC322 W MARION AVEFORSYTH, IL 62535PHONE: (217) 872-7404E-PRESCRIBE: NO
OESTER, ALAN E., MDGENDER: MNPI #: 1750503819GAILEY EYE CLINIC322 W MARION AVEFORSYTH, IL 62535PHONE: (217) 872-7404E-PRESCRIBE: NO
RIGSBY, JESSE H., MDGENDER: MNPI #: 1447253646GAILEY EYE CLINIC322 W MARION AVEFORSYTH, IL 62535PHONE: (217) 872-7404E-PRESCRIBE: NO
FORSYTH, IL
FAIRBURY, ILFORSYTH, IL
Specialty Care Providers
251 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
DERMATOLOGY
GREEN, SCOTT G., MDGENDER: MNPI #: 1760454821MID-IOWA DERMATOLOGY PLLC11 N 14TH STFORT DODGE, IA 50501PHONE: (515) 955-4440E-PRESCRIBE: YES
NEUROLOGY
DHUNA, ANIL, MDGENDER: MNPI #: 1912019118BURLINGTON NEUROLOGY & SLEEP CLINIC PLC5409 AVENUE O SUITE 108FORT MADISON, IA 52627PHONE: (319) 754-4400E-PRESCRIBE: NO
ENDOCRINOLOGY
BEKX, PAUL A., MDGENDER: MNPI #: 1902857634MONROE CLINIC-FREEPORT1301 S KIWANIS DRFREEPORT, IL 61032PHONE: (815) 235-1406E-PRESCRIBE: NO
NEPHROLOGY
STUART, CHARLES M., MDGENDER: MNPI #: 1548227317MONROE CLINIC-FREEPORT1301 S KIWANIS DRFREEPORT, IL 61032PHONE: (815) 235-1406E-PRESCRIBE: NO
NEUROLOGY
MORRISON, JOSHUA, MDGENDER: MNPI #: 1700955135MONROE CLINIC-FREEPORT1301 SKIWANIS DRFREEPORT, IL 61032PHONE: (815) 235-1406E-PRESCRIBE: NO
TOWER, KARA J., DOGENDER: FNPI #: 1801978648MONROE CLINIC-FREEPORT1301 S KIWANIS DRFREEPORT, IL 61032PHONE: (815) 235-1406E-PRESCRIBE: NO
OPHTHALMOLOGY
ALBERTS, RAYMOND L., MDGENDER: MNPI #: 1285635722FREEPORT EYE CARE1100 S PARK BLVDFREEPORT, IL 61032PHONE: (815) 232-1105E-PRESCRIBE: NO
KHODADADEH, SARAH, MDGENDER: FNPI #: 1467642371MONROE CLINIC-FREEPORT EYE CARE1110 S PARK BLVDFREEPORT, IL 61032PHONE: (815) 232-1105E-PRESCRIBE: NO
ROMANIV, NATALYA, MDGENDER: FNPI #: 1740470301NEW VISION OF ILLINOIS LLC1036 W STEPHENSON STFREEPORT, IL 61032PHONE: (815) 654-2020E-PRESCRIBE: NO
ORTHOPAEDICS
MURPHY, JAMES J., MDGENDER: MNPI #: 1336183854MONROE CLINIC-FREEPORT1301 S KIWANIS DRFREEPORT, IL 61032PHONE: (815) 235-1406E-PRESCRIBE: NO
SWINDLE, JONATHAN D., DOGENDER: MNPI #: 1982730206MONROE CLINIC-FREEPORT1301 S KIWANIS DRFREEPORT, IL 61032PHONE: (815) 235-1406E-PRESCRIBE: NO
OTOLARYNGOLOGY
ROGERSON, ANTHONY R., MD
GENDER: MNPI #: 1730273566MONROE CLINIC-FREEPORT1301 S KIWANIS DRFREEPORT, IL 61032PHONE: (815) 235-1406E-PRESCRIBE: NO
FORT DODGE, IA
FORT MADISON, IA
FREEPORT, IL
FORT DODGE, IAFREEPORT, IL
Specialty Care Providers
252* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
PEDIATRIC CARDIOLOGY
CHAN, DAVID P., MDGENDER: MNPI #: 1427057595OSF CHILDRENS MEDICAL GROUP-CONGENITAL HEART CEN1010 W FAIRWAY DRFREEPORT, IL 61032PHONE: (815) 227-5600E-PRESCRIBE: NO
UROLOGY
KING, ANDRE C., MDGENDER: MNPI #: 1588868426MONROE CLINIC FREEPORT1301 KIWANIS DRFREEPORT, IL 61032PHONE: (815) 235-1406E-PRESCRIBE: NO
CARDIOLOGY
GUMM, DARREL C., MDGENDER: MNPI #: 1669406054HEARTCARE MIDWEST SC3375 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 343-7775E-PRESCRIBE: NO
GUPTA, MADAN L., MDGENDER: MNPI #: 1215030481OSF GALESBURG CLINIC3315 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-1000E-PRESCRIBE: NO
KIZHAKEKUTTU, TINOY J., MD
GENDER: MNPI #: 1558336214HEARTCARE MIDWEST SC3375 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 343-7775E-PRESCRIBE: NO
PADMANABHAN, PASUPATHY, MD
GENDER: MNPI #: 1952331993HEARTCARE MIDWEST SC3375 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 343-7775E-PRESCRIBE: NO
PATEL, SUBHASH J., MDGENDER: MNPI #: 1891986907CARDIAC CONSULTANTS SC765 N KELLOGG ST SUITE 201GALESBURG, IL 61401PHONE: (309) 672-3140E-PRESCRIBE: NO
RABJOHNS, RONALD R., MDGENDER: MNPI #: 1972533925HEARTCARE MIDWEST SC3375 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 343-7775E-PRESCRIBE: NO
RASHID, JOHN F., MDGENDER: MNPI #: 1386674349HEARTCARE MIDWEST SC3375 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 343-7775E-PRESCRIBE: NO
SAMBANDAM, ALARMELU, DO
GENDER: FNPI #: 1194767772COTTAGE CARDIOLOGY834 N SEMINARY ST SUITE 303GALESBURG, IL 61401PHONE: (309) 343-2335E-PRESCRIBE: NO
SCHMIDT, PAUL, MDGENDER: MNPI #: 1023048089HEARTCARE MIDWEST SC3375 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 343-7775E-PRESCRIBE: NO
GASTROENTEROLOGY
BOYDSTUN, JOHN S., MDGENDER: MNPI #: 1316040553OSF GALESBURG CLINIC3315 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-1000E-PRESCRIBE: NO
GENERAL SURGERY
COX, ERIC M., MDGENDER: MNPI #: 1821275074OSF GALESBURG CLINIC3315 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-1000E-PRESCRIBE: NO
DAVIS, MARK E., MDGENDER: MNPI #: 1225079379SURGICAL CLINICS834 N SEMINARY ST SUITE 503GALESBURG, IL 61401PHONE: (309) 343-7773E-PRESCRIBE: NO
GALESBURG, IL
FREEPORT, ILGALESBURG, IL
Specialty Care Providers
253 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
HSU, JOHN W., MDGENDER: MNPI #: 1043439748RENALCARE ASSOCIATES765 N KELLOGG SUITE 203GALESBURG, IL 61401PHONE: (309) 343-4144E-PRESCRIBE: YES
KETEL, BEVERLEY L., MDGENDER: FNPI #: 1659402048RENALCARE ASSOCIATES765 N KELLOGG SUITE 203GALESBURG, IL 61401PHONE: (309) 343-4144E-PRESCRIBE: NO
MITCHELL, JERRY E., MDGENDER: MNPI #: 1679674402OSF GALESBURG CLINIC3315 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-1000E-PRESCRIBE: NO
OCONNOR, TIMOTHY P., MDGENDER: MNPI #: 1710974597RENALCARE ASSOCIATES765 N KELLOGG SUITE 203GALESBURG, IL 61401PHONE: (309) 343-4144E-PRESCRIBE: NO
PARUNGAO, RENE S., MDGENDER: NPI #: 1942231667SURGICAL CLINICS834 N SEMINARY ST SUITE 503GALESBURG, IL 61401PHONE: (309) 343-7773E-PRESCRIBE: NO
WHITTLE, THOMAS J., MDGENDER: MNPI #: 1154422988OSF GALESBURG CLINIC3315 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-1000E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
THOMAS, SACHDEV P., MDGENDER: MNPI #: 1245239367OSF GALESBURG CLINIC3315 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-9269E-PRESCRIBE: YES
INTENSIVE CARE/CRITICAL CARE
PATEL, KISHORBHAI K., MDGENDER: MNPI #: 1396846853OSF GALESBURG CLINIC3315 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-1000E-PRESCRIBE: NO
NEPHROLOGY
ALONSO, ALEXANDER J., MDGENDER: MNPI #: 1124152707RENALCARE ASSOCIATES765 N KELLOGG SUITE 203GALESBURG, IL 61401PHONE: (309) 343-4144E-PRESCRIBE: NO
BRUHA, ROBERT, MDGENDER: MNPI #: 1043340367RENALCARE ASSOCIATES765 N KELLOGG SUITE 203GALESBURG, IL 61401PHONE: (309) 343-4144E-PRESCRIBE: NO
CHERUKURI, SUDHA, MDGENDER: FNPI #: 1629126222RENALCARE ASSOCIATES765 N KELLOGG ST SUITE 203GALESBURG, IL 61401PHONE: (309) 343-4114E-PRESCRIBE: NO
DREYER, PAUL T., MDGENDER: MNPI #: 1194855528RENALCARE ASSOCIATES765 N KELLOGG SUITE 203GALESBURG, IL 61401PHONE: (309) 343-4144E-PRESCRIBE: NO
HORINEK, ANTHONY R., MDGENDER: MNPI #: 1609907195RENALCARE ASSOCIATES765 N KELLOGG SUITE 203GALESBURG, IL 61401PHONE: (309) 343-4144E-PRESCRIBE: NO
JAMES, GORDON W., MDGENDER: MNPI #: 1124158431RENALCARE ASSOCIATES765 N KELLOGG SUITE 203GALESBURG, IL 61401PHONE: (309) 343-4144E-PRESCRIBE: NO
KETEL, BEVERLEY L., MDGENDER: FNPI #: 1659402048RENALCARE ASSOCIATES765 N KELLOGG SUITE 203GALESBURG, IL 61401PHONE: (309) 343-4144E-PRESCRIBE: NO
GALESBURG, ILGALESBURG, IL
Specialty Care Providers
254* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
PAMULAPARTHY, SMITHA R., MD
GENDER: FNPI #: 1447328828RENALCARE ASSOCIATES765 N KELLOGG SUITE 203GALESBURG, IL 61401PHONE: (309) 343-4144E-PRESCRIBE: YES
PFLEDERER, BENJAMIN R., MD
GENDER: MNPI #: 1306976964RENALCARE ASSOCIATES765 N KELLOGG SUITE 203GALESBURG, IL 61401PHONE: (309) 343-4144E-PRESCRIBE: NO
PFLEDERER, TIMOTHY A., MD
GENDER: MNPI #: 1154451573RENALCARE ASSOCIATES765 N KELLOGG SUITE 203GALESBURG, IL 61401PHONE: (309) 343-4144E-PRESCRIBE: NO
ROSBOROUGH, DAVID C., MD
GENDER: MNPI #: 1619007275RENALCARE ASSOCIATES765 N KELLOGG SUITE 203GALESBURG, IL 61401PHONE: (309) 343-4144E-PRESCRIBE: NO
SADER, SAMER B., MDGENDER: MNPI #: 1831220318RENALCARE ASSOCIATES765 N KELLOGG SUITE 203GALESBURG, IL 61401PHONE: (309) 343-4144E-PRESCRIBE: NO
SPARROW, ROBERT T., MDGENDER: MNPI #: 1134259781RENALCARE ASSOCIATES765 N KELLOGG SUITE 203GALESBURG, IL 61401PHONE: (309) 343-4144E-PRESCRIBE: NO
SRINIVASAN, PARTHASARATHY, MD
GENDER: MNPI #: 1134199359RENALCARE ASSOCIATES765 N KELLOGG SUITE 203GALESBURG, IL 61401PHONE: (309) 343-4144E-PRESCRIBE: NO
NEUROLOGY
FASSETT, DANIEL R., MDGENDER: MNPI #: 1205902442OSF MEDICAL GROUP3375 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 676-0766E-PRESCRIBE: NO
KATCHEN, MARC S., MDGENDER: MNPI #: 1447266564COTTAGE NEUROSCIENCE834 N SEMINARY ST SUITE 303GALESBURG, IL 61401PHONE: (309) 342-7007E-PRESCRIBE: NO
NIKOLOV, BORISLAV M., MDGENDER: MNPI #: 1588765317OSF GALESBURG CLINIC3315 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-1000E-PRESCRIBE: NO
NEUROSURGERY
LIN, JULIAN J., MDGENDER: MNPI #: 1437104593OSF MEDICAL GROUP3375 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 676-0766E-PRESCRIBE: NO
MCCALL, TODD D., MDGENDER: MNPI #: 1508054297ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS LLC3375 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 676-0766E-PRESCRIBE: NO
ONCOLOGY
GEOFFROY, FRANCOIS J., MD
GENDER: MNPI #: 1871593434OSF GALESBURG CLINIC3315 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-9269E-PRESCRIBE: YES
MCCLEAN, JOHN W., MDGENDER: MNPI #: 1548268204MEDICAL & SURGICAL SPECIALISTS834 N SEMINARY ST SUITE 502GALESBURG, IL 61401PHONE: (309) 343-2262E-PRESCRIBE: YES
GALESBURG, ILGALESBURG, IL
Specialty Care Providers
255 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
OPHTHALMOLOGY
AUER, LINDA M., MDGENDER: FNPI #: 1114038072OSF GALESBURG CLINIC3315 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-1000E-PRESCRIBE: NO
EKONG, ANTHONY S., MDGENDER: MNPI #: 1336171875ILLINOIS RETINA INSTITUTE3315 N SEMINARY STGALESBURG, IL 61401PHONE: (877) 223-7403E-PRESCRIBE: YES
KISHORE, KAMAL, MDGENDER: MNPI #: 1215059977ILLINOIS RETINA INSTITUTE3315 N SEMINARY STGALESBURG, IL 61401PHONE: (877) 223-7403E-PRESCRIBE: YES
RIGSBY, JESSE H., MDGENDER: MNPI #: 1447253646GAILEY EYE CLINIC834 N SEMINARY ST SUITE 103GALESBURG, IL 61401PHONE: (309) 343-6000E-PRESCRIBE: NO
RUPPEL, JAMES R., MDGENDER: MNPI #: 1164427613GALESBURG EYE ASSOCIATES834 N SEMINARY ST SUITE 105GALESBURG, IL 61401PHONE: (309) 345-2020E-PRESCRIBE: YES
ORTHOPAEDICS
GERNANT, MICHAEL L., MDGENDER: MNPI #: 1740274240GALESBURG ORTHOPEDIC SERVICES834 N SEMINARY ST SUITE 102GALESBURG, IL 61401PHONE: (309) 342-0194E-PRESCRIBE: NO
POTACZEK, STEVEN G., MDGENDER: MNPI #: 1396846127OSF GALESBURG CLINIC3315 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-1000E-PRESCRIBE: NO
STACHNIW, MYRON B., MDGENDER: MNPI #: 1114911377MIDWEST ORTHOPEDIC SERVICES834 N SEMINARY ST SUITE 406GALESBURG, IL 61401PHONE: (309) 341-1300E-PRESCRIBE: NO
OTOLARYNGOLOGY
ETTEMA, SANDRA L., MDGENDER: FNPI #: 1760577902COTTAGE EAR NOSE AND THROAT834 N SEMINARY ST SUITE 405GALESBURG, IL 61401PHONE: (309) 343-1632E-PRESCRIBE: NO
HAUSLEIN, PETER D., MDGENDER: MNPI #: 1689675118582 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 343-9393E-PRESCRIBE: NO
PODIATRY
HUGHES, THERESA M., DPMGENDER: FNPI #: 1437252335OSF GALESBURG CLINIC1707 N HENDERSON STGALESBURG, IL 61401PHONE: (309) 344-1000E-PRESCRIBE: NO
SCHERER, MICHAEL A., DPMGENDER: MNPI #: 1649265133MIDWEST ORTHOPEDIC SERVICES834 N SEMINARY ST SUITE 406GALESBURG, IL 61401PHONE: (866) 681-9600E-PRESCRIBE: NO
PULMONOLOGY
CHEEMA, USMAN A., MDGENDER: MNPI #: 1518071760834 N SEMINARY ST SUITE 401GALESBURG, IL 61401PHONE: (309) 343-5583E-PRESCRIBE: NO
SOYANGCO, ANGELO J., MDGENDER: MNPI #: 1730293986834 N SEMINARY ST SUITE 401GALESBURG, IL 61401PHONE: (309) 343-5583E-PRESCRIBE: NO
GALESBURG, ILGALESBURG, IL
Specialty Care Providers
256* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
UROLOGY
BENEJAM, RALPH S., MDGENDER: MNPI #: 1548363765OSF GALESBURG CLINIC3315 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-1000E-PRESCRIBE: NO
PATTERSON, THOMAS H., MD
GENDER: MNPI #: 1568460970MEDICAL & SURGICAL SPECIALISTS834 N SEMINARY ST SUITE 502GALESBURG, IL 61401PHONE: (309) 343-2262E-PRESCRIBE: YES
RADIATION ONCOLOGY
BENDRE, DHANNAJAY, MDGENDER: MNPI #: 1790786846RAYMOND G SCOTT CANCER304 RANDALL RDGENEVA, IL 60134PHONE: E-PRESCRIBE: NO
CARDIOLOGY
BRAASTAD, ROBERT A., MDGENDER: MNPI #: 1487619573ADVOCATE MEDICAL GROUP1120 N MELVIN STGIBSON CITY, IL 60936PHONE: (217) 784-4251E-PRESCRIBE: NO
JARZABKOWSKI, DORY, DOGENDER: FNPI #: 1083651939ADVOCATE MEDICAL GROUP1120 N MELVIN STGIBSON CITY, IL 60936PHONE: (217) 784-4251E-PRESCRIBE: NO
MCCRISKIN, JAMES, DOGENDER: MNPI #: 1700826617ADVOCATE MEDICAL GROUP1120 N MELVIN STGIBSON CITY, IL 60936PHONE: (217) 784-4251E-PRESCRIBE: NO
SHAH, SAMIR H., MDGENDER: MNPI #: 1720028632ADVOCATE MEDICAL GROUP1120 N MELVIN STGIBSON CITY, IL 60936PHONE: (217) 784-4251E-PRESCRIBE: NO
TEMIYASATHIT, THANOM, MD
GENDER: MNPI #: 1023041175ADVOCATE MEDICAL GROUP1120 N MELVIN STGIBSON CITY, IL 60936PHONE: (217) 784-4251E-PRESCRIBE: NO
TUMILTY, BETH L., DOGENDER: FNPI #: 1033159959ADVOCATE MEDICAL GROUP1120 N MELVIN STGIBSON CITY, IL 60936PHONE: (217) 784-4251E-PRESCRIBE: NO
WERAARCHAKUL, WITOON, MD
GENDER: MNPI #: 1366494544ADVOCATE MEDICAL GROUP1120 N MELVIN STGIBSON CITY, IL 60936PHONE: (217) 784-4251E-PRESCRIBE: NO
GENERAL SURGERY
CHUNG, JOSEPH Y., MDGENDER: MNPI #: 1992914972GIBSON AREA HOSPITAL GENERAL SURGERY#1 DOCTORS PARKGIBSON CITY, IL 60936PHONE: (217) 784-4297E-PRESCRIBE: NO
GENEVA, IL
GIBSON CITY, IL
GALESBURG, ILGIBSON CITY, IL
Specialty Care Providers
257 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
MEDRANO, CHRISTINA N., MD
GENDER: FNPI #: 1720242209GIBSON AREA HOSPITAL & HEALTH SERVICES#7 DOCTORS PARKGIBSON CITY, IL 60936PHONE: (217) 784-5500E-PRESCRIBE: NO
SAN DIEGO, ANTHONY L., MDGENDER: MNPI #: 1215935895GIBSON AREA HOSPITAL GENERAL SURGERY#1 DOCTORS PARKGIBSON CITY, IL 60936PHONE: (217) 784-4297E-PRESCRIBE: NO
ONCOLOGY
JOHNSON, PATRICIA, MDGENDER: FNPI #: 1467477869GIBSON COMMUNITY HOSPITAL1120 N MELVIN STGIBSON CITY, IL 60936PHONE: (217) 784-4251E-PRESCRIBE: YES
OPHTHALMOLOGY
APRAHAMIAN, ARA D., MDGENDER: MNPI #: 1528015013GAILEY EYE CLINIC220 E FIRST STGIBSON CITY, IL 60936PHONE: (217) 784-8442E-PRESCRIBE: NO
BARBA, KENNETH R., MDGENDER: MNPI #: 1265473706GAILEY EYE CLINIC220 E FIRST STGIBSON CITY, IL 60936PHONE: (217) 784-8442E-PRESCRIBE: NO
BHATIA, SUMIT P., MDGENDER: MNPI #: 1780670596GAILEY EYE CLINIC220 E FIRST STGIBSON CITY, IL 60936PHONE: (217) 784-8442E-PRESCRIBE: NO
KNUPP, JAMES A., MDGENDER: MNPI #: 1548211774GAILEY EYE CLINIC220 E FIRST STGIBSON CITY, IL 60936PHONE: (217) 784-8442E-PRESCRIBE: NO
KRISTAL, LIBBY K., MDGENDER: FNPI #: 1326240144GAILEY EYE CLINIC220 E FIRST STGIBSON CITY, IL 60936PHONE: (217) 784-8442E-PRESCRIBE: NO
OESTER, ALAN E., MDGENDER: MNPI #: 1750503819GAILEY EYE CLINIC220 E 1ST STGIBSON CITY, IL 60936PHONE: (217) 784-8442E-PRESCRIBE: NO
RIGSBY, JESSE H., MDGENDER: MNPI #: 1447253646GAILEY EYE CLINIC220 E FIRST STGIBSON CITY, IL 60936PHONE: (217) 784-8442E-PRESCRIBE: NO
ORTHOPAEDICS
ATWATER, JOHN G., MDGENDER: MNPI #: 1932115656GIBSON AREA HOSPITAL ORTHOPAEDICS#10 DOCTORS PARKGIBSON CITY, IL 60936PHONE: (217) 784-4340E-PRESCRIBE: NO
NORRIS, JOSEPH, MDGENDER: MNPI #: 1285847939GIBSON AREA HOSPITAL ORTHOPAEDICS#10 DOCTORS PARKGIBSON CITY, IL 60936PHONE: (217) 784-4340E-PRESCRIBE: NO
PRICE, WILLIAM M., MDGENDER: MNPI #: 1710998307GIBSON AREA HOSPITAL ORTHOPAEDICS#10 DOCTORS PARKGIBSON CITY, IL 60936PHONE: (217) 784-4340E-PRESCRIBE: NO
GIBSON CITY, ILGIBSON CITY, IL
Specialty Care Providers
258* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
PAIN MANAGEMENT
NAOUR, PAUL R., MDGENDER: MNPI #: 1144206178GIBSON AREA HOSPITAL & HEALTH SERVICES1120 N MELVIN STGIBSON CITY, IL 60936PHONE: (217) 784-2307E-PRESCRIBE: YES
PLASTIC RECONSTRUCTIVE SURGERY
TATTINI, CHAD, MDGENDER: MNPI #: 1992721005GIBSON AREA HOSPITAL COSMETICS1120 N MELVIN STGIBSON CITY, IL 60936PHONE: (217) 784-4251E-PRESCRIBE: NO
PODIATRY
SETTER, JOSEPH R., DPMGENDER: MNPI #: 1215048202GIBSON AREA HOSPITAL1120 N MELVIN STGIBSON CITY, IL 60936PHONE: (217) 784-4251E-PRESCRIBE: NO
PULMONOLOGY
BURR, JOHN S., MDGENDER: MNPI #: 1770535940ADVOCATE MEDICAL GROUP1120 N MELVIN STGIBSON CITY, IL 60936PHONE: (217) 784-4251E-PRESCRIBE: NO
CHU, CHAE O., MDGENDER: MNPI #: 1043250954ADVOCATE MEDICAL GROUP1120 N MELVIN STGIBSON CITY, IL 60936PHONE: (217) 784-4251E-PRESCRIBE: NO
KOH, DAVID W., MDGENDER: MNPI #: 1154361038ADVOCATE MEDICAL GROUP1120 N MELVIN STGIBSON CITY, IL 60936PHONE: (217) 784-4251E-PRESCRIBE: NO
ZACHRIA, ANTHONY, MDGENDER: MNPI #: 1366542300ADVOCATE MEDICAL GROUP1120 N MELVIN STGIBSON CITY, IL 60936PHONE: (217) 784-4251E-PRESCRIBE: NO
SLEEP MEDICINE
BURR, JOHN S., MDGENDER: MNPI #: 1770535940ADVOCATE MEDICAL GROUP1120 N MELVIN STGIBSON CITY, IL 60936PHONE: (217) 784-4251E-PRESCRIBE: NO
KOH, DAVID W., MDGENDER: MNPI #: 1154361038ADVOCATE MEDICAL GROUP1120 N MELVIN STGIBSON CITY, IL 60936PHONE: (217) 784-4251E-PRESCRIBE: NO
SPORTS MEDICINE
NORRIS, JOSEPH, MDGENDER: MNPI #: 1285847939GIBSON AREA HOSPITAL ORTHOPAEDICS#10 DOCTORS PARKGIBSON CITY, IL 60936PHONE: (217) 784-4340E-PRESCRIBE: NO
UROLOGY
RAZVI, MOHAMMED, MDGENDER: MNPI #: 13160336401120 N MELVIN STGIBSON CITY, IL 60936PHONE: E-PRESCRIBE: YES
CARDIOLOGY
YAKEL, DONALD L., MDGENDER: MNPI #: 1568559359MACOUPIN FAMILY PRACTICE CENTERS715 BROADWAY STGILLESPIE, IL 62033PHONE: (217) 839-4491E-PRESCRIBE: NO
GENERAL SURGERY
PATEL, GAVISH N., MDGENDER: MNPI #: 1821080078ASSOCIATED SURGICAL GROUP615 N PROMENADEHAVANA, IL 62644PHONE: (309) 691-4005E-PRESCRIBE: NO
GILLESPIE, IL
HAVANA, IL
GIBSON CITY, ILHAVANA, IL
Specialty Care Providers
259 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
ORTHOPAEDICS
WHITE, DRAKE, MDGENDER: MNPI #: 1124120076MASON DISTRICT HOSPITAL520 E FRANKLINHAVANA, IL 62644PHONE: (309) 543-4431E-PRESCRIBE: NO
GENERAL SURGERY
FIGUERRES, BENEDICTO Q., MD
GENDER: MNPI #: 1821029927ST MARGARETS HEALTH HENRY CLINIC528 EDWARDS STHENRY, IL 61537PHONE: (309) 364-3088E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
RAO, SUJATHA A., MDGENDER: FNPI #: 13564203683020 S PARK AVEHERRIN, IL 62948PHONE: (618) 529-0120E-PRESCRIBE: NO
GENERAL SURGERY
BLASER, JOSEPH A., DOGENDER: MNPI #: 1316064157HILLSBORO AREA HOSPITAL1200 E TREMONTHILLSBORO, IL 62049PHONE: (217) 532-6111E-PRESCRIBE: NO
HILLSBORO REHABILITATION & HEALTHCARE CENTER1300 E TREMONTHILLSBORO, IL 62049PHONE: (217) 532-6191E-PRESCRIBE: NO
MONTGOMERY COUNTY SURGICAL ASSOCIATES LLC1200 E TREMONTHILLSBORO, IL 62049PHONE: (217) 324-8730E-PRESCRIBE: NO
1220 E TREMONTHILLSBORO, IL 62049PHONE: (217) 324-8730E-PRESCRIBE: NO
MONTOGOMERY COUNTY SURGICAL ASSOCIATES1204 E TREMONTHILLSBORO, IL 62049PHONE: (217) 324-8730E-PRESCRIBE: NO
ICAZA, ORLANDO J., MDGENDER: MNPI #: 1669579991SPRINGFIELD CLINIC1250 E TREMONTHILLSBORO, IL 62049PHONE: (217) 532-6911E-PRESCRIBE: YES
OSIPOV, ROBERT M., MDGENDER: MNPI #: 1659493922HSHS MEDICAL GROUP1204 TREMONTHILLSBORO, IL 62049PHONE: (217) 324-8730E-PRESCRIBE: YES
OPHTHALMOLOGY
BUTLER, PATRICK J., MDGENDER: MNPI #: 1316057516SPRINGFIELD CLINIC675 SCHOOL STHILLSBORO, IL 62049PHONE: (217) 532-6266E-PRESCRIBE: NO
PLASTIC RECONSTRUCTIVE SURGERY
BROWN, RICHARD E., MDGENDER: MNPI #: 1710097993SPRINGFIELD CLINIC1250 E TREMONTHILLSBORO, IL 62049PHONE: (217) 532-6911E-PRESCRIBE: YES
CARDIOLOGY
MOKRAOUI, MALEC A., MDGENDER: MNPI #: 1215949656CARLE PHYSICIAN GROUP801 E ORANGE STHOOPESTON, IL 60942PHONE: (217) 283-5644E-PRESCRIBE: YES
HENRY, IL
HERRIN, IL
HILLSBORO, IL
HOOPESTON, IL
HAVANA, ILHOOPESTON, IL
Specialty Care Providers
260* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
GENERAL SURGERY
CHASE, DANIEL M., MDGENDER: MNPI #: 1215255252HOOPESTON MEDICAL CENTER801 E ORANGE STHOOPESTON, IL 60942PHONE: (217) 283-5644E-PRESCRIBE: NO
CRADDOCK, KIMBERLY, MDGENDER: FNPI #: 1659483204HOOPESTON COMMUNITY HOSPITAL801 E ORANGE STREETHOOPESTON, IL 60942PHONE: (217) 283-5644E-PRESCRIBE: NO
ORTHOPAEDICS
PACKARD, STEVEN H., MDGENDER: MNPI #: 1750491395HOOPESTON MEDICAL CENTER801 E ORANGE STHOOPESTON, IL 60942PHONE: (217) 283-5644E-PRESCRIBE: NO
PODIATRY
SETTER, JOSEPH R., DPMGENDER: MNPI #: 1215048202CHARLOTTE ANN RUSSELL MEDICAL CENTER801 E ORANGE STHOOPESTON, IL 60942PHONE: (217) 283-5531E-PRESCRIBE: NO
UROLOGY
RAZVI, MOHAMMED M., MDGENDER: MNPI #: 1316033640HOOPESTON COMMUNITY MEMORIAL HOSPITAL701 E ORANGE STHOOPESTON, IL 60942PHONE: (217) 283-5531E-PRESCRIBE: NO
CARDIOLOGY
YAKEL, DONALD L., MDGENDER: MNPI #: 1568559359HOPEDALE MEDICAL COMPLEX107 TREMONT STHOPEDALE, IL 61747PHONE: (309) 449-3321E-PRESCRIBE: NO
GENERAL SURGERY
HSU, JOHN W., MDGENDER: MNPI #: 1043439748RENALCARE ASSOCIATES107 TEMONT STHOPEDALE, IL 61747PHONE: (309) 676-8123E-PRESCRIBE: YES
KETEL, BEVERLEY L., MDGENDER: FNPI #: 1659402048RENALCARE ASSOCIATES107 TEMONT STHOPEDALE, IL 61747PHONE: (309) 676-8123E-PRESCRIBE: NO
OCONNOR, TIMOTHY P., MDGENDER: MNPI #: 1710974597RENALCARE ASSOCIATES107 TEMONT STHOPEDALE, IL 61747PHONE: (309) 676-8123E-PRESCRIBE: NO
NEPHROLOGY
ALONSO, ALEXANDER J., MDGENDER: MNPI #: 1124152707RENALCARE ASSOCIATES107 TEMONT STHOPEDALE, IL 61747PHONE: (309) 676-8123E-PRESCRIBE: NO
BRUHA, ROBERT, MDGENDER: MNPI #: 1043340367RENALCARE ASSOCIATES107 TEMONT STHOPEDALE, IL 61747PHONE: (309) 676-8123E-PRESCRIBE: NO
DREYER, PAUL T., MDGENDER: MNPI #: 1194855528RENALCARE ASSOCIATES107 TEMONT STHOPEDALE, IL 61747PHONE: (309) 676-8123E-PRESCRIBE: NO
HORINEK, ANTHONY R., MDGENDER: MNPI #: 1609907195RENALCARE ASSOCIATES107 TEMONT STHOPEDALE, IL 61747PHONE: (309) 676-8123E-PRESCRIBE: NO
HOPEDALE, IL
HOOPESTON, ILHOPEDALE, IL
Specialty Care Providers
261 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
JAMES, GORDON W., MDGENDER: MNPI #: 1124158431RENALCARE ASSOCIATES107 TEMONT STHOPEDALE, IL 61747PHONE: (309) 676-8123E-PRESCRIBE: NO
KETEL, BEVERLEY L., MDGENDER: FNPI #: 1659402048RENALCARE ASSOCIATES107 TEMONT STHOPEDALE, IL 61747PHONE: (309) 676-8123E-PRESCRIBE: NO
PAMULAPARTHY, SMITHA R., MD
GENDER: FNPI #: 1447328828RENALCARE ASSOCIATES107 TEMONT STHOPEDALE, IL 61747PHONE: (309) 676-8123E-PRESCRIBE: YES
PFLEDERER, BENJAMIN R., MD
GENDER: MNPI #: 1306976964RENALCARE ASSOCIATES107 TEMONT STHOPEDALE, IL 61747PHONE: (309) 676-8123E-PRESCRIBE: NO
PFLEDERER, TIMOTHY A., MD
GENDER: MNPI #: 1154451573RENALCARE ASSOCIATES107 TEMONT STHOPEDALE, IL 61747PHONE: (309) 676-8123E-PRESCRIBE: NO
ROSBOROUGH, DAVID C., MD
GENDER: MNPI #: 1619007275RENALCARE ASSOCIATES107 TEMONT STHOPEDALE, IL 61747PHONE: (309) 676-8123E-PRESCRIBE: NO
SADER, SAMER B., MDGENDER: MNPI #: 1831220318RENALCARE ASSOCIATES107 TEMONT STHOPEDALE, IL 61747PHONE: (309) 676-8123E-PRESCRIBE: NO
SPARROW, ROBERT T., MDGENDER: MNPI #: 1134259781RENALCARE ASSOCIATES107 TEMONT STHOPEDALE, IL 61747PHONE: (309) 676-8123E-PRESCRIBE: NO
107 TREMONT STHOPEDALE, IL 61747PHONE: (309) 676-8123E-PRESCRIBE: NO
SRINIVASAN, PARTHASARATHY, MD
GENDER: MNPI #: 1134199359RENALCARE ASSOCIATES107 TREMONT STHOPEDALE, IL 61747PHONE: (309) 676-8123E-PRESCRIBE: NO
ORTHOPAEDICS
POTACZEK, STEVEN G., MDGENDER: MNPI #: 1396846127OSF GALESBURG CLINIC107 TREMONT STHOPEDALE, IL 61747PHONE: (309) 449-4338E-PRESCRIBE: NO
ALLERGY/IMMUNOLOGY
SIRI, DAREEN D., MDGENDER: FNPI #: 1730272998SPRINGFIELD CLINIC610 N WESTGATEJACKSONVILLE, IL 62650PHONE: (217) 245-9931E-PRESCRIBE: YES
SPRINGFIELD CLINIC JACKSONVILLE15 FOUNDERS LNJACKSONVILLE, IL 62650PHONE: (217) 291-1041E-PRESCRIBE: YES
CARDIOLOGY
AHMED, ADEEB, MDGENDER: MNPI #: 1245217603SPRINGFIELD CLINIC1600 W WALNUT STJACKSONVILLE, IL 62650PHONE: (217) 479-5846E-PRESCRIBE: YES
NESTER, JOHN E., MDGENDER: MNPI #: 1386737435SPRINGFIELD CLINIC610 N WESTGATEJACKSONVILLE, IL 62650PHONE: (217) 245-9931E-PRESCRIBE: YES
JACKSONVILLE, IL
HOPEDALE, ILJACKSONVILLE, IL
Specialty Care Providers
262* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
SPRINGFIELD CLINIC JACKSONVILLE15 FOUNDERS LNJACKSONVILLE, IL 62650PHONE: (217) 291-1041E-PRESCRIBE: YES
DERMATOLOGY
STEALEY, A KATHERINE H., MD
GENDER: FNPI #: 1841411188SPRINGFIELD CLINIC557 N WESTGATEJACKSONVILLE, IL 62650PHONE: (217) 528-7541E-PRESCRIBE: YES
SPRINGFIELD CLINIC JACKSONVILLE15 FOUNDERS LNJACKSONVILLE, IL 62650PHONE: (217) 291-1041E-PRESCRIBE: YES
ENDOCRINOLOGY
HAZARD, KEVIN D., MDGENDER: MNPI #: 1881652089SPRINGFIELD CLINIC557 N WESTGATEJACKSONVILLE, IL 62650PHONE: (217) 528-7541E-PRESCRIBE: YES
SPRINGFIELD CLINIC JACKSONVILLE15 FOUNDERS LNJACKSONVILLE, IL 62650PHONE: (217) 291-1041E-PRESCRIBE: YES
GASTROENTEROLOGY
PETERSON, WILLIAM L., MDGENDER: MNPI #: 1174623854SPRINGFIELD CLINIC557 N WESTGATEJACKSONVILLE, IL 62650PHONE: (217) 528-7541E-PRESCRIBE: YES
SPRINGFIELD CLINIC JACKSONVILLE15 FOUNDERS LNJACKSONVILLE, IL 62650PHONE: (217) 291-1041E-PRESCRIBE: YES
GENERAL SURGERY
FENNER, MICHAEL N., MDGENDER: MNPI #: 1578660445SPRINGFIELD CLINIC JACKSONVILLE15 FOUNDERS LNJACKSONVILLE, IL 62650PHONE: (217) 291-1041E-PRESCRIBE: YES
HALLAM, DANIEL M., MDGENDER: MNPI #: 1548479751SPRINGFIELD CLINIC JACKSONVILLE15 FOUNDERS LNJACKSONVILLE, IL 62650PHONE: (217) 291-1041E-PRESCRIBE: NO
ROTH, JOHN W., MDGENDER: MNPI #: 1881661031PASSAVANT SURGICAL ASSOC1600 W WALNUT 2ND FLOORJACKSONVILLE, IL 62650PHONE: (217) 479-5821E-PRESCRIBE: NO
NEPHROLOGY
DOWNER, MERRY C., MDGENDER: FNPI #: 1518054121SPRINGFIELD CLINIC557 N WESTGATEJACKSONVILLE, IL 62650PHONE: (217) 528-7541E-PRESCRIBE: YES
FORERO, NICOLAS A., MDGENDER: MNPI #: 1740264365SPRINGFIELD CLINIC JACKSONVILLE15 FOUNDERS LNJACKSONVILLE, IL 62650PHONE: (217) 291-1041E-PRESCRIBE: NO
NEUROLOGY
FORTIN, CLAUDE J., MDGENDER: MNPI #: 1235225780SPRINGFIELD CLINIC557 N WESTGATEJACKSONVILLE, IL 62650PHONE: (217) 528-7541E-PRESCRIBE: YES
SPRINGFIELD CLINIC JACKSONVILLE15 FOUNDERS LNJACKSONVILLE, IL 62650PHONE: (217) 291-1041E-PRESCRIBE: YES
OPHTHALMOLOGY
GIEBELHAUSEN, ERIC A., MDGENDER: MNPI #: 1790715662JACKSONVILLE OPHTHALMOLOGIC ASSOCIATION2000 W MORTON AVEJACKSONVILLE, IL 62650PHONE: (217) 245-6814E-PRESCRIBE: NO
JACKSONVILLE, ILJACKSONVILLE, IL
Specialty Care Providers
263 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
KAGAN, ALEKSANDR, DOGENDER: MNPI #: 1598728453JACKSONVILLE OPHTHALMOLOGIC ASSOCIATES2000 W MORTON AVEJACKSONVILLE, IL 62650PHONE: (217) 245-6814E-PRESCRIBE: NO
SUTTON, DAVID P., MDGENDER: MNPI #: 1508826918PRAIRIE EYE CENTER LTD901 WEST MORTONJACKSONVILLE, IL 62650PHONE: (217) 245-6211E-PRESCRIBE: NO
ORAL/MAXILLOFACIAL SURGERY
FISCHER, DAVID J., DDSGENDER: MNPI #: 1255650974SPRINGFIELD ASSOCIATES IN ORAL & MAXILLOFACIAL SUR1606 W LAFAYETTEJACKSONVILLE, IL 62650PHONE: E-PRESCRIBE: NO
WILLIAMS, JORDAN N., DMDGENDER: MNPI #: 1891011755SPRINGFIELD ASSOCIATES IN ORAL & MAXILLOFACIAL SUR1606 W LAFAYETTEJACKSONVILLE, IL 62650PHONE: E-PRESCRIBE: NO
ORTHOPAEDICS
ALBRACHT, DOUGLAS, DOGENDER: MNPI #: 1679545586SPRINGFIELD CLINIC JACKSONVILLE15 FOUNDERS LNJACKSONVILLE, IL 62650PHONE: (217) 291-1041E-PRESCRIBE: NO
LEUTZ, DARR W., MDGENDER: MNPI #: 1225069057SPRINGFIELD CLINIC JACKSONVILLE15 FOUNDERS LNJACKSONVILLE, IL 62650PHONE: (217) 291-1041E-PRESCRIBE: YES
STEVENS, BENJAMIN W., MDGENDER: MNPI #: 1295953172SPRINGFIELD CLINIC JACKSONVILLE15 FOUNDERS LNJACKSONVILLE, IL 62650PHONE: (217) 291-1041E-PRESCRIBE: NO
WERRIES, BARRY A., MDGENDER: MNPI #: 1962481366ORTHOPAEDIC CENTER OF ILLINOIS1600 W WALNUTJACKSONVILLE, IL 62650PHONE: (217) 243-5831E-PRESCRIBE: NO
WOTTOWA, CHRIS, MDGENDER: MNPI #: 1922195718SPRINGFIELD CLINIC JACKSONVILLE15 FOUNDERS LNJACKSONVILLE, IL 62650PHONE: (217) 291-1041E-PRESCRIBE: YES
OTOLARYNGOLOGY
DAILEY, JOHN C., MDGENDER: MNPI #: 1063487775JACKSONVILLE ENT ASSOCIATES1600 W WALNUT STJACKSONVILLE, IL 62650PHONE: (217) 243-9426E-PRESCRIBE: NO
HUANG, XINYAN, MDGENDER: MNPI #: 1295862365SPRINGFIELD CLINIC JACKSONVILLE15 FOUNDERS LNJACKSONVILLE, IL 62650PHONE: (217) 291-1041E-PRESCRIBE: YES
JOOS, NATHAN D., MDGENDER: MNPI #: 1417096090SPRINGFIELD CLINIC JACKSONVILLE15 FOUNDERS LNJACKSONVILLE, IL 62650PHONE: (217) 291-1041E-PRESCRIBE: NO
PLASTIC RECONSTRUCTIVE SURGERY
SINHA, RAJ K., MDGENDER: MNPI #: 1134229826SPRINGFIELD CLINIC JACKSONVILLE15 FOUNDERS LNJACKSONVILLE, IL 62650PHONE: (217) 291-1041E-PRESCRIBE: YES
JACKSONVILLE, ILJACKSONVILLE, IL
Specialty Care Providers
264* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
PODIATRY
RUSSOTTO, PETER D., DPMGENDER: MNPI #: 17705768291440 W WALNUT ST SUITE 5JACKSONVILLE, IL 62650PHONE: (217) 243-3668E-PRESCRIBE: NO
SIPES, MARY L., DPMGENDER: FNPI #: 1376524470SPRINGFIELD CLINIC JACKSONVILLE15 FOUNDERS LNJACKSONVILLE, IL 62650PHONE: (217) 291-1041E-PRESCRIBE: NO
RADIATION ONCOLOGY
AHMAD, ANWAR, MDGENDER: MNPI #: 1770591893JACKSONVILLE ONCOLOGY INSTITUTE567 N WESTGATEJACKSONVILLE, IL 62650PHONE: (217) 243-8400E-PRESCRIBE: NO
MAHMOOD, SALEEM, MDGENDER: MNPI #: 1679677678JACKSONVILLE ONCOLOGY INSTITUTE567 N WESTGATEJACKSONVILLE, IL 62650PHONE: (217) 243-8400E-PRESCRIBE: NO
RHEUMATOLOGY
HORVATH, JEFFREY R., MDGENDER: MNPI #: 1588761811SPRINGFIELD CLINIC JACKSONVILLE15 FOUNDERS LNJACKSONVILLE, IL 62650PHONE: (217) 291-1041E-PRESCRIBE: YES
STERN, MARK A., MDGENDER: MNPI #: 1033201579SPRINGFIELD CLINIC JACKSONVILLE15 FOUNDERS LNJACKSONVILLE, IL 62650PHONE: (217) 291-1041E-PRESCRIBE: YES
SPORTS MEDICINE
SHARMA, RISHI, MDGENDER: MNPI #: 1801084736SPRINGFIELD CLINIC1600 W WALNUTJACKSONVILLE, IL 62650PHONE: (217) 243-0033E-PRESCRIBE: YES
UROLOGY
LIEBER, DAVID C., MDGENDER: MNPI #: 1558462408SPRINGFIELD CLINIC JACKSONVILLE15 FOUNDERS LNJACKSONVILLE, IL 62650PHONE: (217) 291-1041E-PRESCRIBE: YES
WILSON, CHARLES S., MDGENDER: MNPI #: 1164484267814 W STATE STJACKSONVILLE, IL 62650PHONE: (217) 243-1865E-PRESCRIBE: NO
VASCULAR SURGERY
BARKMEIER, LYNNE D., MDGENDER: FNPI #: 1538262431SPRINGFIELD CLINIC JACKSONVILLE15 FOUNDERS LNJACKSONVILLE, IL 62650PHONE: (217) 291-1041E-PRESCRIBE: YES
RYAN, STEPHEN M., MDGENDER: MNPI #: 1407949365SPRINGFIELD CLINIC JACKSONVILLE15 FOUNDERS LNJACKSONVILLE, IL 62650PHONE: (217) 291-1041E-PRESCRIBE: YES
COLON/RECTAL SURGERY
BASS, ERIC, MDGENDER: MNPI #: 1457324824SURGICAL CONSULTANTS OF JOLIET2 UNO CIRCLEJOLIET, IL 60435PHONE: (815) 725-2277E-PRESCRIBE: NO
JOLIET, IL
JACKSONVILLE, ILJOLIET, IL
Specialty Care Providers
265 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
DERMATOLOGY
BAUER, KIMBERLY A., MDGENDER: FNPI #: 1295946473DERMATOLOGY & PLASTIC SURGERY ASSOCIATES SC1124 ESSINGTON RDJOLIET, IL 60435PHONE: (815) 744-8554E-PRESCRIBE: NO
BHATT, RENUKA, MDGENDER: FNPI #: 1316128861RENUKA H BHATT MD SC2000 GLENWOOD AVE SUITE 109JOLIET, IL 60435PHONE: (815) 725-0900E-PRESCRIBE: NO
LAPINSKI, PAULA, MDGENDER: FNPI #: 1437262482DERMATOLOGY & PLASTIC SURGERY ASSOCIATES SC1124 ESSINGTON RDJOLIET, IL 60435PHONE: (815) 744-8554E-PRESCRIBE: NO
SHETH, SEEMA S., MDGENDER: FNPI #: 1053519595RENUKA H BHATT MD SC2202 ESSINGTON RD SUITE 101JOLIET, IL 60435PHONE: (815) 676-5310E-PRESCRIBE: NO
ENDOCRINOLOGY
DEY, LUCY, MDGENDER: FNPI #: 1710191705DR LUCY DEY DIABETES ENDOCRINOLOGY & METABOLISM CL330 N MADISON ST SUITE 303JOLIET, IL 60435PHONE: E-PRESCRIBE: NO
GASTROENTEROLOGY
BHALLA, SURESH, MDGENDER: MNPI #: 1811995426210 N HAMMES SUITE 112JOLIET, IL 60435PHONE: (815) 744-2123E-PRESCRIBE: NO
HAMAD, BASHAR, MDGENDER: MNPI #: 1780690040DIGESTIVE HEALTH ASSOCIATES PC1100 HOUBOLT RDJOLIET, IL 60431PHONE: (815) 725-5950E-PRESCRIBE: NO
ROTNICKI, RICHARD M., DOGENDER: MNPI #: 1427062850DIGESTIVE HEALTH ASSOCIATES PC1100 HOUBOLT RDJOLIET, IL 60431PHONE: E-PRESCRIBE: NO
GENERAL SURGERY
BASS, ERIC, MDGENDER: MNPI #: 1457324824SURGICAL CONSULTANTS OF JOLIET2 UNO CIRCLEJOLIET, IL 60435PHONE: (815) 725-2277E-PRESCRIBE: NO
DANIELSON, MARK V., MDGENDER: MNPI #: 1225001068SURGICAL CONSULTANTS OF JOLIET INC2 UNO CIRCLEJOLIET, IL 60435PHONE: (815) 725-2277E-PRESCRIBE: NO
GUNDERSON, HOLLY L., MDGENDER: FNPI #: 1891737557FAMILY MEDICAL GROUP SC330 MADISON ST SUITE 104JOLIET, IL 60435-6596PHONE: (815) 725-3440E-PRESCRIBE: NO
KATILIUS, MARIUS J., MDGENDER: MNPI #: 1659346583PRECISION SURGICAL CONSULTANTS300 BARNEY DR SUITE AJOLIET, IL 60435PHONE: (815) 744-0330E-PRESCRIBE: NO
MIHALAKAKOS, PETER, MDGENDER: MNPI #: 1720022031FAMILY MEDICAL GROUP SC330 N MADISON ST SUITE 104JOLIET, IL 60435PHONE: (815) 725-3440E-PRESCRIBE: NO
JOLIET, ILJOLIET, IL
Specialty Care Providers
266* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
NATESH, RAMANATHAPUR K., MD
GENDER: MNPI #: 1427037043ALLIANCE HEALTH1100 ESSINGTON RD SUITE 6JOLIET, IL 60435PHONE: (815) 725-2600E-PRESCRIBE: NO
WINKLEMAN, BRIAN J., MDGENDER: MNPI #: 1982818357FAMILY MEDICAL GROUP SC330 N MADISON ST SUITE 104JOLIET, IL 60435PHONE: (815) 725-3440E-PRESCRIBE: NO
WU, JONATHAN C., MDGENDER: MNPI #: 1659347318PRECISION SURGICAL CONSULTANTS300 BARNEY DR SUITE AJOLIET, IL 60435PHONE: (815) 744-0330E-PRESCRIBE: NO
NEPHROLOGY
ALAUSA, MORUFU O., MDGENDER: MNPI #: 1730135955KIDNEY CARE CENTER812 CAMPUS DRJOLIET, IL 60435PHONE: (815) 741-6830E-PRESCRIBE: NO
AWUA-LARBI, STELLA Y., MDGENDER: FNPI #: 1316117443KIDNEY CARE CENTER812 CAMPUS DRJOLIET, IL 60435PHONE: (815) 741-6830E-PRESCRIBE: NO
CHAWLA, BHUVAN, MDGENDER: MNPI #: 1649378860JOLIET KIDNEY CENTER2121 ONEIDA ST SUITE 103JOLIET, IL 60435PHONE: E-PRESCRIBE: NO
SUN CLINIC LLC2121 ONEIDA ST SUITE 103JOLIET, IL 60435PHONE: (815) 741-8480E-PRESCRIBE: NO
JAMNADAS, AMIT B., MDGENDER: MNPI #: 1104072305KIDNEY CARE CENTER812 CAMPUS DRJOLIET, IL 60435PHONE: (815) 741-6830E-PRESCRIBE: NO
KISIEL, BEATA A., MDGENDER: FNPI #: 1033222104SUN CLINIC LLC2121 ONEIDA ST SUITE 103JOLIET, IL 60435PHONE: (815) 741-8480E-PRESCRIBE: NO
KISIEL, BEATA, MDGENDER: FNPI #: 1033222104JOLIET KIDNEY CENTER2121 ONEIDA ST SUITE 103JOLIET, IL 60435PHONE: E-PRESCRIBE: NO
MCFADDEN, DAVID L., MDGENDER: MNPI #: 1033270533330 N MADISON ST SUITE 203JOLIET, IL 60435PHONE: (815) 741-1770E-PRESCRIBE: NO
SHAFI, MOHAMMAD S., MDGENDER: MNPI #: 1528052792KIDNEY CARE CENTER812 CAMPUS DRJOLIET, IL 60435PHONE: (815) 741-6830E-PRESCRIBE: NO
THAKKER, NITESH, MDGENDER: MNPI #: 1952480295KIDNEY CARE CENTER812 CAMPUS DRJOLIET, IL 60435PHONE: (815) 741-6830E-PRESCRIBE: NO
NEUROLOGY
ALAANI, ZIAD, MDGENDER: NPI #: 1730398959NEUROSCIENCE INSTITUTE AT PRESENCE301 N MADISON #300JOLIET, IL 60435PHONE: (815) 725-4367E-PRESCRIBE: NO
ANALYTIS, PETER D., MDGENDER: MNPI #: 1720032311JOLIET HEADACHE & NEURO CENTER801 N LARKIN AVE SUITE 103JOLIET, IL 60435PHONE: (815) 744-6460E-PRESCRIBE: NO
BASHIR, QASIM, MDGENDER: MNPI #: 1780861807NEUROSCIENCE INSTITUTE AT PRESENCE SAINT JOSEPH ME301 N MADISON ST SUITE 300JOLIET, IL 60435PHONE: (815) 725-4367E-PRESCRIBE: NO
JOLIET, ILJOLIET, IL
Specialty Care Providers
267 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
CHWAJOL, MARKGENDER: MNPI #: 1356575690NEUROSCIENCE INSTITUTE AT PRESENCE SAINT JOSEPH ME301 N MADISON ST SUITE 300JOLIET, IL 60435PHONE: (815) 725-4367E-PRESCRIBE: NO
GULATI, SURENDRA M., MDGENDER: MNPI #: 1558543348NEUROSCIENCE INSTITUTE AT PROVENA301 N MADISON ST SUITE 300JOLIET, IL 60435PHONE: (815) 725-4367E-PRESCRIBE: NO
MONACO, MARY E., DOGENDER: FNPI #: 197260749779 129TH INFANTRY DRJOLIET, IL 60435PHONE: (815) 730-1541E-PRESCRIBE: NO
PIEKOS, GRAZYNA, MDGENDER: FNPI #: 1780605899MIDWEST NEUROLOGICAL ASSOCIATES1513 ESSINGTON RDJOLIET, IL 60435PHONE: (815) 730-1200E-PRESCRIBE: NO
WILSON, MARQUESS T., MDGENDER: MNPI #: 1093963670NEUROSCIENCE INSTITUTE AT PRESENCE SAINT JOSEPH ME301 N MADISON SUITE 300JOLIET, IL 60435PHONE: (815) 725-4367E-PRESCRIBE: NO
ZABIEGA, THOMAS M., MDGENDER: MNPI #: 1386755916JOLIET HEADACHE & NEURO CENTER801 N LARKIN AVE SUITE 103JOLIET, IL 60435PHONE: (815) 744-6460E-PRESCRIBE: NO
NEUROSURGERY
BADRUDDIN, AAMIR, MDGENDER: MNPI #: 1871769331NEUROSCIENCE INSTITUTE AT PRESENCE SAINT JOSEPH ME301 N MADISON ST SUITE 300JOLIET, IL 60435PHONE: (815) 725-4367E-PRESCRIBE: NO
HERSONSKEY, TAMIR Y., MDGENDER: MNPI #: 1629025663PROVENA NEUROSCIENCE INSTITUTE301 N MADISON ST SUITE 300JOLIET, IL 60435PHONE: (815) 725-4367E-PRESCRIBE: NO
KOULOUMBERIS, PELAGIA E., MD
GENDER: FNPI #: 1487804969PROVENA NEUROSCIENCE INSTITUTE300 N MADISON ST SUITE 300JOLIET, IL 60435PHONE: (815) 725-4367E-PRESCRIBE: NO
OPHTHALMOLOGY
BENNETT, THOMAS O., MDGENDER: MNPI #: 1427051911RETINA VITREOUS ASSOCIATES963 129TH INFANTRY DR SUITE 130JOLIET, IL 60435PHONE: (815) 744-1812E-PRESCRIBE: NO
FRITZ, MARK J., MDGENDER: MNPI #: 1669509550ALLIANCE HEALTH212 N LARKINJOLIET, IL 60435PHONE: (815) 741-7590E-PRESCRIBE: NO
LIPMAN, RICHARD M., MDGENDER: MNPI #: 1730182361RETINA VITREOUS ASSOCIATES963 129TH INFANTRY DR SUITE 130JOLIET, IL 60435PHONE: (815) 744-1812E-PRESCRIBE: NO
MORIMOTO, DAVID D., MDGENDER: MNPI #: 1356305643ALLIANCE HEALTH219 N HAMMES AVEJOLIET, IL 60435PHONE: (815) 741-7590E-PRESCRIBE: NO
JOLIET, ILJOLIET, IL
Specialty Care Providers
268* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
PELZEK, CHRISTOPHER D., MD
GENDER: MNPI #: 1669475281RETINA VITREOUS ASSOCIATES963 129TH INFANTRY DR SUITE 130JOLIET, IL 60435PHONE: (815) 744-1812E-PRESCRIBE: NO
SADOWSKI, LAWRENCE E., MD
GENDER: MNPI #: 1710996715ALLIANCE HEALTH202 N HAMMES AVE SUITE AJOLIET, IL 60435PHONE: (815) 741-7590E-PRESCRIBE: NO
WILSON, JOHN F., MDGENDER: MNPI #: 1538162151RETINA VITREOUS ASSOCIATES963 129TH INFANTRY DR SUITE 130JOLIET, IL 60435PHONE: (815) 744-1812E-PRESCRIBE: NO
ZLIOBA, ARAS M., MDGENDER: MNPI #: 1548223233ALLIANCE HEALTH219 N HAMMES AVEJOLIET, IL 60435PHONE: (815) 741-7590E-PRESCRIBE: NO
ORTHOPAEDICS
FARRELL, WILLIAM J., MDGENDER: MNPI #: 1467450411PARKVIEW ORTHOPEDICS GROUP2201 W GLENWOOD AVEJOLIET, IL 60435PHONE: (815) 727-3030E-PRESCRIBE: NO
FUENTES, HENRY J., MDGENDER: MNPI #: 1043218050PARKVIEW ORTHOPAEDIC GROUP SC2201 W GLENWOODJOLIET, IL 60435PHONE: (815) 729-3030E-PRESCRIBE: NO
MEYER, RAYMOND J., MDGENDER: MNPI #: 1275543969REZIN ORTHOPEDICS & SPORTS MEDICINE1310 HOUBOLT RDJOLIET, IL 60435PHONE: (815) 741-4000E-PRESCRIBE: NO
ORTINAU, ERIC T., MDGENDER: MNPI #: 1841209459REZIN ORTHOPEDICS & SPORTS MEDICINE1310 HOUBOLT RDJOLIET, IL 60435PHONE: (815) 741-4000E-PRESCRIBE: NO
PULLURU, RAGHU R., MDGENDER: MNPI #: 1447269915REZIN ORTHOPEDICS & SPORTS MEDICINE1310 HOUBOLT RDJOLIET, IL 60435PHONE: (815) 741-4000E-PRESCRIBE: NO
REZIN, KEITH M., MDGENDER: MNPI #: 1407867393REZIN ORTHOPEDICS & SPORTS MEDICINE1310 HOUBOLT RDJOLIET, IL 60435PHONE: (815) 741-4000E-PRESCRIBE: NO
SAMPAT, CHINTAN S., MDGENDER: MNPI #: 1841407046PARKVIEW ORTHOPAEDIC GROUP SC2201 GLENWOOD AVENUEJOLIET, IL 60435PHONE: (815) 727-3030E-PRESCRIBE: NO
SAUER, PAUL A., MDGENDER: MNPI #: 1902914401REZIN ORTHOPEDICS & SPORTS MEDICINE1310 HOUBOLT RDJOLIET, IL 60435PHONE: (815) 741-4000E-PRESCRIBE: NO
SEMBA, ROBERT T., MDGENDER: MNPI #: 1487652400PARKVIEW ORTHOPEDIC GROUP SC2201 W GLENWOODJOLIET, IL 60435PHONE: (815) 729-3030E-PRESCRIBE: NO
TREACY, STEPHEN H., MDGENDER: MNPI #: 1215946744REZIN ORTHOPEDICS & SPORTS MEDICINE1310 HOUBOLT RDJOLIET, IL 60435PHONE: (815) 741-4000E-PRESCRIBE: NO
JOLIET, ILJOLIET, IL
Specialty Care Providers
269 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
OTOLARYNGOLOGY
CHUNG, SUNG J., MDGENDER: MNPI #: 1912980574ENT SURGICAL CONSULTANTS LTD1300 COPPERFIELD SUITE 1080JOLIET, IL 60432PHONE: E-PRESCRIBE: NO
2201 GLENWOOD AVEJOLIET, IL 60435PHONE: (815) 725-1248E-PRESCRIBE: NO
DIVENERE, SCOTT W., MDGENDER: MNPI #: 1881677714ENT SURGICAL CONSULTANTS LTD1300 COPPERFIELD SUITE 1080JOLIET, IL 60432PHONE: E-PRESCRIBE: NO
2201 GLENWOOD AVEJOLIET, IL 60435PHONE: (815) 725-1248E-PRESCRIBE: NO
GARTLAN, MICHAEL, MDGENDER: MNPI #: 1740263664ENT SURGICAL CONSULTANTS LTD1300 COPPERFIELD SUITE 1080JOLIET, IL 60432PHONE: E-PRESCRIBE: NO
2201 GLENWOOD AVEJOLIET, IL 60435PHONE: (815) 725-1248E-PRESCRIBE: NO
KRON, THOMAS K., MDGENDER: MNPI #: 1972586899ENT SURGICAL CONSULTANTS LTD1300 COPPERFIELD SUITE 1080JOLIET, IL 60432PHONE: E-PRESCRIBE: NO
2201 GLENWOOD AVEJOLIET, IL 60435PHONE: (815) 725-1248E-PRESCRIBE: NO
MEHTA, RAJEEV H., MDGENDER: MNPI #: 1891778718ENT SURGICAL CONSULTANTS LTD1300 COPPERFIELD SUITE 1080JOLIET, IL 60432PHONE: E-PRESCRIBE: NO
2201 GLENWOOD AVEJOLIET, IL 60435PHONE: (815) 725-1248E-PRESCRIBE: NO
PATEL, ANKIT M., MDGENDER: MNPI #: 1083697692ENT SURGICAL CONSULTANTS LTD1300 COPPERFIELD SUITE 1080JOLIET, IL 60432PHONE: E-PRESCRIBE: NO
2201 GLENWOOD AVEJOLIET, IL 60435PHONE: (815) 725-1191E-PRESCRIBE: NO
PHYSICAL MEDICINE/REHABILITATION
CHARLES, BERNARD R., MDGENDER: MNPI #: 1437309234MIDWEST REHABILITATION ASSOCIATES310 N HAMMES SUITE 202JOLIET, IL 60435PHONE: (815) 741-2201E-PRESCRIBE: NO
FRANKLIN, JASON T., DOGENDER: MNPI #: 1588673032REZIN ORTHOPEDICS & SPORTS MEDICINE1310 HOUBOLT RDJOLIET, IL 60435PHONE: (815) 741-4000E-PRESCRIBE: NO
HUNG, MING L., MDGENDER: MNPI #: 1194730267MIDWEST REHABILITATION ASSOCIATES310 N HAMMES SUITE 202JOLIET, IL 60435PHONE: (815) 741-2201E-PRESCRIBE: NO
OSEI, MICHAEL A., MDGENDER: MNPI #: 1710138599MIDWEST REHABILITATION ASSOCIATES310 N HAMMES SUITE 202JOLIET, IL 60435PHONE: (815) 741-2201E-PRESCRIBE: NO
JOLIET, ILJOLIET, IL
Specialty Care Providers
270* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
PLASTIC RECONSTRUCTIVE SURGERY
RIOS, JOSE, MDGENDER: MNPI #: 1699888644DERMATOLOGY & PLASTIC SURGERY ASSOCIATES SC1124 ESSINGTON RDJOLIET, IL 60435PHONE: (815) 744-8554E-PRESCRIBE: NO
PODIATRY
HELMER, DANIEL, DPMGENDER: MNPI #: 13068552593077 W JEFFERSON ST SUITE 204JOLIET, IL 60435PHONE: (815) 744-2107E-PRESCRIBE: NO
MACNAB, ROBERT K., DPMGENDER: MNPI #: 1669481180REZIN ORTHOPEDICS & SPORTS MEDICINE1310 HOUBOLT RDJOLIET, IL 60435PHONE: (815) 741-4000E-PRESCRIBE: NO
PULMONOLOGY
AGHA, AHMAD J., MDGENDER: MNPI #: 1376592717AGHA MEDICAL INC-JOLIET OUTPATIENT SERVICES2000 GLENWOOD AVE SUITE 109JOLIET, IL 60435PHONE: E-PRESCRIBE: NO
AGHA MEDICAL INC-JOLIET SLEEP CENTER2000 GLENWOOD AVE SUITE 109JOLIET, IL 60435PHONE: E-PRESCRIBE: NO
ALMUSADDY, MOUSAB, MDGENDER: MNPI #: 1699720896AGHA MEDICAL INC-JOLIET OUTPATIENT SVCS2000 GLENWOOD AVE SUITE 109JOLIET, IL 60435PHONE: E-PRESCRIBE: NO
ARONSON, ROBERT, MDGENDER: MNPI #: 1598824039PRAIRIE STATE PULMONARY & SLEEP CONSULTANTS LLC3077 W JEFFERSON ST SUITE 210BJOLIET, IL 60435PHONE: (708) 748-6775E-PRESCRIBE: NO
COOLIDGE, BRADLEY S., MDGENDER: MNPI #: 1700986460PRAIRIE STATE PULMONARY & SLEEP CONSULTANTS LLC3077 W JEFFERSON ST SUITE 210BJOLIET, IL 60435PHONE: (708) 748-6775E-PRESCRIBE: NO
SUNDARAM, RAVI K., DOGENDER: MNPI #: 1811040595PRAIRIE STATE PULMONARY & SLEEP CONSULTANT3077 W JEFFERSON ST SUITE 210-BJOLIET, IL 60435PHONE: (708) 748-6775E-PRESCRIBE: NO
RADIATION ONCOLOGY
BENDRE, DHANNAJAY, MDGENDER: MNPI #: 1790786846NUCLEAR ONCOLOGY SC2614 JEFFERSON STJOLIET, IL 60435PHONE: (630) 734-9560E-PRESCRIBE: NO
GALINSKY, DENNIS L., MDGENDER: MNPI #: 1982605036NUCLEAR ONCOLOGY SC2614 JEFFERSON STJOLIET, IL 60435PHONE: (630) 734-9560E-PRESCRIBE: NO
GRIFFIN, VIVIAN D., MDGENDER: FNPI #: 1801898614LUDAG LLC333 N MADISONJOLIET, IL 60435PHONE: (815) 741-7561E-PRESCRIBE: NO
HLA, OMMAR T., MDGENDER: MNPI #: 1942225511NUCLEAR ONCOLOGY SC2614 JEFFERSON STJOLIET, IL 60435PHONE: (815) 725-1355E-PRESCRIBE: NO
JOLIET, ILJOLIET, IL
Specialty Care Providers
271 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
KABRE, NEELIMA D., MDGENDER: FNPI #: 1023096294NUCLEAR ONCOLOGY SC2614 JEFFERSON STJOLIET, IL 60435PHONE: (630) 734-9560E-PRESCRIBE: NO
MURTHY, ANANTHA K., MDGENDER: MNPI #: 1871594945NUCLEAR ONCOLOGY SC2614 JEFFERSON STJOLIET, IL 60435PHONE: (815) 730-3537E-PRESCRIBE: NO
SAROJA, KURUBARAHALLI R., MD
GENDER: FNPI #: 1023019197NUCLEAR ONCOLOGY SC2614 JEFFERSON STJOLIET, IL 60435PHONE: (630) 734-9560E-PRESCRIBE: NO
WOODBURN, ROBERT T., MDGENDER: MNPI #: 1407848849LUDAG LLC333 N MADISONJOLIET, IL 60435PHONE: (815) 741-7561E-PRESCRIBE: NO
RHEUMATOLOGY
AHMED, SABA Y., MDGENDER: MNPI #: 1861448003PRAIRIE RHEUMATOLOGY ASSOCIATES SC903 129TH INFANTRY DR SUITE 600JOLIET, IL 60435PHONE: (815) 744-7246E-PRESCRIBE: NO
FRANCIS, MARIA, DOGENDER: FNPI #: 1871828780PRAIRIE RHEUMATOLOGY ASSOCIATES SC903 129TH INFANTRY DR SUITE 600JOLIET, IL 60435PHONE: (815) 744-7246E-PRESCRIBE: NO
SOSENKO, MARIA C., MDGENDER: FNPI #: 1982658852PRAIRIE RHEUMATOLOGY ASSOCIATES SC903 129TH INFANTRY DR SUITE 600JOLIET, IL 60435PHONE: (815) 744-7246E-PRESCRIBE: NO
STANISLAUS, ANNA, MDGENDER: FNPI #: 1699921353PRAIRIE RHEUMATOLOGY ASSOCIATES903 129TH INFANTRY DR SUITE 600JOLIET, IL 60435PHONE: (815) 744-7246E-PRESCRIBE: NO
SLEEP MEDICINE
AGHA, AHMAD J., MDGENDER: MNPI #: 1376592717AGHA MEDICAL INC-JOLIET OUTPATIENT SERVICES2000 GLENWOOD AVE SUITE 109JOLIET, IL 60435PHONE: E-PRESCRIBE: NO
AGHA MEDICAL INC-JOLIET SLEEP CENTER2000 GLENWOOD AVE SUITE 109JOLIET, IL 60435PHONE: E-PRESCRIBE: NO
ANALYTIS, PETER D., MDGENDER: MNPI #: 1720032311JOLIET HEADACHE & NEURO CENTER801 N LARKIN AVE SUITE 103JOLIET, IL 60435PHONE: (815) 744-6460E-PRESCRIBE: NO
SUNDARAM, RAVI K., DOGENDER: MNPI #: 1811040595PRAIRIE STATE PULMONARY & SLEEP CONSULTANT3077 W JEFFERSON ST SUITE 210-BJOLIET, IL 60435PHONE: (708) 748-6775E-PRESCRIBE: NO
CARDIOLOGY
BROWN, LYNN G., MDGENDER: FNPI #: 1013962182500 N WALL STREET SUITE 201KANKAKEE, IL 60901PHONE: (815) 932-2000E-PRESCRIBE: NO
KANKAKEE, IL
JOLIET, ILKANKAKEE, IL
Specialty Care Providers
272* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
HARYANI, VIJAY M., MDGENDER: MNPI #: 1487679205CARDIOVASCULAR CONSULTANTS375 N WALL ST SUITE 310KANKAKEE, IL 60901PHONE: (815) 936-3240E-PRESCRIBE: NO
HAYS, PHILIP G., MDGENDER: MNPI #: 1275540536400 N WALL ST SUITE 303KANKAKEE, IL 60901PHONE: (815) 935-8040E-PRESCRIBE: NO
KAPOOR, GAURAV, MDGENDER: MNPI #: 1245225192CARDIOVASCULAR CONSULTANTS375 N WALL ST SUITE 310KANKAKEE, IL 60901PHONE: (815) 936-3240E-PRESCRIBE: NO
PATEL, VIKAS K., MDGENDER: MNPI #: 1235349598CARDIOVASCULAR CONSULTANTS375 N WALL ST SUITE 310KANKAKEE, IL 60901PHONE: (815) 936-3240E-PRESCRIBE: NO
WADHWANI, SURESH H., MDGENDER: MNPI #: 1659406510455 W COURT ST SUITE 302KANKAKEE, IL 60901PHONE: (815) 936-3250E-PRESCRIBE: NO
CARDIOTHORACIC SURGERY
ALEXANDER, PHILIP J., MDGENDER: MNPI #: 1437159142RIVERSIDE CARDIOTHORACIC & VASCULAR SURGICAL SPEC400 N WALL ST SUITE 314KANKAKEE, IL 60901PHONE: (815) 933-4400E-PRESCRIBE: NO
APPLEBAUM, ROBERT E., MDGENDER: MNPI #: 1477553188RIVERSIDE CARDIOTHORACIC & VASCULAR SURGICAL SPEC400 N WALL ST SUITE 314KANKAKEE, IL 60901PHONE: (815) 933-4400E-PRESCRIBE: NO
ENDOCRINOLOGY
SHELL, RACHEL N., MDGENDER: FNPI #: 1942339932RIVERSIDE HEALTH SYSTEMS100 FITNESS DRKANKAKEE, IL 60901PHONE: (815) 936-8809E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
SIPAHI, MEHMET, MDGENDER: MNPI #: 1467556837AFFILIATED CANCER SPECIALISTS PC375 N WALL ST SUITE P320KANKAKEE, IL 60901PHONE: (815) 933-9660E-PRESCRIBE: NO
VEERAPANENI, ANNABELLE A., MD
GENDER: FNPI #: 1407025208AFFILIATED CANCER SPECIALISTS375 N WALL ST SUITE P320KANKAKEE, IL 60901PHONE: (815) 933-9660E-PRESCRIBE: NO
INFECTIOUS DISEASES
CHUNDI, VISHNU, MDGENDER: MNPI #: 1558357905PROVENA ST MARYS HOSPITAL500 W COURT STKANKAKEE, IL 60901PHONE: (815) 928-6400E-PRESCRIBE: NO
ESPINOZA, FABIOLA M., MDGENDER: FNPI #: 1902112535METRO INFECTIOUS DISEASE CONSULTANTS LLC555 W COURT ST SUITE 108KANKAKEE, IL 60901PHONE: (888) 220-6432E-PRESCRIBE: YES
PHILLIPS, MARTIN T., MDGENDER: MNPI #: 1003802349METRO INFECTIOUS DISEASE CONSULTANTS LLC555 WEST COURT ST SUITE 108KANKAKEE, IL 60901PHONE: (888) 220-6432E-PRESCRIBE: NO
KANKAKEE, ILKANKAKEE, IL
Specialty Care Providers
273 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
PROVENA ST MARYS HOSPITAL500 W COURT STKANKAKEE, IL 60901PHONE: E-PRESCRIBE: NO
RAMANI, RAM L., MDGENDER: MNPI #: 1982603387INFECTIOUS DISEASE SPECIALISTS LTD500 W COURT STKANKAKEE, IL 60901PHONE: (708) 333-3131E-PRESCRIBE: NO
SANTOS, RENE E., MDGENDER: NPI #: 1588663876INFECTIOUS DISEASE SPECIALISTS LTD500 W COURT STKANKAKEE, IL 60901PHONE: (708) 333-3131E-PRESCRIBE: NO
ZAKHIREH, BEHNAM, MDGENDER: MNPI #: 1639178924INFECTIOUS DISEASE SPECIALISTS LTD500 W COURT STKANKAKEE, IL 60901PHONE: (708) 333-3131E-PRESCRIBE: NO
NEPHROLOGY
HASHMI, NASHIB, MDGENDER: MNPI #: 1629194543KIDNEY CENTER OF KANKAKEE401 N WALL ST SUITE 100KANKAKEE, IL 60901PHONE: (815) 932-7110E-PRESCRIBE: YES
PROVENA ST MARYS DIALYSIS CENTER500 W COURT STKANKAKEE, IL 60901PHONE: E-PRESCRIBE: YES
HIZON, MIGUEL L., MDGENDER: MNPI #: 1730184086KIDNEY SPECIALISTS OF KANKAKEE455 W COURT ST SUITE 304KANKAKEE, IL 60901PHONE: (815) 933-4422E-PRESCRIBE: YES
NEUROLOGY
DODT, BRUCE I., MDGENDER: MNPI #: 1013059005RIVERSIDE NEUROLOGY SPECIALISTS500 N WALL ST SUITE 300KANKAKEE, IL 60901PHONE: (815) 935-0750E-PRESCRIBE: NO
OROZCO, DANIEL, MDGENDER: MNPI #: 1154329399RIVERSIDE NEUROLOGY SPECIALISTS500 N WALL ST SUITE 300KANKAKEE, IL 60901PHONE: (815) 935-0750E-PRESCRIBE: NO
SERGEANT, MICHAEL J., MDGENDER: MNPI #: 1205965936RIVERSIDE NEUROLOGY SPECIALISTS500 N WALL ST SUITE 300KANKAKEE, IL 60901PHONE: (815) 935-0750E-PRESCRIBE: NO
NEUROSURGERY
HARVEY, CHARLES F., MDGENDER: MNPI #: 1235235938NEUROSURGERY CONSULTANTS400 N WALL ST SUITE 402KANKAKEE, IL 60901PHONE: (815) 932-7200E-PRESCRIBE: NO
JIMENEZ, JUAN C., MDGENDER: MNPI #: 1801992516NEUROSURGERY CONSULTANTS400 N WALL ST SUITE 402KANKAKEE, IL 60901PHONE: (815) 932-7200E-PRESCRIBE: NO
RICHARDSON, ROBERT R., MD
GENDER: MNPI #: 1033105093UNIVERSAL PAIN MANAGEMENT INSTITUTE LTD555 W COURT ST SUIET 100KANKAKEE, IL 60901PHONE: (815) 932-7242E-PRESCRIBE: NO
OTOLARYNGOLOGY
HOBSON, FRANCIS L., MDGENDER: MNPI #: 1679538193PROVENA MEDICAL GROUP555 W COURT ST SUITE 108KANKAKEE, IL 60901PHONE: (815) 937-2155E-PRESCRIBE: NO
KANKAKEE, ILKANKAKEE, IL
Specialty Care Providers
274* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
PAIN MANAGEMENT
ROLAND, DONALD E., MDGENDER: MNPI #: 1821074600UNIVERSAL PAIN MANAGEMENT INSTITUTE LTD555 W COURT ST SUITE 100KANKAKEE, IL 60901PHONE: (815) 932-7242E-PRESCRIBE: NO
PEDIATRIC CARDIOLOGY
GUPTA, ANUJA, MDGENDER: FNPI #: 1013938257RIVERSIDE CARDIAC SPECIALISTS500 N WALL ST SUITE 100KANKAKEE, IL 60901PHONE: (815) 933-2557E-PRESCRIBE: NO
PEDIATRIC SURGERY
ROWELL, ERIN E., MDGENDER: FNPI #: 1285764068GENERAL SURGEONS OF KANKAKEE LTD375 N WALL ST SUITE P640KANKAKEE, IL 60901PHONE: (815) 932-0911E-PRESCRIBE: NO
PHYSICAL MEDICINE/REHABILITATION
DOROBA, ANNE Z., MDGENDER: FNPI #: 1518971167MILLER HEALTH CENTER1601 BUTTERFIELD TRAILKANKAKEE, IL 60901PHONE: (815) 936-6500E-PRESCRIBE: NO
JACKSON, ALYCE F., MDGENDER: FNPI #: 1053419119PHYSICAL MEDICINE & REHABILITATION400 N WALL ST SUITE 405KANKAKEE, IL 60901PHONE: (815) 932-6632E-PRESCRIBE: NO
VILLEGAS, MARIA S., MDGENDER: FNPI #: 1033217104RIVERSIDE HEALTH SYSTEMS400 N WALL ST SUITE 405KANKAKEE, IL 60901PHONE: (815) 932-6632E-PRESCRIBE: NO
RADIATION ONCOLOGY
NARASIMHAN, GEETHA, MDGENDER: NPI #: 1427185172AFFILIATED CANCER SPECIALISTS375 NORTH WALL ST SUITE P320KANKAKEE, IL 60901PHONE: (815) 929-0010E-PRESCRIBE: NO
SHAH, MIR J., MDGENDER: MNPI #: 1720035009AFFILIATED CANCER SPECIALISTS375 N WALL ST SUITE P320KANKAKEE, IL 60901PHONE: E-PRESCRIBE: NO
TOMCHUCK, ROBERT, DOGENDER: MNPI #: 1669552584AFFILIATED CANCER SPECIALISTS PC350 N WALL ST SUITE 402KANKAKEE, IL 60901PHONE: (815) 933-9660E-PRESCRIBE: NO
RHEUMATOLOGY
FRANCIS, MARIA, DOGENDER: FNPI #: 1871828780RIVERSIDE HEALTH SYSTEMS500 N WALL ST SUITE 300KANKAKEE, IL 60901PHONE: (815) 935-0750E-PRESCRIBE: NO
UROLOGY
PIGATO, JOSEPH B., MDGENDER: MNPI #: 1801829247JOSEPH B PIGATO MD LTD455 W COURT ST SUITE 201KANKAKEE, IL 60901PHONE: (815) 937-2122E-PRESCRIBE: YES
SLUTSKY, JOEL N., MDGENDER: MNPI #: 1063403665UROLOGICAL SURGEONS OF ILLINOIS375 N WALL ST SUITE P530KANKAKEE, IL 60901PHONE: (815) 934-4006E-PRESCRIBE: YES
KANKAKEE, ILKANKAKEE, IL
Specialty Care Providers
275 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
GENERAL SURGERY
NADEAU, JOHN P., DOGENDER: MNPI #: 1366623548FAMILY MEDICAL CENTER-KANSAS104 E BUENA VISTA AVEKANSAS, IL 61933PHONE: E-PRESCRIBE: NO
CARDIOLOGY
GANDHI, SIDDHARTH J., MDGENDER: MNPI #: 1831226042ADVOCATE MEDICAL GROUP1120 N MELVIN STKEMPTON, IL 60946PHONE: (217) 784-4251E-PRESCRIBE: NO
PULMONOLOGY
GINZBURG, ALAN S., MDGENDER: MNPI #: 1659390888ADVOCATE MEDICAL GROUP1120 N MELVIN STKEMPTON, IL 60946PHONE: (217) 784-4251E-PRESCRIBE: NO
NEUROLOGY
DHUNA, ANIL, MDGENDER: MNPI #: 1912019118BURLINGTON NEUROLOGY & SLEEP CLINIC PLC1603 MORGAN ST SUITE 3KEOKUK, IA 52632PHONE: (319) 754-4400E-PRESCRIBE: NO
GASTROENTEROLOGY
KUGANESWARAN, ELIATHAMBY, MD
GENDER: MNPI #: 1073555488ILLINOIS GASTROENTEROLOGY INSTITUTE SC719 ELLIOTT STKEWANEE, IL 61443PHONE: (309) 672-4980E-PRESCRIBE: NO
GENERAL SURGERY
HSU, JOHN W., MDGENDER: MNPI #: 1043439748RENALCARE ASSOCIATES1051 SOUTH STKEWANEE, IL 61443PHONE: (309) 676-8123E-PRESCRIBE: YES
KETEL, BEVERLEY L., MDGENDER: FNPI #: 1659402048RENALCARE ASSOCIATES1051 SOUTH STKEWANEE, IL 61443PHONE: (309) 676-8123E-PRESCRIBE: NO
OCONNOR, TIMOTHY P., MDGENDER: MNPI #: 1710974597RENALCARE ASSOCIATES1051 SOUTH STKEWANEE, IL 61443PHONE: (309) 676-8123E-PRESCRIBE: NO
REID, W SCOTT, DOGENDER: MNPI #: 1932180387MID ILLINI SURGICAL ASSOCIATES1051 W SOUTH STKEWANEE, IL 61443PHONE: (309) 672-5975E-PRESCRIBE: NO
WILLIAMSON, JEFFREY L., MD
GENDER: MNPI #: 1154302602MID ILLINI SURGICAL ASSOCIATES1051 W SOUTH STKEWANEE, IL 61443PHONE: (309) 672-5975E-PRESCRIBE: NO
HEMATOLOGY
VUKOV, ALLEN M., MDGENDER: MNPI #: 1396744611ILLINOIS CANCERCARE719 ELLIOTT STKEWANEE, IL 61443PHONE: (309) 672-5681E-PRESCRIBE: YES
NEPHROLOGY
ALONSO, ALEXANDER J., MDGENDER: MNPI #: 1124152707RENALCARE ASSOCIATES1051 SOUTH STKEWANEE, IL 61443PHONE: (309) 676-8123E-PRESCRIBE: NO
KANSAS, IL
KEMPTON, IL
KEOKUK, IA
KEWANEE, IL
KANSAS, ILKEWANEE, IL
Specialty Care Providers
276* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
BRUHA, ROBERT, MDGENDER: MNPI #: 1043340367RENALCARE ASSOCIATES1051 SOUTH STKEWANEE, IL 61443PHONE: (309) 676-8123E-PRESCRIBE: NO
DREYER, PAUL T., MDGENDER: MNPI #: 1194855528RENALCARE ASSOCIATES1051 SOUTH STKEWANEE, IL 61443PHONE: (309) 676-8123E-PRESCRIBE: NO
HORINEK, ANTHONY R., MDGENDER: MNPI #: 1609907195RENALCARE ASSOCIATES1051 SOUTH STKEWANEE, IL 61443PHONE: (309) 373-8123E-PRESCRIBE: NO
JAMES, GORDON W., MDGENDER: MNPI #: 1124158431RENALCARE ASSOCIATES1051 SOUTH STKEWANEE, IL 61443PHONE: (309) 676-8123E-PRESCRIBE: NO
KETEL, BEVERLEY L., MDGENDER: FNPI #: 1659402048RENALCARE ASSOCIATES1051 SOUTH STKEWANEE, IL 61443PHONE: (309) 676-8123E-PRESCRIBE: NO
PAMULAPARTHY, SMITHA R., MD
GENDER: FNPI #: 1447328828RENALCARE ASSOCIATES1051 SOUTH STKEWANEE, IL 61443PHONE: (309) 676-8123E-PRESCRIBE: YES
PFLEDERER, BENJAMIN R., MD
GENDER: MNPI #: 1306976964RENALCARE ASSOCIATES1051 SOUTH STKEWANEE, IL 61443PHONE: (309) 676-8123E-PRESCRIBE: NO
PFLEDERER, TIMOTHY A., MD
GENDER: MNPI #: 1154451573RENALCARE ASSOCIATES1051 SOUTH STKEWANEE, IL 61443PHONE: (309) 676-8123E-PRESCRIBE: NO
ROSBOROUGH, DAVID C., MD
GENDER: MNPI #: 1619007275RENALCARE ASSOCIATES1051 SOUTH STKEWANEE, IL 61443PHONE: (309) 676-8123E-PRESCRIBE: NO
SADER, SAMER B., MDGENDER: MNPI #: 1831220318RENALCARE ASSOCIATES1051 SOUTH STKEWANEE, IL 61443PHONE: (309) 676-8123E-PRESCRIBE: NO
SPARROW, ROBERT T., MDGENDER: MNPI #: 1134259781RENALCARE ASSOCIATES1051 SOUTH STKEWANEE, IL 61443PHONE: (309) 676-8123E-PRESCRIBE: NO
SRINIVASAN, PARTHASARATHY, MD
GENDER: MNPI #: 1134199359RENALCARE ASSOCIATES1051 SOUTH STKEWANEE, IL 61443PHONE: (309) 676-8123E-PRESCRIBE: NO
NEUROLOGY
NIKOLOV, BORISLAV M., MDGENDER: MNPI #: 1588765317OSF GALESBURG CLINIC1051 W SOUTH STKEWANEE, IL 61443PHONE: (309) 344-1000E-PRESCRIBE: NO
ORTHOPAEDICS
POTACZEK, STEVEN G., MDGENDER: MNPI #: 1396846127OSF GALESBURG CLINIC1051 W SOUTH STKEWANEE, IL 61443PHONE: (309) 344-1000E-PRESCRIBE: NO
KEWANEE, ILKEWANEE, IL
Specialty Care Providers
277 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
DERMATOLOGY
GREEN, SCOTT G., MDGENDER: MNPI #: 1760454821MCCRARY-ROST CLINIC1351 W MAIN STLAKE CITY, IA 51449PHONE: (712) 464-7907E-PRESCRIBE: YES
CARDIOLOGY
BRAASTAD, ROBERT A., MDGENDER: MNPI #: 1487619573ADVOCATE MEDICAL GROUP102 E CENTER STLE ROY, IL 61752PHONE: (309) 962-2081E-PRESCRIBE: NO
GANDHI, SIDDHARTH J., MDGENDER: MNPI #: 1831226042ADVOCATE MEDICAL GROUP102 E CENTER STLE ROY, IL 61752PHONE: (309) 962-2081E-PRESCRIBE: NO
JARZABKOWSKI, DORY, DOGENDER: FNPI #: 1083651939ADVOCATE MEDICAL GROUP102 E CENTER STLE ROY, IL 61752PHONE: (309) 962-2081E-PRESCRIBE: NO
MCCRISKIN, JAMES, DOGENDER: MNPI #: 1700826617ADVOCATE MEDICAL GROUP102 E CENTER STLE ROY, IL 61752PHONE: (309) 962-2081E-PRESCRIBE: NO
SHAH, SAMIR H., MDGENDER: MNPI #: 1720028632ADVOCATE MEDICAL GROUP102 E CENTER STLE ROY, IL 61752PHONE: (309) 962-2081E-PRESCRIBE: NO
TEMIYASATHIT, THANOM, MD
GENDER: MNPI #: 1023041175ADVOCATE MEDICAL GROUP102 E CENTER STLE ROY, IL 61752PHONE: (309) 962-2081E-PRESCRIBE: NO
TUMILTY, BETH L., DOGENDER: FNPI #: 1033159959ADVOCATE MEDICAL GROUP102 E CENTER STLE ROY, IL 61752PHONE: (309) 962-2081E-PRESCRIBE: NO
WERAARCHAKUL, WITOON, MD
GENDER: MNPI #: 1366494544ADVOCATE MEDICAL GROUP102 E CENTER STLE ROY, IL 61752PHONE: (309) 962-2081E-PRESCRIBE: NO
NEUROLOGY
CHAUHAN, SUNIL M., MDGENDER: MNPI #: 1912922881ADVOCATE MEDICAL GROUP911 S CHESTNUT STLE ROY, IL 61752PHONE: (309) 962-2081E-PRESCRIBE: NO
PULMONOLOGY
BURR, JOHN S., MDGENDER: MNPI #: 1770535940ADVOCATE MEDICAL GROUP102 E CENTER STLE ROY, IL 61752PHONE: (309) 962-2081E-PRESCRIBE: NO
CHU, CHAE O., MDGENDER: MNPI #: 1043250954ADVOCATE MEDICAL GROUP102 E CENTER STLE ROY, IL 61752PHONE: (309) 962-2081E-PRESCRIBE: NO
KOH, DAVID W., MDGENDER: MNPI #: 1154361038ADVOCATE MEDICAL GROUP102 E CENTER STLE ROY, IL 61752PHONE: (309) 962-2081E-PRESCRIBE: NO
LAKE CITY, IA
LE ROY, IL
LAKE CITY, IALE ROY, IL
Specialty Care Providers
278* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
ZACHRIA, ANTHONY, MDGENDER: MNPI #: 1366542300ADVOCATE MEDICAL GROUP102 E CENTER STLE ROY, IL 61752PHONE: (309) 962-2081E-PRESCRIBE: NO
SLEEP MEDICINE
BURR, JOHN S., MDGENDER: MNPI #: 1770535940ADVOCATE MEDICAL GROUP102 E CENTER STLE ROY, IL 61752PHONE: (309) 962-2081E-PRESCRIBE: NO
KOH, DAVID W., MDGENDER: MNPI #: 1154361038ADVOCATE MEDICAL GROUP102 E CENTER STLE ROY, IL 61752PHONE: (309) 962-2081E-PRESCRIBE: NO
GERIATRICS
HAKES, PAUL E., MDGENDER: MNPI #: 1750315602ADVOCATE MEDICAL GROUP307 W MAIN STLEXINGTON, IL 61753PHONE: (309) 365-8608E-PRESCRIBE: NO
NEUROLOGY
CHAUHAN, SUNIL M., MDGENDER: MNPI #: 1912922881ADVOCATE MEDICAL GROUP307 W MAIN STLEXINGTON, IL 61753PHONE: (309) 365-8608E-PRESCRIBE: NO
ALLERGY/IMMUNOLOGY
PRATT, ELLEN L., MDGENDER: FNPI #: 1255421533SPRINGFIELD CLINIC100 STAHLHUT DRLINCOLN, IL 62656PHONE: (217) 735-9555E-PRESCRIBE: NO
CARDIOLOGY
AHMED, ADEEB, MDGENDER: MNPI #: 1245217603SPRINGFIELD CLINIC311 8TH STLINCOLN, IL 62656PHONE: (217) 735-9555E-PRESCRIBE: YES
COLON/RECTAL SURGERY
PARIS, BRAD D., MDGENDER: MNPI #: 1205057254SPRINGFIELD CLINIC515 N COLLEGE STLINCOLN, IL 62656PHONE: (217) 732-9681E-PRESCRIBE: YES
ZANDER, JOHN D., MDGENDER: MNPI #: 1558458349SPRINGFIELD CLINIC515 N COLLEGE STLINCOLN, IL 62656PHONE: (217) 732-9681E-PRESCRIBE: YES
DERMATOLOGY
CLAMAN, CASSANDRA C., MD
GENDER: FNPI #: 1356380281SPRINGFIELD CLINIC515 N COLLEGE STLINCOLN, IL 62656PHONE: (217) 732-9681E-PRESCRIBE: NO
ENDOCRINOLOGY
SAID, SUFYAN, MDGENDER: MNPI #: 1982885257SPRINGFIELD CLINIC515 N COLLEGE STLINCOLN, IL 62656PHONE: (217) 732-9681E-PRESCRIBE: YES
GASTROENTEROLOGY
MOSLEY, ROBERT G., MDGENDER: MNPI #: 1770683443SPRINGFIELD CLINIC311 8TH STLINCOLN, IL 62656PHONE: (217) 735-9555E-PRESCRIBE: YES
LEXINGTON, IL
LINCOLN, IL
LE ROY, ILLINCOLN, IL
Specialty Care Providers
279 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
GENERAL SURGERY
HAMMER, MAX D., MDGENDER: MNPI #: 1477650794SPRINGFIELD CLINIC200 STAHLHUT DRIVELINCOLN, IL 62656PHONE: (217) 732-2161E-PRESCRIBE: YES
ICAZA, ORLANDO J., MDGENDER: MNPI #: 1669579991SPRINGFIELD CLINIC515 N COLLEGE STLINCOLN, IL 62656PHONE: (217) 732-9681E-PRESCRIBE: YES
ROSS, DONALD, MDGENDER: MNPI #: 1326131285ABRAHAM LINCOLN MEMORIAL HOSPITAL200 STAHLHUT DRIVELINCOLN, IL 62656PHONE: (217) 732-2161E-PRESCRIBE: YES
SPRINGFIELD CLINIC515 N COLLEGE STLINCOLN, IL 62656PHONE: (217) 732-9681E-PRESCRIBE: YES
HEMATOLOGY/ONCOLOGY
BRETSCHER, MARY E., MDGENDER: FNPI #: 1073623336SPRINGFIELD CLINIC315 8TH STLINCOLN, IL 62656PHONE: (217) 732-2161E-PRESCRIBE: YES
NEPHROLOGY
DOWNER, MERRY C., MDGENDER: FNPI #: 1518054121SPRINGFIELD CLINIC311 8TH STLINCOLN, IL 62656PHONE: (217) 735-9555E-PRESCRIBE: YES
NEUROLOGY
NARLA, KOTESWARA R., MDGENDER: MNPI #: 1326131459SPRINGFIELD CLINIC315 8TH STLINCOLN, IL 62656PHONE: (217) 732-2161E-PRESCRIBE: YES
515 N COLLEGE STLINCOLN, IL 62656PHONE: (217) 732-9681E-PRESCRIBE: YES
OPHTHALMOLOGY
BUTLER, PATRICK J., MDGENDER: MNPI #: 1316057516SPRINGFIELD CLINIC515 N COLLEGE STLINCOLN, IL 62656PHONE: (217) 732-9681E-PRESCRIBE: NO
ORTHOPAEDICS
BOROWIECKI, TOMASZ A., MD
GENDER: MNPI #: 1336251982SPRINGFIELD CLINIC311 8TH STLINCOLN, IL 62656PHONE: (217) 735-9555E-PRESCRIBE: YES
OLYSAV, DAVID J., MDGENDER: MNPI #: 1154317899SPRINGFIELD CLINIC LLP100 STAHLHUT DRLINCOLN, IL 62656PHONE: (217) 735-9555E-PRESCRIBE: NO
PINEDA, STEPHEN J., MDGENDER: MNPI #: 1528178654SPRINGFIELD CLINIC311 8TH STLINCOLN, IL 62656PHONE: (217) 735-9555E-PRESCRIBE: YES
WOTTOWA, CHRIS, MDGENDER: MNPI #: 1922195718SPRINGFIELD CLINIC311 8TH STLINCOLN, IL 62656PHONE: (217) 735-9555E-PRESCRIBE: YES
OTOLARYNGOLOGY
FOWLER, SARAH S., MDGENDER: FNPI #: 1609976513SPRINGFIELD CLINIC515 N COLLEGE STLINCOLN, IL 62656PHONE: (217) 732-9681E-PRESCRIBE: YES
GARCIA, PHILIP, MDGENDER: MNPI #: 1831295815SPRINGFIELD CLINIC515 N COLLEGE STLINCOLN, IL 62656PHONE: (217) 732-9681E-PRESCRIBE: YES
LINCOLN, ILLINCOLN, IL
Specialty Care Providers
280* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
PLASTIC RECONSTRUCTIVE SURGERY
SINHA, RAJ K., MDGENDER: MNPI #: 1134229826SPRINGFIELD CLINIC515 N COLLEGE STLINCOLN, IL 62656PHONE: (217) 732-9681E-PRESCRIBE: YES
PULMONOLOGY
KAKUMANI, SRINIVASA R., MD
GENDER: MNPI #: 1508988486SPRINGFIELD CLINIC311 8TH STLINCOLN, IL 62656PHONE: (217) 735-9555E-PRESCRIBE: NO
PATEL, SAMIR, MDGENDER: MNPI #: 1811097595SPRINGFIELD CLINIC311 8TH STLINCOLN, IL 62656PHONE: (217) 735-9555E-PRESCRIBE: YES
RHEUMATOLOGY
PICK, MICHAEL A., MDGENDER: MNPI #: 1861585846SPRINGFIELD CLINIC311 8TH STLINCOLN, IL 62656PHONE: (217) 735-9555E-PRESCRIBE: YES
SLEEP MEDICINE
PATEL, SAMIR, MDGENDER: MNPI #: 1811097595SPRINGFIELD CLINIC311 8TH STLINCOLN, IL 62656PHONE: (217) 735-9555E-PRESCRIBE: YES
UROLOGY
BARON, THOMAS E., MDGENDER: MNPI #: 1972615748SPRINGFIELD CLINIC515 N COLLEGE STLINCOLN, IL 62656PHONE: (217) 732-9681E-PRESCRIBE: YES
ROSZHART, DAVID A., MDGENDER: MNPI #: 1235222191SPRINGFIELD CLINIC515 N COLLEGE STLINCOLN, IL 62656PHONE: (217) 732-9681E-PRESCRIBE: YES
SEVERINO, WILLIAM C., MDGENDER: MNPI #: 1659464493SPRINGFIELD CLINIC515 N COLLEGE STLINCOLN, IL 62656PHONE: (217) 732-9681E-PRESCRIBE: YES
VASCULAR SURGERY
RYAN, STEPHEN M., MDGENDER: MNPI #: 1407949365SPRINGFIELD CLINIC311 8TH STLINCOLN, IL 62656PHONE: (217) 735-9555E-PRESCRIBE: YES
GENERAL SURGERY
BLASER, JOSEPH A., DOGENDER: MNPI #: 1316064157HERITAGE MANOR-LITCHFIELD628 S ILLINOIS STLITCHFIELD, IL 62056PHONE: (217) 324-2153E-PRESCRIBE: NO
MONTGOMERY COUNTY SURGICAL ASSOCIATES1215 FRANCISCAN DR 4TH FLOORLITCHFIELD, IL 62056PHONE: (217) 324-8730E-PRESCRIBE: NO
OSIPOV, ROBERT M., MDGENDER: MNPI #: 1659493922HSHS MEDICAL GROUP1215 FRANCISCAN DR 4TH FLOORLITCHFIELD, IL 62056PHONE: (217) 324-8730E-PRESCRIBE: YES
NEUROLOGY
FORTIN, CLAUDE J., MDGENDER: MNPI #: 1235225780SPRINGFIELD CLINIC1215 FRANCISCAN DRLITCHFIELD, IL 62056PHONE: (217) 324-8420E-PRESCRIBE: YES
LITCHFIELD, IL
LINCOLN, ILLITCHFIELD, IL
Specialty Care Providers
281 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
OTOLARYNGOLOGY
FIERSTEIN, JEFFREY T., MDGENDER: MNPI #: 1740259043ST FRANCIS HOSPITAL1215 FRANCISCAN DRLITCHFIELD, IL 62056PHONE: (618) 826-4581E-PRESCRIBE: NO
RHEUMATOLOGY
STERN, MARK A., MDGENDER: MNPI #: 1033201579SPRINGFIELD CLINIC1215 FRANCISCAN DRLITCHFIELD, IL 62056PHONE: (217) 324-8420E-PRESCRIBE: YES
GENERAL SURGERY
BARAKAT, NABIL A., MDGENDER: MNPI #: 1619993268MIDWEST HAND SURGERY SC CREEKSIDE CENTRE16618 W 159TH ST SUITE 400LOCKPORT, IL 60441PHONE: (815) 306-2888E-PRESCRIBE: NO
ELLIS, RAMSEY A., MDGENDER: FNPI #: 1902010192MIDWEST HAND SURGERY SC CREEKSIDE CENTRE16618 W 159TH ST SUITE 400LOCKPORT, IL 60441PHONE: (815) 306-2888E-PRESCRIBE: NO
PLASTIC RECONSTRUCTIVE SURGERY
BARAKAT, NABIL A., MDGENDER: MNPI #: 1619993268MIDWEST HAND SURGERY SC CREEKSIDE CENTRE16618 W 159TH ST SUITE 400LOCKPORT, IL 60441PHONE: (815) 306-2888E-PRESCRIBE: NO
ELLIS, RAMSEY A., MDGENDER: FNPI #: 1902010192MIDWEST HAND SURGERY SC CREEKSIDE CENTRE16618 W 159TH ST SUITE 400LOCKPORT, IL 60441PHONE: (815) 306-2888E-PRESCRIBE: NO
PODIATRY
CANEVA, DARYL S., DPMGENDER: MNPI #: 1922107838ALLIANCE HEALTH1000 S HAMILTON STLOCKPORT, IL 60441PHONE: (815) 741-7590E-PRESCRIBE: NO
COLON/RECTAL SURGERY
RUIZ, DAN E., MDGENDER: MNPI #: 1134374929WESTERN ILLINOIS SURGICAL ASSOCIATES515 E GRANT ST SUITE 211MACOMB, IL 61455PHONE: (309) 833-3706E-PRESCRIBE: NO
GENERAL SURGERY
CARD, EDWIN L., MDGENDER: MNPI #: 1568468015MCDONOUGH DISTRICT HOSPITAL515 E GRANT ST SUITE 211MACOMB, IL 61455PHONE: (309) 833-4101E-PRESCRIBE: NO
HSU, JOHN W., MDGENDER: MNPI #: 1043439748RENALCARE ASSOCIATES501 E GRANT STMACOMB, IL 61455PHONE: (309) 676-8123E-PRESCRIBE: YES
KETEL, BEVERLEY L., MDGENDER: FNPI #: 1659402048RENALCARE ASSOCIATES501 E GRANT STMACOMB, IL 61455PHONE: (309) 676-8123E-PRESCRIBE: NO
OCONNOR, TIMOTHY P., MDGENDER: MNPI #: 1710974597RENALCARE ASSOCIATES501 E GRANT STMACOMB, IL 61455PHONE: (309) 676-8123E-PRESCRIBE: NO
WHITLEY, RONALD E., MDGENDER: MNPI #: 1194750950WESTERN ILLINOIS SURGICAL ASSOCIATES515 E GRANT ST SUITE 211MACOMB, IL 61455PHONE: (309) 833-3706E-PRESCRIBE: NO
LOCKPORT, IL
MACOMB, IL
LITCHFIELD, ILMACOMB, IL
Specialty Care Providers
282* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
NEPHROLOGY
ALONSO, ALEXANDER J., MDGENDER: MNPI #: 1124152707RENALCARE ASSOCIATES501 E GRANT STMACOMB, IL 61455PHONE: (309) 676-8123E-PRESCRIBE: NO
BRUHA, ROBERT, MDGENDER: MNPI #: 1043340367RENALCARE ASSOCIATES501 E GRANT STMACOMB, IL 61455PHONE: (309) 676-8123E-PRESCRIBE: NO
DREYER, PAUL T., MDGENDER: MNPI #: 1194855528RENALCARE ASSOCIATES501 E GRANT STMACOMB, IL 61455PHONE: (309) 676-8123E-PRESCRIBE: NO
HORINEK, ANTHONY R., MDGENDER: MNPI #: 1609907195RENALCARE ASSOCIATES501 E GRANT STMACOMB, IL 61455PHONE: (309) 676-8123E-PRESCRIBE: NO
JAMES, GORDON W., MDGENDER: MNPI #: 1124158431RENALCARE ASSOCIATES501 E GRANT STMACOMB, IL 61455PHONE: (309) 676-8123E-PRESCRIBE: NO
KETEL, BEVERLEY L., MDGENDER: FNPI #: 1659402048RENALCARE ASSOCIATES501 E GRANT STMACOMB, IL 61455PHONE: (309) 676-8123E-PRESCRIBE: NO
PAMULAPARTHY, SMITHA R., MD
GENDER: FNPI #: 1447328828RENALCARE ASSOCIATES501 E GRANT STMACOMB, IL 61455PHONE: (309) 676-8123E-PRESCRIBE: YES
PFLEDERER, BENJAMIN R., MD
GENDER: MNPI #: 1306976964RENALCARE ASSOCIATES501 E GRANT STMACOMB, IL 61455PHONE: (309) 676-8123E-PRESCRIBE: NO
PFLEDERER, TIMOTHY A., MD
GENDER: MNPI #: 1154451573RENALCARE ASSOCIATES501 E GRANT STMACOMB, IL 61455PHONE: (309) 676-8123E-PRESCRIBE: NO
ROSBOROUGH, DAVID C., MD
GENDER: MNPI #: 1619007275RENALCARE ASSOCIATES501 E GRANT STMACOMB, IL 61455PHONE: (309) 676-8123E-PRESCRIBE: NO
SADER, SAMER B., MDGENDER: MNPI #: 1831220318RENALCARE ASSOCIATES501 E GRANT STMACOMB, IL 61455PHONE: (309) 676-8123E-PRESCRIBE: NO
SPARROW, ROBERT T., MDGENDER: MNPI #: 1134259781RENALCARE ASSOCIATES501 E GRANT STMACOMB, IL 61455PHONE: (309) 676-8123E-PRESCRIBE: NO
SRINIVASAN, PARTHASARATHY, MD
GENDER: MNPI #: 1134199359RENALCARE ASSOCIATES501 E GRANT STMACOMB, IL 61455PHONE: (309) 676-8123E-PRESCRIBE: NO
NEUROLOGY
DHUNA, ANIL, MDGENDER: MNPI #: 1912019118BURLINGTON NEUROLOGY & SLEEP CLINIC PLC527 E GRANT STMACOMB, IL 61455PHONE: (309) 836-1683E-PRESCRIBE: NO
NEUROSURGERY
MCCALL, TODD D., MDGENDER: MNPI #: 1508054297ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS LLC527 W GRANT STMACOMB, IL 61455PHONE: (309) 676-0766E-PRESCRIBE: NO
MACOMB, ILMACOMB, IL
Specialty Care Providers
283 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
ONCOLOGY
PRAGER, DIANE J., MDGENDER: FNPI #: 1003883562ILLINOIS CANCERCARE501 E GRANT ST SUITE 1MACOMB, IL 61455PHONE: (309) 833-3503E-PRESCRIBE: YES
VEEDER, MICHAEL H., MDGENDER: MNPI #: 1568463305ILLINOIS CANCERCARE501 E GRANT ST SUITE 1MACOMB, IL 61455PHONE: (309) 833-3503E-PRESCRIBE: YES
OPHTHALMOLOGY
BRODY, JILL M., MDGENDER: FNPI #: 1568510899MCDONOUGH EYE ASSOCIATES505 E GRANT ST SUITE 206MACOMB, IL 61455PHONE: (309) 836-3937E-PRESCRIBE: NO
ORTHOPAEDICS
STACHNIW, MYRON B., MDGENDER: MNPI #: 1114911377MIDWEST ORTHOPEDIC SERVICES325 CANDY LANEMACOMB, IL 61455PHONE: (866) 681-9600E-PRESCRIBE: NO
WHEELER, RONALD D., MDGENDER: MNPI #: 1053328831WESTERN IL SPORTS MEDICINE AND ORTHOPEDIC CENTER503 E GRANT STMACOMB, IL 61455PHONE: (309) 833-5917E-PRESCRIBE: NO
WHITE, DRAKE, MDGENDER: MNPI #: 1124120076505 E GRANT ST SUITE 205MACOMB, IL 61455PHONE: (309) 833-3800E-PRESCRIBE: NO
PHYSICAL MEDICINE/REHABILITATION
SNYDER, LISA, MDGENDER: FNPI #: 1790715092MCDONOUGH DISTRICT HOSPITAL525 E GRANT STMACOMB, IL 61455PHONE: (309) 833-4100E-PRESCRIBE: NO
SUREKA, OMPRAKASH, MDGENDER: MNPI #: 1518902469MCDONOUGH DISTRICT HOSPITAL525 E GRANT STMACOMB, IL 61455PHONE: (309) 833-4100E-PRESCRIBE: NO
PODIATRY
MITCHELL, IDOL R., DPMGENDER: MNPI #: 1508850694437 E GRANT STMACOMB, IL 61455PHONE: (309) 837-3964E-PRESCRIBE: NO
SCHERER, MICHAEL A., DPMGENDER: MNPI #: 1649265133MIDWEST ORTHOPEDIC SERVICES325 CANDY LANEMACOMB, IL 61455PHONE: (866) 681-9600E-PRESCRIBE: NO
RADIATION ONCOLOGY
MAHMOOD, SALEEM, MDGENDER: MNPI #: 1679677678MACOMB ONCOLOGY INSTITUTE401 E GRANTMACOMB, IL 61455PHONE: (309) 836-8400E-PRESCRIBE: NO
UROLOGY
CASTILLO, ISABELO C., MDGENDER: MNPI #: 1124088943501 E GRANT ST #4MACOMB, IL 61455PHONE: (309) 837-2100E-PRESCRIBE: NO
VASCULAR SURGERY
WHITLEY, RONALD E., MDGENDER: MNPI #: 1194750950WESTERN ILLINOIS SURGICAL ASSOCIATES515 E GRANT ST SUITE 211MACOMB, IL 61455PHONE: (309) 833-3706E-PRESCRIBE: NO
MACOMB, ILMACOMB, IL
Specialty Care Providers
284* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
PODIATRY
MARTIN, ROBERT P., DPMGENDER: MNPI #: 1497732499MANTENO FOOT & ANKLE CLINIC25630 S GOUGERMANHATTAN, IL 60442PHONE: E-PRESCRIBE: NO
NEPHROLOGY
HASHMI, NASHIB, MDGENDER: MNPI #: 1629194543MANTENO DIALYSIS CENTER1 E DIVISION STMANTENO, IL 60950PHONE: E-PRESCRIBE: YES
PODIATRY
HODULIK, REBECCA J., DPMGENDER: FNPI #: 1609853746MANTENO FOOT & ANKLE CLINIC2825 W DIVISION STMANTENO, IL 60950PHONE: (815) 468-7117E-PRESCRIBE: NO
HOFMEISTER, ELIZABETH M., DPM
GENDER: FNPI #: 1437136926MANTENO FOOT & ANKLE CLINIC2825 W DIVISION STMANTENO, IL 60950PHONE: (815) 468-7117E-PRESCRIBE: NO
MARTIN, ROBERT P., DPMGENDER: MNPI #: 1497732499MANTENO FOOT & ANKLE CLINIC2825 W DIVISION STMANTENO, IL 60950PHONE: (815) 468-7117E-PRESCRIBE: NO
PODIATRY
CRAIG, STEVEN E., DPMGENDER: MNPI #: 1073512448CLINTON FOOT & ANKLE CLINIC700 W GROVE STMAQUOKETA, IA 52060PHONE: (563) 242-5763E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
CUARTAS, ALBERTO D., MDGENDER: MNPI #: 1740381169HEARTLAND ONCOLOGY & HEMATOLOGY CARE3008 CIVIC CIRCLE BLVDMARION, IL 62959PHONE: (618) 993-1030E-PRESCRIBE: NO
PAIN MANAGEMENT
MANCHIKANTI, LAXMAIAH, MD
GENDER: MNPI #: 1730178799PAIN MANAGEMENT CENTER OF MARION108 AIRWAY DRMARION, IL 62959PHONE: (618) 997-7820E-PRESCRIBE: NO
ALLERGY/IMMUNOLOGY
ZECH, JOHN R., MDGENDER: MNPI #: 1639277346CARLE FOUNDATION PHYSICIAN SERVICES200 LERNA ROAD SOUTHMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
CARLE PHYSICIAN GROUP200 LERNA RDMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: YES
CARDIOLOGY
BODINE, CHRISTOPHER K., MD
GENDER: MNPI #: 1396775185CARLE FOUNDATION PHYSICIAN SERVICES200 LERNA RD SOUTHMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
MANHATTAN, IL
MANTENO, IL
MAQUOKETA, IA
MARION, IL
MATTOON, IL
MANHATTAN, ILMATTOON, IL
Specialty Care Providers
285 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
CACERES, LUIS, MDGENDER: MNPI #: 1942381496SARAH BUSH LINCOLN500 HEALTH CTR DR SUITE 107MATTOON, IL 61938PHONE: (217) 238-4960E-PRESCRIBE: NO
CAHILL JR, THOMAS B., MDGENDER: MNPI #: 1023128113SARAH BUSH LINCOLN HEALTH CENTER500 HEALTH CENTER DR SUITE 107MATTOON, IL 61938PHONE: (217) 238-4960E-PRESCRIBE: NO
DANDE, AMIT S., MDGENDER: MNPI #: 1477735298SARAH BUSH LINCOLN HEALTH CENTER500 HEALTH CENTER DR SUITE 107MATTOON, IL 61938PHONE: (217) 238-4960E-PRESCRIBE: NO
GOLDSTEIN, JEFFREY A., MDGENDER: MNPI #: 1689756900500 HEALTH CTR DR #107MATTOON, IL 61938PHONE: (217) 238-4960E-PRESCRIBE: NO
KAIROUZ, JEANNE M., MDGENDER: FNPI #: 1003846908500 HEALTH CTR DR SUITE 107MATTOON, IL 61938PHONE: (217) 238-4960E-PRESCRIBE: NO
KATSAMAKIS, CONSTANTINE D., DO
GENDER: MNPI #: 1407906100SBL MEDICAL OFFICE PAVILION500 HEALTH CENTER DR SUITE 107MATTOON, IL 61938PHONE: (217) 238-4960E-PRESCRIBE: NO
LAKSHMINARAYANAN, BATLAGUNDU S., MD
GENDER: MNPI #: 1326060278CHRISTIE CLINIC105 B PROFESSIONAL PLAZAMATTOON, IL 61938PHONE: (217) 345-3000E-PRESCRIBE: YES
MEHTA, SANJAY S., MDGENDER: MNPI #: 1477572022CARLE FOUNDATION PHYSICIAN SERVICES200 LERNA RD SOUTHMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
CARLE FOUNDATION PHYSICIANS SERVICES200 LERNA RDMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: YES
MOULTON, KRIEGH P., MDGENDER: MNPI #: 1174605166500 HEALTH CTR DR #107MATTOON, IL 61938PHONE: (217) 238-4960E-PRESCRIBE: NO
NANDISH, SHAILESH, MDGENDER: MNPI #: 1134104144500 HEALTH CTR DR #107MATTOON, IL 61938PHONE: (217) 238-4960E-PRESCRIBE: NO
NOVAK, HOLLY, MDGENDER: FNPI #: 1952483968500 HEALTH CARE CTR DR SUITE 107MATTOON, IL 61938PHONE: (217) 238-4960E-PRESCRIBE: NO
PACHECO-CORONAGO, ROBERTO, MD
GENDER: MNPI #: 1194982892500 HEALTH CTR DR #107MATTOON, IL 61938PHONE: (217) 238-4960E-PRESCRIBE: NO
SHELTON, MARC E., MDGENDER: MNPI #: 1245313840SUITE 107500 HEALTH CENTER DRMATTOON, IL 61938PHONE: (217) 238-4960E-PRESCRIBE: NO
CARDIOTHORACIC SURGERY
GREEN, CURTIS, DOGENDER: MNPI #: 1386750685SBL SURGERY CLINIC500 HEALTH CENTER DR SUITE 304MATTOON, IL 61938PHONE: (217) 258-4020E-PRESCRIBE: NO
MATTOON, ILMATTOON, IL
Specialty Care Providers
286* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
COLON/RECTAL SURGERY
TENDER, PAUL M., MDGENDER: MNPI #: 1326159088CARLE FOUNDATION PHYSICIAN SERVICES200 LERNA RD SOUTHMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
DERMATOLOGY
LEONE, DOUGLAS M., MDGENDER: MNPI #: 1255523296DERMATOLOGY AND MOHS SURGERY INSTITUTE LTD200 RICHMOND AVEMATTOON, IL 61938PHONE: E-PRESCRIBE: NO
ENDOCRINOLOGY
ONYEMERE, KINGSLEY, MDGENDER: MNPI #: 1790798015CARLE FOUNDATION PHYSICIAN SERVICES200 LERNA ROAD SOUTHMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
GASTROENTEROLOGY
AYONOTE, ALEXIS, MDGENDER: MNPI #: 1013023449SBL GASTROENTEROLOGY500 HEALTH CENTER DR SUITE 204MATTOON, IL 61938PHONE: (217) 258-4155E-PRESCRIBE: NO
GENERAL SURGERY
CRADOCK, KIMBERLY A., MDGENDER: FNPI #: 1659483204CARLE FOUNDATION PHYSICIAN SERVICES LLC200 LERNA RD SMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
GREEN, CURTIS, DOGENDER: MNPI #: 1386750685SBL SURGERY CLINIC500 HEALTH CENTER DR SUITE 304MATTOON, IL 61938PHONE: (217) 258-4020E-PRESCRIBE: NO
JONES-MONAHAN, KELLIE, MD
GENDER: FNPI #: 1467568345SBL SURGERY CLINIC500 HEALTH CENTER DR SUITE 304MATTOON, IL 61938PHONE: (217) 258-4020E-PRESCRIBE: NO
OLIPHANT, URETZ, MDGENDER: MNPI #: 1033154109CARLE FOUNDATION PHYSICIAN SERVICES200 LERNA RD SOUTHMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
WILSON, BRADLEY A., MDGENDER: MNPI #: 1528046141SBL SURGERY DEPARTMENT500 HEALTH CENTER DR SUITE 304MATTOON, IL 61938PHONE: (217) 258-4020E-PRESCRIBE: NO
GERIATRICS
MIKEL, GARY, MDGENDER: MNPI #: 1962518746SBL FAMILY MEDICAL CENTER200 RICHMOND AVE EASTMATTOON, IL 61938PHONE: (217) 234-7000E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
EGNER, JAMES R., MDGENDER: MNPI #: 1053330993CARLE FOUNDATION PHYSICIAN SERVICES200 LERNA ROAD SOUTHMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
CARLE PHYSICIAN GROUP200 LERNA RDMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: YES
JAGARLAMUDI, KUPPUSWAMY, MD
GENDER: MNPI #: 1194995357SBL REGIONAL CANCER CENTER1000 HEALTH CENTER DRMATTOON, IL 61938PHONE: (217) 258-2250E-PRESCRIBE: NO
MATTOON, ILMATTOON, IL
Specialty Care Providers
287 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
LUYUN, RONNIE F., MDGENDER: MNPI #: 1346291960CARLE FOUNDATION PHYSICIAN SERVICES200 LERNA RD SOUTHMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
ROWLAND, KENDRITH M., MD
GENDER: MNPI #: 1407955206CARLE FOUNDATION PHYSICIAN SERVICES LLC200 LERNA RD SMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
SHAKIR, ABDUR R., MDGENDER: MNPI #: 1669583431SBL REGIONAL CANCER CENTER1000 HEALTH CENTER DRMATTOON, IL 61938PHONE: (217) 258-2550E-PRESCRIBE: NO
INFECTIOUS DISEASES
DOLAN, STEPHEN A., MDGENDER: MNPI #: 1033137104CARLE FOUNDATION PHYSICIAN SERVICES200 LERNA RD SOUTHMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
NEPHROLOGY
QATTASH, ISMAIL, MDGENDER: MNPI #: 1538329982CHRISTIE CLINIC105 B PROFESSIONAL PLAZAMATTOON, IL 61938PHONE: (217) 345-3000E-PRESCRIBE: YES
NEURO OPHTHALMOLOGY
MCNUSSEN, PATRICIA J., MDGENDER: FNPI #: 1528089067CARLE FOUNDATION PHYSICIAN SERVICES LLC200 LERNA RD SMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
NEUROLOGY
COLLINS, ANTHONY F., MDGENDER: MNPI #: 1851358774SARAH BUSH LINCOLN HEALTH CENTER200 PROFESSIONAL PLAZAMATTOON, IL 61938PHONE: (217) 258-2562E-PRESCRIBE: NO
KHOSROWSHAHI, SAMINEH, MD
GENDER: MNPI #: 1235185224CARLE FOUNDATION PHYSICIAN SERVICES200 LERNA RD SOUTHMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
NEUROSURGERY
NARDONE, EMILIO M., MDGENDER: MNPI #: 1538195920CENTRAL ILLINOIS NEUROHEALTH SCIENCES200 PROFESSIONAL PLAZAMATTOON, IL 61938PHONE: (217) 238-4982E-PRESCRIBE: NO
SBL MEDICAL CENTER200 PROFESSIONAL PLAZAMATTOON, IL 61938PHONE: (217) 238-2982E-PRESCRIBE: NO
SEIBLY, JASON M., DOGENDER: MNPI #: 1972789238CENTRAL ILLINOIS NEUROHEALTH SCIENCES200 PROFESSIONAL PLAZAMATTOON, IL 61938PHONE: (217) 238-4982E-PRESCRIBE: NO
STROINK, ANN R., MDGENDER: FNPI #: 1548290158CENTRAL ILLINOIS NEUROHEALTH SCIENCES200 PROFESSIONAL PLAZAMATTOON, IL 61938PHONE: (217) 238-4982E-PRESCRIBE: NO
OCCUPATIONAL MEDICINE
LARSON, RICHARD E., MDGENDER: MNPI #: 1922219419CARLE PHYSICIAN GROUP200 LERNA ROAD SOUTHMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: YES
MATTOON, ILMATTOON, IL
Specialty Care Providers
288* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
SCOTT, WILLIAM S., MDGENDER: MNPI #: 1780707851CARLE FOUNDATION PHYSICIAN SERVICES LLC200 LERNA RD SMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
OPHTHALMOLOGY
DERANIAN, MARCUS S., MDGENDER: MNPI #: 19523673511120 LAKELAND BLVDMATTOON, IL 61938PHONE: (217) 258-8466E-PRESCRIBE: YES
PANAGAKIS, GEORGE, DOGENDER: MNPI #: 1215947403CARLE FOUNDATION PHYSICIAN SERVICES200 LERNA RD SMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
ORTHOPAEDICS
EUBANKS, AARON, MDGENDER: MNPI #: 1144422726SBL ORTHOPEDICS & SPORTS MEDICINE500 HEALTH CENTER DR SUITE 101MATTOON, IL 61938PHONE: (217) 238-3435E-PRESCRIBE: NO
GURTLER, ROBERT G., MDGENDER: MNPI #: 1811911001CARLE FOUNDATION PHYSICIAN SERVICES LLC200 LERNA RD SMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
MCKECHNIE, JAMES K., MDGENDER: MNPI #: 1093873234LINCOLN TRAIL ORTHOPAEDIC CLINIC SC103 PROFESSIONAL PLAZAMATTOON, IL 61938PHONE: (217) 348-1030E-PRESCRIBE: NO
MENDELLA, LOUIS, DOGENDER: MNPI #: 1912947854SBL ORTHOPEDICS & SPORTS MEDICINE500 HEALTH CENTER DR SUITE 101MATTOON, IL 61938PHONE: (217) 238-3435E-PRESCRIBE: NO
MORAN, MICHAEL C., MDGENDER: MNPI #: 1073565784CARLE FOUNDATION PHYSICIAN SERVICES LLC200 LERNA RD SMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
SANDERCOCK II, DONALD M., DO
GENDER: MNPI #: 1891776068SBL ORTHOPEDICS & SPORTS MEDICINE500 HEALTH CENTER DR SUITE 101MATTOON, IL 61938PHONE: (217) 238-3435E-PRESCRIBE: NO
SOBESKI, JAMES K., MDGENDER: MNPI #: 1982704102CARLE FOUNDATION PHYSICIAN SERVICES LLC200 LERNA RD SMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
OTOLARYNGOLOGY
CUDONE, LORI, MDGENDER: FNPI #: 1003037169SBL ENT CLINIC500 HEALTH CENTER DR SUITE 401MATTOON, IL 61938PHONE: (217) 258-2409E-PRESCRIBE: NO
MARIS, CHARLES R., MDGENDER: MNPI #: 1932170982CARLE FOUNDATION PHYSICIAN SERVICES200 LERNA RD SOUTHMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
MATTOON, ILMATTOON, IL
Specialty Care Providers
289 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
NGUYEN, CHARLY, MDGENDER: MNPI #: 1861508665SBL ENT CLINIC500 HEALTH CENTER DR SUITE 401MATTOON, IL 61938PHONE: (217) 258-2409E-PRESCRIBE: NO
SMITH, MICHAEL, MDGENDER: MNPI #: 1215043971SBL ENT CLINIC500 HEALTH CENTER DR SUITE 401MATTOON, IL 61938PHONE: (217) 258-2409E-PRESCRIBE: NO
PAIN MANAGEMENT
ARTMANN, SHERYL, MDGENDER: FNPI #: 1184730640SBL SURGERY DEPARTMENT1000 HEALTH CENTER DRMATTOON, IL 61938PHONE: (217) 258-2440E-PRESCRIBE: NO
EL-ANSARY, MOHAMED, MDGENDER: MNPI #: 1861508145CENTER FOR INTERVENTIONAL PAIN SBL MEDICAL OFFICE500 HEALTH CENTER DR SUITE 204MATTOON, IL 61938PHONE: E-PRESCRIBE: NO
SBL SURGERY DEPARTMENT1000 HEALTH CENTER DRMATTOON, IL 61938PHONE: (217) 258-2440E-PRESCRIBE: NO
MITRY, RAGAI M., MDGENDER: MNPI #: 1558477349CENTER FOR INTERVENTIONAL PAIN SBL MEDICAL OFFICE500 HEALTH CENTER DR SUITE 204MATTOON, IL 61938PHONE: E-PRESCRIBE: NO
SBL SURGERY DEPARTMENT1000 HEALTH CENTER DRMATTOON, IL 61938PHONE: (217) 258-2440E-PRESCRIBE: NO
PEDIATRIC DEVELOPMENT
MORTON, CHARLES T., MDGENDER: MNPI #: 1548281082CARLE FOUNDATION PHYSICIAN SERVICES LLC200 LERNA ROAD SMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
CARLE PHYSICIAN GROUP200 LERNA RDMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: YES
PEDIATRIC OPHTHALMOLOGY
PANAGAKIS, GEORGE, DOGENDER: MNPI #: 1215947403CARLE FOUNDATION PHYSICIAN SERVICES200 LERNA RD SMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
PHYSICAL MEDICINE/REHABILITATION
AHMAD, ZEESHAN, MDGENDER: MNPI #: 1134126451CARLE FOUNDATION PHYSICIAN SERVICES200 LERNA ROAD SOUTHMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
LI, JIAN, MDGENDER: NPI #: 1336169440CARLE FOUNDATION PHYSICIAN SERVICES200 LERNA RD SOUTHMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
PLASTIC RECONSTRUCTIVE SURGERY
LI, PAUL K., MDGENDER: MNPI #: 1801907431CARLE FOUNDATION PHYSICIAN SERVICES LLC200 LERNA RD SMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
PODIATRY
BORN, ROBERT J., DPMGENDER: MNPI #: 1134170590CARLE FOUNDATION PHYSICIAN SERVICES200 LERNA RD SOUTHMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
MATTOON, ILMATTOON, IL
Specialty Care Providers
290* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
PULMONOLOGY
PATEL, KAUSHIK J., MDGENDER: NPI #: 1861486987CHRISTIE CLINIC105 B PROFESSIONAL PLAZAMATTOON, IL 61938PHONE: (217) 345-3000E-PRESCRIBE: YES
RADIATION ONCOLOGY
BRUIN, MICHAEL L., MDGENDER: MNPI #: 1437119997SARAH BUSH LINCOLN REGIONAL CANCER CENTER1000 HEALTH CENTER DRMATTOON, IL 61938PHONE: (217) 258-2250E-PRESCRIBE: NO
CHO, SEONG R., MDGENDER: MNPI #: 1811082886CANCER CARE SPECIALISTS OF CENTRAL IL1000 HEALTH CENTER DRMATTOON, IL 61938PHONE: (217) 258-2250E-PRESCRIBE: NO
RHEUMATOLOGY
RASHEED, MEHMOODUR, MD
GENDER: MNPI #: 1215978473CARLE FOUNDATION PHYSICIAN SERVICES LLC200 LERNA RD SMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
SESSIONS, NATALIE R., DOGENDER: FNPI #: 1992997175CARLE FOUNDATION PHYSICIAN SERVICES LLC200 LERNA RD SMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: YES
UROLOGY
HELFER, ERIC P., MDGENDER: MNPI #: 1518064062SUITE 305500 HEALTH CENTER DRMATTOON, IL 61938PHONE: (217) 258-4186E-PRESCRIBE: NO
HELFER, ERIC, MDGENDER: MNPI #: 1518064062CHRISTIE CLINIC105 B PROFESSIONAL PLAZAMATTOON, IL 61938PHONE: (217) 345-3000E-PRESCRIBE: YES
MAURER, GREGORY M., MDGENDER: MNPI #: 1699881227CARLE FOUNDATION PHYSICIAN SERVICES200 LERNA RD SOUTHMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
RIVES, ROGER K., MDGENDER: MNPI #: 1861416372SUITE 305500 HEALTH CTR DRMATTOON, IL 61938PHONE: (217) 258-4186E-PRESCRIBE: NO
VASCULAR SURGERY
GREEN, CURTIS, DOGENDER: MNPI #: 1386750685SBL SURGERY CLINIC500 HEALTH CENTER DR SUITE 304MATTOON, IL 61938PHONE: (217) 258-4020E-PRESCRIBE: NO
ZAKARIA, AAMIR M., MDGENDER: MNPI #: 1154317683CARLE FOUNDATION PHYSICIAN SERVICES200 LERNA ROAD SOUTHMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
PODIATRY
PAYTON, DAMON, DPMGENDER: MNPI #: 1649200502HAMILTON MEMORIAL HOSPITAL-OUTPATIENT CLINIC611 S MARSHALL AVEMCLEANSBORO, IL 62859PHONE: (618) 643-2361E-PRESCRIBE: NO
MCLEANSBORO, IL
MATTOON, ILMCLEANSBORO, IL
Specialty Care Providers
291 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
PODIATRY
MANSOUR, HAYTHAM, DPMGENDER: MNPI #: 1811078207THE CENTERS FOR FOOT & ANKLE SURGERY LTD603 W MONDAMIN STMINOOKA, IL 60447PHONE: (815) 521-9280E-PRESCRIBE: NO
GASTROENTEROLOGY
JURKOVIC, EDWARD, DOGENDER: MNPI #: 1558360842DIGESTIVE DISEASES CONSULTANTS OF KANKAKEE19001 OLD LAGRANGE RD 2ND FLOORMOKENA, IL 60448PHONE: (815) 937-5200E-PRESCRIBE: NO
ORTHOPAEDICS
SAMPAT, CHINTAN S., MDGENDER: MNPI #: 1841407046PARKVIEW ORTHOPAEDIC GROUP SC10060 WEST 191ST STREETMOKENA, IL 60448PHONE: (708) 361-0600E-PRESCRIBE: NO
CARDIOLOGY
PATEL, SUBHASH J., MDGENDER: MNPI #: 1891986907OSF HOLY FAMILY CLINICS1000 W HARLEM AVEMONMOUTH, IL 61462PHONE: (309) 672-3140E-PRESCRIBE: NO
RASHID, JOHN F., MDGENDER: MNPI #: 1386674349HEARTCARE MIDWEST SC1000 W HARLEM AVEMONMOUTH, IL 61462PHONE: (309) 691-4410E-PRESCRIBE: NO
CARDIOTHORACIC SURGERY
WILLIAMS, JAMES B., MDGENDER: MNPI #: 1265433882CARDIAC THORACIC & ENDOVASCULAR THERAPIES SC1000 HARLEM AVEMONMOUTH, IL 61462PHONE: (309) 680-5000E-PRESCRIBE: NO
GENERAL SURGERY
GODBOLE, MUKUND P., MDGENDER: MNPI #: 1003996125OSF HOLY FAMILY CLINICS1000 W HARLEM AVEMONMOUTH, IL 61462PHONE: (309) 734-1414E-PRESCRIBE: NO
HSU, JOHN W., MDGENDER: MNPI #: 1043439748RENALCARE ASSOCIATES1201 E BROADWAY SUITE BMONMOUTH, IL 61462PHONE: (309) 343-4144E-PRESCRIBE: YES
KETEL, BEVERLEY L., MDGENDER: FNPI #: 1659402048RENALCARE ASSOCIATES1201 E BROADWAY SUITE BMONMOUTH, IL 61462PHONE: (309) 343-4144E-PRESCRIBE: NO
MITCHELL, JERRY E., MDGENDER: MNPI #: 1679674402OSF GALESBURG CLINIC1000 W HARLEM AVEMONMOUTH, IL 61462PHONE: (309) 734-6639E-PRESCRIBE: NO
OCONNOR, TIMOTHY P., MDGENDER: MNPI #: 1710974597RENALCARE ASSOCIATES1201 E BROADWAY SUITE BMONMOUTH, IL 61462PHONE: (309) 343-4144E-PRESCRIBE: NO
INTENSIVE CARE/CRITICAL CARE
PATEL, KISHORBHAI K., MDGENDER: MNPI #: 1396846853OSF GALESBURG CLINIC1000 W HARLEM AVEMONMOUTH, IL 61462PHONE: (309) 734-6639E-PRESCRIBE: NO
MINOOKA, IL
MOKENA, IL
MONMOUTH, IL
MINOOKA, ILMONMOUTH, IL
Specialty Care Providers
292* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
NEPHROLOGY
ALONSO, ALEXANDER J., MDGENDER: MNPI #: 1124152707RENALCARE ASSOCIATES1201 E BROADWAY SUITE BMONMOUTH, IL 61462PHONE: (309) 343-4144E-PRESCRIBE: NO
BRUHA, ROBERT, MDGENDER: MNPI #: 1043340367RENALCARE ASSOCIATES1201 E BRAODWAY SUITE BMONMOUTH, IL 61462PHONE: (309) 343-4144E-PRESCRIBE: NO
DREYER, PAUL T., MDGENDER: MNPI #: 1194855528RENALCARE ASSOCIATES1201 E BROADWAY SUITE BMONMOUTH, IL 61462PHONE: (309) 343-4144E-PRESCRIBE: NO
HORINEK, ANTHONY R., MDGENDER: MNPI #: 1609907195RENALCARE ASSOCIATES1201 E BROADWAY SUITE BMONMOUTH, IL 61462PHONE: (609) 343-4144E-PRESCRIBE: NO
JAMES, GORDON W., MDGENDER: MNPI #: 1124158431RENALCARE ASSOCIATES1201 E BROADWAY SUITE BMONMOUTH, IL 61462PHONE: (309) 343-4144E-PRESCRIBE: NO
KETEL, BEVERLEY L., MDGENDER: FNPI #: 1659402048RENALCARE ASSOCIATES1201 E BROADWAY SUITE BMONMOUTH, IL 61462PHONE: (309) 343-4144E-PRESCRIBE: NO
PAMULAPARTHY, SMITHA R., MD
GENDER: FNPI #: 1447328828RENALCARE ASSOCIATES1201 E BROADWAY SUITE BMONMOUTH, IL 61462PHONE: (309) 343-4144E-PRESCRIBE: YES
PFLEDERER, BENJAMIN R., MD
GENDER: MNPI #: 1306976964RENALCARE ASSOCIATES1202 E BROADWAY SUITE BMONMOUTH, IL 61462PHONE: (309) 343-4144E-PRESCRIBE: NO
PFLEDERER, TIMOTHY A., MD
GENDER: MNPI #: 1154451573RENALCARE ASSOCIATES1201 E BROADWAY SUITE BMONMOUTH, IL 61462PHONE: (309) 343-4144E-PRESCRIBE: NO
ROSBOROUGH, DAVID C., MD
GENDER: MNPI #: 1619007275RENALCARE ASSOCIATES1201 E BROADWAY SUITE BMONMOUTH, IL 61462PHONE: (309) 343-4144E-PRESCRIBE: NO
SADER, SAMER B., MDGENDER: MNPI #: 1831220318RENALCARE ASSOCIATES1201 E BROADWAY SUITE BMONMOUTH, IL 61462PHONE: (309) 343-4144E-PRESCRIBE: NO
SPARROW, ROBERT T., MDGENDER: MNPI #: 1134259781RENALCARE ASSOCIATES1201 E BROADWAY SUITE BMONMOUTH, IL 61462PHONE: (309) 343-4144E-PRESCRIBE: NO
SRINIVASAN, PARTHASARATHY, MD
GENDER: MNPI #: 1134199359RENALCARE ASSOCIATES1201 E BROADWAY SUITE BMONMOUTH, IL 61462PHONE: (309) 343-4114E-PRESCRIBE: NO
ORTHOPAEDICS
POTACZEK, STEVEN G., MDGENDER: MNPI #: 1396846127OSF GALESBURG CLINIC1000 W HARLEM AVEMONMOUTH, IL 61462PHONE: (309) 344-1000E-PRESCRIBE: NO
PODIATRY
CAIN, JARRETT D., DPMGENDER: MNPI #: 1952340770OSF HOLY FAMILY CLINICS1000 W HARLEM AVEMONMOUTH, IL 61462PHONE: (309) 734-1414E-PRESCRIBE: NO
MONMOUTH, ILMONMOUTH, IL
Specialty Care Providers
293 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
CARLSON, RUSSELL M., DPMGENDER: MNPI #: 1023271137OSF HOLY FAMILY CLINICS1000 W HARLEM AVEMONMOUTH, IL 61462PHONE: (309) 734-1414E-PRESCRIBE: NO
HERBSTRITH, AMI L., DPMGENDER: FNPI #: 1336135995OSF HOLY FAMILY CLINICS1000 W HARLEM AVEMONMOUTH, IL 61462PHONE: (309) 734-1414E-PRESCRIBE: NO
MANSOUR, HAYTHAM, DPMGENDER: MNPI #: 1811078207OSF HOLY FAMILY MEDICAL CENTER1000 W HARLEM AVEMONMOUTH, IL 61462PHONE: (309) 734-1414E-PRESCRIBE: NO
VASCULAR SURGERY
WILLIAMS, JAMES B., MDGENDER: MNPI #: 1265433882CARDIAC THORACIC & ENDOVASCULAR THERAPIES SC1000 HARLEM AVEMONMOUTH, IL 61462PHONE: (309) 680-5000E-PRESCRIBE: NO
PODIATRY
VOHRA, PRAVEEN K., MDGENDER: MNPI #: 1437113461OSWEGO FOOT AND ANKLE SPECIALIST1851 S DOUGLASMONTGOMERY, IL 60538PHONE: (630) 892-0000E-PRESCRIBE: NO
PODIATRY
CRAIG, STEVEN E., DPMGENDER: MNPI #: 1073512448CLINTON FOOT & ANKLE CLINIC740 E OAK STMONTICELLO, IA 52310PHONE: (563) 242-5763E-PRESCRIBE: NO
GASTROENTEROLOGY
GRIGLIONE, GARY R., MDGENDER: MNPI #: 1013931203KIRBY MEDICAL CENTER1000 MEDICAL CENTER DRMONTICELLO, IL 61856PHONE: (217) 762-2115E-PRESCRIBE: NO
HALLETT, JEFFREY L., MDGENDER: MNPI #: 1760499313KIRBY MEDICAL CENTER1000 MEDICAL CENTER DRMONTICELLO, IL 61856PHONE: (217) 762-2115E-PRESCRIBE: NO
JONES, DOUGLAS J., MDGENDER: MNPI #: 1649287210KIRBY MEDICAL CENTER1000 MEDICAL CENTER DRMONTICELLO, IL 61856PHONE: (217) 762-2115E-PRESCRIBE: NO
PATEL, NALIN, MDGENDER: FNPI #: 1467403535KIRBY MEDICAL CENTER1000 MEDICAL CENTER DRMONTICELLO, IL 61856PHONE: (217) 762-2115E-PRESCRIBE: NO
ORTHOPAEDICS
TUAN, KENNETH, MDGENDER: MNPI #: 1477520955KIRBY SPECIALITY CLINIC1109 N STATE STMONTICELLO, IL 61856PHONE: E-PRESCRIBE: NO
OTOLARYNGOLOGY
MARIS, CHARLES, MDGENDER: MNPI #: 1932170982KIRBY MEDICAL CENTER1000 MEDICAL CENTER DRMONTICELLO, IL 61856PHONE: E-PRESCRIBE: NO
PHYSICAL MEDICINE/REHABILITATION
WU, SUSAN, MDGENDER: FNPI #: 1639146111KIRBY SPECIALTY CLINIC1109 N STATE STMONTICELLO, IL 61856PHONE: E-PRESCRIBE: NO
MONTGOMERY, IL
MONTICELLO, IA
MONTICELLO, IL
MONMOUTH, ILMONTICELLO, IL
Specialty Care Providers
294* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
NEUROLOGY
DHUNA, ANIL, MDGENDER: MNPI #: 1912019118BURLINGTON NEUROLOGY & SLEEP CLINIC PLC407 WHITE STMOUNT PLEASANT, IA 52641PHONE: (319) 754-4400E-PRESCRIBE: NO
GASTROENTEROLOGY
AGGARWAL, ANJANA, MDGENDER: FNPI #: 1467436899GASTROENTEROLOGY ASSOCIATES PC2109 CEDARWOOD DRMUSCATINE, IA 52761PHONE: (563) 263-0834E-PRESCRIBE: NO
DAVIDSON III, WILLIAM, MDGENDER: MNPI #: 1225010499GASTROENTEROLOGY ASSOCIATES PC2109 CEDARWOOD DRMUSCATINE, IA 52761PHONE: (563) 263-0834E-PRESCRIBE: YES
HUH, YOUNG B., MDGENDER: MNPI #: 1407830912GASTROENTEROLOGY ASSOCIATES PC2109 CEDARWOOD DRMUSCATINE, IA 52761PHONE: (563) 263-0834E-PRESCRIBE: NO
PRATT, DAVID S., MDGENDER: MNPI #: 1073597597GASTROENTEROLOGY ASSOCIATES PC2109 CEDARWOOD DRMUSCATINE, IA 52761PHONE: (563) 263-0834E-PRESCRIBE: NO
WEYMAN IV, RICHARD L., MDGENDER: MNPI #: 1295717478GASTROENTEROLOGY ASSOCIATES PC2109 CEDARWOOD DRMUSCATINE, IA 52761PHONE: (563) 263-0834E-PRESCRIBE: NO
GENERAL SURGERY
MARSHALL, WENDY J., MDGENDER: FNPI #: 1578538492PROVENA MEDICAL GROUP-WOMENS CENTER410 N LINCOLN HIGHWAY SUITE 251NEW LENOX, IL 60451PHONE: (815) 485-2541E-PRESCRIBE: NO
NEUROSURGERY
KOULOUMBERIS, PELAGIA E., MD
GENDER: FNPI #: 1487804969JOLIET NEUROSURGICAL CLINIC410 E LINCOLN HIGHWAYNEW LENOX, IL 60451PHONE: (815) 462-5532E-PRESCRIBE: NO
ORTHOPAEDICS
FUENTES, HENRY J., MDGENDER: MNPI #: 1043218050PARKVIEW ORTHOPAEDIC GROUP SC688 CEDAR CROSSING DRNEW LENOX, IL 60451PHONE: (815) 727-3030E-PRESCRIBE: NO
MORAN, MARK E., MDGENDER: MNPI #: 1376541326PARKVIEW ORTHOPAEDIC GROUP SC688 CEDAR CROSSING DRNEW LENOX, IL 60451PHONE: (815) 727-3030E-PRESCRIBE: NO
SAMPAT, CHINTAN S., MDGENDER: MNPI #: 1841407046PARKVIEW ORTHOPAEDIC GROUP SC688 CEDAR CROSSING DRNEW LENOX, IL 60451PHONE: (815) 727-3030E-PRESCRIBE: NO
SEMBA, ROBERT T., MDGENDER: MNPI #: 1487652400PARKVIEW ORTHOPEDIC GROUP SC688 CEDAR CROSSING DRNEW LENOX, IL 60451PHONE: (815) 727-3030E-PRESCRIBE: NO
MOUNT PLEASANT, IA
MUSCATINE, IA
NEW LENOX, IL
MOUNT PLEASANT, IANEW LENOX, IL
Specialty Care Providers
295 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
ALLERGY/IMMUNOLOGY
LOWERY, MARGARET M., MDGENDER: FNPI #: 1790885234ANJULI S NAYAK MD2010 JACOBSSEN DRNORMAL, IL 61761PHONE: (309) 452-0995E-PRESCRIBE: NO
NAYAK, ANJULI S., MDGENDER: FNPI #: 12150423122010 JACOBSSEN DRNORMAL, IL 61761PHONE: (309) 452-0995E-PRESCRIBE: NO
CARDIAC ELECTROPHYSIOLOGY
KOUL, ASHOK K., MDGENDER: MNPI #: 1558383877ADVOCATE MEDICAL GROUP1302 FRANKLIN AVE SUITE 4500NORMAL, IL 61761PHONE: (309) 556-8300E-PRESCRIBE: NO
CARDIOLOGY
BRAASTAD, ROBERT A., MDGENDER: MNPI #: 1487619573ADVOCATE MEDICAL GROUP1302 FRANKLIN AVE SUITE 4500NORMAL, IL 61761PHONE: (309) 556-8300E-PRESCRIBE: NO
GANDHI, SIDDHARTH J., MDGENDER: MNPI #: 1831226042ADVOCATE MEDICAL GROUP1302 FRANKLIN AVE SUITE 4500NORMAL, IL 61761PHONE: (309) 556-8300E-PRESCRIBE: NO
JARZABKOWSKI, DORY, DOGENDER: FNPI #: 1083651939ADVOCATE MEDICAL GROUP1302 FRANKLIN AVE SUITE 4500NORMAL, IL 61761PHONE: (309) 556-8300E-PRESCRIBE: NO
KENNEDY, KELLEY, MDGENDER: MNPI #: 1235148339BLOOMINGTON HEART INSTITUTE1300 FRANKLIN AVE SUITE 310NORMAL, IL 61761PHONE: (309) 862-3000E-PRESCRIBE: NO
KOUL, ASHOK K., MDGENDER: MNPI #: 1558383877ADVOCATE MEDICAL GROUP1302 FRANKLIN AVE SUITE 4500NORMAL, IL 61761PHONE: (309) 556-8300E-PRESCRIBE: NO
MCCRISKIN, JAMES, DOGENDER: MNPI #: 1700826617ADVOCATE MEDICAL GROUP1302 FRANKLIN AVE SUITE 4500NORMAL, IL 61761PHONE: (309) 556-8300E-PRESCRIBE: NO
SHAH, SAMIR H., MDGENDER: MNPI #: 1720028632ADVOCATE MEDICAL GROUP1302 FRANKLIN AVE SUITE 4500NORMAL, IL 61761PHONE: (309) 556-8300E-PRESCRIBE: NO
TEMIYASATHIT, THANOM, MD
GENDER: MNPI #: 1023041175ADVOCATE MEDICAL GROUP1302 FRANKLIN AVE SUITE 4500NORMAL, IL 61761PHONE: (309) 556-8300E-PRESCRIBE: NO
TUMILTY, BETH L., DOGENDER: FNPI #: 1033159959ADVOCATE MEDICAL GROUP1302 FRANKLIN AVE SUITE 4500NORMAL, IL 61761PHONE: (309) 556-8300E-PRESCRIBE: NO
NORMAL, IL
NORMAL, ILNORMAL, IL
Specialty Care Providers
296* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
WERAARCHAKUL, WITOON, MD
GENDER: MNPI #: 1366494544ADVOCATE MEDICAL GROUP1302 FRANKLIN AVE SUITE 4500NORMAL, IL 61761PHONE: (309) 556-8300E-PRESCRIBE: NO
CARDIOTHORACIC SURGERY
RICHARDSON, KEVIN, MDGENDER: MNPI #: 1861496762CARDIOTHORACIC & VASCULAR ASSOCIATES SC1302 FRANKLIN AVE SUITE 4500NORMAL, IL 61761PHONE: (847) 816-3000E-PRESCRIBE: NO
VOTAPKA, TIMOTHY V., MDGENDER: MNPI #: 1598750200CARDIOTHORACIC & VASCULAR ASSOCIATES SC1302 FRANKLIN AVE SUITE 4500NORMAL, IL 61761PHONE: (847) 816-3000E-PRESCRIBE: NO
CARDIOVASCULAR SURGERY
HUDSON, HILTON M., MDGENDER: MNPI #: 1689614828CARDIOTHORACIC & VASCULAR ASSOCIATES SC1302 FRANKLIN AVE SUITE 4500NORMAL, IL 61761PHONE: (847) 816-3000E-PRESCRIBE: NO
VOTAPKA, TIMOTHY V., MDGENDER: MNPI #: 1598750200CARDIOTHORACIC & VASCULAR ASSOCIATES SC1302 FRANKLIN AVE SUITE 4500NORMAL, IL 61761PHONE: (847) 816-3000E-PRESCRIBE: NO
COLON/RECTAL SURGERY
FERNANDES, DARRYL S., MDGENDER: MNPI #: 1336186113GENERAL & COLORECTAL SURGICAL ASSOCIATES1300 FRANKLIN AVE SUITE 210NORMAL, IL 61761PHONE: (309) 452-1193E-PRESCRIBE: NO
ENDOCRINOLOGY
NABHAN, FADI, MDGENDER: NPI #: 1225017304ADVOCATE MEDICAL GROUP1302 FRANKLIN AVE SUITE 2100NORMAL, IL 61761PHONE: (309) 268-2720E-PRESCRIBE: NO
GASTROENTEROLOGY
DEWEERT, THOMAS M., MDGENDER: MNPI #: 1073560751DIGESTIVE DISEASE CONSULTANTS LTD1302 FRANKLIN AVENUE SUITE 4800NORMAL, IL 61761PHONE: (309) 454-5900E-PRESCRIBE: NO
PREMIER MEDICAL GROUP LLC1302 FRANKLIN AVE SUITE 4800NORMAL, IL 61761PHONE: (309) 454-5900E-PRESCRIBE: NO
KHUSRO, QAZI E., MDGENDER: MNPI #: 1538268628MID CENTRAL GASTROENTEROLOGY2200 JACOBSSEN DR SUITE BNORMAL, IL 61761PHONE: (309) 451-1123E-PRESCRIBE: NO
KOSZYK, PHILIP M., MDGENDER: MNPI #: 1669429379DIGESTIVE DISEASE CONSULTANTS LTD1302 FRANKLIN AVENUE SUITE 4800NORMAL, IL 61761PHONE: (309) 454-5900E-PRESCRIBE: NO
PREMIER MEDICAL GROUP LLC1302 FRANKLIN AVE SUITE 4800NORMAL, IL 61761PHONE: (309) 454-5900E-PRESCRIBE: NO
MATTER, STEPHEN S., MDGENDER: MNPI #: 1134228224MID CENTRAL GASTROENTEROLOGY2200 JACOBSSEN DR SUITE BNORMAL, IL 61761PHONE: (309) 451-1123E-PRESCRIBE: NO
NORMAL, ILNORMAL, IL
Specialty Care Providers
297 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
MISRA, VIJAY L., MDGENDER: FNPI #: 1164475877DIGESTIVE DISEASE CONSULTANTS LTD1302 FRANKLIN AVE SUITE 4800NORMAL, IL 61761PHONE: (309) 454-5900E-PRESCRIBE: NO
PREMIER MEDICAL GROUP LLC1302 FRANKLIN AVE SUITE 4800NORMAL, IL 61761PHONE: (309) 454-5900E-PRESCRIBE: NO
REDDY, JYOTHI A., MDGENDER: FNPI #: 1033221007MID CENTRAL GASTROENTEROLOGY2200 JACOBSSEN DRNORMAL, IL 61761PHONE: (309) 451-1123E-PRESCRIBE: NO
SCHOENIG, KENNETH R., MDGENDER: MNPI #: 1033147848DIGESTIVE DISEASE CONSULTANTS1302 FRANKLIN AVE SUITE 4800NORMAL, IL 61761PHONE: (309) 454-5900E-PRESCRIBE: NO
PREMIER MEDICAL GROUP LLC1302 FRANKLIN AVE SUITE 4800NORMAL, IL 61761PHONE: (309) 454-5900E-PRESCRIBE: NO
GENERAL SURGERY
GEBHART, BRIAN, DOGENDER: MNPI #: 1487695896GENERAL & COLORECTAL SURGICAL ASSOCIATES1300 FRANKLIN AVE SUITE 210NORMAL, IL 61761PHONE: (309) 452-1193E-PRESCRIBE: NO
GRIECO, GERARDO A., MDGENDER: MNPI #: 1245242403GENERAL & COLORECTAL SURGICAL ASSOCIATES1300 FRANKLIN AVE SUITE 210NORMAL, IL 61761PHONE: (309) 452-1193E-PRESCRIBE: NO
NAOUR, DAVID H., MDGENDER: MNPI #: 1174552228OSF WOUND CARE CLINIC2200 FORT JESSE RD SUITE 220NORMAL, IL 61761PHONE: (309) 661-6230E-PRESCRIBE: NO
VOTAPKA, TIMOTHY V., MDGENDER: MNPI #: 1598750200CARDIOTHORACIC & VASCULAR ASSOCIATES SC1302 FRANKLIN AVE SUITE 4500NORMAL, IL 61761PHONE: (847) 816-3000E-PRESCRIBE: NO
WIDERBORG, KATHERINE A., MD
GENDER: FNPI #: 15887575791537 FT JESSE RD SUITE ANORMAL, IL 61761PHONE: (309) 808-0122E-PRESCRIBE: NO
WIELAND, JOHN M., MDGENDER: MNPI #: 1790717387OSF WOUND CARE CLINIC2200 FORT JESSE RD SUITE 220NORMAL, IL 61761PHONE: (309) 661-6230E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
GOMEZ, PATRICK L., MDGENDER: MNPI #: 1972640134ILLINOIS CANCERCARE407 E VERNONNORMAL, IL 61761PHONE: (309) 662-2102E-PRESCRIBE: YES
JEONG, HWAN, MDGENDER: MNPI #: 1366440604MID ILLINOIS HEMATOLOGY AND ONCOLOGY407 E VERNONNORMAL, IL 61761PHONE: (309) 452-9701E-PRESCRIBE: YES
MIGAS, JOHN J., MDGENDER: MNPI #: 1629076971MID ILLINOIS HEMATOLOGY AND ONCOLOGY407 E VERNON SUITE 104NORMAL, IL 61761PHONE: (309) 452-9701E-PRESCRIBE: NO
NORMAL, ILNORMAL, IL
Specialty Care Providers
298* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
SRIRATANA, PRAMERN, MDGENDER: MNPI #: 1174522189MID ILLINOIS HEMATOLOGY AND ONCOLOGY407 E VERNONNORMAL, IL 61761PHONE: (309) 452-9701E-PRESCRIBE: NO
INFECTIOUS DISEASES
DOUGHTY, STEPHEN C., MDGENDER: MNPI #: 1255327631METRO INFECTIOUS DISEASE CONSULTANTS LLC1300 FRANKLIN AVE SUITE 230-CNORMAL, IL 61761PHONE: (309) 268-2950E-PRESCRIBE: NO
PARK, AN N., MDGENDER: FNPI #: 1992025563METRO INFECTIOUS DISEASE CONSULTANTS LLC1300 FRANKLIN AVE SUITE 230-CNORMAL, IL 61761PHONE: (309) 268-2950E-PRESCRIBE: YES
VODELA, RAVINDHAR, MDGENDER: MNPI #: 1588720023METRO INFECTIOUS DISEASE CONSULTANTS LLC1300 FRANKLIN AVE SUITE 230-CNORMAL, IL 61761PHONE: (309) 268-2950E-PRESCRIBE: NO
NEUROLOGY
ACHARYA, HARIRAM KABIYAD, MD
GENDER: MNPI #: 1871584599ADVOCATE BROMENN NEUROLOGY ASSOCIATES1302 FRANKLIN AVE SUITE 2100NORMAL, IL 61761PHONE: (309) 268-2790E-PRESCRIBE: NO
CHAUHAN, SUNIL M., MDGENDER: MNPI #: 1912922881ADVOCATE MEDICAL GROUP1300 FRANKLIN AVE SUITE 181NORMAL, IL 61761PHONE: (309) 268-2640E-PRESCRIBE: NO
1302 FRANKLIN AVE SUITE 1100NORMAL, IL 61761PHONE: (309) 268-2727E-PRESCRIBE: NO
1302 FRANKLIN AVE SUITE 2500NORMAL, IL 61761PHONE: (309) 268-2727E-PRESCRIBE: NO
1437 E COLLEGE AVENORMAL, IL 61761PHONE: (309) 454-4411E-PRESCRIBE: NO
NEUROSURGERY
NARDONE, EMILIO M., MDGENDER: MNPI #: 1538195920CANCER CARE ASSOCIATES407 E VERNON AVENORMAL, IL 61761PHONE: (309) 451-2231E-PRESCRIBE: NO
SEIBLY, JASON M., DOGENDER: MNPI #: 1972789238COMMUNITY CANCER CENTER407 E VERNON AVENORMAL, IL 61761PHONE: (309) 451-2231E-PRESCRIBE: NO
STROINK, ANN R., MDGENDER: FNPI #: 1548290158COMMUNITY CANCER CENTER407 E VERNON AVENORMAL, IL 61761PHONE: (309) 451-2231E-PRESCRIBE: NO
ORTHOPAEDICS
KOLB, EDWARD H., MDGENDER: MNPI #: 1538168786ORTHOPEDICS OF ILLINOIS-THE BONE JOINT & SPORTS ME2200 FORT JESSE RD SUITE 250NORMAL, IL 61761PHONE: (309) 268-0000E-PRESCRIBE: NO
NORMAL, ILNORMAL, IL
Specialty Care Providers
299 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
LI, LAWRENCE K., MDGENDER: MNPI #: 1164419818ORTHOPEDIC & SHOULDER CENTER2200 FORT JESSE RD SUITE 250NORMAL, IL 61761PHONE: (309) 888-9800E-PRESCRIBE: NO
NEWCOMER, JOSEPH K., MDGENDER: MNPI #: 1285633420PREMIER ORTHOPEDICS & SPORTS MEDICINE2005 JACOBBSEN DR SUITE ANORMAL, IL 61761PHONE: (309) 807-2233E-PRESCRIBE: NO
OTOLARYNGOLOGY
KELLY, THOMAS C., MDGENDER: MNPI #: 1891997110ENT SURGICAL ASSOCIATES OF CENTRAL ILLINOIS207 LANDMARK DR SUITE ANORMAL, IL 61761PHONE: (309) 268-3200E-PRESCRIBE: NO
NOYES, WILLARD S., MDGENDER: MNPI #: 1518076926ENT SURGICAL ASSOCIATES OF CENTRAL ILLINOIS207 LANDMARK DR SUITE ANORMAL, IL 61761PHONE: (309) 268-3200E-PRESCRIBE: NO
PAIN MANAGEMENT
BENYAMIN, RAMSIN, MDGENDER: MNPI #: 1215924410MILLENNIUM PAIN CENTER2200 FORT JESSE RD SUITE 210NORMAL, IL 61761PHONE: (309) 661-6250E-PRESCRIBE: NO
NAOUR, PAUL, MDGENDER: MNPI #: 1144206178OSF MILLENIUM PAIN CENTER2200 FORT JESSE RD SUITE 210NORMAL, IL 61761PHONE: (309) 661-6250E-PRESCRIBE: NO
REHMAN, ATIQ U., MDGENDER: MNPI #: 1457373730OSF MILLENNIUM PAIN CENTER2200 FORT JESSE RD SUITE 210NORMAL, IL 61761PHONE: (309) 661-6250E-PRESCRIBE: NO
VALLEJO, RICARDO, MDGENDER: MNPI #: 1669469706MILLENNIUM PAIN CENTER2200 FORT JESSE RD SUITE 210NORMAL, IL 61761PHONE: (309) 661-6250E-PRESCRIBE: NO
PHYSICAL MEDICINE/REHABILITATION
JHEE, WON H., MDGENDER: NPI #: 1861411027OSF MEDICAL GROUP2200 FORT JESSE RD SUITE 200NORMAL, IL 61761PHONE: (309) 661-6240E-PRESCRIBE: NO
RINK, CHRISTOPHER J., DOGENDER: MNPI #: 1063521169OSF MILLENNIUM PAIN CENTER2200 FT JESSE RD SUITE 210NORMAL, IL 61761PHONE: (309) 661-6250E-PRESCRIBE: NO
SUMMERLIN, TRISHA R., MDGENDER: FNPI #: 1871659565ADOCATE MEDICAL GROUP1300 FRANKLIN AVE SUITE 180NORMAL, IL 61761PHONE: (309) 268-2562E-PRESCRIBE: NO
ADVOCATE MEDICAL GROUP1302 FRANKLIN AVENORMAL, IL 61761PHONE: (309) 268-2490E-PRESCRIBE: NO
TUDTUD, NENITA C., MDGENDER: FNPI #: 1639105034OSF MEDICAL GROUP2200 FORT JESSE RD SUITE 200NORMAL, IL 61761PHONE: (309) 661-6240E-PRESCRIBE: NO
NORMAL, ILNORMAL, IL
Specialty Care Providers
300* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
PODIATRY
CORTESE, CARL, DPMGENDER: MNPI #: 1992716914CORTESE FOOT & ANKLE CLINIC PC1607 VISA DR SUITE 5BNORMAL, IL 61761PHONE: (309) 452-3000E-PRESCRIBE: NO
CORTESE, CRAIG T., DPMGENDER: MNPI #: 1124030192CORTESE FOOT & ANKLE CLINIC PC1607 VISA DR SUITE 5BNORMAL, IL 61761PHONE: (309) 452-3000E-PRESCRIBE: NO
MARROCHELLO, VERONICA S., DPM
GENDER: FNPI #: 1326050378CORTESE FOOT & ANKLE CLINIC PC1607 VISA DR SUITE 5BNORMAL, IL 61761PHONE: (309) 452-3000E-PRESCRIBE: NO
OCONNOR, SCOTT B., DPMGENDER: MNPI #: 1992792261PROPODIATRY/CENTER FOR HEALTH2200 FT JESSE SUITE 250NORMAL, IL 61761PHONE: (866) 766-3338E-PRESCRIBE: NO
PULMONOLOGY
BURR, JOHN S., MDGENDER: MNPI #: 1770535940ADVOCATE MEDICAL GROUP1302 FRANKLIN AVE SUITE 3400NORMAL, IL 61761PHONE: (309) 556-8300E-PRESCRIBE: NO
CHU, CHAE O., MDGENDER: MNPI #: 1043250954ADVOCATE MEDICAL GROUP1302 FRANKLIN AVE SUITE 3400NORMAL, IL 61761PHONE: (309) 556-8300E-PRESCRIBE: NO
GINZBURG, ALAN S., MDGENDER: MNPI #: 1659390888ADVOCATE MEDICAL GROUP1302 FRANKLIN AVE SUITE 3400NORMAL, IL 61761PHONE: (309) 556-8300E-PRESCRIBE: NO
KOH, DAVID W., MDGENDER: MNPI #: 1154361038ADVOCATE MEDICAL GROUP1302 FRANKLIN AVE SUITE 3400NORMAL, IL 61761PHONE: (309) 556-8300E-PRESCRIBE: NO
SKILLRUD, DAVID M., MDGENDER: MNPI #: 1568573764DAVID M SKILLRUD MD LTD1300 FRANKLIN AVE SUITE 340NORMAL, IL 61761PHONE: (309) 451-9500E-PRESCRIBE: NO
ZACHRIA, ANTHONY, MDGENDER: MNPI #: 1366542300ADVOCATE MEDICAL GROUP1302 FRANKLIN AVE SUITE 2200NORMAL, IL 61761PHONE: (309) 662-9631E-PRESCRIBE: NO
RADIATION ONCOLOGY
FERNANDES, PATRICK, MDGENDER: MNPI #: 1033172655COMMUNITY CANCER CENTER407 E VERNON AVENORMAL, IL 61761PHONE: (309) 451-2231E-PRESCRIBE: NO
WOODHOUSE, SHERMIAN A., MD
GENDER: FNPI #: 1427000207COMMUNITY CANCER CENTER407 E VERNON AVENORMAL, IL 61761PHONE: (309) 451-2231E-PRESCRIBE: NO
NORMAL, ILNORMAL, IL
Specialty Care Providers
301 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
SLEEP MEDICINE
BURR, JOHN S., MDGENDER: MNPI #: 1770535940ADVOCATE MEDICAL GROUP1302 FRANKLIN AVE SUITE 3400NORMAL, IL 61761PHONE: (309) 556-8300E-PRESCRIBE: NO
KOH, DAVID W., MDGENDER: MNPI #: 1154361038ADVOCATE MEDICAL GROUP1302 FRANKLIN AVE SUITE 3400NORMAL, IL 61761PHONE: (309) 556-8300E-PRESCRIBE: NO
THORACIC SURGERY
JWEIED, EIAS E., MDGENDER: MNPI #: 1720132210CARDIOTHORACIC & VASCULAR ASSOCIATES SC1302 FRANKLIN AVE SUITE 4500NORMAL, IL 61761PHONE: (847) 816-3000E-PRESCRIBE: NO
GENERAL SURGERY
HASKELL, DUANE, MDGENDER: MNPI #: 1750461828FAMILY MEDICAL CENTER727 E COURT STPARIS, IL 61944PHONE: (217) 465-8411E-PRESCRIBE: NO
NADEAU, JOHN P., DOGENDER: MNPI #: 1366623548FAMILY MEDICAL CENTER-PARIS727 E COURT STPARIS, IL 61944PHONE: (217) 465-8411E-PRESCRIBE: NO
PARIS COMMUNITY HOSPITAL721 E COURT STPARIS, IL 61944PHONE: E-PRESCRIBE: NO
OPHTHALMOLOGY
DERANIAN, MARCUS S., MDGENDER: MNPI #: 1952367351PARIS COMMUNITY HOSPITAL SPECIALTY CLINIC721 E COURT STPARIS, IL 61944PHONE: (217) 465-8411E-PRESCRIBE: YES
ORTHOPAEDICS
ROWE, JOHN G., MDGENDER: MNPI #: 1679539019FAMILY MEDICAL CENTER727 E COURT STPARIS, IL 61944PHONE: (217) 465-8411E-PRESCRIBE: NO
OTOLARYNGOLOGY
NGUYEN, CHARLY, MDGENDER: MNPI #: 1861508665PARIS COMMUNITY HOSPITAL721 E COURT STPARIS, IL 61944PHONE: E-PRESCRIBE: NO
SMITH, MICHAEL, MDGENDER: MNPI #: 1215043971721 E COURT STPARIS, IL 61944PHONE: (217) 258-2409E-PRESCRIBE: NO
PODIATRY
HOLLOWAY, PHILIP, DPMGENDER: MNPI #: 1083709166FAMILY MEDICAL CENTER727 E COURT STPARIS, IL 61944PHONE: (217) 465-8411E-PRESCRIBE: NO
PULMONOLOGY
MAIN, DAVID, MDGENDER: MNPI #: 1992726772PARIS COMMUNITY HOSPITAL721 E COURT STPARIS, IL 61944PHONE: (217) 465-8411E-PRESCRIBE: YES
PARIS, IL
NORMAL, ILPARIS, IL
Specialty Care Providers
302* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
VASCULAR SURGERY
CONNELLY, TIMOTHY L., MDGENDER: MNPI #: 1801821509PARIS COMMUNITY HOSPITAL721 E COURT STPARIS, IL 61944PHONE: (217) 465-4141E-PRESCRIBE: YES
ORTHOPAEDICS
PRICE, WILLIAM M., MDGENDER: MNPI #: 1710998307PAXTON CLINIC227 N MARKET STPAXTON, IL 60957PHONE: (217) 379-4864E-PRESCRIBE: NO
UROLOGY
RAZVI, MOHAMMED, MDGENDER: MNPI #: 1316033640GIBSON AREA HOSPITAL227 N MARKETPAXTON, IL 60957PHONE: (217) 379-4864E-PRESCRIBE: YES
CARDIOLOGY
BARZALLO, MARCO, MDGENDER: MNPI #: 1316971823PEKIN HOSPITAL600 S 13TH STPEKIN, IL 61554PHONE: (309) 347-1151E-PRESCRIBE: NO
BEST, DAVID, MDGENDER: MNPI #: 1447284989PEKIN HOSPITAL600 S 13TH STPEKIN, IL 61554PHONE: (309) 347-1151E-PRESCRIBE: NO
BRODY, ANTHONY, MDGENDER: MNPI #: 1104856210PEKIN HOSPITAL600 S 13TH STPEKIN, IL 61554PHONE: (309) 347-1151E-PRESCRIBE: NO
CLEMSON, BARRY, MDGENDER: MNPI #: 1942234323PEKIN HOSPITAL600 S 13TH STPEKIN, IL 61554PHONE: (309) 347-1151E-PRESCRIBE: NO
CRAWFORD, ROBERT D., MDGENDER: MNPI #: 1336179449PEKIN HOSPITAL600 S 13TH STPEKIN, IL 61554PHONE: (309) 347-1151E-PRESCRIBE: NO
GUMM, DARREL C., MDGENDER: MNPI #: 1669406054PEKIN HOSPITAL600 S 13TH STPEKIN, IL 61554PHONE: (309) 347-1151E-PRESCRIBE: NO
HSU, MARK, MDGENDER: MNPI #: 1376573428PEKIN HOSPITAL600 S 13TH STPEKIN, IL 61554PHONE: (309) 347-1151E-PRESCRIBE: NO
JACKSON, MARK D., MDGENDER: MNPI #: 1952331019HEARTCARE MIDWEST SC610 PARK AVEPEKIN, IL 61554PHONE: (309) 346-7776E-PRESCRIBE: NO
JACKSON, MARK, MDGENDER: MNPI #: 1952331019PEKIN HOSPITAL600 S 13TH STPEKIN, IL 61554PHONE: (309) 347-1151E-PRESCRIBE: NO
KURTZ, S CRAIG, MDGENDER: MNPI #: 1366476772PEKIN HOSPITAL600 S 13TH STPEKIN, IL 61554PHONE: (309) 347-1151E-PRESCRIBE: NO
MALIK, MUHAMMAD, MDGENDER: MNPI #: 1447284864PEKIN HOSPITAL600 S 13TH STPEKIN, IL 61554PHONE: (309) 347-1151E-PRESCRIBE: NO
PAXTON, IL
PEKIN, IL
PARIS, ILPEKIN, IL
Specialty Care Providers
303 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
MCELROY, DONALD, MDGENDER: MNPI #: 1598799926PEKIN HOSPITAL600 S 13TH STPEKIN, IL 61554PHONE: (309) 347-1151E-PRESCRIBE: NO
MCRAE, R PARKER, MDGENDER: MNPI #: 1831123264PEKIN HOSPITAL600 S 13TH STPEKIN, IL 61554PHONE: (309) 347-1151E-PRESCRIBE: NO
MUNGEE, SUDHIR, MDGENDER: MNPI #: 1023113743PEKIN HOSPITAL600 S 13TH STPEKIN, IL 61554PHONE: (309) 347-1151E-PRESCRIBE: NO
RABJOHNS, RONALD, MDGENDER: MNPI #: 1972533925PEKIN HOSPITAL600 S 13TH STPEKIN, IL 61554PHONE: (309) 347-1151E-PRESCRIBE: NO
RASHID, JOHN, MDGENDER: MNPI #: 1386674349PEKIN HOSPITAL600 S 13TH STPEKIN, IL 61554PHONE: (309) 347-1151E-PRESCRIBE: NO
SCHMIDT, PAUL, MDGENDER: MNPI #: 1023048089PEKIN HOSPITAL600 S 13TH STPEKIN, IL 61554PHONE: (309) 347-1151E-PRESCRIBE: NO
SMALLEY, JAMES R., MDGENDER: MNPI #: 1356375638HEARTCARE MIDWEST SC610 PARK AVEPEKIN, IL 61554PHONE: (309) 346-7776E-PRESCRIBE: NO
WISE, N KENT, MDGENDER: MNPI #: 1164456463PEKIN HOSPITAL600 S 13TH STPEKIN, IL 61554PHONE: (309) 347-1151E-PRESCRIBE: NO
CARDIOTHORACIC SURGERY
WILLIAMS, JAMES B., MDGENDER: MNPI #: 1265433882CARDIAC THORACIC & ENDOVASCULAR THERAPIES SC600 S 13TH STPEKIN, IL 61554PHONE: (309) 680-5000E-PRESCRIBE: NO
GASTROENTEROLOGY
KUGANESWARAN, ELIATHAMBY, MD
GENDER: MNPI #: 1073555488ILLINOIS GASTROENTEROLOGY INSTITUTE SC1503 VALLE VISTA BLVDPEKIN, IL 61554PHONE: (309) 353-2001E-PRESCRIBE: NO
LILLICH, MAUREEN A., MDGENDER: FNPI #: 1497796700ILLINOIS GASTROENTEROLOGY INSTITUTE SC600 S 13TH ST SUITE KPEKIN, IL 61554PHONE: (309) 353-2001E-PRESCRIBE: NO
GENERAL SURGERY
HEYWOOD, BRIAN, MDGENDER: MNPI #: 1669453114MID ILLINI SURGICAL ASSOCIATES1503 VALLE VISTA BLVDPEKIN, IL 61554PHONE: (309) 353-2222E-PRESCRIBE: NO
1800 BROADWAY STPEKIN, IL 61554PHONE: (309) 346-3416E-PRESCRIBE: NO
600 S 13TH ST STE EPEKIN, IL 61554PHONE: (309) 672-5975E-PRESCRIBE: NO
PEKIN, ILPEKIN, IL
Specialty Care Providers
304* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
HSU, JOHN W., MDGENDER: MNPI #: 1043439748RENALCARE ASSOCIATES1800 BROADWAY RDPEKIN, IL 61554PHONE: (309) 676-8123E-PRESCRIBE: YES
KETEL, BEVERLEY L., MDGENDER: FNPI #: 1659402048RENALCARE ASSOCIATES1800 BROADWAY RDPEKIN, IL 61554PHONE: (309) 676-8123E-PRESCRIBE: NO
OCONNOR, TIMOTHY P., MDGENDER: MNPI #: 1710974597RENALCARE ASSOCIATES1800 BROADWAY RDPEKIN, IL 61554PHONE: (309) 676-8123E-PRESCRIBE: NO
REID, W SCOTT, DOGENDER: MNPI #: 1932180387MID ILLINI SURGICAL ASSOCIATES1503 VALLE VISTA BLVDPEKIN, IL 61554PHONE: (309) 353-2222E-PRESCRIBE: NO
1800 BROADWAY STPEKIN, IL 61554PHONE: (309) 346-3416E-PRESCRIBE: NO
SALIMATH, JAYARAJ, DOGENDER: MNPI #: 1720020308MID ILLINI SURGICAL ASSOCIATES1503 VALLE VISTA BLVDPEKIN, IL 61554PHONE: (309) 353-2222E-PRESCRIBE: NO
WILLIAMSON, JEFFREY L., MD
GENDER: MNPI #: 1154302602MID ILLINI SURGICAL ASSOCIATES1503 VALLE VISTA BLVDPEKIN, IL 61554PHONE: (309) 353-2222E-PRESCRIBE: NO
1800 BROADWAY STPEKIN, IL 61554PHONE: (309) 346-3416E-PRESCRIBE: NO
600 S 13TH ST STE EPEKIN, IL 61554PHONE: (309) 672-5975E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
LE-LINDQWISTER, NGUYET A., MD
GENDER: FNPI #: 1174522486ILLINOIS CANCERCARE600 S 13TH ST SUITE EPEKIN, IL 61554PHONE: (309) 353-0214E-PRESCRIBE: YES
NEPHROLOGY
ALONSO, ALEXANDER J., MDGENDER: MNPI #: 1124152707RENALCARE ASSOCIATES1800 BROADWAY RDPEKIN, IL 61554PHONE: (309) 676-8123E-PRESCRIBE: NO
BRUHA, ROBERT, MDGENDER: MNPI #: 1043340367RENALCARE ASSOCIATES1800 BROADWAY RDPEKIN, IL 61554PHONE: (309) 676-8123E-PRESCRIBE: NO
DREYER, PAUL T., MDGENDER: MNPI #: 1194855528RENALCARE ASSOCIATES1800 BROADWAY RDPEKIN, IL 61554PHONE: (309) 676-8123E-PRESCRIBE: NO
HORINEK, ANTHONY R., MDGENDER: MNPI #: 1609907195RENALCARE ASSOCIATES1800 BROADWAY RDPEKIN, IL 61554PHONE: (309) 676-8123E-PRESCRIBE: NO
JAMES, GORDON W., MDGENDER: MNPI #: 1124158431RENALCARE ASSOCIATES1800 BROADWAY RDPEKIN, IL 61554PHONE: (309) 676-8123E-PRESCRIBE: NO
KETEL, BEVERLEY L., MDGENDER: FNPI #: 1659402048RENALCARE ASSOCIATES1800 BROADWAY RDPEKIN, IL 61554PHONE: (309) 676-8123E-PRESCRIBE: NO
PEKIN, ILPEKIN, IL
Specialty Care Providers
305 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
PAMULAPARTHY, SMITHA R., MD
GENDER: FNPI #: 1447328828RENALCARE ASSOCIATES1800 BROADWAY RDPEKIN, IL 61554PHONE: (309) 676-8123E-PRESCRIBE: YES
2355 BROADWAY RDPEKIN, IL 61554PHONE: E-PRESCRIBE: YES
PFLEDERER, BENJAMIN R., MD
GENDER: MNPI #: 1306976964RENALCARE ASSOCIATES1800 BROADWAY RDPEKIN, IL 61554PHONE: (309) 676-8123E-PRESCRIBE: NO
PFLEDERER, TIMOTHY A., MD
GENDER: MNPI #: 1154451573RENALCARE ASSOCIATES1800 BROADWAY RDPEKIN, IL 61554PHONE: (309) 676-8123E-PRESCRIBE: NO
ROSBOROUGH, DAVID C., MD
GENDER: MNPI #: 1619007275RENALCARE ASSOCIATES1800 BROADWAY RDPEKIN, IL 61554PHONE: (309) 676-8123E-PRESCRIBE: NO
SADER, SAMER B., MDGENDER: MNPI #: 1831220318RENALCARE ASSOCIATES1800 BROADWAY RDPEKIN, IL 61554PHONE: (309) 676-8123E-PRESCRIBE: NO
SPARROW, ROBERT T., MDGENDER: MNPI #: 1134259781RENALCARE ASSOCIATES1800 BROADWAY RDPEKIN, IL 61554PHONE: (309) 676-8123E-PRESCRIBE: NO
SRINIVASAN, PARTHASARATHY, MD
GENDER: MNPI #: 1134199359RENALCARE ASSOCIATES1800 BROADWAY RDPEKIN, IL 61554PHONE: (309) 676-8123E-PRESCRIBE: NO
USMAN, AHSAN, MDGENDER: NPI #: 1215016571KIDNEY HEALTH CARE PC19 OLT AVEPEKIN, IL 61554PHONE: (309) 642-6705E-PRESCRIBE: YES
NEUROLOGY
CHENG, GENE, MDGENDER: MNPI #: 1417920232NEUROLOGY CLINIC600 S 13TH ST SUITE FPEKIN, IL 61554PHONE: (309) 347-3139E-PRESCRIBE: YES
OPHTHALMOLOGY
APRAHAMIAN, ARA D., MDGENDER: MNPI #: 1528015013GAILEY EYE CLINIC101 N PARKWAY DRPEKIN, IL 61554PHONE: (309) 347-5115E-PRESCRIBE: NO
BARBA, KENNETH R., MDGENDER: MNPI #: 1265473706GAILEY EYE CLINIC101 N PARKWAY DRPEKIN, IL 61554PHONE: (309) 347-5115E-PRESCRIBE: NO
BHATIA, SUMIT P., MDGENDER: MNPI #: 1780670596GAILEY EYE CLINIC101 N PARKWAY DRPEKIN, IL 61554PHONE: (309) 347-5115E-PRESCRIBE: NO
BOND, WILLIAM I., MDGENDER: MNPI #: 1184653644BOND EYE ASSOCIATES725 S 14TH STPEKIN, IL 61554PHONE: (309) 353-6660E-PRESCRIBE: NO
DELENGOCKY, TAYSON, DOGENDER: MNPI #: 1164637153BOND EYE ASSOCIATES725 S 14TH STPEKIN, IL 61554PHONE: (309) 353-6660E-PRESCRIBE: NO
PEKIN, ILPEKIN, IL
Specialty Care Providers
306* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
FARRELL, JAMES, MDGENDER: MNPI #: 1700885175GAILEY EYE CLINIC101 N PARKWAY DRPEKIN, IL 61554PHONE: (309) 347-5115E-PRESCRIBE: NO
HALPERIN, GREGORY I., MDGENDER: MNPI #: 1760423206GAILEY EYE CLINIC101 N PARKWAY DRPEKIN, IL 61554PHONE: (309) 347-5115E-PRESCRIBE: NO
HARMAN, JOSEPH G., MDGENDER: MNPI #: 1942241484GAILEY EYE CLINIC101 N PARKWAY DRPEKIN, IL 61554PHONE: (309) 347-5115E-PRESCRIBE: NO
HEYDE, RAYMOND R., MDGENDER: MNPI #: 1861484263THE HEYDE EYE CENTER111 N FOURTH STPEKIN, IL 61554PHONE: (309) 346-1234E-PRESCRIBE: YES
KNUPP, JAMES A., MDGENDER: MNPI #: 1548211774GAILEY EYE CLINIC101 N PARKWAY DRPEKIN, IL 61554PHONE: (309) 347-5115E-PRESCRIBE: NO
KRISTAL, LIBBY K., MDGENDER: FNPI #: 1326240144GAILEY EYE CLINIC101 N PARKWAY DRPEKIN, IL 61554PHONE: (309) 347-5115E-PRESCRIBE: NO
LEE, ROBERT M., MDGENDER: MNPI #: 1699716118GAILEY EYE CLINIC101 N PARKWAY DRPEKIN, IL 61554PHONE: (309) 347-5115E-PRESCRIBE: NO
MEHTA, JAY, MDGENDER: MNPI #: 1417905456BOND EYE ASSOCIATES725 S 14TH STPEKIN, IL 61554PHONE: (309) 353-6660E-PRESCRIBE: NO
OESTER, ALAN E., MDGENDER: MNPI #: 1750503819GAILEY EYE CLINIC101 N PARKWAY DRPEKIN, IL 61554PHONE: (309) 347-5115E-PRESCRIBE: NO
QURAISHI, SABA, MDGENDER: FNPI #: 1801005384BOND EYE ASSOCIATES725 S 14TH STPEKIN, IL 61554PHONE: (309) 353-6660E-PRESCRIBE: NO
REDDY, CHITTARANJAN, MDGENDER: MNPI #: 1992737084BOND EYE ASSOCIATES725 S 14TH STPEKIN, IL 61554PHONE: (309) 353-1579E-PRESCRIBE: NO
RIGSBY, JESSE H., MDGENDER: MNPI #: 1447253646GAILEY EYE CLINIC101 N PARKWAY DRPEKIN, IL 61554PHONE: (309) 347-5115E-PRESCRIBE: NO
ORTHOPAEDICS
CLARK, STEVEN G., MDGENDER: MNPI #: 1902850027PEKIN ORTHOPEDIC CENTER2351 BROADWAY STPEKIN, IL 61554PHONE: (309) 353-4159E-PRESCRIBE: NO
DELUCIA, TRACEY A., MDGENDER: FNPI #: 1992844914PEKIN ORTHOPEDIC CENTER2351 BROADWAY STPEKIN, IL 61554PHONE: (309) 353-4159E-PRESCRIBE: YES
MITZELFELT, DONALD A., MDGENDER: MNPI #: 1962454983PEKIN ORTHOPEDIC CENTER2351 BROADWAY STPEKIN, IL 61554PHONE: (309) 353-4159E-PRESCRIBE: NO
PEKIN, ILPEKIN, IL
Specialty Care Providers
307 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
PAIN MANAGEMENT
FEATHER, GLEN N., DOGENDER: MNPI #: 1962492900ILLINOIS REGIONAL PAIN INSTITUTE2355 N BROADWAYPEKIN, IL 61554PHONE: (309) 692-7246E-PRESCRIBE: NO
HENRY, KEVIN M., MDGENDER: MNPI #: 1063490183ILLINOIS REGIONAL PAIN INSTITUTE SC2355 BROADWAY STPEKIN, IL 61554PHONE: (309) 692-7246E-PRESCRIBE: NO
PHYSICAL MEDICINE/REHABILITATION
SNYDER, LISA, MDGENDER: FNPI #: 1790715092INSTITUTE OF PHYSICAL MEDICINE & REHAB/IPMR2359 N BROADWAYPEKIN, IL 61554PHONE: (309) 353-4767E-PRESCRIBE: NO
SUREKA, OMPRAKASH, MDGENDER: MNPI #: 1518902469INSTITUTE OF PHYSICAL MEDICINE & REHAB/IPMR2359 N BROADWAYPEKIN, IL 61554PHONE: (309) 353-4767E-PRESCRIBE: NO
PODIATRY
EVANS, GRETCHEN M., DPMGENDER: FNPI #: 1477504710RUSKUSKY FOOT & ANKLE CLINIC3305 GRIFFIN AVEPEKIN, IL 61554PHONE: (309) 347-3886E-PRESCRIBE: NO
GLESNE, KURT L., DPMGENDER: MNPI #: 1346508280PEKIN ORTHOPEDIC CENTER2351 BROADWAY STPEKIN, IL 61554PHONE: (309) 353-4159E-PRESCRIBE: YES
RUSKUSKY, JEFFREY R., DPM
GENDER: MNPI #: 1639129851RUSKUSKY FOOT & ANKLE CLINIC3305 GRIFFIN AVEPEKIN, IL 61554PHONE: (309) 347-3886E-PRESCRIBE: NO
VANG, CHAO, DPMGENDER: MNPI #: 1740241967PEKIN PODIATRIC MEDICAL CENTER1503 VALLE VISTA BLVD SUITE CPEKIN, IL 61554PHONE: (309) 347-6121E-PRESCRIBE: NO
WHITE, SUZANNE S., DPMGENDER: FNPI #: 1033160437RUSKUSKY FOOT & ANKLE CLINIC3305 GRIFFIN AVEPEKIN, IL 61554PHONE: (309) 347-3886E-PRESCRIBE: NO
PULMONOLOGY
MAKHOUL, YVES R., MDGENDER: MNPI #: 1952544330PROHEALTH PULMONARY SPECIALISTS600 S 13TH ST SUITE LPEKIN, IL 61554PHONE: (309) 353-0388E-PRESCRIBE: NO
TAYLOR, BERNARD G., MDGENDER: MNPI #: 1558334557CENTRAL IL PULMONARY & CRITICAL CARE ASSOCIATES600 S 13TH ST SUITE FPEKIN, IL 61554PHONE: (309) 692-0422E-PRESCRIBE: NO
VON BUN, FRIEDRICH J., MDGENDER: MNPI #: 1760489306PEKIN PULMONARY CLINIC1327 EXECUTIVE COURTPEKIN, IL 61554PHONE: (309) 353-5864E-PRESCRIBE: NO
PEKIN, ILPEKIN, IL
Specialty Care Providers
308* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
SLEEP MEDICINE
TAYLOR, BERNARD G., MDGENDER: MNPI #: 1558334557CENTRAL IL PULMONARY & CRITICAL CARE ASSOCIATES600 S 13TH ST SUITE FPEKIN, IL 61554PHONE: (309) 692-0422E-PRESCRIBE: NO
VASCULAR SURGERY
WILLIAMS, JAMES B., MDGENDER: MNPI #: 1265433882CARDIAC THORACIC & ENDOVASCULAR THERAPIES SC600 S 13TH STPEKIN, IL 61554PHONE: (309) 680-5000E-PRESCRIBE: NO
PODIATRY
SHELLER, DONALD J., DPMGENDER: MNPI #: 1942270434MIDWEST PODIATRY GROUP3827 N PROSPECT RDPEORIA HEIGHTS, IL 61616PHONE: (309) 686-1000E-PRESCRIBE: NO
ALLERGY/IMMUNOLOGY
EWBANK, PENELOPE A., MDGENDER: FNPI #: 1558358911ALLERGY & ASTHMA OF ILLINOIS6615 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 691-5200E-PRESCRIBE: NO
KLEMENS, JULIE C., MDGENDER: FNPI #: 1588708770PEORIA EAR NOSE & THROAT GROUP7301 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 589-5900E-PRESCRIBE: YES
SMART, STEPHEN J., MDGENDER: MNPI #: 1265429625ALLERGY & ASTHMA OF ILLINOIS6615 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 691-5200E-PRESCRIBE: NO
CARDIAC ELECTROPHYSIOLOGY
BAMAN, TIMIR S., MDGENDER: MNPI #: 1831230812HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
CHARLES, DAVID R., DOGENDER: MNPI #: 1841499902HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
SARMIENTO, JOSEPH J., MDGENDER: MNPI #: 1588691877HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
CARDIOLOGY
BAMAN, TIMIR S., MDGENDER: MNPI #: 1831230812HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
BARZALLO, MARCO A., MDGENDER: MNPI #: 1316971823HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
BEST, DAVID G., MDGENDER: MNPI #: 1447284989HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
PEORIA HEIGHTS, IL
PEORIA, IL
PEKIN, ILPEORIA, IL
Specialty Care Providers
309 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
CHARLES, DAVID R., DOGENDER: MNPI #: 1841499902HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
COURI, DANIEL M., MDGENDER: MNPI #: 1639142664HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
CRAWFORD, ROBERT D., MDGENDER: MNPI #: 1336179449HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
GUMM, DARREL C., MDGENDER: MNPI #: 1669406054HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
HARIMAN, ROBERT J., MDGENDER: MNPI #: 1548200165HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
HSU, MARK, MDGENDER: MNPI #: 1376573428HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
JACKSON, MARK D., MDGENDER: MNPI #: 1952331019HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
KIZHAKEKUTTU, TINOY J., MD
GENDER: MNPI #: 1558336214HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
KURTZ, S CRAIG, MDGENDER: MNPI #: 1366476772HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
MACWAR, RACHID R., MDGENDER: MNPI #: 1952510729HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
MALIK, MUHAMMAD, MDGENDER: MNPI #: 1447284864HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
MCELROY, DONALD B., MDGENDER: MNPI #: 1598799926HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
MUNGEE, SUDHIR, MDGENDER: MNPI #: 1023113743HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
OREN, RON M., MDGENDER: MNPI #: 1366422438HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
PATEL, SUBHASH J., MDGENDER: MNPI #: 1891986907CARDIAC CONSULTANTS SC900 MAIN ST SUITE 320PEORIA, IL 61602PHONE: (309) 672-3140E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Specialty Care Providers
310* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
PERKS, CHRISTINE, MDGENDER: FNPI #: 1033383070HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
RABJOHNS, RONALD R., MDGENDER: MNPI #: 1972533925HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
RADEE, APICHART L., MDGENDER: MNPI #: 1649310640900 MAIN ST SUITE 710PEORIA, IL 61602PHONE: (309) 637-0177E-PRESCRIBE: NO
RASHID, JOHN F., MDGENDER: MNPI #: 1386674349HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
SARMIENTO, JOSEPH J., MDGENDER: MNPI #: 1588691877HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
SCHMIDT, PAUL, MDGENDER: MNPI #: 1023048089HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
SHAY, THANAD S., MDGENDER: MNPI #: 1174672331DRS SHAY AND ASSOCIATES1201 N NORTH ST SUITE 200PEORIA, IL 61606PHONE: (309) 671-2310E-PRESCRIBE: NO
STANCU, MIHAELA M., MDGENDER: FNPI #: 1689877136HEARTCARE MIDWEST SC5405 N KNOXVILLEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
VALLALA, NIRUPAMA, MDGENDER: FNPI #: 1598938540HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
VENKATAPURAM, SUNETHA, MD
GENDER: FNPI #: 1811077357HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
OSF CONGENITAL HEART CENTER420 NE GLEN OAK AVE SUITE 301PEORIA, IL 61603PHONE: (309) 655-3453E-PRESCRIBE: NO
WATTANAKIT, KEATTIYOAT, MD
GENDER: MNPI #: 1407821077HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
CARDIOTHORACIC SURGERY
FORTUNA, RANDALL S., MDGENDER: MNPI #: 1285607986OSF CONGENITAL HEART CENTER420 NE GLEN OAK AVE SUITE 301PEORIA, IL 61603PHONE: (309) 655-3453E-PRESCRIBE: NO
GEISS, DALE M., MDGENDER: MNPI #: 1912970617ILLINOIS CARDIAC SURGERY ASSOCIATES515 NE GLEN OAK AVE SUITE 202PEORIA, IL 61603PHONE: (309) 674-2002E-PRESCRIBE: NO
MUELLER, DALE, MDGENDER: MNPI #: 1598799942HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Specialty Care Providers
311 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
MUNNS, JAMES R., MDGENDER: MNPI #: 1992735922HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
WILLIAMS, JAMES B., MDGENDER: MNPI #: 1265433882CARDIAC THORACIC & ENDOVASCULAR THERAPIES SC2420 W NEBRASKA AVEPEORIA, IL 61604PHONE: (309) 680-5000E-PRESCRIBE: NO
CARDIOVASCULAR SURGERY
WELKE, KARL F., MDGENDER: MNPI #: 1285649780CHILDRENS HOSPITAL OF ILLINOIS MEDICAL GROUP420 NE GLEN OAK AVE SUITE 301PEORIA, IL 61603PHONE: (309) 655-3453E-PRESCRIBE: NO
COLON/RECTAL SURGERY
BONELLO, JULIUS C., MDGENDER: MNPI #: 1093751257PEORIA SURGICAL GROUP1001 MAIN ST SUITE 300PEORIA, IL 61606PHONE: (309) 495-0200E-PRESCRIBE: NO
DERMATOLOGY
FREY, JAMIE L., MDGENDER: FNPI #: 1639391006CENTRAL ILLINOIS DERMATOLOGY5401 N KNOXVILLE AVE SUITE 115PEORIA, IL 61614PHONE: (309) 691-2903E-PRESCRIBE: NO
KROODSMA, CHRISTOPHER, MD
GENDER: MNPI #: 1336230051CENTRAL ILLINOIS DERMATOLOGY5401 N KNOXVILLE AVE SUITE 115PEORIA, IL 61614PHONE: (309) 691-2903E-PRESCRIBE: NO
MCLELLAND, BRUCE, MDGENDER: MNPI #: 1689762189CENTRAL ILLINOIS DERMATOLOGY5401 N KNOXVILLE AVE SUITE 115PEORIA, IL 61614PHONE: (309) 691-2903E-PRESCRIBE: NO
ENDOCRINOLOGY
CHANG, JEFFREY Y., MDGENDER: MNPI #: 1992738728ENDOCRINE & DIABETES3308 CHARTWELL RDPEORIA, IL 61614PHONE: (309) 691-7640E-PRESCRIBE: NO
DORSCH, THOMAS R., MDGENDER: MNPI #: 1639108202ENDOCRINE & DIABETES3308 CHARTWELL RDPEORIA, IL 61614PHONE: (309) 691-7640E-PRESCRIBE: YES
GAJULA, SONIA, MDGENDER: FNPI #: 1417055989OSF MEDICAL GROUP5105 GLEN PARK PLACE RDPEORIA, IL 61614PHONE: (309) 683-8383E-PRESCRIBE: NO
MERIDEN, TERRY, MDGENDER: MNPI #: 1467538231900 MAIN ST SUITE 300PEORIA, IL 61602PHONE: (309) 673-1717E-PRESCRIBE: NO
PATURI, BHANU T., MDGENDER: MNPI #: 1033318555OSF MEDICAL GROUP5105 GLEN PARK PLACE RDPEORIA, IL 61614PHONE: (309) 683-8383E-PRESCRIBE: NO
SFEIR, HADY E., MDGENDER: MNPI #: 1952491243OSF MEDICAL GROUP5105 GLEN PARK PLACE RDPEORIA, IL 61614PHONE: (309) 683-8383E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Specialty Care Providers
312* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
GASTROENTEROLOGY
ADAMS, FRANK B., DOGENDER: MNPI #: 1508841180OSF MEDICAL GROUP2805 N KNOXVILLE AVEPEORIA, IL 61603PHONE: (309) 624-9400E-PRESCRIBE: NO
AL-RASHDAN, ABDULLAH, MD
GENDER: MNPI #: 1588831721ILLINOIS GASTROENTEROLOGY INSTITUTE SC1001 MAIN ST SUITE 500APEORIA, IL 61606PHONE: (309) 672-4980E-PRESCRIBE: NO
ARIF, ABUZAFAR, MDGENDER: MNPI #: 1447253539OSF MEDICAL GROUP2805 N KNOXVILLE AVEPEORIA, IL 61603PHONE: (309) 624-9400E-PRESCRIBE: NO
BALDWIN, TERRY L., MDGENDER: MNPI #: 1346276284ILLINOIS GASTROENTEROLOGY INSTITUTE SC1001 MAIN ST SUITE 500APEORIA, IL 61606PHONE: (309) 672-4980E-PRESCRIBE: NO
BALOUCH, IMRAN L., MDGENDER: MNPI #: 1467783290OSF MEDICAL GROUP2805 N KNOXVILLE AVEPEORIA, IL 61603PHONE: (309) 624-9400E-PRESCRIBE: NO
CAMACHO, KENNETH, MDGENDER: MNPI #: 1750323424ILLINOIS GASTROENTEROLOGY INSTITUTE SC1001 MAIN ST SUITE 500APEORIA, IL 61606PHONE: (309) 672-4980E-PRESCRIBE: NO
CASHMAN, MICHAEL D., MDGENDER: MNPI #: 1881635605OSF MEDICAL GROUP2805 N KNOXVILLE AVEPEORIA, IL 61603PHONE: (309) 624-9400E-PRESCRIBE: NO
DHILLON, SONU, MDGENDER: MNPI #: 1225017593OSF MEDICAL GROUP2805 N KNOXVILLE AVEPEORIA, IL 61603PHONE: (309) 624-9400E-PRESCRIBE: NO
ELLAHI, WASIM, MDGENDER: MNPI #: 1285678599ILLINOIS GASTROENTEROLOGY INSTITUTE SC1001 MAIN ST SUITE 500APEORIA, IL 61606PHONE: (309) 672-4980E-PRESCRIBE: NO
KHAISER, NOOR A., MDGENDER: MNPI #: 1487696126ILLINOIS GASTROENTEROLOGY INSTITUTE SC1001 MAIN ST SUITE 500APEORIA, IL 61606PHONE: (309) 672-4980E-PRESCRIBE: NO
KUGANESWARAN, ELIATHAMBY, MD
GENDER: MNPI #: 1073555488ILLINOIS GASTROENTEROLOGY INSTITUTE SC1001 MAIN ST SUITE 500APEORIA, IL 61606PHONE: (309) 672-4980E-PRESCRIBE: NO
LAWRINENKO, VICTOR, MDGENDER: MNPI #: 1831134436OSF MEDICAL GROUP2805 N KNOXVILLE AVEPEORIA, IL 61603PHONE: (309) 624-9400E-PRESCRIBE: NO
LILLICH, MAUREEN A., MDGENDER: FNPI #: 1497796700ILLINOIS GASTROENTEROLOGY INSTITUTE SC1001 MAIN ST SUITE 500APEORIA, IL 61606PHONE: (309) 672-4980E-PRESCRIBE: NO
PENN JR, DONALD E., MDGENDER: MNPI #: 1780628388ILLINOIS GASTROENTEROLOGY INSTITUTE SC1001 MAIN ST SUITE 500APEORIA, IL 61606PHONE: (309) 672-4980E-PRESCRIBE: NO
PULI, SRINIVAS R., MDGENDER: MNPI #: 1326069824OSF MEDICAL GROUP2805 N KNOXVILLE AVEPEORIA, IL 61603PHONE: (309) 624-9400E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Specialty Care Providers
313 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
SHEKLETON, MICHAEL F., MD
GENDER: MNPI #: 1912097205OSF MEDICAL GROUP2805 N KNOXVILLE AVEPEORIA, IL 61603PHONE: (309) 624-9400E-PRESCRIBE: NO
TREANOR, MICHAEL R., MDGENDER: MNPI #: 1255375200ILLINOIS GASTROENTEROLOGY INSTITUTE SC1001 MAIN ST SUITE 500APEORIA, IL 61606PHONE: (309) 672-4980E-PRESCRIBE: NO
VOLMAR, FRITZ-HENRY, MDGENDER: MNPI #: 1447351077OSF MEDICAL GROUP2805 N KNOXVILLE AVEPEORIA, IL 61603PHONE: (309) 624-9400E-PRESCRIBE: NO
WU, SCOTT Y., MDGENDER: MNPI #: 1760426308ILLINOIS GASTROENTEROLOGY INSTITUTE SC1001 MAIN ST SUITE 500APEORIA, IL 61606PHONE: (309) 672-4980E-PRESCRIBE: NO
GENERAL SURGERY
ANDERSON, RICHARD C., MDGENDER: MNPI #: 1699703892PEORIA SURGICAL GROUP1001 MAIN ST SUITE 300PEORIA, IL 61606PHONE: (309) 495-0200E-PRESCRIBE: NO
BRAASTAD, FRED W., MDGENDER: MNPI #: 1003818451ASSOCIATED SURGICAL GROUP7303 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4005E-PRESCRIBE: NO
CHIOU, ANDY, MDGENDER: MNPI #: 1063454197PEORIA SURGICAL GROUP1001 MAIN ST SUITE 300PEORIA, IL 61606PHONE: (309) 495-0200E-PRESCRIBE: NO
8600 N STATE ROUTE 91PEORIA, IL 61615PHONE: (309) 495-0250E-PRESCRIBE: NO
CRAWFORD, DAVID L., MDGENDER: MNPI #: 1306874128PEORIA SURGICAL GROUP1001 MAIN ST SUITE 300PEORIA, IL 61606PHONE: (309) 495-0200E-PRESCRIBE: NO
DEBORD, JAMES R., MDGENDER: MNPI #: 1649206533PEORIA SURGICAL GROUP1001 MAIN ST SUITE 300PEORIA, IL 61606PHONE: (309) 495-0200E-PRESCRIBE: NO
ELWOOD, ERIC T., MDGENDER: MNPI #: 1033151162PEORIA SURGICAL GROUP1001 MAIN ST SUITE 300PEORIA, IL 61606PHONE: (309) 495-0200E-PRESCRIBE: NO
ESTES, NORMAN C., MDGENDER: MNPI #: 1205864170PEORIA SURGICAL GROUP1001 MAIN ST SUITE 300PEORIA, IL 61606PHONE: (309) 495-0200E-PRESCRIBE: NO
GUPTA, SAMIR K., MDGENDER: MNPI #: 1073542585PEORIA SURGICAL GROUP1001 MAIN ST SUITE 300PEORIA, IL 61606PHONE: (309) 495-0200E-PRESCRIBE: NO
HASANADKA, RAVISHANKAR, MD
GENDER: MNPI #: 1699858068HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
HEYWOOD, BRIAN, MDGENDER: MNPI #: 1669453114MID ILLINI SURGICAL ASSOCIATES900 MAIN ST SUITE 530PEORIA, IL 61602PHONE: (309) 672-5975E-PRESCRIBE: NO
HSU, JOHN W., MDGENDER: MNPI #: 1043439748RENALCARE ASSOCIATES200 E PENNSYLVANIA AVE SUITE 209PEORIA, IL 61603PHONE: (309) 676-8123E-PRESCRIBE: YES
PEORIA, ILPEORIA, IL
Specialty Care Providers
314* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
JALOVEC, LYNNE M., MDGENDER: FNPI #: 1407963630DR LYNN JALOVEC MD SC900 MAIN ST SUITE 310PEORIA, IL 61602PHONE: (309) 672-4174E-PRESCRIBE: NO
KETEL, BEVERLEY L., MDGENDER: FNPI #: 1659402048RENALCARE ASSOCIATES200 E PENNSYLVANIA AVE SUITE 212PEORIA, IL 61603PHONE: (309) 676-8123E-PRESCRIBE: NO
MAMMOLITO, DENISE M., MDGENDER: FNPI #: 1972604221PEORIA SURGICAL GROUP LTD1001 MAIN ST SUITE 300PEORIA, IL 61606PHONE: (309) 495-0200E-PRESCRIBE: NO
MARSHALL, JOHN S., MDGENDER: MNPI #: 1366471997PEORIA SURGICAL GROUP1001 MAIN ST SUITE 300PEORIA, IL 61606PHONE: (309) 495-0200E-PRESCRIBE: NO
NAGALLA, SUBHASH K., MDGENDER: MNPI #: 1316142268MID-ILLINI SURGICAL ASSOCIATES900 MAIN ST SUITE 530PEORIA, IL 61602PHONE: (309) 672-5975E-PRESCRIBE: NO
OCONNOR, TIMOTHY P., MDGENDER: MNPI #: 1710974597RENALCARE ASSOCIATES200 E PENNSYLVANIA AVE SUITE 212PEORIA, IL 61603PHONE: (309) 676-8123E-PRESCRIBE: NO
PATEL, GAVISH N., MDGENDER: MNPI #: 1821080078ASSOCIATED SURGICAL GROUP7303 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4005E-PRESCRIBE: NO
PAULSEN, JOHN K., MDGENDER: MNPI #: 1174552681PEORIA SURGICAL GROUP1001 MAIN ST STE 300PEORIA, IL 61606PHONE: (309) 495-0200E-PRESCRIBE: NO
REID, W SCOTT, DOGENDER: MNPI #: 1932180387MID ILLINI SURGICAL ASSOCIATES900 MAIN ST SUITE 530PEORIA, IL 61602PHONE: (309) 672-5975E-PRESCRIBE: NO
ROSSI, THOMAS R., MDGENDER: MNPI #: 1851320238PEORIA SURGICAL GROUP1001 MAIN ST SUITE 300PEORIA, IL 61606PHONE: (309) 495-0200E-PRESCRIBE: NO
SALIMATH, JAYARAJ, DOGENDER: MNPI #: 1720020308MID ILLINI SURGICAL ASSOCIATES900 MAIN ST SUITE 530PEORIA, IL 61602PHONE: (309) 672-5975E-PRESCRIBE: NO
SONG, CHANG K., MDGENDER: MNPI #: 1609892728PROCTOR MEDICAL GROUP SURGERY CK SONG MD5401 N KNOXVILLE AVE SUITE 217PEORIA, IL 61614PHONE: (309) 672-5947E-PRESCRIBE: NO
TANCK, ALLISON R., MDGENDER: FNPI #: 1144425174ASSOCIATED SURGICAL GROUP7303 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4005E-PRESCRIBE: YES
TSORAIDES, STEVEN S., MDGENDER: MNPI #: 1760689764PEORIA SURGICAL GROUP1001 MAIN ST SUITE 300PEORIA, IL 61606PHONE: (309) 495-0200E-PRESCRIBE: NO
WHITTY, LISA A., MDGENDER: FNPI #: 1801808662PEORIA SURGICAL GROUP1001 MAIN ST SUITE 300PEORIA, IL 61603PHONE: (309) 495-0200E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Specialty Care Providers
315 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
WILLIAMSON, JEFFREY L., MD
GENDER: MNPI #: 1154302602MID ILLINI SURGICAL ASSOCIATES900 MAIN ST SUITE 530PEORIA, IL 61602PHONE: (309) 672-5975E-PRESCRIBE: NO
GENETICS
FLORES, JOSEU A., MDGENDER: MNPI #: 1306108105U OF I COLLEGE OF MEDICINE420 NE GLEN OAK AVE SUITE 401PEORIA, IL 61603PHONE: (309) 624-9844E-PRESCRIBE: NO
HOGANSON, GEORGE, MDGENDER: MNPI #: 1164497483U OF I COLLEGE OF MEDICINE420 NE GLEN OAK AVE SUITE 401PEORIA, IL 61603PHONE: (309) 692-9844E-PRESCRIBE: NO
GERIATRICS
CANTY, MARK D., MDGENDER: MNPI #: 1962573626OSF MEDICAL GROUP5114 N GLEN PARK PLACE RD SUITE 220PEORIA, IL 61614PHONE: (309) 683-8108E-PRESCRIBE: NO
LEE, SHAO-TSENG, MDGENDER: NPI #: 1225108855OSF MEDICAL GROUP5114 N GLEN PARK PLACE RD SUITE 220PEORIA, IL 61614PHONE: (309) 683-8108E-PRESCRIBE: NO
LINDAHL, LARRY S., MDGENDER: MNPI #: 1770681629OSF MEDICAL GROUP-INSTITUTE ON AGING8600 NORTH ROUTE 91 SUITE 130PEORIA, IL 61615PHONE: (309) 683-5058E-PRESCRIBE: NO
MCMANUS, DENNIS Q., MDGENDER: MNPI #: 1861473076OSF MEDICAL GROUP INSTITUTE ON AGING8600 NORTH ROUTE 91 SUITE 130PEORIA, IL 61615PHONE: (309) 683-5058E-PRESCRIBE: NO
GYNECOLOGIC ONCOLOGY
BYLER DANN, REBECCA J., MD
GENDER: FNPI #: 1114126364ILLINOIS CANCERCARE8940 N WOOD SAGE RDPEORIA, IL 61615PHONE: (309) 243-3000E-PRESCRIBE: NO
HODEL, KENNETH A., MDGENDER: MNPI #: 1134197833OSF SISTERS COMMUNITY HEALTHCARE CENTER320 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 624-9690E-PRESCRIBE: NO
LOCOCO, SALVATORE J., MDGENDER: MNPI #: 1831104645ILLINOIS CANCERCARE8940 N WOOD SAGE RDPEORIA, IL 61615PHONE: (309) 243-3000E-PRESCRIBE: NO
HEMATOLOGY
VUKOV, ALLEN M., MDGENDER: MNPI #: 1396744611ILLINOIS CANCERCARE8940 N WOOD SAGE RDPEORIA, IL 61615PHONE: (309) 243-3000E-PRESCRIBE: YES
WESLY, OSVALDO, MDGENDER: MNPI #: 13564419434727 N SHERIDAN RDPEORIA, IL 61614PHONE: (309) 688-1345E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
FISHKIN, PAUL A., MDGENDER: MNPI #: 1063411379ILLINOIS CANCERCARE8940 N WOOD SAGE RDPEORIA, IL 61615PHONE: (309) 243-3000E-PRESCRIBE: YES
PEORIA, ILPEORIA, IL
Specialty Care Providers
316* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
GERSTNER, GREGORY J., MDGENDER: MNPI #: 1629288659ILLINOIS CANCERCARE8940 N WOOD SAGE RDPEORIA, IL 61615PHONE: (309) 243-3000E-PRESCRIBE: YES
GOMEZ, PATRICK L., MDGENDER: MNPI #: 1972640134ILLINOIS CANCERCARE8940 N WOOD SAGE RDPEORIA, IL 61615PHONE: (309) 243-3000E-PRESCRIBE: YES
KNOST, JAMES A., MDGENDER: MNPI #: 1245239565ILLINOIS CANCERCARE8940 N WOOD SAGE RDPEORIA, IL 61615PHONE: (309) 243-3000E-PRESCRIBE: YES
KUMAR, PANKAJ, MDGENDER: MNPI #: 1073576922ILLINOIS CANCERCARE8940 N WOOD SAGE RDPEORIA, IL 61615PHONE: (309) 243-3000E-PRESCRIBE: YES
LE-LINDQWISTER, NGUYET A., MD
GENDER: FNPI #: 1174522486ILLINOIS CANCERCARE8940 N WOOD SAGE RDPEORIA, IL 61615PHONE: (309) 243-3000E-PRESCRIBE: YES
THOMAS, SACHDEV P., MDGENDER: MNPI #: 1245239367ILLINOIS CANCERCARE8940 N WOOD SAGE RDPEORIA, IL 61615PHONE: (309) 243-3000E-PRESCRIBE: YES
INFECTIOUS DISEASES
COTTER, JOHN G., MDGENDER: MNPI #: 1245331321OSF MEDICAL GROUP723 NE GLEN OAK AVEPEORIA, IL 61603PHONE: (309) 624-8749E-PRESCRIBE: NO
U OF I COLLEGE OF MEDICINE530 NE GLEN OAK AVEPEORIA, IL 61603PHONE: (309) 655-6428E-PRESCRIBE: NO
DOUGHTY, STEPHEN C., MDGENDER: MNPI #: 1255327631METRO INFECTIOUS DISEASE CONSULTANTS LLC9118 N LINDBERGHPEORIA, IL 61615PHONE: (309) 639-3993E-PRESCRIBE: NO
FARRELL, JOHN J., MDGENDER: MNPI #: 1043284649OSF MEDICAL GROUP723 NE GLEN OAK AVEPEORIA, IL 61603PHONE: (309) 624-8749E-PRESCRIBE: NO
FARRELL, JOHN, MDGENDER: MNPI #: 1043284649U OF I COLLEGE OF MEDICINE530 NE GLEN OAK AVEPEORIA, IL 61603PHONE: (309) 655-6428E-PRESCRIBE: NO
PATEL, MARLYNN, MDGENDER: FNPI #: 1720049786OSF MEDICAL GROUP723 NE GLEN OAK AVEPEORIA, IL 61603PHONE: (309) 624-8749E-PRESCRIBE: NO
U OF I COLLEGE OF MEDICINE530 NE GLEN OAK AVEPEORIA, IL 61603PHONE: (309) 655-6428E-PRESCRIBE: NO
RAMSAHAI, SHWETA, MDGENDER: FNPI #: 1003075128OSF MEDICAL GROUP723 NE GLEN OAK AVEPEORIA, IL 61603PHONE: (309) 624-8749E-PRESCRIBE: NO
SLAGLE, DAVID C., MDGENDER: MNPI #: 1891763082OSF MEDICAL GROUP723 NE GLEN OAK AVEPEORIA, IL 61603PHONE: (309) 624-8749E-PRESCRIBE: NO
U OF I COLLEGE OF MEDICINEONE ILLINI DRPEORIA, IL 61656PHONE: (309) 671-8484E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Specialty Care Providers
317 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
SOMARAJU, VIJAYA I., MDGENDER: MNPI #: 1033187216OSF MEDICAL GROUP723 NE GLEN OAK AVEPEORIA, IL 61603PHONE: (309) 624-8749E-PRESCRIBE: NO
U OF I COLLEGE OF MEDICINE530 NE GLEN OAK AVEPEORIA, IL 61603PHONE: (309) 655-6428E-PRESCRIBE: NO
VODELA, RAVINDHAR, MDGENDER: MNPI #: 1588720023METRO INFECTIOUS DISEASE CONSULTANTS LLC9118 N LINDBERGHPEORIA, IL 61615PHONE: (309) 639-3993E-PRESCRIBE: NO
INTENSIVE CARE/CRITICAL CARE
MCVAY, BRYAN P., DOGENDER: MNPI #: 1073714176ILLINOIS LUNG AND CRITICAL CARE INSTITUTE1001 MAIN ST SUITE 200PEORIA, IL 61606PHONE: (309) 672-5682E-PRESCRIBE: NO
MICHEL, JON C., MDGENDER: MNPI #: 1437244555ILLINOIS LUNG & CRITICAL CARE INSTITUTE1001 MAIN ST SUITE 200PEORIA, IL 61606PHONE: (309) 672-5682E-PRESCRIBE: NO
PINTO, SHAILESH C., MDGENDER: MNPI #: 1750447157ILLINOIS LUNG AND CRITICAL CARE INSTITUTE1001 MAIN ST SUITE 200PEORIA, IL 61606PHONE: (309) 672-5682E-PRESCRIBE: NO
NEPHROLOGY
ALONSO, ALEXANDER J., MDGENDER: MNPI #: 1124152707RENALCARE ASSOCIATES200 E PENNSYLVANIA AVE SUITE 212PEORIA, IL 61603PHONE: (309) 676-8123E-PRESCRIBE: NO
BRUHA, ROBERT, MDGENDER: MNPI #: 1043340367RENALCARE ASSOCIATES200 E PENNSYLVANIA AVE SUITE 212PEORIA, IL 61603PHONE: (309) 676-8123E-PRESCRIBE: NO
DREYER, PAUL T., MDGENDER: MNPI #: 1194855528RENALCARE ASSOCIATES200 E PENNSYLVANIA AVE SUITE 212PEORIA, IL 61603PHONE: (309) 676-8123E-PRESCRIBE: NO
HORINEK, ANTHONY R., MDGENDER: MNPI #: 1609907195RENALCARE ASSOCIATES200 E PENNSYLVANIA AVE SUITE 212PEORIA, IL 61603PHONE: (309) 676-8123E-PRESCRIBE: NO
JAMES, GORDON W., MDGENDER: MNPI #: 1124158431RENALCARE ASSOCIATES200 E PENNSYLVANIA AVE SUITE 212PEORIA, IL 61603PHONE: (309) 676-8123E-PRESCRIBE: NO
KETEL, BEVERLEY L., MDGENDER: FNPI #: 1659402048RENALCARE ASSOCIATES200 E PENNSYLVANIA AVE SUITE 212PEORIA, IL 61603PHONE: (309) 676-8123E-PRESCRIBE: NO
PAMULAPARTHY, SMITHA R., MD
GENDER: FNPI #: 1447328828RENALCARE ASSOCIATES200 E PENNSYLVANIA AVE SUITE 212PEORIA, IL 61603PHONE: (309) 676-8123E-PRESCRIBE: YES
PFLEDERER, BENJAMIN R., MD
GENDER: MNPI #: 1306976964RENALCARE ASSOCIATES200 E PENNSYLVANIA AVE SUITE 212PEORIA, IL 61603PHONE: (309) 676-8123E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Specialty Care Providers
318* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
PFLEDERER, TIMOTHY A., MD
GENDER: MNPI #: 1154451573RENALCARE ASSOCIATES200 E PENNSYLVANIA AVE SUITE 212PEORIA, IL 61603PHONE: (309) 676-8123E-PRESCRIBE: NO
ROSBOROUGH, DAVID C., MD
GENDER: MNPI #: 1619007275RENALCARE ASSOCIATES200 E PENNSYLVANIA AVE SUITE 212PEORIA, IL 61603PHONE: (309) 676-8123E-PRESCRIBE: NO
SADER, SAMER B., MDGENDER: MNPI #: 1831220318RENALCARE ASSOCIATES200 E PENNSYLVANIA AVE SUITE 212PEORIA, IL 61603PHONE: (309) 676-8123E-PRESCRIBE: NO
SPARROW, ROBERT T., MDGENDER: MNPI #: 1134259781RENALCARE ASSOCIATES200 E PENNSYLVANIA AVE SUITE 212PEORIA, IL 61603PHONE: (309) 676-8123E-PRESCRIBE: NO
515 NE GLEN OAK AVE SUITE 108PEORIA, IL 61603PHONE: (309) 676-8123E-PRESCRIBE: NO
SRINIVASAN, PARTHASARATHY, MD
GENDER: MNPI #: 1134199359RENALCARE ASSOCIATES200 E PENNSYLVANIA AVE SUITE 212PEORIA, IL 61603PHONE: (309) 676-8123E-PRESCRIBE: NO
NEURO ONCOLOGY
TSUNG, ANDREW J., MDGENDER: MNPI #: 1760685390ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS LLC719 N WILLIAM KUMPF BLVD SUITE 100PEORIA, IL 61605PHONE: (309) 676-0766E-PRESCRIBE: NO
NEUROLOGY
BIERNOT, JULIA, MDGENDER: FNPI #: 1700034113INI NEUROLOGY100 NE RANDOLPH STPEORIA, IL 61606PHONE: (309) 624-8500E-PRESCRIBE: NO
BLUME, GREGORY M., MDGENDER: MNPI #: 1326146994INI NEUROLOGY GROUP100 NE RANDOLPH AVEPEORIA, IL 61606PHONE: (309) 624-8500E-PRESCRIBE: NO
CHAUHAN, SUNIL M., MDGENDER: MNPI #: 1912922881INI NEUROLOGY GROUP100 NE RANDOLPH AVEPEORIA, IL 61606PHONE: (309) 624-8500E-PRESCRIBE: NO
CHENG, GENE, MDGENDER: MNPI #: 1417920232NEUROLOGY CLINIC5401 N KNOXVILLE AVE SUITE 414PEORIA, IL 61614PHONE: (309) 692-9516E-PRESCRIBE: YES
ERGENE, ERHAN, MDGENDER: MNPI #: 1649378241ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS LLC530 NE GLEN OAK AVE 6TH FLOORPEORIA, IL 61637PHONE: (309) 624-8981E-PRESCRIBE: NO
INI NEUROLOGY GROUP100 NE RANDOLPH AVEPEORIA, IL 61606PHONE: (309) 624-8500E-PRESCRIBE: NO
EZEE, CHIGOLUM C., MDGENDER: FNPI #: 1366649279INI DIAGNOSTIC CENTER530 NE GLEN OAK AVE 6TH FL SFMCPEORIA, IL 61637PHONE: (309) 624-8981E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Specialty Care Providers
319 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
FASSETT, DANIEL R., MDGENDER: MNPI #: 1205902442ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS LLC719 N WILLIAM KUMPF BLVD SUITE 100PEORIA, IL 61605PHONE: (309) 676-0766E-PRESCRIBE: NO
FRASER, M TERESA C., MDGENDER: FNPI #: 1093928566ILLINOIS NEUROLOGICAL INSTITUTE PHYSICIANS LLC5401 N KNOXVILLE AVE SUITE 216PEORIA, IL 61614PHONE: (309) 692-1016E-PRESCRIBE: NO
ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS LLC530 NE GLEN OAK AVE 6TH FLOORPEORIA, IL 61637PHONE: (309) 624-8981E-PRESCRIBE: NO
INI NEUROLOGY GROUP100 NE RANDOLPH AVEPEORIA, IL 61606PHONE: (309) 624-8500E-PRESCRIBE: NO
GARWACKI, DENNIS J., MDGENDER: MNPI #: 1417055922INI NEUROLOGY GROUP100 NE RANDOLPH AVEPEORIA, IL 61606PHONE: (309) 624-8500E-PRESCRIBE: NO
GLEASON, BRADLEY H., MDGENDER: MNPI #: 1659428464ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS LLC530 NE GLEN OAK AVE 6TH FLOORPEORIA, IL 61638PHONE: (309) 624-9960E-PRESCRIBE: NO
INI NEUROLOGY GROUP100 NE RANDOLPH AVEPEORIA, IL 61606PHONE: (309) 624-8500E-PRESCRIBE: NO
KATTAH, JORGE C., MDGENDER: MNPI #: 1750489050ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS LLC530 NE GLEN OAK AVE 6TH FLOORPEORIA, IL 61637PHONE: (309) 624-8981E-PRESCRIBE: NO
INI NEUROLOGY GROUP100 NE RANDOLPH AVEPEORIA, IL 61606PHONE: (309) 624-8500E-PRESCRIBE: NO
KEUNG, BONNIE M., MDGENDER: FNPI #: 1346448388INI DIAGNOSTIC CENTER530 NE GLEN OAK AVE 6TH FLR SFMCPEORIA, IL 61637PHONE: (309) 624-8981E-PRESCRIBE: NO
INI NEUROLOGY100 NE RANDOLPH STPEORIA, IL 61606PHONE: (309) 624-8500E-PRESCRIBE: NO
LEE, RICHARD H., MDGENDER: MNPI #: 1366435158ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS LLC719 N WILLIAM KUMPF BLVD SUITE 100PEORIA, IL 61605PHONE: (309) 676-0766E-PRESCRIBE: NO
MATTAI, SHANTA D., MDGENDER: FNPI #: 1609974096INI NEUROLOGY GROUP100 NE RANDOLPH AVEPEORIA, IL 61606PHONE: (309) 624-8500E-PRESCRIBE: NO
NAIR, DEEPAK S., MDGENDER: MNPI #: 1003019209ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS LLC530 NE GLEN OAK AVE 6TH FLOORPEORIA, IL 61637PHONE: (309) 624-8981E-PRESCRIBE: NO
INI NEUROLOGY GROUP100 NE RANDOLPH AVEPEORIA, IL 61606PHONE: (309) 624-8500E-PRESCRIBE: NO
NERSESYAN, HRACHYA, MDGENDER: MNPI #: 1497957468INI NEUROLOGY GROUP100 NE RANDOLPH AVEPEORIA, IL 61606PHONE: (309) 624-8500E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Specialty Care Providers
320* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
PARKER, SARAH E., MDGENDER: FNPI #: 1699937888INI DIAGNOSTIC CENTER530 NE GLEN OAK AVE 6TH FLOORPEORIA, IL 61637PHONE: (309) 624-8981E-PRESCRIBE: NO
PRATT, DYVEKE P., MDGENDER: FNPI #: 1154596732INI NEUROLOGY GROUP100 NE RANDOLPH AVEPEORIA, IL 61606PHONE: (309) 624-8500E-PRESCRIBE: NO
TAFT, WILLIAM C., MDGENDER: MNPI #: 1851460497U OF I COLLEGE OF MEDICINE420 NE GLEN OAK AVE SUITE 401PEORIA, IL 61603PHONE: (309) 624-9844E-PRESCRIBE: NO
TALKAD, ARUN V., MDGENDER: MNPI #: 1629015532ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS LLC530 NE GLEN OAK AVE 6TH FLOORPEORIA, IL 61637PHONE: (309) 624-6267E-PRESCRIBE: NO
INI NEUROLOGY GROUP100 NE RANDOLPH AVEPEORIA, IL 61606PHONE: (309) 624-8500E-PRESCRIBE: NO
WANG, DAVID Z., DOGENDER: MNPI #: 1831297274ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS LLC530 NE GLEN OAK AVE 6TH FLOORPEORIA, IL 61637PHONE: (309) 624-6267E-PRESCRIBE: NO
INI NEUROLOGY GROUP100 NE RANDOLPH AVEPEORIA, IL 61606PHONE: (309) 624-8500E-PRESCRIBE: NO
XU, MICHAEL Y., MDGENDER: MNPI #: 1669400974ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS LLC530 NE GLEN OAK AVE 6TH FLOORPEORIA, IL 61637PHONE: (309) 624-8750E-PRESCRIBE: NO
INI NEUROLOGY GROUP100 NE RANDOLPH AVEPEORIA, IL 61606PHONE: (309) 624-8500E-PRESCRIBE: NO
ZALLEK, CHRISTOPHER M., MD
GENDER: MNPI #: 1548368822INI NEUROLOGY GROUP100 NE RANDOLPH AVEPEORIA, IL 61606PHONE: (309) 624-8500E-PRESCRIBE: NO
ZALLEK, SARAH NATH, MDGENDER: FNPI #: 1467543942ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS LLC530 NE GLEN OAK AVE 6TH FLOORPEORIA, IL 61637PHONE: (309) 624-9960E-PRESCRIBE: NO
INI NEUROLOGY GROUP100 NE RANDOLPH AVEPEORIA, IL 61606PHONE: (309) 624-8500E-PRESCRIBE: NO
NEUROPSYCHIATRY
KARBOWSKA-JANKOWSKA, MARIA M., MD
GENDER: FNPI #: 1184722647INI NEUROLOGY GROUP100 NE RANDOLPH AVEPEORIA, IL 61606PHONE: (309) 624-8500E-PRESCRIBE: NO
NEUROPSYCHOLOGY
KURTH, SHANNA, PHDGENDER: FNPI #: 1891800603NEUROPSYCHOLOGY CLINIC PC3100 N DRIES LANE SUITE 203PEORIA, IL 61604PHONE: (309) 686-9005E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Specialty Care Providers
321 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
NEUROSURGERY
DINH, DZUNG H., MDGENDER: MNPI #: 1679513642ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS LLC719 N WILLIAM KUMPF BLVD SUITE 100PEORIA, IL 61605PHONE: (309) 676-0766E-PRESCRIBE: NO
ELWOOD, PATRICK W., MDGENDER: MNPI #: 1003861634ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS LLC719 N WILLIAM KUMPF BLVD SUITE 100PEORIA, IL 61605PHONE: (309) 676-0766E-PRESCRIBE: NO
KLOPFENSTEIN, JEFFERY D., MD
GENDER: MNPI #: 1578508354ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS LLC719 N WILLIAM KUMPF BLVD SUITE 100PEORIA, IL 61605PHONE: (309) 676-0766E-PRESCRIBE: NO
LIN, JULIAN J., MDGENDER: MNPI #: 1437104593ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS LLC719 N WILLIAM KUMPF BLVD SUITE 100PEORIA, IL 61605PHONE: (309) 676-0766E-PRESCRIBE: NO
MCCALL, TODD D., MDGENDER: MNPI #: 1508054297ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS LLC5401 N KNOXVILLE AVE SUITE 216PEORIA, IL 61614PHONE: (309) 692-1016E-PRESCRIBE: NO
719 N WILLIAM KUMPF BLVD SUITE 100PEORIA, IL 61605PHONE: (309) 676-0766E-PRESCRIBE: NO
TRACY, PATRICK T., MDGENDER: MNPI #: 1750336889ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS LLC719 N WILLIAM KUMPF BLVD SUITE 100PEORIA, IL 61605PHONE: (309) 676-0766E-PRESCRIBE: NO
TSUNG, ANDREW J., MDGENDER: MNPI #: 1760685390ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS LLC719 N WILLIAM KUMPF BLVD SUITE 100PEORIA, IL 61605PHONE: (309) 676-0766E-PRESCRIBE: NO
ONCOLOGY
BAJAJ, MADHURI, MDGENDER: FNPI #: 1699883595ILLINOIS CANCERCARE8940 N WOOD SAGE RDPEORIA, IL 61615PHONE: (309) 243-3000E-PRESCRIBE: NO
GEOFFROY, FRANCOIS J., MD
GENDER: MNPI #: 1871593434ILLINOIS CANCERCARE8940 N WOOD SAGE RDPEORIA, IL 61615PHONE: (309) 243-3000E-PRESCRIBE: YES
LIU, JIJUN J., MDGENDER: FNPI #: 1043474042ILLINOIS CANCERCARE8940 N WOOD SAGE RDPEORIA, IL 61615PHONE: (309) 243-3000E-PRESCRIBE: NO
PRAGER, DIANE J., MDGENDER: FNPI #: 1003883562ILLINOIS CANCERCARE8940 N WOOD SAGE RDPEORIA, IL 61615PHONE: (309) 243-3000E-PRESCRIBE: YES
VEEDER, MICHAEL H., MDGENDER: MNPI #: 1568463305ILLINOIS CANCERCARE8940 N WOOD SAGE RDPEORIA, IL 61615PHONE: (309) 243-3000E-PRESCRIBE: YES
OPHTHALMOLOGY
ALLEN, QUENTIN B., MDGENDER: MNPI #: 1164483301ILLINOIS EYE CENTER8921 N WOOD SAGE RDPEORIA, IL 61615PHONE: (309) 243-2400E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Specialty Care Providers
322* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
APRAHAMIAN, ARA D., MDGENDER: MNPI #: 1528015013GAILEY EYE CLINIC4927 N GLEN PARK PLACEPEORIA, IL 61614PHONE: (309) 692-8460E-PRESCRIBE: NO
BARBA, KENNETH R., MDGENDER: MNPI #: 1265473706GAILEY EYE CLINIC4927 N GLEN PARK PLACEPEORIA, IL 61614PHONE: (309) 692-8460E-PRESCRIBE: NO
BHATIA, SUMIT P., MDGENDER: MNPI #: 1780670596GAILEY EYE CLINIC4927 N GLEN PARK PLACEPEORIA, IL 61614PHONE: (309) 692-8460E-PRESCRIBE: NO
BOND, WILLIAM I., MDGENDER: MNPI #: 1184653644BOND EYE ASSOCIATES6800 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 692-2020E-PRESCRIBE: NO
CUITE, CATHERINE E., MDGENDER: FNPI #: 1679560221ILLINOIS EYE CENTER8921 N WOOD SAGE RDPEORIA, IL 61615PHONE: (309) 243-2400E-PRESCRIBE: NO
DELENGOCKY, TAYSON, DOGENDER: MNPI #: 1164637153BOND EYE ASSOCIATES6800 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 692-2020E-PRESCRIBE: NO
EKONG, ANTHONY S., MDGENDER: MNPI #: 1336171875ILLINOIS RETINA INSTITUTE5016 N UNIVERSITY ST SUITE 106PEORIA, IL 61614PHONE: (309) 589-1880E-PRESCRIBE: YES
HALPERIN, GREGORY I., MDGENDER: MNPI #: 1760423206GAILEY EYE CLINIC4927 N GLEN PARK PLACEPEORIA, IL 61614PHONE: (309) 692-8460E-PRESCRIBE: NO
HAN, MIN-KYU, MDGENDER: MNPI #: 1912901877ILLINOIS EYE CENTER8921 N WOOD SAGE RDPEORIA, IL 61615PHONE: (309) 243-2400E-PRESCRIBE: NO
HARMAN, JOSEPH G., MDGENDER: MNPI #: 1942241484GAILEY EYE CLINIC4927 N GLEN PARK PLACEPEORIA, IL 61614PHONE: (309) 692-8460E-PRESCRIBE: NO
HEYDE, RAYMOND R., MDGENDER: MNPI #: 1861484263THE HEYDE EYE CENTER400 ST MARKS COURTPEORIA, IL 61603PHONE: (309) 674-1234E-PRESCRIBE: YES
KISHORE, KAMAL, MDGENDER: MNPI #: 1215059977ILLINOIS RETINA INSTITUTE5016 N UNIVERSITY ST SUITE 106PEORIA, IL 61614PHONE: (309) 589-1880E-PRESCRIBE: YES
OSF SAINT FRANCIS MEDICAL CENTER530 NE GLEN OAK AVEPEORIA, IL 61637PHONE: (309) 655-2000E-PRESCRIBE: NO
KOLETTIS, YANNIS N., MDGENDER: MNPI #: 1922095579ILLINOIS EYE CENTER8921 N WOOD SAGE RDPEORIA, IL 61615PHONE: (309) 243-2400E-PRESCRIBE: YES
LAGOUROS, PARASHOS A., MD
GENDER: MNPI #: 1245227883ILLINOIS EYE CENTER8921 N WOOD SAGE RDPEORIA, IL 61615PHONE: (309) 243-2400E-PRESCRIBE: NO
OSF SAINT FRANCIS MEDICAL CENTER530 NE GLEN OAK AVEPEORIA, IL 61637PHONE: (309) 655-2000E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Specialty Care Providers
323 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
LEE, ROBERT M., MDGENDER: MNPI #: 1699716118GAILEY EYE CLINIC4927 N GLEN PARK PLACEPEORIA, IL 61614PHONE: (309) 692-8460E-PRESCRIBE: NO
LICHTENSTEIN, STEVEN J., MD
GENDER: MNPI #: 1093702649ILLINOIS EYE CENTER8921 N WOOD SAGE RDPEORIA, IL 61615PHONE: (309) 243-2400E-PRESCRIBE: NO
OSF SAINT FRANCIS MEDICAL CENTER530 NE GLEN OAK AVEPEORIA, IL 61637PHONE: (309) 655-2000E-PRESCRIBE: NO
MEHTA, JAY, MDGENDER: MNPI #: 1417905456BOND EYE ASSOCIATES6800 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 692-2020E-PRESCRIBE: NO
MYERS, CLIFFORD E., MDGENDER: MNPI #: 13563202535401 N KNOXVILLE AVE SUITE 106PEORIA, IL 61614PHONE: (309) 693-2710E-PRESCRIBE: NO
OESTER, ALAN E., MDGENDER: MNPI #: 1750503819GAILEY EYE CLINIC4927 N GLEN PARK PLACEPEORIA, IL 61614PHONE: (309) 692-8460E-PRESCRIBE: NO
QURAISHI, SABA, MDGENDER: FNPI #: 1801005384BOND EYE ASSOCIATES6800 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 692-2020E-PRESCRIBE: NO
REDDY, CHITTARANJAN V., MD
GENDER: NPI #: 1992737084OSF SAINT FRANCIS MEDICAL CENTER530 NE GLEN OAK AVEPEORIA, IL 61637PHONE: (309) 655-2000E-PRESCRIBE: NO
RETINA CONSULTANTS OF CENTRAL ILLINOIS3310 CHARTWELL RD SUITE 101PEORIA, IL 61614PHONE: (309) 693-2249E-PRESCRIBE: NO
REDDY, CHITTARANJAN, MDGENDER: MNPI #: 1992737084BOND EYE ASSOCIATES6800 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 692-2020E-PRESCRIBE: NO
RHODE, JOHN P., MDGENDER: MNPI #: 1235126897ILLINOIS EYE CENTER8921 N WOOD SAGE RDPEORIA, IL 61615PHONE: (309) 243-2400E-PRESCRIBE: NO
SICHER, STEVEN E., MDGENDER: MNPI #: 1891782439ILLINOIS EYE CENTER8921 N WOOD SAGE RDPEORIA, IL 61615PHONE: (309) 243-2400E-PRESCRIBE: NO
VAHEY, JEAN B., MDGENDER: FNPI #: 1407843055ILLINOIS EYE CENTER8921 N WOOD SAGE RDPEORIA, IL 61615PHONE: (309) 243-2400E-PRESCRIBE: NO
OSF SAINT FRANCIS MEDICAL CENTER530 NE GLEN OAK AVEPEORIA, IL 61637PHONE: (309) 655-2000E-PRESCRIBE: NO
WILLI, MARTHA, MDGENDER: FNPI #: 1558349001HEARTLAND COMMUNITY HEALTH CLINIC1701 W GARDEN STPEORIA, IL 61605PHONE: (309) 680-7600E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Specialty Care Providers
324* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
WYMAN, THOMAS M., MDGENDER: MNPI #: 1245227669ILLINOIS EYE CENTER8921 N WOOD SAGE RDPEORIA, IL 61615PHONE: (309) 243-2400E-PRESCRIBE: YES
ORTHOPAEDICS
AKESON, JEFFREY W., MDGENDER: MNPI #: 1356342257MIDWEST ORTHOPAEDIC CENTER6000 N ALLEN RDPEORIA, IL 61614PHONE: (309) 691-1400E-PRESCRIBE: NO
U OF I COLLEGE OF MEDICINE507 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 681-6960E-PRESCRIBE: NO
DSOUZA, NIRAIN A., MDGENDER: MNPI #: 1295736106MIDWEST ORTHOPAEDIC CENTER6000 N ALLEN RDPEORIA, IL 61614PHONE: (309) 691-1400E-PRESCRIBE: NO
GIBBONS, MICHAEL J., MDGENDER: MNPI #: 1407857311MIDWEST ORTHOPAEDIC CENTER6000 N ALLEN RDPEORIA, IL 61614PHONE: (309) 691-1400E-PRESCRIBE: NO
JOHNSON, BRENT C., MDGENDER: MNPI #: 1003817792MIDWEST ORTHOPAEDIC CENTER6000 N ALLEN RDPEORIA, IL 61614PHONE: (309) 691-1400E-PRESCRIBE: NO
MAHONEY, JOHN D., MDGENDER: MNPI #: 1093767659MIDWEST ORTHOPAEDIC CENTER6000 N ALLEN RDPEORIA, IL 61614PHONE: (309) 691-1400E-PRESCRIBE: NO
MERKLEY, MICHAEL S., MDGENDER: MNPI #: 1114928942MIDWEST ORTHOPAEDIC CENTER6000 N ALLEN RDPEORIA, IL 61614PHONE: (309) 691-1400E-PRESCRIBE: NO
MULCONREY, DANIEL S., MDGENDER: MNPI #: 1710914064MIDWEST ORTHOPAEDIC CENTER6000 N ALLEN RDPEORIA, IL 61614PHONE: (309) 691-1400E-PRESCRIBE: NO
MULVEY, THOMAS J., MDGENDER: MNPI #: 1174519219MIDWEST ORTHOPAEDIC CENTER6000 N ALLEN RDPEORIA, IL 61614PHONE: (309) 691-1400E-PRESCRIBE: NO
OLEARY, PATRICK T., MDGENDER: MNPI #: 1841314556MIDWEST ORTHOPAEDIC CENTER6000 N ALLEN RDPEORIA, IL 61614PHONE: (309) 691-1400E-PRESCRIBE: NO
WILLIAMS, JAMES R., MDGENDER: MNPI #: 1104812155MIDWEST ORTHOPAEDIC CENTER6000 N ALLEN RDPEORIA, IL 61614PHONE: (309) 691-1400E-PRESCRIBE: NO
OTOLARYNGOLOGY
GERAGHTY, JAMES A., MDGENDER: MNPI #: 1417928128PEORIA EAR NOSE & THROAT GROUP7301 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 589-5900E-PRESCRIBE: NO
GOOTEE, MICHAEL J., MDGENDER: MNPI #: 1720050982MIDWEST EAR NOSE & THROAT ASSOCIATES8600 N STATE ROUTE 91 SUITE 300PEORIA, IL 61615PHONE: (309) 691-6616E-PRESCRIBE: YES
PEORIA, ILPEORIA, IL
Specialty Care Providers
325 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
HENDRICKER, RYAN M., MDGENDER: MNPI #: 1316163066MIDWEST EAR NOSE & THROAT ASSOCIATES8600 N STATE ROUTE 91 SUITE 300PEORIA, IL 61615PHONE: (309) 691-6616E-PRESCRIBE: NO
HERTENSTEIN, JAMES C., MD
GENDER: MNPI #: 1295707578MIDWEST EAR NOSE & THROAT ASSOCIATES8600 N STATE ROUTE 91 SUITE 300PEORIA, IL 61615PHONE: (309) 691-6616E-PRESCRIBE: YES
KLEMENS, JAMES J., MDGENDER: MNPI #: 1508065558PEORIA EAR NOSE & THROAT GROUP7301 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 589-5900E-PRESCRIBE: NO
LANSFORD, CHRISTOPHER D., MD
GENDER: MNPI #: 1336181189PEORIA EAR NOSE & THROAT GROUP7301 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 589-5900E-PRESCRIBE: NO
PARRISH, ROBERT, MDGENDER: MNPI #: 1184696460MIDWEST EAR NOSE & THROAT ASSOCIATES8600 N STATE ROUTE 91 SUITE 300PEORIA, IL 61615PHONE: (309) 691-6616E-PRESCRIBE: YES
PUTMAN III, HARRISON C., MD
GENDER: MNPI #: 1477524171FACIAL PLASTIC & LASER SURGERY CENTER LLC7301 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 589-3223E-PRESCRIBE: NO
URETZKY, IRA D., MDGENDER: NPI #: 1013916428PEORIA EAR NOSE & THROAT GROUP7301 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 589-5900E-PRESCRIBE: YES
VIDAS, MICHAEL C., MDGENDER: MNPI #: 1083685515PEORIA EAR NOSE & THROAT GROUP7301 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 589-5900E-PRESCRIBE: YES
PAIN MANAGEMENT
BAHA, A GHAFOOR, MDGENDER: MNPI #: 1134118128ILLINOIS NEUROLOGICAL INSTITUTE PHYSICIANS LLC719 N WILLIAM KUMPF BLVD SUITE 100PEORIA, IL 61605PHONE: (309) 676-0766E-PRESCRIBE: NO
BENYAMIN, RAMSIN, MDGENDER: MNPI #: 1215924410MILLENNIUM PAIN CENTER LLC900 MAIN ST SUITE 780PEORIA, IL 61602PHONE: (309) 672-5950E-PRESCRIBE: NO
BROADNAX, JOHN, MDGENDER: MNPI #: 1457409104MILLENNIUM PAIN CENTER LLC900 MAIN ST SUITE 780PEORIA, IL 61602PHONE: (309) 672-5950E-PRESCRIBE: NO
FEATHER, GLEN N., DOGENDER: MNPI #: 1962492900ILLINOIS REGIONAL PAIN INSTITUTE SC5401 N KNOXVILLE AVE SUITE 416PEORIA, IL 61614PHONE: (309) 692-7246E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Specialty Care Providers
326* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
HENRY, KEVIN M., MDGENDER: MNPI #: 1063490183ILLINOIS REGIONAL PAIN INSTITUTE SC5401 N KNOXVILLE AVE SUITE 416PEORIA, IL 61614PHONE: (309) 692-7246E-PRESCRIBE: NO
REHMAN, ATIQ U., MDGENDER: MNPI #: 1457373730MILLENNIUM PAIN CENTER LLC900 MAIN ST SUITE 780PEORIA, IL 61602PHONE: (309) 672-5950E-PRESCRIBE: NO
VALLEJO, RICARDO, MDGENDER: MNPI #: 1669469706MILLENNIUM PAIN900 MAIN ST #780PEORIA, IL 61602PHONE: E-PRESCRIBE: NO
PEDIATRIC ALLERGY/IMMUNOLOGY
ARNETT, KENNETH L., MDGENDER: MNPI #: 1437249760OSF MEDICAL GROUP200 E PENNSYLVANIA AVE SUITE L-01PEORIA, IL 61603PHONE: (309) 655-4184E-PRESCRIBE: NO
PEDIATRIC CARDIOLOGY
ALBERS, WILLIAM, MDGENDER: MNPI #: 1982798146OSF CONGENITAL HEART CENTER420 NE GLEN OAK AVE SUITE 301PEORIA, IL 61603PHONE: (309) 655-3453E-PRESCRIBE: NO
BASH, STEPHEN E., MDGENDER: MNPI #: 1417041666CHILDRENS HOSPITAL OF ILLINOIS MEDICAL GROUP420 NE GLEN OAK AVE SUITE 304PEORIA, IL 61637PHONE: (309) 655-3453E-PRESCRIBE: NO
BRAMLET, MATTHEW T., MDGENDER: MNPI #: 1164689428OSF CONGENITAL HEART CENTER420 NE GLEN OAK AVE SUITE 301PEORIA, IL 61603PHONE: (309) 655-3453E-PRESCRIBE: NO
CHAN, DAVID P., MDGENDER: MNPI #: 1427057595OSF CONGENITAL HEART CENTER420 NE GLEN OAK AVE SUITE 301PEORIA, IL 61603PHONE: (309) 655-3453E-PRESCRIBE: NO
HASSELMAN, TY E., MDGENDER: MNPI #: 1861438434OSF CONGENITAL HEART CENTER420 NE GLEN OAK AVE SUITE 301PEORIA, IL 61603PHONE: (309) 655-3453E-PRESCRIBE: NO
KULIKOWSKA, AGNIESZKA, MD
GENDER: FNPI #: 1518132968OSF CONGENITAL HEART CENTER420 NE GLEN OAK AVE SUITE 301PEORIA, IL 61603PHONE: (309) 655-3453E-PRESCRIBE: NO
PATEL, PRITI M., MDGENDER: FNPI #: 1740483627OSF CONGENITAL HEART CENTER420 NE GLEN OAK AVE SUITE 301PEORIA, IL 61603PHONE: (309) 655-3453E-PRESCRIBE: NO
SHAH, JITENDRA, MDGENDER: MNPI #: 1619061827OSF CONGENITAL HEART CENTER420 NE GLEN OAK AVE SUITE 301PEORIA, IL 61603PHONE: (309) 655-3453E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Specialty Care Providers
327 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
ZIMMERMAN, FRANK J., MDGENDER: MNPI #: 1174673123OSF CONGENITAL HEART CENTER420 NE GLEN OAK SUITE 301PEORIA, IL 61603PHONE: (309) 655-3453E-PRESCRIBE: NO
PEDIATRIC CRITICAL CARE
MENESES PAZ, JUAN C., MDGENDER: MNPI #: 1215154943U OF I MEDICAL SERVICE PLAN530 NE GLEN OAK AVEPEORIA, IL 61603PHONE: (309) 655-2250E-PRESCRIBE: NO
PEDIATRIC DEVELOPMENT
LINDSAY, RONALD, MDGENDER: MNPI #: 1568571479U OF I COLLEGE OF MEDICINE507 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 681-6960E-PRESCRIBE: NO
MORGAN, ANDREW, MDGENDER: MNPI #: 1104895788U OF I COLLEGE OF MEDICINE507 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 681-6960E-PRESCRIBE: NO
PEDIATRIC ENDOCRINOLOGY
AGUIRRE-CASTANEDA, ROXANA L., MD
GENDER: FNPI #: 1871755298U OF I COLLEGE OF MEDICINE420 NE GLEN OAK AVE SUITE 401PEORIA, IL 61603PHONE: (309) 624-9844E-PRESCRIBE: NO
BENAVIDES-LOPEZ, VALERIA C., MD
GENDER: FNPI #: 1043487192U OF I COLLEGE OF MEDICINE420 NE GLEN OAK AVE SUITE 401PEORIA, IL 61603PHONE: (309) 624-9844E-PRESCRIBE: NO
FLORES, MAURICIO E., MDGENDER: MNPI #: 1255505285U OF I COLLEGE OF MEDICINE420 NE GLEN OAK AVE SUITE 401PEORIA, IL 61603PHONE: (309) 624-9844E-PRESCRIBE: NO
GONZALEZ-AGUILAR, ALEXANDRA, MD
GENDER: FNPI #: 1336316421U OF I COLLEGE OF MEDICINE420 NE GLEN OAK AVE SUITE 401PEORIA, IL 61603PHONE: (309) 624-9844E-PRESCRIBE: NO
SAUDER, SUE, MDGENDER: FNPI #: 1710955885U OF I COLLEGE OF MEDICINE420 NE GLEN OAK AVE SUITE 401PEORIA, IL 61603PHONE: (309) 624-9844E-PRESCRIBE: NO
WISE, JOYCE, MDGENDER: FNPI #: 1073582870U OF I COLLEGE OF MEDICINE420 NE GLEN OAK AVE SUITE 401PEORIA, IL 61603PHONE: (309) 624-9844E-PRESCRIBE: NO
507 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 681-6960E-PRESCRIBE: NO
PEDIATRIC GASTROENTEROLOGY
KANG, IAN K., MDGENDER: MNPI #: 1699856450U OF I COLLEGE OF MEDICINE420 NE GLEN OAK AVE SUITE 401PEORIA, IL 61603PHONE: (309) 624-9844E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Specialty Care Providers
328* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
MULLETT, CHRISTOPHER T., DO
GENDER: MNPI #: 1306806518U OF I COLLEGE OF MEDICINE420 NE GLEN OAK AVE SUITE 401PEORIA, IL 61603PHONE: (309) 624-9844E-PRESCRIBE: NO
YASEEN, MOHAMMAD, MDGENDER: MNPI #: 1437151693U OF I COLLEGE OF MEDICINE420 NE GLEN OAK AVE SUITE 401PEORIA, IL 61603PHONE: (309) 624-9844E-PRESCRIBE: NO
PEDIATRIC HEMATOLOGY
TARANTINO, MICHAEL D., MD
GENDER: MNPI #: 1396731063BLEEDING & CLOTTING DISORDERS INSTITUTE6811 N KNOXVILLE AVE SUITE APEORIA, IL 61614PHONE: (309) 692-5337E-PRESCRIBE: NO
PEDIATRIC INFECTIOUS DISEASES
GRAY, BARRY, MDGENDER: MNPI #: 1396714069U OF I COLLEGE OF MEDICINE420 NE GLEN OAK AVE SUITE 401PEORIA, IL 61603PHONE: (309) 624-9844E-PRESCRIBE: NO
PEDIATRIC NEPHROLOGY
GORDILLO PEREZ, ROBERTO, MD
GENDER: MNPI #: 1407084759U OF I COLLEGE OF MEDICINE420 NE GLEN OAK AVE SUITE 401PEORIA, IL 61603PHONE: (309) 655-4242E-PRESCRIBE: NO
LANGSTON, JENNIFER M., MD
GENDER: FNPI #: 1063675106U OF I COLLEGE OF MEDICINE420 NE GLEN OAK AVE SUITE 401PEORIA, IL 61603PHONE: (309) 655-4242E-PRESCRIBE: NO
PARKER, WILLIAM I., MDGENDER: MNPI #: 1366511990U OF I COLLEGE OF MEDICINE420 NE GLEN OAK AVE SUITE 401PEORIA, IL 61603PHONE: (309) 624-9844E-PRESCRIBE: NO
PEDIATRIC NEUROLOGY
JENNINGS, MARK, MDGENDER: MNPI #: 1356315246U OF I COLLEGE OF MEDICINE420 NE GLEN OAK AVE SUITE 401PEORIA, IL 61603PHONE: (309) 624-9844E-PRESCRIBE: NO
SHI, FENGLIN, MDGENDER: MNPI #: 1316111305U OF I COLLEGE OF MEDICINE420 NE GLEN OAK AVE SUITE 401PEORIA, IL 61603PHONE: (309) 624-9844E-PRESCRIBE: NO
TAFT, WILLIAM C., MDGENDER: MNPI #: 1851460497U OF I COLLEGE OF MEDICINE420 NE GLEN OAK AVE SUITE 401PEORIA, IL 61603PHONE: (309) 624-9844E-PRESCRIBE: NO
TWANOW, JAIME-DAWN E., MD
GENDER: FNPI #: 1558447870U OF I COLLEGE OF MEDICINE420 NE GLEN OAK AVE SUITE 401PEORIA, IL 61603PHONE: (309) 624-9844E-PRESCRIBE: NO
ZELAYA, BLAS M., MDGENDER: MNPI #: 1295704468U OF I COLLEGE OF MEDICINE420 NE GLEN OAK AVE SUITE 401PEORIA, IL 61603PHONE: (309) 624-9844E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Specialty Care Providers
329 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
PEDIATRIC ONCOLOGY/HEMATOLOGY
STRANDJORD, SARAH, MDGENDER: FNPI #: 1841340767U OF I COLLEGE OF MEDICINE530 NE GLEN OAK AVEPEORIA, IL 61603PHONE: (309) 624-4945E-PRESCRIBE: NO
PEDIATRIC PLASTIC SURGERY
ELWOOD, ERIC T., MDGENDER: MNPI #: 1033151162PEORIA SURGICAL GROUP1001 MAIN ST SUITE 300PEORIA, IL 61606PHONE: (309) 495-0200E-PRESCRIBE: NO
PEDIATRIC PULMONOLOGY
BENSON, JEFFREY C., MDGENDER: MNPI #: 1851342208U OF I COLLEGE OF MEDICINE420 NE GLEN OAK AVE SUITE 401PEORIA, IL 61603PHONE: (309) 624-9844E-PRESCRIBE: NO
PEDIATRIC SURGERY
APRAHAMIAN, CHARLES J., MD
GENDER: MNPI #: 1033323902CHILDRENS MEDICAL GROUP PEDIATRIC SURGERY420 NE GLEN OAK AVE SUITE 201PEORIA, IL 61603PHONE: (309) 655-2343E-PRESCRIBE: NO
BROWNE, ALLEN F., MDGENDER: MNPI #: 1003865031CHILDRENS MEDICAL GROUP-PEDIATRIC SURGERY420 NE GLEN OAK AVE SUITE 201PEORIA, IL 61603PHONE: (309) 655-2343E-PRESCRIBE: NO
HOLTERMAN, AI-XUAN L., MDGENDER: FNPI #: 1649228032CHILDRENS MEDICAL GROUP PEDIATRIC SURGERY420 NE GLEN OAK AVE SUITE 201PEORIA, IL 61603PHONE: (309) 655-2343E-PRESCRIBE: NO
HOLTERMAN, MARK J., MDGENDER: MNPI #: 1033168273CHILDRENS MEDICAL GROUP PEDIATRIC SURGERY420 NE GLEN OAK AVE SUITE 201PEORIA, IL 61603PHONE: (309) 655-2343E-PRESCRIBE: NO
PEARL, RICHARD H., MDGENDER: MNPI #: 1457389272CHILDRENS MEDICAL GROUP-PEDIATRIC SURGERY420 NE GLEN OAK AVE SUITE 201PEORIA, IL 61603PHONE: (309) 655-3800E-PRESCRIBE: NO
YANG, EDWARD Y., MDGENDER: MNPI #: 1629165741CHILDRENS MEDICAL GROUP PEDIATRIC SURGERY420 NE GLEN OAK AVE SUITE 201PEORIA, IL 61603PHONE: (309) 655-2343E-PRESCRIBE: NO
PERINATOLOGY
GROSS, THOMAS L., MDGENDER: MNPI #: 1912083601OSF PERINATAL ASSOCIATES LLC530 NE GLEN OAK AVEPEORIA, IL 61637PHONE: (309) 624-7811E-PRESCRIBE: NO
LEONARDI, MICHAEL R., MDGENDER: MNPI #: 1033295738OSF PERINATAL ASSOCIATES LLC530 NE GLEN OAK AVEPEORIA, IL 61637PHONE: (309) 624-7811E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Specialty Care Providers
330* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
OSF SISTERS COMMUNITY HEALTH CARE CENTER320 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 624-9690E-PRESCRIBE: NO
RENFROE, YOLANDA R., MDGENDER: MNPI #: 1518043280OSF PERINATAL ASSOCIATES LLC530 NE GLEN OAK AVEPEORIA, IL 61637PHONE: (309) 624-7811E-PRESCRIBE: NO
OSF SISTERS COMMUNITY HEALTH CARE CENTER320 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 624-9690E-PRESCRIBE: NO
PHYSICAL MEDICINE/REHABILITATION
LI, YIBING, MDGENDER: FNPI #: 1013923929CENTER FOR PAIN MANAGEMENT & REHABILITATION5401 N KNOXVILLE AVE SUITE 117PEORIA, IL 61614PHONE: (309) 689-8888E-PRESCRIBE: NO
REDDY, SAVITHA S., MDGENDER: MNPI #: 1841208568OSF MEDICAL GROUP530 NE GLEN OAK AVEPEORIA, IL 61637PHONE: (309) 624-8550E-PRESCRIBE: NO
REDDY, SAVITHA, MDGENDER: MNPI #: 1841208568U OF I COLLEGE OF MEDICINE507 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 681-6960E-PRESCRIBE: NO
RUSSO, FRANK, MDGENDER: MNPI #: 1669537155INSTITUTE OF PHYSICAL MEDICINE & REHAB/IPMR6501 N SHERIDAN RDPEORIA, IL 61614PHONE: (309) 692-8110E-PRESCRIBE: NO
SNYDER, LISA, MDGENDER: FNPI #: 1790715092INSTITUTE OF PHYSICAL MEDICINE & REHAB/IPMR6501 N SHERIDAN RDPEORIA, IL 61614PHONE: (309) 692-8670E-PRESCRIBE: NO
719 N WILLIAM KUMPF BLVDPEORIA, IL 61605PHONE: (309) 671-2950E-PRESCRIBE: NO
STEDWILL, JEFFREY E., MDGENDER: MNPI #: 1497775373OSF MEDICAL GROUP530 NE GLEN OAK AVEPEORIA, IL 61637PHONE: (309) 624-8550E-PRESCRIBE: NO
SUREKA, AMOD O., MDGENDER: NPI #: 1548291750ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS LLC719 N WILLIAM KUMPF BLVD SUITE 100PEORIA, IL 61605PHONE: (309) 676-0766E-PRESCRIBE: NO
MIDWEST ORTHOPAEDIC CENTER6000 N ALLEN RDPEORIA, IL 61614PHONE: (309) 691-1400E-PRESCRIBE: NO
SUREKA, OMPRAKASH, MDGENDER: MNPI #: 1518902469INSTITUTE OF PHYSICAL MEDICINE & REHAB/IPMR6501 N SHERIDAN RDPEORIA, IL 61614PHONE: (309) 692-8670E-PRESCRIBE: NO
719 N WILLIAM KUMPF BLVDPEORIA, IL 61605PHONE: (309) 671-2950E-PRESCRIBE: NO
TRUONG, XUAN T., MDGENDER: MNPI #: 11341900285401 N KNOXVILLE AVE SUITE 217PEORIA, IL 61614PHONE: (309) 693-3297E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Specialty Care Providers
331 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
ZHOU, JIANXUN, MDGENDER: MNPI #: 1952560500ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS LLC719 N WILLIAM KUMPF BLVD SUITE 100PEORIA, IL 61605PHONE: (309) 676-0766E-PRESCRIBE: NO
PLASTIC RECONSTRUCTIVE SURGERY
CORLEY, RICHARD D., MDGENDER: MNPI #: 1801914882416 ST MARKS COURT SUITE 106PEORIA, IL 61603PHONE: (309) 674-2822E-PRESCRIBE: NO
HANSEN, REID H., MDGENDER: MNPI #: 1861490260900 MAIN ST SUITE 500PEORIA, IL 61602PHONE: (309) 637-3500E-PRESCRIBE: NO
JONES, GLYN E., MDGENDER: MNPI #: 1366462475PEORIA SURGICAL GROUP LTD1001 MAIN ST SUITE 300PEORIA, IL 61606PHONE: (309) 495-0200E-PRESCRIBE: NO
PUTMAN III, HARRISON C., MD
GENDER: MNPI #: 1477524171FACIAL PLASTIC & LASER SURGERY CENTER LLC7301 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 589-3223E-PRESCRIBE: NO
RASHID, KHURRAM, MDGENDER: NPI #: 1790924488FACIAL PLASTICS AND LASER SURGERY CENTER LLC7301 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 589-3223E-PRESCRIBE: NO
PEORIA SURGICAL GROUP1001 MAIN ST SUITE 300PEORIA, IL 61606PHONE: (309) 495-0200E-PRESCRIBE: YES
SHERIDAN, JAMES M., MDGENDER: MNPI #: 1326013954MID ILLINI SURGICAL ASSOCIATES900 MAIN ST SUITE 530PEORIA, IL 61602PHONE: (309) 672-5975E-PRESCRIBE: NO
PODIATRY
BRATTAIN, T KEVIN, DPMGENDER: MNPI #: 1285613463ILLINOIS VALLEY PODIATRY GROUP PC3322 W WILLOW KNOLLS DRPEORIA, IL 61614PHONE: (309) 691-5800E-PRESCRIBE: NO
DECEANNE, ANTHONY V., DPM
GENDER: MNPI #: 1083613293ACPM PODIATRY GROUP LTD5017 N GLEN PARK PLACE RDPEORIA, IL 61614PHONE: (309) 691-1589E-PRESCRIBE: NO
KARAS, TODD J., DPMGENDER: MNPI #: 1023125127ASSOCIATES OF STERLING PODIATRY4507 N STERLING SUITE 102PEORIA, IL 61615PHONE: (309) 272-7322E-PRESCRIBE: NO
MAHONEY, ABIGAIL, DPMGENDER: FNPI #: 1710996103HEARTLAND COMMUNITY HEALTH CLINIC1701 W GARDEN STPEORIA, IL 61605PHONE: (309) 680-7600E-PRESCRIBE: NO
PARRY, BRENT, DPMGENDER: MNPI #: 1891794004ACPM PODIATRY GROUP LTD5017 N GLEN PARK PLACE RDPEORIA, IL 61614PHONE: (309) 691-1589E-PRESCRIBE: NO
RUFF, JOHN, DPMGENDER: MNPI #: 1366440166PEORIA PODIATRY GROUP3322 W WILLOW KNOLLS DRPEORIA, IL 61614PHONE: (309) 691-1727E-PRESCRIBE: NO
614 SPRING STPEORIA, IL 61614PHONE: (309) 637-3668E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Specialty Care Providers
332* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
RUSKUSKY, JEFFREY R., DPM
GENDER: MNPI #: 1639129851RUSKUSKY FOOT & ANKLE CLINIC8600 N STATE ROUTE 91PEORIA, IL 61615PHONE: (309) 691-2400E-PRESCRIBE: NO
RUSKUSKY, JOHN L., DPMGENDER: MNPI #: 1114978574OSF MEDICAL GROUP5105 N GLEN PARK PLACE RDPEORIA, IL 61615PHONE: (309) 683-8383E-PRESCRIBE: NO
SMITH, MARK A., DPMGENDER: MNPI #: 1093885378ILLINOIS VALLEY PODIATRY GROUP PC3322 W WILLOW KNOLLS DRPEORIA, IL 61614PHONE: (309) 691-5800E-PRESCRIBE: NO
WARD, CURTIS L., DPMGENDER: MNPI #: 1114926748ACPM PODIATRY GROUP LTD5017 N GLEN PARK PLACE RDPEORIA, IL 61614PHONE: (309) 691-1589E-PRESCRIBE: NO
WHITE, SUZANNE S., DPMGENDER: FNPI #: 1033160437RUSKUSKY FOOT & ANKLE CLINIC8600 N STATE ROUTE 91PEORIA, IL 61615PHONE: (309) 691-2400E-PRESCRIBE: NO
PULMONOLOGY
AULAKH, BHAGAT S., MDGENDER: MNPI #: 1750420758ILLINOIS LUNG AND CRITICAL CARE INSTITUTE1001 MAIN ST SUITE 200PEORIA, IL 61606PHONE: (309) 672-5682E-PRESCRIBE: NO
BALAGANI, RAJESH, DOGENDER: MNPI #: 1477754927ILLINOIS LUNG AND CRITICAL CARE INSTITUTE1001 MAIN ST SUITE 200PEORIA, IL 61602PHONE: (309) 672-5682E-PRESCRIBE: YES
CHITTIVELU, SUBRAMANYAM, MD
GENDER: MNPI #: 1932195880ILLINOIS LUNG AND CRITICAL CARE INSTITUTE1001 MAIN ST SUITE 200PEORIA, IL 61602PHONE: (309) 672-5682E-PRESCRIBE: YES
CRABB, JEREMIAH, MDGENDER: MNPI #: 1073509824ILLINOIS LUNG AND CRITICAL CARE INSTITUTE1001 MAIN ST SUITE 200PEORIA, IL 61602PHONE: (309) 672-5682E-PRESCRIBE: YES
IKLADIOS, OSSAMA I., MDGENDER: MNPI #: 1316991193ILLINOIS LUNG AND CRITICAL CARE INSTITUTE1001 MAIN ST SUITE 200PEORIA, IL 61606PHONE: (309) 672-5682E-PRESCRIBE: NO
MCVAY, BRYAN P., DOGENDER: MNPI #: 1073714176ILLINOIS LUNG AND CRITICAL CARE INSTITUTE1001 MAIN ST SUITE 200PEORIA, IL 61606PHONE: (309) 672-5682E-PRESCRIBE: NO
MICHEL, JON C., MDGENDER: MNPI #: 1437244555ILLINOIS LUNG & CRITICAL CARE INSTITUTE1001 MAIN ST SUITE 200PEORIA, IL 61606PHONE: (309) 672-5682E-PRESCRIBE: NO
PEIL, MICHAEL, MDGENDER: MNPI #: 1821084567ILLINOIS LUNG AND CRITICAL CARE INSTITUTE1001 MAIN ST SUITE 200PEORIA, IL 61602PHONE: (309) 672-5682E-PRESCRIBE: YES
PINTO, SHAILESH C., MDGENDER: MNPI #: 1750447157ILLINOIS LUNG AND CRITICAL CARE INSTITUTE1001 MAIN ST SUITE 200PEORIA, IL 61606PHONE: (309) 672-5682E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Specialty Care Providers
333 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
SAUDER, W ANTHONY, MDGENDER: MNPI #: 1649260076ILLINOIS LUNG AND CRITICAL CARE INSTITUTE1001 MAIN ST SUITE 200PEORIA, IL 61602PHONE: (309) 672-5682E-PRESCRIBE: YES
SKILLRUD, DAVID, MDGENDER: MNPI #: 1568573764CENTRAL IL PULMONARY & CRITICAL CARE ASSOCIATES5401 N KNOXVILLE AVE SUITE 220PEORIA, IL 61614PHONE: (309) 692-0422E-PRESCRIBE: NO
TANEJA, DEEPAK, MDGENDER: MNPI #: 1841492394ILLINOIS LUNG AND CRITICAL CARE INSTITUTE1001 MAIN ST SUITE 200PEORIA, IL 61606PHONE: (309) 672-5682E-PRESCRIBE: NO
TAYLOR, BERNARD G., MDGENDER: MNPI #: 1558334557CENTRAL IL PULMONARY & CRITICAL CARE ASSOCIATES5401 N KNOXVILLE AVE SUITE 220PEORIA, IL 61603PHONE: (309) 692-0422E-PRESCRIBE: NO
TILLIS, WILLIAM P., MDGENDER: MNPI #: 1669468377ILLINOIS LUNG AND CRITICAL CARE INSTITUTE1001 MAIN ST SUITE 200PEORIA, IL 61602PHONE: (309) 672-5682E-PRESCRIBE: YES
VERMA, KANINIKA, MDGENDER: FNPI #: 1265503429ILLINOIS LUNG AND CRITICAL CARE INSTITUTE1001 MAIN ST SUITE 200PEORIA, IL 61606PHONE: (309) 672-5682E-PRESCRIBE: NO
WHITTEN, PATRICK E., MDGENDER: MNPI #: 1366438087ILLINOIS LUNG AND CRITICAL CARE INSTITUTE1001 MAIN ST SUITE 200PEORIA, IL 61602PHONE: (309) 672-5682E-PRESCRIBE: YES
RADIATION ONCOLOGY
CARPENTER, MATTHEW, MDGENDER: MNPI #: 1043298334CENTRAL ILLINOIS RADIATION ONCOLOGY PHYSICIANS221 NE GLEN OAK AVEPEORIA, IL 61636PHONE: (309) 672-5700E-PRESCRIBE: NO
CLAUSEN, CATHY L., MDGENDER: FNPI #: 1073526091OSF MEDICAL GROUP530 NE GLEN OAK AVEPEORIA, IL 61637PHONE: (309) 683-5000E-PRESCRIBE: NO
OSF PROMPTCARE5114 N GLEN PARK PLACE RDPEORIA, IL 61614PHONE: (309) 655-2431E-PRESCRIBE: NO
GRIFFIN, BRIAN P., MDGENDER: MNPI #: 1104921097OSF MEDICAL GROUP530 NE GLEN OAK AVEPEORIA, IL 61637PHONE: (309) 683-5000E-PRESCRIBE: NO
OSF PROMPTCARE5114 GLEN PARK PLACE RDPEORIA, IL 61614PHONE: (309) 655-2431E-PRESCRIBE: NO
LAL, ROBY, DOGENDER: FNPI #: 1811983489CENTRAL ILLINOIS RADIATION ONCOLOGY PHYSICIANS221 NE GLEN OAK AVEPEORIA, IL 61636PHONE: (309) 672-5700E-PRESCRIBE: NO
MCGEE, JAMES L., MDGENDER: MNPI #: 1245244862OSF SAINT FRANCIS MEDICAL CENTER530 NE GLEN OAK AVEPEORIA, IL 61637PHONE: (309) 683-5000E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Specialty Care Providers
334* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
SWAMINATHAN, REVATHI, MD
GENDER: FNPI #: 1841234929CENTRAL ILLINOIS RADIATION ONCOLOGY PHYSICIANS221 NE GLEN OAK AVEPEORIA, IL 61636PHONE: (309) 672-5700E-PRESCRIBE: NO
WILKINS, WARREN, MDGENDER: MNPI #: 1255429494CENTRAL ILLINOIS RADIATION ONCOLOGY PHYSICIANS221 NE GLEN OAK AVEPEORIA, IL 61636PHONE: (309) 672-5700E-PRESCRIBE: NO
ZALDUENDO, ANTHONY C., MD
GENDER: MNPI #: 1205844602OSF MEDICAL GROUP530 NE GLEN OAK AVEPEORIA, IL 61637PHONE: (309) 683-5000E-PRESCRIBE: NO
OSF PROMPTCARE5114 N GLEN PARK PLACE RDPEORIA, IL 61614PHONE: (309) 655-2431E-PRESCRIBE: NO
RHEUMATOLOGY
ADHIKESAVAN, LEENA G., MD
GENDER: FNPI #: 1689735201OSF MEDICAL GROUP200 E PENNSYLVANIA AVE SUITE 101PEORIA, IL 61603PHONE: (309) 655-7900E-PRESCRIBE: NO
AWADH, BASEM, MDGENDER: MNPI #: 1952346231OSF MEDICAL GROUP200 E PENNSYLVANIA AVE SUITE 101PEORIA, IL 61603PHONE: (309) 655-7900E-PRESCRIBE: NO
GETZ, MARK A., MDGENDER: MNPI #: 1477643708OSF MEDICAL GROUP200 E PENNSYLVANIA AVE SUITE 101PEORIA, IL 61603PHONE: (309) 655-7900E-PRESCRIBE: NO
HABAL, HANI, MDGENDER: MNPI #: 1912101684OSF MEDICAL GROUP-RHEUMATOLOGY200 E PENNSYLVANIA AVE SUITE 101PEORIA, IL 61603PHONE: (309) 655-7900E-PRESCRIBE: NO
SLEEP MEDICINE
CHITTIVELU, SUBRAMANYAM, MD
GENDER: MNPI #: 1932195880ILLINOIS LUNG AND CRITICAL CARE INSTITUTE1001 MAIN ST SUITE 200PEORIA, IL 61602PHONE: (309) 672-5682E-PRESCRIBE: YES
GLEASON, BRADLEY H., MDGENDER: MNPI #: 1659428464ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS LLC530 NE GLEN OAK AVE 6TH FLOORPEORIA, IL 61638PHONE: (309) 624-9960E-PRESCRIBE: NO
INI NEUROLOGY GROUP100 NE RANDOLPH AVEPEORIA, IL 61606PHONE: (309) 624-8500E-PRESCRIBE: NO
IKLADIOS, OSSAMA I., MDGENDER: MNPI #: 1316991193ILLINOIS LUNG AND CRITICAL CARE INSTITUTE1001 MAIN ST SUITE 200PEORIA, IL 61606PHONE: (309) 672-5682E-PRESCRIBE: NO
TAYLOR, BERNARD G., MDGENDER: MNPI #: 1558334557CENTRAL IL PULMONARY & CRITICAL CARE ASSOCIATES5401 N KNOXVILLE AVE SUITE 220PEORIA, IL 61603PHONE: (309) 692-0422E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Specialty Care Providers
335 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
VERMA, KANINIKA, MDGENDER: FNPI #: 1265503429ILLINOIS LUNG AND CRITICAL CARE INSTITUTE1001 MAIN ST SUITE 200PEORIA, IL 61606PHONE: (309) 672-5682E-PRESCRIBE: NO
WHITTEN, PATRICK E., MDGENDER: MNPI #: 1366438087ILLINOIS LUNG AND CRITICAL CARE INSTITUTE1001 MAIN ST SUITE 200PEORIA, IL 61602PHONE: (309) 672-5682E-PRESCRIBE: YES
ZALLEK, SARAH NATH, MDGENDER: FNPI #: 1467543942ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS LLC530 NE GLEN OAK AVE 6TH FLOORPEORIA, IL 61637PHONE: (309) 624-9960E-PRESCRIBE: NO
INI NEUROLOGY GROUP100 NE RANDOLPH AVEPEORIA, IL 61606PHONE: (309) 624-8500E-PRESCRIBE: NO
SPORTS MEDICINE
ROBERTS, BRAD C., DOGENDER: MNPI #: 1982627204MIDWEST ORTHOPAEDIC CENTER6000 N ALLEN RDPEORIA, IL 61614PHONE: (309) 691-1400E-PRESCRIBE: NO
THORACIC SURGERY
CIABURRI, DANIEL G., MDGENDER: MNPI #: 1710002910HEARTCARE MIDWEST5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
SAVAGE, DAVID H., MDGENDER: MNPI #: 1063449080HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
UROLOGY
BEWSEY, KELLY, MDGENDER: FNPI #: 1831198118MIDWEST UROLOGICAL GROUP7309 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 673-7349E-PRESCRIBE: NO
DEBORD, ALAN B., MDGENDER: MNPI #: 1902864796OSF MEDICAL GROUP200 E PENNSYLVANIA AVE SUITE 102PEORIA, IL 61603PHONE: (309) 655-2045E-PRESCRIBE: NO
GRAMPSAS, SAMUEL A., MDGENDER: MNPI #: 1386618833OSF MEDICAL GROUP200 E PENNSYLVANIA AVE SUITE 102PEORIA, IL 61603PHONE: (309) 655-2045E-PRESCRIBE: NO
HUGGINS, MELISSA E., MDGENDER: FNPI #: 1740366178OSF MEDICAL GROUP200 E PENNSYLVANIA AVE SUITE 102PEORIA, IL 61603PHONE: (309) 655-2045E-PRESCRIBE: NO
5401 N KNOXVILLE AVE SUITE 418PEORIA, IL 61614PHONE: (309) 683-6555E-PRESCRIBE: NO
KENNY, JAMES N., MDGENDER: MNPI #: 1427032515AFFILIATED UROLOGY SPECIALISTS LTD200 E PENNSYLVANIA AVE SUITE 201PEORIA, IL 61603PHONE: (309) 655-7700E-PRESCRIBE: NO
5401 N KNOXVILLE AVE SUITE 204PEORIA, IL 61614PHONE: (309) 691-2518E-PRESCRIBE: NO
LONGEVIN, MICHAEL E., MDGENDER: MNPI #: 12058271365401 N KNOXVILLE AVE SUITE 112PEORIA, IL 61614PHONE: (309) 692-5828E-PRESCRIBE: NO
RASHID, THOMAS M., MDGENDER: MNPI #: 1992762892OSF MEDICAL GROUP200 E PENNSYLVANIA AVE SUITE 102PEORIA, IL 61603PHONE: (309) 655-2045E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Specialty Care Providers
336* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
REID, CHURPHENA A., MDGENDER: FNPI #: 1548297252CHILDRENS HOSPITAL OF IL-PEDIATRIC UROLOGY1001 N MAIN ST SUITE 201PEORIA, IL 61603PHONE: (309) 495-0282E-PRESCRIBE: NO
RHEE, BENJAMIN K., MDGENDER: MNPI #: 1922041938CHILDRENS HOSPITAL OF IL-PEDIATRIC UROLOGY1001 N MAIN ST SUITE 201PEORIA, IL 61606PHONE: (309) 495-0282E-PRESCRIBE: NO
OSF MEDICAL GROUP200 E PENNSYLVANIA AVE SUITE 102PEORIA, IL 61603PHONE: (309) 655-2045E-PRESCRIBE: NO
VASCULAR SURGERY
ASH, JENNIFER L., MDGENDER: FNPI #: 1578761334HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
DEBORD, JAMES R., MDGENDER: MNPI #: 1649206533PEORIA SURGICAL GROUP1001 MAIN ST SUITE 300PEORIA, IL 61606PHONE: (309) 495-0200E-PRESCRIBE: NO
HASANADKA, RAVISHANKAR, MD
GENDER: MNPI #: 1699858068HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
HUSSAIN, SYED, MDGENDER: MNPI #: 1245264324HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
MARSHALL, JOHN S., MDGENDER: MNPI #: 1366471997PEORIA SURGICAL GROUP1001 MAIN ST SUITE 300PEORIA, IL 61606PHONE: (309) 495-0200E-PRESCRIBE: NO
RANA, NABEEL R., MDGENDER: MNPI #: 1306976048HEARTCARE MIDWEST SC5405 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-4410E-PRESCRIBE: NO
WILLIAMS, JAMES B., MDGENDER: MNPI #: 1265433882CARDIAC THORACIC & ENDOVASCULAR THERAPIES SC2420 W NEBRASKA AVEPEORIA, IL 61604PHONE: (309) 680-5000E-PRESCRIBE: NO
PODIATRY
SERPE, JASON L., DPMGENDER: MNPI #: 1578660593RIVERSIDE MEDICAL CENTER OF PEOTONE611 DIVISION STPEOTONE, IL 60468PHONE: (708) 258-9058E-PRESCRIBE: NO
PODIATRY
SIKORSKI, MARTEN J., DPMGENDER: MNPI #: 1811081177SPRINGFIELD CLINIC1 CENTRE DRPETERSBURG, IL 62675PHONE: (217) 632-7761E-PRESCRIBE: YES
RHEUMATOLOGY
HORVATH, JEFFREY R., MDGENDER: MNPI #: 1588761811SPRINGFIELD CLINIC1 CENTRE DRPETERSBURG, IL 62675PHONE: (217) 632-7761E-PRESCRIBE: YES
UROLOGY
SEVERINO, WILLIAM C., MDGENDER: MNPI #: 1659464493SPRINGFIELD CLINIC1 CENTRE DRPETERSBURG, IL 62675PHONE: (217) 632-7761E-PRESCRIBE: YES
PEOTONE, IL
PETERSBURG, IL
PEORIA, ILPETERSBURG, IL
Specialty Care Providers
337 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
HEMATOLOGY/ONCOLOGY
ARRAMBIDE, KATHRYN, MDGENDER: FNPI #: 1518946508640 W WASHINGTONPITTSFIELD, IL 62363PHONE: (217) 285-2113E-PRESCRIBE: NO
EL KHOURY, CHRISTIAN A., MD
GENDER: MNPI #: 1477694867ILLINI COMMUNITY HOSPITAL640 W WASHINGTONPITTSFIELD, IL 62363PHONE: (217) 285-2113E-PRESCRIBE: NO
SMITH, RAYMOND, MDGENDER: MNPI #: 1477526259640 W WASHINGTONPITTSFIELD, IL 62363PHONE: (217) 285-2113E-PRESCRIBE: NO
NEPHROLOGY
TANIOS, ROULA Y., MDGENDER: FNPI #: 640 W WASHINGTONPITTSFIELD, IL 62363PHONE: (217) 285-2113E-PRESCRIBE: YES
ONCOLOGY
ALI, MUHAMMAD A., MDGENDER: NPI #: 1306826250ILLINI COMMUNITY HOSPITAL640 W WASHINGTONPITTSFIELD, IL 62363PHONE: (217) 285-2113E-PRESCRIBE: NO
PULMONOLOGY
REDDY, VENU, MDGENDER: NPI #: 640 W WASHINGTONPITTSFIELD, IL 62363PHONE: (217) 285-2113E-PRESCRIBE: NO
UROLOGY
OHALLORAN, RICHARD L., MD
GENDER: MNPI #: 1528143971ILLINI COMMUNITY HOSPITAL640 W WASHINGTONPITTSFIELD, IL 62363PHONE: (217) 285-2113E-PRESCRIBE: YES
ORTHOPAEDICS
PULLURU, RAGHU R., MDGENDER: MNPI #: 1447269915REZIN ORTHOPEDICS & SPORTS MEDICINE157222 S ROUTE 59 BLDG 140PLAINFIELD, IL 60544PHONE: (815) 577-1119E-PRESCRIBE: NO
TREACY, STEPHEN H., MDGENDER: MNPI #: 1215946744REZIN ORTHOPEDICS & SPORTS MEDICINE157222 S ROUTE 59 BLDG 140PLAINFIELD, IL 60544PHONE: (815) 577-1119E-PRESCRIBE: NO
PHYSICAL MEDICINE/REHABILITATION
FRANKLIN, JASON T., DOGENDER: MNPI #: 1588673032REZIN ORTHOPEDICS & SPORTS MEDICINE157222 S ROUTE 59 BLDG 140PLAINFIELD, IL 60544PHONE: (815) 577-1119E-PRESCRIBE: NO
PODIATRY
BASILE, PAUL T., DPMGENDER: MNPI #: 1417951898SURBURBAN FOOT AND ANKLE ASSOCIATES15724 S ROUTE 59 UNIT 100PLAINFIELD, IL 60544PHONE: (815) 741-7590E-PRESCRIBE: NO
VOHRA, PRAVEEN K., DPMGENDER: MNPI #: 1437113461FOOT & ANKLE SPECIALISTS PC24039 W LOCKPORT STPLAINFIELD, IL 60544PHONE: (815) 254-3338E-PRESCRIBE: NO
PITTSFIELD, IL
PLAINFIELD, IL
PITTSFIELD, ILPLAINFIELD, IL
Specialty Care Providers
338* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
DERMATOLOGY
GREEN, SCOTT G., MDGENDER: MNPI #: 1760454821POCAHONTAS COMMUNITY SPECIALTY CLINIC606 NW 7TH STPOCAHONTAS, IA 50574PHONE: (712) 335-5632E-PRESCRIBE: YES
CARDIOLOGY
BRAASTAD, ROBERT A., MDGENDER: MNPI #: 1487619573ADVOCATE MEDICAL GROUP1508 W REYNOLDS SUITE APONTIAC, IL 61764PHONE: (815) 844-4611E-PRESCRIBE: NO
GANDHI, SIDDHARTH J., MDGENDER: MNPI #: 1831226042ADVOCATE MEDICAL GROUP1508 W REYNOLDS SUITE APONTIAC, IL 61764PHONE: (815) 844-4611E-PRESCRIBE: NO
HSU, MARK, MDGENDER: MNPI #: 1376573428HEARTCARE MIDWEST SC2500 REYNOLDS STPONTIAC, IL 61764PHONE: (309) 663-9800E-PRESCRIBE: NO
JARZABKOWSKI, DORY, DOGENDER: FNPI #: 1083651939ADVOCATE MEDICAL GROUP1508 W REYNOLDS SUITE APONTIAC, IL 61764PHONE: (815) 844-4611E-PRESCRIBE: NO
MALIK, MUHAMMAD, MDGENDER: MNPI #: 1447284864HEARTCARE MIDWEST SC2500 REYNOLDS STPONTIAC, IL 61764PHONE: (309) 663-9800E-PRESCRIBE: NO
MCCRISKIN, JAMES, DOGENDER: MNPI #: 1700826617ADVOCATE MEDICAL GROUP1508 W REYNOLDS SUITE APONTIAC, IL 61764PHONE: (815) 844-4611E-PRESCRIBE: NO
MCELROY, DONALD B., MDGENDER: MNPI #: 1598799926HEARTCARE MIDWEST SC2500 REYNOLDS STPONTIAC, IL 61764PHONE: (309) 663-9800E-PRESCRIBE: NO
NOVAK, WILLIAM V., MDGENDER: MNPI #: 1740367895HEARTCARE MIDWEST SC2500 REYNOLDS STPONTIAC, IL 61764PHONE: (309) 663-9800E-PRESCRIBE: NO
SHAH, SAMIR H., MDGENDER: MNPI #: 1720028632ADVOCATE MEDICAL GROUP1508 W REYNOLDS SUITE APONTIAC, IL 61764PHONE: (815) 844-4611E-PRESCRIBE: NO
TEMIYASATHIT, THANOM, MD
GENDER: MNPI #: 1023041175ADVOCATE MEDICAL GROUP1508 W REYNOLDS SUITE APONTIAC, IL 61764PHONE: (815) 844-4611E-PRESCRIBE: NO
TUMILTY, BETH L., DOGENDER: FNPI #: 1033159959ADVOCATE MEDICAL GROUP1508 W REYNOLDS SUITE APONTIAC, IL 61764PHONE: (815) 844-4611E-PRESCRIBE: NO
WERAARCHAKUL, WITOON, MD
GENDER: MNPI #: 1366494544ADVOCATE MEDICAL GROUP1508 W REYNOLDS STE APONTIAC, IL 61764PHONE: (815) 844-4611E-PRESCRIBE: NO
POCAHONTAS, IA
PONTIAC, IL
POCAHONTAS, IAPONTIAC, IL
Specialty Care Providers
339 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
COLON/RECTAL SURGERY
BONELLO, JULIUS C., MDGENDER: MNPI #: 1093751257OSF MEDICAL GROUP-GENERAL SURGERY2500 W REYNOLDS STPONTIAC, IL 61764PHONE: (815) 844-5343E-PRESCRIBE: NO
DERMATOLOGY
LEONE, DOUGLAS M., MDGENDER: MNPI #: 1255523296DERMATOLOGY & MOHS SURGERY INSTITUTE LTD1508 REYNOLDS DRPONTIAC, IL 61764PHONE: (815) 842-4000E-PRESCRIBE: NO
GENERAL SURGERY
CRAWFORD, DAVID L., MDGENDER: MNPI #: 1306874128OSF MEDICAL GROUP-GENERAL SURGERY2500 W REYNOLD STPONTIAC, IL 61764PHONE: (815) 844-5343E-PRESCRIBE: NO
DEBORD, JAMES R., MDGENDER: MNPI #: 1649206533OSF MEDICAL GROUP-GENERAL SURGERY2500 W REYNOLDS STPONTIAC, IL 61764PHONE: (815) 844-5343E-PRESCRIBE: NO
ESTES, NORMAN C., MDGENDER: MNPI #: 1205864170OSF MEDICAL GROUP-GENERAL SURGERY2500 W REYNOLDS STPONTIAC, IL 61764PHONE: (815) 844-5343E-PRESCRIBE: NO
GUPTA, SAMIR K., MDGENDER: MNPI #: 1073542585OSF MEDICAL GROUP-GENERAL SURGERY2500 W REYNOLDS STPONTIAC, IL 61764PHONE: (815) 844-5343E-PRESCRIBE: NO
MARSHALL, J STEPHEN, MDGENDER: MNPI #: 1366471997OSF MEDICAL GROUP-GENERAL SURGERY2500 W REYNOLDS STPONTIAC, IL 61764PHONE: (815) 844-5343E-PRESCRIBE: NO
PROEHL, TRENT D., MDGENDER: MNPI #: 1144313404OSF MEDICAL GROUP2500 W REYNOLDS ST SUITE 107PONTIAC, IL 61764PHONE: (815) 844-5343E-PRESCRIBE: NO
ROSSI, THOMAS, MDGENDER: MNPI #: 1851320238OSF MEDICAL GROUP2500 W REYNOLDS ST SUITE 107PONTIAC, IL 61764PHONE: (815) 844-5343E-PRESCRIBE: NO
NEUROLOGY
CHAUHAN, SUNIL M., MDGENDER: MNPI #: 1912922881ADVOCATE MEDICAL GROUP1504C W REYNOLDS STPONTIAC, IL 61764PHONE: (815) 842-2893E-PRESCRIBE: NO
LI, FANG, MDGENDER: FNPI #: 1356447841610 E WATERPONTIAC, IL 61764PHONE: (815) 842-4905E-PRESCRIBE: NO
RAINO, WILLIAM H., MDGENDER: MNPI #: 1386738375OSF MEDICAL GROUP2500 W REYNOLDS STPONTIAC, IL 61764PHONE: (815) 844-2022E-PRESCRIBE: NO
OPHTHALMOLOGY
APRAHAMIAN, ARA D., MDGENDER: MNPI #: 1528015013GAILEY EYE CLINIC1512 W REYNOLDS SUITE CPONTIAC, IL 61764PHONE: (815) 842-3306E-PRESCRIBE: NO
BARBA, KENNETH R., MDGENDER: MNPI #: 1265473706GAILEY EYE CLINIC1512 W REYNOLDS SUITE CPONTIAC, IL 61764PHONE: (815) 842-3306E-PRESCRIBE: NO
PONTIAC, ILPONTIAC, IL
Specialty Care Providers
340* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
BHATIA, SUMIT P., MDGENDER: MNPI #: 1780670596GAILEY EYE CLINIC1512 W REYNOLDS SUITE CPONTIAC, IL 61764PHONE: (815) 842-3306E-PRESCRIBE: NO
HALPERIN, GREGORY I., MDGENDER: MNPI #: 1760423206GAILEY EYE CLINIC1512 W REYNOLDS SUITE CPONTIAC, IL 61764PHONE: (815) 842-3306E-PRESCRIBE: NO
HARMAN, JOSEPH G., MDGENDER: MNPI #: 1942241484GAILEY EYE CLINIC1512 W REYNOLDS SUITE CPONTIAC, IL 61764PHONE: (815) 842-3306E-PRESCRIBE: NO
KNUPP, JAMES A., MDGENDER: MNPI #: 1548211774GAILEY EYE CLINIC1512 W REYNOLDS SUITE CPONTIAC, IL 61764PHONE: (815) 842-3306E-PRESCRIBE: NO
KRISTAL, LIBBY K., MDGENDER: FNPI #: 1326240144GAILEY EYE CLINIC1512 W REYNOLDS SUITE CPONTIAC, IL 61764PHONE: (815) 842-3306E-PRESCRIBE: NO
OESTER, ALAN E., MDGENDER: MNPI #: 1750503819GAILEY EYE CLINIC1512 W REYNOLDS SUITE CPONTIAC, IL 61764PHONE: (815) 842-3306E-PRESCRIBE: NO
RIGSBY, JESSE H., MDGENDER: MNPI #: 1447253646GAILEY EYE CLINIC1512 W REYNOLDS SUITE CPONTIAC, IL 61764PHONE: (815) 842-3306E-PRESCRIBE: NO
ORTHOPAEDICS
LOWE, JEFFREY A., DOGENDER: MNPI #: 1134368129OSF MEDICAL GROUP2500 W REYNOLDS ST SUITE 103PONTIAC, IL 61764PHONE: (815) 844-4062E-PRESCRIBE: NO
NEWCOMER, JOSEPH K., MDGENDER: MNPI #: 12856334201512-A W REYNOLDS AVEPONTIAC, IL 61764PHONE: E-PRESCRIBE: NO
SIPE, BRIAN D., DOGENDER: MNPI #: 1386737641OSF MEDICAL GROUP2500 W REYNOLDS ST SUITE 103PONTIAC, IL 61764PHONE: (815) 844-4062E-PRESCRIBE: NO
OTOLARYNGOLOGY
RUSSELL, ROBERT T., MDGENDER: MNPI #: 19928131742500 W REYNOLDS STST JAMES HOSPITAL CLINICPONTIAC, IL 61764PHONE: (309) 662-3277E-PRESCRIBE: NO
PAIN MANAGEMENT
BENYAMIN, RAMSIN, MDGENDER: MNPI #: 1215924410MILLENNIUM PAIN CENTER2500 REYNOLDS RDPONTIAC, IL 61764PHONE: (815) 842-2828E-PRESCRIBE: NO
LI, JI, MDGENDER: MNPI #: 1558347310APPLIED PAIN INSTITUTE LLC1515 W REYNOLDSPONTIAC, IL 61764PHONE: E-PRESCRIBE: NO
REHMAN, ATIQ U., MDGENDER: MNPI #: 1457373730MILLENNIUM PAIN CENTER2500 REYNOLDS RDPONTIAC, IL 61764PHONE: (815) 842-4500E-PRESCRIBE: NO
VALLEJO, RICARDO, MDGENDER: MNPI #: 1669469706MILLENNIUM PAIN CENTER2500 REYNOLDS RDPONTIAC, IL 61764PHONE: (815) 842-2828E-PRESCRIBE: NO
PONTIAC, ILPONTIAC, IL
Specialty Care Providers
341 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
PHYSICAL MEDICINE/REHABILITATION
JHEE, WON H., MDGENDER: NPI #: 1861411027OSF MEDICAL GROUP2500 W REYNOLDS ST SUITE 200PONTIAC, IL 61764PHONE: (309) 661-6240E-PRESCRIBE: NO
TUDTUD, NENITA C., MDGENDER: FNPI #: 1639105034OSF MEDICAL GROUP2500 W REYNOLDS ST SUITE 200PONTIAC, IL 61764PHONE: (309) 661-6240E-PRESCRIBE: NO
PODIATRY
CORTESE, CARL, DPMGENDER: MNPI #: 1992716914CORTESE FOOT & ANKLE CLINIC PC1508 W REYNOLDSPONTIAC, IL 61764PHONE: (815) 842-1700E-PRESCRIBE: NO
OCONNOR, SCOTT B., DPMGENDER: MNPI #: 1992792261PRO PODIATRY LLC1512-A W REYNOLDS STPONTIAC, IL 61764PHONE: (815) 842-6551E-PRESCRIBE: NO
303 W WASHINGTON STPONTIAC, IL 61764PHONE: (815) 842-6551E-PRESCRIBE: NO
PULMONOLOGY
BURR, JOHN S., MDGENDER: MNPI #: 1770535940ADVOCATE MEDICAL GROUP1508 W REYNOLDS SUITE APONTIAC, IL 61764PHONE: (815) 844-4611E-PRESCRIBE: NO
CHU, CHAE O., MDGENDER: MNPI #: 1043250954ADVOCATE MEDICAL GROUP1508 W REYNOLDS STE APONTIAC, IL 61764PHONE: (815) 844-4611E-PRESCRIBE: NO
GINZBURG, ALAN S., MDGENDER: MNPI #: 1659390888ADVOCATE MEDICAL GROUP1508 W REYNOLDS SUITE APONTIAC, IL 61764PHONE: (815) 844-4611E-PRESCRIBE: NO
HADID, WALID, MDGENDER: MNPI #: 1871549816OSF MEDICAL GROUP2500 W REYNOLDS STPONTIAC, IL 61764PHONE: (815) 842-4905E-PRESCRIBE: NO
KOH, DAVID W., MDGENDER: MNPI #: 1154361038ADVOCATE MEDICAL GROUP1508 W REYNOLDS SUITE APONTIAC, IL 61764PHONE: (815) 844-4611E-PRESCRIBE: NO
PATEL, SAURIN G., MDGENDER: MNPI #: 1336182880OSF MEDICAL GROUP2500 W REYNOLDS STPONTIAC, IL 61764PHONE: (815) 842-4905E-PRESCRIBE: NO
ZACHRIA, ANTHONY, MDGENDER: MNPI #: 1366542300ADVOCATE MEDICAL GROUP1508 W REYNOLDS SUITE APONTIAC, IL 61764PHONE: (815) 844-4611E-PRESCRIBE: NO
RHEUMATOLOGY
RADDEN, GENENE P., MDGENDER: FNPI #: 1710917422OSF MEDICAL GROUP2500 W REYNOLDS STPONTIAC, IL 61764PHONE: (815) 842-4905E-PRESCRIBE: NO
SLEEP MEDICINE
BURR, JOHN S., MDGENDER: MNPI #: 1770535940ADVOCATE MEDICAL GROUP1508 W REYNOLDS SUITE APONTIAC, IL 61764PHONE: (815) 844-4611E-PRESCRIBE: NO
KOH, DAVID W., MDGENDER: MNPI #: 1154361038ADVOCATE MEDICAL GROUP1508 W REYNOLDS SUITE APONTIAC, IL 61764PHONE: (815) 844-4611E-PRESCRIBE: NO
PONTIAC, ILPONTIAC, IL
Specialty Care Providers
342* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
LI, FANG, MDGENDER: FNPI #: 1356447841610 E WATERPONTIAC, IL 61764PHONE: (815) 842-4905E-PRESCRIBE: NO
PATEL, SAURIN G., MDGENDER: MNPI #: 1336182880OSF MEDICAL GROUP2500 W REYNOLDS STPONTIAC, IL 61764PHONE: (815) 842-4905E-PRESCRIBE: NO
THORACIC SURGERY
ANDERSON, RICHARD C., MDGENDER: MNPI #: 1699703892OSF MEDICAL GROUP-GENERAL SURGERY2500 W REYNOLDS STPONTIAC, IL 61764PHONE: (815) 844-5343E-PRESCRIBE: NO
ALLERGY/IMMUNOLOGY
EWBANK, PENELOPE A., MDGENDER: FNPI #: 1558358911ALLERGY & ASTHMA OF ILLINOIS530 PARK AVE EAST STE 201PRINCETON, IL 61356PHONE: (877) 936-5200E-PRESCRIBE: NO
SMART, STEPHEN J., MDGENDER: MNPI #: 1265429625ALLERGY & ASTHMA OF ILLINOIS530 PARK AVE EAST SUITE 201PRINCETON, IL 61356PHONE: (877) 936-5200E-PRESCRIBE: NO
CARDIOLOGY
PATEL, SUBHASH J., MDGENDER: MNPI #: 1891986907CARDIAC CONSULTANTS SC530 PARK AVE EAST SUITE 204PRINCETON, IL 61356PHONE: (309) 674-3140E-PRESCRIBE: NO
CARDIOTHORACIC SURGERY
WILLIAMS, JAMES B., MDGENDER: MNPI #: 1265433882CARDIAC THORACIC & ENDOVASCULAR THERAPIES SC530 PARK AVE E SUITE 306PRINCETON, IL 61356PHONE: E-PRESCRIBE: NO
GASTROENTEROLOGY
DODDA, GEETHA, MDGENDER: FNPI #: 1528056181ASSOCIATED GASTROENTEROLOGY CONSULTANTS530 PARK AVE EASTPRINCETON, IL 61356PHONE: (815) 875-8666E-PRESCRIBE: YES
DORAN, EDWARD, MDGENDER: MNPI #: 1285622340ASSOCIATED GASTROENTEROLOGY CONSULTANTS530 PARK AVE EASTPRINCETON, IL 61356PHONE: (815) 875-8666E-PRESCRIBE: YES
KIM, JAE H., MDGENDER: MNPI #: 1861578759ASSOCIATED GASTROENTEROLOGY CONSULTANTS530 PARK AVE EASTPRINCETON, IL 61356PHONE: (815) 875-8666E-PRESCRIBE: NO
GENERAL SURGERY
HSU, JOHN W., MDGENDER: MNPI #: 1043439748RENALCARE ASSOCIATES530 PARK AVE EAST SUITE 306PRINCETON, IL 61356PHONE: (309) 676-8123E-PRESCRIBE: YES
KETEL, BEVERLEY L., MDGENDER: FNPI #: 1659402048RENALCARE ASSOCIATES530 PARK AVE EAST SUITE 306PRINCETON, IL 61356PHONE: (309) 676-8123E-PRESCRIBE: NO
PRINCETON, IL
PONTIAC, ILPRINCETON, IL
Specialty Care Providers
343 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
OCONNOR, TIMOTHY P., MDGENDER: MNPI #: 1710974597RENALCARE ASSOCIATES530 PARK AVE EAST SUITE 306PRINCETON, IL 61356PHONE: (309) 676-8123E-PRESCRIBE: NO
HEMATOLOGY
VUKOV, ALLEN M., MDGENDER: MNPI #: 1396744611ILLINOIS CANCERCARE530 PARK AVE EAST SUITE 201PRINCETON, IL 61356PHONE: (815) 875-3010E-PRESCRIBE: YES
NEPHROLOGY
ALONSO, ALEXANDER J., MDGENDER: MNPI #: 1124152707RENALCARE ASSOCIATES530 PARK AVE EAST SUITE 306PRINCETON, IL 61356PHONE: (309) 676-8123E-PRESCRIBE: NO
BRUHA, ROBERT, MDGENDER: MNPI #: 1043340367RENALCARE ASSOCIATES530 PARK AVE EAST SUITE 306PRINCETON, IL 61356PHONE: (309) 676-8123E-PRESCRIBE: NO
DREYER, PAUL T., MDGENDER: MNPI #: 1194855528RENALCARE ASSOCIATES530 PARK AVE EAST SUITE 306PRINCETON, IL 61356PHONE: (309) 676-8123E-PRESCRIBE: NO
HORINEK, ANTHONY R., MDGENDER: MNPI #: 1609907195RENALCARE ASSOCIATES530 PARK AVE EAST SUITE 306PRINCETON, IL 61356PHONE: (309) 676-8123E-PRESCRIBE: NO
JAMES, GORDON W., MDGENDER: MNPI #: 1124158431RENALCARE ASSOCIATES530 PARK AVE EAST SUITE 306PRINCETON, IL 61356PHONE: (309) 676-8123E-PRESCRIBE: NO
KETEL, BEVERLEY L., MDGENDER: FNPI #: 1659402048RENALCARE ASSOCIATES530 PARK AVE EAST SUITE 306PRINCETON, IL 61356PHONE: (309) 676-8123E-PRESCRIBE: NO
PAMULAPARTHY, SMITHA R., MD
GENDER: FNPI #: 1447328828RENALCARE ASSOCIATES530 PARK AVE EAST SUITE 306PRINCETON, IL 61356PHONE: (309) 676-8123E-PRESCRIBE: YES
PFLEDERER, BENJAMIN R., MD
GENDER: MNPI #: 1306976964RENALCARE ASSOCIATES530 PARK AVE EAST SUITE 306PRINCETON, IL 61356PHONE: (309) 676-8123E-PRESCRIBE: NO
PFLEDERER, TIMOTHY A., MD
GENDER: MNPI #: 1154451573RENALCARE ASSOCIATES530 PARK AVE EAST SUITE 306PRINCETON, IL 61356PHONE: (309) 676-8123E-PRESCRIBE: NO
ROSBOROUGH, DAVID C., MD
GENDER: MNPI #: 1619007275RENALCARE ASSOCIATES530 PARK AVE EAST SUITE 306PRINCETON, IL 61356PHONE: (309) 676-8123E-PRESCRIBE: NO
SADER, SAMER B., MDGENDER: MNPI #: 1831220318RENALCARE ASSOCIATES530 PARK AVE EAST SUITE 306PRINCETON, IL 61356PHONE: (309) 676-8123E-PRESCRIBE: NO
PRINCETON, ILPRINCETON, IL
Specialty Care Providers
344* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
SPARROW, ROBERT T., MDGENDER: MNPI #: 1134259781RENALCARE ASSOCIATES530 PARK AVE SUITE SUITE 306PRINCETON, IL 61356PHONE: (309) 676-8123E-PRESCRIBE: NO
SRINIVASAN, PARTHASARATHY, MD
GENDER: MNPI #: 1134199359RENALCARE ASSOCIATES530 PARK AVE EAST SUITE 306PRINCETON, IL 61356PHONE: (309) 676-8123E-PRESCRIBE: NO
PHYSICAL MEDICINE/REHABILITATION
SNYDER, LISA, MDGENDER: FNPI #: 1790715092PERRY MEMORIAL HOSPITAL530 PARK AVE EASTPRINCETON, IL 61356PHONE: (309) 692-8670E-PRESCRIBE: NO
SUREKA, OMPRAKASH, MDGENDER: MNPI #: 1518902469PERRY MEMORIAL HOSPITAL530 PARK AVE EASTPRINCETON, IL 61356PHONE: (309) 692-8670E-PRESCRIBE: NO
PODIATRY
HOELLE, GARY W., DPMGENDER: MNPI #: 1538124359530 PARK AVE EAST SUITE 301PRINCETON, IL 61356PHONE: (815) 872-3034E-PRESCRIBE: NO
PULMONOLOGY
CRABB, JEREMIAH, MDGENDER: MNPI #: 1073509824ILLINOIS LUNG AND CRITICAL CARE INSTITUTE530 PARK AVE EAST SUITE 204PRINCETON, IL 61356PHONE: (309) 672-5682E-PRESCRIBE: YES
PEIL, MICHAEL, MDGENDER: MNPI #: 1821084567ILLINOIS LUNG AND CRITICAL CARE INSTITUTE530 PARK AVE EAST SUITE 204PRINCETON, IL 61356PHONE: (309) 672-5682E-PRESCRIBE: YES
VASCULAR SURGERY
WILLIAMS, JAMES B., MDGENDER: MNPI #: 1265433882CARDIAC THORACIC & ENDOVASCULAR THERAPIES SC530 PARK AVE E SUITE 306PRINCETON, IL 61356PHONE: E-PRESCRIBE: NO
CARDIOLOGY
DUKKIPATI, MADHU, MDGENDER: MNPI #: 1063436715PRAIRIE CARDIOVASCULAR CONSULTANTS LTD910 BROADWAY SUITE CQUINCY, IL 62301PHONE: (217) 228-9450E-PRESCRIBE: YES
MISHKEL, GREGORY J., MDGENDER: MNPI #: 1629150768PRAIRIE CARDIOVASCULAR CONSULTANTS LTD910 BROADWAY SUITE CQUINCY, IL 62301PHONE: (217) 228-9450E-PRESCRIBE: YES
GENERAL SURGERY
FREITAG, PER, MDGENDER: MNPI #: 1205822913SIU PHYSICIANS & SURGEONS INC927 BROADWAYQUINCY, IL 62301PHONE: (217) 214-5660E-PRESCRIBE: NO
OPHTHALMOLOGY
FARRIS, STUART R., MDGENDER: MNPI #: 1144279498PRAIRIE EYE CENTER LTD1025 MAINE STQUINCY, IL 62301PHONE: E-PRESCRIBE: NO
QUINCY, IL
PRINCETON, ILQUINCY, IL
Specialty Care Providers
345 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
ORTHOPAEDICS
EL-AMIN, SAADIQ F., MDGENDER: MNPI #: 1972718328SIU PHYSICIANS & SURGEONS INC927 BROADWAYQUINCY, IL 62301PHONE: (217) 214-5660E-PRESCRIBE: NO
MCANDREW, MARK P., MDGENDER: MNPI #: 1891782520SIU PHYSICIANS & SURGEONS INC927 BROADWAYQUINCY, IL 62301PHONE: (217) 214-5660E-PRESCRIBE: NO
RAHMAN, RAKERRY K., MDGENDER: MNPI #: 1972752228SIU PHYSICIANS & SURGEONS INC927 BROADWAY SUITE 101QUINCY, IL 62301PHONE: (217) 214-5660E-PRESCRIBE: YES
SALEH, KHALED J., MDGENDER: MNPI #: 1881735280SIU PHYSICIANS & SURGEONS INC927 BROADWAYQUINCY, IL 62301PHONE: (217) 214-5660E-PRESCRIBE: NO
OTOLARYNGOLOGY
MCINTEE, RAE A., MDGENDER: FNPI #: 11442606391132 BROADWAYQUINCY, IL 62301PHONE: (217) 224-4687E-PRESCRIBE: NO
PERINATOLOGY
ABRAMS, ROBERT M., MDGENDER: MNPI #: 1003016965SIU PHYSICIANS & SURGEONS14TH & BROADWAYQUINCY, IL 62301PHONE: (217) 545-5117E-PRESCRIBE: NO
THOMPSON, GWYNETH S., MD
GENDER: FNPI #: 1215058490SIU PHYSICIANS & SURGEONS14TH & BROADWAYQUINCY, IL 62301PHONE: (217) 545-5117E-PRESCRIBE: NO
PODIATRY
WENSING, THOMAS J., DPMGENDER: MNPI #: 1184618241QUINCY FAMILY FOOT CARE3215 MAINE STQUINCY, IL 62301PHONE: (217) 222-6266E-PRESCRIBE: NO
OCCUPATIONAL MEDICINE
CHEN, PHILBERT, MDGENDER: MNPI #: 1073548970CARLE PHYSICIAN GROUP1540 E GROVERANTOUL, IL 61866PHONE: (217) 893-7700E-PRESCRIBE: YES
OTOLARYNGOLOGY
FERNANDEZ, JAMES A., MDGENDER: MNPI #: 1528037280RED BUD REGIONAL HOSPITAL325 SPRING STRED BUD, IL 62278PHONE: (618) 282-3831E-PRESCRIBE: NO
GERIATRICS
JONES, STEVEN, MDGENDER: MNPI #: 1942228101ADVOCATE MEDICAL GROUP415 W FRONT STROANOKE, IL 61561PHONE: (309) 923-7456E-PRESCRIBE: NO
NEUROLOGY
CHAUHAN, SUNIL M., MDGENDER: MNPI #: 1912922881ADVOCATE MEDICAL GROUP415 W FRONT STROANOKE, IL 61561PHONE: (309) 923-7456E-PRESCRIBE: NO
RANTOUL, IL
RED BUD, IL
ROANOKE, IL
QUINCY, ILROANOKE, IL
Specialty Care Providers
346* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
NEUROLOGY
CRANSTON, ROBERT E., MDGENDER: MNPI #: 1457460057CRAWFORD MEMORIAL HOSPITAL1000 N ALLEN ST STE BROBINSON, IL 62454PHONE: (618) 544-3131E-PRESCRIBE: YES
OTOLARYNGOLOGY
NGUYEN, CHARLY, MDGENDER: MNPI #: 1861508665CONSULTING CLINIC CRAWFORD MEMORIAL HOSPITAL1000 N ALLEN STROBINSON, IL 62454PHONE: (217) 258-2409E-PRESCRIBE: NO
SMITH, MICHAEL, MDGENDER: MNPI #: 1215043971CONSULTING CLINIC CRAWFORD MEMORIAL HOSPITAL1000 N ALLEN STROBINSON, IL 62454PHONE: E-PRESCRIBE: NO
CARDIOLOGY
ATTA, TARA, MDGENDER: FNPI #: 1639166374ROCKFORD CARDIOVASCULAR ASSOCIATES900 N SECOND STROCHELLE, IL 61068PHONE: (815) 398-3000E-PRESCRIBE: NO
CHRISTENSEN, PAUL, MDGENDER: MNPI #: 1366467813ROCKFORD CARDIOVASCULAR ASSOCIATES900 N SECOND STROCHELLE, IL 61068PHONE: (815) 398-3000E-PRESCRIBE: NO
HISER, MARK W., MDGENDER: MNPI #: 1538184924ROCKFORD CARDIOVASCULAR ASSOCIATES900 N SECOND STROCHELLE, IL 61068PHONE: (815) 398-3000E-PRESCRIBE: NO
MINOR JR, ROBERT L., MDGENDER: MNPI #: 1740209261ROCKFORD CARDIOVASCULAR ASSOCIATES900 N SECOND STROCHELLE, IL 61068PHONE: (815) 398-3000E-PRESCRIBE: NO
SABHARWAL, JAGDEEP, MDGENDER: MNPI #: 1871518282ROCKFORD CARDIOVASCULAR ASSOCIATES900 N SECOND STROCHELLE, IL 61068PHONE: (815) 398-3000E-PRESCRIBE: NO
SILVA, EUGENE A., MDGENDER: MNPI #: 1235154659ROCKFORD CARDIOVASCULAR ASSOCIATES900 N SECOND STROCHELLE, IL 61068PHONE: (815) 398-3000E-PRESCRIBE: NO
SKOWRONSKI, JAN, MDGENDER: MNPI #: 1790710283ROCKFORD CARDIOVASCULAR ASSOCIATES900 N SECOND STROCHELLE, IL 61068PHONE: (815) 398-3000E-PRESCRIBE: NO
ZAVERDAS, GEORGE A., MDGENDER: MNPI #: 1295798742ROCKFORD CARDIOVASCULAR ASSOCIATES900 N SECOND STROCHELLE, IL 61068PHONE: (815) 398-3000E-PRESCRIBE: NO
ROBINSON, IL ROCHELLE, IL
ROBINSON, ILROCHELLE, IL
Specialty Care Providers
347 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
CARDIOVASCULAR SURGERY
GUDMUNDSSON, G STEINAR, MD
GENDER: MNPI #: 1336172006ROCKFORD CARDIOVASCULAR ASSOCIATES900 N SECOND STROCHELLE, IL 61068PHONE: (815) 398-3000E-PRESCRIBE: NO
HEMATOLOGY
WESLY, OSVALDO, MDGENDER: MNPI #: 1356441943TRINITY REGIONAL HEALTH SYSTEM-WEST CAMPUS2560 24TH ST SUITE 103ROCK ISLAND, IL 61201-5393PHONE: (309) 688-1345E-PRESCRIBE: NO
INFECTIOUS DISEASES
KAUR, AMANDEEP, MDGENDER: FNPI #: 1619195534COMMUNITY HEALTH CARE ROBERT YOUNG CENTER2200 3RD AVEROCK ISLAND, IL 61201PHONE: (563) 336-3000E-PRESCRIBE: NO
COMMUNITY HEALTH CARE ROCK ISLAND2750 11TH STROCK ISLAND, IL 61201PHONE: (563) 327-2100E-PRESCRIBE: NO
MOTWANI, BHARAT A., MDGENDER: MNPI #: 1902885445COMMUNITY HEALTH CARE ROCK ISLAND2750 11TH STREETROCK ISLAND, IL 61201PHONE: (563) 327-2100E-PRESCRIBE: NO
COMMUNITY HEALTH CARE ROBERT YOUNG CENTER2200 3RD AVENUEROCK ISLAND, IL 61201PHONE: (563) 336-3000E-PRESCRIBE: NO
ALLERGY/IMMUNOLOGY
FREY JR, CHARLES, DOGENDER: MNPI #: 1356321244OSF MEDICAL GROUP698 FEATHERSTONE RDROCKFORD, IL 61107PHONE: (815) 398-3277E-PRESCRIBE: NO
JESSEN, TIMOTHY E., MDGENDER: MNPI #: 1831165034OSF MEDICAL GROUP698 FEATHERSTONE RDROCKFORD, IL 61107PHONE: (815) 398-3277E-PRESCRIBE: YES
CARDIAC ELECTROPHYSIOLOGY
FAROKHI, FARHAD, DOGENDER: MNPI #: 1639153216ROCKFORD CARDIOVASCULAR ASSOCIATES444 ROXBURY RDROCKFORD, IL 61107PHONE: (815) 398-3000E-PRESCRIBE: NO
TELFER, EDWARD, MDGENDER: MNPI #: 1700805249ROCKFORD CARDIOVASCULAR ASSOCIATES444 ROXBURY RDROCKFORD, IL 61107PHONE: (815) 398-3000E-PRESCRIBE: NO
CARDIOLOGY
ATTA, TARA, MDGENDER: FNPI #: 1639166374ROCKFORD CARDIOVASCULAR ASSOCIATES444 ROXBURY RDROCKFORD, IL 61107PHONE: (815) 398-3000E-PRESCRIBE: NO
CHRISTENSEN, PAUL, MDGENDER: MNPI #: 1366467813ROCKFORD CARDIOVASCULAR ASSOCIATES444 ROXBURY RDROCKFORD, IL 61107PHONE: (815) 398-3000E-PRESCRIBE: NO
ROCK ISLAND, IL
ROCKFORD, IL
ROCHELLE, ILROCKFORD, IL
Specialty Care Providers
348* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
COOK, JEFFREY R., MDGENDER: MNPI #: 1952353518ROCKFORD CARDIOVASCULAR ASSOCIATES444 ROXBURY RDROCKFORD, IL 61107PHONE: (815) 398-3000E-PRESCRIBE: NO
DHANEKULA, LEELA S., MDGENDER: FNPI #: 1801826938ROCKFORD CARDIOVASCULAR ASSOCIATES444 ROXBURY RDROCKFORD, IL 61107PHONE: (815) 398-3000E-PRESCRIBE: NO
FAROKHI, FARHAD, DOGENDER: MNPI #: 1639153216ROCKFORD CARDIOVASCULAR ASSOCIATES444 ROXBURY RDROCKFORD, IL 61107PHONE: (815) 398-3000E-PRESCRIBE: NO
FORAN, RONALD B., MDGENDER: MNPI #: 1710980396OSF CHILDRENS MEDICAL GROUP-CONGENITAL HEART CEN444 ROXBURY RDROCKFORD, IL 61107PHONE: E-PRESCRIBE: NO
5701 STRATHMOOR DRROCKFORD, IL 61107PHONE: (815) 227-5600E-PRESCRIBE: NO
HISER, MARK W., MDGENDER: MNPI #: 1538184924ROCKFORD CARDIOVASCULAR ASSOCIATES444 ROXBURY RDROCKFORD, IL 61107PHONE: (815) 398-3000E-PRESCRIBE: NO
KURIEN, SHAUN, MDGENDER: MNPI #: 1285608976ROCKFORD CARDIOVASCULAR ASSOCIATES LTD444 ROXBURY RDROCKFORD, IL 61107PHONE: (815) 398-3000E-PRESCRIBE: NO
MINOR JR, ROBERT L., MDGENDER: MNPI #: 1740209261ROCKFORD CARDIOVASCULAR ASSOCIATES444 ROXBURY RDROCKFORD, IL 61107PHONE: (815) 398-3000E-PRESCRIBE: NO
PATEL, ROSHAN B., MDGENDER: MNPI #: 1558470112ROCKFORD CARDIOVASCULAR ASSOCIATES444 ROXBURY RDROCKFORD, IL 61107PHONE: (815) 398-3000E-PRESCRIBE: NO
SABHARWAL, JAGDEEP, MDGENDER: MNPI #: 1871518282ROCKFORD CARDIOVASCULAR ASSOCIATES444 ROXBURY RDROCKFORD, IL 61107PHONE: (815) 398-3000E-PRESCRIBE: NO
SILVA, EUGENE A., MDGENDER: MNPI #: 1235154659ROCKFORD CARDIOVASCULAR ASSOCIATES444 ROXBURY RDROCKFORD, IL 61107PHONE: (815) 398-3000E-PRESCRIBE: NO
SIRAJ, YASER, MDGENDER: MNPI #: 1760497416ROCKFORD CARDIOVASCULAR ASSOCIATES444 ROXBURY RDROCKFORD, IL 61107PHONE: (815) 398-3000E-PRESCRIBE: NO
SKOWRONSKI, JAN, MDGENDER: MNPI #: 1790710283ROCKFORD CARDIOVASCULAR ASSOCIATES444 ROXBURY RDROCKFORD, IL 61107PHONE: (815) 398-3000E-PRESCRIBE: NO
ROCKFORD, ILROCKFORD, IL
Specialty Care Providers
349 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
TELFER, EDWARD, MDGENDER: MNPI #: 1700805249ROCKFORD CARDIOVASCULAR ASSOCIATES444 ROXBURY RDROCKFORD, IL 61107PHONE: (815) 398-3000E-PRESCRIBE: NO
WANG, XU, MDGENDER: MNPI #: 1558577460ROCKFORD CARDIOVASCULAR ASSOCIATES LTD444 ROXBURY RDROCKFORD, IL 61107PHONE: (815) 398-3000E-PRESCRIBE: NO
ZAVERDAS, GEORGE A., MDGENDER: MNPI #: 1295798742ROCKFORD CARDIOVASCULAR ASSOCIATES444 ROXBURY RDROCKFORD, IL 61107PHONE: (815) 398-3000E-PRESCRIBE: NO
CARDIOVASCULAR SURGERY
GUDMUNDSSON, G STEINAR, MD
GENDER: MNPI #: 1336172006ROCKFORD CARDIOVASCULAR ASSOCIATES444 ROXBURY RDROCKFORD, IL 61107PHONE: (815) 398-3000E-PRESCRIBE: NO
ENDOCRINOLOGY
ANSAR, SAMEER, MDGENDER: MNPI #: 1942485735OSF MEDICAL GROUP5668 E STATE ST SUITE 2000ROCKFORD, IL 61108PHONE: (815) 381-7790E-PRESCRIBE: NO
PARVEEN, ZEENAT, MDGENDER: FNPI #: 1912099060OSF MEDICAL GROUP5668 E STATE ST SUITE 2000ROCKFORD, IL 61108PHONE: (815) 381-7790E-PRESCRIBE: NO
GENERAL SURGERY
CARTER, THOMAS, MDGENDER: MNPI #: 1255364139OSF SAINT ANTHONY MEDICAL CENTER5666 E STATE STROCKFORD, IL 61108PHONE: E-PRESCRIBE: NO
RODRIGUEZ, PEDRO, MDGENDER: MNPI #: 1881889194OSF MEDICAL GROUP698 FEATHERSTONE RDROCKFORD, IL 61107PHONE: (815) 398-3277E-PRESCRIBE: NO
HEMATOLOGY
SHAUKAT, ISMAEL, MDGENDER: MNPI #: 1780814863OSF SAINT ANTHONY MEDICAL CENTER5666 E STATE STROCKFORD, IL 61108PHONE: (815) 227-2273E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
MALHOTRA, DEEPAK, MDGENDER: NPI #: 1023078797OSF SAINT ANTHONY MEDICAL CENTER5666 E STATE STROCKFORD, IL 61108PHONE: (815) 226-2000E-PRESCRIBE: NO
SREENIVASAPPA, SHYLENDRA B., MD
GENDER: MNPI #: 1972706604OSF SAINT ANTHONY CENTER FOR CANCER CARE5666 E STATE STROCKFORD, IL 61108PHONE: (815) 227-2273E-PRESCRIBE: NO
INFECTIOUS DISEASES
CHAN, SUK-YIN, MDGENDER: MNPI #: 1104843101OSF MEDICAL GROUP698 FEATHERSTONE RDROCKFORD, IL 61107PHONE: (815) 398-3277E-PRESCRIBE: NO
ROCKFORD, ILROCKFORD, IL
Specialty Care Providers
350* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
SALEHEEN, QAMAR U., MDGENDER: MNPI #: 1194700567OSF SPECIALTY CLINIC-GUILFORD SQUARE698 FEATHERSTONE RDROCKFORD, IL 61107PHONE: (815) 398-3277E-PRESCRIBE: NO
SUBRAMANIAN, KAVITHA, MD
GENDER: FNPI #: 1891817441OSF MEDICAL GROUP698 FEATHERSTONE RDROCKFORD, IL 61107PHONE: (815) 398-3277E-PRESCRIBE: NO
NEUROLOGY
FASSETT, DANIEL, MDGENDER: MNPI #: 1205902442OSF SAINT ANTHONY MEDICAL CENTER5666 E STATE STROCKFORD, IL 61108PHONE: (815) 226-2000E-PRESCRIBE: NO
GAINSBURG, DUANE, MDGENDER: NPI #: 1710937313OSF SAINT ANTHONY MEDICAL CENTER5666 E STATE STROCKFORD, IL 61108PHONE: (815) 226-2000E-PRESCRIBE: NO
GOLD, JONATHAN, MDGENDER: MNPI #: 1275597155OSF SAINT ANTHONY MEDICAL CENTER5666 E STATE STROCKFORD, IL 61108PHONE: (815) 226-2000E-PRESCRIBE: NO
IQBAL, JAVAID, MDGENDER: MNPI #: 1942304035OSF ILLINOIS NEUROSCIENCES INSTITUTE535 ROXBURY RDROCKFORD, IL 61107PHONE: (815) 387-1717E-PRESCRIBE: NO
KLOPFENSTEIN, JEFFREY, MD
GENDER: MNPI #: 1578508354OSF SAINT ANTHONY MEDICAL CENTER5666 E STATE STROCKFORD, IL 61108PHONE: (815) 226-2000E-PRESCRIBE: NO
ROTH, TERRY R., MDGENDER: MNPI #: 1215919816OSF ILLINOIS NEUROSCIENCES INSTITUTE535 ROXBURY RDROCKFORD, IL 61107PHONE: (815) 387-1717E-PRESCRIBE: NO
SORIANO, MORRIS M., MDGENDER: MNPI #: 1568510006OSF SAINT ANTHONY MEDICAL CENTER5666 E STATE STROCKFORD, IL 61108PHONE: (815) 226-2000E-PRESCRIBE: NO
ZHANG, YONGHUA, MDGENDER: MNPI #: 1740503960OSF ILLINOIS NEUROSCIENCES INSTITUTE535 ROXBURY RDROCKFORD, IL 61107PHONE: (815) 387-1717E-PRESCRIBE: NO
NEUROSURGERY
CHANG, DONGWOO J., MDGENDER: NPI #: 1962485037OSF ILLINOIS NEUROSCIENCES INSTITUTE535 ROXBURY RDROCKFORD, IL 61107PHONE: (815) 387-1717E-PRESCRIBE: NO
SAINT ANTHONY MEDICAL CENTER5666 E STATE STROCKFORD, IL 61108PHONE: (815) 226-2000E-PRESCRIBE: NO
CHU, GORDON K., MDGENDER: MNPI #: 1235310756OSF ILLINOIS NEUROSCIENCES INSTITUTE535 ROXBURY RDROCKFORD, IL 61107PHONE: (815) 387-1717E-PRESCRIBE: NO
SILVA, FERNANDO, MDGENDER: NPI #: 1194744763OSF SAINT ANTHONY MEDICAL CENTER5666 E STATE STROCKFORD, IL 61108PHONE: (815) 226-2000E-PRESCRIBE: NO
ROCKFORD, ILROCKFORD, IL
Specialty Care Providers
351 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
ONCOLOGY
BERKO, EBENEZER, MDGENDER: NPI #: 1154366508OSF SAINT ANTHONY MEDICAL CENTER5666 E STATE STROCKFORD, IL 61108PHONE: (815) 226-2000E-PRESCRIBE: NO
HOSKINS, KENT F., MDGENDER: FNPI #: 1255363529OSF SAINT ANTHONY MEDICAL CENTER5666 E STATE STROCKFORD, IL 61108PHONE: (815) 226-2000E-PRESCRIBE: NO
KHAN, AJAZ, MDGENDER: MNPI #: 1043484736OSF SAINT ANTHONY MEDICAL CENTER5666 E STATE STROCKFORD, IL 61108PHONE: (815) 226-2000E-PRESCRIBE: NO
KORKMAZ, METE, MDGENDER: MNPI #: 1902833999OSF SAINT ANTHONY MEDICAL CENTER5666 E STATE STROCKFORD, IL 61108PHONE: (815) 226-2000E-PRESCRIBE: NO
NORA, RICHARD E., MDGENDER: MNPI #: 1376570846OSF SAINT ANTHONY MEDICAL CENTER5666 E STATE STROCKFORD, IL 61108PHONE: (815) 226-2000E-PRESCRIBE: NO
OPHTHALMOLOGY
ERICSON, ERIC S., MDGENDER: MNPI #: 1427030725NEW VISION OF IL LLC2929 MCFARLAND RDROCKFORD, IL 61107PHONE: (815) 654-2020E-PRESCRIBE: NO
ROMANIV, NATALYA, MDGENDER: FNPI #: 1740470301NEW VISION OF ILLINOIS LLC2929 MCFARLAND RDROCKFORD, IL 61107PHONE: (815) 654-2020E-PRESCRIBE: NO
VAKHARIA, MITUL R., MDGENDER: MNPI #: 1750304952NEW VISION OF IL LLC2929 MCFARLAND RDROCKFORD, IL 61107PHONE: (815) 654-2020E-PRESCRIBE: YES
ORTHOPAEDICS
ZUSSMAN, MARC A., MDGENDER: MNPI #: 1255327326OSF SAINT ANTHONY MEDICAL CENTER5666 E STATE STROCKFORD, IL 61108PHONE: (815) 226-2000E-PRESCRIBE: NO
OTOLARYNGOLOGY
FERGUSON, JONATHAN L., MD
GENDER: NPI #: 1669452934OSF MEDICAL GROUP698 FEATHERSTONE RDROCKFORD, IL 61107PHONE: (815) 398-3277E-PRESCRIBE: NO
SHEYKHOLESLAMI, KIANOUSH, MD
GENDER: MNPI #: 1841480274OSF MEDICAL GROUP698 FEATHERSTONE RDROCKFORD, IL 61107PHONE: (815) 398-3277E-PRESCRIBE: NO
PEDIATRIC CARDIOLOGY
CHAN, DAVID P., MDGENDER: MNPI #: 1427057595OSF CHILDRENS MEDICAL GROUP-CONGENITAL HEART CEN5701 STRATHMOOR DR SUITE 1ROCKFORD, IL 61107PHONE: (815) 227-5600E-PRESCRIBE: NO
FORAN, RONALD B., MDGENDER: MNPI #: 1710980396OSF CHILDRENS MEDICAL GROUP-CONGENITAL HEART CEN444 ROXBURY RDROCKFORD, IL 61107PHONE: E-PRESCRIBE: NO
5701 STRATHMOOR DRROCKFORD, IL 61107PHONE: (815) 227-5600E-PRESCRIBE: NO
ROCKFORD, ILROCKFORD, IL
Specialty Care Providers
352* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
HUYOUNG, ALFRED R., MDGENDER: MNPI #: 1306849989OSF CHILDRENS MEDICAL GROUP-CONGENITAL HEART CEN444 ROXBURY RDROCKFORD, IL 61107PHONE: E-PRESCRIBE: NO
5701 STRATHMOOR DRROCKFORD, IL 61107PHONE: (815) 227-5600E-PRESCRIBE: NO
SHULA, THOMAS J., MDGENDER: MNPI #: 1760486245OSF CHILDRENS MEDICAL GROUP-CONGENITAL HEART CEN444 ROXBURY RDROCKFORD, IL 61107PHONE: E-PRESCRIBE: NO
OSF CHILDRENS MEDICAL GROUP-CONGENITAL HEART CENT5701 STRATHMOOR DRROCKFORD, IL 61107PHONE: (815) 227-5600E-PRESCRIBE: NO
PLASTIC RECONSTRUCTIVE SURGERY
HAGARTY, SARAH E., MDGENDER: FNPI #: 1790894897OSF MEDICAL GROUP698 FEATHERSTONE RDROCKFORD, IL 61107PHONE: (815) 398-3277E-PRESCRIBE: NO
PATEL, DHAVAL M., MDGENDER: MNPI #: 1497899009OSF MEDICAL GROUP698 FEATHERSTONE RDROCKFORD, IL 61107PHONE: (815) 398-3277E-PRESCRIBE: NO
RADIATION ONCOLOGY
AHMAD, IFTEKHAR U., MDGENDER: MNPI #: 1164641791OSF SAINT ANTHONY CENTER FOR CANCER CARE5666 E STATE STROCKFORD, IL 61108PHONE: (815) 227-2273E-PRESCRIBE: NO
BRYAN, GEORGE T., MDGENDER: MNPI #: 1447287495OSF SAINT ANTHONY CENTER FOR CANCER CARE5666 E STATE STROCKFORD, IL 61108PHONE: (815) 227-2273E-PRESCRIBE: NO
DAS GUPTA, NEIL A., MDGENDER: MNPI #: 1316974363OSF ILLINOIS NEUROSCIENCES INSTITUTE535 ROXBURY RDROCKFORD, IL 61107PHONE: (815) 387-1717E-PRESCRIBE: NO
THORACIC SURGERY
CABLE, DAVID G., MDGENDER: MNPI #: 1033183728OSF MEDICAL GROUP698 FEATHERSTONE RDROCKFORD, IL 61107PHONE: (815) 398-3277E-PRESCRIBE: NO
DERMATOLOGY
GREEN, SCOTT G., MDGENDER: MNPI #: 1760454821MCCRARY-ROST CLINIC505 E LAKE STROCKWELL CITY, IA 50579PHONE: (712) 464-7907E-PRESCRIBE: YES
GASTROENTEROLOGY
BOZDECH, JOHN M., MDGENDER: MNPI #: SARAH CULBERTSON MEMORIAL HOSPITAL238 S CONGRESSRUSHVILLE, IL 62681PHONE: (217) 322-4321E-PRESCRIBE: NO
ROCKWELL CITY, IA
RUSHVILLE, IL
ROCKFORD, ILRUSHVILLE, IL
Specialty Care Providers
353 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
HEMATOLOGY/ONCOLOGY
ARRAMBIDE, KATHRYN H., MD
GENDER: FNPI #: SARAH CULBERTSON MEMORIAL HOSPITAL238 S CONGRESSRUSHVILLE, IL 62681PHONE: (217) 322-4321E-PRESCRIBE: NO
SMITH, RAYMOND P., MDGENDER: MNPI #: 1477526259SARAH CULBERTSON MEMORIAL HOSPITAL238 S CONGRESSRUSHVILLE, IL 62681PHONE: (217) 322-4321E-PRESCRIBE: NO
THOMAS, SACHDEV P., MDGENDER: MNPI #: 1245239367ILLINOIS CANCERCARE238 S CONGRESSRUSHVILLE, IL 62681PHONE: (217) 232-4321E-PRESCRIBE: YES
GENERAL SURGERY
ASIHENE, WILLIAM Y., MDGENDER: MNPI #: 1023161940KISHWAUKEE PHYSICIAN GROUP INC1310 N MAIN ST SUITE 208SANDWICH, IL 60548PHONE: (815) 786-3770E-PRESCRIBE: NO
ORTHOPAEDICS
TREACY, STEPHEN H., MDGENDER: MNPI #: 1215946744REZIN ORTHOPEDICS & SPORTS MEDICINE1 E COUNTYLINE RDSANDWICH, IL 60548PHONE: (815) 786-1517E-PRESCRIBE: NO
PODIATRY
BISHOP, PAUL, DPMGENDER: MNPI #: 1457428492THE CENTERS FOR FOOT & ANKLE SURGERY LTD1 E COUNTYLINE RD SUITE GSANDWICH, IL 60548PHONE: (815) 786-9451E-PRESCRIBE: NO
MANSOUR, HAYTHAM, DPMGENDER: MNPI #: 1811078207THE CENTERS FOR FOOT & ANKLE SURGERY LTD1 E COUNTYLINE RD SUITE GSANDWICH, IL 60548PHONE: (815) 786-9451E-PRESCRIBE: NO
RAPPETTE, THOMAS, DPMGENDER: MNPI #: 1962579904THE CENTERS FOR FOOT & ANKLE SURGERY LTD1 E COUNTYLINE RD SUITE GSANDWICH, IL 60548PHONE: (815) 786-9451E-PRESCRIBE: NO
UROLOGY
HALEEM, AZEEM S., MDGENDER: MNPI #: 1154366706KISHWAUKEE PHYSICIAN GROUP INC1310 N MAIN ST SUITE 200SANDWICH, IL 60548PHONE: (815) 786-9988E-PRESCRIBE: NO
224 E RAILROAD STSANDWICH, IL 60548PHONE: (815) 786-7150E-PRESCRIBE: NO
OPHTHALMOLOGY
DERANIAN, MARCUS S., MDGENDER: MNPI #: 19523673511401 W MAIN STSHELBYVILLE, IL 62565PHONE: (217) 774-2181E-PRESCRIBE: YES
WEST ROUTE 16 #199SHELBYVILLE, IL 62565PHONE: (217) 774-4422E-PRESCRIBE: YES
CARDIOLOGY
CHIU, REGINA Y., MDGENDER: FNPI #: 1043272693SPARTA CARDIOLOGY CLINIC205 S BURNSSPARTA, IL 62286PHONE: (618) 443-2177E-PRESCRIBE: NO
SANDWICH, IL
SHELBYVILLE, IL
SPARTA, IL
RUSHVILLE, ILSPARTA, IL
Specialty Care Providers
354* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
GUPTA, PAVAN K., MDGENDER: MNPI #: 1861519563SPARTA COMMUNITY HOSPITAL818 E BROADWAYSPARTA, IL 62286PHONE: (618) 443-2177E-PRESCRIBE: NO
SATWANI, SHIYAM K., MDGENDER: MNPI #: 1407067184SPARTA CARDIOLOGY CLINIC205 S BURNSSPARTA, IL 62286PHONE: (618) 443-2177E-PRESCRIBE: NO
SHAH, ATUL S., MDGENDER: MNPI #: 1215965660SPARTA CARDIOLOGY CLINIC205 S BURNSSPARTA, IL 62286PHONE: (618) 443-2177E-PRESCRIBE: NO
ORTHOPAEDICS
CHIEN, TONY L., DOGENDER: MNPI #: 1477617025COMMUNITY ORTHOPEDICS & SPORTS MEDICINE PC818 E BROADWAY STSPARTA, IL 62286PHONE: (618) 443-2177E-PRESCRIBE: YES
OTOLARYNGOLOGY
FIERSTEIN, JEFFREY T., MDGENDER: MNPI #: 1740259043SPARTA COMMUNITY HOSPITAL818 E BROADWAYSPARTA, IL 62286PHONE: (618) 443-2177E-PRESCRIBE: NO
PLASTIC RECONSTRUCTIVE SURGERY
HEHMANN, RICHARD J., MDGENDER: MNPI #: 1215922067MSA ALLIANCE LLC1 BROADWAY PLAZASPARTA, IL 62286PHONE: (618) 257-2100E-PRESCRIBE: NO
RHEUMATOLOGY
RONHOLM, CHAD, MDGENDER: MNPI #: 1306027909QUALITY HEALTHCARE CLINICS-NORTH CAMPUS1300 N MARKET STSPARTA, IL 62286PHONE: (618) 443-2177E-PRESCRIBE: NO
UROLOGY
NEUMAN, NEAL, MDGENDER: MNPI #: 1598749954NEAL NEUMAN MD215 S BURNS AVESPARTA, IL 62286PHONE: (618) 443-4889E-PRESCRIBE: NO
GASTROENTEROLOGY
GOEL, RAM, MDGENDER: MNPI #: 1255387007ST MARGARETS MEDICAL CLINIC600 E FIRST ST FIRST FLOORSPRING VALLEY, IL 61362PHONE: (815) 664-5555E-PRESCRIBE: NO
GENERAL SURGERY
FIGUERRES, BENEDICTO Q., MD
GENDER: MNPI #: 1821029927ST MARGARETS HEALTH SPRING VALLEY CLINIC1302 N GREENWOOD STSPRING VALLEY, IL 61362PHONE: (815) 663-5511E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
KNOST, JAMES A., MDGENDER: MNPI #: 1245239565ILLINOIS CANCERCARE600 E FIRST STSPRING VALLEY, IL 61362PHONE: (815) 664-1487E-PRESCRIBE: YES
NEUROSURGERY
DINH, DZUNG H., MDGENDER: MNPI #: 1679513642ST MARGARETS HOSPITAL - BOYLE MEDICAL CLINIC600 E FIRST STSPRING VALLEY, IL 61362PHONE: (309) 676-0766E-PRESCRIBE: NO
SPRING VALLEY, IL
SPARTA, ILSPRING VALLEY, IL
Specialty Care Providers
355 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
LIN, JULIAN J., MDGENDER: MNPI #: 1437104593ST MARGARETS HOSPITAL - BOYLE MEDICAL CLINIC600 E FIRST STSPRING VALLEY, IL 61362PHONE: (309) 676-0766E-PRESCRIBE: NO
ORTHOPAEDICS
PERONA, PAUL G., MDGENDER: MNPI #: 1558476010ST MARGARETS HEALTH FAMILY ORTHOPEDIC CENTER600 E FIRST ST FOURTH FLOORSPRING VALLEY, IL 61362PHONE: (815) 663-8009E-PRESCRIBE: NO
SHIN, MICHAEL, MDGENDER: MNPI #: 1073787065ST MARGARETS HEALTH VALLEY ORTHOPEDICS600 E FIRST ST THIRD FLOORSPRING VALLEY, IL 61362PHONE: (815) 663-2511E-PRESCRIBE: NO
PODIATRY
KUZMICKI, LEONARD, MDGENDER: MNPI #: 1952473365SPRING VALLEY FOOT CLINIC600 E FIRST ST FIRST FLOORSPRING VALLEY, IL 61362PHONE: (815) 663-2511E-PRESCRIBE: NO
RADIATION ONCOLOGY
ZUSAG, THOMAS W., MDGENDER: MNPI #: 1740281815VALLEY ONCOLOGY CENTERS PC600 E FIRST STSPRING VALLEY, IL 61362PHONE: (815) 664-4141E-PRESCRIBE: NO
UROLOGY
CHUNG, STEVE Y., MDGENDER: MNPI #: 1851349435ILLINOIS UROLOGIC HEALTH SURGEONS600 E FIRST ST THIRD FLOORSPRING VALLEY, IL 61362PHONE: (815) 664-5367E-PRESCRIBE: NO
LEVISAY, GERALD L., MDGENDER: MNPI #: 1215994843ILLINOIS UROLOGIC HEALTH SURGEONS600 E FIRST ST THIRD FLOORSPRING VALLEY, IL 61362PHONE: (815) 664-5367E-PRESCRIBE: NO
SCHWARTZ, CHRISTIAN B., DO
GENDER: MNPI #: 1124085758ILLINOIS UROLOGIC HEALTH SURGEONS600 E FIRST ST THIRD FLOORSPRING VALLEY, IL 61362PHONE: (815) 664-5367E-PRESCRIBE: NO
ALLERGY/IMMUNOLOGY
ALEXANDER, INGRID I., MDGENDER: FNPI #: 1144269531PHYSICIANS GROUP ASSOCIATES SC2901 OLD JACKSONVILLE RDSPRINGFIELD, IL 62704PHONE: (217) 698-9722E-PRESCRIBE: YES
GOVINDAIAH, RENU C., MDGENDER: FNPI #: 1477553931SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
PRASAD, SUDHA, MDGENDER: FNPI #: 1417120189SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: NO
PRATT, ELLEN L., MDGENDER: FNPI #: 1255421533SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: NO
SIRI, DAREEN D., MDGENDER: FNPI #: 1730272998SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
SPRINGFIELD, IL
SPRING VALLEY, ILSPRINGFIELD, IL
Specialty Care Providers
356* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
CARDIAC ELECTROPHYSIOLOGY
MAK, ERIC C., MDGENDER: MNPI #: 1659553543SPRINGFIELD CLINIC LLP800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: NO
CARDIOLOGY
AGUIRRE, FRANK V., MDGENDER: MNPI #: 1265513717PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
AHMED, ADEEB, MDGENDER: MNPI #: 1245217603SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
AMMAR, RICHARD F., MDGENDER: MNPI #: MEMORIAL MEDICAL CENTER701 N 1ST STSPRINGFIELD, IL 62781PHONE: E-PRESCRIBE: NO
BURRI, MANJULA V., MDGENDER: FNPI #: 1619172228PRAIRIE CARDIOVASCULAR CONSULTANTS LTD619 E MASONSPRINGFIELD, IL 62701PHONE: (217) 788-0706E-PRESCRIBE: YES
747 N RUTLEDGE 4TH FLOORSPRINGFIELD, IL 62701PHONE: (217) 788-7032E-PRESCRIBE: YES
800 E CARPENTER STSPRINGFIELD, IL 62701PHONE: E-PRESCRIBE: YES
CAHILL, THOMAS, MDGENDER: MNPI #: 1023128113MEMORIAL MEDICAL CENTER701 N FIRST STSPRINGFIELD, IL 62781PHONE: (217) 788-3030E-PRESCRIBE: YES
DEMARTINI, TONY J., MDGENDER: MNPI #: 1174604631PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: NO
747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: NO
DEMARTINI, TONY, MDGENDER: MNPI #: 1174604631MEMORIAL MEDICAL CENTER701 1ST STREETSPRINGFIELD, IL 62781PHONE: (800) 562-2829E-PRESCRIBE: YES
DUKKIPATI, MADHU, MDGENDER: MNPI #: 1063436715PRAIRIE CARDIOVASCULAR CONSULTANTS LTD619 E MASON SUITE 4P57SPRINGFIELD, IL 62701PHONE: (217) 788-0706E-PRESCRIBE: YES
GHANI, MANSURA, MDGENDER: FNPI #: 1639253701PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
GILL, JOHN B., MDGENDER: MNPI #: 1487737177PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
SPRINGFIELD, ILSPRINGFIELD, IL
Specialty Care Providers
357 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
GOLDSTEIN, JEFFREY A., MDGENDER: MNPI #: 1689756900PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
619 E MASON SUITE 4P57SPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
GOLDSTEIN, JEFFREY, MDGENDER: MNPI #: 1689756900MEMORIAL MEDICAL CENTER701 1ST STREETSPRINGFIELD, IL 62781PHONE: (800) 562-2829E-PRESCRIBE: YES
GOSWAMI, NILESH J., MDGENDER: MNPI #: 1467534701MEMORIAL MEDICAL CENTER701 1ST STREETSPRINGFIELD, IL 62781PHONE: (800) 562-2829E-PRESCRIBE: YES
PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
619 E MASON SUITE 4P57SPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
HOLLOWAY, RICHARD, MDGENDER: MNPI #: 1326120668PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
619 E MASON SUITE 4P57SPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
ST JOHNS PHYSICIANS SERVICES800 E CARPENTER RM 2K47SPRINGFIELD, IL 62769PHONE: (217) 544-6464E-PRESCRIBE: NO
ISSA, ZIAD F., MDGENDER: MNPI #: 1740362094PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
619 E MASON SUITE 4P57SPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
ISSA, ZIAD, MDGENDER: NPI #: 1740362094MEMORIAL MEDICAL CENTER701 N 1ST STSPRINGFIELD, IL 62781PHONE: (217) 788-3800E-PRESCRIBE: YES
JENNISON, STEPHEN, MDGENDER: MNPI #: 1043391766PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
619 E MASON SUITE 4P57SPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
KARPEN, CHARLES, MDGENDER: MNPI #: 1235211509PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
619 E MASON SUITE 4P57SPRINGFIELD, IL 62702PHONE: (217) 788-7076E-PRESCRIBE: YES
KATHOLI, RICHARD E., MDGENDER: MNPI #: 1245312529PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
619 E MASON SUITE 4P57SPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
SPRINGFIELD, ILSPRINGFIELD, IL
Specialty Care Providers
358* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
KELLEY, MICHAEL P., MDGENDER: MNPI #: 1639251929PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: NO
619 E MASON SUITE 4P57SPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: NO
LAM, WILFRED, MDGENDER: MNPI #: 1750463949PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
LIM, BERNARD B., MDGENDER: MNPI #: 1548235856PRAIRIE CARDIOVASCULAR619 E MASON SUITE 4P57SPRINGFIELD, IL 62701PHONE: (217) 788-0706E-PRESCRIBE: YES
LUCORE, CHARLES, MDGENDER: MNPI #: 1821172198PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
619 E MASON SUITE 4P57SPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
MANI, KARTIK, MDGENDER: NPI #: 1689869885PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTERSPRINGFIELD, IL 62702PHONE: E-PRESCRIBE: YES
619 E MASONSPRINGFIELD, IL 62702PHONE: E-PRESCRIBE: YES
747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
MARTIN, RANDOLPH S., MDGENDER: MNPI #: 13664368182901 OLD JACKSONVILLE RD SUITE DSPRINGFIELD, IL 62704PHONE: (217) 546-0750E-PRESCRIBE: NO
MATOS, GABOR F., MDGENDER: MNPI #: 1639251747PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: NO
747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: NO
MATOS, GABOR, MDGENDER: MNPI #: 1639251747MEMORIAL MEDICAL CENTER701 N FIRST STSPRINGFIELD, IL 62781PHONE: (217) 788-3030E-PRESCRIBE: YES
MAYER, STEPHEN A., MDGENDER: MNPI #: 1477635506PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
MIKELL, FRANK, MDGENDER: MNPI #: 1669582904PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
619 E MASON SUITE 4P57SPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
MILLER, BRIAN D., MDGENDER: MNPI #: 1972685014PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
SPRINGFIELD, ILSPRINGFIELD, IL
Specialty Care Providers
359 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
MISHKEL, GREGORY J., MDGENDER: MNPI #: 1629150768PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
619 E MASON SUITE 4P57SPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
MOULTON, KRIEGH, MDGENDER: MNPI #: 1174605166PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
619 E MASON SUITE 4P57SPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
MUKERJI, VASKAR, MDGENDER: MNPI #: 1871686030SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
MULLIN, JAMES C., MDGENDER: MNPI #: 1376625376PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
619 E MASON SUITE 4P57SPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
NALLAMOTHU, NASARAIAH, MD
GENDER: MNPI #: 1427130426PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
NANDISH, SHAILESH S., MDGENDER: MNPI #: 1134104144PRAIRIE CARDIOVASCULAR CONSULTANTS LTD619 E MASON ST SUITE 4P57SPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: NO
NESTER, JOHN E., MDGENDER: MNPI #: 1386737435SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
NESTER, JOHN, MDGENDER: MNPI #: 1386737435MEMORIAL MEDICAL CENTER701 N FIRST STSPRINGFIELD, IL 62781PHONE: (217) 788-3030E-PRESCRIBE: YES
NOVAK, HOLLY A., MDGENDER: FNPI #: 1952483968MEMORIAL MEDICAL CENTER701 1ST STREETSPRINGFIELD, IL 62781PHONE: (800) 562-2829E-PRESCRIBE: YES
PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
619 E MASON SUITE 4P57SPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
PACHECO-CORONADO, ROBERTO, MD
GENDER: MNPI #: 1194982892PRAIRIE CARDIOVASCULAR CONSULTANTS LTD619 E MASON ST SUITE 4P57SPRINGFIELD, IL 62701PHONE: (217) 788-0706E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Specialty Care Providers
360* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
ROCHA-SINGH, KRISHNA, MD
GENDER: MNPI #: MEMORIAL MEDICAL CENTER701 1ST STREETSPRINGFIELD, IL 62781PHONE: (800) 562-2829E-PRESCRIBE: NO
PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
619 E MASON SUITE 4P57SPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
SHELTON, MARC, MDGENDER: MNPI #: 1245313840PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
619 E MASON SUITE 4P57SPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
STAMPEHL, MARK R., MDGENDER: MNPI #: 1891916219PRAIRIE CARDIOVASCULAR CONSULTANTS LTD619 E MASON ST SUITE 4P57SPRINGFIELD, IL 62701PHONE: (217) 788-0706E-PRESCRIBE: NO
STEEN, MARK S., MDGENDER: MNPI #: 1306929906PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: NO
619 E MASON SUITE 4P57SPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: NO
TRASK, ROBERT V., MDGENDER: MNPI #: 1366525966PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
619 E MASON SUITE 4P57SPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
TRIVEDI, ATUL, MDGENDER: MNPI #: 1255332292SPRINGFIELD CLINIC LLP800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: NO
WOODRUFF, ROBERT, MDGENDER: MNPI #: 1659454262PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
619 E MASON SUITE 4P57SPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
ZELLNER, CHRISTIAN A., MDGENDER: MNPI #: 1972501948SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
ZUCK, VINCENT P., MDGENDER: MNPI #: 1457434078PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: NO
747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: NO
ZUCK, VINCENT, MDGENDER: MNPI #: 1457434078MEMORIAL MEDICAL CENTER701 N 1ST STSPRINGFIELD, IL 62781PHONE: (217) 788-3800E-PRESCRIBE: YES
CARDIOTHORACIC SURGERY
ARENTZEN, CARL E., MDGENDER: MNPI #: 1033190814SIU PHYSICIANS & SURGEONS747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-7422E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Specialty Care Providers
361 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
CHRISTY, JEFFREY P., MDGENDER: MNPI #: 1710968490PRAIRIE CARDIOVASCULAR CONSULTANTS LTD747 N RUTLEDGE 4TH FLRSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
HAZELRIGG, STEPHEN R., MD
GENDER: MNPI #: 1205817996SIMMONS CANCER INSTITUTE AT SIU315 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: NO
SIU PHYSICIANS & SURGEONS315 W CARPENTER ST 2ND FLOORSPRINGFIELD, IL 62702PHONE: (217) 545-7422E-PRESCRIBE: NO
PYLE, WILLIAM G., MDGENDER: MNPI #: 1306827001SIU PHYSICIANS & SURGEONS619 E MAINSPRINGFIELD, IL 62705PHONE: (217) 788-0710E-PRESCRIBE: NO
747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-7578E-PRESCRIBE: NO
STEVENS JR, WILLIAM, MDGENDER: MNPI #: 1548241250SIU PHYSICIANS & SURGEONS747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-7422E-PRESCRIBE: NO
VASSILEVA, CHRISTINA M., MD
GENDER: FNPI #: 1124172135SIU PHYSICIANS & SURGEONS747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-5555E-PRESCRIBE: NO
SIU PHYSICIANS & SURGEONS INCPO BOX 19638SPRINGFIELD, IL 62794-9638PHONE: (217) 545-5555E-PRESCRIBE: NO
COLON/RECTAL SURGERY
HOFMANN, PETER M., MDGENDER: MNPI #: 1043317373SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
PACHECO, PAUL E., MDGENDER: MNPI #: 1689872905SPRINGFIELD CLINIC LLP800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: NO
PARIS, BRAD D., MDGENDER: MNPI #: 1205057254SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
THIELE, JAMES W., MDGENDER: MNPI #: 1659465813SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
WIETFELDT, ELIZABETH D., MD
GENDER: FNPI #: 1962623827SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: NO
ZANDER, JOHN D., MDGENDER: MNPI #: 1558458349SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
DERMATOLOGY
BUESCHER, LUCINDA, MDGENDER: FNPI #: 1023011863SIMMONS CANCER INSTITUTE AT SIU315 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Specialty Care Providers
362* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
SIU PHYSICIANS & SURGEONS751 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-3821E-PRESCRIBE: NO
CLAMAN, CASSANDRA C., MD
GENDER: FNPI #: 1356380281SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: NO
CONLON, JOSEPH D., MDGENDER: MNPI #: 1831131697SIMMONS CANCER INSTITUTE AT SIU315 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 545-6000E-PRESCRIBE: YES
SIU PHYSICIANS & SURGEONS INC751 N RUTLEDGESPRINGFIELD, IL 62794PHONE: (217) 545-3821E-PRESCRIBE: YES
SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
2200 WABASH AVESPRINGFIELD, IL 62704PHONE: E-PRESCRIBE: YES
DIETRICH, SARAH M., MDGENDER: FNPI #: 1265525737SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
KNOX, JUDITH, MDGENDER: FNPI #: 1467550772SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
MCGINNESS, JAMIE L., MDGENDER: FNPI #: 1447291356SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: NO
NIETERT, ELIZABETH, MDGENDER: FNPI #: 1619199072SIU PHYSICIANS & SURGEONS751 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-3821E-PRESCRIBE: NO
STEALEY, A KATHERINE H., MD
GENDER: FNPI #: 1841411188SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
STONE, STEPHEN, MDGENDER: MNPI #: 1942203708SIMMONS CANCER INSTITUTE AT SIU315 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: NO
SIU PHYSICIANS & SURGEONS751 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-3821E-PRESCRIBE: NO
WILSON, MORGAN L., MDGENDER: MNPI #: 1538327556SIMMONS CANCER INSTITUTE AT SIU315 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 545-3821E-PRESCRIBE: NO
SIU PHYSICIANS & SURGEONS751 N RUTLEDGE SUITE 2300SPRINGFIELD, IL 62702PHONE: (217) 545-3821E-PRESCRIBE: NO
ENDOCRINOLOGY
FRATIANNI, CARMEL, MDGENDER: FNPI #: 1033106828SIU PHYSICIANS & SURGEONS751 N RUTLEDGE SUITE 0300SPRINGFIELD, IL 62702PHONE: (217) 545-3821E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Specialty Care Providers
363 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
HAZARD, KEVIN D., MDGENDER: MNPI #: 1881652089SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
HOELZER, DAVID R., MDGENDER: MNPI #: 1306942040SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
JAKOBY IV, MICHAEL G., MDGENDER: MNPI #: 1770515181SIU PHYSICIANS & SURGEONS751 N RUTLEDGE SUITE 0300SPRINGFIELD, IL 62702PHONE: (217) 545-3821E-PRESCRIBE: NO
JAYARMAIAH, POORNIMA, MD
GENDER: FNPI #: 1174784086HSHS MEDICAL GROUP INC2501 CHATHAM RD SUITE 300SPRINGFIELD, IL 62704PHONE: (217) 787-8870E-PRESCRIBE: NO
MAMILLAPALLI, CHAITANYA K., MD
GENDER: MNPI #: 1710137930SIU PHYSICIANS & SURGEONS INC751 N RUTLEDGE SUITE 300SPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: NO
RUSSO, MARINA, MDGENDER: FNPI #: 1174510978PHYSICIANS GROUP ASSOCIATES SC2901 OLD JACKSONVILLE RDSPRINGFIELD, IL 62704PHONE: (217) 698-9722E-PRESCRIBE: YES
SAID, SUFYAN, MDGENDER: MNPI #: 1982885257SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
SOLER, NORMAN, MDGENDER: MNPI #: 1902889017HSHS MEDICAL GROUP INC2501 CHATHAM RD SUITE 300SPRINGFIELD, IL 62704PHONE: (217) 787-8870E-PRESCRIBE: NO
SPECK, LYNN, MDGENDER: FNPI #: 1669572350SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
WESLY, JADWIGA, MDGENDER: FNPI #: 1629178215SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
GASTROENTEROLOGY
ALI, AMAN, MDGENDER: MNPI #: 1093908113SIU PHYSICIANS & SURGEONS751 N RUTLEDGE SUITE 1100SPRINGFIELD, IL 62702PHONE: (217) 545-0173E-PRESCRIBE: NO
AMARIS, MANUEL ALBERTO A., MD
GENDER: MNPI #: 1578599080SIU PHYSICIANS & SURGEONS INC751 N RUTLEDGE SUITE 1100SPRINGFIELD, IL 62702PHONE: (217) 545-0173E-PRESCRIBE: NO
ANNABA, FADI, MDGENDER: MNPI #: 1154353217SPRINGFIELD CLINIC LLP1025 S 6TH STSPRINGFIELD, IL 62703-2403PHONE: (217) 528-7541E-PRESCRIBE: NO
BUTNARIU, MADALINA I., MDGENDER: FNPI #: 1619956638SIU PHYSICIANS & SURGEONS INC751 N RUTLEDGE SUITE 1100SPRINGFIELD, IL 62702PHONE: (217) 545-0173E-PRESCRIBE: NO
CHERUKU, SAILAJA M., MDGENDER: FNPI #: 1578659496SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
SPRINGFIELD, ILSPRINGFIELD, IL
Specialty Care Providers
364* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
CHODASH, HOWARD B., MDGENDER: MNPI #: 1295720027PHYSICIANS GROUP ASSOCIATES2901 OLD JACKSONVILLE RDSPRINGFIELD, IL 62704PHONE: (217) 241-3588E-PRESCRIBE: NO
CHOPRA, ASHISH, MDGENDER: MNPI #: 1497727234SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: NO
HUANG, MEI, MDGENDER: FNPI #: 1417972597SIU PHYSICIANS & SURGEONS751 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-0173E-PRESCRIBE: NO
KARRAS, PETER J., MDGENDER: MNPI #: 1114025566SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
MOSLEY, ROBERT G., MDGENDER: MNPI #: 1770683443SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
PARADOWSKI, THEODORE J., MD
GENDER: MNPI #: 1720171804SPRINGFIELD CLINIC LLP1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: NO
PETERSON, WILLIAM L., MDGENDER: MNPI #: 1174623854SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
SALIMINEJAD, MEHRDAD, MD
GENDER: MNPI #: 1891934832SIU PHYSICIANS & SURGEONS INC751 N RUTLEDGE SUITE 1100SPRINGFIELD, IL 62702PHONE: (217) 353-1298E-PRESCRIBE: NO
TORGERSON, STUART A., MDGENDER: MNPI #: 1750376596PHYSICIANS GROUP ASSOCIATES2901 OLD JACKSONVILLE RD SUITE B-3SPRINGFIELD, IL 62704PHONE: (217) 241-3588E-PRESCRIBE: NO
GENERAL SURGERY
AHAD, SAJIDA, MDGENDER: FNPI #: 1326024837SIU PHYSICIANS & SURGEONS747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-5878E-PRESCRIBE: NO
BREWER, AARON T., MDGENDER: MNPI #: 1679794523SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
BUNTAIN, WILLIAM L., MDGENDER: MNPI #: 1700902608HSHS MEDICAL GROUP800 E CARPENTERSPRINGFIELD, IL 62769PHONE: (217) 544-6464E-PRESCRIBE: NO
CETINDAG, IBRAHIM B., MDGENDER: MNPI #: 1447471396SIU PHYSICIANS & SURGEONS747 N RUTLEDGE 5TH FLOORSPRINGFIELD, IL 62702PHONE: (217) 545-5183E-PRESCRIBE: NO
DUNNINGTON, GARY, MDGENDER: MNPI #: 1528049871SIMMONS CANCER INSTITUTE AT SIU315 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Specialty Care Providers
365 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
SIU PHYSICIANS & SURGEONS315 W CARPENTER ST 2ND FLOORSPRINGFIELD, IL 62702PHONE: (217) 545-7422E-PRESCRIBE: NO
FENNER, MICHAEL N., MDGENDER: MNPI #: 1578660445SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
FREITAG, PER, MDGENDER: MNPI #: 1205822913SIU PHYSICIANS & SURGEONS INC751 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-5878E-PRESCRIBE: NO
FULLERTON, JAMES K., MDGENDER: MNPI #: 1760575229SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
GARFINKEL, MARC R., MDGENDER: MNPI #: 1164587994SIU PHYSICIANS & SURGEONS747 N RUTLEDGE 5TH FLOORSPRINGFIELD, IL 62702PHONE: (217) 545-5878E-PRESCRIBE: NO
HAMMER, MAX D., MDGENDER: MNPI #: 1477650794SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
HIGH, ERIC M., MDGENDER: MNPI #: 1629299599SPRINGFIELD CLINIC LLP800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: NO
HODGSON, KIM, MDGENDER: FNPI #: 1417943937SIU PHYSICIANS & SURGEONS747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-5555E-PRESCRIBE: NO
HOOD, DOUGLAS B., MDGENDER: MNPI #: 1679505242SIU PHYSICIANS & SURGEONS747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-5555E-PRESCRIBE: NO
ICAZA, ORLANDO J., MDGENDER: MNPI #: 1669579991SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
KUHNKE, MARK, MDGENDER: MNPI #: 1033210026SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
MELLINGER, JOHN D., MDGENDER: MNPI #: 1275642233SIMMONS CANCER INSTITUTE AT SIU315 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: NO
SIU PHYSICIANS & SURGEONS747 N RUTLEDGE 5TH FLOORSPRINGFIELD, IL 62702PHONE: (217) 545-5878E-PRESCRIBE: NO
MITCHELL, KRISTOFER J., MD
GENDER: MNPI #: 1205040664SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
PACHECO, PAUL E., MDGENDER: MNPI #: 1689872905SPRINGFIELD CLINIC LLP800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Specialty Care Providers
366* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
RAKINIC, JAN, MDGENDER: FNPI #: 1457348401SIMMONS CANCER INSTITUTE AT SIU315 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: NO
SIU PHYSICIANS & SURGEONS315 W CARPENTER ST 2ND FLOORSPRINGFIELD, IL 62702PHONE: (217) 545-7422E-PRESCRIBE: NO
751 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-5555E-PRESCRIBE: NO
REA, DAVID J., MDGENDER: MNPI #: 1245218692SIU PHYSICIANS & SURGEONS INC315 W CARPENTER 2ND FLOORSPRINGFIELD, IL 62702PHONE: (217) 545-5878E-PRESCRIBE: YES
ROSS, DONALD, MDGENDER: MNPI #: 1326131285SPRINGFIELD CLINIC 1ST800 N 1ST STSPRINGFIELD, IL 62701PHONE: (217) 528-7541E-PRESCRIBE: YES
SUTYAK, JOHN, MDGENDER: MNPI #: 1679569172SIU PHYSICIANS & SURGEONS421 N 9TH ST SUITE 240SPRINGFIELD, IL 62701PHONE: (217) 545-3100E-PRESCRIBE: NO
747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-5555E-PRESCRIBE: NO
VASSILEVA, CHRISTINA M., MD
GENDER: FNPI #: 1124172135SIU PHYSICIANS & SURGEONS747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-5555E-PRESCRIBE: NO
SIU PHYSICIANS & SURGEONS INCPO BOX 19638SPRINGFIELD, IL 62794-9638PHONE: (217) 545-5555E-PRESCRIBE: NO
WALL, JARROD C., MDGENDER: MNPI #: 1184695520SIU PHYSICIANS & SURGEONS421 N 9TH ST SUITE 240SPRINGFIELD, IL 62701PHONE: (217) 545-5183E-PRESCRIBE: NO
747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-5555E-PRESCRIBE: NO
WARNER, ELIZABETH A., MDGENDER: FNPI #: 1407924434SPRINGFIELD CLINIC LLP1130 S 6TH ST STE 102SPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: NO
WICHTERMAN, KEITH A., MDGENDER: MNPI #: 1841387636SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
WOHLTMANN, CHRISTOPHER D., MD
GENDER: MNPI #: 1982699633SIU PHYSICIANS & SURGEONS421 N 9TH ST SUITE 240SPRINGFIELD, IL 62701PHONE: (217) 545-3100E-PRESCRIBE: NO
747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-5555E-PRESCRIBE: NO
GERIATRICS
HIGUCHI, MASAYA, MDGENDER: MNPI #: 1457544892SIU CENTER FOR FAMILY MEDICINE520 N 4TH STSPRINGFIELD, IL 62702PHONE: (217) 757-8100E-PRESCRIBE: NO
5220 S 6TH ST ROAD SUITE 1200SPRINGFIELD, IL 62703PHONE: (217) 757-8100E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Specialty Care Providers
367 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
TABASSUM, VAJEEHA, MDGENDER: FNPI #: 1699951582SIU PHYSICIANS & SURGEONS520 N 4TH STSPRINGFIELD, IL 62702PHONE: (217) 757-8100E-PRESCRIBE: NO
751 N RUTLEDGE SUITE 1100SPRINGFIELD, IL 62702PHONE: (217) 545-3880E-PRESCRIBE: NO
GYNECOLOGIC ONCOLOGY
BRARD, LAURENT, MDGENDER: MNPI #: 1346278041SIU PHYS & SURG SIMMONS CANCER INSTITUTE315 W CARPENTER 1ST FLOORSPRINGFIELD, IL 62702PHONE: (217) 545-1322E-PRESCRIBE: NO
SIU PHYS & SURG-SIMMONS CANCER INSTITUTE315 W CARPENTER 2ND FLSPRINGFIELD, IL 62702PHONE: (217) 545-5117E-PRESCRIBE: NO
SIU PHYSICIANS & SURGEONS INC415 N 9TH ST STE 6W100SPRINGFIELD, IL 62701PHONE: (217) 545-5117E-PRESCRIBE: NO
HEMATOLOGY
DESAI, MEGHNA R., MDGENDER: FNPI #: 1609865294SIMMONS CANCER INSTITUTE AT SIU315 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: NO
SIU PHYSICIANS & SURGEONS INC415 N 9TH STSPRINGFIELD, IL 62794PHONE: (217) 545-5817E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
BRETSCHER, MARY E., MDGENDER: FNPI #: 1073623336SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
GIANNONE, LEONARD, MDGENDER: MNPI #: 1245297571SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: NO
GILLISON, TIMOTHY L., MDGENDER: MNPI #: 1710905906SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: NO
GUPTA, AMIT K., MDGENDER: MNPI #: 1639395114SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
HOELZER, KAREN L., MDGENDER: FNPI #: 1477659126SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
MINK, SCOTT A., MDGENDER: MNPI #: 1235239906SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
MOCHARNUK, ROBERT S., MD
GENDER: MNPI #: 1568499770SIMMONS CANCER INSTITUTE AT SIU315 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: NO
SIU PHYSICIANS & SURGEONS315 W CARPENTERSPRINGFIELD, IL 62702PHONE: (217) 545-5817E-PRESCRIBE: NO
415 N 9TH STSPRINGFIELD, IL 62701PHONE: (217) 545-5817E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Specialty Care Providers
368* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
RAO, KRISHNA A., MDGENDER: NPI #: 1235128109SIMMONS CANCER INSTITUTE AT SIU315 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: NO
SIU PHYSICIANS & SURGEONS315 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 545-5817E-PRESCRIBE: NO
415 N 9TH STSPRINGFIELD, IL 62701PHONE: (217) 545-5817E-PRESCRIBE: NO
SROKOWSKI, TOMASZ P., MD
GENDER: MNPI #: 1174671937SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: NO
WILLADSEN, DIANA S., MDGENDER: FNPI #: 1528099793SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
HEPATOLOGY
JAVADI, FARIBA, MDGENDER: FNPI #: 1538265830SIU PHYSICIANS & SURGEONS INC751 N RUTLEDGE SUITE 1100SPRINGFIELD, IL 62702PHONE: (217) 545-0173E-PRESCRIBE: NO
INFECTIOUS DISEASES
CHIHARA, SHINGO, MDGENDER: MNPI #: 1205020310SIU PHYSICIANS & SURGEONS INC751 N RUTLEDGE SUITE 1100SPRINGFIELD, IL 62702PHONE: (217) 545-0181E-PRESCRIBE: NO
GRAHAM, DONALD R., MDGENDER: MNPI #: 1508962366SPRINGFIELD CLINIC301 N EIGHTH STSPRINGFIELD, IL 62701PHONE: (217) 527-4720E-PRESCRIBE: YES
KIM, INWHA, MDGENDER: FNPI #: 1356349799SPRINGFIELD CLINIC LLP301 N 8TH STSPRINGFIELD, IL 62701PHONE: (217) 527-4720E-PRESCRIBE: YES
KOIRALA, JANAK, MDGENDER: MNPI #: 1316935315SIU PHYSICIANS & SURGEONS751 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-0173E-PRESCRIBE: NO
LEIGH, DOUGLAS R., MDGENDER: MNPI #: 1265530455SPRINGFIELD CLINIC301 N EIGHTH STSPRINGFIELD, IL 62701PHONE: (217) 527-4720E-PRESCRIBE: YES
MULLANGI, PRAVEEN K., MDGENDER: MNPI #: 1508056987SPRINGFIELD CLINIC301 N EIGHTH STSPRINGFIELD, IL 62701PHONE: (217) 528-7541E-PRESCRIBE: YES
OMARRO, STEVEN D., MDGENDER: MNPI #: 1467552133SPRINGFIELD CLINIC301 N EIGHTH STSPRINGFIELD, IL 62701PHONE: (217) 527-4720E-PRESCRIBE: YES
SUNDARESHAN, VIDYA, MDGENDER: FNPI #: 1376790733SIU PHYSICIANS & SURGEONS751 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-0182E-PRESCRIBE: NO
TYAGI, ISHA, MDGENDER: FNPI #: 1487816161SIU PHYSICIANS & SURGEONS INC751 N RUTLEDGE SUITE 1100SPRINGFIELD, IL 62702PHONE: (217) 545-0181E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Specialty Care Providers
369 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
INFERTILITY/REPRODUCTIVE ENDOCRINOLOGY
LORET DE MOLA, JULIO R., MD
GENDER: MNPI #: 1326071887SIU PHYSICIANS & SURGEONS415 N 9TH STSPRINGFIELD, IL 62701PHONE: (217) 545-5117E-PRESCRIBE: NO
751 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-2229E-PRESCRIBE: NO
INTENSIVE CARE/CRITICAL CARE
ZAZA, TAREQ, MDGENDER: MNPI #: 1447287412MEMORIAL MEDICAL CENTER701 N 1ST STSPRINGFIELD, IL 62702PHONE: E-PRESCRIBE: YES
SIU PHYSICIANS & SURGEONS INC751 N RUTLEDGESPRINGFIELD, IL 62794-9636PHONE: (217) 545-8000E-PRESCRIBE: YES
MICROGRAPHIC SURGERY
BUZZELL, ROBERT, MDGENDER: MNPI #: 1861495699SIU PHYSICIANS & SURGEONS751 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-3821E-PRESCRIBE: NO
NEONATOLOGY
BATTON, BEAU J., MDGENDER: MNPI #: 1215037494SIU PHYSICIANS & SURGEONS415 N 9TH STSPRINGFIELD, IL 62701PHONE: (800) 331-2229E-PRESCRIBE: NO
BATTON, DANIEL G., MDGENDER: MNPI #: 1952370868SIU PHYSICIANS & SURGEONS415 N 9TH STSPRINGFIELD, IL 62701PHONE: (800) 331-2229E-PRESCRIBE: NO
CROUSE, DENNIS, MDGENDER: MNPI #: 1225012180SIU PHYSICIANS & SURGEONS415 N 9TH STSPRINGFIELD, IL 62701PHONE: (217) 544-6464E-PRESCRIBE: NO
MAJJIGA, VENKATA S., MDGENDER: MNPI #: 1255623997SIU PHYSICIANS & SRUGEONS INC415 N 9TH RM 4W16SPRINGFIELD, IL 62794PHONE: (800) 331-2229E-PRESCRIBE: NO
ST JOHNS HOSPITAL800 E CARPENTER STSPRINGFIELD, IL 62704PHONE: (800) 331-2229E-PRESCRIBE: NO
VARGAS, LAURA B., MDGENDER: FNPI #: 1679736219SIU PHYSICIANS & SURGEONS415 N 9TH ST SUITE 4W16SPRINGFIELD, IL 62794PHONE: (800) 331-2229E-PRESCRIBE: NO
NEPHROLOGY
AHMAD, AQEEL, MDGENDER: MNPI #: 1497942866SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: NO
CHEN, XUEGUANG, MDGENDER: MNPI #: 1730243015CENTRAL ILLINOIS KIDNEY & DIALYSIS ASSOCIATES SC3401 CONIFER DRSPRINGFIELD, IL 62711PHONE: (217) 726-0967E-PRESCRIBE: NO
DOWNER, MERRY C., MDGENDER: FNPI #: 1518054121SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
FORERO, NICOLAS A., MDGENDER: MNPI #: 1740264365SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Specialty Care Providers
370* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
KRALL, ALLEN S., MDGENDER: MNPI #: 1326010570CENTRAL ILLINOIS KIDNEY & DIALYSIS ASSOCIATES SC3401 CONIFER DRSPRINGFIELD, IL 62711PHONE: (217) 726-0967E-PRESCRIBE: NO
MEHTA, PRADEEP K., MDGENDER: MNPI #: 1366414443CENTRAL ILLINOIS KIDNEY & DIALYSIS ASSOCIATES SC3401 CONIFER DRSPRINGFIELD, IL 62711PHONE: (217) 726-0967E-PRESCRIBE: NO
SMITH, LAWRENCE J., MDGENDER: MNPI #: 1457323669CENTRAL ILLINOIS KIDNEY & DIALYSIS ASSOCIATES SC3401 CONIFER DRSPRINGFIELD, IL 62711PHONE: (217) 726-0967E-PRESCRIBE: NO
TAMIZUDDIN, ASHRAF, MDGENDER: MNPI #: 1255302626CENTRAL ILLINOIS KIDNEY & DIALYSIS ASSOCIATES SC3401 CONIFER DRSPRINGFIELD, IL 62711PHONE: (217) 726-0967E-PRESCRIBE: NO
WEST, BRADFORD L., MDGENDER: MNPI #: 1194969170SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
WHITE, NEVILLE, MDGENDER: MNPI #: 1861589103SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
NEUROLOGY
AGRAWAL, BRAJESH K., MDGENDER: MNPI #: 1326269515SIU PHYSICIANS & SURGEONS415 N 9TH ST SUITE 2W94SPRINGFIELD, IL 62701PHONE: (217) 545-8417E-PRESCRIBE: NO
ALA, THOMAS, MDGENDER: MNPI #: 1871584649SIU PHYSICIANS & SURGEONS751 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 546-8417E-PRESCRIBE: NO
BECKER, CECILE F., MDGENDER: FNPI #: 1750493540SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
ELBLE, RODGER, MDGENDER: MNPI #: 1649251984SIU PHYSICIANS & SURGEONS415 N 9TH ST SUITE 2W94SPRINGFIELD, IL 62701PHONE: (217) 545-8417E-PRESCRIBE: NO
751 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-8417E-PRESCRIBE: NO
FORTIN, CLAUDE J., MDGENDER: MNPI #: 1235225780SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
GELBER, DAVID, MDGENDER: MNPI #: 1669571113SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
GILCHRIST, JAMES M., MDGENDER: MNPI #: 1043247083SIU PHYSICIANS & SURGEONS INC751 N RUTLEDGE SUITE 3100SPRINGFIELD, IL 62702PHONE: (217) 545-8417E-PRESCRIBE: NO
KALE, SUSHANT P., MDGENDER: MNPI #: 1780809798SIU PHYSICIANS & SURGEONS415 N 9TH ST SUITE 2W94SPRINGFIELD, IL 62701PHONE: (217) 545-8417E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Specialty Care Providers
371 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
MEHRA, MUKTESHWAR L., MD
GENDER: MNPI #: 1699728584PHYSICIANS GROUP ASSOCIATES SC2901 OLD JACKSONVILLE RDSPRINGFIELD, IL 62704PHONE: (217) 698-9722E-PRESCRIBE: NO
MUEED, SAJJAD, MDGENDER: MNPI #: 1124182860SIU PHYSICIANS & SURGEONS INC751 N RUTLEDGE SUITE 3100SPRINGFIELD, IL 62702PHONE: (217) 545-8417E-PRESCRIBE: NO
NARLA, KOTESWARA R., MDGENDER: MNPI #: 1326131459SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
OMAR, AYMAN I., MDGENDER: MNPI #: 1285894501SIMMONS CANCER INSTITUTE AT SIU315 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: NO
SIU PHYSICIANS & SURGEONS415 N 9TH ST SUITE 2W94SPRINGFIELD, IL 62701PHONE: (217) 545-8417E-PRESCRIBE: NO
PENG, YEN-YI, MDGENDER: MNPI #: 1891951638SIU PHYSICIANS & SURGEONS751 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-8417E-PRESCRIBE: NO
WANG, ZENG Y., MDGENDER: MNPI #: 1669453437SIU PHYSICIANS & SURGEONS751 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-8417E-PRESCRIBE: NO
NEUROPSYCHOLOGY
NOGGLE, CHAD A., PHDGENDER: MNPI #: 1063654796SIMMONS CANCER INSTITUTE AT SIU315 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: NO
SIU PHYSICIANS & SURGEONS315 W CARPENTER ST 2ND FLOORSPRINGFIELD, IL 62702PHONE: (217) 545-8229E-PRESCRIBE: NO
ZEC, RONALD, PHDGENDER: MNPI #: 1962483180SIU PHYSICIANS & SURGEONS751 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-7197E-PRESCRIBE: NO
NEUROSURGERY
ACAKPO-SATCHIVI, LESLIE J., MD
GENDER: MNPI #: 1821042680SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: NO
AMIN, DEVIN V., MDGENDER: MNPI #: 1881649036SIMMONS CANCER INSTITUTE AT SIU315 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: NO
SIU PHYSICIANS & SURGEONS421 N 9TH ST SUITE 240SPRINGFIELD, IL 62702PHONE: (217) 545-5878E-PRESCRIBE: NO
COZZENS, JEFFREY W., MDGENDER: MNPI #: 1750301875SIMMONS CANCER INSTITUTE AT SIU315 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: NO
SIU PHYSICIANS & SURGEONS421 N 9TH ST SUITE 240SPRINGFIELD, IL 62701PHONE: (217) 545-5878E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Specialty Care Providers
372* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
ESPINOSA, JOSE, MDGENDER: MNPI #: 1982690632SIU PHYSICIANS & SURGEONS421 N 9TH STSPRINGFIELD, IL 62701PHONE: (217) 528-7547E-PRESCRIBE: NO
MACGREGOR, MARGARET, MD
GENDER: FNPI #: 1679665541SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
RUSSELL, BRIAN K., MDGENDER: MNPI #: 1396834271SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: NO
ONCOLOGY
DESAI, MEGHNA R., MDGENDER: FNPI #: 1609865294SIMMONS CANCER INSTITUTE AT SIU315 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: NO
SIU PHYSICIANS & SURGEONS INC415 N 9TH STSPRINGFIELD, IL 62794PHONE: (217) 545-5817E-PRESCRIBE: NO
KHAN, AZIZ U., MDGENDER: MNPI #: 1699702316SIMMONS CANCER INSTITUTE AT SIU315 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: NO
SIU PHYSICIANS & SURGEONS315 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 545-5817E-PRESCRIBE: NO
OPHTHALMOLOGY
APRAHAMIAN, ARA D., MDGENDER: MNPI #: 1528015013GAILEY EYE CLINIC5220 S 6TH ST SUITE 2300SPRINGFIELD, IL 62703PHONE: (217) 529-3937E-PRESCRIBE: NO
BUTLER, PATRICK J., MDGENDER: MNPI #: 1316057516SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: NO
EZE, PHYLLIS I., MDGENDER: FNPI #: 1609063106SPRINGFIELD CLINIC LLP1025 S 6TH STSPRINGFIELD, IL 62703-2403PHONE: (217) 528-7541E-PRESCRIBE: NO
FARRIS, STUART R., MDGENDER: MNPI #: 1144279498PRAIRIE EYE CENTER LTD2020 W ILES AVESPRINGFIELD, IL 62704PHONE: (217) 698-3030E-PRESCRIBE: NO
KRAH, DAVID, MDGENDER: MNPI #: 1225136567EYE SHOPPE1937 W ILESSPRINGFIELD, IL 62704PHONE: (217) 726-1299E-PRESCRIBE: NO
SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: NO
ST JOHNS HOSPITAL800 E CARPENTERSPRINGFIELD, IL 62769PHONE: E-PRESCRIBE: NO
KWEDAR, JOHN E., MDGENDER: MNPI #: 1972601243SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: NO
LOHSE, ERIC P., MDGENDER: MNPI #: 1720186711SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
SPRINGFIELD, ILSPRINGFIELD, IL
Specialty Care Providers
373 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
NOTTAGE, JENNIFER M., MDGENDER: FNPI #: 1588688741SPRINGFIELD CLINIC1130 S 6TH ST SUITE 102SPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: NO
ODIN, LANNY S., MDGENDER: MNPI #: 1457309130PRAIRIE EYE CENTER LTD2020 W ILES AVESPRINGFIELD, IL 62704PHONE: (217) 698-3030E-PRESCRIBE: NO
PETERSON, RANDAL, MDGENDER: MNPI #: 1184724866SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
PUROHIT, AMISH R., MDGENDER: MNPI #: 1346262698SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
RAUSCHER, FREDERICK M., MD
GENDER: MNPI #: 1316147564PRAIRIE EYE CENTER LTD2020 W ILES AVESPRINGFIELD, IL 62704PHONE: (217) 698-3030E-PRESCRIBE: NO
SU, GRANT W., MDGENDER: MNPI #: 1386723781SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
SUTTON, DAVID P., MDGENDER: MNPI #: 1508826918PRAIRIE EYE CENTER LTD2020 W ILES AVESPRINGFIELD, IL 62704PHONE: (217) 698-3030E-PRESCRIBE: NO
YANG, WILLIAM W., MDGENDER: MNPI #: 1790979011PRAIRIE EYE CENTER LTD2020 W ILES AVESPRINGFIELD, IL 62704PHONE: (217) 698-3030E-PRESCRIBE: NO
ORAL/MAXILLOFACIAL SURGERY
FISCHER, DAVID J., DDSGENDER: MNPI #: 1255650974SPRINGFIELD ASSOCIATES IN ORAL & MAXILLOFACIAL SUR3007 SPRING MILL DRSPRINGFIELD, IL 62704PHONE: (217) 546-8100E-PRESCRIBE: NO
997 CLOCK TOWER DRSPRINGFIELD, IL 62704PHONE: E-PRESCRIBE: NO
WILLIAMS, JORDAN N., DMDGENDER: MNPI #: 1891011755SPRINGFIELD ASSOCIATES IN ORAL & MAXILLOFACIAL SUR3007 SPRING MILL DRSPRINGFIELD, IL 62704-6558PHONE: (217) 546-8100E-PRESCRIBE: NO
997 CLOCK TOWER DRSPRINGFIELD, IL 62704PHONE: E-PRESCRIBE: NO
ORTHOPAEDICS
ADAIR, DANIEL, MDGENDER: MNPI #: 1043322886SPRINGFIELD CLINIC3132 OLD JACKSONVILLE RDSPRINGFIELD, IL 62704PHONE: (217) 862-0444E-PRESCRIBE: YES
800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
ALLAN, D GORDON, MDGENDER: MNPI #: 1902892607ORTHOPAEDIC CENTER OF ILLINOIS1301 S KOKE MILL RDSPRINGFIELD, IL 62711PHONE: (217) 547-9100E-PRESCRIBE: NO
BOROWIECKI, TOMASZ A., MD
GENDER: MNPI #: 1336251982SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
SPRINGFIELD, ILSPRINGFIELD, IL
Specialty Care Providers
374* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
EL-AMIN, SAADIQ F., MDGENDER: MNPI #: 1972718328SIU PHYSICIANS & SURGEONS INC747 N RUTLEDGE 5TH FLOORSPRINGFIELD, IL 62702PHONE: (217) 545-5878E-PRESCRIBE: NO
GARDNER, MATTHEW P., MDGENDER: MNPI #: 1912123134SPRINGFIELD CLINIC LLP800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: NO
GREATTING, MARK, MDGENDER: MNPI #: 1457459570SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
HERRIN, RODNEY, MDGENDER: MNPI #: 1407835457ORTHOPAEDIC CENTER OF ILLINOIS1301 S KOKE MILL RDSPRINGFIELD, IL 62711PHONE: (217) 547-9100E-PRESCRIBE: YES
HILLARD-SEMBELL, DIANE C., MD
GENDER: FNPI #: 1972600294SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
LEMKE, LAURA M., MDGENDER: FNPI #: 1396716080HSHS MEDICAL GROUP301 N 8TH ST SUITE 3B121SPRINGFIELD, IL 62701PHONE: (217) 545-8000E-PRESCRIBE: NO
LUDWIG, LEO K., MDGENDER: MNPI #: 1689653628ORTHOPAEDIC CENTER OF ILLINOIS1301 S KOKE MILL RDSPRINGFIELD, IL 62711PHONE: (217) 547-9100E-PRESCRIBE: NO
MA, JIANJUN, MDGENDER: MNPI #: 1760679617SPRINGFIELD CLINIC LLP800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: NO
MAENDER, CHRISTOPHER W., MD
GENDER: MNPI #: 1376763227ORTHOPAEDIC CENTER OF ILLINOIS1301 S KOKE MILL RDSPRINGFIELD, IL 62711PHONE: (217) 547-9100E-PRESCRIBE: NO
MCANDREW, MARK P., MDGENDER: MNPI #: 1891782520SIMMONS CANCER INSTITUTE315 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 545-6000E-PRESCRIBE: NO
SIU PHYSICIANS & SURGEONS INC751 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-5878E-PRESCRIBE: NO
MULSHINE, BARRY T., MDGENDER: MNPI #: 1891773925ORTHOPAEDIC CENTER OF ILLINOIS1301 S KOKE MILL RDSPRINGFIELD, IL 62711PHONE: (217) 547-9100E-PRESCRIBE: NO
PAYNE, WILLIAM D., MDGENDER: MNPI #: 1740282847SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
PINEDA, STEPHEN J., MDGENDER: MNPI #: 1528178654SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
PRINCE, MICHELLE M., MDGENDER: FNPI #: 1841264454HSHS MEDICAL GROUP301 N 8TH ST SUITE 3B121SPRINGFIELD, IL 62701PHONE: (217) 545-8000E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Specialty Care Providers
375 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
RAHMAN, RAKERRY K., MDGENDER: MNPI #: 1972752228SIU PHYSICIANS & SURGEONS INC747 N RUTLEDGE 5TH FLOORSPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: YES
ROMANELLI, RONALD R., MDGENDER: MNPI #: 1295714244ORTHOPAEDIC CENTER OF ILLINOIS1301 S KOKE MILL RDSPRINGFIELD, IL 62711PHONE: (217) 547-9100E-PRESCRIBE: NO
SALEH, KHALED J., MDGENDER: MNPI #: 1881735280SIMMONS CANCER INSTITUTE AT SIU315 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: NO
SIU PHYSICIANS & SURGEONS INC747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-5878E-PRESCRIBE: NO
SCHOPP, JEFFREY A., MDGENDER: MNPI #: 1891888608SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
SENICA, KAROLYN M., MDGENDER: FNPI #: 1609855485ORTHOPAEDIC CENTER OF ILLINOIS1301 S KOKE MILL RDSPRINGFIELD, IL 62711PHONE: (217) 547-9100E-PRESCRIBE: NO
STEVENS, BENJAMIN W., MDGENDER: MNPI #: 1295953172SPRINGFIELD CLINIC LLP800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: NO
VANFLEET, TIMOTHY, MDGENDER: MNPI #: 1629057419ORTHOPAEDIC CENTER OF ILLINOIS1301 S KOKE MILL RDSPRINGFIELD, IL 62711PHONE: (217) 547-9100E-PRESCRIBE: NO
WATSON, MICHAEL D., MDGENDER: MNPI #: 1598778789WATSON ORTHOPAEDICS2901 OLD JACKSONVILLE RDSPRINGFIELD, IL 62704PHONE: (217) 523-0808E-PRESCRIBE: NO
WILLIAMS, JOSEPH, MDGENDER: MNPI #: 1497794390ORTHOPAEDIC CENTER OF ILLINOIS1301 S KOKE MILL RDSPRINGFIELD, IL 62711PHONE: (217) 547-9100E-PRESCRIBE: NO
WOLTERS, BRETT W., MDGENDER: MNPI #: 1235177023SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
WOTTOWA, CHRIS, MDGENDER: MNPI #: 1922195718SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
OTOLARYNGOLOGY
BASS, RICHARD M., MDGENDER: MNPI #: 1609862200SIU PHYSICIANS & SURGEONS301 N 8TH STSPRINGFIELD, IL 62701PHONE: (217) 545-0702E-PRESCRIBE: NO
BAUER, CAROL M., MDGENDER: FNPI #: 1700871571SIU PHYSICIANS & SURGEONS301 N 8TH STSPRINGFIELD, IL 62701PHONE: (217) 545-6099E-PRESCRIBE: NO
FOWLER, SARAH S., MDGENDER: FNPI #: 1609976513SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
SPRINGFIELD, ILSPRINGFIELD, IL
Specialty Care Providers
376* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
GARCIA, PHILIP, MDGENDER: MNPI #: 1831295815SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
HUANG, XINYAN, MDGENDER: MNPI #: 1295862365SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
JOOS, NATHAN D., MDGENDER: MNPI #: 1417096090SPRINGFIELD CLINIC LLP1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: NO
RYBAK, LEONARD, MDGENDER: MNPI #: 1194710913SIU PHYSICIANS & SURGEONS747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-6099E-PRESCRIBE: NO
WOODSON, GAYLE E., MDGENDER: FNPI #: 1982690459SIU PHYSICIANS & SURGEONS301 N 8TH STSPRINGFIELD, IL 62701PHONE: (217) 545-6099E-PRESCRIBE: NO
PAIN MANAGEMENT
SALVACION, FERDINAND F., MD
GENDER: MNPI #: 1710958640BAYLIS OUTPATIENT CENTER747 N RUTLEDGE LOWER LEVELSPRINGFIELD, IL 62702PHONE: (217) 757-7602E-PRESCRIBE: NO
MEMORIAL SPINEWORKS PAIN CENTER701 N FIRST STSPRINGFIELD, IL 62781PHONE: (217) 757-7601E-PRESCRIBE: NO
PEDIATRIC CARDIOLOGY
AGOUDEMOS, MELISSA M., MD
GENDER: FNPI #: 1518175579SIU PHYSICIANS & SURGEONS619 E MASON 5TH FLOORSPRINGFIELD, IL 62701PHONE: (217) 545-0702E-PRESCRIBE: NO
GRADY, RONALD M., MDGENDER: MNPI #: 1821036716SIU PHYSICIANS & SURGEONS619 E MASON 5TH FLOORSPRINGFIELD, IL 62701PHONE: (217) 545-0702E-PRESCRIBE: NO
NICOLAS, RAMZI T., MDGENDER: MNPI #: 1023090875SIU PHYSICIANS & SURGEONS619 E MASON 5TH FLOORSPRINGFIELD, IL 62701PHONE: (217) 545-0702E-PRESCRIBE: NO
PEDIATRIC CRITICAL CARE
CAPRIROLO, GIOVANNA M., MD
GENDER: FNPI #: 1891917977SIU PHYSICIANS & SURGEONS INC415 N 9TH ST SUITE 4W16SPRINGFIELD, IL 62794PHONE: (877) 255-4543E-PRESCRIBE: YES
PEDIATRIC ENDOCRINOLOGY
GREEN, REBECCA P., MDGENDER: FNPI #: 1750308201SPRINGFIELD CLINIC LLP1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: NO
PEDIATRIC GASTROENTEROLOGY
HATCH, TERRY F., MDGENDER: MNPI #: 1427093129SIU PHYSICIANS & SURGEONS301 N 8TH STSPRINGFIELD, IL 62701PHONE: (217) 545-0702E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Specialty Care Providers
377 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
MZIRAY-ANDREW, CHARMAINE H., MD
GENDER: FNPI #: 1225254659SIU PHYSICIANS & SURGEONS301 N 8TH ST SUITE PAV4ASPRINGFIELD, IL 62701PHONE: (217) 545-0702E-PRESCRIBE: NO
PEDIATRIC INFECTIOUS DISEASES
CHAUDHARY, SUBHASH, MDGENDER: MNPI #: 1073597936SIU PHYSICIANS & SURGEONS301 E 8TH STSPRINGFIELD, IL 62701PHONE: (217) 545-0702E-PRESCRIBE: NO
RODRIGUEZ, MARCELA, MDGENDER: FNPI #: 1578785077SIU PHYSICIANS & SURGEONS INC301 N 8THSPRINGFIELD, IL 62794PHONE: (217) 545-8000E-PRESCRIBE: YES
PEDIATRIC NEPHROLOGY
SEIFERT, MICHAEL E., MDGENDER: MNPI #: 1043471618SIU PHYSICIANS & SURGEONS301 N 8TH ST SUITE PAV4ASPRINGFIELD, IL 62701PHONE: (217) 545-0702E-PRESCRIBE: NO
PEDIATRIC NEUROLOGY
PECHE, SHUBHANGI S., MDGENDER: FNPI #: 1063681336SIU PHYSICIANS & SURGEONS301 N 8TH STSPRINGFIELD, IL 62701PHONE: (217) 545-8000E-PRESCRIBE: YES
PRANZATELLI, MICHAEL, MDGENDER: MNPI #: 1205810082SIU PHYSICIANS & SURGEONS751 N RUTLEDGE SUITE 3100SPRINGFIELD, IL 62702PHONE: (217) 545-8417E-PRESCRIBE: NO
SUNDER, THEODORE, MDGENDER: MNPI #: 1255315065SIU PHYSICIANS & SURGEONS301 N 8TH ST PAV 4ASPRINGFIELD, IL 62701PHONE: (217) 545-7196E-PRESCRIBE: NO
751 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-0702E-PRESCRIBE: NO
PEDIATRIC ONCOLOGY/HEMATOLOGY
BRANDT, GREGORY, MDGENDER: MNPI #: 1356326821SIU PHYSICIANS & SURGEONS415 N 9TH STSPRINGFIELD, IL 62701PHONE: (217) 545-5817E-PRESCRIBE: NO
NIEBRUGGE, DANIEL J., MDGENDER: MNPI #: 1194709055SIU PHYSICIANS & SURGEONS301 N 8TH STSPRINGFIELD, IL 62701PHONE: E-PRESCRIBE: NO
415 N 9TH STSPRINGFIELD, IL 62701PHONE: (217) 545-5117E-PRESCRIBE: NO
PEDIATRIC ORTHOPAEDICS
GABRIEL, KEITH R., MDGENDER: MNPI #: 1346236304SIU PHYSICIANS & SURGEONS301 N 8TH STSPRINGFIELD, IL 62701PHONE: (217) 545-7500E-PRESCRIBE: NO
HAUS, BRIAN M., MDGENDER: MNPI #: 1356462824HSHS MEDICAL GROUP301 N 8TH ST SUITE 3B121SPRINGFIELD, IL 62701PHONE: (217) 545-8000E-PRESCRIBE: NO
SINGH, KRISHNA ANJALI, MDGENDER: NPI #: 1841230471SIU PHYSICIANS & SURGEONS301 N 8TH STSPRINGFIELD, IL 62701PHONE: (217) 545-7500E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Specialty Care Providers
378* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
PEDIATRIC PLASTIC SURGERY
BUENO, REUBEN A., MDGENDER: MNPI #: 1821066192SIU PHYSICIANS & SURGEONS747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-6314E-PRESCRIBE: NO
PEDIATRIC PULMONOLOGY
JOHNSON, MARK R., MDGENDER: MNPI #: 1205811775SIU PHYSICIANS & SURGEONS301 N 8TH STSPRINGFIELD, IL 62701PHONE: (217) 545-0654E-PRESCRIBE: NO
SHAFI, ANWAR, MDGENDER: MNPI #: 1487809448SIU PHYSICIANS & SURGEONS301 N 8TH STSPRINGFIELD, IL 62701PHONE: (217) 545-0702E-PRESCRIBE: NO
PEDIATRIC SURGERY
GLASSER, JAMES G., MDGENDER: MNPI #: 1568432250HSHS MEDICAL GROUP800 E CARPENTER STSPRINGFIELD, IL 62769PHONE: (217) 391-0600E-PRESCRIBE: NO
HOLLANDS, CELESTE M., MDGENDER: FNPI #: 1720004971HSHS MEDICAL GROUP800 E CARPENTER STSPRINGFIELD, IL 62769PHONE: (217) 391-0600E-PRESCRIBE: NO
HORTON, JOHN D., MDGENDER: MNPI #: 1487690889HSHS MEDICAL GROUP800 E CARPENTER STSPRINGFIELD, IL 62769-5324PHONE: (217) 391-0600E-PRESCRIBE: NO
KAVIANIAN, ALI R., MDGENDER: MNPI #: 1841299328HSHS MEDICAL GROUP800 E CARPENTER STSPRINGFIELD, IL 62769PHONE: (217) 391-0600E-PRESCRIBE: YES
MAYFORTH, RUTH D., MDGENDER: FNPI #: 1184610255SIU PHYSICIANS & SURGEONS INC415 N 9TH ST SUITE 2W106SPRINGFIELD, IL 62701PHONE: (217) 545-0702E-PRESCRIBE: NO
SANDOVAL, JOHN A., MDGENDER: MNPI #: 1336313824HSHS MEDICAL GROUP800 E CARPENTER STSPRINGFIELD, IL 62769PHONE: (217) 391-0600E-PRESCRIBE: YES
PERINATOLOGY
ABRAMS, ROBERT M., MDGENDER: MNPI #: 1003016965SIU PHYSICIANS & SURGEONS415 N 9TH STSPRINGFIELD, IL 62701PHONE: (217) 545-5117E-PRESCRIBE: NO
THOMPSON, GWYNETH S., MD
GENDER: FNPI #: 1215058490SIU PHYSICIANS & SURGEONS415 N 9TH STSPRINGFIELD, IL 62701PHONE: (217) 545-5117E-PRESCRIBE: NO
UNAL, ELIZABETH R., MDGENDER: FNPI #: 1043394729SIU PHYSICIANS & SURGEONS415 N 9TH STSPRINGFIELD, IL 62794PHONE: (217) 545-5117E-PRESCRIBE: YES
PHYSICAL MEDICINE/REHABILITATION
SMUCKER, PAUL A., MDGENDER: MNPI #: 1952380743ORTHOPAEDIC CENTER OF ILLINOIS1301 S KOKE MILL RDSPRINGFIELD, IL 62711PHONE: (217) 547-9100E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Specialty Care Providers
379 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
TRUDEAU, EDWARD, MDGENDER: MNPI #: 1841250339MEMORIAL MEDICAL CENTER340 W MILLER ST LOWER LEVELSPRINGFIELD, IL 62702PHONE: (217) 788-3377E-PRESCRIBE: NO
WATSON, JOHN O., MDGENDER: MNPI #: 1396770087ORTHOPAEDIC CENTER OF ILLINOIS1301 S KOKE MILL RDSPRINGFIELD, IL 62711PHONE: (217) 547-9100E-PRESCRIBE: NO
PLASTIC RECONSTRUCTIVE SURGERY
BERGMAN, BETH A., MDGENDER: FNPI #: 1457461766SPRINGFIELD CLINIC2901 GREENBRIAR DRSPRINGFIELD, IL 62704PHONE: (217) 528-7541E-PRESCRIBE: YES
BERRY, NADA N., MDGENDER: FNPI #: 1619198157SIU PHYSICIANS & SURGEONS INC747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-6314E-PRESCRIBE: YES
BRENNER, MICHAEL J., MDGENDER: MNPI #: 1023146776SIU PHYSICIANS & SURGEONS747 N RUTLEDGE ST 5TH FLOORSPRINGFIELD, IL 62702PHONE: (217) 545-6099E-PRESCRIBE: NO
BROWN, RICHARD E., MDGENDER: MNPI #: 1710097993SPRINGFIELD CLINIC2901 GREENBRIAR DRSPRINGFIELD, IL 62704PHONE: (217) 528-7541E-PRESCRIBE: YES
NEUMEISTER, MICHEAL W., MD
GENDER: MNPI #: 1326034448SIU PHYSICIANS & SURGEONS747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-6314E-PRESCRIBE: NO
SINHA, RAJ K., MDGENDER: MNPI #: 1134229826SPRINGFIELD CLINIC2901 GREENBRIAR DRSPRINGFIELD, IL 62704PHONE: (217) 528-7541E-PRESCRIBE: YES
SOMMER, NICOLE Z., MDGENDER: FNPI #: 1629064746SIU PHYSICIANS & SURGEONS747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-6314E-PRESCRIBE: NO
WIETFELDT, JOEL H., MDGENDER: MNPI #: 1497977888SPRINGFIELD CLINIC LLP2901 GREENBRIAR DRSPRINGFIELD, IL 62704PHONE: (217) 528-7541E-PRESCRIBE: NO
PODIATRY
PARKER, ROBERT M., DPMGENDER: MNPI #: 1407949571SPRINGFIELD CLINIC1200 S FIFTH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
SHOUDEL, JOHN A., DPMGENDER: MNPI #: 1760480750SIU PHYSICIANS & SURGEONS747 N RUTLEDGE 5TH FLOORSPRINGFIELD, IL 62702PHONE: (217) 545-5878E-PRESCRIBE: NO
SIGLE, JOHN M., DPMGENDER: MNPI #: 1174502868SIU PHYSICIANS & SURGEONS INC747 N RUTLEDGE 5TH FLOORSPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: NO
SIKORSKI, MARTEN J., DPMGENDER: MNPI #: 1811081177SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
SPRINGFIELD, ILSPRINGFIELD, IL
Specialty Care Providers
380* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
SIPES, MARY L., DPMGENDER: FNPI #: 1376524470SPRINGFIELD CLINIC LLP800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: NO
PULMONOLOGY
ABRAHAM, PHILIP J., MDGENDER: MNPI #: 1548375629SPRINGFIELD CLINIC LLP301 N 8TH STSPRINGFIELD, IL 62701PHONE: (217) 528-7541E-PRESCRIBE: NO
BAKIR, MOUHAMAD H., MDGENDER: NPI #: 1154319994SIU PHYSICIANS & SURGEONS751 N RUTLEDGE SUITE 2100SPRINGFIELD, IL 62702PHONE: (217) 545-5864E-PRESCRIBE: NO
BUTNARIU, DANIEL L., MDGENDER: MNPI #: 1043402035MEMORIAL MEDICAL CENTER701 N 1ST STSPRINGFIELD, IL 62781PHONE: E-PRESCRIBE: YES
SIU PHYSICIANS & SURGEONS INC751 N RUTLEDGE SUITE 2100SPRINGFIELD, IL 62702PHONE: (217) 545-5864E-PRESCRIBE: YES
CHANDRA, ALPANA, MDGENDER: FNPI #: 1033212923HSHS MEDICAL GROUP INC543 MILLER STSPRINGFIELD, IL 62702-4978PHONE: (217) 522-5569E-PRESCRIBE: YES
800 E CARPENTER STSPRINGFIELD, IL 62769PHONE: (217) 544-6464E-PRESCRIBE: YES
EAGLETON, LANIE E., MDGENDER: MNPI #: 1205824059SIU PHYSICIANS & SURGEONS751 N RUTLEDGE SUITE 2100SPRINGFIELD, IL 62702PHONE: (217) 545-5864E-PRESCRIBE: NO
HENKLE, JOSEPH Q., MDGENDER: MNPI #: 1629066477SIU PHYSICIANS & SURGEONS751 N RUTLEDGE SUITE 2100SPRINGFIELD, IL 62702PHONE: (217) 545-5864E-PRESCRIBE: NO
KAKUMANI, SRINIVASA R., MD
GENDER: MNPI #: 1508988486SPRINGFIELD CLINIC301 N 8TH ST 6TH FLOORSPRINGFIELD, IL 62701PHONE: (217) 528-7541E-PRESCRIBE: NO
KAPITAN, KENT S., MDGENDER: MNPI #: 1194713958SIU PHYSICIANS & SURGEONS751 N RUTLEDGE SUITE 2100SPRINGFIELD, IL 62702PHONE: (217) 545-5864E-PRESCRIBE: NO
MANN, JON, MDGENDER: MNPI #: 1477651479SPRINGFIELD CLINIC301 N EIGHTH STSPRINGFIELD, IL 62701PHONE: (217) 528-7541E-PRESCRIBE: YES
PATEL, SAMIR, MDGENDER: MNPI #: 1811097595SPRINGFIELD CLINIC301 N EIGHTH STSPRINGFIELD, IL 62701PHONE: (217) 528-7541E-PRESCRIBE: YES
SANGWAN, GAURAV, MDGENDER: MNPI #: 1083820757SPRINGFIELD CLINIC LLP301 N 8TH ST 1ST FLOORSPRINGFIELD, IL 62701PHONE: (217) 527-4720E-PRESCRIBE: NO
SIDDIQUE, MUHAMMAD A., MD
GENDER: MNPI #: 1598944308SIU PHYSICIANS & SURGEONS INC701 N FIRST STSPRINGFIELD, IL 62702PHONE: E-PRESCRIBE: YES
SPRINGFIELD, ILSPRINGFIELD, IL
Specialty Care Providers
381 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
751 N RUTLEDGE SUITE 2100SPRINGFIELD, IL 62702PHONE: (217) 545-5864E-PRESCRIBE: YES
SONG, MINGCHEN, MDGENDER: MNPI #: 1659571487SIU PHYSICIANS & SURGEONS INC751 N RUTLEDGE SUITE 2100SPRINGFIELD, IL 62794PHONE: (217) 545-5864E-PRESCRIBE: YES
SREEDHAR, RAJAGOPAL V., MD
GENDER: MNPI #: 1821211970SIU PHYSICIANS & SURGEONS751 N RUTLEDGE SUITE 2100SPRINGFIELD, IL 62702PHONE: (217) 545-5864E-PRESCRIBE: NO
WHITE, PETER, MDGENDER: MNPI #: 1659313823SIU PHYSICIANS & SURGEONS751 N RUTLEDGE SUITE 2100SPRINGFIELD, IL 62702PHONE: (217) 545-5864E-PRESCRIBE: NO
ZAZA, TAREQ, MDGENDER: MNPI #: 1447287412MEMORIAL MEDICAL CENTER701 N 1ST STSPRINGFIELD, IL 62702PHONE: E-PRESCRIBE: YES
SIU PHYSICIANS & SURGEONS INC751 N RUTLEDGESPRINGFIELD, IL 62794-9636PHONE: (217) 545-8000E-PRESCRIBE: YES
RADIATION ONCOLOGY
CLAUSEN, CATHY L., MDGENDER: FNPI #: 1073526091SIMMONS CANCER INSTITUTE AT SIU315 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: NO
UNIVERSITY RADIOLOGISTS SC701 N FIRST STSPRINGFIELD, IL 62781PHONE: (217) 788-3260E-PRESCRIBE: NO
800 E CARPENTER STSPRINGFIELD, IL 62769PHONE: (217) 525-5666E-PRESCRIBE: NO
NANAVATI, PARASHAR J., MD
GENDER: MNPI #: 1548359938SIMMONS CANCER INSTITUTE AT SIU315 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: NO
UNIVERSITY RADIOLOGISTS701 N FIRST STSPRINGFIELD, IL 62781PHONE: (217) 788-3260E-PRESCRIBE: NO
SHANAHAN, THOMAS, MDGENDER: MNPI #: 1366531360SIMMONS CANCER INSTITUTE AT SIU315 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: NO
UNVERSITY RADIOLOGISTS701 N FIRST STSPRINGFIELD, IL 62781PHONE: (217) 788-3260E-PRESCRIBE: NO
SHEVLIN, BRUCE E., MDGENDER: MNPI #: 1922197581SIMMONS CANCER INSTITUTE AT SIU315 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: NO
UNIVERSITY RADIOLOGISTS SC701 N FIRST STSPRINGFIELD, IL 62781PHONE: (217) 788-3260E-PRESCRIBE: NO
800 E CARPENTERSPRINGFIELD, IL 62769PHONE: (217) 525-5666E-PRESCRIBE: NO
WYNSTRA, JAMES H., MDGENDER: MNPI #: 1467541946SIMMONS CANCER INSTITUTE AT SIU315 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Specialty Care Providers
382* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
UNIVERSITY RADIOLOGISTS SC800 E CARPENTER STSPRINGFIELD, IL 62769PHONE: (217) 525-5666E-PRESCRIBE: NO
UNIVERSTIY RADIOLOGISTS SC701 N FIRST STSPRINGFIELD, IL 62781PHONE: (217) 788-3260E-PRESCRIBE: NO
RHEUMATOLOGY
GUTHRIE, JASON P., MDGENDER: MNPI #: 1437299682SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
HORVATH, JEFFREY R., MDGENDER: MNPI #: 1588761811SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
MILLER, ANNE V., MDGENDER: FNPI #: 1285637975SIU PHYSICIANS & SURGEONS751 N RUTLEDGE SUITE 2300SPRINGFIELD, IL 62702PHONE: (217) 545-0182E-PRESCRIBE: NO
PICK, MICHAEL A., MDGENDER: MNPI #: 1861585846SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
RANATUNGA, SRIYA, MDGENDER: MNPI #: 1689662314SIU PHYSICIANS & SURGEONS751 N RUTLEDGE SUITE 2300SPRINGFIELD, IL 62702PHONE: (217) 545-0173E-PRESCRIBE: NO
STERN, MARK A., MDGENDER: MNPI #: 1033201579SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
TRAYCOFF, ROGER B., MDGENDER: MNPI #: 1528078540PHYSICIANS GROUP ASSOCIATES SC2901 OLD JACKSONVILLE RDSPRINGFIELD, IL 62704PHONE: (217) 698-9722E-PRESCRIBE: NO
TUMYAN, ANNA, MDGENDER: FNPI #: 1649463076SIU PHYSICIANS & SURGEONS INC751 N RUTLEDGE SUITE 2300SPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: NO
SLEEP MEDICINE
PATEL, SAMIR, MDGENDER: MNPI #: 1811097595SPRINGFIELD CLINIC301 N EIGHTH STSPRINGFIELD, IL 62701PHONE: (217) 528-7541E-PRESCRIBE: YES
SIDDIQUE, MUHAMMAD A., MD
GENDER: MNPI #: 1598944308SIU PHYSICIANS & SURGEONS INC701 N FIRST STSPRINGFIELD, IL 62702PHONE: E-PRESCRIBE: YES
751 N RUTLEDGE SUITE 2100SPRINGFIELD, IL 62702PHONE: (217) 545-5864E-PRESCRIBE: YES
SPORTS MEDICINE
BECTON, WENDELL W., MDGENDER: MNPI #: 1649237504SIU PHYSICIANS & SURGEONS INC747 N RUTLEDGE 5TH FLSPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: NO
SHARMA, RISHI, MDGENDER: MNPI #: 1801084736SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
SPRINGFIELD, ILSPRINGFIELD, IL
Specialty Care Providers
383 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
WESTERN, GARY BRETT, MDGENDER: MNPI #: 1457462558SPRINGFIELD CLINIC1025 S 7TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
TRAUMA SURGERY
WALL, JARROD C., MDGENDER: MNPI #: 1184695520SIU PHYSICIANS & SURGEONS421 N 9TH ST SUITE 240SPRINGFIELD, IL 62701PHONE: (217) 545-5183E-PRESCRIBE: NO
747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-5555E-PRESCRIBE: NO
UROLOGY
BARON, THOMAS E., MDGENDER: MNPI #: 1972615748SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
BITZER, DAVID J., MDGENDER: MNPI #: 10038014992930 MONTVALE SUITE CSPRINGFIELD, IL 62704PHONE: (217) 726-8252E-PRESCRIBE: NO
EL ZAWAHRY, AHMED M., MDGENDER: MNPI #: 1982792669SIU PHYSICIANS & SURGEONS INC301 N 8TH ST SUITE PAV 4BSPRINGFIELD, IL 62701PHONE: (217) 545-7500E-PRESCRIBE: NO
GORBONOS, ALEX, MDGENDER: MNPI #: 1538341060SIMMONS CANCER INSTITUTE AT SIU315 W CAPPENTER STSPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: NO
SIU PHYSICIANS & SURGEONS INC301 N 8TH STSPRINGFIELD, IL 62794PHONE: (217) 545-7500E-PRESCRIBE: NO
KOHLER, TOBIAS S., MDGENDER: NPI #: 1073656617SIU PHYSICIANS & SURGEONS301 N 8TH STSPRINGFIELD, IL 62701PHONE: (217) 545-7500E-PRESCRIBE: NO
747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-7500E-PRESCRIBE: NO
751 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-2229E-PRESCRIBE: NO
LIEBER, DAVID C., MDGENDER: MNPI #: 1558462408SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62794PHONE: (217) 528-7541E-PRESCRIBE: YES
MCVARY, KEVIN T., MDGENDER: MNPI #: 1356369185SIU PHYSICIANS & SURGEONS INC301 N 8TH ST PAV 4BSPRINGFIELD, IL 62701PHONE: (217) 545-7500E-PRESCRIBE: NO
ROSZHART, DAVID A., MDGENDER: MNPI #: 1235222191SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
SCHWARTZ, BRADLEY F., DOGENDER: MNPI #: 1821084856SIU PHYSICIANS & SURGEONS301 N 8TH STSPRINGFIELD, IL 62701PHONE: (217) 545-7500E-PRESCRIBE: NO
SEVERINO, WILLIAM C., MDGENDER: MNPI #: 1659464493SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
SPRINGFIELD, ILSPRINGFIELD, IL
Specialty Care Providers
384* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
VASCULAR SURGERY
BARKMEIER, LYNNE D., MDGENDER: FNPI #: 1538262431SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
HODGSON, KIM, MDGENDER: FNPI #: 1417943937SIU PHYSICIANS & SURGEONS747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-5555E-PRESCRIBE: NO
HOOD, DOUGLAS B., MDGENDER: MNPI #: 1679505242SIU PHYSICIANS & SURGEONS747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-5555E-PRESCRIBE: NO
KOLLURI, RAGHU, MDGENDER: MNPI #: 1053495325PRAIRIE CARDIOVASCULAR CONSULTANTS LTD401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
619 E MASON SUITE 4PF7SPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: YES
LAMBERT, ANDREW D., MDGENDER: MNPI #: 1942413026SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
NADOUR, ALAA, MDGENDER: MNPI #: 1326178302PRAIRIE CARDIOVASCULAR CONSULTANTS401 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 788-0706E-PRESCRIBE: NO
619 E MASON ST 4P57SPRINGFIELD, IL 62701PHONE: (217) 788-0706E-PRESCRIBE: NO
RAMSEY, DON E., MDGENDER: MNPI #: 1366438897SIU PHYSICIANS & SURGEONS747 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-5555E-PRESCRIBE: NO
RYAN, STEPHEN M., MDGENDER: MNPI #: 1407949365SPRINGFIELD CLINIC800 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 528-7541E-PRESCRIBE: YES
VITREOUS/RETINAL SURGERY
PUROHIT, AMISH R., MDGENDER: MNPI #: 1346262698SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: YES
PULMONOLOGY
ABRAHAM, RAJU Z., MDGENDER: MNPI #: 1003830852PULMONARY & CRITICAL CARE ASSOCIATES135 W STATION STST ANNE, IL 60964PHONE: (815) 427-8189E-PRESCRIBE: NO
KUTTY, AHAMED V., MDGENDER: MNPI #: 1881624054PULMONARY & CRITICAL CARE135 W STATION STREETST ANNE, IL 60964PHONE: (815) 427-8189E-PRESCRIBE: NO
SLEEP MEDICINE
ABRAHAM, RAJU Z., MDGENDER: MNPI #: 1003830852PULMONARY & CRITICAL CARE ASSOCIATES135 W STATION STST ANNE, IL 60964PHONE: (815) 427-8189E-PRESCRIBE: NO
ST ANNE, IL
SPRINGFIELD, ILST ANNE, IL
Specialty Care Providers
385 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
CARDIOLOGY
LUCORE, CHARLES L., MDGENDER: MNPI #: 1821172198COMMUNITY MEMORIAL HOSPITAL400 CALDWELL STSTAUNTON, IL 62088PHONE: (618) 635-2200E-PRESCRIBE: NO
SHELTON, MARC E., MDGENDER: MNPI #: 1245313840COMMUNITY MEMORIAL HOSPITAL400 CALDWELL STSTAUNTON, IL 62088PHONE: (618) 635-2200E-PRESCRIBE: NO
STEEN, MARK S., MDGENDER: MNPI #: 1306929906COMMUNITY MEMORIAL HOSPITAL400 CALDWELL STSTAUNTON, IL 62088PHONE: (618) 635-2200E-PRESCRIBE: NO
GENERAL SURGERY
BLASER, JOSEPH A., DOGENDER: MNPI #: 1316064157COMMUNITY MEMORIAL HOSPITAL400 CALDWELLSTAUNTON, IL 62088PHONE: (618) 635-2200E-PRESCRIBE: NO
MONTGOMERY COUNTY SURGICAL ASSOCIATES LLC400 CALDWELLSTAUNTON, IL 62088PHONE: (217) 324-8730E-PRESCRIBE: NO
444 N EDWARDSVILLE STSTAUNTON, IL 62088PHONE: (217) 324-8730E-PRESCRIBE: NO
PINEDA, NICHOLAS C., MDGENDER: MNPI #: 1639191000COMMUNITY MEMORIAL HOSPITAL400 N CALDWELL STSTAUNTON, IL 62088PHONE: (618) 635-4267E-PRESCRIBE: NO
URETA, EMERITO F., MDGENDER: MNPI #: 1558441394COMMUNITY MEMORIAL HOSPITAL400 N CALDWELL STSTAUNTON, IL 62088PHONE: (618) 635-4267E-PRESCRIBE: NO
NEUROLOGY
MEHRA, MUKTESHWAR L., MD
GENDER: MNPI #: 1699728584PGA-COMMUNITY MEMORIAL HOSPITAL400 N CALDWELLSTAUNTON, IL 62088PHONE: (618) 635-2000E-PRESCRIBE: NO
PULMONOLOGY
CHANDRA, ALPANA, MDGENDER: FNPI #: 1033212923HSHS MEDICAL GROUP INC400 N CALDWELL STSTAUNTON, IL 62088-1499PHONE: (618) 635-4241E-PRESCRIBE: YES
PEDIATRIC CARDIOLOGY
CHAN, DAVID P., MDGENDER: MNPI #: 1427057595OSF CHILDRENS MEDICAL GROUP-CONGENITAL HEART CEN100 E LEVEVRE RDSTERLING, IL 61081PHONE: (815) 227-5600E-PRESCRIBE: NO
PODIATRY
LEONARD, W MARC, DPMGENDER: MNPI #: 1710098652CFAC INCORPORATED2 W ADAMS STSULLIVAN, IL 61951PHONE: (309) 212-3066E-PRESCRIBE: NO
SPORTS MEDICINE
HARTMAN, PATRICK, MDGENDER: MNPI #: 1861508160SBL SULLIVAN CLINIC7 HAWTHORNE LNSULLIVAN, IL 61951PHONE: (217) 728-8441E-PRESCRIBE: NO
STAUNTON, IL
STERLING, IL
SULLIVAN, IL
STAUNTON, ILSULLIVAN, IL
Specialty Care Providers
386* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
CARDIOLOGY
PATEL, ROSHAN B., MDGENDER: MNPI #: 1558470112ROCKFORD CARDIOVASCULAR ASSOCIATES1850 GATEWAY DRSYCAMORE, IL 60178PHONE: (815) 217-3810E-PRESCRIBE: NO
ALLERGY/IMMUNOLOGY
SIRI, DAREEN D., MDGENDER: FNPI #: 1730272998SPRINGFIELD CLINIC600 N MAIN STTAYLORVILLE, IL 62568PHONE: (217) 287-8855E-PRESCRIBE: YES
CARDIOLOGY
NESTER, JOHN E., MDGENDER: MNPI #: 1386737435SPRINGFIELD CLINIC600 N MAIN STTAYLORVILLE, IL 62568PHONE: (217) 287-8855E-PRESCRIBE: YES
DERMATOLOGY
CLAMAN, CASSANDRA C., MD
GENDER: FNPI #: 1356380281SPRINGFIELD CLINIC600 N MAIN STTAYLORVILLE, IL 62568PHONE: (217) 287-8855E-PRESCRIBE: NO
GENERAL SURGERY
MANSON, WAYNE L., MDGENDER: MNPI #: 1255439261SPRINGFIELD CLINIC600 N MAIN STTAYLORVILLE, IL 62568PHONE: (217) 824-8191E-PRESCRIBE: NO
NEUROLOGY
FORTIN, CLAUDE J., MDGENDER: MNPI #: 1235225780SPRINGFIELD CLINIC600 N MAIN STTAYLORVILLE, IL 62568PHONE: (217) 287-8855E-PRESCRIBE: YES
OPHTHALMOLOGY
BUTLER, PATRICK J., MDGENDER: MNPI #: 1316057516SPRINGFIELD CLINIC900 W SPRINGFIELD RDTAYLORVILLE, IL 62568PHONE: (217) 824-4991E-PRESCRIBE: NO
DERANIAN, MARCUS S., MDGENDER: MNPI #: 1952367351ADVANCED EYE CARE CENTERS900 SPRINGFIELD RDTAYLORVILLE, IL 62568PHONE: (217) 824-4991E-PRESCRIBE: YES
PUROHIT, AMISH R., MDGENDER: MNPI #: 1346262698SPRINGFIELD CLINIC900 W SPRINGFIELD RDTAYLORVILLE, IL 62568PHONE: (217) 824-4991E-PRESCRIBE: YES
ORTHOPAEDICS
HILLARD-SEMBELL, DIANE C., MD
GENDER: FNPI #: 1972600294SPRINGFIELD CLINIC600 N MAIN STTAYLORVILLE, IL 62568PHONE: (217) 287-8855E-PRESCRIBE: YES
PINEDA, STEPHEN J., MDGENDER: MNPI #: 1528178654SPRINGFIELD CLINIC600 N MAIN STTAYLORVILLE, IL 62568PHONE: (217) 287-8855E-PRESCRIBE: YES
SCHOPP, JEFFREY A., MDGENDER: MNPI #: 1891888608SPRINGFIELD CLINIC600 N MAIN STTAYLORVILLE, IL 62568PHONE: (217) 287-8855E-PRESCRIBE: YES
SYCAMORE, IL
TAYLORVILLE, IL
SYCAMORE, ILTAYLORVILLE, IL
Specialty Care Providers
387 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
OTOLARYNGOLOGY
GARCIA, PHILIP, MDGENDER: MNPI #: 1831295815SPRINGFIELD CLINIC600 N MAIN STTAYLORVILLE, IL 62568PHONE: (217) 827-8855E-PRESCRIBE: YES
HUANG, XINYAN, MDGENDER: MNPI #: 1295862365SPRINGFIELD CLINIC600 N MAIN STTAYLORVILLE, IL 62568PHONE: (217) 287-8855E-PRESCRIBE: YES
PLASTIC RECONSTRUCTIVE SURGERY
SINHA, RAJ K., MDGENDER: MNPI #: 1134229826SPRINGFIELD CLINIC600 N MAIN STTAYLORVILLE, IL 62568PHONE: (217) 287-8855E-PRESCRIBE: YES
PODIATRY
SIKORSKI, MARTEN J., DPMGENDER: MNPI #: 1811081177SPRINGFIELD CLINIC600 N MAIN STTAYLORVILLE, IL 62568PHONE: (217) 287-8855E-PRESCRIBE: YES
PULMONOLOGY
PRABHU, MANJESHWAR, MDGENDER: MNPI #: 1770683450SPRINGFIELD CLINIC600 N MAIN STTAYLORVILLE, IL 62568PHONE: (217) 824-4939E-PRESCRIBE: NO
RHEUMATOLOGY
GUTHRIE, JASON P., MDGENDER: MNPI #: 1437299682SPRINGFIELD CLINIC600 N MAIN STTAYLORVILLE, IL 62568PHONE: (217) 287-8855E-PRESCRIBE: YES
STERN, MARK A., MDGENDER: MNPI #: 1033201579SPRINGFIELD CLINIC600 N MAIN STTAYLORVILLE, IL 62568PHONE: (217) 287-8855E-PRESCRIBE: YES
UROLOGY
BARON, THOMAS E., MDGENDER: MNPI #: 1972615748SPRINGFIELD CLINIC600 N MAIN STTAYLORVILLE, IL 62568PHONE: (217) 287-8855E-PRESCRIBE: YES
ROSZHART, DAVID A., MDGENDER: MNPI #: 1235222191SPRINGFIELD CLINIC600 N MAIN STTAYLORVILLE, IL 62568PHONE: (217) 287-8855E-PRESCRIBE: YES
SEVERINO, WILLIAM C., MDGENDER: MNPI #: 1659464493SPRINGFIELD CLINIC600 N MAIN STTAYLORVILLE, IL 62568PHONE: (217) 287-8855E-PRESCRIBE: YES
VASCULAR SURGERY
RYAN, STEPHEN M., MDGENDER: MNPI #: 1407949365SPRINGFIELD CLINIC600 N MAIN STTAYLORVILLE, IL 62568PHONE: (217) 287-8855E-PRESCRIBE: YES
VITREOUS/RETINAL SURGERY
PUROHIT, AMISH R., MDGENDER: MNPI #: 1346262698SPRINGFIELD CLINIC900 W SPRINGFIELD RDTAYLORVILLE, IL 62568PHONE: (217) 824-4991E-PRESCRIBE: YES
PODIATRY
LEONARD, W MARC, DPMGENDER: MNPI #: 1710098652COMPREHENSIVE FOOT & ANKLE CLINIC105 S LOCUSTTREMONT, IL 61568PHONE: (309) 212-3066E-PRESCRIBE: NO
TREMONT, IL
TAYLORVILLE, ILTREMONT, IL
Specialty Care Providers
388* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
CARDIOLOGY
BODINE, CHRISTOPHER K., MD
GENDER: MNPI #: 1396775185CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3210E-PRESCRIBE: YES
BRASCH, ANDREA V., MDGENDER: FNPI #: 1740353457CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3210E-PRESCRIBE: YES
FARASAT, MORTEZA, MDGENDER: FNPI #: 1891849105CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3210E-PRESCRIBE: YES
GIBB, MATTHEW D., MDGENDER: MNPI #: 1609895820CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3210E-PRESCRIBE: YES
LAKSHMINARAYANAN, BATLAGUNDU S., MD
GENDER: MNPI #: 1326060278CHRISTIE CLINIC1400 W PARK STURBANA, IL 61801PHONE: (217) 366-1200E-PRESCRIBE: YES
MEHTA, SANJAY S., MDGENDER: NPI #: 1477572022CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3210E-PRESCRIBE: YES
MONGWA, MBU, MDGENDER: MNPI #: 1295947083CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3210E-PRESCRIBE: YES
ORAKZAI, SARWAR H., MDGENDER: MNPI #: 1295901270CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3210E-PRESCRIBE: YES
RHEE, BENJAMIN J., MDGENDER: MNPI #: 1013957935CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3210E-PRESCRIBE: YES
SANCHEZ-TORRES, REINALDO J., MD
GENDER: MNPI #: 1467468553CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3210E-PRESCRIBE: YES
SATTIRAJU, SRINIVASAN, MD
GENDER: MNPI #: 1215900808CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3210E-PRESCRIBE: YES
SOMA, VIKAS R., MDGENDER: MNPI #: 1326095894CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3210E-PRESCRIBE: YES
CARDIOTHORACIC SURGERY
COOK, L SCOTT, MDGENDER: MNPI #: 1508891219CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3810E-PRESCRIBE: YES
CARDIOVASCULAR SURGERY
COLLA, MICHAEL V., MDGENDER: MNPI #: 1457382913CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3810E-PRESCRIBE: YES
URBANA, IL
URBANA, ILURBANA, IL
Specialty Care Providers
389 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
COLON/RECTAL SURGERY
OLSON, MICHELLE M., MDGENDER: FNPI #: 1366405102CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3080E-PRESCRIBE: YES
TANGEN, LYN E., MDGENDER: MNPI #: 1417068131CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3080E-PRESCRIBE: YES
TENDER, PAUL M., MDGENDER: MNPI #: 1326159088CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3080E-PRESCRIBE: YES
GASTROENTEROLOGY
BATEY, ANDREW, MDGENDER: MNPI #: 1225068463CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3610E-PRESCRIBE: YES
GREENBERG, EUGENE, MDGENDER: MNPI #: 1396769584CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3610E-PRESCRIBE: YES
HALLETT, JEFFREY L., MDGENDER: MNPI #: 1760499313CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3610E-PRESCRIBE: YES
HENRY, PATRICIA, DOGENDER: FNPI #: CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61802PHONE: (217) 383-3204E-PRESCRIBE: YES
YOUSSEF, WAEL I., MDGENDER: NPI #: 1124173349CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3610E-PRESCRIBE: YES
GENERAL SURGERY
BERLIN JR, RICHARD B., MDGENDER: MNPI #: 1063446193CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3240E-PRESCRIBE: YES
CHASE, DANIEL M., MDGENDER: MNPI #: 1215255252CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3088E-PRESCRIBE: YES
CRADOCK, KIMBERLY A., MDGENDER: FNPI #: 1659483204CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3240E-PRESCRIBE: YES
MOORE III, HENRY R., MDGENDER: MNPI #: 1932392099CARLE FOUNDATION PHYSICIAN SERVICES LLC611 W PARK STURBANA, IL 61801PHONE: (217) 383-3210E-PRESCRIBE: NO
CARLE PHYSICIAN GROUP611 W PARKURBANA, IL 61801PHONE: (217) 383-3210E-PRESCRIBE: YES
PEARL, RICHARD H., MDGENDER: MNPI #: 1457389272CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3088E-PRESCRIBE: YES
RAY, PARTHA S., MDGENDER: MNPI #: 1437313855CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: E-PRESCRIBE: YES
URBANA, ILURBANA, IL
Specialty Care Providers
390* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
ROWITZ, BLAIR M., MDGENDER: MNPI #: 1336186279CARLE FOUNDATION HOSPITAL611 W PARK STURBANA, IL 61801PHONE: E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3240E-PRESCRIBE: YES
SUNDARAM, MAGESH, MDGENDER: MNPI #: 1114924735CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3010E-PRESCRIBE: YES
VEGUNTA, RAVINDRA K., MDGENDER: MNPI #: 1346280203CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3088E-PRESCRIBE: YES
GENETICS
BURTON, JENNIFER E.GENDER: FNPI #: 1285610311CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-6636E-PRESCRIBE: YES
SCHNEIDER, MICHAEL C., MD
GENDER: MNPI #: 1326022278CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3100E-PRESCRIBE: YES
GERIATRICS
BARKER, B CLAIRE, MDGENDER: FNPI #: 1972554061CARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9646E-PRESCRIBE: YES
GHULYANI, SHUKTI, MDGENDER: NPI #: 1225203805CARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9646E-PRESCRIBE: YES
ISSA, HANI, MDGENDER: MNPI #: 1619144045CARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9646E-PRESCRIBE: YES
MANU, DEVARAJAN, MDGENDER: MNPI #: 1275734717CARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9646E-PRESCRIBE: YES
OLUWEHINMI, FOLA O., MDGENDER: MNPI #: 1912017690CARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9646E-PRESCRIBE: YES
PETER, SUMA P., MDGENDER: FNPI #: 1730199944CARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9646E-PRESCRIBE: YES
GYNECOLOGIC ONCOLOGY
KIMBALL, RONALD E., MDGENDER: MNPI #: 1003806514CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3140E-PRESCRIBE: YES
HEMATOLOGY/ONCOLOGY
EGNER, JAMES R., MDGENDER: MNPI #: 1053330993CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3010E-PRESCRIBE: YES
GRAHAM, DAVID L., MDGENDER: MNPI #: 1477575652CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3010E-PRESCRIBE: YES
URBANA, ILURBANA, IL
Specialty Care Providers
391 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
GROSSE PERDEKAMP, MARIA T., MD
GENDER: FNPI #: 1124077714CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3010E-PRESCRIBE: YES
LUYUN, RONNIE F., MDGENDER: MNPI #: 1346291960CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3010E-PRESCRIBE: YES
VASIREDDY, VAMSI K., DOGENDER: NPI #: 1801802996CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3010E-PRESCRIBE: YES
WAHBA, SAFWAT, MDGENDER: MNPI #: 1689707895PROVENA MEDICAL GROUP1400 W PARK ST SUITE C160URBANA, IL 61801PHONE: (217) 337-2808E-PRESCRIBE: NO
ZHANG, WENQING (MARK), MD
GENDER: MNPI #: 1720286594CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3010E-PRESCRIBE: YES
INFECTIOUS DISEASES
AHMED, MOHAMMAD S., MDGENDER: MNPI #: 1902994320CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3154E-PRESCRIBE: YES
DOLAN, STEPHEN A., MDGENDER: MNPI #: 1033137104CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-1554E-PRESCRIBE: YES
ENGLAND III, ALBERT C., MDGENDER: MNPI #: 1699782953CHRISTIE CLINIC1400 W PARK STURBANA, IL 61801PHONE: (217) 366-1200E-PRESCRIBE: YES
MUSIAL, CORA E., MDGENDER: FNPI #: 1609889450CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-1554E-PRESCRIBE: YES
SIVASUBRAMANIAN, GEETHA, MD
GENDER: FNPI #: 1306089479CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-1554E-PRESCRIBE: YES
INTENSIVE CARE/CRITICAL CARE
JOHNSON, MARK A., MDGENDER: MNPI #: 1730383662CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3210E-PRESCRIBE: YES
KHAN, AKBAR A., MDGENDER: MNPI #: 1528179637CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3087E-PRESCRIBE: YES
MOORE III, HENRY R., MDGENDER: MNPI #: 1932392099CARLE FOUNDATION PHYSICIAN SERVICES LLC611 W PARK STURBANA, IL 61801PHONE: (217) 383-3210E-PRESCRIBE: NO
CARLE PHYSICIAN GROUP611 W PARKURBANA, IL 61801PHONE: (217) 383-3210E-PRESCRIBE: YES
INTERVENTIONAL RADIOLOGY
HONG, STEVE C., MDGENDER: MNPI #: 1154536530CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3270E-PRESCRIBE: YES
URBANA, ILURBANA, IL
Specialty Care Providers
392* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
NEUWIRTH, MICHAEL, MDGENDER: MNPI #: 1699884106CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: E-PRESCRIBE: YES
SANTELER, SCOTT R., MDGENDER: MNPI #: 1346430667CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3270E-PRESCRIBE: YES
NEONATOLOGY
CROUSE, DENNIS T., MDGENDER: MNPI #: 1225012180CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-4636E-PRESCRIBE: YES
GELKE, KIM, MDGENDER: MNPI #: 1154335917CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3266E-PRESCRIBE: YES
KUMARASWAMY, LATHA, MDGENDER: FNPI #: 1326075128CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-4636E-PRESCRIBE: YES
MANSURY, NASIRUDDIN A., MD
GENDER: MNPI #: 1184764706CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-4636E-PRESCRIBE: YES
SIDDIQUI, KHALID, MDGENDER: MNPI #: 1538279724CARLE PHYSICIAN GROUP611 W PARK STREETURBANA, IL 61801-2500PHONE: (217) 383-3266E-PRESCRIBE: YES
STRATTON, WILLIAM C., MDGENDER: MNPI #: 1104926245CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3266E-PRESCRIBE: YES
NEPHROLOGY
ATTIA, ABDEL-MONEIM M., MD
GENDER: MNPI #: 1316977614CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3605E-PRESCRIBE: YES
HOLLEY, JEAN L., MDGENDER: FNPI #: 1649349259CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3605E-PRESCRIBE: YES
ULOZAS, ERLANDAS, MDGENDER: MNPI #: 1699774158CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3605E-PRESCRIBE: YES
NEURO OPHTHALMOLOGY
MCNUSSEN, PATRICIA J., MDGENDER: FNPI #: 1528089067CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3440E-PRESCRIBE: YES
NEUROLOGY
ARONSON, KENNETH S., MDGENDER: MNPI #: 1316971153CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3440E-PRESCRIBE: YES
BREMMER, HARRY L., MDGENDER: MNPI #: 1023043098CARLE PHYSICIAN GROUP602 W UNIVERSITY AVENUEURBANA, IL 61801-2530PHONE: (217) 383-3440E-PRESCRIBE: YES
CHEN, RONG, MDGENDER: NPI #: 1689879314CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3440E-PRESCRIBE: YES
URBANA, ILURBANA, IL
Specialty Care Providers
393 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
CRANSTON, ROBERT E., MDGENDER: MNPI #: 1457460057CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3440E-PRESCRIBE: YES
DAVIES, CHARLES R., MDGENDER: MNPI #: 1285669911CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-4203E-PRESCRIBE: YES
KHOSROWSHAHI, SAMINEH, MD
GENDER: NPI #: 1235185224CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3440E-PRESCRIBE: YES
NEUROPSYCHOLOGY
GRANT, DOUGLAS E., PHDGENDER: MNPI #: 1508997792CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3520E-PRESCRIBE: YES
NEURORADIOLOGY
CALDEMEYER, KAREN S., MDGENDER: FNPI #: 1679511356CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3270E-PRESCRIBE: YES
OSBORNE, THOMAS F., MDGENDER: MNPI #: 1053376418CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3270E-PRESCRIBE: YES
NEUROSURGERY
FARAHVAR, ARASH, MDGENDER: MNPI #: 1659382679CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3440E-PRESCRIBE: YES
OLIVERO, WILLIAM C., MDGENDER: MNPI #: 1871609669CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3507E-PRESCRIBE: YES
RAK, RICHARD A., MDGENDER: MNPI #: 1366541112CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3440E-PRESCRIBE: YES
WANG, HUAN (JOHN), MDGENDER: MNPI #: 1790908168CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3440E-PRESCRIBE: YES
OCCUPATIONAL MEDICINE
CHEN, PHILBERT, MDGENDER: MNPI #: 1073548970CARLE PHYSICIAN GROUP810 W ANTHONY DRURBANA, IL 61801PHONE: (217) 383-3229E-PRESCRIBE: YES
PATINO, NICOLE A., MDGENDER: FNPI #: 1366688913CARLE PHYSICIAN GROUP810 W ANTHONY DRURBANA, IL 61801PHONE: (217) 383-3229E-PRESCRIBE: YES
ONCOLOGY
JOHNSON, PATRICIA, MDGENDER: FNPI #: 1467477869CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3010E-PRESCRIBE: YES
ROWLAND, KENDRITH, MDGENDER: MNPI #: 1407955206CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3010E-PRESCRIBE: YES
OPHTHALMOLOGY
AJUNWA, MELISSA O., MDGENDER: FNPI #: 1235394230CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3150E-PRESCRIBE: YES
URBANA, ILURBANA, IL
Specialty Care Providers
394* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
GILLHAM, GARY T., ODGENDER: MNPI #: 1245386333CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3150E-PRESCRIBE: YES
GRAY, DOUGLAS, MDGENDER: MNPI #: 1144244336CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3150E-PRESCRIBE: YES
PANAGAKIS, GEORGE, DOGENDER: MNPI #: 1215947403CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3150E-PRESCRIBE: YES
REDDY, CHITTARANJAN V., MD
GENDER: MNPI #: 1992737084PROVENA MEDICAL OFFICE BLDG1405 W PARK ST SUITE 306URBANA, IL 61801PHONE: (217) 531-5454E-PRESCRIBE: NO
ORAL/MAXILLOFACIAL SURGERY
BAILEY, JONATHAN S., DMDGENDER: MNPI #: 1366476947CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3280E-PRESCRIBE: YES
NORBUTT, CRAIG S., DMDGENDER: MNPI #: 1720314537CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3280E-PRESCRIBE: YES
SABOL, STEPHEN R., DDSGENDER: MNPI #: 1104925908CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3280E-PRESCRIBE: YES
ORTHOPAEDICS
BANE, ROBERT A., MDGENDER: MNPI #: 1487688974CARLE PHYSICIAN GROUP810 W ANTHONY DRURBANA, IL 61801PHONE: (217) 383-3300E-PRESCRIBE: YES
GURTLER, ROBERT, MDGENDER: MNPI #: 1811911001CARLE PHYSICIAN GROUP810 W ANTHONY DRURBANA, IL 61801PHONE: (217) 326-2255E-PRESCRIBE: YES
HARMS, JAMES J., MDGENDER: MNPI #: 1619984267CARLE PHYSICIAN GROUP610 N LINCOLN AVEURBANA, IL 61801PHONE: (217) 383-6555E-PRESCRIBE: YES
KOHLMANN, JAMES, MDGENDER: MNPI #: 15886632721405 W PARK ST SUITE 306URBANA, IL 61801PHONE: (217) 531-5450E-PRESCRIBE: NO
PINEDA, STEPHEN, MDGENDER: MNPI #: 1528178654CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3260E-PRESCRIBE: YES
ZIMMERMAN, JERRAD P., MDGENDER: MNPI #: 1194838789CARLE PHYSICIAN GROUP810 W ANTHONY DRURBANA, IL 61801PHONE: (217) 383-3300E-PRESCRIBE: YES
OTOLARYNGOLOGY
BROCKENBROUGH, JOHN M., MD
GENDER: MNPI #: 1134154131CARLE FOUNDATION PHYSICIAN SERVICES LLC602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3130E-PRESCRIBE: NO
CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3130E-PRESCRIBE: YES
URBANA, ILURBANA, IL
Specialty Care Providers
395 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
CUNNINGHAM, KELLY, MDGENDER: FNPI #: 1124279450CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3130E-PRESCRIBE: YES
MARIS, CHARLES R., MDGENDER: MNPI #: 1932170982CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3130E-PRESCRIBE: YES
NOVAK, MICHAEL A., MDGENDER: MNPI #: 1134238694CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3130E-PRESCRIBE: YES
PORTER, RYAN G., MDGENDER: MNPI #: 1912160441CARLE FOUNDATION PHYSICIAN SERVICES LLC602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3130E-PRESCRIBE: NO
CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3130E-PRESCRIBE: YES
PEDIATRIC CRITICAL CARE
LONGO, THERESA A., MDGENDER: FNPI #: 1902990518CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3210E-PRESCRIBE: YES
TERAYANONT, TAVEEPONG, MD
GENDER: MNPI #: 1427087188CARLE PHYSICIAN GROUP611 W PARK STREETURBANA, IL 61801-2500PHONE: E-PRESCRIBE: YES
PEDIATRIC GASTROENTEROLOGY
WANG, MU, MDGENDER: NPI #: 1194799684CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3100E-PRESCRIBE: YES
PEDIATRIC NEUROLOGY
KENNEDY, GAIL L., MDGENDER: FNPI #: 1457376725CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3100E-PRESCRIBE: YES
NALLU, SAGARIKA, MDGENDER: FNPI #: 1255581070CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3100E-PRESCRIBE: YES
PEDIATRIC OPHTHALMOLOGY
PANAGAKIS, GEORGE, DOGENDER: MNPI #: 1215947403CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3150E-PRESCRIBE: YES
PEDIATRIC PULMONOLOGY
DAVISON, DONALD F., MDGENDER: MNPI #: 1780629485CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3100E-PRESCRIBE: YES
PEDIATRIC SURGERY
PEARL, RICHARD H., MDGENDER: MNPI #: 1457389272CARLE FOUNDATION HOSPITAL611 W PARK STURBANA, IL 61801PHONE: (217) 383-3311E-PRESCRIBE: NO
URBANA, ILURBANA, IL
Specialty Care Providers
396* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
PEDIATRIC UROLOGY
RHEE, BENJAMIN K., MDGENDER: MNPI #: 1922041938CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3100E-PRESCRIBE: YES
PERINATOLOGY
ABBASI, ISMAIL, MDGENDER: MNPI #: 1427035989CARLE PHYSICIAN GROUP611 W PARK STREETURBANA, IL 61801-2500PHONE: (217) 383-3266E-PRESCRIBE: YES
KEHL, RALPH J., MDGENDER: MNPI #: 1851316129CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-4930E-PRESCRIBE: YES
PHYSICAL MEDICINE/REHABILITATION
AHMAD, ZEESHAN, MDGENDER: NPI #: 1134126451CARLE PHYSICIAN GROUP610 N LINCOLN AVEURBANA, IL 61801PHONE: (217) 383-6555E-PRESCRIBE: YES
COVINGTON, CHRIS A., DOGENDER: MNPI #: 1336123470PROVENA MEDICAL GROUP1400 W PARK ST SUITE DURBANA, IL 61801PHONE: (217) 337-2293E-PRESCRIBE: NO
JAIN, SANJIV, MDGENDER: MNPI #: 1821013939CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3528E-PRESCRIBE: YES
JOHNSON, VICTORIA, MDGENDER: FNPI #: 1043235450CARLE PHYSICIAN GROUP610 N LINCOLN AVEURBANA, IL 61801PHONE: (217) 383-6555E-PRESCRIBE: YES
LI, JIAN, MDGENDER: FNPI #: 1336169440CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3528E-PRESCRIBE: YES
TIPIRNENI, SAMATHA, MDGENDER: FNPI #: 1598883076CARLE PHYSICIAN GROUP610 N LINCOLN AVEURBANA, IL 61802PHONE: (217) 383-6555E-PRESCRIBE: YES
PLASTIC RECONSTRUCTIVE SURGERY
PARESI, ROBERT J., MDGENDER: MNPI #: 1891902359CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: E-PRESCRIBE: YES
RUSSO, RONALD C., MDGENDER: MNPI #: 1447380985CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: E-PRESCRIBE: YES
PODIATRY
WALTERS, ROBERT GREGORY, DPM
GENDER: MNPI #: 1932118643CHRISTIE CLINIC1710 E WINDSOR RDURBANA, IL 61802PHONE: (217) 344-9440E-PRESCRIBE: YES
PULMONOLOGY
BANGARULINGAM, SUJAY Y., MD
GENDER: MNPI #: 1710977640CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3190E-PRESCRIBE: YES
BOBAT, ISMAIL A., MDGENDER: MNPI #: 1750310553PROVENA MEDICAL GROUP1400 W PARK ST SUITE D111URBANA, IL 61801PHONE: (217) 337-3738E-PRESCRIBE: NO
GREELEY, DONALD A., MDGENDER: MNPI #: 1942224134CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3190E-PRESCRIBE: YES
URBANA, ILURBANA, IL
Specialty Care Providers
397 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
MAIN, DAVID, MDGENDER: MNPI #: 1992726772CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3190E-PRESCRIBE: YES
PATEL, KAUSHIK J., MDGENDER: NPI #: 18614869871400 W PARKURBANA, IL 61801PHONE: (217) 366-1200E-PRESCRIBE: YES
RADIATION ONCOLOGY
SAPIENTE, RONALD, MDGENDER: MNPI #: 1972602688CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3010E-PRESCRIBE: YES
SARMA, KALIKA P., MDGENDER: MNPI #: 1679672398CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3010E-PRESCRIBE: YES
SHULTZ, DAVID, DOGENDER: MNPI #: CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3010E-PRESCRIBE: YES
STANIC, SINISA, MDGENDER: NPI #: 1316149479CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3010E-PRESCRIBE: YES
SLEEP MEDICINE
BOBAT, ISMAIL A., MDGENDER: MNPI #: 1750310553PROVENA MEDICAL GROUP1400 W PARK ST SUITE D111URBANA, IL 61801PHONE: (217) 337-3738E-PRESCRIBE: NO
DAVIES, CHARLES R., MDGENDER: MNPI #: 1285669911CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-4203E-PRESCRIBE: YES
GREELEY, DONALD A., MDGENDER: MNPI #: 1942224134CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3190E-PRESCRIBE: YES
SPORTS MEDICINE
HENRICHS, JEREMY W., MDGENDER: MNPI #: 1154326759CARLE SPORTS MEDICINE810 W ANTHONY DRURBANA, IL 61801PHONE: (217) 383-3300E-PRESCRIBE: YES
HENRICHS, JEREMY, MDGENDER: MNPI #: 1154326759CARLE PHYSICIAN GROUP810 W ANTHONY DRURBANA, IL 61801PHONE: (217) 383-3300E-PRESCRIBE: YES
MACDOUGALL, AMY, MDGENDER: FNPI #: 1578734836CARLE PHYSICIAN GROUP810 W ANTHONY DRURBANA, IL 61801PHONE: (217) 383-3300E-PRESCRIBE: YES
CARLE SPORTS MEDICINE810 W ANTHONY DRURBANA, IL 61801PHONE: (217) 383-3300E-PRESCRIBE: NO
ZIMMERMAN, JERRAD P., MDGENDER: MNPI #: 1194838789CARLE SPORTS MEDICINE810 W ANTHONY DRURBANA, IL 61801PHONE: (217) 383-3300E-PRESCRIBE: NO
TRAUMA SURGERY
DAWSON III, SHERFIELD, MDGENDER: MNPI #: 1447212733CARLE FOUNDATION HOSPITAL611 W PARK STURBANA, IL 61802PHONE: (217) 383-3204E-PRESCRIBE: YES
URBANA, ILURBANA, IL
Specialty Care Providers
398* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
OLIPHANT, URETZ, MDGENDER: MNPI #: 1033154109CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3240E-PRESCRIBE: YES
UROLOGY
KONCHANIN, RONALD P., MDGENDER: MNPI #: 1083633473CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3160E-PRESCRIBE: YES
WOLF, RICHARD M., MDGENDER: MNPI #: 1285739177CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3160E-PRESCRIBE: YES
VASCULAR SURGERY
CONNELLY, TIMOTHY L., MDGENDER: MNPI #: 1801821509CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3810E-PRESCRIBE: YES
WHEATLEY, BRIAN J., MDGENDER: MNPI #: 1114149770CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3810E-PRESCRIBE: YES
VITREOUS/RETINAL SURGERY
TSIPURSKY, MICHAEL S., MDGENDER: MNPI #: 1437315033CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3150E-PRESCRIBE: YES
GENERAL SURGERY
JONES-MONAHAN, KELLIE, MD
GENDER: FNPI #: 1467568345SBL SURGERY CLINIC1442 N 8TH ST SUITE CVANDALIA, IL 62471PHONE: E-PRESCRIBE: NO
OSIPOV, ROBERT M., MDGENDER: MNPI #: 1659493922HSHS MEDICAL GROUP650 W TAYLORVANDALIA, IL 62471PHONE: (217) 324-8730E-PRESCRIBE: YES
OPHTHALMOLOGY
DERANIAN, MARCUS S., MDGENDER: MNPI #: 1952367351EYE CARE OF VANDALIA2202 W RANDOLPH STVANDALIA, IL 62471PHONE: (618) 283-3511E-PRESCRIBE: YES
UROLOGY
NAYAK, PDL, MDGENDER: MNPI #: 1114982154FAYETTE COUNTY HOSPITALSEVENTH & TAYLOR STSVANDALIA, IL 62471PHONE: (618) 283-1231E-PRESCRIBE: NO
PAIN MANAGEMENT
BIGGERSTAFF, MATTHEW C., DO
GENDER: MNPI #: 1427130350VAN DIEST MEDICAL CENTER2350 HOSPITAL DRWEBSTER CITY, IA 50595-6600PHONE: E-PRESCRIBE: YES
GENERAL SURGERY
BAZ, SAMUEL T., MDGENDER: MNPI #: 1689624470WENONA HEALTH CENTER516 S CHESTNUT STWENONA, IL 61377PHONE: (815) 853-4402E-PRESCRIBE: NO
VANDALIA, IL WEBSTER CITY, IA
WENONA, IL
URBANA, ILWENONA, IL
Specialty Care Providers
399 * Restricted panel. Please contact Medicare Services at the number on the back of your ID card.
NEUROLOGY
DHUNA, ANIL, MDGENDER: MNPI #: 1912019118BURLINGTON NEUROLOGY & SLEEP CLINIC PLCMERCY PLAZA 1225 S GEAR AVE STE 153WEST BURLINGTON, IA 52655PHONE: (319) 754-4400E-PRESCRIBE: NO
PODIATRY
SERPE, JASON L., DPMGENDER: MNPI #: 1578660593RIVERSIDE MEDICAL CENTER OF WILMINGTON105 S FIRST STWILMINGTON, IL 60481PHONE: (815) 476-5210E-PRESCRIBE: NO
PAIN MANAGEMENT
BIGGERSTAFF, MATTHEW C., DO
GENDER: MNPI #: 1427130350IOWA PAIN MANAGEMENT PLLC300 HUTCHINGS STWINTERSET, IA 50273PHONE: (515) 462-2373E-PRESCRIBE: YES
PHYSICAL MEDICINE/REHABILITATION
FRANKLIN, JASON T., DOGENDER: MNPI #: 1588673032REZIN ORTHOPEDICS & SPORTS MEDICINE106 E COUNTRYSIDE PKWYYORKVILLE, IL 60560PHONE: (815) 553-8979E-PRESCRIBE: NO
PODIATRY
BISHOP, PAUL, DPMGENDER: MNPI #: 1457428492THE CENTERS FOR FOOT & ANKLE SURGERY LTD654 W VETERANS PKWY SUITE DYORKVILLE, IL 60560PHONE: (630) 553-9300E-PRESCRIBE: NO
MANSOUR, HAYTHAM, DPMGENDER: MNPI #: 1811078207THE CENTERS FOR FOOT & ANKLE SURGERY LTD654 W VETERANS PKWY SUITE DYORKVILLE, IL 60560PHONE: (630) 553-9300E-PRESCRIBE: NO
RAPPETTE, THOMAS, DPMGENDER: MNPI #: 1962579904THE CENTERS FOR FOOT & ANKLE SURGERY LTD654 W VETERANS PKWY SUITE DYORKVILLE, IL 60560PHONE: (630) 553-9300E-PRESCRIBE: NO
WEST BURLINGTON, IA
WILMINGTON, IL
WINTERSET, IA
YORKVILLE, IL
WEST BURLINGTON, IAYORKVILLE, IL
Mental Health Care
400
PSYCHIATRY
HOSSAIN, SHAHEENA, MDGENDER: FNPI #: 1295755502OPEN DOOR CLINIC157 S LINCOLN AVE SUITE KAURORA, IL 60505PHONE: (603) 264-1819E-PRESCRIBE: NO
MENTAL HEALTH
BRANCH-DIRCKS, KELLIE E., LCSW
GENDER: FNPI #: 12555282045632 S MATT CODY STBARTONVILLE, IL 61607PHONE: E-PRESCRIBE: NO
BURRESS, SABRA R., LCPCGENDER: NPI #: 1134138928RICHARDSON COUNSELING CENTER5909 SW ADAMSBARTONVILLE, IL 61607PHONE: (309) 633-1030E-PRESCRIBE: NO
MENTAL HEALTH
BECK, SARAH J., LCPCGENDER: FNPI #: 1235232018FAMILY COUNSELING & PSYCHOLOGY CENTER2485 TECH DRBETTENDORF, IA 52722PHONE: (563) 355-1611E-PRESCRIBE: NO
BEECHER, LISA S., LMHCGENDER: FNPI #: 1730272212FAMILY COUNSELING & PSYCHOLOGY CENTER2485 TECH DRBETTENDORF, IA 52722PHONE: (563) 355-1611E-PRESCRIBE: NO
COLLINS, KATHLEEN E., LMHC
GENDER: FNPI #: 1720210081THE DRAGONFLY3649 CEDARVIEW CTBETTENDORF, IA 52722PHONE: (563) 332-4361E-PRESCRIBE: NO
ESTES, MELISSA M., LMFTGENDER: FNPI #: 1851494561FAMILY COUNSELING & PSYCHOLOGY CENTER2485 TECH DRBETTENDORF, IA 52722PHONE: (563) 355-1611E-PRESCRIBE: NO
FISHER, ANN M., LMHC, LCPC
GENDER: FNPI #: 1043281421CARE COUNSELING CENTER2550 MIDDLE RD SUITE 300BETTENDORF, IA 52722PHONE: (563) 445-2375E-PRESCRIBE: NO
FLAHERTY, TINA, LISWGENDER: FNPI #: 1548363344FAMILY COUNSELING & PSYCHOLOGY CENTER2485 TECH DRBETTENDORF, IA 52722PHONE: (563) 355-1611E-PRESCRIBE: NO
HARKSEN, AMY L., LCPCGENDER: FNPI #: 1821182163FAMILY COUNSELING & PSYCHOLOGY CENTER2485 TECH DRBETTENDORF, IA 52722PHONE: (563) 355-1611E-PRESCRIBE: NO
HENDERSHOTT, MARY, LISWGENDER: FNPI #: 1407940083FAMILY COUNSELING & PSYCHOLOGY CENTER2485 TECH DRBETTENDORF, IA 52722PHONE: (563) 355-1611E-PRESCRIBE: NO
JENS, DANIEL E., LISWGENDER: MNPI #: 1164410924FAMILY COUNSELING & PSYCHOLOGY CENTER2485 TECH DRBETTENDORF, IA 52722PHONE: (563) 355-1611E-PRESCRIBE: NO
JORDAN, ROSEMARY H., LCSW
GENDER: FNPI #: 10937985893632 29TH STBETTENDORF, IA 52722PHONE: (563) 676-0735E-PRESCRIBE: NO
KRANZ, JEFFREY A., LISWGENDER: MNPI #: 1962545624FAMILY COUNSELING & PSYCHOLOGY CENTER2485 TECH DRBETTENDORF, IA 52722PHONE: (563) 355-1611E-PRESCRIBE: NO
AURORA, IL
BARTONVILLE, IL
BETTENDORF, IA
AURORA, ILBETTENDORF, IA
Mental Health Care
401
LETTINGTON, MATTHEW W.GENDER: MNPI #: 1659653178LIBERTY COUNSELING1912 MIDDLE RDBETTENDORF, IA 52722PHONE: (563) 554-9140E-PRESCRIBE: NO
MENDENHALL, MARCY, LISWGENDER: FNPI #: 1376683466FAMILY COUNSELING & PSYCHOLOGY CENTER2485 TECH DRBETTENDORF, IA 52722PHONE: (563) 355-1611E-PRESCRIBE: NO
MENTAL HEALTH/SUBSTANCE ABUSE
IL INSTITUTE FOR ADDICTION RECOVERY AT THE ABBEY
GENDER: NPI #: 10331168761401 CENTRAL AVEBETTENDORF, IA 52722PHONE: (563) 355-4707E-PRESCRIBE: NO
PSYCHOLOGY
CHANES, HECTOR, PSYDGENDER: MNPI #: 1700059003FAMILY COUNSELING & PSYCHOLOGY CENTER2485 TECH DRBETTENDORF, IA 52722PHONE: (563) 355-1611E-PRESCRIBE: NO
DREW, JANET M., PHDGENDER: FNPI #: 1407952971FAMILY COUNSELING & PSYCHOLOGY CENTER2485 TECH DRBETTENDORF, IA 52722PHONE: (563) 355-1611E-PRESCRIBE: NO
LODICO, COLLIN A., PHDGENDER: MNPI #: 1528161429FAMILY COUNSELING & PSYCHOLOGY CENTER2485 TECH DRBETTENDORF, IA 52722PHONE: (563) 355-1611E-PRESCRIBE: NO
MENTAL HEALTH
ALLEN, RICK L., LCPCGENDER: MNPI #: 1639329329AGAPE COUNSELING LTD211 N VETERANS PKWY SUITE 1BLOOMINGTON, IL 61704PHONE: (309) 663-2229E-PRESCRIBE: NO
ANDREWS, ANDREA E., LCPC
GENDER: FNPI #: 1295901668EASTLAND PSYCHOLOGICAL SERVICES2201 EASTLAND DR SUITE 4BLOOMINGTON, IL 61704-7923PHONE: (309) 663-1623E-PRESCRIBE: NO
BACKUS, KATHLEEN, LCPCGENDER: FNPI #: 18717828056 HEARTLAND DR SUITE CBLOOMINGTON, IL 61704PHONE: (309) 663-0781E-PRESCRIBE: NO
BARTLETT, ANDREA, LCSWGENDER: FNPI #: 1780952184EASTER SEALS UCP2404 E EMPIRE STBLOOMINGTON, IL 61704PHONE: (309) 663-8275E-PRESCRIBE: NO
BASSETT, TONYA, LCSWGENDER: FNPI #: 1821281429AGAPE COUNSELING LTD211 N VETERANS PKWY SUITE 1BLOOMINGTON, IL 61704PHONE: (309) 663-2229E-PRESCRIBE: NO
BEASLEY, DANIELLE D., LCSW
GENDER: FNPI #: 1114262599MCLEAN COUNTY CHS108 W MARKET STBLOOMINGTON, IL 61701-3918PHONE: E-PRESCRIBE: NO
BOZARTH, JULIA M., LCPCGENDER: FNPI #: 1982726014COLLABORATIVE SOLUTIONS INSTITUTE200 W FRONT ST SUITE 400ABLOOMINGTON, IL 61701PHONE: (309) 828-2860E-PRESCRIBE: NO
BLOOMINGTON, IL
BETTENDORF, IABLOOMINGTON, IL
Mental Health Care
402
BRUCKER, ALEXANDER, LCPC
GENDER: MNPI #: 1548409329AGAPE COUNSELING LTD211 N VETERANS PKWY SUITE 1BLOOMINGTON, IL 61704PHONE: (309) 663-2229E-PRESCRIBE: NO
BYRD, ADRIAN M., LCSWGENDER: FNPI #: 1194992503205 N WILLIAMSBURG SUITE EBLOOMINGTON, IL 61704PHONE: (309) 808-2326E-PRESCRIBE: NO
DENURE, BRYAN J., LCPCGENDER: MNPI #: 1669798716AMG TWIN CITIES BEHAVIORAL HEALTH303 N HERSHEY SUITE D1BLOOMINGTON, IL 61704PHONE: (309) 268-3529E-PRESCRIBE: NO
DOUGLAS, JERRY L., LCSWGENDER: MNPI #: 1841394939205 N WILLIAMSBURG SUITE EBLOOMINGTON, IL 61704PHONE: (309) 808-2326E-PRESCRIBE: NO
GAINES, CHERYL L., LCPCGENDER: FNPI #: 1669695524COLLABORATIVE SOLUTIONS INSTITUTE200 W FRONT ST SUITE 400ABLOOMINGTON, IL 61701PHONE: (309) 828-2860E-PRESCRIBE: NO
HANSEN, AMY, LCPCGENDER: FNPI #: 1043588874AGAPE COUNSELING211 N VETERANS PKWY SUITE 1BLOOMINGTON, IL 61704PHONE: E-PRESCRIBE: NO
HARMON, HALLIE R., LCPCGENDER: FNPI #: 1144468810AGAPE COUNSELING LTD2111 N VETERANS PKWAY SUITE 1BLOOMINGTON, IL 61704PHONE: (309) 692-4433E-PRESCRIBE: NO
HAWBAKER, NICHELE D., LCSW
GENDER: FNPI #: 1407097264205 N WILLIAMSBURG SUITE EBLOOMINGTON, IL 61704PHONE: (309) 808-2326E-PRESCRIBE: NO
HUNT, MATTHEW W., LCPCGENDER: MNPI #: 1871685115205 N WILLIAMSBURG SUITE EBLOOMINGTON, IL 61704PHONE: (309) 808-2326E-PRESCRIBE: NO
KRAHN, NATHAN L., LCPCGENDER: MNPI #: 1619218955AGAPE COUNSELING LTD211 N VETERANS PKWY SUITE 1BLOOMINGTON, IL 61704PHONE: (309) 663-2229E-PRESCRIBE: NO
KRUMTINGER, MICHAEL L., LCPC
GENDER: MNPI #: 1255491114205 N WILLIAMSBURG SUTIE EBLOOMINGTON, IL 61704PHONE: (309) 808-2326E-PRESCRIBE: NO
LARSEN, ANNETTE, LCPCGENDER: FNPI #: 1265510507AGAPE COUNSELING211 N VETERANS PKWY SUITE 1BLOOMINGTON, IL 61704PHONE: (309) 692-4433E-PRESCRIBE: NO
LEE, KAREN M., LCPCGENDER: FNPI #: 1346252954AGAPE COUNSELING LTD220 N EDLORADO RD SUITE ABLOOMINGTON, IL 61704PHONE: (309) 663-2229E-PRESCRIBE: NO
LEEBOLD, BOBBY J., LCSWGENDER: MNPI #: 1164728127PSYCHOLOGY SPECIALISTS808 ELDORADO RD SUITE 102BLOOMINGTON, IL 61704PHONE: (309) 706-3190E-PRESCRIBE: NO
MAAS, KIERSTINE J., LCPCGENDER: FNPI #: 1326179458EASTLAND PSYCHOLOGICAL SERVICES2201 EASTLAND DR SUITE 4BLOOMINGTON, IL 61704-7923PHONE: (309) 663-1623E-PRESCRIBE: NO
BLOOMINGTON, ILBLOOMINGTON, IL
Mental Health Care
403
MARIANI, DIANA L., LCSWGENDER: FNPI #: 1770680951PSYCHOLOGY SPECIALISTS808 ELDORADO RD SUITE 102BLOOMINGTON, IL 61704PHONE: (309) 706-3190E-PRESCRIBE: NO
MARTIN, MARK R., LCPCGENDER: MNPI #: 1467563205EASTLAND PSYCHOLOGICAL SERVICES2201 EASTLAND DR SUITE 4BLOOMINGTON, IL 61704-7923PHONE: (309) 663-1623E-PRESCRIBE: NO
MATHER, MERLIN, LCPCGENDER: MNPI #: 1891718540AMG TWIN CITIES BEHAVIORAL HEALTH303 N HERSHEY SUITE CBLOOMINGTON, IL 61704PHONE: (309) 268-3529E-PRESCRIBE: NO
MCCARTY, TRINA K., LCPCGENDER: FNPI #: 1841471091200 W MONROE SUITE 306BLOOMINGTON, IL 61701PHONE: (309) 310-5545E-PRESCRIBE: NO
MCKILLOP, DIANE L., LCPCGENDER: FNPI #: 1356432793PROFESSIONAL ASSOCIATES OF ILLINOIS417 N CENTER STBLOOMINGTON, IL 61701PHONE: (309) 827-2184E-PRESCRIBE: NO
MCLAUGHLIN, WILMA L., LCPC
GENDER: FNPI #: 1891707410AGAPE COUNSELING LTD220 N ELDORADO RD SUITE ABLOOMINGTON, IL 61704PHONE: (309) 663-2229E-PRESCRIBE: NO
MOSER, MEGHAN E., LMHCGENDER: FNPI #: 1588843668MCLEAN COUNTY CHS108 W MARKET STBLOOMINGTON, IL 61701-3918PHONE: E-PRESCRIBE: NO
NEUWEG, LISA D., LCPCGENDER: FNPI #: 1003948183AGAPE COUNSELING LTD211 N VETERANS PKWY SUITE 1BLOOMINGTON, IL 61704PHONE: (309) 663-2229E-PRESCRIBE: NO
NIEBUR, THOMAS N., LCPCGENDER: MNPI #: 1437172103AMG TWIN CITIES BEHAVIORAL HEALTH303 N HERSHEY SUITE D1BLOOMINGTON, IL 61701PHONE: (309) 268-3529E-PRESCRIBE: NO
NIELSEN, SARAH E., LCPCGENDER: FNPI #: 1235241605PROFESSIONAL ASSOCIATES OF ILLINOIS417 N CENTER STBLOOMINGTON, IL 61701PHONE: (309) 827-2184E-PRESCRIBE: NO
NOVINSKA, LISA A., LCPCGENDER: FNPI #: 1891965042AGAPE COUNSELING LTD211 N VETERANS PKWY SUITE 1BLOOMINGTON, IL 61704PHONE: (309) 663-2229E-PRESCRIBE: NO
OSBORNE, LORI, LCSWGENDER: FNPI #: 1215950969AMG TWIN CITIES BEHAVIORAL HEALTH303 N HERSHEY SUITE CBLOOMINGTON, IL 61704PHONE: (309) 268-3529E-PRESCRIBE: NO
QUILLMAN, ERIN J., LCSWGENDER: FNPI #: 1104077189AGAPE COUNSELING LTD211 N VETERANS PKWY SUITE 1BLOOMINGTON, IL 61704PHONE: (309) 663-2229E-PRESCRIBE: NO
REIMERS, DEEANNE F., LCPC
GENDER: FNPI #: 1568623304EASTER SEALS-UPC2404 E EMPIREBLOOMINGTON, IL 61701PHONE: (309) 663-8275E-PRESCRIBE: NO
ROBERTS, NED O., LCPCGENDER: NPI #: 1902983216BUD ROBERTS COUNSELING SERVICE200 W MONROE ST SUITE 300BLOOMINGTON, IL 61701PHONE: (309) 827-9030E-PRESCRIBE: NO
BLOOMINGTON, ILBLOOMINGTON, IL
Mental Health Care
404
ROLLEY, MICHELLE L., LCPCGENDER: FNPI #: 1669626362AGAPE COUNSELING LTD211 N VETERANS PKWY SUITE 1BLOOMINGTON, IL 61704PHONE: (309) 663-2229E-PRESCRIBE: NO
SEIP, MERRIE J., LCSWGENDER: FNPI #: 1699882332PSYCHOLOGY SPECIALISTS808 ELDORADO RD SUITE 102BLOOMINGTON, IL 61704PHONE: (309) 706-3190E-PRESCRIBE: NO
STRAUSS, JAMES H., LCPCGENDER: MNPI #: 1710099171COLLABORATIVE SOLUTIONS INSTITUTE200 W FRONT ST SUITE 400ABLOOMINGTON, IL 61701PHONE: (309) 828-2860E-PRESCRIBE: NO
TAYLOR, DONALD N., LCPCGENDER: MNPI #: 1952413346PROFESSIONAL ASSOCIATES OF ILLINOIS417 N CENTER STBLOOMINGTON, IL 61701PHONE: (309) 827-2184E-PRESCRIBE: NO
VOGEL, CATHERINE, LCSWGENDER: FNPI #: 1154423309MCLEAN COUNTY CHS108 W MARKET STBLOOMINGTON, IL 61701PHONE: (309) 827-5351E-PRESCRIBE: NO
WEATHERLY, MARGARET A., LCPC
GENDER: FNPI #: 1437280575EASTLAND PSYCHOLOGICAL SERVICES2201 EASTLAND DR SUITE 4BLOOMINGTON, IL 61704-7923PHONE: (309) 663-1623E-PRESCRIBE: NO
WHEELER, SAMANTHA, LCSW
GENDER: FNPI #: 1649222555PSYCHOLOGY SPECIALISTS2810 E EMPIREBLOOMINGTON, IL 61702PHONE: E-PRESCRIBE: NO
WIEBLER, LADONA R., BCBAGENDER: FNPI #: 1912286808EASTER SEALS2404 E EMPIREBLOOMINGTON, IL 61704PHONE: (309) 663-8275E-PRESCRIBE: NO
WILLIAMSON, KIMBERLY A., BCBA
GENDER: FNPI #: 1801067400CIRCLES BEHAVIOR CONSULTATION SERVICES2416 E WASHINGTON SUITE GBLOOMINGTON, IL 61704PHONE: (309) 662-5050E-PRESCRIBE: NO
YODER, SHERRY, LCPCGENDER: FNPI #: 1932392008PSYCHOLOGY SPECIALISTS808 ELDORADO RD SUITE 102BLOOMINGTON, IL 61704PHONE: (309) 706-3190E-PRESCRIBE: NO
ZYWIEC, DAWN, LCPCGENDER: FNPI #: 1902936636EASTLAND PSYCHOLOGICAL SERVICES2201 EASTLAND DR SUITE 4BLOOMINGTON, IL 61704-7923PHONE: (309) 663-1623E-PRESCRIBE: NO
PEDIATRIC PSYCHIATRY
AHMED, FAISAL, MDGENDER: MNPI #: 1417069881TWIN CITIES BEHAVIORAL HEALTH303 N HERSHEY SUITE 2CBLOOMINGTON, IL 61704PHONE: (309) 268-3519E-PRESCRIBE: NO
PSYCHIATRY
ABELITA, GIL B., MDGENDER: MNPI #: 1619986551PROFESSIONAL ASSOCIATES OF ILLINOIS417 N CENTER STBLOOMINGTON, IL 61701PHONE: (309) 827-2184E-PRESCRIBE: NO
BASHIR, ANJUM, MDGENDER: NPI #: 1568440683205 N WILLIAMSBURG SUITE EBLOOMINGTON, IL 61704PHONE: (309) 808-2326E-PRESCRIBE: NO
BLOOMINGTON, ILBLOOMINGTON, IL
Mental Health Care
405
CHASE, CARMEN D., MDGENDER: FNPI #: 1487677100TWIN CITIES BEHAVORIAL HEALTH303 N HERSHEY SUITE 2CBLOOMINGTON, IL 61704PHONE: (309) 268-3529E-PRESCRIBE: NO
HAMILTON, ROBERT S., MDGENDER: MNPI #: 1164431904PROFESSIONAL ASSOCIATES OF ILLINOIS417 N CENTER STBLOOMINGTON, IL 61701PHONE: (309) 827-2184E-PRESCRIBE: NO
HASAN, BABAR, MDGENDER: MNPI #: 1649266016OSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO
HERITCH, ANDREW J., MDGENDER: MNPI #: 1407948607HEARTLAND BEHAVIORAL HEALTH3002 GE RD SUITE 2BLOOMINGTON, IL 61704PHONE: (309) 862-3900E-PRESCRIBE: NO
MCCORMICK, SCOTT, MDGENDER: MNPI #: 1639192354TWIN CITIES BEHAVIORAL HEALTH303 N HERSHEY SUITE 2CBLOOMINGTON, IL 61704PHONE: (309) 268-3529E-PRESCRIBE: NO
PSYCHOLOGY
BALL, AMANDA, PSYDGENDER: FNPI #: 1003116112PSYCHOLOGY SPECIALISTS808 ELDORADO SUITE 102BLOOMINGTON, IL 61704PHONE: (309) 706-3190E-PRESCRIBE: NO
CZIPRI, ANNA M., PSYDGENDER: FNPI #: 1861729014PSYCHOLOGY SPECIALISTS2810 E EMPIREBLOOMINGTON, IL 61704PHONE: (309) 706-3190E-PRESCRIBE: NO
FLORELL, JOHN, PHDGENDER: MNPI #: 1538189840AMG TWIN CITIES BEHAVIORAL HEALTH303 N HERSHEY SUITE CBLOOMINGTON, IL 61704PHONE: (309) 268-3529E-PRESCRIBE: NO
FOSTER, PHILLIP A., PHDGENDER: MNPI #: 1861538779MARTIN HEALTH CENTER2025 E LINCOLNBLOOMINGTON, IL 61701PHONE: (309) 663-6474E-PRESCRIBE: NO
PSYCHOLOGY SPECIALISTS808 ELDORADO RD SUITE 102BLOOMINGTON, IL 61704PHONE: (309) 706-3190E-PRESCRIBE: NO
FRENCH, MEL, PSYDGENDER: MNPI #: 1063632693EASTLAND PSYCHOLOGICAL SERVICES2201 EASTLAND DR SUITE 4BLOOMINGTON, IL 61704-7923PHONE: (309) 663-1623E-PRESCRIBE: NO
GILLEN, WILLIAM G., PHD, PHD
GENDER: MNPI #: 1235294802205 N WILLIAMSBURG SUITE EBLOOMINGTON, IL 61704PHONE: (309) 808-2326E-PRESCRIBE: NO
HATLELID, SETH, PSYDGENDER: MNPI #: 1447270368MILLENIUM PAIN CENTER1015 S MERCERBLOOMINGTON, IL 61701PHONE: (309) 706-3190E-PRESCRIBE: NO
HEINRICH, HEATHER A., PHDGENDER: FNPI #: 1316145386PSYCHOLOGY SPECIALISTS808 ELDORADO SUITE 102BLOOMINGTON, IL 61702PHONE: (309) 706-3190E-PRESCRIBE: NO
HOLT, KATHERINE D., PSYDGENDER: FNPI #: 1649589599PSYCHOLOGY SPECIALISTS808 ELDORADO SUITE 102BLOOMINGTON, IL 61704PHONE: (309) 706-3190E-PRESCRIBE: NO
BLOOMINGTON, ILBLOOMINGTON, IL
Mental Health Care
406
KAHWAJI, MICHAEL P., PHDGENDER: MNPI #: 1679509806MILLENIUM PAIN CENTER1015 S MERCERBLOOMINGTON, IL 61701PHONE: (309) 706-3190E-PRESCRIBE: NO
PSYCHOLOGY SPECIALISTS2810 E EMPIREBLOOMINGTON, IL 61704PHONE: (309) 706-3190E-PRESCRIBE: NO
808 ELDORADO SUITE 102BLOOMINGTON, IL 61704PHONE: (309) 706-3190E-PRESCRIBE: NO
KNUTSON, KELLY, PSYDGENDER: FNPI #: 1326352881MILLENIUM PAIN CENTER1015 S MERCER AVEBLOOMINGTON, IL 61701PHONE: (309) 706-3190E-PRESCRIBE: NO
PSYCHOLOGY SPECIALISTS2502 E EMPIRE ST SUITE CBLOOMINGTON, IL 61704PHONE: (309) 706-3190E-PRESCRIBE: NO
808 ELDORADO RD SUITE 102BLOOMINGTON, IL 61704PHONE: (309) 706-3190E-PRESCRIBE: NO
KRIPPNER, KEVIN, PHDGENDER: MNPI #: 1477576114AMG TWIN CITIES BEHAVIORAL HEALTH303 N HERSHEY SUITE CBLOOMINGTON, IL 61704PHONE: (309) 268-3529E-PRESCRIBE: NO
LANA, TOMIKE, PSYDGENDER: FNPI #: 1629412507PSYCHOLOGY SPECIALIST808 ELDORADO SUITE 102BLOOMINGTON, IL 61704PHONE: (309) 706-3190E-PRESCRIBE: NO
MILLER, CHERI, PSYDGENDER: FNPI #: 1033132790AMG TWIN CITIES BEHAVIORAL HEALTH303 N HERSHEY SUITE D1BLOOMINGTON, IL 61701PHONE: (309) 268-3529E-PRESCRIBE: NO
RUDAWSKI, CHRISTINA E., PSYD
GENDER: FNPI #: 1477707909PSYCHOLOGY SPECIALISTS808 ELDORADO SUITE 102BLOOMINGTON, IL 61704PHONE: (309) 706-3190E-PRESCRIBE: NO
WILLETT, PAUL D., PSYDGENDER: MNPI #: 1710199948PSYCHOLOGY SPECIALISTS808 ELDORADO SUITE 102BLOOMINGTON, IL 61704PHONE: (309) 706-3190E-PRESCRIBE: NO
PSYCHOLOGY SPECIALISTS LTD1015 S MERCERBLOOMINGTON, IL 61701PHONE: (309) 706-3190E-PRESCRIBE: NO
WOODBURN, JUDY R., PHDGENDER: FNPI #: 1013937382AMG TWIN CITIES BEHAVIORAL HEALTH303 N HERSHEY SUITE CBLOOMINGTON, IL 61704PHONE: (309) 268-3529E-PRESCRIBE: NO
MENTAL HEALTH
BOUDREAU, TERI D., LPCGENDER: FNPI #: 1295746675PROVENA MEDICAL GROUP21 HERITAGE DR SUITE 102BOURBONNAIS, IL 60914PHONE: (815) 937-8204E-PRESCRIBE: NO
BUCKLIN, MEGAN K., LCPCGENDER: FNPI #: 103311282619 HERITAGE DR SUITE 208BOURBONNAIS, IL 60914PHONE: (815) 935-5540E-PRESCRIBE: NO
PSYCHIATRY
MEHTA, SHITAL T., MDGENDER: FNPI #: 1205054608PROVENA MEDICAL GROUP21 HERITAGE DR SUITE 102BOURBONNAIS, IL 60914PHONE: (815) 937-8204E-PRESCRIBE: NO
BOURBONNAIS, IL
BLOOMINGTON, ILBOURBONNAIS, IL
Mental Health Care
407
MENTAL HEALTH
FANNING, DEBRA, LCPCGENDER: FNPI #: 1699110742PSYCHOLOGY SPECIALISTS180 S AMIN ST 4TH FLCANTON, IL 61520PHONE: (309) 706-3190E-PRESCRIBE: NO
GATES, NATHAN W., LCPCGENDER: MNPI #: 1275655698SPOON RIVER COUNSELING8 S MAIN STCANTON, IL 61520PHONE: (309) 740-2171E-PRESCRIBE: NO
HEITZ, MARCIA, LCSWGENDER: FNPI #: 12354823658 S MAIN SUITE 204CANTON, IL 61520PHONE: (309) 321-0014E-PRESCRIBE: NO
JENNINGS, RUTH A., LCSWGENDER: FNPI #: 1568689511JOHN R DAY & ASSOCIATES LTD125 E LOCUST SUITE 104CANTON, IL 61520PHONE: (309) 692-7755E-PRESCRIBE: NO
LADD, PHILLIP, LCPCGENDER: MNPI #: 1255396347JOHN R DAY & ASSOCIATES LTD40 E ASH ST STE GCANTON, IL 61520PHONE: (309) 692-7755E-PRESCRIBE: NO
MULDER, ELYN, LCSWGENDER: FNPI #: 1730146960JOHN R DAY & ASSOCIATES LTD40 E ASH ST STE GCANTON, IL 61520PHONE: (309) 692-7755E-PRESCRIBE: NO
REINBOLDT, CARRIE A., LCPC
GENDER: FNPI #: 1588933378PSYCHOLOGY SPECIALISTS180 S MAIN STCANTON, IL 61520PHONE: (309) 706-3190E-PRESCRIBE: NO
PSYCHOLOGY
NOBLE, NICOLE D., PSYDGENDER: FNPI #: 1700052818PSYCHOLOGY SPECIALISTS180 S MAINCANTON, IL 61520PHONE: (309) 706-3190E-PRESCRIBE: NO
PRIDDY, DAVID, PHDGENDER: MNPI #: 1669416749INSTITUTE OF PHYSICAL MEDICINE & REHAB/IPMR210 W WALNUT STCANTON, IL 61520PHONE: (309) 692-8110E-PRESCRIBE: NO
MENTAL HEALTH
ANDERSON, WILLIAM M., LCPC
GENDER: MNPI #: 1174695290LOCUST STREET RESOURCE CENTER320 S LOCUST STCARLINVILLE, IL 62626PHONE: (217) 854-3166E-PRESCRIBE: NO
BEANBLOSSOM, BRENDA I., LCPC
GENDER: FNPI #: 1669674214LOCUST STREET RESOURCE CENTER320 S LOCUST STCARLINVILLE, IL 62626PHONE: (217) 854-3166E-PRESCRIBE: NO
HARMON, WENDY L., LCSWGENDER: FNPI #: 1932285194SPRINGFIELD CLINIC LLP101 MCCAUSLAND AVECARLINVILLE, IL 62626PHONE: (217) 854-5099E-PRESCRIBE: NO
HAUTER, LISA K., LCSWGENDER: FNPI #: 1417023870LOCUST STREET RESOURCE CENTER320 S LOCUST STCARLINVILLE, IL 62626PHONE: (217) 854-3166E-PRESCRIBE: NO
CANTON, IL CARLINVILLE, IL
CANTON, ILCARLINVILLE, IL
Mental Health Care
408
KRAVANYA, JOSEPH P., LPCGENDER: MNPI #: 1972675098LOCUST STREET RESOURCE CENTER320 S LOCUST STCARLINVILLE, IL 62626PHONE: (217) 854-3166E-PRESCRIBE: NO
ONDREY, MOLLY A., LCPCGENDER: FNPI #: 1326366287LOCUST STREET RESOURCE CENTER320 S LOCUST STCARLINVILLE, IL 62626PHONE: (217) 854-3166E-PRESCRIBE: NO
RAABE, PEGGY, LCPCGENDER: FNPI #: 1508844150LOCUST STREET RESOURCE CENTER320 S LOCUST STCARLINVILLE, IL 62626PHONE: (217) 854-3166E-PRESCRIBE: NO
PEDIATRIC PSYCHIATRY
MEDINA, JUAN, MDGENDER: MNPI #: 1265485106LOCUST STREET RESOURCE CENTER320 S LOCUST STCARLINVILLE, IL 62626PHONE: (217) 854-3166E-PRESCRIBE: NO
PSYCHIATRY
ALLURI, VINOD, MDGENDER: MNPI #: 1548279870LOCUST STREET RESOURCE CENTER320 S LOCUST STCARLINVILLE, IL 62626PHONE: (217) 854-3166E-PRESCRIBE: NO
HASANAT, KHONDAKAR A., MD
GENDER: MNPI #: 1902907116LOCUST STREET RESOURCE CENTER320 S LOCUST STCARLINVILLE, IL 62626PHONE: (217) 854-3166E-PRESCRIBE: NO
SHRESTHA, SANTOSH, MDGENDER: MNPI #: 1942494018LOCUST STREET RESOURCE CENTER320 S LOCUST STCARLINVILLE, IL 62626PHONE: (217) 854-3166E-PRESCRIBE: NO
MENTAL HEALTH
BEXTINE, HEDY A., LISWGENDER: FNPI #: 1972588267CEDAR RAPIDS COUNSELING & PSYCHOTHERAPY GROUP LLP4403 FIRST AVE SE SUITE 309CEDAR RAPIDS, IA 52402-3221PHONE: (319) 362-0632E-PRESCRIBE: NO
BRYANT, JILL K., LMHCGENDER: FNPI #: 1730179094THERAPEUTIC PARTNERS LLC3001 ORRIAN DR SECEDAR RAPIDS, IA 52403PHONE: (319) 531-1149E-PRESCRIBE: NO
CAREY, ALEXANDRIA, LISWGENDER: FNPI #: 1437131133CEDAR RAPIDS COUNSELING & PSYCHOTHERAPY GROUP LLP4403 FIRST AVE SE SUITE 309CEDAR RAPIDS, IA 52402-3221PHONE: (319) 362-0632E-PRESCRIBE: NO
FREEMAN, PENNY M., LISWGENDER: FNPI #: 1013276120CEDAR RAPIDS COUNSELING & PSYCHOTHERAPY GROUP LLP4403 FIRST AVE SE SUITE 309CEDAR RAPIDS, IA 52402-3221PHONE: (319) 362-0632E-PRESCRIBE: NO
KRINGS, PAULA M., LISWGENDER: FNPI #: 1508848797CEDAR RAPIDS COUNSELING & PSYCHOTHERAPY118 2ND ST SECEDAR RAPIDS, IA 52401PHONE: (319) 362-0632E-PRESCRIBE: NO
CEDAR RAPIDS, IA
CARLINVILLE, ILCEDAR RAPIDS, IA
Mental Health Care
409
SMITH, JOELLA J., LISWGENDER: FNPI #: 1306824388CEDAR RAPIDS COUNSELING & PSYCHOTHERAPY GROUP LLP4403 FIRST AVE SE SUITE 309CEDAR RAPIDS, IA 52402-3221PHONE: (319) 362-0632E-PRESCRIBE: NO
PSYCHOLOGY
LANGHOLZ, LAUREL L., LPGENDER: FNPI #: 1356644793CEDAR RAPIDS COUNSELING & PSYCHOTHERAPY4403 FIRST AVE SUITE 309CEDAR RAPIDS, IA 52402PHONE: (319) 362-0632E-PRESCRIBE: NO
MENTAL HEALTH
ERICKSON, PETER, LCSWGENDER: MNPI #: 1487873915CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821PHONE: (217) 383-1850E-PRESCRIBE: YES
ESSLINGER, JENNIFER P., LCSW
GENDER: FNPI #: 1376652024CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821PHONE: (217) 383-1850E-PRESCRIBE: YES
FREEMAN, BRUCE, LCSWGENDER: MNPI #: 1780804930CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821PHONE: (217) 383-1850E-PRESCRIBE: YES
MAURER, JAMES C., LCSWGENDER: MNPI #: 1902947831CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821PHONE: (217) 383-1850E-PRESCRIBE: YES
MCNICHOLL, STACI L., LCSWGENDER: FNPI #: 1538490172KIRBY MEDICAL CENTER201 SPRINGFIELD AVE SUITE 902CHAMPAIGN, IL 61820PHONE: E-PRESCRIBE: NO
OUTERBRIDGE, VICKI O., LCPC
GENDER: FNPI #: 1669682878CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821PHONE: (217) 383-1850E-PRESCRIBE: YES
REEVES, EUGENIA, LCSWGENDER: FNPI #: 1659588614CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821PHONE: (217) 383-1850E-PRESCRIBE: YES
SEAGLE, LINDA, LCPCGENDER: NPI #: CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821PHONE: (217) 383-1850E-PRESCRIBE: YES
STARK, CONSTANCE, LCPCGENDER: FNPI #: 1700984333CHRISTIE CLINIC101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200E-PRESCRIBE: YES
SWEET, MICHELLE A., LCSWGENDER: FNPI #: 1942386529CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821PHONE: (217) 383-1850E-PRESCRIBE: YES
YORE, DOUGLAS, LCSWGENDER: MNPI #: 1417197021CARLE PHYSICIAN GROUP1802 S MATTIS AVECHAMPAIGN, IL 61821PHONE: (217) 359-9072E-PRESCRIBE: YES
MENTAL HEALTH/SUBSTANCE ABUSE
MOBERG, KIRK, MDGENDER: MNPI #: 1235153677CARLE PHYSICIAN GROUP809 W CHURCHCHAMPAIGN, IL 61820PHONE: (217) 373-1850E-PRESCRIBE: YES
CHAMPAIGN, IL
CEDAR RAPIDS, IACHAMPAIGN, IL
Mental Health Care
410
PRAIRIE CENTER HEALTH SYSTEMS
GENDER: NPI #: 1588794317122 W HILL STCHAMPAIGN, IL 61820PHONE: (217) 356-7576E-PRESCRIBE: NO
THE PAVILION FOUNDATIONGENDER: NPI #: 1518930619809 W CHURCH STCHAMPAIGN, IL 61820PHONE: (217) 373-1700E-PRESCRIBE: NO
PEDIATRIC PSYCHIATRY
BECK, JOHN P., MDGENDER: MNPI #: 1184658619CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821PHONE: (217) 383-1850E-PRESCRIBE: YES
LEVY, SHERRIE D., MDGENDER: FNPI #: 1225058332CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821PHONE: (217) 383-1850E-PRESCRIBE: YES
WELCH, GERALD, MDGENDER: MNPI #: 1053414367CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821PHONE: (217) 383-1850E-PRESCRIBE: YES
PSYCHIATRY
ARONSON, SARI G., MDGENDER: NPI #: 1750487179CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821PHONE: (217) 383-3280E-PRESCRIBE: YES
ARUNACHALAM, ROSELIN, MD
GENDER: FNPI #: 1962507954CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821PHONE: (217) 383-1850E-PRESCRIBE: YES
BECK, JOHN P., MDGENDER: MNPI #: 1184658619CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821PHONE: (217) 383-1850E-PRESCRIBE: YES
HAWLEY, CHARLES, MDGENDER: MNPI #: 1720095300CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821PHONE: (217) 383-1850E-PRESCRIBE: YES
HILL, JOHN F., MDGENDER: MNPI #: 1174548234CARLE PHYSICIAN GROUP809 W CHURCH STCHAMPAIGN, IL 61820PHONE: (217) 373-1850E-PRESCRIBE: YES
KWIATKOWSKI, KATHERINE A., MD
GENDER: FNPI #: 1003076399CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61820PHONE: (217) 373-1850E-PRESCRIBE: YES
LEVY, SHERRIE D., MDGENDER: FNPI #: 1225058332CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821PHONE: (217) 383-1850E-PRESCRIBE: YES
MAURER, DAPHNE D., MDGENDER: FNPI #: 1326150095CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821PHONE: (217) 383-1850E-PRESCRIBE: YES
ROBERTS, TIMOTHY G., MDGENDER: MNPI #: 1275668238CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821PHONE: (217) 383-1850E-PRESCRIBE: YES
TRAUGOTT, ARTHUR R., MDGENDER: MNPI #: 1285745976CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821PHONE: (217) 383-1850E-PRESCRIBE: YES
CHAMPAIGN, ILCHAMPAIGN, IL
Mental Health Care
411
WHISENAND, JAMES M., MDGENDER: MNPI #: 1639279011CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821PHONE: (217) 383-1850E-PRESCRIBE: YES
PSYCHOLOGY
BAKER, JOHN P., PHDGENDER: MNPI #: 1053643064CARLE PHYSICIAN GROUP1701 W CURTIS RDCHAMPAIGN, IL 61822PHONE: (217) 365-6206E-PRESCRIBE: YES
DIZEN, MUGE, PHDGENDER: FNPI #: 1689018624CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821-5410PHONE: (217) 383-1850E-PRESCRIBE: YES
JEDD, DEBRA J., PSYDGENDER: FNPI #: 1659303063CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821PHONE: (217) 383-1850E-PRESCRIBE: YES
KLEIN, ANDREA R., PHDGENDER: FNPI #: 1033135397CARLE PHYSICIAN GROUP1701 W CURTIS RDCHAMPAIGN, IL 61822PHONE: (217) 365-6206E-PRESCRIBE: YES
LESKIS, KATHRYN D., PHDGENDER: FNPI #: 1023200326CARLE PHYSICIAN GROUP1813 W KIRBY AVECHAMPAIGN, IL 61821PHONE: (217) 383-1850E-PRESCRIBE: YES
WHITE, KEITH, PHDGENDER: MNPI #: 1427151646CARLE PHYSICIAN GROUP1701 W CURTIS RDCHAMPAIGN, IL 61822PHONE: (217) 365-6200E-PRESCRIBE: YES
MENTAL HEALTH
COOK, MARY ANN, LCPCGENDER: FNPI #: 1184899387ALLIANCE COUNSELING & COACHING LLC23157 THOMAS DILLON DRCHANNAHON, IL 60410PHONE: (815) 467-8181E-PRESCRIBE: NO
MENTAL HEALTH
EDWARDS, JAMES D., LCSWGENDER: MNPI #: 1568520245RURAL HEALTH CLINIC422 W WHITE STCLINTON, IL 61727PHONE: (217) 937-5284E-PRESCRIBE: NO
KEOGH, SUSAN, LCPCGENDER: FNPI #: 1548348659220 S GRANT STCLINTON, IL 61727PHONE: (309) 532-3390E-PRESCRIBE: NO
MENTAL HEALTH
HALL, DUNCAN W., LCSWGENDER: MNPI #: 1982965539PROVENA MEDICAL GROUP16151 WEBER RD SUITE 101CREST HILL, IL 60403PHONE: (630) 914-2417E-PRESCRIBE: NO
ADDICTIONS COUNSELOR
MANDAHAN, NARAIN, MDGENDER: NPI #: 1730170655PRAIRIE CENTER128 N VERMILION STDANVILLE, IL 61832PHONE: (217) 477-4500E-PRESCRIBE: NO
MENTAL HEALTH
BROWN, MATTHEW E., LCPCGENDER: MNPI #: 1578597381PRAIRIE CENTER HEALTH SYSTEMS128 N VERMILION STDANVILLE, IL 61832PHONE: (217) 477-4500E-PRESCRIBE: NO
CHANNAHON, IL
CLINTON, IL
CREST HILL, IL
DANVILLE, IL
CHAMPAIGN, ILDANVILLE, IL
Mental Health Care
412
FLORES-MIRANDA, EDA S., LSW
GENDER: FNPI #: PRAIRIE CENTER HEALTH SYSTEMS128 N VERMILION STDANVILLE, IL 61832PHONE: (217) 477-4500E-PRESCRIBE: NO
NIXON, SARAH E., LSWGENDER: FNPI #: PRAIRIE CENTER HEALTH SYSTEMS128 N VERMILION STDANVILLE, IL 61832PHONE: (217) 477-4500E-PRESCRIBE: NO
PERKINS, SUSAN E., LCPCGENDER: FNPI #: 1033327911PRAIRIE CENTER HEALTH SYSTEMS128 N VERMILION STDANVILLE, IL 61832PHONE: (217) 477-4500E-PRESCRIBE: NO
RICHEY, JACK K., LCSWGENDER: MNPI #: 1225121510CARLE PHYSICIAN GROUP311 W FAIRCHILD STDANVILLE, IL 61832PHONE: (217) 431-7850E-PRESCRIBE: YES
ROBERTS, MARI T., LCSWGENDER: FNPI #: 1184750135CARLE PHYSICIAN GROUP311 W FAIRCHILD STDANVILLE, IL 61832PHONE: (217) 431-7850E-PRESCRIBE: YES
SMITH, LISA, LCSWGENDER: FNPI #: 1104156389PRAIRIE CENTER HEALTH SYSTEMS128 N VERMILION STDANVILLE, IL 61832PHONE: (217) 477-4500E-PRESCRIBE: NO
MENTAL HEALTH/SUBSTANCE ABUSE
PRAIRIE CENTER HEALTH SYSTEMS
GENDER: NPI #: 1588794317128 N VERMILIONDANVILLE, IL 61832PHONE: (217) 477-4500E-PRESCRIBE: NO
PSYCHIATRY
HERRMANN, THOMAS L., MDGENDER: MNPI #: 1982629051CARLE PHYSICIAN GROUP311 W FAIRCHILD STDANVILLE, IL 61832PHONE: (217) 431-7850E-PRESCRIBE: YES
MENTAL HEALTH
ADEN, DENISE M., LCSWGENDER: FNPI #: 1912917360PSYCHOLOGY HEALTH GROUP2102 E 38TH STDAVENPORT, IA 52807PHONE: (563) 359-4049E-PRESCRIBE: NO
ATKINSON, JOLENE C., LCSW
GENDER: FNPI #: 1326093725PSYCHOLOGY HEALTH GROUP2102 E 38TH STDAVENPORT, IA 52807PHONE: (563) 359-4049E-PRESCRIBE: NO
CLARK, MONICA M., LISWGENDER: FNPI #: 1376517045PSYCHOLOGY HEALTH GROUP2102 E 38TH STDAVENPORT, IA 52807PHONE: (563) 359-4049E-PRESCRIBE: NO
HUGHES-PAULINE, MARY T., LISW
GENDER: FNPI #: 1689649063PSYCHOLOGY HEALTH GROUP2102 E 38TH STDAVENPORT, IA 52807PHONE: (563) 359-4049E-PRESCRIBE: NO
JENKS-KETTMANN, JULIE, LMHC
GENDER: FNPI #: 1629102280PSYCHOLOGY HEALTH GROUP2102 E 38TH STDAVENPORT, IA 52807PHONE: (563) 359-4049E-PRESCRIBE: NO
KOUPAL, ROBERT L., LCSWGENDER: MNPI #: 1174516991PSYCHOLOGY HEALTH GROUP2102 E 38TH STDAVENPORT, IA 52807PHONE: (563) 359-4049E-PRESCRIBE: NO
DAVENPORT, IA
DANVILLE, ILDAVENPORT, IA
Mental Health Care
413
MARTENSON, RICK M., LMHC
GENDER: MNPI #: 1609849082QC COUNSELOR PLC2028 E 38TH ST SUITE 3DAVENPORT, IA 52807PHONE: (563) 424-2016E-PRESCRIBE: NO
RILEY-QUINN, KIMBERLY A., LSW
GENDER: FNPI #: 1174511950PSYCHOLOGY HEALTH GROUP2102 E 38TH STDAVENPORT, IA 52804PHONE: (563) 359-4049E-PRESCRIBE: NO
VAN BLAIR, KATHERINE J., LMFT
GENDER: FNPI #: 1346209855PSYCHOLOGY HEALTH GROUP2102 E 38TH STDAVENPORT, IA 52807PHONE: (563) 359-4049E-PRESCRIBE: NO
PSYCHOLOGY
CORREA-KAISER, MARIA J., PHD
GENDER: FNPI #: PSYCHOLOGY HEALTH GROUP2102 E 38TH STDAVENPORT, IA 52807PHONE: (563) 359-4049E-PRESCRIBE: NO
CRESS, JOSEPH N., PHDGENDER: MNPI #: 1669458063PSYCHOLOGY HEALTH GROUP2102 E 38TH STDAVENPORT, IA 52807PHONE: (563) 359-4049E-PRESCRIBE: NO
LONNING, ELIZABETH A., PSYD
GENDER: FNPI #: 1568434603PSYCHOLOGY HEALTH GROUP2102 E 38TH STDAVENPORT, IA 52807PHONE: (563) 359-4049E-PRESCRIBE: NO
MILANI, JOANN C., PHDGENDER: FNPI #: 19524363701503 BRADY STDAVENPORT, IA 52803PHONE: (563) 324-1990E-PRESCRIBE: NO
SLIWA, WAYNE, PHDGENDER: MNPI #: 1215957618PSYCHOLOGY HEALTH GROUP2102 E 38TH STDAVENPORT, IA 52807PHONE: (563) 359-4049E-PRESCRIBE: NO
MENTAL HEALTH
AHLRICH, CATHY, LPCGENDER: FNPI #: 1194967356A & E BEHAVIORAL HEALTH CARE ASSOCIATES2570 FEDERAL DR SUITE 101DECATUR, IL 62526PHONE: (217) 872-1003E-PRESCRIBE: NO
BOLIN, BARBARA M., LCPCGENDER: FNPI #: 16997523291301 E MOUND RDDECATUR, IL 62526PHONE: (217) 872-8800E-PRESCRIBE: NO
BRINKLOW, SUSAN S., LCSWGENDER: FNPI #: 1174578751DECATUR PSYCHOLOGICAL ASSOCIATES3040 N UNIVERSITY AVE SUITE 2DECATUR, IL 62526PHONE: (217) 872-1700E-PRESCRIBE: NO
BROWN, PATRICIA M., LCPCGENDER: FNPI #: 1578654216DECATUR PSYCHOLOGICAL ASSOCIATES3040 N UNIVERSITY AVE SUITE 2DECATUR, IL 62526PHONE: (217) 872-1700E-PRESCRIBE: NO
DECATUR, IL
DAVENPORT, IADECATUR, IL
Mental Health Care
414
BYRD, ADRIAN M., LCSWGENDER: FNPI #: 1194992503DECATUR PSYCHIATRY LTD1900 E LAKE SHORE DR SUITE 201DECATUR, IL 62521PHONE: (217) 422-0027E-PRESCRIBE: NO
CRUMPLER, ANN C., LCSWGENDER: FNPI #: 1629209432PSYCHOLOGY SPECIALISTS102 KENWOOD SUITE 120DECATUR, IL 62526PHONE: (217) 520-1047E-PRESCRIBE: NO
CUMMINS, MARY CLARE, LCPC
GENDER: FNPI #: 19625958921770 E LAKE SHORE DRDECATUR, IL 62521PHONE: (217) 423-6500E-PRESCRIBE: NO
1770 E LAKE SHORE DR SUITE 209DECATUR, IL 62521PHONE: (217) 423-6500E-PRESCRIBE: NO
DOTHAGER, AURELI, LCSWGENDER: FNPI #: 1649349739A & E BEHAVIORAL HEALTH CARE ASSOCIATES PC2570 FEDERAL DRDECATUR, IL 62526PHONE: (217) 872-1003E-PRESCRIBE: NO
DOUGLAS, JERRY L., LCSWGENDER: MNPI #: 1841394939DECATUR PSYCHIATRY LTD1900 E LAKE SHORE DR SUITE 201DECATUR, IL 62521PHONE: (217) 422-0027E-PRESCRIBE: NO
ENGLAND, TROY A., LCSWGENDER: MNPI #: 1578844866CHOUDARY KAVURI MD SC1770 E LAKESHORE DR SUITE 208DECATUR, IL 62521PHONE: (217) 428-1900E-PRESCRIBE: NO
GADLAGE, BELVA J., LCPCGENDER: FNPI #: 1669541769A & E BEHAVIORAL HEALTH CARE ASSOCIATES PC2570 FEDERAL DRDECATUR, IL 62526PHONE: (217) 872-1003E-PRESCRIBE: NO
GARRISON, MARY, LCSWGENDER: FNPI #: 1598073959DECATUR PSYCHOLOGICAL ASSOCIATES PC3040 N UNIVERSITY AVE #2DECATUR, IL 62526PHONE: (217) 872-1700E-PRESCRIBE: NO
GRABOWSKI, GENIEL, LCSWGENDER: FNPI #: 1811066913A & E BEHAVIORAL HEALTH CARE ASSOCIATES PC2570 FEDERAL DRDECATUR, IL 62526PHONE: (217) 872-1003E-PRESCRIBE: NO
HAMMOND, KAREN, LCSWGENDER: FNPI #: 11746312791770 E LAKESHORE DRDECATUR, IL 62521PHONE: E-PRESCRIBE: NO
HAWBAKER, NICHELE D., LCSW
GENDER: FNPI #: 1407097264DECATUR PSYCHIATRY LTD1900 E LAKE SHORE DR SUITE 201DECATUR, IL 62521PHONE: (217) 422-0027E-PRESCRIBE: NO
HORTENSTINE-GROHLER, JENNIFER, LCPC
GENDER: FNPI #: 1780807222SUITE 2081770 E LAKE SHORE DRDECATUR, IL 62521PHONE: E-PRESCRIBE: NO
HUNT, MATTHEW W., LCPCGENDER: MNPI #: 1871685115DECATUR PSYCHIATRY LTD1900 E LAKESHORE DR SUITE 201DECATUR, IL 62521PHONE: (217) 422-0027E-PRESCRIBE: NO
KENDALL, KELLY A., LCSWGENDER: FNPI #: 1396041976ROHI PATEL MD SC1770 E LAKE SHORE DR SUITE 209DECATUR, IL 62521PHONE: (217) 423-6500E-PRESCRIBE: NO
DECATUR, ILDECATUR, IL
Mental Health Care
415
KERWIN, CHARLES R., LCSWGENDER: MNPI #: 1063706497CHOUDARY KAVURI MD SC1770 E LAKESHORE DR SUITE 208DECATUR, IL 62521PHONE: (217) 428-1900E-PRESCRIBE: NO
KRUMTINGER, MICHAEL L., LCPC
GENDER: MNPI #: 1255491114DECATUR PSYCHIATRY LTD1900 E LAKESHORE DR SUITE 201DECATUR, IL 62521PHONE: (217) 422-0027E-PRESCRIBE: NO
MCCAMMON, JAYMIE, LCSWGENDER: FNPI #: 1194099853DECATUR PSYCHIATRY1900 E LAKE SHORE DR SUITE 201DECATUR, IL 62521PHONE: (217) 422-0027E-PRESCRIBE: NO
MOLL, THOMAS W., LCSWGENDER: MNPI #: 1053459503ROHI PATIL MD SC1770 E LAKESHORE SUITE 209DECATUR, IL 62521PHONE: (217) 423-6500E-PRESCRIBE: NO
MOORE, TIMOTHY H., LPCGENDER: MNPI #: 1144494881DECATUR PSYCHOLOGICAL ASSOCIATES3040 N UNIVERSITY AVE SUITE 2DECATUR, IL 62526PHONE: (217) 872-1700E-PRESCRIBE: NO
PETERS, KIMBERLY S., LCPCGENDER: FNPI #: 1538485370PSYCHOLOGY SPECIALISTS102 KENWOOD SUITE 120ADECATUR, IL 62526PHONE: (309) 706-3190E-PRESCRIBE: NO
PLEASANT, DIANE, LCPCGENDER: FNPI #: 1669561080PLEASANT COUNSELING303 E WOOD ST SUITE ADECATUR, IL 62523PHONE: (217) 422-6908E-PRESCRIBE: NO
PULLIAM, TRACY L., LCSWGENDER: FNPI #: 1639458623DECATUR PSYCHIATRY LTD1900 E LAKESHORE DR SUITE 201DECATUR, IL 62521PHONE: (217) 422-0027E-PRESCRIBE: NO
RATHNOW, STEPHEN J., LCPC
GENDER: MNPI #: 1497863583ROHI PATEL MD SC1770 E LAKE SHORE DR SUITE 209DECATUR, IL 62521PHONE: (217) 423-6500E-PRESCRIBE: NO
STENNETT-BREWER, LINDA J., LCPC
GENDER: FNPI #: 1700809191ADVANTAGE COUNSELING132 S WATER SUITE 630DECATUR, IL 62523PHONE: (217) 620-2765E-PRESCRIBE: NO
STEWART, THOMAS K., LCSW
GENDER: MNPI #: 1265677421ROHI PATIL MD SC1770 E LAKESHORE DR SUITE 209DECATUR, IL 62521PHONE: (217) 423-6500E-PRESCRIBE: NO
TEEL, RUTH E., LCPCGENDER: FNPI #: 1780753889A & E BEHAVIORAL HEALTH CARE ASSOCIATES PC2570 FEDERAL DRDECATUR, IL 62526PHONE: (217) 872-1003E-PRESCRIBE: NO
VEON, KEN, LCPCGENDER: MNPI #: 1598834699A & E BEHAVIORAL HEALTH CARE ASSOCIATES PC2570 FEDERAL DRDECATUR, IL 62526PHONE: (217) 872-1003E-PRESCRIBE: NO
WEBB, EVELYN A., LCSWGENDER: FNPI #: 1881763985A & E BEHAVIORAL HEALTH CARE ASSOCIATES PC2570 FEDERAL DRDECATUR, IL 62526PHONE: (217) 872-1003E-PRESCRIBE: NO
WENCE, DAVID R., LCPCGENDER: MNPI #: 1831209758DECATUR PSYCHOLOGICAL ASSOCIATES3040 N UNIVERSITY AVE SUITE 2DECATUR, IL 62526PHONE: (217) 872-1700E-PRESCRIBE: NO
DECATUR, ILDECATUR, IL
Mental Health Care
416
WILLIAMS, NATHAN D., LCPCGENDER: MNPI #: 1982810511DECATUR PSYCHIATRY LTD1900 E LAKESHORE DR SUITE 201DECATUR, IL 62521PHONE: (217) 422-0027E-PRESCRIBE: NO
PSYCHIATRY
BASHIR, ANJUM, MDGENDER: NPI #: 1568440683DECATUR PSYCHIATRY LTD1900 E LAKESHORE DR SUITE 201DECATUR, IL 62521PHONE: (217) 422-0027E-PRESCRIBE: NO
KAVURI, CHOUDARY V., MDGENDER: MNPI #: 17706421591770 E LAKESHORE DRSUITE 208DECATUR, IL 62521PHONE: (217) 428-1900E-PRESCRIBE: NO
PATIL, ROHI, MDGENDER: MNPI #: 18716019891770 E LAKESHORE DRDECATUR, IL 62521PHONE: (217) 423-6500E-PRESCRIBE: NO
SALIK, SYED Z., MDGENDER: MNPI #: 1265408694SUITE 3401900 E LAKE SHORE DRDECATUR, IL 62521PHONE: (217) 791-6703E-PRESCRIBE: NO
PSYCHOLOGY
BALL, AMANDA, PSYDGENDER: FNPI #: 1003116112PSYCHOLOGY SPECIALISTS102 KENWOOD AVE SUITE 120ADECATUR, IL 62526PHONE: E-PRESCRIBE: NO
GILLEN, WILLIAM G., PHD, PHD
GENDER: MNPI #: 1235294802DECATUR PSYCHIATRY LTD1900 E LAKESHORE DR SUITE 201DECATUR, IL 62521PHONE: (217) 422-0027E-PRESCRIBE: NO
HALL, LEROY R., PSYDGENDER: MNPI #: 1942318837PSYCHOLOGY SPECIALISTS102 KENWOOD SUITE 120DECATUR, IL 62526PHONE: (217) 520-1047E-PRESCRIBE: NO
LOVE, DARREN, PSYDGENDER: MNPI #: 1467766923PSYCHOLOGY SPECIALISTS LTD102 W KENWOOD AVE SUITE 120ADECATUR, IL 62526PHONE: (309) 706-3190E-PRESCRIBE: NO
MACK, JESSICA, PSYDGENDER: FNPI #: 1376803213PSYCHOLOGY SPECIALISTS102 KENWOOD STE 120DECATUR, IL 62526PHONE: (217) 520-1047E-PRESCRIBE: NO
MATTHEWS, BEVERLY J., PSYD
GENDER: FNPI #: 15584637602570 E FEDERAL DRDECATUR, IL 62526PHONE: (217) 872-1003E-PRESCRIBE: NO
5130 HICKORY POINT FRONTAGE RD SUITE 260DECATUR, IL 62526PHONE: (217) 876-7929E-PRESCRIBE: NO
MENTAL HEALTH
LAPHAM, AMY B., LISWGENDER: FNPI #: 1750499976LIFEWORKS600 42ND STDES MOINES, IA 50312PHONE: (515) 255-8399E-PRESCRIBE: NO
STAGNER, MOLLY M., LISWGENDER: FNPI #: 1861628489LIFEWORKS600 42ND STDES MOINES, IA 50312PHONE: (515) 255-8399E-PRESCRIBE: NO
MENTAL HEALTH
BOHLS, ANN M., LPCGENDER: FNPI #: 1275659500111 W WASHINGTON SUITE 230EAST PEORIA, IL 61611PHONE: (309) 694-6462E-PRESCRIBE: NO
DES MOINES, IA
EAST PEORIA, IL
DECATUR, ILEAST PEORIA, IL
Mental Health Care
417
EGGER, NANCY, LCSWGENDER: FNPI #: 19726514792500 N MAIN ST SUITE 2AEAST PEORIA, IL 61611PHONE: (309) 282-2372E-PRESCRIBE: NO
ONEAL, PATRICIA R., LPCGENDER: FNPI #: 1194780718111 W WASHINGTON SUITE 230EAST PEORIA, IL 61611PHONE: (309) 694-6462E-PRESCRIBE: NO
PSYCHIATRY
ATTALURI, PRATAP KUMAR, MD
GENDER: MNPI #: 1689639213TAZWOOD MENTAL HEALTH CENTER100 N MAIN ST SUITE L100EAST PEORIA, IL 61611PHONE: (309) 694-6462E-PRESCRIBE: NO
PATIBANDLA, SREEHARI, MDGENDER: MNPI #: 1902863046111 W WASHINGTON SUITE 230EAST PEORIA, IL 61611PHONE: (309) 694-6462E-PRESCRIBE: NO
MENTAL HEALTH/SUBSTANCE ABUSE
PROVENA ST JOSEPH HOSPITAL PSYCH- ELGIN
GENDER: NPI #: 156853838777 N AIRLITE STELGIN, IL 60123PHONE: (847) 695-3200E-PRESCRIBE: NO
PSYCHIATRY
HOSSAIN, SHAHEENA, MDGENDER: FNPI #: 1295755502OPEN DOOR CLINIC164 DIVISION ST SUITE 607ELGIN, IL 60120PHONE: (847) 695-1093E-PRESCRIBE: NO
MALIK, FAREHA N., MDGENDER: FNPI #: 1780692038FAREHA N MALIK MD LLC2130 POINT BLVD SUITE 200ELGIN, IL 60123PHONE: (847) 783-0307E-PRESCRIBE: YES
MENTAL HEALTH
KETRING, ELAINE, LCPCGENDER: FNPI #: 1013197318ELAINE KETRING & ASSOCIATES404 S PERSHING STENERGY, IL 62933PHONE: (618) 942-2516E-PRESCRIBE: NO
PSYCHIATRY
AHUJA, RENO K., MDGENDER: FNPI #: 1619107968HOLISTIC PSYCHIATRY202 S PERSHINGENERGY, IL 62933PHONE: (618) 942-8645E-PRESCRIBE: YES
MENTAL HEALTH
HOLLAND, SARAH K., LCPCGENDER: FNPI #: 1568434306JOHN R DAY & ASSOCIATES LTD407 E CENTER STEUREKA, IL 61530PHONE: (309) 692-7755E-PRESCRIBE: NO
JENNINGS, RUTH A., LCSWGENDER: FNPI #: 1568689511JOHN R DAY & ASSOCIATES LTD407 E CENTER STEUREKA, IL 61530PHONE: (309) 692-7755E-PRESCRIBE: NO
LE, JESSICA, LCPCGENDER: FNPI #: 1447212089JOHN R DAY & ASSOCIATES LTD407 E CENTER STEUREKA, IL 61530PHONE: (309) 692-7755E-PRESCRIBE: NO
ELGIN, IL
ENERGY, IL
EUREKA, IL
EAST PEORIA, ILEUREKA, IL
Mental Health Care
418
PSYCHOLOGY
DALFIUME, LUKE R., PHDGENDER: MNPI #: 1760447155JOHN R DAY & ASSOCIATES LTD407 E CENTER STEUREKA, IL 61530PHONE: (309) 692-7755E-PRESCRIBE: NO
MENTAL HEALTH
BLAKE, JASON, LCSWGENDER: MNPI #: 1780730101MONROE CLINIC FREEPORT1301 S KIWANIS DRFREEPORT, IL 61032PHONE: (815) 235-1854E-PRESCRIBE: NO
PSYCHIATRY
REILLY, DANIEL L., MDGENDER: MNPI #: 1811061286MONROE CLINIC-FREEPORT1301 S KIWANIS DRFREEPORT, IL 61032PHONE: (815) 235-1406E-PRESCRIBE: NO
MENTAL HEALTH
FOSHAY, STEVEN C., LCPCGENDER: MNPI #: 1972780682311 E MAIN ST SUITE 505GALESBURG, IL 61401PHONE: (309) 335-6773E-PRESCRIBE: NO
HUMPHREY, ELAINE A., LCPC
GENDER: FNPI #: 1457533994BRIDGEWAY INC2323 WINDISH DRGALESBURG, IL 61401PHONE: (309) 344-2323E-PRESCRIBE: NO
KISTLER, KAREN, LSWGENDER: FNPI #: 1750687885BRIDGEWAY INC2323 WINDISH DRGALESBURG, IL 61401PHONE: (309) 344-2323E-PRESCRIBE: NO
MCMILLEN-FIELD, VICKIE A., LCPC
GENDER: FNPI #: 1003964347CROSSROADS COUNSELING AND LIFE COACHING647 W LOSEY STGALESBURG, IL 61401PHONE: (309) 343-0800E-PRESCRIBE: NO
MOWERS, REBECCA S., LCSW
GENDER: FNPI #: 1801010509CROSSROADS COUNSELING AND LIFE COACHING647 W LOSEY STGALESBURG, IL 61401PHONE: (309) 343-0800E-PRESCRIBE: NO
PEACHEY, LINDSAY J., LCPCGENDER: FNPI #: 1598989204CROSSROADS COUNSELING AND LIFE COACHING647 W LOSEY STGALESBURG, IL 61401PHONE: (309) 343-0800E-PRESCRIBE: NO
TIPPEY, LINDA, LCPCGENDER: FNPI #: 1164546891BRIDGEWAY INC2323 WINDISH DRGALESBURG, IL 61401PHONE: (309) 344-2323E-PRESCRIBE: NO
ULM, PHILIP H., LCPCGENDER: MNPI #: 1245331073OSF GALESBURG CLINIC1707 N HENDERSON STGALESBURG, IL 61401PHONE: (309) 344-1000E-PRESCRIBE: NO
YEE, LAWRENCE D., LCPCGENDER: MNPI #: 1275796328BRIDGEWAY INC2323 WINDISH DRGALESBURG, IL 61401PHONE: (309) 344-2323E-PRESCRIBE: NO
MENTAL HEALTH/SUBSTANCE ABUSE
GALESBURG COTTAGE HOSPITAL-PSYCH UNIT
GENDER: NPI #: 1700805660695 N KELLOG STGALESBURG, IL 61401PHONE: (309) 343-8131E-PRESCRIBE: NO
PSYCHIATRY
ATTALURI, JAYALAKSHMI, MD
GENDER: FNPI #: 1245251255COTTAGE PSYCHIATRIC SERVICES765 N KELLOGG SUITE 205GALESBURG, IL 61401PHONE: (309) 345-0394E-PRESCRIBE: NO
FREEPORT, IL
GALESBURG, IL
EUREKA, ILGALESBURG, IL
Mental Health Care
419
BEDNARZ, MICHAEL, MDGENDER: MNPI #: 1184661407BRIDGEWAY INC2323 WINDISH DRGALESBURG, IL 61401PHONE: (309) 344-4250E-PRESCRIBE: NO
JOHNSON-DECHOW, DENISE, DO
GENDER: FNPI #: 1477562866COTTAGE PSYCHIATRIC SERVICES765 N KELLOGG ST SUITE 205GALESBURG, IL 61401PHONE: (309) 345-0394E-PRESCRIBE: NO
SAMI, MOHAMMAD, MDGENDER: MNPI #: 1508939794BRIDGEWAY INC2323 WINDISH DRGALESBURG, IL 61401PHONE: (309) 344-2323E-PRESCRIBE: NO
PSYCHOLOGY
TILLER, JAMES, PHDGENDER: MNPI #: 1821350489ADVANCED BEHAVIORAL HEALTH2101 WINDISH DRGALESBURG, IL 61401PHONE: (309) 342-6852E-PRESCRIBE: NO
MENTAL HEALTH
VINOVICH, CHRISTINA R., LCPC
GENDER: FNPI #: 1518024710336 FRONT STGALVA, IL 61434PHONE: (309) 883-4258E-PRESCRIBE: NO
MENTAL HEALTH
SOMMERS-KRAUSE, DEBORAH H., LCSW
GENDER: FNPI #: 1801954938SOUTHPARK PSYCHOLOGY127 S VAILGENESEO, IL 61254PHONE: (309) 797-2900E-PRESCRIBE: NO
MENTAL HEALTH
DEMING, KIMBERLY, LCPCGENDER: FNPI #: 1386764405MONTGOMERY COUNTY HEALTH DEPARTMENT11191 IL RT 185HILLSBORO, IL 62049PHONE: (217) 532-2001E-PRESCRIBE: NO
HARMON, WENDY L., LCSWGENDER: FNPI #: 1932285194SPRINGFIELD CLINIC LLP1250 E TREMONT STHILLSBORO, IL 62049PHONE: (217) 532-6911E-PRESCRIBE: NO
LENTZ, PAM S., LCPCGENDER: FNPI #: 1780800532MONTGOMERY COUNTY HEALTH DEPARTMENT11191 IL RT 185HILLSBORO, IL 62049PHONE: (217) 532-2001E-PRESCRIBE: NO
WRIGHT, JILL A., LPCGENDER: FNPI #: 1508082355MONTGOMERY COUNTY HEALTH DEPARTMENT11191 IL RT 185HILLSBORO, IL 62049PHONE: (217) 532-2001E-PRESCRIBE: NO
PSYCHIATRY
SMUCKER, JAYANTHI R., MDGENDER: FNPI #: 1972615029MONTGOMERY COUNTY HEALTH DEPARTMENT11191 IL RT 185HILLSBORO, IL 62049PHONE: (217) 532-2001E-PRESCRIBE: NO
MENTAL HEALTH
FLESCH, BRENDA, LCPCGENDER: FNPI #: 1750341194MORGAN SCOTT MENTAL HEALTH340 W STATE STJACKSONVILLE, IL 62651PHONE: (217) 245-6126E-PRESCRIBE: NO
GALVA, IL
GENESEO, IL
HILLSBORO, IL
JACKSONVILLE, IL
GALESBURG, ILJACKSONVILLE, IL
Mental Health Care
420
HEAPE, ROBERT L., LCPCGENDER: MNPI #: 1013986280MORGAN SCOTT MENTAL HEALTH340 W STATE STJACKSONVILLE, IL 62651PHONE: (217) 245-6126E-PRESCRIBE: NO
LOVELAND, DENISE A., LCSW
GENDER: FNPI #: 1821067315MHCCI JACKSONVILLE340 W STATE STJACKSONVILLE, IL 62650PHONE: (217) 245-6126E-PRESCRIBE: NO
WEBB, DEBRA K., LCSWGENDER: FNPI #: 1972887156MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS340 W STATEJACKSONVILLE, IL 62650PHONE: (217) 245-6126E-PRESCRIBE: NO
MENTAL HEALTH/SUBSTANCE ABUSE
WELLS CENTERGENDER: NPI #: 12059335611300 LINCOLN AVEJACKSONVILLE, IL 62650PHONE: (217) 243-1871E-PRESCRIBE: NO
PSYCHIATRY
DANG, NAVNEET S., MDGENDER: MNPI #: 1316228869PASSAVANT PHYSICIAN ASSOCIATION559 N WESTGATE LANEJACKSONVILLE, IL 62650PHONE: (217) 243-5474E-PRESCRIBE: YES
MAHER III, CHAUNCEY, MDGENDER: MNPI #: 1023072295MHCCI-JACKSONVILLE340 W STATEJACKSONVILLE, IL 62650PHONE: (217) 245-6126E-PRESCRIBE: NO
MENTAL HEALTH
BALTAZAR, JOSE A., LCSWGENDER: MNPI #: 1184840837THE SUMMIT CENTER FOR MENTAL HEALTH3033 W JEFFERSON ST SUITE 107JOLIET, IL 60435PHONE: (815) 773-0772E-PRESCRIBE: NO
BLAKEMORE, GLENDA M., LCSW
GENDER: FNPI #: 1992821946THE SUMMIT CENTER FOR MENTAL HEALTH3033 W JEFFERSON ST SUITE 107JOLIET, IL 60432PHONE: (815) 773-0772E-PRESCRIBE: NO
BRUNO, LISA J., LCPCGENDER: FNPI #: 1558474692THE SUMMIT CENTER FOR MENTAL HEALTH3033 W JEFFERSON ST SUITE 107JOLIET, IL 60435PHONE: (815) 773-0772E-PRESCRIBE: NO
CARNEY, JOHN D., LCSWGENDER: MNPI #: 1821012972THE SUMMIT CENTER FOR MENTAL HEALTH3033 W JEFFERSON ST SUITE 107JOLIET, IL 60435PHONE: (815) 773-0772E-PRESCRIBE: NO
CRANDALL, MEGHAN K., LCSW
GENDER: FNPI #: 1619141488THE SUMMIT CENTER FOR MENTAL HEALTH3033 W JEFFERSON SUITE 107JOLIET, IL 60435PHONE: (815) 773-0772E-PRESCRIBE: NO
CUEVAS, SUSAN, LCPCGENDER: FNPI #: 1518908201INSTITUTE FOR PERSONAL DEVELOPMENT210 N HAMMES AVE SUITE 103JOLIET, IL 60435PHONE: (815) 725-6511E-PRESCRIBE: NO
DANEHL, GINA M., LCSWGENDER: FNPI #: 1346395654THE SUMMIT CENTER FOR MENTAL HEALTH3033 W JEFFERSON ST SUITE 107JOLIET, IL 60435PHONE: (815) 773-0772E-PRESCRIBE: NO
JOLIET, IL
JACKSONVILLE, ILJOLIET, IL
Mental Health Care
421
DASCENZI, SUSAN L., LCSWGENDER: FNPI #: 1316107303THE SUMMIT CENTER FOR MENTAL HEALTH3033 W JEFFERSON ST SUITE 107JOLIET, IL 60435PHONE: (815) 773-0772E-PRESCRIBE: NO
DZIUBAN, CHESTER J., LCSW
GENDER: MNPI #: 1881967396CROSSROADS COUNSELING SERVICES LLC3077 W JEFFERSON ST SUITE 108JOLIET, IL 60435PHONE: (815) 941-3882E-PRESCRIBE: NO
FOLEY, KATHLEEN L., LCSWGENDER: FNPI #: 1326151572THE SUMMIT CENTER FOR MENTAL HEALTH3033 W JEFFERSON ST SUITE 107JOLIET, IL 60435PHONE: (815) 773-0772E-PRESCRIBE: NO
GOMEZ, JEANNINE M., LCPCGENDER: FNPI #: 1548274863THE SUMMIT CENTER FOR MENTAL HEALTH3033 W JEFFERSON ST SUITE 107JOLIET, IL 60435PHONE: (815) 773-0772E-PRESCRIBE: NO
GUNNELLS, TRACI R., LMSWGENDER: FNPI #: 1083750038THE SUMMIT CENTER FOR MENTAL HEALTH3033 W JEFFERSON ST SUITE 107JOLIET, IL 60435PHONE: (815) 773-0772E-PRESCRIBE: NO
HASSAN, YOSRI Y., LCSWGENDER: MNPI #: 1790953743INSTITUTE FOR PERSONAL DEVELOPMENT210 N HAMMES AVE SUITE 103JOLIET, IL 60435PHONE: (815) 725-6511E-PRESCRIBE: NO
JACQUES, HELENE A., LCPCGENDER: FNPI #: 1861585358THE SUMMIT CENTER FOR MENTAL HEALTH3033 W JEFFERSON ST SUITE 107JOLIET, IL 60435PHONE: (815) 773-0772E-PRESCRIBE: NO
KATH-LANTERMAN, SANDRA H., LCPC
GENDER: FNPI #: 1225116296THE SUMMIT CENTER FOR MENTAL HEALTH3033 W JEFFERSON ST SUITE 107JOLIET, IL 60435PHONE: (815) 773-0772E-PRESCRIBE: NO
KOWAL, ANNE C., LCSWGENDER: FNPI #: 1538285812CROSSROADS COUNSELING SERVICES LLC3077 W JEFFERSON ST SUITE 108JOLIET, IL 60435PHONE: (815) 941-3882E-PRESCRIBE: NO
LEISER, LORRAINE H., LCPCGENDER: FNPI #: 1902827090THE SUMMIT CENTER FOR MENTAL HEALTH3033 W JEFFERSON ST SUITE 107JOLIET, IL 60435PHONE: (815) 773-0772E-PRESCRIBE: NO
LOMBARDO, KAREN A., LCSW
GENDER: FNPI #: 1427118884INSTITUTE FOR PERSONAL DEVELOPMENT210 N HAMMES AVE SUITE 103JOLIET, IL 60435PHONE: (815) 725-6511E-PRESCRIBE: NO
MADISON, RICHARD L., LCSW
GENDER: MNPI #: 1407988520INSTITUTE FOR PERSONAL DEVELOPMENT210 N HAMMES AVE SUITE 103JOLIET, IL 60435PHONE: (815) 942-6323E-PRESCRIBE: NO
JOLIET, ILJOLIET, IL
Mental Health Care
422
MESSINA, SANDRA C., LCSWGENDER: FNPI #: 1720191869THE SUMMIT CENTER FOR MENTAL HEALTH3033 W JEFFERSON ST SUITE 107JOLIET, IL 60435PHONE: (815) 773-0772E-PRESCRIBE: NO
OHERN, KELLY M., LCSWGENDER: FNPI #: 1174749824INSTITUTE FOR PERSONAL DEVELOPMENT210 N HAMMES AVE SUITE 103JOLIET, IL 60435PHONE: (815) 942-6323E-PRESCRIBE: NO
OLSON, ALTHEA R., LCSWGENDER: FNPI #: 1881618940THE SUMMIT CENTER FOR MENTAL HEALTH3033 W JEFFERSON ST SUITE 107JOLIET, IL 60435PHONE: (815) 773-0772E-PRESCRIBE: NO
PLANING, JENNIFER J., LCPC
GENDER: FNPI #: 1871671859THE SUMMIT CENTER FOR MENTAL HEALTH3033 W JEFFERSON ST SUITE 107JOLIET, IL 60435PHONE: (815) 773-0772E-PRESCRIBE: NO
REIFENSTUHL, JOHN C., LCSW
GENDER: MNPI #: 1174636211THE SUMMIT CENTER FOR MENTAL HEALTH3033 W JEFFERSON ST SUITE 107JOLIET, IL 60435PHONE: (815) 773-0772E-PRESCRIBE: NO
RUOHOMAKI, STEVE L., LMSW
GENDER: MNPI #: 1447412838THE SUMMIT CENTER FOR MENTAL HEALTH3033 W JEFFERSON ST SUITE 107JOLIET, IL 60435PHONE: (815) 773-0772E-PRESCRIBE: NO
SANDERS, RITA L., LCPCGENDER: FNPI #: 1154576452THE SUMMIT CENTER FOR MENTAL HEALTH3033 W JEFFERSON ST SUITE 107JOLIET, IL 60435PHONE: (815) 773-0772E-PRESCRIBE: NO
SOLIS, ANGELA C., LCPCGENDER: FNPI #: 1639110612CROSSROADS COUNSELING SERVICES3077 W JEFFERSON ST SUITE 108JOLIET, IL 60435PHONE: (815) 941-3882E-PRESCRIBE: NO
STRICKLIN, HERBERT L., LCPC
GENDER: MNPI #: 1770643850THE SUMMIT CENTER FOR MENTAL HEALTH3033 W JEFFERSON ST SUITE 107JOLIET, IL 60435PHONE: (815) 773-0772E-PRESCRIBE: NO
TENUTA, KRISTIN L., LCPCGENDER: FNPI #: 1417107244THE SUMMIT CENTER FOR MENTAL HEALTH3033 W JEFFERSON ST SUITE 107JOLIET, IL 60435PHONE: (815) 773-0772E-PRESCRIBE: NO
TYMINSKI, KRISTIN K., LCSWGENDER: FNPI #: 1497827067THE SUMMIT CENTER FOR MENTAL HEALTH3033 W JEFFERSON ST SUITE 107JOLIET, IL 60435PHONE: (815) 773-0772E-PRESCRIBE: NO
VENSEL, MARGARET A., LCSW
GENDER: FNPI #: 1275557340THE SUMMIT CENTER FOR MENTAL HEALTH3033 W JEFFERSON ST SUITE 107JOLIET, IL 60435PHONE: (815) 773-0772E-PRESCRIBE: NO
JOLIET, ILJOLIET, IL
Mental Health Care
423
WELTER, DONNA M., LCSWGENDER: FNPI #: 1114030251THE SUMMIT CENTER FOR MENTAL HEALTH3033 W JEFFERSON ST SUITE 107JOLIET, IL 60435PHONE: (815) 773-0772E-PRESCRIBE: NO
WIRTZ, LAURA KELLY, LCSWGENDER: FNPI #: 1922152248THE SUMMIT CENTER FOR MENTAL HEALTH3033 W JEFFERSON ST SUITE 107JOLIET, IL 60435PHONE: (815) 773-0772E-PRESCRIBE: NO
MENTAL HEALTH/SUBSTANCE ABUSE
PROVENA ST JOSEPH MEDICAL CENTER-PSYCH UNIT
GENDER: NPI #: 1003976713333 N MADISON STJOLIET, IL 60435PHONE: (815) 725-7133E-PRESCRIBE: NO
PEDIATRIC PSYCHIATRY
HUSSAIN, MEH J., MDGENDER: FNPI #: 1881685071THE SUMMIT CENTER FOR MENTAL HEALTH3033 W JEFFERSON SUITE 107JOLIET, IL 60435PHONE: (815) 773-0772E-PRESCRIBE: YES
PSYCHIATRY
BODDAPATI, LAKSHMI S., MDGENDER: FNPI #: 1316968480INSTITUTE FOR PERSONAL DEVELOPMENT210 N HAMMES AVE SUITE 103JOLIET, IL 60435PHONE: (815) 725-6511E-PRESCRIBE: NO
DIWAN, SHILPA P., MDGENDER: MNPI #: 1942457999THE SUMMIT CENTER FOR MENTAL HEALTH3033 W JEFFERSON ST SUITE 107JOLIET, IL 60435PHONE: (815) 773-0772E-PRESCRIBE: NO
HANNAH, PAUL L., MDGENDER: MNPI #: 1992920169PROVENA MEDICAL GROUP333 MADISON STJOLIET, IL 60435PHONE: (815) 725-7133E-PRESCRIBE: NO
HUSSAIN, MEH J., MDGENDER: FNPI #: 1881685071THE SUMMIT CENTER FOR MENTAL HEALTH3033 W JEFFERSON SUITE 107JOLIET, IL 60435PHONE: (815) 773-0772E-PRESCRIBE: YES
KONONOVA, LARISA, MDGENDER: FNPI #: 1598803033PROVENA MEDICAL GROUP333 MADISON STREETJOLIET, IL 60435PHONE: (815) 725-7133E-PRESCRIBE: NO
LOZANO, COSME O., MDGENDER: MNPI #: 1336160597JOLIET CENTER FOR CLINICAL RESEARCH210 N HAMMES AVE SUITE 205JOLIET, IL 60435PHONE: (815) 729-7780E-PRESCRIBE: NO
TRUM, PAULETTE C., MDGENDER: FNPI #: 1467473462JOLIET CENTER FOR CLINICAL RESEARCH210 N HAMMES AVE SUITE 205JOLIET, IL 60435PHONE: (815) 729-7790E-PRESCRIBE: NO
PSYCHOLOGY
DECKER, JEANNE M., PSYDGENDER: FNPI #: 1174543482CROSSROADS COUNSELING SERVICES LLC3077 W JEFFERSON ST SUITE 108JOLIET, IL 60435PHONE: (815) 941-3882E-PRESCRIBE: NO
MENTAL HEALTH
KARALIS, MARY C., LCPCGENDER: FNPI #: 1083925747CROSSROADS COUNSELING SERVICES LLC649 W MONDAMIN STKANAWHA, IA 50447PHONE: (815) 467-9810E-PRESCRIBE: NO
KANAWHA, IA
JOLIET, ILKANAWHA, IA
Mental Health Care
424
PSYCHIATRY
AMARE, DAWIT, DOGENDER: MNPI #: 1992959555PSYCHIATRIC ASSOCIATES500 N WALL ST SUITE 200KANKAKEE, IL 60901PHONE: (815) 937-1237E-PRESCRIBE: NO
AYOADE, AYODELE O., MDGENDER: MNPI #: 1598758906PSYCHIATRIC ASSOCIATES500 N WALL ST SUITE 200KANKAKEE, IL 60901PHONE: (815) 937-1237E-PRESCRIBE: NO
BELFORD, MARY E., MDGENDER: FNPI #: 1194719534PSYCHIATRIC ASSOCIATES500 N WALL ST SUITE 200KANKAKEE, IL 60901PHONE: (815) 937-1237E-PRESCRIBE: NO
HERARD, ASTRID B., MDGENDER: FNPI #: 1255598512PSYCHIATRIC ASSOCIATES500 N WALL ST SUITE 200KANKAKEE, IL 60901PHONE: (815) 937-1237E-PRESCRIBE: NO
MITCHELL, KIRSTEN, PSYDGENDER: FNPI #: 1053460634RIVERSIDE HEALTH SYSTEMS350 N WALL STKANKAKEE, IL 60901PHONE: (815) 933-1671E-PRESCRIBE: NO
ROY, PATRICIA L., MDGENDER: FNPI #: 1184636474PSYCHIATRIC ASSOCIATES500 N WALL ST SUITE 200KANKAKEE, IL 60901PHONE: (815) 937-1237E-PRESCRIBE: NO
WIN, ZAW, MDGENDER: MNPI #: 1174516579PSYCHIATRIC ASSOCIATES500 N WALL ST SUITE 200KANKAKEE, IL 60901PHONE: (815) 937-1237E-PRESCRIBE: NO
PSYCHOLOGY
MITCHELL, KRISTIN L., PSYDGENDER: FNPI #: 1053460634RIVERSIDE NEUROLOGY SPECIALISTS500 N WALL ST SUITE 200KANKAKEE, IL 60901PHONE: (815) 937-1237E-PRESCRIBE: YES
MENTAL HEALTH
HUMPHREY, ELAINE A., LCPC
GENDER: FNPI #: 1457533994BRIDGEWAY INC137 E COLLEGEKEWANEE, IL 61443PHONE: (309) 852-4331E-PRESCRIBE: NO
PSYCHIATRY
SAMI, MOHAMMAD, MDGENDER: MNPI #: 1508939794BRIDGEWAY INC137 E COLLEGEKEWANEE, IL 61443PHONE: (309) 852-4331E-PRESCRIBE: NO
MENTAL HEALTH
SCHULTZ, LINDA M., CADCGENDER: FNPI #: LOGAN MASON MENTAL HEALTH304 N EIGHTH STLINCOLN, IL 62656PHONE: (217) 735-2272E-PRESCRIBE: NO
MENTAL HEALTH
DEMING, KIMBERLY, LCPCGENDER: FNPI #: 1386764405MONTGOMERY COUNTY HEALTH DEPARTMENT317 W UNIONLITCHFIELD, IL 62056PHONE: (217) 324-3430E-PRESCRIBE: NO
LENTZ, PAM S., LCPCGENDER: FNPI #: 1780800532MONTGOMERY COUNTY HEALTH DEPARTMENT317 W UNIONLITCHFIELD, IL 62056PHONE: (217) 532-2001E-PRESCRIBE: NO
KANKAKEE, IL
KEWANEE, IL
LINCOLN, IL
LITCHFIELD, IL
KANKAKEE, ILLITCHFIELD, IL
Mental Health Care
425
MORRIS, SHERI L., LCSWGENDER: FNPI #: 247 W LAKE TRAILLITCHFIELD, IL 62056PHONE: (217) 254-3866E-PRESCRIBE: NO
WRIGHT, JILL A., LPCGENDER: FNPI #: 1508082355MONTGOMERY COUNTY HEALTH DEPARTMENT317 W UNIONLITCHFIELD, IL 62056PHONE: (217) 532-2001E-PRESCRIBE: NO
PSYCHIATRY
SMUCKER, JAYANTHI R., MDGENDER: FNPI #: 1972615029MONTGOMERY COUNTY HEALTH DEPARTMENT317 W UNIONLITCHFIELD, IL 62056PHONE: (217) 532-2001E-PRESCRIBE: NO
PSYCHIATRY
DEVASSY, ELSY A., MDGENDER: FNPI #: 1417950783ALLIANCE HEALTH16612 W 159TH ST SUITE 204LOCKPORT, IL 60441PHONE: (815) 588-3900E-PRESCRIBE: NO
ADDICTIONS COUNSELOR
RINEHART, CARA M., LCPC, CADC
GENDER: FNPI #: 1821327453CLAY COUNTY COUNSELING SERVICES125 BROADWAY STLOUISVILLE, IL 62858PHONE: (618) 665-4532E-PRESCRIBE: NO
MENTAL HEALTH
RINEHART, CARA M., LCPC, CADC
GENDER: FNPI #: 1821327453CLAY COUNTY COUNSELING SERVICES125 BROADWAY STLOUISVILLE, IL 62858PHONE: (618) 665-4532E-PRESCRIBE: NO
MENTAL HEALTH
BENEDICT, JANICE S., LSWGENDER: FNPI #: 1174896765GEIGER PSYCHIATRIC CARE1752 WINDSOR RD SUITE 203LOVES PARK, IL 61111PHONE: (815) 986-1113E-PRESCRIBE: YES
FINNAN, KRISTI A., LMFTGENDER: FNPI #: 1215109269GEIGER PSYCHIATRIC CARE1752 WINDSOR RD SUITE 203LOVES PARK, IL 61111PHONE: (815) 986-1113E-PRESCRIBE: YES
O'CONNELL, JANET, LMFTGENDER: FNPI #: 1891098539GEIGER PSYCHIATRIC CARE1752 WINDSOR RD SUITE 203LOVES PARK, IL 61111PHONE: (815) 986-1113E-PRESCRIBE: YES
PERSON, BRUCE A., LCSWGENDER: MNPI #: 1629341219GEIGER PSYCHIATRIC CARE1752 WINDSOR RD SUITE 203LOVES PARK, IL 61111PHONE: (815) 986-1113E-PRESCRIBE: YES
PSYCHIATRY
GEIGER, MARIANNE, MDGENDER: FNPI #: 1639215015GEIGER PSYCHIATRIC CARE1752 WINDSOR RD SUITE 203LOVES PARK, IL 61111PHONE: (815) 986-1113E-PRESCRIBE: YES
MENTAL HEALTH
PLEASANT, DIANE, LCPCGENDER: FNPI #: 1669561080PLEASANT COUNSELING3965 COFFEE POT CIRCLELOVINGTON, IL 61937PHONE: (217) 855-7828E-PRESCRIBE: NO
LOCKPORT, IL
LOUISVILLE, IL
LOVES PARK, IL LOVINGTON, IL
LITCHFIELD, ILLOVINGTON, IL
Mental Health Care
426
MENTAL HEALTH
DANIELS, KARI A., LCPCGENDER: FNPI #: 1407000649BEHAVIORAL HEALTH SERVICES525 E GRANT STMACOMB, IL 61455PHONE: (309) 836-1582E-PRESCRIBE: NO
DERRY, REBECCA E., LPCGENDER: FNPI #: 1649497470BEHAVIORAL HEALTH SERVICES AT MCDONOUGH DIST HOSP525 E GRANT STMACOMB, IL 61455PHONE: (309) 836-1582E-PRESCRIBE: NO
EIDSON, JO ANNA, LSWGENDER: FNPI #: MCDONOUGH DISTRICT HOSPITAL BEHAVIORAL HEALTH525 E GRANTMACOMB, IL 61455PHONE: (309) 836-1582E-PRESCRIBE: NO
HOFMEISTER, AMY, LCPCGENDER: FNPI #: 1760609507RECOVERY CENTER525 E GRANT STMACOMB, IL 61455PHONE: (309) 833-4101E-PRESCRIBE: NO
KUBASAK, WAYNE K., LCPCGENDER: MNPI #: 1982821716RECOVERY CENTER525 E GRANT STMACOMB, IL 61455PHONE: (309) 833-4101E-PRESCRIBE: NO
LAIRD, KIMBERLY S., LCPCGENDER: FNPI #: 1235289836BEHAVIORAL HEALTH SERVICES AT MCDONOUGH DIST HOS525 E GRANT STMACOMB, IL 61455PHONE: (309) 836-1582E-PRESCRIBE: NO
LEE, KAY, LCPCGENDER: FNPI #: 1760609416RECOVERY CENTER525 E GRANT STMACOMB, IL 61455PHONE: (309) 833-4101E-PRESCRIBE: NO
ROODHOUSE, MARCIA R., LCPC
GENDER: FNPI #: 1285767335COUNSELING CARES233 S MCARTHUR STMACOMB, IL 61455PHONE: (309) 833-2255E-PRESCRIBE: NO
SIVILL, ELLIE J., LCPCGENDER: FNPI #: 1891017943COUNSELING CARES233 S MCARTHUR STMACOMB, IL 61455PHONE: (309) 833-2255E-PRESCRIBE: NO
SMITH, JENNIFER A., LSWGENDER: FNPI #: 1457578197MCDONOUGH HEALTH SERVICES BUILDING505 E GRANT STMACOMB, IL 61455PHONE: (309) 836-1582E-PRESCRIBE: NO
WATERSTREET, CRAIG E., LCPC
GENDER: MNPI #: 1295932762COUNSELING CARES233 S MCARTHUR STMACOMB, IL 61455PHONE: (309) 833-2255E-PRESCRIBE: NO
YODER, SHERYL K., LCPCGENDER: FNPI #: 1598815821MCDONOUGH DISTRICT HOSPITAL BEHAVIORAL HEALTH SE525 E GRANT STMACOMB, IL 61455PHONE: (309) 836-1582E-PRESCRIBE: NO
MENTAL HEALTH/SUBSTANCE ABUSE
BEHAVIORAL HEALTH SERVICES
GENDER: NPI #: 1669420766525 E GRANT STMACOMB, IL 61455PHONE: (309) 833-4101E-PRESCRIBE: NO
MACOMB, IL
MACOMB, ILMACOMB, IL
Mental Health Care
427
PSYCHIATRY
BEDNARZ, MICHAEL P., MDGENDER: MNPI #: 1184661407COUNSELING CARES233 S MCARTHUR STMACOMB, IL 61455PHONE: (309) 833-2255E-PRESCRIBE: NO
SARWAR, SAJJAD R., MDGENDER: NPI #: 1982839957MCDONOUGH DISTRICT HOSPITAL DBA PSYCHIATRY CLINIC515 E GRANT ST SUITE 212MACOMB, IL 61455PHONE: (309) 836-6400E-PRESCRIBE: NO
WRIGHT, SCOTT J., MDGENDER: MNPI #: 1447258181505 E GRANT ST SUITE 306MACOMB, IL 61455PHONE: (309) 836-6400E-PRESCRIBE: NO
MENTAL HEALTH
BIERMAN, LORRIE A., LCPCGENDER: FNPI #: 16593216511518 RUDY AVEMATTOON, IL 61938PHONE: (217) 235-6203E-PRESCRIBE: NO
COLE, KENDRA J., LCSWGENDER: FNPI #: 1548352248BEHAVIORAL HEALTH SERVICES1005 HEALTH CENTER DR SUITE 102MATTOON, IL 61938PHONE: (217) 258-4040E-PRESCRIBE: NO
MCDADE, BONNIE K., LCPCGENDER: FNPI #: 1033201801BEHAVIORAL HEALTH SERVICE1005 HEALTH CENTER DR SUITE 102MATTOON, IL 61938PHONE: (217) 258-4040E-PRESCRIBE: NO
MILLER, MELISSA, LCSWGENDER: FNPI #: 1326326380BEHAVIORAL HEALTH SERVICE1005 HEALTH CENTER DR SUITE 102MATTOON, IL 61938PHONE: (217) 258-4040E-PRESCRIBE: NO
MENTAL HEALTH/SUBSTANCE ABUSE
SARAH BUSH LINCOLN HEALTH CENTER
GENDER: NPI #: 12958043751000 HEALTH CENTER DRMATTOON, IL 61938PHONE: (217) 348-2525E-PRESCRIBE: NO
PEDIATRIC PSYCHIATRY
HECKSEL, KATHLEEN A., MDGENDER: FNPI #: 1366647679SBL PSYCHIATRY & COUNSELING1005 HEALTH CETNER DR SUITE 102MATTOON, IL 61938PHONE: (217) 258-4042E-PRESCRIBE: NO
PSYCHIATRY
JONES-MARTINEZ, NICOLE, MD
GENDER: FNPI #: 1184814501SBL1005 HEALTH CENTER DR SUITE 102MATTOON, IL 61938PHONE: (217) 258-4042E-PRESCRIBE: NO
LEE, ELBERT, MDGENDER: MNPI #: 1740243989SBL PSYCHIATRY AND COUNSELINGPRAIRIE PAVILION I SUITE 102 1005 HEALTH CENTER DRMATTOON, IL 61938PHONE: (217) 258-4042E-PRESCRIBE: NO
MINOGUE, THOMAS L., MDGENDER: MNPI #: 1548284979CARLE FOUNDATION PHYSICIAN SERVICES200 LERNA RD SOUTHMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
WHISENAND, JAMES M., MDGENDER: MNPI #: 1639279011CARLE FOUNDATION PHYSICIAN SERVICES LLC200 LERNA RDMATTOON, IL 61938PHONE: (217) 258-5900E-PRESCRIBE: NO
MATTOON, IL
MACOMB, ILMATTOON, IL
Mental Health Care
428
MENTAL HEALTH
MILLER, TERESA K., LCSWGENDER: FNPI #: 1104860238HAMILTON MEMORIAL CLINIC611 S MARSHAL AVEMCLEANSBORO, IL 62859PHONE: (618) 643-2361E-PRESCRIBE: NO
MENTAL HEALTH
MEIER, LESTARI W., LCPCGENDER: FNPI #: 1588729149MENDED HEARTS1431 LOURDES RDMETAMORA, IL 61548PHONE: (309) 688-4773E-PRESCRIBE: NO
SELLNER, JULIE E., LCPCGENDER: FNPI #: 1972657732MENDED HEARTS1431 LARDES RDMETAMORA, IL 61548PHONE: (309) 383-4323E-PRESCRIBE: NO
MENTAL HEALTH
AUBRY, STACY, LCSWGENDER: FNPI #: 1518157197CROSSROADS COUNSELING SERVICES LLC649 W MONDAMIN STMINOOKA, IL 60447PHONE: (815) 467-9810E-PRESCRIBE: NO
CASSELLA-JOHNSON, DONNA M., LCPC
GENDER: FNPI #: 1689938672CROSSROADS COUNSELING SERVICES LLC649 W MONDAMIN STMINOOKA, IL 60447PHONE: (815) 467-9810E-PRESCRIBE: NO
DZIUBAN, CHESTER J., LCSW
GENDER: MNPI #: 1881967396CROSSROADS COUNSELING SERVICES LLC649 W MONDAMIN STMINOOKA, IL 60447PHONE: (815) 467-9810E-PRESCRIBE: NO
GJERDE, LINDA C., LCSWGENDER: FNPI #: 1053575977CROSSROADS COUNSELING SERVICES LLC649 W MONDAMIN STMINOOKA, IL 60447PHONE: (815) 467-9810E-PRESCRIBE: NO
KOHS, HILARY E., LCSWGENDER: FNPI #: 1235386509CROSSROADS COUNSELING SERVICES LLC649 W MONDAMIN STMINOOKA, IL 60447PHONE: (815) 467-9810E-PRESCRIBE: NO
KOWAL, ANNE C., LCSWGENDER: FNPI #: 1538285812CROSSROADS COUNSELING SERVICES LLC649 W MONDAMIN STMINOOKA, IL 60447PHONE: (815) 467-9810E-PRESCRIBE: NO
KROLAK, KAREN A., LCSWGENDER: FNPI #: 1588979785CROSSROADS COUNSELING SERVICES LLC649 W MONDAMIN STMINOOKA, IL 60447PHONE: (815) 467-9810E-PRESCRIBE: NO
MCCOLLOM, DAWN H., LCSW
GENDER: FNPI #: 1841454766CROSSROADS COUNSELING SERVICES LLC649 W MONDAMIN STMINOOKA, IL 60447PHONE: (815) 467-9810E-PRESCRIBE: NO
ROCKEY, AMANDA, LCPCGENDER: FNPI #: 1891096954CROSSROADS COUNSELING SERVICES LLC649 W MONDAMIN STMINOOKA, IL 60447PHONE: (815) 467-9810E-PRESCRIBE: NO
SKUBIC, CARRIE A., LCPCGENDER: FNPI #: 1013164193CROSSROADS COUNSELING SERVICES LLC649 W MONDAMIN STMINOOKA, IL 60447PHONE: (815) 467-9810E-PRESCRIBE: NO
SLAGLE, SHAWN W., LCSWGENDER: MNPI #: 1043463268CROSSROADS COUNSELING SERVICES LLC649 W MONDAMIN STMINOOKA, IL 60447PHONE: (815) 467-9810E-PRESCRIBE: NO
MCLEANSBORO, IL
METAMORA, IL
MINOOKA, IL
MCLEANSBORO, ILMINOOKA, IL
Mental Health Care
429
SOLIS, ANGELA C., LCPCGENDER: FNPI #: 1639110612CROSSROADS COUNSELING SERVICES LLC649 W MONDAMIN STMINOOKA, IL 60447PHONE: (815) 467-9810E-PRESCRIBE: NO
PSYCHOLOGY
DECKER, JEANNE M., PSYDGENDER: FNPI #: 1174543482CROSSROADS COUNSELING SERVICES LLC649 MONDAMIN STMINOOKA, IL 60447PHONE: (815) 467-9810E-PRESCRIBE: NO
LAASCH, CRAIG, PSYDGENDER: MNPI #: 1710140678CROSSROADS COUNSELING SERVICES LLC649 W MONDAMIN STMINOOKA, IL 60447PHONE: (815) 467-9810E-PRESCRIBE: NO
MENTAL HEALTH
BURNETT, LENNA B., LCPCGENDER: FNPI #: 1043366495BRIDGEWAY INC301 INDUSTRIAL PARKMONMOUTH, IL 61462PHONE: (309) 734-9461E-PRESCRIBE: NO
VOLZ, KURT E., LCPCGENDER: MNPI #: 1265659007OSF HOLY FAMILY CLINICS1000 W HARLEM AVEMONMOUTH, IL 61462PHONE: (309) 734-3141E-PRESCRIBE: NO
MENTAL HEALTH
BOWMAN, DAVID M., LCPCGENDER: MNPI #: 1821324880PIATT COUNTY MENTAL HEALTH CENTER1921 N MARKET STMONTICELLO, IL 61856PHONE: (217) 762-5371E-PRESCRIBE: NO
CRUICKSHANK, DEBRA, LISW
GENDER: FNPI #: 1841477965PIATT COUNTY MENTAL HEALTH CENTER1921 N MARKET STMONTICELLO, IL 61856PHONE: (217) 762-5371E-PRESCRIBE: NO
DONALDSON, KRISTINE, LSW
GENDER: FNPI #: 1790089548PIATT COUNTY MENTAL HEALTH CENTER1921 N MARKET STMONTICELLO, IL 61856PHONE: (217) 762-5371E-PRESCRIBE: NO
EDWARDS, JAMES D., LCSWGENDER: MNPI #: 15685202451921 N MARKET STMONTICELLO, IL 61856PHONE: (217) 762-5371E-PRESCRIBE: NO
MCNICHOLL, STACI L., LCSWGENDER: FNPI #: 1538490172KIRBY MEDICAL CENTER1000 MEDICAL CENTER DRMONTICELLO, IL 61856PHONE: (217) 762-2115E-PRESCRIBE: NO
PORTER, JAMIE L., LSWGENDER: FNPI #: 1114168937PIATT COUNTY MENTAL HEALTH CENTER1921 N MARKET STMONTICELLO, IL 61856PHONE: (217) 762-5371E-PRESCRIBE: NO
VAN BUREN, ALLYSON N., LSW
GENDER: FNPI #: 1003175779PIATT COUNTY MENTAL HEALTH CENTER1921 N MARKET STMONTICELLO, IL 61856PHONE: (217) 762-4357E-PRESCRIBE: NO
PSYCHIATRY
CHOPRA, ARCHANA, MDGENDER: MNPI #: 1033266044PIATT COUNTY MENTAL HEALTH CENTER1921 N MARKET STMONTICELLO, IL 61856PHONE: (217) 762-5371E-PRESCRIBE: NO
MONMOUTH, IL
MONTICELLO, IL
MINOOKA, ILMONTICELLO, IL
Mental Health Care
430
MENTAL HEALTH
RICHEY, CAROL E., LCPCGENDER: FNPI #: 1710024310PSYCHOLOGICAL SERVICES INC303 N JACKSON STMORRISON, IL 61270PHONE: (815) 772-4003E-PRESCRIBE: NO
MENTAL HEALTH
KARKOSH, BETTY J., LPCGENDER: FNPI #: 1275511602NEW DAWN COUNSELING2821 HIGHWAY 22MUSCATINE, IA 52761PHONE: (563) 264-3191E-PRESCRIBE: NO
MENTAL HEALTH
BEAUDRY, ASHLEY V., LCPCGENDER: FNPI #: 1518244656EDGEWOOD CLINICAL SERVICES2948 ARTESIAN RD SUITE 112NAPERVILLE, IL 60564PHONE: (630) 428-7890E-PRESCRIBE: NO
CULEN, KATHLEEN B., LCSWGENDER: FNPI #: 1255614939EDGEWOOD CLINICAL SERVICES2948 ARTESIAN RD SUITE 112NAPERVILLE, IL 60564PHONE: (630) 428-7890E-PRESCRIBE: NO
FRANKLIN, JULIE C., LCSWGENDER: FNPI #: 1881992774EDGEWOOD CLINICAL SERVICES2948 ARTESIAN RD SUITE 112NAPERVILLE, IL 60564PHONE: (630) 428-7890E-PRESCRIBE: NO
GADOMSKI, REBECCA A., LCSW
GENDER: FNPI #: 1255455838EDGEWOOD CLINICAL SERVICES2948 ARTESIAN RD SUITE 112NAPERVILLE, IL 60564PHONE: (630) 428-7890E-PRESCRIBE: NO
HEUERTZ, STEVEN M., LCSWGENDER: MNPI #: 1124355672EDGEWOOD CLINICAL SERVICES2948 ARTESIAN RD SUITE 112NAPERVILLE, IL 60564PHONE: (630) 428-7890E-PRESCRIBE: NO
KOCH, ABBY J., LCSWGENDER: FNPI #: 1710201579EDGEWOOD CLINICAL SERVICES2948 ARTESIAN RD SUITE 112NAPERVILLE, IL 60564PHONE: (630) 428-7890E-PRESCRIBE: NO
NEUGEBAUER, MIRIAM C., LCSW
GENDER: FNPI #: 1194031716EDGEWOOD CLINICAL SERVICES2948 ARTESIAN RD SUITE 112NAPERVILLE, IL 60564PHONE: (630) 428-7890E-PRESCRIBE: NO
RUSSO, ADAM J., LCSWGENDER: MNPI #: 1780740217EDGEWOOD CLINICAL SERVICES2948 ARTESIAN RD SUITE 112NAPERVILLE, IL 60564PHONE: (630) 428-7890E-PRESCRIBE: NO
VAUGHAN, DEBORAH M., LCPC
GENDER: FNPI #: 1134452642EDGEWOOD CLINICAL SERVICES2948 ARTESIAN RD SUITE 112NAPERVILLE, IL 60564PHONE: (630) 428-7890E-PRESCRIBE: NO
WAITKUS, JENNIFER E., LCPC
GENDER: FNPI #: 1265735096EDGEWOOD CLINICAL SERVICES2948 ARTESIAN RD SUITE 112NAPERVILLE, IL 60564PHONE: (630) 428-7890E-PRESCRIBE: NO
WERRBACH, MAUREEN L., LCPC
GENDER: FNPI #: 1972899706EDGEWOOD CLINICAL SERVICES2948 ARTESTIAN RD SUITE 112NAPERVILLE, IL 60564PHONE: (630) 428-7890E-PRESCRIBE: NO
MORRISON, IL
MUSCATINE, IA
NAPERVILLE, IL
MORRISON, ILNAPERVILLE, IL
Mental Health Care
431
WIESE, STEPHANIE A., LCPCGENDER: FNPI #: 1316192982EDGEWOOD CLINICAL SERVICES2948 ARTESIAN RD SUITE 112NAPERVILLE, IL 60564PHONE: (630) 428-7890E-PRESCRIBE: NO
PSYCHOLOGY
GOLDMAN, LISA R., PSYDGENDER: FNPI #: 1659694974EDGEWOOD CLINICAL SERVICES2948 ARTESIAN RD SUITE 112NAPERVILLE, IL 60564PHONE: (630) 428-7890E-PRESCRIBE: NO
MANFRE, JENNIFER E., PSYDGENDER: FNPI #: 1912167636EDGEWOOD CLINICAL SERVICES2948 ARTESIAN RD SUITE 112NAPERVILLE, IL 60564PHONE: (630) 428-7890E-PRESCRIBE: NO
MENTAL HEALTH
HOPKINS, SARA A., LISWGENDER: FNPI #: 1609948504CENTER FOR INTERPERSONAL EFFECTIVENESS501 W 3RD STREET NORTHNEWTON, IA 50208PHONE: (515) 289-9136E-PRESCRIBE: NO
PSYCHOLOGY
WECK, VALERIE M., PHDGENDER: FNPI #: 1679862056PSYCHOLOGY SPECIALISTS910 S VAN BURREN STNEWTON, IL 62448PHONE: (888) 706-3190E-PRESCRIBE: NO
MENTAL HEALTH
BAIZE, STARR L., LCSWGENDER: FNPI #: 1457607848ELLIOTT COUNSELING SERVICES706 E OGLESBY SUITE 115NORMAL, IL 61761PHONE: (309) 212-3606E-PRESCRIBE: NO
CARROLL, CHERIE, LCSWGENDER: FNPI #: 1083747356OSF MEDICAL GROUP405 KAYS DR SUITE CNORMAL, IL 61761PHONE: (309) 664-3130E-PRESCRIBE: NO
CASHEN, CHRISTOPHER, LCPC
GENDER: MNPI #: 1013037621OSF MEDICAL GROUP405 KAYS DR SUITE CNORMAL, IL 61761PHONE: (309) 664-3130E-PRESCRIBE: NO
DENURE, BRYAN J., LCPCGENDER: MNPI #: 1669798716AMG TWIN CITIES BEHAVIORAL HEALTHMECHERLE HALL-403 W VIRGINIA AVENORMAL, IL 61761PHONE: (309) 268-2910E-PRESCRIBE: NO
HIGGINS, KIMBERLEY, LCSWGENDER: FNPI #: 1003054784403 ALDEN DRNORMAL, IL 61761PHONE: (309) 212-1939E-PRESCRIBE: NO
HOGGATT, PAM J., LCPCGENDER: FNPI #: 1841200904ELLIOTT COUNSELING SERVICES LLC706 E OLGESBY SUITE 115NORMAL, IL 61761PHONE: (309) 212-3606E-PRESCRIBE: NO
HOKANSON, LINDA, LCSWGENDER: FNPI #: 1881727287OSF MEDICAL GROUP405 KAYS DR SUITE CNORMAL, IL 61761PHONE: (309) 664-3130E-PRESCRIBE: NO
HOWARD, QUEENA L., LCPCGENDER: FNPI #: 1275767717ELLIOTT COUNSELING SERVICES LLC706 E OGLESBY SUITE 115NORMAL, IL 61761PHONE: (309) 212-3606E-PRESCRIBE: NO
NEWTON, IA
NEWTON, IL
NORMAL, IL
NAPERVILLE, ILNORMAL, IL
Mental Health Care
432
JENNINGS, RUTH A., LCSWGENDER: FNPI #: 1568689511JOHN R DAY & ASSOCIATES LTD1520 E COLLEGE AVE SUITE MNORMAL, IL 61761PHONE: (309) 692-7755E-PRESCRIBE: NO
KLINGMAN, SHARON, LCPCGENDER: FNPI #: 1760405401AMG TWIN CITIES BEHAVIORAL HEALTHMECHERLE HALL - 403 W VIRGINIA AVENORMAL, IL 61761PHONE: (309) 268-2910E-PRESCRIBE: NO
LE, JESSICA, LCPCGENDER: FNPI #: 1447212089JOHN R DAY & ASSOCIATES LTD1520 E COLLEGE AVE SUITE MNORMAL, IL 61761PHONE: (309) 692-7755E-PRESCRIBE: NO
LEEBOLD, BOBBY J., LCSWGENDER: MNPI #: 1164728127PSYCHOLOGY SPECIALISTS2200 FORT JESSE RD SUITE 210NORMAL, IL 61761PHONE: (309) 706-3190E-PRESCRIBE: NO
LEEDIE, DAWN M., LCPCGENDER: FNPI #: 1881820405CENTRAL ILLINOIS PSYCHIATRIC ASSOCIATES405 KAYS DR SUITE BNORMAL, IL 61761PHONE: (309) 862-0064E-PRESCRIBE: NO
MANGOLD, JENNA R., LCSWGENDER: FNPI #: 1497983613ELLIOTT COUNSELING SERVICES LLC706 E OGLESBY SUITE 115NORMAL, IL 61761PHONE: (309) 212-3606E-PRESCRIBE: NO
MATHER, MERLIN, LCPCGENDER: MNPI #: 1891718540AMG TWIN CITIES BEHAVIORAL HEALTHMECHERLE HALL - 403 W VIRGINIA AVENORMAL, IL 61761PHONE: (309) 268-2910E-PRESCRIBE: NO
MITRA, JACQUELYN A., LCPCGENDER: FNPI #: 1619121373CENTRAL ILLINOIS PSYCHIATRIC ASSOCIATES405 KAYS DR SUITE BNORMAL, IL 61761PHONE: (309) 862-0064E-PRESCRIBE: NO
MOONEY, ROBERT J., LCPCGENDER: MNPI #: 1013975648ELLIOTT COUNSELING SERVICES LLC706 E OLGESBY SUITE 115NORMAL, IL 61761PHONE: (309) 212-3606E-PRESCRIBE: NO
MUGRAGE, CRISTINA, LCSWGENDER: FNPI #: 1306804281ELLIOTT COUNSELING SERVICES220 ORLANDO AVENORMAL, IL 61761PHONE: E-PRESCRIBE: NO
705 E LINCOLN STE 302NORMAL, IL 61761PHONE: E-PRESCRIBE: NO
NIEBUR, THOMAS N., LCPCGENDER: MNPI #: 1437172103AMG TWIN CITIES BEHAVIORAL HEALTHMECHERLE HALL - 403 W VIRGINIA AVENORMAL, IL 61761PHONE: (309) 268-2910E-PRESCRIBE: NO
OSBORNE, LORI, LCSWGENDER: FNPI #: 1215950969AMG TWIN CITIES BEHAVIORAL HEALTHMECHERLE HALL - 403 W VIRGINIA AVENORMAL, IL 61761PHONE: (309) 268-2910E-PRESCRIBE: NO
POULTNEY, JODY L., LCSWGENDER: FNPI #: 1407172554AMG TWIN CITIES BEHAVIORAL HEALTHMECHERLE HALL-403 W VIRGINIA AVENORMAL, IL 61761PHONE: (309) 268-2910E-PRESCRIBE: NO
SIMON, RACHEL, LCSWGENDER: FNPI #: 1023237567OSF MEDICAL GROUP405 KAYS DR SUITE CNORMAL, IL 61761PHONE: (309) 664-3130E-PRESCRIBE: NO
NORMAL, ILNORMAL, IL
Mental Health Care
433
STOLL, JULIE M., LCSWGENDER: FNPI #: 1437468105ELLIOTT COUNSELING SERVICES705 E LINCOLN STE 302NORMAL, IL 61761PHONE: E-PRESCRIBE: NO
ELLIOTT COUNSELING SERVICES LLC220 ORLANDO AVENORMAL, IL 61761PHONE: E-PRESCRIBE: NO
VARLESE, CLARA, LCPCGENDER: FNPI #: 1295086056ELLIOTT COUNSELING SERVICES LLC706 E OGLESBY SUITE 115NORMAL, IL 61761PHONE: E-PRESCRIBE: NO
MENTAL HEALTH/SUBSTANCE ABUSE
ILLINOIS INSTITUTE FOR ADDICTION RECOVERY
GENDER: NPI #: 1033116876VIRGINIA AT FRANKLINNORMAL, IL 61761PHONE: (309) 888-0993E-PRESCRIBE: NO
PEDIATRIC PSYCHIATRY
AHMED, FAISAL, MDGENDER: MNPI #: 1417069881TWIN CITIES BEHAVIORAL HEALTHMECHERLE HALL - 403 W VIRGINIA AVENORMAL, IL 61761PHONE: (309) 268-2910E-PRESCRIBE: NO
PSYCHIATRY
BEY, DOUGLAS R., MDGENDER: MNPI #: 13564164401100 N BEECH STNORMAL, IL 61761PHONE: (309) 454-2112E-PRESCRIBE: NO
CHASE, CARMEN D., MDGENDER: FNPI #: 1487677100TWIN CITIES BEHAVORIAL HEALTHMECHERLE HALL - 403 W VIRGINIA AVENORMAL, IL 61761PHONE: (309) 268-2910E-PRESCRIBE: NO
HASAN, BABAR, MDGENDER: MNPI #: 1649266016OSF MEDICAL GROUP405 KAYS DR SUITE CNORMAL, IL 61761PHONE: (309) 664-3130E-PRESCRIBE: NO
MCCORMICK, SCOTT, MDGENDER: MNPI #: 1639192354TWIN CITIES BEHAVIORAL HEALTHMECHERLE HALL - 403 W VIRGINIA AVENORMAL, IL 61761PHONE: (309) 268-2910E-PRESCRIBE: NO
MOODY, VIRGINIA J., MDGENDER: FNPI #: 1255419362CENTRAL ILLINOIS PSYCHIATRIC ASSOCIATES405 KAYS DR SUITE BNORMAL, IL 61761PHONE: (309) 862-0064E-PRESCRIBE: NO
PATEL, RAHUL, DOGENDER: MNPI #: 1669649547ADVOCATE MEDICAL GROUP403 W VIRGINIA AVENORMAL, IL 61761PHONE: (309) 268-2910E-PRESCRIBE: NO
PATURI, RAJU N., MDGENDER: MNPI #: 1912085010CENTRAL ILLINOIS PSYCHIATRIC ASSOCIATES405 KAYS DR SUITE BNORMAL, IL 61761PHONE: (309) 862-0064E-PRESCRIBE: NO
RANDHAWA, JYOTI, MDGENDER: NPI #: 1205037595AMG BROMENN BEHAVIOR1304 FRANKLIN AVENORMAL, IL 61761PHONE: E-PRESCRIBE: NO
PSYCHOLOGY
DALFIUME, LUKE R., PHDGENDER: MNPI #: 1760447155JOHN R DAY & ASSOCIATES LTD1520 E COLLEGE AVE SUITE MNORMAL, IL 61761PHONE: (309) 692-7755E-PRESCRIBE: NO
FLORELL, JOHN, PHDGENDER: MNPI #: 1538189840AMG TWIN CITIES BEHAVIORAL HEALTHMECHERLE HALL - 403 W VIRGINIA AVENORMAL, IL 61761PHONE: (309) 268-2910E-PRESCRIBE: NO
NORMAL, ILNORMAL, IL
Mental Health Care
434
FOSTER, PHILLIP A., PHDGENDER: MNPI #: 1861538779EVERGREEN VILLAGE1701 VILLAGE BLVDNORMAL, IL 61761PHONE: E-PRESCRIBE: NO
HERITAGE MANOR209 N ADELAIDENORMAL, IL 61761PHONE: E-PRESCRIBE: NO
MANOR CARE HEALTH SERVICES510 BROADWAYNORMAL, IL 61761PHONE: E-PRESCRIBE: NO
MCLEAN COUNTY NURSING HOME101 N MAINNORMAL, IL 61761PHONE: E-PRESCRIBE: NO
HEINRICH, HEATHER, PHDGENDER: FNPI #: 1316145386AMG TWIN CITIES BEHAVIORAL HEALTHMECHERLE HALL-403 W VIRGINIA AVENORMAL, IL 61761PHONE: (309) 268-2910E-PRESCRIBE: NO
KRIPPNER, KEVIN, PHDGENDER: MNPI #: 1477576114AMG TWIN CITIES BEHAVIORAL HEALTHMECHERLE HALL - 403 W VIRGINIA AVENORMAL, IL 61761PHONE: (309) 268-2910E-PRESCRIBE: NO
MCCRAY, MIKELL R., PSYDGENDER: FNPI #: 1780973925JOHN R DAY & ASSOCIATES LTD1520 E COLLEGE AVE SUITE MNORMAL, IL 61761PHONE: (309) 692-7755E-PRESCRIBE: NO
MILLER, CHERI, PSYDGENDER: FNPI #: 1033132790AMG TWIN CITIES BEHAVIORAL HEALTHMECHERLE HALL - 403 W VIRGINIA AVENORMAL, IL 61761PHONE: (309) 268-2910E-PRESCRIBE: NO
SHANNON, TIMOTHY D., PSYD
GENDER: MNPI #: 1407956758OSF MEDICAL GROUP405 KAYS DR SUITE CNORMAL, IL 61761PHONE: (309) 664-3130E-PRESCRIBE: NO
SYLVESTER, BRENT A., PHDGENDER: MNPI #: 1639452139AMG TWIN CITIES BEHAVIORAL HEALTH403 W VIRGINIA AVENORMAL, IL 61761PHONE: (309) 268-2910E-PRESCRIBE: NO
WOODBURN, JUDY R., PHDGENDER: FNPI #: 1013937382AMG TWIN CITIES BEHAVIORAL HEALTHMECHERLE HALL - 403 W VIRGINIA AVENORMAL, IL 61761PHONE: (309) 268-2910E-PRESCRIBE: NO
MENTAL HEALTH
WIMAN, JODI L., LCPCGENDER: FNPI #: 1356539316103 W MAIN SUITE 5OBLONG, IL 62449PHONE: (618) 592-3116E-PRESCRIBE: NO
PSYCHIATRY
HADI, FATIMA M., MDGENDER: FNPI #: 1437222791CAFAL CLINIC FOR PSYCHIATRY & CONSULTATION SVCS68 MAIN ST SUITE 327OSWEGO, IL 60543PHONE: (630) 377-3475E-PRESCRIBE: NO
MENTAL HEALTH
BLAHA, CAROL A., LCPCGENDER: FNPI #: 1417088576COUNSELING & FAMILY SERVICES1315 COURT STPEKIN, IL 61554PHONE: (309) 346-5890E-PRESCRIBE: NO
BOHLS, ANN M., LPCGENDER: FNPI #: 1275659500TAZWOOD MENTAL HEALTH CENTER3248 VANDEVER AVEPEKIN, IL 61554PHONE: (309) 347-5522E-PRESCRIBE: NO
OBLONG, IL
OSWEGO, IL
PEKIN, IL
NORMAL, ILPEKIN, IL
Mental Health Care
435
HEMMELE, JEWEL K., LCPCGENDER: FNPI #: 1275704090COUNSELING & FAMILY SERVICES1315 COURT STPEKIN, IL 61554PHONE: (309) 346-5890E-PRESCRIBE: NO
KLEES, CHARLES A., LCPCGENDER: MNPI #: 1205953528COUNSELING & FAMILY SERVICES1315 COURT STPEKIN, IL 61554PHONE: (309) 346-5890E-PRESCRIBE: NO
LARSON, JILL N., LCSWGENDER: FNPI #: 1669503587COUNSELING & FAMILY SERVICES1315 COURT STPEKIN, IL 61554PHONE: (309) 346-5890E-PRESCRIBE: NO
MINGUS, DAVID, LCPCGENDER: MNPI #: 1629320676TAZWOOD MENTAL HEALTH CENTER INC3248 VANDEVERPEKIN, IL 61554PHONE: (309) 347-5522E-PRESCRIBE: NO
ONEAL, PATRICIA R., LPCGENDER: FNPI #: 1194780718TAZWOOD MENTAL HEALTH CENTER3248 VANDEVER AVEPEKIN, IL 61554PHONE: (309) 347-5522E-PRESCRIBE: NO
PHILLIPS, JIMMY L., LCPCGENDER: MNPI #: 1003811555ASSOCIATES IN CHRISTIAN COUNSELING2359 BROADWAYPEKIN, IL 61554PHONE: (309) 681-9432E-PRESCRIBE: NO
RAMSEY, FLOYD H., LCPCGENDER: MNPI #: 1720263692337 COURT STPEKIN, IL 61554-3234PHONE: (309) 346-5378E-PRESCRIBE: NO
RICHARDSON, CATERINA N., LCPC
GENDER: FNPI #: 1366400806RESOURCE MANAGEMENT SERVICES15 S CAPITAL STPEKIN, IL 61554PHONE: (309) 681-5652E-PRESCRIBE: NO
WHITE, KARLA, LCPCGENDER: FNPI #: 1497904965ASSOCIATES IN CHRISTIAN COUNSELING2359 BROADWAYPEKIN, IL 61554PHONE: (309) 681-9432E-PRESCRIBE: NO
YORK, JAIMEE, LPCGENDER: NPI #: 1700163730TAZWOOD MENTAL HEALTH CENTER INC3248 VANDEVER AVEPEKIN, IL 61554PHONE: (309) 347-5522E-PRESCRIBE: NO
PSYCHIATRY
ATTALURI, PRATAP KUMAR, MD
GENDER: MNPI #: 1689639213TAZWOOD MENTAL HEALTH CENTER3248 VANDEVER AVEPEKIN, IL 61554PHONE: (309) 347-5522E-PRESCRIBE: NO
PSYCHOLOGY
BRIAN, REGINA, PSYDGENDER: FNPI #: 1699848051PSYCHOLOGY SPECIALISTS113 N PARKWAY DRPEKIN, IL 61554PHONE: (309) 706-3190E-PRESCRIBE: NO
PSYCHOLOGY SPECIALISTS LTD600 S 13TH STPEKIN, IL 61554PHONE: (309) 648-0782E-PRESCRIBE: NO
PRIDDY, DAVID, PHDGENDER: MNPI #: 1669416749INSTITUTE OF PHYSICAL MEDICINE & REHAB/IPMR2359 BROADWAY STPEKIN, IL 61554PHONE: (309) 353-4767E-PRESCRIBE: NO
SMITH, ANDREA, PSYDGENDER: FNPI #: 1881953651PSYCHOLOGY SPECIALISTS113 PARKWAYPEKIN, IL 61554PHONE: (309) 706-3190E-PRESCRIBE: NO
PEKIN, ILPEKIN, IL
Mental Health Care
436
PSYCHOLOGY SPECIALISTS LTD600 S 13TH STPEKIN, IL 61554PHONE: (309) 648-0782E-PRESCRIBE: NO
MENTAL HEALTH
BROWER, PENNY L., LCPCGENDER: FNPI #: 1780605816ALTERNATIVE SOLUTIONS4617 N PROSPECT RD SUITE 2APEORIA HEIGHTS, IL 61616PHONE: (309) 681-1860E-PRESCRIBE: NO
MUGRAGE, CRISTINA, LCSWGENDER: FNPI #: 1306804281ELLIOTT COUNSELING SERVICES4700 N PROSPECT RD STE A1PEORIA HEIGHTS, IL 61616PHONE: (309) 212-3606E-PRESCRIBE: NO
STOLL, JULIE M., LCSWGENDER: FNPI #: 1437468105ELLIOTT COUNSELING SERVICES4700 N PROSPECT RD STE A1PEORIA HEIGHTS, IL 61616PHONE: (309) 212-3606E-PRESCRIBE: NO
PSYCHOLOGY
BAKER, RAYMOND C., PHDGENDER: MNPI #: 19725268384617 N PROSPECT RD SUITE 19APEORIA HEIGHTS, IL 61616PHONE: (309) 681-0182E-PRESCRIBE: NO
ADDICTIONS COUNSELOR
KNIGHT, ANGELA M., LCSWGENDER: FNPI #: 1700147162JOY MILLER AND ASSOCIATES7617 N VILLA WOOD LNPEORIA, IL 61614PHONE: (309) 693-8200E-PRESCRIBE: NO
MILLER, JOY, LCPC, PHDGENDER: FNPI #: 1659339034JOY MILLER & ASSOCIATES7617 N VILLA WOOD LANEPEORIA, IL 61614PHONE: (309) 693-8200E-PRESCRIBE: NO
MOBERG, KIRK D., MDGENDER: MNPI #: 1235153677PROCTOR MEDICAL GROUP5401 N KNOXVILLE AVE SUITE 204PEORIA, IL 61614PHONE: (309) 691-0365E-PRESCRIBE: NO
MENTAL HEALTH
AIMAN, EMILY K., LCSWGENDER: FNPI #: 1720342355U OF IL COLLEGE OF MEDICINE900 N MAIN ST SUITE 720PEORIA, IL 61602PHONE: (309) 495-1640E-PRESCRIBE: NO
AMOS-SCHULTE, NANCY A., LCSW
GENDER: FNPI #: 1255396909JOHN R DAY & ASSOCIATES LTD3716 W BRIGHTON AVEPEORIA, IL 61615PHONE: (309) 692-7755E-PRESCRIBE: NO
ARNETT, VALERIE, LCPCGENDER: FNPI #: 1326141946THE ANTIOCH GROUP6615 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 692-6622E-PRESCRIBE: NO
BAIZE, STARR L., LCSWGENDER: FNPI #: 1457607848ELLIOTT COUNSELING SERVICES1820 N STERLINGPEORIA, IL 61604PHONE: (309) 212-3606E-PRESCRIBE: NO
BAKER, MICHELLE S., LCPCGENDER: FNPI #: 1063515682THE ANTIOCH GROUP6615 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 692-6622E-PRESCRIBE: NO
BARTLETT, ANDREA, LCSWGENDER: FNPI #: 1780952184EASTER SEALS UCP507 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 686-1177E-PRESCRIBE: NO
PEORIA HEIGHTS, IL
PEORIA, IL
PEKIN, ILPEORIA, IL
Mental Health Care
437
BASSETT, TONYA, LCSWGENDER: FNPI #: 1821281429AGAPE COUNSELING LTD2001 W WILLOW KNOLLS RD SUITE 110PEORIA, IL 61614PHONE: (309) 692-4433E-PRESCRIBE: NO
BENNE, JENNIFER A., BCBAGENDER: FNPI #: 1861666471EASTER SEALS UCP507 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 686-1177E-PRESCRIBE: NO
BIRDOES, LISA M., LCPCGENDER: FNPI #: 12050445346401 N SHERIDAN RD SUITE 104PEORIA, IL 61614PHONE: (309) 589-0910E-PRESCRIBE: NO
BITTLE, DIANE M., LCSWGENDER: FNPI #: 17109575505016 N UNIVERSITY ST SUITE 105PEORIA, IL 61614PHONE: (309) 692-7779E-PRESCRIBE: NO
BLAHA, CAROL A., LCPCGENDER: FNPI #: 1417088576COUNSELING & FAMILY SERVICES330 SW WASHINGTON STPEORIA, IL 61602PHONE: (309) 676-2400E-PRESCRIBE: NO
BLUNDELL, WILLIAM M., LCPC
GENDER: MNPI #: 1346545712THE ANTIOCH GROUP6615 N BIG HOLLOW RDPEORIA, IL 61615-2451PHONE: (309) 692-6622E-PRESCRIBE: NO
BRASCHE-GULLETT, SUZANE, LCSW
GENDER: FNPI #: 1578520839JOY MILLER & ASSOCIATES7617 N VILLA WOOD LANEPEORIA, IL 61614PHONE: (309) 693-8200E-PRESCRIBE: NO
BROOKS, DONNA J., LCPCGENDER: FNPI #: 1013972082JOHN R DAY & ASSOCIATES LTD3716 W BRIGHTON AVEPEORIA, IL 61615PHONE: (309) 692-7755E-PRESCRIBE: NO
BUCKNAM, DAVID B., LCPCGENDER: MNPI #: 1760516207THE ANTIOCH GROUP6615 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 692-7755E-PRESCRIBE: NO
BUSHELL, LORI K., LCPCGENDER: FNPI #: 1205869005THE ANTIOCH GROUP6615 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 692-6622E-PRESCRIBE: NO
CAMBRON-TALBOTT, CONNIE G., LCSW
GENDER: FNPI #: 1447200035HEARTLAND BEHAVIORAL HEALTH3116 N DRIES LANE SUITE 201PEORIA, IL 61604PHONE: (309) 686-1147E-PRESCRIBE: NO
CARLSON, JUDY, LCPCGENDER: FNPI #: 1184850968JOY MILLER & ASSOCIATES7617 N VILLA WOOD LANEPEORIA, IL 61614PHONE: (309) 693-8200E-PRESCRIBE: NO
CARPER, NANCY, LCPCGENDER: FNPI #: 1073593414ECKERT & ASSOCIATES3024 W LAKE AVEPEORIA, IL 61615PHONE: (309) 688-3050E-PRESCRIBE: NO
CHERRY, LINDA M., LCPCGENDER: FNPI #: 19827267337150 N UNIVERSITY ST SUITE EPEORIA, IL 61614PHONE: (309) 472-1199E-PRESCRIBE: NO
CLASSEN, MAGGIE, LCSWGENDER: FNPI #: 1194973404THE ANTIOCH GROUP6615 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 692-6622E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Mental Health Care
438
CLUTS, ERIN, LCSWGENDER: FNPI #: 1104077189HEARTLAND BEHAVIORAL HEALTH3116 N DRIES LANEPEORIA, IL 61604PHONE: (309) 686-1147E-PRESCRIBE: NO
CROEGAERT, JOSEPH P., LCSW
GENDER: MNPI #: 1770663908RESOURCE MANAGEMENT SERVICES3020 W WILLOW KNOLLS DRPEORIA, IL 61614PHONE: (309) 681-5652E-PRESCRIBE: NO
CROWELL, DENNIS J., LCSWGENDER: MNPI #: 1811026750TRUE NORTH SOLUTIONS3400 W NEW LEAF LANEPEORIA, IL 61615PHONE: (309) 589-1011E-PRESCRIBE: NO
DIBERNARDINO-DOEDEN, JULIE, LCSW
GENDER: FNPI #: 1316901168JOY MILLER & ASSOCIATES7617 N VILLA WOOD LANEPEORIA, IL 61614PHONE: (309) 693-8200E-PRESCRIBE: NO
DOCKINS, SHERRY M., LCPCGENDER: FNPI #: 1285774133JOY MILLER & ASSOCIATES7617 N VILLA WOOD LANEPEORIA, IL 61614PHONE: (309) 693-8200E-PRESCRIBE: NO
DORNAUS, DEBORAH P., LCPC
GENDER: FNPI #: 1538102330COUNSELING WORKS7820 N UNIVERSITY ST SUITE 207PEORIA, IL 61614PHONE: (309) 693-0038E-PRESCRIBE: NO
DREW, TIMOTHY J., LCPCGENDER: MNPI #: 1285711333OSF MEDICAL GROUP7317 WILLOW LAKE COURTPEORIA, IL 61614PHONE: (309) 683-7373E-PRESCRIBE: NO
DUNAWAY, BRITAIN J., LCPCGENDER: MNPI #: 1760757843GLEN MANOR COUNSELING LTD914 W GLEN AVE SUITE 3PEORIA, IL 61614PHONE: (309) 693-2749E-PRESCRIBE: NO
EDWARDS, PATRICIA J., LCSW
GENDER: FNPI #: 1356444913THE ANTIOCH GROUP6615 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 692-6622E-PRESCRIBE: NO
EGIZIO, JILL M., LCSWGENDER: FNPI #: 1508902941JOY MILLER & ASSOCIATES7617 N VILLA WOOD LANEPEORIA, IL 61614PHONE: (309) 693-8200E-PRESCRIBE: NO
U OF I COLLEGE OF MEDICINEONE ILLINI DRPEORIA, IL 61656PHONE: (309) 671-8484E-PRESCRIBE: NO
EICHORN, MARY E., LCSWGENDER: FNPI #: 1063436657914 W GLEN AVEPEORIA, IL 61614PHONE: (309) 679-1700E-PRESCRIBE: NO
EVENS, SONJA, LCSWGENDER: FNPI #: 1245324094HEARTLAND COMMUNITY HEALTH CLINIC1701 W GARDEN STPEORIA, IL 61605PHONE: (309) 680-7600E-PRESCRIBE: NO
THE ANTIOCH GROUP INC6615 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 692-6622E-PRESCRIBE: NO
FLOYD, STEVEN R., LCPCGENDER: MNPI #: 1265757264AGAPE COUNSELING LTD2001 W WILLOW KNOLLS RD SUITE 110PEORIA, IL 61614PHONE: (309) 692-4433E-PRESCRIBE: NO
FROST, SHELLIE A., LCPCGENDER: FNPI #: 1699048694JOY MILLER & ASSOCIATES7617 N VILLA WOOD LANEPEORIA, IL 61614PHONE: (309) 693-8200E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Mental Health Care
439
FUELBERTH, REBECCA J., LCPC
GENDER: FNPI #: 1568769800AGAPE COUNSELING LTD2001 W WILLOW KNOLLS RD SUITE 110PEORIA, IL 61614PHONE: (309) 692-4433E-PRESCRIBE: NO
GARNER, ELIZABETH J., LCSW
GENDER: FNPI #: 1881603611AGAPE COUNSELING LTD2001 W WILLOW KNOLLS RD SUITE 110PEORIA, IL 61614PHONE: (309) 692-4433E-PRESCRIBE: NO
GIDDENS, LAURIE A., LCPCGENDER: FNPI #: 1902103815AEON SOCIAL EMOTIONAL HEALTH5016 N UNIVERSITY ST SUITE 109PEORIA, IL 61614PHONE: (309) 573-4834E-PRESCRIBE: NO
GOFORTH, DENISE M., LCSWGENDER: FNPI #: 13260518635016 N UNIVERSITY ST SUITE 105PEORIA, IL 61614PHONE: (309) 692-7778E-PRESCRIBE: NO
GOODLUCK, AMY M., LCPCGENDER: FNPI #: 1710210711HEARTLAND COMMUNITY HEALTH CLINIC AT EAST BLUFF2321 N WISCONSIN AVEPEORIA, IL 61603PHONE: (309) 680-7602E-PRESCRIBE: NO
GOOSSENS, THOMAS A., LCSW
GENDER: MNPI #: 12250188157501 N UNIVERSITY ST SUITE 129PEORIA, IL 61614PHONE: (309) 689-8878E-PRESCRIBE: NO
GRAFF, JEAN S., LCPCGENDER: FNPI #: 16593949307211 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-5515E-PRESCRIBE: NO
HAIG, JAMES, LCSWGENDER: MNPI #: 1699814277RESOURCE MANAGEMENT SERVICES3020 W WILLOW KNOLLS DRPEORIA, IL 61614PHONE: (309) 681-5652E-PRESCRIBE: NO
HAMANN, CONNIE, LCPCGENDER: FNPI #: 1497712582JOY MILLER & ASSOCIATES7617 N VILLA WOOD LANEPEORIA, IL 61614PHONE: (309) 693-8200E-PRESCRIBE: NO
HAMANN, EDWARD, EDDGENDER: MNPI #: 1053376749JOY MILLER & ASSOCIATES7617 N VILLA WOOD LANEPEORIA, IL 61614PHONE: (309) 693-8200E-PRESCRIBE: NO
HANSEN, AMY, LCPCGENDER: FNPI #: 1043588874AGAPE COUNSELING2001 W WILLOW KNOLLS RD SUITE 110PEORIA, IL 61614PHONE: E-PRESCRIBE: NO
HANSON, MARTIN, LCPCGENDER: MNPI #: 1811090426THE ANTIOCH GROUP6615 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 692-6622E-PRESCRIBE: NO
HARMS, LINDSAY, LCPCGENDER: FNPI #: 12050984804410 N KNOXVILLE AVE SUITE DPEORIA, IL 61604PHONE: (309) 339-7073E-PRESCRIBE: NO
HEMMELE, JEWEL K., LCPCGENDER: FNPI #: 1275704090COUNSELING & FAMILY SERVICES330 SW WASHINGTON STPEORIA, IL 61602PHONE: (309) 676-2400E-PRESCRIBE: NO
HILL, RONALD L., LCSWGENDER: MNPI #: 1750573325TRUE NORTH SOLUTIONS3400 W NEW LEAF LANEPEORIA, IL 61615PHONE: (309) 589-1011E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Mental Health Care
440
HISER, CRYSTAL L., LCPCGENDER: FNPI #: 1104904242AEON SOCIAL EMOTIONAL HEALTH2000 N PIONEER PKWY SUITE 10APEORIA, IL 61614PHONE: (309) 573-4834E-PRESCRIBE: NO
AGAPE COUNSELING LTD2001 W WILLOW KNOLLS RD SUITE 110PEORIA, IL 61614PHONE: (309) 692-4433E-PRESCRIBE: NO
HODUM, BARBARA S., LCSW, CADC
GENDER: FNPI #: 1932493400JOY MILLER & ASSOCIATES7617 N VILLA WOOD LANEPEORIA, IL 61614PHONE: (309) 693-8200E-PRESCRIBE: NO
HOFFMIRE, DARIN, LCSWGENDER: MNPI #: 1073686218GLEN MANOR COUNSELING LTD914 W GLEN AVE SUITE 3PEORIA, IL 61614PHONE: (309) 693-2749E-PRESCRIBE: NO
HOGGATT, PAM J., LCPCGENDER: FNPI #: 1841200904ELLIOTT COUNSELING SERVICES LLC1820 N STERLING AVEPEORIA, IL 61604PHONE: (309) 212-3606E-PRESCRIBE: NO
HOLLAND, SARAH K., LCPCGENDER: FNPI #: 1568434306JOHN R DAY & ASSOCIATES LTD3716 W BRIGHTON AVEPEORIA, IL 61615PHONE: (309) 692-7755E-PRESCRIBE: NO
HOLLY, CHRISTOPHER P., LCSW
GENDER: MNPI #: 1134378417ASSOCIATES IN MENTAL HEALTH900 MAIN ST SUITE 580PEORIA, IL 61602PHONE: (309) 637-4266E-PRESCRIBE: NO
HOPSON, COREY R., LCPCGENDER: MNPI #: 1275764763THE ANTIOCH GROUP6615 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 692-6622E-PRESCRIBE: NO
HOWARD, QUEENA L., LCPCGENDER: FNPI #: 1275767717ELLIOTT COUNSELING SERVICES LLC1800 N STERLING AVEPEORIA, IL 61604PHONE: (309) 212-3606E-PRESCRIBE: NO
HUBBS, JOHN, LCSWGENDER: MNPI #: 1841258944JOY MILLER & ASSOCIATES7617 N VILLA WOOD LANEPEORIA, IL 61614PHONE: (309) 693-8200E-PRESCRIBE: NO
HUNT, TRINA K., LCPCGENDER: FNPI #: 1306913629RESOURCE MANAGEMENT SERVICES3020 W WILLOW KNOLLS DRPEORIA, IL 61614PHONE: (309) 681-5652E-PRESCRIBE: NO
JENNINGS, RUTH A., LCSWGENDER: FNPI #: 1568689511JOHN R DAY & ASSOCIATES LTD3716 W BRIGHTON AVEPEORIA, IL 61615PHONE: (309) 692-7755E-PRESCRIBE: NO
JOST, SUZANNE, LCPCGENDER: FNPI #: 1548363153THE ANTIOCH GROUP6615 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 692-6622E-PRESCRIBE: NO
KAPITKO, DEBORAH O., LCPC
GENDER: FNPI #: 1881652931RESOURCE MANAGEMENT SERVICES3020 W WILLOW KNOLLS DRPEORIA, IL 61614PHONE: (309) 681-5652E-PRESCRIBE: NO
KEWLEY, KAREN J., LCPCGENDER: FNPI #: 1356647721AEON SOCIAL EMOTIONAL HEALTH2000 N PIONEER PKWY SUITE 10APEORIA, IL 61614PHONE: (309) 573-4834E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Mental Health Care
441
KIESEWETTER, ELLEN S., LCPC
GENDER: FNPI #: 1710080320THE ANTIOCH GROUP6615 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 692-6622E-PRESCRIBE: NO
KILBOURN, CATHERINE J., LCSW
GENDER: FNPI #: 1023179967ASSOCIATES IN MENTAL HEALTH900 MAIN ST SUITE 580PEORIA, IL 61602PHONE: (309) 637-4266E-PRESCRIBE: NO
KIRK, KRISTIN J., LCSWGENDER: FNPI #: 1881913705AGAPE COUNSELING LTD2001 W WILLOW KNOLLS RD SUITE 110PEORIA, IL 61614PHONE: (309) 692-4433E-PRESCRIBE: NO
KLEES, CHARLES A., LCPCGENDER: MNPI #: 1205953528COUNSELING & FAMILY SERVICES330 SW WASHINGTON STPEORIA, IL 61602PHONE: (309) 676-2400E-PRESCRIBE: NO
KNIGHT, ANGELA M., LCSWGENDER: FNPI #: 1700147162JOY MILLER AND ASSOCIATES7617 N VILLA WOOD LNPEORIA, IL 61614PHONE: (309) 693-8200E-PRESCRIBE: NO
KRAHN, NATHAN L., LCPCGENDER: MNPI #: 1619218955AGAPE COUNSELING LTD2001 W WILLOW KNOLLS RD SUITE 110PEORIA, IL 61614PHONE: (309) 692-4433E-PRESCRIBE: NO
LADD, PHILLIP, LCPCGENDER: MNPI #: 1255396347JOHN R DAY & ASSOCIATES LTD3716 W BRIGHTON AVEPEORIA, IL 61615PHONE: (309) 692-7755E-PRESCRIBE: NO
LARSEN, ANNETTE, LCPCGENDER: FNPI #: 1265510507AGAPE COUNSELING LTD2001 W WILLOW KNOLLS RD SUITE 110PEORIA, IL 61614PHONE: (309) 692-4433E-PRESCRIBE: NO
LARSON, JILL N., LCSWGENDER: FNPI #: 1669503587COUNSELING & FAMILY SERVICES330 SW WASHINGTON STPEORIA, IL 61602PHONE: (309) 676-2400E-PRESCRIBE: NO
LE, JESSICA, LCPCGENDER: FNPI #: 1447212089JOHN R DAY & ASSOCIATES LTD3716 W BRIGHTON AVEPEORIA, IL 61615PHONE: (309) 692-7755E-PRESCRIBE: NO
LEGAN, MICHAEL J., LCPCGENDER: MNPI #: 1992773782PSYCHOLOGICAL ASSOCIATES5409 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-0420E-PRESCRIBE: NO
LEMASTERS, AUDREY, LCSWGENDER: FNPI #: 1811058753ASSOCIATES IN MENTAL HEALTH900 MAIN ST SUITE 580PEORIA, IL 61602PHONE: (309) 637-4266E-PRESCRIBE: NO
LOOMIS, KARA J., BCBAGENDER: FNPI #: 1568799971EASTER SEALS-UCP507 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 686-1177E-PRESCRIBE: NO
LOVE, HOWARD A., LCPCGENDER: MNPI #: 1306949987THE ANTIOCH GROUP6615 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 692-6622E-PRESCRIBE: NO
MAQUET, CLAIRE, LCPCGENDER: FNPI #: 1912199589TRUE NORTH SOLUTIONS3400 W NEW LEAF LANEPEORIA, IL 61615PHONE: (309) 589-1011E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Mental Health Care
442
MASTON, TRINITY H., LCPCGENDER: FNPI #: 1336453364THE ANTIOCH GROUP6615 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 692-6622E-PRESCRIBE: NO
MCCLURE, KEVIN J., LCPCGENDER: MNPI #: 1457458754AEON SOCIAL EMOTIONAL HEALTH2000 N PIONEER PKWY SUITE 10APEORIA, IL 61614PHONE: (309) 573-4834E-PRESCRIBE: NO
MCKENNA, DEBORAH, LCPCGENDER: FNPI #: 17008496191703 W LATHAM LANEPEORIA, IL 61614PHONE: (309) 691-2089E-PRESCRIBE: NO
MCKENNA, KELLY, LCSWGENDER: FNPI #: 1982723250TRUE NORTH SOLUTIONS3400 W NEW LEAF LANEPEORIA, IL 61615PHONE: (309) 589-1011E-PRESCRIBE: NO
MCNETT, LEANNE J., LCSWGENDER: FNPI #: 1396067724TRUE NORTH SOLUTIONS3400 W NEW LEAF LANEPEORIA, IL 61615PHONE: (309) 589-1011E-PRESCRIBE: NO
MEISS, CURTIS L., LCPCGENDER: MNPI #: 1225398415GLEN MANOR COUNSELING LTD914 W GLEN AVE SUITE 3PEORIA, IL 61614PHONE: (308) 693-2749E-PRESCRIBE: NO
MILLER, JEFFREY G., LCPCGENDER: MNPI #: 1629108337GLEN MANOR COUNSELING LTD914 W GLEN AVE SUITE 3PEORIA, IL 61614PHONE: (309) 693-2749E-PRESCRIBE: NO
MINDOCK, SHARON F., LCPCGENDER: FNPI #: 1427225960MINDOCK COUNSELING AND CONSULTING6320 N SHERIDAN RDPEORIA, IL 61614PHONE: (309) 696-4697E-PRESCRIBE: NO
MOONEY, ROBERT J., LCPCGENDER: MNPI #: 1013975648ELLIOTT COUNSELING SERVICES LLC1800 N STERLING AVEPEORIA, IL 61604PHONE: (309) 212-3606E-PRESCRIBE: NO
MULDER, ELYN, LCSWGENDER: FNPI #: 1730146960JOHN R DAY & ASSOCIATES LTD3716 W BRIGHTON AVEPEORIA, IL 61615PHONE: (309) 692-7755E-PRESCRIBE: NO
OGBURN, LEIA A., LCSWGENDER: FNPI #: 1558370700OGBURN COUNSELING SERVICES5113 N EXECUTIVE DR SUITE 101PEORIA, IL 61614PHONE: (309) 682-3915E-PRESCRIBE: NO
PHILLIPS, JIMMY L., LCPCGENDER: MNPI #: 1003811555ASSOCIATES IN CHRISTIAN COUNSELING3915 N SHERIDAN RD UNIT RPEORIA, IL 61614PHONE: (309) 684-9432E-PRESCRIBE: NO
POERTNER, PATRICIA A., LCPC
GENDER: FNPI #: 1356444970THE ANTIOCH GROUP6615 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 692-6622E-PRESCRIBE: NO
POST, BRADLEY, LCSWGENDER: MNPI #: 1821069725RESOURCE MANAGEMENT SERVICES3020 W WILLOW KNOLLS DRPEORIA, IL 61614PHONE: (309) 681-5652E-PRESCRIBE: NO
RASO, FRANDY, LCSWGENDER: FNPI #: 1407109648ADVANCED BEHAVIORAL HEALTH8600 N STATE ROUTE 91 SUITE 240PEORIA, IL 61615PHONE: (309) 683-5006E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Mental Health Care
443
RAY, JULIE, LCSWGENDER: FNPI #: 1265533798GLEN MANOR COUNSELING LTD914 W GLEN AVE SUITE 3PEORIA, IL 61614PHONE: (309) 693-2749E-PRESCRIBE: NO
READING, ROBERT G., LCPCGENDER: MNPI #: 1255525507SAMARITAN FAMILY MEDICAL SERVICES PC5401 N KNOXVILLE AVE SUITE 215PEORIA, IL 61614PHONE: (309) 689-0044E-PRESCRIBE: NO
REIMERS, DEEANNE F., LCPC
GENDER: FNPI #: 1568623304EASTER SEALS-UPC507 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 686-1177E-PRESCRIBE: NO
REINBOLDT, CARRIE A., LCPC
GENDER: FNPI #: 1588933378PSYCHOLOGY SPECIALISTS900 MAIN ST SUITE 780PEORIA, IL 61602PHONE: (309) 706-3190E-PRESCRIBE: NO
RICHARDSON, CATERINA N., LCPC
GENDER: FNPI #: 1366400806RESOURCE MANAGEMENT SERVICES3020 W WILLOW KNOLLS DRPEORIA, IL 61614PHONE: (309) 681-5652E-PRESCRIBE: NO
RUSSELL-CHAPIN, LORI A., LCPC
GENDER: FNPI #: 1508905142RESOURCE MANAGEMENT SERVICES3020 W WILLOW KNOLLS DRPEORIA, IL 61614PHONE: (309) 681-5850E-PRESCRIBE: NO
SACK, JO A., LCPCGENDER: FNPI #: 1891702155THE ANTIOCH GROUP INC6615 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 692-6622E-PRESCRIBE: NO
SCHIERBECK, DEBRA, LCPCGENDER: FNPI #: 15886890795016 N UNIVERSITY AVE SUITE 104PEORIA, IL 61614PHONE: (309) 256-2558E-PRESCRIBE: NO
SCHURTER, KATRINA R., LCPC
GENDER: FNPI #: 1861634834RESOURCE MANAGEMENT SERVICES3020 W WILLOW KNOLLS DRPEORIA, IL 61614PHONE: (309) 681-5652E-PRESCRIBE: NO
SEARS, BRADLEY S., LCPCGENDER: MNPI #: 10231214495901 N PROSPECT RD SUITE 14FPEORIA, IL 61614PHONE: (309) 691-1459E-PRESCRIBE: NO
SKIBINSKI, GREGORY, LCPCGENDER: MNPI #: 1497868822AGAPE COUNSELING LTD2001 W WILLOW KNOLLS RD SUITE 110PEORIA, IL 61614PHONE: (309) 692-4433E-PRESCRIBE: NO
SMITH, CHRISTINA A., LCSWGENDER: FNPI #: 1750603189TRUE NORTH SOLUTIONS3400 W NEW LEAF LANEPEORIA, IL 61615PHONE: (309) 589-1011E-PRESCRIBE: NO
SNYDER, BRENDA L., LMSWGENDER: FNPI #: 1366731374GLEN MANOR COUNSELING LTD914 W GLEN AVE SUITE 3PEORIA, IL 61614PHONE: (309) 693-2749E-PRESCRIBE: NO
STRETCH, ROBERT, LCPCGENDER: MNPI #: 16594958025106 N UNIVERSITY ST SUITE 103PEORIA, IL 61614PHONE: (309) 693-3711E-PRESCRIBE: NO
STUBER, SARAH J., LCSWGENDER: FNPI #: 1851680714JOY MILLER & ASSOCIATES7617 N VILLA WOOD LANEPEORIA, IL 61614PHONE: (309) 693-8200E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Mental Health Care
444
TURCOT, HEIDI, LCSWGENDER: FNPI #: 1134185325JOY MILLER & ASSOCIATES7617 N VILLA WOOD LANEPEORIA, IL 61614PHONE: (309) 693-8200E-PRESCRIBE: NO
TYLAR, TRACI J., LPCGENDER: FNPI #: 1053462952AEON SOCIAL EMOTIONAL HEALTH2000 N PIONEER PKWY SUITE 10APEORIA, IL 61614PHONE: (309) 573-4834E-PRESCRIBE: NO
TYLER, JONNA, LCPCGENDER: FNPI #: 1558464164THE ANTIOCH GROUP6615 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 692-6622E-PRESCRIBE: NO
VACCARO, CESLI, LCPCGENDER: FNPI #: 1942313382AGAPE COUNSELING LTD2001 W WILLOW KNOLLS RD SUITE 110PEORIA, IL 61615PHONE: (309) 692-4433E-PRESCRIBE: NO
VIVIANI, ANNA M., LCPCGENDER: FNPI #: 1083634307BRIGHTER DAYS COUNSELING2104 W TOWNLINE RDPEORIA, IL 61615-1547PHONE: (309) 282-1762E-PRESCRIBE: NO
WASHINGTON, KAREN L., LCSW
GENDER: FNPI #: 1104009224HEARTLAND BEHAVIORAL HEALTH3116 N DRIES LANE SUITE 201PEORIA, IL 61604PHONE: (309) 686-1147E-PRESCRIBE: NO
WASSON, DONNA S., LCPCGENDER: FNPI #: 1093932295THE ANTIOCH GROUP6615 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 692-6622E-PRESCRIBE: NO
WEST, VICTORIA W., LCPCGENDER: FNPI #: 14079172556401 N SHERIDAN RD SUITE 104PEORIA, IL 61614PHONE: (309) 589-0909E-PRESCRIBE: NO
WHEELER, SAMANTHA, LCSW
GENDER: FNPI #: 1649222555PSYCHOLOGY SPECIALISTS900 MAIN ST SUITE 780PEORIA, IL 61602PHONE: (309) 706-3190E-PRESCRIBE: NO
WHITE, KARLA, LCPCGENDER: FNPI #: 1497904965ASSOCIATES IN CHRISTIAN COUNSELING3915 N SHERIDAN RD UNIT RPEORIA, IL 61614PHONE: (309) 681-9432E-PRESCRIBE: NO
WIEBLER, LADONA R., BCBAGENDER: FNPI #: 1912286808EASTER SEALS UCP507 E ARMSTRONGPEORIA, IL 61603PHONE: (309) 686-1177E-PRESCRIBE: NO
WILLARD, LYNN R., LCSW, LCPC
GENDER: FNPI #: 1659678241ABC COUNSELING & FAMILY SERVICES3535 N CALIFORNIA AVE SUITE FPEORIA, IL 61603PHONE: (309) 686-2153E-PRESCRIBE: NO
WOLGAMOT, TED, LCPCGENDER: MNPI #: 1417053612THE ANTIOCH GROUP6615 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 692-6622E-PRESCRIBE: NO
MENTAL HEALTH/SUBSTANCE ABUSE
ILLINOIS INSTITUTE FOR ADDICTION RECOVERY
GENDER: NPI #: 10331168765409 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-1000E-PRESCRIBE: NO
TRUE NORTH SOLUTIONSGENDER: NPI #: 18816306893400 W NEW LEAF LANEPEORIA, IL 61615PHONE: (309) 671-8054E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Mental Health Care
445
PEDIATRIC PSYCHOLOGY
DELGADO-SERRANO, LOURDES J., MD
GENDER: FNPI #: 1508834839U OF I COLLEGE OF MEDICINE420 NE GLEN OAK AVE SUITE 401PEORIA, IL 61603PHONE: (309) 624-9844E-PRESCRIBE: NO
VERDA, MICHELE R., PHDGENDER: FNPI #: 1659396505CHILDRENS HOSPITAL OF ILLINOIS530 NE GLEN OAK AVEPEORIA, IL 61637PHONE: (309) 655-3613E-PRESCRIBE: NO
WARD, ERIC M., PHDGENDER: MNPI #: 1710066980OSF MEDICAL GROUP7317 WILLOW LAKE COURTPEORIA, IL 61614PHONE: (309) 683-7373E-PRESCRIBE: NO
PSYCHIATRY
ALAHI, PETER, MDGENDER: MNPI #: 1508830951OSF SISTERS COMMUNITY HEALTH CARE CENTER320 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 624-9690E-PRESCRIBE: NO
U OF I COLLEGE OF MEDICINE900 N MAIN ST SUITE 720PEORIA, IL 61602PHONE: (309) 495-1640E-PRESCRIBE: NO
BITAR, GHASSAN, MDGENDER: MNPI #: 1417982703OSF MEDICAL GROUP7317 WILLOW LAKE COURTPEORIA, IL 61614PHONE: (309) 683-7373E-PRESCRIBE: NO
BOWERS, CHRISTINE, MDGENDER: FNPI #: 13867025954719 N SHERIDAN RDPEORIA, IL 61614PHONE: (309) 685-7249E-PRESCRIBE: NO
BURCKHARTZMEYER, LISA J., MD
GENDER: FNPI #: 1962674820OSF MEDICAL GROUP7317 WILLOW LAKE CTPEORIA, IL 61614PHONE: (309) 683-7373E-PRESCRIBE: NO
COLEN, BRADFORD E., MDGENDER: MNPI #: 1205839883ASSOCIATES IN MENTAL HEALTH900 MAIN ST SUITE 580PEORIA, IL 61602PHONE: (309) 637-4266E-PRESCRIBE: NO
FINKENBINE, RYAN, MDGENDER: MNPI #: 1508830969U OF I COLLEGE OF MEDICINE900 N MAIN ST SUITE 720PEORIA, IL 61602PHONE: (309) 495-1640E-PRESCRIBE: NO
FRENKEL, A RAMY, MDGENDER: MNPI #: 1861584542OSF MEDICAL GROUP7317 WILLOW LAKE COURTPEORIA, IL 61614PHONE: (309) 683-7373E-PRESCRIBE: NO
GVOZDJAN, DRAGOSLAV, MD
GENDER: MNPI #: 1003006701U OF I COLLEGE OF MEDICINE900 N MAIN ST SUITE 720PEORIA, IL 61602PHONE: (309) 495-1640E-PRESCRIBE: NO
HERITCH, ANDREW J., MDGENDER: MNPI #: 1407948607HEARTLAND BEHAVIORAL HEALTH3116 N DRIES LANE SUITE 201PEORIA, IL 61602PHONE: (309) 686-1147E-PRESCRIBE: NO
HUDSON, ALISHA, DOGENDER: FNPI #: 1831364025OSF MEDICAL GROUP PSYCHIATRY & PSYCHOLOGY7317 WILLOW LAKE CTPEORIA, IL 61614PHONE: (309) 683-7373E-PRESCRIBE: NO
JINN-OLEARY, MINNA, MDGENDER: FNPI #: 1871560623U OF I COLLEGE OF MEDICINE900 N MAIN ST SUITE 720PEORIA, IL 61602PHONE: (309) 495-1640E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Mental Health Care
446
KYLE, KAREN M., MDGENDER: FNPI #: 1023052818ASSOCIATES IN MENTAL HEALTH900 MAIN ST SUITE 580PEORIA, IL 61602PHONE: (309) 637-4266E-PRESCRIBE: NO
LANCIA, ANDREW J., MDGENDER: MNPI #: 1366647521OSF SISTERS COMMUNITY HEALTH CARE CENTER320 E ARMSTRONG AVEPEORIA, IL 61603PHONE: (309) 624-9690E-PRESCRIBE: NO
U OF I COLLEGE OF MEDICINE900 N MAIN ST SUITE 720PEORIA, IL 61602PHONE: (309) 495-1640E-PRESCRIBE: NO
PINTO, ARUN C., MDGENDER: MNPI #: 1093740318TRUE NORTH SOLUTIONS3400 W NEW LEAF LANEPEORIA, IL 61615PHONE: (309) 589-1011E-PRESCRIBE: NO
PRESTON, MATTHEW M., MDGENDER: MNPI #: 1356549323ASSOCIATES IN MENTAL HEALTH SC900 MAIN ST SUITE 580PEORIA, IL 61602PHONE: (309) 637-4266E-PRESCRIBE: NO
SINGH, BALJIT, MDGENDER: MNPI #: 1528075769U OF I COLLEGE OF MEDICINE900 N MAIN ST SUITE 720PEORIA, IL 61602PHONE: (309) 495-1640E-PRESCRIBE: NO
THORNTON, STEVEN L., MDGENDER: MNPI #: 1194885574OSF MEDICAL GROUP7317 WILLOW LAKE COURTPEORIA, IL 61614PHONE: (309) 683-7373E-PRESCRIBE: NO
THORNTON, STEVEN, MDGENDER: MNPI #: 1194885574U OF I COLLEGE OF MEDICINE900 N MAIN ST SUITE 720PEORIA, IL 61602PHONE: (309) 495-1640E-PRESCRIBE: NO
PSYCHOLOGY
BOERKE, KYLE W., PSYDGENDER: MNPI #: 1225340805OSF MEDICAL GROUP7317 WILLOW LAKE COURTPEORIA, IL 61614PHONE: (309) 683-7373E-PRESCRIBE: NO
BRAGER, PATRESA R., PHDGENDER: FNPI #: 1043236573OSF MEDICAL GROUP7317 WILLOW LAKE COURTPEORIA, IL 61614PHONE: (309) 683-7373E-PRESCRIBE: NO
BREITMEYER, RUDOLF G., PHD
GENDER: MNPI #: 1174626790THE ANTIOCH GROUP6615 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 692-6622E-PRESCRIBE: NO
BRIAN, REGINA, PSYDGENDER: FNPI #: 1699848051PSYCHOLOGY SPECIALISTS LTD5401 N KNOXVILLE SUITE 117PEORIA, IL 61614PHONE: (309) 706-3190E-PRESCRIBE: NO
BRUCE, TIM, PHDGENDER: MNPI #: 1285608661U OF I COLLEGE OF MEDICINE900 N MAIN ST SUITE 720PEORIA, IL 61602PHONE: (309) 495-1640E-PRESCRIBE: NO
CHAPIN, THEODORE J., PHDGENDER: MNPI #: 1255393039RESOURCE MANAGEMENT SERVICES3020 W WILLOW KNOLLS DRPEORIA, IL 61614PHONE: (309) 681-5652E-PRESCRIBE: NO
CLORE, JEAN L., PHDGENDER: FNPI #: 1154614790U OF I COLLEGE OF MEDICINE900 N MAIN ST SUITE 720PEORIA, IL 61602PHONE: (309) 495-1640E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Mental Health Care
447
DALFIUME, LUKE R., PHDGENDER: MNPI #: 1760447155JOHN R DAY & ASSOCIATES LTD3716 W BRIGHTON AVEPEORIA, IL 61615PHONE: (309) 692-7755E-PRESCRIBE: NO
DAY, JOHN R., PHDGENDER: MNPI #: 1013974765JOHN R DAY & ASSOCIATES LTD3716 W BRIGHTONPEORIA, IL 61615PHONE: (309) 692-7755E-PRESCRIBE: NO
ECKERT, JOEL, PSYDGENDER: MNPI #: 1699700120ECKERT & ASSOCIATES3024 W LAKE AVEPEORIA, IL 61615PHONE: (309) 688-3050E-PRESCRIBE: NO
FULLER-FRICKE, REBEKAH L., PSYD
GENDER: FNPI #: 1568763977AGAPE COUNSELING LTD2001 W WILLOW KNOLLS RD SUITE 110PEORIA, IL 61614PHONE: (309) 692-4433E-PRESCRIBE: NO
GATTEN, SHAUNA L., PHDGENDER: FNPI #: 19220755485901 N PROSPECT RD SUITE 101PEORIA, IL 61614PHONE: (309) 689-9880E-PRESCRIBE: NO
GLAZESKI, ROBERT C., PHDGENDER: MNPI #: 1932288289OSF MEDICAL GROUP7317 WILLOW LAKE COURTPEORIA, IL 61614PHONE: (309) 683-7373E-PRESCRIBE: NO
GREGG, SHELLEY F., PHDGENDER: FNPI #: 1629157987OSF MEDICAL GROUP7317 WILLOW LAKE COURTPEORIA, IL 61614PHONE: (309) 683-7373E-PRESCRIBE: NO
8600 N STATE ROUTE 91PEORIA, IL 61615PHONE: (309) 683-5059E-PRESCRIBE: NO
PSYCHOLOGY INDIVIDUAL GROUP THERAPY2015 W GLEN AVE SUITE 210PEORIA, IL 61614PHONE: (309) 683-7373E-PRESCRIBE: NO
HAMON, STEVEN A., PHDGENDER: MNPI #: 1174626782THE ANTIOCH GROUP6615 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 692-6622E-PRESCRIBE: NO
JOHNSON, JEREMY L., PHDGENDER: MNPI #: 1417164542HEARTLAND BEHAVIORAL HEALTH3116 N DRIES LANE SUITE 201PEORIA, IL 61604PHONE: (309) 686-1147E-PRESCRIBE: NO
KURZ, BARRY F., PHDGENDER: MNPI #: 19029164307820 N UNIVERSITY ST SUITE 207PEORIA, IL 61614PHONE: (309) 693-0111E-PRESCRIBE: NO
LADD, AIMEE J., PHDGENDER: FNPI #: 1942558655JOY MILLER & ASSOCIATES7617 N VILLA WOOD LNPEORIA, IL 61614PHONE: (309) 693-8200E-PRESCRIBE: NO
LEGAN, DONALD R., PSYDGENDER: MNPI #: 1467429605PSYCHOLOGICAL ASSOCIATES5409 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-0420E-PRESCRIBE: NO
LEGAN, LEONE, PSYDGENDER: FNPI #: 1710954953PSYCHOLOGICAL ASSOCIATES5409 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-0420E-PRESCRIBE: NO
MCCRAY, MIKELL R., PSYDGENDER: FNPI #: 1780973925JOHN R DAY & ASSOCIATES LTD3716 W BRIGHTON AVEPEORIA, IL 61615PHONE: (309) 692-7755E-PRESCRIBE: NO
PEORIA, ILPEORIA, IL
Mental Health Care
448
MCINTYRE, SAMUEL B., EDDGENDER: MNPI #: 1386608008U OF I COLLEGE OF MEDICINE900 N MAIN ST SUITE 720PEORIA, IL 61602PHONE: (309) 495-1640E-PRESCRIBE: NO
MORDHORST, MATTHEW J., PHD
GENDER: MNPI #: 1609892124PSYCHOLOGY INDIVIDUAL GROUP THERAPY100 NE RANDOLPH AVE SUITE 110PEORIA, IL 61606PHONE: (309) 624-8572E-PRESCRIBE: NO
NOBLE, NICOLE D., PSYDGENDER: FNPI #: 1700052818PSYCHOLOGY SPECIALISTS900 MAIN ST SUITE 780PEORIA, IL 61602PHONE: (309) 706-3190E-PRESCRIBE: NO
PERINO, ANTHONY R., PHDGENDER: MNPI #: 1093894248OSF MEDICAL GROUP7317 WILLOW LAKE COURTPEORIA, IL 61614PHONE: (309) 683-7373E-PRESCRIBE: NO
PRIDDY, DAVID, PHDGENDER: MNPI #: 1669416749INSTITUTE OF PHYSICAL MEDICINE & REHAB/IPMR6501 N SHERIDAN RDPEORIA, IL 61605PHONE: (309) 692-8670E-PRESCRIBE: NO
719 N WILLIAM KUMPF BLVDPEORIA, IL 61605PHONE: (309) 671-2950E-PRESCRIBE: NO
REGAN, THERESA M., PHDGENDER: FNPI #: 1598785644PSYCHOLOGY INDIVIDUAL GROUP THERAPY530 NE GLEN OAK AVEPEORIA, IL 61637PHONE: (309) 655-7378E-PRESCRIBE: NO
ROGERS, LISA, PSYDGENDER: FNPI #: 1265460133ADVANCED BEHAVIORAL HEALTH8600 N STATE ROUTE 91 SUITE 240PEORIA, IL 61615PHONE: (309) 683-5006E-PRESCRIBE: NO
SHEHORN, CATHY A., PHDGENDER: FNPI #: 1508050832OSF MEDICAL GROUP7317 WILLOW LAKE COURTPEORIA, IL 61614PHONE: (309) 683-7373E-PRESCRIBE: NO
STANDARD, JEANINE R., PHD
GENDER: FNPI #: 1790888311THE ANTIOCH GROUP6615 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 692-6622E-PRESCRIBE: NO
TOOHILL, BARBARA, PSYDGENDER: FNPI #: 1205127784THE ANTIOCH GROUP INC6615 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 692-6622E-PRESCRIBE: NO
VELEZ, JANE, PSYDGENDER: FNPI #: 1699781260PEORIA PSYCHOLOGICAL ASSOCIATES5505 N FAIRMONT DRPEORIA, IL 61614PHONE: (309) 689-6700E-PRESCRIBE: NO
WEIDNER, DAVID C., PSYDGENDER: MNPI #: 1861699472THE ANTIOCH GROUP6615 N BIG HOLLOW RDPEORIA, IL 61615PHONE: (309) 692-6622E-PRESCRIBE: NO
MENTAL HEALTH
BEAUDRY, ASHLEY V., LCPCGENDER: FNPI #: 1518244656EDGEWOOD CLINICAL SERVICES17422 S NAPERVILLE RD SUITE 112PLAINFIELD, IL 60544PHONE: (630) 428-7890E-PRESCRIBE: NO
PLAINFIELD, IL
PEORIA, ILPLAINFIELD, IL
Mental Health Care
449
COOK, MARY ANN, LCPCGENDER: FNPI #: 1184899387ALLIANCE COUNSELING & COACHING LLC24014 S RENWICK RDPLAINFIELD, IL 60544PHONE: (815) 467-8181E-PRESCRIBE: NO
CULEN, KATHLEEN B., LCSWGENDER: FNPI #: 1255614939EDGEWOOD CLINICAL SERVICES17422 S NAPERVILLE RD SUITE 112PLAINFIELD, IL 60544PHONE: (630) 428-7890E-PRESCRIBE: NO
FRANKLIN, JULIE C., LCSWGENDER: FNPI #: 1881992774EDGEWOOD CLINICAL SERVICES17422 S NAPERVILLE RD SUITE 112PLAINFIELD, IL 60544PHONE: (630) 428-7890E-PRESCRIBE: NO
GADOMSKI, REBECCA A., LCSW
GENDER: FNPI #: 1255455838EDGEWOOD CLINICAL SERVICES17422 S NAPERVILLE RD SUITE 112PLAINFIELD, IL 60544PHONE: (630) 428-7890E-PRESCRIBE: NO
HEUERTZ, STEVEN M., LCSWGENDER: MNPI #: 1124355672EDGEWOOD CLINICAL SERVICES17422 S NAPERVILLE RD SUITE 112PLAINFIELD, IL 60544PHONE: (630) 428-7890E-PRESCRIBE: NO
KOCH, ABBY J., LCSWGENDER: FNPI #: 1710201579EDGEWOOD CLINICAL SERVICES17422 S NAPERVILLE RD SUITE 112PLAINFIELD, IL 60544PHONE: (630) 428-7890E-PRESCRIBE: NO
NEUGEBAUER, MIRIAM C., LCSW
GENDER: FNPI #: 1194031716EDGEWOOD CLINICAL SERVICES17422 S NAPERVILLE RD SUITE 112PLAINFIELD, IL 60544PHONE: (630) 428-7890E-PRESCRIBE: NO
RUSSO, ADAM J., LCSWGENDER: MNPI #: 1780740217EDGEWOOD CLINCAL SERVICES17422 S NAPERVILLE RD SUITE 112PLAINFIELD, IL 60544PHONE: (630) 428-7890E-PRESCRIBE: NO
VAUGHAN, DEBORAH M., LCPC
GENDER: FNPI #: 1134452642EDGEWOOD CLINICAL SERVICES17422 S NAPERVILLE RD SUITE 112PLAINFIELD, IL 60544PHONE: (630) 428-7890E-PRESCRIBE: NO
WAITKUS, JENNIFER E., LCPC
GENDER: FNPI #: 1265735096EDGEWOOD CLINICAL SERVICES17422 S NAPERVILLE RD SUITE 112PLAINFIELD, IL 60544PHONE: (630) 428-7890E-PRESCRIBE: NO
WERRBACH, MAUREEN L., LCPC
GENDER: FNPI #: 1972899706EDGEWOOD CLINICAL SERVICES17422 S NAPERVILLE RD SUITE 112PLAINFIELD, IL 60544PHONE: (630) 428-7890E-PRESCRIBE: NO
WIESE, STEPHANIE A., LCPCGENDER: FNPI #: 1316192982EDGEWOOD CLINICAL SERVICES17422 S NAPERVILLE RD SUITE 112PLAINFIELD, IL 60544PHONE: (630) 428-7890E-PRESCRIBE: NO
PLAINFIELD, ILPLAINFIELD, IL
Mental Health Care
450
PSYCHOLOGY
GOLDMAN, LISA R., PSYDGENDER: FNPI #: 1659694974EDGEWOOD CLINICAL SERVICES17422 S NAPERVILLE RD SUITE 112PLAINFIELD, IL 60544PHONE: (630) 428-7890E-PRESCRIBE: NO
MANFRE, JENNIFER E., PSYDGENDER: FNPI #: 1912167636EDGEWOOD CLINICAL SERVICES17422 S NAPERVILLE RD SUITE 112PLAINFIELD, IL 60544PHONE: (630) 428-7890E-PRESCRIBE: NO
MENTAL HEALTH
WILSON, SHANNON, LCSWGENDER: FNPI #: 1013225754PSYCHOLOGY SPECIALISTS LTD2500 W REYNOLDS SUITE 207PONTIAC, IL 61764PHONE: (309) 706-3190E-PRESCRIBE: NO
MENTAL HEALTH
GUSTAFSON, LISA K., LCPCGENDER: FNPI #: 1962666875YOUTH SERVICE BUREAU OF ILLINOIS VALLEY INC1702 1/2 W PERUPRINCETON, IL 61356PHONE: (815) 872-2119E-PRESCRIBE: NO
LADD, PHILLIP, LCPCGENDER: MNPI #: 1255396347JOHN R DAY & ASSOCIATES LTD33 W CROWN STPRINCETON, IL 61356PHONE: (309) 692-7755E-PRESCRIBE: NO
MENZEL, KRISTINA L., LCPCGENDER: FNPI #: 1952373243YOUTH SERVICE BUREAU OF ILLINOIS VALLEY INC1702 1/2 W PERUPRINCETON, IL 61356PHONE: (815) 872-2119E-PRESCRIBE: NO
MURPHEY, MARGARET M., LCPC
GENDER: FNPI #: 1578539136CHRIST COMMUNITY CHURCH1719 S EUCLID AVEPRINCETON, IL 61356PHONE: (815) 879-3227E-PRESCRIBE: NO
MURPHY, MICHELLE M., LCPC
GENDER: FNPI #: 1710141536YOUTH SERVICE BUREAU OF ILLINOIS VALLEY INC1702 1/2 W PERUPRINCETON, IL 61356PHONE: (815) 872-2119E-PRESCRIBE: NO
ROBINSON, CYNTHIA J., LCSW
GENDER: FNPI #: 1003070822YOUTH SERVICE BUREAU OF ILLINOIS VALLEY INC1702 1/2 W PERUPRINCETON, IL 61356PHONE: (815) 872-2119E-PRESCRIBE: NO
SAMOLITIS, REBECCA J., LCSW
GENDER: FNPI #: 1346572757YOUTH SERVICE BUREAU OF ILLINOIS VALLEY1702 1/2 W PERUPRINCETON, IL 61356PHONE: (815) 872-2119E-PRESCRIBE: NO
MENTAL HEALTH
BARTLOW, MICHELLE, LCPCGENDER: FNPI #: 1265624605BARTLOW COUNSELING CENTER731 N 24TH ST SUITE AQUINCY, IL 62301PHONE: (217) 223-4673E-PRESCRIBE: NO
PSYCHOLOGY
WECK, VALERIE M., PHDGENDER: FNPI #: 1679862056PSYCHOLOGY SPECIALISTS1108 N ALLEN SUITE BROBINSON, IL 62454PHONE: (888) 706-3190E-PRESCRIBE: NO
MENTAL HEALTH
GARRISON, MEG M., LCPCGENDER: FNPI #: 1255510012CHANGES COUNSELING LLC700 CARRIE AVEROCHELLE, IL 61068PHONE: (815) 501-2088E-PRESCRIBE: NO
PONTIAC, IL
PRINCETON, IL
QUINCY, IL
ROBINSON, IL
ROCHELLE, IL
PLAINFIELD, ILROCHELLE, IL
Mental Health Care
451
NOVAK, CHRISTINE M., LCPCGENDER: FNPI #: 1740256874CHANGES COUNSELING LLC700 CARRIE AVEROCHELLE, IL 61068PHONE: (815) 501-2088E-PRESCRIBE: NO
MENTAL HEALTH
DWYER-ELIAS, REBECCA R., LCSW
GENDER: FNPI #: 1669431821DWYER-ELIAS COUNSELING AND THERAPY PC1800 3RD AVE SUITE 516ROCK ISLAND, IL 61201PHONE: (309) 788-1050E-PRESCRIBE: NO
GUEBERT, DALE A., LCPCGENDER: MNPI #: 1083755433YOUTH SERVICE BUREAU OF ROCK ISLAND COUNTY4709 44TH ST SUITE 5ROCK ISLAND, IL 61201PHONE: (309) 793-3460E-PRESCRIBE: NO
KRANZ, JEFFREY A., LISWGENDER: MNPI #: 1962545624FAMILY COUNSELING & PSYCHOLOGY CENTER303 18TH STROCK ISLAND, IL 61201PHONE: E-PRESCRIBE: NO
MARTINEZ, RON, LCPCGENDER: MNPI #: 1457415325YOUTH SERVICE BUREAU OF ROCK ISLAND COUNTY4709 44TH ST SUITE 5ROCK ISLAND, IL 61201PHONE: (309) 793-3460E-PRESCRIBE: NO
STICHTER, CASEY M., LCPCGENDER: FNPI #: 1992981898YOUTH SERVICE BUREAU OF ROCK ISLAND COUNTY4709 44TH ST SUITE 5ROCK ISLAND, IL 61201PHONE: (309) 793-3460E-PRESCRIBE: NO
PSYCHOLOGY
MILANI, JOANN C., PHDGENDER: FNPI #: 1952436370311 18TH STROCK ISLAND, IL 61201PHONE: (309) 788-5000E-PRESCRIBE: NO
RICKETTS, FRANCES B., PHDGENDER: FNPI #: 1114963089ADOLESCENT CHILD & COUPLE PSYCHOLOGY2208 7TH AVEROCK ISLAND, IL 61201PHONE: (309) 786-1569E-PRESCRIBE: NO
MENTAL HEALTH
COOPER, JEAN, LCPCGENDER: FNPI #: 1316050933ROCKFORD PSYCHIATRIC MEDICAL SERVICES SC1639 N ALPINE RD SUITE 260ROCKFORD, IL 61107PHONE: (815) 395-1500E-PRESCRIBE: NO
EMMERICH, ELLEN M., LCPCGENDER: FNPI #: 1093887028514 PRAIRIE STROCKFORD, IL 61107PHONE: (815) 963-8026E-PRESCRIBE: NO
FINCH, KELLY G., LCPCGENDER: FNPI #: 1013020635ROCKFORD PSYCHIATRIC MEDICAL SERVICES SC1639 N ALPINE RD SUITE 260ROCKFORD, IL 61107PHONE: (815) 395-1500E-PRESCRIBE: NO
KONG, MARI E., LCSWGENDER: FNPI #: 1093044455NORTHERN ILLINOIS MEDICAL GROUP5301 E STATE STROCKFORD, IL 61108PHONE: (815) 397-8500E-PRESCRIBE: NO
PINK, LEONARD C., LCSWGENDER: MNPI #: 13664506295906 ELAINE DRROCKFORD, IL 61108PHONE: (815) 381-0756E-PRESCRIBE: NO
ROCK ISLAND, IL
ROCKFORD, IL
ROCHELLE, ILROCKFORD, IL
Mental Health Care
452
VANMAN, AARON S., LCSWGENDER: MNPI #: 1487959359NORTHERN ILLINOIS MEDICAL GROUP5301 E STATE STROCKFORD, IL 61108PHONE: (815) 397-8500E-PRESCRIBE: NO
PSYCHIATRY
GIAKAS, WILLIAM J., MDGENDER: MNPI #: 1821009127ROCKFORD PSYCHIATRIC MEDICAL SERVICES SC1639 N ALPINE RD SUITE 260ROCKFORD, IL 61107PHONE: (815) 395-1500E-PRESCRIBE: NO
MALIK, FAREHA N., MDGENDER: FNPI #: 17806920383865 N MULFORD RDROCKFORD, IL 61114PHONE: (815) 316-2223E-PRESCRIBE: YES
MENTAL HEALTH
BEASLEY, CLARE A., LCSWGENDER: FNPI #: 1285893669INSTITUTE FOR PERSONAL DEVELOPMENT1208 WINDHAM PKWYROMEOVILLE, IL 60446PHONE: (630) 226-9303E-PRESCRIBE: NO
CUEVAS, SUSAN, LCPCGENDER: FNPI #: 1518908201INSTITUTE FOR PERSONAL DEVELOPMENT1280 WINDHAM PKWYROMEOVILLE, IL 60446PHONE: (630) 226-9303E-PRESCRIBE: NO
GELBORT, KIMBERLEY, LCPC
GENDER: FNPI #: 1225084635INSTITUTE FOR PERSONAL DEVELOPMENT1280 WINDHAM PKWYROMEOVILLE, IL 60446PHONE: (630) 226-9303E-PRESCRIBE: NO
HAHN, ALISON, LCSWGENDER: FNPI #: 1750533220INSTITUTE FOR PERSONAL DEVELOPMENT1255 WINDHAM PKWYROMEOVILLE, IL 60446PHONE: (630) 222-9303E-PRESCRIBE: NO
HASSAN, YOSRI Y., LCSWGENDER: MNPI #: 1790953743INSTITUTE FOR PERSONAL DEVELOPMENT1280 WINDHAM PKWYROMEOVILLE, IL 60446PHONE: (630) 226-9303E-PRESCRIBE: NO
LOMBARDO, KAREN A., LCSW
GENDER: FNPI #: 1427118884INSTITUTE FOR PERSONAL DEVELOPMENT1280 WINDHAM PKWYROMEOVILLE, IL 60446PHONE: (630) 226-9303E-PRESCRIBE: NO
MILLER, JOY M., LCPCGENDER: FNPI #: 1740221209INSTITUTE FOR PERSONAL DEVELOPMENT1280 WINDHAM PKWYROMEOVILLE, IL 60446PHONE: (630) 226-9303E-PRESCRIBE: NO
PAVLICH, TIMOTHY A., LCPCGENDER: MNPI #: 1508915182INSTITUTE FOR PERSONAL DEVELOPMENT1255 WINDHAM PKWY SUITE 600ROMEOVILLE, IL 60446PHONE: (815) 942-6323E-PRESCRIBE: NO
STEPHENS, JAMES E., LCPCGENDER: MNPI #: 1659584969INSTITUTE FOR PERSONAL DEVELOPMENT1280 WINDHAM PKWYROMEOVILLE, IL 60446PHONE: (630) 226-9303E-PRESCRIBE: NO
PSYCHIATRY
HAWLEY, GREGORY M., MDGENDER: MNPI #: 1073647467INSTITUTE FOR PERSONAL DEVELOPMENT1280 WINDHAM PKWYROMEOVILLE, IL 60446PHONE: (630) 226-9303E-PRESCRIBE: NO
HESS, MELVIN H., MDGENDER: MNPI #: 1902985211INSTITUTE FOR PERSONAL DEVELOPMENT1255 WINDHAM PKWYROMEOVILLE, IL 60446PHONE: (815) 942-6323E-PRESCRIBE: YES
ROMEOVILLE, IL
ROCKFORD, ILROMEOVILLE, IL
Mental Health Care
453
IBRAHIM, LUCY W., MDGENDER: FNPI #: 1184610107INSTITUTE FOR PERSONAL DEVELOPMENT1280 WINDHAM PKWYROMEOVILLE, IL 60446PHONE: (630) 226-9303E-PRESCRIBE: NO
WARD, MARGARET, MDGENDER: FNPI #: 1689613150INSTITUTE FOR PERSONAL DEVELOPMENT1280 WINDHAM PKWYROMEOVILLE, IL 60446PHONE: (630) 226-9303E-PRESCRIBE: NO
WUEST, RONALD J., MDGENDER: MNPI #: 1548201783INSTITUTE FOR PERSONAL DEVELOPMENT1280 WINDHAM PKWYROMEOVILLE, IL 60446PHONE: (630) 226-9303E-PRESCRIBE: NO
PSYCHOLOGY
GRACE, PAMELA, PHDGENDER: FNPI #: 1063451680INSTITUTE FOR PERSONAL DEVELOPMENT1280 WINDHAM PKWYROMEOVILLE, IL 60446PHONE: (630) 226-9303E-PRESCRIBE: NO
WILTZ, ROBERT A., PHDGENDER: MNPI #: 1568403236INSTITUTE FOR PERSONAL DEVELOPMENT1280 WINDHAM PKWYROMEOVILLE, IL 60446PHONE: (630) 226-9303E-PRESCRIBE: NO
PSYCHIATRY
JOHNSON, RONALD J., MDGENDER: MNPI #: 1679571897SARAH D CULBERTSON MEMORIAL HOSPITAL238 S CONGRESSRUSHVILLE, IL 62681PHONE: (217) 322-4321E-PRESCRIBE: NO
MENTAL HEALTH
WOODS, CHERYL A., LCPCGENDER: FNPI #: 1902941883SHELBY COUNTY COMMUNITY SERVICES1810 W S 3RD STSHELBYVILLE, IL 62565PHONE: (217) 774-5587E-PRESCRIBE: NO
MENTAL HEALTH
BUSHEY, AMY L., LCPCGENDER: FNPI #: 1477563641VCC COUNSELING CENTER INC460 BRIARGATE DR SUITE 700SOUTH ELGIN, IL 60177PHONE: (847) 488-1999E-PRESCRIBE: NO
MANNING, PAMELA A., LPCGENDER: FNPI #: 1225274327THE VILLAGE COUNSELING CENTRE460 BRIARGATE DR SUITE 700SOUTH ELGIN, IL 60177PHONE: (847) 488-1999E-PRESCRIBE: NO
MCFADDEN SR, DAVID P., LCPC
GENDER: MNPI #: 1972528693THE VILLAGE COUNSELING CENTRE460 BRIARGATE DR SUITE 700SOUTH ELGIN, IL 60177PHONE: (847) 488-1999E-PRESCRIBE: NO
MCFADDEN, DEBORAH L., LCSW
GENDER: FNPI #: 1700801412THE VILLAGE COUNSELING CENTRE460 BRIARGATE DR SUITE 700SOUTH ELGIN, IL 60177PHONE: (847) 488-1999E-PRESCRIBE: NO
MCINTYRE, CAROL C., LCSWGENDER: FNPI #: 1326244047THE VILLAGE COUNSELING CENTRE460 BRIARGATE DR SUITE 700SOUTH ELGIN, IL 60177PHONE: (847) 488-1999E-PRESCRIBE: NO
RUSHVILLE, IL
SHELBYVILLE, IL
SOUTH ELGIN, IL
ROMEOVILLE, ILSOUTH ELGIN, IL
Mental Health Care
454
ORTIZ, CYNTHIA, LCSWGENDER: FNPI #: 1053489450VCC COUNSELING INC460 BRIARGATE DR SUITE 700SOUTH ELGIN, IL 60177PHONE: E-PRESCRIBE: NO
SANDERS, TRACEY Y., LCPCGENDER: NPI #: 1639336720THE VILLAGE COUNSELING CENTRE460 BRIARGATE DR SUITE 700SOUTH ELGIN, IL 60177PHONE: (847) 488-1999E-PRESCRIBE: NO
SAVAGE, SUSAN, LCPCGENDER: FNPI #: 1396040150THE VILLAGE COUNSELING CENTRE460 BRIARGATE DR SUITE 700SOUTH ELGIN, IL 60177PHONE: (847) 488-1999E-PRESCRIBE: NO
SCHNEE, DAVID, LCPCGENDER: MNPI #: 1760595466THE VILLAGE COUNSELING CENTRE460 BRIARGATE DR SUITE 700SOUTH ELGIN, IL 60177PHONE: (847) 488-1999E-PRESCRIBE: NO
PSYCHOLOGY
GRAVES, ABBEY L., PSYDGENDER: FNPI #: 1326082850THE VILLAGE COUNSELING CENTRE460 BRIARGATE DR SUITE 700SOUTH ELGIN, IL 60177PHONE: E-PRESCRIBE: NO
GURSKY, DAVID M., PHDGENDER: MNPI #: 1942225669THE VILLAGE COUNSELING CENTRE460 BRIARGATE DR SUITE 700SOUTH ELGIN, IL 60177PHONE: (847) 488-1999E-PRESCRIBE: NO
PSYCHIATRY
SHETH, ATUL, MDGENDER: MNPI #: 1942392212301 W DAKOTA STSPRING VALLEY, IL 61362PHONE: (815) 663-0484E-PRESCRIBE: NO
MENTAL HEALTH
ALDERMAN, JULIE A., LCPCGENDER: FNPI #: 1932408887THE HOPE SCHOOL5220 S 6TH ST RD SUITE 1700SPRINGFIELD, IL 62703PHONE: (217) 525-8332E-PRESCRIBE: NO
ALLEN, BRIAN A., LCSWGENDER: MNPI #: 1477666949MENTAL HEALTH CTR OF IL710 N 8TH STSPRINGFIELD, IL 62702PHONE: (217) 525-1064E-PRESCRIBE: NO
BAKER, VIRGINIA K., LCPCGENDER: FNPI #: 1114134541MONTVALE COUNSELING CENTER2050 WEST ILES AVE SUITE FSPRINGFIELD, IL 62704PHONE: (217) 793-2770E-PRESCRIBE: NO
BATTEN, MARIA G., LCPCGENDER: FNPI #: 14674681081711 S FIFTH STSPRINGFIELD, IL 62703PHONE: (217) 788-5244E-PRESCRIBE: NO
BEARD, CHARLES W., LCPCGENDER: MNPI #: 1528398096FAMILY GUIDANCE CENTERS INC120 N 11TH STSPRINGFIELD, IL 62703PHONE: (217) 544-9858E-PRESCRIBE: NO
BRADY, HILLARY J., LCPCGENDER: FNPI #: 1184957110MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS710 N 8TH STSPRINGFIELD, IL 62702PHONE: (217) 525-1064E-PRESCRIBE: NO
901 N 1ST SUITE 225SPRINGFIELD, IL 62702PHONE: (217) 788-4065E-PRESCRIBE: NO
SPRING VALLEY, IL
SPRINGFIELD, IL
SOUTH ELGIN, ILSPRINGFIELD, IL
Mental Health Care
455
BRENEMAN, BRADLEY C., LCSW
GENDER: MNPI #: 1073830063MEMORIAL COUNSELING ASSOCIATES901 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 788-4065E-PRESCRIBE: NO
BRODLAND, GENE, LCSWGENDER: MNPI #: 1164400784BOHLEN AND ASSOCIATES3001 SPRING MILL DR SUITE ASPRINGFIELD, IL 62704PHONE: (217) 546-3100E-PRESCRIBE: NO
SIU SCHOOL OF MEDICINE901 W JEFFERSONSPRINGFIELD, IL 62794PHONE: (217) 545-8229E-PRESCRIBE: NO
BURNETT, KATHRYN A., LCPC
GENDER: FNPI #: 1609154590MEMORIAL COUNSELING ASSOCIATES901 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 788-4065E-PRESCRIBE: NO
BUTLER, CYNTHIA A., LCSWGENDER: FNPI #: 1528079480MENTAL HEALTH CTR OF IL710 N 8TH STSPRINGFIELD, IL 62702PHONE: (217) 525-1064E-PRESCRIBE: NO
CASTOR, LINDA K., LCPCGENDER: FNPI #: 1518073691CLOCKTOWER THERAPY CENTER2663 FARRAGUT DRSPRINGFIELD, IL 62704PHONE: (217) 793-0680E-PRESCRIBE: NO
DIEDRICH, BRENDA, MDGENDER: FNPI #: MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS710 N 8THSPRINGFIELD, IL 62702PHONE: (217) 525-1064E-PRESCRIBE: NO
DRAKE, BETHANIE J., LMFTGENDER: FNPI #: 1063400489KILLIAN AND ASSOCIATES1020 S FIFTH STSPRINGFIELD, IL 62703PHONE: (217) 544-3143E-PRESCRIBE: NO
DUNHAM-NEUBERT, AUTUMN C., LCSW
GENDER: FNPI #: 1376871897MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS710 N 8TH STSPRINGFIELD, IL 62702PHONE: (217) 525-1064E-PRESCRIBE: NO
DWYER, DENNIS V., LCPCGENDER: MNPI #: 1528398096FAMILY GUIDANCE CENTERS INC120 N 11TH STSPRINGFIELD, IL 62703PHONE: (217) 544-9858E-PRESCRIBE: NO
EDWARDS, KATHLEEN M., LMFT
GENDER: FNPI #: 1528186558BOHLEN AND ASSOCIATES3001 SPRING MILL DR SUITE ASPRINGFIELD, IL 62704PHONE: (217) 546-3100E-PRESCRIBE: NO
FAFOGLIA, DAVID P., LCSWGENDER: MNPI #: 1275541435MEMORIAL COUNSELING ASSOCIATES901 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 523-2217E-PRESCRIBE: NO
FAGAN, ALYSSA L., LCPCGENDER: FNPI #: 1891039541THE CHILDRENS CENTER5220 S 6TH ST RD SUITE 2400SPRINGFIELD, IL 62703PHONE: (217) 757-7700E-PRESCRIBE: NO
FARQUHAR, MONICA V., LCPC
GENDER: FNPI #: 1811956261MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS710 N 8TH STSPRINGFIELD, IL 62702PHONE: (217) 525-1064E-PRESCRIBE: NO
FEARDAY, LILA, LCSWGENDER: FNPI #: 710 N EIGHTH STSPRINGFIELD, IL 62702PHONE: (217) 525-1064E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Mental Health Care
456
FEHR, PATRICIA A., LCPCGENDER: FNPI #: 1689813206MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS3225 HEDLEY RDSPRINGFIELD, IL 62711PHONE: (217) 788-4065E-PRESCRIBE: NO
FLESCH, BRENDA, LCPCGENDER: FNPI #: 1750341194MEMORIAL COUNSELING ASSOCIATES901 N 1ST ST SUITE 225SPRINGFIELD, IL 62702PHONE: (217) 788-4065E-PRESCRIBE: NO
FOLLIN, PATRICIA J., LCPCGENDER: FNPI #: 1376531707KILLIAN & ASSOCIATES1020 S FIFTH STSPRINGFIELD, IL 62703PHONE: (217) 544-3143E-PRESCRIBE: NO
GLAD, SONJA M., LCPCGENDER: FNPI #: 1891894903CLOCKTOWER THERAPY CENTER2663 FARRAGUT DR SUITE ASPRINGFIELD, IL 62704PHONE: (217) 793-0680E-PRESCRIBE: NO
GOLDBERG, MICHAEL, LCPCGENDER: MNPI #: 1487616934MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS710 N 8TH STSPRINGFIELD, IL 62702PHONE: (217) 525-1064E-PRESCRIBE: NO
HANSEN, THERESA, LCSWGENDER: FNPI #: 1841407327MONTVALE COUNSELING CENTER2050 WEST ILES AVE SUITE FSPRINGFIELD, IL 62704PHONE: (217) 793-2770E-PRESCRIBE: NO
HEADMAN, NEIL C., LCSWGENDER: MNPI #: 1407058415MONTVALE COUNSELING CENTER2050 WEST ILES AVE SUITE FSPRINGFIELD, IL 62704PHONE: (217) 793-2770E-PRESCRIBE: NO
HENKE, DONALD R., LCSWGENDER: MNPI #: 1083740211SPRINGFIELD PSYCHOLOGICAL CENTER2325 W WHITE OAKS DR SUITE CSPRINGFIELD, IL 62704PHONE: (217) 793-3949E-PRESCRIBE: NO
HUFFMAN PRUITT, VICKIE L., LCPC
GENDER: FNPI #: 16594484477000 PIPER GLEN DR SUITE CSPRINGFIELD, IL 62704PHONE: (217) 483-7104E-PRESCRIBE: NO
INGRAM, DORDANA E., LCSW
GENDER: FNPI #: 1508194663KILLIAN & ASSOCIATES SC1020 S FIFTH STSPRINGFIELD, IL 62703PHONE: (217) 544-3143E-PRESCRIBE: NO
KIRCHNER, LARK N., LCSWGENDER: FNPI #: 1356353049PRAIRIE PSYCHOTHERAPY ASSOCIATES PC1941 S SPRING STSPRINGFIELD, IL 62704PHONE: (217) 544-1632E-PRESCRIBE: NO
KULYS, RUTA R., LCSWGENDER: FNPI #: 1801865282MEMORIAL COUNSELING ASSOCIATES901 N FIRST STSPRINGFIELD, IL 62702PHONE: (217) 525-4777E-PRESCRIBE: NO
LUCAS, PAMELA M., LCSWGENDER: FNPI #: 1134271166PSYCHIATRIC ASSOCIATES OF CENTRAL ILLINOIS1124 S SIXTH STSPRINGFIELD, IL 62703PHONE: (217) 523-3143E-PRESCRIBE: NO
LUHTALA, AMBER D., LCSWGENDER: FNPI #: 1659609055MEMORIAL COUNSELING ASSOCIATES901 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 757-7700E-PRESCRIBE: NO
MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS710 N 8TH STSPRINGFIELD, IL 62702PHONE: (217) 525-1064E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Mental Health Care
457
MALONE, JEANNE L., LCPCGENDER: FNPI #: 1396924148LINCOLN PRAIRIE5230 S 6TH STSPRINGFIELD, IL 62703PHONE: E-PRESCRIBE: NO
MCCONOMY, LOIS, LCSWGENDER: FNPI #: 1063472835MEMORIAL COUNSELING901 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 788-4065E-PRESCRIBE: NO
MCDANIEL, TAMI, LCPCGENDER: FNPI #: 13967838661711 S 5TH STSPRINGFIELD, IL 62703PHONE: (217) 502-9120E-PRESCRIBE: NO
NOWACK, LINDA A., LCPCGENDER: FNPI #: 1922308956MEMORIAL COUNSELING ASSOCIATES901 N 1ST ST SUITE 225SPRINGFIELD, IL 62702PHONE: (217) 788-4065E-PRESCRIBE: NO
OSSOWSKI, MARY L., LCSWGENDER: FNPI #: 1699982090SPRINGFIELD PSYCHOLOGICAL CENTER2325 W WHITE OAKS DR SUITE CSPRINGFIELD, IL 62704PHONE: (217) 793-3949E-PRESCRIBE: NO
PEARSON, R KATHRYN, LCPC
GENDER: FNPI #: 12150133132309 W WHITE OAKS DR SUITE BSPRINGFIELD, IL 62704PHONE: (217) 787-8780E-PRESCRIBE: NO
PETTY, DENNIS G., LCSWGENDER: MNPI #: 1437236601PSYCHIATRIC ASSOCIATES OF CENTRAL ILLINOIS1124 S SIXTH STSPRINGFIELD, IL 62703PHONE: (217) 523-3143E-PRESCRIBE: NO
PLASTERS, MARCIA J., LCPCGENDER: FNPI #: 1134188444MEMORIAL COUNSELING ASSOCIATES901 N FIRST ST SUITE 225SPRINGFIELD, IL 62702PHONE: (217) 788-4065E-PRESCRIBE: NO
RAYNOLDS, ANN C., LCSWGENDER: FNPI #: 1932406287MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS710 N 8TH STSPRINGFIELD, IL 62702PHONE: (217) 525-1064E-PRESCRIBE: NO
MHCCI-THE CHILDRENS CENTER5220 S 6TH ST SUITE 2400SPRINGFIELD, IL 62703PHONE: (217) 757-7700E-PRESCRIBE: NO
REDICK, RAYMOND, LCPCGENDER: MNPI #: 1730148586MEMORIAL COUNSELING ASSOCIATES901 N FIRST ST SUITE 225SPRINGFIELD, IL 62702PHONE: (217) 788-4065E-PRESCRIBE: NO
REINERT, VERNON, LCPCGENDER: MNPI #: 1649239831MEMORIAL COUNSELING ASSOCIATES901 N FIRST ST SUITE 225SPRINGFIELD, IL 62702PHONE: (217) 788-4065E-PRESCRIBE: NO
REINHARDT, MARILYN J., LCSW
GENDER: FNPI #: 1225049133PRAIRIE PSYCHOTHERAPY ASSOCIATES PC1941 S SPRING STSPRINGFIELD, IL 62704PHONE: (217) 544-1632E-PRESCRIBE: NO
SHAW, REBECCA A., LCSWGENDER: FNPI #: 1265491468MEMORIAL COUNSELING ASSOCIATES901 N 1ST ST SUITE 225SPRINGFIELD, IL 62702PHONE: (217) 788-4065E-PRESCRIBE: NO
SHORT, KELCY S., LCPCGENDER: FNPI #: 1346488319MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS3225 HEDLEY ROADSPRINGFIELD, IL 62711PHONE: (217) 788-4065E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Mental Health Care
458
710 N 8TH STSPRINGFIELD, IL 62702PHONE: (217) 525-1064E-PRESCRIBE: NO
SIEBERG, MELANIE S., LCPCGENDER: FNPI #: 1386602001MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS710 N 8TH STSPRINGFIELD, IL 62702PHONE: (217) 525-1064E-PRESCRIBE: NO
SKAGGS BRAIDWOOD, TAMI L., LCSW
GENDER: FNPI #: 1023006459KILLIAN & ASSOCIATES1020 S FIFTH STSPRINGFIELD, IL 62703PHONE: (217) 544-3143E-PRESCRIBE: NO
SOLAND, RANDALL, LCPCGENDER: MNPI #: 1487706107PSYCHIATRIC ASSOCIATES OF CENTRAL ILLINOIS1124 S SIXTH STSPRINGFIELD, IL 62703PHONE: (217) 523-3143E-PRESCRIBE: NO
SPITZIG, WENDI N., LCSWGENDER: FNPI #: 1780919704CHILDRENS CENTER - MHCCI5220 S 6TH ST SUITE 2400SPRINGFIELD, IL 62703PHONE: (217) 757-7700E-PRESCRIBE: NO
MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS710 N 8TH STSPRINGFIELD, IL 62702PHONE: (217) 525-1064E-PRESCRIBE: NO
SPITZIG, WENDY, LCSWGENDER: FNPI #: 1780919704MEMORIAL MEDICAL CENTER701 N 1ST STSPRINGFIELD, IL 62781PHONE: (217) 788-4300E-PRESCRIBE: NO
STOGDELL, JUDITH A., LCSWGENDER: FNPI #: 1407815723MEMORIAL COUNSELING ASSOCIATES901 N 1ST ST SUITE 225SPRINGFIELD, IL 62701PHONE: (217) 525-1064E-PRESCRIBE: NO
STOLL, MARCIA L., LCSWGENDER: FNPI #: 1407998693COUNSELING WITH CARE3225 HEDLEY ROADSPRINGFIELD, IL 62711PHONE: (217) 726-6300E-PRESCRIBE: NO
STRATTON, LIZABETH, LCSWGENDER: FNPI #: 1518926708MEMORIAL COUNSELING ASSOCIATES901 N 1ST ST SUITE 225SPRINGFIELD, IL 62702PHONE: (217) 788-4065E-PRESCRIBE: NO
TAYLOR, DEBORAH L., LCSWGENDER: FNPI #: 10635634843225 HEDLEY RDSPRINGFIELD, IL 62707PHONE: (217) 726-6700E-PRESCRIBE: NO
TAYLOR, DEBORAH, LCSWGENDER: FNPI #: MEMORIAL COUNSING ASSOCIATION775 ENGINEERING DRSPRINGFIELD, IL 62703PHONE: (217) 523-2217E-PRESCRIBE: NO
THOMPSON, J GRAHAM, LMFT
GENDER: MNPI #: 1609942929KILLIAN & ASSOCIATES1020 S FIFTH STSPRINGFIELD, IL 62703PHONE: (217) 544-3143E-PRESCRIBE: NO
THOMPSON, VIRGINIA, LCSW
GENDER: FNPI #: 1093703068KILLIAN & ASSOCIATES SC1020 S FIFTH STSPRINGFIELD, IL 62703PHONE: (217) 544-3143E-PRESCRIBE: NO
TUCKER, JULIE M., LCSWGENDER: FNPI #: 1447302583PSYCHIATRIC ASSOCIATES OF CENTRAL ILLINOIS1124 S SIXTH STSPRINGFIELD, IL 62703PHONE: (217) 523-3143E-PRESCRIBE: NO
WARD, CHRISTINA A., LCPCGENDER: FNPI #: 1376765131MEMORIAL COUNSELING ASSOCIATES901 N 1ST ST SUITE 225SPRINGFIELD, IL 62702PHONE: (217) 788-4065E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Mental Health Care
459
WHITE, KATHRYN E., LCSWGENDER: FNPI #: 1548317936MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS710 N 8TH STSPRINGFIELD, IL 62702PHONE: (217) 525-1064E-PRESCRIBE: NO
WILCOX, CARRIE B., LCPCGENDER: FNPI #: 1861687055MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS710 N 8TH STSPRINGFIELD, IL 62702PHONE: (217) 525-1064E-PRESCRIBE: NO
WILLARD, LYNN R., LCSW, LCPC
GENDER: FNPI #: 1659678241ABC COUNSELING & FAMILY SERVICES2160 S 6TH SUITE ASPRINGFIELD, IL 62703PHONE: (217) 528-9820E-PRESCRIBE: NO
WISE, SONDRA L., LCSWGENDER: FNPI #: 1417047168MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS710 N 8TH STSPRINGFIELD, IL 62702PHONE: (217) 525-1064E-PRESCRIBE: NO
WOLFSON, BARBARA J., LCPC
GENDER: FNPI #: 1003900739SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: NO
WORTHY, MARIAN, APRNGENDER: FNPI #: 1609835156MEMORIAL COUNSELING ASSOCIATES340 W MILLERSPRINGFIELD, IL 62702PHONE: (217) 788-4065E-PRESCRIBE: NO
THE CHILDRENS CENTER5220 S SIXTH STREET RD SUITE 2400SPRINGFIELD, IL 62712PHONE: (217) 757-7700E-PRESCRIBE: NO
YOUNG, KALA M., LCPCGENDER: FNPI #: 1972868479MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS710 N 8TH STSPRINGFIELD, IL 62702PHONE: (217) 525-1064E-PRESCRIBE: NO
THE CHILDRENS CENTER5220 S SIXTH STSPRINGFIELD, IL 62703PHONE: (217) 757-7700E-PRESCRIBE: NO
MENTAL HEALTH/SUBSTANCE ABUSE
FAMILY GUIDANCE CENTERS
GENDER: NPI #: 1528398096120 N 11TH STSPRINGFIELD, IL 62703PHONE: (217) 544-9858E-PRESCRIBE: NO
ILLINOIS INSTITUTE FOR ADDICTION RECOVERY
GENDER: NPI #: 10331168763050 MONTVALE DRSPRINGFIELD, IL 62704PHONE: (217) 726-6611E-PRESCRIBE: NO
LINCOLN PRAIRIE BEHAVIORAL HEALTH CENTER
GENDER: NPI #: 10333971385230 S SIXTH STSPRINGFIELD, IL 62703PHONE: (217) 585-1180E-PRESCRIBE: NO
MEMORIAL MEDICAL CENTER
GENDER: NPI #: 1255317590701 N FIRST STSPRINGFIELD, IL 62781PHONE: (217) 788-4300E-PRESCRIBE: NO
PSYCHIATRIC UNIT OF ST JOHNS
GENDER: NPI #: 1518949353800 E CARPENTER STSPRINGFIELD, IL 62769PHONE: (217) 544-6464E-PRESCRIBE: NO
PEDIATRIC PSYCHIATRY
CAMPBELL, PAMELA A., MDGENDER: FNPI #: 1679517288SIU PHYSICIANS & SURGEONS5220 S 6TH ST SUITE 1200SPRINGFIELD, IL 62703PHONE: (217) 545-6900E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Mental Health Care
460
DECKER, DAVID H., MDGENDER: MNPI #: 10634900437000 PIPER GLEN DR SUITE BSPRINGFIELD, IL 62711PHONE: (217) 483-5800E-PRESCRIBE: NO
THE CHILDRENS CENTER5220 S 6TH ST SUITE 2200SPRINGFIELD, IL 62703PHONE: (217) 757-7700E-PRESCRIBE: NO
DOBBINS, MARY I., MDGENDER: FNPI #: 1235186297SIU CENTER FOR FAMILY MEDICINE520 N 4TH STSPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: NO
SIU PHYSICIANS & SURGEONS901 W JEFFERSONSPRINGFIELD, IL 62702PHONE: (217) 545-8229E-PRESCRIBE: NO
SIU PHYSICIANS & SURGEONS INC5220 S 6TH ST SUITE 1200SPRINGFIELD, IL 62703PHONE: (217) 545-6900E-PRESCRIBE: NO
THE CHILDRENS CENTER5220 S SIXTH STSPRINGFIELD, IL 62703PHONE: (217) 757-7700E-PRESCRIBE: NO
MEDINA, JUAN, MDGENDER: MNPI #: 1265485106PSYCHIATRIC ASSOCIATES OF CENTRAL ILLINOIS1124 S SIXTH STSPRINGFIELD, IL 62703PHONE: (217) 523-3143E-PRESCRIBE: NO
ODONNELL, PATRICK G., MDGENDER: MNPI #: 1336137330BALANCED CARE MENTAL HEALTH SERVICES1945 S SPRING STSPRINGFIELD, IL 62704PHONE: (217) 492-2000E-PRESCRIBE: NO
SALMAN, ANOOSH, MDGENDER: FNPI #: 1871793869SIU PHYSICIANS & SURGEONS INC5220 S 6TH ST RDSPRINGFIELD, IL 62703PHONE: (217) 545-6900E-PRESCRIBE: NO
SOLTYS, STEPHEN M., MDGENDER: MNPI #: 1194703694SIU PHYSICIANS & SURGEONS901 W JEFFERSONSPRINGFIELD, IL 62702PHONE: (217) 545-8229E-PRESCRIBE: NO
SIU PHYSICIANS & SURGEONS INC5220 S 6TH ST SUITE 1200SPRINGFIELD, IL 62703PHONE: (217) 545-6900E-PRESCRIBE: NO
PSYCHIATRY
ALEXANDER, RICHARD B., MD
GENDER: MNPI #: 1972632438VINE STREET CLINICAL ASSOCIATES LLC3225 HEDLEY RDSPRINGFIELD, IL 62791PHONE: (217) 726-7300E-PRESCRIBE: NO
ALLURI, VINOD N., MDGENDER: NPI #: 1548279870SIU PHYSICIANS & SURGEONS901 W JEFFERSONSPRINGFIELD, IL 62702PHONE: (217) 545-8229E-PRESCRIBE: NO
BENNETT, JEFFREY I., MDGENDER: MNPI #: 1265410898SIU PHYSICIANS & SURGEONS901 W JEFFERSONSPRINGFIELD, IL 62702PHONE: (217) 545-8229E-PRESCRIBE: NO
BENNETT, JEFFREY, MDGENDER: MNPI #: 1265410898MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS710 N 8THSPRINGFIELD, IL 62702PHONE: (217) 525-1064E-PRESCRIBE: NO
BLAND, RAYMOND S., MDGENDER: MNPI #: 1881653103MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS710 N EIGHTHSPRINGFIELD, IL 62702PHONE: E-PRESCRIBE: NO
BOHLEN, JOSEPH G., MDGENDER: MNPI #: 1619095643BOHLEN AND ASSOCIATES3001 SPRING MILL DR SUITE ASPRINGFIELD, IL 62704PHONE: (217) 546-3100E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Mental Health Care
461
BOTTUM, KATHLEEN M., MDGENDER: FNPI #: 1124003025SIU PHYSICIANS & SURGEONS751 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-0182E-PRESCRIBE: NO
BRISAN, RODICA S., MDGENDER: FNPI #: 1447265145VINE STREET CLINICAL ASSOCIATES LLC3225 HEDLEY RDSPRINGFIELD, IL 62791PHONE: (217) 726-7300E-PRESCRIBE: NO
BROQUET, KAREN, MDGENDER: FNPI #: 1750366654SIU PHYSICIANS & SURGEONS751 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-0182E-PRESCRIBE: NO
CAMPBELL, PAMELA A., MDGENDER: FNPI #: 1679517288SIU PHYSICIANS & SURGEONS5220 S 6TH ST SUITE 1200SPRINGFIELD, IL 62703PHONE: (217) 545-6900E-PRESCRIBE: NO
CHUNG, RICHARD D., MDGENDER: MNPI #: 1003195371SIU PHYSICIANS & SURGEONS INC901 W JEFFERSONSPRINGFIELD, IL 62702PHONE: (217) 545-8229E-PRESCRIBE: NO
COOK, RENEE, DOGENDER: FNPI #: 1598985517BOHLEN & ASSOCIATES SC3001 SPRING MILL DR SUITE ASPRINGFIELD, IL 62704PHONE: (217) 546-3100E-PRESCRIBE: NO
FOX, CATHERINE, MDGENDER: FNPI #: 1699874735CLOCKTOWER THERAPY CENTER2663 FARRAGUT DR SUITE ASPRINGFIELD, IL 62704PHONE: (217) 793-0680E-PRESCRIBE: NO
HARLAN LINK, RACHEL M., MD
GENDER: FNPI #: 1881852879KILLIAN AND ASSOCIATES SC1020 S FIFTH STSPRINGFIELD, IL 62703PHONE: (217) 544-3143E-PRESCRIBE: NO
HASANAT, KHONDAKAR A., MD
GENDER: MNPI #: 1902907116SIU PHYSICIANS & SURGEONS INC901 W JEFFERSONSPRINGFIELD, IL 62702PHONE: (217) 545-8229E-PRESCRIBE: NO
HUANG, HAOJIANG, MDGENDER: MNPI #: 1942325139SIU PHYSICIANS & SURGEONS901 W JEFFERSONSPRINGFIELD, IL 62702PHONE: (217) 545-8229E-PRESCRIBE: NO
KAKUMANI, SEETAL, MDGENDER: FNPI #: 1134334022SPRINGFIELD CLINIC1025 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 528-7541E-PRESCRIBE: NO
KILLIAN, TERRY M., MDGENDER: MNPI #: 1447248869KILLIAN & ASSOCIATES SC1020 S FIFTH STSPRINGFIELD, IL 62703PHONE: (217) 544-3143E-PRESCRIBE: NO
MACINTOSH, BETTE A., MDGENDER: FNPI #: 1215996483THE CHILDREN'S CENTER5220 S SIXTH STREET RD SUITE 2400SPRINGFIELD, IL 62712PHONE: (217) 757-7700E-PRESCRIBE: NO
MAHER III, CHAUNCEY, MDGENDER: MNPI #: 1023072295808 S 2ND STSPRINGFIELD, IL 62704PHONE: (217) 793-9593E-PRESCRIBE: NO
MEDINA, JUAN, MDGENDER: MNPI #: 1265485106PSYCHIATRIC ASSOCIATES OF CENTRAL ILLINOIS1124 S SIXTH STSPRINGFIELD, IL 62703PHONE: (217) 523-3143E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Mental Health Care
462
ODONNELL, PATRICK G., MDGENDER: MNPI #: 1336137330BALANCED CARE MENTAL HEALTH SERVICES1945 S SPRING STSPRINGFIELD, IL 62704PHONE: (217) 492-2000E-PRESCRIBE: NO
ONWUAMEZE, OBIORA E., MD
GENDER: MNPI #: 1386806453SIU PHYSICIANS & SURGEONS INC901 W JEFFERSONSPRINGFIELD, IL 62794PHONE: (217) 545-8229E-PRESCRIBE: YES
PARY, ROBERT, MDGENDER: MNPI #: 1528046166SIU PHYSICIANS & SURGEONS901 W JEFFERSONSPRINGFIELD, IL 62702PHONE: (217) 545-0182E-PRESCRIBE: NO
PUVALAI, KRIPAKARAN M., MD
GENDER: MNPI #: 1013053958PSYCHIATRIC ASSOCIATES OF CENTRAL ILLINOIS1124 S SIXTH STSPRINGFIELD, IL 62703PHONE: (217) 523-3143E-PRESCRIBE: NO
REDDY, DUTTALA OBUL, MDGENDER: MNPI #: 1881746501PSYCHIATRIC ASSOCIATES OF CENTRAL ILLINOIS1124 S SIXTH STSPRINGFIELD, IL 62703PHONE: (217) 523-3143E-PRESCRIBE: NO
RESCH, DAVID, MDGENDER: MNPI #: 1245216886SIU PHYSICIANS & SURGEONS751 N RUTLEDGESPRINGFIELD, IL 62702PHONE: (217) 545-0182E-PRESCRIBE: NO
SALMAN, ANOOSH, MDGENDER: MNPI #: 1871793869THE CHILDRENS CENTER5220 S SIXTH STREET RDSPRINGFIELD, IL 62712PHONE: (217) 757-7700E-PRESCRIBE: NO
SARMA, NARASIMHULU R., MD
GENDER: MNPI #: 1942312079SARMA BEHAVIORAL HEALTH923 S SIXTH STSPRINGFIELD, IL 62702PHONE: (217) 788-9999E-PRESCRIBE: NO
SARMA, SURESH, MDGENDER: MNPI #: 1548361801SARMA BEHAVIORAL HEALTH CLINIC923 S 6TH STSPRINGFIELD, IL 62703PHONE: (217) 788-9999E-PRESCRIBE: NO
SHAD, MUJEEB U., MDGENDER: NPI #: 1871519041SIU PHYSICIANS & SURGEONS INC901 W JEFFERSONSPRINGFIELD, IL 62702PHONE: (217) 545-8229E-PRESCRIBE: YES
SHEA, LAURA K., MDGENDER: FNPI #: 1326177809SIU PHYSICIANS & SURGEONS751 RUTLEDGE ST SUITE 1700SPRINGFIELD, IL 62702PHONE: (217) 545-0182E-PRESCRIBE: NO
SHRESTHA, SANTOSH, MDGENDER: MNPI #: 1942494018SIU CENTER FOR FAMILY MEDICINE520 N 4TH STSPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: NO
SIU PHYSICIANS & SURGEONS INC901 W JEFFERSONSPRINGFIELD, IL 62794PHONE: (217) 545-8229E-PRESCRIBE: NO
SMUCKER, JAYANTHI R., MDGENDER: FNPI #: 1972615029SARMA BEHAVIORAL HEALTH923 S SIXTH STSPRINGFIELD, IL 62703PHONE: (217) 788-9999E-PRESCRIBE: NO
SOLTYS, STEPHEN, MDGENDER: MNPI #: 1194703694THE CHILDREN'S CENTER5220 S SIXTH ST RD SUITE 2400SPRINGFIELD, IL 62712PHONE: (217) 757-7700E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Mental Health Care
463
STONECIPHER, ANDREA K., MD
GENDER: FNPI #: 1699886952FAMILY PSYCHIATRIC SERVICES7000 PIPER GLEN DRIVE SUITE BSPRINGFIELD, IL 62711PHONE: (217) 483-5800E-PRESCRIBE: NO
TABATABAI, FAREED, MDGENDER: MNPI #: 1649309113VINE STREET CLINICAL ASSOCIATES LLC3225 HEDLEY RDSPRINGFIELD, IL 62791PHONE: (217) 726-7300E-PRESCRIBE: NO
TAKAHASHI, AYAME, MDGENDER: FNPI #: 1447365440MEMORIAL COUNSELING ASSOCIATES901 N FIRST ST SUITE 225SPRINGFIELD, IL 62702PHONE: (217) 788-4065E-PRESCRIBE: NO
SIU PHYSICIANS & SURGEONS901 W JEFFERSONSPRINGFIELD, IL 62702PHONE: (217) 545-8229E-PRESCRIBE: NO
SIU PHYSICIANS & SURGEONS INC5220 S 6TH ST SUITE 1200SPRINGFIELD, IL 62703PHONE: (217) 545-6900E-PRESCRIBE: NO
THE CHILDRENS CENTER5220 S 6TH ST RDSPRINGFIELD, IL 62703PHONE: (217) 757-7700E-PRESCRIBE: NO
PSYCHOLOGY
APPLETON, HELEN, PHDGENDER: FNPI #: 1073557609SPRINGFIELD PSYCHOLOGICAL CENTER2325 W WHITE OAKS DR SUITE CSPRINGFIELD, IL 62704PHONE: (217) 793-3949E-PRESCRIBE: NO
AYLWARD, GLEN, PHDGENDER: MNPI #: 1649252495SIU PHYSICIANS & SURGEONS301 N 8TH STSPRINGFIELD, IL 62701PHONE: (217) 545-2618E-PRESCRIBE: NO
BUESCHER, KEITH L., PHDGENDER: MNPI #: 1841242450PSYCHOLOGICAL SERVICES OF CENTRAL ILLINOIS2921 GREENBRIAR DR SUITE B-1SPRINGFIELD, IL 62704PHONE: (217) 546-3118E-PRESCRIBE: NO
DIMOND, RICHARD E., PHDGENDER: MNPI #: 1548212145PSYCHOLOGICAL SERVICES OF CENTRAL ILLINOIS2921 GREENBRIAR DR SUITE B-1SPRINGFIELD, IL 62704PHONE: (217) 546-3118E-PRESCRIBE: NO
FRITZ, STEVEN L., PSYDGENDER: MNPI #: 1295723617KILLIAN & ASSOCIATES SC1020 S FIFTH STSPRINGFIELD, IL 62703PHONE: (217) 544-3143E-PRESCRIBE: NO
HARRIS, JOHN EWING, PHDGENDER: MNPI #: 1558359828KILLIAN & ASSOCIATES SC1020 S FIFTH STSPRINGFIELD, IL 62703PHONE: (217) 544-3143E-PRESCRIBE: NO
HEATHERTON, BRIAN, PHDGENDER: MNPI #: 1235152901PSYCHIATRIC ASSOCIATES OF CENTRAL ILLINOIS1124 S SIXTH STSPRINGFIELD, IL 62703PHONE: (217) 523-3143E-PRESCRIBE: NO
IVERSON BORDERS, SHELDA, PHD
GENDER: FNPI #: 1215205109SIU PHYSICIANS & SURGEONS INC315 W CARPENTER ST 3RD FLOORSPRINGFIELD, IL 62794PHONE: (217) 545-6000E-PRESCRIBE: YES
MEYER-COX, THERESE, PHDGENDER: FNPI #: 1881602043MEMORIAL MEDICAL CENTER701 N FIRST STSPRINGFIELD, IL 62781PHONE: (217) 788-4300E-PRESCRIBE: NO
SPRINGFIELD, ILSPRINGFIELD, IL
Mental Health Care
464
MOREDOCK, WILLIAM E., PHD
GENDER: MNPI #: 17201670261200 W WASHINGTON STSPRINGFIELD, IL 62702PHONE: (217) 787-1595E-PRESCRIBE: NO
MOUSSETTE, JOANNE G., PSYD
GENDER: FNPI #: 1750332037PSYCHOLOGICAL SERVICES OF CENTRAL ILLINOIS2921 GREENBRIAR DR SUITE B-1SPRINGFIELD, IL 62704PHONE: (217) 546-3118E-PRESCRIBE: NO
MYERS, JAMES E., PSYDGENDER: MNPI #: 1912006099CLOCKTOWER THERAPY2663 FARRAGUT DR SUITE ASPRINGFIELD, IL 62704PHONE: (217) 793-0680E-PRESCRIBE: NO
PAONI, MELISSA F., PHDGENDER: FNPI #: 1770521247SPRINGFIELD PSYCHOLOGICAL CENTER2325 W WHITE OAKS DR SUITE CSPRINGFIELD, IL 62704PHONE: (217) 793-3949E-PRESCRIBE: NO
PARADEE, CHRISTINE V., PHD
GENDER: FNPI #: 1568637874MEMORIAL MEDICAL CENTER501 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 757-7494E-PRESCRIBE: NO
TRIEGER, MICHAEL S., PSYDGENDER: MNPI #: 1982624623SPRINGFIELD PSYCHOLOGICAL CENTER2325 W WHITE OAKS DR SUITE CSPRINGFIELD, IL 62704PHONE: (217) 793-3949E-PRESCRIBE: NO
VICARI, SANDRA K., PHDGENDER: FNPI #: 1619955200SIMMONS CANCER INSTITUTE AT SIU315 W CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 545-8000E-PRESCRIBE: NO
SIU PHYSICIANS & SURGEONS901 W JEFFERSONSPRINGFIELD, IL 62702PHONE: (217) 545-8229E-PRESCRIBE: NO
SIU PHYSICIANS & SURGEONS INC5220 S 6TH ST SUITE 1200SPRINGFIELD, IL 62703PHONE: (217) 545-6900E-PRESCRIBE: NO
PSYCHIATRY
HADI, FATIMA M., MDGENDER: FNPI #: 1437222791CAFAL CLINIC FOR PSYCHIATRY & CONSULTATION SVCS100 ILLINOIS ST SUITE 200ST CHARLES, IL 60174PHONE: E-PRESCRIBE: NO
MENTAL HEALTH
CRASK, AIMEE J., LCPCGENDER: FNPI #: MOULTRIE COUNTY COUNSELING CENTER12 W HARRISONSULLIVAN, IL 61951PHONE: (217) 728-4358E-PRESCRIBE: NO
SHAIN, KATRINA, LCPCGENDER: FNPI #: MOULTRIE COUNTY COUNSELING CENTER12 W HARRISONSULLIVAN, IL 61951PHONE: (217) 728-4358E-PRESCRIBE: NO
PSYCHIATRY
PATIL, ROHI, MDGENDER: NPI #: 1871601989MOULTRIE COUNTY COUNSELING CENTER12 W HARRISONSULLIVAN, IL 61951PHONE: (217) 728-4358E-PRESCRIBE: NO
PSYCHOLOGY
SPRINGER, KATHRYN A., PSYD
GENDER: FNPI #: 1326151390MURPHY URBAN ASSOCIATES1 W JACKSON STSULLIVAN, IN 47882PHONE: (812) 268-4356E-PRESCRIBE: NO
ST CHARLES, IL
SULLIVAN, IL
SULLIVAN, IN
SPRINGFIELD, ILSULLIVAN, IN
Mental Health Care
465
WECK, VALERIE M., PHDGENDER: FNPI #: 1679862056PSYCHOLOGY SPECIALISTS2204 N SECTION ST SUITE BSULLIVAN, IN 47882PHONE: (888) 706-3190E-PRESCRIBE: NO
MENTAL HEALTH
WEISSER, KATHLEEN K., LCSW
GENDER: FNPI #: 1346328267LIFE JOURNEYS COUNSELING25228 HENDERSON RDSYCAMORE, IL 60178PHONE: (815) 899-1606E-PRESCRIBE: NO
MENTAL HEALTH
BRAUER, BARBARA A., LCSWGENDER: FNPI #: 1487728572CHRISTIAN COUNTY MENTAL HEALTH730 N PAWNEE STTAYLORVILLE, IL 62568PHONE: (217) 824-4905E-PRESCRIBE: NO
COLLODI, JOAN M., LCPCGENDER: FNPI #: 1376624502CHRISTIAN COUNTY MENTAL HEALTH730 N PAWNEE STTAYLORVILLE, IL 62568PHONE: (217) 824-4905E-PRESCRIBE: NO
HARMON, WENDY L., LCSWGENDER: FNPI #: 1932285194SPRINGFIELD CLINIC LLP600 N MAIN STTAYLORVILLE, IL 62568PHONE: (217) 287-8855E-PRESCRIBE: NO
HOEMANN, NANCY J., LCSWGENDER: FNPI #: CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION730 N PAWNEE STTAYLORVILLE, IL 62568PHONE: (217) 824-4905E-PRESCRIBE: NO
LAFFERTY, ROSE M., LCSWGENDER: FNPI #: 1538104708CHRISTIAN COUNTY MENTAL HEALTH730 N PAWNEE STTAYLORVILLE, IL 62568PHONE: (217) 824-4905E-PRESCRIBE: NO
LARSON, LINDAGENDER: FNPI #: 730 N PAWNEETAYLORVILLE, IL 62568PHONE: (217) 824-4905E-PRESCRIBE: NO
CHRISTIAN COUNTY MENTAL703 MCADAM DRTAYLORVILLE, IL 62568PHONE: (217) 824-9675E-PRESCRIBE: NO
MALONE, JEANNE L., LCPCGENDER: FNPI #: 1396924148CHRISTIAN COUNTY MENTAL HEALTH730 N PAWNEETAYLORVILLE, IL 62568PHONE: (217) 824-4905E-PRESCRIBE: NO
MURPHY, SCOTT A., LCPCGENDER: MNPI #: CHRISTIAN COUNTY MENTAL HEALTH730 N PAWNEE STTAYLORVILLE, IL 62568PHONE: (217) 824-4905E-PRESCRIBE: NO
PASO, SUE A., LCPCGENDER: FNPI #: 1841376001CHRISTIAN COUNTY MENTAL HEALTH730 N PAWNEE STTAYLORVILLE, IL 62568PHONE: (217) 824-4905E-PRESCRIBE: NO
TYLAR, TRACI J., LPCGENDER: FNPI #: 1053462952CHRISTIAN COUNTY MENTAL HEALTH730 N PAWNEE STTAYLORVILLE, IL 62568PHONE: (217) 824-4905E-PRESCRIBE: NO
PSYCHIATRY
KAVURI, CHOUDARY V., MDGENDER: MNPI #: 1770642159CHRISTIAN COUNTY MENTAL HEALTH730 N PAWNEE STTAYLORVILLE, IL 62568PHONE: (217) 824-4905E-PRESCRIBE: NO
SYCAMORE, IL
TAYLORVILLE, IL
SULLIVAN, INTAYLORVILLE, IL
Mental Health Care
466
REDDY, DUTTALA OBDUL, MD
GENDER: MNPI #: 1881746501CHRISTIAN COUNTY MENTAL HEALTH730 N PAWNEE STTAYLORVILLE, IL 62568PHONE: (217) 824-4905E-PRESCRIBE: NO
MENTAL HEALTH
BRANCH-DIRCKS, KELLIE E., LCSW
GENDER: FNPI #: 12555282042218 S TRIVOLI RDTRIVOLI, IL 61569PHONE: E-PRESCRIBE: NO
MENTAL HEALTH
GARBACZ, KATHERINE, LCSW
GENDER: FNPI #: 1447479969CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-4581E-PRESCRIBE: YES
GONZALEZ, CONSTANCE L., LCPC
GENDER: FNPI #: 1801973367CARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9580E-PRESCRIBE: YES
JOHNSON, CATHLEEN, LSWGENDER: FNPI #: 1629127352CARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9700E-PRESCRIBE: YES
MINGS, NANCY, LSWGENDER: FNPI #: 1508073578CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 326-1894E-PRESCRIBE: YES
PANKAU, NATALIE, LCSWGENDER: FNPI #: CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3119E-PRESCRIBE: YES
SMITH, LINDAGENDER: FNPI #: CARLE PHYSICIAN GROUP204 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 344-9238E-PRESCRIBE: YES
STARK, CONSTANCE M., LCPC
GENDER: FNPI #: 1700984333CARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9580E-PRESCRIBE: YES
SWEET, MICHELLE A., LCSWGENDER: FNPI #: 1942386529CARLE PHYSICIAN GROUP204 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 344-9238E-PRESCRIBE: YES
MENTAL HEALTH/SUBSTANCE ABUSE
MOBERG, KIRK, MDGENDER: MNPI #: 1235153677CARLE PHYSICIAN GROUP204 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 344-9238E-PRESCRIBE: YES
PRAIRIE CENTER HEALTH SYSTEMS
GENDER: NPI #: 1588794317718 KILLARNEYURBANA, IL 61801PHONE: E-PRESCRIBE: NO
PROVENA COVENANT MEDICAL CENTER- PSYCHIATRIC UNIT
GENDER: NPI #: 12755856631400 W PARK STURBANA, IL 61801PHONE: (217) 337-2130E-PRESCRIBE: NO
PSYCHIATRY
BHOSALE, NITIN, MDGENDER: NPI #: 1487732103CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3442E-PRESCRIBE: YES
TRIVOLI, IL
URBANA, IL
TAYLORVILLE, ILURBANA, IL
Mental Health Care
467
HILL, JOHN F., MDGENDER: MNPI #: 1174548234CARLE PHYSICIAN GROUP204 W UNIVERSITYURBANA, IL 61801PHONE: E-PRESCRIBE: YES
602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3442E-PRESCRIBE: YES
SU, FEITENG, MDGENDER: MNPI #: 1477572733PROVENA MEDICAL GROUP1400 W PARK ST 5TH FLURBANA, IL 61801PHONE: (217) 337-2130E-PRESCRIBE: NO
PSYCHOLOGY
BERNSTEIN, AVIS M., PHDGENDER: FNPI #: 1427083567CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3442E-PRESCRIBE: YES
KANE, KELLY A., PSYDGENDER: FNPI #: 1861742264CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61802PHONE: E-PRESCRIBE: YES
NEWMAN, CRYSTAL W., PHDGENDER: FNPI #: 1225314263CARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9580E-PRESCRIBE: YES
SPERRY, DEBORAH M., PHDGENDER: FNPI #: 1871770685CARLE PHYSICIAN GROUP1818 E WINDSOR RDURBANA, IL 61802PHONE: (217) 255-9580E-PRESCRIBE: YES
WARREN, PAMELA A., PHDGENDER: FNPI #: 1265534333CARLE PHYSICIAN GROUP602 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 383-3442E-PRESCRIBE: YES
MENTAL HEALTH
DUNN, LAUREN E., LISWGENDER: FNPI #: 1386897767LAUREN DUNN PLLC3641 KIMBALL AVEWATERLOO, IA 50702PHONE: (319) 214-0416E-PRESCRIBE: NO
MENTAL HEALTH
VARLESE, CLARA, LCPCGENDER: FNPI #: 1295086056ELLIOTT COUNSELING SERVICES LLC1820 N STERLING AVEWEST PEORIA, IL 61604PHONE: (309) 212-3606E-PRESCRIBE: NO
MENTAL HEALTH
CARPER, NANCY, LCPCGENDER: FNPI #: 1073593414ECKERT & ASSOCIATES128 E MAIN STWYANET, IL 61379PHONE: (309) 688-3050E-PRESCRIBE: NO
WATERLOO, IA
WEST PEORIA, IL
WYANET, IL
URBANA, ILWYANET, IL
The vast majority of medical conditions can be treated appropriately within the primary and/or secondary network. Health Alliance also contracts with tertiary care centers for in-network care of complex medical conditions. Because different centers specialize in and are contracted for different services, your doctor should contact Health Alliance to determine the most appropriate tertiary provider for your specific condition if the need arises. Coverage for tertiary care requires prior written authorization from Health Alliance, and coverage determination is based on clinical information about your specific condition.
Affiliated Hospitals/Ancillary Care Providers
468
ALEDO, IL
MERCER COUNTY HOSPITALNPI #: 1093715799409 NW NINTH AVEALEDO, IL 61231PHONE: (309) 582-5301
AURORA, IL
PROVENA REGIONAL CANCER CENTER
NPI #: 12654543911325 N HIGHLAND AVEAURORA, IL 60507PHONE: (630) 801-2657
BLOOMINGTON, IL
ADVOCATE BROMENN COMFORT & CARE SUITES
NPI #: 19624240362502 E EMPIRE SUITE DBLOOMINGTON, IL 61704PHONE: (309) 662-6120
OSF ST JOSEPH MEDICAL CENTER
NPI #: 16199168062200 E WASHINGTON STBLOOMINGTON, IL 61701PHONE: (309) 662-3311
BOURBONNAIS, IL
PROVENA ST MARYS TOTAL WELLNESS CENTER
NPI #: 177067826021 HERITAGE DRBOURBONNAIS, IL 60914PHONE: (815) 937-8204
CANTON, IL
GRAHAM HOSPITALNPI #: 1780692087210 W WALNUT STCANTON, IL 61520PHONE: (309) 647-5240
CARLINVILLE, IL
CARLINVILLE AREA HOSPITAL
NPI #: 105342512420733 N BROAD STCARLINVILLE, IL 62626PHONE: (217) 854-3141
CARPENTERSVILLE, IL
PROVENA CONVENIENT CARE CENTER
NPI #: 15988458282201 RANDALL RDCARPENTERSVILLE, IL 60110PHONE: (847) 844-7800
CLINTON, IL
DR JOHN WARNER HOSPITAL
NPI #: 1235211301422 W WHITE STCLINTON, IL 61727PHONE: (217) 935-9571
DANVILLE, IL
PROVENA UNITED SAMARITANS MEDICAL CENTER
NPI #: 1427000884812 N LOGAN AVEDANVILLE, IL 61832PHONE: (217) 443-5000
DECATUR, IL
DECATUR MEMORIAL HOSPITAL
NPI #: 15483579732300 N EDWARD STDECATUR, IL 62526PHONE: (217) 876-8121
ELGIN, IL
PROVENA OUTPATIENT REHABILITATION CENTER
NPI #: 159884582887 N AIRLITE STELGIN, IL 60123PHONE: (847) 695-5904
PROVENA ST JOSEPH HOSPITAL
NPI #: 159884582877 NORTH AIRLITE STELGIN, IL 60123PHONE: (847) 931-5534
EUREKA, IL
ADVOCATE EUREKA HOSPITAL
NPI #: 1184644023101 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-2371
FRANKFORT, IL
PROVENA MEDICAL SPECIALTY & PHYSICAL THERAPY CEN
NPI #: 1487715645222 COLORADO AVEFRANKFORT, IL 60423PHONE: (815) 464-8945
AFFILIATED HOSPITALS
AFFILIATED HOSPITALSAFFILIATED HOSPITALS
Affiliated Hospitals/Ancillary Care Providers
469
GALESBURG, IL
GALESBURG COTTAGE HOSPITAL
NPI #: 1447221312695 N KELLOGG STGALESBURG, IL 61401PHONE: (309) 343-8131
OSF ST MARY MEDICAL CENTER
NPI #: 11644853633333 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-3161
GIBSON CITY, IL
GIBSON AREA HOSPITALNPI #: 11149356811120 N MELVIN STGIBSON CITY, IL 60936PHONE: (217) 784-4251
HAVANA, IL
MASON DISTRICT HOSPITALNPI #: 1902849649615 N PROMENADE STHAVANA, IL 62644PHONE: (309) 543-4431
HILLSBORO, IL
HILLSBORO AREA HOSPITALNPI #: 11947052101200 E TREMONT STHILLSBORO, IL 62049PHONE: (217) 532-6111
HOOPESTON, IL
HOOPESTON COMMUNITY MEMORIAL HOSPITAL
NPI #: 1366480873701 E ORANGEHOOPESTON, IL 60942PHONE: (217) 283-5531
HOPEDALE, IL
HOPEDALE MEDICAL FOUNDATION
NPI #: 1174569438107 TREMONT STHOPEDALE, IL 61747PHONE: (309) 449-3321
JACKSONVILLE, IL
PASSAVANT AREA HOSPITAL
NPI #: 11745808311600 W WALNUT STJACKSONVILLE, IL 62650PHONE: (217) 245-9541
JOLIET, IL
PROVENA GLENWOOD MEDICAL IMAGING
NPI #: 14877156452000 GLENWOOD AVE SUITE 102JOLIET, IL 60435PHONE: (815) 741-7555
PROVENA PHYSICAL REHAB & SPORTS INJURY CENTER
NPI #: 14877156452400 GLENWOOD AVEJOLIET, IL 60435PHONE: (815) 741-7114
PROVENA PHYSICAL THERAPY PROVENA INWOOD ATHLETI
NPI #: 14877156453000 W JEFFERSON STJOLIET, IL 60435PHONE: (815) 741-7263
PROVENA PHYSICAL THERAPY-CAMPUS FITNESS CENTER
NPI #: 14877156452701 BLACK RDJOLIET, IL 60435PHONE: (815) 730-6771
PROVENA REGIONAL CANCER CENTER
NPI #: 12654543912614 W JEFFERSON STJOLIET, IL 60435PHONE:
PROVENA ST JOSEPH MEDICAL CENTER
NPI #: 1487715645333 N MADISONJOLIET, IL 60435PHONE: (815) 725-7133
KANKAKEE, IL
PROVENA ST MARYS HOSPITAL
NPI #: 1770678260500 WEST COURT STKANKAKEE, IL 60901PHONE: (815) 928-6400
RIVERSIDE MEDICAL CENTER
NPI #: 1538208210350 N WALL STKANKAKEE, IL 60901PHONE: (815) 935-7539
LINCOLN, IL
ABRAHAM LINCOLN MEMORIAL CHILDRENS HOSPITAL
NPI #: 1003941105200 STAHLHUT DRLINCOLN, IL 62656PHONE: (217) 732-2161
ABRAHAM LINCOLN MEMORIAL HOSPITAL
NPI #: 1154329753200 STAHLHUT DRLINCOLN, IL 62656PHONE: (217) 732-2161
AFFILIATED HOSPITALSAFFILIATED HOSPITALS
Affiliated Hospitals/Ancillary Care Providers
470
ABRAHAM LINCOLN MEMORIAL HOSPITAL SWING BED
NPI #: 1255304721200 STAHLHUT DRLINCOLN, IL 62656PHONE: (217) 735-3526
MACOMB, IL
MCDONOUGH DISTRICT HOSPITAL
NPI #: 1669420766525 E GRANT STMACOMB, IL 61455PHONE: (309) 833-4101
MATTOON, IL
SARAH BUSH LINCOLN HEALTH CENTER
NPI #: 16695646621000 HEALTH CENTER DRMATTOON, IL 61938PHONE: (217) 258-2500
MONMOUTH, IL
OSF HOLY FAMILY MEDICAL CENTER
NPI #: 15483931841000 W HARLEM AVEMONMOUTH, IL 61462PHONE: (309) 734-3141
MONTICELLO, IL
KIRBY MEDICAL CENTERNPI #: 17301798471000 MEDICAL CENTER DRMONTICELLO, IL 61856PHONE: (217) 762-2115
NEW LENOX, IL
PROVENA PHYSICAL THERAPY SERVICES-NEW LENOX
NPI #: 14877156451812 LINCOLN HWYNEW LENOX, IL 60451PHONE: (815) 485-8495
NORMAL, IL
ADVOCATE BROMENN MEDICAL CENTER
NPI #: 19624240361304 FRANKLIN AVENORMAL, IL 61761PHONE: (309) 454-1400
PARIS, IL
PARIS COMMUNITY HOSPITAL
NPI #: 1679502322721 E COURT STPARIS, IL 61944PHONE: (217) 465-4141
PEKIN, IL
PEKIN HOSPITALNPI #: 1245227479600 S 13TH STPEKIN, IL 61554PHONE: (309) 347-1151
PEORIA, IL
OSF ST FRANCIS MED CTR & CHILDREN'S HOSPITAL OF IL
NPI #: 1043260482530 NE GLEN OAK AVEPEORIA, IL 61637PHONE: (309) 655-2000
PROCTOR HOSPITALNPI #: 10331168765409 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-1000
PITTSFIELD, IL
ILLINI COMMUNITY HOSPITAL
NPI #: 1720086218640 W WASHINGTONPITTSFIELD, IL 62363PHONE: (217) 285-2113
PLAINFIELD, IL
PROVENA PHYSICAL THERAPY-PLAINFIELD
NPI #: 14877156457000 CATON FARM RDPLAINFIELD, IL 60586PHONE: (815) 436-8683
PONTIAC, IL
OSF SAINT JAMES HOSPITALNPI #: 14078080902500 W REYNOLDS STPONTIAC, IL 61764PHONE: (309) 665-5937
QUINCY, IL
BLESSING HOSPITALNPI #: 1760571699BROADWAY AT 11TH STQUINCY, IL 62301PHONE: (217) 214-5808
ROCKFORD, IL
OSF SAINT ANTHONY MEDICAL CENTER
NPI #: 17907399775666 E STATE STROCKFORD, IL 61108PHONE: (815) 226-2000
ROMEOVILLE, IL
PROVENA PHYSICAL THERAPY SERVICES-ROMEOVILLE
NPI #: 14877156451280 WINDHAM PKWYROMEOVILLE, IL 60441PHONE: (815) 378-1357
RUSHVILLE, IL
SARAH D CULBERTSON MEMORIAL
NPI #: 1013969112238 S CONGRESSRUSHVILLE, IL 62681PHONE: (217) 322-4321
AFFILIATED HOSPITALSAFFILIATED HOSPITALS
Affiliated Hospitals/Ancillary Care Providers
471
SHOREWOOD, IL
PROVENA PHYSICAL THERAPY AND INDUSTRIAL REHAB CE
NPI #: 1487715645825 SHARP DRSHOREWOOD, IL 60431PHONE: (815) 741-7416
SPRING VALLEY, IL
ST MARGARETS HOSPITALNPI #: 1861494072600 E FIRST STSPRING VALLEY, IL 61362PHONE: (815) 664-5311
SPRINGFIELD, IL
MEMORIAL MEDICAL CENTER
NPI #: 1255317590701 N FIRST STSPRINGFIELD, IL 62781PHONE: (217) 788-3000
ST JOHNS HOSPITALNPI #: 1205818481800 E CARPENTERSPRINGFIELD, IL 62769PHONE: (217) 525-5615
TAYLORVILLE, IL
TAYLORVILLE MEMORIAL HOSPITAL
NPI #: 1144292020201 E PLEASANT STTAYLORVILLE, IL 62568PHONE: (217) 824-3331
TAYLORVILLE MEMORIAL HOSPITAL SWING BED
NPI #: 1275506636201 E PLEASANT STTAYLORVILLE, IL 62568PHONE: (217) 824-3331
URBANA, IL
CARLE FOUNDATION HOSPITAL
NPI #: 1013071653611 W PARK STURBANA, IL 61801PHONE: (217) 326-2900
PROVENA COVENANT MEDICAL CENTER
NPI #: 16290200861400 W PARK STURBANA, IL 61801PHONE: (217) 337-2000
CHAMPAIGN, IL
ARROW MEDICAL SERVICESNPI #: 1659685964210 A E UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 356-3429
SPRINGFIELD, IL
AMERICA AMBULANCE SERVICE INC
NPI #: 16190565382711 W WASHINGTON STSPRINGFIELD, IL 62702PHONE: (217) 523-3636
TAYLORVILLE, IL
SUTTON AMBULANCE SERVICE
NPI #: 1437199189327 N CLAY AVETAYLORVILLE, IL 62568PHONE: (217) 824-2275
BLOOMINGTON, IL
BLOOMINGTON EYE INSTITUTE
NPI #: 13462054811008 N CENTER STBLOOMINGTON, IL 61701PHONE: (309) 827-2020
CENTER FOR OUTPATIENT MEDICINE
NPI #: 16795036922502B E EMPIRE STBLOOMINGTON, IL 61704PHONE: (309) 662-6120
EASTLAND MEDICAL PLAZA SURGICENTER
NPI #: 16997512891505 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-1997
IRELAND GROVE CENTER FOR SURGE
NPI #: 17505674423801 IRELAND GROVE RDBLOOMINGTON, IL 61704PHONE: (309) 664-0101
BOURBONNAIS, IL
RIVERSIDE AMBULATORY SURGERY
NPI #: 1851407373300 RIVERSIDE DRIVE SUITE 1100BOURBONNAIS, IL 60914PHONE: (815) 802-1370
CHAMPAIGN, IL
CHAMPAIGN SURGICENTER LLC
NPI #: 13564007821702 S MATTIS AVECHAMPAIGN, IL 61821PHONE: (217) 326-2030
AMBULANCE
AMBULATORY SURGERY CENTER
AFFILIATED HOSPITALSAMBULATORY SURGERY CENTER
Affiliated Hospitals/Ancillary Care Providers
472
CHRISTIE CLINICNPI #: 101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200
DANVILLE, IL
CARLE SURGICENTER - DANVILLE
NPI #: 12251945332300 N VERMILIONDANVILLE, IL 61832PHONE: (217) 444-5800
DANVILLE POLYCLINIC ASTCNPI #: 1538101373707 N LOGAN AVEDANVILLE, IL 61832PHONE:
DAVENPORT, IA
SPRING PARK SURGERY CENTER
NPI #: 10735167953319 SPRING ST SUITE 202ADAVENPORT, IA 52807PHONE: (563) 355-6236
DECATUR, IL
DECATUR DIGESTIVE DISEASE CTR
NPI #: 11341855642 MEMORIAL DR SUITE 102DECATUR, IL 62526PHONE: (217) 233-0003
DECATUR HEALTHCARE LLCNPI #: 12351079391770 EAST LAKESHORE DRDECATUR, IL 62521PHONE: (217) 424-1021
MARION, IL
PAIN CARE SURGERYNPI #: 1184690570108 AIRWAY DRMARION, IL 62959PHONE: (618) 997-7820
NORMAL, IL
BLOOMINGTON NORMAL HEALTHCARE
NPI #: 10836133272100 FT JESSE RDNORMAL, IL 61761PHONE: (309) 834-4000
GASTROINTESTINAL INSTITUTE LLC
NPI #: 11746707232200 JACOBSSEN DR SUITE ANORMAL, IL 61761PHONE: (309) 451-1121
PEORIA, IL
CENTER FOR HEALTH AMBULATORY SURGERY CENTER
NPI #: 18211412848800 N STATE ROUTE 91PEORIA, IL 61605PHONE: (309) 683-4706
QUINCY, IL
SURGERY CENTER OF QUINCY
NPI #: 17605716991118 HAMPSHIREQUINCY, IL 62301PHONE: (217) 222-6550
SPRINGFIELD, IL
AMBULATORY SURGERY CENTER SPRINGFIELD CLINIC
NPI #: 19927522241025 S 7TH STSPRINGFIELD, IL 62703PHONE: (217) 525-7620
ORTHOPAEDIC SURGERY CENTER
NPI #: 17604572043136 OLD JACKSONVILLE RDSPRINGFIELD, IL 62704PHONE: (217) 862-0624
CHAMPAIGN, IL
CHRISTIE CLINIC HEARING AID SERVICE
NPI #: 101 W UNIVERSITY AVECHAMPAIGN, IL 61820PHONE: (217) 366-1200
DAVENPORT, IA
AUDIOLOGY CONSULTANTSNPI #: 19826249872215 E 52ND ST SUITE 2DAVENPORT, IA 52807PHONE: (563) 355-7712
GALESBURG, IL
AUDIOLOGY CONSULTANTSNPI #: 1982624987765 N KELLOGG #207GALESBURG, IL 61401PHONE: (309) 342-7117
OSF ST MARY MEDICAL CENTER
NPI #: 11644853633333 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-3161
GENESEO, IL
AUDIOLOGY CONSULTANTSNPI #: 1982624987210 W ELK STGENESEO, IL 61254PHONE: (309) 944-6431
MATTOON, IL
SARAH BUSH LINCOLN HEALTH CENTER
NPI #: 16695646621000 HEALTH CENTER DRMATTOON, IL 61938PHONE: (217) 258-2500
AUDIOLOGY
AMBULATORY SURGERY CENTERAUDIOLOGY
Affiliated Hospitals/Ancillary Care Providers
473
MILAN, IL
AUDIOLOGY CONSULTANTSNPI #: 19826249871931 10TH AVE EASTMILAN, IL 61264PHONE: (309) 283-5902
MUSCATINE, IA
AUDIOLOGY CONSULTANTSNPI #: 19826249871616 CEDAR STMUSCATINE, IA 52761PHONE: (563) 264-9406
NORMAL, IL
OSF ST JOSEPH MEDICAL CENTER
NPI #: 16199168062200 FT JESSE ROAD SUITE 230NORMAL, IL 61761PHONE: (309) 661-6260
PEORIA, IL
OSF SAINT FRANCIS MEDICAL CENTER
NPI #: 1043260482530 NE GLEN OAK AVEPEORIA, IL 61637PHONE: (309) 655-2000
OSF SAINT FRANCIS RANDOLPH BUILDING - OUTPT CENTER
NPI #: 1043260482100 NE RANDOLPHPEORIA, IL 61606PHONE: (309) 655-6961
BLOOMINGTON, IL
OSF ST JOSEPH MEDICAL CENTER - MEDICAL IMAGING
NPI #: 16199168061701 E COLLEGE AVEBLOOMINGTON, IL 61701PHONE: (309) 664-3000
2200 E WASHINGTON STBLOOMINGTON, IL 61701PHONE: (309) 661-5160
GALESBURG, IL
OSF ST MARY MEDICAL CENTER
NPI #: 11644853633333 SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-3161
LOVES PARK, IL
OSF CENTER FOR HEALTH-ROCK CUT CROSSING OUTPT CTR
NPI #: 17907399779951 ROCK CUT CROSSINGLOVES PARK, IL 61111PHONE: (815) 639-8500
PEORIA, IL
OSF CENTER FOR HEALTH - GLEN PARK
NPI #: 10432604825114 N GLEN PARK PLACEPEORIA, IL 61614PHONE: (309) 683-6600
OSF CENTER FOR HEALTH - ROUTE 91
NPI #: 10432604828800 N ROUTE 91PEORIA, IL 61615PHONE: (309) 683-5000
OSF SAINT FRANCIS MEDICAL CENTER
NPI #: 1043260482530 NE GLEN OAK AVEPEORIA, IL 61637PHONE: (309) 655-2000
BLOOMINGTON, IL
CENTRAL ILLINOIS NEURORADIOLOG
NPI #: 18816413711709 JUMER DRIVE SUITE BBLOOMINGTON, IL 61704PHONE: (309) 268-3444
ATLANTIC, IA
ATLANTIC DIALYSISNPI #: 15088332521500 E 10TH STATLANTIC, IA 50022-1935PHONE: (712) 243-7485
BELLEVUE, NE
DIALYSIS CLINIC INC BELLEVUE
NPI #: 18614253404112 TWIN CREEK DRBELLEVUE, NE 68123PHONE: (402) 934-9560
SUITE 107NPI #: 1154383529505 CORNHUSKER RDBELLEVUE, NE 68005-7911PHONE: (402) 292-2813
CT SCANNING
DIAGNOSTIC RADIOLOGY
DIALYSIS CENTERS
AUDIOLOGYDIALYSIS CENTERS
Affiliated Hospitals/Ancillary Care Providers
474
BLOOMINGTON, IL
RCG CENTRAL ILLINOIS-BLOOMINGTON
NPI #: 14675683941505 EASTLAND MEDICAL PLAZABLOOMINGTON, IL 61701PHONE: (309) 663-7165
RCG CENTRAL ILLINOIS-BLOOMINGTON CAPD
NPI #: 19726187261404 EASTLAND DR SUITE 103BLOOMINGTON, IL 61701PHONE: (309) 664-2284
BOLINGBROOK, IL
FRESENIUS MEDICAL CARE BOLINGBROOK
NPI #: 1588779326329 REMINGTON BLVD SUITE 110BOLINGBROOK, IL 60440-5894PHONE: (630) 759-1395
CANTON, IL
RCG CENTRAL ILLINOIS-CANTON
NPI #: 1891800645210 W WALNUTCANTON, IL 61520PHONE: (309) 647-0731
CEDAR RAPIDS, IA
CEDAR RAPIDS DIALYSISNPI #: 17405694585945 COUNCIL ST NECEDAR RAPIDS, IA 52402-5858PHONE: (319) 294-7088
CHAMPAIGN, IL
ILLINI RENAL DIALYSISNPI #: 1275502437507 E UNIVERSITYCHAMPAIGN, IL 61820PHONE: (217) 378-7800
CHARLESTON, IL
MATTOON DIALYSISNPI #: 11947944876051 DEVELOPMENT DRCHARLESTON, IL 61920-9467PHONE: (217) 345-2550
CHESTER, IL
FRESENIUS MEDICAL CARE RANDOLPH COUNTY
NPI #: 1265547004102 MEMORIAL DRIVECHESTER, IL 62233PHONE: (618) 826-4411
COUNCIL BLUFFS, IA
COUNCIL BLUFFS DIALYSIS CENTER
NPI #: 1811171440300 W BROADWAY SUITE 150COUNCIL BLUFFS, IA 51503-9077PHONE: (712) 388-0261
CRESTON, IA
CRESTON DIALYSISNPI #: 10230857761700 W TOWNLINE STCRESTON, IA 50801-1054PHONE: (641) 782-5202
DANVILLE, IL
DANVILLE DIALYSIS SERVICES LLC
NPI #: 1205826435910 W CLAY STDANVILLE, IL 61832PHONE: (217) 446-1111
DANVILLE HOME TRAININGNPI #: 11445045493 POLAND RDDANVILLE, IL 61834-7463PHONE: (217) 446-0583
DAVENPORT, IA
GREEN COUNTRY DIALYSISNPI #: 18819756625250 UTICA RIDGE RDDAVENPORT, IA 52807-3872PHONE: (563) 355-7913
DECATUR, IL
DECATUR EAST WOOD DIALYSIS
NPI #: 1336100734794 E WOOD STDECATUR, IL 62523PHONE: (217) 425-6403
MACON COUNTY DIALYSISNPI #: 19725628901090 W MCKINLEYDECATUR, IL 62526PHONE: (217) 877-9351
RCG CENTRAL ILLINOIS-DECATUR
NPI #: 19827197381830 S 44TH STDECATUR, IL 62521PHONE: (217) 423-6760
302 W HAY ST SUITE 207DECATUR, IL 62526-4167PHONE: (217) 876-8663
DES MOINES, IA
CENTRAL DES MOINES DIALYSIS
NPI #: 16098443801215 PLEASANT ST SUITE 106DES MOINES, IA 50309-1409PHONE: (515) 241-5715
DIALYSIS CENTERSDIALYSIS CENTERS
Affiliated Hospitals/Ancillary Care Providers
475
EAST DES MOINES DIALYSISNPI #: 19220756701301 PENNSYLVANIA AVE SUITE 208DES MOINES, IA 50316-2365PHONE: (515) 262-5995
RIVERPOINT DIALYSIS UNITNPI #: 1730156480501 SW 7TH ST SUITE BDES MOINES, IA 50309-4538PHONE: (515) 283-1300
EAST PEORIA, IL
RCG CENTRAL ILLINOIS-EAST PEORIA
NPI #: 10837298343300 N MAIN STEAST PEORIA, IL 61611PHONE: (309) 698-8300
ELGIN, IL
FRESENIUS MEDICAL CARE ELGIN
NPI #: 15586186782130 POINT BLVDELGIN, IL 60123-9215PHONE: (847) 428-3605
FREEPORT, IL
DRIFTWOOD DIALYSISNPI #: 12253000561808 S WEST AVENUEFREEPORT, IL 61032-6712PHONE: (815) 232-0295
GALESBURG, IL
FRESENIUS MEDICAL CARE GALESBURG
NPI #: 1346586278765 N KELLOGG STGALESBURG, IL 61401-2875PHONE: (309) 345-4580
GRAND ISLAND, NE
GRAND ISLAND DIALYSISNPI #: 1487616819203 E STOLLEY PARK RD SUITE GGRAND ISLAND, NE 68801-8256PHONE: (308) 384-4067
HARLAN, IA
HARLAN DIALYSISNPI #: 10038837521213 GARFIELD AVEHARLAN, IA 51537-2057PHONE: (712) 755-4217
HASTINGS, NE
HASTINGS DIALYSIS CENTER
NPI #: 11341815631900 N SAINT JOSEPH AVEHASTINGS, NE 68901-2652PHONE: (402) 463-4893
INDEPENDENCE, IA
BUCHANAN COUNTY DIALYSIS
NPI #: 14778771081600 1ST ST EINDEPENDENCE, IA 50644PHONE: (319) 334-7437
IOWA FALLS, IA
IOWA FALLS MARY GREELEY DIALYSIS
NPI #: 1275823098701 WASHINGTON AVEIOWA FALLS, IA 50126-2100PHONE: (641) 648-5241
JOLIET, IL
FRESENIUS MEDICAL CARE JOLIET
NPI #: 1124388624721 E JACKSON STJOLIET, IL 60432PHONE: (815) 726-8619
FRESENIUS MEDICAL CARE JOLIET HOME DIALYSIS NETWOR
NPI #: 175069629095 129TH INFANTRY DRJOLIET, IL 60435-5134PHONE: (815) 741-6830
KEWANEE, IL
FRESENIUS MEDICAL CARE KEWANEE
NPI #: 1255446001230 W SOUTH STKEWANEE, IL 61443-3661PHONE: (309) 854-0917
LINCOLN, NE
CAPITAL CITY DIALYSISNPI #: 1437111853307 N 46TH STLINCOLN, NE 68503-3714PHONE: (402) 466-5123
SOUTH LINCOLN DIALYSISNPI #: 13968389913401 PLANTATION DR SUITE 140LINCOLN, NE 68516-4712PHONE: (402) 421-6011
LOCKPORT, IL
LOCKPORT HOME DIALYSISNPI #: 199299489116626 W 159TH ST SUITE 703LOCKPORT, IL 60441PHONE: (815) 838-2919
MACOMB, IL
FRESENIUS MEDICAL CARE MACOMB
NPI #: 1639320195523 E GRANT STMACOMB, IL 61455-3313PHONE: (309) 836-1662
DIALYSIS CENTERSDIALYSIS CENTERS
Affiliated Hospitals/Ancillary Care Providers
476
MARION, IL
FMC WILLIAMSON COUNTY DIALYSIS
NPI #: 1508971342900 SKYLINE DR SUITE 200MARION, IL 62959PHONE: (618) 993-1625
MARSHALLTOWN, IA
MARSHALLTOWN MARY GREELEY DIALYSIS
NPI #: 10233088483120 S 2ND STMARSHALLTOWN, IA 50158-4614PHONE: (641) 752-1819
MCCOOK, NE
MCCOOK DIALYSIS CENTERNPI #: 1730141177801 W C ST SUITE 4MCCOOK, NE 69001-3592PHONE: (308) 345-1916
MOKENA, IL
FRESENIUS MEDICAL CARE MOKENA
NPI #: 19424961208910 W 192ND STMOKENA, IL 60448PHONE: (708) 478-1815
NEWTON, IA
RTC IL NEWTON DIALYSISNPI #: 1811964240204 N 4TH AVE E SUITE 134NEWTON, IA 50208-3135PHONE: (641) 792-2600
OMAHA, NE
DIALYSIS CLINIC INC OMAHANPI #: 13664757413316 DODGE STREETOMAHA, NE 68164PHONE: (402) 342-0190
DIALYSIS CLINIC INC WEST OMAHA
NPI #: 16098090863015 N 118TH STREETOMAHA, NE 68164PHONE: (402) 493-9331
OMAHA CENTRAL DIALYSISNPI #: 1891757233144 S 40TH STOMAHA, NE 68131-3004PHONE: (402) 558-0818
OMAHA HARRISON DIALYSISNPI #: 17607669846610 S 168TH ST SUITE 8OMAHA, NE 68135-5412PHONE: (402) 896-4609
OMAHA NORTH DIALYSISNPI #: 16997370496572 AMES AVEOMAHA, NE 68104-1931PHONE: (402) 453-0477
OMAHA WEST DIALYSISNPI #: 190286836713014 W DODGE RDOMAHA, NE 68154-2148PHONE: (402) 445-8950
ONAWA, IA
DIALYSIS CLINIC INC ONAWA
NPI #: 17806172661620 DIAMOND STREET PLACEONAWA, IA 51040PHONE: (712) 433-9720
OSWEGO, IL
FRESENIUS MEDICAL CARE OSWEGO
NPI #: 16796613421051 STATION DROSWEGO, IL 60543-5008PHONE: (630) 554-4783
PEKIN, IL
RCG CENTRAL ILLINOIS-PEKIN
NPI #: 1528173374600 S 13TH ST 3RD FLRPEKIN, IL 61554PHONE: (309) 353-7629
PEORIA, IL
RCG CENTRAL ILLINOIS-PEORIA DOWNTOWN
NPI #: 1437264280410 R B GARRETT AVEPEORIA, IL 61605PHONE: (309) 637-4100
RCG CENTRAL ILLINOIS-PEORIA NORTH
NPI #: 124534509910405 N JULIET CTPEORIA, IL 61615PHONE: (309) 243-2200
PLAINFIELD, IL
FRESENIUS MEDICAL CARE PLAINFIELD
NPI #: 10131589892320 MICHAS DRPLAINFIELD, IL 60586-5045PHONE: (815) 230-2267
PONTIAC, IL
RCG CENTRAL ILLINOIS-PONTIAC
NPI #: 1518072362804 W MADISON STPONTIAC, IL 61764PHONE: (815) 844-4340
RUSHVILLE, IL
RUSHVILLE DIALYSISNPI #: 1205805488112 SULLIVAN DRRUSHVILLE, IL 62681PHONE: (217) 322-2652
DIALYSIS CENTERSDIALYSIS CENTERS
Affiliated Hospitals/Ancillary Care Providers
477
SCOTTSBLUFF, NE
SCOTTSBLUFF DIALYSIS CENTER
NPI #: 18210502953812 AVENUE BSCOTTSBLUFF, NE 69361-4780PHONE: (308) 630-0811
SHENANDOAH, IA
SHENANDOAH DIALYSISNPI #: 1902873656300 PERSHING AVESHENANDOAH, IA 51601-2355PHONE: (712) 246-5220
SPRING VALLEY, IL
RCG CENTRAL ILLINOIS-SPRING VALLEY
NPI #: 126554819212 WOLFER INDUSTRIAL DRSPRING VALLEY, IL 61362PHONE: (815) 664-4585
SPRINGFIELD, IL
CENTRAL ILLINOIS KIDNEY & DIALYSIS ASSOCIATES SC
NPI #: 15987889943401 CONIFER DRSPRINGFIELD, IL 62711PHONE: (217) 726-0967
MEMORIAL MEDICAL CENTER RENAL
NPI #: 1568439198701 N FIRST STSPRINGFIELD, IL 62781PHONE: (217) 788-3000
RAI CENTRE WEST SPRINGFIELD
NPI #: 14372440271112 CENTRE WEST DRSPRINGFIELD, IL 62704PHONE: (217) 787-3310
SPRINGFIELD SOUTH DIALYSIS
NPI #: 16596540102930 S 6TH STSPRINGFIELD, IL 62703-5944PHONE: (615) 341-6657
WATERLOO, IA
BLACK HAWK DIALYSISNPI #: 11848682673421 W 9TH STWATERLOO, IA 50702-5401PHONE: (319) 272-8700
CEDAR VALLEY DIALYSISNPI #: 11545664791661 W RIDGEWAY AVEWATERLOO, IA 50701-4541PHONE: (319) 226-6425
WAVERLY, IA
CEDAR VALLEY WAVERLY DIALYSIS
NPI #: 1558505636220 10TH ST SWWAVERLY, IA 50677-2930PHONE: (319) 352-8019
WEST DES MOINES, IA
WEST DES MOINES DIALYSISNPI #: 12755006056800 LAKE DR SUITE 185WEST DES MOINES, IA 50266-2544PHONE: (515) 221-2944
WEST UNION, IA
WEST UNION DIALYSISNPI #: 1356586655405 HIGHWAY 150 NWEST UNION, IA 52175-1003PHONE: (563) 422-5734
AMES, IA
APRIA HEALTHCARE-AMESNPI #: 126 S 3RD STAMES, IA 50010PHONE: (515) 233-0044
BLOOMINGTON, IL
APRIA HEALTHCARE-BLOOMINGTON
NPI #: 1295770550#3 QUEST DR SUITE 201BLOOMINGTON, IL 61704PHONE: (309) 820-9701
CANTON, IL
GRAHAM HOME MEDICAL EQUIPMENT
NPI #: 1114938859101 S MAIN STCANTON, IL 61520PHONE: (309) 647-7207
CARROLL, IA
APRIA HEALTHCARE-AMESNPI #: 609 N COURT STCARROLL, IA 51401PHONE: (712) 792-6022
CHAMPAIGN, IL
APRIA HEALTHCARENPI #: 10038529632020 GLEN PARK DRCHAMPAIGN, IL 61821PHONE: (217) 352-7483
HUEYS HOME MEDICAL INCNPI #: 10333984822003 ROUND BARN RDCHAMPAIGN, IL 61821PHONE: (217) 356-4839
DURABLE MEDICAL AND PROSTHETIC EQUIPMENT
DIALYSIS CENTERSDURABLE MEDICAL AND PROSTHETIC
Affiliated Hospitals/Ancillary Care Providers
478
DANVILLE, IL
CARLE MEDICAL SUPPLYNPI #: 1831156124311 W FAIRCHILD STDANVILLE, IL 61832PHONE: (217) 477-0227
ILLIANA MEDICAL EQUIPMENT
NPI #: 1245234970912 N VERMILIONDANVILLE, IL 61832PHONE: (217) 442-0121
POLYCLINIC MEDICAL EQUIPMENT
NPI #: 1275503294622 N LOGAN AVEDANVILLE, IL 61832PHONE: (217) 477-5712
DECATUR, IL
APRIA HEALTHCARE-SPRINGFIELD
NPI #: 11149057673453 RUPP PARKWAYDECATUR, IL 62522PHONE: (217) 876-8940
DECATUR MEMORIAL HOSPITAL DME
NPI #: 1114054814304 W HAY ST SUITE 211DECATUR, IL 62526PHONE: (217) 876-4090
3122 BRETTWOODDECATUR, IL 62526PHONE: (217) 876-4040
DMH DURABLE MEDICAL EQUIPMENT
NPI #: 1437246865102 W KENWOODDECATUR, IL 62526PHONE: (217) 875-4047
HECKMAN HEALTH CARE SERVICES A
NPI #: 18119865731969 N MAIN STDECATUR, IL 62526PHONE: (217) 877-0346
DES MOINES, IA
APRIA HEALTHCARE-AMESNPI #: 11224 AURORA AVENUEDES MOINES, IA 50322PHONE:
FIFE, WA
APRIA HEALTHCARE INC FIFE WA
NPI #: 15886747825102 20TH ST E SUITE #103FIFE, WA 98424-1996PHONE: (253) 922-3200
INDIANAPOLIS, IN
APRIA HEALTHCARENPI #: 15382736517353 COMPANY DRINDIANAPOLIS, IN 46237PHONE: (317) 865-4200
JACKSONVILLE, IL
APRIA HEALTHCARENPI #: 1132 VETERANS DRJACKSONVILLE, IL 62650PHONE: (217) 243-5851
PASSAVANT HOME CARE/DMEQ
NPI #: 1861465320306 N WESTGATE AVEJACKSONVILLE, IL 62650PHONE: (217) 245-8365
JOLIET, IL
APRIA HEALTHCARE-NAPERVILLE
NPI #: 18211056852302 OAK LEAF ST SUITE BJOLIET, IL 60436PHONE: (815) 741-0494
LITCHFIELD, IL
VONO MEDICAL SUPPLIESNPI #: 1235437559913 W UNION AVELITCHFIELD, IL 62056-1066PHONE: (217) 324-5234
MARION, IA
APRIA HEALTHCARE INCNPI #: 19928115581515 BLAIRS FERRY RD SUITE BMARION, IA 52302PHONE: (319) 377-3199
MARION, IL
APRIA HEALTHCARENPI #: 18817004411912 W RENDLEMANMARION, IL 62959PHONE: (618) 997-6469
MATTOON, IL
CARLE MEDICAL SUPPLYNPI #: 10533783491016 BROADWAYMATTOON, IL 61938PHONE: (217) 235-6421
NORMAL, IL
CAREPAKS MEDICAL SUPPLIES
NPI #: 1902916133209 SUSAN DRNORMAL, IL 61761PHONE: (309) 454-1000
DURABLE MEDICAL AND PROSTHETIC DURABLE MEDICAL AND PROSTHETIC
Affiliated Hospitals/Ancillary Care Providers
479
OTTUMWA, IA
APRIA HEALTHCARE INCNPI #: 12857420802849 N COURT ST SUITE AOTTUMWA, IA 52501-1134PHONE: (641) 682-8088
PEKIN, IL
PEKIN PROCARENPI #: 14371017631416 N EIGHTH STPEKIN, IL 61554PHONE: (309) 347-4663
PEORIA, IL
APRIA HEALTHCARE-PEORIA
NPI #: 12159657691007 W DETWEILLER DRPEORIA, IL 61615PHONE: (309) 691-1012
1015 W DETWEILLER DRPEORIA, IL 61615PHONE: (309) 691-1012
FAMILY MEDICAL EQUIPMENT & SUPPLIES
NPI #: 11745267761837 N KNOXVILLE AVEPEORIA, IL 61603PHONE: (309) 682-1900
LINCARENPI #: 15685408214808 N SHERIDANPEORIA, IL 61614PHONE: (309) 679-2093
QUINCY, IL
LINCARE INCNPI #: 1407864598615 JERSEY STQUINCY, IL 62301PHONE: (217) 222-1983
ROCKFORD, IL
APRIA HEALTHCARE-ROCKFORD
NPI #: 148776306610910 N SECOND STROCKFORD, IL 61115PHONE: (815) 633-7778
SPRINGFIELD, IL
APRIA HEALTHCARE-SPRINGFIELD
NPI #: 1114905767775 E LINTON AVE SUITE 1SPRINGFIELD, IL 62703PHONE: (217) 243-5651
LINCARE - SPRINGFIELDNPI #: 16291434661150 N BRADFORDTON RDSPRINGFIELD, IL 62711PHONE: (217) 793-6029
VONO MEDICAL SUPPLIESNPI #: 1659374056400 N 1ST STSPRINGFIELD, IL 62702PHONE: (217) 522-2403
STORM LAKE, IA
APRIA HEALTHCARE-AMESNPI #: 628 GENESEOSTORM LAKE, IA 50588PHONE:
URBANA, IL
CARLE MEDICAL SUPPLYNPI #: 11048834871208 N CUNNINGHAM AVEURBANA, IL 61801PHONE: (217) 383-3487
URBANDALE, IA
APRIA HEALTHCARE-AMESNPI #: 11224 AURORA AVEURBANDALE, IA 50322PHONE: (515) 252-0577
VIRDEN, IL
AMERICAN MEDICAL SUPPLY AND SERVICE CO
NPI #: 1891744215281 E JACKSONVIRDEN, IL 62690PHONE: (217) 965-3734
BELLEVUE, IA
DJO LLCNPI #: 1497731533208 N 12TH STBELLEVUE, IA 52031PHONE:
BLOOMINGTON, IL
CENTRAL ILLINOIS MEDICALNPI #: 1225097876203 E LOCUST STBLOOMINGTON, IL 61701PHONE: (309) 827-3459
DELTA SLEEP INCNPI #: 1659472850503 N PROSPECT SUITE 100BLOOMINGTON, IL 61704PHONE: (309) 663-2727
HEARTLAND HOME MEDICAL SUPPLY
NPI #: 1679536478716 E EMPIRE ST SUITE 2BLOOMINGTON, IL 61701PHONE: (309) 829-8122
LINCARE - BLOOMINGTONNPI #: 18918731541613 COMMERCE PARKWAY SUITE CBLOOMINGTON, IL 61704-9486PHONE: (309) 661-7349
DURABLE MEDICAL EQUIPMENT
DURABLE MEDICAL AND PROSTHETICDURABLE MEDICAL EQUIPMENT
Affiliated Hospitals/Ancillary Care Providers
480
ORTHOMOTION TECHNOLOGY INC
NPI #: 18312280062422 E WASHINGTON SUITE 101BLOOMINGTON, IL 61701PHONE: (888) 697-2210
OSF HOME MEDICAL EQUIPMENT
NPI #: 14373149521505 EASTLAND DR SUITE 1200BLOOMINGTON, IL 61701PHONE: (309) 665-4765
BURLINGTON, IA
DJO LLCNPI #: 1497731533600 N MAIN STBURLINGTON, IA 52601PHONE:
CARLINVILLE, IL
MICHELLES PHARMACY INC-CARLINV
NPI #: 1669518270494 WEST SIDE SQUARECARLINVILLE, IL 62626PHONE: (217) 854-4022
CARROLL, IA
DJO LLCNPI #: 1497731533405 S CLARK #250CARROLL, IA 51401PHONE:
CASCADE, IA
DJO LLCNPI #: 149773153324688 HIGHWAY 136CASCADE, IA 52033PHONE:
CHAMPAIGN, IL
LINCARE INCNPI #: 1982782249602 S STALEY RD SUITE ACHAMPAIGN, IL 61822PHONE: (217) 398-8191
MEDSERVE EQUIPMENT CORP
NPI #: 1467458240706 BLOOMINGTON RD SUITE 101CHAMPAIGN, IL 61820PHONE: (217) 355-7971
NATIONAL SEATING & MOBILITY
NPI #: 14674250173808 W SPRINGFIELD AVECHAMPAIGN, IL 61822PHONE: (217) 355-1399
CLARINDA, IA
DJO LLCNPI #: 1497731533823 S 17TH STCLARINDA, IA 51632PHONE:
CLIFTON, IL
ORTHOMOTION TECHNOLOGY INC
NPI #: 1831228006505 E MAIN STCLIFTON, IL 60927PHONE: (888) 697-2210
CLINTON, IA
DJO LLCNPI #: 14977315332745 LINCOLN WAYCLINTON, IA 52732PHONE:
COUNCIL BLUFFS, IA
DJO LLCNPI #: 1497731533ONE EDMUNSON PL SUITE 500COUNCIL BLUFFS, IA 51503PHONE:
DECATUR, IL
APRIA HEALTHCARE INCNPI #: 18910943973453 RUPP PKWYDECATUR, IL 62526-2124PHONE: (217) 876-8940
FREEDOM MEDICAL SUPPLYNPI #: 16997793222525 N MAIN STDECATUR, IL 62526PHONE: (217) 422-2220
LINCARE INC-DECATURNPI #: 12554179525995 E STATE ROUTE 36DECATUR, IL 62521-9559PHONE: (217) 864-2893
DES MOINES, IA
APRIA HEALTHCARE INC DES MOINE
NPI #: 129574591711224 AURORA AVENUEDES MOINES, IA 50322PHONE: (515) 252-0577
DJO LLCNPI #: 14977315331301 PENN AVE SUITE #213DES MOINES, IA 50316PHONE:
3200 GRAND AVEDES MOINES, IA 50312PHONE:
411 LAUREL ST SUITE 3300DES MOINES, IA 50314PHONE:
DURABLE MEDICAL EQUIPMENTDURABLE MEDICAL EQUIPMENT
Affiliated Hospitals/Ancillary Care Providers
481
DUBUQUE, IA
DJO LLCNPI #: 14977315331000 LANGWORTHYDUBUQUE, IA 52001PHONE:
1500 ASSOCIATES DRIVEDUBUQUE, IA 52002PHONE:
1940 ELM STDUBUQUE, IA 52001PHONE:
DYERSVILLE, IA
DJO LLCNPI #: 14977315331121 3RD SOUTH WESTDYERSVILLE, IA 52040PHONE:
ELKADER, IA
DJO LLCNPI #: 1497731533911 NW CARTERELKADER, IA 52043PHONE:
FORT MADISON, IA
DJO LLCNPI #: 14977315335409 AVENUE O SUITE 126FORT MADISON, IA 52627PHONE:
FORT WAYNE, IN
APRIA HEALTHCARE-FORT WAYNE
NPI #: 18917058287515 WESTFIELD DRFORT WAYNE, IN 46825PHONE: (260) 489-7722
FREEPORT, IL
APRIA HEALTHCARE-FREEPORT
NPI #: 14977791511287 W GALENA AVENUEFREEPORT, IL 61032PHONE: (815) 921-8000
GALESBURG, IL
LINCARE - GALSBURGNPI #: 105349940053 E SIMMONS STGALESBURG, IL 61401-4514PHONE: (309) 343-2776
GILLESPIE, IL
MICHELLES PHARMACY INC-GILLESP
NPI #: 1306953013120 SOUTH MACOUPIN STGILLESPIE, IL 62033PHONE: (217) 839-9901
JACKSONVILLE, IL
LINCARE - JACKSONVILLENPI #: 16898685152126 E MORTON SUITE DJACKSONVILLE, IL 62650-6431PHONE: (217) 243-2403
JOLIET, IL
KRAMER ENTERPRISES LTDNPI #: 12351603263077 W JEFFERSON ST SUITE 210JOLIET, IL 60435PHONE: (815) 773-9090
VQ ORTHOCARENPI #: 16392388193481 MALL LOOP DR SUITE 172JOLIET, IL 60431PHONE: (800) 266-6969
KANKAKEE, IL
RIVERSIDE HEALTH EQUIPMENT
NPI #: 10836263111270 N KENNEDY DRKANKAKEE, IL 60901PHONE: (815) 933-5187
KEWANEE, IL
OSF HOME MEDICAL EQUIPMENT
NPI #: 1689981409125 N TREMONT STKEWANEE, IL 61443PHONE: (309) 854-6950
KOKOMO, IN
APRIA HEALTHCARENPI #: 1548375470711 S REED RDKOKOMO, IN 46901PHONE: (765) 457-6613
LITCHFIELD, IL
FAMILY PHARMACY OF LITCHFIELD
NPI #: 1548338346801 W UNION AVELITCHFIELD, IL 62056PHONE: (217) 324-6541
MANCHESTER, IA
DJO LLCNPI #: 1497731533709 W MAIN ST BOX 359MANCHESTER, IA 52057PHONE:
MATTOON, IL
IN-HOME MEDICAL OF SBLNPI #: 1164514238300 COLES PKWYMATTOON, IL 61938PHONE: (217) 235-0660
DURABLE MEDICAL EQUIPMENTDURABLE MEDICAL EQUIPMENT
Affiliated Hospitals/Ancillary Care Providers
482
RESPIRACARENPI #: 1992764393508 S 26TH STREETMATTOON, IL 61938PHONE: (217) 258-6191
SARAH BUSH LINCOLN HEALTH CENTER
NPI #: 13867138991000 HEALTH CENTER DRMATTOON, IL 61938PHONE: (800) 345-3191
MERRILLVILLE, IN
APRIA HEALTHCARE-MERRILLVILLE
NPI #: 18413073451581 E 90TH PLACEMERRILLVILLE, IN 46410PHONE: (219) 736-6222
MONONA, IA
DJO LLCNPI #: 1497731533107 S PAGE ST BOX ZMONONA, IA 52159PHONE:
MUSCATINE, IA
DJO LLCNPI #: 14977315331616 CEDAR ST SUITE AMUSCATINE, IA 52761PHONE:
OTTUMWA, IA
DJO LLCNPI #: 14977315331005 PENNSYLVANIA AVEOTTUMWA, IA 52501PHONE:
PEKIN, IL
PEKIN PRESCRIPTION LABORATORY
NPI #: 14876032961016 COURT STPEKIN, IL 61554PHONE: (309) 346-2141
PEORIA, IL
DJO LLCNPI #: 1497731533600 N ALLEN RDPEORIA, IL 61614PHONE: (309) 691-1400
FIRST CHOICE MEDICAL EQUIPMENT
NPI #: 19927215183224 N PROSPECT RDPEORIA, IL 61603-1548PHONE: (309) 681-8166
OSF HOME MEDICAL EQUIPMENT
NPI #: 11543381841800 N KNOXVILLE AVE SUITE 104PEORIA, IL 61603PHONE: (309) 655-3440
ROCKFORD, IL
LINCARE - ROCKFORDNPI #: 18019577907104 N ALPINE RDROCKFORD, IL 61111-3945PHONE: (815) 636-9770
OSF HOME MEDICAL EQUIPMENT
NPI #: 10139255935668 E STATE ST SUITE 1100ROCKFORD, IL 61107PHONE: (815) 416-1562
SIOUX CITY, IA
APRIA HEALTHCARE INCNPI #: 16392892262400 PIERCE STSIOUX CITY, IA 51104PHONE: (712) 255-1555
STORM LAKE, IA
DJO LLCNPI #: 1497731533620 NORTHWESTERN DRSTORM LAKE, IA 50588PHONE:
TERRE HAUTE, IN
APRIA HEALTHCARE-TERRE HAUTE
NPI #: 15786737781714 N 5TH STTERRE HAUTE, IN 47804PHONE: (812) 232-0267
URBANA, IL
ARABELLANPI #: 1265605117509 W UNIVERSITY AVE SUITE 1201URBANA, IL 61801PHONE: (217) 326-3168
HEEL TO TOENPI #: 1255473930106 W MAIN STURBANA, IL 61801PHONE: (217) 367-2880
RESPIRACARENPI #: 14674118683103 TATMAN CT SUITE 104URBANA, IL 61801PHONE: (217) 367-5930
WEST DES MOINES, IA
DJO LLCNPI #: 14977315336001 WESTOWN PKWYWEST DES MOINES, IA 50266PHONE:
DURABLE MEDICAL EQUIPMENTDURABLE MEDICAL EQUIPMENT
Affiliated Hospitals/Ancillary Care Providers
483
BETTENDORF, IA
GENGASTRO LLC/ENDOSCOPY CTR FOR DIGESTIVE HEALTH
NPI #: 14472349192222 E 53RD ST SUITE ABETTENDORF, IA 52722PHONE: (563) 383-2686
NORMAL, IL
DIGESTIVE DISEASE ENDOSCOPY CENTER
NPI #: 12553328051302 FRANKLIN AVE SUITE 1000NORMAL, IL 61761PHONE: (309) 268-3400
PEORIA, IL
CENTRAL ILLINOIS ENDOSCOPY CENTER
NPI #: 17909243061001 MAIN ST SUITE 500 BPEORIA, IL 61606PHONE: (309) 495-1149
PEORIA, IL
KINDRED HOSPITAL PEORIANPI #: 1770721508500 W ROMEO B GARRETT AVEPEORIA, IL 61605PHONE: (309) 680-1500
ALEDO, IL
MERCER COUNTY HOSPITALNPI #: 1093715799409 NW NINTH AVEALEDO, IL 61231PHONE: (309) 582-5301
CANTON, IL
GRAHAM HOME HEALTHNPI #: 1487664025210 W WALNUT STCANTON, IL 61520PHONE: (309) 647-5240
CARLINVILLE, IL
CARLINVILLE AREA HOSPITAL
NPI #: 1053425124205 OAKLAND AVECARLINVILLE, IL 62626PHONE: (217) 854-3141
VNA-TIP HOMECARENPI #: 205 OAKLAND AVECARLINVILLE, IL 62626PHONE: (800) 642-6099
CHAMPAIGN, IL
CARLE HOME CARENPI #: 1891780615206W ANTHONY DRCHAMPAIGN, IL 61822PHONE: (217) 383-3488
PROVENA HOME HEALTH-URBANA
NPI #: 16593208691501 INTERSTATE DRCHAMPAIGN, IL 61821PHONE: (217) 355-4120
DANVILLE, IL
CARLE HOME CARENPI #: 1891780615311 W FAIRCHILD SUITE DDANVILLE, IL 61832PHONE: (217) 477-0240
DECATUR, IL
DECATUR MEMORIAL HOSPITAL HOME
NPI #: 15887512342300 N EDWARD STDECATUR, IL 62526PHONE: (217) 876-4600
GALESBURG, IL
OSF HOME HEALTH-WESTERN REGION
NPI #: 12250721763333 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-3161
HAVANA, IL
MASON DISTRICT HOME CARE
NPI #: 1265548010615 N PROMENADEHAVANA, IL 62644PHONE: (309) 543-4431
HILLSBORO, IL
HEARTLAND HOME CARENPI #: 11947052101200 E TREMONT STHILLSBORO, IL 62049PHONE: (217) 532-2002
JACKSONVILLE, IL
MEMORIAL HOME SERVICES NFP-HH
NPI #: 1982607123306 N WESTGATE AVE SUITE BJACKSONVILLE, IL 62650PHONE: (800) 582-8667
ENDOSCOPY CENTER
EXTENDED CARE
HOME HEALTH CARE
ENDOSCOPY CENTERHOME HEALTH CARE
Affiliated Hospitals/Ancillary Care Providers
484
KANKAKEE, IL
RIVERSIDE HOME HEALTH CARE
NPI #: 17403464511905 W COURT ST #DKANKAKEE, IL 60901PHONE: (815) 935-3272
LINCOLN, IL
LOGAN COUNTY HOME HEALTH CARE
NPI #: 1790785186109 THIRD STLINCOLN, IL 62656-0508PHONE: (217) 735-2317
LOVES PARK, IL
ST ANTHONY CENTER FOR HOME CARE
NPI #: 10230519929951 ROCK CUT CROSSINGLOVES PARK, IL 61111PHONE: (815) 921-8700
MACOMB, IL
MCDONOUGH DISTRICT HOSPITAL
NPI #: 1669420766525 E GRANT STMACOMB, IL 61455PHONE: (309) 833-4101
MARION, IL
APRIA HEALTHCARENPI #: 18817004411912 W RENDELMANMARION, IL 62959PHONE: (618) 997-6469
VNA TIP - HOMECARENPI #: 11342689318341 EXPRESS DR SUITE CMARION, IL 62959PHONE: (800) 642-6099
MATTOON, IL
LINCOLNLAND HOME CARE OF SBL
NPI #: 19221900241004 HEALTH CENTER DRMATTOON, IL 61938PHONE: (217) 234-4418
MT CARMEL, IL
VNA TIP - HOMECARENPI #: 1134268931738 N MARKET STMT CARMEL, IL 62863PHONE: (800) 542-6099
NORMAL, IL
ADVOCATE HOME HEALTHNPI #: 19728341661322 S MAIN ST SUITE ANORMAL, IL 61761PHONE: (309) 888-0930
OSF HOME HEALTH-EASTERN REGION
NPI #: 1851330203211 N LANDMARK DR SUITE D3NORMAL, IL 61761PHONE: (309) 451-5925
PARIS, IL
LINCOLNLAND HOME CARE OF SBL
NPI #: 192219002415317 US HIGHWAY 150PARIS, IL 61944PHONE: (800) 879-3212
PEORIA, IL
PROCTOR HOME CARENPI #: 14876243185409 N KNOXVILLEPEORIA, IL 61614PHONE: (309) 691-1075
5409 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-1075
SAINT FRANCIS HOME HEALTH
NPI #: 13462814252265 W ALTORFER DRPEORIA, IL 61615PHONE: (309) 683-7700
PLAINFIELD, IL
WILLOW HOME CARE LTDNPI #: 101314330413246 S ROUTE 59 STE 102PLAINFIELD, IL 60585PHONE: (815) 230-3910
SPRING VALLEY, IL
PRAIRIELAND HOME CARENPI #: 1073690269409 E SECOND STSPRING VALLEY, IL 61362PHONE: (815) 663-2229
SPRINGFIELD, IL
MEMORIAL HOME SERVICES NFP-HH
NPI #: 1982607123720 N BOND STSPRINGFIELD, IL 62702PHONE: (800) 582-8667
ST JOHNS PERINATAL HOME HEALTH
NPI #: 1467434589801 E CARPENTERSPRINGFIELD, IL 62769-0001PHONE: (217) 544-6464
STAUNTON, IL
VNA-TIP HOMECARENPI #: 1245379015400 CALDWELL 3RD FLOORSTAUNTON, IL 62088PHONE:
HOME HEALTH CAREHOME HEALTH CARE
Affiliated Hospitals/Ancillary Care Providers
485
TAYLORVILLE, IL
MEMORIAL HOME SERVICES NFP-HH
NPI #: 1982607123100 W FRANKLINTAYLORVILLE, IL 62568PHONE: (800) 582-8667
MEMORIAL HOME SERVICES NFP-HOSPICE
NPI #: 1003935560100 W FRANKLINTAYLORVILLE, IL 62568PHONE: (217) 788-4663
CHAMPAIGN, IL
CARLE HOME INFUSIONNPI #: 1457347668206A W ANTHONY DRCHAMPAIGN, IL 61822PHONE: (217) 383-3099
CORAM ALTERNATE SITE SERVICES
NPI #: 16593116292022 GLENN PARK DRCHAMPAIGN, IL 61821PHONE: (217) 356-7900
ELGIN, IL
METRO INFUSION SERVICESNPI #: 12351257171435 N RANDALL RD SUITE 404ELGIN, IL 60120PHONE: (847) 741-5091
KANKAKEE, IL
METRO INFUSION SERVICESNPI #: 1235125717555 W COURT ST SUITE 108KANKAKEE, IL 60901PHONE: (815) 937-2015
RIVERSIDE HOME & AMBULATORY INFUSION
NPI #: 1922164458500 N WALL ST SUITE 400KANKAKEE, IL 60901PHONE: (815) 933-6526
LOVES PARK, IL
OSF HOME INFUSION PHARMACY LOVES PARK
NPI #: 18311045469951 ROCK CUT CROSSINGLOVES PARK, IL 61111PHONE: (815) 921-8780
MACOMB, IL
MCDONOUGH DISTRICT HOSPITAL
NPI #: 1669420766525 E GRANT STMACOMB, IL 61455PHONE: (309) 833-4101
MARION, IL
APRIA HEALTHCARENPI #: 18817004411912 W RENDELMANMARION, IL 62959PHONE: (618) 997-6469
NORMAL, IL
METRO INFUSION SERVICESNPI #: 12351257171300 FRANKLIN AVE SUITE 230 CNORMAL, IL 61761-3588PHONE: (309) 268-2950
PEORIA HEIGHTS, IL
METRO INFUSION SERVICESNPI #: 12351257171120 E WAR MEMORIAL DRPEORIA HEIGHTS, IL 61616PHONE: (888) 220-6432
PEORIA, IL
ENLOE DRUGS LLC DBA OMNICARE INFUSION OF PEORIA
NPI #: 16292945582106 W TOWNLINE RDPEORIA, IL 61615PHONE: (800) 354-0677
OSF HOME INFUSION PHARMACY
NPI #: 17503964612265 W ALTORFER DRPEORIA, IL 61615PHONE: (800) 231-4747
SPRINGFIELD, IL
ST JOHNS HOME INFUSION THERAPY
NPI #: 1710969563800 E CARPENTERSPRINGFIELD, IL 62769PHONE: (217) 525-5641
TAYLORVILLE, IL
TAYLORVILLE MEMORIAL HOSPITAL
NPI #: 1144292020100 W FRANKLIN STTAYLORVILLE, IL 62568PHONE: (217) 287-1404
ALEDO, IL
MERCER COUNTY HOSPITALNPI #: 1093715799409 NW NINTH AVEALEDO, IL 61231PHONE: (309) 582-5301
HOME INFUSION
HOSPICE
HOME HEALTH CAREHOSPICE
Affiliated Hospitals/Ancillary Care Providers
486
BLOOMINGTON, IL
OSF HOSPICE-EASTERN REGION
NPI #: 1013945583211 N LANDMARK SUITE D3BLOOMINGTON, IL 61704PHONE: (309) 451-5925
CARLINVILLE, IL
VNA-TIP HOSPICENPI #: 1457491011205 OAKLAND AVECARLINVILLE, IL 62626PHONE: (800) 642-6099
DECATUR, IL
DECATUR MEMORIAL HOSPICE
NPI #: 17201723072300 N EDWARDDECATUR, IL 62526PHONE: (217) 876-6770
GALESBURG, IL
OSF HOSPICENPI #: 10230495743405 N SEMINARY STREETGALESBURG, IL 61401PHONE: (309) 344-3161
JACKSONVILLE, IL
MEMORIAL HOME SERVICES NFP-HOSPICE
NPI #: 1003935560306 N WESTGATE AVE SUITE BJACKSONVILLE, IL 62650PHONE:
LOVES PARK, IL
OSF HOSPICENPI #: 15189978579951 ROCK CUT CROSSINGLOVES PARK, IL 61111PHONE: (815) 921-8700
MACOMB, IL
MCDONOUGH DISTRICT HOSPITAL
NPI #: 1669420766525 E GRANT STMACOMB, IL 61455PHONE: (309) 833-4101
MARION, IL
VNA-TIP HOSPICENPI #: 14574910118341 EXPRESS DRIVE SUITE BMARION, IL 62959PHONE: (800) 642-6099
MATTOON, IL
LINCOLNLAND HOSPICE OF SBL
NPI #: 19928891091004 HEALTH CENTER DRMATTOON, IL 61938PHONE: (217) 348-2525
MT CARMEL, IL
VNA-TIP HOSPICENPI #: 1457491011738 N MARKET STMT CARMEL, IL 62863PHONE: (800) 642-6099
NORMAL, IL
ADVOCATE HOSPICENPI #: 16899058791322 S MAIN STNORMAL, IL 61761PHONE: (309) 888-0930
PEORIA, IL
OSF HOSPICENPI #: 10230495742265 W ALTORFER DRPEORIA, IL 61615PHONE: (309) 683-7795
SPRINGFIELD, IL
MEMORIAL HOME SERVICES NFP-HOSPICE
NPI #: 1003935560720 N BOND STSPRINGFIELD, IL 62702PHONE: (217) 523-4113
TAYLORVILLE, IL
MEMORIAL HOME SERVICES NFP-HOSPICE
NPI #: 1003935560100 W FRANKLINTAYLORVILLE, IL 62568PHONE: (217) 788-4663
TAYLORVILLE MEMORIAL HOSPITAL
NPI #: 1144292020100 W FRANKLIN STTAYLORVILLE, IL 62568PHONE: (217) 287-1404
VIRGINIA, IL
CASS SCHUYLER AREA HOSPICE
NPI #: 1891757118331 S MAIN STVIRGINIA, IL 62691PHONE: (217) 452-3057
BLOOMINGTON, IL
OSF ST JOSEPH MEDICAL CENTER - MEDICAL IMAGING
NPI #: 16199168061701 E COLLEGE AVEBLOOMINGTON, IL 61701PHONE: (309) 664-3000
2200 E WASHINGTON STBLOOMINGTON, IL 61701PHONE: (309) 661-5160
MAGNETIC RESONANCE IMAGING
HOSPICEMAGNETIC RESONANCE IMAGING
Affiliated Hospitals/Ancillary Care Providers
487
GALESBURG, IL
OSF ST MARY MEDICAL CENTER
NPI #: 11644853633333 SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-3161
LOVES PARK, IL
OSF CENTER FOR HEALTH-ROCK CUT CROSSING OUTPT CTR
NPI #: 17907399779951 ROCK CUT CROSSINGLOVES PARK, IL 61111PHONE: (815) 639-8500
NORMAL, IL
FORT JESSE IMAGING CENTER
NPI #: 12452871432200 FORT JESSE RD SUITE 130NORMAL, IL 61761PHONE: (309) 454-5552
PEORIA, IL
OSF CENTER FOR HEALTH - GLEN PARK
NPI #: 10432604825114 N GLEN PARK PLACEPEORIA, IL 61614PHONE: (309) 683-6600
OSF CENTER FOR HEALTH - ROUTE 91
NPI #: 10432604828800 N ROUTE 91PEORIA, IL 61615PHONE: (309) 683-5000
OSF SAINT FRANCIS MEDICAL CENTER
NPI #: 1043260482530 NE GLEN OAK AVEPEORIA, IL 61637PHONE: (309) 655-2000
BLOOMINGTON, IL
OSF ST JOSEPH MEDICAL CENTER
NPI #: 16199168061505 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 661-5160
1701 E COLLEGE AVEBLOOMINGTON, IL 61701PHONE: (309) 664-3000
LOVES PARK, IL
OSF CENTER FOR HEALTH-ROCK CUT CROSSING OUTPT CTR
NPI #: 17907399779951 ROCK CUT CROSSINGLOVES PARK, IL 61111PHONE: (815) 639-8500
PEORIA, IL
OSF CENTER FOR HEALTH - GLEN PARK
NPI #: 10432604825114 N GLEN PARK PLACEPEORIA, IL 61614PHONE: (309) 683-6600
OSF CENTER FOR HEALTH - ROUTE 91
NPI #: 10432604828800 N ROUTE 91PEORIA, IL 61615PHONE: (309) 683-5000
OSF ST FRANCIS MED CTR & CHILDREN'S HOSPITAL OF IL
NPI #: 1043260482530 NE GLEN OAK AVEPEORIA, IL 61637PHONE: (309) 655-2000
BETTENDORF, IA
IL INSTITUTE FOR ADDICTION RECOVERY AT THE ABBEY
NPI #: 10331168761401 CENTRAL AVEBETTENDORF, IA 52722PHONE: (563) 355-4707
CHAMPAIGN, IL
MOBERG, KIRK, MDNPI #: 1235153677CARLE PHYSICIAN GROUP809 W CHURCHCHAMPAIGN, IL 61820PHONE: (217) 373-1850
PRAIRIE CENTER HEALTH SYSTEMS
NPI #: 1588794317122 W HILL STCHAMPAIGN, IL 61820PHONE: (217) 356-7576
THE PAVILION FOUNDATIONNPI #: 1518930619809 W CHURCH STCHAMPAIGN, IL 61820PHONE: (217) 373-1700
DANVILLE, IL
PRAIRIE CENTER HEALTH SYSTEMS
NPI #: 1588794317128 N VERMILIONDANVILLE, IL 61832PHONE: (217) 477-4500
ELGIN, IL
PROVENA ST JOSEPH HOSPITAL PSYCH- ELGIN
NPI #: 156853838777 N AIRLITE STELGIN, IL 60123PHONE: (847) 695-3200
MAMMOGRAPHY MENTAL HEALTH/SUBSTANCE ABUSE
MAGNETIC RESONANCE IMAGINGMENTAL HEALTH/SUBSTANCE ABUSE
Affiliated Hospitals/Ancillary Care Providers
488
GALESBURG, IL
GALESBURG COTTAGE HOSPITAL-PSYCH UNIT
NPI #: 1700805660695 N KELLOG STGALESBURG, IL 61401PHONE: (309) 343-8131
JACKSONVILLE, IL
WELLS CENTERNPI #: 12059335611300 LINCOLN AVEJACKSONVILLE, IL 62650PHONE: (217) 243-1871
JOLIET, IL
PROVENA ST JOSEPH MEDICAL CENTER-PSYCH UNIT
NPI #: 1003976713333 N MADISON STJOLIET, IL 60435PHONE: (815) 725-7133
MACOMB, IL
BEHAVIORAL HEALTH SERVICES
NPI #: 1669420766525 E GRANT STMACOMB, IL 61455PHONE: (309) 833-4101
MATTOON, IL
SARAH BUSH LINCOLN HEALTH CENTER
NPI #: 12958043751000 HEALTH CENTER DRMATTOON, IL 61938PHONE: (217) 348-2525
NORMAL, IL
ILLINOIS INSTITUTE FOR ADDICTION RECOVERY
NPI #: 1033116876VIRGINIA AT FRANKLINNORMAL, IL 61761PHONE: (309) 888-0993
PEORIA, IL
ILLINOIS INSTITUTE FOR ADDICTION RECOVERY
NPI #: 10331168765409 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-1000
TRUE NORTH SOLUTIONSNPI #: 18816306893400 W NEW LEAF LANEPEORIA, IL 61615PHONE: (309) 671-8054
SPRINGFIELD, IL
FAMILY GUIDANCE CENTERS
NPI #: 1528398096120 N 11TH STSPRINGFIELD, IL 62703PHONE: (217) 544-9858
ILLINOIS INSTITUTE FOR ADDICTION RECOVERY
NPI #: 10331168763050 MONTVALE DRSPRINGFIELD, IL 62704PHONE: (217) 726-6611
LINCOLN PRAIRIE BEHAVIORAL HEALTH CENTER
NPI #: 10333971385230 S SIXTH STSPRINGFIELD, IL 62703PHONE: (217) 585-1180
MEMORIAL MEDICAL CENTER
NPI #: 1255317590701 N FIRST STSPRINGFIELD, IL 62781PHONE: (217) 788-4300
PSYCHIATRIC UNIT OF ST JOHNS
NPI #: 1518949353800 E CARPENTER STSPRINGFIELD, IL 62769PHONE: (217) 544-6464
URBANA, IL
MOBERG, KIRK, MDNPI #: 1235153677CARLE PHYSICIAN GROUP204 W UNIVERSITY AVEURBANA, IL 61801PHONE: (217) 344-9238
PRAIRIE CENTER HEALTH SYSTEMS
NPI #: 1588794317718 KILLARNEYURBANA, IL 61801PHONE:
PROVENA COVENANT MEDICAL CENTER- PSYCHIATRIC UNIT
NPI #: 12755856631400 W PARK STURBANA, IL 61801PHONE: (217) 337-2130
ALEDO, IL
MERCER COUNTY HOSPITALNPI #: 1093715799409 NW NINTH AVEALEDO, IL 61231PHONE: (309) 582-5301
CHARLESTON, IL
CARLE THERAPY SERVICESNPI #: 14372753285731 PARK DRCHARLESTON, IL 61920PHONE: (217) 258-3640
DANVILLE, IL
CARLE THERAPY SERVICESNPI #: 10130716532300 N VERMILIONDANVILLE, IL 61832PHONE: (217) 431-7930
OCCUPATIONAL THERAPY
MENTAL HEALTH/SUBSTANCE ABUSEOCCUPATIONAL THERAPY
Affiliated Hospitals/Ancillary Care Providers
489
MACOMB, IL
MCDONOUGH DISTRICT HOSPITAL
NPI #: 1669420766525 E GRANT STMACOMB, IL 61455PHONE: (309) 833-4101
MAHOMET, IL
CARLE THERAPY SERVICESNPI #: 10130716531001 HEATHER DRMAHOMET, IL 61853PHONE: (217) 586-8420
NORMAL, IL
ADVOCATE BROMENN MEDICAL CENTER
NPI #: 19624240361304 FRANKLIN AVENORMAL, IL 61761PHONE: (309) 454-1400
RANTOUL, IL
CARLE THERAPY SERVICESNPI #: 10130716531540 E GROVERANTOUL, IL 61866PHONE: (217) 893-7710
ROCKFORD, IL
OSF SAINT ANTHONY MEDICAL CENTER
NPI #: 17907399775666 E STATE STROCKFORD, IL 61108PHONE: (815) 226-2000
URBANA, IL
CARLE THERAPY SERVICESNPI #: 1013071653810 W ANTHONY DRURBANA, IL 61801PHONE: (217) 383-3400
ALEDO, IL
MERCER COUNTY HOSPITALNPI #: 1093715799409 NW NINTH AVEALEDO, IL 61231PHONE: (309) 582-5301
BLOOMINGTON, IL
CHAMPION FITNESS DBA PT & ATHLETIC TRAINING
NPI #: 14078010121015 S MERCER AVEBLOOMINGTON, IL 61701PHONE: (309) 663-6777
CANTON, IL
GRAHAM HOSPITALNPI #: 1780692087210 W WALNUT STCANTON, IL 61520PHONE: (309) 647-5240
CHAMPAIGN, IL
CARLE THERAPY SERVICESNPI #: 10130716532403 VILLAGE GREEN PLACECHAMPAIGN, IL 61822PHONE: (217) 359-4549
CHAMPION FITNESS DBA PT & ATHLETIC TRAINING
NPI #: 14078010121914 ROUND BARN RD SUITE 102CHAMPAIGN, IL 61824PHONE: (217) 378-4560
2006 ROUND BARN RCHAMPAIGN, IL 61824PHONE: (217) 378-4560
CHARLESTON, IL
CARLE THERAPY SERVICESNPI #: 14372753285731 PARK DRCHARLESTON, IL 61920PHONE: (217) 258-3640
CHATHAM, IL
ST JOHNS PREMIERE PHYSICAL THERAPY
NPI #: 12058184811134 COMMERCIAL CTCHATHAM, IL 62629PHONE: (217) 483-4300
DANVILLE, IL
CARLE THERAPY SERVICESNPI #: 10130716532300 N VERMILIONDANVILLE, IL 61832PHONE: (217) 431-7930
EUREKA, IL
ADVOCATE EUREKA HOSPITAL PHYSICAL THERAPY
NPI #: 1184644023101 S MAJOR STEUREKA, IL 61530PHONE: (309) 467-2371
GIBSON CITY, IL
GIBSON AREA HOSPITAL PHYSICAL THERAPY
NPI #: 11149356811120 N MELVIN STGIBSON CITY, IL 60936PHONE: (217) 784-4251
HILLSBORO, IL
HILLSBORO AREA HOSPITALNPI #: 11947052101200 E TREMONT STHILLSBORO, IL 62049PHONE: (217) 532-6111
PHYSICAL THERAPY
OCCUPATIONAL THERAPYPHYSICAL THERAPY
Affiliated Hospitals/Ancillary Care Providers
490
JACKSONVILLE, IL
PASSAVANT AREA HOSPITAL
NPI #: 11745808311600 W WALNUT STJACKSONVILLE, IL 62650PHONE: (217) 245-9541
LE ROY, IL
CHAMPION FITNESS DBA PT & ATHLETIC TRAINING
NPI #: 1407801012200 E CEDAR STLE ROY, IL 61752PHONE: (309) 962-3240
LINCOLN, IL
ABRAHAM LINCOLN MEMORIAL HOSPITAL
NPI #: 1154329753200 STAHLHUT DRLINCOLN, IL 62656PHONE: (217) 732-2161
MACOMB, IL
MCDONOUGH DISTRICT HOSPITAL
NPI #: 1669420766525 E GRANTMACOMB, IL 61455PHONE: (309) 833-4101
MAHOMET, IL
CARLE THERAPY SERVICESNPI #: 10130716531001 HEATHER DRMAHOMET, IL 61853PHONE: (217) 586-8420
MINONK, IL
CHAMPION FITNESS DBA PT & ATHLETIC TRAINING
NPI #: 1407801012541 OAK STMINONK, IL 61760PHONE: (309) 432-3800
NORMAL, IL
ADVOCATE BROMENN MEDICAL CENTER
NPI #: 19624240361304 FRANKLIN AVENORMAL, IL 61761PHONE: (309) 454-1400
OSF PHYSICAL MEDICINENPI #: 16199168062200 FT JESSE RD SUITE 200NORMAL, IL 61761PHONE: (309) 661-5420
PEKIN, IL
CHAMPION FITNESS DBA PT & ATHLETIC TRAINING
NPI #: 14078010122105 COURT STPEKIN, IL 61554PHONE: (309) 478-1672
PEORIA, IL
OSF SAINT FRANCIS WELLNESS CENTER AT RIVERPLEX
NPI #: 1043260482600 NE WATER STPEORIA, IL 61603PHONE: (309) 624-8575
PORT BYRON, IL
FAMILY PHYSICAL THERAPYNPI #: 1033183223103 N MAINPORT BYRON, IL 61275PHONE: (309) 523-2949
QUINCY, IL
BLESSING HOSPITALNPI #: 1760571699BROADWAY AT 11TH STQUINCY, IL 62301PHONE: (217) 223-1200
RANTOUL, IL
CARLE THERAPY SERVICESNPI #: 10130716531540 E GROVERANTOUL, IL 61866PHONE: (217) 893-7710
SPRINGFIELD, IL
MEMORIAL MEDICAL CENTER
NPI #: 1255317590701 N FIRST STSPRINGFIELD, IL 62781PHONE: (217) 788-3000
SPRINGFIELD CLINIC PHYSICAL THERAPY
NPI #: 1992752224775 ENGINEERING AVESPRINGFIELD, IL 62703PHONE: (217) 527-2804
ST JOHNS PREMIERE PHYSICAL THERAPY
NPI #: 12058184812901 OLD JACKSONVILLE RDSPRINGFIELD, IL 62704PHONE: (217) 793-0000
320 E CARPENTER STSPRINGFIELD, IL 62702PHONE: (217) 744-8000
ST JOSEPH, IL
CHAMPION FITNESS DBA PT & ATHLETIC TRAINING
NPI #: 1407801012109 N MAIN STST JOSEPH, IL 61873PHONE:
TAYLORVILLE, IL
TAYLORVILLE MEMORIAL HOSPITAL
NPI #: 1144292020201 E PLEASANT STTAYLORVILLE, IL 62568PHONE: (217) 824-3331
PHYSICAL THERAPYPHYSICAL THERAPY
Affiliated Hospitals/Ancillary Care Providers
491
TUSCOLA, IL
CHAMPION FITNESS DBA PT & ATHLETIC TRAINING
NPI #: 1407801012708 E SOUTHLINE RD SUITE CTUSCOLA, IL 61953PHONE: (217) 253-9103
URBANA, IL
CARLE THERAPY SERVICESNPI #: 1013071653610 N LINCOLN AVEURBANA, IL 61801PHONE: (217) 326-1903
810 W ANTHONY DRURBANA, IL 61801PHONE: (217) 383-3400
CHAMPION FITNESS DBA PT & ATHLETIC TRAINING
NPI #: 14078010121405 W PARK ST SUITE 200URBANA, IL 61802PHONE: (217) 384-8080
VIRDEN, IL
ST JOHNS PREMIERE PHYSICAL THERAPY
NPI #: 12058184811226 N SPRINGFIELDVIRDEN, IL 62690PHONE: (217) 965-5100
BLOOMINGTON, IL
MCLEAN COUNTY ORTHOPEDICS
NPI #: 2502 E EMPIRE STBLOOMINGTON, IL 61704PHONE: (309) 663-6567
OSF REHABILITATION SERVICES
NPI #: 16199168061505 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 661-4477
1701 E COLLEGE AVEBLOOMINGTON, IL 61701PHONE: (309) 661-3420
GALESBURG, IL
GALESBURG COTTAGE HOSPITAL
NPI #: 1447221312695 N KELLOGG STGALESBURG, IL 61401PHONE: (309) 343-8131
OSF ST MARY MEDICAL CENTER
NPI #: 11644853633333 SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-3161
LACON, IL
PREMIER PHYSICAL THERAPY SERVICES
NPI #: 1336150283350 5TH STLACON, IL 61540PHONE: (309) 554-0072
MACOMB, IL
MCDONOUGH DISTRICT HOSPITAL
NPI #: 1669420766525 E GRANTMACOMB, IL 61455PHONE: (309) 833-4101
MATTOON, IL
CENTRAL IL PHYSICAL THERAPY
NPI #: 1124246939100 PROFESSIONAL PLAZAMATTOON, IL 61938PHONE: (217) 235-1245
SARAH BUSH LINCOLN HEALTH CENTER
NPI #: 16695646621000 HEALTH CENTER DRMATTOON, IL 61938PHONE: (217) 258-2500
METAMORA, IL
PREMIER PHYSICAL THERAPY SERVICES
NPI #: 1336150283387 OLD GERMANTOWN RDMETAMORA, IL 61548PHONE: (309) 683-6900
NORMAL, IL
OSF REHABILITATION SERVICES
NPI #: 16199168062200 FT JESSE RD SUITE 230NORMAL, IL 61761PHONE: (309) 661-6260
PEKIN, IL
ILLINOIS CENTERS FOR PAIN & REHAB SC
NPI #: 16898609751491 VALLEY VISTA BLVDPEKIN, IL 61554PHONE: (309) 347-4277
PEORIA, IL
OSF SAINT FRANCIS MEDICAL CENTER
NPI #: 1043260482530 NE GLEN OAK AVEPEORIA, IL 61637PHONE: (309) 655-2000
OSF SAINT FRANCIS RANDOLPH BUILDING- OUTPT CENTER
NPI #: 1043260482100 NE RANDOLPHPEORIA, IL 61606PHONE: (309) 655-6961
PHYSICAL/OCCUPATIONAL
THERAPY
PHYSICAL THERAPYPHYSICAL/OCCUPATIONAL THERAPY
Affiliated Hospitals/Ancillary Care Providers
492
PREMIER PHYSICAL THERAPY SERVICES
NPI #: 13361502833531 W WILLOW KNOLLS RDPEORIA, IL 61614PHONE: (309) 683-6900
ROCKFORD, IL
OSF CENTER FOR HEALTH - STATE STREET OUTPT CTR
NPI #: 17907399775510 E STATE STROCKFORD, IL 61108PHONE: (815) 395-4555
SULLIVAN, IL
CENTRAL IL PHYSICAL THERAPY
NPI #: 112424693918 W HARRISONSULLIVAN, IL 61951PHONE: (217) 345-1245
TREMONT, IL
PREMIER PHYSICAL THERAPY SERVICES
NPI #: 1336150283105 S LOCUSTTREMONT, IL 61568PHONE: (309) 683-6900
BLOOMINGTON, IL
PETERS ORTHOPEDICSNPI #: 1811986532908 N HERSHEY RD SUITE 1BLOOMINGTON, IL 61704PHONE: (309) 664-6930
CHAMPAIGN, IL
CONFIDENTIALLY YOURSNPI #: 10231676241808B ROUND BARN RDCHAMPAIGN, IL 61821PHONE: (217) 366-0244
JOLIET, IL
VQ ORTHOCARENPI #: 16392388193481 MALL LOOP DR SUITE 172JOLIET, IL 60431PHONE: (800) 266-6969
BLOOMINGTON, IL
HANGER PROSTHETICS & ORTHOTICS
NPI #: 11645903782706 MCGRAW DRBLOOMINGTON, IL 61704PHONE:
DECATUR, IL
PROSTHETIC ORTHOTIC SPECIALIST
NPI #: 1851389449102 W KENWOOD SUITE 120ADECATUR, IL 62526PHONE: (217) 872-6150
NORMAL, IL
PROSTHETIC ORTHOTIC SPECIALIST
NPI #: 1851389449303 LANDMARK DR SUITE 5ANORMAL, IL 61761PHONE: (309) 454-8733
PEORIA, IL
COMPREHENSIVE PROSTHETIC & ORTHOTICS
NPI #: 1174573307741 W MAIN STPEORIA, IL 61606PHONE: (309) 676-2276
PROSTHETIC ORTHOTIC SPECIALIST
NPI #: 1851389449701 NE JEFFERSON AVEPEORIA, IL 61603PHONE: (309) 688-9549
QUINCY, IL
COMPREHENSIVE PROSTHETIC & ORTHOTICS
NPI #: 1174573307926 BROADWAY SUITE 3QUINCY, IL 62301PHONE: (217) 221-8991
SPRINGFIELD, IL
ORTHOTIC/PROSTHETIC ASSOCIATES
NPI #: 1578550307355 W CARPENTER ST SUITE BSPRINGFIELD, IL 62702PHONE: (217) 789-1450
URBANA, IL
HANGER PROSTHETICS & ORTHOTICS
NPI #: 1851466635805 N LINCOLNURBANA, IL 61801PHONE: (217) 367-9771
OMNICARE LABS OF CHAMPAIGN
NPI #: 1720142094502 S VINEURBANA, IL 61801PHONE: (217) 344-6664
VIRGINIA, IL
CASS COUNTY HOME HEALTH AGENCY
NPI #: 1104887801331 S MAIN STVIRGINIA, IL 62691PHONE:
PROSTHETICS
PROSTHETICS AND ORTHOTICS
PUBLIC HEALTH
PHYSICAL/OCCUPATIONAL THERAPYPUBLIC HEALTH
Affiliated Hospitals/Ancillary Care Providers
493
CHENOA, IL
MEADOWS MENNONITE RETIREMENT
NPI #: 183119475224588 CHURCH STCHENOA, IL 61726PHONE: (309) 747-2702
HAMMOND, IN
KH NORTHWEST INDIANANPI #: 18516950195454 HOHMAN AVEHAMMOND, IN 46320PHONE: (219) 937-9900
JACKSONVILLE, IL
MEMORIAL INDUSTRIAL REHABILITATION AT JACKSONVILLE
NPI #: 1093775561901 W MORTON ST SUITE 16AJACKSONVILLE, IL 62650PHONE: (217) 245-4640
JOLIET, IL
PROVENA ST JOSEPH MEDICAL CENTER-REHAB
NPI #: 1124189733333 N MADISON STJOLIET, IL 60435PHONE: (815) 725-7133
NORMAL, IL
ADVOCATE BROMENN REGIONAL MEDICAL CENTER
NPI #: 13068678661304 FRANKLIN AVENORMAL, IL 61761PHONE: (309) 454-1400
PEORIA, IL
OSF ST FRANCIS REHABNPI #: 1942250394530 NE GLEN OAK AVEPEORIA, IL 61603PHONE: (309) 655-2000
SPRINGFIELD, IL
KINDRED HOSPITAL SPRINGFIELD
NPI #: 1316252729701 N WALNUT STSPRINGFIELD, IL 62702PHONE: (217) 528-1217
MEMORIAL MEDICAL CENTER REHAB UNIT
NPI #: 1679559553701 N 1ST ST MAB 528SPRINGFIELD, IL 62781PHONE: (217) 788-3000
SYCAMORE, IL
KINDRED HOSPITAL SYCAMORE
NPI #: 1780769257225 EDWARD STSYCAMORE, IL 60178PHONE: (815) 895-2144
URBANA, IL
CARLE REHABILITATION CENTER
NPI #: 1619034659611 W PARK STURBANA, IL 61801PHONE: (217) 383-3311
PROVEN /COVENANT MEDICAL CENTER REHAB UNIT
NPI #: 11846765791400 W PARK STURBANA, IL 61801PHONE: (217) 337-2130
ABINGDON, IL
CARE CENTER OF ABINGDON
NPI #: 1881680536801 W MARTIN STABINGDON, IL 61410PHONE:
ALEDO, IL
GENESIS SENIOR LIVING-ALEDO
NPI #: 1790038677309 NW 9TH AVEALEDO, IL 61231PHONE:
ARCOLA, IL
ARCOLA HEALTH CARE CENTER
NPI #: 1437115417422 E FOURTH SOUTH STARCOLA, IL 61910PHONE: (217) 268-3022
BEARDSTOWN, IL
HERITAGE HEALTH: THERAPY & SENIOR CARE
NPI #: 13967363518306 SAINT LUKES DRBEARDSTOWN, IL 62618-8384PHONE: (217) 323-4055
BEMENT, IL
BEMENT HEALTH CARE CENTER
NPI #: 1598721581601 N MORGANBEMENT, IL 61813PHONE: (217) 678-2191
REHABILITATION FACILITY
SKILLED NURSING FACILITIES
REHABILITATION FACILITYSKILLED NURSING FACILITIES
Affiliated Hospitals/Ancillary Care Providers
494
BLOOMINGTON, IL
ASTA CARE CENTER OF BLOOMINGTON
NPI #: 15189482801509 N CALHOUN STBLOOMINGTON, IL 61701PHONE: (309) 827-6046
BLOOMINGTON REHAB & HEALTH CARE
NPI #: 14977122281925 S MAINBLOOMINGTON, IL 61701PHONE: (618) 435-2712
HERITAGE HEALTH: THERAPY & SENIOR CARE
NPI #: 1457343170700 E WALNUTBLOOMINGTON, IL 61701PHONE: (309) 827-8004
OSF ST JOSEPH MEDICAL CENTER-SKILLED NURSING
NPI #: 19321482362200 E WASHINGTON STBLOOMINGTON, IL 61701PHONE: (309) 662-3311
BRIGHTON, IL
ROBINGS MANOR REHAB & HEALTH CARE
NPI #: 1750347555502 N MAINBRIGHTON, IL 62012PHONE: (618) 372-3232
CANTON, IL
GRAHAM EXTENDED CARE FACILITY
NPI #: 1134236748210 W WALNUT STCANTON, IL 61520PHONE: (309) 647-5240
HEARTLAND HEALTHCARE CENTER-CANTON
NPI #: 14371978452081 N MAIN STCANTON, IL 61520PHONE:
SUNSET REHABILITATION & HEALTH
NPI #: 1104882919129 S FIRST STCANTON, IL 61520PHONE: (309) 647-4327
CARLINVILLE, IL
FRIENDSHIP HOMENPI #: 1558358804826 N HIGH STCARLINVILLE, IL 62626PHONE: (217) 854-9606
HERITAGE HEALTH: THERAPY & SENIOR CARE
NPI #: 18311808921200 UNIVERSITY AVECARLINVILLE, IL 62626PHONE: (217) 854-4433
CASEY, IL
CASEY HEALTH CARE CENTER
NPI #: 1093771800100 NE 15TH STCASEY, IL 62420PHONE: (217) 932-5217
CHAMPAIGN, IL
HEARTLAND HEALTH CARE CENTER-CHAMPAIGN
NPI #: 1790723732309 E SPRINGFIELD AVECHAMPAIGN, IL 61820PHONE: (217) 352-5135
ILLINI HERITAGE REHAB & HEALTH CARE CENTER
NPI #: 16190837301315 CURT DRCHAMPAIGN, IL 61820PHONE: (217) 352-5707
CHARLESTON, IL
CHARLESTON REHAB & HEALTH CARE CENTER
NPI #: 1508956459716 EIGHTEENTH STCHARLESTON, IL 61920PHONE: (217) 345-7054
HILLTOP SKILLED NURSING AND REHABILITATION CENTER
NPI #: 1295034437910 W POLKCHARLESTON, IL 61920PHONE: (217) 345-7066
CHENOA, IL
MEADOWS MENNONITE RETIREMENT
NPI #: 183119475224588 CHURCH STCHENOA, IL 61726PHONE: (309) 747-2702
CLINTON, IA
EAGLE POINT NURSING AND REHABILITATION
NPI #: 1750411815801 28TH AVE NCLINTON, IA 52732PHONE: (563) 243-6600
CLINTON, IL
MANOR COURT OF CLINTONNPI #: 15886520441 PARK LANE WCLINTON, IL 61727PHONE: (217) 935-8500
COLFAX, IL
ASTA HEALTHCARE CO ATTN CRAIG FRANK
NPI #: 1205827268402 S HARRISON STCOLFAX, IL 61728PHONE:
SKILLED NURSING FACILITIESSKILLED NURSING FACILITIES
Affiliated Hospitals/Ancillary Care Providers
495
CORALVILLE, IA
WINDMILL MANORNPI #: 12957235002332 LIBERTY DRCORALVILLE, IA 52241PHONE: (319) 545-7390
DANVILLE, IL
COLONIAL MANORNPI #: 1093706830620 WARRINGTON AVEDANVILLE, IL 61832PHONE: (217) 446-0660
HAWTHORNE INN OF DANVILLE
NPI #: 16492510593222 INDEPENDENCE DRDANVILLE, IL 61832PHONE: (217) 431-1600
NORTH LOGAN HEALTHCARE CENTER
NPI #: 1194882647801 N LOGANDANVILLE, IL 61832PHONE: (217) 443-3106
DAVENPORT, IA
MANORCARE HEALTH SERVICES-UTIC
NPI #: 19323624313800 COMMERCE BLVDDAVENPORT, IA 52807-3495PHONE: (563) 344-2000
DECATUR, IL
FAIR HAVENS CHRISTIAN VILLAGE
NPI #: 10836304871790 S FAIRVIEW AVEDECATUR, IL 62521PHONE: (217) 429-2551
HEARTLAND HEALTH CARE CENTER-DECATUR
NPI #: 1134168503444 W HARRISON STDECATUR, IL 62526PHONE: (217) 877-7333
NUCARE SERVICES CORPORATION
NPI #: 16899419242530 N MONROEDECATUR, IL 62526PHONE: (217) 875-0920
500 W MCKINLEY AVEDECATUR, IL 62526PHONE: (217) 875-0020
EAST PEORIA, IL
FONDULAC REHABILITATION & HEALTH CARE CENTER
NPI #: 1235176504901 ILLINI DREAST PEORIA, IL 61611PHONE: (309) 694-6446
HEARTLAND HEALTH CARE CENTER-RIVERVIEW
NPI #: 1407893977500 CENTENNIAL DREAST PEORIA, IL 61611PHONE: (309) 694-9865
EL PASO, IL
EL PASO HEALTH CARE CENTER
NPI #: 1568562858850 E SECOND STEL PASO, IL 61738PHONE: (309) 527-2700
HERITAGE HEALTH: THERAPY & SENIOR CARE
NPI #: 1093706137555 E CLAY STEL PASO, IL 61738PHONE: (309) 527-6240
ELGIN, IL
ASTA HEALTHCARE CO ATTN CRAIG FRANK
NPI #: 1205827268134 N MCLEAN BLVDELGIN, IL 60123PHONE: (847) 742-8822
HERITAGE HEALTH: THERAPY & SENIOR CARE
NPI #: 1871583955335 RAYMOND STELGIN, IL 60120PHONE: (847) 697-6636
FARMER CITY, IL
FARMER CITY REHAB & HEALTH CARE CENTER
NPI #: 1184882490404 BROOKVIEW DRFARMER CITY, IL 61842PHONE: (309) 928-2118
FARMINGTON, IL
FARMINGTON COUNTRY MANOR
NPI #: 1831174994701 S MAIN STFARMINGTON, IL 61531PHONE: (309) 245-2407
GALESBURG, IL
GALESBURG COTTAGE HOSPITAL
NPI #: 1447221312695 N KELLOGG STGALESBURG, IL 61401PHONE: (309) 343-8131
HEARTLAND HEALTH CARE CENTER-GALESBURG
NPI #: 1033156401280 E LOSEY STGALESBURG, IL 61401PHONE: (309) 434-2166
SKILLED NURSING FACILITIESSKILLED NURSING FACILITIES
Affiliated Hospitals/Ancillary Care Providers
496
MARIGOLD REHAB & HEALTH CARE
NPI #: 1861670176275 EAST CARL SANDBURG DRGALESBURG, IL 61401PHONE: (309) 344-1151
SEMINARY MANORNPI #: 16593054072345 N SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-1300
GIBSON CITY, IL
GIBSON AREA HOSPITAL ANNEX
NPI #: 13464059411120 N MELVIN STGIBSON CITY, IL 60936-1477PHONE: (217) 784-2600
HERITAGE HEALTH: THERAPY & SENIOR CARE
NPI #: 1699765719620 W FIRST STGIBSON CITY, IL 60936PHONE: (217) 784-4257
SWING BEDNPI #: 16896824521120 N MELVIN STGIBSON CITY, IL 60936PHONE: (217) 784-4251
GIFFORD, IL
COUNTRY HEALTH INCNPI #: 12250298792304 CR 3000 NGIFFORD, IL 61847PHONE: (217) 568-7362
GILLESPIE, IL
HERITAGE HEALTH: THERAPY & SENIOR CARE
NPI #: 15088574597588 STOUGHTON RDGILLESPIE, IL 62033PHONE: (217) 839-2171
GIRARD, IL
PLEASANT HILL VILLAGENPI #: 14676796471010 W NORTH STGIRARD, IL 62640PHONE: (217) 627-2181
GREENUP, IL
CUMBERLAND REHAB & HEALTH CARE CENTER
NPI #: 1598807497300 N MARIETTA STGREENUP, IL 62428PHONE: (217) 923-3186
HAVANA, IL
HAVANA HEALTH CARE CENTER
NPI #: 1346206315609 N HARPHAMHAVANA, IL 62644PHONE: (309) 543-6121
HENRY, IL
HEARTLAND HEALTHCARE CENTER - HENRY
NPI #: 11947635081650 INDIAN TOWN RDHENRY, IL 61537PHONE: (309) 364-3905
HILLSBORO, IL
HILLSBORO AREA HOSPITALNPI #: 11947052101200 E TREMONT STHILLSBORO, IL 62049PHONE: (217) 532-6111
HOOPESTON, IL
HERITAGE HEALTHNPI #: 1881636603423 N DIXIE HIGHWAYHOOPESTON, IL 60942PHONE:
HOOPESTON COMMUNITY HOSPTIAL
NPI #: 1720021074701 E ORANGE STHOOPESTON, IL 60942-1801PHONE: (217) 283-5531
HOPEDALE, IL
HOPEDALE MEDICAL COMPLEX-SNF
NPI #: 1194857490107 TREMONT STHOPEDALE, IL 61747PHONE: (309) 449-3321
JACKSONVILLE, IL
HERITAGE HEALTH: THERAPY & SENIOR CARE
NPI #: 1659362556873 GROVE STJACKSONVILLE, IL 62650PHONE: (217) 479-3400
JACKSONVILLE SKILLED NURSING AND REHABILITATION
NPI #: 18415990811517 W WALNUTJACKSONVILLE, IL 62650PHONE: (217) 243-6451
KANKAKEE, IL
MANORCARE HEALTH SERVICES KANKAKEE
NPI #: 1063459626900 W RIVER PLACEKANKAKEE, IL 60901PHONE:
KEOKUK, IA
RIVER HILLS VILLAGENPI #: 176070705320 VILLAGE CIRCLEKEOKUK, IA 52632-2040PHONE: (309) 343-1550
SKILLED NURSING FACILITIESSKILLED NURSING FACILITIES
Affiliated Hospitals/Ancillary Care Providers
497
KEWANEE, IL
ROYAL OAKS CARE CENTERNPI #: 1194781807605 EAST CHURCH STKEWANEE, IL 61443PHONE: (309) 852-3389
KNOXVILLE, IL
KNOX COUNTY NURSING HOME
NPI #: 1326035304800 N MARKET STKNOXVILLE, IL 61448PHONE: (309) 289-2338
LA HARPE, IL
LAHARPE DAVIER HEALTH CARE CENTER
NPI #: 1003943705101 N B STLA HARPE, IL 61450PHONE: (217) 659-3222
LE ROY, IL
LEROY MANORNPI #: 1659366672509 S BUCK RDLE ROY, IL 61752PHONE: (309) 962-5000
LINCOLN, IL
ABRAHAM LINCOLN MEMORIAL HOSPITAL
NPI #: 1154329753200 STAHLHUT DRLINCOLN, IL 62656PHONE: (217) 732-2161
NUCARE SERVICES CORPORATION
NPI #: 13061136672202 NORTH KICKAPOO STLINCOLN, IL 62656PHONE: (217) 735-1538
ST CLARAS MANORNPI #: 1346231198200 5TH STREETLINCOLN, IL 62656PHONE: (309) 828-4361
LITCHFIELD, IL
HERITAGE HEALTH: THERAPY & SENIOR CARE
NPI #: 1548251382628 S ILLINOIS STLITCHFIELD, IL 62056PHONE: (217) 324-2153
MACOMB, IL
COUNTRYVIEW CARE CENTER OF MACOMB
NPI #: 1730127218400 W GRANT STMACOMB, IL 61455PHONE: (309) 837-2386
HEARTLAND HEALTH CARE CENTER-MACOMB
NPI #: 16795112658 DOCTORS LANEMACOMB, IL 61455PHONE: (309) 833-5555
MCDONOUGH DISTRICT HOSP-SNF
NPI #: 1841386190525 E GRANTMACOMB, IL 61455PHONE: (309) 833-4101
MARION, IL
PARKWAY MANORNPI #: 12250255963116 WILLIAMSON COUNTY PKWYMARION, IL 62959PHONE: (618) 533-1200
MASON CITY, IL
MASON CITY AREA NURSING HOME
NPI #: 1487645024520 N PRICE AVEMASON CITY, IL 62664PHONE: (217) 482-5022
MATTOON, IL
DOUGLAS CARE & REHAB CENTER
NPI #: 13867134513516 POWELL LANEMATTOON, IL 61938PHONE: (217) 234-6401
MATTOON HEALTHCARE & REHABILITATION CENTER
NPI #: 14576237532121 S 9TH STMATTOON, IL 61938PHONE: (217) 235-7138
ODD FELLOW REBEKAH HOME
NPI #: 1700877545201 LAFAYETTE EASTMATTOON, IL 61938PHONE: (217) 235-5449
PALM TERRACE OF MATTOON
NPI #: 14876102911000 PALM AVEMATTOON, IL 61938PHONE: (217) 234-7403
SARAH BUSH LINCOLN HEALTH CENTER
NPI #: 17100619241000 HEALTH CENTER DRMATTOON, IL 61938PHONE: (217) 258-2279
SKILLED NURSING FACILITIESSKILLED NURSING FACILITIES
Affiliated Hospitals/Ancillary Care Providers
498
MINONK, IL
HERITAGE HEALTH: THERAPY & SENIOR CARE
NPI #: 1750372801201 LOCUSTMINONK, IL 61760PHONE: (309) 432-2557
MONTICELLO, IL
PIATT COUNTY NURSING HOME
NPI #: 12958145561111 N STATE STMONTICELLO, IL 61856PHONE: (217) 762-2506
MOUNT PULASKI, IL
HENRY & JANE VONDERLIETH LIVIN
NPI #: 13765381571120 N TOPPER DRMOUNT PULASKI, IL 62548PHONE: (217) 792-3218
MT STERLING, IL
HERITAGE HEALTH: THERAPY & SENIOR CARE
NPI #: 1891786927435 CAMDEN RDMT STERLING, IL 62353PHONE: (217) 773-3377
MT ZION, IL
HERITAGE HEALTH: THERAPY & SENIOR CARE
NPI #: 15886554761225 WOODLAND DRMT ZION, IL 62549PHONE: (217) 864-2356
NEWMAN, IL
NEWMAN REHAB & HEALTH CARE CENTER
NPI #: 1578646691418 S MEMORIAL PARK RDNEWMAN, IL 61942PHONE: (217) 837-2421
NOKOMIS, IL
NOKOMIS REHABILITATION & HEALTH CARE CENTER
NPI #: 1952399255505 STEVENS STNOKOMIS, IL 62075PHONE: (217) 563-7725
NORMAL, IL
HERITAGE HEALTH: THERAPY & SENIOR CARE
NPI #: 1841281979509 N ADELAIDE STNORMAL, IL 61761PHONE: (309) 452-7468
PARIS, IL
PARIS HEALTHCARE CENTER
NPI #: 18716461331011 N MAIN STPARIS, IL 61944PHONE: (217) 465-5376
TWIN LAKES REHAB & HEALTH CARE CENTER
NPI #: 1992805147310 EADS AVEPARIS, IL 61944PHONE: (217) 465-5395
PAXTON, IL
ASTA CARE CENTER OF FORD COUNTY
NPI #: 18614996591240 N MARKETPAXTON, IL 60957PHONE: (217) 379-4896
HEARTLAND HEALTH CARE CENTER-PAXTON
NPI #: 13664896011001 E PELLS STPAXTON, IL 60957PHONE: (217) 379-4361
ILLINOIS KNIGHTS TEMPLAR HOME
NPI #: 1952308744450 E FULTON STREETPAXTON, IL 60957PHONE: (217) 379-2116
PEKIN, IL
PEKIN MANORNPI #: 17604795051520 EL CAMINO DRPEKIN, IL 61554PHONE: (309) 353-1099
TIMBERCREEK REHABILITATION & HEALTH CARE CENTER
NPI #: 13463405692220 STATE STPEKIN, IL 61554PHONE: (309) 347-1110
PEORIA HEIGHTS, IL
CORNERSTONE REHABILITATION & HEALTH CARE
NPI #: 18415397495533 N GALENA RDPEORIA HEIGHTS, IL 61614PHONE: (309) 682-5428
PEORIA, IL
HEARTLAND HEALTH CARE CENTER-PEORIA
NPI #: 19321465605600 GLEN ELM DRPEORIA, IL 61614PHONE: (309) 693-8777
MANOR COURT OF PEORIANPI #: 17009969726900 N STALWORTH DRPEORIA, IL 61615PHONE: (309) 693-1400
SKILLED NURSING FACILITIESSKILLED NURSING FACILITIES
Affiliated Hospitals/Ancillary Care Providers
499
PROCTOR HOSPITAL SKILLED NURSING
NPI #: 18210684045409 N KNOXVILLE AVEPEORIA, IL 61614PHONE: (309) 691-1000
THE LUTHERN HOMENPI #: 18614690416901 N GALENA RDPEORIA, IL 61614PHONE: (309) 692-4600
PIPER CITY, IL
PIPER CITY REHAB & LIVING CENTER
NPI #: 1982935789600 SOUTH MAPLE STPIPER CITY, IL 60959PHONE: (815) 686-2277
PITTSFIELD, IL
EASTSIDE HEALTH AND REHABILITATION CENTER
NPI #: 12856727661400 E WASHINGTON STPITTSFIELD, IL 62363PHONE: (217) 285-4491
PITTSFIELD MANORNPI #: 1992792147610 LOWRY STPITTSFIELD, IL 62363PHONE: (217) 285-5200
PONTIAC, IL
OSF ST JAMES HOSPITAL-SKILLED NURSING
NPI #: 10230606132500 W REYNOLDS STPONTIAC, IL 61764PHONE: (815) 842-2828
PRAIRIE CITY, IL
PRAIRIE CITY REHAB & HEALTH CARE
NPI #: 1932215548825 E MAIN STPRAIRIE CITY, IL 61470PHONE: (217) 659-3222
ROCK ISLAND, IL
SILVER CROSS HEALTH & REHABILITATION PAVILION
NPI #: 16998524911209 21ST AVEROCK ISLAND, IL 61201PHONE: (309) 786-9667
SANDWICH, IL
SANDWICH REHABILITATION & HEALTH CARE CENTER
NPI #: 1477579233902 E ARNOLD STSANDWICH, IL 60548PHONE: (815) 786-8409
SAVOY, IL
CHAMPAIGN URBANA REGIONAL REHAB CENTER
NPI #: 1023278835302 BURWASH AVESAVOY, IL 61874PHONE: (217) 402-9700
SHELBYVILLE, IL
SHELBYVILLE MANORNPI #: 18513872601111 WEST NORTH 12TH STSHELBYVILLE, IL 62565-9554PHONE: (217) 771-2111
SHERMAN, IL
VILLA HEALTH CARE EASTNPI #: 1417957309100 MARIAN PKWYSHERMAN, IL 62684PHONE: (217) 744-2299
SOUTH BELOIT, IL
FAIR OAKS REHABILITATION AND H
NPI #: 15785634411515 BLACKHAWKSOUTH BELOIT, IL 61080PHONE:
SPRINGFIELD, IL
CONCORDIA VILLAGENPI #: 12253102464101 W ILES AVESPRINGFIELD, IL 62711PHONE: (217) 793-9429
HERITAGE MANOR - SPRINGFIELD
NPI #: 1750372595900 N RUTLEDGE STSPRINGFIELD, IL 62702PHONE: (217) 789-0930
ST JOHNS TRANSITIONAL CARE UNI
NPI #: 1083696835801 E CARPENTERSPRINGFIELD, IL 62769PHONE: (217) 544-6464
STAUNTON, IL
HERITAGE HEALTH: THERAPY & SENIOR CARE
NPI #: 1629069331215 W PENNSYLVANIA AVESTAUNTON, IL 62088PHONE: (618) 635-5577
SULLIVAN, IL
EASTVIEW TERRACENPI #: 1700843448100 EASTVIEW PLACESULLIVAN, IL 61951PHONE: (217) 728-7367
MASON POINTNPI #: 1194703702ONE MASONIC WAYSULLIVAN, IL 61951PHONE: (217) 728-4394
SKILLED NURSING FACILITIESSKILLED NURSING FACILITIES
Affiliated Hospitals/Ancillary Care Providers
500
SULLIVAN REHABILITATION & HEALTH CARE CENTER
NPI #: 141791358311 HAWTHORNE LANESULLIVAN, IL 61951PHONE: (217) 728-4327
TAYLORVILLE, IL
MEADOW MANOR SKILLED NURSING AND REHABILITATION
NPI #: 1841599180800 MCADAM DRTAYLORVILLE, IL 62568PHONE:
TAYLORVILLE MEMORIAL HOSPITAL
NPI #: 1144292020201 E PLEASANT STTAYLORVILLE, IL 62568PHONE: (217) 824-3331
TAYLORVILLE MEMORIAL HOSPITAL SNF
NPI #: 1861465213201 E PLEASANT STTAYLORVILLE, IL 62568PHONE: (217) 824-3331
TOULON, IL
TOULON REHAB & HEALTH CARE CENTER
NPI #: 1720045164HIGHWAY 17 EASTTOULON, IL 61483PHONE: (309) 286-2631
TUSCOLA, IL
TUSCOLA HEALTH CARE CENTER
NPI #: 16099768691203 EGYPTIAN TRAILTUSCOLA, IL 61953PHONE: (217) 253-4791
URBANA, IL
CHAMPAIGN COUNTY NURSING HOME
NPI #: 1982602330500 S ART BARTELL ROADURBANA, IL 61802PHONE: (217) 384-3784
CLARK-LINDSEY VILLAGENPI #: 1922003326101 W WINDSOR ROADURBANA, IL 61801PHONE: (217) 344-2144
VIRDEN, IL
SUNRISE SKILLED NURSING AND REHABILITATION CENTER
NPI #: 1578862710333 S WRIGHTSMANVIRDEN, IL 62690PHONE: (217) 965-4715
VIRGINIA, IL
WALKER NURSING HOMENPI #: 1265465652530 E BEARDSTOWN STVIRGINIA, IL 62691PHONE: (217) 452-3218
BLOOMINGTON, IL
OSF SLEEP MEDICINENPI #: 16199168061505 EASTLAND AVE SUITE 320BLOOMINGTON, IL 61701PHONE: (309) 662-2368
SLEEP CENTER OF CENTRAL IL LLC
NPI #: 14079651302204 EASTLAND DR STE 100BLOOMINGTON, IL 61704PHONE: (309) 662-1558
CHAMPAIGN, IL
CU SLEEP INCNPI #: 18715238291207 S MATTIS AVE SUITE 3CHAMPAIGN, IL 61821PHONE: (217) 355-1684
GALESBURG, IL
OSF ST MARY MEDICAL CENTER
NPI #: 11644853633333 SEMINARY STGALESBURG, IL 61401PHONE: (309) 344-3161
PEORIA, IL
OSF SAINT FRANCIS MEDICAL CENTER
NPI #: 1043260482530 NE GLEN OAK AVEPEORIA, IL 61637PHONE: (309) 655-2000
PONTIAC, IL
OSF SAINT JAMES SLEEP & LUNG CENTER
NPI #: 1407808090702 RITTENHOUSE DRPONTIAC, IL 61764PHONE: (815) 844-7533
ALEDO, IL
MERCER COUNTY HOSPITALNPI #: 1093715799409 NW NINTH AVEALEDO, IL 61231PHONE: (309) 582-5301
SLEEP DISORDER CENTER
SPEECH THERAPY
SKILLED NURSING FACILITIESSPEECH THERAPY
Affiliated Hospitals/Ancillary Care Providers
501
BLOOMINGTON, IL
OSF REHABILITATION SERVICES
NPI #: 16199168061505 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 661-4477
1701 E COLLEGE AVEBLOOMINGTON, IL 61701PHONE: (309) 661-3420
CHARLESTON, IL
CARLE THERAPY SERVICESNPI #: 14372753285731 PARK DRCHARLESTON, IL 61920PHONE: (217) 258-3640
MACOMB, IL
MCDONOUGH DISTRICT HOSPITAL
NPI #: 1669420766525 E GRANT STMACOMB, IL 61455PHONE: (309) 833-4101
MATTOON, IL
SARAH BUSH LINCOLN HEALTH CENTER
NPI #: 16695646621000 HEALTH CENTER DRMATTOON, IL 61938PHONE: (217) 258-2500
NORMAL, IL
OSF REHABILITATION SERVICES
NPI #: 16199168062200 FT JESSE RD SUITE 230NORMAL, IL 61761PHONE: (309) 661-6260
PEORIA, IL
OSF SAINT FRANCIS MEDICAL CENTER
NPI #: 1043260482530 NE GLEN OAK AVEPEORIA, IL 61637PHONE: (309) 655-2000
ROCKFORD, IL
OSF CENTER FOR HEALTH - STATE STREET OUTPT CTR
NPI #: 17907399775510 E STATE STROCKFORD, IL 61105PHONE: (815) 395-4555
OSF SAINT ANTHONY MEDICAL CENTER
NPI #: 17907399775666 E STATE STROCKFORD, IL 61108PHONE: (815) 226-2000
URBANA, IL
CARLE THERAPY SERVICESNPI #: 1013071653810 W ANTHONY DRURBANA, IL 61801PHONE: (217) 383-3400
BLOOMINGTON, IL
CONVENIENT CARENPI #: 16199168061701 E COLLEGE AVEBLOOMINGTON, IL 61701PHONE: (309) 664-3000
OSF PROMPTCARE - BLOOMINGTON
NPI #: 16199168061505 EASTLAND AVE SUITE 1100BLOOMINGTON, IL 61701PHONE: (309) 663-2100
OSF PROMPTCARE AT CENTER FOR HEALTH - NORD FARMS
NPI #: 16199168061001 MITSUBISHI MOTORWAYBLOOMINGTON, IL 61701PHONE: (309) 828-0806
NORMAL, IL
OSF PROMPTCARE AT CENTER FOR HEALTH - FR JESSE
NPI #: 16199168062200 FT JESSE RDNORMAL, IL 61761PHONE: (309) 661-6280
PEORIA, IL
OSF PROMPTCARE AT CENTER FOR HEALTH - GLEN PARK
NPI #: 10432604825114 N GLEN PARK PLACEPEORIA, IL 61614PHONE: (309) 683-6600
OSF PROMPTCARE AT CENTER FOR HEALTH - ROUTE 91
NPI #: 10432604828800 N ROUTE 91PEORIA, IL 61615PHONE: (309) 683-5000
PONTIAC, IL
OSF PROMPTCARE - PONTIAC
NPI #: 14078080902500 W REYNOLDS STPONTIAC, IL 61764PHONE: (309) 665-5937
URGENT CARE
SPEECH THERAPYURGENT CARE
Affiliated Hospitals/Ancillary Care Providers
502
ROCKFORD, IL
OSF PROMPTCARE - ROCK CUT
NPI #: 17907399779951 ROCK CUT CROSSINGROCKFORD, IL 61111PHONE: (815) 639-8450
OSF PROMPTCARE - SOUTHRIDGE
NPI #: 17907399774423 MANCHESTER DRROCKFORD, IL 61109PHONE: (815) 394-1391
URGENT CAREURGENT CARE
Index
503
AANESTAD, DAVID J., MD ...................................230ABADEER, PETER S., DO ............................................5ABBASI, ISMAIL, MD .......396ABDULLAH, AFZAL H., MD ..................................195ABELITA, GIL B., MD .......404ABRAHAM LINCOLN MEMORIAL CHILDRENS HOSPITAL ...........................469ABRAHAM LINCOLN MEMORIAL HOSPITAL ...........469, 490, 497ABRAHAM LINCOLN MEMORIAL HOSPITAL SWING BED ......................................470ABRAHAM, PHILIP J., MD ........................................380ABRAHAM, RAJU Z., MD ................................212, 384ABRAMS, ROBERT M., MD .........................345, 378ACAKPO-SATCHIVI, LESLIE J., MD .....................371ACHARYA, HARIRAM KABIYAD, MD ...................298ADAIR, DANIEL, MD ........373ADAMS, FRANK B., DO ........................................312ADAMS, JAMES K., MD ..........................................88ADDAI, THEODORE R., MD ..................................232ADEN, DENISE M., LCSW ...................................412ADHIKESAVAN, LEENA G., MD ....................334ADVOCATE BROMENN COMFORT & CARE SUITES.................................468
ADVOCATE BROMENN MEDICAL CENTER...............470, 489, 490ADVOCATE BROMENN REGIONAL MEDICAL CENTER ...........493ADVOCATE EUREKA HOSPITAL ...........................468ADVOCATE EUREKA HOSPITAL PHYSICAL THERAPY ............................489ADVOCATE HOME HEALTH ..............................484ADVOCATE HOSPICE .............................486AGARWAL, ANITA, MD ..........................................88AGARWAL, DEVASHISH, MD ...........15, 92AGARWAL, NARESH K., MD ....................................88AGARWAL, YOGESH K., MD ..................................195AGGARWAL, ANJANA, MD ..............194, 294AGHA, AHMAD J., MD ................................270, 271AGOUDEMOS, MELISSA M., MD ...............376AGRAWAL, BRAJESH K., MD ...............370AGUIRRE, FRANK V., MD ........................................356AGUIRRE-CASTANEDA, ROXANA L., MD ................327AHAD, SAJIDA, MD ..........364AHEARN, MICHAEL A., MD ....................................62AHLRICH, CATHY, LPC .......................................413AHMAD, ANWAR, MD ........................................264AHMAD, AQEEL, MD .......369AHMAD, IFTEKHAR U., MD ..................................352
AHMAD, ZEESHAN, MD................................289, 396AHMAD, ZUBAIR, MD................................244, 245AHMED, ADEEB, MD.......261, 278, 356AHMED, FAISAL, MD404, 433AHMED, FAREEDUDDIN, MD .........232AHMED, MOHAMMAD S., MD ........391AHMED, NAZNEEN, MD..........................................43AHMED, NOORUZSABHA, MD .......243AHMED, SABA Y., MD........................................271AHMED, SAROSH, MD..........................................85AHUJA, RENO K., MD .......417AIJAZ, MAIMOONA, MD..........................................59AIMAN, EMILY K., LCSW ...................................436AJMERE, KISHOR G., MD..........................................61AJUNWA, MELISSA O., MD ..................................393AKER, NIDAL M., MD .......232AKESON, JEFFREY W., MD .................................324AKHTAR, NAVEED, MD........................................209AKINTILO, OLATUNJI R., MD................62AKWA, KARLA R., MD..........................................81AL SHEIKHA, MOUHAMED W., MD ........231ALA, THOMAS, MD...........370ALAANI, ZIAD, MD ...........266ALAHI, PETER, MD ...........445ALAUSA, MORUFU O., MD ..................................266ALBARO, CECILIA A., MD ....................................96ALBERS, JANET, MD ........118ALBERS, WILLIAM, MD........................................326
A
AANESTAD, DAVID J., MDALBERS, WILLIAM, MD
Index
504
ALBERTS, RAYMOND L., MD.............251ALBOUSHI, HANI, MD ..........................................68ALBRACHT, BRYAN J., DO ....................................118ALBRACHT, DOUGLAS, DO ...................263ALCALA, GILDA M., MD ..........................................61ALDERMAN, JULIE A., LCPC ..............................454ALDRIDGE, TRACY A., MD ..................................118ALEXANDER, INGRID I., MD ....................355ALEXANDER, JAMES O., MD ........................49, 55, 71ALEXANDER, PHILIP J., MD ...................................272ALEXANDER, RICHARD B., MD ...............460ALFORD, RODNEY S., MD ..............................58, 62ALI, AMAN, MD .................363ALI, MAQBOOL, MD .........146ALI, MUHAMMAD A., MD ..................................337ALI, MUHAMMAD, MD ..........................................55ALI, SYED M., MD ...............96ALI, SYEDA, MD ................101ALLAN, D GORDON, MD ........................................373ALLEGA, ROHN S., MD ..................................35, 126ALLEN, BRIAN A., LCSW ...................................454ALLEN, OTIS, MD ..............205ALLEN, QUENTIN B., MD ........................................321ALLEN, RICK L., LCPC ....................................401ALLURI, VINOD N., MD ........................................460ALLURI, VINOD, MD ........408ALMUSADDY, MOUSAB, MD.....................270
ALNATOUR, MOURAD, MD ......................97ALONSO, ALEXANDER J., MD .199, 214, 253, 260, 275, 282, 292, 304, 317, 343AL-RAHAWAN, MOHAMAD M., MD.............96AL-RASHDAN, ABDULLAH, MD ........247, 312AL-SHEIKHA, MOUHAMED W., MD ..........30ALUL, RUSHDI, DO .............77ALVARADO, JOAN, MD ..........................................21ALVI, FARHANA P., MD ..........................................26ALWARD, PHILLIP D., MD ..................................236AMANULLAH, JAMALUDDIN F., MD .........85AMARE, DAWIT, DO.........424AMARIS, MANUEL ALBERTO A., MD ..............363AMBLE, FINN R., MD 197, 203AMBULATORY SURGERY CENTER SPRINGFIELD CLINIC .................................472AMERICA AMBULANCE SERVICE INC......................471AMERICAN MEDICAL SUPPLY AND SERVICE CO .............479AMIEWALAN, ANTHONY O., MD .............138AMIN, DEVIN V., MD ........371AMIN, NEHA N., MD .........151AMLANI, AARTI, MD .........97AMMAR, RICHARD F., MD ..................................356AMOS-SCHULTE, NANCY A., LCSW ..............436ANALYTIS, PETER D., MD ..........................266, 271ANALYTIS, SPYRO D., MD ....................................25
ANDERSEN, JON E., DO ........................................217ANDERSON, ERIC K., MD..........................................48ANDERSON, RICHARD C., MD .......313, 342ANDERSON, THOMAS E., OD .................180ANDERSON, WILLIAM M., LCPC ...........407ANDREWS, ANDREA E., LCPC...............................401ANDREWS, LIZY, MD........................................135ANNABA, FADI, MD .........363ANNE, VASANATHA L., MD ..................................146ANSAR, SAMEER, MD........................................349ANTHONY, ROBERT R., MD ..................................138ANTONSEN, INGRID C., MD ....................................18ANTONY, NEDUVELIL A., MD ............40ANUMU, ELISABETH A., MD ....................................64ANWAR, MUHAMMED UMAIR, MD ..........................67APPEL, MIKKA M., MD............................................4APPLEBAUM, ROBERT E., MD .................272APPLETON, HELEN, PHD ......................................463APRAHAMIAN, ARA D., MD .201, 228, 236, 250, 257, 305, 322, 339, 372APRAHAMIAN, CHARLES J., MD ................329APRIA HEALTHCARE ..477, 478, 481, 484, 485APRIA HEALTHCARE INC...478, 479, 480, 482
ALBERTS, RAYMOND L., MDAPRIA HEALTHCARE INC
Index
505
APRIA HEALTHCARE INC DES MOINE ........................480APRIA HEALTHCARE INC FIFE WA ..............................478APRIA HEALTHCARE-AMES ...................477, 478, 479APRIA HEALTHCARE-BLOOMINGTON ................477APRIA HEALTHCARE-FORT WAYNE ...............................481APRIA HEALTHCARE-FREEPORT ..........................481APRIA HEALTHCARE-MERRILLVILLE .................482APRIA HEALTHCARE-NAPERVILLE .....................478APRIA HEALTHCARE-PEORIA ................................479APRIA HEALTHCARE-ROCKFORD ........................479APRIA HEALTHCARE-SPRINGFIELD.............478, 479APRIA HEALTHCARE-TERRE HAUTE ...................482APTE, DIPALI, MD.............201ARABELLA .........................482ARBET, TIMOTHY, OD ................................158, 186ARBUTHNOT, JANE R., MD ..................................151ARCHEY, JOANN, MD ........................................103ARCOLA HEALTH CARE CENTER ...................493ARENTZEN, CARL E., MD ........................................360
ARGUELLES, CESAR S., MD ....................................35ARIF, ABUZAFAR, MD ........................................312ARLA-POLAVARAPU, LATHA P., DO.......................80ARNETT, KENNETH L., MD ..................................326ARNETT, VALERIE, LCPC ....................................436ARNOLD, J STEVEN, MD ........................................239ARNOLD, JOHN M., MD ..........................................14ARONSON, KENNETH S., MD.......228, 392ARONSON, ROBERT, MD ................................212, 270ARONSON, SARI G., MD ........................................410ARRAMBIDE, KATHRYN H., MD .............353ARRAMBIDE, KATHRYN, MD ..................337ARROW MEDICAL SERVICES ...........................471ARTMANN, SHERYL, MD ........................................289ARUNACHALAM, ROSELIN, MD .....................410ASAM, TERESA, MD .....88, 97ASGHAR, MUHAMMED F., MD .........112ASH, JENNIFER L., MD ........................................336ASIHENE, WILLIAM Y., MD ..................................353ASLAM ZAHIR, SYED, MD ...........................243ASLAM, AZHAR, MD ........237ASTA CARE CENTER OF BLOOMINGTON ..........494ASTA CARE CENTER OF FORD COUNTY ............498ASTA HEALTHCARE CO ATTN CRAIG FRANK.........................494, 495
ATHERTON, LAWRENCE, MD ...............218ATKINS, CHARLES, OD160, 162, 165, 167, 168, 170, 176, 178, 180, 187, 191ATKINSON, JOLENE C., LCSW .............................412ATLANTIC DIALYSIS ............................473ATTA, TARA, MD ......346, 347ATTALURI, JAYALAKSHMI, MD .........418ATTALURI, PRATAP KUMAR, MD ...............417, 435ATTIA, ABDEL-MONEIM M., MD .......228, 392ATWATER, JOHN G., MD................................202, 257AUBRY, STACY, LCSW ...................................428AUDET, GUY, MD .............140AUDIOLOGY CONSULTANTS .........472, 473AUER, LINDA M., MD .......255AULAKH, BHAGAT S., MD ..................................332AUSFAHL, JAMES D., MD..........................................87AUSTMAN, KATHERINE M., MD .....47, 53AWADH, BASEM, MD........................................334AWUA-LARBI, STELLA Y., MD ..................266AYLWARD, GLEN, PHD ......................................463AYOADE, AYODELE O., MD ..................................424AYONOTE, ALEXIS, MD........................................286AZMAT, AWAIS, MD ..67, 107
BABICH, DEBRA, MD .......233BACHMAN, DENA L., OD ........................................159BACKUS, ANDREW W., OD..................................158
B
APRIA HEALTHCARE INC DES MOINEBACKUS, ANDREW W., OD
Index
506
BACKUS, KATHLEEN, LCPC .............401BADRUDDIN, AAMIR, MD ........................267BAER, JOHN D., MD ..........128BAHA, A GHAFOOR, MD ........................................325BAILEY, JONATHAN S., DMD........................220, 394BAILEY, SHAWN E., MD ............................54, 55, 140BAILEY, TIMOTHY S., MD ..................................234BAIRSETTY, ADARSH R., MD...................35BAISA, MARIA LENNIE Q., MD ....................19BAIZE, STARR L., LCSW ...........................431, 436BAJAJ, ARUN, MD ...............21BAJAJ, MADHURI, MD ........................................321BAJWA, ALI M., MD ............35BAKER, JOHN P., PHD ......................................411BAKER, MICHELLE S., LCPC ...............................436BAKER, RAYMOND C., PHD ................................436BAKER, VIRGINIA K., LCPC ..............................454BAKIR, MOUHAMAD H., MD ..................................380BALAGANI, RAJESH, DO ........................................332BALBORT, LIBERTY A., MD ....................................70BALDWIN, TERRY L., MD ................................247, 312BALL, AMANDA, PSYD ............................405, 416BALOUCH, IMRAN L., MD ..................................312BALTAZAR, JOSE A., LCSW ...................................420BAMAN, TIMIR S., MD ........................................308BANDY, JOHN R., MD ..........................................10
BANE, ROBERT A., MD ........................................394BANGARULINGAM, SUJAY Y., MD ....................396BANGASH, SULEMAN J., DO ...............243BARAKAT, NABIL A., MD ........................................281BARBA, KENNETH R., MD .201, 237, 250, 257, 305, 322, 339BARK, GEORGE A., MD ....................................57, 85BARKER, B CLAIRE, MD ........................................390BARKMEIER, LYNNE D., MD ..........................264, 384BARNES, RONALD L., MD ............................35, 236BARNETT, JAMES W., MD ...................................92BARNHART, AMBER J., MD ...................................118BARNHART, BRETT M., MD .................................215BARON, THOMAS E., MD ........................280, 383, 387BARPUJARI, VIKRAM, MD .....................233BARTLETT, ANDREA, LCSW ........401, 436BARTLETT, ANDREW, DO .......................17BARTLOW, MICHELLE, LCPC ..............450BARZALLO, MARCO A., MD ..................................308BARZALLO, MARCO, MD ........................................302BASH, STEPHEN E., MD ................................239, 326BASHIR, ANJUM, MD404, 416BASHIR, QASIM, MD ........266BASILE, PAUL T., DPM .....................................337BASILIOS, FATHY, MD ..........................................20BASS, ERIC, MD.........264, 265
BASS, RICHARD M., MD........................................375BASSETT, TONYA, LCSW ...........................401, 437BATEY, ANDREW, MD........................................389BATISH, NAINA, MD ..........13BATTEN, MARIA G., LCPC ....................................454BATTENBURG, JAMES R., MD ......................77BATTERMAN, CRAIG E., MD .....................123BATTON, BEAU J., MD........................................369BATTON, DANIEL G., MD........................................369BAUER, CAROL M., MD........................................375BAUER, KIMBERLY A., MD ..........................210, 265BAUM, TARA L., MD ........140BAUMBERGER, DAVID W., MD .....................34BAUMGARTNER, WILLIAM W., MD ................57BAYLOR, MARK C., MD....................................44, 54BAZ, BELLA Y., MD ..........132BAZ, SAMUEL T., MD132, 398BEAL, HEATHER, MD........................................151BEANBLOSSOM, BRENDA I., LCPC ..............407BEARD, CHARLES W., LCPC .............................454BEASLEY, CLARE A., LCSW ...................................452BEASLEY, DANIELLE D., LCSW ........401BEAUDRY, ASHLEY V., LCPC ......................430, 448BECK, DONNA T., MD........................................131BECK, JOHN P., MD...........410BECK, SARAH J., LCPC ....................................400BECKEMEYER, SHAWN, MD .........................25
BACKUS, KATHLEEN, LCPCBECKEMEYER, SHAWN, MD
Index
507
BECKER, CECILE F., MD ................................217, 370BECKER, JASON E., MD ..........................................97BECTON, WENDELL W., MD .................................382BEDNARZ, MICHAEL P., MD ..................................427BEDNARZ, MICHAEL, MD ...................419BEDWELL, WILLIAM H., OD ..................................186BEECHER, LISA S., LMHC...................................400BEHAVIORAL HEALTH SERVICES ..426, 488BEITEL, JOYCE W., MD ........19, 20, 73, 74, 135, 142BEKX, PAUL A., MD .........251BELFORD, MARY E., MD ........................................424BELGRAVE, STEPHEN J., MD.....................8BELICENA, JONETTE P., MD ....................................61BEMENT HEALTH CARE CENTER ...................493BENAVIDES-LOPEZ, VALERIA C., MD ...............327BENDRE, DHANNAJAY, MD .....256, 270BENEDICT, JANICE S., LSW ................................425BENEJAM, RALPH S., MD ........................................256BENGTSON, TIM, OD ........174BENIG, VINCENT R., MD ........................................110BENNE, JENNIFER A., BCBA .............................437BENNETT, GREGORY, MD ..................123BENNETT, JEFFREY I., MD ...................................460BENNETT, JEFFREY, MD ........................................460BENNETT, TARA Z., MD ........................................152
BENNETT, THOMAS O., MD ..................................267BENOIT, DANIEL N., DPM .....................................211BENSON, JEFFREY C., MD ..................................329BENSON, MICHAEL, DO ................................143, 145BENYAMIN, RAMSIN, MD .....203, 238, 299, 325, 340BERCK, LILLA, MD ...............5BEREKETAB, ELILTA, OD158, 164, 168, 172, 178, 184BERGMAN, BETH A., MD ........................................379BERKO, EBENEZER, MD ........................................351BERKSON, MICHAEL H., MD ..................................245BERLIN JR, RICHARD B., MD ...............389BERNSTEIN, AVIS M., PHD................................467BERRY, CHRISTOPHER J., MD ........................................242BERRY, NADA N., MD ........................................379BEST, DAVID G., MD 195, 308BEST, DAVID, MD .............302BEST, THOMAS, OD ..........192BEVILL, ROBERT S., MD ....................................14, 92BEWSEY, KELLY, MD ........................................335BEXTINE, HEDY A., LISW ....................................408BEY, DOUGLAS R., MD ........................................433BEYER-NOLEN, ELISABETH, MD ................150BHALLA, SURESH, MD ........................................265BHAMIDIPATI, PRASANTA, MD...........59, 123BHAR, NINA, OD ...............188
BHARGAVA, NIKHIL, DO.........................210BHATIA, PREM, MD............92BHATIA, SUMIT P., MD.......201, 228, 250, 257, 305, 322, 340BHATT, RENUKA, MD........................................265BHOSALE, NITIN, MD........................................466BHUGRA, MUDITA, MD........................................118BIERMAN, LORRIE A., LCPC ..............................427BIERNOT, JULIA, MD .......318BIGGERSTAFF, MATTHEW C., DO .....398, 399BIGGS, ROBERT, MD ............1BILYEU, ALAN D., MD..........................................79BILYEU, ALISON .................79BILYEU, JOE A., MD .........100BILYEU, SCOTT M., MD..........................................79BILYEU, THOMAS M., MD ...................................80BIRDOES, LISA M., LCPC ....................................437BIRGE, KENNETH, MD............................................8BIRKHOLZ, JILL A., MD........................................146BISHOP, PAUL, DPM .353, 399BITAR, GERARD G., MD........................................118BITAR, GHASSAN, MD........................................445BITNER, BETHANY L., MD ..............................55, 72BITTLE, DIANE M., LCSW ...................................437BITZER, DAVID J., MD........................................383BIVIN, RICHARD E., MD..........................................66BIXBY, KREY A., OD ........180BLACK HAWK DIALYSIS ............................477
BECKER, CECILE F., MDBLACK HAWK DIALYSIS
Index
508
BLACKMAN, GARY L., OD ...................................165BLACKMAN, GARY, OD ........................................192BLAHA, CAROL A., LCPC ............................434, 437BLAIN, TIMOTHY A., MD ....................................89, 97BLAKE, JASON, LCSW ...................................418BLAKEMORE, GLENDA M., LCSW ...........420BLANCO, JEFFREY J., OD ........................................188BLAND, GEOFFREY A., MD ..................................118BLAND, RAYMOND S., MD ..................................460BLASER, JOSEPH A., DO ........................259, 280, 385BLESSING HOSPITAL ...................470, 490BLEYER, JOHN E., MD ................................112, 123BLEYER, LORIE A., MD ................................112, 123BLOMBERG, SCOTT, OD ........................................189BLOOMINGTON EYE INSTITUTE ..........................471BLOOMINGTON NORMAL HEALTHCARE ...................472BLOOMINGTON REHAB & HEALTH CARE ...................................494BLUME, GREGORY M., MD .........................215, 318BLUMTHAL, ROBERT J., OD ...................189BLUNDELL, WILLIAM M., LCPC ...........437BOBAT, ISMAIL A., MD 206, 207, 229, 230, 396, 397BOBELL, ROBERT C., OD ........................................160BOCHANTIN, TRACY A., MD ..................................146
BOCKHOLD, DINITA, OD ........................162, 176, 185BODDAPATI, LAKSHMI S., MD ...............423BODDU, LAVANYA, MD ........................105, 118, 119BODINE, CHRISTOPHER K., MD ................................284, 388BOE, ERIK P., MD ................10BOERKE, KYLE W., PSYD ....................................446BOHAN, JAMES A., MD ....................................58, 59BOHLEN, JOSEPH G., MD ........................................460BOHLS, ANN M., LPC416, 434BOKHARI, SYED S., MD ........................................210BOLIN, BARBARA M., LCPC..............................413BOLTON, SUSAN, MD ..........................................20BOND, WILLIAM I., MD ................................305, 322BONELLO, JULIUS C., MD ..........................311, 339BONELLO, JULIUS P., MD ........................................213BOREN, PHILLIP D., MD ..........................................16BORN, ROBERT J., DPM .............................221, 289BOROWIECKI, TOMASZ A., MD ........279, 373BORREGGINE, JOSEPH S., DPM .................223BOTTS, ERIC K., OD ..170, 175BOTTUM, KATHLEEN M., MD ...112, 461BOUDREAU, TERI D., LPC .......................................406BOWEN, WILLIAM J., MD ........................................227BOWERS, CHRISTINE, MD .................445BOWERS, DORIS A., MD ........................................109
BOWERS, JOSHUA D., MD ..............................15, 65BOWERS, STEVEN R., MD ..........................112, 123BOWMAN, DAVID M., LCPC..............................429BOWMAN, REGINALD, DO ....................87BOYD JR, WILLIAM M., DO ..................................146BOYD, EMILY B., MD .......150BOYD, JAMISON T., OD ................................165, 192BOYDSTUN, JOHN S., MD........................................252BOZARTH, JULIA M., LCPC ....................................401BOZDECH, JOHN M., MD........................................352BRAASTAD, FRED W., MD .........................248, 313BRAASTAD, ROBERT A., MD 224, 246, 249, 256, 277, 295, 338BRACO, ROBERT J., MD..........................................35BRADLEY, E MICHAEL, MD ...................152BRADLEY, JOHN G., MD..........................................35BRADLEY, JONATHAN R., OD ............165BRADY, HILLARY J., LCPC ....................................454BRAGER, PATRESA R., PHD ................................446BRAMLET, MATTHEW T., MD .............326BRANCH-DIRCKS, KELLIE E., LCSW.......400, 466BRAND, RONALD A., OD ................................184, 185BRANDT, GREGORY, MD........................................377BRANHAM, CHRISTINA M., MD .............38BRARD, LAURENT, MD................................152, 367
BLACKMAN, GARY L., ODBRARD, LAURENT, MD
Index
509
BRASCH, ANDREA V., MD ..........................226, 388BRASCHE-GULLETT, SUZANE, LCSW .................437BRATTAIN, T KEVIN, DPM .....................................331BRAUER, BARBARA A., LCSW .............................465BRAUN, DAVID A., MD ............................................8BRAY, KENNETH L., MD ........................................141BREITMEYER, RUDOLF G., PHD ...............446BREMMER, HARRY L., MD ..................................392BRENEMAN, BRADLEY C., LCSW .........455BRENHAM, CAREYANA M., MD ..........119BRENNER, MICHAEL J., MD ...................................379BRETSCHER, MARY E., MD ..........................279, 367BREWER, AARON T., MD ........................................364BREWER, BENJAMIN E., MD ....................................47BREWER, MICHAEL, MD ........................................119BRIAN, REGINA, PSYD ............................435, 446BRINKLOW, SUSAN S., LCSW ..............................413BRINKMAN-MOSIMAN, LESLEY E., MD ..................................145BRISAN, RODICA S., MD ........................................461BRITT, JOHN E., MD .........237BROADERS, KAREN M., MD .....................28, 29, 136BROADNAX, JOHN, MD ................................204, 325BROCK, KIRK, DPM ..........205BROCKENBROUGH, JOHN M., MD ......................394BRODLAND, GENE, LCSW ...................................455
BRODY, ANTHONY D., MD ..................................213BRODY, ANTHONY, MD ........................................302BRODY, JILL M., MD ........283BROEKHUIZEN, JAMIE C., DO ......................109BROMET, DAVID S., MD ........................................242BROOKS, DONNA J., LCPC ....................................437BROQUET, KAREN, MD ........................................461BROTHERS, JOHN E., OD ................164, 173, 186, 188BROWER, PENNY L., LCPC ....................................436BROWN, CHERYL L., MD ........................................152BROWN, CRAIG E., MD ....................................35, 36BROWN, DOUGLAS, DO ..........................................17BROWN, LYNN G., MD ........................................271BROWN, MATTHEW E., LCPC...............................411BROWN, PATRICIA M., LCPC..............................413BROWN, RICHARD E., MD ..........................259, 379BROWNE, ALLEN F., MD ........................................329BROWNSTONE, DANIEL D., MD ..................201BRTVA, DENNIS M., OD ................................158, 181BRUCE, MICHAEL J., OD ........................................189BRUCE, TIM, PHD .............446BRUCKER, ALEXANDER, LCPC ..........402BRUHA, ROBERT, MD .......199, 214, 253, 260, 276, 282, 292, 304, 317, 343BRUIN, MICHAEL L., MD ........................................290BRUMIT, J MARK, MD ........................................235
BRUNE, DANIEL H., MD..........................................26BRUNNER, DAWN C., MD..........................................19BRUNO, LISA J., LCPC ....................................420BRYAN, GEORGE T., MD........................................352BRYANT, JILL K., LMHC...................................408BUCHANAN COUNTY DIALYSIS ..........475BUCHANAN, CHARLES R., MD .................70BUCKLIN, MEGAN K., LCPC ..............................406BUCKNAM, DAVID B., LCPC ..............................437BUCZKO, MATTHEW, OD ..................160BUEHLER, CHRISTINE J., MD ...............97BUEHLER, DONALD L., OD ...................................181BUENO, REUBEN A., MD........................................378BUESCHER, KEITH L., PHD.................................463BUESCHER, LUCINDA, MD............361, 362BUETOW, M KATHLEEN, MD ................131BUFFEY, TIMOTHY J., DO ......................................82BUGNO, TERRENCE J., MD ...................................246BUKHARI, FAISAL, MD........................................126BULL, DOUGLAS S., MD........................................220BUNTAIN, WILLIAM L., MD ..................................364BURCKHARTZMEYER, LISA J., MD.....................445BURGE, SUSAN J., DO ....................................3, 119BURKE, MARK, OD ...........181BURKS, JAMES H., MD........................................242
BRASCH, ANDREA V., MDBURKS, JAMES H., MD
Index
510
BURNETT, KATHRYN A., LCPC ..........455BURNETT, LENNA B., LCPC ..............................429BURNS, GEORGE M., MD ........................................112BURNS, STEVEN J., MD ........................................211BURR, JOHN S., MD .206, 207, 225, 248, 249, 250, 258, 277, 278, 300, 301, 341BURR, JOHN, MD.................81BURRESS, SABRA R., LCPC ....................................400BURRI, MANJULA V., MD ........................................356BURTON, JENNIFER E. ...........................................390BUSHELL, LORI K., LCPC ....................................437BUSHEY, AMY L., LCPC ....................................453BUSSING, ROBERT C., MD ..................................112BUTLER, CYNTHIA A., LCSW .............................455BUTLER, PATRICK J., MD ................259, 279, 372, 386BUTNARIU, DANIEL L., MD ..................................380BUTNARIU, MADALINA I., MD.............363BUZZELL, ROBERT, MD ........................................369BYERS, DOUGLAS M., MD ...................................56BYLER DANN, REBECCA J., MD ........146, 315BYLER DANN, REBECCA, MD ...................146BYRD, ADRIAN M., LCSW ...........................402, 414BYRKIT, GRETCHEN L., MD ..................................138
CABLE, DAVID G., MD ........................................352
CACERES, LUIS J., MD ........................................232CACERES, LUIS, MD .........285CADET-SAINTILUS, KAREN, MD ..........................92CADMAN, CHRISTOPHER S., MD ........................................232CADY, BENJAMIN W., MD ...................................57CADY, BRIAN J., MD ..........57CAFFERY, DENNIS R., MD ....................................58CAHILL JR, THOMAS B., MD ..................................285CAHILL, THOMAS, MD ........................................356CAIN, JARRETT D., DPM .....................................292CALDEMEYER, KAREN S., MD ....................393CAMACHO, KENNETH, MD ...........247, 312CAMBRON-TALBOTT, CONNIE G., LCSW .............................437CAMDEN, TIMOTHY H., MD ..............................72, 75CAMPBELL, PAMELA A., MD ........459, 461CANEVA, DARYL S., DPM .....................................281CANHAM, JEFFREY R., MD ..................................240CANTY, MARK D., MD ........................................315CAO, THOMAS L., MD ........................................243CAPITAL CITY DIALYSIS ............................475CAPRIROLO, GIOVANNA M., MD...........376CARD, EDWIN L., MD .......281CARE CENTER OF ABINGDON .........................493CAREPAKS MEDICAL SUPPLIES .........478CAREY, ALEXANDRIA, LISW ........408
CARLE FOUNDATION HOSPITAL ...........................471CARLE HOME CARE.........483CARLE HOME INFUSION ...........................485CARLE MEDICAL SUPPLY .......................478, 479CARLE REHABILITATION CENTER...............................493CARLE SURGICENTER - DANVILLE ..........................472CARLE THERAPY SERVICES ..488, 489, 490, 491, 501CARLINVILLE AREA HOSPITAL ...................468, 483CARLSON, JUDY, LCPC ....................................437CARLSON, NANCY J., MD........................................155CARLSON, RUSSELL M., DPM ...............................293CARLSON, WADE D., MD..........................................92CARMICHAEL, CRAIG, MD .........................204CARMODY, SUSAN, MD............................................8CARNEY, JOHN D., LCSW ...................................420CARPENTER, MATTHEW, MD .................333CARPER, NANCY, LCPC ............................437, 467CARRIER, JEREMY R., MD ..............................50, 77CARRINGTON, SCOTT L., MD.......................82CARROLL, CHERIE, LCSW ...................................431CARROLL, DENNIS M., MD ...................................66CARSON, DEBRA, DO ........................................150CARTER, THOMAS, MD........................................349
C
BURNETT, KATHRYN A., LCPCCARTER, THOMAS, MD
Index
511
CASEY HEALTH CARE CENTER ...................494CASH, JASON W., MD .....8, 41CASHEN, CHRISTOPHER, LCPC ....................................431CASHMAN, MICHAEL D., MD...............312CASS COUNTY HOME HEALTH AGENCY .............................492CASS SCHUYLER AREA HOSPICE..................486CASSELLA-JOHNSON, DONNA M., LCPC..............................428CASTALDO, RAYMOND L., MD.............123CASTILLO, ISABELO C., MD ..................................283CASTLE, CARL, MD ............73CASTOR, LINDA K., LCPC ....................................455CASTROVILLO, GEORGE, MD .......................46CATT, LUCAS L., MD ..........73CATT, SUSAN, MD ............146CAVANAGH, PATRICK J., MD ...................36CECIL, JAMES, DO ............140CEDAR RAPIDS DIALYSIS ............................474CEDAR VALLEY DIALYSIS ............................477CEDAR VALLEY WAVERLY DIALYSIS ............................477CENTER FOR HEALTH AMBULATORY SURGERY CENTER ...........472CENTER FOR OUTPATIENT MEDICINE...........................471CENTRAL DES MOINES DIALYSIS............474CENTRAL IL PHYSICAL THERAPY ....................491, 492
CENTRAL ILLINOIS ENDOSCOPY CENTER...............................483CENTRAL ILLINOIS KIDNEY & DIALYSIS ASSOCIATES SC ................477CENTRAL ILLINOIS MEDICAL ............................479CENTRAL ILLINOIS NEURORADIOLOG ...........473CERNOVICH, RICK S., MD ..................................109CESNJAJ, MIRJANA, MD ........................................130CETINDAG, IBRAHIM B., MD ................364CHADWICK, STEPHEN J., MD.................237CHAKRABARTI, SUDARSANA, MD ...............60CHALASANI, PRATIMA, MD ....................112CHALIAN, VICKEN S., MD ..................................208CHAMBERLIN, JASON G., DO .................46, 47CHAMBERS-DAMM, KRISTEN A., MD ..................92CHAMPAIGN COUNTY NURSING HOME ..................................500CHAMPAIGN SURGICENTER LLC ..........471CHAMPAIGN URBANA REGIONAL REHAB CENTER ................499CHAMPION FITNESS DBA PT & ATHLETIC TRAINING ...........489, 490, 491CHAN, DAVID P., MD ......241, 245, 252, 326, 351, 385CHAN, SUK-YIN, MD ........349CHANDAN, NARESH C., DO .....................................12CHANDRA, ALPANA, MD ................................380, 385CHANES, HECTOR, PSYD ....................................401
CHANG, DONGWOO J., MD ...................................350CHANG, JEFFREY Y., MD........................................311CHAPA, VITTAL V., MD........................................132CHAPIN, THEODORE J., PHD..................................446CHAPMAN, DAVID C., MD ..................................152CHAPMAN, PATRICIA A., DPM ............224CHARLES, BERNARD R., MD ..............269CHARLES, DAVID R., DO ................................308, 309CHARLESTON REHAB & HEALTH CARE CENTER ...................494CHASE, CARMEN D., MD................................405, 433CHASE, DANIEL M., MD................................260, 389CHATRATH, SANJAY, DO .......................132CHATRATH, UMESH, MD..........................................97CHAUDHARY, SUBHASH, MD ...................377CHAUDHRY, SOHAIL A., MD ..................219CHAUHAN, KEYUR M., MD ...................................60CHAUHAN, SUNIL M., MD 241, 248, 249, 277, 278, 298, 318, 339, 345CHAVALI, MALINI, MD..........................................89CHAWLA, BHUVAN, MD........................................266CHEEMA, USMAN A., MD..................................49, 255CHEN, PHILBERT, MD................................345, 393CHEN, RONG, MD .............392CHEN, XUEGUANG, MD........................................369CHENG, GENE, MD ...305, 318
CASEY HEALTH CARE CENTERCHENG, GENE, MD
Index
512
CHERRY, LINDA M., LCPC ....................................437CHERUKU, SAILAJA M., MD .................................363CHERUKURI, SUDHA, MD ........................253CHEVALIER, KRISTIE, OD .......176, 184, 185CHIEN, TONY L., DO.........354CHIHARA, SHINGO, MD ........................................368CHIOU, ANDY, MD ...........313CHITTIVELU, SUBRAMANYAM, MD ........................206, 332, 334CHIU, REGINA Y., MD ........................................353CHO, SEONG R., MD .........290CHODASH, HOWARD B., MD ...............364CHOKSHI, NIKHIL K., MD ........................................202CHOPRA, ARCHANA, MD ........................................429CHOPRA, ASHISH, MD ........................................364CHOPRA, KAMAL K., MD ....................................16, 54CHOW, MARY Y., MD ........................................201CHRISTENSEN, PAUL, MD ...................346, 347CHRISTIE CLINIC ..............472CHRISTIE CLINIC HEARING AID SERVICE .............................472CHRISTISON, AMY, MD ..........................................97CHRISTOPHERSEN, MATTHEW C., MD.............230CHRISTY, JEFFREY P., MD ..................................361CHU, ALFRED A., MD .......195CHU, CHAE O., MD ..225, 248, 249, 258, 277, 300, 341CHU, GORDON K., MD ........................................350CHU, GUOXIANG, MD ........................................195
CHUDWIN, DAVID S., MD ........................................209CHUNDI, VISHNU, MD ................................243, 272CHUNG, DAVID T., MD ........................................110CHUNG, JOSEPH Y., MD ........................................256CHUNG, RICHARD D., MD ..................................461CHUNG, STEVE Y., MD ........................................355CHUNG, SUNG J., MD .......269CHWAJOL, MARK .............267CIABURRI, DANIEL G., MD ..................................335CIANCIO, SEBASTIAN, MD ................230CINNAMON, SCOTT R., MD ....................................17CIPOLLA, ROBERT P., MD ..............................24, 42CIPOLLA, ROBERTO, MD ............................................8CLAMAN, CASSANDRA C., MD 217, 278, 362, 386CLARK, ANDREW T., OD ........................................189CLARK, KRISTEN N., OD158, 164, 169, 172, 179, 181, 184CLARK, MICHAEL E., DPM .....................................239CLARK, MONICA M., LISW ....................................412CLARK, STEVEN G., MD ........................................306CLARKE, SCOTT A., OD ................................163, 164CLARK-LINDSEY VILLAGE .............................500CLASSEN, MAGGIE, LCSW ...................................437CLAUSEN, CATHY L., MD ..........................333, 381CLAY, LAURA B., DO ...24, 56CLEMENTZ, GREGORY L., MD ................93
CLEMSON, BARRY, MD........................................302CLIMACO, RAMON U., MD ......................................1CLORE, JEAN L., PHD .......446CLUTS, ERIN, LCSW .........438COCHRAN, MICHAEL, MD .......................5COHEN, CAROL A., MD........................................239COHEN-LEWE, ADAM S., DO ........................80COKE, COURTNEY C., MD ..................................246COLBERT, JAY R., DO ............................23, 57, 108COLE, KENDRA J., LCSW ...................................427COLE, SUSAN J., MD...........89COLEN, BRADFORD E., MD ..................................445COLEN, MICHELLE R., MD ....................................59COLIN, VICTOR H., MD..........................................43COLLA, MICHAEL V., MD........................................388COLLINS, ANTHONY F., MD ..........................235, 287COLLINS, KATHLEEN E., LMHC...................................400COLLINS, KATHLEEN L., MD ..............17COLLODI, JOAN M., LCPC ....................................465COLOMBO, GIOVANNI, MD..................216COLONIAL MANOR ..........495COMERFORD, MICHAEL V., MD.......112, 123COMFORT, CHARLES D., MD.................75COMPREHENSIVE PROSTHETIC & ORTHOTICS........................492CONCORDIA VILLAGE .............................499
CHERRY, LINDA M., LCPCCONCORDIA VILLAGE
Index
513
CONFIDENTIALLY YOURS.................................492CONLEE, AMMEVAY C., MD ....................................50CONLEE, AMMEVAY D., MD ....................................50CONLON, JOSEPH D., MD ........................................362CONNELLY, TIMOTHY L., MD ......230, 302, 398CONSTANCE, ERIK, MD ........................................112CONVENIENT CARE .........501COOK, JEFFREY R., MD ........................................348COOK, L SCOTT, MD ........388COOK, MARY ANN, LCPC ............................411, 449COOK, RENEE, DO ............461COOLIDGE, BRADLEY S., MD.......212, 270COON, ALAN B., MD.........212COOPER, JEAN, LCPC ....................................451CORAM ALTERNATE SITE SERVICES ..................485CORLEY, RICHARD D., MD ..................................331CORNERSTONE REHABILITATION & HEALTH CARE ..................498CORREA-KAISER, MARIA J., PHD ...................413CORTESE, CARL, DPM .............................300, 341CORTESE, CRAIG T., DPM .....................................300COSTERISAN, DENNIS D., DO ...........126, 155COTTER, JOHN G., MD ........................................316COTTER, THUSITHA, MD ........................................146COUILLARD, JOHN F., OD ...........................158, 174COULTAS, DAVID D., MD ..........................................58
COULTER, RUSSELL E., MD ..................................110COUNCIL BLUFFS DIALYSIS CENTER ...........474COUNTRY HEALTH INC .......................................496COUNTRYVIEW CARE CENTER OF MACOMB ............................497COURI, DANIEL M., MD ........................................309COURI, MICHELE A., MD ........................................145COVINGTON, CHRIS A., DO ..................................396COVLIN, MICHAEL A., MD ..................................150COX, ERIC M., MD.............252COX, JOHN W., MD ...........243COX, MELISSA, MD ......66, 67COY, THOMAS J., DO .........80COZZENS, JEFFREY W., MD .................................371CRABB, JEREMIAH, MD ................................332, 344CRABTREE, CATHERINE, MD .................21CRABTREE, JAMES T., MD ....................................22CRADDOCK, KIMBERLY, MD .................260CRADOCK, KIMBERLY A., MD ....286, 389CRAIG, STEVEN E., DPM .....................224, 284, 293CRAMER, ROBERT F., MD ..................................112CRANDALL, MEGHAN K., LCSW...........420CRANSTON, ROBERT E., MD .........346, 393CRASK, AIMEE J., LCPC ....................................464CRAWFORD, DAVID L., MD ..........................313, 339CRAWFORD, DAVID, MD ........................................213CRAWFORD, ROBERT D., MD .195, 302, 309
CRESS, JOSEPH N., PHD ......................................413CRESTON DIALYSIS .........474CRNKOVICH, DENNIS J., MD .......................2CROCKER-WILSON, ROBIN, OD ..........................181CROCKETT, CATHERINE J., MD ...........201CROEGAERT, JOSEPH P., LCSW...............438CROLAND, JOSHUA A., MD ..................................147CROLAND, ROGER, OD ................................160, 181CROSBY, GARY R., OD ........................................175CROUCH, NATHAN A., OD ..................................165CROUSE, DENNIS T., MD........................................392CROUSE, DENNIS, MD........................................369CROW, JACQUELINE A., OD ..................................181CROWE, ALEX, MD41, 44, 45, 64, 65, 82, 101, 104CROWE, SUSAN L., MD........................................108CROWELL, DENNIS J., LCSW ..............................438CRUICKSHANK, DEBRA, LISW .....................429CRUMPLER, ANN C., LCSW ...................................414CU SLEEP INC ....................500CUARTAS, ALBERTO D., MD ..................................284CUDONE, LORI, MD..........288CUEVAS, SUSAN, LCPC ............................420, 452CUITE, CATHERINE E., MD ..................................322CULEN, KATHLEEN B., LCSW .....................430, 449CULP, JEFFREY A., MD........................................195
CONFIDENTIALLY YOURSCULP, JEFFREY A., MD
Index
514
CUMBERLAND REHAB & HEALTH CARE CENTER ...................496CUMMINS, MARY CLARE, LCPC .....................414CUNDIFF, TIMOTHY G., OD ..................................181CUNNINGHAM, KELLY, MD.........................395CUNNINGTON, WALTER H., MD ..............1, 80CURRIE, ROBERT E., MD ..........................................50CYCOTTE, KAREN S., OD ........................................165CYR, RONALD R., MD ........................................147CZIPRI, ANNA M., PSYD ....................................405
DABROWSKI, MELINDA, MD ...................135DAILEY, JOHN C., MD ........................................263DALFIUME, LUKE R., PHD ......................418, 433, 447DAMARAJU, RAVI K., MD ..................................244DAMERON, JENNIFER S., MD .......134, 144DANDE, AMIT S., MD .......285DANEHL, GINA M., LCSW ...................................420DANG, NAVNEET S., MD ........................................420DANGLES, CHRIS J., MD ........................................202DANIELS, KARI A., LCPC ....................................426DANIELSON, MARK V., MD ..................................265DANVILLE DIALYSIS SERVICES LLC.......................................474DANVILLE HOME TRAINING ...........................474
DANVILLE POLYCLINIC ASTC ...........472DAS GUPTA, NEIL A., MD ........................................352DASCENZI, SUSAN L., LCSW..............................421DATE, AMIT S., MD...........221DAUDI, SHAZIA S., MD ..........................................43DAUZ, URBANO A., MD ........................................110DAVE, SHRUTI M., MD ........................................218DAVID, EFRAIM P., MD ........................................200DAVIDSON III, WILLIAM, MD ............194, 294DAVIES, CHARLES R., MD ..........................393, 397DAVIS, DAVID, MD.............72DAVIS, JAMES E., OD .......165DAVIS, JASON G., DO .........31DAVIS, KURTIS W., MD ..........................................63DAVIS, MARK E., MD .......252DAVISON, DONALD F., MD ..................131, 204, 395DAVULURI, SRIKANTH, MD ...................61DAWOOD, MOHAMMED, MD .......34, 235DAWSON III, SHERFIELD, MD ................397DAY, JOHN R., PHD...........447DEBOER, JAMES E., MD ..........................................28DEBORD, ALAN B., MD ........................................335DEBORD, JAMES R., MD ........213, 216, 313, 336, 339DECAMARA, DONNA L., MD ...................221DECATUR DIGESTIVE DISEASE CTR ......................................472DECATUR EAST WOOD DIALYSIS ..............474DECATUR HEALTHCARE LLC ...........472
DECATUR MEMORIAL HOSPICE .............................486DECATUR MEMORIAL HOSPITAL ...........................468DECATUR MEMORIAL HOSPITAL DME .................478DECATUR MEMORIAL HOSPITAL HOME ..............483DECEANNE, ANTHONY V., DPM ...216, 331DECKER, DAVID H., MD........................................460DECKER, HEATHER A., MD ..............................12, 80DECKER, JEANNE M., PSYD .....................423, 429DEEPANKAR, RAHUL, MD ....................25, 61DEKOJ, THOMAS R., MD................................233, 234DEL VALLE, RICHARD K., MD ...............127DELA CRUZ, MARTHE K., MD ................123DELA CRUZ, MAUREEN O., MD .............109DELENGOCKY, TAYSON, DO ..............305, 322DELGADO-SERRANO, LOURDES J., MD ...................................445DELOST, GREGORY J., MD .............................54, 140DELTA SLEEP INC ............479DELUCIA, TRACEY A., MD ..................................306DEMARTINI, TONY J., MD ...................................356DEMARTINI, TONY, MD........................................356DEMING, KIMBERLY, LCPC .....419, 424DENNIS, CHARLES A., MD .....22, 23, 26, 27, 45, 46, 47, 76, 101, 103
D
CUMBERLAND REHAB & HEALTH CARE DENNIS, CHARLES A., MD
Index
515
DENURE, BRYAN J., LCPC ............................402, 431DEOSKAR, UDAY L., MD ......................5, 25, 198, 226DEPAZ, MARYANNE C., MD ..................................240DEPPERMANN, MARTE L., MD .....................97DERANIAN, MARCUS S., MD223, 225, 237, 288, 301, 353, 386, 398DERRICK, MARVIN J., MD ...................................240DERRY, REBECCA E., LPC .......................................426DESAI, APURVA A., MD ........................................243DESAI, MEGHNA R., MD ................................367, 372DESHPANDE, BENALI G., MD ....................97DETERS, GREGORY, MD ..........................................73DETHMERS, DANIEL A., MD ..................................220DEVANNA, SWAPNA, MD .....................113DEVAS-GUNAWARDHANE, PADHMINI, MD ....................24DEVAS-GUNAWARDHANE, TED, MD ................................24DEVASSY, ELSY A., MD ........................................425DEVLESCHOWARD, ALLEN, MD.........................235DEWALL, BRADLEY T., MD ..................................230DEWEERT, THOMAS M., MD .................................296DEWEY, JODIE A., MD ..........................................10DEY, LUCY, MD.................265DEYOUNG, MARK B., MD ..........................................63DHANEKULA, LEELA S., MD .....................348DHILLON, SONU, MD .......312
DHILLON, SUKHDIP S., MD ....................................68DHUNA, ANIL, MD ...217, 251, 275, 282, 294, 399DI MONDO, JOHN P., MD ..........................................36DIALYSIS CLINIC INC BELLEVUE..................473DIALYSIS CLINIC INC OMAHA .......................476DIALYSIS CLINIC INC ONAWA .......................476DIALYSIS CLINIC INC WEST OMAHA ...........476DIBERNARDINO-DOEDEN, JULIE, LCSW ...................................438DICK JR, HERMAN J., MD ........................................200DICK, HERMAN J., MD ........................................200DIECKOW, NATHAN C., OD ...........................165, 174DIEDRICH, BRENDA, MD ........................................455DIETRICH, SARAH M., MD .................................362DIGESTIVE DISEASE ENDOSCOPY CENTER...............................483DIGNAN-MOORE, LESLIE A., MD ...................152DILLARD, TIFFANI E., MD ..................................155DILLMAN, DAVID, MD ........................................228DILORENZO, RICHARD R., DO ................233DIMOND, RICHARD E., PHD .................................463DINH, DZUNG H., MD321, 354DIOKNO, RAFAEL M., MD ...................................28DISTIN, GARY D., OD158, 175DIVENERE, SCOTT W., MD .................................269DIWAN, SHILPA P., MD ........................................423DIZEN, MUGE, PHD ..........411
DJAGARIAN, ARTUR, MD .41, 44, 45, 64, 65, 82, 104DJO LLC ......479, 480, 481, 482DMH DURABLE MEDICAL EQUIPMENT .......................478DOBBINS, MARY I., MD........................................460DOCKINS, SHERRY M., LCPC..............................438DODDA, GEETHA, MD........................................342DODDA, VENKATA R., MD ..........................199, 206DODT, BRUCE I., MD ........273DOLAN, STEPHEN A., MD................................287, 391DOLAN, VIRGINIA M., MD .................................123DOLD, OLIVER N R., MD........................................236DONALDSON, KRISTINE, LSW .................429DORAN, EDWARD, MD........................................342DORNAUS, DEBORAH P., LCPC...........438DORNER, MATTHEW J., MD .............................21, 126DOROBA, ANNE Z., MD........................................274DORSCH, THOMAS R., MD ..................................311DOTHAGER, AURELI, LCSW ..................414DOUGHTY, STEPHEN C., MD .......298, 316DOUGLAS CARE & REHAB CENTER ................497DOUGLAS, JERRY L., LCSW ...........................402, 414DOVE, DOUGLAS J., MD........................................236DOWDEN, LAWRENCE M., MD .....24, 41, 82, 102DOWNER, MERRY C., MD........................262, 279, 369
DENURE, BRYAN J., LCPCDOWNER, MERRY C., MD
Index
516
DOWNING, RASHIDA M., MD ................13DOYLE, DANIEL R., OD ................................158, 175DOYLE, TIMOTHY W., DO....................................60DR JOHN WARNER HOSPITAL ...........................468DRAKE, BETHANIE J., LMFT ...............................455DRAKE, TIMOTHY G., MD ..................................113DRAPIZA, LETICIA, MD ................................110, 119DREW, JANET M., PHD ......................................401DREW, TIMOTHY J., LCPC ....................................438DREYER, PAUL T., MD .......199, 214, 253, 260, 276, 282, 292, 304, 317, 343DRIFTWOOD DIALYSIS ............................475DRINIS, SOPHIA, MD ........216DSOUZA, NIRAIN A., MD ........................................324DUDLEY, HEATHER L., MD ..................................134DUEMLER, BRUCE K., MD ....................................64DUENSING, WILLIAM, DO.......................86DUHIG, THOMAS J., MD ........................................208DUKKIPATI, MADHU, MD...............344, 356DUNAWAY, BRITAIN J., LCPC ..............438DUNCAN, ERIC D., MD ............................................5DUNHAM-NEUBERT, AUTUMN C., LCSW ...........455DUNN, JASON A., OD .......176DUNN, LAUREN E., LISW ....................................467DUNNINGTON, GARY, MD ..................364, 365DUST, GLEN, MD...............126
DUSTMAN, J ANTHONY, MD ..................202DUTTA, SARAH, MD.........134DUZAN, DARCY L., OD ........................................163DVORAK, ANDREW, MD ........................................228DVORAK, DOUGLAS W., MD .................................231DWYER, DENNIS V., LCPC ....................................455DWYER-ELIAS, REBECCA R., LCSW ..........451DYNDA, MICHAL, MD ........................................119DZIUBAN, CHESTER J., LCSW ......................421, 428
EAGLE POINT NURSING AND REHABILITATION.............494EAGLETON, LANIE E., MD ..................................380EAST DES MOINES DIALYSIS ............................475EASTLAND MEDICAL PLAZA SURGICENTER...................471EASTSIDE HEALTH AND REHABILITATION CENTER...............................499EASTVIEW TERRACE ............................499EBREO, ADAM, DO .............84ECKERT, JOEL, PSYD .......447ECKMAN, TROY, MD .......142EDDINGFIELD, CHARLES F., MD .................17EDEN, RICHARD T., MD ........................................152EDWARDS, JAMES D., LCSW .....................411, 429EDWARDS, KATHLEEN M., LMFT ...................................455
EDWARDS, PATRICIA J., LCSW ...........438EGGER, NANCY, LCSW ...................................417EGIZIO, JILL M., LCSW ...................................438EGNER, JAMES R., MD................................286, 390EHRLICH, CHRISTOPHER B., MD........................................124EICHORN, MARY E., LCSW ...................................438EICKMEIER, KIMBERLY, DPM...............221EIDSON, JO ANNA, LSW......................................426EIKRAM, MOHAMMED, MD .............219EILENFELDT, PAMELA J., OD ..................170EKONG, ANTHONY S., MD ..........................255, 322EL KHOURY, CHRISTIAN A., MD ...........337EL PASO HEALTH CARE CENTER ...................495EL ZAWAHRY, AHMED M., MD .................383ELADASARI, BABU R., MD ....................................58EL-AMIN, SAADIQ F., MD................................345, 374EL-ANSARY, MOHAMED, MD.................289ELBLE, RODGER, MD........................................370ELLAHI, WASIM, MD247, 312ELLINGTON, CHARLES R., MD .................36ELLIOTT, EDWARD C., MD ..................................240ELLIS, DAVID H., OD........193ELLIS, DOUGLAS R., MD..........................................78ELLIS, RAMSEY A., MD........................................281ELLISON, JOSHUA R., MD ..................................119
E
DOWNING, RASHIDA M., MDELLISON, JOSHUA R., MD
Index
517
ELOY, VICTOR, MD ..........233ELRAKHAWY, AHMED T., MD.....................34ELWOOD, ERIC T., MD ................................313, 329ELWOOD, PATRICK W., MD .................................321EMENECKER, MARK, DO ............................21EMM, BRIAN A., MD ...........10EMM, LISA R., MD.............134EMMERICH, ELLEN M., LCPC..............................451EMMERICH, KATE M., MD ...................................16ENGLAND III, ALBERT C., MD .................391ENGLAND, TROY A., LCSW ...................................414ENGLEHART, ERIK D., MD ..................................109ENLOE DRUGS LLC DBA OMNICARE INFUSION OF PEORIA ................................485ENRIQUEZ, BERNARDITA, MD 32, 39, 107ERGENE, ERHAN, MD ........................................318ERICKSON, PETER, LCSW ...................................409ERICSON, ERIC S., MD ........................................351ERICSSON, KRISTINA R., MD ..............152ERRAMPALLI, DANIEL, MD .......................210ERTMOED, ERNEST E., MD ..................................152ESAREY, MARK D., OD ........................................164ESCH, JOHN S., MD ...........197ESCOBAR, VICTOR, DDS ......................................220ESPARAZ, BENJAMIN T., MD .............234ESPINOSA, JOSE, MD .......372ESPINOZA, FABIOLA M., MD .................................272
ESSLINGER, JENNIFER P., LCSW ..........409ESTES, MELISSA M., LMFT ...................................400ESTES, NORMAN C., MD ................................313, 339ESTRADA, DELORES, MD ....................234ETHIRAJ, RAJESH K., MD ........................................236ETTEMA, SANDRA L., MD ..................................255EUBANKS, AARON, MD ........................................288EVANS, GRETCHEN M., DPM ...............194, 241, 307EVENS, SONJA, LCSW ...................................438EWART, ROBERT M., MD ........................................119EWBANK, PENELOPE A., MD .....308, 342EWELL, KIMBALL, MD ..........................................55EZE, PHYLLIS I., MD.........372EZEE, CHIGOLUM C., MD ........................................318
FABRIZIO, JOSEPH M., MD .................................226FAFOGLIA, DAVID P., LCSW ..............................455FAGAN, ALYSSA L., LCPC ....................................455FAHRNER, LESTER J., MD ...................................218FAIR HAVENS CHRISTIAN VILLAGE .............................495FAIR OAKS REHABILITATION AND H..................................499FAMILY GUIDANCE CENTERS ....................459, 488FAMILY MEDICAL EQUIPMENT & SUPPLIES ............................479
FAMILY PHARMACY OF LITCHFIELD .................481FAMILY PHYSICAL THERAPY............................490FANCHER, SHANE R., MD ..................................238FANCHER, SHANE, MD........................................238FANG, HENRY Y., MD..........................................44FANNING, DEBRA, LCPC ....................................407FARAHVAR, ARASH, MD........................................393FARASAT, MORTEZA, MD ............78, 388FARINAS, ERIC J., MD......................................6, 10FARLIK, JAMES A., OD ........................................160FARMER CITY REHAB & HEALTH CARE CENTER ...................495FARMINGTON COUNTRY MANOR ...........495FAROKHI, FARHAD, DO ................................347, 348FARQUHAR, MONICA V., LCPC .............455FARR, CURTIS C., MD............................68, 69, 142FARRELL, JAMES, MD........................................306FARRELL, JOHN J., MD........................................316FARRELL, JOHN, MD........316FARRELL, WILLIAM J., MD ...................................268FARRIS, STUART R., MD........................237, 344, 372FASSETT, DANIEL R., MD................................254, 319FASSETT, DANIEL, MD........................................350FAVILA, MARLITO P., MD ....................................81FAY, NANCY E., MD .........155FEARDAY, LILA, LCSW ...................................455
F
ELOY, VICTOR, MDFEARDAY, LILA, LCSW
Index
518
FEATHER, GLEN N., DO ................................307, 325FEHR, MARK L., MD .........226FEHR, PATRICIA A., LCPC ....................................456FEINBERG, SAMUEL J., MD ...................................219FENNER, MICHAEL N., MD ..........................262, 365FERGUSON, JONATHAN L., MD ............351FERNANDES, DARRYL S., MD .................296FERNANDES, PATRICK, MD.....................300FERNANDEZ, ANGELITO J., MD ..............102FERNANDEZ, JAMES A., MD ..................................345FERRILL, ALYCE F., MD ........................................152FIDAI, GULZAR S., MD ..........................................43FIERSTEIN, JEFFREY T., MD ..................223, 281, 354FIGUERRES, BENEDICTO Q., MD ..259, 354FINCH, KELLY G., LCPC ....................................451FINKENBINE, RYAN, MD ........................................445FINNAN, KRISTI A., LMFT ...................................425FIRST CHOICE MEDICAL EQUIPMENT .......................482FISCHER, DAVID J., DDS ..............................263, 373FISCHER, DON A., MD ........................................236FISH, WILLIAM E., OD ................................179, 181FISHER II, CURTIS W., DO....................................86FISHER, ANN M., LMHC, LCPC.......................400FISHER, MARC L., MD ........................................211
FISHKIN, PAUL A., MD ................................214, 315FITCH, ROGER W., OD ........................................181FLACCO, RICHARD M., MD ...................................50FLACCO, VALERIE, MD ..........................................50FLACCO-NESSELROAD, VALERIE A., MD ..................50FLAHERTY, TINA, LISW ....................................400FLEISCHER, JULIE A., MD ....................................16FLEMING, MELVIN A., MD ..................................143FLEMING, RODNEY, OD ........................................175FLESCH, BRENDA, LCPC ............................419, 456FLORELL, JOHN, PHD ..............................405, 433FLORENCE, NICOLE A., MD ..........................113, 124FLORENTINO, POCHOLO S., MD.................43FLORES, JOSEU A., MD ........................................315FLORES, MAURICIO E., MD ..................................327FLORES, NOEL L., MD ..........................................67FLORES-MIRANDA, EDA S., LSW .......................412FLORIDO, GONZALO, MD ..............62, 75FLOYD, STEVEN R., LCPC ....................................438FMC WILLIAMSON COUNTY DIALYSIS ..........476FOELLNER, RICHARD P., DO ..................85FOGO, SHANE C., MD .45, 104FOLEY, KATHLEEN L., LCSW..............................421FOLLIN, PATRICIA J., LCPC ....................................456
FONDAHN, DEAN, MD........................................240FONDULAC REHABILITATION & HEALTH CARE CENTER...............................495FONS, DOMINIQUE K., MD ....................................19FONTANILLA, ANGELITA, MD ...................54FORAN, RONALD B., MD................................348, 351FORD, KIMBERLY, DO ..........................................93FORERO, NICOLAS A., MD ..........................262, 369FORESTIER, LINDA K., MD ..................2, 3, 108, 109FORT JESSE IMAGING CENTER ............487FORTIN, CLAUDE J., MD................262, 280, 370, 386FORTUNA, RANDALL S., MD ..............310FOSHAY, STEVEN C., LCPC ....................................418FOSTER, PHILLIP A., PHD ..............................405, 434FOWLER, SARAH S., MD................................279, 375FOX, CATHERINE, MD........................................461FOX, SAMUEL D., MD........................................140FRANCIS, CHRISTINA M., MD ...........136FRANCIS, MARIA, DO ................................271, 274FRANKLIN, JASON T., DO ...................269, 337, 399FRANKLIN, JULIE C., LCSW ...........................430, 449FRANKLIN, WILLIAM B., MD .................34FRANZEN, THOMAS L., MD ..................103, 104, 150FRASER, M TERESA C., MD ..................................319
FEATHER, GLEN N., DOFRASER, M TERESA C., MD
Index
519
FRASER, MICHEL ANN E., OD .........................170FRATIANNI, CARMEL, MD .....................362FREDERIKSEN, MARILYNN C., MD ...........144FREEDOM MEDICAL SUPPLY ...............................480FREEMAN, BRUCE, LCSW ...................................409FREEMAN, PENNY M., LISW ..............................408FREIJ, YASER B., MD ........127FREITAG, PER, MD ...344, 365FRENCH, MEL, PSYD ........405FRENKEL, A RAMY, MD ........................................445FRESENIUS MEDICAL CARE BOLINGBROOK .................474FRESENIUS MEDICAL CARE ELGIN ..................................475FRESENIUS MEDICAL CARE GALESBURG ......................475FRESENIUS MEDICAL CARE JOLIET .................................475FRESENIUS MEDICAL CARE JOLIET HOME DIALYSIS NETWOR ..........475FRESENIUS MEDICAL CARE KEWANEE ..........................475FRESENIUS MEDICAL CARE MACOMB ............................475FRESENIUS MEDICAL CARE MOKENA.............................476FRESENIUS MEDICAL CARE OSWEGO .............................476FRESENIUS MEDICAL CARE PLAINFIELD .......................476
FRESENIUS MEDICAL CARE RANDOLPH COUNTY .............................474FREY JR, CHARLES, DO ........................................347FREY, JAMIE L., MD .........311FRIENDSHIP HOME ..........494FRITZ, MARK J., MD .........267FRITZ, RICHARD H., MD ..........................................34FRITZ, STEVEN L., PSYD ....................................463FROST, SHELLIE A., LCPC ....................................438FRY, SHAWN M., MD ..........59FUCHS, ESTHER, MD ........147FUELBERTH, REBECCA J., LCPC ............439FUENTES, HENRY J., MD ................................268, 294FULBRIGHT, THOMAS D., MD ................236FULFER, JAMIE L., MD ................................155, 156FULK, NONA P., MD .........134FULK, NONA, MD ..............144FULLER-FRICKE, REBEKAH L., PSYD...........447FULLERTON, JAMES K., MD ..................................365FURRY, JOHN M., MD ........................................238FURRY, JOHN, MD ............238
GABLER, DANIELLE M., OD .160, 162, 165, 167, 169, 170, 176, 179, 181, 187, 191GABRIEL, KEITH R., MD ........................................377GADEA LOPEZ, MERCEDES, MD ..................98GADLAGE, BELVA J., LCPC ....................................414GADOMSKI, REBECCA A., LCSW ..430, 449
GAINES, CHERYL L., LCPC ....................................402GAINSBURG, DUANE, MD........................350GAJULA, SONIA, MD ........311GALBREATH, JOHN P., MD ....................................98GALESBURG COTTAGE HOSPITAL ...........469, 491, 495GALESBURG COTTAGE HOSPITAL-PSYCH UNIT.............................418, 488GALINSKY, DENNIS L., MD ..................................270GALLOWAY, KEVIN L., DO ...................................156GALUE, GUSTAVO A., MD ......................................6GALVAN, JEFFREY J., MD ...................................144GANDHI, BHAVESH R., MD ..................................226GANDHI, SIDDHARTH J., MD ..224, 246, 249, 275, 277, 295, 338GANGADHARIAH, RAVINDRAKUMAR, MD........................................230GARBACZ, KATHERINE, LCSW ..........466GARCIA, MARIA L., MD..........................................14GARCIA, PHILIP, MD .......279, 376, 387GARCIA, XOCHITL L., MD ..................................147GARCIA-BEACH, SYLVIA, MD .........................48GARDNER, MATTHEW P., MD .............374GARFINKEL, MARC R., MD ..................................365GARLAND, LORRAINE A., MD.............140GARNER, ELIZABETH J., LCSW .......439
G
FRASER, MICHEL ANN E., ODGARNER, ELIZABETH J., LCSW
Index
520
GARRETT, HARRY T., DO ...................................132GARRISON, MARY, LCSW ...................................414GARRISON, MEG M., LCPC ....................................450GARTLAN, MICHAEL, MD ...................269GARWACKI, DENNIS J., MD ...................................319GARZA-CAVAZOS, ARTURO, MD .....................152GASTROINTESTINAL INSTITUTE LLC ..............472GATES, NATHAN W., LCPC ....................................407GATTEN, SHAUNA L., PHD .................................447GAUEN, RALPH E., MD ........................................113GEBHART, BRIAN, DO ........................................297GEICK, LYNN B., MD ............4GEIGER, MARIANNE, MD ........................................425GEISER, JOHN J., OD.........174GEISS, DALE M., MD ........310GELBER, DAVID, MD .......370GELBORT, KIMBERLEY, LCPC ...........452GELKE, KIM, MD ...............392GENESIS SENIOR LIVING-ALEDO..................493GENGASTRO LLC/ENDOSCOPY CTR FOR DIGESTIVE HEALTH ..............................483GEOFFROY, FRANCOIS J., MD ......254, 321GEPHART, ANANDITA G., MD ..............43GERAGHTY, JAMES A., MD ..................................324GERNANT, MICHAEL L., MD ......194, 215, 255GERSTNER, GREGORY J., MD .......198, 316GETZ, MARK A., MD.........334
GHANI, MANSURA, MD ........................................356GHULYANI, SHUKTI, MD ........................................390GIAKAS, WILLIAM J., MD ........................................452GIANNONE, LEONARD, MD...........217, 367GIBB, MATTHEW D., MD ........................................388GIBBONS, MICHAEL J., MD ...................................324GIBSON AREA HOSPITAL ...........................469GIBSON AREA HOSPITAL ANNEX ............496GIBSON AREA HOSPITAL PHYSICAL THERAPY ............................489GIBSON, BETHANY T., MD ..................................232GIBSON, JACK M., MD ........................................147GIDDENS, LAURIE A., LCPC ..............................439GIEBELHAUSEN, ERIC A., MD ........................262GILBERT, GEORGE C., MD ....................................93GILBERT, JEANELLE, DO .....................28GILCHRIST, JAMES M., MD .................................370GILDNER, JAMES L., MD ........................................153GILL, JOHN B., MD ............356GILL, PAVINDERPAL S., MD ..................................127GILL, SIMRUN K., MD ..........................................64GILLEN, WILLIAM G., PHD, PHD ..............405, 416GILLHAM, GARY T., OD ........................................394GILLISON, CLAUDINE T., MD .............124GILLISON, TIMOTHY L., MD ..................................367
GILMAN III, ALBERT F., MD ..................................234GINDI, GEORGE R., MD....................................28, 53GINDI, MARY Y., MD ...28, 53GINNETTI, RICHARD A., MD ................................8, 41GINZBURG, ALAN S., MD................248, 275, 300, 341GJERDE, LINDA C., LCSW ...................................428GLAD, SONJA M., LCPC ....................................456GLASSER, JAMES G., MD........................................378GLAZESKI, ROBERT C., PHD ................................447GLEASON, BRADLEY H., MD ......319, 334GLEASON, CHRISTOPHER, MD ..........119GLESNE, KURT L., DPM .....................................307GODBOLE, MUKUND P., MD ..................................291GOEL, ARCHANA, MD..........................................43GOEL, NARESH C., MD........................................229GOEL, NEELAM, MD ........111GOEL, RAM, MD ................354GOFORTH, DENISE M., LCSW ............................439GOFORTH, GARY A., DO ....................................80, 85GOLD, JONATHAN, MD........................................350GOLDBERG, MICHAEL, LCPC ................456GOLDBERG, STEVEN E., MD ..................................195GOLDMAN, LISA R., PSYD ............................431, 450GOLDRING, JAMES M., MD .................................223GOLDSTEIN, JAMES R., OD...................................175GOLDSTEIN, JEFFREY A., MD ........285, 357
GARRETT, HARRY T., DOGOLDSTEIN, JEFFREY A., MD
Index
521
GOLDSTEIN, JEFFREY, MD .....................357GOLEMON, THOMAS B., MD ....................................93GOMEZ, JEANNINE M., LCPC..............................421GOMEZ, PATRICK L., MD ........................198, 297, 316GONZALEZ, CONSTANCE L., LCPC ....................................466GONZALEZ-AGUILAR, ALEXANDRA, MD .............327GOOD, ROBERT G., DO ..........................................72GOODLUCK, AMY M., LCPC..............................439GOODMAN, ELI G., MD ................................105, 113GOODMAN, JORDAN A., MD ....................................13GOODMAN-THOMAS, KATIE M., OD ........................................161GOODWINE-WOZNIAK, NANCY, MD ........................................156GOOSSENS, THOMAS A., LCSW ...........439GOOTEE, MICHAEL J., MD ...................................324GOPAL, BHARAT, MD ........................................130GOPI, SHANTHI R., MD ..........................................61GORBONOS, ALEX, MD ........................................383GORDILLO PEREZ, ROBERTO, MD ...................328GORDON, DONALD R., OD ...................................164GOSWAMI, NILESH J., MD ...................................357GOTARDO, CARLOS F., MD ....................................27GOVINDAIAH, RENU C., MD ..................................355
GOWDA, RAMAYYA, MD ........................................213GOWDAR, KUSUMA, MD ..........................................38GOWDAR, PRASANNA S., MD ..............36GRABHER, LYNN M., MD ............................................6GRABOWSKI, GENIEL, LCSW...................414GRACE, PAMELA, PHD ......................................453GRADY, CLYDE M., MD ....................................51, 63GRADY, RONALD M., MD ........................................376GRAFF, JEAN S., LCPC ....................................439GRAHAM EXTENDED CARE FACILITY ............................494GRAHAM HOME HEALTH ..............................483GRAHAM HOME MEDICAL EQUIPMENT .......................477GRAHAM HOSPITAL 468, 489GRAHAM, DAVID B., MD ........................................120GRAHAM, DAVID L., MD ........................................390GRAHAM, DONALD R., MD ..................................368GRAM, CHRISTOPHER H., MD ........................................241GRAMBART, SEAN T., DPM ................................221GRAMPSAS, SAMUEL A., MD ........208, 335GRAND ISLAND DIALYSIS ............................475GRANT, BRADLEY, OD ........................................165GRANT, DOUGLAS E., PHD .................................393GRATKINS, LAWRENCE V., MD...........144
GRAVES, ABBEY L., PSYD ....................................454GRAVLIN, DEAN A., MD..........................................89GRAY JR, GARY G., OD ........................................165GRAY, BARRY, MD...........328GRAY, DOUGLAS, MD........................................394GREATHOUSE, DAVID J., DO ........................68GREATHOUSE, DAVID, DO ...........................68GREATTING, MARK, MD........................................374GREELEY, DONALD A., MD ..........229, 230, 396, 397GREELEY, LYNN L., MD..........................................52GREEN COUNTRY DIALYSIS ............................474GREEN, CURTIS, DO 285, 286, 290GREEN, REBECCA P., MD........................................376GREEN, SCOTT G., MD.......209, 217, 224, 251, 277, 338, 352GREENBERG, EUGENE, MD......................389GREEN-MORROW, KRISTEN, MD .....................142GREGG, SHELLEY F., PHD ......................................447GRIDER, D ROBERT, OD ........................................164GRIEBEL, CRAIG P., MD..........................................93GRIECO, GERARDO A., MD ..................................297GRIFFIN, ANTHONY M., MD ...................................58GRIFFIN, BRIAN P., MD........................................333GRIFFIN, VIVIAN D., MD................................212, 270GRIGLIONE, GARY R., MD ..................................293
GOLDSTEIN, JEFFREY, MDGRIGLIONE, GARY R., MD
Index
522
GRIVETTI, DAMIAN W., MD ...........................55, 111GROSS, HENRY R., MD ..........................................93GROSS, THOMAS L., MD ........................................329GROSSE PERDEKAMP, MARIA T., MD ....................391GUAGLIANONE, PERRY P., MD.....................235GUDMUNDSSON, G STEINAR, MD .............347, 349GUEBERT, DALE A., LCPC ....................................451GULATI, SURENDRA M., MD .................................267GULLEY, R MICHAEL, MD .....................89GUMM, DARREL C., MD ........195, 213, 252, 302, 309GUNDA, ARUN, MD ............36GUNDALA, SRILATA, MD .....................211GUNDERSON, HOLLY L., MD ....................265GUNNELLS, TRACI R., LMSW ............................421GUPTA, AMIT K., MD .......367GUPTA, ANUJA, MD .........274GUPTA, MADAN L., MD ........................................252GUPTA, PAVAN K., MD ........................................354GUPTA, SAMIR K., MD ................................313, 339GUPTA, VANITA, MD .........44GURSKY, DAVID M., PHD ......................................454GURTLER, ROBERT G., MD ..................................288GURTLER, ROBERT, MD ........................................394GUSTAFSON, LISA K., LCPC ..............................450GUTHRIE, JASON P., MD ........................217, 382, 387GVOZDJAN, DRAGOSLAV, MD .............445
GYSIN, JOHN P., OD ..........181
HABAL, HANI, MD ............334HABIB, AAMER, MD .........219HABIB, IHSAN, MD .............17HADDEN, HAROLD, DPM .....................................205HADI, FATIMA M., MD ................................434, 464HADID, WALID, MD .206, 341HAGAN, DAVID J., MD ....................................47, 54HAGARTY, SARAH E., MD ..................................352HAHN, ALISON, LCSW ...................................452HAHN, MARK D., OD .......160, 162, 165, 167, 169, 170, 176, 179, 181, 187, 191HAHN, PAUL E., OD ..........188HAIG, JAMES, LCSW ........439HAILE, DEGAULLE G., MD ..................................141HAILESELASSIE, MULUMEBET, MD ...137, 139, 150HAJI-ABDIRAHMAN, HASSAN, MD ..........32, 39, 106HAKES, PAUL E., MD ..41, 65, 241, 278HALE, MARSHALL T., MD ....................................59HALEEM, AZEEM S., MD ........................................353HALL, AMY E., MD ...........153HALL, DUNCAN W., LCSW ...................................411HALL, LEROY R., PSYD ....................................416HALLAM, DANIEL M., MD .................................262HALLETT, JEFFREY L., MD ..........................293, 389HALLORAN, THOMAS J., MD ...................27
HALPERIN, CAROLINE, DO .41, 44, 63, 65, 81, 104HALPERIN, GREGORY I., MD ......202, 228, 237, 250, 306, 322, 340HALPERIN, IRA L., DO ......................................6, 81HAMAD, BASHAR, MD........................................265HAMANN, CONNIE, LCPC ....................................439HAMANN, EDWARD, EDD ......................................439HAMEL, TIMOTHY J., MD..........................................38HAMILTON, ROBERT S., MD ..................................405HAMM, BRIAN L., DPM .....................................205HAMMER, MAX D., MD................................279, 365HAMMOND, KAREN, LCSW ...................................414HAMMOUD, IHAB, MD........................................218HAMON, STEVEN A., PHD ......................................447HAMPTON, SIMONE R., MD ..................................131HAN, MIN-KYU, MD .........322HANA, LAUREN M., MD..........................................62HANCOCK, JAMES B., MD ................................6, 11HANGER PROSTHETICS & ORTHOTICS........................492HANNA, ADEL S., MD........................................138HANNAH, PAUL L., MD........................................423HANSEN, AMY, LCPC ............................402, 439HANSEN, DELOS D., MD........................................137HANSEN, MARK E., MD........................................113
H
GRIVETTI, DAMIAN W., MDHANSEN, MARK E., MD
Index
523
HANSEN, REID H., MD ........................................331HANSEN, THERESA, LCSW ...................................456HANSON, MARK, MD .......202HANSON, MARTIN, LCPC ....................................439HANY, LUCINDA A., MD ........................................153HAQUE, SYED M., MD ............................30, 38, 106HARIMAN, ROBERT J., MD ...................................309HARKSEN, AMY L., LCPC ....................................400HARLAN DIALYSIS ..........475HARLAN LINK, RACHEL M., MD ................461HARMAN, JOSEPH G., MD .202, 228, 237, 250, 306, 322, 340HARMON, HALLIE R., LCPC ..............................402HARMON, WENDY L., LCSW..............407, 419, 465HARMS, JAMES J., MD ........................................394HARMS, JAY S., MD 40, 87, 93HARMS, LINDSAY, LCPC ....................................439HARNEY, ALFRED N., MD ..................................113HARRINGTON, DOUGLAS C., MD ......145, 147HARRIS, BERRY A., OD ........................................164HARRIS, JEANNE A., MD ..........................................98HARRIS, JOHN EWING, PHD .......................463HARRIS, JULIA R., MD ..........................................71HARSON, ROBERT E., MD ..................................230HARTMAN, KENNETH J., MD ...............231HARTMAN, PATRICK, MD.1, 126, 194, 385
HARVEY, CHARLES F., MD ..................................273HARVEY, MARY A., MD ..........................................98HARYANI, VIJAY M., MD ........................................272HASAN, BABAR, MD 405, 433HASAN, SYED A., MD ........................................242HASANADKA, RAVISHANKAR, MD.313, 336HASANAT, KHONDAKAR A., MD408, 461HASHMI, NASHIB, MD ........................211, 273, 284HASKELL, DUANE, MD ........................................301HASNAIN, MOHAMMAD, MD.............235HASSAN, SYED, MD ...30, 106HASSAN, YOSRI Y., LCSW ...........................421, 452HASSELMAN, TY E., MD ........................................326HASTINGS DIALYSIS CENTER...............................475HATCH, TERRY F., MD ........................................376HATFIELD DALTON, RACHEL M., DO .................144HATLELID, SETH, PSYD ....................................405HAUFFE, JAMES E., MD ..........................................20HAUG, KEITH R., MD .......136HAUS, BRIAN M., MD .......377HAUSLEIN, PETER D., MD ..................................255HAUTER, LISA K., LCSW ...................................407HAUTER, MARCIA, MD ..........................................82HAVANA HEALTH CARE CENTER ...................496HAWBAKER, NICHELE D., LCSW ...402, 414HAWLEY, CHARLES, MD ........................................410
HAWLEY, GREGORY M., MD .................................452HAWTHORNE INN OF DANVILLE ....................495HAYDEN, CURTIS J., MD........................................200HAYDEN, DANIEL L., OD ................................162, 185HAYNES, FREDERICK P., MD ...........219HAYS, JILL K., OD .....158, 187HAYS, PHILIP G., MD .......272HAYS, WILLIAM F., MD..........................................56HAZARD, KEVIN D., MD................................262, 363HAZELRIGG, STEPHEN R., MD ...............361HEADMAN, NEIL C., LCSW ...................................456HEAPE, ROBERT L., LCPC ....................................420HEARTLAND HEALTH CARE CENTER-CHAMPAIGN ......................494HEARTLAND HEALTH CARE CENTER-DECATUR ..........495HEARTLAND HEALTH CARE CENTER-GALESBURG ......................495HEARTLAND HEALTH CARE CENTER-MACOMB ...........497HEARTLAND HEALTH CARE CENTER-PAXTON .............498HEARTLAND HEALTH CARE CENTER-PEORIA ...............498HEARTLAND HEALTH CARE CENTER-RIVERVIEW........................495HEARTLAND HEALTHCARE CENTER - HENRY .............496
HANSEN, REID H., MDHEARTLAND HEALTHCARE CENTER - HENRY
Index
524
HEARTLAND HEALTHCARE CENTER-CANTON.............494HEARTLAND HOME CARE ...................................483HEARTLAND HOME MEDICAL SUPPLY ............479HEATHERTON, BRIAN, PHD ........................463HECKMAN HEALTH CARE SERVICES A ............478HECKSEL, KATHLEEN A., MD ...........427HEDDINGHAUS, SHAWNA L., OD ................158HEDRICK, KEITH, OD ................................161, 193HEEL TO TOE .....................482HEHMANN, RICHARD J., MD ................354HEIM, DENNIS, MD .............36HEIMBRECHT, KURT, MD .............................36HEINRICH, HEATHER A., PHD.............405HEINRICH, HEATHER, PHD .................434HEITZ, MARCIA, LCSW ...................................407HELFER, ERIC P., MD .......290HELFER, ERIC, MD ..222, 230, 290HELFER, TAMARA, MD ........................................136HELFRICH, JOHN S., MD ........................................219HELMER, DANIEL, DPM .....................................270HELTON, RACHEL L., MD ........................................131HEMMELE, JEWEL K., LCPC ......................435, 439HENDERSHOTT, MARY, LISW ......................400HENDERSON, D WADE, OD ..........................189HENDRICKER, RYAN M., MD .................................325
HENKE, DONALD R., LCSW ...................................456HENKLE, JOSEPH Q., MD ........................................380HENLINE, JEFFREY R., OD ...........................179, 181HENNESY, MICHAEL S., MD ..................................156HENRICHS, CHRISTINE E., MD ..............70HENRICHS, JEREMY W., MD ...........................85, 397HENRICHS, JEREMY, MD ........................................397HENRY & JANE VONDERLIETH LIVIN ...................................498HENRY, KEVIN M., MD ........................204, 307, 326HENRY, PATRICIA, DO ........................................389HENSON, BRIAN D., OD160, 162, 166, 167, 169, 170, 176, 179, 181, 187, 191HERARD, ASTRID B., MD ........................................424HERBSTRITH, AMI L., DPM ................................293HERITAGE HEALTH .........496HERITAGE HEALTH: THERAPY & SENIOR CARE ..493, 494, 495, 496, 497, 498, 499HERITAGE MANOR - SPRINGFIELD.....................499HERITCH, ANDREW J., MD ...........................405, 445HERNANDEZ, KATHERINE A., MD ............48HERRIN, RODNEY, MD ........................................374HERRMANN, THOMAS L., MD ................412HERRMANN, TYSON J., OD ....................................166HERSHKOWITZ, JEFFERY D., DO ...................89HERSHKOWITZ, JEFFREY D., DO ...................49
HERSONSKEY, TAMIR Y., MD ....................267HERTENSTEIN, JAMES C., MD ....................325HESS, MELVIN H., MD........................................452HEUERTZ, STEVEN M., LCSW ....................430, 449HEYDE, RAYMOND R., MD ..........................306, 322HEYMAN, DIANE, OD ................................172, 178HEYMAN, FLAVEL, OD ........................................178HEYWOOD, BRIAN, MD................................303, 313HICKERSON JR, ROBERT G., MD ...................51HICOK, WILLIAM C., MD............................................3HIGGINS, KIMBERLEY, LCSW..........431HIGGS, CRAIG L., MD..........................................89HIGH, AMY K., MD ...........153HIGH, ERIC M., MD ...........365HIGUCHI, MASAYA, MD................................120, 366HILD-MOSLEY, KATHERINE A., MD ..........153HILL, JEFFREY, MD ............51HILL, JOHN F., MD ....410, 467HILL, MALCOLM C., MD........................................131HILL, RONALD L., LCSW ...................................439HILL, SHAUN S., OD .........189HILLARD-SEMBELL, DIANE C., MD.............374, 386HILLSBORO AREA HOSPITAL ...........469, 489, 496HILLTOP SKILLED NURSING AND REHABILITATION CENTER...............................494HINCKS, KERRY L., DO ..........................................93HINES-MAYS, CRYSTAL D., MD.................80
HEARTLAND HEALTHCARE CENTER-CANTONHINES-MAYS, CRYSTAL D., MD
Index
525
HINGLE, SUSAN T., MD ........................................113HINNERS, DEAN D., DPM .....................................242HINZ, ANNE E., MD.............89HIPPLER, STEPHEN E., MD ....................................89HISER, CRYSTAL L., LCPC ....................................440HISER, MARK W., MD ................................346, 348HIZON, MIGUEL L., MD ........................................273HLA, OMMAR T., MD .......270HLAFKA, MARTHA L., MD ..................................113HO, DANG D., MD ...............17HO, TERRY A., MD ..............98HOBSON, FRANCIS L., MD ..................................273HODEL, KENNETH A., MD ..................................315HODGSON, KIM, MD 365, 384HODULIK, REBECCA J., DPM .................................284HODUM, BARBARA S., LCSW, CADC .................440HOELLE, GARY W., DPM .....................................344HOELZER, DAVID R., MD ........................................363HOELZER, KAREN L., MD ........................................367HOEMANN, NANCY J., LCSW ..............................465HOFFMAN II, JOHN R., MD ....................................19HOFFMIRE, DARIN, LCSW ...................................440HOFMANN, PETER M., MD .................................361HOFMEISTER, AMY, LCPC ....................................426HOFMEISTER, ELIZABETH M., DPM ........284HOGANSON, GEORGE, MD .....................315HOGGATT, PAM J., LCPC ............................431, 440
HOKANSON, LINDA, LCSW ...................................431HOLDER, LARRY W., MD ........................................113HOLLAND, DAVID, OD ........................................189HOLLAND, SARAH K., LCPC ......................417, 440HOLLANDS, CELESTE M., MD ...............378HOLLEY, JEAN L., MD ........................................392HOLLOWAY, PHILIP, DPM .....................................301HOLLOWAY, RICHARD, MD ....................357HOLLY, CHRISTOPHER P., LCSW ...................................440HOLSINGER, JAMES F., MD ....................................62HOLT, KATHERINE D., PSYD ..............................405HOLT, NATHAN P., MD ..................................76, 102HOLT, PAIGE B., MD.........205HOLT, TRAVIS A., MD ........................................197HOLTERMAN, AI-XUAN L., MD ......................329HOLTERMAN, MARK J., MD ...................................329HOLTHAUS, SUZANNE E., MD.................15HONAN, MICHAEL P., MD ....................................86HONG, STEVE C., MD .......391HOOD, DOUGLAS B., MD ................................365, 384HOOPESTON COMMUNITY HOSPTIAL ...........................496HOOPESTON COMMUNITY MEMORIAL HOSPITAL ...........................469HOPEDALE MEDICAL COMPLEX-SNF ..................496
HOPEDALE MEDICAL FOUNDATION ....................469HOPKINS, BRYAN J., OD ........................164, 173, 186HOPKINS, SARA A., LISW ....................................431HOPSON, COREY R., LCPC ....................................440HORINEK, ANTHONY R., MD ....199, 214, 253, 260, 276, 282, 292, 304, 317, 343HORNDASCH, RICHARD, MD................88, 98HORNER, TIMOTHY, MD..........................................28HORTENSTINE-GROHLER, JENNIFER, LCPC................414HORTON, JOHN D., MD........................................378HORVAT, MARIA C., MD................................143, 156HORVAT, MARIA, MD........................................136HORVATH, JEFFREY R., MD ..................264, 336, 382HOSCHEK, JEFFREY C., MD ................................6, 11HOSKINS, KENT F., MD........................................351HOSSAIN, SHAHEENA, MD ........400, 417HOUSEWORTH, WILLIAM H., MD ...............136HOWARD, MONIQUE M., MD ...................................29HOWARD, QUEENA L., LCPC.......................431, 440HRYNEWYCH, ALEXANDER M., MD........141HSIEH, HUAN JANE, MD........................................137HSU, JOHN W., MD...197, 213, 253, 260, 275, 281, 291, 304, 313, 342HSU, MARK, MD.......196, 213, 302, 309, 338
HINGLE, SUSAN T., MDHSU, MARK, MD
Index
526
HSU-LUMETTA, JENNIE C., MD .....................17HUANG, HAOJIANG, MD ........................................461HUANG, MEI, MD ..............364HUANG, XINYAN, MD ........................263, 376, 387HUBBARD, NED B., OD ........................................174HUBBS, JOHN, LCSW .......440HUDEC, JOHN G., MD .......153HUDSON, ALISHA, DO ........................................445HUDSON, HILTON M., MD .................................296HUETTEMANN, JEFFREY A., OD .................176HUEYS HOME MEDICAL INC ....................477HUFFMAN PRUITT, VICKIE L., LCPC ................456HUGGINS, MELISSA E., MD ..................................335HUGHES, CHRISTOPHER R., MD ..................................45, 104HUGHES, THERESA M., DPM ...............................255HUGHES-PAULINE, MARY T., LISW ..................412HUH, YOUNG B., MD 194, 294HULL, SAM F., MD ..............72HUMPHREY, ELAINE A., LCPC ......................418, 424HUNG, MING L., MD .........269HUNT, MATTHEW W., LCPC .....................402, 414HUNT, TRINA K., LCPC ....................................440HUSS, STEPHEN M., MD ........................................237HUSSAIN, MEH J., MD ........................................423HUSSAIN, MUJAHID, MD ................................244, 245HUSSAIN, SYED, MD 216, 336HUSSAINI, ASIMA K., MD ..........................................12
HUSTON, CHAD A., MD ........................................153HUSTON, MARCIA J., MD ................................194, 244HUYOUNG, ALFRED R., MD ..................................352HYRE, MICHAEL C., MD ........................................100
IBRAHIM, LUCY W., MD ........................................453IBRAHIM, NASRELDIN M., MD .........137ICAZA, ORLANDO J., MD ........................259, 279, 365IKLADIOS, OSSAMA I., MD ...........................332, 334IL INSTITUTE FOR ADDICTION RECOVERY AT THE ABBEY.........................401, 487ILLIANA MEDICAL EQUIPMENT .......................478ILLINI COMMUNITY HOSPITAL ...........................470ILLINI HERITAGE REHAB & HEALTH CARE CENTER ...................494ILLINI RENAL DIALYSIS ............................474ILLINOIS CENTERS FOR PAIN & REHAB SC .........................................491ILLINOIS INSTITUTE FOR ADDICTION RECOVERY.433, 444, 459, 488ILLINOIS KNIGHTS TEMPLAR HOME ...............498IMDAD, ZARQA, MD ........244IMES, DAVID R., OD 158, 164, 169, 172, 179, 181, 185INGALSBE, STEVEN C., MD ..............................41, 65INGRAM, DORDANA E., LCSW..............................456INGRAM, SHARON T., MD ..........................139, 150
IN-HOME MEDICAL OF SBL.................................481IOWA FALLS MARY GREELEY DIALYSIS .........475IQBAL, JAVAID, MD .........350IRELAND GROVE CENTER FOR SURGE........471ISSA, HANI, MD .................390ISSA, ZIAD F., MD .............357ISSA, ZIAD, MD .................357IVANOVICH, MATTHEW A., MD ....244, 245IVERSON BORDERS, SHELDA, PHD ....................463
JABEEN, SAYEEDA A., MD ..................................114JABER, NABIL, MD .............61JABINES-STEWART, HAYDEE, MD .......................28JACKSON, ALYCE F., MD........................................274JACKSON, JOSEPH B., OD..160, 162, 166, 167, 169, 171, 177, 179, 182, 187, 191JACKSON, MARK D., MD........................213, 302, 309JACKSON, MARK, MD........................................302JACKSONVILLE SKILLED NURSING AND REHABILITATION.............496JACQUES, HELENE A., LCPC ..............................421JACQUES, RENALDO A., MD ....................................93JAGARLAMUDI, KUPPUSWAMY, MD .........286JAGER, MATTHEW D., DO ....................................89JAGER, MATTHEW, DO ..........................................89JAIN, SANJIV, MD .............396JAKOBY IV, MICHAEL G., MD...............363JALIL, YOUSAF, MD ...........68
I
J
HSU-LUMETTA, JENNIE C., MDJALIL, YOUSAF, MD
Index
527
JALIPARTHI, SWARNALATHA, MD ........................................128JALOVEC, LYNNE M., MD .................................314JAMES JR, FRANKLIN, MD ...................26JAMES, GORDON W., MD .......199, 214, 253, 261, 276, 282, 292, 304, 317, 343JAMES, JEFFREY J., OD ........................................170JAMMA, KIRANMAI, MD ..........................................19JAMNADAS, AMIT B., MD ..................................266JAMNADAS, BRIJ B., MD ..........................................49JANI, JAYDEV Y., MD ......................................6, 41JANI, JYOTIR H., MD ..........82JANI, SUBHASH N., OD ................................171, 175JANSSEN, ALICIA U., OD ........................161, 192, 193JARZABKOWSKI, DORY, DO ..224, 246, 249, 256, 277, 295, 338JAVADI, FARIBA, MD ........................................368JAVAID, KAMRAN, MD ........................................206JAVED, MAHWESH, MD ..........................................40JAYARMAIAH, POORNIMA, MD ................363JEDD, DEBRA J., PSYD ....................................411JEFFRIES, KEVIN, MD ............................53, 63, 133JEGAN-MOHAN, JANANDANA K., MD ..........21JELIAZKOVA, ZLATKA K., MD ...................29JENKS-KETTMANN, JULIE, LMHC ......................412JENNINGS, DAVID C., OD ...................................176
JENNINGS, MARK, MD ........................................328JENNINGS, RUTH A., LCSW ...........407, 417, 432, 440JENNISON, STEPHEN, MD ....................357JENS, DANIEL E., LISW ....................................400JENSEN, STEVEN T., OD ................................158, 182JEONG, HWAN, MD...........297JERCINOVIC, SPOMENKA, MD ................110JESSEN, TIMOTHY E., MD ..................................347JHEE, WON H., MD ...204, 299, 341JIMENEZ, JUAN C., MD ........................................273JINN-OLEARY, MINNA, MD ........................445JIT, SIMRAN, MD ...............106JNANANAND, NAYANTARA, MD ..............78JOAG, KIRAN, MD ...............72JOHN, ASHISH, MD ...........124JOHN, TEENA, MD ............124JOHNSON, AMY L., MD ..........................................49JOHNSON, BRENDON J., OD ...............179JOHNSON, BRENT C., MD ........................................324JOHNSON, CARL R., MD ..........................................75JOHNSON, CATHLEEN, LSW...............466JOHNSON, CLIFFORD B., MD ..............220JOHNSON, CURTIS E., OD ...................................175JOHNSON, DAVID A., OD ........................................193JOHNSON, DAVID M., MD ...................................90JOHNSON, DOUGLAS W., OD .............172JOHNSON, ERIC M., OD ................................172, 174
JOHNSON, JEREMY L., PHD.................................447JOHNSON, KEVIN L., OD ........................................189JOHNSON, LESLIE E., MD..........................................93JOHNSON, MARK A., MD........................................391JOHNSON, MARK R., MD........................................378JOHNSON, PATRICIA, MD ...........257, 393JOHNSON, PHILIP B., MD........................................129JOHNSON, RONALD J., MD ...................................453JOHNSON, THOMAS N., OD ..........................160, 162JOHNSON, VICTORIA, MD...........229, 396JOHNSON-DECHOW, DENISE, DO ........................419JOHNSTON, CHAD R., MD ..................................114JON, MICHAEL C., MD........................................206JONAS, ROY E., MD ..........100JONES III, LEWIS F., OD ........................................159JONES, DAVID A., MD..........................................36JONES, DOUGLAS J., MD........................................293JONES, DOUGLAS, MD........................................219JONES, GLYN E., MD ........331JONES, STEVEN, MD .45, 104, 248, 345JONES, TERRY L., MD........................................124JONES, W ERIC, OD ..........189JONES-MARTINEZ, NICOLE, MD .......................427JONES-MONAHAN, KELLIE, MD................286, 398JONGERIUS, N MICHAEL, MD .....................93JOOS, NATHAN D., MD................................263, 376
JALIPARTHI, SWARNALATHA, MDJOOS, NATHAN D., MD
Index
528
JORDAN, ASHBY M., MD ................................245, 246JORDAN, ROSEMARY H., LCSW ...................................400JOSEPH, JINCY K., MD ..........................................16JOST, SUZANNE, LCPC ....................................440JOUDEH, MOHANAD, MD ...................60JOYNER, SCOTT, DO ........151JUDGE, QUINN L., OD ................................175, 179JUJJAVARAPU, VIJAYA L., MD .......................3JUNG, HYUNCHUL, MD ........................................221JUNKER, JESSIE A., MD ..........................................37JURAK, DANIEL M., DO ..........................................25JURANEK, ROBERT H., MD ..........................105, 114JURKOVIC, EDWARD, DO .............210, 291JWEIED, EIAS E., MD ........301JYOTHINAGARAM, MADHU G., MD ..................232
KABATAY-LEE HO, MARIA T., MD ......................86KABRE, NEELIMA D., MD ........................................271KAGAN, ALEKSANDR, DO ..............263KAHWAJI, MICHAEL P., PHD .................................406KAIROUZ, JEANNE M., MD .........................233, 285KAIROUZ, SEBASTIEN S., MD ............235KAKARLA, VENKATA R., MD ..............227KAKUMANI, SEETAL, MD .......................461
KAKUMANI, SRINIVASA R., MD ....280, 380KALA, NOLEEN V., MD ........................................129KALE, SUSHANT P., MD ........................................370KALIA, MONICA, OD ........164KALIANI, NEELU J., MD ........................................129KALLADA, SAHLA, MD ........................................127KAMBOJ, YUVRAJ, MD ..........................................77KANE, ANDREA M., MD ..........................................84KANE, FRANCIS L., MD ............................................4KANE, KELLY A., PSYD ....................................467KANG, IAN K., MD ............327KANG, JOY H., DO...............19KANNAN, SREEPATHY, MD...............226KANTAMNENI, ANURADHA, MD ...................6KANTAR, MOUHANNAD, MD .............26KAPITAN, KENT S., MD ........................................380KAPITKO, DEBORAH O., LCPC ..............................440KAPLAN, BRUCE W., MD ........................................103KAPLAN, GLENDA, MD ........................................137KAPOOR, GAURAV, MD ........................................272KAPRAL, JANE L., MD ..........................................25KARALIS, MARY C., LCPC ....................................423KARAS, TODD J., DPM .....................................331KARBOWSKA-JANKOWSKA, MARIA M., MD ...................320KARCAVICH, JOSEPH P., MD .....................67
KARINATTU, JOSEPH, MD .......................128KARKARE, SUJATA A., MD ....................................68KARKOSH, BETTY J., LPC .......................................430KARPEN, CHARLES, MD........................................357KARRAS, PETER J., MD........................................364KASA, PAUL R., MD............66KASHYAP, RAVINDRA, MD.................206KATCHEN, DEBRA, MD..........................................78KATCHEN, MARC S., MD........................................254KATH-LANTERMAN, SANDRA H., LCPC .............421KATHOLI, RICHARD E., MD ..................................357KATILIUS, MARIUS J., MD ...................................265KATSAMAKIS, CONSTANTINE D., DO ..................................73, 285KATTAH, JORGE C., MD........................................319KAUR, AMANDEEP, MD........................231, 241, 347KAVIANIAN, ALI R., MD........................................378KAVURI, CHOUDARY V., MD ..416, 465KAWAKITA, ERICK M., MD .................................220KAYS, RYAN H., OD .........188KAZAGLIS, JEFFREY A., MD ..................................245KEELEY, JOSEPH, MD..........................................20KEHL, RALPH J., MD ........396KEITH, JEREMY D., OD160, 162, 166, 167, 169, 171, 177, 179, 182, 187, 191KELLENBERGER, BRYAN, MD........................128KELLER, BRETT L., DO ........................................203
K
JORDAN, ASHBY M., MDKELLER, BRETT L., DO
Index
529
KELLER, JAY S., MD .........138KELLEY, JAMES B., OD ........................164, 173, 186KELLEY, MICHAEL P., MD ..................................358KELLEY-MUHAMMAD, JACARA, MD ........................51KELLY, JODY L., MD ........147KELLY, THOMAS C., MD ........................................299KENDALL, KELLY A., LCSW .............................414KENDHARI, HARLEENA K., MD .............98KENNEDY, GAIL L., MD ................................204, 395KENNEDY, KELLEY, MD ........................................295KENNETT, ROBERT F., OD ...................................159KENNEY, TOM J., MD ...........8KENNY, JAMES N., MD ........................................335KEOGH, SUSAN, LCPC ....................................411KEPNER, BARBARA J., MD .....................................64KERN, RICHARD C., OD ........................................182KERWIN, CHARLES R., LCSW .............................415KESAVAN, B S., MD ............52KETEL, BEVERLEY L., MD .198, 199, 213, 214, 253, 260, 261, 275, 276, 281, 282, 291, 292, 304, 314, 317, 342, 343KETRING, ELAINE, LCPC ....................................417KETTERING, TODD, MD ..........................................82KEUNG, BONNIE M., MD ........................................319KEWLEY, KAREN J., LCPC ....................................440KH NORTHWEST INDIANA .............................493
KHADKE, NEELAM, MD ............................32, 39, 107KHAISER, NOOR A., MD ................................247, 312KHAN, AFTAB, MD .......25, 76KHAN, AJAZ, MD ..............351KHAN, AKBAR A., MD ........................................391KHAN, AZIZ U., MD ..........372KHAN, MOHAMMED A., MD ....................................87KHAN, MOHAMMED M., MD ...................................86KHAN, MUHAMMAD N., MD ....................................34KHATER, AMIN M., MD ........................................141KHATER, RUSSELL I., MD ...................................141KHODADADEH, SARAH, MD ........202, 250, 251KHOKHAR, OMAR S., MD ........................................197KHOSROWSHAHI, SAMINEH, MD ...........287, 393KHOURY, DOUGLAS A., MD ..........................230, 231KHUSRO, QAZI E., MD ........................................296KIEL, DAVID J., MD ..........127KIESEWETTER, ELLEN S., LCPC .................441KIJEK, MARK A., MD ........149KILBOURN, CATHERINE J., LCSW ...................................441KILLIAN, TERRY M., MD ........................................461KIM, DANIELLE F., DO ............................................6KIM, INWHA, MD ..............368KIM, JAE H., MD ................342KIM, JANE C., MD .........19, 73KIM, JI YEON, MD ...............98KIM, KEVIN S., DO ............130KIM, SOO AH, MD .............114KIM, YOU S., MD .................14KIMBALL, RONALD E., MD ..................................390
KIM-KUPFER, CAROLINE, MD ...................94KINDRED HOSPITAL PEORIA................................483KINDRED HOSPITAL SPRINGFIELD.....................493KINDRED HOSPITAL SYCAMORE ........................493KINDRED, DAVID H., MD........................................147KINDRED, STEPHEN L., MD ......................................6KING, ANDRE C., MD .......252KING, JAMES H., MD ..........49KING, KIEYA, MD .............136KING, STUART C., MD........................................221KINK, LYNN M., MD .........124KIRBY MEDICAL CENTER...............................470KIRBY, KEVIN, MD .............73KIRCHGESSNER, THOMAS C., OD .................182KIRCHNER, LARK N., LCSW ...................................456KIRK, KARLA Y., OD .......160, 162, 166, 167, 169, 171, 177, 179, 182, 187, 191KIRK, KRISTIN J., LCSW ...................................441KISHORE, KAMAL, MD................................255, 322KISIEL, BEATA A., MD........................................266KISIEL, BEATA, MD..........266KISTLER, KAREN, LSW......................................418KIZHAKEKUTTU, TINOY J., MD..............252, 309KLAUSS, SVEN, MD..............6KLEES, CHARLES A., LCPC ............................435, 441KLEIN, ANDREA R., PHD ......................................411KLEIN, DREW, OD.............159KLEIN, KELLY L., OD .......189KLEIN, SUSAN M., MD..........................................37
KELLER, JAY S., MDKLEIN, SUSAN M., MD
Index
530
KLEIN, TAMMIE A., MD ........................................153KLEMENS, JAMES J., MD ........................................325KLEMENS, JULIE C., MD ........................................308KLINGMAN, SHARON, LCPC ..................432KLOPFENSTEIN, JEFFERY D., MD ................321KLOPFENSTEIN, JEFFREY, MD .....................350KLUESNER, ANDREW, DPM ..................222KNEEZEL, LAWRENCE D., MD...............7KNEPP, MARC D., MD ..........................................98KNIGHT, ANGELA M., LCSW ....................436, 441KNIGHT, REBECCA A., MD ....................................90KNOLL, DEANNA M., DO ..........................................11KNOST, JAMES A., MD ........................198, 316, 354KNOX COUNTY NURSING HOME................497KNOX, DAVID R., MD ..........................................75KNOX, JUDITH, MD ..........362KNUPP, JAMES A., MD 202, 228, 250, 257, 306, 340KNUTSON, KELLY, PSYD ....................................406KOCH, ABBY J., LCSW ...........................430, 449KOCHER, JARED J., MD ............................................1KOCHERIL, ABRAHAM, MD .................217KOH, DAVID W., MD225, 248, 249, 250, 258, 277, 278, 300, 301, 341KOH, DAVID, MD ......206, 207KOHLER, TOBIAS S., MD ........................................383KOHLI, MANOJ, MD .........222
KOHLMANN, JAMES, MD ........................223, 229, 394KOHS, HILARY E., LCSW ...................................428KOIRALA, JANAK, MD ........................................368KOLA, MANOHAR, MD ........................................233KOLB, EDWARD H., MD ........................................298KOLETTIS, YANNIS N., MD ..................................322KOLLA, RAJASEKHAR, MD ..............62KOLLURI, RAGHU, MD ........................................384KOLLURU, ANURADHA, MD ...............233KONCHANIN, RONALD P., MD .................398KONDA, SUDHAKAR R., MD ....................................37KONG, MARI E., LCSW ...................................451KONONOVA, LARISA, MD .......................423KORKMAZ, METE, MD ........................................351KOSSLER, KARLA R., MD ........................................134KOSZYK, PHILIP M., MD ........................................296KOTA, SRINIVAS C., MD ..........................................12KOUL, ASHOK K., MD ........................................295KOULOUMBERIS, PELAGIA E., MD ........267, 294KOUPAL, ROBERT L., LCSW ...................................412KOURI, THOMAS F., MD ..........................................90KOVACH, REGINA, MD ........................................114KOVACH, STEPHEN, DPM .....................................239KOWAL, ANNE C., LCSW ...........................421, 428
KOZAK, STEFAN P., MD........................................120KOZMA, JOSEPH J., MD..........................................58KRAGER, KIM, OD ............189KRAH, DAVID, MD ...........372KRAHN, NATHAN L., LCPC ............................402, 441KRALL, ALLEN S., MD........................................370KRALL, DIANE C., MD........................................128KRAMER ENTERPRISES LTD ...........481KRAMER, FRANCES K., MD ..................................103KRAMER, KEVIN E., MD..........................................75KRANZ, JEFFREY A., LISW ............................400, 451KRAUS JR, ROBERT R., MD ..................................236KRAVANYA, JOSEPH P., LPC..................................408KRAVETS, SERGEI A., DO ....................................60KREMER, MARLENE, MD..........................................73KRINGS, PAULA M., LISW ....................................408KRIPPNER, KEVIN, PHD ..............................406, 434KRISTAL, LIBBY K., MD 202, 228, 250, 257, 306, 340KROCK, KENNETH, MD....................................14, 15KROHN, AUSTIN C., OD ................173, 176, 184, 185KROLAK, KAREN A., LCSW ...................................428KRON, THOMAS K., MD........................................269KROODSMA, CHRISTOPHER, MD ..........311KRUGER, DAVID P., OD ........................................186KRUMTINGER, MICHAEL L., LCPC ...402, 415
KLEIN, TAMMIE A., MDKRUMTINGER, MICHAEL L., LCPC
Index
531
KUBASAK, WAYNE K., LCPC ..............................426KUBE, BRENDA A., MD ..........................................64KUCINSKI, LAURA J., DO ..........................................25KUGANESWARAN, ELIATHAMBY, MD ..247, 275, 303, 312KUHNKE, MARK, MD ........................................365KUKREJA, DEEPNA, MD ............................33, 39, 107KUKREJA, GAUTAM, MD ............................33, 39, 107KULB, THOMAS, MD ........208KULIKOWSKA, AGNIESZKA, MD ...............326KULYS, RUTA R., LCSW ...................................456KUMAR, MUKESH, MD ............................32, 39, 106KUMAR, PANKAJ, MD ........................................316KUMAR, POMILLA C., MD ......................................4KUMAR, VIJAY, MD .........197KUMARASWAMY, LATHA, MD ........................392KUNKEL, BETH A., OD ........................................189KUNKEL, KENT A., OD ........................................189KURAMOTO, ROBERT K., MD .................221KUREISHY, FARRUKH, MD.....................24KURIEN, SHAUN, MD ........................................348KURT, KEVIN D., OD ........171KURTH, SHANNA, PHD ......................................320KURTZ, S CRAIG, MD ................................302, 309KURZ, BARRY F., PHD ......................................447KUTTY, AHAMED V., MD ................................212, 384
KUZMICKI, LEONARD, MD...................355KVITLE, KIRK D., OD .......185KWAN, KATHERINE, OD160, 162, 166, 167, 169, 171, 177, 179, 182, 187, 191KWEDAR, JOHN E., MD ........................................372KWIATKOWSKI, KATHERINE A., MD ..........410KWONG, HELEN D., MD ........................................114KYLE, KAREN M., MD ........................................446KYSER, MARCY K., OD ........................................190
LAASCH, CRAIG, PSYD ....................................429LABAYOG, JOMEL, MD ........................................227LADD, AIMEE J., PHD .......447LADD, PHILLIP, LCPC ....................407, 441, 450LAFATA, JAMES ................114LAFFERTY, ROSE M., LCSW ...................................465LAGOUROS, PARASHOS A., MD ............322LAHARPE DAVIER HEALTH CARE CENTER...............................497LAHOOD, TIMOTHY, MD ..........................................94LAIRD, KIMBERLY S., LCPC ...............................426LAKSHMINARAYANAN, BATLAGUNDU S., MD ..........................285, 388LAL, ROBY, DO .................333LAM, WILFRED, MD .........358LAMB, CATHERINE, MD ............................................7LAMBERT, ANDREW D., MD ..................................384LAMONT, TYLER A., DO ............................................8
LANA, TOMIKE, PSYD ....................................406LANCIA, ANDREW J., MD........................................446LANDESS, DAVID K., OD ........................................177LANGCAUON, HAZEL J., MD .......................25LANGE, DANIEL P., MD........................................208LANGHOLZ, LAUREL L., LP ...................409LANGSTON, JENNIFER M., MD..............328LANKER, WILLIAM K., MD ............................79, 144LANSER, TODD A., MD....................................15, 47LANSFORD, CHRISTOPHER D., MD........................................325LANZOTTI, DANIEL E., MD ..................................120LAPHAM, AMY B., LISW ....................................416LAPINSKI, PAULA, MD................................210, 265LAPKE, JALAYNE, MD..........................................98LAPP, JOHN, OD ................161LARSEN, ANNETTE, LCPC ............................402, 441LARSON, AMY, MD ............52LARSON, JILL N., LCSW ...........................435, 441LARSON, LINDA................465LARSON, RICHARD E., MD ..................................287LASALA, FRANK T., MD..........................................78LASHER, RICK, MD...........200LATIF, MARIA R., MD..........................................60LAU, DANIEL S., MD ..23, 102LAUSEN, HARALD, DO ........................................120LAVAVEJ, SRIPEN, MD........................................150
L
KUBASAK, WAYNE K., LCPCLAVAVEJ, SRIPEN, MD
Index
532
LAWRINENKO, VICTOR, MD .......................312LAWS, GREGG L., MD ..........................................16LAWSON, JOHN K., MD ........................................209LAYA, MARIA F., MD .........66LE, DANIEL, MD ..................64LE, JESSICA, LCPC ...417, 432, 441LEAHY, TIMOTHY J., OD ........................173, 184, 185LEAHY-AUER, JOANNE M., MD...................14LEAK, BENJAMIN J., MD ........................................197LEAR, CHRISTOPHER, OD ...158, 187LEAVITT, ERIC J., OD ......160, 163, 166, 167, 169, 171, 177, 179, 182, 187, 191LEE, CYNTHIA J., MD .......124LEE, DANIEL J., DO...........130LEE, DENNIS, MD ..............203LEE, ELBERT, MD .............427LEE, FRANCIS C., MD .......233LEE, ISSAC, MD .........128, 129LEE, JOHN C., MD .............237LEE, JOHN K., MD .............120LEE, KAREN M., LCPC ....................................402LEE, KAY, LCPC ................426LEE, RICHARD H., MD ........................................319LEE, ROBERT M., MD ......202, 228, 237, 250, 306, 323LEE, SHAO-TSENG, MD ........................................315LEE, THOMAS G., DO .......148LEEBOLD, BOBBY J., LCSW ...........................402, 432LEEDIE, DAWN M., LCPC ....................................432LEGAN, DONALD R., PSYD ....................................447LEGAN, LEONE, PSYD ....................................447LEGAN, MICHAEL J., LCPC ....................................441
LEIFHEIT, AMY J., MD ..........................................75LEIGH, DOUGLAS R., MD ........................................368LEISER, LORRAINE H., LCPC ..............................421LE-LINDQWISTER, NGUYET A., MD ........304, 316LEMASTERS, AUDREY, LCSW ................441LEMKE, LAURA M., MD ........................................374LEMMERT, DAWN R., MD ..................................102LENSING, MARILYN A., MD ......................................4LENTZ, PAM S., LCPC ............................419, 424LEON, STEVE A., OD164, 173, 186, 188, 193LEONARD, RONALD K., MD ..................................108LEONARD, W MARC, DPM .....205, 213, 239, 385, 387LEONARDI, MICHAEL R., MD .......329, 330LEONE, DOUGLAS M., MD .........197, 225, 286, 339LEROY MANOR .................497LESKIS, KATHRYN D., PHD ................................411LETNEY, TODD L., MD ............................................5LETTINGTON, MATTHEW W. ....................401LEUTZ, DARR W., MD ........................................263LEVASSEUR, ANTOINETTE, MD.............148LEVECK, KATHLEEN T., MD ..................................143LEVISAY, GERALD L., MD ..................................355LEVY, SHERRIE D., MD ........................................410LEWIS, JEWEL, OD ...172, 178LEWIS, STEVEN J., MD ........................................120
LI, FANG, MD ....200, 207, 225, 226, 339, 342LI, JI, MD .....................204, 340LI, JIAN, MD .......229, 289, 396LI, LAWRENCE K., MD........................................299LI, PAUL K., MD.........221, 289LI, XIAOLU (SHERRY), MD .....................68LI, YIBING, MD ..........215, 330LIANG, CHARLES, DO ..........................................74LICHTENSTEIN, STEVEN J., MD ...................323LIEBER, DAVID C., MD................................264, 383LILLICH, MAUREEN A., MD ..................247, 303, 312LIM, BERNARD B., MD........................................358LIN, AN-SHIH, MD...............70LIN, JULIAN J., MD ..254, 321, 355LINCARE .............................479LINCARE - BLOOMINGTON ................479LINCARE - GALSBURG.........................481LINCARE - JACKSONVILLE.................481LINCARE - ROCKFORD ........................482LINCARE - SPRINGFIELD.....................479LINCARE INC .............479, 480LINCARE INC-DECATUR ...........................480LINCOLN PRAIRIE BEHAVIORAL HEALTH CENTER......459, 488LINCOLNLAND HOME CARE OF SBL ........484LINCOLNLAND HOSPICE OF SBL ...............486LINDAHL, LARRY S., MD........................................315LINDELL, JOHN R., MD..........................................86
LAWRINENKO, VICTOR, MDLINDELL, JOHN R., MD
Index
533
LINDSAY, RONALD, MD ........................................327LINK, GREG A., DO .............51LIPMAN, RICHARD M., MD .................................267LIPOV, SERGEI G., MD ..........................................43LIPPS, HENRY, DO ............221LIU, GEORGE, MD .............234LIU, JIJUN J., MD ...............321LIU, JOSEPH H., MD ............83LIU, YAN, MD ......................49LIZER, ROBERT A., DO ..........................................94LOCKARD, MARY KATHLEEN, MD ..................70LOCKHART, DAVID W., MD .................................101LOCKPORT HOME DIALYSIS ............................475LOCKWOOD, MELISSA J., DPM ...............205LOCOCO, SALVATORE J., MD ..148, 315LOCOCO, SALVATORE, MD ..............148LOCONTE, DONALD D., OD ..................................159LODICO, COLLIN A., PHD ......................................401LOESEL, LAURA L., MD ........................................120LOGAN COUNTY HOME HEALTH CARE ...................................484LOGSDON, PHILLIP K., DPM........................222, 229LOHMULLER, JOSEPH L., MD ...................231LOHRBERG, JAMES D., OD ..........164, 173, 186, 190LOHSE, ERIC P., MD .........372LOMBARDO, CHRISTOPHER P., MD ........................................211LOMBARDO, KAREN A., LCSW .....................421, 452LONGEVIN, MICHAEL E., MD ...............335
LONGO, THERESA A., MD ..................................395LONNING, ELIZABETH A., PSYD .......413LOOMIS, KARA J., BCBA ...................................441LOPP, LAURI F., MD .........120LORET DE MOLA, JULIO R., MD ......................369LOVE, DARREN, PSYD ....................................416LOVE, HOWARD A., LCPC ....................................441LOVE, SHAWN L., MD ........................................220LOVELAND, DENISE A., LCSW .............................420LOVELL, JOHN, MD ..........128LOW, JEFFREY M., MD ........................................220LOWE, JASON W., MD ................................135, 148LOWE, JEFFREY A., DO ........................................340LOWENTHAL, ROBERT A., MD .................223LOWER, TRACY, MD ........124LOWERY, MARGARET M., MD ..........295LOZANO, COSME O., MD ........................................423LUAN, EDWARD C., MD ........................................148LUCAS, PAMELA M., LCSW ...................................456LUCORE, CHARLES L., MD ..................................385LUCORE, CHARLES, MD ........................................358LUDWIG, LEO K., MD .......374LUHTALA, AMBER D., LCSW .............................456LUKANCIC, LOUIS R., MD .......................... 110, 111LUYUN, RONNIE F., MD ................................287, 391LYSTILA, AJA, MD ..............74LYTCHAKOV, VLADIMIR A., MD .............114
MA, JIANJUN, MD .............374MA, LINDSEY A., MD .......148MAAS, KIERSTINE J., LCPC ....................................402MACDOUGALL, AMY, MD ............................397MACEREN, RAYMOND G., MD ............132MACGREGOR, MARGARET, MD ...............372MACINTOSH, BETTE A., MD ..................................461MACK, HARVEY G., OD ........................................190MACK, JESSICA, PSYD ....................................416MACKE, STEVEN, MD....................................74, 85MACNAB, ROBERT K., DPM................................270MACON COUNTY DIALYSIS ............................474MACWAR, RACHID R., MD ..................................309MADDEN, JESSICA D., MD ....................................70MADISON, RICHARD L., LCSW..............................421MADUGULA, MADHAVI, MD ....................83MAENDER, CHRISTOPHER W., MD........................................374MAERE, JANINE M., MD................................8, 42, 51MAES, HOLLY, MD .............29MAHAFFEY, LINDA, OD ................................159, 179MAHAFFEY, THOMAS I., OD ..........159, 179MAHER III, CHAUNCEY, MD .......420, 461MAHESHWARI, PRADEEP, MD ....................242MAHMOOD, RANA H., MD ..................................236
M
LINDSAY, RONALD, MDMAHMOOD, RANA H., MD
Index
534
MAHMOOD, SALEEM, MD ..............264, 283MAHONEY, ABIGAIL, DPM ...................331MAHONEY, JOHN D., MD ........................................324MAIBENCO, DOUGLAS C., MD ..............234MAIN, DAVID, MD ....301, 397MAJCINA, KATHY A., MD ....................................98MAJJIGA, VENKATA S., MD ..................................369MAK, ERIC C., MD.............356MAKHOUL, YVES R., MD ........................................307MALCOTT, JOHN L., MD ..........................................59MALHOTRA, BIKRAMJIT, MD ............26, 27MALHOTRA, DEEPAK, MD ......................349MALIK, FAREHA N., MD ................................417, 452MALIK, MUHAMMAD, MD....196, 213, 302, 309, 338MALLADY, SHAWN P., OD ...................164, 173, 186MALONE, JEANNE L., LCPC .......................457, 465MAMILLAPALLI, CHAITANYA K., MD .........363MAMMOLITO, DENISE M., MD ..................314MANCHIKANTI, LAXMAIAH, MD ................284MANDAHAN, NARAIN, MD ......................411MANDHAN, NARAIN D., MD ................................4, 17MANFRE, JENNIFER E., PSYD ......................431, 450MANGOLD, JENNA R., LCSW .............................432MANI, KARTIK, MD ..........358MANINT, JAMES E., DO ..................................2, 4, 79
MANJUNATH, RAJINI, MD .........................243MANN, JON, MD ................380MANNESS, WAYNE K., MD ..................................200MANNESS, WAYNE, MD ........................................200MANNING, PAMELA A., LPC .................................453MANOR COURT OF CLINTON.............................494MANOR COURT OF PEORIA ................................498MANORCARE HEALTH SERVICES KANKAKEE ........................496MANORCARE HEALTH SERVICES-UTIC .....................................495MANSON, WAYNE L., MD ..................................386MANSOUR, HAYTHAM, DPM ......291, 293, 353, 399MANSURY, NASIRUDDIN A., MD ........392MANTELL, SUSAN K., MD ..................................100MANU, DEVARAJAN, MD ........................................390MAQUET, CLAIRE, LCPC ....................................441MARANON, M LOUISA, MD .........................20MARIANI, DIANA L., LCSW ...................................403MARIGOLD REHAB & HEALTH CARE ..............496MARIS, CHARLES R., MD ................................288, 395MARIS, CHARLES, MD ........................................293MARKLEY, MICHAEL, MD ...............56, 72MARLEY, DANIEL S., MD ............................................8MARROCHELLO, VERONICA S., DPM...225, 300
MARSCHNER, CYNTHIA C., DO..................37MARSHALL, J STEPHEN, MD ....................339MARSHALL, JOHN S., MD................................314, 336MARSHALL, KIMBERLY P., MD...............11MARSHALL, WENDY J., MD ...................................294MARSHALLTOWN MARY GREELEY DIALYSIS ............................476MARTENSON, RICK M., LMHC ............................413MARTIN, KEITH R., MD................................139, 141MARTIN, MARK R., LCPC ....................................403MARTIN, RANDOLPH S., MD............358MARTIN, ROBERT P., DPM .....................................284MARTINEZ, JAIME, MD....................................21, 74MARTINEZ, RON, LCPC ....................................451MARTY, ANN C., MD ..79, 144MASCHMANN, JENNIFER L., MD ...............151MASLAK, JOSEPH W., MD .............................49, 63MASON CITY AREA NURSING HOME................497MASON DISTRICT HOME CARE.......................483MASON DISTRICT HOSPITAL ...........................469MASON POINT ...................499MASTON, TRINITY H., LCPC ..............................442MATHER, MERLIN, LCPC ............................403, 432MATHERS III, LESLIE E., MD ..................................201MATOS, GABOR F., MD........................................358MATOS, GABOR, MD........358
MAHMOOD, SALEEM, MDMATOS, GABOR, MD
Index
535
MATTAI, SHANTA D., MD ..................................319MATTER, STEPHEN S., MD ..................................296MATTHEWS, BEVERLY J., PSYD ............416MATTOON DIALYSIS ............................474MATTOON HEALTHCARE & REHABILITATION CENTER...............................497MAURER, DAPHNE D., MD ..................................410MAURER, GREGORY M., MD .................................290MAURER, JAMES C., LCSW ...................................409MAURER, JOSEPH J., MD ........................................115MAW, THIDA, MD ...............16MAYER, STEPHEN A., MD ..................................358MAYFORTH, RUTH D., MD ..................................378MAYGINNES, KYLE D., OD ..........................159, 182MCAFEE, CATHY L., MD ........................................115MCANDREW, MARK P., MD ..........................345, 374MCBRIDE, DOREENA M., MD ...............14MCCAIG, MISTY C., MD ........................................103MCCALL, TODD D., MD ........................254, 282, 321MCCAMMON, JAYMIE, LCSW ..................415MCCARTHY, HEATHER, DO ......................98MCCARTY, TRINA K., LCPC ..............................403MCCLEAN, JOHN W., MD ........................................254MCCLINTOCK, ROGER, MD ........................127MCCLURE, KEVIN J., LCPC ....................................442
MCCOLLOM, DAWN H., LCSW .............................428MCCONOMY, LOIS, LCSW ...................................457MCCOOK DIALYSIS CENTER...............................476MCCORMACK, ANTHONY T., MD .......37, 234MCCORMICK, SCOTT, MD .................405, 433MCCOY, DAWN K., MD ..........................................19MCCRAY, MIKELL R., PSYD ......................434, 447MCCREA, RANDOLPH L., MD .............90MCCRISKIN, JAMES, DO ........224, 256, 277, 295, 338MCCUISTON JR, STONEWALL, MD ...............58MCDADE, BONNIE K., LCPC ..............................427MCDANIEL, TAMI, LCPC ....................................457MCDONOUGH DISTRICT HOSPITAL .......470, 484, 485, 486, 489, 490, 491, 501MCDONOUGH DISTRICT HOSP-SNF ........497MCDOUGALL, JOHN H., OD ..160, 162, 176, 184, 185MCDOWELL, JASON E., OD ...162, 173, 176, 184, 185MCELROY, DONALD B., MD ..........196, 213, 309, 338MCELROY, DONALD, MD .....................303MCEWAN, ROBERT B., OD ...................................179MCFADDEN SR, DAVID P., LCPC .................453MCFADDEN, DAVID L., MD ..................................266MCFADDEN, DEBORAH L., LCSW .........453MCFADDEN, JEFFREY A., DO ...................28
MCFARLIN, ROGER C., MD ....................................57MCGEE, JAMES L., MD........................................333MCGINNESS, JAMIE L., MD ..................................362MCGREGOR, CANDACE, MD ..........136, 142MCINTEE, RAE A., MD........................................345MCINTYRE, CAROL C., LCSW .............................453MCINTYRE, SAMUEL B., EDD ...............448MCKAY, MARK T., MD........................................121MCKECHNIE, JAMES K., MD ..................................288MCKENNA, DEBORAH, LCPC ...............442MCKENNA, KELLY, LCSW ...................................442MCKILLOP, DIANE L., LCPC...............................403MCLAIN, SCOTT W., MD............................................7MCLAUCHLAN, HEATHER, MD .....................99MCLAUGHLIN, STEFAN T., OD ...................171MCLAUGHLIN, WILMA L., LCPC................403MCLEAN COUNTY ORTHOPEDICS...................491MCLELLAND, BRUCE, MD ........................311MCMANUS, DENNIS Q., MD ..................................315MCMILLEN-FIELD, VICKIE A., LCPC................418MCNETT, LEANNE J., LCSW ...................................442MCNICHOLL, STACI L., LCSW......................409, 429MCNUSSEN, PATRICIA J., MD........287, 392MCRAE, R PARKER, MD........................................303
MATTAI, SHANTA D., MDMCRAE, R PARKER, MD
Index
536
MCSHANE, GERALD J., MD .....................................90MCVARY, KEVIN T., MD ........................................383MCVAY, BRYAN P., DO ................................317, 332MCVAY, BRYAN P., MD ........................................206MCVAY, MARK A., DO ....................................60, 76MEADOW MANOR SKILLED NURSING AND REHABILITATION.............500MEADOWS MENNONITE RETIREMENT .............493, 494MEDINA, JUAN, MD 408, 460, 461MEDRANO, CHRISTINA N., MD ...........257MEDRANO, RUBEN A., MD ....................................77MEDSERVE EQUIPMENT CORP............480MEEKER, MARK A., DO ..........................................49MEGEFF, RANDALL A., MD ....................................19MEHRA, MUKTESHWAR L., MD ................................371, 385MEHTA, HARSHA S., MD ..........................................52MEHTA, JAY, MD .....215, 306, 323MEHTA, PRADEEP K., MD ..................................370MEHTA, RAJEEV H., MD ........................................269MEHTA, SANJAY S., MD ................................285, 388MEHTA, SHILPA I., MD ......................................8, 42MEHTA, SHITAL T., MD ........................................406MEHTA, SHRIKANT A., MD ................................2, 52
MEIER, LESTARI W., LCPC ....................................428MEISS, CURTIS L., LCPC ....................................442MEISTER, ROBERT A., MD ....................................90MELLINGER, JOHN D., MD ..................................365MELVIN, TYRONE R., MD ........................................131MEMORIAL HOME SERVICES NFP-HH ...483, 484, 485MEMORIAL HOME SERVICES NFP-HOSPICE .....................485, 486MEMORIAL INDUSTRIAL REHABILITATION AT JACKSONVILLE ..........493MEMORIAL MEDICAL CENTER ..459, 471, 488, 490MEMORIAL MEDICAL CENTER REHAB UNIT ......................493MEMORIAL MEDICAL CENTER RENAL .................................477MENDELLA, LOUIS, DO ........................................288MENDENHALL, MARCY, LISW ....................401MENEELY, TIMOTHY S., DO ................130MENEELY, TIMOTHY, DO ......................74MENESES PAZ, JUAN C., MD ..................................327MENZEL, KRISTINA L., LCPC...............................450MERCER COUNTY HOSPITAL ..468, 483, 485, 488, 489, 500MERHI, NAHLA O., MD ................................141, 144MERIDEN, TERRY, MD ........................................311
MERKLEY, MICHAEL S., MD ...............324MESEROW, JAMES A., MD ..................................156MESSINA, SANDRA C., LCSW .............................422METRO INFUSION SERVICES ...........................485METUGE AHONE, ANNE A., MD........................30MEYER, RAYMOND J., MD ...................................268MEYER, SCOTT E., MD........................................143MEYER-COX, THERESE, PHD...................463MICHEL, JON C., MD206, 207, 317, 332MICHELLES PHARMACY INC-CARLINV ............................480MICHELLES PHARMACY INC-GILLESP ..............................481MIGAS, JOHN J., MD .........297MIHALAKAKOS, PETER, MD .........................265MIKEL, GARY, MD......74, 286MIKELL, FRANK, MD .......358MIKHAIL-WASSEF, MAHA, MD .........................196MILANI, JOANN C., PHD ..............................413, 451MILBRANDT, TRACY P. ............................124MILICEVIC, DRAGICIA N., MD .............127MILLER, ANDREA K., MD..........................................55MILLER, ANGELA C., MD..........................................49MILLER, ANNE V., MD........................................382MILLER, BRIAN D., MD........................................358MILLER, CHERI, PSYD ............................406, 434MILLER, DAVID L., DO ....................................63, 68
MCSHANE, GERALD J., MDMILLER, DAVID L., DO
Index
537
MILLER, DAVID L., MD ..................................45, 105MILLER, DAVID W., OD ........................................166MILLER, JEFFREY G., LCPC ....................................442MILLER, JOANNE, MD ..........................................32MILLER, JOY M., LCPC ....................................452MILLER, JOY, LCPC, PHD ......................................436MILLER, KEVIN E., DO ..........................................86MILLER, MELISSA, LCSW ...................................427MILLER, RICK, DO ............143MILLER, TERESA K., LCSW ...................................428MILLER, TIMOTHY A., MD ..............................48, 71MILLIGAN, DAVID E., MD ..............................11, 56MINDOCK, SHARON F., LCPC ...............................442MINER, MICHELLE M., MD .................................124MINGS, NANCY, LSW ......................................466MINGUS, DAVID, LCPC ....................................435MINK, SCOTT A., MD .......367MINNAGANTI, VENKAT R., MD.................235MINOGUE, THOMAS L., MD ..................................427MINOR JR, ROBERT L., MD ..........................346, 348MIROCHA, NICHOLE J., DO ....................................121MISCHLER, MATTHEW, MD ...................90MISHKEL, GREGORY J., MD ...........................344, 359MISRA, VIJAY L., MD247, 297MITCHELL, IDOL R., DPM .....................................283MITCHELL, JERRY E., MD ..........................253, 291
MITCHELL, KIRSTEN, PSYD .................424MITCHELL, KRISTIN L., PSYD ..............................424MITCHELL, KRISTOFER J., MD ............365MITRA, JACQUELYN A., LCPC ..............................432MITRY, RAGAI M., MD ........................................289MITZELFELT, DONALD A., MD ................306MIZEUR, TRACY A., MD ..........................................66MLSNA, REID E., OD.........186MOBERG, KIRK D., MD ........................................436MOBERG, KIRK, MD 409, 466, 487, 488MOCHARNUK, ROBERT S., MD ..................367MOKRAOUI, MALEC A., MD ..........................226, 259MOLL, THOMAS W., LCSW ...................................415MONACO, MARY E., DO ........................................267MONGWA, MBU, MD ........388MONTEFOLKA, MARK P., MD ...........40, 87, 94MONTGOMERY, BENJAMIN E., MD ...............59MONTGOMERY, JEFFREY E., OD .........174, 190MOODY, VIRGINIA J., MD ...................................433MOONEY, ROBERT J., LCPC........................432, 442MOORE III, HENRY R., MD ..........................389, 391MOORE, BRIAN, OD .........190MOORE, CHELSEY, OD ........................................190MOORE, RENATA C., MD ........................................240MOORE, SAM A., DO 9, 42, 83MOORE, STEVEN W., OD ................................191, 192
MOORE, TIMOTHY H., LPC .................................415MOPARTHI, VENKATA, MD ..............12, 23MORAN, MARK E., MD........................................294MORAN, MICHAEL C., MD ..........................220, 288MORDHORST, MATTHEW J., PHD ............448MOREDOCK, WILLIAM E., PHD ..............464MORGAN, ANDREW, MD........................................327MORGAN, SCOTT C., MD........................................208MORGRET, DAVID, OD ........................167, 179, 182MORIMOTO, DAVID D., MD ..................................267MORISETTY, VIDYA SAGAR RAO, MD...............138MORRIS, SHERI L., LCSW ...................................425MORRISON, JOSHUA, MD ......................251MORROW, MICHAEL S., MD ..................................110MORROW, ROBERT W., MD .................................111MORTON, CHARLES T., MD ..................204, 221, 289MORTON, SCOTT, MD........................................121MOSER, MEGHAN E., LMHC...................................403MOSKOP, GREGORY T., MD ....................................94MOSLEY, ROBERT G., MD ..........................278, 364MOSQUERA, GUSTAVO, MD.....................22MOSS, KEITH, MD ...............12MOTTO, EDWIN V., MD..........................................31MOTTO, EDWIN, MD ..........31MOTWANI, BHARAT A., MD ..................231, 241, 347
MILLER, DAVID L., MDMOTWANI, BHARAT A., MD
Index
538
MOULTON, KRIEGH P., MD ..................................285MOULTON, KRIEGH, MD ........................................359MOUSHON, GAYLAN W., OD..........................174, 190MOUSSETTE, JOANNE G., PSYD .............464MOVIC, WILSON W., OD ........................................159MOWERS, REBECCA S., LCSW ..............................418MOX, SCOTT W., MD ........245MOY, CALVIN, MD .9, 27, 102MOY, LACEY D., MD ..27, 102MROCZKO, MARK, MD ............................45, 83, 105MUEED, SAJJAD, MD .......371MUELLER, CHRISTINE M., MD .............44MUELLER, DALE, MD ........................................310MUELLER, JOHN C., MD ........................................148MUELLER, JOHN, MD ........................................148MUELLER, KENNETH R., OD .......184, 185MUGRAGE, CRISTINA, LCSW.......432, 436MUHAMMAD, SAAD, MD ..........................................78MUISE, MICHAEL J., MD ..........................................49MUKERJI, VASKAR, MD ........................................359MULCAHEY, KATHRYN A., MD ...............90MULCH JR, ROBERT F., MD ....................................57MULCH, BARBARA A., MD ....................................56MULCONREY, DANIEL S., MD...................324MULDER, ELYN, LCSW ...........................407, 442MULKANOOR, SHALINI, MD ..............106, 121
MULLANGI, PRAVEEN K., MD ..............368MULLENDORE, MARK, MD ..........................115MULLETT, CHRISTOPHER T., DO ........................................328MULLIN, JAMES C., MD ........................................359MULSHINE, BARRY T., MD ..................................374MULTANI, SUKHWINDER S., MD ....................................37, 86MULVEY, THOMAS J., MD ...................................324MUNGEE, MEGHA, MD ..........................................94MUNGEE, SUDHIR, MD ................................303, 309MUNNS, JAMES R., MD ........................................311MUNOZ, ALBERTO J., MD ...................................222MURFIN, JOHNNIE G., OD ..................................177MURPHEY, MARGARET M., LCPC ....................................450MURPHY, C MICHAEL, OD ....................166MURPHY, JAMES J., MD ........................................251MURPHY, MICHELLE M., LCPC ........450MURPHY, PATRICK B., MD ..................................196MURPHY, SCOTT A., LCPC ....................................465MURPHY, THOMAS C., MD ..................................102MURRAY, BARBARA L. ...........................................125MURTHY, ANANTHA K., MD ..................................271MUSAITIF, ZIAD A., DO ........................40, 78, 87, 94MUSHTAQ, MUHAMMAD, MD...............27
MUSIAL, CORA E., MD........................................391MUSTARD, MICHAEL R., MD ....42, 45, 46, 64, 65, 83, 105MUTHEKEPALLI, SUDHA R., MD ...................129MYERS, CLIFFORD E., MD ..................................323MYERS, JAMES E., PSYD ....................................464MZIRAY-ANDREW, CHARMAINE H., MD.........377
NA'ALLAH, RAHMAT, MD ......................94NABHAN, FADI, MD .........296NABRINSKY, STANISLAV, MD ...............243NADEAU, JOHN P., DO ........................224, 275, 301NADKARNI, NITIN, MD........................................226NADOUR, ALAA, MD .......384NAGALLA, SUBHASH K., MD ..............314NAGENDRA, BADANAVAL, MD ................5NAIR, DEEPAK S., MD........................................319NALLAMOTHU, NASARAIAH, MD ..............359NALLU, SAGARIKA, MD........................................395NANAVATI, PARASHAR J., MD .............381NANDISH, SHAILESH S., MD ..............359NANDISH, SHAILESH, MD ..................285NAOUR, DAVID H., MD................................198, 297NAOUR, PAUL R., MD........................................258NAOUR, PAUL, MD ...........299NARASIMHAN, GEETHA, MD..............212, 274
N
MOULTON, KRIEGH P., MDNARASIMHAN, GEETHA, MD
Index
539
NARDONE, EMILIO M., MD .........200, 201, 287, 298NARLA, KOTESWARA R., MD 279, 371NASEER, JIBRAN, MD ......................................9, 83NATESH, RAMANATHAPUR K., MD ..................................266NATIONAL SEATING & MOBILITY ......................480NAWOOR, A RAHMON, MD ....................115NAYAK, ANJULI S., MD ........................................295NAYAK, PDL, MD ..............398NAZZAL, KHALED M., MD .................................239NEESE, ALLEN L., MD ..........................................99NEIL, WILLIAM L., MD ............................................9NEITZEL, CRAIG D., MD ........................................218NELSON, CHRISTOPHER D., MD ..........................................70NELSON, ERICA, MD ........153NELSON, NEIL R., MD ..........................................53NENABER, MICHAEL E., MD ..................................115NEPOMUCENO, DANIEL, MD .......244, 245, 246NERSESYAN, HRACHYA, MD ..................319NESSELROAD III, JAMES D., MD ......................51NESTER, JOHN E., MD ................261, 262, 359, 386NESTER, JOHN, MD ..........359NEUGEBAUER, MIRIAM C., LCSW .....430, 449NEUMAN, NEAL, MD .......354NEUMEISTER, MICHEAL W., MD ..............379NEUWEG, LISA D., LCPC ....................................403
NEUWIRTH, MICHAEL, MD ...................392NEWCOME, KRISTIN K., MD ....................................48NEWCOMER, JOSEPH K., MD...........299, 340NEWCOMER, JOSEPH, MD .......................203NEWLIN, JOHN W., MD ..........................................34NEWMAN REHAB & HEALTH CARE CENTER...............................498NEWMAN, CRYSTAL W., PHD ...............................467NGUYEN, CHARLY, MD ........................289, 301, 346NGUYEN, HUNG, DO ..........25NGUYEN, KATHY N., MD ..........................................90NIAZI, SHERAHSAN K., MD ....................................61NICHOLSON, MATTHEW C., OD .............159NICOLAS, RAMZI T., MD ........................................376NIEBRUGGE, DANIEL J., MD ...................377NIEBUR, THOMAS N., LCPC ......................403, 432NIELSEN, SARAH E., LCPC ....................................403NIETERT, ELIZABETH, MD ................362NIKOLOV, BORISLAV M., MD ....254, 276NISAR, ASIM, MD ..............242NISAR, NIGHAT, MD ........245NIXON, SARAH E., LSW ......................................412NOAKES, NATHAN L., OD ...................................190NOBBE, RAYMOND T., OD ...................................174NOBLE, NICOLE D., PSYD ............................407, 448NOGGLE, CHAD A., PHD ......................................371
NOKOMIS REHABILITATION & HEALTH CARE CENTER...............................498NOMMENSEN, MICHAEL J., MD ..................74NORA, RICHARD E., MD........................................351NORBUTT, CRAIG S., DMD .....................................394NORD, DANIEL A., MD........................................134NORD, HAROLD A., MD........................................145NORD, LAWRENCE A., MD ..................................203NORD, PAUL F., MD..............9NORDQUIST, JOSEPH J., OD.............158, 187NORELL, ERIC, OD ...159, 177NORRIS, JOSEPH, MD................203, 208, 257, 258NORRIS, NICOLE E., MD........................................111NORRIS, STEVEN S., MD............................23, 76, 102NORTH LOGAN HEALTHCARE CENTER...............................495NOTTAGE, JENNIFER M., MD..............373NOVAK, CHRISTINE M., LCPC..............................451NOVAK, HOLLY A., MD........................................359NOVAK, HOLLY, MD........285NOVAK, MICHAEL A., MD ..................................395NOVAK, WILLIAM V., MD ..........................196, 338NOVINSKA, LISA A., LCPC ....................................403NOVOTNY, JOSEPH A., MD ..................................203NOWACK, LINDA A., LCPC ....................................457NOYES, WILLARD S., MD........................................299
NARDONE, EMILIO M., MDNOYES, WILLARD S., MD
Index
540
NUCARE SERVICES CORPORATION ..........495, 497NUGENT, CLAUDIA E., MD ..................................218NULTY, WILLIAM G., MD ....................................90, 99NULTY, WILLIAM, MD ..........................................99NUNNEWAR, SACHIN S., MD.......33, 39, 107NYI, SHAI S., MD ......134, 139, 150
OAKEY, JEROME W., MD ........................................203OBERREITER, ANGELA M., OD 166, 169, 180OBRIEN, DANIEL E., MD ..........................................75OBRIEN, DANIEL K., MD ........................................121OBRIEN, ELIZABETH E., MD ....................................16O'CONNELL, JANET, LMFT ...................................425OCONNOR, MAUREEN MORGAN, MD ....................210OCONNOR, SCOTT B., DPM ................248, 300, 341OCONNOR, THOMAS L., MD ..................................210OCONNOR, TIMOTHY P., MD ......198, 214, 253, 260, 275, 281, 291, 304, 314, 343ODD FELLOW REBEKAH HOME ..............497ODIN, LANNY S., MD237, 373ODONNELL, PATRICK G., MD ........460, 462OESTER, ALAN E., MD .......202, 229, 250, 257, 306, 323, 340OGBURN, LEIA A., LCSW ...................................442
OGUNLEYE, BAMIDELE A., MD ............134OH, B ROCK, MD ...............153OHALLORAN, RICHARD L., MD ...............337OHERN, KELLY M., LCSW ...................................422OHL, D S., OD .....................193OLEARY, PATRICK T., MD ..................................324OLEJNIK, JEFFREY L., MD ..................................141OLIFF, IRMA M., MD.........209OLIGSCHLAEGER, DAVID M., DO ..............37, 109OLIPHANT, CHRISTY A., MD ....................................99OLIPHANT, URETZ, MD ................................286, 398OLIVERO, WILLIAM C., MD ..................................393OLIVEROS, DESIREE F., MD ....................................43OLORIEGBE, FATIMAH A., MD.................94OLSON, ALTHEA R., LCSW ...................................422OLSON, MICHELLE M., MD .................................389OLT, TAMARA, MD...........148OLUWEHINMI, FOLA O., MD ..................................390OLYSAV, DAVID J., MD ........................................279OMAHA CENTRAL DIALYSIS ............................476OMAHA HARRISON DIALYSIS ............................476OMAHA NORTH DIALYSIS ............................476OMAHA WEST DIALYSIS ............................476OMAR, AYMAN I., MD ........................................371OMARRO, STEVEN D., MD ..................................368OMNICARE LABS OF CHAMPAIGN ......................492
OMOTOSHO, WURAOLA I., MD ..........12, 23ONAGAN, MARIA I., MD..........................................61ONDREY, MOLLY A., LCPC ....................................408ONEAL, PATRICIA R., LPC .........................417, 435ONEILL, CHARLES J., MD............................68, 69, 142ONWUAMEZE, OBIORA E., MD ..................462ONYEMERE, KINGSLEY U., MD .............218ONYEMERE, KINGSLEY, MD..................286OO, MYINT, MD ...................14OO, SAW, MD .......................13ORAKZAI, SARWAR H., MD ..................................388OREN, RON M., MD ...........309OROZCO, DANIEL, MD........................................273ORTEZA, NORAH W., MD........................................151ORTHOMOTION TECHNOLOGY INC ...........480ORTHOPAEDIC SURGERY CENTER ...........472ORTHOTIC/PROSTHETIC ASSOCIATES ......................492ORTINAU, ERIC T., MD........................................268ORTIZ, CYNTHIA, LCSW ...................................454ORWIG, STACY C., MD...42, 45, 46, 64, 65, 83, 102, 105, 108OSARO, ODUAH D., MD..........................................24OSBORNE, CHAD S., MD............................................9OSBORNE, LORI, LCSW ...........................403, 432OSBORNE, THOMAS F., MD ..................................393OSEI, MICHAEL A., MD........................................269
O
NUCARE SERVICES CORPORATIONOSEI, MICHAEL A., MD
Index
541
OSF CENTER FOR HEALTH - GLEN PARK ...........................473, 487OSF CENTER FOR HEALTH - ROUTE 91 473, 487OSF CENTER FOR HEALTH - STATE STREET OUTPT CTR .492, 501OSF CENTER FOR HEALTH-ROCK CUT CROSSING OUTPT CTR ..............................473, 487OSF HOLY FAMILY MEDICAL CENTER ...........470OSF HOME HEALTH-EASTERN REGION ............484OSF HOME HEALTH-WESTERN REGION ...........483OSF HOME INFUSION PHARMACY .......................485OSF HOME INFUSION PHARMACY LOVES PARK ...................................485OSF HOME MEDICAL EQUIPMENT .......480, 481, 482OSF HOSPICE .....................486OSF HOSPICE-EASTERN REGION ............486OSF PHYSICAL MEDICINE...........................490OSF PROMPTCARE - BLOOMINGTON ................501OSF PROMPTCARE - PONTIAC .............................501OSF PROMPTCARE - ROCK CUT ..........................502OSF PROMPTCARE - SOUTHRIDGE.....................502OSF PROMPTCARE AT CENTER FOR HEALTH - FR JESSE ..........501OSF PROMPTCARE AT CENTER FOR HEALTH - GLEN PARK ...................................501
OSF PROMPTCARE AT CENTER FOR HEALTH - NORD FARMS.................................501OSF PROMPTCARE AT CENTER FOR HEALTH - ROUTE 91 ........501OSF REHABILITATION SERVICES ...................491, 501OSF SAINT ANTHONY MEDICAL CENTER...............470, 489, 501OSF SAINT FRANCIS MEDICAL CENTER ..473, 487, 491, 500, 501OSF SAINT FRANCIS RANDOLPH BUILDING - OUTPT CENTER...............................473OSF SAINT FRANCIS RANDOLPH BUILDING- OUTPT CENTER...............................491OSF SAINT FRANCIS WELLNESS CENTER AT RIVERPLEX ..................490OSF SAINT JAMES HOSPITAL ...........................470OSF SAINT JAMES SLEEP & LUNG CENTER...............................500OSF SLEEP MEDICINE...........................500OSF ST FRANCIS MED CTR & CHILDREN'S HOSPITAL OF IL ........470, 487OSF ST FRANCIS REHAB.................................493OSF ST JAMES HOSPITAL-SKILLED NURSING ............................499OSF ST JOSEPH MEDICAL CENTER ..468, 473, 487OSF ST JOSEPH MEDICAL CENTER - MEDICAL IMAGING .473, 486
OSF ST JOSEPH MEDICAL CENTER-SKILLED NURSING...........494OSF ST MARY MEDICAL CENTER ..469, 472, 473, 487, 491, 500OSHIRO-JOHNSON, CHERIE A., OD ..165, 173, 186, 193OSIPOV, ROBERT M., MD........................259, 280, 398OSSOWSKI, MARY L., LCSW..............................457OTT, BARBARA, OD .........182OTTINO, JONATHAN L., OD ...................................190OUTERBRIDGE, VICKI O., LCPC ..................409OVERCASH, LARRY F., MD ..................................149OWAISI, ANJUM S., MD........................................209OZAKI, LINDA S., MD......................33, 34, 39, 107
PABALATE, ROBERTO G., MD ................37PACHECO, PAUL E., MD................................361, 365PACHECO-CORONADO, ROBERTO, MD ...................359PACHECO-CORONAGO, ROBERTO, MD ...................285PACKARD, STEVEN H., MD ..................................260PADGETT, ROBERT D., MD ....................................78PADMANABHAN, PASUPATHY, MD ..............252PAIN CARE SURGERY ...........................472PALAZZOLO, MICHAEL, MD .....................20PALERMO, MARK E., DO ........................................220
P
OSF CENTER FOR HEALTH - GLEN PARKPALERMO, MARK E., DO
Index
542
PALM TERRACE OF MATTOON ..........................497PAMULAPARTHY, SMITHA R., MD .199, 214, 254, 261, 276, 282, 292, 305, 317, 343PANAGAKIS, GEORGE, DO .....288, 289, 394, 395PANCHOLI, SANJAY S., DO .......................31, 39, 106PANKAU, NATALIE, LCSW ...................................466PANOPIO, PHOEBE B., MD ....................................81PAONI, MELISSA F., PHD ......................................464PAPIREDDY, MURALIDHAR R., MD ........................................115PAPROCKI, ALEXANDRA A., MD ....91, 99PARADEE, CHRISTINE V., PHD ..........464PARADOWSKI, THEODORE J., MD.............364PARALIKAR, SUBHASH, MD .....................52PARESI, ROBERT J., MD ........................................396PARIS COMMUNITY HOSPITAL ...........................470PARIS HEALTHCARE CENTER...............................498PARIS, BRAD D., MD 278, 361PARK, AN N., MD ..............298PARK, GRACE, MD ...........129PARK, RICHARD B., MD ........................................242PARKER, ROBERT M., DPM ...............................379PARKER, SARAH E., MD ........................................320PARKER, WILLIAM I., MD ...................................328PARKWAY MANOR ..........497PARRISH, ROBERT, MD ........................................325PARRY, BRENT, DPM216, 331
PARUCHURI, SURENDRA P., MD ......27, 227PARUNGAO, RENE S., MD ..................................253PARVEEN, ZEENAT, MD ........................................349PARY, ROBERT, MD .........462PASO, SUE A., LCPC .........465PASSAVANT AREA HOSPITAL ...................469, 490PASSAVANT HOME CARE/DMEQ.......................478PATEL, ANKIT M., MD ........................................269PATEL, BHASKAR N., MD ........................................226PATEL, DHAVAL M., MD ........................................352PATEL, DHIRENDRA K., MD ..................................234PATEL, GAVISH N., MD ........................248, 258, 314PATEL, HARIKRISHNA P., MD ................................223, 227PATEL, HARIKRISHNA, MD ..........227PATEL, JANKI N., DO .......244PATEL, JUMUNA, MD ..............................40, 87, 94PATEL, KAUSHIK J., MD ................................290, 397PATEL, KEVAL D., MD ....................26, 27, 226, 227PATEL, KISHORBHAI K., MD ..............50, 77, 253, 291PATEL, KRISHAN, MD ........................................233PATEL, MAHINDRA D., MD ..............................17, 57PATEL, MARLYNN, MD ........................................316PATEL, MUKESH V., MD ........................................101PATEL, NALIN, MD ...........293PATEL, PRITI M., MD ........326PATEL, RAHUL, DO ..........433PATEL, ROSHAN B., MD ................................348, 386
PATEL, SAMIR, MD..280, 380, 382PATEL, SAURIN G., MD................207, 208, 341, 342PATEL, SOHAL K., MD........................................226PATEL, SUBHASH J., MD................252, 291, 309, 342PATEL, TEJAL, OD ...160, 163, 166, 167, 169, 171, 177, 180, 182, 187, 191PATEL, VIKAS K., MD........................................272PATEL-GARUD, RACHANA, OD..160, 163, 166, 168, 169, 171, 177, 180, 182, 187, 191PATIBANDLA, SREEHARI, MD ..................417PATIL, ROHI, MD.......416, 464PATINO, NICOLE A., MD........................................393PATTERSON, LEE V., MD..........................................80PATTERSON, THOMAS H., MD ................256PATURI, BHANU T., MD........................................311PATURI, RAJU N., MD........................................433PAUL, ALINA, MD .............125PAUL, GERALD W., DPM .....................................205PAUL, GERALD, DPM .....................................205PAULSEN, JOHN K., MD................................214, 314PAVLICH, TIMOTHY A., LCPC ..............................452PAYNE, WILLIAM D., MD........................................374PAYTON, DAMON, DPM .....................................290PEACHEY, KEITH E., MD..........................................51PEACHEY, LINDSAY J., LCPC................................418PEARL, RICHARD H., MD........................329, 389, 395
PALM TERRACE OF MATTOONPEARL, RICHARD H., MD
Index
543
PEARSON, R KATHRYN, LCPC...............457PECHE, SHUBHANGI S., MD ..................................377PEDERSEN, PAUL E., DO ............................................7PEGG, EDWARD W., MD ........................................200PEGRAM, LORI L., MD ..........................................11PEIL, MICHAEL, MD .332, 344PEKIN HOSPITAL ..............470PEKIN MANOR ..................498PEKIN PRESCRIPTION LABORATORY ...................482PEKIN PROCARE ...............479PELFREY-JONES, SANDRA R., OD 161, 163, 166, 168, 169, 171, 177, 180, 183, 187, 191PELLEGRINI, MARK A., OD ..................165, 173, 186PELZEK, CHRISTOPHER D., MD ........................................268PENCEK, TERRENCE L., MD ..................................236PENG, YEN-YI, MD ...........371PENN JR, DONALD E., MD ..........................247, 312PENNEPALLI, RAJENDRA S., MD...............23PEPA, LEO G., MD .............241PEPPERS, FRANK J., MD ..........................................52PERINCHERY, ANITHA M., MD .........196, 213PERINO, ANTHONY R., PHD ................................448PERKINS, SUSAN E., LCPC ....................................412PERKS, CHRISTINE, MD ........................................310PERONA, PAUL G., MD ........................................355PERSON, BRUCE A., LCSW ...................................425PETER, SUMA P., MD 129, 390
PETERS ORTHOPEDICS...................492PETERS, CARL N., MD ..........................................83PETERS, ELEANOR K., MD ....................................29PETERS, KIMBERLY S., LCPC ...............................415PETERSON, JOHN A., MD ..........................................59PETERSON, LELAND D., OD .161, 163, 166, 168, 169, 171, 177, 180, 183, 187, 191PETERSON, RANDAL, MD .....................373PETERSON, WILLIAM L., MD .......262, 364PETHKAR, SANJAY, MD ..................................26, 101PETRAK, CHANNING, MD ..................99PETTY, DENNIS G., LCSW ...................................457PFEIFFER, JEFFREY S., MD ..................................138PFLEDERER, BENJAMIN R., MD ....199, 214, 254, 261, 276, 282, 292, 305, 317, 343PFLEDERER, TIMOTHY A., MD .....199, 215, 254, 261, 276, 282, 292, 305, 318, 343PHELPS, MICHAEL A., MD ..................................231PHILLIPS, BENJAMIN W., MD ..............15PHILLIPS, BRYAN J., MD ........................................209PHILLIPS, JIMMY L., LCPC ............................435, 442PHILLIPS, MARTIN T., MD ..................244, 272, 273PHILLIPS, PAUL W., MD ........................................121PHU, LIZA A., MD ............1, 37PIATT COUNTY NURSING HOME................498
PICA, CHRISTINA M., DO ..........................................52PICK, MICHAEL A., MD................................280, 382PIEKOS, GRAZYNA, MD........................................267PIERCE, WILLIAM, DPM .....................................222PIERSON, LYNAE A., DPM .....................................239PIETRZYK, JEFF, OD.........175PIETRZYK, JEFFREY M., OD ..................................159PIGATO, JOSEPH B., MD........................................274PILCHER, STEPHEN C., MD ......................................9PINE, RYAN, MD ...............223PINEDA, NICHOLAS C., MD ..................................385PINEDA, STEPHEN J., MD........................279, 374, 386PINEDA, STEPHEN, MD........................................394PINK, LEONARD C., LCSW ...................................451PINTER, SCOTT M., MD........................................202PINTO, ARUN C., MD ........446PINTO, SHAILESH C., MD................................317, 332PIPER CITY REHAB & LIVING CENTER............499PIPER, DANIEL, MD ..140, 143PITTMAN, DAVID D., MD........................................115PITTSFIELD MANOR ........499PLANING, JENNIFER J., LCPC................................422PLASTERS, MARCIA J., LCPC................................457PLATTNER, PAUL F., MD........................................229PLEASANT HILL VILLAGE .............................496PLEASANT, DIANE, LCPC ............................415, 425PLETT, JAMIE L., MD .......151POAG II, JOHN L., MD ...........7
PEARSON, R KATHRYN, LCPCPOAG II, JOHN L., MD
Index
544
PODZAMSKY, JOHN E., DO .....................................76POERTNER, PATRICIA A., LCPC ...........442POGUE, LUCAS C., MD ......................................7, 11POLLASTRINI, MATTHEW J., OD ..............193POLYCLINIC MEDICAL EQUIPMENT .......................478POOS, JOSHUA D., MD ....................................4, 125POPP, RICHARD J., MD ..........................3, 40, 87, 95PORTER, JAMIE L., LSW ......................................429PORTER, MYISHA Z., MD ..........................................20PORTER, RYAN G., MD ........................................395POST, BRADLEY, LCSW ...................................442POTACZEK, STEVEN G., MD ..........255, 261, 276, 292POTTER, JON W., MD .......197POTTS, SAMUEL E., DPM .....................................239POULOS, DOROTHEA, MD ..................44POULTNEY, JODY L., LCSW ...................................432POWELL, JENNIFER M., MD ...................................77PRABHU, MANJESHWAR, MD ..127, 387PRAGER, DIANE J., MD ........................201, 283, 321PRAIRIE CENTER HEALTH SYSTEMS ..410, 412, 466, 487, 488PRAIRIE CITY REHAB & HEALTH CARE ...................................499PRAIRIE FAMILY MEDICINE AND OBSTETRICS CLINIC ..48, 139PRAIRIELAND HOME CARE .......................484
PRANZATELLI, MICHAEL, MD ...................377PRASAD, NENI, MD ..........115PRASAD, SUDHA, MD ........................................355PRATT, DAVID S., MD ................................195, 294PRATT, DYVEKE P., MD ........................................320PRATT, ELLEN L., MD ................................278, 355PRATT, TIMOTHY A., MD ........................................109PREMIER PHYSICAL THERAPY SERVICES 491, 492PRESTON, MATTHEW M., MD ............446PREUSS, MARK D., MD ........................................126PRICE, WILLIAM M., MD ................................257, 302PRIDDY, DAVID, PHD ......................407, 435, 448PRINCE, MICHELLE M., MD .................................374PRITZKER, EDWARD B., MD ........................40, 87, 95PROCTOR HOME CARE ...................................484PROCTOR HOSPITAL .......470PROCTOR HOSPITAL SKILLED NURSING ...........499PROEHL, REBECCA A., MD ..........................102, 103PROEHL, TRENT D., MD ........................................339PROSTHETIC ORTHOTIC SPECIALIST ........................492PROVEN /COVENANT MEDICAL CENTER REHAB UNIT ......................493PROVENA CONVENIENT CARE CENTER...............................468PROVENA COVENANT MEDICAL CENTER ...........471
PROVENA COVENANT MEDICAL CENTER- PSYCHIATRIC UNIT .466, 488PROVENA GLENWOOD MEDICAL IMAGING .........469PROVENA HOME HEALTH-URBANA ............483PROVENA MEDICAL SPECIALTY & PHYSICAL THERAPY CEN ......................................468PROVENA OUTPATIENT REHABILITATION CENTER...............................468PROVENA PHYSICAL REHAB & SPORTS INJURY CENTER...............................469PROVENA PHYSICAL THERAPY AND INDUSTRIAL REHAB CE ..........................471PROVENA PHYSICAL THERAPY PROVENA INWOOD ATHLETI .............................469PROVENA PHYSICAL THERAPY SERVICES-NEW LENOX.................................470PROVENA PHYSICAL THERAPY SERVICES-ROMEOVILLE ....................470PROVENA PHYSICAL THERAPY-CAMPUS FITNESS CENTER ..............469PROVENA PHYSICAL THERAPY-PLAINFIELD .......................470PROVENA REGIONAL CANCER CENTER.......................468, 469
PODZAMSKY, JOHN E., DOPROVENA REGIONAL CANCER CENTER
Index
545
PROVENA ST JOSEPH MEDICAL CENTER-REHAB ................493PROVENA ST JOSEPH HOSPITAL............468PROVENA ST JOSEPH HOSPITAL PSYCH- ELGIN ...........417, 487PROVENA ST JOSEPH MEDICAL CENTER...............................469PROVENA ST JOSEPH MEDICAL CENTER-PSYCH UNIT.............................423, 488PROVENA ST MARYS HOSPITAL............469PROVENA ST MARYS TOTAL WELLNESS CENTER .........468PROVENA UNITED SAMARITANS MEDICAL CENTER ...........468PSYCHIATRIC UNIT OF ST JOHNS ..............459, 488PUCZYNSKI, MARK STANLEY S., MD ...............125PULI, SRINIVAS R., MD ........................................312PULLIAM, TRACY L., LCSW ...................................415PULLURU, RAGHU R., MD ..................209, 268, 337PUROHIT, AMISH R., MD ................373, 384, 386, 387PUTHENVEETIL, ELIZABETH J., MD ..............51PUTMAN III, HARRISON C., MD.....325, 331PUTMAN, WILLIAM D., MD ..................................153PUVALAI, KRIPAKARAN M., MD ........................................462PYLE, WILLIAM G., MD ........................................361
QATTASH, ISMAIL, MD ....................18, 73, 219, 287QIAO, JING, MD .................135QUILLMAN, ERIN J., LCSW ...................................403QUINN, TONI M., MD 153, 155QURAISHI, SABA, MD ................202, 215, 306, 323QURESHI, MARYAM, MD ..........................................48QURESHI, MUHAMMAD M., MD .......235
RAABE, PEGGY, LCPC ....................................408RABE, DENNIS, OD ..174, 192, 193RABJOHNS, RONALD R., MD 196, 252, 310RABJOHNS, RONALD, MD .....................303RADDEN, GENENE P., MD ..........................207, 341RADEE, APICHART L., MD ..................................310RADEMACHER, DENNIS J., MD .....................38RADFORD, SASHA L., OD ...........................168, 185RADTKE, ELIZABETH, OD161, 163, 166, 168, 169, 171, 177, 180, 183, 187, 191RAFFERTY, CARLA M., MD .................................130RAHMAN, MOHAMMED A., DO .........236RAHMAN, RACHEL L., MD ..................................121RAHMAN, RAKERRY K., MD ..........................345, 375RAI CENTRE WEST SPRINGFIELD.....................477
RAINES, LAWRENCE A., MD ..................................198RAINO, WILLIAM H., MD................................200, 339RAJAGURU, SUBBIAH, MD ....................218RAJJOUB, MOHANNAD, MD ..............137RAK, RICHARD A., MD........................................393RAKINIC, JAN, MD............366RAMADUGU, RAJEEV, MD .......................115RAMAKRISHNA, RENUKA J., MD .................141RAMAN, KAVITHA, MD..........................................18RAMANI, RAM L., MD........................................273RAMKUMAR, DAVENDRA, MD ...............219RAMOS, JULIO A., MD............................53, 63, 133RAMSAHAI, SHWETA, MD .....................316RAMSEY, DON E., MD........................................384RAMSEY, FLOYD H., LCPC ....................................435RANA, NABEEL R., MD........................................336RANATUNGA, SRIYA, MD..........................382RANCHERO, BERNIE C., MD ....................................21RANDHAWA, JYOTI, MD........................................433RANDOLPH, LAURA C., MD ..................................205RANJAN, SUMIT, MD ..42, 45, 46, 64, 65, 83, 103, 108RAO, KRISHNA A., MD........................................368RAO, RICARDO, MD .........223RAO, SUJATHA A., MD........................................259RAPPETTE, THOMAS, DPM...........353, 399
Q
R
PROVENA ST JOSEPH MEDICAL CENTER-RAPPETTE, THOMAS, DPM
Index
546
RASHEED, MEHMOODUR, MD ...222, 290RASHID, JOHN F., MD ................196, 252, 291, 310RASHID, JOHN, MD...........303RASHID, KHURRAM, MD ........................................331RASHID, THOMAS M., MD .................................335RASO, FRANDY, LCSW ...................................442RATHNOW, STEPHEN J., LCPC .............415RATTANANONT, PRASOP, MD.......................194RAUCH, DAREN J., MD ..........................................24RAUSCHER, FREDERICK M., MD ..........373RAUTHER, SHABEERA, MD.................221RAVAEE, MANOUCHER, MD ..............27RAVANAM, ARUNA J., MD ...................................210RAY, BERNADETTE M., MD .............................54, 85RAY, DARRIN M., MD ..............................46, 57, 85RAY, JULIE, LCSW ............443RAY, PARTHA S., MD .......389RAY, WILLIAM J., MD ............................................7RAYNOLDS, ANN C., LCSW ...................................457RAZVI, MOHAMMED M., MD .................................260RAZVI, MOHAMMED, MD .....258, 302RCG CENTRAL ILLINOIS-BLOOMINGTON ................474RCG CENTRAL ILLINOIS-BLOOMINGTON CAPD ...................................474RCG CENTRAL ILLINOIS-CANTON ...........474
RCG CENTRAL ILLINOIS-DECATUR .........474RCG CENTRAL ILLINOIS-EAST PEORIA ................................475RCG CENTRAL ILLINOIS-PEKIN ................476RCG CENTRAL ILLINOIS-PEORIA DOWNTOWN ......................476RCG CENTRAL ILLINOIS-PEORIA NORTH ................................476RCG CENTRAL ILLINOIS-PONTIAC...........476RCG CENTRAL ILLINOIS-SPRING VALLEY ..............................477REA, DAVID J., MD ...........366REA, JOANNA R., MD .......115READING, ROBERT G., LCPC ..............................443REBADIO SY, RHODORA A., MD ...............71REDDY, CHITTARANJAN V., MD ................................323, 394REDDY, CHITTARANJAN, MD306, 323REDDY, DUTTALA OBDUL, MD ........................466REDDY, DUTTALA OBUL, MD ...........................462REDDY, JYOTHI A., MD ........................................297REDDY, PADMASHREE, MD.............29REDDY, SAVITHA S., MD ........................................330REDDY, SAVITHA, MD ........................................330REDDY, VENU, MD ...........337REDICK, RAYMOND, LCPC ....................................457REEM, DAVID W., MD ..........................................68REEVES, EUGENIA, LCSW ...................................409
REEVES, MICHELLE R., MD ............................69, 142REGAN, JOHN S., MD .......222REGAN, THERESA M., PHD................................448REHMAN, ATIQ U., MD........204, 238, 299, 326, 340REID, CHURPHENA A., MD ..........................208, 336REID, W SCOTT, DO.194, 275, 304, 314REIFENSTUHL, JOHN C., LCSW .............................422REILLY, DANIEL L., MD........................................418REIMERS, DEEANNE F., LCPC .......................403, 443REINBOLDT, CARRIE A., LCPC.......407, 443REINERT, VERNON, LCPC ....................................457REINERTSON, ERIC, MD........................................145REINHARDT, MARILYN J., LCSW ...........457RENFROE, YOLANDA R., MD .............330RENICK, PATRICK B., MD ....................................15RESCH, DAVID, MD ..........462RESPIRACARE ...................482RETTIG, ANGELIQUE S., MD ..........154REUTER, LAURA M., MD........................................219REYES, CRISANTO M., MD .......................54, 62, 76REZIN, KEITH M., MD........................................268RHEE, BENJAMIN J., MD........................................388RHEE, BENJAMIN K., MD........................208, 336, 396RHOADS, AARON G., OD ........................................178RHODE, JOHN P., MD .......323RIAZ, MUHAMMAD K., MD ..................................242
RASHEED, MEHMOODUR, MDRIAZ, MUHAMMAD K., MD
Index
547
RICAURTE, EDUARDO, MD ..................138RICCA, GLEN L., MD ........128RICHARDS, JENNIFER E., MD ...............121RICHARDS, JOHN J., MD ..........................................72RICHARDSON, CATERINA N., LCPC .435, 443RICHARDSON, KEVIN, MD .........................296RICHARDSON, ROBERT R., MD .................273RICHEY, CAROL E., LCPC ....................................430RICHEY, JACK K., LCSW ...................................412RICHIER, JOHN, MD .........216RICHMOND, RONALD L., OD 161, 163, 166, 168, 170, 171, 177, 180, 183, 187, 191RICKETTS, FRANCES B., PHD ................................451RIEGER, MARY TERESA, OD .......................177RIGSBY, JESSE H., MD .......202, 229, 250, 255, 257, 306, 340RILEY-QUINN, KIMBERLY A., LSW ..........413RINEHART, CARA M., LCPC, CADC ................425RINK, CHRISTOPHER J., DO ............................204, 299RINKER, JOHN M., MD ........................................101RIOS, JOSE, MD .........211, 270RISK, ANNE C., MD .......91, 99RISKIN, BARRY, MD.........219RISTIC, PATRICIA I., MD ........................................145RIVER HILLS VILLAGE .............................496RIVERA, CHRISTOPHER E., MD ..........................................66RIVERPOINT DIALYSIS UNIT .................475
RIVERSIDE AMBULATORY SURGERY ...........................471RIVERSIDE HEALTH EQUIPMENT .......................481RIVERSIDE HOME & AMBULATORY INFUSION ...........................485RIVERSIDE HOME HEALTH CARE ..................484RIVERSIDE MEDICAL CENTER ...........469RIVES, ROGER K., MD ........................................290ROBERTS, BRAD C., DO ........................................335ROBERTS, DANICE B., MD ....................................29ROBERTS, MARI T., LCSW ...................................412ROBERTS, NATHAN L., MD ..................................129ROBERTS, NED O., LCPC ....................................403ROBERTS, TIMOTHY G., MD ..................................410ROBINGS MANOR REHAB & HEALTH CARE ...................................494ROBINSON, CHRISTOPHER, MD ..........156ROBINSON, CYNTHIA J., LCSW ...........450ROBINSON, RANDY R., MD ....................................24ROBINSON, ROBERT L., MD ..................................115ROCHA-SINGH, KRISHNA, MD ....................360ROCKEY, AMANDA, LCPC ....................................428RODENBERG, DAVID A., MD ......................91RODRIGO, GILBERTO, MD ..................154RODRIGUEZ, MARCELA, MD ..................377RODRIGUEZ, PEDRO, MD ........................................349
ROGERS, DWAIN M., MD........................................234ROGERS, LISA, PSYD .......448ROGERSON, ANTHONY R., MD .............251ROHRSCHEIB, SIDNEY P., MD ...........225, 227ROHRSCHEIB, SIDNEY, MD ...............219, 225ROLAND, DONALD E., MD ..................................274ROLLET, JOHN C., MD..........................................22ROLLEY, MICHELLE L., LCPC...............................404ROMANELLI, RONALD R., MD ................375ROMANIV, NATALYA, MD ..........251, 351ROMINGER, DERIN S., MD ..................................139ROMSDAHL, ERIC M., OD ..................................158RONHOLM, CHAD, MD........................................354ROODHOUSE, MARCIA R., LCPC .............426ROSA, MARIA R., MD .........11ROSBOROUGH, DAVID C., MD ...199, 215, 254, 261, 276, 282, 292, 305, 318, 343ROSS II, STEWART D., MD ..................................115ROSS, DONALD, MD .279, 366ROSSI, ALFRED N., MD..........................2, 38, 58, 71ROSSI, MATTHEW B., MD..........................2, 38, 58, 67ROSSI, PHILLIP J., MD..........................2, 38, 58, 67ROSSI, THOMAS R., MD........................................314ROSSI, THOMAS, MD214, 339ROSTAPSHOV, VICTOR M., MD .................211ROSZHART, DAVID A., MD ..................280, 383, 387ROTH, JOHN W., MD .........262
RICAURTE, EDUARDO, MDROTH, JOHN W., MD
Index
548
ROTH, TERRY R., MD .......350ROTNICKI, RICHARD M., DO ..................................265ROWE, CAROL J., MD .........29ROWE, JOHN G., MD .........301ROWELL, ERIN E., MD ........................................274ROWITZ, BLAIR M., MD ........................................390ROWLAND, KENDRITH M., MD ......73, 287ROWLAND, KENDRITH, MD .........228, 393ROY, PATRICIA L., MD ........................................424ROYAL OAKS CARE CENTER...............................497ROYEEN, ABDUL W., MD ..........................................77ROYYURU, SASIKALA D., MD .................9RTC IL NEWTON DIALYSIS ............................476RUBRICH, KAREN, OD ................................161, 193RUDAWSKI, CHRISTINA E., PSYD ........406RUDAWSKI, STEPHEN M., DO ...............103RUDOLPH, CHASE A., OD ..................................172RUFF, JOHN, DPM .............331RUFUS JR, EDWARD A., MD ....................................91RUIZ, DAN E., MD .............281RULL, GARY, MD ..............116RUNDLE, PAMELA J., MD ........................................154RUOHOMAKI, STEVE L., LMSW ...............422RUPPEL, JAMES R., MD ........................................255RUSHVILLE DIALYSIS ............................476RUSKUSKY, JEFFREY R., DPM .....194, 241, 307, 332RUSKUSKY, JOHN L., DPM .....................................332
RUSSELL, BRIAN K., MD ........................................372RUSSELL, ROBERT T., MD ..........................203, 340RUSSELL-CHAPIN, LORI A., LCPC ....................443RUSSO, ADAM J., LCSW ...........................430, 449RUSSO, FRANK, MD .........330RUSSO, MARINA, MD ........................................363RUSSO, RONALD C., MD ........................................396RUSSOTTO, PETER D., DPM................................264RYAN, EMILY K., OD .......168RYAN, STEPHEN M., MD ................264, 280, 384, 387RYBAK, LEONARD, MD ........................................376RZEPCZYNSKI, DAVID G., MD ....................197
SAAD, EDWARD, MD .......149SABETTI, JOSEPH A., OD ........................................190SABHARWAL, ANITA, MD ...........................91SABHARWAL, JAGDEEP, MD ............346, 348SABHARWAL, SARAT, MD.........................216SABOL, STEPHEN R., DDS ..............................220, 394SACK, JO A., LCPC ............443SADER, SAMER B., MD .......199, 215, 254, 261, 276, 282, 292, 305, 318, 343SADIQ, NAVEED I., MD ..........................................29SADIQ, RAJA A., MD...........29SADIQ, RAJA IRFAN, MD ..........................................28SADIQ, SCHEIKH M., MD ........................................219SADLER, RICHARD L., MD ..................................230
SADOWSKI, LAWRENCE E., MD ...........268SAFDAR, SAIMA, MD ...25, 76SAGINS, KENNETH R., MD ..................................104SAID, SUFYAN, MD ..278, 363SAINT FRANCIS HOME HEALTH .................484SAINT, JOHN G., MD .........154SAJO, MYRIA L., MD ........244SALARDA, ELVIRA S., MD ..................................110SALAZAR, LAURA Y., MD ..................................116SALAZAR, VIVIAN W., MD ...................................91SALEH, KHALED J., MD................................345, 375SALEHEEN, QAMAR U., MD ..................................350SALERNO, GIOVANNI M., MD ............211SALIK, SYED Z., MD .235, 416SALIMATH, JAYARAJ, DO .............304, 314SALIMINEJAD, MEHRDAD, MD .................364SALMAN, ANOOSH, MD................................460, 462SALMONS, SALLY J., MD........................................129SALVACION, FERDINAND F., MD ..........376SAMBANDAM, ALARMELU, DO ................252SAMI, MOHAMMAD, MD................................419, 424SAMOLITIS, REBECCA J., LCSW ...........450SAMPAT, CHINTAN S., MD ..................268, 291, 294SAMUEL, ELDON M., MD..............................40, 88, 95SAMUEL-PARKS, CARLA, MD ..........................70SAN DIEGO, ANTHONY L., MD .............257SAN GERMAN, HENRY S., MD......................95
S
ROTH, TERRY R., MDSAN GERMAN, HENRY S., MD
Index
549
SANCHEZ, DOMINIQUE F., DO .......3, 132SANCHEZ-TORRES, REINALDO J., MD ......227, 388SANDERCOCK II, DONALD M., DO ................288SANDERCOCK, DAVID B., MD ............116, 125SANDERS, RITA L., LCPC ....................................422SANDERS, TRACEY Y., LCPC ..............................454SANDOVAL, JOHN A., MD ..................................378SANDWICH REHABILITATION & HEALTH CARE CENTER...............................499SANGWAN, GAURAV, MD.....................380SANTELER, SCOTT R., MD ..................................392SANTIAGO, IVAN, MD ........................................229SANTIAGO, JOSEPH A., MD ..................................135SANTORINEOS, DIANE J., DO ........................99SANTOS, RENE E., MD ........................................273SAPETTI, LARRY, MD ........................................121SAPIENTE, RONALD, MD ........................................397SAQIB, ZAHID, MD .............16SARAH BUSH LINCOLN HEALTH CENTER......427, 470, 472, 482, 488, 491, 497, 501SARAH D CULBERTSON MEMORIAL ........................470SARAVANAN, PATHANJALI, MD .............129SARMA, KALIKA P., MD ........................................397SARMA, NARASIMHULU R., MD ........................................462
SARMA, SURESH, MD ........................................462SARMIENTO, JOSEPH J., MD ............308, 310SARMIENTO, MARC C., OD ...................................166SAROJA, KURUBARAHALLI R., MD ..................................271SARWAR, SAJJAD R., MD ........................................427SASSO, BRIAN, DO ...........210SATHER, CARL A., MD ....................................70, 71SATHISH, PERUMAL, MD ..........................................74SATKAUSKAS, REMI, MD ................53, 63, 133SATTI, VINAY V., MD ............................31, 39, 106SATTIRAJU, SRINIVASAN, MD .............388SATWANI, SHIYAM K., MD ..................................354SAUDER, SUE, MD ............327SAUDER, W ANTHONY, MD ..................333SAUER, PAUL A., MD209, 268SAUNDERS, MARY A., MD ..................................116SAVAGE, DAVID H., MD ........................................335SAVAGE, JAMES E., MD ........................................227SAVAGE, SUSAN, LCPC ....................................454SAVAGE, VERONICA G., MD ..................................125SAVEGNAGO, A KURT, MD .............................15SAWLAW, JOSHUA E., MD ..........................4, 19, 79SAWYER, SCOTT M., OD ........................................173SCAVONE, DEAN J., MD ........................................227SCERBA, TRICIA L., MD ..........................................24
SCHAAP, PAUL A., MD..........................................70SCHAIDLE, KENNETH A., OD......161, 163, 166, 168, 170, 171, 178, 180, 183, 188, 191SCHEIBLER-VENTRESS, CHRISTINA L., MD ..............22SCHERER, MICHAEL A., DPM........................255, 283SCHIAPPA, DEBORAH A., DO ..............244SCHIERBECK, DEBRA, LCPC.....................443SCHIFANO, MICHAEL J., MD ................151SCHLAGHECK, DAVID, MD .................111, 151SCHMIDT, CHRIS W., MD........................................220SCHMIDT, PAUL, MD ......196, 252, 303, 310SCHMIDT, ROBERT, OD161, 163, 167, 168, 170, 171, 178, 180, 183, 188, 192SCHMITZ, ANNA L., MD........................................156SCHNEE, DAVID, LCPC ....................................454SCHNEIDER, MICHAEL C., MD ...............390SCHNEIDER, SUSAN M., MD .................................229SCHOENBURG, KIM Y., MD ..................................121SCHOENIG, KENNETH R., MD ..............297SCHOPP, JEFFREY A., MD................................375, 386SCHROEDER, DAVID W., DPM...............................232SCHUBERT, WILLIAM G., MD ...............223SCHUCHART, CHARLOTTE L., MD ...........18SCHULTZ, BRUCE W., MD .............................56, 72
SANCHEZ, DOMINIQUE F., DOSCHULTZ, BRUCE W., MD
Index
550
SCHULTZ, LINDA M., CADC ...................................424SCHULTZ, MARY DRAEGER, MD .....................99SCHURTER, KATRINA R., LCPC ...........443SCHUSTER, JOHN, MD ........................................131SCHWARTZ, BRADLEY F., DO ...............383SCHWARTZ, CHRISTIAN B., DO ............355SCHWEIZER, HEATHER D., MD ..............103SCOTT, MARK D., MD ..........................................38SCOTT, WILLIAM S., MD ........................................288SCOTTSBLUFF DIALYSIS CENTER ...........477SCRIBNER, KENNETH W., MD ...............48SEAGLE, LINDA, LCPC ....................................409SEARS, BRADLEY S., LCPC ....................................443SEBASTIAN, GEOFFREY R., MD ..............91SEE, PAULETTE M., MD ..........................................20SEHY, J TIMOTHY, MD ..........................................18SEIBLY, JASON M., DO ................200, 201, 287, 298SEIDL, ROBERT K., MD ........................................203SEIFERT, MICHAEL E., MD ..................................377SEIP, MERRIE J., LCSW ...................................404SEKAR, VENKAT E., MD ........................................227SELLNER, JULIE E., LCPC ....................................428SEMBA, ROBERT T., MD ................................268, 294SEMINARY MANOR .........496SENICA, KAROLYN M., MD .................................375
SERFOSS, RONALD, OD ........................165, 173, 186SERGEANT, MICHAEL J., MD ................273SERPE, JASON L., DPM .............................336, 399SESSIONS, NATALIE R., DO ...........................222, 290SETHI, PRADIP, MD ..245, 246SETLUR, USHA, MD ............61SETRINI-BEST, LETICIA R., MD .................143SETTER, JOSEPH R., DPM .....................205, 258, 260SEVERINO, WILLIAM C., MD ......217, 280, 336, 383, 387SFEIR, HADY E., MD .........311SHAD, MUJEEB U., MD ........................................462SHAFER, JEFFREY P., MD ........................................246SHAFI, ANWAR, MD .........378SHAFI, MOHAMMAD S., MD ..................................266SHAH, ATUL S., MD ..........354SHAH, JITENDRA, MD ........................................326SHAH, MANISHA C., MD ........................................137SHAH, MIR J., MD ......212, 274SHAH, SAMIR H., MD ......224, 246, 249, 256, 277, 295, 338SHAH, YATIN M., MD .........60SHAIN, KATRINA, LCPC ....................................464SHAKIR, ABDUR R., MD ........................................287SHALLAT, JOHN S., MD ..........................................91SHALLAT, SHELLY S., MD ....................................99SHANAHAN, THOMAS, MD .....................381SHANKS, LACIE R., MD ............................................9SHANMUGAM, RAJU M., MD .....................................9
SHANMUGHAM, ANURADHA, MD .................18SHANNON, TIMOTHY D., PSYD...........434SHARMA, MONICA, DO ........................................244SHARMA, RISHI, MD 264, 382SHAUKAT, ISMAEL, MD........................................349SHAW, KATHLEEN M., MD .................................140SHAW, REBECCA A., LCSW ...................................457SHAY, BEAU B., DPM .......232SHAY, SANIT S., MD .........145SHAY, THANAD S., MD........................................310SHEA, LAURA K., MD........................................462SHEEDY, MICHAEL, MD..........................................22SHEHORN, CATHY A., PHD ................................448SHEIKH, RAHAT H., MD..........................................29SHEIKH, SALMAN Q., MD........................................222SHEKLETON, MICHAEL F., MD ...............313SHELBYVILLE MANOR ...............................499SHELL, RACHEL N., MD........................................272SHELLER, DONALD J., DPM .................................308SHELLEY, TIMOTHY D., OD .161, 163, 167, 168, 170, 171, 178, 180, 183, 188, 192SHELTON, MARC E., MD................................285, 385SHELTON, MARC, MD........................................360SHELUS, ELIZABETH J., OD ....................................172SHENANDOAH DIALYSIS ............................477SHEPHERD, JAMES L., MD ..................................156
SCHULTZ, LINDA M., CADCSHEPHERD, JAMES L., MD
Index
551
SHEPPARD, SUSAN J., MD ...............................42, 84SHERIDAN, JAMES M., MD .................................331SHERWOOD, SCOTT E., MD ..................................234SHETH, ATUL, MD ............454SHETH, MANSI C., DO ..........................................85SHETH, SEEMA S., MD ........................................265SHETH, SUDHAKAR K., MD ..................................233SHEVLIN, BRUCE E., MD ........................................381SHEYKHOLESLAMI, KIANOUSH, MD .................351SHI, FENGLIN, MD ............328SHIN, MICHAEL, MD ........355SHIVELY, KARLA R., DO ..........................................60SHMILA, KARIMA M., MD .................................137SHOBANDE, OLATOKUNBO, MD ....31, 231SHORT, KELCY S., LCPC ....................................457SHORT, NANCY J., MD ..........................................39SHOTICK JR, GEORGE K., MD...................95SHOUDEL, JOHN A., DPM .....................................379SHRESTHA, SANTOSH, MD ...........408, 462SHULA, THOMAS J., MD ........................................352SHULL, GARY G., MD ........................................116SHULTZ, DAVID, DO ........397SHULTZ, GARY L., DO ........................................222SHULTZ, SABRINA M., OD ..................................174SHUMAKER, DOUGLAS T., OD ...............188SHUMWAY, JOSEPH B., MD ..................................144
SHYU, CHARLES C., MD ........................................219SIAL, MUHAMMED I., MD .........................40, 88, 95SICHER, STEVEN E., MD ........................................323SIDDIQUE, MUHAMMAD A., MD 380, 382SIDDIQUE, SOHAIL A., MD ..................................154SIDDIQUI, KHALID, MD ........................................392SIDLER, G GENE, MD ..40, 87, 91SIEBERG, MELANIE S., LCPC ...............................458SIELAFF, DON, MD ...........142SIGLE, JOHN M., DPM .....................................379SIKORSKI, MARTEN J., DPM .................336, 379, 387SILBERT, AGNEISZKA J., MD ...........242SILVA, EUGENE A., MD ................................346, 348SILVA, FERNANDO, MD ........................................350SILVER CROSS HEALTH & REHABILITATION PAVILION ...........................499SIMENAUER, LORI E., MD ............................99, 100SIMON, RACHEL, LCSW ...................................432SINGH, BALJIT, MD ..........446SINGH, KRISHNA ANJALI, MD ........................377SINGH, VEERPAL, MD ........................................243SINGLETON, DEBORAH S., MD ................71SINHA, RAJ K., MD ..263, 280, 379, 387SIPAHI, MEHMET, MD ........................................272SIPE, BRIAN D., DO ...........340SIPES, MARY L., DPM .............................264, 380
SIRAJ, YASER, MD ............348SIRI, DAREEN D., MD ......216, 261, 355, 386SISON JR, GENEROSO N., MD .............86SIVASUBRAMANIAN, GEETHA, MD .................391SIVILL, ELLIE J., LCPC ....................................426SKADAHL-KURT, ELISA J., OD ...............171, 175SKAGGS BRAIDWOOD, TAMI L., LCSW..............................458SKANNAL, DEBORAH G., MD .............156SKIBINSKI, GREGORY, LCPC ...............443SKILLRUD, DAVID M., MD .................................300SKILLRUD, DAVID, MD........................................333SKOWRONSKI, JAN, MD................................346, 348SKUBIC, CARRIE A., LCPC ....................................428SLAGLE, DAVID C., MD........................................316SLAGLE, SHAWN W., LCSW ...................................428SLEEP CENTER OF CENTRAL IL LLC ..............500SLIWA, WAYNE, PHD ......................................413SLOAN, ROGER D., MD..........................................51SLOAN, ROGER M., MD..........................................51SLOCUM, ERICH, DO........104SLOTKY, BARRY, MD........................................135SLUTSKY, JOEL N., MD........................................274SMALLEY, JAMES R., MD........................................303SMART, STEPHEN J., MD................................308, 342SMITH, ANDREA, PSYD ............................435, 436
SHEPPARD, SUSAN J., MDSMITH, ANDREA, PSYD
Index
552
SMITH, BONNIE J., MD ....................................46, 84SMITH, CHRISTINA A., LCSW .............................443SMITH, GLEN B., MD ........208SMITH, JENNIFER A., LSW ......................................426SMITH, JIMMIE, MD ...........15SMITH, JOELLA J., LISW ....................................409SMITH, KEITH R., MD ..........................................34SMITH, LAURA, MD ...........57SMITH, LAWRENCE J., MD ...................................370SMITH, LINDA ...................466SMITH, LIONEL J., MD ..........................................17SMITH, LISA, LCSW ..........412SMITH, MARK A., DPM .....................................332SMITH, MICHAEL A., MD ........................................136SMITH, MICHAEL, MD ........................289, 301, 346SMITH, RAYMOND P., MD ..................................353SMITH, RAYMOND, MD ........................................337SMITH, TERRY E., MD ..........................................91SMOTHERS-CHAMPLEY, DEBRA S., OD ...........................174, 192SMUCKER, JAYANTHI R., MD ....419, 425, 462SMUCKER, PAUL A., MD ........................................378SNIDER, CRYSTAL, MD ............................53, 63, 133SNODGRASS, KEVIN R., OD ...................................164SNOEYINK, TODD C., DPM .....................................205SNOWDEN, IVAN THOMAS, MD .......................75SNOWDEN, RICHARD M., MD ..............128
SNYDER, BRENDA L., LMSW .............................443SNYDER, LISA, MD ..216, 283, 307, 330, 344SOBESKI, JAMES K., MD ................................220, 288SOBOL, STEVEN M., MD ........................................238SODHI, BRIJNANDAN S., MD ..28, 228SOLAND, RANDALL, LCPC ....................................458SOLER, NORMAN, MD ........................................363SOLIS, ANGELA C., LCPC ............................422, 429SOLTYS, STEPHEN M., MD .................................460SOLTYS, STEPHEN, MD ........................................462SOMA, VIKAS R., MD .78, 388SOMARAJU, VIJAYA I., MD ...................................317SOMMER, NICOLE Z., MD ........................................379SOMMERS-KRAUSE, DEBORAH H., LCSW .........419SONENTHAL, KATHY R., MD ...................209SONG, CHANG K., MD ........................................314SONG, MINGCHEN, MD ........................................381SONNENBURG, DAVID P., OD ....161, 163, 167, 168, 170, 172, 178, 180, 183, 188, 192SORIANO, MORRIS M., MD .................................350SOSENKO, MARIA C., MD ........................................271SOUTH LINCOLN DIALYSIS ............................475SOYANGCO, ANGELO J., MD ............50, 255SPAIN, MARTA T., MD ........................................136SPANGLER, MARK, MD ..........................................54
SPANIOL, JACK P., MD............................................9SPARENBERG, STEVEN, DO .........................79SPARROW, ROBERT T., MD .200, 215, 254, 261, 276, 282, 292, 305, 318, 344SPECK, LYNN, MD ............363SPERKA, GRETCHEN B., DO.....................................18SPERRY, DEBORAH M., PHD................................467SPITZIG, WENDI N., LCSW ...................................458SPITZIG, WENDY, LCSW ...................................458SPIZZIRRI, SARAH, DPM .....................................222SPRING PARK SURGERY CENTER ...........472SPRINGER, DAVID G., MD ....................................95SPRINGER, KATHRYN A., PSYD .........464SPRINGFIELD CLINIC PHYSICAL THERAPY............................490SPRINGFIELD SOUTH DIALYSIS..............477SREEDEVI, MINI, MD .......143SREEDHAR, RAJAGOPAL V., MD .........381SREENIVASAPPA, SHYLENDRA B., MD .........349SRINIVASAN, PARTHASARATHY, MD.......200, 215, 254, 261, 276, 282, 292, 305, 318, 344SRIRATANA, PRAMERN, MD ..................298SROKOWSKI, TOMASZ P., MD .................368ST ANTHONY CENTER FOR HOME CARE ...................................484ST CLARAS MANOR .........497ST JOHNS HOME INFUSION THERAPY ........485ST JOHNS HOSPITAL........471
SMITH, BONNIE J., MDST JOHNS HOSPITAL
Index
553
ST JOHNS PERINATAL HOME HEALTH ..............................484ST JOHNS PREMIERE PHYSICAL THERAPY ............489, 490, 491ST JOHNS TRANSITIONAL CARE UNI ...........................499ST MARGARETS HOSPITAL ...........................471STACHNIW, MYRON B., MD ..........................255, 283STAGNER, MOLLY M., LISW ..............................416STALLING, JILLIAN C., MD ..................................149STALTER, LARRY P., MD ..........................................47STAMPEHL, MARK R., MD ..................................360STAMPLEY, ANDREA G., MD ..................26STANCU, MIHAELA M., MD .........................196, 310STANDARD, JEANINE R., PHD ...............448STANIC, SINISA, MD ........397STANISLAUS, ANNA, MD ........................................271STARK, CONSTANCE M., LCPC..............................466STARK, CONSTANCE, LCPC ..........409STAUDER, MICHAEL, OD ....................167STEALEY, A KATHERINE H., MD ..262, 362STEDWILL, JEFFREY E., MD ..................................330STEEN, MARK S., MD360, 385STEERE-BOLLMAN, BRIDGET J., OD .................193STEFFEN, SAMUEL E., MD ......................42, 65, 105STEGEMAN, JAMES R., MD ..................................122STEH, BETH A., MD ..........125
STEHLING, DUSTIN J., MD ...................................154STENNETT-BREWER, LINDA J., LCPC ....................................415STEPANIAN, MARSHALL W., MD ..........139STEPHENS, FRANK J., MD ...................................131STEPHENS, JAMES E., LCPC...............................452STERLING, LEIGH E., DO ..........................................14STERN, MARK A., MD ................264, 281, 382, 387STETTER, MATTHEW, DO ........40, 88, 95STEUTERMANN, DAVID D., MD ....................135STEVENS JR, WILLIAM, MD ....................361STEVENS, BENJAMIN W., MD ....263, 375STEVENS, JENNIFER E., MD ............10, 22, 42, 46, 84STEWARD, DAVID, MD ........................................116STEWART, THOMAS K., LCSW .............................415STICHTER, CASEY M., LCPC..............................451STOECKER, BRAD A., MD ..................................105STOGDELL, JUDITH A., LCSW .............................458STOKES, JOHN, MD ..........218STOLL, JOHN F., MD .........129STOLL, JULIE M., LCSW ...........................433, 436STOLL, MARCIA L., LCSW ...................................458STOLTZ, DAVID, MD ..........21STONE, ERIN M., MD ........154STONE, STEPHEN, MD ........................................362STONECIPHER, ANDREA K., MD ................463STONEKING, ERIN I., MD ..........................................50
STONER, GREGG, MD..........................................96STORTZUM, CHRISTOPHER D., MD..........................................69STORTZUM, CHRISTOPHER, MD ............69STRANDJORD, SARAH, MD ........................329STRATTON, LIZABETH, LCSW .............458STRATTON, WILLIAM C., MD ...............392STRAUCH, CARL E., MD..........................................50STRAUSS, JAMES H., LCPC ....................................404STRETCH, ROBERT, LCPC ....................................443STRICKLIN, HERBERT L., LCPC ...........422STRIEGEL, JANE E., MD..................................21, 221STROINK, ANN R., MD........................201, 287, 298STRUNIN, VLADIMAR M., MD...........140STUART, CHARLES M., MD .........................241, 251STUBER, SARAH J., LCSW ...................................443SU, FEITENG, MD ..............467SU, GRANT W., MD ...........373SUBBIAH, SATHYA, MD........................................218SUBRAMANIAN, KAVITHA, MD ...................350SUCHOMSKI, GERALD, MD .......................22SUH, DAVID B., MD ..........246SUHAIL, JAWARIA T., MD ....................................13SUHAIL, JAWARIA, MD........................................132SUITE 107 ............................473SULLIVAN REHABILITATION & HEALTH CARE CENTER...............................500
ST JOHNS PERINATAL HOME HEALTHSULLIVAN REHABILITATION & HEALTH CARE
Index
554
SUM, ADA C., MD ..............131SUMER, VOLKAN, DO ..........................................86SUMMERLIN, TRISHA R., MD...................299SUMNER, RONALD E., MD ........................41, 88, 96SUNDARAM, MAGESH, MD .....................390SUNDARAM, RAVI K., DO ..................212, 270, 271SUNDARAM, SUMUK, MD .........................18SUNDARESHAN, VIDYA, MD .........................368SUNDER, THEODORE, MD ................377SUNRISE SKILLED NURSING AND REHABILITATION CENTER...............................500SUNSET REHABILITATION & HEALTH ..............................494SUREKA, AMOD O., MD ........................................330SUREKA, OMPRAKASH, MD....216, 283, 307, 330, 344SURGERY CENTER OF QUINCY ........................472SUSARLA, SAVITHA, DO ..........................................44SUSARLA, VISWANATHAM, MD ..................................43, 243SUTHERLAND, DAVID B., MD ....................210SUTTER, THOMAS, DO ........................................201SUTTLE, CARRIE A., OD161, 163, 167, 168, 170, 172, 178, 180, 183, 188, 192SUTTON AMBULANCE SERVICE .............................471SUTTON, DAVID P., MD ........................194, 263, 373
SUTTON, JOSEPH M., MD ........................................218SUTYAK, JOHN, MD .........366SVIENTEK, SUSAN JEAN, MD ............................145SWALE, JEROME A., MD ........................................211SWAMINATHAN, REVATHI, MD ....................334SWANSON, JAMES E., MD ......................................7SWANSON, MICHAEL A., MD...............224SWEARINGEN, JEFFREY V., MD ........130, 155SWEET, MICHELLE A., LCSW .....................409, 466SWEETLAND, DONNA J., MD ....................154SWETLISHNOFF, DALE J., MD .......................190SWINDLE, JONATHAN D., DO ............251SWING BED ........................496SWINGLER, JAMES L., MD ..................................149SWITZER-HUNTER, ERIKA L., MD .......................87SYED, HASSNAIN S., MD ..........................................77SYEDA, QAMER F., MD ..........................................10SYLVESTER, BRENT A., PHD ................................434
TABASSUM, VAJEEHA, MD ............116, 367TABATABAI, FAREED, MD ......................463TAFT, WILLIAM C., MD ................................320, 328TAILLEFER, MARGUERITE S., MD ...........3TAIMOORAZY, BENJAMIN, MD .................204TAKAHASHI, AYAME, MD .......................463
TALKAD, ARUN V., MD........................................320TALLIS, JAY E., OD ...........159TAMIZUDDIN, ASHRAF, MD ......................370TAN, NEHEMIAH T., MD........................................240TANCK, ALLISON R., MD........................................314TANEJA, DEEPAK, MD................................207, 333TANGEN, LYN E., MD........................................389TANIOS, ROULA Y., MD........................................337TAORMINA, MIA A., DO ........................................244TARANTINO, MICHAEL D., MD...............328TARTER, THOMAS H., MD ..................................240TASHAKORI, MAHTAB, MD ..............67, 108TATTINI, CHAD D., MD........................................205TATTINI, CHAD, MD.........258TAULBEE, KENT S., MD........................................197TAYLOR, BERNARD G., MD ..........307, 308, 333, 334TAYLOR, DEBORAH L., LCSW..............................458TAYLOR, DEBORAH, LCSW ...................................458TAYLOR, DONALD N., LCPC ..............................404TAYLOR, JANE K., MD..................................59, 125TAYLORVILLE MEMORIAL HOSPITAL ..471, 485, 486, 490, 500TAYLORVILLE MEMORIAL HOSPITAL SNF ..................500TAYLORVILLE MEMORIAL HOSPITAL SWING BED ......................................471
T
SUM, ADA C., MDTAYLORVILLE MEMORIAL HOSPITAL SWING
Index
555
TAZUDEEN, VATHIAR A., MD ...............228TEEL, RUTH E., LCPC .......415TELFER, EDWARD, MD ................................347, 349TELLE, W BRIAN, MD ........................................240TELLEZ, MAOXIIM N., MD ..................................100TEMIYASATHIT, THANOM, MD ...224, 247, 249, 256, 277, 295, 338TENDER, PAUL M., MD ................................286, 389TENUTA, KRISTIN L., LCPC ....................................422TEODORO, CATHERINE D., MD ........1, 81TERAYANONT, TAVEEPONG, MD ..............395TERRONEZ, JARED A., MD ......................................5TEVERBAUGH, LORI A., MD ..................................149THAIN, ROBERT, MD .........74THAKKER, NITESH, MD ........................................266THAMEEM, DANISH, MD ........................................222THANGAVELU, MUTHIAH, MD ...................227THATCHER, STEVEN W., MD .................................221THE LUTHERN HOME ..................................499THE PAVILION FOUNDATION ............410, 487THE PAXTON CLINIC ...................................85THIELE, JAMES W., MD ........................................361THOELE, JONATHON P., OD ...162, 173, 176, 184, 185THOELE, RYAN, OD 173, 176, 184, 185THOMAS, ABRAHAM, MD .............13, 23THOMAS, CYNTHIA, MD ........................................122
THOMAS, SACHDEV P., MD ..................253, 316, 353THOMPSON, GWYNETH S., MD .....345, 378THOMPSON, J GRAHAM, LMFT ................458THOMPSON, STEPHEN C., MD ...............149THOMPSON, STEPHEN, MD ......................32THOMPSON, VALERIE S., MD ........100, 122THOMPSON, VIRGINIA, LCSW ...............458THOPIAH, PRAKASH, MD ........................................218THORNTON, SHERRI-LEE, MD ...............145THORNTON, STEVEN L., MD ..................446THORNTON, STEVEN, MD ......................446TIBALLI, ROBERT N., DO ........................................244TILLER, JAMES, PHD ........419TILLIS, WILLIAM P., MD ................................207, 333TILLMAN, ANITA, MD ..........................................84TIMBERCREEK REHABILITATION & HEALTH CARE CENTER...............................498TIMM, ANGELA L., MD ..................................91, 100TIN, MAUNG M., MD ........237TIPIRNENI, SAMATHA, MD ..........229, 396TIPPEY, LINDA, LCPC ....................................418TODD, CHRISTINE, MD ........................................116TOLENTINO, MARIANO V., MD ..............209TOMCHUCK, ROBERT, DO.......................274TOMEK, MICHAEL S., MD ..................................232
TOOHILL, BARBARA, PSYD...............448TOOHILL, KAYE H., MD..........................................11TOPOLOSKY, MAURY K., MD ..................222TORGERSON, STUART A., MD .................364TOTEL, GREGORY L., MD..........................................35TOULON REHAB & HEALTH CARE CENTER...............................500TOUSSAINT, DOUGLAS, DO ...................143TOWER, KARA J., DO .......251TOWNSEND, WINSTON J., MD.......105, 108, 116, 126TRACE, PETER A., MD........................................141TRACHTENBERG, JEFFREY D., MD ................234TRACY, PATRICK T., MD........................................321TRAEGER, AARON R., MD ....................................84TRAGER, GARY M., MD..........................................60TRAINOR, STEPHEN P., MD ....................................12TRASK, ROBERT V., MD........................................360TRAUGOTT, ARTHUR R., MD.................410TRAYCOFF, ROGER B., MD ..................................382TREACY, STEPHEN H., MD ..................268, 337, 353TREANOR, MICHAEL R., MD ..........................248, 313TRIEGER, MICHAEL S., PSYD...............................464TRIPATHY, NEENA, MD........................................131TRIVEDI, ATUL, MD .........360TROIANO, CYNTHIA M., DO ....................................19
TAZUDEEN, VATHIAR A., MDTROIANO, CYNTHIA M., DO
Index
556
TROOP, THOMAS G., MD ..........................................78TRUDEAU, EDWARD, MD ....................379TRUE NORTH SOLUTIONS ................444, 488TRUM, PAULETTE C., MD ........................................423TRUONG, XUAN T., MD ........................................330TSANG, CELINA C., MD ........................................117TSIPURSKY, MICHAEL S., MD ...............398TSORAIDES, STEVEN S., MD ..........214, 314TSUDA, ROY, MD ..............139TSUNG, ANDREW J., MD ................................318, 321TUAN, KENNETH, MD ................................237, 293TUCKER, JULIE M., LCSW ...................................458TUDTUD, NENITA C., MD ................................299, 341TUMILTY, BETH L., DO224, 247, 249, 256, 277, 295, 338TUMYAN, ANNA, MD ........................................382TUN, THAW, MD .........56, 111TURCOT, HEIDI, LCSW ...................................444TURGUT, TANSEL, MD ........................................233TURK, FARAH R., MD ........................................101TURNER-TOWNSEND, ALYSIA ...............................139TUSCOLA HEALTH CARE CENTER ...................500TWANOW, JAIME-DAWN E., MD .....................328TWANOW, RICHARD, MD ....................111
TWENHAFEL, STACY A., OD ...161, 163, 167, 168, 170, 172, 178, 180, 183, 185, 188, 192TWIN LAKES REHAB & HEALTH CARE CENTER...............................498TYAGI, ISHA, MD ..............368TYLAR, TRACI J., LPC ...............................444, 465TYLER, JONNA, LCPC ....................................444TYMINSKI, KRISTIN K., LCSW .............................422TYNER, RALPH A., MD ........................................232
ULBRICH, MARK S., MD ........................................195ULIS, JEFFREY M., MD ........................................238ULM, PHILIP H., LCPC ....................................418ULOZAS, ERLANDAS, MD ................392UNAL, ELIZABETH R., MD ..................................378UNAL, SHEREF H., MD ........................................125UNDERWOOD, JOHN (RANDALL), MD ................238UNDERWOOD, JOHN, MD ...........................238URETA, EMERITO F., MD ........................................385URETZKY, IRA D., MD ........................................325URETZKY, IRA, MD ..........215USMAN, AHSAN, MD .......305UZODIKE, ONA, MD ...........20
VACCARO, CESLI, LCPC ....................................444VAHEY, JEAN B., MD .......323
VAKEESAN, NIGELARANI, MD ...............77VAKHARIA, MITUL R., MD ..................................351VALENCIA, ROSEMARY B., MD ...........111VALENTI, ROBIN B., OD ........................................190VALENTIN, JEANETTE, MD ..............50, 63VALENTINE, BLAIR O., MD ......................................7VALES, JAMES S., MD..........................................84VALLALA, NIRUPAMA, MD ................310VALLEJO, RICARDO, MD........204, 239, 299, 326, 340VAN BLAIR, KATHERINE J., LMFT .......413VAN BUREN, ALLYSON N., LSW ............429VANFLEET, TIMOTHY, MD ...................375VANG, CHAO, DPM...........307VANLE, JESSE L., MD .......197VANMAN, AARON S., LCSW ...................................452VARGAS, LAURA B., MD........................................369VARGAS, OMAR A., MD........................................117VARLESE, CLARA, LCPC ............................433, 467VARNEY, ANDREW, MD........................................117VASCONCELLES, CARA E., MD ..............117, 125VASILNEK, NICOLE M., OD .161, 163, 167, 168, 170, 172, 178, 180, 184, 188, 192VASIREDDY, VAMSI K., DO ..........................227, 391VASSEY, JULIAN, MD..........................................73VASSILEVA, CHRISTINA M., MD ...361, 366VAUGHAN, DEBORAH M., LCPC .430, 449
U
V
TROOP, THOMAS G., MDVAUGHAN, DEBORAH M., LCPC
Index
557
VAUGHN, DENNIS R., DPM ................................239VAZQUEZ-MELENDEZ, ELSA L., MD ..................................92, 100VAZQUEZ-MELENDEZ, ELSA, MD ........................................100VEEDER, MICHAEL H., MD ..................217, 283, 321VEERAPANENI, ANNABELLE A., MD .........272VEGUNTA, RAVINDRA K., MD ............390VELASCO JR, MARIO R., MD ..................................235VELEZ, JANE, PSYD .........448VENIGALLA, PRAMILA R., MD ...............117VENKATAPURAM, SUNETHA, MD ...................310VENSEL, MARGARET A., LCSW ...................................422VEON, KEN, LCPC .............415VERDA, MICHELE R., PHD ......................................445VERMA, AJAY, MD ...........239VERMA, AKSHRA, MD ........................................117VERMA, KANINIKA, MD ........................208, 333, 335VICARI, SANDRA K., PHD ......................................464VIDAS, MICHAEL C., MD ........................................325VILATTE, ALAIN W., MD ..........................................96VILLA HEALTH CARE EAST ........................499VILLAFUERTE, LYDIA S., MD .....................122VILLEGAS, JOEL P., MD ..........................................13VILLEGAS, MARIA S., MD ..................................274VINOVICH, CHRISTINA R., LCPC ........419
VISNESKY, PATRICIA M., MD ..............154VITS, DARRIN G., OD .......190VIVIANI, ANNA M., LCPC ....................................444VIZE, KATHLEEN L., OD ........................................159VLAHOS, KORINE, MD ........................................125VNA TIP - HOMECARE ........................484VNA-TIP HOMECARE ................483, 484VNA-TIP HOSPICE ............486VODELA, RAVINDHAR, MD ......298, 317VOGEL, CATHERINE, LCSW ...................................404VOHRA, PRAVEEN K., DPM................................337VOHRA, PRAVEEN K., MD ..................................293VOLMAR, FRITZ-HENRY, MD ........................313VOLZ, KURT E., LCPC ....................................429VON BUN, FRIEDRICH J., MD .......86, 307VONO MEDICAL SUPPLIES ....................478, 479VOTAPKA, TIMOTHY V., MD ......296, 297VQ ORTHOCARE .......481, 492VUKOV, ALLEN M., MD ................198, 275, 315, 343
WADE, JAMES L., MD ........................................235WADE, VIRGINIA A., MD ............................................1WADHWANI, SURESH H., MD .................272WAGERS, DIEDRE A., MD ........................................149WAGNER, CHRISTIAN E., MD ............130
WAGNER, REBECCA A., MD ..................................156WAGNER, ROBERT, MD..........................................52WAGONER, CHRISTOPHER, MD ..........101WAGONER, RICHARD W., MD ................56WAHAB, AMIR JOHN, MD .............................66WAHBA, SAFWAT, MD........................................391WAHEED, HARRIS, MD..........................................13WAITKUS, JENNIFER E., LCPC.......................430, 449WALKER NURSING HOME ..................................500WALKER, NATHAN R., MD ....................................18WALKER-WATKINS, SHARON S., MD .................138WALL, JARROD C., MD................................366, 383WALL, MICHAEL M., MD....................................38, 48WALLER, JENNIFER M., OD ..........................172, 190WALTERS, ROBERT GREGORY, DPM ................396WALTON, LAUREL A., DO ..................................139WANG, DAVID Z., DO ........................................320WANG, HUAN (JOHN), MD .........................393WANG, MU, MD .........204, 395WANG, XU, MD .................349WANG, ZENG Y., MD........371WARD, CHRISTINA A., LCPC ..............................458WARD, CURTIS L., DPM .............................216, 332WARD, ERIC M., PHD .......445WARD, MARGARET, MD........................................453WARGO, MARK A., MD........................................128
W
VAUGHN, DENNIS R., DPMWARGO, MARK A., MD
Index
558
WARNER, ELIZABETH A., MD ...........366WARREN, PAMELA A., PHD ................................467WASCHULL, AMY S., MD ..................................69, 142WASHINGTON, KAREN L., LCSW ...............444WASSON, DONNA S., LCPC ....................................444WASZAK, MICHAEL L., MD ....................................60WATERS, JOHN S., MD ........................................233WATERS, MICHAEL L., MD ......................69, 70, 142WATERSTREET, CRAIG E., LCPC .................426WATSON, JOHN O., MD ........................................379WATSON, MICHAEL D., MD ..................................375WATTANAKIT, KEATTIYOAT, MD ............310WEATHERLY, MARGARET A., LCPC ....................................404WEAVER, BARRY C., MD ..........................................12WEAVER, SHARON R., MD ..................................135WEBB, DAVID K., MD ..........................................71WEBB, DEBRA K., LCSW ...................................420WEBB, EVELYN A., LCSW ...................................415WECK, VALERIE M., PHD ......................431, 450, 465WEGMAN, CHERYL L., MD ....................................41WEGNER, DAVID, OD ................................175, 178WEIDMAN, MATTHEW J., MD ................78WEIDNER, DAVID C., PSYD ....................................448WEIS, CHRISTINE R., MD ..........................................53
WEISBAUM, JON S., DO ........................................157WEISGERBER, GLEN A., MD ......................................2WEISSER, KATHLEEN K., LCSW ...................................465WELCH, ELAINE R., MD ..........................................84WELCH, GERALD, MD ........................................410WELCH, JANET W., MD ..........................................18WELKE, KARL F., MD ........................................311WELL, MARCI, MD .15, 47, 65WELLMAN, RICHARD W., MD ..............135WELLS CENTER ........420, 488WELLS, TABATHA SELINA, MD .......................122WELTER, DONNA M., LCSW ...................................423WEMLINGER, LORI C., MD ......................................7WENCE, DAVID R., LCPC ....................................415WENCK, TODD, MD ..............5WENGER, RACHEL M., MD ...................................46WENSING, THOMAS J., DPM .................................345WERAARCHAKUL, WITOON, MD ....225, 247, 249, 256, 277, 296, 338WERRBACH, MAUREEN L., LCPC ..430, 449WERRIES, BARRY A., MD ........................................263WESLY, JADWIGA, MD ........................................363WESLY, OSVALDO, MD ........................214, 315, 347WEST DES MOINES DIALYSIS ............................477WEST UNION DIALYSIS ............................477WEST, BRADFORD L., MD ..................................370
WEST, TOMMY, MD .........140WEST, VICTORIA W., LCPC ....................................444WESTERN, GARY BRETT, MD .........................383WESTERN, JENNIFER, MD ...................122WESTERN, RANDY, MD........................................122WETZLER, CHRISTOPHER J., OD159, 184WEYMAN IV, RICHARD L., MD .......195, 294WHATCOTT, CRAIG R., MD ..................................151WHEATLEY, BRIAN J., MD ...................................398WHEELER, RONALD D., MD ..................................283WHEELER, SAMANTHA, LCSW ..404, 444WHISENAND, JAMES M., MD .........................411, 427WHITE, DRAKE, MD .259, 283WHITE, JESSICA L., MD..................................76, 101WHITE, KARLA, LCPC ............................435, 444WHITE, KATHRYN E., LCSW..............................459WHITE, KEITH, PHD .........411WHITE, NEVILLE, MD................................117, 370WHITE, PETER, MD...........381WHITE, SUZANNE S., DPM .....................241, 307, 332WHITEHILL, DAVID L., MD ..........................130, 155WHITLEY, RONALD E., MD ..........................281, 283WHITTEN, PATRICK E., MD ..........................333, 335WHITTLE, THOMAS J., MD ...................................253WHITTY, LISA A., MD........................................314WIARDA, HOWARD E., MD ..................................235
WARNER, ELIZABETH A., MDWIARDA, HOWARD E., MD
Index
559
WIBISONO, BERNADETA L., MD ...........61WICHTERMAN, KEITH A., MD .....................366WIDERBORG, KATHERINE A., MD ..........297WIDERBORG, KATHERINE, MD ...............198WIDICUS, DIANA T., MD ................................106, 122WIEBLER, LADONA R., BCBA......................404, 444WIECHERT, MARK A., MD ....................................52WIELAND, JOHN M., MD ................................198, 297WIESCH, AMY L., DPM .....................................211WIESE, STEPHANIE A., LCPC ......................431, 449WIETFELDT, ELIZABETH D., MD ...........361WIETFELDT, JOEL H., MD ..................................379WIETIES, TAMMY L., OD ........................................186WILCOX, CARRIE B., LCPC ....................................459WILKINS, WARREN, MD ........................................334WILKISON, THOMAS A., OD ..................................190WILLADSEN, DIANA S., MD ..................................368WILLARD, LYNN R., LCSW, LCPC ...............444, 459WILLENBRING, MICHELLE R., OD .............178WILLETT, PAUL D., PSYD ....................................406WILLI, MARTHA, MD .......323WILLIAMS, BONNIE M., MD ...................................52WILLIAMS, BRIT M., MD ..........................................24WILLIAMS, DENIS, MD ........................................220WILLIAMS, DORIS M., MD ...................................22
WILLIAMS, JAMES B., MD .291, 293, 303, 308, 311, 336, 342, 344WILLIAMS, JAMES R., MD ..................................324WILLIAMS, JOHN M., OD ........................................193WILLIAMS, JORDAN N., DMD .......................263, 373WILLIAMS, JOSEPH, MD ........................................375WILLIAMS, LASHUNDA D., MD .............96WILLIAMS, NATHAN D., LCPC ..............................416WILLIAMS, SHERRY M., MD .....................................1WILLIAMS, STEVEN D., MD ..................................211WILLIAMS, TIMOTHY L., OD ...............175WILLIAMSON, JEFFREY L., MD .275, 304, 315WILLIAMSON, KIMBERLY A., BCBA .......404WILLOW HOME CARE LTD ...........................484WILSON, BRADLEY A., MD ..................................286WILSON, CHARLES S., MD ..................................264WILSON, JAMES P., OD ........................................184WILSON, JOHN F., MD ........................................268WILSON, KATHRYN A., MD ..................................218WILSON, MARQUESS T., MD ...........267WILSON, MORGAN L., MD ..................................362WILSON, PAUL R., MD ..........................................18WILSON, SHANNON, LCSW ...................................450WILTZ, ROBERT A., PHD ......................................453WIMAN, JODI L., LCPC ....................................434
WIN, ZAW, MD...................424WINDMILL MANOR..........495WINGATE, JEFFREY K., MD ..................................203WINGO, MICHAEL W., MD .................................218WINKLEMAN, BRIAN J., MD......................266WINOGRAD, DAVID, DO ..........................................73WIRTZ, LAURA KELLY, LCSW ....................423WISE, JOYCE, MD .............327WISE, N KENT, MD ...........303WISE, SONDRA L., LCSW ...................................459WITT, CHARLES S., DPM .....................................212WIX JR, HERSHEL L., MD........................................210WOCHNER, ROBERT J., MD .....................................74WOHLTMANN, CHRISTOPHER D., MD........................................366WOITAS, MEGAN P., DO ..........................................13WOITAS, MEGAN, DO ..........................................13WOLF, RICHARD M., MD........................................398WOLFSON, BARBARA J., LCPC ...........459WOLGAMOT, TED, LCPC ....................................444WOLLENBERG, LYNN A., OD ......................164WOLTERS, BRETT W., MD .........................217, 375WONG, KATY K., MD .......207WOODBURN, JUDY R., PHD ........................406, 434WOODBURN, ROBERT T., MD .........212, 271WOODHOUSE, SHERMIAN A., MD ............300WOODRUFF, ROBERT, MD ......................360
WIBISONO, BERNADETA L., MDWOODRUFF, ROBERT, MD
Index
560
WOODS, CHERYL A., LCPC ....................................453WOODS, MICHAEL J., MD ....................................10, 42WOODS, TERENCE R., MD ..................................238WOODSON, GAYLE E., MD ..................................376WORNYO, JAMES D., MD ................................2, 3, 109WORTHY, MARIAN, APRN ...................................459WOTTOWA, CHRIS, MD ........................263, 279, 375WRIGHT, JILL A., LPC ...............................419, 425WRIGHT, SCOTT J., MD ........................................427WROBLEWSKI, THOMAS, MD .......................62WU, JONATHAN C., MD ........................................266WU, SCOTT Y., MD ...248, 313WU, SIMON K., MD .............62WU, STANLEY S., MD ........................................130WU, SUSAN, MD ........239, 293WUEST, RONALD J., MD ........................................453WUNDERLICH, ANDREW W., MD ................60WYMAN, THOMAS M., MD .................................324WYNN, KELVIN E., MD ..........................................96WYNN, MARY, MD .......3, 132WYNSTRA, JAMES H., MD ..........................381, 382
XIE, YANG, MD .............88, 96XU, MICHAEL Y., MD .......320
YADAV, MANAJYOTI, MD ................92
YAFFE, STUART A., MD ........................................122YAKEL, DONALD L., MD ........................216, 258, 260YAKLICH, BRADLEY R., OD ...................................176YALAMANCHILI, SARAT P., MD ......................13YALAMANCHILI, SAROJA, MD.......................141YAMBAY VALIENTE, LIZA C., MD ..........................................81YANG, EDWARD Y., MD ........................................329YANG, HONGMEI, MD ..........................................92YANG, TINA Y., DO ............20YANG, WILLIAM W., MD ........................................373YAP, DENNIS D., MD ........122YASEEN, MOHAMMAD, MD.............328YE, LU, MD ...........................29YEE, LAWRENCE D., LCPC ....................................418YEKKIRALA, LALITHA, MD ....................129YESHWANT, CHILAKAMARRI, MD ........................................243YETTER, TAD A., MD .........55YOCKS, BRIAN C., MD ..........................................48YODER, SHERRY, LCPC ....................................404YODER, SHERYL K., LCPC ....................................426YOON, HAROLD A., MD ........................................240YORE, DOUGLAS, LCSW ...................................409YORK, JAIMEE, LPC .........435YOUNG, KALA M., LCPC ....................................459YOUNG, MICHEAL S., MD ..................................198YOUNG, SARAH B., MD ................................136, 155
YOUNG, TERENCE, MD........................................137YOUNGERMAN, JORDAN S., MD..................239YOUNGERMAN, WILLIAM, MD ....................221YOUNKIN, CASEY C., MD........................................154YOUSE, JEREMY, MD........................................218YOUSSEF, WAEL I., MD........................................389YU, SIEGFRIED W B W., MD .................................117YU, WILLIAM, MD ....105, 117YUEN, MICHAEL H., MD..........................................44
ZABANEH, SAMI, MD..........................................18ZABIEGA, THOMAS M., MD .................................267ZACHRIA, ANTHONY, MD .207, 208, 225, 248, 250, 258, 278, 300, 341ZAHEER, SAADIA, MD..........................................14ZAKARIA, AAMIR M., MD .................................290ZAKHIREH, BEHNAM, MD ....................273ZALAR JR, JOSEPH A., MD ..................................223ZALDUENDO, ANTHONY C., MD .............334ZALLEK, CHRISTOPHER M., MD........................................320ZALLEK, SARAH NATH, MD...................320, 335ZAMANI, NEDA, MD.........242ZANDER, JOHN D., MD................................278, 361ZAVERDAS, GEORGE A., MD.........346, 349ZAZA, TAREQ, MD....369, 381ZEC, RONALD, PHD ..........371
X
Y
Z
WOODS, CHERYL A., LCPCZEC, RONALD, PHD
Index
561
ZECH, JOHN R., MD .217, 226, 284ZEINO, MHD YAHIA, MD ........................................154ZELAYA, BLAS M., MD ........................................328ZELLNER, CHRISTIAN A., MD ...........360ZEMAN, DAVID R., MD ........................................220ZHANG, WENQING (MARK), MD .......................391ZHANG, YONGHUA, MD ........................................350ZHOU, JIANXUN, MD .......331ZIMMERMAN, FRANK J., MD.....................327ZIMMERMAN, JAMES D., MD ......................12ZIMMERMAN, JERRAD P., MD ..........394, 397ZINZILIETA, J M., MD ........................................154ZLIOBA, ARAS M., MD ........................................268ZUCK, VINCENT P., MD ........................................360ZUCK, VINCENT, MD .......360ZUSAG, THOMAS W., MD ........................................355ZUSSMAN, MARC A., MD ........................................351ZWILLING, THOMAS J., MD .....................................67ZYWIEC, DAWN, LCPC ....................................404
ZECH, JOHN R., MDZYWIEC, DAWN, LCPC
Health Alliance Medicare HMO Plan
Provider Directory
This directory provides a list of Health Alliance Medicare HMO network providers. This directory is for benefi ciaries in Bureau, Cass, Champaign, Christian, Coles, DeWitt, Douglas, Ford, Kankakee, Knox, Logan, Macon, Macoupin, Marshall, Mason, McLean, Menard, Montgomery, Morgan, Moultrie, Peoria, Piatt, Putnam, Sangamon, Scott, Stark, Tazewell, Vermilion and Woodford counties in Illinois.
This directory is current as of September 1, 2013. Some network providers may have been added or removed from our network after this directory was printed. We do not guarantee that each provider is still accepting new members. To get the most up-to-date information about Health Alliance Medicare HMO network providers in your area, you can visit HealthAllianceMedicare.org or call Health Alliance Medicare Services at 1-800-965-4022, Monday through Friday, 8 a.m. to 8 p.m. TTY/TDD users should call 711 or 1-800-526-0844 (Illinois Relay).
Health Alliance Medicare is an HMO plan with a Medicare contract. Enrollment in Health Alliance Medicare depends on contract renewal.
cps-ILMedHMOproviderdirectory-0713H1463_14_10139Accepted
1-800-965-4022TTY/TDD 711 or 1-800-526-0844 (Illinois Relay)
HealthAllianceMedicare.org