Provider Directory- Health Alliance

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Provider Directory Online Search Results generated from www.healthalliance.org Date Generated: 9/3/2011 Provider Directory Name: East Central Illinois Number of Results Meeting Criteria: 2732

Transcript of Provider Directory- Health Alliance

Provider DirectoryOnline Search Results

generated from www.healthalliance.orgDate Generated: 9/3/2011 Provider Directory Name: East Central Illinois Number of Results Meeting Criteria: 2732

AncillaryArcola, ILSkilled Nursing FacilitiesArcola Health Care Center Provider #099329 NPI #1437115417 422 E Fourth South St Arcola IL, 61910 (217) 268-3022Accreditations: HCFA

Ambulatory Surgery CenterBloomington Eye Institute Provider #039339 NPI #1346205481 1008 N Center St Bloomington IL, 61701 (309) 827-2020Accreditations: HCFA

Diagnostic RadiologyCentral Illinois Neuroradiolog Provider #129904 NPI #1881641371 1709 Jumer Drive Suite B Bloomington IL, 61704 (309) 268-3444Accreditations: None

Delta Sleep Inc Provider #158234 NPI #1659472850 503 N Prospect Suite 100 Bloomington IL, 61704 (309) 663-2727Accreditations: None

Bement, ILSkilled Nursing FacilitiesBement Health Care Center Provider #043135 NPI #1598721581 601 N Morgan Bement IL, 61813 (217) 678-2191Accreditations: HCFA

Center For Outpatient Medicine Provider #001937 NPI #1679503692 2502B E Empire St Bloomington IL, 61704 (309) 662-6120Accreditations: None

Dialysis CentersRcg Central Illinois-Bloomington Provider #133685 NPI #1467568394

Heartland Home Medical Supply Provider #101025 NPI #1679536478 716 E Empire St Suite 2 Bloomington IL, 61701 (309) 829-8122Accreditations: None

Benton, ILDialysis CentersBenton Dialysis Provider #128516 NPI #1609885185 1151 Route 14 West Benton IL, 62812 (618) 435-4850Accreditations: None

Eastland Ambulatory Surgery Center Provider #003423 NPI #1699751289 1505 Eastland Dr Bloomington IL, 61701 (309) 663-1997Accreditations: AAAHC

1505 Eastland Medical Place Ll Bloomington IL, 61701 (309) 663-4766Accreditations: HCFA

Orthomotion Technology Inc Provider #075051 NPI #1831228006

Ireland Grove Center For Surge Provider #151000 NPI #1750567442 3801 Ireland Grove Rd Bloomington IL, 61704 (309) 664-0101Accreditations: AAAHC

Rcg Central Illinois-Bloomington Provider #133693 NPI #1972618726 1404 Eastland Dr Suite 103 Bloomington IL, 61701 (309) 663-4766Accreditations: HCFA

2422 E Washington Suite 101 Bloomington IL, 61701 (888) 697-2210Accreditations: None

Durable Medical & Prosthetic EquipmentApria Healthcare-Bloomington Provider #000849 NPI #1295770550 #3 Quest Dr Suite 201 Bloomington IL, 61704 (309) 820-9701Accreditations: None

OSF Home Medical Equipment Provider #174723 NPI #1437314952 2200 E Washington St Bloomington IL, 61701 (309) 665-4765Accreditations: None

Bloomington, ILAffiliated HospitalsAdvocate Bromenn Comfort & Care Suites Provider #168298 NPI #1962424036 2502 E Empire Suite D Bloomington IL, 61704 (309) 662-6120Accreditations: JCAHO

HospiceOSF Hospice-Eastern Region Provider #075860 NPI #1013945583 211 N Landmark Suite D3 Bloomington IL, 61704 (309) 451-5925Accreditations: None

CT ScanningOSF St Joseph Medical Center - Medical Imaging Provider #003670 NPI #1619916806 1701 E College Ave Bloomington IL, 61701 (309) 664-3000Accreditations: JCAHO

Durable Medical EquipmentCentral Illinois Medical Provider #000883 NPI #1225097876 203 E Locust St Bloomington IL, 61701 (309) 827-3459Accreditations: None

OSF St Joseph Medical Center Provider #003670 NPI #1619916806 2200 E Washington St Bloomington IL, 61701 (309) 662-3311Accreditations: JCAHO

OSF St Joseph Medical Center - Medical Imaging Provider #003670 NPI #1619916806 2200 E Washington St Bloomington IL, 61701 (309) 661-5160Accreditations: JCAHO

* Restricted panel. Please contact Customer Service at the number on the back of your ID card.

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AncillaryMagnetic Resonance ImagingOSF St Joseph Medical Center - Medical Imaging Provider #003670 NPI #1619916806 1701 E College Ave Bloomington IL, 61701 (309) 664-3000Accreditations: JCAHO

Champion Fitness Dba Pt & Athletic Training Provider #157213 NPI #1407801012 1015 S Mercer Ave Bloomington IL, 61701 (309) 663-6777Accreditations: None

Hanger Prosthetics & Orthotics Provider #138529 NPI #1164590378 2706 Mcgraw Dr Bloomington IL, 61704Accreditations: None

OSF Sleep Medicine Provider #003670 NPI #1619916806 1505 Eastland Ave Suite 320 Bloomington IL, 61701 (309) 662-2368Accreditations: JCAHO

Skilled Nursing Facilities Physical/Occupational TherapyMcLean County Orthopedics Provider #MCLEAN Asta Care Center Of Bloomington Provider #025989 NPI #1518948280 1509 N Calhoun St Bloomington IL, 61701 (309) 827-6046Accreditations: JCAHO

OSF St Joseph Medical Center - Medical Imaging Provider #003670 NPI #1619916806 2200 E Washington St Bloomington IL, 61701 (309) 661-5160Accreditations: JCAHO

Sleep Center Of Central Il Llc Provider #087764 NPI #1407965130 2204 Eastland Dr Ste 100 Bloomington IL, 61704 (309) 662-1558Accreditations: None

2502 E Empire St Bloomington IL, 61704 (309) 663-6567Accreditations: None

Speech TherapyOSF Rehabilitation Services Provider #003670 NPI #1619916806 1505 Eastland Dr Bloomington IL, 61701 (309) 661-4477Accreditations: JCAHO

MammographyOSF St Joseph Medical Center Provider #003670 NPI #1619916806 1505 Eastland Dr Bloomington IL, 61701 (309) 661-5160Accreditations: JCAHO

OSF Rehabilitation Services Provider #003670 NPI #1619916806 1505 Eastland Dr Bloomington IL, 61701 (309) 661-4477Accreditations: JCAHO

Bloomington Rehab & Health Care Provider #127496 NPI #1497712228 1925 S Main Bloomington IL, 61701 (618) 435-2712Accreditations: HCFA

OSF St Joseph Medical Center Provider #003670 NPI #1619916806 1701 E College Ave Bloomington IL, 61701 (309) 664-3000Accreditations: JCAHO

OSF Rehabilitation Services Provider #003670 NPI #1619916806 1701 E College Ave Bloomington IL, 61701 (309) 661-3420Accreditations: JCAHO

Heritage Manor Bloomington Provider #000860 NPI #1457343170 700 E Walnut Bloomington IL, 61701 (309) 827-8004Accreditations: IDPH

OSF Rehabilitation Services Provider #003670 NPI #1619916806 1701 E College Ave Bloomington IL, 61701 (309) 661-3420Accreditations: JCAHO

ProstheticsPeters Orthopedics Provider #021823 NPI #1811986532 908 N Hershey Rd Suite 1 Bloomington IL, 61704 (309) 664-6930Accreditations: None

Physical TherapyAccelerated Rehabilitation Centers Provider #196014 NPI #1205875713 1704 Eastland Dr Unit 15 Bloomington IL, 61704 (309) 664-7766Accreditations: None

OSF St Joseph Medical Center-Skilled Nursing Provider #128249 NPI #1932148236 2200 E Washington St Bloomington IL, 61701 (309) 662-3311Accreditations: None

Sleep Disorder CenterMidwest Center For Sleep Medicine Provider #090453 NPI #1730128315 1709 Jumer Dr Bloomington IL, 61704 (309) 662-9997Accreditations: None

Prosthetics & Orthotics

* Restricted panel. Please contact Customer Service at the number on the back of your ID card.

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AncillaryUrgent CareConvenient Care Provider #003670 NPI #1619916806 1701 E College Ave Bloomington IL, 61701 (309) 664-3000Accreditations: JCAHO

Riverside Ambulatory Surgery Provider #116562 NPI #1851407373

Physical TherapyChampion Fitness Provider #070657 NPI #1407801012 1300 E US Hwy 40 Casey IL, 62420 (217) 932-2100Accreditations: None

Christie Clinic Provider #116162

300 Riverside Drive Suite 1100 Bourbonnais IL, 60914 (815) 802-1370Accreditations: None

101 W University Ave Champaign IL, 61820 (217) 366-1200Accreditations: None

AudiologyChristie Clinic Hearing Aid Service Provider #097095

OSF Promptcare Bloomington Provider #003670 NPI #1619916806

Dialysis CentersKankakee County Dialysis Provider #128567 NPI #1073675138

Skilled Nursing FacilitiesCasey Health Care Center Provider #142922 NPI #1093771800 100 NE 15Th St Casey IL, 62420 (217) 932-5217Accreditations: HCFA

1505 Eastland Ave Suite 1100 Bloomington IL, 61701 (309) 663-2100Accreditations: JCAHO

581 William Latham Dr Suite 104 Bourbonnais IL, 60914 (815) 936-3088Accreditations: None

101 W University Ave Champaign IL, 61820 (217) 366-1200Accreditations: None

Dialysis Centers

OSF Promptcare At Center For Health - Nord Farms Provider #003670 NPI #1619916806 1001 Mitsubishi Motorway Bloomington IL, 61701 (309) 828-0806Accreditations: JCAHO

Centralia, IL Canton, ILDialysis CentersFresenius Medical Care Provider #133686 NPI #1891800645 210 W Walnut Canton IL, 61520 (480) 632-3248Accreditations: HCFA

Dialysis CentersCentralia Dialysis Provider #128517 NPI #1467461947 1231 State Route 161 East Centralia IL, 62801 (618) 533-2535Accreditations: None

Illini Renal Dialysis Provider #128594 NPI #1275502437 507 E University Champaign IL, 61820 (217) 378-7800Accreditations: None

Bonita Springs, FLDialysis CentersBonita Springs Dialysis Provider #194380 NPI #1306813993 9134 Bonita Beach Rd Bonita Springs FL, 34135Accreditations: None

Durable Medical & Prosthetic EquipmentHueys Home Medical Inc Provider #101102 NPI #1033398482 2003 Round Barn Rd Champaign IL, 61821 (217) 356-4839Accreditations: None

Champaign, ILDurable Medical & Prosthetic EquipmentGraham Home Medical Equipment Provider #016564 NPI #1114938859 101 S Main St Canton IL, 61520 (309) 647-7207Accreditations: None

AmbulanceArrow Medical Services Provider #004107 NPI #1659685964 210 A E University Ave Champaign IL, 61820 (217) 356-3429Accreditations: None

Bourbonnais, ILAffiliated HospitalsProvena St Marys Total Wellness Center Provider #003755 NPI #1770678260 21 Heritage Dr Bourbonnais IL, 60914 (815) 937-8204Accreditations: JCAHO

Ambulatory Surgery Center

Casey, ILDurable Medical & Prosthetic EquipmentThe Pharmacy Shop Provider #021829

Champaign Surgicenter Llc Provider #025710 NPI #1356400782 1702 S Mattis Ave Champaign IL, 61821 (217) 326-2030Accreditations: JCAHO

Ambulatory Surgery Center

202 W Edgar St Casey IL, 62420 (217) 932-4004Accreditations: None

* Restricted panel. Please contact Customer Service at the number on the back of your ID card.

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AncillaryDurable Medical EquipmentAchieve Mobility Center Provider #109582 NPI #1851446462 Carle Home Infusion Provider #004103 NPI #1457347668 206A W Anthony Dr Champaign IL, 61822 (217) 383-3099Accreditations: None

706 Bloomington Rd Suite 101 Champaign IL, 61820 (217) 355-7971Accreditations: None

Carle Therapy Services Provider #004117 NPI #1013071653 2403 Village Green Place Champaign IL, 61822 (217) 359-4549Accreditations: JCAHO

Heartland Health Care Center-Champaign Provider #000861 NPI #1790723732 309 E Springfield Ave Champaign IL, 61820 (217) 352-5135Accreditations: HCFA

National Seating & Mobility Provider #055226 NPI #1467425017 3808 W Springfield Ave Champaign IL, 61822 (217) 355-1399Accreditations: None

Coram Alternate Site Services Provider #161863 NPI #1659311629 2022 Glenn Park Dr Champaign IL, 61821 (217) 356-7900Accreditations: None

Champion Fitness Dba Pt & Athletic Training Provider #157213 NPI #1407801012 2006 Round Barn R Champaign IL, 61824 (217) 378-4560Accreditations: None

Illini Heritage Rehab & Health Care Center Provider #100141 NPI #1619083730 1315 Curt Dr Champaign IL, 61820 (217) 352-5707Accreditations: Dept of Human

HospiceCarle Hospice Provider #004102 NPI #1851387385 206A W Anthony Dr Champaign IL, 61822 (217) 383-3151Accreditations: None

Rehab Tech Inc Provider #078674 NPI #1700995990 201 N Springfield Ave #704 Champaign IL, 61820 (217) 366-9287Accreditations: None

Champion Fitness Dba Pt & Athletic Training Provider #157213 NPI #1407801012

Services, HCFA

Sleep Disorder CenterCu Sleep Inc Provider #092319 NPI #1871523829 1207 S Mattis Ave Suite 3 Champaign IL, 61821 (217) 355-1684Accreditations: None

1914 Round Barn Rd Suite 102 Champaign IL, 61824 (217) 378-4560Accreditations: None

Home Health CareCarle Home Service Provider #004100 NPI #1891780615 206W Anthony Dr Champaign IL, 61822 (217) 383-3488Accreditations: JCAHO

Provena Hospice Provider #147663 NPI #1407893282 1501 Interstate Dr Champaign IL, 61821 (217) 337-2470Accreditations: JCAHO

Physical/Occupational TherapyMettler Center Llc Provider #METTLR

Channahon, ILPhysical/Occupational TherapyNewsome Physical Therapy Provider #105477 NPI #1801931928

Physical TherapyAccelerated Rehabilitation Centers Provider #196014 NPI #1205875713 1612 S Neil St Champaign IL, 61820 (217) 355-1961Accreditations: None

2906 Crossing Court Champaign IL, 61822-6163 (217) 356-6543Accreditations: None

Diversified Healthcare Services Provider #000800 NPI #1679603831 510 W Park Ave Champaign IL, 61820 (217) 356-1111Accreditations: HCFA

ProstheticsConfidentially Yours Provider #000874 NPI #1023167624 1808B Round Barn Rd Champaign IL, 61821 (217) 366-0244Accreditations: None

25445 S Pheasant Lane Unit H Channahon IL, 60410 (815) 521-0111Accreditations: None

Charleston, ILOccupational TherapyCarle Therapy Services Provider #160342 NPI #1437275328 5731 Park Dr Charleston IL, 61920 (217) 258-3640Accreditations: None

Provena Home Health Provider #146034 NPI #1659320869 1501 Interstate Dr Champaign IL, 61821 (217) 355-4120Accreditations: None

Athletico Provider #172741 NPI #1821085028 2040 S Neil St Champaign IL, 61820 (217) 352-3330Accreditations: None

Skilled Nursing Facilities

Home Infusion

* Restricted panel. Please contact Customer Service at the number on the back of your ID card.

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AncillaryPhysical TherapyCarle Therapy Services Provider #160342 NPI #1437275328 5731 Park Dr Charleston IL, 61920 (217) 258-3640Accreditations: None

Meadows Mennonite Retirement Provider #135173 NPI #1831194752 24588 Church St Chenoa IL, 61726 (309) 747-2702Accreditations: IDPH

Docs Drugs Of Coal City Provider #065386 NPI #1518042688 245 S Broadway Coal City IL, 60416 (815) 634-4311Accreditations: None

Ambulatory Surgery CenterCarle Surgicenter Danville Provider #075430 NPI #1225194533 2300 N Vermilion Danville IL, 61832 (217) 444-5800Accreditations: JCAHO

Physical Therapy

Skilled Nursing FacilitiesCharleston Rehab & Health Care Center Provider #128627 NPI #1508956459 716 Eighteenth St Charleston IL, 61920 (217) 345-7054Accreditations: HCFA

Chrisman, ILSkilled Nursing FacilitiesPleasant Meadow Christian Village Provider #092872 NPI #1235155631 400 W Washington Chrisman IL, 61924 (217) 269-2396Accreditations: HCFA

Champion Fitness Dba Pt & Athletic Training Provider #070657 NPI #1407801012 2595 E Division St Coal City IL, 60416 (877) 348-8500Accreditations: None

Dialysis CentersDanville Dialysis Services Llc Provider #073469 NPI #1205826435 910 W Clay St Danville IL, 61832 (217) 446-1111Accreditations: None

Colfax, ILSkilled Nursing Facilities

Hilltop Skilled Nursing And Rehabilitation Center Provider #197804 NPI #1639126436 910 W Polk Charleston IL, 61920 (217) 345-7066Accreditations: HCFA

Clifton, ILDurable Medical EquipmentOrthomotion Technology Inc Provider #075051 NPI #1831228006 505 E Main St Clifton IL, 60927 (888) 697-2210Accreditations: None

Asta Care Center Of Colfax Llc Provider #189414 NPI #1205827268 402 S Harrison St Colfax IL, 61728Accreditations: None

Durable Medical & Prosthetic EquipmentCarle Medical Supply Provider #127031 NPI #1831156124 311 W Fairchild St Danville IL, 61832 (217) 477-0227Accreditations: None

Speech TherapyCarle Therapy Services Provider #160342 NPI #1437275328 5731 Park Dr Charleston IL, 61920 (217) 258-3640Accreditations: None

Danforth, ILSkilled Nursing FacilitiesPrairieview Lutheran Home - Faith Place Provider #090497 NPI #1881671741 403 N Fourth St Danforth IL, 60930 (815) 269-2970Accreditations: HCFA

Clinton, ILAffiliated HospitalsDr John Warner Hospital Provider #003615 NPI #1235211301 422 W White St Clinton IL, 61727 (217) 935-9571Accreditations: Dept of Human

Illiana Medical Equipment Provider #000885 NPI #1245234970 912 N Vermilion Danville IL, 61832 (217) 442-0121Accreditations: None

Chenoa, ILRehabilitation FacilityMeadows Mennonite Retirement Provider #135173 NPI #1831194752 24588 Church St Chenoa IL, 61726 (309) 747-2702Accreditations: IDPH

Danville, ILAffiliated HospitalsProvena United Samaritans Medical Center Provider #004137 NPI #1427000884 812 N Logan Ave Danville IL, 61832 (217) 443-5000Accreditations: JCAHO

Services

Polyclinic Medical Equipment Provider #080207 NPI #1275503294 622 N Logan Ave Danville IL, 61832 (217) 477-5712Accreditations: None

Coal City, ILDurable Medical Equipment

Skilled Nursing Facilities

* Restricted panel. Please contact Customer Service at the number on the back of your ID card.

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AncillaryHome Health CareCarle Home Service Provider #004100 NPI #1891780615 311 W Fairchild Suite D Danville IL, 61832 (217) 477-0240Accreditations: JCAHO

Dixon, ILDialysis CentersDixon Kidney Center Provider #128559 NPI #1396706750 1131 N Galena Ave Dixon IL, 61021 (815) 284-0595Accreditations: None

St Anthonys Memorial Hospital Provider #003650 NPI #1306800602 503 N Maple Effingham IL, 62401 (217) 342-2121Accreditations: JCAHO

St Anthonys Home Health Provider #129141 NPI #1891758678 503 N Maple Effingham IL, 62401 (217) 347-1208Accreditations: None

Mammography Ambulatory Surgery CenterEffingham Surgical Partners Provider #021121 NPI #1831280536 904 W Temple Effingham IL, 62401 (217) 342-1234Accreditations: AAAHC

Occupational TherapyCarle Therapy Services Provider #004117 NPI #1013071653 2300 N Vermilion Danville IL, 61832 (217) 431-7930Accreditations: JCAHO

Dwight, ILPhysical TherapyChampion Fitness Dba Pt & Athletic Training Provider #070657 NPI #1407801012 108 Watters Dr Dwight IL, 60420 (815) 584-5411Accreditations: None

Advanced Tech Breast Imaging Services Provider #149283 NPI #1750554960 912 N Henrietta Ave Effingham IL, 62401 (217) 342-6266Accreditations: None

Prosthetics Dialysis CentersEffingham Dialysis Provider #128598 NPI #1245290782 904 Medical Park Dr Suite 1 Effingham IL, 62401 (217) 342-9558Accreditations: None

Physical TherapyCarle Therapy Services Provider #004117 NPI #1013071653 2300 N Vermilion Danville IL, 61832 (217) 431-7930Accreditations: JCAHO

East Peoria, ILDialysis CentersRcg Central Illinois-East Peoria Provider #133663 NPI #1083729834 3300 N Main St East Peoria IL, 61611 (309) 698-8299Accreditations: Dept of Human

Omnicare Labs Inc Provider #007342 NPI #1891794145 108 W Washington St Effingham IL, 62401 (217) 347-2800Accreditations: None

Skilled Nursing FacilitiesColonial Manor Provider #029483 NPI #1093706830 620 Warrington Ave Danville IL, 61832 (217) 446-0660Accreditations: HCFA

Durable Medical & Prosthetic EquipmentApria Healthcare-Bloomington Provider #000849 NPI #1295770550 500 W Jaycee Ave Effingham IL, 62401 (217) 347-5212Accreditations: None

The Thomas Shop Provider #120548 NPI #1174620082 200 W Jefferson Effingham IL, 62401 (217) 342-2733Accreditations: None

Services

North Logan Healthcare Center Provider #041687 NPI #1194882647 801 N Logan Danville IL, 61832 (217) 443-3106Accreditations: HCFA

Physical TherapyAccelerated Rehabilitation Centers Provider #196014 NPI #1205875713 1 E Side Dr East Peoria IL, 61611 (309) 694-7561Accreditations: None

Durable Medical EquipmentBandys Pharmacy Provider #171233 NPI #1316109721 800 N Keller Dr Effingham IL, 62401 (217) 342-4919Accreditations: None

Vermilion Manor Nursing Home Provider #006996 NPI #1922197383 14792 Catlin Tilton Rd Danville IL, 61834 (217) 443-6430Accreditations: HCFA

Effingham, ILAffiliated Hospitals

Home Health Care

* Restricted panel. Please contact Customer Service at the number on the back of your ID card.

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AncillarySkilled Nursing FacilitiesEffingham Rehabilitation & Health Provider #131943 NPI #1336249614 1610 N Lakewood Effingham IL, 62401 (217) 347-7781Accreditations: HCFA

Heritage Manor-El Paso Llc Provider #126437 NPI #1093706137 555 E Clay St El Paso IL, 61738 (309) 527-6240Accreditations: IDPH

Wayne County Dialysis Provider #138236 NPI #1295920387 303 NW 11Th St Fairfield IL, 62837 (618) 842-7204Accreditations: None

Freeport Dialysis Provider #128528 NPI #1568431864 1028 Kunkle Blvd Freeport IL, 61032 (815) 232-2477Accreditations: None

Eureka, ILAffiliated Hospitals

Farmer City, ILSkilled Nursing FacilitiesFarmer City Rehab & Health Care Center Provider #133836 NPI #1184882490 404 Brookview Dr Farmer City IL, 61842 (309) 928-2118Accreditations: None

Gainesville, FLDurable Medical & Prosthetic EquipmentApria Healthcare Inc Provider #199287 NPI #1376554246 3291 SW 42Nd St Gainesville FL, 32608-2386 (352) 374-4227Accreditations: None

Evergreen Nursing And Rehabili Provider #105680 NPI #1962571000 1115 N Wenthe Effingham IL, 62401 (217) 347-7121Accreditations: HCFA

Advocate Eureka Hospital Provider #004116 NPI #1184644023 101 S Major St Eureka IL, 61530 (309) 467-2371Accreditations: JCAHO

St Anthonys Memorial Hospital Provider #129140 NPI #1023072865 503 N Maple Effingham IL, 62401 (217) 347-1208Accreditations: None

Physical TherapyAdvocate Eureka Hospital Physical Therapy Provider #004116 NPI #1184644023 101 S Major St Eureka IL, 61530 (309) 467-2371Accreditations: JCAHO

Farmington, ILDurable Medical EquipmentGraham Home Medical Equipment Provider #131395 NPI #1760493415 43 E Fort St Farmington IL, 61531 (309) 245-7710Accreditations: None

Gibson City, ILAffiliated HospitalsGibson Area Hospital Provider #003738 NPI #1114935681 1120 N Melvin St Gibson City IL, 60936 (217) 784-4251Accreditations: JCAHO

Sleep Disorder CenterEffingham Sleep Center Provider #141561 NPI #1407043581 2313 Hoffman Dr Effingham IL, 62401 (217) 347-6552Accreditations: None

Fairbury, ILPhysical TherapyChampion Fitness Dba Pt & Athletic Training Provider #070657 NPI #1407801012 902 E Oak St Suite 3 Fairbury IL, 61739 (815) 692-6200Accreditations: None

Physical Therapy

Fife, WADurable Medical & Prosthetic EquipmentApria Healthcare Inc Fife Wa Provider #199139 NPI #1588674782 5102 20Th St E Suite #103 Fife WA, 98424-1996 (253) 922-3200Accreditations: None

El Paso, ILSkilled Nursing FacilitiesEl Paso Health Care Center Provider #055716 NPI #1568562858 850 E Second St El Paso IL, 61738 (309) 527-2700Accreditations: HCFA

Gibson Area Hospital Physical Therapy Provider #003738 NPI #1114935681 1120 N Melvin St Gibson City IL, 60936 (217) 784-4251Accreditations: JCAHO

Skilled Nursing FacilitiesFairview Haven Inc Provider #149002 NPI #1114987161 605 N Fourth St Fairbury IL, 61739 (815) 692-2572Accreditations: IDPH

Skilled Nursing FacilitiesHeritage Manor-Gibson City Llc Provider #126438 NPI #1699765719 620 E First St Gibson City IL, 60936Accreditations: IDPH

Freeport, ILDialysis Centers

Fairfield, ILDialysis Centers

Gifford, IL

* Restricted panel. Please contact Customer Service at the number on the back of your ID card.

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AncillarySkilled Nursing FacilitiesCountry Health Inc Provider #000859 NPI #1225029879 2304 Cr 3000 N Gifford IL, 61847 (217) 568-7362Accreditations: HCFA

Hoopeston Community Hosptial Provider #153736 NPI #1720021074 701 E Orange St Hoopeston IL, 60942-1801 (217) 283-5531Accreditations: JCAHO

Silvercross Hospital And Medical Center Provider #006569 NPI #1568553519 1200 Maple Rd Joliet IL, 60432 (815) 740-1100Accreditations: JCAHO

Riverside Home Health Care Provider #000814 NPI #1740346451 1905 W Court St Kankakee IL, 60901 (815) 935-7519Accreditations: None

Gilman, ILSkilled Nursing FacilitiesGilman Nursing Center Provider #050654 NPI #1669638789 1390 S Cresent St Gilman IL, 60938 (815) 265-7208Accreditations: None

Hoopeston Community Memorial Nursing Home Provider #100031 NPI #1881636603 701 E Orange St Hoopeston IL, 60942 (217) 283-8247Accreditations: None

Speech TherapySilvercross Hospital And Medical Center Provider #006569 NPI #1568553519 1200 Maple Rd Joliet IL, 60432 (815) 740-1100Accreditations: JCAHO

Skilled Nursing FacilitiesMiller Rehab At Sojourn Provider #031735 NPI #1174603377 1601 Butterfield Trail Kankakee IL, 60901 (815) 936-6500Accreditations: None

Jacksonville, ILDialysis CentersJacksonville Dialysis Provider #128599 NPI #1316916513 1515 W Walnut Jacksonville IL, 62650 (217) 243-3042Accreditations: HCFA

La Salle, IL Kankakee, ILSkilled Nursing Facilities Affiliated HospitalsProvena St Marys Hospital Provider #003755 NPI #1770678260 500 West Court St Kankakee IL, 60901 (815) 928-6400Accreditations: JCAHO

Havana, ILDurable Medical EquipmentGraham Home Medical Equipment Provider #131210 NPI #1154332898 200 W Main St Havana IL, 62644 (309) 543-3155Accreditations: None

Heritage Manor-Lasalle Llc Provider #199542 NPI #1679865455 1445 Chartres St La Salle IL, 61301 (815) 223-4700Accreditations: None

Joliet, ILAffiliated HospitalsSilvercross Hospital And Medical Center Provider #006569 NPI #1568553519 1200 Maple Rd Joliet IL, 60432 (815) 740-1100Accreditations: JCAHO

Hoopeston, ILAffiliated HospitalsHoopeston Community Memorial Hospital Provider #004123 NPI #1366480873 701 E Orange Hoopeston IL, 60942 (217) 283-5531Accreditations: JCAHO

Riverside Medical Center Provider #005598 NPI #1538208210 350 N Wall St Kankakee IL, 60901 (815) 935-7539Accreditations: JCAHO

Lakeland, FLDurable Medical EquipmentApria Healthcare Inc Provider #187419 NPI #1295743441

Durable Medical EquipmentRiverside Health Equipment Provider #000902 NPI #1083626311 1270 N Kennedy Dr Kankakee IL, 60901 (815) 933-5187Accreditations: None

2325 Commerce Point Dr Suite 150 Lakeland FL, 33801 (863) 665-0308Accreditations: None

Occupational TherapySilvercross Hospital And Medical Center Provider #006569 NPI #1568553519 1200 Maple Rd Joliet IL, 60432 (815) 740-1100Accreditations: JCAHO

Prosthetics & OrthoticsLakeland Regional Medical Center Provider #195493 NPI #1407920382 3525 Lakeland Blvd Lakeland FL, 33805 (866) 867-1377Accreditations: None

Skilled Nursing Facilities

Home Health Care

Physical Therapy

Le Roy, IL9

* Restricted panel. Please contact Customer Service at the number on the back of your ID card.

AncillaryPhysical TherapyChampion Fitness Dba Pt & Athletic Training Provider #157213 NPI #1407801012 200 E Cedar St Le Roy IL, 61752 (309) 962-3240Accreditations: None

Litchfield, ILDialysis CentersLitchfield Dialysis Provider #128595 NPI #1184683138 915 St Frances Way Litchfield IL, 62056 (217) 327-2200Accreditations: HCFA

Carle Therapy Services Provider #004117 NPI #1013071653 1001 Heather Dr Mahomet IL, 61853 (217) 586-8420Accreditations: JCAHO

Carle Medical Supply Provider #127027 NPI #1053378349 1016 Broadway Mattoon IL, 61938 (217) 235-6421Accreditations: None

Physical TherapyCarle Therapy Services Provider #004117 NPI #1013071653 1001 Heather Dr Mahomet IL, 61853 (217) 586-8420Accreditations: JCAHO

Durable Medical EquipmentRespiracare Provider #171224 NPI #1992764393 508 S 26Th Street Mattoon IL, 61938Accreditations: None

Leroy, ILSkilled Nursing FacilitiesLeroy Manor Provider #007934 NPI #1659366672 509 S Buck Rd Leroy IL, 61752 (309) 962-5000Accreditations: HCFA

Lockport, ILPhysical TherapyAccedlerated Rehabilitation Centers Provider #196014 NPI #1205875713 1147 E 9Th St Lockport IL, 60441 (815) 834-9901Accreditations: None

Marion, ILDialysis CentersMarion Dialysis Provider #128518 NPI #1932118403 324 S 4Th St Marion IL, 62959 (618) 997-8410Accreditations: None

Physical/Occupational TherapyCentral Il Physical Therapy Provider #001151 NPI #1124246939 100 Professional Plaza Mattoon IL, 61938 (217) 235-1245Accreditations: None

Libertyville, ILDialysis CentersLake County Dialysis Provider #128551 NPI #1265401475 918 S Milwaukee Ave Libertyville IL, 60048 (847) 918-7010Accreditations: None

Macomb, ILSkilled Nursing FacilitiesHeartland Health Care Center-Macomb Provider #054275 NPI #1679511265 8 Doctors Lane Macomb IL, 61455 (309) 833-5555Accreditations: HCFA

Marshall, ILPhysical TherapyCork Medical Center Provider #00CORK

Lincoln, ILDialysis CentersLincoln Dialysis Provider #128600 NPI #1760441976 2100 W Fifth Lincoln IL, 62656 (217) 732-6798Accreditations: None

Madison, WIDurable Medical EquipmentNational Seating & Mobility In Provider #163391 NPI #1013980945 4493 Robertson Rd Madison WI, 53714-3124 (608) 223-1927Accreditations: None

410 N Second St Marshall IL, 62441 (217) 826-2361Accreditations: None

Mattoon, ILDialysis CentersMattoon Dialysis Provider #128610 NPI #1194794487 200 Richmond Ave East Mattoon IL, 61938 (217) 234-8468Accreditations: None

Skilled Nursing FacilitiesMaple Ridge Care Centre Llc Provider #073631 NPI #1609852847 2202 North Kickapoo Lincoln IL, 62656 (217) 735-1538Accreditations: HCFA

Mahomet, ILOccupational Therapy

Durable Medical & Prosthetic Equipment

* Restricted panel. Please contact Customer Service at the number on the back of your ID card.

10

AncillarySkilled Nursing FacilitiesDouglas Care & Rehab Center Provider #000858 NPI #1386713451 3516 Powell Lane Mattoon IL, 61938 (217) 234-6401Accreditations: HCFA

Heritage Manor-Mendota Llc Provider #126441 NPI #1871583906 1201 First Ave Mendota IL, 61342 (815) 539-6745Accreditations: IDPH

Affiliated HospitalsMorris Hospital Provider #003690 NPI #1649370057 150 W High St Morris IL, 60450 (815) 942-2932Accreditations: JCAHO

Heartland Christian Village Provider #092876 NPI #1689694986 101 Trowbridge Rd Neoga IL, 62447 (217) 895-2665Accreditations: HCFA

Newman, ILSkilled Nursing FacilitiesNewman Rehab & Health Care Center Provider #045586 NPI #1578646691 418 S Memorial Park Rd Newman IL, 61942 (217) 837-2421Accreditations: HCFA

Minonk, ILPhysical TherapyChampion Fitness Dba Pt & Athletic Training Provider #157213 NPI #1407801012 541 Oak St Minonk IL, 61760 (309) 432-3800Accreditations: None

Ambulatory Surgery CenterDeerpath Orthopedic Surgery Center Provider #099404

Mattoon Healthcare Center Provider #006441 NPI #1447284245 2121 S Ninth St Mattoon IL, 61938 (217) 235-7138Accreditations: HCFA

1051 W US Route 6 Morris IL, 60450 (815) 318-5666Accreditations: None

Odd Fellow Rebekah Home Provider #022230 NPI #1700877545 201 Lafayette East Mattoon IL, 61938 (217) 235-5449Accreditations: HCFA

Dialysis CentersRcg Central Illinois-Morris Provider #133652 NPI #1164537916 1401 Lakewood Dr Suite B Morris IL, 60450 (309) 662-3311Accreditations: Dept of Human

Skilled Nursing FacilitiesHeritage Manor-Minonk Llc Provider #126432 NPI #1750372801 201 Locust Minonk IL, 61760 (309) 432-2557Accreditations: IDPH

Normal, ILAffiliated HospitalsAdvocate Bromenn Medical Center Provider #004114 NPI #1962424036 1304 Franklin Ave Normal IL, 61761 (309) 454-1400Accreditations: JCAHO

Palm Terrace Of Mattoon Provider #055405 NPI #1487610291 1000 Palm Ave Mattoon IL, 61938 (217) 234-7403Accreditations: HCFA

Services

Monticello, ILAffiliated Hospitals

Durable Medical EquipmentMorris Healthmart Provider #021557 NPI #1912966953 2405 Sycamore Dr Morris IL, 60450 (815) 942-3614Accreditations: None

Ambulatory Surgery CenterBloomington Normal Healthcare Provider #079368 NPI #1083613327 2100 Ft Jesse Rd Normal IL, 61761 (309) 834-4000Accreditations: AAAHC

Mendota, ILAffiliated HospitalsMendota Community Hospital Provider #003630 NPI #1609803113 1315 Memorial Dr Mendota IL, 61342 (815) 539-7461Accreditations: HCFA

John & Mary E Kirby Hospital Provider #004128 NPI #1730179847 1111 N State St Monticello IL, 61856 (217) 762-2115Accreditations: JCAHO

Mt Vernon, ILDialysis CentersMount Vernon Dialysis Provider #128520 NPI #1326072638 1800 Jefferson Ave Mt Vernon IL, 62864 (618) 244-4852Accreditations: None

Skilled Nursing FacilitiesPiatt County Nursing Home Provider #047734 NPI #1295814556 1111 N State St Monticello IL, 61856 (217) 762-2506Accreditations: Dept of Human

Skilled Nursing Facilities

Gastrointestinal Institute Llc Provider #114944 NPI #1174670723 2200 Jacobssen Dr Suite A Normal IL, 61761 (309) 451-1121Accreditations: AAAHC

Services

Neoga, ILSkilled Nursing Facilities11

Morris, IL

* Restricted panel. Please contact Customer Service at the number on the back of your ID card.

AncillaryAudiologyOSF St Joseph Medical Center Provider #003670 NPI #1619916806 Advocate Hospice Provider #040753 NPI #1689905879 1322 S Main St Normal IL, 61761 (309) 888-0930Accreditations: None

2200 Ft Jesse Road Suite 230 Normal IL, 61761 (309) 661-6260Accreditations: JCAHO

OSF Rehabilitation Services Provider #003670 NPI #1619916806 2200 Ft Jesse Rd Suite 230 Normal IL, 61761 (309) 661-6260Accreditations: JCAHO

OSF Promptcare At Center For Health - Fr Jesse Provider #003670 NPI #1619916806 2200 Ft Jesse Rd Normal IL, 61761 (309) 661-6280Accreditations: JCAHO

Magnetic Resonance ImagingFort Jesse Imaging Center Provider #099153 NPI #1245287143

Prosthetics & OrthoticsProsthetic Orthotic Specialist Provider #000992 NPI #1851389449 303 Landmark Dr Suite 5A Normal IL, 61761 (309) 454-8733Accreditations: None

Olney, ILDialysis CentersOlney Dialysis Provider #128524 NPI #1003885229 117 N Boone St Olney IL, 62450 (618) 393-4234Accreditations: None

Durable Medical & Prosthetic EquipmentCarepaks Medical Supplies Provider #143371 NPI #1902916133 209 Susan Dr Normal IL, 61761 (309) 454-1000Accreditations: None

2200 Fort Jesse Rd Suite 130 Normal IL, 61761 (309) 454-5552Accreditations: None

Occupational TherapyAdvocate Bromenn Medical Center Provider #004114 NPI #1962424036 1304 Franklin Ave Normal IL, 61761 (309) 454-1400Accreditations: JCAHO

Rehabilitation FacilityAdvocate Bromenn Regional Medical Center Provider #128256 NPI #1306867866 1304 Franklin Ave Normal IL, 61761 (309) 454-1400Accreditations: None

Ottawa, ILAffiliated HospitalsOttawa Regional Hospital & Healthcare Center Provider #001246 NPI #1588713440 1100 E Norris Dr Ottawa IL, 61350 (815) 433-3100Accreditations: JCAHO

Endoscopy CenterDigestive Disease Endoscopy Center Provider #091341 NPI #1255332805

1302 Franklin Ave Suite 1000 Normal IL, 61761 (309) 268-3400Accreditations: HCFA

Physical TherapyAdvocate Bromenn Medical Center Provider #004114 NPI #1962424036 1304 Franklin Ave Normal IL, 61761 (309) 454-1400Accreditations: JCAHO

Skilled Nursing FacilitiesHeritage Manor-Normal Llc Provider #126445 NPI #1841281979 509 N Adelaide St Normal IL, 61761 (309) 452-7468Accreditations: IDPH

Home Health CareAdvocate Home Health Provider #000810 NPI #1972834166 1322 S Main St Suite A Normal IL, 61761 (309) 888-0930Accreditations: None

Dialysis CentersRcg Central Illinois-Morris Provider #133695 NPI #1447368360 1000 E Norris Drive Ottawa IL, 61350-3678 (815) 431-1839Accreditations: Dept of Human

Speech TherapyOSF Physical Medicine Provider #003670 NPI #1619916806 2200 Ft Jesse Rd Suite 200 Normal IL, 61761 (309) 661-5420Accreditations: JCAHO

OSF Home Health-Eastern Region Provider #124915 NPI #1851330203 211 N Landmak Dr Suite D3 Normal IL, 61761 (309) 451-5925Accreditations: None

OSF Rehabilitation Services Provider #003670 NPI #1619916806 2200 Ft Jesse Rd Suite 230 Normal IL, 61761 (309) 661-6260Accreditations: JCAHO

Services

Physical/Occupational Therapy

Rcg Central Illinois-Ottawa Provider #133654 NPI #1346355195 1000 E Norris Dr Ottawa IL, 61350 (309) 698-8299Accreditations: None

Urgent Care

Hospice

* Restricted panel. Please contact Customer Service at the number on the back of your ID card.

12

AncillaryHome Health CareOttawa Regional Home Health Provider #168454 NPI #1558419523 1100 E Norris Ottawa IL, 61350 (815) 443-6096Accreditations: None

Newsome Physical Therapy Provider #105477 NPI #1801931928 2744 Columbus Dr Unit 300 Ottawa IL, 61350 (815) 434-4550Accreditations: None

Pearman Pharmacy Inc Provider #000904 NPI #1013081140 116 W Court St Paris IL, 61944 (217) 465-8455Accreditations: None

Apria Healthcare Inc Provider #197112 NPI #1720157936 8550 N 91St Ave Peoria AZ, 85345Accreditations: None

Skilled Nursing FacilitiesOttawa Pavilion Ltd Provider #081893 NPI #1205813490 800 E Center St Ottawa IL, 61350 (815) 434-7144Accreditations: HCFA

Skilled Nursing FacilitiesTwin Lakes Rehab & Health Care Center Provider #147789 NPI #1992805147 310 Eads Ave Paris IL, 61944 (217) 465-5395Accreditations: None

Peru, ILAffiliated HospitalsIllinois Valley Community Hospital Provider #088347 NPI #1902800535 925 West St Peru IL, 61354 (815) 223-3300Accreditations: HCFA

Ottawa Regional Hospital & Healthcare Center Provider #124985 NPI #1558419523 1000 E Norris Dr Ottawa IL, 61350 (815) 433-6090Accreditations: None

HospiceOttawa Regional Hospice Provider #168452 NPI #1992862536 1100 E Norris Ottawa IL, 61350 (815) 443-6096Accreditations: None

Pleasant View Luther Home Inc Provider #022462 NPI #1982651741 505 College Ave Ottawa IL, 61350 (815) 434-1130Accreditations: HCFA

Paxton, ILSkilled Nursing FacilitiesAsta Care Center Of Ford County Provider #084848 NPI #1861499659 1240 N Market Paxton IL, 60957 (217) 379-4896Accreditations: HCFA

Durable Medical & Prosthetic EquipmentFamily Home Medical Equipment Provider #025960 NPI #1801886809 1319 4Th Street Peru IL, 61354 (815) 220-1682Accreditations: None

Pana, ILSkilled Nursing Facilities

Mental Health/Substance AbuseOttawa Regional Hospital & Healthcare Center Provider #001246 NPI #1588713440 1100 E Norris Dr Ottawa IL, 61350 (815) 433-5606Accreditations: JCAHO

Prairie Rose Health Care Center Provider #055419 NPI #1215037353 900 S Chestnut St Pana IL, 62557 (217) 562-3996Accreditations: Dept of Human

Heartland Health Care Center-Paxton Provider #000863 NPI #1366489601 1001 E Pells St Paxton IL, 60957 (217) 379-4361Accreditations: HCFA

HospiceIllinois Valley Hospice Provider #138584 NPI #1467428466 1701 Fourth St Peru IL, 61354 (815) 224-1307Accreditations: None

Services

Physical TherapyOttawa Regional Hospital & Healthcare Center Provider #001246 NPI #1588713440 1100 E Norris Dr Ottawa IL, 61350 (815) 443-6096Accreditations: JCAHO

Paris, ILAffiliated HospitalsParis Community Hospital Provider #004129 NPI #1679502322 721 E Court St Paris IL, 61944 (217) 465-4141Accreditations: JCAHO

Illinois Knights Templar Home Provider #018665 NPI #1952308744 450 E Fulton Street Paxton IL, 60957 (217) 379-2116Accreditations: HCFA

Physical/Occupational TherapyNewsome Physical Therapy Provider #105477 NPI #1801931928 2011 Rock St Suite E Peru IL, 61354 (815) 220-0058Accreditations: None

Peoria, AZDurable Medical & Prosthetic Equipment

Physical/Occupational Therapy

Durable Medical & Prosthetic Equipment

* Restricted panel. Please contact Customer Service at the number on the back of your ID card.

13

AncillaryProsthetics & OrthoticsQuad City Prosthetics Inc Provider #020399 NPI #1215925805 Accelerated Rehabilitation Centers Provider #196014 NPI #1205875713 Asta Care Center Of Pontiac Provider #082421 NPI #1619968823 300 W Lowell St Pontiac IL, 61764 (815) 842-1181Accreditations: JCAHO

2200 Marquette Rd Suite 112 Peru IL, 61354 (815) 223-1781Accreditations: None

24012 W Renwick Rd Suite 11 Plainfield IL, 60586 (815) 577-2488Accreditations: None

Robinson Dialysis Provider #179477 NPI #1306086103 1215 N Allen St Suite B Robinson IL, 62454 (618) 544-7092Accreditations: HCFA

Rushville, ILOSF St James Hospital-Skilled Nursing Provider #161247 NPI #1023060613 2500 W Reynolds St Pontiac IL, 61764 (815) 842-2828Accreditations: None

Petersburg, ILSkilled Nursing FacilitiesMenard Convalescent Center Provider #046006 NPI #1720035611 120 West Antle Petersburg IL, 62675 (217) 632-2249Accreditations: HCFA

Pontiac, ILAffiliated HospitalsOSF Saint James Hospital Provider #005597 NPI #1407808090 2500 W Reynolds St Pontiac IL, 61764 (309) 665-5937Accreditations: JCAHO

Dialysis CentersRushville Dialysis Provider #128597 NPI #1205805488 112 Sullivan Dr Rushville IL, 62681 (217) 322-2652Accreditations: HCFA

Urgent CareOSF Promptcare - Pontiac Provider #005597 NPI #1407808090 2500 W Reynolds St Pontiac IL, 61764 (309) 665-5937Accreditations: JCAHO

Savoy, ILSkilled Nursing FacilitiesChampaign Urbana Regional Rehab Center Provider #004106 NPI #1023278835 302 Burwash Ave Savoy IL, 61874 (217) 402-9700Accreditations: HCFA

Dialysis CentersRcg Central Illinois-Pontiac Provider #133625 NPI #1518072362 804 W Madison St Pontiac IL, 61764 (309) 662-3311Accreditations: Dept of Human

Piper City, ILSkilled Nursing FacilitiesPiper City Rehab & Living Center Provider #155148 NPI #1982935789 600 South Maple St Piper City IL, 60959 (815) 686-2277Accreditations: None

Rantoul, ILOccupational TherapyCarle Therapy Services Provider #004117 NPI #1013071653 1540 E Grove Rantoul IL, 61866 (217) 893-7710Accreditations: JCAHO

Services

Durable Medical EquipmentOSF Home Medical Equipment Provider #181677 NPI #1285832790 608 N Ladd St Pontiac IL, 61764 (815) 844-4906Accreditations: None

Shelbyville, ILAffiliated HospitalsShelby Memorial Hospital Provider #003620 NPI #1053348532 200 S Cedar St Shelbyville IL, 62565 (217) 774-3961Accreditations: JCAHO

Pittsfield, ILDialysis CentersPittsfield Dialysis Provider #178202 NPI #1942534375 640 W Washington St Pittsfield IL, 62363 (217) 285-2113Accreditations: CLIA

Physical TherapyCarle Therapy Services Provider #004117 NPI #1013071653 1540 E Grove Rantoul IL, 61866 (217) 893-7710Accreditations: JCAHO

Physical TherapyChampion Fitness Dba Pt & Athletic Training Provider #070657 NPI #1407801012 924 W Custer Ave Pontiac IL, 61764 (815) 844-5411Accreditations: None

Durable Medical & Prosthetic EquipmentShelby Home Medical Equipment Provider #120445 NPI #1528092186 200 S Cedar St Shelbyville IL, 62565 (217) 774-2424Accreditations: None

Plainfield, ILPhysical Therapy

Robinson, ILDialysis Centers

Skilled Nursing Facilities

* Restricted panel. Please contact Customer Service at the number on the back of your ID card.

14

AncillaryHome Health CareShelby Memorial Hospital Home Health Provider #154612 NPI #1477553998 1303 W South 2Nd St Shelbyville IL, 62565 (217) 774-4499Accreditations: JCAHO

Streator, ILAffiliated HospitalsSt Marys Hospital Provider #003573 NPI #1295732725 111 Spring St Streator IL, 61364 (815) 673-2311Accreditations: JCAHO

Heritage Manor-Streator Llc Provider #066347 NPI #1346230471 1525 E Main St Streator IL, 61364 (815) 672-4516Accreditations: HCFA

Taylorville Dialysis Provider #128574 NPI #1821057027 901 W Spresser Taylorville IL, 62568 (217) 824-5460Accreditations: Dept of Human

Services

Sullivan, ILPhysical/Occupational TherapyCentral Il Physical Therapy Provider #001151 NPI #1124246939 18 W Harrison Sullivan IL, 61951 (217) 345-1245Accreditations: None

Skilled Nursing FacilitiesMeadow Manor Skilled Nursing And Rehabilitation Provider #197799 NPI #1609823574 800 Mcadam Dr Taylorville IL, 62568Accreditations: HCFA

Skilled Nursing Facilities Home Health CareShelbyville Rehabilitation & Home Health Provider #121877 NPI #1518990704 2116 S 3Rd & Dacey Dr Shelbyville IL, 62565 (217) 774-2128Accreditations: HCFA

St Marys Home Health Care Provider #003573 NPI #1295732725 207 E Spring Streator IL, 61364 (815) 673-4516Accreditations: JCAHO

Tuscola, ILPhysical TherapyChampion Fitness Dba Pt & Athletic Training Provider #157213 NPI #1407801012 708 E Southline Rd Suite C Tuscola IL, 61953 (217) 253-9103Accreditations: None

Springfield, ILDialysis CentersSpringfield Central Dialysis Provider #127613 NPI #1720047970 932 N Rutledge St Springfield IL, 62702 (217) 788-3688Accreditations: HCFA

St Marys Home Health Care Provider #144481 NPI #1336146729 207 E Spring Streator IL, 61364 (815) 673-4516Accreditations: None

Skilled Nursing FacilitiesEastview Terrace Provider #099332 NPI #1700843448 100 Eastview Place Sullivan IL, 61951 (217) 728-7367Accreditations: HCFA

Physical TherapyChampion Fitness Dba Pt & Athletic Training Provider #070657 NPI #1407801012 119 S Sterling Streator IL, 61364 (815) 673-2348Accreditations: None

Springfield Montvale Dialysis Provider #128596 NPI #1518926781 2930 S Montvale Dr Suite A Springfield IL, 62704 (217) 793-2781Accreditations: Dept of Human Services

Mason Point Provider #171627 NPI #1194703702 One Masonic Way Sullivan IL, 61951 (217) 728-4394Accreditations: HCFA

Skilled Nursing FacilitiesTuscola Health Care Center Provider #111900 NPI #1609976869 1203 Egyptian Trail Tuscola IL, 61953 (217) 253-4791Accreditations: HCFA

Physical/Occupational TherapyNewsome Physical Therapy Provider #105477 NPI #1801931928 205 S Park St Streator IL, 61364 (815) 673-1770Accreditations: None

Sterling, ILDialysis CentersWhiteside Dialysis Provider #128530 NPI #1538128533

Sullivan Rehabilitation & Health Care Center Provider #000866 NPI #1417913583 11 Hawthorne Lane Sullivan IL, 61951 (217) 728-4327Accreditations: HCFA

Urbana, IL

Taylorville, ILDialysis Centers

2600 N Locust Suite D Dialysis Unit Sterling IL, 61081 (815) 626-3173Accreditations: None

Skilled Nursing Facilities

* Restricted panel. Please contact Customer Service at the number on the back of your ID card.

15

AncillaryAffiliated HospitalsCarle Foundation Hospital Provider #004117 NPI #1013071653 611 W Park St Urbana IL, 61801 (217) 383-3311Accreditations: JCAHO

Occupational TherapyCarle Therapy Services Provider #004117 NPI #1013071653 810 W Anthony Dr Urbana IL, 61801 (217) 383-3400Accreditations: JCAHO

Proven /Covenant Medical Center Rehab Unit Provider #142143 NPI #1184676579 1400 W Park St Urbana IL, 61801 (217) 337-2130Accreditations: None

Fayette County Hospital And Long Term Care Provider #003667 NPI #1912988734 650 W Taylor St Vandalia IL, 62471 (618) 283-5532Accreditations: JCAHO

Skilled Nursing FacilitiesProvena Covenant Medical Center Provider #005449 NPI #1629020086 1400 W Park St Urbana IL, 61801 (217) 337-2000Accreditations: JCAHO

Dialysis CentersVandalia Dialysis Provider #145798 NPI #1265618573 301 Mattes Ave Vandalia IL, 62471-2061 (618) 283-1366Accreditations: None

Physical TherapyCarle Therapy Services Provider #004117 NPI #1013071653 610 N Lincoln Ave Urbana IL, 61801 (217) 326-1903Accreditations: JCAHO

Champaign County Nursing Home Provider #000857 NPI #1982602330 500 S Art Bartell Road Urbana IL, 61802 (217) 384-3784Accreditations: HCFA

Durable Medical & Prosthetic EquipmentCarle Medical Supply Provider #004104 NPI #1104883487 1208 N Cunningham Ave Urbana IL, 61801 (217) 383-3487Accreditations: None

Durable Medical EquipmentCarle Therapy Services Provider #004117 NPI #1013071653 810 W Anthony Dr Urbana IL, 61801 (217) 383-3400Accreditations: JCAHO

Clark-Lindsey Village Provider #000853 NPI #1922003326 101 W Windsor Road Urbana IL, 61801 (217) 344-2144Accreditations: Dept of Human

Bandys Medical Equipment Provider #072500 NPI #1023278652 730 W Orchard Vandalia IL, 62471 (618) 283-0800Accreditations: None

Services

Prosthetics & Orthotics Speech TherapyHanger Prosthetics & Orthotics Provider #004105 NPI #1851466635 805 N Lincoln Urbana IL, 61801 (217) 367-9771Accreditations: None

Durable Medical EquipmentArabella Provider #161122 NPI #1265605117

509 W University Ave Suite 1201 Urbana IL, 61801 (217) 326-3168Accreditations: None

Carle Therapy Services Provider #004117 NPI #1013071653 810 W Anthony Dr Urbana IL, 61801 (217) 383-3400Accreditations: JCAHO

Physical/Occupational TherapyFrancis, Julie, PT Gender: F Provider #058989 NPI #1952429078

Heel To Toe Provider #004910 NPI #1255473930 106 W Main St Urbana IL, 61801 (217) 367-2880Accreditations: None

Omnicare Labs Of Champaign Provider #082258 NPI #1720142094 502 S Vine Urbana IL, 61801 (217) 344-6664Accreditations: None

Vandalia, ILAffiliated Hospitals

Francis Physical Therapy 126 S First St Vandalia IL, 62471 (618) 283-1634Accreditations: None

Skilled Nursing FacilitiesFayette County Hospital And Long Term Care Provider #003667 NPI #1912988734 Seventh & Taylor St Vandalia IL, 62471 (618) 283-1231Accreditations: JCAHO

Rehabilitation FacilityRespiracare Provider #001117 NPI #1467411868 3103 Tatman Ct Suite 104 Urbana IL, 61801 (217) 367-5930Accreditations: None

Carle Rehabilitation Center Provider #134290 NPI #1619034659 611 W Park St Urbana IL, 61801 (217) 383-3311Accreditations: None

Vandalia Rehabilitation & Healthcare Center Provider #131951 NPI #1265532493 1500 W St Louis Ave Vandalia IL, 62471 (618) 283-4262Accreditations: HCFA

Virden, IL

* Restricted panel. Please contact Customer Service at the number on the back of your ID card.

16

AncillarySkilled Nursing FacilitiesSunrise Skilled Nursing And Rehabilitation Center Provider #197777 NPI #1477500353 333 S Wrightsman Virden IL, 62690 (217) 965-4715Accreditations: HCFA

Iroquois Memorial Resident Hom Provider #195093 NPI #1992894802 200 E Fairman Ave Watseka IL, 60970 (815) 432-7768Accreditations: None

Watseka, ILAffiliated HospitalsIroquois Memorial Hospital Provider #004126 NPI #1629003470 200 Fairman St Watseka IL, 60970 (815) 432-5201Accreditations: JCAHO

Sugar Creek Care Center Provider #131963 NPI #1356441539 900 N Market St Watseka IL, 60970 (815) 432-5261Accreditations: None

Durable Medical EquipmentIroquois Home Care Inc Provider #001000 NPI #1477512796 200 N Laird Lane Watseka IL, 60970 (815) 432-6155Accreditations: None

Watseka Rehab & Health Care Center Provider #009411 NPI #1811953532 715 E Raymond Rd Watseka IL, 60970 (815) 432-5476Accreditations: HCFA

Bloomington, IL

Home Health CareIroquois Home Health Provider #020200 NPI #1366447617 200 Fairman Watseka IL, 60970 (815) 432-6175Accreditations: JCAHO

HospiceIroquois Memorial Hospice Provider #084253 NPI #1841295763 200 Fairman Watseka IL, 60970 (800) 220-4795Accreditations: None

Skilled Nursing Facilities

* Restricted panel. Please contact Customer Service at the number on the back of your ID card.

17

Mental HealthMental HealthAllen, Rick L., LCPC Gender: M Provider #157224 NPI #1639329329 Bassett, Tonya, LCSW Gender: F Provider #173044 NPI #1821281429 Byrd, Adrian M., LCSW Gender: F Provider #183318 NPI #1194992503 205 N Williamsburg Suite E Bloomington IL, 61704 (309) 808-2326Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Gaines, Cheryl L., LCPC Gender: F Provider #102432 NPI #1669695524

Agape Counseling Ltd 211 N Veterans Pkwy Suite 1 Bloomington IL, 61704 (309) 663-2229Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Agape Counseling Ltd 211 N Veterans Pkwy Suite 1 Bloomington IL, 61704Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Collaborative Solutions Institute 200 W Front St Suite 400A Bloomington IL, 61701 (309) 828-2860Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Andrews, Andrea E., LCPC Gender: F Provider #191198 NPI #1295901668

Bozarth, Julia M., LCPC Gender: F Provider #085416 NPI #1982726014

Denure, Bryan J., LCPC Gender: M Provider #179691 NPI #1669798716

Eastland Psychological Services 1505 Eastland Dr Ll Suite 1000 Bloomington IL, 61701 (309) 663-1623Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Collaborative Solutions Institute 200 W Front St Suite 400A Bloomington IL, 61701 (309) 828-2860Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Twin Cities Behavioral Health 303 N Hershey Suite C Bloomington IL, 61704 (309) 268-3529Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Hawbaker, Nichele D., LCSW Gender: F Provider #168108 NPI #1407097264 205 N Williamsburg Suite E Bloomington IL, 61704 (309) 808-2326Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Brucker, Alexander, LCPC Gender: M Provider #177530 NPI #1548409329

Backus, Kathleen, LCPC Gender: F Provider #171168 NPI #1871782805 6 Heartland Dr Suite C Bloomington IL, 61704 (309) 663-0781Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Agape Counseling Ltd 211 N Veterans Pkwy Suite 1 Bloomington IL, 61704 (309) 663-2229Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Douglas, Jerry L., LCSW Gender: M Provider #172497 NPI #1841394939 205 N Williamsburg Suite E Bloomington IL, 61704 (309) 808-2326Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Hiser, Crystal L., LCPC Gender: F Provider #125591 NPI #1104904242

Agape Counseling 211 N Veterans Pkwy Suite 1 Bloomington IL, 61704Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

* Restricted panel. Please contact Customer Service at the number on the back of your ID card.

18

Mental HealthHunt, Matthew W. Gender: M Provider #142487 NPI #1871685115 205 N Williamsburg Suite E Bloomington IL, 61704 (309) 808-2326Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Lee, Karen M., LCPC Gender: F Provider #114725 NPI #1346252954

Mather, Merlin, LCPC Gender: M Provider #016913 NPI #1891718540

Agape Counseling Ltd 220 N Edlorado Rd Suite A Bloomington IL, 61704 (309) 663-2229Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Twin Cities Behavioral Health 303 N Hershey Suite C Bloomington IL, 61704 (309) 268-3529Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

McLaughlin, Wilma L., LCPC Gender: F Provider #115733 NPI #1891707410

Agape Counseling Ltd 220 N Eldorado Rd Suite A Bloomington IL, 61704 (309) 663-2229Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Krumtinger, Michael L., LCPC Gender: M Provider #133834 NPI #1255491114 205 N Williamsburg Sutie E Bloomington IL, 61704 (309) 808-2326Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Maas, Kierstine J., LCPC Gender: F Provider #145348 NPI #1326179458

Eastland Psychological Services 1505 Eastland Dr Suite Ll1000 Bloomington IL, 61701 (309) 663-1623Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

McCarty, Trina K., LCPC Gender: F Provider #174712 NPI #1841471091 200 W Monroe Suite 306 Bloomington IL, 61701 (309) 310-5545Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Neuweg, Lisa D., LCPC Gender: F Provider #150778 NPI #1003948183

Agape Counseling Ltd 211 N Veterans Pkwy Suite 1 Bloomington IL, 61704 (309) 663-2229Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Larsen, Annette, LCPC Gender: F Provider #121511 NPI #1265510507

Agape Counseling 211 N Veterans Pkwy Suite 1 Bloomington IL, 61704Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Martin, Mark R., LCPC Gender: M Provider #107031 NPI #1467563205

McKillop, Diane L., LCPC Gender: F Provider #122269 NPI #1356432793

Eastland Psychological Services 1505 Eastland Dr Suite Ll1000 Bloomington IL, 61701 (309) 663-1623Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Professional Associates Of Illinois 417 N Center St Bloomington IL, 61701 (309) 827-2184Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Niebur, Thomas N., LCPC Gender: M Provider #030742 NPI #1437172103

Twin Cities Behavioral Health 303 N Hershey Suite C Bloomington IL, 61701 (309) 268-3529Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

* Restricted panel. Please contact Customer Service at the number on the back of your ID card.

19

Mental HealthNielsen, Sarah E., LCPC Gender: F Provider #117336 NPI #1235241605 Prenzler, Theresa, LCSW Gender: F Provider #183374 NPI #1649315656 712 E Empire St Bloomington IL, 61701 (309) 824-5180Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Strauss, James H., LCPC Gender: M Provider #163502 NPI #1710099171

Professional Associates Of Illinois 417 N Center St Bloomington IL, 61701 (309) 827-2184Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Collaborative Solutions Institute 200 W Front St Suite 400A Bloomington IL, 61701 (309) 828-2860Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Weatherly, Margaret A., LCPC Gender: F Provider #151240 NPI #1437280575

Eastland Psychological Services 1505 Eastland Dr Suite Ll1000 Bloomington IL, 61701 (309) 663-1623Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Novinska, Lisa A., LCPC Gender: F Provider #146363 NPI #1891965042

Roberts, Ned O., LCPC Provider #030998 NPI #1902983216 200 W Monroe St Suite 300 Bloomington IL, 61701 (309) 827-9030Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Taylor, Donald N., LCPC Gender: M Provider #041102 NPI #1952413346

Agape Counseling Ltd 211 N Veterans Pkwy Suite 1 Bloomington IL, 61704 (309) 663-2229Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Professional Associates Of Illinois 417 N Center St Bloomington IL, 61701 (309) 827-2184Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

White, William R., LCSW Gender: M Provider #055455 NPI #1356521280 712 E Empire Steet Bloomington IL, 61701 (309) 287-9464Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Rolley, Michelle L., LCPC Gender: F Provider #157221 NPI #1669626362

Osborne, Lori, LCSW Gender: F Provider #074340 NPI #1215950969

Agape Counseling Ltd 211 N Veterans Pkwy Suite 1 Bloomington IL, 61704 (309) 663-2229Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Vogel, Catherine, LCSW Gender: F Provider #185329 NPI #1154423309

Twin Cities Behavioral Health 303 N Hershey Suite C Bloomington IL, 61704 (309) 268-3529Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

McLean County Chs 108 W Market St Bloomington IL, 61701 (309) 827-5351Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Williamson, Kimberly A., BCBA Gender: F Provider #164627 NPI #1801067400

Circles Behavior Consultation Services 2416 E Washington Suite G Bloomington IL, 61704 (309) 662-5050Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

* Restricted panel. Please contact Customer Service at the number on the back of your ID card.

20

Mental HealthYoder, Sherry, LCPC Gender: F Provider #149598 NPI #1932392008 Bashir, Anjum, MD Provider #115627 NPI #1568440683 205 N Williamsburg Suite E Bloomington IL, 61704 (309) 808-2326Hospital Affiliation: Decatur

McCormick, Scott, MD Gender: M Provider #080018 NPI #1639192354

Psychology Specialists 2502 E Empire St Suite C Bloomington IL, 61704 (309) 706-3190Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Memorial Hospital, St. Mary's Hospital Medical Group Affiliation: Decatur Psychiatry Ltd Board Certification: NoneAdditional Languages: None Accepting New Patients: Yes E-Prescribe: No

Twin Cities Behavioral Health 303 N Hershey Suite 2C Bloomington IL, 61704 (309) 268-3529Hospital Affiliation: Advocate

Pediatric PsychiatryAhmed, Faisal, MD Gender: M Provider #165786 NPI #1417069881

Chase, Carmen D., MD Gender: F Provider #096565 NPI #1487677100

Bromenn Hospital Medical Group Affiliation: Advocate Med Grp Twin Cities BH Board Certification: Addiction Psychiatry, Am Bd Psych/Neuro (Addic Psych); Neuro, Geriatric, Am Bd Psych/Neuro (Geriatric); Psychiatry, Am Bd Psych/Neuro Additional Languages: NoneAccepting New Patients: Yes E-Prescribe: No

Twin Cities Behavioral Health 303 N Hershey Suite 2C Bloomington IL, 61704 (309) 268-3519Hospital Affiliation: Advocate

Twin Cities Behavorial Health 303 N Hershey Suite 2C Bloomington IL, 61704 (309) 268-3529Hospital Affiliation: Advocate

BroMenn Medical Center Medical Group Affiliation: Advocate Med Grp Twin Cities BH Board Certification: Psychiatry, Am Bd Psych/Neuro Additional Languages: NoneAccepting New Patients: Yes E-Prescribe: No

Bromenn Hospital Medical Group Affiliation: Advocate Med Grp Twin Cities BH Board Certification: Internal Medicine, Am Bd of; Psychiatry, Am Bd Psych/Neuro Additional Languages: NoneAccepting New Patients: Yes E-Prescribe: No

PsychiatryAbelita, Gil B., MD Gender: M Provider #112845 NPI #1619986551

Hamilton, Robert S., MD Gender: M Provider #003350 NPI #1164431904

Professional Associates Of Illinois 417 N Center St Bloomington IL, 61701 (309) 827-2184Hospital Affiliation: Advocate

Professional Associates Of Illinois 417 N Center St Bloomington IL, 61701 (309) 827-2184Hospital Affiliation: None Medical Group Affiliation:

Bromenn Hospital Medical Group Affiliation: Professional Associates of Illinois Board Certification: Psychiatry, Am Bd Psych/Neuro Additional Languages: NoneAccepting New Patients: Yes E-Prescribe: No

Professional Associates of Illinois Board Certification: Am Bd Psychiatry Additional Languages: NoneAccepting New Patients: Yes E-Prescribe: No

* Restricted panel. Please contact Customer Service at the number on the back of your ID card.

21

Mental HealthPsychologyCzipri, Anna M., PsyD Gender: F Provider #193297 NPI #1861729014 Foster, Phillip A., PhD Gender: M Provider #152617 NPI #1861538779 Gillen, William G., LCPC, PhD Gender: M Provider #186457 NPI #1235294802 205 N Williamsburg Suite E Bloomington IL, 61704 (309) 808-2326Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Hatlelid, Seth, PsyD Gender: M Provider #157143 NPI #1447270368

Psychology Specialists 2502 E Empire St Suite C Bloomington IL, 61704 (309) 663-7220Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Martin Health Center 2025 E Lincoln Bloomington IL, 61701 (309) 663-6474Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Psychology Specialists 2502 E Empire St Suite C Bloomington IL, 61704 (309) 663-7220Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Florell, John, PhD Gender: M Provider #027345 NPI #1538189840

Foster, Phillip A., PhD Gender: M Provider #152617 NPI #1861538779

Grizzard, Robert, PhD Gender: M Provider #030730 NPI #1114940848

Imig, Jennifer C., PhD Gender: F Provider #172920 NPI #1922191675

Twin Cities Behavioral Health 303 N Hershey Suite C Bloomington IL, 61704 (309) 268-3529Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Psychology Specialists 2502 E Empire St Suite C Bloomington IL, 61704 (309) 663-7220Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Twin Cities Behavioral Health 303 N Hershey Suite C Bloomington IL, 61704 (309) 268-3529Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Psychology Specialists 2502 E Empire St Suite C Bloomington IL, 61704 (309) 663-7220Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Foster, Phillip A., PhD Gender: M Provider #152617 NPI #1861538779

French, Mel, PsyD Gender: M Provider #023329 NPI #1063632693

Hatlelid, Seth, PsyD Gender: M Provider #157143 NPI #1447270368

Imig, Jennifer C., PhD Gender: F Provider #172920 NPI #1922191675

Millenium Pain Center 1015 S Mercer Bloomington IL, 61701 (309) 706-3190Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Eastland Psychological Services 1505 Eastland Dr Suite Ll1000 Bloomington IL, 61701 (309) 663-1623Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Millenium Pain Center 1015 S Mercer Bloomington IL, 61701 (309) 706-3190Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Psychology Specialists 808 Eldorado Rd Suite 102 Bloomington IL, 61704 (309) 706-3190Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

* Restricted panel. Please contact Customer Service at the number on the back of your ID card.

22

Mental HealthKahwaji, Michael P., PhD Gender: M Provider #044404 NPI #1679509806 Knutson, Kelly, PsyD Gender: F Provider #189013 NPI #1326352881 Koch, Jennifer E., PsyD Gender: F Provider #161908 NPI #1528207784 Willett, Paul, PsyD Gender: M Provider #117151 NPI #1710199948

Psychology Associates 2502 E Empire St Suite C Bloomington IL, 61704 (309) 663-7220Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Psychology Specialists 808 Eldorado Rd Suite 102 Bloomington IL, 61704 (309) 706-3190Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Psychology Specialists 2502 E Empire St Suite C Bloomington IL, 61704 (309) 663-7220Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Millennium Pain Center 1015 S Mercer Bloomington IL, 61701 (309) 706-3190Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Kahwaji, Michael P., PhD Gender: M Provider #044404 NPI #1679509806

Knutson, Kelly, PsyD Gender: F Provider #189013 NPI #1326352881

Krippner, Kevin, PhD Gender: M Provider #030739 NPI #1477576114

Willett, Paul, PsyD Gender: M Provider #117151 NPI #1710199948

Millenium Pain Center 1015 S Mercer Bloomington IL, 61701 (309) 706-3190Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Millenium Pain Center 1015 S Mercer Ave Bloomington IL, 61701 (309) 706-3190Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Twin Cities Behavioral Health 303 N Hershey Suite C Bloomington IL, 61704 (309) 268-3529Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Psychology Specialists 2502 E Empire St Suite C Bloomington IL, 61704 (309) 663-7220Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Knutson, Kelly, PsyD Gender: F Provider #189013 NPI #1326352881

Koch, Jennifer E., PsyD Gender: F Provider #161908 NPI #1528207784

Miller, Cheri, PsyD Gender: F Provider #030741 NPI #1033132790

Woodburn, Judy R., PhD Gender: F Provider #045681 NPI #1013937382

Psychology Specialists 2502 E Empire St Suite C Bloomington IL, 61704 (309) 663-7220Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Psychology Specialists Ltd 808 Eldorado Rd Suite 102 Bloomington IL, 61704 (309) 706-3190Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Twin Cities Behavioral Health 303 N Hershey Suite C Bloomington IL, 61701 (309) 268-3529Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Twin Cities Behavioral Health 303 N Hershey Suite C Bloomington IL, 61704 (309) 268-3529Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Bourbonnais, IL

* Restricted panel. Please contact Customer Service at the number on the back of your ID card.

23

Mental HealthMental HealthBoudreau, Teri D., LPC Gender: F Provider #179439 NPI #1295746675 Mehta, Shital T., MD Gender: F Provider #176216 NPI #1205054608

Provena Medical Group 21 Heritage Dr Suite 102 Bourbonnais IL, 60914Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Provena Medical Group 21 Heritage Dr Suite 102 Bourbonnais IL, 60914 (815) 937-8204Hospital Affiliation: Provena St.

Mary's Hospital Medical Group Affiliation: Provena Medical Group, Provena St. Mary's Hosp Behavioral Health Board Certification: Psychiatry, Am Bd Psych/Neuro Additional Languages: NoneAccepting New Patients: Yes E-Prescribe: No

Bucklin, Megan K., LCPC Gender: F Provider #191822 NPI #1033112826 197 W Harrison Suite 2 Bourbonnais IL, 60914 (815) 935-5540Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Champaign, IL

Wolf, Cheryl A., LCPC Gender: F Provider #164625 NPI #1760470603 201 Park Place Suite 11 Bourbonnais IL, 60914 (815) 932-3395Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Psychiatry

* Restricted panel. Please contact Customer Service at the number on the back of your ID card.

24

Mental HealthMental HealthBovee, Jennifer, LCSW Gender: F Provider #169758 NPI #1558596833 44 East Main Street Champaign IL, 61820 (217) 398-9066Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Busick, Stephen, LCPC Gender: M Provider #153943 NPI #1104095983

Ciambotti, Judith, LCSW Provider #144029 NPI #1659466613

2305 Village Green Place Suite C Champaign IL, 61822 (217) 363-1700Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

701 Devonshire Dr Suite 203A Champaign IL, 61820 (217) 344-0063Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Difilippo, Christopher D., LCSW Gender: M Provider #187049 NPI #1104981067

Kevin Elliott Counseling 44 E Main St Suite 406 Champaign IL, 61820 (217) 398-9066Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Bridgett, Nicholas, LCSW Gender: M Provider #091965 NPI #1306858592

Mental Health Center Of Champaign County 1801 Fox Dr Champaign IL, 61821 (217) 398-8080Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Chan, Ann, LCPC Gender: F Provider #131058 NPI #1851451272 206 N Randolph Suite 420 Champaign IL, 61820 (217) 390-2917Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Cook, Tara, LCSW Provider #169760 NPI #1760616080

44 East Main Street Suite 406 Champaign IL, 61820 (217) 398-9066Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Difilippo, Christopher, LCSW Gender: M Provider #175952 NPI #1104981067

The Pavilion 809 W Church St Champaign IL, 61820 (217) 373-1700Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Bridgett, Nicholas, LCSW Gender: M Provider #157027 NPI #1306858592 209 W University Ave #101 Champaign IL, 61820 (217) 417-6432Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Charpentier-Probst, Nancy M., LCSW Gender: F Provider #158085 NPI #1013129212

Corby, Sally, LCSW Gender: F Provider #173838 NPI #1093049975

44 East Main St Suite 406 Champaign IL, 61820 (217) 398-9066Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Kevin Elliott Counseling 44 E Main St Suite 406 Champaign IL, 61820 (217) 398-9066Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Duchene, John, LMFT Gender: M Provider #162577 NPI #1255357422 44 East Main St Ste 406 Champaign IL, 61820 (217) 398-9066Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

* Restricted panel. Please contact Customer Service at the number on the back of your ID card.

25

Mental HealthDunlap-Johnson, Kenna, LCSW Gender: F Provider #196364 NPI #1356640700 Erickson, Peter, LCSW Gender: M Provider #099508 NPI #1487873915 Family Service Of Champaign County Provider #014883 NPI #1538381843 405 S State St Champaign IL, 61820-5196 (217) 352-0099Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Fort, Kathleen, LCSW Gender: F Provider #146399 NPI #1306966296

701 Devonshire Dr Suite 15 B Champaign IL, 61820 (217) 352-0200Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Carle Physician Group 1813 W Kirby Ave Champaign IL, 61821 (217) 383-1850Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

New Beginning Psychotherapy 116 N Chestnut Ste#231 Champaign IL, 61820 (217) 819-0281Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Dunn, Erin, LSW Gender: F Provider #118163 NPI #1447327598

Esslinger, Jenny, LCSW Gender: F Provider #091967 NPI #1376652024

Family Services Of Champaign County 405 S State St Champaign IL, 61820 (217) 352-0099Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Mental Health Center Of Champaign County 1801 Fox Dr Champaign IL, 61821 (217) 398-8080Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Fein, Kelly A., LCSW Gender: F Provider #194451 NPI #1285937888 44 E Main St Ste 505 Champaign IL, 61820 (217) 378-8575Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Foster, Jinny F., LCSW Provider #004972 NPI #1891702650 206 N Randolph Suite 526 Champaign IL, 61820 (217) 356-2322Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Elliott, Kevin, LCPC Gender: M Provider #081465 NPI #1982618526 44 E Main St Suite 406 Champaign IL, 61820 (217) 398-9066Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Evans, Susan, LCSW Gender: F Provider #167369 NPI #1972753341

Ferguson, Sandra, LCSW Gender: F Provider #085689 NPI #1538157961

116 N Chestnut Suite 243 Champaign IL, 61820 (217) 649-7663Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Birch Tree Counseling And Consulting 2506 Galen Dr Suite 103 Champaign IL, 61821 (217) 398-0744Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Freeman, Bruce, LCSW Gender: M Provider #086855 NPI #1780804930

Carle Physician Group 1813 W Kirby Ave Champaign IL, 61821 (217) 383-1850Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Flores-Miranda, Eda Provider #169763 NPI #1194933093

Mental Health Center 1801 Fox Dr Champaign IL, 61820 (217) 398-8080Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

* Restricted panel. Please contact Customer Service at the number on the back of your ID card.

26

Mental HealthHarms, Jessica, LCSW Gender: F Provider #182545 NPI #1730239435 Higgins, Stephen, LCSW Gender: M Provider #116899 NPI #1730193376 Huang, Amy, LCSW Gender: F Provider #196365 NPI #1942536693 44 E Main St Suite 505 Champaign IL, 61820 (217) 378-8575Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Klein, James R., LCPC Gender: M Provider #149454 NPI #1740328970

Keri Powell Therapy 701 Devonshire Dr Ste15b Champaign IL, 61820 (217) 352-0200Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Kevin Elliott Counseling 44 E Main St Suite 406 Champaign IL, 61820 (217) 398-9066Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

2305 Village Green Place Suite C Champaign IL, 61822 (217) 363-1700Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Harrison, Todd, LCSW Gender: M Provider #175901 NPI #1861411357

Kevin Elliott Counseling 44 E Main St Ste 406 Champaign IL, 61820 (217) 398-9066Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Holman, Mollie, LCSW Gender: F Provider #196360 NPI #1033254693 44 E Main St Suite 406 Champaign IL, 61820 (217) 398-9066Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Johnson, Cynthia, LCPC Gender: F Provider #159958 NPI #1518113141

Kevin Elliott Counseling 44 E Main Street Ste 406 Champaign IL, 61820 (217) 398-9066Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Knell, Tami, LCSW Gender: F Provider #127750 NPI #1205039799

Carle Physician Group 1813 W Kirby Ave Champaign IL, 61821 (217) 383-1850Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Herzog, Andrea, LCSW Gender: F Provider #183363 NPI #1114071933 206 N Randolph Suite 403 Champaign IL, 61820Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Huang, Amy M., LCSW Gender: F Provider #186320 NPI #1942536693

Jones, Karen, LCPC Gender: F Provider #167242 NPI #1861626186

Family Service Of Champaign County 405 S State St Champaign IL, 61820 (217) 352-0099Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Keri Powell Therapy 701 Devonshire Dr Suite 15B Champaign IL, 61820 (217) 352-0200Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

McDonald, Hellen, LCSW Gender: F Provider #116888 NPI #1932219037 44 E Main St Suite 505 Champaign IL, 61820 (217) 378-8575Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Herzog, Andrea, LCSW Gender: F Provider #183979 NPI #1114071933 44 E Main St Ste 406 Champaign IL, 61820 (217) 398-9066Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

McNicholl, Robert J., LCSW Gender: M Provider #185328 NPI #1093948440 201 W Springfield Ste 902 Champaign IL, 61820Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

* Restricted panel. Please contact Customer Service at the number on the back of your ID card.

27

Mental HealthMcNicholl, Robert, LCSW Gender: M Provider #175951 NPI #1093948440 McVey, Jessica Gender: F Provider #200572 NPI #1184830226 Mol, Dirk, LCSW Gender: M Provider #167113 NPI #1801030572 44 East Main St Ste 406 Champaign IL, 61820 (217) 398-9066Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

The Pavilion 809 W Church St Champaign IL, 61820 (217) 373-1700Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Kevin Elliott Counseling 44 E Main St Suite 406 Champaign IL, 61820 (217) 398-9066Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Peterson, Nancy, LCSW Gender: F Provider #090848 NPI #1922152495 1605 W Church St Champaign IL, 61821 (217) 621-1330Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

McNicholl, Staci, LCSW Gender: F Provider #178246 NPI #1538490172

Merritt, Anthony D., LCSW Gender: M Provider #098350

Keri Powell Therapy 1701 S Prospect Ave Suite 101 Champaign IL, 61820 (217) 352-0200Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Campion Barrow & Associates 2110 Clearlake Blvd Suite 202 Champaign IL, 61822 (217) 356-9922Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Ochs, Christopher, LCSW Gender: M Provider #139727 NPI #1386759801 701 Devonshire Dr C-31 Champaign IL, 61820 (217) 369-3890Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Pico, Amy, LCPC Gender: F Provider #166425 NPI #1891945150

Keri Powell Therapy 701 Devonshire Dr Sutie 15B Champaign IL, 61820 (217) 352-0200Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

McNicholl, Staci, LCSW Gender: F Provider #186756 NPI #1538490172 201 W Springfield Ste 902 Champaign IL, 61820Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Miller, Linda L., LCSW Gender: F Provider #144618 NPI #1326244237 3306 Lakeshore Drive Champaign IL, 61822 (217) 351-8353Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None Accepting New Patients: Yes E-Prescribe: No

Olson, Sarah, LCSW Gende