#ProviderKeyID NPI ProviderTypeCd ProviderTypeDesc ProviderName ProvZipCd OfficeCountyCd OfficeCountyDesc ReimbursementTypeCd ReimbursementTypeDesc CriticalAccessInd PCPInd PrimSpecCdDesc CareCoordRINS CaseMgmt_InsuranceRINS ClinicServicesRINS DentalServicesRINS EPSDTRINS ERRINS HCBSRINS HomeHealthRINS HospiceRINS ICFMRRINS InpatientCareRINS LabRadiologyRINS NursingFacilityRINS OtherServicesRINS OutPatientRINS PDDRINS PrescDRUGsRINS RehabRINS SchoolBasedRINS TherapyRINS CaseMgmt_InsuranceEvents ClinicServicesEvents DentalServicesEvents EPSDTEvents EREvents HCBSEvents HomeHealthEvents HospiceEvents ICFMREvents InpatientCareEvents LabRadiologyEvents NursingFacilityEvents OtherServicesEvents OutPatientEvents PDDEvents PrescDRUGsEvents RehabEvents SchoolBasedEvents TherapyEvents CaseMgmt_InsuranceUOS ClinicServicesUOS DentalServicesUOS EPSDTUOS ERUOS HCBSUOS HomeHealthUOS HospiceUOS ICFMRUOS InpatientCareUOS LabRadiologyUOS NursingFacilityUOS OtherServicesUOS OutPatientUOS PDDUOS PrescDRUGsUOS RehabUOS SchoolBasedUOS TherapyUOS CaseMgmt_InsuranceCost ClinicServicesCost DentalServicesCost EPSDTCost ERCost HCBSCost HomeHealthCost HospiceCost ICFMRCost InpatientCareCost LabRadiologyCost NursingFacilityCost OtherServicesCost OutPatientCost PDDCost PrescDRUGsCost RehabCost SchoolBasedCost TherapyCost TotalCost HospStaticPayment CapitationPayments HospEncounterAddOnPayment 1101537075 83 Prepaid health plan--Managed care community network N L MERGER SUB INC 60606 200 Cook 0 0 "12,173" 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "48,561,705.52" 0 1101537028 80 Prepaid health plan--Health maintenance organization AETNA BETTER HEALTH INC MMP 60606 200 Cook 0 0 "6,950" 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "55,129,433.91" 0 1101537052 80 Prepaid health plan--Health maintenance organization HUMANA HEALTH PLAN INC MMP 60661 200 Cook 0 0 "7,704" 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "56,183,836.26" 0 1101537081 83 Prepaid health plan--Managed care community network NEXTLEVEL HEALTH 60606 200 Cook 0 0 "46,659" 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "203,014,920.83" 0 1101537046 80 Prepaid health plan--Health maintenance organization HARMONY HEALTH PLAN INC 60606 200 Cook 0 0 "217,347" 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "699,620,829.03" 0 1101537069 80 Prepaid health plan--Health maintenance organization "MOLINA HEALTHCARE OF ILLINOIS," 60523 30 DuPage 0 0 "203,341" 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "741,859,298.84" 0 1101537057 80 Prepaid health plan--Health maintenance organization ILLINICARE HEALTH PLAN 60559 30 DuPage 0 0 "310,558" 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "1,638,808,243.01" 0 1101537040 83 Prepaid health plan--Managed care community network COOK COUNTY HEALTH OPERAINT AS 60612 200 Cook 0 0 "331,514" 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "1,751,208,098.50" 0 1101537034 80 Prepaid health plan--Health maintenance organization BLUE CROSS AND BLUE SHIELD OF 60601 200 Cook 0 0 "444,819" 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "2,098,644,312.45" 0 1101537063 80 Prepaid health plan--Health maintenance organization MERIDIAN HEALTH PLAN OF ILLINO 60604 200 Cook 0 0 "555,581" 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "2,291,109,356.56" 0 1101364294 1891796108 31 Psychiatric Hospitals BHC MEADOWS HOSPITAL 474041616 815 Indiana PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80538.51 0 0 0 0 0 0 0 0 0 80538.51 2208.78 0 0 1101146050 1033132220 30 General Hospitals BARNES JEWISH HOSPITAL 631101621 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 7 0 0 0 827 0 0 0 0 1123 0 0 0 2423 0 0 0 0 0 11 0 0 0 1079 0 0 0 0 1306 0 0 0 6088 0 0 0 0 0 15 0 0 0 1079 0 0 0 0 9026 0 0 0 6157 0 0 0 0 0 217.66 0 0 0 156832.46 0 0 0 0 12099416.4 0 0 0 1087761.13 0 0 0 0 0 13344227.65 5215.31 0 0 1001247833 1427098169 30 General Hospitals MERCY HOSPITAL ST LOUIS 631418221 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 65 0 0 0 0 52 0 0 0 46 0 0 0 0 0 0 0 0 0 70 0 0 0 0 54 0 0 0 64 0 0 0 0 0 0 0 0 0 75 0 0 0 0 256 0 0 0 66 0 0 0 0 0 0 0 0 0 13172.53 0 0 0 0 237927.53 0 0 0 15056.8 0 0 0 0 0 266156.86 8693.52 0 0 1101074153 1629328604 31 Psychiatric Hospitals GARFIELD PARK HOSPITAL 999999999 200 Cook 0 0 0 0 122 0 0 0 0 0 0 0 282 0 0 0 0 0 0 0 0 0 0 186 0 0 0 0 0 0 0 331 0 0 0 0 0 0 0 0 0 0 1344 0 0 0 0 0 0 0 4735 0 0 0 0 0 0 0 0 0 0 220044.92 0 0 0 0 0 0 0 6322366 0 0 0 0 0 0 0 0 0 6542410.92 13135.16 0 0 1004812023 1962572396 30 General Hospitals SSM HEALTH ST MARYS HOSPITAL S 631171811 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related G 0 0 PERINATAL LEVEL III CENTER 0 0 0 0 0 185 0 0 0 0 1018 0 0 0 379 0 0 0 0 0 0 0 0 0 239 0 0 0 0 416 0 0 0 780 0 0 0 0 0 0 0 0 0 239 0 0 0 0 2217 0 0 0 821 0 0 0 0 0 0 0 0 0 28400.11 0 0 0 0 2045201.83 0 0 0 156084.26 0 0 0 0 0 2229686.2 31690.78 0 18226.93 1101151042 1528143088 30 General Hospitals KINDRED CHICAGO CENTRAL HOSP 606414799 200 Cook ARS-LS Long-term stay hospitals paid under an ARS 0 0 LTAC Special Qualification 0 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2946 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2251678.78 0 0 0 0 0 0 0 0 0 2251678.78 43561.08 0 0 1101174472 1538177423 30 General Hospitals CHRISTIAN HOSPITAL NE NW 631366163 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 229 0 0 0 0 141 0 0 0 399 0 0 0 0 0 0 0 0 0 290 0 0 0 0 159 0 0 0 951 0 0 0 0 0 0 0 0 0 290 0 0 0 0 730 0 0 0 959 0 0 0 0 0 0 0 0 0 35734.7 0 0 0 0 337330.69 0 0 0 110358.16 0 0 0 0 0 483423.55 55725.24 0 0 1101052067 1184844938 30 General Hospitals MORRISON COMMUNITY HOSPITAL 612703042 106 Whiteside DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 0 0 0 0 295 0 0 0 0 4 0 0 2 186 0 0 0 0 0 0 0 0 0 361 0 0 0 0 4 0 0 2 478 0 0 0 0 0 0 0 0 0 361 0 0 0 0 6 0 0 2 478 0 0 0 0 0 0 0 0 0 246559.62 0 0 0 0 7806.47 0 0 9043.82 215695.8 0 0 0 0 0 479105.71 55976.54 0 0 1101255765 1174569438 30 General Hospitals HOPEDALE HOSPITAL 617470267 98 Tazewell DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 0 0 0 0 111 0 0 0 0 7 0 0 0 70 0 0 0 0 0 0 0 0 0 146 0 0 0 0 7 0 0 0 155 0 0 0 0 0 0 0 0 0 146 0 0 0 0 23 0 0 0 155 0 0 0 0 0 0 0 0 0 21074.81 0 0 0 0 1340 0 0 0 10586.63 0 0 0 0 0 33001.44 62659.07 0 0 1101426271 1952409765 30 General Hospitals MIDWEST MEDICAL CENTER 610368118 51 Jo Daviess DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 0 0 0 0 308 0 0 0 0 15 0 0 0 137 0 0 0 0 0 0 0 0 0 425 0 0 0 0 17 0 0 0 214 0 0 0 0 0 0 0 0 0 425 0 0 0 0 49 0 0 0 223 0 0 0 0 0 0 0 0 0 306612.48 0 0 0 0 12006.62 0 0 0 180318.82 0 0 0 0 0 498937.92 76531.01 0 0 1101104923 1215901970 32 Rehabilitation Hospitals VAN MATRE HEALTHSOUTH REHAB 611084274 109 Winnebago REHAB Rehabilitation hospitals paid a Per Diem rate. 0 0 General Hospital - Adult and Child 0 0 24 0 0 0 0 0 0 0 82 0 0 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 0 0 364 0 0 0 0 0 0 0 1080 0 0 0 0 0 0 0 0 0 0 3808.76 0 0 0 0 0 0 0 563202.97 0 0 0 0 0 0 0 0 0 567011.73 77417.19 0 0 1101110006 1619910460 31 Psychiatric Hospitals NAPERVILLE PSYCH VENTURES 605407430 30 DuPage PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 Hospital childrens mental health 0 0 130 0 0 0 0 0 0 0 111 0 0 0 0 0 0 0 0 0 0 274 0 0 0 0 0 0 0 131 0 0 0 0 0 0 0 0 0 0 1741 0 0 0 0 0 0 0 1611 0 0 0 0 0 0 0 0 0 0 169255.03 0 0 0 0 0 0 0 260565.17 0 0 0 0 0 0 0 0 0 429820.2 101942.07 0 0 1101266054 1427301308 30 General Hospitals GENESIS MEDICAL CENTER ALEDO 999999999 74 Mercer 0 0 0 2 0 0 0 280 0 0 0 0 12 0 0 0 128 0 0 0 0 0 2 0 0 0 412 0 0 0 0 13 0 0 0 238 0 0 0 0 0 2 0 0 0 412 0 0 0 0 55 0 0 0 238 0 0 0 0 0 109.52 0 0 0 110143.3 0 0 0 0 5948.22 0 0 0 43718.96 0 0 0 0 0 159920 106925.22 0 0 1101071043 1811006661 30 General Hospitals SOUTHEAST MISSOURI HOSPITAL 637015230 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 0 0 0 391 0 0 0 0 87 0 0 0 112 0 0 0 0 0 1 0 0 0 550 0 0 0 0 99 0 0 0 155 0 0 0 0 0 2 0 0 0 550 0 0 0 0 571 0 0 0 175 0 0 0 0 0 0 0 0 0 84331.97 0 0 0 0 417558.61 0 0 0 40382.1 0 0 0 0 0 542272.68 107480.64 0 0 1101140613 1033397138 31 Psychiatric Hospitals LINCOLN PRAIRIE BEHAVIORAL HC 627035128 91 Sangamon PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 General Hospital - Adult and Child 0 0 540 0 0 0 0 0 0 0 821 0 0 0 0 0 0 0 0 0 0 2086 0 0 0 0 0 0 0 984 0 0 0 0 0 0 0 0 0 0 4671 0 0 0 0 0 0 0 13605 0 0 0 0 0 0 0 0 0 0 514652.03 0 0 0 0 0 0 0 17175139.14 0 0 0 0 0 0 0 0 0 17689791.17 157723.8 0 0 1101041999 1851390132 30 General Hospitals MEMORIAL HOSPITAL 622331116 87 Randolph ARS-PD Hospitals paid a Per Diem rate. 1 0 0 1 0 0 0 360 0 0 0 0 17 0 0 0 247 0 0 0 0 0 2 0 0 0 582 0 0 0 0 18 0 0 0 676 0 0 0 0 0 2 0 0 0 582 0 0 0 0 64 0 0 0 676 0 0 0 0 0 714.4 0 0 0 149370.34 0 0 0 0 17112.3 0 0 0 175805.05 0 0 0 0 0 343002.09 167914.83 0 0 1101292884 1306921911 30 General Hospitals SAINT MARGARET MERCY NO 463201931 815 Indiana DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 5 0 0 0 1866 0 0 0 0 488 0 0 0 219 0 0 0 0 0 7 0 0 0 2613 0 0 0 0 415 0 0 0 453 0 0 0 0 0 7 0 0 0 2613 0 0 0 0 1851 0 0 0 453 0 0 0 0 0 2.61 0 0 0 377168.14 0 0 0 0 1061633.41 0 0 0 42014.66 0 0 0 0 0 1480818.82 170059.38 0 6198.59 1101097582 1578648028 30 General Hospitals KINDRED HOSPITAL SYCAMORE 601782137 27 Dekalb ARS-LS Long-term stay hospitals paid under an ARS 0 0 LTAC Special Qualification 0 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2432 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2162423.41 0 0 0 0 0 0 0 0 0 2162423.41 174115.52 0 0 1101139311 1376656538 30 General Hospitals SHRINERS HOSPITALS FOR CHILDRE 607073351 839 Pennsylvania CHILDRENS Hospital designated as childrens hospitals and pai 0 0 Children's Hospital 0 0 0 0 0 0 0 0 0 0 50 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63 0 0 0 163 0 0 0 0 0 0 0 0 0 0 0 0 0 0 396 0 0 0 163 0 0 0 0 0 0 0 0 0 0 0 0 0 0 802817.06 0 0 0 140328.03 0 0 0 0 0 943145.09 175688.08 0 0 1101378945 1881729036 30 General Hospitals TAYLORVILLE MEM CHILDRENS HOSP 625681562 20 Christian CHILDRENS Hospital designated as childrens hospitals and pai 1 0 General Hospital - Children Section 0 0 0 0 0 581 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 729 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 729 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 118760.51 0 0 0 0 0 0 0 0 30949.46 0 0 0 0 0 149709.97 176447.09 0 0 1004570096 1376544320 30 General Hospitals UNIVERSITY OF IOWA HOSPITAL 522421009 816 Iowa DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 9 0 0 82 0 0 0 0 112 0 0 0 233 0 0 0 0 0 0 14 0 0 90 0 0 0 0 126 0 0 0 455 0 0 0 0 0 0 14 0 0 92 0 0 0 0 1383 0 0 0 456 0 0 0 0 0 0 806.98 0 0 24410.22 0 0 0 0 1717774.21 0 0 0 31428.68 0 0 0 0 0 1774420.09 187797.12 0 0 1101180888 1811096811 30 General Hospitals THOMAS H BOYD MEMORIAL HOSP 620161436 39 Greene DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 2 0 0 0 381 0 0 0 0 15 0 0 0 192 0 0 0 0 0 2 0 0 0 550 0 0 0 0 16 0 0 0 370 0 0 0 0 0 2 0 0 0 550 0 0 0 0 46 0 0 0 370 0 0 0 0 0 663.51 0 0 0 314133.51 0 0 0 0 5446.69 0 0 0 104773.74 0 0 0 0 0 425017.45 189160.5 0 0 1101166360 1427001445 30 General Hospitals MERCY HARVARD HOSPITAL INC 600331821 71 McHenry DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 1 0 0 0 355 0 0 0 0 24 0 0 0 199 0 0 0 0 0 1 0 0 0 581 0 0 0 0 24 0 0 0 287 0 0 0 0 0 1 0 0 0 581 0 0 0 0 75 0 0 0 304 0 0 0 0 0 0 0 0 0 174245.77 0 0 0 0 15046.26 0 0 0 126588.22 0 0 0 0 0 315880.25 193865.89 0 0 1101028964 1659321560 30 General Hospitals WASHINGTON COUNTY HOSP 622631534 103 Washington DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 1 0 0 0 256 0 0 0 0 6 0 0 0 102 0 0 0 0 0 2 0 0 0 347 0 0 0 0 6 0 0 0 183 0 0 0 0 0 2 0 0 0 347 0 0 0 0 17 0 0 0 183 0 0 0 0 0 228.48 0 0 0 127600.42 0 0 0 0 3811.63 0 0 0 50197.01 0 0 0 0 0 181837.54 196489.15 0 0 1101445396 1609803113 30 General Hospitals MENDOTA COMMUNITY HOSPITAL 613429216 58 La Salle DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 2 0 0 0 849 0 0 0 0 41 0 0 0 369 0 0 0 0 0 5 0 0 0 1181 0 0 0 0 42 0 0 0 811 0 0 0 0 0 5 0 0 0 1181 0 0 0 0 131 0 0 0 811 0 0 0 0 0 0 0 0 0 337199.74 0 0 0 0 34842.74 0 0 0 196705.17 0 0 0 0 0 568747.65 202403.91 0 0 1101148585 1689646523 30 General Hospitals PINCKNEYVILLE COMMUNITY HOSP 622741034 81 Perry DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 1 0 0 0 411 0 0 0 0 34 0 0 0 274 0 0 0 0 0 3 0 0 0 600 0 0 0 0 34 0 0 0 808 0 0 0 0 0 3 0 0 0 600 0 0 0 0 111 0 0 0 808 0 0 0 0 0 80.32 0 0 0 336674.21 0 0 0 0 33379 0 0 0 306041.46 0 0 0 0 0 676174.99 205782.63 0 0 1101230341 1710946801 33 Nursing Facilities RED BUD REGIONAL CARE 622781116 87 Randolph 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 522 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14539 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1351987.23 0 0 0 0 0 0 0 1351987.23 208619 0 0 1101198243 1083660658 32 Rehabilitation Hospitals MARIANJOY REHABILITATION HOSP 601876002 30 DuPage REHAB Rehabilitation hospitals paid a Per Diem rate. 0 0 0 1 125 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 1 290 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 0 1 304 0 0 0 0 0 0 0 1530 0 0 0 0 0 0 0 0 0 19.28 21392.14 0 0 0 0 0 0 0 1207559.24 0 0 0 0 0 0 0 0 0 1228970.66 210288.42 0 0 1101412538 1538343876 30 General Hospitals ADVOCATE EUREKA HOSPITAL 615301246 110 Woodford DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Hospital childrens mental health 0 0 0 0 0 300 0 0 0 0 13 0 0 0 161 0 0 0 0 0 0 0 0 0 426 0 0 0 0 14 0 0 0 404 0 0 0 0 0 0 0 0 0 426 0 0 0 0 46 0 0 0 404 0 0 0 0 0 0 0 0 0 91994.29 0 0 0 0 10769.35 0 0 0 55565.6 0 0 0 0 0 158329.24 216232.37 0 0 1101379212 1447352323 30 General Hospitals ST JOSEPHS HOSPITAL 622492806 65 Madison DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 0 0 0 0 353 0 0 0 0 37 0 0 0 368 0 0 0 0 0 0 0 0 0 533 0 0 0 0 42 0 0 0 1135 0 0 0 0 0 0 0 0 0 533 0 0 0 0 197 0 0 0 1230 0 0 0 0 0 0 0 0 0 192697.41 0 0 0 0 32559.44 0 0 0 308212.71 0 0 0 0 0 533469.56 222663.44 0 0 1101376698 1053348532 30 General Hospitals SHELBY MEMORIAL HOSPITAL 625651838 94 Shelby DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 4 0 0 0 633 0 0 0 0 94 0 0 0 292 0 0 0 0 0 6 0 0 0 946 0 0 0 0 99 0 0 0 479 0 0 0 0 0 6 0 0 0 946 0 0 0 0 284 0 0 0 479 0 0 0 0 0 88.38 0 0 0 95070.38 0 0 0 0 82983.61 0 0 0 40034.23 0 0 0 0 0 218176.6 233728.97 0 0 1101348803 1285732933 30 General Hospitals ST VINCENT EVANSVILLE HOSPITAL 477140541 815 Indiana DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 134 0 0 0 0 88 0 0 0 165 0 0 0 0 0 0 0 0 0 163 0 0 0 0 94 0 0 0 209 0 0 0 0 0 0 0 0 0 165 0 0 0 0 593 0 0 0 213 0 0 0 0 0 0 0 0 0 26886.76 0 0 0 0 463929.61 0 0 0 60712.78 0 0 0 0 0 551529.15 235264.86 0 0 1101052999 1154329753 30 General Hospitals ABRAHAM LINCOLN MEMORIAL HOSP 626562671 62 Logan ARS-PD Hospitals paid a Per Diem rate. 1 0 General Hospital - Adults Section 0 3 0 0 0 1486 0 0 0 0 175 0 0 1 767 0 0 0 0 0 3 0 0 0 2693 0 0 0 0 185 0 0 1 1524 0 0 0 0 0 3 0 0 0 2693 0 0 0 0 506 0 0 1 1524 0 0 0 0 0 310.53 0 0 0 766642.18 0 0 0 0 159456.54 0 0 4809.24 505744.08 0 0 0 0 0 1436962.57 235811.25 0 0 1101388928 1144266024 30 General Hospitals INDIANA UNIVERSITY HEALTH INC 462021239 815 Indiana DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 34 0 0 0 0 31 0 0 0 54 0 0 0 0 0 0 0 0 0 38 0 0 0 0 24 0 0 0 91 0 0 0 0 0 0 0 0 0 38 0 0 0 0 291 0 0 0 91 0 0 0 0 0 0 0 0 0 10197.29 0 0 0 0 644838.04 0 0 0 37136.75 0 0 0 0 0 692172.08 237410.34 0 921.18 1101194703 1750308631 30 General Hospitals COMMUNITY HOSPITAL STAUNTON 620881173 64 Macoupin DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 0 0 0 0 649 0 0 0 0 23 0 0 0 299 0 0 0 0 0 0 0 0 0 861 0 0 0 0 25 0 0 0 729 0 0 0 0 0 0 0 0 0 862 0 0 0 0 75 0 0 0 729 0 0 0 0 0 0 0 0 0 187931.63 0 0 0 0 8180.82 0 0 0 119277.09 0 0 0 0 0 315389.54 249387.76 0 0 1003057185 1083021877 31 Psychiatric Hospitals CHICAGO BEHAVIORAL HOSPITAL 600164729 200 Cook PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 Hospital childrens mental health 0 2 65 0 0 0 0 0 0 0 361 0 0 0 0 0 0 0 0 0 2 96 0 0 0 0 0 0 0 379 0 0 0 0 0 0 0 0 0 23 677 0 0 0 0 0 0 0 4351 0 0 0 0 0 0 0 0 0 2976.61 58784.93 0 0 0 0 0 0 0 1195272.62 0 0 0 0 0 0 0 0 0 1257034.16 286565.04 0 0 1101494058 1447257258 30 General Hospitals HAMILTON MEMORIAL HOSPITAL 628591213 41 Hamilton DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 1 0 0 0 870 0 0 0 0 64 0 0 0 406 0 0 0 0 0 1 0 0 0 1355 0 0 0 0 72 0 0 0 759 0 0 0 0 0 1 0 0 0 1355 0 0 0 0 205 0 0 0 777 0 0 0 0 0 0 0 0 0 392247.61 0 0 0 0 63638.01 0 0 0 241080.08 0 0 0 0 0 696965.7 287663.56 0 0 1101289325 1295739548 30 General Hospitals SALEM TOWNSHIP HOSPITAL 628814263 66 Marion DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 0 0 0 0 821 0 0 0 0 39 0 0 0 375 0 0 0 0 0 0 0 0 0 1066 0 0 0 0 39 0 0 0 572 0 0 0 0 0 0 0 0 0 1066 0 0 0 0 154 0 0 0 572 0 0 0 0 0 0 0 0 0 313948.66 0 0 0 0 54444.56 0 0 0 258112.84 0 0 0 0 0 626506.06 295686.75 0 0 1101123332 1811984388 30 General Hospitals MIDWESTERN REGIONAL MED CTR 600992676 57 Lake DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 29 0 0 0 0 1 0 0 0 7 0 0 0 0 0 0 0 0 0 33 0 0 0 0 1 0 0 0 9 0 0 0 0 0 0 0 0 0 33 0 0 0 0 1 0 0 0 9 0 0 0 0 0 0 0 0 0 5134.15 0 0 0 0 9838.01 0 0 0 67135.08 0 0 0 0 0 82107.24 308088.41 0 0 1101072156 1821053216 30 General Hospitals ROCHELLE COMMUNITY HOSP 610681764 79 Ogle DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 1 0 0 0 1114 0 0 0 0 64 0 0 1 351 0 0 0 0 0 1 0 0 0 1741 0 0 0 0 80 0 0 1 720 0 0 0 0 0 1 0 0 0 1744 0 0 0 0 208 0 0 1 720 0 0 0 0 0 320.58 0 0 0 535207.96 0 0 0 0 43002.47 0 0 2446.61 184893.77 0 0 0 0 0 765871.39 317337.05 0 0 1101269317 1124025176 30 General Hospitals NORTHWESTERN LAKE FOREST HSPTL 600451658 57 Lake DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 4 0 0 0 2528 0 0 0 0 584 0 0 0 1069 0 0 0 0 0 6 0 0 0 3333 0 0 0 0 630 0 0 0 2238 0 0 0 0 0 6 0 0 0 3333 0 0 0 0 2086 0 0 0 2263 0 0 0 0 0 19.35 0 0 0 754666.13 0 0 0 0 1289578.22 0 0 0 555114.97 0 0 0 0 0 2599378.67 323097.62 0 0 1005665076 1689775736 30 General Hospitals PRESENCE HOLY FAMILY MEDCL CTR 999999999 200 Cook ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 3 0 0 0 0 0 0 0 0 88 0 0 0 448 0 0 0 0 0 4 0 0 0 0 0 0 0 0 90 0 0 0 814 0 0 0 0 0 86 0 0 0 0 0 0 0 0 3110 0 0 0 821 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1530710.97 0 0 0 59928.05 0 0 0 0 0 1590639.02 349895.33 0 0 1101038616 1013017839 31 Psychiatric Hospitals ALEXIAN BROS BEHAVIORAL HLTH 601941010 200 Cook PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 Hospital childrens mental health 0 0 156 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 0 294 0 0 0 0 0 0 0 110 0 0 0 0 0 0 0 0 0 0 1747 0 0 0 0 0 0 0 1328 0 0 0 0 0 0 0 0 0 0 219554.67 0 0 0 0 0 0 0 214125.67 0 0 0 0 0 0 0 0 0 433680.34 358540.37 0 0 1101215754 1124021308 30 General Hospitals PERRY MEMORIAL HOSPITAL 613563901 15 Bureau DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 1 0 0 0 846 0 0 0 0 60 0 0 0 508 0 0 0 0 0 1 0 0 0 1213 0 0 0 0 69 0 0 0 994 0 0 0 0 0 1 0 0 0 1227 0 0 0 0 196 0 0 0 1664 0 0 0 0 0 829.8 0 0 0 287658.76 0 0 0 0 99194.88 0 0 0 362256.58 0 0 0 0 0 749940.02 365951.48 0 0 1101201263 1164535431 30 General Hospitals HAMMOND HENRY DISTRICT HOSP 612541091 45 Henry DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 1 0 0 0 379 0 0 0 0 40 0 0 0 238 0 0 0 0 0 2 0 0 0 564 0 0 0 0 42 0 0 0 390 0 0 0 0 0 2 0 0 0 564 0 0 0 0 135 0 0 0 390 0 0 0 0 0 364.62 0 0 0 107249.26 0 0 0 0 38515.14 0 0 0 114025.76 0 0 0 0 0 260154.78 368370.36 0 0 1101440208 1205850690 30 General Hospitals GREENVILLE REGIONAL HOSPITAL 622461154 12 Bond DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 5 0 0 0 760 0 0 0 0 198 0 0 0 469 0 0 0 0 0 7 0 0 0 1199 0 0 0 0 226 0 0 0 877 0 0 0 0 0 7 0 0 0 1203 0 0 0 0 710 0 0 0 877 0 0 0 0 0 74.93 0 0 0 105340.33 0 0 0 0 217692.24 0 0 0 93596.51 0 0 0 0 0 416704.01 385136.21 0 0 1101055385 1861494072 30 General Hospitals ST MARGARETS HEALTH 613621512 15 Bureau DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 5 0 0 0 1016 0 0 0 0 254 0 0 0 1258 0 0 0 0 0 15 0 0 0 1323 0 0 0 0 272 0 0 0 4315 0 0 0 0 0 15 0 0 0 1323 0 0 0 0 745 0 0 0 4315 0 0 0 0 0 407.59 0 0 0 131256.19 0 0 0 0 319743.2 0 0 0 285929.12 0 0 0 0 0 737336.1 385880.86 0 0 1101443838 1447368071 30 General Hospitals GOOD SHEPHERD HOSPITAL 600101919 57 Lake DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 4 0 0 0 978 0 0 0 0 356 0 0 0 735 0 0 0 0 0 8 0 0 0 1345 0 0 0 0 446 0 0 0 1410 0 0 0 0 0 12 0 0 0 1347 0 0 0 0 2067 0 0 0 1438 0 0 0 0 0 132.82 0 0 0 292035.04 0 0 0 0 1141479.95 0 0 0 203322.77 0 0 0 0 0 1636970.58 390798.73 0 0 1101104920 1457319154 30 General Hospitals ST JOSEPHS HOSPITAL 622300099 23 Clinton DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 375 0 0 0 0 129 0 0 0 474 0 0 0 0 0 0 0 0 0 498 0 0 0 0 133 0 0 0 961 0 0 0 0 0 0 0 0 0 498 0 0 0 0 386 0 0 0 1161 0 0 0 0 0 0 0 0 0 63367.1 0 0 0 0 148965.61 0 0 0 91313.69 0 0 0 0 0 303646.4 392311.74 0 0 1004703185 1689935397 30 General Hospitals SOUTH SHORE HOSPITAL CORP 999999999 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31229.65 0 0 0 0 0 0 0 0 0 31229.65 400000 0 0 1101250767 1992856819 30 General Hospitals VISTA MEDICAL CENTER WEST 600854980 57 Lake DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 202 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 239 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 239 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 31331.6 0 0 0 0 0 0 0 0 177.02 0 0 0 0 0 31508.62 400878.38 0 0 1101356334 1538165600 30 General Hospitals HARDIN CO GEN HOSP 629822467 43 Hardin DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 1 0 0 0 585 0 0 0 0 90 0 0 0 282 0 0 0 0 0 1 0 0 0 1582 0 0 0 0 107 0 0 0 631 0 0 0 0 0 1 0 0 0 1587 0 0 0 0 352 0 0 0 631 0 0 0 0 0 0 0 0 0 124546.9 0 0 0 0 160638.26 0 0 0 54425.33 0 0 0 0 0 339610.49 408573.99 0 185 1101209963 1588644975 30 General Hospitals HILLSBORO AREA HOSPITAL 620491912 76 Montgomery DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 6 0 0 0 863 0 0 0 0 40 0 0 6 453 0 0 0 0 0 11 0 0 0 1290 0 0 0 0 46 0 0 6 865 0 0 0 0 0 11 0 0 0 1290 0 0 0 0 125 0 0 6 865 0 0 0 0 0 1541.26 0 0 0 437694.66 0 0 0 0 26749.43 0 0 27775.4 212843.89 0 0 0 0 0 706604.64 416080.11 0 0 1101253294 1033116876 30 General Hospitals PROCTOR HOSPITAL 616145069 80 Peoria DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 2 0 0 0 1140 0 0 0 0 187 0 0 1 714 0 0 0 0 0 2 0 0 0 1515 0 0 0 0 204 0 0 1 1020 0 0 0 0 0 2 0 0 0 1515 0 0 0 0 798 0 0 1 1288 0 0 0 0 0 0 0 0 0 223654.63 0 0 0 0 221596.7 0 0 1938.46 266333.95 0 0 0 0 0 713523.74 431450.68 0 0 1101371278 1194728808 30 General Hospitals WABASH GENERAL HOSPITAL 628632638 101 Wabash DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 3 0 0 0 836 0 0 0 0 64 0 0 1 762 0 0 0 0 0 5 0 0 0 1198 0 0 0 0 65 0 0 1 1916 0 0 0 0 0 5 0 0 0 1198 0 0 0 0 195 0 0 1 1935 0 0 0 0 0 1156.53 0 0 0 295906.8 0 0 0 0 39813.11 0 0 4234.84 666456.86 0 0 0 0 0 1007568.14 449217.01 0 0 1101119112 1013969112 30 General Hospitals SARAH D CULBERTSON MEM 626811465 92 Schuyler DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 4 0 0 0 701 0 0 0 0 39 0 0 0 387 0 0 0 0 0 4 0 0 0 966 0 0 0 0 40 0 0 0 744 0 0 0 0 0 4 0 0 0 966 0 0 0 0 160 0 0 0 744 0 0 0 0 0 597.27 0 0 0 248079.88 0 0 0 0 27853.69 0 0 0 133647.53 0 0 0 0 0 410178.37 451250.95 0 0 1101023533 1730179847 30 General Hospitals KIRBY MEDICAL CENTER 618562116 82 Piatt DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 2 0 0 0 669 0 0 0 0 9 0 0 0 170 0 0 0 0 0 2 0 0 0 939 0 0 0 0 10 0 0 0 278 0 0 0 0 0 2 0 0 0 939 0 0 0 0 34 0 0 0 283 0 0 0 0 0 390.13 0 0 0 276349.43 0 0 0 0 2193.12 0 0 0 110618.19 0 0 0 0 0 389550.87 452508.55 0 0 1101119620 1821099441 30 General Hospitals MARSHALL BROWNING HOSPITAL 628320192 81 Perry DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 3 0 0 0 808 0 0 0 0 41 0 0 0 436 0 0 0 0 0 9 0 0 0 1209 0 0 0 0 42 0 0 0 1114 0 0 0 0 0 11 0 0 0 1245 0 0 0 0 156 0 0 0 1400 0 0 0 0 0 1421.47 0 0 0 347884.11 0 0 0 0 33624.87 0 0 0 220023.37 0 0 0 0 0 602953.82 454138.19 0 0 1101030112 1396024162 30 General Hospitals LAWRENCE COUNTY MEMORIAL HOSP 999999999 59 Lawrence DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 2 0 0 0 746 0 0 0 0 60 0 0 0 476 0 0 0 0 0 6 0 0 0 1043 0 0 0 0 55 0 0 0 892 0 0 0 0 0 8 0 0 0 1046 0 0 0 0 248 0 0 0 1318 0 0 0 0 0 950.54 0 0 0 273265.18 0 0 0 0 60908.36 0 0 0 213301.43 0 0 0 0 0 548425.51 454805.23 0 135 1101113722 1851363154 30 General Hospitals CROSSROADS COMM HOSPITAL 628646224 49 Jefferson DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 0 0 0 1880 0 0 0 0 198 0 0 0 760 0 0 0 0 0 2 0 0 0 2863 0 0 0 0 218 0 0 0 1271 0 0 0 0 0 2 0 0 0 2863 0 0 0 0 690 0 0 0 1271 0 0 0 0 0 0 0 0 0 383585.48 0 0 0 0 724113.72 0 0 0 266861.13 0 0 0 0 0 1374560.33 466168.72 0 0 1101021178 1730139031 30 General Hospitals MEMORIAL HOSPITAL 623213551 42 Hancock DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 1 0 0 0 576 0 0 0 0 39 0 0 0 365 0 0 0 0 0 2 0 0 0 806 0 0 0 0 41 0 0 0 659 0 0 0 0 0 2 0 0 0 806 0 0 0 0 116 0 0 0 686 0 0 0 0 0 23.97 0 0 0 205602.87 0 0 0 0 52094.29 0 0 0 195420.52 0 0 0 0 0 453141.65 467913.96 0 0 1101522701 1902849649 30 General Hospitals MASON DISTRICT HOSPITAL 626441243 68 Mason DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 3 0 0 0 636 0 0 0 0 19 0 0 0 306 0 0 0 0 0 6 0 0 0 966 0 0 0 0 20 0 0 0 847 0 0 0 0 0 9 0 0 0 966 0 0 0 0 68 0 0 0 847 0 0 0 0 0 51.33 0 0 0 423177.63 0 0 0 0 11709.89 0 0 0 270222.66 0 0 0 0 0 705161.51 469788.41 0 0 1101270028 1235211301 30 General Hospitals DR JOHN WARNER HOSPITAL 617272140 28 De Witt DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 0 0 0 0 669 0 0 0 0 17 0 0 0 211 0 0 0 0 0 0 0 0 0 1039 0 0 0 0 18 0 0 0 405 0 0 0 0 0 0 0 0 0 1041 0 0 0 0 55 0 0 0 441 0 0 0 0 0 0 0 0 0 318003.47 0 0 0 0 20465.08 0 0 0 80906.48 0 0 0 0 0 419375.03 471201.4 0 0 1101482268 1407859655 30 General Hospitals DELNOR COMMUNITY HOSPITAL 601344200 53 Kane DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 0 0 0 1308 0 0 0 0 425 0 0 0 994 0 0 0 0 0 5 0 0 0 1805 0 0 0 0 475 0 0 0 2160 0 0 0 0 0 5 0 0 0 1805 0 0 0 0 1732 0 0 0 2161 0 0 0 0 0 227.05 0 0 0 347208.06 0 0 0 0 854828.31 0 0 0 473028.57 0 0 0 0 0 1675291.99 471593.19 0 0 1101295428 1841387388 30 General Hospitals INGALLS CHILDRENS HOSPITAL 604263558 200 Cook CHILDRENS Hospital designated as childrens hospitals and pai 0 0 General Hospital - Children Section 0 0 0 0 0 1970 0 0 0 0 146 0 0 0 71 0 0 0 0 0 0 0 0 0 2412 0 0 0 0 149 0 0 0 76 0 0 0 0 0 0 0 0 0 2412 0 0 0 0 996 0 0 0 76 0 0 0 0 0 0 0 0 0 379290.51 0 0 0 0 1364502.63 0 0 0 39768.89 0 0 0 0 0 1783562.03 475685.06 0 0 1101473445 1184705931 30 General Hospitals VALLEY WEST COMMUNITY HOSPITAL 605482587 27 Dekalb DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 2 0 0 0 938 0 0 0 0 106 0 0 0 374 0 0 0 0 0 2 0 0 0 1289 0 0 0 0 109 0 0 0 753 0 0 0 0 0 2 0 0 0 1289 0 0 0 0 269 0 0 0 753 0 0 0 0 0 51.4 0 0 0 766500.9 0 0 0 0 148923.18 0 0 0 481420.74 0 0 0 0 0 1396896.22 478800.28 0 0 1101259572 1790788578 30 General Hospitals MASSAC MEMORIAL HOSPITAL 629602467 69 Massac DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 3 0 0 0 1383 0 0 0 0 160 0 0 0 698 0 0 0 0 0 4 0 0 0 2048 0 0 0 0 198 0 0 0 1804 0 0 0 0 0 4 0 0 0 2048 0 0 0 0 706 0 0 0 1804 0 0 0 0 0 326.48 0 0 0 549995.45 0 0 0 0 139699.16 0 0 0 385999.21 0 0 0 0 0 1076020.3 533832.67 0 0 1101456958 1184655136 30 General Hospitals CLAY COUNTY HOSPITAL 628393241 22 Clay ARS-PD Hospitals paid a Per Diem rate. 1 0 Government Owned 0 1 0 0 0 1254 0 0 0 0 71 0 0 0 628 0 0 0 0 0 4 0 0 0 2305 0 0 0 0 84 0 0 0 3186 0 0 0 0 0 7 0 0 0 2306 0 0 0 0 307 0 0 0 3186 0 0 0 0 0 179.08 0 0 0 516712.43 0 0 0 0 42734.66 0 0 0 515316.48 0 0 0 0 0 1074942.65 536686.92 0 0 1101013383 1699778951 30 General Hospitals FRANKLIN HOSPITAL 628121969 36 Franklin DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 1 0 0 0 1157 0 0 0 0 53 0 0 0 474 0 0 0 0 0 2 0 0 0 1574 0 0 0 0 62 0 0 0 1203 0 0 0 0 0 2 0 0 0 1574 0 0 0 0 175 0 0 0 1203 0 0 0 0 0 421.31 0 0 0 555089.32 0 0 0 0 26668.31 0 0 0 414376.27 0 0 0 0 0 996555.21 537827.22 0 0 1101530724 1649370057 30 General Hospitals MORRIS HOSPITAL AND HEALTHCARE 604501463 40 Grundy DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 5 0 0 0 2213 0 0 0 0 446 0 0 3 1609 0 0 0 0 0 10 0 0 0 3212 0 0 0 0 480 0 0 3 3777 0 0 0 0 0 10 0 0 0 3213 0 0 0 0 1608 0 0 3 3836 0 0 0 0 0 123.86 0 0 0 571008.79 0 0 0 0 892535.34 0 0 2658.49 482368.92 0 0 0 0 0 1948695.4 540337.25 0 0 1101473860 1588673628 30 General Hospitals MEMORIAL MEDICAL CENTER 600987509 71 McHenry DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 1 0 0 610 0 0 0 0 1 0 0 0 282 0 0 0 0 0 1 1 0 0 890 0 0 0 0 1 0 0 0 600 0 0 0 0 0 1 1 0 0 890 0 0 0 0 5 0 0 0 609 0 0 0 0 0 0 0 0 0 114269.93 0 0 0 0 0 0 0 0 33855.94 0 0 0 0 0 148125.87 541910.93 0 0 1101443285 1073581872 30 General Hospitals HARRISBURG MEDICAL CENTER 629462718 90 Saline DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 4 0 0 0 1905 0 0 0 0 319 0 0 0 1186 0 0 0 0 0 5 0 0 0 2925 0 0 0 0 418 0 0 0 1911 0 0 0 0 0 5 0 0 0 2925 0 0 0 0 1341 0 0 0 1938 0 0 0 0 0 229.71 0 0 0 547851.65 0 0 0 0 620279.08 0 0 0 359296.2 0 0 0 0 0 1527656.64 550350.96 0 0 1101180893 1710968276 30 General Hospitals ILL VALLEY COMMUNITY HOSP 613542757 58 La Salle DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 0 0 0 1515 0 0 0 0 349 0 0 2 948 0 0 0 0 0 2 0 0 0 2144 0 0 0 0 365 0 0 2 2639 0 0 0 0 0 2 0 0 0 2144 0 0 0 0 917 0 0 2 2957 0 0 0 0 0 8.85 0 0 0 286237.16 0 0 0 0 407438.95 0 0 3455.63 266585.7 0 0 0 0 0 963726.29 561536.78 0 0 1101303795 1780693358 30 General Hospitals FAYETTE COUNTY HOSPITAL 624711227 34 Fayette DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 4 0 0 0 1144 0 0 0 0 93 0 0 0 691 0 0 0 0 0 14 0 0 0 1793 0 0 0 0 110 0 0 0 2355 0 0 0 0 0 16 0 0 0 1793 0 0 0 0 377 0 0 0 2359 0 0 0 0 0 956.34 0 0 0 390066.78 0 0 0 0 61542.14 0 0 0 430668.31 0 0 0 0 0 883233.57 589201.69 0 0 1101408586 1992727663 30 General Hospitals ST LOUIS CHILDRENS HOSPITAL 631101002 826 Missouri CHILDRENS Hospital designated as childrens hospitals and pai 0 0 PERINATAL LEVEL III CENTER 0 0 0 0 0 895 0 0 0 0 752 0 0 0 1154 0 0 0 0 0 0 0 0 0 1081 0 0 0 0 759 0 0 0 1702 0 0 0 0 0 0 0 0 0 1081 0 0 0 0 7301 0 0 0 1722 0 0 0 0 0 0 0 0 0 170928.85 0 0 0 0 15051575.79 0 0 0 1021339.84 0 0 0 0 0 16243844.48 613812.55 0 27493.55 1101041878 1164539730 30 General Hospitals LUTHERAN GENERAL HOSPITAL 600681143 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 22 58 0 0 2144 0 0 0 0 2199 0 0 0 2350 0 0 0 0 0 32 287 0 0 2866 0 0 0 0 2761 0 0 0 4468 0 0 0 0 0 118 307 0 0 2873 0 0 0 0 14418 0 0 0 4500 0 0 0 0 0 1784.4 28657.6 0 0 502928.64 0 0 0 0 11081627.08 0 0 0 612392.41 0 0 0 0 0 12227390.13 629729.28 0 0 1101155331 1497861330 30 General Hospitals PASSAVANT AREA CHILDRENS HOSP 626501136 77 Morgan CHILDRENS Hospital designated as childrens hospitals and pai 0 0 General Hospital - Children Section 0 0 0 0 0 1235 0 0 0 0 28 0 0 0 196 0 0 0 0 0 0 0 0 0 1643 0 0 0 0 28 0 0 0 214 0 0 0 0 0 0 0 0 0 1643 0 0 0 0 64 0 0 0 214 0 0 0 0 0 0 0 0 0 221822.09 0 0 0 0 47372.68 0 0 0 80743.71 0 0 0 0 0 349938.48 657395.16 0 0 1101518217 1942326970 30 General Hospitals PANA COMMUNITY HOSPITAL 625571716 20 Christian DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 5 0 0 0 987 0 0 0 0 59 0 0 0 400 0 0 0 0 0 11 0 0 0 1723 0 0 0 0 74 0 0 0 951 0 0 0 0 0 14 0 0 0 1723 0 0 0 0 231 0 0 0 1724 0 0 0 0 0 727.6 0 0 0 405186.15 0 0 0 0 57947.11 0 0 0 278641.62 0 0 0 0 0 742502.48 657837.78 0 0 1101490820 1801818240 30 General Hospitals SPARTA COMMUNITY HOSPITAL 622861820 87 Randolph ARS-PD Hospitals paid a Per Diem rate. 1 0 Government Owned 0 1 0 0 0 1121 0 0 0 0 53 0 0 0 586 0 0 0 0 0 1 0 0 0 1794 0 0 0 0 56 0 0 0 1512 0 0 0 0 0 1 0 0 0 1794 0 0 0 0 179 0 0 0 1512 0 0 0 0 0 30 0 0 0 333156.59 0 0 0 0 51980.86 0 0 0 377975.42 0 0 0 0 0 763142.87 665375.16 0 0 1101275750 1548393184 30 General Hospitals OSF HOLY FAMILY MEDICAL CENTER 614621007 102 Warren DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 1 0 0 0 972 0 0 0 0 35 0 0 0 448 0 0 0 0 0 2 0 0 0 1459 0 0 0 0 40 0 0 0 821 0 0 0 0 0 2 0 0 0 1459 0 0 0 0 120 0 0 0 823 0 0 0 0 0 905.84 0 0 0 761548.81 0 0 0 0 32367.75 0 0 0 362419.44 0 0 0 0 0 1157241.84 667074.98 0 0 1101262831 1114935681 30 General Hospitals GIBSON COMMUNITY HOSPITAL ASSO 609361477 35 Ford DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 3 0 0 0 634 0 0 0 0 138 0 0 1 542 0 0 0 0 0 5 0 0 0 836 0 0 0 0 150 0 0 1 1090 0 0 0 0 0 5 0 0 0 836 0 0 0 0 318 0 0 1 1090 0 0 0 0 0 4523.13 0 0 0 367030.14 0 0 0 0 164885.9 0 0 5018.43 593956.16 0 0 0 0 0 1135413.76 669944.04 0 0 1101536231 1194713404 30 General Hospitals FERRELL HOSPITAL COMM FOUND 629301634 90 Saline DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 5 0 0 0 1128 0 0 0 0 146 0 0 0 617 0 0 0 0 0 16 0 0 0 1720 0 0 0 0 184 0 0 0 1309 0 0 0 0 0 27 0 0 0 1720 0 0 0 0 633 0 0 0 1309 0 0 0 0 0 151.48 0 0 0 180787.24 0 0 0 0 116626.08 0 0 0 149048.18 0 0 0 0 0 446612.98 709156.1 0 0 1101124568 1265493720 30 General Hospitals CRAWFORD MEMORIAL HOSPITAL 624541167 25 Crawford DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 2 0 0 0 1122 0 0 0 0 133 0 0 0 689 0 0 0 0 0 2 0 0 0 1699 0 0 0 0 146 0 0 0 1592 0 0 0 0 0 2 0 0 0 1699 0 0 0 0 417 0 0 0 1602 0 0 0 0 0 175.33 0 0 0 384093.68 0 0 0 0 171821.33 0 0 0 562046.69 0 0 0 0 0 1118137.03 723878.65 0 0 1101066220 1255422416 30 General Hospitals FAIRFIELD MEM HOSPITAL 628371203 104 Wayne DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 1 0 0 0 1113 0 0 0 0 82 0 0 3 797 0 0 0 0 0 2 0 0 0 1920 0 0 0 0 91 0 0 3 1818 0 0 0 0 0 2 0 0 0 1920 0 0 0 0 261 0 0 3 1825 0 0 0 0 0 71.19 0 0 0 244888.59 0 0 0 0 114894.42 0 0 4674.04 350089.43 0 0 0 0 0 714617.67 742724.66 0 0 1101089005 1053425124 30 General Hospitals CARLINVILLE AREA HOSPITAL 626263710 64 Macoupin DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 1 0 0 0 1096 0 0 0 0 65 0 0 0 512 0 0 0 0 0 1 0 0 0 1600 0 0 0 0 77 0 0 0 1309 0 0 0 0 0 1 0 0 0 1600 0 0 0 0 216 0 0 0 1309 0 0 0 0 0 0 0 0 0 531410.42 0 0 0 0 60305.16 0 0 0 359574.32 0 0 0 0 0 951289.9 750433.06 0 0 1004826923 1588713440 30 General Hospitals OSF SAINT ELIZABETH MEDICAL CE 613501604 58 La Salle ARS-PD Hospitals paid a Per Diem rate. 0 0 General Hospital - Adult and Child 0 13 0 0 0 3731 0 0 0 0 621 0 0 0 1980 0 0 0 0 0 40 0 0 0 5999 0 0 0 0 686 0 0 0 5016 0 0 0 0 0 43 0 0 0 5999 0 0 0 0 1925 0 0 0 5076 0 0 0 0 0 304.09 0 0 0 916822.34 0 0 0 0 892013.09 0 0 0 592789.32 0 0 0 0 0 2401928.84 783934.43 0 0 1101014213 1528158573 30 General Hospitals HERRIN HOSPITAL 629483631 108 Williamson DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 13 0 0 0 4098 0 0 0 0 909 0 0 3 4021 0 0 0 0 0 22 0 0 0 6067 0 0 0 0 1231 0 0 3 8094 0 0 0 0 0 35 0 0 0 6067 0 0 0 0 4555 0 0 3 10044 0 0 0 0 0 443.86 0 0 0 977356.15 0 0 0 0 1873200.46 0 0 3669.58 785376.87 0 0 0 0 0 3640046.92 791095.02 0 0 1101097036 1780692087 30 General Hospitals GRAHAM HOSPITAL ASSOC 615202444 37 Fulton DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 4 0 0 0 1924 0 0 0 0 404 0 0 0 1330 0 0 0 0 0 4 0 0 0 2935 0 0 0 0 464 0 0 0 3632 0 0 0 0 0 4 0 0 0 2935 0 0 0 0 1530 0 0 0 3632 0 0 0 0 0 0 0 0 0 364804.88 0 0 0 0 721023.47 0 0 0 482665.66 0 0 0 0 0 1568494.01 797403.28 0 0 1101014699 1427043546 30 General Hospitals KATH SHAW BETHEA HOSP 610213116 60 Lee DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 9 0 0 0 2135 0 0 0 0 291 0 0 0 1854 0 0 0 0 0 30 0 0 0 3134 0 0 0 0 311 0 0 0 6960 0 0 0 0 0 32 0 0 0 3140 0 0 0 0 895 0 0 0 9137 0 0 0 0 0 183.4 0 0 0 427523.73 0 0 0 0 623135.19 0 0 0 429284.74 0 0 0 0 0 1480127.06 803106.95 0 0 1101508012 1124099098 30 General Hospitals MEMORIAL MED CTR CHILDRENS HSP 627810001 91 Sangamon CHILDRENS Hospital designated as childrens hospitals and pai 0 0 General Hospital - Children Section 0 0 0 0 0 1006 0 0 0 0 40 0 0 0 263 0 0 0 0 0 0 0 0 0 1174 0 0 0 0 42 0 0 0 281 0 0 0 0 0 0 0 0 0 1174 0 0 0 0 114 0 0 0 281 0 0 0 0 0 0 0 0 0 251421.78 0 0 0 0 200236.28 0 0 0 204781.63 0 0 0 0 0 656439.69 806719.66 0 0 1101428930 1720086218 30 General Hospitals ILLINI COMMUNITY HOSPITAL 623631350 83 Pike DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 2 0 0 0 901 0 0 0 0 34 0 0 0 422 0 0 0 0 0 3 0 0 0 1368 0 0 0 0 39 0 0 0 1145 0 0 0 0 0 3 0 0 0 1368 0 0 0 0 105 0 0 0 1145 0 0 0 0 0 256.76 0 0 0 538895.92 0 0 0 0 24769.29 0 0 0 667168.61 0 0 0 0 0 1231090.58 823850.11 0 0 1101369406 1811074651 30 General Hospitals SSM HEALTH CARDINAL GLENNON CH 631041003 826 Missouri CHILDRENS Hospital designated as childrens hospitals and pai 0 0 General Hospital - Children Section 0 0 0 0 0 1618 0 0 0 0 576 0 0 0 1606 0 0 0 0 0 0 0 0 0 2087 0 0 0 0 766 0 0 0 2704 0 0 0 0 0 0 0 0 0 2087 0 0 0 0 5342 0 0 0 2833 0 0 0 0 0 0 0 0 0 299839.65 0 0 0 0 11546179.96 0 0 0 1727100.65 0 0 0 0 0 13573120.26 839892.06 0 0 1101372973 1841361748 30 General Hospitals RONALD MCDONALDS CHILDRENS HSP 601533304 200 Cook CHILDRENS Hospital designated as childrens hospitals and pai 0 0 Perinatal Level II Center 0 0 0 0 0 836 0 0 0 0 295 0 0 0 702 0 0 0 0 0 0 0 0 0 994 0 0 0 0 335 0 0 0 910 0 0 0 0 0 0 0 0 0 1011 0 0 0 0 3250 0 0 0 946 0 0 0 0 0 0 0 0 0 260458.77 0 0 0 0 7045185.37 0 0 0 628102.02 0 0 0 0 0 7933746.16 840269.34 0 0 1101116647 1679502322 30 General Hospitals PARIS COMMUNITY HOSPITAL 619442460 31 Edgar DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 2 0 0 0 1163 0 0 0 0 55 0 0 0 713 0 0 0 0 0 3 0 0 0 1695 0 0 0 0 58 0 0 0 1491 0 0 0 0 0 3 0 0 0 1697 0 0 0 0 141 0 0 0 1517 0 0 0 0 0 0 0 0 0 432844.21 0 0 0 0 72700.8 0 0 0 496646.71 0 0 0 0 0 1002191.72 841630.37 0 0 1101424997 1174530489 30 General Hospitals PEKIN HOSPITAL 615544936 98 Tazewell DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 3 0 0 0 1692 0 0 0 0 294 0 0 5 812 0 0 0 0 0 3 0 0 0 2491 0 0 0 0 320 0 0 5 1621 0 0 0 0 0 3 0 0 0 2491 0 0 0 0 950 0 0 5 1676 0 0 0 0 0 26.2 0 0 0 311368.87 0 0 0 0 260572.91 0 0 9283.03 135210.28 0 0 0 0 0 716461.29 841721.98 0 0 1101042825 1629003470 30 General Hospitals IROQUOIS MEMORIAL HOSPITAL 609701644 46 Iroquois DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 1 0 0 0 938 0 0 0 0 40 0 0 0 437 0 0 0 0 0 2 0 0 0 1386 0 0 0 0 42 0 0 0 719 0 0 0 0 0 2 0 0 0 1386 0 0 0 0 132 0 0 0 725 0 0 0 0 0 0 0 0 0 202913.27 0 0 0 0 50300.06 0 0 0 82465.45 0 0 0 0 0 335678.78 852297.22 0 0 1101499811 1497748040 30 General Hospitals HOOPESTON COMM MEMORIAL HOSP 609421801 100 Vermilion DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 3 0 0 0 1245 0 0 0 0 25 0 0 0 377 0 0 0 0 0 4 0 0 0 2158 0 0 0 0 27 0 0 0 599 0 0 0 0 0 4 0 0 0 2158 0 0 0 0 73 0 0 0 666 0 0 0 0 0 461.58 0 0 0 947396.46 0 0 0 0 30674.29 0 0 0 205002.3 0 0 0 0 0 1183534.63 857086.32 0 0 1101386062 1053361642 30 General Hospitals DEACONESS HOSPITAL INC 477101658 815 Indiana DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 2 0 0 357 0 0 0 0 440 0 0 0 341 0 0 0 0 0 5 2 0 0 424 0 0 0 0 494 0 0 0 529 0 0 0 0 0 14 5 0 0 424 0 0 0 0 2696 0 0 0 550 0 0 0 0 0 0 0 0 0 58137.38 0 0 0 0 2403432.4 0 0 0 129361.48 0 0 0 0 0 2590931.26 857685.72 0 0 1101521018 1144292020 30 General Hospitals TAYLORVILLE MEMORIAL HOSPITAL 625681562 20 Christian DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adults Section 0 4 0 0 0 1418 0 0 0 0 84 0 0 0 645 0 0 0 0 0 4 0 0 0 2576 0 0 0 0 99 0 0 0 1179 0 0 0 0 0 4 0 0 0 2576 0 0 0 0 460 0 0 0 1179 0 0 0 0 0 181.29 0 0 0 745170.12 0 0 0 0 83779.8 0 0 0 316331.86 0 0 0 0 0 1145463.07 860706.31 0 0 1101253679 1982611281 30 General Hospitals CENTEGRA HOSPITAL - MCHENRY 600508409 71 McHenry DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 10 0 0 0 2999 0 0 0 0 1225 0 0 0 1772 0 0 0 0 0 18 0 0 0 4534 0 0 0 0 1424 0 0 0 4952 0 0 0 0 0 40 0 0 0 4535 0 0 0 0 5398 0 0 0 4952 0 0 0 0 0 1052.71 0 0 0 891612.32 0 0 0 0 2783098.71 0 0 0 607856.75 0 0 0 0 0 4283620.49 876928.66 0 0 1101487181 1407889652 30 General Hospitals ADVENTIST LAGRANGE MEMORIAL HO 605252600 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 3 0 0 0 1097 0 0 0 0 302 0 0 0 350 0 0 0 0 0 3 0 0 0 1471 0 0 0 0 341 0 0 0 696 0 0 0 0 0 13 0 0 0 1474 0 0 0 0 1637 0 0 0 729 0 0 0 0 0 0 0 0 0 197915.98 0 0 0 0 653676.86 0 0 0 50388.84 0 0 0 0 0 901981.68 881318.87 0 0 1101165464 1770610073 30 General Hospitals RICHLAND MEMORIAL HOSPITAL 624502553 88 Richland DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 3 0 0 0 1454 0 0 0 0 266 0 0 2 1168 0 0 0 0 0 3 0 0 0 2128 0 0 0 0 285 0 0 2 2539 0 0 0 0 0 3 0 0 0 2128 0 0 0 0 835 0 0 2 2539 0 0 0 0 0 0 0 0 0 257820.85 0 0 0 0 340581.92 0 0 1989.46 261886.26 0 0 0 0 0 862278.49 883319.62 0 0 1101466487 1710907175 30 General Hospitals HINSDALE HOSPITAL 605213829 30 DuPage DRG Hospitals reimbursed under our Diagnosis Related G 0 0 Perinatal Level II Center 0 1 4 0 0 801 0 0 0 0 591 0 0 0 916 0 0 0 0 0 3 6 0 0 980 0 0 0 0 628 0 0 0 1892 0 0 0 0 0 3 26 0 0 987 0 0 0 0 3578 0 0 0 1899 0 0 0 0 0 0 3573.45 0 0 227161.74 0 0 0 0 4004058.88 0 0 0 281294.59 0 0 0 0 0 4516088.66 885469.04 0 0 1101529872 1184630519 30 General Hospitals JERSEY COMMUNITY HOSPITAL 620522028 50 Jersey DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 1 0 0 0 1116 0 0 0 0 86 0 0 0 803 0 0 0 0 0 1 0 0 0 1722 0 0 0 0 95 0 0 0 1599 0 0 0 0 0 1 0 0 0 1733 0 0 0 0 258 0 0 0 1677 0 0 0 0 0 61.52 0 0 0 134836.05 0 0 0 0 28057.15 0 0 0 164583.37 0 0 0 0 0 327538.09 912229.87 0 0 1001679114 1871919381 30 General Hospitals OSF SAINT LUKE MEDICAL CENTER 614438354 45 Henry DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 2 0 0 0 1051 0 0 0 0 86 0 0 0 540 0 0 0 0 0 5 0 0 0 1827 0 0 0 0 100 0 0 0 1198 0 0 0 0 0 5 0 0 0 1827 0 0 0 0 242 0 0 0 1198 0 0 0 0 0 317.57 0 0 0 370916.47 0 0 0 0 71067.99 0 0 0 247217.57 0 0 0 0 0 689519.6 927258.04 0 0 1101404221 1285606509 30 General Hospitals UNION COUNTY HOSPITAL 629061668 99 Union DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 5 0 0 0 1472 0 0 0 0 119 0 0 0 755 0 0 0 0 0 15 0 0 0 2285 0 0 0 0 134 0 0 0 1491 0 0 0 0 0 15 0 0 0 2285 0 0 0 0 473 0 0 0 1520 0 0 0 0 0 1734.25 0 0 0 716170.71 0 0 0 0 121132.66 0 0 0 404936.58 0 0 0 0 0 1243974.2 933191.35 0 60 1101404860 1558391706 30 General Hospitals OAK PARK HOSPITAL 603041022 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 9 0 0 0 1952 0 0 0 0 320 0 0 0 1177 0 0 0 0 0 15 0 0 0 2672 0 0 0 0 360 0 0 0 2823 0 0 0 0 0 23 0 0 0 2672 0 0 0 0 1338 0 0 0 2901 0 0 0 0 0 853.05 0 0 0 267319.44 0 0 0 0 563468.99 0 0 0 199086.68 0 0 0 0 0 1030728.16 941344.36 0 0 1101184033 1902079973 30 General Hospitals KISHWAUKEE COMM HOSP 601159602 27 Dekalb DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 9 0 0 0 3121 0 0 0 0 775 0 0 3 1362 0 0 0 0 0 22 0 0 0 4791 0 0 0 0 878 0 0 3 3335 0 0 0 0 0 22 0 0 0 4791 0 0 0 0 3134 0 0 3 3335 0 0 0 0 0 1378.08 0 0 0 902780.74 0 0 0 0 1840594.3 0 0 6305.85 953710.46 0 0 0 0 0 3704769.43 965565.4 0 0 1001651821 1568538387 30 General Hospitals PRESENCE SAINT JOSEPH HOSPITAL 601234912 53 Kane DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 7 12 0 0 1770 0 0 0 0 336 0 0 0 623 0 0 0 0 0 9 86 0 0 2593 0 0 0 0 419 0 0 0 1414 0 0 0 0 0 9 120 0 0 2624 0 0 0 0 2074 0 0 0 3504 0 0 0 0 0 0 6288.59 0 0 345770.28 0 0 0 0 806163.15 0 0 0 190522.45 0 0 0 0 0 1348744.47 978610.18 0 0 1101330045 1659338168 31 Psychiatric Hospitals AURORA CHICAGO LAKESHORE HOSP 606407860 200 Cook PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 Hospital childrens mental health 0 0 105 0 0 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 0 220 0 0 0 0 0 0 0 299 0 0 0 0 0 0 0 0 0 0 964 0 0 0 0 0 0 0 2772 0 0 0 0 0 0 0 0 0 0 94025.47 0 0 0 0 0 0 0 918688.85 0 0 0 0 0 0 0 0 0 1012714.32 1010971.85 0 0 1101392220 1669420766 30 General Hospitals MCDONOUGH DISTRICT HOSP 614553313 70 McDonough ARS-PD Hospitals paid a Per Diem rate. 0 0 General Hospital - Adult and Child 0 3 0 0 0 1758 0 0 0 0 237 0 0 0 1072 0 0 0 0 0 3 0 0 0 2856 0 0 0 0 256 0 0 0 2404 0 0 0 0 0 3 0 0 0 2859 0 0 0 0 821 0 0 0 2434 0 0 0 0 0 79.38 0 0 0 386468.72 0 0 0 0 277123.98 0 0 0 358953.92 0 0 0 0 0 1022626 1022030.99 0 0 1101459549 1548375082 30 General Hospitals CHRIST HOSPITAL 604532600 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 19 109 0 0 3680 0 0 0 0 3558 0 0 0 2282 0 0 0 0 0 32 983 0 0 4769 0 0 0 0 4393 0 0 0 5256 0 0 0 0 0 109 1008 0 0 4770 0 0 0 0 22408 0 0 0 5304 0 0 0 0 0 343.06 73179.7 0 0 1382634.34 0 0 0 0 15112420.08 0 0 0 1474351.02 0 0 0 0 0 18042928.2 1023928.4 0 0 1101398086 1902854623 30 General Hospitals CGH MEDICAL CENTER 610811278 106 Whiteside DRG Hospitals reimbursed under our Diagnosis Related G 0 0 Government Owned 0 5 0 0 0 3223 0 0 0 0 646 0 0 2 1852 0 0 0 0 0 10 0 0 0 5167 0 0 0 0 727 0 0 2 4551 0 0 0 0 0 10 0 0 0 5167 0 0 0 0 2118 0 0 2 4551 0 0 0 0 0 92.83 0 0 0 793988.34 0 0 0 0 935614.78 0 0 3214.66 873679.4 0 0 0 0 0 2606590.01 1035532.35 0 0 1002480542 1770678260 30 General Hospitals PRESENCE ST MARYS HOSPITAL 609013661 54 Kankakee DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 6 57 0 0 2248 0 0 0 0 729 0 0 0 1032 0 0 0 0 0 12 476 0 0 3533 0 0 0 0 882 0 0 0 2061 0 0 0 0 0 13 862 0 0 3550 0 0 0 0 3529 0 0 0 2867 0 0 0 0 0 61.09 35858.83 0 0 453371.75 0 0 0 0 1360383.89 0 0 0 297086.25 0 0 0 0 0 2146761.81 1037662.01 0 0 1101069743 1205879095 32 Rehabilitation Hospitals SHIRLEY RYAN ABILITY LAB 606113167 200 Cook REHAB Rehabilitation hospitals paid a Per Diem rate. 0 0 0 8 1255 0 0 0 0 0 0 0 271 0 0 0 0 0 0 0 0 0 15 3788 0 0 0 0 0 0 0 294 0 0 0 0 0 0 0 0 0 33 5087 0 0 0 0 0 0 0 7174 0 0 0 0 0 0 0 0 0 312.42 123392.35 0 0 0 0 0 0 0 5958824.57 0 0 0 0 0 0 0 0 0 6082529.34 1065556.23 0 0 1101398089 1447228788 30 General Hospitals FREEPORT MEM HOSP 610324864 97 Stephenson DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 8 0 0 0 3577 0 0 0 0 557 0 0 0 1484 0 0 0 0 0 17 0 0 0 5830 0 0 0 0 628 0 0 0 4217 0 0 0 0 0 17 0 0 0 5830 0 0 0 0 2017 0 0 0 4217 0 0 0 0 0 20.06 0 0 0 927568.11 0 0 0 0 803610.4 0 0 0 804772.39 0 0 0 0 0 2535970.96 1088282.39 0 0 1004536904 1942685920 30 General Hospitals SSM HEALTH SAINT LOUIS UNIVERS 631102539 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 8 0 0 0 752 0 0 0 0 930 0 0 0 894 0 0 0 0 0 11 0 0 0 912 0 0 0 0 707 0 0 0 1693 0 0 0 0 0 13 0 0 0 912 0 0 0 0 4543 0 0 0 1762 0 0 0 0 0 22.7 0 0 0 150254.1 0 0 0 0 6523551.4 0 0 0 527404.59 0 0 0 0 0 7201232.79 1093398.41 0 13977.13 1101300399 1407808090 30 General Hospitals ST JAMES HOSPITAL 617649774 61 Livingston DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 8 0 0 0 1554 0 0 0 0 339 0 0 0 1081 0 0 0 0 0 18 0 0 0 2308 0 0 0 0 366 0 0 0 2341 0 0 0 0 0 18 0 0 0 2308 0 0 0 0 1039 0 0 0 2342 0 0 0 0 0 136.79 0 0 0 342490.67 0 0 0 0 383495.98 0 0 0 283003.17 0 0 0 0 0 1009126.61 1101422.01 0 0 1101043621 1306800602 30 General Hospitals ST ANTHONYS MEMORIAL HOSPITAL 624012006 33 Effingham DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 7 0 0 0 2185 0 0 0 0 600 0 0 0 1980 0 0 0 0 0 14 0 0 0 3256 0 0 0 0 655 0 0 0 4810 0 0 0 0 0 15 0 0 0 3256 0 0 0 0 1953 0 0 0 4860 0 0 0 0 0 1244.81 0 0 0 459917.85 0 0 0 0 822459.59 0 0 0 708176.34 0 0 0 0 0 1991798.59 1128209.38 0 0 1004338200 1033214416 30 General Hospitals COMMUNITY FIRST MEDICAL CENTER 606344403 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 9 0 0 0 2527 0 0 0 0 859 0 0 0 1099 0 0 0 0 0 9 0 0 0 3588 0 0 0 0 1118 0 0 0 2160 0 0 0 0 0 11 0 0 0 3588 0 0 0 0 5574 0 0 0 2568 0 0 0 0 0 0 0 0 0 524678.3 0 0 0 0 1760998.77 0 0 0 114373.82 0 0 0 0 0 2400050.89 1151303.38 0 0 1101052999 1154329753 30 General Hospitals ABRAHAM LINCOLN MEMORIAL HOSP 626562671 62 Logan ARS-PD Hospitals paid a Per Diem rate. 1 0 General Hospital - Adults Section 0 3 0 0 0 1486 0 0 0 0 175 0 0 1 767 0 0 0 0 0 3 0 0 0 2693 0 0 0 0 185 0 0 1 1524 0 0 0 0 0 3 0 0 0 2693 0 0 0 0 506 0 0 1 1524 0 0 0 0 0 310.53 0 0 0 766642.18 0 0 0 0 159456.54 0 0 4809.24 505744.08 0 0 0 0 0 1436962.57 1157262.88 0 0 1101086410 1851386692 30 General Hospitals PALOS COMMUNITY HOSPITAL 604631256 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 6 0 0 0 2108 0 0 0 0 718 0 0 0 664 0 0 0 0 0 7 0 0 0 2742 0 0 0 0 881 0 0 0 1198 0 0 0 0 0 11 0 0 0 2742 0 0 0 0 4262 0 0 0 1249 0 0 0 0 0 392.71 0 0 0 548991.29 0 0 0 0 1944562.9 0 0 0 80301.27 0 0 0 0 0 2574248.17 1209584.63 0 0 1101288387 1467412726 30 General Hospitals ST FRANCIS MEDICAL CENTER 637035049 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 4 0 0 0 713 0 0 0 0 194 0 0 0 408 0 0 0 0 0 7 0 0 0 1004 0 0 0 0 228 0 0 0 910 0 0 0 0 0 7 0 0 0 1004 0 0 0 0 1033 0 0 0 914 0 0 0 0 0 2.45 0 0 0 108783.67 0 0 0 0 694616.73 0 0 0 141188.53 0 0 0 0 0 944591.38 1229301 0 0 1101366800 1356435135 30 General Hospitals ST JOSEPH MEMORIAL HOSPITAL 629663333 47 Jackson DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 10 0 0 0 1286 0 0 0 0 77 0 0 0 2175 0 0 0 0 0 11 0 0 0 1941 0 0 0 0 91 0 0 0 4947 0 0 0 0 0 11 0 0 0 1941 0 0 0 0 312 0 0 0 5843 0 0 0 0 0 2779.58 0 0 0 780766.99 0 0 0 0 73061.42 0 0 0 2877208.8 0 0 0 0 0 3733816.79 1241727.14 0 0 1101336775 1427132604 30 General Hospitals GENESIS MEDICAL CENTER SILVIS 612821804 89 Rock Island DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 0 0 0 1603 0 0 0 0 420 0 0 0 691 0 0 0 0 0 2 0 0 0 2372 0 0 0 0 446 0 0 0 1364 0 0 0 0 0 2 0 0 0 2372 0 0 0 0 1156 0 0 0 1378 0 0 0 0 0 0 0 0 0 329452.38 0 0 0 0 581579.27 0 0 0 165565.21 0 0 0 0 0 1076596.86 1264825.43 0 0 1101054385 1427069632 30 General Hospitals EDWARD HOSPITAL 605407430 30 DuPage DRG Hospitals reimbursed under our Diagnosis Related G 0 0 PERINATAL LEVEL III CENTER 0 11 0 0 0 3938 0 0 0 0 1029 0 0 0 2057 0 0 0 0 0 18 0 0 0 5537 0 0 0 0 1188 0 0 0 4452 0 0 0 0 0 20 0 0 0 5537 0 0 0 0 5321 0 0 0 4528 0 0 0 0 0 604.54 0 0 0 969518.81 0 0 0 0 4056145.58 0 0 0 810512.4 0 0 0 0 0 5836781.33 1278442.9 0 0 1101423275 1023006566 32 Rehabilitation Hospitals SCHWAB REHAB HOSP 606081612 200 Cook REHAB Rehabilitation hospitals paid a Per Diem rate. 0 0 0 3 359 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 5 866 0 0 0 0 0 0 0 107 0 0 0 0 0 0 0 0 0 5 1626 0 0 0 0 0 0 0 1663 0 0 0 0 0 0 0 0 0 8.94 28738.14 0 0 0 0 0 0 0 1220721.15 0 0 0 0 0 0 0 0 0 1249468.23 1312481.08 0 0 1101336762 1053391359 30 General Hospitals SOUTH SHORE HOSPITAL CORPORATI 606171124 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 970 0 0 0 0 116 0 0 0 63 0 0 0 0 0 0 0 0 0 1198 0 0 0 0 123 0 0 0 67 0 0 0 0 0 0 0 0 0 1201 0 0 0 0 913 0 0 0 91 0 0 0 0 0 0 0 0 0 256437.34 0 0 0 0 438549.73 0 0 0 9961.52 0 0 0 0 0 704948.59 1314975.05 0 0 1101214589 1790734127 30 General Hospitals CHILDRENS HOSPITAL OF ILLINOIS 616370001 80 Peoria CHILDRENS Hospital designated as childrens hospitals and pai 0 0 PERINATAL LEVEL III CENTER 0 0 0 0 0 1714 0 0 0 0 901 0 0 0 2020 0 0 0 0 0 0 0 0 0 2259 0 0 0 0 1144 0 0 0 3219 0 0 0 0 0 0 0 0 0 2261 0 0 0 0 11423 0 0 0 3219 0 0 0 0 0 0 0 0 0 543884.18 0 0 0 0 23651984.57 0 0 0 2319452.59 0 0 0 0 0 26515321.34 1344478.26 0 0 1101209424 1407993116 30 General Hospitals METHODIST HOSPITAL OF CHICAGO 606402717 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 4 15 0 0 224 0 0 0 0 559 0 0 0 595 0 0 0 0 0 4 23 0 0 285 0 0 0 0 661 0 0 0 1078 0 0 0 0 0 12 91 0 0 285 0 0 0 0 3329 0 0 0 1382 0 0 0 0 0 256.08 11854.01 0 0 28811.85 0 0 0 0 1258880.67 0 0 0 78464.25 0 0 0 0 0 1378266.86 1360528.26 0 0 1101217539 1518930619 31 Psychiatric Hospitals THE PAVILION FOUNDATION 618203320 19 Champaign PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 Hospital childrens mental health 0 0 351 0 0 0 0 0 0 0 622 0 0 0 0 0 0 0 0 0 0 410 0 0 0 0 0 0 0 706 0 0 0 0 0 0 0 0 0 0 1090 0 0 0 0 0 0 0 7610 0 0 0 0 0 0 0 0 0 0 87806.75 0 0 0 0 0 0 0 5658723.89 0 0 0 0 0 0 0 0 0 5746530.64 1375509.86 0 0 1101432246 1164485363 30 General Hospitals ST MARY MEDICAL CENTER 614011251 56 Knox DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 9 0 0 0 1642 0 0 0 0 519 0 0 0 1134 0 0 0 0 0 19 0 0 0 2500 0 0 0 0 586 0 0 0 2308 0 0 0 0 0 22 0 0 0 2500 0 0 0 0 1972 0 0 0 2308 0 0 0 0 0 234.99 0 0 0 296455.92 0 0 0 0 590484.54 0 0 0 291502.56 0 0 0 0 0 1178678.01 1379903.04 0 0 1101183549 1164615670 30 General Hospitals ALTON MEMORIAL HOSPITAL 620026722 65 Madison DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 8 0 0 0 2954 0 0 0 0 802 0 0 0 1428 0 0 0 0 0 70 0 0 0 4495 0 0 0 0 883 0 0 0 3608 0 0 0 0 0 78 0 0 0 4495 0 0 0 0 3010 0 0 0 3657 0 0 0 0 0 1147.05 0 0 0 588545.12 0 0 0 0 953680.18 0 0 0 509046.84 0 0 0 0 0 2052419.19 1443793.19 0 0 1101168013 1972619815 30 General Hospitals PASSAVANT AREA HOSPITAL 626501136 77 Morgan DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 3 0 0 0 2677 0 0 0 0 644 0 0 1 1854 0 0 0 0 0 10 0 0 0 4719 0 0 0 0 712 0 0 1 4714 0 0 0 0 0 10 0 0 0 4719 0 0 0 0 2412 0 0 1 4721 0 0 0 0 0 0 0 0 0 610111.79 0 0 0 0 1112330.44 0 0 1948.36 627651.2 0 0 0 0 0 2352041.79 1458157.71 0 0 1101195358 1053481630 30 General Hospitals ANDERSON HOSPITAL 620621000 65 Madison DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 5 0 0 0 3342 0 0 0 0 860 0 0 6 1338 0 0 0 0 0 5 0 0 0 4616 0 0 0 0 908 0 0 6 2345 0 0 0 0 0 5 0 0 0 4616 0 0 0 0 2792 0 0 6 2345 0 0 0 0 0 70.29 0 0 0 708993.88 0 0 0 0 1084050.55 0 0 13601.88 468457.98 0 0 0 0 0 2275174.58 1490021.04 0 0 1101535954 1548306343 30 General Hospitals ELMHURST MEMORIAL HOSPITAL 601265658 30 DuPage DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 15 0 0 0 2839 0 0 0 0 1080 0 0 0 2274 0 0 0 0 0 24 0 0 0 3999 0 0 0 0 1207 0 0 0 7547 0 0 0 0 0 24 0 0 0 3999 0 0 0 0 4864 0 0 0 7663 0 0 0 0 0 298.77 0 0 0 575395.38 0 0 0 0 2896081.79 0 0 0 655023.57 0 0 0 0 0 4126799.51 1493863.81 0 0 1101209377 1982643961 30 General Hospitals THOREK MEMORIAL HOSPITAL 606133011 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 15 0 0 0 829 0 0 0 0 773 0 0 3 1014 0 0 0 0 0 43 0 0 0 1119 0 0 0 0 1078 0 0 3 4121 0 0 0 0 0 84 0 0 0 1169 0 0 0 0 5433 0 0 3 4122 0 0 0 0 0 3046.69 0 0 0 160988.42 0 0 0 0 1759145.89 0 0 7080.12 375158.34 0 0 0 0 0 2305419.46 1526948.94 0 0 1101181370 1952304826 30 General Hospitals RML HEALTH PROVIDERS LTD PTSHP 605214875 200 Cook ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 293 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11923 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10940557.64 0 0 0 0 0 0 0 0 0 10940557.64 1529554.79 0 0 1101063496 1467560128 30 General Hospitals SOUTH SUBURBAN HOSPITAL 604292029 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 7 0 0 0 2967 0 0 0 0 1029 0 0 0 1312 0 0 0 0 0 16 0 0 0 3934 0 0 0 0 1306 0 0 0 2483 0 0 0 0 0 36 0 0 0 3937 0 0 0 0 5245 0 0 0 2504 0 0 0 0 0 2044.25 0 0 0 652285.62 0 0 0 0 1670130.46 0 0 0 366361.6 0 0 0 0 0 2690821.93 1584219.93 0 0 1004489449 1710396932 30 General Hospitals OSF SAINT ANTHONYS HEALTH CNTR 620024568 65 Madison DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 10 111 0 0 2130 0 0 0 0 405 0 0 0 1399 0 0 0 0 0 19 525 0 0 3487 0 0 0 0 499 0 0 0 3632 0 0 0 0 0 19 525 0 0 3489 0 0 0 0 1940 0 0 0 3644 0 0 0 0 0 243.84 10176.03 0 0 352164.13 0 0 0 0 491150.93 0 0 0 461516.6 0 0 0 0 0 1315251.53 1707293.4 0 0 1101100565 1043280936 31 Psychiatric Hospitals HARTGROVE HOSPITAL 606441467 200 Cook PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 Hospital childrens mental health 0 0 877 0 0 0 0 0 0 0 623 0 0 0 0 0 0 0 0 0 0 3177 0 0 0 0 0 0 0 715 0 0 0 0 0 0 0 0 0 0 6715 0 0 0 0 0 0 0 10143 0 0 0 0 0 0 0 0 0 0 760225.84 0 0 0 0 0 0 0 7782814.6 0 0 0 0 0 0 0 0 0 8543040.44 1753306.95 0 0 1101339785 1043270424 30 General Hospitals SSM HEALTH GOOD SAMARITAN HOSP 628642402 49 Jefferson DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 8 0 0 0 3459 0 0 0 0 1503 0 0 0 2525 0 0 0 0 0 13 0 0 0 5402 0 0 0 0 1694 0 0 0 6137 0 0 0 0 0 18 0 0 0 5402 0 0 0 0 5664 0 0 0 7185 0 0 0 0 0 217.96 0 0 0 813362.33 0 0 0 0 3262168.26 0 0 0 786082.48 0 0 0 0 0 4861831.03 1784305.37 0 0 1101145874 1710070701 31 Psychiatric Hospitals RIVEREDGE HOSPITAL 601302529 200 Cook PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 0 1 684 0 0 0 0 0 0 0 564 0 0 0 0 0 0 0 0 0 1 2102 0 0 0 0 0 0 0 640 0 0 0 0 0 0 0 0 0 6 3718 0 0 0 0 0 0 0 7558 0 0 0 0 0 0 0 0 0 951.18 398148.16 0 0 0 0 0 0 0 3740098.29 0 0 0 0 0 0 0 0 0 4139197.63 1865777.45 0 0 1101489395 1093894990 30 General Hospitals COMER CHILDRENS HOSPITAL 606371447 200 Cook CHILDRENS Hospital designated as childrens hospitals and pai 0 0 General Hospital - Children Section 0 0 0 0 0 2925 0 0 0 0 1144 0 0 0 1262 0 0 0 0 0 0 0 0 0 4038 0 0 0 0 1488 0 0 0 2025 0 0 0 0 0 0 0 0 0 4038 0 0 0 0 17706 0 0 0 2025 0 0 0 0 0 0 0 0 0 844607.57 0 0 0 0 56785262.49 0 0 0 1736228.32 0 0 0 0 0 59366098.38 1923187.94 0 0 1101190681 1538208210 30 General Hospitals RIVERSIDE MED CTR 609012901 54 Kankakee DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 16 100 0 0 2880 0 0 0 0 1584 0 0 1 2328 0 0 0 0 0 33 222 0 0 4556 0 0 0 0 2134 0 0 1 6106 0 0 0 0 0 45 1468 0 0 4556 0 0 0 0 10596 0 0 1 6761 0 0 0 0 0 177.16 158513.05 0 0 678764 0 0 0 0 3899480.73 0 0 2101.95 875918.53 0 0 0 0 0 5614955.42 1991874.91 0 0 1101314832 1831170232 30 General Hospitals GOTTLIEB MEMORIAL HOSPITAL 601601612 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 4 0 0 0 1550 0 0 0 0 408 0 0 0 979 0 0 0 0 0 7 0 0 0 1991 0 0 0 0 467 0 0 0 1852 0 0 0 0 0 17 0 0 0 1993 0 0 0 0 2041 0 0 0 2157 0 0 0 0 0 239.89 0 0 0 340622.31 0 0 0 0 1110179.55 0 0 0 167109.83 0 0 0 0 0 1618151.58 1999026.72 0 0 1101254382 1619916822 31 Psychiatric Hospitals BHC STREAMWOOD HOSPITAL INC 601073201 200 Cook PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 Hospital childrens mental health 0 0 496 0 0 0 0 0 0 0 954 0 0 0 0 0 0 0 0 0 0 3193 0 0 0 0 0 0 0 1130 0 0 0 0 0 0 0 0 0 0 4976 0 0 0 0 0 0 0 14753 0 0 0 0 0 0 0 0 0 0 486013.61 0 0 0 0 0 0 0 11908729.22 0 0 0 0 0 0 0 0 0 12394742.83 2012097.91 0 0 1101302943 1447221312 30 General Hospitals GALESBURG COTTAGE HOSPITAL 614012807 56 Knox DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 3 0 0 0 1249 0 0 0 0 307 0 0 0 554 0 0 0 0 0 5 0 0 0 1907 0 0 0 0 329 0 0 0 1143 0 0 0 0 0 5 0 0 0 1907 0 0 0 0 1180 0 0 0 1155 0 0 0 0 0 46 0 0 0 234479.84 0 0 0 0 389716.75 0 0 0 108348.79 0 0 0 0 0 732591.38 2025948.85 0 0 1005729358 1679659585 30 General Hospitals PRESENCE SAINT JOSEPH CHICAGO 606575640 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 8 18 0 0 1204 0 0 0 0 1046 0 0 0 1571 0 0 0 0 0 14 52 0 0 1733 0 0 0 0 1144 0 0 0 3104 0 0 0 0 0 22 60 0 0 1733 0 0 0 0 4166 0 0 0 3112 0 0 0 0 0 71.81 1821.08 0 0 188543.09 0 0 0 0 2920768.15 0 0 0 290226.7 0 0 0 0 0 3401430.83 2105801.09 0 0 1101087797 1770531600 30 General Hospitals NORTHWEST COMMUNITY HOSPITAL 600052349 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 10 0 0 0 3061 0 0 0 0 1335 0 0 0 1962 0 0 0 0 0 15 0 0 0 4358 0 0 0 0 1519 0 0 0 4201 0 0 0 0 0 21 0 0 0 4358 0 0 0 0 6712 0 0 0 4290 0 0 0 0 0 53.56 0 0 0 693710.66 0 0 0 0 4775745.44 0 0 0 379155.84 0 0 0 0 0 5848665.5 2110472.64 0 0 1101419766 1326057076 30 General Hospitals ST FRANCIS HOSPITAL 620561778 76 Montgomery DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 5 0 0 0 1928 0 0 0 0 347 0 0 0 1436 0 0 0 0 0 7 0 0 0 2878 0 0 0 0 368 0 0 0 3493 0 0 0 0 0 7 0 0 0 2878 0 0 0 0 944 0 0 0 3764 0 0 0 0 0 374.72 0 0 0 545739.56 0 0 0 0 377353.04 0 0 0 906250.3 0 0 0 0 0 1829717.62 2178771.1 0 0 1005591468 1205923539 30 General Hospitals PRESENCE RESURRECTION MED CTR 606313707 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 12 0 0 0 2007 0 0 0 0 1091 0 0 0 1587 0 0 0 0 0 37 0 0 0 2566 0 0 0 0 1201 0 0 0 3049 0 0 0 0 0 44 0 0 0 2566 0 0 0 0 5093 0 0 0 3052 0 0 0 0 0 1069.22 0 0 0 381825.58 0 0 0 0 2753098.06 0 0 0 322374.98 0 0 0 0 0 3458367.84 2198991.22 0 0 1101444603 1932296472 30 General Hospitals INGALLS MEMORIAL HOSPITAL 604263558 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 16 204 0 0 4778 0 0 0 0 1207 0 0 0 1717 0 0 0 0 0 25 639 0 0 6553 0 0 0 0 1392 0 0 0 3531 0 0 0 0 0 35 639 0 0 6553 0 0 0 0 6560 0 0 0 3531 0 0 0 0 0 1016.32 43019.52 0 0 1155882.3 0 0 0 0 1933565.01 0 0 0 738665 0 0 0 0 0 3872148.15 2221624.8 0 0 1101369535 1164530465 30 General Hospitals ADVENTIST BOLINGBROOK HOSPITAL 604404906 107 Will DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 0 0 0 2146 0 0 0 0 613 0 0 0 1013 0 0 0 0 0 2 0 0 0 2919 0 0 0 0 689 0 0 0 2115 0 0 0 0 0 2 0 0 0 2929 0 0 0 0 2426 0 0 0 2210 0 0 0 0 0 32.03 0 0 0 515430.11 0 0 0 0 1157009.8 0 0 0 241108.16 0 0 0 0 0 1913580.1 2342698.02 0 0 1101365708 1245559871 30 General Hospitals WESTLAKE HOSPITAL 601604039 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 7 0 0 0 1554 0 0 0 0 792 0 0 0 743 0 0 0 0 0 9 0 0 0 2094 0 0 0 0 839 0 0 0 1238 0 0 0 0 0 30 0 0 0 2105 0 0 0 0 3094 0 0 0 1285 0 0 0 0 0 3058.94 0 0 0 282574.31 0 0 0 0 1244672.64 0 0 0 105288.82 0 0 0 0 0 1635594.71 2370283.4 0 0 1101319350 1578670543 30 General Hospitals GOOD SAMARITAN HOSPITAL 605151500 30 DuPage DRG Hospitals reimbursed under our Diagnosis Related G 0 0 Perinatal Level II Center 0 6 8 0 0 1704 0 0 0 0 961 0 0 0 796 0 0 0 0 0 9 43 0 0 2284 0 0 0 0 1185 0 0 0 1631 0 0 0 0 0 22 43 0 0 2287 0 0 0 0 6211 0 0 0 1644 0 0 0 0 0 1090.22 6912.6 0 0 528651.71 0 0 0 0 5657557.75 0 0 0 343764.8 0 0 0 0 0 6537977.08 2381376.69 0 0 1101157139 1770568123 30 General Hospitals LOUIS A WEISS MEMORIAL HOSP 606405759 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 12 0 0 0 2083 0 0 0 0 790 0 0 0 1571 0 0 0 0 0 21 0 0 0 3059 0 0 0 0 922 0 0 0 4976 0 0 0 0 0 24 0 0 0 3072 0 0 0 0 4783 0 0 0 5119 0 0 0 0 0 116.22 0 0 0 232085.66 0 0 0 0 2275157.3 0 0 0 231769.79 0 0 0 0 0 2739128.97 2391100.39 0 0 1003986783 1871678334 30 General Hospitals KINDRED HOSPITAL CHICAGO 999999999 200 Cook ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 0 0 0 0 0 307 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 340 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5466507.51 0 0 0 0 0 0 0 0 0 5466507.51 2396307.05 0 0 1101479698 1023097540 30 General Hospitals HSHS ST ELIZABETH HOSPITAL 622691099 96 St Clair DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 8 0 0 0 3253 0 0 0 0 825 0 0 0 1300 0 0 0 0 0 8 0 0 0 4686 0 0 0 0 917 0 0 0 2555 0 0 0 0 0 10 0 0 0 4686 0 0 0 0 3507 0 0 0 2585 0 0 0 0 0 81.92 0 0 0 658583.78 0 0 0 0 1238478.7 0 0 0 412910.8 0 0 0 0 0 2310055.2 2461689.5 0 0 1101213921 1255391611 30 General Hospitals ST MARYS HOSPITAL 628013056 66 Marion DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 10 365 0 0 2890 0 0 0 0 1160 0 0 0 1976 0 0 0 0 0 13 1017 0 0 4629 0 0 0 0 1394 0 0 0 4849 0 0 0 0 0 18 1226 0 0 4629 0 0 0 0 4909 0 0 0 6031 0 0 0 0 0 504.92 40682.87 0 0 983697.29 0 0 0 0 1873624.28 0 0 0 729351.96 0 0 0 0 0 3627861.32 2555773.78 0 0 1101025778 1629003165 30 General Hospitals COPLEY MEMORIAL HOSPITAL 605047222 30 DuPage DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 16 0 0 0 5333 0 0 0 0 1611 0 0 1 3029 0 0 0 0 0 38 0 0 0 7410 0 0 0 0 1674 0 0 1 6059 0 0 0 0 0 46 0 0 0 7412 0 0 0 0 5341 0 0 1 6564 0 0 0 0 0 1570.89 0 0 0 1661777.21 0 0 0 0 3179881.27 0 0 2130.27 1421655.13 0 0 0 0 0 6267014.77 2737879.6 0 0 1101321655 1568553519 30 General Hospitals SILVER CROSS HOSPITAL 604519508 107 Will DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 5 25 0 0 2895 0 0 0 0 1364 0 0 7 1463 0 0 0 0 0 9 314 0 0 3786 0 0 0 0 1614 0 0 7 2643 0 0 0 0 0 13 314 0 0 3829 0 0 0 0 6076 0 0 7 4123 0 0 0 0 0 60.63 49134.16 0 0 576925.17 0 0 0 0 3170931.81 0 0 14267.67 416859.77 0 0 0 0 0 4228179.21 2755401.36 0 0 1002592090 1629020086 30 General Hospitals PRESENCE COVENANT MEDICAL CTR 618012334 19 Champaign DRG Hospitals reimbursed under our Diagnosis Related G 0 0 Perinatal Level II Center 0 1 0 0 0 520 0 0 0 0 88 0 0 0 115 0 0 0 0 0 2 0 0 0 592 0 0 0 0 92 0 0 0 121 0 0 0 0 0 2 0 0 0 604 0 0 0 0 268 0 0 0 180 0 0 0 0 0 0 0 0 0 83408.18 0 0 0 0 120365.71 0 0 0 66004.46 0 0 0 0 0 269778.35 2814779.27 0 0 1101022249 1881782878 30 General Hospitals ST JOSEPH MEDICAL CENTER 617014364 72 McLean DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 9 0 0 0 1852 0 0 0 0 713 0 0 0 1410 0 0 0 0 0 34 0 0 0 2701 0 0 0 0 800 0 0 0 3529 0 0 0 0 0 43 0 0 0 2701 0 0 0 0 3175 0 0 0 3529 0 0 0 0 0 2203.55 0 0 0 398441.27 0 0 0 0 1281007.31 0 0 0 330273.38 0 0 0 0 0 2011925.51 2815868.08 0 0 1101240970 1598768780 30 General Hospitals LITTLE COMPANY OF MARY HOSP 608052746 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 11 0 0 0 2405 0 0 0 0 937 0 0 0 1174 0 0 0 0 0 17 0 0 0 3059 0 0 0 0 1081 0 0 0 2190 0 0 0 0 0 33 0 0 0 3124 0 0 0 0 5043 0 0 0 2195 0 0 0 0 0 63.01 0 0 0 390265.7 0 0 0 0 2057512.06 0 0 0 350249.9 0 0 0 0 0 2798090.67 2879761.57 0 0 1101511065 1326041229 30 General Hospitals ST MARYS HOSPITAL 625213810 63 Macon DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 10 6 0 0 5765 0 0 0 0 1204 0 0 0 2006 0 0 0 0 0 14 36 0 0 8992 0 0 0 0 1324 0 0 0 4313 0 0 0 0 0 15 40 0 0 8992 0 0 0 0 5175 0 0 0 4777 0 0 0 0 0 272.34 4488.06 0 0 1161851.66 0 0 0 0 2346286 0 0 0 686729.29 0 0 0 0 0 4199627.35 3088622.92 0 0 1101069699 1902941628 30 General Hospitals ALEXIAN BROTHERS MED CTR 600073311 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 6 0 0 0 1917 0 0 0 0 1291 0 0 0 1798 0 0 0 0 0 11 0 0 0 2542 0 0 0 0 1368 0 0 0 3958 0 0 0 0 0 22 0 0 0 2544 0 0 0 0 5391 0 0 0 4205 0 0 0 0 0 49.72 0 0 0 419284.35 0 0 0 0 2591496.87 0 0 0 456249.13 0 0 0 0 0 3467080.07 3250741.89 0 0 1101282699 1144549775 30 General Hospitals WEST SUBURBAN MEDICAL CNTR 603022519 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 14 0 0 0 4264 0 0 0 0 1741 0 0 0 1418 0 0 0 0 0 18 0 0 0 6041 0 0 0 0 1338 0 0 0 2911 0 0 0 0 0 30 0 0 0 6062 0 0 0 0 4840 0 0 0 2992 0 0 0 0 0 339.59 0 0 0 754066.78 0 0 0 0 2729298.43 0 0 0 273556.35 0 0 0 0 0 3757261.15 3521042.27 0 9380.74 1001257839 1427000884 30 General Hospitals PRESENCE UNITED SAMARITANS MC 618323752 100 Vermilion DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 1221 0 0 0 0 151 0 0 0 225 0 0 0 0 0 0 0 0 0 1413 0 0 0 0 156 0 0 0 294 0 0 0 0 0 0 0 0 0 1432 0 0 0 0 389 0 0 0 395 0 0 0 0 0 0 0 0 0 234756.21 0 0 0 0 262786.17 0 0 0 57982.77 0 0 0 0 0 555525.15 3575243.8 0 0 1101324527 1295804375 30 General Hospitals SARAH BUSH LINCOLN H C 619389253 24 Coles DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 15 0 0 0 4515 0 0 0 0 1258 0 0 10 3730 0 0 0 0 0 30 0 0 0 7279 0 0 0 0 1463 0 0 10 8068 0 0 0 0 0 31 0 0 0 7279 0 0 0 0 4875 0 0 10 8086 0 0 0 0 0 1201.16 0 0 0 1178989.48 0 0 0 0 2007042.1 0 0 20892.79 1375815.77 0 0 0 0 0 4583941.3 3900836.57 0 0 1101161718 1093801797 30 General Hospitals MEMORIAL HOSP CARBONDALE 629011462 47 Jackson DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 11 0 0 0 4356 0 0 0 0 2096 0 0 9 3967 0 0 0 0 0 18 0 0 0 6732 0 0 0 0 2475 0 0 9 8367 0 0 0 0 0 19 0 0 0 6732 0 0 0 0 8296 0 0 9 9433 0 0 0 0 0 469.34 0 0 0 1621761.14 0 0 0 0 5865162.07 0 0 19809.08 3508183.77 0 0 0 0 0 11015385.4 4139191.22 0 0 1101162125 1962424036 30 General Hospitals ADVOCATE BROMENN MEDICAL CTR 617613558 72 McLean DRG Hospitals reimbursed under our Diagnosis Related G 0 0 Hospital childrens mental health 0 5 6 0 0 1715 0 0 0 0 762 0 0 0 771 0 0 0 0 0 9 9 0 0 2612 0 0 0 0 823 0 0 0 1590 0 0 0 0 0 11 9 0 0 2612 0 0 0 0 3126 0 0 0 1592 0 0 0 0 0 258.91 87.29 0 0 357677.34 0 0 0 0 1273678.29 0 0 0 259270.39 0 0 0 0 0 1890972.22 4212930.5 0 0 1101134759 1558479212 30 General Hospitals TRINITY HOSPITAL 606173909 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 14 0 0 0 2896 0 0 0 0 1256 0 0 0 1322 0 0 0 0 0 28 0 0 0 3873 0 0 0 0 1476 0 0 0 2124 0 0 0 0 0 53 0 0 0 3875 0 0 0 0 5647 0 0 0 2128 0 0 0 0 0 4026.94 0 0 0 691587.41 0 0 0 0 2736279.81 0 0 0 249149.43 0 0 0 0 0 3681043.59 4405609.62 0 0 1002528957 1629026364 30 General Hospitals ADVOCATE SHERMAN HOSPITAL 999999999 53 Kane DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 8 0 0 0 3011 0 0 0 0 1577 0 0 2 2306 0 0 0 0 0 9 0 0 0 4201 0 0 0 0 1839 0 0 2 5283 0 0 0 0 0 9 0 0 0 4213 0 0 0 0 6770 0 0 2 5534 0 0 0 0 0 23.66 0 0 0 616365.14 0 0 0 0 3020125.75 0 0 1070.56 774152.31 0 0 0 0 0 4411737.42 4493085.21 0 0 1101345961 1790739977 30 General Hospitals ST ANTHONY MEDICAL CENTER 611082425 109 Winnebago DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 7 0 0 0 2472 0 0 0 0 1098 0 0 0 2457 0 0 0 0 0 11 0 0 0 3585 0 0 0 0 1305 0 0 0 6609 0 0 0 0 0 16 0 0 0 3585 0 0 0 0 5590 0 0 0 6622 0 0 0 0 0 192.63 0 0 0 412916.78 0 0 0 0 3320249.13 0 0 0 876983.78 0 0 0 0 0 4610342.32 4541437.2 0 0 1101152972 1487637591 30 General Hospitals ST JOHNS CHILDRENS HOSPITAL 627690002 91 Sangamon CHILDRENS Hospital designated as childrens hospitals and pai 0 0 Perinatal Level II Center 0 0 0 0 0 2640 0 0 0 0 879 0 0 0 1475 0 0 0 0 0 0 0 0 0 3515 0 0 0 0 1039 0 0 0 1874 0 0 0 0 0 0 0 0 0 3515 0 0 0 0 7669 0 0 0 1877 0 0 0 0 0 0 0 0 0 762247.25 0 0 0 0 14208742.97 0 0 0 1478021.42 0 0 0 0 0 16449011.64 4606854.75 0 0 1101141161 1477572949 30 General Hospitals GLENOAKS MEDICAL CENTER INC 601391405 30 DuPage DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 0 0 0 1551 0 0 0 0 629 0 0 2 621 0 0 0 0 0 2 0 0 0 2163 0 0 0 0 677 0 0 2 1000 0 0 0 0 0 10 0 0 0 2163 0 0 0 0 2895 0 0 2 1056 0 0 0 0 0 61.48 0 0 0 499149.18 0 0 0 0 1222094.91 0 0 6365.32 179641.85 0 0 0 0 0 1907312.74 4611070.42 0 0 1101232559 1124272547 30 General Hospitals ADVOCATE CONDELL MEDICAL CTR 600483204 57 Lake DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 6 0 0 0 2811 0 0 0 0 1128 0 0 0 1593 0 0 0 0 0 8 0 0 0 3733 0 0 0 0 1490 0 0 0 3300 0 0 0 0 0 9 0 0 0 3735 0 0 0 0 6831 0 0 0 3377 0 0 0 0 0 205.08 0 0 0 782914.7 0 0 0 0 3646233.92 0 0 0 646451.74 0 0 0 0 0 5075805.44 4632478.08 0 0 1101487225 1033163829 30 General Hospitals TRINITY MEDICAL CENTER 612015351 89 Rock Island DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 9 1329 0 0 4317 0 0 0 0 1299 0 0 0 1812 0 0 0 0 0 15 4735 0 0 7547 0 0 0 0 1458 0 0 0 3951 0 0 0 0 0 22 4735 0 0 7547 0 0 0 0 5103 0 0 0 5452 0 0 0 0 0 1268.85 144009.31 0 0 1469238.6 0 0 0 0 2121424.98 0 0 0 1061198.95 0 0 0 0 0 4797140.69 4740851.69 0 0 1101266041 1588771919 30 General Hospitals ST JAMES HOSP AND HLTH CTRS 604611010 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 17 0 0 0 4203 0 0 0 0 1508 0 0 0 1768 0 0 0 0 0 29 0 0 0 6153 0 0 0 0 1721 0 0 0 4028 0 0 0 0 0 34 0 0 0 6153 0 0 0 0 6810 0 0 0 4044 0 0 0 0 0 602.06 0 0 0 1347873.45 0 0 0 0 3637838.48 0 0 0 641323.83 0 0 0 0 0 5627637.82 4757598.71 0 0 1101483440 1750352746 30 General Hospitals HEARTLAND REGIONAL MEDICAL CTR 629595884 108 Williamson DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 7 0 0 0 2987 0 0 0 0 1090 0 0 6 1540 0 0 0 0 0 8 0 0 0 4002 0 0 0 0 1034 0 0 6 2397 0 0 0 0 0 8 0 0 0 4002 0 0 0 0 2769 0 0 6 2510 0 0 0 0 0 26.46 0 0 0 727627.98 0 0 0 0 2071312.42 0 0 7923.41 522134.86 0 0 0 0 0 3329025.13 4802446.76 0 1847.51 1101404710 1548357973 30 General Hospitals DECATUR MEMORIAL HOSP 625264163 63 Macon DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 23 0 0 0 4993 0 0 0 0 1451 0 0 7 4886 0 0 0 0 0 47 0 0 0 7949 0 0 0 0 1829 0 0 7 18129 0 0 0 0 0 55 0 0 0 7949 0 0 0 0 7609 0 0 7 18224 0 0 0 0 0 2294.94 0 0 0 1687001.28 0 0 0 0 3778833.64 0 0 11346.06 2694368.36 0 0 0 0 0 8173844.28 5069862.03 0 0 1101270921 1801908728 30 General Hospitals RUSH CHILDRENS SERVICES 606123809 200 Cook CHILDRENS Hospital designated as childrens hospitals and pai 0 0 0 0 0 0 0 531 0 0 0 0 439 0 0 0 647 0 0 0 0 0 0 0 0 0 669 0 0 0 0 540 0 0 0 954 0 0 0 0 0 0 0 0 0 669 0 0 0 0 6838 0 0 0 955 0 0 0 0 0 0 0 0 0 137475.22 0 0 0 0 16731474.58 0 0 0 626440.61 0 0 0 0 0 17495390.41 5118762.64 0 0 1005992715 1033210166 30 General Hospitals PRESENCE SAINT FRANCIS HOSP 999999999 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 12 0 0 0 2953 0 0 0 0 1281 0 0 0 1810 0 0 0 0 0 20 0 0 0 4451 0 0 0 0 1452 0 0 0 3779 0 0 0 0 0 30 0 0 0 4451 0 0 0 0 6191 0 0 0 3816 0 0 0 0 0 211.01 0 0 0 602028.37 0 0 0 0 4919462.52 0 0 0 631721.42 0 0 0 0 0 6153423.32 5294288.91 0 0 1101159627 1962425611 30 General Hospitals HOLY CROSS HOSPITAL 606291813 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 21 0 0 0 3404 0 0 0 0 1395 0 0 0 882 0 0 0 0 0 31 0 0 0 4744 0 0 0 0 1856 0 0 0 1362 0 0 0 0 0 50 0 0 0 4748 0 0 0 0 8925 0 0 0 1363 0 0 0 0 0 1424.92 0 0 0 1064812.93 0 0 0 0 4353723.86 0 0 0 223121.25 0 0 0 0 0 5643082.96 5324039.44 0 0 1101041878 1164539730 30 General Hospitals LUTHERAN GENERAL HOSPITAL 600681143 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 22 58 0 0 2144 0 0 0 0 2199 0 0 0 2350 0 0 0 0 0 32 287 0 0 2866 0 0 0 0 2761 0 0 0 4468 0 0 0 0 0 118 307 0 0 2873 0 0 0 0 14418 0 0 0 4500 0 0 0 0 0 1784.4 28657.6 0 0 502928.64 0 0 0 0 11081627.08 0 0 0 612392.41 0 0 0 0 0 12227390.13 5730552.06 0 0 1101308028 1003864810 30 General Hospitals CENTRAL DUPAGE HOSPITAL 601901222 30 DuPage DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 12 0 0 0 3094 0 0 0 0 1141 0 0 0 2934 0 0 0 0 0 15 0 0 0 4241 0 0 0 0 1296 0 0 0 5931 0 0 0 0 0 15 0 0 0 4241 0 0 0 0 5899 0 0 0 5948 0 0 0 0 0 535.54 0 0 0 1081332.73 0 0 0 0 6172072.66 0 0 0 1482618.19 0 0 0 0 0 8736559.12 5756420.94 0 0 1101423097 1487664561 30 General Hospitals PROVIDENT HOSPITAL OF COOK CO 606152400 200 Cook ARS-C.O.P. "JH Stroger, Oak Forest and Provident Hospitals, p" 0 0 Government Owned 0 0 0 0 0 2388 0 0 0 0 58 0 0 0 700 0 0 0 0 0 0 0 0 0 3116 0 0 0 0 58 0 0 0 922 0 0 0 0 0 0 0 0 0 3116 0 0 0 0 354 0 0 0 929 0 0 0 0 0 0 0 0 0 2591945.36 0 0 0 0 1154618.36 0 0 0 1505124.54 0 0 0 0 0 5251688.26 5757701.83 0 0 1101532186 1437199791 30 General Hospitals EVANSTON HOSPITAL 602011718 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 55 353 0 0 3917 0 0 0 0 2079 0 0 1 7945 0 0 0 0 0 158 802 0 0 5520 0 0 0 0 2587 0 0 1 30485 0 0 0 0 0 229 802 0 0 5524 0 0 0 0 12762 0 0 1 30485 0 0 0 0 0 2639.56 27468.96 0 0 835329.86 0 0 0 0 10492988.27 0 0 1798.33 2347751.94 0 0 0 0 0 13707976.92 5905802.63 0 0 1101142093 1720059520 30 General Hospitals GATEWAY REGIONAL MEDICAL CTR 620404713 65 Madison DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 11 106 0 0 2743 0 0 0 0 1144 0 0 1 1256 0 0 0 0 0 16 195 0 0 3996 0 0 0 0 1289 0 0 1 2175 0 0 0 0 0 23 195 0 0 3996 0 0 0 0 6242 0 0 1 2176 0 0 0 0 0 725.78 8892.29 0 0 745465.53 0 0 0 0 3058225.88 0 0 3383.74 303945.29 0 0 0 0 0 4120638.51 5993316.74 0 0 1101353248 1982796181 30 General Hospitals MEMORIAL HOSPITAL 622265399 96 St Clair DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 14 0 0 0 4142 0 0 0 0 1341 0 0 1 2213 0 0 0 0 0 23 0 0 0 6211 0 0 0 0 1515 0 0 1 5004 0 0 0 0 0 27 0 0 0 6211 0 0 0 0 6540 0 0 1 5004 0 0 0 0 0 785.14 0 0 0 961567.28 0 0 0 0 2851026.95 0 0 2560.76 707633.61 0 0 0 0 0 4523573.74 5996955.65 0 0 1101106325 1639120694 30 General Hospitals VISTA MEDICAL CENTER EAST 600852161 57 Lake DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 12 0 0 0 4378 0 0 0 0 1651 0 0 0 1881 0 0 0 0 0 15 0 0 0 6264 0 0 0 0 1814 0 0 0 2930 0 0 0 0 0 23 0 0 0 6265 0 0 0 0 6889 0 0 0 3088 0 0 0 0 0 1155.71 0 0 0 1488370.29 0 0 0 0 3935323.29 0 0 0 461256.95 0 0 0 0 0 5886106.24 6225604.07 0 0 1001704439 1639186638 30 General Hospitals PRESENCE MERCY MEDICAL CENTER 605061449 53 Kane DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 6 49 0 0 2946 0 0 0 0 644 0 0 0 1111 0 0 0 0 0 8 275 0 0 4603 0 0 0 0 789 0 0 0 2112 0 0 0 0 0 33 426 0 0 4662 0 0 0 0 3284 0 0 0 3051 0 0 0 0 0 135.89 25011.51 0 0 1150669.05 0 0 0 0 1892073.08 0 0 0 973161.24 0 0 0 0 0 4041050.77 6377603.25 0 0 1001292318 1124189733 30 General Hospitals PRESENCE SAINT JOSEPH MED CTR 604358200 107 Will DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 28 10 0 0 4200 0 0 0 0 1823 0 0 0 2298 0 0 0 0 0 55 35 0 0 6006 0 0 0 0 2361 0 0 0 4572 0 0 0 0 0 301 39 0 0 6194 0 0 0 0 10219 0 0 0 12533 0 0 0 0 0 1180.94 2994.84 0 0 934287 0 0 0 0 4451690.95 0 0 0 550487.77 0 0 0 0 0 5940641.5 6497081.01 0 0 1101064774 1518170877 30 General Hospitals ST ANTHONY HOSPITAL 606233501 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 11 0 0 0 2865 0 0 0 0 1357 0 0 0 1882 0 0 0 0 0 49 0 0 0 3722 0 0 0 0 1448 0 0 0 5245 0 0 0 0 0 51 0 0 0 3724 0 0 0 0 4591 0 0 0 5280 0 0 0 0 0 1448.99 0 0 0 837774.96 0 0 0 0 3486939.42 0 0 0 702906.6 0 0 0 0 0 5029069.97 6607046.71 0 0 1101213388 1689711764 30 General Hospitals BLESSING HOSPITAL 623012834 10 Adams DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 6 0 0 0 3917 0 0 0 0 1430 0 0 6 2368 0 0 0 0 0 7 0 0 0 6451 0 0 0 0 1667 0 0 6 5396 0 0 0 0 0 8 0 0 0 6451 0 0 0 0 5912 0 0 6 5491 0 0 0 0 0 372.21 0 0 0 1598641.89 0 0 0 0 3504481.74 0 0 16573.07 1578886.84 0 0 0 0 0 6698955.75 6904757.38 0 0 1101289438 1568472819 30 General Hospitals ROSELAND COMMUNITY HOSPITAL 606284200 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 0 0 0 1781 0 0 0 0 506 0 0 0 197 0 0 0 0 0 2 0 0 0 2326 0 0 0 0 349 0 0 0 251 0 0 0 0 0 2 0 0 0 2370 0 0 0 0 1828 0 0 0 256 0 0 0 0 0 0 0 0 0 504791 0 0 0 0 1139763.71 0 0 0 35843.51 0 0 0 0 0 1680398.22 7067750.63 0 12328.3 1101524914 1477690873 30 General Hospitals ST BERNARD HOSPITAL 606213114 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 0 0 0 3153 0 0 0 0 1235 0 0 0 840 0 0 0 0 0 3 0 0 0 4505 0 0 0 0 1452 0 0 0 1397 0 0 0 0 0 3 0 0 0 4532 0 0 0 0 5658 0 0 0 1489 0 0 0 0 0 193.8 0 0 0 1020525.61 0 0 0 0 2833361.38 0 0 0 255652.85 0 0 0 0 0 4109733.64 7071492.1 0 0 1101390918 1043581044 30 General Hospitals METRO SOUTH MEDICAL CENTER 604062428 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 11 0 0 0 3902 0 0 0 0 1491 0 0 0 1072 0 0 0 0 0 15 0 0 0 5378 0 0 0 0 1603 0 0 0 1552 0 0 0 0 0 28 0 0 0 5384 0 0 0 0 5868 0 0 0 1563 0 0 0 0 0 116.09 0 0 0 911730.91 0 0 0 0 3601441.33 0 0 0 111577.29 0 0 0 0 0 4624865.62 7319812.77 0 0 1101437001 1447280284 30 General Hospitals LORETTO HOSPITAL 606445059 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 4 0 0 0 1256 0 0 0 0 571 0 0 5 263 0 0 0 0 0 5 0 0 0 1725 0 0 0 0 693 0 0 85 556 0 0 0 0 0 9 0 0 0 2480 0 0 0 0 3763 0 0 85 1071 0 0 0 0 0 80.18 0 0 0 326963.35 0 0 0 0 2408530.64 0 0 5674.92 34047.56 0 0 0 0 0 2775296.65 7695133.33 0 0 1101057388 1275583155 30 General Hospitals METHODIST MEDICAL CNTR 616360002 80 Peoria DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 4 0 0 0 3908 0 0 0 0 1316 0 0 3 1807 0 0 0 0 0 5 0 0 0 5897 0 0 0 0 1429 0 0 3 3515 0 0 0 0 0 10 0 0 0 5900 0 0 0 0 5510 0 0 3 3983 0 0 0 0 0 60.72 0 0 0 1153048.53 0 0 0 0 2950354.2 0 0 1890.24 786371.83 0 0 0 0 0 4891725.52 7866302.33 0 0 1101429878 1831151257 30 General Hospitals SWEDISH COVENANT HOSPITAL 606253661 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 20 0 0 0 3855 0 0 0 0 2532 0 0 1 4320 0 0 0 0 0 36 0 0 0 5319 0 0 0 0 3015 0 0 1 11215 0 0 0 0 0 62 0 0 0 5321 0 0 0 0 11852 0 0 1 11374 0 0 0 0 0 2947.22 0 0 0 2391900.48 0 0 0 0 7950402.82 0 0 2360.04 1234333.69 0 0 0 0 0 11581944.25 8184745.19 0 0 1101363501 1376644385 30 General Hospitals ST ALEXIUS MEDICAL CENTER 601941018 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 3 0 0 0 1920 0 0 0 0 1448 0 0 0 1462 0 0 0 0 0 4 0 0 0 2591 0 0 0 0 1547 0 0 0 2821 0 0 0 0 0 4 0 0 0 2601 0 0 0 0 6474 0 0 0 3108 0 0 0 0 0 186.54 0 0 0 382307.45 0 0 0 0 4872871.91 0 0 0 311328.31 0 0 0 0 0 5566694.21 8432650.3 0 0 1101246624 1972594877 30 General Hospitals NORWEGIAN AMERICAN HOSP 606222743 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 7 6 0 0 2727 0 0 0 0 1293 0 0 1 993 0 0 0 0 0 10 10 0 0 3929 0 0 0 0 1522 0 0 1 2258 0 0 0 0 0 21 21 0 0 3929 0 0 0 0 7967 0 0 1 2271 0 0 0 0 0 423.79 2560.1 0 0 850363.2 0 0 0 0 5157146.96 0 0 472.01 443705.15 0 0 0 0 0 6454671.21 8540896.37 0 0 1101411006 1912014564 30 General Hospitals ADVOCATE ILLINOIS MASONIC MEDI 606575147 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 19 955 0 0 2445 0 0 0 0 1689 0 0 0 2619 0 0 0 0 0 34 6519 0 0 3412 0 0 0 0 2026 0 0 0 5846 0 0 0 0 0 51 6615 0 0 3412 0 0 0 0 10729 0 0 0 5889 0 0 0 0 0 2989.08 304527.28 0 0 907740.38 0 0 0 0 10064976.46 0 0 0 1258712.52 0 0 0 0 0 12538945.72 8844656.12 0 0 1101011787 1235234535 30 General Hospitals LURIE CHILDRENS HOSPITAL 606112991 200 Cook CHILDRENS Hospital designated as childrens hospitals and pai 0 0 PERINATAL LEVEL III CENTER 0 1 526 0 0 4201 0 0 0 0 2023 0 0 0 4026 0 0 0 0 0 3 2800 0 0 5718 0 0 0 0 2042 0 0 0 6950 0 0 0 0 0 10 2800 0 0 5718 0 0 0 0 21635 0 0 0 6950 0 0 0 0 0 23.53 196953.2 0 0 2000558.72 0 0 0 0 91711558.06 0 0 0 6736244.74 0 0 0 0 0 100645338.3 8850169.69 0 33458.2 1101384607 1497750699 30 General Hospitals JACKSON PARK HOSP FOUNDATION 606493954 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 7 4 0 0 1889 0 0 0 0 918 0 0 0 305 0 0 0 0 0 12 15 0 0 2645 0 0 0 0 1183 0 0 0 493 0 0 0 0 0 25 22 0 0 2649 0 0 0 0 5316 0 0 0 600 0 0 0 0 0 294.01 1864.14 0 0 442469.57 0 0 0 0 2381491.76 0 0 0 74641.75 0 0 0 0 0 2900761.23 9075268.9 0 0 1101302962 1427146430 30 General Hospitals LA RABIDA CHILDRENS HOSP 606491003 200 Cook CHILDRENS Hospital designated as childrens hospitals and pai 0 0 Children's Hospital 0 0 0 0 0 752 0 0 0 0 143 0 0 0 75 0 0 0 0 0 0 0 0 0 1017 0 0 0 0 223 0 0 0 187 0 0 0 0 0 0 0 0 0 1017 0 0 0 0 6409 0 0 0 187 0 0 0 0 0 0 0 0 0 175875.32 0 0 0 0 13913683.21 0 0 0 61435.52 0 0 0 0 0 14150994.05 9125516.38 0 0 1101521218 1437367166 30 General Hospitals JAVON BEA HOSPITAL 611033655 109 Winnebago DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 9 4 0 0 3505 0 0 0 0 2281 0 0 3 2733 0 0 0 0 0 11 4 0 0 5123 0 0 0 0 2670 0 0 3 5112 0 0 0 0 0 23 4 0 0 5129 0 0 0 0 12029 0 0 3 5151 0 0 0 0 0 874.9 184.76 0 0 1127182.38 0 0 0 0 12661966.21 0 0 6593.8 1516808.93 0 0 0 0 0 15313610.98 9874090.06 0 0 1101013948 1376521575 30 General Hospitals FOSTER G MCGAW HOSPITAL 601533328 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 33 0 0 0 1926 0 0 0 0 1586 0 0 0 5977 0 0 0 0 0 93 0 0 0 2558 0 0 0 0 1810 0 0 0 25584 0 0 0 0 0 128 0 0 0 2730 0 0 0 0 10275 0 0 0 28099 0 0 0 0 0 2534.26 0 0 0 705650.67 0 0 0 0 11777226.75 0 0 0 2573123.5 0 0 0 0 0 15058535.18 10101873.19 0 0 1101285702 1760542732 30 General Hospitals SWEDISHAMERICAN HOSPITAL 611042315 109 Winnebago DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 20 14 0 0 5516 0 0 0 0 1705 0 0 0 2941 0 0 0 0 0 37 94 0 0 8656 0 0 0 0 2047 0 0 0 7085 0 0 0 0 0 58 94 0 0 9194 0 0 0 0 8587 0 0 0 7668 0 0 0 0 0 871.13 14676.92 0 0 1507321.27 0 0 0 0 3618286.12 0 0 0 1554117.95 0 0 0 0 0 6695273.39 10833992.8 0 0 1101099799 1083696835 30 General Hospitals ST JOHNS HOSPITAL 627690002 91 Sangamon DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 11 4 0 0 5678 0 0 0 0 2710 0 0 0 3362 0 0 0 0 0 13 12 0 0 9961 0 0 0 0 3077 0 0 0 6730 0 0 0 0 0 27 51 0 0 9972 0 0 0 0 14154 0 0 0 7667 0 0 0 0 0 1534.74 0 0 0 2255469.08 0 0 0 0 10620381.9 0 0 0 2508788.5 0 0 0 0 0 15386174.22 11097730.13 0 0 1101459549 1548375082 30 General Hospitals CHRIST HOSPITAL 604532600 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 19 109 0 0 3680 0 0 0 0 3558 0 0 0 2282 0 0 0 0 0 32 983 0 0 4769 0 0 0 0 4393 0 0 0 5256 0 0 0 0 0 109 1008 0 0 4770 0 0 0 0 22408 0 0 0 5304 0 0 0 0 0 343.06 73179.7 0 0 1382634.34 0 0 0 0 15112420.08 0 0 0 1474351.02 0 0 0 0 0 18042928.2 11653593.89 0 0 1101100943 1417043977 30 General Hospitals RUSH UNIVERSITY MEDICAL CENTER 606123839 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 54 97 0 0 3618 0 0 0 0 2265 0 0 4 6877 0 0 0 0 0 104 164 0 0 5367 0 0 0 0 2598 0 0 4 26397 0 0 0 0 0 138 201 0 0 5380 0 0 0 0 11921 0 0 7 27257 0 0 0 0 0 2683.01 5111.72 0 0 905876.01 0 0 0 0 9284759.95 0 0 15097.06 2787431.33 0 0 0 0 0 13000959.08 12066325.6 0 0 1101190495 1427111046 30 General Hospitals TOUCHETTE REGIONAL HOSPITAL 622072326 96 St Clair DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 7 44 0 0 1726 0 0 0 0 502 0 0 0 706 0 0 0 0 0 8 77 0 0 2503 0 0 0 0 550 0 0 0 1124 0 0 0 0 0 11 471 0 0 2503 0 0 0 0 2276 0 0 0 1793 0 0 0 0 0 146.45 68963.69 0 0 352961.62 0 0 0 0 1598745.33 0 0 0 156370.29 0 0 0 0 0 2177187.38 12231090.19 0 0 1101191809 1730166224 30 General Hospitals MERCY HOSPITAL MEDICAL CENTER 606162315 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 20 56 0 0 3772 0 0 0 0 2325 0 0 0 3487 0 0 0 0 0 40 176 0 0 5200 0 0 0 0 2844 0 0 0 6825 0 0 0 0 0 57 176 0 0 5204 0 0 0 0 12434 0 0 0 6829 0 0 0 0 0 2595.36 12312.73 0 0 914578.09 0 0 0 0 6427962.83 0 0 0 997224.3 0 0 0 0 0 8354673.31 13179432.7 0 0 1005496029 1922177229 30 General Hospitals PRESENCE SAINTS MARY & ELIZABE 606228151 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 37 1067 0 0 5433 0 0 0 0 3076 0 0 0 3953 0 0 0 0 0 62 4018 0 0 7977 0 0 0 0 3617 0 0 0 7743 0 0 0 0 0 139 4062 0 0 7977 0 0 0 0 19089 0 0 0 7866 0 0 0 0 0 8799.42 181495.17 0 0 1600812.81 0 0 0 0 10828944.32 0 0 0 1363649.99 0 0 0 0 0 13983701.71 13287254.91 0 0 1101178472 1255317590 30 General Hospitals MEMORIAL MEDICAL CENTER 627810001 91 Sangamon DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 22 0 0 0 6252 0 0 0 0 2967 0 0 14 5524 0 0 0 0 0 36 0 0 0 10942 0 0 0 0 3566 0 0 14 11220 0 0 0 0 0 52 0 0 0 10942 0 0 0 0 17878 0 0 14 11530 0 0 0 0 0 1856.79 0 0 0 2458760.29 0 0 0 0 12682458.94 0 0 30360.53 4307785.75 0 0 0 0 0 19481222.3 13654344.95 0 0 1101535101 1497859649 30 General Hospitals NORTHWESTERN MEMORIAL HOSPITAL 606112908 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 PERINATAL LEVEL III CENTER 0 39 167 0 0 3502 0 0 0 0 3304 0 0 0 5700 0 0 0 0 0 69 736 0 0 5446 0 0 0 0 3768 0 0 0 14223 0 0 0 0 0 74 939 0 0 5446 0 0 0 0 21648 0 0 0 14260 0 0 0 0 0 1413.05 15908.51 0 0 1118781.53 0 0 0 0 24289597.32 0 0 0 1901012.42 0 0 0 0 0 27326712.83 13934406.98 0 0 1101369048 1386733681 30 General Hospitals SINAI CHILDRENS HOSPITAL 606081704 200 Cook CHILDRENS Hospital designated as childrens hospitals and pai 0 0 General Hospital - Children Section 0 0 0 0 0 581 0 0 0 0 122 0 0 0 216 0 0 0 0 0 0 0 0 0 666 0 0 0 0 126 0 0 0 234 0 0 0 0 0 0 0 0 0 666 0 0 0 0 2147 0 0 0 234 0 0 0 0 0 0 0 0 0 129083.09 0 0 0 0 4976363.32 0 0 0 104649.78 0 0 0 0 0 5210096.19 15237583.67 0 0 1101150923 1043260482 30 General Hospitals SAINT FRANCIS MEDICAL CENTER 616370001 80 Peoria DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 19 511 0 0 4071 0 0 0 0 3212 0 0 0 5599 0 0 0 0 0 27 1843 0 0 6080 0 0 0 0 3896 0 0 0 13005 0 0 0 0 0 31 1920 0 0 6082 0 0 0 0 20526 0 0 0 13018 0 0 0 0 0 800.8 86722.96 0 0 1445743.9 0 0 0 0 14293772.99 0 0 0 3416456.02 0 0 0 0 0 19243496.67 18591140.52 0 0 1101170905 1518057769 30 General Hospitals MT SINAI HOSP MED CTR CHICAGO 606081704 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 16 0 0 0 3101 0 0 0 0 2389 0 0 4 3527 0 0 0 0 0 46 0 0 0 4237 0 0 0 0 2715 0 0 4 6473 0 0 0 0 0 117 0 0 0 4262 0 0 0 0 11684 0 0 4 8247 0 0 0 0 0 6108.26 0 0 0 1045578.64 0 0 0 0 15738831.29 0 0 9661.4 1421174.24 0 0 0 0 0 18221353.83 19729896.24 0 0 1101266657 1619034659 30 General Hospitals CARLE FOUNDATION HOSPITAL 618012529 19 Champaign DRG Hospitals reimbursed under our Diagnosis Related G 0 0 PERINATAL LEVEL III CENTER 0 13 0 0 0 9431 0 0 0 0 3462 0 0 1 7695 0 0 0 0 0 14 0 0 0 14521 0 0 0 0 3960 0 0 1 15755 0 0 0 0 0 14 0 0 0 14521 0 0 0 0 19332 0 0 1 15755 0 0 0 0 0 257.13 0 0 0 3064713.92 0 0 0 0 18415850.5 0 0 3035.45 5072665.89 0 0 0 0 0 26556522.89 21040381.03 0 0 1101486990 1508956509 30 General Hospitals UNIVERSITY OF CHICAGO HOSPITAL 606371447 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 71 414 0 0 4830 0 0 0 0 3323 0 0 3 7473 0 0 0 0 0 188 1412 0 0 7000 0 0 0 0 3839 0 0 3 41743 0 0 0 0 0 214 1412 0 0 7000 0 0 0 0 19282 0 0 3 42019 0 0 0 0 0 8612.71 44650.39 0 0 1229465 0 0 0 0 30557510.49 0 0 4893 3174630.56 0 0 0 0 0 35019762.15 26654502.28 0 0 1101215791 1861431751 30 General Hospitals UNIVERSITY OF ILLINOIS HOSP 606127232 200 Cook ARS-U.I. "University of Illinois Hospital, paid under an AR" 0 0 Government Owned 0 48 656 0 0 3854 0 0 0 0 2779 0 0 2 8788 0 0 0 0 0 125 1936 0 0 5679 0 0 0 0 3328 0 0 2 34680 0 0 0 0 0 223 1962 0 0 5679 0 0 0 0 20009 0 0 7 41695 0 0 0 0 0 18722.5 320408.31 0 0 2004469.21 0 0 0 0 38788816.86 0 0 6275.01 8479351.51 0 0 0 0 0 49618043.4 29016877.98 0 0 1101492540 1588612832 30 General Hospitals J H STROGER HOSP OF COOK CTY 606123714 200 Cook ARS-C.O.P. "JH Stroger, Oak Forest and Provident Hospitals, p" 0 0 0 21 0 0 0 8592 0 0 0 0 2609 0 0 8 4748 0 0 0 0 0 24 0 0 0 12218 0 0 0 0 2952 0 0 8 9313 0 0 0 0 0 54 0 0 0 12248 0 0 0 0 18213 0 0 8 9640 0 0 0 0 0 2686.36 0 0 0 9390403.27 0 0 0 0 62981851.77 0 0 38071.67 14628107.9 0 0 0 0 0 87041120.97 152970367.1 0 0 1000000004 1497093264 16 Nurse Practitioners KNOWSKI PEGGY L 626759467 73 Menard 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 164 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 192 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 192 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5235.8 0 0 0 0 0 0 5235.8 0 0 0 1000000270 91 Waiver service provider--Adults (DHS/DDD) 110 Woodford 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 303 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 303 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7910.65 0 0 0 0 0 0 0 0 0 0 0 0 0 7910.65 0 0 0 1000004098 1235415597 16 Nurse Practitioners JEHL REBECCA 606102089 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 251.02 0 0 0 0 0 0 251.02 0 0 0 1000004240 1912262775 16 Nurse Practitioners MILLER JAMES E 600250128 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 756.65 0 0 0 0 0 0 756.65 0 0 0 1000005118 1851550743 10 Physicians RUFF ILANA 606118709 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1154.12 0 0 0 0 0 0 1154.12 0 0 0 1000006043 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9969.68 0 0 0 0 0 0 0 0 0 0 0 0 0 9969.68 0 0 0 1000006293 93 Waiver service provider--HIV/AIDS (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2172.3 0 0 0 0 0 0 0 0 0 0 0 0 0 2172.3 0 0 0 1000006409 92 Waiver service provider--Disability (DHS/DRS) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19288.48 0 0 0 0 0 0 0 0 0 0 0 0 0 19288.48 0 0 0 1000007522 1336466713 10 Physicians BHARGAVA ANU 601533328 200 Cook 0 0 Pediatrics 0 0 0 0 54 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 4609.8 0 0 0 0 0 0 0 0 4395.22 0 0 0 0 0 0 9005.02 0 0 0 1000008031 1104060110 10 Physicians JIRSCHELE CAMERON 606740018 200 Cook 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 5 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35.3 0 1570.23 0 0 0 0 0 0 1605.53 0 0 0 1000008265 91 Waiver service provider--Adults (DHS/DDD) 30 DuPage 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 155 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 155 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14245.56 0 0 0 0 0 0 0 0 0 0 0 0 0 14245.56 0 0 0 1000008601 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26448.7 0 0 0 0 0 0 0 0 0 0 0 0 0 26448.7 0 0 0 1000009580 10 Physicians 102 Warren 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42.5 0 0 0 0 0 0 42.5 0 0 0 1000009628 1518020353 10 Physicians TRUONG ANTHONY L 627034514 96 St Clair 0 1 Family Practice 0 0 0 0 3 0 0 0 0 0 0 8 0 79 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 8 0 162 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 8 0 162 0 0 0 0 0 0 0 0 0 616.02 0 0 0 0 0 0 91.56 0 3190.17 0 0 0 0 0 0 3897.75 0 0 0 1000009944 1588989107 10 Physicians BRUMUND SHANNON 600052349 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 186 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5192.94 0 0 0 0 0 0 5192.94 0 0 0 1000011759 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 850.17 0 0 0 0 0 0 0 0 0 0 0 0 0 850.17 0 0 0 1000012794 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28981.3 0 0 0 0 0 0 0 0 0 0 0 0 0 28981.3 0 0 0 1000013048 1386076644 97 Waiver service provider--Children's residential (D RUSSO KATHLEEN 999999999 200 Cook 0 0 0 0 0 0 0 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 890 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 890 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55434 0 0 0 0 0 0 0 0 0 0 0 0 0 55434 0 0 0 1000013348 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40585.56 0 0 0 0 0 0 0 0 0 0 0 0 0 40585.56 0 0 0 1000015025 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1000018741 91 Waiver service provider--Adults (DHS/DDD) 852 Wisconsin 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9261.88 0 0 0 0 0 0 0 0 0 0 0 0 0 9261.88 0 0 0 1000018823 1174844682 10 Physicians JAIN NELIA 600103141 57 Lake 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2292.75 0 0 0 0 0 0 2292.75 0 0 0 1000019209 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 803 0 0 0 0 0 0 0 0 0 0 0 0 0 803 0 0 0 1000019366 1760823116 33 Nursing Facilities WARREN BARR LIVING & REHAB CTR 606107325 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 781 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16899 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1921235.51 0 0 0 0 0 0 0 1921235.51 0 0 0 1000020097 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2426.23 0 0 0 0 0 0 0 0 0 0 0 0 0 2426.23 0 0 0 1000021785 91 Waiver service provider--Adults (DHS/DDD) 75 Monroe 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 333 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 333 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16546.93 0 0 0 0 0 0 0 0 0 0 0 0 0 16546.93 0 0 0 1000022527 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19779.35 0 0 0 0 0 0 0 0 0 0 0 0 0 19779.35 0 0 0 1000022821 1558618678 30 General Hospitals FRESENIUS MEDICAL CARE ELGIN 601239219 53 Kane DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 346 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4176 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14305.53 0 0 0 0 0 14305.53 0 0 0 1000023192 91 Waiver service provider--Adults (DHS/DDD) 107 Will 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 625 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 625 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30098.93 0 0 0 0 0 0 0 0 0 0 0 0 0 30098.93 0 0 0 1000025388 1417113069 10 Physicians FISHBEIN ANNA 606116649 200 Cook 0 0 Pediatrics 0 0 0 0 1 0 0 0 0 0 0 5 0 46 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 9 0 79 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 9 0 79 0 0 0 0 0 0 0 0 0 6.4 0 0 0 0 0 0 101.71 0 4043.83 0 0 0 0 0 0 4151.94 0 0 0 1000026236 92 Waiver service provider--Disability (DHS/DRS) 66 Marion 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5663.57 0 0 0 0 0 0 0 0 0 0 0 0 0 5663.57 0 0 0 1000026621 1023453362 10 Physicians DANIEL SILVER 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2074.96 0 0 0 0 0 0 0 0 2074.96 0 0 0 1000027664 1023056090 46 Ambulatory Surgical Treatment Centers GAILEY EYE SURGERY DECATUR LLC 999999999 63 Macon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8914.06 0 0 0 0 0 8914.06 0 0 0 1000029377 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20659.15 0 0 0 0 0 0 0 0 0 0 0 0 0 20659.15 0 0 0 1001059679 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13891.95 0 0 0 0 0 0 0 0 0 0 0 0 0 13891.95 0 0 0 1001061231 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 348 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 348 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41294 0 0 0 0 0 0 0 0 0 0 0 0 0 41294 0 0 0 1001063359 91 Waiver service provider--Adults (DHS/DDD) 21 Clark 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 918.06 0 0 0 0 0 0 0 0 0 0 0 0 0 918.06 0 0 0 1001064609 1437396330 16 Nurse Practitioners MUSTO JENNIFER 618012529 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 647.89 0 0 0 0 0 0 647.89 0 0 0 1001065127 1265532493 33 Nursing Facilities VANDALIA REHAB HEALTH CARE 999999999 34 Fayette 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 484 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13878 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1252572.43 0 0 0 0 0 0 0 1252572.43 0 0 0 1001065463 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1021.88 0 0 0 0 0 0 0 0 0 0 0 0 0 1021.88 0 0 0 1001065465 1073724076 10 Physicians KAKODKAR KEDAR 609012901 54 Kankakee 0 0 Otolaryngology 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1500.06 0 0 0 0 0 0 1500.06 0 0 0 1001065539 22 Physical Therapists 72 McLean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 610.4 610.4 0 0 0 1001065922 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 799.42 0 0 0 0 0 0 0 0 0 0 0 0 0 799.42 0 0 0 1001065993 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001066156 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2410.34 0 0 0 0 0 0 0 0 0 0 0 0 0 2410.34 0 0 0 1001066218 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1231.51 0 0 0 0 0 0 0 0 0 0 0 0 0 1231.51 0 0 0 1001066270 1003254624 55 Early Intervention Services JOHNSON KILEY 610218829 106 Whiteside 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 776 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 776 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34555.73 0 0 0 0 0 0 34555.73 0 0 0 1001066325 1831336023 63 Other Providers of Medical Equipment/Supplies (Non FAMILY MEDICAL SUPPLIES 600041591 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 260 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8172 0 137 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8172 0 137 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 329489.52 0 4686.7 0 0 0 0 334176.22 0 0 0 1001066381 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47457.88 0 0 0 0 0 0 0 0 0 0 0 0 0 47457.88 0 0 0 1001066609 1720234222 10 Physicians RAGAUSKAITE LAURA 604519547 107 Will 0 0 Surgery General 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2752.15 0 0 0 0 0 0 2752.15 0 0 0 1001066816 1346212693 10 Physicians RAHMAN AZIZUR 611145603 109 Winnebago 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 6 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 907.2 0 0 0 0 0 0 907.2 0 0 0 1001066839 1174869408 16 Nurse Practitioners LOWRANCE DEBRA L 625263226 63 Macon 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 201 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 370 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 370 0 0 0 0 0 0 0 0 0 85.65 0 0 0 0 0 0 0 0 26117.44 0 0 0 0 0 0 26203.09 0 0 0 1001066963 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2296.71 0 0 0 0 0 0 0 0 0 0 0 0 0 2296.71 0 0 0 1001067084 4001067084 10 Physicians LAVINE KORY J 631600352 91 Sangamon 0 0 Cardiology 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77.62 0 0 0 0 0 0 77.62 0 0 0 1001067179 94 Waiver service provider--Children's support (DHS/D 200 Cook 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6064.57 0 0 0 0 0 0 0 0 0 0 0 0 0 6064.57 0 0 0 1001067212 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23524.83 0 0 0 0 0 0 0 0 0 0 0 0 0 23524.83 0 0 0 1001067430 92 Waiver service provider--Disability (DHS/DRS) 836 Ohio 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5725.55 0 0 0 0 0 0 0 0 0 0 0 0 0 5725.55 0 0 0 1001067666 1518300698 55 Early Intervention Services WADE-COLLIE CATHERINE A 629015103 47 Jackson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 808 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 808 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49905.17 0 0 0 0 0 0 49905.17 0 0 0 1001067830 1922186238 16 Nurse Practitioners CARR TRACY 641843225 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1561.99 0 0 0 0 0 0 1561.99 0 0 0 1001068089 1821314105 10 Physicians HARDEN KIMBERLY 606751620 200 Cook 0 1 Family Practice 0 0 0 0 4 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 127 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 127 0 0 0 0 0 0 0 0 0 185.68 0 0 0 0 0 0 0 0 2167.2 0 0 0 0 0 0 2352.88 0 0 0 1001068423 87 Psychologist(Encounter Only) 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001068542 94 Waiver service provider--Children's support (DHS/D 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17528.37 0 0 0 0 0 0 0 0 0 0 0 0 0 17528.37 0 0 0 1001068847 4001068847 13 Podiatrists KWON SOYOUNG 607142610 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 372.58 0 0 0 0 0 0 372.58 0 0 0 1001068879 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 168 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 168 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15977.5 0 0 0 0 0 0 0 0 0 0 0 0 0 15977.5 0 0 0 1001069127 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 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Tazewell 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15867.56 15867.56 0 0 0 1001076343 1598905887 10 Physicians GUFFEY RYAN C 631600352 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 6 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 793.72 0 0 0 0 0 0 793.72 0 0 0 1001076445 1063652469 10 Physicians SKONDRA DIMITRA 606123723 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5073.91 0 0 0 0 0 0 5073.91 0 0 0 1001076582 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1364.18 0 0 0 0 0 0 0 0 0 0 0 0 0 1364.18 0 0 0 1001076932 1114224987 10 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(DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4340.26 0 0 0 0 0 0 0 0 0 0 0 0 0 4340.26 0 0 0 1001206388 16 Nurse Practitioners 815 Indiana 0 0 General Psychiatry Residency 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114.8 0 0 0 0 0 0 114.8 0 0 0 1001206448 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 349 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 349 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22671 0 0 0 0 0 0 0 0 0 0 0 0 0 22671 0 0 0 1001206494 1881740561 10 Physicians LANE JOHAN OLOF 602011718 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 188 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 188 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6.3 0 1351.28 0 0 0 0 0 0 1357.58 0 0 0 1001206596 1124460126 11 Dentists 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provider--Disability (DHS/DRS) 108 Williamson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34033.73 0 0 0 0 0 0 0 0 0 0 0 0 0 34033.73 0 0 0 1001253950 1881023299 16 Nurse Practitioners DAWOOD JOYCE 946081844 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3957.2 0 0 0 0 0 0 3957.2 0 0 0 1001254024 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24968.2 0 0 0 0 0 0 0 0 0 0 0 0 0 24968.2 0 0 0 1001254356 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4577.74 0 0 0 0 0 0 0 0 0 0 0 0 0 4577.74 0 0 0 1001254452 92 Waiver service provider--Disability (DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1438.49 0 0 0 0 0 0 0 0 0 0 0 0 0 1438.49 0 0 0 1001254829 92 Waiver service provider--Disability (DHS/DRS) 85 Pulaski 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 608.34 0 0 0 0 0 0 0 0 0 0 0 0 0 608.34 0 0 0 1001254861 1619218732 30 General Hospitals TAZEWELL COUNTY DIALYSIS 615544807 98 Tazewell DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 656 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19165.68 0 0 0 0 0 19165.68 0 0 0 1001255064 1013238310 10 Physicians HOQUE SARAH 606082486 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 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0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55.28 0 0 0 0 0 0 55.28 0 0 0 1001259389 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13142.59 0 0 0 0 0 0 0 0 0 0 0 0 0 13142.59 0 0 0 1001259513 94 Waiver service provider--Children's support (DHS/D 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4719 0 0 0 0 0 0 0 0 0 0 0 0 0 4719 0 0 0 1001259545 1962753277 48 Rural Health Clinics CROSSROADS FAM MED MT VERNON 628646545 49 Jefferson 0 1 0 0 537 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1657 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1657 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51416.69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51416.69 0 0 0 1001259679 91 Waiver service provider--Adults (DHS/DDD) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23221.8 0 0 0 0 0 0 0 0 0 0 0 0 0 23221.8 0 0 0 1001259797 14 Chiropractors 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10.39 0 0 0 0 0 0 10.39 0 0 0 1001259881 1700207784 16 Nurse Practitioners TROTTER ANNA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 324 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 810 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 810 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10033.83 0 0 0 0 0 0 10033.83 0 0 0 1001259934 1952490682 70 Ambulance Service Providers ST LOUIS FIRE DEPARTMENT 631392913 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8314.72 0 0 0 0 0 0 8314.72 0 0 0 1001260058 1770899221 10 Physicians SINGH MANAMAR 604332548 107 Will 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 238 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 238 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1676.46 0 0 0 0 0 0 1676.46 0 0 0 1001260074 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 452.3 0 0 0 0 0 0 0 0 0 0 0 0 0 452.3 0 0 0 1001260365 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1203.6 0 0 0 0 0 0 0 0 0 0 0 0 0 1203.6 0 0 0 1001260641 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14432.61 0 0 0 0 0 0 0 0 0 0 0 0 0 14432.61 0 0 0 1001260659 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12833.76 0 0 0 0 0 0 0 0 0 0 0 0 0 12833.76 0 0 0 1001260800 91 Waiver service provider--Adults (DHS/DDD) 105 White 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 349 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 349 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21638.4 0 0 0 0 0 0 0 0 0 0 0 0 0 21638.4 0 0 0 1001260890 91 Waiver service provider--Adults (DHS/DDD) 26 Cumberland 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14466.23 0 0 0 0 0 0 0 0 0 0 0 0 0 14466.23 0 0 0 1001261035 10 Physicians 80 Peoria 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69.55 0 0 0 0 0 0 69.55 0 0 0 1001261066 87 Psychologist(Encounter Only) 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001261374 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10246.44 0 0 0 0 0 0 0 0 0 0 0 0 0 10246.44 0 0 0 1001261464 1144565458 16 Nurse Practitioners ALMADADHA HIBA 28950784 53 Kane 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 728.69 0 0 0 0 0 0 728.69 0 0 0 1001261513 1609188267 10 Physicians PATEL EKTA 602015910 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300 0 0 0 0 0 0 300 0 0 0 1001262014 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4489.29 0 0 0 0 0 0 0 0 0 0 0 0 0 4489.29 0 0 0 1001262113 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 933.15 0 0 0 0 0 0 0 0 0 0 0 0 0 933.15 0 0 0 1001262253 30 General Hospitals 810 Florida NON-COST "Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74.53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74.53 0 0 0 1001262275 10 Physicians 815 Indiana 0 0 Pediatric Cardiology 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 156.55 0 0 0 0 0 0 156.55 0 0 0 1001262406 1720382088 10 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Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 639.83 0 0 0 0 0 0 0 0 0 0 0 0 0 639.83 0 0 0 1001318909 1861818031 29 ICF/MR PINE TERRACE 600874829 57 Lake 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 384 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 940845.11 0 0 0 0 0 0 0 0 0 0 940845.11 0 0 0 1001318960 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11705.97 0 0 0 0 0 0 0 0 0 0 0 0 0 11705.97 0 0 0 1001319217 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19444.52 0 0 0 0 0 0 0 0 0 0 0 0 0 19444.52 0 0 0 1001319218 88 Other behavior health professional(Encounter Only) 71 McHenry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 584.07 0 0 0 0 0 0 584.07 0 0 0 1001319243 91 Waiver service provider--Adults (DHS/DDD) 64 Macoupin 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11812.36 0 0 0 0 0 0 0 0 0 0 0 0 0 11812.36 0 0 0 1001319343 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2451.28 0 0 0 0 0 0 0 0 0 0 0 0 0 2451.28 0 0 0 1001319479 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15140.67 0 0 0 0 0 0 0 0 0 0 0 0 0 15140.67 0 0 0 1001319783 92 Waiver service provider--Disability (DHS/DRS) 50 Jersey 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10618.01 0 0 0 0 0 0 0 0 0 0 0 0 0 10618.01 0 0 0 1001319920 1891058566 10 Physicians MOODALAGIRIAIAH MAMATHA 605406533 30 DuPage 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8640.61 0 0 0 0 0 0 8640.61 0 0 0 1001320023 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4356.63 0 0 0 0 0 0 0 0 0 0 0 0 0 4356.63 0 0 0 1001320424 92 Waiver service provider--Disability (DHS/DRS) 17 Carroll 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12430.19 0 0 0 0 0 0 0 0 0 0 0 0 0 12430.19 0 0 0 1001320542 1457671745 10 Physicians ROHDE JAY 999999999 80 Peoria 0 0 0 0 0 0 8 0 0 0 0 0 0 6 0 103 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 6 0 204 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 6 0 204 0 0 0 0 0 0 0 0 0 657.25 0 0 0 0 0 0 44.72 0 9473.5 0 0 0 0 0 0 10175.47 0 0 0 1001320606 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17571.65 0 0 0 0 0 0 0 0 0 0 0 0 0 17571.65 0 0 0 1001321296 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 893.2 0 0 0 0 0 0 0 0 0 0 0 0 0 893.2 0 0 0 1001321371 91 Waiver service provider--Adults (DHS/DDD) 30 DuPage 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7918.56 0 0 0 0 0 0 0 0 0 0 0 0 0 7918.56 0 0 0 1001321547 92 Waiver service provider--Disability (DHS/DRS) 25 Crawford 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4087.68 0 0 0 0 0 0 0 0 0 0 0 0 0 4087.68 0 0 0 1001321733 92 Waiver service provider--Disability (DHS/DRS) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29072.56 0 0 0 0 0 0 0 0 0 0 0 0 0 29072.56 0 0 0 1001321743 92 Waiver service provider--Disability (DHS/DRS) 63 Macon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13030 0 0 0 0 0 0 0 0 0 0 0 0 0 13030 0 0 0 1001321863 1457647810 10 Physicians SPARROW CHRISTOPHER 616151941 80 Peoria 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1194.32 0 0 0 0 0 0 1194.32 0 0 0 1001322234 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 279 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 279 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10044.06 0 0 0 0 0 0 0 0 0 0 0 0 0 10044.06 0 0 0 1001322281 1518918747 65 Independent Diagnostic Testing Facility (IDTF) DIAGNOSTIC SOLUTIONS INC 601391895 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 826.61 0 0 0 0 0 0 0 0 826.61 0 0 0 1001322372 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1489.85 0 0 0 0 0 0 0 0 0 0 0 0 0 1489.85 0 0 0 1001322659 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94865.96 0 0 0 0 0 0 0 0 0 0 0 0 0 94865.96 0 0 0 1001322691 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 134 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 134 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10852.34 0 0 0 0 0 0 0 0 0 0 0 0 0 10852.34 0 0 0 1001322721 4001322721 16 Nurse Practitioners MONROE KATHRYN 606035606 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 541.41 0 0 0 0 0 0 541.41 0 0 0 1001322971 1184852162 10 Physicians OBRIEN AMANDA 627083428 91 Sangamon 0 0 Obstetric-Gynecology 0 0 0 0 6 0 0 0 0 0 0 30 0 95 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 76 0 188 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 76 0 188 0 0 0 0 0 0 0 0 0 890.93 0 0 0 0 0 0 1587.05 0 17675 0 0 0 0 0 0 20152.98 0 0 0 1001323006 92 Waiver service provider--Disability (DHS/DRS) 89 Rock Island 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21255.12 0 0 0 0 0 0 0 0 0 0 0 0 0 21255.12 0 0 0 1001323074 1497067318 16 Nurse Practitioners HAJIAN NISHA 601545803 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 446.56 0 0 0 0 0 0 446.56 0 0 0 1001323223 91 Waiver service provider--Adults (DHS/DDD) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24387 0 0 0 0 0 0 0 0 0 0 0 0 0 24387 0 0 0 1001323286 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28628.44 0 0 0 0 0 0 0 0 0 0 0 0 0 28628.44 0 0 0 1001323500 93 Waiver service provider--HIV/AIDS (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7359.95 0 0 0 0 0 0 0 0 0 0 0 0 0 7359.95 0 0 0 1001323664 92 Waiver service provider--Disability (DHS/DRS) 17 Carroll 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1962.1 0 0 0 0 0 0 0 0 0 0 0 0 0 1962.1 0 0 0 1001323878 1689992885 10 Physicians PARIKH RUCHI 616151941 80 Peoria 0 1 Family Practice 0 0 0 0 14 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 147 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 147 0 0 0 0 0 0 0 0 0 1935.94 0 0 0 0 0 0 0 0 2688.89 0 0 0 0 0 0 4624.83 0 0 0 1001323995 1558673152 10 Physicians PALEPU SAI PRASHANTH BABU 628591213 41 Hamilton 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 541 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 541 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9953.23 0 0 0 0 0 0 9953.23 0 0 0 1001324240 1396900791 10 Physicians COLEMAN JOHN 606118709 200 Cook 0 0 Pulmonary 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(DHS/DRS) 100 Vermilion 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4880.3 0 0 0 0 0 0 0 0 0 0 0 0 0 4880.3 0 0 0 1001324964 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10391.45 0 0 0 0 0 0 0 0 0 0 0 0 0 10391.45 0 0 0 1001325044 98 Waiver service provider--TBI (DHS/DRS) 72 McLean 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1712.56 0 0 0 0 0 0 0 0 0 0 0 0 0 1712.56 0 0 0 1001325082 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1049.45 0 0 0 0 0 0 0 0 0 0 0 0 0 1049.45 0 0 0 1001325136 91 Waiver service provider--Adults (DHS/DDD) 200 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(DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2143.96 0 0 0 0 0 0 0 0 0 0 0 0 0 2143.96 0 0 0 1001350313 10 Physicians 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69.55 0 0 0 0 0 0 69.55 0 0 0 1001350853 98 Waiver service provider--TBI (DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3126.65 0 0 0 0 0 0 0 0 0 0 0 0 0 3126.65 0 0 0 1001350999 1831332345 10 Physicians FARIS SARAH 522421009 816 Iowa 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 5 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14.35 0 1622.69 0 0 0 0 0 0 1637.04 0 0 0 1001351187 1902187867 10 Physicians HARVEY NATASHA 601203843 53 Kane 0 0 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(DHS/DDD) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12345.97 0 0 0 0 0 0 0 0 0 0 0 0 0 12345.97 0 0 0 1001581591 23 Occupational Therapists 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 79.05 79.05 0 0 0 1001581683 1649516410 16 Nurse Practitioners POMAR RANDY R. 600992676 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33.31 0 0 0 0 0 0 33.31 0 0 0 1001581686 1972926244 60 Pharmacies DESNA PHARMACY INC 600905035 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1726 0 0 2331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1726 0 0 63936 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 91439.11 0 0 15258.8 0 0 0 106697.91 0 0 0 1001581979 10 Physicians 200 Cook 0 0 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service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4564.59 0 0 0 0 0 0 0 0 0 0 0 0 0 4564.59 0 0 0 1001593972 1407288442 16 Nurse Practitioners WEHRMANN KATHERINE 604021108 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8476.05 0 0 0 0 0 0 8476.05 0 0 0 1001594119 1538280706 16 Nurse Practitioners MORRIS MARK 616151941 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72.9 0 0 0 0 0 0 72.9 0 0 0 1001594223 1750716734 16 Nurse Practitioners GIFFORD JULIE 616151941 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 760.78 0 0 0 0 0 0 760.78 0 0 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2395.8 0 0 0 0 0 0 0 0 0 0 0 0 0 2395.8 0 0 0 1001688665 1790025997 16 Nurse Practitioners TAI YEN 606133505 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 264.25 0 0 0 0 0 0 264.25 0 0 0 1001688779 70 Ambulance Service Providers 45 Henry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001689232 1962713909 10 Physicians MARTINEZ JAIME 619389253 24 Coles 0 1 Family Practice 0 0 0 0 23 0 0 0 0 0 0 359 0 1273 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 450 0 1886 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 450 0 1886 0 0 0 0 0 0 0 0 0 1379.31 0 0 0 0 0 0 8664.83 0 71666.01 0 0 0 0 0 0 81710.15 0 0 0 1001689374 24 Speech Therapists 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 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(DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1128.66 0 0 0 0 0 0 0 0 0 0 0 0 0 1128.66 0 0 0 1002671756 1356509038 10 Physicians OTTO TARA M 322581199 810 Florida 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 625.99 0 0 0 0 0 0 0 0 625.99 0 0 0 1002671889 1639412562 16 Nurse Practitioners ADHIKARI RACHANA 623012719 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 173 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 173 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2646.85 0 0 0 0 0 0 2646.85 0 0 0 1002671983 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21124.1 0 0 0 0 0 0 0 0 0 0 0 0 0 21124.1 0 0 0 1002672349 91 Waiver 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24729.32 0 0 0 0 0 0 0 0 0 0 0 0 0 24729.32 0 0 0 1003146522 92 Waiver service provider--Disability (DHS/DRS) 96 St Clair 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1181.28 0 0 0 0 0 0 0 0 0 0 0 0 0 1181.28 0 0 0 1003146772 1770999005 60 Pharmacies WALGREENS #15667 606036191 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4299 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3009.45 0 0 0 3009.45 0 0 0 1003147211 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13433.04 0 0 0 0 0 0 0 0 0 0 0 0 0 13433.04 0 0 0 1003148294 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 542.99 0 0 0 0 0 0 0 0 0 0 0 0 0 542.99 0 0 0 1003249472 1497151542 12 Optometrists SMITH CHARITA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2458.91 0 0 0 0 0 0 2458.91 0 0 0 1003249900 1194133017 33 Nursing Facilities MANOR COURT OF CARBONDALE 629011082 47 Jackson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 565 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15774 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1711527.66 0 0 0 0 0 0 0 1711527.66 0 0 0 1003250242 30 General Hospitals 845 Texas ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500.28 0 0 0 0 0 0 500.28 0 0 0 1003375840 30 General Hospitals 811 Georgia ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1289.62 0 0 0 0 0 0 0 0 0 1289.62 0 0 0 1003376633 16 Nurse Practitioners 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130.52 0 0 0 0 0 0 130.52 0 0 0 1003376654 1114198223 10 Physicians CHHANGANI BANTU S 606751611 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 481.04 0 0 0 0 0 0 481.04 0 0 0 1003377442 1902185085 10 Physicians FEWLASS DARIUS C 303285834 30 DuPage 0 0 Emergency Medicine 0 0 0 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0 1003765951 1114224532 10 Physicians ROTHFELD JEREMY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 404 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 404 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11330.58 0 0 0 0 0 0 11330.58 0 0 0 1003765978 1316335870 16 Nurse Practitioners DEAN ERIN 609012901 54 Kankakee 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 112 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 237 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 237 0 0 0 0 0 0 0 0 0 2299.89 0 0 0 0 0 0 0 0 5792.73 0 0 0 0 0 0 8092.62 0 0 0 1003766041 93 Waiver service provider--HIV/AIDS (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1091.23 0 0 0 0 0 0 0 0 0 0 0 0 0 1091.23 0 0 0 1003766381 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3264.22 0 0 0 0 0 0 0 0 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0 0 0 0 0 507.65 0 0 0 1003773398 92 Waiver service provider--Disability (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16765.58 0 0 0 0 0 0 0 0 0 0 0 0 0 16765.58 0 0 0 1003773428 1114198678 10 Physicians REVENAUGH PETER 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 204 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 204 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9570.53 0 0 0 0 0 0 9570.53 0 0 0 1003773503 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1.85 0 0 0 0 0 0 1.85 0 0 0 1003773666 30 General Hospitals 815 Indiana ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 1 0 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 16 0 0 0 1 0 0 0 0 0 0 0 0 0 50 0 0 0 0 8382.55 0 0 0 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0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1240.61 0 0 0 0 0 0 1240.61 0 0 0 1003776707 1144473190 10 Physicians CHOW SELINA 605275965 30 DuPage 0 0 Geriatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 328.25 0 0 0 0 0 0 328.25 0 0 0 1003776868 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9112.52 0 0 0 0 0 0 0 0 0 0 0 0 0 9112.52 0 0 0 1003777012 92 Waiver service provider--Disability (DHS/DRS) 96 St Clair 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4623.65 0 0 0 0 0 0 0 0 0 0 0 0 0 4623.65 0 0 0 1003777537 91 Waiver service provider--Adults (DHS/DDD) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 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LLC 479063374 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12690 0 0 0 0 0 0 12690 0 0 0 1003781087 10 Physicians 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003781141 92 Waiver service provider--Disability (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5079.67 0 0 0 0 0 0 0 0 0 0 0 0 0 5079.67 0 0 0 1003782624 1770879017 10 Physicians HENSCH JULIA 612044028 89 Rock Island 0 0 Pediatrics 0 0 0 0 9 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 905.63 0 0 0 0 0 0 0 0 731.28 0 0 0 0 0 0 1636.91 0 0 0 1003783165 23 Occupational Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 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0 0 0 850.57 0 0 0 0 0 0 850.57 0 0 0 1003849004 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 612.54 0 0 0 0 0 0 0 0 0 0 0 0 0 612.54 0 0 0 1003849050 24 Speech Therapists 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 725.6 725.6 0 0 0 1003849099 1992919401 89 Physician Assistant Only(Encounter Only) FOX SUSAN R 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 407.47 0 0 0 0 0 0 407.47 0 0 0 1003849459 1497014229 10 Physicians FRALEY CATHERINE C 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2489.37 0 0 0 0 0 0 2489.37 0 0 0 1003849684 40 Federally Qualified Health Centers 200 Cook 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60.48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60.48 0 0 0 1003850146 1326308248 10 Physicians SADANALA USHA 999999999 49 Jefferson 0 0 0 0 0 0 24 0 0 0 0 0 0 66 0 230 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 88 0 394 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 88 0 394 0 0 0 0 0 0 0 0 0 2231.32 0 0 0 0 0 0 708.48 0 25090 0 0 0 0 0 0 28029.8 0 0 0 1003850424 1407155096 10 Physicians GUNASEKARA SAMINDI M 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 163 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 163 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43.78 0 2719.77 0 0 0 0 0 0 2763.55 0 0 0 1003850465 91 Waiver service provider--Adults (DHS/DDD) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17256.09 0 0 0 0 0 0 0 0 0 0 0 0 0 17256.09 0 0 0 1003850537 1346538345 10 Physicians KHAN IMAD 613501604 58 La Salle 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 620 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 706 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 706 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24472.66 0 0 0 0 0 0 24472.66 0 0 0 1003850908 94 Waiver service provider--Children's support (DHS/D 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6611 0 0 0 0 0 0 0 0 0 0 0 0 0 6611 0 0 0 1003851102 94 Waiver service provider--Children's support (DHS/D 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 176 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 176 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14940.95 0 0 0 0 0 0 0 0 0 0 0 0 0 14940.95 0 0 0 1003851246 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7854 0 0 0 0 0 0 0 0 0 0 0 0 0 7854 0 0 0 1003851400 16 Nurse Practitioners 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2.72 0 0 0 0 0 0 2.72 0 0 0 1003851489 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 137.5 0 0 0 0 0 0 0 0 0 0 0 0 0 137.5 0 0 0 1003851511 92 Waiver service provider--Disability (DHS/DRS) 65 Madison 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9377.36 0 0 0 0 0 0 0 0 0 0 0 0 0 9377.36 0 0 0 1003851645 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003851649 1558461772 89 Physician Assistant Only(Encounter Only) MILLER BOBBIE J 999999999 48 Jasper 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95.92 0 0 0 0 0 0 95.92 0 0 0 1003851666 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2418.32 0 0 0 0 0 0 0 0 0 0 0 0 0 2418.32 0 0 0 1003851673 94 Waiver service provider--Children's support (DHS/D 30 DuPage 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49.5 0 0 0 0 0 0 0 0 0 0 0 0 0 49.5 0 0 0 1003851732 1841696259 16 Nurse Practitioners HARD KATHRYN E 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 398.9 0 0 0 0 0 0 398.9 0 0 0 1003851791 1740672252 86 Clinical Social Worker(Encounter Only) DURAN VICTORIA 600563457 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45.48 0 0 0 0 0 0 45.48 0 0 0 1003852110 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3059.47 0 0 0 0 0 0 0 0 0 0 0 0 0 3059.47 0 0 0 1003852155 92 Waiver service provider--Disability (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8645.12 0 0 0 0 0 0 0 0 0 0 0 0 0 8645.12 0 0 0 1003852174 94 Waiver service provider--Children's support (DHS/D 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7512.66 0 0 0 0 0 0 0 0 0 0 0 0 0 7512.66 0 0 0 1003852269 1639307168 10 Physicians ATTA FYNN ROSEMARY 463426638 815 Indiana 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4291.86 0 0 0 0 0 0 4291.86 0 0 0 1003852394 1013047190 13 Podiatrists O''DONNELL PATRICIA M 601228942 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 743.2 0 0 0 0 0 0 743.2 0 0 0 1003852403 1558538041 10 Physicians IRUKE JENNIS U 999999999 80 Peoria 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 318 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 318 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2773.56 0 0 0 0 0 0 2773.56 0 0 0 1003852586 1497982334 10 Physicians FOLEY RYAN T. 605238723 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 398 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 573 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 573 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7645.03 0 441.02 0 0 0 0 0 0 8086.05 0 0 0 1003852668 1326408188 87 Psychologist(Encounter Only) DACUS ANNA E 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5409.35 0 0 0 0 0 0 5409.35 0 0 0 1003852809 1851732465 22 Physical Therapists LARSON KATHERINE 606470360 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 356 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 356 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25704.66 25704.66 0 0 0 1003853013 1366602625 10 Physicians SANDBERG SARAH A 999999999 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 526.52 0 0 0 0 0 0 526.52 0 0 0 1003853256 1972873735 16 Nurse Practitioners KELLY ELIZABETH 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 289.26 0 0 0 0 0 0 289.26 0 0 0 1003853318 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3366 0 0 0 0 0 0 0 0 0 0 0 0 0 3366 0 0 0 1003853378 1639465776 10 Physicians KIELTYKA JUDE 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 583.9 0 0 0 0 0 0 583.9 0 0 0 1003853459 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23755.86 0 0 0 0 0 0 0 0 0 0 0 0 0 23755.86 0 0 0 1003853460 92 Waiver service provider--Disability (DHS/DRS) 30 DuPage 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 578.81 0 0 0 0 0 0 0 0 0 0 0 0 0 578.81 0 0 0 1003853472 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 736.8 0 0 0 0 0 0 0 0 0 0 0 0 0 736.8 0 0 0 1003853638 1790046860 10 Physicians BHATNAGAR SONALI 604405125 63 Macon 0 0 Family Practice 0 0 0 0 8 0 0 0 0 0 0 1 0 19 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 1 0 29 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 1 0 29 0 0 0 0 0 0 0 0 0 697.92 0 0 0 0 0 0 2.58 0 1115.59 0 0 0 0 0 0 1816.09 0 0 0 1003853745 1093924003 10 Physicians OU JIAFU 999999999 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 495.88 0 0 0 0 0 0 495.88 0 0 0 1003853757 1669764791 10 Physicians BERGER KINLEY 601262816 30 DuPage 0 0 Obstetric-Gynecology 0 0 0 0 3 0 0 0 0 0 0 29 0 71 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 32 0 103 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 32 0 103 0 0 0 0 0 0 0 0 0 199.29 0 0 0 0 0 0 18.85 0 10536.84 0 0 0 0 0 0 10754.98 0 0 0 1003853771 1508192048 10 Physicians SIECIECHOWICZ DIANA 999999999 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 136 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13595.92 0 0 0 0 0 0 13595.92 0 0 0 1003853809 1326147489 11 Dentists MASTROIANNI JEFFREY S 999999999 96 St Clair 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9420 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9420 0 0 0 1003853898 1972865020 10 Physicians ANDERSON KRISTINA M 622062822 96 St Clair 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 546.3 0 0 0 0 0 0 546.3 0 0 0 1003853939 1063776078 10 Physicians SAVITCH BENJAMIN 999999999 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 503 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 718 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 718 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17395.89 0 0 0 0 0 0 17395.89 0 0 0 1003854033 1174992127 16 Nurse Practitioners GORDON STEPHANIE D 999999999 33 Effingham 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 200 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 200 0 0 0 0 0 0 0 0 0 339.51 0 0 0 0 0 0 0 0 24957.68 0 0 0 0 0 0 25297.19 0 0 0 1003854188 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17537.75 0 0 0 0 0 0 0 0 0 0 0 0 0 17537.75 0 0 0 1003854342 1487011144 16 Nurse Practitioners VOGLER SHAUNA B 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 970.44 0 0 0 0 0 0 970.44 0 0 0 1003854363 1093106023 24 Speech Therapists GOUGH LORI J 193827321 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13126.32 13126.32 0 0 0 1003854466 1285950287 10 Physicians MATHEW TESSIE 606740018 200 Cook 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 230.94 0 0 0 0 0 0 0 0 196.4 0 0 0 0 0 0 427.34 0 0 0 1003854484 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27643.69 0 0 0 0 0 0 0 0 0 0 0 0 0 27643.69 0 0 0 1003854732 16 Nurse Practitioners 108 Williamson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003854884 1851704035 10 Physicians SALHADAR AMMAR 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 132 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 132 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 963.12 0 0 0 0 0 0 963.12 0 0 0 1003855046 1104226166 88 Other behavior health professional(Encounter Only) DOYLE KURT P 999999999 74 Mercer 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1300.38 0 0 0 0 0 0 1300.38 0 0 0 1003855163 1346614435 86 Clinical Social Worker(Encounter Only) SHORES-GASTON RENITA 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4437.37 0 0 0 0 0 0 4437.37 0 0 0 1003855570 1023405776 88 Other behavior health professional(Encounter Only) MURPHY SYLVIA A 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6479.81 0 0 0 0 0 0 6479.81 0 0 0 1003855693 1457542920 10 Physicians CHACRA WADIH 999999999 805 California 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 265 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 265 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12723.19 0 0 0 0 0 0 12723.19 0 0 0 1003856022 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11729.76 0 0 0 0 0 0 0 0 0 0 0 0 0 11729.76 0 0 0 1003856080 10 Physicians 96 St Clair 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 69 0 0 0 1003856437 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20875.64 0 0 0 0 0 0 0 0 0 0 0 0 0 20875.64 0 0 0 1003856438 1295123545 28 Waiver service provider--Supportive living facilit BROOKSTONE ESTATES EFFINGHAM 624011790 33 Effingham 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 320826.65 0 0 0 0 0 0 0 0 0 0 0 0 0 320826.65 0 0 0 1003856501 92 Waiver service provider--Disability (DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 873.68 0 0 0 0 0 0 0 0 0 0 0 0 0 873.68 0 0 0 1003856508 91 Waiver service provider--Adults (DHS/DDD) 108 Williamson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5000 0 0 0 0 0 0 0 0 0 0 0 0 0 5000 0 0 0 1003856982 1265494116 10 Physicians ESKANDAR SAFWAT 298413862 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6938.65 0 0 0 0 0 0 6938.65 0 0 0 1003857028 1003976713 30 General Hospitals PRESENCE SAINT JOSEPH MEDICAL 999999999 107 Will DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8086.34 0 0 0 0 0 0 0 0 0 8086.34 0 0 0 1003857160 1891880563 10 Physicians CRISTOFANILLI MASSIMO 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 193 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 193 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33901.65 0 0 0 0 0 0 33901.65 0 0 0 1003857401 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 260 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 260 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15980.17 0 0 0 0 0 0 0 0 0 0 0 0 0 15980.17 0 0 0 1003857479 10 Physicians 200 Cook 0 0 Thoracic Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 610.6 0 0 0 0 0 0 610.6 0 0 0 1003857551 1346537131 11 Dentists YANG MONA 606302169 200 Cook 0 0 Orthodontist 0 0 0 374 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 783 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 783 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 179597.39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 179597.39 0 0 0 1003857579 1194134361 63 Other Providers of Medical Equipment/Supplies (Non MEMORIAL HOME SERVICES OF CENT 626503713 77 Morgan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 600 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4286 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4286 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 231424.19 0 3764.57 0 0 0 0 235188.76 0 0 0 1003857610 16 Nurse Practitioners 45 Henry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19.83 0 0 0 0 0 0 19.83 0 0 0 1003857620 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 501 0 0 0 0 0 0 0 0 0 0 0 0 0 501 0 0 0 1003857762 92 Waiver service provider--Disability (DHS/DRS) 102 Warren 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19694.12 0 0 0 0 0 0 0 0 0 0 0 0 0 19694.12 0 0 0 1003857807 92 Waiver service provider--Disability (DHS/DRS) 34 Fayette 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6756.01 0 0 0 0 0 0 0 0 0 0 0 0 0 6756.01 0 0 0 1003857859 1730462243 10 Physicians HAJIRA AMTUL 999999999 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 280 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 283 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 283 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12287.29 0 0 0 0 0 0 12287.29 0 0 0 1003857862 1881935435 10 Physicians SEEKURI MANOJ DEEPTHI 999999999 91 Sangamon 0 0 Pediatrics 0 0 0 0 86 0 0 0 0 0 0 9 0 133 0 0 0 0 0 0 0 0 0 294 0 0 0 0 0 0 9 0 189 0 0 0 0 0 0 0 0 0 294 0 0 0 0 0 0 9 0 189 0 0 0 0 0 0 0 0 0 8921.52 0 0 0 0 0 0 98.35 0 7769.44 0 0 0 0 0 0 16789.31 0 0 0 1003858120 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1318.98 0 0 0 0 0 0 0 0 0 0 0 0 0 1318.98 0 0 0 1003858197 1528362076 60 Pharmacies HOMESCRIPTS 999999999 823 Michigan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1539 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1343.11 0 0 0 1343.11 0 0 0 1003858404 1225379498 10 Physicians LACH JOSEPH M 999999999 200 Cook 0 0 Family Practice 0 0 0 0 3 0 0 0 0 0 0 0 0 101 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 302 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 302 0 0 0 0 0 0 0 0 0 247.11 0 0 0 0 0 0 0 0 3938.8 0 0 0 0 0 0 4185.91 0 0 0 1003858450 1659706752 16 Nurse Practitioners HRUBY ANN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 282.46 0 0 0 0 0 0 282.46 0 0 0 1003858570 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10406 0 0 0 0 0 0 0 0 0 0 0 0 0 10406 0 0 0 1003858802 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3353.64 0 0 0 0 0 0 0 0 0 0 0 0 0 3353.64 0 0 0 1003858873 1629242243 91 Waiver service provider--Adults (DHS/DDD) FARRAR JOEL 622265457 96 St Clair 0 0 0 0 0 0 0 0 97 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1633 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1633 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110167.52 0 0 0 0 0 0 0 0 0 0 0 0 0 110167.52 0 0 0 1003858913 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5849.27 0 0 0 0 0 0 0 0 0 0 0 0 0 5849.27 0 0 0 1003858988 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12664.02 0 0 0 0 0 0 0 0 0 0 0 0 0 12664.02 0 0 0 1003859406 1881973014 10 Physicians BREITMAN IGAL 535475081 30 DuPage 0 0 Surgery General 0 0 0 0 0 0 0 0 0 0 0 1 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47.89 0 6824.52 0 0 0 0 0 0 6872.41 0 0 0 1003859511 1578930764 12 Optometrists KHURANA NEETA 999999999 200 Cook 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 589.57 0 0 0 0 0 0 589.57 0 0 0 1003859867 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6699 0 0 0 0 0 0 0 0 0 0 0 0 0 6699 0 0 0 1003859900 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 357 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 357 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14253.9 0 0 0 0 0 0 0 0 0 0 0 0 0 14253.9 0 0 0 1003860492 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8077.75 0 0 0 0 0 0 0 0 0 0 0 0 0 8077.75 0 0 0 1003860809 92 Waiver service provider--Disability (DHS/DRS) 98 Tazewell 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14774.27 0 0 0 0 0 0 0 0 0 0 0 0 0 14774.27 0 0 0 1003860865 1235121989 10 Physicians RANGER WILLIAM R 625213806 63 Macon 0 0 Vascular Surgery 0 0 0 0 0 0 0 0 0 0 0 45 0 154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107 0 766 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107 0 766 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 349.85 0 17997.2 0 0 0 0 0 0 18347.05 0 0 0 1003860923 91 Waiver service provider--Adults (DHS/DDD) 18 Cass 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3146 0 0 0 0 0 0 0 0 0 0 0 0 0 3146 0 0 0 1003860977 10 Physicians 810 Florida 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32.2 0 0 0 0 0 0 32.2 0 0 0 1003861032 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 691.89 0 0 0 0 0 0 0 0 0 0 0 0 0 691.89 0 0 0 1003861273 30 General Hospitals 107 Will DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 205 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5042.43 0 0 0 0 0 5042.43 0 0 0 1003861288 10 Physicians 49 Jefferson 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 521 0 0 0 0 0 0 521 0 0 0 1003861300 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13685.73 0 0 0 0 0 0 0 0 0 0 0 0 0 13685.73 0 0 0 1003861406 1942432109 10 Physicians DABADE TUSHAR S. 606118709 200 Cook 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 366.93 0 0 0 0 0 0 366.93 0 0 0 1003861539 1477944668 60 Pharmacies WALMART PHARMACY 10-3110 606204246 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1051 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26655 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52529.69 0 0 0 52529.69 0 0 0 1003861773 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 348 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 348 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24192.36 0 0 0 0 0 0 0 0 0 0 0 0 0 24192.36 0 0 0 1003861787 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 347.76 0 0 0 0 0 0 0 0 0 0 0 0 0 347.76 0 0 0 1003861953 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 238 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 238 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16749.48 0 0 0 0 0 0 0 0 0 0 0 0 0 16749.48 0 0 0 1003862235 94 Waiver service provider--Children's support (DHS/D 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4916.16 0 0 0 0 0 0 0 0 0 0 0 0 0 4916.16 0 0 0 1003862391 1346570405 10 Physicians MUELLER MARGARET G. 999999999 53 Kane 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 3 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 78 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 78 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4.36 0 1327.15 0 0 0 0 0 0 1331.51 0 0 0 1003862422 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003862437 1043519804 10 Physicians MISHRA SEETAL 606313222 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5378.65 0 0 0 0 0 0 5378.65 0 0 0 1003862643 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1834.8 0 0 0 0 0 0 0 0 0 0 0 0 0 1834.8 0 0 0 1003862668 1093183907 11 Dentists KRATUNOVA EVELINA 606127210 200 Cook 0 0 Pedodontics 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 143 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 143 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6292.83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6292.83 0 0 0 1003862845 92 Waiver service provider--Disability (DHS/DRS) 77 Morgan 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 580.78 0 0 0 0 0 0 0 0 0 0 0 0 0 580.78 0 0 0 1003862873 1902030778 10 Physicians LAESEKE PAUL 535625531 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 3 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15.5 0 203.75 0 0 0 0 0 0 219.25 0 0 0 1003862876 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 136.73 0 0 0 0 0 0 0 0 0 0 0 0 0 136.73 0 0 0 1003863062 1811940893 16 Nurse Practitioners WEISS CHRISTY 999999999 96 St Clair 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1105.01 0 0 0 0 0 0 1105.01 0 0 0 1003863082 1316000219 16 Nurse Practitioners ABENES GLORIA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 826.33 0 0 0 0 0 0 826.33 0 0 0 1003863198 1114299419 89 Physician Assistant Only(Encounter Only) ELLIOTT LUCY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61.06 0 0 0 0 0 0 61.06 0 0 0 1003863210 1811395155 16 Nurse Practitioners MALLOY SHANNON 600450486 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2362.5 0 0 0 0 0 0 2362.5 0 0 0 1003863216 1093158297 10 Physicians SO CHARLOTTE HAERAN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 727.93 0 0 0 0 0 0 727.93 0 0 0 1003863422 1598921249 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5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1141.96 0 0 0 0 0 0 0 0 0 0 0 0 0 1141.96 0 0 0 1003890743 1336515022 22 Physical Therapists GRUBER AMANDA JORDAN 999999999 72 McLean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 339 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 339 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23164.33 23164.33 0 0 0 1003890870 46 Ambulatory Surgical Treatment Centers 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75.69 0 0 0 0 0 75.69 0 0 0 1003891119 1619343274 16 Nurse Practitioners HOLESKO CHARISSA F 999999999 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 112.25 0 0 0 0 0 0 112.25 0 0 0 1003891201 1073564985 10 Physicians MCCLAIN JOSEPH 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 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ZICKUHR LISA A 631600352 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 953.31 0 0 0 0 0 0 953.31 0 0 0 1003893266 92 Waiver service provider--Disability (DHS/DRS) 11 Alexander 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3868.49 0 0 0 0 0 0 0 0 0 0 0 0 0 3868.49 0 0 0 1003893411 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8261.16 0 0 0 0 0 0 0 0 0 0 0 0 0 8261.16 0 0 0 1003893487 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 924.75 0 0 0 0 0 0 0 0 0 0 0 0 0 924.75 0 0 0 1003893795 16 Nurse Practitioners 30 DuPage 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KATIE A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 302 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 302 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2747.22 0 0 0 0 0 0 2747.22 0 0 0 1003894067 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 574.89 0 0 0 0 0 0 0 0 0 0 0 0 0 574.89 0 0 0 1003894135 1265751127 10 Physicians GHANNAD LEDA A 999999999 200 Cook 0 0 Physical Medicine/Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 35 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66.55 0 2160.93 0 0 0 0 0 0 2227.48 0 0 0 1003894142 1669898805 39 Hospice BREEZE HOSPICE LLC 622218013 96 St Clair 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 182 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4662 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 507642.37 0 0 0 0 0 0 0 0 0 0 0 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0 0 0 1003909025 1508239963 16 Nurse Practitioners TALUA TRISTAN A 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1112 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1112 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1990.82 0 0 0 0 0 0 1990.82 0 0 0 1003909165 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70.33 0 0 0 0 0 0 70.33 0 0 0 1003909232 1265827729 16 Nurse Practitioners LUCCA JESSICA 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 536.2 0 0 0 0 0 0 536.2 0 0 0 1003909628 1568861094 16 Nurse Practitioners ALEXANDER LAUREL 606740018 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 197 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 197 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 709.2 0 0 0 0 0 0 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0 0 0 1003910555 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13040.58 0 0 0 0 0 0 0 0 0 0 0 0 0 13040.58 0 0 0 1003910629 1609157429 89 Physician Assistant Only(Encounter Only) SOBACKI JENNIFER A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11.62 0 0 0 0 0 0 11.62 0 0 0 1003910644 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3460.15 0 0 0 0 0 0 0 0 0 0 0 0 0 3460.15 0 0 0 1003910721 92 Waiver service provider--Disability (DHS/DRS) 98 Tazewell 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 908.53 0 0 0 0 0 0 0 0 0 0 0 0 0 908.53 0 0 0 1003910958 92 Waiver service provider--Disability (DHS/DRS) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1161.54 0 0 0 0 0 0 0 0 0 0 0 0 0 1161.54 0 0 0 1003910965 1033214416 30 General Hospitals COMMUNITY FIRST MEDICAL CENTER 999999999 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 12 0 0 0 0 0 0 140 0 0 70 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 394 0 0 220 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 394 0 0 220 0 0 0 0 0 0 0 0 93.18 0 0 0 0 0 0 3064.34 0 0 20364.37 0 0 0 0 0 23521.89 0 0 0 1003911175 1427498732 10 Physicians PATEL NIKETA AJAY 606751620 200 Cook 0 0 General Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 205.23 0 0 0 0 0 0 205.23 0 0 0 1003911258 1437445947 10 Physicians NIGAM GAURAV 999999999 81 Perry 0 0 Family Practice 0 0 0 0 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MELISSA 601262816 30 DuPage 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 616.8 0 0 0 0 0 0 0 0 4028.42 0 0 0 0 0 0 4645.22 0 0 0 1003912618 1851646764 10 Physicians MEIER GARNET 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28.35 0 0 0 0 0 0 28.35 0 0 0 1003912709 1477954600 16 Nurse Practitioners MUI JESSICA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 145 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 756.85 0 0 0 0 0 0 756.85 0 0 0 1003912848 1295114668 10 Physicians NEUMAN ALEXANDER 999999999 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 15 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 30 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 30 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 2.6 0 272.42 0 0 0 0 0 0 300.02 0 0 0 1003912933 91 Waiver service 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0 0 0 0 0 0 0 0 0 0 0 0 0 26549.45 0 0 0 1003913060 1821220856 10 Physicians SOOD AJAY 999999999 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100.8 0 0 0 0 0 0 100.8 0 0 0 1003913086 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1578.43 0 0 0 0 0 0 0 0 0 0 0 0 0 1578.43 0 0 0 1003913181 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8974.6 0 0 0 0 0 0 0 0 0 0 0 0 0 8974.6 0 0 0 1003913361 1639560410 16 Nurse Practitioners LOMAX LYNDELL L 840708760 83 Pike 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 155 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 155 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1273 0 403 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32998.06 0 12179.3 0 0 0 0 45177.36 0 0 0 1003936057 1083070585 91 Waiver service provider--Adults (DHS/DDD) JOHNSON DOMINIQUE 999999999 200 Cook 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1813 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1813 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124006.96 0 0 0 0 0 0 0 0 0 0 0 0 0 124006.96 0 0 0 1003936112 1275618639 89 Physician Assistant Only(Encounter Only) KOVASH CHAD M 999999999 58 La Salle 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 363.89 0 0 0 0 0 0 363.89 0 0 0 1003936215 1528460383 11 Dentists HAFEEZ SABEEN 601602039 200 Cook 0 0 General Dentistry 0 0 0 474 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2602 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2602 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68593.69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68593.69 0 0 0 1003936402 10 Physicians 19 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9378.54 0 0 0 0 0 0 9378.54 0 0 0 1003939994 1790114601 16 Nurse Practitioners MARINARO JENNIFER 601545716 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 426.14 0 0 0 0 0 0 426.14 0 0 0 1003940026 1003960394 34 State-operated facility (DHS) WARREN G MURRAY DEV CENTER 999999999 66 Marion 0 0 0 0 0 0 0 0 0 0 0 213 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2346 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71370 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57793626.07 0 0 0 0 0 0 0 0 0 0 57793626.07 0 0 0 1003940101 1912395047 16 Nurse Practitioners MCGUIRE PATRICK 616151941 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1674.54 0 0 0 0 0 0 1674.54 0 0 0 1003940104 1245268127 10 Physicians BOND WILLIAM F. 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 118 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 118 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18.3 0 2542.54 0 0 0 0 0 0 2560.84 0 0 0 1003940134 1609950807 89 Physician Assistant Only(Encounter Only) PAJEAU NICHELLE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 121.09 0 0 0 0 0 0 121.09 0 0 0 1003940301 91 Waiver service provider--Adults (DHS/DDD) 30 DuPage 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1608.22 0 0 0 0 0 0 0 0 0 0 0 0 0 1608.22 0 0 0 1003940518 1194024620 10 Physicians GO KEVIN 600475292 57 Lake 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 105 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 383 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 383 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3827.04 0 0 0 0 0 0 3827.04 0 0 0 1003940687 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COHN BARRY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 388 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 388 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1164.36 0 0 0 0 0 0 1164.36 0 0 0 1003948402 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1782.62 0 0 0 0 0 0 0 0 0 0 0 0 0 1782.62 0 0 0 1003948526 1467521146 30 General Hospitals SSM HEALTH ST JOSEPH HOSPITAL 999999999 826 Missouri ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 14 0 0 0 0 5 0 0 0 8 0 0 0 0 0 0 0 0 0 14 0 0 0 0 5 0 0 0 9 0 0 0 0 0 0 0 0 0 14 0 0 0 0 49 0 0 0 9 0 0 0 0 0 0 0 0 0 1536.49 0 0 0 0 5185.79 0 0 0 721.06 0 0 0 0 0 7443.34 0 0 0 1003948660 10 Physicians 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44.1 0 0 0 0 0 0 44.1 0 0 0 1003948822 1508108531 10 Physicians VERA DANER DENNYS 999999999 200 Cook 0 0 Family Practice 0 0 0 0 13 0 0 0 0 0 0 0 0 157 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 370 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 370 0 0 0 0 0 0 0 0 0 1747.59 0 0 0 0 0 0 0 0 10614.58 0 0 0 0 0 0 12362.17 0 0 0 1003948993 1275900656 16 Nurse Practitioners BOURGET CHRISTOPHER 999999999 23 Clinton 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9056.04 0 0 0 0 0 0 9056.04 0 0 0 1003949275 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11.81 0 0 0 0 0 0 11.81 0 0 0 1003949411 1144431925 10 Physicians MALIK MOHAMMAD 999999999 63 Macon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 189.4 0 0 0 0 0 0 189.4 0 0 0 1003949517 1265442719 16 Nurse Practitioners HUTSELL CHARLOTTE 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 147.63 0 0 0 0 0 0 147.63 0 0 0 1003949729 1932174224 13 Podiatrists PALMER STEPHEN 999999999 60 Lee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 382 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 382 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8367.12 0 0 0 0 0 0 8367.12 0 0 0 1003949790 94 Waiver service provider--Children's support (DHS/D 30 DuPage 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 79.2 0 0 0 0 0 0 0 0 0 0 0 0 0 79.2 0 0 0 1003949795 1770872384 10 Physicians MEYER ERIC E. 999999999 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1939.97 0 0 0 0 0 0 1939.97 0 0 0 1003949797 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46.88 0 0 0 0 0 0 0 0 0 0 0 0 0 46.88 0 0 0 1003950133 92 Waiver service provider--Disability (DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 468.82 0 0 0 0 0 0 0 0 0 0 0 0 0 468.82 0 0 0 1003950165 94 Waiver service provider--Children's support (DHS/D 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7826.5 0 0 0 0 0 0 0 0 0 0 0 0 0 7826.5 0 0 0 1003950213 1023400801 16 Nurse Practitioners HAWKSWORTH MICHELLE K. 606118709 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 596.54 0 0 0 0 0 0 596.54 0 0 0 1003950454 16 Nurse Practitioners 108 Williamson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65.48 0 0 0 0 0 0 65.48 0 0 0 1003950466 1033422209 10 Physicians PATEL SAVAN D 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 30 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 162 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 162 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 452.11 0 5071.44 0 0 0 0 0 0 5523.55 0 0 0 1003950808 1518221282 10 Physicians THOMPSON KENIESHA O 631032236 96 St Clair 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1539.7 0 0 0 0 0 0 1539.7 0 0 0 1003950939 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27957.76 0 0 0 0 0 0 0 0 0 0 0 0 0 27957.76 0 0 0 1003951038 94 Waiver service provider--Children's support (DHS/D 30 DuPage 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 139 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 139 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12601.84 0 0 0 0 0 0 0 0 0 0 0 0 0 12601.84 0 0 0 1003951053 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18232.5 0 0 0 0 0 0 0 0 0 0 0 0 0 18232.5 0 0 0 1003951120 1922312834 10 Physicians PANDEY RICHA 999999999 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 408 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 408 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5233.85 0 0 0 0 0 0 5233.85 0 0 0 1003951167 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3515.42 0 0 0 0 0 0 0 0 0 0 0 0 0 3515.42 0 0 0 1003951185 1386009686 16 Nurse Practitioners SIMMERT AUSRA 999999999 200 Cook 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 274.2 0 0 0 0 0 0 0 0 2323.36 0 0 0 0 0 0 2597.56 0 0 0 1003951424 1932494986 10 Physicians PFEIFER KYLE E 999999999 91 Sangamon 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 953 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1429 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1429 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19450.23 0 401.76 0 0 0 0 0 0 19851.99 0 0 0 1003951475 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110.31 0 0 0 0 0 0 110.31 0 0 0 1003951519 1114285723 16 Nurse Practitioners WILLIAMSON LANCE D 999999999 818 Kentucky 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48.9 0 0 0 0 0 0 48.9 0 0 0 1003951532 1134587496 16 Nurse Practitioners STREBING CAITLIN E. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 918.15 0 0 0 0 0 0 918.15 0 0 0 1003951572 1710117577 10 Physicians COX JASON 999999999 10 Adams 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1185 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1501 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1501 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21843.91 0 2471.33 0 0 0 0 0 0 24315.24 0 0 0 1003951695 10 Physicians 80 Peoria 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 259.92 0 0 0 0 0 0 259.92 0 0 0 1003952011 1730345026 10 Physicians HORBINSKI CRAIG M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 435.44 0 0 0 0 0 0 0 0 435.44 0 0 0 1003952019 93 Waiver service provider--HIV/AIDS (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1096.89 0 0 0 0 0 0 0 0 0 0 0 0 0 1096.89 0 0 0 1003952304 1770950842 16 Nurse Practitioners SONDGEROTH NANCY 999999999 27 Dekalb 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2588.79 0 0 0 0 0 0 2588.79 0 0 0 1003952331 1992836381 22 Physical Therapists RZESZUTKO TRACI L 999999999 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 303 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 303 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21366.39 21366.39 0 0 0 1003952422 91 Waiver service provider--Adults (DHS/DDD) 54 Kankakee 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 345 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 345 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24177.6 0 0 0 0 0 0 0 0 0 0 0 0 0 24177.6 0 0 0 1003952540 1033577762 16 Nurse Practitioners HAEBERLE JENNA R 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1604.06 0 0 0 0 0 0 1604.06 0 0 0 1003952692 10 Physicians 10 Adams 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20.87 0 0 0 0 0 0 0 0 20.87 0 0 0 1003952750 1871752428 10 Physicians WHITEHEAD TIMOTHY 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 120 0 385 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 137 0 660 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 137 0 660 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1301.91 0 11810 0 0 0 0 0 0 13111.91 0 0 0 1003953046 1245527563 10 Physicians HILL-CIESIELSKI MEREDITH 999999999 30 DuPage 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 112 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3545.48 0 0 0 0 0 0 3545.48 0 0 0 1003953110 1669720017 10 Physicians AHN JIN H 618012529 19 Champaign 0 1 Family Practice 0 0 0 0 11 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 324 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 324 0 0 0 0 0 0 0 0 0 917.71 0 0 0 0 0 0 0 0 10981.04 0 0 0 0 0 0 11898.75 0 0 0 1003953252 1538435763 10 Physicians NORD BRIDGET 606221797 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4570.02 0 0 0 0 0 0 4570.02 0 0 0 1003953352 91 Waiver service provider--Adults (DHS/DDD) 106 Whiteside 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1943 0 0 0 0 0 0 0 0 0 0 0 0 0 1943 0 0 0 1003953524 1881090124 89 Physician Assistant Only(Encounter Only) GUASTALLI SARAH E 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86.09 0 0 0 0 0 0 86.09 0 0 0 1003953612 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12554.7 0 0 0 0 0 0 0 0 0 0 0 0 0 12554.7 0 0 0 1003953696 1336222983 89 Physician Assistant Only(Encounter Only) PARR SHERRI 999999999 99 Union 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32.29 0 0 0 0 0 0 32.29 0 0 0 1003953775 1205865862 10 Physicians OMRAN FATEMA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 360.8 0 0 0 0 0 0 360.8 0 0 0 1003953954 1881822682 10 Physicians KANSAGRA AKASH P 999999999 805 California 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27.76 0 1870.72 0 0 0 0 0 0 1898.48 0 0 0 1003954588 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 923.64 0 0 0 0 0 0 0 0 0 0 0 0 0 923.64 0 0 0 1003954707 87 Psychologist(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 99.45 0 0 0 0 0 0 99.45 0 0 0 1003954729 1952691404 10 Physicians BUCHANAN CHRISTOPHER 631102515 65 Madison 0 0 Maternal and Fetal Medicine 0 0 0 0 0 0 0 0 0 0 0 19 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 978.11 0 1133.5 0 0 0 0 0 0 2111.61 0 0 0 1003954907 91 Waiver service provider--Adults (DHS/DDD) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 132 0 0 0 0 0 0 0 0 0 0 0 0 0 132 0 0 0 1003954954 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003954974 1558771543 89 Physician Assistant Only(Encounter Only) LISUZZO ANTHONY D 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 264.72 0 0 0 0 0 0 264.72 0 0 0 1003955166 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12875.08 0 0 0 0 0 0 0 0 0 0 0 0 0 12875.08 0 0 0 1003955171 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8316 0 0 0 0 0 0 0 0 0 0 0 0 0 8316 0 0 0 1003955192 1255699377 10 Physicians FOWLKES EMILIE A 999999999 107 Will 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 282.45 0 0 0 0 0 0 282.45 0 0 0 1003955206 1649215757 10 Physicians BABICH DEBRA 999999999 63 Macon 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003955291 1356573976 10 Physicians BOOBES KHALED 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120.95 0 0 0 0 0 0 120.95 0 0 0 1003955353 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21242.56 0 0 0 0 0 0 0 0 0 0 0 0 0 21242.56 0 0 0 1003955411 1871968305 16 Nurse Practitioners KELLER LINDSEY A 999999999 24 Coles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 158.95 0 0 0 0 0 0 158.95 0 0 0 1003955627 91 Waiver service provider--Adults (DHS/DDD) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24846.33 0 0 0 0 0 0 0 0 0 0 0 0 0 24846.33 0 0 0 1003956108 16 Nurse Practitioners 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24.2 0 0 0 0 0 0 24.2 0 0 0 1003956159 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1658.15 0 0 0 0 0 0 0 0 0 0 0 0 0 1658.15 0 0 0 1003956209 1679865588 16 Nurse Practitioners VIJIT MONIKA 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 467.3 0 0 0 0 0 0 467.3 0 0 0 1003956248 1225392426 10 Physicians NORMANSELL DANIEL 999999999 80 Peoria 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7844.6 0 0 0 0 0 0 7844.6 0 0 0 1003956779 1952645087 16 Nurse Practitioners MANK CAROLYN 999999999 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 366.48 0 0 0 0 0 0 366.48 0 0 0 1003957158 1730446766 10 Physicians DANGELO MAUREEN 532024809 63 Macon 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 371 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 371 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10466.29 0 0 0 0 0 0 10466.29 0 0 0 1003957639 91 Waiver service provider--Adults (DHS/DDD) 60 Lee 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 742.5 0 0 0 0 0 0 0 0 0 0 0 0 0 742.5 0 0 0 1003957877 1073809695 10 Physicians ROE LAURA M 999999999 110 Woodford 0 1 Internal Medicine 0 0 0 0 31 0 0 0 0 0 0 20 0 88 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 28 0 211 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 28 0 211 0 0 0 0 0 0 0 0 0 2617.13 0 0 0 0 0 0 269.98 0 7594.71 0 0 0 0 0 0 10481.82 0 0 0 1003958002 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 238.86 0 0 0 0 0 0 238.86 0 0 0 1003958129 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3254.56 0 0 0 0 0 0 0 0 0 0 0 0 0 3254.56 0 0 0 1003958190 1124403563 16 Nurse Practitioners REDDING JAMES 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.98 0 0 0 0 0 0 0.98 0 0 0 1003958506 1144699372 16 Nurse Practitioners CALLISON AIMEE M 999999999 817 Kansas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 420.6 0 0 0 0 0 0 420.6 0 0 0 1003958532 1235358599 10 Physicians VOROVICH ESTHER E. 999999999 839 Pennsylvania 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 304 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 304 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6.99 0 4856.79 0 0 0 0 0 0 4863.78 0 0 0 1003958562 92 Waiver service provider--Disability (DHS/DRS) 56 Knox 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5499.89 0 0 0 0 0 0 0 0 0 0 0 0 0 5499.89 0 0 0 1003958574 1437565819 10 Physicians PIPKORN PATRIK 999999999 200 Cook 0 0 Otolaryngology 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11480.78 0 0 0 0 0 0 11480.78 0 0 0 1003958608 1962811448 16 Nurse Practitioners FERGUSON ANGELA 999999999 200 Cook 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 653.31 0 0 0 0 0 0 0 0 1634.77 0 0 0 0 0 0 2288.08 0 0 0 1003958647 1427286038 10 Physicians WALTERS JONATHAN 629600850 69 Massac 0 0 Family Practice 0 0 0 0 4 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 261.4 0 0 0 0 0 0 0 0 1162.72 0 0 0 0 0 0 1424.12 0 0 0 1003958649 1649672056 16 Nurse Practitioners MONTGOMERY KERI H 999999999 81 Perry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 981.05 0 0 0 0 0 0 981.05 0 0 0 1003958730 1003132788 10 Physicians BRAZILL KEVIN 618012529 19 Champaign 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 5 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 103.46 0 14527.67 0 0 0 0 0 0 14631.13 0 0 0 1003959029 1215315999 33 Nursing Facilities SYMPHONY AT 87TH STREET 606523832 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 193 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 766 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19077 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2393113.34 0 0 0 0 0 0 0 2393113.34 0 0 0 1003959118 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17165.62 0 0 0 0 0 0 0 0 0 0 0 0 0 17165.62 0 0 0 1003959343 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3107.92 0 0 0 0 0 0 0 0 0 0 0 0 0 3107.92 0 0 0 1003959346 1386011252 16 Nurse Practitioners THOMPSON BETH A 601220021 53 Kane 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 119 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 119 0 0 0 0 0 0 0 0 0 1115.65 0 0 0 0 0 0 0 0 5377.52 0 0 0 0 0 0 6493.17 0 0 0 1003959528 1376912758 16 Nurse Practitioners MITCHELL KELSEY L 999999999 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 31.67 0 0 0 0 0 0 0 0 5597.78 0 0 0 0 0 0 5629.45 0 0 0 1003959574 1992182331 16 Nurse Practitioners WEBB ALYSON C 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 181 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4691.39 0 0 0 0 0 0 4691.39 0 0 0 1003959607 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19484.11 0 0 0 0 0 0 0 0 0 0 0 0 0 19484.11 0 0 0 1003959820 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 742.5 0 0 0 0 0 0 0 0 0 0 0 0 0 742.5 0 0 0 1003960050 1669831129 16 Nurse Practitioners CROSS LISA 999999999 72 McLean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 479.76 0 0 0 0 0 0 479.76 0 0 0 1003960088 1649364498 10 Physicians BRENTON JENNIFER L 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 310.25 0 0 0 0 0 0 310.25 0 0 0 1003960220 1063788107 10 Physicians TOMMASO LAURA H 606941789 200 Cook 0 0 Family Practice 0 0 0 0 10 0 0 0 0 0 0 2 0 219 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 2 0 248 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 2 0 248 0 0 0 0 0 0 0 0 0 810.88 0 0 0 0 0 0 62.6 0 4352.21 0 0 0 0 0 0 5225.69 0 0 0 1003960277 94 Waiver service provider--Children's support (DHS/D 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5211.8 0 0 0 0 0 0 0 0 0 0 0 0 0 5211.8 0 0 0 1003960368 88 Other behavior health professional(Encounter Only) 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16.83 0 0 0 0 0 0 16.83 0 0 0 1003960420 91 Waiver service provider--Adults (DHS/DDD) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15743.37 0 0 0 0 0 0 0 0 0 0 0 0 0 15743.37 0 0 0 1003960426 1316236482 10 Physicians PIGGOTT KISHA D 999999999 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2899.07 0 0 0 0 0 0 2899.07 0 0 0 1003960612 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 179 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 179 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11444.4 0 0 0 0 0 0 0 0 0 0 0 0 0 11444.4 0 0 0 1003961287 1588819965 10 Physicians MCCAULEY MARK 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 147 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 147 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1926.61 0 0 0 0 0 0 1926.61 0 0 0 1003961309 98 Waiver service provider--TBI (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 985.63 0 0 0 0 0 0 0 0 0 0 0 0 0 985.63 0 0 0 1003961492 1619158136 10 Physicians FRYE AARON P 999999999 831 New Jersey 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7424.48 0 0 0 0 0 0 7424.48 0 0 0 1003961559 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 525.63 0 0 0 0 0 0 0 0 0 0 0 0 0 525.63 0 0 0 1003961639 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21030 0 0 0 0 0 0 0 0 0 0 0 0 0 21030 0 0 0 1003961668 1962797258 10 Physicians ROUSSIS CHRISTIANA 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1861.89 0 0 0 0 0 0 1861.89 0 0 0 1003961797 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6138 0 0 0 0 0 0 0 0 0 0 0 0 0 6138 0 0 0 1003961859 91 Waiver service provider--Adults (DHS/DDD) 100 Vermilion 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10626 0 0 0 0 0 0 0 0 0 0 0 0 0 10626 0 0 0 1003962008 1669798062 10 Physicians MARWAHA GAURAV 999999999 200 Cook 0 0 Radiation Oncology 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 212 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 212 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3309.49 0 0 0 0 0 0 3309.49 0 0 0 1003962110 16 Nurse Practitioners 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003962180 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 471.05 0 0 0 0 0 0 0 0 0 0 0 0 0 471.05 0 0 0 1003962231 1558526590 87 Psychologist(Encounter Only) AUMANN NICHOLE CHABAN 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1132 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1132 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100.3 0 0 0 0 0 0 100.3 0 0 0 1003962347 1497149173 16 Nurse Practitioners PERAINO KATIE 606081732 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 425.36 0 0 0 0 0 0 425.36 0 0 0 1003962396 1083053656 10 Physicians EBLOVI DARREN 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3009.95 0 0 0 0 0 0 3009.95 0 0 0 1003962437 1659664969 10 Physicians DOSHI NIRALI S 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 510 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 510 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7688.45 0 0 0 0 0 0 7688.45 0 0 0 1003962603 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17408.32 0 0 0 0 0 0 0 0 0 0 0 0 0 17408.32 0 0 0 1003962643 1326278417 10 Physicians KHAN ALI A 999999999 63 Macon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 513 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 513 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6818.81 0 0 0 0 0 0 6818.81 0 0 0 1003962870 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2540.68 0 0 0 0 0 0 0 0 0 0 0 0 0 2540.68 0 0 0 1003962928 94 Waiver service provider--Children's support (DHS/D 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 266 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 266 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15836.32 0 0 0 0 0 0 0 0 0 0 0 0 0 15836.32 0 0 0 1003962946 91 Waiver service provider--Adults (DHS/DDD) 30 DuPage 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 344 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 741.15 0 0 0 0 0 0 0 0 0 0 0 0 0 741.15 0 0 0 1003972091 92 Waiver service provider--Disability (DHS/DRS) 96 St Clair 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3588.74 0 0 0 0 0 0 0 0 0 0 0 0 0 3588.74 0 0 0 1003972132 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 572 0 0 0 0 0 0 0 0 0 0 0 0 0 572 0 0 0 1003972487 1336467968 10 Physicians ALCORN THOMAS R. 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 313 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 313 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4191.75 0 0 0 0 0 0 4191.75 0 0 0 1003972646 1639542657 16 Nurse Practitioners ENGELKES MOLLY 611041572 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 432 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 432 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2051 0 0 0 0 0 0 2051 0 0 0 1003972971 1366551632 10 Physicians DIN SALIMA 605231557 53 Kane 0 0 Nephrology 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4305.2 0 0 0 0 0 0 4305.2 0 0 0 1003973217 1518219229 89 Physician Assistant Only(Encounter Only) WRIGHT LADONNA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80.98 0 0 0 0 0 0 80.98 0 0 0 1003973225 1346400850 10 Physicians YOCKEY BRETT 618012529 19 Champaign 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1709 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2173 0 167 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2173 0 167 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24620 0 4119.38 0 0 0 0 0 0 28739.38 0 0 0 1003973284 1982075396 16 Nurse Practitioners FERRELL KARA N 999999999 108 Williamson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 386 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 386 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4161.21 0 0 0 0 0 0 4161.21 0 0 0 1003973304 1891083614 10 Physicians GOBA GELILA 606770001 200 Cook 0 0 Obstetrics 0 0 0 0 1 0 0 0 0 0 0 1 0 79 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 99 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 99 0 0 0 0 0 0 0 0 0 85.65 0 0 0 0 0 0 26.62 0 27910.82 0 0 0 0 0 0 28023.09 0 0 0 1003973314 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1995.33 0 0 0 0 0 0 0 0 0 0 0 0 0 1995.33 0 0 0 1003973396 94 Waiver service provider--Children's support (DHS/D 55 Kendall 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 798.56 0 0 0 0 0 0 0 0 0 0 0 0 0 798.56 0 0 0 1003973438 1356620371 10 Physicians TANG GILBERT 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2929.69 0 0 0 0 0 0 2929.69 0 0 0 1003973981 1477579233 33 Nursing Facilities SANDWICH REHAB HEALTH CARE 605481119 27 Dekalb 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6784 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 760365.51 0 0 0 0 0 0 0 760365.51 0 0 0 1003974106 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16.4 0 0 0 0 0 0 16.4 0 0 0 1003974207 94 Waiver service provider--Children's support (DHS/D 91 Sangamon 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25459.7 0 0 0 0 0 0 0 0 0 0 0 0 0 25459.7 0 0 0 1003974246 1598158271 16 Nurse Practitioners NELSON KELLY J. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 511.68 0 0 0 0 0 0 511.68 0 0 0 1003974420 1083099550 24 Speech Therapists FRITZ TATUM 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 172 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 172 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11276.88 11276.88 0 0 0 1003974494 1164653804 10 Physicians AL-AQTASH TAMEEM AHM 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 3 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 162 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 162 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 4338.64 0 0 0 0 0 0 4356.64 0 0 0 1003975319 1215253729 10 Physicians DORSEY CHELSEA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 13588.63 0 0 0 0 0 0 0 0 0 0 0 0 0 13588.63 0 0 0 1003975849 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1846.72 0 0 0 0 0 0 0 0 0 0 0 0 0 1846.72 0 0 0 1003975896 1114308251 16 Nurse Practitioners CLARK SHONDA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 503.5 0 0 0 0 0 0 503.5 0 0 0 1003975903 1144284449 89 Physician Assistant Only(Encounter Only) WALTERS NICHOLAS 999999999 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 78.82 0 0 0 0 0 0 78.82 0 0 0 1003975943 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 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Practitioners 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 59.69 0 0 0 0 0 0 59.69 0 0 0 1003976836 1215120928 10 Physicians GHOUSE MASOOD 606781353 200 Cook 0 0 Hematology 0 0 0 0 0 0 0 0 0 0 0 0 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 460 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 460 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2477.21 0 0 0 0 0 0 2477.21 0 0 0 1003977039 94 Waiver service provider--Children's support (DHS/D 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8028.9 0 0 0 0 0 0 0 0 0 0 0 0 0 8028.9 0 0 0 1003977064 1508115007 16 Nurse Practitioners HACK KRISTIE L 999999999 24 Coles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 299.6 0 0 0 0 0 0 299.6 0 0 0 1003977331 10 Physicians 30 DuPage 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(DHS/DRS) 836 Ohio 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1602.09 0 0 0 0 0 0 0 0 0 0 0 0 0 1602.09 0 0 0 1003978424 91 Waiver service provider--Adults (DHS/DDD) 27 Dekalb 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25231.8 0 0 0 0 0 0 0 0 0 0 0 0 0 25231.8 0 0 0 1003978610 1881915403 10 Physicians SHANKLIN JENNIFER G 522421009 63 Macon 0 0 Surgery General 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 509.35 0 0 0 0 0 0 509.35 0 0 0 1003978616 1659682524 10 Physicians BROOKS JUSTIN 999999999 91 Sangamon 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1910 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3013 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3013 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44605.48 0 378 0 0 0 0 0 0 44983.48 0 0 0 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0 1003978990 1366565962 60 Pharmacies BUBBLEPACK PHARMACY INC 999999999 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 211 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11994 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 337232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160313.23 0 0 0 160313.23 0 0 0 1003979068 1275930414 16 Nurse Practitioners KIOUTAS ALLISON C 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 98.25 0 0 0 0 0 0 98.25 0 0 0 1003979083 1376939512 16 Nurse Practitioners STARR JESSICA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 486.89 0 0 0 0 0 0 486.89 0 0 0 1003979143 10 Physicians 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9.15 0 0 0 0 0 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1003981817 91 Waiver service provider--Adults (DHS/DDD) 72 McLean 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 591.06 0 0 0 0 0 0 0 0 0 0 0 0 0 591.06 0 0 0 1003981989 10 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 586.7 0 0 0 0 0 0 586.7 0 0 0 1003982147 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003982172 1538471099 10 Physicians HOPPING JACOB 999999999 106 Whiteside 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9927.13 0 0 0 0 0 0 9927.13 0 0 0 1003982343 94 Waiver service provider--Children's 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0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13719.37 0 0 0 0 0 0 0 0 0 0 0 0 0 13719.37 0 0 0 1004009907 91 Waiver service provider--Adults (DHS/DDD) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 528 0 0 0 0 0 0 0 0 0 0 0 0 0 528 0 0 0 1004010082 1699784868 12 Optometrists WOODLAND JOSHUA 999999999 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261.41 0 0 0 0 0 0 261.41 0 0 0 1004010145 1528478104 89 Physician Assistant Only(Encounter Only) JACOBSON JUSTIN M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21.04 0 0 0 0 0 0 21.04 0 0 0 1004010150 1912380395 55 Early Intervention Services KMAK TERESA M 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 353 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 353 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19657.1 0 0 0 0 0 0 19657.1 0 0 0 1004010276 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 645.01 0 0 0 0 0 0 0 0 0 0 0 0 0 645.01 0 0 0 1004010490 1912350570 16 Nurse Practitioners SOSA SERGIO A 606781034 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1162.66 0 0 0 0 0 0 1162.66 0 0 0 1004010642 10 Physicians 852 Wisconsin 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21.5 0 0 0 0 0 0 0 0 21.5 0 0 0 1004010845 1174992218 28 Waiver service provider--Supportive living 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0 0 0 0 0 0 0 0 1004011227 1518376193 16 Nurse Practitioners SINK CHRISTA E 999999999 96 St Clair 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 339.8 0 0 0 0 0 0 339.8 0 0 0 1004011416 1972987436 16 Nurse Practitioners DICKINSON JESSICA J. 999999999 107 Will 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 169.24 0 0 0 0 0 0 0 0 1050.99 0 0 0 0 0 0 1220.23 0 0 0 1004011422 1962635110 10 Physicians MOHINDRA NISHA A. 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 176 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 176 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66310.98 0 0 0 0 0 0 66310.98 0 0 0 1004011523 1003297052 11 Dentists SINGH JAIRAHADEEP 999999999 200 Cook 0 0 General Dentistry 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 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0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004011792 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004012002 10 Physicians 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7.9 0 0 0 0 0 0 7.9 0 0 0 1004012076 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2326.72 0 0 0 0 0 0 0 0 0 0 0 0 0 2326.72 0 0 0 1004012167 16 Nurse Practitioners 108 Williamson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 132.77 0 0 0 0 0 0 132.77 0 0 0 1004012217 1629399654 10 Physicians GAN STEPHANIE 999999999 200 Cook 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 1 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 243.12 0 0 0 0 0 0 243.12 0 0 0 1004012308 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70.26 0 0 0 0 0 0 70.26 0 0 0 1004012464 10 Physicians 109 Winnebago 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004012948 1093980377 10 Physicians DAVIS DOUGLAS J 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 10 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 170.6 0 0 0 0 0 0 0 0 170.6 0 0 0 1004012957 1972895449 10 Physicians DAVIS MARI-ELENA 999999999 200 Cook 0 0 Family Practice 0 0 0 0 65 0 0 0 0 0 0 19 0 83 0 0 0 0 0 0 0 0 0 144 0 0 0 0 0 0 24 0 136 0 0 0 0 0 0 0 0 0 144 0 0 0 0 0 0 24 0 136 0 0 0 0 0 0 0 0 0 8312.31 0 0 0 0 0 0 204.47 0 3300.47 0 0 0 0 0 0 11817.25 0 0 0 1004013099 1043480056 89 Physician Assistant Only(Encounter Only) DAVIDSON JOHN H. 999999999 47 Jackson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 282.05 0 0 0 0 0 0 282.05 0 0 0 1004013180 94 Waiver service provider--Children's support (DHS/D 33 Effingham 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15983.27 0 0 0 0 0 0 0 0 0 0 0 0 0 15983.27 0 0 0 1004013185 1033132220 30 General Hospitals BARNES-JEWISH HOSPITAL PSYCHIA 631123146 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 411 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37288.39 0 0 0 0 0 0 0 0 0 37288.39 0 0 0 1004013289 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1488.87 0 0 0 0 0 0 0 0 0 0 0 0 0 1488.87 0 0 0 1004013362 88 Other behavior health professional(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194.18 0 0 0 0 0 0 194.18 0 0 0 1004013381 1356579684 10 Physicians MCCARTHY KEVIN J 999999999 91 Sangamon 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 58 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 137 0 172 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 137 0 172 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1029.3 0 7409.94 0 0 0 0 0 0 8439.24 0 0 0 1004013449 1427462431 12 Optometrists LEE RACHEL B 999999999 53 Kane 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 1406 0 323 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2264 0 323 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2264 0 323 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18415.52 0 9457.44 0 0 0 0 27872.96 0 0 0 1004013862 1639459597 10 Physicians SNOWER LAUREN 370245009 200 Cook 0 0 Internal Medicine 0 0 0 0 1 0 0 0 0 0 0 1 0 69 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 2 0 176 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 2 0 176 0 0 0 0 0 0 0 0 0 104.96 0 0 0 0 0 0 0 0 2004.86 0 0 0 0 0 0 2109.82 0 0 0 1004013905 1538484563 10 Physicians WOOL GEOFFREY D 999999999 30 DuPage 0 0 Clinical Pathology 0 0 0 0 0 0 0 0 0 0 0 212 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 343 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 343 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1934.84 0 0 0 0 0 0 0 0 1934.84 0 0 0 1004014210 94 Waiver service provider--Children's support (DHS/D 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7139.7 0 0 0 0 0 0 0 0 0 0 0 0 0 7139.7 0 0 0 1004014332 1154308518 30 General Hospitals MERCY HOSPITAL AND MEDICAL CEN 999999999 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 571 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125028.06 0 0 0 0 0 0 0 0 0 125028.06 0 0 0 1004014471 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41.98 0 0 0 0 0 0 0 0 0 0 0 0 0 41.98 0 0 0 1004014531 1811394901 16 Nurse Practitioners HUNTSINGER KIMBERLY S. 602011718 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 372.31 0 0 0 0 0 0 372.31 0 0 0 1004014694 92 Waiver service 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provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2620.62 0 0 0 0 0 0 0 0 0 0 0 0 0 2620.62 0 0 0 1004021907 1861833576 10 Physicians PATEL PARESH 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 678 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 678 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6339.2 0 0 0 0 0 0 6339.2 0 0 0 1004021919 1871770685 87 Psychologist(Encounter Only) SPERRY DEBORAH M 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1743.89 0 0 0 0 0 0 1743.89 0 0 0 1004022267 94 Waiver service provider--Children's support (DHS/D 55 Kendall 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8329.77 0 0 0 0 0 0 0 0 0 0 0 0 0 8329.77 0 0 0 1004022450 1629198460 89 Physician Assistant Only(Encounter Only) MILLER BARBARA J 606123714 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 258.88 0 0 0 0 0 0 258.88 0 0 0 1004022488 1831454438 12 Optometrists PHAM BAO 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 181 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 420 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 420 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12461.91 0 0 0 0 0 0 12461.91 0 0 0 1004022766 10 Physicians 826 Missouri 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 623.04 0 0 0 0 0 0 623.04 0 0 0 1004022839 1811056369 10 Physicians GERMANWALA ANAND 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 190.19 0 0 0 0 0 0 190.19 0 0 0 1004022953 1871572545 30 General Hospitals LOUIS A WEISS MEMORIAL HOSPITA 999999999 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 98620.26 0 0 0 0 0 0 0 0 0 98620.26 0 0 0 1004023181 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24087.24 0 0 0 0 0 0 0 0 0 0 0 0 0 24087.24 0 0 0 1004023651 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 753.32 0 0 0 0 0 0 0 0 0 0 0 0 0 753.32 0 0 0 1004023663 1508241761 16 Nurse Practitioners NIELSEN EMILY A 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1677.32 0 0 0 0 0 0 1677.32 0 0 0 1004023833 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28.35 0 0 0 0 0 0 28.35 0 0 0 1004024115 1023267366 10 Physicians MATSANGOU MARIA 606118709 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15540.75 0 0 0 0 0 0 15540.75 0 0 0 1004024208 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1301.63 0 0 0 0 0 0 1301.63 0 0 0 1004024220 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16.47 0 0 0 0 0 0 16.47 0 0 0 1004024539 1538556915 12 Optometrists BROWN JANELLE J 999999999 61 Livingston 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3765.01 0 327.8 0 0 0 0 4092.81 0 0 0 1004024753 1689711764 30 General Hospitals BLESSING INPATIENT REHABILITAT 623012834 10 Adams DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 168 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107303.26 0 0 0 0 0 0 0 0 0 107303.26 0 0 0 1004024973 1417060310 10 Physicians GADDIS GARY 999999999 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35.95 0 404.95 0 0 0 0 0 0 440.9 0 0 0 1004025105 11 Dentists 200 Cook 0 0 General Dentistry 0 0 0 1 0 0 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0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86.62 0 0 0 0 0 0 0 0 0 0 0 0 0 86.62 0 0 0 1004025314 1609293372 16 Nurse Practitioners BOWEN BETHANY 370758940 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4642.26 0 0 0 0 0 0 4642.26 0 0 0 1004025349 10 Physicians 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62.5 0 0 0 0 0 0 62.5 0 0 0 1004025416 22 Physical Therapists 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 123.27 123.27 0 0 0 1004025505 1649616756 89 Physician Assistant Only(Encounter Only) KARL JESSICA A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 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0 0 0 0 0 0 0 113 0 0 0 0 0 0 0 0 0 255.37 0 0 0 0 0 0 0 0 5903.46 0 0 0 0 0 0 6158.83 0 0 0 1004037289 23 Occupational Therapists 98 Tazewell 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130.77 130.77 0 0 0 1004037315 91 Waiver service provider--Adults (DHS/DDD) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3146.4 0 0 0 0 0 0 0 0 0 0 0 0 0 3146.4 0 0 0 1004037441 1508193293 23 Occupational Therapists KENRON INGRID 606066921 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6999.06 6999.06 0 0 0 1004037648 1922322064 10 Physicians DOUGLASS LAURA A 605275965 30 DuPage 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 1 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71.9 0 811 0 0 0 0 0 0 882.9 0 0 0 1004037764 1275829277 10 Physicians ROMO ERNESTO JAVIER 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 784.02 0 0 0 0 0 0 784.02 0 0 0 1004038101 1700805660 30 General Hospitals GALESBURG COTTAGE HOSPITAL-PSY 999999999 56 Knox DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 316 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004038162 1336522275 16 Nurse Practitioners VENTIMIGLIA-BRANDT CHRISTINA E 999999999 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3106.84 0 0 0 0 0 0 3106.84 0 0 0 1004038212 92 Waiver service 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0 13 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36.91 0 98.32 0 0 0 0 0 0 135.23 0 0 0 1004040281 1326274556 10 Physicians SARHAN MOHAMMAD 999999999 200 Cook 0 0 Vascular Surgery 0 0 0 0 0 0 0 0 0 0 0 7 0 97 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39.44 0 4342.3 0 0 0 0 0 0 4381.74 0 0 0 1004040294 1720366313 10 Physicians ZHANG ZHIPENG 999999999 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 360.73 0 0 0 0 0 0 360.73 0 0 0 1004040454 10 Physicians 852 Wisconsin 0 0 Surgery General 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1369.6 0 0 0 0 0 0 1369.6 0 0 0 1004040502 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6161.86 0 0 0 0 0 0 0 0 0 0 0 0 0 6161.86 0 0 0 1004041018 1629433933 16 Nurse Practitioners SANDERS ERIN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 488 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 488 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2222.21 0 0 0 0 0 0 2222.21 0 0 0 1004041237 1720241839 10 Physicians KULAR RAJNISHPAUL K 604405125 107 Will 0 0 Psychiatry 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 609.78 0 0 0 0 0 0 609.78 0 0 0 1004041303 1578922050 48 Rural Health Clinics PERRY MEMORIAL FAMILY HEALTH C 999999999 15 Bureau 0 0 0 0 581 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2003 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2003 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 82838.54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 82838.54 0 0 0 1004041337 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 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13 0 0 0 0 0 0 16 0 527 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 16 0 527 0 0 0 0 0 0 0 0 0 415.56 0 0 0 0 0 0 316.94 0 37900.14 0 0 0 0 0 0 38632.64 0 0 0 1004041830 1760613079 22 Physical Therapists KILPATRICK THOMAS 999999999 108 Williamson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 737.88 737.88 0 0 0 1004041859 1477684132 60 Pharmacies WOUND CARE SOLUTIONS INC 606122345 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2144 0 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11639 0 0 214 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11639 0 0 214 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 188301.53 0 0 1344.96 0 0 0 189646.49 0 0 0 1004041871 10 Physicians 80 Peoria 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1.67 0 0 0 0 0 0 0 0 1.67 0 0 0 1004041904 1174624241 10 Physicians KUNG AMIINAH Y 999999999 53 Kane 0 0 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0 0 0 0 0 0 0 0 0 0 0 0 0 2513.71 0 0 0 0 0 0 0 0 0 0 0 0 0 2513.71 0 0 0 1004057819 1962728972 10 Physicians LEVERIDGE SHANNON 999999999 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5209.92 0 0 0 0 0 0 5209.92 0 0 0 1004057902 1972815983 10 Physicians PRAKASH VIKRAM 631102515 50 Jersey 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5541.08 0 0 0 0 0 0 5541.08 0 0 0 1004058062 16 Nurse Practitioners 92 Schuyler 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32.2 0 0 0 0 0 0 32.2 0 0 0 1004058499 1215312269 11 Dentists UY CHARLENE N 606323009 200 Cook 0 0 General Dentistry 0 0 0 129 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 591 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 591 0 0 0 0 0 0 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0 0 0 0 15662.37 0 0 0 0 0 0 0 0 0 0 0 0 0 15662.37 0 0 0 1004059551 1164898524 89 Physician Assistant Only(Encounter Only) HENDRICKS RACHEL E 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39.47 0 0 0 0 0 0 39.47 0 0 0 1004059567 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1731.96 0 0 0 0 0 0 0 0 0 0 0 0 0 1731.96 0 0 0 1004059629 10 Physicians 844 Tennessee 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22.34 0 0 0 0 0 0 0 0 22.34 0 0 0 1004059697 1184015927 60 Pharmacies CAREPLUS DISCOUNT PHARMACY INC 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9263 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4237.28 0 0 0 4237.28 0 0 0 1004059886 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004059907 1174822340 10 Physicians KIM HOWARD 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2942.62 0 0 0 0 0 0 2942.62 0 0 0 1004059921 16 Nurse Practitioners 108 Williamson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28.35 0 0 0 0 0 0 28.35 0 0 0 1004060270 91 Waiver service provider--Adults (DHS/DDD) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1074.15 0 0 0 0 0 0 0 0 0 0 0 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0 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5862.12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5862.12 0 0 0 1004060677 10 Physicians 200 Cook 0 0 Oncology 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004060758 1942442736 10 Physicians DARLINGTON WENDY S 999999999 30 DuPage 0 0 0 0 0 0 20 0 0 0 0 0 0 25 0 79 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 156 0 234 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 156 0 234 0 0 0 0 0 0 0 0 0 506.75 0 0 0 0 0 0 951.34 0 11107.93 0 0 0 0 0 0 12566.02 0 0 0 1004060772 1962760314 10 Physicians SATO MAKI 606751620 200 Cook 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 256.54 0 0 0 0 0 0 0 0 1214.59 0 0 0 0 0 0 1471.13 0 0 0 1004060785 1679783088 11 Dentists QAISI MOHAMMED K 999999999 825 Mississippi 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 359.24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 359.24 0 0 0 1004061026 1902946940 22 Physical Therapists MCINERNEY CARA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 593.04 593.04 0 0 0 1004061210 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 817.98 0 0 0 0 0 0 0 0 0 0 0 0 0 817.98 0 0 0 1004061283 1346648755 16 Nurse Practitioners LOWERY KATHLEEN 731279742 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 405.2 0 0 0 0 0 0 405.2 0 0 0 1004061447 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004061537 91 Waiver service provider--Adults (DHS/DDD) 58 La Salle 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 173 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 173 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5135.62 0 0 0 0 0 0 0 0 0 0 0 0 0 5135.62 0 0 0 1004061649 30 General Hospitals 844 Tennessee ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 750.41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 750.41 0 0 0 1004061792 1770950081 11 Dentists XU HENG 999999999 57 Lake 0 0 General Dentistry 0 0 0 190 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 839 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 839 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21617.71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21617.71 0 0 0 1004061804 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 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SAINT ANTHONYS HEALTH CNTR 620024568 65 Madison DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 8 0 0 0 0 0 0 671 0 0 215 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 2947 0 0 887 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 2947 0 0 887 0 0 0 0 0 0 0 0 50.15 0 0 0 0 0 0 15824.14 0 0 87343.15 0 0 0 0 0 103217.44 0 0 0 1004062108 1316320849 48 Rural Health Clinics OSF MEDICAL GROUP - MENDOTA 613429010 58 La Salle 0 0 0 0 709 0 143 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2157 0 272 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2157 0 272 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93631.16 0 2930.88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96562.04 0 0 0 1004062335 10 Physicians 109 Winnebago 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24.2 0 0 0 0 0 0 24.2 0 0 0 1004062377 94 Waiver service provider--Children's support (DHS/D 30 DuPage 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1178.09 0 0 0 0 0 0 0 0 0 0 0 0 0 1178.09 0 0 0 1004062424 1659769917 28 Waiver service provider--Supportive living facilit BROOKSTONE ESTATES OF ROBINSON 624543850 25 Crawford 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 252 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7452 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 379520.14 0 0 0 0 0 0 0 0 0 0 0 0 0 379520.14 0 0 0 1004062485 87 Psychologist(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 99.65 0 0 0 0 0 0 99.65 0 0 0 1004062493 1568899953 16 Nurse Practitioners BUCKMAN LINDSAY A. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1653.59 0 0 0 0 0 0 1653.59 0 0 0 1004062564 1275744724 10 Physicians QUDDUS SANA 601545716 200 Cook 0 0 Pulmonary Diseases 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 272 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 272 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 535.11 0 0 0 0 0 0 535.11 0 0 0 1004062665 60 Pharmacies 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 930 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 695.69 0 0 0 695.69 0 0 0 1004062748 1457581373 16 Nurse Practitioners GARZA ELSA 605275965 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 555.7 0 0 0 0 0 0 555.7 0 0 0 1004062983 1558658633 10 Physicians HOUCK MEGHANN 999999999 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 142 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 395 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 395 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2592.49 0 0 0 0 0 0 2592.49 0 0 0 1004063016 1881829992 10 Physicians KRANTZ SETH B. 999999999 200 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0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2324.52 0 0 0 0 0 0 0 0 0 0 0 0 0 2324.52 0 0 0 1004063803 1801055082 10 Physicians SHENG NEHA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 172 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 172 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2.95 0 1686.36 0 0 0 0 0 0 1689.31 0 0 0 1004063834 1376931550 16 Nurse Practitioners LYNCH ELISE N 606313222 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 372.06 0 0 0 0 0 0 372.06 0 0 0 1004063996 92 Waiver service provider--Disability (DHS/DRS) 25 Crawford 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7709.02 0 0 0 0 0 0 0 0 0 0 0 0 0 7709.02 0 0 0 1004064065 1932549318 10 Physicians SOLOWSKI PAMELA E 999999999 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3739.92 0 0 0 0 0 0 3739.92 0 0 0 1004064142 1760870430 11 Dentists OGUNSANYA FOLASHADE 999999999 200 Cook 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2841.59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2841.59 0 0 0 1004064170 1730323023 10 Physicians MEYER CLAIRE E 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2878.45 0 0 0 0 0 0 2878.45 0 0 0 1004064189 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1977.01 0 0 0 0 0 0 0 0 0 0 0 0 0 1977.01 0 0 0 1004064210 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1171 0 0 0 0 0 0 0 0 0 0 0 0 0 1171 0 0 0 1004064326 1235438417 10 Physicians GRUNDEMAN CHRISTINE 609361477 35 Ford 0 0 Psychiatry 0 0 0 0 0 0 0 0 0 0 0 0 0 316 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 672 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 672 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14962.01 0 0 0 0 0 0 14962.01 0 0 0 1004064346 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105.15 0 0 0 0 0 0 105.15 0 0 0 1004064467 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18144.36 0 0 0 0 0 0 0 0 0 0 0 0 0 18144.36 0 0 0 1004064937 92 Waiver service provider--Disability (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5299.87 0 0 0 0 0 0 0 0 0 0 0 0 0 5299.87 0 0 0 1004064957 1639330046 10 Physicians LAWRENCE DAVID A 384741503 821 Maryland 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 979.43 0 0 0 0 0 0 0 0 979.43 0 0 0 1004064982 1780993170 10 Physicians LAVIN JENNIFER 606112991 200 Cook 0 0 Otolaryngology 0 0 0 0 0 0 0 0 0 0 0 0 0 196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 412 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 412 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38774.63 0 0 0 0 0 0 38774.63 0 0 0 1004065031 94 Waiver service provider--Children's support (DHS/D 96 St Clair 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2618 0 0 0 0 0 0 0 0 0 0 0 0 0 2618 0 0 0 1004065398 1750781993 16 Nurse Practitioners WOODBURY RHONDA 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3092.6 0 0 0 0 0 0 3092.6 0 0 0 1004065723 10 Physicians 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46.39 0 0 0 0 0 0 46.39 0 0 0 1004065834 1194954826 10 Physicians SHAKIR IMRAN 999999999 200 Cook 0 0 Psychiatry 0 0 0 0 3 0 0 0 0 0 0 0 0 168 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 861 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 861 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 23116.48 0 0 0 0 0 0 23146.48 0 0 0 1004065961 91 Waiver service provider--Adults (DHS/DDD) 98 Tazewell 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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0 468 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 468 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4209.42 0 0 0 0 0 0 4209.42 0 0 0 1004066259 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 158 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 158 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10179.08 0 0 0 0 0 0 0 0 0 0 0 0 0 10179.08 0 0 0 1004066335 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004066350 1508244799 10 Physicians LUQMAN MOHAMMED 999999999 845 Texas 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101.82 0 0 0 0 0 0 101.82 0 0 0 1004066465 1396066536 10 Physicians MCLAUGHLIN HEIDI S 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 1 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71.9 0 4134.86 0 0 0 0 0 0 4206.76 0 0 0 1004066478 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13542.33 0 0 0 0 0 0 0 0 0 0 0 0 0 13542.33 0 0 0 1004066522 1194146258 16 Nurse Practitioners JOVANOVICH SONJA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 302.65 0 0 0 0 0 0 302.65 0 0 0 1004066825 1548654635 91 Waiver service provider--Adults (DHS/DDD) BUDYN KASIA 604623463 200 Cook 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 773 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 773 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27291 0 0 0 0 0 0 0 0 0 0 0 0 0 27291 0 0 0 1004067013 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12926.1 0 0 0 0 0 0 0 0 0 0 0 0 0 12926.1 0 0 0 1004067050 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2750.33 0 0 0 0 0 0 0 0 0 0 0 0 0 2750.33 0 0 0 1004067102 1578857835 10 Physicians AHN CHI YUNG 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 321 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1291 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1291 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6778.11 0 0 0 0 0 0 6778.11 0 0 0 1004067125 1063898914 16 Nurse Practitioners SUMMERS APRIL 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1081.83 0 0 0 0 0 0 1081.83 0 0 0 1004067334 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5350.17 0 0 0 0 0 0 0 0 0 0 0 0 0 5350.17 0 0 0 1004067564 1639567886 16 Nurse Practitioners TESSMAN DOROTHY 606127232 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 793.16 0 0 0 0 0 0 793.16 0 0 0 1004067584 1588953186 10 Physicians LEWIS DAKISHA 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 25 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 391.44 0 12464.28 0 0 0 0 0 0 12855.72 0 0 0 1004067745 91 Waiver service provider--Adults (DHS/DDD) 46 Iroquois 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1821.6 0 0 0 0 0 0 0 0 0 0 0 0 0 1821.6 0 0 0 1004067844 10 Physicians 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 168.43 0 0 0 0 0 0 168.43 0 0 0 1004067941 1467546390 16 Nurse Practitioners MONTAGUE KATHRYN A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 471.51 0 0 0 0 0 0 471.51 0 0 0 1004068301 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 552.22 0 0 0 0 0 0 0 0 0 0 0 0 0 552.22 0 0 0 1004068302 1063836450 16 Nurse Practitioners CRISLER MARY A 625680438 20 Christian 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 136 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 385 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 385 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1641.57 0 0 0 0 0 0 1641.57 0 0 0 1004068609 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2953.51 0 0 0 0 0 0 0 0 0 0 0 0 0 2953.51 0 0 0 1004068619 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 250 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 250 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12908.83 0 0 0 0 0 0 0 0 0 0 0 0 0 12908.83 0 0 0 1004068650 1093027633 10 Physicians HANDA KAMNA 999999999 77 Morgan 0 0 Psychiatry 0 0 0 0 0 0 0 0 0 0 0 0 0 213 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 463 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 463 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10188.7 0 0 0 0 0 0 10188.7 0 0 0 1004068752 1245585322 10 Physicians MURARI PALLAVI 616360001 63 Macon 0 0 Family Practice 0 0 0 0 34 0 0 0 0 0 0 44 0 149 0 0 0 0 0 0 0 0 0 103 0 0 0 0 0 0 67 0 295 0 0 0 0 0 0 0 0 0 103 0 0 0 0 0 0 67 0 295 0 0 0 0 0 0 0 0 0 3233.43 0 0 0 0 0 0 635.71 0 8520.68 0 0 0 0 0 0 12389.82 0 0 0 1004068803 1841661089 40 Federally Qualified Health Centers ACCESS AUSTIN FAMILY HEALTH C 999999999 200 Cook 0 0 0 0 98 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17003.83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17003.83 0 0 0 1004068983 22 Physical Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338.21 338.21 0 0 0 1004069135 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6842.93 0 0 0 0 0 0 0 0 0 0 0 0 0 6842.93 0 0 0 1004069149 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 349 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 349 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23688.5 0 0 0 0 0 0 0 0 0 0 0 0 0 23688.5 0 0 0 1004069385 1902881030 16 Nurse Practitioners SPRINGER LORRIE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4.5 0 0 0 0 0 0 4.5 0 0 0 1004069402 1316292592 10 Physicians PANOZZO STACY L. 602011718 200 Cook 0 1 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 3 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22.44 0 413.17 0 0 0 0 0 0 435.61 0 0 0 1004069705 1851513071 16 Nurse Practitioners ELLINGSON BRENDA 623012719 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28.5 0 0 0 0 0 0 28.5 0 0 0 1004069730 1669554465 16 Nurse Practitioners ROBERTS ERIC D. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2052.3 0 0 0 0 0 0 2052.3 0 0 0 1004069857 1780996470 10 Physicians COUGHLIN CARRIE C 631600352 200 Cook 0 0 Dermatology 0 0 0 0 1 0 0 0 0 0 0 0 0 61 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 91 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 91 0 0 0 0 0 0 0 0 0 32.5 0 0 0 0 0 0 0 0 2605.9 0 0 0 0 0 0 2638.4 0 0 0 1004069956 92 Waiver service provider--Disability (DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1096.61 0 0 0 0 0 0 0 0 0 0 0 0 0 1096.61 0 0 0 1004069998 1689687709 88 Other behavior health professional(Encounter Only) JEPSON NEIL 617020604 72 McLean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 295.57 0 0 0 0 0 0 295.57 0 0 0 1004070017 1831344373 10 Physicians CLAYBON MARCIE 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 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SHEETAL 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1479.7 0 0 0 0 0 0 1479.7 0 0 0 1004071338 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9491.11 0 0 0 0 0 0 0 0 0 0 0 0 0 9491.11 0 0 0 1004071403 1003107772 10 Physicians SHAH PRIT 999999999 24 Coles 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 6 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.55 0 5042.85 0 0 0 0 0 0 5043.4 0 0 0 1004071504 1033508478 16 Nurse Practitioners SHIELDS PENELOPE 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 158 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 660 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 660 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7355.49 0 0 0 0 0 0 7355.49 0 0 0 1004071553 1780014225 89 Physician Assistant Only(Encounter Only) GALVIN DONALD A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34.84 0 0 0 0 0 0 34.84 0 0 0 1004071649 1265872097 10 Physicians ZOHRA NOUREEN 999999999 91 Sangamon 0 0 General Practice 0 0 0 0 2 0 0 0 0 0 0 30 0 61 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 104 0 121 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 104 0 121 0 0 0 0 0 0 0 0 0 111.36 0 0 0 0 0 0 834.1 0 3752 0 0 0 0 0 0 4697.46 0 0 0 1004071733 94 Waiver service provider--Children's support (DHS/D INSTRUCTIONAL ABA CONSULTANTS 999999999 30 DuPage 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 142049.6 0 0 0 0 0 0 0 0 0 0 0 0 0 142049.6 0 0 0 1004071781 1104145747 10 Physicians HENRY JUSTIN N 999999999 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 145 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 145 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 686.63 0 0 0 0 0 0 686.63 0 0 0 1004071793 1982086237 16 Nurse Practitioners FULLER MICHELE R 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 525.43 0 0 0 0 0 0 525.43 0 0 0 1004071955 10 Physicians 815 Indiana 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24.9 0 0 0 0 0 0 24.9 0 0 0 1004071957 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 530.95 0 0 0 0 0 0 0 0 0 0 0 0 0 530.95 0 0 0 1004072088 1053585463 10 Physicians JAIN SHIKHA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 508 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 508 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16.7 0 80285.24 0 0 0 0 0 0 80301.94 0 0 0 1004072105 1316971880 10 Physicians AWAN AFTAB 606222743 200 Cook 0 0 Physical Medicine/Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 911.48 0 0 0 0 0 0 911.48 0 0 0 1004072925 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6751.23 0 0 0 0 0 0 0 0 0 0 0 0 0 6751.23 0 0 0 1004073078 91 Waiver service provider--Adults (DHS/DDD) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11036.54 0 0 0 0 0 0 0 0 0 0 0 0 0 11036.54 0 0 0 1004073086 1922474477 16 Nurse Practitioners ANDERSON KENDRA 999999999 19 Champaign 0 0 0 0 0 0 3 0 0 0 0 0 0 0 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Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 347 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 499 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 499 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3059.97 0 403.83 0 0 0 0 0 0 3463.8 0 0 0 1004074056 1730317850 10 Physicians KASSIS CHRISTINE 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1144.68 0 10.77 0 0 0 0 0 0 1155.45 0 0 0 1004074061 1295027498 10 Physicians CHAUDHARY HAROON 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 177 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 177 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2173.68 0 0 0 0 0 0 2173.68 0 0 0 1004074122 1083880306 10 Physicians DHARIA CHIRAAG V 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 233 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 297 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 297 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1461.29 0 17.38 0 0 0 0 0 0 1478.67 0 0 0 1004074159 16 Nurse Practitioners 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24.45 0 0 0 0 0 0 24.45 0 0 0 1004074340 91 Waiver service provider--Adults (DHS/DDD) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 299 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 299 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12581.49 0 0 0 0 0 0 0 0 0 0 0 0 0 12581.49 0 0 0 1004074481 23 Occupational Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4276.25 4276.25 0 0 0 1004074580 1699168922 63 Other Providers of Medical Equipment/Supplies (Non PREFERRED HOME HEALTH CARE MID 999999999 45 Henry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3179.91 0 0 0 0 0 0 3179.91 0 0 0 1004074583 1992800270 89 Physician Assistant Only(Encounter Only) CIRRINCIONE MEREDITH M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 79.8 0 0 0 0 0 0 79.8 0 0 0 1004074799 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9370.02 0 0 0 0 0 0 0 0 0 0 0 0 0 9370.02 0 0 0 1004074801 1073776977 10 Physicians ENAKPENE CHRISTOPHER 999999999 803 Arizona 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3.44 0 7906.82 0 0 0 0 0 0 7910.26 0 0 0 1004074865 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1768.34 0 0 0 0 0 0 0 0 0 0 0 0 0 1768.34 0 0 0 1004075040 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8884.08 0 0 0 0 0 0 0 0 0 0 0 0 0 8884.08 0 0 0 1004075128 93 Waiver service provider--HIV/AIDS (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 891.59 0 0 0 0 0 0 0 0 0 0 0 0 0 891.59 0 0 0 1004075442 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23010.15 0 0 0 0 0 0 0 0 0 0 0 0 0 23010.15 0 0 0 1004075451 1508920315 16 Nurse Practitioners ARBIR CHRISTOPHER F. 999999999 71 McHenry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 449.05 0 0 0 0 0 0 449.05 0 0 0 1004075487 1407005671 51 Community Health Agencies - In home THE TOWN OF CICERO 999999999 200 Cook 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 545 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 545 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21876.14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21876.14 0 0 0 1004075550 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2451.14 0 0 0 0 0 0 0 0 0 0 0 0 0 2451.14 0 0 0 1004075556 1346638947 16 Nurse Practitioners KNEIP MELISSA J 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 314.5 0 0 0 0 0 0 314.5 0 0 0 1004075599 1154648269 10 Physicians HASAN ZEBA M 605639791 30 DuPage 0 1 Pediatrics 0 0 0 0 75 0 0 0 0 0 0 24 0 119 0 0 0 0 0 0 0 0 0 176 0 0 0 0 0 0 26 0 138 0 0 0 0 0 0 0 0 0 176 0 0 0 0 0 0 26 0 138 0 0 0 0 0 0 0 0 0 9173.69 0 0 0 0 0 0 236.45 0 6176.1 0 0 0 0 0 0 15586.24 0 0 0 1004075605 24 Speech Therapists 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2064.44 2064.44 0 0 0 1004075653 91 Waiver service provider--Adults (DHS/DDD) 55 Kendall 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3760.18 0 0 0 0 0 0 0 0 0 0 0 0 0 3760.18 0 0 0 1004075671 94 Waiver service provider--Children's support (DHS/D 72 McLean 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 918.5 0 0 0 0 0 0 0 0 0 0 0 0 0 918.5 0 0 0 1004075678 91 Waiver service provider--Adults (DHS/DDD) 42 Hancock 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 139 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 139 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10365.79 0 0 0 0 0 0 0 0 0 0 0 0 0 10365.79 0 0 0 1004075854 1730566779 16 Nurse Practitioners SHOKSO SONAM 999999999 200 Cook 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 12.8 0 0 0 0 0 0 0 0 778.02 0 0 0 0 0 0 790.82 0 0 0 1004075921 1003025651 10 Physicians FAASSE MARK A 606313222 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 6 0 159 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15.6 0 20920.82 0 0 0 0 0 0 20936.42 0 0 0 1004075948 24 Speech Therapists 33 Effingham 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 217.68 217.68 0 0 0 1004075969 1235519190 12 Optometrists CARR NATALIE J. 999999999 96 St Clair 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 469 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 469 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12702.31 0 0 0 0 0 0 12702.31 0 0 0 1004076079 94 Waiver service provider--Children's support (DHS/D 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16333.4 0 0 0 0 0 0 0 0 0 0 0 0 0 16333.4 0 0 0 1004076234 10 Physicians 836 Ohio 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 140.1 0 0 0 0 0 0 140.1 0 0 0 1004076259 1093000796 10 Physicians METROPULOS DIANA 606751611 63 Macon 0 0 Pediatrics 0 0 0 0 101 0 0 0 0 0 0 8 0 85 0 0 0 0 0 0 0 0 0 323 0 0 0 0 0 0 8 0 103 0 0 0 0 0 0 0 0 0 323 0 0 0 0 0 0 8 0 103 0 0 0 0 0 0 0 0 0 10725.66 0 0 0 0 0 0 39.44 0 4861.21 0 0 0 0 0 0 15626.31 0 0 0 1004076317 1902126378 10 Physicians EBRAHIMI FARZAD 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 3 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5925.42 0 0 0 0 0 0 5925.42 0 0 0 1004076509 89 Physician Assistant Only(Encounter Only) 98 Tazewell 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004076534 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 832.76 0 0 0 0 0 0 0 0 0 0 0 0 0 832.76 0 0 0 1004076646 1902237407 16 Nurse Practitioners MARTIN TONI 999999999 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 647.01 0 0 0 0 0 0 647.01 0 0 0 1004076683 1053717033 16 Nurse Practitioners BASSETT ELIZABETH 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 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MELISSA A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 481.6 0 0 0 0 0 0 481.6 0 0 0 1004085802 10 Physicians 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004085953 1902297435 16 Nurse Practitioners SUMMERS ABIGAIL 629596360 108 Williamson 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 235 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 235 0 0 0 0 0 0 0 0 0 347.94 0 0 0 0 0 0 0 0 4689.18 0 0 0 0 0 0 5037.12 0 0 0 1004086011 1316332232 91 Waiver service provider--Adults (DHS/DDD) STEFANKIEWICZ JENNIFER 605174649 826 Missouri 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 874 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 874 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102301.44 0 0 0 0 0 0 0 0 0 0 0 0 0 102301.44 0 0 0 1004086194 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 176 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 176 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16484.76 0 0 0 0 0 0 0 0 0 0 0 0 0 16484.76 0 0 0 1004086325 98 Waiver service provider--TBI (DHS/DRS) 100 Vermilion 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25425.01 0 0 0 0 0 0 0 0 0 0 0 0 0 25425.01 0 0 0 1004086351 98 Waiver service provider--TBI (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17472.88 0 0 0 0 0 0 0 0 0 0 0 0 0 17472.88 0 0 0 1004087083 10 Physicians 19 Champaign 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 168.85 0 0 0 0 0 0 168.85 0 0 0 1004087183 91 Waiver service 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 825.03 0 0 0 0 0 0 825.03 0 0 0 1004089343 92 Waiver service provider--Disability (DHS/DRS) 30 DuPage 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1119.98 0 0 0 0 0 0 0 0 0 0 0 0 0 1119.98 0 0 0 1004089482 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5891.36 0 0 0 0 0 0 0 0 0 0 0 0 0 5891.36 0 0 0 1004089485 1063691053 89 Physician Assistant Only(Encounter Only) KLINGBEIL JENNIFER M 606751611 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41.36 0 0 0 0 0 0 41.36 0 0 0 1004089527 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 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(DHS/DRS) 54 Kankakee 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27730.59 0 0 0 0 0 0 0 0 0 0 0 0 0 27730.59 0 0 0 1004089831 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4602.52 0 0 0 0 0 0 0 0 0 0 0 0 0 4602.52 0 0 0 1004089839 91 Waiver service provider--Adults (DHS/DDD) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 173 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 173 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8264.76 0 0 0 0 0 0 0 0 0 0 0 0 0 8264.76 0 0 0 1004089962 92 Waiver service provider--Disability (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3471.54 0 0 0 0 0 0 0 0 0 0 0 0 0 3471.54 0 0 0 1004090036 1649451352 10 Physicians JANTZEN DAVID 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1 0 0 0 0 0 0 0 0 446 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 446 0 0 0 0 0 0 0 0 0 76.84 0 0 0 0 0 0 0 0 19281.78 0 0 0 0 0 0 19358.62 0 0 0 1004099572 92 Waiver service provider--Disability (DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9357.83 0 0 0 0 0 0 0 0 0 0 0 0 0 9357.83 0 0 0 1004099578 1366406027 10 Physicians KAMELL ANDREW W 616370001 80 Peoria 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 204 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 204 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3901.85 0 0 0 0 0 0 3901.85 0 0 0 1004099803 1255718797 16 Nurse Practitioners MATTINGLY MEGAN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004099858 16 Nurse Practitioners 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 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0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 47 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1896.9 0 327 0 0 0 0 0 0 2223.9 0 0 0 1004101871 1598136632 33 Nursing Facilities THE CARLTON AT THE LAKE 606131515 200 Cook 0 0 0 0 0 0 0 0 0 0 0 9 0 0 171 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 0 0 662 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2881 0 0 16914 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 171176.81 0 0 2223045.7 0 0 0 0 0 0 0 2394222.51 0 0 0 1004102067 1871810291 10 Physicians FRANADA TIFFANI STROUP 999999999 80 Peoria 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1257.04 0 0 0 0 0 0 1257.04 0 0 0 1004102131 1700295920 39 Hospice OSF SAINT ANTHONYS HOSPICE 620026434 65 Madison 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 932 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102688.68 0 0 0 0 0 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service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5819 0 0 0 0 0 0 0 0 0 0 0 0 0 5819 0 0 0 1004169953 94 Waiver service provider--Children's support (DHS/D 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 173 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 173 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15762.7 0 0 0 0 0 0 0 0 0 0 0 0 0 15762.7 0 0 0 1004169989 1063810232 16 Nurse Practitioners ROSENTHAL SARAH 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2198 0 0 0 0 0 0 2198 0 0 0 1004170188 1790175826 16 Nurse Practitioners BOWENNESHEIM LADY 600846037 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004170237 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0 29 0 0 0 0 0 0 0 0 0 1014.04 0 0 0 0 0 0 83.77 0 1226.41 0 0 0 0 0 0 2324.22 0 0 0 1004177780 1366828634 25 Audiologists DIXON SAMANTHA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 268 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 268 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2170.93 2170.93 0 0 0 1004177782 30 General Hospitals 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16500.7 0 0 0 0 0 0 0 0 0 16500.7 0 0 0 1004177822 1306078910 10 Physicians SHAH BHAVIN C 999999999 107 Will 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4573.34 0 0 0 0 0 0 4573.34 0 0 0 1004177831 1306111679 10 Physicians JOHNSON LAURA JANELLE 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 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1771.12 0 2724.81 0 0 0 0 0 0 4495.93 0 0 0 1004179686 1720342405 10 Physicians SONI ZINAL 999999999 109 Winnebago 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 14 0 81 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 16 0 85 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 16 0 85 0 0 0 0 0 0 0 0 0 85.65 0 0 0 0 0 0 211.51 0 2914.95 0 0 0 0 0 0 3212.11 0 0 0 1004179816 1821496076 89 Physician Assistant Only(Encounter Only) FEIERSTEIN KATHERINE E. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004179962 1154671790 89 Physician Assistant Only(Encounter Only) BELL JEFFREY A. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70.34 0 0 0 0 0 0 70.34 0 0 0 1004180301 1871845776 60 Pharmacies VORAC PHARMACY LLC 612541348 45 Henry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 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ABAD JOHN 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2744.59 0 0 0 0 0 0 2744.59 0 0 0 1004192836 1104118249 10 Physicians HARRISON KALLIE L 622062822 826 Missouri 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 29 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1779.74 0 3556.18 0 0 0 0 0 0 5335.92 0 0 0 1004192996 23 Occupational Therapists 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5601.74 5601.74 0 0 0 1004193101 1780823500 60 Pharmacies EXACT CARE PHARMACY LLC 441256134 836 Ohio 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 163 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4662 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 134460 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 249963.92 0 0 0 249963.92 0 0 0 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REBECCA 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 161.5 0 0 0 0 0 0 161.5 0 0 0 1004228531 1982896668 10 Physicians PALOIAN NEIL J 535625531 200 Cook 0 0 Pediatric Nephrology 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 475.48 0 0 0 0 0 0 475.48 0 0 0 1004228588 1356660203 10 Physicians MICIC DEJAN 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1066.17 0 0 0 0 0 0 1066.17 0 0 0 1004228834 1245489244 10 Physicians DOGAN-BAG VAHIDE 604611021 200 Cook 0 0 General Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 740.61 0 0 0 0 0 0 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0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24455.57 0 0 0 0 0 0 0 0 0 0 0 0 0 24455.57 0 0 0 1004238962 1184821001 10 Physicians NOHERIA AMIT 631600352 89 Rock Island 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3902.25 0 0 0 0 0 0 3902.25 0 0 0 1004239188 1528334273 10 Physicians PATEL SHIRALI G. 999999999 53 Kane 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5583.12 0 0 0 0 0 0 5583.12 0 0 0 1004239189 1972995629 16 Nurse Practitioners PIETRUCZUK MARGARET 999999999 200 Cook 0 0 0 0 0 0 127 0 0 0 0 0 0 0 0 141 0 0 0 0 0 0 0 0 0 460 0 0 0 0 0 0 0 0 331 0 0 0 0 0 0 0 0 0 460 0 0 0 0 0 0 0 0 331 0 0 0 0 0 0 0 0 0 15992.17 0 0 0 0 0 0 0 0 11692.54 0 0 0 0 0 0 27684.71 0 0 0 1004239269 1003289356 87 Psychologist(Encounter Only) JIMENEZ SOFIA C 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0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004245514 1063723930 10 Physicians BRADBURY CHRISTOPHER MATTHEW 999999999 91 Sangamon 0 0 Radiation Oncology 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 274 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 274 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5550.45 0 0 0 0 0 0 5550.45 0 0 0 1004245602 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10278.96 0 0 0 0 0 0 0 0 0 0 0 0 0 10278.96 0 0 0 1004245609 93 Waiver service provider--HIV/AIDS (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 832.67 0 0 0 0 0 0 0 0 0 0 0 0 0 832.67 0 0 0 1004245637 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 488.4 0 0 0 0 0 0 0 0 0 0 0 0 0 488.4 0 0 0 1004245656 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 963.38 0 0 0 0 0 0 0 0 0 0 0 0 0 963.38 0 0 0 1004245741 89 Physician Assistant Only(Encounter Only) 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004245757 1932365251 10 Physicians JAGADISH ANUBHAV P 601953203 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 26 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194.24 0 221.6 0 0 0 0 0 0 415.84 0 0 0 1004245787 1730314477 10 Physicians KRAMER CHRISTOPHER L 999999999 824 Minnesota 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1269.13 0 0 0 0 0 0 0 0 0 0 0 0 0 1269.13 0 0 0 1004246773 1174750152 10 Physicians ALLAM TALHA S 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 570 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 757 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 757 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16210.46 0 290.04 0 0 0 0 0 0 16500.5 0 0 0 1004246916 1770782062 89 Physician Assistant Only(Encounter Only) RUDICIL SHAUN M. 999999999 72 McLean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 171.56 0 0 0 0 0 0 171.56 0 0 0 1004247005 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8986.6 0 0 0 0 0 0 0 0 0 0 0 0 0 8986.6 0 0 0 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004256068 92 Waiver service provider--Disability (DHS/DRS) 826 Missouri 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2018.43 0 0 0 0 0 0 0 0 0 0 0 0 0 2018.43 0 0 0 1004256120 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 285 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 285 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38070.57 0 0 0 0 0 0 0 0 0 0 0 0 0 38070.57 0 0 0 1004256137 1154615797 10 Physicians REDICAN ELIZABETH 606232460 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8733.45 0 0 0 0 0 0 8733.45 0 0 0 1004256249 1205276011 89 Physician Assistant Only(Encounter Only) VLAMING JESSICA K 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45.05 0 0 0 0 0 0 45.05 0 0 0 1004256366 1376775205 10 Physicians ARANAS MELCHOR PAULO A 999999999 40 Grundy 0 1 Family Practice 0 0 0 0 19 0 0 0 0 0 0 27 0 199 0 0 0 0 0 0 0 0 0 63 0 0 0 0 0 0 28 0 341 0 0 0 0 0 0 0 0 0 63 0 0 0 0 0 0 28 0 341 0 0 0 0 0 0 0 0 0 1868.31 0 0 0 0 0 0 1255.62 0 11837.78 0 0 0 0 0 0 14961.71 0 0 0 1004256384 1073984696 55 Early Intervention Services REGIONAL OFC OF EDUCATION 26 999999999 70 McDonough 0 0 0 393 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2013 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2013 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 221672.24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 221672.24 0 0 0 1004256435 1649583485 10 Physicians AZAR ALINE 616151941 80 Peoria 0 0 Infectious Diseases 0 0 0 0 0 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 371 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 371 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5271.57 0 0 0 0 0 0 5271.57 0 0 0 1004256585 94 Waiver service provider--Children's support (DHS/D 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2217.6 0 0 0 0 0 0 0 0 0 0 0 0 0 2217.6 0 0 0 1004256606 1023406873 16 Nurse Practitioners KOLDENHOVEN CRISTA L. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52.8 0 0 0 0 0 0 52.8 0 0 0 1004256693 1245585462 10 Physicians SINGH AMRINDER 606313222 200 Cook 0 0 Family Practice 0 0 0 0 19 0 0 0 0 0 0 4 0 49 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 5 0 62 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 5 0 62 0 0 0 0 0 0 0 0 0 1893.82 0 0 0 0 0 0 33.56 0 2207.28 0 0 0 0 0 0 4134.66 0 0 0 1004256856 1134414618 10 Physicians STOCK RYAN T 999999999 47 Jackson 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 3 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 199 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 199 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18483.15 0 0 0 0 0 0 18483.15 0 0 0 1004256929 1750523783 10 Physicians LY CATHERINE 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 139 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 139 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8.62 0 3476.93 0 0 0 0 0 0 3485.55 0 0 0 1004257014 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 309 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 309 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24122.97 0 0 0 0 0 0 0 0 0 0 0 0 0 24122.97 0 0 0 1004257161 1699790618 22 Physical Therapists KALLADANTHYIL BOBBY 999999999 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 493.82 493.82 0 0 0 1004257185 98 Waiver service provider--TBI (DHS/DRS) 56 Knox 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6394.48 0 0 0 0 0 0 0 0 0 0 0 0 0 6394.48 0 0 0 1004257293 1114248028 10 Physicians PLEIN COLLEEN 999999999 57 Lake 0 0 Otolaryngology 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 753.23 0 0 0 0 0 0 753.23 0 0 0 1004257387 1578937991 23 Occupational Therapists TSUI JEANNIE 999999999 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 534 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 534 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38803.98 38803.98 0 0 0 1004257466 94 Waiver service provider--Children's support (DHS/D 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2395.08 0 0 0 0 0 0 0 0 0 0 0 0 0 2395.08 0 0 0 1004257739 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27.59 0 0 0 0 0 0 27.59 0 0 0 1004257813 1730317090 10 Physicians HALL GRAHAM C 420033802 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 146.7 0 0 0 0 0 0 146.7 0 0 0 1004257884 92 Waiver service provider--Disability (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2533.29 0 0 0 0 0 0 0 0 0 0 0 0 0 2533.29 0 0 0 1004257892 1861780017 10 Physicians BEVERIDGE MARA G. 999999999 200 Cook 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 940.56 0 0 0 0 0 0 940.56 0 0 0 1004257931 1801280409 48 Rural Health Clinics HEARTLAND WOMENS HEALTHCARE 628645951 49 Jefferson 0 0 0 0 172 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 478 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 478 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13072.06 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13072.06 0 0 0 1004257945 1144495581 10 Physicians YOUNG OMAR M 631101010 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 21 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1362.69 0 2960.6 0 0 0 0 0 0 4323.29 0 0 0 1004258103 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95.3 0 0 0 0 0 0 95.3 0 0 0 1004258105 92 Waiver service provider--Disability (DHS/DRS) 63 Macon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14629.42 0 0 0 0 0 0 0 0 0 0 0 0 0 14629.42 0 0 0 1004258201 88 Other behavior health professional(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 353.89 0 0 0 0 0 0 353.89 0 0 0 1004258232 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22819.5 0 0 0 0 0 0 0 0 0 0 0 0 0 22819.5 0 0 0 1004258301 1720248636 10 Physicians BLASCYK DANIEL 616043221 80 Peoria 0 1 Internal Medicine 0 0 0 0 42 0 0 0 0 0 0 24 0 235 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 35 0 499 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 35 0 499 0 0 0 0 0 0 0 0 0 4211.29 0 0 0 0 0 0 261.34 0 14585 0 0 0 0 0 0 19057.63 0 0 0 1004258518 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23304.77 0 0 0 0 0 0 0 0 0 0 0 0 0 23304.77 0 0 0 1004258551 1144238908 30 General Hospitals BARNES JEWISH ST PETERS HOSP 633761659 826 Missouri ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 26 0 0 0 0 1 0 0 0 4 0 0 0 0 0 0 0 0 0 31 0 0 0 0 1 0 0 0 4 0 0 0 0 0 0 0 0 0 31 0 0 0 0 1 0 0 0 4 0 0 0 0 0 0 0 0 0 2558.81 0 0 0 0 0 0 0 0 2015.33 0 0 0 0 0 4574.14 0 0 0 1004258553 91 Waiver service provider--Adults (DHS/DDD) 13 Boone 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5529.7 0 0 0 0 0 0 0 0 0 0 0 0 0 5529.7 0 0 0 1004258649 1053622928 10 Physicians KAKODKAR AKTA S 999999999 63 Macon 0 0 Otolaryngology 0 0 0 0 0 0 0 0 0 0 0 0 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 172 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 172 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6405.05 0 0 0 0 0 0 6405.05 0 0 0 1004258755 1982822763 10 Physicians KHAN ADEEL S 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3975.63 0 0 0 0 0 0 3975.63 0 0 0 1004259021 1598886368 10 Physicians TAFUR ALFONSO J. 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1178.7 0 0 0 0 0 0 1178.7 0 0 0 1004259336 10 Physicians 815 Indiana 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 79.45 0 0 0 0 0 0 79.45 0 0 0 1004259441 1033464987 10 Physicians JOHNSON JOYCE 999999999 60 Lee 0 1 0 0 0 0 9 0 0 0 0 0 0 0 0 158 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 285 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 285 0 0 0 0 0 0 0 0 0 535.75 0 0 0 0 0 0 0 0 7863.47 0 0 0 0 0 0 8399.22 0 0 0 1004259495 1922444835 89 Physician Assistant Only(Encounter Only) FOERSTER BENJAMIN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 213.03 0 0 0 0 0 0 213.03 0 0 0 1004259524 91 Waiver service provider--Adults (DHS/DDD) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 1004259562 1336116516 16 Nurse Practitioners SUMMERS ERIN 999999999 19 Champaign 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 113 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 235 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 235 0 0 0 0 0 0 0 0 0 1188.63 0 0 0 0 0 0 0 0 18534.25 0 0 0 0 0 0 19722.88 0 0 0 1004259736 1881915098 10 Physicians LUNDBERG TRACY M. 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1058.43 0 0 0 0 0 0 0 0 1058.43 0 0 0 1004260009 1760882989 55 Early Intervention Services STACHNIK SHAWNA R 601622110 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 380 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 380 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19701.35 0 0 0 0 0 0 19701.35 0 0 0 1004260039 1346612140 16 Nurse Practitioners BALABAN MALGORZATA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 397.2 0 0 0 0 0 0 397.2 0 0 0 1004260085 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 358 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 358 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24735.6 0 0 0 0 0 0 0 0 0 0 0 0 0 24735.6 0 0 0 1004260277 1184874976 10 Physicians WITKOWSKI KRISTEN M 606313222 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 1 0 0 0 0 0 0 8 0 24 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 12 0 30 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 12 0 30 0 0 0 0 0 0 0 0 0 290.52 0 0 0 0 0 0 17.26 0 4695.94 0 0 0 0 0 0 5003.72 0 0 0 1004260291 92 Waiver service provider--Disability (DHS/DRS) 56 Knox 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22235.61 0 0 0 0 0 0 0 0 0 0 0 0 0 22235.61 0 0 0 1004260411 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1227.19 0 0 0 0 0 0 0 0 0 0 0 0 0 1227.19 0 0 0 1004260432 1144545245 10 Physicians SHINNEMAN CHRISTOPHER 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 293 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 293 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6862.29 0 0 0 0 0 0 6862.29 0 0 0 1004260433 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6000.85 0 0 0 0 0 0 0 0 0 0 0 0 0 6000.85 0 0 0 1004260488 91 Waiver service provider--Adults (DHS/DDD) 30 DuPage 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 162 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 162 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12650 0 0 0 0 0 0 0 0 0 0 0 0 0 12650 0 0 0 1004260499 1013162817 10 Physicians VERMA NISHANT 606118709 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 301 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 301 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4673.23 0 0 0 0 0 0 4673.23 0 0 0 1004261072 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2719.44 0 0 0 0 0 0 0 0 0 0 0 0 0 2719.44 0 0 0 1004261190 1659557916 16 Nurse Practitioners COLINO KATHERINE A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1058.55 0 0 0 0 0 0 1058.55 0 0 0 1004261270 1770879579 10 Physicians VYAS ASHISH 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 335 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 456 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 456 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6833.38 0 1497.96 0 0 0 0 0 0 8331.34 0 0 0 1004261390 10 Physicians 10 Adams 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29.36 0 0 0 0 0 0 29.36 0 0 0 1004261732 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1794.52 0 0 0 0 0 0 0 0 0 0 0 0 0 1794.52 0 0 0 1004261741 1053797258 16 Nurse Practitioners REED REBECCA A 999999999 10 Adams 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 171 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 324 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 324 0 0 0 0 0 0 0 0 0 155.74 0 0 0 0 0 0 0 0 6347.54 0 0 0 0 0 0 6503.28 0 0 0 1004261900 94 Waiver service provider--Children's support (DHS/D 30 DuPage 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6359.91 0 0 0 0 0 0 0 0 0 0 0 0 0 6359.91 0 0 0 1004261921 1194120766 16 Nurse Practitioners REDING KELSEY L 999999999 65 Madison 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 596.84 0 0 0 0 0 0 0 0 260.52 0 0 0 0 0 0 857.36 0 0 0 1004261941 1518301183 16 Nurse Practitioners KNIGHT KIMBERLEY S 999999999 108 Williamson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 123.55 0 0 0 0 0 0 123.55 0 0 0 1004262062 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1936 0 0 0 0 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0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 430.35 0 0 0 0 0 0 430.35 0 0 0 1004273709 1417219437 10 Physicians GADRINAB-JONES KRYSTLE 606781034 200 Cook 0 0 Family Practice 0 0 0 0 12 0 0 0 0 0 0 1 0 24 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 1 0 27 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 1 0 27 0 0 0 0 0 0 0 0 0 1024.85 0 0 0 0 0 0 2.6 0 1206.81 0 0 0 0 0 0 2234.26 0 0 0 1004273741 1326420563 30 General Hospitals FRESENIUS MEDICAL CARE MCLEAN 617013534 72 McLean DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 157 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1771 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28257.42 0 0 0 0 0 28257.42 0 0 0 1004273932 1477712933 10 Physicians DY CHRISTOPHER J 999999999 816 Iowa 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37.7 0 0 0 0 0 0 37.7 0 0 0 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0 0 0 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16427.77 0 0 0 0 0 0 0 0 0 0 0 0 0 16427.77 0 0 0 1004274954 94 Waiver service provider--Children's support (DHS/D 30 DuPage 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 163 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 163 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16783.73 0 0 0 0 0 0 0 0 0 0 0 0 0 16783.73 0 0 0 1004274998 87 Psychologist(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004275046 10 Physicians 815 Indiana 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73.9 0 0 0 0 0 0 73.9 0 0 0 1004275128 1619291861 10 Physicians GOLBIN-HALLETT DINA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 0 0 0 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200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 179 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 240 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 240 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5919.21 0 0 0 0 0 0 5919.21 0 0 0 1004281727 1568600344 16 Nurse Practitioners HOLTMANN KAREN D 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9.7 0 0 0 0 0 0 9.7 0 0 0 1004281760 1114928884 89 Physician Assistant Only(Encounter Only) SHAH CHANDRIKA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12.24 0 0 0 0 0 0 12.24 0 0 0 1004282067 1609267426 16 Nurse Practitioners BOYSTER MELINDA 625213810 63 Macon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1375.81 0 0 0 0 0 0 1375.81 0 0 0 1004282120 10 Physicians 57 Lake 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004282240 1790087732 10 Physicians OJUKWU PROMISE 629181923 108 Williamson 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18216.75 0 0 0 0 0 0 18216.75 0 0 0 1004282257 1528492360 22 Physical Therapists OMOSANYA IDRIS 604624769 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1735 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1735 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25345.63 25345.63 0 0 0 1004282419 1366827347 11 Dentists JABORI ABEER 600852372 815 Indiana 0 0 General Dentistry 0 0 0 638 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 2730 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 2730 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 81843.7 0 0 0 0 0 0 0 0 0 0 0 9785.1 0 0 0 0 91628.8 0 0 0 1004282453 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9177.02 0 0 0 0 0 0 0 0 0 0 0 0 0 9177.02 0 0 0 1004282494 10 Physicians 200 Cook 0 0 Psychiatry 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004282848 1639574155 89 Physician Assistant Only(Encounter Only) GRIFFIN CAITLIN M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9.46 0 0 0 0 0 0 9.46 0 0 0 1004282861 1366651416 10 Physicians BODZIN ADAM 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 418.25 0 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Pharmacies 817 Kansas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4746.3 0 0 0 4746.3 0 0 0 1004327934 1659509305 10 Physicians GUPTA SANJAY N 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 10 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 207.92 0 0 0 0 0 0 0 0 207.92 0 0 0 1004328057 1093184582 16 Nurse Practitioners CABATU JUAN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 949 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3402 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3402 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8740.86 0 0 0 0 0 0 8740.86 0 0 0 1004328126 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 267 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 267 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10442.48 0 0 0 0 0 0 0 0 0 0 0 0 0 10442.48 0 0 0 1004328180 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18658.63 0 0 0 0 0 0 0 0 0 0 0 0 0 18658.63 0 0 0 1004328609 91 Waiver service provider--Adults (DHS/DDD) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9175.09 0 0 0 0 0 0 0 0 0 0 0 0 0 9175.09 0 0 0 1004328713 1598838120 12 Optometrists ROYTMAN MARINA 600479273 57 Lake 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 266 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1542 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1542 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10428.98 0 0 0 0 0 0 10428.98 0 0 0 1004329110 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 337.7 0 0 0 0 0 0 337.7 0 0 0 1004329209 91 Waiver service provider--Adults (DHS/DDD) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5134 0 0 0 0 0 0 0 0 0 0 0 0 0 5134 0 0 0 1004329247 16 Nurse Practitioners 852 Wisconsin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004329407 89 Physician Assistant Only(Encounter Only) 32 Edwards 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8.84 0 0 0 0 0 0 8.84 0 0 0 1004329521 1154551620 10 Physicians HOLLAND TIFFANY 999999999 200 Cook 0 0 Family Practice 0 0 0 0 6 0 0 0 0 0 0 4 0 15 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 5 0 28 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 5 0 28 0 0 0 0 0 0 0 0 0 935.16 0 0 0 0 0 0 18.66 0 694.29 0 0 0 0 0 0 1648.11 0 0 0 1004329535 1528151990 10 Physicians TSIEN CHRISTINA 620626901 65 Madison 0 0 Radiation Oncology 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 455.39 0 0 0 0 0 0 455.39 0 0 0 1004329578 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 277 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 277 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25491.84 0 0 0 0 0 0 0 0 0 0 0 0 0 25491.84 0 0 0 1004329945 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 936.94 0 0 0 0 0 0 0 0 0 0 0 0 0 936.94 0 0 0 1004329989 1760690028 10 Physicians YACACOUB CHADI I 999999999 53 Kane 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 21 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94 0 579 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94 0 579 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 127.17 0 2618.39 0 0 0 0 0 0 2745.56 0 0 0 1004330339 91 Waiver service provider--Adults (DHS/DDD) 62 Logan 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 339 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 339 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18228.49 0 0 0 0 0 0 0 0 0 0 0 0 0 18228.49 0 0 0 1004330437 10 Physicians 64 Macoupin 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 44 0 0 0 1004330489 1154632040 10 Physicians STELLE JACOB 999999999 19 Champaign 0 0 Otolaryngology 0 0 0 0 0 0 0 0 0 0 0 0 0 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 370 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 370 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25573.6 0 0 0 0 0 0 25573.6 0 0 0 1004330554 10 Physicians 200 Cook 0 0 Hematology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004330646 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 266 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 266 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23762.2 0 0 0 0 0 0 0 0 0 0 0 0 0 23762.2 0 0 0 1004330666 1871983288 16 Nurse Practitioners LARK ERIN E 477313276 72 McLean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 118 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 118 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2813.37 0 0 0 0 0 0 2813.37 0 0 0 1004330710 1417360512 28 Waiver service provider--Supportive living facilit GLENWOOD OF MT ZION 625491086 63 Macon 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2861 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 157339.22 0 0 0 0 0 0 0 0 0 0 0 0 0 157339.22 0 0 0 1004330871 1073870739 10 Physicians ZAER ADEEB 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 290 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 447 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 447 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5685.71 0 0 0 0 0 0 5685.71 0 0 0 1004330885 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 321 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 321 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26876.67 0 0 0 0 0 0 0 0 0 0 0 0 0 26876.67 0 0 0 1004331129 91 Waiver service provider--Adults (DHS/DDD) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 252 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 252 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17089.75 0 0 0 0 0 0 0 0 0 0 0 0 0 17089.75 0 0 0 1004331140 1639104672 16 Nurse Practitioners BARTHELME MELINDA K 946081844 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1191.95 0 0 0 0 0 0 1191.95 0 0 0 1004331210 10 Physicians 836 Ohio 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32.2 0 0 0 0 0 0 32.2 0 0 0 1004331291 1942665385 91 Waiver service provider--Adults (DHS/DDD) MITCHELL DAPHNE D 999999999 200 Cook 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 412 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 412 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42322.36 0 0 0 0 0 0 0 0 0 0 0 0 0 42322.36 0 0 0 1004331538 30 General Hospitals 836 Ohio ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115.05 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115.05 0 0 0 1004331554 10 Physicians 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004331582 91 Waiver service provider--Adults (DHS/DDD) 96 St Clair 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6295.33 0 0 0 0 0 0 0 0 0 0 0 0 0 6295.33 0 0 0 1004331963 1558391367 89 Physician Assistant Only(Encounter Only) DORRIS JASON 999999999 36 Franklin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 337.05 0 0 0 0 0 0 337.05 0 0 0 1004331984 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2335.96 0 0 0 0 0 0 0 0 0 0 0 0 0 2335.96 0 0 0 1004332245 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11319 0 0 0 0 0 0 0 0 0 0 0 0 0 11319 0 0 0 1004332296 1659305811 10 Physicians DIPASQUALE FARIHA 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71.9 0 377.7 0 0 0 0 0 0 449.6 0 0 0 1004332372 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5198.2 0 0 0 0 0 0 0 0 0 0 0 0 0 5198.2 0 0 0 1004332411 1831525898 16 Nurse Practitioners ARELLANO NAIRA 606751611 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1584.12 0 0 0 0 0 0 1584.12 0 0 0 1004332582 1982758454 10 Physicians WALDEN MICHAEL 999999999 25 Crawford 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1672 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2250 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2250 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56390.53 0 1615.98 0 0 0 0 0 0 58006.51 0 0 0 1004332821 1942593231 13 Podiatrists HOLLOWAY-MARSHALL KELLEY O 606071644 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 146 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 672 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 672 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 812.96 0 0 0 0 0 0 812.96 0 0 0 1004332906 1184859928 89 Physician Assistant Only(Encounter Only) PATEL ANKITA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 755.54 0 0 0 0 0 0 755.54 0 0 0 1004333003 1114324076 63 Other Providers of Medical Equipment/Supplies (Non HANGER PROSTHETICS ORTHOTICS 616052504 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 168 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 492 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 492 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10550.99 0 132325.43 0 0 0 0 142876.42 0 0 0 1004333016 1003205600 16 Nurse Practitioners MINER AMY L. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 118 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 118 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 304.2 0 0 0 0 0 0 304.2 0 0 0 1004333174 1780001446 16 Nurse Practitioners HOFMANN SUSAN J 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 186 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 186 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 636.36 0 0 0 0 0 0 636.36 0 0 0 1004333194 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004333234 1861590366 89 Physician Assistant Only(Encounter Only) RIVERS MARIE E 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32.99 0 0 0 0 0 0 32.99 0 0 0 1004333371 10 Physicians 816 Iowa 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 3 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 144.75 0 586.11 0 0 0 0 0 0 730.86 0 0 0 1004333429 94 Waiver service provider--Children's support (DHS/D 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7755 0 0 0 0 0 0 0 0 0 0 0 0 0 7755 0 0 0 1004333448 1235345042 10 Physicians REMY KENNETH EUGENE 631312329 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4612.79 0 0 0 0 0 0 4612.79 0 0 0 1004333494 92 Waiver service provider--Disability (DHS/DRS) 95 Stark 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3078.09 0 0 0 0 0 0 0 0 0 0 0 0 0 3078.09 0 0 0 1004333715 1871512780 10 Physicians LEE THOMAS K 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.46 0 20904.9 0 0 0 0 0 0 20905.36 0 0 0 1004334126 91 Waiver service provider--Adults (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16446.3 0 0 0 0 0 0 0 0 0 0 0 0 0 16446.3 0 0 0 1004334287 1497129415 16 Nurse Practitioners WHITE SHERRI R. 999999999 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 975.07 0 0 0 0 0 0 975.07 0 0 0 1004334342 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 186 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 186 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12497.76 0 0 0 0 0 0 0 0 0 0 0 0 0 12497.76 0 0 0 1004334408 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17764.7 0 0 0 0 0 0 0 0 0 0 0 0 0 17764.7 0 0 0 1004334434 1487810990 10 Physicians CHAUNG KATRINA 999999999 815 Indiana 0 0 Otolaryngology 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 472.45 0 0 0 0 0 0 472.45 0 0 0 1004334473 1265829113 16 Nurse Practitioners FARCUS MATTHEW P 999999999 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1470.32 0 0 0 0 0 0 1470.32 0 0 0 1004334562 10 Physicians 852 Wisconsin 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24.9 0 0 0 0 0 0 24.9 0 0 0 1004334617 91 Waiver service provider--Adults (DHS/DDD) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 112 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 112 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16015.37 0 0 0 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 835.47 0 0 0 0 0 0 0 0 0 0 0 0 0 835.47 0 0 0 1004388842 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1772.69 0 0 0 0 0 0 0 0 0 0 0 0 0 1772.69 0 0 0 1004388863 1689056285 16 Nurse Practitioners JOHNSON MARY 611081673 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 381.82 0 0 0 0 0 0 381.82 0 0 0 1004388881 1609216860 10 Physicians CHENG JENNIFER 999999999 200 Cook 0 0 General Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1047.67 0 0 0 0 0 0 1047.67 0 0 0 1004388919 1306026935 89 Physician Assistant Only(Encounter Only) ZIDLICKY SARA 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 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0 0 0 0 0 0 0 0 0 16860.16 0 0 0 1004389761 10 Physicians 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004389861 10 Physicians 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21.93 0 0 0 0 0 0 21.93 0 0 0 1004389910 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004.1 0 0 0 0 0 0 0 0 0 0 0 0 0 1004.1 0 0 0 1004390040 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 264 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 264 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22888.8 0 0 0 0 0 0 0 0 0 0 0 0 0 22888.8 0 0 0 1004390165 92 Waiver service provider--Disability (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1542.89 0 0 0 0 0 0 0 0 0 0 0 0 0 1542.89 0 0 0 1004390390 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5006 0 0 0 0 0 0 0 0 0 0 0 0 0 5006 0 0 0 1004390420 91 Waiver service provider--Adults (DHS/DDD) 23 Clinton 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10979.52 0 0 0 0 0 0 0 0 0 0 0 0 0 10979.52 0 0 0 1004390542 1396135885 16 Nurse Practitioners SLANE CHRISTOPHER 628632638 101 Wabash 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 736.8 0 0 0 0 0 0 736.8 0 0 0 1004390565 1639538341 91 Waiver service provider--Adults (DHS/DDD) KLASKA SHANNON D 999999999 63 Macon 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1425 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1425 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 154431.76 0 0 0 0 0 0 0 0 0 0 0 0 0 154431.76 0 0 0 1004390623 1285876607 10 Physicians MUKHOPADHYAY EKANKA 615202444 37 Fulton 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 383 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 556 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 556 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3.82 0 10680.73 0 0 0 0 0 0 10684.55 0 0 0 1004390652 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20320.73 0 0 0 0 0 0 0 0 0 0 0 0 0 20320.73 0 0 0 1004390751 1225429566 48 Rural Health Clinics MEMORIAL HOSPITAL 622881126 87 Randolph 0 1 0 0 275 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 883 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 883 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29410.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29410.9 0 0 0 1004390840 1083879332 10 Physicians SOLIMAN ADAM 999999999 61 Livingston 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 2 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4126.55 0 0 0 0 0 0 4126.55 0 0 0 1004390874 92 Waiver service provider--Disability (DHS/DRS) 826 Missouri 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6481.56 0 0 0 0 0 0 0 0 0 0 0 0 0 6481.56 0 0 0 1004390909 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5252.5 0 0 0 0 0 0 0 0 0 0 0 0 0 5252.5 0 0 0 1004390917 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22994.96 0 0 0 0 0 0 0 0 0 0 0 0 0 22994.96 0 0 0 1004391521 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 171 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 171 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17438.19 0 0 0 0 0 0 0 0 0 0 0 0 0 17438.19 0 0 0 1004391689 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2571.35 0 0 0 0 0 0 0 0 0 0 0 0 0 2571.35 0 0 0 1004391789 92 Waiver service provider--Disability (DHS/DRS) 63 Macon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5209.82 0 0 0 0 0 0 0 0 0 0 0 0 0 5209.82 0 0 0 1004391804 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1364 0 0 0 0 0 0 0 0 0 0 0 0 0 1364 0 0 0 1004391934 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9512.25 0 0 0 0 0 0 0 0 0 0 0 0 0 9512.25 0 0 0 1004391941 1508227364 16 Nurse Practitioners BROUCEK LAUREN A 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52.8 0 0 0 0 0 0 52.8 0 0 0 1004391953 1700172905 10 Physicians TALBERT ROBERT J 999999999 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 1511 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1918 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1918 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43611.9 0 118.4 0 0 0 0 0 0 43730.3 0 0 0 1004392299 1396753406 89 Physician Assistant Only(Encounter Only) GARSON JENNIFER 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 129.43 0 0 0 0 0 0 129.43 0 0 0 1004392364 1366888208 16 Nurse Practitioners WALSH JENNIFER 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 370 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 370 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 872.13 0 0 0 0 0 0 872.13 0 0 0 1004392383 1982820148 10 Physicians YAZDAN PEDRAM 999999999 200 Cook 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 237 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 237 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1806.83 0 0 0 0 0 0 0 0 1806.83 0 0 0 1004392424 1558687905 10 Physicians SAVIR BARUCH BITAL 601545716 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 227 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 227 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2767.16 0 0 0 0 0 0 2767.16 0 0 0 1004392496 94 Waiver service provider--Children's support (DHS/D 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15092.69 0 0 0 0 0 0 0 0 0 0 0 0 0 15092.69 0 0 0 1004392498 91 Waiver service provider--Adults (DHS/DDD) 20 Christian 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 193 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 193 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7687.02 0 0 0 0 0 0 0 0 0 0 0 0 0 7687.02 0 0 0 1004392620 1124233291 10 Physicians CHAIBAN JOUMANA T 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 11 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 307 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 307 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8.4 0 3009.94 0 0 0 0 0 0 3018.34 0 0 0 1004392665 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 134 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 134 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12987.68 0 0 0 0 0 0 0 0 0 0 0 0 0 12987.68 0 0 0 1004392887 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 163 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 163 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14262.94 0 0 0 0 0 0 0 0 0 0 0 0 0 14262.94 0 0 0 1004393181 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 292 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 292 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23952.92 0 0 0 0 0 0 0 0 0 0 0 0 0 23952.92 0 0 0 1004393311 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12880.72 0 0 0 0 0 0 0 0 0 0 0 0 0 12880.72 0 0 0 1004393351 10 Physicians 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 212.1 0 0 0 0 0 0 212.1 0 0 0 1004393367 1316321060 89 Physician Assistant Only(Encounter Only) HEARN JENNIFER B 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17.22 0 0 0 0 0 0 17.22 0 0 0 1004393459 1649658402 16 Nurse Practitioners BUSKO SANDRA 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4395.51 0 0 0 0 0 0 4395.51 0 0 0 1004393505 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2017.86 0 0 0 0 0 0 0 0 0 0 0 0 0 2017.86 0 0 0 1004393760 92 Waiver service provider--Disability (DHS/DRS) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18255.58 0 0 0 0 0 0 0 0 0 0 0 0 0 18255.58 0 0 0 1004393831 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 162 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 162 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4565.99 0 0 0 0 0 0 0 0 0 0 0 0 0 4565.99 0 0 0 1004393891 91 Waiver service provider--Adults (DHS/DDD) 54 Kankakee 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 562.62 0 0 0 0 0 0 0 0 0 0 0 0 0 562.62 0 0 0 1004394204 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6524.51 0 0 0 0 0 0 0 0 0 0 0 0 0 6524.51 0 0 0 1004394247 1184002065 60 Pharmacies "GENOA, A QOL HEALTHCARE COMPAN" 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19343 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83172.34 0 0 0 83172.34 0 0 0 1004394269 1467827907 16 Nurse Practitioners MARCINEK ELIZABETH 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130.7 0 0 0 0 0 0 130.7 0 0 0 1004394302 94 Waiver service provider--Children's support (DHS/D 57 Lake 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3101.93 0 0 0 0 0 0 0 0 0 0 0 0 0 3101.93 0 0 0 1004394351 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 318 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 318 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21384.87 0 0 0 0 0 0 0 0 0 0 0 0 0 21384.87 0 0 0 1004394383 1134418130 10 Physicians BESZKA MONICA 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 519 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 725 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 725 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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31.67 0 0 0 0 0 0 375.05 0 4745.7 0 0 0 0 0 0 5152.42 0 0 0 1004394844 10 Physicians 816 Iowa 0 0 Pediatric Allergies 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 356.57 0 0 0 0 0 0 356.57 0 0 0 1004394886 1114253309 89 Physician Assistant Only(Encounter Only) KELLY CAITLIN MARIE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27.63 0 0 0 0 0 0 27.63 0 0 0 1004394979 10 Physicians 200 Cook 0 0 Surgery General 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004395239 1225103880 11 Dentists RYAN JAMES 999999999 815 Indiana 0 0 0 0 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 364 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 364 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10781.77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10781.77 0 0 0 1004395263 1942562889 10 Physicians HOWSE CHRISTOPHER J. 999999999 80 Peoria 0 1 General Practice 0 0 0 0 109 0 0 0 0 0 0 136 0 436 0 0 0 0 0 0 0 0 0 411 0 0 0 0 0 0 176 0 823 0 0 0 0 0 0 0 0 0 411 0 0 0 0 0 0 176 0 823 0 0 0 0 0 0 0 0 0 13492.14 0 0 0 0 0 0 1751.86 0 29118.74 0 0 0 0 0 0 44362.74 0 0 0 1004395327 1770841678 10 Physicians LEE EUGENE C 535625531 200 Cook 0 0 Family Practice 0 0 0 0 8 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 167 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 167 0 0 0 0 0 0 0 0 0 681.8 0 0 0 0 0 0 0 0 3824.89 0 0 0 0 0 0 4506.69 0 0 0 1004395735 1376974527 40 Federally Qualified Health Centers WABASH VALLEY HEALTH CENTER 478071648 815 Indiana 0 0 0 0 31 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4740.39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4740.39 0 0 0 1004395852 1861885675 16 Nurse Practitioners KASSIM OLADIMEJI M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 700 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1754 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1754 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6732.77 0 0 0 0 0 0 6732.77 0 0 0 1004395855 10 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110.95 0 0 0 0 0 0 110.95 0 0 0 1004395957 1093197410 16 Nurse Practitioners CROSS MELANIE 999999999 66 Marion 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 706 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 706 0 0 0 0 0 0 0 0 0 460.89 0 0 0 0 0 0 0 0 16814.52 0 0 0 0 0 0 17275.41 0 0 0 1004395962 23 Occupational Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 634.41 634.41 0 0 0 1004395971 1699934240 10 Physicians MEDDY JODEE 520016388 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 143 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 143 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5032.4 0 0 0 0 0 0 5032.4 0 0 0 1004396012 1265584155 34 State-operated facility (DHS) WILLIAM FOX DEVELOPMENTAL CTR 999999999 61 Livingston 0 0 0 0 0 0 0 0 0 0 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1002 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30476 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23697492.96 0 0 0 0 0 0 0 0 0 0 23697492.96 0 0 0 1004396024 94 Waiver service provider--Children's support (DHS/D 58 La Salle 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1127.5 0 0 0 0 0 0 0 0 0 0 0 0 0 1127.5 0 0 0 1004396161 1780066456 60 Pharmacies TINLEY PARK PHARMACY 604877723 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5156 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14232.65 0 0 0 14232.65 0 0 0 1004396173 1407830003 60 Pharmacies LOW COST PHARMACY 615401211 67 Marshall 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 370 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2105 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57105 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107143.29 0 0 0 107143.29 0 0 0 1004396229 1164650875 10 Physicians BOSANQUET JAMES PERCIVAL 631418573 108 Williamson 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1028.64 0 0 0 0 0 0 1028.64 0 0 0 1004396287 1730449125 10 Physicians ROQUIZ WOODLYNE 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004396302 1609889690 10 Physicians WILSBACHER LISA D. 606118709 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1072.27 0 0 0 0 0 0 1072.27 0 0 0 1004396513 1285017871 16 Nurse Practitioners ZIEGAHN SONNET 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 724.53 0 0 0 0 0 0 724.53 0 0 0 1004396637 1154683860 10 Physicians CRAWFORD JEMILA 946081844 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 304 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 304 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2827.29 0 0 0 0 0 0 2827.29 0 0 0 1004396767 1689918815 10 Physicians BUTT MARIUM 999999999 57 Lake 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 809.34 0 0 0 0 0 0 809.34 0 0 0 1004396797 91 Waiver service provider--Adults (DHS/DDD) 36 Franklin 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8720.58 0 0 0 0 0 0 0 0 0 0 0 0 0 8720.58 0 0 0 1004396829 1295046498 10 Physicians LEE SOO J. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4324.56 0 0 0 0 0 0 4324.56 0 0 0 1004396972 1376774372 10 Physicians BAYLOCK JAIME S 604264265 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 231 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8148.96 0 0 0 0 0 0 8148.96 0 0 0 1004397547 1558625244 10 Physicians COULOMB KELLY M. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2102.05 0 0 0 0 0 0 2102.05 0 0 0 1004397584 1871965186 33 Nursing Facilities THE GROVE OF NORTHBROOK 600621611 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 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Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 11 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72.66 0 2327.06 0 0 0 0 0 0 2399.72 0 0 0 1004398421 1275791931 10 Physicians PAUL RAINA 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4753.3 0 0 0 0 0 0 4753.3 0 0 0 1004398681 1851693584 16 Nurse Practitioners MAGUIGAD NIZZA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84.06 0 0 0 0 0 0 84.06 0 0 0 1004398691 1114247491 10 Physicians LANGE ELIZABETH 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9708.09 0 0 0 0 0 0 9708.09 0 0 0 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Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9322.5 0 0 0 0 0 0 0 0 0 0 0 0 0 9322.5 0 0 0 1004399067 1649321944 89 Physician Assistant Only(Encounter Only) GLENN DONALD 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 332.16 0 0 0 0 0 0 332.16 0 0 0 1004399119 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004399135 92 Waiver service provider--Disability (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10625.19 0 0 0 0 0 0 0 0 0 0 0 0 0 10625.19 0 0 0 1004399251 1447482443 10 Physicians KALYAN APARNA 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0 0 0 0 0 0 0 0 1057 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83112.85 0 0 0 0 0 0 0 0 0 0 0 0 0 83112.85 0 0 0 1004400280 1982991477 10 Physicians SUNDARAM TINA W. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 131 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 200 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 200 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2165 0 0 0 0 0 0 2165 0 0 0 1004400304 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28863.22 0 0 0 0 0 0 0 0 0 0 0 0 0 28863.22 0 0 0 1004400488 1629237409 10 Physicians FERRARO DANIEL J 999999999 53 Kane 0 0 Radiation Oncology 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 550 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 550 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8528.74 0 0 0 0 0 0 8528.74 0 0 0 1004400518 1790786465 89 Physician Assistant Only(Encounter Only) MORGAN LAURIE 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 143.59 0 0 0 0 0 0 143.59 0 0 0 1004400577 92 Waiver service provider--Disability (DHS/DRS) 13 Boone 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9929.16 0 0 0 0 0 0 0 0 0 0 0 0 0 9929.16 0 0 0 1004400709 1316179088 10 Physicians FONTES RICARDO 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10036.63 0 0 0 0 0 0 10036.63 0 0 0 1004400824 92 Waiver service provider--Disability (DHS/DRS) 56 Knox 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30093.54 0 0 0 0 0 0 0 0 0 0 0 0 0 30093.54 0 0 0 1004400873 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1159.44 0 0 0 0 0 0 0 0 0 0 0 0 0 1159.44 0 0 0 1004401021 1992184295 91 Waiver service provider--Adults (DHS/DDD) MARITIN ADIPO HELEN 999999999 200 Cook 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2003 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2003 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67269.58 0 0 0 0 0 0 0 0 0 0 0 0 0 67269.58 0 0 0 1004401125 1265731533 87 Psychologist(Encounter Only) ALEXAKOS CHRISTINA 600563457 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004401358 10 Physicians 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2225.45 0 0 0 0 0 0 2225.45 0 0 0 1004401609 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17783.79 0 0 0 0 0 0 0 0 0 0 0 0 0 17783.79 0 0 0 1004401662 91 Waiver service provider--Adults (DHS/DDD) 89 Rock Island 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8860.5 0 0 0 0 0 0 0 0 0 0 0 0 0 8860.5 0 0 0 1004401684 1730412826 10 Physicians RASHIDIAN RAMIN 477333407 815 Indiana 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 593.3 0 0 0 0 0 0 593.3 0 0 0 1004401705 92 Waiver service provider--Disability (DHS/DRS) 56 Knox 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 346.61 0 0 0 0 0 0 0 0 0 0 0 0 0 346.61 0 0 0 1004401946 94 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Practitioners LELAND ROSA 370689022 200 Cook 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 176 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 320 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 320 0 0 0 0 0 0 0 0 0 503.23 0 0 0 0 0 0 0 0 9448.86 0 0 0 0 0 0 9952.09 0 0 0 1004423785 92 Waiver service provider--Disability (DHS/DRS) 52 Johnson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10706.32 0 0 0 0 0 0 0 0 0 0 0 0 0 10706.32 0 0 0 1004423838 1639598220 24 Speech Therapists KNIGHT EMILY A 628599827 41 Hamilton 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9015.94 9015.94 0 0 0 1004424064 1083000954 16 Nurse Practitioners HUGHES ASHLEY 605046065 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 286 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 286 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 635.51 0 0 0 0 0 0 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0 0 0 0 793 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 793 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6756.59 0 0 0 0 0 0 6756.59 0 0 0 1004427397 10 Physicians 200 Cook 0 0 Gastroenterology 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 82.85 0 0 0 0 0 0 82.85 0 0 0 1004427685 91 Waiver service provider--Adults (DHS/DDD) 54 Kankakee 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 196.07 0 0 0 0 0 0 0 0 0 0 0 0 0 196.07 0 0 0 1004427700 1700889888 10 Physicians WASSYNGER WILLIAM W 999999999 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1298.55 0 0 0 0 0 0 1298.55 0 0 0 1004427708 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 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BLYTH H 477313276 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 967.05 0 0 0 0 0 0 967.05 0 0 0 1004462322 1811337702 10 Physicians BEAL DAVID 999999999 24 Coles 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 259 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7096.45 0 0 0 0 0 0 7096.45 0 0 0 1004462579 1407244502 60 Pharmacies MEDICATE PHARMACY INC 620404700 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 775 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23323 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26863.44 0 0 0 26863.44 0 0 0 1004462654 1255695433 10 Physicians KNIGHT DACRE R 999999999 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 352.75 0 0 0 0 0 0 352.75 0 0 0 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(DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 136 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 136 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24574 0 0 0 0 0 0 0 0 0 0 0 0 0 24574 0 0 0 1004465193 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1455.7 0 0 0 0 0 0 0 0 0 0 0 0 0 1455.7 0 0 0 1004465226 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 99.86 0 0 0 0 0 0 99.86 0 0 0 1004465313 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 487 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 487 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49780.56 0 0 0 0 0 0 0 0 0 0 0 0 0 49780.56 0 0 0 1004465327 1912225939 10 Physicians YU JOHN PAUL 999999999 852 Wisconsin 0 0 0 0 0 0 0 0 0 0 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0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 734.75 0 0 0 0 0 0 734.75 0 0 0 1004466022 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7280.92 0 0 0 0 0 0 0 0 0 0 0 0 0 7280.92 0 0 0 1004466048 1750654125 24 Speech Therapists WHITTED LIDIA 616112663 98 Tazewell 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21565.03 21565.03 0 0 0 1004466116 1912393547 16 Nurse Practitioners BLAZEK MICHELLE L 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 147 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4857.7 0 0 0 0 0 0 4857.7 0 0 0 1004466238 1316292444 10 Physicians ZUFISHAN NAUSHEEN 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 266 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25735.24 0 0 0 0 0 0 0 0 0 0 0 0 0 25735.24 0 0 0 1004482417 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004482567 1093074916 10 Physicians SHAH NEIL B 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 240 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 251 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 251 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7846.44 0 0 0 0 0 0 7846.44 0 0 0 1004482568 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49.8 0 0 0 0 0 0 49.8 0 0 0 1004482705 1699149211 16 Nurse Practitioners VEERAPANENI SOWMYA 999999999 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61 0 0 0 0 0 0 0 0 0 0 0 0 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8646 0 0 0 0 0 0 0 0 0 0 0 0 0 8646 0 0 0 1004483769 62 Opticians / Optical Companies 61 Livingston 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29.89 0 0 0 0 29.89 0 0 0 1004483886 87 Psychologist(Encounter Only) 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48.48 0 0 0 0 0 0 48.48 0 0 0 1004483894 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1573.12 0 0 0 0 0 0 0 0 0 0 0 0 0 1573.12 0 0 0 1004483911 1831516970 60 Pharmacies MADISON PINE PHARMACY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 412 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2626 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69837 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70033.81 0 0 0 70033.81 0 0 0 1004483916 1710046818 10 Physicians LOBO ANN-MARIE 999999999 833 New York 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135.84 0 5590.07 0 0 0 0 0 0 5725.91 0 0 0 1004484035 1790825040 10 Physicians OTENG-BEDIAKO EVELYN 999999999 13 Boone 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 873 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 873 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55.09 0 8852.66 0 0 0 0 0 0 8907.75 0 0 0 1004484040 1336525831 23 Occupational Therapists CRAIN EFFANEY 999999999 36 Franklin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 736 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 736 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52112.69 52112.69 0 0 0 1004484119 1568845576 30 General Hospitals RCG CENTRAL ILLINOIS BLOOMINGT 617013532 72 McLean DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39.91 0 0 0 0 0 39.91 0 0 0 1004484120 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23465.44 0 0 0 0 0 0 0 0 0 0 0 0 0 23465.44 0 0 0 1004484128 1609864263 33 Nursing Facilities ASPEN REHAB AND HEALTH CARE 612821757 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8066 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 835118.39 0 0 0 0 0 0 0 835118.39 0 0 0 1004484197 1417326729 16 Nurse Practitioners RANDLE KYLE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106.3 0 0 0 0 0 0 106.3 0 0 0 1004484218 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74.15 0 0 0 0 0 0 74.15 0 0 0 1004484280 1598705428 89 Physician Assistant Only(Encounter Only) BUTTON ANDREW 606313222 72 McLean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 151.88 0 0 0 0 0 0 151.88 0 0 0 1004484373 1528143088 30 General Hospitals KINDRED CHICAGO LAKESHORE 999999999 200 Cook ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2770 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2008378.89 0 0 0 0 0 0 0 0 0 2008378.89 0 0 0 1004484528 1861875759 89 Physician Assistant Only(Encounter Only) REINKEN THOMAS A 616360001 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 233.86 0 0 0 0 0 0 233.86 0 0 0 1004484585 92 Waiver service provider--Disability (DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1572.28 0 0 0 0 0 0 0 0 0 0 0 0 0 1572.28 0 0 0 1004484667 1639546211 25 Audiologists KOCH ELIZABETH A 999999999 15 Bureau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6114.78 6114.78 0 0 0 1004484733 1144639287 11 Dentists BARAKAT ANAS 999999999 53 Kane 0 0 General Dentistry 0 0 0 86 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 538 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 538 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 19154.21 0 0 0 0 0 0 0 0 0 0 0 376.35 0 0 0 0 19530.56 0 0 0 1004484748 1245473701 10 Physicians LIN RONE-CHUN 999999999 80 Peoria 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 396 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 396 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13373.39 0 0 0 0 0 0 13373.39 0 0 0 1004484751 1356699987 10 Physicians STEINEKE NICOLE 999999999 200 Cook 0 0 General Practice 0 0 0 0 3 0 0 0 0 0 0 4 0 24 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 6 0 47 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 6 0 47 0 0 0 0 0 0 0 0 0 181.22 0 0 0 0 0 0 14.1 0 798.73 0 0 0 0 0 0 994.05 0 0 0 1004484867 1518229897 10 Physicians SALAME GRACE 999999999 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2465.1 0 0 0 0 0 0 2465.1 0 0 0 1004484901 1407161433 10 Physicians HUSTON MELISSA R 999999999 19 Champaign 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 177 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17.27 0 6751.23 0 0 0 0 0 0 6768.5 0 0 0 1004484930 1922324201 10 Physicians PELLETIER PETE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5832.22 0 0 0 0 0 0 5832.22 0 0 0 1004485382 10 Physicians 852 Wisconsin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95.96 0 0 0 0 0 0 95.96 0 0 0 1004485402 1710326350 10 Physicians BLOOMSTRAND KURT 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 415 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 487 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 487 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107.47 0 16979.71 0 0 0 0 0 0 17087.18 0 0 0 1004485430 1790976462 10 Physicians SCHMITZ MATTHEW 999999999 98 Tazewell 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 28 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1109.99 0 0 0 0 0 0 0 0 1109.99 0 0 0 1004485437 92 Waiver service provider--Disability (DHS/DRS) 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(DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3691.95 0 0 0 0 0 0 0 0 0 0 0 0 0 3691.95 0 0 0 1004533067 1619139631 10 Physicians APPIN CHRISTINA L 999999999 200 Cook 0 0 Clinical Pathology 0 0 0 0 0 0 0 0 0 0 0 55 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 123 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 123 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 955.54 0 30.96 0 0 0 0 0 0 986.5 0 0 0 1004533105 1033573183 40 Federally Qualified Health Centers SIHF HEALTHCARE 999999999 87 Randolph 0 0 0 0 417 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1562 0 172 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1562 0 172 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92351.91 0 285.14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92637.05 0 0 0 1004533184 94 Waiver service provider--Children's support (DHS/D 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1586.04 0 0 0 0 0 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0 0 0 0 0 0 0 0 3656.97 0 0 0 1004555050 1558688531 89 Physician Assistant Only(Encounter Only) MARKHAM ANDREA S. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26.86 0 0 0 0 0 0 26.86 0 0 0 1004555056 91 Waiver service provider--Adults (DHS/DDD) 30 DuPage 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 349 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 349 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24869.6 0 0 0 0 0 0 0 0 0 0 0 0 0 24869.6 0 0 0 1004555067 1053709303 28 Waiver service provider--Supportive living facilit BROOKSTONE ESTATES OF VANDALIA 624713112 34 Fayette 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 280 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7802 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 444379.03 0 0 0 0 0 0 0 0 0 0 0 0 0 444379.03 0 0 0 1004555517 1053390021 10 Physicians BOLD JONATHAN W 606321849 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 177 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 226 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 226 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4486.65 0 10.77 0 0 0 0 0 0 4497.42 0 0 0 1004555546 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1712.77 0 0 0 0 0 0 0 0 0 0 0 0 0 1712.77 0 0 0 1004555628 61 Independent Laboratories 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 518.08 0 0 0 0 0 0 0 0 518.08 0 0 0 1004555713 98 Waiver service provider--TBI (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8734.68 0 0 0 0 0 0 0 0 0 0 0 0 0 8734.68 0 0 0 1004555782 1295961134 10 Physicians ANANTHANARAYANAN VIJAYALAKSHMI 601533328 200 Cook 0 0 Pathology 0 0 0 0 0 0 0 0 0 0 0 166 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 351 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 351 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2576.34 0 0 0 0 0 0 0 0 2576.34 0 0 0 1004555887 1326324609 10 Physicians GOSWAMI JAYA 999999999 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 449.5 0 0 0 0 0 0 449.5 0 0 0 1004555973 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74.7 0 0 0 0 0 0 74.7 0 0 0 1004556000 1356676480 10 Physicians ZAKI KHAWAJA AS 477333407 815 Indiana 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 142 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 142 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9.21 0 3674.63 0 0 0 0 0 0 3683.84 0 0 0 1004556138 92 Waiver service provider--Disability (DHS/DRS) 87 Randolph 0 0 0 0 0 0 0 0 1 0 0 0 0 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004556507 1770637399 10 Physicians MERZ AMELIA M 49154480 80 Peoria 0 0 Psychiatry 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1510.57 0 0 0 0 0 0 1510.57 0 0 0 1004556596 1245499672 10 Physicians PUHER REBECCA 999999999 19 Champaign 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 16.4 0 0 0 0 0 0 0 0 2623.91 0 0 0 0 0 0 2640.31 0 0 0 1004556686 1275583155 30 General Hospitals METHODIST MEDICAL CENTER OF IL 999999999 80 Peoria DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 1 296 0 0 0 0 0 0 0 565 0 0 0 0 0 0 0 0 0 1 1632 0 0 0 0 0 0 0 677 0 0 0 0 0 0 0 0 0 7 1679 0 0 0 0 0 0 0 4445 0 0 0 0 0 0 0 0 0 0 87528.31 0 0 0 0 0 0 0 1587668.04 0 0 0 0 0 0 0 0 0 1675196.35 0 0 0 1004556708 1629458799 16 Nurse Practitioners HELTSLEY JANA N 999999999 24 Coles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 481 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 481 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10065.17 0 0 0 0 0 0 10065.17 0 0 0 1004556711 92 Waiver service provider--Disability (DHS/DRS) 96 St Clair 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2412.79 0 0 0 0 0 0 0 0 0 0 0 0 0 2412.79 0 0 0 1004556795 1104221431 16 Nurse Practitioners KLESZCZ KATHY 606313222 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 182.5 0 0 0 0 0 0 182.5 0 0 0 1004557346 23 Occupational Therapists 71 McHenry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 140.14 140.14 0 0 0 1004557409 1508183427 10 Physicians GENDY MOHAMED 627047015 91 Sangamon 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 15 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 1368 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 1368 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 392.84 0 133963 0 0 0 0 0 0 134355.84 0 0 0 1004557416 1760779771 10 Physicians KUHNS MATTHEW 606751611 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 225 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 360 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 360 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4668.13 0 0 0 0 0 0 4668.13 0 0 0 1004557445 1144362773 10 Physicians HABIB MUHAMMAD A. 999999999 837 Oklahoma 0 0 0 0 0 0 82 0 0 0 0 0 0 1 0 184 0 0 0 0 0 0 0 0 0 364 0 0 0 0 0 0 1 0 301 0 0 0 0 0 0 0 0 0 364 0 0 0 0 0 0 1 0 301 0 0 0 0 0 0 0 0 0 11771.13 0 0 0 0 0 0 4 0 9425.78 0 0 0 0 0 0 21200.91 0 0 0 1004557456 1609274877 16 Nurse Practitioners STORK TIFFANY A 627034514 20 Christian 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 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0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24299.7 0 0 0 0 0 0 0 0 0 0 0 0 0 24299.7 0 0 0 1004557928 94 Waiver service provider--Children's support (DHS/D 91 Sangamon 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6354.36 0 0 0 0 0 0 0 0 0 0 0 0 0 6354.36 0 0 0 1004557995 1881000826 87 Psychologist(Encounter Only) MCCORMACK RUSSELL S 999999999 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 660 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 660 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004558062 1154707388 11 Dentists NASTASE DORINA 601734166 30 DuPage 0 0 General Dentistry 0 0 0 159 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 983 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 983 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 26019.75 0 0 0 0 0 0 0 0 0 0 0 376.35 0 0 0 0 26396.1 0 0 0 1004558230 91 Waiver service provider--Adults (DHS/DDD) 54 Kankakee 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 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JACQUELINE E 612044028 816 Iowa 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 747.98 0 0 0 0 0 0 747.98 0 0 0 1004558770 1548669815 11 Dentists TORRES-GORENA ARIADNA 999999999 200 Cook 0 0 Orthodontist 0 0 0 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 197 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 197 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44952.7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44952.7 0 0 0 1004558853 1366409831 10 Physicians SOROND FARZANEH A 999999999 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5425.06 0 0 0 0 0 0 5425.06 0 0 0 1004559125 1609054881 16 Nurse Practitioners IDOWU DEHEDGRA M 752445071 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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MATTHEW D 627949639 63 Macon 0 0 Otolaryngology 0 0 0 0 0 0 0 0 0 0 0 0 0 153 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 315 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 315 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 127494.11 0 0 0 0 0 0 127494.11 0 0 0 1004559938 92 Waiver service provider--Disability (DHS/DRS) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 967.3 0 0 0 0 0 0 0 0 0 0 0 0 0 967.3 0 0 0 1004560282 10 Physicians 816 Iowa 0 0 Plastic Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37.7 0 0 0 0 0 0 37.7 0 0 0 1004560344 1013170414 10 Physicians SEKHAR KIRAN P 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 794 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1028 0 408 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1028 0 408 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17251.44 0 10556.77 0 0 0 0 0 0 27808.21 0 0 0 1004560418 1356731277 25 Audiologists SHERREN ALISON 999999999 98 Tazewell 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3277.6 3277.6 0 0 0 1004560470 88 Other behavior health professional(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18.45 0 0 0 0 0 0 18.45 0 0 0 1004560792 1629435102 16 Nurse Practitioners GLON RAYMOND R 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1085 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1085 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1323.31 0 0 0 0 0 0 1323.31 0 0 0 1004560851 1609205806 16 Nurse Practitioners WIECHEN KELSEY A. 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15.66 0 0 0 0 0 0 15.66 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0 1004575070 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1818.17 0 0 0 0 0 0 0 0 0 0 0 0 0 1818.17 0 0 0 1004575215 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19819.7 0 0 0 0 0 0 0 0 0 0 0 0 0 19819.7 0 0 0 1004575251 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 111.68 0 0 0 0 0 0 0 0 0 0 0 0 0 111.68 0 0 0 1004575315 1508859521 87 Psychologist(Encounter Only) ROSTAFINSKI THOMAS 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 427 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 427 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 488.86 0 0 0 0 0 0 488.86 0 0 0 1004575318 92 Waiver service provider--Disability (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1209.83 0 0 0 0 0 0 0 0 0 0 0 0 0 1209.83 0 0 0 1004575379 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23097.65 0 0 0 0 0 0 0 0 0 0 0 0 0 23097.65 0 0 0 1004575425 1275735250 10 Physicians PATEL NEIL N 999999999 91 Sangamon 0 0 Neurology Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26869.1 0 0 0 0 0 0 26869.1 0 0 0 1004575473 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1321.78 0 0 0 0 0 0 0 0 0 0 0 0 0 1321.78 0 0 0 1004575586 98 Waiver service provider--TBI (DHS/DRS) 49 Jefferson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3818.28 0 0 0 0 0 0 0 0 0 0 0 0 0 3818.28 0 0 0 1004575689 91 Waiver service provider--Adults (DHS/DDD) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4529.23 0 0 0 0 0 0 0 0 0 0 0 0 0 4529.23 0 0 0 1004575899 1992715775 10 Physicians GOLDRING JAMES 999999999 826 Missouri 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1014.87 0 0 0 0 0 0 1014.87 0 0 0 1004576006 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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0 0 0 0 0 0 0 0 144 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 144 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12398.1 0 0 0 0 0 0 0 0 0 0 0 0 0 12398.1 0 0 0 1004578850 94 Waiver service provider--Children's support (DHS/D 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14621.72 0 0 0 0 0 0 0 0 0 0 0 0 0 14621.72 0 0 0 1004578856 1710375977 48 Rural Health Clinics CLINTON COUNTY RURAL HEALTH 622316485 23 Clinton 0 0 0 0 112 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 517 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 517 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4889.6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4889.6 0 0 0 1004578873 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7518.41 0 0 0 0 0 0 0 0 0 0 0 0 0 7518.41 0 0 0 1004578908 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16396.12 0 0 0 0 0 0 0 0 0 0 0 0 0 16396.12 0 0 0 1004578982 1174702021 16 Nurse Practitioners WRIGHT AMBER N 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 455.38 0 0 0 0 0 0 455.38 0 0 0 1004579057 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2498.17 0 0 0 0 0 0 0 0 0 0 0 0 0 2498.17 0 0 0 1004579097 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16355.62 0 0 0 0 0 0 0 0 0 0 0 0 0 16355.62 0 0 0 1004579315 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16709.81 0 0 0 0 0 0 0 0 0 0 0 0 0 16709.81 0 0 0 1004579328 1700800992 10 Physicians ROTHSTEIN DRAKE 999999999 47 Jackson 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 259 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 259 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6399.37 0 0 0 0 0 0 6399.37 0 0 0 1004579389 1154774180 86 Clinical Social Worker(Encounter Only) DICK AMANDA L 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 918.85 0 0 0 0 0 0 918.85 0 0 0 1004579489 1073929352 16 Nurse Practitioners NEAULT SARAH 999999999 50 Jersey 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1070.81 0 0 0 0 0 0 1070.81 0 0 0 1004579538 1679817365 10 Physicians ALVAREZ JIMENA B 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10636.96 0 0 0 0 0 0 10636.96 0 0 0 1004579540 1710909528 60 Pharmacies CVS PHARMACY #16258 611082545 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 706 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19972 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36366.43 0 0 0 36366.43 0 0 0 1004579606 92 Waiver service provider--Disability (DHS/DRS) 97 Stephenson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1319.55 0 0 0 0 0 0 0 0 0 0 0 0 0 1319.55 0 0 0 1004579647 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7133 0 0 0 0 0 0 0 0 0 0 0 0 0 7133 0 0 0 1004579678 1336261643 87 Psychologist(Encounter Only) MOSIER CLAUDIA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004579706 1730442773 10 Physicians SEKULOVICH KELLI T 999999999 30 DuPage 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1394.99 0 0 0 0 0 0 1394.99 0 0 0 1004579739 1063852747 10 Physicians KADAR RACHEL 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 730.89 0 0 0 0 0 0 730.89 0 0 0 1004579785 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2106.04 0 0 0 0 0 0 0 0 0 0 0 0 0 2106.04 0 0 0 1004579879 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24823.92 0 0 0 0 0 0 0 0 0 0 0 0 0 24823.92 0 0 0 1004580081 10 Physicians 65 Madison 0 0 Psychiatry 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 225.65 0 0 0 0 0 0 225.65 0 0 0 1004580125 98 Waiver service provider--TBI (DHS/DRS) 54 Kankakee 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6471.87 0 0 0 0 0 0 0 0 0 0 0 0 0 6471.87 0 0 0 1004580133 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42.4 0 0 0 0 0 0 0 0 0 0 0 0 0 42.4 0 0 0 1004580178 92 Waiver service provider--Disability (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4403.65 0 0 0 0 0 0 0 0 0 0 0 0 0 4403.65 0 0 0 1004580290 1194194175 91 Waiver service provider--Adults (DHS/DDD) "COMPASSION CILA HOMES, INC." 604661145 200 Cook 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2016 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2016 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 245802.42 0 0 0 0 0 0 0 0 0 0 0 0 0 245802.42 0 0 0 1004580340 1013168525 10 Physicians PANAGOS PATOULA G 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 181 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 678 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 678 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106160.73 0 0 0 0 0 0 106160.73 0 0 0 1004580366 1700865268 10 Physicians SIERRA CARLOS R 999999999 91 Sangamon 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 73 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 111 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 111 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4484.75 0 31111.77 0 0 0 0 0 0 35596.52 0 0 0 1004580371 92 Waiver service provider--Disability (DHS/DRS) 44 Henderson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2115.76 0 0 0 0 0 0 0 0 0 0 0 0 0 2115.76 0 0 0 1004580515 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1348.93 0 0 0 0 0 0 0 0 0 0 0 0 0 1348.93 0 0 0 1004580546 94 Waiver service provider--Children's support (DHS/D 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1716 0 0 0 0 0 0 0 0 0 0 0 0 0 1716 0 0 0 1004580699 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9676.2 0 0 0 0 0 0 0 0 0 0 0 0 0 9676.2 0 0 0 1004580945 1760832034 16 Nurse Practitioners LENTZ MARY E 999999999 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7097.91 0 0 0 0 0 0 7097.91 0 0 0 1004581044 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1680.88 0 0 0 0 0 0 0 0 0 0 0 0 0 1680.88 0 0 0 1004581053 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 305 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 305 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23927.36 0 0 0 0 0 0 0 0 0 0 0 0 0 23927.36 0 0 0 1004581086 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 649.08 0 0 0 0 0 0 0 0 0 0 0 0 0 649.08 0 0 0 1004581180 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18722.68 0 0 0 0 0 0 0 0 0 0 0 0 0 18722.68 0 0 0 1004581202 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13428.16 0 0 0 0 0 0 0 0 0 0 0 0 0 13428.16 0 0 0 1004581230 92 Waiver service provider--Disability (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1973.78 0 0 0 0 0 0 0 0 0 0 0 0 0 1973.78 0 0 0 1004581271 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9846.66 0 0 0 0 0 0 0 0 0 0 0 0 0 9846.66 0 0 0 1004581363 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24881.89 0 0 0 0 0 0 0 0 0 0 0 0 0 24881.89 0 0 0 1004581589 1053575399 10 Physicians PRAKASH RAVI 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3933.68 0 0 0 0 0 0 3933.68 0 0 0 1004581603 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11486.82 0 0 0 0 0 0 0 0 0 0 0 0 0 11486.82 0 0 0 1004581621 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13591.2 0 0 0 0 0 0 0 0 0 0 0 0 0 13591.2 0 0 0 1004581822 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1097.44 0 0 0 0 0 0 0 0 0 0 0 0 0 1097.44 0 0 0 1004581911 94 Waiver service provider--Children's support (DHS/D 30 DuPage 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 170.5 0 0 0 0 0 0 0 0 0 0 0 0 0 170.5 0 0 0 1004581945 1992177802 16 Nurse Practitioners JOSE ANUPAMA P 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 238.54 0 0 0 0 0 0 238.54 0 0 0 1004581996 1689126799 16 Nurse Practitioners MULLER JO A 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 221.69 0 0 0 0 0 0 221.69 0 0 0 1004582006 1932223146 89 Physician Assistant Only(Encounter Only) ZWEIFEL MAGDALENA A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 727 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 727 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 225.57 0 0 0 0 0 0 225.57 0 0 0 1004582011 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 644.31 0 0 0 0 0 0 0 0 0 0 0 0 0 644.31 0 0 0 1004582021 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11323.94 0 0 0 0 0 0 0 0 0 0 0 0 0 11323.94 0 0 0 1004582103 4004582103 71 Medicar Provider CTF ILLINOIS 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 727 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 727 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5823.27 0 0 0 0 0 0 5823.27 0 0 0 1004582150 1588111959 91 Waiver service provider--Adults (DHS/DDD) THOMAS MARY H 999999999 109 Winnebago 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18652.33 0 0 0 0 0 0 0 0 0 0 0 0 0 18652.33 0 0 0 1004582208 1609227081 16 Nurse Practitioners JOHNSTON HEATHER M 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 397.51 0 0 0 0 0 0 397.51 0 0 0 1004582234 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1074.92 0 0 0 0 0 0 0 0 0 0 0 0 0 1074.92 0 0 0 1004582263 1568594240 16 Nurse Practitioners STACK MICHELE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 320.15 0 0 0 0 0 0 320.15 0 0 0 1004582324 1770717670 10 Physicians HAMID KAMRAN 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 55 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 345.64 0 4859.78 0 0 0 0 0 0 5205.42 0 0 0 1004582376 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2748.06 0 0 0 0 0 0 0 0 0 0 0 0 0 2748.06 0 0 0 1004582432 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1488.87 0 0 0 0 0 0 0 0 0 0 0 0 0 1488.87 0 0 0 1004582491 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18333.58 0 0 0 0 0 0 0 0 0 0 0 0 0 18333.58 0 0 0 1004582507 1376753319 89 Physician Assistant Only(Encounter Only) O'KEEFE-SWARTZ MELISSA A 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 328.45 0 0 0 0 0 0 328.45 0 0 0 1004582653 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1232.36 0 0 0 0 0 0 0 0 0 0 0 0 0 1232.36 0 0 0 1004582681 1134560139 10 Physicians BOEHR MICAH 999999999 200 Cook 0 0 Family Practice 0 0 0 0 4 0 0 0 0 0 0 4 0 43 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 13 0 119 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 13 0 119 0 0 0 0 0 0 0 0 0 504.36 0 0 0 0 0 0 53.77 0 2228.75 0 0 0 0 0 0 2786.88 0 0 0 1004582816 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24637.21 0 0 0 0 0 0 0 0 0 0 0 0 0 24637.21 0 0 0 1004582817 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23333.43 0 0 0 0 0 0 0 0 0 0 0 0 0 23333.43 0 0 0 1004582855 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2624.32 0 0 0 0 0 0 0 0 0 0 0 0 0 2624.32 0 0 0 1004582930 92 Waiver service provider--Disability (DHS/DRS) 30 DuPage 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10131.93 0 0 0 0 0 0 0 0 0 0 0 0 0 10131.93 0 0 0 1004582975 92 Waiver service provider--Disability (DHS/DRS) 77 Morgan 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11046.28 0 0 0 0 0 0 0 0 0 0 0 0 0 11046.28 0 0 0 1004582995 16 Nurse Practitioners 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81.15 0 0 0 0 0 0 81.15 0 0 0 1004582999 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004583252 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23294.97 0 0 0 0 0 0 0 0 0 0 0 0 0 23294.97 0 0 0 1004583275 92 Waiver service provider--Disability (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 957.79 0 0 0 0 0 0 0 0 0 0 0 0 0 957.79 0 0 0 1004583341 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16201.31 0 0 0 0 0 0 0 0 0 0 0 0 0 16201.31 0 0 0 1004583425 22 Physical Therapists 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44.02 44.02 0 0 0 1004583499 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1102.63 0 0 0 0 0 0 0 0 0 0 0 0 0 1102.63 0 0 0 1004583514 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13737.88 0 0 0 0 0 0 0 0 0 0 0 0 0 13737.88 0 0 0 1004583519 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141.34 0 0 0 0 0 0 0 0 0 0 0 0 0 141.34 0 0 0 1004583785 93 Waiver service provider--HIV/AIDS (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3460 0 0 0 0 0 0 0 0 0 0 0 0 0 3460 0 0 0 1004583791 92 Waiver service provider--Disability (DHS/DRS) 77 Morgan 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6153.24 0 0 0 0 0 0 0 0 0 0 0 0 0 6153.24 0 0 0 1004583826 94 Waiver service provider--Children's support (DHS/D 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 884.4 0 0 0 0 0 0 0 0 0 0 0 0 0 884.4 0 0 0 1004583827 91 Waiver service provider--Adults (DHS/DDD) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2874.69 0 0 0 0 0 0 0 0 0 0 0 0 0 2874.69 0 0 0 1004583895 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9784.11 0 0 0 0 0 0 0 0 0 0 0 0 0 9784.11 0 0 0 1004583914 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1099.55 0 0 0 0 0 0 0 0 0 0 0 0 0 1099.55 0 0 0 1004584006 1053607424 10 Physicians HARKENSEE TRACY ANNE 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 290 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 311 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 311 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8095.73 0 0 0 0 0 0 8095.73 0 0 0 1004584144 92 Waiver service provider--Disability (DHS/DRS) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1948.04 0 0 0 0 0 0 0 0 0 0 0 0 0 1948.04 0 0 0 1004584170 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1718.66 0 0 0 0 0 0 0 0 0 0 0 0 0 1718.66 0 0 0 1004584218 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2470.31 0 0 0 0 0 0 0 0 0 0 0 0 0 2470.31 0 0 0 1004584450 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40.48 0 0 0 0 0 0 40.48 0 0 0 1004584469 1730387705 10 Physicians KIRK TYLER Q 999999999 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 7 0 110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 292 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 292 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4168.34 0 0 0 0 0 0 4168.34 0 0 0 1004584503 92 Waiver service provider--Disability (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2221.04 0 0 0 0 0 0 0 0 0 0 0 0 0 2221.04 0 0 0 1004584542 93 Waiver service provider--HIV/AIDS (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22063.2 0 0 0 0 0 0 0 0 0 0 0 0 0 22063.2 0 0 0 1004584858 1063434876 60 Pharmacies CVS PHARMACY #16325 601911338 841 Rhode Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4990 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7115.3 0 0 0 7115.3 0 0 0 1004584873 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20692.21 0 0 0 0 0 0 0 0 0 0 0 0 0 20692.21 0 0 0 1004584925 92 Waiver service provider--Disability (DHS/DRS) 48 Jasper 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3665.16 0 0 0 0 0 0 0 0 0 0 0 0 0 3665.16 0 0 0 1004584950 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5553.02 0 0 0 0 0 0 0 0 0 0 0 0 0 5553.02 0 0 0 1004584958 1497869689 89 Physician Assistant Only(Encounter Only) SMITH DAPHENE Y 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85.33 0 0 0 0 0 0 85.33 0 0 0 1004585039 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1042.31 0 0 0 0 0 0 0 0 0 0 0 0 0 1042.31 0 0 0 1004585057 1942520127 10 Physicians GREENSPAN MICHAEL B. 999999999 63 Macon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3342.69 0 0 0 0 0 0 3342.69 0 0 0 1004585247 94 Waiver service provider--Children's support (DHS/D 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1777.05 0 0 0 0 0 0 0 0 0 0 0 0 0 1777.05 0 0 0 1004585248 1013382209 16 Nurse Practitioners ALBERT SHERRI L 999999999 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 537.44 0 0 0 0 0 0 537.44 0 0 0 1004585390 1770809477 10 Physicians WINTER DANIEL G. 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3968.09 0 0 0 0 0 0 3968.09 0 0 0 1004585415 1689808313 10 Physicians SETO BENNY 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 3 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32.65 0 697.77 0 0 0 0 0 0 730.42 0 0 0 1004585537 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13324.78 0 0 0 0 0 0 0 0 0 0 0 0 0 13324.78 0 0 0 1004585737 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 484.91 0 0 0 0 0 0 0 0 0 0 0 0 0 484.91 0 0 0 1004585803 92 Waiver service provider--Disability (DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1259.5 0 0 0 0 0 0 0 0 0 0 0 0 0 1259.5 0 0 0 1004585814 1578805990 10 Physicians VAHEBI SUSAN 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 759.07 0 0 0 0 0 0 759.07 0 0 0 1004585916 1518989326 60 Pharmacies CVS PHARMACY #16308 616153538 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 356 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11028 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12935.96 0 0 0 12935.96 0 0 0 1004585963 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2927.24 0 0 0 0 0 0 0 0 0 0 0 0 0 2927.24 0 0 0 1004586095 94 Waiver service provider--Children's support (DHS/D 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7475.1 0 0 0 0 0 0 0 0 0 0 0 0 0 7475.1 0 0 0 1004586137 1205810926 10 Physicians MARULENDRA SHIVAPRASAD 999999999 71 McHenry 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14.96 0 7067.05 0 0 0 0 0 0 7082.01 0 0 0 1004586180 12 Optometrists 200 Cook 0 0 Therapeutic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169.33 0 0 0 0 0 0 169.33 0 0 0 1004586247 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2176.71 0 0 0 0 0 0 0 0 0 0 0 0 0 2176.71 0 0 0 1004586300 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10110.14 0 0 0 0 0 0 0 0 0 0 0 0 0 10110.14 0 0 0 1004586397 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4076.96 0 0 0 0 0 0 0 0 0 0 0 0 0 4076.96 0 0 0 1004586567 16 Nurse Practitioners 58 La Salle 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 48 0 0 0 1004586582 92 Waiver service provider--Disability (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6660.13 0 0 0 0 0 0 0 0 0 0 0 0 0 6660.13 0 0 0 1004586616 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 802.86 0 0 0 0 0 0 0 0 0 0 0 0 0 802.86 0 0 0 1004586784 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 915.52 0 0 0 0 0 0 0 0 0 0 0 0 0 915.52 0 0 0 1004586887 92 Waiver service provider--Disability (DHS/DRS) 47 Jackson 0 0 0 0 0 0 0 0 1 0 0 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0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2400.69 0 0 0 0 0 0 0 0 0 0 0 0 0 2400.69 0 0 0 1004588773 1932463585 10 Physicians COCA MIRCEA N 999999999 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 255.35 0 0 0 0 0 0 255.35 0 0 0 1004588780 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1891.78 0 0 0 0 0 0 0 0 0 0 0 0 0 1891.78 0 0 0 1004588817 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1680.59 0 0 0 0 0 0 0 0 0 0 0 0 0 1680.59 0 0 0 1004588827 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6285.16 0 0 0 0 0 0 0 0 0 0 0 0 0 6285.16 0 0 0 1004588932 92 Waiver service provider--Disability (DHS/DRS) 30 DuPage 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1931.52 0 0 0 0 0 0 0 0 0 0 0 0 0 1931.52 0 0 0 1004589013 1720413008 87 Psychologist(Encounter Only) SWANSON MARGIT 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 370.89 0 0 0 0 0 0 370.89 0 0 0 1004589070 10 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 158.4 0 0 0 0 0 0 158.4 0 0 0 1004589175 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1682.29 0 0 0 0 0 0 0 0 0 0 0 0 0 1682.29 0 0 0 1004589323 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23561.56 0 0 0 0 0 0 0 0 0 0 0 0 0 23561.56 0 0 0 1004589351 1134141948 60 Pharmacies CVS PHARMACY #16369 601811244 841 Rhode Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 112 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2991 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2817.8 0 0 0 2817.8 0 0 0 1004589457 24 Speech Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 207.84 207.84 0 0 0 1004589506 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1100.39 0 0 0 0 0 0 0 0 0 0 0 0 0 1100.39 0 0 0 1004589527 1588018311 16 Nurse Practitioners ERIKSSON JOANN H. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 588.72 0 0 0 0 0 0 588.72 0 0 0 1004589538 86 Clinical Social Worker(Encounter Only) 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 332.19 0 0 0 0 0 0 332.19 0 0 0 1004589565 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 204 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 204 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23951.4 0 0 0 0 0 0 0 0 0 0 0 0 0 23951.4 0 0 0 1004589590 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2133.54 0 0 0 0 0 0 0 0 0 0 0 0 0 2133.54 0 0 0 1004589733 1306123757 89 Physician Assistant Only(Encounter Only) CARLSON KATHERINE I. 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55.18 0 0 0 0 0 0 55.18 0 0 0 1004589740 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15378.12 0 0 0 0 0 0 0 0 0 0 0 0 0 15378.12 0 0 0 1004589835 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20804.97 0 0 0 0 0 0 0 0 0 0 0 0 0 20804.97 0 0 0 1004589876 92 Waiver service provider--Disability (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9964.35 0 0 0 0 0 0 0 0 0 0 0 0 0 9964.35 0 0 0 1004589960 1811245178 16 Nurse Practitioners CELMER JACQUELINE J 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 321.19 0 0 0 0 0 0 321.19 0 0 0 1004589983 1760737993 10 Physicians HUFF ASHLEY N 999999999 823 Michigan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5675.79 0 0 0 0 0 0 5675.79 0 0 0 1004590025 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67.87 0 0 0 0 0 0 0 0 0 0 0 0 0 67.87 0 0 0 1004590092 1598080780 10 Physicians KADAKIA RACHEL 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 5 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 99 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 99 0 0 0 0 0 0 0 0 0 70.06 0 0 0 0 0 0 0 0 5059.42 0 0 0 0 0 0 5129.48 0 0 0 1004590099 1487996674 10 Physicians RAMALINGAM SRIDEVI 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 146 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 146 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1525.96 0 0 0 0 0 0 1525.96 0 0 0 1004590139 16 Nurse Practitioners 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128.06 0 0 0 0 0 0 128.06 0 0 0 1004590330 1083908552 10 Physicians FREEDMAN ABBY H 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2683.22 0 0 0 0 0 0 2683.22 0 0 0 1004590375 93 Waiver service provider--HIV/AIDS (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1041.61 0 0 0 0 0 0 0 0 0 0 0 0 0 1041.61 0 0 0 1004590399 1013205285 10 Physicians NON LEMUEL BENEDICT R 999999999 80 Peoria 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1067.32 0 0 0 0 0 0 1067.32 0 0 0 1004590461 73 Other Transportation Providers ( Non-Registered) 103 Washington 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106.49 0 0 0 0 0 0 106.49 0 0 0 1004590474 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1342.2 0 0 0 0 0 0 0 0 0 0 0 0 0 1342.2 0 0 0 1004590568 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 363 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 363 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16453.5 0 0 0 0 0 0 0 0 0 0 0 0 0 16453.5 0 0 0 1004590610 1376553727 10 Physicians STEIN RHONDA H 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 29 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 3676.76 0 0 0 0 0 0 0 0 974.97 0 0 0 0 0 0 4651.73 0 0 0 1004590807 92 Waiver service provider--Disability (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2442.22 0 0 0 0 0 0 0 0 0 0 0 0 0 2442.22 0 0 0 1004590844 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3334.04 0 0 0 0 0 0 0 0 0 0 0 0 0 3334.04 0 0 0 1004590870 94 Waiver service provider--Children's support (DHS/D 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 308 0 0 0 0 0 0 0 0 0 0 0 0 0 308 0 0 0 1004590893 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2431.82 0 0 0 0 0 0 0 0 0 0 0 0 0 2431.82 0 0 0 1004590908 92 Waiver service provider--Disability (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1548.49 0 0 0 0 0 0 0 0 0 0 0 0 0 1548.49 0 0 0 1004591137 10 Physicians 80 Peoria 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42.5 0 0 0 0 0 0 42.5 0 0 0 1004591175 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12328.18 0 0 0 0 0 0 0 0 0 0 0 0 0 12328.18 0 0 0 1004591342 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1231.94 0 0 0 0 0 0 0 0 0 0 0 0 0 1231.94 0 0 0 1004591408 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7772.87 0 0 0 0 0 0 0 0 0 0 0 0 0 7772.87 0 0 0 1004591570 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13141.01 0 0 0 0 0 0 0 0 0 0 0 0 0 13141.01 0 0 0 1004591593 1497949531 60 Pharmacies CVS PHARMACY #17396 622263104 96 St Clair 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 435 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24446.9 0 0 0 24446.9 0 0 0 1004591638 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 923.22 0 0 0 0 0 0 0 0 0 0 0 0 0 923.22 0 0 0 1004591809 1699174060 16 Nurse Practitioners BRITVIC MICHELE L 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71.29 0 0 0 0 0 0 71.29 0 0 0 1004591898 1871760652 10 Physicians OSUNBUNMI OLUTOYE 999999999 89 Rock Island 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4035.99 0 0 0 0 0 0 4035.99 0 0 0 1004592004 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 675.23 0 0 0 0 0 0 0 0 0 0 0 0 0 675.23 0 0 0 1004592106 92 Waiver service provider--Disability (DHS/DRS) 88 Richland 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2038.3 0 0 0 0 0 0 0 0 0 0 0 0 0 2038.3 0 0 0 1004592122 10 Physicians 30 DuPage 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93.85 0 0 0 0 0 0 93.85 0 0 0 1004592125 1992155022 40 Federally Qualified Health Centers LAKE COUNTY HEALTH DEPARTMENT 999999999 57 Lake 0 0 0 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 597 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 597 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30099.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30099.1 0 0 0 1004592172 1164854386 12 Optometrists ICHISHITA JOHN 999999999 57 Lake 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 200 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 390 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 390 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11684.5 0 0 0 0 0 0 11684.5 0 0 0 1004592180 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1619.59 0 0 0 0 0 0 0 0 0 0 0 0 0 1619.59 0 0 0 1004592248 92 Waiver service provider--Disability (DHS/DRS) 23 Clinton 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1891.78 0 0 0 0 0 0 0 0 0 0 0 0 0 1891.78 0 0 0 1004592488 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2842.57 0 0 0 0 0 0 0 0 0 0 0 0 0 2842.57 0 0 0 1004592542 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 136.45 0 0 0 0 0 0 0 0 0 0 0 0 0 136.45 0 0 0 1004592636 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2349.26 0 0 0 0 0 0 0 0 0 0 0 0 0 2349.26 0 0 0 1004592669 1881063428 89 Physician Assistant Only(Encounter Only) TAYLOR BRETT M 999999999 63 Macon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2.85 0 0 0 0 0 0 2.85 0 0 0 1004592690 1003265950 24 Speech Therapists GROLEAU KATHRYN 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 172 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 172 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12248.48 12248.48 0 0 0 1004592716 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 721.98 0 0 0 0 0 0 0 0 0 0 0 0 0 721.98 0 0 0 1004592861 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20630.19 0 0 0 0 0 0 0 0 0 0 0 0 0 20630.19 0 0 0 1004592862 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3361.48 0 0 0 0 0 0 0 0 0 0 0 0 0 3361.48 0 0 0 1004592890 1871545269 10 Physicians QURAISHI MOHAMMED 999999999 82 Piatt 0 0 0 0 0 0 0 0 0 0 0 0 0 97 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 118 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 118 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1735.86 0 10.77 0 0 0 0 0 0 1746.63 0 0 0 1004592925 1215387113 11 Dentists SAGADRACA TOMMY 999999999 30 DuPage 0 0 General Dentistry 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 787.72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 787.72 0 0 0 1004592930 1407847882 63 Other Providers of Medical Equipment/Supplies (Non "ACTIVSTYLE, INC." 606431018 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 366 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3344 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3344 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 205000.15 0 0 0 0 0 0 205000.15 0 0 0 1004592940 1306215975 16 Nurse Practitioners WALTER GRETCHEN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 692.61 0 0 0 0 0 0 692.61 0 0 0 1004592947 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13503.19 0 0 0 0 0 0 0 0 0 0 0 0 0 13503.19 0 0 0 1004592968 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13165.06 0 0 0 0 0 0 0 0 0 0 0 0 0 13165.06 0 0 0 1004593012 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4352.7 0 0 0 0 0 0 0 0 0 0 0 0 0 4352.7 0 0 0 1004593017 71 Medicar Provider 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 354.31 0 0 0 0 0 0 354.31 0 0 0 1004593223 1801334289 91 Waiver service provider--Adults (DHS/DDD) KENYA BROWNLEE 999999999 107 Will 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 184 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 184 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6660.86 0 0 0 0 0 0 0 0 0 0 0 0 0 6660.86 0 0 0 1004593277 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2196.58 0 0 0 0 0 0 0 0 0 0 0 0 0 2196.58 0 0 0 1004593406 1750732947 11 Dentists NASER ZAID F 999999999 109 Winnebago 0 0 General Dentistry 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7908.12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7908.12 0 0 0 1004593561 91 Waiver service provider--Adults (DHS/DDD) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15134.49 0 0 0 0 0 0 0 0 0 0 0 0 0 15134.49 0 0 0 1004593581 1700226982 10 Physicians BITTNER KATIE 999999999 19 Champaign 0 1 Family Practice 0 0 0 0 3 0 0 0 0 0 0 0 0 129 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 182 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 182 0 0 0 0 0 0 0 0 0 147.39 0 0 0 0 0 0 0 0 9088.92 0 0 0 0 0 0 9236.31 0 0 0 1004593588 1295964872 10 Physicians ZACHARIAH AMIT 999999999 54 Kankakee 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 13 0 380 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 776 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 776 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47.17 0 8754.83 0 0 0 0 0 0 8802 0 0 0 1004593595 1952702474 16 Nurse Practitioners SANTOS VIVIANE M 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 223.42 0 0 0 0 0 0 223.42 0 0 0 1004593726 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 112.24 0 0 0 0 0 0 0 0 0 0 0 0 0 112.24 0 0 0 1004593802 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24224.47 0 0 0 0 0 0 0 0 0 0 0 0 0 24224.47 0 0 0 1004593810 92 Waiver service provider--Disability (DHS/DRS) 815 Indiana 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 994.03 0 0 0 0 0 0 0 0 0 0 0 0 0 994.03 0 0 0 1004593934 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1518.76 0 0 0 0 0 0 0 0 0 0 0 0 0 1518.76 0 0 0 1004594051 1891885380 10 Physicians BLACKALL DOUGLAS 999999999 200 Cook 0 0 Clinical Pathology 0 0 0 0 0 0 0 0 0 0 0 27 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 207.58 0 458.7 0 0 0 0 0 0 666.28 0 0 0 1004594135 92 Waiver service provider--Disability (DHS/DRS) 44 Henderson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16153.42 0 0 0 0 0 0 0 0 0 0 0 0 0 16153.42 0 0 0 1004594199 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 477.63 0 0 0 0 0 0 0 0 0 0 0 0 0 477.63 0 0 0 1004594242 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 627.09 0 0 0 0 0 0 0 0 0 0 0 0 0 627.09 0 0 0 1004594243 1548620636 16 Nurse Practitioners NEWELL KATELYN W. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169.78 0 0 0 0 0 0 169.78 0 0 0 1004594328 1528446812 65 Independent Diagnostic Testing Facility (IDTF) PREMIER MRI OF SCHAUMBURG 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2466.02 0 0 0 0 0 0 0 0 2466.02 0 0 0 1004594530 1295019941 16 Nurse Practitioners EVERLEY CHELSA 999999999 60 Lee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1453.04 0 0 0 0 0 0 1453.04 0 0 0 1004594634 10 Physicians 96 St Clair 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004594827 10 Physicians 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74.7 0 0 0 0 0 0 74.7 0 0 0 1004594934 1720448806 16 Nurse Practitioners GIESZELMANN SARAH 999999999 15 Bureau 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 6.4 0 0 0 0 0 0 0 0 236.55 0 0 0 0 0 0 242.95 0 0 0 1004594948 16 Nurse Practitioners 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38.6 0 0 0 0 0 0 38.6 0 0 0 1004594950 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9835.7 0 0 0 0 0 0 0 0 0 0 0 0 0 9835.7 0 0 0 1004594979 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16256.29 0 0 0 0 0 0 0 0 0 0 0 0 0 16256.29 0 0 0 1004595126 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9053.34 0 0 0 0 0 0 0 0 0 0 0 0 0 9053.34 0 0 0 1004595180 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 517.8 0 0 0 0 0 0 0 0 0 0 0 0 0 517.8 0 0 0 1004595327 1790732097 89 Physician Assistant Only(Encounter Only) BOEHM IVEN 999999999 94 Shelby 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.41 0 0 0 0 0 0 0.41 0 0 0 1004595333 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 251 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 251 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11803.06 0 0 0 0 0 0 0 0 0 0 0 0 0 11803.06 0 0 0 1004595358 1720246515 11 Dentists YOUSEF FARZIN 999999999 200 Cook 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 76 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 76 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2373.29 0 0 0 0 0 0 0 0 0 0 0 752.7 0 0 0 0 3125.99 0 0 0 1004595490 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4977.15 0 0 0 0 0 0 0 0 0 0 0 0 0 4977.15 0 0 0 1004595510 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 491.48 0 0 0 0 0 0 0 0 0 0 0 0 0 491.48 0 0 0 1004595680 94 Waiver service provider--Children's support (DHS/D 53 Kane 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 526 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 526 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23305.74 0 0 0 0 0 0 0 0 0 0 0 0 0 23305.74 0 0 0 1004595856 16 Nurse Practitioners 96 St Clair 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 85.65 0 0 0 0 0 0 0 0 109.51 0 0 0 0 0 0 195.16 0 0 0 1004596001 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31546.8 0 0 0 0 0 0 0 0 0 0 0 0 0 31546.8 0 0 0 1004596012 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6853.1 0 0 0 0 0 0 0 0 0 0 0 0 0 6853.1 0 0 0 1004596037 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5393.9 0 0 0 0 0 0 0 0 0 0 0 0 0 5393.9 0 0 0 1004596112 1629529334 16 Nurse Practitioners KERZAN TRACY L 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 89.77 0 0 0 0 0 0 89.77 0 0 0 1004596281 94 Waiver service provider--Children's support (DHS/D 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1227.6 0 0 0 0 0 0 0 0 0 0 0 0 0 1227.6 0 0 0 1004596374 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4170.08 0 0 0 0 0 0 0 0 0 0 0 0 0 4170.08 0 0 0 1004596434 1356634505 10 Physicians LICHTOR STEPHANIE A 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1809.4 0 0 0 0 0 0 1809.4 0 0 0 1004596602 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7779.19 0 0 0 0 0 0 0 0 0 0 0 0 0 7779.19 0 0 0 1004596680 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1616.58 0 0 0 0 0 0 0 0 0 0 0 0 0 1616.58 0 0 0 1004596891 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3609.04 0 0 0 0 0 0 0 0 0 0 0 0 0 3609.04 0 0 0 1004596959 1952492019 16 Nurse Practitioners ELDER-SORRELLS KARLA F 999999999 82 Piatt 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101.08 0 0 0 0 0 0 1101.08 0 0 0 1004596984 92 Waiver service provider--Disability (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 881.66 0 0 0 0 0 0 0 0 0 0 0 0 0 881.66 0 0 0 1004597052 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16178.48 0 0 0 0 0 0 0 0 0 0 0 0 0 16178.48 0 0 0 1004597073 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8029.92 0 0 0 0 0 0 0 0 0 0 0 0 0 8029.92 0 0 0 1004597078 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4460.83 0 0 0 0 0 0 0 0 0 0 0 0 0 4460.83 0 0 0 1004597092 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8671.29 0 0 0 0 0 0 0 0 0 0 0 0 0 8671.29 0 0 0 1004597163 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20030.37 0 0 0 0 0 0 0 0 0 0 0 0 0 20030.37 0 0 0 1004597347 93 Waiver service provider--HIV/AIDS (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 279.9 0 0 0 0 0 0 0 0 0 0 0 0 0 279.9 0 0 0 1004597381 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 349 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 349 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25096.5 0 0 0 0 0 0 0 0 0 0 0 0 0 25096.5 0 0 0 1004597402 1043482912 10 Physicians THATTALIYATH BIJOY D 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 228.1 0 0 0 0 0 0 228.1 0 0 0 1004597455 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1897.49 0 0 0 0 0 0 0 0 0 0 0 0 0 1897.49 0 0 0 1004597568 1851707939 10 Physicians KAHNKE TAYLOR H 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 139 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 139 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19558.52 0 0 0 0 0 0 19558.52 0 0 0 1004597599 91 Waiver service provider--Adults (DHS/DDD) 104 Wayne 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9207 0 0 0 0 0 0 0 0 0 0 0 0 0 9207 0 0 0 1004597631 91 Waiver service provider--Adults (DHS/DDD) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3413.47 0 0 0 0 0 0 0 0 0 0 0 0 0 3413.47 0 0 0 1004597719 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1347.68 0 0 0 0 0 0 0 0 0 0 0 0 0 1347.68 0 0 0 1004597767 11 Dentists 12 Bond 0 0 General Dentistry 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21.8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21.8 0 0 0 1004597804 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7758.24 0 0 0 0 0 0 0 0 0 0 0 0 0 7758.24 0 0 0 1004597818 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2211.83 0 0 0 0 0 0 0 0 0 0 0 0 0 2211.83 0 0 0 1004597861 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6179.38 0 0 0 0 0 0 0 0 0 0 0 0 0 6179.38 0 0 0 1004597938 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1682.7 0 0 0 0 0 0 0 0 0 0 0 0 0 1682.7 0 0 0 1004597992 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1677.24 0 0 0 0 0 0 0 0 0 0 0 0 0 1677.24 0 0 0 1004597999 1144216607 89 Physician Assistant Only(Encounter Only) RODRIGUEZ JULIE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42.63 0 0 0 0 0 0 42.63 0 0 0 1004598354 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22826.76 0 0 0 0 0 0 0 0 0 0 0 0 0 22826.76 0 0 0 1004598361 1932542602 10 Physicians KOYA KOMAL DOLAR 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1013.75 0 0 0 0 0 0 1013.75 0 0 0 1004598403 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1461.87 0 0 0 0 0 0 0 0 0 0 0 0 0 1461.87 0 0 0 1004598453 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11323.79 0 0 0 0 0 0 0 0 0 0 0 0 0 11323.79 0 0 0 1004598502 92 Waiver service provider--Disability (DHS/DRS) 13 Boone 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1555.9 0 0 0 0 0 0 0 0 0 0 0 0 0 1555.9 0 0 0 1004598638 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23555.22 0 0 0 0 0 0 0 0 0 0 0 0 0 23555.22 0 0 0 1004598809 92 Waiver service provider--Disability (DHS/DRS) 72 McLean 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25215.1 0 0 0 0 0 0 0 0 0 0 0 0 0 25215.1 0 0 0 1004598862 60 Pharmacies 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15.73 0 0 0 15.73 0 0 0 1004598871 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3469.51 0 0 0 0 0 0 0 0 0 0 0 0 0 3469.51 0 0 0 1004598887 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13083.62 0 0 0 0 0 0 0 0 0 0 0 0 0 13083.62 0 0 0 1004598890 1033401153 10 Physicians JONES ERIKA 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 145 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 145 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1955.38 0 0 0 0 0 0 1955.38 0 0 0 1004598898 91 Waiver service provider--Adults (DHS/DDD) 10 Adams 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 132 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 132 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12591.6 0 0 0 0 0 0 0 0 0 0 0 0 0 12591.6 0 0 0 1004598974 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 476.79 0 0 0 0 0 0 0 0 0 0 0 0 0 476.79 0 0 0 1004598998 92 Waiver service provider--Disability (DHS/DRS) 28 De Witt 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2187.9 0 0 0 0 0 0 0 0 0 0 0 0 0 2187.9 0 0 0 1004599117 94 Waiver service provider--Children's support (DHS/D 72 McLean 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 264 0 0 0 0 0 0 0 0 0 0 0 0 0 264 0 0 0 1004599177 92 Waiver service provider--Disability (DHS/DRS) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16977.68 0 0 0 0 0 0 0 0 0 0 0 0 0 16977.68 0 0 0 1004599342 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21452.45 0 0 0 0 0 0 0 0 0 0 0 0 0 21452.45 0 0 0 1004599346 1023494473 30 General Hospitals MEMORIAL HOSPITAL EAST 622692988 96 St Clair DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 3 0 0 0 1394 0 0 0 0 638 0 0 0 602 0 0 0 0 0 4 0 0 0 1945 0 0 0 0 672 0 0 0 893 0 0 0 0 0 4 0 0 0 1945 0 0 0 0 2102 0 0 0 893 0 0 0 0 0 32.76 0 0 0 210734.81 0 0 0 0 936964.67 0 0 0 132706.2 0 0 0 0 0 1280438.44 0 0 0 1004599382 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2805.73 0 0 0 0 0 0 0 0 0 0 0 0 0 2805.73 0 0 0 1004599452 1598835308 30 General Hospitals SSM HEALTH DEPAUL HOSPITAL ST 999999999 826 Missouri ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 602.22 0 0 98.49 0 0 0 0 0 700.71 0 0 0 1004599583 88 Other behavior health professional(Encounter Only) 98 Tazewell 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50.49 0 0 0 0 0 0 50.49 0 0 0 1004599640 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8695.5 0 0 0 0 0 0 0 0 0 0 0 0 0 8695.5 0 0 0 1004599759 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25640.41 0 0 0 0 0 0 0 0 0 0 0 0 0 25640.41 0 0 0 1004599802 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2272.72 0 0 0 0 0 0 0 0 0 0 0 0 0 2272.72 0 0 0 1004599812 1851642235 16 Nurse Practitioners TUCKER SARA B 999999999 24 Coles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 710.75 0 0 0 0 0 0 710.75 0 0 0 1004599817 1790155166 89 Physician Assistant Only(Encounter Only) MCELROY JAMEKA K 999999999 24 Coles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86.74 0 0 0 0 0 0 86.74 0 0 0 1004599821 89 Physician Assistant Only(Encounter Only) 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004599835 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 896.77 0 0 0 0 0 0 0 0 0 0 0 0 0 896.77 0 0 0 1004599906 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 880.25 0 0 0 0 0 0 0 0 0 0 0 0 0 880.25 0 0 0 1004600069 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9115.22 0 0 0 0 0 0 0 0 0 0 0 0 0 9115.22 0 0 0 1004600093 1184078206 91 Waiver service provider--Adults (DHS/DDD) SEBASTIAN PATRICK 999999999 30 DuPage 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1983 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1983 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 148577.45 0 0 0 0 0 0 0 0 0 0 0 0 0 148577.45 0 0 0 1004600112 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11002.97 0 0 0 0 0 0 0 0 0 0 0 0 0 11002.97 0 0 0 1004600152 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 140.22 0 0 0 0 0 0 0 0 0 0 0 0 0 140.22 0 0 0 1004600406 1285910059 89 Physician Assistant Only(Encounter Only) MATHENIA JEREMY 999999999 24 Coles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 589.65 0 0 0 0 0 0 589.65 0 0 0 1004600424 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3440.19 0 0 0 0 0 0 0 0 0 0 0 0 0 3440.19 0 0 0 1004600452 1164877742 16 Nurse Practitioners VASKE-WRIGHT KAITLYN 999999999 30 DuPage 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 304 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1048 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1048 0 0 0 0 0 0 0 0 0 200 0 0 0 0 0 0 0 0 54237.79 0 0 0 0 0 0 54437.79 0 0 0 1004600460 1740545789 10 Physicians PHILLIPS LAYNE 999999999 107 Will 0 1 Family Practice 0 0 0 0 48 0 0 0 0 0 0 5 0 93 0 0 0 0 0 0 0 0 0 112 0 0 0 0 0 0 6 0 131 0 0 0 0 0 0 0 0 0 112 0 0 0 0 0 0 6 0 131 0 0 0 0 0 0 0 0 0 4579.87 0 0 0 0 0 0 48.21 0 4826.17 0 0 0 0 0 0 9454.25 0 0 0 1004600461 1841320421 89 Physician Assistant Only(Encounter Only) HARKINS BEN W 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 299.75 0 0 0 0 0 0 299.75 0 0 0 1004600525 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 251 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 251 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15210.6 0 0 0 0 0 0 0 0 0 0 0 0 0 15210.6 0 0 0 1004600638 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9201.5 0 0 0 0 0 0 0 0 0 0 0 0 0 9201.5 0 0 0 1004600770 92 Waiver service provider--Disability (DHS/DRS) 836 Ohio 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9622.19 0 0 0 0 0 0 0 0 0 0 0 0 0 9622.19 0 0 0 1004600825 1104250059 16 Nurse Practitioners TABLER PAMELA A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 347.2 0 0 0 0 0 0 347.2 0 0 0 1004600897 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3532.19 0 0 0 0 0 0 0 0 0 0 0 0 0 3532.19 0 0 0 1004600899 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 242 0 0 0 1004600915 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 756.47 0 0 0 0 0 0 0 0 0 0 0 0 0 756.47 0 0 0 1004600956 1225291347 11 Dentists MARKIEWICZ MICHAEL 999999999 200 Cook 0 0 Maxillofacial Surgery 0 0 0 146 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 245 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 245 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37485.56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37485.56 0 0 0 1004601037 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5891.71 0 0 0 0 0 0 0 0 0 0 0 0 0 5891.71 0 0 0 1004601207 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3991.8 0 0 0 0 0 0 0 0 0 0 0 0 0 3991.8 0 0 0 1004601320 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 915.38 0 0 0 0 0 0 0 0 0 0 0 0 0 915.38 0 0 0 1004601336 1467712810 10 Physicians BUYEA BRIDGET A 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7907.71 0 0 0 0 0 0 7907.71 0 0 0 1004601526 1437566692 16 Nurse Practitioners WEIGT AMELIA M 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 166.13 0 0 0 0 0 0 166.13 0 0 0 1004601629 1487950010 10 Physicians COLE KATE H 999999999 109 Winnebago 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 806.18 0 0 0 0 0 0 806.18 0 0 0 1004601709 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17432.8 0 0 0 0 0 0 0 0 0 0 0 0 0 17432.8 0 0 0 1004601823 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 618.14 0 0 0 0 0 0 0 0 0 0 0 0 0 618.14 0 0 0 1004602087 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1077.72 0 0 0 0 0 0 0 0 0 0 0 0 0 1077.72 0 0 0 1004602093 1477840320 10 Physicians HAMIDI MARYAM 999999999 96 St Clair 0 0 Radiation Oncology 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 155 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 155 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2220.86 0 0 0 0 0 0 2220.86 0 0 0 1004602183 1063897155 16 Nurse Practitioners ADIGHIBE NNEBUIFE N 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 166.93 0 0 0 0 0 0 166.93 0 0 0 1004602301 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3154.08 0 0 0 0 0 0 0 0 0 0 0 0 0 3154.08 0 0 0 1004602320 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1632.82 0 0 0 0 0 0 0 0 0 0 0 0 0 1632.82 0 0 0 1004602400 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14812.76 0 0 0 0 0 0 0 0 0 0 0 0 0 14812.76 0 0 0 1004602401 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 839.81 0 0 0 0 0 0 0 0 0 0 0 0 0 839.81 0 0 0 1004602534 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 175 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 175 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16473.8 0 0 0 0 0 0 0 0 0 0 0 0 0 16473.8 0 0 0 1004602712 16 Nurse Practitioners 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28.35 0 0 0 0 0 0 28.35 0 0 0 1004602742 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6805.2 0 0 0 0 0 0 0 0 0 0 0 0 0 6805.2 0 0 0 1004602842 92 Waiver service provider--Disability (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 911.6 0 0 0 0 0 0 0 0 0 0 0 0 0 911.6 0 0 0 1004602976 1245473156 10 Physicians RAJ NISHANT V 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 357.93 0 0 0 0 0 0 357.93 0 0 0 1004603094 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1241.45 0 0 0 0 0 0 0 0 0 0 0 0 0 1241.45 0 0 0 1004603424 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13044.94 0 0 0 0 0 0 0 0 0 0 0 0 0 13044.94 0 0 0 1004603438 1154334316 10 Physicians BAINS RUSHIM S 999999999 63 Macon 0 0 0 0 0 0 5 0 0 0 0 0 0 5 0 140 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 5 0 313 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 5 0 313 0 0 0 0 0 0 0 0 0 470.31 0 0 0 0 0 0 14.16 0 6747.44 0 0 0 0 0 0 7231.91 0 0 0 1004603494 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2595.7 0 0 0 0 0 0 0 0 0 0 0 0 0 2595.7 0 0 0 1004603550 1891766614 89 Physician Assistant Only(Encounter Only) RYNDERS ELAINE A 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 611.92 0 0 0 0 0 0 611.92 0 0 0 1004603712 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4095.36 0 0 0 0 0 0 0 0 0 0 0 0 0 4095.36 0 0 0 1004603827 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22419.01 0 0 0 0 0 0 0 0 0 0 0 0 0 22419.01 0 0 0 1004603981 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2037.84 0 0 0 0 0 0 0 0 0 0 0 0 0 2037.84 0 0 0 1004604036 98 Waiver service provider--TBI (DHS/DRS) 23 Clinton 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9184.6 0 0 0 0 0 0 0 0 0 0 0 0 0 9184.6 0 0 0 1004604149 1285928085 10 Physicians GORDON KATHRYN 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 4 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 143.8 0 939.37 0 0 0 0 0 0 1083.17 0 0 0 1004604205 94 Waiver service provider--Children's support (DHS/D 72 McLean 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6435.2 0 0 0 0 0 0 0 0 0 0 0 0 0 6435.2 0 0 0 1004604272 1316252265 10 Physicians WOLDEGABRIEL ELIAS N 999999999 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 168 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 423 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 423 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6904.64 0 0 0 0 0 0 6904.64 0 0 0 1004604297 1316398589 16 Nurse Practitioners SOTOLA DINA P 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 378.54 0 0 0 0 0 0 378.54 0 0 0 1004604321 1295897924 60 Pharmacies HARTIG DRUG CO #29 610741918 17 Carroll 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 434 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2745 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68519 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160244.17 0 0 0 160244.17 0 0 0 1004604365 24 Speech Therapists 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2482.02 2482.02 0 0 0 1004604381 94 Waiver service provider--Children's support (DHS/D 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 653.39 0 0 0 0 0 0 0 0 0 0 0 0 0 653.39 0 0 0 1004604441 1336188705 10 Physicians SPEIGHT JOYCELYN L 999999999 109 Winnebago 0 0 Radiation Oncology 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1632.71 0 0 0 0 0 0 1632.71 0 0 0 1004604510 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1792.53 0 0 0 0 0 0 0 0 0 0 0 0 0 1792.53 0 0 0 1004604560 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6490.68 0 0 0 0 0 0 0 0 0 0 0 0 0 6490.68 0 0 0 1004604592 1881762540 89 Physician Assistant Only(Encounter Only) WILLIAMS LORI 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 538.62 0 0 0 0 0 0 538.62 0 0 0 1004604626 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 396.04 0 0 0 0 0 0 0 0 0 0 0 0 0 396.04 0 0 0 1004604671 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11571.84 0 0 0 0 0 0 0 0 0 0 0 0 0 11571.84 0 0 0 1004604754 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1119.49 0 0 0 0 0 0 0 0 0 0 0 0 0 1119.49 0 0 0 1004604796 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 461 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 461 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32859.6 0 0 0 0 0 0 0 0 0 0 0 0 0 32859.6 0 0 0 1004604873 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004604987 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16156.45 0 0 0 0 0 0 0 0 0 0 0 0 0 16156.45 0 0 0 1004604993 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 869.2 0 0 0 0 0 0 0 0 0 0 0 0 0 869.2 0 0 0 1004605026 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11672.37 0 0 0 0 0 0 0 0 0 0 0 0 0 11672.37 0 0 0 1004605105 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13471.23 0 0 0 0 0 0 0 0 0 0 0 0 0 13471.23 0 0 0 1004605166 92 Waiver service provider--Disability (DHS/DRS) 74 Mercer 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13544.87 0 0 0 0 0 0 0 0 0 0 0 0 0 13544.87 0 0 0 1004605331 1245521442 10 Physicians VANDER NAALT STEVEN 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84 0 317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84 0 317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 997.47 0 24071.82 0 0 0 0 0 0 25069.29 0 0 0 1004605368 89 Physician Assistant Only(Encounter Only) 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1.09 0 0 0 0 0 0 1.09 0 0 0 1004605415 92 Waiver service provider--Disability (DHS/DRS) 100 Vermilion 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11155.99 0 0 0 0 0 0 0 0 0 0 0 0 0 11155.99 0 0 0 1004605456 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10168.68 0 0 0 0 0 0 0 0 0 0 0 0 0 10168.68 0 0 0 1004605479 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4541.25 0 0 0 0 0 0 0 0 0 0 0 0 0 4541.25 0 0 0 1004605535 1124265509 60 Pharmacies CVS PHARMACY #17536 601621821 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 250 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5749 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12028.02 0 0 0 12028.02 0 0 0 1004605549 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1448.99 0 0 0 0 0 0 0 0 0 0 0 0 0 1448.99 0 0 0 1004605572 93 Waiver service provider--HIV/AIDS (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3354.62 0 0 0 0 0 0 0 0 0 0 0 0 0 3354.62 0 0 0 1004605782 94 Waiver service provider--Children's support (DHS/D 91 Sangamon 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 904.2 0 0 0 0 0 0 0 0 0 0 0 0 0 904.2 0 0 0 1004605836 1780045526 16 Nurse Practitioners SULLIVAN KENDRA L 999999999 91 Sangamon 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 93 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 129 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 129 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4954.36 0 0 0 0 0 0 4954.36 0 0 0 1004605851 1689993768 10 Physicians ALPER SETH J 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 579 0 132 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 827 0 215 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 827 0 215 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11113.78 0 4522.85 0 0 0 0 0 0 15636.63 0 0 0 1004605924 92 Waiver service provider--Disability (DHS/DRS) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15578.14 0 0 0 0 0 0 0 0 0 0 0 0 0 15578.14 0 0 0 1004605947 94 Waiver service provider--Children's support (DHS/D 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15568.71 0 0 0 0 0 0 0 0 0 0 0 0 0 15568.71 0 0 0 1004606001 1558816751 16 Nurse Practitioners MCCOY TESSA E 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 510 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 546 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 546 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17098.94 0 0 0 0 0 0 17098.94 0 0 0 1004606099 1104117423 10 Physicians SHIRAZI ABDUL 601220021 53 Kane 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1127.25 0 0 0 0 0 0 1127.25 0 0 0 1004606202 93 Waiver service provider--HIV/AIDS (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5581.2 0 0 0 0 0 0 0 0 0 0 0 0 0 5581.2 0 0 0 1004606295 92 Waiver service provider--Disability (DHS/DRS) 88 Richland 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1568.79 0 0 0 0 0 0 0 0 0 0 0 0 0 1568.79 0 0 0 1004606454 92 Waiver service provider--Disability (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 803.29 0 0 0 0 0 0 0 0 0 0 0 0 0 803.29 0 0 0 1004606465 1609187707 10 Physicians FRICCHIONE MARIELLE J. 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2462 0 0 0 0 0 0 2462 0 0 0 1004606566 98 Waiver service provider--TBI (DHS/DRS) 49 Jefferson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9946.89 0 0 0 0 0 0 0 0 0 0 0 0 0 9946.89 0 0 0 1004606630 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12870 0 0 0 0 0 0 0 0 0 0 0 0 0 12870 0 0 0 1004606647 1790800654 33 Nursing Facilities MOWEAQUA REHAB AND HEALTH CR 999999999 94 Shelby 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 352 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 794136.85 0 0 0 0 0 0 0 794136.85 0 0 0 1004606658 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21354.49 0 0 0 0 0 0 0 0 0 0 0 0 0 21354.49 0 0 0 1004606668 92 Waiver service provider--Disability (DHS/DRS) 98 Tazewell 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2503.13 0 0 0 0 0 0 0 0 0 0 0 0 0 2503.13 0 0 0 1004606720 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 838.83 0 0 0 0 0 0 0 0 0 0 0 0 0 838.83 0 0 0 1004606760 1881968188 10 Physicians AZIZ FAHAD 999999999 65 Madison 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 4 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90.09 0 0 0 0 0 0 90.09 0 0 0 1004606867 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6597.56 0 0 0 0 0 0 0 0 0 0 0 0 0 6597.56 0 0 0 1004606957 1558640300 10 Physicians SACHDEV SEAN 606118709 200 Cook 0 0 Radiation Oncology 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 179 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 179 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2883.53 0 0 0 0 0 0 2883.53 0 0 0 1004607010 1174597538 10 Physicians DAVIS HENRY 999999999 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300.35 0 0 0 0 0 0 300.35 0 0 0 1004607127 94 Waiver service provider--Children's support (DHS/D 62 Logan 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 173 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 173 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9212.5 0 0 0 0 0 0 0 0 0 0 0 0 0 9212.5 0 0 0 1004607392 1679861801 10 Physicians HECKMAN JENNIFER 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 260 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 260 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7.15 0 1948.34 0 0 0 0 0 0 1955.49 0 0 0 1004607442 93 Waiver service provider--HIV/AIDS (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2871.39 0 0 0 0 0 0 0 0 0 0 0 0 0 2871.39 0 0 0 1004607495 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18239.13 0 0 0 0 0 0 0 0 0 0 0 0 0 18239.13 0 0 0 1004607512 1053768556 89 Physician Assistant Only(Encounter Only) NAVRATIL ANDREA L 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115.86 0 0 0 0 0 0 115.86 0 0 0 1004607526 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20772.33 0 0 0 0 0 0 0 0 0 0 0 0 0 20772.33 0 0 0 1004607574 1831562743 16 Nurse Practitioners REHBERG STEPHANIE M 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18285.67 0 0 0 0 0 0 18285.67 0 0 0 1004607651 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 885.15 0 0 0 0 0 0 0 0 0 0 0 0 0 885.15 0 0 0 1004607744 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1483.56 0 0 0 0 0 0 0 0 0 0 0 0 0 1483.56 0 0 0 1004608013 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 570 0 0 0 0 0 0 0 0 0 0 0 0 0 570 0 0 0 1004608063 1427328798 89 Physician Assistant Only(Encounter Only) LESLEY GLENN MEGAN C. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 513.42 0 0 0 0 0 0 513.42 0 0 0 1004608217 1265484927 16 Nurse Practitioners EYE TIFFANY 999999999 818 Kentucky 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 687.56 0 0 0 0 0 0 687.56 0 0 0 1004608237 1982982096 10 Physicians SOOD KANIKA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 139 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 139 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2.58 0 11681.86 0 0 0 0 0 0 11684.44 0 0 0 1004608272 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262.39 0 0 0 0 0 0 0 0 0 0 0 0 0 262.39 0 0 0 1004608275 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11159.69 0 0 0 0 0 0 0 0 0 0 0 0 0 11159.69 0 0 0 1004608558 1902149982 10 Physicians SHAH MAULIN G 999999999 80 Peoria 0 1 Family Practice 0 0 0 0 57 0 0 0 0 0 0 65 0 271 0 0 0 0 0 0 0 0 0 201 0 0 0 0 0 0 89 0 522 0 0 0 0 0 0 0 0 0 201 0 0 0 0 0 0 89 0 522 0 0 0 0 0 0 0 0 0 6714.32 0 0 0 0 0 0 1033.83 0 15155.94 0 0 0 0 0 0 22904.09 0 0 0 1004608596 1346319001 16 Nurse Practitioners HOLTHAUS ANGELA J 999999999 58 La Salle 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1740.55 0 0 0 0 0 0 1740.55 0 0 0 1004608600 1902148380 10 Physicians VYDRO LEONID 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004608638 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1727.9 0 0 0 0 0 0 0 0 0 0 0 0 0 1727.9 0 0 0 1004608687 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27364.12 0 0 0 0 0 0 0 0 0 0 0 0 0 27364.12 0 0 0 1004608747 1366758674 86 Clinical Social Worker(Encounter Only) FOREMAN DEE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 184 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 184 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 654.79 0 0 0 0 0 0 654.79 0 0 0 1004608800 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100.06 0 0 0 0 0 0 0 0 0 0 0 0 0 100.06 0 0 0 1004608902 1477914737 16 Nurse Practitioners NUSSMEYER CARRIE 999999999 22 Clay 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 205.15 0 0 0 0 0 0 0 0 1189.64 0 0 0 0 0 0 1394.79 0 0 0 1004609062 1205276698 10 Physicians MESSER ELIZABETH S 999999999 68 Mason 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2849.3 0 0 0 0 0 0 2849.3 0 0 0 1004609068 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 304.24 0 0 0 0 0 0 0 0 0 0 0 0 0 304.24 0 0 0 1004609139 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2794.67 0 0 0 0 0 0 0 0 0 0 0 0 0 2794.67 0 0 0 1004609160 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1206.89 0 0 0 0 0 0 0 0 0 0 0 0 0 1206.89 0 0 0 1004609183 1053678557 89 Physician Assistant Only(Encounter Only) PATEL NILAM M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 78.48 0 0 0 0 0 0 78.48 0 0 0 1004609323 10 Physicians 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004609448 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1774.23 0 0 0 0 0 0 0 0 0 0 0 0 0 1774.23 0 0 0 1004609518 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 693 0 0 0 0 0 0 0 0 0 0 0 0 0 693 0 0 0 1004612631 10 Physicians 200 Cook 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28.35 0 0 0 0 0 0 28.35 0 0 0 1004612707 92 Waiver service provider--Disability (DHS/DRS) 96 St Clair 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11981.37 0 0 0 0 0 0 0 0 0 0 0 0 0 11981.37 0 0 0 1004612731 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5772.88 0 0 0 0 0 0 0 0 0 0 0 0 0 5772.88 0 0 0 1004612773 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17091.29 0 0 0 0 0 0 0 0 0 0 0 0 0 17091.29 0 0 0 1004612777 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13806.53 0 0 0 0 0 0 0 0 0 0 0 0 0 13806.53 0 0 0 1004612837 1497107296 16 Nurse Practitioners SWAIN-ABRAHAM KATHRYN A 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114.51 0 0 0 0 0 0 114.51 0 0 0 1004612867 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7266.6 0 0 0 0 0 0 0 0 0 0 0 0 0 7266.6 0 0 0 1004612932 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 281.05 0 0 0 0 0 0 0 0 0 0 0 0 0 281.05 0 0 0 1004612957 1780053421 16 Nurse Practitioners ARCHER AARON J. 999999999 75 Monroe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 526.97 0 0 0 0 0 0 526.97 0 0 0 1004613070 92 Waiver service provider--Disability (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2413.21 0 0 0 0 0 0 0 0 0 0 0 0 0 2413.21 0 0 0 1004613082 1023245115 10 Physicians SATO TAKASHI S 999999999 89 Rock Island 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 877.92 0 0 0 0 0 0 0 0 877.92 0 0 0 1004613092 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1762.04 0 0 0 0 0 0 0 0 0 0 0 0 0 1762.04 0 0 0 1004613161 1649484072 89 Physician Assistant Only(Encounter Only) NORRIS ARLENE J 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 197.9 0 0 0 0 0 0 197.9 0 0 0 1004613255 10 Physicians 824 Minnesota 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 44 0 0 0 1004613283 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16.4 0 0 0 0 0 0 16.4 0 0 0 1004613315 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 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0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101.31 0 0 0 0 0 0 101.31 0 0 0 1004613423 1477635092 10 Physicians AHMAD HOMAA 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 346.14 0 0 0 0 0 0 346.14 0 0 0 1004613443 1629369566 10 Physicians MARTIN APRYL N 999999999 109 Winnebago 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8987.06 0 0 0 0 0 0 8987.06 0 0 0 1004613590 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39977.1 0 0 0 0 0 0 0 0 0 0 0 0 0 39977.1 0 0 0 1004613673 1609211952 10 Physicians HANSON KEITH A 999999999 80 Peoria 0 0 Pediatrics 0 0 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Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20899.84 0 0 0 0 0 0 0 0 0 0 0 0 0 20899.84 0 0 0 1004614146 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1631.65 0 0 0 0 0 0 0 0 0 0 0 0 0 1631.65 0 0 0 1004614218 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 340 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 340 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12894 0 0 0 0 0 0 0 0 0 0 0 0 0 12894 0 0 0 1004614219 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2970 0 0 0 0 0 0 0 0 0 0 0 0 0 2970 0 0 0 1004614253 1619104098 40 Federally Qualified Health Centers AUNT MARTHA'S YOUTH SERVICE CE 999999999 200 Cook 0 0 0 0 374 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1682 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1682 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92383.73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92383.73 0 0 0 1004614322 1508167925 89 Physician Assistant Only(Encounter Only) QUNELL ALISON L 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 190.21 0 0 0 0 0 0 190.21 0 0 0 1004614348 92 Waiver service provider--Disability (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22731.56 0 0 0 0 0 0 0 0 0 0 0 0 0 22731.56 0 0 0 1004614451 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3118.82 0 0 0 0 0 0 0 0 0 0 0 0 0 3118.82 0 0 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0 0 0 0 0 0 0 179.8 0 0 0 0 0 0 0 0 885 0 0 0 0 0 0 1064.8 0 0 0 1004614875 91 Waiver service provider--Adults (DHS/DDD) 826 Missouri 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 132 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 132 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15609 0 0 0 0 0 0 0 0 0 0 0 0 0 15609 0 0 0 1004614879 93 Waiver service provider--HIV/AIDS (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2014.93 0 0 0 0 0 0 0 0 0 0 0 0 0 2014.93 0 0 0 1004614883 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2458.77 0 0 0 0 0 0 0 0 0 0 0 0 0 2458.77 0 0 0 1004614956 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2238.84 0 0 0 0 0 0 0 0 0 0 0 0 0 2238.84 0 0 0 1004615862 94 Waiver service provider--Children's support (DHS/D 30 DuPage 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1600.5 0 0 0 0 0 0 0 0 0 0 0 0 0 1600.5 0 0 0 1004615988 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8311.69 0 0 0 0 0 0 0 0 0 0 0 0 0 8311.69 0 0 0 1004615990 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2109.67 0 0 0 0 0 0 0 0 0 0 0 0 0 2109.67 0 0 0 1004616202 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14846.1 0 0 0 0 0 0 0 0 0 0 0 0 0 14846.1 0 0 0 1004616244 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6912.74 0 0 0 0 0 0 0 0 0 0 0 0 0 6912.74 0 0 0 1004616409 22 Physical Therapists 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3359.69 3359.69 0 0 0 1004616426 1073715744 10 Physicians KLINK JOSEPH C 999999999 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2059.94 0 0 0 0 0 0 2059.94 0 0 0 1004616461 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 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0 0 0 0 0 0 19351 0 0 0 0 0 0 0 0 0 0 0 0 0 19351 0 0 0 1004616605 1972973626 89 Physician Assistant Only(Encounter Only) CASLOW NATHAN D. 999999999 47 Jackson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 132 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 147 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 147 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 596.64 0 0 0 0 0 0 596.64 0 0 0 1004616704 92 Waiver service provider--Disability (DHS/DRS) 30 DuPage 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13788.49 0 0 0 0 0 0 0 0 0 0 0 0 0 13788.49 0 0 0 1004616754 1417979121 60 Pharmacies CVS PHARMACY #16771 606184635 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 474 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14168 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21263.48 0 0 0 21263.48 0 0 0 1004616883 10 Physicians 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 167.5 0 0 0 0 0 0 167.5 0 0 0 1004616925 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6912.65 0 0 0 0 0 0 0 0 0 0 0 0 0 6912.65 0 0 0 1004616980 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1847.56 0 0 0 0 0 0 0 0 0 0 0 0 0 1847.56 0 0 0 1004616991 1073924015 16 Nurse Practitioners VODICKA JESSICA 999999999 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 264.5 0 0 0 0 0 0 264.5 0 0 0 1004617102 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44859.12 0 0 0 0 0 0 0 0 0 0 0 0 0 44859.12 0 0 0 1004617259 1427404516 16 Nurse Practitioners HECKLER KATHLEEN 999999999 50 Jersey 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65.85 0 0 0 0 0 0 65.85 0 0 0 1004617578 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 258.07 0 0 0 0 0 0 0 0 0 0 0 0 0 258.07 0 0 0 1004617600 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60.18 0 0 0 0 0 0 0 0 0 0 0 0 0 60.18 0 0 0 1004617674 91 Waiver service provider--Adults (DHS/DDD) 64 Macoupin 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 88 0 0 0 0 0 0 0 0 0 0 0 0 0 88 0 0 0 1004617703 92 Waiver service provider--Disability (DHS/DRS) 50 Jersey 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7405.62 0 0 0 0 0 0 0 0 0 0 0 0 0 7405.62 0 0 0 1004618016 1508216540 16 Nurse Practitioners JOHNSON ERIKA KIRSTIN 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 551.93 0 0 0 0 0 0 551.93 0 0 0 1004618032 10 Physicians 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1053.4 0 0 0 0 0 0 1053.4 0 0 0 1004618076 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1383.22 0 0 0 0 0 0 0 0 0 0 0 0 0 1383.22 0 0 0 1004618096 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1150.49 0 0 0 0 0 0 0 0 0 0 0 0 0 1150.49 0 0 0 1004618211 1437523578 16 Nurse Practitioners RENNELS BROOKE A. 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1488.63 0 0 0 0 0 0 1488.63 0 0 0 1004618300 92 Waiver service provider--Disability (DHS/DRS) 10 Adams 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63.54 0 0 0 0 0 0 0 0 0 0 0 0 0 63.54 0 0 0 1004618331 1932420957 10 Physicians SHARMA ANUJ 999999999 844 Tennessee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 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Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3963.46 0 0 0 0 0 0 0 0 0 0 0 0 0 3963.46 0 0 0 1004621914 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 349 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 349 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26444 0 0 0 0 0 0 0 0 0 0 0 0 0 26444 0 0 0 1004622112 1669416749 87 Psychologist(Encounter Only) PRIDDY DAVID 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 487.75 0 0 0 0 0 0 487.75 0 0 0 1004622124 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1390.4 0 0 0 0 0 0 0 0 0 0 0 0 0 1390.4 0 0 0 1004622178 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 308.3 0 0 0 0 0 0 0 0 0 0 0 0 0 308.3 0 0 0 1004622403 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 535.15 0 0 0 0 0 0 0 0 0 0 0 0 0 535.15 0 0 0 1004622635 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 212 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 212 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19844.91 0 0 0 0 0 0 0 0 0 0 0 0 0 19844.91 0 0 0 1004622702 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7655.98 0 0 0 0 0 0 0 0 0 0 0 0 0 7655.98 0 0 0 1004622884 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21200.81 0 0 0 0 0 0 0 0 0 0 0 0 0 21200.81 0 0 0 1004622898 1700160959 10 Physicians BRIGGS BRANDEN J 999999999 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 188 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5893.16 0 0 0 0 0 0 5893.16 0 0 0 1004622918 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12572.9 0 0 0 0 0 0 0 0 0 0 0 0 0 12572.9 0 0 0 1004623021 92 Waiver service provider--Disability (DHS/DRS) 50 Jersey 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3769.69 0 0 0 0 0 0 0 0 0 0 0 0 0 3769.69 0 0 0 1004623101 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 69 0 0 0 1004623145 92 Waiver service provider--Disability (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23991.19 0 0 0 0 0 0 0 0 0 0 0 0 0 23991.19 0 0 0 1004623217 93 Waiver service provider--HIV/AIDS (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2677.56 0 0 0 0 0 0 0 0 0 0 0 0 0 2677.56 0 0 0 1004623253 1790707503 60 Pharmacies CVS PHARMACY #16305 604401508 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 277 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6638 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15831.02 0 0 0 15831.02 0 0 0 1004623261 92 Waiver service provider--Disability (DHS/DRS) 54 Kankakee 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3872.41 0 0 0 0 0 0 0 0 0 0 0 0 0 3872.41 0 0 0 1004623263 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7040.92 0 0 0 0 0 0 0 0 0 0 0 0 0 7040.92 0 0 0 1004623272 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17155.93 0 0 0 0 0 0 0 0 0 0 0 0 0 17155.93 0 0 0 1004623321 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1680.58 0 0 0 0 0 0 0 0 0 0 0 0 0 1680.58 0 0 0 1004623431 92 Waiver service provider--Disability (DHS/DRS) 102 Warren 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4854.25 0 0 0 0 0 0 0 0 0 0 0 0 0 4854.25 0 0 0 1004623550 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12375.71 0 0 0 0 0 0 0 0 0 0 0 0 0 12375.71 0 0 0 1004623568 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6049.28 0 0 0 0 0 0 0 0 0 0 0 0 0 6049.28 0 0 0 1004623610 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1552.55 0 0 0 0 0 0 0 0 0 0 0 0 0 1552.55 0 0 0 1004623709 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3605.95 0 0 0 0 0 0 0 0 0 0 0 0 0 3605.95 0 0 0 1004623736 92 Waiver service provider--Disability (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1117.61 0 0 0 0 0 0 0 0 0 0 0 0 0 1117.61 0 0 0 1004624022 92 Waiver service provider--Disability (DHS/DRS) 54 Kankakee 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3426.84 0 0 0 0 0 0 0 0 0 0 0 0 0 3426.84 0 0 0 1004624154 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15191.63 0 0 0 0 0 0 0 0 0 0 0 0 0 15191.63 0 0 0 1004624408 98 Waiver service provider--TBI (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2050.47 0 0 0 0 0 0 0 0 0 0 0 0 0 2050.47 0 0 0 1004624431 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1257.48 0 0 0 0 0 0 0 0 0 0 0 0 0 1257.48 0 0 0 1004624519 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25727.47 0 0 0 0 0 0 0 0 0 0 0 0 0 25727.47 0 0 0 1004624541 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14915.68 0 0 0 0 0 0 0 0 0 0 0 0 0 14915.68 0 0 0 1004624568 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7908.86 0 0 0 0 0 0 0 0 0 0 0 0 0 7908.86 0 0 0 1004624625 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 940.57 0 0 0 0 0 0 0 0 0 0 0 0 0 940.57 0 0 0 1004624831 10 Physicians 30 DuPage 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 478.4 0 0 0 0 0 0 478.4 0 0 0 1004624875 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5394.4 0 0 0 0 0 0 0 0 0 0 0 0 0 5394.4 0 0 0 1004624901 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14222.61 0 0 0 0 0 0 0 0 0 0 0 0 0 14222.61 0 0 0 1004624997 1902349202 16 Nurse Practitioners SHRODE KIMBERLY 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 239.08 0 0 0 0 0 0 239.08 0 0 0 1004625061 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 696.93 0 0 0 0 0 0 0 0 0 0 0 0 0 696.93 0 0 0 1004625062 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 492.54 0 0 0 0 0 0 0 0 0 0 0 0 0 492.54 0 0 0 1004625118 30 General Hospitals 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 483 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29566.8 0 0 0 0 0 29566.8 0 0 0 1004625139 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1536.87 0 0 0 0 0 0 0 0 0 0 0 0 0 1536.87 0 0 0 1004625267 10 Physicians 24 Coles 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004625431 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1526.4 0 0 0 0 0 0 0 0 0 0 0 0 0 1526.4 0 0 0 1004625444 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 730.8 0 0 0 0 0 0 0 0 0 0 0 0 0 730.8 0 0 0 1004625454 93 Waiver service provider--HIV/AIDS (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1360.27 0 0 0 0 0 0 0 0 0 0 0 0 0 1360.27 0 0 0 1004625613 93 Waiver service provider--HIV/AIDS (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1510.98 0 0 0 0 0 0 0 0 0 0 0 0 0 1510.98 0 0 0 1004625625 1437457405 10 Physicians HUTCHINSON RYAN 999999999 30 DuPage 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 786.8 0 0 0 0 0 0 786.8 0 0 0 1004625686 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 76.2 0 0 0 0 0 0 76.2 0 0 0 1004625712 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9318.5 0 0 0 0 0 0 0 0 0 0 0 0 0 9318.5 0 0 0 1004625756 1073856449 10 Physicians WALKER AMANDA 999999999 19 Champaign 0 1 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5185.22 0 0 0 0 0 0 5185.22 0 0 0 1004625818 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1825.89 0 0 0 0 0 0 0 0 0 0 0 0 0 1825.89 0 0 0 1004625878 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1925.5 0 0 0 0 0 0 0 0 0 0 0 0 0 1925.5 0 0 0 1004625922 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8349 0 0 0 0 0 0 0 0 0 0 0 0 0 8349 0 0 0 1004626080 1710206131 10 Physicians KAMINSKI JAN PAWEL 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7.15 0 2219.09 0 0 0 0 0 0 2226.24 0 0 0 1004626152 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3437.45 0 0 0 0 0 0 0 0 0 0 0 0 0 3437.45 0 0 0 1004626171 1326439423 16 Nurse Practitioners BURGESS ZACHARY O 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1692.18 0 0 0 0 0 0 1692.18 0 0 0 1004626229 92 Waiver service provider--Disability (DHS/DRS) 64 Macoupin 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16046.5 0 0 0 0 0 0 0 0 0 0 0 0 0 16046.5 0 0 0 1004626242 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 493.17 0 0 0 0 0 0 0 0 0 0 0 0 0 493.17 0 0 0 1004626309 1427505197 10 Physicians HYNES KELLY K 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4183.89 0 0 0 0 0 0 4183.89 0 0 0 1004626345 87 Psychologist(Encounter Only) 72 McLean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 103.56 0 0 0 0 0 0 103.56 0 0 0 1004626437 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 666 0 0 0 0 0 0 0 0 0 0 0 0 0 666 0 0 0 1004626449 10 Physicians 47 Jackson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74.7 0 0 0 0 0 0 74.7 0 0 0 1004626481 4004626481 72 Taxicabs and Livery Companies ANGELS TRANSPORTATION SERVICES 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2655 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2655 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20595.41 0 0 0 0 0 0 20595.41 0 0 0 1004626487 92 Waiver service provider--Disability (DHS/DRS) 98 Tazewell 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28244.39 0 0 0 0 0 0 0 0 0 0 0 0 0 28244.39 0 0 0 1004626488 1639345598 10 Physicians HARSHA VARDHAN SINDHUJA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16587.18 0 0 0 0 0 0 16587.18 0 0 0 1004626574 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6154.17 0 0 0 0 0 0 0 0 0 0 0 0 0 6154.17 0 0 0 1004626593 1649242736 10 Physicians ALKHAS ADDIE 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2001.45 0 0 0 0 0 0 2001.45 0 0 0 1004626621 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11297.92 0 0 0 0 0 0 0 0 0 0 0 0 0 11297.92 0 0 0 1004626625 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24173.32 0 0 0 0 0 0 0 0 0 0 0 0 0 24173.32 0 0 0 1004626796 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 756.26 0 0 0 0 0 0 0 0 0 0 0 0 0 756.26 0 0 0 1004626866 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2536.46 0 0 0 0 0 0 0 0 0 0 0 0 0 2536.46 0 0 0 1004626909 10 Physicians 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183.25 0 0 0 0 0 0 183.25 0 0 0 1004626991 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 896.91 0 0 0 0 0 0 0 0 0 0 0 0 0 896.91 0 0 0 1004627035 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20679.7 0 0 0 0 0 0 0 0 0 0 0 0 0 20679.7 0 0 0 1004627059 1275625865 16 Nurse Practitioners NORRIS PAMELA J 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 202.52 0 0 0 0 0 0 202.52 0 0 0 1004627085 1407016249 10 Physicians ROUTSON HONG SUE 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 418 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 418 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39801.32 0 0 0 0 0 0 39801.32 0 0 0 1004627127 4004627127 90 Waiver service provider--Elderly (DOA) "HELP AT HOME, LLC" 999999999 200 Cook 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8728 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8728 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 445026.1 0 0 0 0 0 0 0 0 0 0 0 0 0 445026.1 0 0 0 1004627248 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4374.97 0 0 0 0 0 0 0 0 0 0 0 0 0 4374.97 0 0 0 1004627250 1548612187 24 Speech Therapists MELCHER SARAH 999999999 98 Tazewell 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 185 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 185 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12855.39 12855.39 0 0 0 1004627510 94 Waiver service provider--Children's support (DHS/D 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15572.97 0 0 0 0 0 0 0 0 0 0 0 0 0 15572.97 0 0 0 1004627558 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2630.53 0 0 0 0 0 0 0 0 0 0 0 0 0 2630.53 0 0 0 1004627638 1770970964 91 Waiver service provider--Adults (DHS/DDD) HARSY ANGELA R 999999999 91 Sangamon 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2383 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2383 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107366.67 0 0 0 0 0 0 0 0 0 0 0 0 0 107366.67 0 0 0 1004627679 1427070135 60 Pharmacies CVS PHARMACY #16724 600902239 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4729.55 0 0 0 0 0 0 0 0 0 0 0 0 0 4729.55 0 0 0 1004628111 1174896633 87 Psychologist(Encounter Only) LAVIGNE JOSHUA 999999999 71 McHenry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 88.58 0 0 0 0 0 0 88.58 0 0 0 1004628159 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17770.6 0 0 0 0 0 0 0 0 0 0 0 0 0 17770.6 0 0 0 1004628284 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 346.5 0 0 0 0 0 0 0 0 0 0 0 0 0 346.5 0 0 0 1004628380 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 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MELANIE 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4359.4 0 0 0 0 0 0 4359.4 0 0 0 1004631781 4004631781 71 Medicar Provider MIDWEST MEDICAL TRANSPORT INC 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 926 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 926 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6150.84 0 0 0 0 0 0 6150.84 0 0 0 1004631810 93 Waiver service provider--HIV/AIDS (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1574.1 0 0 0 0 0 0 0 0 0 0 0 0 0 1574.1 0 0 0 1004631845 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2029.92 0 0 0 0 0 0 0 0 0 0 0 0 0 2029.92 0 0 0 1004631859 98 Waiver service 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0 0 0 9038.63 0 0 0 0 0 0 9038.63 0 0 0 1004642125 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2118.49 0 0 0 0 0 0 0 0 0 0 0 0 0 2118.49 0 0 0 1004642153 92 Waiver service provider--Disability (DHS/DRS) 69 Massac 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12918.51 0 0 0 0 0 0 0 0 0 0 0 0 0 12918.51 0 0 0 1004642159 1023560067 16 Nurse Practitioners SUSTE KAYLYNN 999999999 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7796.31 0 0 0 0 0 0 7796.31 0 0 0 1004642190 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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0 0 0 0 0 3638.73 0 0 0 0 0 0 0 0 0 0 0 0 0 3638.73 0 0 0 1004642448 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5128.56 0 0 0 0 0 0 0 0 0 0 0 0 0 5128.56 0 0 0 1004642543 1902947831 86 Clinical Social Worker(Encounter Only) MAURER JAMES 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 345.53 0 0 0 0 0 0 345.53 0 0 0 1004642554 1205289246 60 Pharmacies WALMART PHARMACY 10-4049 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 356 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1386 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34601 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174189.08 0 0 0 174189.08 0 0 0 1004642742 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1219.9 0 0 0 0 0 0 0 0 0 0 0 0 0 1219.9 0 0 0 1004642759 4004642759 90 Waiver service provider--Elderly (DOA) "HELP AT HOME, LLC" 999999999 200 Cook 0 0 0 0 0 0 0 0 967 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 88375 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 88375 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6040317.11 0 0 0 0 0 0 0 0 0 0 0 0 0 6040317.11 0 0 0 1004642769 1568705952 13 Podiatrists MONTES SOCORRO G 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 166 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 166 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 632.35 0 0 0 0 0 0 632.35 0 0 0 1004642867 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2247.8 0 0 0 0 0 0 0 0 0 0 0 0 0 2247.8 0 0 0 1004642874 1265806244 16 Nurse Practitioners UY JEZZICA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 294.75 0 0 0 0 0 0 294.75 0 0 0 1004643085 16 Nurse Practitioners 49 Jefferson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1084.55 0 0 0 0 0 0 1084.55 0 0 0 1004643148 1457714479 16 Nurse Practitioners ISRAEL SAMANTHA C 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 248.59 0 0 0 0 0 0 248.59 0 0 0 1004643157 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3111.86 0 0 0 0 0 0 0 0 0 0 0 0 0 3111.86 0 0 0 1004643174 1104171149 10 Physicians SAEED OMAR 447182545 200 Cook 0 0 Family Practice 0 0 0 0 27 0 0 0 0 0 0 24 0 268 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 33 0 508 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 33 0 508 0 0 0 0 0 0 0 0 0 2469.83 0 0 0 0 0 0 277.67 0 11511.01 0 0 0 0 0 0 14258.51 0 0 0 1004643247 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1010.82 0 0 0 0 0 0 0 0 0 0 0 0 0 1010.82 0 0 0 1004643278 1154687077 10 Physicians MAYLACK ELIZABETH H. 999999999 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 8 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48.36 0 663.18 0 0 0 0 0 0 711.54 0 0 0 1004643429 92 Waiver service provider--Disability (DHS/DRS) 96 St Clair 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18440.82 0 0 0 0 0 0 0 0 0 0 0 0 0 18440.82 0 0 0 1004643561 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6524.81 0 0 0 0 0 0 0 0 0 0 0 0 0 6524.81 0 0 0 1004643579 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2873.2 0 0 0 0 0 0 0 0 0 0 0 0 0 2873.2 0 0 0 1004643682 1013226794 16 Nurse Practitioners HARRIS CAREY L 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 225.4 0 0 0 0 0 0 225.4 0 0 0 1004643714 1720090772 16 Nurse Practitioners CHOATIE JENNIFER A 999999999 91 Sangamon 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 167.82 0 0 0 0 0 0 0 0 624.24 0 0 0 0 0 0 792.06 0 0 0 1004643886 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2567.93 0 0 0 0 0 0 0 0 0 0 0 0 0 2567.93 0 0 0 1004643891 1396109500 30 General Hospitals GOTTLIEB MEMORIAL HOSPITAL 999999999 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 164 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33420.41 0 0 0 0 0 0 0 0 0 33420.41 0 0 0 1004643942 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1344.75 0 0 0 0 0 0 0 0 0 0 0 0 0 1344.75 0 0 0 1004643961 1942466362 10 Physicians SHAH ANKUR 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2027.93 0 0 0 0 0 0 2027.93 0 0 0 1004644004 1407199003 10 Physicians SRIAROON REY 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 921.14 0 0 0 0 0 0 921.14 0 0 0 1004644218 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1336.04 0 0 0 0 0 0 0 0 0 0 0 0 0 1336.04 0 0 0 1004644238 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2195.03 0 0 0 0 0 0 0 0 0 0 0 0 0 2195.03 0 0 0 1004644345 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 352 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 352 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11581.81 0 0 0 0 0 0 0 0 0 0 0 0 0 11581.81 0 0 0 1004644376 1881076917 16 Nurse Practitioners GARCIA KATHLEEN A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 578 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 578 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1084.16 0 0 0 0 0 0 1084.16 0 0 0 1004644439 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10300.1 0 0 0 0 0 0 0 0 0 0 0 0 0 10300.1 0 0 0 1004644570 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5745.24 0 0 0 0 0 0 0 0 0 0 0 0 0 5745.24 0 0 0 1004644705 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2912.23 0 0 0 0 0 0 0 0 0 0 0 0 0 2912.23 0 0 0 1004644860 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15973.88 0 0 0 0 0 0 0 0 0 0 0 0 0 15973.88 0 0 0 1004644896 10 Physicians 89 Rock Island 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108.05 0 0 0 0 0 0 108.05 0 0 0 1004644937 1821441312 11 Dentists IWASZCZYSZYN AGNIESZKA 999999999 200 Cook 0 0 General Dentistry 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5400.65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5400.65 0 0 0 1004645007 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 761.44 0 0 0 0 0 0 0 0 0 0 0 0 0 761.44 0 0 0 1004645072 1982618856 10 Physicians EL-SAYED MAHMOUD 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 168 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 168 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3400.57 0 0 0 0 0 0 3400.57 0 0 0 1004645178 4004645178 71 Medicar Provider TAYLOR TRANSPORTATION CORP 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5538 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5538 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46098.44 0 0 0 0 0 0 46098.44 0 0 0 1004645280 94 Waiver service provider--Children's support (DHS/D 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3366.56 0 0 0 0 0 0 0 0 0 0 0 0 0 3366.56 0 0 0 1004645305 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 688.39 0 0 0 0 0 0 0 0 0 0 0 0 0 688.39 0 0 0 1004645377 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21806.68 0 0 0 0 0 0 0 0 0 0 0 0 0 21806.68 0 0 0 1004645384 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2037.95 0 0 0 0 0 0 0 0 0 0 0 0 0 2037.95 0 0 0 1004645390 1689804981 10 Physicians KHAN MEHWISH A 999999999 19 Champaign 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 203 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 402 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 402 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13813.94 0 0 0 0 0 0 13813.94 0 0 0 1004645403 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20512.63 0 0 0 0 0 0 0 0 0 0 0 0 0 20512.63 0 0 0 1004645467 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 840.37 0 0 0 0 0 0 0 0 0 0 0 0 0 840.37 0 0 0 1004645538 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 263.1 0 0 0 0 0 0 0 0 0 0 0 0 0 263.1 0 0 0 1004645785 1215365226 89 Physician Assistant Only(Encounter Only) DAY JENI S 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117.93 0 0 0 0 0 0 117.93 0 0 0 1004645850 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14121.7 0 0 0 0 0 0 0 0 0 0 0 0 0 14121.7 0 0 0 1004645877 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 701.54 0 0 0 0 0 0 0 0 0 0 0 0 0 701.54 0 0 0 1004646056 1932556131 16 Nurse Practitioners GAGNI THARA A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2267.76 0 0 0 0 0 0 2267.76 0 0 0 1004646164 1245217124 16 Nurse Practitioners GREEN DORA R 999999999 63 Macon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 327.63 0 0 0 0 0 0 327.63 0 0 0 1004646253 98 Waiver service provider--TBI (DHS/DRS) 103 Washington 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7390.08 0 0 0 0 0 0 0 0 0 0 0 0 0 7390.08 0 0 0 1004646356 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1129.29 0 0 0 0 0 0 0 0 0 0 0 0 0 1129.29 0 0 0 1004646466 1447681952 86 Clinical Social Worker(Encounter Only) CHOI WARNER JENNY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 884 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 884 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63.79 0 0 0 0 0 0 63.79 0 0 0 1004646479 1912988759 10 Physicians MISAWA KYOKO 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 350.13 0 0 0 0 0 0 350.13 0 0 0 1004646508 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5836.86 0 0 0 0 0 0 0 0 0 0 0 0 0 5836.86 0 0 0 1004646627 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004646691 1669747390 63 Other Providers of Medical Equipment/Supplies (Non "3RD ST MEDICAL SUPPLY,INC." 999999999 845 Texas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 357 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 357 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11439.97 0 0 0 0 0 0 11439.97 0 0 0 1004646742 92 Waiver service provider--Disability (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15556.01 0 0 0 0 0 0 0 0 0 0 0 0 0 15556.01 0 0 0 1004646770 1467765495 10 Physicians BRINCKERHOFF BEAU 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1613.44 0 0 0 0 0 0 1613.44 0 0 0 1004646784 1366754699 10 Physicians LOPEZ GREGORY 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 15 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28.7 0 476.09 0 0 0 0 0 0 504.79 0 0 0 1004646813 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9677.36 0 0 0 0 0 0 0 0 0 0 0 0 0 9677.36 0 0 0 1004646836 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 335.86 0 0 0 0 0 0 0 0 0 0 0 0 0 335.86 0 0 0 1004646841 1790071553 10 Physicians OSTERAAS NICHOLAS 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 136 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 136 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2493.46 0 0 0 0 0 0 2493.46 0 0 0 1004646935 1104361328 91 Waiver service provider--Adults (DHS/DDD) MATHEW CHERYL 999999999 200 Cook 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1240 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1240 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 82573.56 0 0 0 0 0 0 0 0 0 0 0 0 0 82573.56 0 0 0 1004647011 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24.9 0 0 0 0 0 0 24.9 0 0 0 1004647027 1447699368 10 Physicians PAIK JOHN M 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 345 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 374 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 374 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10801.52 0 0 0 0 0 0 10801.52 0 0 0 1004647101 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2479.27 0 0 0 0 0 0 0 0 0 0 0 0 0 2479.27 0 0 0 1004647113 1447493119 10 Physicians JACKSON LAUREN 999999999 53 Kane 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 2 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63.13 0 0 0 0 0 0 63.13 0 0 0 1004647132 10 Physicians 24 Coles 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 209.35 0 0 0 0 0 0 209.35 0 0 0 1004647155 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004647195 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 645.43 0 0 0 0 0 0 0 0 0 0 0 0 0 645.43 0 0 0 1004647291 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2088.05 0 0 0 0 0 0 0 0 0 0 0 0 0 2088.05 0 0 0 1004647341 92 Waiver service provider--Disability (DHS/DRS) 89 Rock Island 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1391.19 0 0 0 0 0 0 0 0 0 0 0 0 0 1391.19 0 0 0 1004647535 22 Physical Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24.01 24.01 0 0 0 1004647742 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2541.96 0 0 0 0 0 0 0 0 0 0 0 0 0 2541.96 0 0 0 1004647779 98 Waiver service provider--TBI (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30649.78 0 0 0 0 0 0 0 0 0 0 0 0 0 30649.78 0 0 0 1004647805 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2169.57 0 0 0 0 0 0 0 0 0 0 0 0 0 2169.57 0 0 0 1004647925 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9433.54 0 0 0 0 0 0 0 0 0 0 0 0 0 9433.54 0 0 0 1004648205 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18319.93 0 0 0 0 0 0 0 0 0 0 0 0 0 18319.93 0 0 0 1004648224 92 Waiver service provider--Disability (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1721.19 0 0 0 0 0 0 0 0 0 0 0 0 0 1721.19 0 0 0 1004648280 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18030.75 0 0 0 0 0 0 0 0 0 0 0 0 0 18030.75 0 0 0 1004648370 1942668314 16 Nurse Practitioners CLARK KATHLEEN E 624391852 59 Lawrence 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 182.34 0 0 0 0 0 0 182.34 0 0 0 1004648402 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2353.01 0 0 0 0 0 0 0 0 0 0 0 0 0 2353.01 0 0 0 1004648526 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 649.34 0 0 0 0 0 0 0 0 0 0 0 0 0 649.34 0 0 0 1004648638 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8586.31 0 0 0 0 0 0 0 0 0 0 0 0 0 8586.31 0 0 0 1004648651 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3825.37 0 0 0 0 0 0 0 0 0 0 0 0 0 3825.37 0 0 0 1004648682 1992845747 16 Nurse Practitioners MIRZA RUTH 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 754.3 0 0 0 0 0 0 754.3 0 0 0 1004648751 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2595.15 0 0 0 0 0 0 0 0 0 0 0 0 0 2595.15 0 0 0 1004648801 92 Waiver service provider--Disability (DHS/DRS) 36 Franklin 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6998.45 0 0 0 0 0 0 0 0 0 0 0 0 0 6998.45 0 0 0 1004648876 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 828.19 0 0 0 0 0 0 0 0 0 0 0 0 0 828.19 0 0 0 1004648886 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 118.8 0 0 0 0 0 0 0 0 0 0 0 0 0 118.8 0 0 0 1004648967 1427373638 10 Physicians WARIS MOHAMMAD S. 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 264 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 264 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2159.57 0 0 0 0 0 0 2159.57 0 0 0 1004649041 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60.59 0 0 0 0 0 0 0 0 0 0 0 0 0 60.59 0 0 0 1004649179 1245250968 10 Physicians QAISRANI MOHAMMAD A 999999999 200 Cook 0 0 Psychiatry 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 207 0 0 0 0 0 0 207 0 0 0 1004649389 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13779.51 0 0 0 0 0 0 0 0 0 0 0 0 0 13779.51 0 0 0 1004649439 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 781.45 0 0 0 0 0 0 0 0 0 0 0 0 0 781.45 0 0 0 1004649470 93 Waiver service provider--HIV/AIDS (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1229.5 0 0 0 0 0 0 0 0 0 0 0 0 0 1229.5 0 0 0 1004649510 98 Waiver service provider--TBI (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1720.34 0 0 0 0 0 0 0 0 0 0 0 0 0 1720.34 0 0 0 1004649729 1770957490 30 General Hospitals HAMMOND DIALYSIS CENTER 999999999 815 Indiana DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 263 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3638.8 0 0 0 0 0 3638.8 0 0 0 1004649846 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 264 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 264 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25932.97 0 0 0 0 0 0 0 0 0 0 0 0 0 25932.97 0 0 0 1004649851 1467793463 10 Physicians JAFRI SANA 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 942.24 0 0 0 0 0 0 942.24 0 0 0 1004649880 4004649880 90 Waiver service provider--Elderly (DOA) "HELP AT HOME, LLC" 999999999 200 Cook 0 0 0 0 0 0 0 0 199 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17023 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17023 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 974163.92 0 0 0 0 0 0 0 0 0 0 0 0 0 974163.92 0 0 0 1004649924 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 730.65 0 0 0 0 0 0 0 0 0 0 0 0 0 730.65 0 0 0 1004649955 16 Nurse Practitioners 92 Schuyler 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69.55 0 0 0 0 0 0 69.55 0 0 0 1004650163 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1680.18 0 0 0 0 0 0 0 0 0 0 0 0 0 1680.18 0 0 0 1004650168 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5286.22 0 0 0 0 0 0 0 0 0 0 0 0 0 5286.22 0 0 0 1004650172 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 147 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 147 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9800.8 0 0 0 0 0 0 0 0 0 0 0 0 0 9800.8 0 0 0 1004650183 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12065.33 0 0 0 0 0 0 0 0 0 0 0 0 0 12065.33 0 0 0 1004650249 1649534132 10 Physicians RIVERA-YAGNICH RICARDO A 999999999 816 Iowa 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1024.95 0 0 0 0 0 0 1024.95 0 0 0 1004650279 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 175 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 175 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20827.58 0 0 0 0 0 0 0 0 0 0 0 0 0 20827.58 0 0 0 1004650320 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10462.46 0 0 0 0 0 0 0 0 0 0 0 0 0 10462.46 0 0 0 1004650343 10 Physicians 24 Coles 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8.34 0 0 0 0 0 0 0 0 8.34 0 0 0 1004650600 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125.53 0 0 0 0 0 0 0 0 0 0 0 0 0 125.53 0 0 0 1004650603 92 Waiver service provider--Disability (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 953.99 0 0 0 0 0 0 0 0 0 0 0 0 0 953.99 0 0 0 1004650616 91 Waiver service provider--Adults (DHS/DDD) 90 Saline 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 348 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 348 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7419.67 0 0 0 0 0 0 0 0 0 0 0 0 0 7419.67 0 0 0 1004650627 30 General Hospitals 853 Wyoming ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004650642 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1721.32 0 0 0 0 0 0 0 0 0 0 0 0 0 1721.32 0 0 0 1004650645 1992026181 10 Physicians HENDERSON JOSEPH 999999999 30 DuPage 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 142 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 192 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 192 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7801.82 0 0 0 0 0 0 7801.82 0 0 0 1004650720 1295092732 10 Physicians SCHUHMANN LEE ANN 999999999 200 Cook 0 0 Psychiatry 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 306.74 0 0 0 0 0 0 306.74 0 0 0 1004650763 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19143.92 0 0 0 0 0 0 0 0 0 0 0 0 0 19143.92 0 0 0 1004651035 1700288990 89 Physician Assistant Only(Encounter Only) STANG ASHTYN C 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004651216 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14261.5 0 0 0 0 0 0 0 0 0 0 0 0 0 14261.5 0 0 0 1004651257 1881099265 16 Nurse Practitioners TARUC KRISTEN R 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 245 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 245 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1030.63 0 0 0 0 0 0 1030.63 0 0 0 1004651386 1033573605 60 Pharmacies MEIJER PHARMACY #289 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 145 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 639 0 0 0 0 0