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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 28702 0 0 0 0 0 0 0 0 0 0 0 0 0 28702 0 0 1004716738 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 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 31423 0 0 0 0 0 0 0 0 0 0 0 0 0 31423 0 0 1004716942 1881616597 60 Pharmacies CVS PHARMACY #16922 611151681 109 Winnebago 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 0 750 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25928 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23139 0 0 0 23139 0 0 1004716952 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 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 44155 0 0 0 0 0 0 0 0 0 0 0 0 0 44155 0 0 1004717478 1225122047 30 General Hospitals SOUTHERN ILLINOIS HOSPITAL SER 999999999 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 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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 0 240 0 0 0 0 0 0 240 0 0 1004718317 86 Clinical Social Worker(Encounter Only) 10 Adams 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 0 218 0 0 0 0 0 0 218 0 0 1004718470 1063671634 10 Physicians HEXOM BRADEN J 999999999 97 Stephenson 0 0 Emergency Medicine 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 0 215 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 215 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2716 0 0 0 0 0 0 2716 0 0 1004718597 1215959929 60 Pharmacies CVS PHARMACY #17067 601072332 200 Cook 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 0 382 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15990 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34738 0 0 0 34738 0 0 1004718933 91 Waiver service provider--Adults (DHS/DDD) 31 Edgar 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 362 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 362 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22302 0 0 0 0 0 0 0 0 0 0 0 0 0 22302 0 0 1004719131 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 1863 0 0 0 0 0 0 0 0 0 0 0 0 0 1863 0 0 1004719713 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 1918 0 0 0 0 0 0 0 0 0 0 0 0 0 1918 0 0 1004720051 1043650526 10 Physicians CAMPAGNOLI TANIA 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 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 15 0 0 0 0 0 0 15 0 0 1004720118 1114385507 75 Department of Alcohol and Substance Abuse Provider "TASC, INC." 622201504 96 St Clair 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 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 1952 0 0 1952 0 0 1004720236 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 0 145 0 0 0 0 0 0 145 0 0 1004720244 16 Nurse Practitioners 80 Peoria 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 0 292 0 0 0 0 0 0 292 0 0 1004720494 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 0 159 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 159 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11253 0 0 0 0 0 0 0 0 0 0 0 0 0 11253 0 0 1004720647 16 Nurse Practitioners 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 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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 0 273 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 273 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17314 0 0 0 0 0 0 0 0 0 0 0 0 0 17314 0 0 1004721499 94 Waiver service provider--Children's support (DHS/DDD) 200 Cook 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 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 12363 0 0 0 0 0 0 0 0 0 0 0 0 0 12363 0 0 1004721647 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 10795 0 0 0 0 0 0 0 0 0 0 0 0 0 10795 0 0 1004721856 1821244880 16 Nurse Practitioners ELSESSER BRIAN A 999999999 80 Peoria 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 0 131 0 0 0 0 0 0 131 0 0 1004722177 1528518602 16 Nurse Practitioners FENNER AGNES A 999999999 91 Sangamon 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 0 395 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 2577 0 0 0 0 0 0 2577 0 0 1004722519 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 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 10891 0 0 0 0 0 0 0 0 0 0 0 0 0 10891 0 0 1004722604 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 0 290 0 0 0 0 0 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 24040 0 0 0 0 0 0 0 0 0 0 0 0 0 24040 0 0 1004722683 1972663466 89 Physician Assistant Only(Encounter Only) ACOSTA ROSALVA 600312632 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 0 110 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 1358 0 0 0 0 0 0 1358 0 0 1004722891 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 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 0 639 0 0 0 0 0 0 0 0 0 0 0 0 0 639 0 0 1004723087 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 2706 0 0 0 0 0 0 0 0 0 0 0 0 0 2706 0 0 1004723146 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 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 30937 0 0 0 0 0 0 0 0 0 0 0 0 0 30937 0 0 1004723227 1376982371 10 Physicians ADAMS PHILLIP M 999999999 200 Cook 0 0 Family Practice 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 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 0 492 0 0 0 0 0 0 492 0 0 1004723534 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 0 161 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 5747 0 0 0 0 0 0 0 0 0 0 0 0 0 5747 0 0 1004723732 10 Physicians 200 Cook 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 61 0 0 0 0 0 0 61 0 0 1004723886 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 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 235 0 0 1004723897 75 Department of Alcohol and Substance Abuse Provider 30 DuPage 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 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 3501 0 0 3501 0 0 1004723914 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 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 30622 0 0 0 0 0 0 0 0 0 0 0 0 0 30622 0 0 1004724130 1669813762 10 Physicians MAVANI NIRAJ K 999999999 80 Peoria 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 0 214 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 214 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3567 0 0 0 0 0 0 3567 0 0 1004724610 1366433286 89 Physician Assistant Only(Encounter Only) RUDDERHAM JANET P 999999999 96 St Clair 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 29 0 0 0 0 0 0 29 0 0 1004724927 1467705392 89 Physician Assistant Only(Encounter Only) MACK KYLIE 999999999 53 Kane 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 328 0 0 0 0 0 0 515 0 0 1004725274 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 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 20688 0 0 0 0 0 0 0 0 0 0 0 0 0 20688 0 0 1004725382 1508810771 89 Physician Assistant Only(Encounter Only) SCARDINA ANTHONY J 999999999 37 Fulton 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 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 0 449 0 0 0 0 0 0 449 0 0 1004725673 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 0 111 0 0 0 0 0 0 0 0 0 0 0 0 0 111 0 0 1004725687 1477930568 63 Other Providers of Medical Equipment/Supplies (Non-registered) "SCHECK AND SIRESS PROSTHETICS," 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2381 0 23641 0 0 0 0 26022 0 0 1004725700 1326255837 10 Physicians MCGUIRE CHRISTINE A 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 18 0 0 0 0 0 0 9 0 22 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 14 0 27 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 14 0 27 0 0 0 0 0 0 0 0 0 1624 0 0 0 0 0 0 407 0 1806 0 0 0 0 0 0 3837 0 0 1004725876 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 0 105 0 0 0 0 0 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 9756 0 0 0 0 0 0 0 0 0 0 0 0 0 9756 0 0 1004725985 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 0 192 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 23895 0 0 0 0 0 0 0 0 0 0 0 0 0 23895 0 0 1004726174 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 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 27000 0 0 0 0 0 0 0 0 0 0 0 0 0 27000 0 0 1004726242 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 23865 0 0 0 0 0 0 0 0 0 0 0 0 0 23865 0 0 1004726357 1821530643 55 Early Intervention Services GORDON TORY 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 0 173 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 11342 0 0 0 0 0 0 11342 0 0 1004726454 1801818612 60 Pharmacies CVS PHARMACY #16287 605254162 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 0 270 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10320 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8643 0 0 0 8643 0 0 1004726713 13 Podiatrists 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 37 0 0 0 0 0 0 37 0 0 1004726746 92 Waiver service 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1344 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11553 0 405 0 0 0 0 0 0 11958 0 0 1004792424 12 Optometrists 30 DuPage 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 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 52 0 0 0 0 0 0 52 0 0 1004792442 1033498266 10 Physicians ASGHAR RABIA 999999999 91 Sangamon 0 0 Internal Medicine 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 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2929 0 0 0 0 0 0 2929 0 0 1004792495 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 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 1004792588 1619244175 46 Ambulatory Surgical Treatment Centers BARRINGTON PAIN & SPINE INSTIT 999999999 57 Lake 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 0 216 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0 0 1004796404 1619238086 10 Physicians THOMAS TENY PHILIP 999999999 200 Cook 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 318 0 0 0 0 0 0 446 0 0 1004796764 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 0 227 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 22064 0 0 0 0 0 0 0 0 0 0 0 0 0 22064 0 0 1004797248 91 Waiver service provider--Adults (DHS/DDD) 57 Lake 0 0 0 0 0 0 0 0 2 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 42920 0 0 0 0 0 0 0 0 0 0 0 0 0 42920 0 0 1004797600 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 0 181 0 0 0 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 20399 0 0 0 0 0 0 0 0 0 0 0 0 0 20399 0 0 1004797661 30 General Hospitals 815 Indiana DIALYSIS Outpatient dialysis centers. 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 13 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 0 0 0 0 0 0 0 0 0 1004797851 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 16654 0 0 0 0 0 0 0 0 0 0 0 0 0 16654 0 0 1004798283 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 2185 0 0 0 0 0 0 0 0 0 0 0 0 0 2185 0 0 1004798583 1659827491 89 Physician Assistant Only(Encounter Only) LEUNG YONG L 999999999 19 Champaign 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 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 1839 0 0 0 0 0 0 1839 0 0 1004798594 1508165705 10 Physicians SON CHRISTINA 999999999 30 DuPage 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 0 179 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 3155 0 0 0 0 0 0 3155 0 0 1004798677 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 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 12426 0 0 0 0 0 0 0 0 0 0 0 0 0 12426 0 0 1004798763 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 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 22330 0 0 0 0 0 0 0 0 0 0 0 0 0 22330 0 0 1004798980 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 7963 0 0 0 0 0 0 0 0 0 0 0 0 0 7963 0 0 1004799068 1316306152 16 Nurse Practitioners NIEWIAROWSKI KETINA M. 999999999 200 Cook 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 0 131 0 0 0 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 4033 0 0 0 0 0 0 4033 0 0 1004799347 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 0 362 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 362 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27902 0 0 0 0 0 0 0 0 0 0 0 0 0 27902 0 0 1004799462 1891787594 63 Other Providers of Medical Equipment/Supplies (Non-registered) "BREG, INC" 999999999 805 California 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 137 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 139 0 268 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 139 0 268 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1766 0 6396 0 0 0 0 8162 0 0 1004799631 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 0 263 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 14842 0 0 0 0 0 0 0 0 0 0 0 0 0 14842 0 0 1004799893 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 26309 0 0 0 0 0 0 0 0 0 0 0 0 0 26309 0 0 1004800100 1114914199 89 Physician Assistant Only(Encounter Only) THOMANN ROBERT 999999999 200 Cook 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 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 2662 0 0 0 0 0 0 2662 0 0 1004800119 1063524023 89 Physician Assistant Only(Encounter Only) FRITZ JULIE 999999999 91 Sangamon 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 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 1854 0 0 0 0 0 0 1854 0 0 1004800436 1033421953 10 Physicians SAEED ASIM M 606776473 200 Cook 0 1 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 0 113 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 1084 0 0 0 0 0 0 1084 0 0 1004800521 1174978282 16 Nurse Practitioners WAGNER LINDSAY 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 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 0 751 0 0 0 0 0 0 751 0 0 1004801434 4004801434 90 Waiver service provider--Elderly (DOA) "HELP AT HOME, LLC" 999999999 200 Cook 0 0 0 0 0 0 0 0 4739 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 560419 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 560419 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69086521 0 0 0 0 0 0 0 0 0 0 0 0 0 69086521 0 0 1004801450 1770953150 89 Physician Assistant Only(Encounter Only) EMMERICH JOSEPH 999999999 35 Ford 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 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 1400 0 0 0 0 0 0 1400 0 0 1004801513 1669765103 10 Physicians JEGADEESH NARESH 999999999 200 Cook 0 0 Radiation Oncology 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 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 0 900 0 0 0 0 0 0 900 0 0 1004801650 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 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 44091 0 0 0 0 0 0 0 0 0 0 0 0 0 44091 0 0 1004801651 1174751978 10 Physicians ANDRADE AMBAR A 999999999 200 Cook 0 0 Internal Medicine 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 0 209 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 209 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1742 0 0 0 0 0 0 1742 0 0 1004801749 1386987170 10 Physicians BAIG BENAZIR 999999999 200 Cook 0 0 Emergency Medicine 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 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 4188 0 0 0 0 0 0 4188 0 0 1004802025 1194006528 25 Audiologists HAN JANET 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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 4597 0 0 0 0 0 0 0 0 0 0 0 0 0 4597 0 0 1004802755 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 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 23564 0 0 0 0 0 0 0 0 0 0 0 0 0 23564 0 0 1004802856 1669777074 10 Physicians WAN ALAN 999999999 53 Kane 0 0 Internal Medicine 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 0 221 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 221 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4725 0 0 0 0 0 0 4725 0 0 1004802891 1720438377 91 Waiver service provider--Adults (DHS/DDD) OCCHIUZZO CHRISTINA 999999999 19 Champaign 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 0 430 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 430 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26138 0 0 0 0 0 0 0 0 0 0 0 0 0 26138 0 0 1004803352 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 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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 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 10606 0 0 0 0 0 0 0 0 0 0 0 0 0 10606 0 0 1004824896 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 17705 0 0 0 0 0 0 0 0 0 0 0 0 0 17705 0 0 1004825766 1932335130 10 Physicians RUGGIERI RAFAEL 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 4654 0 0 0 0 0 0 4680 0 0 1004825861 1154876498 16 Nurse Practitioners LOPEZ KIMBERLY K 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 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 23 0 0 0 0 0 0 23 0 0 1004826150 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 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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 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 1232 0 0 0 0 0 0 1232 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 0 342 0 0 1537 0 0 0 0 500 0 0 0 2128 0 0 0 0 0 0 1073 0 0 2655 0 0 0 0 613 0 0 0 6855 0 0 0 0 0 0 1155 0 0 2657 0 0 0 0 2770 0 0 0 6866 0 0 0 0 0 0 20046 0 0 359158 0 0 0 0 737910 0 0 0 623753 0 0 0 0 0 1740867 0 0 1004827162 1326380908 10 Physicians VERMA SEEMA 999999999 53 Kane 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 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 1183 0 0 0 0 0 0 1183 0 0 1004827266 1487873808 10 Physicians BRADLEY SARA M 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 0 105 0 0 0 0 0 0 0 0 0 0 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(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 0 181 0 0 0 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 11605 0 0 0 0 0 0 0 0 0 0 0 0 0 11605 0 0 1004837645 1730460965 10 Physicians DOANE BRIAN 999999999 88 Richland 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 137 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 0 157 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5190 0 0 0 0 0 0 5190 0 0 1004837890 1720366636 10 Physicians TAGLIA LAUREN 999999999 53 Kane 0 0 Dermatology 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 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 0 543 0 0 0 0 0 0 543 0 0 1004837953 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 19198 0 0 0 0 0 0 0 0 0 0 0 0 0 19198 0 0 1004837978 4004837978 72 Taxicabs and Livery Companies "EXPRESS CHARTER, LLC" 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 4096 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4096 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22770 0 0 0 0 0 0 22770 0 0 1004837998 1437590411 12 Optometrists BENKESER ANGELA M 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 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 0 638 0 0 0 0 0 0 638 0 0 1004838007 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 0 0 0 0 0 0 0 0 0 0 0 0 0 136 0 0 1004838067 1528394624 10 Physicians BANSAL SANJAY BANSAL 999999999 200 Cook 0 0 Pediatrics 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 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 3038 0 0 0 0 0 0 3038 0 0 1004838398 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 0 146 0 0 0 0 0 0 146 0 0 1004839156 1326306937 10 Physicians MATHUR ANU 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 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 0 396 0 0 0 0 0 0 396 0 0 1004839180 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 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 14342 0 0 0 0 0 0 0 0 0 0 0 0 0 14342 0 0 1004839209 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 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 5516 0 0 0 0 0 0 0 0 0 0 0 0 0 5516 0 0 1004839434 1306214697 16 Nurse Practitioners MOONEY KELSIE M. 999999999 63 Macon 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 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 0 171 0 0 0 0 0 0 171 0 0 1004839568 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 11206 0 0 0 0 0 0 0 0 0 0 0 0 0 11206 0 0 1004839808 94 Waiver service provider--Children's support (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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 1004839823 1063419679 89 Physician Assistant Only(Encounter Only) FULK JOHN D 999999999 200 Cook 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 0 196 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 3153 0 0 0 0 0 0 3153 0 0 1004839859 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 10 0 0 0 0 0 0 10 0 0 1004840249 1467765578 10 Physicians BINDAL ANILA 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 4 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 1693 0 0 0 0 0 0 1711 0 0 1004840336 1003278581 16 Nurse Practitioners FLESHER BETHANI J 999999999 80 Peoria 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 87 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 87 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 1950 0 0 0 0 0 0 1982 0 0 1004840381 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 1362 0 0 0 0 0 0 0 0 0 0 0 0 0 1362 0 0 1004840510 1326484767 10 Physicians VEGA OCTAVIO A 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 1 0 0 0 0 0 0 7 0 136 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 10 0 276 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 10 0 276 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 63 0 7085 0 0 0 0 0 0 7164 0 0 1004840546 1659696870 10 Physicians TAJUDEEN BOBBY A 999999999 200 Cook 0 0 Otolaryngology 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 0 456 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 456 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19658 0 0 0 0 0 0 19658 0 0 1004840565 1659529196 10 Physicians SHAABAN HADI F 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 7779 0 0 0 0 0 0 7787 0 0 1004840759 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 2069 0 0 0 0 0 0 0 0 0 0 0 0 0 2069 0 0 1004840946 1457808032 16 Nurse Practitioners HALL KERRY 999999999 19 Champaign 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 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 3099 0 0 0 0 0 0 3099 0 0 1004841172 1912296708 10 Physicians SIDDIQUI MARIAM A. 999999999 200 Cook 0 0 Internal Medicine 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 0 154 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 2206 0 0 0 0 0 0 2206 0 0 1004841220 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 27787 0 0 0 0 0 0 0 0 0 0 0 0 0 27787 0 0 1004841275 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 27151 0 0 0 0 0 0 0 0 0 0 0 0 0 27151 0 0 1004841315 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 0 123 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 0 764 764 0 0 1004841366 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 97 0 0 0 0 0 0 0 0 0 0 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 12506 0 0 0 0 0 0 0 0 0 0 0 0 0 12506 0 0 1004841550 94 Waiver service provider--Children's support (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 0 120 0 0 0 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 19861 0 0 0 0 0 0 0 0 0 0 0 0 0 19861 0 0 1004841744 1235426230 10 Physicians NARANG DISHA 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 9 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 2060 0 0 0 0 0 0 2095 0 0 1004841888 89 Physician Assistant Only(Encounter Only) 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 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 0 123 0 0 0 0 0 0 123 0 0 1004841946 1225108533 10 Physicians LUCCHESI ARCHANA 999999999 91 Sangamon 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 33 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 617 0 0 0 0 0 0 0 0 617 0 0 1004842452 1659634640 10 Physicians LOBERG ANDREA R 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 1 0 104 0 0 0 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 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 88561 0 0 0 0 0 0 88566 0 0 1004842531 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 10325 0 0 0 0 0 0 0 0 0 0 0 0 0 10325 0 0 1004842777 10 Physicians 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 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 0 150 0 0 0 0 0 0 150 0 0 1004842817 1760708416 10 Physicians THYPARAMPIL PREETI J 999999999 200 Cook 0 0 Ophthalmology 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 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 4546 0 0 0 0 0 0 4546 0 0 1004842935 16 Nurse Practitioners 79 Ogle 0 0 0 0 0 0 0 0 0 0 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 71 0 0 0 0 0 0 71 0 0 1004843073 1306189204 10 Physicians GIANCARLO JOSEPH 999999999 107 Will 0 1 Pediatrics 0 0 0 0 26 0 0 0 0 0 0 12 0 34 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 24 0 54 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 24 0 54 0 0 0 0 0 0 0 0 0 3785 0 0 0 0 0 0 171 0 3477 0 0 0 0 0 0 7433 0 0 1004843108 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 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 9725 0 0 0 0 0 0 0 0 0 0 0 0 0 9725 0 0 1004843201 91 Waiver service provider--Adults (DHS/DDD) 822 Massachusetts 0 0 0 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 25602 0 0 0 0 0 0 0 0 0 0 0 0 0 25602 0 0 1004843211 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 10706 0 0 0 0 0 0 0 0 0 0 0 0 0 10706 0 0 1004843227 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 8336 0 0 0 0 0 0 0 0 0 0 0 0 0 8336 0 0 1004843550 1083068928 11 Dentists LAZARI PAUL 999999999 200 Cook 0 0 Orthodontist 0 0 0 12 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 6917 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6917 0 0 1004843647 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 23 23 0 0 1004843980 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 28652 0 0 0 0 0 0 0 0 0 0 0 0 0 28652 0 0 1004844030 1124477435 55 Early Intervention Services BIEZE LISA 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 0 134 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 7539 0 0 0 0 0 0 7539 0 0 1004844137 1194077156 89 Physician Assistant Only(Encounter Only) JACKSON KATIE E 999999999 90 Saline 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 0 230 0 0 0 0 0 0 230 0 0 1004844166 1467808089 16 Nurse Practitioners BEANE ASHLEY 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 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 0 857 0 0 0 0 0 0 857 0 0 1004844350 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 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 0 668 0 0 0 0 0 0 0 0 0 0 0 0 0 668 0 0 1004844485 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 28439 0 0 0 0 0 0 0 0 0 0 0 0 0 28439 0 0 1004844543 16 Nurse Practitioners 75 Monroe 0 0 0 0 0 0 0 0 0 0 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 0 246 0 0 0 0 0 0 246 0 0 1004845365 1336583079 10 Physicians MULYE ANITA D 999999999 200 Cook 0 0 Internal Medicine 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 0 158 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 2318 0 0 0 0 0 0 2318 0 0 1004845535 10 Physicians 200 Cook 0 0 Preventive 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 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 14 0 0 0 0 0 0 14 0 0 1004845548 1730526310 10 Physicians DERMAN BENJAMIN A 999999999 200 Cook 0 0 Internal Medicine 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 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 0 722 0 0 0 0 0 0 722 0 0 1004845777 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 16217 0 0 0 0 0 0 0 0 0 0 0 0 0 16217 0 0 1004845908 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 8510 0 0 0 0 0 0 0 0 0 0 0 0 0 8510 0 0 1004846412 1447556543 16 Nurse Practitioners EVANS ERIN 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 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 0 480 0 0 0 0 0 0 480 0 0 1004846479 1689014839 10 Physicians ORAMA ALEXIS 999999999 19 Champaign 0 1 Pediatrics 0 0 0 0 39 0 0 0 0 0 0 15 0 29 0 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 25 0 32 0 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 25 0 32 0 0 0 0 0 0 0 0 0 4126 0 0 0 0 0 0 118 0 892 0 0 0 0 0 0 5136 0 0 1004846695 1366808735 89 Physician Assistant Only(Encounter Only) HICKS STEPHANIE L 999999999 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 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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NELSON E. 999999999 200 Cook 0 0 Urology 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 0 103 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 0 922 0 0 0 0 0 0 922 0 0 1004874469 1942658927 16 Nurse Practitioners SETLAK JESSICA 999999999 200 Cook 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 0 173 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 5560 0 0 0 0 0 0 5560 0 0 1004874555 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 25466 0 0 0 0 0 0 0 0 0 0 0 0 0 25466 0 0 1004874677 1902161086 10 Physicians THAI LEO 999999999 80 Peoria 0 0 General Practice 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 4725 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4725 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21555 0 0 0 0 0 0 21555 0 0 1004874716 1215390414 16 Nurse 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1004928397 1134671324 60 Pharmacies MORELAND AND DEVITT 999999999 18 Cass 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 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4834 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10810 0 0 0 10810 0 0 1004928789 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 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 14899 0 0 0 0 0 0 0 0 0 0 0 0 0 14899 0 0 1004928934 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 0 161 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 25898 0 0 0 0 0 0 0 0 0 0 0 0 0 25898 0 0 1004928964 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 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 5702 0 0 0 0 0 0 0 0 0 0 0 0 0 5702 0 0 1004929078 1306000765 89 Physician Assistant Only(Encounter Only) ATKINS TRISHA 999999999 19 Champaign 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 0 164 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 8756 0 0 0 0 0 0 8756 0 0 1004929303 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 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 0 199 0 0 0 0 0 0 0 0 0 0 0 0 0 199 0 0 1004929447 1841578143 89 Physician Assistant Only(Encounter Only) OHNESORGE AMANDA J 999999999 80 Peoria 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 4 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 507 0 0 0 0 0 0 751 0 0 1004929591 1720344104 10 Physicians SINGLETON ROBERT E 999999999 804 Arkansas 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3921 0 0 0 0 0 0 3921 0 0 1004929709 1104813997 89 Physician Assistant Only(Encounter Only) AYCOCK SHARON E 999999999 80 Peoria 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 0 133 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 1899 0 0 0 0 0 0 1899 0 0 1004929796 1841533908 10 Physicians KANU LOVELLA DURU 999999999 200 Cook 0 0 Family Practice 0 0 0 0 10 0 0 0 0 0 0 8 0 99 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 12 0 159 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 12 0 159 0 0 0 0 0 0 0 0 0 739 0 0 0 0 0 0 121 0 3221 0 0 0 0 0 0 4081 0 0 1004930404 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 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 23930 0 0 0 0 0 0 0 0 0 0 0 0 0 23930 0 0 1004930435 10 Physicians 200 Cook 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 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 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0 0 0 0 22 0 378 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 213 0 52084 0 0 0 0 0 0 52541 0 0 1004940474 1255787263 89 Physician Assistant Only(Encounter Only) DEADMOND FRANCES C 999999999 91 Sangamon 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 0 175 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 2237 0 0 0 0 0 0 2237 0 0 1004940508 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 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 0 0 0 0 0 0 0 0 0 0 1004940583 86 Clinical Social Worker(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 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 0 183 0 0 0 0 0 0 183 0 0 1004940797 1669639480 16 Nurse Practitioners JOHNSTON-BRUNO MARY 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 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 0 0 0 0 0 0 0 0 0 0 1004941224 1770696890 89 Physician Assistant Only(Encounter Only) JOHNSON STACIE 999999999 63 Macon 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 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 3462 0 0 0 0 0 0 3462 0 0 1004941292 94 Waiver service provider--Children's support (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 0 524 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 524 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27819 0 0 0 0 0 0 0 0 0 0 0 0 0 27819 0 0 1004941372 16 Nurse Practitioners 37 Fulton 0 0 0 0 0 0 0 0 0 0 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 3 0 0 0 0 0 0 3 0 0 1004941485 94 Waiver service provider--Children's support (DHS/DDD) 72 McLean 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 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 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0 0 697 0 0 1004942195 1184079451 16 Nurse Practitioners RITTER AMANDA L 999999999 109 Winnebago 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 61 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 118 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 118 0 0 0 0 0 0 0 0 0 1024 0 0 0 0 0 0 0 0 2753 0 0 0 0 0 0 3777 0 0 1004942494 1538471388 63 Other Providers of Medical Equipment/Supplies (Non-registered) BIONIC PROSTHETICS AND ORTHOTI 999999999 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 247 0 11351 0 0 0 0 11598 0 0 1004942533 1558625434 10 Physicians DAUER ANNA K 999999999 815 Indiana 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 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 0 178 0 0 0 0 0 0 178 0 0 1004942684 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 50 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 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2639 0 0 0 0 0 0 2639 0 0 1004943288 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 0 365 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 30254 0 0 0 0 0 0 0 0 0 0 0 0 0 30254 0 0 1004943432 1003144049 87 Psychologist(Encounter Only) LOSOFF ANN 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 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 0 0 0 0 0 0 0 0 0 0 1004943556 1154879690 23 Occupational Therapists RYAN BREANNA 999999999 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 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 7709 7709 0 0 1004943758 1841670437 16 Nurse Practitioners WRIGHT MARGARET 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 28 0 0 0 0 0 0 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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 11677 0 0 0 0 0 0 11677 0 0 1004944202 1861669020 10 Physicians SONG SUISUI 999999999 30 DuPage 0 0 Radiation Oncology 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 0 118 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 0 867 0 0 0 0 0 0 867 0 0 1004944203 1215483193 89 Physician Assistant Only(Encounter Only) CARRIER KATLYN E 999999999 36 Franklin 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 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 3447 0 0 0 0 0 0 3447 0 0 1004944308 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 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 32661 0 0 0 0 0 0 0 0 0 0 0 0 0 32661 0 0 1004944899 1104821446 16 Nurse Practitioners HARDEN SHARIE 999999999 80 Peoria 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 0 193 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 13546 0 0 0 0 0 0 13546 0 0 1004944928 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 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 6938 0 0 0 0 0 0 0 0 0 0 0 0 0 6938 0 0 1004944956 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 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 3167 0 0 0 0 0 0 0 0 0 0 0 0 0 3167 0 0 1004945170 1093151151 10 Physicians LANGALIYA BHRANTI C 999999999 200 Cook 0 0 Internal Medicine 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 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 1305 0 0 0 0 0 0 1305 0 0 1004945171 1083636799 60 Pharmacies CVS PHARMACY #16534 600044379 200 Cook 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 0 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3413 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19686 0 0 0 19686 0 0 1004945456 10 Physicians 65 Madison 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 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 52 0 0 0 0 0 0 0 0 52 0 0 1004945576 1679836688 10 Physicians GRANT IAN M 999999999 200 Cook 0 0 Neurology 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 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 0 620 0 0 0 0 0 0 620 0 0 1004945631 1154702181 48 Rural Health Clinics GIBSON AREA MEDICAL CLINIC 999999999 35 Ford 0 0 0 0 65 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 366 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 366 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5976 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5976 0 0 1004945898 1699041657 10 Physicians GOODMAN DANIEL A 999999999 200 Cook 0 0 Physical 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HOME MEDICAL A CAREPRO 999999999 816 Iowa 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 0 162 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 2737 0 0 0 0 0 0 2737 0 0 1004950845 1518364538 89 Physician Assistant Only(Encounter Only) JAFFERY TAHIR M 999999999 104 Wayne 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 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 0 875 0 0 0 0 0 0 875 0 0 1004950864 24 Speech Therapists 53 Kane 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 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 1246 1246 0 0 1004950865 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 5700 0 0 0 0 0 0 0 0 0 0 0 0 0 5700 0 0 1004950899 1588863658 16 Nurse Practitioners HORROCKS MICHELLE 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0 0 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1086 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1086 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 82844 0 0 0 0 0 0 0 0 0 0 0 0 0 82844 0 0 1005009832 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005010131 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 5582 0 0 0 0 0 0 0 0 0 0 0 0 0 5582 0 0 1005010358 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 23 0 0 0 0 0 0 23 0 0 1005010392 1700154911 75 Department of Alcohol and Substance Abuse Provider CHESTNUT HEALTH SYSTEMS 999999999 96 St Clair 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 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Treatment Centers HYDE PARK SURGICAL CENTER LLC 999999999 200 Cook 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 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 0 431 0 0 0 0 0 431 0 0 1005190781 1265660534 10 Physicians BISWAS DEBDUT 999999999 30 DuPage 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 62 0 78 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 0 164 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 0 164 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1512 0 6501 0 0 0 0 0 0 8013 0 0 1005190925 16 Nurse Practitioners 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 107 0 0 1005191569 1063465532 16 Nurse Practitioners WARNDAHL DEBRA A 999999999 810 Florida 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 1433 0 0 0 0 0 0 1433 0 0 1005191844 10 Physicians 19 Champaign 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 26 0 0 0 0 0 0 26 0 0 1005191965 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 15873 0 0 0 0 0 0 0 0 0 0 0 0 0 15873 0 0 1005192041 23 Occupational Therapists 91 Sangamon 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 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 4704 4704 0 0 1005192229 1265673164 10 Physicians ALLEN CATHERINE C 999999999 109 Winnebago 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 1 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 687 0 0 0 0 0 0 687 0 0 1005192283 1528514411 16 Nurse Practitioners RICHRATH DENNIS A 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SCHWETYE KATHERINE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 81 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2441 0 35 0 0 0 0 0 0 2476 0 0 1005194861 1760866784 16 Nurse Practitioners JOSEPH JANAIES 999999999 71 McHenry 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 0 868 0 0 0 0 0 0 868 0 0 1005195133 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 0 467 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 467 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50447 0 0 0 0 0 0 0 0 0 0 0 0 0 50447 0 0 1005195418 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 15293 0 0 0 0 0 0 0 0 0 0 0 0 0 15293 0 0 1005195440 1518352772 89 Physician Assistant Only(Encounter Only) LUEKING RYAN E 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 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 0 210 0 0 0 0 0 0 210 0 0 1005195676 1629364708 10 Physicians ROHR ASHLEY A 999999999 30 DuPage 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 3 0 158 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 408 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 408 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 14635 0 0 0 0 0 0 14700 0 0 1005195742 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 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 11628 0 0 0 0 0 0 0 0 0 0 0 0 0 11628 0 0 1005195907 1306172754 89 Physician Assistant Only(Encounter Only) FONTANA KATE 999999999 200 Cook 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 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 0 280 0 0 0 0 0 0 280 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1164886669 52 Certified local public health department KENDALL COUNTY HEALTH DEPARTME 999999999 55 Kendall 0 0 0 0 19 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 258 0 597 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 855 0 0 1005196449 1821448077 16 Nurse Practitioners GLEESON ERIKA ETHEL 999999999 200 Cook 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 0 132 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 4051 0 0 0 0 0 0 4051 0 0 1005196984 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 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 4089 0 0 0 0 0 0 4089 0 0 1005197561 1346612561 11 Dentists QADRI SUBUHI 999999999 200 Cook 0 0 General Dentistry 0 0 0 164 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 900 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 900 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26354 0 0 0 0 0 0 0 0 0 0 0 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0 0 0 0 0 0 0 0 639 0 0 1005299948 1184177412 89 Physician Assistant Only(Encounter Only) HERNANDEZ CARVAJAL JULIAN D 999999999 47 Jackson 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 0 403 0 0 0 0 0 0 403 0 0 1005300076 10 Physicians 19 Champaign 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 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 0 325 0 0 0 0 0 0 325 0 0 1005300307 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 0 364 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 21892 0 0 0 0 0 0 0 0 0 0 0 0 0 21892 0 0 1005300525 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 8300 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 19877 0 0 1005301773 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 0 405 0 0 0 0 0 0 0 0 0 0 0 0 0 405 0 0 1005301813 10 Physicians 91 Sangamon 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 7 0 0 0 0 0 0 7 0 0 1005301833 1235686759 16 Nurse Practitioners DAVIS BROOKE L 999999999 91 Sangamon 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 0 799 0 0 0 0 0 0 799 0 0 1005302024 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 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 19125 0 0 0 0 0 0 0 0 0 0 0 0 0 19125 0 0 1005302048 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KRYSTAL M 999999999 96 St Clair 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 1102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94108 0 0 0 0 0 0 0 0 0 0 0 0 0 94108 0 0 1005491606 1891232914 16 Nurse Practitioners KELLY AMANDA K 999999999 200 Cook 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 2424 0 0 0 0 0 0 2424 0 0 1005491669 86 Clinical Social Worker(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 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 0 0 0 0 0 0 0 0 0 0 1005491773 63 Other Providers of Medical Equipment/Supplies (Non-registered) 55 Kendall 0 0 0 0 0 0 0 0 0 0 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 0 286 0 0 0 0 0 0 286 0 0 1005491796 1225266992 10 Physicians KONYAK ALHANG SANYO 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 166 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 166 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 3223 0 0 0 0 0 0 3329 0 0 1005492213 1811379597 10 Physicians MUSAITIF RAWAN M 999999999 80 Peoria 0 0 Pediatrics 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 0 121 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 12904 0 0 0 0 0 0 12904 0 0 1005492214 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 2989 0 0 0 0 0 0 0 0 0 0 0 0 0 2989 0 0 1005492400 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 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 5489 0 0 0 0 0 0 0 0 0 0 0 0 0 5489 0 0 1005492410 1043746720 40 Federally Qualified Health Centers AUNT MARTHA'S ROCKFORD COMMUNI 999999999 109 Winnebago 0 0 0 0 49 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15180 0 0 1005492721 1902290828 10 Physicians KATZ ARI 999999999 53 Kane 0 0 Internal Medicine 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 0 146 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 3749 0 0 0 0 0 0 3749 0 0 1005493084 1356769210 10 Physicians VERRE MICHAEL 999999999 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 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 2328 0 0 0 0 0 0 2328 0 0 1005493169 1023259777 10 Physicians BALLANY WASSIM 999999999 200 Cook 0 0 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 0 408 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 4916 0 0 0 0 0 0 4916 0 0 1005493618 86 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Practitioners MUGNOLO ENES 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 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 0 0 0 0 0 0 0 0 0 0 1005495787 1376982082 10 Physicians YOUSAF UZMA 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 0 111 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 2700 0 0 0 0 0 0 2700 0 0 1005496029 1922177229 30 General Hospitals PRESENCE SAINTS MARY & ELIZABE 606228151 200 Cook DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 General Hospital - Adult and Child 0 0 543 0 0 3134 0 0 0 0 1673 0 0 0 4054 0 0 0 0 0 0 2095 0 0 4437 0 0 0 0 2007 0 0 0 9765 0 0 0 0 0 0 2095 0 0 4437 0 0 0 0 13490 0 0 0 9765 0 0 0 0 0 0 66881 0 0 784108 0 0 0 0 7844891 0 0 0 2255964 0 0 0 0 0 10951844 0 0 1005496071 1578008769 16 Nurse Practitioners BERG RANDI 999999999 33 Effingham 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 83 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 251 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 251 0 0 0 0 0 0 0 0 0 647 0 0 0 0 0 0 0 0 4781 0 0 0 0 0 0 5428 0 0 1005496204 1104276492 40 Federally Qualified Health Centers HEARTLAND HEALTH SERVICES 999999999 98 Tazewell 0 0 0 0 201 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1369 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1369 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80671 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80671 0 0 1005496777 1154864726 89 Physician Assistant Only(Encounter Only) RANGEL EDWIN 999999999 200 Cook 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 0 179 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 4992 0 0 0 0 0 0 4992 0 0 1005496863 1699225821 16 Nurse Practitioners VIAU JACQUELINE A 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 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 1742 0 0 0 0 0 0 1742 0 0 1005497028 75 Department of Alcohol and Substance Abuse Provider 35 Ford 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 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 1299 0 0 1299 0 0 1005497903 1710258637 16 Nurse Practitioners TACUBOY HAROLD 601073201 200 Cook 0 0 General Psychiatry Residency 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 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 3756 0 0 0 0 0 0 3756 0 0 1005497983 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 0 233 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 233 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24053 0 0 0 0 0 0 0 0 0 0 0 0 0 24053 0 0 1005498259 1841612520 16 Nurse Practitioners CASALI GIANNA M. 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 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 1648 0 0 0 0 0 0 1648 0 0 1005498402 1609139583 10 Physicians TUPPER VINCENT M 999999999 30 DuPage 0 0 Anesthesiology 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 0 108 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 1703 0 0 0 0 0 0 1703 0 0 1005498493 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 0 226 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 226 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60421 0 0 0 0 0 0 0 0 0 0 0 0 0 60421 0 0 1005498832 1508106410 10 Physicians GREER SARA K 999999999 108 Williamson 0 0 Pediatrics 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 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 7543 0 0 0 0 0 0 7543 0 0 1005499051 1730566837 63 Other Providers of Medical Equipment/Supplies (Non-registered) "SCHECK AND SIRESS PROSTHETICS," 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 13 0 0 0 0 0 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 13772 0 0 0 0 13798 0 0 1005499581 1821537820 16 Nurse Practitioners NYMAN TALISHA 999999999 80 Peoria 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 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 0 817 0 0 0 0 0 0 817 0 0 1005500497 1639693617 16 Nurse Practitioners LONGNECKER MONICA L 999999999 109 Winnebago 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 0 0 677 0 0 0 0 0 0 753 0 0 1005500590 1588670996 60 Pharmacies WALGREENS #05823 999999999 803 Arizona 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 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 815 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 623 0 0 0 623 0 0 1005500696 1184933806 89 Physician Assistant Only(Encounter Only) WIRTZ NICOLE M 999999999 91 Sangamon 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 0 147 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 2249 0 0 0 0 0 0 2249 0 0 1005500812 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 0 364 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 27484 0 0 0 0 0 0 0 0 0 0 0 0 0 27484 0 0 1005501090 1891093456 10 Physicians BECKER ADAM M 999999999 200 Cook 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 1 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 23 0 0 0 0 0 0 25 0 0 1005501573 1013330760 28 Waiver service provider--Supportive living facility (HFS) "VISTAS FOX VALLEY, THE" 999999999 53 Kane 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 0 144 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4073 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 443406 0 0 0 0 0 0 0 0 0 0 0 0 0 443406 0 0 1005501868 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 26260 0 0 0 0 0 0 0 0 0 0 0 0 0 26260 0 0 1005502297 1619316304 10 Physicians PEACOCK NICHOLAS J 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 239 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 6265 0 0 0 0 0 0 6265 0 0 1005502639 1417240102 10 Physicians HANIF SAMEUL O 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 523 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 876 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 876 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11808 0 954 0 0 0 0 0 0 12762 0 0 1005502704 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 28361 0 0 0 0 0 0 0 0 0 0 0 0 0 28361 0 0 1005502705 16 Nurse Practitioners 30 DuPage 0 0 0 0 0 0 0 0 0 0 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 1005502925 1942683800 16 Nurse Practitioners OLES JENNIFER L. 999999999 200 Cook 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 0 111 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 4140 0 0 0 0 0 0 4140 0 0 1005503058 1194813642 89 Physician Assistant Only(Encounter Only) SCHUETTE TASHA R 999999999 91 Sangamon 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 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 0 350 0 0 0 0 0 0 350 0 0 1005503113 1386941508 10 Physicians BRUME EDIRI J 999999999 53 Kane 0 0 Internal Medicine 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 0 104 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 3805 0 0 0 0 0 0 3805 0 0 1005503509 1336374503 10 Physicians BUKHMAN YEVGENIY 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 46 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 0 516 0 0 0 0 0 0 516 0 0 1005503518 1750716726 89 Physician Assistant Only(Encounter Only) SIEVERS LYNDSI K 999999999 200 Cook 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 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 0 821 0 0 0 0 0 0 821 0 0 1005503854 1689853111 89 Physician Assistant Only(Encounter Only) PATEL SONAL 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 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 0 576 0 0 0 0 0 0 576 0 0 1005503953 1700266848 16 Nurse Practitioners PALOMO CHERRY 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 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 0 313 0 0 0 0 0 0 313 0 0 1005504027 1154523330 87 Psychologist(Encounter Only) SANFORD STACY D 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 0 504 0 0 0 0 0 0 504 0 0 1005504317 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 0 180 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 28466 0 0 0 0 0 0 0 0 0 0 0 0 0 28466 0 0 1005504474 1922533397 16 Nurse Practitioners OLSZEWSKI KRISTEN J 999999999 53 Kane 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 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 1339 0 0 0 0 0 0 1339 0 0 1005504703 1932391687 89 Physician Assistant Only(Encounter Only) SWINIGAN SHAWNA R 999999999 96 St Clair 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 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 0 512 0 0 0 0 0 0 512 0 0 1005504930 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JAMIE N 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 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 0 546 0 0 0 0 0 0 546 0 0 1006354354 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 28403 0 0 0 0 0 0 0 0 0 0 0 0 0 28403 0 0 1006354428 1124555693 70 Ambulance Service Providers AIR EVAC EMS INC 999999999 24 Coles 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 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 15559 0 0 0 0 0 0 15559 0 0 1006354654 1780151142 24 Speech Therapists HOWLAND JOSELYN 999999999 30 DuPage 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 0 266 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 18548 18548 0 0 1006354896 10 Physicians 200 Cook 0 0 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(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 0 239 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 239 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20999 0 0 0 0 0 0 0 0 0 0 0 0 0 20999 0 0 1006627529 1144634239 10 Physicians ARIF ABDURRAHMAN 999999999 53 Kane 0 0 Internal Medicine 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 0 200 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 2532 0 0 0 0 0 0 2532 0 0 1006627532 10 Physicians 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1019 0 0 0 0 0 0 1019 0 0 1006628136 1255746376 10 Physicians THAKOLKARAN NIMMY T 999999999 200 Cook 0 0 Family Practice 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 0 0 0 0 0 0 0 0 0 0 1006628477 1033641972 16 Nurse Practitioners SANKEY 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T 999999999 200 Cook 0 0 Dermatology 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 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 1028 0 0 0 0 0 0 1028 0 0 1006629865 1013951912 10 Physicians EVANS-BECKMAN LINDA C 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 78 0 467 0 0 0 0 0 0 545 0 0 1006629872 1548700396 16 Nurse Practitioners SLOMAN KATIE E 999999999 91 Sangamon 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 334 0 0 0 0 0 0 0 0 838 0 0 0 0 0 0 1172 0 0 1006630307 1477097962 86 Clinical Social Worker(Encounter Only) JEREMIAH IBI J 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 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 1645 0 0 0 0 0 0 1645 0 0 1006630329 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0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 266 0 18 0 0 0 0 0 0 284 0 0 1006637534 1669955936 89 Physician Assistant Only(Encounter Only) SCHULTZ OLIVIA V 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 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 0 733 0 0 0 0 0 0 733 0 0 1006637721 16 Nurse Practitioners 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 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 1006637726 89 Physician Assistant Only(Encounter Only) 53 Kane 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 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 1006637756 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 0 179 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 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1006639186 1104310457 10 Physicians SHEPHERD JULIE 999999999 91 Sangamon 0 0 Family Practice 0 0 0 0 2 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 597 0 0 0 0 0 0 725 0 0 1006639366 1831516715 10 Physicians MONTGOMERY VICTORIA M 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 1 0 0 0 0 0 0 1 0 34 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 62 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 62 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 0 0 733 0 0 0 0 0 0 837 0 0 1006639433 1184146920 33 Nursing Facilities AVONDALE ESTATE OF ELGIN 999999999 53 Kane 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 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 608 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68334 0 0 0 0 0 0 0 68334 0 0 1006639701 1215436449 63 Other Providers of Medical Equipment/Supplies (Non-registered) LINCOLNLAND HOME MEDICAL EQUIP 999999999 24 Coles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 299 0 97 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2009 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2009 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42496 0 6748 0 0 0 0 49244 0 0 1006639791 1174938369 10 Physicians GURBA KATHARINE N. 999999999 92 Schuyler 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 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 1150 0 0 0 0 0 0 1150 0 0 1006639880 1821507674 30 General Hospitals IRVING PARK DIALYSIS 999999999 200 Cook DIALYSIS Outpatient dialysis centers. 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 0 163 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1715 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10486 0 0 0 0 0 10486 0 0 1006639959 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 31 0 0 0 0 0 0 31 0 0 1006640426 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 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 29 0 0 1010308962 1376092429 91 Waiver service provider--Adults (DHS/DDD) FULTS MEGAN R 999999999 91 Sangamon 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 1579 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1579 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66873 0 0 0 0 0 0 0 0 0 0 0 0 0 66873 0 0 1010309551 10 Physicians 10 Adams 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 0 0 0 0 0 0 0 0 0 0 1010310380 1063802676 10 Physicians DIAZ BAEZ YUDITH 999999999 200 Cook 0 0 Emergency 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 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 3219 0 0 0 0 0 0 3219 0 0 1010310503 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 0 303 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 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0 0 0 0 0 0 0 0 40002 0 0 0 0 0 0 0 0 0 0 0 0 0 40002 0 0 1010667989 1346244241 89 Physician Assistant Only(Encounter Only) SPRINKEL CHRISTOPHER A 999999999 91 Sangamon 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 133 0 0 0 0 0 0 0 0 0 1 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 2077 0 0 0 0 0 0 2077 0 0 1010668451 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 0 181 0 0 0 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 30240 0 0 0 0 0 0 0 0 0 0 0 0 0 30240 0 0 1010668638 1184190290 91 Waiver service provider--Adults (DHS/DDD) PARKINSON SARAH 999999999 200 Cook 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 1632 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1632 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100009 0 0 0 0 0 0 0 0 0 0 0 0 0 100009 0 0 1010668816 1730686015 16 Nurse Practitioners SASSO KAYLA A 999999999 80 Peoria 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 689 0 0 0 0 0 0 0 0 3216 0 0 0 0 0 0 3905 0 0 1010668850 1578048377 16 Nurse Practitioners CARROLL TAYLOR 999999999 60 Lee 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 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 0 932 0 0 0 0 0 0 932 0 0 1010669165 1932392032 28 Waiver service provider--Supportive living facility (HFS) "KENSINGTON, THE" 614014797 56 Knox 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 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1853 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 139769 0 0 0 0 0 0 0 0 0 0 0 0 0 139769 0 0 1010669404 1871931212 10 Physicians MEHTA CHRISTOPHER K 999999999 53 Kane 0 0 Thoracic Surgery 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 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 13046 0 0 0 0 0 0 13046 0 0 1010669528 1366952665 23 Occupational Therapists STULL CLAIRE C 999999999 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 57 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 57 0 0 0 0 0 0 0 0 0 0 0 0 167 0 0 0 0 0 496 663 0 0 1010669758 10 Physicians 200 Cook 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 0 428 0 0 0 0 0 0 0 0 428 0 0 1010669775 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 0 144 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 12814 0 0 0 0 0 0 0 0 0 0 0 0 0 12814 0 0 1010670129 1356722961 10 Physicians HUSSAIN SADIA 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 11 0 0 0 0 0 0 2 0 15 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 2 0 16 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 2 0 16 0 0 0 0 0 0 0 0 0 1071 0 0 0 0 0 0 18 0 837 0 0 0 0 0 0 1926 0 0 1010670223 1851836696 86 Clinical Social Worker(Encounter Only) RYLATT JULIE 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 0 566 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 566 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32613 0 0 0 0 0 0 32613 0 0 1010670243 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 0 112 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 16826 0 0 0 0 0 0 0 0 0 0 0 0 0 16826 0 0 1010670917 1568949329 36 Community mental health provider A SAFE HAVEN LLC 999999999 200 Cook 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 200 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 200 0 0 599 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21722 0 0 22321 0 0 1010671053 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 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 10742 0 0 0 0 0 0 0 0 0 0 0 0 0 10742 0 0 1010671194 94 Waiver service 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Dentists BUKHAR ALENA 999999999 200 Cook 0 0 General Dentistry 0 0 0 18 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 9343 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9343 0 0 1010676407 1457614026 10 Physicians AMANI DARIUS 999999999 106 Whiteside 0 0 Emergency Medicine 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 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 1901 0 0 0 0 0 0 1901 0 0 1010676581 1063878072 30 General Hospitals TINLEY PARK DIALYSIS 999999999 200 Cook DIALYSIS Outpatient dialysis centers. 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 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 538 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39875 0 0 0 0 0 39875 0 0 1010676777 10 Physicians 53 Kane 0 0 0 0 0 0 0 0 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 2 0 0 0 0 0 0 0 0 2 0 0 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Physicians FILSON-PINKLEY KATHRYN L 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 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 0 121 0 0 0 0 0 0 121 0 0 1010680221 1265926711 16 Nurse Practitioners WILLIAMS REBECCA E 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 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 0 575 0 0 0 0 0 0 575 0 0 1010680416 1427320340 16 Nurse Practitioners DENNIS HEATHER 999999999 15 Bureau 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 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 0 126 0 0 0 0 0 0 126 0 0 1010680442 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 17426 0 0 0 0 0 0 0 0 0 0 0 0 0 17426 0 0 1010680486 92 Waiver 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MCCORMICK KRAJEWSKI ANNA C 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 117 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5092 0 3131 0 0 0 0 0 0 8223 0 0 1010681529 1558811026 89 Physician Assistant Only(Encounter Only) COELLO MATTHEW 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 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 51 0 0 0 0 0 0 51 0 0 1010681689 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 0 172 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 18520 0 0 0 0 0 0 0 0 0 0 0 0 0 18520 0 0 1010681692 1528502929 88 Other behavior health professional TRIVEDI NIDHI J 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 0 275 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 275 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 933 0 0 0 0 0 0 933 0 0 1010681733 1841641164 10 Physicians KOEN JARED 999999999 91 Sangamon 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 114 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 256 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 256 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2333 0 108 0 0 0 0 0 0 2441 0 0 1010682280 1063832996 10 Physicians BOUTSICARIS CHRISTINA E 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 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 0 571 0 0 0 0 0 0 571 0 0 1010682709 1639560303 10 Physicians MCGEE KATHERINE A 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 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 0 125 0 0 0 0 0 0 125 0 0 1010682852 10 Physicians 89 Rock Island 0 0 Neurology 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 47 0 0 0 0 0 0 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0 0 0 0 0 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14162 0 0 0 0 0 0 0 0 0 0 0 0 0 14162 0 0 1010683804 30 General Hospitals 836 Ohio 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 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 258 0 0 1010683933 1821566837 23 Occupational Therapists PELLEGRINI KAILA 999999999 91 Sangamon 0 0 0 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 0 520 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 520 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39017 39017 0 0 1010683995 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 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 7727 0 0 0 0 0 0 0 0 0 0 0 0 0 7727 0 0 1010684127 1720124985 10 Physicians THOMPSON DOUGLAS R 999999999 200 Cook 0 0 Anesthesiology 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 1842 0 0 0 0 0 0 1842 0 0 1010684600 16 Nurse Practitioners 53 Kane 0 0 0 0 0 0 0 0 0 0 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 0 243 0 0 0 0 0 0 243 0 0 1010684761 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 1010684817 16 Nurse Practitioners 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 78 0 0 1010684850 1376930750 10 Physicians HARTWELL PRUDENCE 999999999 30 DuPage 0 0 Pediatrics 0 0 0 0 15 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 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YURA EMILY M 999999999 200 Cook 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 7 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 200 0 3672 0 0 0 0 0 0 3872 0 0 1010692194 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 0 365 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 28188 0 0 0 0 0 0 0 0 0 0 0 0 0 28188 0 0 1010692285 1689169591 10 Physicians ZIJLSTRA MICHAEL KERT 999999999 200 Cook 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 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 0 327 0 0 0 0 0 0 327 0 0 1010692478 1619448461 16 Nurse Practitioners LACPLESIS KRISTINA M 999999999 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 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 2571 0 0 0 0 0 0 2571 0 0 1010692535 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94970 0 0 0 0 0 0 0 0 0 0 0 0 0 94970 0 0 1010693262 1659809853 91 Waiver service provider--Adults (DHS/DDD) MEZA SANJUANA 999999999 200 Cook 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 0 127 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 4796 0 0 0 0 0 0 0 0 0 0 0 0 0 4796 0 0 1010693296 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 0 274 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 28226 0 0 0 0 0 0 0 0 0 0 0 0 0 28226 0 0 1010693377 1336502285 10 Physicians EHRENPREIS JAMIE E 999999999 200 Cook 0 0 Pediatrics 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 0 293 0 0 0 0 0 0 293 0 0 1010693626 1316432420 11 Dentists ZHOU YANG 999999999 27 Dekalb 0 0 General Dentistry 0 0 0 624 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 3277 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 3277 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 121039 0 0 0 0 0 0 0 0 0 0 0 11990 0 0 0 0 133029 0 0 1010693776 1275037665 10 Physicians WALTON EMILY ANN 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 3 0 175 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 203 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 203 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11254 0 0 0 0 0 0 11254 0 0 1010694208 86 Clinical Social Worker(Encounter Only) 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 66 0 0 0 0 0 0 66 0 0 1010694211 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 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 18539 0 0 0 0 0 0 0 0 0 0 0 0 0 18539 0 0 1010694590 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 21768 0 0 0 0 0 0 0 0 0 0 0 0 0 21768 0 0 1010694618 4010694618 90 Waiver service provider--Elderly (DOA) DAYSPRING HEALTHCARE SERVICES 999999999 200 Cook 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 1533 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1533 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160917 0 0 0 0 0 0 0 0 0 0 0 0 0 160917 0 0 1010695027 1376089136 91 Waiver service provider--Adults (DHS/DDD) OWSLEY TAMARA 999999999 200 Cook 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 0 859 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 859 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28491 0 0 0 0 0 0 0 0 0 0 0 0 0 28491 0 0 1010695037 1407309396 89 Physician Assistant Only(Encounter Only) GRANT SEAN 999999999 200 Cook 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 0 112 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 2477 0 0 0 0 0 0 2477 0 0 1010695112 1245680651 10 Physicians BOLLAERT 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0 0 156 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1269 0 0 0 0 0 0 1269 0 0 1012375384 1063856342 10 Physicians KOPEC GRETCHEN L 999999999 200 Cook 0 0 Pediatrics 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 0 358 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 137952 0 0 0 0 0 0 137952 0 0 1012375422 55 Early Intervention Services 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 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 2594 0 0 0 0 0 0 2594 0 0 1012375735 10 Physicians 80 Peoria 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 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 0 114 0 0 0 0 0 0 114 0 0 1012375831 1497220743 16 Nurse Practitioners DANIELS KENISHA L 999999999 200 Cook 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 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 0 361 0 0 0 0 0 0 361 0 0 1012376097 1043692585 10 Physicians ELBOGHDADY ISLAM 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 10 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 238 0 2484 0 0 0 0 0 0 2722 0 0 1012376197 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 1533 0 0 0 0 0 0 0 0 0 0 0 0 0 1533 0 0 1012376585 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 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 1012377155 1962974527 65 Independent Diagnostic Testing Facility (IDTF) "PRIME MEDICAL IMAGING, LLC" 999999999 107 Will 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 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 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5591 0 0 0 0 0 0 5591 0 0 1012383542 1851829790 55 Early Intervention Services CAMPBELL TAMAR A 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 0 272 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 15806 0 0 0 0 0 0 15806 0 0 1012383888 1578024683 10 Physicians RESTKO MATTHEW MICHAEL 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 1750 0 0 0 0 0 0 1762 0 0 1012386490 1225599889 16 Nurse Practitioners PHEASANT JEREME C 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 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 3721 0 0 0 0 0 0 3721 0 0 1012386831 1548282916 10 Physicians COLAVITO STEFANIE A 999999999 65 Madison 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 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 0 345 0 0 0 0 0 0 345 0 0 1012387170 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 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 31850 0 0 0 0 0 0 0 0 0 0 0 0 0 31850 0 0 1012389320 1972894046 89 Physician Assistant Only(Encounter Only) OSBORNE LAUREN R 999999999 19 Champaign 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 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 0 457 0 0 0 0 0 0 457 0 0 1012389609 16 Nurse Practitioners 27 Dekalb 0 0 0 0 0 0 0 0 0 0 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 1012391755 1578941753 10 Physicians HORNIK JONATAN 999999999 47 Jackson 0 0 Neurology 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 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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 44 0 6685 0 0 0 0 0 0 6729 0 0 1012393245 30 General Hospitals 826 Missouri ARS-LS Long-term stay hospitals paid under an ARS 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 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4491 0 0 0 0 0 0 0 0 0 4491 0 0 1012394126 1740789064 55 Early Intervention Services TEACHOUT APRIL MICHELLE 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 717 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 717 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43853 0 0 0 0 0 0 43853 0 0 1012399369 1982269379 16 Nurse Practitioners KUNKEL JESSICA M 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 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 0 318 0 0 0 0 0 0 318 0 0 1012400959 22 Physical Therapists 97 Stephenson 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 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0 0 2098 0 0 0 0 0 0 2098 0 0 1013609401 1689626046 10 Physicians COULTER STEVEN 999999999 70 McDonough 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 2 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 2103 0 0 0 0 0 0 2113 0 0 1013609505 1427615277 10 Physicians ZASADNY PIOTR 999999999 200 Cook 0 0 Family Practice 0 0 0 0 2 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 948 0 0 0 0 0 0 1074 0 0 1013609544 1275996118 10 Physicians QUIEN NICOLE 999999999 200 Cook 0 0 Family Practice 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 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 1727 0 0 0 0 0 0 1727 0 0 1013609555 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 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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 17463 0 0 0 0 0 0 0 0 0 0 0 0 0 17463 0 0 1013813143 1376031831 16 Nurse Practitioners MAU KRISTEN M 999999999 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 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 1086 0 0 0 0 0 0 1086 0 0 1013813183 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 0 145 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 23716 0 0 0 0 0 0 0 0 0 0 0 0 0 23716 0 0 1013813232 16 Nurse Practitioners 47 Jackson 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 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 0 267 0 0 0 0 0 0 267 0 0 1013813388 1154709756 10 Physicians JOHN JESWIN B 999999999 19 Champaign 0 0 Pediatrics 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 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Physicians GONZALEZ MARIA 999999999 200 Cook 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 0 110 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 5194 0 0 0 0 0 0 0 0 5194 0 0 1013815644 1740523547 10 Physicians VERMA AMANDA K 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 2060 0 0 0 0 0 0 2081 0 0 1013815911 1598225773 10 Physicians GOZALI CHRISTOPHER 999999999 200 Cook 0 0 Family Practice 0 0 0 0 6 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 1870 0 0 0 0 0 0 2030 0 0 1013816070 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 1013816195 1528627007 16 Nurse Practitioners DONALDSON RANDI 999999999 10 Adams 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 0 137 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 137 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2234 0 0 0 0 0 0 2234 0 0 1013816359 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 0 186 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 25400 0 0 0 0 0 0 0 0 0 0 0 0 0 25400 0 0 1013816583 1265993430 10 Physicians TRAN MISHA C 999999999 30 DuPage 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 0 129 0 0 0 0 0 0 0 0 0 0 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 1392 0 0 0 0 0 0 1392 0 0 1013816908 1427613694 10 Physicians BEDSWORTH TAYLOR 999999999 200 Cook 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 97 0 0 0 0 0 0 0 0 0 0 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 2234 0 0 0 0 0 0 2234 0 0 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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 4973 0 0 0 0 0 0 0 0 0 0 0 0 0 4973 0 0 1013824607 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 0 363 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 8679 0 0 0 0 0 0 0 0 0 0 0 0 0 8679 0 0 1013825459 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 2761 0 0 0 0 0 0 0 0 0 0 0 0 0 2761 0 0 1013825662 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 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 1118 0 0 0 0 0 0 0 0 0 0 0 0 0 1118 0 0 1013826066 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 13618 0 0 0 0 0 0 0 0 0 0 0 0 0 13618 0 0 1013826628 1700103603 10 Physicians LAUX ANNE 999999999 200 Cook 0 0 Vascular Surgery 0 0 0 0 0 0 0 0 0 0 0 4 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 2516 0 0 0 0 0 0 2555 0 0 1013826792 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 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 1060 0 0 0 0 0 0 1060 0 0 1013827017 10 Physicians 53 Kane 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 68 0 0 0 0 0 0 68 0 0 1013827038 1427573518 10 Physicians BATHINA BINDU 999999999 80 Peoria 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 0 148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 148 0 0 0 0 0 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 241 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3299 0 0 0 0 0 0 3299 0 0 1013925272 1639308737 10 Physicians KROW-RODNEY ABENA A 999999999 200 Cook 0 0 Family Practice 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 0 151 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 4618 0 0 0 0 0 0 4618 0 0 1013925371 1033763297 16 Nurse Practitioners FLANAGAN MARY E 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 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 0 0 0 0 0 0 0 0 0 0 1013925456 1235344433 10 Physicians LILLIG MATHIAS J 999999999 200 Cook 0 0 Psychiatry 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 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 9287 0 0 0 0 0 0 9287 0 0 1013925485 1528315959 10 Physicians HASAN RIM 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 5 0 0 0 0 0 0 0 0 0 0 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Physicians KNAPP LUKE 999999999 80 Peoria 0 0 Emergency Medicine 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 0 148 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 5125 0 0 0 0 0 0 5125 0 0 1014196654 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 30674 0 0 0 0 0 0 0 0 0 0 0 0 0 30674 0 0 1014196674 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 0 270 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 270 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24749 0 0 0 0 0 0 0 0 0 0 0 0 0 24749 0 0 1014196774 1427690676 27 Behavioral Health Clinic MIDWEST FAMILY & COMMUNITY RES 999999999 200 Cook 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 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 5556 0 0 5556 0 0 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MURPHY JOEL D 999999999 200 Cook 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 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 0 707 0 0 0 0 0 0 0 0 707 0 0 1014286864 1992290621 10 Physicians RAO NYMISHA A 999999999 30 DuPage 0 0 Family Practice 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 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 0 502 0 0 0 0 0 0 502 0 0 1014287178 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 28445 0 0 0 0 0 0 0 0 0 0 0 0 0 28445 0 0 1014287189 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 15473 0 0 0 0 0 0 0 0 0 0 0 0 0 15473 0 0 1014287409 1093084907 10 Physicians PATEL HITEN 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Practitioners CROMWELL EUNICE OTUWA 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 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 0 706 0 0 0 0 0 0 706 0 0 1014288194 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 64 0 0 0 0 0 0 64 0 0 1014288240 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 4 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 0 130 130 0 0 1014288251 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 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 1014288448 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 0 269 0 0 0 0 0 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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 13934 0 0 0 0 0 0 0 0 0 0 0 0 0 13934 0 0 1014351710 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 0 155 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 14256 0 0 0 0 0 0 0 0 0 0 0 0 0 14256 0 0 1014351789 1265491468 86 Clinical Social Worker(Encounter Only) SHAW REBECCA 999999999 91 Sangamon 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 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 0 394 0 0 0 0 0 0 394 0 0 1014352101 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 37 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 1014352283 91 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Physicians CAMPBELL KAITLIN MCCLENAHAN 999999999 200 Cook 0 0 Family Practice 0 0 0 0 4 0 0 0 0 0 0 1 0 62 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 1 0 148 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 1 0 148 0 0 0 0 0 0 0 0 0 392 0 0 0 0 0 0 5 0 3740 0 0 0 0 0 0 4137 0 0 1014399509 10 Physicians 200 Cook 0 0 Emergency 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 1014399728 1649803560 16 Nurse Practitioners WESTRATE REBECCA 999999999 91 Sangamon 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 580 0 0 0 0 0 0 749 0 0 1014399789 1386625895 10 Physicians DOOLEY JOHN T 999999999 80 Peoria 0 0 Vascular Surgery 0 0 0 0 0 0 0 0 0 0 0 1 0 46 0 0 0 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 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5902 0 0 0 0 0 0 5902 0 0 1014399899 91 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0 0 1014473948 1083276703 16 Nurse Practitioners PROKOPF RACHEL 999999999 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 958 0 0 0 0 0 0 1043 0 0 1014473970 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 0 294 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 294 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19021 0 0 0 0 0 0 0 0 0 0 0 0 0 19021 0 0 1014474304 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 9331 0 0 0 0 0 0 0 0 0 0 0 0 0 9331 0 0 1014474334 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 0 365 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 28366 0 0 0 0 0 0 0 0 0 0 0 0 0 28366 0 0 1014474394 92 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4799 0 0 0 0 0 0 4799 0 0 1014474777 1871127019 16 Nurse Practitioners HAMM MICAH 999999999 63 Macon 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 63 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 82 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 82 0 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 0 0 2786 0 0 0 0 0 0 2843 0 0 1014474828 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 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 0 501 0 0 0 0 0 0 0 0 0 0 0 0 0 501 0 0 1014474876 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 0 272 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 27122 0 0 0 0 0 0 0 0 0 0 0 0 0 27122 0 0 1014475030 89 Physician Assistant Only(Encounter Only) 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 39 0 0 1014475239 1336528827 10 Physicians PASICHOW SCOTT 999999999 34 Fayette 0 0 Emergency Medicine 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 0 131 0 0 0 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 5923 0 0 0 0 0 0 5923 0 0 1014475261 1447861869 63 Other Providers of Medical Equipment/Supplies (Non-registered) ARCADIA CARE BLOOMINGTON 999999999 72 McLean 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 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 7282 0 0 0 0 0 0 7282 0 0 1014475364 1265524771 10 Physicians HAZLEWOOD DEXTER 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 1129 0 0 0 0 0 0 1145 0 0 1014475609 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 36 0 0 0 0 0 0 0 0 0 0 0 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CHERIAN SELBY 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 0 0 0 0 0 0 0 0 0 0 1014624916 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 0 162 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 26603 0 0 0 0 0 0 0 0 0 0 0 0 0 26603 0 0 1014624933 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 0 207 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 26730 0 0 0 0 0 0 0 0 0 0 0 0 0 26730 0 0 1014625286 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 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 2 0 0 0 0 0 0 2 0 0 1014625460 75 Department of Alcohol and Substance Abuse Provider 200 Cook 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 0 218 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 218 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17788 0 0 0 0 0 0 0 0 0 0 0 0 0 17788 0 0 1014625803 1821272006 10 Physicians OLWENY EPHREM O 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 8206 0 0 0 0 0 0 8255 0 0 1014626189 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 0 102 0 0 0 0 0 0 102 0 0 1014626301 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 0 0 0 0 0 0 0 0 0 0 1014626352 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 22623 0 0 0 0 0 0 0 0 0 0 0 0 0 22623 0 0 1014626359 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 26378 0 0 0 0 0 0 0 0 0 0 0 0 0 26378 0 0 1014626580 1093354078 33 Nursing Facilities "CITADEL OF SKOKIE, THE" 999999999 200 Cook 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 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6321 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 855800 0 0 0 0 0 0 0 855800 0 0 1014626623 1114560190 63 Other Providers of Medical Equipment/Supplies (Non-registered) UNITYPOINT AT HOME 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 308 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2574 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2574 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51379 0 97 0 0 0 0 51476 0 0 1014626682 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 0 232 0 0 0 0 0 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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 1291 0 0 0 0 0 0 1291 0 0 1014626945 1336759935 33 Nursing Facilities ALHAMBRA REHAB AND HEALTHCARE 999999999 65 Madison 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 97 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2425 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 184698 0 0 0 0 0 0 0 184698 0 0 1014627177 1134750342 16 Nurse Practitioners WELCH HEATHER 999999999 96 St Clair 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 0 187 0 0 0 0 0 0 187 0 0 1014627196 1730792359 11 Dentists ABRAHAM JASON 999999999 200 Cook 0 0 General Dentistry 0 0 0 204 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 1011 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 1011 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 35352 0 0 0 0 0 0 0 0 0 0 0 2664 0 0 0 0 38016 0 0 1014627397 1447702089 10 Physicians TRIPATHEE NIROJ 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 375 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 375 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5227 0 171 0 0 0 0 0 0 5398 0 0 1014627446 1689869588 89 Physician Assistant Only(Encounter Only) STULTS VANESSA M 999999999 96 St Clair 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 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 0 428 0 0 0 0 0 0 428 0 0 1014627570 94 Waiver service provider--Children's support (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 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 2700 0 0 0 0 0 0 0 0 0 0 0 0 0 2700 0 0 1014627847 1083238299 16 Nurse Practitioners WOLF ANJA 999999999 106 Whiteside 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 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 1284 0 0 0 0 0 0 1284 0 0 1014627880 1639648652 16 Nurse Practitioners SCAMMAN AMY 999999999 31 Edgar 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 0 428 0 0 0 0 0 0 428 0 0 1014628348 10 Physicians 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 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 0 249 0 0 0 0 0 0 249 0 0 1014628436 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 29293 0 0 0 0 0 0 0 0 0 0 0 0 0 29293 0 0 1014628455 10 Physicians 53 Kane 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 43 0 0 1014628592 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 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4592 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4592 0 0 1014885250 1699209635 10 Physicians WEISS BRIAN 999999999 200 Cook 0 0 Pediatrics 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 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 1863 0 0 0 0 0 0 1863 0 0 1014885276 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 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 1014885319 86 Clinical Social Worker(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 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 1056 0 0 0 0 0 0 1056 0 0 1014885398 1811520117 16 Nurse Practitioners MCENERNEY 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 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 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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 16366 0 0 0 0 0 0 0 0 0 0 0 0 0 16366 0 0 1014888157 1164061479 16 Nurse Practitioners WOOD STEVEN T 999999999 109 Winnebago 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 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3861 0 0 0 0 0 0 3861 0 0 1014888158 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 0 147 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 22912 0 0 0 0 0 0 0 0 0 0 0 0 0 22912 0 0 1014888305 1194174110 10 Physicians STEVENSON EMILY M 999999999 200 Cook 0 0 Dermatology 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 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 0 326 0 0 0 0 0 0 326 0 0 1014888310 1710578117 89 Physician Assistant Only(Encounter Only) JOHNSON PARKER B 999999999 19 Champaign 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 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 1018 0 0 0 0 0 0 1018 0 0 1014888363 70 Ambulance Service Providers 817 Kansas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1410 0 0 0 0 0 0 1410 0 0 1014888461 1578121943 10 Physicians NAJAFI SONA 999999999 53 Kane 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 2 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 155 0 0 0 0 0 0 226 0 0 1014888517 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 12038 0 0 0 0 0 0 0 0 0 0 0 0 0 12038 0 0 1014888568 1699156737 10 Physicians MAROOF SHAHRAM 999999999 24 Coles 0 0 Internal Medicine 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 0 249 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 249 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6867 0 0 0 0 0 0 6867 0 0 1014888857 89 Physician Assistant Only(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 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 1014888936 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 2786 0 0 0 0 0 0 0 0 0 0 0 0 0 2786 0 0 1014889051 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 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 1810 0 0 0 0 0 0 0 0 0 0 0 0 0 1810 0 0 1014889065 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 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Pediatrics 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 6064 0 0 0 0 0 0 6064 0 0 1014975078 10 Physicians 200 Cook 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 52 0 0 0 0 0 0 52 0 0 1014975183 16 Nurse Practitioners 63 Macon 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 0 221 0 0 0 0 0 0 221 0 0 1014975471 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 2854 0 0 0 0 0 0 0 0 0 0 0 0 0 2854 0 0 1014975534 1346592383 10 Physicians DIHOWM HANAN 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 13 0 0 0 0 0 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3677 0 0 0 0 0 0 0 0 0 0 0 0 0 3677 0 0 1014975752 1396290417 63 Other Providers of Medical Equipment/Supplies (Non-registered) MIDWEST MEDICAL SUPPLIES & EQU 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 1075 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1075 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124572 0 0 0 0 0 0 124572 0 0 1014976059 1689206005 89 Physician Assistant Only(Encounter Only) GAROFALO JAMIE 999999999 47 Jackson 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 0 286 0 0 0 0 0 0 286 0 0 1014976134 1083253306 89 Physician Assistant Only(Encounter Only) DENNEHEY CHARLES G 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 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 0 187 0 0 0 0 0 0 187 0 0 1014976529 1700478328 16 Nurse Practitioners BROCK RACHEL 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Abuse Provider CENTERSTONE OF ILLINOIS INC 999999999 99 Union 0 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 0 384 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 485 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104210 0 0 104210 0 0 1014977350 1386246213 16 Nurse Practitioners TORIBIO KRISTOPHER 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 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 1781 0 0 0 0 0 0 1781 0 0 1014977392 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 29446 0 0 0 0 0 0 0 0 0 0 0 0 0 29446 0 0 1014977465 1609418516 63 Other Providers of Medical Equipment/Supplies (Non-registered) APERION CARE FOREST PARK 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 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1598227407 10 Physicians MOHAMMAD SHAHID 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 283 0 369 0 0 0 0 0 0 652 0 0 1014978607 94 Waiver service provider--Children's support (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 0 104 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 6309 0 0 0 0 0 0 0 0 0 0 0 0 0 6309 0 0 1014978673 1497385264 16 Nurse Practitioners GHERMAN MAYA O 999999999 57 Lake 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 0 134 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 2327 0 0 0 0 0 0 2327 0 0 1014978722 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 0 107 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 27758 0 0 0 0 0 0 0 0 0 0 0 0 0 27758 0 0 1014978827 92 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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 18465 0 0 18465 0 0 1015037959 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 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 1723 0 0 0 0 0 0 0 0 0 0 0 0 0 1723 0 0 1015038164 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 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 8110 0 0 0 0 0 0 0 0 0 0 0 0 0 8110 0 0 1015038168 91 Waiver service provider--Adults (DHS/DDD) 78 Moultrie 0 0 0 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 27839 0 0 0 0 0 0 0 0 0 0 0 0 0 27839 0 0 1015038199 94 Waiver service provider--Children's support (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 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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 8148 0 0 0 0 0 0 0 0 0 0 0 0 0 8148 0 0 1015163207 1215370903 10 Physicians WESTON RAQUEL A 999999999 47 Jackson 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 131 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 131 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 188 0 4352 0 0 0 0 0 0 4540 0 0 1015163239 1952073983 12 Optometrists MCKINNEY EMILY J 999999999 100 Vermilion 0 0 Diagnostic Pharmaceutical Agents 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 0 185 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 2981 0 0 0 0 0 0 2981 0 0 1015163268 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 3690 0 0 0 0 0 0 0 0 0 0 0 0 0 3690 0 0 1015163402 1114360690 10 Physicians STASZAK JESSICA 999999999 47 Jackson 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 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 1896 0 0 0 0 0 0 1896 0 0 1015163409 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 13116 0 0 0 0 0 0 0 0 0 0 0 0 0 13116 0 0 1015163515 1861166530 63 Other Providers of Medical Equipment/Supplies (Non-registered) ELEVATE CARE COUNTRY CLUB HILL 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 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 13107 0 0 0 0 0 0 13107 0 0 1015163563 1477903144 10 Physicians WELDER CHRIS R 999999999 51 Jo Daviess 0 0 Radiology Diagnosis 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 0 390 0 0 0 0 0 0 0 0 390 0 0 1015163649 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 16066 0 0 0 0 0 0 0 0 0 0 0 0 0 16066 0 0 1015163701 1821753039 16 Nurse Practitioners CAVE EDITH 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 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 43 0 0 0 0 0 0 43 0 0 1015164016 1073809141 10 Physicians MCCLINTOCK AMY C 999999999 47 Jackson 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 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 0 414 0 0 0 0 0 0 414 0 0 1015164165 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 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 0 716 0 0 0 0 0 0 0 0 0 0 0 0 0 716 0 0 1015164243 1043888076 16 Nurse Practitioners WATKINS MIA 999999999 200 Cook 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 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 2367 0 0 0 0 0 0 2367 0 0 1015164297 1922492164 10 Physicians STEIN ANDREW 60612 200 Cook 0 0 Otolaryngology 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 0 145 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 5048 0 0 0 0 0 0 5048 0 0 1015164664 4015164664 72 Taxicabs and Livery Companies "COUSINS TRANSPORTATION, LLC" 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 0 613 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 613 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4270 0 0 0 0 0 0 4270 0 0 1015164760 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 3055 0 0 0 0 0 0 0 0 0 0 0 0 0 3055 0 0 1015164927 10 Physicians 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 0 0 0 0 0 0 0 0 0 0 1015165224 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 13830 0 0 0 0 0 0 0 0 0 0 0 0 0 13830 0 0 1015165318 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 19204 0 0 0 0 0 0 0 0 0 0 0 0 0 19204 0 0 1015165359 1518913094 10 Physicians LORCH JOCHEN H 999999999 200 Cook 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 0 404 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 130195 0 0 0 0 0 0 130195 0 0 1015165440 4015165440 72 Taxicabs and Livery Companies TRIPLE TTT LLC 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 0 146 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 1167 0 0 0 0 0 0 1167 0 0 1015165462 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 0 203 0 0 0 0 0 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 6800 0 0 0 0 0 0 0 0 0 0 0 0 0 6800 0 0 1015165463 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 0 898 0 0 0 0 0 0 0 0 0 0 0 0 0 898 0 0 1015165718 1013295179 10 Physicians ALQAQA ASHRAF Y 999999999 80 Peoria 0 0 Internal 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 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 0 181 0 0 0 0 0 0 181 0 0 1015165795 1265795140 10 Physicians AL-KAZAZ MOHAMED M 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 8 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 380 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 380 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3418 0 0 0 0 0 0 3418 0 0 1015166026 1790167914 10 Physicians ARROYO PAREJO DRAYER PATRICIA 999999999 91 Sangamon 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 7 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 4126 0 0 0 0 0 0 4146 0 0 1015166221 1265184634 16 Nurse Practitioners THOMAS TIMI 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 0 307 0 0 0 0 0 0 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 0 240 0 0 0 0 0 0 240 0 0 1015166286 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 16124 0 0 0 0 0 0 0 0 0 0 0 0 0 16124 0 0 1015166288 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 42 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 1015166568 1063089282 11 Dentists PATEL HARSHKUMAR K 999999999 200 Cook 0 0 General Dentistry 0 0 0 243 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30976 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30976 0 0 1015166671 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 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 22 0 0 0 0 0 0 0 0 22 0 0 1015166881 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 0 173 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 16395 0 0 0 0 0 0 0 0 0 0 0 0 0 16395 0 0 1015166884 1578590642 10 Physicians JACKSON SHERRI L 999999999 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 484 0 101 0 0 0 0 0 0 585 0 0 1015166993 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 3193 0 0 0 0 0 0 0 0 0 0 0 0 0 3193 0 0 1015167052 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 1736 0 0 0 0 0 0 0 0 0 0 0 0 0 1736 0 0 1015167292 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 0 201 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 9277 0 0 0 0 0 0 0 0 0 0 0 0 0 9277 0 0 1015167555 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 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0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 11871 0 0 0 0 12124 0 0 1015250358 1801280268 10 Physicians HUYNH HUAN 999999999 80 Peoria 0 0 Neurology 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 0 453 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 453 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9555 0 0 0 0 0 0 9555 0 0 1015250452 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 0 184 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 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1015250471 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 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 1495 0 0 0 0 0 0 0 0 0 0 0 0 0 1495 0 0 1015250794 1619549805 11 Dentists KARIM HEDAYA 999999999 107 Will 0 0 General Dentistry 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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CRESTWOOD REHABILITATION CENTE 999999999 200 Cook 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 0 266 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6968 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1220872 0 0 0 0 0 0 0 1220872 0 0 1015444603 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 0 241 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 241 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25207 0 0 0 0 0 0 0 0 0 0 0 0 0 25207 0 0 1015444627 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 0 241 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 241 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28916 0 0 0 0 0 0 0 0 0 0 0 0 0 28916 0 0 1015444729 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 5421 0 0 0 0 0 0 0 0 0 0 0 0 0 5421 0 0 1015444760 4015444760 90 Waiver service 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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 0 408 0 0 0 0 0 0 408 0 0 1015448490 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 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 23670 0 0 0 0 0 0 0 0 0 0 0 0 0 23670 0 0 1015448643 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 21932 0 0 0 0 0 0 0 0 0 0 0 0 0 21932 0 0 1015448756 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 0 327 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 327 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29056 0 0 0 0 0 0 0 0 0 0 0 0 0 29056 0 0 1015448960 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 4465 0 0 0 0 0 0 0 0 0 0 0 0 0 4465 0 0 1015449116 1437556958 63 Other Providers of Medical Equipment/Supplies (Non-registered) DIETITIANS AT HOME THERAPEUTIC 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 631 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2527 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2527 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44544 0 0 0 0 0 0 44544 0 0 1015449126 1215324413 10 Physicians WANKEN ZACHARY J 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 3212 0 0 0 0 0 0 3225 0 0 1015449149 1730763194 23 Occupational Therapists THEOBALD DAKOTA K 999999999 91 Sangamon 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 0 188 0 0 0 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 10108 10108 0 0 1015449232 11 Dentists 200 Cook 0 0 General Dentistry/Anesthesiology 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 0 363 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 363 0 0 1015449240 16 Nurse Practitioners 53 Kane 0 0 0 0 0 0 0 0 0 0 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 1015449548 28 Waiver service provider--Supportive living facility (HFS) 23 Clinton 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 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 641 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53487 0 0 0 0 0 0 0 0 0 0 0 0 0 53487 0 0 1015449729 1871910810 10 Physicians SCHULTZ HEATHER 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 115 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 181 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 181 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2892 0 566 0 0 0 0 0 0 3458 0 0 1015449863 10 Physicians 107 Will 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 1015450205 10 Physicians 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 71 0 0 1015450213 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 3084 0 0 0 0 0 0 0 0 0 0 0 0 0 3084 0 0 1015450256 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 0 158 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 26663 0 0 0 0 0 0 0 0 0 0 0 0 0 26663 0 0 1015450310 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 3813 0 0 0 0 0 0 0 0 0 0 0 0 0 3813 0 0 1015450505 1790455202 91 Waiver service provider--Adults (DHS/DDD) MUHAMMAD HAMIDAH 999999999 30 DuPage 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 0 742 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 742 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65201 0 0 0 0 0 0 0 0 0 0 0 0 0 65201 0 0 1015450551 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 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 1015450605 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 0 763 0 0 0 0 0 0 0 0 0 0 0 0 0 763 0 0 1015450620 1639811383 33 Nursing Facilities "PEARL OF JOLIET, THE" 999999999 107 Will 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 0 107 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 2670 0 0 1015482585 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 0 220 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 220 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25923 0 0 0 0 0 0 0 0 0 0 0 0 0 25923 0 0 1015482611 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 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 0 153 153 0 0 1015482722 1942705975 10 Physicians KINKER DANIEL S 999999999 91 Sangamon 0 0 Emergency Medicine 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 0 707 0 0 0 0 0 0 707 0 0 1015482830 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 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 12706 0 0 0 0 0 0 0 0 0 0 0 0 0 12706 0 0 1015483092 1346862984 89 Physician Assistant Only(Encounter Only) SANDERS JENNIFER A 999999999 47 Jackson 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 0 148 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 0 930 0 0 0 0 0 0 930 0 0 1015483115 16 Nurse Practitioners 80 Peoria 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 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 0 197 0 0 0 0 0 0 197 0 0 1015483146 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 39 0 0 0 0 0 0 39 0 0 1015483426 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 0 205 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 15919 0 0 0 0 0 0 0 0 0 0 0 0 0 15919 0 0 1015483504 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 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 2941 0 0 0 0 0 0 0 0 0 0 0 0 0 2941 0 0 1015483599 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 11607 0 0 0 0 0 0 0 0 0 0 0 0 0 11607 0 0 1015483616 1891709226 10 Physicians GOSAIN SUDHIR 999999999 200 Cook 0 0 Internal 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 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 0 192 0 0 0 0 0 0 192 0 0 1015483709 10 Physicians 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 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 0 234 0 0 0 0 0 0 234 0 0 1015483840 1437785979 16 Nurse Practitioners GRANGER JODI 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 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 31 0 0 0 0 0 0 31 0 0 1015483981 1932299278 10 Physicians SINGH-BEHL DIVYA 999999999 200 Cook 0 0 Dermatology 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 44 0 0 0 0 0 0 44 0 0 1015484067 1962018374 61 Independent Laboratories CURATIVE LABS INC 999999999 845 Texas 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 0 119 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 5914 0 0 0 0 0 0 0 0 5914 0 0 1015484092 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 0 711 0 0 0 0 0 0 0 0 0 0 0 0 0 711 0 0 1015484097 1851799563 86 Clinical Social Worker(Encounter Only) ANDERSON LISA 999999999 55 Kendall 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 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 0 376 0 0 0 0 0 0 376 0 0 1015484290 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 0 172 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 18576 0 0 0 0 0 0 0 0 0 0 0 0 0 18576 0 0 1015484353 1972119055 24 Speech Therapists DEAN LESLEE 999999999 91 Sangamon 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 0 140 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 10084 10084 0 0 1015484403 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 19573 0 0 0 0 0 0 0 0 0 0 0 0 0 19573 0 0 1015484509 1881257806 27 Behavioral Health Clinic "HEALING STEPS COUNSELING, PC" 999999999 200 Cook 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5759 0 0 5988 0 0 1015484527 90 Waiver service provider--Elderly (DOA) 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 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 5617 0 0 0 0 0 0 0 0 0 0 0 0 0 5617 0 0 1015484642 1972932911 10 Physicians GOMCELI UMUT 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 0 318 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 1927 0 0 0 0 0 0 1927 0 0 1015484667 1518533553 11 Dentists MASSAD AHMED 999999999 200 Cook 0 0 General Dentistry 0 0 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1557 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1557 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71112 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71112 0 0 1015485118 92 Waiver service 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Practitioners VANDERWALL AARON M 999999999 80 Peoria 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 0 458 0 0 0 0 0 0 458 0 0 1015485578 1992473110 22 Physical Therapists GACEK ALEXANDER 999999999 200 Cook 0 0 0 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 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 0 333 333 0 0 1015485865 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 20202 0 0 0 0 0 0 0 0 0 0 0 0 0 20202 0 0 1015486021 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 0 252 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 20668 0 0 0 0 0 0 0 0 0 0 0 0 0 20668 0 0 1015486039 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 1925 0 0 0 0 0 0 0 0 0 0 0 0 0 1925 0 0 1015486102 23 Occupational Therapists 53 Kane 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 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 0 615 615 0 0 1015486150 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 68 0 0 1015486432 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 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 2575 0 0 0 0 0 0 0 0 0 0 0 0 0 2575 0 0 1015486459 1861434979 87 Psychologist(Encounter Only) TAYLOR SHIRLEY E 999999999 200 Cook 0 0 0 0 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Practitioners 60 Lee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1015507895 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 1993 0 0 0 0 0 0 0 0 0 0 0 0 0 1993 0 0 1015508046 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 0 220 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 220 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14110 0 0 0 0 0 0 0 0 0 0 0 0 0 14110 0 0 1015508051 1578097846 10 Physicians LOMBARDI CHRISTOPHER 999999999 109 Winnebago 0 0 Psychiatry 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 0 166 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 13876 0 0 0 0 0 0 13876 0 0 1015508134 92 Waiver service provider--Disability (DHS/DRS) 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MITCHELL MEGHAN E 999999999 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 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 2037 0 0 0 0 0 0 2037 0 0 1015508850 16 Nurse Practitioners 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1015509608 1922529627 10 Physicians MOSES KAREN D 999999999 109 Winnebago 0 0 Obstetric-Gynecology 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 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 8121 0 0 0 0 0 0 8121 0 0 1015509609 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 0 205 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 4136 0 0 0 0 0 0 0 0 0 0 0 0 0 4136 0 0 1015509648 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 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MANNACHANALLUR 999999999 10 Adams 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 27 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 62 0 0 0 0 0 0 111 0 0 1015554143 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 1338 0 0 0 0 0 0 0 0 0 0 0 0 0 1338 0 0 1015554225 1942858253 89 Physician Assistant Only(Encounter Only) FIORETTI TINA R 999999999 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 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 0 236 0 0 0 0 0 0 236 0 0 1015554616 16 Nurse Practitioners 10 Adams 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 31 0 0 0 0 0 0 31 0 0 1015554640 92 Waiver service provider--Disability 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0 0 8529 0 0 1015621503 1649446824 10 Physicians KHAN MOHAMMED S 999999999 80 Peoria 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 644 0 0 0 0 0 0 728 0 0 1015621590 1578943734 10 Physicians SPRUCE MARGUERITE W 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 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 1488 0 0 0 0 0 0 1488 0 0 1015621651 94 Waiver service provider--Children's support (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 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4082 0 0 0 0 0 0 0 0 0 0 0 0 0 4082 0 0 1015621653 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 0 0 0 0 0 0 0 0 0 0 1015621673 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 15249 0 0 0 0 0 0 0 0 0 0 0 0 0 15249 0 0 1015621915 10 Physicians 200 Cook 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 0 813 0 0 0 0 0 0 813 0 0 1015621980 1992291439 10 Physicians RAHMAN TANVIR 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 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 0 614 0 0 0 0 0 0 614 0 0 1015622143 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 2134 0 0 0 0 0 0 0 0 0 0 0 0 0 2134 0 0 1015622570 1174723761 89 Physician Assistant Only(Encounter Only) YANKE JAMES 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TRUONG KEN 999999999 30 DuPage 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 0 177 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 13162 13162 0 0 1015622809 4015622809 72 Taxicabs and Livery Companies "HAPPY ENTERPRISES, LLC" 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 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 0 482 0 0 0 0 0 0 482 0 0 1015622874 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 88 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 13757 0 0 0 0 0 0 0 0 0 0 0 0 0 13757 0 0 1015622936 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 20109 0 0 0 0 0 0 0 0 0 0 0 0 0 20109 0 0 1015623072 92 Waiver service 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Physicians FREDERIKSEN RYAN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 562 0 0 0 0 0 0 0 0 562 0 0 1015627363 72 Taxicabs and Livery Companies 55 Kendall 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 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 0 963 0 0 0 0 0 0 963 0 0 1015627463 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 0 971 0 0 0 0 0 0 0 0 0 0 0 0 0 971 0 0 1015627505 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 0 308 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 0 0 0 0 0 28447 0 0 0 0 0 0 0 0 0 0 0 0 0 28447 0 0 1015627788 1841388378 10 Physicians JIMBO MASAHITO 999999999 200 Cook 0 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12946 0 0 1015629033 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 7819 0 0 0 0 0 0 0 0 0 0 0 0 0 7819 0 0 1015629143 1295239697 10 Physicians HOFFKLING ALEXIS 999999999 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 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 1295 0 0 0 0 0 0 1295 0 0 1015629157 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 6755 0 0 0 0 0 0 0 0 0 0 0 0 0 6755 0 0 1015629198 1962744573 10 Physicians WOO JASON 999999999 200 Cook 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 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 46 0 0 0 0 0 0 46 0 0 1015629404 1144884776 10 Physicians HWANG JUDY 999999999 200 Cook 0 0 Emergency Medicine 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 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 4478 0 0 0 0 0 0 4478 0 0 1015629790 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 14427 0 0 0 0 0 0 0 0 0 0 0 0 0 14427 0 0 1015629792 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 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 0 244 0 0 0 0 0 0 244 0 0 1015629810 1164953295 10 Physicians KRAWITZ BRIAN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 5873 0 0 0 0 0 0 5882 0 0 1015630005 92 Waiver service 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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 0 297 297 0 0 1015639018 94 Waiver service provider--Children's support (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 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 1247 0 0 0 0 0 0 0 0 0 0 0 0 0 1247 0 0 1015639211 1710331756 10 Physicians ROBIN RYAN MICHAEL 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 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 0 353 0 0 0 0 0 0 353 0 0 1015639254 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 0 892 0 0 0 0 0 0 0 0 0 0 0 0 0 892 0 0 1015639374 1346789740 10 Physicians ELYAMAN ALA A 999999999 200 Cook 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 0 133 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 0 435 0 0 0 0 0 0 435 0 0 1015639522 16 Nurse Practitioners 91 Sangamon 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 76 0 0 0 0 0 0 76 0 0 1015639557 1144742230 10 Physicians AHMED ALAA 999999999 90 Saline 0 0 Psychiatry 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 0 160 0 0 0 0 0 0 160 0 0 1015639582 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 0 924 0 0 0 0 0 0 924 0 0 1015639664 1427462910 16 Nurse Practitioners HACKER AMY M 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 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 0 499 0 0 0 0 0 0 499 0 0 1015639683 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 2270 0 0 0 0 0 0 0 0 0 0 0 0 0 2270 0 0 1015639704 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 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 0 153 153 0 0 1015639708 94 Waiver service provider--Children's support (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 0 178 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 178 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14175 0 0 0 0 0 0 0 0 0 0 0 0 0 14175 0 0 1015639862 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 25261 0 0 0 0 0 0 0 0 0 0 0 0 0 25261 0 0 1015640047 1306811948 10 Physicians MUJAHID ANJUM 999999999 200 Cook 0 0 Psychiatry 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 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 2564 0 0 0 0 0 0 2564 0 0 1015640056 1043882590 16 Nurse Practitioners HOEHN KELSEY 999999999 89 Rock Island 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 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 3274 0 0 0 0 0 0 3274 0 0 1015640063 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 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 12690 0 0 0 0 0 0 0 0 0 0 0 0 0 12690 0 0 1015640080 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 0 131 0 0 0 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 13390 0 0 0 0 0 0 0 0 0 0 0 0 0 13390 0 0 1015640144 1285925016 10 Physicians DAHER AHMAD 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 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5191 0 0 0 0 0 0 5191 0 0 1015640245 1427444884 10 Physicians HINTZ ADAM 999999999 200 Cook 0 0 Physical Medicine/Rehabilitation 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 0 143 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 1807 0 0 0 0 0 0 1807 0 0 1015640519 1235887779 16 Nurse Practitioners CARRINGTON ADEJIMI 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 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 2270 0 0 0 0 0 0 2270 0 0 1015640578 1699930834 16 Nurse Practitioners KELLEY LETICIA M 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 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 0 184 0 0 0 0 0 0 184 0 0 1015640748 94 Waiver service provider--Children's support (DHS/DDD) 40 Grundy 0 0 0 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 4534 0 0 0 0 0 0 0 0 0 0 0 0 0 4534 0 0 1015640766 1124604517 16 Nurse Practitioners KLEGERIS KRISTS 999999999 35 Ford 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 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 1419 0 0 0 0 0 0 1419 0 0 1015640835 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 0 265 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 21057 0 0 0 0 0 0 0 0 0 0 0 0 0 21057 0 0 1015640885 1407517394 16 Nurse Practitioners COYER BEN 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 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 0 787 0 0 0 0 0 0 787 0 0 1015640960 1487183893 10 Physicians PLOUZEK ALYSSA 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 404 0 66 0 0 0 0 0 0 470 0 0 1015641078 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 0 740 0 0 0 0 0 0 0 0 0 0 0 0 0 740 0 0 1015641167 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 0 0 0 0 0 0 0 0 0 0 1015641262 1467617902 10 Physicians GAURAV KUMAR 999999999 81 Perry 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 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 0 144 0 0 0 0 0 0 144 0 0 1015641355 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 0 104 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 17927 0 0 0 0 0 0 0 0 0 0 0 0 0 17927 0 0 1015641378 94 Waiver service provider--Children's support (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 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 4174 0 0 0 0 0 0 0 0 0 0 0 0 0 4174 0 0 1015641645 91 Waiver service provider--Adults (DHS/DDD) 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 0 180 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 7857 0 0 0 0 0 0 0 0 0 0 0 0 0 7857 0 0 1015641666 1396312419 16 Nurse Practitioners KUSTERMANN KRISTEN L 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 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 0 231 0 0 0 0 0 0 231 0 0 1015641734 1578229274 16 Nurse Practitioners SIDORSKI DAGMARA A 999999999 200 Cook 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 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 1422 0 0 0 0 0 0 1422 0 0 1015641966 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 0 140 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 23268 0 0 0 0 0 0 0 0 0 0 0 0 0 23268 0 0 1015641997 1205406766 12 Optometrists WEIS JESSICA LYNN 999999999 200 Cook 0 0 Diagnostic Pharmaceutical Agents 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 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 0 309 0 0 0 0 0 0 309 0 0 1015642207 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 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 9867 0 0 0 0 0 0 0 0 0 0 0 0 0 9867 0 0 1015642270 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 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 8406 0 0 0 0 0 0 0 0 0 0 0 0 0 8406 0 0 1015642397 1518609171 16 Nurse Practitioners SHRESTHA SANJINA 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 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 0 156 0 0 0 0 0 0 156 0 0 1015642474 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 27734 0 0 0 0 0 0 0 0 0 0 0 0 0 27734 0 0 1015642675 1992736425 63 Other Providers of Medical Equipment/Supplies (Non-registered) TOTAL MEDICAL SUPPLY INC 999999999 845 Texas 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 0 397 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 397 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17500 0 0 0 0 0 0 17500 0 0 1015642713 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 3781 0 0 0 0 0 0 0 0 0 0 0 0 0 3781 0 0 1015642735 1720759830 16 Nurse Practitioners BASSO EVALYNNE D 999999999 80 Peoria 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 70 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 2273 0 0 0 0 0 0 2305 0 0 1015642848 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 3817 0 0 0 0 0 0 0 0 0 0 0 0 0 3817 0 0 1015642866 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 0 245 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 20077 0 0 0 0 0 0 0 0 0 0 0 0 0 20077 0 0 1015643192 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 0 238 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 26740 0 0 0 0 0 0 0 0 0 0 0 0 0 26740 0 0 1015643289 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 0 153 0 0 0 0 0 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 20090 0 0 0 0 0 0 0 0 0 0 0 0 0 20090 0 0 1015643327 1154825271 10 Physicians KHAN ARSHAD M 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 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 0 473 0 0 0 0 0 0 473 0 0 1015643457 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 0 197 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 24343 0 0 0 0 0 0 0 0 0 0 0 0 0 24343 0 0 1015643540 1306397401 70 Ambulance Service Providers AIR CARE 520039597 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 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 8460 0 0 0 0 0 0 8460 0 0 1015643630 1023434347 10 Physicians MCGOWAN BRETT A 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 185 0 0 0 0 0 0 232 0 0 1015643686 1558947556 16 Nurse Practitioners YAGER ELIZABETH 999999999 89 Rock Island 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 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 0 118 0 0 0 0 0 0 118 0 0 1015643932 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 7216 0 0 0 0 0 0 0 0 0 0 0 0 0 7216 0 0 1015643988 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 10257 0 0 0 0 0 0 0 0 0 0 0 0 0 10257 0 0 1015644040 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 99 0 0 0 0 0 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 15395 0 0 0 0 0 0 0 0 0 0 0 0 0 15395 0 0 1015644162 1528562972 10 Physicians BREWER MATTHEW 999999999 80 Peoria 0 0 Emergency Medicine 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 0 179 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 7838 0 0 0 0 0 0 7838 0 0 1015644242 1558030007 47 Local Education Agencies NPT SPECIAL EDUCATION COOPERAT 999999999 20 Christian 0 0 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 2429 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2429 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25043 0 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Nurse Practitioners JOHNSON JOY 999999999 19 Champaign 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 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 0 184 0 0 0 0 0 0 184 0 0 1015665561 4015665561 90 Waiver service provider--Elderly (DOA) CENTRAL ILLINOIS CARE SERVICES 999999999 96 St Clair 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 2620 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2620 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 193277 0 0 0 0 0 0 0 0 0 0 0 0 0 193277 0 0 1015665987 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 0 119 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 13812 0 0 0 0 0 0 0 0 0 0 0 0 0 13812 0 0 1015666020 1053981423 16 Nurse Practitioners LAND MEGAN 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 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 0 373 0 0 0 0 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SILVERSTEIN JACQUELINE 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 0 309 0 0 0 0 0 0 309 0 0 1015773648 1952958894 11 Dentists ALQAWASMEH SUHAIB I 999999999 200 Cook 0 0 General Dentistry 0 0 0 68 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 12273 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12273 0 0 1015773730 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 0 156 0 0 0 0 0 0 0 0 0 0 0 0 0 156 0 0 1015773799 1386960359 10 Physicians ROWLAND MICHELLE 999999999 80 Peoria 0 0 Obstetric-Gynecology 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 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 2558 0 0 0 0 0 0 2558 0 0 1015773816 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Therapists 55 Kendall 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 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 99 99 0 0 1015775283 1942761481 16 Nurse Practitioners ZWIT CHRISTINA 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 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 6018 0 0 0 0 0 0 6018 0 0 1015775444 1760136618 89 Physician Assistant Only(Encounter Only) MILLER SIDNEY 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 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 1070 0 0 0 0 0 0 1070 0 0 1015775461 1689348922 16 Nurse Practitioners MCKINNEY SCOTT KATHLEEN 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 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 1479 0 0 0 0 0 0 1479 0 0 1015775758 91 Waiver 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(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 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 0 552 0 0 0 0 0 0 0 0 0 0 0 0 0 552 0 0 1015878121 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 2 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 2634 2634 0 0 1015878212 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 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 4159 0 0 0 0 0 0 0 0 0 0 0 0 0 4159 0 0 1015878272 1770159378 11 Dentists PATEL PARAGKUMAR S 999999999 30 DuPage 0 0 General Dentistry 0 0 0 259 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 1267 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 1267 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 61705 0 0 0 0 0 0 0 0 0 0 0 17327 0 0 0 0 79032 0 0 1015878412 91 Waiver service provider--Adults (DHS/DDD) 107 Will 0 0 0 0 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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 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2368 0 0 0 0 0 0 2368 0 0 1015879621 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 23331 0 0 0 0 0 0 0 0 0 0 0 0 0 23331 0 0 1015879672 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 30846 0 0 0 0 0 0 0 0 0 0 0 0 0 30846 0 0 1015879838 1285074104 10 Physicians DESAI SHAMIT 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 94 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 111 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 111 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 725 0 2378 0 0 0 0 0 0 3103 0 0 1015879880 1346912292 16 Nurse Practitioners DUNCAN KAITLYN N 999999999 72 McLean 0 0 0 0 0 0 0 0 0 0 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0 0 0 0 0 0 0 0 172 0 0 1015880879 1467125237 16 Nurse Practitioners ROCHFORD JORDYN L 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 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 1170 0 0 0 0 0 0 1170 0 0 1015880882 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 3935 0 0 0 0 0 0 0 0 0 0 0 0 0 3935 0 0 1015880885 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 20102 0 0 0 0 0 0 0 0 0 0 0 0 0 20102 0 0 1015881032 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 0 137 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 137 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22569 0 0 0 0 0 0 0 0 0 0 0 0 0 22569 0 0 1015881036 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 26816 0 0 0 0 0 0 0 0 0 0 0 0 0 26816 0 0 1015881093 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 24717 0 0 0 0 0 0 0 0 0 0 0 0 0 24717 0 0 1015881112 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 3309 0 0 0 0 0 0 0 0 0 0 0 0 0 3309 0 0 1015881148 1013259720 10 Physicians OMORODION NANCY 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 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 0 520 0 0 0 0 0 0 520 0 0 1015881445 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0 0 0 0 0 0 3048 0 0 0 0 0 0 0 0 0 0 0 0 0 3048 0 0 1015882094 1871933598 10 Physicians LEPERE ALIA 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 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 1043 0 0 0 0 0 0 1043 0 0 1015882257 1417451618 10 Physicians OTAISHAN DIMA E 999999999 200 Cook 0 0 Internal Medicine 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 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 1901 0 0 0 0 0 0 1901 0 0 1015882451 1588059265 10 Physicians PATEL RAVI 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 78 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 0 5091 0 0 0 0 0 0 5591 0 0 1015882543 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 0 239 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 239 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 6188 0 0 0 0 0 0 0 0 0 0 0 0 0 6188 0 0 1015883208 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 0 148 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 20831 0 0 0 0 0 0 0 0 0 0 0 0 0 20831 0 0 1015883330 1649682543 10 Physicians DAKAY KATARINA BODNAR 999999999 91 Sangamon 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 2 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 171 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 171 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 4317 0 0 0 0 0 0 4338 0 0 1015883403 1932638111 10 Physicians PORTIN ELIZABETH 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 48 0 0 0 0 0 0 4 0 25 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 4 0 28 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 4 0 28 0 0 0 0 0 0 0 0 0 4883 0 0 0 0 0 0 17 0 1184 0 0 0 0 0 0 6084 0 0 1015883772 1518934884 10 Physicians CUSHMAN CYNTHIA 999999999 109 Winnebago 0 0 Psychiatry 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 19 0 0 0 0 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Physician Assistant Only(Encounter Only) HARIPRASAD SRUTHI 999999999 200 Cook 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 0 143 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 6095 0 0 0 0 0 0 6095 0 0 1015907927 1710358270 86 Clinical Social Worker(Encounter Only) HENTRICH JESSICA 999999999 63 Macon 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 0 121 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 0 361 0 0 0 0 0 0 361 0 0 1015908029 1801551452 89 Physician Assistant Only(Encounter Only) SCHROWANG KIMBER 999999999 24 Coles 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 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 2234 0 0 0 0 0 0 2234 0 0 1015908035 94 Waiver service provider--Children's support (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 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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 16197 0 0 0 0 0 0 0 0 0 0 0 0 0 16197 0 0 1016018226 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 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 0 844 0 0 0 0 0 0 0 0 0 0 0 0 0 844 0 0 1016018338 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 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 1016018400 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 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 14216 0 0 0 0 0 0 0 0 0 0 0 0 0 14216 0 0 1016018728 1952055469 86 Clinical Social Worker(Encounter Only) FRAZIER FELICIA 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 0 449 0 0 0 0 0 0 449 0 0 1016018795 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1016018943 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 7472 0 0 0 0 0 0 0 0 0 0 0 0 0 7472 0 0 1016019059 1356835284 10 Physicians ROOT MATTHEW 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 13 0 0 0 0 0 0 3 0 36 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 4 0 52 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 4 0 52 0 0 0 0 0 0 0 0 0 1440 0 0 0 0 0 0 220 0 1661 0 0 0 0 0 0 3321 0 0 1016019123 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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0 16269 0 0 1016095299 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 8752 0 0 0 0 0 0 0 0 0 0 0 0 0 8752 0 0 1016095319 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 5405 0 0 0 0 0 0 0 0 0 0 0 0 0 5405 0 0 1016095332 1598247520 89 Physician Assistant Only(Encounter Only) HALL ALEXIS 999999999 19 Champaign 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 0 172 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 2083 0 0 0 0 0 0 2083 0 0 1016095395 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 0 260 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 28633 0 0 0 0 0 0 0 0 0 0 0 0 0 28633 0 0 1016095475 10 Physicians 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 0 153 0 0 0 0 0 0 153 0 0 1016095478 1912374729 22 Physical Therapists MCNULTY CAITLIN 999999999 200 Cook 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 0 121 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 1653 1653 0 0 1016095720 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 22408 0 0 0 0 0 0 0 0 0 0 0 0 0 22408 0 0 1016096022 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 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 4169 0 0 0 0 0 0 0 0 0 0 0 0 0 4169 0 0 1016096043 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 1228 0 0 0 0 0 0 0 0 0 0 0 0 0 1228 0 0 1016096129 1598262503 10 Physicians HORNBECK JUSTIN D 999999999 47 Jackson 0 0 Emergency Medicine 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 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 0 428 0 0 0 0 0 0 428 0 0 1016096169 1952858813 16 Nurse Practitioners DUNCAN HEATHER 999999999 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 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 69 0 0 0 0 0 0 69 0 0 1016096357 1710576715 11 Dentists LEE KA HI 999999999 19 Champaign 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 66 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 66 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 3280 0 0 0 0 0 0 0 0 0 0 0 199 0 0 0 0 3479 0 0 1016096535 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 5153 0 0 0 0 0 0 0 0 0 0 0 0 0 5153 0 0 1016096612 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 47 0 0 0 0 0 0 47 0 0 1016096776 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 1476 0 0 0 0 0 0 0 0 0 0 0 0 0 1476 0 0 1016096784 1124550926 10 Physicians NAPIAL JOSHUA 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 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 0 441 0 0 0 0 0 0 441 0 0 1016096788 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 35540 0 0 0 0 0 0 0 0 0 0 0 0 0 35540 0 0 1016096898 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 12239 0 0 0 0 0 0 0 0 0 0 0 0 0 12239 0 0 1016097163 1508460635 16 Nurse Practitioners WOODARD JANET 999999999 53 Kane 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 0 209 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 209 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1139 0 0 0 0 0 0 1139 0 0 1016097232 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 21935 0 0 0 0 0 0 0 0 0 0 0 0 0 21935 0 0 1016097321 36 Community mental health provider 10 Adams 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2187 0 0 2253 0 0 1016097485 1912673336 16 Nurse Practitioners VERNER MICHELLE L 999999999 200 Cook 0 0 General Psychiatry Residency 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 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 2074 0 0 0 0 0 0 2074 0 0 1016097647 1881200178 30 General Hospitals KINDRED HOSPITAL - SYCAMORE 601782137 27 Dekalb 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 43 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 1326 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 687195 0 0 0 0 0 0 0 0 0 687195 0 0 1016097662 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 8691 0 0 0 0 0 0 0 0 0 0 0 0 0 8691 0 0 1016097763 1871025858 10 Physicians SIDDIQUI RIMA 999999999 53 Kane 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 0 147 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 1843 0 0 0 0 0 0 1843 0 0 1016097771 1790073252 89 Physician Assistant Only(Encounter Only) LI ZHENBO 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 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 0 287 0 0 0 0 0 0 287 0 0 1016097810 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 10976 0 0 0 0 0 0 0 0 0 0 0 0 0 10976 0 0 1016097834 1417308511 10 Physicians SINGH SONAL 999999999 80 Peoria 0 0 Family Practice 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 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 3734 0 0 0 0 0 0 3769 0 0 1016097855 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 1645 0 0 0 0 0 0 0 0 0 0 0 0 0 1645 0 0 1016097949 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 0 279 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 28440 0 0 0 0 0 0 0 0 0 0 0 0 0 28440 0 0 1016098230 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 29574 0 0 0 0 0 0 0 0 0 0 0 0 0 29574 0 0 1016098334 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 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 0 838 0 0 0 0 0 0 838 0 0 1016098417 89 Physician Assistant Only(Encounter Only) 36 Franklin 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 66 0 0 0 0 0 0 66 0 0 1016098423 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 5080 0 0 0 0 0 0 0 0 0 0 0 0 0 5080 0 0 1016098497 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 2043 0 0 0 0 0 0 0 0 0 0 0 0 0 2043 0 0 1016098844 1215316484 10 Physicians BEHERY OMAR 999999999 109 Winnebago 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 52 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 0 201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 0 201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1322 0 12777 0 0 0 0 0 0 14099 0 0 1016098851 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 99 0 0 0 0 0 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 8602 0 0 0 0 0 0 0 0 0 0 0 0 0 8602 0 0 1016099146 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 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 2106 0 0 0 0 0 0 0 0 0 0 0 0 0 2106 0 0 1016099174 1831855451 16 Nurse Practitioners ARLOFF KYLE 999999999 19 Champaign 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 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 2079 0 0 0 0 0 0 2079 0 0 1016099257 1073181574 12 Optometrists PURRIER NICOLE 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 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 1120 0 0 0 0 0 0 1120 0 0 1016099286 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 24558 0 0 0 0 0 0 0 0 0 0 0 0 0 24558 0 0 1016099507 1699153890 10 Physicians GAFFAR ANEESA D 999999999 91 Sangamon 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 16 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 2843 0 0 0 0 0 0 2879 0 0 1016099848 86 Clinical Social Worker(Encounter Only) 64 Macoupin 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 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 0 343 0 0 0 0 0 0 343 0 0 1016099995 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 0 268 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 8780 0 0 0 0 0 0 0 0 0 0 0 0 0 8780 0 0 1016100162 1609490481 86 Clinical Social Worker(Encounter Only) PARKER ALEXANDRA 999999999 200 Cook 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 0 101 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 1005 0 0 0 0 0 0 1005 0 0 1016100241 94 Waiver service provider--Children's support (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 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 9196 0 0 0 0 0 0 0 0 0 0 0 0 0 9196 0 0 1016100255 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 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 1703 0 0 0 0 0 0 0 0 0 0 0 0 0 1703 0 0 1016100465 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 0 360 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 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1016100784 91 Waiver service 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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 9121 0 0 0 0 0 0 0 0 0 0 0 0 0 9121 0 0 1016101605 1356005185 63 Other Providers of Medical Equipment/Supplies (Non-registered) OSF HEALTHCARE HOME MEDICAL EQ 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 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 1189 0 0 0 0 0 0 1189 0 0 1016101693 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 0 167 0 0 0 0 0 0 0 0 0 0 0 0 0 167 0 0 1016101732 1134735343 16 Nurse Practitioners FITZ MICHAEL B 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 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 2073 0 0 0 0 0 0 2073 0 0 1016101954 1184115495 10 Physicians DUGDALE BROOKE 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(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 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 2338 0 0 0 0 0 0 0 0 0 0 0 0 0 2338 0 0 1016102323 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 0 284 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 284 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35393 0 0 0 0 0 0 0 0 0 0 0 0 0 35393 0 0 1016102656 1760050751 24 Speech Therapists CHAU WINGYEEJOYCE 999999999 91 Sangamon 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 0 218 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 218 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14696 14696 0 0 1016102707 12 Optometrists 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 17 0 0 1016102794 1275206534 89 Physician Assistant Only(Encounter Only) CAPORUSSO NOREEN J 999999999 200 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Only(Encounter Only) KIM BOO KYUNG 999999999 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 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 0 523 0 0 0 0 0 0 523 0 0 1016103566 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 0 293 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 22721 0 0 0 0 0 0 0 0 0 0 0 0 0 22721 0 0 1016103720 1023034196 10 Physicians ALVAREZ VANESSA 999999999 20 Christian 0 0 Internal Medicine 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 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 0 742 0 0 0 0 0 0 742 0 0 1016104029 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 0 365 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 27828 0 0 0 0 0 0 0 0 0 0 0 0 0 27828 0 0 1016104064 1811556178 11 Dentists SINGH APEKSHA 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 82 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 82 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 3212 0 0 0 0 0 0 0 0 0 0 0 444 0 0 0 0 3656 0 0 1016104111 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 11341 0 0 0 0 0 0 0 0 0 0 0 0 0 11341 0 0 1016104183 1861140279 89 Physician Assistant Only(Encounter Only) DONAGHY SADIE 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 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 0 844 0 0 0 0 0 0 844 0 0 1016104201 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 1390 0 0 0 0 0 0 0 0 0 0 0 0 0 1390 0 0 1016104914 1780175612 10 Physicians IOFFE TARA C 999999999 200 Cook 0 0 Family Practice 0 0 0 0 2 0 0 0 0 0 0 10 0 45 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 12 0 49 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 12 0 49 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 645 0 1580 0 0 0 0 0 0 2250 0 0 1016104949 1609165356 10 Physicians YAMAMOTO SHOTA 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 126 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 159 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 159 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5523 0 24 0 0 0 0 0 0 5547 0 0 1016105006 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 16093 0 0 0 0 0 0 0 0 0 0 0 0 0 16093 0 0 1016105083 1073038519 11 Dentists MA RUIDAN 999999999 200 Cook 0 0 0 0 0 7 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 0 722 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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1016106088 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 1123 0 0 0 0 0 0 0 0 0 0 0 0 0 1123 0 0 1016106099 89 Physician Assistant Only(Encounter Only) 80 Peoria 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 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 87 0 0 0 0 0 0 87 0 0 1016106414 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 0 299 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 20856 0 0 0 0 0 0 0 0 0 0 0 0 0 20856 0 0 1016106906 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 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 6149 0 0 0 0 0 0 0 0 0 0 0 0 0 6149 0 0 1016106945 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 6249 0 0 0 0 0 0 0 0 0 0 0 0 0 6249 0 0 1016106992 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 0 225 0 0 0 0 0 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 22202 0 0 0 0 0 0 0 0 0 0 0 0 0 22202 0 0 1016107024 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 0 900 0 0 0 0 0 0 0 0 0 0 0 0 0 900 0 0 1016107095 90 Waiver service provider--Elderly (DOA) 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 0 102 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 7806 0 0 0 0 0 0 0 0 0 0 0 0 0 7806 0 0 1016107235 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 6934 0 0 0 0 0 0 0 0 0 0 0 0 0 6934 0 0 1016107257 94 Waiver service provider--Children's support (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 0 207 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 15843 0 0 0 0 0 0 0 0 0 0 0 0 0 15843 0 0 1016107615 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 13620 0 0 0 0 0 0 0 0 0 0 0 0 0 13620 0 0 1016107741 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 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 42584 0 0 0 0 0 0 0 0 0 0 0 0 0 42584 0 0 1016107859 1518618081 89 Physician Assistant Only(Encounter Only) PARRA KALLI 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 0 186 0 0 0 0 0 0 186 0 0 1016107868 4016107868 91 Waiver service provider--Adults (DHS/DDD) MCFIELD ROBERT 999999999 23 Clinton 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 1420 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1420 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 296812 0 0 0 0 0 0 0 0 0 0 0 0 0 296812 0 0 1016107995 1881668861 10 Physicians LITMAN ELIAHU A 999999999 25 Crawford 0 0 Family Practice 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 0 834 0 0 0 0 0 0 834 0 0 1016108001 1578227682 16 Nurse Practitioners SULLIVAN KRISTEN 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 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 0 319 0 0 0 0 0 0 319 0 0 1016108093 1780068395 12 Optometrists GUM EMILY A 999999999 200 Cook 0 0 Diagnostic Pharmaceutical Agents 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 18 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 7 0 0 0 0 135 0 0 1016108364 1487209045 16 Nurse Practitioners KAY CHRISTY A 999999999 91 Sangamon 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 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 0 210 0 0 0 0 0 0 210 0 0 1016108376 94 Waiver service provider--Children's support (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 0 182 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 18247 0 0 0 0 0 0 0 0 0 0 0 0 0 18247 0 0 1016108424 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 0 240 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 29046 0 0 0 0 0 0 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1017168994 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 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 1534 0 0 0 0 0 0 0 0 0 0 0 0 0 1534 0 0 1017169017 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 2546 0 0 0 0 0 0 0 0 0 0 0 0 0 2546 0 0 1017169065 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 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 5034 0 0 0 0 0 0 0 0 0 0 0 0 0 5034 0 0 1017169391 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 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 4440 0 0 0 0 0 0 0 0 0 0 0 0 0 4440 0 0 1017169416 1386087070 10 Physicians QATO KHALIL M 999999999 91 Sangamon 0 0 Vascular Surgery 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 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 14064 0 0 0 0 0 0 14064 0 0 1017169466 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 3173 0 0 0 0 0 0 0 0 0 0 0 0 0 3173 0 0 1017169876 4017169876 71 Medicar Provider MORNINGSTAR TRANSIT 999999999 71 McHenry 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 0 321 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 5071 0 0 0 0 0 0 5071 0 0 1017169892 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 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 8164 0 0 0 0 0 0 0 0 0 0 0 0 0 8164 0 0 1017170029 1457090441 16 Nurse Practitioners MACDADE ERIN 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 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 0 225 0 0 0 0 0 0 225 0 0 1017170131 16 Nurse Practitioners 200 Cook 0 0 General Psychiatry Residency 0 0 0 0 0 0 0 0 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 0 131 0 0 0 0 0 0 131 0 0 1017170307 1962546945 23 Occupational Therapists WALTER STACIE L 999999999 200 Cook 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 0 127 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 1321 1321 0 0 1017170335 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 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 4039 0 0 0 0 0 0 0 0 0 0 0 0 0 4039 0 0 1017170343 98 Waiver service provider--TBI 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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 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 1620 0 0 0 0 0 0 0 0 0 0 0 0 0 1620 0 0 1017216611 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 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 1490 0 0 0 0 0 0 0 0 0 0 0 0 0 1490 0 0 1017216676 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 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 10417 0 0 0 0 0 0 0 0 0 0 0 0 0 10417 0 0 1017216800 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 0 923 0 0 0 0 0 0 0 0 0 0 0 0 0 923 0 0 1017216879 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 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1235126905 10 Physicians VIGLIOTTI ANTONIO 612660074 89 Rock Island 0 0 Radiation Oncology 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 0 190 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 190 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3921 0 0 0 0 0 0 3921 0 0 1101010023 2100000441 10 Physicians GAUD RAMESH 479783210 815 Indiana 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 500 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 944 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 944 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10196 0 178 0 0 0 0 0 0 10374 0 0 1101010028 1710927793 10 Physicians SICHLAU MICHAEL 601533328 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 26 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 155 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 155 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 0 2737 0 0 0 0 0 0 2870 0 0 1101010044 1972576528 63 Other Providers of Medical Equipment/Supplies (Non-registered) "NATIONAL SEATING & MOBILITY, I" 532222120 852 Wisconsin 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 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HOSPITAL ASSO 626263710 64 Macoupin DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 1 0 0 1 0 0 0 407 0 0 0 0 52 0 0 0 509 0 0 0 0 0 1 0 0 0 716 0 0 0 0 60 0 0 0 1374 0 0 0 0 0 1 0 0 0 716 0 0 0 0 254 0 0 0 1374 0 0 0 0 0 0 0 0 0 204455 0 0 0 0 19470 0 0 0 373260 0 0 0 0 0 597185 0 0 1101089006 1124034657 10 Physicians HARRIS FREDERICK 637034928 826 Missouri 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1190 0 72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1621 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1621 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15889 0 465 0 0 0 0 0 0 16354 0 0 1101089016 1013998368 63 Other Providers of Medical Equipment/Supplies (Non-registered) BETTER HEALTH CARE OPTIONS 601022741 71 McHenry 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 3970 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3970 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2175959 0 0 0 0 0 0 2175959 0 0 1101089017 1982978219 28 Waiver service provider--Supportive living facility (HFS) 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0 0 0 164 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5702 0 0 0 0 0 0 0 0 0 0 0 0 0 5702 0 0 1101089208 1033142484 63 Other Providers of Medical Equipment/Supplies (Non-registered) HOME MEDICAL EXPRESS 601061325 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47748 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47748 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 747786 0 0 0 0 0 0 747786 0 0 1101089228 1619945094 10 Physicians BINNS HELEN 606143363 200 Cook 0 1 Pediatrics 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 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 3893 0 0 0 0 0 0 3893 0 0 1101089275 1588771943 24 Speech Therapists SINGLETARY BONNIE 622692859 96 St Clair 0 0 0 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 0 249 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 249 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20696 20696 0 0 1101089287 10 Physicians 826 Missouri 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 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0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6634 0 0 0 0 0 0 0 0 0 0 0 0 0 6634 0 0 1101124247 1548393440 36 Community mental health provider MONTGOMERY COUNTY HEALTH DEPT 620492664 76 Montgomery 0 0 0 111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 143 0 0 273 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 877 0 0 273 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 877 0 0 8364 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52080 0 0 60444 0 0 1101124255 1366408957 10 Physicians SALAMON MARGARET A. 602011718 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 1 0 13 0 0 0 0 0 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 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 424 0 0 0 0 0 0 429 0 0 1101124257 1255446001 30 General Hospitals FRESENIUS MEDICAL CARE KEWANEE 614433685 45 Henry DIALYSIS Outpatient dialysis centers. 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 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101124262 1922157734 16 Nurse Practitioners BAXTER 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CENTER 0 0 0 0 0 575 0 0 0 0 362 0 0 0 817 0 0 0 0 0 0 0 0 0 756 0 0 0 0 422 0 0 0 1564 0 0 0 0 0 0 0 0 0 774 0 0 0 0 4035 0 0 0 1810 0 0 0 0 0 0 0 0 0 151436 0 0 0 0 10061039 0 0 0 331773 0 0 0 0 0 10544248 0 0 1101152982 25 Audiologists 200 Cook 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 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 77 77 0 0 1101153006 1417054438 16 Nurse Practitioners ALLEN JOHN V. 624391852 59 Lawrence 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 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 3566 0 0 0 0 0 0 3566 0 0 1101153010 1770758807 10 Physicians SHEEHAN KERRY 605163430 30 DuPage 0 1 Pediatrics 0 0 0 0 10 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 918 0 0 0 0 0 0 0 0 985 0 0 0 0 0 0 1903 0 0 1101153011 1942330576 10 Physicians SYED NASIR ALI 600762914 200 Cook 0 0 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"JH Stroger, Oak Forest and Provident Hospitals, paid under an alternate reimbursement system" 0 1 Direct Access 0 0 745 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2825 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2825 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 544249 0 1215 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 545464 0 0 1101237406 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 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 67578 0 0 0 0 0 0 0 0 0 0 0 0 0 67578 0 0 1101237442 1205191806 10 Physicians KIRVASSILIS GEORGIOS 535625531 65 Madison 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 2315 0 0 0 0 0 0 2315 0 0 1101237444 1477869709 24 Speech Therapists TRIPOLI JENNIFER 606112991 200 Cook 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 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 521 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2235 0 0 0 0 0 0 2235 0 0 1101237603 1255312450 10 Physicians PAGAN MARIN HERIBERTO 464107035 815 Indiana 0 0 Radiology Diagnosis 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 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 0 395 0 0 0 0 0 0 0 0 395 0 0 1101237604 1124073838 10 Physicians NEMICKAS TOMAS 600315709 57 Lake 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 34 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 164 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 164 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 379 0 8267 0 0 0 0 0 0 8646 0 0 1101237607 1912218272 10 Physicians ZAKARIA MHD 999999999 200 Cook 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 0 705 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 705 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4074 0 0 0 0 0 0 4074 0 0 1101237610 1881654325 30 General Hospitals CHICAGO HEIGHTS DIALYSIS 604111733 200 Cook DIALYSIS Outpatient dialysis centers. 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 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1083 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4614 0 0 0 0 0 4614 0 0 1101237612 10 Physicians 106 Whiteside 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 39 0 0 0 0 0 0 39 0 0 1101237631 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 8341 0 0 0 0 0 0 0 0 0 0 0 0 0 8341 0 0 1101237634 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 51564 0 0 0 0 0 0 0 0 0 0 0 0 0 51564 0 0 1101237664 1942294897 10 Physicians AKHTAR MOHAMMAD 601691065 200 Cook 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 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 4355 0 0 0 0 0 0 4355 0 0 1101237696 1912997933 10 Physicians AKHTAR NAVEED 604401984 107 Will 0 0 Internal 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 0 196 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 1489 0 0 0 0 0 0 1489 0 0 1101237700 1659374056 63 Other Providers of Medical Equipment/Supplies (Non-registered) VONO MEDICAL SUPPLIES 627025114 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 206 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1698 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1698 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 88166 0 1064 0 0 0 0 89230 0 0 1101237701 71 Medicar Provider 53 Kane 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 73 0 0 1101237712 1447452941 47 Local Education Agencies RACCOON C S D 1 628019621 66 Marion 0 0 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 1030 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1030 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30603 0 30603 0 0 1101237721 1457568859 10 Physicians BACH STEVEN 610320857 97 Stephenson 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 302 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 511 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 511 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7164 0 644 0 0 0 0 0 0 7808 0 0 1101237725 1801941968 74 Hospital-Based Transportation Providers MASSAC MEMORIAL HOSPITAL 629602467 69 Massac 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 415 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1645 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1645 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94667 0 0 0 0 0 0 94667 0 0 1101237738 1447278254 10 Physicians RUOFF BRENT 631292555 826 Missouri 0 0 Emergency 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 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 0 691 0 0 0 0 0 0 691 0 0 1101237750 1639513963 28 Waiver service provider--Supportive living facility (HFS) HERITAGE WOODS OF CHARLESTON 619203291 24 Coles 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 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3483 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 282272 0 0 0 0 0 0 0 0 0 0 0 0 0 282272 0 0 1101237755 1811976988 10 Physicians MICHELFELDER AARON 601545716 200 Cook 0 0 Family 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 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 0 213 0 0 0 0 0 0 213 0 0 1101237758 1356301667 10 Physicians SHI FEINAN 606123714 200 Cook 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 0 142 0 0 0 0 0 0 0 0 142 0 0 1101237762 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 22276 0 0 0 0 0 0 0 0 0 0 0 0 0 22276 0 0 1101237776 1780789750 10 Physicians GULLO GREGORY 604622627 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 507 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 820 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 820 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13282 0 1132 0 0 0 0 0 0 14414 0 0 1101237787 1902977903 63 Other Providers of Medical Equipment/Supplies (Non-registered) LINCARE INC 601063315 30 DuPage 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 3231 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3231 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61929 0 0 0 0 0 0 61929 0 0 1101237791 16 Nurse Practitioners 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 45 0 0 1101237816 1932392099 10 Physicians MOORE HENRY 619389388 24 Coles 0 0 Traumatic Surgery 0 0 0 0 0 0 0 0 0 0 0 3 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 6279 0 0 0 0 0 0 6299 0 0 1101237832 1710266903 16 Nurse Practitioners BOCKMAN SUSAN 600903012 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 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 0 877 0 0 0 0 0 0 877 0 0 1101237851 1508056987 10 Physicians MULLANGI PRAVEEN 627949248 91 Sangamon 0 0 Infectious Diseases 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 0 357 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 2996 0 0 0 0 0 0 2996 0 0 1101237864 1346276656 10 Physicians ZINGER EDUARD 606930623 200 Cook 0 1 Internal Medicine 0 0 0 0 3 0 0 0 0 0 0 0 0 563 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 6301 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 6301 0 0 0 0 0 0 0 0 0 254 0 0 0 0 0 0 0 0 30650 0 0 0 0 0 0 30904 0 0 1101237877 1609068386 10 Physicians HAMMING DAVID 600162359 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 38 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 312 0 3409 0 0 0 0 0 0 3721 0 0 1101237905 1194725705 60 Pharmacies GABECARE DIRECT RX INC 480845515 823 Michigan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 421 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 537 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 24159 0 0 0 24167 0 0 1101237908 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 6432 0 0 0 0 0 0 0 0 0 0 0 0 0 6432 0 0 1101237913 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 0 336 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 336 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30274 0 0 0 0 0 0 0 0 0 0 0 0 0 30274 0 0 1101237931 1154563914 10 Physicians TRABOLSI MAIS 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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1101237949 2100228367 91 Waiver service provider--Adults (DHS/DDD) CILA CORPORATION 628391293 22 Clay 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 21770 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21770 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5375122 0 0 0 0 0 0 0 0 0 0 0 0 0 5375122 0 0 1101237957 12 Optometrists 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 14 0 0 0 0 0 0 14 0 0 1101237967 1902952609 16 Nurse Practitioners SCHNEIDER KARI 601533328 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 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 0 602 0 0 0 0 0 0 602 0 0 1101237968 98 Waiver service provider--TBI (DHS/DRS) 37 Fulton 0 0 0 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 27283 0 0 0 0 0 0 0 0 0 0 0 0 0 27283 0 0 1101237978 1144481946 16 Nurse Practitioners DANIELS CHRISTINE 605406558 30 DuPage 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 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 0 428 0 0 0 0 0 0 428 0 0 1101237980 1528058567 10 Physicians KAEGI CHARLES 606465738 200 Cook 0 0 Psychiatry 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 0 145 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 4287 0 0 0 0 0 0 4287 0 0 1101237982 1578516290 39 Hospice HEARTLAND HOSPICE SERVICES 611082521 109 Winnebago 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 0 268 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6203 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1069202 0 0 0 0 0 0 0 0 0 0 0 1069202 0 0 1101238010 1821341041 16 Nurse Practitioners KAPPER JODY 624011268 33 Effingham 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 0 159 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 159 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2830 0 0 0 0 0 0 2830 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(Non-registered) FITZSIMMONS SURGICAL SUPPLY IN 604879215 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1038 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11735 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11735 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 364888 0 0 0 0 0 0 364888 0 0 1101258178 1609989813 10 Physicians HABHAB OSCAR H 600508409 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 1 0 0 313 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 407 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 407 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 18506 0 0 0 0 0 0 18612 0 0 1101258199 1740488436 10 Physicians ELRASHIDY DINA 606118709 200 Cook 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 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 0 425 0 0 0 0 0 0 425 0 0 1101258200 1861724064 10 Physicians FARHAT HAMAD I 606930623 200 Cook 0 0 Neurology Surgery 0 0 0 0 0 0 0 0 0 0 0 5 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 144 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 144 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 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2800 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35654 0 0 0 0 0 35654 0 0 1101258236 1942373931 10 Physicians NANDRA MUKHTAR S 302691546 200 Cook 0 1 General Practice 0 0 0 0 24 0 0 0 0 0 0 57 0 165 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 168 0 556 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 168 0 556 0 0 0 0 0 0 0 0 0 2172 0 0 0 0 0 0 1334 0 13148 0 0 0 0 0 0 16654 0 0 1101258246 1629172218 10 Physicians GUARIGLIA PERRY 601224353 53 Kane 0 0 Clinical Pathology 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 0 199 0 0 0 0 0 0 0 0 0 0 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 2052 0 0 0 0 0 0 0 0 2052 0 0 1101258272 1811018518 55 Early Intervention Services PADFIELD PAMALA 622931080 23 Clinton 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 0 104 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 7754 0 0 0 0 0 0 7754 0 0 1101258294 1285890855 10 Physicians ANAYA HEATHER A 601228942 53 Kane 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 71 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2236 0 2351 0 0 0 0 0 0 4587 0 0 1101258299 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 0 180 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 6449 0 0 0 0 0 0 0 0 0 0 0 0 0 6449 0 0 1101258307 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 31206 0 0 0 0 0 0 0 0 0 0 0 0 0 31206 0 0 1101258318 1700860707 10 Physicians SMITH ERICA N. 602011718 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 3 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 103 0 1417 0 0 0 0 0 0 1520 0 0 1101258382 1750375622 12 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0 1101258452 1205883444 10 Physicians KRISHNAN JERRY A 606127232 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 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 0 353 0 0 0 0 0 0 353 0 0 1101258467 1710988126 10 Physicians STAUDACHER MARK 605061449 53 Kane 0 0 Anesthesiology 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 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 1729 0 0 0 0 0 0 1729 0 0 1101258546 1780697953 16 Nurse Practitioners KANCEWICK DANIEL 624012006 33 Effingham 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 0 442 0 0 0 0 0 0 442 0 0 1101258550 2100248968 70 Ambulance Service Providers LEAF RIVER FIRE PROT DISTRICT 61047 79 Ogle 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 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 5899 0 0 0 0 0 0 5899 0 0 1101258591 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 0 200 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 13980 0 0 0 0 0 0 0 0 0 0 0 0 0 13980 0 0 1101258593 1285602516 10 Physicians MILOS GLENN J 616151941 80 Peoria 0 0 Emergency Medicine 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 0 360 0 0 0 0 0 0 360 0 0 1101258602 1619083730 33 Nursing Facilities ILLINI HERITAGE REHAB AND HC 618266179 19 Champaign 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 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1820 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180723 0 0 0 0 0 0 0 180723 0 0 1101258616 1154397354 10 Physicians MARTINEZ LUCIO 610309575 79 Ogle 0 1 Family Practice 0 0 0 0 0 0 0 0 0 0 0 13 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 2379 0 0 0 0 0 0 2406 0 0 1101258617 1245451996 11 Dentists JAVIER MARIA 601602039 200 Cook 0 0 General Dentistry 0 0 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 433 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 433 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12565 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12565 0 0 1101258623 1265409353 10 Physicians PRIPSTEIN JEREMY B 606112991 200 Cook 0 1 Internal Medicine 0 0 0 0 22 0 0 0 0 0 0 6 0 74 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 6 0 109 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 6 0 109 0 0 0 0 0 0 0 0 0 2005 0 0 0 0 0 0 22 0 2985 0 0 0 0 0 0 5012 0 0 1101258627 1629040191 10 Physicians ENGEBRECHT BRIAN 602656145 89 Rock Island 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 13 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 3496 0 0 0 0 0 0 3552 0 0 1101258692 1487788683 24 Speech Therapists LUNDY JULIE 604535235 200 Cook 0 0 0 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 0 180 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 15960 15960 0 0 1101258714 1245423284 10 Physicians LIU LIN 602011718 200 Cook 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 0 212 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 2345 0 0 0 0 0 0 0 0 2345 0 0 1101258729 1689636904 10 Physicians OLDHAM LISA M 606778004 200 Cook 0 0 Obstetric-Gynecology 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 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 3776 0 0 0 0 0 0 3847 0 0 1101258734 94 Waiver service provider--Children's support (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 0 168 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 14709 0 0 0 0 0 0 0 0 0 0 0 0 0 14709 0 0 1101258740 1912114703 55 Early Intervention Services STEWART BONNIE 604776317 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72 0 0 0 0 0 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0 0 0 0 0 0 0 0 7504 0 0 0 0 0 32857 0 0 1101258857 1255331773 10 Physicians BAER JOHN D 616151941 80 Peoria 0 1 Family Practice 0 0 0 0 2 0 0 0 0 0 0 2 0 20 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 51 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 51 0 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 70 0 271 0 0 0 0 0 0 439 0 0 1101258868 10 Physicians 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 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 31 0 0 0 0 0 0 31 0 0 1101258873 1750597811 10 Physicians ANSARI YASMEEN 601012889 30 DuPage 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 2 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 146 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 146 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 1343 0 0 0 0 0 0 1355 0 0 1101258878 1922143015 47 Local Education Agencies MIDLOTHIAN SCHOOL DISTRICT 143 604453436 200 Cook 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 3658 0 0 0 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 3658 0 0 0 0 893 0 0 0 0 0 0 0 0 0 0 0 0 0 111485 0 112378 0 0 1101258883 16 Nurse Practitioners 109 Winnebago 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 43 0 0 0 0 0 0 43 0 0 1101258898 1235321423 28 Waiver service provider--Supportive living facility (HFS) FRIEDMAN PLACE 606256881 200 Cook 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 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1418 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165739 0 0 0 0 0 0 0 0 0 0 0 0 0 165739 0 0 1101258907 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 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 0 912 0 0 0 0 0 0 0 0 0 0 0 0 0 912 0 0 1101258912 1447485545 63 Other Providers of Medical Equipment/Supplies (Non-registered) SCHECK AND SIRESS PROSTHETICS 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 107 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 343 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 343 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 411 0 77002 0 0 0 0 77413 0 0 1101258915 2100249333 10 Physicians VERGES DENISE 600692500 57 Lake 0 0 Rheumatology 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 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 6361 0 0 0 0 0 0 6361 0 0 1101258937 1184852998 11 Dentists WORTH CHRIS 606233740 200 Cook 0 0 General Dentistry 0 0 0 185 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 1067 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 1067 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 37221 0 0 0 0 0 0 0 0 0 0 0 3996 0 0 0 0 41217 0 0 1101258979 1952464844 46 Ambulatory Surgical Treatment Centers EDWARDSVILLE AMBULATORY S CTR 620343502 65 Madison ASTC Ambulatory Surgical Treatment Center. 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 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 5284 0 0 0 0 0 5284 0 0 1101258993 91 Waiver 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Physicians JOSHI POONAM 600073361 200 Cook 0 0 Infectious Diseases 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 0 227 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 7466 0 0 0 0 0 0 7466 0 0 1101259068 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 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 33223 0 0 0 0 0 0 0 0 0 0 0 0 0 33223 0 0 1101259069 12 Optometrists 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 44 0 0 0 0 0 0 44 0 0 1101259080 1710072624 10 Physicians HADDAD RAMI 60403 30 DuPage 0 0 Oncology 0 0 0 0 0 0 0 0 0 0 0 3 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 684 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 684 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 64051 0 0 0 0 0 0 64102 0 0 1101259117 1598700338 10 Physicians TALBERT CLIFFORD 637035049 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6686 0 0 1101268972 92 Waiver service provider--Disability (DHS/DRS) 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 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 41210 0 0 0 0 0 0 0 0 0 0 0 0 0 41210 0 0 1101268977 1700921665 22 Physical Therapists STONITSCH REBECCA 604108658 107 Will 0 0 0 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 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 9460 9460 0 0 1101268990 1013926153 10 Physicians NEMCEK ALBERT 606118702 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 82 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 119 0 118 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 119 0 118 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1645 0 3683 0 0 0 0 0 0 5328 0 0 1101269023 1124392261 47 Local Education Agencies LINCOLNSHIRE PRAIRIE VIEW DIST 600692402 57 Lake 0 0 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 0 721 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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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 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 45107 0 0 0 0 0 0 0 0 0 0 0 0 0 45107 0 0 1101362091 1760645279 10 Physicians MAYHEW RYAN 601533328 200 Cook 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 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 1596 0 0 0 0 0 0 1596 0 0 1101362100 1144227406 16 Nurse Practitioners MENDREK GREG 614012807 56 Knox 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 1297 0 0 0 0 0 0 1297 0 0 1101362101 1326092636 10 Physicians ZHANG FENG 463212901 815 Indiana 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 28 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 432 0 141 0 0 0 0 0 0 573 0 0 1101362107 1356543235 10 Physicians CHEKKA KIRAN K 606776473 200 Cook 0 0 Anesthesiology 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 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 0 769 0 0 0 0 0 0 769 0 0 1101362134 1649270729 52 Certified local public health department JERSEY COUNTY HEALTH DEPT 620522396 50 Jersey 0 0 0 0 14 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 293 0 601 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 894 0 0 1101362138 1003093279 16 Nurse Practitioners MALIK BONNIE 603022334 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 0 351 0 0 0 0 0 0 351 0 0 1101362159 1982701017 10 Physicians COZZI LAURA 601601634 200 Cook 0 0 Otorhinolaryngology 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 0 188 0 0 0 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 2360 0 0 0 0 0 0 2360 0 0 1101362173 1588638795 63 Other Providers of Medical Equipment/Supplies (Non-registered) MEADOWBROOK MANOR OF NAPERVILL 605639758 30 DuPage 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 0 132 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 21846 0 0 0 0 0 0 21846 0 0 1101362193 1992721120 10 Physicians BULLOCK ARNOLD 631101036 826 Missouri 0 0 Urological Surgery 0 0 0 0 0 0 0 0 0 0 0 3 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 323 0 0 0 0 0 0 325 0 0 1101362204 1699864124 10 Physicians CARLOS IMELDA SANTOS 601882795 30 DuPage 0 1 Pediatrics 0 0 0 0 13 0 0 0 0 0 0 1 0 17 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 1 0 33 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 1 0 33 0 0 0 0 0 0 0 0 0 1603 0 0 0 0 0 0 15 0 1864 0 0 0 0 0 0 3482 0 0 1101362208 1598878373 10 Physicians HARMS CRAIG KENNETH 631418573 30 DuPage 0 1 Family Practice 0 0 0 0 0 0 0 0 0 0 0 2 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 1229 0 0 0 0 0 0 1316 0 0 1101362212 1497875298 43 Encounter rate clinic COOK COUNTY HEALTH AT NORTH RI 605461468 200 Cook ARS-C.O.P. "JH Stroger, Oak Forest and Provident Hospitals, paid under an alternate reimbursement system" 0 1 Direct Access 0 0 1002 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4092 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4092 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 784521 0 3647 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 788168 0 0 1101362224 1306923370 16 Nurse Practitioners MARABLE JULIE 601545716 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 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 2049 0 0 0 0 0 0 2049 0 0 1101362237 10 Physicians 852 Wisconsin 0 0 Pathology 0 0 0 0 0 0 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 0 117 0 0 0 0 0 0 0 0 117 0 0 1101362244 1912990268 70 Ambulance Service Providers CITY OF TERRE HAUTE 478071924 815 Indiana 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 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 4708 0 0 0 0 0 0 4708 0 0 1101362260 1467529545 10 Physicians MUPPAVARAPU SATHEESH 601876002 30 DuPage 0 0 Physical Medicine/Rehabilitation 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 0 200 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 6016 0 0 0 0 0 0 6016 0 0 1101362292 1992021729 10 Physicians STEPHENS ARCHER CHANTALE 606740018 65 Madison 0 0 Internal 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 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 0 192 0 0 0 0 0 0 192 0 0 1101362314 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 0 108 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 8438 0 0 0 0 0 0 0 0 0 0 0 0 0 8438 0 0 1101362345 1629247283 28 Waiver service provider--Supportive living facility (HFS) EVERGREEN VILLAGE SUPPORTIVE 617617800 72 McLean 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 0 137 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3836 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 345534 0 0 0 0 0 0 0 0 0 0 0 0 0 345534 0 0 1101362367 1174748354 23 Occupational Therapists FONNER KIM 619389253 24 Coles 0 0 0 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 0 498 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 498 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39589 39589 0 0 1101362377 1972541712 10 Physicians SHARP LYDIA 601545716 200 Cook 0 0 Emergency 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 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 4249 0 0 0 0 0 0 4249 0 0 1101362409 10 Physicians 35 Ford 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 0 118 0 0 0 0 0 0 118 0 0 1101362418 1548251382 33 Nursing Facilities HERITAGE HEALTH LITCHFIELD 620562716 76 Montgomery 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 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1990 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152372 0 0 0 0 0 0 0 152372 0 0 1101362435 1851340855 10 Physicians CABRERA ERNEST 606171174 200 Cook 0 0 Internal Medicine 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 0 869 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 869 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9963 0 0 0 0 0 0 9963 0 0 1101362457 1891878856 63 Other Providers of Medical Equipment/Supplies (Non-registered) A Z MEDICAL SUPPLY INC 600053165 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 715 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16437 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16437 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1230363 0 42 0 0 0 0 1230405 0 0 1101362460 1255413852 10 Physicians BULA MELANIA 532264837 852 Wisconsin 0 0 Pediatric Radiology 0 0 0 0 0 0 0 0 0 0 0 114 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 157 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 157 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1216 0 69 0 0 0 0 0 0 1285 0 0 1101362465 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RONALD MCDONALDS CHILDRENS HSP 601533328 200 Cook CHILDRENS Hospital designated as childrens hospitals and paid a Per Diem rate. 0 0 PERINATAL LEVEL III CENTER 0 0 0 0 0 328 0 0 0 0 117 0 0 0 1186 0 0 0 0 0 0 0 0 0 391 0 0 0 0 130 0 0 0 2360 0 0 0 0 0 0 0 0 0 391 0 0 0 0 1278 0 0 0 2865 0 0 0 0 0 0 0 0 0 88941 0 0 0 0 3096059 0 0 0 344725 0 0 0 0 0 3529725 0 0 1101372980 10 Physicians 200 Cook 0 0 Family Practice 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 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 27 0 0 0 0 0 0 27 0 0 1101373002 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 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 22164 0 0 0 0 0 0 0 0 0 0 0 0 0 22164 0 0 1101373012 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 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 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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 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 29614 0 0 0 0 0 0 0 0 0 0 0 0 0 29614 0 0 1101373067 1083621544 10 Physicians BULL DOUGLAS 618203909 19 Champaign 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 5 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 3474 0 0 0 0 0 0 3521 0 0 1101373096 1265525729 10 Physicians OTTOLIN MARK 605406552 30 DuPage 0 0 Cardiovascular Diseases 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 0 176 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 1960 0 0 0 0 0 0 1960 0 0 1101373102 1023065984 10 Physicians INDYK ANDRZEJ 606303151 200 Cook 0 1 Family Practice 0 0 0 0 2 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 347 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 347 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 0 0 3966 0 0 0 0 0 0 4131 0 0 1101373124 1104819697 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NON-COST "Non-cost reporting hospitals, paid a Per Diem rate." 0 0 General Hospital - Adult and Child 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 0 908 0 0 0 0 0 0 0 0 0 0 0 0 0 0 908 0 0 1101392444 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 25313 0 0 0 0 0 0 0 0 0 0 0 0 0 25313 0 0 1101392451 2100382869 10 Physicians BOSHKU ALPA 600184703 109 Winnebago 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 57 0 99 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 92 0 121 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 92 0 121 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 3273 0 3049 0 0 0 0 0 0 6338 0 0 1101392482 1003829169 10 Physicians WHEREATT NANCY 605064355 53 Kane 0 0 Surgery General 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 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 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0 0 1192 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9316 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9316 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 565079 0 6 0 0 0 0 565085 0 0 1101409828 1093720856 10 Physicians SEMENOV IRENE A. 602011700 200 Cook 0 0 Neurology 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 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 1745 0 0 0 0 0 0 1745 0 0 1101409856 1962495952 10 Physicians AZRAK ELIE 631366119 826 Missouri 0 0 Cardiology 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 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 0 571 0 0 0 0 0 0 571 0 0 1101409881 1477758555 10 Physicians ASHER YOGEN 606118709 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 2 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3287 0 0 0 0 0 0 3287 0 0 1101409885 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 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Physicians STARCK JESSICA E. 606751611 200 Cook 0 0 Emergency Medicine 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 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 1031 0 0 0 0 0 0 1031 0 0 1101426592 10 Physicians 57 Lake 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 67 0 0 0 0 0 0 67 0 0 1101426604 1043337660 63 Other Providers of Medical Equipment/Supplies (Non-registered) ROCKFORD ORTHOPEDIC APPL 611041015 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 162 0 178 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 162 0 178 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23801 0 31571 0 0 0 0 55372 0 0 1101426607 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 22151 0 0 0 0 0 0 0 0 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0 0 0 42 0 0 0 0 0 0 4 0 42 0 0 0 0 0 0 0 0 0 1346 0 0 0 0 0 0 30 0 2296 0 0 0 0 0 0 3672 0 0 1101426969 1558336248 63 Other Providers of Medical Equipment/Supplies (Non-registered) NOVACAREPROSTHETICSORTHOTICS 637034928 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 525 0 1363 0 0 0 0 1888 0 0 1101426970 1447389440 22 Physical Therapists VOLTZ RENEE L 601220021 53 Kane 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 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 2801 2801 0 0 1101426998 1972576833 10 Physicians MCGEE EDWIN 606910263 200 Cook 0 0 Thoracic Surgery 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 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 14088 0 0 0 0 0 0 14088 0 0 1101427028 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 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Optometrists KAPOOR BHANU 600671848 200 Cook 0 0 Therapeutic Pharmaceutical Agents 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 0 268 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 5966 0 0 0 0 0 0 5966 0 0 1101427069 1811151806 10 Physicians TOKHI ASHISH 627047450 91 Sangamon 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 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 1912 0 0 0 0 0 0 1912 0 0 1101427077 1174560353 10 Physicians KABATAY LEE HO MARIA RHODORA 616360001 80 Peoria 0 1 Family Practice 0 0 0 0 1 0 0 0 0 0 0 1 0 26 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 3 0 71 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 3 0 71 0 0 0 0 0 0 0 0 0 111 0 0 0 0 0 0 0 0 1110 0 0 0 0 0 0 1221 0 0 1101427119 1700817400 10 Physicians SHARMA VIKAS 191824246 80 Peoria 0 0 Anesthesiology 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 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 9045 0 0 0 0 0 0 9045 0 0 1101427137 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 0 286 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 12524 0 0 0 0 0 0 0 0 0 0 0 0 0 12524 0 0 1101427139 1912103714 10 Physicians SIBOL MICHAEL P 606313222 200 Cook 0 0 Physical Medicine/Rehabilitation 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 0 233 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 233 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6645 0 0 0 0 0 0 6645 0 0 1101427148 1487655726 10 Physicians LABAO ISRAEL 608042218 200 Cook 0 1 Family Practice 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 75 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 1717 0 0 0 0 0 0 1802 0 0 1101427161 1548224132 10 Physicians THOMASSON JEFFREY L. 631417129 30 DuPage 0 0 Radiology Diagnosis 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 9 0 0 0 0 0 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Clair 0 0 Internal Medicine 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 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 1440 0 0 0 0 0 0 1440 0 0 1101427220 1588865091 10 Physicians HENTZELMAN JOSHUA 631322907 80 Peoria 0 0 Otolaryngology 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 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 2468 0 0 0 0 0 0 2468 0 0 1101427232 1073741666 10 Physicians NELSON KENT 606313222 200 Cook 0 1 Pediatrics 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 3488 0 0 0 0 0 0 3488 0 0 1101427239 1083703383 10 Physicians WAQAR SAIAMA N 631600352 200 Cook 0 0 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 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 8673 0 0 0 0 0 0 8673 0 0 1101427273 16 Nurse Practitioners 96 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Diagnosis 0 0 0 0 0 0 0 0 0 0 0 567 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 845 0 120 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 845 0 120 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13631 0 1798 0 0 0 0 0 0 15429 0 0 1101427296 1841391950 10 Physicians VYAS HARSHAVADAN 613502039 58 La Salle 0 0 Obstetric-Gynecology 0 0 0 0 1 0 0 0 0 0 0 7 0 24 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 13 0 53 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 13 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 407 0 5529 0 0 0 0 0 0 5936 0 0 1101427304 1235396201 10 Physicians WALKER KATHRYN 605401008 30 DuPage 0 1 Family Practice 0 0 0 0 4 0 0 0 0 0 0 1 0 11 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 1 0 16 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 1 0 16 0 0 0 0 0 0 0 0 0 307 0 0 0 0 0 0 0 0 578 0 0 0 0 0 0 885 0 0 1101427311 1326039785 10 Physicians JEREB SEAN E 601953203 63 Macon 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 12 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 78 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 78 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 2603 0 0 0 0 0 0 2653 0 0 1101427332 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0 0 0 0 344 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2540 0 0 0 0 0 0 2540 0 0 1101427565 1780794990 63 Other Providers of Medical Equipment/Supplies (Non-registered) LINCARE INC. 606121077 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 731 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141400 0 0 0 0 0 0 141400 0 0 1101427582 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 0 204 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 15707 0 0 0 0 0 0 0 0 0 0 0 0 0 15707 0 0 1101427594 1134129323 10 Physicians BOTON ROBERT A. 601697220 200 Cook 0 1 Pediatrics 0 0 0 0 21 0 0 0 0 0 0 10 0 20 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 16 0 37 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 16 0 37 0 0 0 0 0 0 0 0 0 1595 0 0 0 0 0 0 397 0 1860 0 0 0 0 0 0 3852 0 0 1101427607 1982673166 30 General Hospitals MT GREENWOOD DIALYSIS 606553329 200 Cook DIALYSIS Outpatient dialysis 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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 0 803 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 0 0 0 0 0 16170 0 0 0 0 0 0 16170 0 0 1101429413 92 Waiver service provider--Disability (DHS/DRS) 93 Scott 0 0 0 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 24912 0 0 0 0 0 0 0 0 0 0 0 0 0 24912 0 0 1101429454 1548204662 16 Nurse Practitioners SANTANGELO SUSAN A 604428173 107 Will 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 0 143 0 0 0 0 0 0 143 0 0 1101429489 1538372800 10 Physicians OGDEN MARGARET ALLISON 631600352 200 Cook 0 0 Otolaryngology 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 0 158 0 0 0 0 0 0 158 0 0 1101429493 1598806929 10 Physicians WITTKOPF MARIA L 600052382 200 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1 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2900 0 0 0 0 0 0 2900 0 0 1101436714 1861756090 60 Pharmacies CVS PHARMACY 2375 601153020 27 Dekalb 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 0 590 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22777 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27759 0 0 0 27759 0 0 1101436719 1528020690 10 Physicians AMATO LAWRENCE 600731302 57 Lake 0 0 Internal Medicine 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 0 332 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 332 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 788 0 0 0 0 0 0 788 0 0 1101436739 1811903073 10 Physicians LINDSTROM STEPHANIE 616360001 80 Peoria 0 1 Family Practice 0 0 0 0 0 0 0 0 0 0 0 1 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 321 0 0 0 0 0 0 321 0 0 1101436748 1780660878 28 Waiver service provider--Supportive living facility (HFS) POINTE AT KILPATRICK 604452399 200 Cook 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 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2885 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 288657 0 0 0 0 0 0 0 0 0 0 0 0 0 288657 0 0 1101436810 1932153103 10 Physicians GORDON ALEXANDER 600162359 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 34 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 59 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 59 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 223 0 2063 0 0 0 0 0 0 2286 0 0 1101436856 1417181116 10 Physicians CONCEPCION FREDERMAN 602011700 200 Cook 0 0 Cardiovascular Diseases 0 0 0 0 0 0 0 0 0 0 0 0 0 937 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1759 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1759 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18499 0 0 0 0 0 0 18499 0 0 1101436859 1497958912 10 Physicians YU-TUNGOL DEBBIE C 606118709 200 Cook 0 1 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 12 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 0 992 0 0 0 0 0 0 992 0 0 1101436863 1710085998 16 Nurse Practitioners VEENSTRA BRITTNEY 627949248 91 Sangamon 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 0 139 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 5552 0 0 0 0 0 0 5552 0 0 1101436891 1992891238 63 Other Providers of Medical Equipment/Supplies (Non-registered) COMFORT MEDICAL LLC 330657603 810 Florida 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 1116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73187 0 0 0 0 0 0 73187 0 0 1101436955 1508894981 28 Waiver service provider--Supportive living facility (HFS) BARTON SENIOR RESIDENCE CHGO 606081244 200 Cook 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 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6040 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 688050 0 0 0 0 0 0 0 0 0 0 0 0 0 688050 0 0 1101436960 10 Physicians 30 DuPage 0 0 Radiology Diagnosis 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 12 0 0 0 0 0 0 12 0 0 1101436963 1164463782 16 Nurse Practitioners GREENE BRENDA R. 600354237 57 Lake 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 0 0 0 0 0 0 0 0 0 0 1101436970 1699779538 10 Physicians SMITH DANIEL B 627047452 91 Sangamon 0 1 Family Practice 0 0 0 0 0 0 0 0 0 0 0 12 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 327 0 1220 0 0 0 0 0 0 1547 0 0 1101436983 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 0 136 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 16880 0 0 0 0 0 0 0 0 0 0 0 0 0 16880 0 0 1101437000 1437182979 10 Physicians STEVOFF CHRISTIAN 601533304 200 Cook 0 0 Gastroenterology 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 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 3997 0 0 0 0 0 0 3997 0 0 1101437001 1447280284 30 General Hospitals LORETTO HOSPITAL 606445059 200 Cook DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 General Hospital - Adult and Child 0 0 0 0 0 949 0 0 0 0 397 0 0 0 154 0 0 0 0 0 0 0 0 0 1240 0 0 0 0 468 0 0 0 232 0 0 0 0 0 0 0 0 0 1291 0 0 0 0 3282 0 0 0 442 0 0 0 0 0 0 0 0 0 234387 0 0 0 0 1879793 0 0 0 22998 0 0 0 0 0 2137178 0 0 1101437034 1972601243 10 Physicians KWEDAR JOHN 627949248 91 Sangamon 0 0 Ophthalmology 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 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5496 0 0 0 0 0 0 5496 0 0 1101437040 1396725016 63 Other Providers of Medical Equipment/Supplies (Non-registered) DUMED H H CARE AND UNIFORMS 520021052 816 Iowa 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 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 1825 0 0 0 0 0 0 1825 0 0 1101437088 1629067038 10 Physicians SRECKOVIC GEORGE 604632391 200 Cook 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 9 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 170 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 170 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 1182 0 0 0 0 0 0 1192 0 0 1101437092 1275584153 55 Early Intervention Services CHIRIKOS DEBBIE 601029685 71 McHenry 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 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 6567 0 0 0 0 0 0 6567 0 0 1101437094 1790731180 60 Pharmacies OSCO DRUG #3720 604416631 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 0 408 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14509 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30208 0 0 0 30208 0 0 1101437113 1689665572 33 Nursing Facilities HERITAGE HEALTH CHILLICOTHE 615232258 80 Peoria 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 0 173 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4197 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 657390 0 0 0 0 0 0 0 657390 0 0 1101437126 1003940263 23 Occupational Therapists SZYMANSKI MONIKA 606146005 200 Cook 0 0 0 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 0 163 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 13548 13548 0 0 1101437140 1992097174 60 Pharmacies MARIANOS PHARMACY 8502 600611538 57 Lake 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 0 133 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5940 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2903 0 0 0 2903 0 0 1101437141 1184727984 10 Physicians MANNIX CHRISTINA 631102515 200 Cook 0 0 Pediatrics 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 1013 0 0 0 0 0 0 1013 0 0 1101437213 10 Physicians 815 Indiana 0 0 Cardiology 0 0 0 0 0 0 0 0 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 1 0 0 0 0 0 0 1 0 0 1101437265 1255381877 10 Physicians MIKES PATRICIA 606113197 200 Cook 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 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 0 744 0 0 0 0 0 0 744 0 0 1101437286 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 0 205 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 26977 0 0 0 0 0 0 0 0 0 0 0 0 0 26977 0 0 1101437304 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 36196 0 0 0 0 0 0 0 0 0 0 0 0 0 36196 0 0 1101437325 1396760203 10 Physicians RAPOPORT MYRA 606313746 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 192 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 245 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 245 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2412 0 601 0 0 0 0 0 0 3013 0 0 1101437342 47 Local Education Agencies 96 St Clair 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 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 0 144 0 144 0 0 1101437349 1275514366 10 Physicians VANOSDOL THOMAS 601374418 30 DuPage 0 0 Allergy-Immunization 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 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 2775 0 0 0 0 0 0 2775 0 0 1101437350 1962678268 12 Optometrists KROHN AUSTIN C 623013257 10 Adams 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 0 154 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 2838 0 0 0 0 0 0 2838 0 0 1101437367 1861658668 16 Nurse Practitioners EHLERS JENNIFER 616157822 80 Peoria 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 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 0 142 0 0 0 0 0 0 142 0 0 1101437394 1831486802 55 Early Intervention Services RUSSELL KRISTINA 600905960 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 0 486 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 486 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40436 0 0 0 0 0 0 40436 0 0 1101437411 1871737486 16 Nurse Practitioners ABSOLAM MICHELLE 622697287 96 St Clair 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 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1406 0 0 0 0 0 0 1406 0 0 1101437412 1114998713 10 Physicians STONE ARVEY 607145611 200 Cook 0 0 Internal Medicine 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 0 177 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 5855 0 0 0 0 0 0 5855 0 0 1101437435 1942401906 47 Local Education Agencies FREEBURG C C SCHOOL DIST 70 622431534 96 St Clair 0 0 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 1221 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1221 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25753 0 25753 0 0 1101437447 1528215290 36 Community mental health provider FAMILY COUNSELING CENTER 629951612 52 Johnson 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 153 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 153 0 0 1388 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14860 0 0 16248 0 0 1101437451 16 Nurse Practitioners 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1101437463 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 22924 0 0 0 0 0 0 0 0 0 0 0 0 0 22924 0 0 1101437471 1730271735 22 Physical Therapists BADER ERIC J 610320857 97 Stephenson 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 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 0 473 473 0 0 1101437480 1225127863 10 Physicians ALIKHAN MIR 610811252 106 Whiteside 0 0 Hematology 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 1045 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1045 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 480949 0 0 0 0 0 0 480949 0 0 1101437515 1063490605 10 Physicians DANIELS CHRISTIAN 600252464 200 Cook 0 0 Family Practice 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 0 278 0 0 0 0 0 0 278 0 0 1101437520 1437464039 40 Federally Qualified Health Centers ALIVIO MED CTR AT JOSE CLEMENT 606081903 200 Cook 0 1 School-based 0 0 63 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 167 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 167 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13352 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13352 0 0 1101437532 30 General Hospitals 811 Georgia ARS-LS Long-term stay hospitals paid under an ARS 0 0 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 1153 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1153 0 0 1101437553 60 Pharmacies 826 Missouri 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 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 325 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1878 0 0 0 1878 0 0 1101437560 10 Physicians 30 DuPage 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 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 0 280 0 0 0 0 0 0 280 0 0 1101437576 1225234933 10 Physicians KAYSER JASON 999999999 826 Missouri 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 41 0 0 0 0 0 0 0 0 41 0 0 1101437602 1720279136 16 Nurse Practitioners ELSEN CHRISTINE 606112991 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 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Independent Laboratories PATHGROUP LABS LLC 372113682 844 Tennessee 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 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 0 952 0 0 0 0 0 0 0 0 952 0 0 1101455931 1154568152 63 Other Providers of Medical Equipment/Supplies (Non-registered) LINCARE 629483713 108 Williamson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 561 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7717 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7717 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 233144 0 0 0 0 0 0 233144 0 0 1101455934 1932268745 10 Physicians CHRISLER OLIVER 605407430 30 DuPage 0 0 Emergency Medicine 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 0 122 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 5925 0 0 0 0 0 0 5925 0 0 1101455962 1588870315 10 Physicians BAVELIS THANASIS 606575640 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 1 709 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 919 0 59 0 0 0 0 0 0 0 0 0 0 0 0 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1101470197 1053364695 63 Other Providers of Medical Equipment/Supplies (Non-registered) MIDWEST MEDICAL EQUIPMENT 604625035 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1951 0 227 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3806 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3806 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242795 0 18331 0 0 0 0 261126 0 0 1101470244 10 Physicians 816 Iowa 0 0 Pulmonary Diseases 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1101470251 1194743815 10 Physicians WALLACE COLLEEN 631101002 826 Missouri 0 0 Pediatrics 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 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 0 710 0 0 0 0 0 0 710 0 0 1101470256 1093729501 10 Physicians ZAIDI MAZHAR H 601228942 53 Kane 0 0 Family Practice 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 0 204 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 204 0 0 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0 0 0 0 0 0 0 0 0 2211 0 0 0 0 0 0 2211 0 0 1101470277 1477819886 40 Federally Qualified Health Centers COMMUNITY HEALTH CARE 612442134 89 Rock Island 0 1 0 0 182 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 578 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 578 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28956 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28956 0 0 1101470317 1144556853 47 Local Education Agencies MERCER COUNTY SCHOOL DIST 404 612312100 74 Mercer 0 0 0 0 0 0 107 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 0 0 283 0 0 0 0 0 0 0 0 0 0 0 0 0 1705 0 0 0 0 283 0 0 0 0 0 0 0 0 0 0 0 0 0 1705 0 0 0 0 1880 0 0 0 0 0 0 0 0 0 0 0 0 0 12344 0 14224 0 0 1101470338 1972527315 10 Physicians GIRARD SCOTT ANDREW 610811278 106 Whiteside 0 0 Anesthesiology 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 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 1538 0 0 0 0 0 0 1538 0 0 1101470346 1952355786 10 Physicians MATTINGLY JOHN 622262070 96 St Clair 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 24 0 1 0 0 0 0 0 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 28 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 437 0 0 0 0 0 0 0 0 437 0 0 1101470355 1841469319 47 Local Education Agencies GENEVA CUSD 304 601341307 53 Kane 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 5683 0 0 0 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 5683 0 0 0 0 554 0 0 0 0 0 0 0 0 0 0 0 0 0 138076 0 138630 0 0 1101470357 1124099064 10 Physicians PATEL BIREN 606949700 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 440 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 810 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 810 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11159 0 94 0 0 0 0 0 0 11253 0 0 1101470360 1700807575 10 Physicians MUNIZ JAVIER 629483619 108 Williamson 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 448 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 651 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 651 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2646 0 0 0 0 0 0 2646 0 0 1101470371 1285740043 10 Physicians LIU 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4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 320 0 0 0 0 0 0 0 0 320 0 0 1101484023 1023144854 63 Other Providers of Medical Equipment/Supplies (Non-registered) A2Z MEDICAL SUPPLIES CO 604625156 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 486 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11174 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11174 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 806893 0 85 0 0 0 0 806978 0 0 1101484034 1891735536 10 Physicians WU KAREN 601545716 200 Cook 0 0 Orthopedic Surgery 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 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 1056 0 0 0 0 0 0 1056 0 0 1101484036 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 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 33131 0 0 0 0 0 0 0 0 0 0 0 0 0 33131 0 0 1101484059 1619199627 10 Physicians BOCKEWITZ BRANDON 503061455 80 Peoria 0 1 Family Practice 0 0 0 0 0 0 0 0 0 0 0 2 0 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 159 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 159 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 4235 0 0 0 0 0 0 4281 0 0 1101484069 1093971442 52 Certified local public health department DUPAGE COUNTY HEALTH DEPARTMEN 601011101 30 DuPage 0 0 0 0 150 0 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 172 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 172 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2491 0 1098 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3589 0 0 1101484080 1770561789 10 Physicians ALKHALAFAWI AMAL 607071113 200 Cook 0 1 Internal Medicine 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 0 720 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 720 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4647 0 0 0 0 0 0 4647 0 0 1101484140 1669518270 60 Pharmacies MICHELLES PHARMACY INC 626261371 64 Macoupin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 5038 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 381 0 0 4614 0 0 0 4995 0 0 1101484143 1912976085 10 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0 0 0 0 0 0 0 0 0 18528 0 0 1101484228 1558565226 10 Physicians HANSON JAMES 535625531 852 Wisconsin 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 7 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 184 0 0 0 0 0 0 0 0 184 0 0 1101484249 10 Physicians 63 Macon 0 0 Radiology 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 37 0 17 0 0 0 0 0 0 54 0 0 1101484256 10 Physicians 30 DuPage 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 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 1101484282 1700846664 10 Physicians DEPAZ MARY ANNE 625265858 63 Macon 0 0 Radiation Oncology 0 0 0 0 0 0 0 0 0 0 0 1 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 185 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 185 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 1199 0 0 0 0 0 0 1244 0 0 1101484284 10 Physicians 200 Cook 0 0 Infectious Diseases 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 43 0 0 1101484317 10 Physicians 852 Wisconsin 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 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 15 0 0 0 0 0 0 15 0 0 1101484329 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 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 7578 0 0 0 0 0 0 0 0 0 0 0 0 0 7578 0 0 1101484331 30 General Hospitals 852 Wisconsin ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 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 0 601 0 0 0 0 0 0 0 0 0 0 0 0 0 0 601 0 0 1101484336 1174534564 10 Physicians TABRIZ MUHAMMAD 604631025 200 Cook 0 0 Infectious Diseases 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 0 630 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 630 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4587 0 0 0 0 0 0 4587 0 0 1101484347 1497991509 10 Physicians SYED ALMAS 601545716 200 Cook 0 0 Pediatrics 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 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 9205 0 0 0 0 0 0 9205 0 0 1101484357 1306813506 10 Physicians ANTONACCI VICTOR 611144937 109 Winnebago 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 24 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 132 0 770 0 0 0 0 0 0 902 0 0 1101484358 1306007836 10 Physicians FITZGERALD KATHERINE 615202608 37 Fulton 0 0 Internal Medicine 0 0 0 0 1 0 0 0 0 0 0 6 0 14 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 17 0 46 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 17 0 46 0 0 0 0 0 0 0 0 0 77 0 0 0 0 0 0 104 0 381 0 0 0 0 0 0 562 0 0 1101484359 10 Physicians 200 Cook 0 0 Internal Medicine 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 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 1647 0 0 0 0 0 0 1647 0 0 1101484385 1528056504 16 Nurse Practitioners DAMERY MARY 117474300 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 0 259 0 0 0 0 0 0 259 0 0 1101484403 13 Podiatrists 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 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 1 0 0 0 0 0 0 1 0 0 1101484416 10 Physicians 826 Missouri 0 0 Obstetric-Gynecology 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 0 170 0 0 0 0 0 0 0 0 170 0 0 1101484427 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 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 0 131 131 0 0 1101484431 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 0 348 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 29652 0 0 0 0 0 0 0 0 0 0 0 0 0 29652 0 0 1101484470 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 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 0 348 0 0 0 0 0 0 0 0 0 0 0 0 0 348 0 0 1101484476 1437325107 30 General Hospitals KEOKUK AREA HOSPITAL 526323456 816 Iowa ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 32 0 0 0 0 1 0 0 0 21 0 0 0 0 0 0 0 0 0 38 0 0 0 0 1 0 0 0 40 0 0 0 0 0 0 0 0 0 38 0 0 0 0 3 0 0 0 40 0 0 0 0 0 0 0 0 0 3642 0 0 0 0 0 0 0 0 1046 0 0 0 0 0 4688 0 0 1101484481 1225236300 10 Physicians USHE MWIZA 631600352 92 Schuyler 0 0 Neurology 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 0 146 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 34856 0 0 0 0 0 0 34856 0 0 1101484487 1942392675 16 Nurse Practitioners COLE BRADLEY 617043630 72 McLean 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 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 0 855 0 0 0 0 0 0 855 0 0 1101484499 10 Physicians 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 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 8 0 0 0 0 0 0 8 0 0 1101484508 1801162151 16 Nurse Practitioners WALKER HAROLYN 618012530 19 Champaign 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 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1139 0 0 0 0 0 0 1139 0 0 1101484509 1922047653 10 Physicians ATCHISON SEAN 606660973 200 Cook 0 0 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0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28460 0 0 0 0 0 0 0 0 0 0 0 0 0 28460 0 0 1101532470 1356334577 63 Other Providers of Medical Equipment/Supplies (Non-registered) MINIMED DISTRIBUTION CORP 913251219 805 California 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 0 251 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 12139 0 0 0 0 0 0 12139 0 0 1101532474 1376581413 10 Physicians SINIBALDI MARK R 604631270 200 Cook 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 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 1497 0 0 0 0 0 0 1497 0 0 1101532489 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 0 248 0 0 0 0 0 0 248 0 0 1101532492 1992723472 10 Physicians MAZUSKI JOHN 631600352 816 Iowa 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 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