#ProviderKeyID NPI ProviderTypeCd ProviderTypeDesc ProviderName ProvZipCd OfficeCountyCd OfficeCountyDesc ReimbursementTypeCd ReimbursementTypeDesc CriticalAccessInd PCPInd PrimSpecCdDesc CareCoordRINS CaseMgmt_InsuranceRINS ClinicServicesRINS DentalServicesRINS EPSDTRINS ERRINS HCBSRINS HomeHealthRINS HospiceRINS ICFMRRINS InpatientCareRINS LabRadiologyRINS NursingFacilityRINS OtherServicesRINS OutPatientRINS PDDRINS PrescDRUGsRINS RehabRINS SchoolBasedRINS TherapyRINS CaseMgmt_InsuranceEvents ClinicServicesEvents DentalServicesEvents EPSDTEvents EREvents HCBSEvents HomeHealthEvents HospiceEvents ICFMREvents InpatientCareEvents LabRadiologyEvents NursingFacilityEvents OtherServicesEvents OutPatientEvents PDDEvents PrescDRUGsEvents RehabEvents SchoolBasedEvents TherapyEvents CaseMgmt_InsuranceUOS ClinicServicesUOS DentalServicesUOS EPSDTUOS ERUOS HCBSUOS HomeHealthUOS HospiceUOS ICFMRUOS InpatientCareUOS LabRadiologyUOS NursingFacilityUOS OtherServicesUOS OutPatientUOS PDDUOS PrescDRUGsUOS RehabUOS SchoolBasedUOS TherapyUOS CaseMgmt_InsuranceCost ClinicServicesCost DentalServicesCost EPSDTCost ERCost HCBSCost HomeHealthCost HospiceCost ICFMRCost InpatientCareCost LabRadiologyCost NursingFacilityCost OtherServicesCost OutPatientCost PDDCost PrescDRUGsCost RehabCost SchoolBasedCost TherapyCost TotalCost CapitationPayments HospEncounterAddOnPayment 1000000004 1497093264 16 Nurse Practitioners KNOWSKI PEGGY L 626759467 73 Menard 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 94 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 94 0 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 0 0 2394 0 0 0 0 0 0 2470 0 0 1000000270 91 Waiver service provider--Adults (DHS/DDD) 110 Woodford 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 129 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 0 608 0 0 0 0 0 0 0 0 0 0 0 0 0 608 0 0 1000004098 1235415597 16 Nurse Practitioners JEHL REBECCA 606102089 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 360 0 0 0 0 0 0 360 0 0 1000004240 1912262775 16 Nurse Practitioners MILLER JAMES E 600250128 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 709 0 0 0 0 0 0 709 0 0 1000007522 1336466713 10 Physicians BHARGAVA ANU 601545716 200 Cook 0 0 Pediatrics 0 0 0 0 12 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 953 0 0 0 0 0 0 0 0 836 0 0 0 0 0 0 1789 0 0 1000008031 1104060110 10 Physicians JIRSCHELE CAMERON 606740018 200 Cook 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 7 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105 0 1411 0 0 0 0 0 0 1516 0 0 1000008265 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 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18057 0 0 0 0 0 0 0 0 0 0 0 0 0 18057 0 0 1000008601 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30261 0 0 0 0 0 0 0 0 0 0 0 0 0 30261 0 0 1000009580 10 Physicians 18 Cass 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 14 0 0 1000009628 1518020353 10 Physicians TRUONG ANTHONY L 627034514 96 St Clair 0 1 Family Practice 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 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 2663 0 0 0 0 0 0 2663 0 0 1000009944 1588989107 10 Physicians BRUMUND SHANNON 953586411 200 Cook 0 0 Emergency Medicine 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 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3036 0 0 0 0 0 0 3036 0 0 1000013048 1386076644 91 Waiver service provider--Adults (DHS/DDD) RUSSO ANTHONY 602014447 200 Cook 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 1996 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1996 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101921 0 0 0 0 0 0 0 0 0 0 0 0 0 101921 0 0 1000013348 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 54710 0 0 0 0 0 0 0 0 0 0 0 0 0 54710 0 0 1000015025 1710265483 10 Physicians DAWOOD SHERIF 606123714 200 Cook 0 0 Internal Medicine 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 0 329 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 329 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35434 0 0 0 0 0 0 35434 0 0 1000018741 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8298 0 0 0 0 0 0 0 0 0 0 0 0 0 8298 0 0 1000019366 1760823116 33 Nursing Facilities WARREN BARR LIVING & REHAB CTR 606107325 200 Cook 0 0 0 1 0 0 0 0 0 0 0 0 0 0 269 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 869 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 18591 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2262938 0 0 0 0 0 0 0 2262938 0 0 1000020097 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 325 0 0 0 0 0 0 0 0 0 0 0 0 0 325 0 0 1000022527 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 26183 0 0 0 0 0 0 0 0 0 0 0 0 0 26183 0 0 1000022821 1558618678 30 General Hospitals FRESENIUS MEDICAL CARE ELGIN 601239219 53 Kane DIALYSIS Outpatient dialysis centers. 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 0 243 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 136276 0 0 0 0 0 136276 0 0 1000023192 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 0 655 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 655 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52083 0 0 0 0 0 0 0 0 0 0 0 0 0 52083 0 0 1000025388 1417113069 10 Physicians FISHBEIN ANNA 606116649 200 Cook 0 0 Pediatrics 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 0 856 0 0 0 0 0 0 856 0 0 1000026621 1023453362 10 Physicians DANIEL SILVER 601220021 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 136 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 235 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 235 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3238 0 11 0 0 0 0 0 0 3249 0 0 1000027664 1023056090 46 Ambulatory Surgical Treatment Centers GAILEY EYE SURGERY DECATUR LLC 625261633 63 Macon ASTC Ambulatory Surgical Treatment Center. 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6174 0 0 0 0 0 6174 0 0 1000032721 16 Nurse Practitioners 91 Sangamon 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 0 107 0 0 0 0 0 0 107 0 0 1000033036 1659650455 16 Nurse Practitioners BUTLER STEPHANIE 617044850 72 McLean 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 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 973 0 0 0 0 0 0 973 0 0 1000033954 1508843384 10 Physicians WALCZYK JEFFREY 999999999 816 Iowa 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 12 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 1 0 17 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 1 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 480 0 0 0 0 0 0 486 0 0 1000039046 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 4735 0 0 0 0 0 0 0 0 0 0 0 0 0 4735 0 0 1000041606 4000041606 91 Waiver service provider--Adults (DHS/DDD) WALKER JANE 627621000 91 Sangamon 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 1035 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1035 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 154310 0 0 0 0 0 0 0 0 0 0 0 0 0 154310 0 0 1000042146 1235326737 10 Physicians WILKERSON JONATHAN 420037942 818 Kentucky 0 0 Nephrology 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 0 264 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 0 707 0 0 0 0 0 0 707 0 0 1000042321 1326206426 10 Physicians MILLER JUSTIN 628632638 101 Wabash 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 18 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2262 0 0 0 0 0 0 2262 0 0 1000046449 1740346279 16 Nurse Practitioners GUZMAN LAURA 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 454 0 0 0 0 0 0 454 0 0 1000047455 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 0 146 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 28188 0 0 0 0 0 0 0 0 0 0 0 0 0 28188 0 0 1000047604 1285077578 25 Audiologists GIBBS LISA 618012530 19 Champaign 0 0 0 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 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 1084 1084 0 0 1000047700 1801861950 74 Hospital-Based Transportation Providers MEDIC EMS 528032436 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 591 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1833 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1833 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 202713 0 0 0 0 0 0 202713 0 0 1000053597 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 32 0 0 0 0 0 0 32 0 0 1000055667 30 General Hospitals 30 DuPage DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 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 0 517 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1000064337 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 31 0 0 0 0 0 0 31 0 0 1000070013 92 Waiver service provider--Disability (DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 29492 0 0 0 0 0 0 0 0 0 0 0 0 0 29492 0 0 1000075166 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 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 18056 0 0 0 0 0 0 0 0 0 0 0 0 0 18056 0 0 1000076593 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25977 0 0 0 0 0 0 0 0 0 0 0 0 0 25977 0 0 1000077582 1083982953 24 Speech Therapists DOGADKO AMY B 600624229 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 0 181 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 13120 13120 0 0 1000080634 1861529299 10 Physicians GUEVARA CARLOS 999999999 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 243 0 0 0 0 0 0 256 0 0 1000085193 91 Waiver service provider--Adults (DHS/DDD) 25 Crawford 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4551 0 0 0 0 0 0 0 0 0 0 0 0 0 4551 0 0 1000085849 92 Waiver service provider--Disability (DHS/DRS) 89 Rock Island 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5935 0 0 0 0 0 0 0 0 0 0 0 0 0 5935 0 0 1000086392 1922348002 16 Nurse Practitioners MCKINZIE LAURA 620253501 65 Madison 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 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 0 390 0 0 0 0 0 0 390 0 0 1000091251 10 Physicians 19 Champaign 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 112 0 0 0 0 0 0 112 0 0 1000091661 1497928295 25 Audiologists SPINELLI LAURA C 601228942 53 Kane 0 0 0 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 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1758 1758 0 0 1000092298 1508890823 16 Nurse Practitioners WIJEWEERA HELEN 631101010 826 Missouri 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 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 0 124 0 0 0 0 0 0 124 0 0 1000099271 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 0 239 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 28338 0 0 0 0 0 0 0 0 0 0 0 0 0 28338 0 0 1000102017 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 0 346 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 346 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11453 0 0 0 0 0 0 0 0 0 0 0 0 0 11453 0 0 1000103615 1376819730 16 Nurse Practitioners ZULL LISA 606313222 200 Cook 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 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1090 0 0 0 0 0 0 1090 0 0 1000105478 1942529623 10 Physicians SAYEED KHALEEL 605231557 30 DuPage 0 0 Internal Medicine 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 0 697 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 697 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12178 0 0 0 0 0 0 12178 0 0 1000108976 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 625 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 625 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50404 0 0 0 0 0 0 0 0 0 0 0 0 0 50404 0 0 1000111518 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 0 185 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 29062 0 0 0 0 0 0 0 0 0 0 0 0 0 29062 0 0 1000111750 1922345545 55 Early Intervention Services KAISERMAN CANDICE 605380702 53 Kane 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 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 2513 0 0 0 0 0 0 2513 0 0 1000112712 10 Physicians 74 Mercer 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 0 180 0 0 0 0 0 0 180 0 0 1000112906 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28872 0 0 0 0 0 0 0 0 0 0 0 0 0 28872 0 0 1000115758 1407086945 12 Optometrists KLEIN HOLLY R 620355040 65 Madison 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 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 2081 0 0 0 0 0 0 2081 0 0 1000116881 1982818357 10 Physicians WINKLEMAN BRIAN 604356572 107 Will 0 0 Surgery General 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 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 2298 0 0 0 0 0 0 2298 0 0 1000117668 91 Waiver service provider--Adults (DHS/DDD) 79 Ogle 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3874 0 0 0 0 0 0 0 0 0 0 0 0 0 3874 0 0 1000122998 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 0 361 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 0 0 0 0 0 0 0 0 0 0 0 0 28860 0 0 0 0 0 0 0 0 0 0 0 0 0 28860 0 0 1000132525 1417392457 11 Dentists OBAISI NOOR 604554034 200 Cook 0 0 General Dentistry 0 0 0 110 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 21066 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21066 0 0 1000133523 98 Waiver service provider--TBI (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 16126 0 0 0 0 0 0 0 0 0 0 0 0 0 16126 0 0 1000135038 1912158882 10 Physicians MAJID MAHREEN 606731258 200 Cook 0 0 Internal 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 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 5094 0 0 0 0 0 0 5094 0 0 1000138256 1114242302 10 Physicians RAIKAR LEENA 601374464 30 DuPage 0 1 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 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 0 305 0 0 0 0 0 0 305 0 0 1000142495 1295903912 36 Community mental health provider COMMUNITY RESOURCE CENTER 628014223 66 Marion 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 1622 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1847 0 0 1622 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1847 0 0 73097 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 226068 0 0 299165 0 0 1000143063 10 Physicians 80 Peoria 0 1 Pediatrics 0 0 0 0 2 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 2 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 49 0 0 1000145888 1033371992 10 Physicians LEHMANN CHARLES 631418573 104 Wayne 0 0 Orthopedic Surgery 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 0 301 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 301 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8111 0 0 0 0 0 0 8111 0 0 1000150220 1699070540 10 Physicians AHMED NASREEN 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 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 2217 0 0 0 0 0 0 2217 0 0 1000151173 1730490525 10 Physicians SHRESTHA AMARDEEP 627695324 91 Sangamon 0 0 Internal Medicine 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 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3552 0 0 0 0 0 0 3552 0 0 1000153140 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 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 16897 0 0 0 0 0 0 0 0 0 0 0 0 0 16897 0 0 1000155415 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 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 26949 0 0 0 0 0 0 0 0 0 0 0 0 0 26949 0 0 1000157597 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 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 10168 0 0 0 0 0 0 0 0 0 0 0 0 0 10168 0 0 1000160079 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 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29467 0 0 0 0 0 0 0 0 0 0 0 0 0 29467 0 0 1000163187 1558522805 10 Physicians LLOYD ROBERT B 606118709 200 Cook 0 0 Psychiatry 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 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 0 776 0 0 0 0 0 0 776 0 0 1000165164 1871853770 30 General Hospitals US RENAL CARE OAK BROOK DIALYS 605151074 30 DuPage DIALYSIS Outpatient dialysis centers. 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 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 685 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15306 0 0 0 0 0 15306 0 0 1000165660 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 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 0 688 0 0 0 0 0 0 0 0 0 0 0 0 0 688 0 0 1000166898 92 Waiver service provider--Disability (DHS/DRS) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 30685 0 0 0 0 0 0 0 0 0 0 0 0 0 30685 0 0 1000167368 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 939 0 0 0 0 0 0 0 0 0 0 0 0 0 939 0 0 1000167413 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 0 243 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 0 0 0 0 0 0 0 0 0 0 0 0 20644 0 0 0 0 0 0 0 0 0 0 0 0 0 20644 0 0 1000170660 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2225 0 0 0 0 0 0 0 0 0 0 0 0 0 2225 0 0 1000173394 1114279700 16 Nurse Practitioners RICHARDSON TIFFANY M 117474300 33 Effingham 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 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 1767 0 0 0 0 0 0 1767 0 0 1000173893 1437136876 10 Physicians COLEN DARRYL 600626194 200 Cook 0 1 Pediatrics 0 0 0 0 10 0 0 0 0 0 0 3 0 16 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 3 0 19 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 3 0 19 0 0 0 0 0 0 0 0 0 914 0 0 0 0 0 0 85 0 982 0 0 0 0 0 0 1981 0 0 1000178721 1881746311 10 Physicians MASTBROOK CYNTHIA 605638113 30 DuPage 0 0 Anesthesiology 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 0 844 0 0 0 0 0 0 844 0 0 1000180957 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 48547 0 0 0 0 0 0 0 0 0 0 0 0 0 48547 0 0 1000181171 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 0 154 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 11881 0 0 0 0 0 0 0 0 0 0 0 0 0 11881 0 0 1000181517 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3089 0 0 0 0 0 0 0 0 0 0 0 0 0 3089 0 0 1000183280 10 Physicians 826 Missouri 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 0 0 0 0 0 0 0 0 0 0 1000190239 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 0 363 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 29062 0 0 0 0 0 0 0 0 0 0 0 0 0 29062 0 0 1000191074 10 Physicians 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 61 0 0 0 0 0 0 61 0 0 1000195069 4000195069 90 Waiver service provider--Elderly (DOA) MEDICAL GEAR LLC 606412932 200 Cook 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 22231 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22231 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2268464 0 0 0 0 0 0 0 0 0 0 0 0 0 2268464 0 0 1000195914 1285868364 10 Physicians GLUNCIC VICKO 606445059 200 Cook 0 0 Anesthesiology 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 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2877 0 0 0 0 0 0 2877 0 0 1000198722 1255654950 22 Physical Therapists DE LARA JENIFER 603011429 200 Cook 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 0 495 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 495 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4119 4119 0 0 1000199896 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 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 1555 0 0 0 0 0 0 0 0 0 0 0 0 0 1555 0 0 1000200294 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18195 0 0 0 0 0 0 0 0 0 0 0 0 0 18195 0 0 1000200992 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 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 35299 0 0 0 0 0 0 0 0 0 0 0 0 0 35299 0 0 1000201610 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 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24300 0 0 0 0 0 0 0 0 0 0 0 0 0 24300 0 0 1000202595 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 0 356 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 356 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26883 0 0 0 0 0 0 0 0 0 0 0 0 0 26883 0 0 1000206387 1215266952 10 Physicians ABUSIN SALAHELDIN 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 133 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 316 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 316 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 3580 0 0 0 0 0 0 3595 0 0 1000206531 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 0 239 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 22964 0 0 0 0 0 0 0 0 0 0 0 0 0 22964 0 0 1000206876 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 0 275 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 24834 0 0 0 0 0 0 0 0 0 0 0 0 0 24834 0 0 1000209341 10 Physicians 852 Wisconsin 0 0 Gastroenterology 0 0 0 0 0 0 0 0 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 0 523 0 0 0 0 0 0 523 0 0 1000210450 1891951208 10 Physicians BANDI SINDHURA 606123714 200 Cook 0 0 Allergy-Immunization 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 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 3380 0 0 0 0 0 0 3380 0 0 1000213226 1073826327 10 Physicians PANDIT ANANTA 606081732 200 Cook 0 1 Internal Medicine 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 0 387 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 387 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6724 0 0 0 0 0 0 6724 0 0 1000214281 1386993285 22 Physical Therapists DAVIS STORMIE 999999999 72 McLean 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 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 0 652 652 0 0 1000214830 1578805503 16 Nurse Practitioners IVANOVA IVELINA 606441580 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 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 1031 0 0 0 0 0 0 1031 0 0 1000218151 1326386731 10 Physicians MALIK REBECCA 999999999 57 Lake 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 211 0 0 0 0 0 0 0 0 529 0 0 0 0 0 0 740 0 0 1000218545 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 23560 0 0 0 0 0 0 0 0 0 0 0 0 0 23560 0 0 1000219952 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 81 0 0 0 0 0 0 81 0 0 1000221617 4000221617 90 Waiver service provider--Elderly (DOA) CHINESE MUTUAL AID ASSOCIATION 606403715 200 Cook 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 0 0 0 0 0 2185 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 307956 0 0 0 0 0 0 0 0 0 0 0 0 0 307956 0 0 1000224105 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5078 0 0 0 0 0 0 0 0 0 0 0 0 0 5078 0 0 1000225362 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 16532 0 0 0 0 0 0 0 0 0 0 0 0 0 16532 0 0 1000225589 1073713418 10 Physicians BACKOUS CRAIG A 602011700 200 Cook 0 0 Internal Medicine 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 0 425 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 0 0 0 0 0 0 0 0 0 0 0 0 8085 0 0 0 0 0 0 8085 0 0 1000225783 1386994812 16 Nurse Practitioners FONGE FELIX 333216424 200 Cook 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 1386 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1386 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17450 0 0 0 0 0 0 17450 0 0 1000227671 1154656577 10 Physicians PALMA CAMILLE V 602023452 200 Cook 0 0 Ophthalmology 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 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21436 0 0 0 0 0 0 21436 0 0 1000229569 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 30521 0 0 0 0 0 0 0 0 0 0 0 0 0 30521 0 0 1000230988 1427353622 10 Physicians BIANCO FRANCESCO 606133077 200 Cook 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 0 278 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 0 0 0 0 0 0 0 0 0 0 0 0 31190 0 0 0 0 0 0 31190 0 0 1000232311 14 Chiropractors 97 Stephenson 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 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1000233923 1356573968 10 Physicians KOVALSKY ADRIENNE N 606930623 200 Cook 0 0 Internal Medicine 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 0 240 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 5827 0 0 0 0 0 0 5827 0 0 1000244531 1629381256 10 Physicians MCGOWEN PAYTON 946081844 104 Wayne 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 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2503 0 0 0 0 0 0 2503 0 0 1000246532 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 0 213 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 0 0 0 0 0 0 0 0 0 0 0 0 16092 0 0 0 0 0 0 0 0 0 0 0 0 0 16092 0 0 1000249802 1114246782 10 Physicians FUS MAGDALENA 999999999 30 DuPage 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 4 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 491 0 0 0 0 0 0 523 0 0 1000253955 1255676409 16 Nurse Practitioners WEBER LAUREN 611041572 109 Winnebago 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4336 0 0 0 0 0 0 4336 0 0 1000257221 1386623353 10 Physicians BOND MICHAEL 946081844 108 Williamson 0 0 Family Practice 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 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 1806 0 0 0 0 0 0 1806 0 0 1000257998 1801231741 16 Nurse Practitioners BEDNARCHIK CYNTHIA 627080556 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 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 1214 0 0 0 0 0 0 1214 0 0 1000258161 1649591371 10 Physicians POUSTINCHIAN BRIAN 601228942 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 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3014 0 0 0 0 0 0 3014 0 0 1000262188 1740457696 10 Physicians DEAL LITISHA 606910260 200 Cook 0 0 Anesthesiology 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 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 11751 0 0 0 0 0 0 11751 0 0 1000263078 1073770244 10 Physicians ORKISZEWSKA ALEKSANDRA 600184703 200 Cook 0 1 Family Practice 0 0 0 0 4 0 0 0 0 0 0 10 0 36 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 14 0 46 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 14 0 46 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 653 0 1374 0 0 0 0 0 0 2077 0 0 1000263248 16 Nurse Practitioners 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 62 0 0 1000265961 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 358 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 358 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29030 0 0 0 0 0 0 0 0 0 0 0 0 0 29030 0 0 1000270613 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 0 240 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 19197 0 0 0 0 0 0 0 0 0 0 0 0 0 19197 0 0 1000275164 1073829990 10 Physicians BHANUSHALI GAUTAM K 605231557 30 DuPage 0 0 Nephrology 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 918 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 918 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11766 0 0 0 0 0 0 11766 0 0 1000277907 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 0 251 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 17387 0 0 0 0 0 0 0 0 0 0 0 0 0 17387 0 0 1000285485 1265743025 10 Physicians WOOD EMILY 999999999 826 Missouri 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 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 0 652 0 0 0 0 0 0 652 0 0 1000285505 1154551794 10 Physicians LOUGHLIN ANNA 999999999 71 McHenry 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 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 0 659 0 0 0 0 0 0 659 0 0 1000286918 12 Optometrists 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 17 0 0 0 0 0 0 17 0 0 1000293665 86 Clinical Social Worker(Encounter Only) 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 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 24 0 0 0 0 0 0 24 0 0 1000293746 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 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 1987 0 0 0 0 0 0 0 0 0 0 0 0 0 1987 0 0 1000297550 16 Nurse Practitioners 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 49 0 0 1000298151 91 Waiver service provider--Adults (DHS/DDD) 46 Iroquois 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 181 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 7074 0 0 0 0 0 0 0 0 0 0 0 0 0 7074 0 0 1000300599 1649521725 24 Speech Therapists HALL CIERRA 620342991 65 Madison 0 0 0 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 0 442 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 0 0 0 0 0 0 0 0 0 0 0 0 37768 37768 0 0 1000304080 1639429855 16 Nurse Practitioners JORDAL DANIELLE D 611041572 109 Winnebago 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 0 215 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 0 937 0 0 0 0 0 0 937 0 0 1000304245 1457528101 10 Physicians BILLINGS LIANA K. 602011718 200 Cook 0 0 Internal Medicine 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 46 0 0 0 0 0 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 0 0 659 0 0 0 0 0 0 659 0 0 1000305257 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 12249 0 0 0 0 0 0 0 0 0 0 0 0 0 12249 0 0 1000306015 1407197122 24 Speech Therapists HILEMAN DANIELLE 605855826 107 Will 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 0 182 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 15053 15053 0 0 1000306122 1245578673 60 Pharmacies MARIANOS PHARMACY 8509 604232006 107 Will 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 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4535 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7989 0 0 0 7989 0 0 1000306261 10 Physicians 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 199 0 0 0 0 0 0 199 0 0 1000306354 1356787972 16 Nurse Practitioners DELGADO VERONICA 606751611 200 Cook 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 428 0 0 0 0 0 0 0 0 2969 0 0 0 0 0 0 3397 0 0 1000306434 1801096656 10 Physicians ARDATI AMER K 606127232 200 Cook 0 0 Cardiology 0 0 0 0 0 0 0 0 0 0 0 0 0 298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 534 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 534 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20221 0 0 0 0 0 0 20221 0 0 1000306686 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 32329 0 0 0 0 0 0 0 0 0 0 0 0 0 32329 0 0 1000309037 10 Physicians 25 Crawford 0 0 0 0 0 0 0 0 0 0 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 66 0 0 0 0 0 0 66 0 0 1000310848 91 Waiver service provider--Adults (DHS/DDD) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 810 0 0 0 0 0 0 0 0 0 0 0 0 0 810 0 0 1000312654 1033155841 12 Optometrists TROUTMAN THOMAS M 604623296 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 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 1855 0 0 0 0 0 0 1855 0 0 1000314225 4000314225 91 Waiver service provider--Adults (DHS/DDD) "MULFORD HOMES, INC" 600763651 200 Cook 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 10219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2354416 0 0 0 0 0 0 0 0 0 0 0 0 0 2354416 0 0 1000314379 1093735672 10 Physicians KEUNE JASON 631102515 826 Missouri 0 0 Surgery General 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1254 0 0 0 0 0 0 1254 0 0 1000315474 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 23666 0 0 0 0 0 0 0 0 0 0 0 0 0 23666 0 0 1000316469 1679503171 10 Physicians SHERMAN SCHOTT JENNIFER 600154901 57 Lake 0 0 Pediatrics 0 0 0 0 6 0 0 0 0 0 0 1 0 5 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 2 0 6 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 2 0 6 0 0 0 0 0 0 0 0 0 564 0 0 0 0 0 0 158 0 399 0 0 0 0 0 0 1121 0 0 1000319541 1376620070 10 Physicians HOBBS KEIA 999999999 200 Cook 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 188 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 188 0 0 0 0 0 0 0 0 0 119 0 0 0 0 0 0 0 0 7618 0 0 0 0 0 0 7737 0 0 1000319634 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 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 14321 0 0 0 0 0 0 0 0 0 0 0 0 0 14321 0 0 1000322248 1164776670 16 Nurse Practitioners RADJA MARCIA 999999999 30 DuPage 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 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1000323029 1528306289 16 Nurse Practitioners SOWDER KATIE 612541091 45 Henry 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 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 1216 0 0 0 0 0 0 1216 0 0 1000323959 1477789584 13 Podiatrists COMSTOCK KATHRYN 631321228 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 170 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 921 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 921 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1694 0 0 0 0 0 0 1694 0 0 1000332560 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 0 278 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 0 0 0 0 0 0 0 0 0 0 0 0 27682 0 0 0 0 0 0 0 0 0 0 0 0 0 27682 0 0 1000332705 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 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 0 604 0 0 0 0 0 0 0 0 0 0 0 0 0 604 0 0 1000334432 1417155169 10 Physicians COX APRIL 631418512 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 449 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 602 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 602 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4793 0 204 0 0 0 0 0 0 4997 0 0 1000334610 1164667424 10 Physicians VILLEGAS GARCIA JUAN 606181537 200 Cook 0 0 Internal 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 0 409 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 409 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16652 0 0 0 0 0 0 16652 0 0 1000334729 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 1000338696 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1000339710 1861734600 87 Psychologist(Encounter Only) KLUTCHARCH EDWARD 605254613 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 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 0 0 0 0 0 0 0 0 0 0 1000340055 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1000341130 1023240652 10 Physicians OBEROI DIPIKA 602011700 200 Cook 0 1 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 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 0 917 0 0 0 0 0 0 917 0 0 1000341879 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 0 0 0 0 0 0 0 0 0 0 1000341968 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1000346047 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 19980 0 0 0 0 0 0 0 0 0 0 0 0 0 19980 0 0 1000347682 1275974172 50 Home Health Agencies - In Home RELIANCE HOME HLTH CAREGIVERS 605231234 30 DuPage 0 0 0 0 0 0 0 0 99 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19973 11678 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19973 11678 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8383731 6014077 0 0 0 0 0 0 0 0 0 0 0 0 14397808 0 0 1000348566 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 646 0 0 0 0 0 0 0 0 0 0 0 0 0 646 0 0 1000352307 1346551892 10 Physicians JIBAWI AHMAD 625264163 63 Macon 0 0 Family Practice 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 0 185 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 2380 0 0 0 0 0 0 2380 0 0 1000354908 1255537858 10 Physicians BRANDWEIN WARREN M 480381125 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 442 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 640 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 640 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7638 0 585 0 0 0 0 0 0 8223 0 0 1000355588 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 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 10410 0 0 0 0 0 0 0 0 0 0 0 0 0 10410 0 0 1000357942 4000357942 36 Community mental health provider THE CENTER FOR YOUTH FAMILY 616047112 80 Peoria 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 675 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 675 0 0 2522 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 97929 0 0 100451 0 0 1000366859 1932533346 33 Nursing Facilities GARDENVIEW MANOR 618345116 100 Vermilion 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 0 158 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3871 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 562266 0 0 0 0 0 0 0 562266 0 0 1000367403 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1000367943 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 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 2125 0 0 0 0 0 0 0 0 0 0 0 0 0 2125 0 0 1000370303 12 Optometrists 200 Cook 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 0 0 0 0 0 0 0 0 0 0 1000370931 1235314501 10 Physicians BOONYAPREDEE MAYTEE 616151941 80 Peoria 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 17 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 461 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 461 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2811 0 0 0 0 0 0 2811 0 0 1000374171 92 Waiver service provider--Disability (DHS/DRS) 39 Greene 0 0 0 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 0 841 0 0 0 0 0 0 0 0 0 0 0 0 0 841 0 0 1000376147 1912293002 65 Independent Diagnostic Testing Facility (IDTF) MARYVILLE IMAGING LLC 620625636 65 Madison 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 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4556 0 0 0 0 0 0 0 0 4556 0 0 1000377420 1386641207 30 General Hospitals SSM HEALTH ST. CLARE HOSPITAL 539131539 852 Wisconsin ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 11 0 0 0 0 1 0 0 0 4 0 0 0 0 0 0 0 0 0 11 0 0 0 0 1 0 0 0 4 0 0 0 0 0 0 0 0 0 11 0 0 0 0 7 0 0 0 4 0 0 0 0 0 0 0 0 0 1312 0 0 0 0 856 0 0 0 435 0 0 0 0 0 2603 0 0 1000379666 1225352727 10 Physicians NAIR TAD 999999999 30 DuPage 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 0 110 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 1210 0 0 0 0 0 0 1210 0 0 1000381884 1851630040 16 Nurse Practitioners BLACKETTER LISA 631666971 57 Lake 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 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 2334 0 0 0 0 0 0 2334 0 0 1000382231 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 11662 0 0 0 0 0 0 0 0 0 0 0 0 0 11662 0 0 1000385420 1154585131 10 Physicians SUH EUGENE 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 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 1774 0 0 0 0 0 0 1774 0 0 1000385533 1366642738 10 Physicians BALMFORTH RANDY 651092501 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 526 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 718 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 718 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7840 0 675 0 0 0 0 0 0 8515 0 0 1000387748 1477735298 10 Physicians DANDE AMIT 619389253 24 Coles 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 188 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 379 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 379 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5436 0 0 0 0 0 0 5436 0 0 1000392890 1639348691 38 Specialized Mental Health Rehabilitation Facilities (SMHRF) COLUMBUS MANOR RES CARE HOME 606444316 200 Cook 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 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2028 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174987 0 0 0 0 0 0 0 174987 0 0 1000393669 1043536204 16 Nurse Practitioners BESSE JENNIFER L 606930001 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 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 0 591 0 0 0 0 0 0 591 0 0 1000396456 1427212091 10 Physicians MEIER JEFFREY 482781076 200 Cook 0 0 Orthopedic Surgery 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 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 3834 0 0 0 0 0 0 3834 0 0 1000397755 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 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 12755 0 0 0 0 0 0 0 0 0 0 0 0 0 12755 0 0 1000397798 16 Nurse Practitioners 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1363 0 0 0 0 0 0 1363 0 0 1000398169 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 0 157 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 21941 0 0 0 0 0 0 0 0 0 0 0 0 0 21941 0 0 1000399540 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 80 0 0 0 0 0 0 80 0 0 1000402550 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 11676 0 0 0 0 0 0 0 0 0 0 0 0 0 11676 0 0 1000409875 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 16005 0 0 0 0 0 0 0 0 0 0 0 0 0 16005 0 0 1000411230 4000411230 90 Waiver service provider--Elderly (DOA) CHICAGO COMMONS ASSOCIATION 606152401 200 Cook 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2655 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2655 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 310436 0 0 0 0 0 0 0 0 0 0 0 0 0 310436 0 0 1000412290 10 Physicians 826 Missouri 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124 0 131 0 0 0 0 0 0 255 0 0 1000413544 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 30249 0 0 0 0 0 0 0 0 0 0 0 0 0 30249 0 0 1000414680 1639141682 10 Physicians PLOSKER ARI 601974543 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 201 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 252 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 252 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6047 0 155 0 0 0 0 0 0 6202 0 0 1000415194 1396066957 10 Physicians RHO JASON 606118709 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2335 0 0 0 0 0 0 2335 0 0 1000415333 1760474928 10 Physicians HOYER SHERYL 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5863 0 0 0 0 0 0 5863 0 0 1000417604 1417905522 10 Physicians LUCAS DANIEL N 480381125 803 Arizona 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 63 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3165 0 24 0 0 0 0 0 0 3189 0 0 1000420530 1235367467 10 Physicians AMIN RUCHITA 604532504 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 1 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 15390 0 0 0 0 0 0 15400 0 0 1000422196 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 35246 0 0 0 0 0 0 0 0 0 0 0 0 0 35246 0 0 1000424579 1336484013 10 Physicians RAVINDRAN BHANU 612015351 89 Rock Island 0 1 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 6 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5751 0 0 0 0 0 0 5751 0 0 1000425025 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 0 167 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 0 0 0 0 0 28252 0 0 0 0 0 0 0 0 0 0 0 0 0 28252 0 0 1000426397 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 12 0 0 0 0 0 0 12 0 0 1000426617 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 0 213 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 0 0 0 0 0 0 0 0 0 0 0 0 26130 0 0 0 0 0 0 0 0 0 0 0 0 0 26130 0 0 1000427460 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 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17370 0 0 0 0 0 0 0 0 0 0 0 0 0 17370 0 0 1000429392 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 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 16534 0 0 0 0 0 0 0 0 0 0 0 0 0 16534 0 0 1000430697 1598811994 16 Nurse Practitioners DEWBERRY LIAT MARY 606313222 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 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 0 489 0 0 0 0 0 0 489 0 0 1000434388 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 73 0 0 0 0 0 0 73 0 0 1000436338 1932166162 10 Physicians BIGG STEVEN 630317928 826 Missouri 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 4 0 15 0 0 0 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 5 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 0 1004 0 0 0 0 0 0 1126 0 0 1000437977 1871715995 10 Physicians GERAGHTY SCOTT 604532658 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 11 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 306 0 9602 0 0 0 0 0 0 9908 0 0 1000441981 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 0 259 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 9749 0 0 0 0 0 0 0 0 0 0 0 0 0 9749 0 0 1000446758 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 0 365 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 26859 0 0 0 0 0 0 0 0 0 0 0 0 0 26859 0 0 1000452482 91 Waiver service provider--Adults (DHS/DDD) 97 Stephenson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 233 0 0 0 0 0 0 0 0 0 0 0 0 0 233 0 0 1000453804 12 Optometrists 30 DuPage 0 0 Diagnostic Pharmaceutical Agents 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 0 267 0 0 0 0 0 0 267 0 0 1000454706 1932342102 10 Physicians SHAKIR MOHAMMAD S 463739487 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3680 0 0 0 0 0 0 3680 0 0 1000455601 1093030165 10 Physicians JOHNSON KILEY 606116649 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 4 0 52 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 4 0 67 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 4 0 67 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 121 0 2621 0 0 0 0 0 0 2764 0 0 1000455877 1346232048 10 Physicians SAMS MICHAEL 606740018 200 Cook 0 0 Rheumatology 0 0 0 0 0 0 0 0 0 0 0 4 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 148 0 1352 0 0 0 0 0 0 1500 0 0 1000456615 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3228 0 0 0 0 0 0 0 0 0 0 0 0 0 3228 0 0 1000458405 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 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 8251 0 0 0 0 0 0 0 0 0 0 0 0 0 8251 0 0 1000461114 91 Waiver service provider--Adults (DHS/DDD) 89 Rock Island 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4771 0 0 0 0 0 0 0 0 0 0 0 0 0 4771 0 0 1000462776 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 0 215 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 16969 0 0 0 0 0 0 0 0 0 0 0 0 0 16969 0 0 1000467700 1174837140 10 Physicians DAVIDSON JOANNA W 602011700 200 Cook 0 0 Emergency 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3549 0 0 0 0 0 0 3549 0 0 1000471116 30 General Hospitals 818 Kentucky 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 1 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 293 0 0 0 0 0 0 0 0 179 0 0 0 0 0 472 0 0 1000474774 10 Physicians 63 Macon 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 1000475827 98 Waiver service provider--TBI (DHS/DRS) 56 Knox 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 147 0 0 0 0 0 0 0 0 0 0 0 0 0 147 0 0 1000477664 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1376 0 0 0 0 0 0 0 0 0 0 0 0 0 1376 0 0 1000480355 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 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1000483262 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 0 299 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 27621 0 0 0 0 0 0 0 0 0 0 0 0 0 27621 0 0 1000486560 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 0 333 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 333 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29874 0 0 0 0 0 0 0 0 0 0 0 0 0 29874 0 0 1000486902 1013257989 40 Federally Qualified Health Centers VNA HEALTH CARE 601873977 30 DuPage 0 0 0 0 5 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 708 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 708 0 0 1000488417 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37184 0 0 0 0 0 0 0 0 0 0 0 0 0 37184 0 0 1000491796 1487099644 16 Nurse Practitioners MCMILLAN SUSAN 606118709 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 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 0 432 0 0 0 0 0 0 432 0 0 1000492317 1548523129 16 Nurse Practitioners FOSKET REBECCA D 117472358 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 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 0 481 0 0 0 0 0 0 481 0 0 1000494526 1093036188 10 Physicians SHAFIEI GHAZAL 605231804 30 DuPage 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 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 2222 0 0 0 0 0 0 2222 0 0 1000495351 1073819835 16 Nurse Practitioners LEE FRANCES A 606751611 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 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1890 0 0 0 0 0 0 1890 0 0 1000495843 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 25 0 0 0 0 0 0 25 0 0 1000496792 1720347933 16 Nurse Practitioners RIDENOUR KAREN 999999999 50 Jersey 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 0 111 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 2673 0 0 0 0 0 0 2673 0 0 1000497814 1699046656 10 Physicians CHANG JEENSOO 606081732 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 1 0 0 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 662 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 662 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 190 0 0 31025 0 0 0 0 0 0 31215 0 0 1000498585 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 25596 0 0 0 0 0 0 0 0 0 0 0 0 0 25596 0 0 1000501430 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 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 35110 0 0 0 0 0 0 0 0 0 0 0 0 0 35110 0 0 1000507767 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 0 287 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 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 1000510403 10 Physicians 852 Wisconsin 0 0 0 0 0 0 0 0 0 0 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 0 372 0 0 0 0 0 0 372 0 0 1000510801 1407970593 50 Home Health Agencies - In Home VNA HEALTHCARE 605063814 53 Kane 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7859 0 0 0 0 0 0 7859 0 0 1000513614 1558328633 10 Physicians LOVINGGOOD JAMES 630317928 826 Missouri 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 9 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 940 0 0 0 0 0 0 945 0 0 1000513634 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 1922 0 0 0 0 0 0 0 0 0 0 0 0 0 1922 0 0 1000514485 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 0 118 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 28281 0 0 0 0 0 0 0 0 0 0 0 0 0 28281 0 0 1000515572 1063618460 10 Physicians SENTHILKUMAR AROUNA 600475292 57 Lake 0 0 Internal Medicine 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 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2480 0 0 0 0 0 0 2480 0 0 1000516867 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 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 9655 0 0 0 0 0 0 0 0 0 0 0 0 0 9655 0 0 1000522765 1942466545 10 Physicians HUSSAIN MOHAMMED S 606781353 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 494 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 494 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4970 0 0 0 0 0 0 4970 0 0 1000525153 1609045962 10 Physicians COGHLAN MEGHAN 606116649 200 Cook 0 0 Pediatrics 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 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 18770 0 0 0 0 0 0 18770 0 0 1000526373 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 0 293 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 12647 0 0 0 0 0 0 0 0 0 0 0 0 0 12647 0 0 1000526656 1174839229 10 Physicians YODER JEFFREY 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 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 4438 0 0 0 0 0 0 4438 0 0 1000527918 10 Physicians 53 Kane 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 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 0 145 0 0 0 0 0 0 145 0 0 1000528648 1366704686 16 Nurse Practitioners FLYNN ERICA L 606733039 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 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 0 390 0 0 0 0 0 0 390 0 0 1000531649 1902168081 24 Speech Therapists JACKIW TEAGAN 615688671 98 Tazewell 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 0 118 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 9398 9398 0 0 1000533869 1811337108 12 Optometrists FROMSTEIN STEPHANIE 606164201 200 Cook 0 0 Diagnostic Pharmaceutical Agents 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 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 0 598 0 0 0 0 0 0 598 0 0 1000538398 1740415777 10 Physicians SCHUPBACH ADRIENNE M 617045402 72 McLean 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 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 0 239 0 0 0 0 0 0 239 0 0 1000539101 1861761785 63 Other Providers of Medical Equipment/Supplies (Non-registered) BIOVENTUS LLC 380165285 844 Tennessee 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 7541 0 0 0 0 0 0 7541 0 0 1000543679 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 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 0 226 0 0 0 0 0 0 0 0 0 0 0 0 0 226 0 0 1000545010 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 29853 0 0 0 0 0 0 0 0 0 0 0 0 0 29853 0 0 1000549156 1386077717 36 Community mental health provider HEALTHCARE ALTERNATIVE SYSTEMS 606093027 200 Cook 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 209 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 172 0 0 209 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 172 0 0 21981 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19469 0 0 41450 0 0 1000549860 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 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 32304 0 0 0 0 0 0 0 0 0 0 0 0 0 32304 0 0 1000552598 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 0 177 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 14049 0 0 0 0 0 0 0 0 0 0 0 0 0 14049 0 0 1000556904 1669634143 10 Physicians PIKE EVAN 616157822 80 Peoria 0 0 Ophthalmology 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 0 103 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 3203 0 0 0 0 0 0 3203 0 0 1000557730 10 Physicians 852 Wisconsin 0 0 Radiation Oncology 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 78 0 0 0 0 0 0 78 0 0 1000560828 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 0 322 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 322 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26956 0 0 0 0 0 0 0 0 0 0 0 0 0 26956 0 0 1000564600 1548421498 10 Physicians KENEFAKE MARY 946081826 82 Piatt 0 0 Pediatrics 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 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7224 0 0 0 0 0 0 7224 0 0 1000565446 94 Waiver service provider--Children's support (DHS/DDD) 200 Cook 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 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 8768 0 0 0 0 0 0 0 0 0 0 0 0 0 8768 0 0 1000568164 22 Physical Therapists 96 St Clair 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 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 0 376 376 0 0 1000569138 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 0 192 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 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1000573394 1831320621 10 Physicians MANJARREZ LISETH 606778004 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 672 0 0 0 0 0 0 672 0 0 1000575186 1255523296 10 Physicians LEONE DOUGLAS M 617045402 72 McLean 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 25 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 359 0 547 0 0 0 0 0 0 906 0 0 1000575330 1548423791 10 Physicians CHERIAN LAUREL 606751611 200 Cook 0 0 Neurology 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 0 119 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 1668 0 0 0 0 0 0 1668 0 0 1000575654 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 0 155 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 23090 0 0 0 0 0 0 0 0 0 0 0 0 0 23090 0 0 1000577590 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27820 0 0 0 0 0 0 0 0 0 0 0 0 0 27820 0 0 1000581501 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 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 3947 0 0 0 0 0 0 0 0 0 0 0 0 0 3947 0 0 1000584525 1033386461 10 Physicians TOLBERT CHARONE 999999999 10 Adams 0 0 0 0 0 0 23 0 0 0 0 0 0 29 0 97 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 35 0 185 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 35 0 185 0 0 0 0 0 0 0 0 0 2033 0 0 0 0 0 0 406 0 6949 0 0 0 0 0 0 9388 0 0 1000584620 1740395045 48 Rural Health Clinics WOMENS HEALTH CARE 622861048 87 Randolph 0 1 0 0 516 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1897 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1897 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32916 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32916 0 0 1000590239 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 0 259 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 26632 0 0 0 0 0 0 0 0 0 0 0 0 0 26632 0 0 1000591028 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 0 180 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 29062 0 0 0 0 0 0 0 0 0 0 0 0 0 29062 0 0 1000595317 10 Physicians 816 Iowa 0 0 Rheumatology 0 0 0 0 0 0 0 0 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 1000595507 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 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1000596826 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 0 730 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 730 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60454 0 0 0 0 0 0 0 0 0 0 0 0 0 60454 0 0 1000599063 1770783888 10 Physicians SHAH NIRAV 605151500 30 DuPage 0 0 Anesthesiology 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 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 1884 0 0 0 0 0 0 1884 0 0 1000601410 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107 0 0 0 0 0 0 107 0 0 1000603045 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 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18721 0 0 0 0 0 0 0 0 0 0 0 0 0 18721 0 0 1000604055 1609995174 10 Physicians PITTSENBARGER ZACHARY E 606118709 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 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 5252 0 0 0 0 0 0 5252 0 0 1000604654 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 3111 0 0 0 0 0 0 0 0 0 0 0 0 0 3111 0 0 1000608298 60 Pharmacies 845 Texas 0 0 0 0 0 0 0 0 0 0 0 0 0 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 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13730 0 0 0 13730 0 0 1000613025 1912266610 60 Pharmacies R PATEL LLC D/B/A O'BRIEN AND 610083617 13 Boone 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 0 720 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20658 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69173 0 0 0 69173 0 0 1000615053 1881031755 10 Physicians ALWAKKAF AHMAD 605155641 30 DuPage 0 0 Internal Medicine 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 1273 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1273 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20538 0 0 0 0 0 0 20538 0 0 1000616167 1013993344 10 Physicians VENUTI GUY 622211915 96 St Clair 0 0 Emergency Medicine 0 0 0 0 17 0 0 0 0 0 0 2 0 12 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 2 0 16 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 2 0 16 0 0 0 0 0 0 0 0 0 1233 0 0 0 0 0 0 2 0 225 0 0 0 0 0 0 1460 0 0 1000626466 10 Physicians 30 DuPage 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 1000627236 1023265337 10 Physicians VANCURA BENJAMIN 600042315 200 Cook 0 0 Gastroenterology 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 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 1498 0 0 0 0 0 0 1498 0 0 1000627278 1134449531 10 Physicians HARRIS JORDAN ZACHARY 602011700 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 419 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 623 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 623 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3963 0 0 0 0 0 0 3963 0 0 1000627529 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 22185 0 0 0 0 0 0 0 0 0 0 0 0 0 22185 0 0 1000631716 1821363052 30 General Hospitals FRESENIUS MEDICAL CARE CHATHAM 606201332 200 Cook DIALYSIS Outpatient dialysis centers. 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 0 500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2653 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30024 0 0 0 0 0 30024 0 0 1000632355 1194040006 10 Physicians JIBAWI HAKEEM 606930001 200 Cook 0 0 Internal Medicine 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 0 249 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 1983 0 0 0 0 0 0 1983 0 0 1000635060 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8783 0 0 0 0 0 0 0 0 0 0 0 0 0 8783 0 0 1000636244 1346581337 60 Pharmacies WAL MART PHARMACY 10 5617 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1295 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57654 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75883 0 0 0 75883 0 0 1000638823 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3888 0 0 0 0 0 0 0 0 0 0 0 0 0 3888 0 0 1000642777 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 13688 0 0 0 0 0 0 0 0 0 0 0 0 0 13688 0 0 1000642803 1124345939 10 Physicians SKOUBY JAROD D 620405012 65 Madison 0 1 Pediatrics 0 0 0 0 107 0 0 0 0 0 0 63 0 153 0 0 0 0 0 0 0 0 0 274 0 0 0 0 0 0 131 0 214 0 0 0 0 0 0 0 0 0 274 0 0 0 0 0 0 131 0 214 0 0 0 0 0 0 0 0 0 5434 0 0 0 0 0 0 1018 0 5722 0 0 0 0 0 0 12174 0 0 1000643358 1831224328 10 Physicians MEECE DAVID 637015230 30 DuPage 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 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 73 0 0 0 0 0 0 73 0 0 1000643646 1063852515 11 Dentists FRANCO ERIKA 606591502 200 Cook 0 0 General Dentistry 0 0 0 32 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 5507 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5507 0 0 1000648309 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 0 310 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 310 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27183 0 0 0 0 0 0 0 0 0 0 0 0 0 27183 0 0 1000652444 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 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 32859 0 0 0 0 0 0 0 0 0 0 0 0 0 32859 0 0 1000659253 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 0 120 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 28162 0 0 0 0 0 0 0 0 0 0 0 0 0 28162 0 0 1000659784 1396183646 16 Nurse Practitioners SYLAJ FLORINA 606112926 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 286 0 0 0 0 0 0 286 0 0 1000665299 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 0 286 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 25263 0 0 0 0 0 0 0 0 0 0 0 0 0 25263 0 0 1000665540 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5797 0 0 0 0 0 0 0 0 0 0 0 0 0 5797 0 0 1000667331 1255778221 40 Federally Qualified Health Centers AUNT MARTHAS CHICAGO HEIGHTS P 604111741 200 Cook 0 1 0 0 388 0 342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 917 0 1437 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 917 0 1437 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106715 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106715 0 0 1000671348 1295168623 36 Community mental health provider "HEALTHCARE ALTERNTIVE SYSTEMS," 606474244 200 Cook 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 97 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 97 0 0 959 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11400 0 0 12359 0 0 1000673613 1356781348 11 Dentists MALIK ANEEQA A 601602039 200 Cook 0 0 General Dentistry 0 0 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 488 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 488 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14049 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14049 0 0 1000674877 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 0 472 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 472 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9351 0 0 0 0 0 0 0 0 0 0 0 0 0 9351 0 0 1000676816 91 Waiver service provider--Adults (DHS/DDD) 826 Missouri 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1293 0 0 0 0 0 0 0 0 0 0 0 0 0 1293 0 0 1000678934 1538207162 10 Physicians PANT ALOK 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 0 134 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 3898 0 0 0 0 0 0 3898 0 0 1000683408 91 Waiver service provider--Adults (DHS/DDD) 27 Dekalb 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 320 0 0 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 0 0 0 0 0 0 0 0 0 0 19094 0 0 0 0 0 0 0 0 0 0 0 0 0 19094 0 0 1000685786 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 358 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 358 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27787 0 0 0 0 0 0 0 0 0 0 0 0 0 27787 0 0 1000685929 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 0 361 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 0 0 0 0 0 0 0 0 0 0 0 0 24705 0 0 0 0 0 0 0 0 0 0 0 0 0 24705 0 0 1000689361 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 0 441 0 0 0 0 0 0 441 0 0 1000689414 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 24494 0 0 0 0 0 0 0 0 0 0 0 0 0 24494 0 0 1000690719 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 0 240 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 30132 0 0 0 0 0 0 0 0 0 0 0 0 0 30132 0 0 1000693553 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 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21764 0 0 0 0 0 0 0 0 0 0 0 0 0 21764 0 0 1000695404 92 Waiver service provider--Disability (DHS/DRS) 64 Macoupin 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 30450 0 0 0 0 0 0 0 0 0 0 0 0 0 30450 0 0 1000700641 1184886061 10 Physicians BACH HAROLD H 606313222 200 Cook 0 0 Surgery General 0 0 0 0 0 0 0 0 0 0 0 1 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 177 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 177 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 14960 0 0 0 0 0 0 14962 0 0 1000702310 1942515010 10 Physicians MATAR CHAIMAA 606253500 200 Cook 0 1 Family Practice 0 0 0 0 10 0 0 0 0 0 0 3 0 39 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 3 0 76 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 3 0 76 0 0 0 0 0 0 0 0 0 1912 0 0 0 0 0 0 7 0 2800 0 0 0 0 0 0 4719 0 0 1000702555 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 340 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 340 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28827 0 0 0 0 0 0 0 0 0 0 0 0 0 28827 0 0 1000705647 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 14396 0 0 0 0 0 0 0 0 0 0 0 0 0 14396 0 0 1000707114 1598938672 10 Physicians DING DAVID 601901295 107 Will 0 0 Maternal and Fetal Medicine 0 0 0 0 0 0 0 0 0 0 0 90 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3218 0 5311 0 0 0 0 0 0 8529 0 0 1000707253 1578726568 11 Dentists WANG YE 600081932 200 Cook 0 0 General Dentistry 0 0 0 11 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 1752 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1752 0 0 1000707521 91 Waiver service provider--Adults (DHS/DDD) 58 La Salle 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 364 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 27691 0 0 0 0 0 0 0 0 0 0 0 0 0 27691 0 0 1000708759 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 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22813 0 0 0 0 0 0 0 0 0 0 0 0 0 22813 0 0 1000709793 1326367236 10 Physicians PUNSALAN ROBIN 616151941 80 Peoria 0 1 Pediatrics 0 0 0 0 22 0 0 0 0 0 0 6 0 36 0 0 0 0 0 0 0 0 0 59 0 0 0 0 0 0 7 0 53 0 0 0 0 0 0 0 0 0 59 0 0 0 0 0 0 7 0 53 0 0 0 0 0 0 0 0 0 2639 0 0 0 0 0 0 196 0 1869 0 0 0 0 0 0 4704 0 0 1000711915 1942641238 11 Dentists LEE SEUNG HOON 606474901 200 Cook 0 0 General Dentistry 0 0 0 38 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 7932 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7932 0 0 1000718073 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 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24672 0 0 0 0 0 0 0 0 0 0 0 0 0 24672 0 0 1000719426 30 General Hospitals 818 Kentucky 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2016 0 0 0 0 0 0 0 0 0 2016 0 0 1000727423 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 14774 0 0 0 0 0 0 0 0 0 0 0 0 0 14774 0 0 1000728479 1861739641 16 Nurse Practitioners RYAN ANNA S 601533328 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 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 0 604 0 0 0 0 0 0 604 0 0 1000730448 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 0 124 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 15596 0 0 0 0 0 0 0 0 0 0 0 0 0 15596 0 0 1000735719 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 0 190 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 30245 0 0 0 0 0 0 0 0 0 0 0 0 0 30245 0 0 1000740413 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 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24948 0 0 0 0 0 0 0 0 0 0 0 0 0 24948 0 0 1000743126 1992995542 10 Physicians ITTIARA SHAUN 605277594 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 7 0 156 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 831 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 831 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 38925 0 0 0 0 0 0 39005 0 0 1000743203 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 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 10648 0 0 0 0 0 0 0 0 0 0 0 0 0 10648 0 0 1000743562 1417184623 10 Physicians KULE AMY 953586411 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 3 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 3230 0 0 0 0 0 0 3261 0 0 1000746097 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 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21716 0 0 0 0 0 0 0 0 0 0 0 0 0 21716 0 0 1000748953 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 0 277 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 277 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42736 0 0 0 0 0 0 0 0 0 0 0 0 0 42736 0 0 1000748960 10 Physicians 200 Cook 0 0 Child Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 182 0 0 0 0 0 0 182 0 0 1000753025 1609032903 10 Physicians PAUL ANJU 605638616 30 DuPage 0 0 Endocrinology 0 0 0 0 0 0 0 0 0 0 0 5 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84 0 677 0 0 0 0 0 0 761 0 0 1000757407 91 Waiver service provider--Adults (DHS/DDD) 13 Boone 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 154 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 30091 0 0 0 0 0 0 0 0 0 0 0 0 0 30091 0 0 1000757805 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 0 331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26802 0 0 0 0 0 0 0 0 0 0 0 0 0 26802 0 0 1000758449 1568686947 91 Waiver service provider--Adults (DHS/DDD) LINCOLN SQUARE INC 629061840 99 Union 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 5119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1106188 0 0 0 0 0 0 0 0 0 0 0 0 0 1106188 0 0 1000759249 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 0 168 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 16599 0 0 0 0 0 0 0 0 0 0 0 0 0 16599 0 0 1000759439 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 25 0 0 0 0 0 0 25 0 0 1000763238 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 0 328 0 0 0 0 0 0 328 0 0 1000766947 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 0 144 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 27248 0 0 0 0 0 0 0 0 0 0 0 0 0 27248 0 0 1000772804 10 Physicians 815 Indiana 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 49 0 0 1000779278 1508027897 10 Physicians ROSMAN ILANA SHAINA 631600352 30 DuPage 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 25 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 396 0 175 0 0 0 0 0 0 571 0 0 1000783669 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 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 3920 0 0 0 0 0 0 0 0 0 0 0 0 0 3920 0 0 1000783689 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 0 328 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 328 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25482 0 0 0 0 0 0 0 0 0 0 0 0 0 25482 0 0 1000786988 1184068777 60 Pharmacies MARIANOS PHARMACY 8511 601261605 30 DuPage 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 0 211 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8884 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7212 0 0 0 7212 0 0 1000788684 10 Physicians 826 Missouri 0 0 Urology 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 0 126 0 0 0 0 0 0 126 0 0 1000788950 1033430624 10 Physicians ALVARADO JOAN 999999999 24 Coles 0 0 0 0 0 0 4 0 0 0 0 0 0 7 0 88 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 10 0 436 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 10 0 436 0 0 0 0 0 0 0 0 0 108 0 0 0 0 0 0 0 0 4585 0 0 0 0 0 0 4693 0 0 1000790789 91 Waiver service provider--Adults (DHS/DDD) 61 Livingston 0 0 0 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 30275 0 0 0 0 0 0 0 0 0 0 0 0 0 30275 0 0 1000791889 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 0 274 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 28326 0 0 0 0 0 0 0 0 0 0 0 0 0 28326 0 0 1000792721 1780981373 16 Nurse Practitioners FADLER CHRISTINE 999999999 826 Missouri 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 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 1 0 0 0 0 0 0 1 0 0 1000794826 1578871497 10 Physicians YAMANI NASER 606751611 200 Cook 0 0 Internal 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 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 0 304 0 0 0 0 0 0 304 0 0 1000795433 1831531805 28 Waiver service provider--Supportive living facility (HFS) PRAIRIE GREEN DIXIE CROSSING 604112690 200 Cook 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 0 134 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3602 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 351822 0 0 0 0 0 0 0 0 0 0 0 0 0 351822 0 0 1000796859 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 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 3793 0 0 0 0 0 0 0 0 0 0 0 0 0 3793 0 0 1000797689 94 Waiver service provider--Children's support (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 0 208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18144 0 0 0 0 0 0 0 0 0 0 0 0 0 18144 0 0 1000799759 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 0 324 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 324 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210202 0 0 0 0 0 0 0 0 0 0 0 0 0 210202 0 0 1000800632 91 Waiver service provider--Adults (DHS/DDD) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 132 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 10611 0 0 0 0 0 0 0 0 0 0 0 0 0 10611 0 0 1000801922 1972806636 16 Nurse Practitioners MCCOURT ODONNELL LORRI 604532659 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 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 0 852 0 0 0 0 0 0 852 0 0 1000802066 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 16082 0 0 0 0 0 0 0 0 0 0 0 0 0 16082 0 0 1000803003 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2355 0 0 0 0 0 0 0 0 0 0 0 0 0 2355 0 0 1000803253 91 Waiver service provider--Adults (DHS/DDD) 34 Fayette 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3242 0 0 0 0 0 0 0 0 0 0 0 0 0 3242 0 0 1000807825 91 Waiver service provider--Adults (DHS/DDD) 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 0 168 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 26049 0 0 0 0 0 0 0 0 0 0 0 0 0 26049 0 0 1000816295 91 Waiver service provider--Adults (DHS/DDD) 27 Dekalb 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 212 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 28252 0 0 0 0 0 0 0 0 0 0 0 0 0 28252 0 0 1000816770 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1105 0 0 0 0 0 0 0 0 0 0 0 0 0 1105 0 0 1000816867 1063689552 10 Physicians KHOJASTEH ARTEMIS 604113400 200 Cook 0 0 Emergency 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 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 4876 0 0 0 0 0 0 4876 0 0 1000822071 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 0 335 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 335 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23542 0 0 0 0 0 0 0 0 0 0 0 0 0 23542 0 0 1000829336 1316171879 10 Physicians KIM EDINA 606127232 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 20096 0 0 0 0 0 0 20096 0 0 1000838186 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 21823 0 0 0 0 0 0 0 0 0 0 0 0 0 21823 0 0 1000854841 1487810594 10 Physicians ALHUSSAINI AMER 658046561 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 1 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1444 0 0 0 0 0 0 1446 0 0 1000855184 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 0 319 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 0 0 0 0 0 0 0 0 0 0 0 0 25252 0 0 0 0 0 0 0 0 0 0 0 0 0 25252 0 0 1000858615 10 Physicians 852 Wisconsin 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 62 0 0 0 0 0 0 62 0 0 1000860216 1265743157 10 Physicians WAYMACK JAMES 626565066 62 Logan 0 0 Emergency Medicine 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 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 2266 0 0 0 0 0 0 2266 0 0 1000860731 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 28366 0 0 0 0 0 0 0 0 0 0 0 0 0 28366 0 0 1000870463 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 0 332 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 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1000874002 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 0 336 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 22717 0 0 0 0 0 0 0 0 0 0 0 0 0 22717 0 0 1000876553 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 0 185 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 19482 0 0 0 0 0 0 0 0 0 0 0 0 0 19482 0 0 1000877307 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 0 132 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 26692 0 0 0 0 0 0 0 0 0 0 0 0 0 26692 0 0 1000879308 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 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17398 0 0 0 0 0 0 0 0 0 0 0 0 0 17398 0 0 1000882520 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 0 180 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 27851 0 0 0 0 0 0 0 0 0 0 0 0 0 27851 0 0 1000883890 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 0 264 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 29043 0 0 0 0 0 0 0 0 0 0 0 0 0 29043 0 0 1000891272 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 0 359 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 359 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16994 0 0 0 0 0 0 0 0 0 0 0 0 0 16994 0 0 1000892294 10 Physicians 852 Wisconsin 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 21 0 0 0 0 0 0 71 0 0 1000898806 1457580680 10 Physicians MANGLA ASHVARYA 616370001 80 Peoria 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 168 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 264 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 3091 0 0 0 0 0 0 3091 0 0 1000899257 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 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 11502 0 0 0 0 0 0 0 0 0 0 0 0 0 11502 0 0 1000904511 1952660300 16 Nurse Practitioners ARNOLD TRACY 628814263 66 Marion 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 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 83 0 0 0 0 0 0 83 0 0 1000907625 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 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 6447 0 0 0 0 0 0 0 0 0 0 0 0 0 6447 0 0 1000911824 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 0 346 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 346 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18429 0 0 0 0 0 0 0 0 0 0 0 0 0 18429 0 0 1000915645 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 0 200 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 29891 0 0 0 0 0 0 0 0 0 0 0 0 0 29891 0 0 1000916335 1518159466 10 Physicians MUZAFFAR RAZI 631032236 200 Cook 0 0 Nuclear Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 863 0 0 0 0 0 0 863 0 0 1000924231 1730466590 61 Independent Laboratories PRECISION TOXICOLOGY 921211408 805 California 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 0 514 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 514 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39697 0 0 0 0 0 0 0 0 39697 0 0 1000924477 1992138325 36 Community mental health provider HEALTHCARE ALTERNATIVE SYSTEMS 606392413 200 Cook 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 1199 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5441 0 0 6640 0 0 1000925485 1902056591 11 Dentists GEORGE LISA 601207800 53 Kane 0 0 General Dentistry 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1818 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1818 0 0 1000925728 91 Waiver service provider--Adults (DHS/DDD) 89 Rock Island 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18221 0 0 0 0 0 0 0 0 0 0 0 0 0 18221 0 0 1000930960 1750596961 10 Physicians KESWANI MAHIMA 606112991 200 Cook 0 0 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 0 227 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 6257 0 0 0 0 0 0 6257 0 0 1000932375 10 Physicians 852 Wisconsin 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1000934906 11 Dentists 200 Cook 0 0 General Dentistry 0 0 0 4 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 4290 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4290 0 0 1000940715 1932342466 10 Physicians WIRTH SUMMER 606740018 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 2 0 8 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 0 143 0 659 0 0 0 0 0 0 802 0 0 1000947093 1942438742 10 Physicians SATTERLY ELIZABETH 620341904 65 Madison 0 1 Pediatrics 0 0 0 0 30 0 0 0 0 0 0 14 0 42 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 19 0 74 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 19 0 74 0 0 0 0 0 0 0 0 0 2748 0 0 0 0 0 0 483 0 3387 0 0 0 0 0 0 6618 0 0 1000949280 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 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 22434 0 0 0 0 0 0 0 0 0 0 0 0 0 22434 0 0 1000951599 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 0 264 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 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1000952720 1891922571 10 Physicians STAPEL MARY 616151941 80 Peoria 0 1 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 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 0 271 0 0 0 0 0 0 271 0 0 1000954147 89 Physician Assistant Only(Encounter Only) 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1000954750 1588860837 10 Physicians REYNOLDS AARON S 606118709 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5636 0 0 0 0 0 0 5636 0 0 1000956530 91 Waiver service provider--Adults (DHS/DDD) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 215 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 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1000957853 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 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23448 0 0 0 0 0 0 0 0 0 0 0 0 0 23448 0 0 1000964167 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 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24024 0 0 0 0 0 0 0 0 0 0 0 0 0 24024 0 0 1000968272 91 Waiver service provider--Adults (DHS/DDD) 58 La Salle 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17966 0 0 0 0 0 0 0 0 0 0 0 0 0 17966 0 0 1000972264 1841457975 10 Physicians SEMAAN ASSAAD 606930623 200 Cook 0 0 Obstetric-Gynecology 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 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 4829 0 0 0 0 0 0 4829 0 0 1000974530 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 0 362 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 17285 0 0 0 0 0 0 0 0 0 0 0 0 0 17285 0 0 1000977508 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 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 18261 0 0 0 0 0 0 0 0 0 0 0 0 0 18261 0 0 1000982420 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 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26831 0 0 0 0 0 0 0 0 0 0 0 0 0 26831 0 0 1000982594 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 0 176 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 26640 0 0 0 0 0 0 0 0 0 0 0 0 0 26640 0 0 1000983655 1467616094 10 Physicians KAFAIE JAFAR 631102515 200 Cook 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 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 1494 0 0 0 0 0 0 1494 0 0 1000986104 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 358 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 358 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10905 0 0 0 0 0 0 0 0 0 0 0 0 0 10905 0 0 1000988089 1700199130 10 Physicians WOLFE KRYSTA D 605275965 30 DuPage 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 0 153 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 3683 0 0 0 0 0 0 3683 0 0 1000992662 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 249 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 30499 0 0 0 0 0 0 0 0 0 0 0 0 0 30499 0 0 1000993055 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 162 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 162 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24125 0 0 0 0 0 0 0 0 0 0 0 0 0 24125 0 0 1000996527 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 358 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 358 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24900 0 0 0 0 0 0 0 0 0 0 0 0 0 24900 0 0 1000996688 1891958096 10 Physicians GONZALEZ-MAYDA MARIA C 631600352 200 Cook 0 0 Rheumatology 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 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 0 253 0 0 0 0 0 0 253 0 0 1000998753 1255643987 10 Physicians OSADCHUK LILANA 999999999 852 Wisconsin 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 0 403 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 0 0 0 0 0 0 0 0 0 0 0 0 6565 0 0 0 0 0 0 6565 0 0 1000998822 1649612557 47 Local Education Agencies EAST COLOMA NELSON CESD 20 610711913 106 Whiteside 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 360 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 4200 0 4200 0 0 1000999417 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 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1001005077 1114265725 16 Nurse Practitioners BRAY ASHLEY 606801495 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 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 0 866 0 0 0 0 0 0 866 0 0 1001007369 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 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 11106 0 0 0 0 0 0 0 0 0 0 0 0 0 11106 0 0 1001011291 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7404 0 0 0 0 0 0 0 0 0 0 0 0 0 7404 0 0 1001011374 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 260 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 260 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1001011495 1912033390 10 Physicians ZARDKOOHI OMEED 601228942 53 Kane 0 0 Cardiovascular Diseases 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 0 320 0 0 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 0 0 0 0 0 0 0 0 0 0 5902 0 0 0 0 0 0 5902 0 0 1001012489 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 11016 0 0 0 0 0 0 0 0 0 0 0 0 0 11016 0 0 1001015057 1265458533 10 Physicians ALPERN ELIZABETH R 606118709 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 1040 0 0 0 0 0 0 1040 0 0 1001023001 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 1916 0 0 0 0 0 0 0 0 0 0 0 0 0 1916 0 0 1001025574 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 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 0 545 0 0 0 0 0 0 0 0 0 0 0 0 0 545 0 0 1001026038 11 Dentists 200 Cook 0 0 General Dentistry 0 0 0 3 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 0 941 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 941 0 0 1001030083 1740262880 61 Independent Laboratories LABORATORY CORPORATION AMERICA 850402969 803 Arizona 0 0 0 0 0 0 0 0 0 0 0 0 1 1282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1772 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1772 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 107927 0 0 0 0 0 0 0 0 108002 0 0 1001032525 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 0 586 0 0 0 0 0 0 0 0 0 0 0 0 0 586 0 0 1001040346 1669615423 10 Physicians KREILINGER SABINE 606770001 200 Cook 0 0 Anesthesiology 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 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 6125 0 0 0 0 0 0 6125 0 0 1001043270 1073950044 40 Federally Qualified Health Centers AUNT MARTHA'S JOLIET EAST COMM 604322010 107 Will 0 1 0 0 344 0 88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1316 0 299 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1316 0 299 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 97762 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 97762 0 0 1001047655 30 General Hospitals 816 Iowa NON-COST "Non-cost reporting hospitals, paid a Per Diem rate." 0 0 General Hospital - Adult and Child 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 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001047992 1073793964 10 Physicians JURKONIE MICHELLE 600051069 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 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 0 252 0 0 0 0 0 0 252 0 0 1001049100 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 0 192 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 30240 0 0 0 0 0 0 0 0 0 0 0 0 0 30240 0 0 1001050293 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 23382 0 0 0 0 0 0 0 0 0 0 0 0 0 23382 0 0 1001056646 63 Other Providers of Medical Equipment/Supplies (Non-registered) 64 Macoupin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 77 0 0 1001058708 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 0 351 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 351 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27630 0 0 0 0 0 0 0 0 0 0 0 0 0 27630 0 0 1001058965 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 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 29117 0 0 0 0 0 0 0 0 0 0 0 0 0 29117 0 0 1001061231 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 59022 0 0 0 0 0 0 0 0 0 0 0 0 0 59022 0 0 1001063359 91 Waiver service provider--Adults (DHS/DDD) 49 Jefferson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8281 0 0 0 0 0 0 0 0 0 0 0 0 0 8281 0 0 1001064609 1437396330 16 Nurse Practitioners MUSTO JENNIFER 618012529 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 187 0 0 0 0 0 0 187 0 0 1001065465 1073724076 10 Physicians KAKODKAR KEDAR 607145611 200 Cook 0 0 Otolaryngology 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 0 0 0 0 0 0 500 0 0 1001065497 22 Physical 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 92 92 0 0 1001066270 1003254624 55 Early Intervention Services JOHNSON KILEY 610218829 106 Whiteside 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 409 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 409 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22702 0 0 0 0 0 0 22702 0 0 1001066325 1831336023 63 Other Providers of Medical Equipment/Supplies (Non-registered) FAMILY MEDICAL SUPPLIES 600041591 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 260 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9045 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9045 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 374014 0 3137 0 0 0 0 377151 0 0 1001066458 1245486455 10 Physicians CHOATE ALYSSA V 602011700 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 67 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 374 0 272 0 0 0 0 0 0 646 0 0 1001066609 1720234222 10 Physicians RAGAUSKAITE LAURA 604519547 107 Will 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 0 120 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 6157 0 0 0 0 0 0 6157 0 0 1001066816 1346212693 10 Physicians RAHMAN AZIZUR 611145603 109 Winnebago 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 9 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 199 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 199 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2483 0 0 0 0 0 0 2483 0 0 1001067084 4001067084 10 Physicians LAVINE KORY J 631416300 53 Kane 0 0 Cardiology 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 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 106 0 0 0 0 0 0 113 0 0 1001067200 1669608618 10 Physicians CORMAN ADAM 629015612 47 Jackson 0 0 Emergency Medicine 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 0 129 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 4093 0 0 0 0 0 0 4093 0 0 1001067666 1518300698 55 Early Intervention Services WADE-COLLIE CATHERINE A 629015103 47 Jackson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 704 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 704 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46841 0 0 0 0 0 0 46841 0 0 1001067830 16 Nurse Practitioners 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 67 0 0 1001068089 1821314105 10 Physicians HARDEN KIMBERLY 606751620 200 Cook 0 1 Family Practice 0 0 0 0 8 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 108 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 108 0 0 0 0 0 0 0 0 0 797 0 0 0 0 0 0 0 0 1960 0 0 0 0 0 0 2757 0 0 1001069127 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 29681 0 0 0 0 0 0 0 0 0 0 0 0 0 29681 0 0 1001069181 1588994289 10 Physicians BARAKAT AMMAR 999999999 826 Missouri 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 0 101 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 2413 0 0 0 0 0 0 2413 0 0 1001069315 1356622500 40 Federally Qualified Health Centers PRIMECARE AMES 606473411 200 Cook 0 1 0 0 100 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 281 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 281 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18275 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18275 0 0 1001070039 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 0 730 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 730 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55883 0 0 0 0 0 0 0 0 0 0 0 0 0 55883 0 0 1001070355 1972885374 16 Nurse Practitioners SNEDIKER MARY 606930623 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 0 402 0 0 0 0 0 0 402 0 0 1001070369 16 Nurse Practitioners 818 Kentucky 0 0 0 0 0 0 0 0 0 0 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 1001070869 1154610491 10 Physicians WOLF BRIAN 604532600 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 1 0 0 118 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 4225 0 0 0 0 0 0 4268 0 0 1001071018 1649569005 10 Physicians ZINK DANIELLE 618562116 82 Piatt 0 0 Emergency 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 0 167 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 0 0 0 0 0 6328 0 0 0 0 0 0 6328 0 0 1001071103 1679729511 10 Physicians LUBAWSKI JAMES 606930001 200 Cook 0 0 Thoracic Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1686 0 0 0 0 0 0 1686 0 0 1001071159 1104054063 10 Physicians NOPACHAI SUWON V 606751611 200 Cook 0 1 Internal Medicine 0 0 0 0 16 0 0 0 0 0 0 8 0 61 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 9 0 111 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 9 0 111 0 0 0 0 0 0 0 0 0 1348 0 0 0 0 0 0 40 0 2792 0 0 0 0 0 0 4180 0 0 1001072110 92 Waiver service provider--Disability (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4477 0 0 0 0 0 0 0 0 0 0 0 0 0 4477 0 0 1001072486 1235102062 10 Physicians BRUCKEN DARREN 999999999 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 624 0 0 0 0 0 0 624 0 0 1001072523 1669790796 10 Physicians MANLEY MARKOWSKI RENEE 606116649 200 Cook 0 0 Pediatrics 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 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2311 0 0 0 0 0 0 2311 0 0 1001073082 1295799906 10 Physicians RANDHAWA RANJIV R 606313222 200 Cook 0 0 Internal Medicine 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 0 320 0 0 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 0 0 0 0 0 0 0 0 0 0 5098 0 0 0 0 0 0 5098 0 0 1001073491 1699101808 70 Ambulance Service Providers OAKLAND COMMUNITY FIRE PROT 619435237 29 Douglas 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 0 158 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 26911 0 0 0 0 0 0 26911 0 0 1001073559 1134551849 36 Community mental health provider TRILOGY INC 606232847 200 Cook 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 576 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1129 0 0 1705 0 0 1001073600 30 General Hospitals 71 McHenry 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 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 0 0 0 0 0 0 0 0 0 1001073978 1992951651 10 Physicians KIM EUGENE T 624502553 88 Richland 0 0 Radiology Diagnosis 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 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 0 788 0 0 0 0 0 0 0 0 788 0 0 1001074002 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 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 37328 0 0 0 0 0 0 0 0 0 0 0 0 0 37328 0 0 1001074177 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 357 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 357 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27861 0 0 0 0 0 0 0 0 0 0 0 0 0 27861 0 0 1001074374 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 0 362 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 27604 0 0 0 0 0 0 0 0 0 0 0 0 0 27604 0 0 1001074844 1093148363 30 General Hospitals FRESENIUS MEDICAL CARE WEST BE 606414332 200 Cook DIALYSIS Outpatient dialysis centers. 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 0 299 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2725 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 127964 0 0 0 0 0 127964 0 0 1001075419 1215224779 10 Physicians RAHMANI KAVEH 604451423 200 Cook 0 0 Family Practice 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 0 540 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 540 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7358 0 0 0 0 0 0 7358 0 0 1001075496 16 Nurse Practitioners 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 22 0 0 1001075596 4001075596 10 Physicians ADEKOLA KEHINDE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 144 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 10266 0 0 0 0 0 0 10266 0 0 1001075613 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11683 0 0 0 0 0 0 0 0 0 0 0 0 0 11683 0 0 1001075649 1437398187 10 Physicians GHADIALI HUZEFA Y. 606948979 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7450 0 0 0 0 0 0 7450 0 0 1001076343 1598905887 10 Physicians GUFFEY RYAN C 631600352 53 Kane 0 0 Anesthesiology 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 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 0 712 0 0 0 0 0 0 712 0 0 1001076932 1114224987 10 Physicians PRICKETT ADAM L 600043906 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 2 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 919 0 0 0 0 0 0 919 0 0 1001077094 63 Other Providers of Medical Equipment/Supplies (Non-registered) 33 Effingham 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 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 0 403 0 0 0 0 403 0 0 1001077383 1407289317 24 Speech Therapists GARZON PAULA 601773114 53 Kane 0 0 0 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 0 199 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 14956 14956 0 0 1001077531 1215184247 10 Physicians GUPTA AVNI 606860051 53 Kane 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 2 0 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 326 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 326 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4343 0 0 0 0 0 0 4343 0 0 1001077593 1548307234 10 Physicians SNOW AYELET 604678734 200 Cook 0 0 Pediatrics 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 0 172 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 6604 0 0 0 0 0 0 6604 0 0 1001077634 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 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 6600 0 0 0 0 0 0 0 0 0 0 0 0 0 6600 0 0 1001077659 1215361894 16 Nurse Practitioners MOURZAEVA VALERIA 602011700 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 508 0 0 0 0 0 0 508 0 0 1001077733 10 Physicians 815 Indiana 0 0 Cardiovascular Diseases 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 21 0 0 1001077827 1679904858 16 Nurse Practitioners MEYERS WILLIAM 616151941 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 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 0 227 0 0 0 0 0 0 227 0 0 1001078521 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12879 0 0 0 0 0 0 0 0 0 0 0 0 0 12879 0 0 1001078531 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 12903 0 0 0 0 0 0 0 0 0 0 0 0 0 12903 0 0 1001078845 1851576680 16 Nurse Practitioners ENEOGWE JOY 606123714 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 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 301 0 0 0 0 0 0 301 0 0 1001080360 1033544242 16 Nurse Practitioners MOY SHIRLEY 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 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 0 130 0 0 0 0 0 0 130 0 0 1001080507 1922341445 10 Physicians APUSHKIN MARSHA 602011700 200 Cook 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 0 201 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 0 847 0 0 0 0 0 0 0 0 847 0 0 1001080630 4001080630 94 Waiver service provider--Children's support (DHS/DDD) PREMIER CARE CONSULTING 605634944 30 DuPage 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 4058 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4058 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 220684 0 0 0 0 0 0 0 0 0 0 0 0 0 220684 0 0 1001081074 16 Nurse Practitioners 54 Kankakee 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 88 0 0 0 0 0 0 277 0 0 1001081205 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 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 2358 0 0 0 0 0 0 0 0 0 0 0 0 0 2358 0 0 1001081565 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 0 316 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 316 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28398 0 0 0 0 0 0 0 0 0 0 0 0 0 28398 0 0 1001081881 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 0 252 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 10593 0 0 0 0 0 0 0 0 0 0 0 0 0 10593 0 0 1001082023 10 Physicians 816 Iowa 0 0 Oncology 0 0 0 0 0 0 0 0 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 0 173 0 0 0 0 0 0 173 0 0 1001082087 10 Physicians 815 Indiana 0 0 Obstetrics 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1001082105 91 Waiver service provider--Adults (DHS/DDD) 107 Will 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2385 0 0 0 0 0 0 0 0 0 0 0 0 0 2385 0 0 1001082233 1588902183 48 Rural Health Clinics HAMILTON MEMORIAL FAMILY CLNC 628211344 105 White 0 0 0 0 99 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 314 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 314 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7583 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7583 0 0 1001082244 1396161063 16 Nurse Practitioners SCHERTZ NICOLE 617613558 72 McLean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1354 0 0 0 0 0 0 1354 0 0 1001082323 11 Dentists 200 Cook 0 0 Orthodontist 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 0 480 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 480 0 0 1001082361 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 16507 0 0 0 0 0 0 0 0 0 0 0 0 0 16507 0 0 1001083011 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 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 0 421 0 0 0 0 0 0 0 0 0 0 0 0 0 421 0 0 1001083210 1528387990 16 Nurse Practitioners JAMES JULIANNA 28950784 35 Ford 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0 0 0 1655 0 0 0 0 0 0 1777 0 0 1001083351 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 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 46004 0 0 0 0 0 0 0 0 0 0 0 0 0 46004 0 0 1001083442 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 0 209 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 11994 0 0 0 0 0 0 0 0 0 0 0 0 0 11994 0 0 1001083455 1265726327 10 Physicians BOCKER EMILEE 610213116 60 Lee 0 1 Family Practice 0 0 0 0 16 0 0 0 0 0 0 0 0 109 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 243 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 243 0 0 0 0 0 0 0 0 0 1555 0 0 0 0 0 0 0 0 4383 0 0 0 0 0 0 5938 0 0 1001083677 1558452276 60 Pharmacies AMBER PHARMACY 606103125 200 Cook 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 4103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 59431 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 990395 0 0 0 990395 0 0 1001083706 1831419092 10 Physicians BHAMRE VEENA 601545716 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3633 0 0 0 0 0 0 3633 0 0 1001083711 1609213628 16 Nurse Practitioners HILL AMY K. 616151941 80 Peoria 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 0 0 0 0 0 0 0 0 0 0 1001083778 1134560980 11 Dentists GUYTON NICOLE N 300676405 19 Champaign 0 0 General Dentistry 0 0 0 45 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 8072 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8072 0 0 1001084031 13 Podiatrists 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1001084846 1982916425 10 Physicians JABBAR UMAIR 606225646 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 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 0 274 0 0 0 0 0 0 274 0 0 1001085058 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 37001 0 0 0 0 0 0 0 0 0 0 0 0 0 37001 0 0 1001085180 1073920997 11 Dentists HUTNIK ALEXANDER W 604626112 200 Cook 0 0 General Dentistry 0 0 0 107 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 675 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 675 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18947 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18947 0 0 1001086402 10 Physicians 80 Peoria 0 0 Radiation Oncology 0 0 0 0 0 0 0 0 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 0 111 0 0 0 0 0 0 111 0 0 1001086706 1306275888 23 Occupational Therapists SCHERGEN GINA 605252869 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3639 3639 0 0 1001087332 1073568259 10 Physicians KHURANA AMAN 628814263 66 Marion 0 0 Internal Medicine 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 0 575 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 0 0 0 0 0 0 0 0 0 0 0 0 5914 0 0 0 0 0 0 5914 0 0 1001087721 1386887701 10 Physicians WANG MIN 605595571 30 DuPage 0 0 Psychiatry 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 0 567 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 567 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12031 0 0 0 0 0 0 12031 0 0 1001087863 1780024760 94 Waiver service provider--Children's support (DHS/DDD) ABEQUA HOME HEALTH CARE AGENCY 600162290 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 4667 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4667 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 545330 0 0 0 0 0 0 0 0 0 0 0 0 0 545330 0 0 1001087916 1053553859 10 Physicians ALHANDALOUS CHAHER 606127323 200 Cook 0 0 Internal 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 0 140 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 5217 0 0 0 0 0 0 5217 0 0 1001088169 1639472178 39 Hospice UNITYPOINT HOSPICE 612653700 89 Rock Island 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 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 781 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 154181 0 0 0 0 0 0 0 0 0 0 0 154181 0 0 1001088832 1326388489 30 General Hospitals HOME DIALYSIS SERVICE ELGIN LL 600123709 71 McHenry 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 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 964 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 202 0 0 1001089831 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 443 0 0 0 0 0 0 443 0 0 1001090102 1598962169 10 Physicians PAREKH NISHANT 606118709 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 576 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 824 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 824 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3664 0 0 0 0 0 0 0 0 3664 0 0 1001090462 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 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 0 174 0 0 0 0 0 0 174 0 0 1001090665 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 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14333 0 0 0 0 0 0 0 0 0 0 0 0 0 14333 0 0 1001091448 1124449731 36 Community mental health provider ROSECRANCE CRYSTAL LAKE 600146288 71 McHenry 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 215 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 215 0 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15566 0 0 15635 0 0 1001091809 1902196447 10 Physicians NIKOLAIDES JENNA K. 606751611 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 188 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 5722 0 0 0 0 0 0 5722 0 0 1001091948 1255520532 10 Physicians VERMA NEELAM 626502731 77 Morgan 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 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 5419 0 0 0 0 0 0 5419 0 0 1001092033 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 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 1496 1496 0 0 1001092045 10 Physicians 103 Washington 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1001092536 63 Other Providers of Medical Equipment/Supplies (Non-registered) 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 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 0 743 0 0 0 0 0 0 743 0 0 1001092704 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9396 0 0 0 0 0 0 0 0 0 0 0 0 0 9396 0 0 1001092854 1295061455 22 Physical Therapists MORRIS LINDA 606414127 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 0 123 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 0 968 968 0 0 1001093322 10 Physicians 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 0 726 0 0 0 0 0 0 726 0 0 1001093845 1518134402 10 Physicians HARRISON CHESTER 627032403 91 Sangamon 0 0 Radiology 0 0 0 0 0 0 0 0 0 0 0 1026 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1342 0 272 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1342 0 272 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11396 0 2548 0 0 0 0 0 0 13944 0 0 1001095906 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 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 256 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 1001095940 4001095940 16 Nurse Practitioners WOMACK CINDY 627118228 91 Sangamon 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 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 1147 0 0 0 0 0 0 1147 0 0 1001096221 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 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 0 397 0 0 0 0 0 0 397 0 0 1001096317 92 Waiver service provider--Disability (DHS/DRS) 89 Rock Island 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 34456 0 0 0 0 0 0 0 0 0 0 0 0 0 34456 0 0 1001097610 1104147628 10 Physicians DRIVER STEVEN L. 175380093 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 0 127 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 1303 0 0 0 0 0 0 1303 0 0 1001097726 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 30261 0 0 0 0 0 0 0 0 0 0 0 0 0 30261 0 0 1001098076 1588759815 10 Physicians SHEIKH ASAD 606118709 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 4 0 293 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 404 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 404 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 4295 0 0 0 0 0 0 4316 0 0 1001099001 1972945558 55 Early Intervention Services ROUDEBUSH NANCY M 605461021 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 0 327 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 24835 0 0 0 0 0 0 24835 0 0 1001100383 1831408004 11 Dentists MILLS SUZANNA 477113713 815 Indiana 0 0 General Dentistry 0 0 0 43 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 6405 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6405 0 0 1001101232 1750794152 11 Dentists SALEM ABDELRAHMAN 999999999 53 Kane 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9471 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9471 0 0 1001101613 92 Waiver service provider--Disability (DHS/DRS) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 35193 0 0 0 0 0 0 0 0 0 0 0 0 0 35193 0 0 1001102480 92 Waiver service provider--Disability (DHS/DRS) 95 Stark 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1909 0 0 0 0 0 0 0 0 0 0 0 0 0 1909 0 0 1001102521 1720244304 10 Physicians SUGRUE PATRICK 606313222 200 Cook 0 0 Neurology Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124 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 17727 0 0 0 0 0 0 17727 0 0 1001102975 4001102975 16 Nurse Practitioners CABEL JULIE A 612044028 89 Rock Island 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 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 1001 0 0 0 0 0 0 1001 0 0 1001103108 1851670061 10 Physicians GONG LENA X. 602011718 200 Cook 0 0 Internal Medicine 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 0 132 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 0 794 0 0 0 0 0 0 794 0 0 1001103622 1962713768 10 Physicians BAPTISTA DE FARIA GUILHERME 606116649 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 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 2885 0 0 0 0 0 0 2885 0 0 1001104584 1073899522 10 Physicians ATTAKAMVELLY SHAMNA 606081797 200 Cook 0 0 Cardiology 0 0 0 0 0 0 0 0 0 0 0 1 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 457 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 457 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 9111 0 0 0 0 0 0 9123 0 0 1001104897 1053629881 10 Physicians KHANNA SAMRAT 606123723 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 197 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 509 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 509 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5811 0 0 0 0 0 0 5811 0 0 1001105636 1083962674 22 Physical Therapists ZAWADZKI JUSTYNA 999999999 200 Cook 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 0 434 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 434 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2623 2623 0 0 1001105958 1487095352 24 Speech Therapists CHLEBEK SARAH 606226249 200 Cook 0 0 0 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 0 348 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 35248 35248 0 0 1001106159 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 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26801 0 0 0 0 0 0 0 0 0 0 0 0 0 26801 0 0 1001106166 1265668750 10 Physicians KATTA SOLOMON 606895334 200 Cook 0 0 Internal Medicine 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 0 556 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 556 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6597 0 0 0 0 0 0 6597 0 0 1001106395 4001106395 90 Waiver service provider--Elderly (DOA) 5 STARS HOME CARE SERVICES 600624032 200 Cook 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1139 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 0 0 0 0 0 0 0 0 0 0 0 0 138652 0 0 0 0 0 0 0 0 0 0 0 0 0 138652 0 0 1001106560 1356696454 30 General Hospitals FRESENIUS MEDICAL CARE SOUTH D 606176154 200 Cook DIALYSIS Outpatient dialysis centers. 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 0 155 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 489 0 0 0 0 0 489 0 0 1001106619 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 16766 0 0 0 0 0 0 0 0 0 0 0 0 0 16766 0 0 1001106871 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 0 133 0 0 0 0 0 0 133 0 0 1001107048 1144585803 36 Community mental health provider ROSECRANCE INC 999999999 71 McHenry 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120 0 0 268 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 431 0 0 268 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 431 0 0 36822 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71303 0 0 108125 0 0 1001107081 1659396497 10 Physicians KHAN FAISAL 601228942 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 7 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 153 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 153 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 7549 0 0 0 0 0 0 7563 0 0 1001107518 1902236912 16 Nurse Practitioners KODIAK TERESA 606112991 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 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 1307 0 0 0 0 0 0 1307 0 0 1001107801 1083811418 10 Physicians CHOWDHRY SHAKEEL A. 602011718 200 Cook 0 0 Neurology Surgery 0 0 0 0 0 0 0 0 0 0 0 3 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 11981 0 0 0 0 0 0 12023 0 0 1001107848 1821422098 16 Nurse Practitioners ZORA ANGELA M 625264163 63 Macon 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 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 0 606 0 0 0 0 0 0 606 0 0 1001107980 1477743607 10 Physicians DOLATSHAHI LILY J 631952334 53 Kane 0 0 Pediatrics 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 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 1331 0 0 0 0 0 0 1331 0 0 1001108454 1184916181 16 Nurse Practitioners WARDEN THOMAS KARIN 606123714 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 130 0 0 1001108548 98 Waiver service provider--TBI (DHS/DRS) 81 Perry 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 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 10965 0 0 0 0 0 0 0 0 0 0 0 0 0 10965 0 0 1001109151 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 0 188 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 59717 0 0 0 0 0 0 0 0 0 0 0 0 0 59717 0 0 1001111707 1528369782 10 Physicians AL FURGANI MAHMUD 631322907 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1146 0 0 0 0 0 0 1146 0 0 1001111996 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 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 1925 1925 0 0 1001112123 1255647962 16 Nurse Practitioners SCHAFER KATHY 606033200 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 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 2931 0 0 0 0 0 0 2931 0 0 1001112381 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 0 985 0 0 0 0 0 0 985 0 0 1001113170 1326355835 10 Physicians OKWUOSA TOCHUKWU 606751611 200 Cook 0 0 Cardiology 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 0 453 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 4511 0 0 0 0 0 0 4511 0 0 1001113321 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 0 190 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 14318 0 0 0 0 0 0 0 0 0 0 0 0 0 14318 0 0 1001113509 1073756029 91 Waiver service provider--Adults (DHS/DDD) BYE JEFFERY SCOTT S 605174649 54 Kankakee 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 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 2452 0 0 0 0 0 0 0 0 0 0 0 0 0 2452 0 0 1001114418 1124256359 10 Physicians NORTHRUP BENJAMIN 631600352 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 50 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 79 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 79 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 471 0 47 0 0 0 0 0 0 518 0 0 1001114624 1104234244 60 Pharmacies KEDVON PHARMACY INTEGRATIONS 600893708 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 424 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 0 0 0 0 0 0 0 0 0 0 0 0 154873 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 97439 0 0 0 97439 0 0 1001114802 1982040754 55 Early Intervention Services STANIS MANDY 604514813 107 Will 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 0 781 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 781 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45225 0 0 0 0 0 0 45225 0 0 1001115562 1811298987 10 Physicians COSME CRUZ ROSARIO M 600933006 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 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 3911 0 0 0 0 0 0 3911 0 0 1001115737 1518383827 16 Nurse Practitioners HODEL RACHELLE 627083428 91 Sangamon 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 77 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 77 0 0 0 0 0 0 0 0 0 572 0 0 0 0 0 0 0 0 2498 0 0 0 0 0 0 3070 0 0 1001115760 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 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26811 0 0 0 0 0 0 0 0 0 0 0 0 0 26811 0 0 1001117040 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 0 275 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 23193 0 0 0 0 0 0 0 0 0 0 0 0 0 23193 0 0 1001117224 91 Waiver service provider--Adults (DHS/DDD) 108 Williamson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6996 0 0 0 0 0 0 0 0 0 0 0 0 0 6996 0 0 1001117340 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 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11899 0 0 0 0 0 0 0 0 0 0 0 0 0 11899 0 0 1001117613 91 Waiver service provider--Adults (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 172 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 15973 0 0 0 0 0 0 0 0 0 0 0 0 0 15973 0 0 1001118150 1467783290 10 Physicians BALOUCH IMRAN 616042869 80 Peoria 0 0 General Practice 0 0 0 0 1 0 0 0 0 0 0 1 0 141 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 240 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 240 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 8532 0 0 0 0 0 0 8544 0 0 1001118571 1548691132 55 Early Intervention Services LIBEN-COVEN ALEXANDRA 606301530 200 Cook 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 0 501 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 0 0 0 0 0 29259 0 0 0 0 0 0 29259 0 0 1001118906 1104030659 10 Physicians CLAVERIA JOANNE 606313222 200 Cook 0 0 Pediatrics 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 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 4263 0 0 0 0 0 0 4263 0 0 1001119146 1295151983 16 Nurse Practitioners LORIMER KATHERINE E 200152079 49 Jefferson 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 32 0 0 0 0 0 0 32 0 0 1001119339 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 0 170 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 0 0 0 0 0 0 0 0 0 0 14860 0 0 0 0 0 0 0 0 0 0 0 0 0 14860 0 0 1001119535 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 0 120 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 15485 0 0 0 0 0 0 0 0 0 0 0 0 0 15485 0 0 1001119605 1629308663 10 Physicians HENRY PATRICIA 618012530 19 Champaign 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 6 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 11809 0 0 0 0 0 0 11823 0 0 1001119846 1669802419 48 Rural Health Clinics CARLE DANVILLE ON FAIRCHILD 618323876 100 Vermilion 0 1 0 0 2045 0 200 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8882 0 479 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8882 0 479 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 249298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 249298 0 0 1001119944 1225327919 10 Physicians DAVE ANKUR 604631025 200 Cook 0 0 Internal Medicine 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 0 619 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 619 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6607 0 0 0 0 0 0 6607 0 0 1001120072 1801000963 10 Physicians SCHETTINO CHRIS J 624502553 88 Richland 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 28 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 395 0 8 0 0 0 0 0 0 403 0 0 1001120382 1285920835 13 Podiatrists COOK MITCHELL A 629023988 47 Jackson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 469 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 469 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4452 0 0 0 0 0 0 4452 0 0 1001121560 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 9057 0 0 0 0 0 0 0 0 0 0 0 0 0 9057 0 0 1001121848 1093940611 10 Physicians KIZHAKEPUNNUR LENNEY G. 611112754 109 Winnebago 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 3 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7155 0 0 0 0 0 0 7155 0 0 1001122105 92 Waiver service provider--Disability (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 14465 0 0 0 0 0 0 0 0 0 0 0 0 0 14465 0 0 1001122321 1821223801 10 Physicians VAJARIA NIKHIL Y 321278979 109 Winnebago 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6698 0 0 0 0 0 0 6698 0 0 1001122323 11 Dentists 80 Peoria 0 0 General Dentistry 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1020 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1020 0 0 1001122804 1215198320 10 Physicians DU LIHUA 503061455 200 Cook 0 0 Internal Medicine 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 2 0 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 1909 0 0 0 0 0 0 1922 0 0 1001123352 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 0 259 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 9493 0 0 0 0 0 0 0 0 0 0 0 0 0 9493 0 0 1001123550 1194149302 16 Nurse Practitioners ZHANG HUIHONG 601082140 30 DuPage 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 0 910 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 910 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10486 0 0 0 0 0 0 10486 0 0 1001123794 1699109546 40 Federally Qualified Health Centers HOWARD BROWN HEALTH BROADWAY 606132110 200 Cook 0 1 0 0 55 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 306 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 306 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20232 0 0 1001124030 1700814449 60 Pharmacies "OPTUM PHARMACY 705, LLC" 397051324 825 Mississippi 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 15 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 1310 0 0 0 1310 0 0 1001124085 1902035199 10 Physicians VESOULIS ZACHARY 631101002 200 Cook 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 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 3077 0 0 0 0 0 0 3077 0 0 1001124963 1447575642 10 Physicians BOURNAS VASILIOS 606127300 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 715 0 0 0 0 0 0 715 0 0 1001125324 1518043603 10 Physicians BRADLEY CIARAN 606740018 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 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 0 126 0 0 0 0 0 0 126 0 0 1001125827 10 Physicians 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1001126065 10 Physicians 826 Missouri 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 47 0 0 0 0 0 0 47 0 0 1001126158 1003860545 10 Physicians MEZA STERLING 637015230 826 Missouri 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 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 0 969 0 0 0 0 0 0 969 0 0 1001126173 1417906959 48 Rural Health Clinics HSHS MEDICAL GROUP FAMILY 620491509 76 Montgomery 0 1 0 0 77 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 354 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 354 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10285 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10285 0 0 1001126312 10 Physicians 200 Cook 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 94 0 0 0 0 0 0 94 0 0 1001127532 1891010591 10 Physicians SAMAWI TED S 606118709 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 17 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 181 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 181 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 136 0 4798 0 0 0 0 0 0 4934 0 0 1001127661 1417367293 33 Nursing Facilities RIVER VIEW REHAB CENTER 601235118 53 Kane 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 0 204 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 0 0 0 0 0 0 0 0 0 0 440668 0 0 0 0 0 0 0 440668 0 0 1001127774 1083939516 10 Physicians SCHNABEL JAMES 601901295 30 DuPage 0 0 Internal Medicine 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 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2900 0 0 0 0 0 0 2900 0 0 1001127870 16 Nurse Practitioners 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 88 0 0 1001128061 10 Physicians 815 Indiana 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 586 0 0 0 0 0 0 586 0 0 1001128307 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 16475 0 0 0 0 0 0 0 0 0 0 0 0 0 16475 0 0 1001128368 1174752588 10 Physicians GOLDEN DANIEL 605277594 30 DuPage 0 0 Radiation Oncology 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 0 118 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 3908 0 0 0 0 0 0 3908 0 0 1001128483 1881983484 10 Physicians ABALOS ALBERT 601265658 30 DuPage 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 179 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7664 0 0 0 0 0 0 7664 0 0 1001128814 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 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 36733 0 0 0 0 0 0 0 0 0 0 0 0 0 36733 0 0 1001128851 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 0 251 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 28922 0 0 0 0 0 0 0 0 0 0 0 0 0 28922 0 0 1001129464 1922272400 22 Physical Therapists SMEREK MICHAEL 611144937 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 256 256 0 0 1001129993 1710192125 10 Physicians BLOOMGARDEN EVE 606118709 200 Cook 0 0 Endocrinology 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 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 0 798 0 0 0 0 0 0 798 0 0 1001130318 1952621302 10 Physicians THOMAS MELANIE 602021016 200 Cook 0 1 Pediatrics 0 0 0 0 15 0 0 0 0 0 0 1 0 13 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 1 0 18 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 1 0 18 0 0 0 0 0 0 0 0 0 1561 0 0 0 0 0 0 5 0 963 0 0 0 0 0 0 2529 0 0 1001130364 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 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 1001130860 1295045425 16 Nurse Practitioners WILSON MATTHEW 616151941 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 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 0 322 0 0 0 0 0 0 322 0 0 1001131128 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 0 144 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 9305 0 0 0 0 0 0 0 0 0 0 0 0 0 9305 0 0 1001131516 1700048139 10 Physicians LIOTTA ERIC 999999999 200 Cook 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 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11268 0 0 0 0 0 0 11268 0 0 1001131843 1881028231 16 Nurse Practitioners GOLEBIEWSKI AMBER D. 117472358 30 DuPage 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 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 2118 0 0 0 0 0 0 2118 0 0 1001132334 1295055291 10 Physicians SPYRATOS TILEMAHOS D 606781353 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4605 0 0 0 0 0 0 4605 0 0 1001132340 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 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15136 0 0 0 0 0 0 0 0 0 0 0 0 0 15136 0 0 1001132491 1245529171 10 Physicians BOCKRATH ROBYN 606112615 200 Cook 0 0 Pediatrics 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 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 2244 0 0 0 0 0 0 2244 0 0 1001134768 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 10641 0 0 0 0 0 0 0 0 0 0 0 0 0 10641 0 0 1001134905 1467667360 10 Physicians SEDER CHRISTOPHER 600051069 200 Cook 0 0 Thoracic Surgery 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 0 120 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 7063 0 0 0 0 0 0 7063 0 0 1001135477 1578726253 10 Physicians PANDIAN SHIVKUMAR 605214591 30 DuPage 0 0 Psychiatry 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 0 134 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 2606 0 0 0 0 0 0 2606 0 0 1001136393 1215270160 11 Dentists SHEEHAN CLAIRE 606185952 200 Cook 0 0 General Dentistry 0 0 0 62 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 6460 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6460 0 0 1001136869 1366875635 30 General Hospitals FRESENIUS MEDICAL CARE BURBANK 604591586 200 Cook DIALYSIS Outpatient dialysis centers. 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 0 328 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3056 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43919 0 0 0 0 0 43919 0 0 1001136994 1992041511 48 Rural Health Clinics BUSHNELL FAMILY PRACTICE 614229503 70 McDonough 0 1 0 0 121 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 375 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 375 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8255 0 0 1001137114 1740509827 10 Physicians PEREIRA DACUNHA TATIANA 627621000 91 Sangamon 0 0 Pediatrics 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 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 4390 0 0 0 0 0 0 4390 0 0 1001138369 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 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 3549 0 0 0 0 0 0 0 0 0 0 0 0 0 3549 0 0 1001138616 1558687756 10 Physicians SURA PARIMAL 604532600 200 Cook 0 0 Internal Medicine 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 0 426 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 426 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11245 0 0 0 0 0 0 11245 0 0 1001138635 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24315 0 0 0 0 0 0 0 0 0 0 0 0 0 24315 0 0 1001138904 1790057164 16 Nurse Practitioners FRAZZINI TRACY 28950784 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 714 0 0 0 0 0 0 726 0 0 1001139408 1114153475 10 Physicians SNOW DAVID 606120000 200 Cook 0 0 Emergency Medicine 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 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 2594 0 0 0 0 0 0 2594 0 0 1001139629 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 13521 0 0 0 0 0 0 0 0 0 0 0 0 0 13521 0 0 1001140883 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 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 1001140946 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26658 0 0 0 0 0 0 0 0 0 0 0 0 0 26658 0 0 1001141733 1265748008 10 Physicians SWIMS DALE 606253500 200 Cook 0 1 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 522 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 522 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11510 0 0 0 0 0 0 11510 0 0 1001141739 1992130173 60 Pharmacies ELDON DRUG COMPANY 650261811 826 Missouri 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 0 167 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4572 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6063 0 0 0 6063 0 0 1001142412 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 0 317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28408 0 0 0 0 0 0 0 0 0 0 0 0 0 28408 0 0 1001142479 1831477421 10 Physicians TECKCHANDANI RENU 631271666 200 Cook 0 0 Internal 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 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 0 661 0 0 0 0 0 0 661 0 0 1001143615 4001143615 10 Physicians STURDAVANT ADAM 616043221 80 Peoria 0 1 Pediatrics 0 0 0 0 57 0 0 0 0 0 0 25 0 66 0 0 0 0 0 0 0 0 0 131 0 0 0 0 0 0 37 0 93 0 0 0 0 0 0 0 0 0 131 0 0 0 0 0 0 37 0 93 0 0 0 0 0 0 0 0 0 5956 0 0 0 0 0 0 516 0 2788 0 0 0 0 0 0 9260 0 0 1001143703 1740626845 16 Nurse Practitioners DEEM KAREN M 606751001 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 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 0 820 0 0 0 0 0 0 820 0 0 1001145476 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 0 299 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 23851 0 0 0 0 0 0 0 0 0 0 0 0 0 23851 0 0 1001145602 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 0 343 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 0 0 0 0 0 0 0 0 0 0 0 0 27702 0 0 0 0 0 0 0 0 0 0 0 0 0 27702 0 0 1001146258 1790992675 10 Physicians ABU AL RUB FADEE 631032236 200 Cook 0 0 Internal 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 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 61 0 0 0 0 0 0 61 0 0 1001146390 1275774143 33 Nursing Facilities APERION CARE OAK LAWN 604532221 200 Cook 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 0 351 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8437 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1046241 0 0 0 0 0 0 0 1046241 0 0 1001146406 1477571404 60 Pharmacies ALLIANCERX WALGREENS PHARMACY 750332013 845 Texas 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 0 220 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 763350 0 0 0 763350 0 0 1001146639 10 Physicians 10 Adams 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 267 0 0 0 0 0 0 267 0 0 1001147124 1083935134 10 Physicians RANDHAWA SUNDEEP 606442609 200 Cook 0 0 Psychiatry 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 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 3062 0 0 0 0 0 0 3062 0 0 1001147173 1508161878 23 Occupational Therapists TRAN LINDA 605151041 30 DuPage 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 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9056 9056 0 0 1001147240 1538456264 10 Physicians RADVILA DARIUS 605047001 53 Kane 0 1 Pediatrics 0 0 0 0 93 0 0 0 0 0 0 10 0 90 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 10 0 115 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 10 0 115 0 0 0 0 0 0 0 0 0 10040 0 0 0 0 0 0 58 0 4021 0 0 0 0 0 0 14119 0 0 1001147954 1104882919 33 Nursing Facilities SUNSET REHAB HEALTH CARE 615202612 37 Fulton 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 0 156 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4057 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 562676 0 0 0 0 0 0 0 562676 0 0 1001148192 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 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 0 122 0 0 0 0 0 0 122 0 0 1001148395 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 22087 0 0 0 0 0 0 0 0 0 0 0 0 0 22087 0 0 1001148704 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 30261 0 0 0 0 0 0 0 0 0 0 0 0 0 30261 0 0 1001148768 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 20259 0 0 0 0 0 0 0 0 0 0 0 0 0 20259 0 0 1001149118 1417184136 10 Physicians GRAHAM THOMAS A 624502553 88 Richland 0 0 Dermatology 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 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1735 0 0 0 0 0 0 1735 0 0 1001149188 1306144399 16 Nurse Practitioners JIWANI ZAHRA 28950784 66 Marion 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 9 0 0 0 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 14 0 0 0 0 0 0 0 0 0 83 0 0 0 0 0 0 0 0 353 0 0 0 0 0 0 436 0 0 1001149839 1609190586 10 Physicians LOUGHRY KEVIN T 606313222 848 Virginia 0 1 Internal Medicine 0 0 0 0 1 0 0 0 0 0 0 1 0 172 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 306 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 306 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 1 0 5964 0 0 0 0 0 0 6069 0 0 1001150073 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 0 153 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 10899 0 0 0 0 0 0 0 0 0 0 0 0 0 10899 0 0 1001150166 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 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 31156 0 0 0 0 0 0 0 0 0 0 0 0 0 31156 0 0 1001150453 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 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 0 505 0 0 505 0 0 1001150553 1588095483 60 Pharmacies MARIANOS PHARMACY 8519 605045160 30 DuPage 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 0 151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5977 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8295 0 0 0 8295 0 0 1001150792 1689872368 10 Physicians CHI JOHN J 631600352 80 Peoria 0 0 Otolaryngology 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 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 1460 0 0 0 0 0 0 1460 0 0 1001151302 1073806840 11 Dentists CHENG JIAO 600748305 200 Cook 0 0 General Dentistry 0 0 0 221 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50809 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50809 0 0 1001152255 1790124709 25 Audiologists FARRIS RYAN 627949248 91 Sangamon 0 0 0 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 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 0 556 556 0 0 1001152364 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 0 157 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 11975 0 0 0 0 0 0 0 0 0 0 0 0 0 11975 0 0 1001152550 1487864138 10 Physicians VADER JUSTIN 63110 826 Missouri 0 0 Cardiovascular Diseases 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 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1252 0 0 0 0 0 0 1252 0 0 1001152771 1376514505 10 Physicians TREMPER CHRISTINE A. 602011700 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 183 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 212 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 212 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1840 0 1586 0 0 0 0 0 0 3426 0 0 1001152833 1548493208 10 Physicians CAPRIO FAN Z 606118709 200 Cook 0 0 Neurology 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 0 153 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 3014 0 0 0 0 0 0 3014 0 0 1001152873 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 30259 0 0 0 0 0 0 0 0 0 0 0 0 0 30259 0 0 1001153712 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 18852 0 0 0 0 0 0 0 0 0 0 0 0 0 18852 0 0 1001154050 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 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 3488 0 0 0 0 0 0 0 0 0 0 0 0 0 3488 0 0 1001154668 4001154668 10 Physicians LING GUOYU 630262394 826 Missouri 0 0 Internal Medicine 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 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 379 0 0 0 0 0 0 379 0 0 1001154729 1619105293 10 Physicians SHERWOOD KARNA 616151941 80 Peoria 0 0 Neurology 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 0 354 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 354 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3649 0 0 0 0 0 0 3649 0 0 1001154876 1902056138 16 Nurse Practitioners COWGER JAMES E 629015612 47 Jackson 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 0 477 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 477 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1251 0 0 0 0 0 0 1251 0 0 1001155066 1588638605 10 Physicians HEBARD HAROLD G 475914853 815 Indiana 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 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 0 193 0 0 0 0 0 0 193 0 0 1001155266 1073942801 91 Waiver service provider--Adults (DHS/DDD) FAMILIES BUILDING DREAMS LLC 999999999 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 9907 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9907 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2252184 0 0 0 0 0 0 0 0 0 0 0 0 0 2252184 0 0 1001155325 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 0 109 0 0 1001155810 92 Waiver service provider--Disability (DHS/DRS) 62 Logan 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 803 0 0 0 0 0 0 0 0 0 0 0 0 0 803 0 0 1001155812 1033372750 10 Physicians ELACKATTU ALPHI 602023439 200 Cook 0 0 Otorhinolaryngology 0 0 0 0 1 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 4688 0 0 0 0 0 0 4697 0 0 1001156262 1447545686 10 Physicians HASTIE JOSHUA D 629015612 47 Jackson 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 481 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 481 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5696 0 0 0 0 0 0 5696 0 0 1001157056 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 19667 0 0 0 0 0 0 0 0 0 0 0 0 0 19667 0 0 1001157600 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 0 365 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 20645 0 0 0 0 0 0 0 0 0 0 0 0 0 20645 0 0 1001157663 1134556442 23 Occupational Therapists CORCUERA KRISTLE 999999999 107 Will 0 0 0 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 0 950 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 950 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72350 72350 0 0 1001157767 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1001157957 1841509304 10 Physicians VARDAROS ISIDOROS F 626811465 92 Schuyler 0 0 Family Practice 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 0 316 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 316 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2376 0 0 0 0 0 0 2376 0 0 1001158433 1508173329 10 Physicians KMIECIK JOANNA 606071644 200 Cook 0 0 Family Practice 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 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 0 536 0 0 0 0 0 0 536 0 0 1001158502 1356772743 16 Nurse Practitioners UTOMI HELEN N 606123714 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 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 23 0 0 0 0 0 0 23 0 0 1001158591 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28399 0 0 0 0 0 0 0 0 0 0 0 0 0 28399 0 0 1001158640 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3738 0 0 0 0 0 0 0 0 0 0 0 0 0 3738 0 0 1001159022 1316233265 10 Physicians SANDHU MANPREET K 616151941 80 Peoria 0 0 Internal Medicine 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 0 207 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 2455 0 0 0 0 0 0 2455 0 0 1001159047 4001159047 93 Waiver service provider--HIV/AIDS (DHS/DRS) LIFELINE SYSTEMS INCORPORATED 17028156 822 Massachusetts 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 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 1596 0 0 0 0 0 0 0 0 0 0 0 0 0 1596 0 0 1001159207 1497978902 10 Physicians BEHDAD AMIR 606548803 200 Cook 0 0 Pathology 0 0 0 0 0 0 0 0 0 0 0 95 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2424 0 38 0 0 0 0 0 0 2462 0 0 1001159309 1255593034 10 Physicians HUTCHISON PAUL 601545716 200 Cook 0 0 Pulmonary Diseases 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 0 166 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 4639 0 0 0 0 0 0 4639 0 0 1001159965 1295737583 10 Physicians BRECKWOLDT REID 625264163 63 Macon 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 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 0 726 0 0 0 0 0 0 0 0 726 0 0 1001160129 10 Physicians 200 Cook 0 0 Radiation Oncology 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 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 0 691 0 0 0 0 0 0 691 0 0 1001160138 1083876395 10 Physicians VOELKER JULIE 612658126 89 Rock Island 0 0 Psychiatry 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3377 0 0 0 0 0 0 3377 0 0 1001160284 1255771861 16 Nurse Practitioners MCINTOSH ERIK M 606751611 200 Cook 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 0 286 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 4543 0 0 0 0 0 0 4543 0 0 1001160863 4001160863 91 Waiver service provider--Adults (DHS/DDD) AUSTIN SPECIAL CHICAGO 606301611 200 Cook 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 17675 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17675 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1984746 0 0 0 0 0 0 0 0 0 0 0 0 0 1984746 0 0 1001160870 92 Waiver service provider--Disability (DHS/DRS) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5140 0 0 0 0 0 0 0 0 0 0 0 0 0 5140 0 0 1001161747 1790098119 16 Nurse Practitioners LUCAS CLAY LEIGH 616157831 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1007 0 0 0 0 0 0 1007 0 0 1001161775 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 11646 0 0 0 0 0 0 0 0 0 0 0 0 0 11646 0 0 1001162116 1992147086 12 Optometrists COLLEY BRIGETTE 614552412 70 McDonough 0 0 Diagnostic Pharmaceutical Agents 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 0 320 0 0 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 0 0 0 0 0 0 0 0 0 0 6068 0 0 0 0 0 0 6068 0 0 1001162166 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 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 4443 0 0 0 0 0 0 0 0 0 0 0 0 0 4443 0 0 1001162438 1992933204 10 Physicians MATHEW GINA 601011836 30 DuPage 0 1 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 24 0 0 0 0 0 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 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 770 0 0 0 0 0 0 770 0 0 1001162537 91 Waiver service provider--Adults (DHS/DDD) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 113 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 4819 0 0 0 0 0 0 0 0 0 0 0 0 0 4819 0 0 1001162816 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 87 0 0 0 0 0 0 87 0 0 1001162830 1285060004 16 Nurse Practitioners JENSEN-COLE JAIME 627035128 91 Sangamon 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 0 120 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 5633 0 0 0 0 0 0 5633 0 0 1001163397 1902239809 56 School Based / Linked Health Clinics ORR ADOLESCENT HEALTH CENTER 606241063 200 Cook 0 0 0 0 20 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2054 0 703 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2757 0 0 1001163684 1184057457 30 General Hospitals FRESENIUS MEDICAL CARE LAKEVIE 606132111 200 Cook DIALYSIS Outpatient dialysis centers. 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 0 318 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2848 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46474 0 0 0 0 0 46474 0 0 1001163727 1588959548 10 Physicians NEVILLE PATRICK 999999999 96 St Clair 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 167 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 340 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 340 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 5409 0 0 0 0 0 0 5443 0 0 1001163931 1134469364 16 Nurse Practitioners KUENSTLER MELISSA 624502553 58 La Salle 0 1 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 0 577 0 0 0 0 0 0 577 0 0 1001164008 1417398082 60 Pharmacies MEIJER PHARMACY 265 608052500 200 Cook 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 0 706 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23333 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49044 0 0 0 49044 0 0 1001164047 1780902486 10 Physicians KENNEDY NICOLE L 370245009 200 Cook 0 1 Family Practice 0 0 0 0 6 0 0 0 0 0 0 5 0 111 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 9 0 301 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 9 0 301 0 0 0 0 0 0 0 0 0 294 0 0 0 0 0 0 3 0 3717 0 0 0 0 0 0 4014 0 0 1001164081 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8497 0 0 0 0 0 0 0 0 0 0 0 0 0 8497 0 0 1001164134 10 Physicians 57 Lake 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 102 0 0 1001166731 10 Physicians 815 Indiana 0 0 Geriatrics 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 3 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 1001166851 1700048022 10 Physicians DUMFEH JUDE 600155234 57 Lake 0 0 Internal Medicine 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 0 120 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 1876 0 0 0 0 0 0 1876 0 0 1001166857 1295088292 46 Ambulatory Surgical Treatment Centers CADENCE AMBULATORY SURGERY CTR 605553845 30 DuPage ASTC Ambulatory Surgical Treatment Center. 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 0 109 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 19697 0 0 0 0 0 19697 0 0 1001166983 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 4091 0 0 0 0 0 0 0 0 0 0 0 0 0 4091 0 0 1001167048 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 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23668 0 0 0 0 0 0 0 0 0 0 0 0 0 23668 0 0 1001167114 1003241886 55 Early Intervention Services DELLAMANO HELEN 604512902 107 Will 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 0 120 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 11086 0 0 0 0 0 0 11086 0 0 1001167749 1184825549 91 Waiver service provider--Adults (DHS/DDD) SHARMA RUCHI 622265457 96 St Clair 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 1545 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1545 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128700 0 0 0 0 0 0 0 0 0 0 0 0 0 128700 0 0 1001167797 10 Physicians 852 Wisconsin 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 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 34 0 0 0 0 0 0 34 0 0 1001167963 1346534161 10 Physicians QAYYUM ZAINEB 606781034 200 Cook 0 1 Family Practice 0 0 0 0 3 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 231 0 0 0 0 0 0 0 0 557 0 0 0 0 0 0 788 0 0 1001168127 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 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 41052 0 0 0 0 0 0 0 0 0 0 0 0 0 41052 0 0 1001168269 92 Waiver service provider--Disability (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3754 0 0 0 0 0 0 0 0 0 0 0 0 0 3754 0 0 1001168384 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 847 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 847 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 82468 0 0 0 0 0 0 0 0 0 0 0 0 0 82468 0 0 1001168626 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 1001170026 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 15345 0 0 0 0 0 0 0 0 0 0 0 0 0 15345 0 0 1001170511 1871928838 91 Waiver service provider--Adults (DHS/DDD) LANG TIFFANY 622265457 96 St Clair 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 1005 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 0 0 0 0 0 0 0 0 0 0 0 0 79169 0 0 0 0 0 0 0 0 0 0 0 0 0 79169 0 0 1001170595 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 0 192 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 60524 0 0 0 0 0 0 0 0 0 0 0 0 0 60524 0 0 1001170778 1265698237 10 Physicians HULATA DAVID F. 606118709 200 Cook 0 0 Anesthesiology 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 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 3029 0 0 0 0 0 0 3029 0 0 1001171105 22 Physical Therapists 89 Rock Island 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 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 0 106 106 0 0 1001171587 1396168233 36 Community mental health provider AID STATE STREET 999999999 53 Kane 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72 0 0 643 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2008 0 0 643 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2008 0 0 34062 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 254670 0 0 288732 0 0 1001171847 1174779755 10 Physicians CARLSSON THORN GUNILLA 60175 53 Kane 0 0 Dermatology 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 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 0 356 0 0 0 0 0 0 356 0 0 1001172495 1710140041 10 Physicians TANNOUS GEORGE C 611075075 109 Winnebago 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 13 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 137 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 137 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 7043 0 0 0 0 0 0 7117 0 0 1001172849 1124093307 10 Physicians DESHMUKH NARAYAN 629023988 47 Jackson 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 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 0 294 0 0 0 0 0 0 294 0 0 1001174053 1932423530 10 Physicians COLLAZO GARCIA GEISEL 606093240 200 Cook 0 0 Pediatrics 0 0 0 0 18 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 1597 0 0 0 0 0 0 0 0 2649 0 0 0 0 0 0 4246 0 0 1001174070 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7898 0 0 0 0 0 0 0 0 0 0 0 0 0 7898 0 0 1001174105 10 Physicians 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 99 0 0 0 0 0 0 99 0 0 1001174125 1700294584 16 Nurse Practitioners FISCHER KENDRA M 606756512 200 Cook 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 0 136 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 1508 0 0 0 0 0 0 1508 0 0 1001174622 10 Physicians 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 15 0 0 1001175004 1982015384 24 Speech Therapists FULLER SHERRY 604024041 200 Cook 0 0 0 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 0 361 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 0 0 0 0 0 0 0 0 0 0 0 0 27305 27305 0 0 1001175145 1528292174 10 Physicians DY TIFFANY 999999999 826 Missouri 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 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 0 137 0 0 0 0 0 0 137 0 0 1001175387 16 Nurse Practitioners 71 McHenry 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 0 156 0 0 0 0 0 0 156 0 0 1001175981 1447299763 10 Physicians YOKOSAWA KENNETH 605046486 53 Kane 0 1 Family Practice 0 0 0 0 10 0 0 0 0 0 0 2 0 90 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 2 0 191 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 2 0 191 0 0 0 0 0 0 0 0 0 672 0 0 0 0 0 0 102 0 4768 0 0 0 0 0 0 5542 0 0 1001176601 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 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 0 550 0 0 0 0 0 0 0 0 0 0 0 0 0 550 0 0 1001176905 1154494334 22 Physical Therapists JACHIMEK JULIE 606740018 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 778 778 0 0 1001176909 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3179 0 0 0 0 0 0 0 0 0 0 0 0 0 3179 0 0 1001176948 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 0 755 0 0 0 0 0 0 0 0 0 0 0 0 0 755 0 0 1001177095 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 27691 0 0 0 0 0 0 0 0 0 0 0 0 0 27691 0 0 1001177279 1568447357 10 Physicians QURESHI HUMA 925077401 805 California 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 35 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 332 0 13 0 0 0 0 0 0 345 0 0 1001177565 98 Waiver service provider--TBI (DHS/DRS) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 64019 0 0 0 0 0 0 0 0 0 0 0 0 0 64019 0 0 1001177713 1356662746 10 Physicians DORE LEXIE 482780769 57 Lake 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2190 0 0 0 0 0 0 2190 0 0 1001177881 4001177881 10 Physicians TAZUDEEN WAHID 618323745 100 Vermilion 0 0 Neurology 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 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 0 124 0 0 0 0 0 0 124 0 0 1001178252 92 Waiver service provider--Disability (DHS/DRS) 54 Kankakee 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5437 0 0 0 0 0 0 0 0 0 0 0 0 0 5437 0 0 1001178269 1538392253 10 Physicians BUREN JESSICA 606118709 200 Cook 0 0 Anesthesiology 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 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 2436 0 0 0 0 0 0 2436 0 0 1001178296 1831329531 10 Physicians NEWTON MATTHEW 618012529 19 Champaign 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 2 0 5 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 5 0 7 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 5 0 7 0 0 0 0 0 0 0 0 0 134 0 0 0 0 0 0 41 0 264 0 0 0 0 0 0 439 0 0 1001178862 10 Physicians 816 Iowa 0 0 Oncology 0 0 0 0 0 0 0 0 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 0 102 0 0 0 0 0 0 102 0 0 1001178948 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 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 14701 0 0 0 0 0 0 0 0 0 0 0 0 0 14701 0 0 1001179109 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 0 120 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 19148 0 0 0 0 0 0 0 0 0 0 0 0 0 19148 0 0 1001179625 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 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13069 0 0 0 0 0 0 0 0 0 0 0 0 0 13069 0 0 1001180127 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 558 0 0 0 0 0 0 0 0 0 0 0 0 0 558 0 0 1001181011 91 Waiver service provider--Adults (DHS/DDD) 69 Massac 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28899 0 0 0 0 0 0 0 0 0 0 0 0 0 28899 0 0 1001181235 1093933665 10 Physicians NGUYEN BINH 628390280 22 Clay 0 0 Cardiovascular Diseases 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 1036 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1036 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5276 0 0 0 0 0 0 5276 0 0 1001181305 1720411135 56 School Based / Linked Health Clinics RUSH HLTH CTR SIMPSON ACADEMY 606081221 200 Cook 0 0 0 0 8 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 950 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 981 0 0 1001181360 1497180848 16 Nurse Practitioners KENAR ERIN 606313222 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 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 0 480 0 0 0 0 0 0 480 0 0 1001181594 1922418334 16 Nurse Practitioners DE LOOF MIRANDA 606112991 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 677 0 0 0 0 0 0 677 0 0 1001181609 1669638763 10 Physicians MALAKOOTI MARCELO 606112615 200 Cook 0 0 Pediatrics 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 0 172 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 28846 0 0 0 0 0 0 28846 0 0 1001182013 1962653022 16 Nurse Practitioners MARSHALL KRISTINA 618012529 19 Champaign 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 0 422 0 0 0 0 0 0 422 0 0 1001182133 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 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17399 0 0 0 0 0 0 0 0 0 0 0 0 0 17399 0 0 1001182652 1659680015 10 Physicians PIERKO ELIZA J 49154480 27 Dekalb 0 1 Internal Medicine 0 0 0 0 5 0 0 0 0 0 0 1 0 49 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 1 0 81 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 1 0 81 0 0 0 0 0 0 0 0 0 164 0 0 0 0 0 0 0 0 2486 0 0 0 0 0 0 2650 0 0 1001182937 1447407655 10 Physicians GRAY ROBERT R 602011700 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 6 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 146 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 146 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 8198 0 0 0 0 0 0 8210 0 0 1001183387 1437326907 10 Physicians IRFANI SAMIA 607123925 200 Cook 0 0 Pediatrics 0 0 0 0 50 0 0 0 0 0 0 14 0 78 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 15 0 134 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 15 0 134 0 0 0 0 0 0 0 0 0 4870 0 0 0 0 0 0 101 0 4756 0 0 0 0 0 0 9727 0 0 1001184373 1356750590 60 Pharmacies MAC RX LLC 600181811 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2743 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16677 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 386943 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 363001 0 0 0 363001 0 0 1001184912 1760619415 10 Physicians DOUCETTE EVE M. 602011718 200 Cook 0 0 Emergency 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 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 2387 0 0 0 0 0 0 2387 0 0 1001184961 10 Physicians 10 Adams 0 0 Family Practice 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 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 4 0 0 1001185398 10 Physicians 109 Winnebago 0 0 Gastroenterology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1001185650 91 Waiver service provider--Adults (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3771 0 0 0 0 0 0 0 0 0 0 0 0 0 3771 0 0 1001185742 1235362971 10 Physicians LISTON MICHAEL J 605275965 30 DuPage 0 1 Family Practice 0 0 0 0 3 0 0 0 0 0 0 1 0 79 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 1 0 171 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 1 0 171 0 0 0 0 0 0 0 0 0 151 0 0 0 0 0 0 0 0 2325 0 0 0 0 0 0 2476 0 0 1001186426 1518275635 10 Physicians CRUDUP SAMARA 606114264 200 Cook 0 0 Physical Medicine/Rehabilitation 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 0 144 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 0 911 0 0 0 0 0 0 911 0 0 1001186800 1457695272 16 Nurse Practitioners BELLISARIO ANGELICA M 601228942 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 551 0 0 0 0 0 0 551 0 0 1001186816 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1001186952 1689874349 10 Physicians AMDANI FAISAL 606081732 200 Cook 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 0 492 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 0 0 0 0 0 0 0 0 0 0 0 0 28868 0 0 0 0 0 0 28868 0 0 1001187243 10 Physicians 30 DuPage 0 0 Neonatal-Perinatal 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 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 1461 0 0 0 0 0 0 1461 0 0 1001187343 1194959627 10 Physicians PATEL PARAS C 600101919 57 Lake 0 0 Anesthesiology 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 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 803 0 0 0 0 0 0 803 0 0 1001187495 1669637153 10 Physicians GAST THOMAS 603022519 200 Cook 0 0 Radiology Diagnosis 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 4 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 243 0 0 0 0 0 0 262 0 0 1001187738 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 0 109 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 11934 0 0 0 0 0 0 0 0 0 0 0 0 0 11934 0 0 1001187974 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 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 13122 0 0 0 0 0 0 0 0 0 0 0 0 0 13122 0 0 1001188090 1861710733 10 Physicians SHAH NEHA 605859511 107 Will 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 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 0 349 0 0 0 0 0 0 349 0 0 1001188176 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 0 360 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 28399 0 0 0 0 0 0 0 0 0 0 0 0 0 28399 0 0 1001188367 16 Nurse Practitioners 107 Will 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 81 0 0 0 0 0 0 81 0 0 1001188665 1336582592 24 Speech Therapists JACKSON KARLA 627621000 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 0 190 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 14467 14467 0 0 1001188714 1689011082 22 Physical Therapists MAZANEK KATHLEEN 600052857 200 Cook 0 0 0 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 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2081 2081 0 0 1001188757 1336375096 10 Physicians TAKSANDE SUSHANT 604572388 200 Cook 0 0 Nephrology 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 0 793 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 793 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12628 0 0 0 0 0 0 12628 0 0 1001188983 1336576792 60 Pharmacies THREE ZERO THREE UPGRADE PHARM 601012586 30 DuPage 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 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14190 0 0 0 14190 0 0 1001189851 10 Physicians 109 Winnebago 0 0 Cardiovascular Diseases 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 476 0 0 0 0 0 0 476 0 0 1001190222 10 Physicians 65 Madison 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001190338 1699100792 91 Waiver service provider--Adults (DHS/DDD) GOLDMAN DEBRA B 600052410 200 Cook 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 1698 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1698 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38673 0 0 0 0 0 0 0 0 0 0 0 0 0 38673 0 0 1001191237 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3433 0 0 0 0 0 0 0 0 0 0 0 0 0 3433 0 0 1001191323 1255664280 16 Nurse Practitioners CORGAN MARY 637015230 826 Missouri 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 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 0 168 0 0 0 0 0 0 168 0 0 1001191943 1649475377 10 Physicians SIMONS LISA 606112991 200 Cook 0 0 Pediatrics 0 0 0 0 3 0 0 0 0 0 0 2 0 24 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 3 0 36 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 3 0 36 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 14 0 1488 0 0 0 0 0 0 1558 0 0 1001192412 1043506355 10 Physicians BOYD DARREN 606118709 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 0 203 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 2287 0 0 0 0 0 0 2287 0 0 1001192839 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 0 127 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 28447 0 0 0 0 0 0 0 0 0 0 0 0 0 28447 0 0 1001192852 10 Physicians 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 39 0 0 1001192913 1154758837 60 Pharmacies MARIANOS PHARMACY 8513 601875240 30 DuPage 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 0 176 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6881 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12200 0 0 0 12200 0 0 1001192951 91 Waiver service provider--Adults (DHS/DDD) 27 Dekalb 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 7495 0 0 0 0 0 0 0 0 0 0 0 0 0 7495 0 0 1001192967 16 Nurse Practitioners 96 St Clair 0 0 0 0 0 0 0 0 0 0 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 0 136 0 0 0 0 0 0 136 0 0 1001193310 1932525078 29 ICF/MR WAUKEGAN TERRACE 600857101 57 Lake 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 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1833 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 488460 0 0 0 0 0 0 0 0 0 0 488460 0 0 1001194383 1790712610 10 Physicians RIVERA GARCIA LIOVA 535661569 200 Cook 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 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 0 206 0 0 0 0 0 0 206 0 0 1001195246 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 0 180 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 28247 0 0 0 0 0 0 0 0 0 0 0 0 0 28247 0 0 1001195442 1306288022 12 Optometrists LABUDA CARYN 605601877 55 Kendall 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 123 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 123 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2704 0 748 0 0 0 0 3452 0 0 1001196445 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 0 260 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 8156 0 0 0 0 0 0 0 0 0 0 0 0 0 8156 0 0 1001196615 1548498710 10 Physicians COLORADO BERDALE 999999999 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 6 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 0 0 320 0 0 0 0 0 0 320 0 0 1001196623 1255595658 10 Physicians FIELDS MELANIE E 631600352 63 Macon 0 0 Pediatrics 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 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 0 718 0 0 0 0 0 0 718 0 0 1001196785 1659688687 16 Nurse Practitioners RICHARDSON MICHELLE 28950784 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1151 0 0 0 0 0 0 1151 0 0 1001197183 10 Physicians 200 Cook 0 1 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 268 0 0 0 0 0 0 268 0 0 1001197247 1750723532 16 Nurse Practitioners GEORGE NISHA 600051069 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 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 0 247 0 0 0 0 0 0 247 0 0 1001197309 1780971598 13 Podiatrists PEARSON KYLE T 604503370 40 Grundy 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 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4163 0 0 0 0 0 0 4163 0 0 1001197505 1760743470 16 Nurse Practitioners STILLING REGINA M 606118709 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1088 0 0 0 0 0 0 1088 0 0 1001197755 1740575976 10 Physicians KOK STEPHANIE 999999999 80 Peoria 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 0 131 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 5097 0 0 0 0 0 0 5097 0 0 1001197981 1407051329 10 Physicians AMARAKONE ALOKA 999999999 826 Missouri 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 0 156 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 0 0 0 0 0 2280 0 0 0 0 0 0 2280 0 0 1001198310 1912987132 63 Other Providers of Medical Equipment/Supplies (Non-registered) NUMOTION 630451513 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 287756 0 0 0 0 0 0 287756 0 0 1001198320 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 0 133 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 30223 0 0 0 0 0 0 0 0 0 0 0 0 0 30223 0 0 1001198635 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 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 22364 0 0 0 0 0 0 0 0 0 0 0 0 0 22364 0 0 1001198686 1720308380 10 Physicians BENUCK RUSSELL 601953203 200 Cook 0 0 Orthopedic Surgery 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 0 505 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 505 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23477 0 0 0 0 0 0 23477 0 0 1001199042 1720419294 16 Nurse Practitioners BLUM KAREN 606930623 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 192 0 0 0 0 0 0 192 0 0 1001199198 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 0 133 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 27588 0 0 0 0 0 0 0 0 0 0 0 0 0 27588 0 0 1001200768 1366787210 16 Nurse Practitioners MIKOTTIS MARY JO 606118709 200 Cook 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 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 0 672 0 0 0 0 0 0 672 0 0 1001200868 1457517302 10 Physicians UZUNLAR LINDSAY N. 602011718 200 Cook 0 1 Psychiatry 0 0 0 0 9 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 891 0 0 0 0 0 0 0 0 880 0 0 0 0 0 0 1771 0 0 1001200961 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 22462 0 0 0 0 0 0 0 0 0 0 0 0 0 22462 0 0 1001200982 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 110 0 0 1001201083 1508893595 10 Physicians WILLIAMS TIMOTHY J 610213116 60 Lee 0 1 Family Practice 0 0 0 0 5 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 139 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 139 0 0 0 0 0 0 0 0 0 548 0 0 0 0 0 0 0 0 1792 0 0 0 0 0 0 2340 0 0 1001201388 1083816201 10 Physicians KUNIO NICHOLAS 606733039 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9845 0 0 0 0 0 0 9845 0 0 1001201877 92 Waiver service provider--Disability (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 1001202461 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 4846 0 0 0 0 0 0 0 0 0 0 0 0 0 4846 0 0 1001202710 60 Pharmacies 845 Texas 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 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4847 0 0 0 4847 0 0 1001202925 1417245861 10 Physicians KENAN KRISTEN 606127232 200 Cook 0 0 Pediatrics 0 0 0 0 30 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 2388 0 0 0 0 0 0 0 0 4803 0 0 0 0 0 0 7191 0 0 1001202987 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 28350 0 0 0 0 0 0 0 0 0 0 0 0 0 28350 0 0 1001204249 1326453713 16 Nurse Practitioners GARRETT MICHELLE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 397 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 3034 0 0 0 0 0 0 3034 0 0 1001204987 1770920183 64 Imaging Services CAIRO DIAGNOSTIC CENTER RADLGY 629143101 11 Alexander 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 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 0 273 0 0 0 0 0 0 273 0 0 1001205963 1760612808 10 Physicians SOLANKI ABHISHEK 601545716 200 Cook 0 0 Radiation Oncology 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 0 167 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 0 0 0 0 0 3226 0 0 0 0 0 0 3226 0 0 1001206448 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 0 168 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 26083 0 0 0 0 0 0 0 0 0 0 0 0 0 26083 0 0 1001206494 1881740561 10 Physicians LANE JOHAN 606751611 200 Cook 0 1 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 0 437 0 0 0 0 0 0 437 0 0 1001206596 1124460126 11 Dentists LATIF HUSSEIN 604677221 200 Cook 0 0 General Dentistry 0 0 0 344 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1914 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1914 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87845 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87845 0 0 1001206777 1992013791 16 Nurse Practitioners KREITER MELISSA 606781034 200 Cook 0 0 General Psychiatry Residency 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3615 0 0 0 0 0 0 3615 0 0 1001206853 1932428281 10 Physicians ALDEWAIREY SUHAIR A 610320857 97 Stephenson 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 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 1479 0 0 0 0 0 0 1479 0 0 1001206927 1619121506 33 Nursing Facilities APERION CARE INTERNATIONAL 999999999 200 Cook 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 0 683 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16343 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2260522 0 0 0 0 0 0 0 2260522 0 0 1001207722 1700102647 16 Nurse Practitioners OKOROH CHINYERE 604732258 200 Cook 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 0 324 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 324 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3467 0 0 0 0 0 0 3467 0 0 1001207999 1396031225 10 Physicians KATCHI FARHAN 63110 826 Missouri 0 0 Internal Medicine 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 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 0 396 0 0 0 0 0 0 396 0 0 1001208079 1497174676 16 Nurse Practitioners BRUBACHER SARA R 600103347 57 Lake 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 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 0 462 0 0 0 0 0 0 462 0 0 1001208800 1982945556 60 Pharmacies AXLINE PHARMACY 617017415 72 McLean 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 0 451 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13136 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11916 0 0 0 11916 0 0 1001209009 1326294935 10 Physicians WOLNIAK KRISTY L 606118709 200 Cook 0 0 Clinical Pathology 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 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1491 0 0 0 0 0 0 0 0 1491 0 0 1001209121 1447586052 16 Nurse Practitioners ONION ANGELA C 617014364 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 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 0 664 0 0 0 0 0 0 664 0 0 1001210686 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 0 249 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 25747 0 0 0 0 0 0 0 0 0 0 0 0 0 25747 0 0 1001210715 1992090864 10 Physicians NOMULA LAKSHMIPATHI 462601317 30 DuPage 0 0 Internal 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 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 0 193 0 0 0 0 0 0 193 0 0 1001211254 1639312598 10 Physicians CHUNDURI KIRAN V 631417129 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 4 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 41 0 0 0 0 0 0 73 0 0 1001211382 1275745267 10 Physicians WHELAN CHRISTOPHER 611075339 109 Winnebago 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 2 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61 0 6483 0 0 0 0 0 0 6544 0 0 1001211406 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 0 266 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 20563 0 0 0 0 0 0 0 0 0 0 0 0 0 20563 0 0 1001211729 1487070835 40 Federally Qualified Health Centers SIHF CHARLESTON HEALTH CTR 619202444 24 Coles 0 1 0 0 156 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 616 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 616 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29755 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29755 0 0 1001211822 1134387269 10 Physicians HEILBRUNN BENJAMIN 606313222 200 Cook 0 0 Pediatrics 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 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 5000 0 0 0 0 0 0 5000 0 0 1001211886 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 13588 0 0 0 0 0 0 0 0 0 0 0 0 0 13588 0 0 1001212151 1477986826 12 Optometrists ALAM YASHAM 601204082 200 Cook 0 0 Therapeutic Pharmaceutical Agents 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 0 852 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 852 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18423 0 0 0 0 0 0 18423 0 0 1001212802 92 Waiver service provider--Disability (DHS/DRS) 96 St Clair 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 24264 0 0 0 0 0 0 0 0 0 0 0 0 0 24264 0 0 1001212877 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 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 0 168 0 0 0 0 0 0 0 0 0 0 0 0 0 168 0 0 1001212901 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 0 156 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 0 0 0 0 0 28014 0 0 0 0 0 0 0 0 0 0 0 0 0 28014 0 0 1001214841 1770903635 16 Nurse Practitioners DYER WENDY 604501463 40 Grundy 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 0 1008 0 0 0 0 0 0 0 0 1885 0 0 0 0 0 0 2893 0 0 1001214874 1447683271 16 Nurse Practitioners SMIDT TODD R 611112754 109 Winnebago 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 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3238 0 0 0 0 0 0 3238 0 0 1001215282 1215048525 10 Physicians KREPPEL ANDREW 606127324 200 Cook 0 0 Pediatrics 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7997 0 0 0 0 0 0 7997 0 0 1001215412 91 Waiver service provider--Adults (DHS/DDD) 58 La Salle 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 324 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 324 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15206 0 0 0 0 0 0 0 0 0 0 0 0 0 15206 0 0 1001215623 1285993014 22 Physical Therapists JOHNS SARA A 603021530 200 Cook 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 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18906 18906 0 0 1001215812 1164743241 10 Physicians DSCHIDA DOROTHY 606149278 200 Cook 0 0 Family Practice 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 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 0 478 0 0 0 0 0 0 478 0 0 1001216016 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1149 0 0 0 0 0 0 0 0 0 0 0 0 0 1149 0 0 1001216122 1831528694 60 Pharmacies OSCO DRUG #4500 606075208 200 Cook 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 0 274 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8619 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3519 0 0 0 3519 0 0 1001216446 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 0 303 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 303 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22762 0 0 0 0 0 0 0 0 0 0 0 0 0 22762 0 0 1001216628 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 12835 0 0 0 0 0 0 0 0 0 0 0 0 0 12835 0 0 1001216688 4001216688 16 Nurse Practitioners CATCHINGS WHITNEY M 606171146 200 Cook 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 0 381 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 381 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9290 0 0 0 0 0 0 9290 0 0 1001216796 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 33628 0 0 0 0 0 0 0 0 0 0 0 0 0 33628 0 0 1001216950 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5393 0 0 0 0 0 0 0 0 0 0 0 0 0 5393 0 0 1001217405 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 0 146 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 15240 0 0 0 0 0 0 0 0 0 0 0 0 0 15240 0 0 1001217592 1255779955 16 Nurse Practitioners LITTLEJOHN MARY 622266902 96 St Clair 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 0 367 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 367 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3439 0 0 0 0 0 0 3439 0 0 1001217663 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 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 4148 0 0 0 0 0 0 0 0 0 0 0 0 0 4148 0 0 1001217678 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 18766 0 0 0 0 0 0 0 0 0 0 0 0 0 18766 0 0 1001217806 1164644266 10 Physicians GRASSO-KNIGHT GUIDO 604022338 200 Cook 0 1 Family Practice 0 0 0 0 3 0 0 0 0 0 0 8 0 30 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 10 0 98 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 10 0 98 0 0 0 0 0 0 0 0 0 147 0 0 0 0 0 0 38 0 3840 0 0 0 0 0 0 4025 0 0 1001218895 1306190814 30 General Hospitals FRESENIUS MEDICAL CARE NW IN 463201931 815 Indiana NON-COST "Non-cost reporting hospitals, paid a Per Diem rate." 0 0 General Hospital - Adult and Child 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 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1424 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43935 0 0 0 0 0 43935 0 0 1001219129 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 23167 0 0 0 0 0 0 0 0 0 0 0 0 0 23167 0 0 1001220108 1821387150 10 Physicians WILD BRIDGET M. 602011718 200 Cook 0 0 Pediatrics 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 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 3406 0 0 0 0 0 0 3406 0 0 1001220275 1376620112 10 Physicians KESAVAN ANIL 606123714 200 Cook 0 0 Pediatrics 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 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12762 0 0 0 0 0 0 12762 0 0 1001220502 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1826 0 0 0 0 0 0 0 0 0 0 0 0 0 1826 0 0 1001220769 1689982001 33 Nursing Facilities APERION CARE DOLTON 604191323 200 Cook 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 0 241 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5499 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 668122 0 0 0 0 0 0 0 668122 0 0 1001221109 23 Occupational Therapists 57 Lake 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 0 288 288 0 0 1001221207 60 Pharmacies 30 DuPage 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 19 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 0 0 0 0 0 36733 0 0 0 36733 0 0 1001221355 1174846141 87 Psychologist(Encounter Only) PREPEJCHAL JOY A 600508409 71 McHenry 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 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 0 711 0 0 0 0 0 0 711 0 0 1001221717 91 Waiver service provider--Adults (DHS/DDD) 75 Monroe 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3445 0 0 0 0 0 0 0 0 0 0 0 0 0 3445 0 0 1001222135 1437481355 10 Physicians RIBEIRO LUCIANA 606053674 200 Cook 0 0 Psychiatry 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 0 137 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 4074 0 0 0 0 0 0 4074 0 0 1001222275 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 0 291 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 291 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23096 0 0 0 0 0 0 0 0 0 0 0 0 0 23096 0 0 1001222426 1922383280 16 Nurse Practitioners MORLAND-SCHULTZ KRISTINE M 612044028 89 Rock Island 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 0 439 0 0 0 0 0 0 439 0 0 1001222437 1336434935 10 Physicians HUSSAIN JAWWAD 608052701 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 323 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3995 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3995 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12851 0 0 0 0 0 0 12851 0 0 1001222562 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 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13557 0 0 0 0 0 0 0 0 0 0 0 0 0 13557 0 0 1001224251 4001224251 91 Waiver service provider--Adults (DHS/DDD) EPIC 616151621 80 Peoria 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 84972 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84972 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13003699 0 0 0 0 0 0 0 0 0 0 0 0 0 13003699 0 0 1001224427 75 Department of Alcohol and Substance Abuse Provider 90 Saline 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 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 1955 0 0 1955 0 0 1001225354 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 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 6501 0 0 0 0 0 0 0 0 0 0 0 0 0 6501 0 0 1001225362 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 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26214 0 0 0 0 0 0 0 0 0 0 0 0 0 26214 0 0 1001225384 1639482920 10 Physicians KREIS STEVEN P 606081732 200 Cook 0 0 Physical Medicine/Rehabilitation 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 0 240 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 4893 0 0 0 0 0 0 4893 0 0 1001225762 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 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 9780 0 0 0 0 0 0 0 0 0 0 0 0 0 9780 0 0 1001225837 91 Waiver service provider--Adults (DHS/DDD) 826 Missouri 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 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 28440 0 0 0 0 0 0 0 0 0 0 0 0 0 28440 0 0 1001226235 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 0 188 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 3932 0 0 0 0 0 0 0 0 0 0 0 0 0 3932 0 0 1001226241 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 18 0 0 1001226255 10 Physicians 30 DuPage 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 86 0 0 0 0 0 0 86 0 0 1001226269 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 0 730 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 730 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 1001226804 10 Physicians 852 Wisconsin 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1001227011 1861736423 16 Nurse Practitioners NARDULLI MARIA 606133709 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1460 0 0 0 0 0 0 1460 0 0 1001227163 1952353070 16 Nurse Practitioners GALANES SUSAN 601228942 53 Kane 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 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 1343 0 0 0 0 0 0 1343 0 0 1001227305 1457690216 75 Department of Alcohol and Substance Abuse Provider ABBCON COUNSELING 619531592 29 Douglas 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5703 0 0 5703 0 0 1001227725 1013079367 10 Physicians HO KAREN 606116305 200 Cook 0 0 Vascular Surgery 0 0 0 0 0 0 0 0 0 0 0 5 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 6993 0 0 0 0 0 0 7023 0 0 1001227785 1760894935 12 Optometrists ALDERMAN KAITLIN 616152170 63 Macon 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 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5779 0 0 0 0 0 0 5779 0 0 1001228604 1831482769 10 Physicians HANA MICHAEL 600440000 57 Lake 0 0 Anesthesiology 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 2 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1556 0 0 0 0 0 0 1556 0 0 1001228867 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 16909 0 0 0 0 0 0 0 0 0 0 0 0 0 16909 0 0 1001229157 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 1001229375 1801026018 10 Physicians AYANBULE OLUFUNMILAYO 606118709 200 Cook 0 0 Anesthesiology 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 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 4977 0 0 0 0 0 0 4977 0 0 1001230067 1003158676 60 Pharmacies SAM'S CLUB PHARMACY 10-4878 620343929 65 Madison 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 0 177 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6407 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11715 0 0 0 11715 0 0 1001230142 1053320671 10 Physicians MELLGREN ANDERS 606777007 200 Cook 0 0 Colon - Rectal Surgery 0 0 0 0 0 0 0 0 0 0 0 5 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 158 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 158 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 11958 0 0 0 0 0 0 12000 0 0 1001230192 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 1001230517 91 Waiver service provider--Adults (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24494 0 0 0 0 0 0 0 0 0 0 0 0 0 24494 0 0 1001230532 1851684781 10 Physicians SURATI MOSMI 606751611 200 Cook 0 0 Internal Medicine 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 0 201 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 2437 0 0 0 0 0 0 2437 0 0 1001230812 1235451402 10 Physicians SCOTT FELICIA 606777007 200 Cook 0 1 Adolescent-Medicine 0 0 0 0 13 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 1150 0 0 0 0 0 0 0 0 1287 0 0 0 0 0 0 2437 0 0 1001230940 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 3923 0 0 0 0 0 0 0 0 0 0 0 0 0 3923 0 0 1001231221 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 2 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 2250 2250 0 0 1001231402 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 7630 0 0 0 0 0 0 0 0 0 0 0 0 0 7630 0 0 1001231544 1144459512 10 Physicians KIM ALBERT 631600352 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 776 0 0 0 0 0 0 776 0 0 1001231705 1811199532 48 Rural Health Clinics CONFIDENCE MED ASSOC ST ELMO 999999999 34 Fayette 0 0 0 0 24 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 0 319 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 319 0 0 1001231850 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 0 120 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 30275 0 0 0 0 0 0 0 0 0 0 0 0 0 30275 0 0 1001232415 1639417140 61 Independent Laboratories QUEST DIAGNOSTICS 628371218 104 Wayne 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 0 129 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 0 767 0 0 0 0 0 0 0 0 767 0 0 1001233414 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 59 59 0 0 1001233476 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 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 30967 0 0 0 0 0 0 0 0 0 0 0 0 0 30967 0 0 1001233680 10 Physicians 53 Kane 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 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 21 0 0 1001233812 1699782722 61 Independent Laboratories AEGIS SCIENCES CORPORATION 372281310 844 Tennessee 0 0 0 0 0 0 0 0 0 0 0 0 0 231 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 520 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 37909 0 0 0 0 0 0 0 0 37909 0 0 1001233977 1225288236 10 Physicians GOESEL CHRISTOPHER L 480381125 57 Lake 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 400 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 609 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 609 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9902 0 1037 0 0 0 0 0 0 10939 0 0 1001234374 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 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 35461 0 0 0 0 0 0 0 0 0 0 0 0 0 35461 0 0 1001234526 1629402300 16 Nurse Practitioners ORANU OMOTAYO E 605638113 30 DuPage 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 0 129 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 0 615 0 0 0 0 0 0 615 0 0 1001234773 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 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9803 0 0 0 0 0 0 0 0 0 0 0 0 0 9803 0 0 1001234797 1437386216 10 Physicians EVANS JOSHUA 601545716 200 Cook 0 0 Internal Medicine 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 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 0 940 0 0 0 0 0 0 940 0 0 1001234886 1558550996 10 Physicians PUGNALE MARCI J 600052382 200 Cook 0 0 Otolaryngology 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 687 0 0 0 0 0 0 687 0 0 1001234946 1144643982 16 Nurse Practitioners FITZGERALD TERESA 606127232 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 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 1950 0 0 0 0 0 0 1950 0 0 1001235067 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 24591 0 0 0 0 0 0 0 0 0 0 0 0 0 24591 0 0 1001235165 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 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6815 0 0 0 0 0 0 0 0 0 0 0 0 0 6815 0 0 1001235835 10 Physicians 816 Iowa 0 0 Thoracic 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 0 0 0 0 0 0 0 0 0 0 1001236472 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 0 156 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 0 0 0 0 0 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1001236573 1801227954 16 Nurse Practitioners DARGUZAS ERIN 606118709 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 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 0 169 0 0 0 0 0 0 169 0 0 1001236637 1912218702 10 Physicians AL JOHANY HAMID 627949636 91 Sangamon 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 0 303 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 303 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7923 0 0 0 0 0 0 7923 0 0 1001236818 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 125 0 0 1001237095 1629408844 55 Early Intervention Services DUNCAN SARA A 622491816 65 Madison 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 0 147 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 10143 0 0 0 0 0 0 10143 0 0 1001237264 10 Physicians 19 Champaign 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1001237723 1902956923 64 Imaging Services CHICAGO NORTHSIDE HOSPITAL MRI 606422605 200 Cook 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 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 1603 0 0 0 0 0 0 1603 0 0 1001238606 1679728497 10 Physicians GROH GEORGEANN 631101002 826 Missouri 0 0 Pediatrics 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 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 2258 0 0 0 0 0 0 2258 0 0 1001239366 1902152077 16 Nurse Practitioners COOPER LINDA 616151941 80 Peoria 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 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 1756 0 0 0 0 0 0 1756 0 0 1001239468 36 Community mental health provider 200 Cook 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 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 0 728 0 0 728 0 0 1001239512 10 Physicians 53 Kane 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 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 18 0 0 0 0 0 0 18 0 0 1001240477 1134452857 10 Physicians WATSON STEPHEN A. 606118709 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 3 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 587 0 0 0 0 0 0 589 0 0 1001240686 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 340 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 340 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14770 0 0 0 0 0 0 0 0 0 0 0 0 0 14770 0 0 1001241420 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 4287 0 0 0 0 0 0 0 0 0 0 0 0 0 4287 0 0 1001241627 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1106 0 0 0 0 0 0 0 0 0 0 0 0 0 1106 0 0 1001241870 1558654244 10 Physicians RAO SESHANAND 601344200 53 Kane 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 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 1002 0 0 0 0 0 0 1002 0 0 1001241897 1790982932 10 Physicians WON SARAH 606123714 200 Cook 0 0 Infectious Diseases 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 0 205 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 3037 0 0 0 0 0 0 3037 0 0 1001242011 91 Waiver service provider--Adults (DHS/DDD) 89 Rock Island 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 7106 0 0 0 0 0 0 0 0 0 0 0 0 0 7106 0 0 1001242115 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 1001242682 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 28399 0 0 0 0 0 0 0 0 0 0 0 0 0 28399 0 0 1001243081 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 21460 0 0 0 0 0 0 0 0 0 0 0 0 0 21460 0 0 1001243302 1194914465 10 Physicians BLITSTEIN MARISA 627949248 91 Sangamon 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 770 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1086 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1086 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23502 0 486 0 0 0 0 0 0 23988 0 0 1001243357 1619303542 16 Nurse Practitioners LASALA TAMI S 610320857 97 Stephenson 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 0 110 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 0 221 0 0 0 0 0 0 221 0 0 1001244244 1922060573 65 Independent Diagnostic Testing Facility (IDTF) BREATHE LLC 662122283 817 Kansas 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 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 0 140 0 0 0 0 0 0 0 0 140 0 0 1001244294 1750511242 10 Physicians KIEL MELISSA 62226 96 St Clair 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 1 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 211 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 211 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4429 0 0 0 0 0 0 4429 0 0 1001244365 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 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 14149 0 0 0 0 0 0 0 0 0 0 0 0 0 14149 0 0 1001245078 10 Physicians 852 Wisconsin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 193 0 0 0 0 0 0 193 0 0 1001245205 10 Physicians 53 Kane 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 43 0 0 0 0 0 0 43 0 0 1001245535 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 0 723 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 723 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49108 0 0 0 0 0 0 0 0 0 0 0 0 0 49108 0 0 1001245611 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 12749 0 0 0 0 0 0 0 0 0 0 0 0 0 12749 0 0 1001245880 1407269285 12 Optometrists VILDERMAN JANE 604302914 47 Jackson 0 0 Therapeutic Pharmaceutical Agents 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 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 0 429 0 0 0 0 0 0 429 0 0 1001245890 93 Waiver service provider--HIV/AIDS (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1243 0 0 0 0 0 0 0 0 0 0 0 0 0 1243 0 0 1001246248 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 7 0 0 0 0 0 0 7 0 0 1001246639 1588909519 16 Nurse Practitioners FIELD KRISTIN 629822467 43 Hardin 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 0 178 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 1874 0 0 0 0 0 0 1874 0 0 1001246679 1124317847 10 Physicians MOUSTOUKAS JOHN 339012699 89 Rock Island 0 0 Emergency Medicine 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 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 5222 0 0 0 0 0 0 5222 0 0 1001247008 92 Waiver service provider--Disability (DHS/DRS) 27 Dekalb 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 21197 0 0 0 0 0 0 0 0 0 0 0 0 0 21197 0 0 1001247044 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 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28447 0 0 0 0 0 0 0 0 0 0 0 0 0 28447 0 0 1001247060 1780909960 10 Physicians TSAI CHRISTINE 606751611 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 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 0 359 0 0 0 0 0 0 359 0 0 1001247165 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 1001247254 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 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 39493 0 0 0 0 0 0 0 0 0 0 0 0 0 39493 0 0 1001247744 1750537395 10 Physicians QUADER NISHATH 631416300 200 Cook 0 0 Cardiology 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 0 136 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 1210 0 0 0 0 0 0 1210 0 0 1001247833 1427098169 30 General Hospitals MERCY HOSPITAL ST LOUIS 631418221 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 General Hospital - Adult and Child 0 0 0 0 0 28 0 0 0 0 22 0 0 0 16 0 0 0 0 0 0 0 0 0 32 0 0 0 0 22 0 0 0 29 0 0 0 0 0 0 0 0 0 32 0 0 0 0 147 0 0 0 29 0 0 0 0 0 0 0 0 0 7585 0 0 0 0 259611 0 0 0 7781 0 0 0 0 0 274977 0 0 1001247837 10 Physicians 109 Winnebago 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 253 0 0 0 0 0 0 0 0 253 0 0 1001248234 1396085668 16 Nurse Practitioners BECKER SARAH 622931663 23 Clinton 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 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 0 0 0 0 0 0 0 0 0 0 1001248848 16 Nurse Practitioners 57 Lake 0 1 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 22 0 0 0 0 0 0 22 0 0 1001249497 1932433745 10 Physicians BUSNELLO JOAO V 606321849 200 Cook 0 0 Psychiatry 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 0 155 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 3656 0 0 0 0 0 0 3656 0 0 1001249648 16 Nurse Practitioners 88 Richland 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 32 0 0 1001250068 89 Physician Assistant Only(Encounter Only) 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1001250454 1033543129 16 Nurse Practitioners NICKLES MAGALY 600508409 50 Jersey 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 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 0 323 0 0 0 0 0 0 323 0 0 1001250475 1215197785 10 Physicians RAMPURWALA MARIYA 600475292 57 Lake 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 430 0 0 0 0 0 0 499 0 0 1001250861 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 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1001251460 1427229087 10 Physicians PEEV VASIL 606751611 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 631 0 0 0 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 3486 0 0 0 0 0 0 3486 0 0 1001251494 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29694 0 0 0 0 0 0 0 0 0 0 0 0 0 29694 0 0 1001251658 98 Waiver service provider--TBI (DHS/DRS) 72 McLean 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 240 0 0 0 0 0 0 0 0 0 0 0 0 0 240 0 0 1001252077 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 26358 0 0 0 0 0 0 0 0 0 0 0 0 0 26358 0 0 1001252295 1619033065 10 Physicians SUH GRACE K 606118709 200 Cook 0 0 Oncology 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 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 1944 0 0 0 0 0 0 1944 0 0 1001252774 1760642151 10 Physicians CHANPURA TRUPESH 627047452 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 192 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 5100 0 0 0 0 0 0 5100 0 0 1001253187 10 Physicians 852 Wisconsin 0 0 Surgery General 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001253251 1356779961 22 Physical Therapists MAYO ANNA 601376363 30 DuPage 0 0 0 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 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 8787 8787 0 0 1001253290 1205092897 10 Physicians PIERCE LAUREN 946081844 53 Kane 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3458 0 0 0 0 0 0 3458 0 0 1001253950 1881023299 16 Nurse Practitioners DAWOOD JOYCE 601265658 30 DuPage 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 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 3229 0 0 0 0 0 0 3229 0 0 1001254024 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 364 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 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1001254861 1619218732 30 General Hospitals TAZEWELL COUNTY DIALYSIS 615544807 98 Tazewell DIALYSIS Outpatient dialysis centers. 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 16 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 8249 0 0 0 0 0 8249 0 0 1001255064 1013238310 10 Physicians HOQUE SARAH 606082405 200 Cook 0 0 Obstetric-Gynecology 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 3767 0 0 0 0 0 0 3767 0 0 1001255188 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 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25348 0 0 0 0 0 0 0 0 0 0 0 0 0 25348 0 0 1001255443 1033342092 10 Physicians MISRA SASMITA 606751162 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 133 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 700 0 1917 0 0 0 0 0 0 2617 0 0 1001256117 1508186479 10 Physicians OKAFOR CHINELO 608052701 200 Cook 0 0 Pediatrics 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 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 5607 0 0 0 0 0 0 5607 0 0 1001256423 1699011189 16 Nurse Practitioners LEMUS LETICIA 608052701 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 1108 0 0 0 0 0 0 1108 0 0 1001256919 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 0 156 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 0 0 0 0 0 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1001257196 1336379098 10 Physicians COCCO ROBAAB 606751611 200 Cook 0 0 Obstetric-Gynecology 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 39 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 256 0 0 0 0 0 0 0 0 8791 0 0 0 0 0 0 9047 0 0 1001257810 1902923394 91 Waiver service provider--Adults (DHS/DDD) LIBERTY ENTERPRISES INC 999999999 108 Williamson 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 5249 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5249 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1012733 0 0 0 0 0 0 0 0 0 0 0 0 0 1012733 0 0 1001257902 1497007561 16 Nurse Practitioners WIELAND LISA 606313222 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 489 0 0 0 0 0 0 489 0 0 1001258363 10 Physicians 69 Massac 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 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 0 361 0 0 0 0 0 0 361 0 0 1001258535 1659610277 16 Nurse Practitioners LITTLE JEFFERY 503054827 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 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 0 330 0 0 0 0 0 0 330 0 0 1001259077 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 0 331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30239 0 0 0 0 0 0 0 0 0 0 0 0 0 30239 0 0 1001259542 10 Physicians 844 Tennessee 0 0 Traumatic Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 328 0 0 0 0 0 0 328 0 0 1001259881 1700207784 16 Nurse Practitioners TROTTER ANNA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 270 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1156 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1156 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9682 0 0 0 0 0 0 9682 0 0 1001259978 1306277405 16 Nurse Practitioners MCCLAIN ANGELINA 201511647 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 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 0 108 0 0 0 0 0 0 108 0 0 1001260058 1770899221 10 Physicians SINGH MANAMAR 604332548 107 Will 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 75 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 0 0 0 0 0 0 0 0 0 0 428 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10487 0 0 0 0 0 0 10487 0 0 1001260890 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 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14774 0 0 0 0 0 0 0 0 0 0 0 0 0 14774 0 0 1001261035 1902110265 10 Physicians DAVIS RACHAEL 616370001 80 Peoria 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 322 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 322 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8186 0 0 0 0 0 0 8186 0 0 1001261066 87 Psychologist(Encounter Only) 72 McLean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1001261374 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 0 333 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 333 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29062 0 0 0 0 0 0 0 0 0 0 0 0 0 29062 0 0 1001261464 1144565458 16 Nurse Practitioners ALMADADHA HIBA 28950784 88 Richland 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 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 0 489 0 0 0 0 0 0 489 0 0 1001261513 1609188267 10 Physicians PATEL EKTA 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 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 0 391 0 0 0 0 0 0 391 0 0 1001262014 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6224 0 0 0 0 0 0 0 0 0 0 0 0 0 6224 0 0 1001262275 10 Physicians 101 Wabash 0 0 Pediatric Cardiology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 16 0 0 1001262406 1720382088 10 Physicians SHRESTHA PATRICIA 999999999 58 La Salle 0 0 0 0 0 0 3 0 0 0 0 0 0 8 0 38 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 10 0 89 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 10 0 89 0 0 0 0 0 0 0 0 0 311 0 0 0 0 0 0 62 0 2998 0 0 0 0 0 0 3371 0 0 1001262534 10 Physicians 200 Cook 0 0 Hematology 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 78 0 0 0 0 0 0 78 0 0 1001262858 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 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 2017 0 0 0 0 0 0 0 0 0 0 0 0 0 2017 0 0 1001262977 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 16582 0 0 0 0 0 0 0 0 0 0 0 0 0 16582 0 0 1001263754 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 0 185 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 30131 0 0 0 0 0 0 0 0 0 0 0 0 0 30131 0 0 1001263885 1285949800 10 Physicians ZAIDI SYED 616151941 80 Peoria 0 1 Family Practice 0 0 0 0 4 0 0 0 0 0 0 4 0 97 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 5 0 192 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 5 0 192 0 0 0 0 0 0 0 0 0 274 0 0 0 0 0 0 23 0 3685 0 0 0 0 0 0 3982 0 0 1001264896 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 16272 0 0 0 0 0 0 0 0 0 0 0 0 0 16272 0 0 1001265021 1699107193 16 Nurse Practitioners TIONGSON FRELEA LYN 610811278 106 Whiteside 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 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 1742 0 0 0 0 0 0 1742 0 0 1001265532 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 14441 0 0 0 0 0 0 0 0 0 0 0 0 0 14441 0 0 1001265580 1306050257 10 Physicians PIDGEON JOHN 530664899 852 Wisconsin 0 0 Neurology 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 0 178 0 0 0 0 0 0 178 0 0 1001265663 1194166785 11 Dentists POP ADRIAN 600141836 71 McHenry 0 0 General Dentistry 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3669 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3669 0 0 1001265736 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 1555 0 0 0 0 0 0 0 0 0 0 0 0 0 1555 0 0 1001265768 1770756215 10 Physicians FRISCH NICHOLAS 606930623 200 Cook 0 0 Orthopedic Surgery 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 0 967 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 967 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38192 0 0 0 0 0 0 38192 0 0 1001265862 1760693899 10 Physicians CHIPMAN MICHAEL A 629023988 47 Jackson 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 170 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 0 0 0 0 0 0 0 0 0 0 2735 0 0 0 0 0 0 2735 0 0 1001266237 1518288547 10 Physicians SELLERS BRIAN 606118709 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 163 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 163 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8385 0 0 0 0 0 0 8385 0 0 1001266500 1871862888 16 Nurse Practitioners MCCABE STEPHANIE 616151941 80 Peoria 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 93 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 93 0 0 0 0 0 0 0 0 0 981 0 0 0 0 0 0 0 0 3411 0 0 0 0 0 0 4392 0 0 1001266533 1619105491 10 Physicians KINSEY SARAH 606133011 200 Cook 0 0 Family Practice 0 0 0 0 6 0 0 0 0 0 0 9 0 32 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 10 0 35 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 10 0 35 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 608 0 1428 0 0 0 0 0 0 2120 0 0 1001267317 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 24 0 0 0 0 0 0 24 0 0 1001267421 1255752192 16 Nurse Practitioners FLECHET KATHERINE JACKSON 606930623 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 243 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 0 0 0 0 0 0 0 0 0 0 0 0 2130 0 0 0 0 0 0 2130 0 0 1001267823 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 0 300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1001268084 1942243555 10 Physicians PENK JAMIE S 606112991 200 Cook 0 0 Pediatrics 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 0 101 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 20438 0 0 0 0 0 0 20438 0 0 1001268489 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 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26035 0 0 0 0 0 0 0 0 0 0 0 0 0 26035 0 0 1001268608 1114350485 30 General Hospitals FRESENIUS MEDICAL CARE BRIDGEP 606091511 200 Cook DIALYSIS Outpatient dialysis centers. 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 0 361 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3635 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83380 0 0 0 0 0 83380 0 0 1001268919 1013151497 10 Physicians BOLLAM GEETA 601545716 200 Cook 0 0 Family Practice 0 0 0 0 2 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 1261 0 0 0 0 0 0 1430 0 0 1001268969 4001268969 90 Waiver service provider--Elderly (DOA) ABCOR HOME HEALTH 600041437 200 Cook 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 8311 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8311 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 838412 0 0 0 0 0 0 0 0 0 0 0 0 0 838412 0 0 1001269278 1346667656 60 Pharmacies OSCO DRUG 2506 999999999 200 Cook 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 0 399 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12193 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7881 0 0 0 7881 0 0 1001269325 1386934073 10 Physicians STANLEY MARION V. 606118709 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1002 0 0 0 0 0 0 1002 0 0 1001269336 1801117478 10 Physicians CLAY BRIAN 600162359 200 Cook 0 0 Physical Medicine/Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 13 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 270 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 270 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 637 0 871 0 0 0 0 0 0 1508 0 0 1001269544 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 15512 0 0 0 0 0 0 0 0 0 0 0 0 0 15512 0 0 1001269680 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2266 0 0 0 0 0 0 0 0 0 0 0 0 0 2266 0 0 1001269736 1700229473 25 Audiologists MEYERS LUCAS W 611081673 109 Winnebago 0 0 0 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 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 0 296 296 0 0 1001270239 1992023501 10 Physicians LAPAT REBECCA 606225646 200 Cook 0 0 Pediatrics 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 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 0 380 0 0 0 0 0 0 380 0 0 1001270282 10 Physicians 91 Sangamon 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 18 0 0 1001270440 1730127218 33 Nursing Facilities COUNTRYVIEW CARE CTR OF MACOMB 614552867 70 McDonough 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 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1509 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 147789 0 0 0 0 0 0 0 147789 0 0 1001271835 94 Waiver service provider--Children's support (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 0 298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17913 0 0 0 0 0 0 0 0 0 0 0 0 0 17913 0 0 1001271994 1689915811 16 Nurse Practitioners MENDOZA JAIME 620250668 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 571 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 571 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5754 0 0 0 0 0 0 5754 0 0 1001272672 1417298498 30 General Hospitals FRESENIUS MEDICAL CARE NAPERBR 605655419 107 Will DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 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 0 0 0 0 0 1795 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11330 0 0 0 0 0 11330 0 0 1001273086 1679809313 16 Nurse Practitioners HUNTER LAURINIA 999999999 57 Lake 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 0 227 0 0 0 0 0 0 227 0 0 1001273821 1093096190 24 Speech Therapists FEGGESTAD KAIA 606123748 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2887 2887 0 0 1001273983 1053739201 16 Nurse Practitioners SPORRER LORIE 999999999 91 Sangamon 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 62 0 0 0 0 0 0 62 0 0 1001274019 4001274019 90 Waiver service provider--Elderly (DOA) 5 STARS HOME CARE SERVICES 600624032 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 1599 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1599 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219747 0 0 0 0 0 0 0 0 0 0 0 0 0 219747 0 0 1001274269 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 0 280 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 280 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16997 0 0 0 0 0 0 0 0 0 0 0 0 0 16997 0 0 1001274526 91 Waiver service provider--Adults (DHS/DDD) 36 Franklin 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 6602 0 0 0 0 0 0 0 0 0 0 0 0 0 6602 0 0 1001275296 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 1001275481 4001275481 92 Waiver service provider--Disability (DHS/DRS) PROFESSIONAL MED STAFFING INC 611121019 109 Winnebago 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 110814 0 0 0 0 0 0 0 0 0 0 0 0 0 110814 0 0 1001275514 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24992 0 0 0 0 0 0 0 0 0 0 0 0 0 24992 0 0 1001275638 10 Physicians 826 Missouri 0 0 Emergency 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 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 0 349 0 0 0 0 0 0 349 0 0 1001275904 4001275904 98 Waiver service provider--TBI (DHS/DRS) ADDUS HOMECARE 605151765 30 DuPage 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 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 204729 0 0 0 0 0 0 0 0 0 0 0 0 0 204729 0 0 1001276299 1164680807 10 Physicians WALSH CHRISTINE M 528072710 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 101 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 155 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 155 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2341 0 154 0 0 0 0 0 0 2495 0 0 1001276506 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6338 0 0 0 0 0 0 0 0 0 0 0 0 0 6338 0 0 1001276630 1790106342 91 Waiver service provider--Adults (DHS/DDD) MOORE KELLY 605634944 109 Winnebago 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4831 0 0 0 0 0 0 0 0 0 0 0 0 0 4831 0 0 1001276870 1346682077 11 Dentists PATEL PALAK J 600561214 200 Cook 0 0 General Dentistry 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 963 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 963 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 43335 0 0 0 0 0 0 0 0 0 0 0 444 0 0 0 0 43779 0 0 1001277113 1760579361 10 Physicians AUGUSTHY REGGIE 605066222 53 Kane 0 0 Physical Medicine/Rehabilitation 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 0 129 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 1295 0 0 0 0 0 0 1295 0 0 1001277193 1912186784 10 Physicians BAUTISTA ERLEINE 606778004 200 Cook 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 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 2023 0 0 0 0 0 0 2023 0 0 1001277528 1831520261 36 Community mental health provider THRESHOLDS 606373707 200 Cook 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 2739 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 822 0 0 2739 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 822 0 0 352818 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 158336 0 0 511154 0 0 1001277555 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 28416 0 0 0 0 0 0 0 0 0 0 0 0 0 28416 0 0 1001277842 1396867032 10 Physicians KASWAN SUMESH 631102539 47 Jackson 0 0 Plastic Surgery 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 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 3625 0 0 0 0 0 0 3625 0 0 1001278054 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 29548 0 0 0 0 0 0 0 0 0 0 0 0 0 29548 0 0 1001278069 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 0 243 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 0 0 0 0 0 0 0 0 0 0 0 0 25596 0 0 0 0 0 0 0 0 0 0 0 0 0 25596 0 0 1001278095 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3365 0 0 0 0 0 0 3365 0 0 1001278276 4001278276 90 Waiver service provider--Elderly (DOA) CAMBODIAN ASSOCIATION OF IL 606253619 200 Cook 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 3036 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3036 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 274060 0 0 0 0 0 0 0 0 0 0 0 0 0 274060 0 0 1001278807 91 Waiver service provider--Adults (DHS/DDD) 98 Tazewell 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 805 0 0 0 0 0 0 0 0 0 0 0 0 0 805 0 0 1001279988 1548677909 91 Waiver service provider--Adults (DHS/DDD) AGUILAR MARIA I 608043956 200 Cook 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1957 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1957 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 129502 0 0 0 0 0 0 0 0 0 0 0 0 0 129502 0 0 1001280287 1619221900 16 Nurse Practitioners BLESSON REENA 600051069 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 131 0 0 0 0 0 0 131 0 0 1001280474 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 0 285 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 285 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18118 0 0 0 0 0 0 0 0 0 0 0 0 0 18118 0 0 1001280670 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 25032 0 0 0 0 0 0 0 0 0 0 0 0 0 25032 0 0 1001280779 1821318163 10 Physicians KIBLER AMY 504015489 80 Peoria 0 1 Family Practice 0 0 0 0 1 0 0 0 0 0 0 5 0 1 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 15 0 2 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 15 0 2 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 100 0 129 0 0 0 0 0 0 439 0 0 1001281411 1245548536 10 Physicians MATSA SWARNA 629011031 47 Jackson 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120 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 1459 0 0 0 0 0 0 1459 0 0 1001281543 1730515578 16 Nurse Practitioners CLERKIN KIRSTEN 616151941 80 Peoria 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 0 179 0 0 0 0 0 0 179 0 0 1001281709 10 Physicians 57 Lake 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 0 0 0 0 0 0 0 0 0 0 1001282110 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 10245 0 0 0 0 0 0 0 0 0 0 0 0 0 10245 0 0 1001282120 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 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11599 0 0 0 0 0 0 0 0 0 0 0 0 0 11599 0 0 1001282130 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 0 269 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 269 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21570 0 0 0 0 0 0 0 0 0 0 0 0 0 21570 0 0 1001282437 1386922706 10 Physicians PATEL SANDIPKUMAR 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 332 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 3908 0 0 0 0 0 0 3908 0 0 1001282588 1932513157 11 Dentists PATEL HIREN 607073435 200 Cook 0 0 General Dentistry 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 556 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 556 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15742 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15742 0 0 1001283051 1184853152 10 Physicians ZHU TONG 622860378 87 Randolph 0 0 Anesthesiology 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 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 0 693 0 0 0 0 0 0 693 0 0 1001283662 1912173220 10 Physicians HSUEH KEVIN 631600352 30 DuPage 0 0 Infectious Diseases 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 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 0 413 0 0 0 0 0 0 413 0 0 1001283760 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 27930 0 0 0 0 0 0 0 0 0 0 0 0 0 27930 0 0 1001284000 1679779110 33 Nursing Facilities APERION CARE EVANSTON 602014205 200 Cook 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 0 133 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3283 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 411940 0 0 0 0 0 0 0 411940 0 0 1001284068 1942318837 87 Psychologist(Encounter Only) HALL LEROY 999999999 63 Macon 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 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 0 691 0 0 0 0 0 0 691 0 0 1001284601 1942596192 10 Physicians CHAN VICTOR 616021308 80 Peoria 0 0 Emergency Medicine 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 0 121 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 3850 0 0 0 0 0 0 3850 0 0 1001284760 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 0 243 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 0 0 0 0 0 0 0 0 0 0 0 0 28385 0 0 0 0 0 0 0 0 0 0 0 0 0 28385 0 0 1001285023 1386834299 10 Physicians HOGG JEREMY 618562116 82 Piatt 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 168 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 278 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 278 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 8623 0 0 0 0 0 0 8876 0 0 1001285237 1013161538 10 Physicians SINGH RANJODH 625264171 63 Macon 0 0 Surgery General 0 0 0 0 0 0 0 0 0 0 0 1 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5376 0 0 0 0 0 0 5376 0 0 1001285259 10 Physicians 109 Winnebago 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 64 0 0 0 0 0 0 64 0 0 1001285365 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 0 185 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 15780 0 0 0 0 0 0 0 0 0 0 0 0 0 15780 0 0 1001285422 16 Nurse Practitioners 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 59 0 0 0 0 0 0 59 0 0 1001285522 1306278130 16 Nurse Practitioners IGANA RAQUEL 201511647 80 Peoria 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1062 0 0 0 0 0 0 1062 0 0 1001285667 1194014449 10 Physicians BHARDWAJ AMAR S 753120288 200 Cook 0 0 Emergency Medicine 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 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5731 0 0 0 0 0 0 5731 0 0 1001285837 1114072931 10 Physicians DINGES JEFFREY 535661569 852 Wisconsin 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 13 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 606 0 2116 0 0 0 0 0 0 2722 0 0 1001286116 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 29905 0 0 0 0 0 0 0 0 0 0 0 0 0 29905 0 0 1001286163 1679864961 10 Physicians PABALAN LAURA 606751611 200 Cook 0 0 Pediatrics 0 0 0 0 55 0 0 0 0 0 0 4 0 97 0 0 0 0 0 0 0 0 0 155 0 0 0 0 0 0 4 0 139 0 0 0 0 0 0 0 0 0 155 0 0 0 0 0 0 4 0 139 0 0 0 0 0 0 0 0 0 4982 0 0 0 0 0 0 15 0 6138 0 0 0 0 0 0 11135 0 0 1001286214 1003872359 10 Physicians SCOTT COLIN 616157822 80 Peoria 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 1 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 188 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 188 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7368 0 0 0 0 0 0 7368 0 0 1001286286 1720411093 30 General Hospitals FRESENIUS MEDICAL CARE HAZEL C 604292187 200 Cook DIALYSIS Outpatient dialysis centers. 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 0 177 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1563 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20204 0 0 0 0 0 20204 0 0 1001286303 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 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20763 0 0 0 0 0 0 0 0 0 0 0 0 0 20763 0 0 1001286328 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37649 0 0 0 0 0 0 0 0 0 0 0 0 0 37649 0 0 1001286700 1891029146 10 Physicians NASH COLLEEN 606123748 200 Cook 0 0 Pediatrics 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 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 5392 0 0 0 0 0 0 5392 0 0 1001286854 1629206164 10 Physicians COOPER-MORPHEW SUSAN 618203909 19 Champaign 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5721 0 0 0 0 0 0 5721 0 0 1001286913 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 34777 0 0 0 0 0 0 0 0 0 0 0 0 0 34777 0 0 1001287328 24 Speech Therapists 63 Macon 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 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 0 748 748 0 0 1001287586 1578882015 10 Physicians KOLAITIS IRINI 606112615 200 Cook 0 0 Pediatrics 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 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 3924 0 0 0 0 0 0 3924 0 0 1001288576 1235432634 10 Physicians SINGH JAGADEESH 606123893 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 11 0 153 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 167 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 167 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 220 0 3454 0 0 0 0 0 0 3674 0 0 1001288965 1205254323 16 Nurse Practitioners YOO JONGWON 606127322 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 0 177 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 1372 0 0 0 0 0 0 1372 0 0 1001289607 16 Nurse Practitioners 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 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 0 624 0 0 0 0 0 0 624 0 0 1001289997 1427281336 16 Nurse Practitioners STRYKER JOHN J 606225646 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 736 0 0 0 0 0 0 736 0 0 1001290119 10 Physicians 817 Kansas 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 559 0 0 0 0 0 0 559 0 0 1001290334 1376972612 23 Occupational Therapists JENZ SIBLIK LISA 605407411 30 DuPage 0 0 0 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 0 207 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 26147 26147 0 0 1001290672 1326314634 16 Nurse Practitioners WILSON JILL B 629015612 47 Jackson 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 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 0 410 0 0 0 0 0 0 410 0 0 1001290789 1487943205 10 Physicians DUGGAL ISHVEENA K 606118709 200 Cook 0 0 Internal Medicine 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 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 0 371 0 0 0 0 0 0 371 0 0 1001291315 1205156940 10 Physicians MOHAMMED ASLAM 999999999 100 Vermilion 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 0 310 0 0 0 0 0 0 310 0 0 1001291399 1124223011 10 Physicians BEHSHAD RAMONA 631102515 816 Iowa 0 0 Dermatology 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 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 0 616 0 0 0 0 0 0 616 0 0 1001291646 1144484601 10 Physicians TAO TING 999999999 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 208 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 442 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 442 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5465 0 263 0 0 0 0 0 0 5728 0 0 1001291734 1881905917 10 Physicians HAVENS TIMOTHY R. 379321983 89 Rock Island 0 0 Pediatrics 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 0 735 0 0 0 0 0 0 735 0 0 1001292033 1295094563 11 Dentists KOU JACK 608043638 200 Cook 0 0 General Dentistry 0 0 0 234 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 1556 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 1556 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 50732 0 0 0 0 0 0 0 0 0 0 0 3108 0 0 0 0 53840 0 0 1001292041 92 Waiver service provider--Disability (DHS/DRS) 58 La Salle 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2769 0 0 0 0 0 0 0 0 0 0 0 0 0 2769 0 0 1001292297 1689889834 16 Nurse Practitioners BARRY JULIE 623012719 10 Adams 0 1 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 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 0 850 0 0 0 0 0 0 850 0 0 1001292318 1124189733 30 General Hospitals PRESENCE SAINT JOSEPH MED CTR 604358200 107 Will DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 0 0 0 0 0 2186 0 0 0 0 1088 0 0 0 1843 0 0 0 0 0 0 0 0 0 3266 0 0 0 0 1343 0 0 0 4285 0 0 0 0 0 0 0 0 0 3266 0 0 0 0 7758 0 0 0 4291 0 0 0 0 0 0 0 0 0 498984 0 0 0 0 4014181 0 0 0 851378 0 0 0 0 0 5364543 0 0 1001292682 1023439486 16 Nurse Practitioners SIDWELL BENJAMIN J 70163621 75 Monroe 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 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 1613 0 0 0 0 0 0 1613 0 0 1001292683 1003062514 10 Physicians ROBERTS DAVID W 600931847 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 1 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 105 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 105 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 12423 0 0 0 0 0 0 12455 0 0 1001293005 1821237660 10 Physicians CARAMAN IURIE 612822904 89 Rock Island 0 0 Obstetric-Gynecology 0 0 0 0 2 0 0 0 0 0 0 33 0 50 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 42 0 124 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 42 0 124 0 0 0 0 0 0 0 0 0 97 0 0 0 0 0 0 1593 0 9387 0 0 0 0 0 0 11077 0 0 1001293068 1730382201 10 Physicians CRIVELLARO SIMONE 606127232 200 Cook 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 9 0 175 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 311 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 311 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 181 0 34880 0 0 0 0 0 0 35061 0 0 1001293260 10 Physicians 200 Cook 0 0 Psychiatry 0 0 0 0 0 0 0 0 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 0 150 0 0 0 0 0 0 150 0 0 1001293285 92 Waiver service provider--Disability (DHS/DRS) 826 Missouri 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2303 0 0 0 0 0 0 0 0 0 0 0 0 0 2303 0 0 1001293715 1124449731 75 Department of Alcohol and Substance Abuse Provider ROSECRANCE INC 600146288 71 McHenry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 361 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 0 0 0 0 0 0 0 0 0 0 0 0 38229 0 0 38229 0 0 1001294742 1972897791 16 Nurse Practitioners HOLEM MARY 600504361 71 McHenry 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 0 102 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 4050 0 0 0 0 0 0 4050 0 0 1001294872 1336396811 16 Nurse Practitioners HINSHAW DOROTHY J 618012529 19 Champaign 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 0 200 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 4921 0 0 0 0 0 0 4921 0 0 1001295313 1821435801 91 Waiver service provider--Adults (DHS/DDD) ILLINOIS MENTOR COMMUNITY SERV 604233162 107 Will 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 89028 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 89028 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23216641 0 0 0 0 0 0 0 0 0 0 0 0 0 23216641 0 0 1001295316 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 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27681 0 0 0 0 0 0 0 0 0 0 0 0 0 27681 0 0 1001295366 1669602959 10 Physicians SURI PRERNA 602011700 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 33 0 0 0 0 0 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 5 0 894 0 0 0 0 0 0 899 0 0 1001296075 1396187753 24 Speech Therapists LOCKART ASHLEY E 625654561 94 Shelby 0 0 0 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 0 471 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 471 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45780 45780 0 0 1001296749 1194010496 10 Physicians SODVADIYA JITENDRAKUMAR 619437153 24 Coles 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 184 0 0 0 0 0 0 184 0 0 1001296827 1649686056 60 Pharmacies MEIJER PHARMACY 273 604482070 107 Will 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 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10825 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22892 0 0 0 22892 0 0 1001296929 1801148416 16 Nurse Practitioners SCAFF SHELLEY A 616151941 80 Peoria 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 1 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 1407 0 0 0 0 0 0 1407 0 0 1001297073 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 29315 0 0 0 0 0 0 0 0 0 0 0 0 0 29315 0 0 1001297134 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 2450 0 0 0 0 0 0 0 0 0 0 0 0 0 2450 0 0 1001297432 1750670337 10 Physicians LUSIAK MONIKA 606313746 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 6 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 2605 0 0 0 0 0 0 2674 0 0 1001297576 4001297576 98 Waiver service provider--TBI (DHS/DRS) HEALTHCARE PLUS CAREGIVERS COR 606412932 200 Cook 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 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 81077 0 0 0 0 0 0 0 0 0 0 0 0 0 81077 0 0 1001297682 1912134230 10 Physicians MCNAMEE DAWN 630433411 826 Missouri 0 0 Pediatrics 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 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7755 0 0 0 0 0 0 7755 0 0 1001297819 92 Waiver service provider--Disability (DHS/DRS) 92 Schuyler 0 0 0 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 7927 0 0 0 0 0 0 0 0 0 0 0 0 0 7927 0 0 1001298304 1639483407 10 Physicians ZHORNE LEAH M 522421009 816 Iowa 0 0 Neurology 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 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 0 505 0 0 0 0 0 0 505 0 0 1001298464 1497186472 16 Nurse Practitioners VAN WYNGARDEN KIMBERLY D 604877581 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 0 108 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 2642 0 0 0 0 0 0 2642 0 0 1001299249 1104243823 36 Community mental health provider RINCON FAMILY SERVICES 999999999 200 Cook 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 4608 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14807 0 0 19415 0 0 1001299298 1790981702 10 Physicians LUKA LANCE J 606123714 200 Cook 0 0 Radiology Diagnosis 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 0 164 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 0 550 0 0 0 0 0 0 0 0 550 0 0 1001299799 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 0 180 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 28994 0 0 0 0 0 0 0 0 0 0 0 0 0 28994 0 0 1001299877 1679728331 10 Physicians PAGANI MARCO 606224446 200 Cook 0 0 Nephrology 0 0 0 0 0 0 0 0 0 0 1 0 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 989 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 989 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 802 0 0 14456 0 0 0 0 0 0 15258 0 0 1001300926 1689982621 10 Physicians COBBS NOELLE 731436208 91 Sangamon 0 0 Emergency Medicine 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 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 2398 0 0 0 0 0 0 2398 0 0 1001301197 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 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 0 273 0 0 0 0 0 0 273 0 0 1001301226 1487085288 60 Pharmacies MARIANOS PHARMACY 8523 999999999 57 Lake 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 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9079 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13016 0 0 0 13016 0 0 1001301278 1205256906 11 Dentists TANEVA EMILIYA 605644239 30 DuPage 0 0 Orthodontist 0 0 0 8 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 6801 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6801 0 0 1001301517 10 Physicians 826 Missouri 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001301660 1306159363 10 Physicians DEKAYIE GAMELI 604292029 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4442 0 0 0 0 0 0 4442 0 0 1001302250 22 Physical Therapists 96 St Clair 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 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 0 340 340 0 0 1001302264 1972776516 10 Physicians SIDDIQUI BAZGHA 604264264 200 Cook 0 0 Infectious Diseases 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 508 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 508 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8251 0 0 0 0 0 0 8251 0 0 1001303189 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 26481 0 0 0 0 0 0 0 0 0 0 0 0 0 26481 0 0 1001304390 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 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 1793 0 0 0 0 0 0 0 0 0 0 0 0 0 1793 0 0 1001304698 91 Waiver service provider--Adults (DHS/DDD) 33 Effingham 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 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 6414 0 0 0 0 0 0 0 0 0 0 0 0 0 6414 0 0 1001304769 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 0 167 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 0 0 0 0 0 21121 0 0 0 0 0 0 0 0 0 0 0 0 0 21121 0 0 1001305142 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 0 358 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 18787 0 0 0 0 0 0 0 0 0 0 0 0 0 18787 0 0 1001305350 1689833006 10 Physicians MANIAR KRUTI 606118709 200 Cook 0 0 Pathology 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 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 1769 0 0 0 0 0 0 0 0 1769 0 0 1001305539 1295171973 91 Waiver service provider--Adults (DHS/DDD) CRONIN ANNA E 616159669 80 Peoria 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 0 948 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 948 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102777 0 0 0 0 0 0 0 0 0 0 0 0 0 102777 0 0 1001305818 1396181590 40 Federally Qualified Health Centers ERIE FOSTER AVENUE HEALTH CTR 606258562 200 Cook 0 1 0 0 1578 0 209 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8412 0 605 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8412 0 605 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 495183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 495183 0 0 1001306676 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 0 623 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 623 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48700 0 0 0 0 0 0 0 0 0 0 0 0 0 48700 0 0 1001306890 57 Home Nursing Agency 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 0 884 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 884 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 463176 0 0 0 0 0 0 0 0 0 0 0 0 0 463176 0 0 1001307528 10 Physicians 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 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 70 0 0 0 0 0 0 70 0 0 1001307952 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 0 329 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 329 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28393 0 0 0 0 0 0 0 0 0 0 0 0 0 28393 0 0 1001308547 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 7 0 0 0 0 0 0 7 0 0 1001309430 1497175160 40 Federally Qualified Health Centers VNA HEALTH CARE 604461803 107 Will 0 1 0 0 428 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1322 0 164 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1322 0 164 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101107 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101107 0 0 1001309467 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 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 27734 0 0 0 0 0 0 0 0 0 0 0 0 0 27734 0 0 1001310625 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24561 0 0 0 0 0 0 0 0 0 0 0 0 0 24561 0 0 1001311487 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 20787 0 0 0 0 0 0 0 0 0 0 0 0 0 20787 0 0 1001311619 1447681242 60 Pharmacies MARIANOS PHARMACY 8525 600685235 200 Cook 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 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5494 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3878 0 0 0 3878 0 0 1001312004 4001312004 16 Nurse Practitioners REEVES MELANIE 616370001 80 Peoria 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 0 254 0 0 0 0 0 0 254 0 0 1001312867 1437565124 28 Waiver service provider--Supportive living facility (HFS) BROOKSTONE OF ALEDO 612312000 74 Mercer 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 184421 0 0 0 0 0 0 0 0 0 0 0 0 0 184421 0 0 1001313262 1609909217 10 Physicians PELLO NATASHA 999999999 53 Kane 0 0 Pathology 0 0 0 0 2 0 0 0 0 0 0 705 0 68 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 6035 0 79 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 6035 0 79 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 42152 0 5225 0 0 0 0 0 0 47388 0 0 1001313482 94 Waiver service provider--Children's support (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 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 6167 0 0 0 0 0 0 0 0 0 0 0 0 0 6167 0 0 1001314025 10 Physicians 65 Madison 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 65 0 0 0 0 0 0 65 0 0 1001314096 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 0 156 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 0 0 0 0 0 11785 0 0 0 0 0 0 0 0 0 0 0 0 0 11785 0 0 1001314642 1720418064 55 Early Intervention Services PERRY LISAMARIE 610199414 109 Winnebago 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 0 315 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 315 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25440 0 0 0 0 0 0 25440 0 0 1001315401 1851712053 40 Federally Qualified Health Centers ERIE WAUKEGAN HEALTH CENTER 600853312 57 Lake 0 1 0 0 923 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5043 0 391 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5043 0 391 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 330977 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 330977 0 0 1001315580 1912133638 10 Physicians JOHNSON MATTHEW 601783103 27 Dekalb 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 3 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 204 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 204 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 4089 0 0 0 0 0 0 4114 0 0 1001316053 1629399399 10 Physicians MORKER DIVYESH N 616151941 80 Peoria 0 1 Family Practice 0 0 0 0 4 0 0 0 0 0 0 1 0 93 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 1 0 164 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 1 0 164 0 0 0 0 0 0 0 0 0 198 0 0 0 0 0 0 5 0 2958 0 0 0 0 0 0 3161 0 0 1001316443 62 Opticians / Optical Companies 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 29 0 0 1001317462 1669771861 16 Nurse Practitioners NICHOLS GREGORY 452024121 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 0 212 0 0 0 0 0 0 212 0 0 1001318580 1093139131 16 Nurse Practitioners WAGNER HILARY F. 606118709 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1568 0 0 0 0 0 0 1568 0 0 1001318781 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6888 0 0 0 0 0 0 0 0 0 0 0 0 0 6888 0 0 1001318909 1861818031 29 ICF/MR PINE TERRACE 600874829 57 Lake 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 0 356 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10774 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1049056 0 0 0 0 0 0 0 0 0 0 1049056 0 0 1001318960 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 15795 0 0 0 0 0 0 0 0 0 0 0 0 0 15795 0 0 1001319243 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 0 342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13494 0 0 0 0 0 0 0 0 0 0 0 0 0 13494 0 0 1001319479 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 0 227 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 18046 0 0 0 0 0 0 0 0 0 0 0 0 0 18046 0 0 1001319920 10 Physicians 30 DuPage 0 0 Obstetric-Gynecology 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 47 0 0 1001320146 1831355817 10 Physicians SOUMAN TAMEEM 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 796 0 218 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1204 0 267 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1204 0 267 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20013 0 7340 0 0 0 0 0 0 27353 0 0 1001320606 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 214 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 25992 0 0 0 0 0 0 0 0 0 0 0 0 0 25992 0 0 1001321296 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 0 200 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 18038 0 0 0 0 0 0 0 0 0 0 0 0 0 18038 0 0 1001321371 91 Waiver service provider--Adults (DHS/DDD) 30 DuPage 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 237 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 237 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25861 0 0 0 0 0 0 0 0 0 0 0 0 0 25861 0 0 1001321547 92 Waiver service provider--Disability (DHS/DRS) 25 Crawford 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3502 0 0 0 0 0 0 0 0 0 0 0 0 0 3502 0 0 1001321733 92 Waiver service provider--Disability (DHS/DRS) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 17774 0 0 0 0 0 0 0 0 0 0 0 0 0 17774 0 0 1001321863 1457647810 10 Physicians SPARROW CHRISTOPHER 616151941 80 Peoria 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 348 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 533 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 533 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 6110 0 0 0 0 0 0 6113 0 0 1001322234 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 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24825 0 0 0 0 0 0 0 0 0 0 0 0 0 24825 0 0 1001322659 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 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 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 46918 0 0 0 0 0 0 0 0 0 0 0 0 0 46918 0 0 1001322691 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10060 0 0 0 0 0 0 0 0 0 0 0 0 0 10060 0 0 1001322721 4001322721 16 Nurse Practitioners MONROE KATHRYN 606035606 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 140 0 0 0 0 0 0 0 0 514 0 0 0 0 0 0 654 0 0 1001322971 1184852162 10 Physicians OBRIEN AMANDA 627026700 91 Sangamon 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 17 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1278 0 3149 0 0 0 0 0 0 4427 0 0 1001323074 1497067318 16 Nurse Practitioners HAJIAN NISHA R 606118709 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 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 1382 0 0 0 0 0 0 1382 0 0 1001323500 93 Waiver service provider--HIV/AIDS (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18864 0 0 0 0 0 0 0 0 0 0 0 0 0 18864 0 0 1001323664 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 4398 0 0 0 0 0 0 0 0 0 0 0 0 0 4398 0 0 1001323878 1689992885 10 Physicians PARIKH RUCHI 616151941 80 Peoria 0 1 Family Practice 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 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 1384 0 0 0 0 0 0 1384 0 0 1001324240 1396900791 10 Physicians COLEMAN JOHN M 606118709 200 Cook 0 0 Internal Medicine 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 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2214 0 0 0 0 0 0 2214 0 0 1001324429 86 Clinical Social Worker(Encounter Only) 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 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 1001324477 1215379961 30 General Hospitals FRESENIUS MEDICAL CARE NORTHCE 606185905 200 Cook DIALYSIS Outpatient dialysis centers. 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 0 227 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 59902 0 0 0 0 0 59902 0 0 1001325136 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 0 144 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 12960 0 0 0 0 0 0 0 0 0 0 0 0 0 12960 0 0 1001325750 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 0 1001325974 1730491622 10 Physicians JAYASANKAR SOUMYA 606313222 200 Cook 0 0 Emergency Medicine 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 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 4879 0 0 0 0 0 0 4879 0 0 1001326605 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 0 185 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 29856 0 0 0 0 0 0 0 0 0 0 0 0 0 29856 0 0 1001326819 1639298706 75 Department of Alcohol and Substance Abuse Provider RICCA 612449662 89 Rock Island 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 0 343 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 0 0 0 0 0 0 0 0 0 0 0 0 22919 0 0 22919 0 0 1001326836 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 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19768 0 0 0 0 0 0 0 0 0 0 0 0 0 19768 0 0 1001327280 1679903322 16 Nurse Practitioners YATES KRISTIN E 379321983 200 Cook 0 0 Family Practice 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 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3003 0 0 0 0 0 0 3003 0 0 1001327527 1447360334 16 Nurse Practitioners BOELENS DENISE 612656899 89 Rock Island 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 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 0 129 0 0 0 0 0 0 129 0 0 1001328887 1558791459 16 Nurse Practitioners MULDER BRIAN T 535112230 57 Lake 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 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 0 201 0 0 0 0 0 0 201 0 0 1001329006 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 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9298 0 0 0 0 0 0 0 0 0 0 0 0 0 9298 0 0 1001329026 1083816185 10 Physicians TALANKI KIRAN 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 312 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 519 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 519 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6954 0 282 0 0 0 0 0 0 7236 0 0 1001329267 1790026425 16 Nurse Practitioners WILSON GUINTO KAREN 554860362 24 Coles 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 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3277 0 0 0 0 0 0 3277 0 0 1001329441 1710154240 10 Physicians GANDHI SEEMA R 606123714 200 Cook 0 0 Gastroenterology 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 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 5529 0 0 0 0 0 0 5529 0 0 1001329481 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 0 321 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 24526 0 0 0 0 0 0 0 0 0 0 0 0 0 24526 0 0 1001329781 1033194253 10 Physicians JUN AARON 925077401 805 California 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 91 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 103 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 103 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1404 0 21 0 0 0 0 0 0 1425 0 0 1001329797 1497192934 16 Nurse Practitioners SALAZAR KELLY 463123049 815 Indiana 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 103 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 103 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 3208 0 0 0 0 0 0 3241 0 0 1001329834 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 0 123 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 14422 0 0 0 0 0 0 0 0 0 0 0 0 0 14422 0 0 1001330132 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 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 0 712 0 0 0 0 0 0 0 0 0 0 0 0 0 712 0 0 1001330683 1558686709 10 Physicians HART MICHAEL 623012719 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1740 0 0 0 0 0 0 1740 0 0 1001330718 1285861179 10 Physicians GIANGRECO DAVID 601228942 200 Cook 0 0 Rheumatology 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 0 104 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 1206 0 0 0 0 0 0 1206 0 0 1001331176 16 Nurse Practitioners 96 St Clair 0 0 0 0 0 0 0 0 0 0 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 51 0 0 0 0 0 0 51 0 0 1001331484 1639585946 16 Nurse Practitioners KOLOSSO MICHELLE 606033200 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 369 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 192705 0 0 0 0 0 0 192705 0 0 1001331722 1962476259 62 Opticians / Optical Companies CLASSIC OPTICAL LABORATORIES 445051406 836 Ohio 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23346 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58494 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58494 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 609084 0 0 0 0 609084 0 0 1001332574 1740591619 10 Physicians DELUKA JENNIFER 625681668 20 Christian 0 0 Pediatrics 0 0 0 0 27 0 0 0 0 0 0 0 0 77 0 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 0 0 181 0 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 0 0 181 0 0 0 0 0 0 0 0 0 2246 0 0 0 0 0 0 0 0 4830 0 0 0 0 0 0 7076 0 0 1001332964 1841227311 10 Physicians BAIM SANFORD 606751611 200 Cook 0 0 Rheumatology 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 0 199 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 2128 0 0 0 0 0 0 2128 0 0 1001333194 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 0 260 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 10108 0 0 0 0 0 0 0 0 0 0 0 0 0 10108 0 0 1001333336 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 29030 0 0 0 0 0 0 0 0 0 0 0 0 0 29030 0 0 1001333446 10 Physicians 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1001334453 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 0 298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23517 0 0 0 0 0 0 0 0 0 0 0 0 0 23517 0 0 1001334476 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 20160 0 0 0 0 0 0 0 0 0 0 0 0 0 20160 0 0 1001335854 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 39879 0 0 0 0 0 0 0 0 0 0 0 0 0 39879 0 0 1001335933 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 0 118 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 10295 0 0 0 0 0 0 0 0 0 0 0 0 0 10295 0 0 1001335944 1003247750 30 General Hospitals CARPENTERSVILLE DIALYSIS 601103355 53 Kane DIALYSIS Outpatient dialysis centers. 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 0 111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1233 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35276 0 0 0 0 0 35276 0 0 1001335970 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 0 218 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 28412 0 0 0 0 0 0 0 0 0 0 0 0 0 28412 0 0 1001336020 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 0 200 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 26025 0 0 0 0 0 0 0 0 0 0 0 0 0 26025 0 0 1001336412 1205170313 55 Early Intervention Services EKSTRAND MARY JANE 628962210 36 Franklin 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 0 203 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 22629 0 0 0 0 0 0 22629 0 0 1001336651 4001336651 16 Nurse Practitioners TENTLER MARIAN 606118709 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 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 0 650 0 0 0 0 0 0 650 0 0 1001337200 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 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29043 0 0 0 0 0 0 0 0 0 0 0 0 0 29043 0 0 1001337475 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4954 0 0 0 0 0 0 0 0 0 0 0 0 0 4954 0 0 1001338209 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 0 365 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 21416 0 0 0 0 0 0 0 0 0 0 0 0 0 21416 0 0 1001338465 1245644806 16 Nurse Practitioners FADLER NICOLE 631312329 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 196 0 0 0 0 0 0 196 0 0 1001338542 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 6123 0 0 0 0 0 0 0 0 0 0 0 0 0 6123 0 0 1001338563 1376732644 10 Physicians POLLANDT SEBASTIAN 606123845 200 Cook 0 0 Neurology 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 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6751 0 0 0 0 0 0 6751 0 0 1001338727 1790927309 10 Physicians MIKEWORTH JAMES 616151941 80 Peoria 0 1 Internal Medicine 0 0 0 0 29 0 0 0 0 0 0 7 0 122 0 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 10 0 211 0 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 10 0 211 0 0 0 0 0 0 0 0 0 2823 0 0 0 0 0 0 122 0 4638 0 0 0 0 0 0 7583 0 0 1001339340 1285675678 46 Ambulatory Surgical Treatment Centers FULLERTON SURGERY CENTER 606392503 200 Cook ASTC Ambulatory Surgical Treatment Center. 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 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 0 727 0 0 0 0 0 727 0 0 1001339712 1205250859 16 Nurse Practitioners MOMENT LISA 605159600 30 DuPage 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 0 246 0 0 0 0 0 0 246 0 0 1001340488 1588074363 33 Nursing Facilities FOREST CITY REHAB AND NRSG CTR 611082315 109 Winnebago 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 0 136 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2984 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 267622 0 0 0 0 0 0 0 267622 0 0 1001340963 1609294297 16 Nurse Practitioners WOODFALL STEFANIE 610811748 106 Whiteside 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 0 119 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 1807 0 0 0 0 0 0 1807 0 0 1001341361 1699081646 10 Physicians UBAKA JACEK 604622627 200 Cook 0 0 Pediatrics 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 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 5120 0 0 0 0 0 0 5120 0 0 1001341377 98 Waiver service provider--TBI (DHS/DRS) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1000 0 0 0 0 0 0 0 0 0 0 0 0 0 1000 0 0 1001341443 16 Nurse Practitioners 852 Wisconsin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 43 0 0 1001341818 10 Physicians 200 Cook 0 0 Nephrology 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 78 0 0 0 0 0 0 78 0 0 1001342065 1689002446 23 Occupational Therapists PERKINSON ANNE 606733039 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 108 108 0 0 1001342131 1134380926 10 Physicians SAETTELE ANGELA K 191787642 200 Cook 0 0 Anesthesiology 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 4625 0 0 0 0 0 0 4625 0 0 1001342175 1700292893 11 Dentists PATEL NIRAVKUMAR 601207800 53 Kane 0 0 General Dentistry 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1461 0 0 0 0 0 0 0 0 0 0 0 444 0 0 0 0 1905 0 0 1001342278 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 0 325 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 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1001342546 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 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 217 0 0 1001343405 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 0 336 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 27821 0 0 0 0 0 0 0 0 0 0 0 0 0 27821 0 0 1001343583 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 29529 0 0 0 0 0 0 0 0 0 0 0 0 0 29529 0 0 1001344296 1356772834 40 Federally Qualified Health Centers HAMDARD CENTER HLTH HUMAN SRVS 606601344 200 Cook 0 1 0 0 299 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1634 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1634 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 91087 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 91087 0 0 1001344642 92 Waiver service provider--Disability (DHS/DRS) 852 Wisconsin 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1435 0 0 0 0 0 0 0 0 0 0 0 0 0 1435 0 0 1001344956 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 57867 0 0 0 0 0 0 0 0 0 0 0 0 0 57867 0 0 1001344957 16 Nurse Practitioners 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 0 186 0 0 0 0 0 0 186 0 0 1001344984 1588004410 61 Independent Laboratories MEDSCAN LABORATORY INC 999999999 835 North Dakota 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 1612 0 0 0 0 0 0 0 0 1612 0 0 1001345140 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 0 139 0 0 0 0 0 0 139 0 0 1001345192 1629035886 10 Physicians CRAVER JEFFREY 999999999 826 Missouri 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 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 1184 0 0 0 0 0 0 0 0 1184 0 0 1001345511 1205266988 33 Nursing Facilities ELMHURST EXTENDED CARE CENTER 601262013 30 DuPage 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 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 686 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27789 0 0 0 0 0 0 0 27789 0 0 1001345871 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 12267 0 0 0 0 0 0 0 0 0 0 0 0 0 12267 0 0 1001345940 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25880 0 0 0 0 0 0 0 0 0 0 0 0 0 25880 0 0 1001346240 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 0 365 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 20895 0 0 0 0 0 0 0 0 0 0 0 0 0 20895 0 0 1001346327 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 0 264 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 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1001346860 1811132160 10 Physicians BALLARD HEATHER 606112991 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5034 0 0 0 0 0 0 5034 0 0 1001347109 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 0 204 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 17359 0 0 0 0 0 0 0 0 0 0 0 0 0 17359 0 0 1001347174 1548696362 23 Occupational Therapists KUCHTA MARYKATHLEEN 604632117 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 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 2958 2958 0 0 1001347226 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 287 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 0 0 0 0 0 0 0 0 0 0 0 0 27847 0 0 0 0 0 0 0 0 0 0 0 0 0 27847 0 0 1001347675 98 Waiver service provider--TBI (DHS/DRS) 30 DuPage 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4236 0 0 0 0 0 0 0 0 0 0 0 0 0 4236 0 0 1001347920 1962835181 30 General Hospitals FRESENIUS MEDICAL CARE SOUTH H 604733757 200 Cook DIALYSIS Outpatient dialysis centers. 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 0 424 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3701 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38128 0 0 0 0 0 38128 0 0 1001348149 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 0 259 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 26632 0 0 0 0 0 0 0 0 0 0 0 0 0 26632 0 0 1001348195 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16718 0 0 0 0 0 0 0 0 0 0 0 0 0 16718 0 0 1001348346 1578998100 16 Nurse Practitioners GARDNER MAUREEN 604464947 107 Will 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 32 0 0 0 0 0 0 32 0 0 1001348374 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 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 1563 0 0 0 0 0 0 0 0 0 0 0 0 0 1563 0 0 1001348462 1013259233 55 Early Intervention Services GOOD TAMARA 604521622 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 0 925 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 925 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54346 0 0 0 0 0 0 54346 0 0 1001348523 1437394756 10 Physicians SEGAL JEREMY 605276686 30 DuPage 0 0 Pathology 0 0 0 0 0 0 0 0 0 0 0 27 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 304 0 250 0 0 0 0 0 0 554 0 0 1001348913 1174860498 16 Nurse Practitioners ADIGHIBE OKECHI 602031301 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 0 186 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 6061 0 0 0 0 0 0 6061 0 0 1001349266 55 Early Intervention Services 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 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 0 564 0 0 0 0 0 0 564 0 0 1001349816 1407290380 16 Nurse Practitioners DELORIEA MEGHAN 618012529 19 Champaign 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 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 646 0 0 0 0 0 0 646 0 0 1001349979 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 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 4952 0 0 0 0 0 0 0 0 0 0 0 0 0 4952 0 0 1001349989 1659461150 10 Physicians DYAMENAHALLI UMESH 605275965 30 DuPage 0 0 Pediatric Cardiology 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 0 362 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 8144 0 0 0 0 0 0 8144 0 0 1001350116 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 0 594 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 594 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54625 0 0 0 0 0 0 0 0 0 0 0 0 0 54625 0 0 1001350151 1871923920 16 Nurse Practitioners BLACKMER MICHELLE 612509460 106 Whiteside 0 0 General Psychiatry Residency 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 509 0 0 0 0 0 0 509 0 0 1001350228 98 Waiver service provider--TBI (DHS/DRS) 47 Jackson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18613 0 0 0 0 0 0 0 0 0 0 0 0 0 18613 0 0 1001350999 1831332345 10 Physicians FARIS SARAH 605275965 30 DuPage 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 7 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 1460 0 0 0 0 0 0 1505 0 0 1001351187 1902187867 10 Physicians HARVEY NATASHA 601203843 53 Kane 0 0 Obstetric-Gynecology 0 0 0 0 1 0 0 0 0 0 0 45 0 64 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 93 0 96 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 93 0 96 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 2560 0 6803 0 0 0 0 0 0 9415 0 0 1001351306 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 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 4944 0 0 0 0 0 0 0 0 0 0 0 0 0 4944 0 0 1001351423 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28971 0 0 0 0 0 0 0 0 0 0 0 0 0 28971 0 0 1001351435 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 476 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 476 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40247 0 0 0 0 0 0 0 0 0 0 0 0 0 40247 0 0 1001351824 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 1585 0 0 0 0 0 0 0 0 0 0 0 0 0 1585 0 0 1001352165 92 Waiver service provider--Disability (DHS/DRS) 28 De Witt 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 23169 0 0 0 0 0 0 0 0 0 0 0 0 0 23169 0 0 1001352758 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 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 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 40 0 0 1001352843 1205092939 10 Physicians PATEL RONAK 605213186 30 DuPage 0 0 Oral Pathology 0 0 0 0 0 0 0 0 0 0 0 4 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 170 0 0 0 0 0 0 181 0 0 1001353064 1669784971 13 Podiatrists TUCKER ANNELL 604631145 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 340 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 340 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 767 0 0 0 0 0 0 767 0 0 1001353070 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 0 166 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 16886 0 0 0 0 0 0 0 0 0 0 0 0 0 16886 0 0 1001353109 1376540559 10 Physicians ROUDEBUSH ANDREW T 615202444 37 Fulton 0 0 Family Practice 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 0 700 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 700 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5283 0 0 0 0 0 0 5283 0 0 1001353572 1447683719 30 General Hospitals FRESENIUS MEDICAL CARE MIDWAY 606385009 200 Cook DIALYSIS Outpatient dialysis centers. 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 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 911 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49670 0 0 0 0 0 49670 0 0 1001353856 1730515172 16 Nurse Practitioners DAVIS SARAH E 601228942 53 Kane 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 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 0 825 0 0 0 0 0 0 825 0 0 1001354448 1700048238 10 Physicians PALMER CHRISTOPHER MICHAEL 631312329 92 Schuyler 0 0 Emergency 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 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 11 0 647 0 0 0 0 0 0 658 0 0 1001354797 10 Physicians 852 Wisconsin 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 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 0 201 0 0 0 0 0 0 201 0 0 1001354956 1679913685 33 Nursing Facilities NORRIDGE GARDENS 607067100 200 Cook 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 0 770 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18233 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2621322 0 0 0 0 0 0 0 2621322 0 0 1001355209 1871832311 16 Nurse Practitioners HERZMANN ANN 605630137 30 DuPage 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 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5098 0 0 0 0 0 0 5098 0 0 1001356120 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 0 170 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 0 0 0 0 0 0 0 0 0 0 27054 0 0 0 0 0 0 0 0 0 0 0 0 0 27054 0 0 1001356280 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 28 0 0 0 0 0 0 28 0 0 1001356528 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 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 1846 0 0 0 0 0 0 0 0 0 0 0 0 0 1846 0 0 1001357218 10 Physicians 816 Iowa 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 297 0 0 0 0 0 0 297 0 0 1001357559 1770562563 10 Physicians SLADEK STEPHEN 606313222 200 Cook 0 1 Family Practice 0 0 0 0 11 0 0 0 0 0 0 6 0 78 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 10 0 128 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 10 0 128 0 0 0 0 0 0 0 0 0 665 0 0 0 0 0 0 78 0 2786 0 0 0 0 0 0 3529 0 0 1001357583 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 0 121 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 20208 0 0 0 0 0 0 0 0 0 0 0 0 0 20208 0 0 1001357625 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 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 1001357697 91 Waiver service provider--Adults (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 264 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 27851 0 0 0 0 0 0 0 0 0 0 0 0 0 27851 0 0 1001357726 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 24395 0 0 0 0 0 0 0 0 0 0 0 0 0 24395 0 0 1001357741 16 Nurse Practitioners 11 Alexander 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 0 0 0 0 0 219 0 0 1001357918 1972915718 52 Certified local public health department IROQUOIS COUNTY PUB HLTH DEPT 609701832 46 Iroquois 0 0 0 0 29 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 394 0 1107 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1501 0 0 1001358003 16 Nurse Practitioners 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 678 0 0 0 0 0 0 678 0 0 1001358058 16 Nurse Practitioners 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 4 0 0 1001358163 1457512436 10 Physicians STEVENS TRACEY W 631600352 30 DuPage 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3338 0 0 0 0 0 0 3338 0 0 1001358310 1346676509 16 Nurse Practitioners STEFFENS LISA 618229678 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 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 0 876 0 0 0 0 0 0 876 0 0 1001358521 64 Imaging Services 11 Alexander 0 0 0 0 0 0 0 0 0 0 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 0 200 0 0 0 0 0 0 200 0 0 1001358759 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 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 16517 0 0 0 0 0 0 0 0 0 0 0 0 0 16517 0 0 1001358904 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 0 173 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001359172 1205270626 10 Physicians BELEAN CATALINA 631032236 200 Cook 0 0 Psychiatry 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 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 1087 0 0 0 0 0 0 1087 0 0 1001359260 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 0 249 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 15103 0 0 0 0 0 0 0 0 0 0 0 0 0 15103 0 0 1001359406 92 Waiver service provider--Disability (DHS/DRS) 97 Stephenson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 7289 0 0 0 0 0 0 0 0 0 0 0 0 0 7289 0 0 1001359523 1518272384 10 Physicians KIROLLOS MARIAM 605063814 53 Kane 0 0 Family Practice 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 0 286 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 16831 0 0 0 0 0 0 16831 0 0 1001359551 1922435486 23 Occupational Therapists NIXON REBECCA 600531522 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 0 108 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 9947 9947 0 0 1001359589 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 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 29826 0 0 0 0 0 0 0 0 0 0 0 0 0 29826 0 0 1001359629 1538480017 10 Physicians BELLO AGUSTIN 624502553 88 Richland 0 0 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 2 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 1982 0 0 0 0 0 0 2014 0 0 1001359719 1730490111 10 Physicians PARKER JUSTIN 627949639 91 Sangamon 0 1 Family Practice 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 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 0 778 0 0 0 0 0 0 778 0 0 1001360595 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 19013 0 0 0 0 0 0 0 0 0 0 0 0 0 19013 0 0 1001360658 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 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28450 0 0 0 0 0 0 0 0 0 0 0 0 0 28450 0 0 1001360986 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 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17637 0 0 0 0 0 0 0 0 0 0 0 0 0 17637 0 0 1001361081 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 18534 0 0 0 0 0 0 0 0 0 0 0 0 0 18534 0 0 1001361286 4001361286 90 Waiver service provider--Elderly (DOA) CAMBODIAN ASSOCIATION OF ILLIN 606253619 200 Cook 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 3421 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3421 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 394942 0 0 0 0 0 0 0 0 0 0 0 0 0 394942 0 0 1001361323 1316357031 16 Nurse Practitioners DUERKSEN ROSS 606751611 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 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 1036 0 0 0 0 0 0 1036 0 0 1001361482 1588763395 16 Nurse Practitioners REDDICK DENA K 609012901 54 Kankakee 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 20 0 0 0 0 0 0 0 0 134 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 134 0 0 0 0 0 0 0 0 0 1031 0 0 0 0 0 0 0 0 2925 0 0 0 0 0 0 3956 0 0 1001361538 98 Waiver service provider--TBI (DHS/DRS) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 23138 0 0 0 0 0 0 0 0 0 0 0 0 0 23138 0 0 1001361764 1326476433 16 Nurse Practitioners FIELDS KAREN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 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 2432 0 0 0 0 0 0 2432 0 0 1001361831 1992970859 10 Physicians MALHOTRA NITIN H 604621929 200 Cook 0 0 Anesthesiology 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 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 626 0 0 0 0 0 0 626 0 0 1001361843 4001361843 16 Nurse Practitioners XUE YANG 606162477 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 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4474 0 0 0 0 0 0 4474 0 0 1001362869 1609039130 10 Physicians MOLITCH HOU ETHAN A 605275965 30 DuPage 0 0 Internal Medicine 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 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5707 0 0 0 0 0 0 5707 0 0 1001363249 1659711950 10 Physicians NGUYEN MAI 606233501 200 Cook 0 0 Emergency Medicine 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 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8220 0 0 0 0 0 0 8220 0 0 1001363258 1225202963 11 Dentists FUENTES NUBIA E 605054240 53 Kane 0 0 General Dentistry 0 0 0 47 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 8914 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8914 0 0 1001363640 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 0 192 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 27201 0 0 0 0 0 0 0 0 0 0 0 0 0 27201 0 0 1001363761 1497000517 10 Physicians KHALIL SYED TARIQ 463083409 31 Edgar 0 0 Pediatrics 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 0 193 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 26194 0 0 0 0 0 0 26194 0 0 1001363898 10 Physicians 200 Cook 0 0 Cardiology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 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 1001364057 1710302914 16 Nurse Practitioners THOMPSON JILL 619384644 24 Coles 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 0 121 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 2332 0 0 0 0 0 0 2332 0 0 1001364135 60 Pharmacies 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 967 0 0 0 967 0 0 1001364312 1770710493 10 Physicians WESTRICK AILEEN 601228942 53 Kane 0 0 Endocrinology 0 0 0 0 0 0 0 0 0 0 1 18 0 105 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 26 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 26 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 94 0 4827 0 0 0 0 0 0 4968 0 0 1001364568 1528217288 10 Physicians QURESHI NADIA 601545716 200 Cook 0 0 Pediatrics 0 0 0 0 79 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 131 0 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 131 0 0 0 0 0 0 0 0 0 6950 0 0 0 0 0 0 0 0 5012 0 0 0 0 0 0 11962 0 0 1001364736 1275966541 30 General Hospitals FRESENIUS MEDICAL CARE NILES 607141303 200 Cook DIALYSIS Outpatient dialysis centers. 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 0 330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3806 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10890 0 0 0 0 0 10890 0 0 1001364980 1598103194 60 Pharmacies PILSEN PHARMACY LLC 606083013 200 Cook 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 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2628 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1886 0 0 0 1886 0 0 1001365139 1518204023 11 Dentists HAO JIANJUN 601204350 53 Kane 0 0 General Dentistry 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10289 0 0 1001365303 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 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 1514 0 0 0 0 0 0 0 0 0 0 0 0 0 1514 0 0 1001365468 1841476975 10 Physicians JULIAN SAMUEL 999999999 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5373 0 0 0 0 0 0 5373 0 0 1001365635 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 0 103 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 11079 0 0 0 0 0 0 0 0 0 0 0 0 0 11079 0 0 1001366011 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 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19680 0 0 0 0 0 0 0 0 0 0 0 0 0 19680 0 0 1001366022 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 18742 0 0 0 0 0 0 0 0 0 0 0 0 0 18742 0 0 1001366259 1609085356 10 Physicians GHOBADI ARMIN 631600352 106 Whiteside 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1031 0 0 0 0 0 0 1031 0 0 1001366800 1104169234 16 Nurse Practitioners PERRI ANDREA 601375647 30 DuPage 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 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 1066 0 0 0 0 0 0 1066 0 0 1001367648 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 0 226 0 0 0 0 0 0 226 0 0 1001368658 87 Psychologist(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 887 0 0 0 0 0 0 887 0 0 1001368726 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 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27928 0 0 0 0 0 0 0 0 0 0 0 0 0 27928 0 0 1001369223 1275829178 10 Physicians SCHULTHEIS MARTINE 611071606 109 Winnebago 0 1 Family Practice 0 0 0 0 10 0 0 0 0 0 0 1 0 79 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 1 0 143 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 1 0 143 0 0 0 0 0 0 0 0 0 988 0 0 0 0 0 0 1 0 4718 0 0 0 0 0 0 5707 0 0 1001369226 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 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20136 0 0 0 0 0 0 0 0 0 0 0 0 0 20136 0 0 1001369423 1679654974 16 Nurse Practitioners RIESELMAN PAUL 605321291 30 DuPage 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 0 0 484 0 0 0 0 0 0 588 0 0 1001369819 1801915947 10 Physicians BABIGUMIRA EDWARD 606313222 200 Cook 0 0 Physical Medicine/Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 8 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 698 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 698 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 167 0 5701 0 0 0 0 0 0 5868 0 0 1001369997 1508181108 10 Physicians PERALTA MACHADO FRANCINA M 606071644 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 238 0 0 0 0 0 0 242 0 0 1001370225 1861733503 30 General Hospitals NORTHWESTERN MED FAC DIALYSIS 606113197 200 Cook DIALYSIS Outpatient dialysis centers. 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 0 284 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4906 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5731 0 0 0 0 0 5731 0 0 1001370621 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 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 2281 0 0 0 0 0 0 0 0 0 0 0 0 0 2281 0 0 1001370969 1689000424 16 Nurse Practitioners SCOTT CORRIE E 611075075 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2763 0 0 0 0 0 0 2763 0 0 1001371069 1518113455 10 Physicians CHEN SEA 605047222 53 Kane 0 0 Radiation Oncology 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 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 1729 0 0 0 0 0 0 1729 0 0 1001371070 1821290164 10 Physicians MIRZA ISHRAT 601901295 30 DuPage 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 23 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 376 0 518 0 0 0 0 0 0 894 0 0 1001371149 92 Waiver service provider--Disability (DHS/DRS) 69 Massac 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 7862 0 0 0 0 0 0 0 0 0 0 0 0 0 7862 0 0 1001371314 1114269073 16 Nurse Practitioners WILLIAMS MELBA 606127324 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 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 3705 0 0 0 0 0 0 3705 0 0 1001371502 1467730721 10 Physicians BOXLEY CAMELLA 330276314 200 Cook 0 0 Family Practice 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 2549 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2549 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15661 0 0 0 0 0 0 15661 0 0 1001371947 16 Nurse Practitioners 27 Dekalb 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 1001372048 1295022945 10 Physicians WALCHUK STEPHAN V 618223741 19 Champaign 0 0 Emergency Medicine 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 0 122 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 3835 0 0 0 0 0 0 3835 0 0 1001372259 1386933877 10 Physicians CAGA ANAN REXANNE 999999999 91 Sangamon 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 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 0 247 0 0 0 0 0 0 247 0 0 1001372379 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 98 0 0 0 0 0 0 98 0 0 1001372687 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 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 3197 0 0 0 0 0 0 0 0 0 0 0 0 0 3197 0 0 1001373920 1679737100 13 Podiatrists PISZCZUK MICHAL A 600531546 200 Cook 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 1853 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 7312 0 0 0 0 0 0 7312 0 0 1001374193 1649609298 11 Dentists AZZAM OSSAMA 601012821 30 DuPage 0 0 General Dentistry 0 0 0 143 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 748 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 748 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20170 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20170 0 0 1001374208 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 0 327 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 55890 0 0 0 0 0 0 0 0 0 0 0 0 0 55890 0 0 1001374312 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 0 132 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 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1001374596 87 Psychologist(Encounter Only) 72 McLean 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 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 0 171 0 0 0 0 0 0 171 0 0 1001374777 1598980518 10 Physicians NANDA ASHISH 631032236 200 Cook 0 0 Neurology 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 18 0 0 0 0 0 0 18 0 0 1001375285 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 19480 0 0 0 0 0 0 0 0 0 0 0 0 0 19480 0 0 1001375399 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 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 2608 0 0 0 0 0 0 0 0 0 0 0 0 0 2608 0 0 1001375416 1598072340 10 Physicians TROTTER KIMBERLY 605276686 200 Cook 0 0 Rheumatology 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 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 0 911 0 0 0 0 0 0 911 0 0 1001375570 10 Physicians 816 Iowa 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 130 0 0 0 0 0 0 140 0 0 1001375645 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 34721 0 0 0 0 0 0 0 0 0 0 0 0 0 34721 0 0 1001376698 10 Physicians 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001376894 16 Nurse Practitioners 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 231 0 0 0 0 0 0 231 0 0 1001377858 1114354826 30 General Hospitals FRESENIUS MEDICAL CARE ROSELAN 606284215 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 290 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1946 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19576 0 0 0 0 0 19576 0 0 1001378100 4001378100 10 Physicians SHEHATA MAI 612044028 89 Rock Island 0 0 Pediatrics 0 0 0 0 6 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 522 0 0 0 0 0 0 0 0 668 0 0 0 0 0 0 1190 0 0 1001378241 1477781649 10 Physicians CUTLER BRADLEY 606781034 200 Cook 0 0 Psychiatry 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 0 302 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 302 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5168 0 0 0 0 0 0 5168 0 0 1001378534 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1276 0 0 0 0 0 0 0 0 0 0 0 0 0 1276 0 0 1001379012 16 Nurse Practitioners 109 Winnebago 0 0 0 0 0 0 0 0 0 0 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 84 0 0 0 0 0 0 84 0 0 1001379185 4001379185 10 Physicians HO BENJAMIN 532880573 852 Wisconsin 0 0 Emergency Medicine 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 0 501 0 0 0 0 0 0 501 0 0 1001379336 1477839397 39 Hospice V CARE HOSPICE SERVICES OF IL 600622459 200 Cook 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 78 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1808 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 475646 0 0 0 0 0 0 0 0 0 0 0 475646 0 0 1001379433 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 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 0 878 0 0 0 0 0 0 0 0 0 0 0 0 0 878 0 0 1001380090 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 4494 0 0 0 0 0 0 0 0 0 0 0 0 0 4494 0 0 1001380192 1477871341 10 Physicians RAGOTHAMAN ARUN 606781034 200 Cook 0 0 Internal Medicine 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 0 233 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 5432 0 0 0 0 0 0 5432 0 0 1001380209 1487817235 10 Physicians TAYLOR ERIC 611075339 109 Winnebago 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 6 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 0 9809 0 0 0 0 0 0 9919 0 0 1001380922 1841486800 10 Physicians RAJPAL MIRIAM 600681143 200 Cook 0 0 Neonatology 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 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28008 0 0 0 0 0 0 28008 0 0 1001381304 1962828004 29 ICF/MR SEYMOUR TERRACE 600642001 57 Lake 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 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2062 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 507149 0 0 0 0 0 0 0 0 0 0 507149 0 0 1001381824 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 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28434 0 0 0 0 0 0 0 0 0 0 0 0 0 28434 0 0 1001381832 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 0 719 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 719 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28001 0 0 0 0 0 0 0 0 0 0 0 0 0 28001 0 0 1001381962 1043407547 40 Federally Qualified Health Centers ERIE JOHNSON HEALTH CENTER 606232209 200 Cook 0 1 0 0 114 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 404 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 404 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25805 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25805 0 0 1001382031 1508033234 10 Physicians DALAL SUSHILA 605275965 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1683 0 0 0 0 0 0 1683 0 0 1001382055 1164665386 10 Physicians WILEY LENA 606910263 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6213 0 0 0 0 0 0 6213 0 0 1001382196 61 Independent Laboratories 804 Arkansas 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001382559 91 Waiver service provider--Adults (DHS/DDD) 13 Boone 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1365 0 0 0 0 0 0 0 0 0 0 0 0 0 1365 0 0 1001382880 1346672524 24 Speech Therapists STRUGALLA EDWARD 999999999 53 Kane 0 0 0 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 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24746 24746 0 0 1001383146 1477841252 13 Podiatrists MILLER JENNIFER 631321228 30 DuPage 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 0 656 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 656 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1365 0 0 0 0 0 0 1365 0 0 1001383181 1720156235 16 Nurse Practitioners COOK STEVEN W 477323366 96 St Clair 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 0 601 0 0 0 0 0 0 601 0 0 1001383427 1932127602 10 Physicians RIPPNER ROBERT 925077401 805 California 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 5 0 1 0 0 0 0 0 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 7 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105 0 0 0 0 0 0 0 0 105 0 0 1001383724 10 Physicians 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001384485 10 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 566 0 0 0 0 0 0 566 0 0 1001384599 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34407 0 0 0 0 0 0 0 0 0 0 0 0 0 34407 0 0 1001384772 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30276 0 0 0 0 0 0 0 0 0 0 0 0 0 30276 0 0 1001384870 1275793432 10 Physicians BIRCH TORREY 606751611 200 Cook 0 0 Neurology 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 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 3772 0 0 0 0 0 0 3772 0 0 1001384992 1396089405 55 Early Intervention Services HALL JILL 629482843 108 Williamson 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 0 192 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 20553 0 0 0 0 0 0 20553 0 0 1001385349 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 0 350 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 0 0 0 0 0 0 0 0 0 0 0 0 28971 0 0 0 0 0 0 0 0 0 0 0 0 0 28971 0 0 1001385531 1144248741 16 Nurse Practitioners RATHNAU-MINNELLA CLAIRE 606118709 200 Cook 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 412 0 0 0 0 0 0 0 0 332 0 0 0 0 0 0 744 0 0 1001386405 1720425994 16 Nurse Practitioners FIFE RENEE 606491003 200 Cook 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 1892 0 0 0 0 0 0 1933 0 0 1001386797 4001386797 16 Nurse Practitioners FRICKE PENNY S 627949248 91 Sangamon 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 1391 0 0 0 0 0 0 0 0 2321 0 0 0 0 0 0 3712 0 0 1001387453 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 36889 0 0 0 0 0 0 0 0 0 0 0 0 0 36889 0 0 1001387545 1336578368 60 Pharmacies OSCO DRUG #0001 600267777 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1793 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5299 0 0 0 5299 0 0 1001387779 92 Waiver service provider--Disability (DHS/DRS) 18 Cass 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 21291 0 0 0 0 0 0 0 0 0 0 0 0 0 21291 0 0 1001388181 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 22 0 0 0 0 0 0 22 0 0 1001388641 1861828295 16 Nurse Practitioners FABIYI STEPHANIE O 606225646 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 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 0 407 0 0 0 0 0 0 407 0 0 1001388765 1861429821 10 Physicians BELGRAD JONATHAN 604643041 200 Cook 0 1 Pediatrics 0 0 0 0 25 0 0 0 0 0 0 50 0 70 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 79 0 107 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 79 0 107 0 0 0 0 0 0 0 0 0 1925 0 0 0 0 0 0 1240 0 3793 0 0 0 0 0 0 6958 0 0 1001388800 1952544793 10 Physicians SU RUTHIE 535625531 852 Wisconsin 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 496 0 0 0 0 0 0 496 0 0 1001389265 1245643063 11 Dentists KOCH LAUREN 606324009 200 Cook 0 0 General Dentistry 0 0 0 26 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 3856 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3856 0 0 1001389675 10 Physicians 89 Rock Island 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 86 0 0 1001389800 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 435 0 0 0 0 0 0 0 0 0 0 0 0 0 435 0 0 1001390150 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 0 163 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 16136 0 0 0 0 0 0 0 0 0 0 0 0 0 16136 0 0 1001390189 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 0 167 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 0 0 0 0 0 23398 0 0 0 0 0 0 0 0 0 0 0 0 0 23398 0 0 1001390246 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 15162 0 0 0 0 0 0 0 0 0 0 0 0 0 15162 0 0 1001390732 10 Physicians 852 Wisconsin 0 0 Pathology 0 0 0 0 0 0 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 32 0 0 0 0 0 0 0 0 32 0 0 1001390770 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 31972 0 0 0 0 0 0 0 0 0 0 0 0 0 31972 0 0 1001391042 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28628 0 0 0 0 0 0 0 0 0 0 0 0 0 28628 0 0 1001391611 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 0 316 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 316 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28101 0 0 0 0 0 0 0 0 0 0 0 0 0 28101 0 0 1001391937 1578823621 13 Podiatrists SHUKLA NEAL 600894541 57 Lake 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 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2700 0 0 0 0 0 0 2700 0 0 1001392092 1063591303 36 Community mental health provider FAMILY COUNSELING SERVICE 605065185 53 Kane 0 0 0 162 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 373 0 0 700 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4266 0 0 700 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4266 0 0 28028 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 450272 0 0 478300 0 0 1001392168 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 42275 0 0 0 0 0 0 0 0 0 0 0 0 0 42275 0 0 1001392536 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 7967 0 0 0 0 0 0 0 0 0 0 0 0 0 7967 0 0 1001392634 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 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30269 0 0 0 0 0 0 0 0 0 0 0 0 0 30269 0 0 1001393009 92 Waiver service provider--Disability (DHS/DRS) 64 Macoupin 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15352 0 0 0 0 0 0 0 0 0 0 0 0 0 15352 0 0 1001393025 1134557846 28 Waiver service provider--Supportive living facility (HFS) EDEN SUPPORTIVE LIV CHAMPAIGN 618204151 19 Champaign 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 136 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 3825 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 399376 0 0 0 0 0 0 3703 0 0 0 0 0 0 403079 0 0 1001393276 1679876106 10 Physicians KHAN MOONA 606930001 200 Cook 0 0 Internal Medicine 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 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5231 0 0 0 0 0 0 5231 0 0 1001393906 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 0 185 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 27810 0 0 0 0 0 0 0 0 0 0 0 0 0 27810 0 0 1001394498 1376858969 63 Other Providers of Medical Equipment/Supplies (Non-registered) NUMOTION 637012110 826 Missouri 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 0 894 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 894 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62449 0 0 0 0 0 0 62449 0 0 1001394689 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 29286 0 0 0 0 0 0 0 0 0 0 0 0 0 29286 0 0 1001395283 1477896959 16 Nurse Practitioners REDDINGTON CHRISTINA 606302429 200 Cook 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 1713 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1713 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5247 0 0 0 0 0 0 5247 0 0 1001395349 1346684248 16 Nurse Practitioners KUHLMEYER TIFFANY 610326600 97 Stephenson 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 211 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 211 0 0 0 0 0 0 0 0 0 1239 0 0 0 0 0 0 0 0 3297 0 0 0 0 0 0 4536 0 0 1001395385 1780840421 10 Physicians BURGETTE RYAN 606740018 200 Cook 0 0 Otolaryngology 0 0 0 0 1 0 0 0 0 0 0 0 0 63 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 120 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 120 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 2658 0 0 0 0 0 0 2664 0 0 1001395568 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 0 343 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 0 0 0 0 0 0 0 0 0 0 0 0 17082 0 0 0 0 0 0 0 0 0 0 0 0 0 17082 0 0 1001395718 1881645125 50 Home Health Agencies - In Home PRESENCE HOME CARE JOLIET 604352841 107 Will 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 0 399 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 399 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44400 0 0 0 0 0 0 44400 0 0 1001395929 16 Nurse Practitioners 33 Effingham 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 49 0 0 0 0 0 0 49 0 0 1001396003 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 0 108 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 17758 0 0 0 0 0 0 0 0 0 0 0 0 0 17758 0 0 1001396064 1972892677 10 Physicians MASLO ROBERT E 600051069 200 Cook 0 1 Family Practice 0 0 0 0 3 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 1308 0 0 0 0 0 0 1518 0 0 1001396208 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 0 408 0 0 0 0 0 0 0 0 0 0 0 0 0 408 0 0 1001396271 92 Waiver service provider--Disability (DHS/DRS) 75 Monroe 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 12745 0 0 0 0 0 0 0 0 0 0 0 0 0 12745 0 0 1001396336 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 22788 0 0 0 0 0 0 0 0 0 0 0 0 0 22788 0 0 1001396393 1578858106 10 Physicians RODRIGUEZ VICTORIA 606112615 200 Cook 0 0 Pediatrics 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 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 2660 0 0 0 0 0 0 2660 0 0 1001396467 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 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 11828 0 0 0 0 0 0 0 0 0 0 0 0 0 11828 0 0 1001396610 10 Physicians 30 DuPage 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 0 0 92 0 0 0 0 0 0 92 0 0 1001396948 10 Physicians 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 1001396975 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 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 0 975 0 0 0 0 0 0 0 0 0 0 0 0 0 975 0 0 1001397124 1528181401 10 Physicians SPIEGEL THOMAS 605277594 30 DuPage 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 4684 0 0 0 0 0 0 4734 0 0 1001397655 1558658849 10 Physicians KUZELJ DENIS 629595884 108 Williamson 0 0 Family Practice 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 0 190 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 4822 0 0 0 0 0 0 4822 0 0 1001398066 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28719 0 0 0 0 0 0 0 0 0 0 0 0 0 28719 0 0 1001398092 1639487911 10 Physicians VISWANATHAN AVINASH 627083428 91 Sangamon 0 1 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 155 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 155 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 1838 0 0 0 0 0 0 1848 0 0 1001398125 1669809885 16 Nurse Practitioners OUSHANA GINA L 606118709 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 335 0 0 0 0 0 0 335 0 0 1001398183 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 1001398442 1700221892 16 Nurse Practitioners ZAVALA CARLA L 605323661 30 DuPage 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 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 0 165 0 0 0 0 0 0 165 0 0 1001398534 1558591180 10 Physicians KRODEL DAVID 606112991 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5633 0 0 0 0 0 0 5633 0 0 1001398543 1497033427 11 Dentists JADHAV RAHUL 600732244 57 Lake 0 0 General Dentistry 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 503 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 503 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 21814 0 0 0 0 0 0 0 0 0 0 0 3415 0 0 0 0 25229 0 0 1001398751 1669751996 10 Physicians WEITZEL ROBERT 627810001 91 Sangamon 0 0 Internal Medicine 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 0 252 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 3542 0 0 0 0 0 0 3542 0 0 1001398797 1609291673 23 Occupational Therapists PUERLING EMILY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 178 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 12970 12970 0 0 1001399426 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 17035 0 0 0 0 0 0 0 0 0 0 0 0 0 17035 0 0 1001399684 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 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 0 713 0 0 0 0 0 0 0 0 0 0 0 0 0 713 0 0 1001400008 1720066244 10 Physicians SHEIKH JEHANZEB 482781076 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 1 0 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83 0 0 1829 0 0 0 0 0 0 1912 0 0 1001400015 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 6281 0 0 0 0 0 0 0 0 0 0 0 0 0 6281 0 0 1001400111 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 0 365 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 28417 0 0 0 0 0 0 0 0 0 0 0 0 0 28417 0 0 1001400309 1508204884 55 Early Intervention Services PRENA LAUREN A 601579689 30 DuPage 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 0 292 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 292 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17770 0 0 0 0 0 0 17770 0 0 1001400313 50 Home Health Agencies - In Home 54 Kankakee 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 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 5106 0 0 0 0 0 0 5106 0 0 1001400421 1487097325 10 Physicians PATEL NEEL K 605638113 30 DuPage 0 0 Anesthesiology 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 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 3044 0 0 0 0 0 0 3044 0 0 1001400494 1679997795 60 Pharmacies PHARMACY PLUS INC 626941249 93 Scott 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 0 573 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 0 0 0 0 0 22017 0 0 0 22017 0 0 1001400890 10 Physicians 200 Cook 0 0 Psychiatry 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 71 0 0 1001400957 1689002313 16 Nurse Practitioners WHITE JESSICA 610811252 106 Whiteside 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 0 274 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 2948 0 0 0 0 0 0 2948 0 0 1001401441 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 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 7 0 0 0 0 0 0 7 0 0 1001401449 1437445202 10 Physicians KHAN TAARIQ 616151941 80 Peoria 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 0 0 60 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 84 0 0 0 0 0 0 0 0 1578 0 0 0 0 0 0 1662 0 0 1001401539 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 16264 0 0 0 0 0 0 0 0 0 0 0 0 0 16264 0 0 1001401729 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2900 0 0 0 0 0 0 0 0 0 0 0 0 0 2900 0 0 1001401769 10 Physicians 200 Cook 0 0 Psychiatry 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 419 0 0 0 0 0 0 419 0 0 1001402102 1780826370 10 Physicians HOFFERICA EVELYN 606910260 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 9519 0 0 0 0 0 0 9519 0 0 1001402255 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 0 101 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 13462 0 0 0 0 0 0 0 0 0 0 0 0 0 13462 0 0 1001402669 91 Waiver service provider--Adults (DHS/DDD) 27 Dekalb 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 144 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 16897 0 0 0 0 0 0 0 0 0 0 0 0 0 16897 0 0 1001402682 1982035101 60 Pharmacies MARIANOS PHARMACY 8514 600472905 57 Lake 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 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4941 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8449 0 0 0 8449 0 0 1001403030 1730519190 30 General Hospitals GARFIELD KIDNEY CENTER 999999999 200 Cook DIALYSIS Outpatient dialysis centers. 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 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2881 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 156886 0 0 0 0 0 156886 0 0 1001403078 1720327166 16 Nurse Practitioners MORIARITY EILEEN 379321983 47 Jackson 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5729 0 0 0 0 0 0 5729 0 0 1001403109 1093068991 16 Nurse Practitioners OSBORNE ADAM 671140388 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 0 329 0 0 0 0 0 0 329 0 0 1001403504 1558593376 10 Physicians ANDERSON MICHAEL 605270872 200 Cook 0 0 Internal Medicine 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 0 497 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 497 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8375 0 0 0 0 0 0 8375 0 0 1001403753 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 0 327 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 22842 0 0 0 0 0 0 0 0 0 0 0 0 0 22842 0 0 1001404010 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 907 0 0 0 0 0 0 0 0 0 0 0 0 0 907 0 0 1001404727 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 0 156 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 0 0 0 0 0 25205 0 0 0 0 0 0 0 0 0 0 0 0 0 25205 0 0 1001404870 1669880076 91 Waiver service provider--Adults (DHS/DDD) VINAUDE AGRA 604461763 107 Will 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 0 968 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 968 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47285 0 0 0 0 0 0 0 0 0 0 0 0 0 47285 0 0 1001405027 1366878811 12 Optometrists GOODALE TERRY A 616157822 47 Jackson 0 0 Therapeutic Pharmaceutical Agents 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 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 0 606 0 0 0 0 0 0 606 0 0 1001405117 1750541710 10 Physicians DIAB ANDREW G 535475081 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 6 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 86 0 0 0 0 0 0 115 0 0 1001405536 1326478108 33 Nursing Facilities PLEASANT MEADOWS SENIOR LIVING 619241042 31 Edgar 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 0 295 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7271 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 959436 0 0 0 0 0 0 0 959436 0 0 1001405653 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 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 1603 0 0 0 0 0 0 0 0 0 0 0 0 0 1603 0 0 1001406208 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 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 0 333 333 0 0 1001406444 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 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19041 0 0 0 0 0 0 0 0 0 0 0 0 0 19041 0 0 1001407180 1861701765 10 Physicians APARANJI DEEPA 627810001 91 Sangamon 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 0 168 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 2182 0 0 0 0 0 0 2182 0 0 1001408057 1619293131 10 Physicians CHALLA KARTHIK K 606313222 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 6 0 186 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 7619 0 0 0 0 0 0 7706 0 0 1001408293 1780811422 10 Physicians SRINIVASAN LINE J 298413862 200 Cook 0 0 Anesthesiology 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 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 2464 0 0 0 0 0 0 2464 0 0 1001408296 1194842815 16 Nurse Practitioners BAKER CHRISTINE P 605275965 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 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 0 413 0 0 0 0 0 0 413 0 0 1001408323 91 Waiver service provider--Adults (DHS/DDD) 53 Kane 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 0 936 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 936 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85341 0 0 0 0 0 0 0 0 0 0 0 0 0 85341 0 0 1001408713 1942462437 10 Physicians METZ CATHERINE M 522421009 89 Rock Island 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 8 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 1 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 87 0 0 1001409091 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1001409172 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 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 29723 0 0 0 0 0 0 0 0 0 0 0 0 0 29723 0 0 1001409236 1104241033 91 Waiver service provider--Adults (DHS/DDD) WIND DANIEL W 605174649 200 Cook 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 590 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 78562 0 0 0 0 0 0 0 0 0 0 0 0 0 78562 0 0 1001409254 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 0 259 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 26496 0 0 0 0 0 0 0 0 0 0 0 0 0 26496 0 0 1001409466 1396971024 16 Nurse Practitioners HEPPE BRYAN 117474300 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 166 0 0 0 0 0 0 166 0 0 1001409644 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 16 0 0 1001409718 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 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 22192 0 0 0 0 0 0 0 0 0 0 0 0 0 22192 0 0 1001409834 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 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27851 0 0 0 0 0 0 0 0 0 0 0 0 0 27851 0 0 1001410031 24 Speech Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 90 90 0 0 1001410228 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 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 12247 0 0 0 0 0 0 0 0 0 0 0 0 0 12247 0 0 1001410330 11 Dentists 30 DuPage 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 0 870 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 870 0 0 1001410437 1053688275 16 Nurse Practitioners HEAVER ANGELINE 606740018 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 77 0 0 0 0 0 0 77 0 0 1001410638 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 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 33912 0 0 0 0 0 0 0 0 0 0 0 0 0 33912 0 0 1001410784 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 0 715 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 715 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 59324 0 0 0 0 0 0 0 0 0 0 0 0 0 59324 0 0 1001410838 1467636142 91 Waiver service provider--Adults (DHS/DDD) CIRINCIONE-ULEZI NASIAH 604406137 107 Will 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 1429 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1429 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133040 0 0 0 0 0 0 0 0 0 0 0 0 0 133040 0 0 1001410849 1811217631 10 Physicians PATEL ANAND H 606313222 200 Cook 0 0 Internal 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 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 0 601 0 0 0 0 0 0 601 0 0 1001410872 10 Physicians 53 Kane 0 0 Ophthalmology 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 0 145 0 0 0 0 0 0 145 0 0 1001412082 1609207422 16 Nurse Practitioners YOUNGBLOOD NATASHA 628220155 36 Franklin 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 1501 0 0 0 0 0 0 1501 0 0 1001412083 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 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26713 0 0 0 0 0 0 0 0 0 0 0 0 0 26713 0 0 1001412559 92 Waiver service provider--Disability (DHS/DRS) 92 Schuyler 0 0 0 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 1969 0 0 0 0 0 0 0 0 0 0 0 0 0 1969 0 0 1001413112 1376989350 16 Nurse Practitioners SMITH SYLVIA P 606313222 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3172 0 0 0 0 0 0 3172 0 0 1001413210 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 0 120 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 18662 0 0 0 0 0 0 0 0 0 0 0 0 0 18662 0 0 1001413328 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 0 204 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 28615 0 0 0 0 0 0 0 0 0 0 0 0 0 28615 0 0 1001413403 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 0 365 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 28460 0 0 0 0 0 0 0 0 0 0 0 0 0 28460 0 0 1001413516 1518208107 16 Nurse Practitioners LONG AMY E 631322907 10 Adams 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 0 246 0 0 0 0 0 0 246 0 0 1001413928 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 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19945 0 0 0 0 0 0 0 0 0 0 0 0 0 19945 0 0 1001414283 1326350083 10 Physicians RAVINDRA LISA A 606751611 200 Cook 0 0 Internal Medicine 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 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 0 281 0 0 0 0 0 0 281 0 0 1001414334 1558615062 30 General Hospitals FRESENIUS MEDICAL CARE OAK PAR 603024419 836 Ohio DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 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 2007 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44579 0 0 0 0 0 44579 0 0 1001415170 1366783714 16 Nurse Practitioners NIEMERG JAMIE A 624502462 88 Richland 0 1 0 0 0 0 18 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 1505 0 0 0 0 0 0 0 0 3585 0 0 0 0 0 0 5090 0 0 1001415482 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 12931 0 0 0 0 0 0 0 0 0 0 0 0 0 12931 0 0 1001415575 1265866388 11 Dentists QADRI SAEMA T 600732244 57 Lake 0 0 General Dentistry 0 0 0 41 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 3503 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3503 0 0 1001415758 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 0 213 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 0 0 0 0 0 0 0 0 0 0 0 0 29397 0 0 0 0 0 0 0 0 0 0 0 0 0 29397 0 0 1001415799 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 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6595 0 0 0 0 0 0 0 0 0 0 0 0 0 6595 0 0 1001415859 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 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 15737 0 0 0 0 0 0 0 0 0 0 0 0 0 15737 0 0 1001416790 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 0 185 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 20477 0 0 0 0 0 0 0 0 0 0 0 0 0 20477 0 0 1001417010 1770764037 33 Nursing Facilities APERION CARE FOREST PARK 601302528 200 Cook 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 0 631 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14755 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2429654 0 0 0 0 0 0 0 2429654 0 0 1001417028 1184899775 10 Physicians BACHRACH LAURIE 601601600 200 Cook 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 8 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 3148 0 0 0 0 0 0 3169 0 0 1001417477 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 30205 0 0 0 0 0 0 0 0 0 0 0 0 0 30205 0 0 1001417558 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 938 0 0 0 0 0 0 0 0 0 0 0 0 0 938 0 0 1001417595 10 Physicians 96 St Clair 0 0 Cardiovascular Diseases 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 30 0 0 1001418082 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 10976 0 0 0 0 0 0 0 0 0 0 0 0 0 10976 0 0 1001418213 1710290002 10 Physicians LIN CHUANG YUAN 191011274 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 1 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 190 0 0 2760 0 0 0 0 0 0 2950 0 0 1001418294 25 Audiologists 47 Jackson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 270 270 0 0 1001418360 1144653189 16 Nurse Practitioners MEADOR MATTHEW 606118709 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 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 0 141 0 0 0 0 0 0 141 0 0 1001418495 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 0 298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26600 0 0 0 0 0 0 0 0 0 0 0 0 0 26600 0 0 1001418697 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 3397 0 0 0 0 0 0 0 0 0 0 0 0 0 3397 0 0 1001418815 4001418815 10 Physicians ZHUBI ADRIAN 605636504 30 DuPage 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 313 0 0 0 0 0 0 313 0 0 1001418852 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 43489 0 0 0 0 0 0 0 0 0 0 0 0 0 43489 0 0 1001419757 1417296039 16 Nurse Practitioners THOMAS MELISSA L 619442460 31 Edgar 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 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 0 628 0 0 0 0 0 0 628 0 0 1001420011 1538589932 16 Nurse Practitioners SANTOS LEANARD 616360001 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 0 381 0 0 0 0 0 0 381 0 0 1001420175 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 0 168 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 28382 0 0 0 0 0 0 0 0 0 0 0 0 0 28382 0 0 1001420903 1366685828 10 Physicians EISENBERG YUVAL 606127323 200 Cook 0 0 Endocrinology 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 0 170 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 0 0 0 0 0 0 0 0 0 0 6766 0 0 0 0 0 0 6766 0 0 1001421019 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 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 18891 0 0 0 0 0 0 0 0 0 0 0 0 0 18891 0 0 1001421271 1578754958 10 Physicians SANDIFORD SHELLEY A 606162315 200 Cook 0 0 Family Practice 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 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2103 0 0 0 0 0 0 2103 0 0 1001421470 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27118 0 0 0 0 0 0 0 0 0 0 0 0 0 27118 0 0 1001421687 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 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 54 0 0 0 0 0 0 54 0 0 1001421815 91 Waiver service provider--Adults (DHS/DDD) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 345 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 345 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22485 0 0 0 0 0 0 0 0 0 0 0 0 0 22485 0 0 1001422068 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 1001422124 1588820781 10 Physicians DAWRAVOO LESLEY 606751931 200 Cook 0 0 Gastroenterology 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 0 193 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 7500 0 0 0 0 0 0 7500 0 0 1001422614 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 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 1773 0 0 0 0 0 0 0 0 0 0 0 0 0 1773 0 0 1001423220 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 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 6048 0 0 0 0 0 0 0 0 0 0 0 0 0 6048 0 0 1001423360 1730506221 91 Waiver service provider--Adults (DHS/DDD) HOME SWEET HOME HLTH CARE SERV 604431001 200 Cook 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 2149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 236486 0 0 0 0 0 0 0 0 0 0 0 0 0 236486 0 0 1001423448 1437239571 10 Physicians DUEL BARRY 631102515 826 Missouri 0 0 Urological Surgery 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 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 2106 0 0 0 0 0 0 2106 0 0 1001423756 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10368 0 0 0 0 0 0 0 0 0 0 0 0 0 10368 0 0 1001423874 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 0 320 0 0 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 0 0 0 0 0 0 0 0 0 0 28715 0 0 0 0 0 0 0 0 0 0 0 0 0 28715 0 0 1001423933 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 21473 0 0 0 0 0 0 0 0 0 0 0 0 0 21473 0 0 1001424392 1205149952 10 Physicians HEYER KAMALDEEP 953586411 10 Adams 0 0 Emergency Medicine 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 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 3101 0 0 0 0 0 0 3101 0 0 1001424867 1083940555 16 Nurse Practitioners FRANCO CELEZTE 606575775 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 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 0 857 0 0 0 0 0 0 857 0 0 1001424947 1699115857 61 Independent Laboratories ACCUPATH DIAGNOSTIC LABORATORI 850402969 803 Arizona 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 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 1445 0 0 0 0 0 0 0 0 1445 0 0 1001424981 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 0 178 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 24753 0 0 0 0 0 0 0 0 0 0 0 0 0 24753 0 0 1001425087 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 0 171 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 8999 0 0 0 0 0 0 0 0 0 0 0 0 0 8999 0 0 1001425276 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 27390 0 0 0 0 0 0 0 0 0 0 0 0 0 27390 0 0 1001425492 16 Nurse Practitioners 81 Perry 0 1 0 0 0 0 0 0 0 0 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 0 163 0 0 0 0 0 0 163 0 0 1001426095 98 Waiver service provider--TBI (DHS/DRS) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 12426 0 0 0 0 0 0 0 0 0 0 0 0 0 12426 0 0 1001426155 10 Physicians 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 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 0 102 0 0 0 0 0 0 0 0 102 0 0 1001426869 91 Waiver service provider--Adults (DHS/DDD) 30 DuPage 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30326 0 0 0 0 0 0 0 0 0 0 0 0 0 30326 0 0 1001426960 1700214749 16 Nurse Practitioners KELLEY SARAH J 311936436 109 Winnebago 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 0 109 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 4423 0 0 0 0 0 0 4423 0 0 1001427589 30 General Hospitals 53 Kane DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 41 0 0 1001427607 1982867438 10 Physicians GANESH KEITH 606910263 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 24 0 107 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 2066 0 0 0 0 0 0 2268 0 0 1001428063 1659700326 16 Nurse Practitioners SHROYER ERICA 618012529 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1089 0 0 0 0 0 0 1089 0 0 1001428283 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 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25318 0 0 0 0 0 0 0 0 0 0 0 0 0 25318 0 0 1001428414 1073622254 61 Independent Laboratories ROSALIND FRANKLIN UNIV MED SCI 600643037 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 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 0 299 0 0 0 0 0 0 0 0 299 0 0 1001428513 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 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 5184 0 0 0 0 0 0 0 0 0 0 0 0 0 5184 0 0 1001428697 1700047917 10 Physicians ALAO FATIMA 619384644 24 Coles 0 0 Neurology 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 0 380 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 380 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2866 0 0 0 0 0 0 2866 0 0 1001428884 1427289917 10 Physicians PEREZ PORCEL JOSE DANIEL 333232851 19 Champaign 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 272 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 6266 0 0 0 0 0 0 6266 0 0 1001428907 91 Waiver service provider--Adults (DHS/DDD) 89 Rock Island 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 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 12285 0 0 0 0 0 0 0 0 0 0 0 0 0 12285 0 0 1001428937 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 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 27387 0 0 0 0 0 0 0 0 0 0 0 0 0 27387 0 0 1001428967 1043640311 91 Waiver service provider--Adults (DHS/DDD) ROBINSON JOCELYN 605270303 30 DuPage 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 0 266 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 109021 0 0 0 0 0 0 0 0 0 0 0 0 0 109021 0 0 1001429010 16 Nurse Practitioners 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001429081 1073757803 16 Nurse Practitioners ADESUYI ADEKUNLE 616152402 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 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 0 635 0 0 0 0 0 0 635 0 0 1001429304 1659606929 10 Physicians HADDOX CASSANDRA 631282106 826 Missouri 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 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 0 529 0 0 0 0 0 0 529 0 0 1001429658 1467875534 11 Dentists MOHAN PREETHI 605062400 53 Kane 0 0 General Dentistry 0 0 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 323 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 323 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11421 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11421 0 0 1001429859 1770901878 16 Nurse Practitioners STOIA DAMARIS 600532102 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 1001429949 1710207444 10 Physicians RYAN LISA 606071644 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 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 0 106 0 0 0 0 0 0 106 0 0 1001430139 1497044044 16 Nurse Practitioners GRAY LASHONDA J 618012529 19 Champaign 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 0 188 0 0 0 0 0 0 188 0 0 1001430248 1598702862 33 Nursing Facilities JONESBORO REHAB HEALTH CARE 629522423 99 Union 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 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 764 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116760 0 0 0 0 0 0 0 116760 0 0 1001430373 1104268721 30 General Hospitals FRESENIUS MEDICAL CARE POLK 606074389 803 Arizona DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 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 1328 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17531 0 0 0 0 0 17531 0 0 1001430516 1245464122 10 Physicians CRAWLEY KATIE 616157835 80 Peoria 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 2 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 1048 0 0 0 0 0 0 1071 0 0 1001430536 1407086317 10 Physicians MARKS BENJAMIN 606118709 200 Cook 0 0 Dermatology 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 0 271 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 271 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3159 0 0 0 0 0 0 3159 0 0 1001430575 92 Waiver service provider--Disability (DHS/DRS) 106 Whiteside 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 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 27773 0 0 0 0 0 0 0 0 0 0 0 0 0 27773 0 0 1001430859 1255628723 10 Physicians BIRBAL JAIN ADITYA 618012529 19 Champaign 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 0 0 107 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 193 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 193 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 4235 0 0 0 0 0 0 4267 0 0 1001431107 98 Waiver service provider--TBI (DHS/DRS) 47 Jackson 0 0 0 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 13033 0 0 0 0 0 0 0 0 0 0 0 0 0 13033 0 0 1001431184 16 Nurse Practitioners 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 57 0 0 1001431256 1003080763 10 Physicians COSSEY LARRY 722114386 56 Knox 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 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 0 604 0 0 0 0 0 0 0 0 604 0 0 1001431520 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 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 0 197 0 0 0 0 0 0 197 0 0 1001431571 1174722409 10 Physicians KOSTAS TIA 605275965 30 DuPage 0 0 Internal Medicine 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 0 108 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 0 962 0 0 0 0 0 0 962 0 0 1001431612 1508033606 10 Physicians KLEVENE BARY 946081844 200 Cook 0 0 Emergency 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 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 0 997 0 0 0 0 0 0 997 0 0 1001432848 1013204262 10 Physicians BHATTARAI MUKUL 999999999 91 Sangamon 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 0 163 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 6629 0 0 0 0 0 0 6629 0 0 1001433019 1891016499 10 Physicians MUHR ASHLEY 601228942 53 Kane 0 1 Family Practice 0 0 0 0 3 0 0 0 0 0 0 1 0 19 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 1 0 28 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 1 0 28 0 0 0 0 0 0 0 0 0 524 0 0 0 0 0 0 2 0 595 0 0 0 0 0 0 1121 0 0 1001433103 1881906410 16 Nurse Practitioners JEFFORD HEATHER 627949248 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 442 0 0 0 0 0 0 442 0 0 1001433285 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 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26713 0 0 0 0 0 0 0 0 0 0 0 0 0 26713 0 0 1001433340 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 3111 0 0 0 0 0 0 0 0 0 0 0 0 0 3111 0 0 1001433490 1215220207 10 Physicians STECHER JULIE 612044028 89 Rock Island 0 0 Pediatrics 0 0 0 0 8 0 0 0 0 0 0 1 0 6 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 1 0 7 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 1 0 7 0 0 0 0 0 0 0 0 0 996 0 0 0 0 0 0 4 0 405 0 0 0 0 0 0 1405 0 0 1001433586 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 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 3239 0 0 0 0 0 0 0 0 0 0 0 0 0 3239 0 0 1001434293 1467862979 55 Early Intervention Services SILVA LUZ 606461251 200 Cook 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 0 536 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 536 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39975 0 0 0 0 0 0 39975 0 0 1001434683 1801168224 10 Physicians CHAN SAMSON 606183838 200 Cook 0 0 Surgery General 0 0 0 0 0 0 0 0 0 0 0 1 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 146 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 146 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3103 0 0 0 0 0 0 3103 0 0 1001434970 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 1224 0 0 0 0 0 0 0 0 0 0 0 0 0 1224 0 0 1001435130 1457566432 16 Nurse Practitioners KRAMMER LISA 606118709 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 929 0 0 0 0 0 0 929 0 0 1001435657 1023448420 16 Nurse Practitioners CURIEL MARTHA 606751611 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 0 744 0 0 0 0 0 0 744 0 0 1001436115 1003136458 10 Physicians MACKLIS JASON 606733039 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3747 0 0 0 0 0 0 3747 0 0 1001436887 1801238282 16 Nurse Practitioners LOCHNER LYNN R 604361876 107 Will 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 107 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 456 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 456 0 0 0 0 0 0 0 0 0 256 0 0 0 0 0 0 0 0 6763 0 0 0 0 0 0 7019 0 0 1001437007 1407125370 16 Nurse Practitioners SUHRE JESSICA 637015230 109 Winnebago 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 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 0 179 0 0 0 0 0 0 179 0 0 1001437066 1073826715 10 Physicians DUCTAN KERLINE 618223741 19 Champaign 0 0 Internal Medicine 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 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3299 0 0 0 0 0 0 3299 0 0 1001437460 1386819076 10 Physicians ARBOGAST LINCOLN F 606313222 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 2 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 53 0 0 0 0 0 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 0 0 1853 0 0 0 0 0 0 1853 0 0 1001437484 16 Nurse Practitioners 101 Wabash 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1001437524 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 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 39784 0 0 0 0 0 0 0 0 0 0 0 0 0 39784 0 0 1001437565 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3 0 0 0 0 0 0 3 0 0 1001438338 30 General Hospitals 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 231 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001438345 1548443146 16 Nurse Practitioners JACKSON WAYLON 627083428 91 Sangamon 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 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 880 0 0 0 0 0 0 880 0 0 1001438355 91 Waiver service provider--Adults (DHS/DDD) 97 Stephenson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 265 0 0 0 0 0 0 0 0 0 0 0 0 0 265 0 0 1001438809 1346564317 10 Physicians MULARSKI BRETTON 601901295 30 DuPage 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 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3153 0 0 0 0 0 0 3153 0 0 1001439085 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 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 21442 0 0 0 0 0 0 0 0 0 0 0 0 0 21442 0 0 1001439237 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 27482 0 0 0 0 0 0 0 0 0 0 0 0 0 27482 0 0 1001439444 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20834 0 0 0 0 0 0 0 0 0 0 0 0 0 20834 0 0 1001439691 1124348339 10 Physicians KO JANICE 601691031 200 Cook 0 0 Family Practice 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 0 245 0 0 0 0 0 0 245 0 0 1001440094 1093004079 10 Physicians GANAN SOTO ANGELA 601545716 200 Cook 0 0 Pediatrics 0 0 0 0 11 0 0 0 0 0 0 17 0 59 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 38 0 127 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 38 0 127 0 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 144 0 3984 0 0 0 0 0 0 4226 0 0 1001440149 92 Waiver service provider--Disability (DHS/DRS) 47 Jackson 0 0 0 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 10462 0 0 0 0 0 0 0 0 0 0 0 0 0 10462 0 0 1001440208 1194979369 10 Physicians JHA SAURABH 625571716 20 Christian 0 0 Cardiovascular Diseases 0 0 0 0 0 0 0 0 0 0 0 4 0 688 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 1302 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 1302 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 76 0 9645 0 0 0 0 0 0 9721 0 0 1001440464 1023456662 10 Physicians JOSEPH NORA E. 602011718 200 Cook 0 0 Pathology 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 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 0 175 0 0 0 0 0 0 0 0 175 0 0 1001440550 22 Physical Therapists 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 183 183 0 0 1001440583 10 Physicians 24 Coles 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 0 467 0 0 0 0 0 0 467 0 0 1001440746 10 Physicians 91 Sangamon 0 0 Hematology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001440851 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 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 28035 0 0 0 0 0 0 0 0 0 0 0 0 0 28035 0 0 1001441054 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 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1001441063 10 Physicians 89 Rock Island 0 0 Neurology Surgery 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 1001441625 4001441625 10 Physicians FLORENTINO POCHOLO 600165760 200 Cook 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 1 0 56 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 201 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 201 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 0 0 3466 0 0 0 0 0 0 3570 0 0 1001442237 1518946649 10 Physicians KUEHN NICOLAUS 925077401 805 California 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 177 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 651 0 3 0 0 0 0 0 0 654 0 0 1001442879 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20099 0 0 0 0 0 0 0 0 0 0 0 0 0 20099 0 0 1001442992 1477701639 10 Physicians MANOV ZLATINA 616151941 80 Peoria 0 0 Internal Medicine 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 0 188 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 3004 0 0 0 0 0 0 3004 0 0 1001442998 1730173048 33 Nursing Facilities PRESENCE RESURRECTION NRC 600682054 200 Cook 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 0 176 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4545 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 750662 0 0 0 0 0 0 0 750662 0 0 1001443355 1932519196 60 Pharmacies MARIANOS PHARMACY 8516 999999999 200 Cook 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 97 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4651 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3599 0 0 0 3599 0 0 1001443731 1427222934 10 Physicians KIMBALL DEBORAH 606123714 200 Cook 0 0 Emergency Medicine 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 0 433 0 0 0 0 0 0 433 0 0 1001443754 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 32080 0 0 0 0 0 0 0 0 0 0 0 0 0 32080 0 0 1001443967 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 0 119 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 7610 0 0 0 0 0 0 0 0 0 0 0 0 0 7610 0 0 1001444110 1508098476 10 Physicians COLMAN KATHRYN 606809094 200 Cook 0 0 Otolaryngology 0 0 0 0 0 0 0 0 0 0 0 1 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5290 0 0 0 0 0 0 5290 0 0 1001444223 1154616548 10 Physicians FONG ROBERT 605275965 30 DuPage 0 0 Anesthesiology 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 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10870 0 0 0 0 0 0 10870 0 0 1001444766 1831478627 10 Physicians ELEMO IBRAHIM 999999999 63 Macon 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 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 0 477 0 0 0 0 0 0 477 0 0 1001444816 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 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 40007 0 0 0 0 0 0 0 0 0 0 0 0 0 40007 0 0 1001445351 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 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 17 0 0 0 0 0 0 17 0 0 1001445458 1477995611 16 Nurse Practitioners DAMBACHER MARY T 627083428 91 Sangamon 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 1341 0 0 0 0 0 0 1355 0 0 1001445630 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 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 19754 0 0 0 0 0 0 0 0 0 0 0 0 0 19754 0 0 1001446443 1972937480 48 Rural Health Clinics RIVERVIEW PEDIATRICS 618328513 100 Vermilion 0 1 0 0 195 0 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 869 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 869 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31352 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31352 0 0 1001446456 10 Physicians 89 Rock Island 0 0 Family Practice 0 0 0 0 0 0 0 0 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 95 0 0 0 0 0 0 95 0 0 1001446678 1568672426 10 Physicians AHMAD SHARJEEL 616052576 80 Peoria 0 1 Infectious Diseases 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 1972 0 0 0 0 0 0 1972 0 0 1001446969 1114334695 16 Nurse Practitioners ZENG YUZHEN 611086479 109 Winnebago 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 0 271 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 271 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2092 0 0 0 0 0 0 2092 0 0 1001447163 10 Physicians 200 Cook 0 0 Emergency 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 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 0 525 0 0 0 0 0 0 525 0 0 1001447318 10 Physicians 200 Cook 0 0 Nephrology 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 43 0 0 0 0 0 0 43 0 0 1001447479 91 Waiver service provider--Adults (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 252 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 27847 0 0 0 0 0 0 0 0 0 0 0 0 0 27847 0 0 1001447603 1013348069 16 Nurse Practitioners OJI CHIDINMA U 606313222 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 103 0 0 0 0 0 0 103 0 0 1001447620 1922399476 10 Physicians SANDALOW NATHAN H 946081844 200 Cook 0 0 Emergency Medicine 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 0 129 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 4107 0 0 0 0 0 0 4107 0 0 1001448286 1760776371 10 Physicians FISH MELISSA 601228942 53 Kane 0 0 Family Practice 0 0 0 0 3 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 568 0 0 0 0 0 0 0 0 339 0 0 0 0 0 0 907 0 0 1001448343 1679712640 10 Physicians SONG YOUNG 610811252 106 Whiteside 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 2 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120 0 2857 0 0 0 0 0 0 2977 0 0 1001448815 1356779318 16 Nurse Practitioners GREGGAIN JENNIFER A 604106003 107 Will 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 1580 0 0 0 0 0 0 1580 0 0 1001449130 87 Psychologist(Encounter Only) 72 McLean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 1001449264 1770548687 10 Physicians AHMAD WASEEM 462601316 200 Cook 0 0 Internal 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 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 1073 0 0 0 0 0 0 1073 0 0 1001449627 1174563217 10 Physicians JOHNSON REUBEN D 631600352 826 Missouri 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 337 0 0 0 0 0 0 337 0 0 1001450241 1447691571 48 Rural Health Clinics GIRARD FAMILY HEALTH CARE 626401547 64 Macoupin 0 1 0 0 14 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1406 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1406 0 0 1001450395 4001450395 10 Physicians GUILLIAMS KRISTIN 631600352 80 Peoria 0 0 Neurology 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 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 2965 0 0 0 0 0 0 2965 0 0 1001450412 4001450412 16 Nurse Practitioners CAULFIELD VICTORIA L 606118709 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 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 0 738 0 0 0 0 0 0 738 0 0 1001450631 1790847119 75 Department of Alcohol and Substance Abuse Provider FAMILY GUIDANCE CENTERS INC 605052155 53 Kane 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 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 5945 0 0 5945 0 0 1001451007 16 Nurse Practitioners 100 Vermilion 0 0 0 0 0 0 0 0 0 0 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 1001451185 29 ICF/MR 57 Lake 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1460 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 464596 0 0 0 0 0 0 0 0 0 0 464596 0 0 1001451476 1194148346 33 Nursing Facilities APERION CARE ST ELMO 624581662 34 Fayette 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 0 178 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3850 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 551014 0 0 0 0 0 0 0 551014 0 0 1001451518 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 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 26744 0 0 0 0 0 0 0 0 0 0 0 0 0 26744 0 0 1001451704 1295169324 16 Nurse Practitioners NORDSTROM ANNETTA M 503061455 200 Cook 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0 0 0 0 819 0 0 0 0 0 0 0 0 2862 0 0 0 0 0 0 3681 0 0 1001451707 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 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28350 0 0 0 0 0 0 0 0 0 0 0 0 0 28350 0 0 1001452028 1588908404 16 Nurse Practitioners CHAUFF BERTRAND D 606784200 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 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 0 728 0 0 0 0 0 0 728 0 0 1001452085 1417261967 10 Physicians COPPER TARA 631101002 826 Missouri 0 0 Pediatrics 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 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 2551 0 0 0 0 0 0 2571 0 0 1001452433 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 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 0 118 118 0 0 1001452568 1023438397 61 Independent Laboratories SIMPLE LABORATORIES LLC 607064500 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1804 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18720 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18720 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 521780 0 0 0 0 0 0 0 0 521780 0 0 1001452588 1376988949 16 Nurse Practitioners KANNAN VANADHI 618012529 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 541 0 0 0 0 0 0 541 0 0 1001452800 1922094051 33 Nursing Facilities ASCENSION VILLA FRANSISCAN 604356589 107 Will 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 0 177 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4143 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 505832 0 0 0 0 0 0 0 505832 0 0 1001453075 1194929687 10 Physicians BUDGE PHILIP 63110 826 Missouri 0 0 Infectious Diseases 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 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 66 0 0 0 0 0 0 66 0 0 1001453131 1477963924 16 Nurse Practitioners MITCHELL JAIME 618012529 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 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 2044 0 0 0 0 0 0 2044 0 0 1001453169 4001453169 91 Waiver service provider--Adults (DHS/DDD) CARITAS FAMILY SOLUTIONS 622231719 96 St Clair 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 7433 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7433 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1887363 0 0 0 0 0 0 0 0 0 0 0 0 0 1887363 0 0 1001453238 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 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12276 0 0 0 0 0 0 0 0 0 0 0 0 0 12276 0 0 1001453291 10 Physicians 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 116 0 0 1001453344 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 0 359 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 359 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29125 0 0 0 0 0 0 0 0 0 0 0 0 0 29125 0 0 1001453648 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 30274 0 0 0 0 0 0 0 0 0 0 0 0 0 30274 0 0 1001454017 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 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 98 0 0 0 0 0 0 98 0 0 1001454043 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12727 0 0 0 0 0 0 0 0 0 0 0 0 0 12727 0 0 1001454235 1831513357 50 Home Health Agencies - In Home UC CARES HOME HEALTH SERVICES 604905519 107 Will 0 0 0 0 0 0 0 0 6 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1717 2072 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1717 2072 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 750172 217974 0 0 0 0 0 0 0 0 0 0 0 0 968146 0 0 1001454266 1477969558 11 Dentists ALRAMLI OMAR 606255009 200 Cook 0 0 General Dentistry 0 0 0 38 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 4915 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4915 0 0 1001454538 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 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 2108 0 0 0 0 0 0 0 0 0 0 0 0 0 2108 0 0 1001454701 92 Waiver service provider--Disability (DHS/DRS) 27 Dekalb 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 17698 0 0 0 0 0 0 0 0 0 0 0 0 0 17698 0 0 1001454889 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3329 0 0 0 0 0 0 0 0 0 0 0 0 0 3329 0 0 1001455051 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 378 0 0 0 0 0 0 0 0 0 0 0 0 0 378 0 0 1001455094 1972798049 10 Physicians KOTH KEVIN 629486334 108 Williamson 0 0 Orthopedic Surgery 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4671 0 0 0 0 0 0 4671 0 0 1001455542 10 Physicians 91 Sangamon 0 0 Plastic 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 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 0 143 0 0 0 0 0 0 143 0 0 1001455699 1730112939 33 Nursing Facilities SOUTH ELGIN REHAB HEALTH CARE 601771424 53 Kane 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 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 415077 0 0 0 0 0 0 0 415077 0 0 1001456017 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12773 0 0 0 0 0 0 0 0 0 0 0 0 0 12773 0 0 1001457165 1689601502 10 Physicians RETHY MICHAEL C 618012529 19 Champaign 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 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 0 333 0 0 0 0 0 0 0 0 333 0 0 1001457279 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 0 264 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 20348 0 0 0 0 0 0 0 0 0 0 0 0 0 20348 0 0 1001457473 91 Waiver service provider--Adults (DHS/DDD) 79 Ogle 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25358 0 0 0 0 0 0 0 0 0 0 0 0 0 25358 0 0 1001457979 1245657568 60 Pharmacies OSCO DRUG #2507 600211208 71 McHenry 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 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1549 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7096 0 0 0 7096 0 0 1001458196 10 Physicians 107 Will 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001458331 1902236953 16 Nurse Practitioners ERNST STEPHANIE 610811252 106 Whiteside 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 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2881 0 0 0 0 0 0 2881 0 0 1001458446 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 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27907 0 0 0 0 0 0 0 0 0 0 0 0 0 27907 0 0 1001458668 1265773386 60 Pharmacies WALMART PHARMACY 10-5965 606283804 200 Cook 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 1032 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35610 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90659 0 0 0 90659 0 0 1001459134 1003043167 10 Physicians WANG MARK C 480381125 91 Sangamon 0 0 Clinical Pathology 0 0 0 0 0 0 0 0 0 0 0 99 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 157 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 157 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1848 0 69 0 0 0 0 0 0 1917 0 0 1001459329 1528228624 10 Physicians MURTHY AVINASH 628646293 49 Jefferson 0 0 Cardiology 0 0 0 0 0 0 0 0 0 0 0 1 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 497 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 497 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 7873 0 0 0 0 0 0 7882 0 0 1001459573 1104912856 10 Physicians GLASGOW SEAN 631600352 53 Kane 0 0 Colon - Rectal Surgery 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 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 1369 0 0 0 0 0 0 1369 0 0 1001459583 1609000959 24 Speech Therapists NEAL LINDA A 631600352 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 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 0 248 248 0 0 1001460045 1780007567 16 Nurse Practitioners MONTES ANGELICA 601228942 30 DuPage 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 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 0 635 0 0 0 0 0 0 635 0 0 1001460053 10 Physicians 200 Cook 0 0 Nephrology 0 0 0 0 0 0 0 0 0 0 0 2 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 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 1001460129 1275732133 10 Physicians SINGH PARAM 527613433 109 Winnebago 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 9 0 358 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 775 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 775 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 574 0 7603 0 0 0 0 0 0 8177 0 0 1001460668 1932450772 48 Rural Health Clinics CROSSROADS FAM MED WAYNE CITY 628959672 104 Wayne 0 1 0 0 124 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 509 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 509 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13656 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13656 0 0 1001461325 1275795932 10 Physicians CHEEMA JASKIRAN 605066222 53 Kane 0 0 Internal Medicine 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 0 377 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 377 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4290 0 0 0 0 0 0 4290 0 0 1001461481 1588978365 10 Physicians RAMOS GEMA 605855826 107 Will 0 1 Family Practice 0 0 0 0 18 0 0 0 0 0 0 3 0 85 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 3 0 240 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 3 0 240 0 0 0 0 0 0 0 0 0 1428 0 0 0 0 0 0 18 0 9153 0 0 0 0 0 0 10599 0 0 1001461559 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 267 0 0 0 0 0 0 0 0 0 0 0 0 0 267 0 0 1001461648 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 0 144 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 30275 0 0 0 0 0 0 0 0 0 0 0 0 0 30275 0 0 1001461884 1255675674 16 Nurse Practitioners LEE HYE M 606124199 200 Cook 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 2 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 871 0 0 0 0 0 0 904 0 0 1001462323 1619125598 10 Physicians KIRILUK SHIVANI 605400954 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1771 0 0 0 0 0 0 1771 0 0 1001462595 1881970655 63 Other Providers of Medical Equipment/Supplies (Non-registered) NUMOTION 616115536 98 Tazewell 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1840 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1840 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 354679 0 0 0 0 0 0 354679 0 0 1001462637 1487946810 39 Hospice ACCORD HOSPICE INC 600154930 57 Lake 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 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1953 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 368452 0 0 0 0 0 0 0 0 0 0 0 368452 0 0 1001462653 1871830083 16 Nurse Practitioners BINGHAM WENDY 605869417 107 Will 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 73 0 0 0 0 0 0 73 0 0 1001463097 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 19822 0 0 0 0 0 0 0 0 0 0 0 0 0 19822 0 0 1001463246 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 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30267 0 0 0 0 0 0 0 0 0 0 0 0 0 30267 0 0 1001463570 92 Waiver service provider--Disability (DHS/DRS) 74 Mercer 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5196 0 0 0 0 0 0 0 0 0 0 0 0 0 5196 0 0 1001463604 1477879880 10 Physicians KHALIL SOFIA 600681143 200 Cook 0 0 Internal 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 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 0 209 0 0 0 0 0 0 209 0 0 1001464142 1821404484 60 Pharmacies MEIJER PHARMACY 219 604918464 107 Will 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 0 516 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16957 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15180 0 0 0 15180 0 0 1001464207 1831514470 16 Nurse Practitioners KIRBY CONSTANCE 629023988 47 Jackson 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 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 1076 0 0 0 0 0 0 1076 0 0 1001464691 1336450279 10 Physicians SHIELDS JACOB 600450689 57 Lake 0 0 Anesthesiology 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 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 3433 0 0 0 0 0 0 3433 0 0 1001465469 1629232699 10 Physicians SINGH STEVEN 607073717 200 Cook 0 0 Surgery General 0 0 0 0 0 0 0 0 0 0 0 1 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10465 0 0 0 0 0 0 10465 0 0 1001465923 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 24854 0 0 0 0 0 0 0 0 0 0 0 0 0 24854 0 0 1001467161 1013176684 10 Physicians KIRCHER MATTHEW 601545716 200 Cook 0 0 Otolaryngology 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 0 123 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 5560 0 0 0 0 0 0 5560 0 0 1001467387 1922290600 10 Physicians MILLER EMILY 606118709 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 5 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 285 0 0 0 0 0 0 454 0 0 1001467777 4001467777 91 Waiver service provider--Adults (DHS/DDD) SANCHEZ JESUS P 604611067 200 Cook 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 2453 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2453 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 144974 0 0 0 0 0 0 0 0 0 0 0 0 0 144974 0 0 1001468481 1033531736 16 Nurse Practitioners FORD WANISSA 606751611 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 186 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 1136 0 0 0 0 0 0 1136 0 0 1001468712 1801108766 16 Nurse Practitioners SISCO KATHLEEN 999999999 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 274 0 0 0 0 0 0 274 0 0 1001468798 1740611540 60 Pharmacies MARIANOS PHARMACY 8521 600896555 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 781 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1842 0 0 0 1842 0 0 1001469225 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 24345 0 0 0 0 0 0 0 0 0 0 0 0 0 24345 0 0 1001469688 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 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 3075 0 0 0 0 0 0 0 0 0 0 0 0 0 3075 0 0 1001469769 1891009841 10 Physicians JANKOWSKI MATTHEW 601691019 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 173 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 9386 0 0 0 0 0 0 9386 0 0 1001470535 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 0 249 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 12174 0 0 0 0 0 0 0 0 0 0 0 0 0 12174 0 0 1001470646 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 26762 0 0 0 0 0 0 0 0 0 0 0 0 0 26762 0 0 1001470736 1922324383 10 Physicians MANDIYAN VIDYA 605045897 53 Kane 0 0 Internal Medicine 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 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6467 0 0 0 0 0 0 6467 0 0 1001470921 4001470921 10 Physicians KOHAUS ASHLEY 617013506 72 McLean 0 0 Pediatrics 0 0 0 0 22 0 0 0 0 0 0 13 0 33 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 15 0 69 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 15 0 69 0 0 0 0 0 0 0 0 0 2373 0 0 0 0 0 0 322 0 2912 0 0 0 0 0 0 5607 0 0 1001470953 1740626902 60 Pharmacies WALGREENS #15506 606234036 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 302 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2087 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106519 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 255142 0 0 0 255142 0 0 1001471017 1083907844 10 Physicians STEINER HOLLY L 631600352 109 Winnebago 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 2 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 316 0 0 0 0 0 0 321 0 0 1001471468 1700106028 10 Physicians JABEEN SUMAIRA 601080425 30 DuPage 0 1 Family Practice 0 0 0 0 7 0 0 0 0 0 0 1 0 20 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 1 0 61 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 1 0 61 0 0 0 0 0 0 0 0 0 720 0 0 0 0 0 0 51 0 1938 0 0 0 0 0 0 2709 0 0 1001471743 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 4491 0 0 0 0 0 0 0 0 0 0 0 0 0 4491 0 0 1001472167 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 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28008 0 0 0 0 0 0 0 0 0 0 0 0 0 28008 0 0 1001472257 1730474685 10 Physicians TIBREWALA ANJAN 601224698 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 107 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 371 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 371 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 4375 0 0 0 0 0 0 4382 0 0 1001472318 92 Waiver service provider--Disability (DHS/DRS) 89 Rock Island 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5864 0 0 0 0 0 0 0 0 0 0 0 0 0 5864 0 0 1001472701 92 Waiver service provider--Disability (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 20801 0 0 0 0 0 0 0 0 0 0 0 0 0 20801 0 0 1001472765 1114174562 10 Physicians KATSOULI ANTHI 606445059 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 188 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 188 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 1950 0 0 0 0 0 0 1969 0 0 1001472818 1609173426 10 Physicians BEALL-SACASA ALLAN J 175380093 24 Coles 0 0 Emergency Medicine 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 0 0 0 0 0 343 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 0 0 0 0 0 0 0 0 0 0 0 0 4120 0 0 0 0 0 0 4120 0 0 1001473039 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 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28377 0 0 0 0 0 0 0 0 0 0 0 0 0 28377 0 0 1001473181 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 18906 0 0 0 0 0 0 0 0 0 0 0 0 0 18906 0 0 1001473334 1679998140 16 Nurse Practitioners GIPSON JONATHAN P 420033802 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 0 127 0 0 0 0 0 0 127 0 0 1001473393 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 0 151 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 16054 0 0 0 0 0 0 0 0 0 0 0 0 0 16054 0 0 1001473581 1144501081 16 Nurse Practitioners ODONNELL MARGUERITE M 606733039 200 Cook 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 0 106 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 3294 0 0 0 0 0 0 3308 0 0 1001473758 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 11853 0 0 0 0 0 0 0 0 0 0 0 0 0 11853 0 0 1001473969 1295950871 63 Other Providers of Medical Equipment/Supplies (Non-registered) LINCARE INC 630451205 826 Missouri 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 0 471 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 471 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31443 0 0 0 0 0 0 31443 0 0 1001474051 1962667956 10 Physicians STEIN ADAM 606118709 200 Cook 0 0 Gastroenterology 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 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 1291 0 0 0 0 0 0 1291 0 0 1001474087 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 14401 0 0 0 0 0 0 0 0 0 0 0 0 0 14401 0 0 1001474562 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 0 168 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 30132 0 0 0 0 0 0 0 0 0 0 0 0 0 30132 0 0 1001474756 91 Waiver service provider--Adults (DHS/DDD) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2449 0 0 0 0 0 0 0 0 0 0 0 0 0 2449 0 0 1001474816 1225257694 10 Physicians BASHIR HAMID 601220021 53 Kane 0 0 Rheumatology 0 0 0 0 0 0 0 0 0 0 0 3 0 88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 199 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 199 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 2270 0 0 0 0 0 0 2292 0 0 1001474939 1730504689 23 Occupational Therapists SEYMOUR LISA 280368882 91 Sangamon 0 0 0 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 1975 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1975 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 154630 154630 0 0 1001475617 30 General Hospitals 826 Missouri 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 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 396 0 0 0 0 0 396 0 0 1001475658 1447409115 10 Physicians RAMOS EDWIN 605275965 30 DuPage 0 0 Neurology Surgery 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7080 0 0 0 0 0 0 7080 0 0 1001475689 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 14106 0 0 0 0 0 0 0 0 0 0 0 0 0 14106 0 0 1001475695 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12158 0 0 0 0 0 0 0 0 0 0 0 0 0 12158 0 0 1001475744 1568604726 10 Physicians BASHIR MARIAH 535381960 852 Wisconsin 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 365 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 522 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 522 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17524 0 0 0 0 0 0 0 0 17524 0 0 1001476105 1992010516 10 Physicians PATEL YAYATI 605407430 30 DuPage 0 1 Family Practice 0 0 0 0 7 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 120 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 120 0 0 0 0 0 0 0 0 0 669 0 0 0 0 0 0 0 0 3519 0 0 0 0 0 0 4188 0 0 1001476115 1598897993 47 Local Education Agencies RURAL CHAMPAIGN CO SPC ED COOP 618662946 19 Champaign 0 0 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 3226 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3226 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 131381 0 131381 0 0 1001476662 1891128443 55 Early Intervention Services JARAMILLO LAURA 606313222 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 2577 0 0 0 0 0 0 2577 0 0 1001477008 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 0 342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28460 0 0 0 0 0 0 0 0 0 0 0 0 0 28460 0 0 1001477165 1265644371 10 Physicians SAGHA HAMID R 946081844 57 Lake 0 0 PD or FP refer arrangement 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 0 572 0 0 0 0 0 0 572 0 0 1001477391 1316254139 10 Physicians BLACK ASHLEY 606313716 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 173 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 776 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 776 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 22654 0 0 0 0 0 0 22662 0 0 1001477751 1417264144 10 Physicians NATARAJAN APARNA 601813966 30 DuPage 0 0 Internal Medicine 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 0 503 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 503 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4710 0 0 0 0 0 0 4710 0 0 1001477898 1083030233 48 Rural Health Clinics OSF MEDICAL GROUP KEWANEE 614438354 45 Henry 0 1 0 0 471 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1864 0 145 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1864 0 145 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50539 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50539 0 0 1001478267 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 15190 0 0 0 0 0 0 0 0 0 0 0 0 0 15190 0 0 1001478433 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 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16749 0 0 0 0 0 0 0 0 0 0 0 0 0 16749 0 0 1001478469 1841624608 16 Nurse Practitioners VILLEGAS EMMANUEL 602011700 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 1300 0 0 0 0 0 0 1312 0 0 1001478591 1598039661 16 Nurse Practitioners WENDELL MELISSA K 625264766 63 Macon 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 6323 0 0 0 0 0 0 6408 0 0 1001478648 91 Waiver service provider--Adults (DHS/DDD) 104 Wayne 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 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 12206 0 0 0 0 0 0 0 0 0 0 0 0 0 12206 0 0 1001478678 1578859476 10 Physicians KUMAR MALINI 606740018 200 Cook 0 0 Pediatrics 0 0 0 0 7 0 0 0 0 0 0 1 0 13 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 1 0 14 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 1 0 14 0 0 0 0 0 0 0 0 0 555 0 0 0 0 0 0 2 0 593 0 0 0 0 0 0 1150 0 0 1001478739 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 0 168 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 27889 0 0 0 0 0 0 0 0 0 0 0 0 0 27889 0 0 1001479405 1710143193 10 Physicians LAKHA ASIF M 606733039 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 8269 0 0 0 0 0 0 8302 0 0 1001479533 1780726505 10 Physicians SCHUELER WILLIAM 605406599 30 DuPage 0 0 Neurology Surgery 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3731 0 0 0 0 0 0 3731 0 0 1001480515 92 Waiver service provider--Disability (DHS/DRS) 836 Ohio 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 24268 0 0 0 0 0 0 0 0 0 0 0 0 0 24268 0 0 1001480663 1053623330 10 Physicians HOLSCHBACH JUSTIN 616151941 55 Kendall 0 1 Family Practice 0 0 0 0 0 0 0 0 0 0 0 6 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 120 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 120 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 1543 0 0 0 0 0 0 1558 0 0 1001480929 1003249186 16 Nurse Practitioners CHILDS DOUGLAS 616152402 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 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 0 572 0 0 0 0 0 0 572 0 0 1001481066 1609104603 16 Nurse Practitioners CASSELL NICOLE R 631600352 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 499 0 0 0 0 0 0 499 0 0 1001481254 1134556277 60 Pharmacies MEIJER PHARMACY 269 618321118 100 Vermilion 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1498 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44742 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66366 0 0 0 66366 0 0 1001481281 1457679961 16 Nurse Practitioners MOSS LIA 606118709 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 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 0 334 0 0 0 0 0 0 334 0 0 1001481305 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3317 0 0 0 0 0 0 0 0 0 0 0 0 0 3317 0 0 1001481397 98 Waiver service provider--TBI (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2547 0 0 0 0 0 0 0 0 0 0 0 0 0 2547 0 0 1001481424 1710271846 10 Physicians NIIRO LAURA A 606081732 200 Cook 0 1 Family Practice 0 0 0 0 3 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 64 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 331 0 0 0 0 0 0 0 0 1327 0 0 0 0 0 0 1658 0 0 1001482002 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1162 0 0 0 0 0 0 0 0 0 0 0 0 0 1162 0 0 1001482084 1053632844 10 Physicians ANAENE MUTIMBWA J 606313222 200 Cook 0 0 Pediatrics 0 0 0 0 5 0 0 0 0 0 0 6 0 29 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 13 0 61 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 13 0 61 0 0 0 0 0 0 0 0 0 263 0 0 0 0 0 0 35 0 5542 0 0 0 0 0 0 5840 0 0 1001482290 11 Dentists 200 Cook 0 0 General Dentistry 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 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94 0 0 1001482317 1427478817 16 Nurse Practitioners TAYLOR CHRISTINE 606781034 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 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 0 821 0 0 0 0 0 0 821 0 0 1001483366 1013203314 10 Physicians WILFORD JONATHAN 623012662 10 Adams 0 1 Family Practice 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 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 0 585 0 0 0 0 0 0 585 0 0 1001483398 4001483398 10 Physicians GARCIA CLEO 761165707 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 280 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11769 0 0 0 0 0 0 11769 0 0 1001483415 1376802462 60 Pharmacies ROCK VALLEY COMPOUNDING PHARM 611084323 109 Winnebago 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 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2403 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3398 0 0 0 3398 0 0 1001483523 1497187389 16 Nurse Practitioners COPPLE ASHLEY 618012529 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 444 0 0 0 0 0 0 444 0 0 1001483543 1649602566 55 Early Intervention Services FOUSHI DAWN M 463751781 55 Kendall 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 0 981 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 981 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58930 0 0 0 0 0 0 58930 0 0 1001483694 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 27832 0 0 0 0 0 0 0 0 0 0 0 0 0 27832 0 0 1001483704 10 Physicians 47 Jackson 0 0 General Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 33 0 0 0 0 0 0 33 0 0 1001483844 1992059976 48 Rural Health Clinics MILFORD MEDICAL CLINIC 609531012 46 Iroquois 0 1 0 0 63 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4392 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4392 0 0 1001484237 1730318890 10 Physicians DURHAM RACHEL 620021058 65 Madison 0 0 Obstetric-Gynecology 0 0 0 0 1 0 0 0 0 0 0 12 0 38 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 38 0 72 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 38 0 72 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 1126 0 6405 0 0 0 0 0 0 7616 0 0 1001484751 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 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1001484768 1750525879 10 Physicians WAGHELA NIHIR S 321278979 34 Fayette 0 0 Anesthesiology 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 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 3821 0 0 0 0 0 0 3821 0 0 1001484802 92 Waiver service provider--Disability (DHS/DRS) 51 Jo Daviess 0 0 0 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 35118 0 0 0 0 0 0 0 0 0 0 0 0 0 35118 0 0 1001485099 91 Waiver service provider--Adults (DHS/DDD) 27 Dekalb 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 306 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 306 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15730 0 0 0 0 0 0 0 0 0 0 0 0 0 15730 0 0 1001485624 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 28460 0 0 0 0 0 0 0 0 0 0 0 0 0 28460 0 0 1001485703 1659533529 10 Physicians ALHAMAD TAREK 631600352 200 Cook 0 0 Nephrology 0 0 0 0 0 0 0 0 0 0 0 5 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 80 0 0 0 0 0 0 85 0 0 1001485813 1881018182 60 Pharmacies WALGREENS #15460 604532600 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 377 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 4624 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 120339 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 203 0 0 937056 0 0 0 937259 0 0 1001486008 1932174513 10 Physicians MENDOZA CARRIE 606575306 200 Cook 0 0 Emergency 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 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 0 751 0 0 0 0 0 0 751 0 0 1001486154 1447314653 48 Rural Health Clinics FAMILY MEDICAL CENTER-CHRISMAN 619241118 31 Edgar 0 1 0 0 99 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 376 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 376 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8032 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8032 0 0 1001486219 10 Physicians 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 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 26 0 0 0 0 0 0 26 0 0 1001486345 10 Physicians 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 1001486598 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 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 5709 0 0 0 0 0 0 0 0 0 0 0 0 0 5709 0 0 1001486741 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 0 130 0 0 0 0 0 0 130 0 0 1001486818 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 0 182 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 26250 0 0 0 0 0 0 0 0 0 0 0 0 0 26250 0 0 1001486934 92 Waiver service provider--Disability (DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22357 0 0 0 0 0 0 0 0 0 0 0 0 0 22357 0 0 1001487359 1215184577 10 Physicians KIRCHER SHEETAL 606118709 200 Cook 0 0 Oncology 0 0 0 0 0 0 0 0 0 0 0 1 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 362 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 362 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 104748 0 0 0 0 0 0 104754 0 0 1001487380 1407010333 10 Physicians MCGEE MACKENZIE 616370001 80 Peoria 0 0 Radiation Oncology 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 0 153 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 4833 0 0 0 0 0 0 4833 0 0 1001487621 10 Physicians 200 Cook 0 0 Ophthalmology 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 0 168 0 0 0 0 0 0 168 0 0 1001487958 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 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 3014 0 0 0 0 0 0 0 0 0 0 0 0 0 3014 0 0 1001488624 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 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23706 0 0 0 0 0 0 0 0 0 0 0 0 0 23706 0 0 1001488665 1699088203 10 Physicians BANIYA SHRUTEE 629011462 47 Jackson 0 0 Internal Medicine 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 0 363 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 7065 0 0 0 0 0 0 7065 0 0 1001488765 16 Nurse Practitioners 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 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 0 152 0 0 0 0 0 0 152 0 0 1001488864 1689823833 10 Physicians SCHOENBERGER JENNIFER L 606751620 200 Cook 0 0 Endocrinology 0 0 0 0 0 0 0 0 0 0 0 6 0 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 1536 0 0 0 0 0 0 1623 0 0 1001488966 1932449345 16 Nurse Practitioners STETZLER TRISHA C. 616151941 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3433 0 0 0 0 0 0 3433 0 0 1001489137 1801143482 13 Podiatrists NWANKPA ONWUKAMIKE 602013935 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3516 0 0 0 0 0 0 3516 0 0 1001489536 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 0 299 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 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1001489547 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 15 0 0 1001489949 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 0 164 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 27847 0 0 0 0 0 0 0 0 0 0 0 0 0 27847 0 0 1001490160 1053576827 10 Physicians BOSS JEFFREY 637034928 53 Kane 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 337 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 442 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 442 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4143 0 124 0 0 0 0 0 0 4267 0 0 1001490182 1619213212 60 Pharmacies ANOVORX GROUP LLC 381347403 844 Tennessee 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 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2924 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 475552 0 0 0 475552 0 0 1001490339 1447681044 10 Physicians KAKOLLU VENKAT 61603 80 Peoria 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1339 0 0 0 0 0 0 1339 0 0 1001490341 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 0 249 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 21263 0 0 0 0 0 0 0 0 0 0 0 0 0 21263 0 0 1001490416 1538407382 16 Nurse Practitioners KIEL BRYCE 620406923 65 Madison 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 28 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 1001490487 1750704797 16 Nurse Practitioners BERGER AMANDA 999999999 54 Kankakee 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 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 0 575 0 0 0 0 0 0 575 0 0 1001490589 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 0 283 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 283 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13897 0 0 0 0 0 0 0 0 0 0 0 0 0 13897 0 0 1001490804 1023349230 16 Nurse Practitioners MCGINNIS BECKY 624014632 26 Cumberland 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 2 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 0 431 0 0 1001491009 1689994014 10 Physicians BRAMHAM AMANDA 619384644 24 Coles 0 1 Family Practice 0 0 0 0 5 0 0 0 0 0 0 1 0 23 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 1 0 32 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 1 0 32 0 0 0 0 0 0 0 0 0 301 0 0 0 0 0 0 0 0 437 0 0 0 0 0 0 738 0 0 1001491963 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 48 0 0 1001492107 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 22606 0 0 0 0 0 0 0 0 0 0 0 0 0 22606 0 0 1001492268 1780734103 60 Pharmacies DCAM CLINIC PHARMACY 606371426 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 942 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6442 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 211998 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1266445 0 0 0 1266445 0 0 1001492573 92 Waiver service provider--Disability (DHS/DRS) 79 Ogle 0 0 0 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 30361 0 0 0 0 0 0 0 0 0 0 0 0 0 30361 0 0 1001493053 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 0 250 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 11692 0 0 0 0 0 0 0 0 0 0 0 0 0 11692 0 0 1001493154 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 0 180 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 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1001493558 92 Waiver service provider--Disability (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 7879 0 0 0 0 0 0 0 0 0 0 0 0 0 7879 0 0 1001493561 1871819383 10 Physicians HUANG SEAN 606118709 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 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 0 761 0 0 0 0 0 0 761 0 0 1001493792 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 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 1330 0 0 0 0 0 0 0 0 0 0 0 0 0 1330 0 0 1001493848 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 0 277 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 277 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23236 0 0 0 0 0 0 0 0 0 0 0 0 0 23236 0 0 1001493976 1184665424 10 Physicians AMIN HETAL 999999999 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 594 0 0 0 0 0 0 594 0 0 1001494052 10 Physicians 826 Missouri 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 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 0 323 0 0 0 0 0 0 323 0 0 1001494173 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 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 26296 0 0 0 0 0 0 0 0 0 0 0 0 0 26296 0 0 1001494365 1508202045 16 Nurse Practitioners CHEN YUAN 441413255 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 437 0 0 0 0 0 0 437 0 0 1001494461 1366678096 10 Physicians LEWIS JAIME 600103141 57 Lake 0 0 Internal Medicine 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 717 0 0 0 0 0 0 717 0 0 1001495032 70 Ambulance Service Providers 100 Vermilion 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 0 949 0 0 0 0 0 0 949 0 0 1001495298 1346521630 75 Department of Alcohol and Substance Abuse Provider ROSECRANCE INC 610086512 13 Boone 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 6222 0 0 6222 0 0 1001495388 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 0 200 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 28317 0 0 0 0 0 0 0 0 0 0 0 0 0 28317 0 0 1001495404 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 0 120 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 16308 0 0 0 0 0 0 0 0 0 0 0 0 0 16308 0 0 1001495506 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 15186 0 0 0 0 0 0 0 0 0 0 0 0 0 15186 0 0 1001496355 1922290451 10 Physicians REID ADAM 627949639 91 Sangamon 0 0 Traumatic Surgery 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 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15132 0 0 0 0 0 0 15132 0 0 1001496518 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 0 167 0 0 0 0 0 0 167 0 0 1001496571 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 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 29296 0 0 0 0 0 0 0 0 0 0 0 0 0 29296 0 0 1001497084 24 Speech Therapists 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1709 1709 0 0 1001497440 1891066833 30 General Hospitals HOME DIALYSIS SERVICES LLC 604918400 107 Will DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1294 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19796 0 0 0 0 0 19796 0 0 1001497955 1104259894 16 Nurse Practitioners HOYER ERICA 610081702 13 Boone 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 6754 0 0 0 0 0 0 6766 0 0 1001498011 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 6174 0 0 0 0 0 0 0 0 0 0 0 0 0 6174 0 0 1001498091 1699942177 10 Physicians ALKHUDARI SAMER 606124861 200 Cook 0 0 Otolaryngology 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 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14183 0 0 0 0 0 0 14183 0 0 1001498126 1437438660 10 Physicians BAVANI NAZLI 605407430 30 DuPage 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 0 179 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 3125 0 0 0 0 0 0 3125 0 0 1001498159 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39996 0 0 0 0 0 0 0 0 0 0 0 0 0 39996 0 0 1001498232 1508201237 91 Waiver service provider--Adults (DHS/DDD) RUBIO ALEXANDRIA 606226731 200 Cook 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 3263 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3263 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128741 0 0 0 0 0 0 0 0 0 0 0 0 0 128741 0 0 1001498327 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 229 0 0 1001498732 33 Nursing Facilities 53 Kane 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 0 163 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28458 0 0 0 0 0 0 0 28458 0 0 1001498814 10 Physicians 811 Georgia 0 0 Neurology 0 0 0 0 0 0 0 0 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 0 125 0 0 0 0 0 0 125 0 0 1001499021 1942561436 11 Dentists HAFEEZ TARIQ 600773681 200 Cook 0 0 General Dentistry 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 310 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 310 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13604 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13604 0 0 1001499125 60 Pharmacies 844 Tennessee 0 0 0 0 0 0 0 0 0 0 0 0 0 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 291381 0 0 0 291381 0 0 1001499825 1619285905 10 Physicians CHUNDURU PRAMEELA 606313222 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 311 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 311 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2292 0 0 0 0 0 0 2292 0 0 1001499826 1912968686 10 Physicians CAVERLY JEFFREY 601975594 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 100 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2028 0 21 0 0 0 0 0 0 2049 0 0 1001500128 1942457072 10 Physicians YANG ANTHONY D. 606118709 63 Macon 0 0 Surgery General 0 0 0 0 0 0 0 0 0 0 0 1 0 6 0 0 0 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 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001500364 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 13802 0 0 0 0 0 0 0 0 0 0 0 0 0 13802 0 0 1001501310 1942593496 16 Nurse Practitioners LARSON THERESA 28950784 91 Sangamon 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 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 0 526 0 0 0 0 0 0 526 0 0 1001501379 1659797959 60 Pharmacies WALMART PHARMACY 10-3004 608044531 200 Cook 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 0 756 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25003 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95650 0 0 0 95650 0 0 1001501596 16 Nurse Practitioners 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 85 0 0 1001501615 1154550283 10 Physicians REID AIRIAUNA 606784200 200 Cook 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 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 0 487 0 0 0 0 0 0 487 0 0 1001501627 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2200 0 0 0 0 0 0 0 0 0 0 0 0 0 2200 0 0 1001501727 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 9372 0 0 0 0 0 0 0 0 0 0 0 0 0 9372 0 0 1001501768 1992020499 48 Rural Health Clinics CARLINVILLE FAMILY HEALTH CARE 626263717 64 Macoupin 0 1 0 0 165 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 655 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 655 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26218 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26218 0 0 1001501934 4001501934 92 Waiver service provider--Disability (DHS/DRS) RELIANCE HOME HLTH CAREGIVERS 605231234 30 DuPage 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 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 170995 0 0 0 0 0 0 0 0 0 0 0 0 0 170995 0 0 1001502127 1457630246 16 Nurse Practitioners BAPTISTA JAQUELINE 606122684 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 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 0 455 0 0 0 0 0 0 455 0 0 1001502136 1659634129 16 Nurse Practitioners ELLIOTT ERICA 606733039 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 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 0 543 0 0 0 0 0 0 543 0 0 1001502352 1144476367 10 Physicians BETZ MIGENA 601486110 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 183 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 227 0 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 227 0 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4366 0 2115 0 0 0 0 0 0 6481 0 0 1001502551 1629405907 16 Nurse Practitioners TENNILL ASHLEY 619389253 24 Coles 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 162 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 224 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 224 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 5533 0 0 0 0 0 0 5617 0 0 1001502629 30 General Hospitals 826 Missouri 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 331 0 0 0 0 14117 0 0 0 0 0 0 0 0 0 14448 0 0 1001502797 1508859661 30 General Hospitals MERCY HOSPITAL JEFFERSON 630284100 826 Missouri ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 4 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 357 0 0 0 0 3361 0 0 0 0 0 0 0 0 0 3718 0 0 1001502849 10 Physicians 19 Champaign 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1001502977 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 0 285 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 285 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20221 0 0 0 0 0 0 0 0 0 0 0 0 0 20221 0 0 1001502999 1124450259 24 Speech Therapists DAW KATHERINE 600531522 200 Cook 0 0 0 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 0 101 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 10561 10561 0 0 1001503381 1558451716 91 Waiver service provider--Adults (DHS/DDD) MENTAL HEALTH CENTERS OF WESTE 623211401 42 Hancock 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 1367 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1367 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56937 0 0 0 0 0 0 0 0 0 0 0 0 0 56937 0 0 1001503389 1427215086 39 Hospice COMPASSIONATE CARE HOSPICE IL 601485612 30 DuPage 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 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 410 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68444 0 0 0 0 0 0 0 0 0 0 0 68444 0 0 1001503515 1457779217 24 Speech Therapists DURR STEFANIE 999999999 91 Sangamon 0 0 0 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 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17395 17395 0 0 1001504304 1992047971 16 Nurse Practitioners KIBBONS KIMBERLY CHRISTINE 605276423 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 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3089 0 0 0 0 0 0 3089 0 0 1001504393 10 Physicians 80 Peoria 0 0 Dermatology 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 0 120 0 0 0 0 0 0 120 0 0 1001504763 1174869994 16 Nurse Practitioners PETTIGREW LYNDA 606441580 200 Cook 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 0 305 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 305 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9562 0 0 0 0 0 0 9562 0 0 1001505144 1659709434 16 Nurse Practitioners HEYLAND MICHELLE K 603022809 200 Cook 0 0 General Psychiatry Residency 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 0 422 0 0 0 0 0 0 422 0 0 1001505438 16 Nurse Practitioners 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1001505549 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 0 332 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 25677 0 0 0 0 0 0 0 0 0 0 0 0 0 25677 0 0 1001505729 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 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 0 0 118 0 0 1001506225 1467889832 60 Pharmacies WALGREENS #15471 601876017 30 DuPage 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 0 426 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17762 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35074 0 0 0 35074 0 0 1001506582 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 14335 0 0 0 0 0 0 0 0 0 0 0 0 0 14335 0 0 1001507102 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 0 178 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 14038 0 0 0 0 0 0 0 0 0 0 0 0 0 14038 0 0 1001507163 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 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 4098 0 0 0 0 0 0 0 0 0 0 0 0 0 4098 0 0 1001507209 1538582382 60 Pharmacies MOUNT CARROLL PHARMACY 610531031 17 Carroll 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 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3739 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2217 0 0 0 2217 0 0 1001507212 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 0 212 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 26669 0 0 0 0 0 0 0 0 0 0 0 0 0 26669 0 0 1001507328 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 0 156 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 0 0 0 0 0 18554 0 0 0 0 0 0 0 0 0 0 0 0 0 18554 0 0 1001507575 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 35 0 0 1001507629 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 0 237 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 237 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29467 0 0 0 0 0 0 0 0 0 0 0 0 0 29467 0 0 1001508254 1073941605 16 Nurse Practitioners HADIE ANGELA M 601220021 53 Kane 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 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 0 654 0 0 0 0 0 0 654 0 0 1001508611 1205156429 10 Physicians ROSS JAMAL 606071644 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 355 0 0 0 0 0 0 355 0 0 1001508916 1023360781 16 Nurse Practitioners VELIYATHUMALIL JASSEENA 606123723 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 114 0 0 1001508933 60 Pharmacies 828 Nebraska 0 0 0 0 0 0 0 0 0 0 0 0 0 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 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 25 0 0 1001509813 92 Waiver service provider--Disability (DHS/DRS) 11 Alexander 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 9713 0 0 0 0 0 0 0 0 0 0 0 0 0 9713 0 0 1001509864 10 Physicians 852 Wisconsin 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 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 49 0 0 0 0 0 0 49 0 0 1001510007 1649432287 16 Nurse Practitioners SINNAEVE ERIN 605066222 53 Kane 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 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 0 265 0 0 0 0 0 0 265 0 0 1001510257 10 Physicians 10 Adams 0 0 0 0 0 0 0 0 0 0 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 11 0 0 0 0 0 0 11 0 0 1001510266 1730319203 10 Physicians SCHMITT MELANIE 535625531 200 Cook 0 0 Ophthalmology 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 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 1526 0 0 0 0 0 0 1526 0 0 1001510706 1255630646 10 Physicians KHAISER AFSHIN 616151941 80 Peoria 0 0 Internal 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 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 1522 0 0 0 0 0 0 1522 0 0 1001510761 1073717823 10 Physicians ONEILL ERICA 606123723 200 Cook 0 0 Obstetric-Gynecology 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 85 0 0 0 0 0 0 85 0 0 1001511353 1457798746 55 Early Intervention Services MALMQUIST JOANNA 616114889 98 Tazewell 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 0 214 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 13756 0 0 0 0 0 0 13756 0 0 1001512622 92 Waiver service provider--Disability (DHS/DRS) 47 Jackson 0 0 0 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 9838 0 0 0 0 0 0 0 0 0 0 0 0 0 9838 0 0 1001512644 1134440969 10 Physicians SHAH NIRAJ 631418573 40 Grundy 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 2 0 103 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 2 0 147 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 2 0 147 0 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 11 0 2345 0 0 0 0 0 0 2432 0 0 1001512792 91 Waiver service provider--Adults (DHS/DDD) 75 Monroe 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 366 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 366 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24343 0 0 0 0 0 0 0 0 0 0 0 0 0 24343 0 0 1001513160 1881949832 24 Speech Therapists HUELSMANN EMILY 627621000 91 Sangamon 0 0 0 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 0 515 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 515 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38959 38959 0 0 1001513547 55 Early Intervention Services 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1566 0 0 0 0 0 0 1566 0 0 1001513826 10 Physicians 109 Winnebago 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 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 0 109 0 0 0 0 0 0 109 0 0 1001514074 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 30201 0 0 0 0 0 0 0 0 0 0 0 0 0 30201 0 0 1001514201 1124049473 10 Physicians BOE BRIAN 999999999 200 Cook 0 0 Family Practice 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 0 426 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 426 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4944 0 0 0 0 0 0 4944 0 0 1001514255 1841453008 10 Physicians BRIONES MELISSA 601545716 200 Cook 0 0 Rheumatology 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 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 0 665 0 0 0 0 0 0 665 0 0 1001514695 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 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15730 0 0 0 0 0 0 0 0 0 0 0 0 0 15730 0 0 1001515632 1790913648 10 Physicians WELDON ELIZABETH 605151549 30 DuPage 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 234 0 0 0 0 0 0 234 0 0 1001516431 1659688588 10 Physicians ARADHYULA SWAPNA 601220021 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1877 0 0 0 0 0 0 1877 0 0 1001516758 92 Waiver service provider--Disability (DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3303 0 0 0 0 0 0 0 0 0 0 0 0 0 3303 0 0 1001516886 1790071660 10 Physicians GUPTA DIVYA 606751611 200 Cook 0 0 Pediatrics 0 0 0 0 33 0 0 0 0 0 0 1 0 12 0 0 0 0 0 0 0 0 0 111 0 0 0 0 0 0 1 0 13 0 0 0 0 0 0 0 0 0 111 0 0 0 0 0 0 1 0 13 0 0 0 0 0 0 0 0 0 3892 0 0 0 0 0 0 4 0 825 0 0 0 0 0 0 4721 0 0 1001516915 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 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10676 0 0 0 0 0 0 0 0 0 0 0 0 0 10676 0 0 1001517174 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8777 0 0 0 0 0 0 0 0 0 0 0 0 0 8777 0 0 1001517323 1083045231 16 Nurse Practitioners TURNER KISHA L 953586411 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 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 2161 0 0 0 0 0 0 2161 0 0 1001517420 1114013075 16 Nurse Practitioners ABAY MARIA C 117474300 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 553 0 0 0 0 0 0 553 0 0 1001517428 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 29538 0 0 0 0 0 0 0 0 0 0 0 0 0 29538 0 0 1001517479 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 0 181 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 28440 0 0 0 0 0 0 0 0 0 0 0 0 0 28440 0 0 1001517720 10 Physicians 816 Iowa 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 1 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 83 0 0 0 0 0 0 87 0 0 1001518101 1497980452 10 Physicians PATRICK JILMA 608052701 200 Cook 0 0 Surgery General 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 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 3062 0 0 0 0 0 0 3062 0 0 1001518336 4001518336 91 Waiver service provider--Adults (DHS/DDD) JETTER TAMRA A 604361876 107 Will 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 1937 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1937 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104415 0 0 0 0 0 0 0 0 0 0 0 0 0 104415 0 0 1001518461 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 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 22 0 0 1001518696 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 16844 0 0 0 0 0 0 0 0 0 0 0 0 0 16844 0 0 1001518729 1073868626 24 Speech Therapists SHANNON JACQUELYN 601207006 53 Kane 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 0 240 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 16278 16278 0 0 1001518811 1538582572 16 Nurse Practitioners CARLTON WENDY 117472358 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 0 265 0 0 0 0 0 0 265 0 0 1001519285 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 0 134 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 13899 0 0 0 0 0 0 0 0 0 0 0 0 0 13899 0 0 1001519783 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 0 290 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 25418 0 0 0 0 0 0 0 0 0 0 0 0 0 25418 0 0 1001520218 1063647121 10 Physicians STANLEY JANICE 601228942 200 Cook 0 0 Internal Medicine 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 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2945 0 0 0 0 0 0 2945 0 0 1001520270 1457642209 16 Nurse Practitioners CREIGHTON LAUREN 28950784 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 0 338 0 0 0 0 0 0 338 0 0 1001520279 1568751253 16 Nurse Practitioners HARMS JULIA 630442551 200 Cook 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 109 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 158 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 158 0 0 0 0 0 0 0 0 0 621 0 0 0 0 0 0 0 0 6404 0 0 0 0 0 0 7025 0 0 1001520387 10 Physicians 96 St Clair 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 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 0 701 0 0 0 0 0 0 701 0 0 1001520394 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 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 2440 0 0 0 0 0 0 0 0 0 0 0 0 0 2440 0 0 1001520426 1013359785 60 Pharmacies EXPRESS PHARMACY INC 600906202 200 Cook 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 1717 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48438 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16139 0 0 0 16139 0 0 1001520438 1386953602 10 Physicians LALIWALA MOHSINA T. 602011700 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 209 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 2305 0 0 0 0 0 0 2305 0 0 1001520526 92 Waiver service provider--Disability (DHS/DRS) 96 St Clair 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3261 0 0 0 0 0 0 0 0 0 0 0 0 0 3261 0 0 1001520629 1154551182 70 Ambulance Service Providers VILLAGE OF CRESTWOOD ILLINOIS 604451827 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 914 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 914 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 608174 0 0 0 0 0 0 608174 0 0 1001520739 1114278009 40 Federally Qualified Health Centers BELOVED COMM FAMILY WELLNESS 604722002 200 Cook 0 1 0 0 173 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 859 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 859 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39521 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39521 0 0 1001520818 1801233846 33 Nursing Facilities PARK PLACE OF BELVIDERE 610085517 13 Boone 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 72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1831 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194979 0 0 0 0 0 0 0 194979 0 0 1001520877 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 0 343 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 0 0 0 0 0 0 0 0 0 0 0 0 20533 0 0 0 0 0 0 0 0 0 0 0 0 0 20533 0 0 1001521180 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 4146 0 0 0 0 0 0 0 0 0 0 0 0 0 4146 0 0 1001521290 1689838823 10 Physicians BROOMHEAD STEVEN E 503054827 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2486 0 0 0 0 0 0 2486 0 0 1001521621 1861833527 16 Nurse Practitioners MORTELL ELLEN M. 606118709 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 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 0 732 0 0 0 0 0 0 732 0 0 1001521991 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 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 2293 0 0 0 0 0 0 0 0 0 0 0 0 0 2293 0 0 1001522908 91 Waiver service provider--Adults (DHS/DDD) 62 Logan 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 285 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 285 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28512 0 0 0 0 0 0 0 0 0 0 0 0 0 28512 0 0 1001522981 1770906166 16 Nurse Practitioners MCCANN CHRISTINA 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 0 240 0 0 0 0 0 0 240 0 0 1001523197 1285908608 70 Ambulance Service Providers CITY OF TAYLORVILLE FIRE DEPT 625681947 20 Christian 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 0 110 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 13966 0 0 0 0 0 0 13966 0 0 1001523297 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1287 0 0 0 0 0 0 0 0 0 0 0 0 0 1287 0 0 1001523322 1821318049 10 Physicians LANG JEANA M 606252958 200 Cook 0 1 Pediatrics 0 0 0 0 10 0 0 0 0 0 0 1 0 19 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 1 0 33 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 1 0 33 0 0 0 0 0 0 0 0 0 851 0 0 0 0 0 0 4 0 1243 0 0 0 0 0 0 2098 0 0 1001523526 91 Waiver service provider--Adults (DHS/DDD) 45 Henry 0 0 0 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 1188 0 0 0 0 0 0 0 0 0 0 0 0 0 1188 0 0 1001523666 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 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20375 0 0 0 0 0 0 0 0 0 0 0 0 0 20375 0 0 1001523871 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 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9466 0 0 0 0 0 0 0 0 0 0 0 0 0 9466 0 0 1001523917 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1468 0 0 0 0 0 0 0 0 0 0 0 0 0 1468 0 0 1001523993 1386987352 16 Nurse Practitioners BANEZ LEONOR 60506 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 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 0 186 0 0 0 0 0 0 186 0 0 1001524341 1083871974 10 Physicians LARSEN BRIAN 604024250 200 Cook 0 0 Ophthalmology 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 0 400 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 400 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35388 0 0 0 0 0 0 35388 0 0 1001524595 1265878086 70 Ambulance Service Providers NORTHWEST RESCUE LLC 600332904 71 McHenry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 577 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3240 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3240 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 185188 0 0 0 0 0 0 185188 0 0 1001524938 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 41866 0 0 0 0 0 0 0 0 0 0 0 0 0 41866 0 0 1001525091 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 0 239 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 27264 0 0 0 0 0 0 0 0 0 0 0 0 0 27264 0 0 1001526416 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 14908 0 0 0 0 0 0 0 0 0 0 0 0 0 14908 0 0 1001526432 1285950352 10 Physicians ANAND SUSHMA S 606118709 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 2 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 971 0 0 0 0 0 0 978 0 0 1001526969 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8661 0 0 0 0 0 0 0 0 0 0 0 0 0 8661 0 0 1001527147 1568759520 10 Physicians HARTMAN SARAH 612655975 89 Rock Island 0 0 Pediatrics 0 0 0 0 84 0 0 0 0 0 0 54 0 99 0 0 0 0 0 0 0 0 0 386 0 0 0 0 0 0 100 0 252 0 0 0 0 0 0 0 0 0 386 0 0 0 0 0 0 100 0 252 0 0 0 0 0 0 0 0 0 9186 0 0 0 0 0 0 1566 0 7956 0 0 0 0 0 0 18708 0 0 1001527347 1053558932 10 Physicians CLAASSEN COLLEEN 631031020 200 Cook 0 0 Pediatrics 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 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 10517 0 0 0 0 0 0 10517 0 0 1001527394 1952626673 10 Physicians MOJA ASHLEY 606740018 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 3 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 83 0 0 0 0 0 0 145 0 0 1001527419 1649515008 16 Nurse Practitioners MCADAMS JARAH N 626501136 77 Morgan 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 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 1733 0 0 0 0 0 0 1733 0 0 1001527446 1134356322 10 Physicians KNUDTSON THOMAS 610368118 51 Jo Daviess 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 19 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 456 0 0 0 0 0 0 0 0 456 0 0 1001527545 1396902490 10 Physicians SHOGAN ANDREA N 605275965 30 DuPage 0 0 Otolaryngology 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 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8339 0 0 0 0 0 0 8339 0 0 1001527735 1528299401 10 Physicians WEST DANIEL 631032236 200 Cook 0 0 Dermatology 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1858 0 0 0 0 0 0 1858 0 0 1001527915 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 0 120 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 25364 0 0 0 0 0 0 0 0 0 0 0 0 0 25364 0 0 1001528617 10 Physicians 815 Indiana 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 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 87 0 0 0 0 0 0 87 0 0 1001528762 1265855076 16 Nurse Practitioners REYNOLDS MEGAN 606116649 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4079 0 0 0 0 0 0 4079 0 0 1001529027 1114193240 10 Physicians MAYER STOCKTON M 606777007 200 Cook 0 0 Infectious Diseases 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 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 2413 0 0 0 0 0 0 2413 0 0 1001529244 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 9 0 0 0 0 0 0 9 0 0 1001529808 1932470531 55 Early Intervention Services ROBERTSON SABRINA 606173036 200 Cook 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 0 759 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 759 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47374 0 0 0 0 0 0 47374 0 0 1001529827 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 22664 0 0 0 0 0 0 0 0 0 0 0 0 0 22664 0 0 1001530306 16 Nurse Practitioners 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001530457 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 20501 0 0 0 0 0 0 0 0 0 0 0 0 0 20501 0 0 1001530735 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 22416 0 0 0 0 0 0 0 0 0 0 0 0 0 22416 0 0 1001530768 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 0 414 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 0 0 0 0 0 0 0 0 0 0 0 0 29419 0 0 0 0 0 0 0 0 0 0 0 0 0 29419 0 0 1001530948 30 General Hospitals 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1001531168 1457526576 10 Physicians AL-DADAH ASHRAF 620561778 76 Montgomery 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 243 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 243 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 4152 0 0 0 0 0 0 4198 0 0 1001531792 91 Waiver service provider--Adults (DHS/DDD) 97 Stephenson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 304 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 304 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15386 0 0 0 0 0 0 0 0 0 0 0 0 0 15386 0 0 1001532449 86 Clinical Social Worker(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 0 102 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 0 472 0 0 0 0 0 0 472 0 0 1001532459 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 0 239 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 29548 0 0 0 0 0 0 0 0 0 0 0 0 0 29548 0 0 1001532485 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 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18176 0 0 0 0 0 0 0 0 0 0 0 0 0 18176 0 0 1001532579 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 0 120 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 27843 0 0 0 0 0 0 0 0 0 0 0 0 0 27843 0 0 1001533282 10 Physicians 826 Missouri 0 0 Family Practice 0 0 0 0 0 0 0 0 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 0 107 0 0 0 0 0 0 107 0 0 1001533689 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5280 0 0 0 0 0 0 0 0 0 0 0 0 0 5280 0 0 1001533791 1467795930 10 Physicians KABONGO AUGUSTINE K 840708760 200 Cook 0 0 Internal 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 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 0 198 0 0 0 0 0 0 198 0 0 1001533834 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 0 151 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 12052 0 0 0 0 0 0 0 0 0 0 0 0 0 12052 0 0 1001534075 1932112505 10 Physicians BERCOVITZ RACHEL 601220021 53 Kane 0 0 Clinical Pathology 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 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 3374 0 0 0 0 0 0 3374 0 0 1001534183 91 Waiver service provider--Adults (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 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 18954 0 0 0 0 0 0 0 0 0 0 0 0 0 18954 0 0 1001534427 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 0 259 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 26632 0 0 0 0 0 0 0 0 0 0 0 0 0 26632 0 0 1001534764 1306136528 10 Physicians RAGHUPATRUNI PREETHI 606472319 200 Cook 0 0 Pediatrics 0 0 0 0 39 0 0 0 0 0 0 6 0 70 0 0 0 0 0 0 0 0 0 136 0 0 0 0 0 0 8 0 119 0 0 0 0 0 0 0 0 0 136 0 0 0 0 0 0 8 0 119 0 0 0 0 0 0 0 0 0 4100 0 0 0 0 0 0 22 0 6210 0 0 0 0 0 0 10332 0 0 1001535363 1215248067 10 Physicians SHAH NIRAJ 604363172 107 Will 0 1 Internal Medicine 0 0 0 0 5 0 0 0 0 0 0 66 0 267 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 111 0 807 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 111 0 807 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 568 0 8289 0 0 0 0 0 0 8893 0 0 1001535485 91 Waiver service provider--Adults (DHS/DDD) 36 Franklin 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 286 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 28259 0 0 0 0 0 0 0 0 0 0 0 0 0 28259 0 0 1001536059 1295152635 60 Pharmacies SAMS CLUB PHARMACY 10 6388 605385404 55 Kendall 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 0 298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15426 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13759 0 0 0 13759 0 0 1001536227 1184055980 60 Pharmacies MARIANOS PHARMACY 8522 606402512 200 Cook 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 0 168 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4164 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12055 0 0 0 12055 0 0 1001536355 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 0 192 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 25069 0 0 0 0 0 0 0 0 0 0 0 0 0 25069 0 0 1001536468 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 1894 0 0 0 0 0 0 0 0 0 0 0 0 0 1894 0 0 1001536511 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 407 0 0 0 0 0 0 0 0 0 0 0 0 0 407 0 0 1001537278 1376724773 10 Physicians RAVAL DEENA G 604501207 40 Grundy 0 0 Rheumatology 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 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 0 376 0 0 0 0 0 0 376 0 0 1001537580 1043636756 16 Nurse Practitioners BASINGER DANIELLE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 273 0 0 0 0 0 0 273 0 0 1001537978 1679886121 10 Physicians ELEZI AGRON 601262816 30 DuPage 0 1 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 0 208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2871 0 0 0 0 0 0 2871 0 0 1001538757 92 Waiver service provider--Disability (DHS/DRS) 64 Macoupin 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 27962 0 0 0 0 0 0 0 0 0 0 0 0 0 27962 0 0 1001539127 10 Physicians 852 Wisconsin 0 0 Radiation Oncology 0 0 0 0 0 0 0 0 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 0 215 0 0 0 0 0 0 215 0 0 1001539781 1922111020 10 Physicians BITTLES MARK 753208807 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 15 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 187 0 0 1001540009 1902027113 10 Physicians HEITOR-BEHDAD FERNANDA 606071644 200 Cook 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 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 0 226 0 0 0 0 0 0 226 0 0 1001540130 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 170 0 0 0 0 0 0 170 0 0 1001540174 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 1001540180 91 Waiver service provider--Adults (DHS/DDD) 816 Iowa 0 0 0 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 11966 0 0 0 0 0 0 0 0 0 0 0 0 0 11966 0 0 1001540467 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 9152 0 0 0 0 0 0 0 0 0 0 0 0 0 9152 0 0 1001540569 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 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13478 0 0 0 0 0 0 0 0 0 0 0 0 0 13478 0 0 1001540832 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 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 3432 0 0 0 0 0 0 0 0 0 0 0 0 0 3432 0 0 1001541066 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 11484 0 0 0 0 0 0 0 0 0 0 0 0 0 11484 0 0 1001541161 1962785972 23 Occupational Therapists FRANK KATHERINE E 606313222 200 Cook 0 0 0 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 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2476 2476 0 0 1001541351 1417075367 55 Early Intervention Services "DAYONE PACT, CFC 4" 605320902 30 DuPage 0 0 0 1047 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6593 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6593 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 719864 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 719864 0 0 1001541394 1699106468 75 Department of Alcohol and Substance Abuse Provider ROSECRANCE RIC CENTER 611011214 109 Winnebago 0 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 0 480 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 0 0 0 0 0 0 0 0 0 0 0 0 41210 0 0 41210 0 0 1001541421 1366409948 10 Physicians JOIST HEIDI 631282178 826 Missouri 0 0 Nephrology 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 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 23 0 0 0 0 0 0 23 0 0 1001541768 4001541768 16 Nurse Practitioners CHEJFEC SHANNON LYN 605152602 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 252 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 2313 0 0 0 0 0 0 2313 0 0 1001541871 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 43239 0 0 0 0 0 0 0 0 0 0 0 0 0 43239 0 0 1001542228 4001542228 36 Community mental health provider MENTAL HEALTH CENTERS OF CENTR 626561401 62 Logan 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 142 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 142 0 0 354 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16304 0 0 16658 0 0 1001542232 1588092373 70 Ambulance Service Providers REACT AIR MEDICAL 611013543 109 Winnebago 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 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 18729 0 0 0 0 0 0 18729 0 0 1001542262 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 19781 0 0 0 0 0 0 0 0 0 0 0 0 0 19781 0 0 1001542338 1366873143 16 Nurse Practitioners NITEKMAN CHERYL 606118709 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 0 375 0 0 0 0 0 0 375 0 0 1001542469 12 Optometrists 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 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 62 0 0 1001542499 1437443777 10 Physicians LAU VIVIAN 616370001 80 Peoria 0 0 Emergency Medicine 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 0 105 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 3118 0 0 0 0 0 0 3118 0 0 1001542663 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 0 227 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 26665 0 0 0 0 0 0 0 0 0 0 0 0 0 26665 0 0 1001543722 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 0 356 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 356 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16260 0 0 0 0 0 0 0 0 0 0 0 0 0 16260 0 0 1001544766 10 Physicians 200 Cook 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 0 149 0 0 0 0 0 0 0 0 149 0 0 1001545533 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 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22453 0 0 0 0 0 0 0 0 0 0 0 0 0 22453 0 0 1001545587 10 Physicians 200 Cook 0 0 Psychiatry 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 46 0 0 0 0 0 0 46 0 0 1001545933 1598713158 10 Physicians PINCHOT SCOTT 600052369 200 Cook 0 0 Surgery General 0 0 0 0 0 0 0 0 0 0 0 1 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 3721 0 0 0 0 0 0 3729 0 0 1001546272 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 0 154 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 25467 0 0 0 0 0 0 0 0 0 0 0 0 0 25467 0 0 1001546759 1093974669 10 Physicians WOJEWNIK BARTOSZ 601545716 200 Cook 0 0 Orthopedic Surgery 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 0 147 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 3533 0 0 0 0 0 0 3533 0 0 1001547068 30 General Hospitals 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 666 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001547418 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 23022 0 0 0 0 0 0 0 0 0 0 0 0 0 23022 0 0 1001547439 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 30102 0 0 0 0 0 0 0 0 0 0 0 0 0 30102 0 0 1001547550 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 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23490 0 0 0 0 0 0 0 0 0 0 0 0 0 23490 0 0 1001547590 1467639781 16 Nurse Practitioners ARONIN DANA J 631101002 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 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 1175 0 0 0 0 0 0 1175 0 0 1001547710 98 Waiver service provider--TBI (DHS/DRS) 88 Richland 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1001548129 1477986081 16 Nurse Practitioners SKURTU TIFFANY 631600352 53 Kane 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 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 55 0 0 0 0 0 0 55 0 0 1001548275 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 34221 0 0 0 0 0 0 0 0 0 0 0 0 0 34221 0 0 1001548744 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 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13343 0 0 0 0 0 0 0 0 0 0 0 0 0 13343 0 0 1001548769 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 12682 0 0 0 0 0 0 0 0 0 0 0 0 0 12682 0 0 1001548874 4001548874 16 Nurse Practitioners MESIROW NICOLE R 606118709 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 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 0 514 0 0 0 0 0 0 514 0 0 1001549032 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 31009 0 0 0 0 0 0 0 0 0 0 0 0 0 31009 0 0 1001549189 91 Waiver service provider--Adults (DHS/DDD) 98 Tazewell 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4487 0 0 0 0 0 0 0 0 0 0 0 0 0 4487 0 0 1001549457 1548509110 16 Nurse Practitioners BURNS LEAH M 606313222 200 Cook 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 298 0 0 0 0 0 0 0 0 1433 0 0 0 0 0 0 1731 0 0 1001549458 1609875053 40 Federally Qualified Health Centers HAMDARD CENTER HLTH HUMAN SRVS 601012889 30 DuPage 0 0 0 0 115 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 433 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 433 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25512 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25512 0 0 1001549882 1154645604 10 Physicians DICKINSON MAURA 953586411 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2552 0 0 0 0 0 0 2552 0 0 1001549895 1093067415 30 General Hospitals US RENAL CARE VILLA PARK DIALY 601811221 30 DuPage 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 0 107 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001550099 1295167732 12 Optometrists RITZHEIMER AMY 628013003 66 Marion 0 0 Therapeutic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 310 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 0 0 0 0 0 740 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14029 0 0 0 0 0 0 14029 0 0 1001550234 1851607634 10 Physicians PEPLOW MICHAEL 49155500 200 Cook 0 1 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 540 0 0 0 0 0 0 540 0 0 1001550248 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 0 176 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 25859 0 0 0 0 0 0 0 0 0 0 0 0 0 25859 0 0 1001550261 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 0 350 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 0 0 0 0 0 0 0 0 0 0 0 0 27126 0 0 0 0 0 0 0 0 0 0 0 0 0 27126 0 0 1001550546 1326310830 10 Physicians STEINMETZ JAMIE 601975981 30 DuPage 0 0 Clinical Pathology 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 0 283 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 283 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2044 0 0 0 0 0 0 0 0 2044 0 0 1001550744 1912319385 23 Occupational Therapists CRUCE JESSICA 601311514 200 Cook 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 0 266 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 19523 19523 0 0 1001552027 1699958843 16 Nurse Practitioners KUNZ JACQUELINE 622303618 23 Clinton 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1860 0 0 0 0 0 0 1860 0 0 1001552042 1770912412 16 Nurse Practitioners BARKLEY JEANNE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 493 0 0 0 0 0 0 493 0 0 1001552187 1386805240 10 Physicians SILVIERA MATTHEW 631600352 200 Cook 0 0 Colon - Rectal Surgery 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 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 1776 0 0 0 0 0 0 1776 0 0 1001552445 1154690626 10 Physicians DUA SUMEET 606123893 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 485 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 672 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 672 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15155 0 540 0 0 0 0 0 0 15695 0 0 1001552832 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 0 110 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 13105 0 0 0 0 0 0 0 0 0 0 0 0 0 13105 0 0 1001552987 1871797068 16 Nurse Practitioners GESSNER PATRICIA 606734477 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 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 1813 0 0 0 0 0 0 1813 0 0 1001553197 1871518126 63 Other Providers of Medical Equipment/Supplies (Non-registered) NATIONWIDE MEDICAL EQUIPMENT & 606293316 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 111 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 111 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5229 0 114 0 0 0 0 5343 0 0 1001554363 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2917 0 0 0 0 0 0 0 0 0 0 0 0 0 2917 0 0 1001554393 1306113899 24 Speech Therapists IAMMARINO MELANIE M 604021443 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 306 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 306 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22765 22765 0 0 1001554407 1023004157 33 Nursing Facilities ASCENSION SAINT JOSEPH VILLAGE 610326027 97 Stephenson 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 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1920 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 231626 0 0 0 0 0 0 0 231626 0 0 1001554425 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 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 5646 0 0 0 0 0 0 0 0 0 0 0 0 0 5646 0 0 1001554711 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 23784 0 0 0 0 0 0 0 0 0 0 0 0 0 23784 0 0 1001554833 16 Nurse Practitioners 42 Hancock 0 0 0 0 0 0 0 0 0 0 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 67 0 0 0 0 0 0 67 0 0 1001554845 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 18881 0 0 0 0 0 0 0 0 0 0 0 0 0 18881 0 0 1001555147 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 8125 0 0 0 0 0 0 0 0 0 0 0 0 0 8125 0 0 1001555553 1730340498 10 Physicians SAMS JACOB D 625491271 63 Macon 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 49 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 344 0 7865 0 0 0 0 0 0 8209 0 0 1001555741 1801221650 60 Pharmacies FULLERTON PHARMACY 606391424 200 Cook 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 0 973 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31697 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20106 0 0 0 20106 0 0 1001555970 1124450390 16 Nurse Practitioners HAY CHRISTINA 606121577 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 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 41 0 0 0 0 0 0 41 0 0 1001556006 1669800587 16 Nurse Practitioners GURNEY SARAH M 611081673 109 Winnebago 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 107 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 107 0 0 0 0 0 0 0 0 0 1254 0 0 0 0 0 0 0 0 3562 0 0 0 0 0 0 4816 0 0 1001556427 10 Physicians 200 Cook 0 0 Psychiatry 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 0 223 0 0 0 0 0 0 223 0 0 1001556682 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 25927 0 0 0 0 0 0 0 0 0 0 0 0 0 25927 0 0 1001556899 91 Waiver service provider--Adults (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 363 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 21918 0 0 0 0 0 0 0 0 0 0 0 0 0 21918 0 0 1001557155 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 0 112 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 2003 0 0 0 0 0 0 0 0 0 0 0 0 0 2003 0 0 1001557252 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 0 211 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 211 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13195 0 0 0 0 0 0 0 0 0 0 0 0 0 13195 0 0 1001557270 1811329170 11 Dentists MEHTA AMITOJ 600853313 57 Lake 0 0 General Dentistry 0 0 0 138 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 60771 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60771 0 0 1001557818 1134412927 10 Physicians AHMAD USAMA 606751611 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 3 0 164 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 5260 0 0 0 0 0 0 5274 0 0 1001558042 1093928285 10 Physicians BROWN KIMBERLY THERESE 606162104 200 Cook 0 0 Pediatrics 0 0 0 0 3 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 238 0 0 0 0 0 0 0 0 1103 0 0 0 0 0 0 1341 0 0 1001558438 1891009619 30 General Hospitals KENWOOD DIALYSIS 606532929 200 Cook DIALYSIS Outpatient dialysis centers. 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 0 203 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2309 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34485 0 0 0 0 0 34485 0 0 1001558516 91 Waiver service provider--Adults (DHS/DDD) 89 Rock Island 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5076 0 0 0 0 0 0 0 0 0 0 0 0 0 5076 0 0 1001560355 24 Speech Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 149 149 0 0 1001561032 1760809131 55 Early Intervention Services DIETZ MICHELLE 627621000 91 Sangamon 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 0 617 0 0 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 0 0 0 0 0 0 0 0 0 0 35382 0 0 0 0 0 0 35382 0 0 1001561407 33 Nursing Facilities 57 Lake 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 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 792 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 137779 0 0 0 0 0 0 0 137779 0 0 1001561409 1487995759 16 Nurse Practitioners RETTBERG BETHANY 999999999 107 Will 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 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 0 789 0 0 0 0 0 0 789 0 0 1001561834 4001561834 10 Physicians LEA BRIAN A 420033802 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 336 0 0 0 0 0 0 336 0 0 1001562060 10 Physicians 200 Cook 0 0 Oncology 0 0 0 0 0 0 0 0 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 1001562555 1922087196 16 Nurse Practitioners MAYNARD RICHARD 600450570 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 553 0 0 0 0 0 0 553 0 0 1001562662 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 14782 0 0 0 0 0 0 0 0 0 0 0 0 0 14782 0 0 1001563109 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 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 64388 0 0 0 0 0 0 0 0 0 0 0 0 0 64388 0 0 1001563202 1043504368 10 Physicians BUECKER ANTHONY J 616360001 80 Peoria 0 0 Emergency Medicine 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 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4629 0 0 0 0 0 0 4629 0 0 1001563401 1205153053 10 Physicians KHAN BASHARATH M 600084216 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 751 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 751 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55373 0 0 0 0 0 0 55373 0 0 1001563591 1881967578 24 Speech Therapists MARTIN ROSEMARIE 604511919 107 Will 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 0 104 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 8152 8152 0 0 1001563867 16 Nurse Practitioners 826 Missouri 0 0 0 0 0 0 0 0 0 0 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 55 0 0 0 0 0 0 55 0 0 1001563876 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 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20600 0 0 0 0 0 0 0 0 0 0 0 0 0 20600 0 0 1001563883 1073853347 70 Ambulance Service Providers BRAIDWOOD FIRE PROTECTION 604081919 107 Will 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 0 425 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 0 0 0 0 0 0 0 0 0 0 0 0 231648 0 0 0 0 0 0 231648 0 0 1001564048 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 0 250 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 27221 0 0 0 0 0 0 0 0 0 0 0 0 0 27221 0 0 1001564167 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 0 264 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 7276 0 0 0 0 0 0 0 0 0 0 0 0 0 7276 0 0 1001564182 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14152 0 0 0 0 0 0 0 0 0 0 0 0 0 14152 0 0 1001564244 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 39516 0 0 0 0 0 0 0 0 0 0 0 0 0 39516 0 0 1001564254 16 Nurse Practitioners 54 Kankakee 0 0 0 0 0 0 0 0 0 0 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 65 0 0 0 0 0 0 65 0 0 1001564638 1710213665 16 Nurse Practitioners ADAMS LYNNE 478025709 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 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 0 342 0 0 0 0 0 0 342 0 0 1001564735 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1227 0 0 0 0 0 0 0 0 0 0 0 0 0 1227 0 0 1001564967 1912987363 10 Physicians SCHULZ DAVID E 477333407 30 DuPage 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 189 0 0 1001565088 1528006004 33 Nursing Facilities ROCK FALLS REHAB HLTH CARE CTR 610711954 106 Whiteside 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 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1168 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 156419 0 0 0 0 0 0 0 156419 0 0 1001565344 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1474 0 0 0 0 0 0 0 0 0 0 0 0 0 1474 0 0 1001565455 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 0 119 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 17172 0 0 0 0 0 0 0 0 0 0 0 0 0 17172 0 0 1001565950 22 Physical Therapists 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 802 802 0 0 1001565970 10 Physicians 852 Wisconsin 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 0 924 0 0 0 0 0 0 924 0 0 1001566002 1699065813 36 Community mental health provider PRIMO CENTER FOR WOMEN AND 606212006 200 Cook 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 671 0 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 671 0 0 24487 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81858 0 0 106345 0 0 1001566881 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 0 146 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 28317 0 0 0 0 0 0 0 0 0 0 0 0 0 28317 0 0 1001567098 1255678249 16 Nurse Practitioners MOSSMAN ROSEMARIE 606313222 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 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 0 819 0 0 0 0 0 0 819 0 0 1001567429 10 Physicians 30 DuPage 0 0 Ophthalmology 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 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 95 0 0 0 0 0 0 95 0 0 1001568031 1235360025 91 Waiver service provider--Adults (DHS/DDD) LEMKE MEGAN C 622081639 96 St Clair 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 0 678 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 678 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66602 0 0 0 0 0 0 0 0 0 0 0 0 0 66602 0 0 1001568192 1710324603 16 Nurse Practitioners FARQUHARSON ROGER 606313222 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 133 0 0 0 0 0 0 0 0 1139 0 0 0 0 0 0 1272 0 0 1001568193 1972928166 60 Pharmacies BIENESTAR PHARMACY II INC 604022311 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1430 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77431 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94831 0 0 0 94831 0 0 1001568602 1770748899 33 Nursing Facilities APERION CARE CHICAGO HEIGHTS 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 0 267 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6762 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 985603 0 0 0 0 0 0 0 985603 0 0 1001568613 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1626 0 0 0 0 0 0 0 0 0 0 0 0 0 1626 0 0 1001568834 1952744963 16 Nurse Practitioners CANERDAY KELLY 604523333 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 145 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 2800 0 0 0 0 0 0 2800 0 0 1001569199 1467893495 11 Dentists MEHTA PRIYANKA 605053435 53 Kane 0 0 General Dentistry 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 726 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 726 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17849 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17849 0 0 1001569236 10 Physicians 200 Cook 0 1 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 1001569300 1376861385 48 Rural Health Clinics MORTHLAND COLLEGE HLTH SERVICE 628962099 36 Franklin 0 0 0 0 51 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 3125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3125 0 0 1001569593 10 Physicians 852 Wisconsin 0 0 Anesthesiology 0 0 0 0 0 0 0 0 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 0 313 0 0 0 0 0 0 313 0 0 1001569719 1033239413 61 Independent Laboratories THYROID SPECIALTY LAB INC 630262837 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 204341 0 0 0 0 0 0 0 0 204341 0 0 1001570019 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 28219 0 0 0 0 0 0 0 0 0 0 0 0 0 28219 0 0 1001570048 1003903378 13 Podiatrists BESING DEREK A 475914853 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 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 0 250 0 0 0 0 0 0 250 0 0 1001570114 1538500996 33 Nursing Facilities VILLA AT EVERGREEN PARK 999999999 200 Cook 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 0 531 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10631 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1458260 0 0 0 0 0 0 0 1458260 0 0 1001570144 1053393439 10 Physicians AHMED SYED M 604501207 40 Grundy 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 186 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 186 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 1979 0 0 0 0 0 0 2001 0 0 1001570340 10 Physicians 200 Cook 0 0 Cardiovascular Diseases 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 130 0 0 1001571021 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4890 0 0 0 0 0 0 0 0 0 0 0 0 0 4890 0 0 1001571047 91 Waiver service provider--Adults (DHS/DDD) 98 Tazewell 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 264 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 30273 0 0 0 0 0 0 0 0 0 0 0 0 0 30273 0 0 1001571313 1023353844 16 Nurse Practitioners RATAZAK DANIELLE 604363172 107 Will 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 198 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 198 0 0 0 0 0 0 0 0 0 190 0 0 0 0 0 0 0 0 5453 0 0 0 0 0 0 5643 0 0 1001571388 1346538154 12 Optometrists DUNN JASON A 617616160 72 McLean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 78 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 78 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1517 0 69 0 0 0 0 1586 0 0 1001571593 1316219819 13 Podiatrists MURANAKA AUSTIN R 475914853 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 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 86 0 0 0 0 0 0 86 0 0 1001572089 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 918 0 0 0 0 0 0 0 0 0 0 0 0 0 918 0 0 1001572413 1356763213 16 Nurse Practitioners MISZCZYSZYN BOGUSIA E. 606253547 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 686 0 0 0 0 0 0 686 0 0 1001572830 16 Nurse Practitioners 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1001573209 10 Physicians 826 Missouri 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 0 121 0 0 0 0 0 0 121 0 0 1001573599 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18599 0 0 0 0 0 0 0 0 0 0 0 0 0 18599 0 0 1001573877 1619179041 16 Nurse Practitioners DANMOLE-ODIMAYO OMOTOLA 627035128 91 Sangamon 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 0 293 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 7606 0 0 0 0 0 0 7606 0 0 1001574135 94 Waiver service provider--Children's support (DHS/DDD) 852 Wisconsin 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3051 0 0 0 0 0 0 0 0 0 0 0 0 0 3051 0 0 1001574157 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 0 315 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 315 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52270 0 0 0 0 0 0 0 0 0 0 0 0 0 52270 0 0 1001574663 92 Waiver service provider--Disability (DHS/DRS) 81 Perry 0 0 0 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 6395 0 0 0 0 0 0 0 0 0 0 0 0 0 6395 0 0 1001574665 1699094995 10 Physicians BIGGS ROBERT 619384644 24 Coles 0 1 Family Practice 0 0 0 0 2 0 0 0 0 0 0 2 0 43 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 2 0 116 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 2 0 116 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 54 0 1970 0 0 0 0 0 0 2211 0 0 1001574840 1003064700 10 Physicians LI YANXIA 600680578 200 Cook 0 0 Clinical Pathology 0 0 0 0 0 0 0 0 0 0 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 599 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 599 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6482 0 0 0 0 0 0 0 0 6482 0 0 1001575596 1063708196 10 Physicians KETTANEH NICOLAS 606313222 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 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 3509 0 0 0 0 0 0 3509 0 0 1001575721 92 Waiver service provider--Disability (DHS/DRS) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 22530 0 0 0 0 0 0 0 0 0 0 0 0 0 22530 0 0 1001575793 1891137170 11 Dentists DUSTOOR AMY MARIE 606221351 200 Cook 0 0 Maxillofacial Surgery 0 0 0 21 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 13029 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13029 0 0 1001576404 92 Waiver service provider--Disability (DHS/DRS) 73 Menard 0 0 0 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 0 356 0 0 0 0 0 0 0 0 0 0 0 0 0 356 0 0 1001577093 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 2 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 0 261 261 0 0 1001577114 1538504493 10 Physicians AZAR HASSAN 606781353 200 Cook 0 0 Pulmonary Diseases 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 0 166 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 2455 0 0 0 0 0 0 2455 0 0 1001577131 1275978553 55 Early Intervention Services LEPRICH ALICIA A 627621000 91 Sangamon 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 0 706 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 706 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35956 0 0 0 0 0 0 35956 0 0 1001577240 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 0 123 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 11667 0 0 0 0 0 0 0 0 0 0 0 0 0 11667 0 0 1001577294 1053576215 10 Physicians MILLER MARK LELAND 191787642 816 Iowa 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3781 0 0 0 0 0 0 3781 0 0 1001577319 1043637051 16 Nurse Practitioners WRIGHT VERONICA 619384644 24 Coles 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 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3328 0 0 0 0 0 0 3328 0 0 1001578522 1962664243 10 Physicians SHAH ALAP 605323661 30 DuPage 0 0 Family Practice 0 0 0 0 41 0 0 0 0 0 0 10 0 91 0 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 12 0 153 0 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 12 0 153 0 0 0 0 0 0 0 0 0 4050 0 0 0 0 0 0 97 0 3182 0 0 0 0 0 0 7329 0 0 1001578713 1487092458 55 Early Intervention Services STAMER ELIZABETH 605261817 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 0 161 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 9961 0 0 0 0 0 0 9961 0 0 1001579344 1497004485 30 General Hospitals LAWNDALE DIALYSIS 606233371 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 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 2671 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74449 0 0 0 0 0 74449 0 0 1001579452 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 0 314 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 314 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10580 0 0 0 0 0 0 0 0 0 0 0 0 0 10580 0 0 1001579527 1164678793 10 Physicians HURTUK MICHAEL G 616151941 80 Peoria 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 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 2401 0 0 0 0 0 0 2401 0 0 1001579585 1679735104 10 Physicians KSIAZEK JEFFREY M 606740018 200 Cook 0 0 Otolaryngology 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 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 0 781 0 0 0 0 0 0 781 0 0 1001579658 16 Nurse Practitioners 63 Macon 0 0 0 0 0 0 0 0 0 0 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 0 116 0 0 0 0 0 0 116 0 0 1001580103 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 29459 0 0 0 0 0 0 0 0 0 0 0 0 0 29459 0 0 1001580127 1528285798 10 Physicians PRAKASH VIDHYA 627949639 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1641 0 0 0 0 0 0 1641 0 0 1001580287 1780840207 10 Physicians SHAH GAURAV 605047222 53 Kane 0 0 Cardiovascular Diseases 0 0 0 0 0 0 0 0 0 0 0 4 0 578 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 1177 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 1177 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 16491 0 0 0 0 0 0 16529 0 0 1001580903 1548587504 10 Physicians BAYER KATHERINE 534050000 852 Wisconsin 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 11 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 189 0 443 0 0 0 0 0 0 632 0 0 1001581191 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 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29030 0 0 0 0 0 0 0 0 0 0 0 0 0 29030 0 0 1001581394 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 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 8254 0 0 0 0 0 0 0 0 0 0 0 0 0 8254 0 0 1001581591 1437392743 23 Occupational Therapists PATEL SWATI S 606118709 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 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 0 703 703 0 0 1001581683 16 Nurse Practitioners 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 64 0 0 1001581686 1972926244 60 Pharmacies DESNA PHARMACY INC 600905035 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 0 285 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1692 0 0 4887 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1692 0 0 117969 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 97768 0 0 69660 0 0 0 167428 0 0 1001582156 1053649574 16 Nurse Practitioners HAGENAUER KATHLEEN 616151941 80 Peoria 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 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 0 852 0 0 0 0 0 0 852 0 0 1001582355 1114923976 65 Independent Diagnostic Testing Facility (IDTF) ISIS MEDICAL INC 454592159 836 Ohio 0 0 0 0 0 0 0 0 0 0 0 0 0 529 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1006 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1006 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5334 0 0 0 0 0 0 0 0 5334 0 0 1001582441 10 Physicians 30 DuPage 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 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 0 121 0 0 0 0 0 0 121 0 0 1001582668 4001582668 24 Speech Therapists VAN PARIS ALYSSA 606143802 200 Cook 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 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9739 9739 0 0 1001582863 1346586278 30 General Hospitals FRESENIUS MEDICAL CARE GALESBU 614012849 56 Knox DIALYSIS Outpatient dialysis centers. 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 0 411 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4181 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50636 0 0 0 0 0 50636 0 0 1001582882 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 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 16403 0 0 0 0 0 0 0 0 0 0 0 0 0 16403 0 0 1001582939 1396042750 16 Nurse Practitioners GILL DEBRA 601545716 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 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 3237 0 0 0 0 0 0 3237 0 0 1001583042 1659705358 16 Nurse Practitioners SHUBERT APRIL D 618012529 19 Champaign 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 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 1058 0 0 0 0 0 0 1058 0 0 1001583677 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 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30185 0 0 0 0 0 0 0 0 0 0 0 0 0 30185 0 0 1001583876 10 Physicians 65 Madison 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 0 106 0 0 0 0 0 0 106 0 0 1001584004 1679908875 16 Nurse Practitioners KOLODZIEJCZYK HEIDI C 606074857 200 Cook 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 0 108 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 4298 0 0 0 0 0 0 4298 0 0 1001584948 1558681304 10 Physicians SAVAS HATICE 606118709 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 1 521 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 755 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 755 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 3086 0 1799 0 0 0 0 0 0 4930 0 0 1001584991 1275698144 10 Physicians SAHA PABAN 627047452 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 143 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 520 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 520 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6411 0 0 0 0 0 0 6411 0 0 1001585300 91 Waiver service provider--Adults (DHS/DDD) 38 Gallatin 0 0 0 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 1036 0 0 0 0 0 0 0 0 0 0 0 0 0 1036 0 0 1001585445 1891113973 60 Pharmacies HY VEE PHARMACY 1640 627044501 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1671 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55386 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114870 0 0 0 114870 0 0 1001585812 1558611624 10 Physicians ZAMUDIO RASOF SOPHIA 627621000 91 Sangamon 0 1 Family Practice 0 0 0 0 1 0 0 0 0 0 0 3 0 62 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 4 0 179 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 4 0 179 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 12 0 4323 0 0 0 0 0 0 4349 0 0 1001586301 1578666079 50 Home Health Agencies - In Home MAXIM HEALTHCARE SERVICES INC 616166578 80 Peoria 0 0 0 0 0 0 0 0 32 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4984 1058 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4984 1058 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1680214 426071 0 0 0 0 0 0 0 0 0 0 0 0 2106285 0 0 1001586573 1336454404 10 Physicians MENSING JOEL 606253661 200 Cook 0 0 Internal Medicine 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 0 326 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 0 0 0 0 0 0 0 0 0 0 0 0 3581 0 0 0 0 0 0 3581 0 0 1001586713 1972842995 16 Nurse Practitioners JEUDY MYRLINE 606123714 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 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 0 212 0 0 0 0 0 0 212 0 0 1001586908 10 Physicians 200 Cook 0 0 Neonatology 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 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 3978 0 0 0 0 0 0 3978 0 0 1001586999 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 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14898 0 0 0 0 0 0 0 0 0 0 0 0 0 14898 0 0 1001587249 10 Physicians 816 Iowa 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 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 0 0 0 0 0 0 0 0 0 0 1001587559 1962463653 22 Physical Therapists SCHALLENBERG RYAN 627949248 91 Sangamon 0 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 0 239 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 1860 1860 0 0 1001588054 4001588054 24 Speech Therapists ABRAHAM TINTU E 604063050 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2876 2876 0 0 1001588281 4001588281 16 Nurse Practitioners PATTON LEE 49154071 200 Cook 0 0 General Psychiatry Residency 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 5598 0 0 0 0 0 0 5598 0 0 1001588635 1588912620 16 Nurse Practitioners PAGE KAREN 606033200 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 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 0 140 0 0 0 0 0 0 140 0 0 1001588913 1093881146 16 Nurse Practitioners WINDHORST JENNIFER L 606127323 815 Indiana 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 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 1449 0 0 0 0 0 0 1449 0 0 1001589111 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 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 5718 0 0 0 0 0 0 0 0 0 0 0 0 0 5718 0 0 1001589134 63 Other Providers of Medical Equipment/Supplies (Non-registered) 75 Monroe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 113 0 0 0 0 0 0 113 0 0 1001589229 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 12040 0 0 0 0 0 0 0 0 0 0 0 0 0 12040 0 0 1001589331 1285955476 10 Physicians FERRERA MARIA J 605275965 30 DuPage 0 1 Internal Medicine 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 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 784 0 0 0 0 0 0 789 0 0 1001589332 1366860355 24 Speech Therapists ALTOSINO KATHLEEN 999999999 200 Cook 0 0 0 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 0 357 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 26166 26166 0 0 1001590166 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 88 0 0 0 0 0 0 88 0 0 1001590624 92 Waiver service provider--Disability (DHS/DRS) 74 Mercer 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 33602 0 0 0 0 0 0 0 0 0 0 0 0 0 33602 0 0 1001590748 1851630883 63 Other Providers of Medical Equipment/Supplies (Non-registered) SUNSET HOME 623014862 10 Adams 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 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32542 0 0 0 0 0 0 32542 0 0 1001591472 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 0 166 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 29030 0 0 0 0 0 0 0 0 0 0 0 0 0 29030 0 0 1001591480 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 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30213 0 0 0 0 0 0 0 0 0 0 0 0 0 30213 0 0 1001591759 16 Nurse Practitioners 101 Wabash 0 0 0 0 0 0 0 0 0 0 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 0 337 0 0 0 0 0 0 337 0 0 1001592118 16 Nurse Practitioners 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 49 0 0 1001592156 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 0 126 0 0 0 0 0 0 126 0 0 1001592216 4001592216 10 Physicians LIU LANTING 750013676 109 Winnebago 0 0 Clinical Pathology 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 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 99 0 0 0 0 0 0 0 0 99 0 0 1001592290 1891015004 10 Physicians LEIFER ARIEL 606777007 200 Cook 0 1 Family Practice 0 0 0 0 4 0 0 0 0 0 0 6 0 68 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 6 0 124 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 6 0 124 0 0 0 0 0 0 0 0 0 304 0 0 0 0 0 0 35 0 11765 0 0 0 0 0 0 12104 0 0 1001592328 1801042700 10 Physicians RYBAK JAMES 631418657 200 Cook 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 9 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 3978 0 0 0 0 0 0 3985 0 0 1001592519 1619282233 10 Physicians GIBBONS PATRICK B 606132010 200 Cook 0 0 Family Practice 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 0 623 0 0 0 0 0 0 623 0 0 1001592541 1063670362 10 Physicians MOONAT ASHISH K 627034514 91 Sangamon 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 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 0 338 0 0 0 0 0 0 338 0 0 1001592884 91 Waiver service provider--Adults (DHS/DDD) 35 Ford 0 0 0 0 0 0 0 0 1 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 17541 0 0 0 0 0 0 0 0 0 0 0 0 0 17541 0 0 1001593065 1154508570 10 Physicians DIHU JAMIL 606123714 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105 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 0 247 0 0 0 0 0 0 247 0 0 1001593077 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 0 166 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 28382 0 0 0 0 0 0 0 0 0 0 0 0 0 28382 0 0 1001593896 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 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 27587 0 0 0 0 0 0 0 0 0 0 0 0 0 27587 0 0 1001593972 1407288442 16 Nurse Practitioners WEHRMANN KATHERINE 604021108 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3749 0 0 0 0 0 0 3749 0 0 1001594119 1538280706 16 Nurse Practitioners MORRIS MARK 616151941 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 396 0 0 0 0 0 0 396 0 0 1001594862 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 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 3589 0 0 0 0 0 0 0 0 0 0 0 0 0 3589 0 0 1001594941 1508292616 11 Dentists ALIMI UKOHA ADETOWUN 601602039 200 Cook 0 0 General Dentistry 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 771 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 771 0 0 1001595564 1346235314 63 Other Providers of Medical Equipment/Supplies (Non-registered) NORTHWESTERN MEDICAL GROUP 606112987 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 1516 0 0 0 0 1612 0 0 1001596154 1235246109 65 Independent Diagnostic Testing Facility (IDTF) SONOGRAPHIC IMAGES INC 464021703 815 Indiana 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 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 1832 0 0 0 0 0 0 0 0 1832 0 0 1001596584 1790031409 24 Speech Therapists ERICKSON KATIE M 609014544 54 Kankakee 0 0 0 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 0 571 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 571 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44264 44264 0 0 1001597052 1295022283 10 Physicians PUTMAN MARGARET 604532600 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 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 2259 0 0 0 0 0 0 2259 0 0 1001597749 10 Physicians 839 Pennsylvania 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 39 0 0 1001598026 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19360 0 0 0 0 0 0 0 0 0 0 0 0 0 19360 0 0 1001598275 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 0 241 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 29030 0 0 0 0 0 0 0 0 0 0 0 0 0 29030 0 0 1001598333 1720333933 64 Imaging Services MIDWEST ADVANCED RADIOLOGY CTR 600161522 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 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 3798 0 0 0 0 0 0 3798 0 0 1001598415 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 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 4056 0 0 0 0 0 0 0 0 0 0 0 0 0 4056 0 0 1001598592 1114262656 16 Nurse Practitioners FARRIS TERESA K 601228942 53 Kane 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 0 512 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 0 0 0 0 0 0 0 0 0 0 0 0 2738 0 0 0 0 0 0 2738 0 0 1001598870 1972847309 16 Nurse Practitioners YENNE TRINA 631322907 96 St Clair 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 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 2155 0 0 0 0 0 0 2155 0 0 1001599318 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 13833 0 0 0 0 0 0 0 0 0 0 0 0 0 13833 0 0 1001599815 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7472 0 0 0 0 0 0 0 0 0 0 0 0 0 7472 0 0 1001599878 1831477579 24 Speech Therapists CLENNON COURTNEY 605462234 200 Cook 0 0 0 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 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14953 14953 0 0 1001600809 1376860262 10 Physicians CHOUDHRY SABA A 606162333 200 Cook 0 0 Emergency Medicine 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 0 110 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 2826 0 0 0 0 0 0 2826 0 0 1001600923 1235367160 10 Physicians VO THANHMAI 631102515 826 Missouri 0 0 Nephrology 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 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 610 0 0 0 0 0 0 610 0 0 1001600978 16 Nurse Practitioners 24 Coles 0 0 0 0 0 0 0 0 0 0 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 44 0 0 0 0 0 0 44 0 0 1001601136 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 8757 0 0 0 0 0 0 0 0 0 0 0 0 0 8757 0 0 1001601223 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 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1001601553 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 0 108 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 7643 0 0 0 0 0 0 0 0 0 0 0 0 0 7643 0 0 1001601672 1326239013 16 Nurse Practitioners WILLIAMS MARGARET 637015230 91 Sangamon 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 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 0 511 0 0 0 0 0 0 511 0 0 1001602026 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24617 0 0 0 0 0 0 0 0 0 0 0 0 0 24617 0 0 1001602439 1275730863 22 Physical Therapists FERGUSON ANNE 463221631 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 368 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 368 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35009 35009 0 0 1001602518 1255646857 40 Federally Qualified Health Centers ALIVIO MED CTR BERWYN 604022311 200 Cook 0 1 0 0 289 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 895 0 220 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 895 0 220 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68185 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68185 0 0 1001603123 1619026135 10 Physicians MAJCINA RYAN 627949639 91 Sangamon 0 0 Pediatrics 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 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 23137 0 0 0 0 0 0 23137 0 0 1001603252 1477986743 30 General Hospitals FRESENIUS MEDICAL CARE ROLLING 600081375 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 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 1888 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55635 0 0 0 0 0 55635 0 0 1001603742 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 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 22416 0 0 0 0 0 0 0 0 0 0 0 0 0 22416 0 0 1001603822 1720306640 10 Physicians FOLMSBEE CASPIAN 606751611 109 Winnebago 0 1 Internal Medicine 0 0 0 0 1 0 0 0 0 0 0 3 0 156 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 3 0 279 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 3 0 279 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 18 0 4446 0 0 0 0 0 0 4589 0 0 1001604663 1093075590 11 Dentists DAVE ABDUL 601902019 30 DuPage 0 0 General Dentistry 0 0 0 137 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 682 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 682 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21610 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21610 0 0 1001604692 1194154963 16 Nurse Practitioners USWAJESDAKUL AMY 953586411 200 Cook 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 0 173 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 8134 0 0 0 0 0 0 8134 0 0 1001604719 94 Waiver service provider--Children's support (DHS/DDD) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 112 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 112 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19812 0 0 0 0 0 0 0 0 0 0 0 0 0 19812 0 0 1001604816 1154501393 10 Physicians THOMAS MICHAEL 637034928 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1694 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2485 0 340 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2485 0 340 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17802 0 2150 0 0 0 0 0 0 19952 0 0 1001605002 1619210192 16 Nurse Practitioners ZOGRAPHOS CLARE 601228942 53 Kane 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 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 1237 0 0 0 0 0 0 1237 0 0 1001605159 1154581775 10 Physicians LITVIN MARINA 631600352 96 St Clair 0 0 Endocrinology 0 0 0 0 0 0 0 0 0 0 0 3 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 32 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 1001605504 1801052725 10 Physicians SZCZODRY DOROTA 601323871 30 DuPage 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6117 0 0 0 0 0 0 6117 0 0 1001605632 1871858407 24 Speech Therapists LEINER ROSINA ELIZABETH 603051927 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9803 9803 0 0 1001605675 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 43 0 0 0 0 0 0 43 0 0 1001606040 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 0 445 0 0 0 0 0 0 445 0 0 1001606102 1326064783 16 Nurse Practitioners HIRSCHFIELD CAROL R 606118709 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 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 0 287 0 0 0 0 0 0 287 0 0 1001606722 10 Physicians 826 Missouri 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 765 0 0 0 0 0 0 765 0 0 1001607101 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 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 12517 0 0 0 0 0 0 0 0 0 0 0 0 0 12517 0 0 1001607344 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 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8096 0 0 0 0 0 0 0 0 0 0 0 0 0 8096 0 0 1001607531 1437448081 25 Audiologists KIM BRIAN J 623014038 10 Adams 0 0 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 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 1146 1146 0 0 1001608113 1063503647 91 Waiver service provider--Adults (DHS/DDD) LIVING IN A FAMILY ENVIRONMENT 629585200 108 Williamson 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 4117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1062344 0 0 0 0 0 0 0 0 0 0 0 0 0 1062344 0 0 1001608930 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7050 0 0 0 0 0 0 0 0 0 0 0 0 0 7050 0 0 1001609106 4001609106 16 Nurse Practitioners FOIT AMANDA L 527481524 816 Iowa 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 0 145 0 0 0 0 0 0 145 0 0 1001609211 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2517 0 0 0 0 0 0 0 0 0 0 0 0 0 2517 0 0 1001609327 98 Waiver service provider--TBI (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 21237 0 0 0 0 0 0 0 0 0 0 0 0 0 21237 0 0 1001609375 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 0 356 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 356 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27668 0 0 0 0 0 0 0 0 0 0 0 0 0 27668 0 0 1001609390 1427345438 10 Physicians KALINOWSKA EWA 614553313 70 McDonough 0 0 Emergency 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 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 2005 0 0 0 0 0 0 2005 0 0 1001609434 1922307917 16 Nurse Practitioners BLAIR PAULA E 28950784 27 Dekalb 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 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 1124 0 0 0 0 0 0 1124 0 0 1001609916 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 0 122 0 0 0 0 0 0 122 0 0 1001610118 1164723656 16 Nurse Practitioners PRULLAGE GERALYN S 627047452 91 Sangamon 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 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 4005 0 0 0 0 0 0 4005 0 0 1001610649 1568785855 10 Physicians HORANI AMJAD 631600352 89 Rock Island 0 0 Pediatrics 0 0 0 0 1 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 8987 0 0 0 0 0 0 8999 0 0 1001610884 1780649319 10 Physicians GRABER ELLEN 606116649 200 Cook 0 1 Pediatrics 0 0 0 0 27 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 99 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 99 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 3015 0 0 0 0 0 0 0 0 786 0 0 0 0 0 0 3801 0 0 1001610892 10 Physicians 30 DuPage 0 0 Pediatric Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 98 0 0 1001611345 1982940664 30 General Hospitals MOLINE HOME TRAINING 612656706 89 Rock Island 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 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1182 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3407 0 0 0 0 0 3407 0 0 1001611457 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 0 131 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 27657 0 0 0 0 0 0 0 0 0 0 0 0 0 27657 0 0 1001611555 1013229988 10 Physicians ABDEL JABER ABDEL KADER H 80962739 30 DuPage 0 0 Pediatrics 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 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 5192 0 0 0 0 0 0 5192 0 0 1001611556 1326484569 61 Independent Laboratories NXGEN MDX LLC 495044463 823 Michigan 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 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 3303 0 0 0 0 0 0 0 0 3303 0 0 1001611841 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 13898 0 0 0 0 0 0 0 0 0 0 0 0 0 13898 0 0 1001611936 1417376336 16 Nurse Practitioners PALOMO JESSICA 600184703 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 0 185 0 0 0 0 0 0 185 0 0 1001611966 1538594445 16 Nurse Practitioners PHILLIPS CAROLINE M 631600352 75 Monroe 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 0 321 0 0 0 0 0 0 321 0 0 1001611975 1174872188 16 Nurse Practitioners SWINGLER ERIN M 618012529 19 Champaign 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 0 101 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 3104 0 0 0 0 0 0 3104 0 0 1001612006 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 13335 0 0 0 0 0 0 0 0 0 0 0 0 0 13335 0 0 1001612117 1902210016 91 Waiver service provider--Adults (DHS/DDD) KRAUKLIS EMILY 622265457 30 DuPage 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 1143 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1143 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 76988 0 0 0 0 0 0 0 0 0 0 0 0 0 76988 0 0 1001612176 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 2127 0 0 0 0 0 0 0 0 0 0 0 0 0 2127 0 0 1001612338 1447451554 10 Physicians KIM RONALD 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 3727 0 0 0 0 0 0 3740 0 0 1001612349 1043648744 16 Nurse Practitioners ROGGE KATHRYN 605270844 30 DuPage 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 0 0 0 0 0 0 0 0 0 0 0 0 0 1570 0 0 0 0 0 0 1570 0 0 1001612905 1568787737 10 Physicians KIM JULIE 606930623 200 Cook 0 0 Internal Medicine 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 0 545 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 545 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12431 0 0 0 0 0 0 12431 0 0 1001612925 1245423953 10 Physicians VARMA RASHI 619389253 24 Coles 0 0 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 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 6067 0 0 0 0 0 0 6067 0 0 1001613165 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 0 283 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 283 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13770 0 0 0 0 0 0 0 0 0 0 0 0 0 13770 0 0 1001613298 1427204056 10 Physicians WADHWANI NITIN 606112991 200 Cook 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 0 161 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 5958 0 0 0 0 0 0 0 0 5958 0 0 1001613460 1497726129 10 Physicians REITER MICHAEL P 601545716 200 Cook 0 0 Radiology Diagnosis 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 0 147 0 0 0 0 0 0 0 0 147 0 0 1001614379 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 0 245 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 28540 0 0 0 0 0 0 0 0 0 0 0 0 0 28540 0 0 1001614796 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 0 343 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 0 0 0 0 0 0 0 0 0 0 0 0 28350 0 0 0 0 0 0 0 0 0 0 0 0 0 28350 0 0 1001614847 10 Physicians 200 Cook 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 33 0 0 1001615035 1821412479 11 Dentists SINGH KARAN 605062453 53 Kane 0 0 General Dentistry 0 0 0 71 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 10408 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10408 0 0 1001615049 98 Waiver service provider--TBI (DHS/DRS) 97 Stephenson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9504 0 0 0 0 0 0 0 0 0 0 0 0 0 9504 0 0 1001615121 1760778773 10 Physicians MCKEAN JAMES 321200859 107 Will 0 0 Emergency Medicine 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 0 132 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 4853 0 0 0 0 0 0 4853 0 0 1001615134 1235438508 10 Physicians JACOB ALICE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 123 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 2931 0 0 0 0 0 0 2931 0 0 1001615351 1972933372 16 Nurse Practitioners CONNOLLY DANIEL 604382870 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 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 0 212 0 0 0 0 0 0 212 0 0 1001615477 1356667273 10 Physicians BHAN SHIKHA 606613604 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 315 0 0 0 0 0 0 315 0 0 1001615514 1790199701 16 Nurse Practitioners WOODHOUSE CALENE 527325067 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 556 0 0 0 0 0 0 556 0 0 1001615526 92 Waiver service provider--Disability (DHS/DRS) 99 Union 0 0 0 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 10126 0 0 0 0 0 0 0 0 0 0 0 0 0 10126 0 0 1001615677 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4506 0 0 0 0 0 0 0 0 0 0 0 0 0 4506 0 0 1001616217 1578813424 16 Nurse Practitioners REILY CANDIS 631666971 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1059 0 0 0 0 0 0 1059 0 0 1001616240 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 0 281 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 281 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30238 0 0 0 0 0 0 0 0 0 0 0 0 0 30238 0 0 1001616265 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 8294 0 0 0 0 0 0 0 0 0 0 0 0 0 8294 0 0 1001616282 1265685242 10 Physicians SAMSON SURESH 604611122 200 Cook 0 0 Nephrology 0 0 0 0 0 0 0 0 0 0 0 0 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1344 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1344 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13557 0 0 0 0 0 0 13557 0 0 1001616505 93 Waiver service provider--HIV/AIDS (DHS/DRS) 30 DuPage 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2071 0 0 0 0 0 0 0 0 0 0 0 0 0 2071 0 0 1001617326 1336306406 10 Physicians SINGH ISHMEET 601220021 200 Cook 0 0 Pain Medicine 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 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1905 0 0 0 0 0 0 1905 0 0 1001617747 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 23507 0 0 0 0 0 0 0 0 0 0 0 0 0 23507 0 0 1001617771 1205263589 16 Nurse Practitioners PETERMAN MEGAN 630284100 826 Missouri 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 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 0 769 0 0 0 0 0 0 769 0 0 1001618594 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5780 0 0 0 0 0 0 0 0 0 0 0 0 0 5780 0 0 1001618697 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11007 0 0 0 0 0 0 0 0 0 0 0 0 0 11007 0 0 1001619059 1922333590 10 Physicians MILES KATHARINE 601533328 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3201 0 0 0 0 0 0 3201 0 0 1001619488 1760645659 10 Physicians BISHEHSARI FARAZ 606123841 200 Cook 0 0 Gastroenterology 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 0 124 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 4240 0 0 0 0 0 0 4240 0 0 1001619667 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 0 151 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 24624 0 0 0 0 0 0 0 0 0 0 0 0 0 24624 0 0 1001620191 1730426545 16 Nurse Practitioners MCGUANE VIOLET 28950784 30 DuPage 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 0 397 0 0 0 0 0 0 397 0 0 1001620758 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 352 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 352 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26038 0 0 0 0 0 0 0 0 0 0 0 0 0 26038 0 0 1001621231 12 Optometrists 30 DuPage 0 0 Diagnostic Pharmaceutical Agents 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 28 0 0 0 0 0 0 28 0 0 1001621601 92 Waiver service provider--Disability (DHS/DRS) 79 Ogle 0 0 0 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 40016 0 0 0 0 0 0 0 0 0 0 0 0 0 40016 0 0 1001621704 1699186973 24 Speech Therapists WARD LAUREN 606474528 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22595 22595 0 0 1001622263 1487833927 10 Physicians PACHIKARA ANITA J 600054100 200 Cook 0 0 Breast Cancer Screening 0 0 0 0 40 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 63 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 63 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 3375 0 0 0 0 0 0 0 0 1728 0 0 0 0 0 0 5103 0 0 1001622283 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 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 44627 0 0 0 0 0 0 0 0 0 0 0 0 0 44627 0 0 1001622421 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 0 200 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 30132 0 0 0 0 0 0 0 0 0 0 0 0 0 30132 0 0 1001622908 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 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21451 0 0 0 0 0 0 0 0 0 0 0 0 0 21451 0 0 1001623020 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 0 358 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 26219 0 0 0 0 0 0 0 0 0 0 0 0 0 26219 0 0 1001623150 1821421199 30 General Hospitals FRESENIUS MEDICAL CARE SOUTH S 606495112 200 Cook DIALYSIS Outpatient dialysis centers. 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 0 404 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2427 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60604 0 0 0 0 0 60604 0 0 1001623576 1235399940 10 Physicians DAGRACA JUSTIN M 605638113 30 DuPage 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 43 0 0 0 0 0 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 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4062 0 0 0 0 0 0 4062 0 0 1001623950 1578646691 33 Nursing Facilities NEWMAN REHAB HEALTH CARE CTR 619428062 29 Douglas 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 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 798 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95467 0 0 0 0 0 0 0 95467 0 0 1001624013 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 1001624338 1669672804 10 Physicians DOLAN BRIGID 606118709 200 Cook 0 0 Internal Medicine 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 0 112 0 0 0 0 0 0 112 0 0 1001624662 1649609231 16 Nurse Practitioners KENAR JENNIFER 117474300 91 Sangamon 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 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 604 0 0 0 0 0 0 604 0 0 1001625290 1467877407 16 Nurse Practitioners RUSHFORTH AUDRA 617042707 72 McLean 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 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 0 977 0 0 0 0 0 0 977 0 0 1001625519 1740618768 16 Nurse Practitioners VENO LINDSAY 601234920 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 381 0 0 0 0 0 0 381 0 0 1001625796 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18306 0 0 0 0 0 0 0 0 0 0 0 0 0 18306 0 0 1001625890 98 Waiver service provider--TBI (DHS/DRS) 46 Iroquois 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1893 0 0 0 0 0 0 0 0 0 0 0 0 0 1893 0 0 1001625898 1508278193 16 Nurse Practitioners TOSAW ANGELA 606118709 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 0 125 0 0 0 0 0 0 125 0 0 1001625904 1174859870 40 Federally Qualified Health Centers SHAWNEE HEALTH CARE CARBONDALE 629013547 47 Jackson 0 0 0 0 439 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 2832 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 2832 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 105271 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105271 0 0 1001626025 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 126 0 0 1001626685 16 Nurse Practitioners 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 139 0 0 0 0 0 0 139 0 0 1001626903 10 Physicians 200 Cook 0 1 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 31 0 0 0 0 0 0 31 0 0 1001626929 1558518308 60 Pharmacies GENOA HEALTHCARE LLC 600504029 71 McHenry 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 0 882 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19442 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66904 0 0 0 66904 0 0 1001627004 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 38 0 0 0 0 0 0 38 0 0 1001627272 1538470398 10 Physicians HACKFORT ANN 605066222 53 Kane 0 0 Internal 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 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 0 655 0 0 0 0 0 0 655 0 0 1001627379 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 0 349 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 349 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28382 0 0 0 0 0 0 0 0 0 0 0 0 0 28382 0 0 1001627435 4001627435 16 Nurse Practitioners JEZIORO ALYSSA 605852978 55 Kendall 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 438 0 0 0 0 0 0 438 0 0 1001627595 10 Physicians 30 DuPage 0 0 Otolaryngology 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 12 0 0 0 0 0 0 12 0 0 1001627738 1982864476 10 Physicians POLAVARAPU HARSHA 626811465 92 Schuyler 0 0 Colon - Rectal Surgery 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 0 103 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 5990 0 0 0 0 0 0 5990 0 0 1001627793 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 84 0 0 0 0 0 0 84 0 0 1001628090 1861621351 10 Physicians ACKERMAN JEFFREY 600162359 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 69 0 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 142 0 266 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 142 0 266 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 482 0 10225 0 0 0 0 0 0 10707 0 0 1001629207 1518045442 91 Waiver service provider--Adults (DHS/DDD) COMMUNITY LINK INC 622301791 23 Clinton 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 47652 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47652 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5352848 0 0 0 0 0 0 0 0 0 0 0 0 0 5352848 0 0 1001629777 1528191756 10 Physicians ABRAHAM SAJU 605047222 53 Kane 0 0 Neurology 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 0 184 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 3491 0 0 0 0 0 0 3491 0 0 1001629915 1285946129 10 Physicians AUGUSTON PRISCILLA 606123723 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 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 0 214 0 0 0 0 0 0 214 0 0 1001630295 1407198013 36 Community mental health provider HRDI WILLIAM ACT PROGRAM 606203029 200 Cook 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 730 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 730 0 0 2800 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 198294 0 0 201094 0 0 1001630574 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 20054 0 0 0 0 0 0 0 0 0 0 0 0 0 20054 0 0 1001630731 1740613017 30 General Hospitals FRESENIUS MEDICAL CARE MARQUET 606362410 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 0 221 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 181710 0 0 0 0 0 181710 0 0 1001630745 16 Nurse Practitioners 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 92 0 0 1001631193 1295151967 16 Nurse Practitioners BROGAN JAMIE T 606118709 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 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 0 455 0 0 0 0 0 0 455 0 0 1001631565 4001631565 55 Early Intervention Services BELK ALYSSIA 606561724 200 Cook 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 0 849 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 849 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51072 0 0 0 0 0 0 51072 0 0 1001631662 10 Physicians 852 Wisconsin 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 73 0 0 0 0 0 0 73 0 0 1001631833 25 Audiologists 107 Will 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 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 0 205 205 0 0 1001632018 10 Physicians 89 Rock Island 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 293 0 0 0 0 0 0 293 0 0 1001632062 1295081362 12 Optometrists LERNOR BRANDON S 600515419 71 McHenry 0 0 Diagnostic Pharmaceutical Agents 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 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 0 595 0 0 0 0 0 0 595 0 0 1001632340 1942406558 10 Physicians SHAH CHIRAG M. 606118709 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 67 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 98 0 425 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 98 0 425 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 370 0 4192 0 0 0 0 0 0 4562 0 0 1001632820 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 44334 0 0 0 0 0 0 0 0 0 0 0 0 0 44334 0 0 1001633486 86 Clinical Social Worker(Encounter Only) 80 Peoria 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 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 0 638 0 0 0 0 0 0 638 0 0 1001633557 98 Waiver service provider--TBI (DHS/DRS) 72 McLean 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 50326 0 0 0 0 0 0 0 0 0 0 0 0 0 50326 0 0 1001633604 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 0 466 0 0 0 0 0 0 0 0 0 0 0 0 0 466 0 0 1001633692 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8459 0 0 0 0 0 0 0 0 0 0 0 0 0 8459 0 0 1001633751 98 Waiver service provider--TBI (DHS/DRS) 76 Montgomery 0 0 0 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 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 17657 0 0 0 0 0 0 0 0 0 0 0 0 0 17657 0 0 1001634000 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 21617 0 0 0 0 0 0 0 0 0 0 0 0 0 21617 0 0 1001634390 10 Physicians 53 Kane 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1001634491 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 0 178 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 12445 0 0 0 0 0 0 0 0 0 0 0 0 0 12445 0 0 1001634563 1942557285 16 Nurse Practitioners CICCIARELLI ANNA 616151941 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 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 0 247 0 0 0 0 0 0 247 0 0 1001634751 1568656148 11 Dentists HAFEZI MARYAM 605048296 30 DuPage 0 0 General Dentistry 0 0 0 20 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 3401 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3401 0 0 1001634795 1710207105 10 Physicians SHAMSI IBRAHIM 606930001 200 Cook 0 0 Pediatrics 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 0 151 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 6915 0 0 0 0 0 0 6915 0 0 1001634839 1023108966 10 Physicians MCCOURT CAROLYN K 631600352 80 Peoria 0 0 Obstetric-Gynecology 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 53 0 0 0 0 0 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 0 0 414 0 0 0 0 0 0 414 0 0 1001635043 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 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 4559 0 0 0 0 0 0 0 0 0 0 0 0 0 4559 0 0 1001635061 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 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 39 39 0 0 1001635331 1144593369 46 Ambulatory Surgical Treatment Centers SOUTH LOOP ENDOSCOPY 606162112 200 Cook ASTC Ambulatory Surgical Treatment Center. 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3322 0 0 0 0 0 3322 0 0 1001635464 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 0 196 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 8845 0 0 0 0 0 0 0 0 0 0 0 0 0 8845 0 0 1001635703 1548464431 10 Physicians VRICELLA GINO 631600352 63 Macon 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 3280 0 0 0 0 0 0 3282 0 0 1001635729 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 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 14336 0 0 0 0 0 0 0 0 0 0 0 0 0 14336 0 0 1001635794 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 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1001635814 1538329677 10 Physicians BIENIA KONRAD 616111853 98 Tazewell 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 319 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 427 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 427 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8059 0 1995 0 0 0 0 0 0 10054 0 0 1001636001 4001636001 98 Waiver service provider--TBI (DHS/DRS) LIFELINE SYSTEMS INCORPORATED 17028156 822 Massachusetts 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 0 853 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 853 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20466 0 0 0 0 0 0 0 0 0 0 0 0 0 20466 0 0 1001636492 1821209149 10 Physicians HURST DANIEL 462063272 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 283 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 417 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 417 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3272 0 1053 0 0 0 0 0 0 4325 0 0 1001636538 1073633038 10 Physicians ALENGHAT FRANCIS 605275965 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 413 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 0 0 0 0 0 0 0 0 0 0 0 0 502 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3774 0 0 0 0 0 0 3774 0 0 1001636703 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 15059 0 0 0 0 0 0 0 0 0 0 0 0 0 15059 0 0 1001636718 1306272588 16 Nurse Practitioners DELLORSO MICHELLE 618012529 19 Champaign 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 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1696 0 0 0 0 0 0 1696 0 0 1001637201 1639417959 39 Hospice INTEGRATED PALLIATIVE AND HOSP 600485364 57 Lake 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 408 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75566 0 0 0 0 0 0 0 0 0 0 0 75566 0 0 1001637204 1154646628 10 Physicians COOLING DANIELLE M 606740018 63 Macon 0 0 Pediatrics 0 0 0 0 14 0 0 0 0 0 0 4 0 27 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 5 0 30 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 5 0 30 0 0 0 0 0 0 0 0 0 1109 0 0 0 0 0 0 16 0 1375 0 0 0 0 0 0 2500 0 0 1001637302 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 0 110 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 20622 0 0 0 0 0 0 0 0 0 0 0 0 0 20622 0 0 1001638002 1215371232 16 Nurse Practitioners HAUSERMMAN-AGGACID TAMARA 28950784 106 Whiteside 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 443 0 0 0 0 0 0 443 0 0 1001638429 1649228776 10 Physicians DOBRILOVIC NIKOLA 606751611 200 Cook 0 0 Thoracic Surgery 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 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 7412 0 0 0 0 0 0 7412 0 0 1001638787 4001638787 10 Physicians PATEL SAMIR R 606731285 200 Cook 0 0 Emergency 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 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 2589 0 0 0 0 0 0 2589 0 0 1001638926 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 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24105 0 0 0 0 0 0 0 0 0 0 0 0 0 24105 0 0 1001639496 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 30229 0 0 0 0 0 0 0 0 0 0 0 0 0 30229 0 0 1001639865 1912135096 10 Physicians CUNNINGHAM KRISTOPHER TODD 627083428 91 Sangamon 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 2 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4433 0 0 0 0 0 0 4433 0 0 1001640022 4001640022 92 Waiver service provider--Disability (DHS/DRS) LIFELINE SYSTEMS INCORPORATED 17028156 822 Massachusetts 0 0 0 0 0 0 0 0 367 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3363 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3363 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77268 0 0 0 0 0 0 0 0 0 0 0 0 0 77268 0 0 1001640064 1417268392 10 Physicians STANTON GEORGE R 117474300 53 Kane 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 2 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 3835 0 0 0 0 0 0 3837 0 0 1001640460 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 0 266 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 28123 0 0 0 0 0 0 0 0 0 0 0 0 0 28123 0 0 1001640475 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 266 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 266 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27077 0 0 0 0 0 0 0 0 0 0 0 0 0 27077 0 0 1001640633 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 0 197 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 24732 0 0 0 0 0 0 0 0 0 0 0 0 0 24732 0 0 1001640700 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 0 284 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 9188 0 0 0 0 0 0 0 0 0 0 0 0 0 9188 0 0 1001640807 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 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 2122 0 0 0 0 0 0 0 0 0 0 0 0 0 2122 0 0 1001640848 1659704922 30 General Hospitals FRESENIUS MEDICAL CARE NORRIDG 607064277 200 Cook DIALYSIS Outpatient dialysis centers. 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 0 239 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1626 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2674 0 0 0 0 0 2674 0 0 1001640929 91 Waiver service provider--Adults (DHS/DDD) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 287 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 0 0 0 0 0 0 0 0 0 0 0 0 23894 0 0 0 0 0 0 0 0 0 0 0 0 0 23894 0 0 1001641132 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1001641343 1063728897 10 Physicians KHALEELUDDIN SALMAN 601203843 53 Kane 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 109 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 109 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 2746 0 0 0 0 0 0 2755 0 0 1001641404 1689876328 10 Physicians ATASSI M BASSEL 616151941 80 Peoria 0 0 Internal Medicine 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 0 432 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 432 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6225 0 0 0 0 0 0 6225 0 0 1001641557 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 324 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 324 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83586 0 0 0 0 0 0 0 0 0 0 0 0 0 83586 0 0 1001641627 1720306475 10 Physicians NASRULLAH NISHAT 605639791 30 DuPage 0 1 Pediatrics 0 0 0 0 70 0 0 0 0 0 0 36 0 90 0 0 0 0 0 0 0 0 0 208 0 0 0 0 0 0 47 0 134 0 0 0 0 0 0 0 0 0 208 0 0 0 0 0 0 47 0 134 0 0 0 0 0 0 0 0 0 7179 0 0 0 0 0 0 752 0 6642 0 0 0 0 0 0 14573 0 0 1001641717 1942438478 10 Physicians MCHUGH SARAH 618562116 82 Piatt 0 0 Clinical Pathology 0 0 0 0 0 0 0 0 0 0 0 775 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6337 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6337 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33043 0 2250 0 0 0 0 0 0 35293 0 0 1001642120 1700215928 16 Nurse Practitioners NOTTMEYER LORI 619389253 24 Coles 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 0 260 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 2459 0 0 0 0 0 0 2459 0 0 1001642853 1154756195 33 Nursing Facilities APERION CARE WILMINGTON 604811527 107 Will 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 0 200 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5239 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 748221 0 0 0 0 0 0 0 748221 0 0 1001643003 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 0 151 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 11988 0 0 0 0 0 0 0 0 0 0 0 0 0 11988 0 0 1001643170 1093002404 10 Physicians KOEHLER JONATHAN 606081797 839 Pennsylvania 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 4 0 197 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 214 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 214 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 11192 0 0 0 0 0 0 11263 0 0 1001643213 1205123734 10 Physicians ROSE ELIZABETH 616043221 80 Peoria 0 1 Pediatrics 0 0 0 0 31 0 0 0 0 0 0 20 0 41 0 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 23 0 66 0 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 23 0 66 0 0 0 0 0 0 0 0 0 3268 0 0 0 0 0 0 286 0 2430 0 0 0 0 0 0 5984 0 0 1001643216 4001643216 91 Waiver service provider--Adults (DHS/DDD) RIVERSIDE FOUNDATION 600613155 57 Lake 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 6691 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6691 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1030274 0 0 0 0 0 0 0 0 0 0 0 0 0 1030274 0 0 1001643578 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 21310 0 0 0 0 0 0 0 0 0 0 0 0 0 21310 0 0 1001643996 1992128714 11 Dentists WAKADE LAKSHMI 605162311 30 DuPage 0 0 General Dentistry 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 5833 0 0 0 0 0 0 0 0 0 0 0 444 0 0 0 0 6277 0 0 1001644411 1831459304 39 Hospice "RESIDENTIAL HOSPICE, LLC" 605151391 30 DuPage 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 0 182 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4064 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 691112 0 0 0 0 0 0 0 0 0 0 0 691112 0 0 1001645006 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 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27747 0 0 0 0 0 0 0 0 0 0 0 0 0 27747 0 0 1001645305 1831529635 70 Ambulance Service Providers BARRINGTON COUNTRYSIDE FIRE 600102473 57 Lake 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 0 142 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 0 0 0 0 0 0 0 0 0 0 191458 0 0 0 0 0 0 191458 0 0 1001645367 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21168 0 0 0 0 0 0 0 0 0 0 0 0 0 21168 0 0 1001645510 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 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 10776 0 0 0 0 0 0 0 0 0 0 0 0 0 10776 0 0 1001645545 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26049 0 0 0 0 0 0 0 0 0 0 0 0 0 26049 0 0 1001646100 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 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 1496 0 0 0 0 0 0 0 0 0 0 0 0 0 1496 0 0 1001646205 1548293160 10 Physicians WHITSETT GREGORY M 475917389 815 Indiana 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 7 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 1264 0 0 0 0 0 0 1311 0 0 1001646513 91 Waiver service provider--Adults (DHS/DDD) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 14588 0 0 0 0 0 0 0 0 0 0 0 0 0 14588 0 0 1001646517 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 23676 0 0 0 0 0 0 0 0 0 0 0 0 0 23676 0 0 1001646617 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 28460 0 0 0 0 0 0 0 0 0 0 0 0 0 28460 0 0 1001646763 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 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17058 0 0 0 0 0 0 0 0 0 0 0 0 0 17058 0 0 1001647006 1396183786 16 Nurse Practitioners ZIMMERMAN AMY J. 616033201 80 Peoria 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 443 0 0 0 0 0 0 0 0 3640 0 0 0 0 0 0 4083 0 0 1001647387 1457413882 75 Department of Alcohol and Substance Abuse Provider FAMILY GUIDANCE CENTERS INC 600164610 200 Cook 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 0 154 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 12677 0 0 12677 0 0 1001647767 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 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 10078 0 0 0 0 0 0 0 0 0 0 0 0 0 10078 0 0 1001647997 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 29440 0 0 0 0 0 0 0 0 0 0 0 0 0 29440 0 0 1001648154 1336320860 10 Physicians MCCOMBS JAMES 60612 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 270 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 4897 0 0 0 0 0 0 4897 0 0 1001648160 10 Physicians 200 Cook 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 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 0 672 0 0 0 0 0 0 672 0 0 1001648194 1174955173 36 Community mental health provider THRESHOLDS 606094408 200 Cook 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 700 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 700 0 0 383 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 139481 0 0 139864 0 0 1001648229 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1227 0 0 0 0 0 0 0 0 0 0 0 0 0 1227 0 0 1001648920 91 Waiver service provider--Adults (DHS/DDD) 30 DuPage 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2689 0 0 0 0 0 0 0 0 0 0 0 0 0 2689 0 0 1001649278 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 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 11915 0 0 0 0 0 0 0 0 0 0 0 0 0 11915 0 0 1001649360 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 0 360 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 27975 0 0 0 0 0 0 0 0 0 0 0 0 0 27975 0 0 1001649370 1962645937 10 Physicians TOMEVI DANIELLE 629483748 47 Jackson 0 0 Obstetric-Gynecology 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 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 143 0 690 0 0 0 0 0 0 833 0 0 1001649621 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 0 149 0 0 0 0 0 0 149 0 0 1001649958 16 Nurse Practitioners 91 Sangamon 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 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 0 232 0 0 0 0 0 0 232 0 0 1001650146 92 Waiver service provider--Disability (DHS/DRS) 102 Warren 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3680 0 0 0 0 0 0 0 0 0 0 0 0 0 3680 0 0 1001650614 1184979544 16 Nurse Practitioners GLICK DIANE M 606930623 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 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 0 464 0 0 0 0 0 0 464 0 0 1001650641 1043461924 10 Physicians RIHERD DANIEL 477010139 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 64 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1306 0 446 0 0 0 0 0 0 1752 0 0 1001651448 1811318041 16 Nurse Practitioners HANNIGAN KATHRYN M 631600352 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 93 0 0 0 0 0 0 93 0 0 1001651539 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 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 15469 0 0 0 0 0 0 0 0 0 0 0 0 0 15469 0 0 1001651598 1972816825 24 Speech Therapists JOHNSON PAULA 624016832 33 Effingham 0 0 0 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 0 264 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 17925 17925 0 0 1001651787 1124282157 10 Physicians BUCKMAN SARA 631600352 53 Kane 0 0 Surgery General 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 479 0 0 0 0 0 0 479 0 0 1001651821 1568538387 30 General Hospitals PRESENCE SAINT JOSEPH HOSPITAL 601234912 53 Kane DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 General Hospital - Adult and Child 0 0 8 0 0 1177 0 0 0 0 322 0 0 0 708 0 0 0 0 0 0 13 0 0 1717 0 0 0 0 393 0 0 0 1776 0 0 0 0 0 0 13 0 0 1717 0 0 0 0 2049 0 0 0 1776 0 0 0 0 0 0 3278 0 0 272472 0 0 0 0 1309981 0 0 0 413378 0 0 0 0 0 1999109 0 0 1001651900 92 Waiver service provider--Disability (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9056 0 0 0 0 0 0 0 0 0 0 0 0 0 9056 0 0 1001653086 10 Physicians 815 Indiana 0 0 Clinical Pathology 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001653185 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 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 18456 0 0 0 0 0 0 0 0 0 0 0 0 0 18456 0 0 1001653759 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001653824 1104884311 10 Physicians ISAACSON THOMAS C 616151941 80 Peoria 0 0 Internal Medicine 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 0 145 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 1369 0 0 0 0 0 0 1369 0 0 1001653911 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 28341 0 0 0 0 0 0 0 0 0 0 0 0 0 28341 0 0 1001654099 1730264128 30 General Hospitals BAPTIST HEALTH PADUCAH 420033813 818 Kentucky DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 General Hospital - Adult and Child 0 0 0 0 0 135 0 0 0 0 34 0 0 0 241 0 0 0 0 0 0 0 0 0 173 0 0 0 0 34 0 0 0 662 0 0 0 0 0 0 0 0 0 173 0 0 0 0 117 0 0 0 669 0 0 0 0 0 0 0 0 0 10999 0 0 0 0 54272 0 0 0 22440 0 0 0 0 0 87711 0 0 1001654797 1639292741 10 Physicians JHAVERI PREETI 49155500 19 Champaign 0 0 Obstetric-Gynecology 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 3661 0 0 0 0 0 0 3661 0 0 1001655525 1477971851 16 Nurse Practitioners BERGER DANIELLE 618012529 19 Champaign 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 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 1143 0 0 0 0 0 0 1143 0 0 1001655809 1285913582 10 Physicians EISENBERG JACLYN 608052701 200 Cook 0 0 Pediatrics 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 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9314 0 0 0 0 0 0 9314 0 0 1001655888 10 Physicians 816 Iowa 0 0 Pediatric 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 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 78 0 0 0 0 0 0 78 0 0 1001656613 1356669980 10 Physicians JIN JILL 606118709 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 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 0 408 0 0 0 0 0 0 408 0 0 1001656764 1497034722 10 Physicians HUNT JANE 631101002 826 Missouri 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 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 2449 0 0 0 0 0 0 2449 0 0 1001656896 1790198091 55 Early Intervention Services NEWELL COURTNEY 606221334 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 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12992 0 0 0 0 0 0 12992 0 0 1001657165 98 Waiver service provider--TBI (DHS/DRS) 72 McLean 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 6867 0 0 0 0 0 0 0 0 0 0 0 0 0 6867 0 0 1001657274 1467745596 55 Early Intervention Services CARDENAS MARIBEL 606406787 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 838 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 0 0 0 0 0 0 0 0 0 0 0 0 50680 0 0 0 0 0 0 50680 0 0 1001657541 1982992715 10 Physicians MULCHANDANI AMIT 999999999 200 Cook 0 0 0 0 0 0 2 0 0 0 0 0 0 1 0 55 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 1 0 168 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 1 0 168 0 0 0 0 0 0 0 0 0 186 0 0 0 0 0 0 2 0 2679 0 0 0 0 0 0 2867 0 0 1001657608 1215348073 16 Nurse Practitioners AVILA LUCILA 606313222 50 Jersey 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1704 0 0 0 0 0 0 1704 0 0 1001657960 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 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12089 0 0 0 0 0 0 0 0 0 0 0 0 0 12089 0 0 1001658153 1285945436 10 Physicians NALL CANDACE 379321983 89 Rock Island 0 0 Emergency 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 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 2239 0 0 0 0 0 0 2239 0 0 1001658922 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 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 124 0 0 1001659454 1457548034 10 Physicians RIDGWAY JESSICA 605276686 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 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 0 500 0 0 0 0 0 0 500 0 0 1001659662 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 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 32690 0 0 0 0 0 0 0 0 0 0 0 0 0 32690 0 0 1001660001 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 0 344 0 0 0 0 0 0 0 0 0 0 0 0 0 344 0 0 1001660068 1376860775 10 Physicians REDDY TARA 606118709 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 212 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 2680 0 0 0 0 0 0 2680 0 0 1001660086 1407179302 87 Psychologist(Encounter Only) GREEN OLGA 600622436 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 0 334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 840 0 0 0 0 0 0 840 0 0 1001660259 1720211360 64 Imaging Services NILES OPEN MRI INC 607145600 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 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 2757 0 0 0 0 0 0 2757 0 0 1001660722 1720404494 40 Federally Qualified Health Centers NORTH AND KOSTNER HLTH CENTER 606511610 200 Cook 0 1 0 0 114 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 425 0 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 425 0 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28175 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28175 0 0 1001660912 1962714428 10 Physicians BHAMBRI AMIT 601975940 30 DuPage 0 0 Emergency Medicine 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 0 148 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 6455 0 0 0 0 0 0 6455 0 0 1001660941 1134425085 10 Physicians BOSHRA NASSER A 605270822 30 DuPage 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 0 119 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 1916 0 0 0 0 0 0 1916 0 0 1001661231 1508963349 60 Pharmacies FAMILY CARE PHARMACY BREESE 999999999 23 Clinton 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 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6570 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7657 0 0 0 7657 0 0 1001661392 1770686669 10 Physicians TINAWI MOHAMMAD 463212923 815 Indiana 0 0 Nephrology 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 0 164 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 0 383 0 0 0 0 0 0 383 0 0 1001661624 89 Physician Assistant Only(Encounter Only) 90 Saline 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 42 0 0 1001661725 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 0 119 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 56522 0 0 0 0 0 0 0 0 0 0 0 0 0 56522 0 0 1001661779 16 Nurse Practitioners 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 168 0 0 0 0 0 0 168 0 0 1001662210 60 Pharmacies 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 0 0 0 67 0 0 1001662511 1265531073 70 Ambulance Service Providers PALOS FIRE PROTECTION DIST 604641785 200 Cook 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 0 278 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 0 0 0 0 0 0 0 0 0 0 0 0 202358 0 0 0 0 0 0 202358 0 0 1001662635 1497806541 23 Occupational Therapists WATHEN JANELLE 622261197 96 St Clair 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1469 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1469 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 113825 113825 0 0 1001662769 92 Waiver service provider--Disability (DHS/DRS) 852 Wisconsin 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 8356 0 0 0 0 0 0 0 0 0 0 0 0 0 8356 0 0 1001662900 1437572252 36 Community mental health provider AID EDGELAWN 605064327 53 Kane 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 208 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 208 0 0 921 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18787 0 0 19708 0 0 1001662907 1598994121 10 Physicians PATEL NEEMA 447182545 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 379 0 0 0 0 0 0 379 0 0 1001662947 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5645 0 0 0 0 0 0 0 0 0 0 0 0 0 5645 0 0 1001663056 1033371133 10 Physicians PILCHER EVA 605213637 30 DuPage 0 0 Neurology 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 0 226 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 3522 0 0 0 0 0 0 3522 0 0 1001663173 1740618362 22 Physical Therapists CAPP LAURA 601622110 200 Cook 0 0 0 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 0 273 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 21669 21669 0 0 1001663557 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 19308 0 0 0 0 0 0 0 0 0 0 0 0 0 19308 0 0 1001663600 1669633889 10 Physicians MONROY JENNIFER 631100000 826 Missouri 0 0 Allergy 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 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 1292 0 0 0 0 0 0 1292 0 0 1001663888 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 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 31437 0 0 0 0 0 0 0 0 0 0 0 0 0 31437 0 0 1001663977 87 Psychologist(Encounter Only) 72 McLean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 76 0 0 0 0 0 0 76 0 0 1001664450 1730382839 10 Physicians MOORE ELENA SUSANA 602011718 200 Cook 0 0 Obstetric-Gynecology 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 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 1370 0 0 0 0 0 0 1370 0 0 1001664522 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 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 2968 0 0 0 0 0 0 0 0 0 0 0 0 0 2968 0 0 1001664527 10 Physicians 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 53 0 0 0 0 0 0 0 0 53 0 0 1001664719 10 Physicians 816 Iowa 0 0 Surgery General 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001666864 94 Waiver service provider--Children's support (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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18495 0 0 0 0 0 0 0 0 0 0 0 0 0 18495 0 0 1001667072 1740691823 91 Waiver service provider--Adults (DHS/DDD) WINDER PAMELA K 604611067 200 Cook 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 2450 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2450 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117603 0 0 0 0 0 0 0 0 0 0 0 0 0 117603 0 0 1001667471 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 26534 0 0 0 0 0 0 0 0 0 0 0 0 0 26534 0 0 1001667898 1881891471 10 Physicians ROLLO DERRICK E 618012529 19 Champaign 0 0 Neonatology 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 0 270 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 37399 0 0 0 0 0 0 37399 0 0 1001668165 1982852828 10 Physicians RANA KUNTAL 631784054 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 1 639 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1133 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1133 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 13370 0 1511 0 0 0 0 0 0 14886 0 0 1001668971 1346676178 55 Early Intervention Services EASTER SEALS UCP CFC 16 618213061 19 Champaign 0 0 0 890 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5382 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5382 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 609664 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 609664 0 0 1001669042 1124248067 10 Physicians HAUCK AMANDA 606112991 200 Cook 0 0 Pediatrics 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 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5876 0 0 0 0 0 0 5876 0 0 1001669133 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 11527 0 0 0 0 0 0 0 0 0 0 0 0 0 11527 0 0 1001669417 1568883718 40 Federally Qualified Health Centers HEARTLAND COMM HLTH CLN ARMSTR 999999999 80 Peoria 0 0 0 0 774 0 158 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2980 0 447 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2980 0 447 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191345 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191345 0 0 1001670054 1477826311 16 Nurse Practitioners SCALISSI JACQUELINE 611112754 109 Winnebago 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 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3609 0 0 0 0 0 0 3609 0 0 1001670074 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 10587 0 0 0 0 0 0 0 0 0 0 0 0 0 10587 0 0 1001670094 4001670094 90 Waiver service provider--Elderly (DOA) HOME LIFE HEALTHCARE CORP 601691340 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 1302 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1302 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135008 0 0 0 0 0 0 0 0 0 0 0 0 0 135008 0 0 1001670102 1255368353 10 Physicians MITCHELL RICHARD 553445349 200 Cook 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 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 0 351 0 0 0 0 0 0 0 0 351 0 0 1001670198 1891015905 10 Physicians KROHE MARK R 627810001 91 Sangamon 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 2 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4454 0 0 0 0 0 0 4454 0 0 1001670488 1558357384 16 Nurse Practitioners SHAPIRO DOROTHY 606118709 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 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 0 662 0 0 0 0 0 0 662 0 0 1001670732 1477787448 10 Physicians YETURU PREETHI 606313222 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 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 0 433 0 0 0 0 0 0 433 0 0 1001670871 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1001670902 1669663605 10 Physicians GOLDENBERG ETAI 631418657 106 Whiteside 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 1 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 37 0 0 0 0 0 0 97 0 0 1001671508 1700078748 87 Psychologist(Encounter Only) MCCURTIS KAREN 606154545 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 0 214 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 0 386 0 0 0 0 0 0 386 0 0 1001672008 1013345941 16 Nurse Practitioners MARINARO JOSEPH 605638450 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 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 0 200 0 0 0 0 0 0 200 0 0 1001672465 1609201060 40 Federally Qualified Health Centers ASIAN HUMAN SERVICES FAMILY 606594108 200 Cook 0 1 0 0 348 0 43 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1529 0 115 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1529 0 115 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 91812 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 91835 0 0 1001672620 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 0 354 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 354 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27659 0 0 0 0 0 0 0 0 0 0 0 0 0 27659 0 0 1001672655 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 84 0 0 0 0 0 0 84 0 0 1001672856 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 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25234 0 0 0 0 0 0 0 0 0 0 0 0 0 25234 0 0 1001673097 1962642504 16 Nurse Practitioners RYAN TAMMY 609142331 54 Kankakee 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 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 0 517 0 0 0 0 0 0 517 0 0 1001673504 1194155671 16 Nurse Practitioners TUDOR ALICE E 191824246 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 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 1562 0 0 0 0 0 0 1562 0 0 1001673526 92 Waiver service provider--Disability (DHS/DRS) 33 Effingham 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2888 0 0 0 0 0 0 0 0 0 0 0 0 0 2888 0 0 1001674086 11 Dentists 200 Cook 0 0 General Dentistry 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 1001674592 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 0 181 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 26487 0 0 0 0 0 0 0 0 0 0 0 0 0 26487 0 0 1001674761 1992122733 16 Nurse Practitioners RAYNOLDS KRISTIN E 627034514 91 Sangamon 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 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 0 385 0 0 0 0 0 0 385 0 0 1001674814 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 0 286 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 10559 0 0 0 0 0 0 0 0 0 0 0 0 0 10559 0 0 1001674895 1891121323 23 Occupational Therapists HOFF ASHLEE 613429216 58 La Salle 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2633 2633 0 0 1001675226 1922328640 10 Physicians MITTON KRISTINA 606573327 200 Cook 0 1 Pediatrics 0 0 0 0 3 0 0 0 0 0 0 1 0 8 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 1 0 8 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 1 0 8 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 10 0 260 0 0 0 0 0 0 386 0 0 1001675265 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 374 0 0 0 0 0 0 374 0 0 1001675597 93 Waiver service provider--HIV/AIDS (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 354 0 0 0 0 0 0 0 0 0 0 0 0 0 354 0 0 1001675634 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 260 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 260 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21199 0 0 0 0 0 0 0 0 0 0 0 0 0 21199 0 0 1001675991 1235489469 62 Opticians / Optical Companies EYE Q OPTIQUE INC 606127242 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 515 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 521 0 0 0 0 0 0 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 15254 0 0 0 0 15254 0 0 1001676221 1346415908 10 Physicians MEZO ISAAC R 604501207 40 Grundy 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 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3668 0 0 0 0 0 0 3668 0 0 1001676308 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 264 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 264 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27574 0 0 0 0 0 0 0 0 0 0 0 0 0 27574 0 0 1001676333 1518381896 16 Nurse Practitioners BEATY KELSEY J 627083428 91 Sangamon 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 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 0 582 0 0 0 0 0 0 582 0 0 1001676713 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 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3110 0 0 0 0 0 0 0 0 0 0 0 0 0 3110 0 0 1001676746 1366768442 10 Physicians STRINGER ELIZABETH C 604643041 200 Cook 0 1 Pediatrics 0 0 0 0 23 0 0 0 0 0 0 30 0 40 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 50 0 49 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 50 0 49 0 0 0 0 0 0 0 0 0 1980 0 0 0 0 0 0 814 0 1334 0 0 0 0 0 0 4128 0 0 1001676825 1720280019 10 Physicians LIMAYE DHANYA 606225646 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 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 2439 0 0 0 0 0 0 2439 0 0 1001676995 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 0 260 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 17729 0 0 0 0 0 0 0 0 0 0 0 0 0 17729 0 0 1001677032 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 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 13692 0 0 0 0 0 0 0 0 0 0 0 0 0 13692 0 0 1001677359 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16975 0 0 0 0 0 0 0 0 0 0 0 0 0 16975 0 0 1001677748 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 0 134 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 25442 0 0 0 0 0 0 0 0 0 0 0 0 0 25442 0 0 1001677797 1437590460 55 Early Intervention Services GARCIA JENNIFER 627621000 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 422 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 422 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23748 0 0 0 0 0 0 23748 0 0 1001677825 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 17586 0 0 0 0 0 0 0 0 0 0 0 0 0 17586 0 0 1001677849 1770871345 10 Physicians PATEL JAYDIP B 462601316 53 Kane 0 0 Internal 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 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 0 174 0 0 0 0 0 0 174 0 0 1001678172 1548699309 60 Pharmacies OSCO DRUG #1303 604918122 107 Will 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 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1095 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1905 0 0 0 1905 0 0 1001678214 1245323005 10 Physicians BLACK ERIC 627949639 91 Sangamon 0 0 Psychiatry 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 0 275 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 12452 0 0 0 0 0 0 12452 0 0 1001678299 98 Waiver service provider--TBI (DHS/DRS) 88 Richland 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 12366 0 0 0 0 0 0 0 0 0 0 0 0 0 12366 0 0 1001678303 1265407100 10 Physicians GREEN CHRISTOPHER 420028317 200 Cook 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 0 347 0 0 0 0 0 0 0 0 347 0 0 1001678318 1215257522 10 Physicians CEDENO CHRISTINA C 606225646 200 Cook 0 0 Pediatrics 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 0 294 0 0 0 0 0 0 294 0 0 1001678575 1407286941 60 Pharmacies AXLINE PHARMACY 613269333 86 Putnam 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 0 220 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6790 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7246 0 0 0 7246 0 0 1001678666 1194142950 16 Nurse Practitioners OWENS HOPE 999999999 10 Adams 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 0 286 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 1018 0 0 0 0 0 0 1018 0 0 1001678689 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 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 1458 0 0 0 0 0 0 0 0 0 0 0 0 0 1458 0 0 1001678871 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 0 239 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 30276 0 0 0 0 0 0 0 0 0 0 0 0 0 30276 0 0 1001679114 1871919381 30 General Hospitals OSF SAINT LUKE MEDICAL CENTER 614438354 45 Henry DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 1 0 0 2 0 0 0 709 0 0 0 0 43 0 0 0 949 0 0 0 0 0 2 0 0 0 1212 0 0 0 0 47 0 0 0 2566 0 0 0 0 0 2 0 0 0 1212 0 0 0 0 136 0 0 0 2566 0 0 0 0 0 0 0 0 0 292022 0 0 0 0 18253 0 0 0 289544 0 0 0 0 0 599819 0 0 1001679726 91 Waiver service provider--Adults (DHS/DDD) 36 Franklin 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2616 0 0 0 0 0 0 0 0 0 0 0 0 0 2616 0 0 1001679730 1689016297 16 Nurse Practitioners BROWN ASHLEY N 623014038 10 Adams 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 0 124 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 1743 0 0 0 0 0 0 1743 0 0 1001679755 4001679755 25 Audiologists WEBERLING LINDSAY 999999999 200 Cook 0 0 0 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 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 0 869 869 0 0 1001679874 1528252483 10 Physicians SANFILIPPO KRISTEN M 631600352 90 Saline 0 0 Hematology 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 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 7426 0 0 0 0 0 0 7426 0 0 1001680141 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 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 0 757 0 0 0 0 0 0 0 0 0 0 0 0 0 757 0 0 1001680405 1629402409 91 Waiver service provider--Adults (DHS/DDD) PASKIND DEBRA 606144946 200 Cook 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 1992 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1992 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56513 0 0 0 0 0 0 0 0 0 0 0 0 0 56513 0 0 1001680625 91 Waiver service provider--Adults (DHS/DDD) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 7030 0 0 0 0 0 0 0 0 0 0 0 0 0 7030 0 0 1001680763 1427219120 10 Physicians NICOLAOU DAEMEON 631032236 200 Cook 0 0 Orthopedic 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 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 4778 0 0 0 0 0 0 4778 0 0 1001680810 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15068 0 0 0 0 0 0 0 0 0 0 0 0 0 15068 0 0 1001681153 1679872477 16 Nurse Practitioners KAUFMAN JACQUELINE 616151941 50 Jersey 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 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 0 463 0 0 0 0 0 0 463 0 0 1001681229 1184942104 16 Nurse Practitioners CROYLE CYNTHIA 609012901 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 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 1360 0 0 0 0 0 0 1360 0 0 1001681238 91 Waiver service provider--Adults (DHS/DDD) 89 Rock Island 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1296 0 0 0 0 0 0 0 0 0 0 0 0 0 1296 0 0 1001681471 10 Physicians 30 DuPage 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 1001681591 1871893859 10 Physicians JAIN ANUJ 604592190 200 Cook 0 1 Family Practice 0 0 0 0 34 0 0 0 0 0 0 0 0 173 0 0 0 0 0 0 0 0 0 70 0 0 0 0 0 0 0 0 1106 0 0 0 0 0 0 0 0 0 70 0 0 0 0 0 0 0 0 1106 0 0 0 0 0 0 0 0 0 2513 0 0 0 0 0 0 0 0 16196 0 0 0 0 0 0 18709 0 0 1001681745 1194975441 10 Physicians TURNBULL ISAIAH 631600352 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 0 196 0 0 0 0 0 0 196 0 0 1001682044 1497879290 10 Physicians ALBARO CECILIA A 618012529 826 Missouri 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 11 0 137 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 357 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 357 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1286 0 27754 0 0 0 0 0 0 29040 0 0 1001682107 91 Waiver service provider--Adults (DHS/DDD) 108 Williamson 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 295 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 295 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25332 0 0 0 0 0 0 0 0 0 0 0 0 0 25332 0 0 1001682579 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 6864 0 0 0 0 0 0 0 0 0 0 0 0 0 6864 0 0 1001683108 1063686848 10 Physicians PICKERING DACIA A 611081673 109 Winnebago 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 1684 0 0 0 0 0 0 1684 0 0 1001683899 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 63 0 0 0 0 0 0 63 0 0 1001683917 4001683917 90 Waiver service provider--Elderly (DOA) A AND Z HOME HEALTH CARE INC 604383080 200 Cook 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 9198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 969589 0 0 0 0 0 0 0 0 0 0 0 0 0 969589 0 0 1001684135 1184879710 10 Physicians KEANE THOMAS E 480381125 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 19 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 21 0 0 0 0 0 0 121 0 0 1001684370 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 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27270 0 0 0 0 0 0 0 0 0 0 0 0 0 27270 0 0 1001684406 1649598889 10 Physicians SMITH MELANIE M 606118709 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 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 0 590 0 0 0 0 0 0 590 0 0 1001684507 1033373287 10 Physicians OSPINA JOSE 601974543 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 123 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 161 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 161 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4815 0 69 0 0 0 0 0 0 4884 0 0 1001684528 1407018682 10 Physicians STOCK LAURA 606118700 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 3 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 627 0 0 0 0 0 0 787 0 0 1001684847 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 0 192 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 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1001685535 10 Physicians 815 Indiana 0 0 0 0 0 0 0 0 0 0 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 0 106 0 0 0 0 0 0 106 0 0 1001685912 1184969628 30 General Hospitals FRESENIUS MEDICAL CARE CICERO 608043638 200 Cook DIALYSIS Outpatient dialysis centers. 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 0 444 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3838 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 298030 0 0 0 0 0 298030 0 0 1001686281 1093148496 56 School Based / Linked Health Clinics HUGINNIE CRANE ADOLESCENT HLTH 606122910 200 Cook 0 0 0 0 8 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 534 0 97 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 631 0 0 1001686592 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1471 0 0 0 0 0 0 0 0 0 0 0 0 0 1471 0 0 1001686763 1114184058 10 Physicians NAM DENIS 601545745 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 54 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 401 0 9810 0 0 0 0 0 0 10211 0 0 1001687054 1487092367 60 Pharmacies PULSE PHARMACY INC 606233501 200 Cook 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 0 988 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29729 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24553 0 0 0 24553 0 0 1001687112 10 Physicians 96 St Clair 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001687139 1871915306 16 Nurse Practitioners MCMAINS BRENDA L 627047452 91 Sangamon 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 1276 0 0 0 0 0 0 1276 0 0 1001688173 1669723573 10 Physicians BODNER ALLA 600681126 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 2 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1159 0 0 0 0 0 0 1159 0 0 1001688404 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 24693 0 0 0 0 0 0 0 0 0 0 0 0 0 24693 0 0 1001688483 1144643354 33 Nursing Facilities APERION CARE BRIDGEPORT 999999999 59 Lawrence 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 0 204 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4737 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 386969 0 0 0 0 0 0 0 386969 0 0 1001688665 1790025997 16 Nurse Practitioners TAI YEN 606118709 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 523 0 0 0 0 0 0 523 0 0 1001688779 1306119953 70 Ambulance Service Providers ANNAWAN ALBA FIRE PROTECTION 612347704 45 Henry 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 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 6194 0 0 0 0 0 0 6194 0 0 1001689232 1962713909 10 Physicians MARTINEZ JAIME 619389253 24 Coles 0 1 Family Practice 0 0 0 0 2 0 0 0 0 0 0 3 0 116 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 3 0 350 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 3 0 350 0 0 0 0 0 0 0 0 0 77 0 0 0 0 0 0 2 0 5430 0 0 0 0 0 0 5509 0 0 1001689557 1972819720 10 Physicians SAHNI ASHIMA 606930623 200 Cook 0 0 Internal Medicine 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 0 166 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 11611 0 0 0 0 0 0 11611 0 0 1001689618 1275872558 10 Physicians SAMIKKANNU MICHAEL R 602011700 200 Cook 0 0 Internal Medicine 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 0 290 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 2923 0 0 0 0 0 0 2923 0 0 1001689774 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 0 342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27941 0 0 0 0 0 0 0 0 0 0 0 0 0 27941 0 0 1001689841 1851723803 30 General Hospitals FRESENIUS MEDICAL CARE NORTH K 606301725 200 Cook DIALYSIS Outpatient dialysis centers. 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 0 415 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5302 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107133 0 0 0 0 0 107133 0 0 1001689899 1003159468 91 Waiver service provider--Adults (DHS/DDD) TOPVIEW CORPORATION 604301935 200 Cook 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 4334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1153395 0 0 0 0 0 0 0 0 0 0 0 0 0 1153395 0 0 1001689913 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 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 2 0 0 0 0 0 0 2 0 0 1001690069 1578797296 10 Physicians RAVANGARD SAMADH 606313222 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 184 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 349 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 349 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8472 0 4410 0 0 0 0 0 0 12882 0 0 1001690595 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 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24076 0 0 0 0 0 0 0 0 0 0 0 0 0 24076 0 0 1001690843 12 Optometrists 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 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 61 0 0 0 0 0 0 61 0 0 1001690900 1669897930 16 Nurse Practitioners PAPIS KRISTINE M. 616052576 80 Peoria 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 0 0 88 0 0 0 0 0 0 0 0 132 0 0 0 0 0 0 0 0 0 88 0 0 0 0 0 0 0 0 132 0 0 0 0 0 0 0 0 0 5072 0 0 0 0 0 0 0 0 8003 0 0 0 0 0 0 13075 0 0 1001691117 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 0 131 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 27540 0 0 0 0 0 0 0 0 0 0 0 0 0 27540 0 0 1001691157 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 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11552 0 0 0 0 0 0 0 0 0 0 0 0 0 11552 0 0 1001691218 1346423829 10 Physicians AHMED RAHEEL 999999999 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4046 0 0 0 0 0 0 4046 0 0 1001691564 1619306362 16 Nurse Practitioners MCGUIRE COLLEEN 606123804 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 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 0 184 0 0 0 0 0 0 184 0 0 1001692138 1528354602 13 Podiatrists BRAZIS AMANDA L 629486334 108 Williamson 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 0 298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4890 0 0 0 0 0 0 4890 0 0 1001692237 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 0 286 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 28317 0 0 0 0 0 0 0 0 0 0 0 0 0 28317 0 0 1001692447 1376866913 10 Physicians DI SABATO DIEGO 601545716 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 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 2434 0 0 0 0 0 0 2434 0 0 1001692507 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 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 0 973 0 0 0 0 0 0 0 0 0 0 0 0 0 973 0 0 1001692632 1427461292 33 Nursing Facilities AVANTARA PARK RIDGE 600681233 200 Cook 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 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6580 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1206260 0 0 0 0 0 0 0 1206260 0 0 1001692750 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 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 1602 0 0 0 0 0 0 0 0 0 0 0 0 0 1602 0 0 1001692788 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 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 28312 0 0 0 0 0 0 0 0 0 0 0 0 0 28312 0 0 1001692873 1033402672 10 Physicians ORAKZAI MUHAMMAD R 953586411 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 358 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 3025 0 0 0 0 0 0 3025 0 0 1001693031 1730514563 28 Waiver service provider--Supportive living facility (HFS) DEER PATH OF HUNTLEY 601426502 53 Kane 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 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 226601 0 0 0 0 0 0 0 0 0 0 0 0 0 226601 0 0 1001693411 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 0 119 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 16260 0 0 0 0 0 0 0 0 0 0 0 0 0 16260 0 0 1001694171 93 Waiver service provider--HIV/AIDS (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7842 0 0 0 0 0 0 0 0 0 0 0 0 0 7842 0 0 1001694180 92 Waiver service provider--Disability (DHS/DRS) 50 Jersey 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 9960 0 0 0 0 0 0 0 0 0 0 0 0 0 9960 0 0 1001694661 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 9814 0 0 0 0 0 0 0 0 0 0 0 0 0 9814 0 0 1001694773 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 1001694797 1477842540 10 Physicians LYONS TRACY 606116649 200 Cook 0 0 Pediatrics 0 0 0 0 7 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 378 0 0 0 0 0 0 0 0 3138 0 0 0 0 0 0 3516 0 0 1001695012 1033342837 10 Physicians NANDA ATUL 606577227 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6668 0 0 0 0 0 0 6668 0 0 1001695373 1730336652 10 Physicians BAKHOS LARA 606313222 200 Cook 0 0 Cardiology 0 0 0 0 0 0 0 0 0 0 0 5 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81 0 651 0 0 0 0 0 0 732 0 0 1001695668 1699986158 10 Physicians KHAN IRUM 606127232 200 Cook 0 0 Hematology 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 0 200 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 8462 0 0 0 0 0 0 8462 0 0 1001695685 1104231422 16 Nurse Practitioners COOLEY JACKIE 627047452 91 Sangamon 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 0 264 0 0 0 0 0 0 264 0 0 1001695904 1023449923 60 Pharmacies MARIANOS PHARMACY 8528 601545622 200 Cook 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 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3129 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1967 0 0 0 1967 0 0 1001696004 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 0 215 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 13685 0 0 0 0 0 0 0 0 0 0 0 0 0 13685 0 0 1001696087 1396182408 24 Speech Therapists COOK ABBEY 615179529 80 Peoria 0 0 0 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 0 211 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 211 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6492 6492 0 0 1001696301 1881841443 10 Physicians GHADBAN RAFIF 631952334 47 Jackson 0 0 Ophthalmology 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 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 1305 0 0 0 0 0 0 1305 0 0 1001696738 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 0 365 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 28258 0 0 0 0 0 0 0 0 0 0 0 0 0 28258 0 0 1001696802 1861814535 16 Nurse Practitioners ACOY SHENELLE 600141016 71 McHenry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5118 0 0 0 0 0 0 5118 0 0 1001696989 1437428786 16 Nurse Practitioners STOLSPART MARK 606778004 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 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 0 122 0 0 0 0 0 0 122 0 0 1001698489 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 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 0 335 0 0 0 0 0 0 0 0 0 0 0 0 0 335 0 0 1001699017 1093963738 10 Physicians MEHTA RURAL 606118709 200 Cook 0 0 Nephrology 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 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 511 0 0 0 0 0 0 511 0 0 1001699032 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27338 0 0 0 0 0 0 0 0 0 0 0 0 0 27338 0 0 1001699428 1801071543 16 Nurse Practitioners HAVRILKA PAUL S 628019114 66 Marion 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 157 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 157 0 0 0 0 0 0 0 0 0 260 0 0 0 0 0 0 0 0 2472 0 0 0 0 0 0 2732 0 0 1001699496 1770998924 16 Nurse Practitioners ALLEN ERIC 627025324 91 Sangamon 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 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 0 753 0 0 0 0 0 0 753 0 0 1001699779 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 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 5524 0 0 0 0 0 0 0 0 0 0 0 0 0 5524 0 0 1001699811 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 12122 0 0 0 0 0 0 0 0 0 0 0 0 0 12122 0 0 1001699907 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 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 15904 0 0 0 0 0 0 0 0 0 0 0 0 0 15904 0 0 1001700394 1558456210 91 Waiver service provider--Adults (DHS/DDD) LOCUST STREET RESOURCE CENTER 626261648 64 Macoupin 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 3050 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3050 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 489895 0 0 0 0 0 0 0 0 0 0 0 0 0 489895 0 0 1001700449 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 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 6488 0 0 0 0 0 0 0 0 0 0 0 0 0 6488 0 0 1001700612 1073769287 10 Physicians YOUNG ADAM 606123833 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 14 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 186 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 186 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 185 0 560 0 0 0 0 0 0 745 0 0 1001700691 1255579876 10 Physicians DESAI TAPAN 482781076 200 Cook 0 0 Internal Medicine 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 0 305 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 305 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9714 0 0 0 0 0 0 9714 0 0 1001701037 1841455490 10 Physicians JANI PRITI 605275965 30 DuPage 0 0 Pediatrics 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 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 9545 0 0 0 0 0 0 9545 0 0 1001701283 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 0 170 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 0 0 0 0 0 0 0 0 0 0 16556 0 0 0 0 0 0 0 0 0 0 0 0 0 16556 0 0 1001701289 92 Waiver service provider--Disability (DHS/DRS) 97 Stephenson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1449 0 0 0 0 0 0 0 0 0 0 0 0 0 1449 0 0 1001701631 92 Waiver service provider--Disability (DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 20666 0 0 0 0 0 0 0 0 0 0 0 0 0 20666 0 0 1001701728 1437312477 10 Physicians MATHEW MELVY 605275965 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 579 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 732 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 732 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8653 0 121 0 0 0 0 0 0 8774 0 0 1001702072 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 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1046 1046 0 0 1001702084 11 Dentists 80 Peoria 0 0 General Dentistry 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 0 950 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 950 0 0 1001702437 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 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 6743 0 0 0 0 0 0 0 0 0 0 0 0 0 6743 0 0 1001702578 16 Nurse Practitioners 826 Missouri 0 0 0 0 0 0 0 0 0 0 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 0 100 0 0 0 0 0 0 100 0 0 1001702960 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 17220 0 0 0 0 0 0 0 0 0 0 0 0 0 17220 0 0 1001702989 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 0 300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15763 0 0 0 0 0 0 0 0 0 0 0 0 0 15763 0 0 1001703425 94 Waiver service provider--Children's support (DHS/DDD) 62 Logan 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 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 9391 0 0 0 0 0 0 0 0 0 0 0 0 0 9391 0 0 1001704162 1326043514 10 Physicians KANATHUR NAVEEN 641843151 96 St Clair 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 4688 0 0 0 0 0 0 4696 0 0 1001704439 1639186638 30 General Hospitals PRESENCE MERCY MEDICAL CENTER 605061449 53 Kane DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 General Hospital - Adult and Child 0 0 37 0 0 1793 0 0 0 0 511 0 0 0 716 0 0 0 0 0 0 169 0 0 2803 0 0 0 0 629 0 0 0 1750 0 0 0 0 0 0 169 0 0 2803 0 0 0 0 3291 0 0 0 1750 0 0 0 0 0 0 41617 0 0 810169 0 0 0 0 2331912 0 0 0 833311 0 0 0 0 0 4017009 0 0 1001704525 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 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30261 0 0 0 0 0 0 0 0 0 0 0 0 0 30261 0 0 1001704948 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 11129 0 0 0 0 0 0 0 0 0 0 0 0 0 11129 0 0 1001705512 1821237397 10 Physicians TATARIS KATIE 605275965 30 DuPage 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 146 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 146 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 4344 0 0 0 0 0 0 4373 0 0 1001705641 1386890754 10 Physicians YOUNG SONA 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 1118 0 0 0 0 0 0 1118 0 0 1001706025 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 9473 0 0 0 0 0 0 0 0 0 0 0 0 0 9473 0 0 1001706337 4001706337 10 Physicians PELINO COLLEEN 606733039 200 Cook 0 0 Pediatrics 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 1910 0 0 0 0 0 0 1910 0 0 1001706471 1992104780 33 Nursing Facilities GENERATIONS AT OAKTON PAVILLIO 600182045 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 0 259 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 974693 0 0 0 0 0 0 0 974693 0 0 1001706546 1508186826 16 Nurse Practitioners SULIK ALEXANDRA 611086479 109 Winnebago 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 0 354 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 354 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6530 0 0 0 0 0 0 6530 0 0 1001707618 1750518536 10 Physicians BRAUER MEREDITH 601228942 53 Kane 0 0 Internal Medicine 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 0 186 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 3377 0 0 0 0 0 0 3377 0 0 1001707682 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 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25651 0 0 0 0 0 0 0 0 0 0 0 0 0 25651 0 0 1001707955 92 Waiver service provider--Disability (DHS/DRS) 81 Perry 0 0 0 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 29247 0 0 0 0 0 0 0 0 0 0 0 0 0 29247 0 0 1001708201 1346677895 16 Nurse Practitioners TROLI MANDI 609012901 54 Kankakee 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 120 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 120 0 0 0 0 0 0 0 0 0 259 0 0 0 0 0 0 0 0 2884 0 0 0 0 0 0 3143 0 0 1001708546 16 Nurse Practitioners 45 Henry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 310 0 0 0 0 0 0 310 0 0 1001708739 1063840072 16 Nurse Practitioners HUSSAIN SARAH 606775253 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 0 187 0 0 0 0 0 0 187 0 0 1001709064 1164822755 47 Local Education Agencies MILFORD AREA P S D 124 609531234 46 Iroquois 0 0 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 1155 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1155 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15630 0 15630 0 0 1001709243 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 10731 0 0 0 0 0 0 0 0 0 0 0 0 0 10731 0 0 1001709499 1154751436 16 Nurse Practitioners SPECKHART BETH A 616052576 80 Peoria 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 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 1395 0 0 0 0 0 0 1395 0 0 1001709503 1306262126 55 Early Intervention Services MCDERMOTT KATHLEEN 627621000 91 Sangamon 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 0 413 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 413 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24984 0 0 0 0 0 0 24984 0 0 1001710221 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 16994 0 0 0 0 0 0 0 0 0 0 0 0 0 16994 0 0 1001710735 10 Physicians 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 190 0 0 0 0 0 0 190 0 0 1001710819 1255415386 60 Pharmacies ONE HUNDRED ELEVEN PHARMA FAM 606284206 200 Cook 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 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2869 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7571 0 0 0 7571 0 0 1001711187 1386947026 16 Nurse Practitioners SCHIESTEL RHONDA C 605044511 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 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 1910 0 0 0 0 0 0 1910 0 0 1001711246 1013238278 10 Physicians KIM HYO JIN 606313222 200 Cook 0 0 Internal Medicine 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 0 331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4348 0 0 0 0 0 0 4348 0 0 1001711428 1275841561 10 Physicians MARK VICTORIA W 606118709 200 Cook 0 0 Internal Medicine 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 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4130 0 0 0 0 0 0 4130 0 0 1001711657 1386078830 60 Pharmacies APOTHECO PHARMACY LINCOLN PARK 606144385 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1020 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10872 0 0 0 10872 0 0 1001711930 1639272768 50 Home Health Agencies - In Home MAXIM HEALTHCARE SERVICES INC 622081340 96 St Clair 0 0 0 0 0 0 0 0 14 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20773 17891 0 0 0 0 0 0 0 0 0 0 0 0 38664 0 0 1001712033 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 19606 0 0 0 0 0 0 0 0 0 0 0 0 0 19606 0 0 1001712247 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 0 359 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 359 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23572 0 0 0 0 0 0 0 0 0 0 0 0 0 23572 0 0 1001712308 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 0 103 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 5564 0 0 0 0 0 0 0 0 0 0 0 0 0 5564 0 0 1001712463 1801227608 60 Pharmacies MARIANOS PHARMACY 8527 606225549 200 Cook 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 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8869 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24958 0 0 0 24958 0 0 1001712600 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 0 314 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 314 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26049 0 0 0 0 0 0 0 0 0 0 0 0 0 26049 0 0 1001712752 4001712752 92 Waiver service provider--Disability (DHS/DRS) HEALTHCARE PLUS CAREGIVERS COR 606412932 200 Cook 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 129 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 335606 0 0 0 0 0 0 0 0 0 0 0 0 0 335606 0 0 1001712808 1336172816 16 Nurse Practitioners ROMANOWSKI ELZBIETA 604358200 107 Will 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 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 468 0 0 0 0 0 0 468 0 0 1001713049 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 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 0 130 130 0 0 1001713149 1144631003 16 Nurse Practitioners EDEN AMIE 618012529 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3836 0 0 0 0 0 0 3836 0 0 1001713267 1457690604 30 General Hospitals FRESENIUS MEDICAL CARE LOGAN S 606471338 200 Cook DIALYSIS Outpatient dialysis centers. 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 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1906 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73799 0 0 0 0 0 73799 0 0 1001713291 1245673359 60 Pharmacies WALGREENS 15678 606573419 200 Cook 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 0 636 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28349 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 737805 0 0 0 737805 0 0 1001713385 16 Nurse Practitioners 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 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 1001713484 1336562776 16 Nurse Practitioners ROSS THERON E 117474300 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1218 0 0 0 0 0 0 1218 0 0 1001713614 1851539621 10 Physicians YANG GLEN 619442460 19 Champaign 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 11 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 0 6527 0 0 0 0 0 0 6594 0 0 1001713647 1033494455 16 Nurse Practitioners JOSEPH MANEESHA 617616523 72 McLean 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 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 0 359 0 0 0 0 0 0 359 0 0 1001713652 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 0 349 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 349 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27904 0 0 0 0 0 0 0 0 0 0 0 0 0 27904 0 0 1001713750 1609200971 16 Nurse Practitioners CERMAK KEITH 606860051 62 Logan 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 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 1145 0 0 0 0 0 0 1145 0 0 1001713810 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 0 166 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 9326 0 0 0 0 0 0 0 0 0 0 0 0 0 9326 0 0 1001713887 1265860662 16 Nurse Practitioners THUESON ERIC 629037647 47 Jackson 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 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 2398 0 0 0 0 0 0 2398 0 0 1001714434 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 11626 0 0 0 0 0 0 0 0 0 0 0 0 0 11626 0 0 1001714490 1992141949 70 Ambulance Service Providers OSF AVIATION LLC 616071119 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 245 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 166400 0 0 0 0 0 0 166400 0 0 1001714523 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 28396 0 0 0 0 0 0 0 0 0 0 0 0 0 28396 0 0 1001714786 4001714786 90 Waiver service provider--Elderly (DOA) KINGSWAY HOME HEALTH SERVICES 606453503 200 Cook 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 2574 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2574 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 293105 0 0 0 0 0 0 0 0 0 0 0 0 0 293105 0 0 1001714819 98 Waiver service provider--TBI (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 25348 0 0 0 0 0 0 0 0 0 0 0 0 0 25348 0 0 1001715163 1942625546 16 Nurse Practitioners ROSENBERY ASHLEY N 618562116 82 Piatt 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 0 0 0 0 0 0 133 0 0 1001715444 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 31550 0 0 0 0 0 0 0 0 0 0 0 0 0 31550 0 0 1001715935 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 25588 0 0 0 0 0 0 0 0 0 0 0 0 0 25588 0 0 1001716612 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 4175 0 0 0 0 0 0 0 0 0 0 0 0 0 4175 0 0 1001717149 93 Waiver service provider--HIV/AIDS (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 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 0 406 0 0 0 0 0 0 0 0 0 0 0 0 0 406 0 0 1001717315 1568500510 48 Rural Health Clinics FCH RURAL HEALTH VANDALIA 624711027 34 Fayette 0 1 0 0 227 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 760 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 760 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12826 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12826 0 0 1001717650 1104079862 10 Physicians MARTIN JEFFREY B 627621000 91 Sangamon 0 0 Anesthesiology 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 1762 0 0 0 0 0 0 1762 0 0 1001717929 1801236146 16 Nurse Practitioners LOCK SUSAN 615543905 98 Tazewell 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 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 1897 0 0 0 0 0 0 1897 0 0 1001718384 1194031435 10 Physicians ABEGUNDE AYOKUNLE 606123723 200 Cook 0 0 Internal Medicine 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 0 164 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 5357 0 0 0 0 0 0 5357 0 0 1001718740 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30213 0 0 0 0 0 0 0 0 0 0 0 0 0 30213 0 0 1001718924 1982918009 10 Physicians TAHER ALAIDDEN 503061455 109 Winnebago 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 331 0 0 0 0 0 0 331 0 0 1001719945 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 0 343 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 0 0 0 0 0 0 0 0 0 0 0 0 27851 0 0 0 0 0 0 0 0 0 0 0 0 0 27851 0 0 1001720269 1932541943 11 Dentists SHTILMAN ALLA 600604433 57 Lake 0 0 General Dentistry 0 0 0 43 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 6221 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6221 0 0 1001720621 1912149337 16 Nurse Practitioners BUCHENAU AMY 611041572 109 Winnebago 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 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 1406 0 0 0 0 0 0 1406 0 0 1001720640 22 Physical Therapists 89 Rock Island 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 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1203 1203 0 0 1001720803 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 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 18145 0 0 0 0 0 0 0 0 0 0 0 0 0 18145 0 0 1001720868 91 Waiver service provider--Adults (DHS/DDD) 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 0 364 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 28382 0 0 0 0 0 0 0 0 0 0 0 0 0 28382 0 0 1001721622 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 17167 0 0 0 0 0 0 0 0 0 0 0 0 0 17167 0 0 1001721949 1376978106 28 Waiver service provider--Supportive living facility (HFS) ST ANTHONY OF LANSING 604384403 200 Cook 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 0 326 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9069 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 902394 0 0 0 0 0 0 0 0 0 0 0 0 0 902394 0 0 1001722093 91 Waiver service provider--Adults (DHS/DDD) 87 Randolph 0 0 0 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 29021 0 0 0 0 0 0 0 0 0 0 0 0 0 29021 0 0 1001722414 1437587631 16 Nurse Practitioners MYERS MELISSA M 379233632 107 Will 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 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 0 416 0 0 0 0 0 0 416 0 0 1001722429 1063727832 10 Physicians GURUNG PUJA 631418573 53 Kane 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 256 0 0 0 0 0 0 256 0 0 1001722850 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 0 156 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 0 0 0 0 0 28876 0 0 0 0 0 0 0 0 0 0 0 0 0 28876 0 0 1001723078 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 13117 0 0 0 0 0 0 0 0 0 0 0 0 0 13117 0 0 1001723199 1457348435 33 Nursing Facilities COULTERVILLE REHAB AND HCC 622371134 87 Randolph 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 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3238 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 384261 0 0 0 0 0 0 0 384261 0 0 1001723259 1497070940 10 Physicians BADAL EDWARD B. 602011718 200 Cook 0 1 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 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 0 500 0 0 0 0 0 0 500 0 0 1001723507 1013255942 48 Rural Health Clinics SPRINGFIELD CLINIC RAYMOND RUR 625605283 76 Montgomery 0 0 0 0 23 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1777 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1777 0 0 1001723652 1609831478 10 Physicians YOU WHITNEY B 606116649 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 43 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1890 0 3043 0 0 0 0 0 0 4933 0 0 1001723678 10 Physicians 30 DuPage 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 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 0 392 0 0 0 0 0 0 392 0 0 1001723890 1629277652 10 Physicians ALOMAN COSTICA 606751611 200 Cook 0 0 Gastroenterology 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 0 237 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 237 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7514 0 0 0 0 0 0 7514 0 0 1001724262 1740617984 60 Pharmacies WALGREENS #11367 600517258 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 628 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 20507 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 50117 0 0 0 50157 0 0 1001724425 1235341587 10 Physicians SPANIER STIASNY JENNIFER 600315711 57 Lake 0 0 Gastroenterology 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 129 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 7297 0 0 0 0 0 0 7297 0 0 1001724486 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 0 156 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 0 0 0 0 0 27729 0 0 0 0 0 0 0 0 0 0 0 0 0 27729 0 0 1001724921 93 Waiver service provider--HIV/AIDS (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23368 0 0 0 0 0 0 0 0 0 0 0 0 0 23368 0 0 1001725296 1902238645 60 Pharmacies NORTHWESTERN MED SPCLTY PHARM 606112908 200 Cook 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 1822 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21188 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3928699 0 0 0 3928699 0 0 1001725371 1245571819 16 Nurse Practitioners SHANE JAYMA 616152402 80 Peoria 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 1034 0 0 0 0 0 0 1034 0 0 1001725970 1578714044 10 Physicians CALEEL ASHLEY 600852161 57 Lake 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 204 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 280 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 280 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1500 0 952 0 0 0 0 0 0 2452 0 0 1001726438 1558672279 61 Independent Laboratories NATERA INC 940702396 805 California 0 0 0 0 0 0 0 0 0 0 0 0 0 387 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1783 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1783 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 464092 0 0 0 0 0 0 0 0 464092 0 0 1001726448 1346473345 10 Physicians ADAB KALID 606070003 200 Cook 0 0 Emergency Medicine 0 0 0 0 3 0 0 0 0 0 0 6 0 170 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 8 0 608 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 8 0 608 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 193 0 6073 0 0 0 0 0 0 6362 0 0 1001726717 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 0 730 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 730 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 1001727039 1265484794 10 Physicians REED PEI LIN 925077401 805 California 0 0 Radiology Diagnosis 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 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 1961 0 0 0 0 0 0 0 0 1961 0 0 1001727401 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 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 10833 0 0 0 0 0 0 0 0 0 0 0 0 0 10833 0 0 1001727586 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 12079 0 0 0 0 0 0 0 0 0 0 0 0 0 12079 0 0 1001727590 1477998433 11 Dentists DILLARD JAZMINE 602021016 200 Cook 0 0 Pedodontics 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4177 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4177 0 0 1001727813 10 Physicians 108 Williamson 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 127 0 0 0 0 0 0 127 0 0 1001728056 22 Physical Therapists 57 Lake 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 8 8 0 0 1001728068 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 1001728169 1083052195 55 Early Intervention Services WEST DANIELLE 627621000 91 Sangamon 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 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5151 0 0 0 0 0 0 5151 0 0 1001728225 1427366020 10 Physicians WRIGHT KELLY 602011700 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 162 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 5362 0 0 0 0 0 0 5362 0 0 1001728497 1134551096 16 Nurse Practitioners HOUSER HEATHER 618012529 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 0 194 0 0 0 0 0 0 194 0 0 1001728761 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 0 192 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 56764 0 0 0 0 0 0 0 0 0 0 0 0 0 56764 0 0 1001728915 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 30602 0 0 0 0 0 0 0 0 0 0 0 0 0 30602 0 0 1001729258 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 1001729267 1447240155 10 Physicians OVERDECK KIMBERLEE 616111853 63 Macon 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 144 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4437 0 46 0 0 0 0 0 0 4483 0 0 1001729870 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 3 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 1404 1404 0 0 1001730338 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 1001730782 1295908580 10 Physicians MARTIN SARAH 616370001 80 Peoria 0 0 Pathology 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 1155 0 0 0 0 0 0 0 0 1155 0 0 1001731159 10 Physicians 816 Iowa 0 0 Pediatric Nephrology 0 0 0 0 0 0 0 0 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 0 134 0 0 0 0 0 0 134 0 0 1001731473 1154519650 10 Physicians TUCKER RYAN D 477333407 91 Sangamon 0 0 Emergency Medicine 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 0 686 0 0 0 0 0 0 686 0 0 1001731635 1629411269 30 General Hospitals FRESENIUS MEDICAL CARE DES PLA 600182002 200 Cook DIALYSIS Outpatient dialysis centers. 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 0 209 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 0 0 0 0 0 0 0 0 0 0 0 0 55537 0 0 0 0 0 55537 0 0 1001731637 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 0 166 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 30238 0 0 0 0 0 0 0 0 0 0 0 0 0 30238 0 0 1001731639 4001731639 91 Waiver service provider--Adults (DHS/DDD) PREMIER CARE CONSULTING 605634944 30 DuPage 0 0 0 0 0 0 0 0 291 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20049 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20049 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1112712 0 0 0 0 0 0 0 0 0 0 0 0 0 1112712 0 0 1001731745 1023444866 16 Nurse Practitioners KIRKENIR BRADLEY A 627047452 91 Sangamon 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 0 652 0 0 0 0 0 0 652 0 0 1001731938 91 Waiver service provider--Adults (DHS/DDD) 97 Stephenson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 9071 0 0 0 0 0 0 0 0 0 0 0 0 0 9071 0 0 1001732333 92 Waiver service provider--Disability (DHS/DRS) 100 Vermilion 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3950 0 0 0 0 0 0 0 0 0 0 0 0 0 3950 0 0 1001732492 1871855320 12 Optometrists REID JONATHAN 626261020 64 Macoupin 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 396 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 396 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5526 0 12 0 0 0 0 5538 0 0 1001732573 1346536380 10 Physicians BALA RAJESH 447182545 200 Cook 0 0 Emergency Medicine 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 0 146 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 5059 0 0 0 0 0 0 5059 0 0 1001732851 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 0 240 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 27459 0 0 0 0 0 0 0 0 0 0 0 0 0 27459 0 0 1001732876 91 Waiver service provider--Adults (DHS/DDD) 98 Tazewell 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 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 27838 0 0 0 0 0 0 0 0 0 0 0 0 0 27838 0 0 1001732940 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 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 17483 0 0 0 0 0 0 0 0 0 0 0 0 0 17483 0 0 1001733113 1730173881 33 Nursing Facilities PRESENCE RESURRECTION LIFE CTR 606313751 200 Cook 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 0 162 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3744 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 501655 0 0 0 0 0 0 0 501655 0 0 1001733163 98 Waiver service provider--TBI (DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 29098 0 0 0 0 0 0 0 0 0 0 0 0 0 29098 0 0 1001733312 1003232034 36 Community mental health provider RINCON FAMILY SERVICES 606391413 200 Cook 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 333 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 676 0 0 333 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 676 0 0 48914 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 79918 0 0 128832 0 0 1001734191 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 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 1344 0 0 0 0 0 0 0 0 0 0 0 0 0 1344 0 0 1001734242 1407269939 16 Nurse Practitioners PANNER LAUREN M 601228942 53 Kane 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 23 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 932 0 0 0 0 0 0 0 0 2015 0 0 0 0 0 0 2947 0 0 1001734731 1427205699 10 Physicians KESSLER EDWARD 603041022 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 238 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 3534 0 0 0 0 0 0 3534 0 0 1001734980 1558575779 16 Nurse Practitioners PHILIP ANITHA 606123714 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 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 0 112 0 0 0 0 0 0 112 0 0 1001735088 91 Waiver service provider--Adults (DHS/DDD) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 240 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 28965 0 0 0 0 0 0 0 0 0 0 0 0 0 28965 0 0 1001735289 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7886 0 0 0 0 0 0 0 0 0 0 0 0 0 7886 0 0 1001735518 1841620960 60 Pharmacies FREEBURG PHARMACY 622641569 96 St Clair 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 0 204 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5752 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4995 0 0 0 4995 0 0 1001735523 1316949886 65 Independent Diagnostic Testing Facility (IDTF) MRI OF RIVER NORTH 606545702 200 Cook 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 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 5134 0 0 0 0 0 0 0 0 5134 0 0 1001735528 10 Physicians 852 Wisconsin 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 1001735646 1659547859 10 Physicians LETKO JURAJ 606081647 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 5 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 76 0 1349 0 0 0 0 0 0 1425 0 0 1001735685 4001735685 10 Physicians KRISHNAMOORTHY ASWIN K 601224062 53 Kane 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1208 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2136 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2136 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32217 0 162 0 0 0 0 0 0 32379 0 0 1001735842 1346471448 10 Physicians MYASEIN AUNGNAINGHTUN 600101919 57 Lake 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 405 0 0 0 0 0 0 405 0 0 1001735913 50 Home Health Agencies - In Home 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 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 5883 0 0 0 0 0 0 5883 0 0 1001736076 1669803466 60 Pharmacies MARIANOS PHARMACY 8529 605581753 200 Cook 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 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 751 0 0 0 751 0 0 1001736131 91 Waiver service provider--Adults (DHS/DDD) 98 Tazewell 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4102 0 0 0 0 0 0 0 0 0 0 0 0 0 4102 0 0 1001736140 1982045134 55 Early Intervention Services EHMANN MICHAEL W 601264458 30 DuPage 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 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18692 0 0 0 0 0 0 18692 0 0 1001736207 4001736207 10 Physicians KALAKOTA KAPILA 606118709 200 Cook 0 0 Radiation Oncology 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 237 0 0 0 0 0 0 237 0 0 1001736520 1093991887 10 Physicians OSEI LAWRENCE 63141 826 Missouri 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 0 186 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 6840 0 0 0 0 0 0 6840 0 0 1001736750 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 73 0 0 1001736801 1942647995 30 General Hospitals RED BUD DIALYSIS 622782143 87 Randolph DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 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 0 0 0 0 0 0 0 0 0 1001736894 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2091 0 0 0 0 0 0 0 0 0 0 0 0 0 2091 0 0 1001737238 1750719811 16 Nurse Practitioners BUCEK SARAH 606781034 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 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 0 922 0 0 0 0 0 0 922 0 0 1001737507 1932362753 10 Physicians TRUEGER NATHAN 606118709 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2290 0 0 0 0 0 0 2290 0 0 1001738464 16 Nurse Practitioners 96 St Clair 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 438 0 0 0 0 0 0 438 0 0 1001739832 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 5 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 0 465 465 0 0 1001740555 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 20485 0 0 0 0 0 0 0 0 0 0 0 0 0 20485 0 0 1001740841 1598963761 10 Physicians BIRLEW RYAN A 637034928 60 Lee 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 1 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 48 0 0 1001741638 1093036931 10 Physicians RICE JASON 601545716 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 805 0 0 0 0 0 0 805 0 0 1001741964 1699112508 16 Nurse Practitioners CHAGOYA KARECHIA 606313222 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1269 0 0 0 0 0 0 1269 0 0 1001742088 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 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 1001742133 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 0 167 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 0 0 0 0 0 30171 0 0 0 0 0 0 0 0 0 0 0 0 0 30171 0 0 1001742137 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 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 62 0 0 1001742555 1285894576 10 Physicians BAGGETT REBECCA 627046924 91 Sangamon 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 36 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 692 0 0 0 0 0 0 0 0 692 0 0 1001742881 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 0 192 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 27060 0 0 0 0 0 0 0 0 0 0 0 0 0 27060 0 0 1001743802 1952561417 10 Physicians KERSH JAY 606118709 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3586 0 0 0 0 0 0 3586 0 0 1001744495 4001744495 72 Taxicabs and Livery Companies PRAISE MEDICAL TRANSPORTATION 601542714 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 4820 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4820 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24230 0 0 0 0 0 0 24230 0 0 1001744527 1235395567 10 Physicians RECKER DARLENE 606890001 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2347 0 0 0 0 0 0 2347 0 0 1001744901 1538442918 16 Nurse Practitioners BUCKNER TEKEKEE 999999999 30 DuPage 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 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 0 526 0 0 0 0 0 0 526 0 0 1001745026 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 0 105 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 27669 0 0 0 0 0 0 0 0 0 0 0 0 0 27669 0 0 1001745298 72 Taxicabs and Livery Companies 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 0 346 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 346 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1735 0 0 0 0 0 0 1735 0 0 1001745463 10 Physicians 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 81 0 0 0 0 0 0 81 0 0 1001745552 1275958373 16 Nurse Practitioners WELCH BRITTANY 616151941 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 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 0 634 0 0 0 0 0 0 634 0 0 1001745598 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27791 0 0 0 0 0 0 0 0 0 0 0 0 0 27791 0 0 1001745635 60 Pharmacies 828 Nebraska 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 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8147 0 0 0 8147 0 0 1001745684 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 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26338 0 0 0 0 0 0 0 0 0 0 0 0 0 26338 0 0 1001745718 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 0 184 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 19926 0 0 0 0 0 0 0 0 0 0 0 0 0 19926 0 0 1001745806 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 7815 0 0 0 0 0 0 0 0 0 0 0 0 0 7815 0 0 1001745980 4001745980 91 Waiver service provider--Adults (DHS/DDD) ABEQUA HOME HEALTH CARE AGENCY 600162290 200 Cook 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 23310 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23310 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3202696 0 0 0 0 0 0 0 0 0 0 0 0 0 3202696 0 0 1001746038 1386086916 30 General Hospitals FRESENIUS MEDICAL CARE HOFFMAN 601697249 200 Cook DIALYSIS Outpatient dialysis centers. 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 0 142 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1352 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65630 0 0 0 0 0 65630 0 0 1001746284 1235426826 10 Physicians MALETICH JAMES 535475081 96 St Clair 0 0 Emergency Medicine 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 0 166 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 6013 0 0 0 0 0 0 6013 0 0 1001746896 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 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 1265 0 0 0 0 0 0 0 0 0 0 0 0 0 1265 0 0 1001747313 10 Physicians 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 206 0 0 0 0 0 0 206 0 0 1001747973 1376847301 16 Nurse Practitioners ARNOLD LISA ERIN 629023988 47 Jackson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 357 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 2429 0 0 0 0 0 0 2429 0 0 1001748100 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 12605 0 0 0 0 0 0 0 0 0 0 0 0 0 12605 0 0 1001748173 1003234170 22 Physical Therapists SIEGEL KATHRYN J 606141848 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3400 3400 0 0 1001748321 1245668854 91 Waiver service provider--Adults (DHS/DDD) DOMINION CILA HOMES 604383068 200 Cook 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 8069 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8069 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1744161 0 0 0 0 0 0 0 0 0 0 0 0 0 1744161 0 0 1001748470 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 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 14485 0 0 0 0 0 0 0 0 0 0 0 0 0 14485 0 0 1001748698 1639470123 10 Physicians KATZ JEFFREY A. 602011700 200 Cook 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 0 113 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 4502 0 0 0 0 0 0 4502 0 0 1001748820 1487080669 16 Nurse Practitioners SAPP JENNIFER 618029566 19 Champaign 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 0 220 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 6185 0 0 0 0 0 0 6185 0 0 1001748992 1457776148 60 Pharmacies MT PROSPECT HEALTH MART PHARM 600564240 200 Cook 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 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3860 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 547 0 0 0 547 0 0 1001749291 4001749291 90 Waiver service provider--Elderly (DOA) "HOME LIFE HEALTHCARE, CORP" 601691340 200 Cook 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1319 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1319 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 185228 0 0 0 0 0 0 0 0 0 0 0 0 0 185228 0 0 1001749797 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 0 358 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 12797 0 0 0 0 0 0 0 0 0 0 0 0 0 12797 0 0 1001749980 1275720955 10 Physicians KHOIE BEHRANG 615202444 37 Fulton 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 657 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 0 0 0 0 0 0 0 0 0 0 0 0 1056 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14770 0 0 0 0 0 0 0 0 14770 0 0 1001750837 92 Waiver service provider--Disability (DHS/DRS) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1134 0 0 0 0 0 0 0 0 0 0 0 0 0 1134 0 0 1001750845 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 0 365 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 27580 0 0 0 0 0 0 0 0 0 0 0 0 0 27580 0 0 1001751226 91 Waiver service provider--Adults (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 260 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 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1001751677 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 0 139 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 25018 0 0 0 0 0 0 0 0 0 0 0 0 0 25018 0 0 1001751761 1649341025 10 Physicians KHURANA VIKASH K 475914853 24 Coles 0 0 Cardiovascular Diseases 0 0 0 0 0 0 0 0 0 0 0 2 0 136 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 332 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 332 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4627 0 0 0 0 0 0 4627 0 0 1001752127 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 321 0 0 0 0 0 0 0 0 0 0 0 0 0 321 0 0 1001752131 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 8288 0 0 0 0 0 0 0 0 0 0 0 0 0 8288 0 0 1001752620 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7228 0 0 0 0 0 0 0 0 0 0 0 0 0 7228 0 0 1001753248 1063674588 10 Physicians LARSON REBECCA 627949639 91 Sangamon 0 0 Dermatology 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 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5455 0 0 0 0 0 0 5455 0 0 1001753261 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 14543 0 0 0 0 0 0 0 0 0 0 0 0 0 14543 0 0 1001753329 1932542016 16 Nurse Practitioners KANAPPILLY JASMINE 602011700 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 587 0 0 0 0 0 0 587 0 0 1001753333 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 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 9898 0 0 0 0 0 0 0 0 0 0 0 0 0 9898 0 0 1001753363 10 Physicians 96 St Clair 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 5 0 0 1001753823 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 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 45700 0 0 0 0 0 0 0 0 0 0 0 0 0 45700 0 0 1001753850 1548436447 10 Physicians GOPWANI PRIYA 606112991 200 Cook 0 0 Pediatrics 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 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6598 0 0 0 0 0 0 6598 0 0 1001753999 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 15988 0 0 0 0 0 0 0 0 0 0 0 0 0 15988 0 0 1001754063 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18302 0 0 0 0 0 0 0 0 0 0 0 0 0 18302 0 0 1002448369 4002448369 92 Waiver service provider--Disability (DHS/DRS) ADDUS HEALTHCARE 605151765 30 DuPage 0 0 0 0 0 0 0 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1735 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1735 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2904886 0 0 0 0 0 0 0 0 0 0 0 0 0 2904886 0 0 1002448395 1053746388 36 Community mental health provider CORNERSTONE SERVICES INC 609018451 54 Kankakee 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 580 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1241 0 0 580 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1241 0 0 29368 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92266 0 0 121634 0 0 1002448449 1154753077 16 Nurse Practitioners RICHARD EMILY C 631790126 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 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 0 716 0 0 0 0 0 0 716 0 0 1002448514 1124280409 10 Physicians MANSURI OWAISE 618012529 19 Champaign 0 0 Endocrinology 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 404 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 6280 0 0 0 0 0 0 6280 0 0 1002448688 1649603622 16 Nurse Practitioners GRIGSBY LINDSAY M 618012529 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 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 2197 0 0 0 0 0 0 2197 0 0 1002449491 1609193077 10 Physicians WILSON TIFFANY C 604611021 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 7 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 123 0 2886 0 0 0 0 0 0 3009 0 0 1002449874 1528306248 16 Nurse Practitioners MILLER CHRISTOPHER W 604501207 40 Grundy 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 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1163 0 0 0 0 0 0 1163 0 0 1002450518 10 Physicians 852 Wisconsin 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 0 263 0 0 0 0 0 0 263 0 0 1002451103 1760796387 30 General Hospitals KENWOOD HOME TRAINING 606532929 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 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2225 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87132 0 0 0 0 0 87132 0 0 1002451311 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13051 0 0 0 0 0 0 0 0 0 0 0 0 0 13051 0 0 1002451331 1710222344 16 Nurse Practitioners KOZIOL KATARZYNA 601261045 30 DuPage 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 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 810 0 0 0 0 0 0 810 0 0 1002451513 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 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1002451634 1164629945 10 Physicians SAGER SOLOMON 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 245 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 1717 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 1717 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 19816 0 0 0 0 0 0 19824 0 0 1002451898 86 Clinical Social Worker(Encounter Only) 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 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 0 0 0 0 0 0 0 0 0 0 1002451979 1407956758 87 Psychologist(Encounter Only) SHANNON TIMOTHY 616151941 72 McLean 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 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 0 827 0 0 0 0 0 0 827 0 0 1002452281 1003127895 10 Physicians KOUL SUNITA 10412017 30 DuPage 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 0 121 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 1972 0 0 0 0 0 0 1972 0 0 1002452473 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 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 0 463 0 0 0 0 0 0 463 0 0 1002452478 1760896534 60 Pharmacies WAL MART PHARMACY 10 1998 600763943 200 Cook 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 0 933 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45324 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75400 0 0 0 75400 0 0 1002452486 1225103765 10 Physicians ANSARI MUHAMMAD 62269 96 St Clair 0 0 Cardiology 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 0 685 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 685 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7484 0 0 0 0 0 0 7484 0 0 1002452547 1588847750 33 Nursing Facilities BRIA OF CAHOKIA 622062604 96 St Clair 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 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5481 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 618396 0 0 0 0 0 0 0 618396 0 0 1002452555 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 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 0 422 422 0 0 1002452997 1851312326 10 Physicians VYAS SAHANA 464106383 80 Peoria 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 2 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 241 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 241 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 11510 0 0 0 0 0 0 11570 0 0 1002453115 1255594248 10 Physicians BHANDARI RAMANATH 627949248 91 Sangamon 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 4 0 97 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 531 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 531 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83 0 47673 0 0 0 0 0 0 47756 0 0 1002453386 4002453386 92 Waiver service provider--Disability (DHS/DRS) SAHARA ASIAN ELDERLY CARE 601484546 30 DuPage 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 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 193202 0 0 0 0 0 0 0 0 0 0 0 0 0 193202 0 0 1002453607 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 0 437 0 0 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 0 0 0 0 0 0 0 0 0 0 53481 0 0 0 0 0 0 0 0 0 0 0 0 0 53481 0 0 1002454302 1760682249 10 Physicians TARABISHY BISHER 606114546 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 138 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 186 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 186 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5282 0 151 0 0 0 0 0 0 5433 0 0 1002454324 1285061879 40 Federally Qualified Health Centers CENTER FOR FAMILY HEALTH 601788757 27 Dekalb 0 1 0 0 300 0 151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1116 0 438 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1116 0 438 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84827 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84827 0 0 1002455002 1912321621 63 Other Providers of Medical Equipment/Supplies (Non-registered) NORTHWESTERN MEDICAL GROUP 606116662 200 Cook 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 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 1751 0 0 0 0 1751 0 0 1002455331 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 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52358 0 0 0 0 0 0 0 0 0 0 0 0 0 52358 0 0 1002455667 1588971766 10 Physicians MECHUROVA JANA 602011700 200 Cook 0 1 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 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 0 390 0 0 0 0 0 0 390 0 0 1002455863 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 22173 0 0 0 0 0 0 0 0 0 0 0 0 0 22173 0 0 1002456400 1992106504 16 Nurse Practitioners ZUCKER EMILY 600073361 50 Jersey 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 920 0 0 0 0 0 0 920 0 0 1002456529 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 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 8788 0 0 0 0 0 0 0 0 0 0 0 0 0 8788 0 0 1002456905 92 Waiver service provider--Disability (DHS/DRS) 47 Jackson 0 0 0 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 2539 0 0 0 0 0 0 0 0 0 0 0 0 0 2539 0 0 1002457381 1447454921 10 Physicians ZOELLER BRIDGET B 606112991 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 3 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 136 0 2369 0 0 0 0 0 0 2505 0 0 1002457766 1306157789 10 Physicians MCCORMICK SARAH 601203843 53 Kane 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 30 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2103 0 7919 0 0 0 0 0 0 10022 0 0 1002457772 1376593483 60 Pharmacies FLANAGAN HEALTH MART PHARMACY 617407536 61 Livingston 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 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5379 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3301 0 0 0 3301 0 0 1002457789 1023002318 33 Nursing Facilities PRESENCE VILLA SCALABRINI NC 601641650 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 325 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7865 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1082721 0 0 0 0 0 0 0 1082721 0 0 1002458271 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 14667 0 0 0 0 0 0 0 0 0 0 0 0 0 14667 0 0 1002458273 1609135615 10 Physicians WHITE JONATHON W 628320192 81 Perry 0 0 Family Practice 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 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3990 0 0 0 0 0 0 3990 0 0 1002458435 1588093942 60 Pharmacies SWEDISHAMERICAN HOSP PHARMACY 611042315 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 676 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18706 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 134729 0 0 0 134729 0 0 1002458708 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 4843 0 0 0 0 0 0 0 0 0 0 0 0 0 4843 0 0 1002458973 91 Waiver service provider--Adults (DHS/DDD) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1914 0 0 0 0 0 0 0 0 0 0 0 0 0 1914 0 0 1002459913 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 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17835 0 0 0 0 0 0 0 0 0 0 0 0 0 17835 0 0 1002459916 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 15234 0 0 0 0 0 0 0 0 0 0 0 0 0 15234 0 0 1002459950 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 1002460270 1063652469 10 Physicians SKONDRA DIMITRA 605275965 30 DuPage 0 0 Ophthalmology 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 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 4980 0 0 0 0 0 0 4980 0 0 1002460959 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 0 193 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 29989 0 0 0 0 0 0 0 0 0 0 0 0 0 29989 0 0 1002461118 1619280708 10 Physicians SHARMA MANISH K 600051069 200 Cook 0 0 Internal Medicine 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 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 3151 0 0 0 0 0 0 3151 0 0 1002461168 92 Waiver service provider--Disability (DHS/DRS) 54 Kankakee 0 0 0 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 10562 0 0 0 0 0 0 0 0 0 0 0 0 0 10562 0 0 1002461182 1710306725 16 Nurse Practitioners ADIQUE CHRISTINE T 531435031 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 0 0 2214 0 0 0 0 0 0 2318 0 0 1002461244 1538338215 10 Physicians JOERGER SHANNON M 631101002 107 Will 0 0 Pediatrics 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 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 2495 0 0 0 0 0 0 2495 0 0 1002461583 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 0 282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4552 0 0 0 0 0 0 0 0 0 0 0 0 0 4552 0 0 1002461687 92 Waiver service provider--Disability (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3857 0 0 0 0 0 0 0 0 0 0 0 0 0 3857 0 0 1002461835 1265879639 24 Speech Therapists CASH KIRSTEN 605461378 200 Cook 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 0 305 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 305 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22481 22481 0 0 1002461961 1639184278 60 Pharmacies MASON CITY PHARMACY 626641403 68 Mason 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 0 425 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12739 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11450 0 0 0 11450 0 0 1002462105 1750602314 10 Physicians DAVE NEHA 606253661 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 18 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 245 0 1129 0 0 0 0 0 0 1374 0 0 1002462385 1750710612 16 Nurse Practitioners BUNTON BARBARA A 604501463 40 Grundy 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 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 0 561 0 0 0 0 0 0 561 0 0 1002462434 1245478486 10 Physicians RAJMANE KIRAN 480381125 57 Lake 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 459 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 654 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 654 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7798 0 731 0 0 0 0 0 0 8529 0 0 1002464213 1245648963 89 Physician Assistant Only(Encounter Only) PORTER JAMIE 612656152 89 Rock Island 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 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 0 458 0 0 0 0 0 0 458 0 0 1002464316 1245460641 10 Physicians HENRY KELLY M. 606910263 109 Winnebago 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1696 0 0 0 0 0 0 1696 0 0 1002464343 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5955 0 0 0 0 0 0 0 0 0 0 0 0 0 5955 0 0 1002464633 1538454434 10 Physicians VANGALA SAI RUPA 606313222 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 0 214 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 3033 0 0 0 0 0 0 3033 0 0 1002464736 1417262031 10 Physicians PHILIP KULI JULIA 609145004 54 Kankakee 0 1 Family Practice 0 0 0 0 2 0 0 0 0 0 0 3 0 47 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 3 0 112 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 3 0 112 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 6 0 2463 0 0 0 0 0 0 2485 0 0 1002465053 1609192186 10 Physicians BOYLE CHRISTOPHER A. 602011718 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2422 0 0 0 0 0 0 2422 0 0 1002465251 10 Physicians 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 19 0 0 1002466958 1174865133 60 Pharmacies QOL MEDS LLC 611033112 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1608 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66435 0 0 0 66435 0 0 1002467049 1629365424 10 Physicians SUN MAY 503061455 200 Cook 0 0 Pediatrics 0 0 0 0 33 0 0 0 0 0 0 1 0 10 0 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 3 0 14 0 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 3 0 14 0 0 0 0 0 0 0 0 0 2672 0 0 0 0 0 0 10 0 611 0 0 0 0 0 0 3293 0 0 1002467078 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 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 26225 0 0 0 0 0 0 0 0 0 0 0 0 0 26225 0 0 1002467365 92 Waiver service provider--Disability (DHS/DRS) 54 Kankakee 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 18537 0 0 0 0 0 0 0 0 0 0 0 0 0 18537 0 0 1002467398 1386890077 10 Physicians FARLOW ERIN 606081732 200 Cook 0 0 Vascular Surgery 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 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 5641 0 0 0 0 0 0 5641 0 0 1002467673 1871910190 60 Pharmacies OSCO DRUG 2508 606261626 200 Cook 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 0 435 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15680 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20797 0 0 0 20797 0 0 1002467679 1437349305 10 Physicians MUZINICH SHANAREE 637034928 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 81 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93 0 363 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93 0 363 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 729 0 6027 0 0 0 0 0 0 6756 0 0 1002467738 1386918597 16 Nurse Practitioners LOPEZ GEORGINA G 606313222 200 Cook 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 309 0 0 0 0 0 0 0 0 3137 0 0 0 0 0 0 3446 0 0 1002467996 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 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 23735 0 0 0 0 0 0 0 0 0 0 0 0 0 23735 0 0 1002468200 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28013 0 0 0 0 0 0 0 0 0 0 0 0 0 28013 0 0 1002468203 1134338957 10 Physicians SHAH AKASH 480381125 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 527 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 828 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 828 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17011 0 167 0 0 0 0 0 0 17178 0 0 1002468434 16 Nurse Practitioners 15 Bureau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 68 0 0 1002468443 93 Waiver service provider--HIV/AIDS (DHS/DRS) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 0 0 0 0 0 0 0 933 0 0 1002468863 24 Speech Therapists 66 Marion 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 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 3048 3048 0 0 1002469497 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 0 240 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 13061 0 0 0 0 0 0 0 0 0 0 0 0 0 13061 0 0 1002469660 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 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 0 158 158 0 0 1002470423 10 Physicians 80 Peoria 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 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 1615 0 0 0 0 0 0 1615 0 0 1002470531 1851644249 24 Speech Therapists SIERRA ANGELICA 601641132 200 Cook 0 0 0 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 0 774 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 774 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 59094 59094 0 0 1002470574 1346505153 11 Dentists ALAMIR GEORGE 610211009 60 Lee 0 0 Orthodontist 0 0 0 58 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 31085 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31085 0 0 1002470747 1851603716 10 Physicians MCMINN JONATHAN T 618562116 82 Piatt 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 167 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 0 0 0 0 0 7181 0 0 0 0 0 0 7181 0 0 1002471542 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 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 2315 0 0 0 0 0 0 0 0 0 0 0 0 0 2315 0 0 1002471704 1811326523 16 Nurse Practitioners KHOLOD SANDERS TATYANA 606930623 200 Cook 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 3 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 220 0 0 0 0 0 0 0 0 740 0 0 0 0 0 0 960 0 0 1002471915 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 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 13240 0 0 0 0 0 0 0 0 0 0 0 0 0 13240 0 0 1002471954 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 28425 0 0 0 0 0 0 0 0 0 0 0 0 0 28425 0 0 1002472367 1386847283 10 Physicians GARRAS DAVID 606313222 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 21 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 359 0 3926 0 0 0 0 0 0 4285 0 0 1002472495 12 Optometrists 200 Cook 0 0 Therapeutic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 57 0 0 1002472830 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 4 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 4592 4592 0 0 1002473140 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 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29062 0 0 0 0 0 0 0 0 0 0 0 0 0 29062 0 0 1002473646 1376882647 16 Nurse Practitioners WITGES SHANNA 62286 87 Randolph 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 1201 0 0 0 0 0 0 1285 0 0 1002473668 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 0 129 0 0 1002473728 1760552665 16 Nurse Practitioners BOLES SHANNON 631101010 826 Missouri 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 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 0 302 0 0 0 0 0 0 302 0 0 1002474091 1982004461 16 Nurse Practitioners BENTERS JENNIFER H 611022112 109 Winnebago 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 0 162 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 7455 0 0 0 0 0 0 7455 0 0 1002474307 1407088164 10 Physicians SANDLER DIANA SEGALITE 602011718 200 Cook 0 0 Rheumatology 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 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 1618 0 0 0 0 0 0 1618 0 0 1002474589 10 Physicians 30 DuPage 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 17 0 0 0 0 0 0 17 0 0 1002475659 1295056737 10 Physicians AVILA AMBER 627949670 91 Sangamon 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 2 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 19 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 1002476524 98 Waiver service provider--TBI (DHS/DRS) 77 Morgan 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3709 0 0 0 0 0 0 0 0 0 0 0 0 0 3709 0 0 1002477130 1194037382 10 Physicians NEDUMGOTTIL SIYA 606740018 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 3 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 651 0 0 0 0 0 0 663 0 0 1002477297 10 Physicians 200 Cook 0 0 Pediatrics 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 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 91 0 0 1002477623 1568703593 16 Nurse Practitioners VILCHIS CAROLE 610210737 60 Lee 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 0 434 0 0 0 0 0 0 434 0 0 1002477688 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 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 171 0 0 0 0 0 0 171 0 0 1002477808 1467763888 10 Physicians GRIPPO ANTHONY 463212901 815 Indiana 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 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 1224 0 0 0 0 0 0 1224 0 0 1002477854 1851721948 16 Nurse Practitioners SCHROEDER JANELLA 609707568 46 Iroquois 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 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 2050 0 0 0 0 0 0 2050 0 0 1002477976 4002477976 10 Physicians HENRIKSEN KAMMI J 605275965 30 DuPage 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 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 1069 0 0 0 0 0 0 0 0 1069 0 0 1002478113 1992121156 16 Nurse Practitioners BOTTA VINCENT M 605044511 53 Kane 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 0 167 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 0 0 0 0 0 6182 0 0 0 0 0 0 6182 0 0 1002478940 1861800526 40 Federally Qualified Health Centers MACOUPIN COUNTY PUBLIC HEALTH 999999999 64 Macoupin 0 0 0 0 12 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2189 0 0 1002479150 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 23009 0 0 0 0 0 0 0 0 0 0 0 0 0 23009 0 0 1002480035 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 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 7931 0 0 0 0 0 0 0 0 0 0 0 0 0 7931 0 0 1002480068 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 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12182 0 0 0 0 0 0 0 0 0 0 0 0 0 12182 0 0 1002480213 1144477068 10 Physicians MCEVOY COLLEEN 63110 826 Missouri 0 0 Pulmonary Diseases 0 0 0 0 0 0 0 0 0 0 0 3 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 209 0 0 0 0 0 0 209 0 0 1002480480 55 Early Intervention Services 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1356 0 0 0 0 0 0 1356 0 0 1002480517 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 0 133 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 12646 0 0 0 0 0 0 0 0 0 0 0 0 0 12646 0 0 1002480542 1770678260 30 General Hospitals PRESENCE ST MARYS HOSPITAL 609013661 54 Kankakee DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 0 1 16 0 0 1337 0 0 0 0 495 0 0 0 954 0 0 0 0 0 1 140 0 0 2154 0 0 0 0 619 0 0 0 2337 0 0 0 0 0 1 140 0 0 2154 0 0 0 0 2717 0 0 0 2356 0 0 0 0 0 0 29300 0 0 239032 0 0 0 0 997821 0 0 0 378998 0 0 0 0 0 1645151 0 0 1002480948 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 0 101 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 8197 0 0 0 0 0 0 0 0 0 0 0 0 0 8197 0 0 1002481455 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 30231 0 0 0 0 0 0 0 0 0 0 0 0 0 30231 0 0 1002481659 1477782597 10 Physicians GULOY DIORELLA C 604022338 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4165 0 0 0 0 0 0 4165 0 0 1002481703 93 Waiver service provider--HIV/AIDS (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 29053 0 0 0 0 0 0 0 0 0 0 0 0 0 29053 0 0 1002481918 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 0 121 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 46799 0 0 0 0 0 0 0 0 0 0 0 0 0 46799 0 0 1002482538 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 30434 0 0 0 0 0 0 0 0 0 0 0 0 0 30434 0 0 1002482794 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 0 350 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 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 1002482932 1881912392 16 Nurse Practitioners NASCIMENTO JAILSON 616370001 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 238 0 0 0 0 0 0 238 0 0 1002483503 92 Waiver service provider--Disability (DHS/DRS) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2293 0 0 0 0 0 0 0 0 0 0 0 0 0 2293 0 0 1002483579 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 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 12425 0 0 0 0 0 0 0 0 0 0 0 0 0 12425 0 0 1002483701 1295141471 16 Nurse Practitioners MARINO KARA 503061455 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 0 265 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 1632 0 0 0 0 0 0 1632 0 0 1002483927 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 32062 0 0 0 0 0 0 0 0 0 0 0 0 0 32062 0 0 1002484023 92 Waiver service provider--Disability (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 7946 0 0 0 0 0 0 0 0 0 0 0 0 0 7946 0 0 1002484117 1487072773 24 Speech Therapists WITTE BETHANY 605866534 107 Will 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 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 6068 6068 0 0 1002484257 1093147043 16 Nurse Practitioners ALMAROAD STEPHANIE 618012529 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 243 0 0 0 0 0 0 243 0 0 1002484305 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 27988 0 0 0 0 0 0 0 0 0 0 0 0 0 27988 0 0 1002484535 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 0 221 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 23318 0 0 0 0 0 0 0 0 0 0 0 0 0 23318 0 0 1002484962 16 Nurse Practitioners 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 104 0 0 1002484975 1093064818 16 Nurse Practitioners RADTKE EMILY 527221626 816 Iowa 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 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 4039 0 0 0 0 0 0 4039 0 0 1002485056 1942525878 10 Physicians REINHART NICHOLAS 615719489 98 Tazewell 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 211 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 11232 0 0 0 0 0 0 11261 0 0 1002485062 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11242 0 0 0 0 0 0 0 0 0 0 0 0 0 11242 0 0 1002485143 92 Waiver service provider--Disability (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3038 0 0 0 0 0 0 0 0 0 0 0 0 0 3038 0 0 1002485502 10 Physicians 91 Sangamon 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 0 121 0 0 0 0 0 0 121 0 0 1002485880 1477997674 10 Physicians KOZLOVA OLGA 606464108 200 Cook 0 0 Neurology 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 0 298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3239 0 0 0 0 0 0 3239 0 0 1002486523 1760497416 10 Physicians SIRAJ YASER 600105117 200 Cook 0 0 Cardiovascular Diseases 0 0 0 0 0 0 0 0 0 0 0 2 0 146 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 251 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 251 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 5834 0 0 0 0 0 0 5866 0 0 1002486958 10 Physicians 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 3 0 0 1002487055 1639467897 10 Physicians SHAIKH RAHIL 605238723 30 DuPage 0 0 Internal Medicine 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 0 207 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 0 795 0 0 0 0 0 0 795 0 0 1002487213 1558650838 10 Physicians RODOS ADAM 606081202 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6818 0 0 0 0 0 0 6818 0 0 1002487283 1760802219 16 Nurse Practitioners ZIMMER JULIE 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 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 0 358 0 0 0 0 0 0 358 0 0 1002487803 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 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 27862 0 0 0 0 0 0 0 0 0 0 0 0 0 27862 0 0 1002488675 1306281167 16 Nurse Practitioners KELLY ELIZABETH 606452937 200 Cook 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 0 163 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 2161 0 0 0 0 0 0 2161 0 0 1002488897 1427499797 12 Optometrists PATEL VISHAL 600561810 200 Cook 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 374 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 831 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 831 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22965 0 13 0 0 0 0 22978 0 0 1002489041 1932541521 11 Dentists SOOD SONAM 606392070 200 Cook 0 0 General Dentistry 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1071 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1071 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28947 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28947 0 0 1002489116 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 21 0 0 0 0 0 0 21 0 0 1002489556 10 Physicians 30 DuPage 0 0 Allergy-Immunization 0 0 0 0 0 0 0 0 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 1002489801 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 0 287 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 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 1002489896 1407145162 10 Physicians SCHAFER ERIN 627949248 91 Sangamon 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 7 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 58 0 0 0 0 0 0 84 0 0 1002490132 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 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23708 0 0 0 0 0 0 0 0 0 0 0 0 0 23708 0 0 1002490299 1093149734 16 Nurse Practitioners FRANCISCO KRISTINE 606344420 200 Cook 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 200 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 200 0 0 0 0 0 0 0 0 0 780 0 0 0 0 0 0 0 0 8831 0 0 0 0 0 0 9611 0 0 1002490730 1174830442 36 Community mental health provider CENTERSTONE OF ILLINOIS INC 628123030 36 Franklin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2083 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 0 0 0 0 0 0 0 0 0 0 0 0 307704 0 0 307704 0 0 1002490870 1376799163 10 Physicians SHETTY ASHWIN 463212807 815 Indiana 0 0 Nephrology 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 0 497 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 497 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10036 0 0 0 0 0 0 10036 0 0 1002491032 1194150862 16 Nurse Practitioners ARMSTRONG MELISSA 610811278 106 Whiteside 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 0 740 0 0 0 0 0 0 0 0 1550 0 0 0 0 0 0 2290 0 0 1002491151 1730512294 22 Physical Therapists KINSCHERF ZACHARY 623014960 10 Adams 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 0 221 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 2133 2133 0 0 1002491386 1811158504 10 Physicians THORNBURG BARTLEY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 177 0 6170 0 0 0 0 0 0 6347 0 0 1002491721 1730479676 10 Physicians HUEBNER STEPHEN 631322907 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 272 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 576 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 576 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7110 0 125 0 0 0 0 0 0 7235 0 0 1002492020 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 23411 0 0 0 0 0 0 0 0 0 0 0 0 0 23411 0 0 1002492198 92 Waiver service provider--Disability (DHS/DRS) 77 Morgan 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1687 0 0 0 0 0 0 0 0 0 0 0 0 0 1687 0 0 1002492325 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 794 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 794 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63212 0 0 0 0 0 0 0 0 0 0 0 0 0 63212 0 0 1002492699 1073540951 10 Physicians HOFF JOHN 631955534 109 Winnebago 0 0 Obstetric-Gynecology 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 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 1135 0 0 0 0 0 0 1135 0 0 1002493337 22 Physical Therapists 96 St Clair 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 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 0 173 173 0 0 1002493382 1699959890 10 Physicians LIAO WEI HSUN 606123748 200 Cook 0 0 Psychiatry 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 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 0 861 0 0 0 0 0 0 861 0 0 1002493975 1073856993 30 General Hospitals TIMBER CREEK DIALYSIS 601158250 27 Dekalb DIALYSIS Outpatient dialysis centers. 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 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 654 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6628 0 0 0 0 0 6628 0 0 1002494242 1730217563 10 Physicians TATE MATTHEW 606118709 200 Cook 0 0 Neurology Surgery 0 0 0 0 0 0 0 0 0 0 0 1 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16370 0 0 0 0 0 0 16370 0 0 1002494814 1396973095 10 Physicians MCINTYRE LAURA 606118709 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 22 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 167 0 553 0 0 0 0 0 0 720 0 0 1002495208 1194987032 10 Physicians SABAI FIRAS 609012965 54 Kankakee 0 0 Rheumatology 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 0 339 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 339 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2178 0 0 0 0 0 0 2178 0 0 1002495300 1679521827 10 Physicians HSU RICHARD 612656138 89 Rock Island 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 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 0 865 0 0 0 0 0 0 865 0 0 1002495531 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 29030 0 0 0 0 0 0 0 0 0 0 0 0 0 29030 0 0 1002495958 1093978009 10 Physicians DEMUTH-ANDERSON LAURA 535661569 109 Winnebago 0 0 Emergency Medicine 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 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 0 753 0 0 0 0 0 0 753 0 0 1002495988 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 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 8053 0 0 0 0 0 0 0 0 0 0 0 0 0 8053 0 0 1002496724 1316371776 16 Nurse Practitioners GODFREY TERESA C 605066222 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10556 0 0 0 0 0 0 10556 0 0 1002496989 10 Physicians 826 Missouri 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 0 190 0 0 0 0 0 0 190 0 0 1002497339 10 Physicians 10 Adams 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 410 0 0 0 0 0 0 410 0 0 1002498057 1619240983 30 General Hospitals BARRINGTON CREEK DIALYSIS 600102324 57 Lake DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 910 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12294 0 0 0 0 0 12294 0 0 1002498662 1457408262 10 Physicians JOGGERST STEVEN 637035049 200 Cook 0 0 Internal Medicine 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 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 7 0 0 0 0 0 0 7 0 0 1002498738 1023449824 60 Pharmacies MARIANOS PHARMACY 8526 604048846 107 Will 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 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11490 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6405 0 0 0 6405 0 0 1002499088 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 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30231 0 0 0 0 0 0 0 0 0 0 0 0 0 30231 0 0 1002499260 1720280175 10 Physicians FARMAKIS SHANNON G 631417129 200 Cook 0 0 Radiology Diagnosis 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 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 41 0 0 0 0 0 0 0 0 41 0 0 1002499554 1487843835 22 Physical Therapists SHELDON PHILIP A 611144937 109 Winnebago 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 0 163 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 2484 2484 0 0 1002499609 1952715112 24 Speech Therapists LANTOS SHOSHANA 600531522 200 Cook 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 20167 20167 0 0 1002499860 1962738914 89 Physician Assistant Only(Encounter Only) RAMOS FILIMON 447182545 80 Peoria 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 312 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 1264 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 1264 0 0 0 0 0 0 0 0 0 1504 0 0 0 0 0 0 0 0 33267 0 0 0 0 0 0 34771 0 0 1002499937 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 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 6689 0 0 0 0 0 0 0 0 0 0 0 0 0 6689 0 0 1002500453 1417084229 10 Physicians PRATT CHARLES A 606116649 200 Cook 0 0 Pediatrics 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 0 144 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 6993 0 0 0 0 0 0 6993 0 0 1002500599 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 0 143 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 12567 0 0 0 0 0 0 0 0 0 0 0 0 0 12567 0 0 1002501375 1609821073 10 Physicians MAUREAU MICHELLE M 303285831 823 Michigan 0 0 Emergency 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 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 1581 0 0 0 0 0 0 1581 0 0 1002501935 1285848291 10 Physicians IQBAL FAHAD 601734776 200 Cook 0 0 Cardiology 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 0 459 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 459 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3943 0 0 0 0 0 0 3943 0 0 1002501938 1639220445 10 Physicians PARK DENNIS 601081559 30 DuPage 0 0 Internal Medicine 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 0 275 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 4869 0 0 0 0 0 0 4869 0 0 1002502038 10 Physicians 815 Indiana 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 0 106 0 0 0 0 0 0 106 0 0 1002502131 1386959302 10 Physicians GOPAL ARAVIND 606313222 200 Cook 0 0 Rheumatology 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 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1668 0 0 0 0 0 0 1668 0 0 1002502203 1891924999 10 Physicians BOYD MICHAEL 604405125 107 Will 0 0 Neurology 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 0 147 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 1626 0 0 0 0 0 0 1626 0 0 1002502435 91 Waiver service provider--Adults (DHS/DDD) 76 Montgomery 0 0 0 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 28384 0 0 0 0 0 0 0 0 0 0 0 0 0 28384 0 0 1002502786 1538332689 10 Physicians KUMAR SRIDIVYA 463739487 19 Champaign 0 0 Nephrology 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 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 0 376 0 0 0 0 0 0 376 0 0 1002503040 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 0 148 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 30268 0 0 0 0 0 0 0 0 0 0 0 0 0 30268 0 0 1002503112 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 22741 0 0 0 0 0 0 0 0 0 0 0 0 0 22741 0 0 1002503716 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 1002504081 1205914090 10 Physicians SHUM CHARLOTTE 606118709 200 Cook 0 0 Surgery Hand 0 0 0 0 0 0 0 0 0 0 0 20 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 153 0 426 0 0 0 0 0 0 579 0 0 1002504447 60 Pharmacies 200 Cook 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 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 942 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3106 0 0 0 3106 0 0 1002504900 1528222437 10 Physicians PACE PAUL J 370689022 826 Missouri 0 0 Surgery General 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 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 3851 0 0 0 0 0 0 3851 0 0 1002505693 1689092546 16 Nurse Practitioners WEST CARRIE 627949665 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 25 0 0 0 0 0 0 25 0 0 1002505696 83 Prepaid health plan--Managed care community network COUNTY CARE MLTSS 60612 200 Cook 0 0 "425,356" 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "2,754,017,104.01" 0 1002507501 1083903645 10 Physicians AL HEETI OMAR 999999999 19 Champaign 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 0 151 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 3728 0 0 0 0 0 0 3728 0 0 1002507664 10 Physicians 30 DuPage 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1002507672 1508177627 10 Physicians WATTERS AMBER N 606118709 200 Cook 0 0 Obstetric-Gynecology 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 1813 0 0 0 0 0 0 1813 0 0 1002508085 1588820104 10 Physicians JEFFE JILL 606751611 30 DuPage 0 0 Otolaryngology 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 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 7478 0 0 0 0 0 0 7478 0 0 1002508862 1952497729 10 Physicians DALLAS NIKOLAOS 606575188 200 Cook 0 0 Surgery General 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 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2448 0 0 0 0 0 0 2448 0 0 1002508863 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 0 131 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 13616 0 0 0 0 0 0 0 0 0 0 0 0 0 13616 0 0 1002509005 1396183687 16 Nurse Practitioners WARNECKE DIANA L 616151941 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3933 0 0 0 0 0 0 3933 0 0 1002509246 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 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 14576 0 0 0 0 0 0 0 0 0 0 0 0 0 14576 0 0 1002509258 1699095844 10 Physicians MURAUSKI DANIEL 606740011 200 Cook 0 0 Family Practice 0 0 0 0 2 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 280 0 0 1002509335 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 1002509670 1730386541 10 Physicians NEPPLE JEFFREY J 191787642 89 Rock Island 0 0 Orthopedic Surgery 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 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 4974 0 0 0 0 0 0 4974 0 0 1002509700 1174582191 12 Optometrists MARCZEWSKI-FRANK KRISTY 601783109 53 Kane 0 0 Diagnostic Pharmaceutical Agents 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 0 491 0 0 0 0 0 0 491 0 0 1002510449 24 Speech Therapists 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 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 2627 2627 0 0 1002511075 10 Physicians 91 Sangamon 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 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 0 0 0 0 0 0 0 0 0 0 1002511132 1306973748 10 Physicians UPADHYAY GAURAV 605277594 30 DuPage 0 0 Cardiovascular Diseases 0 0 0 0 0 0 0 0 0 0 0 0 0 817 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7617 0 0 0 0 0 0 7617 0 0 1002511173 1538570528 61 Independent Laboratories DES PLAINES CLINICAL LAB INC 600164711 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1305 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6320 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6320 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 166897 0 0 0 0 0 0 0 0 166897 0 0 1002511375 1356644876 10 Physicians CHANG YOLANDA 601892037 30 DuPage 0 0 Surgery General 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2152 0 0 0 0 0 0 2152 0 0 1002511399 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 24865 0 0 0 0 0 0 0 0 0 0 0 0 0 24865 0 0 1002511552 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 0 240 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 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1002511584 1023385796 16 Nurse Practitioners SUFFOLETTA CRISTINA 606112991 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 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 2177 0 0 0 0 0 0 2177 0 0 1002512254 1053669655 23 Occupational Therapists PARKER TRACY 463221631 200 Cook 0 0 0 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 0 558 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 558 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46632 46632 0 0 1002512316 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 413 0 0 0 0 0 0 0 0 0 0 0 0 0 413 0 0 1002512477 1770863292 16 Nurse Practitioners MCCARTY MOLLY A 503054827 816 Iowa 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 0 155 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 3814 0 0 0 0 0 0 3814 0 0 1002512902 1760605372 10 Physicians SHANKAR SUVEN 629023988 47 Jackson 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 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5935 0 0 0 0 0 0 5935 0 0 1002513152 1215358106 24 Speech Therapists ROLSKI KAROLINA 605437735 55 Kendall 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 0 241 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 18448 18448 0 0 1002513295 1700175809 10 Physicians STEPHEN REBECCA 606112615 200 Cook 0 0 Pediatrics 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 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 2894 0 0 0 0 0 0 2894 0 0 1002513336 1992130231 16 Nurse Practitioners CASS KATHRYN 999999999 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 251 0 0 0 0 0 0 251 0 0 1002513337 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 0 272 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 51119 0 0 0 0 0 0 0 0 0 0 0 0 0 51119 0 0 1002513621 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 25302 0 0 0 0 0 0 0 0 0 0 0 0 0 25302 0 0 1002513668 1184064545 22 Physical Therapists LINDROTH HOLLY 60614 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 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 0 848 848 0 0 1002513920 1225342884 10 Physicians ENGLOF ILA 601975940 30 DuPage 0 0 Emergency Medicine 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 0 211 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 211 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10344 0 0 0 0 0 0 10344 0 0 1002514106 92 Waiver service provider--Disability (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 36493 0 0 0 0 0 0 0 0 0 0 0 0 0 36493 0 0 1002514148 1619219110 16 Nurse Practitioners ULIVI KATHLEEN A 604501207 40 Grundy 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 665 0 0 0 0 0 0 0 0 2137 0 0 0 0 0 0 2802 0 0 1002514560 1285917641 16 Nurse Practitioners PATEL SONA 604404906 107 Will 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 0 278 0 0 0 0 0 0 278 0 0 1002514805 36 Community mental health provider 200 Cook 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 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 2371 0 0 2371 0 0 1002514871 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 0 350 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 0 0 0 0 0 0 0 0 0 0 0 0 25774 0 0 0 0 0 0 0 0 0 0 0 0 0 25774 0 0 1002515166 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 14845 0 0 0 0 0 0 0 0 0 0 0 0 0 14845 0 0 1002515282 1174849657 10 Physicians RAPOFF JUSTIN 531472655 852 Wisconsin 0 0 Emergency Medicine 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 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 1266 0 0 0 0 0 0 1266 0 0 1002515334 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 32338 0 0 0 0 0 0 0 0 0 0 0 0 0 32338 0 0 1002515769 24 Speech Therapists 27 Dekalb 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 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 0 542 542 0 0 1002515991 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19530 0 0 0 0 0 0 0 0 0 0 0 0 0 19530 0 0 1002516234 1073786745 10 Physicians FARRINGTON LAURA 606740023 200 Cook 0 0 Oncology 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 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 0 686 0 0 0 0 0 0 686 0 0 1002516237 1700049038 10 Physicians OBERMEYER THOMAS S 601953203 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 22 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 212 0 2320 0 0 0 0 0 0 2532 0 0 1002516294 11 Dentists 200 Cook 0 0 General Dentistry 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 41 0 0 1002516798 10 Physicians 200 Cook 0 1 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 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 38 0 0 0 0 0 0 38 0 0 1002517035 1578972303 11 Dentists AMARANTE ANDRE 608043638 200 Cook 0 0 General Dentistry 0 0 0 29 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 5087 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5087 0 0 1002518943 1750496782 60 Pharmacies MEDICINE SHOPPE OF NEWTON 624481056 48 Jasper 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 0 666 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17797 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18529 0 0 0 18529 0 0 1002519348 1831249200 10 Physicians ALINIAZEE MATEEN 601262821 30 DuPage 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 1 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 687 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 687 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 62202 0 0 0 0 0 0 62251 0 0 1002519553 1841501699 10 Physicians AJJARAPU JOSHUA 610811278 57 Lake 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 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 3650 0 0 0 0 0 0 3650 0 0 1002519561 1194952614 10 Physicians SHARMA CHANDRA 605173100 30 DuPage 0 1 Family Practice 0 0 0 0 8 0 0 0 0 0 0 26 0 86 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 41 0 195 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 41 0 195 0 0 0 0 0 0 0 0 0 638 0 0 0 0 0 0 408 0 5774 0 0 0 0 0 0 6820 0 0 1002519934 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 12200 0 0 0 0 0 0 0 0 0 0 0 0 0 12200 0 0 1002520155 1073806162 10 Physicians TUNG ELIZABETH 999999999 30 DuPage 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 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 1950 0 0 0 0 0 0 1950 0 0 1002520628 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1994 0 0 0 0 0 0 0 0 0 0 0 0 0 1994 0 0 1002520842 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 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 17304 0 0 0 0 0 0 0 0 0 0 0 0 0 17304 0 0 1002521205 1851557011 10 Physicians LEE KENNETH J 605275965 30 DuPage 0 0 Neurology 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 0 113 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 2002 0 0 0 0 0 0 2002 0 0 1002521268 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 45 0 0 1002521572 1689839532 10 Physicians KUSUMA SRINIVASU 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 108 0 177 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 413 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 413 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1550 0 15256 0 0 0 0 0 0 16806 0 0 1002521848 1881905776 10 Physicians SWISHER JENNA L 606118709 200 Cook 0 0 Anesthesiology 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 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 1431 0 0 0 0 0 0 1431 0 0 1002522241 1689005316 16 Nurse Practitioners ETHAKATTU SOSIMOL 606302429 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1736 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 0 0 0 0 0 5041 0 0 0 0 0 0 5041 0 0 1002522326 1609201557 16 Nurse Practitioners ROTH BETTLACH CARRIE 631600352 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 0 356 0 0 0 0 0 0 356 0 0 1002522422 1689820524 11 Dentists WEINBERG MICHAEL 600311709 57 Lake 0 0 0 0 0 29 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 14807 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14807 0 0 1002522751 1528492469 16 Nurse Practitioners WASSAM KRISTINA 532152843 30 DuPage 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 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1346 0 0 0 0 0 0 1346 0 0 1002522839 1467887661 70 Ambulance Service Providers VILLAGE OF MIDLOTHIAN 604453401 200 Cook 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 0 788 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 0 0 0 0 0 0 0 0 0 0 0 0 138534 0 0 0 0 0 0 138534 0 0 1002522856 10 Physicians 91 Sangamon 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 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 0 765 0 0 0 0 0 0 765 0 0 1002522988 1841600715 16 Nurse Practitioners HUBER AMANDA L 611081673 109 Winnebago 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 171 0 0 0 0 0 0 0 0 573 0 0 0 0 0 0 744 0 0 1002523103 1962679852 10 Physicians BANGASH ARMUGHAN 604903140 107 Will 0 0 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 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 2236 0 0 0 0 0 0 2236 0 0 1002523367 1295088391 16 Nurse Practitioners BERKLEY JENNIFER 617649774 61 Livingston 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 0 103 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 4270 0 0 0 0 0 0 4270 0 0 1002523600 1881635118 10 Physicians KODALI MANGA D 477061510 200 Cook 0 0 Oncology 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 0 732 0 0 0 0 0 0 732 0 0 1002524890 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 0 341 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 341 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 1002525324 1316294648 16 Nurse Practitioners SWISHER HOLLY 616147300 62 Logan 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 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 0 103 0 0 0 0 0 0 103 0 0 1002526073 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 14415 0 0 0 0 0 0 0 0 0 0 0 0 0 14415 0 0 1002526364 1972512853 10 Physicians MCKIAN KEVIN 600073363 200 Cook 0 0 Oncology 0 0 0 0 0 0 0 0 0 0 0 1 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 768 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 768 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 80932 0 0 0 0 0 0 80952 0 0 1002527148 1548436215 10 Physicians PRATHER JENNIFER 999999999 89 Rock Island 0 0 Pathology 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 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 0 128 0 0 0 0 0 0 0 0 128 0 0 1002527421 1285066266 24 Speech Therapists LIGGETT JACQUELYN 616112663 98 Tazewell 0 0 0 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 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 7787 7787 0 0 1002527479 1477669596 16 Nurse Practitioners WILLIAMS CHERYLE F 612541091 45 Henry 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 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 0 670 0 0 0 0 0 0 670 0 0 1002527546 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 17613 0 0 0 0 0 0 0 0 0 0 0 0 0 17613 0 0 1002527916 1801210331 16 Nurse Practitioners SCHREIBER ELISABETH 606777007 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 131 0 0 0 0 0 0 131 0 0 1002527986 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 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28829 0 0 0 0 0 0 0 0 0 0 0 0 0 28829 0 0 1002528385 30 General Hospitals 844 Tennessee ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 305 0 0 0 0 0 0 0 0 0 0 0 0 0 0 305 0 0 1002528957 1629026364 30 General Hospitals ADVOCATE SHERMAN HOSPITAL 601232300 53 Kane DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 General Hospital - Adult and Child 0 1 0 0 0 2435 0 0 0 0 933 0 0 0 3317 0 0 0 0 0 1 0 0 0 3428 0 0 0 0 1072 0 0 0 7302 0 0 0 0 0 1 0 0 0 3428 0 0 0 0 4593 0 0 0 7302 0 0 0 0 0 0 0 0 0 807997 0 0 0 0 3970216 0 0 0 1202452 0 0 0 0 0 5980665 0 0 1002529302 1659687192 10 Physicians SHETH SONIA 601545716 200 Cook 0 0 Physical Medicine/Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 8 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 11937 0 0 0 0 0 0 12043 0 0 1002530502 1790930477 10 Physicians SCHUMACHER WENDY 601533328 200 Cook 0 0 Dermatology 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 0 212 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 4014 0 0 0 0 0 0 4014 0 0 1002531664 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 14667 0 0 0 0 0 0 0 0 0 0 0 0 0 14667 0 0 1002531921 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 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 1315 0 0 0 0 0 0 0 0 0 0 0 0 0 1315 0 0 1002532789 1417256272 13 Podiatrists PETERSON KYLE 601033007 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1717 0 0 0 0 0 0 1717 0 0 1002532896 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 789 0 0 0 0 0 0 0 0 0 0 0 0 0 789 0 0 1002533031 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 28722 0 0 0 0 0 0 0 0 0 0 0 0 0 28722 0 0 1002533244 1881952646 16 Nurse Practitioners SUMMERS CHRISSA 616157831 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 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 0 500 0 0 0 0 0 0 500 0 0 1002533860 16 Nurse Practitioners 50 Jersey 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1002534163 1134472970 33 Nursing Facilities BRIA OF RIVER OAKS 606332004 200 Cook 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 0 508 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11670 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1129852 0 0 0 0 0 0 0 1129852 0 0 1002535651 1245655422 16 Nurse Practitioners OBILADE SANDRA L 606751611 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 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 0 337 0 0 0 0 0 0 337 0 0 1002535876 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 0 155 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 8848 0 0 0 0 0 0 0 0 0 0 0 0 0 8848 0 0 1002537023 92 Waiver service provider--Disability (DHS/DRS) 54 Kankakee 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23073 0 0 0 0 0 0 0 0 0 0 0 0 0 23073 0 0 1002537384 91 Waiver service provider--Adults (DHS/DDD) 58 La Salle 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 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 28887 0 0 0 0 0 0 0 0 0 0 0 0 0 28887 0 0 1002537667 1669647129 10 Physicians BOHNENKAMP FRANK C. 611144937 109 Winnebago 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 56 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 121 0 209 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 121 0 209 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1065 0 10125 0 0 0 0 0 0 11190 0 0 1002537896 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 0 260 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 29856 0 0 0 0 0 0 0 0 0 0 0 0 0 29856 0 0 1002538021 1871737932 10 Physicians MOORE CHRISTOPHER H. 623012834 10 Adams 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3583 0 0 0 0 0 0 3583 0 0 1002538344 10 Physicians 816 Iowa 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 0 0 0 0 0 0 0 0 0 0 1002538541 1831418078 10 Physicians BRUENE JULIA 601545745 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 49 0 78 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93 0 375 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93 0 375 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1903 0 20357 0 0 0 0 0 0 22260 0 0 1002538579 1104854439 10 Physicians ELMORE TODD D 627949248 91 Sangamon 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 214 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 3988 0 0 0 0 0 0 3988 0 0 1002538673 1114155116 10 Physicians PILLAY ANIL L 953586411 200 Cook 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 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 0 513 0 0 0 0 0 0 513 0 0 1002539018 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 0 363 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 29767 0 0 0 0 0 0 0 0 0 0 0 0 0 29767 0 0 1002539051 1558794156 16 Nurse Practitioners SHARP CINDY 606313222 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 451 0 0 0 0 0 0 451 0 0 1002539567 1568783439 10 Physicians HOUGHTON ADAM 617047733 72 McLean 0 1 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 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 0 218 0 0 0 0 0 0 218 0 0 1002539568 98 Waiver service provider--TBI (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 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 10730 0 0 0 0 0 0 0 0 0 0 0 0 0 10730 0 0 1002539603 1255596805 10 Physicians MOHAMMED REEMA 604403658 107 Will 0 1 Pediatrics 0 0 0 0 41 0 0 0 0 0 0 31 0 44 0 0 0 0 0 0 0 0 0 132 0 0 0 0 0 0 66 0 112 0 0 0 0 0 0 0 0 0 132 0 0 0 0 0 0 66 0 112 0 0 0 0 0 0 0 0 0 5419 0 0 0 0 0 0 855 0 4492 0 0 0 0 0 0 10766 0 0 1002539974 1003159450 16 Nurse Practitioners MASSEY KRISTEN 622265366 96 St Clair 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 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 2001 0 0 0 0 0 0 2001 0 0 1002540521 1982832770 10 Physicians KASI RAVI 606751611 200 Cook 0 0 Physical Medicine/Rehabilitation 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 0 517 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 517 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11247 0 0 0 0 0 0 11247 0 0 1002540585 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 0 120 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 27614 0 0 0 0 0 0 0 0 0 0 0 0 0 27614 0 0 1002540960 1275794653 10 Physicians CHIANG DAVID S 600185257 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 280 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 444 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 444 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7316 0 270 0 0 0 0 0 0 7586 0 0 1002540991 1922237700 10 Physicians MUKHOPADYAY CHIRANTAN 535661569 852 Wisconsin 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 2 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 1790 0 0 0 0 0 0 1802 0 0 1002541100 1538325477 10 Physicians JACOB RAJI 616151941 80 Peoria 0 0 Nephrology 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 0 479 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 479 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7317 0 0 0 0 0 0 7317 0 0 1002541450 1427378413 10 Physicians CONTE RUSSIAN MARC J 601228942 53 Kane 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 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 0 657 0 0 0 0 0 0 657 0 0 1002542233 1043507999 10 Physicians JAIN SUMESH 627080556 91 Sangamon 0 0 Emergency Medicine 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 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5549 0 0 0 0 0 0 5549 0 0 1002542696 1982914834 16 Nurse Practitioners STALTER CARRIE 616370001 80 Peoria 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 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 0 114 0 0 0 0 0 0 114 0 0 1002543755 10 Physicians 10 Adams 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 46 0 0 1002544127 1326249228 10 Physicians BELVITCH PATRICK G 606127232 200 Cook 0 0 Pulmonary Diseases 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 0 104 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 9261 0 0 0 0 0 0 9261 0 0 1002544280 1871779371 10 Physicians VUCIC IVICA 606081797 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 173 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 215 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 215 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2117 0 91 0 0 0 0 0 0 2208 0 0 1002544941 92 Waiver service provider--Disability (DHS/DRS) 815 Indiana 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 30255 0 0 0 0 0 0 0 0 0 0 0 0 0 30255 0 0 1002545149 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 23704 0 0 0 0 0 0 0 0 0 0 0 0 0 23704 0 0 1002545349 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 87 0 0 0 0 0 0 87 0 0 1002545758 1912101684 10 Physicians HABAL HANI 616033084 80 Peoria 0 0 General Practice 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 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 1534 0 0 0 0 0 0 1534 0 0 1002545799 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 21136 0 0 0 0 0 0 0 0 0 0 0 0 0 21136 0 0 1002546637 1962727149 10 Physicians MANN DAVID 606801271 200 Cook 0 0 Anesthesiology 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 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1259 0 0 0 0 0 0 1259 0 0 1002546840 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 4 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 0 224 224 0 0 1002547511 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 139 0 0 0 0 0 0 139 0 0 1002547535 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 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25976 0 0 0 0 0 0 0 0 0 0 0 0 0 25976 0 0 1002548048 94 Waiver service provider--Children's support (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 362 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 17729 0 0 0 0 0 0 0 0 0 0 0 0 0 17729 0 0 1002549148 1366762759 10 Physicians NEKKANTI NARESH 624502553 88 Richland 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 35 0 368 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 39 0 548 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 39 0 548 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 518 0 23329 0 0 0 0 0 0 23931 0 0 1002549225 10 Physicians 30 DuPage 0 0 Gastroenterology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 19 0 0 1002549855 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 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 29025 0 0 0 0 0 0 0 0 0 0 0 0 0 29025 0 0 1002550328 1467784504 10 Physicians LADANYI ANDRAS 606751611 200 Cook 0 0 Obstetric-Gynecology 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 0 168 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 4199 0 0 0 0 0 0 4199 0 0 1002550419 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 10459 0 0 0 0 0 0 0 0 0 0 0 0 0 10459 0 0 1002550872 10 Physicians 826 Missouri 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 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 0 560 0 0 0 0 0 0 560 0 0 1002550927 1427211317 10 Physicians CHEEMA YUSRA R 606118709 200 Cook 0 0 Internal Medicine 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 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1891 0 0 0 0 0 0 1891 0 0 1002550996 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 0 260 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 25328 0 0 0 0 0 0 0 0 0 0 0 0 0 25328 0 0 1002551693 1831352467 10 Physicians KHAN USMAN 601813904 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 3 0 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 227 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 227 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4338 0 0 0 0 0 0 4338 0 0 1002551951 1093159725 16 Nurse Practitioners BRAMLEY RITA K 611112754 109 Winnebago 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 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3065 0 0 0 0 0 0 3065 0 0 1002552532 1447444252 16 Nurse Practitioners FOILES SHANNON 616370001 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 87 0 0 0 0 0 0 87 0 0 1002552607 94 Waiver service provider--Children's support (DHS/DDD) 806 Colorado 0 0 0 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 0 339 0 0 0 0 0 0 0 0 0 0 0 0 0 339 0 0 1002553048 1659621233 24 Speech Therapists REGNIER BRIDGID 606433112 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 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 3291 3291 0 0 1002553122 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 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 0 891 0 0 0 0 0 0 0 0 0 0 0 0 0 891 0 0 1002553468 1275795569 10 Physicians HAGEMANN IAN 631101010 826 Missouri 0 0 Pathology 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 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 0 685 0 0 0 0 0 0 0 0 685 0 0 1002553524 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 13583 0 0 0 0 0 0 0 0 0 0 0 0 0 13583 0 0 1002554077 1093918203 10 Physicians SESHADRI VENKAT 604224363 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 10 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 594 0 0 0 0 0 0 619 0 0 1002554184 1124295381 10 Physicians GUPTA RAVINDRA A 606118709 200 Cook 0 0 Anesthesiology 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 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 3041 0 0 0 0 0 0 3041 0 0 1002554291 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12395 0 0 0 0 0 0 0 0 0 0 0 0 0 12395 0 0 1002554328 1386964781 10 Physicians DESAI PALAK 606930623 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 243 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 796 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 796 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11849 0 0 0 0 0 0 11849 0 0 1002554478 1316074743 10 Physicians HERRICK CYNTHIA 999999999 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 141 0 0 0 0 0 0 151 0 0 1002554615 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 22115 0 0 0 0 0 0 0 0 0 0 0 0 0 22115 0 0 1002554934 1285965905 10 Physicians PLAYER JOHN E 616151941 80 Peoria 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 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1329 0 0 0 0 0 0 1329 0 0 1002554969 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 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 36046 0 0 0 0 0 0 0 0 0 0 0 0 0 36046 0 0 1002555034 92 Waiver service provider--Disability (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 17 0 0 1002555105 10 Physicians 200 Cook 0 0 Clinical Pathology 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1002555160 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 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 16501 0 0 0 0 0 0 0 0 0 0 0 0 0 16501 0 0 1002555410 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 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27384 0 0 0 0 0 0 0 0 0 0 0 0 0 27384 0 0 1002556400 1538103759 10 Physicians LAVU KALYANA 476308925 815 Indiana 0 0 Gastroenterology 0 0 0 0 0 0 0 0 0 0 0 2 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 21 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 1002556550 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 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28402 0 0 0 0 0 0 0 0 0 0 0 0 0 28402 0 0 1002557710 1548593049 10 Physicians PELLERITE MATTHEW 602011718 200 Cook 0 0 Pediatrics 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 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 12152 0 0 0 0 0 0 12152 0 0 1002557908 1124261748 10 Physicians CHAUHAN KEYUR 606740018 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 1 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 2405 0 0 0 0 0 0 2414 0 0 1002558164 1912332610 16 Nurse Practitioners JACOBS JESSICA 946081844 82 Piatt 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1438 0 0 0 0 0 0 1438 0 0 1002558359 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 27831 0 0 0 0 0 0 0 0 0 0 0 0 0 27831 0 0 1002558365 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 0 139 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 14320 0 0 0 0 0 0 0 0 0 0 0 0 0 14320 0 0 1002559013 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 0 168 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 30266 0 0 0 0 0 0 0 0 0 0 0 0 0 30266 0 0 1002559212 1598198137 16 Nurse Practitioners COX JENNIFER M 333224113 65 Madison 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 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 1137 0 0 0 0 0 0 1137 0 0 1002559404 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 0 961 0 0 0 0 0 0 0 0 0 0 0 0 0 961 0 0 1002560407 91 Waiver service provider--Adults (DHS/DDD) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 203 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 15662 0 0 0 0 0 0 0 0 0 0 0 0 0 15662 0 0 1002560604 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 24867 0 0 0 0 0 0 0 0 0 0 0 0 0 24867 0 0 1002561320 1174819254 10 Physicians STOCK MEGAN 606733039 200 Cook 0 1 Family Practice 0 0 0 0 6 0 0 0 0 0 0 1 0 46 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 1 0 65 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 1 0 65 0 0 0 0 0 0 0 0 0 682 0 0 0 0 0 0 5 0 1430 0 0 0 0 0 0 2117 0 0 1002561473 23 Occupational Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2545 2545 0 0 1002561786 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 0 192 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 26373 0 0 0 0 0 0 0 0 0 0 0 0 0 26373 0 0 1002561841 1194041905 10 Physicians ARSHI BABACK 631101010 826 Missouri 0 0 Neurology 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 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 0 595 0 0 0 0 0 0 595 0 0 1002562455 1982857660 10 Physicians THOMAS CELESTE 605277594 30 DuPage 0 0 Endocrinology 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 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 0 592 0 0 0 0 0 0 592 0 0 1002562847 1578566972 10 Physicians HANAHAN LAURA J 627621000 91 Sangamon 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276 0 0 0 0 0 0 0 0 276 0 0 1002562903 10 Physicians 57 Lake 0 0 Psychiatry 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 0 661 0 0 0 0 0 0 661 0 0 1002563394 1518384445 60 Pharmacies OSCO DRUG #4305 600472271 57 Lake 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 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 665 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1045 0 0 0 1045 0 0 1002563405 1073732061 16 Nurse Practitioners GRIMM MICHAEL 605152075 53 Kane 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 0 224 0 0 0 0 0 0 224 0 0 1002563462 1538488788 10 Physicians BROWN JULIE I 612541091 45 Henry 0 1 Family Practice 0 0 0 0 2 0 0 0 0 0 0 6 0 22 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 10 0 31 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 10 0 31 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 112 0 775 0 0 0 0 0 0 1103 0 0 1002563965 16 Nurse Practitioners 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 169 0 0 1002564066 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 0 322 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 322 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 1002564081 92 Waiver service provider--Disability (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 17358 0 0 0 0 0 0 0 0 0 0 0 0 0 17358 0 0 1002564138 1184997843 16 Nurse Practitioners KOLAR MARION 28950784 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 9 0 0 0 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 14 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 370 0 0 0 0 0 0 386 0 0 1002564311 10 Physicians 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1002 0 0 0 0 0 0 1002 0 0 1002564323 10 Physicians 200 Cook 0 1 Pediatrics 0 0 0 0 2 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 275 0 0 0 0 0 0 0 0 171 0 0 0 0 0 0 446 0 0 1002564838 1093976771 10 Physicians RIDLEY CLARE 631600352 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3117 0 0 0 0 0 0 3117 0 0 1002565362 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 7715 0 0 0 0 0 0 0 0 0 0 0 0 0 7715 0 0 1002565499 10 Physicians 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 199 0 0 0 0 0 0 199 0 0 1002565687 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 0 185 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 20994 0 0 0 0 0 0 0 0 0 0 0 0 0 20994 0 0 1002565700 1902194905 33 Nursing Facilities BRIA OF GENEVA 601342438 53 Kane 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 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5304 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 693182 0 0 0 0 0 0 0 693182 0 0 1002565904 1740577956 12 Optometrists CLELAND ERIKA K 611071439 109 Winnebago 0 0 Diagnostic Pharmaceutical Agents 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 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2698 0 0 0 0 0 0 2698 0 0 1002566440 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 58645 0 0 0 0 0 0 0 0 0 0 0 0 0 58645 0 0 1002566589 1952680753 10 Physicians STANCU MIHAELA 330276314 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8712 0 0 0 0 0 0 8712 0 0 1002566947 10 Physicians 71 McHenry 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 43 0 0 0 0 0 0 43 0 0 1002567180 1699026302 11 Dentists BARSA GEORGE 999999999 200 Cook 0 0 0 0 0 6 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 1558 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1558 0 0 1002567635 10 Physicians 826 Missouri 0 0 Psychiatry 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 0 442 0 0 0 0 0 0 442 0 0 1002567757 1306138920 65 Independent Diagnostic Testing Facility (IDTF) MOLECULAR IMAGING 600053405 200 Cook 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 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 2373 0 0 0 0 0 0 0 0 2373 0 0 1002568017 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 0 363 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 25165 0 0 0 0 0 0 0 0 0 0 0 0 0 25165 0 0 1002568180 1013143205 10 Physicians DING XIANZHONG 601545716 200 Cook 0 0 Clinical Pathology 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 0 332 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 6310 0 0 0 0 0 0 0 0 6310 0 0 1002568506 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 0 365 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 27238 0 0 0 0 0 0 0 0 0 0 0 0 0 27238 0 0 1002568803 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 7681 0 0 0 0 0 0 0 0 0 0 0 0 0 7681 0 0 1002568897 1588964357 10 Physicians GAL KRYSTYNA 604621982 200 Cook 0 0 Otolaryngology 0 0 0 0 1 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 1562 0 0 0 0 0 0 1583 0 0 1002569073 1609154798 10 Physicians PRYOR JESSICA 606112615 200 Cook 0 0 Pediatrics 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 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 2997 0 0 0 0 0 0 2997 0 0 1002569631 1235455973 10 Physicians WILKINSON NIKKI 606127232 200 Cook 0 0 Anesthesiology 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 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 39376 0 0 0 0 0 0 39376 0 0 1002569750 1851723647 16 Nurse Practitioners MURPHY JESSICA A 606118709 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 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 0 348 0 0 0 0 0 0 348 0 0 1002569804 10 Physicians 805 California 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 10 0 0 1002570031 1538418512 70 Ambulance Service Providers WAVERLY VOLUNTEER FIRE DEPT 626921168 77 Morgan 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 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 5942 0 0 0 0 0 0 5942 0 0 1002570302 1326201864 10 Physicians SHEYBANI ELIZABETH F 631952334 10 Adams 0 0 Radiology Diagnosis 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 0 214 0 0 0 0 0 0 0 0 214 0 0 1002570510 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 27691 0 0 0 0 0 0 0 0 0 0 0 0 0 27691 0 0 1002571591 1396908570 10 Physicians MOORE CAMILLE M 605638669 30 DuPage 0 0 0 0 0 0 2 0 0 0 0 0 0 1 0 15 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 2 0 18 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 2 0 18 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 10 0 678 0 0 0 0 0 0 932 0 0 1002571604 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19760 0 0 0 0 0 0 0 0 0 0 0 0 0 19760 0 0 1002571764 1568792604 10 Physicians ADUSUMILLI BHAVANI 627949248 91 Sangamon 0 0 Nephrology 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 0 598 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 598 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4277 0 0 0 0 0 0 4277 0 0 1002571845 1275951147 16 Nurse Practitioners DALY KRISTIN 631600352 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 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 1002571846 1558688127 10 Physicians KUMAR RAJEEV 606930623 200 Cook 0 0 Pediatrics 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 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 18153 0 0 0 0 0 0 18153 0 0 1002572144 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 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 42240 0 0 0 0 0 0 0 0 0 0 0 0 0 42240 0 0 1002572217 1649428475 10 Physicians BAMBRA GURPREET S 629023988 47 Jackson 0 0 Internal Medicine 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 0 505 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 505 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5642 0 0 0 0 0 0 5642 0 0 1002572451 1841629821 16 Nurse Practitioners MATTOX JUDY 606930001 200 Cook 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 0 241 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 3569 0 0 0 0 0 0 3569 0 0 1002572633 1437586799 16 Nurse Practitioners KRAKAR APRIL 606781034 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 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 0 594 0 0 0 0 0 0 594 0 0 1002572747 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 0 319 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 0 0 0 0 0 0 0 0 0 0 0 0 18715 0 0 0 0 0 0 0 0 0 0 0 0 0 18715 0 0 1002573116 92 Waiver service provider--Disability (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3843 0 0 0 0 0 0 0 0 0 0 0 0 0 3843 0 0 1002573216 1720421175 16 Nurse Practitioners MIDDENDORF JENNIFER 999999999 96 St Clair 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 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 0 499 0 0 0 0 0 0 499 0 0 1002573398 1447416722 10 Physicians OSIPOVA MARIA 606313222 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 4461 0 0 0 0 0 0 4466 0 0 1002573699 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 64578 0 0 0 0 0 0 0 0 0 0 0 0 0 64578 0 0 1002573738 1215201405 25 Audiologists PERREAU ANN 612012210 89 Rock Island 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 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 4321 4321 0 0 1002573756 1114348620 16 Nurse Practitioners ALLEN SARAH E. 616052576 80 Peoria 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4918 0 0 0 0 0 0 4918 0 0 1002573922 1609146984 13 Podiatrists MIKLOS DAVID 606162315 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 0 215 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 0 416 0 0 0 0 0 0 416 0 0 1002573939 1104091065 10 Physicians BENNETT DEBBIE 999999999 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 66 0 0 0 0 0 0 86 0 0 1002574219 1942626924 55 Early Intervention Services SHLAES KIMBERLY 606186796 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 0 123 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 6945 0 0 0 0 0 0 6945 0 0 1002574361 1558687038 10 Physicians XENDIS MELISSA 601545716 200 Cook 0 0 Physical Medicine/Rehabilitation 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 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 211 0 0 0 0 0 0 211 0 0 1002574514 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 0 166 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 21668 0 0 0 0 0 0 0 0 0 0 0 0 0 21668 0 0 1002575061 1972944510 16 Nurse Practitioners MCNAMARA MARY M 191011274 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 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 0 770 0 0 0 0 0 0 770 0 0 1002575319 1235553470 16 Nurse Practitioners STEWART BETH 117474300 66 Marion 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 0 616 0 0 0 0 0 0 616 0 0 1002575421 1386960367 10 Physicians SENESCU CARLY 606781034 200 Cook 0 0 Pediatrics 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 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 3382 0 0 0 0 0 0 3382 0 0 1002575875 1386801751 10 Physicians DIVAKARUNI NAVEEN 605066222 53 Kane 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 10 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 251 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 251 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 5347 0 0 0 0 0 0 5354 0 0 1002576005 1992088710 16 Nurse Practitioners ROSSI SPRINGER DIANA 600315711 57 Lake 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 21 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 1002576384 1669726170 30 General Hospitals FRESENIUS MEDICAL CARE NW IN 463112380 815 Indiana DIALYSIS Outpatient dialysis centers. 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 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 804 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 671 0 0 0 0 0 671 0 0 1002576404 1891974879 10 Physicians SHEIKH SHEHLA 605231557 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 1 0 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 284 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 284 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 5468 0 0 0 0 0 0 5593 0 0 1002576554 1558790311 60 Pharmacies OSCO DRUG #0202 606141941 200 Cook 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 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1063 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4226 0 0 0 4226 0 0 1002576764 1295023836 16 Nurse Practitioners BALDWIN MORGAN 631041003 826 Missouri 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 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 0 506 0 0 0 0 0 0 506 0 0 1002577036 1851715262 33 Nursing Facilities GROVE OF FOX VALLEY 605051509 53 Kane 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 0 266 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6303 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 905504 0 0 0 0 0 0 0 905504 0 0 1002577279 12 Optometrists 200 Cook 0 0 Therapeutic 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 32 0 0 1002577719 1346441656 10 Physicians NGUYEN KATRINA 601975997 109 Winnebago 0 0 Emergency Medicine 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 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 1584 0 0 0 0 0 0 1584 0 0 1002578119 1942462742 10 Physicians OZER EGON 606118709 200 Cook 0 0 Infectious Diseases 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 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 0 760 0 0 0 0 0 0 760 0 0 1002578927 1407199136 55 Early Intervention Services LAUGHLIN SHERRY A 606512117 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 746 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 746 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49381 0 0 0 0 0 0 49381 0 0 1002578946 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 20337 0 0 0 0 0 0 0 0 0 0 0 0 0 20337 0 0 1002579789 10 Physicians 852 Wisconsin 0 0 Emergency 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 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 0 320 0 0 0 0 0 0 320 0 0 1002580095 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 0 331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19052 0 0 0 0 0 0 0 0 0 0 0 0 0 19052 0 0 1002580493 1063677946 10 Physicians DOSHI TARAL 606445059 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 727 0 203 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 970 0 271 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 970 0 271 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15185 0 6557 0 0 0 0 0 0 21742 0 0 1002580889 1215101704 10 Physicians HARASYM MYROSLAV 117474300 20 Christian 0 0 Anesthesiology 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 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 2828 0 0 0 0 0 0 2828 0 0 1002580908 1184887341 10 Physicians PATHAK SHEEL 631600352 200 Cook 0 0 Neurology 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 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 1427 0 0 0 0 0 0 1427 0 0 1002581050 1598103459 16 Nurse Practitioners ADEOYE ADEOLA 606118709 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 186 0 0 0 0 0 0 186 0 0 1002581297 98 Waiver service provider--TBI (DHS/DRS) 56 Knox 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2098 0 0 0 0 0 0 0 0 0 0 0 0 0 2098 0 0 1002581724 1851547293 10 Physicians SHAH VIHANG 601901237 107 Will 0 0 Anesthesiology 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 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2104 0 0 0 0 0 0 2104 0 0 1002581838 1255770319 11 Dentists BHAGCHANDANI KARAN R 601852315 30 DuPage 0 0 General Dentistry 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1069 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1069 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33069 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33069 0 0 1002581851 1891019568 10 Physicians CHENG JASON X 605275965 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 372 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 372 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3321 0 0 0 0 0 0 0 0 3321 0 0 1002581967 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 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 1244 0 0 0 0 0 0 0 0 0 0 0 0 0 1244 0 0 1002582549 91 Waiver service provider--Adults (DHS/DDD) 86 Putnam 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 313 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 313 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14204 0 0 0 0 0 0 0 0 0 0 0 0 0 14204 0 0 1002582628 10 Physicians 80 Peoria 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 77 0 0 0 0 0 0 77 0 0 1002582809 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 28722 0 0 0 0 0 0 0 0 0 0 0 0 0 28722 0 0 1002583631 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 0 331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19039 0 0 0 0 0 0 0 0 0 0 0 0 0 19039 0 0 1002583807 1255765913 22 Physical Therapists JACOBSON LUKE 606731285 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 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 0 251 251 0 0 1002584280 1861770679 10 Physicians ALI SYEDA F 609012901 54 Kankakee 0 1 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 0 133 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 1886 0 0 0 0 0 0 1886 0 0 1002584767 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 28058 0 0 0 0 0 0 0 0 0 0 0 0 0 28058 0 0 1002585924 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 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 10385 0 0 0 0 0 0 0 0 0 0 0 0 0 10385 0 0 1002586299 1942648951 16 Nurse Practitioners OHOWELL KATHY 641843225 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 102 0 0 1002586472 1376979195 55 Early Intervention Services EASTER SEALS UCP CFC 14 616044842 80 Peoria 0 0 0 860 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5011 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5011 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 559185 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 559185 0 0 1002587077 11 Dentists 30 DuPage 0 0 General Dentistry 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 1002587970 1760768055 16 Nurse Practitioners GAFFIN REBEKAH L 618012529 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5246 0 0 0 0 0 0 5246 0 0 1002588154 55 Early Intervention Services 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 0 223 0 0 0 0 0 0 223 0 0 1002588545 1093010423 10 Physicians HUMAYUN YOUSHAY 606253657 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 231 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1277 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1277 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13032 0 0 0 0 0 0 13032 0 0 1002589104 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 6613 0 0 0 0 0 0 0 0 0 0 0 0 0 6613 0 0 1002589414 1972815033 10 Physicians QADRI MUNEEB 600184703 107 Will 0 1 Internal Medicine 0 0 0 0 11 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 142 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 142 0 0 0 0 0 0 0 0 0 1352 0 0 0 0 0 0 0 0 5413 0 0 0 0 0 0 6765 0 0 1002590121 1770648073 10 Physicians SEIDES BENJAMIN 600073367 200 Cook 0 0 Pulmonary Diseases 0 0 0 0 0 0 0 0 0 0 0 1 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 176 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 176 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 5290 0 0 0 0 0 0 5302 0 0 1002590333 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1002590438 1902062037 10 Physicians JANARDHAN SUJIT 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6151 0 0 0 0 0 0 6151 0 0 1002590483 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 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 16419 0 0 0 0 0 0 0 0 0 0 0 0 0 16419 0 0 1002590849 1326337395 10 Physicians PENATE DOUGLAS 606118709 200 Cook 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 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 0 967 0 0 0 0 0 0 967 0 0 1002590902 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 0 178 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 23728 0 0 0 0 0 0 0 0 0 0 0 0 0 23728 0 0 1002591378 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 29820 0 0 0 0 0 0 0 0 0 0 0 0 0 29820 0 0 1002591779 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3134 0 0 0 0 0 0 0 0 0 0 0 0 0 3134 0 0 1002591859 1316109168 10 Physicians BLATTER JOSHUA A. 631600352 200 Cook 0 0 Pediatrics 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 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7496 0 0 0 0 0 0 7496 0 0 1002592069 1740579820 10 Physicians GIBSON JONATHAN 606781034 200 Cook 0 1 Family Practice 0 0 0 0 1 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 458 0 0 0 0 0 0 548 0 0 1002592216 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 78 0 0 0 0 0 0 78 0 0 1002592660 1093912818 10 Physicians PHILIP ANDREW 527224159 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 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 4181 0 0 0 0 0 0 4181 0 0 1002593107 1376709022 10 Physicians MCNULTY MAGGIE L 606751611 200 Cook 0 0 Neurology 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 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3058 0 0 0 0 0 0 3058 0 0 1002593500 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 15 0 0 0 0 0 0 15 0 0 1002593601 1386736379 10 Physicians IWUCHUKWU CHIZOR 637015230 844 Tennessee 0 0 Cardiovascular Diseases 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 0 893 0 0 0 0 0 0 893 0 0 1002593763 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 11341 0 0 0 0 0 0 0 0 0 0 0 0 0 11341 0 0 1002594119 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 15980 0 0 0 0 0 0 0 0 0 0 0 0 0 15980 0 0 1002594176 1689991150 10 Physicians POLICK ANNE M 606777007 200 Cook 0 1 Internal 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 0 381 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 381 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10091 0 0 0 0 0 0 10091 0 0 1002594272 10 Physicians 200 Cook 0 0 Physical Medicine/Rehabilitation 0 0 0 0 0 0 0 0 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 1002594381 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 7344 0 0 0 0 0 0 0 0 0 0 0 0 0 7344 0 0 1002594431 24 Speech Therapists 106 Whiteside 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 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 0 441 441 0 0 1002594761 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 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 73 0 0 0 0 0 0 73 0 0 1002594966 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 364 0 0 0 0 0 0 0 0 0 0 0 0 0 364 0 0 1002595605 1447354485 60 Pharmacies MORELAND AND DEVITT INC 999999999 14 Brown 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 1081 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28641 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32653 0 0 0 32653 0 0 1002596314 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 8294 0 0 0 0 0 0 0 0 0 0 0 0 0 8294 0 0 1002596338 1255564142 10 Physicians HEWLETT BRADLEY J 600392233 63 Macon 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 3 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3565 0 0 0 0 0 0 3565 0 0 1002596996 1306172408 16 Nurse Practitioners REITZ MICHELLE 631600352 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 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 0 167 0 0 0 0 0 0 167 0 0 1002597087 1902875974 33 Nursing Facilities BRIA OF CHICAGO HEIGHTS 604114141 200 Cook 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 0 155 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3511 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 427902 0 0 0 0 0 0 0 427902 0 0 1002597174 1629269519 10 Physicians ALEXANDER-BRETT JENNIFER M 631600352 90 Saline 0 0 Internal Medicine 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 0 106 0 0 0 0 0 0 106 0 0 1002597274 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 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 0 108 108 0 0 1002597279 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 26570 0 0 0 0 0 0 0 0 0 0 0 0 0 26570 0 0 1002597686 1255778593 16 Nurse Practitioners BURKE ROSEANNE 606033200 200 Cook 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 273 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 273 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 13506 0 0 0 0 0 0 13622 0 0 1002598237 91 Waiver service provider--Adults (DHS/DDD) 12 Bond 0 0 0 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 28887 0 0 0 0 0 0 0 0 0 0 0 0 0 28887 0 0 1002598269 1255597944 10 Physicians WIELGUS STEPHEN J 602011700 200 Cook 0 0 Family Practice 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 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 1740 0 0 0 0 0 0 1740 0 0 1002598969 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1002599104 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 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16787 0 0 0 0 0 0 0 0 0 0 0 0 0 16787 0 0 1002599384 1184911695 10 Physicians IQBAL OWAIS 627621000 91 Sangamon 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 184 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 2294 0 0 0 0 0 0 2294 0 0 1002599636 1770925141 16 Nurse Practitioners GEORGE JULIET 606733039 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 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 0 911 0 0 0 0 0 0 911 0 0 1002599677 89 Physician Assistant Only(Encounter Only) 28 De Witt 0 0 0 0 0 0 0 0 0 0 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 74 0 0 0 0 0 0 74 0 0 1002600018 1023446770 16 Nurse Practitioners CUMMINS KERIN K 611022112 109 Winnebago 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 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 2682 0 0 0 0 0 0 2682 0 0 1002600198 1386961662 10 Physicians LUNA SERGIO ERNESTO 602011700 200 Cook 0 0 Internal Medicine 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 0 322 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 322 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 1002600514 1023397668 10 Physicians KOTLYAR BIANA 600852321 57 Lake 0 0 Psychiatry 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 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 0 706 0 0 0 0 0 0 706 0 0 1002600941 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26593 0 0 0 0 0 0 0 0 0 0 0 0 0 26593 0 0 1002601752 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5922 0 0 0 0 0 0 0 0 0 0 0 0 0 5922 0 0 1002601973 16 Nurse Practitioners 852 Wisconsin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 251 0 0 0 0 0 0 251 0 0 1002602169 1043445778 10 Physicians PHILBRICK JULIE 606930623 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 3 0 0 0 0 0 0 8 0 27 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 13 0 41 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 13 0 41 0 0 0 0 0 0 0 0 0 142 0 0 0 0 0 0 467 0 4313 0 0 0 0 0 0 4922 0 0 1002602394 1811218654 10 Physicians RESCHAK GARY L 601228942 53 Kane 0 0 Pediatrics 0 0 0 0 19 0 0 0 0 0 0 14 0 38 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 18 0 64 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 18 0 64 0 0 0 0 0 0 0 0 0 834 0 0 0 0 0 0 807 0 1919 0 0 0 0 0 0 3560 0 0 1002602491 1821251471 10 Physicians THOMAS CHERYL L 477333407 200 Cook 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 0 286 0 0 0 0 0 0 286 0 0 1002602506 92 Waiver service provider--Disability (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 8221 0 0 0 0 0 0 0 0 0 0 0 0 0 8221 0 0 1002602545 1467766253 10 Physicians UGHREJA SHITAL R 601228942 53 Kane 0 0 Internal Medicine 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 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 0 988 0 0 0 0 0 0 988 0 0 1002602619 1447486329 10 Physicians HADDADIN RAMEZ I 606118709 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 8 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 8360 0 0 0 0 0 0 8529 0 0 1002602785 91 Waiver service provider--Adults (DHS/DDD) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 292 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 292 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10746 0 0 0 0 0 0 0 0 0 0 0 0 0 10746 0 0 1002602815 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 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10773 0 0 0 0 0 0 0 0 0 0 0 0 0 10773 0 0 1002603284 1699096644 10 Physicians SCHAYE CONOR 946081844 61 Livingston 0 0 Emergency Medicine 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 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 1977 0 0 0 0 0 0 1977 0 0 1002603506 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 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 1239 0 0 0 0 0 0 0 0 0 0 0 0 0 1239 0 0 1002603821 1437460847 10 Physicians NOELKER JOAN 631600352 65 Madison 0 0 Emergency Medicine 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 0 770 0 0 0 0 0 0 770 0 0 1002604085 1336382720 10 Physicians PORTER WILLIAM 601486110 30 DuPage 0 0 Clinical Pathology 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 0 203 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 0 905 0 0 0 0 0 0 0 0 905 0 0 1002604141 92 Waiver service provider--Disability (DHS/DRS) 815 Indiana 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 9546 0 0 0 0 0 0 0 0 0 0 0 0 0 9546 0 0 1002605114 1134462369 24 Speech Therapists KERR CARRIE 615719509 98 Tazewell 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 111 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 9298 9298 0 0 1002605415 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 22 0 0 1002605581 1629035670 10 Physicians KAUSAR FARIHA 604631256 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 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 0 896 0 0 0 0 0 0 896 0 0 1002606259 1154511517 10 Physicians SULLIVAN DONALD N 625571716 20 Christian 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 92 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 184 0 307 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 184 0 307 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 768 0 12755 0 0 0 0 0 0 13523 0 0 1002606826 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 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 0 472 0 0 0 0 0 0 0 0 0 0 0 0 0 472 0 0 1002608221 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 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23522 0 0 0 0 0 0 0 0 0 0 0 0 0 23522 0 0 1002608904 1326203365 10 Physicians SOBOL URSZULA A 606731250 200 Cook 0 0 Oncology 0 0 0 0 0 0 0 0 0 0 0 23 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 0 621 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 0 621 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 615 0 112160 0 0 0 0 0 0 112775 0 0 1002609336 1275967226 36 Community mental health provider NEW CHOICE INTERVENTION INC 604263326 200 Cook 0 0 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63 0 0 890 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1867 0 0 890 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1867 0 0 63778 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 189723 0 0 253501 0 0 1002609352 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 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27702 0 0 0 0 0 0 0 0 0 0 0 0 0 27702 0 0 1002610278 1730212309 16 Nurse Practitioners NETTGEN NICOLE 463080083 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5609 0 0 0 0 0 0 5609 0 0 1002610602 1982039541 23 Occupational Therapists MARSHALL SARAH 606141848 200 Cook 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 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 3151 3151 0 0 1002610615 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 0 243 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 0 0 0 0 0 0 0 0 0 0 0 0 24671 0 0 0 0 0 0 0 0 0 0 0 0 0 24671 0 0 1002610702 1861788994 10 Physicians FRANCO JOHN 627621000 91 Sangamon 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 5 0 58 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 10 0 138 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 10 0 138 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 51 0 3121 0 0 0 0 0 0 3180 0 0 1002610712 1568759512 10 Physicians PISOH WATCOUN NCHINDA 999999999 91 Sangamon 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 0 104 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 3488 0 0 0 0 0 0 3488 0 0 1002611081 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 30196 0 0 0 0 0 0 0 0 0 0 0 0 0 30196 0 0 1002611202 1366867152 10 Physicians KOMEN HELGA 631600352 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1478 0 0 0 0 0 0 1478 0 0 1002611279 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13543 0 0 0 0 0 0 0 0 0 0 0 0 0 13543 0 0 1002612170 1083929475 11 Dentists AVENETTI DAVID 606472940 200 Cook 0 0 General Dentistry 0 0 0 72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 525 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 525 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14835 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14835 0 0 1002612303 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 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 0 360 360 0 0 1002613014 1316258056 10 Physicians WINTER SARAH E 625263226 63 Macon 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 37 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1957 0 1590 0 0 0 0 0 0 3547 0 0 1002614010 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 219 0 0 0 0 0 0 304 0 0 1002614160 91 Waiver service provider--Adults (DHS/DDD) 76 Montgomery 0 0 0 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 12350 0 0 0 0 0 0 0 0 0 0 0 0 0 12350 0 0 1002614183 4002614183 10 Physicians LEE NOLL KATHRYN M 606232460 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 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 0 621 0 0 0 0 0 0 621 0 0 1002614337 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 4498 0 0 0 0 0 0 0 0 0 0 0 0 0 4498 0 0 1002614785 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 0 109 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 18375 0 0 0 0 0 0 0 0 0 0 0 0 0 18375 0 0 1002615139 1881980092 10 Physicians GRIFFIS STACIE 761165707 200 Cook 0 0 Family Practice 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 480 0 0 0 0 0 0 480 0 0 1002615152 1346334869 16 Nurse Practitioners CONQUEST ANNE 606225646 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 0 949 0 0 0 0 0 0 949 0 0 1002615180 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 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 34189 0 0 0 0 0 0 0 0 0 0 0 0 0 34189 0 0 1002616298 12 Optometrists 10 Adams 0 0 Therapeutic Pharmaceutical Agents 0 0 0 0 0 0 0 0 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 7 0 0 0 0 0 0 7 0 0 1002616322 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29223 0 0 0 0 0 0 0 0 0 0 0 0 0 29223 0 0 1002616387 91 Waiver service provider--Adults (DHS/DDD) 89 Rock Island 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 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 30261 0 0 0 0 0 0 0 0 0 0 0 0 0 30261 0 0 1002616634 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 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 5354 0 0 0 0 0 0 0 0 0 0 0 0 0 5354 0 0 1002616729 1114152196 10 Physicians BONIQUIT CHRISTOPHER 605323661 30 DuPage 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 1 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 89 0 5309 0 0 0 0 0 0 5398 0 0 1002616848 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 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14404 0 0 0 0 0 0 0 0 0 0 0 0 0 14404 0 0 1002616950 1437387412 10 Physicians PATEL NAITIK 606222743 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 2 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 53 0 0 0 0 0 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 0 0 2391 0 0 0 0 0 0 2391 0 0 1002616999 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 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 5832 0 0 0 0 0 0 0 0 0 0 0 0 0 5832 0 0 1002617014 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 49 0 0 0 0 0 0 49 0 0 1002617709 1124317664 10 Physicians ROSEWELL ANDREW J 600051069 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 1 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 143 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 143 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 3430 0 0 0 0 0 0 3624 0 0 1002617903 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 0 664 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 664 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52746 0 0 0 0 0 0 0 0 0 0 0 0 0 52746 0 0 1002617944 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 85 0 0 1002618579 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 15590 0 0 0 0 0 0 0 0 0 0 0 0 0 15590 0 0 1002618820 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 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11470 0 0 0 0 0 0 0 0 0 0 0 0 0 11470 0 0 1002619062 1780876177 10 Physicians SPIRER DAVID 619389253 24 Coles 0 0 Radiology Diagnosis 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 0 418 0 0 0 0 0 0 0 0 418 0 0 1002619178 4002619178 70 Ambulance Service Providers KANSAS AMBULANCE DISTRICT 619336667 31 Edgar 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 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 4673 0 0 0 0 0 0 4673 0 0 1002619668 1467872515 16 Nurse Practitioners COODE MARIE 631101010 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 338 0 0 0 0 0 0 338 0 0 1002619885 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 12332 0 0 0 0 0 0 0 0 0 0 0 0 0 12332 0 0 1002620104 1265729107 10 Physicians CACIOPPO ERICA 627047400 91 Sangamon 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 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3687 0 0 0 0 0 0 3687 0 0 1002620281 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 11696 0 0 0 0 0 0 0 0 0 0 0 0 0 11696 0 0 1002620438 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 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14142 0 0 0 0 0 0 0 0 0 0 0 0 0 14142 0 0 1002620721 10 Physicians 91 Sangamon 0 0 Emergency 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 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 0 288 0 0 0 0 0 0 288 0 0 1002621703 1528309705 10 Physicians GORDON OLENA 607145812 200 Cook 0 1 0 0 0 0 62 0 0 0 0 0 0 0 0 248 0 0 0 0 0 0 0 0 0 99 0 0 0 0 0 0 0 0 1346 0 0 0 0 0 0 0 0 0 99 0 0 0 0 0 0 0 0 1346 0 0 0 0 0 0 0 0 0 5875 0 0 0 0 0 0 0 0 20510 0 0 0 0 0 0 26385 0 0 1002621780 1548200025 10 Physicians LOEB JEFFREY 606123748 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 186 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 8818 0 0 0 0 0 0 8818 0 0 1002621937 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 0 311 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 311 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27216 0 0 0 0 0 0 0 0 0 0 0 0 0 27216 0 0 1002622268 22 Physical Therapists 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 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 5456 5456 0 0 1002622351 10 Physicians 200 Cook 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 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 1002622834 10 Physicians 96 St Clair 0 0 0 0 0 0 0 0 0 0 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 85 0 0 0 0 0 0 85 0 0 1002622867 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 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 2932 0 0 0 0 0 0 0 0 0 0 0 0 0 2932 0 0 1002623000 1114913241 33 Nursing Facilities PRESENCE ST ANNE CENTER 611071452 109 Winnebago 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 0 154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3634 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 498727 0 0 0 0 0 0 0 498727 0 0 1002623016 1861620924 10 Physicians MAITI BAIJAYANTA 631600352 53 Kane 0 0 Neurology 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 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 8868 0 0 0 0 0 0 8868 0 0 1002623039 1619104148 10 Physicians BEGA DANNY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 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 3925 0 0 0 0 0 0 3925 0 0 1002623177 4002623177 90 Waiver service provider--Elderly (DOA) ELDERLY MUSLIM CARE ACTION NET 605638547 30 DuPage 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 9768 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9768 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 983161 0 0 0 0 0 0 0 0 0 0 0 0 0 983161 0 0 1002623185 1245649862 16 Nurse Practitioners VILLACERAN RICHARD 600846037 57 Lake 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 137 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 271 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 271 0 0 0 0 0 0 0 0 0 1658 0 0 0 0 0 0 0 0 9793 0 0 0 0 0 0 11451 0 0 1002623639 60 Pharmacies 810 Florida 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 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17626 0 0 0 17626 0 0 1002623906 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 0 157 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 14712 0 0 0 0 0 0 0 0 0 0 0 0 0 14712 0 0 1002624015 16 Nurse Practitioners 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 47 0 0 0 0 0 0 47 0 0 1002624121 16 Nurse Practitioners 53 Kane 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 74 0 0 0 0 0 0 74 0 0 1002624301 4002624301 36 Community mental health provider CENTERSTONE OF ILLINOIS INC 628962210 36 Franklin 0 0 0 175 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 119 0 0 522 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1229 0 0 522 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1229 0 0 15807 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 103365 0 0 119172 0 0 1002624530 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 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 6854 0 0 0 0 0 0 0 0 0 0 0 0 0 6854 0 0 1002624743 24 Speech Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 769 769 0 0 1002625250 1154639979 10 Physicians CORRIGAN ELIONA 610811278 106 Whiteside 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 237 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 389 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 389 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2888 0 445 0 0 0 0 0 0 3333 0 0 1002625588 60 Pharmacies 845 Texas 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3477 0 0 0 3477 0 0 1002625862 16 Nurse Practitioners 826 Missouri 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 0 288 0 0 0 0 0 0 288 0 0 1002625912 1326316969 60 Pharmacies GATEWAY APOTHECARY INC 631082211 826 Missouri 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 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1424 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4642 0 0 0 4642 0 0 1002626193 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 175 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 175 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28060 0 0 0 0 0 0 0 0 0 0 0 0 0 28060 0 0 1002626895 11 Dentists 30 DuPage 0 0 Maxillofacial Surgery 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 0 720 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 720 0 0 1002626907 1518202076 16 Nurse Practitioners WERTH REBECCA 606751620 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 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 1322 0 0 0 0 0 0 1322 0 0 1002626981 16 Nurse Practitioners 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 25 0 0 1002627270 1265675193 10 Physicians GESSFORD AMY 477470001 815 Indiana 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 678 0 0 0 0 0 0 678 0 0 1002627985 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 12183 0 0 0 0 0 0 0 0 0 0 0 0 0 12183 0 0 1002628007 22 Physical Therapists 96 St Clair 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 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 0 271 271 0 0 1002628639 60 Pharmacies 805 California 0 0 0 0 0 0 0 0 0 0 0 0 0 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 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2843 0 0 0 2843 0 0 1002629217 1366670994 10 Physicians TATHIREDDY HARSHAVARDHAN 629023988 47 Jackson 0 0 Internal Medicine 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 0 167 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 0 0 0 0 0 2598 0 0 0 0 0 0 2598 0 0 1002629274 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 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 9273 0 0 0 0 0 0 0 0 0 0 0 0 0 9273 0 0 1002629277 92 Waiver service provider--Disability (DHS/DRS) 51 Jo Daviess 0 0 0 0 0 0 0 0 2 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 2870 0 0 0 0 0 0 0 0 0 0 0 0 0 2870 0 0 1002629390 1154324994 39 Hospice JOURNEYCARE 600103141 57 Lake 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 0 145 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2884 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 511795 0 0 0 0 0 0 0 0 0 0 0 511795 0 0 1002629459 1356591267 10 Physicians TOMASIAN ANDERANIK 999999999 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 394 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 536 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 536 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9458 0 0 0 0 0 0 0 0 9458 0 0 1002629512 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 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 10246 0 0 0 0 0 0 0 0 0 0 0 0 0 10246 0 0 1002629950 1144516568 10 Physicians ASROW ALEXANDRA I. 606081732 200 Cook 0 0 Emergency Medicine 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 0 104 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 5611 0 0 0 0 0 0 5611 0 0 1002630121 1194158469 30 General Hospitals FRESENIUS MEDICAL CARE SOUTH C 606174512 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 57 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 569 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 4140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73905 0 0 0 0 0 73905 0 0 1002630149 1588855746 10 Physicians FAUBEL CHRISTOPHER L 611144937 109 Winnebago 0 0 Physical Medicine/Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 17 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 184 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 184 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 974 0 1177 0 0 0 0 0 0 2151 0 0 1002630325 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 18981 0 0 0 0 0 0 0 0 0 0 0 0 0 18981 0 0 1002630833 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 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 0 210 0 0 0 0 0 0 210 0 0 1002630907 1184880155 12 Optometrists WRIGHT PARRES 605155354 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 212 0 0 0 0 0 0 212 0 0 1002631139 1316131410 16 Nurse Practitioners WILLIAMS KELLY 772104458 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 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 4491 0 0 0 0 0 0 4491 0 0 1002631238 1508000977 10 Physicians SANGAL NEHA 604302914 200 Cook 0 0 Ophthalmology 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 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 1351 0 0 0 0 0 0 1351 0 0 1002631248 30 General Hospitals 818 Kentucky 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 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 15 0 0 0 0 0 15 0 0 1002631987 1619318003 16 Nurse Practitioners GATES VALERIA 606123714 107 Will 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 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 0 226 0 0 0 0 0 0 226 0 0 1002632204 1568681740 10 Physicians KHAISER SHIRAZ A 600315711 57 Lake 0 0 Gastroenterology 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 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 2693 0 0 0 0 0 0 2693 0 0 1002634408 1447344866 70 Ambulance Service Providers BRACEVILLE FIRE PROTECTION 604079806 40 Grundy 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15381 0 0 0 0 0 0 15381 0 0 1002634409 1598188237 33 Nursing Facilities AVANTARA LONG GROVE 600475289 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 721 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18562 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3216820 0 0 0 0 0 0 0 3216820 0 0 1002634650 1154529105 10 Physicians OMER MUHAMMAD 604343134 107 Will 0 0 Nephrology 0 0 0 0 0 0 0 0 0 0 1 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 830 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 830 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 188 0 0 14631 0 0 0 0 0 0 14819 0 0 1002635077 1134419765 10 Physicians MAZUR NICHOLAS E 463201931 107 Will 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2807 0 0 0 0 0 0 2807 0 0 1002636022 24 Speech Therapists 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 538 538 0 0 1002636635 4002636635 90 Waiver service provider--Elderly (DOA) XILIN ASSOCIATION 605638531 30 DuPage 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 8210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 662778 0 0 0 0 0 0 0 0 0 0 0 0 0 662778 0 0 1002636935 1659711984 11 Dentists UPPALA LAKSHMI 606345116 200 Cook 0 0 General Dentistry 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 728 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 728 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26689 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26689 0 0 1002636964 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 47392 0 0 0 0 0 0 0 0 0 0 0 0 0 47392 0 0 1002637055 1285895003 10 Physicians DESAI NISHA C. 602011700 200 Cook 0 0 Dermatology 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 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 1811 0 0 0 0 0 0 1811 0 0 1002637692 1568637841 10 Physicians MAHENDRA SHEELA R 606116649 200 Cook 0 0 Pediatrics 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 0 145 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 7431 0 0 0 0 0 0 7431 0 0 1002639384 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 18141 0 0 0 0 0 0 0 0 0 0 0 0 0 18141 0 0 1002639706 1649470196 10 Physicians KARZOUN M EYAD 631415047 826 Missouri 0 0 Pulmonary Diseases 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 0 251 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 4891 0 0 0 0 0 0 4891 0 0 1002639744 1649472440 10 Physicians KO KICHUL 605277594 30 DuPage 0 0 Rheumatology 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 0 129 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 1214 0 0 0 0 0 0 1214 0 0 1002639820 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 29093 0 0 0 0 0 0 0 0 0 0 0 0 0 29093 0 0 1002640124 1386923167 10 Physicians BUCHANAN CRAIG 637015230 19 Champaign 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 466 0 0 0 0 0 0 466 0 0 1002640423 10 Physicians 30 DuPage 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 0 121 0 0 0 0 0 0 121 0 0 1002640465 1437471075 33 Nursing Facilities KENSINGTON PLACE NRSG REHAB 606163819 200 Cook 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 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7931 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1060585 0 0 0 0 0 0 0 1060585 0 0 1002640512 1982860557 12 Optometrists ERDMAN NATHANIEL 604523329 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 165 0 0 1002640528 24 Speech Therapists 21 Clark 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 0 657 657 0 0 1002640674 1285600593 10 Physicians SHAH SAMIR S 753208807 47 Jackson 0 0 Radiology Diagnosis 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 12 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 2 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 80 0 0 1002640776 1790004620 10 Physicians IGBOKWE MELITA NONYEREM 503061455 57 Lake 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 0 102 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 2907 0 0 0 0 0 0 2907 0 0 1002640844 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 81 0 0 0 0 0 0 81 0 0 1002640920 1669505053 10 Physicians ROBINSON BARRETT K 606253500 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 71 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3253 0 5546 0 0 0 0 0 0 8799 0 0 1002641341 1346283587 33 Nursing Facilities ENFIELD REHAB HEALTH CARE 628351141 105 White 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 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 768 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105960 0 0 0 0 0 0 0 105960 0 0 1002642221 1861712903 10 Physicians ADEGUNSOYE ADEKONLA 606313222 200 Cook 0 1 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 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 0 123 0 0 0 0 0 0 123 0 0 1002642619 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 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30274 0 0 0 0 0 0 0 0 0 0 0 0 0 30274 0 0 1002643290 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 0 193 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 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1002643644 94 Waiver service provider--Children's support (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 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 0 385 0 0 0 0 0 0 0 0 0 0 0 0 0 385 0 0 1002643748 1134449598 10 Physicians RAJA OMAR 606890001 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7311 0 0 0 0 0 0 7311 0 0 1002643757 1295168896 10 Physicians PATEL HETALBEN H 658071645 200 Cook 0 0 Pediatrics 0 0 0 0 36 0 0 0 0 0 0 4 0 34 0 0 0 0 0 0 0 0 0 91 0 0 0 0 0 0 7 0 49 0 0 0 0 0 0 0 0 0 91 0 0 0 0 0 0 7 0 49 0 0 0 0 0 0 0 0 0 2903 0 0 0 0 0 0 186 0 954 0 0 0 0 0 0 4043 0 0 1002643961 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 55665 0 0 0 0 0 0 0 0 0 0 0 0 0 55665 0 0 1002644157 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2185 0 0 0 0 0 0 0 0 0 0 0 0 0 2185 0 0 1002644843 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1974 0 0 0 0 0 0 0 0 0 0 0 0 0 1974 0 0 1002644983 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 11870 0 0 0 0 0 0 0 0 0 0 0 0 0 11870 0 0 1002645801 1790060077 63 Other Providers of Medical Equipment/Supplies (Non-registered) LINCARE INC. 600843111 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 386 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4550 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4550 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90488 0 0 0 0 0 0 90488 0 0 1002646523 70 Ambulance Service Providers 825 Mississippi 0 0 0 0 0 0 0 0 0 0 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 0 805 0 0 0 0 0 0 805 0 0 1002646577 1598982019 10 Physicians RUBENSTEIN EMILY 606253500 200 Cook 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 1 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 2245 0 0 0 0 0 0 2250 0 0 1002646824 10 Physicians 109 Winnebago 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 79 0 0 1002646831 1548688864 33 Nursing Facilities WARREN BARR NORTH SHORE 600351042 57 Lake 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 0 430 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10226 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1526423 0 0 0 0 0 0 0 1526423 0 0 1002646874 1285986323 16 Nurse Practitioners LEARY JENNIFER 630433411 65 Madison 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 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 1643 0 0 0 0 0 0 1643 0 0 1002646995 1427266220 10 Physicians ARORA HENA 605220487 30 DuPage 0 0 Neonatal-Perinatal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 11624 0 0 0 0 0 0 11624 0 0 1002647461 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 25803 0 0 0 0 0 0 0 0 0 0 0 0 0 25803 0 0 1002647769 1871832790 10 Physicians UDDIN SHUJA 601073201 200 Cook 0 0 Psychiatry 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 0 386 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 386 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17466 0 0 0 0 0 0 17466 0 0 1002648736 1639511017 11 Dentists GOPE SANJEEV 601642314 200 Cook 0 0 General Dentistry 0 0 0 179 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 865 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 865 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 32425 0 0 0 0 0 0 0 0 0 0 0 2220 0 0 0 0 34645 0 0 1002648896 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 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 11372 0 0 0 0 0 0 0 0 0 0 0 0 0 11372 0 0 1002649823 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 0 388 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 388 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19430 0 0 0 0 0 0 0 0 0 0 0 0 0 19430 0 0 1002650526 98 Waiver service provider--TBI (DHS/DRS) 20 Christian 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 41567 0 0 0 0 0 0 0 0 0 0 0 0 0 41567 0 0 1002651492 1982730388 10 Physicians NOVAK TODD 602011700 200 Cook 0 0 Anesthesiology 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 0 517 0 0 0 0 0 0 517 0 0 1002651557 1609157122 12 Optometrists DUNNING CHARLES 606165132 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 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 2286 0 0 0 0 0 0 2286 0 0 1002651999 10 Physicians 826 Missouri 0 0 Psychiatry 0 0 0 0 0 0 0 0 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 0 165 0 0 0 0 0 0 165 0 0 1002652083 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 0 118 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 13929 0 0 0 0 0 0 0 0 0 0 0 0 0 13929 0 0 1002652971 1780029249 22 Physical Therapists WALSH TESSA 600912604 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 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 0 867 867 0 0 1002653939 1912330895 16 Nurse Practitioners SACKMASTER STACIA 611075075 109 Winnebago 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 0 136 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 10626 0 0 0 0 0 0 10626 0 0 1002655124 1679585905 10 Physicians GARG ANUJ 618562116 82 Piatt 0 0 Cardiovascular Diseases 0 0 0 0 0 0 0 0 0 0 0 1 0 469 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 650 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 650 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 7056 0 0 0 0 0 0 7061 0 0 1002655599 91 Waiver service provider--Adults (DHS/DDD) 89 Rock Island 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 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 4199 0 0 0 0 0 0 0 0 0 0 0 0 0 4199 0 0 1002655747 1679878292 10 Physicians MERCURIO KIMBERLY 601545714 200 Cook 0 0 Physical Medicine/Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 1 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 1023 0 0 0 0 0 0 1031 0 0 1002655782 1962783068 10 Physicians ARVIDSON MAZUR KIMBERLY 606112991 200 Cook 0 0 Pediatrics 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 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 1240 0 0 0 0 0 0 1240 0 0 1002655997 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21780 0 0 0 0 0 0 0 0 0 0 0 0 0 21780 0 0 1002656321 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 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 21833 0 0 0 0 0 0 0 0 0 0 0 0 0 21833 0 0 1002657207 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28274 0 0 0 0 0 0 0 0 0 0 0 0 0 28274 0 0 1002657952 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 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 0 842 0 0 0 0 0 0 0 0 0 0 0 0 0 842 0 0 1002658740 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 2 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 0 132 132 0 0 1002659067 1760795660 10 Physicians BAGEGNI NUSAYBA 63110 826 Missouri 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 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 0 408 0 0 0 0 0 0 408 0 0 1002659095 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 0 214 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 28706 0 0 0 0 0 0 0 0 0 0 0 0 0 28706 0 0 1002659569 1003010943 10 Physicians KOSHY ANOOPA 606118709 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 5 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 2005 0 0 0 0 0 0 2011 0 0 1002659787 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 0 275 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 27475 0 0 0 0 0 0 0 0 0 0 0 0 0 27475 0 0 1002660151 1467617662 10 Physicians ALI SAAD S 605275965 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 402 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 615 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 615 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21186 0 0 0 0 0 0 0 0 21186 0 0 1002660516 4002660516 55 Early Intervention Services BREEDLOVE LAUREN 604514813 107 Will 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 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12063 0 0 0 0 0 0 12063 0 0 1002661030 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 0 112 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 11963 0 0 0 0 0 0 0 0 0 0 0 0 0 11963 0 0 1002661056 1528045374 10 Physicians PATEL ATUL 601975594 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 113 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 131 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 131 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2379 0 68 0 0 0 0 0 0 2447 0 0 1002661114 4002661114 98 Waiver service provider--TBI (DHS/DRS) NEW AGE ELDER CARE INC 606591216 200 Cook 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 329649 0 0 0 0 0 0 0 0 0 0 0 0 0 329649 0 0 1002661411 1952535783 10 Physicians IZBICKI MAX 606222743 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2588 0 0 0 0 0 0 2588 0 0 1002661508 91 Waiver service provider--Adults (DHS/DDD) 98 Tazewell 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 238 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 27151 0 0 0 0 0 0 0 0 0 0 0 0 0 27151 0 0 1002661629 1124284898 10 Physicians EARHART JEFFREY S 611144937 109 Winnebago 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 52 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 891 0 11419 0 0 0 0 0 0 12310 0 0 1002661772 70 Ambulance Service Providers 815 Indiana 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 1876 0 0 0 0 0 0 1876 0 0 1002662358 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 28852 0 0 0 0 0 0 0 0 0 0 0 0 0 28852 0 0 1002662700 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 0 122 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 25113 0 0 0 0 0 0 0 0 0 0 0 0 0 25113 0 0 1002662733 1689846834 10 Physicians VANDERWEELE DAVID 606118709 200 Cook 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 0 250 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 54504 0 0 0 0 0 0 54504 0 0 1002663010 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 14367 0 0 0 0 0 0 0 0 0 0 0 0 0 14367 0 0 1002663031 1376775262 12 Optometrists KLEIN KELLY 610213116 60 Lee 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 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 0 313 0 0 0 0 0 0 313 0 0 1002663660 40 Federally Qualified Health Centers 19 Champaign 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 0 314 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 314 0 0 1002663691 92 Waiver service provider--Disability (DHS/DRS) 77 Morgan 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 18104 0 0 0 0 0 0 0 0 0 0 0 0 0 18104 0 0 1002664265 22 Physical Therapists 106 Whiteside 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 42 0 0 1002664613 1598189110 16 Nurse Practitioners SPENCER MARY A 117474300 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 1682 0 0 0 0 0 0 1682 0 0 1002664981 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 23416 0 0 0 0 0 0 0 0 0 0 0 0 0 23416 0 0 1002665029 1255574935 10 Physicians YADAV NEHA 606123714 200 Cook 0 0 Internal Medicine 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 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 491 0 0 0 0 0 0 491 0 0 1002665608 1184887028 10 Physicians AUBUCHON JACOB D 631600352 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1653 0 0 0 0 0 0 1653 0 0 1002665830 1437261963 10 Physicians NAG PRATIP K 616052576 80 Peoria 0 1 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 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 1058 0 0 0 0 0 0 1058 0 0 1002665981 1508865239 10 Physicians RAHMAN KHAWAJA 370689022 91 Sangamon 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 0 112 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 0 279 0 0 0 0 0 0 279 0 0 1002666023 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 28014 0 0 0 0 0 0 0 0 0 0 0 0 0 28014 0 0 1002666080 10 Physicians 109 Winnebago 0 0 Physical Medicine/Rehabilitation 0 0 0 0 0 0 0 0 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 0 217 0 0 0 0 0 0 217 0 0 1002666117 1518908219 16 Nurse Practitioners KEHRES MARSHA 295762698 71 McHenry 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 1117 0 0 0 0 0 0 1117 0 0 1002666625 1992104319 55 Early Intervention Services NOVAK LAURA 605380702 53 Kane 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 0 708 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 708 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41388 0 0 0 0 0 0 41388 0 0 1002667340 1538144464 10 Physicians MILIK ALICJA M 49155500 91 Sangamon 0 0 Internal Medicine 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 0 167 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 0 0 0 0 0 2333 0 0 0 0 0 0 2333 0 0 1002667862 1942626809 60 Pharmacies MARIANOS PHARMACY 8515 606404002 200 Cook 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5670 0 0 0 5670 0 0 1002667894 1598167330 47 Local Education Agencies BRACEVILLE SCHOOL DISTRICT 75 604079068 40 Grundy 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 203 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 8497 0 8497 0 0 1002668750 1265861603 33 Nursing Facilities PARK POINTE HEALTHCARE AND REH 604502504 40 Grundy 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 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 425093 0 0 0 0 0 0 0 425093 0 0 1002669086 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 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29062 0 0 0 0 0 0 0 0 0 0 0 0 0 29062 0 0 1002669264 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 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21369 0 0 0 0 0 0 0 0 0 0 0 0 0 21369 0 0 1002669831 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12853 0 0 0 0 0 0 0 0 0 0 0 0 0 12853 0 0 1002669861 1356599633 10 Physicians DAVIS BENJAMIN J 600162359 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 80 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 999 0 11918 0 0 0 0 0 0 12917 0 0 1002670149 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 23136 0 0 0 0 0 0 0 0 0 0 0 0 0 23136 0 0 1002670376 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 21784 0 0 0 0 0 0 0 0 0 0 0 0 0 21784 0 0 1002671756 1356509038 10 Physicians OTTO TARA M 322581199 810 Florida 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 31 0 0 1002671983 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 48977 0 0 0 0 0 0 0 0 0 0 0 0 0 48977 0 0 1002672349 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 279 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 279 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29986 0 0 0 0 0 0 0 0 0 0 0 0 0 29986 0 0 1002672543 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 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 69494 0 0 0 0 0 0 0 0 0 0 0 0 0 69494 0 0 1002673785 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 1002673910 91 Waiver service provider--Adults (DHS/DDD) 61 Livingston 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22920 0 0 0 0 0 0 0 0 0 0 0 0 0 22920 0 0 1002673987 1922327287 10 Physicians GOPAL SAMEER 601228942 53 Kane 0 0 Internal Medicine 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 0 279 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 3786 0 0 0 0 0 0 3786 0 0 1002674504 1033537352 16 Nurse Practitioners STANDFIELD SHEILA 611082425 109 Winnebago 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 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 0 365 0 0 0 0 0 0 365 0 0 1002674699 4002674699 10 Physicians KRUSE LACEY 606116649 200 Cook 0 0 Dermatology 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 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 4269 0 0 0 0 0 0 4269 0 0 1002674824 1669402442 10 Physicians GROBOSKI MICHELLE 606313222 200 Cook 0 1 Pediatrics 0 0 0 0 8 0 0 0 0 0 0 4 0 9 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 4 0 13 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 4 0 13 0 0 0 0 0 0 0 0 0 1049 0 0 0 0 0 0 15 0 578 0 0 0 0 0 0 1642 0 0 1002674826 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 17745 0 0 0 0 0 0 0 0 0 0 0 0 0 17745 0 0 1002675208 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 15520 0 0 0 0 0 0 0 0 0 0 0 0 0 15520 0 0 1002675358 1538396726 10 Physicians SONG SHIWEN 606731466 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 403 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1238 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1238 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15843 0 25 0 0 0 0 0 0 15868 0 0 1002675430 1790001329 10 Physicians MENA KATIE 606127232 200 Cook 0 0 Pediatrics 0 0 0 0 19 0 0 0 0 0 0 6 0 95 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 10 0 216 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 10 0 216 0 0 0 0 0 0 0 0 0 1528 0 0 0 0 0 0 27 0 8906 0 0 0 0 0 0 10461 0 0 1002676368 1831518539 10 Physicians GUPTA ANITA 606116649 200 Cook 0 0 Pediatrics 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 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 6637 0 0 0 0 0 0 6637 0 0 1002676821 1093962763 10 Physicians METS HALGRIMSON REBECCA 606112991 200 Cook 0 0 Ophthalmology 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 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 2423 0 0 0 0 0 0 2423 0 0 1002676963 1922351386 70 Ambulance Service Providers MALTA FIRE PROTECTION DIST 601509738 27 Dekalb 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 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 2112 0 0 0 0 0 0 2112 0 0 1002677321 1255633095 16 Nurse Practitioners BROWN ELEANOR 630433411 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1155 0 0 0 0 0 0 1155 0 0 1002677484 1912160052 10 Physicians MCLENNAN GREGORY 623012834 10 Adams 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 1 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 332 0 0 0 0 0 0 362 0 0 1002677575 1114343225 16 Nurse Practitioners LANZ JENNIFER L 618223741 19 Champaign 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 0 399 0 0 0 0 0 0 399 0 0 1002677623 1871868265 65 Independent Diagnostic Testing Facility (IDTF) ACCELERATED OPEN MRI 604231880 107 Will 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 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 0 475 0 0 0 0 0 0 0 0 475 0 0 1002677825 10 Physicians 200 Cook 0 1 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 41 0 0 0 0 0 0 41 0 0 1002678161 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1002678414 1871752501 10 Physicians OLSON PADILLA WENDY 616151941 80 Peoria 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 19 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 4904 0 0 0 0 0 0 4974 0 0 1002678663 1427351956 50 Home Health Agencies - In Home UNITYPOINT AT HOME 612653700 89 Rock Island 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 0 245 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 18765 0 0 0 0 0 0 18765 0 0 1002679073 1508062837 10 Physicians DEBRUIN DAVID 606081732 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 758 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1193 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1193 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27918 0 1190 0 0 0 0 0 0 29108 0 0 1002679655 92 Waiver service provider--Disability (DHS/DRS) 815 Indiana 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1059 0 0 0 0 0 0 0 0 0 0 0 0 0 1059 0 0 1002680079 10 Physicians 200 Cook 0 0 Pediatrics 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 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 1002680212 1366887796 16 Nurse Practitioners ERICKSON MOLLY 606123862 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 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 62 0 0 0 0 0 0 62 0 0 1002680370 1295024826 10 Physicians KORESSEL LINDSAY 606112615 200 Cook 0 0 Pediatrics 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 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 4503 0 0 0 0 0 0 4503 0 0 1002680434 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 27666 0 0 0 0 0 0 0 0 0 0 0 0 0 27666 0 0 1002680453 1114213857 10 Physicians PROCHASKA MICAH 999999999 30 DuPage 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 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 1112 0 0 0 0 0 0 1112 0 0 1002680693 1154439099 16 Nurse Practitioners DENEY SUSAN C 602011700 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 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 0 245 0 0 0 0 0 0 245 0 0 1002680696 1497167019 23 Occupational Therapists BUHNERKEMPE SARAH 624017158 33 Effingham 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101941 101941 0 0 1002681018 1770927469 61 Independent Laboratories CITILABS INCORPORATED 606592672 200 Cook 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 0 939 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 939 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7030 0 0 0 0 0 0 0 0 7030 0 0 1002681353 1477851673 10 Physicians KINGSLEY SAMUEL S 627621000 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 131 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 19909 0 0 0 0 0 0 20100 0 0 1002681538 1427461540 16 Nurse Practitioners MOSTAD LORRI J 611081673 109 Winnebago 0 0 General Psychiatry Residency 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 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 2624 0 0 0 0 0 0 2624 0 0 1002682148 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 106 0 0 1002683045 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 55 0 0 0 0 0 0 55 0 0 1002683118 1417121872 10 Physicians GOVEKAR HENRY R 607073717 63 Macon 0 0 Surgery General 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 0 181 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 7689 0 0 0 0 0 0 7689 0 0 1002683331 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 30263 0 0 0 0 0 0 0 0 0 0 0 0 0 30263 0 0 1002683955 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 0 200 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 9849 0 0 0 0 0 0 0 0 0 0 0 0 0 9849 0 0 1002684013 1750691002 10 Physicians HORWITZ GLASSENBERG JUDITH 606225646 200 Cook 0 0 Pedodontics 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 546 0 0 0 0 0 0 546 0 0 1002684260 1720173438 10 Physicians MAALOUF BASSAM 625265858 63 Macon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 21 0 225 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 173 0 2509 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 173 0 2509 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1663 0 306300 0 0 0 0 0 0 307963 0 0 1002684264 16 Nurse Practitioners 826 Missouri 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 0 108 0 0 0 0 0 0 108 0 0 1002684795 1043452436 10 Physicians WALZ AMY 606112991 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 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 1576 0 0 0 0 0 0 1576 0 0 1002684868 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 0 144 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 27581 0 0 0 0 0 0 0 0 0 0 0 0 0 27581 0 0 1002684904 1396170205 16 Nurse Practitioners HARWEGER JACK 610320268 97 Stephenson 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 0 112 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 1373 0 0 0 0 0 0 1373 0 0 1002685745 1063679116 10 Physicians DAVIDSON DAVID JEREMY 602011718 200 Cook 0 0 Cardiology 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 662 0 0 0 0 0 0 662 0 0 1002685861 1609293539 60 Pharmacies OSCO DRUG 2504 608034555 200 Cook 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 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5440 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5581 0 0 0 5581 0 0 1002685877 1861739484 13 Podiatrists SCHWARTZ JEREMY 606562161 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 497 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1193 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1193 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5136 0 0 0 0 0 0 5136 0 0 1002686301 1396931069 10 Physicians NAFSI TABASSUM 611042315 109 Winnebago 0 0 Pulmonary Diseases 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 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3867 0 0 0 0 0 0 3867 0 0 1002686400 1033436308 10 Physicians METRY JONATHAN 601545716 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 6 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 54 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 1002686432 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 0 259 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 27261 0 0 0 0 0 0 0 0 0 0 0 0 0 27261 0 0 1002686832 1346563178 36 Community mental health provider CENTERSTONE OF ILLINOIS INC 628121963 36 Franklin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 679 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 679 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 119663 0 0 119663 0 0 1002687774 1982020087 16 Nurse Practitioners DONLON VINCENT R 603023155 200 Cook 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 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3602 0 0 0 0 0 0 3602 0 0 1002688139 1740441963 10 Physicians BOKERMANN MATTHEW 637034928 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1408 0 179 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1841 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1841 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13508 0 2056 0 0 0 0 0 0 15564 0 0 1002688543 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 0 670 0 0 0 0 0 0 670 0 0 1002688634 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 0 122 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 28269 0 0 0 0 0 0 0 0 0 0 0 0 0 28269 0 0 1002688756 16 Nurse Practitioners 852 Wisconsin 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 0 102 0 0 0 0 0 0 102 0 0 1002688924 1649612839 11 Dentists QURESHI ISAAC A 605256141 30 DuPage 0 0 General Dentistry 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 2266 0 0 0 0 0 0 0 0 0 0 0 444 0 0 0 0 2710 0 0 1002689096 1356511901 10 Physicians MOHAMMED REHAN 611042315 109 Winnebago 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 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 2237 0 0 0 0 0 0 2237 0 0 1002689676 1164484846 10 Physicians SWOPE STEPHANIE 627949248 91 Sangamon 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 797 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1198 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1198 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15461 0 254 0 0 0 0 0 0 15715 0 0 1002689742 1003136276 10 Physicians HENRY KAITLIN 622697190 96 St Clair 0 0 Family Practice 0 0 0 0 5 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 656 0 0 0 0 0 0 0 0 927 0 0 0 0 0 0 1583 0 0 1002690188 16 Nurse Practitioners 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1002690879 1154647980 10 Physicians HARANG KENNETH P. 602011700 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1523 0 0 0 0 0 0 1523 0 0 1002690932 1861831315 30 General Hospitals SAH DIALYSIS CENTER 606233501 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114440 0 0 0 0 0 114440 0 0 1002690998 1215236963 10 Physicians NDIAYE SANDRA J. 606116649 200 Cook 0 1 Pediatrics 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 0 108 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 5982 0 0 0 0 0 0 5982 0 0 1002691081 16 Nurse Practitioners 50 Jersey 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 209 0 0 0 0 0 0 209 0 0 1002691217 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 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 33369 0 0 0 0 0 0 0 0 0 0 0 0 0 33369 0 0 1002691402 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 0 267 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 33176 0 0 0 0 0 0 0 0 0 0 0 0 0 33176 0 0 1002692050 1730474776 10 Physicians MIGALLY FARIDA 605231557 30 DuPage 0 0 Internal Medicine 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 0 859 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 5398 0 0 0 0 0 0 5398 0 0 1002692926 16 Nurse Practitioners 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 172 0 0 0 0 0 0 172 0 0 1002693402 1568660496 36 Community mental health provider CENTERSTONE OF ILLINOIS INC 628962210 36 Franklin 0 0 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101 0 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 554 0 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 554 0 0 44936 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46511 0 0 91447 0 0 1002693508 1659792315 91 Waiver service provider--Adults (DHS/DDD) BEVERLYFARM LIVING OPTIONS 620352163 65 Madison 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 4212 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4212 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 877407 0 0 0 0 0 0 0 0 0 0 0 0 0 877407 0 0 1002693549 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 288 0 0 1002694533 1487953659 10 Physicians SHAPIRO SARAH 601901295 30 DuPage 0 0 Internal Medicine 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 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5625 0 0 0 0 0 0 5625 0 0 1002694874 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 0 120 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 27862 0 0 0 0 0 0 0 0 0 0 0 0 0 27862 0 0 1002695110 16 Nurse Practitioners 59 Lawrence 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1002695712 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 4 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 6803 6803 0 0 1002695756 11 Dentists 200 Cook 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 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 1622 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1622 0 0 1002696711 16 Nurse Practitioners 72 McLean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1002696990 1659701704 16 Nurse Practitioners WILKINSON MICHELE 610320857 97 Stephenson 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 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 1699 0 0 0 0 0 0 1699 0 0 1002697186 1982820643 10 Physicians WYNN DAISY 606225646 200 Cook 0 0 Family Practice 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 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 0 991 0 0 0 0 0 0 991 0 0 1002697307 98 Waiver service provider--TBI (DHS/DRS) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 10653 0 0 0 0 0 0 0 0 0 0 0 0 0 10653 0 0 1002697569 1740608736 33 Nursing Facilities ST JAMES WELLNESS REHAB VILLAS 604171623 107 Will 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 0 325 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7476 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 767531 0 0 0 0 0 0 0 767531 0 0 1002698121 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 0 345 0 0 0 0 0 0 345 0 0 1002698426 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1002698454 1215166319 10 Physicians BRUNNER MICHAEL 49155500 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 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 0 275 0 0 0 0 0 0 275 0 0 1002698492 1437359361 24 Speech Therapists MCCABE NICHOLAS 605614768 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3318 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3318 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 233691 233691 0 0 1002698668 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 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 11364 0 0 0 0 0 0 0 0 0 0 0 0 0 11364 0 0 1002698704 1003852419 10 Physicians BHARAT ANKIT 601228942 53 Kane 0 0 Thoracic Surgery 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 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 5270 0 0 0 0 0 0 5270 0 0 1002700490 1629360334 91 Waiver service provider--Adults (DHS/DDD) WRIGHT EMILY 616033201 80 Peoria 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 1140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94446 0 0 0 0 0 0 0 0 0 0 0 0 0 94446 0 0 1002701793 1942596366 10 Physicians SHAH AMI N 606118709 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 0 390 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 390 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110095 0 0 0 0 0 0 110095 0 0 1002701989 1265639652 10 Physicians SIPARSKY NICOLE F 606751611 200 Cook 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 0 382 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 382 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13449 0 0 0 0 0 0 13449 0 0 1002702255 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 28966 0 0 0 0 0 0 0 0 0 0 0 0 0 28966 0 0 1002702418 4002702418 90 Waiver service provider--Elderly (DOA) ELDERLY MUSLIM CARE ACTN NTWK 605638547 30 DuPage 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 4819 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4819 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 464610 0 0 0 0 0 0 0 0 0 0 0 0 0 464610 0 0 1002702426 1669887394 33 Nursing Facilities ESTATES OF HYDE PARK 606534301 200 Cook 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 0 305 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7362 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1241922 0 0 0 0 0 0 0 1241922 0 0 1002702431 1639508757 61 Independent Laboratories PHYSICIANS TOXICOLOGY LAB LLC 336344484 810 Florida 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 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 4462 0 0 0 0 0 0 0 0 4462 0 0 1002702464 1225314990 16 Nurse Practitioners DAHILIG MARY 28950784 53 Kane 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 0 430 0 0 0 0 0 0 430 0 0 1002702688 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 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 32116 0 0 0 0 0 0 0 0 0 0 0 0 0 32116 0 0 1002702829 1114233459 10 Physicians SHAYEGAN BEHNOOSH 631411637 53 Kane 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 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 6934 0 0 0 0 0 0 6934 0 0 1002702840 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 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 5339 0 0 0 0 0 0 0 0 0 0 0 0 0 5339 0 0 1002703122 1114269784 16 Nurse Practitioners TAYABAN ERICA 606118709 200 Cook 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 0 204 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 2007 0 0 0 0 0 0 2007 0 0 1002704370 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 10368 0 0 0 0 0 0 0 0 0 0 0 0 0 10368 0 0 1002704732 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 30274 0 0 0 0 0 0 0 0 0 0 0 0 0 30274 0 0 1002704797 1164743787 10 Physicians ROMANELLI MARK G 606118709 200 Cook 0 0 Dermatology 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 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 0 974 0 0 0 0 0 0 974 0 0 1002704957 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 0 283 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 283 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30248 0 0 0 0 0 0 0 0 0 0 0 0 0 30248 0 0 1002705035 1043491426 10 Physicians STIASNY DAVID E 602011700 200 Cook 0 0 Pediatrics 0 0 0 0 55 0 0 0 0 0 0 2 0 34 0 0 0 0 0 0 0 0 0 168 0 0 0 0 0 0 3 0 41 0 0 0 0 0 0 0 0 0 168 0 0 0 0 0 0 3 0 41 0 0 0 0 0 0 0 0 0 6246 0 0 0 0 0 0 36 0 2084 0 0 0 0 0 0 8366 0 0 1002705247 1740581776 10 Physicians PRATHIPATI SUSHMITA 601220021 53 Kane 0 0 Family Practice 0 0 0 0 3 0 0 0 0 0 0 20 0 141 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 28 0 245 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 28 0 245 0 0 0 0 0 0 0 0 0 161 0 0 0 0 0 0 503 0 6227 0 0 0 0 0 0 6891 0 0 1002705371 1316259872 10 Physicians PATTANI ANAND 606313222 63 Macon 0 0 Emergency Medicine 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 0 218 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 5936 0 0 0 0 0 0 5936 0 0 1002705519 1457671745 10 Physicians ROHDE JAY 616052576 80 Peoria 0 1 Internal Medicine 0 0 0 0 2 0 0 0 0 0 0 1 0 69 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 2 0 158 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 2 0 158 0 0 0 0 0 0 0 0 0 139 0 0 0 0 0 0 8 0 4834 0 0 0 0 0 0 4981 0 0 1002706067 1598000747 16 Nurse Practitioners CROWTHER KYLEE 28950784 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 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 0 657 0 0 0 0 0 0 657 0 0 1002706081 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 14806 0 0 0 0 0 0 0 0 0 0 0 0 0 14806 0 0 1002707635 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 15163 0 0 0 0 0 0 0 0 0 0 0 0 0 15163 0 0 1002708100 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 31214 0 0 0 0 0 0 0 0 0 0 0 0 0 31214 0 0 1002709607 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 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3165 0 0 0 0 0 0 0 0 0 0 0 0 0 3165 0 0 1002709691 1174841316 10 Physicians JANUSZYK JAMIE S 606733039 200 Cook 0 0 Obstetric-Gynecology 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 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 6257 0 0 0 0 0 0 6257 0 0 1002709715 1114349420 16 Nurse Practitioners DRYSDALE SARA E 616151941 80 Peoria 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 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 1767 0 0 0 0 0 0 1767 0 0 1002710035 10 Physicians 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 337 0 0 0 0 0 0 337 0 0 1002710153 1376833657 10 Physicians LUC BRIAN 604532600 200 Cook 0 0 Internal Medicine 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 0 164 0 0 0 0 0 0 164 0 0 1002710686 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13144 0 0 0 0 0 0 0 0 0 0 0 0 0 13144 0 0 1002710995 1437332418 10 Physicians CHURYLA ALESIA 627621000 91 Sangamon 0 1 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 227 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 227 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 3418 0 0 0 0 0 0 3419 0 0 1002711316 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 0 193 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 9622 0 0 0 0 0 0 0 0 0 0 0 0 0 9622 0 0 1002712016 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21975 0 0 0 0 0 0 0 0 0 0 0 0 0 21975 0 0 1002712511 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 1002712536 10 Physicians 65 Madison 0 0 Nephrology 0 0 0 0 0 0 0 0 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 3 0 0 0 0 0 0 3 0 0 1002712828 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 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 0 829 0 0 0 0 0 0 0 0 0 0 0 0 0 829 0 0 1002713155 1710236815 16 Nurse Practitioners DELAPAZ MARISSA 601734776 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 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 0 133 0 0 0 0 0 0 133 0 0 1002713803 1760812754 24 Speech Therapists BOBBITT STEVIE 618212035 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22181 22181 0 0 1002713871 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 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 0 212 0 0 0 0 0 0 212 0 0 1002714016 1447571120 10 Physicians SINHA SANJAY P 606740018 200 Cook 0 1 Family Practice 0 0 0 0 0 0 0 0 0 0 0 8 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 637 0 682 0 0 0 0 0 0 1319 0 0 1002714018 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3091 0 0 0 0 0 0 0 0 0 0 0 0 0 3091 0 0 1002714070 1154563146 10 Physicians DOYLE RICHARD 946081844 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 173 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 186 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 186 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7306 0 0 0 0 0 0 7306 0 0 1002714284 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6068 0 0 0 0 0 0 0 0 0 0 0 0 0 6068 0 0 1002714571 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 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 0 625 0 0 0 0 0 0 0 0 0 0 0 0 0 625 0 0 1002714759 1437581725 30 General Hospitals ALEXIAN BROTHERS CHILDRENS HOS 601691099 200 Cook CHILDRENS Hospital designated as childrens hospitals and paid a Per Diem rate. 0 0 General Hospital - Children Section 0 0 0 0 0 571 0 0 0 0 97 0 0 0 343 0 0 0 0 0 0 0 0 0 681 0 0 0 0 99 0 0 0 454 0 0 0 0 0 0 0 0 0 698 0 0 0 0 1465 0 0 0 543 0 0 0 0 0 0 0 0 0 126660 0 0 0 0 3648477 0 0 0 111968 0 0 0 0 0 3887105 0 0 1002714965 1306070636 10 Physicians SMITH THOMAS H 622631534 103 Washington 0 0 Family Practice 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 0 556 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 556 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7424 0 0 0 0 0 0 7424 0 0 1002715774 10 Physicians 76 Montgomery 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 0 106 0 0 0 0 0 0 106 0 0 1002715847 10 Physicians 80 Peoria 0 0 Clinical Pathology 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1002716076 1750538260 10 Physicians TASSE JORDAN C 606751611 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 164 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 430 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 430 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 323 0 8585 0 0 0 0 0 0 8908 0 0 1002716235 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 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27821 0 0 0 0 0 0 0 0 0 0 0 0 0 27821 0 0 1002716278 1770986010 16 Nurse Practitioners BANAL MELANIE 606751001 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 0 139 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 1399 0 0 0 0 0 0 1399 0 0 1002717450 65 Independent Diagnostic Testing Facility (IDTF) 200 Cook 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 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1002718088 1679885339 10 Physicians HALL LAURA 631101002 826 Missouri 0 0 Pediatrics 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 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 2617 0 0 0 0 0 0 2617 0 0 1002718885 1184053506 16 Nurse Practitioners GARCIA URSULA 606776473 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 379 0 0 0 0 0 0 379 0 0 1002718940 4002718940 91 Waiver service provider--Adults (DHS/DDD) PIONEER CONCEPTS INC 614015323 56 Knox 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 4021 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4021 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 672307 0 0 0 0 0 0 0 0 0 0 0 0 0 672307 0 0 1002720227 1467451781 16 Nurse Practitioners FEUCHT JEANETTE 617013534 72 McLean 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 0 137 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 2560 0 0 0 0 0 0 2560 0 0 1002720758 1760718548 10 Physicians JIRSCHELE KELLY 605238723 30 DuPage 0 0 Obstetric-Gynecology 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 0 127 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 1831 0 0 0 0 0 0 1831 0 0 1002721373 1811083975 16 Nurse Practitioners KLUNKE JOEL 616157831 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2394 0 0 0 0 0 0 2394 0 0 1002721374 94 Waiver service provider--Children's support (DHS/DDD) 62 Logan 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 7321 0 0 0 0 0 0 0 0 0 0 0 0 0 7321 0 0 1002722048 1619382710 22 Physical Therapists POULTER JENNA 999999999 815 Indiana 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 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 3981 3981 0 0 1002722516 1114291473 16 Nurse Practitioners BATOR MICHELLE 28950784 68 Mason 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 1082 0 0 0 0 0 0 1117 0 0 1002722973 1356670897 16 Nurse Practitioners MOORE CHRISTINE 333232815 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1810 0 0 0 0 0 0 1810 0 0 1002723125 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 62 0 0 0 0 0 0 62 0 0 1002723331 1205238623 40 Federally Qualified Health Centers CRUSADER COMM HEALTH AUBURN 611015085 109 Winnebago 0 0 0 0 79 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 157 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 157 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 0 0 0 0 13934 0 0 1002724144 1194906560 10 Physicians DESAI KUSH 606112991 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 23 0 78 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 3280 0 0 0 0 0 0 3418 0 0 1002724419 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 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 3478 0 0 0 0 0 0 0 0 0 0 0 0 0 3478 0 0 1002724610 1255763181 30 General Hospitals FRESENIUS MEDICAL OAK FOREST 604523658 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 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 2017 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37386 0 0 0 0 0 37386 0 0 1002725165 10 Physicians 815 Indiana 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 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 0 117 0 0 0 0 0 0 117 0 0 1002725776 1730403387 10 Physicians DIAZ TIFFANY 49155500 109 Winnebago 0 1 Family Practice 0 0 0 0 3 0 0 0 0 0 0 0 0 23 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 0 100 0 0 0 0 0 0 0 0 959 0 0 0 0 0 0 1059 0 0 1002726076 1003082488 13 Podiatrists MALONE KEVIN P 606071644 200 Cook 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 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 377 0 0 0 0 0 0 377 0 0 1002726163 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 0 144 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 18500 0 0 0 0 0 0 0 0 0 0 0 0 0 18500 0 0 1002726459 1700024411 10 Physicians WOIKE THOMAS 600313376 57 Lake 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 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1261 0 0 0 0 0 0 1261 0 0 1002726539 1174758163 10 Physicians PATEL SAMIR 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5428 0 0 0 0 0 0 5428 0 0 1002726593 1326385824 16 Nurse Practitioners BUMP DEBORAH F 604263558 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 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 0 939 0 0 0 0 0 0 939 0 0 1002726997 24 Speech Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 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 2389 2389 0 0 1002727195 10 Physicians 80 Peoria 0 0 Nuclear 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 0 217 0 0 0 0 0 0 217 0 0 1002727490 1609035617 10 Physicians KURUP SUDHI 606116649 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 5 0 142 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 11203 0 0 0 0 0 0 11456 0 0 1002727563 1760790802 10 Physicians KHISHFE BASEM 658074163 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3661 0 0 0 0 0 0 3661 0 0 1002727645 92 Waiver service provider--Disability (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 24210 0 0 0 0 0 0 0 0 0 0 0 0 0 24210 0 0 1002728116 1437593472 10 Physicians GILES BRENDA 606491003 200 Cook 0 0 Pediatrics 0 0 0 0 13 0 0 0 0 0 0 2 0 57 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 5 0 104 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 5 0 104 0 0 0 0 0 0 0 0 0 337 0 0 0 0 0 0 561 0 4977 0 0 0 0 0 0 5875 0 0 1002729018 1861616583 10 Physicians GINAT DANIEL 605277594 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 809 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1214 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1214 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30802 0 0 0 0 0 0 0 0 30802 0 0 1002729145 1033483979 11 Dentists LEE SAT PYOL 600732244 57 Lake 0 0 General Dentistry 0 0 0 256 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 1477 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 1477 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 30081 0 0 0 0 0 0 0 0 0 0 0 14121 0 0 0 0 44202 0 0 1002729178 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 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56862 0 0 0 0 0 0 0 0 0 0 0 0 0 56862 0 0 1002729581 1528353620 10 Physicians BRIGGS BRIAN 49155500 72 McLean 0 0 Family Practice 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 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 1397 0 0 0 0 0 0 1397 0 0 1002729723 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 0 133 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 10151 0 0 0 0 0 0 0 0 0 0 0 0 0 10151 0 0 1002729797 1568699924 10 Physicians KHAN ZAREENA R 605638669 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5751 0 0 0 0 0 0 5751 0 0 1002729851 10 Physicians 53 Kane 0 0 Anesthesiology 0 0 0 0 0 0 0 0 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 16 0 0 0 0 0 0 16 0 0 1002730255 1407023674 10 Physicians PONTIKES THEODOTE 601545716 200 Cook 0 0 Psychiatry 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 593 0 0 0 0 0 0 593 0 0 1002730386 1215910880 12 Optometrists PIKO AMY 608052807 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 0 170 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 0 0 0 0 0 0 0 0 0 0 5398 0 0 0 0 0 0 5398 0 0 1002731049 12 Optometrists 200 Cook 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1002731227 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 0 102 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 8112 0 0 0 0 0 0 0 0 0 0 0 0 0 8112 0 0 1002731657 1578553624 10 Physicians LENTZ KAPUA SARAH 524025036 816 Iowa 0 0 Neonatology 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 0 101 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 9409 0 0 0 0 0 0 9409 0 0 1002731949 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 0 178 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 27604 0 0 0 0 0 0 0 0 0 0 0 0 0 27604 0 0 1002732063 1598721383 29 ICF/MR COUNTRYVIEW TERRACE 628582379 22 Clay 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 0 155 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4675 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 336728 0 0 0 0 0 0 0 0 0 0 336728 0 0 1002732132 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 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17796 0 0 0 0 0 0 0 0 0 0 0 0 0 17796 0 0 1002732234 1902879778 10 Physicians ISAKOVA TAMARA 606101965 200 Cook 0 0 Nephrology 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 0 108 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 0 391 0 0 0 0 0 0 391 0 0 1002732288 1184889156 10 Physicians MALIK RABIA 999999999 200 Cook 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 0 163 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 1087 0 0 0 0 0 0 1087 0 0 1002732369 1871873786 10 Physicians CRAIOVEANU ALEXANDRU P. 602011718 57 Lake 0 0 Internal Medicine 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 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 0 838 0 0 0 0 0 0 838 0 0 1002732936 87 Psychologist(Encounter Only) 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 786 0 0 0 0 0 0 786 0 0 1002733012 1083870703 10 Physicians ROSIERE LUCAS 321200859 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 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 5445 0 0 0 0 0 0 5445 0 0 1002733124 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 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 68 0 0 0 0 0 0 68 0 0 1002733763 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 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23556 0 0 0 0 0 0 0 0 0 0 0 0 0 23556 0 0 1002734033 1659622330 16 Nurse Practitioners BROOKS DELORA M 370689022 826 Missouri 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 276 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 276 0 0 0 0 0 0 0 0 0 523 0 0 0 0 0 0 0 0 3118 0 0 0 0 0 0 3641 0 0 1002734056 1861895260 47 Local Education Agencies BIG HOLLOW SCHOOL DISTRICT 38 600418785 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 986 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 986 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16586 0 16586 0 0 1002734265 1447562905 10 Physicians DILEEP PRIYA 49155500 30 DuPage 0 0 Internal Medicine 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 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 0 645 0 0 0 0 0 0 645 0 0 1002734735 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 0 274 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 25077 0 0 0 0 0 0 0 0 0 0 0 0 0 25077 0 0 1002735317 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4625 0 0 0 0 0 0 0 0 0 0 0 0 0 4625 0 0 1002735327 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 0 218 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 26640 0 0 0 0 0 0 0 0 0 0 0 0 0 26640 0 0 1002735570 1790821882 16 Nurse Practitioners BERNKLAU SANDRA L 606751931 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 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 1121 0 0 0 0 0 0 1121 0 0 1002735653 1790929800 11 Dentists LIGAS BOZENA 604531295 200 Cook 0 0 Orthodontist 0 0 0 8 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 2403 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2403 0 0 1002735828 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 0 275 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 16649 0 0 0 0 0 0 0 0 0 0 0 0 0 16649 0 0 1002735867 1659702595 16 Nurse Practitioners LIN HUBERT 601484932 30 DuPage 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 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1243 0 0 0 0 0 0 1243 0 0 1002736892 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 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 3110 0 0 0 0 0 0 0 0 0 0 0 0 0 3110 0 0 1002737301 10 Physicians 80 Peoria 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 261 0 0 0 0 0 0 261 0 0 1002739351 1750549788 10 Physicians WESSEL MATTHEW 607145611 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 10 0 120 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 1049 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 1049 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 330 0 55245 0 0 0 0 0 0 55575 0 0 1002739654 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 26989 0 0 0 0 0 0 0 0 0 0 0 0 0 26989 0 0 1002739668 16 Nurse Practitioners 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 39 0 0 0 0 0 0 39 0 0 1002739794 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 27900 0 0 0 0 0 0 0 0 0 0 0 0 0 27900 0 0 1002739958 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28343 0 0 0 0 0 0 0 0 0 0 0 0 0 28343 0 0 1002740067 1306273685 16 Nurse Practitioners MILLER HEATHER 616151941 80 Peoria 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 7104 0 0 0 0 0 0 7202 0 0 1002740217 1336460807 10 Physicians PLACE STEPHANIE 606149278 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1433 0 0 0 0 0 0 1433 0 0 1002740801 16 Nurse Practitioners 89 Rock Island 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 1002741224 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 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21919 0 0 0 0 0 0 0 0 0 0 0 0 0 21919 0 0 1002741254 1881913531 40 Federally Qualified Health Centers HOWARD BROWN HEALTH HALSTED 606573419 200 Cook 0 1 0 0 172 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 453 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 453 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31374 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31374 0 0 1002741497 1205124328 10 Physicians ROJAS JUAN 999999999 200 Cook 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 0 294 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 8254 0 0 0 0 0 0 8254 0 0 1002742064 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 29081 0 0 0 0 0 0 0 0 0 0 0 0 0 29081 0 0 1002742126 1255573077 33 Nursing Facilities APERION CARE PLUM GROVE 600676243 200 Cook 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 0 139 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3319 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 482298 0 0 0 0 0 0 0 482298 0 0 1002742778 98 Waiver service provider--TBI (DHS/DRS) 100 Vermilion 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 20815 0 0 0 0 0 0 0 0 0 0 0 0 0 20815 0 0 1002743225 1295056893 10 Physicians MATA-MACHADO NIKOLAS 606123748 200 Cook 0 0 Neurology 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 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 4709 0 0 0 0 0 0 4709 0 0 1002743332 1730490616 10 Physicians JAMESON TRAVIS R 626565066 62 Logan 0 0 Internal 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 0 552 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 0 0 0 0 0 6590 0 0 0 0 0 0 6590 0 0 1002743462 1295962074 10 Physicians ETHINGTON JASON GIBBS 606313714 63 Macon 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 1 0 88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19675 0 0 0 0 0 0 19675 0 0 1002743522 93 Waiver service provider--HIV/AIDS (DHS/DRS) 96 St Clair 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 18171 0 0 0 0 0 0 0 0 0 0 0 0 0 18171 0 0 1002743549 1962718791 10 Physicians AKHTAR NOORAIN 604405125 107 Will 0 1 Family Practice 0 0 0 0 1 0 0 0 0 0 0 2 0 36 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 2 0 67 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 2 0 67 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 10 0 2460 0 0 0 0 0 0 2490 0 0 1002744020 1083838817 10 Physicians VENU MUKUND 601545716 200 Cook 0 0 Gastroenterology 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 0 148 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 6242 0 0 0 0 0 0 6242 0 0 1002744614 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1002744644 1962740282 23 Occupational Therapists SHAKEEL AYMEN 999999999 200 Cook 0 0 0 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 0 177 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 17000 17000 0 0 1002744710 91 Waiver service provider--Adults (DHS/DDD) 86 Putnam 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4976 0 0 0 0 0 0 0 0 0 0 0 0 0 4976 0 0 1002745265 1790006393 10 Physicians KHALID SYED Z 731279711 30 DuPage 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 142 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 0 0 0 0 0 0 0 0 0 0 5850 0 0 0 0 0 0 5850 0 0 1002745509 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 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8491 0 0 0 0 0 0 0 0 0 0 0 0 0 8491 0 0 1002747019 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 32082 0 0 0 0 0 0 0 0 0 0 0 0 0 32082 0 0 1002747063 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 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23922 0 0 0 0 0 0 0 0 0 0 0 0 0 23922 0 0 1002747384 1154597284 10 Physicians TEWANI SUMEET K. 611075075 109 Winnebago 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 10 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 133 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 133 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 5927 0 0 0 0 0 0 6043 0 0 1002747494 10 Physicians 19 Champaign 0 0 Pediatric Hematology Oncology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 1002747896 98 Waiver service provider--TBI (DHS/DRS) 30 DuPage 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 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 105322 0 0 0 0 0 0 0 0 0 0 0 0 0 105322 0 0 1002747919 1407019110 10 Physicians SHEIKH MEHWISH 606112991 200 Cook 0 0 Pediatrics 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 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 23876 0 0 0 0 0 0 23876 0 0 1002748022 10 Physicians 826 Missouri 0 0 Hematology 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 0 125 0 0 0 0 0 0 125 0 0 1002748118 1962718007 10 Physicians SENASU JEFFERY 600450689 89 Rock Island 0 0 Anesthesiology 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 0 888 0 0 0 0 0 0 888 0 0 1002748719 1184996779 87 Psychologist(Encounter Only) BEDNANCZYK TERESA 605044163 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 0 102 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 0 577 0 0 0 0 0 0 577 0 0 1002748927 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 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 30303 0 0 0 0 0 0 0 0 0 0 0 0 0 30303 0 0 1002750029 93 Waiver service provider--HIV/AIDS (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 25666 0 0 0 0 0 0 0 0 0 0 0 0 0 25666 0 0 1002750585 1952613200 10 Physicians SWEET MOSHE 602011700 200 Cook 0 0 Internal Medicine 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 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 1461 0 0 0 0 0 0 1461 0 0 1002750675 1376781252 10 Physicians GUPTA SHWETA 606123714 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 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 0 122 0 0 0 0 0 0 122 0 0 1002750679 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 10215 0 0 0 0 0 0 0 0 0 0 0 0 0 10215 0 0 1002751209 1194969857 10 Physicians PATEL PRITESH 605275965 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 431 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 558 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 558 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6727 0 135 0 0 0 0 0 0 6862 0 0 1002751722 1972669422 10 Physicians SANDERS SCOTT J 436047101 89 Rock Island 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 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 0 150 0 0 0 0 0 0 150 0 0 1002752917 92 Waiver service provider--Disability (DHS/DRS) 77 Morgan 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 20628 0 0 0 0 0 0 0 0 0 0 0 0 0 20628 0 0 1002754005 36 Community mental health provider 36 Franklin 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 1696 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1696 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 352917 0 0 352917 0 0 1002754658 10 Physicians 816 Iowa 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 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 0 420 0 0 0 0 0 0 420 0 0 1002754709 1982862918 10 Physicians CHEN KEVIN 600162359 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 38 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 136 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 136 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242 0 1452 0 0 0 0 0 0 1694 0 0 1002756090 1619110038 10 Physicians BEYER VIVIANNE 627949248 91 Sangamon 0 0 Dermatology 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 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 0 449 0 0 0 0 0 0 449 0 0 1002756157 1215280045 33 Nursing Facilities BRIA OF FOREST EDGE 606205930 200 Cook 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 0 354 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8791 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1289374 0 0 0 0 0 0 0 1289374 0 0 1002756816 1760655583 10 Physicians ROJAS AGUIRRE LUZ 606127239 200 Cook 0 0 Anesthesiology 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 7278 0 0 0 0 0 0 7278 0 0 1002757551 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 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 9462 0 0 0 0 0 0 0 0 0 0 0 0 0 9462 0 0 1002758063 1336166297 10 Physicians IGLESIAS ROBERTO C 477101682 53 Kane 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 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 0 737 0 0 0 0 0 0 737 0 0 1002758585 1013186071 10 Physicians SAUDYE HAMMAD 606591204 200 Cook 0 0 Cardiology 0 0 0 0 0 0 0 0 0 0 0 0 0 693 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1535 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1535 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12900 0 0 0 0 0 0 12900 0 0 1002758604 1609211101 16 Nurse Practitioners ARMS RUTH A. 616151941 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 0 294 0 0 0 0 0 0 294 0 0 1002758642 1194036798 10 Physicians DESMOND CLARE L. 602011718 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 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 2492 0 0 0 0 0 0 2492 0 0 1002758864 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 11038 0 0 0 0 0 0 0 0 0 0 0 0 0 11038 0 0 1002759044 10 Physicians 90 Saline 0 1 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 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 1002759793 1649692047 24 Speech Therapists MITAL KRISTIN 999999999 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 357 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 24479 24479 0 0 1002760807 1457782252 60 Pharmacies MARIANOS PHARMACY 8524 600932923 200 Cook 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 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1448 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5706 0 0 0 5706 0 0 1002761487 1821411075 91 Waiver service provider--Adults (DHS/DDD) ALSTON DANA 999999999 200 Cook 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 1114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77505 0 0 0 0 0 0 0 0 0 0 0 0 0 77505 0 0 1002761623 1306156856 10 Physicians CHINEME IKECHUKWU I 601228942 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3036 0 0 0 0 0 0 3036 0 0 1002761900 1720243645 10 Physicians ALMEIDA ROSELLE X 609012901 54 Kankakee 0 0 Pulmonary Diseases 0 0 0 0 0 0 0 0 0 0 0 2 0 205 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 521 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 521 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5449 0 0 0 0 0 0 5449 0 0 1002761927 1235450891 10 Physicians KIM AMY 606910263 109 Winnebago 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 197 0 0 0 0 0 0 197 0 0 1002761955 1376829762 16 Nurse Practitioners ZDANIO ERIN 28950784 56 Knox 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 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 0 939 0 0 0 0 0 0 939 0 0 1002762032 1457572596 10 Physicians SIEBERT CASANA 370275339 72 McLean 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 439 0 0 0 0 0 0 439 0 0 1002762268 1386965051 10 Physicians FANAPOUR SABRINA 605323661 30 DuPage 0 1 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 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 0 254 0 0 0 0 0 0 254 0 0 1002763103 16 Nurse Practitioners 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 3 0 0 1002764246 1073944922 16 Nurse Practitioners MATHEW HEIDI 601228942 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 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 0 672 0 0 0 0 0 0 672 0 0 1002764971 10 Physicians 109 Winnebago 0 0 Oncology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1002765219 1215258876 10 Physicians PUMPHREY RUIZ DARA 605632047 30 DuPage 0 0 Psychiatry 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 0 188 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 8380 0 0 0 0 0 0 8380 0 0 1002765311 16 Nurse Practitioners 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 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 0 654 0 0 0 0 0 0 654 0 0 1002766362 1457501926 10 Physicians ARNOLD DON C 616151941 80 Peoria 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 10 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 3775 0 0 0 0 0 0 3811 0 0 1002766493 1811153422 10 Physicians SITAFALWALLA SHOEB 606313222 200 Cook 0 0 Internal 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 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 93 0 0 0 0 0 0 93 0 0 1002767613 1548593528 10 Physicians OGUEJIOFOR CHIEBONAM C 605638669 30 DuPage 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 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 31 0 0 0 0 0 0 31 0 0 1002768022 1912167073 10 Physicians OTA TAKEYOSHI 605276686 63 Macon 0 0 Cardiovascular 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 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 7868 0 0 0 0 0 0 7868 0 0 1002768129 1063743433 10 Physicians HARDT KEVIN 606118709 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 62 0 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 0 213 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 0 213 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 263 0 15229 0 0 0 0 0 0 15492 0 0 1002768361 1689848897 10 Physicians GOLDSTEIN JEFFREY 600162359 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 61 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93 0 201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93 0 201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 379 0 7315 0 0 0 0 0 0 7694 0 0 1002768777 1093709750 13 Podiatrists BICKEL JASON R 475916294 815 Indiana 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 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 0 163 0 0 0 0 0 0 163 0 0 1002768798 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 0 341 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 341 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27838 0 0 0 0 0 0 0 0 0 0 0 0 0 27838 0 0 1002769500 1306158787 10 Physicians MCNULTY MOIRA C 605275965 30 DuPage 0 0 Internal Medicine 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1049 0 0 0 0 0 0 1049 0 0 1002769620 1346642816 33 Nursing Facilities ROCK RIVER HEALTH CARE 611032125 109 Winnebago 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 0 121 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2922 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 330928 0 0 0 0 0 0 0 330928 0 0 1002770295 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 0 263 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 32181 0 0 0 0 0 0 0 0 0 0 0 0 0 32181 0 0 1002770343 1063700276 10 Physicians FAULL MICHELLE 535661569 107 Will 0 0 Physical Medicine/Rehabilitation 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 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 0 232 0 0 0 0 0 0 232 0 0 1002770413 1144538430 10 Physicians ALLEN ALFRED LAMEE 605164483 30 DuPage 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 0 766 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 766 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11107 0 0 0 0 0 0 11107 0 0 1002770580 1568780740 10 Physicians BOISSELLE CHRISTOPHER 606225646 200 Cook 0 0 Family Practice 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 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 1257 0 0 0 0 0 0 1257 0 0 1002770589 10 Physicians 90 Saline 0 0 Anesthesiology 0 0 0 0 0 0 0 0 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 0 166 0 0 0 0 0 0 166 0 0 1002770854 1750537817 10 Physicians MUTHIAH CHETHRA 606123714 200 Cook 0 0 Infectious Diseases 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 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 2148 0 0 0 0 0 0 2148 0 0 1002771729 1871730986 10 Physicians YOUNG ANNA R 191787642 200 Cook 0 0 Anesthesiology 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 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 2545 0 0 0 0 0 0 2545 0 0 1002772180 1376979815 16 Nurse Practitioners ROUNDS LISA 609142435 54 Kankakee 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 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 2260 0 0 0 0 0 0 2260 0 0 1002772393 1669672325 10 Physicians BURCHETT MICHAEL 612821804 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4576 0 0 0 0 0 0 4576 0 0 1002772584 1124349006 10 Physicians MADANI LUBNA S. 606118709 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 10 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 715 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 715 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 415 0 3668 0 0 0 0 0 0 4083 0 0 1002772605 1336301472 10 Physicians LAPPING-CARR GABRIELLE 463083409 200 Cook 0 0 Pediatrics 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 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 1520 0 0 0 0 0 0 1520 0 0 1002773056 1114180312 10 Physicians KIM EUNHEA 527220021 47 Jackson 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 421 0 0 0 0 0 0 421 0 0 1002773229 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 1002773426 4002773426 91 Waiver service provider--Adults (DHS/DDD) ELIN HOUSE 626262114 64 Macoupin 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 4291 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4291 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 855096 0 0 0 0 0 0 0 0 0 0 0 0 0 855096 0 0 1002773698 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 20299 0 0 0 0 0 0 0 0 0 0 0 0 0 20299 0 0 1002773729 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28188 0 0 0 0 0 0 0 0 0 0 0 0 0 28188 0 0 1002774045 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 28149 0 0 0 0 0 0 0 0 0 0 0 0 0 28149 0 0 1002774420 10 Physicians 109 Winnebago 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 5 0 0 1002775370 1376868661 10 Physicians SMILEY JEREMY 602011700 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1409 0 0 0 0 0 0 1409 0 0 1002775786 1912347485 61 Independent Laboratories CAIRO DIAGNOSTIC CENTER LAB 629143101 11 Alexander 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 0 455 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 455 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 558 0 0 0 0 0 0 0 0 558 0 0 1002775931 1275524290 10 Physicians SZALKOWSKI JENNIFER D 631418512 19 Champaign 0 0 Family Practice 0 0 0 0 3 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 93 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 93 0 0 0 0 0 0 0 0 0 254 0 0 0 0 0 0 0 0 2421 0 0 0 0 0 0 2675 0 0 1002775966 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 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 12961 0 0 0 0 0 0 0 0 0 0 0 0 0 12961 0 0 1002776129 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 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 0 439 0 0 0 0 0 0 439 0 0 1002776536 1982865051 10 Physicians ROBBINS MARY 606116649 200 Cook 0 0 Pediatrics 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 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 8250 0 0 0 0 0 0 8250 0 0 1002776788 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 643 0 0 0 0 0 0 0 0 0 0 0 0 0 643 0 0 1002777445 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 0 0 0 0 0 0 0 0 0 0 1002777997 1376881136 16 Nurse Practitioners GAZDA DODIE 627949639 91 Sangamon 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 0 155 0 0 0 0 0 0 155 0 0 1002778156 1255756458 16 Nurse Practitioners BERNARD LISA 616157831 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 265 0 0 0 0 0 0 265 0 0 1002778342 1437380078 10 Physicians KAFKA JULIE 606473611 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 49 0 163 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2494 0 2083 0 0 0 0 0 0 4577 0 0 1002778394 1952741993 11 Dentists KARIM HASSAN 608043638 200 Cook 0 0 General Dentistry 0 0 0 215 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1549 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1549 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54905 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54905 0 0 1002778410 10 Physicians 852 Wisconsin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1002779982 1013144856 10 Physicians ZHANG YUNHONG 631260407 109 Winnebago 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 2 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 687 0 0 0 0 0 0 687 0 0 1002779994 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 12783 0 0 0 0 0 0 0 0 0 0 0 0 0 12783 0 0 1002780595 1538490487 60 Pharmacies CARBONDALE FAMILY PHARMACY 629011031 47 Jackson 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 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7549 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5384 0 0 0 5384 0 0 1002780826 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 0 190 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 27918 0 0 0 0 0 0 0 0 0 0 0 0 0 27918 0 0 1002780883 1740436229 10 Physicians TAUBE TINA 606313222 200 Cook 0 0 Pediatrics 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 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 4291 0 0 0 0 0 0 4291 0 0 1002781664 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 32444 0 0 0 0 0 0 0 0 0 0 0 0 0 32444 0 0 1002782781 1861655375 10 Physicians NAGAVALLI SRAVANTHI 611081673 109 Winnebago 0 0 Endocrinology 0 0 0 0 0 0 0 0 0 0 0 7 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 1873 0 0 0 0 0 0 1920 0 0 1002783219 1942466404 10 Physicians JAIN DIVYA 601545716 200 Cook 0 0 Nephrology 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 0 193 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 2559 0 0 0 0 0 0 2559 0 0 1002783392 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26085 0 0 0 0 0 0 0 0 0 0 0 0 0 26085 0 0 1002784690 16 Nurse Practitioners 852 Wisconsin 0 0 0 0 0 0 0 0 0 0 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 47 0 0 0 0 0 0 47 0 0 1002784708 10 Physicians 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 183 0 0 1002784815 1427343458 10 Physicians HULIYAR VINAY 605272247 30 DuPage 0 0 Internal Medicine 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 0 124 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 2765 0 0 0 0 0 0 2765 0 0 1002784936 1639325848 10 Physicians VERGARA CLAUDIA 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 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 0 110 0 0 0 0 0 0 110 0 0 1002785490 1326214651 10 Physicians SACHIN BANSAL 605047597 30 DuPage 0 0 Physical Medicine/Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 21 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 212 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 212 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 670 0 1828 0 0 0 0 0 0 2498 0 0 1002786091 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26586 0 0 0 0 0 0 0 0 0 0 0 0 0 26586 0 0 1002786154 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 0 658 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 658 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51392 0 0 0 0 0 0 0 0 0 0 0 0 0 51392 0 0 1002787005 10 Physicians 80 Peoria 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1002787318 1235372301 10 Physicians NAPEKOSKI KARL M 480381125 63 Macon 0 0 Pathology 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 0 123 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 0 875 0 0 0 0 0 0 0 0 875 0 0 1002787569 16 Nurse Practitioners 818 Kentucky 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1002787920 1588068894 91 Waiver service provider--Adults (DHS/DDD) COSTELLOE LINA 600912144 200 Cook 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 0 168 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 11684 0 0 0 0 0 0 0 0 0 0 0 0 0 11684 0 0 1002788090 63 Other Providers of Medical Equipment/Supplies (Non-registered) 61 Livingston 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 692 0 0 0 0 0 0 692 0 0 1002788303 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 0 268 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 27303 0 0 0 0 0 0 0 0 0 0 0 0 0 27303 0 0 1002789571 1821337437 16 Nurse Practitioners CARLSON RICK 609701806 46 Iroquois 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 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 0 823 0 0 0 0 0 0 823 0 0 1002789671 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 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 4616 0 0 0 0 0 0 0 0 0 0 0 0 0 4616 0 0 1002789752 1649508656 11 Dentists PAUL CINE 606475202 200 Cook 0 0 General Dentistry 0 0 0 166 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 719 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 719 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 26033 0 0 0 0 0 0 0 0 0 0 0 9180 0 0 0 0 35213 0 0 1002790057 1659531903 10 Physicians JOHNSON PIERRE 625264274 63 Macon 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4385 0 0 0 0 0 0 4385 0 0 1002790357 1043654163 60 Pharmacies SHAWNEE HEALTH CARE PHARMACY 629663333 47 Jackson 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 0 406 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14890 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9031 0 0 0 9031 0 0 1002790695 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 186 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 186 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21081 0 0 0 0 0 0 0 0 0 0 0 0 0 21081 0 0 1002790754 1053559559 10 Physicians KAZMOUZ SUHAIB 535475081 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 3 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 192 0 2831 0 0 0 0 0 0 3023 0 0 1002791201 4002791201 91 Waiver service provider--Adults (DHS/DDD) NEW OPPORTUNITIES INC 620401852 65 Madison 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 6715 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6715 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 433405 0 0 0 0 0 0 0 0 0 0 0 0 0 433405 0 0 1002791407 1710148481 10 Physicians CHAUHAN KRATI 627949639 91 Sangamon 0 0 Rheumatology 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 0 147 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 3215 0 0 0 0 0 0 3215 0 0 1002791446 1053570754 10 Physicians HOLDEN CHRISTOPHER C 606123748 200 Cook 0 0 Psychiatry 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 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 4191 0 0 0 0 0 0 4191 0 0 1002792320 1659514131 10 Physicians MAHDAVINIA MAHBOOBEH 606123714 200 Cook 0 0 Allergy-Immunization 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 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 1479 0 0 0 0 0 0 1479 0 0 1002792501 1629230628 10 Physicians PITTMAN AMY 601545716 200 Cook 0 0 Otolaryngology 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 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 5864 0 0 0 0 0 0 5864 0 0 1002792524 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 17984 0 0 0 0 0 0 0 0 0 0 0 0 0 17984 0 0 1002792900 10 Physicians 109 Winnebago 0 0 Cardiovascular Diseases 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 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 51 0 0 0 0 0 0 57 0 0 1002793309 1467771378 10 Physicians ZIELINSKI ALLISON 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 574 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 827 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 827 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5258 0 0 0 0 0 0 5258 0 0 1002793753 1538252184 60 Pharmacies PRESENCE RHC SR SRVCS PHARM 600161209 200 Cook 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 0 672 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16723 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7011 0 0 0 7011 0 0 1002794071 1215148002 10 Physicians NAZEER HAMID 605238723 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 322 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 513 0 440 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 513 0 440 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5967 0 5214 0 0 0 0 0 0 11181 0 0 1002794784 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 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14288 0 0 0 0 0 0 0 0 0 0 0 0 0 14288 0 0 1002795312 24 Speech Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 280 280 0 0 1002795507 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 0 190 0 0 0 0 0 0 190 0 0 1002795639 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 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 2332 0 0 0 0 0 0 0 0 0 0 0 0 0 2332 0 0 1002795678 4002795678 90 Waiver service provider--Elderly (DOA) ELDERLY MUSLIM CARE ACTION NET 605638547 30 DuPage 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 5161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 604886 0 0 0 0 0 0 0 0 0 0 0 0 0 604886 0 0 1002795985 1770819708 10 Physicians CARPENTER STACEY 606740018 200 Cook 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 1 0 18 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 23 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 23 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 8 0 512 0 0 0 0 0 0 589 0 0 1002796231 1750619672 10 Physicians VERMA UDIT 616151941 80 Peoria 0 1 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1518 0 0 0 0 0 0 1518 0 0 1002796888 1407134661 10 Physicians YAREMKO MARYANA 731279742 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 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3434 0 0 0 0 0 0 3434 0 0 1002796940 1831500503 16 Nurse Practitioners GAVIN EMILY B 631600352 826 Missouri 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 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 0 347 0 0 0 0 0 0 347 0 0 1002797135 1144527235 16 Nurse Practitioners CLEMENTS JENNIFER 999999999 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1166 0 0 0 0 0 0 1166 0 0 1002797160 1912250077 16 Nurse Practitioners BORRELLI GABRIELLA 605275965 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 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 0 177 0 0 0 0 0 0 177 0 0 1002798144 10 Physicians 200 Cook 0 0 Plastic 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 0 0 0 0 0 0 0 0 0 0 1002799020 16 Nurse Practitioners 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1002799948 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 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 0 936 0 0 0 0 0 0 0 0 0 0 0 0 0 936 0 0 1002799974 1295173466 10 Physicians ELEZI ARLINDA 601262816 30 DuPage 0 1 Internal Medicine 0 0 0 0 1 0 0 0 0 0 0 1 0 73 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 228 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 228 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 2 0 1739 0 0 0 0 0 0 1826 0 0 1002800049 1093122327 11 Dentists ZAIDI TABASSUM T 601852315 30 DuPage 0 0 General Dentistry 0 0 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1238 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1238 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45507 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45507 0 0 1002800360 16 Nurse Practitioners 826 Missouri 0 0 0 0 0 0 0 0 0 0 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 31 0 0 0 0 0 0 31 0 0 1002800809 1639519481 12 Optometrists NICKLAS AMANDA M 631600352 64 Macoupin 0 0 Therapeutic Pharmaceutical Agents 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 0 662 0 0 0 0 0 0 662 0 0 1002800875 1609018803 10 Physicians DUCHON OLHA 999999999 71 McHenry 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 1263 0 0 0 0 0 0 1294 0 0 1002800962 1639328883 10 Physicians DAVOOD DALIA 606313222 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 85 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 111 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 111 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4979 0 2984 0 0 0 0 0 0 7963 0 0 1002801552 10 Physicians 200 Cook 0 0 Psychiatry 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 81 0 0 1002801585 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 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 2243 0 0 0 0 0 0 0 0 0 0 0 0 0 2243 0 0 1002801807 4002801807 92 Waiver service provider--Disability (DHS/DRS) UNIVERSAL INDUSTRIES INC 606451510 200 Cook 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 64666 0 0 0 0 0 0 0 0 0 0 0 0 0 64666 0 0 1002801981 1689779357 10 Physicians PATNI YAQUTA 604358200 107 Will 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 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 1520 0 0 0 0 0 0 1520 0 0 1002802071 1679754642 10 Physicians WILKINSON JULIA 601228942 53 Kane 0 0 Vascular Surgery 0 0 0 0 0 0 0 0 0 0 0 5 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 8604 0 0 0 0 0 0 8623 0 0 1002802167 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 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 26703 0 0 0 0 0 0 0 0 0 0 0 0 0 26703 0 0 1002802462 1821309790 10 Physicians RINABERGER ALISON 999999999 91 Sangamon 0 0 0 0 0 0 1 0 0 0 0 0 0 17 0 33 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 33 0 58 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 33 0 58 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 895 0 3216 0 0 0 0 0 0 4196 0 0 1002802747 1528315843 22 Physical Therapists FAY CHRISTEN 606118709 200 Cook 0 0 0 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 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 1380 1380 0 0 1002803280 1306986195 10 Physicians CRANE JASON E 605275965 30 DuPage 0 0 Clinical Pathology 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 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 1002803440 1629203328 10 Physicians VANHAERENTS STEPHEN A 606321849 200 Cook 0 0 Neurology 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 0 136 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 2282 0 0 0 0 0 0 2282 0 0 1002803493 11 Dentists 200 Cook 0 0 General Dentistry 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 1920 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1920 0 0 1002803650 1326474735 12 Optometrists PATEL LISHA 620026220 65 Madison 0 0 Diagnostic Pharmaceutical Agents 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 0 522 0 0 0 0 0 0 522 0 0 1002804879 98 Waiver service provider--TBI (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 10234 0 0 0 0 0 0 0 0 0 0 0 0 0 10234 0 0 1002804954 1194971176 10 Physicians DHOLAKIA PALAK S 606118709 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1558 0 0 0 0 0 0 1558 0 0 1002805565 1538427364 10 Physicians KUMAR SEEMA 605063814 63 Macon 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 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 1925 0 0 0 0 0 0 1925 0 0 1002806365 1255591491 10 Physicians GOLDSTEIN JORDAN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 325 0 3444 0 0 0 0 0 0 3769 0 0 1002806371 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 0 328 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 328 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38757 0 0 0 0 0 0 0 0 0 0 0 0 0 38757 0 0 1002806572 1396158812 16 Nurse Practitioners HOUSE MELISSA 616151941 80 Peoria 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 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2284 0 0 0 0 0 0 2284 0 0 1002806740 1902215130 16 Nurse Practitioners VENT DIANE K. 601545716 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1605 0 0 0 0 0 0 1605 0 0 1002807400 92 Waiver service provider--Disability (DHS/DRS) 56 Knox 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4150 0 0 0 0 0 0 0 0 0 0 0 0 0 4150 0 0 1002807675 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 30861 0 0 0 0 0 0 0 0 0 0 0 0 0 30861 0 0 1002808475 1669791166 10 Physicians FULLAN SEAN 618539493 19 Champaign 0 1 Pediatrics 0 0 0 0 68 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 93 0 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 93 0 0 0 0 0 0 0 0 0 5665 0 0 0 0 0 0 0 0 3204 0 0 0 0 0 0 8869 0 0 1002809527 1487850491 10 Physicians SHETTY ANUP 631101016 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 105 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 143 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 143 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1877 0 54 0 0 0 0 0 0 1931 0 0 1002811289 1295025245 10 Physicians RUBIN JONAH 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 303 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 303 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 9797 0 0 0 0 0 0 9807 0 0 1002812211 1104007061 10 Physicians PANCHAL SURBHI 600105934 57 Lake 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 12 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 217 0 2325 0 0 0 0 0 0 2542 0 0 1002812409 1649412370 10 Physicians PATEL NIJAL V 604501207 40 Grundy 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 0 225 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 7515 0 0 0 0 0 0 7515 0 0 1002812810 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 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 1002813516 1508187253 10 Physicians ROZELL SHAINA A 606930626 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 292 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 292 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 26117 0 0 0 0 0 0 26134 0 0 1002813727 1063491553 12 Optometrists ARCE YOLANDA 606165132 200 Cook 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 0 425 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 0 0 0 0 0 0 0 0 0 0 0 0 10440 0 0 0 0 0 0 10440 0 0 1002814331 92 Waiver service provider--Disability (DHS/DRS) 102 Warren 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2640 0 0 0 0 0 0 0 0 0 0 0 0 0 2640 0 0 1002814616 10 Physicians 47 Jackson 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1002814887 1780831719 10 Physicians AGRAWAL KIREET 601481135 30 DuPage 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 1152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15650 0 0 0 0 0 0 15650 0 0 1002815217 1134138993 10 Physicians PAPPA HELEN 631102515 826 Missouri 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 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 2304 0 0 0 0 0 0 2304 0 0 1002815418 1447414008 10 Physicians KASPER DOUGLAS 616052576 80 Peoria 0 1 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2630 0 0 0 0 0 0 2630 0 0 1002816036 1922395763 10 Physicians GURTIZEN JEFFREY D 611081673 109 Winnebago 0 1 Family Practice 0 0 0 0 6 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 111 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 111 0 0 0 0 0 0 0 0 0 368 0 0 0 0 0 0 0 0 5572 0 0 0 0 0 0 5940 0 0 1002816146 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 20267 0 0 0 0 0 0 0 0 0 0 0 0 0 20267 0 0 1002816932 1386086791 16 Nurse Practitioners ALI-BURFORD ZARINAH 604233112 107 Will 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 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 518 0 0 0 0 0 0 518 0 0 1002817153 1730390766 10 Physicians WOOD GORDON J 600103141 57 Lake 0 0 Internal Medicine 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 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1225 0 0 0 0 0 0 1225 0 0 1002817501 1306092648 10 Physicians BUKHARI SAROSH 600475292 57 Lake 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 147 0 0 0 0 0 0 147 0 0 1002817520 61 Independent Laboratories 805 California 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 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 1193 0 0 0 0 0 0 0 0 1193 0 0 1002817682 1215354816 16 Nurse Practitioners KLOEPPEL TIFFANY 618012529 19 Champaign 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 0 393 0 0 0 0 0 0 393 0 0 1002817791 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7123 0 0 0 0 0 0 0 0 0 0 0 0 0 7123 0 0 1002817967 1356391387 10 Physicians TEAL KEVIN 618012529 19 Champaign 0 0 Neurology 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 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 4274 0 0 0 0 0 0 4274 0 0 1002818425 1851503692 10 Physicians KOCHAR RAJAN 627949248 91 Sangamon 0 0 Gastroenterology 0 0 0 0 0 0 0 0 0 0 0 2 0 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 166 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 166 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 6351 0 0 0 0 0 0 6365 0 0 1002818484 1871848895 30 General Hospitals SHILOH DIALYSIS 622213303 96 St Clair ARS-LS Long-term stay hospitals paid under an ARS 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 0 121 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1179 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9967 0 0 0 0 0 9967 0 0 1002818500 1356620090 39 Hospice APEX HOSPICE AND PALLIATIVE 605234634 30 DuPage 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 0 151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3643 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 669721 0 0 0 0 0 0 0 0 0 0 0 669721 0 0 1002818719 1114363470 16 Nurse Practitioners FRYE JENNIFER A 604501207 40 Grundy 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 291 0 0 0 0 0 0 0 0 1020 0 0 0 0 0 0 1311 0 0 1002818826 1275564197 10 Physicians BERKOWITZ PAUL M 606081732 200 Cook 0 0 Psychiatry 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 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7007 0 0 0 0 0 0 7007 0 0 1002819229 16 Nurse Practitioners 89 Rock Island 0 0 0 0 0 0 0 0 0 0 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 0 207 0 0 0 0 0 0 207 0 0 1002820199 1568792620 10 Physicians DINNER SHIRA 606118709 200 Cook 0 0 Hematology 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 0 273 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 84734 0 0 0 0 0 0 84734 0 0 1002820569 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 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 34290 0 0 0 0 0 0 0 0 0 0 0 0 0 34290 0 0 1002820822 1710061486 10 Physicians KEMP DAVID 627621000 91 Sangamon 0 0 Psychiatry 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 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 1867 0 0 0 0 0 0 1867 0 0 1002820995 1245548809 10 Physicians CHEN MCCRACKEN ALLISON E 606751611 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 1 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 6726 0 0 0 0 0 0 6749 0 0 1002822364 1255427779 10 Physicians CLEMENTS DEBORAH S 601228942 53 Kane 0 0 Family Practice 0 0 0 0 3 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 353 0 0 0 0 0 0 0 0 327 0 0 0 0 0 0 680 0 0 1002822608 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 0 133 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 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1002823636 1154670339 16 Nurse Practitioners JOVIC MARTA 606313222 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 0 0 646 0 0 0 0 0 0 722 0 0 1002824225 1477739472 10 Physicians SPRAGUE JENNIFER E. 631600352 30 DuPage 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 1 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 1481 0 0 0 0 0 0 1499 0 0 1002824315 1467613653 10 Physicians LIN CAROL 600532132 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 68 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 76 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 76 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16974 0 15 0 0 0 0 0 0 16989 0 0 1002824326 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 202 0 0 1002824520 1972812774 10 Physicians HASHMI FAIZA 606731297 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 140 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 3618 0 0 0 0 0 0 3618 0 0 1002824731 1295047553 10 Physicians WEYER GEORGE 605276686 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 144 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 1136 0 0 0 0 0 0 1136 0 0 1002824943 1366739013 10 Physicians FAROOQI SADAF 606930001 200 Cook 0 0 Internal 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 0 231 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 0 0 0 0 0 0 0 0 0 0 0 0 4853 0 0 0 0 0 0 4853 0 0 1002824953 1275829798 10 Physicians MIKOLAJCZYK ADAM 605277594 30 DuPage 0 0 Internal Medicine 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 0 259 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 11113 0 0 0 0 0 0 11113 0 0 1002826057 10 Physicians 57 Lake 0 0 Pediatrics 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 3139 0 0 0 0 0 0 3139 0 0 1002826897 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 0 616 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 616 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55209 0 0 0 0 0 0 0 0 0 0 0 0 0 55209 0 0 1002827533 1639430655 16 Nurse Practitioners PATEL POOJA 606575207 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 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 0 759 0 0 0 0 0 0 759 0 0 1002827609 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 0 337 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 337 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27345 0 0 0 0 0 0 0 0 0 0 0 0 0 27345 0 0 1002828998 1659544799 13 Podiatrists ROSSI JOHNNY 606781353 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 177 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 0 681 0 0 0 0 0 0 681 0 0 1002829067 1518123280 10 Physicians KOPKASH KATHERINE 606123863 200 Cook 0 0 Surgery General 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 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 2611 0 0 0 0 0 0 2611 0 0 1002830363 1265865778 12 Optometrists MORETTIN CHRISTINA 606164201 200 Cook 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 588 0 0 0 0 0 0 588 0 0 1002830572 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 0 335 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 335 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25660 0 0 0 0 0 0 0 0 0 0 0 0 0 25660 0 0 1002831118 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 0 143 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 22620 0 0 0 0 0 0 0 0 0 0 0 0 0 22620 0 0 1002831120 10 Physicians 200 Cook 0 0 Psychiatry 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 58 0 0 0 0 0 0 58 0 0 1002831312 1104253830 24 Speech Therapists CALDERON JESSICA 627011614 200 Cook 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 1744 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1744 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174381 174381 0 0 1002831626 92 Waiver service provider--Disability (DHS/DRS) 58 La Salle 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 40298 0 0 0 0 0 0 0 0 0 0 0 0 0 40298 0 0 1002832093 1700060704 10 Physicians COHEN JUSTIN 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 1660 0 0 0 0 0 0 1667 0 0 1002832353 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 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 14945 0 0 0 0 0 0 0 0 0 0 0 0 0 14945 0 0 1002832409 1457509358 10 Physicians BHAT POOJA 606123748 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 15 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 784 0 13583 0 0 0 0 0 0 14367 0 0 1002832694 1003074543 10 Physicians FALCIGLIA GUSTAVE 606116649 200 Cook 0 0 Pediatrics 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 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16160 0 0 0 0 0 0 16160 0 0 1002832838 60 Pharmacies 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2172 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1863 0 0 0 1863 0 0 1002832914 1497069926 10 Physicians CANE ELVIRA 477333407 200 Cook 0 0 Internal Medicine 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 0 334 0 0 0 0 0 0 334 0 0 1002833099 1366864720 16 Nurse Practitioners MUELLER LAUREN 606118709 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 88 0 0 0 0 0 0 88 0 0 1002833250 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 0 113 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 15759 0 0 0 0 0 0 0 0 0 0 0 0 0 15759 0 0 1002833903 1841584992 10 Physicians RYAN SEAN 606751611 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 143 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 302 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 302 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 5433 0 0 0 0 0 0 5437 0 0 1002834507 1750705364 48 Rural Health Clinics PRIMARY CARE GROUP 999999999 90 Saline 0 0 0 0 1326 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6613 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6613 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 181585 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 181585 0 0 1002834620 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 741 0 0 0 0 0 0 0 0 0 0 0 0 0 741 0 0 1002835019 1124260229 10 Physicians SREENIVASALU THILAK 631032236 47 Jackson 0 0 Anesthesiology 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 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 1525 0 0 0 0 0 0 1525 0 0 1002835197 1114182698 10 Physicians SOLOMON LISA P. 611112754 109 Winnebago 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 3 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 105 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 105 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10254 0 0 0 0 0 0 10254 0 0 1002836626 1053354472 16 Nurse Practitioners LEAKER CYNTHIA H 606118709 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 653 0 0 0 0 0 0 653 0 0 1002837326 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 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 26095 0 0 0 0 0 0 0 0 0 0 0 0 0 26095 0 0 1002837743 10 Physicians 200 Cook 0 0 Radiation Oncology 0 0 0 0 0 0 0 0 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 1002838272 1790070803 10 Physicians WALLIN GREGORY 606740018 200 Cook 0 0 Family Practice 0 0 0 0 6 0 0 0 0 0 0 5 0 36 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 8 0 47 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 8 0 47 0 0 0 0 0 0 0 0 0 637 0 0 0 0 0 0 364 0 1263 0 0 0 0 0 0 2264 0 0 1002838325 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 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 0 190 190 0 0 1002838807 1003155573 24 Speech Therapists MATTSON KELSEY 604048513 107 Will 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 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 4632 4632 0 0 1002839695 1023332467 10 Physicians SPEISER JODI 601533328 200 Cook 0 0 Pathology 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 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 0 549 0 0 0 0 0 0 0 0 549 0 0 1002839836 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 0 213 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 0 0 0 0 0 0 0 0 0 0 0 0 27936 0 0 0 0 0 0 0 0 0 0 0 0 0 27936 0 0 1002840460 1013334002 40 Federally Qualified Health Centers ASIAN HUMAN SERVICES FAMILY 600771500 200 Cook 0 1 0 0 133 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 510 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 510 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36337 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36337 0 0 1002840665 1194981043 10 Physicians QAMAR NASHMIA 606116649 200 Cook 0 0 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 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 1856 0 0 0 0 0 0 1856 0 0 1002840705 10 Physicians 91 Sangamon 0 1 Pediatrics 0 0 0 0 1 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 196 0 0 0 0 0 0 212 0 0 1002840881 1013205046 10 Physicians TANTOCO JAMEE CASTILLO 602011700 200 Cook 0 0 Allergy-Immunization 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 395 0 0 0 0 0 0 395 0 0 1002841057 1215227574 10 Physicians CRAIOVEANU ANNA 606313222 200 Cook 0 1 Family Practice 0 0 0 0 5 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 521 0 0 0 0 0 0 0 0 364 0 0 0 0 0 0 885 0 0 1002841637 1669679437 10 Physicians KRISHNAMOORTHI VENKATESAN 605275965 30 DuPage 0 0 Internal Medicine 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 0 444 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 444 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 758 0 0 0 0 0 0 758 0 0 1002842326 1013233006 10 Physicians ESPARZA NEREIDA 49154480 200 Cook 0 1 Family Practice 0 0 0 0 12 0 0 0 0 0 0 2 0 83 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 2 0 121 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 2 0 121 0 0 0 0 0 0 0 0 0 681 0 0 0 0 0 0 5 0 3303 0 0 0 0 0 0 3989 0 0 1002842430 1164650107 10 Physicians MARINELLI MELISSA 606313222 200 Cook 0 0 Emergency Medicine 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 0 137 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 4325 0 0 0 0 0 0 4325 0 0 1002842590 1194145391 11 Dentists ARBOLEDA CLEIDY 607144001 200 Cook 0 0 General Dentistry 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 33951 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33951 0 0 1002842794 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 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 15247 0 0 0 0 0 0 0 0 0 0 0 0 0 15247 0 0 1002842848 1336448927 10 Physicians ZONG KANGNI 606546793 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1825 0 0 0 0 0 0 1825 0 0 1002843129 98 Waiver service provider--TBI (DHS/DRS) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2294 0 0 0 0 0 0 0 0 0 0 0 0 0 2294 0 0 1002843846 1003100629 10 Physicians HEIDMANN DIANE M 606118709 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 112 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 0 739 0 0 0 0 0 0 739 0 0 1002844665 1669805313 16 Nurse Practitioners WARNER EMILY A 617043739 72 McLean 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 1009 0 0 0 0 0 0 1009 0 0 1002845224 1851589212 10 Physicians CRISOSTOMO PAUL 601545716 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 668 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 668 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 269 0 15889 0 0 0 0 0 0 16158 0 0 1002847843 13 Podiatrists 57 Lake 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 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 0 124 0 0 0 0 0 0 124 0 0 1002848341 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 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 0 858 0 0 0 0 0 0 0 0 0 0 0 0 0 858 0 0 1002848424 1841518362 10 Physicians ADIUTORI LISA 606123748 200 Cook 0 0 Anesthesiology 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 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 14827 0 0 0 0 0 0 14827 0 0 1002850449 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 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 780 780 0 0 1002850649 1639337793 10 Physicians SHERMAN JONATHAN 604532600 200 Cook 0 0 Otolaryngology 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 0 463 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 463 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32866 0 0 0 0 0 0 32866 0 0 1002850740 1578856035 10 Physicians KALAKOTA NANDINI 752022703 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 190 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 2698 0 0 0 0 0 0 2698 0 0 1002851385 55 Early Intervention Services 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 0 232 0 0 0 0 0 0 232 0 0 1002851586 4002851586 90 Waiver service provider--Elderly (DOA) NEW AGE ELDER CARE INC 606591216 200 Cook 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 6454 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6454 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 651636 0 0 0 0 0 0 0 0 0 0 0 0 0 651636 0 0 1002851830 1811397904 22 Physical Therapists TOOMBS DENISE O 606234458 200 Cook 0 0 0 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 1647 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 0 0 0 0 0 0 0 0 0 0 0 0 139035 139035 0 0 1002852557 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 10546 0 0 0 0 0 0 0 0 0 0 0 0 0 10546 0 0 1002853062 1104255215 61 Independent Laboratories ETHOS LABORATORIES 410711803 818 Kentucky 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 0 259 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 19214 0 0 0 0 0 0 0 0 19214 0 0 1002853493 1720107261 10 Physicians MIJAL SARA 999999999 109 Winnebago 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 7 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 6533 0 0 0 0 0 0 6557 0 0 1002853549 1891127395 16 Nurse Practitioners NICHOLLS KRISTEN 601228942 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 55 0 0 1002853680 1669812582 40 Federally Qualified Health Centers ESPERANZA HEALTH CTR MARQUETTE 606292821 200 Cook 0 1 0 0 497 0 167 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1776 0 523 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1776 0 523 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124363 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124363 0 0 1002854457 1225284888 10 Physicians SHANE MICHAEL B 602011700 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 6088 0 0 0 0 0 0 6100 0 0 1002855861 1669607099 10 Physicians CEKOVA ELEONORA 60007 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 8 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 8780 0 0 0 0 0 0 8808 0 0 1002856418 1952678468 64 Imaging Services IMAGING CENTERS OF AMERICA 605029300 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3831 0 0 0 0 0 0 3831 0 0 1002856422 1053740597 91 Waiver service provider--Adults (DHS/DDD) ROBINSON RESSLER DONNA LYNN 608043956 200 Cook 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 0 136 0 0 0 0 0 0 0 0 0 0 0 0 0 136 0 0 1002856652 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 27248 0 0 0 0 0 0 0 0 0 0 0 0 0 27248 0 0 1002857364 1982980314 16 Nurse Practitioners HOLLAND SUZANNE 606313222 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1090 0 0 0 0 0 0 1090 0 0 1002857873 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 0 365 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 29970 0 0 0 0 0 0 0 0 0 0 0 0 0 29970 0 0 1002858387 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 0 156 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 0 0 0 0 0 30222 0 0 0 0 0 0 0 0 0 0 0 0 0 30222 0 0 1002859077 1669806600 12 Optometrists EYLER ELIZABETH A 617011784 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 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 0 390 0 0 0 0 0 0 390 0 0 1002859170 1699939892 10 Physicians SATEESHA PRIYA 601228942 53 Kane 0 0 Cardiology 0 0 0 0 0 0 0 0 0 0 0 0 0 345 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 565 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 565 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4848 0 0 0 0 0 0 4848 0 0 1002859688 33 Nursing Facilities 106 Whiteside 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 0 120 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11055 0 0 0 0 0 0 0 11055 0 0 1002860379 1992016901 10 Physicians LOVE NICHOLAS 606730001 200 Cook 0 1 Family Practice 0 0 0 0 1 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 1482 0 0 0 0 0 0 1712 0 0 1002860518 1770750804 10 Physicians THAKKAR NIRAV 604621982 200 Cook 0 0 Otolaryngology 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 0 118 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 2782 0 0 0 0 0 0 2782 0 0 1002860525 1225018203 10 Physicians PETER OLUSOJI 606084686 200 Cook 0 0 Internal Medicine 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 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 127655 0 0 0 0 0 0 127655 0 0 1002861067 24 Speech Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 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 6215 6215 0 0 1002861578 1427360429 10 Physicians HILL STEPHEN W 618012529 19 Champaign 0 1 Family Practice 0 0 0 0 2 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 154 0 0 0 0 0 0 0 0 6221 0 0 0 0 0 0 6375 0 0 1002862294 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 1002862427 1548561392 10 Physicians PHILBIN NORA 616157483 80 Peoria 0 0 Pediatrics 0 0 0 0 31 0 0 0 0 0 0 8 0 28 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 8 0 31 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 8 0 31 0 0 0 0 0 0 0 0 0 2884 0 0 0 0 0 0 35 0 1431 0 0 0 0 0 0 4350 0 0 1002862488 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 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 15 15 0 0 1002862573 1528294097 10 Physicians LICHON VANESSA 606740018 200 Cook 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 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 0 105 0 0 0 0 0 0 105 0 0 1002862689 1174821540 10 Physicians PYLE NATHAN 625264163 63 Macon 0 0 Internal Medicine 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 0 221 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 7227 0 0 0 0 0 0 7227 0 0 1002862750 1780971333 10 Physicians KOTINI SHAH PAVITRA 606123748 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 4 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 5275 0 0 0 0 0 0 5362 0 0 1002863035 1689082174 16 Nurse Practitioners DERRICK KATHY 618012529 19 Champaign 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 153 0 0 0 0 0 0 0 0 851 0 0 0 0 0 0 1004 0 0 1002863788 91 Waiver service provider--Adults (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 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22960 0 0 0 0 0 0 0 0 0 0 0 0 0 22960 0 0 1002863802 1194133280 60 Pharmacies MARIANOS PHARMACY 8517 604535504 200 Cook 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 0 341 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14518 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8234 0 0 0 8234 0 0 1002864427 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 0 336 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 27702 0 0 0 0 0 0 0 0 0 0 0 0 0 27702 0 0 1002864429 12 Optometrists 200 Cook 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 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 82 0 0 0 0 0 0 82 0 0 1002864648 1770787673 10 Physicians ANSARI MUHAMMAD 604404708 107 Will 0 1 Family Practice 0 0 0 0 0 0 0 0 0 0 0 1 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2451 0 0 0 0 0 0 2451 0 0 1002864724 1659689461 10 Physicians ALLEY ROBIN 627949248 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3001 0 0 0 0 0 0 3001 0 0 1002864804 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 0 269 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 269 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 1002864888 1710183330 10 Physicians MOHAN RAVI 370275339 200 Cook 0 0 Family Practice 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 0 142 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 0 0 0 0 0 0 0 0 0 0 6235 0 0 0 0 0 0 6235 0 0 1002865293 1780648998 10 Physicians BATRA SUKHPREET 606751611 200 Cook 0 0 Otolaryngology 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 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3142 0 0 0 0 0 0 3142 0 0 1002865873 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 47 0 0 1002866428 1063552412 10 Physicians DESAI SHILPA V 601533328 200 Cook 0 1 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1830 0 0 0 0 0 0 1830 0 0 1002866632 1093979486 10 Physicians ONG ARCHIE 600761214 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 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 2298 0 0 0 0 0 0 2298 0 0 1002866634 1457623357 10 Physicians BEHL ANKUR R 610213116 60 Lee 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 79 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 144 0 374 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 144 0 374 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1982 0 10964 0 0 0 0 0 0 12946 0 0 1002866816 1821319591 10 Physicians MUSTAFA FAHAD 604613168 200 Cook 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 1 0 22 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 26 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 26 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 561 0 0 0 0 0 0 647 0 0 1002866980 1760611669 24 Speech Therapists MARRERO MAGALY E 606574631 200 Cook 0 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 0 836 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 836 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64930 64930 0 0 1002867246 1235387085 10 Physicians KHAN SAKIB 606776473 200 Cook 0 0 Anesthesiology 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 0 400 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 400 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4508 0 0 0 0 0 0 4508 0 0 1002867391 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 27879 0 0 0 0 0 0 0 0 0 0 0 0 0 27879 0 0 1002867590 10 Physicians 200 Cook 0 0 Radiation Oncology 0 0 0 0 0 0 0 0 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 0 125 0 0 0 0 0 0 125 0 0 1002867758 10 Physicians 35 Ford 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 616 0 0 0 0 0 0 616 0 0 1002868282 16 Nurse Practitioners 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1002868573 1427073352 10 Physicians PRANSHU ADAVADKAR 750576424 19 Champaign 0 0 Pediatrics 0 0 0 0 3 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 0 0 255 0 0 0 0 0 0 0 0 12858 0 0 0 0 0 0 13113 0 0 1002869007 1518306224 16 Nurse Practitioners TORRES BETTINA 606118709 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1264 0 0 0 0 0 0 1264 0 0 1002869019 1710273669 10 Physicians LAMBERT CARL 606751611 63 Macon 0 0 Family Practice 0 0 0 0 1 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 38 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 336 0 0 0 0 0 0 453 0 0 1002869127 1356775720 12 Optometrists KVITLE JASON 623014438 10 Adams 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 113 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 357 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 357 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4930 0 132 0 0 0 0 5062 0 0 1002870296 16 Nurse Practitioners 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1002870719 1922233279 10 Physicians NGUYEN DAVID 753120288 96 St Clair 0 0 Emergency Medicine 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 0 111 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 5439 0 0 0 0 0 0 5439 0 0 1002870743 1609009208 10 Physicians DECARIA BRUNO 606118709 200 Cook 0 0 Anesthesiology 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 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 4759 0 0 0 0 0 0 4759 0 0 1002870922 10 Physicians 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 184 0 0 0 0 0 0 184 0 0 1002870997 1598968976 10 Physicians PFANZELTER NICKLAS ROBERT 602011718 200 Cook 0 0 Oncology 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1296 0 0 0 0 0 0 1296 0 0 1002871365 1346536638 10 Physicians ALEKSANDROVA IRYNA 606253500 200 Cook 0 0 Family Practice 0 0 0 0 7 0 0 0 0 0 0 1 0 30 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 1 0 81 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 1 0 81 0 0 0 0 0 0 0 0 0 887 0 0 0 0 0 0 15 0 507 0 0 0 0 0 0 1409 0 0 1002871497 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 0 154 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 15753 0 0 0 0 0 0 0 0 0 0 0 0 0 15753 0 0 1002871546 10 Physicians 66 Marion 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 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 0 313 0 0 0 0 0 0 313 0 0 1002872294 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 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60523 0 0 0 0 0 0 0 0 0 0 0 0 0 60523 0 0 1002872415 1922392307 10 Physicians CURIEL CHRISTIAN 606321849 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 881 0 0 0 0 0 0 881 0 0 1002873437 1215184353 10 Physicians KHAN FARHANA A 616370001 80 Peoria 0 1 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 7 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 158 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 158 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 2083 0 0 0 0 0 0 2133 0 0 1002873850 10 Physicians 200 Cook 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 0 175 0 0 0 0 0 0 175 0 0 1002874014 1629407069 61 Independent Laboratories EXACT SCIENCES CORPORATION 537132723 852 Wisconsin 0 0 0 0 0 0 0 0 0 0 0 0 0 421 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 421 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 421 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120887 0 0 0 0 0 0 0 0 120887 0 0 1002874026 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 0 525 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 525 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56635 0 0 0 0 0 0 0 0 0 0 0 0 0 56635 0 0 1002874559 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 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 8981 0 0 0 0 0 0 0 0 0 0 0 0 0 8981 0 0 1002874931 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 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 62 0 0 1002876003 1902014962 10 Physicians HASSAN SYED 606751611 200 Cook 0 0 Internal 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 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 0 272 0 0 0 0 0 0 272 0 0 1002876702 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 0 209 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 8294 0 0 0 0 0 0 0 0 0 0 0 0 0 8294 0 0 1002876980 1679739262 10 Physicians BLANCO LUIS Z 606118709 200 Cook 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 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 1483 0 0 0 0 0 0 0 0 1483 0 0 1002877798 1144629148 55 Early Intervention Services GUNINA JULIA 627621000 91 Sangamon 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 0 465 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 465 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 28188 0 0 1002877868 92 Waiver service provider--Disability (DHS/DRS) 77 Morgan 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 10813 0 0 0 0 0 0 0 0 0 0 0 0 0 10813 0 0 1002878212 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 14186 0 0 0 0 0 0 0 0 0 0 0 0 0 14186 0 0 1002878221 1598785008 10 Physicians SCHULTE SUZANNE 606112991 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2765 0 0 0 0 0 0 2765 0 0 1002878621 1508294547 16 Nurse Practitioners PIATEK SPRING S 601228942 53 Kane 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 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 0 354 0 0 0 0 0 0 354 0 0 1002879950 91 Waiver service provider--Adults (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 293 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 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1002880346 1114060514 10 Physicians CHEN STEPHEN 627949248 91 Sangamon 0 0 Cardiovascular Diseases 0 0 0 0 0 0 0 0 0 0 0 1 0 495 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 909 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 909 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6950 0 0 0 0 0 0 6950 0 0 1002880629 1124393053 16 Nurse Practitioners CARLUCCI MELISSA 999999999 200 Cook 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 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 0 904 0 0 0 0 0 0 904 0 0 1002881284 1871770537 10 Physicians MONTEVECCHI MAURO V 616145016 80 Peoria 0 0 Internal Medicine 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 0 420 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 420 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3089 0 0 0 0 0 0 3089 0 0 1002882534 1891110359 16 Nurse Practitioners ROTH BRITTANY 606118709 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 835 0 0 0 0 0 0 835 0 0 1002883109 1508152315 10 Physicians KATERJI BASEL 606775618 200 Cook 0 0 Pediatrics 0 0 0 0 31 0 0 0 0 0 0 3 0 59 0 0 0 0 0 0 0 0 0 112 0 0 0 0 0 0 3 0 119 0 0 0 0 0 0 0 0 0 112 0 0 0 0 0 0 3 0 119 0 0 0 0 0 0 0 0 0 4315 0 0 0 0 0 0 47 0 4570 0 0 0 0 0 0 8932 0 0 1002883726 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 0 209 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 26508 0 0 0 0 0 0 0 0 0 0 0 0 0 26508 0 0 1002883894 1942391727 16 Nurse Practitioners FRANK JENNIFER 627083428 91 Sangamon 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 0 131 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 1924 0 0 0 0 0 0 1924 0 0 1002883904 92 Waiver service provider--Disability (DHS/DRS) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 26337 0 0 0 0 0 0 0 0 0 0 0 0 0 26337 0 0 1002883938 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 13295 0 0 0 0 0 0 0 0 0 0 0 0 0 13295 0 0 1002884197 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 98 0 0 0 0 0 0 98 0 0 1002885728 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4517 0 0 0 0 0 0 0 0 0 0 0 0 0 4517 0 0 1002885849 1285980151 46 Ambulatory Surgical Treatment Centers GOOD SAMARITAN SURGERY CENTER 628642476 49 Jefferson ASTC Ambulatory Surgical Treatment Center. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 10077 0 0 0 0 0 10077 0 0 1002886490 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 0 250 0 0 0 0 0 0 0 0 0 0 0 0 0 250 0 0 1002887187 1346482874 10 Physicians CHI SUYIN 463201936 815 Indiana 0 0 Infectious Diseases 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 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 1616 0 0 0 0 0 0 1616 0 0 1002887251 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 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 11214 0 0 0 0 0 0 0 0 0 0 0 0 0 11214 0 0 1002888590 1235459504 10 Physicians SEN DEEPALI P 631600352 10 Adams 0 0 Rheumatology 0 0 0 0 0 0 0 0 0 0 0 1 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 4410 0 0 0 0 0 0 4412 0 0 1002888847 1386999662 46 Ambulatory Surgical Treatment Centers PALOS HILLS SURGERY CENTER LLC 604651971 200 Cook 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 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1002888852 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 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27847 0 0 0 0 0 0 0 0 0 0 0 0 0 27847 0 0 1002889168 1477952729 16 Nurse Practitioners MARKS NICOLE 999999999 30 DuPage 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 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 1376 0 0 0 0 0 0 1376 0 0 1002889906 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 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 1059 1059 0 0 1002890629 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 11861 0 0 0 0 0 0 0 0 0 0 0 0 0 11861 0 0 1002890747 1790126993 22 Physical Therapists KENNEDY SARAH E 600771009 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 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14935 14935 0 0 1002890843 1477831931 10 Physicians ELPERIN ALINA B. 602011718 200 Cook 0 1 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 6 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 2990 0 0 0 0 0 0 3023 0 0 1002891545 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 0 196 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 41412 0 0 0 0 0 0 0 0 0 0 0 0 0 41412 0 0 1002891959 1770842825 10 Physicians LIANG JING 600162359 200 Cook 0 0 Physical Medicine/Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 7 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 139 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 139 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 111 0 1187 0 0 0 0 0 0 1298 0 0 1002891972 1891136149 40 Federally Qualified Health Centers VNA HEALTH CARE 605053137 53 Kane 0 1 0 0 1522 0 576 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6014 0 1762 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6014 0 1762 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 502569 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 502569 0 0 1002893596 1477842698 10 Physicians GROOTHUIS ELIZABETH 606112615 200 Cook 0 0 Pediatrics 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 0 513 0 0 0 0 0 0 513 0 0 1002893819 1376974170 60 Pharmacies MARIANOS PHARMACY 8520 606086251 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 0 526 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19069 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19744 0 0 0 19744 0 0 1002894462 1316282130 36 Community mental health provider CENTERSTONE OF ILLINOIS INC 629035912 47 Jackson 0 0 0 271 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 190 0 0 1216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2652 0 0 1216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2652 0 0 32635 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 284497 0 0 317132 0 0 1002895367 1972570083 16 Nurse Practitioners WISEMAN KIMBERLY S 503054827 816 Iowa 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 38 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 84 0 0 0 0 0 0 0 0 9674 0 0 0 0 0 0 9758 0 0 1002895424 1497075600 10 Physicians WOZNICA MAURA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 47 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 5914 0 0 0 0 0 0 5919 0 0 1002895906 1689937013 24 Speech Therapists STERN MARISSA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4041 4041 0 0 1002895972 1386930675 10 Physicians NAJAM SAIMA 606930001 200 Cook 0 1 Family Practice 0 0 0 0 16 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 1501 0 0 0 0 0 0 0 0 1916 0 0 0 0 0 0 3417 0 0 1002896099 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 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 0 157 0 0 0 0 0 0 0 0 0 0 0 0 0 157 0 0 1002896583 1467559120 33 Nursing Facilities APERION CARE HIGHWOOD 600401813 57 Lake 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 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4776 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 658201 0 0 0 0 0 0 0 658201 0 0 1002897323 1356316616 10 Physicians MIEDEMA JOAN 605277594 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 756 0 0 0 0 0 0 756 0 0 1002897968 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 423 0 0 0 0 0 0 0 0 0 0 0 0 0 423 0 0 1002898317 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 10084 0 0 0 0 0 0 0 0 0 0 0 0 0 10084 0 0 1002898622 1891108957 12 Optometrists BRADFORD TYLER 999999999 108 Williamson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 341 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 341 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6817 0 0 0 0 0 0 6817 0 0 1002899022 1689820706 10 Physicians PLACIDO JEREMIAH B 600621561 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 900 0 378 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7233 0 443 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7233 0 443 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41982 0 50704 0 0 0 0 0 0 92686 0 0 1002899231 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 0 185 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 28934 0 0 0 0 0 0 0 0 0 0 0 0 0 28934 0 0 1002899558 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 0 103 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 15094 0 0 0 0 0 0 0 0 0 0 0 0 0 15094 0 0 1002899862 1306900378 10 Physicians OBRIEN MATTHEW 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 620 0 0 0 0 0 0 620 0 0 1002900339 10 Physicians 30 DuPage 0 0 Pediatric Cardiology 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 340 0 0 0 0 0 0 340 0 0 1002901494 1942344114 16 Nurse Practitioners WHELAN JILL 605639791 30 DuPage 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 522 0 0 0 0 0 0 0 0 331 0 0 0 0 0 0 853 0 0 1002901972 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 28555 0 0 0 0 0 0 0 0 0 0 0 0 0 28555 0 0 1002902700 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 19872 0 0 0 0 0 0 0 0 0 0 0 0 0 19872 0 0 1002903235 1982848206 10 Physicians QUINN MICHELLE 608052703 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 4 0 0 0 0 0 0 24 0 71 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 34 0 147 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 34 0 147 0 0 0 0 0 0 0 0 0 729 0 0 0 0 0 0 2153 0 9267 0 0 0 0 0 0 12149 0 0 1002903421 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 0 243 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 0 0 0 0 0 0 0 0 0 0 0 0 12658 0 0 0 0 0 0 0 0 0 0 0 0 0 12658 0 0 1002903439 1033365978 10 Physicians MESLEH MARC 606313222 200 Cook 0 0 Surgery General 0 0 0 0 0 0 0 0 0 0 0 1 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 4533 0 0 0 0 0 0 4551 0 0 1002903958 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12825 0 0 0 0 0 0 0 0 0 0 0 0 0 12825 0 0 1002903982 1346439015 10 Physicians PINCHCOFSKY HOWARD A 601224062 53 Kane 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 289 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 392 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 392 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8642 0 1472 0 0 0 0 0 0 10114 0 0 1002904051 1255684635 13 Podiatrists BOUMENDJEL YELENA 604531836 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 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 66 0 0 0 0 0 0 66 0 0 1002904061 1417392739 10 Physicians MOORE DESHON T 606313222 200 Cook 0 0 Emergency Medicine 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 0 208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5327 0 0 0 0 0 0 5327 0 0 1002904089 1366733784 10 Physicians SHERIFF ASIM S 80962739 200 Cook 0 0 Emergency 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 0 240 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 12304 0 0 0 0 0 0 12304 0 0 1002904200 1154749620 16 Nurse Practitioners TRSAR JENNIFER 606313222 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 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 0 680 0 0 0 0 0 0 680 0 0 1002904364 1346521630 36 Community mental health provider ROSECRANCE BELVIDERE CLINIC 610086512 13 Boone 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 89 0 0 264 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 636 0 0 264 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 636 0 0 7821 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52759 0 0 60580 0 0 1002904500 16 Nurse Practitioners 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 220 0 0 1002904756 1023245446 13 Podiatrists PATEL JAGRUTI 618012529 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3178 0 0 0 0 0 0 3178 0 0 1002905098 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 28382 0 0 0 0 0 0 0 0 0 0 0 0 0 28382 0 0 1002907045 1821369265 10 Physicians CIPRIANI NICOLE A 605275965 30 DuPage 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 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1803 0 0 0 0 0 0 0 0 1803 0 0 1002907078 1144652025 16 Nurse Practitioners STEVENS SCOTT 618012529 19 Champaign 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 0 620 0 0 0 0 0 0 620 0 0 1002907110 1841218328 10 Physicians GEORGE PAULA 63110 826 Missouri 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 9 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 134 0 215 0 0 0 0 0 0 349 0 0 1002907144 1316282007 36 Community mental health provider CENTERSTONE OF ILLINOIS INC 999999999 90 Saline 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 787 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 787 0 0 164 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124245 0 0 124409 0 0 1002907217 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 0 113 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 16560 0 0 0 0 0 0 0 0 0 0 0 0 0 16560 0 0 1002907302 1144475435 10 Physicians CO MATTHEW A. 602011718 200 Cook 0 0 Physical Medicine/Rehabilitation 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 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1372 0 0 0 0 0 0 1372 0 0 1002907780 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18101 0 0 0 0 0 0 0 0 0 0 0 0 0 18101 0 0 1002908566 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28168 0 0 0 0 0 0 0 0 0 0 0 0 0 28168 0 0 1002908910 1336400902 55 Early Intervention Services SOWA JENNIFER 531428871 852 Wisconsin 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 0 251 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 15380 0 0 0 0 0 0 15380 0 0 1002909148 1710187836 10 Physicians DANDEKAR VINEET K 606313222 200 Cook 0 0 Cardiology 0 0 0 0 0 0 0 0 0 0 0 2 0 265 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 465 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 465 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 76 0 6804 0 0 0 0 0 0 6880 0 0 1002910191 1760771968 10 Physicians AUBEID FIRAS 606313222 200 Cook 0 0 Internal Medicine 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 0 537 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 537 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4187 0 0 0 0 0 0 4187 0 0 1002910614 1801079652 10 Physicians SALAZAR DANE 601545716 200 Cook 0 0 Orthopedic Surgery 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 0 196 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 5721 0 0 0 0 0 0 5721 0 0 1002910723 1871735290 10 Physicians WIEPERT NICHOLE 601783160 27 Dekalb 0 0 Obstetric-Gynecology 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 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 143 0 1608 0 0 0 0 0 0 1751 0 0 1002910877 1134357767 10 Physicians WILL KENNETH 605407430 30 DuPage 0 0 Emergency 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 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 1771 0 0 0 0 0 0 1771 0 0 1002911466 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 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 0 240 240 0 0 1002911829 1740496512 10 Physicians MOORE CHRISTOPHER 606118709 200 Cook 0 0 Gastroenterology 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 0 161 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 4893 0 0 0 0 0 0 4893 0 0 1002912601 1144476516 10 Physicians AWATRAMANI SEEMA 606777007 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 1262 0 0 0 0 0 0 1290 0 0 1002912690 10 Physicians 91 Sangamon 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 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 0 102 0 0 0 0 0 0 102 0 0 1002912791 10 Physicians 200 Cook 0 0 Obstetrics 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3261 0 0 0 0 0 0 3261 0 0 1002912807 1386070480 16 Nurse Practitioners BROCK THEODORE 601344220 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 490 0 0 0 0 0 0 490 0 0 1002913131 1689819138 10 Physicians RANGU MOHAN VENU M 627047452 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5002 0 0 0 0 0 0 5002 0 0 1002913192 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 0 319 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 0 0 0 0 0 0 0 0 0 0 0 0 20792 0 0 0 0 0 0 0 0 0 0 0 0 0 20792 0 0 1002913466 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1007 0 0 0 0 0 0 0 0 0 0 0 0 0 1007 0 0 1002914051 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 15143 0 0 0 0 0 0 0 0 0 0 0 0 0 15143 0 0 1002914313 1821226325 10 Physicians CRAWFORD JESSICA A 627047452 91 Sangamon 0 0 Anesthesiology 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 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 5273 0 0 0 0 0 0 5273 0 0 1002914713 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 35393 0 0 0 0 0 0 0 0 0 0 0 0 0 35393 0 0 1002916051 1932362241 10 Physicians POOLA RAMA 627949636 91 Sangamon 0 0 Endocrinology 0 0 0 0 0 0 0 0 0 0 0 7 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 172 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 172 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 2097 0 0 0 0 0 0 2148 0 0 1002916564 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 24409 0 0 0 0 0 0 0 0 0 0 0 0 0 24409 0 0 1002916715 1013243476 10 Physicians KHAIROVA RUSHANIYA 631101010 826 Missouri 0 0 Psychiatry 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 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 1104 0 0 0 0 0 0 1104 0 0 1002917024 1528279783 10 Physicians REUTER ROBERT 601975594 30 DuPage 0 0 Radiology Diagnosis 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 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 1366 0 0 0 0 0 0 0 0 1366 0 0 1002917277 1184606022 10 Physicians IFTIKHAR SHAUKAT 477061510 30 DuPage 0 0 Gastroenterology 0 0 0 0 0 0 0 0 0 0 0 1 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2827 0 0 0 0 0 0 2827 0 0 1002917688 10 Physicians 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 52 0 0 1002918024 1104146539 10 Physicians GIAMALVA ANDREA N 611081673 109 Winnebago 0 1 Family Practice 0 0 0 0 13 0 0 0 0 0 0 2 0 23 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 2 0 31 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 2 0 31 0 0 0 0 0 0 0 0 0 617 0 0 0 0 0 0 45 0 989 0 0 0 0 0 0 1651 0 0 1002918097 1245491620 10 Physicians BOUFFARD KARINA 606113167 200 Cook 0 0 Physical Medicine/Rehabilitation 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 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 0 281 0 0 0 0 0 0 281 0 0 1002918579 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 0 172 0 0 0 0 0 0 0 0 0 0 0 0 0 172 0 0 1002918786 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28841 0 0 0 0 0 0 0 0 0 0 0 0 0 28841 0 0 1002919368 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 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24316 0 0 0 0 0 0 0 0 0 0 0 0 0 24316 0 0 1002919582 1841604014 10 Physicians GHELANI NEAL 606781034 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3351 0 0 0 0 0 0 3351 0 0 1002920540 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 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 2446 0 0 0 0 0 0 0 0 0 0 0 0 0 2446 0 0 1002921450 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 0 110 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 30445 0 0 0 0 0 0 0 0 0 0 0 0 0 30445 0 0 1002921941 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1002922176 1013340389 30 General Hospitals FRESENIUS MEDICAL CARE MELROSE 601604156 803 Arizona DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 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 3141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48862 0 0 0 0 0 48862 0 0 1002922890 91 Waiver service provider--Adults (DHS/DDD) 21 Clark 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20295 0 0 0 0 0 0 0 0 0 0 0 0 0 20295 0 0 1002922932 1831212901 16 Nurse Practitioners BARTLOW JULIE 614553315 70 McDonough 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 3562 0 0 0 0 0 0 3677 0 0 1002923309 1922319839 10 Physicians ECHEAZU CHINELO 999999999 63 Macon 0 0 0 0 0 0 1 0 0 0 0 0 0 24 0 31 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 62 0 53 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 62 0 53 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 1555 0 3640 0 0 0 0 0 0 5200 0 0 1002923536 1003131657 10 Physicians PHELPS PAUL O. 602011700 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 406 0 0 0 0 0 0 406 0 0 1002923764 1588063994 16 Nurse Practitioners CASSIDY GWEN M. 606118709 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 611 0 0 0 0 0 0 611 0 0 1002923779 1689811978 10 Physicians KARANASTASIS GEORGIOS 604772078 200 Cook 0 0 General Practice 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 0 113 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 0 528 0 0 0 0 0 0 528 0 0 1002924051 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 28909 0 0 0 0 0 0 0 0 0 0 0 0 0 28909 0 0 1002924848 1487693628 10 Physicians PRIMER JASON 606118709 200 Cook 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 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 0 376 0 0 0 0 0 0 376 0 0 1002925731 1093028359 10 Physicians MACAGBA GLADYS 606313222 200 Cook 0 0 Internal 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 0 307 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 5454 0 0 0 0 0 0 5454 0 0 1002925810 1942461231 10 Physicians WADHWA ANUPAMA 601875426 30 DuPage 0 0 Psychiatry 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 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 6671 0 0 0 0 0 0 6671 0 0 1002926262 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 1166 0 0 0 0 0 0 0 0 0 0 0 0 0 1166 0 0 1002926407 1205127339 10 Physicians BARBAS BRIAN 606910263 63 Macon 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 147 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 147 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4815 0 0 0 0 0 0 4815 0 0 1002927038 1891951307 10 Physicians SCHNEIDER JOHN S 631600352 200 Cook 0 0 Otolaryngology 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 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 0 564 0 0 0 0 0 0 564 0 0 1002927045 92 Waiver service provider--Disability (DHS/DRS) 13 Boone 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 33481 0 0 0 0 0 0 0 0 0 0 0 0 0 33481 0 0 1002927088 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 0 0 0 0 0 0 0 0 0 27669 0 0 0 0 0 0 0 0 0 0 0 0 0 27669 0 0 1002927095 1033448147 10 Physicians APPLEBAUM MARK 605276686 200 Cook 0 0 Pediatrics 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 0 644 0 0 0 0 0 0 644 0 0 1002927206 1851525190 10 Physicians ZAYED MOHAMED 631600352 30 DuPage 0 0 Vascular Surgery 0 0 0 0 0 0 0 0 0 0 0 2 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 1642 0 0 0 0 0 0 1654 0 0 1002927554 1063709236 10 Physicians HENRY JOSIA 631418573 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 275 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 3323 0 0 0 0 0 0 3323 0 0 1002929569 1255582896 10 Physicians STEWART AMY A 606313222 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 283 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 283 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 16117 0 0 0 0 0 0 16168 0 0 1002929780 1801912621 10 Physicians GANDHI RUPALI 606313222 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 9 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 178 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 178 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 241 0 4075 0 0 0 0 0 0 4316 0 0 1002930102 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 56904 0 0 0 0 0 0 0 0 0 0 0 0 0 56904 0 0 1002930225 1508064932 10 Physicians DAVENPORT CRAIG R. 623014038 10 Adams 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 23 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 241 0 12394 0 0 0 0 0 0 12635 0 0 1002930953 1548581226 10 Physicians DICKERSON DAVID M 602011700 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 380 0 0 0 0 0 0 380 0 0 1002931475 10 Physicians 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1002931508 1548689367 16 Nurse Practitioners MCLAURIN LESLIE 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 0 200 0 0 0 0 0 0 200 0 0 1002931521 1740446806 10 Physicians ROSS MICHAEL J 602011700 200 Cook 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 7 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 121 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 121 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 2506 0 0 0 0 0 0 2516 0 0 1002932275 1477780310 10 Physicians PRICE EVAN 601545716 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 1 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 181 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 181 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1892 0 0 0 0 0 0 1892 0 0 1002932392 1851793285 28 Waiver service provider--Supportive living facility (HFS) TIMBERLAKE SENIOR LIVING 999999999 91 Sangamon 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 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 193603 0 0 0 0 0 0 0 0 0 0 0 0 0 193603 0 0 1002932728 1225438278 16 Nurse Practitioners KOSHY JENNY 601228942 53 Kane 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 221 0 0 0 0 0 0 0 0 2068 0 0 0 0 0 0 2289 0 0 1002933157 1740329747 11 Dentists ELTINK ANTHONY 606476569 200 Cook 0 0 General Dentistry 0 0 0 15 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 9883 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9883 0 0 1002933261 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2763 0 0 0 0 0 0 0 0 0 0 0 0 0 2763 0 0 1002933321 1891989703 10 Physicians GARVEY JOAN 601228942 30 DuPage 0 0 Family Practice 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 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 1136 0 0 0 0 0 0 1136 0 0 1002933584 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 0 156 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 0 0 0 0 0 25373 0 0 0 0 0 0 0 0 0 0 0 0 0 25373 0 0 1002933993 1760791917 16 Nurse Practitioners RICHARDSON MELISSA 28950784 108 Williamson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 368 0 0 0 0 0 0 368 0 0 1002934202 1255610937 10 Physicians YEN SUNTO 601542768 200 Cook 0 0 General Practice 0 0 0 0 0 0 0 0 0 0 0 11 0 265 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 3477 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 3477 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 217 0 8718 0 0 0 0 0 0 8935 0 0 1002934369 1407172703 10 Physicians JAGWANI SHANA S. 602011718 200 Cook 0 0 Internal Medicine 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 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 1194 0 0 0 0 0 0 1194 0 0 1002934477 1922245737 10 Physicians LEVY BENJAMIN 606081797 200 Cook 0 0 Gastroenterology 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 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 1751 0 0 0 0 0 0 1751 0 0 1002934486 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 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 19176 0 0 0 0 0 0 0 0 0 0 0 0 0 19176 0 0 1002934879 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22455 0 0 0 0 0 0 0 0 0 0 0 0 0 22455 0 0 1002934953 1972739647 10 Physicians GEISSLER KYLE 606442342 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 293 0 0 0 0 0 0 293 0 0 1002935137 1265694525 10 Physicians RAO MALATHI 606751611 200 Cook 0 0 Neurology 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 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 1864 0 0 0 0 0 0 1864 0 0 1002935294 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 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25273 0 0 0 0 0 0 0 0 0 0 0 0 0 25273 0 0 1002935304 1447419940 10 Physicians VO HONG X 606414127 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 22 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 1275 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 1275 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 607 0 24860 0 0 0 0 0 0 25467 0 0 1002935680 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 24883 0 0 0 0 0 0 0 0 0 0 0 0 0 24883 0 0 1002935993 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 574 0 0 0 0 0 0 0 0 0 0 0 0 0 574 0 0 1002936742 1629213210 10 Physicians MEYER JACOB 606778004 200 Cook 0 0 Obstetric-Gynecology 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 4902 0 0 0 0 0 0 4902 0 0 1002936761 4002936761 16 Nurse Practitioners FAIR JEANNINE M 601159602 27 Dekalb 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 0 265 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 1269 0 0 0 0 0 0 1269 0 0 1002936847 1437461027 10 Physicians WALDINGER JASON B 606401041 200 Cook 0 0 Dermatology 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 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 1149 0 0 0 0 0 0 1149 0 0 1002936852 1457503682 10 Physicians YORK SLOANE L 606751611 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 10 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 466 0 58101 0 0 0 0 0 0 58567 0 0 1002936957 1992745293 87 Psychologist(Encounter Only) WILLIAMS LAUREN 600047814 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 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 0 480 0 0 0 0 0 0 480 0 0 1002937137 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15625 0 0 0 0 0 0 0 0 0 0 0 0 0 15625 0 0 1002937197 1780092122 55 Early Intervention Services NEWMAN CHERYL 605405485 30 DuPage 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 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12365 0 0 0 0 0 0 12365 0 0 1002937476 1720048580 10 Physicians MIRCHANDANI PREETI 601697220 200 Cook 0 1 Pediatrics 0 0 0 0 19 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 1981 0 0 0 0 0 0 0 0 303 0 0 0 0 0 0 2284 0 0 1002937602 91 Waiver service provider--Adults (DHS/DDD) 89 Rock Island 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 184 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 25207 0 0 0 0 0 0 0 0 0 0 0 0 0 25207 0 0 1002937829 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 27641 0 0 0 0 0 0 0 0 0 0 0 0 0 27641 0 0 1002938086 10 Physicians 24 Coles 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 586 0 0 0 0 0 0 586 0 0 1002938299 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 0 166 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 13883 0 0 0 0 0 0 0 0 0 0 0 0 0 13883 0 0 1002938360 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 8953 0 0 0 0 0 0 0 0 0 0 0 0 0 8953 0 0 1002938603 1164560363 33 Nursing Facilities APERION CARE BURBANK 604591332 200 Cook 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 0 294 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6663 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 446436 0 0 0 0 0 0 0 446436 0 0 1002938775 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 272 0 0 0 0 0 0 272 0 0 1002938810 1982049268 24 Speech Therapists LANE EMMA 616114889 98 Tazewell 0 0 0 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 0 215 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 17719 17719 0 0 1002939008 1700097094 10 Physicians WADYAL CRYSTAL 49155500 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 2 0 0 0 0 0 0 69 0 106 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 134 0 173 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 134 0 173 0 0 0 0 0 0 0 0 0 168 0 0 0 0 0 0 5404 0 12909 0 0 0 0 0 0 18481 0 0 1002939306 1467617514 10 Physicians PONTINEN THOMAS 600161522 200 Cook 0 0 Anesthesiology 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 0 453 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 4252 0 0 0 0 0 0 4252 0 0 1002939520 1588892277 13 Podiatrists GURRERA ANNA C 600472339 57 Lake 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 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 0 200 0 0 0 0 0 0 200 0 0 1002939578 1851598429 10 Physicians STIRTON JOHN 620026751 65 Madison 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 83 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 213 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 213 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 476 0 11201 0 0 0 0 0 0 11677 0 0 1002939752 10 Physicians 852 Wisconsin 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 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 43 0 0 0 0 0 0 43 0 0 1002940599 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 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 4214 0 0 0 0 0 0 0 0 0 0 0 0 0 4214 0 0 1002940889 1023309093 10 Physicians REGEHR AMANDA 605064356 200 Cook 0 0 Internal Medicine 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1165 0 0 0 0 0 0 1165 0 0 1002941000 1356554075 10 Physicians SIRAJ SANYA G 601220021 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 159 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 159 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 1511 0 0 0 0 0 0 1516 0 0 1002942379 1003802265 10 Physicians VINCENT ALIX 610320857 97 Stephenson 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 55 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1870 0 63 0 0 0 0 0 0 1933 0 0 1002942403 1225266406 10 Physicians SHAH SAMEER 606253547 200 Cook 0 0 Anesthesiology 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 0 944 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 944 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6090 0 0 0 0 0 0 6090 0 0 1002942729 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 8881 0 0 0 0 0 0 0 0 0 0 0 0 0 8881 0 0 1002942813 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 18343 0 0 0 0 0 0 0 0 0 0 0 0 0 18343 0 0 1002942929 23 Occupational Therapists 71 McHenry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1353 1353 0 0 1002943139 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 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 33900 0 0 0 0 0 0 0 0 0 0 0 0 0 33900 0 0 1002943612 10 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 43 0 0 1002943645 98 Waiver service provider--TBI (DHS/DRS) 56 Knox 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 11387 0 0 0 0 0 0 0 0 0 0 0 0 0 11387 0 0 1002943693 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16781 0 0 0 0 0 0 0 0 0 0 0 0 0 16781 0 0 1002944630 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 0 326 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 0 0 0 0 0 0 0 0 0 0 0 0 22811 0 0 0 0 0 0 0 0 0 0 0 0 0 22811 0 0 1002944897 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1966 0 0 0 0 0 0 0 0 0 0 0 0 0 1966 0 0 1002945088 1184910325 10 Physicians MAINI ASHOK 612015351 89 Rock Island 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2202 0 0 0 0 0 0 2202 0 0 1002946243 1811224595 16 Nurse Practitioners WALKER JAYME 605044511 53 Kane 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 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 0 232 0 0 0 0 0 0 232 0 0 1002946483 86 Clinical Social Worker(Encounter Only) 98 Tazewell 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 43 0 0 0 0 0 0 43 0 0 1002946630 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 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 28751 0 0 0 0 0 0 0 0 0 0 0 0 0 28751 0 0 1002946995 1790189157 91 Waiver service provider--Adults (DHS/DDD) WHITEFORD KRISTEN 622081639 96 St Clair 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 1580 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1580 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124391 0 0 0 0 0 0 0 0 0 0 0 0 0 124391 0 0 1002947297 1518036425 36 Community mental health provider BEHAVIORAL SERVICES CENTER 600772272 200 Cook 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 59 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 883 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 883 0 0 2481 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74175 0 0 76656 0 0 1002947559 1023221926 10 Physicians WISE LEON J 606751186 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 474 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 659 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 659 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7984 0 870 0 0 0 0 0 0 8854 0 0 1002947714 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 4900 0 0 0 0 0 0 0 0 0 0 0 0 0 4900 0 0 1002948139 1598188617 16 Nurse Practitioners CURTISS LAWRENCE 612656106 89 Rock Island 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 0 239 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 9938 0 0 0 0 0 0 9938 0 0 1002948195 22 Physical Therapists 89 Rock Island 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 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 0 302 302 0 0 1002948300 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 0 120 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 20455 0 0 0 0 0 0 0 0 0 0 0 0 0 20455 0 0 1002948592 1538479332 10 Physicians SHARMA AMIT 606740018 200 Cook 0 1 Family Practice 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 2 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 512 0 0 0 0 0 0 519 0 0 1002949146 1063637544 10 Physicians HASSAN SYED O 535475081 24 Coles 0 0 Family Practice 0 0 0 0 2 0 0 0 0 0 0 1 0 27 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 128 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 128 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 5 0 1973 0 0 0 0 0 0 2147 0 0 1002949224 1265460133 87 Psychologist(Encounter Only) MCCLURE LISA 616370001 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 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 0 563 0 0 0 0 0 0 563 0 0 1002949459 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 0 134 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 25600 0 0 0 0 0 0 0 0 0 0 0 0 0 25600 0 0 1002949681 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4246 0 0 0 0 0 0 0 0 0 0 0 0 0 4246 0 0 1002950213 1174821177 10 Physicians RASHID YAMEEN 482781076 109 Winnebago 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2627 0 0 0 0 0 0 2627 0 0 1002950322 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 0 156 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 0 0 0 0 0 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1002950776 1528402856 16 Nurse Practitioners SIOSON ANNA MARIE C 606118709 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 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 0 447 0 0 0 0 0 0 447 0 0 1002950785 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10219 0 0 0 0 0 0 0 0 0 0 0 0 0 10219 0 0 1002951342 1154630598 60 Pharmacies GENOA HEALTHCARE LLC 606604302 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 490 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13582 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4782 0 0 0 4782 0 0 1002951719 1477873180 10 Physicians KULKARNI KIRAN 606112615 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 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 3735 0 0 0 0 0 0 3735 0 0 1002951727 16 Nurse Practitioners 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 329 0 0 0 0 0 0 329 0 0 1002951965 92 Waiver service provider--Disability (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1825 0 0 0 0 0 0 0 0 0 0 0 0 0 1825 0 0 1002952222 91 Waiver service provider--Adults (DHS/DDD) 15 Bureau 0 0 0 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 29457 0 0 0 0 0 0 0 0 0 0 0 0 0 29457 0 0 1002952594 1932396868 10 Physicians PAUL VISHESH 624502553 88 Richland 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 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7585 0 0 0 0 0 0 7585 0 0 1002953152 1215105192 10 Physicians HUESMANN GRAHAM R 618223741 19 Champaign 0 0 Neurology 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 0 302 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 302 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7442 0 0 0 0 0 0 7442 0 0 1002954331 1952689705 10 Physicians KIETZMAN TIMOTHY J 601873152 30 DuPage 0 0 Ophthalmology 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 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 79 0 0 0 0 0 0 79 0 0 1002954648 1093134934 10 Physicians GREENING HEIDI 606313222 200 Cook 0 0 Pediatrics 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 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 3765 0 0 0 0 0 0 3765 0 0 1002954762 1427289859 10 Physicians RUIZ-JORGE GRETEL 606071644 200 Cook 0 0 Internal Medicine 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 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 680 0 0 0 0 0 0 680 0 0 1002955318 10 Physicians 200 Cook 0 1 Pediatrics 0 0 0 0 3 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 463 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 561 0 0 1002956313 1295168300 91 Waiver service provider--Adults (DHS/DDD) ALVI JAWAHAR 605403854 30 DuPage 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 2244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 248082 0 0 0 0 0 0 0 0 0 0 0 0 0 248082 0 0 1002956555 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 0 168 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 28848 0 0 0 0 0 0 0 0 0 0 0 0 0 28848 0 0 1002956564 10 Physicians 80 Peoria 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 0 146 0 0 0 0 0 0 146 0 0 1002957259 1780711408 10 Physicians QAZI SARA 606112991 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 854 0 0 0 0 0 0 854 0 0 1002957625 1669716452 16 Nurse Practitioners SPACAPAN RENEE 605231557 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 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 0 575 0 0 0 0 0 0 575 0 0 1002957860 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 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1002958300 1366758658 33 Nursing Facilities APERION CARE LITCHFIELD 999999999 76 Montgomery 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 0 105 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2953 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 511484 0 0 0 0 0 0 0 511484 0 0 1002958877 1962802868 24 Speech Therapists DUCHEK ALEXANDRA 606476916 200 Cook 0 0 0 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 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16975 16975 0 0 1002958956 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 0 408 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 23113 0 0 0 0 0 0 0 0 0 0 0 0 0 23113 0 0 1002959363 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 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 10721 0 0 0 0 0 0 0 0 0 0 0 0 0 10721 0 0 1002959430 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 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23172 0 0 0 0 0 0 0 0 0 0 0 0 0 23172 0 0 1002959932 1558627521 10 Physicians ARVILLE BRENT 600680578 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 161 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 310 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 310 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4503 0 36 0 0 0 0 0 0 4539 0 0 1002959983 10 Physicians 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 260 0 0 0 0 0 0 260 0 0 1002960064 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 34650 0 0 0 0 0 0 0 0 0 0 0 0 0 34650 0 0 1002960175 10 Physicians 200 Cook 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 0 0 0 0 0 0 0 0 0 0 1002960458 1720251697 10 Physicians MOHIUDDIN MAAZ S 604030928 107 Will 0 0 Pediatrics 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 0 652 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 652 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21541 0 0 0 0 0 0 21541 0 0 1002961370 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 9001 0 0 0 0 0 0 0 0 0 0 0 0 0 9001 0 0 1002961407 1598102063 55 Early Intervention Services GOMULKA MARY 627621000 91 Sangamon 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 0 669 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 669 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39127 0 0 0 0 0 0 39127 0 0 1002961415 1427214519 33 Nursing Facilities BRIA OF WESTMONT 605593200 30 DuPage 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 0 447 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10771 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1831046 0 0 0 0 0 0 0 1831046 0 0 1002961822 1255645537 10 Physicians ADEGUNSOYE AYODEJI O 605275965 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 111 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 2676 0 0 0 0 0 0 2676 0 0 1002963077 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 0 176 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 12052 0 0 0 0 0 0 0 0 0 0 0 0 0 12052 0 0 1002963266 1134431687 10 Physicians SCHROEDER KATHERINE 953586411 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 318 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 9827 0 0 0 0 0 0 9827 0 0 1002963319 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10450 0 0 0 0 0 0 0 0 0 0 0 0 0 10450 0 0 1002963503 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 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32271 0 0 0 0 0 0 0 0 0 0 0 0 0 32271 0 0 1002963568 1174788343 10 Physicians PIETRZAK CONSTANCE 606313222 200 Cook 0 0 Gastroenterology 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1906 0 0 0 0 0 0 1906 0 0 1002963810 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 13727 0 0 0 0 0 0 0 0 0 0 0 0 0 13727 0 0 1002963985 1982839957 10 Physicians SARWAR SAJJAD 614553315 70 McDonough 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 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 3065 0 0 0 0 0 0 3065 0 0 1002964524 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 790 0 0 0 0 0 0 0 0 0 0 0 0 0 790 0 0 1002964743 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 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27734 0 0 0 0 0 0 0 0 0 0 0 0 0 27734 0 0 1002965171 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21601 0 0 0 0 0 0 0 0 0 0 0 0 0 21601 0 0 1002965175 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 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 0 180 0 0 0 0 0 0 180 0 0 1002965286 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 27329 0 0 0 0 0 0 0 0 0 0 0 0 0 27329 0 0 1002965398 1265696777 13 Podiatrists JAFFE LELAND 600643090 57 Lake 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 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 0 236 0 0 0 0 0 0 236 0 0 1002965796 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 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 2602 0 0 0 0 0 0 0 0 0 0 0 0 0 2602 0 0 1002966456 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 0 267 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 30008 0 0 0 0 0 0 0 0 0 0 0 0 0 30008 0 0 1002966629 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 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 0 252 0 0 0 0 0 0 252 0 0 1002966645 1720303993 16 Nurse Practitioners OLORUNFEMI OLATOKUNBO 606123714 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 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 72 0 0 0 0 0 0 72 0 0 1002966729 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 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14829 0 0 0 0 0 0 0 0 0 0 0 0 0 14829 0 0 1002967107 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 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 0 190 0 0 0 0 0 0 190 0 0 1002967465 10 Physicians 80 Peoria 0 1 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1002967906 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24345 0 0 0 0 0 0 0 0 0 0 0 0 0 24345 0 0 1002967949 92 Waiver service provider--Disability (DHS/DRS) 106 Whiteside 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1257 0 0 0 0 0 0 0 0 0 0 0 0 0 1257 0 0 1002968062 1346401429 10 Physicians KATZ ANNA 600483204 57 Lake 0 0 Surgery General 0 0 0 0 0 0 0 0 0 0 0 5 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 6778 0 0 0 0 0 0 6815 0 0 1002968097 1710144837 10 Physicians WADYAL SHUBHRAJAN 601691010 200 Cook 0 0 Psychiatry 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 0 641 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 26440 0 0 0 0 0 0 26440 0 0 1002969479 1912134313 10 Physicians GUSE DIANA A 606118709 200 Cook 0 1 Internal Medicine 0 0 0 0 2 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 625 0 0 0 0 0 0 814 0 0 1002970612 10 Physicians 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 79 0 0 1002971096 1043479512 10 Physicians METZ RAYMOND 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 558 0 0 0 0 0 0 594 0 0 1002971316 1710115290 10 Physicians SANFORD ANGELA 631031020 200 Cook 0 0 Geriatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 130 0 0 1002971354 1255426672 10 Physicians GOYAL MANU 631101016 109 Winnebago 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 37 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1908 0 15 0 0 0 0 0 0 1923 0 0 1002971715 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 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18759 0 0 0 0 0 0 0 0 0 0 0 0 0 18759 0 0 1002971946 1437380276 10 Physicians RIZWAN MIAN 631415047 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 268 0 0 0 0 0 0 268 0 0 1002972233 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 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 44338 0 0 0 0 0 0 0 0 0 0 0 0 0 44338 0 0 1002972370 1962602904 10 Physicians SHAD ZOHRA 606127324 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 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 0 322 0 0 0 0 0 0 322 0 0 1002972725 1982997854 10 Physicians KNOBLE EMILY 641843151 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102 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 3574 0 0 0 0 0 0 3574 0 0 1002973172 1225265044 10 Physicians SRIRATANA BINJON 60612 200 Cook 0 0 Admitting Privileges 0 0 0 0 0 0 0 0 0 0 0 2 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3724 0 0 0 0 0 0 3724 0 0 1002973192 1639439177 10 Physicians BUMATAYO ARLI 606756512 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 112 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 453 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 1642 0 0 0 0 0 0 1642 0 0 1002973240 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 358 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 358 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28922 0 0 0 0 0 0 0 0 0 0 0 0 0 28922 0 0 1002973758 1003062589 10 Physicians SCHONEBURG BERNADETTE M 602011718 200 Cook 0 0 Neurology 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 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 1223 0 0 0 0 0 0 1223 0 0 1002974116 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 0 172 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 16021 0 0 0 0 0 0 0 0 0 0 0 0 0 16021 0 0 1002974256 1538354600 10 Physicians BROMAN MICHAEL 605275965 30 DuPage 0 0 Cardiovascular Diseases 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 0 284 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 3518 0 0 0 0 0 0 3518 0 0 1002974572 10 Physicians 852 Wisconsin 0 0 Radiology Diagnosis 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 0 327 0 0 0 0 0 0 0 0 327 0 0 1002974984 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 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 7301 0 0 0 0 0 0 0 0 0 0 0 0 0 7301 0 0 1002975010 1881993269 65 Independent Diagnostic Testing Facility (IDTF) US DIAGNOSTIC IMAGING CO INC 600627158 200 Cook 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 0 151 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 0 0 0 0 0 0 0 0 0 0 0 0 1002975180 1710206784 10 Physicians STACKS SUMMERS M 601533328 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1704 0 0 0 0 0 0 1704 0 0 1002975338 1205250412 60 Pharmacies BECKS LONG TERM CARE PHARMACY 629301629 90 Saline 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 0 976 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25367 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9610 0 0 0 9610 0 0 1002975447 1417387119 16 Nurse Practitioners WILSON RICKIE 298413862 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 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 2197 0 0 0 0 0 0 2197 0 0 1002975623 1871923235 16 Nurse Practitioners SHOPINSKI JENNIFER 629596477 108 Williamson 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 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 4185 0 0 0 0 0 0 4185 0 0 1002976307 1639463458 10 Physicians BERTINI MATTHEW 605591296 30 DuPage 0 0 Family Practice 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 0 359 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 359 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11615 0 0 0 0 0 0 11615 0 0 1002976604 1437474061 10 Physicians QAZI SAIM 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 91 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 218 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 218 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2822 0 69 0 0 0 0 0 0 2891 0 0 1002976901 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 0 300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1002977206 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23286 0 0 0 0 0 0 0 0 0 0 0 0 0 23286 0 0 1002977493 1962773168 10 Physicians HUSSAIN NUZHATH 606770001 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1002978715 1124333984 10 Physicians ROTH VALERIE 606344403 200 Cook 0 0 Emergency Medicine 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 0 215 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 6925 0 0 0 0 0 0 6925 0 0 1002979118 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 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 32577 0 0 0 0 0 0 0 0 0 0 0 0 0 32577 0 0 1002979383 1568672160 10 Physicians GANJ FARNAZ 605063814 53 Kane 0 0 Obstetric-Gynecology 0 0 0 0 1 0 0 0 0 0 0 24 0 64 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 30 0 101 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 30 0 101 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 1464 0 9455 0 0 0 0 0 0 10954 0 0 1002979593 1952731325 16 Nurse Practitioners MEDLIN KIMBERLY A 601302529 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107 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 5301 0 0 0 0 0 0 5301 0 0 1002979816 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 5 0 0 0 0 0 0 5 0 0 1002980386 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 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 19343 0 0 0 0 0 0 0 0 0 0 0 0 0 19343 0 0 1002980647 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 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 9212 0 0 0 0 0 0 0 0 0 0 0 0 0 9212 0 0 1002980925 1285040865 36 Community mental health provider ROSECRANCE MULBERRY 611036746 109 Winnebago 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1036 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1036 0 0 2054 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 78211 0 0 80265 0 0 1002981689 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 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 0 529 0 0 0 0 0 0 529 0 0 1002982063 16 Nurse Practitioners 826 Missouri 0 0 0 0 0 0 0 0 0 0 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 0 101 0 0 0 0 0 0 101 0 0 1002982198 1174811640 11 Dentists YADAVA JUHI 465173140 815 Indiana 0 0 General Dentistry 0 0 0 22 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 5474 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5474 0 0 1002982568 1720236359 10 Physicians BERG KIM N 480381125 109 Winnebago 0 0 Clinical Pathology 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 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1271 0 0 0 0 0 0 0 0 1271 0 0 1002982897 10 Physicians 57 Lake 0 0 Radiology Diagnosis 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 0 187 0 0 0 0 0 0 0 0 187 0 0 1002983907 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 0 167 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 0 0 0 0 0 25822 0 0 0 0 0 0 0 0 0 0 0 0 0 25822 0 0 1002984196 1205166915 65 Independent Diagnostic Testing Facility (IDTF) MED PRO IMAGING MOBILE SERVICE 601773310 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 484 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 560 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 560 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36503 0 0 0 0 0 0 0 0 36503 0 0 1002984451 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28437 0 0 0 0 0 0 0 0 0 0 0 0 0 28437 0 0 1002984537 1437479839 13 Podiatrists SIMONOVICH JOHN R. 606118709 200 Cook 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 0 409 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 409 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2108 0 0 0 0 0 0 2108 0 0 1002984821 1295920858 10 Physicians BOCO TIBOR 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 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 0 793 0 0 0 0 0 0 793 0 0 1002985272 1114099421 75 Department of Alcohol and Substance Abuse Provider GREAT RIVER RECOVERY RESOURCES 623015924 10 Adams 0 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 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 385 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87260 0 0 87260 0 0 1002985310 1174831168 10 Physicians CHARTRE KATHYA 600184703 200 Cook 0 0 General Practice 0 0 0 0 5 0 0 0 0 0 0 16 0 48 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 25 0 64 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 25 0 64 0 0 0 0 0 0 0 0 0 374 0 0 0 0 0 0 292 0 1111 0 0 0 0 0 0 1777 0 0 1002985604 1629254750 10 Physicians KILKELLY MICHAEL 946081844 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 308 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 386 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 386 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12638 0 0 0 0 0 0 12638 0 0 1002986465 1194951632 10 Physicians BRANCH RIVA N 606313222 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 1 0 0 0 0 0 0 7 0 22 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 9 0 35 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 9 0 35 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 89 0 6228 0 0 0 0 0 0 6421 0 0 1002986584 1114187531 10 Physicians ANJUM RUBEENA 370275339 57 Lake 0 0 Family Practice 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 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 2251 0 0 0 0 0 0 2251 0 0 1002986815 1043338395 10 Physicians MACZURA NORA 627949248 91 Sangamon 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 1 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 438 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 438 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12554 0 0 0 0 0 0 12554 0 0 1002987107 1013208412 10 Physicians SAID ALBARA 604343877 107 Will 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 199 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 943 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 943 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11411 0 0 0 0 0 0 11411 0 0 1002987318 1710143706 91 Waiver service provider--Adults (DHS/DDD) PEYTON KIMBERLY 605253632 200 Cook 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 1322 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1322 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31231 0 0 0 0 0 0 0 0 0 0 0 0 0 31231 0 0 1002987988 1205063781 10 Physicians ANDERSON JILL C 606118709 200 Cook 0 0 Dermatology 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 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 1369 0 0 0 0 0 0 1369 0 0 1002988078 4002988078 90 Waiver service provider--Elderly (DOA) HOME LIFE HEALTHCARE CORP 601691340 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 2014 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2014 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 202706 0 0 0 0 0 0 0 0 0 0 0 0 0 202706 0 0 1002988149 1619233525 16 Nurse Practitioners CARY MATTHEW 631790379 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 997 0 0 0 0 0 0 997 0 0 1002989112 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 0 351 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 351 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28426 0 0 0 0 0 0 0 0 0 0 0 0 0 28426 0 0 1002989301 1871934612 11 Dentists NOH EUNJOON 617272914 28 De Witt 0 0 General Dentistry 0 0 0 34 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 5474 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5474 0 0 1002989530 1740344522 63 Other Providers of Medical Equipment/Supplies (Non-registered) REHAB MEDICAL OF ST LOUIS LLC 633035949 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1062 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1062 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 207462 0 0 0 0 0 0 207462 0 0 1002989608 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 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 6642 0 0 0 0 0 0 0 0 0 0 0 0 0 6642 0 0 1002990561 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 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 23 0 0 0 0 0 0 0 0 23 0 0 1002990708 1255596144 10 Physicians KALAYIL MANOJ P 601901237 107 Will 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1862 0 0 0 0 0 0 1862 0 0 1002990966 91 Waiver service provider--Adults (DHS/DDD) 27 Dekalb 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 105 0 0 0 0 0 0 0 0 0 0 0 0 0 105 0 0 1002992869 1609202688 24 Speech Therapists KANDLIK JULIA 601622110 200 Cook 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 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 5620 5620 0 0 1002994248 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1895 0 0 0 0 0 0 0 0 0 0 0 0 0 1895 0 0 1002994488 1093962896 10 Physicians WIKIERA RICHARD 620628501 65 Madison 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 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 2741 0 0 0 0 0 0 2741 0 0 1002996105 1518368455 22 Physical Therapists POULAKIS ELENI 999999999 200 Cook 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 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 1061 1061 0 0 1002996150 1104053032 10 Physicians KNITTEL JUSTIN 999999999 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1712 0 0 0 0 0 0 1712 0 0 1002996472 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 5 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 3198 3198 0 0 1002996564 1508272428 11 Dentists AHMADI ZABIHULLA 999999999 53 Kane 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 103 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 103 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 2731 0 0 0 0 0 0 0 0 0 0 0 444 0 0 0 0 3175 0 0 1002996601 1154563724 10 Physicians SUJATA LEON 600312603 57 Lake 0 0 Nephrology 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 0 583 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 583 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9458 0 0 0 0 0 0 9458 0 0 1002997009 1386941482 16 Nurse Practitioners SALIEVSKA AFRODITA 604405125 107 Will 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 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 0 829 0 0 0 0 0 0 829 0 0 1002997415 1013202530 10 Physicians LAMB AUSTIN 613501604 72 McLean 0 0 Emergency Medicine 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 0 161 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 5983 0 0 0 0 0 0 5983 0 0 1002997719 1134439854 10 Physicians GRINDEANU LIGIA A 606382419 200 Cook 0 0 Pediatrics 0 0 0 0 3 0 0 0 0 0 0 1 0 6 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 1 0 7 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 1 0 7 0 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 15 0 472 0 0 0 0 0 0 597 0 0 1002997853 1649203118 10 Physicians ELARINY HAZEEM 535482940 852 Wisconsin 0 0 Surgery General 0 0 0 0 0 0 0 0 0 0 0 1 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3050 0 0 0 0 0 0 3053 0 0 1002997890 10 Physicians 53 Kane 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 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 0 370 0 0 0 0 0 0 370 0 0 1002998144 1396034484 10 Physicians KANSAL NIDHI 606118709 200 Cook 0 0 Internal Medicine 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 0 147 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 1117 0 0 0 0 0 0 1117 0 0 1003000070 1346299831 10 Physicians KIM BRIAN 606751611 200 Cook 0 0 Endocrinology 0 0 0 0 0 0 0 0 0 0 0 30 0 137 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 270 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 270 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 545 0 2092 0 0 0 0 0 0 2637 0 0 1003000201 1801054549 10 Physicians ROSS ELEANOR 606313222 200 Cook 0 0 Pediatric Cardiology 0 0 0 0 0 0 0 0 0 0 0 11 0 168 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 565 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 565 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234 0 11089 0 0 0 0 0 0 11323 0 0 1003000774 22 Physical Therapists 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 214 214 0 0 1003000974 1508170291 33 Nursing Facilities BRIA OF PALOS HILLS 604651932 200 Cook 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 0 318 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6291 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 889502 0 0 0 0 0 0 0 889502 0 0 1003001730 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 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21384 0 0 0 0 0 0 0 0 0 0 0 0 0 21384 0 0 1003002899 86 Clinical Social Worker(Encounter Only) 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 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 1003003345 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 8428 0 0 0 0 0 0 0 0 0 0 0 0 0 8428 0 0 1003003686 91 Waiver service provider--Adults (DHS/DDD) 30 DuPage 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27821 0 0 0 0 0 0 0 0 0 0 0 0 0 27821 0 0 1003003887 1871560060 10 Physicians HOSEA LISA 731436348 53 Kane 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 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2876 0 0 0 0 0 0 2876 0 0 1003006206 1982991774 10 Physicians AFRIDI JULIA 606776926 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 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 0 220 0 0 0 0 0 0 220 0 0 1003006944 1275647711 10 Physicians PITTMAN JESSICA E 631600352 53 Kane 0 0 Pediatrics 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 0 146 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 8375 0 0 0 0 0 0 8375 0 0 1003007585 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 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28797 0 0 0 0 0 0 0 0 0 0 0 0 0 28797 0 0 1003007707 1508282559 16 Nurse Practitioners FRIEZE BREANNE 627949639 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2524 0 0 0 0 0 0 2524 0 0 1003007848 1801053905 10 Physicians DEHGHAN-PAZ IRENE 606751611 200 Cook 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 0 417 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 417 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10466 0 0 0 0 0 0 10466 0 0 1003007996 1780909705 10 Physicians RUSSELL SHARMAN 631600352 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 5 0 9 0 0 0 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 5 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 1043 0 0 0 0 0 0 1101 0 0 1003009036 1477726875 10 Physicians BHATTACHARYA SATYADEEP 629023988 47 Jackson 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 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 1162 0 0 0 0 0 0 1162 0 0 1003009127 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 0 263 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 27842 0 0 0 0 0 0 0 0 0 0 0 0 0 27842 0 0 1003010560 1679887186 10 Physicians DOJA YASMIN SAIRA 606733039 200 Cook 0 0 Pediatrics 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3574 0 0 0 0 0 0 3574 0 0 1003010717 1598080608 10 Physicians BENBARAK VYTA 606127232 200 Cook 0 0 Pediatrics 0 0 0 0 27 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 2319 0 0 0 0 0 0 0 0 2621 0 0 0 0 0 0 4940 0 0 1003010719 1396160297 16 Nurse Practitioners DOYLE KIMBERLY 606740018 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 619 0 0 0 0 0 0 619 0 0 1003011194 10 Physicians 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 921 0 0 0 0 0 0 921 0 0 1003011327 1861631525 25 Audiologists WAHLEN JANA 609012041 54 Kankakee 0 0 0 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 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 2011 2011 0 0 1003011631 1649594805 10 Physicians HIGHAM ANNA M 618012529 63 Macon 0 0 Surgery General 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 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 0 963 0 0 0 0 0 0 963 0 0 1003012043 1992930689 16 Nurse Practitioners PATEL RENUKA 601734776 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 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 12 0 0 0 0 0 0 12 0 0 1003012072 1881643559 10 Physicians MAHMOUD FAAIZA 606531662 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 395 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 548 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 548 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8962 0 160 0 0 0 0 0 0 9122 0 0 1003012367 1922319805 10 Physicians SHARMA NAVNEESH 619389253 24 Coles 0 0 Internal Medicine 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 0 231 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 0 0 0 0 0 0 0 0 0 0 0 0 2289 0 0 0 0 0 0 2289 0 0 1003012570 1215210158 16 Nurse Practitioners AMLING FRANK P 527613433 30 DuPage 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 0 214 0 0 0 0 0 0 214 0 0 1003013149 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 57806 0 0 0 0 0 0 0 0 0 0 0 0 0 57806 0 0 1003013340 10 Physicians 200 Cook 0 1 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1003013544 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 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 28 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 1003013964 1104112333 10 Physicians AVERY KATHERINE 618012529 63 Macon 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 83 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 83 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 737 0 0 0 0 0 0 806 0 0 1003014182 1578504544 48 Rural Health Clinics CHARLOTTE ANN RUSSELL MED CTR 609421802 100 Vermilion 0 1 0 0 524 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2103 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2103 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49774 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49774 0 0 1003014276 1578834800 60 Pharmacies MEIJER PHARMACY 170 463223501 200 Cook 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 21 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 0 0 0 0 0 0 0 0 0 0 0 0 313 0 0 0 313 0 0 1003014908 1144545591 10 Physicians HARNEY CLARE 528011014 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 17 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 876 0 5661 0 0 0 0 0 0 6537 0 0 1003015193 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 0 144 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 13877 0 0 0 0 0 0 0 0 0 0 0 0 0 13877 0 0 1003015637 1477709277 10 Physicians TORRES BERLINDA 606071644 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 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 0 258 0 0 0 0 0 0 258 0 0 1003017068 1609014026 10 Physicians MALIK MUHAMMAD A 629023988 200 Cook 0 0 Pathology 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 0 365 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 4021 0 0 0 0 0 0 0 0 4021 0 0 1003017350 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 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26216 0 0 0 0 0 0 0 0 0 0 0 0 0 26216 0 0 1003018100 1306800321 22 Physical Therapists JOHNSON LAUREN K 603041846 200 Cook 0 0 0 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 0 218 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 17425 17425 0 0 1003019309 1679988364 11 Dentists ALI HUSSAIN 606083994 200 Cook 0 0 General Dentistry 0 0 0 184 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 1239 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 1239 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 54917 0 0 0 0 0 0 0 0 0 0 0 3552 0 0 0 0 58469 0 0 1003020648 1174812374 10 Physicians KRISHNAN SIVAKAMI 601262816 30 DuPage 0 0 Admitting Privileges 0 0 0 0 10 0 0 0 0 0 0 2 0 37 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 2 0 79 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 2 0 79 0 0 0 0 0 0 0 0 0 1256 0 0 0 0 0 0 18 0 2979 0 0 0 0 0 0 4253 0 0 1003020761 1639385180 10 Physicians BORYS DARIUSZ 601545716 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 443 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 443 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5344 0 0 0 0 0 0 0 0 5344 0 0 1003020839 10 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 475 0 0 0 0 0 0 475 0 0 1003020944 1992961593 10 Physicians MURDAKES CHARLENE 611075089 109 Winnebago 0 0 Nephrology 0 0 0 0 0 0 0 0 0 0 0 4 0 250 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 807 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 807 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 8971 0 0 0 0 0 0 8980 0 0 1003021546 1831345818 10 Physicians LAKHANI ARTI 605323661 30 DuPage 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 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 1580 0 0 0 0 0 0 1580 0 0 1003022091 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 0 119 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 13902 0 0 0 0 0 0 0 0 0 0 0 0 0 13902 0 0 1003023103 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 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 6794 0 0 0 0 0 0 0 0 0 0 0 0 0 6794 0 0 1003023391 1215183934 10 Physicians NELSON VALERIE 606118709 200 Cook 0 0 Oncology 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 0 102 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 2945 0 0 0 0 0 0 2945 0 0 1003024215 1437445467 10 Physicians BUTOS JOHN 606751611 200 Cook 0 0 Internal Medicine 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 0 263 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 2080 0 0 0 0 0 0 2080 0 0 1003024939 1265863468 60 Pharmacies COLEES CORNER DRUG 625359759 63 Macon 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 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6092 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24543 0 0 0 24543 0 0 1003025001 1376856559 10 Physicians LIDVALL JOHN 503061455 54 Kankakee 0 1 Family Practice 0 0 0 0 2 0 0 0 0 0 0 1 0 22 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 4 0 39 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 4 0 39 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 22 0 1195 0 0 0 0 0 0 1400 0 0 1003025142 1326358748 10 Physicians BHUTTA SIDRA 606313222 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 0 196 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 2985 0 0 0 0 0 0 2985 0 0 1003025590 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 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 33042 0 0 0 0 0 0 0 0 0 0 0 0 0 33042 0 0 1003025653 1467689794 10 Physicians LIU CATHERINE C 605252325 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 112 0 1061 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 185 0 2427 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 185 0 2427 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3582 0 785798 0 0 0 0 0 0 789380 0 0 1003026385 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 0 700 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 700 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53700 0 0 0 0 0 0 0 0 0 0 0 0 0 53700 0 0 1003026398 1558657791 10 Physicians DHAMI RAJDEEP 601545716 200 Cook 0 0 Family Practice 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 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1519 0 0 0 0 0 0 1519 0 0 1003026649 11 Dentists 57 Lake 0 0 General Dentistry 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 0 665 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 665 0 0 1003027207 1184644106 16 Nurse Practitioners WILLETTS AMY B 606118709 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 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 1976 0 0 0 0 0 0 1976 0 0 1003027354 1386807253 10 Physicians BORYS EWA 601545716 200 Cook 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 0 122 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 1155 0 0 0 0 0 0 0 0 1155 0 0 1003027466 1376841072 23 Occupational Therapists STEVERSON SARAH 627621000 91 Sangamon 0 0 0 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 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23245 23245 0 0 1003028336 1619141223 10 Physicians LUE JASON 925077401 805 California 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 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 0 181 0 0 0 0 0 0 0 0 181 0 0 1003028394 1083877088 10 Physicians LEADBETTER KRISTEN 627047452 91 Sangamon 0 0 Pediatrics 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 0 356 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 356 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 132906 0 0 0 0 0 0 132906 0 0 1003028497 1518256437 10 Physicians JORDAN WYETH 606733039 200 Cook 0 0 Internal Medicine 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 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 3234 0 0 0 0 0 0 3234 0 0 1003029351 1366883555 10 Physicians BANAYAN DAVID 606751611 200 Cook 0 0 Psychiatry 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 0 133 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 1696 0 0 0 0 0 0 1696 0 0 1003029430 1184859985 10 Physicians DRABKIN KRISTINA D 606081732 200 Cook 0 0 Physical Medicine/Rehabilitation 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 1504 0 0 0 0 0 0 1504 0 0 1003029944 1346532934 10 Physicians OLADAPO FOLASADE A 631600352 91 Sangamon 0 0 Anesthesiology 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 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 0 188 0 0 0 0 0 0 188 0 0 1003031207 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 10212 0 0 0 0 0 0 0 0 0 0 0 0 0 10212 0 0 1003031431 1245529130 10 Physicians KIM JENNY J 600761244 200 Cook 0 0 Pediatrics 0 0 0 0 9 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 935 0 0 0 0 0 0 0 0 480 0 0 0 0 0 0 1415 0 0 1003031525 1063648475 10 Physicians BOCKHOLD KEVIN 60555 30 DuPage 0 0 Neurology 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 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 1172 0 0 0 0 0 0 1172 0 0 1003031714 1457762445 22 Physical Therapists DETERS HENRY 600162359 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 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 0 258 258 0 0 1003031805 1063727139 10 Physicians PARK INDOK 600261301 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 10 0 0 0 0 0 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 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 221 0 0 0 0 0 0 229 0 0 1003031927 1124254602 10 Physicians MULDER CORLYNE 606731285 200 Cook 0 0 Otolaryngology 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 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2478 0 0 0 0 0 0 2478 0 0 1003032175 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 18848 0 0 0 0 0 0 0 0 0 0 0 0 0 18848 0 0 1003032837 1285920017 10 Physicians BILL JASON G 616151941 80 Peoria 0 0 Internal Medicine 0 0 0 0 1 0 0 0 0 0 0 1 0 113 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 189 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 189 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 11067 0 0 0 0 0 0 11087 0 0 1003034050 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 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29062 0 0 0 0 0 0 0 0 0 0 0 0 0 29062 0 0 1003034504 1164747754 10 Physicians PATEL RIDDHI 601228942 53 Kane 0 0 Otolaryngology 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 0 171 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 5989 0 0 0 0 0 0 5989 0 0 1003034647 1396060265 10 Physicians GOLOBOF ALEXANDRA 606313222 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 6 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 111 0 6349 0 0 0 0 0 0 6460 0 0 1003034911 1952441057 10 Physicians COHEN ROBIN L 601228942 53 Kane 0 0 Physical Medicine/Rehabilitation 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 0 271 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 271 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8230 0 0 0 0 0 0 8230 0 0 1003035104 1639335953 10 Physicians YANKE ADAM 601545745 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 31 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1825 0 7138 0 0 0 0 0 0 8963 0 0 1003035145 1770995524 22 Physical Therapists HANLEY JOSEPH 600162359 107 Will 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 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 0 723 723 0 0 1003036685 1467618561 10 Physicians OMIYI DIDI E 619384644 24 Coles 0 0 Orthopedic Surgery 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 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5191 0 0 0 0 0 0 5191 0 0 1003036839 1750792818 55 Early Intervention Services RELYEA LAUREN 604049414 107 Will 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 0 391 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 391 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23853 0 0 0 0 0 0 23853 0 0 1003038264 1477730612 10 Physicians MOHAMMED FAROOQ 606313222 200 Cook 0 1 Internal Medicine 0 0 0 0 2 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 156 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 156 0 0 0 0 0 0 0 0 0 95 0 0 0 0 0 0 0 0 2470 0 0 0 0 0 0 2565 0 0 1003039801 1265696348 10 Physicians CHANDRA SUNANDANA 606114060 200 Cook 0 0 Hematology 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 0 456 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 122211 0 0 0 0 0 0 122211 0 0 1003040608 1558355842 33 Nursing Facilities PRESENCE SAINT BENEDICT NRC 607144522 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1621 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 185044 0 0 0 0 0 0 0 185044 0 0 1003041118 1487968962 12 Optometrists SICKS LINDSAY 606164201 200 Cook 0 0 Diagnostic Pharmaceutical Agents 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 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 0 675 0 0 0 0 0 0 675 0 0 1003041925 1619253531 22 Physical Therapists OCASLA IRAMPELH 62226 96 St Clair 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 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 0 623 623 0 0 1003042142 1033371554 10 Physicians THAN BABY M 601429545 53 Kane 0 0 Family Practice 0 0 0 0 15 0 0 0 0 0 0 11 0 86 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 12 0 217 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 12 0 217 0 0 0 0 0 0 0 0 0 1055 0 0 0 0 0 0 304 0 6099 0 0 0 0 0 0 7458 0 0 1003042635 16 Nurse Practitioners 61 Livingston 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003043068 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 30801 0 0 0 0 0 0 0 0 0 0 0 0 0 30801 0 0 1003043443 92 Waiver service provider--Disability (DHS/DRS) 92 Schuyler 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20522 0 0 0 0 0 0 0 0 0 0 0 0 0 20522 0 0 1003043479 1548671167 55 Early Intervention Services PETERSON KATHERINE A 628961722 36 Franklin 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 0 641 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 41688 0 0 0 0 0 0 41688 0 0 1003043650 1649686916 16 Nurse Practitioners FRAGANTE GLENDA C 731279742 200 Cook 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 0 101 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 1792 0 0 0 0 0 0 1792 0 0 1003043998 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 0 214 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 6830 0 0 0 0 0 0 0 0 0 0 0 0 0 6830 0 0 1003044001 1023272812 10 Physicians CORPREW ROBERT 554860362 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 165 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 4235 0 0 0 0 0 0 4235 0 0 1003044087 1053502005 10 Physicians VAGHANI SAPNA 542204630 30 DuPage 0 0 Dermatology 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 0 121 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 2954 0 0 0 0 0 0 2954 0 0 1003044112 1124433404 55 Early Intervention Services CALIFF ANNA 601312627 200 Cook 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 1794 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1794 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105289 0 0 0 0 0 0 105289 0 0 1003044587 92 Waiver service provider--Disability (DHS/DRS) 96 St Clair 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3271 0 0 0 0 0 0 0 0 0 0 0 0 0 3271 0 0 1003044993 1871921429 16 Nurse Practitioners BETHEL ELENA 641843151 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 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 0 674 0 0 0 0 0 0 674 0 0 1003045361 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 0 254 0 0 0 0 0 0 254 0 0 1003045842 1619941879 10 Physicians LOWDER JERRY L 631600352 91 Sangamon 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 2 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 255 0 0 0 0 0 0 258 0 0 1003046362 1730223009 61 Independent Laboratories NORTHSHORE LAB SERVICES 602011700 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 2968 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13295 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13295 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195753 0 0 0 0 0 0 0 0 195753 0 0 1003046901 1023285145 10 Physicians AGGARWAL ANSHUL 600073372 200 Cook 0 0 Cardiovascular Diseases 0 0 0 0 0 0 0 0 0 0 0 0 0 283 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21940 0 0 0 0 0 0 21940 0 0 1003046932 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 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26770 0 0 0 0 0 0 0 0 0 0 0 0 0 26770 0 0 1003047599 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 0 218 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 14132 0 0 0 0 0 0 0 0 0 0 0 0 0 14132 0 0 1003047776 1881851210 10 Physicians ANTKOWIAK TOMASZ T 49154021 91 Sangamon 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 21 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 206 0 298 0 0 0 0 0 0 504 0 0 1003048217 1316104854 10 Physicians DUA ANISHA 606118709 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 816 0 0 0 0 0 0 816 0 0 1003048248 1851551576 10 Physicians GREWAL HARMAN 606781034 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 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 83 0 0 0 0 0 0 83 0 0 1003048288 1336339597 10 Physicians MASTER SANKAR RAJ VIMAL 616052576 80 Peoria 0 0 Pediatric Nephrology 0 0 0 0 0 0 0 0 0 0 0 11 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 19908 0 0 0 0 0 0 19925 0 0 1003049085 1922394121 10 Physicians MONTEMAYOR DANIEL 616370001 80 Peoria 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5406 0 0 0 0 0 0 5406 0 0 1003049106 1245526250 16 Nurse Practitioners CENEK PETER 616151941 80 Peoria 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 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 0 175 0 0 0 0 0 0 175 0 0 1003049242 1861725483 10 Physicians ZORIN DANYLO 601604100 200 Cook 0 1 Internal 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 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 0 564 0 0 0 0 0 0 564 0 0 1003049423 1386649341 10 Physicians AANESTAD JENNIFER R 503061455 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 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 0 399 0 0 0 0 0 0 399 0 0 1003049507 1467688879 10 Physicians GONZALEZ RENDON CARLOS 629011474 47 Jackson 0 0 Surgery General 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 1871 0 0 0 0 0 0 1871 0 0 1003050176 1730318858 10 Physicians HUSSAIN WAJAHAT 601262816 30 DuPage 0 0 Internal Medicine 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 0 402 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 402 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5373 0 0 0 0 0 0 5373 0 0 1003051520 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 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 18943 0 0 0 0 0 0 0 0 0 0 0 0 0 18943 0 0 1003052510 1104175330 24 Speech Therapists DESALVO KATHRYN 604918700 107 Will 0 0 0 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 0 792 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 792 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62182 62182 0 0 1003053164 1306274535 16 Nurse Practitioners MARUNA JILLIAN E 606118709 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 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 0 612 0 0 0 0 0 0 612 0 0 1003053715 1790047710 10 Physicians EISELE KAREN 606781034 200 Cook 0 0 Emergency Medicine 0 0 0 0 11 0 0 0 0 0 0 0 0 35 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 0 0 66 0 0 0 0 0 0 0 0 0 860 0 0 0 0 0 0 0 0 2283 0 0 0 0 0 0 3143 0 0 1003054365 1811199573 10 Physicians KOOPMAN STEVEN 606733039 200 Cook 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 33 0 111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 233 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 233 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 5901 0 0 0 0 0 0 6036 0 0 1003054559 1841420379 10 Physicians MATEO ROSELYN 606125500 200 Cook 0 0 Internal Medicine 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 0 340 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 340 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3878 0 0 0 0 0 0 3878 0 0 1003055101 1912314477 12 Optometrists HINDMAN AVALON V 606086231 200 Cook 0 0 Therapeutic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 451 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27534 0 0 0 0 0 0 27534 0 0 1003055686 1578726998 10 Physicians SINGH SUMIT 333232815 200 Cook 0 0 Anesthesiology 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 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 1975 0 0 0 0 0 0 1975 0 0 1003055698 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 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 0 184 0 0 0 0 0 0 184 0 0 1003055900 1821319799 10 Physicians WHEAT SANTINA 606225646 200 Cook 0 0 Family Practice 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 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 9582 0 0 0 0 0 0 9582 0 0 1003056412 10 Physicians 31 Edgar 0 0 Pediatric Hematology Oncology 0 0 0 0 0 0 0 0 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 0 280 0 0 0 0 0 0 280 0 0 1003057185 1083021877 31 Psychiatric Hospitals CHICAGO BEHAVIORAL HOSPITAL 600164729 200 Cook PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 Hospital childrens mental health 0 0 74 0 0 0 0 0 0 0 448 0 0 0 0 0 0 0 0 0 0 337 0 0 0 0 0 0 0 491 0 0 0 0 0 0 0 0 0 0 984 0 0 0 0 0 0 0 4334 0 0 0 0 0 0 0 0 0 0 42072 0 0 0 0 0 0 0 849376 0 0 0 0 0 0 0 0 0 891448 0 0 1003057325 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 104 0 0 1003057766 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003058145 1124349550 10 Physicians TSIEN MARGARET Z 601545716 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 1 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 158 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 158 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 207 0 0 2884 0 0 0 0 0 0 3091 0 0 1003058241 1104069277 10 Physicians HSU FRANK 612015351 89 Rock Island 0 0 Internal 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 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 0 233 0 0 0 0 0 0 233 0 0 1003058474 1417260548 10 Physicians NARANG AKHIL 605277594 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 10 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 480 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 480 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3867 0 0 0 0 0 0 3867 0 0 1003058779 1538424056 10 Physicians LENZEN ALICIA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1478 0 0 0 0 0 0 1478 0 0 1003058783 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 9727 0 0 0 0 0 0 0 0 0 0 0 0 0 9727 0 0 1003059688 1184690109 10 Physicians KNUFFMAN JASON 623014038 10 Adams 0 0 Allergy-Immunization 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 277 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 277 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3204 0 0 0 0 0 0 3204 0 0 1003059824 1568727311 12 Optometrists WENZEL VICTORIA 601153207 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 156 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 156 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3321 0 398 0 0 0 0 3719 0 0 1003060344 1689091142 24 Speech Therapists KILIKEVICIUS VILIJA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 308 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 22245 22245 0 0 1003060653 1790198273 11 Dentists DAWSON KAYLA 300676402 200 Cook 0 0 General Dentistry 0 0 0 120 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 759 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 759 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23539 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23539 0 0 1003060947 4003060947 12 Optometrists O'BRIEN MARISA A 631600352 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 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 0 778 0 0 0 0 0 0 778 0 0 1003060953 1386077683 11 Dentists CHEN KAIYUN 605633162 30 DuPage 0 0 General Dentistry 0 0 0 13 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 1827 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1827 0 0 1003061070 10 Physicians 107 Will 0 0 Anesthesiology 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 0 303 0 0 0 0 0 0 303 0 0 1003061402 1285890863 10 Physicians OLEARY MICHELLE 601237840 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 343 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1054 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1054 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9690 0 0 0 0 0 0 0 0 9690 0 0 1003061948 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 213 0 0 0 0 0 0 213 0 0 1003063082 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 28869 0 0 0 0 0 0 0 0 0 0 0 0 0 28869 0 0 1003063107 1053580951 55 Early Intervention Services BARCZYK MATEUSZ 606343525 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 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12681 0 0 0 0 0 0 12681 0 0 1003063174 1083015192 11 Dentists ROGIER BENJAMIN 622052325 96 St Clair 0 0 General Dentistry 0 0 0 172 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 926 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 926 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 30424 0 0 0 0 0 0 0 0 0 0 0 28730 0 0 0 0 59154 0 0 1003063370 1205116688 65 Independent Diagnostic Testing Facility (IDTF) INFINITY IMAGING LLC 600162290 200 Cook 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 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 461 0 0 0 0 0 0 0 0 461 0 0 1003063455 1013109164 10 Physicians RAJPAL JURAT 606313222 200 Cook 0 0 Nephrology 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 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 5406 0 0 0 0 0 0 5406 0 0 1003063629 1225344013 10 Physicians SINGH JASMEET 731436348 80 Peoria 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3625 0 0 0 0 0 0 3625 0 0 1003064732 1629206891 10 Physicians LAGOUROS EVAN 616157822 80 Peoria 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 1 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6689 0 0 0 0 0 0 6689 0 0 1003065294 1447651708 16 Nurse Practitioners MUELLER DANA MARIE 631418573 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 32 0 0 0 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 70 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 1359 0 0 0 0 0 0 1428 0 0 1003066555 1376770081 10 Physicians ZACHARIA CHRISTINE C 606751611 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 142 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 290 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 3411 0 0 0 0 0 0 3411 0 0 1003067064 1831395458 10 Physicians MOHAN KAVITA 606313222 200 Cook 0 0 Family Practice 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3005 0 0 0 0 0 0 3005 0 0 1003068175 1558527556 10 Physicians YAFFE MARK A 601953203 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 20 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124 0 905 0 0 0 0 0 0 1029 0 0 1003068455 1487948386 10 Physicians DEEM DANIEL 618203909 19 Champaign 0 1 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 10 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 76 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 76 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 549 0 2290 0 0 0 0 0 0 2839 0 0 1003069051 1568605913 10 Physicians SWISHER GRANT C. 602011700 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 105 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 109 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 4416 0 0 0 0 0 0 4416 0 0 1003069236 1831271436 10 Physicians MOK JAMES 606740018 200 Cook 0 0 Orthopedic 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 0 108 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 4850 0 0 0 0 0 0 4850 0 0 1003069342 1609134352 10 Physicians KANANI REZA 210443445 24 Coles 0 0 Pediatrics 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 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 2166 0 0 0 0 0 0 2166 0 0 1003069494 91 Waiver service provider--Adults (DHS/DDD) 98 Tazewell 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 136 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 14936 0 0 0 0 0 0 0 0 0 0 0 0 0 14936 0 0 1003071147 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 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 1003071393 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 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 79 0 0 0 0 0 0 79 0 0 1003071499 1700205663 16 Nurse Practitioners TROSPER JOHNSON KARA JEAN 49154071 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 586 0 0 0 0 0 0 586 0 0 1003071647 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15016 0 0 0 0 0 0 0 0 0 0 0 0 0 15016 0 0 1003071942 1295013969 10 Physicians RADOVANOVIC DRAGANA 605275965 30 DuPage 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 0 101 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 1677 0 0 0 0 0 0 1677 0 0 1003072075 4003072075 92 Waiver service provider--Disability (DHS/DRS) NEW AGE ELDER CARE INC 606591216 200 Cook 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 179443 0 0 0 0 0 0 0 0 0 0 0 0 0 179443 0 0 1003072092 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 109 0 0 0 0 0 0 109 0 0 1003072272 1952398414 33 Nursing Facilities BRIA OF BELLEVILLE 622266621 96 St Clair 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 0 243 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4887 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 579543 0 0 0 0 0 0 0 579543 0 0 1003072845 10 Physicians 815 Indiana 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1003073052 1750468591 10 Physicians JELINEK KATHERINE 601228942 53 Kane 0 0 Gastroenterology 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 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4366 0 0 0 0 0 0 4366 0 0 1003073639 1548215841 10 Physicians KISSINGER AMY 606118709 200 Cook 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 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 0 210 0 0 0 0 0 0 210 0 0 1003074589 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 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 0 148 0 0 0 0 0 0 148 0 0 1003075318 1518272723 10 Physicians NEZIROSKI BURIM 612015351 89 Rock Island 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 0 107 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 0 745 0 0 0 0 0 0 745 0 0 1003076172 1417159294 10 Physicians GROTH JOHN 602011700 200 Cook 0 0 Clinical Pathology 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 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2497 0 0 0 0 0 0 0 0 2497 0 0 1003077690 12 Optometrists 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 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 72 0 0 0 0 0 0 72 0 0 1003078000 1780973412 10 Physicians JOO MICHAEL 606313222 200 Cook 0 0 Emergency Medicine 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 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4875 0 0 0 0 0 0 4875 0 0 1003078748 1487632998 61 Independent Laboratories GENEDX INC 208772142 821 Maryland 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 0 301 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 301 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 475005 0 0 0 0 0 0 0 0 475005 0 0 1003079953 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 0 122 0 0 0 0 0 0 122 0 0 1003080184 1962738856 10 Physicians STALEY SHANNON 606313222 200 Cook 0 0 Pediatrics 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 72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3374 0 0 0 0 0 0 3374 0 0 1003080918 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 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 1409 0 0 0 0 0 0 0 0 0 0 0 0 0 1409 0 0 1003081075 1114352010 16 Nurse Practitioners DUNN RYAN 117474300 57 Lake 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 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 1591 0 0 0 0 0 0 1591 0 0 1003081492 1598076416 10 Physicians RAGHAVAN KRISHNA 601545716 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 226 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 226 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3010 0 0 0 0 0 0 3010 0 0 1003081966 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 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 22271 0 0 0 0 0 0 0 0 0 0 0 0 0 22271 0 0 1003082052 1386969533 36 Community mental health provider CENTERSTONE OF ILLINOIS 629591139 108 Williamson 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 308 0 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1023 0 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1023 0 0 5063 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96108 0 0 101171 0 0 1003082907 1174843635 10 Physicians WALKER BREANNA L 600987401 71 McHenry 0 0 Obstetric-Gynecology 0 0 0 0 3 0 0 0 0 0 0 8 0 33 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 10 0 45 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 10 0 45 0 0 0 0 0 0 0 0 0 295 0 0 0 0 0 0 163 0 3977 0 0 0 0 0 0 4435 0 0 1003083205 1780095612 55 Early Intervention Services KASHAN SUNYA 600623006 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 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 2697 0 0 0 0 0 0 2697 0 0 1003083587 1811218142 10 Physicians AGHIA GEORGE 602011700 200 Cook 0 0 Family Practice 0 0 0 0 3 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 657 0 0 0 0 0 0 0 0 886 0 0 0 0 0 0 1543 0 0 1003084608 4003084608 10 Physicians CHAE YOUNG KWANG 606118709 200 Cook 0 0 Oncology 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 0 305 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 305 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85592 0 0 0 0 0 0 85592 0 0 1003085240 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 9850 0 0 0 0 0 0 0 0 0 0 0 0 0 9850 0 0 1003085521 1215362603 11 Dentists STEVENS KATHARINE 601852315 30 DuPage 0 0 Orthodontist 0 0 0 50 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 15583 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15583 0 0 1003085719 1598195893 16 Nurse Practitioners FOLAJI KAZEEM 117472358 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 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 1280 0 0 0 0 0 0 1280 0 0 1003087018 10 Physicians 96 St Clair 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 234 0 0 0 0 0 0 234 0 0 1003087308 1275829038 10 Physicians FRANCOIS ANDRE 617013552 72 McLean 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 38 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 74 0 0 1003088258 1982010856 16 Nurse Practitioners NANCE MARK 616157831 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 914 0 0 0 0 0 0 914 0 0 1003088497 91 Waiver service provider--Adults (DHS/DDD) 58 La Salle 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 14328 0 0 0 0 0 0 0 0 0 0 0 0 0 14328 0 0 1003089003 1578874293 10 Physicians MARTIN DANIEL 616370001 80 Peoria 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10316 0 0 0 0 0 0 10316 0 0 1003089260 1154617199 10 Physicians SATZ JASON 606930623 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 252 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 320 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 320 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10138 0 0 0 0 0 0 10138 0 0 1003089546 1225367121 10 Physicians KNOLHOFF JOSHUA B 49154067 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 1588 0 0 0 0 0 0 1627 0 0 1003089618 1518245596 10 Physicians NGUYEN TIEN 606930623 200 Cook 0 0 Family Practice 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 0 0 0 0 0 514 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 514 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9909 0 0 0 0 0 0 9909 0 0 1003091563 1669752101 10 Physicians LINDORFER-CAMPBELL CHRISTI M 953586411 80 Peoria 0 0 Emergency Medicine 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 0 274 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 10573 0 0 0 0 0 0 10573 0 0 1003091601 91 Waiver service provider--Adults (DHS/DDD) 98 Tazewell 0 0 0 0 0 0 0 0 2 0 0 0 0 0 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 0 448 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36586 0 0 0 0 0 0 0 0 0 0 0 0 0 36586 0 0 1003092163 1831376615 33 Nursing Facilities APERION CARE MIDLOTHIAN 604453656 200 Cook 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 0 137 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3850 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 722145 0 0 0 0 0 0 0 722145 0 0 1003093866 1992021125 10 Physicians SKOLNIK CAROLINE L 605275965 30 DuPage 0 0 Internal Medicine 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 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 1035 0 0 0 0 0 0 1035 0 0 1003093982 1043597131 16 Nurse Practitioners FOLKERS COLLEEN 606751611 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 887 0 0 0 0 0 0 887 0 0 1003094624 1508279803 11 Dentists ABU-SERAJ NADER 606322945 200 Cook 0 0 General Dentistry 0 0 0 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 483 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 483 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13434 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13434 0 0 1003094669 1366751935 10 Physicians WOZNICA DONALD JR 606382505 200 Cook 0 1 Family Practice 0 0 0 0 12 0 0 0 0 0 0 14 0 44 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 27 0 115 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 27 0 115 0 0 0 0 0 0 0 0 0 1241 0 0 0 0 0 0 118 0 2201 0 0 0 0 0 0 3560 0 0 1003094888 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 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 12542 0 0 0 0 0 0 0 0 0 0 0 0 0 12542 0 0 1003095053 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24737 0 0 0 0 0 0 0 0 0 0 0 0 0 24737 0 0 1003095536 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 0 107 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 13392 0 0 0 0 0 0 0 0 0 0 0 0 0 13392 0 0 1003095595 1841587599 10 Physicians FORT BRIAN C 321200859 200 Cook 0 0 Emergency Medicine 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 0 147 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 7137 0 0 0 0 0 0 7137 0 0 1003096045 1730398959 10 Physicians ALAANI ZIAD 604631428 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1764 0 0 0 0 0 0 1764 0 0 1003096314 1851528590 10 Physicians ANDER MICHAEL 606910263 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 6 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5075 0 0 0 0 0 0 5075 0 0 1003096347 1417180704 10 Physicians KRISHNA NAVEEN K 946081844 24 Coles 0 0 Internal Medicine 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 0 308 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 4829 0 0 0 0 0 0 4829 0 0 1003096454 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 0 199 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 29880 0 0 0 0 0 0 0 0 0 0 0 0 0 29880 0 0 1003096620 1154646594 10 Physicians GEMSON JOYCE 49155500 200 Cook 0 0 Pediatrics 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 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 3807 0 0 0 0 0 0 3807 0 0 1003096800 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 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 15844 0 0 0 0 0 0 0 0 0 0 0 0 0 15844 0 0 1003097207 1689802340 10 Physicians KHOSROPOUR ANDREA 606123723 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 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 0 208 0 0 0 0 0 0 208 0 0 1003097355 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 0 517 0 0 0 0 0 0 0 0 0 0 0 0 0 517 0 0 1003097808 16 Nurse Practitioners 852 Wisconsin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1003099757 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 19384 0 0 0 0 0 0 0 0 0 0 0 0 0 19384 0 0 1003099863 1598030801 55 Early Intervention Services PETTY MICHELLE 610739522 109 Winnebago 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 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 15916 0 0 0 0 0 0 15916 0 0 1003099919 1750549473 10 Physicians BANGASH FARHAN 604343877 107 Will 0 0 Nephrology 0 0 0 0 0 0 0 0 0 0 0 0 0 170 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 0 0 0 0 0 716 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14005 0 0 0 0 0 0 14005 0 0 1003100512 1356625362 10 Physicians SLOCUM ERICH 618012529 19 Champaign 0 1 Family Practice 0 0 0 0 11 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 345 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 345 0 0 0 0 0 0 0 0 0 971 0 0 0 0 0 0 0 0 6772 0 0 0 0 0 0 7743 0 0 1003100962 1568475671 16 Nurse Practitioners KAVOLIUNAITE LAURA 606127232 50 Jersey 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 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 2073 0 0 0 0 0 0 2073 0 0 1003101722 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 0 365 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 17068 0 0 0 0 0 0 0 0 0 0 0 0 0 17068 0 0 1003101796 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 18671 0 0 0 0 0 0 0 0 0 0 0 0 0 18671 0 0 1003102049 1013146596 10 Physicians OSGOOD REBEKAH E 606118709 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 1 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 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 5 0 2814 0 0 0 0 0 0 2819 0 0 1003102108 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 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 36735 0 0 0 0 0 0 0 0 0 0 0 0 0 36735 0 0 1003102634 1356772636 16 Nurse Practitioners UMBRIACO FRANCESCO J 80962739 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 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 0 578 0 0 0 0 0 0 578 0 0 1003102679 1134384977 10 Physicians HORNIK ALEJANDRO 605275965 30 DuPage 0 0 Neurology 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 0 205 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 7613 0 0 0 0 0 0 7613 0 0 1003102993 1982045514 16 Nurse Practitioners WITTLER ASHLEY A 628645950 49 Jefferson 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 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 0 596 0 0 0 0 0 0 596 0 0 1003103062 1104009307 10 Physicians MILLER AARON 601220021 53 Kane 0 0 Neurology 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 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1879 0 0 0 0 0 0 1879 0 0 1003103891 1841452463 10 Physicians HARTER EDWARD 624541114 25 Crawford 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1832 0 330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2658 0 385 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2658 0 385 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19659 0 3204 0 0 0 0 0 0 22863 0 0 1003104292 1902060114 10 Physicians YOST JOHNATHON 619384653 24 Coles 0 0 Psychiatry 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 0 505 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 505 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6617 0 0 0 0 0 0 6617 0 0 1003104681 11 Dentists 107 Will 0 0 General Dentistry 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 233 0 0 1003104844 1639518632 16 Nurse Practitioners HULET HALEY 616157831 80 Peoria 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 1217 0 0 0 0 0 0 1217 0 0 1003105017 10 Physicians 108 Williamson 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 1003105746 92 Waiver service provider--Disability (DHS/DRS) 76 Montgomery 0 0 0 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 15407 0 0 0 0 0 0 0 0 0 0 0 0 0 15407 0 0 1003106515 1518001189 16 Nurse Practitioners GIGLIOTTI PATRICIA 601545716 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 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 0 522 0 0 0 0 0 0 522 0 0 1003106807 1447530597 10 Physicians JANSEN CURTIS 637015230 96 St Clair 0 0 Internal 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 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 0 326 0 0 0 0 0 0 326 0 0 1003107544 1952569162 10 Physicians GOWDA SATISH P 601228942 53 Kane 0 0 Family Practice 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 0 374 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 374 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4957 0 0 0 0 0 0 4957 0 0 1003107601 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 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26948 0 0 0 0 0 0 0 0 0 0 0 0 0 26948 0 0 1003107678 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 0 317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44810 0 0 0 0 0 0 0 0 0 0 0 0 0 44810 0 0 1003107734 92 Waiver service provider--Disability (DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 17387 0 0 0 0 0 0 0 0 0 0 0 0 0 17387 0 0 1003108356 1447424791 10 Physicians TONOZZI KINZINGER JESSICA 999999999 98 Tazewell 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 2077 0 0 0 0 0 0 2093 0 0 1003108796 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 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10554 0 0 0 0 0 0 0 0 0 0 0 0 0 10554 0 0 1003109189 1477505139 39 Hospice VISTA HOSPICE 600314572 57 Lake 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 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 730 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 140293 0 0 0 0 0 0 0 0 0 0 0 140293 0 0 1003109522 10 Physicians 30 DuPage 0 0 0 0 0 0 0 0 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 95 0 0 0 0 0 0 0 0 95 0 0 1003109673 92 Waiver service provider--Disability (DHS/DRS) 100 Vermilion 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4284 0 0 0 0 0 0 0 0 0 0 0 0 0 4284 0 0 1003109858 16 Nurse Practitioners 24 Coles 0 0 0 0 0 0 0 0 0 0 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 1003110510 1235571290 55 Early Intervention Services KROTSER ELIZABETH 600144117 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2032 0 0 0 0 0 0 2032 0 0 1003110829 1588859169 16 Nurse Practitioners ABDULREHMAN MUNIB 999999999 72 McLean 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 0 145 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 1169 0 0 0 0 0 0 1169 0 0 1003111009 1407261852 11 Dentists PHILIP JACOB 601012513 30 DuPage 0 0 General Dentistry 0 0 0 53 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 6091 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6091 0 0 1003111036 1457515033 10 Physicians SCHIFF ADAM 601545716 200 Cook 0 0 Orthopedic Surgery 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 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16111 0 0 0 0 0 0 16111 0 0 1003111296 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 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27449 0 0 0 0 0 0 0 0 0 0 0 0 0 27449 0 0 1003111504 1407285166 16 Nurse Practitioners COLLOPY WILLIAM 604488208 107 Will 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 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 0 267 0 0 0 0 0 0 267 0 0 1003111525 1316284516 36 Community mental health provider CENTERSTONE OF ILLINOIS INC 999999999 108 Williamson 0 0 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 317 0 0 419 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2209 0 0 419 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2209 0 0 56209 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 181379 0 0 237588 0 0 1003111578 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 20893 0 0 0 0 0 0 0 0 0 0 0 0 0 20893 0 0 1003111648 1093989212 10 Physicians BAQAI JUNAID 601975987 30 DuPage 0 0 Clinical Pathology 0 0 0 0 0 0 0 0 0 0 0 231 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 927 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 927 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6195 0 386 0 0 0 0 0 0 6581 0 0 1003113437 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 0 111 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 29160 0 0 0 0 0 0 0 0 0 0 0 0 0 29160 0 0 1003113550 61 Independent Laboratories 30 DuPage 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 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 91 0 0 0 0 0 0 0 0 91 0 0 1003113889 1679868707 10 Physicians BAIG MIRZA A 605322329 30 DuPage 0 1 Family Practice 0 0 0 0 15 0 0 0 0 0 0 40 0 112 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 71 0 236 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 71 0 236 0 0 0 0 0 0 0 0 0 1019 0 0 0 0 0 0 1669 0 9698 0 0 0 0 0 0 12386 0 0 1003114170 1396893764 11 Dentists HOLZER MARK 602023877 200 Cook 0 0 General Dentistry 0 0 0 10 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 0 804 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 804 0 0 1003114403 1477781672 10 Physicians SHAH SUNNY N 609142913 54 Kankakee 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2055 0 0 0 0 0 0 2055 0 0 1003114526 1598908675 10 Physicians SINGH GAURAV K 617011784 72 McLean 0 0 Ophthalmology 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 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 0 0 0 0 0 0 0 0 0 0 1003114916 1417133190 10 Physicians SHIVARAJU ANUPAMA 606313222 200 Cook 0 0 Cardiology 0 0 0 0 0 0 0 0 0 0 0 6 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 460 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 460 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 6934 0 0 1003115377 1407299704 16 Nurse Practitioners BRYANT KELLY 619203197 24 Coles 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 0 172 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 3114 0 0 0 0 0 0 3114 0 0 1003115573 1093124190 11 Dentists JUMANI ESAM 999999999 80 Peoria 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 292 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 292 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20345 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20345 0 0 1003116725 1982961330 10 Physicians PATEL DAIVESH 462601316 200 Cook 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 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 0 130 0 0 0 0 0 0 130 0 0 1003116947 10 Physicians 53 Kane 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 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 0 139 0 0 0 0 0 0 139 0 0 1003116979 1467860445 16 Nurse Practitioners ROCKE CHRISTIE L 615309327 110 Woodford 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 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 0 245 0 0 0 0 0 0 245 0 0 1003117549 1780935197 10 Physicians SPARKS JEFFREY 614553315 70 McDonough 0 0 Otolaryngology 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 1708 0 0 0 0 0 0 1708 0 0 1003119202 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 27851 0 0 0 0 0 0 0 0 0 0 0 0 0 27851 0 0 1003119835 24 Speech Therapists 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 857 857 0 0 1003119885 1003132002 10 Physicians LUNA MAXIMILIANO 606082486 200 Cook 0 0 Family Practice 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 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 2136 0 0 0 0 0 0 2136 0 0 1003121158 1710235205 25 Audiologists LUXMORE RANDI 605066222 53 Kane 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 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 91 91 0 0 1003121162 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 0 120 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 19107 0 0 0 0 0 0 0 0 0 0 0 0 0 19107 0 0 1003121361 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 0 869 0 0 0 0 0 0 0 0 0 0 0 0 0 869 0 0 1003121482 1336305317 10 Physicians KORUTZ ALEXANDER 606115550 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 262 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 364 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 364 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8960 0 282 0 0 0 0 0 0 9242 0 0 1003122627 1285075028 10 Physicians BLUMBERG RACHEL 619442460 31 Edgar 0 0 Emergency Medicine 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 0 390 0 0 0 0 0 0 390 0 0 1003122822 1972725174 10 Physicians VORTIA EUGENE 601220021 53 Kane 0 0 Pediatrics 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 0 182 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 2980 0 0 0 0 0 0 2980 0 0 1003122866 1093988305 55 Early Intervention Services EZSIAS GYORGYI 605593095 30 DuPage 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 0 715 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 715 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41990 0 0 0 0 0 0 41990 0 0 1003122905 1841446788 10 Physicians BHATIA ARVIN 601228942 53 Kane 0 0 Gastroenterology 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 0 105 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 3407 0 0 0 0 0 0 3407 0 0 1003123523 1467401315 60 Pharmacies BRIOVARX LLC 370676319 844 Tennessee 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 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1633 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 123708 0 0 0 123708 0 0 1003123644 1316147192 10 Physicians STEPHAN JEAN MARIE M 606751611 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2741 0 0 0 0 0 0 2741 0 0 1003123735 1942460233 11 Dentists TAN FRANCIS 605613660 30 DuPage 0 0 General Dentistry 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1547 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1547 0 0 1003124036 1891099420 10 Physicians MATA CHRISTINE M 606313714 200 Cook 0 0 Ophthalmology 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 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8425 0 0 0 0 0 0 8425 0 0 1003124065 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 0 178 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 10609 0 0 0 0 0 0 0 0 0 0 0 0 0 10609 0 0 1003124334 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 15937 0 0 0 0 0 0 0 0 0 0 0 0 0 15937 0 0 1003124455 1225345994 10 Physicians VARGHESE ROBIN 631418512 65 Madison 0 0 Internal Medicine 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 0 285 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 285 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3055 0 0 0 0 0 0 3055 0 0 1003124786 10 Physicians 852 Wisconsin 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 1003125079 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 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4907 4907 0 0 1003125168 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 12903 0 0 0 0 0 0 0 0 0 0 0 0 0 12903 0 0 1003125746 91 Waiver service provider--Adults (DHS/DDD) 61 Livingston 0 0 0 0 0 0 0 0 1 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 0 0 0 0 0 156 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8294 0 0 0 0 0 0 0 0 0 0 0 0 0 8294 0 0 1003126393 16 Nurse Practitioners 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1003127610 1144534769 10 Physicians CHAKUMGAL SREENU 618012500 19 Champaign 0 0 Family Practice 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 0 120 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 3522 0 0 0 0 0 0 3522 0 0 1003127749 10 Physicians 816 Iowa 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 0 0 0 0 0 87 0 0 1003128073 1689994162 10 Physicians SEARS SAMUEL 615259691 80 Peoria 0 0 General Practice 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 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 0 970 0 0 0 0 0 0 970 0 0 1003128337 1790021517 61 Independent Laboratories MOLECULAR TESTING LABS 986843503 850 Washington 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 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 5581 0 0 0 0 0 0 0 0 5581 0 0 1003128975 1316233711 10 Physicians SZACHOWICZ PATRICK 604405125 107 Will 0 0 Family Practice 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 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2365 0 0 0 0 0 0 2365 0 0 1003129419 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 0 192 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 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1003129451 1003051871 10 Physicians POPALZAI MUHAMMAD J 629023988 47 Jackson 0 0 Hematology 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 0 214 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 2283 0 0 0 0 0 0 2283 0 0 1003130007 91 Waiver service provider--Adults (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 263 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 20098 0 0 0 0 0 0 0 0 0 0 0 0 0 20098 0 0 1003130048 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 0 120 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 28464 0 0 0 0 0 0 0 0 0 0 0 0 0 28464 0 0 1003130374 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 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 1086 0 0 0 0 0 0 0 0 0 0 0 0 0 1086 0 0 1003131674 1588069637 91 Waiver service provider--Adults (DHS/DDD) TALLMAN LINDSAY ELIZABETH 606224027 200 Cook 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 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 4286 0 0 0 0 0 0 0 0 0 0 0 0 0 4286 0 0 1003132273 1205002607 10 Physicians COLMAN MATTHEW 601545745 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 50 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73 0 151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73 0 151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1115 0 10154 0 0 0 0 0 0 11269 0 0 1003132362 91 Waiver service provider--Adults (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30261 0 0 0 0 0 0 0 0 0 0 0 0 0 30261 0 0 1003132586 1013957570 10 Physicians GOEL ANUPAM 606313222 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 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 0 538 0 0 0 0 0 0 538 0 0 1003132588 1730509159 16 Nurse Practitioners THERY JENNIFER 620250668 65 Madison 0 0 General Psychiatry Residency 0 0 0 0 1 0 0 0 0 0 0 0 0 113 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 445 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 445 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 8053 0 0 0 0 0 0 8070 0 0 1003132676 1891116737 16 Nurse Practitioners EVERSON JUSTIN R. 602011700 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 150 0 0 1003133016 1598992299 10 Physicians PATEL TUSHAR 606124325 200 Cook 0 0 Clinical Pathology 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 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 0 725 0 0 0 0 0 0 0 0 725 0 0 1003133139 1699170001 36 Community mental health provider HEALTHCARE ALTERNATIVE SYSTEMS 601872403 30 DuPage 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 428 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2412 0 0 2840 0 0 1003133529 1730406869 10 Physicians HOREMBALA WERONIKA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1278 0 0 0 0 0 0 1278 0 0 1003133853 4003133853 92 Waiver service provider--Disability (DHS/DRS) GOODHOPE HEALTHCARE AND HOME 60059 200 Cook 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 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 100513 0 0 0 0 0 0 0 0 0 0 0 0 0 100513 0 0 1003134441 10 Physicians 108 Williamson 0 0 Otolaryngology 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 41 0 0 0 0 0 0 41 0 0 1003134552 1366862005 16 Nurse Practitioners AUSTIN ALISON 60612 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 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 2182 0 0 0 0 0 0 2182 0 0 1003134935 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 27685 0 0 0 0 0 0 0 0 0 0 0 0 0 27685 0 0 1003135045 16 Nurse Practitioners 65 Madison 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 15 0 0 0 0 0 0 15 0 0 1003135726 1396987574 10 Physicians LEWIS ZACHARY J 528032459 80 Peoria 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 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 0 485 0 0 0 0 0 0 0 0 485 0 0 1003136108 1306082094 10 Physicians LIEBO MAX 601545716 200 Cook 0 0 Internal Medicine 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 0 454 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 454 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4369 0 0 0 0 0 0 4369 0 0 1003136123 4003136123 22 Physical Therapists YOUNT MORGAN M 620491912 76 Montgomery 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 0 360 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 27910 27910 0 0 1003137056 1215179155 10 Physicians MADUAKOR OBIOMA N 623014038 10 Adams 0 0 Obstetric-Gynecology 0 0 0 0 1 0 0 0 0 0 0 1 0 16 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 28 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 28 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 3 0 804 0 0 0 0 0 0 891 0 0 1003137594 10 Physicians 815 Indiana 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 65 0 0 0 0 0 0 65 0 0 1003137816 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 9597 0 0 0 0 0 0 0 0 0 0 0 0 0 9597 0 0 1003139400 1174937833 11 Dentists PATEL DHARA 601602039 200 Cook 0 0 General Dentistry 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 552 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 552 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 29538 0 0 0 0 0 0 0 0 0 0 0 376 0 0 0 0 29914 0 0 1003139944 1710265822 10 Physicians NAGABHAIRAVA SUSHMA 606775231 200 Cook 0 0 Family Practice 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 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 1046 0 0 0 0 0 0 1046 0 0 1003141280 1083939276 10 Physicians HURTH RYAN 618562116 82 Piatt 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 178 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 199 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 199 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 6264 0 0 0 0 0 0 6298 0 0 1003142859 1245549559 16 Nurse Practitioners MURPHY ANNA ZANDER 606751611 58 La Salle 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 0 371 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 371 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6702 0 0 0 0 0 0 6702 0 0 1003143254 1215338215 16 Nurse Practitioners CLER PAIGE 618012529 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 187 0 0 0 0 0 0 187 0 0 1003143566 1720497498 16 Nurse Practitioners HUFFMAN JASON Q 611112754 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 364 0 0 0 0 0 0 364 0 0 1003143952 92 Waiver service provider--Disability (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 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 9446 0 0 0 0 0 0 0 0 0 0 0 0 0 9446 0 0 1003144028 10 Physicians 57 Lake 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0 0 0 0 0 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 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 203 0 0 0 0 0 0 274 0 0 1003144177 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 1003144896 92 Waiver service provider--Disability (DHS/DRS) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18743 0 0 0 0 0 0 0 0 0 0 0 0 0 18743 0 0 1003145141 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 0 240 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 21018 0 0 0 0 0 0 0 0 0 0 0 0 0 21018 0 0 1003146424 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 0 192 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 30229 0 0 0 0 0 0 0 0 0 0 0 0 0 30229 0 0 1003146772 1770999005 60 Pharmacies WALGREENS #15667 606036191 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 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 2795 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 797 0 0 0 797 0 0 1003150158 1619104262 10 Physicians PANJWANI ANJANA 605638113 30 DuPage 0 0 Anesthesiology 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 3258 0 0 0 0 0 0 3258 0 0 1003150232 1487061636 16 Nurse Practitioners REVEGA SERGEY 618012529 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 465 0 0 0 0 0 0 465 0 0 1003152418 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 0 354 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 354 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28089 0 0 0 0 0 0 0 0 0 0 0 0 0 28089 0 0 1003152690 1215359559 16 Nurse Practitioners LEE CHRISTINA M 627621000 91 Sangamon 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 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 1666 0 0 0 0 0 0 1666 0 0 1003153209 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 27740 0 0 0 0 0 0 0 0 0 0 0 0 0 27740 0 0 1003153467 1114099421 75 Department of Alcohol and Substance Abuse Provider GREAT RIVER RECOVERY RESOURCES 623015924 10 Adams 0 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 0 201 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 14647 0 0 14647 0 0 1003154103 4003154103 90 Waiver service provider--Elderly (DOA) MEDTEC HLTHCRE PRIVATE DUTY 600532101 200 Cook 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 7807 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7807 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 454636 0 0 0 0 0 0 0 0 0 0 0 0 0 454636 0 0 1003155569 1457607848 86 Clinical Social Worker(Encounter Only) BAIZE STARR L 600563457 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 270 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 1745 0 0 0 0 0 0 1745 0 0 1003156813 1861444333 30 General Hospitals TRINITY MUSCATINE 527613433 816 Iowa ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 17 0 0 0 0 1 0 0 0 17 0 0 0 0 0 0 0 0 0 32 0 0 0 0 1 0 0 0 20 0 0 0 0 0 0 0 0 0 32 0 0 0 0 3 0 0 0 20 0 0 0 0 0 0 0 0 0 3497 0 0 0 0 0 0 0 0 2066 0 0 0 0 0 5563 0 0 1003157108 1548585193 10 Physicians CHEUNG AMANDA 618323752 100 Vermilion 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1479 0 0 0 0 0 0 1479 0 0 1003157245 1891007696 10 Physicians LASSUS CAITLIN 606225646 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1478 0 0 0 0 0 0 1478 0 0 1003158130 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 4230 0 0 0 0 0 0 0 0 0 0 0 0 0 4230 0 0 1003159124 1912207036 16 Nurse Practitioners TOULIOS MELISSA N 604023212 200 Cook 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 170 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 170 0 0 0 0 0 0 0 0 0 278 0 0 0 0 0 0 0 0 2725 0 0 0 0 0 0 3003 0 0 1003159245 1023303138 10 Physicians FRAZIER KENYATTA 532024809 80 Peoria 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 697 0 0 0 0 0 0 697 0 0 1003159648 1295164655 70 Ambulance Service Providers TROY FIRE PROTECTION DISTRICT 622941111 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 239880 0 0 0 0 0 0 239880 0 0 1003160375 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1860 0 0 0 0 0 0 0 0 0 0 0 0 0 1860 0 0 1003160696 4003160696 92 Waiver service provider--Disability (DHS/DRS) 101 MOBILITY 601247845 53 Kane 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16595 0 0 0 0 0 0 0 0 0 0 0 0 0 16595 0 0 1003161822 1346649209 16 Nurse Practitioners POWELL APRIL 606895325 200 Cook 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 1283 0 0 0 0 0 0 0 0 2341 0 0 0 0 0 0 3624 0 0 1003162586 1932118239 10 Physicians SMITH TAMARA 614553308 70 McDonough 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 8 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 6270 0 0 0 0 0 0 6295 0 0 1003163433 1457648628 10 Physicians KHAN SUNNIE 606895334 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 3 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2752 0 0 0 0 0 0 2752 0 0 1003164399 1306135298 46 Ambulatory Surgical Treatment Centers DMG PAIN MANAGEMENT SURGERY 605644226 107 Will 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3632 0 0 0 0 0 3632 0 0 1003164431 1902862444 87 Psychologist(Encounter Only) BURSTIN PAZIT 600761645 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 0 352 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 352 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77 0 0 0 0 0 0 77 0 0 1003164942 1760776090 10 Physicians LIVAK CHRISTINA 731436208 200 Cook 0 0 Emergency Medicine 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 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 5090 0 0 0 0 0 0 5090 0 0 1003165063 16 Nurse Practitioners 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 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 1003165357 1649687328 11 Dentists RAOL POOJA 604402852 107 Will 0 0 General Dentistry 0 0 0 99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 588 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 588 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16915 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16915 0 0 1003165569 1679816342 46 Ambulatory Surgical Treatment Centers OAK LAWN ENDOSCOPY CENTER 604533754 200 Cook 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 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 1026 0 0 0 0 0 1026 0 0 1003165778 1669762555 10 Physicians CHI EUNA 606127232 200 Cook 0 1 Internal Medicine 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 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7468 0 0 0 0 0 0 7468 0 0 1003165860 1861725277 24 Speech Therapists JORDAN VICKY 616113052 98 Tazewell 0 0 0 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 0 168 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 20904 20904 0 0 1003166549 1316384597 75 Department of Alcohol and Substance Abuse Provider HEALTHCARE ALTERNATIVE SYSTEMS 601603139 200 Cook 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 0 133 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 14400 0 0 14400 0 0 1003166592 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 0 177 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 10205 0 0 0 0 0 0 0 0 0 0 0 0 0 10205 0 0 1003166827 10 Physicians 200 Cook 0 0 Oncology 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 370 0 0 0 0 0 0 370 0 0 1003167314 1467769760 10 Physicians GANDHI SUMUL 623014038 10 Adams 0 0 Dermatology 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 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 772 0 0 0 0 0 0 772 0 0 1003167686 1235535790 16 Nurse Practitioners MCCARTHY KATHRYN S 606751611 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 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 695 0 0 0 0 0 0 695 0 0 1003169002 1477969764 16 Nurse Practitioners GRAY RANDALL J 606313222 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 0 0 0 0 0 0 0 0 0 0 1003171022 1780819037 10 Physicians ADAMS JULIA A 616360001 815 Indiana 0 0 Pathology 0 0 0 0 0 0 0 0 0 0 0 92 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 199 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 199 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 673 0 75 0 0 0 0 0 0 748 0 0 1003171338 1518195155 10 Physicians HOLMES WILLIAM D 618012529 19 Champaign 0 0 Dermatology 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 0 112 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 1840 0 0 0 0 0 0 1840 0 0 1003171546 1962718114 10 Physicians BRANDIS STANISLAV 611112754 109 Winnebago 0 0 Anesthesiology 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 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3061 0 0 0 0 0 0 3061 0 0 1003171857 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2724 0 0 0 0 0 0 0 0 0 0 0 0 0 2724 0 0 1003171895 1093763864 10 Physicians HAMER JOHN F 605231818 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 28 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 652 0 196 0 0 0 0 0 0 848 0 0 1003172853 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 0 360 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 42878 0 0 0 0 0 0 0 0 0 0 0 0 0 42878 0 0 1003174049 1457752826 86 Clinical Social Worker(Encounter Only) MALONE PITTS VALERIE 999999999 57 Lake 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 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003174269 16 Nurse Practitioners 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 248 0 0 0 0 0 0 248 0 0 1003175414 33 Nursing Facilities 53 Kane 0 0 0 0 0 0 0 0 0 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 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7373 0 0 0 0 0 0 0 7373 0 0 1003175554 1063649002 10 Physicians SCHULTZ CHRISTOPHER 482781076 200 Cook 0 0 Internal Medicine 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 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 1573 0 0 0 0 0 0 1573 0 0 1003175961 1619105897 10 Physicians BARRETT HEATHER 999999999 47 Jackson 0 0 0 0 0 0 0 0 0 0 0 0 0 325 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 609 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 609 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4396 0 34 0 0 0 0 0 0 4430 0 0 1003176324 1528400850 16 Nurse Practitioners MILLER NIKKI L 616151941 80 Peoria 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 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 0 838 0 0 0 0 0 0 838 0 0 1003177192 91 Waiver service provider--Adults (DHS/DDD) 61 Livingston 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28680 0 0 0 0 0 0 0 0 0 0 0 0 0 28680 0 0 1003177323 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 0 240 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 22380 0 0 0 0 0 0 0 0 0 0 0 0 0 22380 0 0 1003177335 16 Nurse Practitioners 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120 0 0 0 0 0 0 120 0 0 1003178398 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1604 0 0 0 0 0 0 0 0 0 0 0 0 0 1604 0 0 1003178769 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 20469 0 0 0 0 0 0 0 0 0 0 0 0 0 20469 0 0 1003179265 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 0 465 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 465 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 196453 0 0 0 0 0 0 0 0 0 0 0 0 0 196453 0 0 1003180311 75 Department of Alcohol and Substance Abuse Provider 10 Adams 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 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 0 158 0 0 158 0 0 1003182887 1184026080 16 Nurse Practitioners RICHMILLER ELIZABETH 612444004 816 Iowa 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 256 0 0 0 0 0 0 0 0 1747 0 0 0 0 0 0 2003 0 0 1003183951 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 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20610 0 0 0 0 0 0 0 0 0 0 0 0 0 20610 0 0 1003185105 92 Waiver service provider--Disability (DHS/DRS) 69 Massac 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 39402 0 0 0 0 0 0 0 0 0 0 0 0 0 39402 0 0 1003185546 1245463314 10 Physicians ORR RANDY P 601228942 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 5885 0 0 0 0 0 0 5916 0 0 1003185702 1679900229 40 Federally Qualified Health Centers LIBERTYVILLE BEHAVIORAL HEALTH 999999999 57 Lake 0 0 0 0 344 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1441 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1441 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 109983 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 109983 0 0 1003186359 1609217850 25 Audiologists HERNANDEZ ELIZABETH 999999999 826 Missouri 0 0 0 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 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2609 2609 0 0 1003186522 10 Physicians 200 Cook 0 0 Pulmonary Diseases 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 0 406 0 0 0 0 0 0 406 0 0 1003186676 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 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28741 0 0 0 0 0 0 0 0 0 0 0 0 0 28741 0 0 1003188131 1962479758 10 Physicians REED NANETTE 631600352 107 Will 0 0 Vascular Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5586 0 0 0 0 0 0 5586 0 0 1003188258 1063815645 16 Nurse Practitioners CARROLL KELLY N 611112754 109 Winnebago 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 1964 0 0 0 0 0 0 1964 0 0 1003188686 1073910469 97 Waiver service provider--Children's residential (DHS/DDD) WALKER DIANA J 627011411 91 Sangamon 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 0 440 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 440 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27698 0 0 0 0 0 0 0 0 0 0 0 0 0 27698 0 0 1003188885 1023173986 60 Pharmacies LONG TERM CARE RX INC 999999999 826 Missouri 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 1927 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19739 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12721 0 0 0 12721 0 0 1003189434 1942509369 10 Physicians HUSSAIN FAROOQ M 618222200 19 Champaign 0 0 Family Practice 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 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 0 746 0 0 0 0 0 0 746 0 0 1003192166 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 30196 0 0 0 0 0 0 0 0 0 0 0 0 0 30196 0 0 1003193905 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 0 565 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 565 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1003193989 1124443031 16 Nurse Practitioners CHIRAYIL TANYA TREASA 602011700 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 324 0 0 0 0 0 0 324 0 0 1003194399 10 Physicians 826 Missouri 0 0 Nephrology 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 1003194692 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 0 147 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 22210 0 0 0 0 0 0 0 0 0 0 0 0 0 22210 0 0 1003195272 10 Physicians 200 Cook 0 0 Anesthesiology 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 0 510 0 0 0 0 0 0 510 0 0 1003197140 1144541657 10 Physicians COX-PEDOTA MEGHAN C 601545716 200 Cook 0 0 Obstetric-Gynecology 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 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 4958 0 0 0 0 0 0 4958 0 0 1003197484 1780804930 86 Clinical Social Worker(Encounter Only) FREEMAN BRUCE J 618012529 19 Champaign 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 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 2615 0 0 0 0 0 0 2615 0 0 1003199199 1265749345 16 Nurse Practitioners HANLY FIONA 604358423 107 Will 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 0 173 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 4800 0 0 0 0 0 0 4800 0 0 1003200955 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 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 2079 0 0 0 0 0 0 0 0 0 0 0 0 0 2079 0 0 1003201336 1720216120 10 Physicians CONNER KATHERINE G 287762108 30 DuPage 0 0 Allergy-Immunization 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003201468 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11687 0 0 0 0 0 0 0 0 0 0 0 0 0 11687 0 0 1003201552 10 Physicians 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1003202200 1740415058 10 Physicians QUASEM AHMED K 840708760 89 Rock Island 0 0 Family Practice 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 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 0 362 0 0 0 0 0 0 362 0 0 1003202571 1942605142 16 Nurse Practitioners HINDS MELISSA 627949639 91 Sangamon 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 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 2630 0 0 0 0 0 0 2630 0 0 1003202582 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 0 118 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 17820 0 0 0 0 0 0 0 0 0 0 0 0 0 17820 0 0 1003202875 1518265875 10 Physicians MECK CANDICE E 447182545 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 167 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 0 0 0 0 0 5118 0 0 0 0 0 0 5118 0 0 1003204687 1023459005 16 Nurse Practitioners OLSEN KATHLEEN 606890001 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 211 0 0 0 0 0 0 211 0 0 1003205913 16 Nurse Practitioners 106 Whiteside 0 0 0 0 0 0 0 0 0 0 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 8 0 0 0 0 0 0 8 0 0 1003208497 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 0 243 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 0 0 0 0 0 0 0 0 0 0 0 0 27950 0 0 0 0 0 0 0 0 0 0 0 0 0 27950 0 0 1003208941 1760474225 16 Nurse Practitioners NELSON GEORGE 627047452 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 392 0 0 0 0 0 0 392 0 0 1003209390 60 Pharmacies 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 0 0 86 0 0 1003209709 1205235355 16 Nurse Practitioners KOONTZ KIMBERLY L 627083428 62 Logan 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 1 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 2274 0 0 0 0 0 0 2274 0 0 1003210041 1174933675 16 Nurse Practitioners SHARAIN ROZA 606751611 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 182 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 1797 0 0 0 0 0 0 1797 0 0 1003212742 1992051056 16 Nurse Practitioners PENN EMILY T 600992676 57 Lake 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 0 443 0 0 0 0 0 0 443 0 0 1003213351 1508825373 61 Independent Laboratories FOURPATH LTD 605275811 30 DuPage 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 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 15 0 0 0 0 0 0 0 0 15 0 0 1003213478 1619383262 16 Nurse Practitioners SUASIN MAY 705083870 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 0 944 0 0 0 0 0 0 944 0 0 1003213994 1013318500 16 Nurse Practitioners GIARDONO ANGELA 611086479 109 Winnebago 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 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 3936 0 0 0 0 0 0 3936 0 0 1003217034 1700281342 16 Nurse Practitioners STEWART ANGELIA C 619389253 24 Coles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1656 0 0 0 0 0 0 1656 0 0 1003217250 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 1295 0 0 0 0 0 0 0 0 0 0 0 0 0 1295 0 0 1003217351 1053729624 60 Pharmacies WALMART PHARMACY 10 3166 606151612 200 Cook 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 0 320 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10478 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21239 0 0 0 21239 0 0 1003217549 92 Waiver service provider--Disability (DHS/DRS) 51 Jo Daviess 0 0 0 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 31398 0 0 0 0 0 0 0 0 0 0 0 0 0 31398 0 0 1003218009 1952558926 10 Physicians NAZZAL MUSTAFA 631102515 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 0 517 0 0 0 0 0 0 517 0 0 1003218239 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 28447 0 0 0 0 0 0 0 0 0 0 0 0 0 28447 0 0 1003218752 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 0 131 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 9882 0 0 0 0 0 0 0 0 0 0 0 0 0 9882 0 0 1003221033 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 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1003221471 1396151320 55 Early Intervention Services DRAGOO CHRISTINE 604514813 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 0 131 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 7771 0 0 0 0 0 0 7771 0 0 1003221610 1477704252 10 Physicians HADID MAZEN 610320857 97 Stephenson 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 396 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 396 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 7389 0 0 0 0 0 0 7399 0 0 1003221963 1740689660 36 Community mental health provider AID PLUM 605063462 53 Kane 0 0 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 123 0 0 476 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3744 0 0 476 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3744 0 0 17479 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 442083 0 0 459562 0 0 1003223226 1881637049 10 Physicians VINAYEK NAMITA 627023749 91 Sangamon 0 0 Oncology 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 0 937 0 0 0 0 0 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 99877 0 0 0 0 0 0 99877 0 0 1003225800 1851576243 10 Physicians KARMALLY ZOHAIR H 339012699 200 Cook 0 0 Internal Medicine 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 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 2056 0 0 0 0 0 0 2056 0 0 1003226679 16 Nurse Practitioners 57 Lake 0 0 0 0 0 0 0 0 0 0 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 0 202 0 0 0 0 0 0 202 0 0 1003226793 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 0 188 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 15176 0 0 0 0 0 0 0 0 0 0 0 0 0 15176 0 0 1003227017 1700115235 16 Nurse Practitioners QUINN JANIS 606112991 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 1587 0 0 0 0 0 0 1587 0 0 1003227637 1831332832 10 Physicians GUIRGUIS SAMUEL W 753208807 57 Lake 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 168 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 248 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 248 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5848 0 276 0 0 0 0 0 0 6124 0 0 1003227793 1245496850 10 Physicians PODJASEK JOSHUA O 605615013 30 DuPage 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 64 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 201 0 95 0 0 0 0 0 0 296 0 0 1003228004 1609171206 16 Nurse Practitioners HONOLD CRYSTAL A 629023988 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 0 128 0 0 0 0 0 0 128 0 0 1003228515 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 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 23071 0 0 0 0 0 0 0 0 0 0 0 0 0 23071 0 0 1003229020 4003229020 91 Waiver service provider--Adults (DHS/DDD) CHERUBIM DEVELOPMENTAL TRAININ 601875403 30 DuPage 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 3637 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3637 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 729236 0 0 0 0 0 0 0 0 0 0 0 0 0 729236 0 0 1003231132 10 Physicians 56 Knox 0 0 0 0 0 0 0 0 0 0 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 63 0 0 0 0 0 0 63 0 0 1003231434 1306036876 10 Physicians MUSACCHIO MICHAEL J 602011718 53 Kane 0 0 Neurology Surgery 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 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 1825 0 0 0 0 0 0 1825 0 0 1003231447 70 Ambulance Service Providers 818 Kentucky 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 1150 0 0 0 0 0 0 1150 0 0 1003232210 10 Physicians 63 Macon 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 32 0 0 0 0 0 0 32 0 0 1003232307 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 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 19 0 0 0 0 0 0 19 0 0 1003232335 1366694135 10 Physicians BRUNWORTH JOSEPH 631041003 89 Rock Island 0 0 Otolaryngology 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 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 0 831 0 0 0 0 0 0 831 0 0 1003234162 1609139898 22 Physical Therapists ALLEN KATHRYN 606733039 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 131 131 0 0 1003234949 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 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 5526 0 0 0 0 0 0 0 0 0 0 0 0 0 5526 0 0 1003235143 1922011360 10 Physicians SCHEICH ADRIENNE 606112991 200 Cook 0 0 Pediatrics 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 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 2274 0 0 0 0 0 0 2274 0 0 1003235325 1518257955 10 Physicians BENDIN NICOLE J 605275965 30 DuPage 0 0 Internal Medicine 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 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1894 0 0 0 0 0 0 1894 0 0 1003236167 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 0 365 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 57970 0 0 0 0 0 0 0 0 0 0 0 0 0 57970 0 0 1003236350 16 Nurse Practitioners 39 Greene 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1003236752 1457752743 16 Nurse Practitioners MOY ANNIE 28950784 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 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 0 314 0 0 0 0 0 0 314 0 0 1003237021 91 Waiver service provider--Adults (DHS/DDD) 42 Hancock 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 144 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 29937 0 0 0 0 0 0 0 0 0 0 0 0 0 29937 0 0 1003237772 1922265818 10 Physicians PARRA SANCHEZ IVAN 601220021 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 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 1357 0 0 0 0 0 0 1357 0 0 1003238685 1932175767 10 Physicians WELSCH MICHAEL J 601486413 30 DuPage 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 50 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 322 0 658 0 0 0 0 0 0 980 0 0 1003238861 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 11709 0 0 0 0 0 0 0 0 0 0 0 0 0 11709 0 0 1003238926 1093900771 10 Physicians BANSAL KAPURIA VIJAYTA G 606740023 200 Cook 0 0 Neurology 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 0 589 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 589 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13731 0 0 0 0 0 0 13731 0 0 1003240472 10 Physicians 815 Indiana 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 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 1003244350 1518195049 10 Physicians SODHI RUPINDER 601545716 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 185 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 2003 0 0 0 0 0 0 2003 0 0 1003244700 1104063536 10 Physicians RAVURI SUREN 612821804 89 Rock Island 0 0 Family Practice 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 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 0 0 0 0 0 0 0 0 0 0 1003244726 1972828002 10 Physicians DOBLER ELIZABETH 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 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 5936 0 0 0 0 0 0 5936 0 0 1003248092 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 18979 0 0 0 0 0 0 0 0 0 0 0 0 0 18979 0 0 1003248638 16 Nurse Practitioners 96 St Clair 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 82 0 0 1003249472 1497151542 12 Optometrists SMITH CHARITA 606233936 200 Cook 0 0 Diagnostic Pharmaceutical Agents 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 0 486 0 0 0 0 0 0 486 0 0 1003249900 1194133017 33 Nursing Facilities MANOR COURT OF CARBONDALE 629011082 47 Jackson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5310 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 529905 0 0 0 0 0 0 0 529905 0 0 1003251379 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 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 4908 0 0 0 0 0 0 0 0 0 0 0 0 0 4908 0 0 1003251432 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 36 0 0 1003253320 10 Physicians 200 Cook 0 0 Nephrology 0 0 0 0 0 0 0 0 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 0 125 0 0 0 0 0 0 125 0 0 1003253779 48 Rural Health Clinics 826 Missouri 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 366 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 366 0 0 1003254140 1144661380 16 Nurse Practitioners BERRY SOTHIDA 601159602 27 Dekalb 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 0 948 0 0 0 0 0 0 948 0 0 1003255507 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 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 30054 0 0 0 0 0 0 0 0 0 0 0 0 0 30054 0 0 1003255800 24 Speech Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1743 1743 0 0 1003256485 86 Clinical Social Worker(Encounter Only) 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 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 83 0 0 0 0 0 0 83 0 0 1003257113 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 0 102 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 19678 0 0 0 0 0 0 0 0 0 0 0 0 0 19678 0 0 1003257583 16 Nurse Practitioners 200 Cook 0 0 General Psychiatry Residency 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 11 0 0 1003258412 10 Physicians 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 106 0 0 1003259241 1235527524 36 Community mental health provider HERITAGE BEHAVIORAL HEALTH CTR 625222444 63 Macon 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 649 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 468 0 0 649 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 468 0 0 27920 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49927 0 0 77847 0 0 1003260230 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 0 193 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 23292 0 0 0 0 0 0 0 0 0 0 0 0 0 23292 0 0 1003260293 1750547493 10 Physicians KUMAR RAJIV 464106382 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 590 0 0 0 0 0 0 0 0 590 0 0 1003261616 1194006742 10 Physicians DEWILDE POOJA S 600508409 71 McHenry 0 0 Emergency Medicine 0 0 0 0 1 0 0 0 0 0 0 3 0 35 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 3 0 55 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 3 0 55 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 78 0 1768 0 0 0 0 0 0 1950 0 0 1003261878 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 13996 0 0 0 0 0 0 0 0 0 0 0 0 0 13996 0 0 1003262512 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 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 0 434 0 0 0 0 0 0 434 0 0 1003262758 1336342427 10 Physicians FAULKNER MICHAEL W 420033802 200 Cook 0 0 Internal Medicine 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 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 0 238 0 0 0 0 0 0 238 0 0 1003263398 1255734877 16 Nurse Practitioners SERDIUK JENNIFER 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 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 1333 0 0 0 0 0 0 1333 0 0 1003264582 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 1003265606 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 11316 0 0 0 0 0 0 0 0 0 0 0 0 0 11316 0 0 1003265709 1528100054 10 Physicians ARTHUR JOSHUA 631322907 24 Coles 0 0 Pediatrics 0 0 0 0 7 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 647 0 0 0 0 0 0 0 0 3817 0 0 0 0 0 0 4464 0 0 1003266098 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 3 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 1128 1128 0 0 1003266240 1790173557 16 Nurse Practitioners SULLIVAN COREY 623012834 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 624 0 0 0 0 0 0 624 0 0 1003266899 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 24672 0 0 0 0 0 0 0 0 0 0 0 0 0 24672 0 0 1003267031 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2093 0 0 0 0 0 0 0 0 0 0 0 0 0 2093 0 0 1003267320 24 Speech Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 12 0 0 1003267812 1699114009 10 Physicians HUANG TIAN 605270872 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 958 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 958 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27218 0 0 0 0 0 0 27218 0 0 1003267839 4003267839 91 Waiver service provider--Adults (DHS/DDD) "AVANCER HOMES, LLC" 999999999 27 Dekalb 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 23104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5270503 0 0 0 0 0 0 0 0 0 0 0 0 0 5270503 0 0 1003267873 1154763589 86 Clinical Social Worker(Encounter Only) KELLEY CARYN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120 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 3490 0 0 0 0 0 0 3490 0 0 1003269090 10 Physicians 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66 0 81 0 0 0 0 0 0 147 0 0 1003270194 1194049676 10 Physicians BINIUS TRACY 606123714 200 Cook 0 0 Psychiatry 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 0 192 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 4376 0 0 0 0 0 0 4376 0 0 1003270585 1013323690 16 Nurse Practitioners TIRPAK TRAVIS 999999999 200 Cook 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 0 175 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 4147 0 0 0 0 0 0 4147 0 0 1003271517 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 25564 0 0 0 0 0 0 0 0 0 0 0 0 0 25564 0 0 1003271709 1497799613 10 Physicians KIM JOHN 618012529 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5605 0 0 0 0 0 0 5605 0 0 1003272378 1710296868 24 Speech Therapists BECK TERESA 627621000 91 Sangamon 0 0 0 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 0 367 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 367 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28874 28874 0 0 1003272479 1235441783 10 Physicians RHEE CHARLES 605276686 30 DuPage 0 0 Geriatrics 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 537 0 0 0 0 0 0 537 0 0 1003272729 1992083513 10 Physicians WARD ELIZABETH A 602011718 200 Cook 0 0 Internal Medicine 0 0 0 0 1 0 0 0 0 0 0 20 0 119 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 21 0 206 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 21 0 206 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 118 0 9934 0 0 0 0 0 0 10073 0 0 1003273600 1841697521 25 Audiologists ANDREASEN CHRISTINA 606740018 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 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 0 167 167 0 0 1003275256 10 Physicians 89 Rock Island 0 0 Ophthalmology 0 0 0 0 0 0 0 0 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 0 104 0 0 0 0 0 0 104 0 0 1003275665 1851655872 10 Physicians NGU WILLIAM 601203843 53 Kane 0 0 General Practice 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 0 251 0 0 0 0 0 0 251 0 0 1003277198 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 21187 0 0 0 0 0 0 0 0 0 0 0 0 0 21187 0 0 1003277390 1366858409 16 Nurse Practitioners KENNELLY KATHERINE 606112605 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 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 0 697 0 0 0 0 0 0 697 0 0 1003277495 1467772681 10 Physicians GRUBB EILEEN 605638669 30 DuPage 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 45 0 0 0 0 0 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 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4420 0 0 0 0 0 0 4420 0 0 1003277534 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 24825 0 0 0 0 0 0 0 0 0 0 0 0 0 24825 0 0 1003278066 1558779058 16 Nurse Practitioners HOLTHAUS SHANNON 618012529 19 Champaign 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 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 1417 0 0 0 0 0 0 1417 0 0 1003278273 1336381201 16 Nurse Practitioners MCMAHON MARGO 999999999 33 Effingham 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 63 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 2708 0 0 0 0 0 0 2793 0 0 1003279214 10 Physicians 30 DuPage 0 0 Anesthesiology 0 0 0 0 0 0 0 0 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 0 229 0 0 0 0 0 0 229 0 0 1003279305 1164845152 16 Nurse Practitioners JARRIN ELIZABETH 601235827 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8036 0 0 0 0 0 0 8036 0 0 1003281553 1003216052 16 Nurse Practitioners ALVARADO URRUTIA NORMA 999999999 106 Whiteside 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 231 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 231 0 0 0 0 0 0 0 0 0 507 0 0 0 0 0 0 0 0 7953 0 0 0 0 0 0 8460 0 0 1003282213 1528375706 16 Nurse Practitioners MCCUNE MARISA L 600761224 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 662 0 0 0 0 0 0 662 0 0 1003282230 1811158462 10 Physicians MENOCCI PAUL 604405125 107 Will 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 2455 0 0 0 0 0 0 2455 0 0 1003282902 92 Waiver service provider--Disability (DHS/DRS) 100 Vermilion 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 8058 0 0 0 0 0 0 0 0 0 0 0 0 0 8058 0 0 1003283831 1366848061 24 Speech Therapists WESTLAKE SARA 627949248 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 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 1043 1043 0 0 1003285222 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 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 18808 0 0 0 0 0 0 0 0 0 0 0 0 0 18808 0 0 1003285780 1497797757 10 Physicians OKEEFE REGIS 63110 826 Missouri 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1368 0 0 0 0 0 0 1368 0 0 1003287771 1831595701 16 Nurse Practitioners ROGERS KEVIN 610811252 106 Whiteside 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 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2870 0 0 0 0 0 0 2870 0 0 1003288419 91 Waiver service provider--Adults (DHS/DDD) 98 Tazewell 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 157 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 13595 0 0 0 0 0 0 0 0 0 0 0 0 0 13595 0 0 1003288517 1578902839 16 Nurse Practitioners HAZARD JENNIFER 28950784 88 Richland 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 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 1852 0 0 0 0 0 0 1852 0 0 1003289273 1811305758 16 Nurse Practitioners TRAUM NICOLE R 606071644 106 Whiteside 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 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 0 123 0 0 0 0 0 0 123 0 0 1003289274 1366603276 10 Physicians PASTERNAK-WISE OLGA 605275965 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 517 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 887 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 887 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27135 0 0 0 0 0 0 0 0 27135 0 0 1003289768 1811322027 16 Nurse Practitioners HOUDA SHANNON 28950784 50 Jersey 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 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 0 799 0 0 0 0 0 0 799 0 0 1003289819 1790018984 10 Physicians KESNER KIMBERLY 600250128 55 Kendall 0 0 Anesthesiology 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 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 3324 0 0 0 0 0 0 3324 0 0 1003289834 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 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22037 0 0 0 0 0 0 0 0 0 0 0 0 0 22037 0 0 1003290173 1235534363 16 Nurse Practitioners DORZWEILER PAMELA S 606118709 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 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 0 495 0 0 0 0 0 0 495 0 0 1003290439 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 140 0 0 0 0 0 0 140 0 0 1003290513 16 Nurse Practitioners 50 Jersey 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 0 170 0 0 0 0 0 0 170 0 0 1003291597 10 Physicians 65 Madison 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 81 0 0 0 0 0 0 81 0 0 1003291688 1861680621 10 Physicians BRINKMEIER MATTHEW 631600352 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 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 0 143 0 0 0 0 0 0 143 0 0 1003293255 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 80 0 0 1003294204 1174812853 10 Physicians THAKKAR RUCHIR 999999999 107 Will 0 0 0 0 0 0 18 0 0 0 0 0 0 297 0 483 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 608 0 754 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 608 0 754 0 0 0 0 0 0 0 0 0 1521 0 0 0 0 0 0 18256 0 24619 0 0 0 0 0 0 44396 0 0 1003294782 93 Waiver service provider--HIV/AIDS (DHS/DRS) 30 DuPage 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21451 0 0 0 0 0 0 0 0 0 0 0 0 0 21451 0 0 1003295904 1134523657 16 Nurse Practitioners DELGADILLO JULIO A 535661569 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 1 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 1105 0 0 0 0 0 0 1105 0 0 1003296359 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 28317 0 0 0 0 0 0 0 0 0 0 0 0 0 28317 0 0 1003297056 1497169882 11 Dentists GORDON WILLIAM 606093844 200 Cook 0 0 General Dentistry 0 0 0 118 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 596 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 596 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24160 0 0 1003297159 1700141819 10 Physicians GAO LIANGHE 603022519 200 Cook 0 0 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 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3209 0 0 0 0 0 0 3209 0 0 1003297279 1003104605 10 Physicians MUSKULA PREETHAM REDDY 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 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 0 129 0 0 0 0 0 0 129 0 0 1003297868 1114975158 10 Physicians DILLIG GINA 600451694 57 Lake 0 0 Dermatology 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 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 172 0 0 0 0 0 0 172 0 0 1003297897 1114353448 16 Nurse Practitioners WOOD ANNE 606313222 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 527 0 0 0 0 0 0 527 0 0 1003297953 36 Community mental health provider 107 Will 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 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 1026 0 0 1026 0 0 1003298194 1336537919 16 Nurse Practitioners CARPENTER REBECCA 999999999 826 Missouri 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 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 0 633 0 0 0 0 0 0 633 0 0 1003299388 1942481940 10 Physicians GANDHI MONA 601228942 53 Kane 0 0 Dermatology 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 0 164 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 1955 0 0 0 0 0 0 1955 0 0 1003299589 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 0 114 0 0 0 0 0 0 114 0 0 1003299946 1144651993 30 General Hospitals CONCERTO DIALYSIS LLC 604452154 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 2 0 0 0 0 0 0 0 0 0 0 0 0 804 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 4420 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 38052 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 621478 0 0 0 0 0 621478 0 0 1003302409 1386917268 10 Physicians ZIRK AARON 999999999 200 Cook 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 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5463 0 0 0 0 0 0 5463 0 0 1003302919 92 Waiver service provider--Disability (DHS/DRS) 58 La Salle 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2318 0 0 0 0 0 0 0 0 0 0 0 0 0 2318 0 0 1003303227 1518399005 16 Nurse Practitioners SHARPE TIPHNE N 606740018 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 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 0 349 0 0 0 0 0 0 349 0 0 1003303325 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3260 0 0 0 0 0 0 0 0 0 0 0 0 0 3260 0 0 1003303509 1467684332 16 Nurse Practitioners ENEOGWE GRACE 606603013 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 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 0 0 0 0 0 0 0 0 0 0 1003304637 1174699599 86 Clinical Social Worker(Encounter Only) ROHR SUSAN 613501604 58 La Salle 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 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 692 0 0 0 0 0 0 692 0 0 1003305120 1861807562 16 Nurse Practitioners NAVARRETE CLAUDIA 606071644 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 109 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 0 844 0 0 0 0 0 0 844 0 0 1003305195 1114026754 10 Physicians MONTEFOLKA MARK 616111863 98 Tazewell 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 15 0 46 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 17 0 77 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 17 0 77 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 87 0 2971 0 0 0 0 0 0 3127 0 0 1003306427 1730342593 10 Physicians PATEL NEIL 601235827 53 Kane 0 0 Physical Medicine/Rehabilitation 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 0 546 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 546 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16913 0 0 0 0 0 0 16913 0 0 1003307176 1871995472 16 Nurse Practitioners BARNETT SHERI 627011034 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1429 0 0 0 0 0 0 1429 0 0 1003307787 10 Physicians 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1836 0 0 0 0 0 0 1836 0 0 1003307893 1720224439 16 Nurse Practitioners JOSEPH SIMI 606118709 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 638 0 0 0 0 0 0 638 0 0 1003308482 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 26578 0 0 0 0 0 0 0 0 0 0 0 0 0 26578 0 0 1003309807 1023306230 10 Physicians EL-KHABIRY EHAB S. 602011700 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 156 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 0 0 0 0 0 2611 0 0 0 0 0 0 2611 0 0 1003310158 1912107186 10 Physicians FITZGERALD SEAN A 616370001 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 715 0 200 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5033 0 220 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5033 0 220 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29483 0 23322 0 0 0 0 0 0 52805 0 0 1003310492 1831480896 10 Physicians LOGSDON MALLORY 606313222 63 Macon 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3414 0 0 0 0 0 0 3414 0 0 1003312560 1215333604 16 Nurse Practitioners FLEMING MEREDITH 626811465 92 Schuyler 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 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 0 733 0 0 0 0 0 0 733 0 0 1003313738 1619378999 60 Pharmacies TOUHY FAMILY PHARMACY LLC 606461119 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 346 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4939 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 153377 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 127757 0 0 0 127757 0 0 1003313858 1639478159 10 Physicians SHAH BHAVIK 606313222 200 Cook 0 0 Internal Medicine 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 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4216 0 0 0 0 0 0 4216 0 0 1003317961 1326445594 16 Nurse Practitioners NARDULLI MICHELLE 605213829 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 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 0 237 0 0 0 0 0 0 237 0 0 1003318045 1861789737 10 Physicians LI QI 330276314 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2820 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2820 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21945 0 0 0 0 0 0 21945 0 0 1003320180 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 0 105 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 7528 0 0 0 0 0 0 0 0 0 0 0 0 0 7528 0 0 1003320721 1518196377 10 Physicians ZHANG YING 605066222 53 Kane 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 0 279 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 4824 0 0 0 0 0 0 4824 0 0 1003321682 1326204991 10 Physicians ELKHATIB IMAD 600315711 57 Lake 0 0 Gastroenterology 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 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10481 0 0 0 0 0 0 10481 0 0 1003322447 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 0 192 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 23328 0 0 0 0 0 0 0 0 0 0 0 0 0 23328 0 0 1003322454 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 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26277 0 0 0 0 0 0 0 0 0 0 0 0 0 26277 0 0 1003322608 1669808465 16 Nurse Practitioners YOON SARAH 606253500 200 Cook 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 175 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 382 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 382 0 0 0 0 0 0 0 0 0 239 0 0 0 0 0 0 0 0 6947 0 0 0 0 0 0 7186 0 0 1003323222 16 Nurse Practitioners 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 131 0 0 0 0 0 0 131 0 0 1003323403 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 27284 0 0 0 0 0 0 0 0 0 0 0 0 0 27284 0 0 1003324091 16 Nurse Practitioners 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 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 0 150 0 0 0 0 0 0 150 0 0 1003324287 92 Waiver service provider--Disability (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 41725 0 0 0 0 0 0 0 0 0 0 0 0 0 41725 0 0 1003324599 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 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 32467 0 0 0 0 0 0 0 0 0 0 0 0 0 32467 0 0 1003324982 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 0 360 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 28987 0 0 0 0 0 0 0 0 0 0 0 0 0 28987 0 0 1003325457 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 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 20882 0 0 0 0 0 0 0 0 0 0 0 0 0 20882 0 0 1003325699 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 30261 0 0 0 0 0 0 0 0 0 0 0 0 0 30261 0 0 1003328132 1124469267 10 Physicians NAFFOUJE RAND 606930626 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 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 19893 0 0 0 0 0 0 19893 0 0 1003328941 1467856914 16 Nurse Practitioners DEHART KEELAN 627949639 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4128 0 0 0 0 0 0 4128 0 0 1003330681 1457514879 10 Physicians PURSANI AMIT 602011780 200 Cook 0 0 Cardiology 0 0 0 0 0 0 0 0 0 0 0 16 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 163 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 163 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 559 0 2528 0 0 0 0 0 0 3087 0 0 1003330933 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 0 153 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 14102 0 0 0 0 0 0 0 0 0 0 0 0 0 14102 0 0 1003332236 1669874608 16 Nurse Practitioners VORAC HEIDI F 612541091 45 Henry 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 315 0 0 0 0 0 0 0 0 290 0 0 0 0 0 0 605 0 0 1003332591 1376799288 12 Optometrists BARBARO KRISTIE 606118709 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 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 0 608 0 0 0 0 0 0 608 0 0 1003332854 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 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4217 0 0 0 0 0 0 0 0 0 0 0 0 0 4217 0 0 1003333620 10 Physicians 30 DuPage 0 1 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1003333699 1124330055 10 Physicians LASSUS DONALD 606225646 200 Cook 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 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 1949 0 0 0 0 0 0 1949 0 0 1003334166 10 Physicians 200 Cook 0 0 Urology 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 78 0 0 0 0 0 0 78 0 0 1003335444 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 156 0 0 0 0 0 0 156 0 0 1003336715 1144283136 10 Physicians HENRY MARY 620628500 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 588 0 70 0 0 0 0 0 0 658 0 0 1003336866 91 Waiver service provider--Adults (DHS/DDD) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 295 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 295 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27658 0 0 0 0 0 0 0 0 0 0 0 0 0 27658 0 0 1003336976 1629362462 10 Physicians BALU SIMONA M 606118709 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 190 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 5172 0 0 0 0 0 0 5172 0 0 1003337765 1447651674 60 Pharmacies MARIANOS PHARMACY 8518 600255154 200 Cook 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 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3458 0 0 0 3458 0 0 1003338487 1346640828 25 Audiologists MAY ELLEN 606809094 200 Cook 0 0 0 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 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 1025 1025 0 0 1003338525 1376966333 16 Nurse Practitioners KENNELLY ELLEN 999999999 30 DuPage 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 1545 0 0 0 0 0 0 1545 0 0 1003338621 1942609227 55 Early Intervention Services HILL CASEY 628962210 36 Franklin 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 1960 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 0 0 0 0 0 0 0 0 0 0 0 0 120105 0 0 0 0 0 0 120105 0 0 1003339791 16 Nurse Practitioners 49 Jefferson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1003340224 4003340224 91 Waiver service provider--Adults (DHS/DDD) REDEMPTA SERVICES NFP 999999999 200 Cook 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 7199 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7199 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1686845 0 0 0 0 0 0 0 0 0 0 0 0 0 1686845 0 0 1003340613 1699171579 16 Nurse Practitioners QUEVEDO SHAUNA 200152079 19 Champaign 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 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 77 0 0 0 0 0 0 77 0 0 1003341222 1619378627 16 Nurse Practitioners THOMPSON SENTA L 462601316 107 Will 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 79 0 0 0 0 0 0 79 0 0 1003341249 1790186070 16 Nurse Practitioners JOHNSON MICHELLE D 616157822 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 0 292 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 292 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38674 0 0 0 0 0 0 38674 0 0 1003342229 1881972982 13 Podiatrists HARRY FRANKLIN 600622319 200 Cook 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 0 875 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 0 0 0 0 0 0 0 0 0 0 0 0 5232 0 0 0 0 0 0 5232 0 0 1003342415 4003342415 91 Waiver service provider--Adults (DHS/DDD) RESPECT ABILITIES INC 612442136 89 Rock Island 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 16338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 619901 0 0 0 0 0 0 0 0 0 0 0 0 0 619901 0 0 1003343103 1295164077 16 Nurse Practitioners LUDOVICO CINDY 606751611 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 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 1480 0 0 0 0 0 0 1480 0 0 1003343522 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 0 110 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 14677 0 0 0 0 0 0 0 0 0 0 0 0 0 14677 0 0 1003343829 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 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 39036 0 0 0 0 0 0 0 0 0 0 0 0 0 39036 0 0 1003344770 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19786 0 0 0 0 0 0 0 0 0 0 0 0 0 19786 0 0 1003346945 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 0 655 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 655 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55598 0 0 0 0 0 0 0 0 0 0 0 0 0 55598 0 0 1003348053 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 1003348325 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 12069 0 0 0 0 0 0 0 0 0 0 0 0 0 12069 0 0 1003350029 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 22720 0 0 0 0 0 0 0 0 0 0 0 0 0 22720 0 0 1003351502 1114214574 10 Physicians REICH PATRICK 999999999 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1191 0 0 0 0 0 0 1191 0 0 1003351820 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 7924 0 0 0 0 0 0 0 0 0 0 0 0 0 7924 0 0 1003352039 93 Waiver service provider--HIV/AIDS (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11096 0 0 0 0 0 0 0 0 0 0 0 0 0 11096 0 0 1003352252 16 Nurse Practitioners 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 0 0 0 0 0 0 0 0 0 0 1003352575 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 0 178 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 29937 0 0 0 0 0 0 0 0 0 0 0 0 0 29937 0 0 1003352817 1760810535 16 Nurse Practitioners GENTILE ELISE M 606313222 200 Cook 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 134 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 134 0 0 0 0 0 0 0 0 0 531 0 0 0 0 0 0 0 0 7559 0 0 0 0 0 0 8090 0 0 1003353549 1811302409 16 Nurse Practitioners DAHM RENEE J 601220021 53 Kane 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 0 272 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 7778 0 0 0 0 0 0 7778 0 0 1003353874 1710256375 86 Clinical Social Worker(Encounter Only) DIAMOND MARY 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 787 0 0 0 0 0 0 787 0 0 1003354450 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 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 36577 0 0 0 0 0 0 0 0 0 0 0 0 0 36577 0 0 1003354561 1396029013 10 Physicians UZOKA CHUKWUEMEKA C 627047450 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 220 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 9206 0 0 0 0 0 0 9206 0 0 1003354762 1174613319 13 Podiatrists MCENEANEY PATRICK 600132718 71 McHenry 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 0 110 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 1530 0 0 0 0 0 0 1530 0 0 1003356273 1588854848 10 Physicians KOCIASVILI KONSTANTINS O 600893545 200 Cook 0 0 Internal Medicine 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 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 0 533 0 0 0 0 0 0 533 0 0 1003358235 1447200357 10 Physicians MATHEWS RANJIV 999999999 91 Sangamon 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 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 14932 0 0 0 0 0 0 14932 0 0 1003359395 60 Pharmacies 200 Cook 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 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 344504 0 0 0 344504 0 0 1003359639 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 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 3215 0 0 0 0 0 0 0 0 0 0 0 0 0 3215 0 0 1003359962 1760891766 16 Nurse Practitioners PIAGENTINI DANIELLE K 616151941 80 Peoria 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 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2064 0 0 0 0 0 0 2064 0 0 1003360767 91 Waiver service provider--Adults (DHS/DDD) 107 Will 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 190 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 54577 0 0 0 0 0 0 0 0 0 0 0 0 0 54577 0 0 1003360768 91 Waiver service provider--Adults (DHS/DDD) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 127 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 28123 0 0 0 0 0 0 0 0 0 0 0 0 0 28123 0 0 1003361138 1184989915 10 Physicians ALSHRAIDEH YOUSEF S 629023988 47 Jackson 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 8 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 155 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 155 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 5073 0 0 0 0 0 0 5095 0 0 1003361332 1255592655 10 Physicians AHMED SAUD S 462063272 71 McHenry 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 212 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 265 0 154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 265 0 154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2752 0 3011 0 0 0 0 0 0 5763 0 0 1003361761 1114317088 33 Nursing Facilities BRIDGEWAY SENIOR LIVING 601062674 30 DuPage 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 0 344 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1249043 0 0 0 0 0 0 0 1249043 0 0 1003361923 1861653453 10 Physicians HAMMING MARK 600162359 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 50 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 973 0 7562 0 0 0 0 0 0 8535 0 0 1003362782 1962701342 10 Physicians MATHEW TOBBY 606740018 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 3 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 288 0 0 0 0 0 0 324 0 0 1003363272 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 0 397 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 32762 0 0 0 0 0 0 0 0 0 0 0 0 0 32762 0 0 1003364473 1619317229 10 Physicians PATEL RUCHI 600101809 57 Lake 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 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 47 0 0 0 0 0 0 47 0 0 1003364660 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 14149 0 0 0 0 0 0 0 0 0 0 0 0 0 14149 0 0 1003365214 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 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6912 0 0 0 0 0 0 0 0 0 0 0 0 0 6912 0 0 1003365753 16 Nurse Practitioners 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 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 0 164 0 0 0 0 0 0 164 0 0 1003366208 1467687657 10 Physicians HUANG ANDREA 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 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 5554 0 0 0 0 0 0 5554 0 0 1003366301 91 Waiver service provider--Adults (DHS/DDD) 62 Logan 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29918 0 0 0 0 0 0 0 0 0 0 0 0 0 29918 0 0 1003366705 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 0 368 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 368 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27732 0 0 0 0 0 0 0 0 0 0 0 0 0 27732 0 0 1003367710 10 Physicians 53 Kane 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 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 0 135 0 0 0 0 0 0 135 0 0 1003367738 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 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 2405 0 0 0 0 0 0 0 0 0 0 0 0 0 2405 0 0 1003368351 1881097301 16 Nurse Practitioners POSTELNICK SYRA 28950784 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 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 0 304 0 0 0 0 0 0 304 0 0 1003369274 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9990 0 0 0 0 0 0 0 0 0 0 0 0 0 9990 0 0 1003369995 1760673925 10 Physicians RANA SAROSH 604263556 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 6 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 3176 0 0 0 0 0 0 3251 0 0 1003370361 36 Community mental health provider 200 Cook 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 168 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 168 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5782 0 0 5836 0 0 1003370573 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 27831 0 0 0 0 0 0 0 0 0 0 0 0 0 27831 0 0 1003371021 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1379 0 0 0 0 0 0 0 0 0 0 0 0 0 1379 0 0 1003371096 1659771814 28 Waiver service provider--Supportive living facility (HFS) PRAIRIE GREEN AT FAYS POINT 604065094 200 Cook 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 0 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5653 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 587323 0 0 0 0 0 0 0 0 0 0 0 0 0 587323 0 0 1003371354 10 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 106 0 0 1003372219 91 Waiver service provider--Adults (DHS/DDD) 83 Pike 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1003374278 1144584988 10 Physicians HUYNH CHRISTINA 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 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 0 567 0 0 0 0 0 0 567 0 0 1003374338 10 Physicians 80 Peoria 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 0 476 0 0 0 0 0 0 476 0 0 1003375086 1033512207 16 Nurse Practitioners BELLEAVIA MEGAN B 605323661 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2264 0 0 0 0 0 0 2264 0 0 1003375107 1629132477 12 Optometrists WATSON WILLIAM A 782052255 109 Winnebago 0 0 Diagnostic Pharmaceutical Agents 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 0 119 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 3747 0 0 0 0 0 0 3747 0 0 1003375840 30 General Hospitals 811 Georgia NON-COST "Non-cost reporting hospitals, paid a Per Diem rate." 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 6050 0 0 0 0 0 0 0 0 0 6050 0 0 1003376633 16 Nurse Practitioners 88 Richland 0 0 0 0 0 0 0 0 0 0 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 7 0 0 0 0 0 0 7 0 0 1003376654 1114198223 10 Physicians CHHANGANI BANTU S 606751611 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 86 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 1171 0 0 0 0 0 0 1171 0 0 1003377829 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 28171 0 0 0 0 0 0 0 0 0 0 0 0 0 28171 0 0 1003380030 4003380030 90 Waiver service provider--Elderly (DOA) "IMS PROFESSIONAL HOME CARE, IN" 600184104 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 1466 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1466 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160642 0 0 0 0 0 0 0 0 0 0 0 0 0 160642 0 0 1003380745 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25651 0 0 0 0 0 0 0 0 0 0 0 0 0 25651 0 0 1003380811 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 0 362 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 26462 0 0 0 0 0 0 0 0 0 0 0 0 0 26462 0 0 1003381334 1104214287 16 Nurse Practitioners HIDALGO CRISCIEL P 602011718 57 Lake 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 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 0 516 0 0 0 0 0 0 516 0 0 1003381883 10 Physicians 200 Cook 0 0 Physical Medicine/Rehabilitation 0 0 0 0 0 0 0 0 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 1003382167 1295962843 10 Physicians POONJA AZEMINA 601262816 30 DuPage 0 0 Internal 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 0 166 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 2787 0 0 0 0 0 0 2787 0 0 1003382420 1235572082 16 Nurse Practitioners CHERIAN SHERINE 295762698 200 Cook 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 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 3761 0 0 0 0 0 0 3761 0 0 1003382947 1376802728 55 Early Intervention Services COBBINS LATANYA 606513129 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 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9436 0 0 0 0 0 0 9436 0 0 1003383596 1770983181 16 Nurse Practitioners VISSERING JENNIFER 616360001 80 Peoria 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 99 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 99 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 0 0 2257 0 0 0 0 0 0 2361 0 0 1003383773 1417295833 16 Nurse Practitioners CABRERA KIMBERLY N GARCIA 606118709 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 0 724 0 0 0 0 0 0 724 0 0 1003383819 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 19342 0 0 0 0 0 0 0 0 0 0 0 0 0 19342 0 0 1003384213 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 1665 0 0 0 0 0 0 0 0 0 0 0 0 0 1665 0 0 1003384909 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 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 9944 0 0 0 0 0 0 0 0 0 0 0 0 0 9944 0 0 1003385261 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 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 0 140 0 0 0 0 0 0 140 0 0 1003387148 91 Waiver service provider--Adults (DHS/DDD) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 226 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 5377 0 0 0 0 0 0 0 0 0 0 0 0 0 5377 0 0 1003388087 1760621791 10 Physicians WOODHAM MATTHEW 370275339 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 274 0 0 0 0 0 0 274 0 0 1003388232 1427356336 16 Nurse Practitioners DIEFENDORF LISSA 616042804 80 Peoria 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 0 342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2704 0 0 0 0 0 0 2704 0 0 1003388275 1891094355 10 Physicians BIGGERS ALANA 606127232 200 Cook 0 1 Internal Medicine 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 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 1881 0 0 0 0 0 0 1881 0 0 1003389518 1528352358 10 Physicians LIPINSKI CHRISTINE 606740018 200 Cook 0 0 Pediatrics 0 0 0 0 6 0 0 0 0 0 0 8 0 21 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 11 0 27 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 11 0 27 0 0 0 0 0 0 0 0 0 494 0 0 0 0 0 0 351 0 660 0 0 0 0 0 0 1505 0 0 1003390147 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 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 0 911 0 0 0 0 0 0 0 0 0 0 0 0 0 911 0 0 1003390293 1639575947 24 Speech Therapists BAKER SARAH 613504304 58 La Salle 0 0 0 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 0 308 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 26848 26848 0 0 1003390563 10 Physicians 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003391196 92 Waiver service provider--Disability (DHS/DRS) 77 Morgan 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 12146 0 0 0 0 0 0 0 0 0 0 0 0 0 12146 0 0 1003393254 1104114826 10 Physicians CHANDRA GOPIKA 606930623 200 Cook 0 1 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2698 0 0 0 0 0 0 2698 0 0 1003393696 1255732129 16 Nurse Practitioners ROBERTS KATHY 606123714 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 77 0 0 0 0 0 0 77 0 0 1003395125 1629374566 75 Department of Alcohol and Substance Abuse Provider STONYBROOK CENTER INC 601876806 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 163 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 14374 0 0 14374 0 0 1003395166 1396062782 10 Physicians HUNSICKER CHRISTINE 535661569 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 2 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 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 0 0 1866 0 0 0 0 0 0 1866 0 0 1003395538 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 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11871 0 0 0 0 0 0 0 0 0 0 0 0 0 11871 0 0 1003397080 1649456211 10 Physicians KING THOMAS 610811252 106 Whiteside 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 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 2034 0 0 0 0 0 0 2034 0 0 1003397298 1851797310 60 Pharmacies CARE CENTRAL PHARMACY INC 606344420 200 Cook 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 0 463 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14647 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9039 0 0 0 9039 0 0 1003398920 1396148458 16 Nurse Practitioners ALUMBAUGH ALLISON 619389253 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 0 151 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 2101 0 0 0 0 0 0 2101 0 0 1003399036 1538576640 55 Early Intervention Services WARNING ELIZABETH 604508305 40 Grundy 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 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 6022 0 0 0 0 0 0 6022 0 0 1003399148 1083993430 10 Physicians FUDALA MONICA 612821804 89 Rock Island 0 0 Internal 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 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 74 0 0 0 0 0 0 74 0 0 1003400335 1902191232 10 Physicians ROZIER CYNTHIA K 606118709 200 Cook 0 1 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 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 0 803 0 0 0 0 0 0 803 0 0 1003400797 1447493945 10 Physicians MURTY SMITA 618203909 19 Champaign 0 1 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 12 0 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 346 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 346 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242 0 2157 0 0 0 0 0 0 2399 0 0 1003401088 1740516541 16 Nurse Practitioners BECKSTROM HEIDI 605063814 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 178 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 3635 0 0 0 0 0 0 3635 0 0 1003403362 1033342548 10 Physicians MALDONADO JANETTE 602011700 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 0 123 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 12661 0 0 0 0 0 0 12661 0 0 1003403426 1629211776 10 Physicians THACKER TERRY B 477313276 109 Winnebago 0 0 Anesthesiology 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 0 166 0 0 0 0 0 0 166 0 0 1003403714 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 42964 0 0 0 0 0 0 0 0 0 0 0 0 0 42964 0 0 1003405042 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 0 192 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 27847 0 0 0 0 0 0 0 0 0 0 0 0 0 27847 0 0 1003405946 1144516097 10 Physicians LARSON JEFFREY D 606232460 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 6 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 418 0 407 0 0 0 0 0 0 825 0 0 1003406619 10 Physicians 200 Cook 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 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 518 0 0 0 0 0 0 518 0 0 1003406821 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 0 167 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 0 0 0 0 0 20914 0 0 0 0 0 0 0 0 0 0 0 0 0 20914 0 0 1003407669 1134415391 10 Physicians ABOOD ADEL 61801 19 Champaign 0 0 Family Practice 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 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 2726 0 0 0 0 0 0 2726 0 0 1003407812 1487941969 10 Physicians ABBASI WALEED 611033655 109 Winnebago 0 0 Pediatrics 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 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 2882 0 0 0 0 0 0 2882 0 0 1003407961 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 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1947 0 0 1947 0 0 1003408562 1114356607 16 Nurse Practitioners PECHACEK DEREK E 761165707 19 Champaign 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 0 631 0 0 0 0 0 0 631 0 0 1003408684 1942617808 11 Dentists ALNOMAN NAWAR 606304312 200 Cook 0 0 General Dentistry 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 438 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 438 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15285 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15285 0 0 1003410361 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 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 30 0 0 0 0 0 0 30 0 0 1003411427 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 21036 0 0 0 0 0 0 0 0 0 0 0 0 0 21036 0 0 1003411829 1427141001 12 Optometrists YOUNG JEFFREY A 627949248 91 Sangamon 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 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2775 0 0 0 0 0 0 2775 0 0 1003411859 1649342742 60 Pharmacies KIMMEL CHAPLAIN PHARMACY 628121358 36 Franklin 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 0 382 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10622 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23356 0 0 0 23356 0 0 1003412156 1447514971 10 Physicians HANSON CHRISTOPHER J 627949639 91 Sangamon 0 1 0 0 0 0 1 0 0 0 0 0 0 1 0 83 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 299 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 299 0 0 0 0 0 0 0 0 0 77 0 0 0 0 0 0 0 0 5783 0 0 0 0 0 0 5860 0 0 1003412913 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1158 0 0 0 0 0 0 0 0 0 0 0 0 0 1158 0 0 1003413423 1588649321 10 Physicians TAYLOR FUNMINIYI 601220021 53 Kane 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 37 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1201 0 479 0 0 0 0 0 0 1680 0 0 1003413424 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 23 0 0 0 0 0 0 23 0 0 1003414327 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003414330 1750693966 10 Physicians DY-JOHNSON JESSICA 601228942 53 Kane 0 0 Obstetric-Gynecology 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 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 540 0 0 0 0 0 0 540 0 0 1003414915 1881859833 10 Physicians SINGH PREET 999999999 826 Missouri 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 0 439 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 439 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53228 0 0 0 0 0 0 53228 0 0 1003414981 1235364092 10 Physicians REDDY SHRUTHI 606740018 200 Cook 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 479 0 0 0 0 0 0 479 0 0 1003415337 1932101532 10 Physicians HAWN KENNETH 631955534 91 Sangamon 0 1 Pediatrics 0 0 0 0 28 0 0 0 0 0 0 14 0 42 0 0 0 0 0 0 0 0 0 105 0 0 0 0 0 0 19 0 65 0 0 0 0 0 0 0 0 0 105 0 0 0 0 0 0 19 0 65 0 0 0 0 0 0 0 0 0 3806 0 0 0 0 0 0 372 0 2152 0 0 0 0 0 0 6330 0 0 1003415904 98 Waiver service provider--TBI (DHS/DRS) 96 St Clair 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 21656 0 0 0 0 0 0 0 0 0 0 0 0 0 21656 0 0 1003416446 1255420030 10 Physicians VIDOVICH DANKO 999999999 835 North Dakota 0 0 0 0 0 0 0 0 0 0 0 0 0 88 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 131 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 131 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1370 0 79 0 0 0 0 0 0 1449 0 0 1003417419 1932184272 10 Physicians ARNOLD JOHN H. 623012726 836 Ohio 0 0 Cardiovascular Surgery 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 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 1482 0 0 0 0 0 0 1482 0 0 1003417854 10 Physicians 49 Jefferson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1003418692 10 Physicians 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 174 0 0 0 0 0 0 174 0 0 1003418747 1760793707 10 Physicians WILSON JESSICA 606751611 200 Cook 0 0 Neurology 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 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 1066 0 0 0 0 0 0 1066 0 0 1003419224 86 Clinical Social Worker(Encounter Only) 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 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 0 192 0 0 0 0 0 0 192 0 0 1003420371 87 Psychologist(Encounter Only) 53 Kane 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 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 0 131 0 0 0 0 0 0 131 0 0 1003420801 16 Nurse Practitioners 109 Winnebago 0 0 0 0 0 0 0 0 0 0 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 2 0 0 0 0 0 0 2 0 0 1003421440 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 180 0 0 1003422442 10 Physicians 200 Cook 0 0 Radiology 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 0 231 0 0 0 0 0 0 231 0 0 1003423332 1588924278 10 Physicians MALLIDI THOMAS 604405125 107 Will 0 1 Family Practice 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 2 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 955 0 0 0 0 0 0 955 0 0 1003423682 10 Physicians 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1003423748 1588953038 10 Physicians WERDI ASEM 604643701 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1953 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1953 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12414 0 0 0 0 0 0 12414 0 0 1003424901 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 0 314 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 314 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27714 0 0 0 0 0 0 0 0 0 0 0 0 0 27714 0 0 1003425171 1508995804 86 Clinical Social Worker(Encounter Only) GREEN HOPE A 604879341 107 Will 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 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 0 0 0 0 0 0 0 0 0 0 1003425564 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 1003426193 1285879494 10 Physicians NANNEGARI VEENA H 606313713 200 Cook 0 0 Gastroenterology 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 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 0 769 0 0 0 0 0 0 769 0 0 1003426352 1407100381 16 Nurse Practitioners BARSZCZ EMILY 999999999 200 Cook 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 93 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 93 0 0 0 0 0 0 0 0 0 207 0 0 0 0 0 0 0 0 2849 0 0 0 0 0 0 3056 0 0 1003427356 1962791657 10 Physicians MARSHALL-BERGMAN BETH M 606751620 200 Cook 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 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 0 284 0 0 0 0 0 0 284 0 0 1003428789 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8723 0 0 0 0 0 0 0 0 0 0 0 0 0 8723 0 0 1003429920 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 584 0 0 0 0 0 0 0 0 0 0 0 0 0 584 0 0 1003431845 10 Physicians 30 DuPage 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 83 0 0 0 0 0 0 83 0 0 1003432028 1972907962 16 Nurse Practitioners HURT EMILY R. 602011718 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 363 0 0 0 0 0 0 363 0 0 1003433237 1790760676 10 Physicians BOBUSTUC GEORGE 532152843 200 Cook 0 0 Neurology 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 0 321 0 0 0 0 0 0 321 0 0 1003433346 1598757031 10 Physicians EISENSTEIN DAVID 631101010 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 175 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 252 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 252 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3231 0 47 0 0 0 0 0 0 3278 0 0 1003434231 1144626995 16 Nurse Practitioners LAMBO REBECCA 999999999 57 Lake 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 151 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 267 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 267 0 0 0 0 0 0 0 0 0 1001 0 0 0 0 0 0 0 0 8963 0 0 0 0 0 0 9964 0 0 1003434842 1528231750 10 Physicians FALLS SYLVIA VELINOVA 606733039 200 Cook 0 0 Oncology 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 0 306 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 306 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4779 0 0 0 0 0 0 4779 0 0 1003436372 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2839 0 0 0 0 0 0 0 0 0 0 0 0 0 2839 0 0 1003436386 1831309988 33 Nursing Facilities INTEGRITY HC OF WOOD RIVER 620951646 65 Madison 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 0 132 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3004 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 351315 0 0 0 0 0 0 0 351315 0 0 1003436462 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 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 1275 0 0 0 0 0 0 1275 0 0 1003436767 1578852497 10 Physicians LIO JONATHAN 605275965 30 DuPage 0 0 Internal Medicine 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 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 0 183 0 0 0 0 0 0 183 0 0 1003437411 1437556800 16 Nurse Practitioners JOHNSON STELLA 631955860 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 94 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 94 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 1913 0 0 0 0 0 0 2009 0 0 1003439728 1770847766 10 Physicians CHAN EUNICE 750576424 200 Cook 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 425 0 0 0 0 0 0 452 0 0 1003440183 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 23030 0 0 0 0 0 0 0 0 0 0 0 0 0 23030 0 0 1003440940 16 Nurse Practitioners 109 Winnebago 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 0 168 0 0 0 0 0 0 168 0 0 1003441356 1750487914 10 Physicians BALLARD RACHEL 606116649 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 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 0 947 0 0 0 0 0 0 947 0 0 1003442883 1376948901 62 Opticians / Optical Companies KISH OPTICAL INC 601232800 53 Kane 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 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1259 0 0 0 0 1259 0 0 1003443201 1003049966 10 Physicians DHORAJIA GIRISHKUMAR 618223741 19 Champaign 0 0 Psychiatry 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 0 694 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 694 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23379 0 0 0 0 0 0 23379 0 0 1003443227 1841511573 10 Physicians MARRI RAGHU 601262966 30 DuPage 0 0 Anesthesiology 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 0 985 0 0 0 0 0 0 985 0 0 1003443229 1255752549 16 Nurse Practitioners SAUJANI LAUREN 606731285 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 737 0 0 0 0 0 0 737 0 0 1003443639 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 0 180 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 8885 0 0 0 0 0 0 0 0 0 0 0 0 0 8885 0 0 1003444112 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 52 0 0 1003444284 1932331089 10 Physicians HOXIE SILAS 463123049 815 Indiana 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 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 1475 0 0 0 0 0 0 1475 0 0 1003445198 1811940497 10 Physicians AL-SAYYED BAN H 601545716 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1174 0 0 0 0 0 0 1174 0 0 1003445669 1790185684 55 Early Intervention Services STRAUB JENNIFER 600121337 71 McHenry 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 0 188 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 15000 0 0 0 0 0 0 15000 0 0 1003447227 1740589969 10 Physicians HABIB IBRAHIM 605066222 53 Kane 0 0 Internal Medicine 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 0 122 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 5193 0 0 0 0 0 0 5193 0 0 1003447768 1700289808 60 Pharmacies "HARMON DRUG STORE, INC" 624511263 25 Crawford 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 1336 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35431 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21866 0 0 0 21866 0 0 1003447935 1689790008 10 Physicians RODEN LYNDA 606313222 200 Cook 0 1 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 60 0 0 0 0 0 0 60 0 0 1003447944 1649254939 10 Physicians AXE HOWARD 606118709 200 Cook 0 0 Internal Medicine 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 2 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 870 0 0 0 0 0 0 870 0 0 1003449122 1841450525 10 Physicians BENSON JONAS 601875581 30 DuPage 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 5 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 1214 0 0 0 0 0 0 1225 0 0 1003449526 1881896652 10 Physicians LEE MICHAEL 605275965 30 DuPage 0 0 Orthopedic Surgery 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 0 131 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 8110 0 0 0 0 0 0 8110 0 0 1003451111 1053633461 10 Physicians MOHAMED AHMED S 628013001 66 Marion 0 0 Orthopedic Surgery 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 0 307 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 9349 0 0 0 0 0 0 9349 0 0 1003452436 1497155998 16 Nurse Practitioners TAYLOR ANEESHA 601220021 53 Kane 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 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 0 153 0 0 0 0 0 0 153 0 0 1003453205 1467869107 16 Nurse Practitioners LEE PATRICIA 28950784 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 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 1052 0 0 0 0 0 0 1052 0 0 1003457869 16 Nurse Practitioners 200 Cook 0 0 General Psychiatry Residency 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 0 207 0 0 0 0 0 0 207 0 0 1003457896 1023273901 10 Physicians COTTON JONATHAN 609012901 54 Kankakee 0 0 0 0 0 0 0 0 0 0 0 0 0 111 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 172 0 239 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 172 0 239 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1305 0 7483 0 0 0 0 0 0 8788 0 0 1003458365 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 0 106 0 0 0 0 0 0 106 0 0 1003458431 1093153066 87 Psychologist(Encounter Only) BAIG MEHGAN 606253500 71 McHenry 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 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 0 291 0 0 0 0 0 0 291 0 0 1003459169 92 Waiver service provider--Disability (DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11386 0 0 0 0 0 0 0 0 0 0 0 0 0 11386 0 0 1003459441 1679978860 16 Nurse Practitioners BROOKS KRISTEN S 117474300 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 0 423 0 0 0 0 0 0 423 0 0 1003461170 1174812267 10 Physicians AYUB NAZIA 606740018 200 Cook 0 0 Internal Medicine 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 0 124 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 2976 0 0 0 0 0 0 2976 0 0 1003461652 24 Speech Therapists 20 Christian 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 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 1003461662 1043584865 10 Physicians ASCOLI CHRISTIAN 606123748 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 14000 0 0 0 0 0 0 14008 0 0 1003463070 1497849194 87 Psychologist(Encounter Only) BENTON KATHRYN A 605153913 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 360 0 0 0 0 0 0 360 0 0 1003463148 1255658993 10 Physicians ARORA VINAY 602011718 63 Macon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 1429 0 0 0 0 0 0 1449 0 0 1003464024 1720487465 60 Pharmacies WALGREENS #15971 606112988 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 362 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 10418 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2875 0 0 79954 0 0 0 82829 0 0 1003466662 1518251115 10 Physicians DE LA TORRE ROCIO 604022311 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 6 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 97 0 1371 0 0 0 0 0 0 1468 0 0 1003467253 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25016 0 0 0 0 0 0 0 0 0 0 0 0 0 25016 0 0 1003468226 1154521367 10 Physicians MEHTA ANKIT 606123748 200 Cook 0 0 Neurology Surgery 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 0 139 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 68423 0 0 0 0 0 0 68423 0 0 1003469296 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 0 288 0 0 0 0 0 0 288 0 0 1003469933 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 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 9922 0 0 0 0 0 0 0 0 0 0 0 0 0 9922 0 0 1003470187 1619082179 87 Psychologist(Encounter Only) HIRSCH ALAN 605645176 107 Will 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 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 98 0 0 1003471032 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 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 32 0 0 1003472438 10 Physicians 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 499 0 0 0 0 0 0 499 0 0 1003473708 1265797385 14 Chiropractors LOPEZ ROBERTO 606321849 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 0 334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2524 0 0 0 0 0 0 2524 0 0 1003474151 22 Physical Therapists 89 Rock Island 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 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 0 719 719 0 0 1003474399 1568804466 24 Speech Therapists ODONNELL STEFANIE 601732244 200 Cook 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 0 105 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 10664 10664 0 0 1003476271 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 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 22528 0 0 0 0 0 0 0 0 0 0 0 0 0 22528 0 0 1003476487 16 Nurse Practitioners 826 Missouri 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 2 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 76 0 0 1003476567 1720216526 10 Physicians ZALESKA ANNA M 605591296 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 346 0 0 0 0 0 0 364 0 0 1003476898 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 0 317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22744 0 0 0 0 0 0 0 0 0 0 0 0 0 22744 0 0 1003478083 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 174 0 0 0 0 0 0 174 0 0 1003478113 1275733719 10 Physicians KITTEN SUZANNA 618012529 19 Champaign 0 0 Psychiatry 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 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 4242 0 0 0 0 0 0 4242 0 0 1003479113 55 Early Intervention Services 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 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 3539 0 0 0 0 0 0 3539 0 0 1003479495 1457768343 16 Nurse Practitioners CHAUDHRY AZMAT 28950784 53 Kane 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 1447 0 0 0 0 0 0 1463 0 0 1003479808 16 Nurse Practitioners 23 Clinton 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 35 0 0 1003480402 10 Physicians 53 Kane 0 0 Radiation Oncology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 883 0 0 0 0 0 0 883 0 0 1003480711 1376981308 13 Podiatrists BUDZ TOMASZ 999999999 200 Cook 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 0 452 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 452 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16389 0 0 0 0 0 0 16389 0 0 1003480860 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 15552 0 0 0 0 0 0 0 0 0 0 0 0 0 15552 0 0 1003481517 1356672612 16 Nurse Practitioners BANEK RAFAL B 600992676 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4382 0 0 0 0 0 0 4382 0 0 1003483754 10 Physicians 200 Cook 0 0 Radiology Diagnosis 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 53 0 0 0 0 0 0 0 0 53 0 0 1003484114 1902043334 10 Physicians SHRESTHA SELEENA 626440530 68 Mason 0 0 Psychiatry 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 0 132 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 10690 0 0 0 0 0 0 10690 0 0 1003486434 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 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18489 0 0 0 0 0 0 0 0 0 0 0 0 0 18489 0 0 1003487144 1326144510 87 Psychologist(Encounter Only) SCHMIDT SUSAN 606523832 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 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003487627 1225287428 10 Physicians KINZINGER ROBERT 616052507 80 Peoria 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 62 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 131 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 131 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1412 0 12684 0 0 0 0 0 0 14096 0 0 1003487882 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 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 256 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 1003489983 1235534298 36 Community mental health provider "PILSEN WELLNESS CENTER, INC. -" 606322638 200 Cook 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 131 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 375 0 0 131 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 375 0 0 12596 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46493 0 0 59089 0 0 1003493883 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 0 201 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 30242 0 0 0 0 0 0 0 0 0 0 0 0 0 30242 0 0 1003494637 1194127977 16 Nurse Practitioners WIERSEMA CASSIE 999999999 106 Whiteside 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 1637 0 0 0 0 0 0 0 0 2867 0 0 0 0 0 0 4504 0 0 1003494659 92 Waiver service provider--Disability (DHS/DRS) 20 Christian 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1471 0 0 0 0 0 0 0 0 0 0 0 0 0 1471 0 0 1003494692 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 31 0 0 1003494844 1104132331 10 Physicians AGRAWAL GARIMA 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 199 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 255 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 255 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2991 0 1362 0 0 0 0 0 0 4353 0 0 1003495121 1619292570 10 Physicians KAUR RAMANDEEP 606751611 200 Cook 0 0 Family Practice 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 0 212 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 2448 0 0 0 0 0 0 2448 0 0 1003495568 1487054433 16 Nurse Practitioners LOWRANCE CHRISTINA E. 616052576 80 Peoria 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 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 2049 0 0 0 0 0 0 2049 0 0 1003496012 1417297946 11 Dentists LI QINGSHAN 604675407 200 Cook 0 0 General Dentistry 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6350 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6350 0 0 1003496576 23 Occupational Therapists 89 Rock Island 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 97 97 0 0 1003496685 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 37896 0 0 0 0 0 0 0 0 0 0 0 0 0 37896 0 0 1003496866 1407855919 16 Nurse Practitioners KRUEGER MARLA 999999999 30 DuPage 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 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3426 0 0 0 0 0 0 3426 0 0 1003497988 16 Nurse Practitioners 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 62 0 0 0 0 0 0 62 0 0 1003500296 1316213531 60 Pharmacies PANTHERX SPECIALTY PHARMACY 152751104 839 Pennsylvania 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 0 105 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3286 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 557532 0 0 0 557532 0 0 1003501336 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 0 227 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 13644 0 0 0 0 0 0 0 0 0 0 0 0 0 13644 0 0 1003501701 1184843328 10 Physicians SOIFER ELIZABETH 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 631 0 0 0 0 0 0 649 0 0 1003502409 4003502409 72 Taxicabs and Livery Companies DES TRANSPORTATION 606494458 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 9896 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9896 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56860 0 0 0 0 0 0 56860 0 0 1003502578 1649406992 10 Physicians ALYOUSEF TAREQ 999999999 57 Lake 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 0 148 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 0 474 0 0 0 0 0 0 474 0 0 1003503144 12 Optometrists 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 39 0 0 0 0 0 0 39 0 0 1003503461 1003229840 16 Nurse Practitioners ZAKOS HELEN 370275339 30 DuPage 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 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2585 0 0 0 0 0 0 2585 0 0 1003505195 92 Waiver service provider--Disability (DHS/DRS) 64 Macoupin 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1553 0 0 0 0 0 0 0 0 0 0 0 0 0 1553 0 0 1003507103 1942244694 10 Physicians STRONG SCOTT A. 606118709 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 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 0 745 0 0 0 0 0 0 745 0 0 1003508361 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 251 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 251 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12150 0 0 0 0 0 0 0 0 0 0 0 0 0 12150 0 0 1003509281 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 0 166 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 27086 0 0 0 0 0 0 0 0 0 0 0 0 0 27086 0 0 1003510877 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 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 18036 0 0 0 0 0 0 0 0 0 0 0 0 0 18036 0 0 1003511913 1407069073 10 Physicians MOJA JESSICA 620491912 76 Montgomery 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 478 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 478 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4635 0 0 0 0 0 0 4635 0 0 1003512464 1306240700 16 Nurse Practitioners SOLIS KIERSTEN A 606225646 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 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 0 328 0 0 0 0 0 0 328 0 0 1003513370 1427459007 16 Nurse Practitioners HALL ASHLEY 999999999 109 Winnebago 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 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1543 0 0 0 0 0 0 1543 0 0 1003514122 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 0 343 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 0 0 0 0 0 0 0 0 0 0 0 0 27414 0 0 0 0 0 0 0 0 0 0 0 0 0 27414 0 0 1003514229 1275829954 13 Podiatrists MONTOYA RAYMOND R 606118709 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 435 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 435 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3041 0 0 0 0 0 0 3041 0 0 1003515841 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 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 28346 0 0 0 0 0 0 0 0 0 0 0 0 0 28346 0 0 1003519691 1578970505 16 Nurse Practitioners JUENGER JOELLEN 339012699 40 Grundy 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 0 124 0 0 0 0 0 0 124 0 0 1003519818 1689669111 10 Physicians PAINTER CARL 999999999 76 Montgomery 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 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12694 0 0 0 0 0 0 12694 0 0 1003520090 1114169166 10 Physicians JANSEN JONATHAN 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 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 1757 0 0 0 0 0 0 1757 0 0 1003520251 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 21617 0 0 0 0 0 0 0 0 0 0 0 0 0 21617 0 0 1003521521 24 Speech Therapists 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1528 1528 0 0 1003522071 1932480290 87 Psychologist(Encounter Only) SHEIKH FYEQA 602011700 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 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 1362 0 0 0 0 0 0 1362 0 0 1003523878 1871933572 10 Physicians BLUM FRANZISKA 612015351 815 Indiana 0 0 Internal Medicine 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 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2228 0 0 0 0 0 0 2228 0 0 1003524579 1174927222 23 Occupational Therapists GARCIA MARLEN 605461443 200 Cook 0 0 0 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 0 803 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 61521 61521 0 0 1003524931 1821398397 16 Nurse Practitioners BLACKWELL WYVON 604732258 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 0 205 0 0 0 0 0 0 205 0 0 1003526524 1225308281 16 Nurse Practitioners ADER ALI 606081732 852 Wisconsin 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 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 2897 0 0 0 0 0 0 2897 0 0 1003526877 1356574313 10 Physicians GARG RISHI 606930623 200 Cook 0 0 Neurology 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 875 0 0 0 0 0 0 875 0 0 1003527040 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 0 260 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 29203 0 0 0 0 0 0 0 0 0 0 0 0 0 29203 0 0 1003527389 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 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 27833 0 0 0 0 0 0 0 0 0 0 0 0 0 27833 0 0 1003527435 1770982464 16 Nurse Practitioners MORALES JESSICA 600185621 200 Cook 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 0 122 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 2133 0 0 0 0 0 0 2133 0 0 1003528110 1093762213 10 Physicians SHREESHA UDAYA 999999999 96 St Clair 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1185 0 0 0 0 0 0 1185 0 0 1003528395 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 24688 0 0 0 0 0 0 0 0 0 0 0 0 0 24688 0 0 1003529181 1477613073 16 Nurse Practitioners MERKLER ANDREA F 606733039 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 963 0 0 0 0 0 0 963 0 0 1003529312 1710265855 13 Podiatrists DELEON ROBERT 606196525 200 Cook 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 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 288 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 1003530351 1720489727 16 Nurse Practitioners YOUNG RACHAEL M 618012529 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 611 0 0 0 0 0 0 611 0 0 1003530554 1316231707 10 Physicians HOLMES MELISSA P. 606751611 200 Cook 0 0 Pediatrics 0 0 0 0 30 0 0 0 0 0 0 3 0 31 0 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 4 0 35 0 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 4 0 35 0 0 0 0 0 0 0 0 0 2979 0 0 0 0 0 0 15 0 1597 0 0 0 0 0 0 4591 0 0 1003532376 10 Physicians 816 Iowa 0 0 Cardiology 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003533965 1962611624 10 Physicians MITTAL ANUBHA 606491003 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 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 2223 0 0 0 0 0 0 2223 0 0 1003534337 1639588254 40 Federally Qualified Health Centers LAKE COUNTY HEALTH DEPARTMENT 600732951 57 Lake 0 0 0 0 109 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 354 0 245 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 354 0 245 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23151 0 0 1003534747 1033486758 10 Physicians SHAUKAT BUSHRA 631418573 19 Champaign 0 1 Family Practice 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 0 306 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 306 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4076 0 0 0 0 0 0 4076 0 0 1003535243 92 Waiver service provider--Disability (DHS/DRS) 77 Morgan 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 9594 0 0 0 0 0 0 0 0 0 0 0 0 0 9594 0 0 1003535850 1194013086 12 Optometrists DEMETRULIAS ANGELA J. 631600352 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 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 0 160 0 0 0 0 0 0 160 0 0 1003537039 1922416197 60 Pharmacies KODO CARE INC 604357655 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 573 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12368 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 335634 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 173156 0 0 0 173156 0 0 1003537964 1811193592 10 Physicians WIEBE LAUREN A. 602011718 200 Cook 0 0 Internal Medicine 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 43 0 0 0 0 0 0 43 0 0 1003538412 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 23098 0 0 0 0 0 0 0 0 0 0 0 0 0 23098 0 0 1003538555 1356634547 10 Physicians EL MOURABET MARWA 606751611 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 365 0 0 0 0 0 0 365 0 0 1003538696 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 20232 0 0 0 0 0 0 0 0 0 0 0 0 0 20232 0 0 1003539112 1356638019 10 Physicians RAO CHANDRIKA 604405125 107 Will 0 0 Obstetric-Gynecology 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 0 359 0 0 0 0 0 0 359 0 0 1003539245 1588863906 10 Physicians WHITE STEPHANIE M 633033541 65 Madison 0 0 Cardiovascular Diseases 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 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 0 790 0 0 0 0 0 0 790 0 0 1003540042 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 0 127 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 9744 0 0 0 0 0 0 0 0 0 0 0 0 0 9744 0 0 1003541012 1700074762 16 Nurse Practitioners VAUGHN KATHI 999999999 33 Effingham 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2290 0 0 0 0 0 0 2290 0 0 1003542275 1124318837 10 Physicians BARTKUS RYAN P 535625531 65 Madison 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 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 0 985 0 0 0 0 0 0 985 0 0 1003542750 10 Physicians 71 McHenry 0 0 Allergy-Immunization 0 0 0 0 0 0 0 0 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 5 0 0 0 0 0 0 5 0 0 1003543043 91 Waiver service provider--Adults (DHS/DDD) 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 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 6099 0 0 0 0 0 0 0 0 0 0 0 0 0 6099 0 0 1003543653 1639348881 10 Physicians SAEED ATHAR M 604501207 40 Grundy 0 0 Cardiology 0 0 0 0 0 0 0 0 0 0 0 1 0 78 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 173 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 173 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3181 0 0 0 0 0 0 3181 0 0 1003544009 1942626577 16 Nurse Practitioners BAKER MARY 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 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 41 0 0 0 0 0 0 41 0 0 1003544031 1245422666 10 Physicians PUDUSSERI LISA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 264 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 394 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 394 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 4612 0 0 0 0 0 0 4615 0 0 1003544663 1194022541 10 Physicians KHAN FAIZAN A 610320857 97 Stephenson 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 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 0 262 0 0 0 0 0 0 262 0 0 1003545445 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 0 156 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 0 0 0 0 0 28320 0 0 0 0 0 0 0 0 0 0 0 0 0 28320 0 0 1003545791 1235403130 10 Physicians TEK PETER 604319341 107 Will 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 40 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 231 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 231 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 112 0 2955 0 0 0 0 0 0 3067 0 0 1003546497 4003546497 93 Waiver service provider--HIV/AIDS (DHS/DRS) ADDUS HEALTHCARE 605151765 30 DuPage 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108959 0 0 0 0 0 0 0 0 0 0 0 0 0 108959 0 0 1003546539 1386919041 10 Physicians CHESTEK DAVID 554860362 200 Cook 0 0 Family Practice 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 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 3931 0 0 0 0 0 0 3931 0 0 1003546874 1821321662 16 Nurse Practitioners BROMELAND JENNIFER 606751611 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 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 0 843 0 0 0 0 0 0 843 0 0 1003546921 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 2157 0 0 0 0 0 0 0 0 0 0 0 0 0 2157 0 0 1003547058 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 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 0 145 0 0 0 0 0 0 0 0 0 0 0 0 0 145 0 0 1003548823 10 Physicians 80 Peoria 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 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 47 0 0 0 0 0 0 47 0 0 1003549120 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 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 51 0 0 0 0 0 0 51 0 0 1003550831 1417198011 10 Physicians AHMED KHAN MOHAMMED 611033619 109 Winnebago 0 0 Internal 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 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 0 171 0 0 0 0 0 0 171 0 0 1003551116 1720405301 39 Hospice CELTIC HOSPICE & PALLIATIVE CA 622697342 96 St Clair 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 0 252 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5575 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 744857 0 0 0 0 0 0 0 0 0 0 0 744857 0 0 1003552301 1568867760 16 Nurse Practitioners WHITELOCK MELINDA 627949639 91 Sangamon 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 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 3430 0 0 0 0 0 0 3430 0 0 1003555168 10 Physicians 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 121 0 0 1003555554 1518139534 60 Pharmacies EVERSPRING PHARMACY 631463569 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 682 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15044 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 408583 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 161848 0 0 0 161848 0 0 1003556268 1770517013 13 Podiatrists HALIHAN CRAIG 601237902 53 Kane 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 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 95 0 0 0 0 0 0 95 0 0 1003557290 1730322322 10 Physicians KIRILUK KYLE 600183717 65 Madison 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 8 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 1623 0 0 0 0 0 0 1639 0 0 1003558573 1578964987 16 Nurse Practitioners WILKINS KRISTIN 616151941 80 Peoria 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 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 0 504 0 0 0 0 0 0 504 0 0 1003559687 1306166327 10 Physicians MASOOD MUHAMMAD 631600352 200 Cook 0 0 Thoracic Surgery 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 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 8346 0 0 0 0 0 0 8346 0 0 1003561974 1922304815 16 Nurse Practitioners HALLEZ ELISE 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 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 0 584 0 0 0 0 0 0 584 0 0 1003562241 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 18457 0 0 0 0 0 0 0 0 0 0 0 0 0 18457 0 0 1003562684 1487859047 10 Physicians BRINKMEIER JENNIFER 631032236 826 Missouri 0 0 Otolaryngology 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2964 0 0 0 0 0 0 2964 0 0 1003562985 1134415979 10 Physicians SEREMBYTSKY IRYNA 604232003 107 Will 0 1 Family Practice 0 0 0 0 4 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 94 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 94 0 0 0 0 0 0 0 0 0 383 0 0 0 0 0 0 0 0 1298 0 0 0 0 0 0 1681 0 0 1003563147 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 0 492 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 0 0 0 0 0 0 0 0 0 0 0 0 54770 0 0 0 0 0 0 0 0 0 0 0 0 0 54770 0 0 1003563298 1093156408 16 Nurse Practitioners BAKOSH STEPHANIE J 86191206 88 Richland 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 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 0 918 0 0 0 0 0 0 918 0 0 1003563834 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 0 364 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 28037 0 0 0 0 0 0 0 0 0 0 0 0 0 28037 0 0 1003564290 91 Waiver service provider--Adults (DHS/DDD) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 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 3032 0 0 0 0 0 0 0 0 0 0 0 0 0 3032 0 0 1003564522 1588063226 60 Pharmacies CVS PHARMACY 10467 600626146 200 Cook 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 0 139 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4568 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8419 0 0 0 8419 0 0 1003564769 55 Early Intervention Services 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 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 2327 0 0 0 0 0 0 2327 0 0 1003565194 1063720993 10 Physicians SARDA PAWAN 615544936 98 Tazewell 0 0 Cardiology 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 0 162 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 1650 0 0 0 0 0 0 1650 0 0 1003565318 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 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 1003565382 1831491836 10 Physicians HUSAIN NAZIA 606116649 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 1 0 72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 158 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 158 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3536 0 0 0 0 0 0 3536 0 0 1003567499 1265526818 33 Nursing Facilities INTEGRITY HC OF SMITHTON 622851617 96 St Clair 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 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1470 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106060 0 0 0 0 0 0 0 106060 0 0 1003567502 10 Physicians 57 Lake 0 0 Allergy-Immunization 0 0 0 0 0 0 0 0 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 0 134 0 0 0 0 0 0 134 0 0 1003568331 1861782138 10 Physicians BUCHWACH ABIGAIL E 606313222 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4808 0 0 0 0 0 0 4808 0 0 1003568335 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 6097 0 0 0 0 0 0 0 0 0 0 0 0 0 6097 0 0 1003568425 1629126222 10 Physicians CHERUKURI SUDHA 614012859 56 Knox 0 0 Nephrology 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 0 442 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 0 0 0 0 0 0 0 0 0 0 0 0 5200 0 0 0 0 0 0 5200 0 0 1003570060 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 31214 0 0 0 0 0 0 0 0 0 0 0 0 0 31214 0 0 1003571387 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 25042 0 0 0 0 0 0 0 0 0 0 0 0 0 25042 0 0 1003576864 1578712238 10 Physicians JORGE EFREN JASON 606313222 63 Macon 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 0 272 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 5432 0 0 0 0 0 0 5432 0 0 1003577327 1154620300 10 Physicians MALLINGER ADAM 605066222 53 Kane 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 0 102 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 1512 0 0 0 0 0 0 1512 0 0 1003578993 1447657689 16 Nurse Practitioners SCROGGINS SHANNON 610811252 106 Whiteside 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 0 0 0 735 0 0 0 0 0 0 0 0 1640 0 0 0 0 0 0 2375 0 0 1003579265 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 8715 0 0 0 0 0 0 0 0 0 0 0 0 0 8715 0 0 1003579872 1629206644 10 Physicians JANSEN ELIZABETH 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 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 1600 0 0 0 0 0 0 1600 0 0 1003580157 1568580264 16 Nurse Practitioners HIATT-JENSEN DEBORAH 631600352 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 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 0 155 0 0 0 0 0 0 155 0 0 1003580495 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4865 0 0 0 0 0 0 0 0 0 0 0 0 0 4865 0 0 1003582108 1689076168 11 Dentists LEE EUN HEE 600073217 200 Cook 0 0 General Dentistry 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 438 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 438 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16458 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16458 0 0 1003582623 10 Physicians 852 Wisconsin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003583502 1194971317 10 Physicians DELIND JODY 604501334 40 Grundy 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 6 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 162 0 3407 0 0 0 0 0 0 3569 0 0 1003583998 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 4574 0 0 0 0 0 0 0 0 0 0 0 0 0 4574 0 0 1003585963 1629310503 16 Nurse Practitioners ANGELES EMMANUEL R 606313222 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 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 0 586 0 0 0 0 0 0 586 0 0 1003586044 1073910469 91 Waiver service provider--Adults (DHS/DDD) WALKER DIANA 605638549 30 DuPage 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1336 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1336 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84930 0 0 0 0 0 0 0 0 0 0 0 0 0 84930 0 0 1003586155 1801187968 10 Physicians SIDDIQUI SAIFULLAH 602011718 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 350 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 0 0 0 0 0 0 0 0 0 0 0 0 687 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6178 0 0 0 0 0 0 6178 0 0 1003587015 1417104274 10 Physicians DE RANIERI DEIRDRE 999999999 30 DuPage 0 0 0 0 0 0 1 0 0 0 0 0 0 5 0 33 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 6 0 69 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 6 0 69 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 73 0 3084 0 0 0 0 0 0 3169 0 0 1003587096 10 Physicians 24 Coles 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 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 0 183 0 0 0 0 0 0 183 0 0 1003587626 1568862951 16 Nurse Practitioners KNEES AMY E 420033802 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 115 0 0 1003590006 1023308202 10 Physicians LEE BOEUN 606344403 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 977 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 977 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19867 0 0 0 0 0 0 19867 0 0 1003591539 1417063389 10 Physicians ACKMAN JEFFREY A 606777007 200 Cook 0 0 Orthopedic Surgery 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3118 0 0 0 0 0 0 3118 0 0 1003591769 1194037044 10 Physicians DASARI MAYURI 606071644 200 Cook 0 0 Family Practice 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 0 144 0 0 0 0 0 0 144 0 0 1003591923 1487970471 10 Physicians DELGADO GABRIELA 606740018 200 Cook 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 8 0 28 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 32 0 74 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 32 0 74 0 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 117 0 1047 0 0 0 0 0 0 1240 0 0 1003592310 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3607 0 0 0 0 0 0 0 0 0 0 0 0 0 3607 0 0 1003594690 1780087619 11 Dentists LAKHANI RIZWANA 606255009 200 Cook 0 0 General Dentistry 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 603 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 603 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 25349 0 0 0 0 0 0 0 0 0 0 0 444 0 0 0 0 25793 0 0 1003595962 1144483900 10 Physicians CROSBY DANA 627949639 91 Sangamon 0 0 Otolaryngology 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 0 118 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 6486 0 0 0 0 0 0 6486 0 0 1003598081 1730246067 10 Physicians KACILA SENADA BAJMAKOVIC 606751611 200 Cook 0 0 Psychiatry 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 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 1204 0 0 0 0 0 0 1204 0 0 1003598584 1831361344 48 Rural Health Clinics RURAL HEALTH CLINIC MOULTRIE 619511943 78 Moultrie 0 1 0 0 71 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 6164 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6164 0 0 1003599380 1396159224 10 Physicians WOO SUSAN 606112991 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 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 3011 0 0 0 0 0 0 3011 0 0 1003599618 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003599875 10 Physicians 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 1003602830 13 Podiatrists 54 Kankakee 0 0 0 0 0 0 0 0 0 0 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 0 260 0 0 0 0 0 0 260 0 0 1003604147 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 86 0 0 0 0 0 0 86 0 0 1003606213 10 Physicians 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 45 0 0 0 0 0 0 45 0 0 1003607959 92 Waiver service provider--Disability (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 37814 0 0 0 0 0 0 0 0 0 0 0 0 0 37814 0 0 1003608396 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 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 0 163 0 0 0 0 0 0 163 0 0 1003609385 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 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27190 0 0 0 0 0 0 0 0 0 0 0 0 0 27190 0 0 1003609404 16 Nurse Practitioners 65 Madison 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 0 133 0 0 0 0 0 0 133 0 0 1003611156 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 84 0 0 0 0 0 0 84 0 0 1003611248 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 1175 0 0 0 0 0 0 1175 0 0 1003611410 1184885964 10 Physicians WARD KRISTINA 600626194 200 Cook 0 1 Pediatrics 0 0 0 0 4 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 359 0 0 0 0 0 0 0 0 702 0 0 0 0 0 0 1061 0 0 1003611421 4003611421 90 Waiver service provider--Elderly (DOA) CHICAGO COMMONS ASSOCIATION 606152401 200 Cook 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 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22301 0 0 0 0 0 0 0 0 0 0 0 0 0 22301 0 0 1003611498 1588066427 16 Nurse Practitioners CHAN TAMRA 616151941 80 Peoria 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 0 184 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 4260 0 0 0 0 0 0 4260 0 0 1003613647 1427379833 10 Physicians NELSON AMELIA R 605275965 30 DuPage 0 0 Anesthesiology 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 0 142 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 0 0 0 0 0 0 0 0 0 0 4898 0 0 0 0 0 0 4898 0 0 1003614143 10 Physicians 852 Wisconsin 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 1662 0 0 0 0 0 0 1662 0 0 1003614471 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 0 118 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 8527 0 0 0 0 0 0 0 0 0 0 0 0 0 8527 0 0 1003614777 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 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 0 792 0 0 0 0 0 0 0 0 0 0 0 0 0 792 0 0 1003615443 1437559192 16 Nurse Practitioners LAGE ANN 618012529 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 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 0 804 0 0 0 0 0 0 804 0 0 1003616600 1013310739 16 Nurse Practitioners STONE MARIA 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 0 129 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 1245 0 0 0 0 0 0 1245 0 0 1003616952 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 0 259 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 26632 0 0 0 0 0 0 0 0 0 0 0 0 0 26632 0 0 1003617462 10 Physicians 82 Piatt 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 0 0 0 0 0 0 0 0 0 0 1003617540 1588073845 11 Dentists TRIVEDI MILI 604112323 200 Cook 0 0 General Dentistry 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 759 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 759 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 27288 0 0 0 0 0 0 0 0 0 0 0 3108 0 0 0 0 30396 0 0 1003617777 60 Pharmacies 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 454 0 0 1798 0 0 0 2252 0 0 1003617878 1700113958 16 Nurse Practitioners FLANAGAN JULIE 613563902 15 Bureau 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 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 1309 0 0 0 0 0 0 1309 0 0 1003618110 16 Nurse Practitioners 71 McHenry 0 0 0 0 0 0 0 0 0 0 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 24 0 0 0 0 0 0 24 0 0 1003619684 1710233325 16 Nurse Practitioners SHAH JIGNASHA J 606313222 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 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 57 0 0 0 0 0 0 57 0 0 1003622252 1225390883 12 Optometrists REID MAYA S 620562031 76 Montgomery 0 0 Diagnostic Pharmaceutical Agents 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 0 158 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 1794 0 0 0 0 0 0 1794 0 0 1003623216 92 Waiver service provider--Disability (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 14617 0 0 0 0 0 0 0 0 0 0 0 0 0 14617 0 0 1003623934 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 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 1191 0 0 0 0 0 0 1191 0 0 1003624244 1952389975 25 Audiologists SMITH ANN 618223741 19 Champaign 0 0 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 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 1992 1992 0 0 1003624518 92 Waiver service provider--Disability (DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 660 0 0 0 0 0 0 0 0 0 0 0 0 0 660 0 0 1003625354 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 0 395 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 52043 0 0 0 0 0 0 0 0 0 0 0 0 0 52043 0 0 1003626403 1790063139 10 Physicians OKRA-BOATENG LINDA 617014364 72 McLean 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124 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 5659 0 0 0 0 0 0 5659 0 0 1003628622 91 Waiver service provider--Adults (DHS/DDD) 61 Livingston 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20241 0 0 0 0 0 0 0 0 0 0 0 0 0 20241 0 0 1003628662 1386892172 10 Physicians SCHINKEL MARY LOUISE 631418512 80 Peoria 0 0 Otolaryngology 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 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3177 0 0 0 0 0 0 3177 0 0 1003631585 10 Physicians 30 DuPage 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 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 0 171 0 0 0 0 0 0 171 0 0 1003631665 1003258583 10 Physicians SUMOZA LUIS 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 700 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 700 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77225 0 0 0 0 0 0 77225 0 0 1003631690 1063827004 22 Physical Therapists BRONSON JESSICA 463221631 89 Rock Island 0 0 0 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 0 396 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 396 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34619 34619 0 0 1003632512 1033384722 10 Physicians BEEMAN BRIAN 618223741 19 Champaign 0 0 Vascular Surgery 0 0 0 0 0 0 0 0 0 0 0 8 0 173 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 277 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 277 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 9938 0 0 0 0 0 0 10055 0 0 1003632542 1649564980 10 Physicians ALVARADO ROSALINDA 606313222 200 Cook 0 0 Surgery General 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 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5166 0 0 0 0 0 0 5166 0 0 1003633547 1225088891 10 Physicians ILAHI OBEID 631600352 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 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 0 268 0 0 0 0 0 0 268 0 0 1003633622 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39452 0 0 0 0 0 0 0 0 0 0 0 0 0 39452 0 0 1003634562 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 14154 0 0 0 0 0 0 0 0 0 0 0 0 0 14154 0 0 1003634716 1487941944 10 Physicians CHANDRAN BINITA 49155500 91 Sangamon 0 0 Family Practice 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 4 0 7 0 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 0 121 0 210 0 0 0 0 0 0 331 0 0 1003635760 1861701351 10 Physicians ABUSUWWA RAED FUAD 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 6386 0 0 0 0 0 0 6386 0 0 1003636846 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17093 0 0 0 0 0 0 0 0 0 0 0 0 0 17093 0 0 1003637421 1063687978 10 Physicians BOND ALEXIS N 601932970 200 Cook 0 1 Pediatrics 0 0 0 0 19 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 2021 0 0 0 0 0 0 0 0 840 0 0 0 0 0 0 2861 0 0 1003638193 1902860810 10 Physicians HENRY DAVID A 753208807 109 Winnebago 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 25 0 4 0 0 0 0 0 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 28 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 139 0 0 0 0 0 0 334 0 0 1003638637 1275824625 10 Physicians ROBERTS THOMAS W 604532655 200 Cook 0 1 Pediatrics 0 0 0 0 13 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 1437 0 0 0 0 0 0 0 0 1676 0 0 0 0 0 0 3113 0 0 1003639458 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 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 0 432 0 0 0 0 0 0 0 0 0 0 0 0 0 432 0 0 1003639829 1346656923 75 Department of Alcohol and Substance Abuse Provider ROSECRANCE WARE CENTER 611033112 109 Winnebago 0 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 0 540 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 540 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49081 0 0 49081 0 0 1003640703 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 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1003641481 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 7313 0 0 0 0 0 0 0 0 0 0 0 0 0 7313 0 0 1003641909 1245521004 10 Physicians HAKHU NISHA P 606313222 200 Cook 0 1 Pediatrics 0 0 0 0 66 0 0 0 0 0 0 10 0 74 0 0 0 0 0 0 0 0 0 166 0 0 0 0 0 0 11 0 134 0 0 0 0 0 0 0 0 0 166 0 0 0 0 0 0 11 0 134 0 0 0 0 0 0 0 0 0 6064 0 0 0 0 0 0 137 0 5740 0 0 0 0 0 0 11941 0 0 1003642158 87 Psychologist(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 122 0 0 0 0 0 0 122 0 0 1003643865 16 Nurse Practitioners 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 49 0 0 0 0 0 0 49 0 0 1003644543 1538576194 11 Dentists YASMEEN NAHEED 601072950 200 Cook 0 0 General Dentistry 0 0 0 279 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1966 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1966 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56394 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56394 0 0 1003645840 4003645840 90 Waiver service provider--Elderly (DOA) NEW AGE ELDER CARE INC 999999999 200 Cook 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 28160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3057699 0 0 0 0 0 0 0 0 0 0 0 0 0 3057699 0 0 1003646174 10 Physicians 57 Lake 0 0 Thoracic Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003646418 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 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 0 192 192 0 0 1003646999 1669444782 10 Physicians BIDA DUDUN ANNA 272155108 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 15 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 784 0 6234 0 0 0 0 0 0 7018 0 0 1003647328 10 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 2 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 168 0 0 0 0 0 0 0 0 182 0 0 0 0 0 0 350 0 0 1003647345 1083015622 60 Pharmacies WALGREENS #16085 606013219 200 Cook 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 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 801 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1550 0 0 0 1550 0 0 1003650075 1386965499 10 Physicians DOOLITTLE OTHNIEL S 629015612 47 Jackson 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 129 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 1806 0 0 0 0 0 0 1806 0 0 1003650650 16 Nurse Practitioners 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 249 0 0 0 0 0 0 249 0 0 1003651325 1215345442 16 Nurse Practitioners SEIDER TARA M 606112991 200 Cook 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 168 0 0 0 0 0 0 0 0 168 0 0 0 0 0 0 336 0 0 1003652173 1760412563 10 Physicians WASSE HAIMANOT 606751611 200 Cook 0 0 Nephrology 0 0 0 0 0 0 0 0 0 0 0 9 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 1763 0 0 0 0 0 0 1913 0 0 1003653130 1558766139 16 Nurse Practitioners MILLAS LEEANNE 601261045 30 DuPage 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 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 0 497 0 0 0 0 0 0 497 0 0 1003653534 16 Nurse Practitioners 91 Sangamon 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 0 225 0 0 0 0 0 0 225 0 0 1003653933 1962613828 33 Nursing Facilities INTEGRITY HC OF GODFREY 620351317 65 Madison 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 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2027 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 182097 0 0 0 0 0 0 0 182097 0 0 1003654421 1780948554 10 Physicians KHATTAK EHTASHAM 606405759 200 Cook 0 0 Internal Medicine 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 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2079 0 0 0 0 0 0 2079 0 0 1003656503 10 Physicians 200 Cook 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 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 0 303 0 0 0 0 0 0 303 0 0 1003656702 10 Physicians 852 Wisconsin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 245 0 0 0 0 0 0 245 0 0 1003657007 16 Nurse Practitioners 10 Adams 0 0 0 0 0 0 0 0 0 0 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 73 0 0 0 0 0 0 73 0 0 1003657221 1568862621 16 Nurse Practitioners BEYER LORELEI 606081732 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 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 1489 0 0 0 0 0 0 1489 0 0 1003657789 1578969259 16 Nurse Practitioners HUCKSTEP JENNIFER 631955534 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1003657874 1407880958 10 Physicians CLAUD JONATHAN 606740018 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 10 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 687 0 751 0 0 0 0 0 0 1438 0 0 1003659060 1164826012 16 Nurse Practitioners HORMIG SARA A 535625531 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 679 0 0 0 0 0 0 679 0 0 1003659621 1730588021 55 Early Intervention Services DURBIN LISA 606432508 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 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 7310 0 0 0 0 0 0 7310 0 0 1003660047 1730194192 10 Physicians VERNOVSKY NATALYA 600051529 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 1 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 2524 0 0 0 0 0 0 2569 0 0 1003660097 1073501078 16 Nurse Practitioners STIEREN JUNITTA 627083428 91 Sangamon 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 0 111 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 2850 0 0 0 0 0 0 2850 0 0 1003660262 1538316641 16 Nurse Practitioners FOX DEBRA 606071644 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 0 129 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 0 648 0 0 0 0 0 0 648 0 0 1003664049 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 0 323 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 323 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21832 0 0 0 0 0 0 0 0 0 0 0 0 0 21832 0 0 1003664871 1639344351 10 Physicians GROSS STEVEN 600105934 57 Lake 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 15 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 458 0 1358 0 0 0 0 0 0 1816 0 0 1003664950 1346516655 10 Physicians HERMES NESREEN 603021015 200 Cook 0 0 Family Practice 0 0 0 0 5 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 0 0 0 426 0 0 0 0 0 0 0 0 1669 0 0 0 0 0 0 2095 0 0 1003665066 1144622705 16 Nurse Practitioners RADEMACHER LINDSAY 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 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 1076 0 0 0 0 0 0 1076 0 0 1003665119 92 Waiver service provider--Disability (DHS/DRS) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5201 0 0 0 0 0 0 0 0 0 0 0 0 0 5201 0 0 1003666297 1598172538 16 Nurse Practitioners AFOLABI IBUKUNOLUWA Y 618012529 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 319 0 0 0 0 0 0 319 0 0 1003667383 1427213800 10 Physicians ZAMPINO MANUELA 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 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 1693 0 0 0 0 0 0 1693 0 0 1003668502 1750545455 10 Physicians OMALLEY MARTIN 612017102 89 Rock Island 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 2 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 233 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 233 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 21580 0 0 0 0 0 0 21592 0 0 1003669513 1215955018 10 Physicians KO CHRISTIN 606118709 200 Cook 0 0 Internal Medicine 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 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2930 0 0 0 0 0 0 2930 0 0 1003669968 1346498847 23 Occupational Therapists PAMMER LAUREN 604487765 107 Will 0 0 0 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 0 190 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 14636 14636 0 0 1003670343 1992090575 10 Physicians PALAMA BRETT K 605275965 30 DuPage 0 0 Pediatrics 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 0 147 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 7125 0 0 0 0 0 0 7125 0 0 1003670556 1538572664 16 Nurse Practitioners VIRANI ROZINA A 606603013 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1212 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1212 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11582 0 0 0 0 0 0 11582 0 0 1003672006 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 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17067 0 0 0 0 0 0 0 0 0 0 0 0 0 17067 0 0 1003672406 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 1103 0 0 0 0 0 0 0 0 0 0 0 0 0 1103 0 0 1003674230 1467653402 10 Physicians BHATIA VISHAL 477140524 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 190 0 0 0 0 0 0 190 0 0 1003675553 1528261344 10 Physicians HENNELLY KARA E 631101002 89 Rock Island 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 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 0 433 0 0 0 0 0 0 433 0 0 1003676070 1972904993 16 Nurse Practitioners RAMSEY BROOKE 999999999 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 251 0 0 0 0 0 0 251 0 0 1003676138 1679988968 16 Nurse Practitioners ZIMNY ROBERT 605638669 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2918 0 0 0 0 0 0 2918 0 0 1003676229 1457790446 24 Speech Therapists LILLWITZ KARA 605153825 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2038 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2038 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152305 152305 0 0 1003677255 1366737074 10 Physicians ALASADI RUSUL B 606313222 200 Cook 0 1 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 5 0 143 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 284 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 284 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72 0 4721 0 0 0 0 0 0 4793 0 0 1003677606 16 Nurse Practitioners 815 Indiana 0 0 0 0 0 0 0 0 0 0 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 7 0 0 0 0 0 0 7 0 0 1003677774 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 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 17071 0 0 0 0 0 0 0 0 0 0 0 0 0 17071 0 0 1003678165 16 Nurse Practitioners 108 Williamson 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 44 0 0 0 0 0 0 44 0 0 1003678660 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 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 1003679050 1952545717 10 Physicians REESE MARIA 606105467 200 Cook 0 0 Physical Medicine/Rehabilitation 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 0 124 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 1346 0 0 0 0 0 0 1346 0 0 1003679393 1699187070 16 Nurse Practitioners PATEL SHRUTI 606597315 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 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 1119 0 0 0 0 0 0 1119 0 0 1003679540 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 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9752 0 0 0 0 0 0 0 0 0 0 0 0 0 9752 0 0 1003680399 1982994679 10 Physicians GONZALEZ JULIO CESAR ARNAU 606313222 200 Cook 0 1 Family Practice 0 0 0 0 3 0 0 0 0 0 0 0 0 93 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 215 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 215 0 0 0 0 0 0 0 0 0 348 0 0 0 0 0 0 0 0 4604 0 0 0 0 0 0 4952 0 0 1003680522 92 Waiver service provider--Disability (DHS/DRS) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 27956 0 0 0 0 0 0 0 0 0 0 0 0 0 27956 0 0 1003684153 1821248881 10 Physicians POOLA VENKATESWARA 627949639 91 Sangamon 0 0 Colon - Rectal Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 7620 0 0 0 0 0 0 7620 0 0 1003685679 1770984718 16 Nurse Practitioners AFELD ROBIN 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 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 1096 0 0 0 0 0 0 1096 0 0 1003685941 92 Waiver service provider--Disability (DHS/DRS) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 205 0 0 0 0 0 0 0 0 0 0 0 0 0 205 0 0 1003686124 10 Physicians 89 Rock Island 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 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 85 0 0 0 0 0 0 85 0 0 1003686726 1720399512 10 Physicians HAUSLEIN DAVID 616360002 80 Peoria 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3311 0 0 0 0 0 0 3311 0 0 1003686867 1720128549 16 Nurse Practitioners SMETANA DEANNA 606118709 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 619 0 0 0 0 0 0 619 0 0 1003687533 92 Waiver service provider--Disability (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 16233 0 0 0 0 0 0 0 0 0 0 0 0 0 16233 0 0 1003691418 1295023604 10 Physicians SIDDIQI SAAMER M 370275339 91 Sangamon 0 0 Internal Medicine 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 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3079 0 0 0 0 0 0 3079 0 0 1003691955 1447681259 16 Nurse Practitioners CALLAN KAREN 606472319 200 Cook 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 396 0 0 0 0 0 0 0 0 312 0 0 0 0 0 0 708 0 0 1003692830 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 0 0 0 0 0 0 0 0 0 0 1003692835 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1003693225 1073831251 10 Physicians KERNAN SCOTT T 662121860 200 Cook 0 0 Anesthesiology 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 0 551 0 0 0 0 0 0 551 0 0 1003694399 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3062 0 0 0 0 0 0 0 0 0 0 0 0 0 3062 0 0 1003694770 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 22383 0 0 0 0 0 0 0 0 0 0 0 0 0 22383 0 0 1003695501 10 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 2 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 1 0 3 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 1 0 3 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 4 0 156 0 0 0 0 0 0 347 0 0 1003697565 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 0 185 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 12830 0 0 0 0 0 0 0 0 0 0 0 0 0 12830 0 0 1003697927 94 Waiver service provider--Children's support (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 0 179 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 8837 0 0 0 0 0 0 0 0 0 0 0 0 0 8837 0 0 1003698561 1760617377 16 Nurse Practitioners LOVETT MARCIA 606751611 200 Cook 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 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 0 893 0 0 0 0 0 0 893 0 0 1003699900 1376960872 16 Nurse Practitioners BROWN PATRICIA 601228942 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 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 1194 0 0 0 0 0 0 1194 0 0 1003701063 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 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10765 0 0 0 0 0 0 0 0 0 0 0 0 0 10765 0 0 1003701557 1093119471 33 Nursing Facilities SYMPHONY EVANSTON 602013212 200 Cook 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 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5683 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 740519 0 0 0 0 0 0 0 740519 0 0 1003701848 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 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1003703405 10 Physicians 200 Cook 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 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 78 0 0 0 0 0 0 78 0 0 1003703611 1891199519 25 Audiologists ELLIOTT JESSICA 600451659 57 Lake 0 0 0 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 998 998 0 0 1003703654 1326441478 16 Nurse Practitioners KRAMER ANNE 620881173 64 Macoupin 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 0 0 0 0 0 0 0 0 0 0 1003704321 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29802 0 0 0 0 0 0 0 0 0 0 0 0 0 29802 0 0 1003705582 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 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 1158 1158 0 0 1003705613 1124424932 16 Nurse Practitioners SALIGAN RICA 618012529 19 Champaign 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 0 260 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 6509 0 0 0 0 0 0 6509 0 0 1003705769 1275831521 10 Physicians HAMAD FARES 606740018 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 9 0 263 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 736 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 736 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 30824 0 0 0 0 0 0 30868 0 0 1003706567 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 0 162 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 13024 0 0 0 0 0 0 0 0 0 0 0 0 0 13024 0 0 1003706909 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 0 0 0 0 0 0 0 0 0 0 1003708264 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 12733 0 0 0 0 0 0 0 0 0 0 0 0 0 12733 0 0 1003709786 1235365834 10 Physicians MIRZA FARHEEN 601228942 53 Kane 0 0 Allergy-Immunization 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1911 0 0 0 0 0 0 1911 0 0 1003710757 1295162840 16 Nurse Practitioners SEMEYN MARTA 605855826 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 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 3902 0 0 0 0 0 0 3902 0 0 1003711442 91 Waiver service provider--Adults (DHS/DDD) 27 Dekalb 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 190 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 28244 0 0 0 0 0 0 0 0 0 0 0 0 0 28244 0 0 1003711785 1588928907 10 Physicians SMRHA STEVEN 606442342 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 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 0 296 0 0 0 0 0 0 296 0 0 1003711988 1033328869 10 Physicians USTAS LEAH 606313222 200 Cook 0 0 Psychiatry 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 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6533 0 0 0 0 0 0 6533 0 0 1003713054 1578960969 16 Nurse Practitioners WILLIAMS NASTASSJA 606118709 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 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 0 949 0 0 0 0 0 0 949 0 0 1003713939 1306235080 16 Nurse Practitioners PILARIO LILIBETH 605044511 53 Kane 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 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 0 335 0 0 0 0 0 0 335 0 0 1003713962 92 Waiver service provider--Disability (DHS/DRS) 79 Ogle 0 0 0 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 7626 0 0 0 0 0 0 0 0 0 0 0 0 0 7626 0 0 1003714255 16 Nurse Practitioners 107 Will 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 20 0 0 0 0 0 0 20 0 0 1003714440 92 Waiver service provider--Disability (DHS/DRS) 54 Kankakee 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 40363 0 0 0 0 0 0 0 0 0 0 0 0 0 40363 0 0 1003716055 1285679704 10 Physicians HAQUE KASHIF 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 118 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 118 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2564 0 0 0 0 0 0 2564 0 0 1003716316 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 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 1081 1081 0 0 1003717177 1033226030 65 Independent Diagnostic Testing Facility (IDTF) HIGH TECH MEDICAL PARK 604631081 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 463 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 463 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7646 0 0 0 0 0 0 0 0 7646 0 0 1003717542 1598922825 10 Physicians MAI TAM THANH 627949248 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3417 0 0 0 0 0 0 3417 0 0 1003717993 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 260 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 260 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1003719296 1376791343 10 Physicians MASSROUR KAMIAR 606405759 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 295 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 386 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 386 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8388 0 170 0 0 0 0 0 0 8558 0 0 1003719625 24 Speech Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 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 3307 3307 0 0 1003719688 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 0 182 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 23356 0 0 0 0 0 0 0 0 0 0 0 0 0 23356 0 0 1003719772 1891750543 10 Physicians ALI MUHAMMAD A 601237879 53 Kane 0 0 Cardiology 0 0 0 0 0 0 0 0 0 0 0 18 0 278 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 1920 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 1920 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 649 0 37543 0 0 0 0 0 0 38192 0 0 1003721423 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 83 0 0 0 0 0 0 83 0 0 1003721586 1740341072 10 Physicians LUKE SCOTT 606313222 200 Cook 0 1 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 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 1337 0 0 0 0 0 0 1337 0 0 1003721685 1417374059 16 Nurse Practitioners OBRIEN LYNDSAY 616151941 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 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 0 246 0 0 0 0 0 0 246 0 0 1003722759 1053346213 10 Physicians MARCHIONI STEVEN 462063272 65 Madison 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 106 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 175 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 175 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2421 0 21 0 0 0 0 0 0 2442 0 0 1003724734 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 25029 0 0 0 0 0 0 0 0 0 0 0 0 0 25029 0 0 1003724763 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 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 0 833 0 0 0 0 0 0 0 0 0 0 0 0 0 833 0 0 1003725259 1346479920 10 Physicians MAZE ROTHSTEIN GALEN 481089649 109 Winnebago 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 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 0 283 0 0 0 0 0 0 283 0 0 1003727246 1629194089 10 Physicians WILLIAMS LASHUNDA 616151941 80 Peoria 0 0 Family Practice 0 0 0 0 2 0 0 0 0 0 0 8 0 79 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 12 0 144 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 12 0 144 0 0 0 0 0 0 0 0 0 93 0 0 0 0 0 0 38 0 2659 0 0 0 0 0 0 2790 0 0 1003727679 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 12210 0 0 0 0 0 0 0 0 0 0 0 0 0 12210 0 0 1003727930 1538350384 10 Physicians USMANI SARAH A 606731297 200 Cook 0 0 Pulmonary Diseases 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 0 282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4928 0 0 0 0 0 0 4928 0 0 1003728152 1003140880 10 Physicians FINKEL LESLIE S. 602011718 200 Cook 0 0 Child Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 981 0 0 0 0 0 0 981 0 0 1003729003 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 19188 0 0 0 0 0 0 0 0 0 0 0 0 0 19188 0 0 1003730152 16 Nurse Practitioners 80 Peoria 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 131 0 0 1003730965 91 Waiver service provider--Adults (DHS/DDD) 76 Montgomery 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24533 0 0 0 0 0 0 0 0 0 0 0 0 0 24533 0 0 1003732094 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 17917 0 0 0 0 0 0 0 0 0 0 0 0 0 17917 0 0 1003733386 1144646621 86 Clinical Social Worker(Encounter Only) HARRIS TYTANNIE 606375049 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 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 0 0 0 0 0 0 0 0 0 0 1003733658 1922260942 10 Physicians CHOI KWANG JIN 605275965 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 818 0 0 0 0 0 0 818 0 0 1003734065 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 584 0 0 0 0 0 0 0 0 0 0 0 0 0 584 0 0 1003734857 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 30599 0 0 0 0 0 0 0 0 0 0 0 0 0 30599 0 0 1003735307 1215376983 16 Nurse Practitioners WEBER KATHLEEN M 554860362 91 Sangamon 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 0 122 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 2389 0 0 0 0 0 0 2389 0 0 1003736025 1568708667 16 Nurse Practitioners SCHWEIGERT KARLA 609013484 54 Kankakee 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 0 147 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 0 821 0 0 0 0 0 0 821 0 0 1003737119 1417157074 10 Physicians ROSEBUSH JULIA 605277594 30 DuPage 0 0 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 3164 0 0 0 0 0 0 3164 0 0 1003737215 1598172009 16 Nurse Practitioners BALDWIN MEGHAN 606751611 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 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 1104 0 0 0 0 0 0 1104 0 0 1003737756 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 0 112 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 10789 0 0 0 0 0 0 0 0 0 0 0 0 0 10789 0 0 1003738468 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 7042 0 0 0 0 0 0 0 0 0 0 0 0 0 7042 0 0 1003740269 1467429225 10 Physicians GOYNSHOR JULIE H 600626194 200 Cook 0 0 Pediatrics 0 0 0 0 3 0 0 0 0 0 0 1 0 6 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 1 0 8 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 1 0 8 0 0 0 0 0 0 0 0 0 255 0 0 0 0 0 0 2 0 547 0 0 0 0 0 0 804 0 0 1003740323 93 Waiver service provider--HIV/AIDS (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 10347 0 0 0 0 0 0 0 0 0 0 0 0 0 10347 0 0 1003740599 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 0 414 0 0 0 0 0 0 414 0 0 1003741184 1245634963 16 Nurse Practitioners WAGNER KRYSTAL 614553352 70 McDonough 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 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1644 0 0 0 0 0 0 1644 0 0 1003741461 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 81 0 0 0 0 0 0 81 0 0 1003742247 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 27132 0 0 0 0 0 0 0 0 0 0 0 0 0 27132 0 0 1003742635 12 Optometrists 109 Winnebago 0 0 Diagnostic Pharmaceutical Agents 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 32 0 0 0 0 0 0 32 0 0 1003743629 1407146103 10 Physicians CAMBALIK STEPHEN A 616151941 80 Peoria 0 0 Family Practice 0 0 0 0 10 0 0 0 0 0 0 6 0 45 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 12 0 62 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 12 0 62 0 0 0 0 0 0 0 0 0 851 0 0 0 0 0 0 383 0 1094 0 0 0 0 0 0 2328 0 0 1003743717 1942551312 16 Nurse Practitioners GAWORSKI JENNY L 613563902 15 Bureau 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 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 1290 0 0 0 0 0 0 1290 0 0 1003744041 1164716056 10 Physicians MADOORI SATHYAKIRAN 604771758 200 Cook 0 0 Family Practice 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 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 2468 0 0 0 0 0 0 2468 0 0 1003744567 1457337735 16 Nurse Practitioners CASTEEL SHEILA 601302529 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 328 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 328 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6618 0 0 0 0 0 0 6618 0 0 1003744950 1609273937 36 Community mental health provider RTS SERVICES UNLIMITED INC 604358113 107 Will 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 190 0 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 190 0 0 7958 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21612 0 0 29570 0 0 1003745938 1275893976 10 Physicians VASILOFF ROSANNE 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234 0 0 0 0 0 0 234 0 0 1003746202 1902202187 91 Waiver service provider--Adults (DHS/DDD) BONCHER ERIN 999999999 200 Cook 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 1284 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 0 0 0 0 0 0 0 0 0 0 0 0 139151 0 0 0 0 0 0 0 0 0 0 0 0 0 139151 0 0 1003746533 16 Nurse Practitioners 64 Macoupin 0 0 0 0 0 0 0 0 0 0 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 0 127 0 0 0 0 0 0 127 0 0 1003746886 92 Waiver service provider--Disability (DHS/DRS) 94 Shelby 0 0 0 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 3406 0 0 0 0 0 0 0 0 0 0 0 0 0 3406 0 0 1003747295 1154577120 10 Physicians CHEEMA ANAHIT 631366149 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 881 0 0 0 0 0 0 881 0 0 1003747530 1215101167 10 Physicians POTNICK AARON G 956052573 805 California 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 176 0 0 0 0 0 0 0 0 176 0 0 1003748619 24 Speech Therapists 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1075 1075 0 0 1003748625 1760881395 16 Nurse Practitioners ATCHISON CHRISTINE L 627047452 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101 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 0 991 0 0 0 0 0 0 991 0 0 1003749245 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 0 164 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 21038 0 0 0 0 0 0 0 0 0 0 0 0 0 21038 0 0 1003749653 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 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 55371 0 0 0 0 0 0 0 0 0 0 0 0 0 55371 0 0 1003750545 10 Physicians 200 Cook 0 0 Gastroenterology 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 0 435 0 0 0 0 0 0 435 0 0 1003750745 1386064897 16 Nurse Practitioners COOPER LORI 999999999 19 Champaign 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 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 0 659 0 0 0 0 0 0 659 0 0 1003750824 1659770741 11 Dentists GHANDOUR EHAB 600852372 200 Cook 0 0 General Dentistry 0 0 0 445 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2816 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2816 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106574 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106574 0 0 1003750963 1700064730 10 Physicians MURDOCK ELMER 601262816 63 Macon 0 0 Cardiology 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 0 499 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 0 0 0 0 0 0 0 0 0 0 0 0 6061 0 0 0 0 0 0 6061 0 0 1003752494 55 Early Intervention Services 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3487 0 0 0 0 0 0 3487 0 0 1003753039 1518071398 10 Physicians SMITH PETER A 191787642 57 Lake 0 0 Orthopedic Surgery 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 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5353 0 0 0 0 0 0 5353 0 0 1003753370 1114280427 13 Podiatrists RUBIN JASON 606405759 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 302 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2675 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2675 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9936 0 0 0 0 0 0 9936 0 0 1003754557 1336119064 10 Physicians AMADOR NELLY 601220021 53 Kane 0 0 Emergency Medicine 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 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 1892 0 0 0 0 0 0 1892 0 0 1003755040 92 Waiver service provider--Disability (DHS/DRS) 73 Menard 0 0 0 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 15769 0 0 0 0 0 0 0 0 0 0 0 0 0 15769 0 0 1003756142 1316921695 10 Physicians LAFAVE LAURA 602011700 200 Cook 0 0 Internal Medicine 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 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 0 355 0 0 0 0 0 0 355 0 0 1003756554 1235564204 33 Nursing Facilities ASBURY GARDENS NSG AND REHAB 605421724 53 Kane 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 0 134 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 0 0 0 0 0 0 0 0 0 0 0 0 389348 0 0 0 0 0 0 0 389348 0 0 1003756850 16 Nurse Practitioners 826 Missouri 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 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 0 0 0 0 0 0 0 0 0 0 1003758728 1982000568 16 Nurse Practitioners WILSON STACY A 475914853 65 Madison 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 0 143 0 0 0 0 0 0 143 0 0 1003761949 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 0 192 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 27987 0 0 0 0 0 0 0 0 0 0 0 0 0 27987 0 0 1003762084 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 71 0 0 0 0 0 0 71 0 0 1003763269 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 0 133 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 10866 0 0 0 0 0 0 0 0 0 0 0 0 0 10866 0 0 1003765142 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14868 0 0 0 0 0 0 0 0 0 0 0 0 0 14868 0 0 1003765951 1114224532 10 Physicians ROTHFELD JEREMY A 606118709 200 Cook 0 0 Emergency Medicine 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 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7904 0 0 0 0 0 0 7904 0 0 1003765978 1316335870 16 Nurse Practitioners DEAN ERIN 609701644 46 Iroquois 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 0 170 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 0 0 0 0 0 0 0 0 0 0 2061 0 0 0 0 0 0 2061 0 0 1003767080 1700811981 10 Physicians HYMAN NEIL 605275965 30 DuPage 0 0 Colon - Rectal Surgery 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 0 797 0 0 0 0 0 0 797 0 0 1003767370 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 940 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 940 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61325 0 0 0 0 0 0 0 0 0 0 0 0 0 61325 0 0 1003768398 13 Podiatrists 57 Lake 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 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 0 664 0 0 0 0 0 0 664 0 0 1003768520 1174848626 10 Physicians KOLONDA FATHIMA Z 606162315 200 Cook 0 0 Anesthesiology 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 0 694 0 0 0 0 0 0 694 0 0 1003770333 91 Waiver service provider--Adults (DHS/DDD) 33 Effingham 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 251 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 27527 0 0 0 0 0 0 0 0 0 0 0 0 0 27527 0 0 1003770634 1093119505 16 Nurse Practitioners WARD AUTUMN 618012529 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 151 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 2541 0 0 0 0 0 0 2541 0 0 1003771638 1598180135 16 Nurse Practitioners MILEOS CHRIS E 601545716 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 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 0 869 0 0 0 0 0 0 869 0 0 1003771658 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 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13292 0 0 0 0 0 0 0 0 0 0 0 0 0 13292 0 0 1003773428 1114198678 10 Physicians REVENAUGH PETER 606751611 200 Cook 0 0 Otolaryngology 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 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 5134 0 0 0 0 0 0 5134 0 0 1003773666 30 General Hospitals 200 Cook ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 1003773882 1912303280 16 Nurse Practitioners O''CONNOR MICHELLE A. 602011718 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 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 0 255 0 0 0 0 0 0 255 0 0 1003774674 1346656923 36 Community mental health provider ROSECRANCE WARE CENTER 611033112 109 Winnebago 0 0 0 218 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 795 0 0 1432 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5655 0 0 1432 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5655 0 0 160133 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 692278 0 0 852411 0 0 1003775706 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 23603 0 0 0 0 0 0 0 0 0 0 0 0 0 23603 0 0 1003776257 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 0 250 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 29831 0 0 0 0 0 0 0 0 0 0 0 0 0 29831 0 0 1003776282 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 28399 0 0 0 0 0 0 0 0 0 0 0 0 0 28399 0 0 1003776356 1326440538 11 Dentists MOSLEY KATRINA E 604263556 91 Sangamon 0 0 General Dentistry 0 0 0 166 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 518 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 518 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19480 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19480 0 0 1003776542 1013311000 16 Nurse Practitioners BERNARDI JESSICA 601228942 53 Kane 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 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 1051 0 0 0 0 0 0 1051 0 0 1003776776 10 Physicians 816 Iowa 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 56 0 0 0 0 0 0 0 0 56 0 0 1003777012 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 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 18018 0 0 0 0 0 0 0 0 0 0 0 0 0 18018 0 0 1003777537 91 Waiver service provider--Adults (DHS/DDD) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 184 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 27658 0 0 0 0 0 0 0 0 0 0 0 0 0 27658 0 0 1003777963 4003777963 90 Waiver service provider--Elderly (DOA) PRUDENTIAL HOME HEALTH SVCS 604431222 200 Cook 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 11407 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11407 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1346685 0 0 0 0 0 0 0 0 0 0 0 0 0 1346685 0 0 1003778170 1801216064 16 Nurse Practitioners AKHTAR ASHLEY 623012834 10 Adams 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 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 2460 0 0 0 0 0 0 2460 0 0 1003780366 10 Physicians 57 Lake 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1003780640 70 Ambulance Service Providers 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1946 0 0 0 0 0 0 1946 0 0 1003781087 10 Physicians 816 Iowa 0 0 Anesthesiology 0 0 0 0 0 0 0 0 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 1003782053 10 Physicians 852 Wisconsin 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 31 0 0 0 0 0 0 31 0 0 1003782624 1770879017 10 Physicians HENSCH JULIA 612044028 816 Iowa 0 0 Pediatrics 0 0 0 0 2 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 412 0 0 0 0 0 0 603 0 0 1003783165 1396147757 23 Occupational Therapists SIMONS SAMANTHA 600251954 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 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10129 10129 0 0 1003784093 1730584368 16 Nurse Practitioners HUDSON LAURA 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 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 1366 0 0 0 0 0 0 1366 0 0 1003785877 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 122 0 0 1003786166 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 17 0 0 0 0 0 0 17 0 0 1003786389 1962714006 12 Optometrists SALAZAR PATRICIA 606164201 200 Cook 0 0 Diagnostic Pharmaceutical Agents 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 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3473 0 0 0 0 0 0 3473 0 0 1003787102 1730337569 10 Physicians BANSAL VIBHAV 618012529 19 Champaign 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 4 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 4233 0 0 0 0 0 0 4239 0 0 1003787263 10 Physicians 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 61 0 0 0 0 0 0 61 0 0 1003787639 1528291150 16 Nurse Practitioners WALSH MAUREEN 606302313 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 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 1535 0 0 0 0 0 0 1535 0 0 1003789040 1245526482 10 Physicians SHARMA SUNNY 605323661 30 DuPage 0 0 Internal Medicine 0 0 0 0 1 0 0 0 0 0 0 2 0 9 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 3 0 32 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 3 0 32 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 132 0 0 0 0 0 0 207 0 0 1003789595 1013310606 16 Nurse Practitioners VULYKH VITALIY A. 600992676 57 Lake 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 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 1957 0 0 0 0 0 0 1957 0 0 1003789658 10 Physicians 49 Jefferson 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 0 0 0 0 0 0 0 0 0 0 1003790953 1295124014 36 Community mental health provider NATIONAL YOUTH ADVOCATE 606084204 200 Cook 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 610 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2069 0 0 2679 0 0 1003791161 1619264819 10 Physicians CHUKWUANU KENE 999999999 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1591 0 0 0 0 0 0 1591 0 0 1003792164 1104112341 10 Physicians SARROCA JOELLE 999999999 89 Rock Island 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 0 102 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 1487 0 0 0 0 0 0 1487 0 0 1003792756 1265731434 10 Physicians BENEDICT CHRISTINA 49155500 200 Cook 0 0 Pediatrics 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 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 2303 0 0 0 0 0 0 2303 0 0 1003793238 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 15520 0 0 0 0 0 0 0 0 0 0 0 0 0 15520 0 0 1003794544 1861423576 10 Physicians MANNAA MOHANNAD 999999999 80 Peoria 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25977 0 0 0 0 0 0 25977 0 0 1003794616 1366497539 10 Physicians TORCHINSKY MICHAEL Y. 616052576 80 Peoria 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 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12209 0 0 0 0 0 0 12209 0 0 1003795045 1326363896 10 Physicians PLOWGIAN EVAN STERLING 602011718 200 Cook 0 0 Orthopedic Surgery 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 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 2304 0 0 0 0 0 0 2304 0 0 1003795342 1205086998 10 Physicians ABBAS SHAZIA 527613433 816 Iowa 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 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 0 663 0 0 0 0 0 0 663 0 0 1003795497 1306270061 12 Optometrists AWAD ABDELHAFETH 606163593 200 Cook 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 88 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2778 0 957 0 0 0 0 3735 0 0 1003796058 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 850 0 0 0 0 0 0 0 0 0 0 0 0 0 850 0 0 1003796622 1407075021 10 Physicians KHAN MITCHELL 999999999 58 La Salle 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 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 0 650 0 0 0 0 0 0 650 0 0 1003797428 1699170050 11 Dentists KHATOON FARAH 612653700 89 Rock Island 0 0 General Dentistry 0 0 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 337 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 337 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11613 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11613 0 0 1003798046 1033427794 10 Physicians ABDESSAMAD MOHAMAD 606740018 200 Cook 0 0 Internal Medicine 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 1078 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1078 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 4136 0 0 1003798916 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 5444 0 0 0 0 0 0 0 0 0 0 0 0 0 5444 0 0 1003799308 1497907463 10 Physicians BROCKMAN HOLLY 616151941 80 Peoria 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 24 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 721 0 6424 0 0 0 0 0 0 7145 0 0 1003799431 10 Physicians 60 Lee 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 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 0 193 0 0 0 0 0 0 193 0 0 1003800306 1902090558 10 Physicians CHI LUQI 631101010 826 Missouri 0 0 Neurology 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 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 0 168 0 0 0 0 0 0 168 0 0 1003800658 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 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 8087 0 0 0 0 0 0 0 0 0 0 0 0 0 8087 0 0 1003801277 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 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1003801441 1205166873 10 Physicians BABROWSKI TRISSA A 605275965 30 DuPage 0 0 Vascular Surgery 0 0 0 0 0 0 0 0 0 0 0 20 0 493 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 722 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 722 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81 0 10955 0 0 0 0 0 0 11036 0 0 1003801802 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 18147 0 0 0 0 0 0 0 0 0 0 0 0 0 18147 0 0 1003801817 1790914828 10 Physicians MORKER SAMIP B 601159602 200 Cook 0 0 Anesthesiology 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 0 364 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 2482 0 0 0 0 0 0 2482 0 0 1003801921 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 13352 0 0 0 0 0 0 0 0 0 0 0 0 0 13352 0 0 1003802722 1356739452 16 Nurse Practitioners VICENCIO JULIE 600184703 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4631 0 0 0 0 0 0 4631 0 0 1003803652 1811204399 10 Physicians APICHAI SEEMA 606382203 200 Cook 0 0 Dermatopathology 0 0 0 0 0 0 0 0 0 0 0 99 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 208 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 208 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2649 0 119 0 0 0 0 0 0 2768 0 0 1003804702 1922394808 10 Physicians SCIUBISZ MARTA 604397421 30 DuPage 0 0 Family Practice 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 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 0 398 0 0 0 0 0 0 398 0 0 1003805353 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 16078 0 0 0 0 0 0 0 0 0 0 0 0 0 16078 0 0 1003806579 1104120641 16 Nurse Practitioners MERMAN DAWN 606313222 200 Cook 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 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 0 162 0 0 0 0 0 0 162 0 0 1003807885 1255734869 16 Nurse Practitioners STEVENS KRISTINA 606123748 200 Cook 0 0 General Psychiatry Residency 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 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8094 0 0 0 0 0 0 8094 0 0 1003810082 1124318241 10 Physicians SHEKONI OLAWALE T 606116649 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 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 3125 0 0 0 0 0 0 3125 0 0 1003810260 1386064996 16 Nurse Practitioners WILKE HOLLY 999999999 108 Williamson 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 0 964 0 0 0 0 0 0 964 0 0 1003810406 1871858985 10 Physicians STEELS CLARENCE B 601228942 53 Kane 0 0 Internal 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 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 2315 0 0 0 0 0 0 2315 0 0 1003810568 1891967212 10 Physicians BOGER MICHELLE 999999999 815 Indiana 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 3 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 9 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 32 0 0 1003811209 1194069633 16 Nurse Practitioners JAROT SHANNON M 606776926 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 119 0 0 0 0 0 0 119 0 0 1003811276 1376860429 10 Physicians RIVERA CARMEN MARIA 601159602 27 Dekalb 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 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 0 340 0 0 0 0 0 0 340 0 0 1003811362 94 Waiver service provider--Children's support (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 0 157 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 17917 0 0 0 0 0 0 0 0 0 0 0 0 0 17917 0 0 1003812354 1154722841 60 Pharmacies FAMILY CARE CENTRAL PHARMACY 631102179 826 Missouri 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 1229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13615 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68084 0 0 0 68084 0 0 1003812717 1659509834 10 Physicians CHATHAM HEIDI E 602011700 200 Cook 0 0 Family Practice 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 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 0 162 0 0 0 0 0 0 162 0 0 1003813091 10 Physicians 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1003813251 1629472451 36 Community mental health provider HOLY CROSS HOSPITAL 606291813 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 113 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 16345 0 0 16345 0 0 1003815796 91 Waiver service provider--Adults (DHS/DDD) 27 Dekalb 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 145 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 11580 0 0 0 0 0 0 0 0 0 0 0 0 0 11580 0 0 1003816524 1174684021 10 Physicians BRASLOW REBEKAH A 602011700 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 2 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 1073 0 0 0 0 0 0 1077 0 0 1003817044 1073891107 10 Physicians RAINWATER DANIEL J 606112615 200 Cook 0 0 Pediatrics 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 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3975 0 0 0 0 0 0 3975 0 0 1003817409 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 13066 0 0 0 0 0 0 0 0 0 0 0 0 0 13066 0 0 1003819424 1346367190 10 Physicians BAGAN BRADLEY 600483279 57 Lake 0 0 Neurology Surgery 0 0 0 0 0 0 0 0 0 0 0 10 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 422 0 26948 0 0 0 0 0 0 27370 0 0 1003819839 1992981518 10 Physicians YOSHII AKIRA 606777007 200 Cook 0 0 Pediatrics 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 0 558 0 0 0 0 0 0 558 0 0 1003821559 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 84 0 0 0 0 0 0 84 0 0 1003823205 70 Ambulance Service Providers 818 Kentucky 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1003823441 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003823483 1235322215 10 Physicians AHMED NAUSHEEN 601545716 200 Cook 0 0 Family Practice 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 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 1128 0 0 0 0 0 0 1128 0 0 1003823507 1023406980 16 Nurse Practitioners KOSTNER ANGELA J 606740011 200 Cook 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 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 2810 0 0 0 0 0 0 2810 0 0 1003824222 1528490190 16 Nurse Practitioners GILLESPIE KEONYA 752445071 77 Morgan 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 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 0 722 0 0 0 0 0 0 722 0 0 1003825202 1518034693 75 Department of Alcohol and Substance Abuse Provider HAYMARKET CENTER-TRANSITION TO 606072202 200 Cook 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 0 167 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 0 0 0 0 0 37850 0 0 37850 0 0 1003825212 91 Waiver service provider--Adults (DHS/DDD) 852 Wisconsin 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 168 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 28440 0 0 0 0 0 0 0 0 0 0 0 0 0 28440 0 0 1003826046 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 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 1389 0 0 0 0 0 0 0 0 0 0 0 0 0 1389 0 0 1003826233 1306067533 10 Physicians BOWERS SACHARITHA 627949644 91 Sangamon 0 0 Dermatology 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 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 1000 0 0 0 0 0 0 1000 0 0 1003826298 10 Physicians 89 Rock Island 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 20 0 0 1003826352 1083943443 10 Physicians VARDANYAN ZARUHI 604624504 200 Cook 0 0 Internal Medicine 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 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3401 0 0 0 0 0 0 3401 0 0 1003826796 1881098846 16 Nurse Practitioners BUSING KRISTIN S. 602011718 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 426 0 0 0 0 0 0 426 0 0 1003828011 1083013171 11 Dentists JALLAD MAHMOUD 629596382 108 Williamson 0 0 General Dentistry 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 232 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 0 0 0 167 0 0 1003829231 1255733010 16 Nurse Practitioners GOODALL JANA T 600101042 71 McHenry 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 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 0 570 0 0 0 0 0 0 570 0 0 1003829454 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 0 399 0 0 0 0 0 0 399 0 0 1003830413 91 Waiver service provider--Adults (DHS/DDD) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 192 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 29030 0 0 0 0 0 0 0 0 0 0 0 0 0 29030 0 0 1003831302 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 651 0 0 0 0 0 0 651 0 0 1003831415 1518129600 10 Physicians WEBB KELLI N 629023988 47 Jackson 0 0 Plastic Surgery 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 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 0 893 0 0 0 0 0 0 893 0 0 1003831821 1265674162 10 Physicians SINGH KULDEEP 627083428 91 Sangamon 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 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 1134 0 0 0 0 0 0 1134 0 0 1003832069 1386045292 16 Nurse Practitioners YOUNG KYLEEN 606112991 200 Cook 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 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 1859 0 0 0 0 0 0 1859 0 0 1003832098 1790868305 10 Physicians JONES JENNIFER 614555579 70 McDonough 0 0 Clinical Pathology 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1769 0 0 0 0 0 0 0 0 1769 0 0 1003832717 1063699163 10 Physicians KEENAN BRIAN 637015230 200 Cook 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 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 0 206 0 0 0 0 0 0 206 0 0 1003832885 1194038711 10 Physicians GONZALEZ PEDRO 606114264 200 Cook 0 0 Physical Medicine/Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 0 0 986 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7893 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7893 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11317 0 0 0 0 0 0 11317 0 0 1003833432 91 Waiver service provider--Adults (DHS/DDD) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4798 0 0 0 0 0 0 0 0 0 0 0 0 0 4798 0 0 1003833806 1730318593 10 Physicians DALTON ALLISON 605276686 30 DuPage 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4174 0 0 0 0 0 0 4174 0 0 1003834348 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 0 201 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 20675 0 0 0 0 0 0 0 0 0 0 0 0 0 20675 0 0 1003836689 1699099648 10 Physicians SAYLA MALIHA A 602011700 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 1 0 0 0 0 0 0 6 0 26 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 6 0 33 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 6 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 2536 0 0 0 0 0 0 2549 0 0 1003838254 10 Physicians 852 Wisconsin 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 87 0 0 0 0 0 0 87 0 0 1003839084 1124215124 10 Physicians POTHINENI ARAVIND 637015230 200 Cook 0 0 Pulmonary Diseases 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 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 0 275 0 0 0 0 0 0 275 0 0 1003839196 1265754691 16 Nurse Practitioners DUFFY DEBORA K 601751068 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 134 0 0 0 0 0 0 134 0 0 1003839204 1356310338 10 Physicians CHAUDHARY KAMRAN 601953106 200 Cook 0 0 Rheumatology 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 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 48 0 0 0 0 0 0 48 0 0 1003839850 10 Physicians 53 Kane 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1003840039 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 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 23880 0 0 0 0 0 0 0 0 0 0 0 0 0 23880 0 0 1003840302 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 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 20628 0 0 0 0 0 0 0 0 0 0 0 0 0 20628 0 0 1003840623 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 84 0 0 0 0 0 0 84 0 0 1003840929 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2397 0 0 0 0 0 0 0 0 0 0 0 0 0 2397 0 0 1003841125 92 Waiver service provider--Disability (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 23789 0 0 0 0 0 0 0 0 0 0 0 0 0 23789 0 0 1003841887 1548569734 10 Physicians PINCUS ELISA 631952334 98 Tazewell 0 0 Pediatrics 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 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 3344 0 0 0 0 0 0 3344 0 0 1003841911 1205246451 16 Nurse Practitioners MICHELSEN CLAIRE 606612118 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 478 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1405 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1405 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 240302 0 0 0 0 0 0 240302 0 0 1003842925 1386807816 10 Physicians SAWLANI SARENA 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 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 3457 0 0 0 0 0 0 3457 0 0 1003843127 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 0 211 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 211 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8618 0 0 0 0 0 0 0 0 0 0 0 0 0 8618 0 0 1003844157 1093118127 16 Nurse Practitioners CHIONI KRISTI 600450570 57 Lake 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 0 112 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 0 581 0 0 0 0 0 0 581 0 0 1003844316 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 0 319 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 0 0 0 0 0 0 0 0 0 0 0 0 27847 0 0 0 0 0 0 0 0 0 0 0 0 0 27847 0 0 1003845393 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 0 160 0 0 0 0 0 0 160 0 0 1003845445 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 0 104 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 10145 0 0 0 0 0 0 0 0 0 0 0 0 0 10145 0 0 1003845542 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42054 0 0 0 0 0 0 0 0 0 0 0 0 0 42054 0 0 1003845750 1639456411 12 Optometrists DUNNE KATHERINE M 999999999 100 Vermilion 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 173 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 173 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2841 0 31 0 0 0 0 2872 0 0 1003846040 1952787376 16 Nurse Practitioners SEVERADO ANGELA 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 871 0 0 0 0 0 0 871 0 0 1003846515 1659736502 16 Nurse Practitioners HUI-SAM PEI 999999999 200 Cook 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 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3890 0 0 0 0 0 0 3890 0 0 1003846590 1912293762 10 Physicians EMEBO MARCUS E 731279711 200 Cook 0 0 Emergency Medicine 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 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 7387 0 0 0 0 0 0 7387 0 0 1003846701 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 4 0 0 0 0 0 0 4 0 0 1003846719 1306211677 16 Nurse Practitioners OWENS RYAN D 999999999 10 Adams 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 0 184 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 1657 0 0 0 0 0 0 1657 0 0 1003846830 24 Speech Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1887 1887 0 0 1003847042 1083909998 10 Physicians ANDREOLI MICHAEL T 999999999 30 DuPage 0 0 Ophthalmology 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 4 0 268 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 268 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 161 0 12681 0 0 0 0 0 0 12842 0 0 1003847159 1528025848 89 Physician Assistant Only(Encounter Only) ZINGRE MARY F 999999999 109 Winnebago 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 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 2270 0 0 0 0 0 0 2270 0 0 1003847285 1770960049 16 Nurse Practitioners VITANTONIO TRACY 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 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 0 236 0 0 0 0 0 0 236 0 0 1003847339 89 Physician Assistant Only(Encounter Only) 47 Jackson 0 0 0 0 0 0 0 0 0 0 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 1003847730 1710354063 11 Dentists JAHEDI SOMAYEH 999999999 30 DuPage 0 0 General Dentistry 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 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 1330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1330 0 0 1003847922 1659764504 36 Community mental health provider NORTHSIDE HOUSING BUFFETT PLAC 606577167 200 Cook 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 0 850 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18072 0 0 18922 0 0 1003848270 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 0 365 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 28452 0 0 0 0 0 0 0 0 0 0 0 0 0 28452 0 0 1003848407 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 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 16083 0 0 0 0 0 0 0 0 0 0 0 0 0 16083 0 0 1003848480 1053499012 89 Physician Assistant Only(Encounter Only) VELTMAN SHANNON 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 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 0 143 0 0 0 0 0 0 143 0 0 1003848588 1912169764 10 Physicians PROVIAS TIM S 606118709 200 Cook 0 0 Cardiology 0 0 0 0 0 0 0 0 0 0 0 1 0 177 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 372 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 372 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7800 0 0 0 0 0 0 7800 0 0 1003848667 1164651196 10 Physicians SWEIS OWEN 601228942 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 188 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 188 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 0 4081 0 0 0 0 0 0 4214 0 0 1003848675 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 0 146 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 6272 0 0 0 0 0 0 0 0 0 0 0 0 0 6272 0 0 1003848950 1215243027 10 Physicians WUCKA PAUL 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 0 109 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 5195 0 0 0 0 0 0 5195 0 0 1003848977 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 1003849099 1992919401 89 Physician Assistant Only(Encounter Only) FOX SUSAN R 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 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 1700 0 0 0 0 0 0 1700 0 0 1003849783 1700279809 16 Nurse Practitioners BARLOW LINDSAY M 627083428 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 166 0 0 0 0 0 0 166 0 0 1003850146 1326308248 10 Physicians SADANALA USHA 628013655 66 Marion 0 0 Family Practice 0 0 0 0 3 0 0 0 0 0 0 7 0 10 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 10 0 16 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 10 0 16 0 0 0 0 0 0 0 0 0 181 0 0 0 0 0 0 146 0 1908 0 0 0 0 0 0 2235 0 0 1003850204 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 31 0 0 0 0 0 0 31 0 0 1003850424 1407155096 10 Physicians GUNASEKARA SAMINDI M 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 6 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 1318 0 0 0 0 0 0 1324 0 0 1003850465 91 Waiver service provider--Adults (DHS/DDD) 89 Rock Island 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27128 0 0 0 0 0 0 0 0 0 0 0 0 0 27128 0 0 1003850537 1346538345 10 Physicians KHAN IMAD 613501604 58 La Salle 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 129 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 4502 0 0 0 0 0 0 4502 0 0 1003851400 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 0 1003851649 1558461772 89 Physician Assistant Only(Encounter Only) MILLER BOBBIE J 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 131 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 4690 0 0 0 0 0 0 4690 0 0 1003851732 16 Nurse Practitioners 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003852174 94 Waiver service provider--Children's support (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 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 8975 0 0 0 0 0 0 0 0 0 0 0 0 0 8975 0 0 1003852269 1639307168 10 Physicians ATTA FYNN ROSEMARY 604624504 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 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 3619 0 0 0 0 0 0 3619 0 0 1003852304 1326066036 10 Physicians CAHILL ANNE 999999999 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3826 0 0 0 0 0 0 3826 0 0 1003852394 1013047190 13 Podiatrists O''DONNELL PATRICIA M 601228942 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72 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 1736 0 0 0 0 0 0 1736 0 0 1003852424 1174930077 86 Clinical Social Worker(Encounter Only) MCMILLEN DENIKA 606124300 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 106 0 0 1003852586 1497982334 10 Physicians FOLEY RYAN T. 605238723 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 337 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 490 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 490 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6930 0 612 0 0 0 0 0 0 7542 0 0 1003852668 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1003853256 1972873735 16 Nurse Practitioners KELLY ELIZABETH 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 118 0 0 0 0 0 0 118 0 0 1003853378 1639465776 10 Physicians KIELTYKA JUDE 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1057 0 0 0 0 0 0 1057 0 0 1003853472 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2095 0 0 0 0 0 0 0 0 0 0 0 0 0 2095 0 0 1003853638 1790046860 10 Physicians BHATNAGAR SONALI 604405125 63 Macon 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 0 77 0 0 0 0 0 0 0 0 1283 0 0 0 0 0 0 1360 0 0 1003853757 10 Physicians 30 DuPage 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 216 0 0 1003853771 1508192048 10 Physicians SIECIECHOWICZ DIANA 999999999 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 63 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 6973 0 0 0 0 0 0 6973 0 0 1003853809 1326147489 11 Dentists MASTROIANNI JEFFREY S 999999999 65 Madison 0 0 Orthodontist 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3600 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3600 0 0 1003853898 10 Physicians 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 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 47 0 0 0 0 0 0 47 0 0 1003854033 1174992127 16 Nurse Practitioners GORDON STEPHANIE D 999999999 33 Effingham 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1486 0 0 0 0 0 0 1486 0 0 1003854342 1487011144 16 Nurse Practitioners VOGLER SHAUNA B 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 668 0 0 0 0 0 0 668 0 0 1003854363 1093106023 24 Speech Therapists GOUGH LORI J 605673990 30 DuPage 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 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10022 10022 0 0 1003854466 1285950287 10 Physicians MATHEW TESSIE 606740018 200 Cook 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 3 0 18 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 7 0 38 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 7 0 38 0 0 0 0 0 0 0 0 0 113 0 0 0 0 0 0 54 0 1382 0 0 0 0 0 0 1549 0 0 1003854484 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 0 196 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 25103 0 0 0 0 0 0 0 0 0 0 0 0 0 25103 0 0 1003854570 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 0 309 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 20157 0 0 0 0 0 0 0 0 0 0 0 0 0 20157 0 0 1003854732 16 Nurse Practitioners 108 Williamson 0 0 0 0 0 0 0 0 0 0 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 49 0 0 0 0 0 0 49 0 0 1003854884 1851704035 10 Physicians SALHADAR AMMAR 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 301 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 301 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7193 0 0 0 0 0 0 7193 0 0 1003855046 88 Other behavior health professional 74 Mercer 0 0 0 0 0 0 0 0 0 0 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 46 0 0 0 0 0 0 46 0 0 1003855163 1346614435 86 Clinical Social Worker(Encounter Only) SHORES-GASTON RENITA 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 359 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 359 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28070 0 0 0 0 0 0 28070 0 0 1003855693 1457542920 10 Physicians CHACRA WADIH 999999999 805 California 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 272 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 14444 0 0 0 0 0 0 14444 0 0 1003855827 10 Physicians 10 Adams 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 0 0 0 0 0 0 0 0 0 0 1003856022 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 0 185 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 28340 0 0 0 0 0 0 0 0 0 0 0 0 0 28340 0 0 1003856437 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 238 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 28382 0 0 0 0 0 0 0 0 0 0 0 0 0 28382 0 0 1003856508 91 Waiver service provider--Adults (DHS/DDD) 108 Williamson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2956 0 0 0 0 0 0 0 0 0 0 0 0 0 2956 0 0 1003856658 1538435060 10 Physicians HAIDER ALI 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25489 0 0 0 0 0 0 25489 0 0 1003856982 1265494116 10 Physicians ESKANDAR SAFWAT F 606890001 200 Cook 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 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 3415 0 0 0 0 0 0 3415 0 0 1003857028 1003976713 30 General Hospitals PRESENCE SAINT JOSEPH MEDICAL 999999999 107 Will DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 0 1 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 13 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 1877 0 0 0 0 0 0 0 0 0 1877 0 0 1003857401 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 199 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 24231 0 0 0 0 0 0 0 0 0 0 0 0 0 24231 0 0 1003857465 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 100 0 0 1003857479 10 Physicians 200 Cook 0 0 Thoracic 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 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 14 0 0 0 0 0 0 14 0 0 1003857551 1346537131 11 Dentists YANG MONA 606302169 200 Cook 0 0 Orthodontist 0 0 0 55 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 14206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14206 0 0 1003857579 1194134361 63 Other Providers of Medical Equipment/Supplies (Non-registered) MEMORIAL HOME SERVICES OF CENT 626503713 77 Morgan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 309 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2405 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2405 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77450 0 650 0 0 0 0 78100 0 0 1003857610 1346340973 16 Nurse Practitioners STEAD TIMOTHY A 999999999 45 Henry 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 0 302 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 302 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5833 0 0 0 0 0 0 5833 0 0 1003857762 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29053 0 0 0 0 0 0 0 0 0 0 0 0 0 29053 0 0 1003857859 1730462243 10 Physicians HAJIRA AMTUL 999999999 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 85 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 2870 0 0 0 0 0 0 2870 0 0 1003858404 1225379498 10 Physicians LACH JOSEPH M 999999999 200 Cook 0 0 Family Practice 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 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 0 180 0 0 0 0 0 0 180 0 0 1003858570 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 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10322 0 0 0 0 0 0 0 0 0 0 0 0 0 10322 0 0 1003859511 12 Optometrists 200 Cook 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 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 0 128 0 0 0 0 0 0 128 0 0 1003860391 1942620372 16 Nurse Practitioners BOWERS AMANDA 629140233 11 Alexander 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 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 1953 0 0 0 0 0 0 1953 0 0 1003860476 10 Physicians 80 Peoria 0 0 Family Practice 0 0 0 0 0 0 0 0 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 0 238 0 0 0 0 0 0 238 0 0 1003860492 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 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 7133 0 0 0 0 0 0 0 0 0 0 0 0 0 7133 0 0 1003860873 1831576602 10 Physicians ALVI FARAH 606118709 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 1 0 0 0 0 0 0 1 0 13 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 1 0 21 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 1 0 21 0 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 5 0 2683 0 0 0 0 0 0 2930 0 0 1003861288 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 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 0 272 0 0 0 0 0 0 272 0 0 1003861300 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 204 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 22639 0 0 0 0 0 0 0 0 0 0 0 0 0 22639 0 0 1003861406 10 Physicians 200 Cook 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 48 0 0 1003861539 1477944668 60 Pharmacies WALMART PHARMACY 10-3110 606204246 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1074 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35272 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83033 0 0 0 83033 0 0 1003862391 1346570405 10 Physicians MUELLER MARGARET G. 999999999 53 Kane 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 4 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 1769 0 0 0 0 0 0 1773 0 0 1003862437 1043519804 10 Physicians MISHRA SEETAL 606313222 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 72 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 6212 0 0 0 0 0 0 6212 0 0 1003862643 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 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 3823 0 0 0 0 0 0 0 0 0 0 0 0 0 3823 0 0 1003862668 11 Dentists 200 Cook 0 0 Pedodontics 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2 0 0 1003862876 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 18347 0 0 0 0 0 0 0 0 0 0 0 0 0 18347 0 0 1003863062 1811940893 16 Nurse Practitioners WEISS CHRISTY 999999999 96 St Clair 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 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 0 716 0 0 0 0 0 0 716 0 0 1003863082 1316000219 16 Nurse Practitioners ABENES GLORIA 999999999 49 Jefferson 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 0 167 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 0 0 0 0 0 1120 0 0 0 0 0 0 1120 0 0 1003863320 1184017436 50 Home Health Agencies - In Home RESCARE HOMECARE 618203167 19 Champaign 0 0 0 0 0 0 0 0 23 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3074 407 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3074 407 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1117124 198435 0 0 0 0 0 0 0 0 0 0 0 0 1315559 0 0 1003863357 92 Waiver service provider--Disability (DHS/DRS) 58 La Salle 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1529 0 0 0 0 0 0 0 0 0 0 0 0 0 1529 0 0 1003863422 1598921249 10 Physicians CAMPBELL TRACY 601976685 30 DuPage 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 142 0 0 0 0 0 0 142 0 0 1003863541 1285008763 11 Dentists JAIN PRIYANKA 999999999 200 Cook 0 0 General Dentistry 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3543 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3543 0 0 1003863596 1144548330 10 Physicians BRENNAN MEGHAN LYNN 602011700 200 Cook 0 0 Anesthesiology 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 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 763 0 0 0 0 0 0 763 0 0 1003863645 1780085506 89 Physician Assistant Only(Encounter Only) HANLEY KATHERINE A 606118709 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 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 0 150 0 0 0 0 0 0 150 0 0 1003863694 89 Physician Assistant Only(Encounter Only) 818 Kentucky 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 47 0 0 0 0 0 0 47 0 0 1003863763 1114260304 10 Physicians SEYFERT JONATHAN H 999999999 200 Cook 0 1 Family Practice 0 0 0 0 2 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 198 0 0 0 0 0 0 0 0 1966 0 0 0 0 0 0 2164 0 0 1003863930 1285720268 22 Physical Therapists LARUE ANGELA 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 0 155 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 1013 1013 0 0 1003864458 10 Physicians 815 Indiana 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 2 0 2 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 34 0 829 0 0 0 0 0 0 863 0 0 1003864789 1144540642 10 Physicians KAY-STACEY MARGARET 999999999 200 Cook 0 0 Neurology 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 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 1187 0 0 0 0 0 0 1187 0 0 1003864843 1508182742 10 Physicians NAVEED NAUSHEEN 553445349 91 Sangamon 0 0 Radiology Diagnosis 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 0 353 0 0 0 0 0 0 0 0 353 0 0 1003865157 1316258643 10 Physicians MIRZA KAMRAN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 73 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 157 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 157 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1315 0 9 0 0 0 0 0 0 1324 0 0 1003865810 94 Waiver service provider--Children's support (DHS/DDD) 826 Missouri 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2665 0 0 0 0 0 0 0 0 0 0 0 0 0 2665 0 0 1003865852 1699174540 10 Physicians HASSABALLA HATEM 999999999 200 Cook 0 0 Internal Medicine 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 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 4334 0 0 0 0 0 0 4334 0 0 1003866238 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 0 120 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 27216 0 0 0 0 0 0 0 0 0 0 0 0 0 27216 0 0 1003866254 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 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 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1003866317 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 6949 0 0 0 0 0 0 0 0 0 0 0 0 0 6949 0 0 1003866399 16 Nurse Practitioners 92 Schuyler 0 0 0 0 0 0 0 0 0 0 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 26 0 0 0 0 0 0 26 0 0 1003866448 1194012260 10 Physicians LATH NIKESH R 999999999 91 Sangamon 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 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 0 411 0 0 0 0 0 0 411 0 0 1003866485 1255773198 10 Physicians ROY MONI 999999999 80 Peoria 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 213 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 0 0 0 0 0 0 0 0 0 0 0 0 3363 0 0 0 0 0 0 3363 0 0 1003866520 1588045181 24 Speech Therapists MIGHELL COURTNEY J 999999999 45 Henry 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 0 124 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 8949 8949 0 0 1003866779 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 0 143 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 29042 0 0 0 0 0 0 0 0 0 0 0 0 0 29042 0 0 1003867322 1255343596 87 Psychologist(Encounter Only) PLISKIN NEIL 606123748 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 0 538 0 0 0 0 0 0 538 0 0 1003867445 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 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 0 271 0 0 0 0 0 0 271 0 0 1003867649 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 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 0 324 0 0 0 0 0 0 0 0 0 0 0 0 0 324 0 0 1003868010 1871906594 10 Physicians HAWTHORNE DANIEL 999999999 200 Cook 0 0 Family Practice 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 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 0 173 0 0 0 0 0 0 173 0 0 1003868844 1952557316 10 Physicians BALEK MARK 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 371 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1177 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1177 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11689 0 0 0 0 0 0 11689 0 0 1003868858 1558561613 10 Physicians HINDIA JIGGAR R 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 142 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 0 0 0 0 0 0 0 0 0 0 2679 0 0 0 0 0 0 2679 0 0 1003868977 1003276189 16 Nurse Practitioners OSTERMEIER LINDSEY N 999999999 91 Sangamon 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 342 0 0 0 0 0 0 0 0 891 0 0 0 0 0 0 1233 0 0 1003869004 1720372709 10 Physicians SEHN JENNIFER K 631952334 200 Cook 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 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 2108 0 0 0 0 0 0 0 0 2108 0 0 1003869183 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 27923 0 0 0 0 0 0 0 0 0 0 0 0 0 27923 0 0 1003869379 1518220904 10 Physicians SOLOMOS JENNIFER 999999999 200 Cook 0 0 General Practice 0 0 0 0 1 0 0 0 0 0 0 3 0 30 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 3 0 45 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 3 0 45 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 0 0 916 0 0 0 0 0 0 1020 0 0 1003869707 1821004425 10 Physicians CHEN QING C 999999999 200 Cook 0 0 Clinical Pathology 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 0 188 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 1710 0 0 0 0 0 0 0 0 1710 0 0 1003869806 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 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23367 0 0 0 0 0 0 0 0 0 0 0 0 0 23367 0 0 1003869821 16 Nurse Practitioners 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 104 0 0 1003870011 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 0 190 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 21479 0 0 0 0 0 0 0 0 0 0 0 0 0 21479 0 0 1003870125 1083856041 10 Physicians JONES ROSS E 999999999 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 85 0 0 1003870367 10 Physicians 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 0 0 0 0 0 0 0 0 0 0 1003870525 1841556867 10 Physicians SANCHEZ CLAUDIA 606221797 200 Cook 0 0 Family Practice 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 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 2118 0 0 0 0 0 0 2118 0 0 1003870553 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 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9841 0 0 0 0 0 0 0 0 0 0 0 0 0 9841 0 0 1003870789 1477977809 16 Nurse Practitioners GOVERO CHRISTIE R 999999999 91 Sangamon 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 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 0 203 0 0 0 0 0 0 203 0 0 1003871292 1851550966 10 Physicians SOHAIL MOHAMMAD G 441132444 836 Ohio 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 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 3558 0 0 0 0 0 0 3558 0 0 1003871476 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 24498 0 0 0 0 0 0 0 0 0 0 0 0 0 24498 0 0 1003871562 1053535864 34 State-operated facility (DHS) ELISABETH LUDEMAN DEV CENTER 604661200 200 Cook 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 0 0 0 0 0 1655 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50396 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51574747 0 0 0 0 0 0 0 0 0 0 51574747 0 0 1003871578 1770870222 10 Physicians HINZMAN JUSTIN M 612656812 89 Rock Island 0 0 Obstetric-Gynecology 0 0 0 0 2 0 0 0 0 0 0 34 0 72 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 78 0 162 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 78 0 162 0 0 0 0 0 0 0 0 0 170 0 0 0 0 0 0 2354 0 8193 0 0 0 0 0 0 10717 0 0 1003871697 16 Nurse Practitioners 24 Coles 0 0 0 0 0 0 0 0 0 0 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 10 0 0 0 0 0 0 10 0 0 1003871740 1114226578 10 Physicians GRANT TAMILA 604990443 200 Cook 0 0 Anesthesiology 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 0 166 0 0 0 0 0 0 166 0 0 1003871773 1609073881 10 Physicians BAG REMZI 605275965 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 384 0 0 0 0 0 0 384 0 0 1003871776 1407858806 10 Physicians FRAKES JEFFREY 629023988 47 Jackson 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 139 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 139 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8419 0 0 0 0 0 0 8419 0 0 1003871854 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 1848 0 0 0 0 0 0 1848 0 0 1003871957 1295013373 10 Physicians BISKUP JEFFREY A 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 7 0 0 0 0 0 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 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 374 0 0 0 0 0 0 374 0 0 1003872147 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 0 120 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 18676 0 0 0 0 0 0 0 0 0 0 0 0 0 18676 0 0 1003872154 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 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 44 0 0 0 0 0 0 44 0 0 1003872202 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5 0 0 0 0 0 0 5 0 0 1003872489 1235442443 10 Physicians SARGUROH TAUSEEF 999999999 107 Will 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 400 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1593 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1593 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19316 0 0 0 0 0 0 19316 0 0 1003873083 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 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 1920 0 0 0 0 0 0 0 0 0 0 0 0 0 1920 0 0 1003873294 1811254303 10 Physicians MUBARAK TARIQ 999999999 200 Cook 0 0 Internal Medicine 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 0 786 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 786 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25082 0 0 0 0 0 0 25082 0 0 1003873495 1932463759 10 Physicians PURNELL LINDSAY 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5040 0 0 0 0 0 0 5040 0 0 1003873672 1598982167 10 Physicians BHOOT VEERAL 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 9 0 6 0 0 0 0 0 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 10 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 58 0 0 0 0 0 0 173 0 0 1003874177 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 0 146 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 11088 0 0 0 0 0 0 0 0 0 0 0 0 0 11088 0 0 1003874206 98 Waiver service provider--TBI (DHS/DRS) 72 McLean 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 13110 0 0 0 0 0 0 0 0 0 0 0 0 0 13110 0 0 1003874599 1902184997 10 Physicians GOODMAN FLIDER MARINA 606313222 200 Cook 0 0 Pediatrics 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 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 4595 0 0 0 0 0 0 4595 0 0 1003874711 1407234255 16 Nurse Practitioners BECK GINA 999999999 53 Kane 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 0 207 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 5456 0 0 0 0 0 0 5456 0 0 1003875035 1619390846 10 Physicians JAGTAP PRASHANT 999999999 824 Minnesota 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 0 196 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 8464 0 0 0 0 0 0 8464 0 0 1003875080 1124467253 10 Physicians ARYNOVA BAKYTBUBU 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 3 0 0 0 0 0 0 56 0 115 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 94 0 201 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 94 0 201 0 0 0 0 0 0 0 0 0 219 0 0 0 0 0 0 2034 0 11242 0 0 0 0 0 0 13495 0 0 1003875457 1457433955 10 Physicians NAIK AMAR 601545716 200 Cook 0 0 Gastroenterology 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 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7276 0 0 0 0 0 0 7276 0 0 1003875538 1013274216 10 Physicians LAPONSIE SADIE A 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 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 1167 0 0 0 0 0 0 1167 0 0 1003875671 1326214891 10 Physicians METTU PRAVEEN 605400954 30 DuPage 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 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 2140 0 0 0 0 0 0 2140 0 0 1003876018 1629232491 10 Physicians DEETZ CARL 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 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 90 0 0 0 0 0 0 0 0 90 0 0 1003876129 10 Physicians 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1003876239 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 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 0 456 0 0 0 0 0 0 0 0 0 0 0 0 0 456 0 0 1003876325 1639448020 10 Physicians SALEEM ALI 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 143 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4166 0 37 0 0 0 0 0 0 4203 0 0 1003876361 1609079219 10 Physicians NAIR ANJANA 999999999 852 Wisconsin 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 0 110 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 1842 0 0 0 0 0 0 1842 0 0 1003876662 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 0 518 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 518 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26283 0 0 0 0 0 0 0 0 0 0 0 0 0 26283 0 0 1003876756 1740404367 10 Physicians MUELLER REBECCA 631955534 89 Rock Island 0 0 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 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 425 0 0 0 0 0 0 437 0 0 1003876798 1376525204 34 State-operated facility (DHS) JACK MABLEY DEVELOPMENTAL CTR 610211258 60 Lee 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36805 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28961343 0 0 0 0 0 0 0 0 0 0 28961343 0 0 1003876819 1003077900 10 Physicians CHAUDHRY FARRUKH 999999999 25 Crawford 0 0 Neurology 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 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10477 0 0 0 0 0 0 10477 0 0 1003877023 1487674545 89 Physician Assistant Only(Encounter Only) ANDERSON KATHLEEN E. 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 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 0 469 0 0 0 0 0 0 469 0 0 1003877238 1477971216 10 Physicians TAMRAGOURI KEERTHI 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 123 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 2892 0 0 0 0 0 0 2892 0 0 1003877323 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 22598 0 0 0 0 0 0 0 0 0 0 0 0 0 22598 0 0 1003877388 1124418041 39 Hospice HOSPICE OF GREATER CHICAGO LLC 606161345 200 Cook 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 0 353 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8155 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1770711 0 0 0 0 0 0 0 0 0 0 0 1770711 0 0 1003877445 1750785986 48 Rural Health Clinics CARLE MATTOON ON HURST 999999999 24 Coles 0 1 0 0 880 0 148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3262 0 403 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3262 0 403 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77816 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77816 0 0 1003877673 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1891 0 0 0 0 0 0 0 0 0 0 0 0 0 1891 0 0 1003877924 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 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1003878078 10 Physicians 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 62 0 0 1003878089 91 Waiver service provider--Adults (DHS/DDD) 94 Shelby 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29624 0 0 0 0 0 0 0 0 0 0 0 0 0 29624 0 0 1003878107 91 Waiver service provider--Adults (DHS/DDD) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30209 0 0 0 0 0 0 0 0 0 0 0 0 0 30209 0 0 1003878251 16 Nurse Practitioners 826 Missouri 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 0 234 0 0 0 0 0 0 234 0 0 1003878408 1316330582 16 Nurse Practitioners FARRIS LESLIE 627031944 91 Sangamon 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 1725 0 0 0 0 0 0 0 0 3009 0 0 0 0 0 0 4734 0 0 1003878563 89 Physician Assistant Only(Encounter Only) 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 24 0 0 0 0 0 0 24 0 0 1003878612 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 70 0 0 0 0 0 0 70 0 0 1003878737 1629466743 16 Nurse Practitioners FRIEBOHLE LISA 616360002 80 Peoria 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 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 1499 0 0 0 0 0 0 1499 0 0 1003878940 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 0 207 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 50910 0 0 0 0 0 0 0 0 0 0 0 0 0 50910 0 0 1003879083 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 109 0 0 0 0 0 0 109 0 0 1003879095 1689938383 10 Physicians KHAN ARSALAN 999999999 200 Cook 0 0 Internal Medicine 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 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3313 0 0 0 0 0 0 3313 0 0 1003879156 92 Waiver service provider--Disability (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 11381 0 0 0 0 0 0 0 0 0 0 0 0 0 11381 0 0 1003879252 1104216993 16 Nurse Practitioners SMITH TAMARA 604405125 107 Will 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 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 96 0 0 0 0 0 0 96 0 0 1003879308 1629266770 10 Physicians BLATNIK JEFFREY A 999999999 826 Missouri 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 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 1167 0 0 0 0 0 0 1167 0 0 1003879371 1730565870 16 Nurse Practitioners WILLER SUSAN M 627083428 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 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 0 366 0 0 0 0 0 0 366 0 0 1003879505 1003231127 91 Waiver service provider--Adults (DHS/DDD) WIGGINS SCOTT 604512899 107 Will 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 0 598 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 598 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72208 0 0 0 0 0 0 0 0 0 0 0 0 0 72208 0 0 1003879709 1174766745 10 Physicians MARTIN ANISHA S 462063272 47 Jackson 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1071 0 97 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1555 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1555 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14097 0 558 0 0 0 0 0 0 14655 0 0 1003879848 1154617421 10 Physicians CHEDRAUY JORGE 999999999 200 Cook 0 0 Family Practice 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 0 373 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 373 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5961 0 0 0 0 0 0 5961 0 0 1003880356 1164738787 10 Physicians STEINBECK JENNIFER 999999999 200 Cook 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 0 336 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 5188 0 0 0 0 0 0 5188 0 0 1003880576 1982833653 12 Optometrists HANSEL BRIAN D 999999999 27 Dekalb 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 285 0 0 0 0 0 0 285 0 0 1003880719 1992910954 10 Physicians VALIKA AZIZ 999999999 107 Will 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 702 0 0 0 0 0 0 702 0 0 1003880862 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 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17405 0 0 0 0 0 0 0 0 0 0 0 0 0 17405 0 0 1003880875 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 90 0 0 1003880961 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 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 0 217 217 0 0 1003880990 1184880452 10 Physicians ARDNT ANDREW T 999999999 30 DuPage 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 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 2122 0 0 0 0 0 0 2122 0 0 1003881050 1912013012 16 Nurse Practitioners WANG HANJU 999999999 57 Lake 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 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 0 162 0 0 0 0 0 0 162 0 0 1003881190 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 15531 0 0 0 0 0 0 0 0 0 0 0 0 0 15531 0 0 1003881326 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 0 716 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 0 0 0 0 0 79358 0 0 0 0 0 0 0 0 0 0 0 0 0 79358 0 0 1003881451 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 0 177 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 21070 0 0 0 0 0 0 0 0 0 0 0 0 0 21070 0 0 1003881483 1154705093 87 Psychologist(Encounter Only) BEIN LAURA A 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 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 3115 0 0 0 0 0 0 3115 0 0 1003881642 1710374988 16 Nurse Practitioners CHARO KIMBERLY A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 373 0 0 0 0 0 0 373 0 0 1003881656 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 0 222 0 0 0 0 0 0 289 0 0 1003881906 1396761441 89 Physician Assistant Only(Encounter Only) COLLINS RASHONDA 379321983 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 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 0 640 0 0 0 0 0 0 640 0 0 1003881953 1003864240 89 Physician Assistant Only(Encounter Only) WILLNER DEBORAH J 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 1591 0 0 0 0 0 0 1591 0 0 1003882253 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 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7686 0 0 0 0 0 0 0 0 0 0 0 0 0 7686 0 0 1003882400 1881947679 10 Physicians KHAN AMNA 999999999 200 Cook 0 0 0 0 0 0 113 0 0 0 0 0 0 28 0 91 0 0 0 0 0 0 0 0 0 289 0 0 0 0 0 0 35 0 100 0 0 0 0 0 0 0 0 0 289 0 0 0 0 0 0 35 0 100 0 0 0 0 0 0 0 0 0 10886 0 0 0 0 0 0 480 0 5249 0 0 0 0 0 0 16615 0 0 1003882496 1679830293 10 Physicians SYED SAIRA 999999999 30 DuPage 0 0 0 0 0 0 8 0 0 0 0 0 0 3 0 9 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 4 0 13 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 4 0 13 0 0 0 0 0 0 0 0 0 565 0 0 0 0 0 0 174 0 425 0 0 0 0 0 0 1164 0 0 1003882686 1407262488 16 Nurse Practitioners RECIO VICKI 606777007 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1341 0 0 0 0 0 0 1341 0 0 1003882708 1841589843 10 Physicians SHOENER JALENE 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 27 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 136 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 136 0 0 0 0 0 0 0 0 0 2076 0 0 0 0 0 0 0 0 8194 0 0 0 0 0 0 10270 0 0 1003882887 1720476914 16 Nurse Practitioners MILLER JOSEPH 629023988 47 Jackson 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 1020 0 0 0 0 0 0 1020 0 0 1003882917 1427425248 75 Department of Alcohol and Substance Abuse Provider BRIDGEWAY INC. 999999999 102 Warren 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 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 1648 0 0 1648 0 0 1003883047 10 Physicians 91 Sangamon 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 111 0 0 0 0 0 0 111 0 0 1003883502 87 Psychologist(Encounter Only) 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 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 1003883662 1285995779 10 Physicians VALENCIA VAL 606222743 200 Cook 0 0 Family Practice 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 0 233 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 4643 0 0 0 0 0 0 4643 0 0 1003883725 1215113303 16 Nurse Practitioners REDA JILL 999999999 200 Cook 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 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 13988 0 0 0 0 0 0 13988 0 0 1003883733 1548557481 10 Physicians LIVAK MARK 606941400 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 163 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 5376 0 0 0 0 0 0 5376 0 0 1003883866 1598026387 10 Physicians RALLS ANDREW P 999999999 65 Madison 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 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 0 558 0 0 0 0 0 0 558 0 0 1003883892 1992044317 16 Nurse Practitioners TEX NEAL P 999999999 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1440 0 0 0 0 0 0 1440 0 0 1003883918 1720161524 89 Physician Assistant Only(Encounter Only) PYSZKA DEBRA 999999999 58 La Salle 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 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 0 565 0 0 0 0 0 0 565 0 0 1003883938 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4585 0 0 0 0 0 0 0 0 0 0 0 0 0 4585 0 0 1003883975 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 0 136 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 27216 0 0 0 0 0 0 0 0 0 0 0 0 0 27216 0 0 1003884050 1548655095 16 Nurse Practitioners BLODGETT RACHEL 616360001 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276 0 0 0 0 0 0 276 0 0 1003884166 1770830275 87 Psychologist(Encounter Only) GERSHAN DAVID 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1996 0 0 0 0 0 0 1996 0 0 1003884324 1932504149 16 Nurse Practitioners PFEIFFER EMILY 946081844 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105 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 5383 0 0 0 0 0 0 5383 0 0 1003884363 1336527654 10 Physicians ZHOU TINGTING 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 3 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68 0 2817 0 0 0 0 0 0 2885 0 0 1003884402 1538394150 10 Physicians ABDULLAH SHIVON N 999999999 200 Cook 0 0 Anesthesiology 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 2248 0 0 0 0 0 0 2248 0 0 1003884834 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 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 31569 0 0 0 0 0 0 0 0 0 0 0 0 0 31569 0 0 1003884867 1811374226 16 Nurse Practitioners SAINT LOUIS MARGRET M 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3791 0 0 0 0 0 0 3791 0 0 1003885328 1770718314 10 Physicians RYAN DAVID J 999999999 53 Kane 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 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 6094 0 0 0 0 0 0 6094 0 0 1003885472 1912225970 10 Physicians WANG LU 606118709 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 197 0 0 0 0 0 0 0 0 197 0 0 1003885520 10 Physicians 80 Peoria 0 0 Neurology 0 0 0 0 0 0 0 0 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 0 424 0 0 0 0 0 0 424 0 0 1003885595 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 0 193 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 17767 0 0 0 0 0 0 0 0 0 0 0 0 0 17767 0 0 1003885852 10 Physicians 24 Coles 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 374 0 0 0 0 0 0 0 0 374 0 0 1003885925 1457742355 16 Nurse Practitioners FOGGIE SALONIA 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 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 0 226 0 0 0 0 0 0 226 0 0 1003885954 1578866349 16 Nurse Practitioners DUHERIC JASMINKA 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 0 0 0 0 0 261 0 0 1003886166 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 149 0 0 0 0 0 0 149 0 0 1003886330 1619131505 10 Physicians MHAPSEKAR RISHI S 631952334 200 Cook 0 0 Radiology Diagnosis 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 0 118 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 2589 0 0 0 0 0 0 0 0 2589 0 0 1003886347 1083005268 16 Nurse Practitioners CALDERON ZIVILE 200152079 33 Effingham 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 0 639 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 0 0 0 0 0 3792 0 0 0 0 0 0 3792 0 0 1003886555 1093146771 46 Ambulatory Surgical Treatment Centers NORTHWEST COMMUNITY DAY SURGER 600052371 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37013 0 0 0 0 0 37013 0 0 1003886639 1275809345 10 Physicians NAIK KUNAL V 999999999 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 157 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 4076 0 0 0 0 0 0 4076 0 0 1003886974 1699919118 89 Physician Assistant Only(Encounter Only) MARATEA DEREK 999999999 55 Kendall 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 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4505 0 0 0 0 0 0 4505 0 0 1003887062 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 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 0 126 0 0 0 0 0 0 126 0 0 1003887213 1891968921 16 Nurse Practitioners LAMP PATRICIA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 586 0 0 0 0 0 0 586 0 0 1003887281 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 28317 0 0 0 0 0 0 0 0 0 0 0 0 0 28317 0 0 1003887423 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 0 171 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 26800 0 0 0 0 0 0 0 0 0 0 0 0 0 26800 0 0 1003887580 1952664013 10 Physicians DEEN FIZZA 503061455 10 Adams 0 0 Family Practice 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 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 0 746 0 0 0 0 0 0 746 0 0 1003888591 1336452861 10 Physicians HALLETT JOSHUA P 999999999 200 Cook 0 0 Emergency Medicine 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 0 123 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 5001 0 0 0 0 0 0 5001 0 0 1003888602 1720036767 89 Physician Assistant Only(Encounter Only) KAFKAS ISIDORA J. 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 0 187 0 0 0 0 0 0 187 0 0 1003888704 1952388589 10 Physicians FRIEDEWALD SARAH M 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 29 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 97 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 97 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 2459 0 0 0 0 0 0 2721 0 0 1003888815 91 Waiver service provider--Adults (DHS/DDD) 66 Marion 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14721 0 0 0 0 0 0 0 0 0 0 0 0 0 14721 0 0 1003888870 91 Waiver service provider--Adults (DHS/DDD) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8631 0 0 0 0 0 0 0 0 0 0 0 0 0 8631 0 0 1003888944 1760534192 10 Physicians SHAH ANITA 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 4 0 259 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 981 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 981 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28960 0 0 0 0 0 0 28960 0 0 1003888954 1528461878 16 Nurse Practitioners MACATO AILEEN G 370272023 91 Sangamon 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 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 54 0 0 0 0 0 0 54 0 0 1003889034 1831458181 10 Physicians BUNZOL DANIEL 999999999 200 Cook 0 0 Neurology 0 0 0 0 1 0 0 0 0 0 0 0 0 177 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 572 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 572 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 31698 0 0 0 0 0 0 31712 0 0 1003889043 1003994112 13 Podiatrists SPACCAPANICCIA MARK J. 999999999 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 0 109 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 0 540 0 0 0 0 0 0 540 0 0 1003889081 1588057848 16 Nurse Practitioners WILLIS JESSICA 999999999 87 Randolph 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 0 109 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 0 239 0 0 0 0 0 0 239 0 0 1003889100 1861758328 10 Physicians CONNOLLY SHANNON 946081844 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 238 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 11386 0 0 0 0 0 0 11386 0 0 1003889109 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 0 129 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 24084 0 0 0 0 0 0 0 0 0 0 0 0 0 24084 0 0 1003889361 1619267242 10 Physicians PATEL JIGAR B. 611082425 109 Winnebago 0 0 Internal Medicine 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 0 264 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 4879 0 0 0 0 0 0 4879 0 0 1003889510 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 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28382 0 0 0 0 0 0 0 0 0 0 0 0 0 28382 0 0 1003889712 1306213004 23 Occupational Therapists JUDAS EMILY K 999999999 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 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 0 369 369 0 0 1003890289 16 Nurse Practitioners 19 Champaign 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 69 0 0 0 0 0 0 69 0 0 1003890743 1336515022 22 Physical Therapists GRUBER AMANDA JORDAN 999999999 72 McLean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18119 18119 0 0 1003890870 46 Ambulatory Surgical Treatment Centers 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 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 1168 0 0 0 0 0 1168 0 0 1003891119 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 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 0 178 0 0 0 0 0 0 178 0 0 1003891292 1942619762 16 Nurse Practitioners MAAS SARAH 611086479 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 266 0 0 0 0 0 0 266 0 0 1003891415 1578809604 89 Physician Assistant Only(Encounter Only) FALAT AMELIA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2065 0 0 0 0 0 0 2065 0 0 1003891432 1639332968 10 Physicians OPPELT PETER J 999999999 10 Adams 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 0 342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61437 0 0 0 0 0 0 61437 0 0 1003891511 1265890040 16 Nurse Practitioners SCHROEDER JENNIFER E 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 91 0 0 0 0 0 0 91 0 0 1003891590 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 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 0 176 0 0 0 0 0 0 176 0 0 1003891779 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 0 752 0 0 0 0 0 0 752 0 0 1003891893 16 Nurse Practitioners 12 Bond 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 96 0 0 1003892131 10 Physicians 91 Sangamon 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 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 0 512 0 0 0 0 0 0 512 0 0 1003892219 1962804419 16 Nurse Practitioners ROMAN ESPERANZA 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 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 0 751 0 0 0 0 0 0 751 0 0 1003892463 10 Physicians 98 Tazewell 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 583 0 0 0 0 0 0 583 0 0 1003892533 19 Birthing Centers. 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2544 0 0 0 0 0 0 2544 0 0 1003892573 1174724264 10 Physicians IVANOVA MILENA 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 22 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 1547 0 0 0 0 0 0 1734 0 0 1003892697 16 Nurse Practitioners 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 81 0 0 1003892743 1891972162 60 Pharmacies VNA HEALTH CARE 605063814 53 Kane 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 2438 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 154233 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 59377 0 0 0 59377 0 0 1003893035 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 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 0 359 0 0 0 0 0 0 0 0 0 0 0 0 0 359 0 0 1003893083 1760736052 87 Psychologist(Encounter Only) KEHOE REID 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 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 0 124 0 0 0 0 0 0 124 0 0 1003893189 1083978886 10 Physicians ZICKUHR LISA A 631600352 30 DuPage 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 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 0 735 0 0 0 0 0 0 735 0 0 1003893795 1972910883 16 Nurse Practitioners COOK LISA 999999999 30 DuPage 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 0 247 0 0 0 0 0 0 247 0 0 1003894135 1265751127 10 Physicians GHANNAD LEDA A 999999999 200 Cook 0 0 Physical Medicine/Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 36 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 246 0 5452 0 0 0 0 0 0 5698 0 0 1003894142 1669898805 39 Hospice BREEZE HOSPICE LLC 622262929 96 St Clair 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 25 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 0 0 0 0 0 0 0 0 0 0 0 0 101516 0 0 0 0 0 0 0 0 0 0 0 101516 0 0 1003894177 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 0 106 0 0 0 0 0 0 106 0 0 1003894213 1821381062 10 Physicians KANNANKERIL GEORGE A 999999999 200 Cook 0 0 Physical Medicine/Rehabilitation 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 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 1061 0 0 0 0 0 0 1061 0 0 1003894557 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 0 407 0 0 0 0 0 0 407 0 0 1003894629 1033354592 10 Physicians ODELL DAVID D 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2583 0 0 0 0 0 0 2583 0 0 1003894799 1316317621 16 Nurse Practitioners WOODS CARYN 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 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 0 915 0 0 0 0 0 0 915 0 0 1003895090 1578928586 16 Nurse Practitioners VANN JULIE 999999999 19 Champaign 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 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 1553 0 0 0 0 0 0 1553 0 0 1003895179 1265796429 10 Physicians ERLICH JONATHAN 600485321 57 Lake 0 0 Internal Medicine 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 0 368 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 368 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6468 0 0 0 0 0 0 6468 0 0 1003895296 1215222922 10 Physicians KURZER MICHAEL 606313222 200 Cook 0 0 Pediatrics 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 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 6462 0 0 0 0 0 0 6462 0 0 1003895303 1689934689 10 Physicians REHMAN RABEAH 999999999 200 Cook 0 0 Internal 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 0 112 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 1751 0 0 0 0 0 0 1751 0 0 1003895548 1316294978 10 Physicians GANJOO ANUBHA 999999999 200 Cook 0 0 Internal Medicine 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 0 453 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 11899 0 0 0 0 0 0 11899 0 0 1003896038 1427151646 87 Psychologist(Encounter Only) WHITE KEITH BRYAN 618012529 19 Champaign 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 0 124 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 0 472 0 0 0 0 0 0 472 0 0 1003896077 1649526740 10 Physicians AHMAD SAAD N 999999999 91 Sangamon 0 0 Internal Medicine 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 0 309 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 3057 0 0 0 0 0 0 3057 0 0 1003896170 1588048292 11 Dentists QUADRI AMINA 999999999 30 DuPage 0 0 0 0 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1593 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1593 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52043 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52043 0 0 1003896357 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 0 500 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 50594 0 0 0 0 0 0 0 0 0 0 0 0 0 50594 0 0 1003896559 1114369881 16 Nurse Practitioners SAWANO KEIKO 999999999 91 Sangamon 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 0 154 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 1188 0 0 0 0 0 0 1188 0 0 1003896794 1659488054 89 Physician Assistant Only(Encounter Only) CALLA REED MELODY S 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 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 0 830 0 0 0 0 0 0 830 0 0 1003896975 1427343938 10 Physicians NASIR SAIFULLAH 370275339 200 Cook 0 0 Internal Medicine 0 0 0 0 1 0 0 0 0 0 0 1 0 341 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 1158 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 1158 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 0 0 16880 0 0 0 0 0 0 16984 0 0 1003896999 1750645263 10 Physicians STONE SCHUYLER W 999999999 18 Cass 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 267 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 267 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 4497 0 0 0 0 0 0 4532 0 0 1003897018 1013167600 10 Physicians FISCHER ROBERT 631463119 826 Missouri 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 12 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 207 0 56 0 0 0 0 0 0 263 0 0 1003897195 1871969964 40 Federally Qualified Health Centers CLARITY HEALTHCARE 623013919 10 Adams 0 0 0 0 16 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 3154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3154 0 0 1003897586 1629469002 48 Rural Health Clinics RANDOLPH HOSPITAL DISTRICT 622331153 87 Randolph 0 1 0 0 329 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1238 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1238 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22288 0 0 1003897699 94 Waiver service provider--Children's support (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 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 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 113 0 0 1003898163 1215302781 16 Nurse Practitioners YAKEL EMILY 999999999 65 Madison 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 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 0 287 0 0 0 0 0 0 287 0 0 1003898541 1124386057 10 Physicians SETHI MEHAK 999999999 200 Cook 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 0 171 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 1417 0 0 0 0 0 0 1417 0 0 1003898668 1518333848 16 Nurse Practitioners NARON KATHRYN 999999999 63 Macon 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 4609 0 0 0 0 0 0 4693 0 0 1003898764 90 Waiver service provider--Elderly (DOA) 200 Cook 0 0 0 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 1703 0 0 0 0 0 0 0 0 0 0 0 0 0 1703 0 0 1003899018 1912375635 16 Nurse Practitioners CONAVAY LAURIE 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 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 2274 0 0 0 0 0 0 2274 0 0 1003899451 1639436777 10 Physicians FAROOQ ASIM V 999999999 30 DuPage 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 15 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 146 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 146 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124 0 22121 0 0 0 0 0 0 22245 0 0 1003899780 1154647055 10 Physicians LUNT MICHAEL D 616370001 80 Peoria 0 0 0 0 0 0 6 0 0 0 0 0 0 786 0 236 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 4897 0 261 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 4897 0 261 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 27741 0 26290 0 0 0 0 0 0 54064 0 0 1003900078 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 24850 0 0 0 0 0 0 0 0 0 0 0 0 0 24850 0 0 1003900261 60 Pharmacies 200 Cook 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 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1511 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 940 0 0 0 940 0 0 1003901021 1740653559 16 Nurse Practitioners SIGL GORDON J 999999999 200 Cook 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 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2328 0 0 0 0 0 0 2328 0 0 1003901248 1588985147 10 Physicians DRIVER SANGEETA PATEL 999999999 200 Cook 0 0 Physical Medicine/Rehabilitation 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 0 132 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 3023 0 0 0 0 0 0 3023 0 0 1003901344 1285922393 10 Physicians CHHABRA NEERAJ 999999999 200 Cook 0 0 Emergency Medicine 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 0 124 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 5997 0 0 0 0 0 0 5997 0 0 1003901650 1760636146 10 Physicians OZCAN CEVHER 605276686 30 DuPage 0 0 Cardiovascular Diseases 0 0 0 0 0 0 0 0 0 0 0 0 0 834 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1286 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1286 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6499 0 0 0 0 0 0 6499 0 0 1003902082 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 27259 0 0 0 0 0 0 0 0 0 0 0 0 0 27259 0 0 1003902100 1235503517 60 Pharmacies CVS PHARMACY 10470 600504362 71 McHenry 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 1250 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44716 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 59866 0 0 0 59866 0 0 1003902103 1700276300 16 Nurse Practitioners NGUYEN TRACY T 627083428 91 Sangamon 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 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 0 709 0 0 0 0 0 0 709 0 0 1003902508 1285025106 24 Speech Therapists TROTSKY ASHLEY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 239 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 17706 17706 0 0 1003902604 10 Physicians 10 Adams 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003902624 1770976102 60 Pharmacies MARIANOS PHARMACY 8531 600767200 200 Cook 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 0 295 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16092 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31305 0 0 0 31305 0 0 1003902625 1285028308 16 Nurse Practitioners RENDER MELISSA 631666971 33 Effingham 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 2595 0 0 0 0 0 0 2595 0 0 1003902632 1265613087 89 Physician Assistant Only(Encounter Only) UDDIN FARHANA F 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 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 18 0 0 0 0 0 0 18 0 0 1003902756 1699143396 16 Nurse Practitioners FISHER EVA BETH 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 206 0 0 1003902773 1881950616 10 Physicians THOMPSON KATIE 999999999 200 Cook 0 0 Emergency 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 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 1635 0 0 0 0 0 0 1635 0 0 1003902787 1326056029 89 Physician Assistant Only(Encounter Only) POWERS KATHLEEN E 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 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 0 124 0 0 0 0 0 0 124 0 0 1003903031 1427318666 10 Physicians VANDERJACK STACI LYNN 999999999 200 Cook 0 1 Family Practice 0 0 0 0 7 0 0 0 0 0 0 5 0 57 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 6 0 82 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 6 0 82 0 0 0 0 0 0 0 0 0 539 0 0 0 0 0 0 12 0 1366 0 0 0 0 0 0 1917 0 0 1003903202 1861620403 10 Physicians DANDEKAR VIRAG 999999999 107 Will 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 0 478 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 478 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3661 0 0 0 0 0 0 3661 0 0 1003903236 1770552051 89 Physician Assistant Only(Encounter Only) HAGEDORN CATHERINE 999999999 89 Rock Island 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 57 0 0 0 0 0 0 57 0 0 1003903283 87 Psychologist(Encounter Only) 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003903384 1386866333 10 Physicians MILLER CHAD 631952334 47 Jackson 0 0 Internal 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 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 0 679 0 0 0 0 0 0 679 0 0 1003903670 1902928286 89 Physician Assistant Only(Encounter Only) FREEMAN BETHANN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 339 0 0 1133 0 0 0 0 0 0 1472 0 0 1003903681 91 Waiver service provider--Adults (DHS/DDD) 94 Shelby 0 0 0 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 8398 0 0 0 0 0 0 0 0 0 0 0 0 0 8398 0 0 1003903705 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 1003903855 1801921515 11 Dentists ALSTROM HOWARD 601873977 30 DuPage 0 0 General Dentistry 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2957 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2957 0 0 1003903932 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003904152 1750761458 12 Optometrists RICHARDSON EMILY 999999999 60 Lee 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 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 0 590 0 0 0 0 0 0 590 0 0 1003904198 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21521 0 0 0 0 0 0 0 0 0 0 0 0 0 21521 0 0 1003904266 89 Physician Assistant Only(Encounter Only) 64 Macoupin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 21 0 0 1003904772 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 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9428 0 0 0 0 0 0 0 0 0 0 0 0 0 9428 0 0 1003904902 10 Physicians 63 Macon 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 0 0 0 0 0 253 0 0 1003904952 1790767846 10 Physicians PERLMAN MERYL 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 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 5816 0 0 0 0 0 0 5816 0 0 1003905350 1376950816 89 Physician Assistant Only(Encounter Only) ELLIS EMILY J 999999999 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4049 0 0 0 0 0 0 4049 0 0 1003905503 1801117585 10 Physicians WALLACE ADAM 631600352 200 Cook 0 0 Radiology Diagnosis 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 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 1796 0 0 0 0 0 0 0 0 1796 0 0 1003905948 1215272406 61 Independent Laboratories GENOTOX LABORATORIES LTD 999999999 845 Texas 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 595 0 0 0 0 0 0 0 0 595 0 0 1003905997 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 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 0 145 145 0 0 1003906027 1528424751 16 Nurse Practitioners JANOSTAK ELIZABETH 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 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 1878 0 0 0 0 0 0 1878 0 0 1003906040 1639576689 89 Physician Assistant Only(Encounter Only) STEELE Y. JESSICA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1405 0 0 0 0 0 0 1405 0 0 1003907482 1518301399 10 Physicians BENAVENTE CHRISTOPHER 999999999 200 Cook 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 0 133 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 7167 0 0 0 0 0 0 7167 0 0 1003907532 1578587796 89 Physician Assistant Only(Encounter Only) AUTRY DAVID C 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 0 386 0 0 0 0 0 0 386 0 0 1003907535 1306248646 16 Nurse Practitioners KEMP-MAJOR ANITRA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 103 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 2071 0 0 0 0 0 0 2071 0 0 1003907767 1912233602 16 Nurse Practitioners KLEMM LINDA 999999999 63 Macon 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 1654 0 0 0 0 0 0 1654 0 0 1003908026 1710382288 16 Nurse Practitioners CREMIEUX JESSICA T 606118709 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 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 2004 0 0 0 0 0 0 2004 0 0 1003908051 1386705085 89 Physician Assistant Only(Encounter Only) THIEL STEVE W 601228942 53 Kane 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 1050 0 0 0 0 0 0 1175 0 0 1003908768 1578791729 10 Physicians UNGER RYAN M 601342578 53 Kane 0 0 Physical Medicine/Rehabilitation 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 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 0 171 0 0 0 0 0 0 171 0 0 1003909021 1821145715 10 Physicians BUCKLES TAMARA L 629023988 47 Jackson 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 932 0 0 0 0 0 0 932 0 0 1003909025 1508239963 16 Nurse Practitioners TALUA TRISTAN A 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 956 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 956 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13629 0 0 0 0 0 0 13629 0 0 1003909165 1780049171 16 Nurse Practitioners SCROGIN STACEY 999999999 826 Missouri 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 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 0 287 0 0 0 0 0 0 287 0 0 1003909232 1265827729 16 Nurse Practitioners LUCCA JESSICA E 627083428 91 Sangamon 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 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 0 321 0 0 0 0 0 0 321 0 0 1003909628 1568861094 16 Nurse Practitioners ALEXANDER LAUREL 606740018 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 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 1402 0 0 0 0 0 0 1402 0 0 1003909819 1194993329 10 Physicians NORD GINA R 999999999 30 DuPage 0 0 Anesthesiology 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 11 0 0 0 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 0 0 811 0 0 0 0 0 0 811 0 0 1003910095 16 Nurse Practitioners 47 Jackson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 196 0 0 0 0 0 0 196 0 0 1003910158 55 Early Intervention Services 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 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 0 276 0 0 0 0 0 0 276 0 0 1003910168 4003910168 72 Taxicabs and Livery Companies NEED A RIDE MED TRANSPORTATION 622213186 96 St Clair 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 1613 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1613 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28057 0 0 0 0 0 0 28057 0 0 1003910629 1609157429 89 Physician Assistant Only(Encounter Only) SOBACKI JENNIFER A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 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 81 0 0 0 0 0 0 81 0 0 1003910894 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003910965 1033214416 30 General Hospitals COMMUNITY FIRST MEDICAL CENTER 999999999 200 Cook DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 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 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 0 492 0 0 0 0 0 492 0 0 1003911175 1427498732 10 Physicians PATEL NIKETA AJAY 606751620 200 Cook 0 0 General Practice 0 0 0 0 1 0 0 0 0 0 0 2 0 40 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 2 0 83 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 2 0 83 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 7 0 2185 0 0 0 0 0 0 2208 0 0 1003911258 1437445947 10 Physicians NIGAM GAURAV 999999999 22 Clay 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 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 14 0 0 0 0 0 0 14 0 0 1003911955 1851779920 10 Physicians AL HAMATI MOHAMMED ISMAIL 999999999 200 Cook 0 0 Internal Medicine 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 0 147 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 1528 0 0 0 0 0 0 1528 0 0 1003912034 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 0 105 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 6713 0 0 0 0 0 0 0 0 0 0 0 0 0 6713 0 0 1003912053 94 Waiver service provider--Children's support (DHS/DDD) 51 Jo Daviess 0 0 0 0 0 0 0 0 1 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 0 0 0 0 0 0 0 0 0 0 170 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19083 0 0 0 0 0 0 0 0 0 0 0 0 0 19083 0 0 1003912475 1235462805 16 Nurse Practitioners FABER MELISSA 601262816 30 DuPage 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 339 0 0 0 0 0 0 424 0 0 1003912618 1851646764 10 Physicians MEIER GARNET 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 96 0 0 1003912709 1477954600 16 Nurse Practitioners MUI JESSICA 606930623 200 Cook 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 760 0 0 0 0 0 0 760 0 0 1003912848 1295114668 10 Physicians NEUMAN ALEXANDER 999999999 200 Cook 0 0 Family Practice 0 0 0 0 3 0 0 0 0 0 0 2 0 61 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 2 0 162 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 2 0 162 0 0 0 0 0 0 0 0 0 332 0 0 0 0 0 0 7 0 4617 0 0 0 0 0 0 4956 0 0 1003912933 4003912933 91 Waiver service provider--Adults (DHS/DDD) A+ AUTISM SOLUTIONS 606074110 200 Cook 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1602 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1602 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 477299 0 0 0 0 0 0 0 0 0 0 0 0 0 477299 0 0 1003912938 1639307283 10 Physicians MENA LORA ALFREDO 606233501 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7660 0 0 0 0 0 0 7660 0 0 1003912948 1235508045 16 Nurse Practitioners HELLER NICOLE B 606751611 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 729 0 0 0 0 0 0 729 0 0 1003913060 1821220856 10 Physicians SOOD AJAY 999999999 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 528 0 0 0 0 0 0 528 0 0 1003913361 1639560410 16 Nurse Practitioners LOMAX LYNDELL L 623012834 10 Adams 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 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 0 581 0 0 0 0 0 0 581 0 0 1003914309 91 Waiver service provider--Adults (DHS/DDD) 81 Perry 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 470 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 470 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51331 0 0 0 0 0 0 0 0 0 0 0 0 0 51331 0 0 1003914317 1376863936 10 Physicians GEORGE PREETA 191787642 25 Crawford 0 0 Anesthesiology 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 0 672 0 0 0 0 0 0 672 0 0 1003914397 1033377106 10 Physicians JEFFRIES JESSICA L 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 4 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 1849 0 0 0 0 0 0 1859 0 0 1003914545 1184037848 10 Physicians ADENWALA RASHIDA M 999999999 200 Cook 0 0 Family Practice 0 0 0 0 3 0 0 0 0 0 0 3 0 14 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 4 0 19 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 4 0 19 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 107 0 347 0 0 0 0 0 0 550 0 0 1003914695 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 47 0 0 0 0 0 0 47 0 0 1003914736 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 0 310 0 0 0 0 0 0 0 0 0 0 0 0 0 310 0 0 1003914772 1780930248 10 Physicians ANTONIOLLI MICHAEL 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120 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 5234 0 0 0 0 0 0 5234 0 0 1003914777 1316343098 16 Nurse Practitioners BLOECHL JAMIE E 606751611 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 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 0 174 0 0 0 0 0 0 174 0 0 1003914804 1578906624 10 Physicians FIELD JOHN P. 999999999 53 Kane 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 0 293 0 0 0 0 0 0 293 0 0 1003914945 1114397353 89 Physician Assistant Only(Encounter Only) SMITH JESSICA LEIGH 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 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 0 192 0 0 0 0 0 0 192 0 0 1003915066 1104040922 10 Physicians MAHATME ARVIND 999999999 53 Kane 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 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 0 726 0 0 0 0 0 0 726 0 0 1003915201 1003104266 10 Physicians HAMVAS CORRINE 999999999 57 Lake 0 1 Pediatrics 0 0 0 0 9 0 0 0 0 0 0 1 0 16 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 2 0 20 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 2 0 20 0 0 0 0 0 0 0 0 0 787 0 0 0 0 0 0 79 0 1061 0 0 0 0 0 0 1927 0 0 1003915282 1770765950 89 Physician Assistant Only(Encounter Only) MASSARO EMILY M 999999999 91 Sangamon 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 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 1167 0 0 0 0 0 0 1167 0 0 1003915380 1720303381 10 Physicians BUCHCIC BARTOSZ A 601228942 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3235 0 0 0 0 0 0 3235 0 0 1003915648 1942386529 86 Clinical Social Worker(Encounter Only) SWEET MICHELLE 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 709 0 0 0 0 0 0 709 0 0 1003916191 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 10756 0 0 0 0 0 0 0 0 0 0 0 0 0 10756 0 0 1003916310 1417209933 10 Physicians RAVINDRAN SRIKANTH 606111813 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1742 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 0 0 0 0 0 0 0 0 0 0 0 0 10090 0 0 0 0 0 0 10090 0 0 1003916343 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 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 1003916451 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 0 226 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 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1003916745 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 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 64 64 0 0 1003916765 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 0 231 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 0 0 0 0 0 0 0 0 0 0 0 0 19039 0 0 0 0 0 0 0 0 0 0 0 0 0 19039 0 0 1003916845 1376922302 11 Dentists CHOI JACOB 604112323 200 Cook 0 0 General Dentistry 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 302 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 302 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 10695 0 0 0 0 0 0 0 0 0 0 0 444 0 0 0 0 11139 0 0 1003917070 1609108018 88 Other behavior health professional ENGELMANN JILL 999999999 12 Bond 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 0 283 0 0 0 0 0 0 283 0 0 1003917166 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 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 6307 0 0 0 0 0 0 0 0 0 0 0 0 0 6307 0 0 1003917175 1205230844 48 Rural Health Clinics CARLE AT TUSCOLA 619532014 29 Douglas 0 1 0 0 265 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 854 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 854 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21551 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21551 0 0 1003917291 1801252531 36 Community mental health provider CENTERSTONE OF ILLINOIS 999999999 65 Madison 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 527 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 527 0 0 252 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 172387 0 0 172639 0 0 1003917439 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 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10422 0 0 0 0 0 0 0 0 0 0 0 0 0 10422 0 0 1003917583 1295942670 10 Physicians VORA AVNI 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1371 0 0 0 0 0 0 1371 0 0 1003917667 1326330267 10 Physicians KARSEN ETHAN F. 999999999 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 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 2163 0 0 0 0 0 0 2163 0 0 1003917822 1437561040 89 Physician Assistant Only(Encounter Only) PATEL AMISHA 999999999 200 Cook 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 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 1149 0 0 0 0 0 0 1149 0 0 1003918033 1295118420 11 Dentists NAHHAS NOOR 999999999 200 Cook 0 0 General Dentistry 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 845 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 845 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19164 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19164 0 0 1003918090 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 41 0 0 0 0 0 0 41 0 0 1003918877 1982076444 28 Waiver service provider--Supportive living facility (HFS) COLES SLF 606493963 200 Cook 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 0 145 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4084 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 488609 0 0 0 0 0 0 0 0 0 0 0 0 0 488609 0 0 1003918926 1962668590 89 Physician Assistant Only(Encounter Only) IRBY LAURA 999999999 53 Kane 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 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 0 839 0 0 0 0 0 0 839 0 0 1003919275 1619137346 10 Physicians GUPTA ARIKA 606116649 200 Cook 0 0 Pediatrics 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 0 108 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 20622 0 0 0 0 0 0 20622 0 0 1003919306 1093820045 89 Physician Assistant Only(Encounter Only) KARG MICHAEL 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1623 0 0 0 0 0 0 1623 0 0 1003919383 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 0 185 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 12149 0 0 0 0 0 0 0 0 0 0 0 0 0 12149 0 0 1003919422 1396127890 10 Physicians PILYUYKO POLINA 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 1 0 0 0 0 0 0 3 0 82 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 4 0 184 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 4 0 184 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 12 0 3948 0 0 0 0 0 0 3981 0 0 1003919640 10 Physicians 109 Winnebago 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 487 0 0 0 0 0 0 0 0 487 0 0 1003920392 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 21145 0 0 0 0 0 0 0 0 0 0 0 0 0 21145 0 0 1003920441 16 Nurse Practitioners 826 Missouri 0 0 0 0 0 0 0 0 0 0 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 9 0 0 0 0 0 0 9 0 0 1003920529 1659303063 87 Psychologist(Encounter Only) JEDD DEBRA 999999999 19 Champaign 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 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 2478 0 0 0 0 0 0 2478 0 0 1003921322 1306174008 10 Physicians POTTS MATTHEW B 999999999 200 Cook 0 0 Neurology Surgery 0 0 0 0 0 0 0 0 0 0 0 3 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 10564 0 0 0 0 0 0 10597 0 0 1003921401 1386055531 16 Nurse Practitioners RUEDLINGER HOLLY B 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 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 59 0 0 0 0 0 0 59 0 0 1003921553 1801175823 10 Physicians SWARY JILLIAN 999999999 200 Cook 0 0 Dermatology 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 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 0 517 0 0 0 0 0 0 517 0 0 1003921631 1972615920 89 Physician Assistant Only(Encounter Only) BOWEN JEREMY S 630442551 33 Effingham 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 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 0 762 0 0 0 0 0 0 762 0 0 1003921649 10 Physicians 63 Macon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 5 0 0 1003922037 10 Physicians 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 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 16 0 0 0 0 0 0 16 0 0 1003922073 10 Physicians 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 79 0 0 1003922426 1437299724 10 Physicians BOBO ANDRE 629011474 47 Jackson 0 0 Obstetric-Gynecology 0 0 0 0 4 0 0 0 0 0 0 69 0 142 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 87 0 322 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 87 0 322 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 4191 0 21393 0 0 0 0 0 0 25646 0 0 1003922566 1508849480 89 Physician Assistant Only(Encounter Only) CAMPBELL GREGORY L 999999999 109 Winnebago 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 331 0 0 0 0 0 0 0 0 3985 0 0 0 0 0 0 4316 0 0 1003922679 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17676 0 0 0 0 0 0 0 0 0 0 0 0 0 17676 0 0 1003923248 1942616594 16 Nurse Practitioners MAKINA MARGARET J 604631256 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 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 0 636 0 0 0 0 0 0 636 0 0 1003923753 1629268537 10 Physicians KOWALSKI ADAM 999999999 98 Tazewell 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 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 0 412 0 0 0 0 0 0 0 0 412 0 0 1003924082 1992068423 10 Physicians BHANDARI NIYATI P. 606118709 200 Cook 0 0 Internal 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 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 0 163 0 0 0 0 0 0 163 0 0 1003924115 1558503318 10 Physicians BERNOT SINDY 999999999 100 Vermilion 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 827 0 1680 0 0 0 0 0 0 2507 0 0 1003924121 16 Nurse Practitioners 101 Wabash 0 0 0 0 0 0 0 0 0 0 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 12 0 0 0 0 0 0 12 0 0 1003924249 89 Physician Assistant Only(Encounter Only) 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 24 0 0 1003924296 10 Physicians 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 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 1003924374 1477690873 30 General Hospitals ST BERNARD HOSPITAL 606213114 200 Cook DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 0 0 2 0 0 0 0 0 0 0 159 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 208 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 1055 0 0 0 0 0 0 0 0 0 0 29064 0 0 0 0 0 0 0 436317 0 0 0 0 0 0 0 0 0 465381 0 0 1003924380 1689057481 11 Dentists THEOBALD TIMOTHY 600642801 57 Lake 0 0 General Dentistry 0 0 0 54 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 10768 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10768 0 0 1003924487 1376953042 12 Optometrists ISGRIG JONATHAN R 999999999 80 Peoria 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 0 103 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 1672 0 0 0 0 0 0 1672 0 0 1003924605 1740351543 10 Physicians RUNYAN STEPHANIE D 999999999 200 Cook 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 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 45 0 0 0 0 0 0 0 0 45 0 0 1003924682 1891123519 89 Physician Assistant Only(Encounter Only) WHETSTONE JARED 999999999 91 Sangamon 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 0 105 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 2610 0 0 0 0 0 0 2610 0 0 1003924754 1245338896 89 Physician Assistant Only(Encounter Only) WILLIAMSON JOHN JEFFREY 617477525 98 Tazewell 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 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 1255 0 0 0 0 0 0 1255 0 0 1003924823 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 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 0 706 0 0 0 0 0 0 0 0 0 0 0 0 0 706 0 0 1003925469 10 Physicians 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 13 0 0 0 0 0 0 0 0 13 0 0 1003925803 1447649793 16 Nurse Practitioners DMOCHOWSKI JOLANTA 606313222 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 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 0 752 0 0 0 0 0 0 752 0 0 1003925990 1003234329 10 Physicians OLSON DANIEL J 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 199 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 3103 0 0 0 0 0 0 3103 0 0 1003926552 1669706057 89 Physician Assistant Only(Encounter Only) ALWERDT JESSICA 999999999 30 DuPage 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 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1225 0 0 0 0 0 0 1225 0 0 1003926579 1396757050 89 Physician Assistant Only(Encounter Only) KANUMURY RATNA 606123714 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 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 0 180 0 0 0 0 0 0 180 0 0 1003926669 10 Physicians 89 Rock Island 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 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 1003926741 1386908002 10 Physicians SYED NOSHEEN 999999999 200 Cook 0 0 Family Practice 0 0 0 0 3 0 0 0 0 0 0 3 0 15 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 11 0 28 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 11 0 28 0 0 0 0 0 0 0 0 0 302 0 0 0 0 0 0 157 0 1124 0 0 0 0 0 0 1583 0 0 1003926843 1700925930 52 Certified local public health department KANKAKEE COUNTY HEALTH DEPT 999999999 54 Kankakee 0 0 0 0 170 0 156 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 223 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 223 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3381 0 4699 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8080 0 0 1003926848 92 Waiver service provider--Disability (DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15391 0 0 0 0 0 0 0 0 0 0 0 0 0 15391 0 0 1003926865 24 Speech Therapists 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 336 336 0 0 1003926884 1881057313 16 Nurse Practitioners FILL HEATHER 999999999 55 Kendall 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 0 152 0 0 0 0 0 0 152 0 0 1003927008 1720474687 16 Nurse Practitioners RIVERA CASSANDRA 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 0 419 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 419 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2919 0 0 0 0 0 0 2919 0 0 1003927149 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 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 1308 0 0 0 0 0 0 0 0 0 0 0 0 0 1308 0 0 1003927378 1780948786 10 Physicians ANDERSON BRYAN 616370001 80 Peoria 0 0 Internal Medicine 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 0 274 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 4314 0 0 0 0 0 0 4314 0 0 1003927879 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 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 2669 0 0 0 0 0 0 0 0 0 0 0 0 0 2669 0 0 1003927915 1346479102 10 Physicians STROMBERG LEROY 605407430 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 388 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 536 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 536 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6754 0 611 0 0 0 0 0 0 7365 0 0 1003928139 1639561152 11 Dentists CHAMMAE WAJIH 601734166 80 Peoria 0 0 General Dentistry 0 0 0 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 653 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 653 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21424 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21424 0 0 1003928176 1750605424 10 Physicians RAHMAN FERAZ N 631784054 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 382 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 631 0 167 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 631 0 167 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7792 0 5222 0 0 0 0 0 0 13014 0 0 1003928219 16 Nurse Practitioners 47 Jackson 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 97 0 0 0 0 0 0 97 0 0 1003928451 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 0 345 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 345 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13332 0 0 0 0 0 0 0 0 0 0 0 0 0 13332 0 0 1003928850 1003124280 10 Physicians MARTINEZMATEO MELISSA A 999999999 200 Cook 0 0 Internal Medicine 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 0 238 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 8001 0 0 0 0 0 0 8001 0 0 1003928892 1922469568 16 Nurse Practitioners JOHN JOLU 999999999 200 Cook 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 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3987 0 0 0 0 0 0 3987 0 0 1003929343 1093172132 16 Nurse Practitioners LEEBERG KENNETH C 999999999 91 Sangamon 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 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 0 494 0 0 0 0 0 0 494 0 0 1003929445 1780977975 16 Nurse Practitioners RODRIGUEZ ROWENA G 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 1003929447 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 14649 0 0 0 0 0 0 0 0 0 0 0 0 0 14649 0 0 1003929483 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 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12571 0 0 0 0 0 0 0 0 0 0 0 0 0 12571 0 0 1003929616 1851754071 23 Occupational Therapists BERTUCCI ANGELA 999999999 91 Sangamon 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 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15051 15051 0 0 1003929632 1942675673 16 Nurse Practitioners ESLINGER SHEENA D 999999999 96 St Clair 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 48 0 0 1003929985 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26862 0 0 0 0 0 0 0 0 0 0 0 0 0 26862 0 0 1003930024 1366867442 11 Dentists ALIAJ ERID 601152046 27 Dekalb 0 0 General Dentistry 0 0 0 184 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 748 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 748 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 25039 0 0 0 0 0 0 0 0 0 0 0 1776 0 0 0 0 26815 0 0 1003930051 1720289754 89 Physician Assistant Only(Encounter Only) PIMENTEL ISAAC OCTAVIO 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 305 0 0 0 0 0 0 305 0 0 1003930116 1053303743 10 Physicians YU MIN 610320857 97 Stephenson 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 0 157 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 1543 0 0 0 0 0 0 0 0 1543 0 0 1003930218 1902265754 16 Nurse Practitioners RIVA BRENT D 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 452 0 0 0 0 0 0 452 0 0 1003930286 16 Nurse Practitioners 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 89 0 0 1003930524 22 Physical Therapists 107 Will 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 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 0 343 343 0 0 1003931047 1992102404 16 Nurse Practitioners TRAN LORENA M 606733039 200 Cook 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 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 1682 0 0 0 0 0 0 1682 0 0 1003931350 1477576114 87 Psychologist(Encounter Only) KRIPPNER KEVIN M 999999999 19 Champaign 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 352 0 0 0 0 0 0 352 0 0 1003931357 10 Physicians 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 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 0 205 0 0 0 0 0 0 205 0 0 1003931383 1598911505 10 Physicians VERCILLO MICHAEL S 999999999 53 Kane 0 0 Thoracic Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2808 0 0 0 0 0 0 2808 0 0 1003931416 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34796 0 0 0 0 0 0 0 0 0 0 0 0 0 34796 0 0 1003931705 1467616193 10 Physicians JAHROMI BABAK S 999999999 53 Kane 0 0 Neurology Surgery 0 0 0 0 0 0 0 0 0 0 0 2 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 8505 0 0 0 0 0 0 8526 0 0 1003931738 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37629 0 0 0 0 0 0 0 0 0 0 0 0 0 37629 0 0 1003931792 1891168878 33 Nursing Facilities APERION CARE TOLUCA 613699596 67 Marshall 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 0 144 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3400 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 375527 0 0 0 0 0 0 0 375527 0 0 1003931865 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 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1003931921 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 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 5050 0 0 0 0 0 0 0 0 0 0 0 0 0 5050 0 0 1003932997 1851799738 89 Physician Assistant Only(Encounter Only) PAULSEN NEIL ALAN 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 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 0 310 0 0 0 0 0 0 310 0 0 1003933186 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 0 240 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 28460 0 0 0 0 0 0 0 0 0 0 0 0 0 28460 0 0 1003933375 1922261817 10 Physicians SENTHE NILESHWA 614509461 42 Hancock 0 1 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 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 1670 0 0 0 0 0 0 1670 0 0 1003933843 1306910187 89 Physician Assistant Only(Encounter Only) MCNATT DENISE 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 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 0 225 0 0 0 0 0 0 225 0 0 1003933876 10 Physicians 31 Edgar 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 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 130 0 0 1003933884 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 0 185 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 15657 0 0 0 0 0 0 0 0 0 0 0 0 0 15657 0 0 1003933896 1487096855 89 Physician Assistant Only(Encounter Only) PAJAK NATALIA 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 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 0 815 0 0 0 0 0 0 815 0 0 1003933934 1003911918 89 Physician Assistant Only(Encounter Only) GURLEY PAUL 999999999 30 DuPage 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 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 0 440 0 0 0 0 0 0 440 0 0 1003934127 91 Waiver service provider--Adults (DHS/DDD) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 145 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 30248 0 0 0 0 0 0 0 0 0 0 0 0 0 30248 0 0 1003934172 10 Physicians 200 Cook 0 0 Allergy-Immunization 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 5 0 0 0 0 0 0 5 0 0 1003934498 1114316288 30 General Hospitals CRYSTAL SPRINGS DIALYSIS 999999999 71 McHenry 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 72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 757 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46145 0 0 0 0 0 46145 0 0 1003934611 91 Waiver service provider--Adults (DHS/DDD) 836 Ohio 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 140 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 17558 0 0 0 0 0 0 0 0 0 0 0 0 0 17558 0 0 1003934648 1104294834 16 Nurse Practitioners MCLAUGHLIN ELIZABETH 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 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 3781 0 0 0 0 0 0 3781 0 0 1003934782 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 27017 0 0 0 0 0 0 0 0 0 0 0 0 0 27017 0 0 1003935294 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 12951 0 0 0 0 0 0 0 0 0 0 0 0 0 12951 0 0 1003935724 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 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 2 0 0 1003935878 1790048619 12 Optometrists WILLIAMS BROOKE 999999999 108 Williamson 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 419 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1065 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1065 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18107 0 0 0 0 0 0 18107 0 0 1003936057 1083070585 91 Waiver service provider--Adults (DHS/DDD) JOHNSON DOMINIQUE 605174649 30 DuPage 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 1517 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1517 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 181247 0 0 0 0 0 0 0 0 0 0 0 0 0 181247 0 0 1003936112 1275618639 89 Physician Assistant Only(Encounter Only) KOVASH CHAD M 999999999 80 Peoria 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 0 157 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 4283 0 0 0 0 0 0 4283 0 0 1003936215 1528460383 11 Dentists HAFEEZ SABEEN 601602039 200 Cook 0 0 General Dentistry 0 0 0 132 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 808 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 808 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25535 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25535 0 0 1003936402 1134296916 10 Physicians AHMAD TABASSUM 999999999 19 Champaign 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 10 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 354 0 0 0 0 0 0 454 0 0 1003936738 1841618998 16 Nurse Practitioners HYLAND DINARA 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 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 0 866 0 0 0 0 0 0 866 0 0 1003937439 1083900195 89 Physician Assistant Only(Encounter Only) POLINOVSKY PAVEL 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003937503 1053783522 91 Waiver service provider--Adults (DHS/DDD) "AT HOME MISSION, NFP" 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 4828 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4828 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1053747 0 0 0 0 0 0 0 0 0 0 0 0 0 1053747 0 0 1003937544 1811246697 89 Physician Assistant Only(Encounter Only) HEGENER KATHRYN J. 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 227 0 0 0 0 0 0 227 0 0 1003937680 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 0 334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29062 0 0 0 0 0 0 0 0 0 0 0 0 0 29062 0 0 1003937740 91 Waiver service provider--Adults (DHS/DDD) 104 Wayne 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 730 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 730 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55831 0 0 0 0 0 0 0 0 0 0 0 0 0 55831 0 0 1003937924 1396852638 10 Physicians MCCAFFREY THOMAS J 999999999 200 Cook 0 0 Obstetric-Gynecology 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 2 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 7934 0 0 0 0 0 0 7992 0 0 1003938003 1497098313 86 Clinical Social Worker(Encounter Only) UMANA JENIE N 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 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 0 387 0 0 0 0 0 0 387 0 0 1003938541 1649656430 91 Waiver service provider--Adults (DHS/DDD) SAZE COMMUNITY SERVICES INC 999999999 57 Lake 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 4839 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4839 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1062447 0 0 0 0 0 0 0 0 0 0 0 0 0 1062447 0 0 1003938558 1124381769 10 Physicians RAVENNA PAUL A 606118709 200 Cook 0 0 Family Practice 0 0 0 0 9 0 0 0 0 0 0 7 0 112 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 8 0 190 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 8 0 190 0 0 0 0 0 0 0 0 0 782 0 0 0 0 0 0 36 0 7864 0 0 0 0 0 0 8682 0 0 1003938606 1013268812 89 Physician Assistant Only(Encounter Only) LEESON SANDRA J. 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 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 15 0 0 0 0 0 0 15 0 0 1003938613 1982030649 16 Nurse Practitioners LEVIN RODION 658071645 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 977 0 0 0 0 0 0 977 0 0 1003938621 1588893473 10 Physicians SHARMA ARJUN 999999999 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 447 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 727 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 727 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11962 0 321 0 0 0 0 0 0 12283 0 0 1003938647 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 17664 0 0 0 0 0 0 0 0 0 0 0 0 0 17664 0 0 1003938776 1801102058 10 Physicians GARCIA MARLON 999999999 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 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 0 338 0 0 0 0 0 0 338 0 0 1003938805 1376849109 10 Physicians HALL EMILY 999999999 200 Cook 0 0 0 0 0 0 8 0 0 0 0 0 0 2 0 75 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 2 0 119 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 2 0 119 0 0 0 0 0 0 0 0 0 1087 0 0 0 0 0 0 9 0 7090 0 0 0 0 0 0 8186 0 0 1003938811 1699940932 10 Physicians RINGWALA SUKIT M 999999999 40 Grundy 0 0 Internal Medicine 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 0 250 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 5444 0 0 0 0 0 0 5444 0 0 1003938881 1619018991 89 Physician Assistant Only(Encounter Only) STILLWELL ERIN 999999999 53 Kane 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 0 177 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 2446 0 0 0 0 0 0 2446 0 0 1003939022 1316311269 89 Physician Assistant Only(Encounter Only) HOHL MELISSA 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 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 45 0 0 0 0 0 0 45 0 0 1003939036 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 111 0 0 0 0 0 0 111 0 0 1003939259 1245620855 16 Nurse Practitioners NICHOLAS OLGA 600392233 71 McHenry 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 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 1421 0 0 0 0 0 0 1421 0 0 1003939453 1710345335 16 Nurse Practitioners ARMES TRISTA K 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 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 0 272 0 0 0 0 0 0 272 0 0 1003939812 1023243334 10 Physicians OKON STANLEY 999999999 200 Cook 0 0 Psychiatry 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 0 214 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 4530 0 0 0 0 0 0 4530 0 0 1003939906 1720309826 10 Physicians WALLIS BENJAMIN SCOTT 605638113 30 DuPage 0 0 Anesthesiology 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 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 1944 0 0 0 0 0 0 1944 0 0 1003939994 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 32 0 0 0 0 0 0 32 0 0 1003940026 1003960394 34 State-operated facility (DHS) WARREN G MURRAY DEV CENTER 628015805 23 Clinton 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 1813 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54307671 0 0 0 0 0 0 0 0 0 0 54307671 0 0 1003940101 1912395047 16 Nurse Practitioners MCGUIRE PATRICK 616151941 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 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 0 396 0 0 0 0 0 0 396 0 0 1003940104 1245268127 10 Physicians BOND WILLIAM F. 999999999 80 Peoria 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1123 0 0 0 0 0 0 1123 0 0 1003940134 1609950807 89 Physician Assistant Only(Encounter Only) PAJEAU NICHELLE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 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 0 854 0 0 0 0 0 0 854 0 0 1003940518 1194024620 10 Physicians GO KEVIN 600475292 57 Lake 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 27 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 1147 0 0 0 0 0 0 1147 0 0 1003940687 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 25 0 0 0 0 0 0 25 0 0 1003940709 1386909125 10 Physicians ANDREW EMILY K. 999999999 200 Cook 0 0 Internal 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 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 0 259 0 0 0 0 0 0 259 0 0 1003940775 1013089697 16 Nurse Practitioners HOLLEY LINDA 999999999 107 Will 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 0 147 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 1570 0 0 0 0 0 0 1570 0 0 1003940787 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 0 200 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 13271 0 0 0 0 0 0 0 0 0 0 0 0 0 13271 0 0 1003941012 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 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 1676 0 0 0 0 0 0 0 0 0 0 0 0 0 1676 0 0 1003941523 1578950101 16 Nurse Practitioners CASWELL KAYLIE 627949639 91 Sangamon 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 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 2208 0 0 0 0 0 0 2208 0 0 1003941685 91 Waiver service provider--Adults (DHS/DDD) 73 Menard 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23258 0 0 0 0 0 0 0 0 0 0 0 0 0 23258 0 0 1003942157 1427206689 10 Physicians QUINTEROS FRANCISCO A 606133077 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 159 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 8258 0 0 0 0 0 0 8258 0 0 1003942311 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29151 0 0 0 0 0 0 0 0 0 0 0 0 0 29151 0 0 1003942338 1871843946 10 Physicians GAGLIARDI GIUSEPPE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 659 0 0 0 0 0 0 704 0 0 1003942767 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41400 0 0 0 0 0 0 0 0 0 0 0 0 0 41400 0 0 1003942977 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 88 0 0 0 0 0 0 88 0 0 1003943361 1922495050 16 Nurse Practitioners BISHOP MARGARET E 117474300 107 Will 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 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 1060 0 0 0 0 0 0 1060 0 0 1003943426 10 Physicians 834 North Carolina 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 28 0 0 1003943613 1700269974 11 Dentists BALOCH WASAN 999999999 200 Cook 0 0 General Dentistry 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 578 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 578 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18514 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18514 0 0 1003943625 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 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 37841 0 0 0 0 0 0 0 0 0 0 0 0 0 37841 0 0 1003943647 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 264 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 264 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30164 0 0 0 0 0 0 0 0 0 0 0 0 0 30164 0 0 1003943743 1154729523 87 Psychologist(Encounter Only) ROGERS DIANE 999999999 71 McHenry 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 0 156 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003943859 1891921029 10 Physicians BYRAM SUSANNA 601545716 200 Cook 0 0 Anesthesiology 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 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 0 350 0 0 0 0 0 0 350 0 0 1003944106 1417267832 16 Nurse Practitioners BLYTHE HEATHER 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 113 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 1838 0 0 0 0 0 0 1838 0 0 1003944803 87 Psychologist(Encounter Only) 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 877 0 0 0 0 0 0 877 0 0 1003945003 1588065353 16 Nurse Practitioners SCHIER ANDREA 611033619 109 Winnebago 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 0 175 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 1737 0 0 0 0 0 0 1737 0 0 1003945069 1063838357 46 Ambulatory Surgical Treatment Centers METROEAST ENDOSCOPIC SURGERY C 999999999 96 St Clair 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 0 166 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 9895 0 0 0 0 0 9895 0 0 1003945074 1528324795 10 Physicians HORVATH EMILY M. 616043221 80 Peoria 0 0 Internal Medicine 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 0 145 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 1944 0 0 0 0 0 0 1944 0 0 1003945146 1144680620 16 Nurse Practitioners JONES ROBSON EMILY A 999999999 63 Macon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 197 0 0 0 0 0 0 197 0 0 1003945390 1740545763 10 Physicians GADBOIS STEPHANIE 999999999 63 Macon 0 0 Family Practice 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 0 161 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 161 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 3828 0 0 0 0 0 0 3860 0 0 1003945427 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 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 7571 0 0 0 0 0 0 0 0 0 0 0 0 0 7571 0 0 1003945429 1871800482 87 Psychologist(Encounter Only) PRINCIPATO DANIELLE M 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 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 0 980 0 0 0 0 0 0 980 0 0 1003945597 1194118687 22 Physical Therapists ALTGILBERS KELLY J 999999999 10 Adams 0 0 0 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 0 113 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 1051 1051 0 0 1003945696 1821493768 16 Nurse Practitioners REANEY NOREEN B 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 231 0 0 0 0 0 0 231 0 0 1003945817 1699172197 16 Nurse Practitioners KAM KAREN T. 602011718 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 0 600 0 0 0 0 0 0 600 0 0 1003945857 1366884728 25 Audiologists SHARP LAURIN 606118709 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 206 206 0 0 1003946160 1598746521 89 Physician Assistant Only(Encounter Only) STEWART KARLA E 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 0 120 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 1356 0 0 0 0 0 0 1356 0 0 1003946213 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 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20779 0 0 0 0 0 0 0 0 0 0 0 0 0 20779 0 0 1003946469 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8427 0 0 0 0 0 0 0 0 0 0 0 0 0 8427 0 0 1003946577 1982959425 10 Physicians IYENGAR RAVI M. 999999999 200 Cook 0 0 Internal Medicine 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 4 0 368 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 368 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 3818 0 0 0 0 0 0 3832 0 0 1003946733 91 Waiver service provider--Adults (DHS/DDD) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2430 0 0 0 0 0 0 0 0 0 0 0 0 0 2430 0 0 1003946870 1801030812 10 Physicians SMYTH MARK P 601228942 53 Kane 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 33 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1418 0 4241 0 0 0 0 0 0 5659 0 0 1003946949 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 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 1820 0 0 0 0 0 0 0 0 0 0 0 0 0 1820 0 0 1003947126 1437389319 10 Physicians GOOI ZHEN 999999999 821 Maryland 0 0 Otolaryngology 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 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 2166 0 0 0 0 0 0 2166 0 0 1003947177 1598145724 60 Pharmacies POTTER DRUG 626751553 73 Menard 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 0 848 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20651 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19173 0 0 0 19173 0 0 1003947306 1649652272 11 Dentists AHMED SADIA 600604576 57 Lake 0 0 General Dentistry 0 0 0 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 939 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 939 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25471 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25471 0 0 1003947554 1477759751 89 Physician Assistant Only(Encounter Only) PATEL MINAL 999999999 30 DuPage 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 0 752 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 752 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1066 0 0 0 0 0 0 1066 0 0 1003947571 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 0 390 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 390 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38010 0 0 0 0 0 0 0 0 0 0 0 0 0 38010 0 0 1003947613 1902123938 16 Nurse Practitioners O'BRIEN CHARLOTTE 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 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 69 0 0 0 0 0 0 69 0 0 1003947673 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 29851 0 0 0 0 0 0 0 0 0 0 0 0 0 29851 0 0 1003947772 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 0 249 0 0 0 0 0 0 249 0 0 1003947880 1811355274 89 Physician Assistant Only(Encounter Only) BRAZELTON MICHAEL 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3624 0 0 0 0 0 0 3624 0 0 1003947925 1073989125 11 Dentists MULLHOLAND AARON 604112323 200 Cook 0 0 General Dentistry 0 0 0 246 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 1234 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 1234 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 42966 0 0 0 0 0 0 0 0 0 0 0 1776 0 0 0 0 44742 0 0 1003947939 1497783179 10 Physicians CHAAR BASSEM 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 528 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 528 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 51740 0 0 0 0 0 0 51792 0 0 1003947982 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 9007 0 0 0 0 0 0 0 0 0 0 0 0 0 9007 0 0 1003948495 1619231040 10 Physicians LYONS PATRICK G 999999999 30 DuPage 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 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 2001 0 0 0 0 0 0 2001 0 0 1003948526 1467521146 30 General Hospitals SSM HEALTH ST JOSEPH HOSPITAL 999999999 826 Missouri ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 22 0 0 0 0 6 0 0 0 10 0 0 0 0 0 0 0 0 0 25 0 0 0 0 7 0 0 0 14 0 0 0 0 0 0 0 0 0 25 0 0 0 0 54 0 0 0 14 0 0 0 0 0 0 0 0 0 2142 0 0 0 0 16806 0 0 0 356 0 0 0 0 0 19304 0 0 1003948822 1508108531 10 Physicians VERA DANER DENNYS 999999999 200 Cook 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 0 0 143 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 699 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 699 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 32260 0 0 0 0 0 0 32412 0 0 1003948993 1275900656 16 Nurse Practitioners BOURGET CHRISTOPHER 999999999 23 Clinton 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 536 0 0 0 0 0 0 536 0 0 1003949411 10 Physicians 65 Madison 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 228 0 0 0 0 0 0 228 0 0 1003949508 1649569948 16 Nurse Practitioners UZOMBA ADAKU 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 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003949517 1265442719 16 Nurse Practitioners HUTSELL CHARLOTTE 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2705 0 0 0 0 0 0 2705 0 0 1003949795 1770872384 10 Physicians MEYER ERIC E. 605638113 30 DuPage 0 0 Anesthesiology 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 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 1454 0 0 0 0 0 0 1454 0 0 1003950165 94 Waiver service provider--Children's support (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 263 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 14035 0 0 0 0 0 0 0 0 0 0 0 0 0 14035 0 0 1003950213 1023400801 16 Nurse Practitioners HAWKSWORTH MICHELLE K. 606118709 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63 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 1350 0 0 0 0 0 0 1350 0 0 1003950454 16 Nurse Practitioners 87 Randolph 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1003950466 1033422209 10 Physicians PATEL SAVAN D 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 35 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53 0 201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53 0 201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 563 0 7732 0 0 0 0 0 0 8295 0 0 1003950731 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 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 40 0 0 0 0 0 0 40 0 0 1003950808 1518221282 10 Physicians THOMPSON KENIESHA O 631952334 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 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 0 425 0 0 0 0 0 0 425 0 0 1003951053 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 259 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 28746 0 0 0 0 0 0 0 0 0 0 0 0 0 28746 0 0 1003951120 1922312834 10 Physicians PANDEY RICHA 999999999 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 203 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 475 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 475 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 5346 0 0 0 0 0 0 5350 0 0 1003951167 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35216 0 0 0 0 0 0 0 0 0 0 0 0 0 35216 0 0 1003951185 1386009686 16 Nurse Practitioners SIMMERT AUSRA 999999999 55 Kendall 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 209 0 0 0 0 0 0 0 0 1994 0 0 0 0 0 0 2203 0 0 1003951258 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 65 0 0 0 0 0 0 65 0 0 1003951475 1528166337 89 Physician Assistant Only(Encounter Only) WATT TIFFANY A 999999999 200 Cook 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 1325 0 0 0 0 0 0 0 0 1587 0 0 0 0 0 0 2912 0 0 1003951532 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 570 0 0 0 0 0 0 570 0 0 1003951572 1710117577 10 Physicians COX JASON 999999999 10 Adams 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 172 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 203 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 203 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2143 0 93 0 0 0 0 0 0 2236 0 0 1003951695 1659667954 10 Physicians BEAUDRY KATHERINE A 616145068 80 Peoria 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 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 0 107 0 0 0 0 0 0 107 0 0 1003952011 1730345026 10 Physicians HORBINSKI CRAIG M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 6 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 0 304 0 0 0 0 0 0 0 0 304 0 0 1003952304 1770950842 16 Nurse Practitioners SONDGEROTH NANCY 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 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1207 0 0 0 0 0 0 1207 0 0 1003952692 10 Physicians 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 201 0 12 0 0 0 0 0 0 213 0 0 1003952750 1871752428 10 Physicians WHITEHEAD TIMOTHY 999999999 80 Peoria 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 46 0 177 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 513 0 4074 0 0 0 0 0 0 4587 0 0 1003953046 1245527563 10 Physicians HILL-CIESIELSKI MEREDITH 999999999 30 DuPage 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 41 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 1808 0 0 0 0 0 0 1808 0 0 1003953110 1669720017 10 Physicians AHN JIN H 618012529 19 Champaign 0 1 Family Practice 0 0 0 0 3 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 239 0 0 0 0 0 0 0 0 2103 0 0 0 0 0 0 2342 0 0 1003953252 1538435763 10 Physicians NORD BRIDGET 605323661 30 DuPage 0 0 Family Practice 0 0 0 0 29 0 0 0 0 0 0 8 0 80 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 10 0 142 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 10 0 142 0 0 0 0 0 0 0 0 0 2273 0 0 0 0 0 0 144 0 5171 0 0 0 0 0 0 7588 0 0 1003953352 91 Waiver service provider--Adults (DHS/DDD) 106 Whiteside 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5006 0 0 0 0 0 0 0 0 0 0 0 0 0 5006 0 0 1003953696 1336222983 89 Physician Assistant Only(Encounter Only) PARR SHERRI 999999999 108 Williamson 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 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1355 0 0 0 0 0 0 1355 0 0 1003953954 10 Physicians 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 383 0 0 0 0 0 0 389 0 0 1003954331 10 Physicians 47 Jackson 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 0 111 0 0 0 0 0 0 111 0 0 1003954525 10 Physicians 108 Williamson 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 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 39 0 0 0 0 0 0 39 0 0 1003954729 1952691404 10 Physicians BUCHANAN CHRISTOPHER 637015230 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 14 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 573 0 328 0 0 0 0 0 0 901 0 0 1003954954 1457625303 10 Physicians ACHANKUNJU JYOTHI 999999999 30 DuPage 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 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 2149 0 0 0 0 0 0 2149 0 0 1003955206 1649215757 10 Physicians BABICH DEBRA 999999999 63 Macon 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 0 0 13 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 47 0 0 0 0 0 0 47 0 0 1003955291 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003955411 1871968305 16 Nurse Practitioners KELLER LINDSEY A 999999999 30 DuPage 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 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 0 806 0 0 0 0 0 0 806 0 0 1003955776 13 Podiatrists 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 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 34 0 0 0 0 0 0 34 0 0 1003955796 1063787398 10 Physicians TADDEI ANA C 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6790 0 0 0 0 0 0 6790 0 0 1003956248 1225392426 10 Physicians NORMANSELL DANIEL 999999999 80 Peoria 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 129 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 5102 0 0 0 0 0 0 5102 0 0 1003956986 91 Waiver service provider--Adults (DHS/DDD) 89 Rock Island 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 320 0 0 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 0 0 0 0 0 0 0 0 0 0 26757 0 0 0 0 0 0 0 0 0 0 0 0 0 26757 0 0 1003957877 1073809695 10 Physicians ROE LAURA M 999999999 110 Woodford 0 1 Internal Medicine 0 0 0 0 4 0 0 0 0 0 0 4 0 53 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 4 0 96 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 4 0 96 0 0 0 0 0 0 0 0 0 284 0 0 0 0 0 0 73 0 2503 0 0 0 0 0 0 2860 0 0 1003958002 88 Other behavior health professional 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 1003958532 1235358599 10 Physicians VOROVICH ESTHER E 999999999 53 Kane 0 0 Internal Medicine 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 0 345 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 345 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3588 0 0 0 0 0 0 3588 0 0 1003958574 1437565819 10 Physicians PIPKORN PATRIK 999999999 200 Cook 0 0 Otolaryngology 0 0 0 0 0 0 0 0 0 0 0 0 0 26 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 6318 0 0 0 0 0 0 6318 0 0 1003958608 1962811448 16 Nurse Practitioners FERGUSON ANGELA 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 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 1293 0 0 0 0 0 0 1293 0 0 1003958647 1427286038 10 Physicians WALTERS JONATHAN 629600850 69 Massac 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 0 0 0 0 0 0 108 0 0 1003958649 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 294 0 0 0 0 0 0 294 0 0 1003958730 1003132788 10 Physicians BRAZILL KEVIN 618012529 19 Champaign 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 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 1109 0 0 0 0 0 0 1109 0 0 1003959029 1215315999 33 Nursing Facilities SYMPHONY OF BEVERLY 999999999 200 Cook 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 0 0 0 0 0 591 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13770 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2068755 0 0 0 0 0 0 0 2068755 0 0 1003959118 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 323 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 323 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26227 0 0 0 0 0 0 0 0 0 0 0 0 0 26227 0 0 1003959243 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 33065 0 0 0 0 0 0 0 0 0 0 0 0 0 33065 0 0 1003959346 1386011252 16 Nurse Practitioners THOMPSON BETH A 601220021 53 Kane 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 97 0 0 0 0 0 0 0 0 1019 0 0 0 0 0 0 1116 0 0 1003959574 1992182331 16 Nurse Practitioners WEBB ALYSON C 999999999 63 Macon 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 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 0 461 0 0 0 0 0 0 461 0 0 1003959641 10 Physicians 47 Jackson 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 0 205 0 0 0 0 0 0 205 0 0 1003960050 1669831129 16 Nurse Practitioners CROSS LISA 999999999 35 Ford 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 1031 0 0 0 0 0 0 1031 0 0 1003960220 1063788107 10 Physicians TOMMASO LAURA H 606941789 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 33 0 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 377 0 2187 0 0 0 0 0 0 2564 0 0 1003960420 91 Waiver service provider--Adults (DHS/DDD) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 15924 0 0 0 0 0 0 0 0 0 0 0 0 0 15924 0 0 1003960426 1316236482 10 Physicians PIGGOTT KISHA D 999999999 30 DuPage 0 0 Ophthalmology 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 3 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 3993 0 0 0 0 0 0 4020 0 0 1003960612 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 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 28421 0 0 0 0 0 0 0 0 0 0 0 0 0 28421 0 0 1003961287 1588819965 10 Physicians MCCAULEY MARK 999999999 200 Cook 0 0 Internal Medicine 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 0 295 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 295 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3339 0 0 0 0 0 0 3339 0 0 1003961639 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21932 0 0 0 0 0 0 0 0 0 0 0 0 0 21932 0 0 1003961859 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 29945 0 0 0 0 0 0 0 0 0 0 0 0 0 29945 0 0 1003961876 1477932895 10 Physicians JONAS ANNA 999999999 200 Cook 0 0 Family Practice 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 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 0 231 0 0 0 0 0 0 231 0 0 1003962008 1669798062 10 Physicians MARWAHA GAURAV 999999999 200 Cook 0 0 Radiation Oncology 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4607 0 0 0 0 0 0 4607 0 0 1003962347 1497149173 16 Nurse Practitioners PERAINO KATIE 606081732 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10780 0 0 0 0 0 0 10780 0 0 1003962437 1659664969 10 Physicians DOSHI NIRALI S 379233632 30 DuPage 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 214 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 214 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 3058 0 0 0 0 0 0 3064 0 0 1003962643 1326278417 10 Physicians KHAN ALI A 999999999 200 Cook 0 0 Internal Medicine 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 0 417 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 417 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8540 0 0 0 0 0 0 8540 0 0 1003962724 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 0 203 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 21373 0 0 0 0 0 0 0 0 0 0 0 0 0 21373 0 0 1003962952 1831566371 16 Nurse Practitioners TUCKER RITA A 483755514 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 599 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 599 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4942 0 0 0 0 0 0 4942 0 0 1003963168 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 0 131 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 20646 0 0 0 0 0 0 0 0 0 0 0 0 0 20646 0 0 1003963191 16 Nurse Practitioners 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 491 0 0 0 0 0 0 491 0 0 1003963650 1134408446 10 Physicians DUBYEL RUTH T 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 15 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77 0 5485 0 0 0 0 0 0 5562 0 0 1003963714 92 Waiver service provider--Disability (DHS/DRS) 27 Dekalb 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3968 0 0 0 0 0 0 0 0 0 0 0 0 0 3968 0 0 1003963874 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 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 13554 0 0 0 0 0 0 0 0 0 0 0 0 0 13554 0 0 1003963905 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 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 79 0 0 1003964090 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2302 0 0 0 0 0 0 0 0 0 0 0 0 0 2302 0 0 1003964121 1023304094 10 Physicians RUBENACKER SARA B 999999999 49 Jefferson 0 0 Obstetric-Gynecology 0 0 0 0 2 0 0 0 0 0 0 31 0 50 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 44 0 62 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 44 0 62 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 1576 0 10535 0 0 0 0 0 0 12127 0 0 1003964181 10 Physicians 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1003964242 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 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 85 0 0 0 0 0 0 0 0 0 0 0 0 0 85 0 0 1003964415 1053390237 89 Physician Assistant Only(Encounter Only) CHURCHILL GREGORY 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 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 1202 0 0 0 0 0 0 1202 0 0 1003964620 30 General Hospitals 815 Indiana 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 0 405 0 0 0 0 0 0 0 0 0 0 0 0 0 0 405 0 0 1003964788 92 Waiver service provider--Disability (DHS/DRS) 50 Jersey 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3744 0 0 0 0 0 0 0 0 0 0 0 0 0 3744 0 0 1003965026 1528296167 10 Physicians SNYDER BRANDON 999999999 25 Crawford 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 126 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 139 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 139 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1093 0 3719 0 0 0 0 0 0 4812 0 0 1003965088 1982080644 11 Dentists KIM ILSOON 627026309 91 Sangamon 0 0 General Dentistry 0 0 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 439 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 439 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19435 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19435 0 0 1003965116 1528350865 10 Physicians AGUINALDO ELAINE TUASSON 999999999 200 Cook 0 0 Obstetric-Gynecology 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 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5063 0 0 0 0 0 0 5063 0 0 1003965130 1396069886 87 Psychologist(Encounter Only) ROSENBERG JANINE 606770001 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1952 0 0 0 0 0 0 1952 0 0 1003965823 1699173013 61 Independent Laboratories AMERICAN MEDICAL LAB LTD 999999999 200 Cook 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 0 815 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 8432 0 0 0 0 0 0 0 0 8432 0 0 1003965994 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 14640 0 0 0 0 0 0 0 0 0 0 0 0 0 14640 0 0 1003966255 22 Physical Therapists 89 Rock Island 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 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 0 215 215 0 0 1003966298 1528429958 16 Nurse Practitioners GAWARAN EMILY 999999999 53 Kane 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 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 1854 0 0 0 0 0 0 1854 0 0 1003966328 22 Physical Therapists 107 Will 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 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 56 56 0 0 1003966538 1609270859 16 Nurse Practitioners GALLAGHER MARGARET E 999999999 57 Lake 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 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 2533 0 0 0 0 0 0 2533 0 0 1003966549 1710114145 10 Physicians CHAWLA APOORVA 999999999 200 Cook 0 0 Internal 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 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7756 0 0 0 0 0 0 7756 0 0 1003966655 1730549510 16 Nurse Practitioners GRAHS KATHRYN 999999999 98 Tazewell 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 0 124 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 0 742 0 0 0 0 0 0 742 0 0 1003966968 1487910998 91 Waiver service provider--Adults (DHS/DDD) PAVLIK DANA 999999999 200 Cook 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1941 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1941 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 97871 0 0 0 0 0 0 0 0 0 0 0 0 0 97871 0 0 1003967281 1689773541 10 Physicians KOCUR ROBERT M 616151941 80 Peoria 0 0 Allergy-Immunization 0 0 0 0 0 0 0 0 0 0 0 2 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 158 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 158 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 3687 0 0 0 0 0 0 3700 0 0 1003967507 1487911129 10 Physicians CHAPPIDI ROHIT 370275339 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2848 0 0 0 0 0 0 2848 0 0 1003967807 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 0 280 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 280 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28074 0 0 0 0 0 0 0 0 0 0 0 0 0 28074 0 0 1003967877 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 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 2300 0 0 0 0 0 0 0 0 0 0 0 0 0 2300 0 0 1003968050 1770715989 10 Physicians DHOLAKIA ADITYA A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3884 0 0 0 0 0 0 3884 0 0 1003968116 1942472600 10 Physicians VUJNIC SANDA 601228942 53 Kane 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 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 3743 0 0 0 0 0 0 3743 0 0 1003968147 1477942894 16 Nurse Practitioners HARDY RHONDA 999999999 200 Cook 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 0 247 0 0 0 0 0 0 0 0 1536 0 0 0 0 0 0 1783 0 0 1003968461 1053677419 10 Physicians QAMAR SANAA 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 53 0 0 0 0 0 0 5 0 76 0 0 0 0 0 0 0 0 0 156 0 0 0 0 0 0 6 0 94 0 0 0 0 0 0 0 0 0 156 0 0 0 0 0 0 6 0 94 0 0 0 0 0 0 0 0 0 5740 0 0 0 0 0 0 22 0 3096 0 0 0 0 0 0 8858 0 0 1003968515 1144543992 10 Physicians MANOHAR LESLIE M 999999999 19 Champaign 0 0 Orthopedic Surgery 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 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 2389 0 0 0 0 0 0 2389 0 0 1003968527 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 91 0 0 1003968740 1720341035 13 Podiatrists GARBULA ANNA M 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 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 0 152 0 0 0 0 0 0 152 0 0 1003968747 1487821609 10 Physicians TRIPATHI SANDEEP 999999999 80 Peoria 0 0 Pediatrics 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 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44569 0 0 0 0 0 0 44569 0 0 1003968822 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 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 77 0 0 0 0 0 0 77 0 0 1003968983 1831430347 16 Nurse Practitioners MARTIN EMILY 627949639 91 Sangamon 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 0 148 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 8951 0 0 0 0 0 0 8951 0 0 1003969069 1740480383 10 Physicians SAMY BHARAT 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 7 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 6270 0 0 0 0 0 0 6293 0 0 1003969488 1003163148 10 Physicians YOHANNAN JOE V 999999999 47 Jackson 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 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5903 0 0 0 0 0 0 5903 0 0 1003969549 1396114609 16 Nurse Practitioners MCCAULEY SAMANTHA KAY 999999999 19 Champaign 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 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 0 376 0 0 0 0 0 0 376 0 0 1003969578 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 0 282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18108 0 0 0 0 0 0 0 0 0 0 0 0 0 18108 0 0 1003969766 1598010902 16 Nurse Practitioners LANDERS LISA 999999999 200 Cook 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 0 123 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 5823 0 0 0 0 0 0 5823 0 0 1003970008 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1003970179 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 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26098 0 0 0 0 0 0 0 0 0 0 0 0 0 26098 0 0 1003970526 1972975480 16 Nurse Practitioners ODIGIE JOAN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1175 0 0 0 0 0 0 1175 0 0 1003970991 92 Waiver service provider--Disability (DHS/DRS) 29 Douglas 0 0 0 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 16835 0 0 0 0 0 0 0 0 0 0 0 0 0 16835 0 0 1003971005 1811971559 10 Physicians ALI NAHEED 49155500 200 Cook 0 0 Internal 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 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 1814 0 0 0 0 0 0 1814 0 0 1003971656 10 Physicians 200 Cook 0 0 Anesthesiology 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 79 0 0 0 0 0 0 79 0 0 1003971923 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 0 214 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 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1003971981 1073980025 89 Physician Assistant Only(Encounter Only) GOLINSKE QUINN 999999999 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 543 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 0 0 0 0 0 0 0 0 0 0 0 0 22096 0 0 0 0 0 0 22096 0 0 1003972025 1144681081 16 Nurse Practitioners LADAGE TODD 999999999 40 Grundy 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 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 4319 0 0 0 0 0 0 4319 0 0 1003972061 1932536703 16 Nurse Practitioners KIM DANBEE M 604023441 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 134 0 0 0 0 0 0 134 0 0 1003972077 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 22076 0 0 0 0 0 0 0 0 0 0 0 0 0 22076 0 0 1003972487 1336467968 10 Physicians ALCORN THOMAS R. 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 108 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 3645 0 0 0 0 0 0 3645 0 0 1003972646 1639542657 16 Nurse Practitioners ENGELKES MOLLY 611041572 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 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 0 0 0 0 0 156 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2232 0 0 0 0 0 0 2232 0 0 1003972695 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 17206 0 0 0 0 0 0 0 0 0 0 0 0 0 17206 0 0 1003972900 1538424601 10 Physicians CARLSON KELLY M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 167 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3054 0 0 0 0 0 0 3054 0 0 1003972971 1366551632 10 Physicians DIN SALIMA 605231557 30 DuPage 0 0 Nephrology 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 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3611 0 0 0 0 0 0 3611 0 0 1003973217 1518219229 89 Physician Assistant Only(Encounter Only) WRIGHT LADONNA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 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 0 165 0 0 0 0 0 0 165 0 0 1003973225 1346400850 10 Physicians YOCKEY BRETT 618012529 19 Champaign 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 899 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1178 0 148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1178 0 148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10690 0 2450 0 0 0 0 0 0 13140 0 0 1003973284 1982075396 16 Nurse Practitioners FERRELL KARA N 999999999 47 Jackson 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 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 0 974 0 0 0 0 0 0 974 0 0 1003973304 1891083614 10 Physicians GOBA GELILA 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 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 5593 0 0 0 0 0 0 5593 0 0 1003973438 1356620371 10 Physicians TANG GILBERT 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 84 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 5824 0 0 0 0 0 0 5824 0 0 1003973981 1477579233 33 Nursing Facilities SANDWICH REHAB HEALTH CARE 605481119 27 Dekalb 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 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 0 563 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75781 0 0 0 0 0 0 0 75781 0 0 1003974106 1831428325 16 Nurse Practitioners MESSER JULIANA 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 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 0 0 0 0 0 0 0 0 0 0 1003974246 1598158271 16 Nurse Practitioners NELSON KELLY J. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 122 0 0 0 0 0 0 122 0 0 1003974868 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 19 0 0 0 0 0 0 19 0 0 1003974924 1427448240 24 Speech Therapists RUBIN ABIGAIL 999999999 200 Cook 0 0 0 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 0 352 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 352 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26132 26132 0 0 1003975319 1215253729 10 Physicians DORSEY CHELSEA 999999999 30 DuPage 0 0 Vascular Surgery 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 0 228 0 0 0 0 0 0 228 0 0 1003975619 1740582246 10 Physicians CHANGELA AVANI 999999999 66 Marion 0 0 Internal Medicine 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 0 103 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 1016 0 0 0 0 0 0 1016 0 0 1003975764 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 0 287 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 0 0 0 0 0 0 0 0 0 0 0 0 13758 0 0 0 0 0 0 0 0 0 0 0 0 0 13758 0 0 1003975903 1144284449 89 Physician Assistant Only(Encounter Only) WALTERS NICHOLAS 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 26 0 0 1003976320 1699005678 89 Physician Assistant Only(Encounter Only) VEZZETTI ANGELA 999999999 80 Peoria 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 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 0 706 0 0 0 0 0 0 706 0 0 1003976339 1497116750 16 Nurse Practitioners HEISCHMIDT WHITNEY 999999999 96 St Clair 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 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 0 968 0 0 0 0 0 0 968 0 0 1003976375 1497181697 40 Federally Qualified Health Centers LEGACY MEDICAL CARE INC 600051529 200 Cook 0 1 0 0 766 0 403 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2645 0 1102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2645 0 1102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 243705 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 243705 0 0 1003976435 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 27783 0 0 0 0 0 0 0 0 0 0 0 0 0 27783 0 0 1003976743 1518266576 16 Nurse Practitioners RIECHES BETH 611041572 13 Boone 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 0 163 0 0 0 0 0 0 163 0 0 1003976763 92 Waiver service provider--Disability (DHS/DRS) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 24517 0 0 0 0 0 0 0 0 0 0 0 0 0 24517 0 0 1003976774 1043600547 16 Nurse Practitioners PHILLIPS HEIDI 627083428 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 480 0 0 0 0 0 0 480 0 0 1003976836 1215120928 10 Physicians GHOUSE MASOOD 606781353 200 Cook 0 0 Hematology 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 474 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 474 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5944 0 0 0 0 0 0 5944 0 0 1003977064 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 78 0 0 0 0 0 0 78 0 0 1003977331 10 Physicians 53 Kane 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 90 0 0 0 0 0 0 102 0 0 1003977334 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 0 252 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 30129 0 0 0 0 0 0 0 0 0 0 0 0 0 30129 0 0 1003977539 91 Waiver service provider--Adults (DHS/DDD) 106 Whiteside 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 653 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 653 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38681 0 0 0 0 0 0 0 0 0 0 0 0 0 38681 0 0 1003977685 1962891739 10 Physicians CONLON KATHERINE ELIZABETH 606118709 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 18 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 185 0 680 0 0 0 0 0 0 865 0 0 1003978424 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 0 249 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 26539 0 0 0 0 0 0 0 0 0 0 0 0 0 26539 0 0 1003978616 1659682524 10 Physicians BROOKS JUSTIN 999999999 91 Sangamon 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 901 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1466 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1466 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18429 0 164 0 0 0 0 0 0 18593 0 0 1003978814 92 Waiver service provider--Disability (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 41777 0 0 0 0 0 0 0 0 0 0 0 0 0 41777 0 0 1003978990 1366565962 60 Pharmacies BASINGER'S ESSINGTON PHARMACY 604351634 107 Will 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 11029 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 325789 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 118088 0 0 0 118088 0 0 1003979068 1275930414 16 Nurse Practitioners KIOUTAS ALLISON C 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 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 0 390 0 0 0 0 0 0 390 0 0 1003979143 10 Physicians 109 Winnebago 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 5 0 0 1003979148 10 Physicians 47 Jackson 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 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 51 0 0 0 0 0 0 51 0 0 1003980139 1487862652 10 Physicians POSLUSZNY JOSEPH 606910263 200 Cook 0 0 Surgery General 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 0 105 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 1565 0 0 0 0 0 0 1565 0 0 1003980206 1548300395 10 Physicians HILGERS MARC P 606313222 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 4 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1361 0 0 0 0 0 0 1361 0 0 1003980357 1689652455 10 Physicians DAMMANN GREGORY G 999999999 97 Stephenson 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 22 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 2624 0 0 0 0 0 0 2724 0 0 1003980429 1396037685 16 Nurse Practitioners GUILLAUME DIANA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 106 0 0 0 0 0 0 106 0 0 1003980643 1245612548 89 Physician Assistant Only(Encounter Only) NIEKAMP KATHERINE ANNE 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 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 43 0 0 0 0 0 0 43 0 0 1003980718 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 0 109 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 28209 0 0 0 0 0 0 0 0 0 0 0 0 0 28209 0 0 1003981194 1538433438 10 Physicians RUTILI LAUREN K 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 603 0 0 0 0 0 0 603 0 0 1003981416 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 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30067 0 0 0 0 0 0 0 0 0 0 0 0 0 30067 0 0 1003981596 10 Physicians 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 104 0 0 1003981690 1245618016 33 Nursing Facilities SYMPHONY OF LINCOLN PARK 606142129 200 Cook 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 0 534 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12418 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2001605 0 0 0 0 0 0 0 2001605 0 0 1003981716 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003981817 91 Waiver service provider--Adults (DHS/DDD) 72 McLean 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4491 0 0 0 0 0 0 0 0 0 0 0 0 0 4491 0 0 1003982172 1538471099 10 Physicians HOPPING JACOB 610811252 106 Whiteside 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 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 4740 0 0 0 0 0 0 4740 0 0 1003982275 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 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 2793 2793 0 0 1003982483 1306207733 16 Nurse Practitioners NELSON TIA-MONIQUE F. 999999999 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 688 0 0 0 0 0 0 700 0 0 1003982493 1922328624 10 Physicians MURPHY DANIEL PATRICK 999999999 200 Cook 0 0 General Practice 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 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 0 338 0 0 0 0 0 0 338 0 0 1003982560 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 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 10897 0 0 0 0 0 0 0 0 0 0 0 0 0 10897 0 0 1003982635 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 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30252 0 0 0 0 0 0 0 0 0 0 0 0 0 30252 0 0 1003983556 1336172014 10 Physicians AL-AHDAB MOHAMAD 605152049 30 DuPage 0 0 Pediatrics 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 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 4378 0 0 0 0 0 0 4378 0 0 1003983592 1982093837 30 General Hospitals RIVERSIDE MEDICAL CENTER 999999999 54 Kankakee DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 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 53 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 0 0 0 0 0 0 0 0 0 0 0 0 6028 0 0 0 0 0 0 0 0 0 6028 0 0 1003983783 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27819 0 0 0 0 0 0 0 0 0 0 0 0 0 27819 0 0 1003983801 1689092348 86 Clinical Social Worker(Encounter Only) MINSHALL MARCY 606121577 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 185 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 1660 0 0 0 0 0 0 1660 0 0 1003983819 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 0 157 0 0 0 0 0 0 157 0 0 1003983991 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 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 68 0 0 0 0 0 0 68 0 0 1003983995 1932179843 16 Nurse Practitioners BROWN MARY M 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 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 0 689 0 0 0 0 0 0 689 0 0 1003984062 1194076208 89 Physician Assistant Only(Encounter Only) COLEMAN JAMES 999999999 91 Sangamon 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 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3532 0 0 0 0 0 0 3532 0 0 1003984064 1538547591 16 Nurse Practitioners ELLIOTT TIFFANY M 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1580 0 0 0 0 0 0 1580 0 0 1003985433 1427451525 16 Nurse Practitioners CAREY KATHRYN A 606118709 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 0 110 0 0 0 0 0 0 110 0 0 1003985665 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 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 0 509 0 0 0 0 0 0 509 0 0 1003985717 1659773240 70 Ambulance Service Providers BISMARCK COMMUNITY VOL FPD 618145231 100 Vermilion 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 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 0 225 0 0 0 0 0 0 225 0 0 1003985889 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 4405 0 0 0 0 0 0 0 0 0 0 0 0 0 4405 0 0 1003985960 1902216914 89 Physician Assistant Only(Encounter Only) BAMBA ALYSSA 999999999 109 Winnebago 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 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 4001 0 0 0 0 0 0 4001 0 0 1003986115 1396031597 10 Physicians ANDREW HENRY G 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6786 0 0 0 0 0 0 6786 0 0 1003987115 91 Waiver service provider--Adults (DHS/DDD) 61 Livingston 0 0 0 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 28894 0 0 0 0 0 0 0 0 0 0 0 0 0 28894 0 0 1003987331 1609242049 16 Nurse Practitioners KITTS-FARON ANGELA D 616151941 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105 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 3852 0 0 0 0 0 0 3852 0 0 1003987474 1205157781 10 Physicians IMAM NEDA 339012699 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 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 1429 0 0 0 0 0 0 1429 0 0 1003987594 1184081556 16 Nurse Practitioners GRAHAM DARCY L 999999999 65 Madison 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 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 2656 0 0 0 0 0 0 2656 0 0 1003987600 1497948087 10 Physicians MONTENEGRO GRACE A 999999999 200 Cook 0 0 Colon - Rectal Surgery 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 2208 0 0 0 0 0 0 2208 0 0 1003987633 1790033926 22 Physical Therapists ELLIOTT RANDI 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 9 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 0 468 468 0 0 1003987736 1669880951 16 Nurse Practitioners SUNIL DHANYA 606313222 200 Cook 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 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 0 919 0 0 0 0 0 0 919 0 0 1003987761 1164827242 16 Nurse Practitioners MCALLISTER ALEXIS A 622303510 23 Clinton 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 0 1 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 1298 0 0 0 0 0 0 1298 0 0 1003987993 1154724912 16 Nurse Practitioners DAVIES ANNA C 606781353 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3009 0 0 0 0 0 0 3009 0 0 1003988026 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 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 1003988037 1184022352 16 Nurse Practitioners CLEMENTS KRISTOPHER P 627047452 91 Sangamon 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 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 1149 0 0 0 0 0 0 1149 0 0 1003988368 1346631645 60 Pharmacies HEALING HEALTH PHARMACY INC 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 388 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5319 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 166388 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95556 0 0 0 95556 0 0 1003988514 1437150471 89 Physician Assistant Only(Encounter Only) PARKS ANDREA 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 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 0 305 0 0 0 0 0 0 305 0 0 1003988561 1609267491 22 Physical Therapists WILSON SAMANTHA J 623014038 10 Adams 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 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 1995 1995 0 0 1003988563 1891187423 16 Nurse Practitioners ABOGUNRIN OLUWAKEMI 606313222 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 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 73 0 0 0 0 0 0 73 0 0 1003988591 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 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 0 171 0 0 0 0 0 0 171 0 0 1003988760 1134222425 89 Physician Assistant Only(Encounter Only) GRIESEMER REBECCA 606313222 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 355 0 0 0 0 0 0 355 0 0 1003988792 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11246 0 0 0 0 0 0 0 0 0 0 0 0 0 11246 0 0 1003988876 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19939 0 0 0 0 0 0 0 0 0 0 0 0 0 19939 0 0 1003989138 1477837235 86 Clinical Social Worker(Encounter Only) KOTTRA SUSAN 999999999 30 DuPage 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 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 0 733 0 0 0 0 0 0 733 0 0 1003989265 24 Speech Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 191 191 0 0 1003989637 1295159846 16 Nurse Practitioners BEY MICHELE R 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 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 1834 0 0 0 0 0 0 1834 0 0 1003989768 1386958064 10 Physicians FENZL CARLTON R 999999999 24 Coles 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 3 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 16827 0 0 0 0 0 0 16851 0 0 1003989830 16 Nurse Practitioners 108 Williamson 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 0 215 0 0 0 0 0 0 215 0 0 1003989860 1982881199 10 Physicians LOPEZ CORTES ANTHONIE W 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 1 0 0 0 0 0 0 11 0 13 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 21 0 23 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 21 0 23 0 0 0 0 0 0 0 0 0 59 0 0 0 0 0 0 324 0 1721 0 0 0 0 0 0 2104 0 0 1003989937 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 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 2376 0 0 0 0 0 0 0 0 0 0 0 0 0 2376 0 0 1003990016 1508163643 10 Physicians BACKHUS LEILAH E 999999999 200 Cook 0 0 Obstetric-Gynecology 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 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 1338 0 0 0 0 0 0 1338 0 0 1003990065 16 Nurse Practitioners 103 Washington 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 246 0 0 0 0 0 0 246 0 0 1003990189 1730556135 16 Nurse Practitioners THOMAS RHONDA 999999999 19 Champaign 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 109 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 113 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 113 0 0 0 0 0 0 0 0 0 139 0 0 0 0 0 0 0 0 3344 0 0 0 0 0 0 3483 0 0 1003990219 1184858326 10 Physicians MEISEL ADAM F 999999999 200 Cook 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 21 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 1138 0 0 0 0 0 0 1312 0 0 1003990718 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 17632 0 0 0 0 0 0 0 0 0 0 0 0 0 17632 0 0 1003990832 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 17 0 0 0 0 0 0 17 0 0 1003990921 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27490 0 0 0 0 0 0 0 0 0 0 0 0 0 27490 0 0 1003990971 1366810632 16 Nurse Practitioners PATEL VELISA 999999999 109 Winnebago 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 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 0 129 0 0 0 0 0 0 129 0 0 1003991019 1023372851 10 Physicians HERRERA BLANCA E. 604991208 200 Cook 0 0 Emergency 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 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 2825 0 0 0 0 0 0 2825 0 0 1003991365 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 1003991367 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 0 137 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 12077 0 0 0 0 0 0 0 0 0 0 0 0 0 12077 0 0 1003991515 1356716989 20 Registered nurse MORRIS KELLY A 999999999 107 Will 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 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 0 459 0 0 0 0 0 0 459 0 0 1003991543 1477937373 60 Pharmacies EDWARD PHARMACY 605406551 30 DuPage 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 0 203 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4728 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54052 0 0 0 54052 0 0 1003992050 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 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 1708 0 0 0 0 0 0 1708 0 0 1003992162 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 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24505 0 0 0 0 0 0 0 0 0 0 0 0 0 24505 0 0 1003992274 1962711937 10 Physicians BHANDARKAR AMIT W 999999999 49 Jefferson 0 0 Orthopedic Surgery 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 0 146 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 1970 0 0 0 0 0 0 1970 0 0 1003992284 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 15 0 0 0 0 0 0 15 0 0 1003992302 1356753016 89 Physician Assistant Only(Encounter Only) OTTENHEIMER JENNAFER 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 608 0 0 0 0 0 0 608 0 0 1003992830 1558762237 16 Nurse Practitioners ENGLAND RACHEL 606118709 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 702 0 0 0 0 0 0 702 0 0 1003992840 1982870317 10 Physicians SORIN LUDA 606313222 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 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 4242 0 0 0 0 0 0 4242 0 0 1003992975 89 Physician Assistant Only(Encounter Only) 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 194 0 0 1003993597 1376798140 25 Audiologists PACER JOSEPH 999999999 13 Boone 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 183 183 0 0 1003993629 1265534333 87 Psychologist(Encounter Only) WARREN PAMELA 999999999 19 Champaign 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 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 0 665 0 0 0 0 0 0 665 0 0 1003993851 1538564448 16 Nurse Practitioners MOORE TIFFANY N 999999999 107 Will 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 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 1463 0 0 0 0 0 0 1463 0 0 1003994181 10 Physicians 65 Madison 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1003994189 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 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 15586 0 0 0 0 0 0 0 0 0 0 0 0 0 15586 0 0 1003994278 1326448523 16 Nurse Practitioners PARK HELEN H 606930623 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 1830 0 0 0 0 0 0 1830 0 0 1003994440 94 Waiver service provider--Children's support (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 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 2466 0 0 0 0 0 0 0 0 0 0 0 0 0 2466 0 0 1003994810 1437401718 89 Physician Assistant Only(Encounter Only) SHAH BINITA P 606123714 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 0 734 0 0 0 0 0 0 734 0 0 1003995078 91 Waiver service provider--Adults (DHS/DDD) 89 Rock Island 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 220 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 22982 0 0 0 0 0 0 0 0 0 0 0 0 0 22982 0 0 1003995107 1689945339 16 Nurse Practitioners JANKOWSKI LACI 999999999 66 Marion 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 0 134 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 0 600 0 0 0 0 0 0 600 0 0 1003995110 1700264876 24 Speech Therapists BERZSENYI KAITLIN 627621000 91 Sangamon 0 0 0 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 0 192 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 13890 13890 0 0 1003995260 1336532738 55 Early Intervention Services KWASNY KRISTEN 604514813 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 0 147 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 8245 0 0 0 0 0 0 8245 0 0 1003995263 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 81 0 0 0 0 0 0 81 0 0 1003995366 1720386428 10 Physicians MAGDA ASHLEY D 606800618 200 Cook 0 0 Emergency Medicine 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3206 0 0 0 0 0 0 3206 0 0 1003995534 1922284504 89 Physician Assistant Only(Encounter Only) CHARLES CANDACE 999999999 64 Macoupin 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 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003995645 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 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 1566 0 0 0 0 0 0 0 0 0 0 0 0 0 1566 0 0 1003995817 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10560 0 0 0 0 0 0 0 0 0 0 0 0 0 10560 0 0 1003995883 4003995883 91 Waiver service provider--Adults (DHS/DDD) TO JENNIFER 627621000 30 DuPage 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 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 5034 0 0 0 0 0 0 0 0 0 0 0 0 0 5034 0 0 1003995889 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 30261 0 0 0 0 0 0 0 0 0 0 0 0 0 30261 0 0 1003995993 1255756961 89 Physician Assistant Only(Encounter Only) MOSMAN AMY 999999999 826 Missouri 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 52 0 0 0 0 0 0 52 0 0 1003996020 1821364969 10 Physicians BERRY GRACE E 605275965 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 377 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 377 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2090 0 0 0 0 0 0 2090 0 0 1003996298 1013385079 16 Nurse Practitioners HARRIS MORGAN E. 999999999 80 Peoria 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 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 3039 0 0 0 0 0 0 3039 0 0 1003996520 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 14189 0 0 0 0 0 0 0 0 0 0 0 0 0 14189 0 0 1003996788 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 30261 0 0 0 0 0 0 0 0 0 0 0 0 0 30261 0 0 1003996933 1609107952 10 Physicians PRABHAKAR DEEPA 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 308 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 5081 0 0 0 0 0 0 5081 0 0 1003997062 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 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 2520 0 0 0 0 0 0 0 0 0 0 0 0 0 2520 0 0 1003997141 1437553781 89 Physician Assistant Only(Encounter Only) WISNASKY DANIELLE 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3021 0 0 0 0 0 0 3021 0 0 1003997186 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 215 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 27980 0 0 0 0 0 0 0 0 0 0 0 0 0 27980 0 0 1003997274 1023429065 89 Physician Assistant Only(Encounter Only) HOLANDAY IZABELA 999999999 53 Kane 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 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 88 0 0 0 0 0 0 88 0 0 1003997437 1437594314 16 Nurse Practitioners ARAKELIAN MARA 608052701 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 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 2812 0 0 0 0 0 0 2812 0 0 1003997780 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5670 0 0 0 0 0 0 0 0 0 0 0 0 0 5670 0 0 1003997984 91 Waiver service provider--Adults (DHS/DDD) 97 Stephenson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101 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 12074 0 0 0 0 0 0 0 0 0 0 0 0 0 12074 0 0 1003998078 1336574383 89 Physician Assistant Only(Encounter Only) COHEN STEPHANIE 606313222 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 31 0 0 1003998128 24 Speech Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 74 0 0 1003998174 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 0 337 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 337 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 1003998214 1740652239 47 Local Education Agencies LEARN 9 CAMPUS IN WAUKEGAN 999999999 57 Lake 0 0 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 0 497 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 497 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7829 0 7829 0 0 1003998555 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 0 144 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 24487 0 0 0 0 0 0 0 0 0 0 0 0 0 24487 0 0 1003998595 10 Physicians 826 Missouri 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 159 0 0 0 0 0 0 159 0 0 1003998612 1508159674 10 Physicians DAMODARAN ASHVINI 606162315 200 Cook 0 0 Internal Medicine 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 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 60 0 0 0 0 0 0 60 0 0 1003999218 1033113816 10 Physicians GOVEA CHRISTOPHER J 999999999 19 Champaign 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 55 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 277 0 13 0 0 0 0 0 0 290 0 0 1003999437 10 Physicians 65 Madison 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 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 40 0 0 0 0 0 0 40 0 0 1003999521 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 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 1355 0 0 0 0 0 0 0 0 0 0 0 0 0 1355 0 0 1003999583 1407084452 10 Physicians SHAH PARVISH 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 1147 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1594 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1594 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12860 0 566 0 0 0 0 0 0 13426 0 0 1003999610 1154658292 10 Physicians TANEJA MUNISH 602011700 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 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 0 231 0 0 0 0 0 0 231 0 0 1003999854 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 42 0 0 0 0 0 0 42 0 0 1003999895 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 1003999961 1154621662 16 Nurse Practitioners LASCH JENNIFER F. 602011718 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 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 0 321 0 0 0 0 0 0 321 0 0 1004000229 1407025133 16 Nurse Practitioners KURIEN SUDHA 605276490 200 Cook 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 0 131 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 0 959 0 0 0 0 0 0 959 0 0 1004000616 10 Physicians 200 Cook 0 0 Otolaryngology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004000914 1821494568 16 Nurse Practitioners WODRICH KATHLEEN 611086479 109 Winnebago 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 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 1421 0 0 0 0 0 0 1421 0 0 1004000998 1083970016 10 Physicians MANSOUR JOSEPH A 999999999 64 Macoupin 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 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 0 901 0 0 0 0 0 0 901 0 0 1004001012 1669453866 10 Physicians HRASTICH MATTHEW 999999999 66 Marion 0 0 0 0 0 0 0 0 0 0 0 0 0 275 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 462 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 462 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4589 0 324 0 0 0 0 0 0 4913 0 0 1004001296 1851757579 36 Community mental health provider CENTERSTONE OF ILLINOIS 999999999 65 Madison 0 0 0 523 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 565 0 0 3889 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7890 0 0 3889 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7890 0 0 213569 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 746984 0 0 960553 0 0 1004001459 1962874289 28 Waiver service provider--Supportive living facility (HFS) ROCKFORD SLP 611047099 109 Winnebago 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 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4811 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 425146 0 0 0 0 0 0 0 0 0 0 0 0 0 425146 0 0 1004001461 1780839605 89 Physician Assistant Only(Encounter Only) NICHOLS DANIEL 612656152 89 Rock Island 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 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 0 999 0 0 0 0 0 0 999 0 0 1004001491 1245377183 16 Nurse Practitioners HUTSELL PAUL 999999999 57 Lake 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 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 1948 0 0 0 0 0 0 1948 0 0 1004001554 1295111920 55 Early Intervention Services AVVA LAKSHMI M 601189519 53 Kane 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 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 4042 0 0 0 0 0 0 4042 0 0 1004001748 1164654810 10 Physicians VANDERBY BROOKE 600162359 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 3 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 690 0 0 0 0 0 0 732 0 0 1004001766 1932338894 10 Physicians RHEE YOONA 999999999 57 Lake 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 0 294 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 3142 0 0 0 0 0 0 3142 0 0 1004001905 1992026769 10 Physicians GADDE JUDITH 999999999 850 Washington 0 0 0 0 0 0 0 0 0 0 0 0 0 104 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9630 0 138 0 0 0 0 0 0 9768 0 0 1004001937 1801209291 10 Physicians HEO JIEUN 999999999 91 Sangamon 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 2 0 57 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 2 0 110 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 2 0 110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 79 0 2204 0 0 0 0 0 0 2283 0 0 1004002037 1255750576 11 Dentists SORENSEN SHARON J 600164727 200 Cook 0 0 General Dentistry 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 474 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 474 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 18795 0 0 0 0 0 0 0 0 0 0 0 2664 0 0 0 0 21459 0 0 1004002168 1144696113 22 Physical Therapists CARROLL DREW D 999999999 106 Whiteside 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 173 173 0 0 1004002261 16 Nurse Practitioners 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 99 0 0 0 0 0 0 99 0 0 1004002372 1528424512 87 Psychologist(Encounter Only) COLON MELISSA 999999999 57 Lake 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 917 0 0 0 0 0 0 917 0 0 1004002753 1285045013 16 Nurse Practitioners LANGE MELINDA 616370001 80 Peoria 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 0 181 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 3587 0 0 0 0 0 0 3587 0 0 1004002850 1558380584 10 Physicians SNYDER BRIAN R 999999999 10 Adams 0 0 General Practice 0 0 0 0 0 0 0 0 0 0 0 38 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 142 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 142 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 416 0 2692 0 0 0 0 0 0 3108 0 0 1004002877 1366638074 10 Physicians KHAN AMIR A 999999999 19 Champaign 0 0 Internal 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 0 491 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 491 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9178 0 0 0 0 0 0 9178 0 0 1004003672 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 0 201 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 26912 0 0 0 0 0 0 0 0 0 0 0 0 0 26912 0 0 1004003708 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 25 0 0 1004003732 1922422328 16 Nurse Practitioners MAZUR PATRYCJA 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 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 0 624 0 0 0 0 0 0 624 0 0 1004003777 1477871929 10 Physicians PARKS CAITLIN B 999999999 200 Cook 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 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 13985 0 0 0 0 0 0 13985 0 0 1004003845 92 Waiver service provider--Disability (DHS/DRS) 79 Ogle 0 0 0 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 18961 0 0 0 0 0 0 0 0 0 0 0 0 0 18961 0 0 1004003981 1427426782 91 Waiver service provider--Adults (DHS/DDD) MARTIN JONAH 629330108 108 Williamson 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 1381 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1381 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 134184 0 0 0 0 0 0 0 0 0 0 0 0 0 134184 0 0 1004004243 1700252095 16 Nurse Practitioners OKRASINSKI THOMAS F. 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 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 1130 0 0 0 0 0 0 1130 0 0 1004004294 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 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 6 0 0 0 0 0 0 0 0 6 0 0 1004004590 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 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 1004004675 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 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 0 336 0 0 0 0 0 0 336 0 0 1004004796 10 Physicians 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004004835 1487027025 16 Nurse Practitioners SCHNEIDER JESSICA 999999999 96 St Clair 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 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 0 179 0 0 0 0 0 0 179 0 0 1004004915 1013229095 10 Physicians REAMS NICOLE D 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 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 0 958 0 0 0 0 0 0 958 0 0 1004005284 1205252699 91 Waiver service provider--Adults (DHS/DDD) FRICKE KATHRYN J 604512899 107 Will 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 0 723 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 723 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49022 0 0 0 0 0 0 0 0 0 0 0 0 0 49022 0 0 1004005437 1851644256 10 Physicians ORCUTT JEFFREY W 618012529 19 Champaign 0 0 Pediatrics 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 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 6445 0 0 0 0 0 0 6445 0 0 1004005549 1457723454 16 Nurse Practitioners NOFSINGER ANDREA 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 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 0 746 0 0 0 0 0 0 746 0 0 1004005550 1891184412 16 Nurse Practitioners SMART JACQUELINE D 999999999 80 Peoria 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 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 1290 0 0 0 0 0 0 1290 0 0 1004005800 10 Physicians 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 230 0 0 1004006003 1841585783 10 Physicians VOHRA SAMEER S 999999999 91 Sangamon 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 3375 0 0 0 0 0 0 0 0 454 0 0 0 0 0 0 3829 0 0 1004006145 10 Physicians 200 Cook 0 1 General Practice 0 0 0 0 0 0 0 0 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 13 0 0 0 0 0 0 13 0 0 1004006880 1518124965 10 Physicians LABRADOR HALLIE E 602011700 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1811 0 0 0 0 0 0 1811 0 0 1004007075 1538167804 10 Physicians KELMINSON STEPHEN B 606758310 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 179 0 0 0 0 0 0 0 0 179 0 0 1004007133 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 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 6271 0 0 0 0 0 0 0 0 0 0 0 0 0 6271 0 0 1004007462 1972524791 89 Physician Assistant Only(Encounter Only) EL KATHERINE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73 0 0 3189 0 0 0 0 0 0 3262 0 0 1004007524 16 Nurse Practitioners 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 804 0 0 0 0 0 0 804 0 0 1004007579 1275577033 10 Physicians BUDORICK NANCY 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 451 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 608 0 112 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 608 0 112 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8765 0 592 0 0 0 0 0 0 9357 0 0 1004007603 1144274853 11 Dentists WRZOSEK MARIUSZ 601545716 200 Cook 0 0 Maxillofacial Surgery 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 493 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 493 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25265 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25265 0 0 1004007633 1174902696 16 Nurse Practitioners MARMON ASHLEY R 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 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 1436 0 0 0 0 0 0 1436 0 0 1004007658 10 Physicians 49 Jefferson 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 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 1004008069 1861871246 33 Nursing Facilities PEARL PAVILION 610324580 97 Stephenson 0 0 0 1 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 2325 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 207451 0 0 0 0 0 0 0 207451 0 0 1004008107 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 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 1004008622 10 Physicians 53 Kane 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 10 0 0 1004008658 1730509548 22 Physical Therapists LOVING KARMEN E 999999999 30 DuPage 0 0 0 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 0 238 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 20327 20327 0 0 1004008942 1003823188 89 Physician Assistant Only(Encounter Only) BECKMAN SHONNA C 999999999 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 137 0 0 0 0 0 0 0 0 1914 0 0 0 0 0 0 2051 0 0 1004009007 89 Physician Assistant Only(Encounter Only) 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 78 0 0 0 0 0 0 78 0 0 1004009129 1699858704 16 Nurse Practitioners NACION KARLA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2186 0 0 0 0 0 0 2186 0 0 1004009286 1912386236 10 Physicians MANNEY ERRIN L 999999999 200 Cook 0 0 General Practice 0 0 0 0 11 0 0 0 0 0 0 0 0 87 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 124 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 124 0 0 0 0 0 0 0 0 0 1051 0 0 0 0 0 0 0 0 4119 0 0 0 0 0 0 5170 0 0 1004009287 1588817605 89 Physician Assistant Only(Encounter Only) NABAVI SEYED MAHMOUD 606313222 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 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1873 0 0 0 0 0 0 1873 0 0 1004009348 92 Waiver service provider--Disability (DHS/DRS) 39 Greene 0 0 0 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 18588 0 0 0 0 0 0 0 0 0 0 0 0 0 18588 0 0 1004009462 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1783 0 0 0 0 0 0 0 0 0 0 0 0 0 1783 0 0 1004009637 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 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 4332 0 0 0 0 0 0 0 0 0 0 0 0 0 4332 0 0 1004009663 1962891820 60 Pharmacies HY VEE PHARMACY 1035 617042201 72 McLean 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 0 993 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29853 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33051 0 0 0 33051 0 0 1004009669 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 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 8338 0 0 0 0 0 0 0 0 0 0 0 0 0 8338 0 0 1004009737 1053710160 10 Physicians MERCIER PHILIPPE J 627047452 91 Sangamon 0 0 Neurology Surgery 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 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 17229 0 0 0 0 0 0 17229 0 0 1004009747 1205190071 10 Physicians YOUAKIM JON P 999999999 19 Champaign 0 1 Pediatrics 0 0 0 0 72 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 0 0 0 101 0 0 0 0 0 0 0 0 107 0 0 0 0 0 0 0 0 0 101 0 0 0 0 0 0 0 0 107 0 0 0 0 0 0 0 0 0 7095 0 0 0 0 0 0 0 0 3292 0 0 0 0 0 0 10387 0 0 1004010145 1528478104 89 Physician Assistant Only(Encounter Only) JACOBSON JUSTIN M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 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 1318 0 0 0 0 0 0 1318 0 0 1004010150 1912380395 55 Early Intervention Services KMAK TERESA M 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7532 0 0 0 0 0 0 7532 0 0 1004010490 1912350570 16 Nurse Practitioners SOSA SERGIO A 606781034 200 Cook 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 772 0 0 0 0 0 0 805 0 0 1004010642 10 Physicians 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 5 0 0 1004010845 1174992218 28 Waiver service provider--Supportive living facility (HFS) SYMPHONY RESIDENCES OF LINCOLN 606142060 200 Cook 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 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4442 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 478988 0 0 0 0 0 0 0 0 0 0 0 0 0 478988 0 0 1004011054 1861713455 10 Physicians TANNAN ANJALI 999999999 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 3 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 263 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 263 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 9921 0 0 0 0 0 0 9934 0 0 1004011126 1629404298 16 Nurse Practitioners SWANSON CYNTHIA K 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 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 0 815 0 0 0 0 0 0 815 0 0 1004011227 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 1004011422 1962635110 10 Physicians MOHINDRA NISHA A. 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 3359 0 0 0 0 0 0 3361 0 0 1004011764 1144605262 11 Dentists SYED JUWAIRIYA 999999999 57 Lake 0 0 General Dentistry 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10724 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10724 0 0 1004011770 87 Psychologist(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 1004011792 1942537915 89 Physician Assistant Only(Encounter Only) ELSEN VOLZ COLLEEN J 606313222 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 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 0 146 0 0 0 0 0 0 146 0 0 1004012167 16 Nurse Practitioners 818 Kentucky 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004012217 1629399654 10 Physicians GAN STEPHANIE 999999999 200 Cook 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 1 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 349 0 0 0 0 0 0 349 0 0 1004012308 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 7 0 0 0 0 0 0 7 0 0 1004012836 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 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 1004012957 1972895449 10 Physicians DAVIS MARI-ELENA 999999999 200 Cook 0 0 Family Practice 0 0 0 0 22 0 0 0 0 0 0 7 0 55 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 7 0 68 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 7 0 68 0 0 0 0 0 0 0 0 0 2367 0 0 0 0 0 0 34 0 1901 0 0 0 0 0 0 4302 0 0 1004013092 16 Nurse Practitioners 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004013099 1043480056 89 Physician Assistant Only(Encounter Only) DAVIDSON JOHN H. 999999999 53 Kane 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 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1127 0 0 0 0 0 0 1127 0 0 1004013180 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 0 134 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 17253 0 0 0 0 0 0 0 0 0 0 0 0 0 17253 0 0 1004013362 88 Other behavior health professional 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 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 0 174 0 0 0 0 0 0 174 0 0 1004013381 1356579684 10 Physicians MCCARTHY KEVIN J 999999999 91 Sangamon 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 15 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 145 0 4172 0 0 0 0 0 0 4317 0 0 1004013862 1639459597 10 Physicians SNOWER LAUREN 370245009 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 227 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 3085 0 0 0 0 0 0 3085 0 0 1004013905 1538484563 10 Physicians WOOL GEOFFREY D 999999999 30 DuPage 0 0 Clinical Pathology 0 0 0 0 0 0 0 0 0 0 0 147 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 222 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 222 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1394 0 705 0 0 0 0 0 0 2099 0 0 1004013922 10 Physicians 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004014210 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 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5540 0 0 0 0 0 0 0 0 0 0 0 0 0 5540 0 0 1004014854 1518356419 16 Nurse Practitioners DYKES CODY P. 626501136 77 Morgan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 711 0 0 0 0 0 0 711 0 0 1004014953 22 Physical Therapists 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 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 0 240 240 0 0 1004015047 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28244 0 0 0 0 0 0 0 0 0 0 0 0 0 28244 0 0 1004015100 1427431774 33 Nursing Facilities APERION CARE SPRING VALLEY 613621576 15 Bureau 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 0 252 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6001 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 739442 0 0 0 0 0 0 0 739442 0 0 1004015442 10 Physicians 91 Sangamon 0 0 Otolaryngology 0 0 0 0 0 0 0 0 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 39 0 0 0 0 0 0 39 0 0 1004015637 1891948014 10 Physicians MALASANA GANGADHAR RAO 999999999 36 Franklin 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 4 0 535 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 805 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 805 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 7976 0 0 0 0 0 0 7986 0 0 1004015640 1639129851 13 Podiatrists RUSKUSKY JEFFREY R 999999999 98 Tazewell 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 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 0 259 0 0 0 0 0 0 259 0 0 1004015814 4004015814 90 Waiver service provider--Elderly (DOA) ADT LLC 346843709 810 Florida 0 0 0 0 0 0 0 0 6091 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40528 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40528 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1102374 0 0 0 0 0 0 0 0 0 0 0 0 0 1102374 0 0 1004016252 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 0 349 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 349 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17085 0 0 0 0 0 0 0 0 0 0 0 0 0 17085 0 0 1004016372 1073926234 10 Physicians SCHUMACHER THOMAS R 999999999 200 Cook 0 0 Family Practice 0 0 0 0 2 0 0 0 0 0 0 1 0 57 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 1 0 147 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 1 0 147 0 0 0 0 0 0 0 0 0 192 0 0 0 0 0 0 5 0 4158 0 0 0 0 0 0 4355 0 0 1004016596 1154453991 34 State-operated facility (DHS) CLYDE CHOATE DEVELOPMENTAL CTR 629061652 99 Union 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 0 943 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28705 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24819779 0 0 0 0 0 0 0 0 0 0 24819779 0 0 1004016655 1164891099 16 Nurse Practitioners JANIK MOLLY 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 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 27 0 0 0 0 0 0 27 0 0 1004016715 1972577591 10 Physicians ALAM MOHAMMAD 478023558 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 583 0 0 0 0 0 0 583 0 0 1004016755 94 Waiver service provider--Children's support (DHS/DDD) 53 Kane 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3611 0 0 0 0 0 0 0 0 0 0 0 0 0 3611 0 0 1004016769 1689059305 11 Dentists KAUR NAVJIT 999999999 30 DuPage 0 0 0 0 0 141 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 739 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 739 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 44762 0 0 0 0 0 0 0 0 0 0 0 4749 0 0 0 0 49511 0 0 1004016825 1598976078 16 Nurse Practitioners GOLDSMITH MARCELA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 232 0 0 0 0 0 0 232 0 0 1004016895 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 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 4717 0 0 0 0 0 0 0 0 0 0 0 0 0 4717 0 0 1004016963 1497999627 10 Physicians FAMUYIDE VICTORIA O 999999999 19 Champaign 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 339 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 339 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7794 0 0 0 0 0 0 7794 0 0 1004017083 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 0 283 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 283 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28264 0 0 0 0 0 0 0 0 0 0 0 0 0 28264 0 0 1004017127 1902234594 11 Dentists TKACHUK YEVGEN 600604210 57 Lake 0 0 General Dentistry 0 0 0 34 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 3548 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3548 0 0 1004017329 1356707111 16 Nurse Practitioners BAKMAN LUBOV E 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 272 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 1165 0 0 0 0 0 0 1165 0 0 1004017371 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 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 6290 0 0 0 0 0 0 0 0 0 0 0 0 0 6290 0 0 1004017390 1366756793 10 Physicians LANE JENNIFER C 999999999 109 Winnebago 0 0 Otolaryngology 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 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 5540 0 0 0 0 0 0 5540 0 0 1004017510 1821411398 24 Speech Therapists JEFFERS MADELYN 999999999 72 McLean 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 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 4585 4585 0 0 1004018040 16 Nurse Practitioners 826 Missouri 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 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 1004018211 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 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 0 157 157 0 0 1004018723 1811253255 10 Physicians DEFOE MAYA 606118709 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 172 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 1695 0 0 0 0 0 0 1695 0 0 1004018904 1427317528 10 Physicians OSAWE EFOSA 606383074 200 Cook 0 0 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 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4781 0 0 0 0 0 0 4781 0 0 1004018968 1790159515 16 Nurse Practitioners CATHELYN TINA ROSE 999999999 89 Rock Island 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 0 0 3877 0 0 0 0 0 0 3981 0 0 1004019067 1326411539 16 Nurse Practitioners KECK JACQUELINE D 999999999 200 Cook 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 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5469 0 0 0 0 0 0 5469 0 0 1004019082 1043697816 10 Physicians MENDEZ RAY A 999999999 200 Cook 0 0 Family Practice 0 0 0 0 15 0 0 0 0 0 0 10 0 80 0 0 0 0 0 0 0 0 0 59 0 0 0 0 0 0 31 0 215 0 0 0 0 0 0 0 0 0 59 0 0 0 0 0 0 31 0 215 0 0 0 0 0 0 0 0 0 974 0 0 0 0 0 0 770 0 9812 0 0 0 0 0 0 11556 0 0 1004019307 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 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 1004019623 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 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27766 0 0 0 0 0 0 0 0 0 0 0 0 0 27766 0 0 1004019979 1184926040 10 Physicians MUNSIF SIDDHARTH 999999999 200 Cook 0 0 Internal Medicine 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 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 2505 0 0 0 0 0 0 2505 0 0 1004020441 1649438227 10 Physicians GREENBERG JARED A 999999999 200 Cook 0 0 Internal Medicine 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 0 409 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 409 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11739 0 0 0 0 0 0 11739 0 0 1004020587 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 25 0 0 0 0 0 0 25 0 0 1004020623 1174753263 10 Physicians SHETH DEEPA 999999999 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 20 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 167 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 167 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 2716 0 0 0 0 0 0 2973 0 0 1004020627 1447510805 10 Physicians PLAMOOTTIL GEORGE I 731436208 30 DuPage 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 112 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 3989 0 0 0 0 0 0 3989 0 0 1004020959 10 Physicians 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004021079 1184051211 11 Dentists KATSIS JOHN 999999999 30 DuPage 0 0 0 0 0 18 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 8409 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8409 0 0 1004021168 1043290125 10 Physicians NEMICKAS RIMAS J 999999999 57 Lake 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 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 0 779 0 0 0 0 0 0 779 0 0 1004021299 1780011023 16 Nurse Practitioners KURTOVIC ELVISA 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 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 0 171 0 0 0 0 0 0 171 0 0 1004021502 10 Physicians 816 Iowa 0 0 Radiology Diagnosis 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 0 109 0 0 0 0 0 0 0 0 109 0 0 1004021605 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 10149 0 0 0 0 0 0 0 0 0 0 0 0 0 10149 0 0 1004021907 1861833576 10 Physicians PATEL PARESH 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 157 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 487 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 487 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14296 0 0 0 0 0 0 14296 0 0 1004021919 87 Psychologist(Encounter Only) 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 762 0 0 0 0 0 0 762 0 0 1004022054 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 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 1458 0 0 0 0 0 0 0 0 0 0 0 0 0 1458 0 0 1004022766 10 Physicians 826 Missouri 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 0 107 0 0 0 0 0 0 107 0 0 1004022839 1811056369 10 Physicians GERMANWALA ANAND 601545716 200 Cook 0 0 Neurology Surgery 0 0 0 0 0 0 0 0 0 0 0 1 0 16 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 0 0 5717 0 0 0 0 0 0 5717 0 0 1004023663 1508241761 16 Nurse Practitioners NIELSEN EMILY A 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 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 0 896 0 0 0 0 0 0 896 0 0 1004023707 1861860058 16 Nurse Practitioners STOUFFER JENNIFER M. 999999999 80 Peoria 0 0 0 0 0 0 70 0 0 0 0 0 0 0 0 63 0 0 0 0 0 0 0 0 0 184 0 0 0 0 0 0 0 0 108 0 0 0 0 0 0 0 0 0 184 0 0 0 0 0 0 0 0 108 0 0 0 0 0 0 0 0 0 6077 0 0 0 0 0 0 0 0 3812 0 0 0 0 0 0 9889 0 0 1004024208 20 Registered nurse 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 0 160 0 0 0 0 0 0 160 0 0 1004024539 1538556915 12 Optometrists BROWN JANELLE J 999999999 61 Livingston 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 950 0 0 0 0 0 0 950 0 0 1004024753 30 General Hospitals 10 Adams DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7103 0 0 0 0 0 0 0 0 0 7103 0 0 1004024854 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 0 307 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 25907 0 0 0 0 0 0 0 0 0 0 0 0 0 25907 0 0 1004025167 1275832701 10 Physicians JAIN SACHIN 999999999 53 Kane 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 5 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 205 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 205 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 20452 0 0 0 0 0 0 20473 0 0 1004025191 10 Physicians 89 Rock Island 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004025222 1659739266 16 Nurse Practitioners PRITTS PAUL R 999999999 19 Champaign 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 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 1762 0 0 0 0 0 0 1762 0 0 1004025314 1609293372 16 Nurse Practitioners BOWEN BETHANY 622691848 96 St Clair 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 0 159 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 1400 0 0 0 0 0 0 1400 0 0 1004025349 1043535438 10 Physicians SIMPSON SCOTT A 999999999 826 Missouri 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 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 0 160 0 0 0 0 0 0 160 0 0 1004025505 1649616756 89 Physician Assistant Only(Encounter Only) KARL JESSICA A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 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 0 739 0 0 0 0 0 0 739 0 0 1004026489 1114214996 10 Physicians PRASAD NEENU 999999999 200 Cook 0 0 Family Practice 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 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 2032 0 0 0 0 0 0 2032 0 0 1004026496 1689034274 16 Nurse Practitioners SCHNEIDER DANIELLE N 999999999 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 93 0 0 0 0 0 0 93 0 0 1004026583 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 26243 0 0 0 0 0 0 0 0 0 0 0 0 0 26243 0 0 1004026654 1366766974 10 Physicians RALLS MICHAEL L 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 648 0 120 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 916 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 916 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8669 0 618 0 0 0 0 0 0 9287 0 0 1004026758 1710060819 16 Nurse Practitioners FELDMANN SENCE 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 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 1099 0 0 0 0 0 0 1099 0 0 1004026873 10 Physicians 106 Whiteside 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 106 0 0 1004027092 1265570964 89 Physician Assistant Only(Encounter Only) BOUDOS JESSICA 606313222 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 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 2207 0 0 0 0 0 0 2207 0 0 1004027311 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 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 1279 0 0 0 0 0 0 0 0 0 0 0 0 0 1279 0 0 1004027332 10 Physicians 200 Cook 0 0 General Psychiatry Residency 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 1004027444 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 0 110 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 17053 0 0 0 0 0 0 0 0 0 0 0 0 0 17053 0 0 1004027539 1689677148 10 Physicians IRANI MEHRABOON S 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 369 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1264 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1264 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3158 0 0 0 0 0 0 0 0 3158 0 0 1004027595 92 Waiver service provider--Disability (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 26969 0 0 0 0 0 0 0 0 0 0 0 0 0 26969 0 0 1004028320 10 Physicians 852 Wisconsin 0 0 0 0 0 0 0 0 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 35 0 0 0 0 0 0 0 0 35 0 0 1004028334 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 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 95 0 0 0 0 0 0 95 0 0 1004028697 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 0 317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27637 0 0 0 0 0 0 0 0 0 0 0 0 0 27637 0 0 1004028729 1073771283 10 Physicians PONISIO MARIA R 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 15 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 486 0 580 0 0 0 0 0 0 1066 0 0 1004028743 1205197613 10 Physicians MASON BRANDYN W 999999999 19 Champaign 0 1 General Practice 0 0 0 0 6 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 484 0 0 0 0 0 0 0 0 3121 0 0 0 0 0 0 3605 0 0 1004028800 94 Waiver service provider--Children's support (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 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 8186 0 0 0 0 0 0 0 0 0 0 0 0 0 8186 0 0 1004029098 16 Nurse Practitioners 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 48 0 0 1004029117 1376706317 10 Physicians TOMITA TADAKI 606118709 200 Cook 0 0 Vascular Surgery 0 0 0 0 0 0 0 0 0 0 0 5 0 268 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 411 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 411 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 13958 0 0 0 0 0 0 13984 0 0 1004029162 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 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26131 0 0 0 0 0 0 0 0 0 0 0 0 0 26131 0 0 1004030029 22 Physical Therapists 107 Will 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 18 18 0 0 1004030101 1437447802 89 Physician Assistant Only(Encounter Only) ANDERSON LINDSAY R. 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 0 0 0 0 0 0 0 0 0 0 1004030314 1144613746 36 Community mental health provider WELCOMING CENTER 606257014 200 Cook 0 0 0 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 692 0 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 692 0 0 7835 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55895 0 0 63730 0 0 1004030671 1013133685 89 Physician Assistant Only(Encounter Only) VILLADOLID CHRISTIAN 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 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 0 249 0 0 0 0 0 0 249 0 0 1004031093 1104253806 16 Nurse Practitioners GOMEZ CHRISTY A 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 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 0 945 0 0 0 0 0 0 945 0 0 1004031250 1467748624 10 Physicians PALMATIER JASON 601545716 200 Cook 0 0 Emergency Medicine 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 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3079 0 0 0 0 0 0 3079 0 0 1004031481 1710361423 89 Physician Assistant Only(Encounter Only) MCELLIGOTT BRENDAN 946081826 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105 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 7010 0 0 0 0 0 0 7010 0 0 1004031566 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 0 239 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 30269 0 0 0 0 0 0 0 0 0 0 0 0 0 30269 0 0 1004031665 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 252 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 11465 0 0 0 0 0 0 0 0 0 0 0 0 0 11465 0 0 1004031946 1053783407 33 Nursing Facilities ASTORIA PLACE LIVING & REHAB 606591702 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 472 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11925 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2159935 0 0 0 0 0 0 0 2159935 0 0 1004032409 1932448610 24 Speech Therapists ZAPCHENK KELLY 999999999 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 6769 6769 0 0 1004032452 1477572949 30 General Hospitals GLENOAKS MEDICAL CENTER INC 999999999 30 DuPage DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 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 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 489 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12191 0 0 0 0 0 0 0 0 0 12191 0 0 1004032465 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 0 127 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 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1004032509 1790101681 61 Independent Laboratories AMERICAN HEALTH ASSCTS 627044976 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1461 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1461 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9993 0 0 0 0 0 0 0 0 9993 0 0 1004032679 1235395492 10 Physicians CHEN ANDREA L 604478715 40 Grundy 0 0 Obstetric-Gynecology 0 0 0 0 1 0 0 0 0 0 0 12 0 31 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 19 0 53 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 19 0 53 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 553 0 5501 0 0 0 0 0 0 6138 0 0 1004033490 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 0 283 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 283 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29403 0 0 0 0 0 0 0 0 0 0 0 0 0 29403 0 0 1004033939 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 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 38885 0 0 0 0 0 0 0 0 0 0 0 0 0 38885 0 0 1004033978 87 Psychologist(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2865 0 0 0 0 0 0 2865 0 0 1004034031 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 12828 0 0 0 0 0 0 0 0 0 0 0 0 0 12828 0 0 1004034081 1811208523 89 Physician Assistant Only(Encounter Only) STRATTON LINDSEY 999999999 30 DuPage 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 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 1301 0 0 0 0 0 0 1301 0 0 1004034140 1336346360 89 Physician Assistant Only(Encounter Only) ANDERSON ELIAS J 999999999 47 Jackson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 222 0 0 0 0 0 0 222 0 0 1004034347 1700258183 16 Nurse Practitioners JERNIGAN KIMBERLY A 999999999 108 Williamson 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 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 0 252 0 0 0 0 0 0 252 0 0 1004034508 1952647273 89 Physician Assistant Only(Encounter Only) FIEDLER AMY 999999999 90 Saline 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 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 3125 0 0 0 0 0 0 3125 0 0 1004034518 1528452240 10 Physicians RAJEH MHD NABEEL 999999999 826 Missouri 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 0 109 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 1009 0 0 0 0 0 0 1009 0 0 1004034552 1841554094 11 Dentists BUGGER HAHN EMILY 631101002 200 Cook 0 0 General Dentistry 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 148 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 3969 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3969 0 0 1004034739 1265571061 10 Physicians AGRAWAL NISHANT 999999999 30 DuPage 0 0 Otolaryngology 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 251 0 0 0 0 0 0 251 0 0 1004034855 1740658533 16 Nurse Practitioners TAM JOYCE 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 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 0 394 0 0 0 0 0 0 394 0 0 1004035069 10 Physicians 200 Cook 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 71 0 0 0 0 0 0 0 0 71 0 0 1004035305 1235157264 60 Pharmacies MACKINAW PHARMACY 617557510 98 Tazewell 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 0 407 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11671 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29405 0 0 0 29405 0 0 1004035327 1205081288 10 Physicians DAS APARAJITA 601265658 30 DuPage 0 0 Internal Medicine 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 0 171 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 0 953 0 0 0 0 0 0 953 0 0 1004035890 1063738599 10 Physicians BAUML JULIE A 480381125 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 227 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 314 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 314 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3322 0 293 0 0 0 0 0 0 3615 0 0 1004035918 91 Waiver service provider--Adults (DHS/DDD) 108 Williamson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 192 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 25142 0 0 0 0 0 0 0 0 0 0 0 0 0 25142 0 0 1004035936 1104099142 10 Physicians JURADO JAVIER A 462601316 97 Stephenson 0 0 Cardiovascular Diseases 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 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 0 325 0 0 0 0 0 0 325 0 0 1004035960 1144455767 10 Physicians WHITE ABIGAIL 999999999 64 Macoupin 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6523 0 0 0 0 0 0 6523 0 0 1004036218 1871975417 91 Waiver service provider--Adults (DHS/DDD) DAWSON NANCY ANNE 622217018 96 St Clair 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 0 541 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 541 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2872 0 0 0 0 0 0 0 0 0 0 0 0 0 2872 0 0 1004036294 1285072173 89 Physician Assistant Only(Encounter Only) AHRWEILER ALYSE N 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 0 151 0 0 0 0 0 0 151 0 0 1004036472 1467835223 11 Dentists THOTA SANDEEP 999999999 72 McLean 0 0 0 0 0 408 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 3041 0 0 0 0 0 0 0 0 0 0 0 101 0 0 0 0 0 0 3041 0 0 0 0 0 0 0 0 0 0 0 101 0 0 0 0 0 0 123471 0 0 0 0 0 0 0 0 0 0 0 44853 0 0 0 0 168324 0 0 1004036682 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 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 4385 0 0 0 0 0 0 0 0 0 0 0 0 0 4385 0 0 1004036874 1851301030 89 Physician Assistant Only(Encounter Only) BARMADA OWEN 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 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 1679 0 0 0 0 0 0 1679 0 0 1004036997 1912363227 16 Nurse Practitioners FARANO JENISE 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 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 0 305 0 0 0 0 0 0 305 0 0 1004037023 16 Nurse Practitioners 80 Peoria 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 0 358 0 0 0 0 0 0 358 0 0 1004037134 1750774386 16 Nurse Practitioners DOOLIN STEPHANIE N 627083428 91 Sangamon 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 0 142 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 0 0 0 0 0 0 0 0 0 0 3952 0 0 0 0 0 0 3952 0 0 1004037390 91 Waiver service provider--Adults (DHS/DDD) 30 DuPage 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 832 0 0 0 0 0 0 0 0 0 0 0 0 0 832 0 0 1004037560 1336528678 16 Nurse Practitioners UY FRANCES L. 999999999 200 Cook 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 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2127 0 0 0 0 0 0 2127 0 0 1004037648 1922322064 10 Physicians DOUGLASS LAURA A 605275965 30 DuPage 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 2 0 17 0 0 0 0 0 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 2 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 919 0 0 0 0 0 0 926 0 0 1004037764 1275829277 10 Physicians ROMO ERNESTO JAVIER 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 13 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 0 907 0 0 0 0 0 0 907 0 0 1004038162 1336522275 16 Nurse Practitioners VENTIMIGLIA-BRANDT CHRISTINA E 999999999 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 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 1289 0 0 0 0 0 0 1289 0 0 1004038481 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 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 0 224 0 0 0 0 0 0 224 0 0 1004038543 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 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 0 842 0 0 0 0 0 0 0 0 0 0 0 0 0 842 0 0 1004038575 10 Physicians 24 Coles 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 32 0 0 0 0 0 0 0 0 32 0 0 1004038607 1114387701 75 Department of Alcohol and Substance Abuse Provider FAMILY COUNSELING CENTER INC 629951612 52 Johnson 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4701 0 0 4701 0 0 1004038613 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 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10233 0 0 0 0 0 0 0 0 0 0 0 0 0 10233 0 0 1004038836 1134525199 16 Nurse Practitioners CORREA MIRIAM 606123748 200 Cook 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 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3907 0 0 0 0 0 0 3907 0 0 1004038991 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 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 1026 0 0 0 0 0 0 0 0 0 0 0 0 0 1026 0 0 1004039597 91 Waiver service provider--Adults (DHS/DDD) 13 Boone 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 267 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 28417 0 0 0 0 0 0 0 0 0 0 0 0 0 28417 0 0 1004039696 1366733800 10 Physicians FORBES ANDREW J 999999999 81 Perry 0 0 Internal 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 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 0 220 0 0 0 0 0 0 220 0 0 1004039717 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 0 121 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 28421 0 0 0 0 0 0 0 0 0 0 0 0 0 28421 0 0 1004039994 25 Audiologists 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 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 80 80 0 0 1004040063 1780723122 10 Physicians STARON JEFFREY S 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 9 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 88 0 389 0 0 0 0 0 0 477 0 0 1004040101 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 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 22275 0 0 0 0 0 0 0 0 0 0 0 0 0 22275 0 0 1004040281 1326274556 10 Physicians SARHAN MOHAMMAD 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 136 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 221 0 7650 0 0 0 0 0 0 7871 0 0 1004040294 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004040454 10 Physicians 852 Wisconsin 0 0 Surgery General 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 68 0 0 1004040502 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 74 0 0 1004040511 1144608605 16 Nurse Practitioners SHULTS TABITHA 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 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 1004040709 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 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 4724 0 0 0 0 0 0 0 0 0 0 0 0 0 4724 0 0 1004040790 1093154809 10 Physicians DISTERHOFT JUDITH 999999999 200 Cook 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 131 0 0 0 0 0 0 0 0 164 0 0 0 0 0 0 295 0 0 1004041237 1720241839 10 Physicians KULAR RAJNISHPAUL K 605323661 30 DuPage 0 0 Psychiatry 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 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 1288 0 0 0 0 0 0 1288 0 0 1004041346 89 Physician Assistant Only(Encounter Only) 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 180 0 0 0 0 0 0 180 0 0 1004041386 1154458545 10 Physicians ZELINKA PETER B 999999999 80 Peoria 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 433 0 0 0 0 0 0 0 0 433 0 0 1004041418 1770942823 11 Dentists SAADI HOMAM 999999999 200 Cook 0 0 General Dentistry 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 847 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 847 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 48335 0 0 0 0 0 0 0 0 0 0 0 2220 0 0 0 0 50555 0 0 1004041585 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 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14356 0 0 0 0 0 0 0 0 0 0 0 0 0 14356 0 0 1004041715 1093042541 89 Physician Assistant Only(Encounter Only) HUGHES KRISTEN E 999999999 91 Sangamon 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 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 0 764 0 0 0 0 0 0 764 0 0 1004041749 1093956815 10 Physicians ZOTZ JARED K 617017910 72 McLean 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 14 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1235 0 1147 0 0 0 0 0 0 2382 0 0 1004041830 22 Physical Therapists 108 Williamson 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 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 0 373 373 0 0 1004041859 1477684132 63 Other Providers of Medical Equipment/Supplies (Non-registered) WOUND CARE SOLUTIONS INC 606122345 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9404 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9404 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141403 0 0 0 0 0 0 141403 0 0 1004041904 1174624241 10 Physicians KUNG AMIINAH Y 999999999 200 Cook 0 0 Allergy-Immunization 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2266 0 0 0 0 0 0 2266 0 0 1004042330 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 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 0 246 0 0 0 0 0 0 246 0 0 1004042406 1396058194 12 Optometrists STURGILL SARAH C 617011784 72 McLean 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 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 0 588 0 0 0 0 0 0 588 0 0 1004042700 1154565307 10 Physicians KENNY RYAN M 601783175 27 Dekalb 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 42 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 456 0 3538 0 0 0 0 0 0 3994 0 0 1004042802 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 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 0 599 0 0 0 0 0 0 0 0 0 0 0 0 0 599 0 0 1004042823 1487960951 10 Physicians JANI JAI 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 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 2584 0 0 0 0 0 0 2584 0 0 1004042844 1780973875 10 Physicians GUTIERREZ BIBIANCY 999999999 19 Champaign 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 13 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 796 0 1378 0 0 0 0 0 0 2174 0 0 1004043126 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 0 314 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 314 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20898 0 0 0 0 0 0 0 0 0 0 0 0 0 20898 0 0 1004043207 1881072551 33 Nursing Facilities SYMPHONY OF MORGAN PARK 606283127 200 Cook 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 0 360 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8672 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1260300 0 0 0 0 0 0 0 1260300 0 0 1004043394 1710252119 10 Physicians RAO KRISTEN E. 999999999 200 Cook 0 0 Pediatrics 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 3251 0 0 0 0 0 0 3251 0 0 1004043488 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 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14515 0 0 0 0 0 0 0 0 0 0 0 0 0 14515 0 0 1004043580 1124014865 89 Physician Assistant Only(Encounter Only) COBLE JAYSON A 999999999 80 Peoria 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 0 293 0 0 0 0 0 0 293 0 0 1004043633 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 0 184 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 23564 0 0 0 0 0 0 0 0 0 0 0 0 0 23564 0 0 1004043677 1952739559 11 Dentists ZHADOVICH ANTON 999999999 200 Cook 0 0 0 0 0 48 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 8523 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8523 0 0 1004043882 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3147 0 0 0 0 0 0 0 0 0 0 0 0 0 3147 0 0 1004043943 1821023276 16 Nurse Practitioners FRENCH CLAIRE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 451 0 0 0 0 0 0 451 0 0 1004044293 1417182858 10 Physicians AMICO ANDREA L 605276686 826 Missouri 0 0 Internal Medicine 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 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 1141 0 0 0 0 0 0 1141 0 0 1004044536 1356601256 10 Physicians ECKER HILLARY 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 2 0 0 0 0 0 0 1 0 36 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 1 0 63 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 1 0 63 0 0 0 0 0 0 0 0 0 209 0 0 0 0 0 0 10 0 823 0 0 0 0 0 0 1042 0 0 1004044660 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 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30261 0 0 0 0 0 0 0 0 0 0 0 0 0 30261 0 0 1004045469 1467872820 36 Community mental health provider PHOENIX FAMILY CENTER LLC 601203829 53 Kane 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 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20623 0 0 20623 0 0 1004045522 1619298940 10 Physicians HALE LYMAN LANSING 999999999 47 Jackson 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 0 134 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 4663 0 0 0 0 0 0 4663 0 0 1004045608 1194038588 10 Physicians MARTIN MARIA 535625531 852 Wisconsin 0 0 Radiology Diagnosis 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 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 0 103 0 0 0 0 0 0 0 0 103 0 0 1004045727 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 0 336 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 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1004045999 1063884799 16 Nurse Practitioners WALLER DAVIS SHANNON D 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2561 0 0 0 0 0 0 2561 0 0 1004046185 1720217581 10 Physicians RAJU BHARAT N 999999999 106 Whiteside 0 0 Family Practice 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 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6753 0 0 0 0 0 0 6753 0 0 1004046540 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004046550 1093069593 16 Nurse Practitioners PEREZ ANNE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22549 0 0 0 0 0 0 22549 0 0 1004046748 1700271459 16 Nurse Practitioners FRESE MICHELE 600846037 57 Lake 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 109 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 109 0 0 0 0 0 0 0 0 0 1163 0 0 0 0 0 0 0 0 3739 0 0 0 0 0 0 4902 0 0 1004046878 1700274750 36 Community mental health provider MCHENRY 600123732 71 McHenry 0 0 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 2216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2974 0 0 2216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2974 0 0 328738 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300650 0 0 629388 0 0 1004046973 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 0 365 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 25531 0 0 0 0 0 0 0 0 0 0 0 0 0 25531 0 0 1004047255 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004047326 1679978803 16 Nurse Practitioners MCGUAN STACEY 604501207 40 Grundy 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 513 0 0 0 0 0 0 0 0 1104 0 0 0 0 0 0 1617 0 0 1004047329 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 0 123 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 25576 0 0 0 0 0 0 0 0 0 0 0 0 0 25576 0 0 1004047677 10 Physicians 30 DuPage 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 9 0 0 1004047701 1356662902 10 Physicians APEL JILL FRANCES 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 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 1776 0 0 0 0 0 0 1776 0 0 1004047749 1750758496 60 Pharmacies CVS PHARMACY 10774 620881561 64 Macoupin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 677 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23076 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17941 0 0 0 17941 0 0 1004047984 1467712596 10 Physicians ABADIN SHABIRHUSAIN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 146 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 146 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9348 0 0 0 0 0 0 9348 0 0 1004048084 1912375353 16 Nurse Practitioners TRACY ANGELA D 999999999 68 Mason 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 0 263 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 2247 0 0 0 0 0 0 2247 0 0 1004048338 1699919324 10 Physicians BELLAGUARDA EMANUELLE 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1471 0 0 0 0 0 0 1471 0 0 1004048707 92 Waiver service provider--Disability (DHS/DRS) 96 St Clair 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 460 0 0 0 0 0 0 0 0 0 0 0 0 0 460 0 0 1004048798 1508878752 10 Physicians CHUNG JONATHAN H 999999999 30 DuPage 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 1051 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1051 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7604 0 0 0 0 0 0 0 0 7604 0 0 1004049232 1417321134 16 Nurse Practitioners SIS ERICA N. 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 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 0 290 0 0 0 0 0 0 290 0 0 1004049639 1235534066 16 Nurse Practitioners MARTIN ASHLEY 623111228 42 Hancock 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 0 156 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 0 0 0 0 0 583 0 0 0 0 0 0 583 0 0 1004049839 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20362 0 0 0 0 0 0 0 0 0 0 0 0 0 20362 0 0 1004050124 16 Nurse Practitioners 108 Williamson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 47 0 0 1004050776 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 0 120 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 17107 0 0 0 0 0 0 0 0 0 0 0 0 0 17107 0 0 1004050952 1528346517 10 Physicians DIVAKARAN NEELIMA 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 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 0 677 0 0 0 0 0 0 677 0 0 1004050972 1568723211 10 Physicians RAJU PRADEEP 999999999 109 Winnebago 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 66 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 109 0 131 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 109 0 131 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2170 0 1412 0 0 0 0 0 0 3582 0 0 1004051123 1104155258 10 Physicians ALBREKTSON JOSHUA 462063272 80 Peoria 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 13 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 704 0 24 0 0 0 0 0 0 728 0 0 1004051127 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 357 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 22408 0 0 0 0 0 0 0 0 0 0 0 0 0 22408 0 0 1004051142 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 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 0 441 441 0 0 1004051151 91 Waiver service provider--Adults (DHS/DDD) 30 DuPage 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 480 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 0 0 0 0 0 0 0 0 0 0 0 0 56001 0 0 0 0 0 0 0 0 0 0 0 0 0 56001 0 0 1004051168 1902117328 10 Physicians ARORA NAVDIP S 624012009 33 Effingham 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 431 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 431 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1972 0 0 0 0 0 0 1972 0 0 1004051416 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 149 0 0 0 0 0 0 149 0 0 1004051500 1902120819 10 Physicians RUSSELL ANDREW 705083870 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 131 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 4495 0 0 0 0 0 0 4495 0 0 1004051691 1417360082 24 Speech Therapists PRESCOTT CASEY 999999999 200 Cook 0 0 0 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 0 159 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 10984 10984 0 0 1004051816 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 297 0 0 1004051838 1053787630 89 Physician Assistant Only(Encounter Only) AMBROSE AIMEE 999999999 30 DuPage 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 153 0 0 0 0 0 0 0 0 1449 0 0 0 0 0 0 1602 0 0 1004052021 1225305246 16 Nurse Practitioners WAGALA-AYAFOR INNOCENTCIA N. 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 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 1601 0 0 0 0 0 0 1601 0 0 1004052024 1477827897 16 Nurse Practitioners FLOYD KIMBERLY J 477140524 108 Williamson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 43 0 0 1004052224 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 30205 0 0 0 0 0 0 0 0 0 0 0 0 0 30205 0 0 1004052314 1922317759 10 Physicians LI MINDY 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 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 1557 0 0 0 0 0 0 1557 0 0 1004052432 1205943859 89 Physician Assistant Only(Encounter Only) BROWN KIMBERLY L 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 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 0 893 0 0 0 0 0 0 893 0 0 1004052573 1215916788 16 Nurse Practitioners LAFF MARIANNE 610320268 97 Stephenson 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 938 0 0 0 0 0 0 1168 0 0 1004052655 10 Physicians 200 Cook 0 0 Psychiatry 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 69 0 0 1004052768 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 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33472 0 0 0 0 0 0 0 0 0 0 0 0 0 33472 0 0 1004052886 1881994432 89 Physician Assistant Only(Encounter Only) LENSTROM AMBER L 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 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 2035 0 0 0 0 0 0 2035 0 0 1004053065 1700044112 10 Physicians NANAVATY PREMA 606751611 200 Cook 0 0 Internal 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 0 425 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 0 0 0 0 0 0 0 0 0 0 0 0 6647 0 0 0 0 0 0 6647 0 0 1004053334 91 Waiver service provider--Adults (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 0 365 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 22809 0 0 0 0 0 0 0 0 0 0 0 0 0 22809 0 0 1004053363 23 Occupational Therapists 109 Winnebago 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 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 0 279 279 0 0 1004053564 1306240767 16 Nurse Practitioners SLADE KELLY 999999999 91 Sangamon 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 91 0 0 0 0 0 0 0 0 1615 0 0 0 0 0 0 1706 0 0 1004053959 10 Physicians 109 Winnebago 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 88 0 0 0 0 0 0 0 0 88 0 0 1004054010 1912954538 10 Physicians HAWS PALMELLA N 752222006 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 689 0 0 0 0 0 0 689 0 0 1004054139 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 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 3766 0 0 0 0 0 0 0 0 0 0 0 0 0 3766 0 0 1004054236 1285734053 89 Physician Assistant Only(Encounter Only) ALBARILLO MARIE V 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 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 0 159 0 0 0 0 0 0 159 0 0 1004054530 1720374002 10 Physicians AGUINALDO ERIC T. 999999999 200 Cook 0 0 Internal Medicine 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 27 0 0 0 0 0 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 0 0 282 0 0 0 0 0 0 282 0 0 1004054624 1861810574 16 Nurse Practitioners SPICKA CINDY M 606313222 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 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 0 593 0 0 0 0 0 0 593 0 0 1004054631 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 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35154 0 0 0 0 0 0 0 0 0 0 0 0 0 35154 0 0 1004054764 87 Psychologist(Encounter Only) 72 McLean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 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 0 116 0 0 0 0 0 0 116 0 0 1004054837 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 0 304 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 304 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27456 0 0 0 0 0 0 0 0 0 0 0 0 0 27456 0 0 1004054944 10 Physicians 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 25 0 0 1004055429 1578768487 10 Physicians BHATIA ALISHA 999999999 30 DuPage 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 2 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11395 0 0 0 0 0 0 11395 0 0 1004056330 1174866495 10 Physicians OZKOK AHMET 999999999 109 Winnebago 0 0 Ophthalmology 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 0 298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3209 0 0 0 0 0 0 3209 0 0 1004056515 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 0 142 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 0 0 0 0 0 0 0 0 0 0 27626 0 0 0 0 0 0 0 0 0 0 0 0 0 27626 0 0 1004056552 1730373127 10 Physicians STEVENS PERRY 999999999 98 Tazewell 0 0 Radiology Diagnosis 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 0 233 0 0 0 0 0 0 0 0 233 0 0 1004056911 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 74 0 0 0 0 0 0 74 0 0 1004057311 1548249097 10 Physicians JOHNSON JEREMY S 624502553 88 Richland 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 489 0 0 0 0 0 0 489 0 0 1004057403 1407147374 10 Physicians MALK CRAIG 999999999 30 DuPage 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4344 0 0 0 0 0 0 4344 0 0 1004057493 10 Physicians 107 Will 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 0 153 0 0 0 0 0 0 153 0 0 1004057655 1205223070 60 Pharmacies MEIJER PHARMACY 192 611076835 109 Winnebago 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 1009 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31681 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56853 0 0 0 56853 0 0 1004057819 1962728972 10 Physicians LEVERIDGE SHANNON 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 7 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 298 0 5746 0 0 0 0 0 0 6044 0 0 1004057979 1285041392 16 Nurse Practitioners SINGH ARCHANA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 346 0 0 0 0 0 0 346 0 0 1004058098 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27998 0 0 0 0 0 0 0 0 0 0 0 0 0 27998 0 0 1004058649 33 Nursing Facilities 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 387 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67085 0 0 0 0 0 0 0 67085 0 0 1004058809 1033116165 10 Physicians ALDAHHAK ROULA 631102515 200 Cook 0 0 Neurology 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 78 0 0 0 0 0 0 78 0 0 1004058907 1407007628 10 Physicians EL SAMRA AHMAD 80433520 30 DuPage 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 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 6884 0 0 0 0 0 0 6884 0 0 1004058969 14 Chiropractors 71 McHenry 0 0 0 0 0 0 0 0 0 0 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 1004059137 1639519309 10 Physicians FATTOUHI MAZIN 999999999 57 Lake 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 353 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 353 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7215 0 0 0 0 0 0 7215 0 0 1004059210 1447692397 24 Speech Therapists BOS PAULA 606154573 200 Cook 0 0 0 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 0 950 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 950 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69680 69680 0 0 1004059446 1265775316 10 Physicians PETZEL AMY 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 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 0 930 0 0 0 0 0 0 930 0 0 1004059551 1164898524 89 Physician Assistant Only(Encounter Only) CHESSARE RACHEL E 999999999 200 Cook 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 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 1201 0 0 0 0 0 0 1201 0 0 1004059767 1467841338 16 Nurse Practitioners ZIELKE MARY 627949639 91 Sangamon 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 0 147 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 7733 0 0 0 0 0 0 7733 0 0 1004059907 1174822340 10 Physicians KIM HOWARD 999999999 200 Cook 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 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 3410 0 0 0 0 0 0 3410 0 0 1004059921 16 Nurse Practitioners 818 Kentucky 0 0 0 0 0 0 0 0 0 0 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 96 0 0 0 0 0 0 96 0 0 1004060333 1780951913 89 Physician Assistant Only(Encounter Only) WILSON ELIZABETH 999999999 72 McLean 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 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 1412 0 0 0 0 0 0 1412 0 0 1004060758 1942442736 10 Physicians DARLINGTON WENDY S 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 1 0 0 0 0 0 0 2 0 26 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 36 0 63 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 36 0 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1056 0 3433 0 0 0 0 0 0 4489 0 0 1004060772 1962760314 10 Physicians SATO MAKI 606751620 200 Cook 0 0 Family Practice 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 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 1512 0 0 0 0 0 0 1512 0 0 1004060785 1679783088 11 Dentists QAISI MOHAMMED K 999999999 200 Cook 0 0 General Dentistry 0 0 0 14 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 1642 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1642 0 0 1004060957 10 Physicians 200 Cook 0 0 Allergy-Immunization 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 0 230 0 0 0 0 0 0 230 0 0 1004060963 92 Waiver service provider--Disability (DHS/DRS) 99 Union 0 0 0 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 0 867 0 0 0 0 0 0 0 0 0 0 0 0 0 867 0 0 1004060970 92 Waiver service provider--Disability (DHS/DRS) 51 Jo Daviess 0 0 0 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 0 950 0 0 0 0 0 0 0 0 0 0 0 0 0 950 0 0 1004061447 1548646243 16 Nurse Practitioners ROACH DANIELLE M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 430 0 0 0 0 0 0 430 0 0 1004061530 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 0 143 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 13086 0 0 0 0 0 0 0 0 0 0 0 0 0 13086 0 0 1004061792 1770950081 11 Dentists XU HENG 999999999 57 Lake 0 0 General Dentistry 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4563 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4563 0 0 1004061861 1578866448 16 Nurse Practitioners HOFFMAN COURTNEY B 606948979 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 549 0 0 0 0 0 0 549 0 0 1004061887 1164740254 10 Physicians DELACRUZ JENNIFER 999999999 30 DuPage 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 0 405 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 0 0 0 0 0 8922 0 0 0 0 0 0 8922 0 0 1004061939 1609031558 10 Physicians KITCHAROENSAKKUL MALEEWAN 631600352 200 Cook 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 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 0 908 0 0 0 0 0 0 908 0 0 1004062108 1316320849 48 Rural Health Clinics OSF MEDICAL GROUP - MENDOTA 613429010 58 La Salle 0 0 0 0 403 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1492 0 97 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1492 0 97 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37977 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37977 0 0 1004062485 87 Psychologist(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 95 0 0 0 0 0 0 95 0 0 1004062493 1568899953 16 Nurse Practitioners WARRINER LINDSAY A 999999999 200 Cook 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 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 1291 0 0 0 0 0 0 1291 0 0 1004062564 1275744724 10 Physicians QUDDUS SANA 601545716 200 Cook 0 0 Pulmonary Diseases 0 0 0 0 0 0 0 0 0 0 0 0 0 48 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 0 390 0 0 0 0 0 0 390 0 0 1004062641 1952560963 10 Physicians AHMAD FATIMA 999999999 108 Williamson 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 6 0 209 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 844 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 844 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 55760 0 0 0 0 0 0 55791 0 0 1004062748 1457581373 16 Nurse Practitioners GARZA ELSA 605275965 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 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 0 226 0 0 0 0 0 0 226 0 0 1004062983 1558658633 10 Physicians HOUCK MEGHANN 999999999 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1262 0 0 0 0 0 0 1262 0 0 1004063016 1881829992 10 Physicians KRANTZ SETH B. 602011718 200 Cook 0 0 Thoracic Surgery 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 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 2631 0 0 0 0 0 0 2631 0 0 1004063160 1265864094 87 Psychologist(Encounter Only) SCHMITT NATALIE P. 999999999 71 McHenry 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 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 0 0 0 0 0 0 0 0 0 0 1004063647 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 0 108 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 22756 0 0 0 0 0 0 0 0 0 0 0 0 0 22756 0 0 1004063703 10 Physicians 852 Wisconsin 0 0 Anesthesiology 0 0 0 0 0 0 0 0 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 0 721 0 0 0 0 0 0 721 0 0 1004063803 1801055082 10 Physicians SHENG NEHA 999999999 200 Cook 0 0 Vascular Surgery 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 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 2497 0 0 0 0 0 0 2497 0 0 1004063834 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 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 78 0 0 0 0 0 0 78 0 0 1004063978 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 84 0 0 0 0 0 0 84 0 0 1004064065 1932549318 10 Physicians SOLOWSKI PAMELA E 999999999 53 Kane 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 12 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 839 0 1148 0 0 0 0 0 0 1987 0 0 1004064142 1760870430 11 Dentists OGUNSANYA FOLASHADE 999999999 200 Cook 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 349 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 349 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 15533 0 0 0 0 0 0 0 0 0 0 0 4884 0 0 0 0 20417 0 0 1004064326 1235438417 10 Physicians GRUNDEMAN CHRISTINE 609361477 35 Ford 0 0 Psychiatry 0 0 0 0 0 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8719 0 0 0 0 0 0 8719 0 0 1004064982 1780993170 10 Physicians LAVIN JENNIFER 606112991 200 Cook 0 0 Otolaryngology 0 0 0 0 0 0 0 0 0 0 0 0 0 139 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 24743 0 0 0 0 0 0 24743 0 0 1004065398 16 Nurse Practitioners 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004065834 1194954826 10 Physicians SHAKIR IMRAN 999999999 200 Cook 0 0 Psychiatry 0 0 0 0 6 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 0 2362 0 0 0 0 0 0 2434 0 0 1004065961 91 Waiver service provider--Adults (DHS/DDD) 98 Tazewell 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 359 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 359 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19653 0 0 0 0 0 0 0 0 0 0 0 0 0 19653 0 0 1004066079 1043447402 10 Physicians ROBERTS WESLEY D 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 391 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 553 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 553 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11001 0 1107 0 0 0 0 0 0 12108 0 0 1004066145 1780827337 10 Physicians CENTENO RACHELLE C 480381125 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 18 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 147 0 1131 0 0 0 0 0 0 1278 0 0 1004066243 1689802001 10 Physicians BRIAN REICHARDT A 999999999 826 Missouri 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 0 266 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 2970 0 0 0 0 0 0 2970 0 0 1004066259 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 226 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 21652 0 0 0 0 0 0 0 0 0 0 0 0 0 21652 0 0 1004066478 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 0 164 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 16730 0 0 0 0 0 0 0 0 0 0 0 0 0 16730 0 0 1004066486 10 Physicians 824 Minnesota 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 41 0 0 1004066640 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61 0 0 0 0 0 0 61 0 0 1004067102 1578857835 10 Physicians AHN CHI YUNG 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 203 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5497 0 0 0 0 0 0 5497 0 0 1004067125 1063898914 16 Nurse Practitioners SUMMERS APRIL 999999999 59 Lawrence 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 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 2028 0 0 0 0 0 0 2028 0 0 1004067584 1588953186 10 Physicians LEWIS DAKISHA 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 16 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61 0 6547 0 0 0 0 0 0 6608 0 0 1004067728 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 74 0 0 0 0 0 0 74 0 0 1004067745 91 Waiver service provider--Adults (DHS/DDD) 46 Iroquois 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3499 0 0 0 0 0 0 0 0 0 0 0 0 0 3499 0 0 1004067844 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 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 1004067941 1467546390 16 Nurse Practitioners MONTAGUE KATHRYN A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 480 0 0 0 0 0 0 480 0 0 1004068302 1063836450 16 Nurse Practitioners CRISLER MARY A 625680438 20 Christian 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61 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 0 0 0 0 0 0 0 0 0 0 142 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1919 0 0 0 0 0 0 1919 0 0 1004068619 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 285 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 285 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25363 0 0 0 0 0 0 0 0 0 0 0 0 0 25363 0 0 1004068752 1245585322 10 Physicians MURARI PALLAVI 616360001 80 Peoria 0 0 Family Practice 0 0 0 0 3 0 0 0 0 0 0 36 0 164 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 42 0 173 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 42 0 173 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 560 0 2749 0 0 0 0 0 0 3393 0 0 1004068793 1457722910 89 Physician Assistant Only(Encounter Only) WESHINSKEY ETHAN 999999999 108 Williamson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 329 0 0 0 0 0 0 329 0 0 1004068803 1841661089 40 Federally Qualified Health Centers ACCESS AUSTIN FAMILY HEALTH C 999999999 200 Cook 0 0 0 0 149 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 357 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 357 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29561 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29561 0 0 1004068983 1225349004 22 Physical Therapists COCHRANE RYAN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 112 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 1628 1628 0 0 1004069149 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 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 27842 0 0 0 0 0 0 0 0 0 0 0 0 0 27842 0 0 1004069402 1316292592 10 Physicians PANOZZO STACY L. 602011700 200 Cook 0 1 Internal Medicine 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 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 0 323 0 0 0 0 0 0 323 0 0 1004069705 16 Nurse Practitioners 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004069730 1669554465 16 Nurse Practitioners ROBERTS ERIC D 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93 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 3082 0 0 0 0 0 0 3082 0 0 1004069857 1780996470 10 Physicians COUGHLIN CARRIE C 631600352 200 Cook 0 0 Dermatology 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 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 1163 0 0 0 0 0 0 1163 0 0 1004069956 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 19855 0 0 0 0 0 0 0 0 0 0 0 0 0 19855 0 0 1004070121 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 0 404 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 51425 0 0 0 0 0 0 0 0 0 0 0 0 0 51425 0 0 1004070302 1427420900 16 Nurse Practitioners TOTH MARK A 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1017 0 0 0 0 0 0 1017 0 0 1004070608 1790140580 89 Physician Assistant Only(Encounter Only) ENGELS-ARTEAGA CAITLIN J 999999999 200 Cook 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 127 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 168 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 168 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 2979 0 0 0 0 0 0 3236 0 0 1004070728 92 Waiver service provider--Disability (DHS/DRS) 27 Dekalb 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 17247 0 0 0 0 0 0 0 0 0 0 0 0 0 17247 0 0 1004070814 1609112523 13 Podiatrists RAMMACHER ADAM J. 999999999 65 Madison 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 0 474 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 474 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3141 0 0 0 0 0 0 3141 0 0 1004071025 1982083754 36 Community mental health provider DUPAGE COUNTY HEALTH DEPARTMEN 999999999 30 DuPage 0 0 0 405 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 409 0 0 1447 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2597 0 0 1447 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2597 0 0 173118 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169501 0 0 342619 0 0 1004071285 1912268509 10 Physicians JOSHIPURA SHEETAL 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 231 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 0 0 0 0 0 0 0 0 0 0 0 0 3927 0 0 0 0 0 0 3927 0 0 1004071403 1003107772 10 Physicians SHAH PRIT 999999999 200 Cook 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 1450 0 0 0 0 0 0 1450 0 0 1004071504 1033508478 16 Nurse Practitioners SHIELDS PENELOPE 619384653 24 Coles 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 0 317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1529 0 0 0 0 0 0 1529 0 0 1004071553 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 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 1004071733 94 Waiver service provider--Children's support (DHS/DDD) INSTRUCTIONAL ABA CONSULTANTS 999999999 30 DuPage 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 1668 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1668 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141896 0 0 0 0 0 0 0 0 0 0 0 0 0 141896 0 0 1004071781 1104145747 10 Physicians HENRY JUSTIN N 999999999 63 Macon 0 0 Internal Medicine 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 0 209 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 2802 0 0 0 0 0 0 2802 0 0 1004071793 1982086237 16 Nurse Practitioners FULLER MICHELE R 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 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 1071 0 0 0 0 0 0 1071 0 0 1004072088 1053585463 10 Physicians JAIN SHIKHA 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8882 0 0 0 0 0 0 8882 0 0 1004072105 1316971880 10 Physicians AWAN AFTAB 526323456 816 Iowa 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 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 0 348 0 0 0 0 0 0 348 0 0 1004072226 1093174690 16 Nurse Practitioners SINKS JESSICA L 999999999 72 McLean 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 0 158 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 1078 0 0 0 0 0 0 1078 0 0 1004072925 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 281 0 0 0 0 0 0 0 0 0 0 0 0 0 281 0 0 1004073086 1922474477 16 Nurse Practitioners ANDERSON KENDRA 999999999 19 Champaign 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 93 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 94 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 94 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 3058 0 0 0 0 0 0 3142 0 0 1004073386 1508232224 16 Nurse Practitioners HINERMAN LAURA 999999999 53 Kane 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 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 1554 0 0 0 0 0 0 1554 0 0 1004073496 92 Waiver service provider--Disability (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 393 0 0 0 0 0 0 0 0 0 0 0 0 0 393 0 0 1004073718 1407046758 10 Physicians GARG ANKUR 606118709 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 162 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2229 0 119 0 0 0 0 0 0 2348 0 0 1004074056 10 Physicians 53 Kane 0 0 0 0 0 0 0 0 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 0 200 0 0 0 0 0 0 0 0 200 0 0 1004074061 1295027498 10 Physicians CHAUDHARY HAROON 999999999 91 Sangamon 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 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8563 0 0 0 0 0 0 8563 0 0 1004074122 1083880306 10 Physicians DHARIA CHIRAAG V 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 111 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 624 0 26 0 0 0 0 0 0 650 0 0 1004074340 91 Waiver service provider--Adults (DHS/DDD) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107 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 10497 0 0 0 0 0 0 0 0 0 0 0 0 0 10497 0 0 1004074481 1467858761 23 Occupational Therapists MANEY MELODY 999999999 109 Winnebago 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 0 343 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 0 0 0 0 0 0 0 0 0 0 0 0 23707 23707 0 0 1004075040 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 0 343 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 0 0 0 0 0 0 0 0 0 0 0 0 46111 0 0 0 0 0 0 0 0 0 0 0 0 0 46111 0 0 1004075331 1538541032 10 Physicians RAUSCHERT LISA A 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 153 0 99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 185 0 197 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 185 0 197 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1814 0 3051 0 0 0 0 0 0 4865 0 0 1004075442 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 201 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 27451 0 0 0 0 0 0 0 0 0 0 0 0 0 27451 0 0 1004075451 1508920315 16 Nurse Practitioners ARBIR CHRISTOPHER F 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 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 0 318 0 0 0 0 0 0 318 0 0 1004075487 1407005671 44 Healthy Kids (EPSDT) screening clinics THE TOWN OF CICERO 608042460 200 Cook 0 0 0 0 0 0 107 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4967 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4967 0 0 1004075556 1346638947 16 Nurse Practitioners KNEIP MELISSA J 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1149 0 0 0 0 0 0 1149 0 0 1004075664 22 Physical Therapists 816 Iowa 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 0 118 118 0 0 1004075678 91 Waiver service provider--Adults (DHS/DDD) 42 Hancock 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124 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 26617 0 0 0 0 0 0 0 0 0 0 0 0 0 26617 0 0 1004075854 1730566779 16 Nurse Practitioners SHOKSO SONAM 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 659 0 0 0 0 0 0 659 0 0 1004075921 1003025651 10 Physicians FAASSE MARK A 606313222 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 82 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 8062 0 0 0 0 0 0 8062 0 0 1004075948 1699100727 24 Speech Therapists REPKING NATALIE L 999999999 33 Effingham 0 0 0 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 0 698 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 698 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55323 55323 0 0 1004075969 1235519190 12 Optometrists HUTCHISON NATALIE J 999999999 65 Madison 0 0 Diagnostic Pharmaceutical Agents 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 0 153 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 3430 0 0 0 0 0 0 3430 0 0 1004076079 94 Waiver service provider--Children's support (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 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 3558 0 0 0 0 0 0 0 0 0 0 0 0 0 3558 0 0 1004076234 1487816179 10 Physicians SAWLANI HANSA 999999999 836 Ohio 0 0 0 0 0 0 3 0 0 0 0 0 0 6 0 40 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 8 0 51 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 8 0 51 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 479 0 1348 0 0 0 0 0 0 1863 0 0 1004076317 1902126378 10 Physicians EBRAHIMI FARZAD 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1302 0 0 0 0 0 0 1302 0 0 1004076509 89 Physician Assistant Only(Encounter Only) 98 Tazewell 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 55 0 0 0 0 0 0 55 0 0 1004076534 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 8967 0 0 0 0 0 0 0 0 0 0 0 0 0 8967 0 0 1004076562 1619189933 10 Physicians JULIEN MATHEAU A 999999999 19 Champaign 0 0 Thoracic Surgery 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 1004076576 1609285824 36 Community mental health provider THRESHOLDS 606092749 200 Cook 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 441 0 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 441 0 0 4467 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47775 0 0 52242 0 0 1004076646 1902237407 16 Nurse Practitioners MARTIN TONI 999999999 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 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 0 287 0 0 0 0 0 0 287 0 0 1004076683 1053717033 16 Nurse Practitioners BASSETT ELIZABETH 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 591 0 0 0 0 0 0 591 0 0 1004077009 89 Physician Assistant Only(Encounter Only) 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 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 0 169 0 0 0 0 0 0 169 0 0 1004077577 1629399571 10 Physicians TEMPLER JESSICA 463083409 200 Cook 0 0 Neurology 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 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4675 0 0 0 0 0 0 4675 0 0 1004077677 1053728204 55 Early Intervention Services BABEL KERRY 999999999 30 DuPage 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 0 212 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 12446 0 0 0 0 0 0 12446 0 0 1004077728 34 State-operated facility (DHS) 91 Sangamon 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 20 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 466505 0 0 0 0 0 0 0 0 0 466505 0 0 1004077860 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 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 0 141 141 0 0 1004077985 10 Physicians 52 Johnson 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 31 0 0 0 0 0 0 31 0 0 1004078377 1760851885 16 Nurse Practitioners ZINDARS JESSICA J 999999999 19 Champaign 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 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 1567 0 0 0 0 0 0 1567 0 0 1004078449 60 Pharmacies 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 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 1042 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 611 0 0 0 611 0 0 1004078459 1104071067 22 Physical Therapists ZIMMERMAN JESSICA A 622691848 96 St Clair 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 366 366 0 0 1004078600 10 Physicians 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 6 0 0 1004078778 1316321359 16 Nurse Practitioners ULIT JASMIN P. 606118709 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 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 0 942 0 0 0 0 0 0 942 0 0 1004078783 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 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 0 0 0 0 0 0 0 0 0 0 1004078931 1356706881 36 Community mental health provider CTF ILLINOIS 999999999 200 Cook 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 144 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4046 0 0 144 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4046 0 0 7501 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 226877 0 0 234378 0 0 1004079075 1386722783 89 Physician Assistant Only(Encounter Only) MULLAHY DONNA 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 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 88 0 0 0 0 0 0 88 0 0 1004079443 1841425568 10 Physicians PORAYETTE PRASHANTH 627949639 91 Sangamon 0 0 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 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 5851 0 0 0 0 0 0 5851 0 0 1004079637 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 0 0 0 0 0 0 0 0 0 0 1004079830 92 Waiver service provider--Disability (DHS/DRS) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 42605 0 0 0 0 0 0 0 0 0 0 0 0 0 42605 0 0 1004079859 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 4617 0 0 0 0 0 0 0 0 0 0 0 0 0 4617 0 0 1004080293 1720352180 16 Nurse Practitioners MARTIN SARA 999999999 10 Adams 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 186 0 0 0 0 0 0 0 0 1362 0 0 0 0 0 0 1548 0 0 1004080660 1295124766 16 Nurse Practitioners PAHOLKE MELISSA 619389253 24 Coles 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 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 0 843 0 0 0 0 0 0 843 0 0 1004080704 10 Physicians 63 Macon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 939 0 0 0 0 0 0 939 0 0 1004080729 1215223714 10 Physicians LUSTENBERGER RYAN MCCARTHY 999999999 200 Cook 0 0 Anesthesiology 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 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1948 0 0 0 0 0 0 1948 0 0 1004080805 10 Physicians 200 Cook 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 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 0 192 0 0 0 0 0 0 192 0 0 1004080870 1265801393 16 Nurse Practitioners SKINNER EVAN R 999999999 200 Cook 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 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 5401 0 0 0 0 0 0 5401 0 0 1004081029 1063654739 16 Nurse Practitioners FIALI DAWN 600450570 57 Lake 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11841 0 0 0 0 0 0 11841 0 0 1004081262 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 26 0 0 0 0 0 0 26 0 0 1004081268 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 0 102 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 13275 0 0 0 0 0 0 0 0 0 0 0 0 0 13275 0 0 1004081429 16 Nurse Practitioners 11 Alexander 0 0 0 0 0 0 0 0 0 0 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 0 161 0 0 0 0 0 0 161 0 0 1004081447 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 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 0 820 0 0 0 0 0 0 0 0 0 0 0 0 0 820 0 0 1004081492 1316222565 10 Physicians GEORGES ESHO H 999999999 200 Cook 0 0 Internal Medicine 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 0 830 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 830 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20755 0 0 0 0 0 0 20755 0 0 1004082006 1124411673 16 Nurse Practitioners PAUL KRISTIN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120 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 2649 0 0 0 0 0 0 2649 0 0 1004082024 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 0 352 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 352 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28134 0 0 0 0 0 0 0 0 0 0 0 0 0 28134 0 0 1004082181 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 0 182 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 29062 0 0 0 0 0 0 0 0 0 0 0 0 0 29062 0 0 1004082406 1083657811 16 Nurse Practitioners HASKE JOELLYN T 999999999 30 DuPage 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 0 452 0 0 0 0 0 0 452 0 0 1004082526 1659760973 16 Nurse Practitioners WISCHMEIER JAMES R 631101010 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 171 0 0 0 0 0 0 171 0 0 1004082629 1770513319 10 Physicians ALLEN BRENT T 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 0 113 0 0 0 0 0 0 113 0 0 1004082672 1942512827 10 Physicians PALLAN TONY 772104458 53 Kane 0 0 General Practice 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 0 353 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 353 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8289 0 0 0 0 0 0 8289 0 0 1004082755 89 Physician Assistant Only(Encounter Only) 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 128 0 0 0 0 0 0 128 0 0 1004082794 1013253384 89 Physician Assistant Only(Encounter Only) PETRUSEVSKA ELENA 999999999 107 Will 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 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 0 283 0 0 0 0 0 0 283 0 0 1004082935 10 Physicians 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 13 0 0 1004082974 1942302864 10 Physicians BANGASH SULEMAN 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 478 0 0 0 0 0 0 483 0 0 1004083192 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 47 0 0 0 0 0 0 47 0 0 1004083362 1467858308 16 Nurse Practitioners GUZLAS KELLY 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 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 0 102 0 0 0 0 0 0 102 0 0 1004083455 1689696072 10 Physicians SHEN JASON Y 999999999 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 400 0 0 0 0 0 0 400 0 0 1004083630 1104217389 60 Pharmacies WESTCHESTER PHARMACY 601042066 200 Cook 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 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1646 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3791 0 0 0 3791 0 0 1004083650 1952351256 89 Physician Assistant Only(Encounter Only) CANTY SUSAN 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 910 0 0 0 0 0 0 910 0 0 1004083697 1457785859 16 Nurse Practitioners ROETHLER RICHELLE 480991239 10 Adams 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 0 136 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 1107 0 0 0 0 0 0 1107 0 0 1004083725 92 Waiver service provider--Disability (DHS/DRS) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 20622 0 0 0 0 0 0 0 0 0 0 0 0 0 20622 0 0 1004083780 1659682698 10 Physicians MAJEWSKI MICHAEL 298413862 200 Cook 0 0 Anesthesiology 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 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4732 0 0 0 0 0 0 4732 0 0 1004083973 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 106 0 0 1004084019 1447433057 12 Optometrists BURNS FLORIANNE 999999999 53 Kane 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 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 1147 0 0 0 0 0 0 1147 0 0 1004084054 1285012054 33 Nursing Facilities SYMPHONY OF BUFFALO GROVE 600897047 57 Lake 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 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6320 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1021114 0 0 0 0 0 0 0 1021114 0 0 1004084501 1558628396 10 Physicians SMITH DIONNE V 999999999 19 Champaign 0 1 Pediatrics 0 0 0 0 52 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 0 61 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 0 0 61 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 0 0 4416 0 0 0 0 0 0 0 0 2055 0 0 0 0 0 0 6471 0 0 1004084680 1215081559 10 Physicians CARTER EBONY BOYCE 999999999 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 231 0 570 0 0 0 0 0 0 801 0 0 1004085286 1366641714 10 Physicians VAID KHATIJA 601220021 53 Kane 0 0 Psychiatry 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1176 0 0 0 0 0 0 1176 0 0 1004085546 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004085671 1689979841 16 Nurse Practitioners GOTT MELISSA A 999999999 818 Kentucky 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 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 0 942 0 0 0 0 0 0 942 0 0 1004085953 1902297435 16 Nurse Practitioners SUMMERS ABIGAIL 370245009 109 Winnebago 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 0 0 0 199 0 0 0 0 0 0 0 0 2779 0 0 0 0 0 0 2978 0 0 1004086194 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 0 264 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 27637 0 0 0 0 0 0 0 0 0 0 0 0 0 27637 0 0 1004086443 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 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 20 20 0 0 1004087197 1295106458 55 Early Intervention Services DIETER MICHELLE C 601343810 53 Kane 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 0 848 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 848 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51475 0 0 0 0 0 0 51475 0 0 1004087268 10 Physicians 30 DuPage 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 47 0 0 0 0 0 0 47 0 0 1004087554 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 0 0 0 0 0 0 0 0 0 0 0 0 0 269 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26001 0 0 0 0 0 0 0 0 0 0 0 0 0 26001 0 0 1004088149 1962892232 16 Nurse Practitioners MERLO MARY A 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 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2102 0 0 0 0 0 0 2102 0 0 1004088186 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1218 0 0 0 0 0 0 0 0 0 0 0 0 0 1218 0 0 1004088251 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 7542 0 0 0 0 0 0 0 0 0 0 0 0 0 7542 0 0 1004088266 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 0 365 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 27734 0 0 0 0 0 0 0 0 0 0 0 0 0 27734 0 0 1004088310 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 4 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 1896 1896 0 0 1004088371 1326240219 10 Physicians POKHAREL SAJAL S 616111853 98 Tazewell 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 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 0 254 0 0 0 0 0 0 0 0 254 0 0 1004088386 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1511 0 0 0 0 0 0 0 0 0 0 0 0 0 1511 0 0 1004088791 10 Physicians 852 Wisconsin 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 12 0 0 0 0 0 0 12 0 0 1004088843 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 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28848 0 0 0 0 0 0 0 0 0 0 0 0 0 28848 0 0 1004088920 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 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17718 0 0 0 0 0 0 0 0 0 0 0 0 0 17718 0 0 1004088975 1255719399 16 Nurse Practitioners CLARK ZENOBIA 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 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 1266 0 0 0 0 0 0 1266 0 0 1004089485 1063691053 89 Physician Assistant Only(Encounter Only) CASTILLO JENNIFER K 606751611 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 106 0 0 1004089487 24 Speech Therapists 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 747 747 0 0 1004089608 89 Physician Assistant Only(Encounter Only) 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 109 0 0 0 0 0 0 109 0 0 1004089624 1538116967 10 Physicians WENDEL JOHN 999999999 98 Tazewell 0 0 Radiology Diagnosis 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 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 0 345 0 0 0 0 0 0 0 0 345 0 0 1004089839 91 Waiver service provider--Adults (DHS/DDD) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13348 0 0 0 0 0 0 0 0 0 0 0 0 0 13348 0 0 1004090009 10 Physicians 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 88 0 0 0 0 0 0 0 0 88 0 0 1004090583 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 0 197 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 11511 0 0 0 0 0 0 0 0 0 0 0 0 0 11511 0 0 1004090674 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2518 0 0 0 0 0 0 0 0 0 0 0 0 0 2518 0 0 1004090919 1811217623 10 Physicians DOTCHEV VICTORIA O. 999999999 27 Dekalb 0 0 Anesthesiology 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 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 2912 0 0 0 0 0 0 2912 0 0 1004091036 94 Waiver service provider--Children's support (DHS/DDD) 30 DuPage 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 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 2393 0 0 0 0 0 0 0 0 0 0 0 0 0 2393 0 0 1004091171 1518368166 89 Physician Assistant Only(Encounter Only) WHITLEY ERIN 999999999 37 Fulton 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 0 147 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 2801 0 0 0 0 0 0 2801 0 0 1004091455 1245621275 16 Nurse Practitioners LINDNER JOELLE M. 606751611 200 Cook 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 0 110 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 3822 0 0 0 0 0 0 3822 0 0 1004091605 10 Physicians 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 106 0 0 1004091897 91 Waiver service provider--Adults (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 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11023 0 0 0 0 0 0 0 0 0 0 0 0 0 11023 0 0 1004092024 1952683229 70 Ambulance Service Providers SUPERIOR AIR GROUND AMBULANCE 463221609 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1684 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4991 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4991 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 616070 0 0 0 0 0 0 616070 0 0 1004092039 16 Nurse Practitioners 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95 0 0 0 0 0 0 95 0 0 1004092614 1578951075 16 Nurse Practitioners COBB DESHA N 606313222 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004092979 1770689473 10 Physicians ALHANOUN ELIAS 606123714 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 35 0 0 0 0 0 0 35 0 0 1004092985 1740244466 10 Physicians SOHAL RAVINDER 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1649 0 0 0 0 0 0 0 0 1649 0 0 1004093000 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 0 283 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 283 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26819 0 0 0 0 0 0 0 0 0 0 0 0 0 26819 0 0 1004093067 1386053825 10 Physicians GORASIYA MANISHKUMAR 624413108 31 Edgar 0 0 Family Practice 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 0 167 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 0 0 0 0 0 1768 0 0 0 0 0 0 1768 0 0 1004093852 1326313370 10 Physicians KOTSEVA MAGDALENA 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 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 45 0 0 0 0 0 0 45 0 0 1004093861 1174914246 16 Nurse Practitioners TAYLOR LISA 604405125 107 Will 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 0 237 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 237 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 733 0 0 0 0 0 0 733 0 0 1004094155 1730318650 10 Physicians HWANG JESSICA L 606123714 200 Cook 0 0 Endocrinology 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 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 93 0 0 0 0 0 0 93 0 0 1004095091 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21348 0 0 0 0 0 0 0 0 0 0 0 0 0 21348 0 0 1004095231 1124395199 16 Nurse Practitioners TIESENGA JUCY 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 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 0 142 0 0 0 0 0 0 142 0 0 1004095275 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 27426 0 0 0 0 0 0 0 0 0 0 0 0 0 27426 0 0 1004095303 1205182854 10 Physicians PAUL AMAL 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 559 0 0 0 0 0 0 559 0 0 1004095351 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 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 0 186 0 0 0 0 0 0 186 0 0 1004095437 1396173480 11 Dentists CASEY PATRICIA B 999999999 200 Cook 0 0 General Dentistry 0 0 0 7 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 0 659 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 659 0 0 1004095764 1396000782 10 Physicians EDO ROBBY 999999999 200 Cook 0 0 Family Practice 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 2 0 31 0 0 0 0 0 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 40 0 979 0 0 0 0 0 0 1019 0 0 1004095936 1265708069 10 Physicians MADISON MORGAN 600043985 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1309 0 0 0 0 0 0 1309 0 0 1004096485 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 0 334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22054 0 0 0 0 0 0 0 0 0 0 0 0 0 22054 0 0 1004096527 1477718377 10 Physicians AMBELANG CHARLES 530081790 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 576 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 875 0 168 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 875 0 168 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10908 0 4397 0 0 0 0 0 0 15305 0 0 1004097050 10 Physicians 30 DuPage 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 62 0 0 0 0 0 0 62 0 0 1004097199 1710374947 16 Nurse Practitioners KROUPA MELISSA 601545716 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 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 0 165 0 0 0 0 0 0 165 0 0 1004097521 16 Nurse Practitioners 852 Wisconsin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 149 0 0 0 0 0 0 149 0 0 1004097696 92 Waiver service provider--Disability (DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 10188 0 0 0 0 0 0 0 0 0 0 0 0 0 10188 0 0 1004097851 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 0 156 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 0 0 0 0 0 27760 0 0 0 0 0 0 0 0 0 0 0 0 0 27760 0 0 1004098153 1205092764 10 Physicians VILLASENOR LYNDON 601892039 30 DuPage 0 0 Psychiatry 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 0 102 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 5697 0 0 0 0 0 0 5697 0 0 1004098615 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 165 0 0 1004098682 1548496409 60 Pharmacies ESSENTIAL WELLNESS PHARMACY 2 616145828 80 Peoria 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 42 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 0 0 0 0 0 901 0 0 0 901 0 0 1004098815 1447694104 89 Physician Assistant Only(Encounter Only) KIRKPATRICK ERIN 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2222 0 0 0 0 0 0 2222 0 0 1004098852 1689856049 10 Physicians CHOI JAEHYUK 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 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 0 236 0 0 0 0 0 0 236 0 0 1004099055 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 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 0 124 0 0 0 0 0 0 124 0 0 1004099352 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 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 6080 0 0 0 0 0 0 0 0 0 0 0 0 0 6080 0 0 1004100226 1801265418 16 Nurse Practitioners BONDS STACI L 627949639 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 8024 0 0 0 0 0 0 8024 0 0 1004100621 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 38061 0 0 0 0 0 0 0 0 0 0 0 0 0 38061 0 0 1004100723 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 0 264 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 29232 0 0 0 0 0 0 0 0 0 0 0 0 0 29232 0 0 1004100736 1912379504 60 Pharmacies PETERSON PHARMACY 606594108 200 Cook 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 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2562 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1593 0 0 0 1593 0 0 1004100764 1134521115 16 Nurse Practitioners SHEPPARD LYNN R 606740018 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 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 0 599 0 0 0 0 0 0 599 0 0 1004101066 1447230230 10 Physicians SIT DOROTHY 999999999 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 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 2961 0 0 0 0 0 0 2961 0 0 1004101299 94 Waiver service provider--Children's support (DHS/DDD) 61 Livingston 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9384 0 0 0 0 0 0 0 0 0 0 0 0 0 9384 0 0 1004101509 1245615996 89 Physician Assistant Only(Encounter Only) HOOVER ALYSSE 999999999 71 McHenry 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 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 0 181 0 0 0 0 0 0 181 0 0 1004101735 1205191053 10 Physicians LE NGA T 999999999 200 Cook 0 0 Pediatrics 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 0 533 0 0 0 0 0 0 533 0 0 1004101747 1780821264 10 Physicians ELBARIDI NIDAL 606776473 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 2 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 621 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 621 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 2298 0 0 0 0 0 0 2321 0 0 1004101757 1821460403 60 Pharmacies LIFECARE PHARMACY 601013767 30 DuPage 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 0 302 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15711 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13195 0 0 0 13195 0 0 1004101871 1598136632 33 Nursing Facilities THE CARLTON AT THE LAKE 606131515 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 454 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1812160 0 0 0 0 0 0 0 1812160 0 0 1004101955 10 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 252 0 0 0 0 0 0 252 0 0 1004102067 1871810291 10 Physicians FRANADA TIFFANI STROUP 999999999 80 Peoria 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 72 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 1325 0 0 0 0 0 0 1325 0 0 1004102131 1700295920 39 Hospice OSF SAINT ANTHONYS HOSPICE 620026434 65 Madison 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 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 463 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72645 0 0 0 0 0 0 0 0 0 0 0 72645 0 0 1004102265 1245619667 10 Physicians NGUYEN ANNA B 999999999 200 Cook 0 0 General Practice 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 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1050 0 0 0 0 0 0 1050 0 0 1004102313 1821134883 10 Physicians SCHAEFFER EDWARD 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 2 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 186 0 1224 0 0 0 0 0 0 1410 0 0 1004102485 1124384789 10 Physicians SHANKER-PATEL KAVITA 999999999 200 Cook 0 0 Family Practice 0 0 0 0 5 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 0 0 502 0 0 0 0 0 0 0 0 1912 0 0 0 0 0 0 2414 0 0 1004102505 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 0 259 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 29652 0 0 0 0 0 0 0 0 0 0 0 0 0 29652 0 0 1004102569 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 0 175 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 17884 0 0 0 0 0 0 0 0 0 0 0 0 0 17884 0 0 1004102935 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 168 0 0 0 0 0 0 168 0 0 1004103029 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 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 0 275 0 0 275 0 0 1004103153 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 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 74 74 0 0 1004103548 1992816524 60 Pharmacies OMNICARE OF QUINCY 48244 623012810 10 Adams 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 0 863 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24029 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10486 0 0 0 10486 0 0 1004103720 10 Physicians 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 885 0 0 0 0 0 0 885 0 0 1004103839 1093113854 16 Nurse Practitioners ROBBINS SAMANTHA A. 616151941 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6458 0 0 0 0 0 0 6458 0 0 1004104028 1992171326 16 Nurse Practitioners HAMMOND CYNTHIA 999999999 30 DuPage 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 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 0 559 0 0 0 0 0 0 559 0 0 1004104360 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 0 166 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 24683 0 0 0 0 0 0 0 0 0 0 0 0 0 24683 0 0 1004104848 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8110 0 0 0 0 0 0 0 0 0 0 0 0 0 8110 0 0 1004104940 1407980337 89 Physician Assistant Only(Encounter Only) ARGUETA ALEJANDRA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 373 0 0 978 0 0 0 0 0 0 1351 0 0 1004104979 1003166984 89 Physician Assistant Only(Encounter Only) MONTELEONE AMANDA 999999999 91 Sangamon 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 0 144 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 1070 0 0 0 0 0 0 1070 0 0 1004105117 1013982610 10 Physicians WONG HUMPHREY 999999999 109 Winnebago 0 0 Internal 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 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 0 415 0 0 0 0 0 0 415 0 0 1004105208 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 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 1004105991 16 Nurse Practitioners 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 138 0 0 1004106003 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 0 252 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 26983 0 0 0 0 0 0 0 0 0 0 0 0 0 26983 0 0 1004106033 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 27491 0 0 0 0 0 0 0 0 0 0 0 0 0 27491 0 0 1004106297 1821369729 86 Clinical Social Worker(Encounter Only) LAITMAN CHRISTINA 999999999 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 0 134 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 0 0 0 0 0 0 0 0 0 0 1004106320 1508031824 10 Physicians HASSAN CHANDRA 999999999 200 Cook 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 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 5981 0 0 0 0 0 0 5981 0 0 1004106417 10 Physicians 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 245 0 0 0 0 0 0 245 0 0 1004106973 1114218732 10 Physicians JAVIER DESLER J 606313222 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 990 0 0 0 0 0 0 990 0 0 1004106998 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 0 143 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 25883 0 0 0 0 0 0 0 0 0 0 0 0 0 25883 0 0 1004107036 16 Nurse Practitioners 54 Kankakee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004107375 1952423865 89 Physician Assistant Only(Encounter Only) SIKORA-JACKSON ANN M 606123714 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 548 0 0 0 0 0 0 648 0 0 1004107428 1588083844 16 Nurse Practitioners SPEZIA AMANDA 616151941 80 Peoria 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 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 0 126 0 0 0 0 0 0 126 0 0 1004107440 91 Waiver service provider--Adults (DHS/DDD) 77 Morgan 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 251 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 10508 0 0 0 0 0 0 0 0 0 0 0 0 0 10508 0 0 1004107621 1528174588 16 Nurse Practitioners HARE MELINDA 606112991 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 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 3447 0 0 0 0 0 0 3447 0 0 1004107713 1225430044 16 Nurse Practitioners BILANICZ SLAWOMIR 605638113 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 126 0 0 1004107932 1639426661 22 Physical Therapists WHIPPLE LEAH C. 999999999 10 Adams 0 0 0 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 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 0 786 786 0 0 1004108272 1295886356 89 Physician Assistant Only(Encounter Only) GEORGE-MICHALIK CYNTHIA 999999999 53 Kane 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 59 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 59 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 1725 0 0 0 0 0 0 1750 0 0 1004108349 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 26263 0 0 0 0 0 0 0 0 0 0 0 0 0 26263 0 0 1004108420 16 Nurse Practitioners 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 78 0 0 1004108461 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 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 0 246 246 0 0 1004108521 10 Physicians 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004108811 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 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 0 642 0 0 0 0 0 0 642 0 0 1004108851 1487808523 89 Physician Assistant Only(Encounter Only) BOZYLINSKY KATHERINE 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 66 0 0 0 0 0 0 66 0 0 1004108891 1467831867 10 Physicians CRIHFIELD ANASTASIA M 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 1381 0 0 0 0 0 0 1381 0 0 1004109053 10 Physicians 200 Cook 0 0 Pediatrics 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 0 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 119 0 0 1004109068 1528358660 10 Physicians KOKANOVIC OBRAD S 610320857 97 Stephenson 0 0 Internal Medicine 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 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 0 326 0 0 0 0 0 0 326 0 0 1004109350 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 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 0 103 0 0 0 0 0 0 103 0 0 1004109600 1245601244 16 Nurse Practitioners MARKLEY BRANDELYNN B 999999999 50 Jersey 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 780 0 0 0 0 0 0 780 0 0 1004109612 10 Physicians 50 Jersey 0 0 Anesthesiology 0 0 0 0 0 0 0 0 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 0 429 0 0 0 0 0 0 429 0 0 1004109953 1902288566 12 Optometrists ZIELINSKI PATRICIA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 136 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 136 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 685 0 63 0 0 0 0 748 0 0 1004110146 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 0 337 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 337 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15584 0 0 0 0 0 0 0 0 0 0 0 0 0 15584 0 0 1004110532 1669854576 16 Nurse Practitioners KENDRIGAN TIFFANY E 999999999 30 DuPage 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 0 105 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 3825 0 0 0 0 0 0 3825 0 0 1004110590 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26308 0 0 0 0 0 0 0 0 0 0 0 0 0 26308 0 0 1004110607 1740575091 10 Physicians NEWMAN JASON M 999999999 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 3 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3490 0 0 0 0 0 0 3490 0 0 1004110627 91 Waiver service provider--Adults (DHS/DDD) 51 Jo Daviess 0 0 0 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 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1004110678 1245575042 16 Nurse Practitioners WOODS TRACY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101 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 1390 0 0 0 0 0 0 1390 0 0 1004110881 1831364272 10 Physicians ABCARIAN ARIANE M 999999999 200 Cook 0 0 Surgery General 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 6455 0 0 0 0 0 0 6455 0 0 1004111108 1760778468 10 Physicians ONTROP NATHAN 999999999 19 Champaign 0 0 Psychiatry 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 0 225 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 8412 0 0 0 0 0 0 8412 0 0 1004111241 94 Waiver service provider--Children's support (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 0 142 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 0 0 0 0 0 0 0 0 0 0 16767 0 0 0 0 0 0 0 0 0 0 0 0 0 16767 0 0 1004111322 1174783880 10 Physicians ARMSTRONG LUCAS C 616151941 80 Peoria 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 7 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 388 0 5230 0 0 0 0 0 0 5618 0 0 1004111380 1326297987 10 Physicians ENOE CHRISTOPHER 605155641 30 DuPage 0 0 Family Practice 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 0 196 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 4745 0 0 0 0 0 0 4745 0 0 1004111733 1013273614 10 Physicians IBRAHEEM ABIOLA 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 0 173 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 7461 0 0 0 0 0 0 7461 0 0 1004111839 4004111839 92 Waiver service provider--Disability (DHS/DRS) ROYAL HOME HEALTH SRVCS INC 999999999 200 Cook 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 121 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 237673 0 0 0 0 0 0 0 0 0 0 0 0 0 237673 0 0 1004111881 1306224076 33 Nursing Facilities SYMPHONY OF SOUTH SHORE 606492612 200 Cook 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 0 683 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16446 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2704260 0 0 0 0 0 0 0 2704260 0 0 1004111951 94 Waiver service provider--Children's support (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 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 1701 0 0 0 0 0 0 0 0 0 0 0 0 0 1701 0 0 1004111962 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19763 0 0 0 0 0 0 0 0 0 0 0 0 0 19763 0 0 1004112192 1649566407 10 Physicians MISBAH SHAHEEN F 999999999 200 Cook 0 0 Family Practice 0 0 0 0 3 0 0 0 0 0 0 6 0 27 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 15 0 61 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 15 0 61 0 0 0 0 0 0 0 0 0 360 0 0 0 0 0 0 285 0 1547 0 0 0 0 0 0 2192 0 0 1004112229 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4015 0 0 0 0 0 0 0 0 0 0 0 0 0 4015 0 0 1004112293 1437526852 16 Nurse Practitioners RIDER JONATHAN 503061455 200 Cook 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 0 113 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 2169 0 0 0 0 0 0 2169 0 0 1004112459 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 0 127 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 7776 0 0 0 0 0 0 0 0 0 0 0 0 0 7776 0 0 1004112656 1114293123 10 Physicians KOWALSKI ANDREW 604581350 200 Cook 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 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2972 0 0 0 0 0 0 2972 0 0 1004112698 1366800351 16 Nurse Practitioners CAMIT DONNA 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 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 1592 0 0 0 0 0 0 1592 0 0 1004112716 1821284506 13 Podiatrists WASSERMAN LEWIS 600650917 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 670 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5612 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5612 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8923 0 0 0 0 0 0 8923 0 0 1004112833 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004112915 1962760041 16 Nurse Practitioners BECKERT HEATHER 999999999 33 Effingham 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 1873 0 0 0 0 0 0 1959 0 0 1004113030 1134430465 10 Physicians FAROOQUI FARHAN 606118709 200 Cook 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 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 2514 0 0 0 0 0 0 2514 0 0 1004113331 30 General Hospitals 844 Tennessee ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 2 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 387 0 0 0 0 6050 0 0 0 0 0 0 0 0 0 6437 0 0 1004113459 1245465343 10 Physicians HAYDEN KYLE 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 63 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 430 0 9 0 0 0 0 0 0 439 0 0 1004113556 10 Physicians 30 DuPage 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 537 0 0 0 0 0 0 537 0 0 1004113643 1699874511 89 Physician Assistant Only(Encounter Only) ZIMMERMAN DIANE B. 999999999 200 Cook 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 314 0 0 0 0 0 0 0 0 884 0 0 0 0 0 0 1198 0 0 1004113652 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 20673 0 0 0 0 0 0 0 0 0 0 0 0 0 20673 0 0 1004113674 1518212323 16 Nurse Practitioners MCHALE MARY N 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 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 1034 0 0 0 0 0 0 1034 0 0 1004114014 10 Physicians 98 Tazewell 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 0 0 67 0 0 1004114633 1891162962 40 Federally Qualified Health Centers ASIAN HUMAN SERVICES FAMILY HE 607141113 200 Cook 0 1 0 0 236 0 50 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 864 0 99 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 864 0 99 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 62785 0 0 0 0 0 0 0 163 0 0 0 0 0 0 0 0 0 62948 0 0 1004114698 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 536 0 0 0 0 0 0 536 0 0 1004114736 91 Waiver service provider--Adults (DHS/DDD) 30 DuPage 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 459 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 459 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 59385 0 0 0 0 0 0 0 0 0 0 0 0 0 59385 0 0 1004114747 1952701666 16 Nurse Practitioners NITZ LEANN N 999999999 109 Winnebago 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 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 0 0 0 0 0 0 0 0 0 0 1004114990 1548550262 10 Physicians GONZALEZ MAYRA 606071644 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 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 0 193 0 0 0 0 0 0 193 0 0 1004115113 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 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 94 0 0 0 0 0 0 94 0 0 1004115181 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 24 0 0 0 0 0 0 24 0 0 1004115201 1417320219 16 Nurse Practitioners HALLAR ERIN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1016 0 0 0 0 0 0 1016 0 0 1004115684 1790178671 16 Nurse Practitioners JOYCE-CAHILL MARY N 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 127 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 0 703 0 0 0 0 0 0 703 0 0 1004115723 1730477134 86 Clinical Social Worker(Encounter Only) RIVERA RAFAEL A 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 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 0 422 0 0 0 0 0 0 422 0 0 1004115827 1275872467 16 Nurse Practitioners PIWKO MATENKO KAROLINA 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1066 0 0 0 0 0 0 1066 0 0 1004116108 1588030373 16 Nurse Practitioners GONZALES GREZELRO R 604631560 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 601 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 0 0 0 0 577 0 0 0 0 0 0 577 0 0 1004116196 1609175959 10 Physicians SACHER BRADLEY A 601873152 30 DuPage 0 0 Ophthalmology 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 0 239 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 6974 0 0 0 0 0 0 6974 0 0 1004116203 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 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1004116301 1669769295 10 Physicians HUSAIN INNA A 606751611 200 Cook 0 0 Otolaryngology 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 0 343 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 0 0 0 0 0 0 0 0 0 0 0 0 9934 0 0 0 0 0 0 9934 0 0 1004116425 1598932741 10 Physicians JAIN BHANDARI NEHA 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 0 131 0 0 0 0 0 0 131 0 0 1004116436 1538394838 10 Physicians PARVES SHAHMOHAMMED 604382870 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1381 0 0 0 0 0 0 1381 0 0 1004116617 1396964599 10 Physicians GHOUSSOUB ROUBA G 999999999 200 Cook 0 0 Internal Medicine 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 0 269 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 269 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2042 0 0 0 0 0 0 2042 0 0 1004116650 1265721575 10 Physicians SMITH DAVID 601545716 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 264 0 0 0 0 0 0 264 0 0 1004116892 10 Physicians 803 Arizona 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 0 115 0 0 0 0 0 0 0 0 115 0 0 1004117059 1780076901 16 Nurse Practitioners TRUMP AUDRA 627949639 63 Macon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 260 0 0 0 0 0 0 260 0 0 1004117089 1003253972 10 Physicians PERRINO DOMINIC C 619389253 24 Coles 0 0 Family Practice 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 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1143 0 0 0 0 0 0 1143 0 0 1004117106 1316319247 89 Physician Assistant Only(Encounter Only) YOW AMBER L 606118709 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 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 1004117238 1447270780 30 General Hospitals ADVENTIST HINSDALE HOSPITAL 999999999 30 DuPage DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 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 16 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 10410 0 0 0 0 0 0 0 0 0 10410 0 0 1004117463 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 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 0 141 0 0 0 0 0 0 141 0 0 1004117498 1982699955 89 Physician Assistant Only(Encounter Only) STEVENS AMY 999999999 66 Marion 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 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 42 0 0 0 0 0 0 42 0 0 1004117748 1952792665 16 Nurse Practitioners KLOEPPEL TRACIE L 627034514 96 St Clair 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 0 126 0 0 0 0 0 0 126 0 0 1004117768 1184016693 16 Nurse Practitioners PASQUINELLI MARY 606127232 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2790 0 0 0 0 0 0 2790 0 0 1004117973 47 Local Education Agencies 49 Jefferson 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 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 3183 0 3183 0 0 1004118077 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 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 16053 0 0 0 0 0 0 0 0 0 0 0 0 0 16053 0 0 1004118115 1932565421 89 Physician Assistant Only(Encounter Only) WOODYARD AIMEE N 999999999 53 Kane 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 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 0 267 0 0 0 0 0 0 267 0 0 1004118151 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 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 9918 0 0 0 0 0 0 0 0 0 0 0 0 0 9918 0 0 1004118179 87 Psychologist(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 70 0 0 0 0 0 0 70 0 0 1004118611 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 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2955 0 0 0 0 0 0 0 0 0 0 0 0 0 2955 0 0 1004118740 1942695440 10 Physicians SIRAJUDDIN HABEEBA 999999999 30 DuPage 0 0 General Practice 0 0 0 0 2 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 0 161 0 0 0 0 0 0 0 0 1829 0 0 0 0 0 0 1990 0 0 1004118975 1225428741 16 Nurse Practitioners JIONGCO SANDI 600563457 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 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 0 261 0 0 0 0 0 0 261 0 0 1004119080 1689631079 10 Physicians KILANI RAMZI A 999999999 80 Peoria 0 0 Pediatrics 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 0 108 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 13435 0 0 0 0 0 0 13435 0 0 1004119195 1417189226 10 Physicians BHOLE SONYA 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 16 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124 0 1224 0 0 0 0 0 0 1348 0 0 1004119545 91 Waiver service provider--Adults (DHS/DDD) 22 Clay 0 0 0 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 5246 0 0 0 0 0 0 0 0 0 0 0 0 0 5246 0 0 1004119631 1467865873 10 Physicians BOJEDLA KIRAN 999999999 200 Cook 0 0 General Practice 0 0 0 0 12 0 0 0 0 0 0 2 0 108 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 2 0 186 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 2 0 186 0 0 0 0 0 0 0 0 0 831 0 0 0 0 0 0 8 0 4449 0 0 0 0 0 0 5288 0 0 1004120206 1720201031 36 Community mental health provider RENAISSANCE SOCIAL SRVCS INC 606122127 200 Cook 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 295 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 295 0 0 4746 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19464 0 0 24210 0 0 1004120787 1033556998 10 Physicians PERRINO ERICA D 999999999 24 Coles 0 1 Family Practice 0 0 0 0 2 0 0 0 0 0 0 3 0 54 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 3 0 118 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 3 0 118 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 65 0 1845 0 0 0 0 0 0 2099 0 0 1004120789 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 10898 0 0 0 0 0 0 0 0 0 0 0 0 0 10898 0 0 1004120853 1639445612 10 Physicians KING ALEXANDRA 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 3 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 232 0 0 0 0 0 0 0 0 2549 0 0 0 0 0 0 2781 0 0 1004121106 10 Physicians 816 Iowa 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 0 0 0 0 0 0 0 0 0 0 1004121317 1245539725 10 Physicians GEARY KIRSTEN E 602011700 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1654 0 0 0 0 0 0 1654 0 0 1004121331 14 Chiropractors 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 1004121349 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 10718 0 0 0 0 0 0 0 0 0 0 0 0 0 10718 0 0 1004121460 1972600716 60 Pharmacies CHENOA PHARMACY 617261133 72 McLean 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 1144 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31628 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37338 0 0 0 37338 0 0 1004121704 1447438882 16 Nurse Practitioners PRZYGODZKA RENEE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 608 0 0 0 0 0 0 608 0 0 1004121847 1912349770 12 Optometrists REITZ SARAH J 606593307 200 Cook 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 1090 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2053 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2053 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23264 0 0 0 0 0 0 23264 0 0 1004122062 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 19156 0 0 0 0 0 0 0 0 0 0 0 0 0 19156 0 0 1004122109 1154556520 10 Physicians BARINA ANDREW 999999999 10 Adams 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 97 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 121 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 121 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1710 0 442 0 0 0 0 0 0 2152 0 0 1004122178 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 0 167 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 0 0 0 0 0 28430 0 0 0 0 0 0 0 0 0 0 0 0 0 28430 0 0 1004122224 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 42 0 0 0 0 0 0 42 0 0 1004122482 1649533845 10 Physicians KARCHES KYLE E 999999999 200 Cook 0 0 Internal Medicine 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 4 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 20 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 77 0 0 1004122561 1225370836 10 Physicians SIDDIQUI SABA 999999999 57 Lake 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1622 0 0 0 0 0 0 1622 0 0 1004122991 88 Other behavior health professional 87 Randolph 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 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 0 0 0 0 0 0 0 0 0 0 1004123085 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 1468 0 0 0 0 0 0 0 0 0 0 0 0 0 1468 0 0 1004123143 1790090306 16 Nurse Practitioners LALANI KHAIRUNISA 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 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 0 194 0 0 0 0 0 0 194 0 0 1004123177 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 22718 0 0 0 0 0 0 0 0 0 0 0 0 0 22718 0 0 1004123219 1548316136 10 Physicians BRINCKMAN MARK 999999999 98 Tazewell 0 0 Radiology Diagnosis 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 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 0 883 0 0 0 0 0 0 0 0 883 0 0 1004123655 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 0 182 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 29341 0 0 0 0 0 0 0 0 0 0 0 0 0 29341 0 0 1004123946 1427318310 10 Physicians ECKERSLEY DAVID J 623012834 10 Adams 0 0 Emergency Medicine 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 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6629 0 0 0 0 0 0 6629 0 0 1004124195 1619371267 16 Nurse Practitioners GILL MOHANJIT 946081844 47 Jackson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 131 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 4529 0 0 0 0 0 0 4529 0 0 1004124205 1487941738 89 Physician Assistant Only(Encounter Only) CHIERO KAITLYN M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 453 0 0 0 0 0 0 453 0 0 1004124220 1891943577 63 Other Providers of Medical Equipment/Supplies (Non-registered) PRO ORTHOTICS INC 604626561 200 Cook 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 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 2131 0 0 0 0 2131 0 0 1004124523 1437468857 10 Physicians LANG GABRIEL 631600352 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 30 0 0 0 0 0 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 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 3064 0 0 0 0 0 0 3066 0 0 1004124920 1013950419 16 Nurse Practitioners WALSH KATHERINE W 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 406 0 0 0 0 0 0 406 0 0 1004125163 1639364474 10 Physicians MEHROTRA AMIT K 616151941 80 Peoria 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 291 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 709 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 709 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7316 0 0 0 0 0 0 7316 0 0 1004125304 1952356701 89 Physician Assistant Only(Encounter Only) KAPER CHERISE L 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 0 171 0 0 0 0 0 0 171 0 0 1004125653 1346506839 10 Physicians AUBERT GREGORY 999999999 80 Peoria 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 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 362 0 0 0 0 0 0 362 0 0 1004125818 1376717603 10 Physicians MAILEY BRIAN A 627949639 91 Sangamon 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 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 27734 0 0 0 0 0 0 27734 0 0 1004125851 1255771358 10 Physicians ANDERSON GREGORY O 999999999 200 Cook 0 0 Internal Medicine 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 0 567 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 567 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15528 0 0 0 0 0 0 15528 0 0 1004126230 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 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14036 0 0 0 0 0 0 0 0 0 0 0 0 0 14036 0 0 1004126248 1093076036 10 Physicians CARPENTER JOSHUA 616021308 80 Peoria 0 0 Family Practice 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 0 566 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 6598 0 0 0 0 0 0 6598 0 0 1004126458 1790041101 10 Physicians FOLK JESSICA M. 999999999 200 Cook 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 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 3833 0 0 0 0 0 0 3833 0 0 1004126611 1972993434 16 Nurse Practitioners LEE CHRISTINE 49155500 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 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 0 768 0 0 0 0 0 0 768 0 0 1004126850 1871856617 11 Dentists DILLARD MELVIN 622052325 96 St Clair 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 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 7283 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7283 0 0 1004126923 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 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 7902 0 0 0 0 0 0 0 0 0 0 0 0 0 7902 0 0 1004127198 1467707182 10 Physicians SINGH SMITA 999999999 98 Tazewell 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6599 0 0 0 0 0 0 6599 0 0 1004127276 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004127374 10 Physicians 816 Iowa 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 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 0 256 0 0 0 0 0 0 256 0 0 1004127402 10 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2112 0 0 0 0 0 0 2112 0 0 1004127568 1386001097 16 Nurse Practitioners ZUECK JOSEPH 999999999 90 Saline 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 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 0 363 0 0 0 0 0 0 363 0 0 1004127797 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 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1004127988 1164455127 89 Physician Assistant Only(Encounter Only) FRALEY MELISSA E 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1100 0 0 0 0 0 0 1100 0 0 1004128273 92 Waiver service provider--Disability (DHS/DRS) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004128296 1730594037 16 Nurse Practitioners RINEHART STEPHANIE 503061455 91 Sangamon 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 462 0 0 0 0 0 0 0 0 1724 0 0 0 0 0 0 2186 0 0 1004128396 1902273717 16 Nurse Practitioners JONES TAMMI 999999999 65 Madison 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 0 121 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 2627 0 0 0 0 0 0 2627 0 0 1004128755 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 15622 0 0 0 0 0 0 0 0 0 0 0 0 0 15622 0 0 1004128846 1336568278 12 Optometrists KOSTOPOULOS ANASTASIA 606042992 200 Cook 0 0 Diagnostic Pharmaceutical Agents 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 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 0 368 0 0 0 0 0 0 368 0 0 1004128943 1215330360 89 Physician Assistant Only(Encounter Only) NFUNDOAK MANYI 606313222 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 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 0 670 0 0 0 0 0 0 670 0 0 1004129029 1659757888 16 Nurse Practitioners OLDAKER YVONNE 999999999 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 523 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 523 0 0 0 0 0 0 0 0 0 253 0 0 0 0 0 0 0 0 87637 0 0 0 0 0 0 87890 0 0 1004129358 1578539847 89 Physician Assistant Only(Encounter Only) MORRIS MICHAEL S 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 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 0 305 0 0 0 0 0 0 305 0 0 1004129401 1568669901 10 Physicians GUZMAN PEREZ-CARILLO GLORIA 631600352 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 82 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2430 0 66 0 0 0 0 0 0 2496 0 0 1004129716 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 0 139 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 19414 0 0 0 0 0 0 0 0 0 0 0 0 0 19414 0 0 1004129726 1912246380 16 Nurse Practitioners NYONLY BAI 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 0 102 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 3897 0 0 0 0 0 0 3897 0 0 1004129795 1932599230 16 Nurse Practitioners MCLEAN LAUREN 999999999 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 454 0 0 0 0 0 0 454 0 0 1004129801 1578819249 10 Physicians GURUNG REENA 999999999 53 Kane 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 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 0 614 0 0 0 0 0 0 614 0 0 1004130556 1144452327 89 Physician Assistant Only(Encounter Only) MARITOTE AMY L 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 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 2217 0 0 0 0 0 0 2217 0 0 1004130936 1003824061 30 General Hospitals PARKLAND HEALTH CENTER- FARMIN 636401921 826 Missouri ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 595 0 0 0 0 0 0 0 0 1533 0 0 0 0 0 2128 0 0 1004130961 1174813133 10 Physicians WALENTIK ANNE C 999999999 66 Marion 0 0 Pediatrics 0 0 0 0 1 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 61 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 61 0 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 0 0 1566 0 0 0 0 0 0 1642 0 0 1004131092 1417106519 89 Physician Assistant Only(Encounter Only) MEERSMAN MICHELENE 999999999 30 DuPage 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 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 4206 0 0 0 0 0 0 4206 0 0 1004131202 1760873939 16 Nurse Practitioners BUCKHALTER BRANDY C 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 103 0 0 0 0 0 0 103 0 0 1004131355 1427286822 10 Physicians VEENSTRA BENJAMIN R. 606123714 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5551 0 0 0 0 0 0 5551 0 0 1004131428 94 Waiver service provider--Children's support (DHS/DDD) 30 DuPage 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 1214 0 0 0 0 0 0 0 0 0 0 0 0 0 1214 0 0 1004131723 1184031254 24 Speech Therapists LEV NATALIE R 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 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 7418 7418 0 0 1004131746 1699040774 10 Physicians ARSHAD HUMA 999999999 30 DuPage 0 0 Family Practice 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 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 226 0 0 0 0 0 0 226 0 0 1004131759 1518120575 10 Physicians ROWE ANTHONY J 753208807 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 88 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 864 0 15 0 0 0 0 0 0 879 0 0 1004131951 1053784645 16 Nurse Practitioners KUMPUCKAL BISSY 999999999 53 Kane 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 43 0 0 0 0 0 0 43 0 0 1004132001 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 0 332 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 26659 0 0 0 0 0 0 0 0 0 0 0 0 0 26659 0 0 1004132120 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 42 0 0 0 0 0 0 42 0 0 1004132216 1689079642 48 Rural Health Clinics JCH MEDICAL GROUP CARROLLTON 620161256 39 Greene 0 1 0 0 50 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 132 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 132 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4052 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4052 0 0 1004132222 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 64 0 0 0 0 0 0 64 0 0 1004132260 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 26746 0 0 0 0 0 0 0 0 0 0 0 0 0 26746 0 0 1004132409 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 0 221 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 15857 0 0 0 0 0 0 0 0 0 0 0 0 0 15857 0 0 1004132915 1023003720 30 General Hospitals KATH SHAW BETHEA HOSP 999999999 60 Lee DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 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 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35322 0 0 0 0 0 0 0 0 0 35322 0 0 1004132933 1679535637 30 General Hospitals SWEDISH COVENANT HOSPITAL 999999999 200 Cook DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 General Hospital - Adult and Child 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 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1136 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 503981 0 0 0 0 0 0 0 0 0 503981 0 0 1004132936 1942677950 16 Nurse Practitioners FLECK GREGORY A 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 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 0 103 0 0 0 0 0 0 103 0 0 1004133196 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 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21544 0 0 0 0 0 0 0 0 0 0 0 0 0 21544 0 0 1004133275 1083029375 16 Nurse Practitioners RIKHMAN YELENA 999999999 96 St Clair 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 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 2638 0 0 0 0 0 0 2638 0 0 1004133458 1811392970 48 Rural Health Clinics JCH MEDICAL GROUP JERSEYVILLE 620522000 50 Jersey 0 1 0 0 559 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2076 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2076 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67114 0 0 1004133766 1992183503 16 Nurse Practitioners METTE CAROLINA 333232815 47 Jackson 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 0 726 0 0 0 0 0 0 726 0 0 1004134320 1376670315 89 Physician Assistant Only(Encounter Only) JAMESON DANIEL R. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 857 0 0 0 0 0 0 857 0 0 1004134387 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 0 199 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 18322 0 0 0 0 0 0 0 0 0 0 0 0 0 18322 0 0 1004134546 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7171 0 0 0 0 0 0 0 0 0 0 0 0 0 7171 0 0 1004134643 1154615110 16 Nurse Practitioners WININGER BREAHA R 477101682 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 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 1004134773 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 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26568 0 0 0 0 0 0 0 0 0 0 0 0 0 26568 0 0 1004134779 16 Nurse Practitioners 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 168 0 0 1004135090 1043447774 10 Physicians SOUDAGAR ABDUS S 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 8 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 18695 0 0 0 0 0 0 18775 0 0 1004135218 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 162 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 162 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27155 0 0 0 0 0 0 0 0 0 0 0 0 0 27155 0 0 1004135441 10 Physicians 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 29 0 0 0 0 0 0 29 0 0 1004135470 22 Physical Therapists 96 St Clair 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 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 55 55 0 0 1004135491 1689099848 39 Hospice BEACON OF HOPE HOSPICE OF ILLI 999999999 56 Knox 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1345 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 222943 0 0 0 0 0 0 0 0 0 0 0 222943 0 0 1004135582 10 Physicians 96 St Clair 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 1004135715 1972552529 89 Physician Assistant Only(Encounter Only) KIRBY LANCE A 999999999 200 Cook 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 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 1183 0 0 0 0 0 0 1183 0 0 1004136013 1902209737 16 Nurse Practitioners LEINART ANNE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1128 0 0 0 0 0 0 1128 0 0 1004136078 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 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 4153 0 0 0 0 0 0 0 0 0 0 0 0 0 4153 0 0 1004136295 1538260120 10 Physicians BUCHMAN CRAIG A 999999999 53 Kane 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 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 1296 0 0 0 0 0 0 1296 0 0 1004136345 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 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 1004136418 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 0 134 0 0 0 0 0 0 134 0 0 1004136447 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 0 181 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 30211 0 0 0 0 0 0 0 0 0 0 0 0 0 30211 0 0 1004136507 1962639609 10 Physicians BRITO SOCRATES A 999999999 53 Kane 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4972 0 0 0 0 0 0 4972 0 0 1004136831 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 64 0 0 0 0 0 0 64 0 0 1004136852 1659685295 10 Physicians GOVINDU JAGATHI DEEPTHI 999999999 53 Kane 0 0 Internal Medicine 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2757 0 0 0 0 0 0 2757 0 0 1004137042 1184021461 16 Nurse Practitioners LINEHAN KATHLEEN 999999999 107 Will 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 0 124 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 0 527 0 0 0 0 0 0 527 0 0 1004137085 36 Community mental health provider 65 Madison 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 0 618 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 618 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64628 0 0 64628 0 0 1004137444 1639445406 10 Physicians GORE STEPHEN 606751611 200 Cook 0 0 Emergency Medicine 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 0 243 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 0 0 0 0 0 0 0 0 0 0 0 0 1949 0 0 0 0 0 0 1949 0 0 1004137514 1144637224 30 General Hospitals HARVEY DIALYSIS 604266112 200 Cook DIALYSIS Outpatient dialysis centers. 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 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1035 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39707 0 0 0 0 0 39707 0 0 1004137667 1659750818 48 Rural Health Clinics JCH MEDICAL GROUP JERSEYVILLE 999999999 50 Jersey 0 1 0 0 243 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 688 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 688 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16918 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16918 0 0 1004138195 1871936146 10 Physicians VALDEZ YESENIA 999999999 200 Cook 0 0 General Practice 0 0 0 0 10 0 0 0 0 0 0 6 0 75 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 6 0 165 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 6 0 165 0 0 0 0 0 0 0 0 0 754 0 0 0 0 0 0 18 0 5556 0 0 0 0 0 0 6328 0 0 1004138306 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 7893 0 0 0 0 0 0 0 0 0 0 0 0 0 7893 0 0 1004138322 10 Physicians 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004138684 1669767174 10 Physicians SKAY COLLEEN E 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 2 0 0 0 0 0 0 4 0 13 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 4 0 17 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 4 0 17 0 0 0 0 0 0 0 0 0 209 0 0 0 0 0 0 143 0 1383 0 0 0 0 0 0 1735 0 0 1004139153 1285863308 10 Physicians KAPLAN MATTHEW 999999999 54 Kankakee 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 2963 0 0 0 0 0 0 3003 0 0 1004139237 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 1004139353 1285009639 36 Community mental health provider THRESHOLDS 999999999 200 Cook 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 0 249 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 9970 0 0 9970 0 0 1004139394 1801119730 10 Physicians SHAIKH LAURA 601235827 53 Kane 0 0 Physical Medicine/Rehabilitation 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 0 157 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 1363 0 0 0 0 0 0 1363 0 0 1004139520 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 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26782 0 0 0 0 0 0 0 0 0 0 0 0 0 26782 0 0 1004139842 24 Speech Therapists 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 319 319 0 0 1004140011 10 Physicians 200 Cook 0 0 Otolaryngology 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1298 0 0 0 0 0 0 1298 0 0 1004140037 10 Physicians 47 Jackson 0 0 Otolaryngology 0 0 0 0 0 0 0 0 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 1038 0 0 0 0 0 0 1038 0 0 1004140079 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 0 353 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 353 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28402 0 0 0 0 0 0 0 0 0 0 0 0 0 28402 0 0 1004140202 89 Physician Assistant Only(Encounter Only) 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004140234 1790154532 16 Nurse Practitioners FENSKI JANELLE A 999999999 98 Tazewell 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 88 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 88 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 1821 0 0 0 0 0 0 1906 0 0 1004140403 10 Physicians 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004140958 1144381823 89 Physician Assistant Only(Encounter Only) FRAZER AMY 999999999 53 Kane 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 355 0 0 0 0 0 0 0 0 303 0 0 0 0 0 0 658 0 0 1004141043 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 27308 0 0 0 0 0 0 0 0 0 0 0 0 0 27308 0 0 1004141176 92 Waiver service provider--Disability (DHS/DRS) 71 McHenry 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10602 0 0 0 0 0 0 0 0 0 0 0 0 0 10602 0 0 1004141193 1780905349 10 Physicians VALDEZ TINA 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 197 0 0 0 0 0 0 197 0 0 1004141213 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 0 122 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 27726 0 0 0 0 0 0 0 0 0 0 0 0 0 27726 0 0 1004141281 1609255819 86 Clinical Social Worker(Encounter Only) LAVENDER LEO W 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 0 192 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 56 0 0 0 0 0 0 56 0 0 1004141420 1205222379 33 Nursing Facilities CENTRAL NURSING HOME 606391316 200 Cook 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 0 402 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9656 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1089995 0 0 0 0 0 0 0 1089995 0 0 1004141491 1073769329 74 Hospital-Based Transportation Providers CHRISTIAN HOSPITAL EMS 999999999 826 Missouri 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 0 455 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 455 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50094 0 0 0 0 0 0 50094 0 0 1004141767 1427424936 16 Nurse Practitioners ZUMBAHLEN AMANDA C. 619389253 24 Coles 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 0 155 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 3747 0 0 0 0 0 0 3747 0 0 1004141793 1790917557 10 Physicians AHMED OSMANUDDIN S 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 423 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 579 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 579 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4128 0 4721 0 0 0 0 0 0 8849 0 0 1004142014 1851757983 16 Nurse Practitioners DUNCAN DAXTON 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 633 0 0 0 0 0 0 633 0 0 1004142085 10 Physicians 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 81 0 0 1004142141 1518253160 10 Physicians CHOWDHURY FARHANAZ 631418573 64 Macoupin 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 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2946 0 0 0 0 0 0 2946 0 0 1004142283 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 14626 0 0 0 0 0 0 0 0 0 0 0 0 0 14626 0 0 1004142333 1538548276 16 Nurse Practitioners SANTOS ROSANNA V 999999999 57 Lake 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 0 980 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 980 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5545 0 0 0 0 0 0 5545 0 0 1004142511 1225322068 10 Physicians PATEL KALPESH 999999999 826 Missouri 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 0 139 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 1196 0 0 0 0 0 0 1196 0 0 1004143042 1346634193 10 Physicians SARTIPI SHAYAN 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 9 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 139 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 139 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63 0 7003 0 0 0 0 0 0 7066 0 0 1004143330 1003299165 16 Nurse Practitioners PANAMBO JULIET I 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 707 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 0 0 0 0 0 0 0 0 0 0 3283 0 0 0 0 0 0 3283 0 0 1004143609 1861865305 16 Nurse Practitioners SCHULTZ TARA 999999999 82 Piatt 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 0 239 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 4012 0 0 0 0 0 0 4012 0 0 1004143740 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 0 212 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 16610 0 0 0 0 0 0 0 0 0 0 0 0 0 16610 0 0 1004143897 1669678009 10 Physicians MIRZA NADIA 999999999 200 Cook 0 0 Psychiatry 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 0 511 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 511 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24194 0 0 0 0 0 0 24194 0 0 1004143999 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 0 104 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 3801 0 0 0 0 0 0 0 0 0 0 0 0 0 3801 0 0 1004144042 1598159717 16 Nurse Practitioners MCLENNON ALLISON A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 145 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 0 544 0 0 0 0 0 0 544 0 0 1004144238 1003010059 10 Physicians PARDO ANDREA C. 999999999 200 Cook 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 0 118 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 6608 0 0 0 0 0 0 6608 0 0 1004144337 89 Physician Assistant Only(Encounter Only) 852 Wisconsin 0 0 0 0 0 0 0 0 0 0 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 79 0 0 0 0 0 0 79 0 0 1004144691 1831580588 75 Department of Alcohol and Substance Abuse Provider HEALTHCARE ALTERNATIVE SYSTEMS 601552925 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31504 0 0 31504 0 0 1004144818 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 1004145147 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 0 356 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 356 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25782 0 0 0 0 0 0 0 0 0 0 0 0 0 25782 0 0 1004145609 1407199235 10 Physicians SUGRUE JEREMY 999999999 200 Cook 0 0 General Practice 0 0 0 0 0 0 0 0 0 0 0 2 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 131 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 131 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3797 0 0 0 0 0 0 3797 0 0 1004145645 1750718664 16 Nurse Practitioners TIERNEY LISA A 606784200 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 0 388 0 0 0 0 0 0 388 0 0 1004145739 1902033715 87 Psychologist(Encounter Only) RAMATI ALONA 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 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 0 0 0 0 0 0 0 0 0 0 1004145782 10 Physicians 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004145863 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 21 0 0 0 0 0 0 21 0 0 1004145927 1891950713 10 Physicians BHARDWAJ CHETAN 999999999 80 Peoria 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 542 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 542 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 8292 0 0 0 0 0 0 8295 0 0 1004145987 24 Speech Therapists 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 459 459 0 0 1004146233 10 Physicians 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004146773 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 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 6921 0 0 0 0 0 0 0 0 0 0 0 0 0 6921 0 0 1004146847 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 0 243 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 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1004146953 10 Physicians 53 Kane 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 1004147021 1295761484 10 Physicians RIZWAN SHAFEEQUR 999999999 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 1 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 3095 0 0 0 0 0 0 3244 0 0 1004147379 1578790309 10 Physicians JAJKO ROBERT A 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 174 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 269 0 97 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 269 0 97 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4941 0 2114 0 0 0 0 0 0 7055 0 0 1004147442 1790986461 10 Physicians GUTTMANN AMY 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 209 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 317 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 317 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4623 0 0 0 0 0 0 0 0 4623 0 0 1004147742 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 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 10468 0 0 0 0 0 0 0 0 0 0 0 0 0 10468 0 0 1004147786 10 Physicians 109 Winnebago 0 0 0 0 0 0 0 0 0 0 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 58 0 0 0 0 0 0 58 0 0 1004147795 1396919544 10 Physicians SIRIKONDA NAGA 631322907 88 Richland 0 0 Internal Medicine 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 0 452 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 452 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7725 0 0 0 0 0 0 7725 0 0 1004147885 1497161178 12 Optometrists GIANFRIDDO JOSEPH F 623013712 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 736 0 200 0 0 0 0 936 0 0 1004148315 1760643373 10 Physicians LOW LI SHIEN 605066222 30 DuPage 0 0 Internal 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 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1509 0 0 0 0 0 0 1509 0 0 1004148426 1205044062 10 Physicians GUPTA POOJA 999999999 80 Peoria 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1699 0 0 0 0 0 0 1699 0 0 1004148491 1578826939 10 Physicians AHMED ZOHAIR 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3246 0 0 0 0 0 0 3246 0 0 1004148573 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 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 3 0 0 0 0 0 0 3 0 0 1004148973 1023219094 70 Ambulance Service Providers TRI DISTRICT EMERGENCY AMBULAN 610709505 97 Stephenson 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 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 17853 0 0 0 0 0 0 17853 0 0 1004149085 1619175148 10 Physicians DLOUHY BRIAN J 999999999 200 Cook 0 0 Neurology Surgery 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 0 192 0 0 0 0 0 0 192 0 0 1004149253 1477935112 16 Nurse Practitioners BACH ANNMARIE 601262966 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 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 0 377 0 0 0 0 0 0 377 0 0 1004149387 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 0 140 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 16990 0 0 0 0 0 0 0 0 0 0 0 0 0 16990 0 0 1004149436 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 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10920 0 0 0 0 0 0 0 0 0 0 0 0 0 10920 0 0 1004149523 87 Psychologist(Encounter Only) 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 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 1004149771 1548499106 10 Physicians BERNBECK MATTHEW M. 999999999 805 California 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 1 746 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1223 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1223 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 12159 0 436 0 0 0 0 0 0 12653 0 0 1004149779 1740651140 16 Nurse Practitioners KEUTH MAGGIE E 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 992 0 0 0 0 0 0 992 0 0 1004149896 1518393388 10 Physicians UDEOJI DIOMA 999999999 57 Lake 0 0 Internal Medicine 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 0 556 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 556 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14242 0 0 0 0 0 0 14242 0 0 1004150087 1285897728 10 Physicians LI NEWTON 600051069 200 Cook 0 0 Allergy-Immunization 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 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 95 0 0 0 0 0 0 95 0 0 1004150210 1588751739 60 Pharmacies OMNICARE OF BELLEVILLE 999999999 96 St Clair 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 349 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4339 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101850 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54322 0 0 0 54322 0 0 1004150279 1578960084 16 Nurse Practitioners BASSELL LESLIE 999999999 30 DuPage 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 0 170 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 0 0 0 0 0 0 0 0 0 0 2089 0 0 0 0 0 0 2089 0 0 1004150341 1457494148 89 Physician Assistant Only(Encounter Only) PALSGROVE PATRICK 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 0 0 0 74 0 0 0 0 0 0 74 0 0 1004150444 1023480316 12 Optometrists GUITHUES MOLLY M 616152170 80 Peoria 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 321 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 654 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 654 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15275 0 38 0 0 0 0 15313 0 0 1004150518 1770890758 89 Physician Assistant Only(Encounter Only) SVOBODA MEGAN 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 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 0 379 0 0 0 0 0 0 379 0 0 1004150578 1164820312 16 Nurse Practitioners EDWARDS JONATHAN 605407430 30 DuPage 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 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4624 0 0 0 0 0 0 4624 0 0 1004150579 1184027849 48 Rural Health Clinics FAMILY RURAL HEALTH OF LAHARPE 614509461 42 Hancock 0 1 0 0 16 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 0 340 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 340 0 0 1004150789 1710158274 10 Physicians ROBINSON TIFFANY L 999999999 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 4 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 6 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 95 0 0 1004151003 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 1004151263 1174511851 89 Physician Assistant Only(Encounter Only) UGO-NEFF GINA 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 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 0 532 0 0 0 0 0 0 532 0 0 1004151789 1730444852 10 Physicians TUNG ALLEN 601533328 200 Cook 0 0 Internal 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 0 362 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 6610 0 0 0 0 0 0 6610 0 0 1004151825 1699033761 10 Physicians SHAH AMISHA 999999999 200 Cook 0 0 Internal Medicine 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 0 281 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 281 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8605 0 0 0 0 0 0 8605 0 0 1004152050 1255542718 16 Nurse Practitioners HAMANN CLARISSA C 999999999 57 Lake 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 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 0 375 0 0 0 0 0 0 375 0 0 1004152551 1801141726 10 Physicians VOLK TIMOTHY M 999999999 200 Cook 0 0 General Practice 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 0 267 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 7743 0 0 0 0 0 0 7743 0 0 1004152614 1780888677 10 Physicians GUHA RAHUL 999999999 200 Cook 0 0 Anesthesiology 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 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10532 0 0 0 0 0 0 10532 0 0 1004152636 10 Physicians 51 Jo Daviess 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 0 1004152643 92 Waiver service provider--Disability (DHS/DRS) 54 Kankakee 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 26696 0 0 0 0 0 0 0 0 0 0 0 0 0 26696 0 0 1004152905 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 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20431 0 0 0 0 0 0 0 0 0 0 0 0 0 20431 0 0 1004152938 1316021793 89 Physician Assistant Only(Encounter Only) ROBINSON CONNIE LEANNE 627011034 91 Sangamon 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 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 0 502 0 0 0 0 0 0 502 0 0 1004152940 1639502230 16 Nurse Practitioners GANNON GAIL 999999999 30 DuPage 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 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 1307 0 0 0 0 0 0 1307 0 0 1004153263 10 Physicians 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 245 0 0 0 0 0 0 245 0 0 1004153419 1417211699 10 Physicians HUBER MICHAEL T 999999999 200 Cook 0 0 Internal Medicine 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 815 0 0 0 0 0 0 815 0 0 1004153628 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 140 0 0 1004153658 1720289416 16 Nurse Practitioners STROM WENDY B 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 57 0 0 1004153757 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 78 0 0 0 0 0 0 78 0 0 1004153837 1487884854 10 Physicians AMINE MUHAMAD 999999999 200 Cook 0 0 Otolaryngology 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 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 808 0 0 0 0 0 0 808 0 0 1004153928 10 Physicians 24 Coles 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 104 0 0 0 0 0 0 0 0 104 0 0 1004153978 10 Physicians 51 Jo Daviess 0 0 Pediatric Pulmonary 0 0 0 0 0 0 0 0 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 0 149 0 0 0 0 0 0 149 0 0 1004153980 1295851251 89 Physician Assistant Only(Encounter Only) HUBER ANDREA 606123714 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 0 532 0 0 0 0 0 0 532 0 0 1004154051 1215321468 10 Physicians WANG STEPHANIE 606777007 200 Cook 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 1 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 410 0 0 0 0 0 0 410 0 0 1004154111 10 Physicians 826 Missouri 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 83 0 0 0 0 0 0 0 0 83 0 0 1004154299 16 Nurse Practitioners 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 6 0 0 1004154315 87 Psychologist(Encounter Only) 815 Indiana 0 0 0 0 0 0 0 0 0 0 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 0 251 0 0 0 0 0 0 251 0 0 1004154337 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 1664 0 0 0 0 0 0 0 0 0 0 0 0 0 1664 0 0 1004154381 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 0 214 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 29261 0 0 0 0 0 0 0 0 0 0 0 0 0 29261 0 0 1004154500 1043607534 24 Speech Therapists SYLVE REBECCA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 162204 162204 0 0 1004154519 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 27864 0 0 0 0 0 0 0 0 0 0 0 0 0 27864 0 0 1004154687 10 Physicians 200 Cook 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 1 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 1004154751 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 0 240 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 30267 0 0 0 0 0 0 0 0 0 0 0 0 0 30267 0 0 1004155041 1396032298 10 Physicians SACHDEVA KAPIL 999999999 53 Kane 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 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7885 0 0 0 0 0 0 7885 0 0 1004155070 1053539403 10 Physicians FYNN-THOMPSON ERIC K. 999999999 10 Adams 0 0 Plastic Surgery 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 0 103 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 3071 0 0 0 0 0 0 3071 0 0 1004155075 1023187408 16 Nurse Practitioners JONES SUSIE J 999999999 108 Williamson 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 0 118 0 0 0 0 0 0 118 0 0 1004155118 1659770998 16 Nurse Practitioners WOLFORD HOLLY 606733039 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 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 0 517 0 0 0 0 0 0 517 0 0 1004155241 1528236601 16 Nurse Practitioners HARMS CAROL 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 543 0 0 0 0 0 0 543 0 0 1004155282 1528457306 16 Nurse Practitioners FRANKLIN SHERRY L 629015612 47 Jackson 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 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 55 0 0 0 0 0 0 55 0 0 1004155312 1578981205 10 Physicians VLACHOS DANA 999999999 200 Cook 0 0 Family Practice 0 0 0 0 8 0 0 0 0 0 0 13 0 90 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 15 0 135 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 15 0 135 0 0 0 0 0 0 0 0 0 402 0 0 0 0 0 0 56 0 5040 0 0 0 0 0 0 5498 0 0 1004155732 1902932825 60 Pharmacies UIC TAYLOR STREET EEI PHARMACY 606127242 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4354 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4354 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 204994 0 0 0 204994 0 0 1004155887 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004156221 1104189802 10 Physicians GENTRY STEVEN 618012529 19 Champaign 0 1 Family Practice 0 0 0 0 4 0 0 0 0 0 0 0 0 103 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 175 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 175 0 0 0 0 0 0 0 0 0 286 0 0 0 0 0 0 0 0 3211 0 0 0 0 0 0 3497 0 0 1004156238 16 Nurse Practitioners 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004156397 1851512487 22 Physical Therapists GURALNIK VICTORIA 999999999 57 Lake 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 0 674 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 674 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3789 3789 0 0 1004156604 10 Physicians 109 Winnebago 0 0 Radiation Oncology 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 1004156686 1013113398 10 Physicians METZGER SHANNON 606225646 200 Cook 0 0 Admitting Privileges 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 0 335 0 0 0 0 0 0 335 0 0 1004156696 1689637472 10 Physicians ABDULLAH FIZAN 606112991 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 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 5095 0 0 0 0 0 0 5095 0 0 1004157221 1588853741 16 Nurse Practitioners VANDERMOLEN TAMMY L 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 418 0 0 0 0 0 0 418 0 0 1004157504 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 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27793 0 0 0 0 0 0 0 0 0 0 0 0 0 27793 0 0 1004157591 1598919987 16 Nurse Practitioners LANDRETH TRESSIE 999999999 69 Massac 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 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 1764 0 0 0 0 0 0 1764 0 0 1004158196 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 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26934 0 0 0 0 0 0 0 0 0 0 0 0 0 26934 0 0 1004158387 1770913550 10 Physicians ATHIRAMAN UMESHKUMAR 631600352 89 Rock Island 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 0 421 0 0 0 0 0 0 421 0 0 1004158508 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 0 233 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 25142 0 0 0 0 0 0 0 0 0 0 0 0 0 25142 0 0 1004158603 1972586303 10 Physicians RUSKIN KEITH 999999999 30 DuPage 0 0 Anesthesiology 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 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 5559 0 0 0 0 0 0 5559 0 0 1004158650 1942680228 12 Optometrists CRAGGS MAXX M 626562825 62 Logan 0 0 Diagnostic Pharmaceutical Agents 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 0 438 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 438 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5675 0 0 0 0 0 0 5675 0 0 1004159218 1952604464 10 Physicians JAVAIYA HEMANGKUMAR 999999999 41 Hamilton 0 0 Internal Medicine 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 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2553 0 0 0 0 0 0 2553 0 0 1004159251 10 Physicians 96 St Clair 0 0 Ophthalmology 0 0 0 0 0 0 0 0 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 0 232 0 0 0 0 0 0 232 0 0 1004159257 1790182103 16 Nurse Practitioners ATWOOD STEPHANIE 606733039 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 192 0 0 0 0 0 0 0 0 1438 0 0 0 0 0 0 1630 0 0 1004159586 1538589007 16 Nurse Practitioners THOMAS MANJU 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 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004159643 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 0 156 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 0 0 0 0 0 22512 0 0 0 0 0 0 0 0 0 0 0 0 0 22512 0 0 1004159694 16 Nurse Practitioners 10 Adams 0 0 0 0 0 0 0 0 0 0 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 1004159735 1811254568 10 Physicians MASRUR MARIO 606127232 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 14215 0 0 0 0 0 0 14237 0 0 1004159871 1679729875 10 Physicians ASIF KAIZ S 606930001 200 Cook 0 0 Neurology Surgery 0 0 0 0 0 0 0 0 0 0 0 7 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 6267 0 0 0 0 0 0 6298 0 0 1004160012 1811353535 36 Community mental health provider CENTERSTONE OF ILLINOIS 999999999 50 Jersey 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 451 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 451 0 0 1602 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96162 0 0 97764 0 0 1004160297 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 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 0 550 0 0 0 0 0 0 550 0 0 1004160405 1336197573 10 Physicians KUMAR AMIT 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 7 0 280 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 740 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 740 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 15982 0 0 0 0 0 0 15993 0 0 1004160421 1811371586 55 Early Intervention Services SCHUMACHER STEPHANIE 999999999 30 DuPage 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 0 324 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 324 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18598 0 0 0 0 0 0 18598 0 0 1004160479 1053674002 10 Physicians KOSOVA ETHAN C 999999999 200 Cook 0 0 Internal Medicine 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 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 1367 0 0 0 0 0 0 1367 0 0 1004160600 97 Waiver service provider--Children's residential (DHS/DDD) 833 New York 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 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 7854 0 0 0 0 0 0 0 0 0 0 0 0 0 7854 0 0 1004160603 10 Physicians 19 Champaign 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 45 0 0 0 0 0 0 45 0 0 1004160645 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 0 284 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 16723 0 0 0 0 0 0 0 0 0 0 0 0 0 16723 0 0 1004160830 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 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 0 587 0 0 0 0 0 0 587 0 0 1004160834 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 0 240 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 28350 0 0 0 0 0 0 0 0 0 0 0 0 0 28350 0 0 1004161027 1548620016 16 Nurse Practitioners HOOPER NIALL A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2055 0 0 0 0 0 0 2055 0 0 1004161176 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 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9537 0 0 0 0 0 0 0 0 0 0 0 0 0 9537 0 0 1004161227 1811258734 10 Physicians PENDLEY CHAD 999999999 200 Cook 0 0 Internal Medicine 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 0 178 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 4941 0 0 0 0 0 0 4941 0 0 1004161282 1811016520 89 Physician Assistant Only(Encounter Only) SORIANO ALEXANDRA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 406 0 0 1075 0 0 0 0 0 0 1481 0 0 1004161344 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 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21128 0 0 0 0 0 0 0 0 0 0 0 0 0 21128 0 0 1004161627 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 0 335 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 335 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29937 0 0 0 0 0 0 0 0 0 0 0 0 0 29937 0 0 1004161683 1396028106 16 Nurse Practitioners JU EUN MEE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 373 0 0 0 0 0 0 373 0 0 1004161957 1023251832 10 Physicians ATTY CORINNE 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 281 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 439 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 439 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9381 0 87 0 0 0 0 0 0 9468 0 0 1004162088 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 27945 0 0 0 0 0 0 0 0 0 0 0 0 0 27945 0 0 1004162301 1033550199 11 Dentists MOON YOODONG 999999999 71 McHenry 0 0 General Dentistry 0 0 0 46 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 7735 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7735 0 0 1004162365 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 87 0 0 0 0 0 0 87 0 0 1004162964 1609272491 16 Nurse Practitioners HARN KIRSTEN 535661569 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 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 69 0 0 0 0 0 0 69 0 0 1004163172 1801917877 10 Physicians SAAD DANIEL F 999999999 842 South Carolina 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 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 19329 0 0 0 0 0 0 19329 0 0 1004163336 89 Physician Assistant Only(Encounter Only) 852 Wisconsin 0 0 0 0 0 0 0 0 0 0 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 41 0 0 0 0 0 0 41 0 0 1004163604 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 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25423 0 0 0 0 0 0 0 0 0 0 0 0 0 25423 0 0 1004163974 1457502478 89 Physician Assistant Only(Encounter Only) SHAH VICKI M 999999999 200 Cook 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 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 0 879 0 0 0 0 0 0 879 0 0 1004164068 1578647970 89 Physician Assistant Only(Encounter Only) TEAMAN EDWARD 624012006 33 Effingham 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 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 0 766 0 0 0 0 0 0 766 0 0 1004164225 1952492829 89 Physician Assistant Only(Encounter Only) BADILLO ISABELLE K 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 718 0 0 0 0 0 0 718 0 0 1004164280 10 Physicians 109 Winnebago 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 0 185 0 0 0 0 0 0 185 0 0 1004165008 1932506458 87 Psychologist(Encounter Only) COOK PAMELA 999999999 54 Kankakee 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 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 0 562 0 0 0 0 0 0 562 0 0 1004165227 1023425816 11 Dentists SARRAFEE SARA 999999999 200 Cook 0 0 General Dentistry 0 0 0 218 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36404 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36404 0 0 1004165588 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 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 1004165617 89 Physician Assistant Only(Encounter Only) 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004166205 1396124301 36 Community mental health provider THRESHOLDS 999999999 200 Cook 0 0 0 166 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 0 0 4557 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2718 0 0 4557 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2718 0 0 460933 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 368344 0 0 829277 0 0 1004166309 10 Physicians 826 Missouri 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 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 0 400 0 0 0 0 0 0 400 0 0 1004166325 1265820021 16 Nurse Practitioners REINERSMAN CHELSEA C 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 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 1177 0 0 0 0 0 0 1177 0 0 1004166409 1598020836 10 Physicians BAILEY WILLIAM 999999999 37 Fulton 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 707 0 0 0 0 0 0 707 0 0 1004166503 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 18335 0 0 0 0 0 0 0 0 0 0 0 0 0 18335 0 0 1004166523 1780063362 11 Dentists RICHARDSON SARAH E 300676402 815 Indiana 0 0 General Dentistry 0 0 0 49 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 6932 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6932 0 0 1004166918 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2709 0 0 0 0 0 0 0 0 0 0 0 0 0 2709 0 0 1004166955 16 Nurse Practitioners 826 Missouri 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 73 0 0 0 0 0 0 73 0 0 1004167265 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 0 0 0 0 1 0 0 1004167388 1568740033 10 Physicians RANDHAWA AMANDEEP S 606442609 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2567 0 0 0 0 0 0 2567 0 0 1004167512 1396024972 10 Physicians MYDAM JANARDHAN 999999999 200 Cook 0 0 Pediatrics 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 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 4109 0 0 0 0 0 0 4109 0 0 1004167896 1710298856 16 Nurse Practitioners DUDIC SANDRA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3515 0 0 0 0 0 0 3515 0 0 1004168064 10 Physicians 96 St Clair 0 0 Family Practice 0 0 0 0 0 0 0 0 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 1004168465 1295743169 30 General Hospitals MISSOURI BAPTIST SULLIVAN HOSP 630802354 826 Missouri ARS-LS Long-term stay hospitals paid under an ARS 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 1106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1106 0 0 1004168824 1306152806 11 Dentists LODHI TANIA G 604821649 200 Cook 0 0 General Dentistry 0 0 0 70 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 319 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 319 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 14043 0 0 0 0 0 0 0 0 0 0 0 1776 0 0 0 0 15819 0 0 1004169162 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 17927 0 0 0 0 0 0 0 0 0 0 0 0 0 17927 0 0 1004169238 1205089166 10 Physicians COOKSEY JESSICA A 999999999 200 Cook 0 0 Internal Medicine 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1967 0 0 0 0 0 0 1967 0 0 1004169550 86 Clinical Social Worker(Encounter Only) 71 McHenry 0 0 0 0 0 0 0 0 0 0 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 0 171 0 0 0 0 0 0 171 0 0 1004169552 1316357999 86 Clinical Social Worker(Encounter Only) URBAN SUSAN 999999999 57 Lake 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 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 1018 0 0 0 0 0 0 1018 0 0 1004169604 1619390655 16 Nurse Practitioners KOBITTER SHERRY 150090250 80 Peoria 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 0 670 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 670 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5948 0 0 0 0 0 0 5948 0 0 1004169863 16 Nurse Practitioners 51 Jo Daviess 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 22 0 0 1004169953 94 Waiver service provider--Children's support (DHS/DDD) 66 Marion 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17570 0 0 0 0 0 0 0 0 0 0 0 0 0 17570 0 0 1004169989 1063810232 16 Nurse Practitioners ROSENTHAL SARAH 627034514 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 788 0 0 0 0 0 0 788 0 0 1004170237 1255639100 30 General Hospitals ST MARYS HOSPITAL 999999999 63 Macon DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 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 43 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 6692 0 0 0 0 0 0 0 0 0 6692 0 0 1004170713 1982970638 10 Physicians CHERIAN SARAH 999999999 19 Champaign 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 146 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 146 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 6649 0 0 0 0 0 0 6663 0 0 1004170754 10 Physicians 200 Cook 0 0 Emergency 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 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 0 215 0 0 0 0 0 0 215 0 0 1004170774 1275544629 11 Dentists BENZ JAMES 605223039 30 DuPage 0 0 General Dentistry 0 0 0 557 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 2516 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 2516 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 100599 0 0 0 0 0 0 0 0 0 0 0 15851 0 0 0 0 116450 0 0 1004171312 1932147592 89 Physician Assistant Only(Encounter Only) PULVER RHONDA 999999999 37 Fulton 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 0 0 0 0 0 0 0 0 0 0 1004171320 1063788479 16 Nurse Practitioners DAVIES HEIDI K 629486334 108 Williamson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 43 0 0 0 0 0 0 43 0 0 1004171504 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 0 365 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 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1004171523 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 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 33961 0 0 0 0 0 0 0 0 0 0 0 0 0 33961 0 0 1004171887 1164703310 16 Nurse Practitioners MEDALLE GINA V. 999999999 200 Cook 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 0 124 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 0 852 0 0 0 0 0 0 852 0 0 1004171920 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 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20012 0 0 0 0 0 0 0 0 0 0 0 0 0 20012 0 0 1004172108 1376949958 89 Physician Assistant Only(Encounter Only) MILLER SABRINA A 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 121 0 0 1004172407 1609265461 16 Nurse Practitioners PATEL SIMA 601533328 200 Cook 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 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1246 0 0 0 0 0 0 1246 0 0 1004172640 91 Waiver service provider--Adults (DHS/DDD) 73 Menard 0 0 0 0 0 0 0 0 1 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 30242 0 0 0 0 0 0 0 0 0 0 0 0 0 30242 0 0 1004172802 1124317367 10 Physicians THOTT GEORGE 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 5 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 433 0 0 0 0 0 0 433 0 0 1004172833 1790042067 10 Physicians HUYNH KHANH 946081844 30 DuPage 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 7524 0 0 0 0 0 0 7559 0 0 1004172858 1346504867 10 Physicians GUEVARA JAVIER 606221797 200 Cook 0 0 Family Practice 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 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4900 0 0 0 0 0 0 4900 0 0 1004172862 1255683496 10 Physicians KICHURA DANIEL J 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 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 0 706 0 0 0 0 0 0 706 0 0 1004172872 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 0 365 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 25423 0 0 0 0 0 0 0 0 0 0 0 0 0 25423 0 0 1004172901 1043654080 16 Nurse Practitioners MAHONEY KALYN 606112991 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 578 0 0 0 0 0 0 578 0 0 1004173059 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 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27930 0 0 0 0 0 0 0 0 0 0 0 0 0 27930 0 0 1004173164 10 Physicians 200 Cook 0 0 Cardiovascular 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 78 0 0 0 0 0 0 78 0 0 1004173211 1588804520 22 Physical Therapists CHRISTOPOULOS IOULIA 999999999 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 675 675 0 0 1004173539 1578852562 10 Physicians CHAUNCEY ADRIANNA K 606071644 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 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 40 0 0 0 0 0 0 40 0 0 1004173828 91 Waiver service provider--Adults (DHS/DDD) 60 Lee 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 366 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 366 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28337 0 0 0 0 0 0 0 0 0 0 0 0 0 28337 0 0 1004173906 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 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 0 543 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 0 0 0 0 0 0 0 0 0 0 0 0 69213 0 0 0 0 0 0 0 0 0 0 0 0 0 69213 0 0 1004174554 1376949883 16 Nurse Practitioners WALSH KATHRYN 606112605 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 0 113 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 4879 0 0 0 0 0 0 4879 0 0 1004174751 16 Nurse Practitioners 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 79 0 0 1004174893 16 Nurse Practitioners 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004175054 94 Waiver service provider--Children's support (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 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 19126 0 0 0 0 0 0 0 0 0 0 0 0 0 19126 0 0 1004175225 1134528300 16 Nurse Practitioners BRUDOS CHAD W 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 565 0 0 0 0 0 0 565 0 0 1004175316 1144545237 89 Physician Assistant Only(Encounter Only) BIENIA KATHLEEN L 999999999 200 Cook 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 588 0 0 0 0 0 0 0 0 1313 0 0 0 0 0 0 1901 0 0 1004175444 1558661702 89 Physician Assistant Only(Encounter Only) RUSSOM BRIANA L 999999999 109 Winnebago 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 434 0 0 0 0 0 0 0 0 941 0 0 0 0 0 0 1375 0 0 1004175465 1255706818 16 Nurse Practitioners SPECKER JOSEPH 999999999 108 Williamson 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 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 0 987 0 0 0 0 0 0 987 0 0 1004175541 1326272469 10 Physicians RAMPURWALA MURTUZA M 606371447 200 Cook 0 0 Oncology 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 0 188 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 4301 0 0 0 0 0 0 4301 0 0 1004175622 30 General Hospitals 844 Tennessee ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 435 0 0 0 0 0 0 0 0 0 0 0 0 0 0 435 0 0 1004175630 1316314446 16 Nurse Practitioners FARRAHER ANDREW J 999999999 200 Cook 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 107 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 1259 0 0 0 0 0 0 0 0 4190 0 0 0 0 0 0 5449 0 0 1004175643 1184013666 22 Physical Therapists GOUGH LELAND T 999999999 109 Winnebago 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 0 180 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 1604 1604 0 0 1004176181 1497088322 10 Physicians COLLANDER BRETT 601265659 200 Cook 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 0 143 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 2261 0 0 0 0 0 0 2261 0 0 1004176279 1285029439 60 Pharmacies VILLA PARK PHARMACY INC 601811419 30 DuPage 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 0 672 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20139 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9541 0 0 0 9541 0 0 1004176400 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 133 0 0 0 0 0 0 133 0 0 1004176403 1295710044 10 Physicians CAMILLERI CHRISTOPHER 999999999 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 1152 0 0 0 0 0 0 1168 0 0 1004176726 1497126262 60 Pharmacies "GENOA, A QOL HEALTHCARE COMPAN" 999999999 65 Madison 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 0 388 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10030 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10378 0 0 0 10378 0 0 1004176883 10 Physicians 200 Cook 0 0 Pediatrics 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 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 1856 0 0 0 0 0 0 1856 0 0 1004176885 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3195 0 0 0 0 0 0 3195 0 0 1004177147 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 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27621 0 0 0 0 0 0 0 0 0 0 0 0 0 27621 0 0 1004177650 1205275807 10 Physicians GABRIEL MAGDA Z 606740018 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 149 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 213 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 213 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2700 0 3079 0 0 0 0 0 0 5779 0 0 1004177704 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 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26570 0 0 0 0 0 0 0 0 0 0 0 0 0 26570 0 0 1004177753 10 Physicians 71 McHenry 0 0 Pediatrics 0 0 0 0 2 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 285 0 0 0 0 0 0 0 0 176 0 0 0 0 0 0 461 0 0 1004177780 1366828634 25 Audiologists DIXON SAMANTHA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 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 0 365 365 0 0 1004177782 1518075795 30 General Hospitals FRANCISCAN ST JAMES HEALTH 999999999 200 Cook DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 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 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004177822 1306078910 10 Physicians SHAH BHAVIN C 999999999 80 Peoria 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4830 0 0 0 0 0 0 4830 0 0 1004177831 1306111679 10 Physicians JOHNSON LAURA JANELLE 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 3 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 1319 0 0 0 0 0 0 1379 0 0 1004177948 1801906888 16 Nurse Practitioners AUBEL ALICE L 999999999 57 Lake 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 65 0 0 0 0 0 0 65 0 0 1004178049 1457611683 10 Physicians SKERRETT JACQUELYN 601533328 200 Cook 0 0 Family Practice 0 0 0 0 12 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 175 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 175 0 0 0 0 0 0 0 0 0 1446 0 0 0 0 0 0 0 0 2740 0 0 0 0 0 0 4186 0 0 1004178383 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 0 315 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 315 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28248 0 0 0 0 0 0 0 0 0 0 0 0 0 28248 0 0 1004178473 1588989164 10 Physicians THORSNESS ROBERT 601545745 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 12 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 507 0 0 0 0 0 0 553 0 0 1004178512 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 0 151 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 22726 0 0 0 0 0 0 0 0 0 0 0 0 0 22726 0 0 1004178572 1457760514 89 Physician Assistant Only(Encounter Only) MCCAUGHEY ELIZABETH S 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2092 0 0 0 0 0 0 2092 0 0 1004178697 1629266341 10 Physicians PURI MOHAMMAD 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 712 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 712 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5569 0 0 0 0 0 0 5569 0 0 1004178894 1235410796 10 Physicians STERN DAVID R 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 0 112 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 9666 0 0 0 0 0 0 9666 0 0 1004179424 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 0 132 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 25757 0 0 0 0 0 0 0 0 0 0 0 0 0 25757 0 0 1004179584 16 Nurse Practitioners 96 St Clair 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004179962 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 79 0 0 0 0 0 0 79 0 0 1004180301 1871845776 60 Pharmacies VORAC PHARMACY LLC 612541348 45 Henry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53 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 0 0 0 0 0 0 0 0 0 0 0 0 14247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14087 0 0 0 14087 0 0 1004181002 1891157418 16 Nurse Practitioners CACHO KAREN J. 999999999 200 Cook 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 0 448 0 0 0 0 0 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 3222 0 0 0 0 0 0 3222 0 0 1004181005 1013071653 30 General Hospitals CARLE FOUNDATION HOSPITAL 618012529 19 Champaign DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 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 0 310 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 184144 0 0 0 0 0 0 0 0 0 184144 0 0 1004181013 91 Waiver service provider--Adults (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 730 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 730 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55679 0 0 0 0 0 0 0 0 0 0 0 0 0 55679 0 0 1004181202 1831591106 11 Dentists SURAMPUDI DEEPTHA 999999999 57 Lake 0 0 General Dentistry 0 0 0 8 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 0 701 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 701 0 0 1004181256 1548486327 16 Nurse Practitioners ANTON DIANA S 999999999 30 DuPage 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 0 0 886 0 0 0 0 0 0 990 0 0 1004181280 1891197000 16 Nurse Practitioners SAUER JACQUELINE A 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004181298 1649582503 10 Physicians SRINIVASAN NISHANT 601533328 200 Cook 0 0 Pediatrics 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 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 88216 0 0 0 0 0 0 88216 0 0 1004181328 1942241302 10 Physicians WAGLE SMRITI N 999999999 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 154 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 2443 0 0 0 0 0 0 2443 0 0 1004181435 91 Waiver service provider--Adults (DHS/DDD) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 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 11817 0 0 0 0 0 0 0 0 0 0 0 0 0 11817 0 0 1004181451 1073941670 16 Nurse Practitioners DOUGLAS CHARLOTTE F 999999999 46 Iroquois 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 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004181637 1083939987 10 Physicians RANZER MATTHEW 606081732 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105 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 10217 0 0 0 0 0 0 10217 0 0 1004181759 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 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26234 0 0 0 0 0 0 0 0 0 0 0 0 0 26234 0 0 1004181810 10 Physicians 30 DuPage 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 0 242 0 0 0 0 0 0 242 0 0 1004182124 1619121639 10 Physicians MALIK ZAHID M 605155641 30 DuPage 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 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 1550 0 0 0 0 0 0 1550 0 0 1004182777 1750643698 10 Physicians HOWARD MATTHEW JAMES 999999999 200 Cook 0 1 Pediatrics 0 0 0 0 12 0 0 0 0 0 0 1 0 11 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 1 0 11 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 1 0 11 0 0 0 0 0 0 0 0 0 1236 0 0 0 0 0 0 142 0 605 0 0 0 0 0 0 1983 0 0 1004182977 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 16003 0 0 0 0 0 0 0 0 0 0 0 0 0 16003 0 0 1004183039 1629337654 16 Nurse Practitioners BLOOD ALLISON M 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 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 1072 0 0 0 0 0 0 1072 0 0 1004183073 1104218247 16 Nurse Practitioners STROUD AMANDA 627047452 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 96 0 0 0 0 0 0 96 0 0 1004183433 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 188 0 0 0 0 0 0 188 0 0 1004183893 1437206794 10 Physicians BRAY MELISSA 999999999 31 Edgar 0 0 General Practice 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 2853 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2853 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19223 0 0 0 0 0 0 19223 0 0 1004184374 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004184470 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 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 0 388 0 0 0 0 0 0 0 0 0 0 0 0 0 388 0 0 1004184701 1255615365 89 Physician Assistant Only(Encounter Only) FOGLE DOMINNO 617613558 72 McLean 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 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 0 427 0 0 0 0 0 0 427 0 0 1004184707 11 Dentists 200 Cook 0 0 General Dentistry 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 17 0 0 1004184736 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 0 300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13956 0 0 0 0 0 0 0 0 0 0 0 0 0 13956 0 0 1004184848 1891715959 89 Physician Assistant Only(Encounter Only) REESE KRISTIN R 999999999 109 Winnebago 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 964 0 0 0 0 0 0 1090 0 0 1004185057 1376911461 16 Nurse Practitioners NKETIA ELSIE-LINDA 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 80 0 0 0 0 0 0 80 0 0 1004185339 1861812430 16 Nurse Practitioners CHOLLAMPEL ELAMMA 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 1004185345 1053557009 33 Nursing Facilities REGENCY CARE 627024630 91 Sangamon 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 0 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2691 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195830 0 0 0 0 0 0 0 195830 0 0 1004185357 1366785107 10 Physicians WOLFF CAROLINE 999999999 63 Macon 0 0 General Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 419 0 0 0 0 0 0 419 0 0 1004185423 1962874263 33 Nursing Facilities WARREN BARR LINCOLN PARK 606141612 200 Cook 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 0 301 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6732 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1013778 0 0 0 0 0 0 0 1013778 0 0 1004185558 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 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 1530 1530 0 0 1004185637 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 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 7933 0 0 0 0 0 0 0 0 0 0 0 0 0 7933 0 0 1004185669 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 29210 0 0 0 0 0 0 0 0 0 0 0 0 0 29210 0 0 1004185706 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 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26949 0 0 0 0 0 0 0 0 0 0 0 0 0 26949 0 0 1004185936 1821073156 60 Pharmacies METAMORA PHARMACY 615487000 110 Woodford 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 1162 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35398 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53109 0 0 0 53109 0 0 1004185958 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28436 0 0 0 0 0 0 0 0 0 0 0 0 0 28436 0 0 1004186656 1649637075 16 Nurse Practitioners KWON NEUNG H 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 730 0 0 0 0 0 0 730 0 0 1004186785 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 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 2548 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2548 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 829590 0 0 0 0 0 0 0 0 0 0 0 0 0 829590 0 0 1004187380 1104256015 11 Dentists SHIN YOUNG 606114880 200 Cook 0 0 General Dentistry 0 0 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 451 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 451 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11482 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11482 0 0 1004187511 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 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 1088 0 0 0 0 0 0 0 0 0 0 0 0 0 1088 0 0 1004187589 1740570696 10 Physicians URBIN VLADIMIR 999999999 200 Cook 0 0 General Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 505 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3320 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3320 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20496 0 0 0 0 0 0 20496 0 0 1004187953 89 Physician Assistant Only(Encounter Only) 96 St Clair 0 0 0 0 0 0 0 0 0 0 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 50 0 0 0 0 0 0 50 0 0 1004188192 1043508492 10 Physicians YOUNG JUSTIN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 373 0 474 0 0 0 0 0 0 847 0 0 1004188287 10 Physicians 852 Wisconsin 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004188354 16 Nurse Practitioners 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 78 0 0 1004188413 1184626434 33 Nursing Facilities PROVIDENCE DOWNERS GROVE 605151141 30 DuPage 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 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1260 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169054 0 0 0 0 0 0 0 169054 0 0 1004188897 1457731127 16 Nurse Practitioners ELLISON AMY M 80962739 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2007 0 0 0 0 0 0 2007 0 0 1004188966 1598050643 10 Physicians DICKISON SHELBY M 999999999 91 Sangamon 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 1 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 158 0 0 0 0 0 0 229 0 0 1004189054 1235444258 89 Physician Assistant Only(Encounter Only) MCFARLAND CONSTANCE 606313222 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 0 162 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 5604 0 0 0 0 0 0 5604 0 0 1004189280 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 1061 0 0 0 0 0 0 0 0 0 0 0 0 0 1061 0 0 1004189351 10 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 67 0 0 1004189501 10 Physicians 107 Will 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 277 0 0 0 0 0 0 277 0 0 1004190144 1508264292 16 Nurse Practitioners KING KRISTIN 600762951 200 Cook 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 0 696 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 696 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6593 0 0 0 0 0 0 6593 0 0 1004190276 1508283722 10 Physicians ROSENBLATT JEFFREY 606123714 200 Cook 0 0 Family Practice 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 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 47 0 0 0 0 0 0 47 0 0 1004190302 1477831170 10 Physicians KARANTH PUJA 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 0 182 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 2178 0 0 0 0 0 0 2178 0 0 1004190351 1942400924 10 Physicians JOHNSON KATHERINE 999999999 200 Cook 0 0 Psychiatry 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 0 203 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 11486 0 0 0 0 0 0 11486 0 0 1004190511 86 Clinical Social Worker(Encounter Only) 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 1004190959 1558528265 89 Physician Assistant Only(Encounter Only) PAGE KELLY 999999999 200 Cook 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 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7121 0 0 0 0 0 0 7121 0 0 1004190970 1427419233 16 Nurse Practitioners DE ALWIS AULBREY E 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 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 1068 0 0 0 0 0 0 1068 0 0 1004191140 1871954636 16 Nurse Practitioners COMBS LYDIA 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3764 0 0 0 0 0 0 3764 0 0 1004191154 1326360355 16 Nurse Practitioners SKIMEHORN STEPHEN J 999999999 100 Vermilion 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 0 374 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 374 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4395 0 0 0 0 0 0 4395 0 0 1004191173 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 16571 0 0 0 0 0 0 0 0 0 0 0 0 0 16571 0 0 1004191215 1114262755 16 Nurse Practitioners GIRON-GILLIANA SYLVIA 999999999 200 Cook 0 0 Child/Adolescent Psychiatry Residency 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 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 1342 0 0 0 0 0 0 1342 0 0 1004191284 1992060230 10 Physicians PATEL PRERAK 999999999 200 Cook 0 0 Family Practice 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 0 326 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 0 0 0 0 0 0 0 0 0 0 0 0 6271 0 0 0 0 0 0 6271 0 0 1004191508 1386033496 11 Dentists EWA MELISSA 606292729 200 Cook 0 0 General Dentistry 0 0 0 356 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 2166 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 2166 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 94205 0 0 0 0 0 0 0 0 0 0 0 13766 0 0 0 0 107971 0 0 1004191815 1427493246 30 General Hospitals FRANCISCAN HEALTHCARE MUNSTER 999999999 815 Indiana ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 1 0 0 0 434 0 0 0 0 247 0 0 0 220 0 0 0 0 0 1 0 0 0 563 0 0 0 0 279 0 0 0 338 0 0 0 0 0 3 0 0 0 563 0 0 0 0 1527 0 0 0 338 0 0 0 0 0 0 0 0 0 54776 0 0 0 0 193817 0 0 0 32184 0 0 0 0 0 280777 0 0 1004191931 1144270265 60 Pharmacies BANDY''S PHARMACY II 999999999 66 Marion 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 1292 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32622 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46111 0 0 0 46111 0 0 1004191979 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 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28304 0 0 0 0 0 0 0 0 0 0 0 0 0 28304 0 0 1004192146 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 10038 0 0 0 0 0 0 0 0 0 0 0 0 0 10038 0 0 1004192301 1306261458 16 Nurse Practitioners YARBROUGH MELISSA 953586411 54 Kankakee 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 0 140 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 4294 0 0 0 0 0 0 4294 0 0 1004192551 1346507001 10 Physicians AHAMED MOHAMED F 627949639 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 460 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 460 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 163531 0 0 0 0 0 0 163531 0 0 1004192661 1508905928 10 Physicians DONS ROBERT F 999999999 200 Cook 0 0 Internal Medicine 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 1 0 14 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 1004192750 1578722336 10 Physicians ABAD JOHN 999999999 815 Indiana 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 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 0 969 0 0 0 0 0 0 969 0 0 1004192812 1750789186 12 Optometrists VANCE CALVIN 600891999 57 Lake 0 0 Diagnostic Pharmaceutical Agents 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 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 0 549 0 0 0 0 0 0 549 0 0 1004192840 16 Nurse Practitioners 96 St Clair 0 0 0 0 0 0 0 0 0 0 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 0 836 0 0 0 0 0 0 836 0 0 1004193101 1780823500 60 Pharmacies EXACT CARE PHARMACY LLC 441256134 836 Ohio 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 664 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18431 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13031 0 0 0 13031 0 0 1004193203 1730429408 10 Physicians PULIMI SANDEEP 605155641 30 DuPage 0 0 Internal Medicine 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 0 172 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 2555 0 0 0 0 0 0 2555 0 0 1004193342 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 0 285 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 285 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16043 0 0 0 0 0 0 0 0 0 0 0 0 0 16043 0 0 1004193616 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 114 0 0 0 0 0 0 114 0 0 1004193934 1275814881 16 Nurse Practitioners BENEKE RHONDA 999999999 45 Henry 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 0 118 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 0 623 0 0 0 0 0 0 623 0 0 1004193967 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 0 120 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 8664 0 0 0 0 0 0 0 0 0 0 0 0 0 8664 0 0 1004194188 1790913036 10 Physicians SHAH AVANI V. 606112991 200 Cook 0 0 Pediatrics 0 0 0 0 1 0 0 0 0 0 0 0 0 146 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 336 0 0 0 0 0 0 0 0 0 1 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 16444 0 0 0 0 0 0 16444 0 0 1004194467 1154353498 88 Other behavior health professional ALA REBECCA A 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2131 0 0 0 0 0 0 2131 0 0 1004194780 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 13938 0 0 0 0 0 0 0 0 0 0 0 0 0 13938 0 0 1004194814 1376932400 89 Physician Assistant Only(Encounter Only) FILIP BAILEY 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 0 102 0 0 0 0 0 0 102 0 0 1004194969 92 Waiver service provider--Disability (DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4183 0 0 0 0 0 0 0 0 0 0 0 0 0 4183 0 0 1004195068 1861876260 12 Optometrists RUPP CHELSIE L 606165132 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 327 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 653 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 653 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15887 0 9 0 0 0 0 15896 0 0 1004195127 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 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 5289 0 0 0 0 0 0 0 0 0 0 0 0 0 5289 0 0 1004195243 1386708493 10 Physicians BENNETT KIMBERLY 999999999 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 10 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 203 0 783 0 0 0 0 0 0 986 0 0 1004195638 1841553294 10 Physicians LEVINE REBECCA 999999999 200 Cook 0 0 General Practice 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 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 0 256 0 0 0 0 0 0 256 0 0 1004195653 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 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 0 203 0 0 0 0 0 0 203 0 0 1004196037 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 0 218 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 37292 0 0 0 0 0 0 0 0 0 0 0 0 0 37292 0 0 1004196051 1316997042 13 Podiatrists PONTON STEPHEN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1241 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3664 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3664 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8152 0 0 0 0 0 0 8152 0 0 1004196093 1477751055 10 Physicians RAMANAVARAPU VIDYA 606781341 200 Cook 0 0 Anesthesiology 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 1 0 11 0 0 0 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 43 0 248 0 0 0 0 0 0 291 0 0 1004196395 1417352527 48 Rural Health Clinics JCH MEDICAL GROUP HARDIN 620471002 16 Calhoun 0 1 0 0 44 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 2685 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2685 0 0 1004196959 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 27783 0 0 0 0 0 0 0 0 0 0 0 0 0 27783 0 0 1004196994 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 0 192 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 24397 0 0 0 0 0 0 0 0 0 0 0 0 0 24397 0 0 1004197181 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 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 48 0 0 0 0 0 0 48 0 0 1004197381 1356645667 10 Physicians GEORGE LINDSEY C 618203909 19 Champaign 0 1 Family Practice 0 0 0 0 0 0 0 0 0 0 0 6 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81 0 351 0 0 0 0 0 0 432 0 0 1004197471 16 Nurse Practitioners 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004197491 1477844082 10 Physicians STOSIC MILENA 999999999 200 Cook 0 0 Neurology 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 0 155 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 2598 0 0 0 0 0 0 2598 0 0 1004197669 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 0 178 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 9305 0 0 0 0 0 0 0 0 0 0 0 0 0 9305 0 0 1004197673 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 0 335 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 335 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19455 0 0 0 0 0 0 0 0 0 0 0 0 0 19455 0 0 1004197679 1396113312 47 Local Education Agencies SALT FORK COMMUNITY UNIT SCHOO 999999999 100 Vermilion 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 1788 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 1788 0 0 0 0 146 0 0 0 0 0 0 0 0 0 0 0 0 0 52779 0 52925 0 0 1004197906 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 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 1004197988 10 Physicians 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004198337 1356717391 36 Community mental health provider FAMILY COUNSELING CENTER INC 999999999 11 Alexander 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 3085 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15625 0 0 18710 0 0 1004198345 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 0 156 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 0 0 0 0 0 24205 0 0 0 0 0 0 0 0 0 0 0 0 0 24205 0 0 1004198553 1083016752 63 Other Providers of Medical Equipment/Supplies (Non-registered) HANGER PROSTHETICS ORTHOTICS 617616165 72 McLean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1366 0 17107 0 0 0 0 18473 0 0 1004198569 1861768590 10 Physicians LI YIEN 999999999 200 Cook 0 0 Internal Medicine 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 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4123 0 0 0 0 0 0 4123 0 0 1004198579 1508154774 89 Physician Assistant Only(Encounter Only) LECLAIR BRIDGET 606313222 200 Cook 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 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 2938 0 0 0 0 0 0 2938 0 0 1004198721 1801255849 70 Ambulance Service Providers HSHS RESCUE FLIGHT 999999999 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12690 0 0 0 0 0 0 12690 0 0 1004198891 1639541931 33 Nursing Facilities THE GROVE OF LAGRANGE PARK LIV 999999999 200 Cook 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 0 314 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7381 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005368 0 0 0 0 0 0 0 1005368 0 0 1004199106 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 25343 0 0 0 0 0 0 0 0 0 0 0 0 0 25343 0 0 1004199813 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 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 0 212 0 0 0 0 0 0 212 0 0 1004199817 1164814711 16 Nurse Practitioners MARO ELIZABETH 999999999 77 Morgan 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 0 443 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 443 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2668 0 0 0 0 0 0 2668 0 0 1004199854 1932450285 10 Physicians MAKSIMOVICH DANIEL 999999999 200 Cook 0 0 Anesthesiology 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 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 0 479 0 0 0 0 0 0 479 0 0 1004200167 1407098262 10 Physicians FISHMAN EMILY F 631101002 96 St Clair 0 0 Pediatrics 0 0 0 0 1 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 4694 0 0 0 0 0 0 4710 0 0 1004200262 1588942775 89 Physician Assistant Only(Encounter Only) RIEMENSCHNEIDER MAGDELINE 999999999 53 Kane 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 0 302 0 0 0 0 0 0 302 0 0 1004200283 1770919235 12 Optometrists FAROOQI AMREEN 603021078 30 DuPage 0 0 Diagnostic Pharmaceutical Agents 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 0 227 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 5649 0 0 0 0 0 0 5649 0 0 1004200358 1487881025 10 Physicians BALASH JENNIFER 999999999 30 DuPage 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 5 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 664 0 1900 0 0 0 0 0 0 2564 0 0 1004200422 16 Nurse Practitioners 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 586 0 0 0 0 0 0 586 0 0 1004200428 1821485335 16 Nurse Practitioners ROHDE JAIME 601228942 53 Kane 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 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 2536 0 0 0 0 0 0 2536 0 0 1004200672 1871969485 70 Ambulance Service Providers LOYOLA MEDICINE TRANSPORT LLC 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2465 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2465 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 182777 0 0 0 0 0 0 182777 0 0 1004200766 1871925230 87 Psychologist(Encounter Only) NEWMAN ALISON K. 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 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 0 579 0 0 0 0 0 0 579 0 0 1004201116 1952676280 10 Physicians PICHLER STEPHEN W 601220021 200 Cook 0 0 Pediatrics 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3231 0 0 0 0 0 0 3231 0 0 1004201186 1851590673 10 Physicians GRIMSHAW CHARLES S 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 4 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61 0 1410 0 0 0 0 0 0 1471 0 0 1004201209 24 Speech Therapists 40 Grundy 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 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 2491 2491 0 0 1004201250 1396879672 89 Physician Assistant Only(Encounter Only) KONG JESSE 606733039 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 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 0 490 0 0 0 0 0 0 490 0 0 1004201254 1619396371 10 Physicians RIVERA LUIS 999999999 200 Cook 0 0 Family Practice 0 0 0 0 3 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 170 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 170 0 0 0 0 0 0 0 0 0 134 0 0 0 0 0 0 0 0 9202 0 0 0 0 0 0 9336 0 0 1004201284 1306252549 11 Dentists DESAI HEMINA 999999999 13 Boone 0 0 0 0 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1265 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1265 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33955 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33955 0 0 1004201405 1841428091 10 Physicians KRAMER NEHA M 999999999 200 Cook 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 0 155 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 2189 0 0 0 0 0 0 2189 0 0 1004201409 10 Physicians 852 Wisconsin 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 73 0 0 0 0 0 0 73 0 0 1004201497 1255728242 16 Nurse Practitioners BOON LEAH 627083428 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 1339 0 0 0 0 0 0 1339 0 0 1004201774 1861621633 10 Physicians PITTMAN MATTHEW 601228942 53 Kane 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 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 3702 0 0 0 0 0 0 3702 0 0 1004202739 1255532784 10 Physicians QURESHI JAVERIA S 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 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 2123 0 0 0 0 0 0 2123 0 0 1004202877 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4011 0 0 0 0 0 0 0 0 0 0 0 0 0 4011 0 0 1004202981 1275888216 10 Physicians DEL PRIORE ANTHONY 999999999 30 DuPage 0 0 Internal Medicine 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 0 267 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 3093 0 0 0 0 0 0 3093 0 0 1004203126 1730128315 65 Independent Diagnostic Testing Facility (IDTF) MIDWEST CENTER FOR SLEEP MEDIC 999999999 72 McLean 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 61 0 0 0 0 0 0 0 0 61 0 0 1004203266 1982614921 10 Physicians CHAPMAN ARLENE 605275965 30 DuPage 0 0 Nephrology 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 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1340 0 0 0 0 0 0 1340 0 0 1004203303 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26564 0 0 0 0 0 0 0 0 0 0 0 0 0 26564 0 0 1004203362 1093909210 10 Physicians FERRER-MARRERO TIRSA 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 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 3517 0 0 0 0 0 0 3517 0 0 1004203403 1720309016 10 Physicians ABRAHAM PHILIP M 999999999 19 Champaign 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 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 3140 0 0 0 0 0 0 3140 0 0 1004203593 1437342870 10 Physicians KHOURY NAIM N 999999999 91 Sangamon 0 0 Neurology 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 0 162 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 7148 0 0 0 0 0 0 7148 0 0 1004203956 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 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 49 0 0 0 0 0 0 49 0 0 1004204256 1881080372 16 Nurse Practitioners KANE DEANNA L 618012529 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 942 0 0 0 0 0 0 942 0 0 1004204293 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 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 23269 0 0 0 0 0 0 0 0 0 0 0 0 0 23269 0 0 1004204425 1528469491 16 Nurse Practitioners MAYS SARAH 527613433 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 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 0 426 0 0 0 0 0 0 426 0 0 1004204986 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30229 0 0 0 0 0 0 0 0 0 0 0 0 0 30229 0 0 1004205259 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 21093 0 0 0 0 0 0 0 0 0 0 0 0 0 21093 0 0 1004205466 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 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6768 0 0 0 0 0 0 0 0 0 0 0 0 0 6768 0 0 1004205547 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 0 179 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 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1004206017 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 2967 0 0 0 0 0 0 0 0 0 0 0 0 0 2967 0 0 1004206100 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 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 4458 0 0 0 0 0 0 0 0 0 0 0 0 0 4458 0 0 1004206131 1083877732 10 Physicians MORKER ANAND 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 220 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 3041 0 0 0 0 0 0 3041 0 0 1004206321 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 0 310 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 310 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27055 0 0 0 0 0 0 0 0 0 0 0 0 0 27055 0 0 1004206411 1053719849 16 Nurse Practitioners WEBER KRISTA ANNE 606948979 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 0 466 0 0 0 0 0 0 466 0 0 1004206468 1104148972 10 Physicians MEHTA VIKAS 999999999 200 Cook 0 0 Clinical Pathology 0 0 0 0 0 0 0 0 0 0 0 160 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15418 0 36 0 0 0 0 0 0 15454 0 0 1004206897 16 Nurse Practitioners 54 Kankakee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 81 0 0 1004206919 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004207047 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 73 0 0 0 0 0 0 73 0 0 1004207096 1407081698 10 Physicians GOODMAN OLGA 999999999 109 Winnebago 0 0 Internal Medicine 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 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 0 0 0 0 0 0 0 0 0 0 0 0 1004207163 1740647965 16 Nurse Practitioners BERRY MEGAN 999999999 82 Piatt 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 178 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 5077 0 0 0 0 0 0 5077 0 0 1004207308 1164722955 89 Physician Assistant Only(Encounter Only) GROSSO STEPHANIE E 999999999 200 Cook 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 0 108 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 5255 0 0 0 0 0 0 5255 0 0 1004207579 1790046126 10 Physicians VOTAVA DANIEL H 999999999 19 Champaign 0 0 Emergency Medicine 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 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5925 0 0 0 0 0 0 5925 0 0 1004207580 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 0 259 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 26847 0 0 0 0 0 0 0 0 0 0 0 0 0 26847 0 0 1004207942 1740656438 16 Nurse Practitioners CLEVENGER JENNIFER L 999999999 108 Williamson 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 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3545 0 0 0 0 0 0 3545 0 0 1004208018 1457608416 30 General Hospitals AVANTUS HOME THERAPY 618012779 19 Champaign DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 960 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8371 0 0 0 0 0 8371 0 0 1004208034 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 84 0 0 0 0 0 0 84 0 0 1004208226 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004208243 1609862523 10 Physicians FIEG EDWARD L 631322907 10 Adams 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 0 259 0 0 0 0 0 0 259 0 0 1004208553 1306214077 91 Waiver service provider--Adults (DHS/DDD) GENTLE HANDS REHABILITATION IN 999999999 200 Cook 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 2608 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2608 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 570662 0 0 0 0 0 0 0 0 0 0 0 0 0 570662 0 0 1004208577 1104298496 33 Nursing Facilities CHALET LIVING & REHAB 606262017 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 369 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9156 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1429270 0 0 0 0 0 0 0 1429270 0 0 1004208645 1376918359 24 Speech Therapists MCGREAL KAITLIN A 999999999 30 DuPage 0 0 0 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 0 597 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 597 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42362 42362 0 0 1004208939 1013311588 16 Nurse Practitioners MEEKER CHRISTINE M 999999999 81 Perry 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 201 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 217 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 217 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 5955 0 0 0 0 0 0 6124 0 0 1004209022 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 28460 0 0 0 0 0 0 0 0 0 0 0 0 0 28460 0 0 1004209133 1902225329 11 Dentists AKHRAS SALEH 604554034 200 Cook 0 0 General Dentistry 0 0 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 412 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 412 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12738 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12738 0 0 1004209421 1639435837 10 Physicians HUMERA SUBUHI 606313222 200 Cook 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 0 197 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 5517 0 0 0 0 0 0 5517 0 0 1004209494 1528433430 16 Nurse Practitioners VORACHACK KONGKEO 999999999 826 Missouri 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 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 0 580 0 0 0 0 0 0 580 0 0 1004209897 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 0 209 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 19718 0 0 0 0 0 0 0 0 0 0 0 0 0 19718 0 0 1004210315 1730446352 10 Physicians SHAKEEL QASIM 999999999 19 Champaign 0 0 Internal Medicine 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 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 2092 0 0 0 0 0 0 2092 0 0 1004210470 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 0 112 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 8603 0 0 0 0 0 0 0 0 0 0 0 0 0 8603 0 0 1004210638 1942686258 91 Waiver service provider--Adults (DHS/DDD) GENESIS DTC LLC 601351361 27 Dekalb 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 14090 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14090 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1037558 0 0 0 0 0 0 0 0 0 0 0 0 0 1037558 0 0 1004210831 1487662060 10 Physicians ANDERSON MARY E 999999999 53 Kane 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 1 0 16 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 0 0 0 0 0 0 0 0 0 0 2 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 1658 0 0 0 0 0 0 1712 0 0 1004211146 1922474436 36 Community mental health provider FAMILY COUNSELING CENTER INC 999999999 85 Pulaski 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2656 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2656 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 281099 0 0 281099 0 0 1004211160 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 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 14247 0 0 0 0 0 0 0 0 0 0 0 0 0 14247 0 0 1004211282 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 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15183 0 0 0 0 0 0 0 0 0 0 0 0 0 15183 0 0 1004211507 1457698607 16 Nurse Practitioners SCHMELIG ERIN 999999999 826 Missouri 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 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 0 350 0 0 0 0 0 0 350 0 0 1004211556 1962526582 89 Physician Assistant Only(Encounter Only) JOY JO M 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 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 0 348 0 0 0 0 0 0 348 0 0 1004211630 1124449558 89 Physician Assistant Only(Encounter Only) POND ROBIN 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 259 0 0 0 0 0 0 259 0 0 1004211875 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 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 0 228 0 0 0 0 0 0 228 0 0 1004212150 1811287105 10 Physicians STAEHLE WILLIAM 999999999 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 4 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 466 0 0 0 0 0 0 481 0 0 1004212822 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 0 131 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 8286 0 0 0 0 0 0 0 0 0 0 0 0 0 8286 0 0 1004213046 1245284918 10 Physicians ANGLES RONALD M 999999999 818 Kentucky 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 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 1777 0 0 0 0 0 0 1777 0 0 1004213251 1134489446 10 Physicians HWANG JAMES 999999999 200 Cook 0 0 Internal Medicine 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 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 335 0 0 0 0 0 0 335 0 0 1004213327 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 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15900 0 0 0 0 0 0 0 0 0 0 0 0 0 15900 0 0 1004213442 10 Physicians 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 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 54 0 0 0 0 0 0 54 0 0 1004213581 1669784872 10 Physicians UDDIN SHAHAAB M. 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 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 1270 0 0 0 0 0 0 1270 0 0 1004213593 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 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28416 0 0 0 0 0 0 0 0 0 0 0 0 0 28416 0 0 1004213632 1710293766 16 Nurse Practitioners ONG THAO T. 999999999 50 Jersey 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 0 721 0 0 0 0 0 0 721 0 0 1004213949 91 Waiver service provider--Adults (DHS/DDD) 30 DuPage 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55971 0 0 0 0 0 0 0 0 0 0 0 0 0 55971 0 0 1004214010 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 1004214148 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 0 119 0 0 0 0 0 0 119 0 0 1004214354 1336370915 10 Physicians FARAH BACHIR 999999999 47 Jackson 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 3 0 134 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 6931 0 0 0 0 0 0 6986 0 0 1004214412 1992192009 91 Waiver service provider--Adults (DHS/DDD) SHONTZ KENNEDY 605638570 30 DuPage 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 1226 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1226 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110521 0 0 0 0 0 0 0 0 0 0 0 0 0 110521 0 0 1004214563 1043522899 10 Physicians KOIRALA SHARAD 606081732 200 Cook 0 0 Psychiatry 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 0 199 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 9658 0 0 0 0 0 0 9658 0 0 1004214681 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 28408 0 0 0 0 0 0 0 0 0 0 0 0 0 28408 0 0 1004215068 1255617155 89 Physician Assistant Only(Encounter Only) LANDEROZ JESSICA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 173 0 0 0 0 0 0 173 0 0 1004215101 1750647939 10 Physicians PHILLIPS STEPHEN TYLER 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 1099 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1099 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13400 0 0 0 0 0 0 13400 0 0 1004215126 1639304488 10 Physicians HOANG TROY T 999999999 200 Cook 0 0 Neurology 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 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 1288 0 0 0 0 0 0 1288 0 0 1004215182 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 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26444 0 0 0 0 0 0 0 0 0 0 0 0 0 26444 0 0 1004215510 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19675 0 0 0 0 0 0 0 0 0 0 0 0 0 19675 0 0 1004215760 1437457876 10 Physicians RODRIGUEZ ALEXIS A 999999999 30 DuPage 0 0 Pediatrics 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 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5941 0 0 0 0 0 0 5941 0 0 1004215850 1174708127 60 Pharmacies KROGER SPECIALTY PHARMACY LA 700586154 819 Louisiana 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 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3877 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 747829 0 0 0 747829 0 0 1004215885 1205003860 10 Physicians NGUYEN THERESA 999999999 30 DuPage 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 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 2740 0 0 0 0 0 0 2740 0 0 1004215911 10 Physicians 107 Will 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 985 0 0 0 0 0 0 985 0 0 1004215916 1205212016 22 Physical Therapists VAZQUEZ LAURA B 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3166 3166 0 0 1004216221 1821263559 10 Physicians JAVA ANUJA 999999999 200 Cook 0 0 Internal 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 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 67 0 0 0 0 0 0 67 0 0 1004216250 1952533028 87 Psychologist(Encounter Only) FUNASAKI-FIENE KRISTYN S 999999999 53 Kane 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 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 0 876 0 0 0 0 0 0 876 0 0 1004216797 1023446754 16 Nurse Practitioners HANLEY HILLARI 604732258 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 345 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 345 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3616 0 0 0 0 0 0 3616 0 0 1004217226 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 0 351 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 351 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22800 0 0 0 0 0 0 0 0 0 0 0 0 0 22800 0 0 1004217318 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 0 139 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 24209 0 0 0 0 0 0 0 0 0 0 0 0 0 24209 0 0 1004217641 1588052369 16 Nurse Practitioners ORZECHOWSKI ANNE M 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 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 1845 0 0 0 0 0 0 1845 0 0 1004217734 1780948968 10 Physicians HOCK SARA M. 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 2007 0 0 0 0 0 0 2012 0 0 1004217865 1003864810 30 General Hospitals CENTRAL DUPAGE HOSPITAL 601901237 30 DuPage DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 General Hospital - Adult and Child 0 0 47 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 337 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 337 0 0 0 0 0 0 0 888 0 0 0 0 0 0 0 0 0 0 66457 0 0 0 0 0 0 0 150006 0 0 0 0 0 0 0 0 0 216463 0 0 1004217911 1568701886 16 Nurse Practitioners HUELSMANN BARBARA J 999999999 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 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 0 602 0 0 0 0 0 0 602 0 0 1004218085 1760703268 10 Physicians CHUNG ESTHER J 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 0 254 0 0 0 0 0 0 254 0 0 1004218189 10 Physicians 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004218456 1295031342 16 Nurse Practitioners GENUALDI LISA 606116649 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1765 0 0 0 0 0 0 1765 0 0 1004218532 1154718716 16 Nurse Practitioners MADSEN LIANA R 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 0 335 0 0 0 0 0 0 335 0 0 1004218764 89 Physician Assistant Only(Encounter Only) 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 1004218782 1245322809 30 General Hospitals TRINITY MEDICAL CENTER 612015351 89 Rock Island DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 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 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41368 0 0 0 0 0 0 0 0 0 41368 0 0 1004218948 16 Nurse Practitioners 30 DuPage 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 99 0 0 0 0 0 0 99 0 0 1004219179 1093914558 10 Physicians VIGIL GONZALES CARLOS E 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 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 1182 0 0 0 0 0 0 1182 0 0 1004219251 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 0 132 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 28432 0 0 0 0 0 0 0 0 0 0 0 0 0 28432 0 0 1004219263 1760794622 10 Physicians MARWAHA TINA SHARMA 606253500 200 Cook 0 0 Anesthesiology 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 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4381 0 0 0 0 0 0 4381 0 0 1004219309 1972824142 30 General Hospitals NORTHWESTERN MEDICINE CHICAGO 999999999 27 Dekalb 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 0 497 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 497 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169250 0 0 0 0 0 169250 0 0 1004219578 1790157014 16 Nurse Practitioners WATERSTRADT SHAWNA C 999999999 35 Ford 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 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 1818 0 0 0 0 0 0 1818 0 0 1004220211 1659351419 10 Physicians MECKLER JASON M 999999999 108 Williamson 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1138 0 0 0 0 0 0 1138 0 0 1004220890 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 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17910 0 0 0 0 0 0 0 0 0 0 0 0 0 17910 0 0 1004220947 1336511898 28 Waiver service provider--Supportive living facility (HFS) GRAND REGENCY OF JACKSON PARK 606192125 200 Cook 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 0 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2886 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 348253 0 0 0 0 0 0 0 0 0 0 0 0 0 348253 0 0 1004221134 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 7112 0 0 0 0 0 0 0 0 0 0 0 0 0 7112 0 0 1004221148 1609264001 40 Federally Qualified Health Centers ALIVIO WALK IN WELLNESS URGENT 604022311 200 Cook 0 0 0 0 144 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 342 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 342 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26581 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26581 0 0 1004221221 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 210 0 0 1004221733 1205207925 16 Nurse Practitioners IODICE HUONG 601691010 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 0 301 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 301 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11082 0 0 0 0 0 0 11082 0 0 1004222042 1306201009 33 Nursing Facilities THRIVE OF LAKE COUNTY 999999999 57 Lake 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 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5868 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 841775 0 0 0 0 0 0 0 841775 0 0 1004222119 1962458208 89 Physician Assistant Only(Encounter Only) MAROGOL JOHN M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2037 0 0 0 0 0 0 2037 0 0 1004222125 1114915675 33 Nursing Facilities JERSEYVILLE NSG AND REHAB CTR 620522361 50 Jersey 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 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2530 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 337276 0 0 0 0 0 0 0 337276 0 0 1004222288 10 Physicians 89 Rock Island 0 0 Pulmonary Diseases 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 14 0 0 0 0 0 0 14 0 0 1004222336 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 1004222424 12 Optometrists 55 Kendall 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 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 1004222662 11 Dentists 53 Kane 0 0 General Dentistry 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 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 1004222728 1053675140 10 Physicians PETERSON KRISTIN E 999999999 30 DuPage 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 105 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 21 0 5028 0 0 0 0 0 0 5049 0 0 1004222951 1932305612 89 Physician Assistant Only(Encounter Only) FURMAN JANET 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 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 0 190 0 0 0 0 0 0 190 0 0 1004222982 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 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 2008 0 0 0 0 0 0 0 0 0 0 0 0 0 2008 0 0 1004223279 1164687539 10 Physicians MIOCINOVIC RANKO 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2846 0 0 0 0 0 0 2846 0 0 1004223504 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 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25126 0 0 0 0 0 0 0 0 0 0 0 0 0 25126 0 0 1004223535 1649652140 13 Podiatrists GHAZIZADEH RAMIN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 119 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 0 897 0 0 0 0 0 0 897 0 0 1004223561 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 28082 0 0 0 0 0 0 0 0 0 0 0 0 0 28082 0 0 1004223761 1558445924 89 Physician Assistant Only(Encounter Only) MATA FIDEL 627011034 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 242 0 0 0 0 0 0 242 0 0 1004224087 10 Physicians 826 Missouri 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 82 0 0 0 0 0 0 82 0 0 1004224266 1134511710 16 Nurse Practitioners HEINO HANNAH S 627047452 91 Sangamon 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 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 0 430 0 0 0 0 0 0 430 0 0 1004224392 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2251 0 0 0 0 0 0 0 0 0 0 0 0 0 2251 0 0 1004224486 92 Waiver service provider--Disability (DHS/DRS) 54 Kankakee 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 24111 0 0 0 0 0 0 0 0 0 0 0 0 0 24111 0 0 1004224503 1487089645 89 Physician Assistant Only(Encounter Only) CLARK DAVID 606402870 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 669 0 0 0 0 0 0 669 0 0 1004224719 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 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29060 0 0 0 0 0 0 0 0 0 0 0 0 0 29060 0 0 1004224797 1104295666 16 Nurse Practitioners JANNUSCH ELIZABETH 999999999 200 Cook 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 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 1178 0 0 0 0 0 0 1178 0 0 1004224807 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 14887 0 0 0 0 0 0 0 0 0 0 0 0 0 14887 0 0 1004224831 1558385831 89 Physician Assistant Only(Encounter Only) BRINDL CATHLEEN 999999999 200 Cook 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 2 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 179 0 0 0 0 0 0 0 0 2556 0 0 0 0 0 0 2735 0 0 1004225130 94 Waiver service provider--Children's support (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 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 2462 0 0 0 0 0 0 0 0 0 0 0 0 0 2462 0 0 1004225156 1700254067 23 Occupational Therapists PONTIKES ARIEL 999999999 91 Sangamon 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 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 2425 2425 0 0 1004225411 1588042931 36 Community mental health provider CATHOLIC CHARITIES ARCHDIOCESE 999999999 200 Cook 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 0 153 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 513 0 0 153 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 513 0 0 8968 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43322 0 0 52290 0 0 1004225493 1700278934 60 Pharmacies "PHARMACY PLUS, INC" 623121203 83 Pike 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 0 524 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12684 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22131 0 0 0 22131 0 0 1004225637 1174887384 10 Physicians ALBRECHT MATTHEW 627083428 91 Sangamon 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6739 0 0 0 0 0 0 6739 0 0 1004225757 1184905630 10 Physicians YANEZ-ZAMORA NICOLE C 999999999 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 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 0 337 0 0 0 0 0 0 337 0 0 1004225875 1194839126 89 Physician Assistant Only(Encounter Only) CHAMNESS JEANIE R. 999999999 36 Franklin 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 0 208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 194 0 0 1004225932 10 Physicians 66 Marion 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 0 190 0 0 0 0 0 0 190 0 0 1004226089 10 Physicians 826 Missouri 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 0 414 0 0 0 0 0 0 414 0 0 1004226235 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 0 178 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 21929 0 0 0 0 0 0 0 0 0 0 0 0 0 21929 0 0 1004226350 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 0 182 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 12675 0 0 0 0 0 0 0 0 0 0 0 0 0 12675 0 0 1004226605 1225434772 16 Nurse Practitioners MOORE TONYA 999999999 56 Knox 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 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 0 559 0 0 0 0 0 0 559 0 0 1004226743 1942596770 10 Physicians SALZMANN CHLOE 606313222 200 Cook 0 1 Pediatrics 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 0 893 0 0 0 0 0 0 893 0 0 1004226748 1023419884 89 Physician Assistant Only(Encounter Only) LILLIE CHRISTOPHER S 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1677 0 0 0 0 0 0 1677 0 0 1004226786 1760840417 16 Nurse Practitioners HILL LESLIE A 999999999 28 De Witt 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 3503 0 0 0 0 0 0 3587 0 0 1004226933 1184057630 16 Nurse Practitioners ISHMAEL CASSIE 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1403 0 0 0 0 0 0 1403 0 0 1004227212 24 Speech Therapists 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3433 3433 0 0 1004227579 1205116282 16 Nurse Practitioners RIVERA PRISCILLA 606071644 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 399 0 0 0 0 0 0 399 0 0 1004227650 1366605776 10 Physicians LASTRA ALEJANDRA 999999999 200 Cook 0 0 Internal Medicine 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 0 215 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 1985 0 0 0 0 0 0 1985 0 0 1004228007 1942603907 89 Physician Assistant Only(Encounter Only) MARSAGLIA KILEY 999999999 91 Sangamon 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 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 1969 0 0 0 0 0 0 1969 0 0 1004228362 1942457734 89 Physician Assistant Only(Encounter Only) MACZKO REBECCA 999999999 30 DuPage 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 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 3749 0 0 0 0 0 0 3749 0 0 1004228531 10 Physicians 200 Cook 0 0 Pediatric Nephrology 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 0 181 0 0 0 0 0 0 181 0 0 1004228588 1356660203 10 Physicians MICIC DEJAN 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 54 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 0 857 0 0 0 0 0 0 857 0 0 1004228773 1679721179 89 Physician Assistant Only(Encounter Only) PARKS ELIZABETH A 999999999 47 Jackson 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 0 224 0 0 0 0 0 0 224 0 0 1004228834 1245489244 10 Physicians DOGAN-BAG VAHIDE 604611021 200 Cook 0 0 General Practice 0 0 0 0 16 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 93 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 93 0 0 0 0 0 0 0 0 0 764 0 0 0 0 0 0 0 0 1366 0 0 0 0 0 0 2130 0 0 1004229088 10 Physicians 816 Iowa 0 0 Gastroenterology 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 502 0 0 0 0 0 0 502 0 0 1004229132 91 Waiver service provider--Adults (DHS/DDD) 33 Effingham 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004229744 1649660200 16 Nurse Practitioners TOPPER TARA A 999999999 53 Kane 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 0 148 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 4703 0 0 0 0 0 0 4703 0 0 1004229757 16 Nurse Practitioners 106 Whiteside 0 0 0 0 0 0 0 0 0 0 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 1004229816 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 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20874 0 0 0 0 0 0 0 0 0 0 0 0 0 20874 0 0 1004229863 1649418104 10 Physicians PATOLIA SETU K 999999999 109 Winnebago 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1196 0 0 0 0 0 0 1196 0 0 1004230402 1710116579 10 Physicians POCCIA JULIE 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 8 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 158 0 1579 0 0 0 0 0 0 1737 0 0 1004230715 1487026787 33 Nursing Facilities THE GROVE AT THE LAKE 999999999 57 Lake 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 0 377 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8859 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1553830 0 0 0 0 0 0 0 1553830 0 0 1004231164 1891720140 16 Nurse Practitioners HUSKE THERESE M. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 610 0 0 0 0 0 0 610 0 0 1004231242 1740612993 10 Physicians ADDETIA KARIMA 605275965 30 DuPage 0 0 Cardiovascular Diseases 0 0 0 0 0 0 0 0 0 0 0 27 0 359 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 437 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 437 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 193 0 3842 0 0 0 0 0 0 4035 0 0 1004231326 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 0 365 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 26665 0 0 0 0 0 0 0 0 0 0 0 0 0 26665 0 0 1004231340 1154652048 16 Nurse Practitioners OBERTS NANCY 627631000 30 DuPage 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 0 502 0 0 0 0 0 0 502 0 0 1004231507 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 29062 0 0 0 0 0 0 0 0 0 0 0 0 0 29062 0 0 1004231583 1962637371 10 Physicians COVERSTONE ANDREA M. 999999999 98 Tazewell 0 0 Pediatrics 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 0 190 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 10419 0 0 0 0 0 0 10419 0 0 1004231828 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 4445 0 0 0 0 0 0 0 0 0 0 0 0 0 4445 0 0 1004231949 1821136821 34 State-operated facility (DHS) SAMUEL SHAPIRO DEV CENTER 609015018 54 Kankakee 0 0 0 0 0 0 0 0 0 0 0 441 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 129577 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 113374379 0 0 0 0 0 0 0 0 0 0 113374379 0 0 1004232112 10 Physicians 89 Rock Island 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 88 0 0 0 0 0 0 0 0 88 0 0 1004232278 1174732168 10 Physicians CONSTANTIN RODICA V 80433520 200 Cook 0 0 Pediatrics 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 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 9996 0 0 0 0 0 0 9996 0 0 1004232451 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1879 0 0 0 0 0 0 0 0 0 0 0 0 0 1879 0 0 1004232469 1073558383 10 Physicians KURAPATI SURENDER 999999999 19 Champaign 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 144 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 167 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 167 0 1 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 1004232502 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 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 12301 0 0 0 0 0 0 0 0 0 0 0 0 0 12301 0 0 1004232558 1265539241 89 Physician Assistant Only(Encounter Only) LEVY REBECCA 606313222 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 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 74 0 0 0 0 0 0 74 0 0 1004232563 1831284264 89 Physician Assistant Only(Encounter Only) ABSHER JILL N 999999999 47 Jackson 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 0 193 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 1728 0 0 0 0 0 0 1728 0 0 1004232679 1679639967 34 State-operated facility (DHS) ANN M KILEY DEVELOPMENTAL CTR 600856263 57 Lake 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 1676 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50922 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42534226 0 0 0 0 0 0 0 0 0 0 42534226 0 0 1004232751 1780874255 10 Physicians WEHMEYER STEVEN B 629023988 47 Jackson 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 849 0 0 0 0 0 0 849 0 0 1004232890 1235527854 16 Nurse Practitioners HIGDON KYLE 629023988 47 Jackson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 744 0 0 0 0 0 0 744 0 0 1004232945 91 Waiver service provider--Adults (DHS/DDD) 826 Missouri 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27230 0 0 0 0 0 0 0 0 0 0 0 0 0 27230 0 0 1004233249 1154734101 12 Optometrists BANNA CHRISTOPHER 999999999 200 Cook 0 0 Diagnostic Pharmaceutical Agents 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 0 379 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 379 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11021 0 0 0 0 0 0 11021 0 0 1004233727 1750750311 16 Nurse Practitioners CURRY TATUM R 999999999 59 Lawrence 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 93 0 0 0 0 0 0 93 0 0 1004233745 1821488990 16 Nurse Practitioners PULLEY LINDSAY 616157831 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 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 1722 0 0 0 0 0 0 1722 0 0 1004233899 1598124299 55 Early Intervention Services ENGLE LESLIE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23666 0 0 0 0 0 0 23666 0 0 1004234058 1447513148 10 Physicians RUBUSH AMANDA 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 380 0 0 0 0 0 0 545 0 0 1004234199 10 Physicians 815 Indiana 0 0 Cardiovascular Diseases 0 0 0 0 0 0 0 0 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 22 0 0 1004234214 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 318 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 318 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29842 0 0 0 0 0 0 0 0 0 0 0 0 0 29842 0 0 1004234238 1417118621 10 Physicians PARK HAESEONG 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 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 10032 0 0 0 0 0 0 10032 0 0 1004234279 1669781050 10 Physicians DIAMANTE OLIVER 999999999 70 McDonough 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 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 0 0 0 0 0 0 0 0 0 0 1004234378 10 Physicians 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004234413 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 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 38669 0 0 0 0 0 0 0 0 0 0 0 0 0 38669 0 0 1004234530 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 29010 0 0 0 0 0 0 0 0 0 0 0 0 0 29010 0 0 1004234643 1063788149 10 Physicians KASKAVAGE JILLIAN 601220021 53 Kane 0 0 Pediatrics 0 0 0 0 58 0 0 0 0 0 0 8 0 47 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 8 0 67 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 8 0 67 0 0 0 0 0 0 0 0 0 6227 0 0 0 0 0 0 193 0 2635 0 0 0 0 0 0 9055 0 0 1004234754 24 Speech Therapists 108 Williamson 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 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 2701 2701 0 0 1004235145 1700853496 16 Nurse Practitioners OELERICH JEANNE 999999999 53 Kane 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 0 154 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 3263 0 0 0 0 0 0 3263 0 0 1004235199 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 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 0 607 0 0 0 0 0 0 0 0 0 0 0 0 0 607 0 0 1004235299 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 0 188 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 1137 0 0 0 0 0 0 0 0 0 0 0 0 0 1137 0 0 1004235550 1871758334 89 Physician Assistant Only(Encounter Only) NACKERS RUTH A 447182545 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4699 0 0 0 0 0 0 4699 0 0 1004235582 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 78 0 0 0 0 0 0 78 0 0 1004236220 10 Physicians 200 Cook 0 0 Emergency 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 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 0 172 0 0 0 0 0 0 172 0 0 1004236350 1992109565 24 Speech Therapists HOLST KATELYN J 999999999 200 Cook 0 0 0 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 0 539 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 539 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39592 39592 0 0 1004236403 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 12815 0 0 0 0 0 0 0 0 0 0 0 0 0 12815 0 0 1004236462 1598154247 16 Nurse Practitioners KLUEVER MARY J 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2354 0 0 0 0 0 0 2354 0 0 1004236814 1669736021 10 Physicians HAZRA ANIRUDDHA 999999999 200 Cook 0 0 Internal Medicine 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 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 1346 0 0 0 0 0 0 1346 0 0 1004236857 1962642744 89 Physician Assistant Only(Encounter Only) SNEED JACLYN 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 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 0 962 0 0 0 0 0 0 962 0 0 1004236890 1205106341 16 Nurse Practitioners COOK ERICA S 616151941 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1652 0 0 0 0 0 0 1652 0 0 1004237010 1073655676 10 Physicians JEFFRIES JAMES M 616144676 63 Macon 0 0 Plastic Surgery 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 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 3571 0 0 0 0 0 0 3571 0 0 1004237262 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 0 199 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 15076 0 0 0 0 0 0 0 0 0 0 0 0 0 15076 0 0 1004237484 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 0 237 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 237 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27386 0 0 0 0 0 0 0 0 0 0 0 0 0 27386 0 0 1004237605 1255644761 10 Physicians GEORGE IGE A 999999999 826 Missouri 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 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 1004237792 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 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 1004237845 16 Nurse Practitioners 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 74 0 0 1004237965 1912263120 10 Physicians KAMDAR AMIT 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3448 0 0 0 0 0 0 3448 0 0 1004238003 1033405782 10 Physicians MYERSON DAVID N 999999999 30 DuPage 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 366 0 0 0 0 0 0 366 0 0 1004238340 1841658200 16 Nurse Practitioners BRUFF COREY M 999999999 200 Cook 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 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3499 0 0 0 0 0 0 3499 0 0 1004238802 10 Physicians 89 Rock Island 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 0 168 0 0 0 0 0 0 168 0 0 1004238826 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004238867 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 31 0 0 0 0 0 0 31 0 0 1004238932 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 28410 0 0 0 0 0 0 0 0 0 0 0 0 0 28410 0 0 1004239188 1528334273 10 Physicians PATEL SHIRALI G 999999999 200 Cook 0 0 Pediatrics 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 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 4418 0 0 0 0 0 0 4418 0 0 1004239220 87 Psychologist(Encounter Only) 19 Champaign 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 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 1264 0 0 0 0 0 0 1264 0 0 1004239284 1285859132 16 Nurse Practitioners SCHIFANO ANJA 999999999 826 Missouri 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 0 959 0 0 0 0 0 0 959 0 0 1004239425 1366810558 33 Nursing Facilities CITADEL CARE CENTER-WILMETTE 999999999 200 Cook 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 0 168 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3569 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 516302 0 0 0 0 0 0 0 516302 0 0 1004239509 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 0 131 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 14651 0 0 0 0 0 0 0 0 0 0 0 0 0 14651 0 0 1004239512 1366688632 10 Physicians CARTOLANO THOMAS J 629023988 47 Jackson 0 0 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 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12930 0 0 0 0 0 0 12930 0 0 1004239844 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 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 1263 0 0 0 0 0 0 0 0 0 0 0 0 0 1263 0 0 1004240017 1811289309 10 Physicians DALLAS HOLLY E 618202101 19 Champaign 0 1 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 856 0 0 0 0 0 0 856 0 0 1004240028 1104110436 10 Physicians EKKISWALA MAAJID M 610320857 97 Stephenson 0 0 Family Practice 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 0 142 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 0 0 0 0 0 0 0 0 0 0 1801 0 0 0 0 0 0 1801 0 0 1004240219 1114316189 16 Nurse Practitioners KLOPACK ERIN 600257635 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 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 0 460 0 0 0 0 0 0 460 0 0 1004240553 1407234875 16 Nurse Practitioners NACHE MEGAN M 612044028 89 Rock Island 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 394 0 0 0 0 0 0 0 0 953 0 0 0 0 0 0 1347 0 0 1004240662 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27734 0 0 0 0 0 0 0 0 0 0 0 0 0 27734 0 0 1004241287 1881624286 16 Nurse Practitioners MAHER MARY ELLEN 606118709 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 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 0 359 0 0 0 0 0 0 359 0 0 1004241296 1598137085 89 Physician Assistant Only(Encounter Only) MIRANDA KARINA J 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 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 8 0 0 0 0 0 0 8 0 0 1004241427 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 0 176 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 24507 0 0 0 0 0 0 0 0 0 0 0 0 0 24507 0 0 1004241852 1801289053 16 Nurse Practitioners FUNKHOUSER ANDREW F 379194052 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 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 2579 0 0 0 0 0 0 2579 0 0 1004241866 1356600993 16 Nurse Practitioners BRZOZOWSKI LORAINE A 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 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1051 0 0 0 0 0 0 1051 0 0 1004241898 1104823574 10 Physicians LEEBURTON TIMOTHY 999999999 96 St Clair 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 197 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 197 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 5534 0 0 0 0 0 0 5725 0 0 1004241948 1144412859 10 Physicians KHAN MUHAMMAD A 622743342 81 Perry 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 349 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 547 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 547 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4736 0 0 0 0 0 0 4736 0 0 1004242669 1013082809 89 Physician Assistant Only(Encounter Only) FERKAU KAREN F 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 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 45 0 0 0 0 0 0 45 0 0 1004242740 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 423 0 0 0 0 0 0 423 0 0 1004243122 1689059214 91 Waiver service provider--Adults (DHS/DDD) MATAS JAIME E 605174649 30 DuPage 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 2251 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2251 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 162413 0 0 0 0 0 0 0 0 0 0 0 0 0 162413 0 0 1004243434 1457571879 16 Nurse Practitioners BRIARS ROSEMARY L 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 0 171 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 3498 0 0 0 0 0 0 3498 0 0 1004243779 1912220609 24 Speech Therapists DOUGLAS-STERLING CANDACE C 999999999 200 Cook 0 0 0 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 0 184 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 15979 15979 0 0 1004243793 1093190134 91 Waiver service provider--Adults (DHS/DDD) BREHN JOSHUA R 999999999 40 Grundy 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 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8534 0 0 0 0 0 0 0 0 0 0 0 0 0 8534 0 0 1004243906 1063644854 10 Physicians LUPO CHARLES 601228942 53 Kane 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 61 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 79 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 79 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 701 0 4995 0 0 0 0 0 0 5696 0 0 1004243982 1679904874 89 Physician Assistant Only(Encounter Only) ESTEGHAMAT EAMMON A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 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 4691 0 0 0 0 0 0 4691 0 0 1004244414 1831575687 89 Physician Assistant Only(Encounter Only) REGAN MICHAEL 999999999 30 DuPage 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 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 0 790 0 0 0 0 0 0 790 0 0 1004244724 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 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7659 0 0 0 0 0 0 0 0 0 0 0 0 0 7659 0 0 1004244889 1063506566 10 Physicians ALONSO JAMES E 999999999 92 Schuyler 0 0 Neurology 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 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 1337 0 0 0 0 0 0 1337 0 0 1004244890 92 Waiver service provider--Disability (DHS/DRS) 59 Lawrence 0 0 0 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 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 235 0 0 1004244925 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 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 1004245058 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004245514 1063723930 10 Physicians BRADBURY CHRISTOPHER MATTHEW 999999999 200 Cook 0 0 Radiation Oncology 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 293 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 5040 0 0 0 0 0 0 5040 0 0 1004245602 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 10713 0 0 0 0 0 0 0 0 0 0 0 0 0 10713 0 0 1004245741 1144352899 89 Physician Assistant Only(Encounter Only) OMSBERG KELLY 999999999 53 Kane 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 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 0 329 0 0 0 0 0 0 329 0 0 1004245787 1730314477 10 Physicians KRAMER CHRISTOPHER L 999999999 30 DuPage 0 0 Neurology 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 0 225 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 17218 0 0 0 0 0 0 17218 0 0 1004246049 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 321 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 321 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22040 0 0 0 0 0 0 0 0 0 0 0 0 0 22040 0 0 1004246112 1790043784 10 Physicians SIEGLER JEFFREY EVAN 999999999 47 Jackson 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 0 193 0 0 0 0 0 0 193 0 0 1004246515 10 Physicians 80 Peoria 0 1 General Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 42 0 0 1004246534 1366818692 16 Nurse Practitioners IVERSON MALLORY 999999999 57 Lake 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 196 0 0 0 0 0 0 0 0 0 88 0 0 0 0 0 0 0 0 384 0 0 0 0 0 0 0 0 0 88 0 0 0 0 0 0 0 0 384 0 0 0 0 0 0 0 0 0 3963 0 0 0 0 0 0 0 0 12125 0 0 0 0 0 0 16088 0 0 1004246610 10 Physicians 89 Rock Island 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 74 0 0 0 0 0 0 74 0 0 1004246628 1164584066 46 Ambulatory Surgical Treatment Centers NAPERVILLE SURGICAL CENTRE 999999999 30 DuPage 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 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 0 202 0 0 0 0 0 202 0 0 1004246773 1174750152 10 Physicians ALLAM TALHA S 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 622 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 856 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 856 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20012 0 288 0 0 0 0 0 0 20300 0 0 1004246916 1770782062 89 Physician Assistant Only(Encounter Only) RUDICIL SHAUN M 999999999 19 Champaign 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1458 0 0 0 0 0 0 1458 0 0 1004247062 1962512236 70 Ambulance Service Providers NORTHWEST HOMER FIRE PROTECTIO 999999999 107 Will 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 0 259 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 188077 0 0 0 0 0 0 188077 0 0 1004247073 1679964001 16 Nurse Practitioners PRESUTTI WAYNE 604732258 200 Cook 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 0 301 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 301 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3946 0 0 0 0 0 0 3946 0 0 1004247135 1649591959 10 Physicians KORDIK ABBE L 605275965 30 DuPage 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 3 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 5687 0 0 0 0 0 0 5694 0 0 1004247282 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 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 5540 0 0 0 0 0 0 0 0 0 0 0 0 0 5540 0 0 1004247623 16 Nurse Practitioners 72 McLean 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 0 110 0 0 0 0 0 0 110 0 0 1004247928 1669861696 60 Pharmacies ASM PHARMACY 606072703 200 Cook 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3529 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6258 0 0 0 6258 0 0 1004247961 1730408899 10 Physicians PHOUIKHAM LILY 999999999 53 Kane 0 1 General Practice 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 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4676 0 0 0 0 0 0 4676 0 0 1004248053 1073567871 10 Physicians FOREMAN JASON R 999999999 109 Winnebago 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 112 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 8172 0 0 0 0 0 0 8172 0 0 1004248321 1942677984 16 Nurse Practitioners FORSYTHE ASHTON N 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 231 0 0 0 0 0 0 231 0 0 1004248365 1215288683 16 Nurse Practitioners MCKENZIE DAWN 623012719 10 Adams 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 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 83 0 0 0 0 0 0 83 0 0 1004248411 10 Physicians 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 201 0 0 0 0 0 0 307 0 0 1004248488 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 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1004248613 1629490859 16 Nurse Practitioners TAYLOR CAROLYN 600162359 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 11 0 0 0 0 0 0 11 0 0 1004248665 1508233453 91 Waiver service provider--Adults (DHS/DDD) CRESPO-GARCIA NADINE I 999999999 91 Sangamon 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 0 891 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 891 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92456 0 0 0 0 0 0 0 0 0 0 0 0 0 92456 0 0 1004248959 1881828275 10 Physicians D'SOUZA ARLENE 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 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 1997 0 0 0 0 0 0 1997 0 0 1004249081 1265512958 89 Physician Assistant Only(Encounter Only) VOLODKA ALINA 999999999 200 Cook 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 0 112 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 3428 0 0 0 0 0 0 3428 0 0 1004249169 1043648710 24 Speech Therapists SLATTERY LAUREN M 999999999 30 DuPage 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 0 186 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 12537 12537 0 0 1004249257 16 Nurse Practitioners 20 Christian 0 0 0 0 0 0 0 0 0 0 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 43 0 0 0 0 0 0 43 0 0 1004249471 1700293818 24 Speech Therapists STUEPFERT KATIE M 999999999 72 McLean 0 0 0 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 0 173 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 17231 17231 0 0 1004249510 1194191965 11 Dentists PATEL KEITH 999999999 200 Cook 0 0 0 0 0 63 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 11069 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11069 0 0 1004249722 92 Waiver service provider--Disability (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 12983 0 0 0 0 0 0 0 0 0 0 0 0 0 12983 0 0 1004249795 1831411891 89 Physician Assistant Only(Encounter Only) ODUGBESAN JULIA 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 0 316 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 316 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 353 0 0 0 0 0 0 353 0 0 1004250078 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004250123 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 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29297 0 0 0 0 0 0 0 0 0 0 0 0 0 29297 0 0 1004250172 24 Speech Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 38 0 0 1004250234 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 0 112 0 0 0 0 0 0 112 0 0 1004250367 1538356639 89 Physician Assistant Only(Encounter Only) MCSPARRON JACQUELINE E 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 275 0 0 0 0 0 0 275 0 0 1004250972 16 Nurse Practitioners 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 62 0 0 1004251021 1780847384 10 Physicians SHAH ASHISH 999999999 40 Grundy 0 0 Internal Medicine 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 0 167 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 0 0 0 0 0 6018 0 0 0 0 0 0 6018 0 0 1004251220 1326359100 89 Physician Assistant Only(Encounter Only) HANSBERRY JADA H. 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 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 0 504 0 0 0 0 0 0 504 0 0 1004251261 1972962561 16 Nurse Practitioners TAYLOR LOGAN 999999999 108 Williamson 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 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2899 0 0 0 0 0 0 2899 0 0 1004251481 1932584620 16 Nurse Practitioners MAGIERA VIOLETTA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 823 0 0 0 0 0 0 823 0 0 1004251634 1306203856 36 Community mental health provider NORTHWESTERN MEDICINE BEN GORD 999999999 27 Dekalb 0 0 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 0 0 1021 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1065 0 0 1021 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1065 0 0 119934 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 99350 0 0 219284 0 0 1004251853 1821355082 10 Physicians GOTTLIEB MICHAEL A. 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 3 0 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 1809 0 0 0 0 0 0 1814 0 0 1004252222 1588095590 16 Nurse Practitioners EPPERSON MARY G 999999999 66 Marion 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 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 0 930 0 0 0 0 0 0 930 0 0 1004252266 16 Nurse Practitioners 72 McLean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 36 0 0 0 0 0 0 36 0 0 1004252351 92 Waiver service provider--Disability (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3031 0 0 0 0 0 0 0 0 0 0 0 0 0 3031 0 0 1004252398 91 Waiver service provider--Adults (DHS/DDD) 826 Missouri 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 197 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 20455 0 0 0 0 0 0 0 0 0 0 0 0 0 20455 0 0 1004252525 1972778603 10 Physicians TROMBLY RYAN 601220021 53 Kane 0 0 Neurology Surgery 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 0 180 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 18528 0 0 0 0 0 0 18528 0 0 1004252842 10 Physicians 57 Lake 0 0 Allergy-Immunization 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 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1508 0 0 0 0 0 0 1508 0 0 1004252855 1922492271 16 Nurse Practitioners JACKSON JULIE A 999999999 50 Jersey 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 23 0 0 0 0 0 0 23 0 0 1004253535 10 Physicians 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 17 0 0 0 0 0 0 0 0 17 0 0 1004253885 1609289040 10 Physicians LEVENHAGEN RYAN 999999999 200 Cook 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 0 334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7396 0 0 0 0 0 0 7396 0 0 1004253935 1689671166 10 Physicians LATER PAUL E 999999999 30 DuPage 0 0 Neurology 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 0 159 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 10622 0 0 0 0 0 0 10622 0 0 1004254024 1518219757 16 Nurse Practitioners DOWNS AMANDA K 602011700 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 112 0 0 0 0 0 0 112 0 0 1004254164 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 27862 0 0 0 0 0 0 0 0 0 0 0 0 0 27862 0 0 1004254270 1962831511 16 Nurse Practitioners RYAN AMANDA L. 612541091 45 Henry 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 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 2827 0 0 0 0 0 0 2827 0 0 1004254276 1063674372 89 Physician Assistant Only(Encounter Only) MARONEY JOSEPH P 999999999 109 Winnebago 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 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 0 307 0 0 0 0 0 0 307 0 0 1004254318 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 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 1004254472 1922358340 16 Nurse Practitioners FRANCIS REGEENA 606123714 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 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 0 264 0 0 0 0 0 0 264 0 0 1004254660 1578977922 10 Physicians KUMAR BHAVYA 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 435 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 435 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4919 0 0 0 0 0 0 4919 0 0 1004254677 16 Nurse Practitioners 45 Henry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 195 0 0 1004254867 1568741221 16 Nurse Practitioners CALDWELL KRISTINE M 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 662 0 0 0 0 0 0 662 0 0 1004255004 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 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 22505 0 0 0 0 0 0 0 0 0 0 0 0 0 22505 0 0 1004255106 1346551090 89 Physician Assistant Only(Encounter Only) CONNELL KIMBERLIE 999999999 53 Kane 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 0 179 0 0 0 0 0 0 179 0 0 1004255116 1174874291 10 Physicians JAFRI SYED 618562116 82 Piatt 0 0 Emergency Medicine 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 0 102 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 6125 0 0 0 0 0 0 6125 0 0 1004256023 1225327984 10 Physicians SIEGERT JAMES 606781353 200 Cook 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 6 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 562 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 562 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 140 0 11704 0 0 0 0 0 0 11844 0 0 1004256028 1558593095 10 Physicians MANDA KRISHNA 999999999 107 Will 0 0 Internal Medicine 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 0 804 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 804 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11452 0 0 0 0 0 0 11452 0 0 1004256120 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 4622 0 0 0 0 0 0 0 0 0 0 0 0 0 4622 0 0 1004256137 1154615797 10 Physicians REDICAN ELIZABETH 606232460 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2053 0 0 0 0 0 0 2053 0 0 1004256366 1376775205 10 Physicians ARANAS MELCHOR PAULO A 999999999 107 Will 0 0 0 0 0 0 3 0 0 0 0 0 0 2 0 26 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 2 0 40 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 2 0 40 0 0 0 0 0 0 0 0 0 203 0 0 0 0 0 0 53 0 1000 0 0 0 0 0 0 1256 0 0 1004256384 1073984696 55 Early Intervention Services "HANCOCK-MCDONOUGH, REGIONAL OF" 614552280 70 McDonough 0 0 0 357 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 0 0 0 0 0 2185 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234817 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234817 0 0 1004256435 1649583485 10 Physicians AZAR ALINE 616360001 80 Peoria 0 0 Internal Medicine 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 0 269 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 269 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5742 0 0 0 0 0 0 5742 0 0 1004256606 1023406873 16 Nurse Practitioners KOLDENHOVEN CRISTA L 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 436 0 0 0 0 0 0 436 0 0 1004256625 1265794432 10 Physicians KICHURA ANDREW B 631418221 103 Washington 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 509 0 0 0 0 0 0 520 0 0 1004256693 1245585462 10 Physicians SINGH AMRINDER 606592106 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 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 0 191 0 0 0 0 0 0 191 0 0 1004256856 1134414618 10 Physicians STOCK RYAN T 999999999 108 Williamson 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 118 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 118 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8944 0 0 0 0 0 0 8944 0 0 1004257014 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 0 336 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 28101 0 0 0 0 0 0 0 0 0 0 0 0 0 28101 0 0 1004257161 1699790618 22 Physical Therapists KALLADANTHYIL BOBBY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 926 926 0 0 1004257466 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 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 3338 0 0 0 0 0 0 0 0 0 0 0 0 0 3338 0 0 1004257739 1245328582 89 Physician Assistant Only(Encounter Only) HOUGLUM REBECCA G. 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 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 0 541 0 0 0 0 0 0 541 0 0 1004257884 92 Waiver service provider--Disability (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 21332 0 0 0 0 0 0 0 0 0 0 0 0 0 21332 0 0 1004257931 1801280409 48 Rural Health Clinics HEARTLAND WOMENS HEALTHCARE 628645951 49 Jefferson 0 0 0 0 258 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1007 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1007 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35040 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35040 0 0 1004258149 10 Physicians 823 Michigan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 106 0 0 1004258232 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 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 27604 0 0 0 0 0 0 0 0 0 0 0 0 0 27604 0 0 1004258518 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 0 363 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 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1004258551 1144238908 30 General Hospitals BARNES JEWISH ST PETERS HOSP 633761659 826 Missouri ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 16 0 0 0 0 1 0 0 0 10 0 0 0 0 0 0 0 0 0 17 0 0 0 0 1 0 0 0 13 0 0 0 0 0 0 0 0 0 17 0 0 0 0 1 0 0 0 28 0 0 0 0 0 0 0 0 0 2296 0 0 0 0 672 0 0 0 1153 0 0 0 0 0 4121 0 0 1004258553 91 Waiver service provider--Adults (DHS/DDD) 13 Boone 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 751 0 0 0 0 0 0 0 0 0 0 0 0 0 751 0 0 1004258755 1982822763 10 Physicians KHAN ADEEL S 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 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 5510 0 0 0 0 0 0 5510 0 0 1004259021 1598886368 10 Physicians TAFUR ALFONSO J 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 136 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 2658 0 0 0 0 0 0 2658 0 0 1004259441 1033464987 10 Physicians JOHNSON JOYCE 999999999 60 Lee 0 1 0 0 0 0 5 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 112 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 112 0 0 0 0 0 0 0 0 0 375 0 0 0 0 0 0 0 0 1971 0 0 0 0 0 0 2346 0 0 1004259495 1922444835 89 Physician Assistant Only(Encounter Only) FOERSTER BENJAMIN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5193 0 0 0 0 0 0 5193 0 0 1004259524 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 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 234 0 0 1004260039 1346612140 16 Nurse Practitioners BALABAN MALGORZATA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 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 0 216 0 0 0 0 0 0 216 0 0 1004260051 1396168001 16 Nurse Practitioners SWAN-FIGUEROA BREANN 616151941 80 Peoria 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 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 2405 0 0 0 0 0 0 2405 0 0 1004260085 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 320 0 0 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 0 0 0 0 0 0 0 0 0 0 25300 0 0 0 0 0 0 0 0 0 0 0 0 0 25300 0 0 1004260187 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 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 75 0 0 0 0 0 0 75 0 0 1004260291 92 Waiver service provider--Disability (DHS/DRS) 56 Knox 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1102 0 0 0 0 0 0 0 0 0 0 0 0 0 1102 0 0 1004260432 1144545245 10 Physicians SHINNEMAN CHRISTOPHER 999999999 30 DuPage 0 0 Emergency Medicine 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 0 212 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 5987 0 0 0 0 0 0 5987 0 0 1004260499 1013162817 10 Physicians VERMA NISHANT 606118709 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 226 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 0 0 0 0 0 0 0 0 0 0 0 0 403 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3928 0 0 0 0 0 0 3928 0 0 1004261056 16 Nurse Practitioners 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 48 0 0 1004261072 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 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 2527 0 0 0 0 0 0 0 0 0 0 0 0 0 2527 0 0 1004261190 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 165 0 0 1004261270 1770879579 10 Physicians VYAS ASHISH 999999999 107 Will 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 440 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 696 0 137 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 696 0 137 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8929 0 3780 0 0 0 0 0 0 12709 0 0 1004261390 10 Physicians 53 Kane 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 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 46 0 0 0 0 0 0 46 0 0 1004261741 1053797258 16 Nurse Practitioners REED REBECCA A 999999999 10 Adams 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 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 0 964 0 0 0 0 0 0 964 0 0 1004261921 1194120766 16 Nurse Practitioners REDING KELSEY L 999999999 65 Madison 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 2679 0 0 0 0 0 0 0 0 6704 0 0 0 0 0 0 9383 0 0 1004262088 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 0 134 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 25070 0 0 0 0 0 0 0 0 0 0 0 0 0 25070 0 0 1004262150 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3440 0 0 0 0 0 0 0 0 0 0 0 0 0 3440 0 0 1004262379 1811131055 10 Physicians SINGH SIMRAN K 606930001 200 Cook 0 0 Neurology Surgery 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 0 170 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 0 0 0 0 0 0 0 0 0 0 2613 0 0 0 0 0 0 2613 0 0 1004262671 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 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18204 0 0 0 0 0 0 0 0 0 0 0 0 0 18204 0 0 1004262844 1508878364 10 Physicians GRIESS MICHAEL 999999999 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2555 0 0 0 0 0 0 2555 0 0 1004263081 1427285774 10 Physicians CLARK AMY L. 999999999 96 St Clair 0 0 Pediatrics 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 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 1303 0 0 0 0 0 0 1303 0 0 1004263246 1821481607 10 Physicians HUTZ ERIKA 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1121 0 0 0 0 0 0 1121 0 0 1004263252 10 Physicians 815 Indiana 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 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 47 0 0 0 0 0 0 47 0 0 1004263627 1437364973 10 Physicians URBANSKI NORBERT 616360001 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 147 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 1024 0 0 0 0 0 0 1024 0 0 1004263854 1982927448 16 Nurse Practitioners HORN BRIAN P 999999999 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 365 0 0 0 0 0 0 365 0 0 1004264033 1053619577 16 Nurse Practitioners JORDAN SHARI M 605638669 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 112 0 0 0 0 0 0 112 0 0 1004264106 10 Physicians 200 Cook 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 66 0 0 0 0 0 0 66 0 0 1004264183 87 Psychologist(Encounter Only) 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 97 0 0 0 0 0 0 97 0 0 1004264584 1629389333 11 Dentists PATEL BHUMIKA S 999999999 30 DuPage 0 0 General Dentistry 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 211 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 211 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7836 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7836 0 0 1004264807 1972771251 16 Nurse Practitioners THOMPSON PATSY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 457 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 0 0 0 0 0 0 0 0 0 0 0 0 3430 0 0 0 0 0 0 3430 0 0 1004264971 98 Waiver service provider--TBI (DHS/DRS) 27 Dekalb 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 11809 0 0 0 0 0 0 0 0 0 0 0 0 0 11809 0 0 1004265033 1871892448 10 Physicians GARCIA DAVID 333232815 30 DuPage 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 16 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 1075 0 0 1004265180 1477802395 89 Physician Assistant Only(Encounter Only) SMOLINA ALEXANDRA 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 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 1779 0 0 0 0 0 0 1779 0 0 1004265531 1497875942 89 Physician Assistant Only(Encounter Only) LATIF ROHIYA 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 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 74 0 0 0 0 0 0 74 0 0 1004265543 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 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 1004265645 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 0 251 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 27833 0 0 0 0 0 0 0 0 0 0 0 0 0 27833 0 0 1004265706 1437260395 60 Pharmacies IN TOUCH PHARMACEUTICALS 463838430 815 Indiana 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 0 710 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11215 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5142 0 0 0 5142 0 0 1004265725 1205031317 11 Dentists KAJA VEERA A 626501000 77 Morgan 0 0 General Dentistry 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 752 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 752 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24170 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24170 0 0 1004265760 1306106927 89 Physician Assistant Only(Encounter Only) PARILLA KATHLEEN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1987 0 0 0 0 0 0 1987 0 0 1004265836 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 0 270 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 22161 0 0 0 0 0 0 0 0 0 0 0 0 0 22161 0 0 1004265996 1710114582 10 Physicians JACKSON RYAN S 631600352 200 Cook 0 0 Otolaryngology 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 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 1034 0 0 0 0 0 0 1045 0 0 1004266015 1447623426 33 Nursing Facilities APERION CARE ELGIN 601235169 53 Kane 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 0 283 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6631 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 991252 0 0 0 0 0 0 0 991252 0 0 1004266125 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 0 148 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 14496 0 0 0 0 0 0 0 0 0 0 0 0 0 14496 0 0 1004266450 1265702278 10 Physicians OHRI HIMANSHU 999999999 200 Cook 0 0 Internal Medicine 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 0 417 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 417 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5981 0 0 0 0 0 0 5981 0 0 1004266675 1023218807 10 Physicians MUKERJI RITA 999999999 66 Marion 0 0 Internal Medicine 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 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1234 0 0 0 0 0 0 1234 0 0 1004266753 1891099628 20 Registered nurse FERRONI GRAZIA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 371 0 0 0 0 0 0 371 0 0 1004266902 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 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24232 0 0 0 0 0 0 0 0 0 0 0 0 0 24232 0 0 1004267154 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 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10052 0 0 0 0 0 0 0 0 0 0 0 0 0 10052 0 0 1004267239 91 Waiver service provider--Adults (DHS/DDD) 85 Pulaski 0 0 0 0 0 0 0 0 2 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 56764 0 0 0 0 0 0 0 0 0 0 0 0 0 56764 0 0 1004267678 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 0 148 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 27548 0 0 0 0 0 0 0 0 0 0 0 0 0 27548 0 0 1004267689 1306030119 16 Nurse Practitioners CARLOVSKY KATHRYN 611038926 109 Winnebago 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 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8049 0 0 0 0 0 0 8049 0 0 1004267850 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 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 0 116 0 0 0 0 0 0 0 0 116 0 0 1004267859 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 0 157 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 30179 0 0 0 0 0 0 0 0 0 0 0 0 0 30179 0 0 1004267862 1174530968 89 Physician Assistant Only(Encounter Only) PAULS ERIK 999999999 200 Cook 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 711 0 0 0 0 0 0 711 0 0 1004267965 1497114508 16 Nurse Practitioners LATHITHAM CHRIS 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 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 0 764 0 0 0 0 0 0 764 0 0 1004267968 4004267968 91 Waiver service provider--Adults (DHS/DDD) MEINHOFER IRA 999999999 200 Cook 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 574 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 574 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 91652 0 0 0 0 0 0 0 0 0 0 0 0 0 91652 0 0 1004268270 1568723583 10 Physicians SUSAN PAOLA 606751611 200 Cook 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 3 0 48 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 4 0 123 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 4 0 123 0 0 0 0 0 0 0 0 0 199 0 0 0 0 0 0 24 0 3127 0 0 0 0 0 0 3350 0 0 1004268308 87 Psychologist(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 202 0 0 0 0 0 0 202 0 0 1004268518 1821439738 33 Nursing Facilities MERCY CIRCLE 606553128 200 Cook 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 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1091 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 233622 0 0 0 0 0 0 0 233622 0 0 1004268523 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 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 0 0 0 0 0 70 0 0 1004268913 10 Physicians 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 370 0 0 0 0 0 0 370 0 0 1004269218 1033407069 10 Physicians AHMED PALOSHA 49155500 30 DuPage 0 0 Family Practice 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 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 0 623 0 0 0 0 0 0 623 0 0 1004269358 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 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 4098 0 0 0 0 0 0 0 0 0 0 0 0 0 4098 0 0 1004269858 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 0 168 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 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1004270022 1447698691 10 Physicians EWULONU UCHENNA 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1211 0 0 0 0 0 0 1211 0 0 1004270344 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 26900 0 0 0 0 0 0 0 0 0 0 0 0 0 26900 0 0 1004270655 1467735282 10 Physicians CROUCHER ALLISON L 606740018 200 Cook 0 0 Pediatrics 0 0 0 0 10 0 0 0 0 0 0 5 0 13 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 11 0 18 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 11 0 18 0 0 0 0 0 0 0 0 0 1161 0 0 0 0 0 0 159 0 442 0 0 0 0 0 0 1762 0 0 1004270709 12 Optometrists 30 DuPage 0 0 Therapeutic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 167 0 0 0 0 0 0 167 0 0 1004270808 1992014989 10 Physicians KAHN STEVEN L 606118709 200 Cook 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 1 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 1843 0 0 0 0 0 0 1863 0 0 1004270879 1093979387 10 Physicians AKBAR ASRA 999999999 845 Texas 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 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 8039 0 0 0 0 0 0 8039 0 0 1004270949 91 Waiver service provider--Adults (DHS/DDD) 51 Jo Daviess 0 0 0 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 28301 0 0 0 0 0 0 0 0 0 0 0 0 0 28301 0 0 1004270960 1346441367 16 Nurse Practitioners ORTWIG KURT W 602011700 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 168 0 0 0 0 0 0 168 0 0 1004271136 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 0 331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25579 0 0 0 0 0 0 0 0 0 0 0 0 0 25579 0 0 1004271680 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13041 0 0 0 0 0 0 0 0 0 0 0 0 0 13041 0 0 1004271681 1770943243 91 Waiver service provider--Adults (DHS/DDD) ZOSEL JENNIFER 999999999 107 Will 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 2080 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2080 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160647 0 0 0 0 0 0 0 0 0 0 0 0 0 160647 0 0 1004271765 1336205798 30 General Hospitals FRANCISCAN ST ANTHONY HEALTH C 999999999 815 Indiana ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 28 0 0 0 0 11 0 0 0 22 0 0 0 0 0 0 0 0 0 30 0 0 0 0 13 0 0 0 27 0 0 0 0 0 0 0 0 0 30 0 0 0 0 43 0 0 0 27 0 0 0 0 0 0 0 0 0 6321 0 0 0 0 7276 0 0 0 1577 0 0 0 0 0 15174 0 0 1004271933 1134483936 10 Physicians TENEGRA JOHNNY C 627949639 91 Sangamon 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 1 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1460 0 0 0 0 0 0 1460 0 0 1004272185 1548558729 10 Physicians SHETH NEERAL 606053182 200 Cook 0 0 Psychiatry 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 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 3053 0 0 0 0 0 0 3053 0 0 1004272369 1790146405 16 Nurse Practitioners LEFENS KATHLEEN A 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 221 0 0 0 0 0 0 221 0 0 1004272435 92 Waiver service provider--Disability (DHS/DRS) 90 Saline 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 8174 0 0 0 0 0 0 0 0 0 0 0 0 0 8174 0 0 1004272587 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 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004272613 1659746238 16 Nurse Practitioners FLOYD KYLE J 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 951 0 0 0 0 0 0 951 0 0 1004272657 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38783 0 0 0 0 0 0 0 0 0 0 0 0 0 38783 0 0 1004272671 1265897755 16 Nurse Practitioners HORNUNG ANDREW 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2467 0 0 0 0 0 0 2467 0 0 1004272746 1275947962 89 Physician Assistant Only(Encounter Only) KOTH DANA 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 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 0 166 0 0 0 0 0 0 166 0 0 1004272928 1891033304 10 Physicians JASTHI PRATHIMA K 627047452 91 Sangamon 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 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1110 0 0 0 0 0 0 1110 0 0 1004273158 91 Waiver service provider--Adults (DHS/DDD) 46 Iroquois 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 172 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 25557 0 0 0 0 0 0 0 0 0 0 0 0 0 25557 0 0 1004273561 1902109267 89 Physician Assistant Only(Encounter Only) WASSINK BRETT 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 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 0 322 0 0 0 0 0 0 322 0 0 1004273709 1417219437 10 Physicians GADRINAB-JONES KRYSTLE 606781034 200 Cook 0 0 Family Practice 0 0 0 0 6 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 639 0 0 0 0 0 0 0 0 1548 0 0 0 0 0 0 2187 0 0 1004273741 1326420563 30 General Hospitals FRESENIUS MEDICAL CARE MCLEAN 617013534 72 McLean DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 328 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2794 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28069 0 0 0 0 0 28069 0 0 1004273932 1477712933 10 Physicians DY CHRISTOPHER JOHN 999999999 200 Cook 0 0 Orthopedic Surgery 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 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 926 0 0 0 0 0 0 948 0 0 1004274130 1881097244 16 Nurse Practitioners PATEL PURVI 611041572 30 DuPage 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 0 855 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 0 0 0 0 0 0 0 0 0 0 0 0 7000 0 0 0 0 0 0 7000 0 0 1004274177 1770952764 16 Nurse Practitioners KLEIDERER KRISTIN M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1962 0 0 0 0 0 0 1962 0 0 1004274548 1003965799 10 Physicians NUCIFORA PAOLO 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 369 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 547 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 547 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17523 0 16 0 0 0 0 0 0 17539 0 0 1004274582 1992189104 12 Optometrists PATEL SHREYA V 999999999 107 Will 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 375 0 0 0 0 0 0 375 0 0 1004274756 1265557888 63 Other Providers of Medical Equipment/Supplies (Non-registered) CRANIAL TECHNOLOGIES INC 601485690 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16913 0 0 0 0 0 0 16913 0 0 1004274795 1871624668 10 Physicians RICHTER ERIK 753208807 200 Cook 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 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 0 167 0 0 0 0 0 0 0 0 167 0 0 1004274842 1427331347 13 Podiatrists KALK JASON 606253500 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 400 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 400 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4599 0 0 0 0 0 0 4599 0 0 1004274954 94 Waiver service provider--Children's support (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 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 0 788 0 0 0 0 0 0 0 0 0 0 0 0 0 788 0 0 1004275128 1619291861 10 Physicians GOLBIN-HALLETT DINA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1070 0 0 0 0 0 0 1070 0 0 1004275259 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 0 176 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 27354 0 0 0 0 0 0 0 0 0 0 0 0 0 27354 0 0 1004275514 92 Waiver service provider--Disability (DHS/DRS) 106 Whiteside 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3314 0 0 0 0 0 0 0 0 0 0 0 0 0 3314 0 0 1004276022 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 0 291 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 291 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30238 0 0 0 0 0 0 0 0 0 0 0 0 0 30238 0 0 1004276152 1679715890 10 Physicians MANN TOBIAS R 999999999 816 Iowa 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 6 0 10 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 0 155 0 1328 0 0 0 0 0 0 1483 0 0 1004276197 1609272533 16 Nurse Practitioners MCDERMOTT MIA 535661569 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 36 0 0 0 0 0 0 36 0 0 1004276232 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 34045 0 0 0 0 0 0 0 0 0 0 0 0 0 34045 0 0 1004276319 10 Physicians 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 210 0 0 0 0 0 0 210 0 0 1004276656 1609022003 10 Physicians WEATHERFORD BRIAN 600162359 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 30 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 421 0 14192 0 0 0 0 0 0 14613 0 0 1004276861 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 0 175 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 9303 0 0 0 0 0 0 0 0 0 0 0 0 0 9303 0 0 1004277312 1346516689 10 Physicians FITZGERALD KELLY M 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 6 0 0 0 0 0 0 2 0 8 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 2 0 11 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 2 0 11 0 0 0 0 0 0 0 0 0 502 0 0 0 0 0 0 48 0 955 0 0 0 0 0 0 1505 0 0 1004277477 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 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10003 0 0 0 0 0 0 0 0 0 0 0 0 0 10003 0 0 1004277681 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 0 269 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 269 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30234 0 0 0 0 0 0 0 0 0 0 0 0 0 30234 0 0 1004277861 1033352596 10 Physicians HIDALGO RONALD 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 989 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1450 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1450 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18121 0 254 0 0 0 0 0 0 18375 0 0 1004277913 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 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15448 0 0 0 0 0 0 0 0 0 0 0 0 0 15448 0 0 1004277940 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 47 0 0 1004278004 1316009194 46 Ambulatory Surgical Treatment Centers TINLEY WOODS SURGERY CENTER LL 999999999 200 Cook 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 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 0 197 0 0 0 0 0 197 0 0 1004278075 1922122183 89 Physician Assistant Only(Encounter Only) WOLFINGER RICHARD 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 341 0 0 740 0 0 0 0 0 0 1081 0 0 1004278153 89 Physician Assistant Only(Encounter Only) 40 Grundy 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 136 0 0 0 0 0 0 136 0 0 1004278360 10 Physicians 80 Peoria 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 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 98 0 0 0 0 0 0 98 0 0 1004278765 20 Registered nurse 80 Peoria 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 0 238 0 0 0 0 0 0 238 0 0 1004278778 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 185 0 0 0 0 0 0 185 0 0 1004279170 1558593137 10 Physicians LO JOANNA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120 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 4198 0 0 0 0 0 0 4198 0 0 1004279517 1689917452 10 Physicians CLARY-SELLI TYRISHA 999999999 200 Cook 0 0 General Practice 0 0 0 0 2 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 63 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 63 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 1433 0 0 0 0 0 0 1628 0 0 1004279773 1396138830 16 Nurse Practitioners INGRAM NOEMI L 999999999 19 Champaign 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 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 0 115 0 0 0 0 0 0 115 0 0 1004279871 10 Physicians 57 Lake 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 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 0 109 0 0 0 0 0 0 109 0 0 1004279932 1215254214 10 Physicians KLIER SCOTT A 605638669 30 DuPage 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3206 0 0 0 0 0 0 3206 0 0 1004280144 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 74 0 0 0 0 0 0 74 0 0 1004280150 1346616133 16 Nurse Practitioners ROSKA ED ALLEN 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 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 0 422 0 0 0 0 0 0 422 0 0 1004280494 1427427418 12 Optometrists HOLMBERG KATHRINE L 604111758 200 Cook 0 0 Diagnostic Pharmaceutical Agents 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 0 325 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 6502 0 0 0 0 0 0 6502 0 0 1004281348 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 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 1004281430 1558625301 10 Physicians BECKEMEYER JENNIFER 946081844 200 Cook 0 0 Emergency Medicine 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 0 134 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 7928 0 0 0 0 0 0 7928 0 0 1004281487 10 Physicians 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 23 0 0 0 0 0 0 23 0 0 1004281760 1114928884 89 Physician Assistant Only(Encounter Only) SHAH CHANDRIKA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 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 54 0 0 0 0 0 0 54 0 0 1004282067 1609267426 16 Nurse Practitioners BOYSTER MELINDA 625213810 63 Macon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 796 0 0 0 0 0 0 796 0 0 1004282419 1366827347 11 Dentists JABORI ABEER 600852372 815 Indiana 0 0 General Dentistry 0 0 0 417 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 1846 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 1846 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 61546 0 0 0 0 0 0 0 0 0 0 0 9769 0 0 0 0 71315 0 0 1004282453 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 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 6666 0 0 0 0 0 0 0 0 0 0 0 0 0 6666 0 0 1004282848 1639574155 89 Physician Assistant Only(Encounter Only) GRIFFIN CAITLIN M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 4 0 0 1004283031 1083082358 16 Nurse Practitioners CHAPMAN-KELLY PATRICIA 999999999 30 DuPage 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 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 1196 0 0 0 0 0 0 1196 0 0 1004283143 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004283204 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 125 0 0 0 0 0 0 125 0 0 1004283245 1023245693 10 Physicians FAN DI 600650451 200 Cook 0 0 Vascular Surgery 0 0 0 0 0 0 0 0 0 0 0 2 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 266 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 266 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 972 0 0 0 0 0 0 1072 0 0 1004283372 1235214982 10 Physicians NIEVES-NEIRA WILBERTO 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 388 0 0 0 0 0 0 388 0 0 1004283447 1326437633 11 Dentists SYED MAZHER 600771310 200 Cook 0 0 General Dentistry 0 0 0 352 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 782 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 782 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 30833 0 0 0 0 0 0 0 0 0 0 0 444 0 0 0 0 31277 0 0 1004283590 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 128 0 0 0 0 0 0 128 0 0 1004283618 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 277 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 277 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19412 0 0 0 0 0 0 0 0 0 0 0 0 0 19412 0 0 1004283731 1790177475 16 Nurse Practitioners FLAHERTY INNE K 606118709 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 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 0 638 0 0 0 0 0 0 638 0 0 1004283853 10 Physicians 818 Kentucky 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 298 0 0 0 0 0 0 298 0 0 1004283909 1427418276 40 Federally Qualified Health Centers "COMMUNITY HEALTH CARE, INC - E" 999999999 816 Iowa 0 1 0 0 35 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 4950 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4950 0 0 1004284097 1760747406 10 Physicians WATSON JEREL 626565066 62 Logan 0 0 Emergency Medicine 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 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4200 0 0 0 0 0 0 4200 0 0 1004284573 1639445331 10 Physicians LIRA SOREL 606313222 200 Cook 0 0 General Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 668 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 0 0 0 0 0 17656 0 0 0 0 0 0 17656 0 0 1004284619 1962691568 89 Physician Assistant Only(Encounter Only) MELTZER JASON 999999999 109 Winnebago 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 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 56 0 0 0 0 0 0 56 0 0 1004284678 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 27653 0 0 0 0 0 0 0 0 0 0 0 0 0 27653 0 0 1004284809 1356368294 33 Nursing Facilities REGENCY CARE OF MORRIS 604503305 40 Grundy 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 0 357 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45297 0 0 0 0 0 0 0 45297 0 0 1004284827 1407223258 16 Nurse Practitioners ROBINSON LATOYA 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 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 0 126 0 0 0 0 0 0 126 0 0 1004284933 1578991881 89 Physician Assistant Only(Encounter Only) SCHERER JOHN M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1219 0 0 0 0 0 0 1219 0 0 1004285116 1700950169 12 Optometrists DONLEA CHARLES 600891970 57 Lake 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 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 0 544 0 0 0 0 0 0 544 0 0 1004285163 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 4 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 152 0 0 1004285210 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 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 28404 0 0 0 0 0 0 0 0 0 0 0 0 0 28404 0 0 1004285285 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 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004285505 1649533613 10 Physicians ALEXANDER JASON 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 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 1275 0 0 0 0 0 0 1275 0 0 1004285736 1013395482 16 Nurse Practitioners PILLAI SEEMA M 607073717 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 894 0 0 0 0 0 0 894 0 0 1004285792 1407160641 10 Physicians PRICE GRETCHEN 641843225 91 Sangamon 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 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 13 0 0 0 0 0 0 13 0 0 1004285893 1669851465 50 Home Health Agencies - In Home NOVACARE SERVICES INC 601543749 200 Cook 0 0 0 0 0 0 0 0 73 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14086 4288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14086 4288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5868847 1695109 0 0 0 0 0 0 0 0 0 0 0 0 7563956 0 0 1004286104 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 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 0 741 0 0 0 0 0 0 0 0 0 0 0 0 0 741 0 0 1004286271 1720476963 16 Nurse Practitioners CALDERALA JENNIFER L 999999999 53 Kane 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 0 0 700 0 0 0 0 0 0 0 0 1921 0 0 0 0 0 0 2621 0 0 1004286316 1952560492 10 Physicians HEARD TAKIJAH TIFFANY 999999999 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 2934 0 0 0 0 0 0 2934 0 0 1004286376 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20428 0 0 0 0 0 0 0 0 0 0 0 0 0 20428 0 0 1004286709 1942400072 10 Physicians GERSH BENJAMIN C 999999999 19 Champaign 0 0 Psychiatry 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 0 400 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 400 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8559 0 0 0 0 0 0 8559 0 0 1004286897 1639221302 34 State-operated facility (DHS) ELGIN MENTAL HEALTH CENTER 601237612 53 Kane 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 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1957 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1687286 0 0 0 0 0 0 0 0 0 1687286 0 0 1004287202 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 27815 0 0 0 0 0 0 0 0 0 0 0 0 0 27815 0 0 1004287287 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 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 12211 0 0 0 0 0 0 0 0 0 0 0 0 0 12211 0 0 1004287618 16 Nurse Practitioners 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 63 0 0 0 0 0 0 63 0 0 1004287661 1770838641 10 Physicians IDLER PEREZ ALICIA E 999999999 200 Cook 0 0 Pediatrics 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 0 456 0 0 0 0 0 0 456 0 0 1004287685 1558476291 10 Physicians GRANT RONALD S 616151941 80 Peoria 0 0 Pediatrics 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 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 2808 0 0 0 0 0 0 2808 0 0 1004287737 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 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 1004287746 1811123433 10 Physicians FAZIO MICHAEL G 627046924 91 Sangamon 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 211 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5526 0 35 0 0 0 0 0 0 5561 0 0 1004287777 1821040866 10 Physicians PHAM JUSTIN 606011226 200 Cook 0 0 Radiology Diagnosis 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 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 0 101 0 0 0 0 0 0 0 0 101 0 0 1004288088 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 0 237 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 237 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30273 0 0 0 0 0 0 0 0 0 0 0 0 0 30273 0 0 1004288440 1972703080 64 Imaging Services VALLEY LO IMAGING CO 600251636 200 Cook 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 0 675 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 675 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8326 0 0 0 0 0 0 8326 0 0 1004288460 24 Speech Therapists 826 Missouri 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 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 98 98 0 0 1004288527 1922326297 10 Physicians SPEC ANDREJ 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 349 0 0 0 0 0 0 349 0 0 1004289063 1366568784 10 Physicians JOHNSON EMILIE 606127232 63 Macon 0 0 Pediatrics 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 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 6369 0 0 0 0 0 0 6369 0 0 1004289304 1831347426 10 Physicians MATOSSIAN DEBORA 999999999 200 Cook 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 0 142 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 0 0 0 0 0 0 0 0 0 0 6059 0 0 0 0 0 0 6059 0 0 1004289327 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 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 28403 0 0 0 0 0 0 0 0 0 0 0 0 0 28403 0 0 1004289449 1689937641 10 Physicians MCDONALD RACHEL K 999999999 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 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 1106 0 0 0 0 0 0 1106 0 0 1004289508 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 0 390 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 390 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8081 0 0 0 0 0 0 0 0 0 0 0 0 0 8081 0 0 1004289560 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004289605 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29508 0 0 0 0 0 0 0 0 0 0 0 0 0 29508 0 0 1004289862 60 Pharmacies 200 Cook 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 15 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 0 0 0 0 0 0 0 0 0 0 0 0 552 0 0 0 552 0 0 1004289957 1205078987 10 Physicians RUXER JOHN T 999999999 818 Kentucky 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 0 1004290195 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 0 252 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 11387 0 0 0 0 0 0 0 0 0 0 0 0 0 11387 0 0 1004290376 1942223334 89 Physician Assistant Only(Encounter Only) MICCI SANDRA J 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 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 62 0 0 0 0 0 0 62 0 0 1004290596 16 Nurse Practitioners 109 Winnebago 0 0 0 0 0 0 0 0 0 0 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 1004290745 1003059288 10 Physicians MARTINEZ DON 999999999 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 379 0 146 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 583 0 252 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 583 0 252 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5428 0 4202 0 0 0 0 0 0 9630 0 0 1004290782 1720403843 16 Nurse Practitioners EAPEN JOYCE 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1092 0 0 0 0 0 0 1092 0 0 1004291053 1508239880 33 Nursing Facilities SYMPHONY AT THE TILLERS 999999999 55 Kendall 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1631 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 243836 0 0 0 0 0 0 0 243836 0 0 1004291375 1770832685 16 Nurse Practitioners NIEMCZURA KATHERINE M 999999999 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 346 0 0 0 0 0 0 346 0 0 1004291608 1316321722 11 Dentists REHMAN SYED 999999999 200 Cook 0 0 General Dentistry 0 0 0 143 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 676 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 676 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 34203 0 0 0 0 0 0 0 0 0 0 0 1332 0 0 0 0 35535 0 0 1004291627 91 Waiver service provider--Adults (DHS/DDD) 852 Wisconsin 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3758 0 0 0 0 0 0 0 0 0 0 0 0 0 3758 0 0 1004291893 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 0 178 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 27951 0 0 0 0 0 0 0 0 0 0 0 0 0 27951 0 0 1004291918 1003216557 16 Nurse Practitioners PANNING JENNIFER M 999999999 107 Will 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 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 1244 0 0 0 0 0 0 1244 0 0 1004292081 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 0 144 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 20181 0 0 0 0 0 0 0 0 0 0 0 0 0 20181 0 0 1004292337 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 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19067 0 0 0 0 0 0 0 0 0 0 0 0 0 19067 0 0 1004292582 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 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 5714 0 0 0 0 0 0 0 0 0 0 0 0 0 5714 0 0 1004292674 1205234879 16 Nurse Practitioners ORTIZ VANESSA 606071644 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 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 84 0 0 0 0 0 0 84 0 0 1004292724 1346568227 10 Physicians NOVICK MICHAEL K 999999999 89 Rock Island 0 0 Radiology Diagnosis 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 0 731 0 0 0 0 0 0 0 0 731 0 0 1004292779 10 Physicians 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 73 0 0 1004292843 1598052458 89 Physician Assistant Only(Encounter Only) MISEK KATHLEEN 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 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 0 399 0 0 0 0 0 0 399 0 0 1004292887 1528325321 10 Physicians SHAH RINKU 999999999 200 Cook 0 0 Family Practice 0 0 0 0 2 0 0 0 0 0 0 37 0 91 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 68 0 122 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 68 0 122 0 0 0 0 0 0 0 0 0 182 0 0 0 0 0 0 1306 0 5462 0 0 0 0 0 0 6950 0 0 1004292921 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 0 146 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 28404 0 0 0 0 0 0 0 0 0 0 0 0 0 28404 0 0 1004292955 89 Physician Assistant Only(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 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 1004293002 10 Physicians 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004293025 1124412168 16 Nurse Practitioners RAHOI KATIE G 477313276 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 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 0 397 0 0 0 0 0 0 397 0 0 1004293065 1174765721 10 Physicians BUONACCORSI JANEEN N 616370001 80 Peoria 0 0 0 0 0 0 1 0 0 0 0 0 0 665 0 231 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 4883 0 262 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 4883 0 262 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 28709 0 24493 0 0 0 0 0 0 53207 0 0 1004293247 1093004459 10 Physicians PATEL RAJ D 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 5 0 0 0 0 0 0 31 0 214 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 97 0 541 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 97 0 541 0 0 0 0 0 0 0 0 0 524 0 0 0 0 0 0 1170 0 19790 0 0 0 0 0 0 21484 0 0 1004293397 1861864332 16 Nurse Practitioners LOZADA CHARLES 999999999 91 Sangamon 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 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 1268 0 0 0 0 0 0 1268 0 0 1004293711 1114314986 60 Pharmacies MEIJER PHARMACY 281 611151627 109 Winnebago 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 1147 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38908 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43306 0 0 0 43306 0 0 1004293845 1295722411 89 Physician Assistant Only(Encounter Only) RINDT KRISTIN N 999999999 109 Winnebago 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 0 105 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 1548 0 0 0 0 0 0 1548 0 0 1004294010 1285645804 10 Physicians DAMORE STEVEN 999999999 19 Champaign 0 0 Radiation Oncology 0 0 0 0 0 0 0 0 0 0 0 2 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 442 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 442 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 3820 0 0 0 0 0 0 3832 0 0 1004294135 1245287101 10 Physicians ISHMAN STACEY 452293026 57 Lake 0 0 Otolaryngology 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 0 326 0 0 0 0 0 0 326 0 0 1004294563 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 0 231 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 0 0 0 0 0 0 0 0 0 0 0 0 15001 0 0 0 0 0 0 0 0 0 0 0 0 0 15001 0 0 1004294788 1619388923 10 Physicians CARRILLO-CALDERON TIANA MERCED 999999999 200 Cook 0 0 Family Practice 0 0 0 0 12 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 1295 0 0 0 0 0 0 0 0 2433 0 0 0 0 0 0 3728 0 0 1004294798 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 0 328 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 328 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27808 0 0 0 0 0 0 0 0 0 0 0 0 0 27808 0 0 1004295245 1922406354 16 Nurse Practitioners OKONKWOR EBELE C 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 134 0 0 0 0 0 0 134 0 0 1004295530 1457330425 89 Physician Assistant Only(Encounter Only) SHAPIRO RICKY D 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 51 0 0 0 0 0 0 51 0 0 1004295616 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 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 5103 0 0 0 0 0 0 0 0 0 0 0 0 0 5103 0 0 1004296053 94 Waiver service provider--Children's support (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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7843 0 0 0 0 0 0 0 0 0 0 0 0 0 7843 0 0 1004296265 1548651979 16 Nurse Practitioners KHAN ANJUM 606313222 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 548 0 0 0 0 0 0 548 0 0 1004296349 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 11599 0 0 0 0 0 0 0 0 0 0 0 0 0 11599 0 0 1004296515 16 Nurse Practitioners 10 Adams 0 0 0 0 0 0 0 0 0 0 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 0 308 0 0 0 0 0 0 308 0 0 1004296593 91 Waiver service provider--Adults (DHS/DDD) 64 Macoupin 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1952 0 0 0 0 0 0 0 0 0 0 0 0 0 1952 0 0 1004296607 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 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 11736 0 0 0 0 0 0 0 0 0 0 0 0 0 11736 0 0 1004296626 10 Physicians 53 Kane 0 0 Emergency 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 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 0 230 0 0 0 0 0 0 230 0 0 1004297134 1760774921 10 Physicians FANT ABRA L 999999999 200 Cook 0 0 Emergency Medicine 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 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 4955 0 0 0 0 0 0 4955 0 0 1004297228 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 0 142 0 0 0 0 0 0 142 0 0 1004297546 1104137801 10 Physicians LAGOUROS MEREDITH 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 789 0 0 0 0 0 0 789 0 0 1004297574 1598020158 10 Physicians LUCIANO KELLY 999999999 91 Sangamon 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 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 1752 0 0 0 0 0 0 1752 0 0 1004297716 1255695060 10 Physicians GORE KATARZYNA M. 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 162 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 2726 0 0 0 0 0 0 2726 0 0 1004297875 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26017 0 0 0 0 0 0 0 0 0 0 0 0 0 26017 0 0 1004298011 10 Physicians 109 Winnebago 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 0 442 0 0 0 0 0 0 442 0 0 1004298064 1902022700 22 Physical Therapists GRAUL LOWRANCE STEPHANIE 999999999 200 Cook 0 0 0 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 0 451 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 451 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35683 35683 0 0 1004298113 1588616338 10 Physicians MINER BRENDAN M 619389253 24 Coles 0 0 Radiology Diagnosis 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 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 0 738 0 0 0 0 0 0 0 0 738 0 0 1004298151 1366747800 63 Other Providers of Medical Equipment/Supplies (Non-registered) AVEANNA HEALTHCARE MEDICAL SOL 614341531 45 Henry 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 8050 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8050 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1032375 0 0 0 0 0 0 1032375 0 0 1004298474 1003164617 16 Nurse Practitioners HAJOSTEK MELISSA K 999999999 80 Peoria 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 612 0 0 0 0 0 0 0 0 2131 0 0 0 0 0 0 2743 0 0 1004298702 1184090912 16 Nurse Practitioners GREEN ELIZABETH ANN 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 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 0 142 0 0 0 0 0 0 142 0 0 1004298759 1861705428 11 Dentists HOSOMURA NAOSHI 999999999 30 DuPage 0 0 0 0 0 61 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 26062 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26062 0 0 1004298996 1962613679 10 Physicians CHOI JENNIFER 999999999 200 Cook 0 0 Dermatology 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 0 238 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 0 630 0 0 0 0 0 0 630 0 0 1004299004 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 0 211 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 211 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24810 0 0 0 0 0 0 0 0 0 0 0 0 0 24810 0 0 1004299212 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 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 9994 0 0 0 0 0 0 0 0 0 0 0 0 0 9994 0 0 1004299722 22 Physical Therapists 10 Adams 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 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 0 193 193 0 0 1004299889 1063649093 10 Physicians MADASSERY SREEKUMAR 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 53 0 185 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105 0 477 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105 0 477 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 186 0 8412 0 0 0 0 0 0 8598 0 0 1004299992 1215187695 10 Physicians HAVELKA GEORGE 606313222 200 Cook 0 0 Vascular Surgery 0 0 0 0 0 0 0 0 0 0 0 5 0 112 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 247 0 13995 0 0 0 0 0 0 14242 0 0 1004300018 1083090575 60 Pharmacies "UPTOWN PHARMACY, INC." 606407611 200 Cook 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 1423 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87876 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21135 0 0 0 21135 0 0 1004300455 10 Physicians 815 Indiana 0 0 Neurology 0 0 0 0 0 0 0 0 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 1004300564 1104189661 10 Physicians DESAI VISHAL D 606118709 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 2045 0 0 0 0 0 0 2092 0 0 1004300755 1437447091 10 Physicians PENNIX CHARLES E 532024809 200 Cook 0 0 Emergency Medicine 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 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7080 0 0 0 0 0 0 7080 0 0 1004300830 1902169873 10 Physicians PATEL URVI B 606751620 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 1 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 190 0 0 1614 0 0 0 0 0 0 1804 0 0 1004300917 10 Physicians 200 Cook 0 0 Neurology Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 138 0 0 1004300942 10 Physicians 826 Missouri 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 0 0 0 0 0 0 0 0 0 0 1004301321 1144541772 10 Physicians SRINET PRATEEK 999999999 66 Marion 0 0 Otolaryngology 0 0 0 0 0 0 0 0 0 0 0 1 0 171 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 404 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 404 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6130 0 0 0 0 0 0 6130 0 0 1004301776 1487046611 16 Nurse Practitioners KHOUCHABA TINA 606313222 200 Cook 0 0 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 30 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 1249 0 0 0 0 0 0 1261 0 0 1004301796 1376860338 10 Physicians JAIN SONALI 300092064 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 112 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 304 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 304 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5603 0 0 0 0 0 0 5603 0 0 1004301945 1932361169 10 Physicians JAVADI PARDIS 627949639 91 Sangamon 0 0 Otolaryngology 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4504 0 0 0 0 0 0 4504 0 0 1004302037 1205143567 89 Physician Assistant Only(Encounter Only) ANTHONY JUSTIN 999999999 200 Cook 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 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 3607 0 0 0 0 0 0 3607 0 0 1004302147 1245527852 10 Physicians NAVULURI REENA 606751620 200 Cook 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 0 0 923 0 0 0 0 0 0 999 0 0 1004302417 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 0 123 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 26977 0 0 0 0 0 0 0 0 0 0 0 0 0 26977 0 0 1004302717 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 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 12420 0 0 0 0 0 0 0 0 0 0 0 0 0 12420 0 0 1004302769 1942696224 16 Nurse Practitioners WILSON REBECCA 605047205 53 Kane 0 0 0 0 0 0 67 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 0 0 0 155 0 0 0 0 0 0 0 0 108 0 0 0 0 0 0 0 0 0 155 0 0 0 0 0 0 0 0 108 0 0 0 0 0 0 0 0 0 6357 0 0 0 0 0 0 0 0 3525 0 0 0 0 0 0 9882 0 0 1004302997 1427434323 16 Nurse Practitioners SNYDER STEPHANIE A 999999999 19 Champaign 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 173 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 173 0 0 0 0 0 0 0 0 0 555 0 0 0 0 0 0 0 0 4602 0 0 0 0 0 0 5157 0 0 1004303130 1124339734 10 Physicians REYNOLDS ETHAN 379321983 53 Kane 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 3 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 10 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 1004303236 1811131089 10 Physicians PATEL MINESH 999999999 57 Lake 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 277 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 390 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 390 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3977 0 847 0 0 0 0 0 0 4824 0 0 1004303759 92 Waiver service provider--Disability (DHS/DRS) 70 McDonough 0 0 0 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 2355 0 0 0 0 0 0 0 0 0 0 0 0 0 2355 0 0 1004303945 1730112996 10 Physicians BELEW MARK E 999999999 96 St Clair 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 7 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61 0 319 0 0 0 0 0 0 380 0 0 1004304119 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 0 108 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 25591 0 0 0 0 0 0 0 0 0 0 0 0 0 25591 0 0 1004304135 1346252509 10 Physicians FLAIM MICHAEL 999999999 98 Tazewell 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 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 1084 0 0 0 0 0 0 1084 0 0 1004304317 1003230764 16 Nurse Practitioners BLOOM MICHELLE M 631101123 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 0 107 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 4592 0 0 0 0 0 0 4592 0 0 1004304403 4004304403 90 Waiver service provider--Elderly (DOA) PRUDENTIAL HOME HEALTH SVCS 604431222 200 Cook 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 6602 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6602 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 735521 0 0 0 0 0 0 0 0 0 0 0 0 0 735521 0 0 1004304540 92 Waiver service provider--Disability (DHS/DRS) 72 McLean 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 814 0 0 0 0 0 0 0 0 0 0 0 0 0 814 0 0 1004304926 10 Physicians 81 Perry 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 11 0 0 0 0 0 0 11 0 0 1004305068 1396101135 16 Nurse Practitioners MERCIER MAUREEN M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 247 0 0 0 0 0 0 247 0 0 1004305219 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 0 192 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 17884 0 0 0 0 0 0 0 0 0 0 0 0 0 17884 0 0 1004305395 1326212069 10 Physicians LEWIS CHOY 999999999 200 Cook 0 0 Anesthesiology 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 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2528 0 0 0 0 0 0 2528 0 0 1004305409 1164716833 10 Physicians ZHENG SOPHY C. 999999999 200 Cook 0 0 Anesthesiology 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 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1804 0 0 0 0 0 0 1804 0 0 1004305871 16 Nurse Practitioners 49 Jefferson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 92 0 0 1004305976 1699053637 10 Physicians BEHAL ANUJ 999999999 200 Cook 0 0 Internal Medicine 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 0 619 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 619 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17695 0 0 0 0 0 0 17695 0 0 1004306038 1255790853 23 Occupational Therapists WAGNER JILLIAN E 999999999 200 Cook 0 0 0 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 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21460 21460 0 0 1004306096 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 0 213 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 0 0 0 0 0 0 0 0 0 0 0 0 18917 0 0 0 0 0 0 0 0 0 0 0 0 0 18917 0 0 1004306192 10 Physicians 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 89 0 0 1004306258 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 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 0 253 253 0 0 1004306546 1811150345 10 Physicians GRABOWSKI JULIA 606112991 200 Cook 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 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 6137 0 0 0 0 0 0 6137 0 0 1004306746 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16667 0 0 0 0 0 0 0 0 0 0 0 0 0 16667 0 0 1004306914 1124406764 23 Occupational Therapists SHRIVER MICHELLE L 606143934 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 301 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 301 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26556 26556 0 0 1004307039 1033476585 10 Physicians KHAN BILAL A 999999999 200 Cook 0 0 Emergency Medicine 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 0 118 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 3319 0 0 0 0 0 0 3319 0 0 1004307062 1184002867 16 Nurse Practitioners WALKER CELINE 627949639 91 Sangamon 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 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 0 906 0 0 0 0 0 0 906 0 0 1004307188 1275762262 10 Physicians ACKERMAN PAUL D 999999999 200 Cook 0 0 Neurology Surgery 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 0 360 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 14617 0 0 0 0 0 0 14617 0 0 1004307240 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 0 358 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 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1004307310 1689832933 10 Physicians KONYUKHOV ARKADIY Y 999999999 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5958 0 0 0 0 0 0 5958 0 0 1004307946 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 1004308285 16 Nurse Practitioners 50 Jersey 0 0 0 0 0 0 0 0 0 0 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 0 100 0 0 0 0 0 0 100 0 0 1004308373 1386963528 10 Physicians BALLARD LESLIE M 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 6424 0 0 0 0 0 0 6424 0 0 1004308558 1508938044 30 General Hospitals PROGRESS WEST HOSPITAL 633682205 826 Missouri ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 12 0 0 0 0 2 0 0 0 24 0 0 0 0 0 0 0 0 0 14 0 0 0 0 2 0 0 0 30 0 0 0 0 0 0 0 0 0 14 0 0 0 0 10 0 0 0 30 0 0 0 0 0 0 0 0 0 1963 0 0 0 0 2016 0 0 0 2562 0 0 0 0 0 6541 0 0 1004308704 1336436203 10 Physicians ELSHAFEI ANAS 605238723 30 DuPage 0 0 Internal Medicine 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 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 0 655 0 0 0 0 0 0 655 0 0 1004308888 1659743516 16 Nurse Practitioners WALKER JENNIFER L 623014038 10 Adams 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 690 0 0 0 0 0 0 702 0 0 1004309084 1164833737 16 Nurse Practitioners LEONHARDT REBECCA 606930001 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 959 0 0 0 0 0 0 959 0 0 1004309183 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 47 0 0 0 0 0 0 47 0 0 1004309238 1487910675 10 Physicians GBOTOSHO AYODEJI 370275339 107 Will 0 0 Family Practice 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 0 421 0 0 0 0 0 0 421 0 0 1004309436 1164866687 87 Psychologist(Encounter Only) RIDDLE TARA 999999999 19 Champaign 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 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 0 323 0 0 0 0 0 0 323 0 0 1004309443 1407153125 89 Physician Assistant Only(Encounter Only) SCHROEDER STEPHANIE 999999999 53 Kane 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 0 504 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 0 0 0 0 0 0 0 0 0 0 0 0 1344 0 0 0 0 0 0 1344 0 0 1004309507 1851572267 16 Nurse Practitioners LOUDERMILK ELIZABETH D 999999999 109 Winnebago 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 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1374 0 0 0 0 0 0 1374 0 0 1004309536 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 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19919 0 0 0 0 0 0 0 0 0 0 0 0 0 19919 0 0 1004309639 1336510783 89 Physician Assistant Only(Encounter Only) EVERSOLE TAYLOR M 631504604 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 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 0 214 0 0 0 0 0 0 214 0 0 1004309732 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 21424 0 0 0 0 0 0 0 0 0 0 0 0 0 21424 0 0 1004309773 1801270210 16 Nurse Practitioners PALIS JESSICA 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 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 1026 0 0 0 0 0 0 1026 0 0 1004309877 1366654121 22 Physical Therapists STATELER JENNIFER 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 0 176 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 0 762 762 0 0 1004309899 1841558533 10 Physicians FRASCA JOSEPH D 752022703 200 Cook 0 1 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2097 0 0 0 0 0 0 2097 0 0 1004309951 1265856264 16 Nurse Practitioners KRIEDEMANN LORIE A 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 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 0 526 0 0 0 0 0 0 526 0 0 1004309965 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2217 0 0 0 0 0 0 0 0 0 0 0 0 0 2217 0 0 1004310013 1912385683 33 Nursing Facilities SYMPHONY AT MIDWAY 606324333 200 Cook 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 0 428 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10366 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1837647 0 0 0 0 0 0 0 1837647 0 0 1004310521 1164506267 10 Physicians TORQUATI ALFONSO 606751611 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 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 0 808 0 0 0 0 0 0 808 0 0 1004310538 10 Physicians 803 Arizona 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 0 159 0 0 0 0 0 0 0 0 159 0 0 1004310636 1801278056 16 Nurse Practitioners WALDOCH LAURA A 999999999 53 Kane 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 0 407 0 0 0 0 0 0 407 0 0 1004310697 1558636647 10 Physicians SHIVAKUMAR VIDYA 999999999 200 Cook 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 78 0 0 1004310835 1891718235 90 Waiver service provider--Elderly (DOA) A AND Z HOME HEALTH CARE INC 604383080 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 3389 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3389 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 333584 0 0 0 0 0 0 0 0 0 0 0 0 0 333584 0 0 1004310901 1528285566 10 Physicians BARSANTI SEKHAR MARY 606102089 200 Cook 0 0 Family Practice 0 0 0 0 9 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 0 0 0 921 0 0 0 0 0 0 0 0 1575 0 0 0 0 0 0 2496 0 0 1004310972 1710195813 16 Nurse Practitioners BYERLY SARA 606253547 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 346 0 0 0 0 0 0 346 0 0 1004311074 1023339033 10 Physicians GOLOMBIEVSKI ESTEBAN E 601545716 200 Cook 0 0 Neurology 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 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7167 0 0 0 0 0 0 7167 0 0 1004311308 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 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 0 486 0 0 0 0 0 0 0 0 0 0 0 0 0 486 0 0 1004311620 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 23822 0 0 0 0 0 0 0 0 0 0 0 0 0 23822 0 0 1004311629 16 Nurse Practitioners 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 147 0 0 1004311823 1730322298 10 Physicians OBARA PIOTR 602011700 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 538 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 674 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 674 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9434 0 59 0 0 0 0 0 0 9493 0 0 1004311954 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 0 147 147 0 0 1004312147 1255630422 10 Physicians KOST ADAM 999999999 200 Cook 0 0 Family Practice 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 0 287 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 0 0 0 0 0 0 0 0 0 0 0 0 5584 0 0 0 0 0 0 5584 0 0 1004312159 16 Nurse Practitioners 45 Henry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 13 0 0 1004312165 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 0 272 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 26282 0 0 0 0 0 0 0 0 0 0 0 0 0 26282 0 0 1004312182 1083045140 60 Pharmacies BRIOVARX OF INDIANA LLC 999999999 815 Indiana 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 0 371 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 822990 0 0 0 822990 0 0 1004312228 1770865164 10 Physicians MCKENZIE MITCHEL M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3330 0 0 0 0 0 0 3330 0 0 1004312333 1568857209 55 Early Intervention Services FALKNER LAURA 604426100 107 Will 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 0 252 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 15618 0 0 0 0 0 0 15618 0 0 1004312608 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 0 142 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 0 0 0 0 0 0 0 0 0 0 29824 0 0 0 0 0 0 0 0 0 0 0 0 0 29824 0 0 1004312874 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004312882 1215337852 16 Nurse Practitioners MURPHY ASHLEY N. 602011700 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 0 145 0 0 0 0 0 0 145 0 0 1004313321 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 0 168 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 30253 0 0 0 0 0 0 0 0 0 0 0 0 0 30253 0 0 1004313336 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 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24547 0 0 0 0 0 0 0 0 0 0 0 0 0 24547 0 0 1004313484 34 State-operated facility (DHS) 87 Randolph 0 0 0 0 0 0 0 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 0 335 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 239927 0 0 0 0 0 0 0 0 0 239927 0 0 1004313547 1629312483 16 Nurse Practitioners NORTON EVELYN 999999999 200 Cook 0 0 Child/Adolescent Psychiatry Residency 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 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4392 0 0 0 0 0 0 4392 0 0 1004313784 1447221247 30 General Hospitals GATEWAY REGIONAL MEDICAL CENTE 620404701 65 Madison DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 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 46 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 21135 0 0 0 0 0 0 0 0 0 21135 0 0 1004313811 1871922740 16 Nurse Practitioners KHALLAK NELLI 601261045 30 DuPage 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 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1546 0 0 0 0 0 0 1546 0 0 1004313815 1831119254 10 Physicians HOLLIS RICHARD K 999999999 53 Kane 0 0 Radiology Diagnosis 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 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 1590 0 0 0 0 0 0 0 0 1590 0 0 1004313885 1679619357 89 Physician Assistant Only(Encounter Only) WILLAMAN DOUGLAS A 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 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 0 755 0 0 0 0 0 0 755 0 0 1004313965 1508286477 16 Nurse Practitioners STEFANI CARI 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 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 0 567 0 0 0 0 0 0 567 0 0 1004314000 1043617665 16 Nurse Practitioners HICKENBOTTOM LAURA A 627949639 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5778 0 0 0 0 0 0 5778 0 0 1004314530 1811148059 89 Physician Assistant Only(Encounter Only) AHMED VIQUAR 999999999 200 Cook 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 0 214 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 9102 0 0 0 0 0 0 9102 0 0 1004314552 1821353707 10 Physicians KAMRAN UROOSA 999999999 53 Kane 0 0 Internal Medicine 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 0 650 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 650 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5782 0 0 0 0 0 0 5782 0 0 1004314704 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27676 0 0 0 0 0 0 0 0 0 0 0 0 0 27676 0 0 1004314761 13 Podiatrists 42 Hancock 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 281 0 0 0 0 0 0 281 0 0 1004314768 89 Physician Assistant Only(Encounter Only) 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004314779 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 26 0 0 0 0 0 0 26 0 0 1004314799 1043538762 10 Physicians ISKANDER JOHN 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 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 1505 0 0 0 0 0 0 1505 0 0 1004314806 1265804967 16 Nurse Practitioners MURTAUGH MARY A 611022112 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 285 0 0 0 0 0 0 285 0 0 1004315532 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 12 0 0 0 0 0 0 12 0 0 1004315774 1760730444 16 Nurse Practitioners ARNETT CHERYL ANN 999999999 47 Jackson 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 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14293 0 0 0 0 0 0 14293 0 0 1004315783 1073917258 16 Nurse Practitioners MYRES MARISSA 616151941 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 432 0 0 0 0 0 0 432 0 0 1004315830 1184942013 10 Physicians RICE DANIELLE 606123714 200 Cook 0 0 Neurology 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 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 79 0 0 0 0 0 0 79 0 0 1004315919 1336439439 10 Physicians ZUIDERVELD LOREN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 406 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 620 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 620 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8978 0 1737 0 0 0 0 0 0 10715 0 0 1004316059 1548571953 10 Physicians KAUFMAN ROBERT 625264163 63 Macon 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 435 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 712 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 712 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9163 0 1378 0 0 0 0 0 0 10541 0 0 1004316082 1982610457 60 Pharmacies WALGREENS #16000 604532783 200 Cook 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 0 681 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23263 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 113077 0 0 0 113077 0 0 1004316289 1891086906 10 Physicians WANG KUN 605232535 30 DuPage 0 0 Internal Medicine 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 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 3592 0 0 0 0 0 0 3592 0 0 1004316719 1376936856 10 Physicians KHAN SHAMROZE 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 186 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 699 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 699 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21120 0 0 0 0 0 0 21120 0 0 1004316739 1144204397 10 Physicians CHAN ROBISON 999999999 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 4 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 7203 0 0 0 0 0 0 7422 0 0 1004316776 86 Clinical Social Worker(Encounter Only) 14 Brown 0 0 0 0 0 0 0 0 0 0 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 9 0 0 0 0 0 0 9 0 0 1004316793 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 0 177 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 28131 0 0 0 0 0 0 0 0 0 0 0 0 0 28131 0 0 1004316905 89 Physician Assistant Only(Encounter Only) 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 1004317167 1346495546 10 Physicians MAYER SHAWN A 999999999 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 215 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 272 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 272 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3555 0 3177 0 0 0 0 0 0 6732 0 0 1004317193 1629371745 16 Nurse Practitioners CURRY ALLICENT L 999999999 91 Sangamon 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 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 2483 0 0 0 0 0 0 2483 0 0 1004317264 1336589514 16 Nurse Practitioners LEHN COLETTE A 999999999 58 La Salle 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 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 0 468 0 0 0 0 0 0 468 0 0 1004317350 1861755035 10 Physicians ALLAND JEREMY 601545745 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 88 0 280 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 88 0 280 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1258 0 8256 0 0 0 0 0 0 9514 0 0 1004317432 92 Waiver service provider--Disability (DHS/DRS) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 286 0 0 1004318202 1225262934 10 Physicians BODDIPALLI VIVEKA 606740018 200 Cook 0 0 Pulmonary Diseases 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 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 1591 0 0 0 0 0 0 1591 0 0 1004318259 1619368909 24 Speech Therapists ANDERSON DANA 600052410 200 Cook 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 0 186 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 14005 14005 0 0 1004318267 1629367420 10 Physicians SIMPSON CLINTON W 999999999 200 Cook 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 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 0 330 0 0 0 0 0 0 330 0 0 1004318553 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12427 0 0 0 0 0 0 0 0 0 0 0 0 0 12427 0 0 1004318785 10 Physicians 89 Rock Island 0 0 Neurology 0 0 0 0 0 0 0 0 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 3 0 0 0 0 0 0 3 0 0 1004318812 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 1004318869 1629332481 10 Physicians CASH JENNIFER 999999999 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 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 0 724 0 0 0 0 0 0 724 0 0 1004319194 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 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10546 0 0 0 0 0 0 0 0 0 0 0 0 0 10546 0 0 1004319416 1326384025 89 Physician Assistant Only(Encounter Only) ONWUEME BUNDO 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1817 0 0 0 0 0 0 1817 0 0 1004319919 89 Physician Assistant Only(Encounter Only) 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 2 0 0 0 0 0 0 2 0 0 1004319922 1053564732 10 Physicians SONG TAE H 999999999 30 DuPage 0 0 Thoracic Surgery 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 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 3413 0 0 0 0 0 0 3413 0 0 1004319993 1295000677 10 Physicians NAJEEB SYED 333232857 80 Peoria 0 0 Internal Medicine 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 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 0 799 0 0 0 0 0 0 799 0 0 1004320583 1215228572 10 Physicians LIBES JAIME M. 616052576 80 Peoria 0 0 Pediatric Hematology Oncology 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 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 1683 0 0 0 0 0 0 1683 0 0 1004320640 1235508151 11 Dentists GRECHKO OLEKSANDR 999999999 200 Cook 0 0 General Dentistry 0 0 0 147 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 698 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 698 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 35631 0 0 0 0 0 0 0 0 0 0 0 2596 0 0 0 0 38227 0 0 1004320691 1922494061 10 Physicians EGUIA MARY 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 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 1137 0 0 0 0 0 0 1137 0 0 1004320952 1942459607 89 Physician Assistant Only(Encounter Only) PARKS PAT 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 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 0 514 0 0 0 0 0 0 514 0 0 1004320964 10 Physicians 89 Rock Island 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 89 0 0 0 0 0 0 89 0 0 1004321159 92 Waiver service provider--Disability (DHS/DRS) 56 Knox 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 95 0 0 1004321486 1922264373 10 Physicians ALI ADNAN W 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 277 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 413 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 413 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6275 0 183 0 0 0 0 0 0 6458 0 0 1004321579 1174997316 33 Nursing Facilities CARMI MANOR 628211668 105 White 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 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2950 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 285787 0 0 0 0 0 0 0 285787 0 0 1004321670 1134513971 16 Nurse Practitioners MYSLINSKI DOROTA 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 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 0 522 0 0 0 0 0 0 522 0 0 1004321672 91 Waiver service provider--Adults (DHS/DDD) 42 Hancock 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1004321730 1578941340 33 Nursing Facilities SYMPHONY OF CHICAGO WEST 606444332 200 Cook 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 0 369 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9720 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1693152 0 0 0 0 0 0 0 1693152 0 0 1004322299 1740316074 60 Pharmacies UIC WOOD STREET PCC PHARMACY 606124325 200 Cook 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 0 0 0 0 0 3137 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3137 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 145852 0 0 0 145852 0 0 1004322380 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 27862 0 0 0 0 0 0 0 0 0 0 0 0 0 27862 0 0 1004322716 1871888966 10 Physicians DOYLE CHRISTINE 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 1 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 6316 0 0 0 0 0 0 6351 0 0 1004322964 1104115468 10 Physicians DAVIDOFF LISA 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 3 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 266 0 0 0 0 0 0 496 0 0 1004323335 1932478765 16 Nurse Practitioners MARTIN JULIE 606112991 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 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 0 850 0 0 0 0 0 0 850 0 0 1004323505 1043411739 16 Nurse Practitioners STUTZ LUMINITA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1870 0 0 0 0 0 0 1870 0 0 1004323716 10 Physicians 200 Cook 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 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 0 266 0 0 0 0 0 0 266 0 0 1004324159 1245593201 10 Physicians SINGH SUPRIYA 628642402 807 Connecticut 0 0 Internal Medicine 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 0 196 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 1407 0 0 0 0 0 0 1407 0 0 1004324247 1679961379 16 Nurse Practitioners FOSTER ANNE E 601545716 200 Cook 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 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 0 249 0 0 0 0 0 0 249 0 0 1004324410 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 0 167 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 0 0 0 0 0 24141 0 0 0 0 0 0 0 0 0 0 0 0 0 24141 0 0 1004324512 91 Waiver service provider--Adults (DHS/DDD) 826 Missouri 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 143 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 11522 0 0 0 0 0 0 0 0 0 0 0 0 0 11522 0 0 1004324802 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 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1004325185 1467714246 13 Podiatrists CASTLE WHITNEY K 999999999 72 McLean 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 0 107 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 0 126 0 0 0 0 0 0 126 0 0 1004325210 1083918486 10 Physicians ALBARILLO FRITZIE 607143708 200 Cook 0 0 Internal Medicine 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 0 186 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 2591 0 0 0 0 0 0 2591 0 0 1004325254 91 Waiver service provider--Adults (DHS/DDD) 97 Stephenson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1225 0 0 0 0 0 0 0 0 0 0 0 0 0 1225 0 0 1004325390 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 0 0 0 0 0 253 0 0 1004325583 1053613000 16 Nurse Practitioners VARCHO MEGAN K 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 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 86 0 0 0 0 0 0 86 0 0 1004325642 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 0 364 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 27345 0 0 0 0 0 0 0 0 0 0 0 0 0 27345 0 0 1004326096 1124380753 10 Physicians YAN YU 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 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 0 206 0 0 0 0 0 0 206 0 0 1004326169 1538423975 10 Physicians SCHMUKLER JUAN 606123714 200 Cook 0 0 Internal Medicine 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 0 132 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 3687 0 0 0 0 0 0 3687 0 0 1004326258 55 Early Intervention Services 97 Stephenson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 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 0 542 0 0 0 0 0 0 542 0 0 1004326297 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 12950 0 0 0 0 0 0 0 0 0 0 0 0 0 12950 0 0 1004326623 1235491861 12 Optometrists GOLDBERG NATHAN 999999999 57 Lake 0 0 Therapeutic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1073 0 68 0 0 0 0 1141 0 0 1004326696 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 0 313 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 313 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30238 0 0 0 0 0 0 0 0 0 0 0 0 0 30238 0 0 1004326970 1568752137 10 Physicians ANDERSON AMBER 999999999 63 Macon 0 0 Family Practice 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 0 124 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 1725 0 0 0 0 0 0 1725 0 0 1004327020 1194195842 16 Nurse Practitioners PARKE KARINA 999999999 19 Champaign 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 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 0 409 0 0 0 0 0 0 409 0 0 1004327083 1700284973 16 Nurse Practitioners LEES SUSAN N 627047452 91 Sangamon 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 0 189 0 0 0 0 0 0 189 0 0 1004327120 1558787960 16 Nurse Practitioners AMIYAN MOFOLUWA O 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 274 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 9203 0 0 0 0 0 0 9203 0 0 1004327648 1932460425 16 Nurse Practitioners ROSEN DAPHNA M 999999999 200 Cook 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 83 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 2506 0 0 0 0 0 0 0 0 8716 0 0 0 0 0 0 11222 0 0 1004327790 1649687062 60 Pharmacies "ACARIAHEALTH PHARMACY, INC." 999999999 817 Kansas 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 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1815 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 275500 0 0 0 275500 0 0 1004327934 1659509305 10 Physicians SONI SANJAY N 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 667 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1006 0 107 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1006 0 107 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9012 0 877 0 0 0 0 0 0 9889 0 0 1004328057 1093184582 16 Nurse Practitioners CABATU JUAN 999999999 200 Cook 0 0 General Psychiatry Residency 0 0 0 0 0 0 0 0 0 0 0 0 0 910 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3864 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3864 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27696 0 0 0 0 0 0 27696 0 0 1004328126 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12680 0 0 0 0 0 0 0 0 0 0 0 0 0 12680 0 0 1004328180 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 37234 0 0 0 0 0 0 0 0 0 0 0 0 0 37234 0 0 1004328318 10 Physicians 30 DuPage 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 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 1004328609 91 Waiver service provider--Adults (DHS/DDD) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 6423 0 0 0 0 0 0 0 0 0 0 0 0 0 6423 0 0 1004328713 1598838120 12 Optometrists ROYTMAN MARINA 600479273 57 Lake 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 186 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 921 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 921 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7468 0 0 0 0 0 0 7468 0 0 1004329110 1942696331 16 Nurse Practitioners FRAZER AARON 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1616 0 0 0 0 0 0 1616 0 0 1004329209 91 Waiver service provider--Adults (DHS/DDD) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 0 1004329247 16 Nurse Practitioners 852 Wisconsin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107 0 0 0 0 0 0 107 0 0 1004329521 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 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 0 125 0 0 0 0 0 0 125 0 0 1004329945 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5416 0 0 0 0 0 0 0 0 0 0 0 0 0 5416 0 0 1004329989 1760690028 10 Physicians YACACOUB CHADI I 999999999 53 Kane 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 14 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 310 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 310 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 2489 0 0 0 0 0 0 2553 0 0 1004330489 1154632040 10 Physicians STELLE JACOB 999999999 19 Champaign 0 0 Otolaryngology 0 0 0 0 0 0 0 0 0 0 0 0 0 79 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 4488 0 0 0 0 0 0 4488 0 0 1004330554 10 Physicians 106 Whiteside 0 0 Hematology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004330646 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 266 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 266 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25579 0 0 0 0 0 0 0 0 0 0 0 0 0 25579 0 0 1004330710 28 Waiver service provider--Supportive living facility (HFS) 63 Macon 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 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 542 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23981 0 0 0 0 0 0 0 0 0 0 0 0 0 23981 0 0 1004330871 1073870739 10 Physicians ZAER ADEEB 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 152 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 0 0 0 0 0 167 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4776 0 0 0 0 0 0 4776 0 0 1004331077 1386085967 16 Nurse Practitioners AYRES CATHERINE M 623014038 10 Adams 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 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 1437 0 0 0 0 0 0 1437 0 0 1004331129 91 Waiver service provider--Adults (DHS/DDD) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23376 0 0 0 0 0 0 0 0 0 0 0 0 0 23376 0 0 1004331140 1639104672 16 Nurse Practitioners BARTHELME MELINDA K 554860362 200 Cook 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 1119 0 0 0 0 0 0 1151 0 0 1004331291 1942665385 91 Waiver service provider--Adults (DHS/DDD) MITCHELL DAPHNE D 999999999 200 Cook 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1141 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 1004331554 10 Physicians 30 DuPage 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 73 0 0 0 0 0 0 73 0 0 1004331582 91 Waiver service provider--Adults (DHS/DDD) 96 St Clair 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17341 0 0 0 0 0 0 0 0 0 0 0 0 0 17341 0 0 1004332245 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1198 0 0 0 0 0 0 0 0 0 0 0 0 0 1198 0 0 1004332296 1659305811 10 Physicians DIPASQUALE FARIHA 606118709 200 Cook 0 0 Obstetric-Gynecology 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 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 29 0 186 0 0 0 0 0 0 215 0 0 1004332392 1720265366 16 Nurse Practitioners WITTER JESSICA A 612822907 89 Rock Island 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 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 0 289 0 0 0 0 0 0 289 0 0 1004332411 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 439 0 0 0 0 0 0 439 0 0 1004332821 1942593231 13 Podiatrists HOLLOWAY-MARSHALL KELLEY O 600650917 200 Cook 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 0 551 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 551 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 1083 0 0 1004332906 1184859928 89 Physician Assistant Only(Encounter Only) PATEL ANKITA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 82 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 3154 0 0 0 0 0 0 3154 0 0 1004333003 1114324076 63 Other Providers of Medical Equipment/Supplies (Non-registered) HANGER PROSTHETICS ORTHOTICS 616052504 80 Peoria 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 0 168 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 38391 0 0 0 0 38391 0 0 1004333016 1003205600 16 Nurse Practitioners MINER AMY L. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63 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 1630 0 0 0 0 0 0 1630 0 0 1004333020 1982968806 10 Physicians SINGHVI MONICA P 999999999 57 Lake 0 0 Family Practice 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 0 102 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 2224 0 0 0 0 0 0 2224 0 0 1004333194 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 101 0 0 0 0 0 0 101 0 0 1004333234 1861590366 89 Physician Assistant Only(Encounter Only) RIVERS MARIE E 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 78 0 0 0 0 0 0 78 0 0 1004333371 10 Physicians 816 Iowa 0 0 Orthopedic Surgery 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 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 47 0 0 0 0 0 0 82 0 0 1004333385 1528320561 10 Physicians LINDER JARRETT R 999999999 30 DuPage 0 0 Pediatrics 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 0 172 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 5504 0 0 0 0 0 0 5504 0 0 1004333679 1518168657 89 Physician Assistant Only(Encounter Only) LEE JENNY S 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 4 0 0 1004333715 1871512780 10 Physicians LEE THOMAS K 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 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 8291 0 0 0 0 0 0 8291 0 0 1004333957 10 Physicians 30 DuPage 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 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 0 109 0 0 0 0 0 0 109 0 0 1004334126 91 Waiver service provider--Adults (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 335 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 335 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26687 0 0 0 0 0 0 0 0 0 0 0 0 0 26687 0 0 1004334287 16 Nurse Practitioners 83 Pike 0 0 0 0 0 0 0 0 0 0 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 78 0 0 0 0 0 0 78 0 0 1004334342 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 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1004334408 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 225 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 27730 0 0 0 0 0 0 0 0 0 0 0 0 0 27730 0 0 1004334473 1265829113 16 Nurse Practitioners FARCUS MATTHEW P 333232815 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1194 0 0 0 0 0 0 1194 0 0 1004334617 91 Waiver service provider--Adults (DHS/DDD) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27690 0 0 0 0 0 0 0 0 0 0 0 0 0 27690 0 0 1004335017 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 13640 0 0 0 0 0 0 0 0 0 0 0 0 0 13640 0 0 1004335097 10 Physicians 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004335294 1871993204 33 Nursing Facilities BELLA TERRA MORTON GROVE 600532202 200 Cook 0 0 0 1 0 0 0 0 0 0 0 0 0 0 88 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 377 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 9153 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1603806 0 0 0 0 0 0 0 1603806 0 0 1004335517 60 Pharmacies 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 5 0 0 1004335592 1861789778 10 Physicians KARAGEORGIOU JOHN P 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 12 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 109 0 1173 0 0 0 0 0 0 1282 0 0 1004335698 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 0 361 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 0 0 0 0 0 0 0 0 0 0 0 0 27067 0 0 0 0 0 0 0 0 0 0 0 0 0 27067 0 0 1004335777 1912396847 23 Occupational Therapists MEYER MELODY J 626292401 91 Sangamon 0 0 0 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 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 1330 1330 0 0 1004336059 1982799508 89 Physician Assistant Only(Encounter Only) FANTROY LISA M 999999999 200 Cook 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 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 1159 0 0 0 0 0 0 1159 0 0 1004336127 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 42 0 0 0 0 0 0 42 0 0 1004336405 16 Nurse Practitioners 106 Whiteside 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 0 618 0 0 0 0 0 0 618 0 0 1004336602 1912391251 63 Other Providers of Medical Equipment/Supplies (Non-registered) ALL AMERICAN MEDICAL SUPPLY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 575 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 4294 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 4294 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 188 0 0 287867 0 8812 0 0 0 0 296867 0 0 1004336619 1659668523 10 Physicians TAYLOR SARAH 606116649 200 Cook 0 0 Pediatrics 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 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 2601 0 0 0 0 0 0 2601 0 0 1004336650 1801101209 10 Physicians ATHIVIRAHAM ARAVIND 605275965 30 DuPage 0 0 Orthopedic 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 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 7456 0 0 0 0 0 0 7456 0 0 1004336804 16 Nurse Practitioners 53 Kane 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 1464 0 0 0 0 0 0 1464 0 0 1004337002 1578705174 10 Physicians PHAM OANH J 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 5013 0 0 0 0 0 0 5053 0 0 1004337028 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 0 320 0 0 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 0 0 0 0 0 0 0 0 0 0 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1004337306 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 2 0 0 0 0 0 0 2 0 0 1004337446 1649454588 89 Physician Assistant Only(Encounter Only) PERRY ROSE 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 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 0 966 0 0 0 0 0 0 966 0 0 1004337638 10 Physicians 852 Wisconsin 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 8 0 0 0 0 0 0 8 0 0 1004337647 1679733620 10 Physicians GHAFOURIAN KAMBIZ 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 105 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 405 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 405 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 3859 0 0 0 0 0 0 3870 0 0 1004337771 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 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 86 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 0 1004337801 1679944128 16 Nurse Practitioners SLIFER SHERRY A 999999999 18 Cass 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 0 154 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 4316 0 0 0 0 0 0 4316 0 0 1004337965 1114309465 60 Pharmacies FIRST FAMILY PHARMACY PLUS 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1737 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81402 0 0 0 81402 0 0 1004338164 1720315021 16 Nurse Practitioners THORPE DAVID C 999999999 80 Peoria 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 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 0 124 0 0 0 0 0 0 124 0 0 1004338200 1033214416 30 General Hospitals COMMUNITY FIRST MEDICAL CENTER 606344403 200 Cook DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 General Hospital - Adult and Child 0 1 0 0 0 1833 0 0 0 0 1241 0 0 0 1088 0 0 0 0 0 1 0 0 0 2525 0 0 0 0 1042 0 0 0 2474 0 0 0 0 0 9 0 0 0 2525 0 0 0 0 7621 0 0 0 2474 0 0 0 0 0 0 0 0 0 556969 0 0 0 0 3308779 0 0 0 178252 0 0 0 0 0 4044000 0 17360 1004338202 10 Physicians 827 Montana 0 0 0 0 0 0 0 0 0 0 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 0 378 0 0 0 0 0 0 378 0 0 1004338626 1871814293 10 Physicians OSTERHOUT PAULA B 999999999 30 DuPage 0 0 Pediatrics 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 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 9077 0 0 0 0 0 0 9077 0 0 1004339013 1306207139 16 Nurse Practitioners HUEGEN KARA A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 161 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 1217 0 0 0 0 0 0 1217 0 0 1004339082 1861657785 10 Physicians MOHAMMED TABRAIZ A 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 163 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 4783 0 0 0 0 0 0 4783 0 0 1004339129 1528443702 30 General Hospitals SSM HEALTH ST. LOUIS UNIVERSIT 631041016 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16491 0 0 0 0 0 0 0 0 0 16491 0 0 1004339220 1558399238 10 Physicians GUPTA MANISH 999999999 80 Peoria 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 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 1155 0 0 0 0 0 0 1155 0 0 1004339275 1073838868 10 Physicians GREEN LAUREN 999999999 833 New York 0 0 0 0 0 0 0 0 0 0 0 0 0 111 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 151 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 151 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2171 0 5719 0 0 0 0 0 0 7890 0 0 1004339489 1265667083 89 Physician Assistant Only(Encounter Only) MOORE JOHN P 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 932 0 0 0 0 0 0 932 0 0 1004339599 1851337778 60 Pharmacies DIPLOMAT SPECIALTY INFUSION GR 452491028 836 Ohio 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94 0 0 72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11384 0 0 119972 0 0 0 131356 0 0 1004339802 1255737433 16 Nurse Practitioners ADAMS MARY ANNE 605061449 53 Kane 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 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 1714 0 0 0 0 0 0 1714 0 0 1004340239 1093003014 10 Physicians GOODENOW ANNE 606118709 200 Cook 0 0 Internal Medicine 0 0 0 0 1 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 79 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 0 101 0 0 0 0 0 0 0 0 1123 0 0 0 0 0 0 1224 0 0 1004340408 23 Occupational Therapists 55 Kendall 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 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 2003 2003 0 0 1004340491 89 Physician Assistant Only(Encounter Only) 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 9 0 0 1004340523 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 345 0 0 0 0 0 0 345 0 0 1004340542 1861717308 10 Physicians ATUEYI UKAMAKA C. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 789 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1110 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1110 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32286 0 4070 0 0 0 0 0 0 36356 0 0 1004341190 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 62 0 0 0 0 0 0 62 0 0 1004341266 92 Waiver service provider--Disability (DHS/DRS) 96 St Clair 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 238 0 0 1004341593 10 Physicians 826 Missouri 0 0 0 0 0 0 0 0 0 0 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 11 0 0 0 0 0 0 11 0 0 1004341676 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 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 6238 0 0 0 0 0 0 0 0 0 0 0 0 0 6238 0 0 1004341795 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 22490 0 0 0 0 0 0 0 0 0 0 0 0 0 22490 0 0 1004342411 1023430832 16 Nurse Practitioners ALUMONA GLORIA N 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1263 0 0 0 0 0 0 1263 0 0 1004342846 1376937474 16 Nurse Practitioners TIGLAO RONA M. 999999999 200 Cook 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 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 4795 0 0 0 0 0 0 4795 0 0 1004342993 1083844542 10 Physicians PROKOPIV HALYNA 999999999 24 Coles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 700 0 0 0 0 0 0 700 0 0 1004343022 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 0 159 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 10425 0 0 0 0 0 0 0 0 0 0 0 0 0 10425 0 0 1004343129 1871987750 16 Nurse Practitioners DURAKO AMY 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 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 62 0 0 0 0 0 0 62 0 0 1004343279 91 Waiver service provider--Adults (DHS/DDD) 836 Ohio 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 386 0 0 0 0 0 0 0 0 0 0 0 0 0 386 0 0 1004343340 1306057310 10 Physicians ABBAS MOHAMMED A 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 2 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 394 0 0 0 0 0 0 394 0 0 1004343368 10 Physicians 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 184 0 0 0 0 0 0 184 0 0 1004343444 1376805077 10 Physicians ZIEMER ANNA L 999999999 19 Champaign 0 1 Pediatrics 0 0 0 0 73 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 7118 0 0 0 0 0 0 0 0 4243 0 0 0 0 0 0 11361 0 0 1004343941 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 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 6690 0 0 0 0 0 0 0 0 0 0 0 0 0 6690 0 0 1004344173 1720193584 30 General Hospitals FRESENIUS MEDICAL CARE CARBOND 629013141 47 Jackson DIALYSIS Outpatient dialysis centers. 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 0 472 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5332 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43996 0 0 0 0 0 43996 0 0 1004344198 1285928200 10 Physicians JOSHI KOMAL 999999999 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 1 0 6 0 0 0 0 0 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 2 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 2720 0 0 0 0 0 0 2739 0 0 1004344221 1518167725 10 Physicians COSTANTINO DAVID 999999999 98 Tazewell 0 0 Radiology Diagnosis 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 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 0 625 0 0 0 0 0 0 0 0 625 0 0 1004344226 1053675827 10 Physicians RASLAN SERAGELDIN 946081844 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 0 133 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 1759 0 0 0 0 0 0 1759 0 0 1004344921 1316172513 10 Physicians MUNNERLYN KENNETH 999999999 200 Cook 0 0 Neurology 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 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 1716 0 0 0 0 0 0 1716 0 0 1004345137 1366603805 10 Physicians SETIA NAMRATA 605276686 822 Massachusetts 0 0 Pathology 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 0 205 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 1556 0 0 0 0 0 0 0 0 1556 0 0 1004345295 1073839148 10 Physicians VLACICH GREGORY R 999999999 826 Missouri 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 0 118 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 1907 0 0 0 0 0 0 1907 0 0 1004345489 1346503125 10 Physicians SULLIVAN LAUREN M 49154480 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2247 0 0 0 0 0 0 2247 0 0 1004345833 1669785408 10 Physicians ASSIOUN BASSIM 999999999 91 Sangamon 0 0 Internal Medicine 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 0 768 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 768 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10229 0 0 0 0 0 0 10229 0 0 1004345978 1184852089 10 Physicians SIDDIQUE MOMIN S 627949639 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 218 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 19781 0 0 0 0 0 0 19787 0 0 1004345986 1336101302 30 General Hospitals SWEDISH COVENANT HOSPITAL 999999999 200 Cook DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 General Hospital - Adult and Child 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 0 105 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 816 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149706 0 0 0 0 0 0 0 0 0 149706 0 0 1004346430 16 Nurse Practitioners 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 73 0 0 1004346488 1477796167 10 Physicians SWEIS ROCHELLE 606313222 200 Cook 0 0 Neurology 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 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 1567 0 0 0 0 0 0 1567 0 0 1004346634 1205233707 16 Nurse Practitioners GALLAGHER KELLY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1397 0 0 0 0 0 0 1397 0 0 1004346665 1003102773 10 Physicians HENRY JILLIAN 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 583 0 4439 0 0 0 0 0 0 5022 0 0 1004346676 1770988735 48 Rural Health Clinics JCH MEDICAL GROUP ROODHOUSE 620821544 39 Greene 0 1 0 0 148 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 436 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 436 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11483 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11483 0 0 1004346844 1568538387 30 General Hospitals PRESENCE SAINT JOSEPH HOSPITAL 999999999 53 Kane DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 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 99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 725 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 167914 0 0 0 0 0 0 0 0 0 167914 0 0 1004346946 1497071039 10 Physicians JOSEPH NATALIE M 606733039 200 Cook 0 0 Pediatrics 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 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4465 0 0 0 0 0 0 4465 0 0 1004347066 1316108970 89 Physician Assistant Only(Encounter Only) GUSTAVISON ZACHARY R. 370689022 80 Peoria 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 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 588 0 0 0 0 0 0 588 0 0 1004347109 1346480480 10 Physicians WOLDE HAILEMARIAM M 999999999 36 Franklin 0 0 Family Practice 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 0 340 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 340 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3128 0 0 0 0 0 0 3128 0 0 1004347427 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 0 164 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 30261 0 0 0 0 0 0 0 0 0 0 0 0 0 30261 0 0 1004347698 1083787428 70 Ambulance Service Providers WINCHESTER EMS 626940122 93 Scott 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 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33212 0 0 0 0 0 0 33212 0 0 1004347745 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 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 281 281 0 0 1004348001 89 Physician Assistant Only(Encounter Only) 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 106 0 0 1004348146 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 14602 0 0 0 0 0 0 0 0 0 0 0 0 0 14602 0 0 1004348293 1437426046 25 Audiologists DEJULIA LAURA N 627621000 91 Sangamon 0 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 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 0 743 743 0 0 1004348475 1205157740 10 Physicians WAQAR SANA 627949639 91 Sangamon 0 0 Internal Medicine 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 0 251 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 8101 0 0 0 0 0 0 8101 0 0 1004348488 16 Nurse Practitioners 63 Macon 0 0 0 0 0 0 0 0 0 0 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 0 103 0 0 0 0 0 0 103 0 0 1004348682 1194952945 10 Physicians DOMONT ZACHARY 999999999 839 Pennsylvania 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 78 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66 0 172 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66 0 172 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1095 0 8382 0 0 0 0 0 0 9477 0 0 1004348737 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 0 155 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 28917 0 0 0 0 0 0 0 0 0 0 0 0 0 28917 0 0 1004348740 1679944219 16 Nurse Practitioners HAMILTON JENNA LYNN 999999999 80 Peoria 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 0 101 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 2955 0 0 0 0 0 0 2955 0 0 1004348785 1194132746 89 Physician Assistant Only(Encounter Only) BUSH LESLIE A 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 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 0 556 0 0 0 0 0 0 556 0 0 1004349114 1053788430 16 Nurse Practitioners MCCARTHY KATIJA 606313222 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 0 105 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 0 407 0 0 0 0 0 0 407 0 0 1004349305 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 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 0 712 0 0 0 0 0 0 0 0 0 0 0 0 0 712 0 0 1004349309 1275809972 10 Physicians PATEL AMI B 999999999 200 Cook 0 0 Pediatrics 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 1694 0 0 0 0 0 0 1694 0 0 1004349501 24 Speech Therapists 71 McHenry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5107 5107 0 0 1004349505 89 Physician Assistant Only(Encounter Only) 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 21 0 0 1004349534 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 20951 0 0 0 0 0 0 0 0 0 0 0 0 0 20951 0 0 1004349599 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 74 0 0 0 0 0 0 74 0 0 1004349758 1073933388 16 Nurse Practitioners KOHLMAN RENEE A 616151941 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 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 0 790 0 0 0 0 0 0 790 0 0 1004349782 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 1004350014 1467741355 10 Physicians CURRY JESSICA W 623012719 10 Adams 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 11 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 571 0 3046 0 0 0 0 0 0 3617 0 0 1004350066 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004350130 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 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18244 0 0 0 0 0 0 0 0 0 0 0 0 0 18244 0 0 1004350563 1144347410 10 Physicians ABRAMS CHARLES 999999999 200 Cook 0 0 Neurology 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 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 2041 0 0 0 0 0 0 2041 0 0 1004350741 1104065598 89 Physician Assistant Only(Encounter Only) MUCCIANTI JESSICA E 999999999 109 Winnebago 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 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 0 481 0 0 0 0 0 0 481 0 0 1004350763 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 21 0 0 0 0 0 0 21 0 0 1004350833 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 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 1784 0 0 0 0 0 0 0 0 0 0 0 0 0 1784 0 0 1004350849 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 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 1397 0 0 0 0 0 0 0 0 0 0 0 0 0 1397 0 0 1004350881 1407251556 16 Nurse Practitioners PATEL SWASTIKA 999999999 30 DuPage 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 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 0 554 0 0 0 0 0 0 554 0 0 1004351006 1841695400 16 Nurse Practitioners POCIASK LAURA A 999999999 91 Sangamon 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 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 0 522 0 0 0 0 0 0 522 0 0 1004351195 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 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28406 0 0 0 0 0 0 0 0 0 0 0 0 0 28406 0 0 1004351214 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 0 326 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 0 0 0 0 0 0 0 0 0 0 0 0 29844 0 0 0 0 0 0 0 0 0 0 0 0 0 29844 0 0 1004351216 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 0 103 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 28763 0 0 0 0 0 0 0 0 0 0 0 0 0 28763 0 0 1004351362 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 0 313 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 313 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10315 0 0 0 0 0 0 0 0 0 0 0 0 0 10315 0 0 1004352090 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 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 2419 0 0 0 0 0 0 0 0 0 0 0 0 0 2419 0 0 1004352343 16 Nurse Practitioners 106 Whiteside 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 790 0 0 0 0 0 0 790 0 0 1004352917 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 0 285 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 285 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29023 0 0 0 0 0 0 0 0 0 0 0 0 0 29023 0 0 1004352991 1992162408 86 Clinical Social Worker(Encounter Only) GARDNER LAURA L 999999999 107 Will 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 0 103 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 13979 0 0 0 0 0 0 13979 0 0 1004353040 1245698042 16 Nurse Practitioners FRAGALE NINA M 999999999 75 Monroe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5049 0 0 0 0 0 0 5049 0 0 1004353245 1033515036 16 Nurse Practitioners EICKHOFF CARRIE 999999999 30 DuPage 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 0 343 0 0 0 0 0 0 343 0 0 1004353290 87 Psychologist(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 126 0 0 0 0 0 0 126 0 0 1004353291 1477817278 10 Physicians QADIR ADNAN 606733039 200 Cook 0 0 Family Practice 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 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 1076 0 0 0 0 0 0 1076 0 0 1004353462 16 Nurse Practitioners 72 McLean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 44 0 0 1004353617 16 Nurse Practitioners 36 Franklin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 49 0 0 1004353699 1033352703 10 Physicians PYSLAR NATALIYA 999999999 200 Cook 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 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 735 0 0 0 0 0 0 735 0 0 1004353765 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 0 346 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 346 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24300 0 0 0 0 0 0 0 0 0 0 0 0 0 24300 0 0 1004353970 10 Physicians 60 Lee 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 1004354008 10 Physicians 826 Missouri 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 43 0 0 0 0 0 0 43 0 0 1004354199 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 0 336 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 15637 0 0 0 0 0 0 0 0 0 0 0 0 0 15637 0 0 1004354319 10 Physicians 53 Kane 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 39 0 0 0 0 0 0 39 0 0 1004354409 1316330152 33 Nursing Facilities ALLURE OF STOCKTON 610851444 51 Jo Daviess 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 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1059 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128456 0 0 0 0 0 0 0 128456 0 0 1004354417 1154632974 10 Physicians ANDERSON ADAM L 999999999 10 Adams 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 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 2503 0 0 0 0 0 0 2503 0 0 1004354484 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 0 290 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 18824 0 0 0 0 0 0 0 0 0 0 0 0 0 18824 0 0 1004354592 1669878435 11 Dentists TARANUM ARSHIA 999999999 200 Cook 0 0 0 0 0 102 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 0 0 0 0 0 0 0 0 0 0 0 0 442 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16956 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16956 0 0 1004354673 1679849541 10 Physicians VIZINAS THOMAS 999999999 91 Sangamon 0 0 General Practice 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 3010 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3010 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20108 0 0 0 0 0 0 20108 0 0 1004355201 1003044280 10 Physicians MITTAL NUPUR 606127232 200 Cook 0 0 Pediatrics 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 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 4825 0 0 0 0 0 0 4825 0 0 1004355228 1699954156 89 Physician Assistant Only(Encounter Only) VASQUEZ HOMERO 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 0 107 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 3344 0 0 0 0 0 0 3344 0 0 1004355455 1285099622 16 Nurse Practitioners GONZALES- HANNON JULIANA G 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102 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 2577 0 0 0 0 0 0 2577 0 0 1004355552 1902276892 25 Audiologists BUCUR CRISTINA 999999999 200 Cook 0 0 0 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 1020 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1020 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114993 114993 0 0 1004355672 1598009417 89 Physician Assistant Only(Encounter Only) RAVOORI REUMAH 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 0 104 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 4662 0 0 0 0 0 0 4662 0 0 1004355944 91 Waiver service provider--Adults (DHS/DDD) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 9990 0 0 0 0 0 0 0 0 0 0 0 0 0 9990 0 0 1004355951 1841307014 89 Physician Assistant Only(Encounter Only) BEHM MICHELE A 999999999 47 Jackson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2143 0 0 0 0 0 0 2143 0 0 1004356557 1407122419 10 Physicians HOPPOCK KATE 370275339 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 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 29 0 0 0 0 0 0 29 0 0 1004356755 1609122159 10 Physicians ALMARIO ALVAREZ JORGE 606123748 200 Cook 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 0 525 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 525 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15284 0 0 0 0 0 0 15284 0 0 1004356804 1023365681 10 Physicians SANCHEZ ADAM 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 467 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 670 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 670 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10829 0 515 0 0 0 0 0 0 11344 0 0 1004356946 1083929145 16 Nurse Practitioners BIANCOFIORI MARGARET M 999999999 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 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 0 473 0 0 0 0 0 0 473 0 0 1004357197 87 Psychologist(Encounter Only) 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 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 0 171 0 0 0 0 0 0 171 0 0 1004357627 16 Nurse Practitioners 72 McLean 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 1004357878 92 Waiver service provider--Disability (DHS/DRS) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3622 0 0 0 0 0 0 0 0 0 0 0 0 0 3622 0 0 1004358067 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 12 0 0 0 0 0 0 12 0 0 1004358185 92 Waiver service provider--Disability (DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 41070 0 0 0 0 0 0 0 0 0 0 0 0 0 41070 0 0 1004358305 46 Ambulatory Surgical Treatment Centers 852 Wisconsin ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 0 0 0 0 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 0 224 0 0 0 0 0 224 0 0 1004358727 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 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 0 0 0 0 0 0 0 0 0 0 1004359563 89 Physician Assistant Only(Encounter Only) 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 0 126 0 0 0 0 0 0 126 0 0 1004359851 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 22 0 0 0 0 0 0 22 0 0 1004359939 1336211549 89 Physician Assistant Only(Encounter Only) FORTMAN CARRIE 999999999 53 Kane 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 0 124 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 3546 0 0 0 0 0 0 3546 0 0 1004360034 1790890556 10 Physicians ALJABI FADI 606930001 200 Cook 0 0 Pediatrics 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 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 0 472 0 0 0 0 0 0 472 0 0 1004360096 1558746297 12 Optometrists OVITSKY ERWIN 606593307 200 Cook 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 1831 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2892 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2892 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28501 0 0 0 0 0 0 28501 0 0 1004360150 1376775072 10 Physicians DAKSHINESH PARAMESH 999999999 88 Richland 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 302 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 302 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 6565 0 0 0 0 0 0 6608 0 0 1004360307 1942689260 16 Nurse Practitioners HELKOWSKI ROBYN 999999999 200 Cook 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 411 0 0 0 0 0 0 0 0 543 0 0 0 0 0 0 954 0 0 1004360432 24 Speech Therapists 27 Dekalb 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 0 183 183 0 0 1004360443 16 Nurse Practitioners 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 193 0 0 0 0 0 0 193 0 0 1004360504 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 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 3019 0 0 0 0 0 0 0 0 0 0 0 0 0 3019 0 0 1004360636 1952769861 16 Nurse Practitioners SCHNEIDER ADAM C 999999999 31 Edgar 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 0 119 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 3630 0 0 0 0 0 0 3630 0 0 1004361003 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 0 209 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 27842 0 0 0 0 0 0 0 0 0 0 0 0 0 27842 0 0 1004361379 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 0 119 0 0 0 0 0 0 119 0 0 1004361620 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 1 0 0 0 0 0 0 1 0 0 1004361670 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 0 119 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 19334 0 0 0 0 0 0 0 0 0 0 0 0 0 19334 0 0 1004361862 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 29043 0 0 0 0 0 0 0 0 0 0 0 0 0 29043 0 0 1004362038 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 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 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 370 370 0 0 1004362553 1558527945 10 Physicians THORPE ERIC 601545716 200 Cook 0 0 Otolaryngology 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 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 2264 0 0 0 0 0 0 2264 0 0 1004363168 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 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 6478 0 0 0 0 0 0 0 0 0 0 0 0 0 6478 0 0 1004363367 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 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 83 0 0 0 0 0 0 83 0 0 1004363519 1497983704 10 Physicians HAJJIRI ZAHRAA 606123748 200 Cook 0 0 Nephrology 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 0 411 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 411 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5428 0 0 0 0 0 0 5428 0 0 1004363645 10 Physicians 91 Sangamon 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 26 0 0 0 0 0 0 26 0 0 1004363649 1396734414 10 Physicians VARGAS EUGENIO F 999999999 47 Jackson 0 0 Neurology Surgery 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 3578 0 0 0 0 0 0 3578 0 0 1004363655 1932496114 36 Community mental health provider MOUNT SINAI HOSPITAL MEDICAL 606081732 200 Cook 0 0 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 303 0 0 132 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1033 0 0 132 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1033 0 0 8739 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117617 0 0 126356 0 0 1004363768 10 Physicians 80 Peoria 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 66 0 0 0 0 0 0 66 0 0 1004363921 1396128393 16 Nurse Practitioners LESS AUDREY A 999999999 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 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 0 330 0 0 0 0 0 0 330 0 0 1004363969 1922288257 89 Physician Assistant Only(Encounter Only) KOBILJAK ERIN 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 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 0 159 0 0 0 0 0 0 159 0 0 1004364026 1700115029 10 Physicians GRIFFIN LEANNE 606118709 63 Macon 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 3 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 22864 0 0 0 0 0 0 22887 0 0 1004364693 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 5 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 0 510 510 0 0 1004364730 10 Physicians 200 Cook 0 0 Anesthesiology 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 33 0 0 0 0 0 0 33 0 0 1004364758 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 25261 0 0 0 0 0 0 0 0 0 0 0 0 0 25261 0 0 1004364774 1396031191 10 Physicians YANG HONG 482781076 54 Kankakee 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 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 2271 0 0 0 0 0 0 2271 0 0 1004364920 1104179795 89 Physician Assistant Only(Encounter Only) ROACH JASON 618223741 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 259 0 0 0 0 0 0 259 0 0 1004365007 1386905669 10 Physicians EAPPEN SETH A 999999999 30 DuPage 0 0 Psychiatry 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 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5395 0 0 0 0 0 0 5395 0 0 1004365021 1336371137 10 Physicians HADDAD WAJED HEKMAT 604264171 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 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 5756 0 0 0 0 0 0 5756 0 0 1004365076 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1829 0 0 0 0 0 0 0 0 0 0 0 0 0 1829 0 0 1004365387 91 Waiver service provider--Adults (DHS/DDD) 27 Dekalb 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20178 0 0 0 0 0 0 0 0 0 0 0 0 0 20178 0 0 1004365540 1134359862 10 Physicians THOMAS AMY O''BRIAN 606118709 200 Cook 0 0 Allergy-Immunization 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 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 1521 0 0 0 0 0 0 1521 0 0 1004365687 1649648833 33 Nursing Facilities CITADEL CARE CENTER-KANKAKEE 609012932 54 Kankakee 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 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4061 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 649665 0 0 0 0 0 0 0 649665 0 0 1004365831 91 Waiver service provider--Adults (DHS/DDD) 69 Massac 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 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 25746 0 0 0 0 0 0 0 0 0 0 0 0 0 25746 0 0 1004365861 1043500259 10 Physicians MALONE ANDREW F 631600352 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 10 0 0 0 0 0 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 12 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 1004366388 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 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 1004366561 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 0 356 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 356 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28981 0 0 0 0 0 0 0 0 0 0 0 0 0 28981 0 0 1004366790 1972984946 16 Nurse Practitioners BIRKY NATHAN J 333232815 24 Coles 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 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 0 468 0 0 0 0 0 0 468 0 0 1004366811 10 Physicians 200 Cook 0 0 Colon - Rectal 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 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 1004366827 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 0 249 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 24170 0 0 0 0 0 0 0 0 0 0 0 0 0 24170 0 0 1004366914 1184739294 89 Physician Assistant Only(Encounter Only) KELSO FRANCOIS M 999999999 109 Winnebago 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 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 0 513 0 0 0 0 0 0 513 0 0 1004367323 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 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 0 0 0 0 0 0 0 0 0 0 1004367580 1326006537 16 Nurse Practitioners PAWLIK SYLVIA A 999999999 22 Clay 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 0 591 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 591 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3613 0 0 0 0 0 0 3613 0 0 1004367664 1336552199 22 Physical Therapists FOX NICOLE A 999999999 30 DuPage 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 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 5179 5179 0 0 1004367719 1427345321 10 Physicians SUNDERBRUCH MICHAEL T 528092441 816 Iowa 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1159 0 0 0 0 0 0 1159 0 0 1004367996 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 0 107 0 0 0 0 0 0 107 0 0 1004368116 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 29354 0 0 0 0 0 0 0 0 0 0 0 0 0 29354 0 0 1004368477 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 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 1201 0 0 0 0 0 0 1201 0 0 1004368478 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 0 185 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 20151 0 0 0 0 0 0 0 0 0 0 0 0 0 20151 0 0 1004368634 11 Dentists 845 Texas 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 1004368784 1831558386 23 Occupational Therapists RHEINGRUBER STEPHANIE 999999999 107 Will 0 0 0 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 0 110 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 11143 11143 0 0 1004368786 1821406257 16 Nurse Practitioners DALY CARRIE 601262816 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 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 80 0 0 0 0 0 0 80 0 0 1004369488 1881077048 89 Physician Assistant Only(Encounter Only) JONAS DANIEL 999999999 53 Kane 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 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 0 943 0 0 0 0 0 0 943 0 0 1004369658 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 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17613 0 0 0 0 0 0 0 0 0 0 0 0 0 17613 0 0 1004369738 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 0 363 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 27810 0 0 0 0 0 0 0 0 0 0 0 0 0 27810 0 0 1004369859 1033535968 16 Nurse Practitioners KURIA KEVIN 999999999 50 Jersey 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 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 0 327 0 0 0 0 0 0 327 0 0 1004369935 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 1194 0 0 0 0 0 0 0 0 0 0 0 0 0 1194 0 0 1004370013 10 Physicians 852 Wisconsin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 106 0 0 1004370033 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 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 3037 0 0 0 0 0 0 0 0 0 0 0 0 0 3037 0 0 1004370270 16 Nurse Practitioners 49 Jefferson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 41 0 0 1004370313 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 245 0 0 0 0 0 0 245 0 0 1004370400 1376605279 46 Ambulatory Surgical Treatment Centers MIDWEST CENTER FOR DAY SURGERY 999999999 30 DuPage 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 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 0 0 0 0 0 0 0 0 0 1004370522 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 0 118 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 26874 0 0 0 0 0 0 0 0 0 0 0 0 0 26874 0 0 1004370554 1043699184 89 Physician Assistant Only(Encounter Only) AHUJA ANUPRIT K 606733039 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 975 0 0 0 0 0 0 975 0 0 1004370757 1154641876 10 Physicians ARCEO-MENDOZA ROD MARIANNE 606910263 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3036 0 0 0 0 0 0 3036 0 0 1004370820 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 0 137 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 11060 0 0 0 0 0 0 0 0 0 0 0 0 0 11060 0 0 1004370821 10 Physicians 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004370900 1073586657 89 Physician Assistant Only(Encounter Only) ROSEN STEVEN M 626811465 92 Schuyler 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 238 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 1593 0 0 0 0 0 0 1593 0 0 1004371387 1922342484 16 Nurse Practitioners BALUCATING AMORY S 623012834 10 Adams 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 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 2799 0 0 0 0 0 0 2799 0 0 1004371537 1710355565 16 Nurse Practitioners WITKUS AMY 999999999 75 Monroe 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 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 0 804 0 0 0 0 0 0 804 0 0 1004371625 1568869469 16 Nurse Practitioners CLOSSER MEGHAN M 606313222 58 La Salle 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 1161 0 0 0 0 0 0 1405 0 0 1004371766 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 27224 0 0 0 0 0 0 0 0 0 0 0 0 0 27224 0 0 1004371851 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 1004372168 10 Physicians 51 Jo Daviess 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 113 0 0 0 0 0 0 184 0 0 1004372298 1558750026 10 Physicians BALABANOVA ANNA V 999999999 200 Cook 0 0 Family Practice 0 0 0 0 8 0 0 0 0 0 0 4 0 62 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 6 0 113 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 6 0 113 0 0 0 0 0 0 0 0 0 426 0 0 0 0 0 0 28 0 3596 0 0 0 0 0 0 4050 0 0 1004373346 1558494724 89 Physician Assistant Only(Encounter Only) BETTS DAVINA M 999999999 54 Kankakee 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 243 0 0 0 0 0 0 0 0 807 0 0 0 0 0 0 1050 0 0 1004373596 1942603352 16 Nurse Practitioners STEED JERUSHA 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 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 1349 0 0 0 0 0 0 1349 0 0 1004373600 1316176704 10 Physicians HALABI CARMEN M 631101002 200 Cook 0 0 Pediatrics 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 0 613 0 0 0 0 0 0 613 0 0 1004373984 1942541149 10 Physicians CELLA JENNA M 999999999 40 Grundy 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 1 0 83 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 227 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 227 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 2 0 3972 0 0 0 0 0 0 3986 0 0 1004374011 1336545854 16 Nurse Practitioners WAGGONER SCOTT A 298413862 47 Jackson 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 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 3722 0 0 0 0 0 0 3722 0 0 1004374244 1659608941 10 Physicians YEE LYNN M. 606253500 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 25 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 836 0 2644 0 0 0 0 0 0 3480 0 0 1004374271 1336416767 10 Physicians JOSHI JIGAR V 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 170 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 0 0 0 0 0 0 0 0 0 0 649 0 0 0 0 0 0 649 0 0 1004374519 1184970386 10 Physicians EASTIN HALEY E 999999999 19 Champaign 0 1 Pediatrics 0 0 0 0 71 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 0 6128 0 0 0 0 0 0 0 0 3173 0 0 0 0 0 0 9301 0 0 1004374531 1548663909 16 Nurse Practitioners STROMBECK JULIETTE 611086479 109 Winnebago 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 0 286 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 3378 0 0 0 0 0 0 3378 0 0 1004374781 1003283755 16 Nurse Practitioners MURDOCK RACHEL 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1452 0 0 0 0 0 0 1452 0 0 1004374904 1760453369 16 Nurse Practitioners HUCKABEE NICOLE 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 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 63 0 0 0 0 0 0 63 0 0 1004375291 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 105 0 0 0 0 0 0 105 0 0 1004375322 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 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 1517 0 0 0 0 0 0 0 0 0 0 0 0 0 1517 0 0 1004375352 1609138643 10 Physicians JESINSKIS LARISA 999999999 200 Cook 0 0 Pediatrics 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 1250 0 0 0 0 0 0 1250 0 0 1004375416 1548655103 16 Nurse Practitioners DUDA PATRICIA 606740018 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 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 0 206 0 0 0 0 0 0 206 0 0 1004375669 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 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 2770 0 0 0 0 0 0 0 0 0 0 0 0 0 2770 0 0 1004376215 10 Physicians 200 Cook 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 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 0 380 0 0 0 0 0 0 380 0 0 1004376284 1366830432 16 Nurse Practitioners GRADMAN EDWARD 616360001 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 342 0 0 0 0 0 0 342 0 0 1004376403 89 Physician Assistant Only(Encounter Only) 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 74 0 0 0 0 0 0 74 0 0 1004376601 1992951743 10 Physicians BRINKMAN AARON 999999999 200 Cook 0 0 General Practice 0 0 0 0 3 0 0 0 0 0 0 1 0 35 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 1 0 61 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 1 0 61 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 447 0 0 0 0 0 0 470 0 0 1004376743 10 Physicians 815 Indiana 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 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 0 431 0 0 0 0 0 0 431 0 0 1004376756 1275912289 36 Community mental health provider THRESHOLDS 606405802 200 Cook 0 0 0 147 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 247 0 0 3921 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8171 0 0 3921 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8171 0 0 335244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005675 0 0 1340919 0 0 1004376806 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 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 1480 0 0 0 0 0 0 0 0 0 0 0 0 0 1480 0 0 1004376893 10 Physicians 19 Champaign 0 0 Obstetric-Gynecology 0 0 0 0 0 0 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 71 0 0 0 0 0 0 0 0 71 0 0 1004376982 1336534692 16 Nurse Practitioners CHOLEWA CODY C 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 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 0 886 0 0 0 0 0 0 886 0 0 1004377253 1891110730 89 Physician Assistant Only(Encounter Only) HUANG ADA 606751620 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004377284 1407172554 86 Clinical Social Worker(Encounter Only) POULTNEY JODY 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102 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 4801 0 0 0 0 0 0 4801 0 0 1004377290 1093026684 89 Physician Assistant Only(Encounter Only) CORRO ALLISON 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 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 16 0 0 0 0 0 0 16 0 0 1004377416 1750511564 10 Physicians GREENBAUM EVAN 999999999 200 Cook 0 0 Otolaryngology 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 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 1669 0 0 0 0 0 0 1669 0 0 1004377479 1114394921 91 Waiver service provider--Adults (DHS/DDD) SHORTER DOMINIQUE C 606294736 200 Cook 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 0 841 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 841 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 111492 0 0 0 0 0 0 0 0 0 0 0 0 0 111492 0 0 1004377577 1598163560 16 Nurse Practitioners BOOMSMA ANGELA 604631579 200 Cook 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 0 108 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 108 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 2600 0 0 0 0 0 0 2608 0 0 1004377614 1609195601 10 Physicians CORDOVA JONATHAN SEBASTIAN 999999999 200 Cook 0 0 Pediatrics 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 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 3719 0 0 0 0 0 0 3719 0 0 1004377791 1427460567 16 Nurse Practitioners REGGI JOHNNA 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 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 4910 0 0 0 0 0 0 4910 0 0 1004378119 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1064 0 0 0 0 0 0 0 0 0 0 0 0 0 1064 0 0 1004378299 1346516226 10 Physicians JONES ELISABETH M 606232460 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 620 0 0 0 0 0 0 620 0 0 1004378549 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004378587 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 4785 0 0 0 0 0 0 0 0 0 0 0 0 0 4785 0 0 1004378671 1598949760 89 Physician Assistant Only(Encounter Only) MARTINEZ DON T 999999999 30 DuPage 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 3858 0 0 0 0 0 0 0 0 840 0 0 0 0 0 0 4698 0 0 1004378837 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 4 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 3068 3068 0 0 1004378950 1811322522 12 Optometrists FEEZEL LACEY 999999999 96 St Clair 0 0 Therapeutic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 470 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 470 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10094 0 15 0 0 0 0 10109 0 0 1004379119 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 30229 0 0 0 0 0 0 0 0 0 0 0 0 0 30229 0 0 1004379200 16 Nurse Practitioners 36 Franklin 0 0 0 0 0 0 0 0 0 0 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 25 0 0 0 0 0 0 25 0 0 1004379566 1053671479 10 Physicians DUKE DORAN 999999999 200 Cook 0 0 Internal Medicine 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 0 435 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 435 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4054 0 0 0 0 0 0 4054 0 0 1004379761 1417392465 39 Hospice CAPITAL HOSPICE & PALLITAIVE C 999999999 30 DuPage 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 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1491 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 259579 0 0 0 0 0 0 0 0 0 0 0 259579 0 0 1004380075 10 Physicians 200 Cook 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 27 0 0 1004380281 1629207253 10 Physicians TUCKER MATTHEW A 999999999 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 2515 0 0 0 0 0 0 2520 0 0 1004380397 1164748505 10 Physicians OFTADEH MINA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2523 0 0 0 0 0 0 2523 0 0 1004380776 16 Nurse Practitioners 815 Indiana 0 0 0 0 0 0 0 0 0 0 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 62 0 0 0 0 0 0 62 0 0 1004380790 1700299658 12 Optometrists AHRENS DANIEL 627621000 91 Sangamon 0 0 Diagnostic 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 0 293 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 4914 0 0 0 0 0 0 4914 0 0 1004380928 1942562830 16 Nurse Practitioners GOLEC LYNN L 999999999 60 Lee 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 49 0 0 0 0 0 0 49 0 0 1004381116 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 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 4681 0 0 0 0 0 0 0 0 0 0 0 0 0 4681 0 0 1004381458 1386901353 10 Physicians MAJUMDER PRATYAYA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 131 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 295 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 295 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 6129 0 0 0 0 0 0 6140 0 0 1004382344 1861863938 16 Nurse Practitioners SAJN TARA M 999999999 30 DuPage 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 91 0 0 0 0 0 0 0 0 4725 0 0 0 0 0 0 4816 0 0 1004382460 1639465131 10 Physicians JOHNSON ANDREW C. 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 1 0 0 0 0 0 0 4 0 6 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 5 0 6 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 5 0 6 0 0 0 0 0 0 0 0 0 77 0 0 0 0 0 0 352 0 277 0 0 0 0 0 0 706 0 0 1004382792 1114133014 13 Podiatrists BUSHMAKER JEREMIAH F 999999999 80 Peoria 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 0 569 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 569 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13436 0 0 0 0 0 0 13436 0 0 1004382913 89 Physician Assistant Only(Encounter Only) 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 71 0 0 1004382957 1164812541 16 Nurse Practitioners CARTER COLETTE 611071481 109 Winnebago 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 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 0 239 0 0 0 0 0 0 239 0 0 1004383350 1689993883 10 Physicians RACSA LORI 999999999 80 Peoria 0 0 Clinical Pathology 0 0 0 0 0 0 0 0 0 0 0 263 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8543 0 2446 0 0 0 0 0 0 10989 0 0 1004383427 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 10436 0 0 0 0 0 0 0 0 0 0 0 0 0 10436 0 0 1004383552 16 Nurse Practitioners 10 Adams 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 0 146 0 0 0 0 0 0 146 0 0 1004383704 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 0 313 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 313 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24696 0 0 0 0 0 0 0 0 0 0 0 0 0 24696 0 0 1004383708 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 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26262 0 0 0 0 0 0 0 0 0 0 0 0 0 26262 0 0 1004383909 1295081651 10 Physicians RAUBA JASON D 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 314 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 314 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3171 0 0 0 0 0 0 3171 0 0 1004383918 1023478617 75 Department of Alcohol and Substance Abuse Provider FAMILY COUNSELING CENTER INC 629141810 11 Alexander 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 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 2282 0 0 2282 0 0 1004383985 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 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 1004384342 1376809509 10 Physicians RIVERA JOMARIE R 999999999 200 Cook 0 0 0 0 0 0 66 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 6913 0 0 0 0 0 0 0 0 2292 0 0 0 0 0 0 9205 0 0 1004384435 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 0 274 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 19407 0 0 0 0 0 0 0 0 0 0 0 0 0 19407 0 0 1004384497 23 Occupational Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 136 136 0 0 1004384518 1295099125 10 Physicians ANWISYE-MASHELE IMANI R 999999999 19 Champaign 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 1184 0 0 0 0 0 0 1184 0 0 1004384698 1326120403 10 Physicians HIGO OMOKHAYE 999999999 107 Will 0 0 Anesthesiology 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 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 3420 0 0 0 0 0 0 3420 0 0 1004384736 1831346774 10 Physicians MCDONALD EDWIN K 605275965 30 DuPage 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 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 1429 0 0 0 0 0 0 1429 0 0 1004384825 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13932 0 0 0 0 0 0 0 0 0 0 0 0 0 13932 0 0 1004385127 16 Nurse Practitioners 96 St Clair 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 93 0 0 0 0 0 0 93 0 0 1004385267 1801263413 16 Nurse Practitioners JACKSON AMBER A 999999999 19 Champaign 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 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 2067 0 0 0 0 0 0 2067 0 0 1004385362 1750360962 10 Physicians PATNAIK AKASH 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004385673 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 14041 0 0 0 0 0 0 0 0 0 0 0 0 0 14041 0 0 1004386385 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 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 2178 0 0 0 0 0 0 0 0 0 0 0 0 0 2178 0 0 1004386413 1336467489 10 Physicians BLACK SHIRA 999999999 816 Iowa 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 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 464 0 0 0 0 0 0 464 0 0 1004386469 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 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 12193 0 0 0 0 0 0 0 0 0 0 0 0 0 12193 0 0 1004386473 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 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 0 293 0 0 0 0 0 0 293 0 0 1004386642 89 Physician Assistant Only(Encounter Only) 34 Fayette 0 0 0 0 0 0 0 0 0 0 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 39 0 0 0 0 0 0 39 0 0 1004386687 1710391933 12 Optometrists GOLDEN ALEXANDER 600891970 57 Lake 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 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 0 869 0 0 0 0 0 0 869 0 0 1004386844 10 Physicians 89 Rock Island 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 69 0 0 0 0 0 0 69 0 0 1004387000 1235512583 89 Physician Assistant Only(Encounter Only) SELERSKI ASHLEY D 601228942 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 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 0 195 0 0 0 0 0 0 195 0 0 1004387142 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 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 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 1004388863 1689056285 16 Nurse Practitioners JOHNSON MARY 611081673 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1163 0 0 0 0 0 0 1163 0 0 1004388881 10 Physicians 53 Kane 0 0 General Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 165 0 0 0 0 0 0 165 0 0 1004388919 1306026935 89 Physician Assistant Only(Encounter Only) ZIDLICKY SARA 999999999 53 Kane 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 17 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 409 0 0 0 0 0 0 410 0 0 1004389468 1124255856 10 Physicians ANSTADT MICHAEL 601545716 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 16567 0 0 0 0 0 0 16588 0 0 1004389761 10 Physicians 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 130 0 0 0 0 0 0 130 0 0 1004389854 1124337340 10 Physicians LIU CHANG 631600352 30 DuPage 0 0 Pathology 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 20 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 2 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 39 0 0 1004390040 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 0 298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26204 0 0 0 0 0 0 0 0 0 0 0 0 0 26204 0 0 1004390390 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2073 0 0 0 0 0 0 0 0 0 0 0 0 0 2073 0 0 1004390420 91 Waiver service provider--Adults (DHS/DDD) 23 Clinton 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 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 5763 0 0 0 0 0 0 0 0 0 0 0 0 0 5763 0 0 1004390525 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 0 240 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 25505 0 0 0 0 0 0 0 0 0 0 0 0 0 25505 0 0 1004390542 1396135885 16 Nurse Practitioners SLANE CHRISTOPHER 628632638 101 Wabash 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 711 0 0 0 0 0 0 711 0 0 1004390565 1639538341 91 Waiver service provider--Adults (DHS/DDD) KLASKA SHANNON D 999999999 63 Macon 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 961 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 961 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 166436 0 0 0 0 0 0 0 0 0 0 0 0 0 166436 0 0 1004390623 1285876607 10 Physicians MUKHOPADHYAY EKANKA 615202444 37 Fulton 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 203 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3916 0 0 0 0 0 0 3916 0 0 1004390751 1225429566 48 Rural Health Clinics MEMORIAL HOSPITAL 622881126 87 Randolph 0 1 0 0 129 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 361 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 361 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7961 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7961 0 0 1004390840 1083879332 10 Physicians SOLIMAN ADAM 999999999 200 Cook 0 0 Anesthesiology 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 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 3990 0 0 0 0 0 0 3990 0 0 1004391521 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 143 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 22251 0 0 0 0 0 0 0 0 0 0 0 0 0 22251 0 0 1004391789 92 Waiver service provider--Disability (DHS/DRS) 63 Macon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 25575 0 0 0 0 0 0 0 0 0 0 0 0 0 25575 0 0 1004391934 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4519 0 0 0 0 0 0 0 0 0 0 0 0 0 4519 0 0 1004391941 1508227364 16 Nurse Practitioners BROUCEK LAUREN A 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 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 173 0 0 0 0 0 0 173 0 0 1004391953 1700172905 10 Physicians TALBERT ROBERT J 999999999 53 Kane 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 284 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 381 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 381 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5306 0 0 0 0 0 0 0 0 5306 0 0 1004392299 1396753406 89 Physician Assistant Only(Encounter Only) GARSON JENNIFER 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 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 1050 0 0 0 0 0 0 1050 0 0 1004392364 1366888208 16 Nurse Practitioners WALSH JENNIFER 999999999 30 DuPage 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 0 387 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 387 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2115 0 0 0 0 0 0 2115 0 0 1004392383 1982820148 10 Physicians YAZDAN PEDRAM 999999999 200 Cook 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 548 0 0 0 0 0 0 0 0 548 0 0 1004392496 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11186 0 0 0 0 0 0 0 0 0 0 0 0 0 11186 0 0 1004392498 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 0 154 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 8760 0 0 0 0 0 0 0 0 0 0 0 0 0 8760 0 0 1004392620 1124233291 10 Physicians CHAIBAN JOUMANA T 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 413 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 413 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4903 0 0 0 0 0 0 4903 0 0 1004392887 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 167 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 0 0 0 0 0 9578 0 0 0 0 0 0 0 0 0 0 0 0 0 9578 0 0 1004393172 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 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 22834 0 0 0 0 0 0 0 0 0 0 0 0 0 22834 0 0 1004393311 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 25868 0 0 0 0 0 0 0 0 0 0 0 0 0 25868 0 0 1004393351 10 Physicians 109 Winnebago 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 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 1297 0 0 0 0 0 0 1297 0 0 1004393805 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3 0 0 0 0 0 0 3 0 0 1004394096 1497014294 10 Physicians BOIKE JUSTIN R 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2255 0 0 0 0 0 0 2255 0 0 1004394247 1184002065 60 Pharmacies "GENOA, A QOL HEALTHCARE COMPAN" 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 647 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14754 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77220 0 0 0 77220 0 0 1004394269 1467827907 16 Nurse Practitioners MARCINEK ELIZABETH 999999999 109 Winnebago 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 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 0 922 0 0 0 0 0 0 922 0 0 1004394383 1134418130 10 Physicians BESZKA MONICA 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 41 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 2097 0 0 0 0 0 0 2097 0 0 1004394593 1346441490 16 Nurse Practitioners LYNCH DEBORAH M 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 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 0 721 0 0 0 0 0 0 721 0 0 1004394654 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 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 4557 0 0 0 0 0 0 0 0 0 0 0 0 0 4557 0 0 1004394808 10 Physicians 24 Coles 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 341 0 139 0 0 0 0 0 0 480 0 0 1004395263 1942562889 10 Physicians HOWSE CHRISTOPHER J 999999999 80 Peoria 0 1 General Practice 0 0 0 0 21 0 0 0 0 0 0 17 0 133 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 25 0 285 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 25 0 285 0 0 0 0 0 0 0 0 0 2226 0 0 0 0 0 0 411 0 4601 0 0 0 0 0 0 7238 0 0 1004395327 1770841678 10 Physicians LEE EUGENE C 535625531 200 Cook 0 0 Family Practice 0 0 0 0 21 0 0 0 0 0 0 1 0 92 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 1 0 148 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 1 0 148 0 0 0 0 0 0 0 0 0 1342 0 0 0 0 0 0 5 0 3070 0 0 0 0 0 0 4417 0 0 1004395735 1376974527 40 Federally Qualified Health Centers WABASH VALLEY HEALTH CENTER 478071648 815 Indiana 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 140 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 140 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 6444 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6444 0 0 1004395852 1861885675 16 Nurse Practitioners KASSIM OLADIMEJI M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 279 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 934 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 934 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6452 0 0 0 0 0 0 6452 0 0 1004395957 1093197410 16 Nurse Practitioners CROSS MELANIE 999999999 109 Winnebago 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 0 444 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 444 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7177 0 0 0 0 0 0 7177 0 0 1004395962 1326431339 23 Occupational Therapists LAI LINDA 600162359 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 372 372 0 0 1004395971 1699934240 10 Physicians MEDDY JODEE 520016388 200 Cook 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 0 199 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 10310 0 0 0 0 0 0 10310 0 0 1004396012 1265584155 34 State-operated facility (DHS) WILLIAM FOX DEVELOPMENTAL CTR 604201322 61 Livingston 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 0 718 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21810 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24117254 0 0 0 0 0 0 0 0 0 0 24117254 0 0 1004396161 1780066456 60 Pharmacies TINLEY PARK PHARMACY 604877723 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 313 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13186 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9340 0 0 0 9340 0 0 1004396173 1407830003 60 Pharmacies CVS PHARMACY #11192 615401211 67 Marshall 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 0 503 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16670 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12104 0 0 0 12104 0 0 1004396229 10 Physicians 30 DuPage 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 0 209 0 0 0 0 0 0 209 0 0 1004396302 1609889690 10 Physicians WILSBACHER LISA D. 606118709 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 61 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 2523 0 0 0 0 0 0 2523 0 0 1004396513 1285017871 16 Nurse Practitioners ZIEGAHN SONNET 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 810 0 0 0 0 0 0 810 0 0 1004396637 1154683860 10 Physicians CRAWFORD JEMILA 946081844 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3345 0 0 0 0 0 0 3345 0 0 1004396797 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 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6820 0 0 0 0 0 0 0 0 0 0 0 0 0 6820 0 0 1004396928 87 Psychologist(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 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 1004396972 1376774372 10 Physicians BAYLOCK JAIME S 604222142 200 Cook 0 0 Internal Medicine 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 0 556 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 556 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8384 0 0 0 0 0 0 8384 0 0 1004397547 1558625244 10 Physicians LOGAN KELLY M 606116649 200 Cook 0 0 Pediatrics 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 0 812 0 0 0 0 0 0 812 0 0 1004397584 1871965186 33 Nursing Facilities THE GROVE OF NORTHBROOK 999999999 200 Cook 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 0 157 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 711053 0 0 0 0 0 0 0 711053 0 0 1004397677 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 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28421 0 0 0 0 0 0 0 0 0 0 0 0 0 28421 0 0 1004397806 1982930509 10 Physicians DORAN ANNE K 999999999 200 Cook 0 0 Pediatrics 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 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6250 0 0 0 0 0 0 6250 0 0 1004397836 1811322720 89 Physician Assistant Only(Encounter Only) JACOB SINCER K 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 0 508 0 0 0 0 0 0 508 0 0 1004398292 1932578895 16 Nurse Practitioners STARKWEATHER CORI ANN 629023988 47 Jackson 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 0 101 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 1148 0 0 0 0 0 0 1148 0 0 1004398681 1851693584 16 Nurse Practitioners MAGUIGAD NIZZA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 173 0 0 0 0 0 0 173 0 0 1004398691 1114247491 10 Physicians LANGE ELIZABETH 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 923 0 0 0 0 0 0 923 0 0 1004398781 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 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30274 0 0 0 0 0 0 0 0 0 0 0 0 0 30274 0 0 1004398923 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 17288 0 0 0 0 0 0 0 0 0 0 0 0 0 17288 0 0 1004399067 1649321944 89 Physician Assistant Only(Encounter Only) GLENN DONALD 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105 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 3827 0 0 0 0 0 0 3827 0 0 1004399135 92 Waiver service provider--Disability (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 10244 0 0 0 0 0 0 0 0 0 0 0 0 0 10244 0 0 1004399251 1447482443 10 Physicians KALYAN APARNA 999999999 200 Cook 0 0 Internal Medicine 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 0 314 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 314 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39040 0 0 0 0 0 0 39040 0 0 1004399273 16 Nurse Practitioners 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004399291 22 Physical Therapists 80 Peoria 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 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 1785 1785 0 0 1004399556 1417928060 10 Physicians SUSSMAN ARLENE 624541114 25 Crawford 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 2 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 505 0 0 0 0 0 0 525 0 0 1004399565 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 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 1144 0 0 0 0 0 0 0 0 0 0 0 0 0 1144 0 0 1004399619 1649216789 89 Physician Assistant Only(Encounter Only) LEE KRISTEN 999999999 200 Cook 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 558 0 0 0 0 0 0 622 0 0 1004399718 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 8166 0 0 0 0 0 0 0 0 0 0 0 0 0 8166 0 0 1004400067 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 12 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 0 0 0 0 0 0 0 0 0 0 155 0 0 0 155 0 0 1004400261 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 0 197 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 27021 0 0 0 0 0 0 0 0 0 0 0 0 0 27021 0 0 1004400280 1982991477 10 Physicians SUNDARAM TINA W. 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 3 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 131 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 131 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 2251 0 0 0 0 0 0 2277 0 0 1004400488 1629237409 10 Physicians FERRARO DANIEL J 999999999 53 Kane 0 0 Radiation Oncology 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2057 0 0 0 0 0 0 2057 0 0 1004400518 1790786465 89 Physician Assistant Only(Encounter Only) MORGAN LAURIE 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 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 2510 0 0 0 0 0 0 2510 0 0 1004400709 1316179088 10 Physicians FONTES RICARDO 606751611 200 Cook 0 0 Neurology Surgery 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 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 2188 0 0 0 0 0 0 2188 0 0 1004401021 1992184295 91 Waiver service provider--Adults (DHS/DDD) MARITIM-ADIPO HELEN 600621821 200 Cook 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 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 2477 0 0 0 0 0 0 0 0 0 0 0 0 0 2477 0 0 1004401125 1265731533 87 Psychologist(Encounter Only) ALEXAKOS CHRISTINA 600563457 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 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 4267 0 0 0 0 0 0 4267 0 0 1004401662 91 Waiver service provider--Adults (DHS/DDD) 89 Rock Island 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 148 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 27958 0 0 0 0 0 0 0 0 0 0 0 0 0 27958 0 0 1004401684 1730412826 10 Physicians RASHIDIAN RAMIN 477333407 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1928 0 0 0 0 0 0 1928 0 0 1004401693 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 108 0 0 1004402654 10 Physicians 107 Will 0 0 Obstetric-Gynecology 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 1927 0 0 0 0 0 0 1927 0 0 1004402698 1922360577 13 Podiatrists DOMEK NATALIE 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 101 0 0 0 0 0 0 101 0 0 1004402772 1457716730 16 Nurse Practitioners NIEVES JENNIFER C 999999999 58 La Salle 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 0 238 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 1087 0 0 0 0 0 0 1087 0 0 1004403033 1790997567 10 Physicians SCANLON ROBERT C 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3887 0 0 0 0 0 0 3887 0 0 1004403063 1548637879 16 Nurse Practitioners ROGERS CAITLIN 999999999 53 Kane 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 203 0 0 0 0 0 0 0 0 705 0 0 0 0 0 0 908 0 0 1004403314 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 47 0 0 0 0 0 0 47 0 0 1004403328 1518363399 89 Physician Assistant Only(Encounter Only) LINDBERG AMY 604532660 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 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 0 293 0 0 0 0 0 0 293 0 0 1004403610 1982619623 89 Physician Assistant Only(Encounter Only) REINKE ANNA 999999999 53 Kane 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 79 0 0 1004404046 1114358603 16 Nurse Practitioners MEREDITH MEGAN 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 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 0 765 0 0 0 0 0 0 765 0 0 1004404069 4004404069 71 Medicar Provider THE OPTIMUM HOLDINGS LLC 604431860 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1810 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 0 0 0 0 0 11141 0 0 0 0 0 0 11141 0 0 1004404078 1720344336 10 Physicians KHATIB QUTAIBAH 999999999 200 Cook 0 0 Internal Medicine 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 1197 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1197 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6311 0 0 0 0 0 0 6311 0 0 1004404093 1619228392 16 Nurse Practitioners HODGSON MEREDITH 999999999 89 Rock Island 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 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 0 615 0 0 0 0 0 0 615 0 0 1004404144 1992910061 16 Nurse Practitioners YUEN LILY 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 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 1009 0 0 0 0 0 0 1009 0 0 1004404192 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004404329 1053789388 60 Pharmacies CVS PHARMACY #17677 999999999 200 Cook 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 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1315 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 532 0 0 0 532 0 0 1004404660 92 Waiver service provider--Disability (DHS/DRS) 30 DuPage 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23823 0 0 0 0 0 0 0 0 0 0 0 0 0 23823 0 0 1004404817 1629337571 10 Physicians CHU CHRISTINE 999999999 19 Champaign 0 1 Pediatrics 0 0 0 0 91 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 112 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 112 0 0 0 0 0 0 0 0 0 7997 0 0 0 0 0 0 0 0 3910 0 0 0 0 0 0 11907 0 0 1004404859 1114180296 10 Physicians DRINKA EVA K 601220021 53 Kane 0 0 Clinical Pathology 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 0 136 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 2280 0 0 0 0 0 0 0 0 2280 0 0 1004404919 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 7710 0 0 0 0 0 0 0 0 0 0 0 0 0 7710 0 0 1004405255 1093075434 10 Physicians NUCKOLS HANNAH R 606313222 200 Cook 0 0 Internal Medicine 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 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 2060 0 0 0 0 0 0 2060 0 0 1004405382 1912195447 89 Physician Assistant Only(Encounter Only) MENOSSI NATALIE 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 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 0 777 0 0 0 0 0 0 777 0 0 1004405475 1114183415 10 Physicians LAUTZ TIMOTHY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 14182 0 0 0 0 0 0 14199 0 0 1004405583 1578827523 10 Physicians CUSACK ANDREW 999999999 80 Peoria 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 82 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 82 0 0 0 0 0 0 0 0 0 239 0 0 0 0 0 0 0 0 805 0 0 0 0 0 0 1044 0 0 1004405681 1053790345 16 Nurse Practitioners STULL CATHERINE LYNN 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 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 1365 0 0 0 0 0 0 1365 0 0 1004405717 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 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 0 385 0 0 0 0 0 0 0 0 0 0 0 0 0 385 0 0 1004405757 1679959357 33 Nursing Facilities RUSHVILLE NURSING & REHABILITA 626811617 92 Schuyler 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 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2886 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 337920 0 0 0 0 0 0 0 337920 0 0 1004405816 1457500134 10 Physicians TURCANU RUSLAN V 601159602 27 Dekalb 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 2 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6914 0 0 0 0 0 0 6914 0 0 1004405890 1780047944 48 Rural Health Clinics CLINTON COUNTY RURAL HEALTH 999999999 23 Clinton 0 1 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 267 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 267 0 0 1004406102 1104075035 10 Physicians BELVADI YASHASWI 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3411 0 0 0 0 0 0 3411 0 0 1004406205 10 Physicians 91 Sangamon 0 0 Anesthesiology 0 0 0 0 0 0 0 0 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 0 214 0 0 0 0 0 0 214 0 0 1004406285 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 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 83 0 0 0 0 0 0 83 0 0 1004406513 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 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 0 486 0 0 0 0 0 0 0 0 0 0 0 0 0 486 0 0 1004406661 94 Waiver service provider--Children's support (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 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 3156 0 0 0 0 0 0 0 0 0 0 0 0 0 3156 0 0 1004406703 1790007680 16 Nurse Practitioners MATZ STEPHEN D 604263558 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 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 0 258 0 0 0 0 0 0 258 0 0 1004406760 1407084635 10 Physicians LUETKEMEYER LUKE M 999999999 80 Peoria 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 36 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 184 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 184 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 430 0 6625 0 0 0 0 0 0 7055 0 0 1004406808 1215069422 11 Dentists MAROGIL EMIL 604402386 107 Will 0 0 General Dentistry 0 0 0 20 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 2821 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2821 0 0 1004406907 10 Physicians 10 Adams 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 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 0 265 0 0 0 0 0 0 265 0 0 1004407070 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 22853 0 0 0 0 0 0 0 0 0 0 0 0 0 22853 0 0 1004407088 16 Nurse Practitioners 57 Lake 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 0 241 0 0 0 0 0 0 241 0 0 1004407190 1982990487 10 Physicians PALTER JOSEPH S 601220021 53 Kane 0 0 Emergency Medicine 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 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7326 0 0 0 0 0 0 7326 0 0 1004407349 1437125580 10 Physicians FIORELLA RUSSELL 606081704 200 Cook 0 0 Clinical Pathology 0 0 0 0 0 0 0 0 0 0 0 3139 0 214 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39643 0 239 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39643 0 239 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229207 0 5995 0 0 0 0 0 0 235202 0 0 1004407430 1396945747 10 Physicians LAMBERT JOSEPH A 999999999 200 Cook 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 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 50 0 0 0 0 0 0 0 0 50 0 0 1004407540 1962556944 89 Physician Assistant Only(Encounter Only) GANDHI JANKI 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 91 0 0 0 0 0 0 91 0 0 1004407588 1053490177 10 Physicians BLAMOUN JOHN 999999999 89 Rock Island 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 650 0 0 0 0 0 0 650 0 0 1004407918 1043637259 10 Physicians TORRES THALIA 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 132 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 326 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 326 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 5896 0 0 0 0 0 0 5898 0 0 1004407990 1891089223 10 Physicians BROWN JORDAN M 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 205 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 272 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 272 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2526 0 548 0 0 0 0 0 0 3074 0 0 1004408182 1003935644 16 Nurse Practitioners BULGARIU ANCA 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 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 0 489 0 0 0 0 0 0 489 0 0 1004408249 1003020348 10 Physicians RIPPON JENNIFER L 999999999 109 Winnebago 0 0 Internal 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 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 0 405 0 0 0 0 0 0 405 0 0 1004408374 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 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 3608 0 0 0 0 0 0 0 0 0 0 0 0 0 3608 0 0 1004408583 23 Occupational Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 162 162 0 0 1004408735 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 30119 0 0 0 0 0 0 0 0 0 0 0 0 0 30119 0 0 1004408934 1639370794 89 Physician Assistant Only(Encounter Only) MODI TEJAL R 999999999 57 Lake 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 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 0 328 0 0 0 0 0 0 328 0 0 1004409058 1912382227 40 Federally Qualified Health Centers HOWARD BROWN HEALTH CLARK 999999999 200 Cook 0 0 0 0 287 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 791 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 791 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56443 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56443 0 0 1004409197 1841680394 23 Occupational Therapists MORONI AGNIESZKA 606342616 200 Cook 0 0 0 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 0 161 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 15869 15869 0 0 1004409277 16 Nurse Practitioners 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 0 1004409496 91 Waiver service provider--Adults (DHS/DDD) 94 Shelby 0 0 0 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 14904 0 0 0 0 0 0 0 0 0 0 0 0 0 14904 0 0 1004409521 1700191343 10 Physicians SOOD RUCHI 999999999 107 Will 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 551 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 551 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17852 0 0 0 0 0 0 17852 0 0 1004409793 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 0 102 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 23 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 1004409891 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 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 67 0 0 0 0 0 0 67 0 0 1004409899 1033452107 89 Physician Assistant Only(Encounter Only) BROADDUS STEPHEN M 999999999 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 259 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 0 699 0 0 0 0 0 0 699 0 0 1004410061 1952785578 12 Optometrists KOUTNIK EDWARD S 604095415 200 Cook 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 670 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 670 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7454 0 0 0 0 0 0 7454 0 0 1004410291 10 Physicians 53 Kane 0 0 Radiation Oncology 0 0 0 0 0 0 0 0 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 49 0 0 0 0 0 0 49 0 0 1004410520 1346466091 10 Physicians MARINO MICHELLE 999999999 200 Cook 0 0 Anesthesiology 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 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 3542 0 0 0 0 0 0 3542 0 0 1004410522 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 0 295 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 295 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1004410763 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 69 0 0 0 0 0 0 69 0 0 1004410787 10 Physicians 70 McDonough 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 148 0 0 0 0 0 0 0 0 148 0 0 1004410840 10 Physicians 200 Cook 0 0 Ophthalmology 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 4 0 152 0 0 0 0 0 0 156 0 0 1004411048 1962891648 16 Nurse Practitioners SOBERANO PAMELA 200152079 200 Cook 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 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 1957 0 0 0 0 0 0 1957 0 0 1004411070 1891132395 10 Physicians SABHARWAL SHIPRA 999999999 30 DuPage 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 4 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 197 0 355 0 0 0 0 0 0 552 0 0 1004411285 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 0 196 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 18273 0 0 0 0 0 0 0 0 0 0 0 0 0 18273 0 0 1004411350 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 0 358 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 27207 0 0 0 0 0 0 0 0 0 0 0 0 0 27207 0 0 1004411447 1477946994 10 Physicians DAMANI JALAL 999999999 200 Cook 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 0 159 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 4654 0 0 0 0 0 0 4654 0 0 1004411612 1144584061 10 Physicians GOLDSMITH DAVID A 554860362 10 Adams 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7731 0 0 0 0 0 0 7731 0 0 1004411683 60 Pharmacies 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 388 0 0 0 388 0 0 1004411692 92 Waiver service provider--Disability (DHS/DRS) 77 Morgan 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 12001 0 0 0 0 0 0 0 0 0 0 0 0 0 12001 0 0 1004411720 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 0 211 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 211 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12019 0 0 0 0 0 0 0 0 0 0 0 0 0 12019 0 0 1004411817 1942671599 91 Waiver service provider--Adults (DHS/DDD) COONS DETELINA 999999999 200 Cook 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 1775 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1775 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 146375 0 0 0 0 0 0 0 0 0 0 0 0 0 146375 0 0 1004411873 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 0 120 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 29053 0 0 0 0 0 0 0 0 0 0 0 0 0 29053 0 0 1004412182 91 Waiver service provider--Adults (DHS/DDD) 89 Rock Island 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 0 0 0 0 0 199 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11580 0 0 0 0 0 0 0 0 0 0 0 0 0 11580 0 0 1004412480 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 0 178 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 28395 0 0 0 0 0 0 0 0 0 0 0 0 0 28395 0 0 1004412961 1770957227 16 Nurse Practitioners KARIM EMAN 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 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 0 429 0 0 0 0 0 0 429 0 0 1004413046 1427426378 57 Home Nursing Agency DIVINE HOME CARE SERVICES 999999999 200 Cook 0 0 0 0 0 0 0 0 20 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3665 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3665 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1878927 8550 0 0 0 0 0 0 0 0 0 0 0 0 1887477 0 0 1004413270 1053656298 89 Physician Assistant Only(Encounter Only) MEREDITH ALAN 999999999 96 St Clair 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 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 0 280 0 0 0 0 0 0 280 0 0 1004413425 1992187397 10 Physicians MAQBOOL ASIA 999999999 57 Lake 0 0 Internal Medicine 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 0 332 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 8073 0 0 0 0 0 0 8073 0 0 1004413445 1760861959 36 Community mental health provider ECKER CENTER FOR BEHAVIORAL HE 601231742 53 Kane 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 0 601 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3889 0 0 4490 0 0 1004413776 1164719613 13 Podiatrists MELNIKOV ANDREY 606414130 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 398 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1982 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1982 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 950 0 0 0 0 0 0 950 0 0 1004413911 24 Speech Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 239 239 0 0 1004413990 10 Physicians 826 Missouri 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 1004414259 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27847 0 0 0 0 0 0 0 0 0 0 0 0 0 27847 0 0 1004414291 1265633473 16 Nurse Practitioners KATSULIS PAULYNN A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 465 0 0 0 0 0 0 465 0 0 1004414292 1164812988 16 Nurse Practitioners DAVIS ABIGAIL 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 0 0 0 0 0 262 0 0 1004414526 1992177612 16 Nurse Practitioners NAGUS LINDSAY N 611022112 109 Winnebago 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 1449 0 0 0 0 0 0 1449 0 0 1004414706 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 260 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 260 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1004414839 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27335 0 0 0 0 0 0 0 0 0 0 0 0 0 27335 0 0 1004414863 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 0 240 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 18182 0 0 0 0 0 0 0 0 0 0 0 0 0 18182 0 0 1004414876 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 64 0 0 0 0 0 0 64 0 0 1004414899 1003103045 13 Podiatrists PASCHOLD BRYCE A 617043630 72 McLean 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 1139 0 0 0 0 0 0 1139 0 0 1004415079 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16814 0 0 0 0 0 0 0 0 0 0 0 0 0 16814 0 0 1004415356 16 Nurse Practitioners 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004415809 1548657158 16 Nurse Practitioners STENNETT DYLAN WAYNE 999999999 104 Wayne 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 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 0 0 0 0 0 0 0 0 0 0 1004416290 1831361963 10 Physicians SMYTHE JASON J 606118709 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 39 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1282 0 13 0 0 0 0 0 0 1295 0 0 1004416314 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004416472 1629331087 10 Physicians LOUISSAINT RICHARD 604220786 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 5 0 239 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101 0 10392 0 0 0 0 0 0 10493 0 0 1004416560 1962668624 10 Physicians GIOVINGO MICHAEL 999999999 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 0 0 170 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40847 0 0 0 0 0 0 40847 0 0 1004416759 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 371 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 371 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58117 0 0 0 0 0 0 0 0 0 0 0 0 0 58117 0 0 1004416970 10 Physicians 71 McHenry 0 0 Pediatrics 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 76 0 0 1004417041 1427324201 10 Physicians WALTON JASMINE 999999999 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 59 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 76 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 76 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1033 0 1798 0 0 0 0 0 0 2831 0 0 1004417623 1093024200 16 Nurse Practitioners ZUELKE DIANE M 999999999 40 Grundy 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 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 1029 0 0 0 0 0 0 1029 0 0 1004417727 10 Physicians 826 Missouri 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 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 0 234 0 0 0 0 0 0 234 0 0 1004418165 91 Waiver service provider--Adults (DHS/DDD) 826 Missouri 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29548 0 0 0 0 0 0 0 0 0 0 0 0 0 29548 0 0 1004418175 94 Waiver service provider--Children's support (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 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18778 0 0 0 0 0 0 0 0 0 0 0 0 0 18778 0 0 1004418361 1659588614 86 Clinical Social Worker(Encounter Only) REEVES EUGENIA 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 824 0 0 0 0 0 0 824 0 0 1004418444 1972710101 10 Physicians CROWLEY RICHARD W 999999999 200 Cook 0 0 Neurology Surgery 0 0 0 0 0 0 0 0 0 0 0 9 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 121 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 121 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 19432 0 0 0 0 0 0 19538 0 0 1004418666 1457617037 10 Physicians PATEL RUCHITA 606733039 200 Cook 0 0 Internal Medicine 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 0 359 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 359 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4378 0 0 0 0 0 0 4378 0 0 1004418877 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27194 0 0 0 0 0 0 0 0 0 0 0 0 0 27194 0 0 1004418972 1417231515 24 Speech Therapists PAGANO JAMIE L 600054281 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 0 144 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 10544 10544 0 0 1004419067 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004419094 1164860672 89 Physician Assistant Only(Encounter Only) THOMAS CHELSEA L 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1004419192 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 30844 0 0 0 0 0 0 0 0 0 0 0 0 0 30844 0 0 1004419218 1235544792 16 Nurse Practitioners SHERMAN ALISSA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1029 0 0 0 0 0 0 1029 0 0 1004419534 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 68 0 0 1004419665 1114312097 36 Community mental health provider ECKER CENTER FOR BEHAVIORAL HE 601231967 53 Kane 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 1056 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 884 0 0 1056 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 884 0 0 28839 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24449 0 0 53288 0 0 1004419917 1881989952 10 Physicians AW-ZORETIC JESSIE 606118709 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 78 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7006 0 327 0 0 0 0 0 0 7333 0 0 1004419948 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 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17884 0 0 0 0 0 0 0 0 0 0 0 0 0 17884 0 0 1004420290 1356462030 89 Physician Assistant Only(Encounter Only) FLUCKER VENITA R 606123714 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 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 28 0 0 0 0 0 0 28 0 0 1004420329 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 14175 0 0 0 0 0 0 0 0 0 0 0 0 0 14175 0 0 1004420581 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 41 0 0 0 0 0 0 41 0 0 1004420659 14 Chiropractors 54 Kankakee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004420723 1215323308 16 Nurse Practitioners FRIERDICH JUSTIN E. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 695 0 0 0 0 0 0 695 0 0 1004421107 1396118048 16 Nurse Practitioners HEINOWSKI EMILY L 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 266 0 0 0 0 0 0 266 0 0 1004421133 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 0 260 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 17155 0 0 0 0 0 0 0 0 0 0 0 0 0 17155 0 0 1004421183 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 0 310 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 310 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14264 0 0 0 0 0 0 0 0 0 0 0 0 0 14264 0 0 1004421345 1649550518 89 Physician Assistant Only(Encounter Only) MCCOY PAUL 612044028 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 546 0 0 0 0 0 0 546 0 0 1004421562 1265402036 10 Physicians PAKIELA JOHN 999999999 19 Champaign 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 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 0 385 0 0 0 0 0 0 385 0 0 1004421891 1043593049 10 Physicians AKINOLA OLAYINKA 999999999 33 Effingham 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 0 156 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 0 0 0 0 0 2220 0 0 0 0 0 0 2220 0 0 1004421910 1710307681 16 Nurse Practitioners LANGSTON DEIDRE 624711227 34 Fayette 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 1522 0 0 0 0 0 0 1591 0 0 1004421955 1801272836 16 Nurse Practitioners HASKEN LAURIE S 611081673 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 660 0 0 0 0 0 0 660 0 0 1004422162 1124273149 86 Clinical Social Worker(Encounter Only) KLINKNER JEROME J 782404803 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1442 0 0 0 0 0 0 1442 0 0 1004422238 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 0 175 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 17884 0 0 0 0 0 0 0 0 0 0 0 0 0 17884 0 0 1004422269 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 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 0 252 0 0 0 0 0 0 252 0 0 1004422400 1295099901 10 Physicians NASEER MEHJABEEN 606225646 200 Cook 0 0 Internal Medicine 0 0 0 0 1 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 1366 0 0 0 0 0 0 1398 0 0 1004422489 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 365 0 0 1004423309 91 Waiver service provider--Adults (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 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 26337 0 0 0 0 0 0 0 0 0 0 0 0 0 26337 0 0 1004423388 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 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12590 0 0 0 0 0 0 0 0 0 0 0 0 0 12590 0 0 1004423462 1679955173 10 Physicians KUPRIEN ROSS 999999999 57 Lake 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 569 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1031 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1031 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9394 0 404 0 0 0 0 0 0 9798 0 0 1004423785 92 Waiver service provider--Disability (DHS/DRS) 52 Johnson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 10863 0 0 0 0 0 0 0 0 0 0 0 0 0 10863 0 0 1004423838 24 Speech Therapists 41 Hamilton 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 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 1627 1627 0 0 1004424083 1720408834 16 Nurse Practitioners MONDO PHARES 999999999 71 McHenry 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 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 0 353 0 0 0 0 0 0 353 0 0 1004424754 1457723744 33 Nursing Facilities "GROVE OF ELMHURST, THE" 601261101 30 DuPage 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 0 294 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7301 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1441042 0 0 0 0 0 0 0 1441042 0 0 1004424945 91 Waiver service provider--Adults (DHS/DDD) 100 Vermilion 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 612 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 612 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42792 0 0 0 0 0 0 0 0 0 0 0 0 0 42792 0 0 1004425261 1528214855 10 Physicians KONTZIALIS MARINOS 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 315 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 404 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 404 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10244 0 141 0 0 0 0 0 0 10385 0 0 1004425402 10 Physicians 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 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 43 0 0 0 0 0 0 43 0 0 1004425492 1295046332 10 Physicians RUSINAK JACQUELINE THEODORA 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 163 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 5696 0 0 0 0 0 0 5696 0 0 1004425519 1619356995 12 Optometrists RICE SAMANTHA M 999999999 30 DuPage 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 337 0 0 0 0 0 0 337 0 0 1004425631 1902941628 30 General Hospitals ALEXIAN BROTHERS MEDICAL CENTE 600073361 200 Cook DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 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 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 659 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 271754 0 0 0 0 0 0 0 0 0 271754 0 0 1004425761 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25513 0 0 0 0 0 0 0 0 0 0 0 0 0 25513 0 0 1004425831 1548637226 16 Nurse Practitioners WHEATON JOANNE 999999999 55 Kendall 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 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 1526 0 0 0 0 0 0 1526 0 0 1004425854 1619356276 16 Nurse Practitioners O'BRIEN TERESA M 606751611 200 Cook 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 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 1055 0 0 0 0 0 0 1055 0 0 1004426013 89 Physician Assistant Only(Encounter Only) 30 DuPage 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 1004426168 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 19882 0 0 0 0 0 0 0 0 0 0 0 0 0 19882 0 0 1004426246 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 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 4917 0 0 0 0 0 0 0 0 0 0 0 0 0 4917 0 0 1004426517 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 0 0 0 0 0 70 0 0 1004426599 1831440254 89 Physician Assistant Only(Encounter Only) COOPER CHRISTA S 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 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 1296 0 0 0 0 0 0 1296 0 0 1004426712 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004426814 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 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12821 0 0 0 0 0 0 0 0 0 0 0 0 0 12821 0 0 1004426874 1033390521 10 Physicians MALEBRANCHE LIONEL 999999999 98 Tazewell 0 0 Internal Medicine 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 0 381 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 381 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4404 0 0 0 0 0 0 4404 0 0 1004427472 10 Physicians 80 Peoria 0 0 Vascular 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 0 0 0 0 0 0 0 0 0 0 1004428067 1598025298 10 Physicians JONES JULIE 999999999 200 Cook 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 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 0 783 0 0 0 0 0 0 783 0 0 1004428212 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 0 0 0 0 0 0 0 0 0 0 1004428298 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 18253 0 0 0 0 0 0 0 0 0 0 0 0 0 18253 0 0 1004428309 23 Occupational Therapists 57 Lake 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 0 298 298 0 0 1004428543 91 Waiver service provider--Adults (DHS/DDD) 18 Cass 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2038 0 0 0 0 0 0 0 0 0 0 0 0 0 2038 0 0 1004428661 1184862336 10 Physicians WONG RICKY H. 602011700 200 Cook 0 0 Neurology Surgery 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 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 13726 0 0 0 0 0 0 13726 0 0 1004428743 1326341967 22 Physical Therapists ANTHONY NICOLE 999999999 108 Williamson 0 0 0 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 0 120 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 1433 1433 0 0 1004428995 1578774303 10 Physicians CHAKU MEENAKSHI 601545716 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 15 0 72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 82 0 7716 0 0 0 0 0 0 7798 0 0 1004429047 10 Physicians 25 Crawford 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 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 17 0 0 0 0 0 0 17 0 0 1004429164 1972908663 63 Other Providers of Medical Equipment/Supplies (Non-registered) "KINETIC O & P, LTD." 999999999 54 Kankakee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 36 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 6398 0 15173 0 0 0 0 21571 0 0 1004429398 1114283215 10 Physicians PAKRASI RIDDHI 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 2434 0 0 0 0 0 0 2439 0 0 1004429490 92 Waiver service provider--Disability (DHS/DRS) 72 McLean 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 7030 0 0 0 0 0 0 0 0 0 0 0 0 0 7030 0 0 1004429533 1598137895 33 Nursing Facilities THE GROVE OF EVANSTON LIVING & 602022724 200 Cook 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 0 321 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7491 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 932977 0 0 0 0 0 0 0 932977 0 0 1004429565 1265635957 89 Physician Assistant Only(Encounter Only) SMITH TOMMIE S 999999999 47 Jackson 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 0 161 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 1734 0 0 0 0 0 0 1734 0 0 1004430220 1356706097 16 Nurse Practitioners MILLICHAP MARIA 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 0 720 0 0 0 0 0 0 720 0 0 1004430575 1215328182 24 Speech Therapists VONDERHAAR KELSEY A 623014038 10 Adams 0 0 0 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 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 0 929 929 0 0 1004430836 1174938575 16 Nurse Practitioners HOMMES LINDA L 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 213 0 0 0 0 0 0 213 0 0 1004431193 10 Physicians 109 Winnebago 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 43 0 0 0 0 0 0 43 0 0 1004431257 1326335514 10 Physicians BRENT EVORA J 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 10 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 1164 0 0 0 0 0 0 0 0 1944 0 0 0 0 0 0 3108 0 0 1004431325 1326450933 12 Optometrists WITT RYAN J 618323094 100 Vermilion 0 0 Diagnostic Pharmaceutical Agents 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 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 1070 0 0 0 0 0 0 1070 0 0 1004431892 1285865899 16 Nurse Practitioners SMITH AMBER B 631600352 109 Winnebago 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 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 2083 0 0 0 0 0 0 2083 0 0 1004431984 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 251 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 251 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10534 0 0 0 0 0 0 0 0 0 0 0 0 0 10534 0 0 1004432034 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 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16802 0 0 0 0 0 0 0 0 0 0 0 0 0 16802 0 0 1004432307 1861882052 16 Nurse Practitioners VERCAUTEREN MARK J 631600352 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 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 0 361 0 0 0 0 0 0 361 0 0 1004432320 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 336 0 0 0 0 0 0 336 0 0 1004432976 1518152446 89 Physician Assistant Only(Encounter Only) PADGETT DAVID W 999999999 26 Cumberland 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 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 1089 0 0 0 0 0 0 1089 0 0 1004433030 1881853596 10 Physicians KUMAR SHAKTHI 999999999 30 DuPage 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 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 3965 0 0 0 0 0 0 3965 0 0 1004433145 1881907699 10 Physicians FLAHERTY ELIZABETH C 999999999 57 Lake 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 2 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 1255 0 0 0 0 0 0 1276 0 0 1004433158 1568849818 16 Nurse Practitioners HELFRICH TARA L 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1062 0 0 0 0 0 0 1062 0 0 1004433473 1811153034 10 Physicians SEBA AMBER D 999999999 200 Cook 0 0 Internal Medicine 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 0 337 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 337 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9698 0 0 0 0 0 0 9698 0 0 1004433657 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 0 324 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 324 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1004433677 1891097192 89 Physician Assistant Only(Encounter Only) VEIT MARLA MICHELLE 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 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 1754 0 0 0 0 0 0 1754 0 0 1004433686 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 0 278 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 0 0 0 0 0 0 0 0 0 0 0 0 18053 0 0 0 0 0 0 0 0 0 0 0 0 0 18053 0 0 1004433823 1801152111 10 Physicians PADATH JEENA 999999999 200 Cook 0 0 Internal 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 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 0 182 0 0 0 0 0 0 182 0 0 1004434162 1083863310 10 Physicians DEAN ANDREA 601815267 30 DuPage 0 0 Hematology 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 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 0 571 0 0 0 0 0 0 571 0 0 1004434250 1205199502 10 Physicians PRUS IGOR 999999999 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 10 0 105 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 220 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 220 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 201 0 6952 0 0 0 0 0 0 7153 0 0 1004434307 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 213 0 0 0 0 0 0 213 0 0 1004434675 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 0 174 0 0 0 0 0 0 174 0 0 1004434730 1992174403 16 Nurse Practitioners KIM JOHN H 618012529 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 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 1999 0 0 0 0 0 0 1999 0 0 1004434733 1225420904 16 Nurse Practitioners HUTCHESON KEVIN 999999999 826 Missouri 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 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 0 767 0 0 0 0 0 0 767 0 0 1004434978 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 9421 0 0 0 0 0 0 0 0 0 0 0 0 0 9421 0 0 1004435294 91 Waiver service provider--Adults (DHS/DDD) 42 Hancock 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 7997 0 0 0 0 0 0 0 0 0 0 0 0 0 7997 0 0 1004435300 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 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 10808 0 0 0 0 0 0 0 0 0 0 0 0 0 10808 0 0 1004435483 10 Physicians 30 DuPage 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004435611 10 Physicians 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 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 26 0 0 0 0 0 0 26 0 0 1004435677 1215357553 86 Clinical Social Worker(Encounter Only) SAUNDERS KATHERINE A 999999999 10 Adams 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 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 0 271 0 0 0 0 0 0 271 0 0 1004436132 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 30339 0 0 0 0 0 0 0 0 0 0 0 0 0 30339 0 0 1004436161 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23068 0 0 0 0 0 0 0 0 0 0 0 0 0 23068 0 0 1004436224 1528446630 75 Department of Alcohol and Substance Abuse Provider WABASH COUNTY HEALTH DEPT 628631945 101 Wabash 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2904 0 0 2904 0 0 1004436419 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 0 348 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 17026 0 0 0 0 0 0 0 0 0 0 0 0 0 17026 0 0 1004436528 1558672683 10 Physicians VELAMATI RUKMINI 999999999 200 Cook 0 0 Pediatrics 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 0 112 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 6048 0 0 0 0 0 0 6048 0 0 1004436583 1780979401 10 Physicians DIMMOCK ELIZABETH ANN 601159602 200 Cook 0 0 Anesthesiology 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 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1089 0 0 0 0 0 0 1089 0 0 1004436591 1437350899 10 Physicians SCHNEIDER DEBRA A 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 11 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 393 0 0 0 0 0 0 425 0 0 1004436660 1043270424 30 General Hospitals SSM HEALTH GOOD SAMARITAN HOSP 999999999 49 Jefferson DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 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 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22651 0 0 0 0 0 0 0 0 0 22651 0 0 1004436973 1720405541 16 Nurse Practitioners DRISCOLL JULIE A 503061455 70 McDonough 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 162 0 0 0 0 0 0 0 0 1260 0 0 0 0 0 0 1422 0 0 1004437438 1407233760 13 Podiatrists RAESTAS AARON 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1465 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1465 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5559 0 0 0 0 0 0 5559 0 0 1004437460 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 0 362 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 27821 0 0 0 0 0 0 0 0 0 0 0 0 0 27821 0 0 1004437464 1376935049 16 Nurse Practitioners KURN MARIA DEL CARMEN 606123714 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 37 0 0 1004437726 1053553313 10 Physicians MULLER BRIEANN A 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 22 0 143 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 359 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 359 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 984 0 8787 0 0 0 0 0 0 9771 0 0 1004437854 91 Waiver service provider--Adults (DHS/DDD) 61 Livingston 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14204 0 0 0 0 0 0 0 0 0 0 0 0 0 14204 0 0 1004438095 1710184197 10 Physicians SHARMA JAYA 606081732 200 Cook 0 0 Internal Medicine 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 0 291 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 291 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9860 0 0 0 0 0 0 9860 0 0 1004438399 1265837397 22 Physical Therapists STUCK JOANNA 616033201 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 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9245 9245 0 0 1004438440 1982041596 10 Physicians MCMULLIN CHRISTOPHER L 999999999 200 Cook 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 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 0 363 0 0 0 0 0 0 363 0 0 1004438517 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 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 3886 0 0 0 0 0 0 0 0 0 0 0 0 0 3886 0 0 1004438534 1114398930 22 Physical Therapists MECWAN NORMAN J 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2488 2488 0 0 1004438582 1497959985 10 Physicians BOYLE DANIEL P 999999999 200 Cook 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 0 492 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 0 0 0 0 0 0 0 0 0 0 0 0 9469 0 0 0 0 0 0 9469 0 0 1004438629 10 Physicians 200 Cook 0 0 Ophthalmology 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 0 236 0 0 0 0 0 0 236 0 0 1004438820 1811121726 10 Physicians GONG SHUNYOU 999999999 200 Cook 0 0 Clinical Pathology 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 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 0 709 0 0 0 0 0 0 0 0 709 0 0 1004439389 1578861258 89 Physician Assistant Only(Encounter Only) CZUBA CYNTHIA 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 1142 0 0 0 0 0 0 1142 0 0 1004439423 1831562859 16 Nurse Practitioners RICCI KIMBERLY S 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 0 0 0 0 0 262 0 0 1004439495 1720045024 10 Physicians BARKER CARRIE K 999999999 816 Iowa 0 0 Pediatrics 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 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 1817 0 0 0 0 0 0 1817 0 0 1004439509 1588981138 10 Physicians LEE HYO 606225646 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 472 0 0 0 0 0 0 472 0 0 1004439642 1457575490 24 Speech Therapists PAPADAKES JENNIFER 600471213 57 Lake 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 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 4549 4549 0 0 1004439882 1174510200 89 Physician Assistant Only(Encounter Only) AARON TRACI L 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 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 0 431 0 0 0 0 0 0 431 0 0 1004439927 1518376680 89 Physician Assistant Only(Encounter Only) AHLGRIMM ELIZABETH A. 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 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 0 0 0 0 0 0 0 0 0 0 1004440044 70 Ambulance Service Providers 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004440394 1548637580 16 Nurse Practitioners HILOVSKY KATHRYN 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 0 547 0 0 0 0 0 0 547 0 0 1004440619 86 Clinical Social Worker(Encounter Only) 72 McLean 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 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 0 190 0 0 0 0 0 0 190 0 0 1004440889 1457577215 86 Clinical Social Worker(Encounter Only) TOLAND TARA 627621000 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 844 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 0 0 0 0 0 65366 0 0 0 0 0 0 65366 0 0 1004441003 92 Waiver service provider--Disability (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 10914 0 0 0 0 0 0 0 0 0 0 0 0 0 10914 0 0 1004441028 1750519914 33 Nursing Facilities CITY VIEW MULTICARE CENTER LLC 608042134 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 515 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 902645 0 0 0 0 0 0 0 902645 0 0 1004441520 1295769297 10 Physicians MANAGAN YOLANDA HOLLER 606116649 200 Cook 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 388 0 0 0 0 0 0 0 0 2315 0 0 0 0 0 0 2703 0 0 1004441559 1972767044 10 Physicians KAUSHIK VIDHU 999999999 80 Peoria 0 0 0 0 0 0 1 0 0 0 0 0 0 441 0 86 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 2044 0 96 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 2044 0 96 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 12467 0 10586 0 0 0 0 0 0 23058 0 0 1004441711 1891728697 63 Other Providers of Medical Equipment/Supplies (Non-registered) AEROFLOW HEALTHCARE 287049213 834 North Carolina 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5618 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68720 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68720 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4380393 0 8982 0 0 0 0 4389375 0 0 1004442274 1164450987 10 Physicians FLACK JOHN M 627949639 91 Sangamon 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 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 0 856 0 0 0 0 0 0 856 0 0 1004442445 1720451602 47 Local Education Agencies SOUTH WILMINGTON CCSD 74 999999999 40 Grundy 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 0 420 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 420 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4260 0 4260 0 0 1004442915 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 571 0 0 0 0 0 0 571 0 0 1004442934 1588036891 33 Nursing Facilities THE GROVE OF SKOKIE 999999999 200 Cook 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 0 306 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7299 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1100097 0 0 0 0 0 0 0 1100097 0 0 1004443275 1245636372 16 Nurse Practitioners CASSELBURY EMILY 606751620 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 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 2320 0 0 0 0 0 0 2320 0 0 1004443358 1417948571 10 Physicians GUPTA MUNISH CHANDRA 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 816 0 0 0 0 0 0 816 0 0 1004443361 1316342215 16 Nurse Practitioners LEUNG JULIE G 606123748 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 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 8939 0 0 0 0 0 0 8939 0 0 1004443485 1730520529 89 Physician Assistant Only(Encounter Only) BAEZ JOSEPH 999999999 200 Cook 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 0 155 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 4435 0 0 0 0 0 0 4435 0 0 1004443551 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004443727 1346643293 16 Nurse Practitioners COBERT ROBERT 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 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 0 539 0 0 0 0 0 0 539 0 0 1004443787 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 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9047 0 0 0 0 0 0 0 0 0 0 0 0 0 9047 0 0 1004443875 1538578224 16 Nurse Practitioners PASHIA RYAN 298413862 34 Fayette 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 0 455 0 0 0 0 0 0 455 0 0 1004443890 1164807632 11 Dentists UENO HIROSHI 600053108 200 Cook 0 0 Orthodontist 0 0 0 44 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 12692 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12692 0 0 1004443919 1518252386 10 Physicians NJOKU FRANKLIN U 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 0 154 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 3265 0 0 0 0 0 0 3265 0 0 1004444018 10 Physicians 63 Macon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004444144 91 Waiver service provider--Adults (DHS/DDD) 79 Ogle 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14905 0 0 0 0 0 0 0 0 0 0 0 0 0 14905 0 0 1004444156 1144609678 89 Physician Assistant Only(Encounter Only) SPENNER ERIC M 999999999 91 Sangamon 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 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3354 0 0 0 0 0 0 3354 0 0 1004444527 1033406038 10 Physicians EMILY RADEMACHER 616360001 80 Peoria 0 0 Psychiatry 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 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 0 724 0 0 0 0 0 0 724 0 0 1004444694 1033373709 10 Physicians BEMISS BRADFORD C 601545716 200 Cook 0 0 Internal Medicine 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 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2482 0 0 0 0 0 0 2482 0 0 1004444774 1942596705 10 Physicians SERAFINI NICHOLAS J. 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 158 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 476 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 476 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 5238 0 0 0 0 0 0 5249 0 0 1004444806 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 0 354 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 354 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17496 0 0 0 0 0 0 0 0 0 0 0 0 0 17496 0 0 1004444920 1114388709 16 Nurse Practitioners CORBITT LEAH 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 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 1854 0 0 0 0 0 0 1854 0 0 1004445001 1255703450 36 Community mental health provider KISH HEALTH SYSTEM BEHAVIORAL 999999999 27 Dekalb 0 0 0 170 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 316 0 0 907 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2620 0 0 907 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2620 0 0 54480 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216657 0 0 271137 0 0 1004445077 1629478359 40 Federally Qualified Health Centers ALIVIO MED CTR BENITO JUAREZ 606084408 200 Cook 0 0 0 0 50 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13939 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13939 0 0 1004445270 1477735595 10 Physicians RAIJI VEENA 605276686 63 Macon 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 5 0 120 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 621 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 621 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 35025 0 0 0 0 0 0 35080 0 0 1004445279 92 Waiver service provider--Disability (DHS/DRS) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24437 0 0 0 0 0 0 0 0 0 0 0 0 0 24437 0 0 1004445380 89 Physician Assistant Only(Encounter Only) 27 Dekalb 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 74 0 0 1004445857 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 0 0 0 0 0 0 0 0 0 0 1004445919 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 0 192 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 30585 0 0 0 0 0 0 0 0 0 0 0 0 0 30585 0 0 1004446076 1730316290 10 Physicians GLOVER-COLLINS KATHERINE 999999999 826 Missouri 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 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 0 402 0 0 0 0 0 0 402 0 0 1004446155 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 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28382 0 0 0 0 0 0 0 0 0 0 0 0 0 28382 0 0 1004446360 1386992436 89 Physician Assistant Only(Encounter Only) DOETCH JASON M 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 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 1352 0 0 0 0 0 0 1352 0 0 1004446697 1558441626 89 Physician Assistant Only(Encounter Only) BEVILLE JENNIFER 999999999 200 Cook 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 173 0 0 0 0 0 0 0 0 651 0 0 0 0 0 0 824 0 0 1004446867 94 Waiver service provider--Children's support (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 205 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 14231 0 0 0 0 0 0 0 0 0 0 0 0 0 14231 0 0 1004447027 1912940958 10 Physicians SHAW GARY Y 999999999 68 Mason 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 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 1638 0 0 0 0 0 0 1638 0 0 1004447243 1043421274 10 Physicians THORMEYER JEFFREY R 999999999 106 Whiteside 0 0 Orthopedic Surgery 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 0 155 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 155 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8861 0 0 0 0 0 0 8861 0 0 1004447262 1063897908 16 Nurse Practitioners KRIES SARAH N 298413862 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 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 0 713 0 0 0 0 0 0 713 0 0 1004447285 1144620642 16 Nurse Practitioners HUNT ALISON D 999999999 27 Dekalb 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 0 622 0 0 0 0 0 0 622 0 0 1004447453 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 0 154 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 23038 0 0 0 0 0 0 0 0 0 0 0 0 0 23038 0 0 1004447482 1023306859 10 Physicians REVAK THOMAS J 631418266 109 Winnebago 0 0 Orthopedic Surgery 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 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 10043 0 0 0 0 0 0 10043 0 0 1004447539 1366803751 16 Nurse Practitioners STONEBURNER JESSICA 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 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 1909 0 0 0 0 0 0 1909 0 0 1004447845 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 0 243 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 0 0 0 0 0 0 0 0 0 0 0 0 30229 0 0 0 0 0 0 0 0 0 0 0 0 0 30229 0 0 1004447870 1154792406 16 Nurse Practitioners BRANKIN SHARA ANN 999999999 107 Will 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 0 108 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 6498 0 0 0 0 0 0 6498 0 0 1004448525 1093007171 10 Physicians MARTIN KEVIN M. 629023988 47 Jackson 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 0 124 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 3676 0 0 0 0 0 0 3676 0 0 1004448565 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 36877 0 0 0 0 0 0 0 0 0 0 0 0 0 36877 0 0 1004448593 1942693692 16 Nurse Practitioners HAYDEN RACHEL 618012529 19 Champaign 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 0 289 0 0 0 0 0 0 289 0 0 1004448628 1679853931 55 Early Intervention Services TROST KAREN 605855826 107 Will 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 0 597 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 597 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39027 0 0 0 0 0 0 39027 0 0 1004448650 1922096320 33 Nursing Facilities MONTGOMERY NURSING AND REHAB 620494125 76 Montgomery 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 0 143 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3491 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 329224 0 0 0 0 0 0 0 329224 0 0 1004448659 1851553374 10 Physicians WILLIAMS JOEL 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 14 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 393 0 6656 0 0 0 0 0 0 7049 0 0 1004448860 1336528603 12 Optometrists MAN MICHELLE 999999999 805 California 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 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 0 792 0 0 0 0 0 0 792 0 0 1004448930 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004449122 1932369931 10 Physicians COHEN ELIZABETH A 999999999 200 Cook 0 0 Anesthesiology 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 1642 0 0 0 0 0 0 1642 0 0 1004449130 1770961278 89 Physician Assistant Only(Encounter Only) SHIN CHRISTINA S 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 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 3619 0 0 0 0 0 0 3619 0 0 1004449378 1447658497 11 Dentists SHARMA DALVINA 604112323 200 Cook 0 0 General Dentistry 0 0 0 65 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 296 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 296 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 7710 0 0 0 0 0 0 0 0 0 0 0 2220 0 0 0 0 9930 0 0 1004449810 91 Waiver service provider--Adults (DHS/DDD) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 264 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 27831 0 0 0 0 0 0 0 0 0 0 0 0 0 27831 0 0 1004449825 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 0 131 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 21639 0 0 0 0 0 0 0 0 0 0 0 0 0 21639 0 0 1004449879 1851618995 10 Physicians LEE JASON D 999999999 53 Kane 0 0 Radiation Oncology 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 0 243 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 0 0 0 0 0 0 0 0 0 0 0 0 3423 0 0 0 0 0 0 3423 0 0 1004449952 1376754986 89 Physician Assistant Only(Encounter Only) FOSTER JENNIFER SAUNDERS 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004450286 1003294620 16 Nurse Practitioners DOLAN THERESA A 606313222 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 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004450492 1487910576 16 Nurse Practitioners REYNOLDS SARA E. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 355 0 0 0 0 0 0 355 0 0 1004450741 1992092258 10 Physicians PEREIRA KEITH J 999999999 810 Florida 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 1877 0 0 0 0 0 0 1947 0 0 1004451365 1225262744 10 Physicians SENGUPTA NEIL 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1986 0 0 0 0 0 0 1986 0 0 1004451371 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 0 356 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 356 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20113 0 0 0 0 0 0 0 0 0 0 0 0 0 20113 0 0 1004451386 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 1271 0 0 0 0 0 0 0 0 0 0 0 0 0 1271 0 0 1004451646 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 26082 0 0 0 0 0 0 0 0 0 0 0 0 0 26082 0 0 1004451660 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004451672 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 0 300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26516 0 0 0 0 0 0 0 0 0 0 0 0 0 26516 0 0 1004451724 1376919522 89 Physician Assistant Only(Encounter Only) RANARIO DANELLE ROSE 606313222 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 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 1116 0 0 0 0 0 0 1116 0 0 1004451775 1265725295 16 Nurse Practitioners MCWILLIAM BERNADETTE C 606118709 200 Cook 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 0 112 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 1178 0 0 0 0 0 0 1178 0 0 1004451825 1023332814 10 Physicians CHINNAPPAN RAJ 606114586 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 238 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 337 0 121 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 337 0 121 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2444 0 1367 0 0 0 0 0 0 3811 0 0 1004452004 1720347669 10 Physicians VASAN ANITA 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 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 0 859 0 0 0 0 0 0 859 0 0 1004452096 1316901705 89 Physician Assistant Only(Encounter Only) KWONG CHRISTOPHER 999999999 53 Kane 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 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 4254 0 0 0 0 0 0 4254 0 0 1004452296 1508260761 16 Nurse Practitioners BROWN CRYSTAL 946081844 96 St Clair 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 233 0 0 0 0 0 0 233 0 0 1004452339 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 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 36146 0 0 0 0 0 0 0 0 0 0 0 0 0 36146 0 0 1004452464 1366768830 10 Physicians RICE MELISSA M 999999999 200 Cook 0 0 Emergency Medicine 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 0 275 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 3982 0 0 0 0 0 0 3982 0 0 1004452631 1427324656 16 Nurse Practitioners HAMMOND MIRANDA 620023931 65 Madison 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 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 1303 0 0 0 0 0 0 1303 0 0 1004453485 11 Dentists 107 Will 0 0 General Dentistry 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 1004453707 1780088955 89 Physician Assistant Only(Encounter Only) RHODES MEGAN L 606733039 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 565 0 0 0 0 0 0 565 0 0 1004453738 1346638806 16 Nurse Practitioners EBERT ASHLEY 999999999 45 Henry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 505 0 0 0 0 0 0 505 0 0 1004454090 1639443245 10 Physicians DARKO LAURA 999999999 25 Crawford 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 12 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 528 0 3512 0 0 0 0 0 0 4040 0 0 1004454232 1992936751 10 Physicians CONTI MICA MEGAN 999999999 30 DuPage 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 1 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 8461 0 0 0 0 0 0 8464 0 0 1004454310 16 Nurse Practitioners 10 Adams 0 0 0 0 0 0 0 0 0 0 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 1004454389 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 3672 0 0 0 0 0 0 0 0 0 0 0 0 0 3672 0 0 1004454833 1174800155 10 Physicians NEVILLE MICHAEL 606740018 200 Cook 0 0 Family Practice 0 0 0 0 2 0 0 0 0 0 0 7 0 26 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 13 0 61 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 13 0 61 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 98 0 948 0 0 0 0 0 0 1275 0 0 1004455122 98 Waiver service provider--TBI (DHS/DRS) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 473 0 0 0 0 0 0 0 0 0 0 0 0 0 473 0 0 1004455168 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 0 528 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 528 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58125 0 0 0 0 0 0 0 0 0 0 0 0 0 58125 0 0 1004455207 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30331 0 0 0 0 0 0 0 0 0 0 0 0 0 30331 0 0 1004455253 1639561285 16 Nurse Practitioners DOUR JESSICA J 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 584 0 0 0 0 0 0 584 0 0 1004455254 1043530041 10 Physicians ADERSON SINDHU K 999999999 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 59 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 579 0 1559 0 0 0 0 0 0 2138 0 0 1004455318 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 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 2575 0 0 0 0 0 0 0 0 0 0 0 0 0 2575 0 0 1004455329 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 0 204 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 22161 0 0 0 0 0 0 0 0 0 0 0 0 0 22161 0 0 1004455357 1710375043 16 Nurse Practitioners FORTENBERRY TERESA 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 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 0 518 0 0 0 0 0 0 518 0 0 1004455622 1356713655 33 Nursing Facilities LAKEFRONT NURSING & REHAB CENT 606261418 200 Cook 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 66 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 0 0 0 0 0 218859 0 0 0 0 0 0 0 218859 0 0 1004455938 1336370824 10 Physicians HASWAH NEDA 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 341 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 484 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 484 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8144 0 282 0 0 0 0 0 0 8426 0 0 1004455978 1952797383 16 Nurse Practitioners ANDERSON AMANDA S 999999999 58 La Salle 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 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 0 913 0 0 0 0 0 0 913 0 0 1004456517 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 15919 0 0 0 0 0 0 0 0 0 0 0 0 0 15919 0 0 1004456544 1811158272 10 Physicians THRUSH PHILIP T. 606112991 200 Cook 0 0 Pediatrics 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4061 0 0 0 0 0 0 4061 0 0 1004456753 1306814199 89 Physician Assistant Only(Encounter Only) FIDER-WHYTE ALEXA 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 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 0 449 0 0 0 0 0 0 449 0 0 1004456776 1285060061 89 Physician Assistant Only(Encounter Only) SANDERS HEATHER 999999999 96 St Clair 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 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 2958 0 0 0 0 0 0 2958 0 0 1004456814 1053675561 10 Physicians KRUMHOLZ LINDSEY M 630442551 200 Cook 0 1 Pediatrics 0 0 0 0 65 0 0 0 0 0 0 33 0 106 0 0 0 0 0 0 0 0 0 228 0 0 0 0 0 0 49 0 178 0 0 0 0 0 0 0 0 0 228 0 0 0 0 0 0 49 0 178 0 0 0 0 0 0 0 0 0 7609 0 0 0 0 0 0 774 0 4699 0 0 0 0 0 0 13082 0 0 1004457072 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 6033 0 0 0 0 0 0 0 0 0 0 0 0 0 6033 0 0 1004457231 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27972 0 0 0 0 0 0 0 0 0 0 0 0 0 27972 0 0 1004457252 89 Physician Assistant Only(Encounter Only) 58 La Salle 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 26 0 0 1004457385 1316305949 16 Nurse Practitioners RAGAINS ZACHARY 999999999 80 Peoria 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 0 598 0 0 0 0 0 0 598 0 0 1004457576 1306133640 10 Physicians WHITE JERMAINE K 999999999 200 Cook 0 0 Emergency Medicine 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 0 170 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 0 0 0 0 0 0 0 0 0 0 4695 0 0 0 0 0 0 4695 0 0 1004457587 1760734073 10 Physicians AMIN DHARA P 606313222 200 Cook 0 0 Emergency Medicine 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 0 121 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 6616 0 0 0 0 0 0 6616 0 0 1004457953 1225343171 10 Physicians MUELLER DANIEL 613501604 58 La Salle 0 0 Emergency Medicine 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 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5646 0 0 0 0 0 0 5646 0 0 1004458015 91 Waiver service provider--Adults (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 260 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 27179 0 0 0 0 0 0 0 0 0 0 0 0 0 27179 0 0 1004458391 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4414 0 0 0 0 0 0 0 0 0 0 0 0 0 4414 0 0 1004458686 1114145786 89 Physician Assistant Only(Encounter Only) NUNAG IRIS THERESE 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 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 0 199 0 0 0 0 0 0 199 0 0 1004458805 1043585573 16 Nurse Practitioners JOHNSON BRIAN D 999999999 60 Lee 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 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 1028 0 0 0 0 0 0 1028 0 0 1004459156 1255709366 36 Community mental health provider MIDWEST ASIAN HEALTH ASSOCIATI 606165013 200 Cook 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 315 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 315 0 0 3350 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37304 0 0 40654 0 0 1004459696 1326417080 40 Federally Qualified Health Centers CHESTNUT FAMILY HEALTH CENTER 620406805 65 Madison 0 0 0 0 129 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 620 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 620 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46713 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46713 0 0 1004459894 1780827659 10 Physicians YAMANAKA TRAVIS T 999999999 200 Cook 0 0 Internal 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 0 382 0 0 0 0 0 0 382 0 0 1004460153 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 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 22 0 0 1004460161 1750553665 10 Physicians DATTA ANKUR 999999999 200 Cook 0 0 Pediatrics 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14538 0 0 0 0 0 0 14538 0 0 1004460269 1093940132 10 Physicians KIM MINJEE 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 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 2576 0 0 0 0 0 0 2576 0 0 1004460358 1508120783 10 Physicians MORRISON MICHELLE 606071644 200 Cook 0 0 Family Practice 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 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 0 172 0 0 0 0 0 0 172 0 0 1004460488 1154563377 10 Physicians ROSS ANDREW B 535625531 24 Coles 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 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 0 226 0 0 0 0 0 0 0 0 226 0 0 1004460630 1538543871 11 Dentists TEKLE SOPHIA 608043638 200 Cook 0 0 General Dentistry 0 0 0 221 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1680 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1680 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64869 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64869 0 0 1004460642 1265819551 16 Nurse Practitioners HANDLER PATRICIA E. 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276 0 0 0 0 0 0 276 0 0 1004460731 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004460756 1639435209 10 Physicians VILLA EDWARD C 606123748 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 97 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 199 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 199 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 22367 0 0 0 0 0 0 22374 0 0 1004460838 1942569959 10 Physicians KELLY JENNIFER L 300092064 19 Champaign 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 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 1203 0 0 0 0 0 0 1203 0 0 1004460930 10 Physicians 96 St Clair 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004460989 1669602660 10 Physicians SCHWIND NOAH R 604358534 107 Will 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 262 0 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 410 0 293 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 410 0 293 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4528 0 3683 0 0 0 0 0 0 8211 0 0 1004460991 1700252053 22 Physical Therapists LUNT NATHAN 999999999 10 Adams 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 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1709 1709 0 0 1004461475 1043617087 16 Nurse Practitioners LUCERO ALLYSON M 999999999 200 Cook 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 3459 0 0 0 0 0 0 3484 0 0 1004461617 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 84 0 0 0 0 0 0 84 0 0 1004461699 1891135059 10 Physicians SOHN VANESSA R 999999999 200 Cook 0 1 General Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 405 0 0 0 0 0 0 405 0 0 1004461847 1922488386 86 Clinical Social Worker(Encounter Only) SUMMERS ASHLEE N 999999999 19 Champaign 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 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 0 817 0 0 0 0 0 0 817 0 0 1004462084 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19914 0 0 0 0 0 0 0 0 0 0 0 0 0 19914 0 0 1004462322 1811337702 10 Physicians BEAL DAVID 999999999 24 Coles 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8716 0 0 0 0 0 0 8716 0 0 1004462394 1912389313 10 Physicians CAHAN JOSHUA G 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1129 0 0 0 0 0 0 1129 0 0 1004462579 1407244502 60 Pharmacies MEDICATE PHARMACY INC 620404700 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68 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 0 0 0 0 0 18983 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32124 0 0 0 32124 0 0 1004462730 1821476359 16 Nurse Practitioners RAKOWSKI HANNA J 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 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2524 0 0 0 0 0 0 2524 0 0 1004462772 1063625820 23 Occupational Therapists PARTIPILO JACQUELYN M. 999999999 852 Wisconsin 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 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 0 721 721 0 0 1004463087 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 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 4907 0 0 0 0 0 0 0 0 0 0 0 0 0 4907 0 0 1004463260 1073905089 16 Nurse Practitioners PACHNIK SHANNON 999999999 200 Cook 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 332 0 0 0 0 0 0 332 0 0 1004463290 1982808820 10 Physicians "KARMALI, KUNAL N." 999999999 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 188 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3325 0 0 0 0 0 0 3325 0 0 1004463329 1124318381 10 Physicians DESAI AVANI 850823814 30 DuPage 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 43 0 0 0 0 0 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 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2767 0 0 0 0 0 0 2767 0 0 1004463365 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 0 301 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 301 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27537 0 0 0 0 0 0 0 0 0 0 0 0 0 27537 0 0 1004463366 1326054669 10 Physicians PHAM DUC THINH 999999999 200 Cook 0 0 Thoracic Surgery 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 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 5215 0 0 0 0 0 0 5215 0 0 1004463661 1598083727 10 Physicians KAUFMAN DAVID 606118709 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 17 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 5719 0 0 0 0 0 0 5847 0 0 1004463810 1396988259 10 Physicians KATZ JEREMY 152132536 839 Pennsylvania 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 605 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 866 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 866 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14561 0 401 0 0 0 0 0 0 14962 0 0 1004464237 1760622138 10 Physicians SABIR ADEEL 999999999 91 Sangamon 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 306 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 433 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 433 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6785 0 243 0 0 0 0 0 0 7028 0 0 1004465093 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 0 178 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 25137 0 0 0 0 0 0 0 0 0 0 0 0 0 25137 0 0 1004465313 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 480 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 0 0 0 0 0 0 0 0 0 0 0 0 53239 0 0 0 0 0 0 0 0 0 0 0 0 0 53239 0 0 1004465327 10 Physicians 852 Wisconsin 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94 0 0 0 0 0 0 0 0 94 0 0 1004465520 1902059066 89 Physician Assistant Only(Encounter Only) SHER DANICE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 511 0 0 0 0 0 0 511 0 0 1004465630 24 Speech Therapists 98 Tazewell 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 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 1348 1348 0 0 1004466238 1316292444 10 Physicians ZUFISHAN NAUSHEEN 999999999 30 DuPage 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 0 167 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 0 0 0 0 0 1755 0 0 0 0 0 0 1755 0 0 1004466285 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 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 15279 0 0 0 0 0 0 0 0 0 0 0 0 0 15279 0 0 1004466348 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33159 0 0 0 0 0 0 0 0 0 0 0 0 0 33159 0 0 1004466393 1982070959 16 Nurse Practitioners LONG JENNIFER 999999999 53 Kane 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 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3525 0 0 0 0 0 0 3525 0 0 1004466600 91 Waiver service provider--Adults (DHS/DDD) 60 Lee 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6306 0 0 0 0 0 0 0 0 0 0 0 0 0 6306 0 0 1004466610 1679779227 89 Physician Assistant Only(Encounter Only) LANDGRAF LAURA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 459 0 0 0 0 0 0 459 0 0 1004466703 1669737474 10 Physicians RAUBER KENDRA 602011700 200 Cook 0 0 Pediatrics 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 4771 0 0 0 0 0 0 4771 0 0 1004466733 1134495310 10 Physicians SGARLATA NATALIE 606313222 57 Lake 0 0 Pediatrics 0 0 0 0 63 0 0 0 0 0 0 13 0 75 0 0 0 0 0 0 0 0 0 159 0 0 0 0 0 0 14 0 115 0 0 0 0 0 0 0 0 0 159 0 0 0 0 0 0 14 0 115 0 0 0 0 0 0 0 0 0 6811 0 0 0 0 0 0 297 0 4347 0 0 0 0 0 0 11455 0 0 1004467154 1417036443 10 Physicians BERNARD JARED 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 420 0 0 0 0 0 0 420 0 0 1004467654 10 Physicians 852 Wisconsin 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 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 0 443 0 0 0 0 0 0 443 0 0 1004467866 1336516590 16 Nurse Practitioners BERG LAURIE A. 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2099 0 0 0 0 0 0 2099 0 0 1004467932 1194100446 16 Nurse Practitioners RIOS SOLEDAD 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2121 0 0 0 0 0 0 2121 0 0 1004468301 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 32 0 0 0 0 0 0 32 0 0 1004468583 91 Waiver service provider--Adults (DHS/DDD) 89 Rock Island 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4069 0 0 0 0 0 0 0 0 0 0 0 0 0 4069 0 0 1004468638 1528440930 16 Nurse Practitioners DUNNE SUSAN 601873977 30 DuPage 0 0 General Psychiatry Residency 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 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15494 0 0 0 0 0 0 15494 0 0 1004468790 1932463056 10 Physicians LAWSON EBONY 618223741 19 Champaign 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 433 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 5665 0 0 0 0 0 0 5665 0 0 1004468961 94 Waiver service provider--Children's support (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 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 5987 0 0 0 0 0 0 0 0 0 0 0 0 0 5987 0 0 1004469211 16 Nurse Practitioners 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004469546 1407296270 10 Physicians PODOLEJ GREG 999999999 80 Peoria 0 0 Emergency Medicine 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 0 103 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 3585 0 0 0 0 0 0 3585 0 0 1004469685 1508240185 16 Nurse Practitioners PATEL PINKEY A 601725008 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 109 0 0 0 0 0 0 109 0 0 1004469701 1902273659 16 Nurse Practitioners SCHNEIDER KAREN 605591296 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 221 0 0 0 0 0 0 221 0 0 1004469949 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004470224 1669648309 10 Physicians KHATTAK MUHAMMAD W 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 168 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 470 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 470 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 4934 0 0 0 0 0 0 4936 0 0 1004470469 1477579191 10 Physicians SHAH SNEHAL 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1585 0 0 0 0 0 0 1585 0 0 1004470646 1891128989 16 Nurse Practitioners PFAENDTNER ELIZABETH 605275965 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 140 0 0 0 0 0 0 140 0 0 1004470893 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 31 0 0 1004471185 1104881218 10 Physicians FRYDMAN JAMES D 606118709 200 Cook 0 0 Surgery General 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 0 109 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 11676 0 0 0 0 0 0 11676 0 0 1004471453 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 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 2191 0 0 0 0 0 0 0 0 0 0 0 0 0 2191 0 0 1004471656 1215950969 86 Clinical Social Worker(Encounter Only) OSBORNE LORI 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2382 0 0 0 0 0 0 2382 0 0 1004471791 1346646213 16 Nurse Practitioners WALSH DEBORAH 605276686 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 2635 0 0 0 0 0 0 2719 0 0 1004472098 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004472212 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 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 1004472296 1710151550 10 Physicians HERETIS KATHERINE 999999999 200 Cook 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 0 756 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 756 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8541 0 0 0 0 0 0 8541 0 0 1004472724 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 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 37730 0 0 0 0 0 0 0 0 0 0 0 0 0 37730 0 0 1004472750 1417222670 10 Physicians MCCORMICK TEGAN 999999999 19 Champaign 0 0 Internal Medicine 0 0 0 0 1 0 0 0 0 0 0 11 0 57 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 56 0 129 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 56 0 129 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 335 0 1540 0 0 0 0 0 0 1979 0 0 1004473151 91 Waiver service provider--Adults (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 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 30209 0 0 0 0 0 0 0 0 0 0 0 0 0 30209 0 0 1004473158 22 Physical 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 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 0 307 307 0 0 1004473211 1801184874 10 Physicians MORRISON DANA C 999999999 19 Champaign 0 0 Obstetric-Gynecology 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 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 15055 0 0 0 0 0 0 15055 0 0 1004473449 1346678539 89 Physician Assistant Only(Encounter Only) SLAVICEK LAURA C 999999999 109 Winnebago 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 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 0 711 0 0 0 0 0 0 711 0 0 1004473454 1831580042 60 Pharmacies MEDPLUS PHARMACY 618323801 100 Vermilion 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 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6631 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10063 0 0 0 10063 0 0 1004473575 10 Physicians 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 22 0 0 1004473776 1629211875 10 Physicians CHEN STUART 606751611 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 384 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 755 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 755 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 6238 0 0 0 0 0 0 6272 0 0 1004473816 1346623832 22 Physical Therapists GREENE MARGARET A. 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1720 1720 0 0 1004473904 1851611982 10 Physicians BRACKNEY LINDSAY A 999999999 200 Cook 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 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2667 0 0 0 0 0 0 0 0 2667 0 0 1004474023 91 Waiver service provider--Adults (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 178 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 19391 0 0 0 0 0 0 0 0 0 0 0 0 0 19391 0 0 1004474060 91 Waiver service provider--Adults (DHS/DDD) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 188 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 27964 0 0 0 0 0 0 0 0 0 0 0 0 0 27964 0 0 1004474145 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 1004474347 16 Nurse Practitioners 33 Effingham 0 0 0 0 0 0 0 0 0 0 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 1 0 0 0 0 0 0 1 0 0 1004474486 1891829222 89 Physician Assistant Only(Encounter Only) MODI MITESHKUMAR 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 0 728 0 0 0 0 0 0 728 0 0 1004474642 16 Nurse Practitioners 62 Logan 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 0 535 0 0 0 0 0 0 535 0 0 1004474709 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 18500 0 0 0 0 0 0 0 0 0 0 0 0 0 18500 0 0 1004475448 10 Physicians 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 230 0 0 1004475529 1154712743 16 Nurse Practitioners KROEGER DANICA 627083428 91 Sangamon 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 1882 0 0 0 0 0 0 0 0 2464 0 0 0 0 0 0 4346 0 0 1004475572 16 Nurse Practitioners 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 195 0 0 1004475828 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 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 6471 0 0 0 0 0 0 0 0 0 0 0 0 0 6471 0 0 1004476200 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004476228 1225323942 10 Physicians KUHL TAFTEN LOGAN 999999999 91 Sangamon 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5034 0 0 0 0 0 0 5034 0 0 1004476519 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004476773 1023111283 89 Physician Assistant Only(Encounter Only) ODONNELL DANIEL 999999999 53 Kane 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 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3419 0 0 0 0 0 0 3419 0 0 1004476981 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 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1004477004 1356573117 10 Physicians LOMBARDO LINDSAY M 631031020 10 Adams 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 3 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 485 0 0 0 0 0 0 486 0 0 1004477112 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 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21141 0 0 0 0 0 0 0 0 0 0 0 0 0 21141 0 0 1004477239 1023424389 16 Nurse Practitioners REDMOND KRISTINE M 999999999 57 Lake 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 147 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 3229 0 0 0 0 0 0 0 0 6076 0 0 0 0 0 0 9305 0 0 1004477347 74 Hospital-Based Transportation Providers 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 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 10 0 0 0 0 0 0 10 0 0 1004477459 91 Waiver service provider--Adults (DHS/DDD) 30 DuPage 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 950 0 0 0 0 0 0 0 0 0 0 0 0 0 950 0 0 1004477576 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 0 199 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 27769 0 0 0 0 0 0 0 0 0 0 0 0 0 27769 0 0 1004477577 1265686604 89 Physician Assistant Only(Encounter Only) NGUYEN MINHXUYEN 999999999 30 DuPage 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 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 0 501 0 0 0 0 0 0 501 0 0 1004477785 63 Other Providers of Medical Equipment/Supplies (Non-registered) 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 2732 0 0 0 0 0 0 2732 0 0 1004477962 1609902063 89 Physician Assistant Only(Encounter Only) HIETPAS SHAY C 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1677 0 0 0 0 0 0 1677 0 0 1004478189 1841683802 65 Independent Diagnostic Testing Facility (IDTF) "CHICAGO RIDGE MEDICAL IMAGING," 999999999 200 Cook 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 0 503 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 503 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23297 0 0 0 0 0 0 0 0 23297 0 0 1004478214 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20979 0 0 0 0 0 0 0 0 0 0 0 0 0 20979 0 0 1004478346 1467859454 16 Nurse Practitioners BENJAMIN AMANDA R 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 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 0 580 0 0 0 0 0 0 580 0 0 1004478498 1790933125 10 Physicians ALBRIGHT JOSLYN M 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 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 2409 0 0 0 0 0 0 2409 0 0 1004478589 1952532889 10 Physicians NAVEED AMMARA 606123725 852 Wisconsin 0 0 Internal 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 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 357 0 0 0 0 0 0 357 0 0 1004478728 1336545482 24 Speech Therapists POLEK PAULINA 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 0 111 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 10140 10140 0 0 1004478771 1770769432 10 Physicians HUNG ROBERT 999999999 200 Cook 0 0 Psychiatry 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 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 6529 0 0 0 0 0 0 6529 0 0 1004478830 1598950990 10 Physicians SOTO ELIEZER 999999999 810 Florida 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 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 1854 0 0 0 0 0 0 1854 0 0 1004478834 16 Nurse Practitioners 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 24 0 0 0 0 0 0 24 0 0 1004479296 1699164897 16 Nurse Practitioners MOLINA LOUINA N 606118709 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 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 0 970 0 0 0 0 0 0 970 0 0 1004479394 1538522354 36 Community mental health provider THE LINK & OPTION CENTER 999999999 200 Cook 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 1971 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7890 0 0 9861 0 0 1004479839 1043451081 10 Physicians TRESLEY JONATHAN 480381125 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 379 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 712 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 712 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12634 0 1277 0 0 0 0 0 0 13911 0 0 1004479840 80 Prepaid health plan--Health maintenance organization "MOLINA HEALTHCARE OF ILLINOIS," 60515 30 DuPage 0 0 "344,601" 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "1,896,909,112.72" 0 1004479893 1669855276 11 Dentists MAJEED SYED A 600466793 57 Lake 0 0 General Dentistry 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2374 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2374 0 0 1004479911 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 4 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 6793 6793 0 0 1004480071 1265676621 10 Physicians BABER JOEL 616111853 98 Tazewell 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 434 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 531 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 531 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8345 0 42 0 0 0 0 0 0 8387 0 0 1004480166 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4141 0 0 0 0 0 0 0 0 0 0 0 0 0 4141 0 0 1004480489 10 Physicians 89 Rock Island 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 46 0 0 0 0 0 0 46 0 0 1004480977 1427095702 10 Physicians COPLIN RAFAEL E 999999999 63 Macon 0 0 Internal Medicine 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 0 534 0 0 0 0 0 0 534 0 0 1004481079 1184857492 89 Physician Assistant Only(Encounter Only) HARTSOCK SAHAR J. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 299 0 0 0 0 0 0 299 0 0 1004481140 4004481140 90 Waiver service provider--Elderly (DOA) NEW ERA SUPPORT SERVICES INC 605438214 55 Kendall 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 6595 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6595 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 678082 0 0 0 0 0 0 0 0 0 0 0 0 0 678082 0 0 1004481516 1518178235 10 Physicians KAZAN TANNUS JOAO 601545716 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 1 481 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 618 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 618 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95 9170 0 393 0 0 0 0 0 0 9658 0 0 1004481525 1124278346 10 Physicians NIZAMUDDIN JUNAID 999999999 30 DuPage 0 0 Anesthesiology 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 0 144 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 7671 0 0 0 0 0 0 7671 0 0 1004481838 16 Nurse Practitioners 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 40 0 0 1004482126 1952510653 10 Physicians SHUKAIRY MOHAMMAD S 999999999 27 Dekalb 0 0 Neurology Surgery 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 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 4171 0 0 0 0 0 0 4171 0 0 1004482386 22 Physical Therapists 49 Jefferson 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 12 12 0 0 1004482413 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 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30276 0 0 0 0 0 0 0 0 0 0 0 0 0 30276 0 0 1004482567 1093074916 10 Physicians SHAH NEIL B 999999999 200 Cook 0 0 Emergency Medicine 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 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 4935 0 0 0 0 0 0 4935 0 0 1004482775 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 0 154 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 17729 0 0 0 0 0 0 0 0 0 0 0 0 0 17729 0 0 1004482800 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 112 0 0 0 0 0 0 112 0 0 1004483564 1700262128 16 Nurse Practitioners PATRICK BRITTANY 999999999 63 Macon 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 153 0 0 0 0 0 0 0 0 1349 0 0 0 0 0 0 1502 0 0 1004483644 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 0 113 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 12945 0 0 0 0 0 0 0 0 0 0 0 0 0 12945 0 0 1004483886 87 Psychologist(Encounter Only) 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 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 0 124 0 0 0 0 0 0 124 0 0 1004483916 1710046818 10 Physicians LOBO ANN-MARIE 999999999 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 1 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 137 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 137 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 103 0 6649 0 0 0 0 0 0 6752 0 0 1004484035 1790825040 10 Physicians OTENG-BEDIAKO EVELYN 999999999 13 Boone 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 728 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 728 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2828 0 0 0 0 0 0 2828 0 0 1004484040 1336525831 23 Occupational Therapists CRAIN EFFANEY 999999999 36 Franklin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 636 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 636 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53945 53945 0 0 1004484119 30 General Hospitals 72 McLean DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 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 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004484120 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 238 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 27452 0 0 0 0 0 0 0 0 0 0 0 0 0 27452 0 0 1004484197 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 0 121 0 0 0 0 0 0 121 0 0 1004484218 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 492 0 0 0 0 0 0 492 0 0 1004484280 1598705428 89 Physician Assistant Only(Encounter Only) BUTTON ANDREW 618223741 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 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 0 865 0 0 0 0 0 0 865 0 0 1004484373 1528143088 30 General Hospitals KINDRED CHICAGO LAKESHORE 999999999 200 Cook ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 0 0 0 0 0 182 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1796 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 656756 0 0 0 0 0 0 0 0 0 656756 0 16448 1004484528 89 Physician Assistant Only(Encounter Only) 98 Tazewell 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004484667 25 Audiologists 15 Bureau 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 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 1482 1482 0 0 1004484733 1144639287 11 Dentists BARAKAT ANAS 999999999 200 Cook 0 0 0 0 0 31 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 6587 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6587 0 0 1004484748 1245473701 10 Physicians LIN RONE-CHUN 999999999 80 Peoria 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 61 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 3423 0 0 0 0 0 0 3423 0 0 1004484751 1356699987 10 Physicians STEINEKE NICOLE 999999999 200 Cook 0 0 General Practice 0 0 0 0 2 0 0 0 0 0 0 1 0 24 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 98 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 1163 0 0 0 0 0 0 1168 0 0 1004484867 1518229897 10 Physicians SALAME GRACE 606781034 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 0 163 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 3350 0 0 0 0 0 0 3350 0 0 1004484901 1407161433 10 Physicians HUSTON MELISSA R 999999999 19 Champaign 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1275 0 0 0 0 0 0 1275 0 0 1004484930 1922324201 10 Physicians PELLETIER PETE 117472358 200 Cook 0 0 Anesthesiology 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 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 1284 0 0 0 0 0 0 1284 0 0 1004485071 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004485402 1710326350 10 Physicians BLOOMSTRAND KURT 999999999 15 Bureau 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 3 0 112 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 5987 0 0 0 0 0 0 5998 0 0 1004485430 10 Physicians 806 Colorado 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 52 0 0 0 0 0 0 0 0 52 0 0 1004485527 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 43 0 0 0 0 0 0 43 0 0 1004485668 10 Physicians 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004485782 16 Nurse Practitioners 93 Scott 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004485862 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2953 0 0 0 0 0 0 0 0 0 0 0 0 0 2953 0 0 1004485957 1619288701 10 Physicians MORKER MINESH 999999999 200 Cook 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 0 313 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 313 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2899 0 0 0 0 0 0 2899 0 0 1004486827 1326146416 89 Physician Assistant Only(Encounter Only) HALL TIMOTHY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2381 0 0 0 0 0 0 2381 0 0 1004486913 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 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26847 0 0 0 0 0 0 0 0 0 0 0 0 0 26847 0 0 1004487001 1144541871 10 Physicians GURURAJAN KAUSHIK 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 1 995 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1798 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1798 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 11568 0 229 0 0 0 0 0 0 11802 0 0 1004487121 1538567490 16 Nurse Practitioners DELA CRUZ ALISON M 606751611 200 Cook 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 0 555 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 555 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4827 0 0 0 0 0 0 4827 0 0 1004487301 1215397674 16 Nurse Practitioners FLAMENT LESLIE 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 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 1553 0 0 0 0 0 0 1553 0 0 1004487424 1598105769 10 Physicians BARREDO JOEL ANTHONY 999999999 200 Cook 0 0 General Practice 0 0 0 0 3 0 0 0 0 0 0 7 0 34 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 9 0 38 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 9 0 38 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 487 0 1897 0 0 0 0 0 0 2422 0 0 1004487590 1053674135 10 Physicians GOLDIN ALLISON M 606313222 200 Cook 0 0 Pediatrics 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 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 3794 0 0 0 0 0 0 3794 0 0 1004487605 1457667677 10 Physicians JHA KAMLESH 606123723 200 Cook 0 0 Pediatrics 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 0 284 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 26053 0 0 0 0 0 0 26053 0 0 1004487610 1265507206 16 Nurse Practitioners ERBE KATHERINE E 999999999 200 Cook 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 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 2941 0 0 0 0 0 0 2941 0 0 1004487633 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 0 161 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 24010 0 0 0 0 0 0 0 0 0 0 0 0 0 24010 0 0 1004488066 1144612920 16 Nurse Practitioners BOHNE MARY F 611081673 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1301 0 0 0 0 0 0 1301 0 0 1004488327 10 Physicians 816 Iowa 0 0 Cardiology 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 0 111 0 0 0 0 0 0 111 0 0 1004488679 1992068936 10 Physicians FITCH TYLER W 999999999 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 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 0 751 0 0 0 0 0 0 751 0 0 1004488738 36 Community mental health provider 53 Kane 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 310 0 0 419 0 0 1004488745 94 Waiver service provider--Children's support (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 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 2592 0 0 0 0 0 0 0 0 0 0 0 0 0 2592 0 0 1004488906 10 Physicians 826 Missouri 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 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93 0 0 0 0 0 0 93 0 0 1004488971 1982070835 16 Nurse Practitioners HRANKA KAYLA 604404708 107 Will 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 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 2474 0 0 0 0 0 0 2474 0 0 1004488981 1164868691 10 Physicians MASTNY AVA R 999999999 57 Lake 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3091 0 0 0 0 0 0 3091 0 0 1004489097 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 11400 0 0 0 0 0 0 0 0 0 0 0 0 0 11400 0 0 1004489152 1285621847 16 Nurse Practitioners BAKER RICHARD K 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 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 0 448 0 0 0 0 0 0 448 0 0 1004489449 1710396932 30 General Hospitals OSF SAINT ANTHONYS HEALTH CNTR 620024568 65 Madison DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 0 0 83 0 0 1326 0 0 0 0 315 0 0 0 1649 0 0 0 0 0 0 315 0 0 2265 0 0 0 0 417 0 0 0 4765 0 0 0 0 0 0 315 0 0 2265 0 0 0 0 1710 0 0 0 4765 0 0 0 0 0 0 6328 0 0 219209 0 0 0 0 267316 0 0 0 432852 0 0 0 0 0 925705 0 0 1004489622 1831589712 60 Pharmacies BRIDGEPORT NEIGHBORHOOD PHARMA 606086877 200 Cook 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 55 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 0 0 0 0 0 0 0 0 0 0 0 0 637 0 0 0 637 0 0 1004489711 1275775454 10 Physicians DALAL NEIL K 999999999 200 Cook 0 0 Internal Medicine 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 0 172 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 4407 0 0 0 0 0 0 4407 0 0 1004490077 1336304856 10 Physicians SHARMA ARUN 627949639 91 Sangamon 0 0 Otolaryngology 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 2287 0 0 0 0 0 0 2287 0 0 1004490096 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 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 15009 0 0 0 0 0 0 0 0 0 0 0 0 0 15009 0 0 1004490348 1770961534 33 Nursing Facilities SYMPHONY OF BRONZEVILLE 606163841 200 Cook 0 0 0 1 0 0 0 0 0 0 0 0 0 0 103 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 417 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 9599 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1471012 0 0 0 0 0 0 0 1471012 0 0 1004490503 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 0 339 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 339 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28987 0 0 0 0 0 0 0 0 0 0 0 0 0 28987 0 0 1004490592 1942698980 16 Nurse Practitioners OLADIPO ADEOLA 600761224 200 Cook 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 1504 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1504 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7359 0 0 0 0 0 0 7359 0 0 1004490614 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 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10135 0 0 0 0 0 0 0 0 0 0 0 0 0 10135 0 0 1004490755 1992117402 16 Nurse Practitioners HOLMES ADRIAN L 999999999 108 Williamson 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 0 351 0 0 0 0 0 0 351 0 0 1004490849 1215919121 10 Physicians RIDINGS-HESSER SANDRA 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 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 1218 0 0 0 0 0 0 1218 0 0 1004490851 1861703233 10 Physicians EHMKE THOMAS A 600162359 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2529 0 0 0 0 0 0 2529 0 0 1004490967 30 General Hospitals 57 Lake DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 506 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13391 0 0 0 0 0 13391 0 0 1004491167 1780979815 10 Physicians KELLMAN SUZANNE 999999999 30 DuPage 0 0 Anesthesiology 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 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2907 0 0 0 0 0 0 2907 0 0 1004491227 1831466077 16 Nurse Practitioners KING CASSANDRA 999999999 81 Perry 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 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 0 806 0 0 0 0 0 0 806 0 0 1004491329 1164472312 10 Physicians MCKELVEY STACEY 600101809 57 Lake 0 0 Gastroenterology 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 0 110 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 2176 0 0 0 0 0 0 2176 0 0 1004491362 1215287164 10 Physicians ALHAWASLI HAZEM 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 291 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 291 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4008 0 0 0 0 0 0 4008 0 0 1004492064 4004492064 91 Waiver service provider--Adults (DHS/DDD) DIMEGLIO CHIARA 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 2251 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2251 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 111574 0 0 0 0 0 0 0 0 0 0 0 0 0 111574 0 0 1004492184 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 0 190 0 0 0 0 0 0 190 0 0 1004492425 87 Psychologist(Encounter Only) 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 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 0 289 0 0 0 0 0 0 289 0 0 1004492496 1518295138 22 Physical Therapists GOLDBERG KRYSTYNA 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 0 154 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 11515 11515 0 0 1004492690 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 208 0 0 0 0 0 0 0 0 0 0 0 0 0 208 0 0 1004492725 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 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 88 88 0 0 1004492793 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 0 147 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 28428 0 0 0 0 0 0 0 0 0 0 0 0 0 28428 0 0 1004492875 10 Physicians 107 Will 0 0 Cardiology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004492999 1386031854 16 Nurse Practitioners NWOSU UZOAMAKA 201511647 200 Cook 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 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 1162 0 0 0 0 0 0 1162 0 0 1004493091 1437384047 10 Physicians BULBIN YEVGENY 999999999 47 Jackson 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 19 0 0 0 0 0 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 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 406 0 0 0 0 0 0 406 0 0 1004493125 1801222930 89 Physician Assistant Only(Encounter Only) BIGHAM NICOLETTE 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 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 0 506 0 0 0 0 0 0 506 0 0 1004493368 1215171590 10 Physicians PATEL CHIRAG 999999999 200 Cook 0 0 Otolaryngology 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 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2818 0 0 0 0 0 0 2818 0 0 1004493486 91 Waiver service provider--Adults (DHS/DDD) 50 Jersey 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 10432 0 0 0 0 0 0 0 0 0 0 0 0 0 10432 0 0 1004493496 10 Physicians 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004493840 1669859633 33 Nursing Facilities WARREN BARR LINCOLNSHIRE 999999999 57 Lake 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 0 249 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6059 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 852552 0 0 0 0 0 0 0 852552 0 0 1004493870 1306157409 10 Physicians HIGGINS DUSTIN C. 999999999 42 Hancock 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 9 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141 0 1522 0 0 0 0 0 0 1663 0 0 1004493874 1235482738 89 Physician Assistant Only(Encounter Only) WILSON MARGARET K 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 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 0 221 0 0 0 0 0 0 221 0 0 1004494119 1750600508 10 Physicians NATH RAHUL 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 447 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 721 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 721 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10645 0 99 0 0 0 0 0 0 10744 0 0 1004494160 1316297948 10 Physicians HUSSAIN WAJID 999999999 58 La Salle 0 0 Psychiatry 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 0 301 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 301 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9486 0 0 0 0 0 0 9486 0 0 1004494381 10 Physicians 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 155 0 0 0 0 0 0 0 0 155 0 0 1004494658 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 15047 0 0 0 0 0 0 0 0 0 0 0 0 0 15047 0 0 1004494952 10 Physicians 91 Sangamon 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004495011 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 0 129 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 14239 0 0 0 0 0 0 0 0 0 0 0 0 0 14239 0 0 1004495019 1235340449 10 Physicians BLIZNIKAS DARIUS 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 393 0 0 0 0 0 0 393 0 0 1004495494 1639508039 16 Nurse Practitioners VINCENT BILLIE L 999999999 49 Jefferson 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 0 0 1220 0 0 0 0 0 0 1324 0 0 1004495502 16 Nurse Practitioners 33 Effingham 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004495509 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 0 190 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 17901 0 0 0 0 0 0 0 0 0 0 0 0 0 17901 0 0 1004495613 16 Nurse Practitioners 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2 0 0 1004495632 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 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 0 154 0 0 0 0 0 0 154 0 0 1004495645 1386919728 10 Physicians TULEWICZ DIANA 606740018 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 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 0 626 0 0 0 0 0 0 626 0 0 1004496273 1811357197 16 Nurse Practitioners SEMKO LEAH R 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 168 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 5399 0 0 0 0 0 0 5399 0 0 1004496307 1538567615 16 Nurse Practitioners MCCLINTOCK KELLY A 606313222 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 938 0 0 0 0 0 0 938 0 0 1004496877 1639560949 16 Nurse Practitioners CARMACK ALICIA C 631600352 96 St Clair 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18799 0 0 0 0 0 0 18799 0 0 1004496899 1073902755 16 Nurse Practitioners PAK NANCY 601545716 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 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 0 478 0 0 0 0 0 0 478 0 0 1004497109 1790097582 10 Physicians YE JASON Y 999999999 35 Ford 0 0 Orthopedic Surgery 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 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 0 848 0 0 0 0 0 0 848 0 0 1004497244 1184008542 11 Dentists OSOBU SAMUEL 605864622 107 Will 0 0 General Dentistry 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 421 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 421 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 18492 0 0 0 0 0 0 0 0 0 0 0 5298 0 0 0 0 23790 0 0 1004497744 10 Physicians 10 Adams 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004497958 1518322510 16 Nurse Practitioners KRULL JENNIE 999999999 53 Kane 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 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 1413 0 0 0 0 0 0 1413 0 0 1004498111 1265661623 88 Other behavior health professional MOSES HELENE S 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 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 0 412 0 0 0 0 0 0 412 0 0 1004498164 16 Nurse Practitioners 56 Knox 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 0 146 0 0 0 0 0 0 146 0 0 1004498196 1356556013 10 Physicians RODRIGUEZ-PAEZ ALEJANDRA 600162359 200 Cook 0 0 Rheumatology 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 21 0 375 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 375 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 134 0 42403 0 0 0 0 0 0 42537 0 0 1004498302 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 0 177 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 29326 0 0 0 0 0 0 0 0 0 0 0 0 0 29326 0 0 1004498631 1821385899 10 Physicians LISS DAVID 999999999 826 Missouri 0 0 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 13 0 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 0 0 680 0 0 0 0 0 0 680 0 0 1004498794 1588047310 16 Nurse Practitioners YASMEEN ZAREENA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1269 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 0 0 0 0 0 0 0 0 0 0 0 0 8651 0 0 0 0 0 0 8651 0 0 1004498844 1417268475 10 Physicians KROMREY LORYN KING 605638113 30 DuPage 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 509 0 0 0 0 0 0 509 0 0 1004498855 1154576221 16 Nurse Practitioners MUNGER TANYA J 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 348 0 0 0 0 0 0 348 0 0 1004498877 1306001227 10 Physicians MINOR KYLE D 999999999 82 Piatt 0 0 Emergency Medicine 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 0 131 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 5371 0 0 0 0 0 0 5371 0 0 1004499524 16 Nurse Practitioners 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 45 0 0 0 0 0 0 45 0 0 1004499654 1942690243 16 Nurse Practitioners WOO MICHELLE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 179 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 2140 0 0 0 0 0 0 2140 0 0 1004499802 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 41 0 0 0 0 0 0 41 0 0 1004500067 30 General Hospitals 109 Winnebago DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004500075 1205243870 12 Optometrists SCANZERA ANGELICA 999999999 200 Cook 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 29 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 996 0 26 0 0 0 0 1022 0 0 1004500136 1548515570 10 Physicians SPROWLS DAVID 999999999 89 Rock Island 0 0 Emergency Medicine 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 0 764 0 0 0 0 0 0 764 0 0 1004500141 1376921924 40 Federally Qualified Health Centers SIU CENTER FOR FAMILY MEDICINE 623012662 10 Adams 0 1 0 0 441 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2548 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2548 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100436 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100436 0 0 1004500142 10 Physicians 10 Adams 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 0 374 0 0 0 0 0 0 374 0 0 1004500185 1255791331 40 Federally Qualified Health Centers HOWARD BROWN HEALTH 63RD ST 999999999 200 Cook 0 0 0 0 341 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1074 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1074 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 76895 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 76895 0 0 1004500317 1447549829 10 Physicians BANNON KIMBERLY 606781034 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 9 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 215 0 5932 0 0 0 0 0 0 6147 0 0 1004500776 1588039770 16 Nurse Practitioners GANDHI JIGNA 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 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 0 197 0 0 0 0 0 0 197 0 0 1004500892 1336328145 10 Physicians AUGUSTINE ERIN M 606118709 200 Cook 0 0 Pediatrics 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 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 5303 0 0 0 0 0 0 5303 0 0 1004501014 1710365176 16 Nurse Practitioners LEE SANDRA 611081673 109 Winnebago 0 0 0 0 0 0 1 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 60 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 339 0 0 0 0 0 0 0 0 1306 0 0 0 0 0 0 1645 0 0 1004501082 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 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28382 0 0 0 0 0 0 0 0 0 0 0 0 0 28382 0 0 1004501354 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 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9683 0 0 0 0 0 0 0 0 0 0 0 0 0 9683 0 0 1004501626 1821404336 16 Nurse Practitioners CHANDRAN CAITLIN M 600312632 57 Lake 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 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 0 230 0 0 0 0 0 0 230 0 0 1004501675 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 0 118 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 23152 0 0 0 0 0 0 0 0 0 0 0 0 0 23152 0 0 1004502337 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 0 295 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 295 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60551 0 0 0 0 0 0 0 0 0 0 0 0 0 60551 0 0 1004502389 1366741985 10 Physicians VORONOV MICHAEL 606733039 200 Cook 0 0 Anesthesiology 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 2005 0 0 0 0 0 0 2005 0 0 1004502708 1548653165 16 Nurse Practitioners CORTES MARTA 999999999 200 Cook 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 1015 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1015 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2622 0 0 0 0 0 0 2622 0 0 1004503247 1013144260 10 Physicians TSAI STEPHANIE 601545716 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 144 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 144 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2105 0 0 0 0 0 0 2105 0 0 1004503391 1619332087 16 Nurse Practitioners TRIZONOVA LUDMILA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 711 0 0 0 0 0 0 711 0 0 1004503398 1477564094 10 Physicians NGUYEN KARL 999999999 10 Adams 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 34 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120 0 2 0 0 0 0 0 0 122 0 0 1004503453 92 Waiver service provider--Disability (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12629 0 0 0 0 0 0 0 0 0 0 0 0 0 12629 0 0 1004503719 1073827267 16 Nurse Practitioners BLUMMER STEFANIE 605275965 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 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 0 165 0 0 0 0 0 0 165 0 0 1004503724 1396157723 16 Nurse Practitioners JOHNSTON JESSICA L 999999999 53 Kane 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 3629 0 0 0 0 0 0 3714 0 0 1004503907 1801852454 89 Physician Assistant Only(Encounter Only) MANNING KERRI 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 743 0 0 0 0 0 0 743 0 0 1004504040 1609135383 12 Optometrists PATADIA NEELAM 999999999 71 McHenry 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 0 249 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 2270 0 0 0 0 0 0 2270 0 0 1004504246 1679964514 16 Nurse Practitioners RAMEY NICHOLAS 627949248 91 Sangamon 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 0 131 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 2460 0 0 0 0 0 0 2460 0 0 1004504339 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004504392 1689829285 10 Physicians SANCHEZ-PINTO LAZARO N 999999999 200 Cook 0 0 Pediatrics 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 0 273 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 28443 0 0 0 0 0 0 28443 0 0 1004504578 1750697447 16 Nurse Practitioners MCKENNA TIFFANI 606781034 200 Cook 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 555 0 0 0 0 0 0 555 0 0 1004504773 1851779151 10 Physicians ALAGHA AYHAM KEITH 999999999 19 Champaign 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2223 0 0 0 0 0 0 2223 0 0 1004505061 1992779664 61 Independent Laboratories "EUROFINS NTD, LLC" 117474211 833 New York 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 0 104 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 7074 0 0 0 0 0 0 0 0 7074 0 0 1004505091 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 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 0 271 0 0 0 0 0 0 271 0 0 1004505297 1821494154 16 Nurse Practitioners ROLLINS KRYSTEN M 606082486 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 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 0 381 0 0 0 0 0 0 381 0 0 1004505328 10 Physicians 88 Richland 0 0 Thoracic Surgery 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 2409 0 0 0 0 0 0 2409 0 0 1004505485 1043551807 16 Nurse Practitioners KEANE MARY 606781034 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1513 0 0 0 0 0 0 1513 0 0 1004505534 1225410574 16 Nurse Practitioners OLEGARIO JULIEANNE F 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1915 0 0 0 0 0 0 1915 0 0 1004505790 1467737924 10 Physicians SHARMA ASHLEY 999999999 30 DuPage 0 0 Anesthesiology 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 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 0 257 0 0 0 0 0 0 257 0 0 1004505794 1639582737 28 Waiver service provider--Supportive living facility (HFS) GLENWOOD OF STAUNTON 620882334 64 Macoupin 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 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 760 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65899 0 0 0 0 0 0 0 0 0 0 0 0 0 65899 0 0 1004506040 1235506106 60 Pharmacies MORELAND AND DEVITT PHARMACY 626181219 18 Cass 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 0 0 0 0 0 0 0 0 0 0 0 0 1791 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48442 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92594 0 0 0 92594 0 0 1004506208 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 0 164 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 13194 0 0 0 0 0 0 0 0 0 0 0 0 0 13194 0 0 1004506326 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 0 212 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 23008 0 0 0 0 0 0 0 0 0 0 0 0 0 23008 0 0 1004506525 1982918694 10 Physicians HILL GEOFFREY M 999999999 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 1 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4254 0 0 0 0 0 0 4254 0 0 1004506556 1134511132 16 Nurse Practitioners HUSSEY MELANIE A 999999999 96 St Clair 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 463 0 0 0 0 0 0 463 0 0 1004506650 1306089024 10 Physicians PRANGE JESSICA 628814263 66 Marion 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 327 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 2393 0 0 0 0 0 0 2393 0 0 1004506693 1265759922 10 Physicians WELT CASSIE 731435968 200 Cook 0 0 Emergency Medicine 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 1141 0 0 0 0 0 0 1141 0 0 1004506846 16 Nurse Practitioners 30 DuPage 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 0 122 0 0 0 0 0 0 122 0 0 1004507256 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 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 0 101 0 0 0 0 0 0 101 0 0 1004507376 1477923746 16 Nurse Practitioners HACKL MEGAN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 309 0 0 0 0 0 0 309 0 0 1004507415 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 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26418 0 0 0 0 0 0 0 0 0 0 0 0 0 26418 0 0 1004507975 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 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14697 0 0 0 0 0 0 0 0 0 0 0 0 0 14697 0 0 1004508466 1174844096 89 Physician Assistant Only(Encounter Only) ABEL GRETA L 999999999 53 Kane 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 43 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 1306 0 0 0 0 0 0 1391 0 0 1004508505 89 Physician Assistant Only(Encounter Only) 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 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 1004508546 1598152019 40 Federally Qualified Health Centers "COMMUNITY HEALTH CARE, INC" 999999999 816 Iowa 0 1 0 0 38 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 6817 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6817 0 0 1004508671 1285860817 10 Physicians FENG JINGYANG 606123714 200 Cook 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 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 0 177 0 0 0 0 0 0 0 0 177 0 0 1004508759 1932209129 10 Physicians XIA LING 999999999 200 Cook 0 0 Clinical Pathology 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 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 88 0 0 0 0 0 0 0 0 88 0 0 1004509046 1477918613 16 Nurse Practitioners BURCENSKI SHERYL L 999999999 107 Will 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 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 0 755 0 0 0 0 0 0 755 0 0 1004509167 1770959504 16 Nurse Practitioners DUNCAN MELISSA A 999999999 106 Whiteside 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 0 181 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 10088 0 0 0 0 0 0 10088 0 0 1004509175 10 Physicians 89 Rock Island 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 122 0 0 0 0 0 0 0 0 122 0 0 1004509365 1750446142 24 Speech Therapists LEDESMA ELLEN 605380702 53 Kane 0 0 0 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 1275 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1275 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94088 94088 0 0 1004509460 1710365085 16 Nurse Practitioners ORTIZ LIDIA J 606930623 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 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 0 136 0 0 0 0 0 0 136 0 0 1004509837 1023074051 16 Nurse Practitioners TREFTZ SHEILA 606776926 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 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 1068 0 0 0 0 0 0 1068 0 0 1004509902 1447634472 25 Audiologists WEISS ALLYSON D 999999999 200 Cook 0 0 0 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 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 0 496 496 0 0 1004510055 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24902 0 0 0 0 0 0 0 0 0 0 0 0 0 24902 0 0 1004510060 16 Nurse Practitioners 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 240 0 0 0 0 0 0 240 0 0 1004510090 1497068316 10 Physicians NARANG SHWETA 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5036 0 0 0 0 0 0 5036 0 0 1004510593 1346384534 10 Physicians JACKSON KAREN ANN 602011718 200 Cook 0 0 Allergy-Immunization 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 750 0 0 0 0 0 0 750 0 0 1004510683 1871975706 12 Optometrists SHAIKH NOREEN 999999999 200 Cook 0 0 Diagnostic Pharmaceutical Agents 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 0 188 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 5737 0 0 0 0 0 0 5737 0 0 1004511300 1033445093 89 Physician Assistant Only(Encounter Only) DEWEY PHILLIP A 999999999 108 Williamson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 753 0 0 0 0 0 0 753 0 0 1004511358 1750519070 10 Physicians GUTIERREZ JENNIFER S 999999999 19 Champaign 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 3 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 229 0 0 0 0 0 0 280 0 0 1004511483 1205224052 16 Nurse Practitioners WHITE KATHERINE E 627083428 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 320 0 0 0 0 0 0 320 0 0 1004511807 1134417553 10 Physicians ATRI NIPUN 999999999 200 Cook 0 0 Internal Medicine 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 0 171 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 3515 0 0 0 0 0 0 3515 0 0 1004512073 23 Occupational Therapists 40 Grundy 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 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 4136 4136 0 0 1004512077 1851602619 10 Physicians CHRISTOPHER MATTHEW J 999999999 200 Cook 0 0 Internal 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 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 0 627 0 0 0 0 0 0 627 0 0 1004512198 10 Physicians 47 Jackson 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 88 0 0 0 0 0 0 0 0 88 0 0 1004512419 1407146640 10 Physicians DORIWALA ASIMA 601545716 200 Cook 0 0 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 2 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 21 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 91 0 0 1004512697 1497901250 11 Dentists KIM KYUNG HONG 999999999 30 DuPage 0 0 Pedodontics 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2434 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2434 0 0 1004512882 24 Speech Therapists 72 McLean 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 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 0 303 303 0 0 1004513123 1245620517 16 Nurse Practitioners CORBETT JOSEPH 618012529 19 Champaign 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 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 0 771 0 0 0 0 0 0 771 0 0 1004513126 1730479486 10 Physicians PATEL HIREN S. 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 155 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93 0 2662 0 0 0 0 0 0 2755 0 0 1004513179 1275629420 89 Physician Assistant Only(Encounter Only) COOMES SANDRA L 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2128 0 0 0 0 0 0 2128 0 0 1004513209 1942442231 10 Physicians DUMITRESCU ALINA V 522421009 200 Cook 0 0 Ophthalmology 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 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 290 0 0 0 0 0 0 290 0 0 1004513273 91 Waiver service provider--Adults (DHS/DDD) 815 Indiana 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 140 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 6296 0 0 0 0 0 0 0 0 0 0 0 0 0 6296 0 0 1004513299 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004513682 1083017826 16 Nurse Practitioners WOLF BETHANY 999999999 80 Peoria 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 0 304 0 0 0 0 0 0 304 0 0 1004513687 1326472853 24 Speech Therapists GARCIA ANAIZ 999999999 200 Cook 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 0 373 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 373 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27506 27506 0 0 1004513696 1104216944 16 Nurse Practitioners BARRETT WALLACE H 117474300 47 Jackson 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 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 0 759 0 0 0 0 0 0 759 0 0 1004513828 1205220597 10 Physicians SIWAK JENNAH 999999999 200 Cook 0 0 Family Practice 0 0 0 0 7 0 0 0 0 0 0 3 0 16 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 5 0 29 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 5 0 29 0 0 0 0 0 0 0 0 0 609 0 0 0 0 0 0 62 0 955 0 0 0 0 0 0 1626 0 0 1004513834 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 74 0 0 0 0 0 0 74 0 0 1004513840 24 Speech Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 601 601 0 0 1004514176 1184987273 10 Physicians HENSCHEN BRUCE L 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 2906 0 0 0 0 0 0 2909 0 0 1004514241 1154596906 10 Physicians CLEBONE ANNA 999999999 30 DuPage 0 0 Anesthesiology 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 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 5046 0 0 0 0 0 0 5046 0 0 1004514270 1316326218 91 Waiver service provider--Adults (DHS/DDD) CALKINS CODY K 605164525 30 DuPage 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 0 876 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 876 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23496 0 0 0 0 0 0 0 0 0 0 0 0 0 23496 0 0 1004514432 1902852494 10 Physicians CHHEDA MILAN G 999999999 200 Cook 0 0 Internal Medicine 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 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 3978 0 0 0 0 0 0 3978 0 0 1004514514 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 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 25801 0 0 0 0 0 0 0 0 0 0 0 0 0 25801 0 0 1004514840 1205206323 16 Nurse Practitioners ROGERS MARGARET A 999999999 58 La Salle 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 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 1555 0 0 0 0 0 0 1555 0 0 1004514920 1891164349 16 Nurse Practitioners BROCKMAN BLAIR L 420033802 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 353 0 0 0 0 0 0 353 0 0 1004515045 1275829046 10 Physicians SCHUSTER JOSEPH 999999999 826 Missouri 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 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 0 824 0 0 0 0 0 0 824 0 0 1004515048 1720451099 16 Nurse Practitioners SALETSKA OLGA 999999999 30 DuPage 0 0 0 0 0 0 83 0 0 0 0 0 0 0 0 87 0 0 0 0 0 0 0 0 0 190 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 0 190 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 0 9402 0 0 0 0 0 0 0 0 5356 0 0 0 0 0 0 14758 0 0 1004515279 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 0 131 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 16265 0 0 0 0 0 0 0 0 0 0 0 0 0 16265 0 0 1004515300 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 0 120 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 5677 0 0 0 0 0 0 0 0 0 0 0 0 0 5677 0 0 1004515402 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 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 27508 0 0 0 0 0 0 0 0 0 0 0 0 0 27508 0 0 1004515694 1417365537 70 Ambulance Service Providers EAST DUBUQUE FIRE DEPARTMENT 610251324 51 Jo Daviess 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 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 7246 0 0 0 0 0 0 7246 0 0 1004516158 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 155 0 0 0 0 0 0 155 0 0 1004516221 1083725246 22 Physical Therapists TROUTMAN ADRIANNA 629486334 108 Williamson 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 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 0 272 272 0 0 1004516341 1245638014 16 Nurse Practitioners FLORENTINO JENNIFER 999999999 200 Cook 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 516 0 0 0 0 0 0 0 0 797 0 0 0 0 0 0 1313 0 0 1004516397 1851450100 89 Physician Assistant Only(Encounter Only) WICHMAN-RABEN MARNI 999999999 57 Lake 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 0 250 0 0 0 0 0 0 250 0 0 1004516944 1609297704 24 Speech Therapists ANDREWS-SALVIA MELISSA 999999999 71 McHenry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 302 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 302 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22426 22426 0 0 1004517018 1619292968 10 Physicians MUSLEH CAMELIA ANTOINETTE 999999999 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1131 0 0 0 0 0 0 1131 0 0 1004517096 1538153804 89 Physician Assistant Only(Encounter Only) MUELLER MARY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 396 0 0 0 0 0 0 396 0 0 1004517223 1740545441 10 Physicians KHATTAK MARIA 999999999 80 Peoria 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 33 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 813 0 2925 0 0 0 0 0 0 3738 0 0 1004517333 10 Physicians 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 15 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 1004517446 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 0 337 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 337 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22472 0 0 0 0 0 0 0 0 0 0 0 0 0 22472 0 0 1004517748 1386048502 10 Physicians MANDANI BHADRESHKUMAR R 999999999 91 Sangamon 0 0 Family Practice 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 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3604 0 0 0 0 0 0 3604 0 0 1004519083 1649641747 16 Nurse Practitioners AKAEZE DOROTHY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 131 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 311 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 311 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7604 0 0 0 0 0 0 7604 0 0 1004519266 1942497037 89 Physician Assistant Only(Encounter Only) BEEDY ABBY M 999999999 65 Madison 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 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 0 549 0 0 0 0 0 0 549 0 0 1004519626 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30229 0 0 0 0 0 0 0 0 0 0 0 0 0 30229 0 0 1004519682 1811227572 16 Nurse Practitioners STANLEY VANESSA S 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 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 0 327 0 0 0 0 0 0 327 0 0 1004519778 1053576389 10 Physicians LASTRA RICARDO R 999999999 30 DuPage 0 0 Pathology 0 0 0 0 0 0 0 0 0 0 0 127 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4262 0 26 0 0 0 0 0 0 4288 0 0 1004520001 1114394491 16 Nurse Practitioners ADAMS TREENA 612541091 45 Henry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 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 1341 0 0 0 0 0 0 1341 0 0 1004520090 1447439120 89 Physician Assistant Only(Encounter Only) HARRISON COLLEEN A 999999999 200 Cook 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 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 1923 0 0 0 0 0 0 1923 0 0 1004520109 1457752230 16 Nurse Practitioners SZAFRANSKI JACOB M 601159602 27 Dekalb 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 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 2457 0 0 0 0 0 0 2457 0 0 1004520231 1922479773 16 Nurse Practitioners SANDS CHRISTINA 999999999 200 Cook 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 0 112 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 5254 0 0 0 0 0 0 5254 0 0 1004520314 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 0 156 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 0 0 0 0 0 11323 0 0 0 0 0 0 0 0 0 0 0 0 0 11323 0 0 1004520409 1356583157 10 Physicians TYLKA JOANNA C 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 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 6717 0 0 0 0 0 0 6717 0 0 1004520459 1316292386 10 Physicians KAMINSKY MATTHEW 999999999 80 Peoria 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 0 120 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 3755 0 0 0 0 0 0 3755 0 0 1004520571 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 0 199 0 0 0 0 0 0 199 0 0 1004520697 1861885907 91 Waiver service provider--Adults (DHS/DDD) SANDERS CHARLES 603011188 200 Cook 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 99187 0 0 0 0 0 0 0 0 0 0 0 0 0 99187 0 0 1004520921 94 Waiver service provider--Children's support (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 0 250 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 18549 0 0 0 0 0 0 0 0 0 0 0 0 0 18549 0 0 1004520938 1942476148 10 Physicians KHAN DOST 606118709 831 New Jersey 0 0 Anesthesiology 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 0 295 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 295 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4962 0 0 0 0 0 0 4962 0 0 1004521159 1770975393 16 Nurse Practitioners HEATON BRITTNI A 999999999 49 Jefferson 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 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 0 664 0 0 0 0 0 0 664 0 0 1004521220 16 Nurse Practitioners 92 Schuyler 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 0 225 0 0 0 0 0 0 225 0 0 1004521405 1578936696 40 Federally Qualified Health Centers TCA HEALTH CHATHAM 999999999 200 Cook 0 0 0 0 60 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11396 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11396 0 0 1004521456 1730352014 10 Physicians FRITH ASHLEY E 999999999 826 Missouri 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 0 109 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 24044 0 0 0 0 0 0 24044 0 0 1004521538 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 72 0 0 0 0 0 0 72 0 0 1004521589 1588057988 10 Physicians MAKI DHUHA 999999999 57 Lake 0 0 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 41 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 91 0 0 0 0 0 0 0 0 279 0 0 0 0 0 0 370 0 0 1004521625 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 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 0 660 0 0 0 0 0 0 0 0 0 0 0 0 0 660 0 0 1004521789 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24167 0 0 0 0 0 0 0 0 0 0 0 0 0 24167 0 0 1004521852 1437487139 10 Physicians SKJONG CHRISTIAN C 600162359 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 10 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 270 0 772 0 0 0 0 0 0 1042 0 0 1004522059 1801273263 16 Nurse Practitioners STEWART HENRI 627034514 27 Dekalb 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1129 0 0 0 0 0 0 1129 0 0 1004522124 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 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17884 0 0 0 0 0 0 0 0 0 0 0 0 0 17884 0 0 1004522264 1902156037 10 Physicians AGGARWAL SHREYA 606118709 200 Cook 0 0 Anesthesiology 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 3732 0 0 0 0 0 0 3732 0 0 1004522417 10 Physicians 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 377 0 0 0 0 0 0 377 0 0 1004522467 89 Physician Assistant Only(Encounter Only) 71 McHenry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004522571 1760725923 12 Optometrists DZUBUR HARIS 999999999 200 Cook 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 0 336 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 6252 0 0 0 0 0 0 6252 0 0 1004522799 1730545955 16 Nurse Practitioners BROWN JOSALYNN M 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 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 1845 0 0 0 0 0 0 1845 0 0 1004522876 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 27095 0 0 0 0 0 0 0 0 0 0 0 0 0 27095 0 0 1004523118 10 Physicians 59 Lawrence 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 68 0 0 1004523335 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 0 362 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 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1004523352 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 31 0 0 0 0 0 0 31 0 0 1004523379 1922175702 89 Physician Assistant Only(Encounter Only) KNIGHT AMY 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 0 365 0 0 0 0 0 0 365 0 0 1004523541 1225272818 10 Physicians RO ESTHER 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 447 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 801 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 801 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10478 0 723 0 0 0 0 0 0 11201 0 0 1004523649 1962685685 16 Nurse Practitioners BERENDT RITA 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 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 0 480 0 0 0 0 0 0 480 0 0 1004523973 1003195199 10 Physicians SCHWAB CASSIDY S. 999999999 200 Cook 0 0 Anesthesiology 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 2 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2870 0 0 0 0 0 0 2870 0 0 1004524012 91 Waiver service provider--Adults (DHS/DDD) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27885 0 0 0 0 0 0 0 0 0 0 0 0 0 27885 0 0 1004524032 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 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 4665 0 0 0 0 0 0 0 0 0 0 0 0 0 4665 0 0 1004524188 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 224 224 0 0 1004524451 1508271255 10 Physicians DUNCAN MARTIN 999999999 200 Cook 0 0 Pediatrics 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 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 2151 0 0 0 0 0 0 2151 0 0 1004524951 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 5 0 0 0 0 0 0 5 0 0 1004525543 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 0 145 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 30275 0 0 0 0 0 0 0 0 0 0 0 0 0 30275 0 0 1004525614 1164713269 10 Physicians DWORETZKY JOSHUA S 616151941 80 Peoria 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 831 0 0 0 0 0 0 831 0 0 1004525640 1487023461 16 Nurse Practitioners CLARK ALLISON B 606225646 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 0 560 0 0 0 0 0 0 560 0 0 1004525702 16 Nurse Practitioners 70 McDonough 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 347 0 0 0 0 0 0 347 0 0 1004525774 16 Nurse Practitioners 804 Arkansas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 199 0 0 0 0 0 0 199 0 0 1004525946 1053798181 55 Early Intervention Services HERNANDEZ KRISTINA M 999999999 200 Cook 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 0 851 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 851 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51228 0 0 0 0 0 0 51228 0 0 1004526237 1427456318 16 Nurse Practitioners MEYER SHARON A 601545716 200 Cook 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 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 2054 0 0 0 0 0 0 2054 0 0 1004526599 1336301779 10 Physicians TAE WONIL 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 139 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 306 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 306 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81 0 3676 0 0 0 0 0 0 3757 0 0 1004526602 1063456713 10 Physicians MCSWAIN HUGH 999999999 805 California 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6120 0 0 0 0 0 0 0 0 6120 0 0 1004526674 1780624742 10 Physicians JOHNSON ROGER F 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 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 0 544 0 0 0 0 0 0 544 0 0 1004526786 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 28690 0 0 0 0 0 0 0 0 0 0 0 0 0 28690 0 0 1004526912 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 0 348 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 23091 0 0 0 0 0 0 0 0 0 0 0 0 0 23091 0 0 1004527090 1700870094 89 Physician Assistant Only(Encounter Only) KOTERBSKI DAWN 606313222 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 137 0 0 0 0 0 0 0 0 996 0 0 0 0 0 0 1133 0 0 1004527178 1336505452 16 Nurse Practitioners FAUL MARGARET M 999999999 57 Lake 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 0 121 0 0 0 0 0 0 121 0 0 1004527186 1881071272 91 Waiver service provider--Adults (DHS/DDD) SITAR ASHLEE M 604512899 107 Will 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 3297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56610 0 0 0 0 0 0 0 0 0 0 0 0 0 56610 0 0 1004527593 1629209101 10 Physicians SNYDER JENNIFER 999999999 91 Sangamon 0 0 0 0 0 0 30 0 0 0 0 0 0 3 0 29 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 4 0 38 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 4 0 38 0 0 0 0 0 0 0 0 0 2200 0 0 0 0 0 0 150 0 1415 0 0 0 0 0 0 3765 0 0 1004527677 1376854257 10 Physicians LAUGHLIN HEATH 624541114 25 Crawford 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 937 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1347 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1347 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14727 0 684 0 0 0 0 0 0 15411 0 0 1004527714 1316202054 10 Physicians GARST OROZCO JESSICA 953586411 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 4 0 265 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 329 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 329 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 11651 0 0 0 0 0 0 11703 0 0 1004527723 1083933261 10 Physicians BRANTA JEFFREY W 606733039 200 Cook 0 1 Family Practice 0 0 0 0 3 0 0 0 0 0 0 4 0 69 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 6 0 140 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 6 0 140 0 0 0 0 0 0 0 0 0 127 0 0 0 0 0 0 19 0 2879 0 0 0 0 0 0 3025 0 0 1004528184 1588916407 89 Physician Assistant Only(Encounter Only) SMITH KIRSTIN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107 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 1789 0 0 0 0 0 0 1789 0 0 1004528240 1689018624 87 Psychologist(Encounter Only) DIZEN MUGE 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 421 0 0 0 0 0 0 421 0 0 1004528319 1861742264 87 Psychologist(Encounter Only) KANE KELLY 999999999 19 Champaign 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 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 0 271 0 0 0 0 0 0 271 0 0 1004528510 1497860811 16 Nurse Practitioners HOLDREN JEANNE 999999999 108 Williamson 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 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 4606 0 0 0 0 0 0 4606 0 0 1004528552 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 0 193 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 55724 0 0 0 0 0 0 0 0 0 0 0 0 0 55724 0 0 1004528585 16 Nurse Practitioners 101 Wabash 0 0 0 0 0 0 0 0 0 0 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 0 434 0 0 0 0 0 0 434 0 0 1004528592 1780973925 87 Psychologist(Encounter Only) EHNLE MIKELL R 999999999 80 Peoria 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 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 0 171 0 0 0 0 0 0 171 0 0 1004528669 1396974457 10 Physicians RAZA SANIA S 999999999 200 Cook 0 0 Internal Medicine 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 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3533 0 0 0 0 0 0 3533 0 0 1004528816 1477946630 60 Pharmacies WALGREENS #15350 606144308 200 Cook 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1944 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1528 0 0 0 1528 0 0 1004528995 1245484740 10 Physicians PHITSANUWONG CHALONGCHAI 606491003 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5696 0 0 0 0 0 0 5696 0 0 1004529021 10 Physicians 25 Crawford 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 368 0 1677 0 0 0 0 0 0 2045 0 0 1004529290 1528221322 10 Physicians STRAHLE JENNIFER M 999999999 47 Jackson 0 0 Neurology Surgery 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 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 2975 0 0 0 0 0 0 2975 0 0 1004529323 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 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 47 0 0 0 0 0 0 47 0 0 1004530510 1457789034 16 Nurse Practitioners DENDRINOS CYNTHIA K 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 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 0 0 0 0 0 0 0 0 0 0 1004530701 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 0 144 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 26065 0 0 0 0 0 0 0 0 0 0 0 0 0 26065 0 0 1004530949 10 Physicians 89 Rock Island 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 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 0 465 0 0 0 0 0 0 465 0 0 1004531128 1447561261 10 Physicians GRECHUSHKIN VADIM 999999999 822 Massachusetts 0 0 0 0 0 0 0 0 0 0 0 0 0 185 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 260 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 260 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6360 0 48 0 0 0 0 0 0 6408 0 0 1004531331 1245602564 28 Waiver service provider--Supportive living facility (HFS) ROBBINS SLF 999999999 200 Cook 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 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1818 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 218782 0 0 0 0 0 0 0 0 0 0 0 0 0 218782 0 0 1004531365 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 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 10067 0 0 0 0 0 0 0 0 0 0 0 0 0 10067 0 0 1004531407 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 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6253 0 0 0 0 0 0 0 0 0 0 0 0 0 6253 0 0 1004531713 16 Nurse Practitioners 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004531735 10 Physicians 852 Wisconsin 0 0 Surgery General 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 130 0 0 1004531827 10 Physicians 107 Will 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 2 0 2 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 0 152 0 2167 0 0 0 0 0 0 2319 0 0 1004532252 1851764146 16 Nurse Practitioners DE LA TORRE RUBY 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 154 0 0 0 0 0 0 154 0 0 1004532450 91 Waiver service provider--Adults (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 109 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 27572 0 0 0 0 0 0 0 0 0 0 0 0 0 27572 0 0 1004532458 1528319639 10 Physicians JENDI MOHAMMED R 622331116 87 Randolph 0 0 Family Practice 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 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 1677 0 0 0 0 0 0 1677 0 0 1004532709 89 Physician Assistant Only(Encounter Only) 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 31 0 0 0 0 0 0 31 0 0 1004532874 91 Waiver service provider--Adults (DHS/DDD) 27 Dekalb 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 243 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 0 0 0 0 0 0 0 0 0 0 0 0 5451 0 0 0 0 0 0 0 0 0 0 0 0 0 5451 0 0 1004533105 1033573183 40 Federally Qualified Health Centers SIHF HEALTHCARE 999999999 87 Randolph 0 1 0 0 83 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 283 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 283 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16373 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16373 0 0 1004533271 1376819870 10 Physicians JOHNSON SARAH 606576710 200 Cook 0 0 Family Practice 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 0 335 0 0 0 0 0 0 335 0 0 1004533404 1598989097 89 Physician Assistant Only(Encounter Only) GANNON-STRINGER HEATHER 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 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 0 185 0 0 0 0 0 0 185 0 0 1004533494 1730345315 10 Physicians SALMAN CAROL 49155500 30 DuPage 0 0 Pediatrics 0 0 0 0 3 0 0 0 0 0 0 1 0 13 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 1 0 19 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 1 0 19 0 0 0 0 0 0 0 0 0 254 0 0 0 0 0 0 2 0 742 0 0 0 0 0 0 998 0 0 1004533706 89 Physician Assistant Only(Encounter Only) 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004534069 1013391093 16 Nurse Practitioners BYRAM MARK 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 0 248 0 0 0 0 0 0 248 0 0 1004534289 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 0 193 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 30274 0 0 0 0 0 0 0 0 0 0 0 0 0 30274 0 0 1004534321 1205227642 16 Nurse Practitioners PIETRUSIEWICZ PATRICIA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1144 0 0 0 0 0 0 1144 0 0 1004534541 1811320187 30 General Hospitals FRESENIUS MEDICAL CARE MUNSTER 999999999 815 Indiana ARS-LS Long-term stay hospitals paid under an ARS 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 0 132 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 954 0 0 0 0 0 954 0 0 1004534593 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 73 0 0 1004534948 16 Nurse Practitioners 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 16 0 0 1004535056 87 Psychologist(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 808 0 0 0 0 0 0 808 0 0 1004535081 1164804316 16 Nurse Practitioners SPALDING KATHERINE 999999999 55 Kendall 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 0 344 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 344 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 791 0 0 0 0 0 0 791 0 0 1004535340 1770520033 16 Nurse Practitioners ALEKSANDER TALEVSKI 999999999 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 330 0 0 0 0 0 0 330 0 0 1004535361 1326302910 10 Physicians PATEL ANAND K 999999999 47 Jackson 0 0 General Practice 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 0 142 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 0 0 0 0 0 0 0 0 0 0 1472 0 0 0 0 0 0 1472 0 0 1004535890 1174849368 10 Physicians CRUZ BRAVO PAULINA 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 506 0 0 0 0 0 0 506 0 0 1004536040 1669858791 16 Nurse Practitioners LOEHMAN HILLARY 731191026 30 DuPage 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 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3909 0 0 0 0 0 0 3909 0 0 1004536082 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 0 356 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 356 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27864 0 0 0 0 0 0 0 0 0 0 0 0 0 27864 0 0 1004536107 10 Physicians 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 65 0 0 1004536205 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 12775 0 0 0 0 0 0 0 0 0 0 0 0 0 12775 0 0 1004536379 1275574469 89 Physician Assistant Only(Encounter Only) AMUNDSON BRIAN 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 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 2020 0 0 0 0 0 0 2020 0 0 1004536480 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 0 249 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 27086 0 0 0 0 0 0 0 0 0 0 0 0 0 27086 0 0 1004536762 16 Nurse Practitioners 49 Jefferson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004536904 1942685920 30 General Hospitals SSM HEALTH SAINT LOUIS UNIVERS 631041016 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 General Hospital - Adult and Child 0 0 0 0 0 513 0 0 0 0 439 0 0 0 922 0 0 0 0 0 0 0 0 0 639 0 0 0 0 509 0 0 0 2165 0 0 0 0 0 0 0 0 0 639 0 0 0 0 4357 0 0 0 2299 0 0 0 0 0 0 0 0 0 115306 0 0 0 0 5777823 0 0 0 650570 0 0 0 0 0 6543699 0 0 1004537024 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 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 32522 0 0 0 0 0 0 0 0 0 0 0 0 0 32522 0 0 1004537307 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 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27640 0 0 0 0 0 0 0 0 0 0 0 0 0 27640 0 0 1004537531 1194092031 10 Physicians BHANDARI ABHISHEK 999999999 107 Will 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 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 1805 0 0 0 0 0 0 1805 0 0 1004537579 1992815906 10 Physicians REEDS SUSAN R 999999999 91 Sangamon 0 0 Internal 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 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 0 125 0 0 0 0 0 0 125 0 0 1004537783 10 Physicians 30 DuPage 0 0 Colon - Rectal 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 0 342 0 0 0 0 0 0 342 0 0 1004538009 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 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 2721 0 0 0 0 0 0 0 0 0 0 0 0 0 2721 0 0 1004538019 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 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 30218 0 0 0 0 0 0 0 0 0 0 0 0 0 30218 0 0 1004538590 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 28403 0 0 0 0 0 0 0 0 0 0 0 0 0 28403 0 0 1004538658 1427423367 16 Nurse Practitioners WARREN ANDREA L 999999999 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 221 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 221 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 5657 0 0 0 0 0 0 5695 0 0 1004538740 1609231471 16 Nurse Practitioners SCISLICKA URSZULA 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 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 0 824 0 0 0 0 0 0 824 0 0 1004538870 1871975268 60 Pharmacies LANARK PHARMACY 999999999 17 Carroll 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 0 156 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5038 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3356 0 0 0 3356 0 0 1004538904 1275909798 16 Nurse Practitioners SMITH KATHERINE C 999999999 91 Sangamon 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 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 1156 0 0 0 0 0 0 1156 0 0 1004538996 1477911634 16 Nurse Practitioners YEATES AMY L 999999999 91 Sangamon 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 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 3714 0 0 0 0 0 0 3714 0 0 1004539061 1285034587 16 Nurse Practitioners MEN CHHORVEE 606930623 200 Cook 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 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 1409 0 0 0 0 0 0 1409 0 0 1004539169 87 Psychologist(Encounter Only) 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2162 0 0 0 0 0 0 2162 0 0 1004539211 1487720942 10 Physicians DUNCAN CASEY E 625265858 63 Macon 0 0 Radiation Oncology 0 0 0 0 0 0 0 0 0 0 0 5 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 547 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 547 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 143 0 28043 0 0 0 0 0 0 28186 0 0 1004540093 1669788709 10 Physicians MANCHANDA AARTI 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 13 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 121 0 5618 0 0 0 0 0 0 5739 0 0 1004540119 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 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27946 0 0 0 0 0 0 0 0 0 0 0 0 0 27946 0 0 1004540163 1568850113 16 Nurse Practitioners ORDNER STACY 619384644 24 Coles 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 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 0 778 0 0 0 0 0 0 778 0 0 1004540174 1508011040 10 Physicians HUANG HENRY D 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 22 0 585 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 1173 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 1173 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 9403 0 0 0 0 0 0 9446 0 0 1004540693 1831453760 10 Physicians KMETUK NATALIE 80962739 80 Peoria 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 140 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 7959 0 0 0 0 0 0 7959 0 0 1004540886 1417258906 89 Physician Assistant Only(Encounter Only) JONES AMANDA L 999999999 109 Winnebago 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 30 0 0 0 0 0 0 30 0 0 1004540946 1063606432 10 Physicians AL-ZOUBAIDI MOHAMMED A 999999999 200 Cook 0 0 Vascular Surgery 0 0 0 0 0 0 0 0 0 0 0 21 0 111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 263 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 263 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 0 4063 0 0 0 0 0 0 4173 0 0 1004540966 1750519807 10 Physicians TARKOWSKI ERIC 600185257 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 344 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 505 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 505 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7295 0 644 0 0 0 0 0 0 7939 0 0 1004541094 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 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 0 390 0 0 0 0 0 0 0 0 0 0 0 0 0 390 0 0 1004541423 12 Optometrists 200 Cook 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004541688 1477955250 16 Nurse Practitioners STONE TODD 999999999 200 Cook 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 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 0 720 0 0 0 0 0 0 720 0 0 1004541885 1497165146 87 Psychologist(Encounter Only) SONG WOOJIN 606123748 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 611 0 0 0 0 0 0 611 0 0 1004542074 1750544011 10 Physicians WILLIAMS MICHAEL S 631952334 200 Cook 0 0 Vascular Surgery 0 0 0 0 0 0 0 0 0 0 0 2 0 45 0 0 0 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 6 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 2951 0 0 0 0 0 0 3011 0 0 1004542122 1104208164 16 Nurse Practitioners ANTHONY JOSEPH F 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2094 0 0 0 0 0 0 2094 0 0 1004542142 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 0 946 0 0 0 0 0 0 0 0 0 0 0 0 0 946 0 0 1004542157 1871755983 23 Occupational Therapists DUNGAN PATRICK 999999999 109 Winnebago 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 0 109 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 1400 1400 0 0 1004542187 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 0 311 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 311 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20817 0 0 0 0 0 0 0 0 0 0 0 0 0 20817 0 0 1004542378 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 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 2332 0 0 0 0 0 0 0 0 0 0 0 0 0 2332 0 0 1004542502 1801273966 91 Waiver service provider--Adults (DHS/DDD) DVORAK KIRSTEN 999999999 200 Cook 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 1295 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 0 0 0 0 0 0 0 0 0 0 0 0 124796 0 0 0 0 0 0 0 0 0 0 0 0 0 124796 0 0 1004542696 24 Speech Therapists 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2397 2397 0 0 1004543103 16 Nurse Practitioners 80 Peoria 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 0 130 0 0 0 0 0 0 130 0 0 1004543616 10 Physicians 200 Cook 0 0 Pulmonary Diseases 0 0 0 0 0 0 0 0 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 26 0 0 0 0 0 0 26 0 0 1004543803 1851700637 16 Nurse Practitioners MCGRAW CHIRISS 999999999 200 Cook 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 0 902 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 902 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5775 0 0 0 0 0 0 5775 0 0 1004543847 1033498167 10 Physicians SARSWAT NITASHA 999999999 30 DuPage 0 0 Internal Medicine 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 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4357 0 0 0 0 0 0 4357 0 0 1004544050 1417353707 55 Early Intervention Services POLLO KRISTY L 622493519 64 Macoupin 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 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5920 0 0 0 0 0 0 5920 0 0 1004544079 1861886715 16 Nurse Practitioners WAGGONER KRISTINA 627083428 91 Sangamon 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 209 0 0 0 0 0 0 0 0 1363 0 0 0 0 0 0 1572 0 0 1004544261 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 5806 0 0 0 0 0 0 0 0 0 0 0 0 0 5806 0 0 1004544799 10 Physicians 824 Minnesota 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004544825 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 0 148 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 6884 0 0 0 0 0 0 0 0 0 0 0 0 0 6884 0 0 1004545264 1093189615 16 Nurse Practitioners OTERO LINDSAY R 999999999 80 Peoria 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 1832 0 0 0 0 0 0 1949 0 0 1004545616 1255725560 16 Nurse Practitioners HUDSON JONATHAN 616152402 80 Peoria 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 0 619 0 0 0 0 0 0 619 0 0 1004545663 16 Nurse Practitioners 50 Jersey 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 3 0 0 0 0 0 0 3 0 0 1004546100 1265830434 16 Nurse Practitioners ALTHEIDE AUTUMN R 117474300 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 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 0 566 0 0 0 0 0 0 566 0 0 1004546519 1508008566 10 Physicians LINDSAY BRIAN D 999999999 816 Iowa 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 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 47 0 0 0 0 0 0 47 0 0 1004546521 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 13211 0 0 0 0 0 0 0 0 0 0 0 0 0 13211 0 0 1004546571 1699855767 89 Physician Assistant Only(Encounter Only) BAGGETT CHERYL 999999999 66 Marion 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 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 0 636 0 0 0 0 0 0 636 0 0 1004546632 1114210101 10 Physicians PISAREWICZ KATARZYNA 999999999 818 Kentucky 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 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 0 243 0 0 0 0 0 0 243 0 0 1004546742 1467711796 10 Physicians DABROWSKI LUKASZ 629023988 47 Jackson 0 0 Pediatrics 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 0 119 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 7000 0 0 0 0 0 0 7000 0 0 1004546787 91 Waiver service provider--Adults (DHS/DDD) 816 Iowa 0 0 0 0 0 0 0 0 2 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 14042 0 0 0 0 0 0 0 0 0 0 0 0 0 14042 0 0 1004547159 1477892917 13 Podiatrists RICHEY JACOB M 999999999 57 Lake 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 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 0 574 0 0 0 0 0 0 574 0 0 1004547411 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 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 223 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 1004547473 91 Waiver service provider--Adults (DHS/DDD) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13880 0 0 0 0 0 0 0 0 0 0 0 0 0 13880 0 0 1004547723 1508146309 89 Physician Assistant Only(Encounter Only) MININGER CHARLES N 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 440 0 0 0 0 0 0 440 0 0 1004547768 1215120274 10 Physicians KALRA AMIT 600315711 57 Lake 0 0 Gastroenterology 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 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7574 0 0 0 0 0 0 7574 0 0 1004547995 1295128098 16 Nurse Practitioners WIETOR ANNA 606133077 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 294 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 1278 0 0 0 0 0 0 1278 0 0 1004548356 1376980599 16 Nurse Practitioners BURNIGHT JESSICA 606228151 200 Cook 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 726 0 0 0 0 0 0 0 0 2418 0 0 0 0 0 0 3144 0 0 1004548590 1699921809 10 Physicians VAINCE FAAIZA 601545716 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1728 0 0 0 0 0 0 1728 0 0 1004548591 1154377117 10 Physicians GAURILOFF-ROTHENBERG JANE B 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 480 0 0 0 0 0 0 0 0 480 0 0 1004548605 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 0 136 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 34264 0 0 0 0 0 0 0 0 0 0 0 0 0 34264 0 0 1004548744 1518352426 10 Physicians FARID JOSEPH RAYMOND 600475292 57 Lake 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 314 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 314 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5943 0 0 0 0 0 0 5943 0 0 1004548803 91 Waiver service provider--Adults (DHS/DDD) 109 Winnebago 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 0 975 0 0 0 0 0 0 0 0 0 0 0 0 0 975 0 0 1004549220 1366840662 60 Pharmacies MARIANOS PHARMACY 8530 608052809 200 Cook 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 87 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 1705 0 0 0 1705 0 0 1004549225 1891134854 10 Physicians DODD MICHAEL J 999999999 53 Kane 0 0 Internal Medicine 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 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 0 304 0 0 0 0 0 0 304 0 0 1004549227 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 28269 0 0 0 0 0 0 0 0 0 0 0 0 0 28269 0 0 1004549506 92 Waiver service provider--Disability (DHS/DRS) 27 Dekalb 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1612 0 0 0 0 0 0 0 0 0 0 0 0 0 1612 0 0 1004549693 91 Waiver service provider--Adults (DHS/DDD) 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 0 240 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 28185 0 0 0 0 0 0 0 0 0 0 0 0 0 28185 0 0 1004549696 1609194810 10 Physicians KUMAR NISHANT 480381125 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 470 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 652 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 652 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12944 0 660 0 0 0 0 0 0 13604 0 0 1004549827 1114995818 89 Physician Assistant Only(Encounter Only) GIESELER ANGELA 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 31 0 0 1004550071 1497021737 10 Physicians LAURENT STACY 606777007 200 Cook 0 0 Emergency Medicine 0 0 0 0 10 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 634 0 0 0 0 0 0 0 0 10993 0 0 0 0 0 0 11627 0 0 1004550400 92 Waiver service provider--Disability (DHS/DRS) 20 Christian 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4918 0 0 0 0 0 0 0 0 0 0 0 0 0 4918 0 0 1004550467 1447295381 89 Physician Assistant Only(Encounter Only) CORNELL-WELD KATHLEEN 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 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 1322 0 0 0 0 0 0 1322 0 0 1004550704 1457615957 10 Physicians ACOSTA ANTHONY A 999999999 200 Cook 0 0 Emergency 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 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 0 543 0 0 0 0 0 0 543 0 0 1004550730 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 27 0 0 0 0 0 0 27 0 0 1004550765 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 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 5334 0 0 0 0 0 0 0 0 0 0 0 0 0 5334 0 0 1004550906 1306102314 10 Physicians VALLABHANENI ABHISTA 999999999 200 Cook 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 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 5551 0 0 0 0 0 0 5551 0 0 1004550948 1700102480 10 Physicians KAMENETSKY ERIC 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1308 0 0 0 0 0 0 1308 0 0 1004551108 1124310842 10 Physicians LAN THANH THIEN HA 999999999 200 Cook 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 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 1150 0 0 0 0 0 0 0 0 1150 0 0 1004551161 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 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28422 0 0 0 0 0 0 0 0 0 0 0 0 0 28422 0 0 1004551190 10 Physicians 53 Kane 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 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 74 0 0 0 0 0 0 74 0 0 1004551506 1174756639 89 Physician Assistant Only(Encounter Only) CARRIER ERIC M 999999999 91 Sangamon 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 0 127 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 4107 0 0 0 0 0 0 4107 0 0 1004551829 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 0 303 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 303 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28324 0 0 0 0 0 0 0 0 0 0 0 0 0 28324 0 0 1004551836 10 Physicians 80 Peoria 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 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 0 202 0 0 0 0 0 0 202 0 0 1004551975 1508192402 89 Physician Assistant Only(Encounter Only) FORBERG JOANNA 999999999 200 Cook 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 0 300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2698 0 0 0 0 0 0 2698 0 0 1004552151 1437413432 10 Physicians HART MIRANDA A 999999999 200 Cook 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 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 1556 0 0 0 0 0 0 1556 0 0 1004552176 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4074 0 0 0 0 0 0 0 0 0 0 0 0 0 4074 0 0 1004552196 1629273669 10 Physicians LUDWIG NICHOLAS S 999999999 828 Nebraska 0 0 0 0 0 0 0 0 0 0 0 0 0 373 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 458 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 458 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7493 0 720 0 0 0 0 0 0 8213 0 0 1004552200 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 20991 0 0 0 0 0 0 0 0 0 0 0 0 0 20991 0 0 1004552208 1801289871 16 Nurse Practitioners DROBNEY AMBER M. 999999999 107 Will 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 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 0 432 0 0 0 0 0 0 432 0 0 1004552243 86 Clinical Social Worker(Encounter Only) 71 McHenry 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 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 1123 0 0 0 0 0 0 1123 0 0 1004552253 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 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 1004552457 10 Physicians 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 132 0 0 0 0 0 0 132 0 0 1004552544 1477845584 10 Physicians NAZZAL YARA 999999999 109 Winnebago 0 0 Neurology 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 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 0 930 0 0 0 0 0 0 930 0 0 1004552621 1780978684 10 Physicians AHSAN JUNAID M 999999999 816 Iowa 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 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 1093 0 0 0 0 0 0 1093 0 0 1004553055 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 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12206 0 0 0 0 0 0 0 0 0 0 0 0 0 12206 0 0 1004553161 1356653570 10 Physicians WESTON ANTHONY 606313222 200 Cook 0 0 Family Practice 0 0 0 0 10 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 901 0 0 0 0 0 0 0 0 1386 0 0 0 0 0 0 2287 0 0 1004553506 16 Nurse Practitioners 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 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 0 120 0 0 0 0 0 0 120 0 0 1004554083 1942684287 60 Pharmacies CVS PHARMACY 10759 999999999 50 Jersey 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 0 876 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30657 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34583 0 0 0 34583 0 0 1004554133 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 21 0 0 0 0 0 0 21 0 0 1004554918 1528406246 22 Physical Therapists SCHWIND JESSI 616112663 110 Woodford 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 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 4256 4256 0 0 1004554968 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 0 367 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 367 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12592 0 0 0 0 0 0 0 0 0 0 0 0 0 12592 0 0 1004554998 1427311745 10 Physicians JOHNSON NICOLE R 999999999 200 Cook 0 0 Pediatrics 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 0 113 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 6912 0 0 0 0 0 0 6912 0 0 1004555050 1558688531 89 Physician Assistant Only(Encounter Only) MARKHAM ANDREA S. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 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 0 494 0 0 0 0 0 0 494 0 0 1004555056 91 Waiver service provider--Adults (DHS/DDD) 30 DuPage 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 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 26292 0 0 0 0 0 0 0 0 0 0 0 0 0 26292 0 0 1004555297 1316338932 16 Nurse Practitioners KILLAM RACHEL 623012834 10 Adams 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 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 0 179 0 0 0 0 0 0 179 0 0 1004555517 1053390021 10 Physicians BOLD JONATHAN W 553445349 829 Nevada 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 65 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1570 0 13 0 0 0 0 0 0 1583 0 0 1004555775 22 Physical Therapists 80 Peoria 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 0 168 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 1117 1117 0 0 1004555782 1295961134 10 Physicians ANANTHANARAYANAN VIJAYALAKSHMI 601533328 200 Cook 0 0 Pathology 0 0 0 0 0 0 0 0 0 0 0 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4720 0 0 0 0 0 0 0 0 4720 0 0 1004555973 1134474109 10 Physicians NAGORI MOHAMMEDUMER 370275339 200 Cook 0 0 Internal Medicine 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 0 499 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 0 0 0 0 0 0 0 0 0 0 0 0 12341 0 0 0 0 0 0 12341 0 0 1004556000 10 Physicians 815 Indiana 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 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 0 0 0 0 0 0 0 0 0 0 1004556172 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 0 182 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 22550 0 0 0 0 0 0 0 0 0 0 0 0 0 22550 0 0 1004556468 1871722868 89 Physician Assistant Only(Encounter Only) DEWITT KELLIE K 618223741 19 Champaign 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 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 0 370 0 0 0 0 0 0 370 0 0 1004556504 1124449160 89 Physician Assistant Only(Encounter Only) LEVORA JESSICA E 999999999 91 Sangamon 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 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2929 0 0 0 0 0 0 2929 0 0 1004556596 1245499672 10 Physicians PUHER REBECCA 999999999 88 Richland 0 0 Internal Medicine 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 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 1465 0 0 0 0 0 0 1465 0 0 1004556686 1275583155 30 General Hospitals METHODIST MEDICAL CENTER OF IL 999999999 80 Peoria DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 0 0 46 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 111 0 0 0 0 0 0 0 146 0 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 0 1209 0 0 0 0 0 0 0 0 0 0 10721 0 0 0 0 0 0 0 216582 0 0 0 0 0 0 0 0 0 227303 0 0 1004556708 1629458799 16 Nurse Practitioners HELTSLEY JANA N 999999999 24 Coles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 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 3576 0 0 0 0 0 0 3576 0 0 1004556795 1104221431 16 Nurse Practitioners KLESZCZ KATHY 606313222 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 11 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 69 0 0 0 0 0 0 0 0 422 0 0 0 0 0 0 491 0 0 1004557409 1508183427 10 Physicians GENDY MOHAMED 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 1098 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 1098 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 129 0 89933 0 0 0 0 0 0 90062 0 0 1004557416 1760779771 10 Physicians KUHNS MATTHEW 606751611 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 111 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 0 0 0 0 0 0 0 0 0 0 170 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3047 0 0 0 0 0 0 3047 0 0 1004557445 1144362773 10 Physicians HABIB MUHAMMAD A. 999999999 837 Oklahoma 0 0 0 0 0 0 12 0 0 0 0 0 0 2 0 92 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 2 0 189 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 2 0 189 0 0 0 0 0 0 0 0 0 506 0 0 0 0 0 0 10 0 5132 0 0 0 0 0 0 5648 0 0 1004557456 1609274877 16 Nurse Practitioners STORK TIFFANY A 627047452 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 208 0 0 0 0 0 0 208 0 0 1004557514 1245532928 89 Physician Assistant Only(Encounter Only) FORNELLI DEANNE C 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 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 0 426 0 0 0 0 0 0 426 0 0 1004557657 10 Physicians 818 Kentucky 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 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 5 0 0 0 0 0 0 5 0 0 1004557682 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 0 190 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 29030 0 0 0 0 0 0 0 0 0 0 0 0 0 29030 0 0 1004557928 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 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 7076 0 0 0 0 0 0 0 0 0 0 0 0 0 7076 0 0 1004557995 1881000826 87 Psychologist(Encounter Only) MCCORMACK RUSSELL S 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 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 0 281 0 0 0 0 0 0 281 0 0 1004558062 1154707388 11 Dentists NASTASE DORINA 601734166 30 DuPage 0 0 General Dentistry 0 0 0 22 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 4554 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4554 0 0 1004558230 91 Waiver service provider--Adults (DHS/DDD) 54 Kankakee 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 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 27188 0 0 0 0 0 0 0 0 0 0 0 0 0 27188 0 0 1004558300 1568609667 16 Nurse Practitioners JONES TANISHA A 999999999 30 DuPage 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 321 0 0 0 0 0 0 0 0 534 0 0 0 0 0 0 855 0 0 1004558453 1366827628 16 Nurse Practitioners ZALETEL CYNTHIA 999999999 107 Will 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 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 0 801 0 0 0 0 0 0 801 0 0 1004558466 1588049100 89 Physician Assistant Only(Encounter Only) LIPES LINDSAY M 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 0 323 0 0 0 0 0 0 323 0 0 1004558682 1700144813 10 Physicians KITCHEN JACQUELINE E 612044028 816 Iowa 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 691 0 0 0 0 0 0 691 0 0 1004558770 1548669815 11 Dentists TORRES-GORENA ARIADNA 999999999 200 Cook 0 0 0 0 0 42 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 12723 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12723 0 0 1004558853 10 Physicians 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 200 0 0 0 0 0 0 200 0 0 1004559108 1740600311 16 Nurse Practitioners OKANU NDIDI 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 0 153 0 0 0 0 0 0 153 0 0 1004559597 1073741625 10 Physicians BALASH PAUL 627621000 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 181 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 8737 0 0 0 0 0 0 8737 0 0 1004559689 1881824647 10 Physicians JOHNSON MATTHEW D 627949639 91 Sangamon 0 0 Otolaryngology 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 0 102 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 30019 0 0 0 0 0 0 30019 0 0 1004560282 10 Physicians 816 Iowa 0 0 Plastic 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 43 0 0 0 0 0 0 43 0 0 1004560344 1013170414 10 Physicians SEKHAR KIRAN P 631463119 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 328 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 501 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 501 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4697 0 2684 0 0 0 0 0 0 7381 0 0 1004560470 1285680090 86 Clinical Social Worker(Encounter Only) LONG CHERYL 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 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 0 236 0 0 0 0 0 0 236 0 0 1004560792 1629435102 16 Nurse Practitioners GLON RAYMOND R 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 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 0 330 0 0 0 0 0 0 330 0 0 1004560851 1609205806 16 Nurse Practitioners NEWMAN KELSEY A 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 91 0 0 0 0 0 0 91 0 0 1004560972 1760851364 28 Waiver service provider--Supportive living facility (HFS) NEW CITY SUPPORTIVE LIVING 606094159 200 Cook 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 0 203 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5593 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 659382 0 0 0 0 0 0 0 0 0 0 0 0 0 659382 0 0 1004561263 1235328766 10 Physicians CHOI ELLEN 605275965 30 DuPage 0 0 Anesthesiology 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 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 9963 0 0 0 0 0 0 9963 0 0 1004561315 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 67 0 0 0 0 0 0 67 0 0 1004561340 86 Clinical Social Worker(Encounter Only) 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 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 0 0 0 0 0 0 0 0 0 0 1004561668 1538421086 10 Physicians HOLBROOK JAIMEE S 999999999 30 DuPage 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4618 0 0 0 0 0 0 4618 0 0 1004561689 1528474871 11 Dentists SAEED MARIAM 601484561 30 DuPage 0 0 General Dentistry 0 0 0 19 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 11091 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11091 0 0 1004561747 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 259 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 26781 0 0 0 0 0 0 0 0 0 0 0 0 0 26781 0 0 1004562136 1306050877 10 Physicians OMOTOSHO PHILIP 606123841 200 Cook 0 0 Surgery General 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1720 0 0 0 0 0 0 1720 0 0 1004562275 10 Physicians 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 47 0 0 1004562340 1508149816 10 Physicians REYHART DILINI C 616151941 80 Peoria 0 0 Internal Medicine 0 0 0 0 7 0 0 0 0 0 0 6 0 73 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 8 0 122 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 8 0 122 0 0 0 0 0 0 0 0 0 376 0 0 0 0 0 0 75 0 3018 0 0 0 0 0 0 3469 0 0 1004562447 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 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 16704 0 0 0 0 0 0 0 0 0 0 0 0 0 16704 0 0 1004562526 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 26071 0 0 0 0 0 0 0 0 0 0 0 0 0 26071 0 0 1004562591 1851777619 16 Nurse Practitioners DAVIS NICOLE 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 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 0 663 0 0 0 0 0 0 663 0 0 1004562695 1669858098 11 Dentists CHANG KWANG K 999999999 200 Cook 0 0 General Dentistry 0 0 0 25 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 13500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13500 0 0 1004562904 1851582910 10 Physicians SHENG ALEXANDER X 999999999 200 Cook 0 0 Physical Medicine/Rehabilitation 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 0 220 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 2935 0 0 0 0 0 0 2935 0 0 1004562919 1700276094 55 Early Intervention Services CLISH KATI JO 999999999 30 DuPage 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 0 173 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 9387 0 0 0 0 0 0 9387 0 0 1004563048 1295034569 10 Physicians LIU LUZHENG 999999999 200 Cook 0 0 Dermatology 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 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 0 932 0 0 0 0 0 0 932 0 0 1004563152 1801099288 10 Physicians KAUSHAL PADMINI 601873152 30 DuPage 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 3 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1672 0 0 0 0 0 0 1672 0 0 1004563634 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 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 6774 0 0 0 0 0 0 0 0 0 0 0 0 0 6774 0 0 1004563964 10 Physicians 30 DuPage 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 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 0 149 0 0 0 0 0 0 149 0 0 1004564184 1093078420 10 Physicians DUNN ANDREW M 370272023 10 Adams 0 1 Family Practice 0 0 0 0 0 0 0 0 0 0 0 28 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 322 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 322 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 198 0 2441 0 0 0 0 0 0 2639 0 0 1004564280 1780975888 10 Physicians KOREISHI ANJUM 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 266 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 266 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 278 0 9523 0 0 0 0 0 0 9801 0 0 1004564339 1851705271 10 Physicians COOMES DANIEL 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 181 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 2702 0 0 0 0 0 0 2702 0 0 1004564554 1053440008 10 Physicians TAGLE LAURA 999999999 53 Kane 0 0 Internal Medicine 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 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 0 476 0 0 0 0 0 0 476 0 0 1004564566 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 26098 0 0 0 0 0 0 0 0 0 0 0 0 0 26098 0 0 1004565113 1770891566 10 Physicians BATRA KUMAR K 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 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 31 0 0 0 0 0 0 31 0 0 1004565351 1194010900 10 Physicians KILONZO BRIAN M 999999999 19 Champaign 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 21 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 599 0 11427 0 0 0 0 0 0 12026 0 0 1004565373 1548249352 16 Nurse Practitioners DECKERT JUDITH 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 31 0 0 1004565765 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 62 0 0 0 0 0 0 62 0 0 1004565915 10 Physicians 80 Peoria 0 0 Physical Medicine/Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004566177 1407153125 10 Physicians SCHROEDER STEFANIE A 999999999 19 Champaign 0 1 Pediatrics 0 0 0 0 82 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 97 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 97 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 7197 0 0 0 0 0 0 0 0 4646 0 0 0 0 0 0 11843 0 0 1004566477 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 0 156 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 0 0 0 0 0 30271 0 0 0 0 0 0 0 0 0 0 0 0 0 30271 0 0 1004566649 1891958245 10 Physicians SNOW ANTHONY N 522421009 200 Cook 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 50 0 0 0 0 0 0 0 0 50 0 0 1004566925 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 0 192 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 27561 0 0 0 0 0 0 0 0 0 0 0 0 0 27561 0 0 1004567097 1073748455 10 Physicians BAKIR BELAL H 999999999 30 DuPage 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 14 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 345 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 345 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120 0 11306 0 0 0 0 0 0 11426 0 0 1004567125 1174921266 89 Physician Assistant Only(Encounter Only) CHIA SHIMA 600742858 200 Cook 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 94 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 228 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 228 0 0 0 0 0 0 0 0 0 661 0 0 0 0 0 0 0 0 6812 0 0 0 0 0 0 7473 0 0 1004567218 1164890869 16 Nurse Practitioners GAYNOR MARGARET 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 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 0 545 0 0 0 0 0 0 545 0 0 1004567337 1386930428 10 Physicians MALLICK NADIR 917738195 30 DuPage 0 0 Family Practice 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 0 124 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 3030 0 0 0 0 0 0 3030 0 0 1004567840 1174912364 16 Nurse Practitioners HEIL JESSICA 627083428 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 162 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 4668 0 0 0 0 0 0 4668 0 0 1004567868 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004567879 1295104958 40 Federally Qualified Health Centers VNA HEALTH CARE 999999999 107 Will 0 1 0 0 140 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 511 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 511 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42393 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42393 0 0 1004567986 91 Waiver service provider--Adults (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 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 27838 0 0 0 0 0 0 0 0 0 0 0 0 0 27838 0 0 1004568164 10 Physicians 80 Peoria 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 456 0 0 0 0 0 0 456 0 0 1004568229 1346536620 10 Physicians PATEL SHILPAN 999999999 200 Cook 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 0 177 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 4979 0 0 0 0 0 0 4979 0 0 1004568286 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004568421 1407162746 10 Physicians SCHMIDT KEITH W 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 10 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 278 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 278 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 3349 0 0 0 0 0 0 3355 0 0 1004568857 1114393519 16 Nurse Practitioners LYNN GENIA M 999999999 30 DuPage 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 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 0 391 0 0 0 0 0 0 391 0 0 1004569100 1710989587 10 Physicians KCOMT WILLIAM 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 145 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 5303 0 0 0 0 0 0 5303 0 0 1004569186 1780045229 16 Nurse Practitioners HOPE RANDI L 999999999 91 Sangamon 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 175 0 0 0 0 0 0 0 0 387 0 0 0 0 0 0 562 0 0 1004569216 1922474824 86 Clinical Social Worker(Encounter Only) GLINSKI ALISON C 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 0 325 0 0 0 0 0 0 325 0 0 1004569512 1336509892 16 Nurse Practitioners HEUBNER NATALIE R 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 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 0 546 0 0 0 0 0 0 546 0 0 1004569518 1790943231 10 Physicians BACHTA STEVEN J 999999999 200 Cook 0 0 Pediatrics 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 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 3811 0 0 0 0 0 0 3811 0 0 1004569658 1932502929 16 Nurse Practitioners BRENNAN KATHERINE 606116649 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1417 0 0 0 0 0 0 1417 0 0 1004569803 1124333539 10 Physicians WARDA ALI H 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1145 0 0 0 0 0 0 1145 0 0 1004570028 1629156559 10 Physicians MINIER MARK 606127324 200 Cook 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 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 0 801 0 0 0 0 0 0 801 0 0 1004570096 1376544320 30 General Hospitals UNIVERSITY OF IOWA HOSPITAL 522421009 816 Iowa DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 General Hospital - Adult and Child 0 0 0 0 0 74 0 0 0 0 102 0 0 0 532 0 0 0 0 0 0 0 0 0 80 0 0 0 0 114 0 0 0 1412 0 0 0 0 0 0 0 0 0 80 0 0 0 0 1292 0 0 0 1412 0 0 0 0 0 0 0 0 0 21201 0 0 0 0 1942155 0 0 0 146370 0 0 0 0 0 2109726 0 0 1004570115 1699109884 10 Physicians YU JEFFREY 606777007 200 Cook 0 0 Otolaryngology 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 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8058 0 0 0 0 0 0 8058 0 0 1004570125 91 Waiver service provider--Adults (DHS/DDD) 30 DuPage 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4972 0 0 0 0 0 0 0 0 0 0 0 0 0 4972 0 0 1004570229 10 Physicians 852 Wisconsin 0 0 0 0 0 0 0 0 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 34 0 0 0 0 0 0 0 0 34 0 0 1004570885 1184842528 10 Physicians KIM ELIZABETH 618029566 19 Champaign 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 442 0 0 0 0 0 0 442 0 0 1004570935 1043582703 10 Physicians MOREY RISHIKESH 999999999 107 Will 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 3 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 826 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 826 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 151 0 14317 0 0 0 0 0 0 14468 0 0 1004571041 1396115325 91 Waiver service provider--Adults (DHS/DDD) GALLANT STEPHANIE N 600674791 200 Cook 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 0 825 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 825 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 111177 0 0 0 0 0 0 0 0 0 0 0 0 0 111177 0 0 1004571158 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 0 264 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 22382 0 0 0 0 0 0 0 0 0 0 0 0 0 22382 0 0 1004571177 1699114751 10 Physicians MICHELSON ANDREW P 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 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 1311 0 0 0 0 0 0 1311 0 0 1004571222 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 0 271 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 271 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26859 0 0 0 0 0 0 0 0 0 0 0 0 0 26859 0 0 1004571502 1992142376 10 Physicians CHOUDHRY KIRAN H 606313222 200 Cook 0 0 Family Practice 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 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 1451 0 0 0 0 0 0 1451 0 0 1004571571 1245615277 70 Ambulance Service Providers OREGON FIRE PROTECTION DISTRIC 999999999 79 Ogle 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 0 420 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 420 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71141 0 0 0 0 0 0 71141 0 0 1004571783 1972860302 87 Psychologist(Encounter Only) GUIDOTTI BRETING LESLIE 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 0 261 0 0 0 0 0 0 261 0 0 1004571948 1265758635 10 Physicians BISLA RASHMI 999999999 200 Cook 0 0 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 0 415 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 415 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 7400 0 0 0 0 0 0 7462 0 0 1004571950 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 52 0 0 0 0 0 0 52 0 0 1004572250 1053556647 10 Physicians CONKRIGHT KENDRA J 999999999 10 Adams 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 29 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 313 0 15705 0 0 0 0 0 0 16018 0 0 1004572460 1225427453 16 Nurse Practitioners PURCHATZKE TYSON 117474300 35 Ford 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 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 1678 0 0 0 0 0 0 1678 0 0 1004572646 1497060982 10 Physicians SIGLIN SCOTT J 999999999 200 Cook 0 0 Internal Medicine 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 0 280 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 280 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10501 0 0 0 0 0 0 10501 0 0 1004572695 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 0 0 0 0 0 0 0 0 0 13968 0 0 0 0 0 0 0 0 0 0 0 0 0 13968 0 0 1004572696 1760712863 10 Physicians BOOTS CHRISTINA E 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 1 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 10 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 1004572700 91 Waiver service provider--Adults (DHS/DDD) 97 Stephenson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 184 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 27982 0 0 0 0 0 0 0 0 0 0 0 0 0 27982 0 0 1004572982 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 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 2299 0 0 0 0 0 0 0 0 0 0 0 0 0 2299 0 0 1004573233 1053454926 89 Physician Assistant Only(Encounter Only) MARTIN TEDJITOU 999999999 91 Sangamon 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 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 4191 0 0 0 0 0 0 4191 0 0 1004573314 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 10467 0 0 0 0 0 0 0 0 0 0 0 0 0 10467 0 0 1004573449 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 7045 0 0 0 0 0 0 0 0 0 0 0 0 0 7045 0 0 1004573482 1902160732 10 Physicians HA JIHYE 999999999 30 DuPage 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 6203 0 0 0 0 0 0 6215 0 0 1004574329 98 Waiver service provider--TBI (DHS/DRS) 34 Fayette 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 20978 0 0 0 0 0 0 0 0 0 0 0 0 0 20978 0 0 1004574335 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 35610 0 0 0 0 0 0 0 0 0 0 0 0 0 35610 0 0 1004574703 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 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 81 0 0 0 0 0 0 81 0 0 1004574764 1720363526 10 Physicians FISCHER ASHLEY M 999999999 200 Cook 0 0 Pediatrics 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 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114140 0 0 0 0 0 0 114140 0 0 1004574983 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 19229 0 0 0 0 0 0 0 0 0 0 0 0 0 19229 0 0 1004575315 1508859521 87 Psychologist(Encounter Only) ROSTAFINSKI THOMAS 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 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 0 251 0 0 0 0 0 0 251 0 0 1004575899 1992715775 10 Physicians GOLDRING JAMES 999999999 826 Missouri 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 17 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 78 0 0 0 0 0 0 78 0 0 1004576103 1356719736 16 Nurse Practitioners DELONG RACHEL 999999999 91 Sangamon 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 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 0 570 0 0 0 0 0 0 570 0 0 1004576272 1376859884 10 Physicians CHENNAMANENI VENU 999999999 80 Peoria 0 0 Internal Medicine 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 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2092 0 0 0 0 0 0 2092 0 0 1004576556 1003361049 16 Nurse Practitioners HARLEY COURTNEY J 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3874 0 0 0 0 0 0 3874 0 0 1004577095 1952660649 10 Physicians WHITE TIFFANY 999999999 53 Kane 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 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 0 820 0 0 0 0 0 0 820 0 0 1004577341 36 Community mental health provider 24 Coles 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 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 0 887 0 0 887 0 0 1004577405 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 0 110 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 26080 0 0 0 0 0 0 0 0 0 0 0 0 0 26080 0 0 1004577537 16 Nurse Practitioners 10 Adams 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 63 0 0 0 0 0 0 63 0 0 1004577555 1033540430 24 Speech Therapists GRIBBEN RACHEL M 999999999 200 Cook 0 0 0 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 0 153 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 11948 11948 0 0 1004577604 1457793820 10 Physicians DAHAR MASHOOQUE A 999999999 80 Peoria 0 0 Internal Medicine 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 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1744 0 0 0 0 0 0 1744 0 0 1004577695 1174950661 89 Physician Assistant Only(Encounter Only) BRUNSON JACK 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 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 4941 0 0 0 0 0 0 4941 0 0 1004577823 1396001541 10 Physicians SAVINO ANTHONY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 333 0 0 0 0 0 0 369 0 0 1004577992 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 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 3931 0 0 0 0 0 0 0 0 0 0 0 0 0 3931 0 0 1004578023 92 Waiver service provider--Disability (DHS/DRS) 836 Ohio 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 24710 0 0 0 0 0 0 0 0 0 0 0 0 0 24710 0 0 1004578026 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 0 382 0 0 1004578072 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 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 1004578271 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 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 21192 0 0 0 0 0 0 0 0 0 0 0 0 0 21192 0 0 1004578288 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 16597 0 0 0 0 0 0 0 0 0 0 0 0 0 16597 0 0 1004578369 1275794158 10 Physicians ANNES JOHN G 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 45 0 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 214 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 214 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 256 0 5993 0 0 0 0 0 0 6249 0 0 1004578469 1174811905 10 Physicians MILLER DAVID D 999999999 109 Winnebago 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 3 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 126 0 0 0 0 0 0 133 0 0 1004578834 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 1084 0 0 0 0 0 0 0 0 0 0 0 0 0 1084 0 0 1004578908 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 38496 0 0 0 0 0 0 0 0 0 0 0 0 0 38496 0 0 1004578982 1174702021 16 Nurse Practitioners WRIGHT AMBER N 999999999 39 Greene 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 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004579097 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24607 0 0 0 0 0 0 0 0 0 0 0 0 0 24607 0 0 1004579489 1073929352 16 Nurse Practitioners NEAULT SARAH 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 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 1701 0 0 0 0 0 0 1701 0 0 1004579508 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 0 107 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 17345 0 0 0 0 0 0 0 0 0 0 0 0 0 17345 0 0 1004579538 1679817365 10 Physicians ALVAREZ JIMENA B 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 35 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 14676 0 0 0 0 0 0 14676 0 0 1004579540 1710909528 60 Pharmacies CVS PHARMACY #16258 611082545 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 509 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18431 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35636 0 0 0 35636 0 0 1004579647 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9908 0 0 0 0 0 0 0 0 0 0 0 0 0 9908 0 0 1004579678 87 Psychologist(Encounter Only) 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 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 0 0 0 0 0 0 0 0 0 0 1004579706 1730442773 10 Physicians SEKULOVICH KELLI T 999999999 30 DuPage 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2938 0 0 0 0 0 0 2938 0 0 1004579739 1063852747 10 Physicians KADAR RACHEL 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 85 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 0 431 0 0 0 0 0 0 431 0 0 1004580081 10 Physicians 65 Madison 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 0 102 0 0 0 0 0 0 102 0 0 1004580125 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 18175 0 0 0 0 0 0 0 0 0 0 0 0 0 18175 0 0 1004580216 1336546969 16 Nurse Practitioners MONTGOMERY JENNIFER A 999999999 80 Peoria 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 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 2911 0 0 0 0 0 0 2911 0 0 1004580290 1194194175 91 Waiver service provider--Adults (DHS/DDD) "COMPASSION CILA HOMES, INC." 604661145 200 Cook 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2067 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2067 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 429617 0 0 0 0 0 0 0 0 0 0 0 0 0 429617 0 0 1004580366 1700865268 10 Physicians SIERRA CARLOS R 999999999 91 Sangamon 0 0 Obstetric-Gynecology 0 0 0 0 2 0 0 0 0 0 0 94 0 86 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 144 0 153 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 144 0 153 0 0 0 0 0 0 0 0 0 171 0 0 0 0 0 0 5950 0 10684 0 0 0 0 0 0 16805 0 0 1004580699 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 724 0 0 0 0 0 0 0 0 0 0 0 0 0 724 0 0 1004581053 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29030 0 0 0 0 0 0 0 0 0 0 0 0 0 29030 0 0 1004581180 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 37869 0 0 0 0 0 0 0 0 0 0 0 0 0 37869 0 0 1004581363 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 156 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 0 0 0 0 0 27847 0 0 0 0 0 0 0 0 0 0 0 0 0 27847 0 0 1004581589 1053575399 10 Physicians PRAKASH RAVI 999999999 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 4286 0 0 0 0 0 0 4300 0 0 1004581603 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13339 0 0 0 0 0 0 0 0 0 0 0 0 0 13339 0 0 1004581621 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 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 21092 0 0 0 0 0 0 0 0 0 0 0 0 0 21092 0 0 1004581822 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 24121 0 0 0 0 0 0 0 0 0 0 0 0 0 24121 0 0 1004581945 1992177802 16 Nurse Practitioners JOSE ANUPAMA P 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 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 0 900 0 0 0 0 0 0 900 0 0 1004582006 1932223146 89 Physician Assistant Only(Encounter Only) ZWEIFEL MAGDALENA A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 0 0 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 0 415 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 505 0 0 0 0 0 0 505 0 0 1004582208 1609227081 16 Nurse Practitioners JOHNSTON HEATHER M 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 504 0 0 0 0 0 0 504 0 0 1004582263 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 0 151 0 0 0 0 0 0 151 0 0 1004582324 1770717670 10 Physicians HAMID KAMRAN 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 47 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 5246 0 0 0 0 0 0 5246 0 0 1004582681 1134560139 10 Physicians BOEHR MICAH 999999999 200 Cook 0 0 Family Practice 0 0 0 0 2 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 147 0 0 0 0 0 0 0 0 572 0 0 0 0 0 0 719 0 0 1004582817 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 28801 0 0 0 0 0 0 0 0 0 0 0 0 0 28801 0 0 1004582930 92 Waiver service provider--Disability (DHS/DRS) 30 DuPage 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 11391 0 0 0 0 0 0 0 0 0 0 0 0 0 11391 0 0 1004582995 16 Nurse Practitioners 21 Clark 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004582998 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6849 0 0 0 0 0 0 0 0 0 0 0 0 0 6849 0 0 1004583275 92 Waiver service provider--Disability (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 16351 0 0 0 0 0 0 0 0 0 0 0 0 0 16351 0 0 1004583425 22 Physical Therapists 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 1004583514 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3376 0 0 0 0 0 0 0 0 0 0 0 0 0 3376 0 0 1004583826 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 0 0 0 0 0 0 0 243 0 0 1004584006 1053607424 10 Physicians LOUDON TRACY ANNE 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3528 0 0 0 0 0 0 3528 0 0 1004584315 1396160990 88 Other behavior health professional SCHWARTZ BRADLEY 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 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 2182 0 0 0 0 0 0 2182 0 0 1004584450 1801874664 89 Physician Assistant Only(Encounter Only) WILLIAMS DAN E 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 15 0 0 0 0 0 0 15 0 0 1004584469 1730387705 10 Physicians KIRK TYLER Q 999999999 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 311 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 311 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9177 0 0 0 0 0 0 9177 0 0 1004584858 1063434876 60 Pharmacies CVS PHARMACY #16325 601911338 30 DuPage 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 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7610 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32852 0 0 0 32852 0 0 1004584873 98 Waiver service provider--TBI (DHS/DRS) 839 Pennsylvania 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 492 0 0 0 0 0 0 0 0 0 0 0 0 0 492 0 0 1004585057 1942520127 10 Physicians GREENSPAN MICHAEL B. 999999999 63 Macon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 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 7226 0 0 0 0 0 0 7226 0 0 1004585248 1013382209 16 Nurse Practitioners ALBERT SHERRI L 999999999 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 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 2158 0 0 0 0 0 0 2158 0 0 1004585415 1689808313 10 Physicians SETO BENNY 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 5 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 157 0 0 0 0 0 0 205 0 0 1004585537 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 13541 0 0 0 0 0 0 0 0 0 0 0 0 0 13541 0 0 1004585814 1578805990 10 Physicians VAHEBI SUSAN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 156 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 0 0 0 0 0 4555 0 0 0 0 0 0 4555 0 0 1004585916 1518989326 60 Pharmacies CVS PHARMACY #16308 616153538 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9215 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9995 0 0 0 9995 0 0 1004586095 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 0 360 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 16908 0 0 0 0 0 0 0 0 0 0 0 0 0 16908 0 0 1004586137 1205810926 10 Physicians MARULENDRA SHIVAPRASAD 999999999 71 McHenry 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 83 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 8462 0 0 0 0 0 0 8462 0 0 1004586180 1619214301 12 Optometrists MCCARTAN MARY JO 999999999 200 Cook 0 0 Therapeutic Pharmaceutical Agents 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 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 0 946 0 0 0 0 0 0 946 0 0 1004586300 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 4852 0 0 0 0 0 0 0 0 0 0 0 0 0 4852 0 0 1004586931 1689099830 16 Nurse Practitioners PATEL SWETABEN 999999999 826 Missouri 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 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 0 845 0 0 0 0 0 0 845 0 0 1004587380 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 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 36200 0 0 0 0 0 0 0 0 0 0 0 0 0 36200 0 0 1004587503 1417313511 91 Waiver service provider--Adults (DHS/DDD) HART QUIANNA 999999999 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 0 671 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 671 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41531 0 0 0 0 0 0 0 0 0 0 0 0 0 41531 0 0 1004587720 1366858805 86 Clinical Social Worker(Encounter Only) BENDIX SARAH 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 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 6659 0 0 0 0 0 0 6659 0 0 1004588057 10 Physicians 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 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 0 760 0 0 0 0 0 0 760 0 0 1004588317 92 Waiver service provider--Disability (DHS/DRS) 49 Jefferson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 41006 0 0 0 0 0 0 0 0 0 0 0 0 0 41006 0 0 1004588414 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 0 137 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 17529 0 0 0 0 0 0 0 0 0 0 0 0 0 17529 0 0 1004588560 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 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 31351 0 0 0 0 0 0 0 0 0 0 0 0 0 31351 0 0 1004588716 24 Speech Therapists 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 164 164 0 0 1004588827 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 27327 0 0 0 0 0 0 0 0 0 0 0 0 0 27327 0 0 1004589351 1134141948 60 Pharmacies CVS PHARMACY #16369 601811244 30 DuPage 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 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4066 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2946 0 0 0 2946 0 0 1004589507 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 0 225 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 14418 0 0 0 0 0 0 0 0 0 0 0 0 0 14418 0 0 1004589527 1588018311 16 Nurse Practitioners ERIKSSON JOANN H. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 0 0 0 0 1 0 0 1004589733 1306123757 89 Physician Assistant Only(Encounter Only) CARLSON KATHERINE I. 999999999 80 Peoria 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 2 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 615 0 0 0 0 0 0 663 0 0 1004589740 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 313 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 313 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32443 0 0 0 0 0 0 0 0 0 0 0 0 0 32443 0 0 1004589770 1114344298 89 Physician Assistant Only(Encounter Only) TOPPER THOMAS 999999999 69 Massac 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 828 0 0 0 0 0 0 828 0 0 1004589897 1275913063 36 Community mental health provider ADVOCATE CHILDRENS HOSPITAL BH 999999999 200 Cook 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 193 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 193 0 0 1286 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16586 0 0 17872 0 0 1004589960 1811245178 16 Nurse Practitioners CELMER JACQUELINE J 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 272 0 0 0 0 0 0 272 0 0 1004590099 1487996674 10 Physicians RAMALINGAM SRIDEVI 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 53 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 3215 0 0 0 0 0 0 3215 0 0 1004590256 88 Other behavior health professional 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 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 0 161 0 0 0 0 0 0 161 0 0 1004590330 10 Physicians 200 Cook 0 0 Obstetric-Gynecology 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 0 344 0 0 0 0 0 0 344 0 0 1004590399 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004590568 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 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 27108 0 0 0 0 0 0 0 0 0 0 0 0 0 27108 0 0 1004590610 1376553727 10 Physicians STEIN RHONDA H 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 4 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 349 0 0 0 0 0 0 0 0 196 0 0 0 0 0 0 545 0 0 1004591137 10 Physicians 80 Peoria 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 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 0 133 0 0 0 0 0 0 133 0 0 1004591175 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 19904 0 0 0 0 0 0 0 0 0 0 0 0 0 19904 0 0 1004591408 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 40711 0 0 0 0 0 0 0 0 0 0 0 0 0 40711 0 0 1004591593 1497949531 60 Pharmacies CVS PHARMACY #17396 622263104 96 St Clair 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6925 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7150 0 0 0 7150 0 0 1004591775 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 0 161 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 30261 0 0 0 0 0 0 0 0 0 0 0 0 0 30261 0 0 1004591809 1699174060 16 Nurse Practitioners BRITVIC MICHELE L 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 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 0 512 0 0 0 0 0 0 512 0 0 1004592122 10 Physicians 30 DuPage 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004592125 1992155022 40 Federally Qualified Health Centers LAKE COUNTY HEALTH DEPARTMENT 999999999 57 Lake 0 0 0 0 42 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 0 384 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19017 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19017 0 0 1004592172 1164854386 12 Optometrists ICHISHITA JOHN 999999999 57 Lake 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3231 0 0 0 0 0 0 3231 0 0 1004592423 60 Pharmacies 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 509 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 114 0 0 1004592636 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 12985 0 0 0 0 0 0 0 0 0 0 0 0 0 12985 0 0 1004592669 89 Physician Assistant Only(Encounter Only) 54 Kankakee 0 0 0 0 0 0 0 0 0 0 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 0 298 0 0 0 0 0 0 298 0 0 1004592861 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 28020 0 0 0 0 0 0 0 0 0 0 0 0 0 28020 0 0 1004592925 1215387113 11 Dentists SAGADRACA TOMMY 999999999 30 DuPage 0 0 General Dentistry 0 0 0 57 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 9654 0 0 0 0 0 0 0 0 0 0 0 444 0 0 0 0 10098 0 0 1004592930 1407847882 63 Other Providers of Medical Equipment/Supplies (Non-registered) "ACTIVSTYLE, INC." 606431018 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 936 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13328 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13328 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 810126 0 0 0 0 0 0 810126 0 0 1004593561 91 Waiver service provider--Adults (DHS/DDD) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 200 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 26603 0 0 0 0 0 0 0 0 0 0 0 0 0 26603 0 0 1004593588 1295964872 10 Physicians ZACHARIAH AMIT A 999999999 54 Kankakee 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 557 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 557 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4738 0 0 0 0 0 0 4738 0 0 1004593595 1952702474 16 Nurse Practitioners SANTOS VIVIANE M 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 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 0 628 0 0 0 0 0 0 628 0 0 1004593802 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26978 0 0 0 0 0 0 0 0 0 0 0 0 0 26978 0 0 1004594135 92 Waiver service provider--Disability (DHS/DRS) 44 Henderson 0 0 0 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 20458 0 0 0 0 0 0 0 0 0 0 0 0 0 20458 0 0 1004594243 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 67 0 0 1004594328 1528446812 65 Independent Diagnostic Testing Facility (IDTF) PREMIER MRI OF SCHAUMBURG 601734292 200 Cook 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 1772 0 0 0 0 0 0 0 0 1772 0 0 1004594382 10 Physicians 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 106 0 0 1004594386 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 0 156 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 0 0 0 0 0 13569 0 0 0 0 0 0 0 0 0 0 0 0 0 13569 0 0 1004594634 1285861187 10 Physicians HAN IAN C 999999999 96 St Clair 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 266 0 0 0 0 0 0 266 0 0 1004594713 1497107759 10 Physicians AL MOUSSA ABDALLAH 999999999 200 Cook 0 0 Internal Medicine 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 0 456 0 0 0 0 0 0 456 0 0 1004595327 1790732097 89 Physician Assistant Only(Encounter Only) BOEHM IVEN 999999999 94 Shelby 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 145 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 302 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 302 0 0 0 0 0 0 0 0 0 224 0 0 0 0 0 0 0 0 6214 0 0 0 0 0 0 6438 0 0 1004595358 1720246515 11 Dentists YOUSEF FARZIN 999999999 13 Boone 0 0 General Dentistry 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 341 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 341 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14497 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14497 0 0 1004595490 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 234 0 0 1004595680 94 Waiver service provider--Children's support (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 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12752 0 0 0 0 0 0 0 0 0 0 0 0 0 12752 0 0 1004595869 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 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 2913 0 0 0 0 0 0 0 0 0 0 0 0 0 2913 0 0 1004595981 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 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 49 0 0 0 0 0 0 49 0 0 1004596112 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 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 60 0 0 0 0 0 0 60 0 0 1004596434 1356634505 10 Physicians LICHTOR STEPHANIE A 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1182 0 0 0 0 0 0 1182 0 0 1004597092 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8036 0 0 0 0 0 0 0 0 0 0 0 0 0 8036 0 0 1004597163 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 182 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 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1004597381 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 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 30261 0 0 0 0 0 0 0 0 0 0 0 0 0 30261 0 0 1004597402 1043482912 10 Physicians THATTALIYATH BIJOY D 999999999 53 Kane 0 0 Pediatrics 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 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 154 0 0 0 0 0 0 154 0 0 1004597455 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 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 0 305 0 0 0 0 0 0 0 0 0 0 0 0 0 305 0 0 1004597599 91 Waiver service provider--Adults (DHS/DDD) 104 Wayne 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 171 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 25182 0 0 0 0 0 0 0 0 0 0 0 0 0 25182 0 0 1004597804 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7417 0 0 0 0 0 0 0 0 0 0 0 0 0 7417 0 0 1004597992 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 30976 0 0 0 0 0 0 0 0 0 0 0 0 0 30976 0 0 1004597999 1144216607 89 Physician Assistant Only(Encounter Only) RODRIGUEZ JULIE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 256 0 0 0 0 0 0 256 0 0 1004598354 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 7671 0 0 0 0 0 0 0 0 0 0 0 0 0 7671 0 0 1004598361 1932542602 10 Physicians KOYA KOMAL DOLAR 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 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 7572 0 0 0 0 0 0 7572 0 0 1004598862 1356720486 60 Pharmacies MARIANO'S PHARMACY #8532 999999999 200 Cook 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2267 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6047 0 0 0 6047 0 0 1004598890 1033401153 10 Physicians CLAYTON ERIKA 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 1 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 313 0 0 0 0 0 0 329 0 0 1004598898 91 Waiver service provider--Adults (DHS/DDD) 10 Adams 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 15680 0 0 0 0 0 0 0 0 0 0 0 0 0 15680 0 0 1004599382 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 4675 0 0 0 0 0 0 0 0 0 0 0 0 0 4675 0 0 1004599640 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 184 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 21906 0 0 0 0 0 0 0 0 0 0 0 0 0 21906 0 0 1004599759 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 29825 0 0 0 0 0 0 0 0 0 0 0 0 0 29825 0 0 1004599812 16 Nurse Practitioners 96 St Clair 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004600069 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 14995 0 0 0 0 0 0 0 0 0 0 0 0 0 14995 0 0 1004600093 1184078206 91 Waiver service provider--Adults (DHS/DDD) SEBASTIAN PATRICK 999999999 30 DuPage 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 1683 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1683 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 151460 0 0 0 0 0 0 0 0 0 0 0 0 0 151460 0 0 1004600406 1285910059 89 Physician Assistant Only(Encounter Only) MATHENIA JEREMY 999999999 24 Coles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 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 1093 0 0 0 0 0 0 1093 0 0 1004600460 1740545789 10 Physicians PHILLIPS LAYNE 999999999 107 Will 0 1 Family Practice 0 0 0 0 19 0 0 0 0 0 0 2 0 63 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 3 0 110 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 3 0 110 0 0 0 0 0 0 0 0 0 1657 0 0 0 0 0 0 0 0 2528 0 0 0 0 0 0 4185 0 0 1004600525 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18232 0 0 0 0 0 0 0 0 0 0 0 0 0 18232 0 0 1004600770 92 Waiver service provider--Disability (DHS/DRS) 836 Ohio 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3709 0 0 0 0 0 0 0 0 0 0 0 0 0 3709 0 0 1004600825 1104250059 16 Nurse Practitioners TABLER PAMELA A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 323 0 0 0 0 0 0 323 0 0 1004600899 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 1004600986 1902861222 16 Nurse Practitioners FREEMAN STEPHANIE A 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 122 0 0 0 0 0 0 122 0 0 1004601017 1316301385 16 Nurse Practitioners OBRIEN SARAH A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 174 0 0 0 0 0 0 174 0 0 1004601336 1467712810 10 Physicians BUYEA BRIDGET A 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2733 0 0 0 0 0 0 2733 0 0 1004601526 1437566692 16 Nurse Practitioners WEIGT AMELIA M 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 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 0 733 0 0 0 0 0 0 733 0 0 1004601629 1487950010 10 Physicians COLE KATE H 999999999 30 DuPage 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 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 1146 0 0 0 0 0 0 1146 0 0 1004602183 1063897155 16 Nurse Practitioners ADIGHIBE NNEBUIFE N 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 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 0 502 0 0 0 0 0 0 502 0 0 1004602320 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3333 0 0 0 0 0 0 0 0 0 0 0 0 0 3333 0 0 1004602534 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28252 0 0 0 0 0 0 0 0 0 0 0 0 0 28252 0 0 1004602712 16 Nurse Practitioners 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004602715 89 Physician Assistant Only(Encounter Only) 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004602976 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 0 298 0 0 0 0 0 0 298 0 0 1004603438 1154334316 10 Physicians BAINS RUSHIM S 999999999 63 Macon 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 16 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 2 0 37 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 2 0 37 0 0 0 0 0 0 0 0 0 256 0 0 0 0 0 0 0 0 933 0 0 0 0 0 0 1189 0 0 1004603704 89 Physician Assistant Only(Encounter Only) 96 St Clair 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2 0 0 1004603712 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3732 0 0 0 0 0 0 0 0 0 0 0 0 0 3732 0 0 1004604149 1285928085 10 Physicians GORDON KATHRYN 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 1 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 656 0 0 0 0 0 0 727 0 0 1004604272 1316252265 10 Physicians WOLDEGABRIEL ELIAS N 999999999 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 340 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 340 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5040 0 0 0 0 0 0 5040 0 0 1004604277 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004604321 1295897924 60 Pharmacies HARTIG DRUG CO #29 610741918 17 Carroll 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 825 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21823 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28052 0 0 0 28052 0 0 1004604441 1336188705 10 Physicians SPEIGHT JOYCELYN L 999999999 109 Winnebago 0 0 Radiation Oncology 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 619 0 0 0 0 0 0 619 0 0 1004604460 10 Physicians 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 30 0 0 1004604560 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 11886 0 0 0 0 0 0 0 0 0 0 0 0 0 11886 0 0 1004604592 1881762540 89 Physician Assistant Only(Encounter Only) WILLIAMS LORI 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 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 1352 0 0 0 0 0 0 1352 0 0 1004604671 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 0 132 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 28064 0 0 0 0 0 0 0 0 0 0 0 0 0 28064 0 0 1004604945 80 Prepaid health plan--Health maintenance organization AETNA BETTER HEALTH INC MMAI 60606 200 Cook 0 0 "436,797" 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "2,825,534,618.56" 0 1004604949 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 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 1166 0 0 0 0 0 0 0 0 0 0 0 0 0 1166 0 0 1004604987 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30063 0 0 0 0 0 0 0 0 0 0 0 0 0 30063 0 0 1004605026 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 26766 0 0 0 0 0 0 0 0 0 0 0 0 0 26766 0 0 1004605331 1245521442 10 Physicians VANDER NAALT STEVEN 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 214 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 214 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 415 0 8803 0 0 0 0 0 0 9218 0 0 1004605374 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 43 0 0 0 0 0 0 43 0 0 1004605535 1124265509 60 Pharmacies CVS PHARMACY #17536 601621821 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 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 0 0 0 0 0 17294 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20256 0 0 0 20256 0 0 1004605851 1689993768 10 Physicians ALPER SETH J 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 140 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 184 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 184 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2295 0 2419 0 0 0 0 0 0 4714 0 0 1004606099 1104117423 10 Physicians SHIRAZI ABDUL 601220021 53 Kane 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3716 0 0 0 0 0 0 3716 0 0 1004606202 93 Waiver service provider--HIV/AIDS (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8582 0 0 0 0 0 0 0 0 0 0 0 0 0 8582 0 0 1004606465 10 Physicians 200 Cook 0 0 Pediatrics 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 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 0 773 0 0 0 0 0 0 773 0 0 1004606647 1790800654 33 Nursing Facilities MOWEAQUA REHAB AND HEALTH CR 625501337 94 Shelby 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 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2732 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 327275 0 0 0 0 0 0 0 327275 0 0 1004606957 1558640300 10 Physicians SACHDEV SEAN 606118709 200 Cook 0 0 Radiation Oncology 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 361 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 0 0 0 0 0 0 0 0 0 0 0 0 6530 0 0 0 0 0 0 6530 0 0 1004607010 1174597538 10 Physicians DAVIS HENRY 999999999 200 Cook 0 0 Internal Medicine 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 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 2154 0 0 0 0 0 0 2154 0 0 1004607512 1053768556 89 Physician Assistant Only(Encounter Only) NAVRATIL ANDREA L 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5007 0 0 0 0 0 0 5007 0 0 1004607574 1831562743 16 Nurse Practitioners REHBERG STEPHANIE M 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8186 0 0 0 0 0 0 8186 0 0 1004607740 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004608063 1427328798 89 Physician Assistant Only(Encounter Only) LESLEY GLENN MEGAN C. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 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 1433 0 0 0 0 0 0 1433 0 0 1004608237 1982982096 10 Physicians SOOD KANIKA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 9953 0 0 0 0 0 0 9953 0 0 1004608558 1902149982 10 Physicians SHAH MAULIN G 999999999 80 Peoria 0 1 Family Practice 0 0 0 0 27 0 0 0 0 0 0 14 0 75 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 17 0 142 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 17 0 142 0 0 0 0 0 0 0 0 0 2320 0 0 0 0 0 0 150 0 3155 0 0 0 0 0 0 5625 0 0 1004608596 1346319001 16 Nurse Practitioners HOLTHAUS ANGELA J 615202444 37 Fulton 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 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 1140 0 0 0 0 0 0 1140 0 0 1004609062 1205276698 10 Physicians MESSER ELIZABETH S 999999999 19 Champaign 0 0 Pediatrics 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 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 1365 0 0 0 0 0 0 1365 0 0 1004609183 1053678557 89 Physician Assistant Only(Encounter Only) PATEL NILAM M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5297 0 0 0 0 0 0 5297 0 0 1004609533 91 Waiver service provider--Adults (DHS/DDD) 88 Richland 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5287 0 0 0 0 0 0 0 0 0 0 0 0 0 5287 0 0 1004609640 1861768905 89 Physician Assistant Only(Encounter Only) GERLING HILLARY A 999999999 200 Cook 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 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 2047 0 0 0 0 0 0 2047 0 0 1004610110 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3632 0 0 0 0 0 0 0 0 0 0 0 0 0 3632 0 0 1004610272 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004610399 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10877 0 0 0 0 0 0 0 0 0 0 0 0 0 10877 0 0 1004610554 1326369265 10 Physicians ALEEM ALEXANDER WILLIAM 999999999 10 Adams 0 0 Orthopedic Surgery 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 1744 0 0 0 0 0 0 1744 0 0 1004610613 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 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 23236 0 0 0 0 0 0 0 0 0 0 0 0 0 23236 0 0 1004610654 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 1004610909 1629527759 23 Occupational Therapists SCHULTZ AMY 999999999 200 Cook 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 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 3388 3388 0 0 1004611160 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 173 0 0 0 0 0 0 173 0 0 1004611560 1295757086 60 Pharmacies CVS PHARMACY #16280 601391971 30 DuPage 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 0 741 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31806 0 0 0 31806 0 0 1004611586 11 Dentists 200 Cook 0 0 General Dentistry 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 1004611646 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21068 0 0 0 0 0 0 0 0 0 0 0 0 0 21068 0 0 1004611731 1326402942 10 Physicians PARMAR KARMA P 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 185 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 3661 0 0 0 0 0 0 3661 0 0 1004611748 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 882 0 0 0 0 0 0 0 0 0 0 0 0 0 882 0 0 1004611910 92 Waiver service provider--Disability (DHS/DRS) 88 Richland 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5580 0 0 0 0 0 0 0 0 0 0 0 0 0 5580 0 0 1004612309 16 Nurse Practitioners 31 Edgar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004612431 1982065470 16 Nurse Practitioners WANG GRIZAELLA A 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 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 0 792 0 0 0 0 0 0 792 0 0 1004612448 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5877 0 0 0 0 0 0 0 0 0 0 0 0 0 5877 0 0 1004612707 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 14660 0 0 0 0 0 0 0 0 0 0 0 0 0 14660 0 0 1004612777 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 12582 0 0 0 0 0 0 0 0 0 0 0 0 0 12582 0 0 1004612837 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 0 121 0 0 0 0 0 0 121 0 0 1004612957 1780053421 16 Nurse Practitioners ARCHER AARON J. 999999999 75 Monroe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 371 0 0 0 0 0 0 371 0 0 1004613082 1023245115 10 Physicians SATO TAKASHI S 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 23 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 499 0 85 0 0 0 0 0 0 584 0 0 1004613161 1649484072 89 Physician Assistant Only(Encounter Only) NORRIS ARLENE J 999999999 200 Cook 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 0 111 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 1698 0 0 0 0 0 0 1698 0 0 1004613248 1013375351 89 Physician Assistant Only(Encounter Only) SHEA MELANIE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 834 0 0 0 0 0 0 834 0 0 1004613354 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 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 35896 0 0 0 0 0 0 0 0 0 0 0 0 0 35896 0 0 1004613373 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 0 208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27766 0 0 0 0 0 0 0 0 0 0 0 0 0 27766 0 0 1004613384 1801296108 16 Nurse Practitioners WACKT AMANDA C 999999999 80 Peoria 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 97 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 140 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 140 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 2948 0 0 0 0 0 0 3012 0 0 1004613423 1477635092 10 Physicians AHMAD HOMAA 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 325 0 0 0 0 0 0 325 0 0 1004613443 1629369566 10 Physicians MARTIN APRYL N 999999999 19 Champaign 0 0 Anesthesiology 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 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 8896 0 0 0 0 0 0 8896 0 0 1004613590 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 72912 0 0 0 0 0 0 0 0 0 0 0 0 0 72912 0 0 1004613673 1609211952 10 Physicians HANSON KEITH A 999999999 80 Peoria 0 0 Pediatrics 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 0 102 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 13024 0 0 0 0 0 0 13024 0 0 1004613836 1831551829 16 Nurse Practitioners HAWKINS ABBEY E 999999999 72 McLean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1107 0 0 0 0 0 0 1107 0 0 1004613869 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 4892 0 0 0 0 0 0 0 0 0 0 0 0 0 4892 0 0 1004614105 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29354 0 0 0 0 0 0 0 0 0 0 0 0 0 29354 0 0 1004614139 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 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 37148 0 0 0 0 0 0 0 0 0 0 0 0 0 37148 0 0 1004614218 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12286 0 0 0 0 0 0 0 0 0 0 0 0 0 12286 0 0 1004614253 1619104098 40 Federally Qualified Health Centers AUNT MARTHA'S YOUTH SERVICE CE 604611021 200 Cook 0 0 0 0 7 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1265 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1265 0 0 1004614279 10 Physicians 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004614322 1508167925 89 Physician Assistant Only(Encounter Only) QUNELL ALISON L 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 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 0 680 0 0 0 0 0 0 680 0 0 1004614662 1760837256 12 Optometrists PATEL JAYMENI H 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 166 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 1784 0 0 0 0 0 0 1784 0 0 1004614786 1245599984 10 Physicians KOHLHAPP CAROLINE R 999999999 200 Cook 0 0 Family Practice 0 0 0 0 3 0 0 0 0 0 0 2 0 16 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 3 0 32 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 3 0 32 0 0 0 0 0 0 0 0 0 222 0 0 0 0 0 0 16 0 1101 0 0 0 0 0 0 1339 0 0 1004614875 91 Waiver service provider--Adults (DHS/DDD) 826 Missouri 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 221 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 18442 0 0 0 0 0 0 0 0 0 0 0 0 0 18442 0 0 1004614981 1649536186 10 Physicians WYSZOMIRSKI MICHELLE A. 999999999 200 Cook 0 0 Obstetric-Gynecology 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 4569 0 0 0 0 0 0 4569 0 0 1004615093 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 78 0 0 0 0 0 0 78 0 0 1004615119 10 Physicians 200 Cook 0 0 General Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004615225 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 11687 0 0 0 0 0 0 0 0 0 0 0 0 0 11687 0 0 1004616244 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19094 0 0 0 0 0 0 0 0 0 0 0 0 0 19094 0 0 1004616332 1609071349 10 Physicians TAN ALAN 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 0 120 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 2196 0 0 0 0 0 0 2196 0 0 1004616409 1396106696 22 Physical Therapists WILKEN ALISHA 999999999 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5306 5306 0 0 1004616426 10 Physicians 200 Cook 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 36 0 0 0 0 0 0 36 0 0 1004616499 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 32480 0 0 0 0 0 0 0 0 0 0 0 0 0 32480 0 0 1004616516 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 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 5858 0 0 0 0 0 0 0 0 0 0 0 0 0 5858 0 0 1004616593 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 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24845 0 0 0 0 0 0 0 0 0 0 0 0 0 24845 0 0 1004616605 1972973626 89 Physician Assistant Only(Encounter Only) CASLOW NATHAN D. 999999999 47 Jackson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 98 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 2387 0 0 0 0 0 0 2387 0 0 1004616754 1417979121 60 Pharmacies CVS PHARMACY #16771 606184635 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57 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 6753 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9667 0 0 0 9667 0 0 1004616883 10 Physicians 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 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 47 0 0 0 0 0 0 47 0 0 1004616925 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2414 0 0 0 0 0 0 0 0 0 0 0 0 0 2414 0 0 1004617013 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12228 0 0 0 0 0 0 0 0 0 0 0 0 0 12228 0 0 1004617102 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 40280 0 0 0 0 0 0 0 0 0 0 0 0 0 40280 0 0 1004617252 1306292271 10 Physicians LIN WINNIE 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 28 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 1921 0 0 0 0 0 0 0 0 1799 0 0 0 0 0 0 3720 0 0 1004617259 1427404516 16 Nurse Practitioners HECKLER KATHLEEN 999999999 50 Jersey 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 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 0 201 0 0 0 0 0 0 201 0 0 1004618016 1508216540 16 Nurse Practitioners JOHNSON ERIKA KIRSTIN 999999999 57 Lake 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 173 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 240 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 240 0 0 0 0 0 0 0 0 0 3615 0 0 0 0 0 0 0 0 9554 0 0 0 0 0 0 13169 0 0 1004618211 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 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 0 251 0 0 0 0 0 0 251 0 0 1004618331 1932420957 10 Physicians SHARMA ANUJ 999999999 108 Williamson 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 479 0 0 0 0 0 0 479 0 0 1004618343 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 8978 0 0 0 0 0 0 0 0 0 0 0 0 0 8978 0 0 1004618459 1023350519 13 Podiatrists NAGESH DARSHAN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 613 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 3774 0 0 0 0 0 0 3774 0 0 1004618640 1942542931 10 Physicians GUIGNON MICHAEL 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 218 0 0 0 0 0 0 218 0 0 1004618946 91 Waiver service provider--Adults (DHS/DDD) 36 Franklin 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 7199 0 0 0 0 0 0 0 0 0 0 0 0 0 7199 0 0 1004618998 1063756138 16 Nurse Practitioners HUSCH ERIN 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1212 0 0 0 0 0 0 1212 0 0 1004619038 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 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 8867 0 0 0 0 0 0 0 0 0 0 0 0 0 8867 0 0 1004619188 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 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 2122 0 0 0 0 0 0 0 0 0 0 0 0 0 2122 0 0 1004619328 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17226 0 0 0 0 0 0 0 0 0 0 0 0 0 17226 0 0 1004619329 16 Nurse Practitioners 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004619547 1912162900 10 Physicians AHMED MONA 999999999 53 Kane 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 293 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 399 0 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 399 0 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8178 0 1357 0 0 0 0 0 0 9535 0 0 1004619699 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42581 0 0 0 0 0 0 0 0 0 0 0 0 0 42581 0 0 1004619703 60 Pharmacies 823 Michigan 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 5 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 0 0 0 0 0 0 0 0 0 0 54757 0 0 0 54757 0 0 1004619819 1306236310 13 Podiatrists TRUNCALE KRISTIN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 437 0 0 0 0 0 0 437 0 0 1004620026 1598153512 89 Physician Assistant Only(Encounter Only) KNOBLAUCH KORTE B 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 178 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 3966 0 0 0 0 0 0 3966 0 0 1004620498 1891051439 10 Physicians LENON ANGELA L 999999999 200 Cook 0 0 Internal 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 0 225 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 3856 0 0 0 0 0 0 3856 0 0 1004620561 87 Psychologist(Encounter Only) 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 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 0 640 0 0 0 0 0 0 640 0 0 1004621019 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 0 156 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 0 0 0 0 0 30221 0 0 0 0 0 0 0 0 0 0 0 0 0 30221 0 0 1004621040 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 0 196 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 20606 0 0 0 0 0 0 0 0 0 0 0 0 0 20606 0 0 1004621777 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 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 2456 0 0 0 0 0 0 0 0 0 0 0 0 0 2456 0 0 1004621818 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 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 21712 0 0 0 0 0 0 0 0 0 0 0 0 0 21712 0 0 1004621914 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 252 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 30255 0 0 0 0 0 0 0 0 0 0 0 0 0 30255 0 0 1004622635 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 335 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 335 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28939 0 0 0 0 0 0 0 0 0 0 0 0 0 28939 0 0 1004622898 1700160959 10 Physicians BRIGGS BRANDEN J 999999999 80 Peoria 0 0 Emergency Medicine 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 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3553 0 0 0 0 0 0 3553 0 0 1004623145 92 Waiver service provider--Disability (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 26803 0 0 0 0 0 0 0 0 0 0 0 0 0 26803 0 0 1004623253 1790707503 60 Pharmacies CVS PHARMACY #16305 604401508 841 Rhode Island 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 0 325 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7184 0 0 0 7184 0 0 1004623276 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 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 19878 0 0 0 0 0 0 0 0 0 0 0 0 0 19878 0 0 1004623391 16 Nurse Practitioners 58 La Salle 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004623550 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24425 0 0 0 0 0 0 0 0 0 0 0 0 0 24425 0 0 1004623709 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2747 0 0 0 0 0 0 0 0 0 0 0 0 0 2747 0 0 1004623937 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004624827 10 Physicians 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004624875 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5006 0 0 0 0 0 0 0 0 0 0 0 0 0 5006 0 0 1004624997 1902349202 16 Nurse Practitioners SHRODE KIMBERLY 999999999 80 Peoria 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 111 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 178 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 178 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 3550 0 0 0 0 0 0 3646 0 0 1004625118 1669854907 30 General Hospitals RENAL CARE PROVIDERS 999999999 200 Cook 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 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 723 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20825 0 0 0 0 0 20825 0 0 1004625686 1568813061 16 Nurse Practitioners SMITH TAVIA N 999999999 96 St Clair 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 0 473 0 0 0 0 0 0 473 0 0 1004625756 1073856449 10 Physicians WALKER AMANDA 999999999 19 Champaign 0 1 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2518 0 0 0 0 0 0 2518 0 0 1004625945 1801242367 10 Physicians FREEMAN ELIZABETH W 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 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 10958 0 0 0 0 0 0 10958 0 0 1004626080 1710206131 10 Physicians KAMINSKI JAN PAWEL 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63 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 3607 0 0 0 0 0 0 3607 0 0 1004626309 1427505197 10 Physicians HYNES KELLY K 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 56 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 4547 0 0 0 0 0 0 4547 0 0 1004626410 1578018792 16 Nurse Practitioners KERBOW DAVID W 999999999 50 Jersey 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 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 1292 0 0 0 0 0 0 1292 0 0 1004626488 1639345598 10 Physicians HARSHA VARDHAN SINDHUJA 999999999 200 Cook 0 0 Pediatrics 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 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 6465 0 0 0 0 0 0 6465 0 0 1004626593 1649242736 10 Physicians ALKHAS ADDIE 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 43 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 3216 0 0 0 0 0 0 3216 0 0 1004626625 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 350 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 0 0 0 0 0 0 0 0 0 0 0 0 27102 0 0 0 0 0 0 0 0 0 0 0 0 0 27102 0 0 1004626654 1033399241 89 Physician Assistant Only(Encounter Only) HUDSON AUBREY 999999999 19 Champaign 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 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 1040 0 0 0 0 0 0 1040 0 0 1004626796 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3004 0 0 0 0 0 0 0 0 0 0 0 0 0 3004 0 0 1004626909 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 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 0 217 0 0 0 0 0 0 217 0 0 1004627059 1275625865 16 Nurse Practitioners NORRIS PAMELA J 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 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 0 885 0 0 0 0 0 0 885 0 0 1004627085 1407016249 10 Physicians ROUTSON HONG SUE J 999999999 200 Cook 0 0 Pediatrics 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 0 204 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 27013 0 0 0 0 0 0 27013 0 0 1004627127 4004627127 90 Waiver service provider--Elderly (DOA) "HELP AT HOME, LLC" 999999999 200 Cook 0 0 0 0 0 0 0 0 250 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13563 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13563 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 970673 0 0 0 0 0 0 0 0 0 0 0 0 0 970673 0 0 1004627250 1548612187 24 Speech Therapists MELCHER SARAH 999999999 108 Williamson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2800 2800 0 0 1004627510 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 0 140 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 16165 0 0 0 0 0 0 0 0 0 0 0 0 0 16165 0 0 1004627638 1770970964 91 Waiver service provider--Adults (DHS/DDD) HARSY ANGELA R 999999999 96 St Clair 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 2489 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2489 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128408 0 0 0 0 0 0 0 0 0 0 0 0 0 128408 0 0 1004627679 1427070135 60 Pharmacies CVS PHARMACY #16724 600902239 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6636 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19456 0 0 0 19456 0 0 1004627999 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 33047 0 0 0 0 0 0 0 0 0 0 0 0 0 33047 0 0 1004628111 87 Psychologist(Encounter Only) 71 McHenry 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 1004628380 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3105 0 0 0 0 0 0 0 0 0 0 0 0 0 3105 0 0 1004628471 1487978227 33 Nursing Facilities GALENA STAUSS NURSING HOME 610361635 51 Jo Daviess 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 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1694 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 199930 0 0 0 0 0 0 0 199930 0 0 1004628670 91 Waiver service provider--Adults (DHS/DDD) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8929 0 0 0 0 0 0 0 0 0 0 0 0 0 8929 0 0 1004628695 1184085060 16 Nurse Practitioners MCLINDEN MATTHEW 999999999 200 Cook 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 0 129 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 4834 0 0 0 0 0 0 4834 0 0 1004628935 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1874 0 0 0 0 0 0 0 0 0 0 0 0 0 1874 0 0 1004629179 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 49 0 0 0 0 0 0 49 0 0 1004629499 1316314933 16 Nurse Practitioners BOYLES MARLISSA 628220155 36 Franklin 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 0 102 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 1470 0 0 0 0 0 0 1470 0 0 1004629606 1811100043 10 Physicians KALIN ANDREW 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 0 147 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 2612 0 0 0 0 0 0 2612 0 0 1004629736 1386096170 60 Pharmacies COLEE'S COMMUNITY PHARMACY 999999999 63 Macon 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 0 750 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21455 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40086 0 0 0 40086 0 0 1004629905 1982045209 10 Physicians SINGH GURPREET 999999999 19 Champaign 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 0 161 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 1330 0 0 0 0 0 0 1330 0 0 1004629961 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 0 185 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 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1004630005 1760829048 10 Physicians KHRAIWESH OLA M 999999999 98 Tazewell 0 0 Family Practice 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 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 0 973 0 0 0 0 0 0 973 0 0 1004630330 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 0 112 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 28301 0 0 0 0 0 0 0 0 0 0 0 0 0 28301 0 0 1004630538 1639333263 10 Physicians SIEGEL MATTHEW 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 853 0 0 0 0 0 0 853 0 0 1004630769 1720439110 33 Nursing Facilities LOFT REHABILITATION AND NURSIN 615301085 110 Woodford 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 0 136 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3278 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 401868 0 0 0 0 0 0 0 401868 0 0 1004630875 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 251 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 251 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23870 0 0 0 0 0 0 0 0 0 0 0 0 0 23870 0 0 1004630959 1417305293 16 Nurse Practitioners BAKER DANIELLE L 999999999 105 White 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 0 112 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 2048 0 0 0 0 0 0 2048 0 0 1004631094 1013362334 10 Physicians ESKANDAFI HUSSAM 999999999 200 Cook 0 0 Internal Medicine 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 0 127 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 1651 0 0 0 0 0 0 1651 0 0 1004631140 1063475432 89 Physician Assistant Only(Encounter Only) CLARKE KEVIN 999999999 52 Johnson 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 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 0 159 0 0 0 0 0 0 159 0 0 1004631530 1508179383 10 Physicians LEONARD KATHRYN B 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1168 0 0 0 0 0 0 1168 0 0 1004631545 1770731374 10 Physicians RAO VAMSHI 999999999 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 3244 0 0 0 0 0 0 3256 0 0 1004631586 1184935611 10 Physicians DAMSTETTER ELIZABETH M 999999999 200 Cook 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 254 0 0 0 0 0 0 254 0 0 1004631614 98 Waiver service provider--TBI (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 22543 0 0 0 0 0 0 0 0 0 0 0 0 0 22543 0 0 1004631744 1871633289 16 Nurse Practitioners DILLARD MELANIE 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 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 1171 0 0 0 0 0 0 1171 0 0 1004631845 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4249 0 0 0 0 0 0 0 0 0 0 0 0 0 4249 0 0 1004631959 1194084848 10 Physicians NGUYEN LAN 999999999 19 Champaign 0 1 Family Practice 0 0 0 0 1 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 0 0 1975 0 0 0 0 0 0 2051 0 0 1004632264 1043689920 24 Speech Therapists YU KATIE 999999999 30 DuPage 0 0 0 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 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 6015 6015 0 0 1004632375 16 Nurse Practitioners 50 Jersey 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 0 197 0 0 0 0 0 0 197 0 0 1004632453 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 0 133 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 25930 0 0 0 0 0 0 0 0 0 0 0 0 0 25930 0 0 1004632527 1316239734 10 Physicians UEJIMA JAMIE L. 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1020 0 0 0 0 0 0 1020 0 0 1004632729 1447513676 10 Physicians SYED MARYAM A 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 251 0 1731 0 0 0 0 0 0 1982 0 0 1004632845 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 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10148 0 0 0 0 0 0 0 0 0 0 0 0 0 10148 0 0 1004632849 1033349337 10 Physicians PEDERSEN KATRINA S. 999999999 51 Jo Daviess 0 0 Internal 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 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 20080 0 0 0 0 0 0 20080 0 0 1004632983 1518256775 10 Physicians SHAH MRUNAL L 999999999 80 Peoria 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 1 548 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 774 0 162 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 774 0 162 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 10752 0 1521 0 0 0 0 0 0 12278 0 0 1004633216 1962952499 75 Department of Alcohol and Substance Abuse Provider NICASA 999999999 57 Lake 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 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8696 0 0 8696 0 0 1004633321 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2147 0 0 0 0 0 0 0 0 0 0 0 0 0 2147 0 0 1004633456 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 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12202 0 0 0 0 0 0 0 0 0 0 0 0 0 12202 0 0 1004633714 1891161030 16 Nurse Practitioners LEVERTON SAMANTHA A 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 272 0 0 0 0 0 0 272 0 0 1004634007 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 20145 0 0 0 0 0 0 0 0 0 0 0 0 0 20145 0 0 1004634015 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 24232 0 0 0 0 0 0 0 0 0 0 0 0 0 24232 0 0 1004634280 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 31946 0 0 0 0 0 0 0 0 0 0 0 0 0 31946 0 0 1004635158 1487917951 10 Physicians ARMSTRONG AMY E 999999999 63 Macon 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 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 1712 0 0 0 0 0 0 1712 0 0 1004635404 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 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 33639 0 0 0 0 0 0 0 0 0 0 0 0 0 33639 0 0 1004635438 1144681354 60 Pharmacies BENIVEX INC 999999999 53 Kane 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 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9384 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4026 0 0 0 4026 0 0 1004635459 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004635732 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 43 0 0 0 0 0 0 43 0 0 1004636036 1932373321 10 Physicians ARVANITIS MARINA 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 8 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 766 0 0 0 0 0 0 0 0 482 0 0 0 0 0 0 1248 0 0 1004636108 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3660 0 0 0 0 0 0 0 0 0 0 0 0 0 3660 0 0 1004636327 1457798597 13 Podiatrists OSTROVSKAYA ELLA 999999999 200 Cook 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 0 829 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 829 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1311 0 0 0 0 0 0 1311 0 0 1004636516 1841591617 10 Physicians WLODARSKI ROBERT J 631463119 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 568 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 891 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 891 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4609 0 1507 0 0 0 0 0 0 6116 0 0 1004636525 1447513338 10 Physicians LEVY NICOLE 999999999 109 Winnebago 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 30 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 704 0 19383 0 0 0 0 0 0 20087 0 0 1004636918 16 Nurse Practitioners 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 292 0 0 0 0 0 0 292 0 0 1004636944 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 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 7668 0 0 0 0 0 0 0 0 0 0 0 0 0 7668 0 0 1004637083 10 Physicians 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 214 0 0 0 0 0 0 214 0 0 1004637374 89 Physician Assistant Only(Encounter Only) 47 Jackson 0 0 0 0 0 0 0 0 0 0 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 1004637500 1073972188 16 Nurse Practitioners SMITH REBECCA L 999999999 71 McHenry 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 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 0 937 0 0 0 0 0 0 937 0 0 1004637585 1063800951 89 Physician Assistant Only(Encounter Only) FOX STEPHANIE 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 327 0 0 0 0 0 0 327 0 0 1004637778 1063869428 10 Physicians TAFF HEATHER T 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 2 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 1348 0 0 0 0 0 0 1412 0 0 1004637895 92 Waiver service provider--Disability (DHS/DRS) 77 Morgan 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 9808 0 0 0 0 0 0 0 0 0 0 0 0 0 9808 0 0 1004637940 1417300278 16 Nurse Practitioners YOUNG DAWN P 999999999 76 Montgomery 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 0 432 0 0 0 0 0 0 432 0 0 1004638071 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 14851 0 0 0 0 0 0 0 0 0 0 0 0 0 14851 0 0 1004638089 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 11503 0 0 0 0 0 0 0 0 0 0 0 0 0 11503 0 0 1004638220 1366736654 10 Physicians HURLEY STEPHEN 999999999 200 Cook 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 21 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 249 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 249 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 2870 0 0 0 0 0 0 2941 0 0 1004638391 92 Waiver service provider--Disability (DHS/DRS) 96 St Clair 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 1004638513 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 118 0 0 0 0 0 0 0 0 0 0 0 0 0 118 0 0 1004638536 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 0 172 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 28406 0 0 0 0 0 0 0 0 0 0 0 0 0 28406 0 0 1004638653 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2612 0 0 0 0 0 0 0 0 0 0 0 0 0 2612 0 0 1004638748 87 Psychologist(Encounter Only) 60 Lee 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 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 93 0 0 0 0 0 0 93 0 0 1004638792 1245466812 10 Physicians HOULIHAN LOGAN PATRICK 999999999 30 DuPage 0 0 Emergency 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 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 0 813 0 0 0 0 0 0 813 0 0 1004638894 1679024111 16 Nurse Practitioners BOND JAMIE 999999999 58 La Salle 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 367 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 577 0 0 1004639091 16 Nurse Practitioners 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 393 0 0 0 0 0 0 393 0 0 1004639181 10 Physicians 200 Cook 0 0 Emergency 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 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 0 261 0 0 0 0 0 0 261 0 0 1004639240 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004639334 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 1004640338 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 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30248 0 0 0 0 0 0 0 0 0 0 0 0 0 30248 0 0 1004640504 1003365842 16 Nurse Practitioners PEERCY LAURIE C 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 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 0 284 0 0 0 0 0 0 284 0 0 1004640590 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 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 41017 0 0 0 0 0 0 0 0 0 0 0 0 0 41017 0 0 1004640595 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 0 314 0 0 0 0 0 0 0 0 0 0 0 0 0 314 0 0 1004640967 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 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25725 0 0 0 0 0 0 0 0 0 0 0 0 0 25725 0 0 1004641009 91 Waiver service provider--Adults (DHS/DDD) 45 Henry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13113 0 0 0 0 0 0 0 0 0 0 0 0 0 13113 0 0 1004641314 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10230 0 0 0 0 0 0 0 0 0 0 0 0 0 10230 0 0 1004641502 1710436472 16 Nurse Practitioners MARTIN KIMBERLY A 999999999 91 Sangamon 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 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 1788 0 0 0 0 0 0 1788 0 0 1004641807 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 0 345 0 0 0 0 0 0 0 0 0 0 0 0 0 345 0 0 1004641813 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 1004642101 1073973863 16 Nurse Practitioners HEMPHILL AMANDA M 999999999 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 725 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2399 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2399 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14135 0 0 0 0 0 0 14135 0 0 1004642153 92 Waiver service provider--Disability (DHS/DRS) 69 Massac 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 19237 0 0 0 0 0 0 0 0 0 0 0 0 0 19237 0 0 1004642159 1023560067 16 Nurse Practitioners SUSTE KAYLYNN 999999999 40 Grundy 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 0 151 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 3074 0 0 0 0 0 0 3074 0 0 1004642190 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 10164 0 0 0 0 0 0 0 0 0 0 0 0 0 10164 0 0 1004642298 1154741999 16 Nurse Practitioners AOKI KATHERIN M 999999999 30 DuPage 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 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 685 0 0 0 0 0 0 685 0 0 1004642448 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 9233 0 0 0 0 0 0 0 0 0 0 0 0 0 9233 0 0 1004642554 1205289246 60 Pharmacies WALMART PHARMACY 10-4049 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1449 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52017 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120472 0 0 0 120472 0 0 1004642759 4004642759 90 Waiver service provider--Elderly (DOA) "HELP AT HOME, LLC" 999999999 200 Cook 0 0 0 0 0 0 0 0 637 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50796 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50796 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5357710 0 0 0 0 0 0 0 0 0 0 0 0 0 5357710 0 0 1004643085 16 Nurse Practitioners 49 Jefferson 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 0 939 0 0 0 0 0 0 939 0 0 1004643148 1457714479 16 Nurse Practitioners ISRAEL SAMANTHA C 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 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 0 723 0 0 0 0 0 0 723 0 0 1004643174 1104171149 10 Physicians SAEED OMAR 447182545 200 Cook 0 0 Family Practice 0 0 0 0 5 0 0 0 0 0 0 2 0 231 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 5 0 419 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 5 0 419 0 0 0 0 0 0 0 0 0 295 0 0 0 0 0 0 0 0 18927 0 0 0 0 0 0 19222 0 0 1004643429 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1802 0 0 0 0 0 0 0 0 0 0 0 0 0 1802 0 0 1004643579 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3850 0 0 0 0 0 0 0 0 0 0 0 0 0 3850 0 0 1004643682 1013226794 16 Nurse Practitioners HARRIS CAREY L 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 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 3154 0 0 0 0 0 0 3154 0 0 1004643714 1720090772 16 Nurse Practitioners CHOATIE JENNIFER A 999999999 91 Sangamon 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 59 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 59 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 1547 0 0 0 0 0 0 1716 0 0 1004643891 1396109500 30 General Hospitals GOTTLIEB MEMORIAL HOSPITAL 999999999 200 Cook DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 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 0 328 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 131327 0 0 0 0 0 0 0 0 0 131327 0 0 1004643961 1942466362 10 Physicians SHAH ANKUR S 999999999 200 Cook 0 0 Internal Medicine 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 0 329 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 329 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5199 0 0 0 0 0 0 5199 0 0 1004644004 1407199003 10 Physicians SRIAROON REY 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 118 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5302 0 0 0 0 0 0 5302 0 0 1004644345 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 321 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 25859 0 0 0 0 0 0 0 0 0 0 0 0 0 25859 0 0 1004644376 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 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 52 0 0 0 0 0 0 52 0 0 1004644570 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 0 142 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 0 0 0 0 0 0 0 0 0 0 7670 0 0 0 0 0 0 0 0 0 0 0 0 0 7670 0 0 1004645072 1982618856 10 Physicians EL-SAYED MAHMOUD 999999999 109 Winnebago 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4230 0 0 0 0 0 0 4230 0 0 1004645092 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 331 0 0 0 0 0 0 331 0 0 1004645171 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004645179 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 36694 0 0 0 0 0 0 0 0 0 0 0 0 0 36694 0 0 1004645390 1689804981 10 Physicians KHAN MEHWISH A 999999999 88 Richland 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 112 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4535 0 0 0 0 0 0 4535 0 0 1004645403 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 33595 0 0 0 0 0 0 0 0 0 0 0 0 0 33595 0 0 1004646056 1932556131 16 Nurse Practitioners GAGNI THARA A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 752 0 0 0 0 0 0 752 0 0 1004646253 98 Waiver service provider--TBI (DHS/DRS) 103 Washington 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 47763 0 0 0 0 0 0 0 0 0 0 0 0 0 47763 0 0 1004646424 1235422304 89 Physician Assistant Only(Encounter Only) THOMPSON ASHLEY 999999999 19 Champaign 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 305 0 0 0 0 0 0 0 0 2141 0 0 0 0 0 0 2446 0 0 1004646479 1912988759 10 Physicians MISAWA KYOKO 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5913 0 0 0 0 0 0 5913 0 0 1004646627 10 Physicians 53 Kane 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 43 0 0 0 0 0 0 43 0 0 1004646691 1669747390 63 Other Providers of Medical Equipment/Supplies (Non-registered) "3RD ST MEDICAL SUPPLY,INC." 999999999 10 Adams 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 0 313 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 313 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10627 0 0 0 0 0 0 10627 0 0 1004646770 1467765495 10 Physicians BRINCKERHOFF BEAU 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2698 0 0 0 0 0 0 2698 0 0 1004646784 1366754699 10 Physicians LOPEZ GREGORY 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 40 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1416 0 2270 0 0 0 0 0 0 3686 0 0 1004646841 1790071553 10 Physicians OSTERAAS NICHOLAS 999999999 200 Cook 0 0 Neurology 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 0 123 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 2473 0 0 0 0 0 0 2473 0 0 1004646935 1104361328 91 Waiver service provider--Adults (DHS/DDD) PADIYARA CHERYL 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 1270 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1270 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77245 0 0 0 0 0 0 0 0 0 0 0 0 0 77245 0 0 1004647027 1447699368 10 Physicians PAIK JOHN M 999999999 30 DuPage 0 0 Emergency Medicine 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 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8104 0 0 0 0 0 0 8104 0 0 1004647132 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 43 0 0 0 0 0 0 43 0 0 1004648280 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 221 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 20181 0 0 0 0 0 0 0 0 0 0 0 0 0 20181 0 0 1004648370 16 Nurse Practitioners 59 Lawrence 0 0 0 0 0 0 0 0 0 0 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 31 0 0 0 0 0 0 31 0 0 1004648651 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 38714 0 0 0 0 0 0 0 0 0 0 0 0 0 38714 0 0 1004648682 1992845747 16 Nurse Practitioners MIRZA RUTH 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 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 0 383 0 0 0 0 0 0 383 0 0 1004648801 92 Waiver service provider--Disability (DHS/DRS) 36 Franklin 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 22358 0 0 0 0 0 0 0 0 0 0 0 0 0 22358 0 0 1004648967 1427373638 10 Physicians WARIS MOHAMMAD S 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 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 0 884 0 0 0 0 0 0 884 0 0 1004649179 10 Physicians 200 Cook 0 0 Psychiatry 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 248 0 0 0 0 0 0 248 0 0 1004649187 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 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 5167 0 0 0 0 0 0 0 0 0 0 0 0 0 5167 0 0 1004649312 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5793 5793 0 0 1004649729 1770957490 30 General Hospitals HAMMOND DIALYSIS CENTER 999999999 815 Indiana DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 677 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25454 0 0 0 0 0 25454 0 0 1004649846 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 292 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 292 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29030 0 0 0 0 0 0 0 0 0 0 0 0 0 29030 0 0 1004649851 1467793463 10 Physicians JAFRI SANA 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107 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 2576 0 0 0 0 0 0 2576 0 0 1004649880 4004649880 90 Waiver service provider--Elderly (DOA) "HELP AT HOME, LLC" 999999999 200 Cook 0 0 0 0 0 0 0 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19476 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19476 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1499370 0 0 0 0 0 0 0 0 0 0 0 0 0 1499370 0 0 1004650172 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004650249 1649534132 10 Physicians RIVERA-YAGNICH RICARDO A 999999999 200 Cook 0 0 Emergency 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 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 2021 0 0 0 0 0 0 2021 0 0 1004650279 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 185 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 25390 0 0 0 0 0 0 0 0 0 0 0 0 0 25390 0 0 1004650320 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3139 0 0 0 0 0 0 0 0 0 0 0 0 0 3139 0 0 1004650343 10 Physicians 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 29 0 0 0 0 0 0 0 0 29 0 0 1004650616 91 Waiver service provider--Adults (DHS/DDD) 90 Saline 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4236 0 0 0 0 0 0 0 0 0 0 0 0 0 4236 0 0 1004650645 1992026181 10 Physicians HENDERSON JOSEPH 999999999 30 DuPage 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 60 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 4189 0 0 0 0 0 0 4189 0 0 1004650753 1194197186 16 Nurse Practitioners ENGELKE KATHERINE J 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 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 0 433 0 0 0 0 0 0 433 0 0 1004651035 1700288990 89 Physician Assistant Only(Encounter Only) STANG ASHTYN C 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 509 0 0 0 0 0 0 509 0 0 1004651257 1881099265 16 Nurse Practitioners TARUC KRISTEN R 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 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 0 272 0 0 0 0 0 0 272 0 0 1004651362 1932554862 24 Speech Therapists STEWART MEGAN M 999999999 200 Cook 0 0 0 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 0 904 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 904 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74372 74372 0 0 1004651386 1033573605 60 Pharmacies MEIJER PHARMACY #289 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 930 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37994 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61301 0 0 0 61301 0 0 1004651501 1215313721 23 Occupational Therapists GRIFFIN JULIE 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 0 272 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 19731 19731 0 0 1004651507 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 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 14366 0 0 0 0 0 0 0 0 0 0 0 0 0 14366 0 0 1004651615 16 Nurse Practitioners 826 Missouri 0 0 0 0 0 0 0 0 0 0 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 1004651711 1669815809 10 Physicians SEGEL BRETT 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1212 0 0 0 0 0 0 1212 0 0 1004652051 36 Community mental health provider 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 233 0 0 233 0 0 1004653008 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 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7873 0 0 0 0 0 0 0 0 0 0 0 0 0 7873 0 0 1004653154 1578814414 89 Physician Assistant Only(Encounter Only) TRIPP KATRINA L 999999999 90 Saline 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 0 277 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 277 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 450 0 0 0 0 0 0 450 0 0 1004653192 1285745711 89 Physician Assistant Only(Encounter Only) PETERSON MATTHEW 999999999 96 St Clair 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 0 102 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 3241 0 0 0 0 0 0 3241 0 0 1004653276 1710113253 10 Physicians RAJESWARAN SHANKAR 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 326 0 9287 0 0 0 0 0 0 9613 0 0 1004653291 1821345992 10 Physicians NORRIS AARON J 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1315 0 0 0 0 0 0 1315 0 0 1004653675 91 Waiver service provider--Adults (DHS/DDD) 77 Morgan 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 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 5650 0 0 0 0 0 0 0 0 0 0 0 0 0 5650 0 0 1004653830 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 10246 0 0 0 0 0 0 0 0 0 0 0 0 0 10246 0 0 1004653927 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 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27843 0 0 0 0 0 0 0 0 0 0 0 0 0 27843 0 0 1004654100 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 20449 0 0 0 0 0 0 0 0 0 0 0 0 0 20449 0 0 1004654232 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7930 0 0 0 0 0 0 0 0 0 0 0 0 0 7930 0 0 1004654403 1730455643 10 Physicians SHAKERI NAHZININE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3652 0 0 0 0 0 0 3652 0 0 1004654511 1013070440 89 Physician Assistant Only(Encounter Only) WRIGLEY KIM C 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 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 0 148 0 0 0 0 0 0 148 0 0 1004654658 1154564607 10 Physicians HAAS KEVIN P 999999999 96 St Clair 0 0 Internal 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 0 122 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 12443 0 0 0 0 0 0 12443 0 0 1004654893 89 Physician Assistant Only(Encounter Only) 108 Williamson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 78 0 0 1004655341 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 31929 0 0 0 0 0 0 0 0 0 0 0 0 0 31929 0 0 1004655408 1871665380 30 General Hospitals SSM HEALTH ST. JOSEPH HOSPITAL 633671366 826 Missouri ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 12 0 0 0 0 1 0 0 0 7 0 0 0 0 0 0 0 0 0 14 0 0 0 0 1 0 0 0 12 0 0 0 0 0 0 0 0 0 14 0 0 0 0 2 0 0 0 12 0 0 0 0 0 0 0 0 0 1871 0 0 0 0 1344 0 0 0 395 0 0 0 0 0 3610 0 0 1004655501 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 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 1343 0 0 0 0 0 0 0 0 0 0 0 0 0 1343 0 0 1004655679 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 94 0 0 0 0 0 0 94 0 0 1004655714 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 0 170 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 0 0 0 0 0 0 0 0 0 0 12880 0 0 0 0 0 0 0 0 0 0 0 0 0 12880 0 0 1004655773 1912228685 10 Physicians ROJAS ANA MARIE 999999999 200 Cook 0 0 Physical Medicine/Rehabilitation 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 0 367 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 367 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16514 0 0 0 0 0 0 16514 0 0 1004656162 1992152680 24 Speech Therapists ZUNIGA ELIZABETH 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4056 4056 0 0 1004656355 1891043162 10 Physicians PAREKH KEYUR M 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 968 0 145 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1528 0 154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1528 0 154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12353 0 954 0 0 0 0 0 0 13307 0 0 1004656539 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 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 16530 0 0 0 0 0 0 0 0 0 0 0 0 0 16530 0 0 1004657838 1346552544 10 Physicians GARG AKASH D 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 525 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 721 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 721 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11184 0 141 0 0 0 0 0 0 11325 0 0 1004657905 92 Waiver service provider--Disability (DHS/DRS) 106 Whiteside 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1215 0 0 0 0 0 0 0 0 0 0 0 0 0 1215 0 0 1004658080 94 Waiver service provider--Children's support (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 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 7765 0 0 0 0 0 0 0 0 0 0 0 0 0 7765 0 0 1004658171 1073069209 28 Waiver service provider--Supportive living facility (HFS) LACEY CREEK SUPPORTIVE LIVING 605151838 30 DuPage 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 0 201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5534 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 557160 0 0 0 0 0 0 0 0 0 0 0 0 0 557160 0 0 1004658280 1104146505 10 Physicians WAHEED SALMAN A 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 3 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 377 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 377 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 10779 0 0 0 0 0 0 10801 0 0 1004658373 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 11019 0 0 0 0 0 0 0 0 0 0 0 0 0 11019 0 0 1004658523 1841623469 10 Physicians KANDULA SWETHA R 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 572 0 0 0 0 0 0 572 0 0 1004658538 1962850537 11 Dentists DAHIYA GINU D 999999999 200 Cook 0 0 Orthodontist 0 0 0 41 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 10360 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10360 0 0 1004658710 10 Physicians 47 Jackson 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 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 0 131 0 0 0 0 0 0 131 0 0 1004659091 91 Waiver service provider--Adults (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 201 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 15133 0 0 0 0 0 0 0 0 0 0 0 0 0 15133 0 0 1004659159 1952663338 10 Physicians KULSUM-MECCI NAZIA 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 9196 0 0 0 0 0 0 9218 0 0 1004659364 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 5 0 0 0 0 0 0 5 0 0 1004659423 1881919397 10 Physicians SINGH SARABJEET 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 7 0 467 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 962 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 962 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 217 0 12730 0 0 0 0 0 0 12947 0 0 1004659428 1558719054 12 Optometrists KIRBY NATHAN J 999999999 76 Montgomery 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2145 0 8 0 0 0 0 2153 0 0 1004659698 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 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26658 0 0 0 0 0 0 0 0 0 0 0 0 0 26658 0 0 1004659792 1972694685 10 Physicians HARRIS ANGIE MILLS 999999999 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 0 0 968 0 0 0 0 0 0 1072 0 0 1004660111 1861897381 89 Physician Assistant Only(Encounter Only) GALLOWAY JACOB L 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2946 0 0 0 0 0 0 2946 0 0 1004660174 1023429636 10 Physicians ABDELRHMAN TAMER R 999999999 65 Madison 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 0 131 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 1285 0 0 0 0 0 0 1285 0 0 1004660234 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 0 335 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 335 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55550 0 0 0 0 0 0 0 0 0 0 0 0 0 55550 0 0 1004660486 1780021774 10 Physicians ZABAD AHMAD 999999999 91 Sangamon 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 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 0 688 0 0 0 0 0 0 688 0 0 1004660528 1780075010 30 General Hospitals MEDICAL DISTRICT HOME 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 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1876 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69099 0 0 0 0 0 69099 0 0 1004661126 1457615577 10 Physicians MACKEY JOSEPH R. 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 119 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 6176 0 0 0 0 0 0 6176 0 0 1004661320 1326419912 60 Pharmacies SMITHTON PHARMACY 999999999 96 St Clair 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 0 168 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4958 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7656 0 0 0 7656 0 0 1004661948 89 Physician Assistant Only(Encounter Only) 108 Williamson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 72 0 0 1004662088 1063675551 10 Physicians RAINS MARTIN G 999999999 109 Winnebago 0 0 Internal 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 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 0 802 0 0 0 0 0 0 802 0 0 1004662194 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 35045 0 0 0 0 0 0 0 0 0 0 0 0 0 35045 0 0 1004662450 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 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 34246 0 0 0 0 0 0 0 0 0 0 0 0 0 34246 0 0 1004662955 1982867388 10 Physicians RAMIREZ MIGUEL 616151941 80 Peoria 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 36 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 355 0 9033 0 0 0 0 0 0 9388 0 0 1004663060 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 0 239 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 28301 0 0 0 0 0 0 0 0 0 0 0 0 0 28301 0 0 1004663411 1629202114 16 Nurse Practitioners WINTER LISA C 999999999 102 Warren 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 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 0 146 0 0 0 0 0 0 146 0 0 1004664229 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004664255 1417307539 91 Waiver service provider--Adults (DHS/DDD) HALL KENDRA 999999999 96 St Clair 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 2012 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2012 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108243 0 0 0 0 0 0 0 0 0 0 0 0 0 108243 0 0 1004664423 1710142237 10 Physicians TOMAN JORDAN E 999999999 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 102 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 147 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 147 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2153 0 1185 0 0 0 0 0 0 3338 0 0 1004664504 1346561123 10 Physicians VERCILLO KRISTIN N 999999999 57 Lake 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 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 2853 0 0 0 0 0 0 2853 0 0 1004664627 1992004527 10 Physicians GIARDINA JOSEPH D 999999999 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 14 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 1849 0 0 0 0 0 0 1923 0 0 1004664659 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 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 0 297 0 0 0 0 0 0 297 0 0 1004664844 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 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 7743 0 0 0 0 0 0 0 0 0 0 0 0 0 7743 0 0 1004664879 1245221092 63 Other Providers of Medical Equipment/Supplies (Non-registered) VERUS HEALTHCARE LLC 370672708 844 Tennessee 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 2811 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2811 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26447 0 0 0 0 0 0 26447 0 0 1004664928 92 Waiver service provider--Disability (DHS/DRS) 50 Jersey 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 7401 0 0 0 0 0 0 0 0 0 0 0 0 0 7401 0 0 1004664991 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 25882 0 0 0 0 0 0 0 0 0 0 0 0 0 25882 0 0 1004665193 1841422482 10 Physicians GEISSEN NICOLE 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 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 0 714 0 0 0 0 0 0 714 0 0 1004665276 92 Waiver service provider--Disability (DHS/DRS) 23 Clinton 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 35118 0 0 0 0 0 0 0 0 0 0 0 0 0 35118 0 0 1004665411 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 17107 0 0 0 0 0 0 0 0 0 0 0 0 0 17107 0 0 1004665487 1770886723 89 Physician Assistant Only(Encounter Only) WILKIN MATTHEW 999999999 57 Lake 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 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1375 0 0 0 0 0 0 1375 0 0 1004665534 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 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 39621 0 0 0 0 0 0 0 0 0 0 0 0 0 39621 0 0 1004665539 1720433048 16 Nurse Practitioners JONES MARY 999999999 200 Cook 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 0 282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2676 0 0 0 0 0 0 2676 0 0 1004665689 1245252956 60 Pharmacies CVS PHARMACY 16742 605855415 107 Will 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 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1841 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3795 0 0 0 3795 0 0 1004665698 1033570262 75 Department of Alcohol and Substance Abuse Provider CENTERSTONE OF ILLINOIS 999999999 65 Madison 0 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 0 999 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 999 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83484 0 0 83484 0 0 1004665728 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 16117 0 0 0 0 0 0 0 0 0 0 0 0 0 16117 0 0 1004666665 1750624185 10 Physicians MEDENICA IRENA 999999999 200 Cook 0 0 Internal Medicine 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 0 309 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 3871 0 0 0 0 0 0 3871 0 0 1004666719 89 Physician Assistant Only(Encounter Only) 99 Union 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004667127 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 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 0 220 0 0 0 0 0 0 0 0 0 0 0 0 0 0 220 0 0 1004667187 1275926545 16 Nurse Practitioners WHITE SARAH E 999999999 76 Montgomery 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 0 0 0 91 0 0 0 0 0 0 0 0 938 0 0 0 0 0 0 1029 0 0 1004667481 10 Physicians 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004667772 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2854 0 0 0 0 0 0 0 0 0 0 0 0 0 2854 0 0 1004668058 1750836300 16 Nurse Practitioners BUSTLE LINDSAY 999999999 19 Champaign 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 5456 0 0 0 0 0 0 5524 0 0 1004668104 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 1004668285 1033587829 16 Nurse Practitioners MASSEY MORGAN A 999999999 91 Sangamon 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 95 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 95 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 1845 0 0 0 0 0 0 1861 0 0 1004668439 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 6650 0 0 0 0 0 0 0 0 0 0 0 0 0 6650 0 0 1004668575 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 11808 0 0 0 0 0 0 0 0 0 0 0 0 0 11808 0 0 1004668666 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 27913 0 0 0 0 0 0 0 0 0 0 0 0 0 27913 0 0 1004668770 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 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 0 158 0 0 0 0 0 0 158 0 0 1004669163 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 18798 0 0 0 0 0 0 0 0 0 0 0 0 0 18798 0 0 1004669235 1639468416 10 Physicians BAILEY BRENDA 999999999 200 Cook 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 0 226 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 7262 0 0 0 0 0 0 7262 0 0 1004669247 92 Waiver service provider--Disability (DHS/DRS) 100 Vermilion 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1427 0 0 0 0 0 0 0 0 0 0 0 0 0 1427 0 0 1004669276 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 43 0 0 0 0 0 0 43 0 0 1004669543 1093889792 86 Clinical Social Worker(Encounter Only) NIMKE ANGELA 999999999 58 La Salle 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 0 148 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 0 482 0 0 0 0 0 0 482 0 0 1004669808 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 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8164 0 0 0 0 0 0 0 0 0 0 0 0 0 8164 0 0 1004669924 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 49639 0 0 0 0 0 0 0 0 0 0 0 0 0 49639 0 0 1004670523 1003252982 91 Waiver service provider--Adults (DHS/DDD) TART NEKESHA 999999999 107 Will 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 2036 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2036 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242976 0 0 0 0 0 0 0 0 0 0 0 0 0 242976 0 0 1004670655 1124040837 60 Pharmacies CVS PHARMACY #17068 625261965 63 Macon 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 0 813 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24994 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68435 0 0 0 68435 0 0 1004670689 1750303541 60 Pharmacies CVS PHARMACY #16196 627046517 91 Sangamon 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 0 549 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20070 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27479 0 0 0 27479 0 0 1004670726 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 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 21092 0 0 0 0 0 0 0 0 0 0 0 0 0 21092 0 0 1004670803 1235227851 13 Podiatrists BIALON-OSTER BEATA 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1197 0 0 0 0 0 0 1197 0 0 1004670968 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 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29609 0 0 0 0 0 0 0 0 0 0 0 0 0 29609 0 0 1004671275 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 0 156 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 0 0 0 0 0 30229 0 0 0 0 0 0 0 0 0 0 0 0 0 30229 0 0 1004671429 92 Waiver service provider--Disability (DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14219 0 0 0 0 0 0 0 0 0 0 0 0 0 14219 0 0 1004671529 1104286392 16 Nurse Practitioners KIRKWOOD SELENA 999999999 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 620 0 0 0 0 0 0 770 0 0 1004671911 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 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 4421 0 0 0 0 0 0 0 0 0 0 0 0 0 4421 0 0 1004671922 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3584 0 0 0 0 0 0 0 0 0 0 0 0 0 3584 0 0 1004672057 1376999292 11 Dentists HACKNEY HENRY 999999999 200 Cook 0 0 General Dentistry 0 0 0 82 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 461 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 461 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 20681 0 0 0 0 0 0 0 0 0 0 0 3040 0 0 0 0 23721 0 0 1004672069 98 Waiver service provider--TBI (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 14906 0 0 0 0 0 0 0 0 0 0 0 0 0 14906 0 0 1004672122 1487676276 60 Pharmacies CVS PHARMACY #16279 601943894 200 Cook 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 0 327 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12675 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14382 0 0 0 14382 0 0 1004672508 10 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1672 0 0 0 0 0 0 1672 0 0 1004672686 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 97 0 0 0 0 0 0 0 0 0 0 0 0 0 97 0 0 1004672860 1912273806 10 Physicians GOODYEAR DAVID 999999999 30 DuPage 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2331 0 0 0 0 0 0 2331 0 0 1004673051 1326597675 22 Physical Therapists BUSH KARAH 999999999 57 Lake 0 0 0 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 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21115 21115 0 0 1004673149 1639525660 91 Waiver service provider--Adults (DHS/DDD) MARTINEZ NICOLE 999999999 200 Cook 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 2837 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2837 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83800 0 0 0 0 0 0 0 0 0 0 0 0 0 83800 0 0 1004673163 1093004723 89 Physician Assistant Only(Encounter Only) FAURER SARAH 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 380 0 0 0 0 0 0 380 0 0 1004673235 1043601057 16 Nurse Practitioners JOHNSON JOHNNIE D 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 1422 0 0 0 0 0 0 1422 0 0 1004673279 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 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25902 0 0 0 0 0 0 0 0 0 0 0 0 0 25902 0 0 1004673315 1346689114 10 Physicians BILLINGTON JOSHUA 999999999 91 Sangamon 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 91 0 0 0 0 0 0 0 0 338 0 0 0 0 0 0 429 0 0 1004673406 1962817973 24 Speech Therapists DANIELS MELISSA J 999999999 54 Kankakee 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 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 5613 5613 0 0 1004673427 10 Physicians 53 Kane 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 104 0 0 0 0 0 0 104 0 0 1004673679 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 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 18208 0 0 0 0 0 0 0 0 0 0 0 0 0 18208 0 0 1004673849 1801248414 36 Community mental health provider AID ELM STREET 999999999 71 McHenry 0 0 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 118 0 0 457 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2322 0 0 457 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2322 0 0 33205 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 281595 0 0 314800 0 0 1004673882 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 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 19347 0 0 0 0 0 0 0 0 0 0 0 0 0 19347 0 0 1004673908 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 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 3712 0 0 0 0 0 0 0 0 0 0 0 0 0 3712 0 0 1004673909 1659669240 10 Physicians BHATTI RAVINDER PAL S 999999999 24 Coles 0 0 Internal Medicine 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 0 231 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 0 0 0 0 0 0 0 0 0 0 0 0 3193 0 0 0 0 0 0 3193 0 0 1004674091 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2986 0 0 0 0 0 0 0 0 0 0 0 0 0 2986 0 0 1004674183 1073944872 16 Nurse Practitioners NWAWUEZE JOSEPHINE 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 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 0 185 0 0 0 0 0 0 185 0 0 1004674257 1992009575 16 Nurse Practitioners FRENS JOEL 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 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 0 237 0 0 0 0 0 0 237 0 0 1004674374 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 27820 0 0 0 0 0 0 0 0 0 0 0 0 0 27820 0 0 1004674420 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 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 2741 0 0 0 0 0 0 0 0 0 0 0 0 0 2741 0 0 1004674500 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 19804 0 0 0 0 0 0 0 0 0 0 0 0 0 19804 0 0 1004674585 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2239 0 0 0 0 0 0 0 0 0 0 0 0 0 2239 0 0 1004674593 1588115497 16 Nurse Practitioners BAKER MICHELLE R 999999999 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 155 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 4108 0 0 0 0 0 0 4108 0 0 1004674762 1629426002 36 Community mental health provider ROSECRANCE CHAMPAIGN/URBANA 999999999 19 Champaign 0 0 0 250 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 357 0 0 1282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1799 0 0 1282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1799 0 0 167751 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 224806 0 0 392557 0 0 1004674842 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004675135 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 0 350 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 0 0 0 0 0 0 0 0 0 0 0 0 26654 0 0 0 0 0 0 0 0 0 0 0 0 0 26654 0 0 1004675195 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 13418 0 0 0 0 0 0 0 0 0 0 0 0 0 13418 0 0 1004675223 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 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 10460 0 0 0 0 0 0 0 0 0 0 0 0 0 10460 0 0 1004675242 4004675242 98 Waiver service provider--TBI (DHS/DRS) "HELP AT HOME, LLC" 999999999 200 Cook 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 512478 0 0 0 0 0 0 0 0 0 0 0 0 0 512478 0 0 1004675687 1306286950 10 Physicians BLANFORD CHRISTOPHER T 999999999 15 Bureau 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 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 0 277 0 0 0 0 0 0 277 0 0 1004675920 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 24007 0 0 0 0 0 0 0 0 0 0 0 0 0 24007 0 0 1004675930 1578848925 16 Nurse Practitioners RINGENBERG ALYSE C 999999999 80 Peoria 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 70 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 70 0 0 0 0 0 0 0 0 0 168 0 0 0 0 0 0 0 0 1845 0 0 0 0 0 0 2013 0 0 1004676006 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 27572 0 0 0 0 0 0 0 0 0 0 0 0 0 27572 0 0 1004676144 1295987345 89 Physician Assistant Only(Encounter Only) GRIMALDI ANGELA M 999999999 19 Champaign 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 258 0 0 0 0 0 0 0 0 1186 0 0 0 0 0 0 1444 0 0 1004676194 1033131743 60 Pharmacies CVS PHARMACY #17121 604519533 107 Will 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 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3243 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4876 0 0 0 4876 0 0 1004676523 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 12143 0 0 0 0 0 0 0 0 0 0 0 0 0 12143 0 0 1004676694 1790074318 10 Physicians SJOBERG BRETT P 999999999 109 Winnebago 0 0 Radiology Diagnosis 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 19 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 490 0 21 0 0 0 0 0 0 511 0 0 1004676709 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 23782 0 0 0 0 0 0 0 0 0 0 0 0 0 23782 0 0 1004676753 1588861389 10 Physicians LIGHTFOOT ANDREW P 999999999 89 Rock Island 0 0 Urology 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 5 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 584 0 0 0 0 0 0 584 0 0 1004676968 1760927107 91 Waiver service provider--Adults (DHS/DDD) SATERAE TERRY S 999999999 30 DuPage 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 1263 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1263 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 190700 0 0 0 0 0 0 0 0 0 0 0 0 0 190700 0 0 1004677091 10 Physicians 109 Winnebago 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 1004677187 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 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 0 121 0 0 0 0 0 0 121 0 0 1004677254 98 Waiver service provider--TBI (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 12961 0 0 0 0 0 0 0 0 0 0 0 0 0 12961 0 0 1004677275 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 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 5989 0 0 0 0 0 0 0 0 0 0 0 0 0 5989 0 0 1004677393 1821463522 16 Nurse Practitioners BRUNFELDT ANGELA C 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 279 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 3545 0 0 0 0 0 0 3545 0 0 1004677492 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 43 0 0 0 0 0 0 43 0 0 1004677526 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28382 0 0 0 0 0 0 0 0 0 0 0 0 0 28382 0 0 1004677606 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004678085 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1957 0 0 0 0 0 0 0 0 0 0 0 0 0 1957 0 0 1004678253 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26436 0 0 0 0 0 0 0 0 0 0 0 0 0 26436 0 0 1004678399 92 Waiver service provider--Disability (DHS/DRS) 50 Jersey 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 31739 0 0 0 0 0 0 0 0 0 0 0 0 0 31739 0 0 1004678511 1215041454 89 Physician Assistant Only(Encounter Only) STEELY MEGAN M 999999999 91 Sangamon 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 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 0 579 0 0 0 0 0 0 579 0 0 1004678522 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 15770 0 0 0 0 0 0 0 0 0 0 0 0 0 15770 0 0 1004678562 1194979237 75 Department of Alcohol and Substance Abuse Provider ROSECRANCE HARRISON -DETOX A2 999999999 109 Winnebago 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 17 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 38082 0 0 38082 0 0 1004678578 1225263858 10 Physicians KIMCHI EITAN Z. 999999999 63 Macon 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 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4204 0 0 0 0 0 0 4204 0 0 1004678852 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 7561 0 0 0 0 0 0 0 0 0 0 0 0 0 7561 0 0 1004679449 1386724235 89 Physician Assistant Only(Encounter Only) WADE JOSHUA 999999999 106 Whiteside 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 0 401 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 401 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7113 0 0 0 0 0 0 7113 0 0 1004679624 1376665224 65 Independent Diagnostic Testing Facility (IDTF) "ULTRASOUND OF BELVIDERE, LLC" 999999999 13 Boone 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 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 0 258 0 0 0 0 0 0 0 0 258 0 0 1004679626 1376830901 12 Optometrists LOY STEPHANIE A 999999999 72 McLean 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 0 265 0 0 0 0 0 0 265 0 0 1004679682 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 5086 0 0 0 0 0 0 0 0 0 0 0 0 0 5086 0 0 1004679895 1821541558 16 Nurse Practitioners RIZZO TERI L 999999999 19 Champaign 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 0 163 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 6886 0 0 0 0 0 0 6886 0 0 1004680380 1790139384 16 Nurse Practitioners FORD JENNA N 999999999 80 Peoria 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 0 112 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 2771 0 0 0 0 0 0 2771 0 0 1004680581 4004680581 90 Waiver service provider--Elderly (DOA) GAREDA LLC 999999999 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 0 407 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 407 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46562 0 0 0 0 0 0 0 0 0 0 0 0 0 46562 0 0 1004680638 1093071094 10 Physicians DUMICH SARA A 999999999 19 Champaign 0 0 Family Practice 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 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 1351 0 0 0 0 0 0 1351 0 0 1004680639 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 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18144 0 0 0 0 0 0 0 0 0 0 0 0 0 18144 0 0 1004681122 1871047209 36 Community mental health provider CUNNINGHAM CHILDREN'S HOME 999999999 19 Champaign 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 0 142 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 0 0 0 0 0 0 0 0 0 0 16783 0 0 16783 0 0 1004681481 1033276324 89 Physician Assistant Only(Encounter Only) YOUNG JULIE 999999999 19 Champaign 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 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 0 566 0 0 0 0 0 0 566 0 0 1004681523 1043678899 10 Physicians OZGEN MOCAN BURCE 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 314 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 446 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 446 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18860 0 549 0 0 0 0 0 0 19409 0 0 1004681569 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 0 373 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 373 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52455 0 0 0 0 0 0 0 0 0 0 0 0 0 52455 0 0 1004681843 1164978987 89 Physician Assistant Only(Encounter Only) MADURA RACHEL E 999999999 109 Winnebago 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 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 1419 0 0 0 0 0 0 1419 0 0 1004682259 1932493277 10 Physicians VERMYLEN JULIA L 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004 0 0 0 0 0 0 1004 0 0 1004682303 1740632058 16 Nurse Practitioners COLLETTA LENA 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 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 0 625 0 0 0 0 0 0 625 0 0 1004682470 1992196703 16 Nurse Practitioners GUTIERREZ SCOTT 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1285 0 0 0 0 0 0 1285 0 0 1004682516 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 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 0 405 0 0 0 0 0 0 0 0 0 0 0 0 0 405 0 0 1004682739 92 Waiver service provider--Disability (DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 21076 0 0 0 0 0 0 0 0 0 0 0 0 0 21076 0 0 1004682789 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 26055 0 0 0 0 0 0 0 0 0 0 0 0 0 26055 0 0 1004683077 1336464536 10 Physicians MARKOVINA STEPHANIE 999999999 65 Madison 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 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 1566 0 0 0 0 0 0 1566 0 0 1004683081 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 22799 0 0 0 0 0 0 0 0 0 0 0 0 0 22799 0 0 1004683161 1518410521 91 Waiver service provider--Adults (DHS/DDD) ERBACHER HANNAH LE 999999999 66 Marion 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 3061 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3061 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 159809 0 0 0 0 0 0 0 0 0 0 0 0 0 159809 0 0 1004683326 1558810960 40 Federally Qualified Health Centers LEGACY MEDICAL CARE INC 999999999 200 Cook 0 0 0 0 184 0 99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 499 0 273 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 499 0 273 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48351 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48351 0 0 1004683354 1942435292 10 Physicians AYRES ERINN R. 999999999 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 303 0 0 0 0 0 0 303 0 0 1004683601 1568791234 16 Nurse Practitioners DOHMAN-SCHMIDLER KELLI L 999999999 80 Peoria 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 0 428 0 0 0 0 0 0 428 0 0 1004683683 91 Waiver service provider--Adults (DHS/DDD) 826 Missouri 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 15184 0 0 0 0 0 0 0 0 0 0 0 0 0 15184 0 0 1004683707 1497107940 24 Speech Therapists SWIERENGA KAITLIN 999999999 53 Kane 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 0 269 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 269 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20409 20409 0 0 1004683839 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 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 9140 0 0 0 0 0 0 0 0 0 0 0 0 0 9140 0 0 1004683906 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 0 132 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 30232 0 0 0 0 0 0 0 0 0 0 0 0 0 30232 0 0 1004683979 1720178007 89 Physician Assistant Only(Encounter Only) MORLAND DAVID D 999999999 45 Henry 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 1982 0 0 0 0 0 0 2015 0 0 1004683984 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 15480 0 0 0 0 0 0 0 0 0 0 0 0 0 15480 0 0 1004683991 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 47 0 0 0 0 0 0 47 0 0 1004684145 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 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 40312 0 0 0 0 0 0 0 0 0 0 0 0 0 40312 0 0 1004684156 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 0 144 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 30078 0 0 0 0 0 0 0 0 0 0 0 0 0 30078 0 0 1004684390 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 0 157 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 24040 0 0 0 0 0 0 0 0 0 0 0 0 0 24040 0 0 1004684892 1134561178 10 Physicians CABANTING MARIE J 999999999 47 Jackson 0 0 Internal Medicine 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 0 122 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 3230 0 0 0 0 0 0 3230 0 0 1004684939 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 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 8151 0 0 0 0 0 0 0 0 0 0 0 0 0 8151 0 0 1004685046 1104222611 89 Physician Assistant Only(Encounter Only) SIMMONS ERICA E 999999999 200 Cook 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 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 5195 0 0 0 0 0 0 5195 0 0 1004685076 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 6755 0 0 0 0 0 0 0 0 0 0 0 0 0 6755 0 0 1004685223 16 Nurse Practitioners 54 Kankakee 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 1004685273 1255701538 16 Nurse Practitioners HAWKINS NICOLE E 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 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 0 398 0 0 0 0 0 0 398 0 0 1004685278 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 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 62950 0 0 0 0 0 0 0 0 0 0 0 0 0 62950 0 0 1004685426 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 0 231 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 0 0 0 0 0 0 0 0 0 0 0 0 27371 0 0 0 0 0 0 0 0 0 0 0 0 0 27371 0 0 1004685442 1902158975 89 Physician Assistant Only(Encounter Only) BURNS DEBORAH A 999999999 49 Jefferson 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 0 190 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 0 580 0 0 0 0 0 0 580 0 0 1004685600 1235577727 13 Podiatrists LOVATO PETER F 999999999 71 McHenry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 541 0 0 0 0 0 0 541 0 0 1004685676 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 28900 0 0 0 0 0 0 0 0 0 0 0 0 0 28900 0 0 1004685754 1528513066 16 Nurse Practitioners CHAVEZ ADAM 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 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 0 273 0 0 0 0 0 0 273 0 0 1004685773 10 Physicians 47 Jackson 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004685913 1326453093 10 Physicians KAWIOR DAVID J 999999999 200 Cook 0 0 Emergency Medicine 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 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10665 0 0 0 0 0 0 10665 0 0 1004686027 1801286745 16 Nurse Practitioners VERPLOEGH JENNIFER 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 0 109 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 2216 0 0 0 0 0 0 2216 0 0 1004686062 1912133836 10 Physicians YOO JENNY Y 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4083 0 0 0 0 0 0 4083 0 0 1004686222 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 33582 0 0 0 0 0 0 0 0 0 0 0 0 0 33582 0 0 1004686475 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 0 177 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 31698 0 0 0 0 0 0 0 0 0 0 0 0 0 31698 0 0 1004686860 1437399391 10 Physicians KULKARNI ABHISHEK 999999999 839 Pennsylvania 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 380 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 380 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14285 0 0 0 0 0 0 14285 0 0 1004687033 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 0 164 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 17013 0 0 0 0 0 0 0 0 0 0 0 0 0 17013 0 0 1004687456 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 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 1004687538 1699900092 10 Physicians RAMAKRISHNA RAVI 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 24 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 311 0 2224 0 0 0 0 0 0 2535 0 0 1004687586 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 28965 0 0 0 0 0 0 0 0 0 0 0 0 0 28965 0 0 1004687955 1881900306 63 Other Providers of Medical Equipment/Supplies (Non-registered) A SPECIALTY DIABETIC SUPPLIER 999999999 823 Michigan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2402 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2402 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48825 0 0 0 0 0 0 48825 0 0 1004688205 1053698340 16 Nurse Practitioners TAYLOR SUSAN LEIGH 999999999 200 Cook 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 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1077 0 0 0 0 0 0 1077 0 0 1004688706 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 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 0 457 0 0 0 0 0 0 0 0 0 0 0 0 0 457 0 0 1004689109 1689804486 11 Dentists LI WONG CARMEN P 999999999 80 Peoria 0 0 General Dentistry 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 4408 0 0 0 0 0 0 0 0 0 0 0 888 0 0 0 0 5296 0 0 1004689262 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25802 0 0 0 0 0 0 0 0 0 0 0 0 0 25802 0 0 1004689662 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 37697 0 0 0 0 0 0 0 0 0 0 0 0 0 37697 0 0 1004690102 10 Physicians 87 Randolph 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 0 0 0 0 0 0 0 0 0 0 1004690164 1700998622 89 Physician Assistant Only(Encounter Only) STEFFEN JENNY 999999999 80 Peoria 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 1594 0 0 0 0 0 0 1679 0 0 1004690221 1215184726 10 Physicians GANDRA BABUJI R 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 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 1428 0 0 0 0 0 0 1428 0 0 1004690224 1376869347 10 Physicians OSMANOVIC SENAD 999999999 53 Kane 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 28 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 1883 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 1883 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 676 0 74584 0 0 0 0 0 0 75260 0 0 1004690595 1962865626 16 Nurse Practitioners GREENAWAY SARAH S 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 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 0 477 0 0 0 0 0 0 477 0 0 1004690643 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 0 0 28399 0 0 0 0 0 0 0 0 0 0 0 0 0 28399 0 0 1004690899 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 57 0 0 1004690960 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 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 27801 0 0 0 0 0 0 0 0 0 0 0 0 0 27801 0 0 1004691080 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 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 19402 0 0 0 0 0 0 0 0 0 0 0 0 0 19402 0 0 1004691163 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 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 49 0 0 0 0 0 0 49 0 0 1004691245 1639497530 10 Physicians MCGONAGILL PATRICK W 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 370 0 0 0 0 0 0 370 0 0 1004691273 1922559897 60 Pharmacies POEHLER'S PHARMACY LLC 999999999 33 Effingham 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 0 362 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8849 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11069 0 0 0 11069 0 0 1004691949 1144518069 10 Physicians MCKEE ALEXIS 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 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 0 304 0 0 0 0 0 0 304 0 0 1004691980 92 Waiver service provider--Disability (DHS/DRS) 23 Clinton 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 913 0 0 0 0 0 0 0 0 0 0 0 0 0 913 0 0 1004692100 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 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 18560 0 0 0 0 0 0 0 0 0 0 0 0 0 18560 0 0 1004692126 1386199511 16 Nurse Practitioners OLESEN JENNIFER 999999999 58 La Salle 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 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 3441 0 0 0 0 0 0 3441 0 0 1004692169 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 57 0 0 0 0 0 0 57 0 0 1004692173 1568659449 89 Physician Assistant Only(Encounter Only) KAUTH JESSICA 999999999 80 Peoria 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 0 199 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 10376 0 0 0 0 0 0 10376 0 0 1004692178 1780024125 10 Physicians KIMBELL KAYLA J 999999999 109 Winnebago 0 1 Family Practice 0 0 0 0 0 0 0 0 0 0 0 2 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 3181 0 0 0 0 0 0 3206 0 0 1004692222 1124040936 60 Pharmacies CVS PHARMACY # 600872231 841 Rhode Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 524 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 22542 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 387 0 0 66233 0 0 0 66620 0 0 1004692312 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 0 187 0 0 0 0 0 0 187 0 0 1004692430 1396290045 11 Dentists PRABHA MEGHANA V 999999999 200 Cook 0 0 General Dentistry 0 0 0 225 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31022 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31022 0 0 1004692517 1811349087 89 Physician Assistant Only(Encounter Only) LOREN KATHLEEN A 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 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 0 307 0 0 0 0 0 0 307 0 0 1004692522 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 0 147 0 0 0 0 0 0 147 0 0 1004692532 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 0 178 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 14968 0 0 0 0 0 0 0 0 0 0 0 0 0 14968 0 0 1004692683 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 26461 0 0 0 0 0 0 0 0 0 0 0 0 0 26461 0 0 1004692820 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 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 24130 0 0 0 0 0 0 0 0 0 0 0 0 0 24130 0 0 1004693173 1477009249 16 Nurse Practitioners SCHNEIDER TRESSA L 999999999 15 Bureau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 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 0 600 0 0 0 0 0 0 600 0 0 1004693338 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 5686 0 0 0 0 0 0 0 0 0 0 0 0 0 5686 0 0 1004693462 1073531547 16 Nurse Practitioners ORTEGA MICHELLE G 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 480 0 0 0 0 0 0 480 0 0 1004693469 1285926949 90 Waiver service provider--Elderly (DOA) "DESTINY HEALTHCARE SERVICE, IN" 999999999 200 Cook 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11254 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 0 0 0 0 0 0 0 0 0 0 0 0 1222136 0 0 0 0 0 0 0 0 0 0 0 0 0 1222136 0 0 1004693773 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 389 0 0 0 0 0 0 0 0 0 0 0 0 0 389 0 0 1004693830 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 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26813 0 0 0 0 0 0 0 0 0 0 0 0 0 26813 0 0 1004694019 1174624415 10 Physicians STEPHEN JACOB 999999999 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 3 0 215 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 381 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 381 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 3204 0 0 0 0 0 0 3240 0 0 1004694162 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 33321 0 0 0 0 0 0 0 0 0 0 0 0 0 33321 0 0 1004694250 1831493816 10 Physicians WONG JOSHUA 999999999 815 Indiana 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 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 5346 0 0 0 0 0 0 5346 0 0 1004694439 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 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 0 174 0 0 0 0 0 0 174 0 0 1004694596 1477840882 63 Other Providers of Medical Equipment/Supplies (Non-registered) CORK MEDICAL LLC 999999999 30 DuPage 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 0 218 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 11290 0 0 0 0 0 0 11290 0 0 1004694749 1861803595 10 Physicians IBRAHIM RUKAYATU 999999999 91 Sangamon 0 0 Pediatrics 0 0 0 0 35 0 0 0 0 0 0 5 0 51 0 0 0 0 0 0 0 0 0 82 0 0 0 0 0 0 8 0 84 0 0 0 0 0 0 0 0 0 82 0 0 0 0 0 0 8 0 84 0 0 0 0 0 0 0 0 0 1877 0 0 0 0 0 0 35 0 2374 0 0 0 0 0 0 4286 0 0 1004694882 1578940110 16 Nurse Practitioners SIMS DESAREY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 134 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 3586 0 0 0 0 0 0 3586 0 0 1004695324 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 6486 0 0 0 0 0 0 0 0 0 0 0 0 0 6486 0 0 1004695462 1144526963 89 Physician Assistant Only(Encounter Only) HAERTLING DEVIN 999999999 49 Jefferson 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 0 623 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 623 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8529 0 0 0 0 0 0 8529 0 0 1004695579 1063754158 10 Physicians KOWALSKA ANETA 999999999 200 Cook 0 0 Family Practice 0 0 0 0 2 0 0 0 0 0 0 1 0 32 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 1 0 87 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 1 0 87 0 0 0 0 0 0 0 0 0 93 0 0 0 0 0 0 0 0 2774 0 0 0 0 0 0 2867 0 0 1004695676 1255684072 16 Nurse Practitioners KEYSTER TRACI 999999999 107 Will 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 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 0 733 0 0 0 0 0 0 733 0 0 1004695903 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 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 1319 0 0 0 0 0 0 0 0 0 0 0 0 0 1319 0 0 1004696140 4004696140 90 Waiver service provider--Elderly (DOA) ANGEL HOME HEALTH AGENCY SERVI 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 1369 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1369 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 153004 0 0 0 0 0 0 0 0 0 0 0 0 0 153004 0 0 1004696193 1659677557 89 Physician Assistant Only(Encounter Only) HAIGHT MARTA 999999999 200 Cook 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 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 2351 0 0 0 0 0 0 2351 0 0 1004697018 1578013462 11 Dentists BALI AKANKSHA 999999999 200 Cook 0 0 General Dentistry 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 6703 0 0 0 0 0 0 0 0 0 0 0 444 0 0 0 0 7147 0 0 1004697169 10 Physicians 30 DuPage 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 43 0 0 0 0 0 0 43 0 0 1004697280 16 Nurse Practitioners 50 Jersey 0 0 0 0 0 0 0 0 0 0 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 0 183 0 0 0 0 0 0 183 0 0 1004697862 1053532002 10 Physicians IBRAHIM NAFISA B 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101 0 790 0 0 0 0 0 0 891 0 0 1004698403 98 Waiver service provider--TBI (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5909 0 0 0 0 0 0 0 0 0 0 0 0 0 5909 0 0 1004698571 1316918287 30 General Hospitals MMC PSYCHIATRIC UNIT 627810001 91 Sangamon DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 General Hospital - Adult and Child 0 0 22 0 0 0 0 0 0 0 168 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 208 0 0 0 0 0 0 0 0 0 0 107 0 0 0 0 0 0 0 2627 0 0 0 0 0 0 0 0 0 0 9408 0 0 0 0 0 0 0 219029 0 0 0 0 0 0 0 0 0 228437 0 0 1004698586 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 7228 0 0 0 0 0 0 0 0 0 0 0 0 0 7228 0 0 1004698610 10 Physicians 47 Jackson 0 0 Anesthesiology 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 68 0 0 0 0 0 0 68 0 0 1004698862 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 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 1054 0 0 0 0 0 0 0 0 0 0 0 0 0 1054 0 0 1004698935 1114238979 10 Physicians MIKHAYEL MADI 999999999 200 Cook 0 0 Radiology Diagnosis 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 0 171 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 1447 0 0 0 0 0 0 0 0 1447 0 0 1004698964 1194183517 60 Pharmacies NORTH PARK PHARMACY 999999999 200 Cook 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 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4590 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2191 0 0 0 2191 0 0 1004699053 92 Waiver service provider--Disability (DHS/DRS) 27 Dekalb 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 19249 0 0 0 0 0 0 0 0 0 0 0 0 0 19249 0 0 1004699232 10 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 356 0 0 0 0 0 0 356 0 0 1004699353 1447589650 89 Physician Assistant Only(Encounter Only) WILLIAMS TIFFANI L 999999999 80 Peoria 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 0 0 0 255 0 0 0 0 0 0 0 0 2021 0 0 0 0 0 0 2276 0 0 1004699457 89 Physician Assistant Only(Encounter Only) 24 Coles 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 1004699625 1871688341 10 Physicians PHILLIP DERWIN A 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 12 0 315 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 371 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 371 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 13905 0 0 0 0 0 0 13940 0 0 1004699870 1871951038 63 Other Providers of Medical Equipment/Supplies (Non-registered) BIONIC PROSTHETICS AND ORTHOTI 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1314 0 26973 0 0 0 0 28287 0 0 1004699950 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 0 168 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 22591 0 0 0 0 0 0 0 0 0 0 0 0 0 22591 0 0 1004700098 1255642047 10 Physicians RIAZ AHSUN 999999999 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 34 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 158 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 158 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 206 0 6831 0 0 0 0 0 0 7037 0 0 1004700208 1548581440 10 Physicians MAI HANH 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 1208 0 0 0 0 0 0 1227 0 0 1004700370 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 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 15271 0 0 0 0 0 0 0 0 0 0 0 0 0 15271 0 0 1004700613 92 Waiver service provider--Disability (DHS/DRS) 50 Jersey 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 27771 0 0 0 0 0 0 0 0 0 0 0 0 0 27771 0 0 1004700658 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 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 0 179 0 0 0 0 0 0 179 0 0 1004700661 89 Physician Assistant Only(Encounter Only) 31 Edgar 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 11 0 0 0 0 0 0 11 0 0 1004700714 1174545883 60 Pharmacies CVS PHARMACY #16529 600351728 57 Lake 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 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 484 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1153 0 0 0 1153 0 0 1004701039 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21351 0 0 0 0 0 0 0 0 0 0 0 0 0 21351 0 0 1004701116 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 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30196 0 0 0 0 0 0 0 0 0 0 0 0 0 30196 0 0 1004702279 1861851438 60 Pharmacies WALGREENS #21287 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 431 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 2972 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 141538 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 308 0 0 520510 0 0 0 520818 0 0 1004702435 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 12874 0 0 0 0 0 0 0 0 0 0 0 0 0 12874 0 0 1004702455 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15188 0 0 0 0 0 0 0 0 0 0 0 0 0 15188 0 0 1004702562 1942666169 16 Nurse Practitioners WEST SHERI L. 999999999 79 Ogle 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 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 0 893 0 0 0 0 0 0 893 0 0 1004702563 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33904 0 0 0 0 0 0 0 0 0 0 0 0 0 33904 0 0 1004702793 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 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 14628 0 0 0 0 0 0 0 0 0 0 0 0 0 14628 0 0 1004702945 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 20880 0 0 0 0 0 0 0 0 0 0 0 0 0 20880 0 0 1004703006 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27862 0 0 0 0 0 0 0 0 0 0 0 0 0 27862 0 0 1004703185 1689935397 30 General Hospitals SOUTH SHORE HOSPITAL CORP 606171124 200 Cook DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 General Hospital - Adult and Child 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 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 736 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10618 0 0 0 0 0 0 0 0 0 10618 0 0 1004703225 1811371347 11 Dentists GADDE MADHAVI 999999999 200 Cook 0 0 General Dentistry 0 0 0 26 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 4860 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4860 0 0 1004703345 1255581641 10 Physicians AEDDULA NAROTHAMA R 999999999 200 Cook 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 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 1212 0 0 0 0 0 0 1212 0 0 1004703387 1528309879 10 Physicians HOHNER ELITA 999999999 107 Will 0 0 Family Practice 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 54 0 0 0 0 0 0 0 0 0 1 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 0 758 0 0 0 0 0 0 758 0 0 1004703418 1821085069 16 Nurse Practitioners PFEFFER-WRIGHT DAWN L 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 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 1004703814 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 67 0 0 0 0 0 0 67 0 0 1004703827 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 16734 0 0 0 0 0 0 0 0 0 0 0 0 0 16734 0 0 1004703858 16 Nurse Practitioners 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 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 0 163 0 0 0 0 0 0 163 0 0 1004704207 1356712558 89 Physician Assistant Only(Encounter Only) ZAKARIA MUSTAFA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2083 0 0 0 0 0 0 2083 0 0 1004704300 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 33 0 0 0 0 0 0 33 0 0 1004704524 1407304199 16 Nurse Practitioners DEFREESE LORI A 999999999 80 Peoria 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 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 1048 0 0 0 0 0 0 1048 0 0 1004704660 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7566 0 0 0 0 0 0 0 0 0 0 0 0 0 7566 0 0 1004705275 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 0 120 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 27851 0 0 0 0 0 0 0 0 0 0 0 0 0 27851 0 0 1004705591 1811031370 10 Physicians ALEXIEV BORISLAV A 999999999 200 Cook 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 0 250 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 2175 0 0 0 0 0 0 0 0 2175 0 0 1004705647 36 Community mental health provider 71 McHenry 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 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 1136 0 0 1136 0 0 1004705849 1730413717 10 Physicians THORPE MICHAEL P 999999999 47 Jackson 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 0 314 0 0 0 0 0 0 314 0 0 1004705873 1487855425 89 Physician Assistant Only(Encounter Only) COLOMB SARAH 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 205 0 0 0 0 0 0 205 0 0 1004705903 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 31 0 0 0 0 0 0 31 0 0 1004705963 1881970036 89 Physician Assistant Only(Encounter Only) FOUCHE MICHELLE M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 319 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1992 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1992 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23103 0 0 0 0 0 0 23103 0 0 1004706022 1326415845 16 Nurse Practitioners DUKEMAN HANNAH J 999999999 22 Clay 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 0 218 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 1669 0 0 0 0 0 0 1669 0 0 1004706237 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 0 107 0 0 0 0 0 0 107 0 0 1004706747 1376565168 60 Pharmacies CVS PHARMACY #16286 604624725 200 Cook 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 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 979 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2474 0 0 0 2474 0 0 1004706981 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 8 0 0 0 0 0 0 8 0 0 1004707005 16 Nurse Practitioners 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004707029 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 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 1004707106 1902068810 89 Physician Assistant Only(Encounter Only) LEIGH KARRIE K 999999999 106 Whiteside 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 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 0 535 0 0 0 0 0 0 535 0 0 1004707108 10 Physicians 816 Iowa 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 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 54 0 0 0 0 0 0 54 0 0 1004707109 1225585904 70 Ambulance Service Providers AIR EVAC EMS INC 999999999 12 Bond 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 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 14229 0 0 0 0 0 0 14229 0 0 1004707537 1215102322 10 Physicians CHURYLA ANDREI 999999999 53 Kane 0 0 Thoracic Surgery 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 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 10693 0 0 0 0 0 0 10693 0 0 1004707695 1861786261 10 Physicians SCHNEIDER DANIEL E 999999999 42 Hancock 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 14 0 72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 158 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 158 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 3979 0 0 0 0 0 0 4043 0 0 1004707719 10 Physicians 109 Winnebago 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 694 0 0 0 0 0 0 694 0 0 1004707994 10 Physicians 30 DuPage 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 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 1004708275 1376091595 16 Nurse Practitioners YEMM NICOLAS A 616021308 80 Peoria 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 2513 0 0 0 0 0 0 2561 0 0 1004708373 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 12844 0 0 0 0 0 0 0 0 0 0 0 0 0 12844 0 0 1004708393 1942623210 16 Nurse Practitioners SPRINGER LAUREN E. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 193 0 0 0 0 0 0 193 0 0 1004708395 1821546581 16 Nurse Practitioners LAMB CHERYL L 999999999 30 DuPage 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 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4786 0 0 0 0 0 0 4786 0 0 1004708435 1982061669 16 Nurse Practitioners CACELLO ELIZABETH 999999999 40 Grundy 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1791 0 0 0 0 0 0 1791 0 0 1004708456 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2708 0 0 0 0 0 0 0 0 0 0 0 0 0 2708 0 0 1004708908 94 Waiver service provider--Children's support (DHS/DDD) 71 McHenry 0 0 0 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 0 684 0 0 0 0 0 0 0 0 0 0 0 0 0 684 0 0 1004708949 93 Waiver service provider--HIV/AIDS (DHS/DRS) 823 Michigan 0 0 0 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 28 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 1004709005 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 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 6466 0 0 0 0 0 0 0 0 0 0 0 0 0 6466 0 0 1004709165 1992175715 16 Nurse Practitioners REIDER JACLYN 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 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 0 545 0 0 0 0 0 0 545 0 0 1004709228 10 Physicians 89 Rock Island 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 1004709332 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 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 11053 0 0 0 0 0 0 0 0 0 0 0 0 0 11053 0 0 1004709434 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 689 0 0 0 0 0 0 0 0 0 0 0 0 0 689 0 0 1004709439 4004709439 90 Waiver service provider--Elderly (DOA) "HELP AT HOME, LLC" 999999999 200 Cook 0 0 0 0 0 0 0 0 909 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66866 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66866 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7132853 0 0 0 0 0 0 0 0 0 0 0 0 0 7132853 0 0 1004709697 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17560 0 0 0 0 0 0 0 0 0 0 0 0 0 17560 0 0 1004709756 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 34975 0 0 0 0 0 0 0 0 0 0 0 0 0 34975 0 0 1004709864 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 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 24574 0 0 0 0 0 0 0 0 0 0 0 0 0 24574 0 0 1004710196 1447696125 10 Physicians MARTIN ASHLEY J 999999999 10 Adams 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 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4412 0 0 0 0 0 0 4412 0 0 1004710469 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1457 0 0 0 0 0 0 0 0 0 0 0 0 0 1457 0 0 1004710594 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 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 21123 0 0 0 0 0 0 0 0 0 0 0 0 0 21123 0 0 1004710667 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 0 426 0 0 0 0 0 0 0 0 0 0 0 0 0 426 0 0 1004711071 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2316 0 0 0 0 0 0 0 0 0 0 0 0 0 2316 0 0 1004711121 1962717579 10 Physicians ISA FURQUAAN M 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 360 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 650 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 650 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9191 0 702 0 0 0 0 0 0 9893 0 0 1004711287 1881857282 10 Physicians BULLOCK TREVOR MICHAEL 999999999 200 Cook 0 0 Family Practice 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 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 1288 0 0 0 0 0 0 1288 0 0 1004711312 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1672 0 0 0 0 0 0 0 0 0 0 0 0 0 1672 0 0 1004711652 1942590906 10 Physicians TURAKHIA SAMIR 999999999 19 Champaign 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 0 500 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 6279 0 0 0 0 0 0 0 0 6279 0 0 1004711713 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 0 166 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 28426 0 0 0 0 0 0 0 0 0 0 0 0 0 28426 0 0 1004711825 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 8602 0 0 0 0 0 0 0 0 0 0 0 0 0 8602 0 0 1004711855 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 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 9938 0 0 0 0 0 0 0 0 0 0 0 0 0 9938 0 0 1004711866 1851834196 16 Nurse Practitioners THIBODEAU MEGAN M. 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 112 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 0 440 0 0 0 0 0 0 440 0 0 1004711941 1942300033 89 Physician Assistant Only(Encounter Only) UNDERWOOD AMY E 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3825 0 0 0 0 0 0 3825 0 0 1004712003 1881145357 40 Federally Qualified Health Centers SIHF HEALTHCARE 999999999 24 Coles 0 0 0 0 67 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 16856 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16856 0 0 1004712200 1427502350 11 Dentists MARJAN LOOLUL 999999999 200 Cook 0 0 0 0 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1306 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1306 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38097 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38097 0 0 1004712360 10 Physicians 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004712429 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 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 0 820 0 0 0 0 0 0 820 0 0 1004713158 1316969124 60 Pharmacies CVS PHARMACY #16351 613541013 58 La Salle 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 0 302 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9663 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3620 0 0 0 3620 0 0 1004713449 1881919736 10 Physicians BACHTA KELLY E. 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 133 0 0 0 0 0 0 133 0 0 1004713830 1447611009 16 Nurse Practitioners HENDERSON KERRI 999999999 10 Adams 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 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 1418 0 0 0 0 0 0 1418 0 0 1004714075 1093072274 10 Physicians MUSEC MELISSA 999999999 200 Cook 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 0 631 0 0 0 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 6413 0 0 0 0 0 0 6413 0 0 1004714256 1518320795 91 Waiver service provider--Adults (DHS/DDD) ERVIN DANIEL 999999999 72 McLean 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 1567 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1567 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93407 0 0 0 0 0 0 0 0 0 0 0 0 0 93407 0 0 1004714365 1144606195 16 Nurse Practitioners KLENZMAN JAMI M 999999999 200 Cook 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 0 122 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 3761 0 0 0 0 0 0 3761 0 0 1004714408 1356897003 16 Nurse Practitioners FOERTSCH EMILY 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 0 166 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 2623 0 0 0 0 0 0 2623 0 0 1004714591 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 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14296 0 0 0 0 0 0 0 0 0 0 0 0 0 14296 0 0 1004714711 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2845 0 0 0 0 0 0 0 0 0 0 0 0 0 2845 0 0 1004714729 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 16708 0 0 0 0 0 0 0 0 0 0 0 0 0 16708 0 0 1004714741 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 21945 0 0 0 0 0 0 0 0 0 0 0 0 0 21945 0 0 1004714792 1700339173 11 Dentists GRANT MARY 999999999 200 Cook 0 0 General Dentistry 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 831 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 831 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26976 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26976 0 0 1004714806 1417209768 16 Nurse Practitioners GARRETT BRENDA 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 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 0 283 0 0 0 0 0 0 283 0 0 1004714813 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 10984 0 0 0 0 0 0 0 0 0 0 0 0 0 10984 0 0 1004715050 1992797625 89 Physician Assistant Only(Encounter Only) HAYDEN GARY 999999999 24 Coles 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 220 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 220 0 0 0 0 0 0 0 0 0 607 0 0 0 0 0 0 0 0 3339 0 0 0 0 0 0 3946 0 0 1004715081 1386008936 16 Nurse Practitioners REYNOLDS ALBERTA 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 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004715190 1437518081 16 Nurse Practitioners HALCOMB AIMEE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 294 0 0 0 0 0 0 294 0 0 1004715367 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 25995 0 0 0 0 0 0 0 0 0 0 0 0 0 25995 0 0 1004715509 1316394968 36 Community mental health provider JEWISH CHILD AND FAMILY SERVIC 999999999 200 Cook 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 323 0 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 323 0 0 1485 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31605 0 0 33090 0 0 1004715600 1780683003 10 Physicians BERGER RICHARD 999999999 107 Will 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 564 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 775 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 775 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17485 0 159 0 0 0 0 0 0 17644 0 0 1004715733 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 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 9645 0 0 0 0 0 0 0 0 0 0 0 0 0 9645 0 0 1004715745 1700135126 10 Physicians MAJDIZADEH SHIRIN 618012529 19 Champaign 0 0 Internal Medicine 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 0 103 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 1880 0 0 0 0 0 0 1880 0 0 1004715983 1295034478 10 Physicians JAIN ROHAN K 999999999 91 Sangamon 0 0 Anesthesiology 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 0 193 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 1367 0 0 0 0 0 0 1367 0 0 1004715986 1912361361 16 Nurse Practitioners SZAFRANSKI ALICIA M 999999999 63 Macon 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 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 0 740 0 0 0 0 0 0 740 0 0 1004716196 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 1174 0 0 0 0 0 0 0 0 0 0 0 0 0 1174 0 0 1004716380 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11037 0 0 0 0 0 0 0 0 0 0 0 0 0 11037 0 0 1004716452 1346506532 10 Physicians ZHOU XIAOLONG 999999999 200 Cook 0 0 Dermatology 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 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 1181 0 0 0 0 0 0 1181 0 0 1004716608 1518362946 16 Nurse Practitioners PATTERSON AMANDA L 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 578 0 0 0 0 0 0 578 0 0 1004716621 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 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 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 0 384 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42165 0 0 0 0 0 0 0 0 0 42165 0 0 1004717511 1316030679 89 Physician Assistant Only(Encounter Only) SAYLOR RICHARD 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 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5670 0 0 0 0 0 0 5670 0 0 1004717552 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 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 1166 0 0 0 0 0 0 0 0 0 0 0 0 0 1166 0 0 1004717663 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 19699 0 0 0 0 0 0 0 0 0 0 0 0 0 19699 0 0 1004718119 16 Nurse Practitioners 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 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 1004720674 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 62 0 0 1004720821 92 Waiver service provider--Disability (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 17594 0 0 0 0 0 0 0 0 0 0 0 0 0 17594 0 0 1004721101 1477743813 89 Physician Assistant Only(Encounter Only) ROTH MICHELLE L 999999999 80 Peoria 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 0 155 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 1066 0 0 0 0 0 0 1066 0 0 1004721296 1306205141 16 Nurse Practitioners PINKERTON ERIN D 999999999 102 Warren 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 23 0 0 1004721392 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 0 273 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 provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 30791 0 0 0 0 0 0 0 0 0 0 0 0 0 30791 0 0 1004726762 1598164303 16 Nurse Practitioners HENDERSON TAMMIE O 999999999 50 Jersey 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 142 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 227 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 4206 0 0 0 0 0 0 4206 0 0 1004726778 1669929931 11 Dentists GOPE USHA 999999999 200 Cook 0 0 General Dentistry 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 988 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 988 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35042 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35042 0 0 1004726876 1750833356 16 Nurse Practitioners GLASS MELISSA M 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 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 0 317 0 0 0 0 0 0 317 0 0 1004726903 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 0 209 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 13380 0 0 0 0 0 0 0 0 0 0 0 0 0 13380 0 0 1004727018 91 Waiver service provider--Adults (DHS/DDD) 97 Stephenson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 170 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 0 0 0 0 0 0 0 0 0 0 21971 0 0 0 0 0 0 0 0 0 0 0 0 0 21971 0 0 1004727028 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 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20122 0 0 0 0 0 0 0 0 0 0 0 0 0 20122 0 0 1004727267 86 Clinical Social Worker(Encounter Only) 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004727272 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 28965 0 0 0 0 0 0 0 0 0 0 0 0 0 28965 0 0 1004728050 98 Waiver service provider--TBI (DHS/DRS) 72 McLean 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 108 0 0 1004728091 93 Waiver service provider--HIV/AIDS (DHS/DRS) 30 DuPage 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4120 0 0 0 0 0 0 0 0 0 0 0 0 0 4120 0 0 1004728275 1013196682 89 Physician Assistant Only(Encounter Only) JAEGLE COURTNEY 999999999 80 Peoria 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 0 208 0 0 0 0 0 0 208 0 0 1004728527 1013390491 16 Nurse Practitioners BUESSER JULIA 999999999 57 Lake 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 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 550 0 0 0 0 0 0 550 0 0 1004728767 1265753834 10 Physicians RIEDELL PETER A 999999999 30 DuPage 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 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 1469 0 0 0 0 0 0 1469 0 0 1004728787 1073581872 30 General Hospitals HARRISBURG MEDICAL CENTER INC 629462718 90 Saline DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 General Hospital - Adult and Child 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 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 385 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 184261 0 0 0 0 0 0 0 0 0 184261 0 0 1004728794 91 Waiver service provider--Adults (DHS/DDD) 22 Clay 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28682 0 0 0 0 0 0 0 0 0 0 0 0 0 28682 0 0 1004728862 1053643064 87 Psychologist(Encounter Only) BAKER JOHN 618012529 19 Champaign 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1828 0 0 0 0 0 0 1828 0 0 1004728960 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 0 227 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 26798 0 0 0 0 0 0 0 0 0 0 0 0 0 26798 0 0 1004729159 1467748673 10 Physicians GERBER BENJAMIN R. 999999999 80 Peoria 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 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 1635 0 0 0 0 0 0 1635 0 0 1004729187 16 Nurse Practitioners 105 White 0 0 0 0 0 0 0 0 0 0 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 68 0 0 0 0 0 0 68 0 0 1004729210 1750749826 16 Nurse Practitioners WYNN SHAWN M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 732 0 0 0 0 0 0 732 0 0 1004729273 89 Physician Assistant Only(Encounter Only) 88 Richland 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 1004729323 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 26328 0 0 0 0 0 0 0 0 0 0 0 0 0 26328 0 0 1004729421 1831376961 10 Physicians SAID BELAL H 999999999 40 Grundy 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 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 0 899 0 0 0 0 0 0 899 0 0 1004729441 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 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 27217 0 0 0 0 0 0 0 0 0 0 0 0 0 27217 0 0 1004729746 1063675445 16 Nurse Practitioners BRUENING KARI N 999999999 80 Peoria 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 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 0 862 0 0 0 0 0 0 862 0 0 1004729800 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 1004729809 1124331236 10 Physicians DINES MARSHALL L 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 153 0 118 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1830 0 6633 0 0 0 0 0 0 8463 0 0 1004729905 1982933974 16 Nurse Practitioners GONZALEZ JENNIFER L 999999999 37 Fulton 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 0 331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3908 0 0 0 0 0 0 3908 0 0 1004729959 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 42283 0 0 0 0 0 0 0 0 0 0 0 0 0 42283 0 0 1004730142 1578875647 10 Physicians MILLER CORY S 999999999 30 DuPage 0 0 Obstetric-Gynecology 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 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 88 0 1074 0 0 0 0 0 0 1162 0 0 1004730147 10 Physicians 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 2 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84 0 2640 0 0 0 0 0 0 2724 0 0 1004730753 1497022586 16 Nurse Practitioners LEGUILLON MELISSA D 999999999 53 Kane 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 0 122 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 1512 0 0 0 0 0 0 1512 0 0 1004731167 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 523 0 0 0 0 0 0 0 0 0 0 0 0 0 523 0 0 1004731434 1013364926 16 Nurse Practitioners SHANNON KRISTIN W 999999999 200 Cook 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 278 0 0 0 0 0 0 0 0 1829 0 0 0 0 0 0 2107 0 0 1004731533 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 26866 0 0 0 0 0 0 0 0 0 0 0 0 0 26866 0 0 1004731614 1912929704 60 Pharmacies CVS PHARMACY #16281 601601611 200 Cook 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 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3950 0 0 0 3950 0 0 1004731646 1376890376 89 Physician Assistant Only(Encounter Only) PARKER AMANDA 999999999 30 DuPage 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 0 438 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 438 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3678 0 0 0 0 0 0 3678 0 0 1004731733 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 29884 0 0 0 0 0 0 0 0 0 0 0 0 0 29884 0 0 1004731862 1568514289 10 Physicians REDDY HARI 999999999 98 Tazewell 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 514 0 0 0 0 0 0 0 0 514 0 0 1004731928 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 27677 0 0 0 0 0 0 0 0 0 0 0 0 0 27677 0 0 1004731995 1093143869 89 Physician Assistant Only(Encounter Only) HOLWEY NICHOLAS 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2702 0 0 0 0 0 0 2702 0 0 1004732146 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 495 0 0 0 0 0 0 0 0 0 0 0 0 0 495 0 0 1004732209 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 0 299 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 26825 0 0 0 0 0 0 0 0 0 0 0 0 0 26825 0 0 1004732396 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 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 8329 0 0 0 0 0 0 0 0 0 0 0 0 0 8329 0 0 1004732404 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 27658 0 0 0 0 0 0 0 0 0 0 0 0 0 27658 0 0 1004732490 16 Nurse Practitioners 49 Jefferson 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 0 0 0 0 0 0 0 0 0 0 1004732570 92 Waiver service provider--Disability (DHS/DRS) 23 Clinton 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 35976 0 0 0 0 0 0 0 0 0 0 0 0 0 35976 0 0 1004733158 1437549938 10 Physicians HOLLETT KIRSTEN LEIGH 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 23 0 0 0 0 0 0 22 0 65 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 35 0 94 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 35 0 94 0 0 0 0 0 0 0 0 0 2167 0 0 0 0 0 0 843 0 4652 0 0 0 0 0 0 7662 0 0 1004733482 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 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 0 0 0 0 0 1338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 271709 0 0 0 0 0 0 0 0 0 0 0 0 0 271709 0 0 1004733728 88 Other behavior health professional 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 1004733754 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 28710 0 0 0 0 0 0 0 0 0 0 0 0 0 28710 0 0 1004733765 1770031841 16 Nurse Practitioners BECKER BARBARA D 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 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 0 629 0 0 0 0 0 0 629 0 0 1004734247 10 Physicians 57 Lake 0 0 0 0 0 0 0 0 0 0 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 0 145 0 0 0 0 0 0 145 0 0 1004734348 92 Waiver service provider--Disability (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2373 0 0 0 0 0 0 0 0 0 0 0 0 0 2373 0 0 1004734395 22 Physical Therapists 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 109 109 0 0 1004734617 1194015016 10 Physicians ZAFAR ABU-BAKAR 999999999 19 Champaign 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 2 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 225 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 225 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 6597 0 0 0 0 0 0 6635 0 0 1004734841 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 0 364 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 11534 0 0 0 0 0 0 0 0 0 0 0 0 0 11534 0 0 1004734872 1124229737 16 Nurse Practitioners WINKE LINDA M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 9 0 0 1004735257 1205040425 10 Physicians KASHLAN FAWAZ 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 869 0 0 0 0 0 0 869 0 0 1004735374 87 Psychologist(Encounter Only) 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 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 130 0 0 1004735776 30 General Hospitals 852 Wisconsin 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 0 701 0 0 0 0 0 0 0 0 0 0 0 0 0 0 701 0 0 1004735789 92 Waiver service provider--Disability (DHS/DRS) 90 Saline 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 28799 0 0 0 0 0 0 0 0 0 0 0 0 0 28799 0 0 1004735872 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 22317 0 0 0 0 0 0 0 0 0 0 0 0 0 22317 0 0 1004736343 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 27514 0 0 0 0 0 0 0 0 0 0 0 0 0 27514 0 0 1004736413 1447508874 10 Physicians ALBSHERI MOHAMAD 999999999 54 Kankakee 0 0 Internal 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 0 0 0 0 0 0 0 0 0 0 1004736497 1508076126 10 Physicians KAO PATRICIA F 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 9 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 0 0 199 0 0 0 0 0 0 199 0 0 1004736625 16 Nurse Practitioners 72 McLean 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 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 90 0 0 0 0 0 0 90 0 0 1004736694 1508291790 10 Physicians MOHAMMAD BEGUM SHABAZ 999999999 19 Champaign 0 1 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 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 0 469 0 0 0 0 0 0 469 0 0 1004736869 1992934517 10 Physicians HUBBARD DAVID 999999999 200 Cook 0 0 General Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 292 0 0 0 0 0 0 292 0 0 1004736909 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 1004737152 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 24781 0 0 0 0 0 0 0 0 0 0 0 0 0 24781 0 0 1004737195 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 0 101 0 0 1004737536 98 Waiver service provider--TBI (DHS/DRS) 34 Fayette 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004737679 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 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 0 179 179 0 0 1004737975 63 Other Providers of Medical Equipment/Supplies (Non-registered) 826 Missouri 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 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 269 0 0 0 0 269 0 0 1004738244 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 610 0 0 0 0 0 0 0 0 0 0 0 0 0 610 0 0 1004738294 1770949067 16 Nurse Practitioners BESTERFELDT ALEKSANDRA 999999999 53 Kane 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 1106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1308 0 0 0 0 0 0 1308 0 0 1004738394 1477943819 60 Pharmacies ILLINOIS CANCERCARE PHARMACY 999999999 56 Knox 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 0 163 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 0 0 0 0 0 80889 0 0 0 80889 0 0 1004738540 1427406396 16 Nurse Practitioners GRABEL ERIC G 999999999 96 St Clair 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 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 0 151 0 0 0 0 0 0 151 0 0 1004738767 1205280674 16 Nurse Practitioners DAOUD MAGDALENA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 333 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 333 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2126 0 0 0 0 0 0 2126 0 0 1004739197 1417339631 16 Nurse Practitioners SZKODA ANNA 999999999 200 Cook 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 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3240 0 0 0 0 0 0 3240 0 0 1004739230 98 Waiver service provider--TBI (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 15213 0 0 0 0 0 0 0 0 0 0 0 0 0 15213 0 0 1004739546 1467806513 10 Physicians BROZEK JOSHUA A 999999999 19 Champaign 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 3 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 284 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 284 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 11146 0 0 0 0 0 0 11211 0 0 1004739909 1790125193 10 Physicians VORIS JOHN 999999999 80 Peoria 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 159 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 2976 0 0 0 0 0 0 2976 0 0 1004740060 16 Nurse Practitioners 33 Effingham 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004740111 1609225358 16 Nurse Practitioners MIGON TIFFANY 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 0 146 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 0 995 0 0 0 0 0 0 995 0 0 1004740144 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 7962 0 0 0 0 0 0 0 0 0 0 0 0 0 7962 0 0 1004740239 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 21215 0 0 0 0 0 0 0 0 0 0 0 0 0 21215 0 0 1004740381 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 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 11921 0 0 0 0 0 0 0 0 0 0 0 0 0 11921 0 0 1004740504 1669639076 10 Physicians RAHMAN FAIZ U 999999999 200 Cook 0 1 Pediatrics 0 0 0 0 53 0 0 0 0 0 0 8 0 47 0 0 0 0 0 0 0 0 0 153 0 0 0 0 0 0 12 0 71 0 0 0 0 0 0 0 0 0 153 0 0 0 0 0 0 12 0 71 0 0 0 0 0 0 0 0 0 6524 0 0 0 0 0 0 581 0 3640 0 0 0 0 0 0 10745 0 0 1004740542 1033668959 22 Physical Therapists SABATKA CHRISTI A 999999999 91 Sangamon 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 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 0 507 507 0 0 1004740689 1487661955 89 Physician Assistant Only(Encounter Only) LEE WARREN 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 533 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 533 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7563 0 0 0 0 0 0 7563 0 0 1004740930 1023198785 60 Pharmacies "PHARMACY PLUS, INC" 620821344 39 Greene 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 0 464 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13883 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23875 0 0 0 23875 0 0 1004741216 1710150438 10 Physicians ASI KHALED 999999999 109 Winnebago 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 5 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3908 0 0 0 0 0 0 3908 0 0 1004741295 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 10859 0 0 0 0 0 0 0 0 0 0 0 0 0 10859 0 0 1004741375 1336377001 10 Physicians GUPTA NEHA V 999999999 200 Cook 0 0 Psychiatry 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 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 1728 0 0 0 0 0 0 1728 0 0 1004741620 1033304928 89 Physician Assistant Only(Encounter Only) WHEELER JAMES N 999999999 10 Adams 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 0 108 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 0 562 0 0 0 0 0 0 562 0 0 1004741708 1003057936 10 Physicians TOUGH-DESAPRI KRISTI 999999999 30 DuPage 0 0 Obstetric-Gynecology 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 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 0 600 0 0 0 0 0 0 600 0 0 1004741723 1952323768 60 Pharmacies CVS PHARMACY #16348 612656871 89 Rock Island 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 0 523 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47360 0 0 0 47360 0 0 1004742058 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 24529 0 0 0 0 0 0 0 0 0 0 0 0 0 24529 0 0 1004742311 1205295144 10 Physicians JOVA ADRIAN G 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 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 1275 0 0 0 0 0 0 1275 0 0 1004742574 1104116847 10 Physicians LAI YING HAO 999999999 200 Cook 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 0 199 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 8393 0 0 0 0 0 0 8393 0 0 1004742630 1689120065 89 Physician Assistant Only(Encounter Only) ROTH LAUREN E 999999999 53 Kane 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 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 0 983 0 0 0 0 0 0 983 0 0 1004742777 1225452261 16 Nurse Practitioners GUARDI JODIE 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 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 0 345 0 0 0 0 0 0 345 0 0 1004742807 1114379443 91 Waiver service provider--Adults (DHS/DDD) KESHET 999999999 200 Cook 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 9559 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9559 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1217636 0 0 0 0 0 0 0 0 0 0 0 0 0 1217636 0 0 1004743293 1750834743 88 Other behavior health professional MCCANN THOMAS P 999999999 53 Kane 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 0 204 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 5864 0 0 0 0 0 0 5864 0 0 1004743717 1013121383 16 Nurse Practitioners TESTA CHRISTINE A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 750 0 0 0 0 0 0 750 0 0 1004743744 22 Physical Therapists 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 168 168 0 0 1004743884 87 Psychologist(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004744007 55 Early Intervention Services 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 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 2019 0 0 0 0 0 0 2019 0 0 1004744267 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 8663 0 0 0 0 0 0 0 0 0 0 0 0 0 8663 0 0 1004744542 89 Physician Assistant Only(Encounter Only) 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 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 0 110 0 0 0 0 0 0 110 0 0 1004744543 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 12805 0 0 0 0 0 0 0 0 0 0 0 0 0 12805 0 0 1004744548 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 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 4122 0 0 0 0 0 0 0 0 0 0 0 0 0 4122 0 0 1004744571 1043659071 10 Physicians VIRPARIA SONIA K 999999999 107 Will 0 0 0 0 0 0 10 0 0 0 0 0 0 2 0 71 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 2 0 132 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 2 0 132 0 0 0 0 0 0 0 0 0 968 0 0 0 0 0 0 20 0 4850 0 0 0 0 0 0 5838 0 0 1004745122 10 Physicians 88 Richland 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 93 0 0 0 0 0 0 93 0 0 1004745191 1720067051 16 Nurse Practitioners DUDAK PHILIP 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 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 0 226 0 0 0 0 0 0 226 0 0 1004745262 1013243161 12 Optometrists KALLADANTHYIL ANN S 999999999 30 DuPage 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 0 249 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 6835 0 0 0 0 0 0 6835 0 0 1004745320 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7524 0 0 0 0 0 0 0 0 0 0 0 0 0 7524 0 0 1004745343 1285925248 10 Physicians SIDDIQUI NASIR 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 92 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2111 0 220 0 0 0 0 0 0 2331 0 0 1004745482 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 21634 0 0 0 0 0 0 0 0 0 0 0 0 0 21634 0 0 1004745508 75 Department of Alcohol and Substance Abuse Provider 14 Brown 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 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 0 890 0 0 890 0 0 1004745584 1457789315 16 Nurse Practitioners OETOMO AUDREY 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 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 1368 0 0 0 0 0 0 1368 0 0 1004745595 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 4637 0 0 0 0 0 0 0 0 0 0 0 0 0 4637 0 0 1004745748 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5264 0 0 0 0 0 0 0 0 0 0 0 0 0 5264 0 0 1004745780 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004745824 1578019634 16 Nurse Practitioners WATSON-EVANS HOLLY N 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2826 0 0 0 0 0 0 2826 0 0 1004746035 1407172802 10 Physicians STONE STEPHEN I 999999999 200 Cook 0 0 Pediatrics 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 3 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 982 0 0 0 0 0 0 988 0 0 1004746064 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1332 0 0 0 0 0 0 0 0 0 0 0 0 0 1332 0 0 1004746125 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1964 0 0 0 0 0 0 0 0 0 0 0 0 0 1964 0 0 1004746183 1043531528 10 Physicians TSANG REBECCA W 999999999 200 Cook 0 0 Internal Medicine 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 0 107 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 3112 0 0 0 0 0 0 3112 0 0 1004746813 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 18327 0 0 0 0 0 0 0 0 0 0 0 0 0 18327 0 0 1004746897 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 6982 0 0 0 0 0 0 0 0 0 0 0 0 0 6982 0 0 1004747139 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 0 310 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 310 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26198 0 0 0 0 0 0 0 0 0 0 0 0 0 26198 0 0 1004748099 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 155 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 9629 0 0 0 0 0 0 0 0 0 0 0 0 0 9629 0 0 1004748452 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 4738 0 0 0 0 0 0 0 0 0 0 0 0 0 4738 0 0 1004748613 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 37283 0 0 0 0 0 0 0 0 0 0 0 0 0 37283 0 0 1004748914 1063678852 10 Physicians CHAOUKI AHMAD SAMI 999999999 200 Cook 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 0 311 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 311 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5936 0 0 0 0 0 0 5936 0 0 1004749087 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1754 0 0 0 0 0 0 0 0 0 0 0 0 0 1754 0 0 1004749149 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5235 0 0 0 0 0 0 0 0 0 0 0 0 0 5235 0 0 1004749414 1417307901 12 Optometrists RIZVI NAZ 999999999 27 Dekalb 0 0 Diagnostic Pharmaceutical Agents 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 0 108 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 2833 0 0 0 0 0 0 2833 0 0 1004749700 16 Nurse Practitioners 69 Massac 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 56 0 0 1004749742 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 1004750111 94 Waiver service provider--Children's support (DHS/DDD) 46 Iroquois 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1643 0 0 0 0 0 0 0 0 0 0 0 0 0 1643 0 0 1004750322 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 0 223 0 0 0 0 0 0 223 0 0 1004750396 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 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7143 0 0 0 0 0 0 0 0 0 0 0 0 0 7143 0 0 1004750655 87 Psychologist(Encounter Only) 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 174 0 0 1004750975 1346694957 75 Department of Alcohol and Substance Abuse Provider "CORNERSTONE SERVICES, INC" 999999999 107 Will 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 0 441 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 0 0 0 0 0 0 0 0 0 0 0 0 33231 0 0 33231 0 0 1004751217 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 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 223 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 1004751385 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 32293 0 0 0 0 0 0 0 0 0 0 0 0 0 32293 0 0 1004751516 86 Clinical Social Worker(Encounter Only) 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 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 71 0 0 0 0 0 0 71 0 0 1004751804 1164719050 10 Physicians DANEK JUSTIN T 999999999 107 Will 0 0 Anesthesiology 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 33 0 0 0 0 0 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 0 0 2504 0 0 0 0 0 0 2504 0 0 1004751819 1679892707 10 Physicians HOLST ASHLEE K 999999999 89 Rock Island 0 0 Internal Medicine 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 18 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 157 0 670 0 0 0 0 0 0 827 0 0 1004751848 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 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 22313 0 0 0 0 0 0 0 0 0 0 0 0 0 22313 0 0 1004751916 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 0 123 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 15258 0 0 0 0 0 0 0 0 0 0 0 0 0 15258 0 0 1004752002 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 0 134 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 22053 0 0 0 0 0 0 0 0 0 0 0 0 0 22053 0 0 1004752093 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 14624 0 0 0 0 0 0 0 0 0 0 0 0 0 14624 0 0 1004752136 1528421187 23 Occupational Therapists TANZILLO KYLE 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 0 154 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 0 0 0 0 1004752236 1750721676 11 Dentists JABBAR MOHAMMED 999999999 200 Cook 0 0 General Dentistry 0 0 0 175 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 927 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 927 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 31772 0 0 0 0 0 0 0 0 0 0 0 3108 0 0 0 0 34880 0 0 1004752594 1730197005 89 Physician Assistant Only(Encounter Only) STARR EMILY F 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 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 0 315 0 0 0 0 0 0 315 0 0 1004752635 1013289610 60 Pharmacies GENOA HEALTHCARE LLC 611031573 109 Winnebago 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 5749 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 164121 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74443 0 0 0 74443 0 0 1004752651 1942565593 13 Podiatrists KNIGHT JESSICA 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 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 0 708 0 0 0 0 0 0 708 0 0 1004752990 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 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 11048 0 0 0 0 0 0 0 0 0 0 0 0 0 11048 0 0 1004753043 1881057917 16 Nurse Practitioners AMIDEI-STEFANIK DIANA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 55 0 0 1004753257 1083162432 40 Federally Qualified Health Centers SIHF HEALTHCARE 999999999 96 St Clair 0 0 0 0 40 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 3876 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3876 0 0 1004753333 1912286345 89 Physician Assistant Only(Encounter Only) RIEMMA LAURA ELLEN 999999999 200 Cook 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 2306 0 0 0 0 0 0 2306 0 0 1004753400 1174772594 10 Physicians KENYON DIANA 999999999 53 Kane 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 48 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 176 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 176 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2837 0 3934 0 0 0 0 0 0 6771 0 0 1004753442 92 Waiver service provider--Disability (DHS/DRS) 88 Richland 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 18490 0 0 0 0 0 0 0 0 0 0 0 0 0 18490 0 0 1004753468 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 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 0 116 0 0 0 0 0 0 116 0 0 1004753835 1316331408 89 Physician Assistant Only(Encounter Only) PHILLIPS JAYME L. 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 803 0 0 0 0 0 0 803 0 0 1004753988 1689023889 16 Nurse Practitioners NAWROT AGNES G 999999999 30 DuPage 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 323 0 0 0 0 0 0 323 0 0 1004754029 1215398128 16 Nurse Practitioners ABERCROMBIE SARA E 999999999 63 Macon 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 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 0 472 0 0 0 0 0 0 472 0 0 1004754037 1497149694 10 Physicians BAHRANI NEDA O 999999999 200 Cook 0 0 Family Practice 0 0 0 0 2 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 685 0 0 0 0 0 0 787 0 0 1004754218 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1421 0 0 0 0 0 0 0 0 0 0 0 0 0 1421 0 0 1004754995 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2295 0 0 0 0 0 0 0 0 0 0 0 0 0 2295 0 0 1004755344 16 Nurse Practitioners 50 Jersey 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 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 82 0 0 0 0 0 0 82 0 0 1004755597 1265985527 10 Physicians EL AMMAR FATEN 999999999 200 Cook 0 0 Family Practice 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10439 0 0 0 0 0 0 10439 0 0 1004755843 1750513255 10 Physicians KARAGIORGOS NIKOLAOS 999999999 19 Champaign 0 0 Vascular Surgery 0 0 0 0 0 0 0 0 0 0 0 9 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 3009 0 0 0 0 0 0 3050 0 0 1004755979 75 Department of Alcohol and Substance Abuse Provider 80 Peoria 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 0 215 0 0 215 0 0 1004756021 1154798999 12 Optometrists HUTTNER BRENNA J 999999999 89 Rock Island 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 0 109 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 1263 0 0 0 0 0 0 1263 0 0 1004756222 1235578410 16 Nurse Practitioners COBB KATHRYN L 999999999 96 St Clair 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 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 0 124 0 0 0 0 0 0 124 0 0 1004756795 1740509496 60 Pharmacies CVS PHARMACY #17437 606405660 200 Cook 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 0 536 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21622 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69367 0 0 0 69367 0 0 1004756816 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 127 0 0 0 0 0 0 127 0 0 1004757129 1013323096 10 Physicians REMEDIOS SMITH KIMBERLY 999999999 200 Cook 0 0 Pediatrics 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 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27050 0 0 0 0 0 0 27050 0 0 1004757171 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 260 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 260 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28423 0 0 0 0 0 0 0 0 0 0 0 0 0 28423 0 0 1004757181 1265980932 16 Nurse Practitioners BETA SANDRA 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 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 0 689 0 0 0 0 0 0 689 0 0 1004757195 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 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 16251 0 0 0 0 0 0 0 0 0 0 0 0 0 16251 0 0 1004757223 16 Nurse Practitioners 10 Adams 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 33 0 0 0 0 0 0 33 0 0 1004757387 1205296811 24 Speech Therapists MCCURREN STEPHANIE 999999999 36 Franklin 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7047 7047 0 0 1004757442 1659733822 89 Physician Assistant Only(Encounter Only) WOODRUFF CATHERINE 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 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 1004757619 1770931495 16 Nurse Practitioners HILL ASHLEY 999999999 91 Sangamon 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 388 0 0 0 0 0 0 388 0 0 1004757970 1033568910 16 Nurse Practitioners WRIGHT KAITLYN M. 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 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 51 0 0 0 0 0 0 51 0 0 1004758006 1902257322 11 Dentists PATEL BRIJESH 999999999 71 McHenry 0 0 General Dentistry 0 0 0 195 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 31581 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31581 0 0 1004758147 1407300627 16 Nurse Practitioners MCKEE KAMIE 999999999 70 McDonough 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 41 0 0 1004758561 1649237959 89 Physician Assistant Only(Encounter Only) NITA ADELIN 999999999 200 Cook 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 0 421 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 421 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9506 0 0 0 0 0 0 9506 0 0 1004758565 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 1004758586 1093155772 10 Physicians SHAKEEL FAIZAN 999999999 54 Kankakee 0 0 Emergency Medicine 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 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7247 0 0 0 0 0 0 7247 0 0 1004758762 1093167322 89 Physician Assistant Only(Encounter Only) SINGH RUBY K 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 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 61 0 0 0 0 0 0 61 0 0 1004758808 89 Physician Assistant Only(Encounter Only) 99 Union 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2 0 0 1004758911 1518318765 22 Physical Therapists TARENCE JESSICA N 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10141 10141 0 0 1004758949 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 7164 0 0 0 0 0 0 0 0 0 0 0 0 0 7164 0 0 1004759243 1356792956 16 Nurse Practitioners GAMBLIN JESSICA 999999999 80 Peoria 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 0 146 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 40594 0 0 0 0 0 0 40594 0 0 1004759296 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 13057 0 0 0 0 0 0 0 0 0 0 0 0 0 13057 0 0 1004759479 1538172739 89 Physician Assistant Only(Encounter Only) ACKERT KIMBERLY D 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3447 0 0 0 0 0 0 3447 0 0 1004759622 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 0 287 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 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1004759685 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3736 0 0 0 0 0 0 0 0 0 0 0 0 0 3736 0 0 1004760060 92 Waiver service provider--Disability (DHS/DRS) 99 Union 0 0 0 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 20142 0 0 0 0 0 0 0 0 0 0 0 0 0 20142 0 0 1004760242 1013271618 10 Physicians TAPON PHILIPPE 999999999 200 Cook 0 0 Psychiatry 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 0 181 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 5997 0 0 0 0 0 0 5997 0 0 1004760292 1851683122 10 Physicians FABRIZIUS RYAN G 999999999 88 Richland 0 0 Internal Medicine 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 12 0 0 0 0 0 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 11 0 586 0 0 0 0 0 0 597 0 0 1004760617 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 0 108 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 13352 0 0 0 0 0 0 0 0 0 0 0 0 0 13352 0 0 1004760727 16 Nurse Practitioners 30 DuPage 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 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 15 0 0 1004760832 1760611149 89 Physician Assistant Only(Encounter Only) PAINTER STEPHANIE A 999999999 19 Champaign 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 992 0 0 0 0 0 0 0 0 939 0 0 0 0 0 0 1931 0 0 1004760994 1538386149 89 Physician Assistant Only(Encounter Only) KOVACIC KATHERINE L 999999999 200 Cook 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 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1333 0 0 0 0 0 0 1333 0 0 1004760995 1295143675 10 Physicians LEE YI-SHAN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1746 0 9 0 0 0 0 0 0 1755 0 0 1004761072 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25563 0 0 0 0 0 0 0 0 0 0 0 0 0 25563 0 0 1004761089 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2497 0 0 0 0 0 0 0 0 0 0 0 0 0 2497 0 0 1004761337 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 0 158 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 15893 0 0 0 0 0 0 0 0 0 0 0 0 0 15893 0 0 1004761391 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 23954 0 0 0 0 0 0 0 0 0 0 0 0 0 23954 0 0 1004761715 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 18335 0 0 0 0 0 0 0 0 0 0 0 0 0 18335 0 0 1004762009 1235423328 10 Physicians SHEEHAN STEVEN T 999999999 200 Cook 0 0 Anesthesiology 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2501 0 0 0 0 0 0 2501 0 0 1004762235 1841640711 16 Nurse Practitioners REESE CAPRI M 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 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 0 229 0 0 0 0 0 0 229 0 0 1004762435 1083900989 10 Physicians ROSENBERG JONATHAN R. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 118 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 2899 0 0 0 0 0 0 2899 0 0 1004762724 1619912979 10 Physicians COPLEY PATRICIA D 999999999 200 Cook 0 0 Internal 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 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 0 216 0 0 0 0 0 0 216 0 0 1004762877 10 Physicians 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 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 0 128 0 0 0 0 0 0 128 0 0 1004762918 86 Clinical Social Worker(Encounter Only) 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 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 1004762941 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 30 0 0 1004762974 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 0 362 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 18257 0 0 0 0 0 0 0 0 0 0 0 0 0 18257 0 0 1004763101 91 Waiver service provider--Adults (DHS/DDD) 53 Kane 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8913 0 0 0 0 0 0 0 0 0 0 0 0 0 8913 0 0 1004763166 16 Nurse Practitioners 64 Macoupin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 279 0 0 0 0 0 0 279 0 0 1004763987 87 Psychologist(Encounter Only) 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004764467 1679027247 16 Nurse Practitioners COSTA ADEKUNBI 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 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 1779 0 0 0 0 0 0 1779 0 0 1004764481 1093268427 16 Nurse Practitioners ZITRICK ALLISON 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 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 1066 0 0 0 0 0 0 1066 0 0 1004764957 91 Waiver service provider--Adults (DHS/DDD) 34 Fayette 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29111 0 0 0 0 0 0 0 0 0 0 0 0 0 29111 0 0 1004764981 1770825853 10 Physicians PATEL MANALI A 999999999 200 Cook 0 0 Internal Medicine 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 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 2610 0 0 0 0 0 0 2610 0 0 1004764994 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 25 0 0 1004765147 1841555414 10 Physicians BART NICCOLE 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 272 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 13305 0 0 0 0 0 0 13305 0 0 1004765208 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 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 3718 0 0 0 0 0 0 0 0 0 0 0 0 0 3718 0 0 1004765791 1457807646 16 Nurse Practitioners TAYLOR EMILY 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 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 1674 0 0 0 0 0 0 1674 0 0 1004765805 1619385069 89 Physician Assistant Only(Encounter Only) IEZZI RACHEL H 999999999 106 Whiteside 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 489 0 0 0 0 0 0 489 0 0 1004766014 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 5 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 87 87 0 0 1004766082 92 Waiver service provider--Disability (DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3503 0 0 0 0 0 0 0 0 0 0 0 0 0 3503 0 0 1004766477 16 Nurse Practitioners 15 Bureau 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 26 0 0 0 0 0 0 26 0 0 1004766627 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 19225 0 0 0 0 0 0 0 0 0 0 0 0 0 19225 0 0 1004766745 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 24 0 0 0 0 0 0 24 0 0 1004766785 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 27312 0 0 0 0 0 0 0 0 0 0 0 0 0 27312 0 0 1004766802 1225387194 89 Physician Assistant Only(Encounter Only) ABRAHAM DANIELLE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 223 0 0 0 0 0 0 223 0 0 1004766952 1124121371 89 Physician Assistant Only(Encounter Only) CORNICK JACINDA 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 352 0 0 0 0 0 0 352 0 0 1004766960 1780898940 16 Nurse Practitioners DUEBNER PAULA V 999999999 30 DuPage 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 0 187 0 0 0 0 0 0 187 0 0 1004766992 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 0 321 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 28460 0 0 0 0 0 0 0 0 0 0 0 0 0 28460 0 0 1004767053 10 Physicians 92 Schuyler 0 0 Dermatology 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 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 0 0 0 0 0 0 0 0 0 0 1004767173 1023223310 89 Physician Assistant Only(Encounter Only) PATEL AMEE 999999999 109 Winnebago 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 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10018 0 0 0 0 0 0 10018 0 0 1004767212 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 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 78 0 0 0 0 0 0 78 0 0 1004767459 10 Physicians 91 Sangamon 0 0 Anesthesiology 0 0 0 0 0 0 0 0 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 1004767571 1760838965 10 Physicians SMITH JACOB M 999999999 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 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 0 423 0 0 0 0 0 0 423 0 0 1004767651 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23803 0 0 0 0 0 0 0 0 0 0 0 0 0 23803 0 0 1004767705 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 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 35264 0 0 0 0 0 0 0 0 0 0 0 0 0 35264 0 0 1004767830 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 803 0 0 0 0 0 0 0 0 0 0 0 0 0 803 0 0 1004767912 1295158194 89 Physician Assistant Only(Encounter Only) WOZNY KAROLINA 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 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 1214 0 0 0 0 0 0 1214 0 0 1004768067 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 321 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 321 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24256 0 0 0 0 0 0 0 0 0 0 0 0 0 24256 0 0 1004768251 1053563643 89 Physician Assistant Only(Encounter Only) WARNECKE NICHOLAS 999999999 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 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 0 379 0 0 0 0 0 0 379 0 0 1004768690 1386878742 10 Physicians DROBISH JULIE K 999999999 200 Cook 0 0 Anesthesiology 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 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 3718 0 0 0 0 0 0 3718 0 0 1004768904 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 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 37944 0 0 0 0 0 0 0 0 0 0 0 0 0 37944 0 0 1004768978 92 Waiver service provider--Disability (DHS/DRS) 19 Champaign 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 970 0 0 0 0 0 0 0 0 0 0 0 0 0 970 0 0 1004769010 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 27961 0 0 0 0 0 0 0 0 0 0 0 0 0 27961 0 0 1004769155 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 390 0 0 0 0 0 0 0 0 0 0 0 0 0 390 0 0 1004769637 1609848282 89 Physician Assistant Only(Encounter Only) RIGGS KEVIN 999999999 10 Adams 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 0 836 0 0 0 0 0 0 836 0 0 1004769722 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 0 190 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 28440 0 0 0 0 0 0 0 0 0 0 0 0 0 28440 0 0 1004769751 1548321953 10 Physicians NICKLAY-CATALAN JANICE M 999999999 89 Rock Island 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 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 4499 0 0 0 0 0 0 4499 0 0 1004769905 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4328 0 0 0 0 0 0 0 0 0 0 0 0 0 4328 0 0 1004770137 1073875571 10 Physicians PHARAON BEDER 999999999 30 DuPage 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 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 4372 0 0 0 0 0 0 4372 0 0 1004770699 1376991851 60 Pharmacies "SUPER CARE PHARMACY, INC" 999999999 200 Cook 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 0 995 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34862 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65337 0 0 0 65337 0 0 1004770722 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5222 0 0 0 0 0 0 0 0 0 0 0 0 0 5222 0 0 1004770974 1477764744 10 Physicians PATEL VINAY M 999999999 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 4 0 51 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 4 0 93 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 4 0 93 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 42 0 710 0 0 0 0 0 0 764 0 0 1004771037 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1004771048 1134578354 60 Pharmacies CVS PHARMACY #17683 999999999 200 Cook 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 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1607 0 0 0 1607 0 0 1004771059 16 Nurse Practitioners 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 13 0 0 1004771116 61 Independent Laboratories 845 Texas 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004771136 1699786806 89 Physician Assistant Only(Encounter Only) VERSEMAN LORI S.G. 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 843 0 0 0 0 0 0 843 0 0 1004771306 1972849321 89 Physician Assistant Only(Encounter Only) WICKENHAUSER KELSEY B 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 257 0 0 1004771513 92 Waiver service provider--Disability (DHS/DRS) 34 Fayette 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 33719 0 0 0 0 0 0 0 0 0 0 0 0 0 33719 0 0 1004771776 1013369149 16 Nurse Practitioners HEMMELE BRITTANY N 999999999 80 Peoria 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 1720 0 0 0 0 0 0 1789 0 0 1004771888 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 8442 0 0 0 0 0 0 0 0 0 0 0 0 0 8442 0 0 1004772222 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 0 109 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 18109 0 0 0 0 0 0 0 0 0 0 0 0 0 18109 0 0 1004772324 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 27415 0 0 0 0 0 0 0 0 0 0 0 0 0 27415 0 0 1004772358 1588989826 10 Physicians ARI MIM 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 123 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 2463 0 0 0 0 0 0 2463 0 0 1004772455 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 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 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7527 0 0 0 0 0 0 0 0 0 0 0 0 0 7527 0 0 1004772529 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 0 110 0 0 0 0 0 0 110 0 0 1004772827 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 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 49 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 1004772950 1295026441 10 Physicians DELANEY KRISTIE S 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 209 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 3616 0 0 0 0 0 0 3616 0 0 1004773093 1831331990 10 Physicians ZHOU AMY W 999999999 19 Champaign 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 16267 0 0 0 0 0 0 16267 0 0 1004773139 1831516954 10 Physicians SHAH ANKIT K 999999999 200 Cook 0 0 Family Practice 0 0 0 0 10 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 82 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 82 0 0 0 0 0 0 0 0 0 939 0 0 0 0 0 0 0 0 4345 0 0 0 0 0 0 5284 0 0 1004773518 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 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 6693 0 0 0 0 0 0 0 0 0 0 0 0 0 6693 0 0 1004773643 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004773700 1053609248 13 Podiatrists DAVID GELBMANN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 627 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18692 0 0 0 0 0 0 18692 0 0 1004773922 1730204686 16 Nurse Practitioners FARWELL DAWN E. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 334 0 0 0 0 0 0 334 0 0 1004774037 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 0 280 0 0 0 0 0 0 0 0 0 0 0 0 0 280 0 0 1004774338 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 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 24401 0 0 0 0 0 0 0 0 0 0 0 0 0 24401 0 0 1004774373 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 0 343 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 0 0 0 0 0 0 0 0 0 0 0 0 6605 0 0 0 0 0 0 0 0 0 0 0 0 0 6605 0 0 1004774390 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3993 0 0 0 0 0 0 0 0 0 0 0 0 0 3993 0 0 1004774582 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 20673 0 0 0 0 0 0 0 0 0 0 0 0 0 20673 0 0 1004774780 16 Nurse Practitioners 89 Rock Island 0 0 0 0 0 0 0 0 0 0 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 55 0 0 0 0 0 0 55 0 0 1004774857 1053750851 10 Physicians MACDONALD ASHLEY 999999999 91 Sangamon 0 0 General Practice 0 0 0 0 2 0 0 0 0 0 0 3 0 23 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 5 0 58 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 5 0 58 0 0 0 0 0 0 0 0 0 111 0 0 0 0 0 0 169 0 838 0 0 0 0 0 0 1118 0 0 1004774907 1902912314 16 Nurse Practitioners COPE NOELLE R 999999999 24 Coles 0 0 0 0 0 0 95 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 220 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 220 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 10251 0 0 0 0 0 0 0 0 5027 0 0 0 0 0 0 15278 0 0 1004775022 16 Nurse Practitioners 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004775033 1427378900 10 Physicians CHILDERS ADRIENNE L 999999999 30 DuPage 0 0 Otolaryngology 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7378 0 0 0 0 0 0 7378 0 0 1004775241 1821000217 89 Physician Assistant Only(Encounter Only) COLLINS DEBORAH 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 0 219 0 0 0 0 0 0 219 0 0 1004775387 1942543558 10 Physicians GAYNOR BRYAN R. 999999999 53 Kane 0 0 Internal Medicine 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 0 102 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 1246 0 0 0 0 0 0 1246 0 0 1004775753 1083965008 10 Physicians PADILLA SOFIA 999999999 200 Cook 0 0 Pediatrics 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14447 0 0 0 0 0 0 14447 0 0 1004775765 60 Pharmacies 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 274 0 0 0 274 0 0 1004776455 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 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29430 0 0 0 0 0 0 0 0 0 0 0 0 0 29430 0 0 1004776501 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 0 156 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 0 0 0 0 0 28654 0 0 0 0 0 0 0 0 0 0 0 0 0 28654 0 0 1004776589 1639424476 89 Physician Assistant Only(Encounter Only) EGLI DIANE N 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 727 0 0 0 0 0 0 727 0 0 1004776822 1427400993 10 Physicians AL KHOURY BASHAR 999999999 200 Cook 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 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4207 0 0 0 0 0 0 4207 0 0 1004776926 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 15585 0 0 0 0 0 0 0 0 0 0 0 0 0 15585 0 0 1004777133 1639457054 89 Physician Assistant Only(Encounter Only) BLAND KAYLA 999999999 106 Whiteside 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 127 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 127 0 0 0 0 0 0 0 0 0 300 0 0 0 0 0 0 0 0 2419 0 0 0 0 0 0 2719 0 0 1004777151 1548689284 10 Physicians WISINSKI BRANDON P 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 301 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 335 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 335 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 13435 0 0 0 0 0 0 13444 0 0 1004777240 1225583453 16 Nurse Practitioners RYAN KRYSTINE 999999999 80 Peoria 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 0 0 0 78 0 0 0 0 0 0 78 0 0 1004777326 1437460789 10 Physicians PATEL PRIYANK 999999999 19 Champaign 0 0 Internal Medicine 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 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5823 0 0 0 0 0 0 5823 0 0 1004777390 1467839241 16 Nurse Practitioners RICHARDSON KRISTEN M 999999999 826 Missouri 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 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 0 474 0 0 0 0 0 0 474 0 0 1004777462 1215392576 16 Nurse Practitioners GROSSMAN LISA 999999999 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 49 0 0 0 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 0 0 0 0 0 0 0 0 0 1835 0 0 0 0 0 0 1835 0 0 1004777526 1609817220 30 General Hospitals HIGHLAND PARK HOSPITAL 600352433 57 Lake DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 General Hospital - Adult and Child 0 0 0 0 0 604 0 0 0 0 456 0 0 0 1894 0 0 0 0 0 0 0 0 0 825 0 0 0 0 559 0 0 0 4530 0 0 0 0 0 0 0 0 0 825 0 0 0 0 3186 0 0 0 4530 0 0 0 0 0 0 0 0 0 203930 0 0 0 0 1409540 0 0 0 979282 0 0 0 0 0 2592752 0 0 1004777902 16 Nurse Practitioners 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 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 49 0 0 0 0 0 0 49 0 0 1004777989 1023349131 89 Physician Assistant Only(Encounter Only) SIRGEDAS LAURA O. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 515 0 0 0 0 0 0 515 0 0 1004778528 1184658692 10 Physicians QURESHI ADNAN 999999999 53 Kane 0 0 Neurology 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 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 0 940 0 0 0 0 0 0 940 0 0 1004778562 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 17025 0 0 0 0 0 0 0 0 0 0 0 0 0 17025 0 0 1004778698 25 Audiologists 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 7 7 0 0 1004778747 1891956983 60 Pharmacies CVS PHARMACY #17473 622083416 96 St Clair 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 0 281 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11877 0 0 0 11877 0 0 1004778892 1851740559 75 Department of Alcohol and Substance Abuse Provider "GATEWAY FOUNDATION, INC" 627034331 91 Sangamon 0 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 1107 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1107 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96696 0 0 96696 0 0 1004779025 1346565991 10 Physicians FARAG MARK A 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 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 0 147 0 0 0 0 0 0 147 0 0 1004779135 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2468 0 0 0 0 0 0 0 0 0 0 0 0 0 2468 0 0 1004779686 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14610 0 0 0 0 0 0 0 0 0 0 0 0 0 14610 0 0 1004779914 1700232394 60 Pharmacies ILLINOIS CANCERCARE PHARMACY 999999999 58 La Salle 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 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 766 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22630 0 0 0 22630 0 0 1004780036 1164784559 10 Physicians O''CONNELL JESSICA S. 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 2 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107 0 1777 0 0 0 0 0 0 1884 0 0 1004780086 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1552 0 0 0 0 0 0 0 0 0 0 0 0 0 1552 0 0 1004780170 92 Waiver service provider--Disability (DHS/DRS) 100 Vermilion 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 17008 0 0 0 0 0 0 0 0 0 0 0 0 0 17008 0 0 1004780651 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 19641 0 0 0 0 0 0 0 0 0 0 0 0 0 19641 0 0 1004780689 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1086 0 0 0 0 0 0 0 0 0 0 0 0 0 1086 0 0 1004780692 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 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 4671 0 0 0 0 0 0 0 0 0 0 0 0 0 4671 0 0 1004780768 1710433768 16 Nurse Practitioners CORBIN KATHERINE 999999999 91 Sangamon 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 0 127 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 2339 0 0 0 0 0 0 2339 0 0 1004781466 10 Physicians 70 McDonough 0 0 Neurology 0 0 0 0 0 0 0 0 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 1004781797 10 Physicians 80 Peoria 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004781866 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 21761 0 0 0 0 0 0 0 0 0 0 0 0 0 21761 0 0 1004782276 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1163 0 0 0 0 0 0 0 0 0 0 0 0 0 1163 0 0 1004782411 1467475749 60 Pharmacies CVS PHARMACY #17030 600604267 57 Lake 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 0 311 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11715 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16447 0 0 0 16447 0 0 1004782570 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 53929 0 0 0 0 0 0 0 0 0 0 0 0 0 53929 0 0 1004782581 10 Physicians 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 149 0 0 0 0 0 0 149 0 0 1004782779 1730370586 10 Physicians KHAN KHURRAM 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 0 337 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 337 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7340 0 0 0 0 0 0 7340 0 0 1004783275 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 16013 0 0 0 0 0 0 0 0 0 0 0 0 0 16013 0 0 1004783375 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004783618 1922451681 16 Nurse Practitioners COUCH JUSTIN J 999999999 80 Peoria 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 0 166 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 3696 0 0 0 0 0 0 3696 0 0 1004783762 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 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 2929 0 0 0 0 0 0 0 0 0 0 0 0 0 2929 0 0 1004783912 1578918561 16 Nurse Practitioners TINDALL LISA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 292 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1498 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1498 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5361 0 0 0 0 0 0 5361 0 0 1004783947 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 21423 0 0 0 0 0 0 0 0 0 0 0 0 0 21423 0 0 1004783954 1083969059 24 Speech Therapists MENDOZA M CHRISTINE B 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 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 6258 6258 0 0 1004784013 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 58 0 0 1004784113 1285894782 10 Physicians BROSTROM VALERIE 999999999 200 Cook 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 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2652 0 0 0 0 0 0 0 0 2652 0 0 1004784217 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 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 40973 0 0 0 0 0 0 0 0 0 0 0 0 0 40973 0 0 1004784369 1841643285 11 Dentists VILDAVER ELIOT J 999999999 71 McHenry 0 0 General Dentistry 0 0 0 98 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 577 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 577 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 16490 0 0 0 0 0 0 0 0 0 0 0 3108 0 0 0 0 19598 0 0 1004784372 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 608 0 0 0 0 0 0 0 0 0 0 0 0 0 608 0 0 1004784482 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 0 365 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 25574 0 0 0 0 0 0 0 0 0 0 0 0 0 25574 0 0 1004784618 1548638737 89 Physician Assistant Only(Encounter Only) SAYLOR ALAINE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 5820 0 0 0 0 0 0 5955 0 0 1004784644 1982008454 89 Physician Assistant Only(Encounter Only) TSANG SWING 999999999 200 Cook 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 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 0 495 0 0 0 0 0 0 495 0 0 1004785046 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 11428 0 0 0 0 0 0 0 0 0 0 0 0 0 11428 0 0 1004785171 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 32237 0 0 0 0 0 0 0 0 0 0 0 0 0 32237 0 0 1004785183 1740433291 10 Physicians BOPANNA SURAJ 999999999 80 Peoria 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 143 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 143 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 5023 0 0 0 0 0 0 5035 0 0 1004785310 10 Physicians 19 Champaign 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 0 145 0 0 0 0 0 0 145 0 0 1004785356 1497131072 12 Optometrists ANDERSON BRADEN G. 999999999 77 Morgan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 279 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 3551 0 0 0 0 0 0 3551 0 0 1004785422 1548565625 10 Physicians MOHIUDDIN SALMAN 999999999 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 497 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 779 0 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 779 0 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13720 0 1195 0 0 0 0 0 0 14915 0 0 1004785647 1366784753 10 Physicians CRISPIN MAUREEN K 999999999 30 DuPage 0 0 Pediatrics 0 0 0 0 5 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 1 0 3 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 1 0 3 0 0 0 0 0 0 0 0 0 426 0 0 0 0 0 0 8 0 150 0 0 0 0 0 0 584 0 0 1004785664 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 0 613 0 0 0 0 0 0 0 0 0 0 0 0 0 613 0 0 1004785764 1679920052 16 Nurse Practitioners LEE MELISSA KAY 999999999 91 Sangamon 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 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 0 404 0 0 0 0 0 0 404 0 0 1004785791 92 Waiver service provider--Disability (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 32525 0 0 0 0 0 0 0 0 0 0 0 0 0 32525 0 0 1004785884 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26925 0 0 0 0 0 0 0 0 0 0 0 0 0 26925 0 0 1004786123 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 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 25845 0 0 0 0 0 0 0 0 0 0 0 0 0 25845 0 0 1004786170 92 Waiver service provider--Disability (DHS/DRS) 99 Union 0 0 0 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 32671 0 0 0 0 0 0 0 0 0 0 0 0 0 32671 0 0 1004786306 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 35655 0 0 0 0 0 0 0 0 0 0 0 0 0 35655 0 0 1004786324 1477865582 10 Physicians SHAH KARAN 999999999 200 Cook 0 0 Radiation Oncology 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 0 127 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 1472 0 0 0 0 0 0 1472 0 0 1004786537 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 45 0 0 0 0 0 0 45 0 0 1004786688 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 0 339 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 339 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1004786777 1205262508 16 Nurse Practitioners LYNN ASHLEY I 999999999 80 Peoria 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 80 0 0 0 0 0 0 80 0 0 1004786875 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 10834 0 0 0 0 0 0 0 0 0 0 0 0 0 10834 0 0 1004786904 1295198372 10 Physicians YAO SHUANG A 999999999 200 Cook 0 0 Family Practice 0 0 0 0 3 0 0 0 0 0 0 1 0 55 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 11 0 123 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 11 0 123 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 20 0 2623 0 0 0 0 0 0 2739 0 0 1004787088 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 26818 0 0 0 0 0 0 0 0 0 0 0 0 0 26818 0 0 1004787520 92 Waiver service provider--Disability (DHS/DRS) 13 Boone 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 28220 0 0 0 0 0 0 0 0 0 0 0 0 0 28220 0 0 1004787735 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 1158 0 0 0 0 0 0 0 0 0 0 0 0 0 1158 0 0 1004787862 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 321 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 321 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29777 0 0 0 0 0 0 0 0 0 0 0 0 0 29777 0 0 1004788493 1871949842 91 Waiver service provider--Adults (DHS/DDD) HAWKINS CILA CARE CORPORATION 999999999 200 Cook 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 8401 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8401 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1884282 0 0 0 0 0 0 0 0 0 0 0 0 0 1884282 0 0 1004788583 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 24405 0 0 0 0 0 0 0 0 0 0 0 0 0 24405 0 0 1004788668 92 Waiver service provider--Disability (DHS/DRS) 50 Jersey 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 26690 0 0 0 0 0 0 0 0 0 0 0 0 0 26690 0 0 1004788847 1083029433 12 Optometrists SOBIN ADAM D 999999999 72 McLean 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 870 0 0 0 0 0 0 870 0 0 1004788900 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 0 209 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 15965 0 0 0 0 0 0 0 0 0 0 0 0 0 15965 0 0 1004789016 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 32 0 0 0 0 0 0 32 0 0 1004789035 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 0 311 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 311 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28234 0 0 0 0 0 0 0 0 0 0 0 0 0 28234 0 0 1004789227 1558617308 60 Pharmacies CVS PHARMACY 17634 606072905 200 Cook 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 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8778 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10014 0 0 0 10014 0 0 1004789457 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 24669 0 0 0 0 0 0 0 0 0 0 0 0 0 24669 0 0 1004790059 1952563926 10 Physicians MARTIN ANGELA H 999999999 200 Cook 0 0 Vascular Surgery 0 0 0 0 0 0 0 0 0 0 0 1 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 638 0 0 0 0 0 0 653 0 0 1004790064 92 Waiver service provider--Disability (DHS/DRS) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 6129 0 0 0 0 0 0 0 0 0 0 0 0 0 6129 0 0 1004790137 30 General Hospitals 57 Lake DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 General Hospital - Adult and Child 0 0 2 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 3 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 0 0 0 0 0 0 0 0 0 0 0 0 0 1004790267 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 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 25923 0 0 0 0 0 0 0 0 0 0 0 0 0 25923 0 0 1004790293 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 0 350 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 0 0 0 0 0 0 0 0 0 0 0 0 26632 0 0 0 0 0 0 0 0 0 0 0 0 0 26632 0 0 1004790428 1760859292 16 Nurse Practitioners MARKEY TRACIE M 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 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 0 351 0 0 0 0 0 0 351 0 0 1004790665 1558500579 89 Physician Assistant Only(Encounter Only) ANAGNOS CYNTHIA A 999999999 80 Peoria 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 1187 0 0 0 0 0 0 1289 0 0 1004790676 1508918095 10 Physicians BIDIUC MARTHA 999999999 66 Marion 0 0 Psychiatry 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 0 231 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 0 0 0 0 0 0 0 0 0 0 0 0 3043 0 0 0 0 0 0 3043 0 0 1004790677 1023245859 10 Physicians DAS KOUSHIK K 999999999 89 Rock Island 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 696 0 0 0 0 0 0 696 0 0 1004790700 1457807661 24 Speech Therapists QUAIVER LINDSEY 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 0 233 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 16158 16158 0 0 1004791175 1558641662 16 Nurse Practitioners KESLER MEGAN M 999999999 80 Peoria 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 101 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 101 0 0 0 0 0 0 0 0 0 812 0 0 0 0 0 0 0 0 2256 0 0 0 0 0 0 3068 0 0 1004791339 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 0 182 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 13748 0 0 0 0 0 0 0 0 0 0 0 0 0 13748 0 0 1004791369 1598117301 89 Physician Assistant Only(Encounter Only) VOREL ALYSSA J 999999999 24 Coles 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 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 1580 0 0 0 0 0 0 1580 0 0 1004791400 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 0 271 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 271 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28416 0 0 0 0 0 0 0 0 0 0 0 0 0 28416 0 0 1004791467 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 29721 0 0 0 0 0 0 0 0 0 0 0 0 0 29721 0 0 1004791545 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8583 0 0 0 0 0 0 0 0 0 0 0 0 0 8583 0 0 1004791604 1457787855 10 Physicians NGENE JOHN I 999999999 63 Macon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 271 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 271 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 1004791916 1255705794 16 Nurse Practitioners FANUCCHI JESSICA 999999999 200 Cook 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 781 0 0 0 0 0 0 0 0 4421 0 0 0 0 0 0 5202 0 0 1004791946 1477579563 89 Physician Assistant Only(Encounter Only) FINNEGAN DAVID C. 999999999 80 Peoria 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 120 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 120 0 0 0 0 0 0 0 0 0 581 0 0 0 0 0 0 0 0 1959 0 0 0 0 0 0 2540 0 0 1004792015 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 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 0 469 0 0 0 0 0 0 0 0 0 0 0 0 0 469 0 0 1004792148 1356640536 10 Physicians ROSEWELL KRYSTAL 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 3 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 334 0 0 0 0 0 0 0 0 541 0 0 0 0 0 0 875 0 0 1004792231 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 78 0 0 0 0 0 0 78 0 0 1004792327 1235441635 10 Physicians HLUBOCKY JAMES F 999999999 25 Crawford 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1020 0 15 0 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 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8689 0 0 0 0 0 8689 0 0 1004792844 1548620149 10 Physicians FICKER MARIA G 999999999 63 Macon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 125 0 0 0 0 0 0 125 0 0 1004793436 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 95 0 0 0 0 0 0 95 0 0 1004793479 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 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 26277 0 0 0 0 0 0 0 0 0 0 0 0 0 26277 0 0 1004794025 1457647133 10 Physicians DONENBERG MERRICK J. 999999999 80 Peoria 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 447 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 814 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 814 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4434 0 0 0 0 0 0 4434 0 0 1004794212 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7464 0 0 0 0 0 0 0 0 0 0 0 0 0 7464 0 0 1004794647 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 10490 0 0 0 0 0 0 0 0 0 0 0 0 0 10490 0 0 1004794816 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 32221 0 0 0 0 0 0 0 0 0 0 0 0 0 32221 0 0 1004794993 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117120 0 0 0 0 0 0 0 0 0 0 0 0 0 117120 0 0 1004795356 16 Nurse Practitioners 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 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 91 0 0 0 0 0 0 91 0 0 1004795372 90 Waiver service provider--Elderly (DOA) 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 0 316 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 316 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24897 0 0 0 0 0 0 0 0 0 0 0 0 0 24897 0 0 1004795428 1205219607 16 Nurse Practitioners KRIEGER-JOHNSEN MICHELE L 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1915 0 0 0 0 0 0 1915 0 0 1004795831 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 0 190 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 29524 0 0 0 0 0 0 0 0 0 0 0 0 0 29524 0 0 1004795890 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 487 0 0 0 0 0 0 0 0 0 0 0 0 0 487 0 0 1004795919 1710243142 10 Physicians JENNINGS VALERIE L 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 159 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 133903 0 0 0 0 0 0 133977 0 0 1004795973 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29810 0 0 0 0 0 0 0 0 0 0 0 0 0 29810 0 0 1004796347 1720329121 10 Physicians FROST ERIK J 999999999 200 Cook 0 0 Emergency Medicine 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 0 101 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 2678 0 0 0 0 0 0 2678 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 999999999 200 Cook 0 0 0 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 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 1586 1586 0 0 1004802454 1992109466 16 Nurse Practitioners TAUCHEN JAMES 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 259 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 1503 0 0 0 0 0 0 1503 0 0 1004802571 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 12 0 0 1004802631 22 Physical Therapists 57 Lake 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 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 0 800 800 0 0 1004802731 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 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 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 3228 0 0 0 0 0 0 0 0 0 0 0 0 0 3228 0 0 1004803459 1356895809 16 Nurse Practitioners MEYERS KERRA 999999999 80 Peoria 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 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 32 0 0 0 0 0 0 0 0 594 0 0 0 0 0 0 626 0 0 1004803465 1043519697 10 Physicians PATEL KEVIN H 999999999 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 4 0 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 556 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 556 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 166 0 49822 0 0 0 0 0 0 49988 0 0 1004803578 1306380555 16 Nurse Practitioners HARRIS KIMBERLY M 999999999 109 Winnebago 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 0 779 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 779 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3118 0 0 0 0 0 0 3118 0 0 1004803646 1548600240 10 Physicians PATEL KUNAL 999999999 101 Wabash 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 6 0 209 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 649 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 649 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 22975 0 0 0 0 0 0 22992 0 0 1004803679 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6926 0 0 0 0 0 0 0 0 0 0 0 0 0 6926 0 0 1004803854 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 0 260 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 17625 0 0 0 0 0 0 0 0 0 0 0 0 0 17625 0 0 1004804283 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 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 16608 0 0 0 0 0 0 0 0 0 0 0 0 0 16608 0 0 1004804408 1548572670 10 Physicians PATEL PAYAL 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 113 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 7009 0 0 0 0 0 0 7009 0 0 1004804519 1871968859 16 Nurse Practitioners GERLACH BRADLEY T 999999999 80 Peoria 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 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 2639 0 0 0 0 0 0 2639 0 0 1004804564 10 Physicians 852 Wisconsin 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66 0 21 0 0 0 0 0 0 87 0 0 1004804590 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 23446 0 0 0 0 0 0 0 0 0 0 0 0 0 23446 0 0 1004804858 91 Waiver service provider--Adults (DHS/DDD) 45 Henry 0 0 0 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 15863 0 0 0 0 0 0 0 0 0 0 0 0 0 15863 0 0 1004805179 1275089302 91 Waiver service provider--Adults (DHS/DDD) BRANDA VICTORIA 999999999 91 Sangamon 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 1665 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1665 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86069 0 0 0 0 0 0 0 0 0 0 0 0 0 86069 0 0 1004806385 1689053712 10 Physicians OMERY MURAD M 999999999 200 Cook 0 0 Pediatrics 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 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 2067 0 0 0 0 0 0 2067 0 0 1004806442 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 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12074 0 0 0 0 0 0 0 0 0 0 0 0 0 12074 0 0 1004806509 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 27847 0 0 0 0 0 0 0 0 0 0 0 0 0 27847 0 0 1004807011 1275797078 10 Physicians BAUMANN REBECCA L 999999999 37 Fulton 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 3 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83 0 1389 0 0 0 0 0 0 1472 0 0 1004807135 10 Physicians 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004807175 89 Physician Assistant Only(Encounter Only) 89 Rock Island 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 45 0 0 0 0 0 0 45 0 0 1004807229 1336588342 10 Physicians DANIEL CALEB 999999999 71 McHenry 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 42 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2116 0 1540 0 0 0 0 0 0 3656 0 0 1004807246 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 46287 0 0 0 0 0 0 0 0 0 0 0 0 0 46287 0 0 1004807348 1801245022 10 Physicians APPLEMAN MEAGAN D 999999999 91 Sangamon 0 0 Pediatrics 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 0 109 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 7029 0 0 0 0 0 0 7029 0 0 1004807365 93 Waiver service provider--HIV/AIDS (DHS/DRS) 27 Dekalb 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 29616 0 0 0 0 0 0 0 0 0 0 0 0 0 29616 0 0 1004807399 1558714840 12 Optometrists HEATH JACOB R 999999999 108 Williamson 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 289 0 0 0 0 0 0 289 0 0 1004807444 1982044962 10 Physicians LAL HAREESH 999999999 63 Macon 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 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1876 0 0 0 0 0 0 1876 0 0 1004808108 1457456105 89 Physician Assistant Only(Encounter Only) BABIARZ JENNIFER E 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105 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 2468 0 0 0 0 0 0 2468 0 0 1004808148 89 Physician Assistant Only(Encounter Only) 82 Piatt 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 0 180 0 0 0 0 0 0 180 0 0 1004808438 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 842 0 0 0 0 0 0 0 0 0 0 0 0 0 842 0 0 1004808500 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 26673 0 0 0 0 0 0 0 0 0 0 0 0 0 26673 0 0 1004808800 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 0 153 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 23281 0 0 0 0 0 0 0 0 0 0 0 0 0 23281 0 0 1004808813 1861605321 16 Nurse Practitioners ZEEK DIANE M 999999999 53 Kane 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 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 0 373 0 0 0 0 0 0 373 0 0 1004808881 1720446594 16 Nurse Practitioners ABBOTT ALLISON E 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 303 0 0 0 0 0 0 303 0 0 1004808931 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2699 0 0 0 0 0 0 0 0 0 0 0 0 0 2699 0 0 1004809052 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25855 0 0 0 0 0 0 0 0 0 0 0 0 0 25855 0 0 1004809310 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27451 0 0 0 0 0 0 0 0 0 0 0 0 0 27451 0 0 1004809547 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3278 0 0 0 0 0 0 0 0 0 0 0 0 0 3278 0 0 1004809820 1609132984 10 Physicians KIM THERESA 999999999 200 Cook 0 0 Emergency Medicine 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 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 5278 0 0 0 0 0 0 5278 0 0 1004809836 1659716728 10 Physicians MAN ANDREA M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 207 0 0 0 0 0 0 207 0 0 1004809950 1205032893 10 Physicians HORST JENNIFER A 999999999 89 Rock Island 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 5 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 962 0 0 0 0 0 0 1058 0 0 1004809953 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 28427 0 0 0 0 0 0 0 0 0 0 0 0 0 28427 0 0 1004810107 98 Waiver service provider--TBI (DHS/DRS) 50 Jersey 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 344 0 0 0 0 0 0 0 0 0 0 0 0 0 344 0 0 1004810853 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 0 101 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 21184 0 0 0 0 0 0 0 0 0 0 0 0 0 21184 0 0 1004811355 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 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27820 0 0 0 0 0 0 0 0 0 0 0 0 0 27820 0 0 1004811756 1205145299 16 Nurse Practitioners MOLLOY ANNE 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 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 0 940 0 0 0 0 0 0 940 0 0 1004811790 1154550994 10 Physicians WILBANKS LESLIE 999999999 98 Tazewell 0 0 Neurology 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 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 62 0 0 0 0 0 0 62 0 0 1004811900 1174614267 10 Physicians ARBER DANIEL A 999999999 30 DuPage 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 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 0 372 0 0 0 0 0 0 0 0 372 0 0 1004811948 1306074364 10 Physicians SAMUELS JORDAN S 999999999 57 Lake 0 0 Neurology 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 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 0 404 0 0 0 0 0 0 404 0 0 1004812023 1962572396 30 General Hospitals SSM HEALTH ST MARYS HOSPITAL S 999999999 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 0 0 0 0 0 89 0 0 0 0 647 0 0 0 293 0 0 0 0 0 0 0 0 0 103 0 0 0 0 237 0 0 0 748 0 0 0 0 0 0 0 0 0 103 0 0 0 0 1895 0 0 0 796 0 0 0 0 0 0 0 0 0 20812 0 0 0 0 2085115 0 0 0 196475 0 0 0 0 0 2302402 0 14933 1004812385 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 11482 0 0 0 0 0 0 0 0 0 0 0 0 0 11482 0 0 1004812511 87 Psychologist(Encounter Only) 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004812557 1225353717 10 Physicians MILHOUSE OLUFENWA 999999999 200 Cook 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 3 0 48 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 4 0 1951 0 0 0 0 0 0 1955 0 0 1004812659 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 22250 0 0 0 0 0 0 0 0 0 0 0 0 0 22250 0 0 1004812848 1003256686 10 Physicians HOKS MICHAEL A 999999999 24 Coles 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 2706 0 0 0 0 0 0 2723 0 0 1004813030 1295195865 16 Nurse Practitioners BOLOTIN COLLEEN M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 135 0 0 1004813390 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 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 33 0 0 0 0 0 0 33 0 0 1004813589 1346565470 10 Physicians CHANDRA PRIYA 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 1 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 5643 0 0 0 0 0 0 5645 0 0 1004813776 91 Waiver service provider--Adults (DHS/DDD) 66 Marion 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 364 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 29030 0 0 0 0 0 0 0 0 0 0 0 0 0 29030 0 0 1004813816 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 0 0 0 0 0 0 0 0 0 0 1004814000 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 0 113 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 16386 0 0 0 0 0 0 0 0 0 0 0 0 0 16386 0 0 1004814103 1770503542 89 Physician Assistant Only(Encounter Only) JELINEK ADAM K 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1017 0 0 0 0 0 0 1017 0 0 1004814408 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3021 0 0 0 0 0 0 0 0 0 0 0 0 0 3021 0 0 1004814756 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 13038 0 0 0 0 0 0 0 0 0 0 0 0 0 13038 0 0 1004814907 1164785770 10 Physicians BELTRAN ERIK JOHN 999999999 200 Cook 0 0 Neurology 0 0 0 0 1 0 0 0 0 0 0 0 0 21 0 0 0 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 33 0 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 878 0 0 0 0 0 0 980 0 0 1004815076 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 1004 0 0 0 0 0 0 0 0 0 0 0 0 0 1004 0 0 1004815206 10 Physicians 44 Henderson 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 41 0 0 0 0 0 0 41 0 0 1004815236 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 10272 0 0 0 0 0 0 0 0 0 0 0 0 0 10272 0 0 1004815244 1437171147 60 Pharmacies CVS PHARMACY #16682 600183621 200 Cook 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 0 467 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11416 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13296 0 0 0 13296 0 0 1004815252 1790051969 10 Physicians DOWNING ALEXANDRA C 999999999 200 Cook 0 0 0 0 0 0 7 0 0 0 0 0 0 1 0 12 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 1 0 14 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 1 0 14 0 0 0 0 0 0 0 0 0 477 0 0 0 0 0 0 5 0 285 0 0 0 0 0 0 767 0 0 1004815323 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 16454 0 0 0 0 0 0 0 0 0 0 0 0 0 16454 0 0 1004815796 1508121344 12 Optometrists THORPE KLINSKY CLAIRE M 999999999 96 St Clair 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 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 0 826 0 0 0 0 0 0 826 0 0 1004815872 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3656 0 0 0 0 0 0 0 0 0 0 0 0 0 3656 0 0 1004816668 1760758544 10 Physicians SCHMIDT JENNIFER 999999999 200 Cook 0 0 Internal 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 47 0 0 0 0 0 0 47 0 0 1004816683 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 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 2250 0 0 0 0 0 0 0 0 0 0 0 0 0 2250 0 0 1004816813 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 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 36997 0 0 0 0 0 0 0 0 0 0 0 0 0 36997 0 0 1004816864 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 47 0 0 0 0 0 0 47 0 0 1004816907 97 Waiver service provider--Children's residential (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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 1004817477 1245239417 89 Physician Assistant Only(Encounter Only) MOORMAN CHRISTOPHER 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 187 0 0 1004817725 1871542811 89 Physician Assistant Only(Encounter Only) BRYANT MICHAEL A 999999999 47 Jackson 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 0 112 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 0 459 0 0 0 0 0 0 459 0 0 1004817766 1639539752 10 Physicians DANG QUOC T 999999999 63 Macon 0 0 0 0 0 0 5 0 0 0 0 0 0 1 0 59 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 1 0 159 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 1 0 159 0 0 0 0 0 0 0 0 0 325 0 0 0 0 0 0 5 0 4467 0 0 0 0 0 0 4797 0 0 1004817776 1477992899 10 Physicians BHAYANA MAYANK 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2427 0 0 0 0 0 0 2427 0 0 1004817904 1538501721 10 Physicians LARA LLERENA ARTURO J 999999999 47 Jackson 0 0 Internal Medicine 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 0 218 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 5230 0 0 0 0 0 0 5230 0 0 1004818284 1164711107 10 Physicians PATEL AMIT ISHWARLAL 999999999 200 Cook 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 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 5794 0 0 0 0 0 0 5794 0 0 1004818344 1598031783 10 Physicians ROY PATRICIA H 999999999 200 Cook 0 0 Family Practice 0 0 0 0 3 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 2093 0 0 0 0 0 0 2146 0 0 1004818410 1649437682 10 Physicians ANTHONY DAVID 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 142 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4773 0 0 0 0 0 0 4773 0 0 1004818449 1952764631 24 Speech Therapists NORKIEWICZ MORGAN 999999999 72 McLean 0 0 0 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 0 362 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 26850 26850 0 0 1004818639 1942755368 16 Nurse Practitioners HORNE CHRISTINE L 999999999 50 Jersey 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 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 9259 0 0 0 0 0 0 9259 0 0 1004818650 1790042349 10 Physicians CHOWDHURY NAYEEMA 999999999 200 Cook 0 0 Physical Medicine/Rehabilitation 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 0 666 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 666 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1616 0 0 0 0 0 0 1616 0 0 1004818703 1316492432 16 Nurse Practitioners GREENWOOD JENNIFER R 999999999 80 Peoria 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 3292 0 0 0 0 0 0 3420 0 0 1004818788 1821472465 23 Occupational Therapists BUCHENAU ERICA L 999999999 91 Sangamon 0 0 0 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 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18867 18867 0 0 1004818799 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 0 185 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 19565 0 0 0 0 0 0 0 0 0 0 0 0 0 19565 0 0 1004818804 16 Nurse Practitioners 10 Adams 0 0 0 0 0 0 0 0 0 0 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 36 0 0 0 0 0 0 36 0 0 1004818841 1346534724 10 Physicians COLEN ADAM E 999999999 80 Peoria 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 61 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94 0 238 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94 0 238 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2504 0 3118 0 0 0 0 0 0 5622 0 0 1004818993 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 23136 0 0 0 0 0 0 0 0 0 0 0 0 0 23136 0 0 1004819009 36 Community mental health provider 53 Kane 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 763 0 0 829 0 0 1004819134 1831336528 10 Physicians KEUTGEN XAVIER 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 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 0 272 0 0 0 0 0 0 272 0 0 1004819162 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67890 0 0 0 0 0 0 0 0 0 0 0 0 0 67890 0 0 1004819297 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 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 31928 0 0 0 0 0 0 0 0 0 0 0 0 0 31928 0 0 1004819337 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 110 0 0 0 0 0 0 110 0 0 1004819394 1972821734 10 Physicians NEILL KEVIN G 999999999 47 Jackson 0 0 0 0 0 0 0 0 0 0 0 0 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 479 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 479 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4648 0 0 0 0 0 0 0 0 4648 0 0 1004819425 1154743540 16 Nurse Practitioners KOLWEY JENNIFER M 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 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 0 346 0 0 0 0 0 0 346 0 0 1004819573 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 0 260 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 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1004819646 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 11222 0 0 0 0 0 0 0 0 0 0 0 0 0 11222 0 0 1004819696 1083168447 16 Nurse Practitioners MERILA KATHERINE 999999999 80 Peoria 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 73 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 1726 0 0 0 0 0 0 1795 0 0 1004820519 1447602313 91 Waiver service provider--Adults (DHS/DDD) WARNICKI DANIEL D 999999999 107 Will 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 2992 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2992 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 118293 0 0 0 0 0 0 0 0 0 0 0 0 0 118293 0 0 1004820727 1619340122 91 Waiver service provider--Adults (DHS/DDD) AURORA HOME CARE INC. 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 7283 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7283 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1710751 0 0 0 0 0 0 0 0 0 0 0 0 0 1710751 0 0 1004821139 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22569 0 0 0 0 0 0 0 0 0 0 0 0 0 22569 0 0 1004821149 1578953972 89 Physician Assistant Only(Encounter Only) MEDICI BROOK 999999999 90 Saline 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 48 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 1004821220 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5672 0 0 0 0 0 0 0 0 0 0 0 0 0 5672 0 0 1004821245 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 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 13 0 0 0 0 0 0 13 0 0 1004821253 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 4892 0 0 0 0 0 0 0 0 0 0 0 0 0 4892 0 0 1004821505 1457514101 10 Physicians JESTER ANDREA L 999999999 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 1053 0 0 0 0 0 0 1053 0 0 1004821666 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3452 0 0 0 0 0 0 0 0 0 0 0 0 0 3452 0 0 1004821701 1952665085 10 Physicians KINCADE RAMON 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 85 0 0 0 0 0 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 0 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3852 0 0 0 0 0 0 3852 0 0 1004822039 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 0 354 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 354 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26747 0 0 0 0 0 0 0 0 0 0 0 0 0 26747 0 0 1004822078 1295175438 10 Physicians SUBRAMANIYAN GOWRI 999999999 200 Cook 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 1 0 23 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 44 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 44 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 1186 0 0 0 0 0 0 1271 0 0 1004822179 92 Waiver service provider--Disability (DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 35980 0 0 0 0 0 0 0 0 0 0 0 0 0 35980 0 0 1004822359 1447316336 60 Pharmacies CVS PHARMACY #17205 601923717 200 Cook 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 0 146 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4942 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2190 0 0 0 2190 0 0 1004822426 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 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 28119 0 0 0 0 0 0 0 0 0 0 0 0 0 28119 0 0 1004822482 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 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 44309 0 0 0 0 0 0 0 0 0 0 0 0 0 44309 0 0 1004822569 1629041660 89 Physician Assistant Only(Encounter Only) MCNAMARA CAROLE S 999999999 19 Champaign 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 1586 0 0 0 0 0 0 1618 0 0 1004822597 1497018477 10 Physicians HATHAWAY SAMANTHA 999999999 200 Cook 0 0 Family Practice 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 0 309 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 5742 0 0 0 0 0 0 5742 0 0 1004823492 89 Physician Assistant Only(Encounter Only) 54 Kankakee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 49 0 0 1004823511 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3215 0 0 0 0 0 0 0 0 0 0 0 0 0 3215 0 0 1004823963 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 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 20835 0 0 0 0 0 0 0 0 0 0 0 0 0 20835 0 0 1004824296 1902156409 89 Physician Assistant Only(Encounter Only) CLINE JOHN C 999999999 200 Cook 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 0 761 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 761 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10317 0 0 0 0 0 0 10317 0 0 1004824374 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 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 24298 0 0 0 0 0 0 0 0 0 0 0 0 0 24298 0 0 1004824666 1699128892 16 Nurse Practitioners HOWELL HEATHER L 999999999 80 Peoria 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 97 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 179 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 179 0 0 0 0 0 0 0 0 0 729 0 0 0 0 0 0 0 0 4676 0 0 0 0 0 0 5405 0 0 1004824814 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 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 0 0 0 0 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 1004826443 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 2997 0 0 0 0 0 0 0 0 0 0 0 0 0 2997 0 0 1004826638 1902243215 10 Physicians PATEL BHAKTI 999999999 200 Cook 0 0 Family Practice 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 0 295 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 295 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4241 0 0 0 0 0 0 4241 0 0 1004826644 1467645390 10 Physicians ZLOWODZKI MICHAEL 999999999 47 Jackson 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 1 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 156 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 156 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 17117 0 0 0 0 0 0 17133 0 0 1004826740 1811251739 10 Physicians DONELAN EMILY A 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 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 0 622 0 0 0 0 0 0 622 0 0 1004827285 1801047196 16 Nurse Practitioners JOEHL HILLARIE E 999999999 200 Cook 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 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 0 0 0 0 0 0 0 0 0 0 1004827359 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 14920 0 0 0 0 0 0 0 0 0 0 0 0 0 14920 0 0 1004827643 10 Physicians 109 Winnebago 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 872 0 0 0 0 0 0 872 0 0 1004827678 1396901047 63 Other Providers of Medical Equipment/Supplies (Non-registered) STRIVE MEDICAL LLC 999999999 845 Texas 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 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 5412 0 0 0 0 0 0 5412 0 0 1004827714 1629432299 16 Nurse Practitioners KARLOV DARA M. 999999999 200 Cook 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 0 151 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 12529 0 0 0 0 0 0 12529 0 0 1004827747 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 24151 0 0 0 0 0 0 0 0 0 0 0 0 0 24151 0 0 1004827794 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1548 0 0 0 0 0 0 0 0 0 0 0 0 0 1548 0 0 1004827859 1790967164 10 Physicians DESAI AMI V 999999999 30 DuPage 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 1634 0 0 0 0 0 0 1634 0 0 1004828120 1265723050 10 Physicians AFTAB ZEHRA NIGAH 999999999 30 DuPage 0 0 Psychiatry 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 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 1856 0 0 0 0 0 0 1856 0 0 1004828442 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 1004828590 1568747822 89 Physician Assistant Only(Encounter Only) MATHENIA JESSICA 999999999 24 Coles 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 0 157 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 3619 0 0 0 0 0 0 3619 0 0 1004828716 1023340296 10 Physicians SHA''INI MERVAT 606751611 200 Cook 0 0 Psychiatry 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 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6746 0 0 0 0 0 0 6746 0 0 1004828823 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 24010 0 0 0 0 0 0 0 0 0 0 0 0 0 24010 0 0 1004828923 10 Physicians 200 Cook 0 0 Clinical Pathology 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 82 0 0 0 0 0 0 0 0 82 0 0 1004828948 1669720694 10 Physicians NOGUCHI RYOKO 999999999 57 Lake 0 0 Family Practice 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 0 315 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 315 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5269 0 0 0 0 0 0 5269 0 0 1004828987 1497122378 16 Nurse Practitioners COLLINS MELANIE R 999999999 80 Peoria 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 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 0 785 0 0 0 0 0 0 785 0 0 1004829090 1508154873 12 Optometrists BLODGETT LAURA 999999999 200 Cook 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3512 0 0 0 0 0 0 3512 0 0 1004829219 1225585987 33 Nursing Facilities WARREN BARR SOUTH LOOP 606161219 200 Cook 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 0 470 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9941 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1423535 0 0 0 0 0 0 0 1423535 0 0 1004829410 1316307994 60 Pharmacies SAV-MOR PHARMACY 999999999 22 Clay 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 0 343 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11552 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11918 0 0 0 11918 0 0 1004829701 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 14805 0 0 0 0 0 0 0 0 0 0 0 0 0 14805 0 0 1004829791 1356729123 33 Nursing Facilities SYMPHONY OF HANOVER PARK 601334302 200 Cook 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 0 170 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3679 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 483328 0 0 0 0 0 0 0 483328 0 0 1004829862 1861491250 10 Physicians GUZALO ERIC 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 108 0 306 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 380 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 380 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1487 0 10323 0 0 0 0 0 0 11810 0 0 1004829903 1497192983 10 Physicians STOCH AGNES 999999999 53 Kane 0 0 Family Practice 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 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 0 959 0 0 0 0 0 0 959 0 0 1004830649 1427429976 25 Audiologists CHEYNEY MARIAH N 999999999 27 Dekalb 0 0 0 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6492 6492 0 0 1004830732 1588921035 10 Physicians BHAYANI NATASHA 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 53 0 0 0 0 0 0 41 0 61 0 0 0 0 0 0 0 0 0 143 0 0 0 0 0 0 139 0 110 0 0 0 0 0 0 0 0 0 143 0 0 0 0 0 0 139 0 110 0 0 0 0 0 0 0 0 0 3967 0 0 0 0 0 0 6246 0 5102 0 0 0 0 0 0 15315 0 0 1004831197 1194158188 10 Physicians KATARIA KRISHAN 999999999 19 Champaign 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 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3079 0 0 0 0 0 0 3079 0 0 1004831420 1629335781 10 Physicians ANGELES DEXTER 999999999 15 Bureau 0 1 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102 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 1003 0 0 0 0 0 0 1003 0 0 1004831549 1275954778 16 Nurse Practitioners WEBB KARLA 628121969 36 Franklin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1982 0 0 0 0 0 0 1982 0 0 1004831719 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 0 103 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 11194 0 0 0 0 0 0 0 0 0 0 0 0 0 11194 0 0 1004831955 10 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 148 0 0 0 0 0 0 148 0 0 1004832048 1891165510 89 Physician Assistant Only(Encounter Only) MOONEY HANNAH 999999999 19 Champaign 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 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 1310 0 0 0 0 0 0 1310 0 0 1004832132 1902356835 16 Nurse Practitioners PETERS ANDREA 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1437 0 0 0 0 0 0 1437 0 0 1004832219 1396107587 16 Nurse Practitioners HOLLEY RUTH 999999999 97 Stephenson 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 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 2379 0 0 0 0 0 0 2379 0 0 1004832328 1568858223 16 Nurse Practitioners MCCOY KIM 601604156 200 Cook 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 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2123 0 0 0 0 0 0 2123 0 0 1004832396 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 2700 0 0 0 0 0 0 0 0 0 0 0 0 0 2700 0 0 1004832464 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 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 34097 0 0 0 0 0 0 0 0 0 0 0 0 0 34097 0 0 1004832575 1124404736 16 Nurse Practitioners DUNAHEE LORILEE 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 810 0 0 0 0 0 0 810 0 0 1004832749 1154330157 10 Physicians SIVA NIRANJAN 999999999 200 Cook 0 0 Neurology 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 0 244 0 0 0 0 0 0 244 0 0 1004832783 1861735508 10 Physicians RODRIGUEZ LESBIA 999999999 200 Cook 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 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 0 320 0 0 0 0 0 0 320 0 0 1004832795 1902257595 11 Dentists PANDYA PRIYANKA 999999999 30 DuPage 0 0 General Dentistry 0 0 0 38 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 6632 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6632 0 0 1004832853 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2733 0 0 0 0 0 0 0 0 0 0 0 0 0 2733 0 0 1004832950 1730574914 16 Nurse Practitioners COSS KATHERINE F 999999999 53 Kane 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 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 2718 0 0 0 0 0 0 2718 0 0 1004833288 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 0 286 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 29062 0 0 0 0 0 0 0 0 0 0 0 0 0 29062 0 0 1004833368 1174513253 10 Physicians PATEL ANIL G 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 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 0 234 0 0 0 0 0 0 0 0 234 0 0 1004833411 1770819591 10 Physicians KOMMURI ANAND 999999999 24 Coles 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 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 1908 0 0 0 0 0 0 1908 0 0 1004833513 1477511541 10 Physicians FORTUNATO JOHN 999999999 200 Cook 0 0 Pediatrics 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 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 3675 0 0 0 0 0 0 3675 0 0 1004833717 1831465749 10 Physicians PRUITT PETER B. 999999999 200 Cook 0 0 Emergency Medicine 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 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3522 0 0 0 0 0 0 3522 0 0 1004834008 1972828549 10 Physicians HIBBS SHAYNA 999999999 200 Cook 0 0 Pediatrics 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 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 15571 0 0 0 0 0 0 15571 0 0 1004834040 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 21531 0 0 0 0 0 0 0 0 0 0 0 0 0 21531 0 0 1004834073 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 0 172 0 0 0 0 0 0 0 0 0 0 0 0 0 172 0 0 1004834214 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 30080 0 0 0 0 0 0 0 0 0 0 0 0 0 30080 0 0 1004834312 1477006351 16 Nurse Practitioners ALM CARL J 999999999 108 Williamson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 848 0 0 0 0 0 0 848 0 0 1004834384 1679917868 10 Physicians SETHI MICHAEL A 999999999 200 Cook 0 0 Pediatrics 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 0 907 0 0 0 0 0 0 907 0 0 1004834399 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 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 5005 0 0 0 0 0 0 0 0 0 0 0 0 0 5005 0 0 1004834461 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 1004834592 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 0 200 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 24268 0 0 0 0 0 0 0 0 0 0 0 0 0 24268 0 0 1004834754 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8279 0 0 0 0 0 0 0 0 0 0 0 0 0 8279 0 0 1004834842 1336373406 10 Physicians SPIER ADDIE 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 147 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 0 915 0 0 0 0 0 0 915 0 0 1004835027 4004835027 91 Waiver service provider--Adults (DHS/DDD) BURKHART RACHEL R 999999999 55 Kendall 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 1601 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1601 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90727 0 0 0 0 0 0 0 0 0 0 0 0 0 90727 0 0 1004835093 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 0 287 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 0 0 0 0 0 0 0 0 0 0 0 0 28252 0 0 0 0 0 0 0 0 0 0 0 0 0 28252 0 0 1004835100 36 Community mental health provider 19 Champaign 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101 0 0 998 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5669 0 0 6667 0 0 1004835131 1457800435 16 Nurse Practitioners JOHN ANGELA 999999999 58 La Salle 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 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 0 182 0 0 0 0 0 0 182 0 0 1004835150 1255621496 10 Physicians LEVIN ANNA 999999999 10 Adams 0 0 Dermatology 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 0 251 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 3371 0 0 0 0 0 0 3371 0 0 1004835254 1306145099 10 Physicians TRIPATHY SHREEPADA 999999999 63 Macon 0 0 Pediatrics 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8818 0 0 0 0 0 0 8818 0 0 1004835447 1164875449 89 Physician Assistant Only(Encounter Only) GUILFOIL RYAN L 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2911 0 0 0 0 0 0 2911 0 0 1004835532 1114969813 89 Physician Assistant Only(Encounter Only) NATYSHOK STEPHANIE 999999999 108 Williamson 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 0 281 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 281 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2742 0 0 0 0 0 0 2742 0 0 1004835686 1659771863 16 Nurse Practitioners FITZMAURICE JUSTINE E 999999999 58 La Salle 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 185 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 185 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 3427 0 0 0 0 0 0 3555 0 0 1004835780 61 Independent Laboratories 811 Georgia 0 0 0 0 0 0 0 0 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 99 0 0 0 0 0 0 0 0 99 0 0 1004836222 1447558127 89 Physician Assistant Only(Encounter Only) PROKOP KARIE 999999999 54 Kankakee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 202 0 0 1004836529 1093119802 16 Nurse Practitioners BATTISTONI DANIELLE 999999999 53 Kane 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 0 453 0 0 0 0 0 0 453 0 0 1004836603 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 11052 0 0 0 0 0 0 0 0 0 0 0 0 0 11052 0 0 1004836739 1780772012 89 Physician Assistant Only(Encounter Only) MORAN MARK 999999999 106 Whiteside 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 0 266 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 2743 0 0 0 0 0 0 2743 0 0 1004836757 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 139 0 0 1004837219 1710396395 16 Nurse Practitioners KIMLER CASEY M 999999999 80 Peoria 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 0 0 196 0 0 0 0 0 0 0 0 1776 0 0 0 0 0 0 1972 0 0 1004837343 91 Waiver service provider--Adults (DHS/DDD) 27 Dekalb 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1505 0 0 0 0 0 0 0 0 0 0 0 0 0 1505 0 0 1004837644 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 0 181 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 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1128 0 0 0 0 0 0 1128 0 0 1004846768 1831537026 10 Physicians KLEIN SARAH S 999999999 91 Sangamon 0 0 Pediatrics 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 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 4775 0 0 0 0 0 0 4775 0 0 1004846962 1891961371 30 General Hospitals ST MARYS HOSPITAL 625213810 63 Macon DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 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 0 111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37682 0 0 0 0 0 0 0 0 0 37682 0 0 1004847062 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 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 31197 0 0 0 0 0 0 0 0 0 0 0 0 0 31197 0 0 1004847148 1093755340 30 General Hospitals EVANSTON HOSPITAL PSYCH UNIT 602011718 200 Cook DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 General Hospital - Adult and Child 0 0 37 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 0 108 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 108 0 0 0 0 0 0 0 326 0 0 0 0 0 0 0 0 0 0 6995 0 0 0 0 0 0 0 46221 0 0 0 0 0 0 0 0 0 53216 0 0 1004847402 1336597764 36 Community mental health provider ROSECRANCE CHAMPAIGN/URBANA 999999999 19 Champaign 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 136 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 196 0 0 136 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 196 0 0 4525 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8887 0 0 13412 0 0 1004847500 1255676540 11 Dentists CASCIO MICHAEL 999999999 200 Cook 0 0 General Dentistry 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 193 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 193 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 10435 0 0 0 0 0 0 0 0 0 0 0 888 0 0 0 0 11323 0 0 1004847726 1023245925 10 Physicians RIZVI ASGHAR PAIN 999999999 53 Kane 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 12 0 175 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 820 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 820 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8612 0 0 0 0 0 0 8612 0 0 1004847771 1447594296 89 Physician Assistant Only(Encounter Only) HAJEK KRISTINA N 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 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 1205 0 0 0 0 0 0 1205 0 0 1004847829 1689696494 60 Pharmacies CVS PHARMACY #16350 607144621 200 Cook 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 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10406 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12732 0 0 0 12732 0 0 1004847943 1073927562 12 Optometrists FREDERICK KELSEY 999999999 200 Cook 0 0 Diagnostic Pharmaceutical Agents 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 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 2412 0 0 0 0 0 0 2412 0 0 1004848062 1306227525 10 Physicians AMIRIKIAN KARINE 999999999 30 DuPage 0 0 Pediatrics 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 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 7198 0 0 0 0 0 0 7198 0 0 1004848156 1205001187 10 Physicians MUNOZ MEDINA LUCY 999999999 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 122 0 0 0 0 0 0 122 0 0 1004849049 93 Waiver service provider--HIV/AIDS (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 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 27586 0 0 0 0 0 0 0 0 0 0 0 0 0 27586 0 0 1004849141 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 5274 0 0 0 0 0 0 0 0 0 0 0 0 0 5274 0 0 1004849231 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 75 0 0 0 0 0 0 75 0 0 1004849389 1336585140 10 Physicians ISHAQ MOHAMMAD A 999999999 15 Bureau 0 0 Emergency 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 0 145 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 6880 0 0 0 0 0 0 6880 0 0 1004849538 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 0 178 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 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1004849539 1992745491 89 Physician Assistant Only(Encounter Only) KEENER BRENDA 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 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 0 0 0 0 0 0 0 0 0 0 1004849656 1568629616 10 Physicians PATEL TARAL K 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 685 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1213 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1213 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12421 0 0 0 0 0 0 12421 0 0 1004849700 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 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 4136 0 0 0 0 0 0 0 0 0 0 0 0 0 4136 0 0 1004849857 1528405982 10 Physicians TOGUEM SERGE 999999999 200 Cook 0 0 Internal Medicine 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 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5130 0 0 0 0 0 0 5130 0 0 1004850577 86 Clinical Social Worker(Encounter Only) 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1113 0 0 0 0 0 0 1113 0 0 1004850683 16 Nurse Practitioners 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004850757 1184026940 16 Nurse Practitioners MCKENNA EMILY K 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4073 0 0 0 0 0 0 4073 0 0 1004850808 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4922 0 0 0 0 0 0 0 0 0 0 0 0 0 4922 0 0 1004850910 91 Waiver service provider--Adults (DHS/DDD) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 364 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 28343 0 0 0 0 0 0 0 0 0 0 0 0 0 28343 0 0 1004851386 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5865 0 0 0 0 0 0 0 0 0 0 0 0 0 5865 0 0 1004851645 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 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 9418 0 0 0 0 0 0 0 0 0 0 0 0 0 9418 0 0 1004851754 1194179721 40 Federally Qualified Health Centers ACCESS EVANSTON FAMILY HEALTH 999999999 200 Cook 0 0 0 0 631 0 129 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2683 0 378 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2683 0 378 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 179389 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 179389 0 0 1004851807 60 Pharmacies 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 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 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 0 74 0 0 1004852087 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14401 0 0 0 0 0 0 0 0 0 0 0 0 0 14401 0 0 1004852122 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 31571 0 0 0 0 0 0 0 0 0 0 0 0 0 31571 0 0 1004852271 10 Physicians 87 Randolph 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 0 144 0 0 0 0 0 0 144 0 0 1004852373 1669603858 10 Physicians KALNINS ALEKSANDRS U 999999999 200 Cook 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 0 675 0 0 0 0 0 0 0 0 675 0 0 1004852415 1689088114 10 Physicians KUKULSKI PAUL 999999999 30 DuPage 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 4974 0 0 0 0 0 0 5003 0 0 1004852446 1396188520 10 Physicians SARFRAZ SARAH 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 182 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 182 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3913 0 0 0 0 0 0 3913 0 0 1004852563 1861949406 16 Nurse Practitioners SULO KELLY S 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 429 0 0 0 0 0 0 429 0 0 1004852905 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 10557 0 0 0 0 0 0 0 0 0 0 0 0 0 10557 0 0 1004853203 10 Physicians 91 Sangamon 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 64 0 0 0 0 0 0 64 0 0 1004853416 1437411659 10 Physicians ALMEIDA MONICA MERCON TEZOLIN 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 25 0 0 1004853579 1720377997 10 Physicians REINA EDUARDO 999999999 10 Adams 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2653 0 0 0 0 0 0 2653 0 0 1004853685 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 21190 0 0 0 0 0 0 0 0 0 0 0 0 0 21190 0 0 1004854100 1760847248 16 Nurse Practitioners WARD-BERAN STACEY 999999999 30 DuPage 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 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 5269 0 0 0 0 0 0 5269 0 0 1004854235 1942658257 16 Nurse Practitioners HAMICK JAMIE 999999999 200 Cook 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 0 238 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 1174 0 0 0 0 0 0 1174 0 0 1004854247 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 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 34301 0 0 0 0 0 0 0 0 0 0 0 0 0 34301 0 0 1004854339 10 Physicians 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 1004854675 1639148257 89 Physician Assistant Only(Encounter Only) MCCALL THOMAS 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3783 0 0 0 0 0 0 3783 0 0 1004854695 1205876166 89 Physician Assistant Only(Encounter Only) KALMES JANE A 999999999 80 Peoria 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 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 0 579 0 0 0 0 0 0 579 0 0 1004855130 10 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004855133 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 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 0 442 0 0 0 0 0 0 442 0 0 1004855163 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 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 47 0 0 0 0 0 0 47 0 0 1004855237 16 Nurse Practitioners 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004855238 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21729 0 0 0 0 0 0 0 0 0 0 0 0 0 21729 0 0 1004855427 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 17814 0 0 0 0 0 0 0 0 0 0 0 0 0 17814 0 0 1004856120 1487098901 10 Physicians PRICE SARAH K 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 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 0 213 0 0 0 0 0 0 213 0 0 1004856151 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 27862 0 0 0 0 0 0 0 0 0 0 0 0 0 27862 0 0 1004856197 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 12961 0 0 0 0 0 0 0 0 0 0 0 0 0 12961 0 0 1004856278 89 Physician Assistant Only(Encounter Only) 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004856324 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27837 0 0 0 0 0 0 0 0 0 0 0 0 0 27837 0 0 1004856428 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 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 0 130 0 0 0 0 0 0 130 0 0 1004856429 1821356015 10 Physicians WHALEN BRANDON C 999999999 82 Piatt 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 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 2620 0 0 0 0 0 0 2620 0 0 1004856495 1003259524 10 Physicians NGUYEN QUANG T 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 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 1304 0 0 0 0 0 0 1304 0 0 1004856581 1487736625 60 Pharmacies CVS PHARMACY #17257 605426500 53 Kane 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 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1531 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8761 0 0 0 8761 0 0 1004856644 1518308246 10 Physicians ALI ATHER M 999999999 30 DuPage 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 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 0 245 0 0 0 0 0 0 245 0 0 1004856734 60 Pharmacies 844 Tennessee 0 0 0 0 0 0 0 0 0 0 0 0 0 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 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 659 0 0 0 659 0 0 1004856862 92 Waiver service provider--Disability (DHS/DRS) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 17139 0 0 0 0 0 0 0 0 0 0 0 0 0 17139 0 0 1004856980 1346504586 24 Speech Therapists PERKINS SARAH 999999999 80 Peoria 0 0 0 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 0 105 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 10039 10039 0 0 1004857128 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004857581 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 29799 0 0 0 0 0 0 0 0 0 0 0 0 0 29799 0 0 1004857703 1457640328 10 Physicians HAMPOLE ASHWIN V 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 389 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 620 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 620 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11284 0 673 0 0 0 0 0 0 11957 0 0 1004857710 1881828804 86 Clinical Social Worker(Encounter Only) LAKATOS TINA 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 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4889 0 0 0 0 0 0 4889 0 0 1004857830 10 Physicians 47 Jackson 0 0 Neurology 0 0 0 0 0 0 0 0 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 0 106 0 0 0 0 0 0 106 0 0 1004857900 1700225810 10 Physicians PAJARES MARICRUZ J 999999999 200 Cook 0 0 Family Practice 0 0 0 0 2 0 0 0 0 0 0 13 0 33 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 55 0 71 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 55 0 71 0 0 0 0 0 0 0 0 0 113 0 0 0 0 0 0 511 0 2771 0 0 0 0 0 0 3395 0 0 1004858076 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 14755 0 0 0 0 0 0 0 0 0 0 0 0 0 14755 0 0 1004858128 92 Waiver service provider--Disability (DHS/DRS) 97 Stephenson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4921 0 0 0 0 0 0 0 0 0 0 0 0 0 4921 0 0 1004858442 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 0 208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21517 0 0 0 0 0 0 0 0 0 0 0 0 0 21517 0 0 1004858463 1912197831 10 Physicians SHAIK IBRAHIM 999999999 88 Richland 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 368 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 547 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 547 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5819 0 0 0 0 0 0 5819 0 0 1004858525 10 Physicians 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004858527 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31881 0 0 0 0 0 0 0 0 0 0 0 0 0 31881 0 0 1004858900 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 19710 0 0 0 0 0 0 0 0 0 0 0 0 0 19710 0 0 1004859132 1164878542 16 Nurse Practitioners WAGSCHAL REBECCA 999999999 89 Rock Island 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 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 0 198 0 0 0 0 0 0 198 0 0 1004859158 1255682670 16 Nurse Practitioners LESIEWICZ MORGAN 999999999 98 Tazewell 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 211 0 0 0 0 0 0 227 0 0 1004859225 1306028451 10 Physicians KOSURI SATYAJIT 999999999 30 DuPage 0 0 Internal Medicine 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 1002 0 0 0 0 0 0 1002 0 0 1004859273 1598752628 89 Physician Assistant Only(Encounter Only) CARROLL KORI L 999999999 109 Winnebago 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 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 1347 0 0 0 0 0 0 1347 0 0 1004859333 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 0 154 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 14452 0 0 0 0 0 0 0 0 0 0 0 0 0 14452 0 0 1004859468 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 61 0 0 0 0 0 0 61 0 0 1004859806 1518114313 10 Physicians SIMON PATRICK E 999999999 53 Kane 0 0 Otolaryngology 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 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 3195 0 0 0 0 0 0 3195 0 0 1004859944 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 0 252 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 22868 0 0 0 0 0 0 0 0 0 0 0 0 0 22868 0 0 1004860099 22 Physical Therapists 10 Adams 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 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 0 273 273 0 0 1004860121 1225478993 10 Physicians TOWLE LAUREN M 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 527 0 0 0 0 0 0 527 0 0 1004860195 1154879385 89 Physician Assistant Only(Encounter Only) SCHMITT CHLOE E 999999999 91 Sangamon 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 0 207 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 5890 0 0 0 0 0 0 5890 0 0 1004860204 1780996561 10 Physicians COLVIN BRYANNE N 999999999 200 Cook 0 0 Pediatrics 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 0 124 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 11420 0 0 0 0 0 0 11420 0 0 1004860270 1275767386 10 Physicians ZAHRADNIK ERIN K 999999999 30 DuPage 0 0 Psychiatry 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 0 123 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 3171 0 0 0 0 0 0 3171 0 0 1004860701 1053768051 16 Nurse Practitioners MILKEVITCH BRETT 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 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 0 668 0 0 0 0 0 0 668 0 0 1004860714 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 0 132 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 10444 0 0 0 0 0 0 0 0 0 0 0 0 0 10444 0 0 1004860823 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 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 0 209 0 0 0 0 0 0 209 0 0 1004861142 1881147940 70 Ambulance Service Providers POLO FIRE PROTECTION DISTRICT 999999999 79 Ogle 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 0 172 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 87146 0 0 0 0 0 0 87146 0 0 1004861331 10 Physicians 10 Adams 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 630 0 0 0 0 0 0 630 0 0 1004861417 1669837001 16 Nurse Practitioners DUSEK AMY 999999999 19 Champaign 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 37 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 1004861478 1710438320 16 Nurse Practitioners KNUUTI KIMBERLEY 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 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 1547 0 0 0 0 0 0 1547 0 0 1004861527 1962757799 16 Nurse Practitioners FRENCH KIMBERLY L 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 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 0 845 0 0 0 0 0 0 845 0 0 1004861692 1902218308 16 Nurse Practitioners FORYS HEATHER 999999999 33 Effingham 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 173 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 173 0 0 0 0 0 0 0 0 0 113 0 0 0 0 0 0 0 0 3042 0 0 0 0 0 0 3155 0 0 1004861802 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 0 146 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 10845 0 0 0 0 0 0 0 0 0 0 0 0 0 10845 0 0 1004861835 1528036985 10 Physicians WAGNER ANDREW F. 999999999 200 Cook 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 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 1559 0 0 0 0 0 0 1559 0 0 1004861868 1407269038 16 Nurse Practitioners FILL KAROLEE M 999999999 50 Jersey 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 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 0 643 0 0 0 0 0 0 643 0 0 1004862035 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 6153 0 0 0 0 0 0 0 0 0 0 0 0 0 6153 0 0 1004862848 1508849340 10 Physicians WISSNER ERIK 999999999 200 Cook 0 0 Internal Medicine 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 0 562 0 0 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 0 0 0 0 0 0 0 0 0 0 11591 0 0 0 0 0 0 11591 0 0 1004862896 1063885556 16 Nurse Practitioners WAGNER JENNY M 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1348 0 0 0 0 0 0 1348 0 0 1004863006 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 21350 0 0 0 0 0 0 0 0 0 0 0 0 0 21350 0 0 1004863064 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 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 58099 0 0 0 0 0 0 0 0 0 0 0 0 0 58099 0 0 1004863189 1538339320 11 Dentists LUMPKIN ANTHONY G 999999999 200 Cook 0 0 General Dentistry 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 201 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 201 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 7873 0 0 0 0 0 0 0 0 0 0 0 6081 0 0 0 0 13954 0 0 1004863375 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 34787 0 0 0 0 0 0 0 0 0 0 0 0 0 34787 0 0 1004863943 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2318 0 0 0 0 0 0 0 0 0 0 0 0 0 2318 0 0 1004864009 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 0 212 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 20768 0 0 0 0 0 0 0 0 0 0 0 0 0 20768 0 0 1004864010 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 20549 0 0 0 0 0 0 0 0 0 0 0 0 0 20549 0 0 1004864157 1578970851 10 Physicians RADISH AARON C 999999999 88 Richland 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3530 0 0 0 0 0 0 3530 0 0 1004864278 1710353149 16 Nurse Practitioners BARON TOVA 999999999 200 Cook 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 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 1702 0 0 0 0 0 0 1702 0 0 1004864291 1831431386 10 Physicians LABEDZ STEPHANIE 999999999 200 Cook 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 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 1922 0 0 0 0 0 0 1922 0 0 1004864631 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 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 6475 0 0 0 0 0 0 0 0 0 0 0 0 0 6475 0 0 1004864637 1871803387 89 Physician Assistant Only(Encounter Only) STUCKY AMANDA M 999999999 90 Saline 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 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 1077 0 0 0 0 0 0 1077 0 0 1004865092 1538206834 89 Physician Assistant Only(Encounter Only) SHAH MONICA 999999999 53 Kane 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 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 0 595 0 0 0 0 0 0 595 0 0 1004865229 1689930968 10 Physicians LESER ERIC 999999999 200 Cook 0 0 Emergency Medicine 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 0 144 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 3965 0 0 0 0 0 0 3965 0 0 1004865471 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105 0 0 0 0 0 0 0 0 0 0 0 0 0 105 0 0 1004865636 1255796371 16 Nurse Practitioners WASHINGTON TABITHA 999999999 71 McHenry 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1401 0 0 0 0 0 0 1401 0 0 1004865701 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 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 39297 0 0 0 0 0 0 0 0 0 0 0 0 0 39297 0 0 1004865749 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 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10039 0 0 0 0 0 0 0 0 0 0 0 0 0 10039 0 0 1004865792 1437597846 10 Physicians CUNNINGHAM MICHELLE 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 6 0 0 0 0 0 0 14 0 27 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 37 0 49 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 37 0 49 0 0 0 0 0 0 0 0 0 537 0 0 0 0 0 0 1193 0 1610 0 0 0 0 0 0 3340 0 0 1004866030 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 10050 0 0 0 0 0 0 0 0 0 0 0 0 0 10050 0 0 1004866128 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 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 0 190 0 0 0 0 0 0 190 0 0 1004866148 1083168066 16 Nurse Practitioners DURKIN COLLEEN E. 999999999 62 Logan 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 0 119 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 1843 0 0 0 0 0 0 1843 0 0 1004866427 1912353962 91 Waiver service provider--Adults (DHS/DDD) "ACCESS COMMUNITY EXPERIENCE, I" 999999999 200 Cook 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 3351 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3351 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 709463 0 0 0 0 0 0 0 0 0 0 0 0 0 709463 0 0 1004866992 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 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 2203 0 0 0 0 0 0 0 0 0 0 0 0 0 2203 0 0 1004867807 1053536219 10 Physicians AHMED IMDAD 999999999 807 Connecticut 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 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 0 843 0 0 0 0 0 0 843 0 0 1004867989 1548608136 10 Physicians IYER SNEHA 999999999 63 Macon 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 0 105 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 4797 0 0 0 0 0 0 4797 0 0 1004868011 1821439316 10 Physicians KITLAS ROLAND 999999999 57 Lake 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 354 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 354 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7131 0 0 0 0 0 0 7131 0 0 1004868270 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 26037 0 0 0 0 0 0 0 0 0 0 0 0 0 26037 0 0 1004868318 1619286382 89 Physician Assistant Only(Encounter Only) ROSE STACY 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 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 1185 0 0 0 0 0 0 1185 0 0 1004868384 1235436288 10 Physicians BASHIR AHMAD S 999999999 53 Kane 0 0 Psychiatry 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 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2988 0 0 0 0 0 0 2988 0 0 1004868450 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 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26508 0 0 0 0 0 0 0 0 0 0 0 0 0 26508 0 0 1004869215 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 5250 0 0 0 0 0 0 0 0 0 0 0 0 0 5250 0 0 1004869821 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3608 0 0 0 0 0 0 0 0 0 0 0 0 0 3608 0 0 1004869948 1336480078 10 Physicians RABOR SAMUEL F 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4517 0 0 0 0 0 0 4517 0 0 1004870296 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 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13026 0 0 0 0 0 0 0 0 0 0 0 0 0 13026 0 0 1004870561 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 0 260 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 27648 0 0 0 0 0 0 0 0 0 0 0 0 0 27648 0 0 1004870611 10 Physicians 200 Cook 0 0 Plastic Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 186 0 0 0 0 0 0 186 0 0 1004870767 1063504165 30 General Hospitals LOYOLA UNIVERSITY MEDICAL CENT 601533328 200 Cook DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 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 0 664 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5829 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 142545 0 0 0 0 0 142545 0 0 1004870808 1184063349 10 Physicians BREYTMAN DMITRIY 999999999 200 Cook 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1648 0 0 0 0 0 0 1648 0 0 1004870809 98 Waiver service provider--TBI (DHS/DRS) 103 Washington 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 188 0 0 0 0 0 0 0 0 0 0 0 0 0 188 0 0 1004871692 1326313768 10 Physicians BASKIN RACHEL 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 4 0 35 0 0 0 0 0 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 4 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 6977 0 0 0 0 0 0 6994 0 0 1004871808 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 0 168 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 12514 0 0 0 0 0 0 0 0 0 0 0 0 0 12514 0 0 1004872354 1528404407 10 Physicians YASIN JAMIL 999999999 65 Madison 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 0 293 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 3387 0 0 0 0 0 0 3387 0 0 1004872356 1891074555 10 Physicians RAWAL ANKIT 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 3555 0 0 0 0 0 0 3586 0 0 1004872428 1902220148 11 Dentists TANG MINGHUI 999999999 200 Cook 0 0 General Dentistry 0 0 0 280 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1394 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1394 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41044 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41044 0 0 1004872514 1942296413 12 Optometrists SHIPLE JENNIFFER 999999999 200 Cook 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 380 0 0 0 0 0 0 380 0 0 1004872773 1326109992 89 Physician Assistant Only(Encounter Only) DALTON NICOLE M 999999999 80 Peoria 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 118 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 225 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 225 0 0 0 0 0 0 0 0 0 2421 0 0 0 0 0 0 0 0 6331 0 0 0 0 0 0 8752 0 0 1004872875 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25336 0 0 0 0 0 0 0 0 0 0 0 0 0 25336 0 0 1004872910 1033588223 63 Other Providers of Medical Equipment/Supplies (Non-registered) HANGER PROSTHETICS & ORTHOTICS 527221641 816 Iowa 0 0 0 0 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 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1557 0 4234 0 0 0 0 5791 0 0 1004872932 1124224076 11 Dentists BAKMAN MAYYA 600903013 200 Cook 0 0 General Dentistry 0 0 0 340 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1614 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1614 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 75597 0 0 0 0 0 0 0 0 0 0 0 444 0 0 0 0 76041 0 0 1004873033 1043471477 10 Physicians ZEBALLOS-CHAVEZ ROCIO 999999999 200 Cook 0 0 Pediatrics 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 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 1619 0 0 0 0 0 0 1619 0 0 1004873045 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27861 0 0 0 0 0 0 0 0 0 0 0 0 0 27861 0 0 1004873206 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3145 0 0 0 0 0 0 0 0 0 0 0 0 0 3145 0 0 1004873286 1295198661 16 Nurse Practitioners OSUDE NNEKA 999999999 71 McHenry 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 91 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 1499 0 0 0 0 0 0 0 0 3732 0 0 0 0 0 0 5231 0 0 1004873320 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 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 31578 0 0 0 0 0 0 0 0 0 0 0 0 0 31578 0 0 1004873440 1649364290 89 Physician Assistant Only(Encounter Only) SHILS PHILIPPE N 999999999 91 Sangamon 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 0 144 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 1119 0 0 0 0 0 0 1119 0 0 1004873550 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 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30274 0 0 0 0 0 0 0 0 0 0 0 0 0 30274 0 0 1004873620 1235472820 10 Physicians KWAK TOMMY J 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 361 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 0 0 0 0 0 0 0 0 0 0 0 0 8980 0 0 0 0 0 0 8980 0 0 1004874033 1689125924 75 Department of Alcohol and Substance Abuse Provider GATEWAY FOUNDATION INC JOLIET 999999999 107 Will 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 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 9699 0 0 9699 0 0 1004874095 1437526860 16 Nurse Practitioners SILLERY SARAH L. 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 335 0 0 0 0 0 0 335 0 0 1004874111 10 Physicians 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 1 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 49 0 0 0 0 0 0 71 0 0 1004874148 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004874320 1366529240 10 Physicians BENNETT JR. 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 Practitioners MCALLISTER BROOKE A 999999999 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 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 0 453 0 0 0 0 0 0 453 0 0 1004874851 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 14865 0 0 0 0 0 0 0 0 0 0 0 0 0 14865 0 0 1004874889 1447683487 10 Physicians MCGINN BRIAN T 999999999 10 Adams 0 1 Pediatrics 0 0 0 0 1 0 0 0 0 0 0 4 0 4 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 7 0 9 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 7 0 9 0 0 0 0 0 0 0 0 0 101 0 0 0 0 0 0 109 0 99 0 0 0 0 0 0 309 0 0 1004875386 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 23 0 0 0 0 0 0 23 0 0 1004875451 4004875451 90 Waiver service provider--Elderly (DOA) "HELP AT HOME, LLC" 999999999 200 Cook 0 0 0 0 0 0 0 0 972 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62774 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62774 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5384866 0 0 0 0 0 0 0 0 0 0 0 0 0 5384866 0 0 1004875532 1437449238 10 Physicians FATIMA NAZNEEN 999999999 200 Cook 0 0 Clinical Pathology 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 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 0 763 0 0 0 0 0 0 0 0 763 0 0 1004876102 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 942 0 0 0 0 0 0 0 0 0 0 0 0 0 942 0 0 1004876195 4004876195 98 Waiver service provider--TBI (DHS/DRS) GUARDIAN MEDICAL MONITORING LL 999999999 823 Michigan 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 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 1648 0 0 0 0 0 0 0 0 0 0 0 0 0 1648 0 0 1004876303 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 1978 0 0 0 0 0 0 0 0 0 0 0 0 0 1978 0 0 1004876330 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 7496 0 0 0 0 0 0 0 0 0 0 0 0 0 7496 0 0 1004876622 1083978118 10 Physicians DASANI NISHA D 999999999 200 Cook 0 0 Family Practice 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 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 0 970 0 0 0 0 0 0 970 0 0 1004876649 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 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 0 113 0 0 0 0 0 0 113 0 0 1004876695 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7403 0 0 0 0 0 0 0 0 0 0 0 0 0 7403 0 0 1004877038 1497069306 10 Physicians CHOW JARVA 999999999 30 DuPage 0 0 Anesthesiology 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 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4394 0 0 0 0 0 0 4394 0 0 1004877126 1790919751 10 Physicians BOWKER RAKHEE M. 999999999 200 Cook 0 0 Pediatrics 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 0 200 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 34226 0 0 0 0 0 0 34226 0 0 1004878165 1679924567 10 Physicians KRUKOWSKI ADRIAN 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 105 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 319 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 0 0 0 0 0 0 0 0 0 0 0 0 4656 0 0 0 0 0 0 4656 0 0 1004878253 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 10656 0 0 0 0 0 0 0 0 0 0 0 0 0 10656 0 0 1004878342 1265642466 16 Nurse Practitioners SASSO KAREN MARIE 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 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 0 221 0 0 0 0 0 0 221 0 0 1004878353 1093795627 10 Physicians MATHEW VERGHESE 999999999 200 Cook 0 0 Internal Medicine 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1562 0 0 0 0 0 0 1562 0 0 1004878537 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 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22356 0 0 0 0 0 0 0 0 0 0 0 0 0 22356 0 0 1004878731 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 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 5010 0 0 0 0 0 0 0 0 0 0 0 0 0 5010 0 0 1004879241 1851658777 10 Physicians SELVARAJ KAVITHA 999999999 200 Cook 0 0 Pediatrics 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 1221 0 0 0 0 0 0 1221 0 0 1004879340 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1870 0 0 0 0 0 0 0 0 0 0 0 0 0 1870 0 0 1004879350 92 Waiver service provider--Disability (DHS/DRS) 17 Carroll 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6278 0 0 0 0 0 0 0 0 0 0 0 0 0 6278 0 0 1004879536 1306112453 10 Physicians RO STEVE I 999999999 63 Macon 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 133 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11141 0 0 0 0 0 0 11141 0 0 1004879696 1043405608 89 Physician Assistant Only(Encounter Only) PURVES DAVID 999999999 91 Sangamon 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 0 185 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 1340 0 0 0 0 0 0 1340 0 0 1004879904 91 Waiver service provider--Adults (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18797 0 0 0 0 0 0 0 0 0 0 0 0 0 18797 0 0 1004879954 1629417274 11 Dentists PATEL DHAVAL M 999999999 200 Cook 0 0 General Dentistry 0 0 0 14 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 2212 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2212 0 0 1004880179 10 Physicians 36 Franklin 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 4 0 0 0 0 0 0 4 0 0 1004880191 1407255540 89 Physician Assistant Only(Encounter Only) LILLIE ANNA 999999999 24 Coles 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 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4136 0 0 0 0 0 0 4136 0 0 1004880329 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 20671 0 0 0 0 0 0 0 0 0 0 0 0 0 20671 0 0 1004880536 1356887012 91 Waiver service provider--Adults (DHS/DDD) WILLIAMS MAYA C 999999999 200 Cook 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 2624 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2624 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 206639 0 0 0 0 0 0 0 0 0 0 0 0 0 206639 0 0 1004881161 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 26509 0 0 0 0 0 0 0 0 0 0 0 0 0 26509 0 0 1004881266 1851748883 16 Nurse Practitioners KELLEY MEGAN 999999999 10 Adams 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 0 252 0 0 0 0 0 0 252 0 0 1004881378 16 Nurse Practitioners 10 Adams 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 0 107 0 0 0 0 0 0 107 0 0 1004881389 98 Waiver service provider--TBI (DHS/DRS) 815 Indiana 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 22154 0 0 0 0 0 0 0 0 0 0 0 0 0 22154 0 0 1004881470 1205120136 10 Physicians DWIVEDI ANJANA 999999999 66 Marion 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1027 0 0 0 0 0 0 1027 0 0 1004881939 1942645692 10 Physicians CHAWLA HITANSHU 999999999 200 Cook 0 0 Internal Medicine 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 0 237 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 237 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3693 0 0 0 0 0 0 3693 0 0 1004882022 1386005635 16 Nurse Practitioners HUMMEL RANDI 999999999 65 Madison 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 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 0 396 0 0 0 0 0 0 396 0 0 1004882050 1700107232 10 Physicians WHITEHURST BRANDT D 999999999 53 Kane 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 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22356 0 0 0 0 0 0 22356 0 0 1004882110 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 15048 0 0 0 0 0 0 0 0 0 0 0 0 0 15048 0 0 1004882151 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 34745 0 0 0 0 0 0 0 0 0 0 0 0 0 34745 0 0 1004882203 89 Physician Assistant Only(Encounter Only) 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 1004882611 89 Physician Assistant Only(Encounter Only) 36 Franklin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 11 0 0 1004882689 1407251622 46 Ambulatory Surgical Treatment Centers THE ORTHOPAEDIC INSTITUTE SURG 999999999 843 South Dakota 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 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 0 173 0 0 0 0 0 173 0 0 1004882834 1366806374 16 Nurse Practitioners FLAGG SHELLY M 999999999 91 Sangamon 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 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3866 0 0 0 0 0 0 3866 0 0 1004883084 1881034403 10 Physicians AMIR KHAN MOHAMMED M 999999999 63 Macon 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 54 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2854 0 3783 0 0 0 0 0 0 6637 0 0 1004883087 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 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 2648 0 0 0 0 0 0 0 0 0 0 0 0 0 2648 0 0 1004883222 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 23822 0 0 0 0 0 0 0 0 0 0 0 0 0 23822 0 0 1004883261 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004883383 1255728432 16 Nurse Practitioners HAN JENNIFER D. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 126 0 0 0 0 0 0 126 0 0 1004883526 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 0 144 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 26686 0 0 0 0 0 0 0 0 0 0 0 0 0 26686 0 0 1004883541 1629395322 10 Physicians GARG KITTU J 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 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 1746 0 0 0 0 0 0 1746 0 0 1004883917 1881915437 10 Physicians SHAH RAJIV K 999999999 30 DuPage 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 303 0 0 0 0 0 0 303 0 0 1004884183 1902246309 10 Physicians HILL MELISSA M 999999999 40 Grundy 0 1 Pediatrics 0 0 0 0 42 0 0 0 0 0 0 6 0 45 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 10 0 76 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 10 0 76 0 0 0 0 0 0 0 0 0 5282 0 0 0 0 0 0 422 0 4025 0 0 0 0 0 0 9729 0 0 1004884241 1649252537 89 Physician Assistant Only(Encounter Only) LOHRMAN MARY 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 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 0 191 0 0 0 0 0 0 191 0 0 1004884442 1942201330 89 Physician Assistant Only(Encounter Only) HUSTON HERBERT 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 181 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 1337 0 0 0 0 0 0 1337 0 0 1004884734 1437588472 16 Nurse Practitioners OFFEN JENNIFER 999999999 91 Sangamon 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 601 0 0 0 0 0 0 617 0 0 1004884811 1386199396 89 Physician Assistant Only(Encounter Only) SOMMER JENNIFER 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004884867 1508181702 16 Nurse Practitioners RYAN KRISTI N 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 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 1250 0 0 0 0 0 0 1250 0 0 1004884914 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 14072 0 0 0 0 0 0 0 0 0 0 0 0 0 14072 0 0 1004885052 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 0 122 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 25515 0 0 0 0 0 0 0 0 0 0 0 0 0 25515 0 0 1004885120 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 0 220 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 30261 0 0 0 0 0 0 0 0 0 0 0 0 0 30261 0 0 1004885229 10 Physicians 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 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 0 446 0 0 0 0 0 0 446 0 0 1004885262 1598787202 60 Pharmacies CVS PHARMACY #17009 606052159 200 Cook 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 0 438 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16311 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22816 0 0 0 22816 0 0 1004886039 98 Waiver service provider--TBI (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 45627 0 0 0 0 0 0 0 0 0 0 0 0 0 45627 0 0 1004886051 1184166001 16 Nurse Practitioners LOPEZ JOSH 999999999 53 Kane 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 0 197 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 6415 0 0 0 0 0 0 6415 0 0 1004886236 93 Waiver service provider--HIV/AIDS (DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 26855 0 0 0 0 0 0 0 0 0 0 0 0 0 26855 0 0 1004886412 1720434772 16 Nurse Practitioners SPIELMAN SUSAN 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 77 0 0 0 0 0 0 77 0 0 1004886522 1144545294 10 Physicians MAJEED MUNAZZA 999999999 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 599 0 0 0 0 0 0 599 0 0 1004886739 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 0 793 0 0 0 0 0 0 0 0 0 0 0 0 0 793 0 0 1004887002 4004887002 90 Waiver service provider--Elderly (DOA) "HELP AT HOME, LLC" 999999999 200 Cook 0 0 0 0 0 0 0 0 1164 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106778 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106778 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12178224 0 0 0 0 0 0 0 0 0 0 0 0 0 12178224 0 0 1004887144 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 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 0 777 0 0 0 0 0 0 0 0 0 0 0 0 0 777 0 0 1004887306 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 18144 0 0 0 0 0 0 0 0 0 0 0 0 0 18144 0 0 1004887415 1366997561 16 Nurse Practitioners AMPADU ROSE O 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3016 0 0 0 0 0 0 3016 0 0 1004887447 1427338409 10 Physicians GORSI SHAMAILA B 999999999 19 Champaign 0 0 Internal Medicine 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 0 164 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 2767 0 0 0 0 0 0 2767 0 0 1004887489 1194968602 16 Nurse Practitioners WAGNER NICOLE I 999999999 57 Lake 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 107 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 143 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 143 0 0 0 0 0 0 0 0 0 1016 0 0 0 0 0 0 0 0 7346 0 0 0 0 0 0 8362 0 0 1004887556 1164891818 89 Physician Assistant Only(Encounter Only) KOENIG CHRISTOPHER J 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 111 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 1479 0 0 0 0 0 0 1479 0 0 1004887561 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 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 0 975 0 0 0 0 0 0 0 0 0 0 0 0 0 975 0 0 1004887958 1538315106 10 Physicians HE MAI 999999999 200 Cook 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 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 3782 0 0 0 0 0 0 0 0 3782 0 0 1004888125 1134590938 91 Waiver service provider--Adults (DHS/DDD) ORNELAS KASEY 999999999 200 Cook 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 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 4410 0 0 0 0 0 0 0 0 0 0 0 0 0 4410 0 0 1004888467 1396294153 16 Nurse Practitioners SCHAEFER JENNIFER M 999999999 91 Sangamon 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 0 159 0 0 0 0 0 0 159 0 0 1004888553 1326438987 16 Nurse Practitioners HUGHETT ELIZABETH A 999999999 57 Lake 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 0 406 0 0 0 0 0 0 406 0 0 1004888646 1740677582 16 Nurse Practitioners CARTWRIGHT SHELLY R 999999999 53 Kane 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 0 101 0 0 0 0 0 0 0 0 0 1 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 2070 0 0 0 0 0 0 2070 0 0 1004888845 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 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 9096 0 0 0 0 0 0 0 0 0 0 0 0 0 9096 0 0 1004888888 1053632786 10 Physicians LAI JESSICA 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 83 0 144 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 109 0 193 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 109 0 193 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2051 0 9111 0 0 0 0 0 0 11162 0 0 1004888951 1437502192 16 Nurse Practitioners SPEIRER JENNIFER 999999999 61 Livingston 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 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 1044 0 0 0 0 0 0 1044 0 0 1004889098 1255754040 16 Nurse Practitioners MEADOR KATIE L 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 0 556 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 556 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2390 0 0 0 0 0 0 2390 0 0 1004889208 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 0 167 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 0 0 0 0 0 28819 0 0 0 0 0 0 0 0 0 0 0 0 0 28819 0 0 1004889393 98 Waiver service provider--TBI (DHS/DRS) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3017 0 0 0 0 0 0 0 0 0 0 0 0 0 3017 0 0 1004889742 1245252055 60 Pharmacies CVS PHARMACY #16324 614011343 56 Knox 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 1087 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54070 0 0 0 54070 0 0 1004889824 30 General Hospitals 815 Indiana DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 1004890162 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 0 287 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 0 0 0 0 0 0 0 0 0 0 0 0 22478 0 0 0 0 0 0 0 0 0 0 0 0 0 22478 0 0 1004890217 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 969 0 0 0 0 0 0 0 0 0 0 0 0 0 969 0 0 1004890583 1528318128 16 Nurse Practitioners WIGANT REBECCA 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93 0 0 0 0 0 0 93 0 0 1004890708 1760404479 60 Pharmacies CVS PHARMACY #17166 606086107 200 Cook 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 1200 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45808 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57808 0 0 0 57808 0 0 1004890783 1790727410 89 Physician Assistant Only(Encounter Only) METTILLE SUSAN M 999999999 80 Peoria 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 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 0 575 0 0 0 0 0 0 575 0 0 1004891069 1568697035 10 Physicians JACKSON KATHRYN E. 999999999 200 Cook 0 0 Pediatrics 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 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 1254 0 0 0 0 0 0 1254 0 0 1004891619 1619243607 10 Physicians ZUCKERMAN MATTHEW A 601262816 30 DuPage 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 28 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 215 0 5712 0 0 0 0 0 0 5927 0 0 1004891826 1427407782 89 Physician Assistant Only(Encounter Only) FRIEDMAN ZACHARY 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 1396 0 0 0 0 0 0 1396 0 0 1004892002 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21853 0 0 0 0 0 0 0 0 0 0 0 0 0 21853 0 0 1004892437 91 Waiver service provider--Adults (DHS/DDD) 52 Johnson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 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 27216 0 0 0 0 0 0 0 0 0 0 0 0 0 27216 0 0 1004892707 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 12 0 0 1004892732 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 0 177 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 26865 0 0 0 0 0 0 0 0 0 0 0 0 0 26865 0 0 1004892989 98 Waiver service provider--TBI (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 10620 0 0 0 0 0 0 0 0 0 0 0 0 0 10620 0 0 1004893162 1902249311 10 Physicians MALAKKLA NANDITHA 999999999 200 Cook 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 0 239 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 3092 0 0 0 0 0 0 3092 0 0 1004893326 1093957110 10 Physicians NUTHAKKI PRITI 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 2791 0 0 0 0 0 0 2791 0 0 1004893404 91 Waiver service provider--Adults (DHS/DDD) 58 La Salle 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26229 0 0 0 0 0 0 0 0 0 0 0 0 0 26229 0 0 1004893441 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 28711 0 0 0 0 0 0 0 0 0 0 0 0 0 28711 0 0 1004893741 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 7312 0 0 0 0 0 0 0 0 0 0 0 0 0 7312 0 0 1004893771 89 Physician Assistant Only(Encounter Only) 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 1004893791 63 Other Providers of Medical Equipment/Supplies (Non-registered) 58 La Salle 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 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 2263 0 0 0 0 0 0 2263 0 0 1004894020 30 General Hospitals 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 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 1004894067 1558701235 10 Physicians BURNS KATHARINE M 999999999 91 Sangamon 0 0 Emergency Medicine 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 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 1397 0 0 0 0 0 0 1438 0 0 1004894699 10 Physicians 200 Cook 0 0 Colon - Rectal 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 67 0 0 0 0 0 0 67 0 0 1004894733 92 Waiver service provider--Disability (DHS/DRS) 56 Knox 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 32603 0 0 0 0 0 0 0 0 0 0 0 0 0 32603 0 0 1004894752 1104260827 63 Other Providers of Medical Equipment/Supplies (Non-registered) VERUS HEALTHCARE LLC 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 402 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3721 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 0 0 0 0 0 0 0 0 0 0 0 0 52208 0 0 0 0 0 0 52208 0 0 1004894996 1013366970 60 Pharmacies ST BERNARD HOSPITAL AMBULATORY 999999999 200 Cook 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 0 395 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7231 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10955 0 0 0 10955 0 0 1004895039 1134577794 70 Ambulance Service Providers CITY OF ALTON FIRE DEPARTMENT 999999999 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 756 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2492 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2492 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 369707 0 0 0 0 0 0 369707 0 0 1004895180 1891042552 10 Physicians KOTHAWALA AZHAR M. 999999999 109 Winnebago 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 714 0 0 0 0 0 0 714 0 0 1004895296 1487993390 89 Physician Assistant Only(Encounter Only) UPHOFF JENNIFER 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1285 0 0 0 0 0 0 1285 0 0 1004895485 1336373828 10 Physicians FELDER JOHN M 999999999 815 Indiana 0 0 Plastic Surgery 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 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 1149 0 0 0 0 0 0 1149 0 0 1004895490 1891136222 10 Physicians MUTNEJA HEMANT 999999999 200 Cook 0 0 Internal Medicine 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8896 0 0 0 0 0 0 8896 0 0 1004895518 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 15866 0 0 0 0 0 0 0 0 0 0 0 0 0 15866 0 0 1004895529 1265893051 16 Nurse Practitioners DAILEY ROBIN A 999999999 91 Sangamon 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 170 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 170 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 2599 0 0 0 0 0 0 2788 0 0 1004895568 1851759971 89 Physician Assistant Only(Encounter Only) STUCKEY KEVIN 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 448 0 0 0 0 0 0 448 0 0 1004895679 89 Physician Assistant Only(Encounter Only) 92 Schuyler 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004895864 1689078875 16 Nurse Practitioners COLBY ANNE MARIE 606781034 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 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 0 407 0 0 0 0 0 0 407 0 0 1004895901 1497799639 16 Nurse Practitioners GATTO LINDA S 999999999 27 Dekalb 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 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 87 0 0 0 0 0 0 87 0 0 1004895999 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 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 0 303 0 0 0 0 0 0 303 0 0 1004896166 1003201419 10 Physicians TJONG VEHNIAH K 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 24 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 369 0 829 0 0 0 0 0 0 1198 0 0 1004896455 1245538636 10 Physicians SCHIEKE MOIRA 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 49 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1162 0 24 0 0 0 0 0 0 1186 0 0 1004896477 39 Hospice 30 DuPage 0 0 0 0 0 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 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14094 0 0 0 0 0 0 0 0 0 0 0 14094 0 0 1004896636 1710027792 10 Physicians QUBAIAH OSAMA 999999999 10 Adams 0 0 Internal 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 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 0 392 0 0 0 0 0 0 392 0 0 1004896894 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 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21998 0 0 0 0 0 0 0 0 0 0 0 0 0 21998 0 0 1004897074 92 Waiver service provider--Disability (DHS/DRS) 54 Kankakee 0 0 0 0 0 0 0 0 2 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 44048 0 0 0 0 0 0 0 0 0 0 0 0 0 44048 0 0 1004897094 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 28271 0 0 0 0 0 0 0 0 0 0 0 0 0 28271 0 0 1004897178 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1388 0 0 0 0 0 0 0 0 0 0 0 0 0 1388 0 0 1004897327 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 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1004897345 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 0 127 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 20606 0 0 0 0 0 0 0 0 0 0 0 0 0 20606 0 0 1004897374 91 Waiver service provider--Adults (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 735 0 0 0 0 0 0 0 0 0 0 0 0 0 735 0 0 1004897733 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 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 31177 0 0 0 0 0 0 0 0 0 0 0 0 0 31177 0 0 1004897963 1386901106 10 Physicians STEED MAURA 999999999 200 Cook 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 0 207 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 2179 0 0 0 0 0 0 2179 0 0 1004898016 1518410794 16 Nurse Practitioners HAGERTY MARK 999999999 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 619 0 0 0 0 0 0 644 0 0 1004898017 4004898017 90 Waiver service provider--Elderly (DOA) ANGEL HOME HEALTH AGENCY SERVI 999999999 200 Cook 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 1648 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 0 0 0 0 0 0 0 0 0 0 0 0 192978 0 0 0 0 0 0 0 0 0 0 0 0 0 192978 0 0 1004898150 1770947756 16 Nurse Practitioners ELLINGTON VIOLET 999999999 200 Cook 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 143 0 0 0 0 0 0 168 0 0 1004898167 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 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 21678 0 0 0 0 0 0 0 0 0 0 0 0 0 21678 0 0 1004898246 75 Department of Alcohol and Substance Abuse Provider 47 Jackson 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 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 1768 0 0 1768 0 0 1004898272 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4334 0 0 0 0 0 0 0 0 0 0 0 0 0 4334 0 0 1004898354 1619331311 16 Nurse Practitioners HUDGINS RACHAEL H 999999999 80 Peoria 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 3130 0 0 0 0 0 0 0 0 3092 0 0 0 0 0 0 6222 0 0 1004898753 1295898591 89 Physician Assistant Only(Encounter Only) TANNER DAWN CLARISSE 616151941 80 Peoria 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 18 0 0 0 0 0 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 24 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 563 0 0 0 0 0 0 583 0 0 1004898980 1144242850 60 Pharmacies CVS PHARMACY #17002 605275538 30 DuPage 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 0 208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6992 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12060 0 0 0 12060 0 0 1004899012 12 Optometrists 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 61 0 0 0 0 0 0 61 0 0 1004899125 1770783599 10 Physicians URUBUSI JOY 999999999 35 Ford 0 0 Psychiatry 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 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 1014 0 0 0 0 0 0 1014 0 0 1004899133 1467823815 60 Pharmacies CUSTOM MED PLUS 999999999 107 Will 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 0 265 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10400 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13042 0 0 0 13042 0 0 1004899260 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 0 205 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 18535 0 0 0 0 0 0 0 0 0 0 0 0 0 18535 0 0 1004899363 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 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 16943 0 0 0 0 0 0 0 0 0 0 0 0 0 16943 0 0 1004899561 1548716269 11 Dentists KABAR LINA 999999999 200 Cook 0 0 General Dentistry 0 0 0 36 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 7085 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7085 0 0 1004899619 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 26574 0 0 0 0 0 0 0 0 0 0 0 0 0 26574 0 0 1004899681 1053785790 16 Nurse Practitioners KROOS AMY L. 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 514 0 0 0 0 0 0 514 0 0 1004899698 4004899698 90 Waiver service provider--Elderly (DOA) ACTIVE DAY OF HOMEWOOD 999999999 200 Cook 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 3643 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3643 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 251748 0 0 0 0 0 0 0 0 0 0 0 0 0 251748 0 0 1004899765 1174733224 10 Physicians WIARDA KAREN P 999999999 88 Richland 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 3 0 454 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 874 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 874 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 13281 0 0 0 0 0 0 13312 0 0 1004899917 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 264 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 264 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28382 0 0 0 0 0 0 0 0 0 0 0 0 0 28382 0 0 1004900004 1326442724 16 Nurse Practitioners VILLEGAS ALICIA 999999999 79 Ogle 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 0 258 0 0 0 0 0 0 258 0 0 1004900115 1467689281 10 Physicians TOTONCHI SAMER 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 344 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 344 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 336 0 10025 0 0 0 0 0 0 10361 0 0 1004900224 1730561150 63 Other Providers of Medical Equipment/Supplies (Non-registered) BIONIC PROSTHETICS AND ORTHOTI 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 498 0 45281 0 0 0 0 45779 0 0 1004900277 1700832326 89 Physician Assistant Only(Encounter Only) VEASEY REBECCA ELLEN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 762 0 0 0 0 0 0 762 0 0 1004900349 1639452139 87 Psychologist(Encounter Only) SYLVESTER BRENT 618012529 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2454 0 0 0 0 0 0 2454 0 0 1004900470 1225216997 10 Physicians MACK MICHAEL D 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 173 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 7142 0 0 0 0 0 0 7142 0 0 1004900483 16 Nurse Practitioners 71 McHenry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004900494 10 Physicians 19 Champaign 0 0 Physical Medicine/Rehabilitation 0 0 0 0 0 0 0 0 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 56 0 0 0 0 0 0 56 0 0 1004900522 1952745093 10 Physicians SAINANI NITIN 999999999 89 Rock Island 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 0 200 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 6903 0 0 0 0 0 0 6903 0 0 1004900579 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 25271 0 0 0 0 0 0 0 0 0 0 0 0 0 25271 0 0 1004900633 1689027666 16 Nurse Practitioners KELLING CYNTHIA B 999999999 109 Winnebago 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 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 1973 0 0 0 0 0 0 1973 0 0 1004900695 1346616372 16 Nurse Practitioners MULLER JAMIE L 999999999 62 Logan 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 71 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 1928 0 0 0 0 0 0 1949 0 0 1004900829 4004900829 91 Waiver service provider--Adults (DHS/DDD) SELF DIRECTED SUPPORTS 999999999 72 McLean 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 1008 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1008 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41548 0 0 0 0 0 0 0 0 0 0 0 0 0 41548 0 0 1004900959 1780961615 16 Nurse Practitioners WATERS CAROL 999999999 63 Macon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276 0 0 0 0 0 0 276 0 0 1004901085 1508278896 16 Nurse Practitioners LONG SHIREEN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 369 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 369 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1376 0 0 0 0 0 0 1376 0 0 1004901384 10 Physicians 109 Winnebago 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 0 657 0 0 0 0 0 0 657 0 0 1004901672 1992148704 10 Physicians GOMEZ-TIMANA LUCY E 999999999 200 Cook 0 0 Internal Medicine 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 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1832 0 0 0 0 0 0 1832 0 0 1004901679 1912453895 89 Physician Assistant Only(Encounter Only) PATE DAVID DYLAN 999999999 91 Sangamon 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 283 0 0 0 0 0 0 0 0 1587 0 0 0 0 0 0 1870 0 0 1004901804 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 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 3270 0 0 0 0 0 0 0 0 0 0 0 0 0 3270 0 0 1004901824 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 25736 0 0 0 0 0 0 0 0 0 0 0 0 0 25736 0 0 1004901837 98 Waiver service provider--TBI (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 18980 0 0 0 0 0 0 0 0 0 0 0 0 0 18980 0 0 1004901904 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 0 142 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 0 0 0 0 0 0 0 0 0 0 16515 0 0 0 0 0 0 0 0 0 0 0 0 0 16515 0 0 1004901961 1356387658 16 Nurse Practitioners VATEV CHRISTINE C 999999999 96 St Clair 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 414 0 0 0 0 0 0 414 0 0 1004902068 1538139225 89 Physician Assistant Only(Encounter Only) MCFARLIN DANNY 999999999 109 Winnebago 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 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 1423 0 0 0 0 0 0 1423 0 0 1004902102 1013342039 89 Physician Assistant Only(Encounter Only) ARNOLD BRITNEY N 999999999 47 Jackson 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 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 2095 0 0 0 0 0 0 2095 0 0 1004902127 1659655124 61 Independent Laboratories PATHNOSTICS 999999999 805 California 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 1240 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1240 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69243 0 0 0 0 0 0 0 0 69243 0 0 1004902184 1851748248 89 Physician Assistant Only(Encounter Only) MARTINEZ HECTOR X 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 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 0 153 0 0 0 0 0 0 153 0 0 1004902199 1457648347 13 Podiatrists MAY KELLY 999999999 107 Will 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 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 41 0 0 0 0 0 0 41 0 0 1004902286 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 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 23406 0 0 0 0 0 0 0 0 0 0 0 0 0 23406 0 0 1004902470 1124473046 16 Nurse Practitioners FIELDS HEIDI A 999999999 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 368 0 0 0 0 0 0 368 0 0 1004902778 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 6296 0 0 0 0 0 0 0 0 0 0 0 0 0 6296 0 0 1004902808 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 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 17614 0 0 0 0 0 0 0 0 0 0 0 0 0 17614 0 0 1004903154 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 24810 0 0 0 0 0 0 0 0 0 0 0 0 0 24810 0 0 1004903447 1639331655 10 Physicians RETZER ELIZABETH M 999999999 71 McHenry 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 218 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 4287 0 0 0 0 0 0 4297 0 0 1004903657 1730445784 10 Physicians LOWN RYAN P 999999999 19 Champaign 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8324 0 0 0 0 0 0 8324 0 0 1004903980 1699797407 60 Pharmacies CVS PHARMACY #17169 601554887 200 Cook 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 0 340 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13455 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18434 0 0 0 18434 0 0 1004904000 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5922 0 0 0 0 0 0 0 0 0 0 0 0 0 5922 0 0 1004904285 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 599 0 0 0 0 0 0 0 0 0 0 0 0 0 599 0 0 1004904315 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 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 26762 0 0 0 0 0 0 0 0 0 0 0 0 0 26762 0 0 1004904374 1497080709 10 Physicians KASULA SRIKANTH 999999999 200 Cook 0 0 Internal Medicine 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 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 2044 0 0 0 0 0 0 2044 0 0 1004904427 1851366496 10 Physicians REIDY JAMES J 999999999 30 DuPage 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10768 0 0 0 0 0 0 10768 0 0 1004904749 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 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 0 868 0 0 0 0 0 0 0 0 0 0 0 0 0 868 0 0 1004904807 1457588196 10 Physicians TETTEH ELIZABETH 999999999 200 Cook 0 0 Anesthesiology 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 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 5253 0 0 0 0 0 0 5253 0 0 1004904951 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 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 1004904968 87 Psychologist(Encounter Only) 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 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 1004905057 1255649158 10 Physicians GUPTA SACHIN 999999999 200 Cook 0 0 Pediatrics 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 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 8289 0 0 0 0 0 0 8289 0 0 1004905322 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 14083 0 0 0 0 0 0 0 0 0 0 0 0 0 14083 0 0 1004905354 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 5222 0 0 0 0 0 0 0 0 0 0 0 0 0 5222 0 0 1004905672 1710380258 16 Nurse Practitioners WIELAND STEPHANIE H 999999999 200 Cook 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 0 111 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 2167 0 0 0 0 0 0 2167 0 0 1004905720 1396144846 89 Physician Assistant Only(Encounter Only) YOUNG JESSICA B 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 170 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 0 0 0 0 0 0 0 0 0 0 4174 0 0 0 0 0 0 4174 0 0 1004906055 92 Waiver service provider--Disability (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 17806 0 0 0 0 0 0 0 0 0 0 0 0 0 17806 0 0 1004906265 1619230992 10 Physicians BUOY ABIGAIL G 999999999 91 Sangamon 0 0 Psychiatry 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 0 410 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 410 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12437 0 0 0 0 0 0 12437 0 0 1004906553 10 Physicians 10 Adams 0 0 Family Practice 0 0 0 0 0 0 0 0 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 0 250 0 0 0 0 0 0 250 0 0 1004906606 1972586253 10 Physicians EDWARDS CHARMAINE E 999999999 87 Randolph 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1724 0 0 0 0 0 0 1724 0 0 1004906932 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 10013 0 0 0 0 0 0 0 0 0 0 0 0 0 10013 0 0 1004907518 1295002715 89 Physician Assistant Only(Encounter Only) DIFFERDING CHRISTOPHER J 999999999 15 Bureau 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 0 299 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 2231 0 0 0 0 0 0 2231 0 0 1004907757 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 9985 0 0 0 0 0 0 0 0 0 0 0 0 0 9985 0 0 1004907829 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 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 12830 0 0 0 0 0 0 0 0 0 0 0 0 0 12830 0 0 1004907961 1518221654 10 Physicians SAEED MUBASHIR S 999999999 200 Cook 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 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 0 304 0 0 0 0 0 0 304 0 0 1004908046 1699189878 10 Physicians VALLURIPALLI RAVI 999999999 200 Cook 0 0 Psychiatry 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 0 134 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 4958 0 0 0 0 0 0 4958 0 0 1004908115 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 0 398 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 398 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45596 0 0 0 0 0 0 0 0 0 0 0 0 0 45596 0 0 1004908284 10 Physicians 71 McHenry 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 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 2112 0 0 0 0 0 0 2112 0 0 1004908392 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 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24700 0 0 0 0 0 0 0 0 0 0 0 0 0 24700 0 0 1004908606 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 0 105 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 11330 0 0 0 0 0 0 0 0 0 0 0 0 0 11330 0 0 1004908630 98 Waiver service provider--TBI (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 6030 0 0 0 0 0 0 0 0 0 0 0 0 0 6030 0 0 1004908733 1821548207 16 Nurse Practitioners VETTER NICOLE L 999999999 30 DuPage 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 1354 0 0 0 0 0 0 1549 0 0 1004908913 1932554714 16 Nurse Practitioners SCHUPBACH JAMIE 999999999 109 Winnebago 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 0 123 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 2525 0 0 0 0 0 0 2525 0 0 1004909202 1871945667 16 Nurse Practitioners PFEIFFER ERIC 999999999 80 Peoria 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 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 2265 0 0 0 0 0 0 2265 0 0 1004909258 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2345 0 0 0 0 0 0 0 0 0 0 0 0 0 2345 0 0 1004909343 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11747 0 0 0 0 0 0 0 0 0 0 0 0 0 11747 0 0 1004909535 89 Physician Assistant Only(Encounter Only) 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 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 0 331 0 0 0 0 0 0 331 0 0 1004909872 1285099002 60 Pharmacies DRUG CENTER PHARMACY 999999999 200 Cook 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 0 833 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49241 0 0 0 49241 0 0 1004909898 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 600 0 0 0 0 0 0 600 0 0 1004910041 1871725515 89 Physician Assistant Only(Encounter Only) CORWIN VALERIE A 999999999 80 Peoria 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 1307 0 0 0 0 0 0 1339 0 0 1004910097 92 Waiver service provider--Disability (DHS/DRS) 73 Menard 0 0 0 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 22726 0 0 0 0 0 0 0 0 0 0 0 0 0 22726 0 0 1004910286 1477678563 89 Physician Assistant Only(Encounter Only) FALETTI KATHRYN V 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 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 0 643 0 0 0 0 0 0 643 0 0 1004910394 1245431014 16 Nurse Practitioners SILVER RENA 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 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 67 0 0 0 0 0 0 67 0 0 1004910422 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 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 43483 0 0 0 0 0 0 0 0 0 0 0 0 0 43483 0 0 1004910449 1265898928 16 Nurse Practitioners PIEKARZ KATHERINE H 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 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 0 318 0 0 0 0 0 0 318 0 0 1004910929 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 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 1004911026 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 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 43327 0 0 0 0 0 0 0 0 0 0 0 0 0 43327 0 0 1004911112 1679898969 10 Physicians BERAKI MUSSIE 999999999 57 Lake 0 0 Internal Medicine 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 0 715 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 715 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9832 0 0 0 0 0 0 9832 0 0 1004911316 93 Waiver service provider--HIV/AIDS (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1554 0 0 0 0 0 0 0 0 0 0 0 0 0 1554 0 0 1004911446 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 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 37494 0 0 0 0 0 0 0 0 0 0 0 0 0 37494 0 0 1004911554 1174887020 10 Physicians HUANG JINGTAO 999999999 107 Will 0 0 Pediatrics 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 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 1039 0 0 0 0 0 0 1039 0 0 1004911591 1821369596 16 Nurse Practitioners SCHLACK KATHLEEN F 999999999 80 Peoria 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 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 8249 0 0 0 0 0 0 8249 0 0 1004911696 1124303730 16 Nurse Practitioners BABCOCK MALINDA M 999999999 80 Peoria 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 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 0 725 0 0 0 0 0 0 725 0 0 1004911864 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 27663 0 0 0 0 0 0 0 0 0 0 0 0 0 27663 0 0 1004911922 1225303407 10 Physicians FENERAN ASHLEY N 999999999 30 DuPage 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 2 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 417 0 0 0 0 0 0 425 0 0 1004912101 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 0 123 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 28935 0 0 0 0 0 0 0 0 0 0 0 0 0 28935 0 0 1004912544 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 25764 0 0 0 0 0 0 0 0 0 0 0 0 0 25764 0 0 1004912729 1285180430 89 Physician Assistant Only(Encounter Only) GRACE EMILY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 0 0 0 0 0 262 0 0 1004912842 1003165564 16 Nurse Practitioners DROLLINGER LINDY 999999999 19 Champaign 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 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 0 959 0 0 0 0 0 0 959 0 0 1004912844 1255694691 10 Physicians RITTER KATHERINE S 999999999 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 124 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 172 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 172 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2020 0 2488 0 0 0 0 0 0 4508 0 0 1004913074 1376847533 16 Nurse Practitioners MIKAL MEGGAN A 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 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 0 751 0 0 0 0 0 0 751 0 0 1004913104 1124495379 16 Nurse Practitioners WEBSTER ANNE R 999999999 80 Peoria 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 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1753 0 0 0 0 0 0 1753 0 0 1004913365 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 0 268 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 17282 0 0 0 0 0 0 0 0 0 0 0 0 0 17282 0 0 1004913613 1386962736 10 Physicians SHARMA ASTHA 999999999 200 Cook 0 0 Pediatrics 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14284 0 0 0 0 0 0 14284 0 0 1004913746 98 Waiver service provider--TBI (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 18893 0 0 0 0 0 0 0 0 0 0 0 0 0 18893 0 0 1004913764 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 0 188 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 16232 0 0 0 0 0 0 0 0 0 0 0 0 0 16232 0 0 1004913823 1841510773 10 Physicians DANIELSKY PAUL 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 26 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66 0 280 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66 0 280 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 286 0 2195 0 0 0 0 0 0 2481 0 0 1004913932 1447510037 10 Physicians LI MEI 999999999 53 Kane 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 0 122 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 1366 0 0 0 0 0 0 0 0 1366 0 0 1004914109 1144532573 10 Physicians SAPRA AMIT 999999999 91 Sangamon 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 1 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 144 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 144 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 1292 0 0 0 0 0 0 1299 0 0 1004914208 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 38076 0 0 0 0 0 0 0 0 0 0 0 0 0 38076 0 0 1004914585 4004914585 91 Waiver service provider--Adults (DHS/DDD) MADRIGAL NICHOLE 999999999 91 Sangamon 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 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 2048 0 0 0 0 0 0 0 0 0 0 0 0 0 2048 0 0 1004914679 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 26632 0 0 0 0 0 0 0 0 0 0 0 0 0 26632 0 0 1004914910 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 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 1004914919 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 7631 0 0 0 0 0 0 0 0 0 0 0 0 0 7631 0 0 1004915083 1003086182 10 Physicians KANAKADANDI UDAY 999999999 88 Richland 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 291 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 402 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 402 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6490 0 0 0 0 0 0 6490 0 0 1004915101 1811189756 89 Physician Assistant Only(Encounter Only) SANDERS MINDY M 999999999 91 Sangamon 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 341 0 0 0 0 0 0 0 0 1741 0 0 0 0 0 0 2082 0 0 1004915427 1023464187 60 Pharmacies 5 GUYS MEDICINE SHOPPE 999999999 65 Madison 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 0 803 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23590 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56064 0 0 0 56064 0 0 1004915438 1497057905 10 Physicians LOKARE SHRIRAM 615544936 98 Tazewell 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 0 139 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 1622 0 0 0 0 0 0 1622 0 0 1004915913 10 Physicians 10 Adams 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 67 0 0 0 0 0 0 67 0 0 1004916097 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15015 0 0 0 0 0 0 0 0 0 0 0 0 0 15015 0 0 1004916154 86 Clinical Social Worker(Encounter Only) 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 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 0 174 0 0 0 0 0 0 174 0 0 1004916607 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 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 18446 0 0 0 0 0 0 0 0 0 0 0 0 0 18446 0 0 1004916684 91 Waiver service provider--Adults (DHS/DDD) 61 Livingston 0 0 0 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 6929 0 0 0 0 0 0 0 0 0 0 0 0 0 6929 0 0 1004916870 1124189733 30 General Hospitals PRESENCE SAINT JOSEPH MED CTR 604358200 107 Will DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 59714 0 0 0 0 0 0 0 0 0 59714 0 0 1004917308 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3758 0 0 0 0 0 0 0 0 0 0 0 0 0 3758 0 0 1004917778 1851313563 60 Pharmacies CVS PHARMACY #17128 604879361 107 Will 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 0 434 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17168 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13859 0 0 0 13859 0 0 1004917984 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 34551 0 0 0 0 0 0 0 0 0 0 0 0 0 34551 0 0 1004918218 1245620202 50 Home Health Agencies - In Home LOVING GRACE HOME HEALTH INC 999999999 40 Grundy 0 0 0 0 0 0 0 0 8 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1563 107 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1563 107 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 621247 45808 0 0 0 0 0 0 0 0 0 0 0 0 667055 0 0 1004918249 1841643202 16 Nurse Practitioners THOMPSON DUSTIN M 999999999 108 Williamson 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 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 1004918274 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 16457 0 0 0 0 0 0 0 0 0 0 0 0 0 16457 0 0 1004918530 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 4072 0 0 0 0 0 0 0 0 0 0 0 0 0 4072 0 0 1004918825 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 28304 0 0 0 0 0 0 0 0 0 0 0 0 0 28304 0 0 1004918948 10 Physicians 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 26 0 0 1004919291 1427070234 60 Pharmacies CVS PHARMACY #16304 605171300 30 DuPage 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 0 354 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14673 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30938 0 0 0 30938 0 0 1004919420 1912107517 50 Home Health Agencies - In Home RESILIENCE HOME HEALTH CORP 999999999 30 DuPage 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 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31968 0 0 0 0 0 0 31968 0 0 1004919831 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 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 17573 0 0 0 0 0 0 0 0 0 0 0 0 0 17573 0 0 1004919983 1922130327 89 Physician Assistant Only(Encounter Only) SWARTZ JULIE 999999999 19 Champaign 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 0 0 0 177 0 0 0 0 0 0 0 0 2933 0 0 0 0 0 0 3110 0 0 1004920004 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1004920027 1548651490 16 Nurse Practitioners DEIBEL JULIE A 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 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 0 286 0 0 0 0 0 0 286 0 0 1004920130 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 21866 0 0 0 0 0 0 0 0 0 0 0 0 0 21866 0 0 1004920201 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 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 12619 0 0 0 0 0 0 0 0 0 0 0 0 0 12619 0 0 1004920320 1912269903 10 Physicians JACKSON JOSEPH A 999999999 90 Saline 0 0 Family Practice 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 0 193 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 0 969 0 0 0 0 0 0 969 0 0 1004920434 1861698607 10 Physicians HERMAN AMY 999999999 200 Cook 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 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 0 821 0 0 0 0 0 0 821 0 0 1004920759 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 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 7862 0 0 0 0 0 0 0 0 0 0 0 0 0 7862 0 0 1004920830 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 0 310 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 310 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27309 0 0 0 0 0 0 0 0 0 0 0 0 0 27309 0 0 1004921203 1942576715 89 Physician Assistant Only(Encounter Only) JOHNSON REBECCA 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 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 0 208 0 0 0 0 0 0 208 0 0 1004921377 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 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 1004921478 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 19101 0 0 0 0 0 0 0 0 0 0 0 0 0 19101 0 0 1004921597 4004921597 72 Taxicabs and Livery Companies "BEST MEDICAL TRIP, INC." 620405548 65 Madison 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 2414 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2414 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39595 0 0 0 0 0 0 39595 0 0 1004921714 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 82 0 0 0 0 0 0 0 0 0 0 0 0 0 82 0 0 1004921720 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 0 178 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 26535 0 0 0 0 0 0 0 0 0 0 0 0 0 26535 0 0 1004921917 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 0 281 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 281 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28421 0 0 0 0 0 0 0 0 0 0 0 0 0 28421 0 0 1004921990 13 Podiatrists 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 0 0 0 0 0 0 0 0 0 0 1004922273 1811361710 16 Nurse Practitioners HUBBARD GARY L. 999999999 60 Lee 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 0 216 0 0 0 0 0 0 216 0 0 1004922314 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 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 4444 0 0 0 0 0 0 0 0 0 0 0 0 0 4444 0 0 1004922349 1083900294 10 Physicians ABRAHAM CHRISTOPHER DOUGALS 999999999 200 Cook 0 0 Radiation Oncology 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 434 0 0 0 0 0 0 434 0 0 1004922381 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 0 190 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 27331 0 0 0 0 0 0 0 0 0 0 0 0 0 27331 0 0 1004922487 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 9 0 0 0 0 0 0 9 0 0 1004922958 1801003793 10 Physicians GREEN ALEX 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 171 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 11693 0 0 0 0 0 0 11693 0 0 1004923385 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 6155 0 0 0 0 0 0 0 0 0 0 0 0 0 6155 0 0 1004923722 1578817003 16 Nurse Practitioners FUNES IRMA E 999999999 10 Adams 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 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 0 654 0 0 0 0 0 0 654 0 0 1004923921 1497161814 16 Nurse Practitioners ELLIOTT KRISTIN 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 0 113 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 0 190 0 0 0 0 0 0 190 0 0 1004924150 1740622703 10 Physicians CIPOLLA ANTHONY P 999999999 200 Cook 0 0 Family Practice 0 0 0 0 6 0 0 0 0 0 0 3 0 32 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 7 0 62 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 7 0 62 0 0 0 0 0 0 0 0 0 466 0 0 0 0 0 0 45 0 2331 0 0 0 0 0 0 2842 0 0 1004924203 22 Physical Therapists 107 Will 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 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 0 378 378 0 0 1004924343 1093169419 10 Physicians AL-ITTER QUSAI T 999999999 200 Cook 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 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 0 385 0 0 0 0 0 0 385 0 0 1004924413 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 73 0 0 0 0 0 0 73 0 0 1004924416 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 175 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 175 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9132 0 0 0 0 0 0 0 0 0 0 0 0 0 9132 0 0 1004924417 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5580 0 0 0 0 0 0 0 0 0 0 0 0 0 5580 0 0 1004924444 1417210519 10 Physicians ROSENBAUM KAYLEE MARIE 616151941 80 Peoria 0 0 Internal Medicine 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 0 259 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 2206 0 0 0 0 0 0 2206 0 0 1004924480 1437604154 16 Nurse Practitioners BOLLAERT LINDSEY C 999999999 50 Jersey 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 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 0 793 0 0 0 0 0 0 793 0 0 1004924604 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 12706 0 0 0 0 0 0 0 0 0 0 0 0 0 12706 0 0 1004924617 1467738005 89 Physician Assistant Only(Encounter Only) IDLE NICHOLAS R 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 273 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 3585 0 0 0 0 0 0 3585 0 0 1004924628 1518288844 10 Physicians VAN BEEK-KING JESSICA M 999999999 109 Winnebago 0 0 Otolaryngology 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 1241 0 0 0 0 0 0 1241 0 0 1004924684 30 General Hospitals 826 Missouri CHILDRENS Hospital designated as childrens hospitals and paid a Per Diem rate. 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 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 411 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22650 0 0 0 0 0 22650 0 0 1004924781 16 Nurse Practitioners 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 10 0 0 0 0 0 0 10 0 0 1004924980 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 75 0 0 0 0 0 0 75 0 0 1004925006 1881034809 10 Physicians KHAN MAHJABEEN 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 314 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 314 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7639 0 0 0 0 0 0 7639 0 0 1004925173 1871515585 60 Pharmacies CVS PHARMACY #17016 601773315 53 Kane 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 0 322 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12674 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13402 0 0 0 13402 0 0 1004925185 1740223031 60 Pharmacies CVS PHARMACY #17167 606594277 200 Cook 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 0 718 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32011 0 0 0 32011 0 0 1004925214 1821082751 89 Physician Assistant Only(Encounter Only) KRUG KELLEY A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 492 0 0 0 0 0 0 492 0 0 1004925358 1669472312 89 Physician Assistant Only(Encounter Only) HARALDSSON CATHERINE A 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 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 0 224 0 0 0 0 0 0 224 0 0 1004925959 1295192805 16 Nurse Practitioners COPELAND TAMARA 999999999 200 Cook 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 0 351 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 351 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1499 0 0 0 0 0 0 1499 0 0 1004926077 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 18568 0 0 0 0 0 0 0 0 0 0 0 0 0 18568 0 0 1004926153 1598031239 10 Physicians THOMPSON KATHERINE 999999999 91 Sangamon 0 0 Internal Medicine 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 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1704 0 0 0 0 0 0 1704 0 0 1004926694 87 Psychologist(Encounter Only) 72 McLean 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 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 0 260 0 0 0 0 0 0 260 0 0 1004926744 1659723211 36 Community mental health provider MATHERS COMMUNITY MENTAL HEALT 999999999 71 McHenry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 287 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 0 0 0 0 0 0 0 0 0 0 0 0 27797 0 0 27797 0 0 1004927267 1558728337 16 Nurse Practitioners DIERKER SHANNA J 999999999 10 Adams 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 0 112 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 0 392 0 0 0 0 0 0 392 0 0 1004927505 1275080871 89 Physician Assistant Only(Encounter Only) GILL CARINA 999999999 19 Champaign 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 0 108 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 1593 0 0 0 0 0 0 1593 0 0 1004927602 1093268724 16 Nurse Practitioners CLEMENS MEGAN 999999999 70 McDonough 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 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 0 370 0 0 0 0 0 0 370 0 0 1004927636 1356683809 10 Physicians BADKE COLLEEN 999999999 65 Madison 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 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38259 0 0 0 0 0 0 38259 0 0 1004927711 1407205685 70 Ambulance Service Providers CORTLAND COMMUNITY FIRE PROTEC 999999999 27 Dekalb 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 0 209 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 29564 0 0 0 0 0 0 29564 0 0 1004927749 1063806412 16 Nurse Practitioners LOVIN NICOLE M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 530 0 0 0 0 0 0 530 0 0 1004928050 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4566 0 0 0 0 0 0 0 0 0 0 0 0 0 4566 0 0 1004928123 1457794182 10 Physicians BERTINO ANNE-MARIE 999999999 200 Cook 0 0 Internal Medicine 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 0 129 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 1175 0 0 0 0 0 0 1175 0 0 1004928259 1952641946 39 Hospice HSHS HOSPICE SOUTHERN ILLINOIS 999999999 33 Effingham 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 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1743 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 318929 0 0 0 0 0 0 0 0 0 0 0 318929 0 0 1004928283 1285074385 10 Physicians KUMAR VINEET 999999999 47 Jackson 0 0 General Practice 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 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4988 0 0 0 0 0 0 4988 0 0 1004928380 1255446886 89 Physician Assistant Only(Encounter Only) ERTHALL PHILLIP R. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1469 0 0 0 0 0 0 1469 0 0 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 0 0 129 0 0 0 0 0 0 129 0 0 1004930442 1700197704 11 Dentists LIGAS ERIK J 999999999 30 DuPage 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 221 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 221 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 8186 0 0 0 0 0 0 0 0 0 0 0 888 0 0 0 0 9074 0 0 1004930472 1770826240 10 Physicians REBEDEW KATHRYN 999999999 53 Kane 0 0 Pediatrics 0 0 0 0 9 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 983 0 0 0 0 0 0 0 0 256 0 0 0 0 0 0 1239 0 0 1004931144 1972525780 60 Pharmacies CVS PHARMACY #16327 609149324 54 Kankakee 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 0 402 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12214 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16371 0 0 0 16371 0 0 1004931286 1659635092 10 Physicians ELEZI LUAN 999999999 53 Kane 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 1 0 14 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 4 0 16 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 4 0 16 0 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 23 0 450 0 0 0 0 0 0 594 0 0 1004931551 4004931551 90 Waiver service provider--Elderly (DOA) "ACTIVE DAY, INC." 999999999 108 Williamson 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 0 608 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 41525 0 0 0 0 0 0 0 0 0 0 0 0 0 41525 0 0 1004931795 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004932078 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004932164 1902184591 10 Physicians ISSA NAOUM 999999999 30 DuPage 0 0 Neurology 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 0 0 0 0 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4170 0 0 0 0 0 0 4170 0 0 1004932512 1437227543 10 Physicians KHAN USMAN A 999999999 24 Coles 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 142 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4998 0 0 0 0 0 0 4998 0 0 1004932528 1144672577 16 Nurse Practitioners ABT KAREN 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 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 0 128 0 0 0 0 0 0 128 0 0 1004932546 1043576903 10 Physicians OKAFOR DIONNE 999999999 63 Macon 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 8 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 41 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 1004932559 11 Dentists 200 Cook 0 0 Pedodontics 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1495 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1495 0 0 1004932606 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40579 0 0 0 0 0 0 0 0 0 0 0 0 0 40579 0 0 1004932610 1538470539 10 Physicians STEMM MATTHEW 999999999 106 Whiteside 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 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 0 246 0 0 0 0 0 0 0 0 246 0 0 1004932861 98 Waiver service provider--TBI (DHS/DRS) 72 McLean 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 59934 0 0 0 0 0 0 0 0 0 0 0 0 0 59934 0 0 1004932955 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 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 11 0 0 0 0 0 0 11 0 0 1004932991 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 0 122 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 30249 0 0 0 0 0 0 0 0 0 0 0 0 0 30249 0 0 1004933286 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 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 8861 0 0 0 0 0 0 0 0 0 0 0 0 0 8861 0 0 1004933520 92 Waiver service provider--Disability (DHS/DRS) 44 Henderson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 16356 0 0 0 0 0 0 0 0 0 0 0 0 0 16356 0 0 1004933964 1447593470 10 Physicians VYAS SHRINAL 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 46 0 0 0 0 0 0 1 0 55 0 0 0 0 0 0 0 0 0 139 0 0 0 0 0 0 1 0 75 0 0 0 0 0 0 0 0 0 139 0 0 0 0 0 0 1 0 75 0 0 0 0 0 0 0 0 0 4996 0 0 0 0 0 0 2 0 2657 0 0 0 0 0 0 7655 0 0 1004934283 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 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8573 0 0 0 0 0 0 0 0 0 0 0 0 0 8573 0 0 1004934285 1760776710 10 Physicians VAIDYANATHAN MAHESH 999999999 200 Cook 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 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 3494 0 0 0 0 0 0 3494 0 0 1004934328 1376918649 16 Nurse Practitioners RITTER CAMERON M. 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 209 0 0 0 0 0 0 209 0 0 1004934565 1588998165 10 Physicians MULLER AARON 999999999 30 DuPage 0 0 Pediatrics 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 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17089 0 0 0 0 0 0 17089 0 0 1004934636 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 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 22711 0 0 0 0 0 0 0 0 0 0 0 0 0 22711 0 0 1004934939 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 835 0 0 0 0 0 0 0 0 0 0 0 0 0 835 0 0 1004935007 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 465 0 0 0 0 0 0 0 0 0 0 0 0 0 465 0 0 1004935057 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 0 159 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 22175 0 0 0 0 0 0 0 0 0 0 0 0 0 22175 0 0 1004935183 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 0 184 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 26832 0 0 0 0 0 0 0 0 0 0 0 0 0 26832 0 0 1004935221 1114169893 10 Physicians JAVADI POORIA 999999999 53 Kane 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 431 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 736 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 736 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8773 0 287 0 0 0 0 0 0 9060 0 0 1004935273 1245605088 16 Nurse Practitioners TAYYEBI AZAM 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 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1413 0 0 0 0 0 0 1413 0 0 1004935383 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 0 192 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 46464 0 0 0 0 0 0 0 0 0 0 0 0 0 46464 0 0 1004935490 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 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 5877 0 0 0 0 0 0 0 0 0 0 0 0 0 5877 0 0 1004935521 1710237748 89 Physician Assistant Only(Encounter Only) JELINSKI JUSTIN 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 333 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1564 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1564 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9128 0 0 0 0 0 0 9128 0 0 1004936009 1346675840 89 Physician Assistant Only(Encounter Only) ASSIAN SARAH 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 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 0 198 0 0 0 0 0 0 198 0 0 1004936193 1881007979 10 Physicians HEALD-SARGENT TAYLOR ALIS 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 751 0 0 0 0 0 0 751 0 0 1004936272 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 36 0 0 0 0 0 0 36 0 0 1004936479 1598716920 10 Physicians POLCARO JOSEPH 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 659 0 971 0 0 0 0 0 0 1630 0 0 1004936691 1629421771 16 Nurse Practitioners LITTLETON DENNIS P 999999999 108 Williamson 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 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 0 111 0 0 0 0 0 0 111 0 0 1004936725 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 0 364 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 22027 0 0 0 0 0 0 0 0 0 0 0 0 0 22027 0 0 1004936820 92 Waiver service provider--Disability (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 31104 0 0 0 0 0 0 0 0 0 0 0 0 0 31104 0 0 1004937226 1932155116 16 Nurse Practitioners STELTZER MICHELLE M. 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 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 2546 0 0 0 0 0 0 2546 0 0 1004937346 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 0 155 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 20174 0 0 0 0 0 0 0 0 0 0 0 0 0 20174 0 0 1004937394 1508836107 10 Physicians PICKVANCE ELIZABETH 999999999 53 Kane 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 2 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 129 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 129 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 185 0 6371 0 0 0 0 0 0 6556 0 0 1004937419 92 Waiver service provider--Disability (DHS/DRS) 20 Christian 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 13268 0 0 0 0 0 0 0 0 0 0 0 0 0 13268 0 0 1004937448 91 Waiver service provider--Adults (DHS/DDD) 97 Stephenson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30276 0 0 0 0 0 0 0 0 0 0 0 0 0 30276 0 0 1004937480 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1412 0 0 0 0 0 0 0 0 0 0 0 0 0 1412 0 0 1004937519 1104227313 86 Clinical Social Worker(Encounter Only) HUNTER BASS SANDRA 999999999 62 Logan 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 1210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2153 0 0 0 0 0 0 2153 0 0 1004937752 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 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 1004937809 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1781 0 0 0 0 0 0 0 0 0 0 0 0 0 1781 0 0 1004937841 1649584616 10 Physicians DUNKSY KATHERINE A 999999999 19 Champaign 0 0 Otolaryngology 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 4024 0 0 0 0 0 0 4024 0 0 1004938497 1821010612 60 Pharmacies CVS PHARMACY #16282 601874529 30 DuPage 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 0 278 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9218 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7819 0 0 0 7819 0 0 1004938589 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 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 33703 0 0 0 0 0 0 0 0 0 0 0 0 0 33703 0 0 1004938810 4004938810 91 Waiver service provider--Adults (DHS/DDD) LAWRENCE MELANIE 999999999 107 Will 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 1558 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1558 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 109020 0 0 0 0 0 0 0 0 0 0 0 0 0 109020 0 0 1004938813 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 84 0 0 0 0 0 0 84 0 0 1004939014 1487941092 10 Physicians HUTSON SAMUEL L 999999999 96 St Clair 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 710 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 967 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 967 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13439 0 78 0 0 0 0 0 0 13517 0 0 1004939053 1275533317 89 Physician Assistant Only(Encounter Only) SNOW KEVIN 999999999 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 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 0 377 0 0 0 0 0 0 377 0 0 1004939073 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 9565 0 0 0 0 0 0 0 0 0 0 0 0 0 9565 0 0 1004939432 10 Physicians 109 Winnebago 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 29 0 0 1004939808 1649221953 10 Physicians STOKES JEFFREY R 999999999 200 Cook 0 0 Pediatrics 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 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 1358 0 0 0 0 0 0 1358 0 0 1004939932 1659663581 10 Physicians WILLIAMS GRETCHEN K 999999999 54 Kankakee 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 0 140 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 4291 0 0 0 0 0 0 4291 0 0 1004940070 1912347402 10 Physicians JEZIORKOWSKI CHRISTOPHER J 999999999 65 Madison 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 0 132 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 3746 0 0 0 0 0 0 3746 0 0 1004940157 1649638040 75 Department of Alcohol and Substance Abuse Provider "TASC, INC." 604324345 107 Will 0 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 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 4703 0 0 4703 0 0 1004940279 1669768644 10 Physicians BUEDEFELDT-POLLARD JESSE 999999999 91 Sangamon 0 0 Obstetric-Gynecology 0 0 0 0 9 0 0 0 0 0 0 19 0 176 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 22 0 378 0 0 0 0 0 0 0 0 0 9 0 0 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 0 0 0 0 0 0 0 2236 0 0 0 0 0 0 0 0 0 0 0 0 0 2236 0 0 1004941546 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 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 2117 0 0 0 0 0 0 0 0 0 0 0 0 0 2117 0 0 1004941979 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 636 0 0 0 0 0 0 0 0 0 0 0 0 0 636 0 0 1004942016 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 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 0 345 0 0 0 0 0 0 0 0 0 0 0 0 0 345 0 0 1004942070 1093005399 10 Physicians GERSHAN SCOTT 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 0 112 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 0 697 0 0 0 0 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 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38791 0 0 0 0 0 0 0 0 0 0 0 0 0 38791 0 0 1004942741 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 21168 0 0 0 0 0 0 0 0 0 0 0 0 0 21168 0 0 1004942942 1730320326 60 Pharmacies DUNCAN SPECIALTY PHARMACY 999999999 818 Kentucky 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 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 990 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83499 0 0 0 83499 0 0 1004942955 1629320445 16 Nurse Practitioners WHELAN ELIZABETH 999999999 80 Peoria 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 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 3305 0 0 0 0 0 0 3305 0 0 1004943048 1881914315 10 Physicians BESSAY EMMANUEL P 999999999 10 Adams 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 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 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 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 0 500 0 0 0 0 0 0 500 0 0 1004943775 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15503 0 0 0 0 0 0 0 0 0 0 0 0 0 15503 0 0 1004943797 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3569 0 0 0 0 0 0 0 0 0 0 0 0 0 3569 0 0 1004943832 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 137 0 0 1004943935 1992240030 11 Dentists KATAKAMSETTI HARINI 999999999 57 Lake 0 0 General Dentistry 0 0 0 129 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 0 721 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20356 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20356 0 0 1004944026 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 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24548 0 0 0 0 0 0 0 0 0 0 0 0 0 24548 0 0 1004944033 1134576820 60 Pharmacies CVS PHARMACY #10951 999999999 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 306 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2380 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80615 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85698 0 0 0 85698 0 0 1004944073 1770930497 86 Clinical Social Worker(Encounter Only) FELL KRISTIN L 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 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 0 179 0 0 0 0 0 0 179 0 0 1004944145 1245383181 70 Ambulance Service Providers BUCKLEY FIRE PROTECTION DISTRI 999999999 46 Iroquois 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 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 Medicine/Rehabilitation 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 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2958 0 0 0 0 0 0 2958 0 0 1004946264 1215249545 10 Physicians LO RYAN LEE 999999999 71 McHenry 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 457 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 641 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 641 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7114 0 335 0 0 0 0 0 0 7449 0 0 1004946288 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 895 0 0 0 0 0 0 0 0 0 0 0 0 0 895 0 0 1004946396 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 14501 0 0 0 0 0 0 0 0 0 0 0 0 0 14501 0 0 1004946787 10 Physicians 30 DuPage 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 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 0 197 0 0 0 0 0 0 197 0 0 1004946823 1164721528 10 Physicians FAVILA EMMANUEL 999999999 200 Cook 0 0 Internal Medicine 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 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4851 0 0 0 0 0 0 4851 0 0 1004947552 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 11027 0 0 0 0 0 0 0 0 0 0 0 0 0 11027 0 0 1004947559 10 Physicians 45 Henry 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 0 113 0 0 0 0 0 0 113 0 0 1004947837 1295022218 10 Physicians KIDIWALA NILOFER 999999999 200 Cook 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 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2203 0 0 0 0 0 0 2203 0 0 1004947840 1326346388 10 Physicians DU KEFU 999999999 108 Williamson 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53 0 2482 0 0 0 0 0 0 2535 0 0 1004947896 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 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 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 1004947899 1942640438 10 Physicians ROSE JENNIFER 999999999 36 Franklin 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 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 1286 0 0 0 0 0 0 1286 0 0 1004947917 92 Waiver service provider--Disability (DHS/DRS) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 1004947990 1154524973 10 Physicians NAM MOON-WOO 999999999 200 Cook 0 0 Clinical Pathology 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 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 0 443 0 0 0 0 0 0 0 0 443 0 0 1004948187 1568760734 10 Physicians TARASOV EUGENE 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7093 0 0 0 0 0 0 7093 0 0 1004948358 1528199973 89 Physician Assistant Only(Encounter Only) SHROYER CASEY D 999999999 19 Champaign 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 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 0 619 0 0 0 0 0 0 619 0 0 1004948422 1568751972 10 Physicians ANJUM DARAKHSHAN 999999999 40 Grundy 0 1 Pediatrics 0 0 0 0 24 0 0 0 0 0 0 3 0 15 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 6 0 23 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 6 0 23 0 0 0 0 0 0 0 0 0 3432 0 0 0 0 0 0 240 0 1090 0 0 0 0 0 0 4762 0 0 1004948512 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1672 0 0 0 0 0 0 0 0 0 0 0 0 0 1672 0 0 1004948771 1477735884 16 Nurse Practitioners URBAN TELVA T 999999999 200 Cook 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 0 327 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 2111 0 0 0 0 0 0 2111 0 0 1004948776 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 18970 0 0 0 0 0 0 0 0 0 0 0 0 0 18970 0 0 1004948827 1689926784 16 Nurse Practitioners JOHNSON SAMANTHA 999999999 53 Kane 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 0 252 0 0 0 0 0 0 252 0 0 1004948919 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 24737 0 0 0 0 0 0 0 0 0 0 0 0 0 24737 0 0 1004949313 1417247693 10 Physicians OKWUASHI SHIRLEY N 999999999 97 Stephenson 0 0 Internal 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 0 525 0 0 0 0 0 0 525 0 0 1004949319 1104285196 89 Physician Assistant Only(Encounter Only) FUNK STEVIE N 999999999 53 Kane 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 0 103 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 2735 0 0 0 0 0 0 2735 0 0 1004949701 1306287214 10 Physicians SIDDIQUI OMAR 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 78 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 209 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 209 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6734 0 0 0 0 0 0 6734 0 0 1004949703 1124339494 10 Physicians ROLLER EVAN W 999999999 19 Champaign 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1658 0 0 0 0 0 0 1658 0 0 1004949950 1326338849 10 Physicians GOLDBERG DEBORAH 999999999 30 DuPage 0 0 Internal Medicine 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 0 154 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 1567 0 0 0 0 0 0 1567 0 0 1004950019 12 Optometrists 107 Will 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 35 0 0 0 0 0 0 35 0 0 1004950110 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 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 36686 0 0 0 0 0 0 0 0 0 0 0 0 0 36686 0 0 1004950250 92 Waiver service provider--Disability (DHS/DRS) 88 Richland 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 55768 0 0 0 0 0 0 0 0 0 0 0 0 0 55768 0 0 1004950559 1609222579 16 Nurse Practitioners WALLACE DEANNA L 999999999 91 Sangamon 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 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 0 193 0 0 0 0 0 0 193 0 0 1004950617 91 Waiver service provider--Adults (DHS/DDD) 107 Will 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 616 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 616 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169310 0 0 0 0 0 0 0 0 0 0 0 0 0 169310 0 0 1004950721 1992126551 63 Other Providers of Medical Equipment/Supplies (Non-registered) KELLY'S 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 L 999999999 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 1004950959 1306943022 10 Physicians HAQ JUNAID 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1044 0 0 0 0 0 0 1044 0 0 1004951436 1720456007 16 Nurse Practitioners SIEGELE PEGGY A 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 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 0 826 0 0 0 0 0 0 826 0 0 1004951868 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 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 1004951979 1922399807 10 Physicians ROSENBLATT ADENA 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 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 2003 0 0 0 0 0 0 2003 0 0 1004952383 86 Clinical Social Worker(Encounter Only) 54 Kankakee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1392 0 0 0 0 0 0 1392 0 0 1004952474 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 11659 0 0 0 0 0 0 0 0 0 0 0 0 0 11659 0 0 1004952550 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 16381 0 0 0 0 0 0 0 0 0 0 0 0 0 16381 0 0 1004952609 1508122185 10 Physicians JAMERIA ZENITH 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 68 0 0 0 0 0 0 68 0 0 1004952819 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 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 0 453 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 67736 0 0 0 0 0 0 0 0 0 0 0 0 0 67736 0 0 1004952824 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 0 166 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 19191 0 0 0 0 0 0 0 0 0 0 0 0 0 19191 0 0 1004952869 1710973458 89 Physician Assistant Only(Encounter Only) SHARUM JOHN A 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 0 107 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 4323 0 0 0 0 0 0 4323 0 0 1004952905 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 194 0 0 0 0 0 0 194 0 0 1004953286 1063865400 16 Nurse Practitioners CLARY POOJA R 999999999 80 Peoria 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 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 0 727 0 0 0 0 0 0 727 0 0 1004953423 1033662044 16 Nurse Practitioners HOOK JENNIFER J 999999999 89 Rock Island 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 599 0 0 0 0 0 0 0 0 2581 0 0 0 0 0 0 3180 0 0 1004953499 1528146883 89 Physician Assistant Only(Encounter Only) BERKES JAMES 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 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 0 871 0 0 0 0 0 0 871 0 0 1004953534 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 325 0 0 0 0 0 0 325 0 0 1004953608 1861846271 10 Physicians ADAMS BRADLEY D 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 10 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 26 0 0 1004953784 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 1115 0 0 0 0 0 0 0 0 0 0 0 0 0 1115 0 0 1004953886 10 Physicians 815 Indiana 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 3 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 139 0 40 0 0 0 0 0 0 179 0 0 1004953987 86 Clinical Social Worker(Encounter Only) 109 Winnebago 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 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1494 0 0 0 0 0 0 1494 0 0 1004954264 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 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 3402 0 0 0 0 0 0 0 0 0 0 0 0 0 3402 0 0 1004954362 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 709 0 0 0 0 0 0 0 0 0 0 0 0 0 709 0 0 1004954411 1336509587 16 Nurse Practitioners LAWRENCE ASHLEY 999999999 40 Grundy 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 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 0 548 0 0 0 0 0 0 548 0 0 1004954685 1457791741 10 Physicians PADILLA NICOLE M 999999999 200 Cook 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 19 0 42 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 41 0 61 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 41 0 61 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 935 0 1781 0 0 0 0 0 0 2748 0 0 1004954885 1356653596 10 Physicians VAN SLAMBROUCK CHARLES M 999999999 200 Cook 0 0 Clinical Pathology 0 0 0 0 0 0 0 0 0 0 0 223 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 0 0 0 0 0 0 0 0 0 0 0 0 457 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2483 0 0 0 0 0 0 0 0 2483 0 0 1004954898 1164665345 10 Physicians PECHERSKY DASHA D 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 343 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 466 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 466 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12528 0 0 0 0 0 0 0 0 12528 0 0 1004954945 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 0 146 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 14460 0 0 0 0 0 0 0 0 0 0 0 0 0 14460 0 0 1004955047 1295174134 10 Physicians SALZMAN RYAN 999999999 200 Cook 0 0 Emergency Medicine 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 0 137 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 3478 0 0 0 0 0 0 3478 0 0 1004955249 1477906980 16 Nurse Practitioners WOOD WHITNY L 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 388 0 0 0 0 0 0 388 0 0 1004955324 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 4056 0 0 0 0 0 0 0 0 0 0 0 0 0 4056 0 0 1004955449 1417272667 10 Physicians GHADIALI MOHSIN Y 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 300 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 449 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 449 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4589 0 66 0 0 0 0 0 0 4655 0 0 1004955513 1467640292 89 Physician Assistant Only(Encounter Only) GALE CAROLYN J 999999999 15 Bureau 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 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 1921 0 0 0 0 0 0 1921 0 0 1004955622 1619231396 10 Physicians DORE CAITLIN M. 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5531 0 0 0 0 0 0 5531 0 0 1004955713 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15576 0 0 0 0 0 0 0 0 0 0 0 0 0 15576 0 0 1004955828 1730421884 13 Podiatrists PARK HANNAH K 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 445 0 0 0 0 0 0 445 0 0 1004955842 16 Nurse Practitioners 72 McLean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004955937 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 8443 0 0 0 0 0 0 0 0 0 0 0 0 0 8443 0 0 1004956005 1528328036 60 Pharmacies CVS PHARMACY 17643 606032802 200 Cook 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 0 167 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6623 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9719 0 0 0 9719 0 0 1004956014 1003845678 16 Nurse Practitioners ZIELINSKI MARGARET ANN 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 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 91 0 0 0 0 0 0 91 0 0 1004956085 1871876508 89 Physician Assistant Only(Encounter Only) HARTZELL MELISSA S 999999999 109 Winnebago 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 151 0 0 0 0 0 0 0 0 770 0 0 0 0 0 0 921 0 0 1004956276 1609047414 22 Physical Therapists RIMLER EMILY 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 347 347 0 0 1004956802 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 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28447 0 0 0 0 0 0 0 0 0 0 0 0 0 28447 0 0 1004956906 1801248422 16 Nurse Practitioners NAGUE KRISTHINE FIDEL 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 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 0 728 0 0 0 0 0 0 728 0 0 1004957029 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 29002 0 0 0 0 0 0 0 0 0 0 0 0 0 29002 0 0 1004957386 1063463925 89 Physician Assistant Only(Encounter Only) RICHTER AMY L 999999999 57 Lake 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 0 275 0 0 0 0 0 0 275 0 0 1004957510 1730348558 89 Physician Assistant Only(Encounter Only) EDDINS JENELL L. 999999999 80 Peoria 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 0 800 0 0 0 0 0 0 800 0 0 1004957885 12 Optometrists 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 209 0 0 0 0 0 0 209 0 0 1004957982 1205122496 10 Physicians KUNREDDY REENA 999999999 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1029 0 0 0 0 0 0 1029 0 0 1004958145 91 Waiver service provider--Adults (DHS/DDD) 98 Tazewell 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 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 9253 0 0 0 0 0 0 0 0 0 0 0 0 0 9253 0 0 1004958233 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 17763 0 0 0 0 0 0 0 0 0 0 0 0 0 17763 0 0 1004958434 1619420635 11 Dentists ODEH SAMAR 999999999 200 Cook 0 0 General Dentistry 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 650 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 650 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18286 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18286 0 0 1004958483 1588977722 10 Physicians GAETANO JOHN N. 999999999 200 Cook 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 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10942 0 0 0 0 0 0 10942 0 0 1004958650 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 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27586 0 0 0 0 0 0 0 0 0 0 0 0 0 27586 0 0 1004958651 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 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 0 215 0 0 0 0 0 0 215 0 0 1004958737 1861414674 60 Pharmacies CVS PHARMACY #16362 618221231 19 Champaign 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 0 175 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12260 0 0 0 12260 0 0 1004958924 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1794 0 0 0 0 0 0 0 0 0 0 0 0 0 1794 0 0 1004959046 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004959144 1194273961 16 Nurse Practitioners KETEMA RAHEL G 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 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 0 116 0 0 0 0 0 0 116 0 0 1004959260 1265885651 16 Nurse Practitioners BAILEY LAURA 999999999 53 Kane 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 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 0 675 0 0 0 0 0 0 675 0 0 1004959346 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 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 1004959356 1003128372 10 Physicians ELKATTAH RAYAN A. 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 4474 0 0 0 0 0 0 4481 0 0 1004959672 1760755748 10 Physicians IQBAL SHARIQ M 999999999 80 Peoria 0 0 Emergency 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 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 2489 0 0 0 0 0 0 2489 0 0 1004959756 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 0 209 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 23704 0 0 0 0 0 0 0 0 0 0 0 0 0 23704 0 0 1004959784 1972864338 10 Physicians ADAMS CARMEN 999999999 200 Cook 0 0 Obstetric-Gynecology 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 13 0 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 0 0 569 0 0 0 0 0 0 569 0 0 1004960037 1528425659 89 Physician Assistant Only(Encounter Only) HELM MELINDA 999999999 34 Fayette 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 67 0 0 1004960681 1710433529 89 Physician Assistant Only(Encounter Only) TEICHMILLER LEAH D 999999999 63 Macon 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 0 102 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 2441 0 0 0 0 0 0 2441 0 0 1004960719 1063676013 10 Physicians GUZZETTA PAUL 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 224 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 278 0 201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 278 0 201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2619 0 4072 0 0 0 0 0 0 6691 0 0 1004960737 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 0 200 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 51332 0 0 0 0 0 0 0 0 0 0 0 0 0 51332 0 0 1004960847 1043665300 16 Nurse Practitioners MIDHA KRISTINA 999999999 107 Will 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 0 199 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 1798 0 0 0 0 0 0 1798 0 0 1004961023 1386020477 16 Nurse Practitioners MAGINOT MARY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 888 0 0 0 0 0 0 888 0 0 1004961153 1205275534 10 Physicians DEVGUN JASON 999999999 200 Cook 0 0 Emergency 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 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 0 957 0 0 0 0 0 0 957 0 0 1004961307 1710099841 89 Physician Assistant Only(Encounter Only) COX DANNY M 999999999 80 Peoria 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 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 0 805 0 0 0 0 0 0 805 0 0 1004961383 1982157780 16 Nurse Practitioners WRIGHT JEREMY R 999999999 19 Champaign 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 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 0 941 0 0 0 0 0 0 941 0 0 1004961515 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26506 0 0 0 0 0 0 0 0 0 0 0 0 0 26506 0 0 1004961886 1720375611 10 Physicians WAHOOD AMMAR 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 2 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 199 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 199 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3844 0 0 0 0 0 0 3844 0 0 1004961945 1427504042 16 Nurse Practitioners BENNETT CATHERINE F 999999999 91 Sangamon 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 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 0 264 0 0 0 0 0 0 264 0 0 1004962032 1255656948 10 Physicians BODDIPALLI SUREKHA V 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 4 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 5606 0 0 0 0 0 0 5722 0 0 1004962092 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004962208 1578914024 10 Physicians HAGER LAUREN S 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 11 0 0 0 0 0 0 13 0 27 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 23 0 41 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 23 0 41 0 0 0 0 0 0 0 0 0 1012 0 0 0 0 0 0 834 0 1377 0 0 0 0 0 0 3223 0 0 1004962366 1831542760 16 Nurse Practitioners FEHL RACHEL E 999999999 80 Peoria 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 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2946 0 0 0 0 0 0 2946 0 0 1004962421 1295051860 10 Physicians BARRY SHEILA M 999999999 200 Cook 0 0 Internal Medicine 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 0 579 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 579 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5984 0 0 0 0 0 0 5984 0 0 1004962874 10 Physicians 200 Cook 0 0 Radiology Diagnosis 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 34 0 0 0 0 0 0 0 0 34 0 0 1004962929 1518337716 55 Early Intervention Services VANN DEBBIE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 711 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 0 0 0 0 0 44736 0 0 0 0 0 0 44736 0 0 1004962945 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 34596 0 0 0 0 0 0 0 0 0 0 0 0 0 34596 0 0 1004963185 1407878218 60 Pharmacies CVS PHARMACY #16349 602023636 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 667 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 30575 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 659 0 0 33573 0 0 0 34232 0 0 1004963225 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 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 13089 0 0 0 0 0 0 0 0 0 0 0 0 0 13089 0 0 1004963275 10 Physicians 30 DuPage 0 0 Ophthalmology 0 0 0 0 0 0 0 0 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 1004963333 16 Nurse Practitioners 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 58 0 0 1004963336 1710148069 60 Pharmacies CVS PHARMACY #17442 605605602 55 Kendall 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 0 490 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18454 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19991 0 0 0 19991 0 0 1004963411 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 12568 0 0 0 0 0 0 0 0 0 0 0 0 0 12568 0 0 1004963509 1710225263 10 Physicians MUNOZ TOMAS 999999999 200 Cook 0 0 Pediatrics 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 0 102 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 14582 0 0 0 0 0 0 14582 0 0 1004963599 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 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 1152 0 0 0 0 0 0 0 0 0 0 0 0 0 1152 0 0 1004963624 1043769268 16 Nurse Practitioners MOORE MICHELLE E 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 655 0 0 0 0 0 0 655 0 0 1004963654 1538431416 16 Nurse Practitioners KALITOWSKI RHONDA M 999999999 109 Winnebago 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 0 181 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 0 271 0 0 0 0 0 0 271 0 0 1004963715 1023478047 16 Nurse Practitioners MILLS JENNIFER L 999999999 80 Peoria 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 91 0 0 0 0 0 0 0 0 774 0 0 0 0 0 0 865 0 0 1004963735 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 28309 0 0 0 0 0 0 0 0 0 0 0 0 0 28309 0 0 1004963753 91 Waiver service provider--Adults (DHS/DDD) 15 Bureau 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23595 0 0 0 0 0 0 0 0 0 0 0 0 0 23595 0 0 1004963810 1902172919 10 Physicians XIAO XIAO 999999999 200 Cook 0 0 Pediatrics 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 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 2738 0 0 0 0 0 0 2738 0 0 1004963912 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 2211 0 0 0 0 0 0 0 0 0 0 0 0 0 2211 0 0 1004964093 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 27826 0 0 0 0 0 0 0 0 0 0 0 0 0 27826 0 0 1004964178 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 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 5151 0 0 0 0 0 0 5151 0 0 1004964343 1972846871 10 Physicians OMAR HINA A. 999999999 200 Cook 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 0 0 0 0 0 330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5752 0 0 0 0 0 0 5752 0 0 1004964709 1639597560 16 Nurse Practitioners SAS KATHRYN 606221797 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 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 0 803 0 0 0 0 0 0 803 0 0 1004964941 55 Early Intervention Services 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 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 0 274 0 0 0 0 0 0 274 0 0 1004965199 1558759407 89 Physician Assistant Only(Encounter Only) HESS KARRI L 999999999 57 Lake 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 141 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 141 0 0 0 0 0 0 0 0 0 1672 0 0 0 0 0 0 0 0 3721 0 0 0 0 0 0 5393 0 0 1004965449 1194042283 16 Nurse Practitioners KOWALLIS JOLYN M 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 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 0 390 0 0 0 0 0 0 390 0 0 1004965470 1588955983 89 Physician Assistant Only(Encounter Only) KAPPES CHRISTEL J 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2085 0 0 0 0 0 0 2085 0 0 1004965500 1073970323 16 Nurse Practitioners DUGAL JENNIFER 999999999 200 Cook 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 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3452 0 0 0 0 0 0 3452 0 0 1004965522 4004965522 72 Taxicabs and Livery Companies SAFE HAVEN TRANSIT LLC 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 4410 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4410 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27100 0 0 0 0 0 0 27100 0 0 1004965535 1699221374 16 Nurse Practitioners CAVENDER KAITLAIN A 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 1524 0 0 0 0 0 0 1524 0 0 1004965792 1093774705 89 Physician Assistant Only(Encounter Only) BERRYMAN STUART H 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 304 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 304 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8037 0 0 0 0 0 0 8037 0 0 1004965968 16 Nurse Practitioners 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 106 0 0 1004966339 1912994054 89 Physician Assistant Only(Encounter Only) HYDERI NAVEED 999999999 200 Cook 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 0 110 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 5651 0 0 0 0 0 0 5651 0 0 1004966462 1467848366 16 Nurse Practitioners VUCKO ERICA 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 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 0 589 0 0 0 0 0 0 589 0 0 1004966599 1154609030 10 Physicians DUNN NEHA M 999999999 80 Peoria 0 0 Internal 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 0 137 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 2314 0 0 0 0 0 0 2314 0 0 1004966617 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 3 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 3079 3079 0 0 1004966678 1497869440 89 Physician Assistant Only(Encounter Only) GALLO ROBIN L 999999999 47 Jackson 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 53 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 1004966680 1962424671 60 Pharmacies CVS PHARMACY #17008 607061328 841 Rhode Island 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 0 679 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26905 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41175 0 0 0 41175 0 0 1004966857 1891032637 89 Physician Assistant Only(Encounter Only) ENGLE KRISTIN MARIE HOOVEY 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 597 0 0 0 0 0 0 597 0 0 1004967197 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 0 143 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 27927 0 0 0 0 0 0 0 0 0 0 0 0 0 27927 0 0 1004967199 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 4659 0 0 0 0 0 0 0 0 0 0 0 0 0 4659 0 0 1004967212 1376680462 89 Physician Assistant Only(Encounter Only) MARTIN GABRIEL A 999999999 47 Jackson 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 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 1807 0 0 0 0 0 0 1807 0 0 1004967333 1518930601 10 Physicians MORONEY JOHN W 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 1 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1528 0 0 0 0 0 0 1528 0 0 1004967335 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 0 0 0 2 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 6004 0 0 6004 0 0 1004967390 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27070 0 0 0 0 0 0 0 0 0 0 0 0 0 27070 0 0 1004967542 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 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22304 0 0 0 0 0 0 0 0 0 0 0 0 0 22304 0 0 1004968016 1487985883 10 Physicians SHARMA PARIKSHIT S. 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 13 0 282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 687 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 687 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 7444 0 0 0 0 0 0 7468 0 0 1004968318 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 293 0 0 1004968341 1457704025 16 Nurse Practitioners STARK KATHY 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 38 0 0 1004968353 1528225216 13 Podiatrists ZATS SVETLANA 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 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1072 0 0 0 0 0 0 1072 0 0 1004968603 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 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 0 213 0 0 0 0 0 0 213 0 0 1004968617 10 Physicians 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 0 0 0 0 0 0 0 0 0 0 1004968861 1528080231 60 Pharmacies CVS PHARMACY # 16568 604394755 107 Will 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 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1683 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1176 0 0 0 1176 0 0 1004968933 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 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 26256 0 0 0 0 0 0 0 0 0 0 0 0 0 26256 0 0 1004969047 1629466339 30 General Hospitals CHICAGO RIDGE DIALYSIS 999999999 200 Cook DIALYSIS Outpatient dialysis centers. 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 0 118 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1577 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65305 0 0 0 0 0 65305 0 0 1004969079 1427317668 10 Physicians VALASSIS MEGAN G 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 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 593 0 0 0 0 0 0 595 0 0 1004969151 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 14847 0 0 0 0 0 0 0 0 0 0 0 0 0 14847 0 0 1004969187 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 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1004969276 1922394402 10 Physicians DURKEE BENJAMIN Y 999999999 109 Winnebago 0 0 Radiation Oncology 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 0 0 0 0 0 0 0 0 0 0 0 0 231 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4220 0 0 0 0 0 0 4220 0 0 1004969538 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 47697 0 0 0 0 0 0 0 0 0 0 0 0 0 47697 0 0 1004969743 1144345364 13 Podiatrists ALLEN CHARLES T 606292408 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 362 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 0 940 0 0 0 0 0 0 940 0 0 1004969771 1437583077 10 Physicians GHADIAM HARSHAVARDHAN R 999999999 80 Peoria 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 369 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 547 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 547 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5159 0 0 0 0 0 0 5159 0 0 1004969928 1972730893 10 Physicians SHAH MIHIR B 999999999 53 Kane 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 180 0 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 193 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 193 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2753 0 4788 0 0 0 0 0 0 7541 0 0 1004969999 94 Waiver service provider--Children's support (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 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 6987 0 0 0 0 0 0 0 0 0 0 0 0 0 6987 0 0 1004970205 1982999058 10 Physicians PATEL HREEM 999999999 200 Cook 0 0 Ophthalmology 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 0 133 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 2615 0 0 0 0 0 0 2615 0 0 1004970564 98 Waiver service provider--TBI (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 17404 0 0 0 0 0 0 0 0 0 0 0 0 0 17404 0 0 1004970657 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2660 0 0 0 0 0 0 0 0 0 0 0 0 0 2660 0 0 1004970667 89 Physician Assistant Only(Encounter Only) 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 111 0 0 0 0 0 0 111 0 0 1004970880 1528379674 10 Physicians PADMANABAN MAHESH 999999999 30 DuPage 0 0 Neurology 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 0 101 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 1535 0 0 0 0 0 0 1535 0 0 1004971353 1740449354 10 Physicians JAVAHERI ALI 999999999 200 Cook 0 0 Internal Medicine 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 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 0 305 0 0 0 0 0 0 305 0 0 1004971491 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 0 365 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 27624 0 0 0 0 0 0 0 0 0 0 0 0 0 27624 0 0 1004971619 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 27075 0 0 0 0 0 0 0 0 0 0 0 0 0 27075 0 0 1004972042 1689916942 10 Physicians LUCEY KATE 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 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 3106 0 0 0 0 0 0 3106 0 0 1004972126 1902242076 10 Physicians OLIVERA EMMA B 999999999 107 Will 0 1 Pediatrics 0 0 0 0 16 0 0 0 0 0 0 1 0 13 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 1 0 19 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 1 0 19 0 0 0 0 0 0 0 0 0 1768 0 0 0 0 0 0 35 0 833 0 0 0 0 0 0 2636 0 0 1004972331 91 Waiver service provider--Adults (DHS/DDD) 52 Johnson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10486 0 0 0 0 0 0 0 0 0 0 0 0 0 10486 0 0 1004972515 1417316969 16 Nurse Practitioners COOLEY SARAH R 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 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 0 608 0 0 0 0 0 0 608 0 0 1004972618 94 Waiver service provider--Children's support (DHS/DDD) 99 Union 0 0 0 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 3218 0 0 0 0 0 0 0 0 0 0 0 0 0 3218 0 0 1004972756 1306141338 89 Physician Assistant Only(Encounter Only) GROVER ANDREW R 999999999 57 Lake 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 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 0 0 0 0 0 70 0 0 1004972882 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48095 0 0 0 0 0 0 0 0 0 0 0 0 0 48095 0 0 1004973158 1952344517 16 Nurse Practitioners ROMANSKI KATHLEEN 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 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 1130 0 0 0 0 0 0 1130 0 0 1004973546 1508237744 16 Nurse Practitioners RAITHEL DEENA R 999999999 15 Bureau 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 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 1455 0 0 0 0 0 0 1455 0 0 1004973916 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 16511 0 0 0 0 0 0 0 0 0 0 0 0 0 16511 0 0 1004973952 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 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 24396 0 0 0 0 0 0 0 0 0 0 0 0 0 24396 0 0 1004974193 10 Physicians 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 416 0 0 0 0 0 0 416 0 0 1004974300 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2216 0 0 0 0 0 0 0 0 0 0 0 0 0 2216 0 0 1004974718 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 24771 0 0 0 0 0 0 0 0 0 0 0 0 0 24771 0 0 1004975066 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 394 0 0 0 0 0 0 0 0 0 0 0 0 0 394 0 0 1004975256 1275967721 10 Physicians SHAIKH NADIA 999999999 833 New York 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 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 13099 0 0 0 0 0 0 13099 0 0 1004975480 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 0 142 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 0 0 0 0 0 0 0 0 0 0 16029 0 0 0 0 0 0 0 0 0 0 0 0 0 16029 0 0 1004976090 92 Waiver service provider--Disability (DHS/DRS) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004976316 1265891865 16 Nurse Practitioners TONI PHILOMINA 999999999 30 DuPage 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 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1444 0 0 0 0 0 0 1444 0 0 1004976608 10 Physicians 54 Kankakee 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 3 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 1004976669 1720259427 16 Nurse Practitioners DONALDSON DIANNE M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 666 0 0 0 0 0 0 666 0 0 1004976757 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2101 0 0 0 0 0 0 0 0 0 0 0 0 0 2101 0 0 1004976805 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 0 112 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 17091 0 0 0 0 0 0 0 0 0 0 0 0 0 17091 0 0 1004976827 1437506722 16 Nurse Practitioners DAVIS ALICIA 999999999 50 Jersey 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 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 0 273 0 0 0 0 0 0 273 0 0 1004976872 10 Physicians 89 Rock Island 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004976898 24 Speech Therapists 98 Tazewell 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 671 671 0 0 1004977096 94 Waiver service provider--Children's support (DHS/DDD) 49 Jefferson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1997 0 0 0 0 0 0 0 0 0 0 0 0 0 1997 0 0 1004977263 22 Physical Therapists 57 Lake 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 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 50 50 0 0 1004977315 10 Physicians 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0 0 0 0 0 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 8 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 1004977438 1528420460 16 Nurse Practitioners FINK BRANDON R 618012529 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3100 0 0 0 0 0 0 3100 0 0 1004977781 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 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1004978032 1275909301 16 Nurse Practitioners BUTZEN PETER 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 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 2173 0 0 0 0 0 0 2173 0 0 1004978125 89 Physician Assistant Only(Encounter Only) 99 Union 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1044 0 0 0 0 0 0 1044 0 0 1004978162 1962763276 10 Physicians PLUZYCZKA AGATA 999999999 19 Champaign 0 0 Family Practice 0 0 0 0 14 0 0 0 0 0 0 2 0 50 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 2 0 81 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 2 0 81 0 0 0 0 0 0 0 0 0 1487 0 0 0 0 0 0 10 0 2216 0 0 0 0 0 0 3713 0 0 1004978228 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 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22387 0 0 0 0 0 0 0 0 0 0 0 0 0 22387 0 0 1004978257 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 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 35945 0 0 0 0 0 0 0 0 0 0 0 0 0 35945 0 0 1004978288 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 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 20996 0 0 0 0 0 0 0 0 0 0 0 0 0 20996 0 0 1004978391 10 Physicians 10 Adams 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 100 0 0 0 0 0 0 116 0 0 1004978547 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 25 0 0 0 0 0 0 25 0 0 1004978597 89 Physician Assistant Only(Encounter Only) 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 78 0 0 1004978598 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 34 0 0 0 0 0 0 34 0 0 1004978630 89 Physician Assistant Only(Encounter Only) 108 Williamson 0 0 0 0 0 0 0 0 0 0 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 37 0 0 0 0 0 0 37 0 0 1004978830 1114320413 87 Psychologist(Encounter Only) ABREGO TIFFANY C. 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1137 0 0 0 0 0 0 1137 0 0 1004978962 61 Independent Laboratories 823 Michigan 0 0 0 0 0 0 0 0 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 0 496 0 0 0 0 0 0 0 0 496 0 0 1004979367 1235505553 16 Nurse Practitioners HOKL CAROLINE R 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 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 0 461 0 0 0 0 0 0 461 0 0 1004979523 1871506931 89 Physician Assistant Only(Encounter Only) SODERSTROM JOHN R 999999999 200 Cook 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 0 405 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 0 0 0 0 0 7497 0 0 0 0 0 0 7497 0 0 1004979550 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 0 204 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 13413 0 0 0 0 0 0 0 0 0 0 0 0 0 13413 0 0 1004979591 1740423623 10 Physicians WINDER ABIGAIL 999999999 200 Cook 0 0 Obstetric-Gynecology 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 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 3019 0 0 0 0 0 0 3019 0 0 1004979605 4004979605 91 Waiver service provider--Adults (DHS/DDD) CHRISTEN NICOLE S 999999999 200 Cook 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 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14462 0 0 0 0 0 0 0 0 0 0 0 0 0 14462 0 0 1004979890 1205276136 10 Physicians KANG DAVID 999999999 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 6 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0 122 0 0 1004979898 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 14332 0 0 0 0 0 0 0 0 0 0 0 0 0 14332 0 0 1004980034 1770698789 89 Physician Assistant Only(Encounter Only) CUMMINGS BRIAN J 999999999 19 Champaign 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 0 127 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 1489 0 0 0 0 0 0 1489 0 0 1004980064 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 0 168 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 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1004980366 92 Waiver service provider--Disability (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 15988 0 0 0 0 0 0 0 0 0 0 0 0 0 15988 0 0 1004980393 10 Physicians 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004980572 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 1004980674 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 2271 0 0 0 0 0 0 0 0 0 0 0 0 0 2271 0 0 1004980690 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 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 19357 0 0 0 0 0 0 0 0 0 0 0 0 0 19357 0 0 1004980747 86 Clinical Social Worker(Encounter Only) 57 Lake 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 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 0 145 0 0 0 0 0 0 145 0 0 1004981502 1700141009 10 Physicians ZIDOW ANDREW J 999999999 15 Bureau 0 1 General Practice 0 0 0 0 20 0 0 0 0 0 0 5 0 44 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 6 0 78 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 6 0 78 0 0 0 0 0 0 0 0 0 2323 0 0 0 0 0 0 156 0 2855 0 0 0 0 0 0 5334 0 0 1004981769 1467743302 10 Physicians PANDE ANUPAM S 999999999 80 Peoria 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 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 0 112 0 0 0 0 0 0 112 0 0 1004981776 1760554869 11 Dentists THAKKAR JIGNA 999999999 53 Kane 0 0 General Dentistry 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 224 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 224 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 9584 0 0 0 0 0 0 0 0 0 0 0 752 0 0 0 0 10336 0 0 1004981940 1497891683 10 Physicians PATEL RUJUTA 999999999 80 Peoria 0 0 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 0 221 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 2148 0 0 0 0 0 0 2148 0 0 1004982133 92 Waiver service provider--Disability (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5475 0 0 0 0 0 0 0 0 0 0 0 0 0 5475 0 0 1004982147 1154876050 75 Department of Alcohol and Substance Abuse Provider THRESHOLDS 999999999 200 Cook 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 0 142 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 0 0 0 0 0 0 0 0 0 0 9762 0 0 9762 0 0 1004982400 1730323197 10 Physicians GUERRIERO REJEAN 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 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 1116 0 0 0 0 0 0 1116 0 0 1004982739 1669634770 10 Physicians FADIA SHRUTI 999999999 63 Macon 0 0 0 0 0 0 2 0 0 0 0 0 0 5 0 19 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 9 0 30 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 9 0 30 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 18 0 884 0 0 0 0 0 0 914 0 0 1004982770 1639523921 16 Nurse Practitioners PLUE JENNIFER P. 999999999 80 Peoria 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 1149 0 0 0 0 0 0 0 0 4122 0 0 0 0 0 0 5271 0 0 1004982789 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 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1004982893 1821166059 89 Physician Assistant Only(Encounter Only) OEHLER JASON 999999999 30 DuPage 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 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 0 963 0 0 0 0 0 0 963 0 0 1004983033 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5917 0 0 0 0 0 0 0 0 0 0 0 0 0 5917 0 0 1004983063 1396023412 10 Physicians ELS DENA 999999999 200 Cook 0 0 Anesthesiology 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 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 4871 0 0 0 0 0 0 4871 0 0 1004983064 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 28200 0 0 0 0 0 0 0 0 0 0 0 0 0 28200 0 0 1004983208 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 784 0 0 0 0 0 0 0 0 0 0 0 0 0 784 0 0 1004983213 1568705333 10 Physicians MCDANIEL LEVI T 999999999 101 Wabash 0 1 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 8 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 407 0 0 0 0 0 0 442 0 0 1004983297 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 0 300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24202 0 0 0 0 0 0 0 0 0 0 0 0 0 24202 0 0 1004983324 10 Physicians 200 Cook 0 0 Clinical Pathology 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 22 0 0 1004983863 16 Nurse Practitioners 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 49 0 0 1004983913 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 0 523 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 0 0 0 0 0 0 0 0 0 0 0 0 60484 0 0 0 0 0 0 0 0 0 0 0 0 0 60484 0 0 1004984167 1962861187 16 Nurse Practitioners RICHARDS MORGAN 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120 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 4454 0 0 0 0 0 0 4454 0 0 1004984452 1790074425 10 Physicians JACOBSON RYAN 999999999 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 134 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 0 877 0 0 0 0 0 0 877 0 0 1004984563 1740572247 10 Physicians STACKNIK CATHERINE 999999999 836 Ohio 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 0 143 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 2398 0 0 0 0 0 0 2398 0 0 1004984629 10 Physicians 89 Rock Island 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 1004984659 1952368557 10 Physicians SULLIVAN JOHN P 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 59 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 877 0 0 0 0 0 0 0 0 877 0 0 1004985475 1225581192 12 Optometrists KHALIL DEANNA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 176 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 5549 0 0 0 0 0 0 5549 0 0 1004985589 1588926984 10 Physicians COHEN STACY 999999999 200 Cook 0 0 Dermatology 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 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 0 384 0 0 0 0 0 0 384 0 0 1004985604 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 0 240 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 25920 0 0 0 0 0 0 0 0 0 0 0 0 0 25920 0 0 1004985657 1659671675 10 Physicians GOMBERAWALLA AMEER 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 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 3640 0 0 0 0 0 0 3640 0 0 1004985668 1366893315 16 Nurse Practitioners MUENCH KATIE F 999999999 53 Kane 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 0 107 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 1356 0 0 0 0 0 0 1356 0 0 1004985803 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 0 300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29150 0 0 0 0 0 0 0 0 0 0 0 0 0 29150 0 0 1004986087 4004986087 71 Medicar Provider GREATER CHICAGO TRANSIT 999999999 200 Cook 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 2661 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2661 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27664 0 0 0 0 0 0 27664 0 0 1004986148 1386820439 10 Physicians JONES GEORGE ALEXANDER 999999999 53 Kane 0 0 Neurology Surgery 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 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 0 963 0 0 0 0 0 0 963 0 0 1004986217 92 Waiver service provider--Disability (DHS/DRS) 88 Richland 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 16876 0 0 0 0 0 0 0 0 0 0 0 0 0 16876 0 0 1004986220 1144203753 10 Physicians KABBANI HAIDAR 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1787 0 0 0 0 0 0 1787 0 0 1004986310 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 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11437 0 0 0 0 0 0 0 0 0 0 0 0 0 11437 0 0 1004986313 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 47073 0 0 0 0 0 0 0 0 0 0 0 0 0 47073 0 0 1004986551 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 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 8967 0 0 0 0 0 0 0 0 0 0 0 0 0 8967 0 0 1004986717 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 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17884 0 0 0 0 0 0 0 0 0 0 0 0 0 17884 0 0 1004986732 1902139173 10 Physicians CARLSON DUSTIN A. 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 1479 0 0 0 0 0 0 1479 0 0 1004987071 1003360272 11 Dentists LIN SHAWN 999999999 816 Iowa 0 0 General Dentistry 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 507 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 507 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 27268 0 0 0 0 0 0 0 0 0 0 0 3996 0 0 0 0 31264 0 0 1004987127 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8839 0 0 0 0 0 0 0 0 0 0 0 0 0 8839 0 0 1004987325 1659639599 89 Physician Assistant Only(Encounter Only) KIRKENMEIER KOLETTE A 999999999 80 Peoria 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 1221 0 0 0 0 0 0 1253 0 0 1004987431 1720241672 10 Physicians RAINS ALLISON CARTER 999999999 65 Madison 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 0 286 0 0 0 0 0 0 286 0 0 1004987950 1225050032 60 Pharmacies CVS PHARMACY #16361 606472019 200 Cook 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 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11005 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14876 0 0 0 14876 0 0 1004988071 1003266958 11 Dentists GATTUSO FRANCESCA JESSICA 999999999 200 Cook 0 0 General Dentistry 0 0 0 386 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2582 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2582 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68860 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68860 0 0 1004988072 1225104169 10 Physicians KOVAC CHRISTINE 999999999 836 Ohio 0 0 0 0 0 0 0 0 0 0 0 0 0 111 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 222 0 201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 222 0 201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9187 0 9048 0 0 0 0 0 0 18235 0 0 1004988318 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2744 0 0 0 0 0 0 0 0 0 0 0 0 0 2744 0 0 1004988605 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 27600 0 0 0 0 0 0 0 0 0 0 0 0 0 27600 0 0 1004988664 1265874838 10 Physicians CHANDRASEKARAN VINODKUMAR 999999999 19 Champaign 0 0 Internal Medicine 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 0 226 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 3514 0 0 0 0 0 0 3514 0 0 1004988706 1639490170 10 Physicians NEVEU MELISSA 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 355 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 924 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 924 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12428 0 621 0 0 0 0 0 0 13049 0 0 1004988755 1285668723 89 Physician Assistant Only(Encounter Only) LARSON CHRISTINE E 999999999 80 Peoria 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 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 0 727 0 0 0 0 0 0 727 0 0 1004988771 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 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 0 513 0 0 0 0 0 0 0 0 0 0 0 0 0 513 0 0 1004989145 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19275 0 0 0 0 0 0 0 0 0 0 0 0 0 19275 0 0 1004989430 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 0 161 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 24705 0 0 0 0 0 0 0 0 0 0 0 0 0 24705 0 0 1004989431 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 4199 0 0 0 0 0 0 0 0 0 0 0 0 0 4199 0 0 1004989605 1356732101 89 Physician Assistant Only(Encounter Only) SCHROCK BRIAN A. 999999999 72 McLean 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 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1911 0 0 0 0 0 0 1911 0 0 1004989693 1487013686 75 Department of Alcohol and Substance Abuse Provider "TASC, INC." 606081131 200 Cook 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 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 2009 0 0 2009 0 0 1004989763 1447419320 10 Physicians SNYDER JASON A 999999999 47 Jackson 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 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 2385 0 0 0 0 0 0 2385 0 0 1004989774 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 8963 0 0 0 0 0 0 0 0 0 0 0 0 0 8963 0 0 1004989874 1710312012 89 Physician Assistant Only(Encounter Only) SMITH IMELDA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4425 0 0 0 0 0 0 4425 0 0 1004990136 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 0 181 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 13761 0 0 0 0 0 0 0 0 0 0 0 0 0 13761 0 0 1004990160 92 Waiver service provider--Disability (DHS/DRS) 30 DuPage 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 8069 0 0 0 0 0 0 0 0 0 0 0 0 0 8069 0 0 1004990281 1487197356 16 Nurse Practitioners HOTOPP MARJORIE B 999999999 109 Winnebago 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 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 7553 0 0 0 0 0 0 7553 0 0 1004990367 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 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 17152 0 0 0 0 0 0 0 0 0 0 0 0 0 17152 0 0 1004990640 1871985374 75 Department of Alcohol and Substance Abuse Provider EVA MAE RECOVERY HOPE INC. 999999999 200 Cook 0 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 0 751 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 0 0 0 0 0 0 0 0 0 0 0 0 55174 0 0 55174 0 0 1004990855 92 Waiver service provider--Disability (DHS/DRS) 60 Lee 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 58 0 0 1004991227 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 0 259 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 29062 0 0 0 0 0 0 0 0 0 0 0 0 0 29062 0 0 1004991305 23 Occupational Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2182 2182 0 0 1004991450 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 212 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 212 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18593 0 0 0 0 0 0 0 0 0 0 0 0 0 18593 0 0 1004991492 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 13719 0 0 0 0 0 0 0 0 0 0 0 0 0 13719 0 0 1004991812 1588807549 10 Physicians DUNN CASEY R 999999999 200 Cook 0 0 Neurology 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 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 1423 0 0 0 0 0 0 1423 0 0 1004991950 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 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 24111 0 0 0 0 0 0 0 0 0 0 0 0 0 24111 0 0 1004992178 1548283450 10 Physicians KOZOWER BENJAMIN 999999999 65 Madison 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 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 4955 0 0 0 0 0 0 4955 0 0 1004992375 1467890657 16 Nurse Practitioners BASCIANO CODY 999999999 53 Kane 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 0 124 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 1375 0 0 0 0 0 0 1375 0 0 1004992512 1457318701 30 General Hospitals NORTHWEST COMMUNITY HOSPITAL - 600052349 200 Cook DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 General Hospital - Adult and Child 0 0 6 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 996 0 0 0 0 0 0 0 0 0 0 7957 0 0 0 0 0 0 0 209387 0 0 0 0 0 0 0 0 0 217344 0 0 1004992908 1265608186 10 Physicians LUTSI BRANT J 999999999 200 Cook 0 0 Internal Medicine 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 0 145 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 4070 0 0 0 0 0 0 4070 0 0 1004993169 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 26391 0 0 0 0 0 0 0 0 0 0 0 0 0 26391 0 0 1004993204 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 0 364 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 29728 0 0 0 0 0 0 0 0 0 0 0 0 0 29728 0 0 1004993478 1467899328 10 Physicians MCGREGOR MARY CLARE 999999999 80 Peoria 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 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 47 0 0 0 0 0 0 47 0 0 1004993710 1952777088 16 Nurse Practitioners CAMPBELL CHARLES 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 458 0 0 0 0 0 0 458 0 0 1004993755 1205293107 16 Nurse Practitioners HANCOCK RACHEL E 999999999 91 Sangamon 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 0 0 410 0 0 0 0 0 0 514 0 0 1004993811 10 Physicians 65 Madison 0 0 Radiology Diagnosis 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 0 164 0 0 0 0 0 0 0 0 164 0 0 1004993921 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 24665 0 0 0 0 0 0 0 0 0 0 0 0 0 24665 0 0 1004994189 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 21970 0 0 0 0 0 0 0 0 0 0 0 0 0 21970 0 0 1004994503 1053749135 16 Nurse Practitioners ANDERSON KARLA 999999999 200 Cook 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 0 112 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 1476 0 0 0 0 0 0 1476 0 0 1004994716 1003361114 60 Pharmacies GENESIS FIRSTMED PHARMACY 999999999 74 Mercer 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 0 501 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16006 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31580 0 0 0 31580 0 0 1004995014 1528377108 89 Physician Assistant Only(Encounter Only) KAPUT CARLY M 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 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 1489 0 0 0 0 0 0 1489 0 0 1004995164 1073760716 16 Nurse Practitioners CARMACK LESLIE M 999999999 80 Peoria 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 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 0 348 0 0 0 0 0 0 348 0 0 1004995511 1093266108 16 Nurse Practitioners NEUDORF AMANDA 999999999 80 Peoria 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 1906 0 0 0 0 0 0 1941 0 0 1004995575 1609192277 10 Physicians KAVALI PAVAN K 999999999 826 Missouri 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 6 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 1428 0 0 0 0 0 0 1445 0 0 1004995593 10 Physicians 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 1848 0 0 0 0 0 0 1919 0 0 1004995808 1134593635 16 Nurse Practitioners DIAZ DARLEEN 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 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 1934 0 0 0 0 0 0 1934 0 0 1004995866 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 12629 0 0 0 0 0 0 0 0 0 0 0 0 0 12629 0 0 1004995955 1831552884 16 Nurse Practitioners NWOKEJI ROSELINE C 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 357 0 0 0 0 0 0 357 0 0 1004996472 1649536582 10 Physicians CHAE CHRISTINA S 999999999 200 Cook 0 0 Anesthesiology 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 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 3009 0 0 0 0 0 0 3009 0 0 1004996654 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 0 245 0 0 0 0 0 0 245 0 0 1004996675 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 0 192 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 28314 0 0 0 0 0 0 0 0 0 0 0 0 0 28314 0 0 1004996809 1699229369 16 Nurse Practitioners STERN JASON C 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1729 0 0 0 0 0 0 1729 0 0 1004996905 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 0 252 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 47174 0 0 0 0 0 0 0 0 0 0 0 0 0 47174 0 0 1004996929 1871817502 10 Physicians MADSEN ERIK 999999999 10 Adams 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 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 2646 0 0 0 0 0 0 2646 0 0 1004997339 1245679240 10 Physicians NGUYEN KHANH T 999999999 30 DuPage 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 0 184 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 1759 0 0 0 0 0 0 1759 0 0 1004997411 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 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 21824 0 0 0 0 0 0 0 0 0 0 0 0 0 21824 0 0 1004997591 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 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 16639 0 0 0 0 0 0 0 0 0 0 0 0 0 16639 0 0 1004997640 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 0 478 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 478 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17539 0 0 0 0 0 0 0 0 0 0 0 0 0 17539 0 0 1004997682 1235471327 10 Physicians CHAUS FARAH M 999999999 200 Cook 0 0 Family Practice 0 0 0 0 7 0 0 0 0 0 0 8 0 142 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 10 0 331 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 10 0 331 0 0 0 0 0 0 0 0 0 415 0 0 0 0 0 0 82 0 5624 0 0 0 0 0 0 6121 0 0 1004997856 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 2201 0 0 0 0 0 0 0 0 0 0 0 0 0 2201 0 0 1004998258 1710208798 10 Physicians HENRY JULIA M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5643 0 0 0 0 0 0 5643 0 0 1004998316 4004998316 90 Waiver service provider--Elderly (DOA) "HELP AT HOME, LLC" 999999999 200 Cook 0 0 0 0 0 0 0 0 2300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300501 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300501 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36991583 0 0 0 0 0 0 0 0 0 0 0 0 0 36991583 0 0 1004998370 1619321015 16 Nurse Practitioners FORD MOLLY E 999999999 47 Jackson 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 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 1690 0 0 0 0 0 0 1690 0 0 1004998873 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 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 0 126 126 0 0 1004998915 10 Physicians 30 DuPage 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1004999002 1285945667 10 Physicians TABAKA COURTNEY A 606313716 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 241 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 965 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 965 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 23927 0 0 0 0 0 0 23935 0 0 1004999152 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24687 0 0 0 0 0 0 0 0 0 0 0 0 0 24687 0 0 1004999386 1013389261 16 Nurse Practitioners GLENN CHRISTOPHER 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 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 1270 0 0 0 0 0 0 1270 0 0 1004999492 1629439815 16 Nurse Practitioners CALEY JULIE 999999999 200 Cook 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 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2696 0 0 0 0 0 0 2696 0 0 1004999511 1174818272 13 Podiatrists THORUD JAKOB C 999999999 96 St Clair 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 0 163 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 1040 0 0 0 0 0 0 1040 0 0 1004999761 1083957088 13 Podiatrists ELLIOTT EDWARD C 999999999 82 Piatt 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 0 420 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 420 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5590 0 0 0 0 0 0 5590 0 0 1004999789 1437505823 16 Nurse Practitioners RECKAMP LAURA A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 415 0 0 0 0 0 0 415 0 0 1005000007 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 19531 0 0 0 0 0 0 0 0 0 0 0 0 0 19531 0 0 1005000152 1174978696 16 Nurse Practitioners SCHNOES NICOLE 999999999 53 Kane 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 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 0 995 0 0 0 0 0 0 995 0 0 1005000521 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 31970 0 0 0 0 0 0 0 0 0 0 0 0 0 31970 0 0 1005000664 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2562 0 0 0 0 0 0 0 0 0 0 0 0 0 2562 0 0 1005000781 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 0 132 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 12458 0 0 0 0 0 0 0 0 0 0 0 0 0 12458 0 0 1005000983 1477764504 10 Physicians MILLER ANNA 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4104 0 0 0 0 0 0 4104 0 0 1005000994 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 17264 0 0 0 0 0 0 0 0 0 0 0 0 0 17264 0 0 1005001098 10 Physicians 51 Jo Daviess 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 99 0 0 0 0 0 0 99 0 0 1005001119 1366881567 10 Physicians SZAFRANSKI KARL 999999999 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 420 0 0 0 0 0 0 420 0 0 1005001370 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 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42641 0 0 0 0 0 0 0 0 0 0 0 0 0 42641 0 0 1005001379 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 12194 0 0 0 0 0 0 0 0 0 0 0 0 0 12194 0 0 1005001488 1942550272 89 Physician Assistant Only(Encounter Only) SPILLER NATALIE 999999999 96 St Clair 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 188 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 2610 0 0 0 0 0 0 2610 0 0 1005001599 1144603929 11 Dentists ALKHAWAJA MUSTAFA 999999999 53 Kane 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 353 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 353 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9914 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9914 0 0 1005001930 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 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16928 0 0 0 0 0 0 0 0 0 0 0 0 0 16928 0 0 1005002021 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 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 3098 0 0 0 0 0 0 0 0 0 0 0 0 0 3098 0 0 1005002235 1558384834 60 Pharmacies CVS PHARMACY #16869 622697277 96 St Clair 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 0 408 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12682 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14096 0 0 0 14096 0 0 1005002265 1811155278 10 Physicians WILKERSON MARYLOUISE K 999999999 200 Cook 0 0 Pediatrics 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 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 6912 0 0 0 0 0 0 6912 0 0 1005002772 10 Physicians 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005002877 1205178381 10 Physicians DAHLEM ANDREW M 999999999 200 Cook 0 0 General Practice 0 0 0 0 0 0 0 0 0 0 0 2 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 18 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 1005003006 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 0 980 0 0 0 0 0 0 0 0 0 0 0 0 0 980 0 0 1005003188 1306868112 60 Pharmacies CVS PHARMACY #16229 600742817 200 Cook 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 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2284 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3547 0 0 0 3547 0 0 1005003416 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 0 358 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 30272 0 0 0 0 0 0 0 0 0 0 0 0 0 30272 0 0 1005003444 10 Physicians 823 Michigan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 106 0 0 1005003460 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 6535 0 0 0 0 0 0 0 0 0 0 0 0 0 6535 0 0 1005003481 92 Waiver service provider--Disability (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3858 0 0 0 0 0 0 0 0 0 0 0 0 0 3858 0 0 1005003793 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 0 316 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 316 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25355 0 0 0 0 0 0 0 0 0 0 0 0 0 25355 0 0 1005004138 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 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17779 0 0 0 0 0 0 0 0 0 0 0 0 0 17779 0 0 1005004194 1518315514 10 Physicians MATAYA LESLIE A 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 7074 0 0 0 0 0 0 7074 0 0 1005004365 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16254 0 0 0 0 0 0 0 0 0 0 0 0 0 16254 0 0 1005004436 1598212110 16 Nurse Practitioners PATEL SNEHA P 999999999 200 Cook 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 0 649 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 649 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5397 0 0 0 0 0 0 5397 0 0 1005004540 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 4110 0 0 0 0 0 0 0 0 0 0 0 0 0 4110 0 0 1005004653 1619335098 75 Department of Alcohol and Substance Abuse Provider "TASC, INC." 606124207 200 Cook 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 1715 0 0 1715 0 0 1005004899 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 147 0 0 0 0 0 0 147 0 0 1005005261 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 18849 0 0 0 0 0 0 0 0 0 0 0 0 0 18849 0 0 1005005613 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 131 0 0 0 0 0 0 131 0 0 1005005824 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 1467 0 0 0 0 0 0 0 0 0 0 0 0 0 1467 0 0 1005005832 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 6835 0 0 0 0 0 0 0 0 0 0 0 0 0 6835 0 0 1005005887 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30266 0 0 0 0 0 0 0 0 0 0 0 0 0 30266 0 0 1005005948 1255683074 89 Physician Assistant Only(Encounter Only) WOLF ARIELLE 999999999 24 Coles 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 0 127 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 5241 0 0 0 0 0 0 5241 0 0 1005006111 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 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11280 0 0 0 0 0 0 0 0 0 0 0 0 0 11280 0 0 1005006131 1265871834 10 Physicians SANDERS ERICKA 999999999 200 Cook 0 0 General Practice 0 0 0 0 7 0 0 0 0 0 0 3 0 59 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 3 0 86 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 3 0 86 0 0 0 0 0 0 0 0 0 508 0 0 0 0 0 0 5 0 1342 0 0 0 0 0 0 1855 0 0 1005006170 1528157492 10 Physicians DAVIS MATTHEW M 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 8 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 1162 0 0 0 0 0 0 0 0 711 0 0 0 0 0 0 1873 0 0 1005006710 1558383349 60 Pharmacies CVS PHARMACY #16284 605403914 30 DuPage 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 0 113 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 0 0 0 0 0 2773 0 0 0 2773 0 0 1005006715 1417305970 60 Pharmacies HEALTHDIRECT INSTITUTIONAL PHA 629595818 108 Williamson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 800 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17518 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 478316 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244343 0 0 0 244343 0 0 1005006835 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 0 118 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 8666 0 0 0 0 0 0 0 0 0 0 0 0 0 8666 0 0 1005006905 1053747816 89 Physician Assistant Only(Encounter Only) BROOKS SARAH 999999999 30 DuPage 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 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 0 695 0 0 0 0 0 0 695 0 0 1005006915 1245611706 16 Nurse Practitioners WUEST MAUREEN 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 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 0 876 0 0 0 0 0 0 876 0 0 1005007033 1649606179 10 Physicians JUNIA CHRISTINE 999999999 53 Kane 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 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 954 0 0 0 0 0 0 954 0 0 1005007291 1962790022 10 Physicians AOUHAB ZINEB 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 1449 0 0 0 0 0 0 1468 0 0 1005007299 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32308 0 0 0 0 0 0 0 0 0 0 0 0 0 32308 0 0 1005007824 1043232853 60 Pharmacies CVS PHARMACY #17575 601152051 27 Dekalb 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 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9213 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9159 0 0 0 9159 0 0 1005008047 1518918879 10 Physicians CHOW MAY 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 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 0 238 0 0 0 0 0 0 238 0 0 1005008099 1528354842 10 Physicians CAVALLO ALLISON B 999999999 200 Cook 0 0 Clinical Pathology 0 0 0 0 0 0 0 0 0 0 0 1026 0 166 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8095 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8095 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27727 0 1143 0 0 0 0 0 0 28870 0 0 1005008189 1083640361 10 Physicians ITANI OUSSAMA 999999999 200 Cook 0 0 Pediatrics 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 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 4123 0 0 0 0 0 0 4123 0 0 1005008266 1326067950 10 Physicians PAVEL CARL 999999999 63 Macon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2146 0 0 0 0 0 0 2146 0 0 1005008309 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 1737 0 0 0 0 0 0 0 0 0 0 0 0 0 1737 0 0 1005008320 1710338389 55 Early Intervention Services SPIELMAN LORI D 999999999 40 Grundy 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 0 172 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 9376 0 0 0 0 0 0 9376 0 0 1005009015 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 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15552 0 0 0 0 0 0 0 0 0 0 0 0 0 15552 0 0 1005009036 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 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 53555 0 0 0 0 0 0 0 0 0 0 0 0 0 53555 0 0 1005009061 10 Physicians 97 Stephenson 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005009159 1114934759 89 Physician Assistant Only(Encounter Only) BALLINGER KEITH 999999999 24 Coles 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 161 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 161 0 0 0 0 0 0 0 0 0 573 0 0 0 0 0 0 0 0 2390 0 0 0 0 0 0 2963 0 0 1005009289 1558714154 16 Nurse Practitioners JOOS ELISE M 999999999 80 Peoria 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 0 0 1862 0 0 0 0 0 0 1966 0 0 1005009473 1144532607 10 Physicians ROSEN DAVID A 999999999 88 Richland 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 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 0 723 0 0 0 0 0 0 723 0 0 1005009496 1336508795 10 Physicians KHAN RUHEENA 999999999 200 Cook 0 0 Family Practice 0 0 0 0 11 0 0 0 0 0 0 1 0 45 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 1 0 73 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 1 0 73 0 0 0 0 0 0 0 0 0 496 0 0 0 0 0 0 15 0 2410 0 0 0 0 0 0 2921 0 0 1005009592 1144683020 36 Community mental health provider AID DIAMOND II 999999999 55 Kendall 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 483 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 483 0 0 4277 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52048 0 0 56325 0 0 1005009672 1750471595 89 Physician Assistant Only(Encounter Only) CRANICK TARAH 999999999 47 Jackson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 132 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 139 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 3616 0 0 0 0 0 0 3616 0 0 1005009737 1407390644 91 Waiver service provider--Adults (DHS/DDD) MACAK NICHOLAS A 999999999 107 Will 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 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17437 0 0 17437 0 0 1005010446 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 18517 0 0 0 0 0 0 0 0 0 0 0 0 0 18517 0 0 1005010593 1285738500 89 Physician Assistant Only(Encounter Only) MORRISON SHERRI 999999999 82 Piatt 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 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 1277 0 0 0 0 0 0 1277 0 0 1005010715 1922389089 89 Physician Assistant Only(Encounter Only) MARSHALL ANNE K 999999999 19 Champaign 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 112 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 112 0 0 0 0 0 0 0 0 0 1749 0 0 0 0 0 0 0 0 2945 0 0 0 0 0 0 4694 0 0 1005010896 10 Physicians 42 Hancock 0 0 Emergency 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 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 0 146 0 0 0 0 0 0 146 0 0 1005010898 4005010898 90 Waiver service provider--Elderly (DOA) "ACTIVE DAY IN, INC." 999999999 839 Pennsylvania 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 2944 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2944 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180161 0 0 0 0 0 0 0 0 0 0 0 0 0 180161 0 0 1005010936 1891019196 89 Physician Assistant Only(Encounter Only) DUPITON SABINE D 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 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 1005010959 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 197 0 0 0 0 0 0 197 0 0 1005011029 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 47 0 0 1005011085 1376723700 16 Nurse Practitioners MORGAN ROBERT B 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 0 209 0 0 0 0 0 0 209 0 0 1005011125 1356310825 16 Nurse Practitioners KING ALEXIS D 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 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 0 278 0 0 0 0 0 0 278 0 0 1005011168 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 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 4082 0 0 0 0 0 0 0 0 0 0 0 0 0 4082 0 0 1005011261 1336556083 12 Optometrists MEHTA MAANCY 999999999 200 Cook 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 0 0 0 0 0 1494 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1494 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18105 0 0 0 0 0 0 18105 0 0 1005011730 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 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 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 1005012006 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 21251 0 0 0 0 0 0 0 0 0 0 0 0 0 21251 0 0 1005012347 1215959028 60 Pharmacies CVS PHARMACY #16412 601485529 30 DuPage 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 0 274 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12962 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20326 0 0 0 20326 0 0 1005012423 1710266655 10 Physicians RAI SWARNA P 999999999 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6230 0 0 0 0 0 0 6230 0 0 1005012476 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 16464 0 0 0 0 0 0 0 0 0 0 0 0 0 16464 0 0 1005012768 1891758678 50 Home Health Agencies - In Home HSHS HOME CARE SOUTHERN ILLINO 624012166 33 Effingham 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 0 745 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 745 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64372 0 0 0 0 0 0 64372 0 0 1005013128 1396190666 16 Nurse Practitioners SCHIOPU MICHELLE 999999999 53 Kane 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 21 0 0 0 0 0 0 21 0 0 1005013131 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 22211 0 0 0 0 0 0 0 0 0 0 0 0 0 22211 0 0 1005013268 91 Waiver service provider--Adults (DHS/DDD) 61 Livingston 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 0 239 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 41742 0 0 0 0 0 0 0 0 0 0 0 0 0 41742 0 0 1005013370 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 12427 0 0 0 0 0 0 0 0 0 0 0 0 0 12427 0 0 1005013937 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 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 5844 0 0 0 0 0 0 0 0 0 0 0 0 0 5844 0 0 1005013956 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 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 11578 0 0 0 0 0 0 0 0 0 0 0 0 0 11578 0 0 1005014322 1871552885 10 Physicians BHATT MANEESHA 999999999 19 Champaign 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 144 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 186 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 186 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4372 0 152 0 0 0 0 0 0 4524 0 0 1005014378 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 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 14257 0 0 0 0 0 0 0 0 0 0 0 0 0 14257 0 0 1005014541 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 33545 0 0 0 0 0 0 0 0 0 0 0 0 0 33545 0 0 1005014777 1245599489 10 Physicians VALASSIS DOUG T. 999999999 200 Cook 0 0 Emergency Medicine 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 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 3148 0 0 0 0 0 0 3148 0 0 1005014808 1366806838 16 Nurse Practitioners FAIRES KILEY M 999999999 200 Cook 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 0 110 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 1921 0 0 0 0 0 0 1921 0 0 1005014836 1669818415 16 Nurse Practitioners DARIN-MESSMER ASHLEY E 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 104 0 0 1005014874 1033666789 16 Nurse Practitioners WOJCIAK THERESA M 999999999 53 Kane 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 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 0 483 0 0 0 0 0 0 483 0 0 1005014938 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 326 0 0 0 0 0 0 0 0 0 0 0 0 0 326 0 0 1005014975 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 0 240 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 28135 0 0 0 0 0 0 0 0 0 0 0 0 0 28135 0 0 1005015058 1497097893 10 Physicians MORKER SUJATA A 999999999 53 Kane 0 0 Internal Medicine 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 0 218 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 4324 0 0 0 0 0 0 4324 0 0 1005015112 16 Nurse Practitioners 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005015115 1356897946 91 Waiver service provider--Adults (DHS/DDD) TAYLOR KARI 999999999 30 DuPage 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 0 459 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 459 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56294 0 0 0 0 0 0 0 0 0 0 0 0 0 56294 0 0 1005015121 1336539980 16 Nurse Practitioners MOSER ALLISON K 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 795 0 0 0 0 0 0 795 0 0 1005015217 1659718278 10 Physicians LIANG ROLAND 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1466 0 0 0 0 0 0 1466 0 0 1005015454 1275076028 28 Waiver service provider--Supportive living facility (HFS) PONTIAC SUPPORTIVE LIVING 999999999 61 Livingston 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 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2876 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 240300 0 0 0 0 0 0 0 0 0 0 0 0 0 240300 0 0 1005015505 92 Waiver service provider--Disability (DHS/DRS) 49 Jefferson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 21277 0 0 0 0 0 0 0 0 0 0 0 0 0 21277 0 0 1005015631 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 186 0 0 0 0 0 0 186 0 0 1005015637 91 Waiver service provider--Adults (DHS/DDD) 826 Missouri 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 278 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 0 0 0 0 0 0 0 0 0 0 0 0 27263 0 0 0 0 0 0 0 0 0 0 0 0 0 27263 0 0 1005015873 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 8277 0 0 0 0 0 0 0 0 0 0 0 0 0 8277 0 0 1005015890 1770528374 89 Physician Assistant Only(Encounter Only) BRILES ANDREA 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 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 2067 0 0 0 0 0 0 2067 0 0 1005016117 1144678905 16 Nurse Practitioners BRANCH LARINA 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 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 0 240 0 0 0 0 0 0 240 0 0 1005016915 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 19619 0 0 0 0 0 0 0 0 0 0 0 0 0 19619 0 0 1005016990 1912333675 89 Physician Assistant Only(Encounter Only) MOHAN SHENA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1194 0 0 0 0 0 0 1194 0 0 1005017018 1154600104 10 Physicians LANEY ERNEST J 999999999 63 Macon 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 139 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 179 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 179 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13737 0 352 0 0 0 0 0 0 14089 0 0 1005017396 91 Waiver service provider--Adults (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 22701 0 0 0 0 0 0 0 0 0 0 0 0 0 22701 0 0 1005017466 1609223304 16 Nurse Practitioners LAMBERT DEANNA MICHAELEEN 999999999 63 Macon 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 0 101 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 0 601 0 0 0 0 0 0 601 0 0 1005017601 1053308825 10 Physicians JOHNSON ROBERT C 999999999 10 Adams 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 0 153 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 1100 0 0 0 0 0 0 1100 0 0 1005017803 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 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 9749 0 0 0 0 0 0 0 0 0 0 0 0 0 9749 0 0 1005018291 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 0 358 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 24980 0 0 0 0 0 0 0 0 0 0 0 0 0 24980 0 0 1005018344 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 6517 0 0 0 0 0 0 0 0 0 0 0 0 0 6517 0 0 1005018735 1790118586 16 Nurse Practitioners KOVALASKE ANASTASIA 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 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 1582 0 0 0 0 0 0 1582 0 0 1005018756 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 18089 0 0 0 0 0 0 0 0 0 0 0 0 0 18089 0 0 1005018919 92 Waiver service provider--Disability (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 27977 0 0 0 0 0 0 0 0 0 0 0 0 0 27977 0 0 1005018964 1679914675 10 Physicians HAMMEL MITCHELL 999999999 82 Piatt 0 0 0 0 0 0 10 0 0 0 0 0 0 16 0 61 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 53 0 156 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 53 0 156 0 0 0 0 0 0 0 0 0 795 0 0 0 0 0 0 406 0 4547 0 0 0 0 0 0 5748 0 0 1005019467 1508256561 33 Nursing Facilities TRANSITIONAL CARE OF ARLINGTON 999999999 200 Cook 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 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 429 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005019537 1851684203 10 Physicians MANCHIKANTI KAVITA N 999999999 63 Macon 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 159 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 451 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 451 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 143 0 3355 0 0 0 0 0 0 3498 0 0 1005019576 16 Nurse Practitioners 30 DuPage 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 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 0 474 0 0 0 0 0 0 474 0 0 1005019579 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8001 0 0 0 0 0 0 0 0 0 0 0 0 0 8001 0 0 1005019836 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33113 0 0 0 0 0 0 0 0 0 0 0 0 0 33113 0 0 1005020445 1508009416 10 Physicians ZEGREAN ANCA I 999999999 200 Cook 0 0 Internal Medicine 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 0 825 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 825 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16175 0 0 0 0 0 0 16175 0 0 1005020540 1346262490 89 Physician Assistant Only(Encounter Only) JOSEPH ERIC 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 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 2063 0 0 0 0 0 0 2063 0 0 1005020951 1285013029 16 Nurse Practitioners THARP ANDREW P 999999999 80 Peoria 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2888 0 0 0 0 0 0 2888 0 0 1005021013 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 0 182 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 27783 0 0 0 0 0 0 0 0 0 0 0 0 0 27783 0 0 1005021213 10 Physicians 25 Crawford 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 51 0 0 1005021356 1790118370 89 Physician Assistant Only(Encounter Only) FORSBERG AMY 999999999 80 Peoria 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 0 559 0 0 0 0 0 0 559 0 0 1005021721 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38868 0 0 0 0 0 0 0 0 0 0 0 0 0 38868 0 0 1005021745 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 1005022001 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005022039 30 General Hospitals 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 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 0 606 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11849 0 0 0 0 0 11849 0 0 1005022392 1730316761 10 Physicians KELLY JEANNIE C 999999999 49 Jefferson 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 6 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 119 0 1258 0 0 0 0 0 0 1377 0 0 1005022982 1366717464 11 Dentists CHOLAKIAN SUSAN M 999999999 200 Cook 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 122 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 122 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 3656 0 0 0 0 0 0 0 0 0 0 0 888 0 0 0 0 4544 0 0 1005022984 10 Physicians 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 288 0 0 0 0 0 0 288 0 0 1005023300 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005023414 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 0 184 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 30225 0 0 0 0 0 0 0 0 0 0 0 0 0 30225 0 0 1005023677 1730585514 89 Physician Assistant Only(Encounter Only) FIRCH CARA L 999999999 106 Whiteside 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 0 108 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 1454 0 0 0 0 0 0 1454 0 0 1005023683 10 Physicians 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 78 0 0 0 0 0 0 78 0 0 1005023786 1568746907 89 Physician Assistant Only(Encounter Only) DENNY JEFFREY L 999999999 24 Coles 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 0 143 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 5105 0 0 0 0 0 0 5105 0 0 1005023998 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 34234 0 0 0 0 0 0 0 0 0 0 0 0 0 34234 0 0 1005024762 1689011439 10 Physicians SHU LAURA G 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 0 103 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 1942 0 0 0 0 0 0 1942 0 0 1005024953 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 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 12036 0 0 0 0 0 0 0 0 0 0 0 0 0 12036 0 0 1005024956 1225406119 89 Physician Assistant Only(Encounter Only) TOLOMEO VALERIE A 999999999 200 Cook 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 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 1536 0 0 0 0 0 0 1536 0 0 1005025137 4005025137 90 Waiver service provider--Elderly (DOA) "HELP AT HOME, LLC" 999999999 200 Cook 0 0 0 0 0 0 0 0 511 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38599 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38599 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3154413 0 0 0 0 0 0 0 0 0 0 0 0 0 3154413 0 0 1005025343 92 Waiver service provider--Disability (DHS/DRS) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 0 0 0 0 0 0 0 376 0 0 1005025530 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 6451 0 0 0 0 0 0 0 0 0 0 0 0 0 6451 0 0 1005025691 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 16386 0 0 0 0 0 0 0 0 0 0 0 0 0 16386 0 0 1005025859 1326337692 10 Physicians HAYES SEAN D 999999999 91 Sangamon 0 0 Internal Medicine 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 0 301 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 301 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2978 0 0 0 0 0 0 2978 0 0 1005025894 1972828291 10 Physicians ELIAS YOUSSEF 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 204 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63 0 379 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63 0 379 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 466 0 9072 0 0 0 0 0 0 9538 0 0 1005026060 24 Speech Therapists 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 73 73 0 0 1005026277 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1475 0 0 0 0 0 0 0 0 0 0 0 0 0 1475 0 0 1005026522 1124472196 16 Nurse Practitioners DODT DARAH R 999999999 24 Coles 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 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 0 680 0 0 0 0 0 0 680 0 0 1005026628 10 Physicians 63 Macon 0 0 0 0 0 0 0 0 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 3 0 0 0 0 0 0 0 0 3 0 0 1005026663 1831573021 60 Pharmacies HY-VEE PHARMACY #2 (1520) 999999999 80 Peoria 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 0 803 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28424 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30511 0 0 0 30511 0 0 1005026801 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3881 0 0 0 0 0 0 0 0 0 0 0 0 0 3881 0 0 1005027419 1831536572 10 Physicians GENOVESI BRIAN ALFRED 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2257 0 0 0 0 0 0 2257 0 0 1005027656 1699224873 16 Nurse Practitioners WEST KELLY 999999999 63 Macon 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 332 0 0 0 0 0 0 0 0 1401 0 0 0 0 0 0 1733 0 0 1005027817 1306188008 10 Physicians APPLESON TOVA NE''EMANA 999999999 91 Sangamon 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1017 0 0 0 0 0 0 1017 0 0 1005028003 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 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 26585 0 0 0 0 0 0 0 0 0 0 0 0 0 26585 0 0 1005028102 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 39119 0 0 0 0 0 0 0 0 0 0 0 0 0 39119 0 0 1005028105 16 Nurse Practitioners 109 Winnebago 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 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 0 274 0 0 0 0 0 0 274 0 0 1005028164 98 Waiver service provider--TBI (DHS/DRS) 27 Dekalb 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 8040 0 0 0 0 0 0 0 0 0 0 0 0 0 8040 0 0 1005028214 24 Speech Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2729 2729 0 0 1005028588 87 Psychologist(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 391 0 0 0 0 0 0 391 0 0 1005028598 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1681 0 0 0 0 0 0 0 0 0 0 0 0 0 1681 0 0 1005028771 98 Waiver service provider--TBI (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 29919 0 0 0 0 0 0 0 0 0 0 0 0 0 29919 0 0 1005028778 92 Waiver service provider--Disability (DHS/DRS) 17 Carroll 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 7947 0 0 0 0 0 0 0 0 0 0 0 0 0 7947 0 0 1005028838 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 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 0 734 0 0 0 0 0 0 0 0 0 0 0 0 0 734 0 0 1005028893 1811218381 10 Physicians MAHIEU MARY A 999999999 200 Cook 0 0 Internal Medicine 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 0 226 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 24013 0 0 0 0 0 0 24013 0 0 1005028995 1053481861 30 General Hospitals SSM HEALTH DEPAUL HOSPITAL ST 630442512 826 Missouri 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 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7064 0 0 0 0 0 0 0 0 0 7064 0 0 1005029191 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 1005029485 91 Waiver service provider--Adults (DHS/DDD) 30 DuPage 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 1825 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 0 0 0 0 0 0 0 0 0 0 0 0 354469 0 0 0 0 0 0 0 0 0 0 0 0 0 354469 0 0 1005029725 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 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 7719 0 0 0 0 0 0 0 0 0 0 0 0 0 7719 0 0 1005029879 10 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005030332 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 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 9340 0 0 0 0 0 0 0 0 0 0 0 0 0 9340 0 0 1005030344 1972872737 23 Occupational Therapists DEL RIO ANGELA T 999999999 200 Cook 0 0 0 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 0 342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28523 28523 0 0 1005030356 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 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 0 877 0 0 0 0 0 0 0 0 0 0 0 0 0 877 0 0 1005030496 1952704116 16 Nurse Practitioners QUERUBIN JANETTE 999999999 107 Will 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 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 0 966 0 0 0 0 0 0 966 0 0 1005030596 1851736268 10 Physicians VONFROLIO STEVEN K 999999999 30 DuPage 0 0 Internal Medicine 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 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 22 0 0 0 0 0 0 22 0 0 1005030767 1669494456 60 Pharmacies CVS PHARMACY #16277 600611555 57 Lake 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 0 157 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5595 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20387 0 0 0 20387 0 0 1005031040 1184070401 12 Optometrists RANDHAWA HARNEET K 999999999 200 Cook 0 0 Diagnostic Pharmaceutical Agents 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 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 0 944 0 0 0 0 0 0 944 0 0 1005031143 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 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 5918 0 0 0 0 0 0 0 0 0 0 0 0 0 5918 0 0 1005031276 1780069443 24 Speech Therapists TRIPPLE LONZIE 999999999 200 Cook 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 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 0 578 578 0 0 1005031372 1144533068 10 Physicians GADDIKERI SANTHOSH 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 520 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 712 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 712 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20059 0 291 0 0 0 0 0 0 20350 0 0 1005031403 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 0 199 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 28306 0 0 0 0 0 0 0 0 0 0 0 0 0 28306 0 0 1005031664 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 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28892 0 0 0 0 0 0 0 0 0 0 0 0 0 28892 0 0 1005031774 10 Physicians 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 416 0 0 0 0 0 0 416 0 0 1005031785 1730382268 86 Clinical Social Worker(Encounter Only) SHANAHAN AMY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107 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 2970 0 0 0 0 0 0 2970 0 0 1005031853 1700121001 89 Physician Assistant Only(Encounter Only) GOLD DONALD D 999999999 30 DuPage 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 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 1477 0 0 0 0 0 0 1477 0 0 1005031866 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1875 0 0 0 0 0 0 0 0 0 0 0 0 0 1875 0 0 1005032116 1891925996 10 Physicians ZWANG NICHOLAS A 999999999 200 Cook 0 0 Internal 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 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2800 0 0 0 0 0 0 2800 0 0 1005032726 1912295379 10 Physicians COTE VALERIE 999999999 200 Cook 0 0 Otolaryngology 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3527 0 0 0 0 0 0 3527 0 0 1005032779 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 87 0 0 0 0 0 0 87 0 0 1005032977 1891998019 10 Physicians TOMSON TODD T 999999999 53 Kane 0 0 Internal Medicine 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 0 290 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 3537 0 0 0 0 0 0 3537 0 0 1005033053 1194895821 89 Physician Assistant Only(Encounter Only) KUCHEFSKI ERIC 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 365 0 0 0 0 0 0 365 0 0 1005033121 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 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14655 0 0 0 0 0 0 0 0 0 0 0 0 0 14655 0 0 1005033125 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11793 0 0 0 0 0 0 0 0 0 0 0 0 0 11793 0 0 1005033314 1255560629 89 Physician Assistant Only(Encounter Only) ARTIME EMILY A 999999999 200 Cook 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 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3015 0 0 0 0 0 0 3015 0 0 1005033368 1508207507 10 Physicians BERI AABHA 999999999 200 Cook 0 0 General Practice 0 0 0 0 4 0 0 0 0 0 0 6 0 19 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 13 0 40 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 13 0 40 0 0 0 0 0 0 0 0 0 397 0 0 0 0 0 0 76 0 566 0 0 0 0 0 0 1039 0 0 1005033395 1043449770 10 Physicians PEREZ CHRISTIAN 999999999 815 Indiana 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 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 6148 0 0 0 0 0 0 6148 0 0 1005033537 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005033566 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 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 27378 0 0 0 0 0 0 0 0 0 0 0 0 0 27378 0 0 1005034074 1679933196 16 Nurse Practitioners TOTH MICHAEL A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1893 0 0 0 0 0 0 1893 0 0 1005034205 1912355991 24 Speech Therapists SMITH NICOLE 999999999 19 Champaign 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 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 2043 2043 0 0 1005034803 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 1005035189 1124468657 13 Podiatrists ALIANELLO NICHOLAS 999999999 200 Cook 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 0 667 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 667 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2448 0 0 0 0 0 0 2448 0 0 1005035216 1811211576 10 Physicians VON ZYCHLIN KARA E 999999999 200 Cook 0 0 Pediatrics 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 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 10393 0 0 0 0 0 0 10393 0 0 1005035232 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 4711 0 0 0 0 0 0 0 0 0 0 0 0 0 4711 0 0 1005035249 1437210499 10 Physicians MARTIN ARIBBE 999999999 200 Cook 0 0 Family Practice 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 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 0 899 0 0 0 0 0 0 899 0 0 1005035261 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 26878 0 0 0 0 0 0 0 0 0 0 0 0 0 26878 0 0 1005035781 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 96 0 0 1005036051 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22396 0 0 0 0 0 0 0 0 0 0 0 0 0 22396 0 0 1005036128 16 Nurse Practitioners 30 DuPage 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 47 0 0 0 0 0 0 47 0 0 1005036150 1568811495 11 Dentists MATHEW SINDHU 999999999 852 Wisconsin 0 0 General Dentistry 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 703 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 703 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21069 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21069 0 0 1005036344 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 20118 0 0 0 0 0 0 0 0 0 0 0 0 0 20118 0 0 1005036387 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 0 146 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 0 844 844 0 0 1005036563 1225337017 10 Physicians DIXIT KARAN S 999999999 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 519 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 519 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130032 0 0 0 0 0 0 130032 0 0 1005036571 89 Physician Assistant Only(Encounter Only) 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 0 0 0 0 1 0 0 1005036755 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2939 0 0 0 0 0 0 0 0 0 0 0 0 0 2939 0 0 1005036902 1013356559 13 Podiatrists GOYAL SONIA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 0 0 0 0 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 0 937 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15027 0 0 0 0 0 0 15027 0 0 1005036905 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 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 2214 0 0 0 0 0 0 0 0 0 0 0 0 0 2214 0 0 1005036992 1841556735 10 Physicians CYNTHIA ABBAN 999999999 57 Lake 0 0 Dermatology 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 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 1272 0 0 0 0 0 0 1272 0 0 1005037085 1285037929 89 Physician Assistant Only(Encounter Only) PETOSKEY LAUREN M 999999999 80 Peoria 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 83 0 0 0 0 0 0 0 0 0 83 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 0 0 0 83 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 0 0 0 3729 0 0 0 0 0 0 0 0 2993 0 0 0 0 0 0 6722 0 0 1005037273 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 39 0 0 0 0 0 0 39 0 0 1005037538 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 155 0 0 0 0 0 0 155 0 0 1005037558 1366805855 16 Nurse Practitioners CLEMENTE DAN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2360 0 0 0 0 0 0 2360 0 0 1005038017 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 27691 0 0 0 0 0 0 0 0 0 0 0 0 0 27691 0 0 1005038056 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 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 6575 0 0 0 0 0 0 0 0 0 0 0 0 0 6575 0 0 1005038151 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 24841 0 0 0 0 0 0 0 0 0 0 0 0 0 24841 0 0 1005038159 1083064299 89 Physician Assistant Only(Encounter Only) KLUCK STEVEN R 999999999 80 Peoria 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 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 3645 0 0 0 0 0 0 3645 0 0 1005038370 1538479571 89 Physician Assistant Only(Encounter Only) PETERSON NICOLE M 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1492 0 0 0 0 0 0 1492 0 0 1005038553 1245593540 10 Physicians WESTON VICTORIA C. 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 6 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 228 0 3595 0 0 0 0 0 0 3823 0 0 1005038686 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1148 0 0 0 0 0 0 0 0 0 0 0 0 0 1148 0 0 1005039272 1841639366 10 Physicians EVANS MEGAN E 999999999 200 Cook 0 0 Emergency 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 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 1663 0 0 0 0 0 0 1663 0 0 1005039465 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 10573 0 0 0 0 0 0 0 0 0 0 0 0 0 10573 0 0 1005039524 1184032559 16 Nurse Practitioners ZURAWSKI CYNTHIA 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 168 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 0 119 0 0 0 0 0 0 119 0 0 1005039657 1891942173 89 Physician Assistant Only(Encounter Only) SOWARD ALLISON 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 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 0 444 0 0 0 0 0 0 444 0 0 1005039678 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5120 0 0 0 0 0 0 0 0 0 0 0 0 0 5120 0 0 1005039761 89 Physician Assistant Only(Encounter Only) 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 90 0 0 0 0 0 0 90 0 0 1005039995 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5901 0 0 0 0 0 0 0 0 0 0 0 0 0 5901 0 0 1005040043 1902890932 89 Physician Assistant Only(Encounter Only) NOONAN SHERI L 999999999 80 Peoria 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 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 0 476 0 0 0 0 0 0 476 0 0 1005040058 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 12520 0 0 0 0 0 0 0 0 0 0 0 0 0 12520 0 0 1005040377 1407141997 10 Physicians RIFF ANDREW 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107 0 413 0 0 0 0 0 0 520 0 0 1005040398 1538450770 10 Physicians CHU SAMUEL K 999999999 200 Cook 0 0 Physical Medicine/Rehabilitation 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 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1217 0 0 0 0 0 0 1217 0 0 1005040529 1376526095 10 Physicians HANSON ERIC 999999999 200 Cook 0 0 Clinical Pathology 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 0 123 0 0 0 0 0 0 0 0 123 0 0 1005040665 1134553076 75 Department of Alcohol and Substance Abuse Provider PROVISO LEYDEN COUNCIL FOR COM 999999999 200 Cook 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 0 280 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 280 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28620 0 0 28620 0 0 1005040880 1265727051 10 Physicians REZAI PEDRAM 999999999 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 630 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 878 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 878 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10742 0 414 0 0 0 0 0 0 11156 0 0 1005040987 1003275918 22 Physical Therapists RABENORT CHRISTINE A 999999999 96 St Clair 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 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 3120 3120 0 0 1005041385 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 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 1263 0 0 0 0 0 0 0 0 0 0 0 0 0 1263 0 0 1005041477 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 0 121 0 0 1005041609 4005041609 71 Medicar Provider ILLINOIS VALLEY ECNMC DEV CORP 62052 50 Jersey 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 0 600 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 600 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7557 0 0 0 0 0 0 7557 0 0 1005042033 1972922102 11 Dentists DAWOUD YAQIN M 999999999 200 Cook 0 0 General Dentistry 0 0 0 207 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 1501 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 1501 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 54255 0 0 0 0 0 0 0 0 0 0 0 6680 0 0 0 0 60935 0 0 1005042570 16 Nurse Practitioners 50 Jersey 0 0 0 0 0 0 0 0 0 0 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 0 110 0 0 0 0 0 0 110 0 0 1005042590 1447643341 16 Nurse Practitioners LIPE COREY L 999999999 91 Sangamon 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 176 0 0 0 0 0 0 0 0 825 0 0 0 0 0 0 1001 0 0 1005042790 1053758557 10 Physicians WELCH SARAH KAY 999999999 30 DuPage 0 0 Family Practice 0 0 0 0 22 0 0 0 0 0 0 3 0 67 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 3 0 132 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 3 0 132 0 0 0 0 0 0 0 0 0 1742 0 0 0 0 0 0 0 0 2234 0 0 0 0 0 0 3976 0 0 1005042813 1245346535 89 Physician Assistant Only(Encounter Only) FEARDAY CARI 999999999 24 Coles 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0 0 0 0 3812 0 0 0 0 0 0 0 0 4794 0 0 0 0 0 0 8606 0 0 1005042834 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14191 0 0 0 0 0 0 0 0 0 0 0 0 0 14191 0 0 1005042984 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 21373 0 0 0 0 0 0 0 0 0 0 0 0 0 21373 0 0 1005043034 1710329271 13 Podiatrists ROLENS JOSEPH P 999999999 57 Lake 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 0 354 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 354 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1187 0 0 0 0 0 0 1187 0 0 1005043126 24 Speech Therapists 80 Peoria 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 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 0 394 394 0 0 1005043168 1023047396 10 Physicians WOLF JENNIFER M 999999999 30 DuPage 0 0 Orthopedic Surgery 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 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9779 0 0 0 0 0 0 9779 0 0 1005043495 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 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 16414 0 0 0 0 0 0 0 0 0 0 0 0 0 16414 0 0 1005043565 89 Physician Assistant Only(Encounter Only) 90 Saline 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005043568 1720377328 10 Physicians MATHENIA NICHOLAS 999999999 200 Cook 0 0 Neurology 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 0 118 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 1023 0 0 0 0 0 0 1023 0 0 1005043776 1558636712 10 Physicians KOITA NOORAH A 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 1 0 0 0 0 0 0 3 0 30 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 16 0 71 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 16 0 71 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 152 0 1305 0 0 0 0 0 0 1561 0 0 1005043826 1740399880 89 Physician Assistant Only(Encounter Only) SHILS AMANDA C 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 74 0 0 0 0 0 0 74 0 0 1005044486 1972056455 89 Physician Assistant Only(Encounter Only) FINIGAN MICHAEL K 999999999 109 Winnebago 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 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 0 273 0 0 0 0 0 0 273 0 0 1005044589 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3666 0 0 0 0 0 0 0 0 0 0 0 0 0 3666 0 0 1005044593 1972585677 10 Physicians SANDS DENNIS E 999999999 80 Peoria 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 183 0 0 0 0 0 0 183 0 0 1005044747 1669836896 16 Nurse Practitioners ILYASH LYUDMYLA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 350 0 0 0 0 0 0 350 0 0 1005044952 1306189428 10 Physicians RODRIGUEZ PATRICK 999999999 30 DuPage 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 179 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 197 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 7873 0 0 0 0 0 0 7873 0 0 1005045098 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 0 562 0 0 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 0 0 0 0 0 0 0 0 0 0 51411 0 0 0 0 0 0 0 0 0 0 0 0 0 51411 0 0 1005045423 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2209 0 0 0 0 0 0 0 0 0 0 0 0 0 2209 0 0 1005045480 10 Physicians 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 67 0 0 0 0 0 0 67 0 0 1005045728 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 27656 0 0 0 0 0 0 0 0 0 0 0 0 0 27656 0 0 1005045743 1821355660 10 Physicians BADAWY SHERIF M 999999999 200 Cook 0 0 Pediatrics 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 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 2008 0 0 0 0 0 0 2008 0 0 1005045936 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11478 0 0 0 0 0 0 0 0 0 0 0 0 0 11478 0 0 1005046026 1831550417 16 Nurse Practitioners BOJAK SARAH 999999999 40 Grundy 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 139 0 0 0 0 0 0 0 0 572 0 0 0 0 0 0 711 0 0 1005046255 1003219932 16 Nurse Practitioners SCHMIDGALL LINDA 999999999 80 Peoria 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 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2450 0 0 0 0 0 0 2450 0 0 1005046335 1639622285 16 Nurse Practitioners HOLBERT TRACIE A 999999999 50 Jersey 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 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 0 763 0 0 0 0 0 0 763 0 0 1005047058 1366995227 33 Nursing Facilities CLARK MANOR 606261619 200 Cook 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 0 323 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8788 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1259034 0 0 0 0 0 0 0 1259034 0 0 1005047360 10 Physicians 816 Iowa 0 0 Colon - Rectal 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 0 0 0 0 0 0 0 0 0 0 1005047533 1669791893 10 Physicians MCCONNELL MICHAEL F 999999999 96 St Clair 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 457 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 761 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 761 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12683 0 998 0 0 0 0 0 0 13681 0 0 1005047768 1174979264 16 Nurse Practitioners KAMMIN EVELYN J 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 316 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 316 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5698 0 0 0 0 0 0 5698 0 0 1005048026 1548586282 10 Physicians TATEBE LEAH C 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 143 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 5471 0 0 0 0 0 0 5471 0 0 1005048105 16 Nurse Practitioners 80 Peoria 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 0 142 0 0 0 0 0 0 142 0 0 1005048312 1194040915 10 Physicians ANTONY AGITH 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 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2214 0 0 0 0 0 0 2214 0 0 1005048348 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 0 168 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 30132 0 0 0 0 0 0 0 0 0 0 0 0 0 30132 0 0 1005048442 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 0 154 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 23554 0 0 0 0 0 0 0 0 0 0 0 0 0 23554 0 0 1005048529 1548555980 10 Physicians WEINHOLD ASHLEY B 999999999 30 DuPage 0 0 Anesthesiology 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 1411 0 0 0 0 0 0 1411 0 0 1005048741 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 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 33010 0 0 0 0 0 0 0 0 0 0 0 0 0 33010 0 0 1005048759 16 Nurse Practitioners 108 Williamson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 14 0 0 1005048776 92 Waiver service provider--Disability (DHS/DRS) 100 Vermilion 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005049157 16 Nurse Practitioners 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 237 0 0 0 0 0 0 237 0 0 1005049415 1275740128 10 Physicians ABDO SAMIR I 605638113 30 DuPage 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1220 0 0 0 0 0 0 1220 0 0 1005049539 1275905283 16 Nurse Practitioners STRUM ROBYN M 999999999 40 Grundy 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 523 0 0 0 0 0 0 523 0 0 1005049647 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 13101 0 0 0 0 0 0 0 0 0 0 0 0 0 13101 0 0 1005049801 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 125 0 0 1005049818 1386198778 24 Speech Therapists BECKER NICOLE M 999999999 63 Macon 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 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 2707 2707 0 0 1005049989 92 Waiver service provider--Disability (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 12079 0 0 0 0 0 0 0 0 0 0 0 0 0 12079 0 0 1005050196 10 Physicians 107 Will 0 0 0 0 0 0 0 0 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 27 0 0 0 0 0 0 0 0 27 0 0 1005050547 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 9406 0 0 0 0 0 0 0 0 0 0 0 0 0 9406 0 0 1005050705 91 Waiver service provider--Adults (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22900 0 0 0 0 0 0 0 0 0 0 0 0 0 22900 0 0 1005050974 1194165357 13 Podiatrists PATEL VIVEK N. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 162 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 2523 0 0 0 0 0 0 2523 0 0 1005051169 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 17202 0 0 0 0 0 0 0 0 0 0 0 0 0 17202 0 0 1005051318 16 Nurse Practitioners 62 Logan 0 0 0 0 0 0 0 0 0 0 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 0 162 0 0 0 0 0 0 162 0 0 1005051532 10 Physicians 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005051812 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 16571 0 0 0 0 0 0 0 0 0 0 0 0 0 16571 0 0 1005051860 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 0 144 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 28402 0 0 0 0 0 0 0 0 0 0 0 0 0 28402 0 0 1005052101 1285091934 16 Nurse Practitioners ASCENCIO YANEZ DALIA 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 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 5217 0 0 0 0 0 0 5217 0 0 1005052224 1326494683 16 Nurse Practitioners CHEWNING SARAH 999999999 200 Cook 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 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 2730 0 0 0 0 0 0 2730 0 0 1005052912 1316198963 89 Physician Assistant Only(Encounter Only) PEARMAN BRENT 999999999 19 Champaign 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 0 190 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 3612 0 0 0 0 0 0 3612 0 0 1005053477 1437363660 10 Physicians HOSSEINZADEH POOYA 999999999 200 Cook 0 0 Orthopedic Surgery 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 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 8498 0 0 0 0 0 0 8498 0 0 1005053801 1285727958 60 Pharmacies DICKS PHARMACY 619111334 29 Douglas 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 0 172 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4643 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4756 0 0 0 4756 0 0 1005054027 1750702882 16 Nurse Practitioners TORRACO CARLY E 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 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 0 178 0 0 0 0 0 0 178 0 0 1005054187 92 Waiver service provider--Disability (DHS/DRS) 88 Richland 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4416 0 0 0 0 0 0 0 0 0 0 0 0 0 4416 0 0 1005054288 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 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 1005054414 13 Podiatrists 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 89 0 0 0 0 0 0 89 0 0 1005054788 92 Waiver service provider--Disability (DHS/DRS) 50 Jersey 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 54321 0 0 0 0 0 0 0 0 0 0 0 0 0 54321 0 0 1005054823 1437507811 75 Department of Alcohol and Substance Abuse Provider ROSECRANCE CHAMPAIGN/URBANA 999999999 19 Champaign 0 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 0 318 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 27191 0 0 27191 0 0 1005054927 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 1005055007 1376807867 10 Physicians EDWARDS VERNEE P 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 1 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4635 0 0 0 0 0 0 4635 0 0 1005055154 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 636 0 0 0 0 0 0 0 0 0 0 0 0 0 636 0 0 1005055678 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 10401 0 0 0 0 0 0 0 0 0 0 0 0 0 10401 0 0 1005055744 16 Nurse Practitioners 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005055861 98 Waiver service provider--TBI (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 46281 0 0 0 0 0 0 0 0 0 0 0 0 0 46281 0 0 1005056152 1487079596 16 Nurse Practitioners MENTZER KATHRYN R 999999999 63 Macon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 173 0 0 0 0 0 0 173 0 0 1005056254 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 15600 0 0 0 0 0 0 0 0 0 0 0 0 0 15600 0 0 1005056425 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2899 0 0 0 0 0 0 0 0 0 0 0 0 0 2899 0 0 1005056543 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005056640 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 93 0 0 0 0 0 0 93 0 0 1005056743 1902343643 91 Waiver service provider--Adults (DHS/DDD) FIGUEROA ALYSSA 999999999 30 DuPage 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 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14861 0 0 0 0 0 0 0 0 0 0 0 0 0 14861 0 0 1005056970 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 0 134 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 23482 0 0 0 0 0 0 0 0 0 0 0 0 0 23482 0 0 1005056997 71 Medicar Provider 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 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3222 0 0 0 0 0 0 3222 0 0 1005057453 1639521354 89 Physician Assistant Only(Encounter Only) MCCARTHY SHANNON A 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 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 0 182 0 0 0 0 0 0 182 0 0 1005057476 1396291530 22 Physical Therapists KOLNER KARYN 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2000 2000 0 0 1005057612 1134551336 13 Podiatrists PALMIERI VINCENZO 999999999 57 Lake 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 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3574 0 0 0 0 0 0 3574 0 0 1005057691 10 Physicians 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 79 0 0 0 0 0 0 79 0 0 1005057868 12 Optometrists 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 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 64 0 0 0 0 0 0 64 0 0 1005058447 1447546874 10 Physicians MIROI ROXANA 999999999 200 Cook 0 0 0 0 0 0 5 0 0 0 0 0 0 3 0 43 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 3 0 59 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 3 0 59 0 0 0 0 0 0 0 0 0 749 0 0 0 0 0 0 36 0 1902 0 0 0 0 0 0 2687 0 0 1005058583 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 13224 0 0 0 0 0 0 0 0 0 0 0 0 0 13224 0 0 1005058590 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 0 337 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 337 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22131 0 0 0 0 0 0 0 0 0 0 0 0 0 22131 0 0 1005058678 1801185822 10 Physicians GIL FULVIO ROBERTO 999999999 200 Cook 0 0 Neurology 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 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 2042 0 0 0 0 0 0 2042 0 0 1005059170 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 18040 0 0 0 0 0 0 0 0 0 0 0 0 0 18040 0 0 1005059229 1255698809 10 Physicians PERRY LAURA AMANDA 999999999 200 Cook 0 0 Family Practice 0 0 0 0 2 0 0 0 0 0 0 3 0 68 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 5 0 159 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 5 0 159 0 0 0 0 0 0 0 0 0 146 0 0 0 0 0 0 771 0 8767 0 0 0 0 0 0 9684 0 0 1005059253 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 8383 0 0 0 0 0 0 0 0 0 0 0 0 0 8383 0 0 1005059376 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3755 0 0 0 0 0 0 0 0 0 0 0 0 0 3755 0 0 1005059655 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 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 1092 1092 0 0 1005059931 1457516965 10 Physicians SHEIKH REHMAT 999999999 109 Winnebago 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 143 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 265 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 265 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6234 0 0 0 0 0 0 6234 0 0 1005060327 1831540459 16 Nurse Practitioners TODD HEATHER L 999999999 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 359 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 359 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1464 0 0 0 0 0 0 1464 0 0 1005060524 1932652971 16 Nurse Practitioners FOREMAN JODI E 999999999 80 Peoria 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 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 1813 0 0 0 0 0 0 1813 0 0 1005060547 10 Physicians 200 Cook 0 0 Otolaryngology 0 0 0 0 0 0 0 0 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 3727 0 0 0 0 0 0 3727 0 0 1005060619 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 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8264 0 0 0 0 0 0 0 0 0 0 0 0 0 8264 0 0 1005060741 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 8906 0 0 0 0 0 0 0 0 0 0 0 0 0 8906 0 0 1005061316 1225414667 16 Nurse Practitioners BONHAM RYAN 999999999 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 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 0 369 0 0 0 0 0 0 369 0 0 1005061672 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3061 0 0 0 0 0 0 0 0 0 0 0 0 0 3061 0 0 1005061745 1053704577 30 General Hospitals NORTHWEST COMMUNITY HOSPITAL - 999999999 200 Cook DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 285 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 132369 0 0 0 0 0 0 0 0 0 132369 0 0 1005061947 1861835985 10 Physicians BRILLANTE CHRISTIE ANN CRUZ 999999999 30 DuPage 0 0 Internal Medicine 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 0 181 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 11261 0 0 0 0 0 0 11261 0 0 1005062267 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 0 306 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 306 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28408 0 0 0 0 0 0 0 0 0 0 0 0 0 28408 0 0 1005062290 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 188 0 0 0 0 0 0 188 0 0 1005062573 1699797308 60 Pharmacies CVS PHARMACY #16924 601025915 71 McHenry 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 0 259 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9836 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12245 0 0 0 12245 0 0 1005062684 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 7262 0 0 0 0 0 0 0 0 0 0 0 0 0 7262 0 0 1005062847 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 46623 0 0 0 0 0 0 0 0 0 0 0 0 0 46623 0 0 1005062982 1831445147 10 Physicians ADEKUNLE AINA 999999999 200 Cook 0 0 Internal 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 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 0 204 0 0 0 0 0 0 204 0 0 1005063032 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 175 0 0 0 0 0 0 0 0 0 0 0 0 0 175 0 0 1005063059 1477701084 10 Physicians KHAWAR SAQUIB 999999999 98 Tazewell 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 220 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 271 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 271 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3660 0 3881 0 0 0 0 0 0 7541 0 0 1005063095 16 Nurse Practitioners 50 Jersey 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 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 0 131 0 0 0 0 0 0 131 0 0 1005063119 1568630127 16 Nurse Practitioners GLINES ERIC L 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105 0 0 0 0 0 0 105 0 0 1005063527 1831491919 10 Physicians MHLANGA JOYCE C 999999999 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 22 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 444 0 322 0 0 0 0 0 0 766 0 0 1005063698 1689927766 16 Nurse Practitioners YOUNG AMY 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4610 0 0 0 0 0 0 4610 0 0 1005063753 1104268168 10 Physicians MBEUMO CARLINE 999999999 108 Williamson 0 1 Pediatrics 0 0 0 0 4 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 339 0 0 0 0 0 0 0 0 331 0 0 0 0 0 0 670 0 0 1005063947 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 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 44003 0 0 0 0 0 0 0 0 0 0 0 0 0 44003 0 0 1005064432 1134575558 36 Community mental health provider ROSECRANCE INC. 999999999 71 McHenry 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 532 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 532 0 0 951 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51984 0 0 52935 0 0 1005065067 1457615742 10 Physicians ABRAHAM ASHLEY 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 3 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 215 0 4251 0 0 0 0 0 0 4466 0 0 1005065249 98 Waiver service provider--TBI (DHS/DRS) 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 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 61647 0 0 0 0 0 0 0 0 0 0 0 0 0 61647 0 0 1005065305 1194952358 10 Physicians PARUCH JOHN T 999999999 76 Montgomery 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 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 0 244 0 0 0 0 0 0 244 0 0 1005065351 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5647 0 0 0 0 0 0 0 0 0 0 0 0 0 5647 0 0 1005065458 91 Waiver service provider--Adults (DHS/DDD) 826 Missouri 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 111 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 12247 0 0 0 0 0 0 0 0 0 0 0 0 0 12247 0 0 1005065750 10 Physicians 89 Rock Island 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 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 1005065970 12 Optometrists 200 Cook 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 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 22 0 0 1005066035 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 86 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 0 1005066144 1285045120 10 Physicians ALFIL AMIRA 999999999 80 Peoria 0 0 Pediatrics 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 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20860 0 0 0 0 0 0 20860 0 0 1005066214 1922371459 16 Nurse Practitioners ROBINSON AUDREY M 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 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 0 0 0 0 0 0 0 0 0 0 1005066370 4005066370 92 Waiver service provider--Disability (DHS/DRS) "ACTIVE DAY IN, INC." 999999999 200 Cook 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 0 178 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 120302 0 0 0 0 0 0 0 0 0 0 0 0 0 120302 0 0 1005066402 1154572790 89 Physician Assistant Only(Encounter Only) PEARMAN JENNIFER 999999999 19 Champaign 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 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 2969 0 0 0 0 0 0 2969 0 0 1005066703 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 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27538 0 0 0 0 0 0 0 0 0 0 0 0 0 27538 0 0 1005066710 1063730976 10 Physicians NAIK VISHRUT 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1808 0 0 0 0 0 0 1808 0 0 1005067137 1982894176 12 Optometrists BARNES ABIGAIL 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 821 0 41 0 0 0 0 862 0 0 1005067141 4005067141 90 Waiver service provider--Elderly (DOA) HAVE A HEART HOMEMAKERS SERV L 999999999 200 Cook 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1546 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1546 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 159088 0 0 0 0 0 0 0 0 0 0 0 0 0 159088 0 0 1005067190 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 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 4222 0 0 0 0 0 0 0 0 0 0 0 0 0 4222 0 0 1005067441 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 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27528 0 0 0 0 0 0 0 0 0 0 0 0 0 27528 0 0 1005067648 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 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 3337 0 0 0 0 0 0 0 0 0 0 0 0 0 3337 0 0 1005067676 1932487428 10 Physicians RAPTIS DEMETRIOS A 999999999 200 Cook 0 0 Radiology Diagnosis 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 0 157 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 2035 0 0 0 0 0 0 0 0 2035 0 0 1005067781 1629173554 10 Physicians SAID MOWAFFAQ 999999999 47 Jackson 0 0 Internal 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 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 0 350 0 0 0 0 0 0 350 0 0 1005067817 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 9184 0 0 0 0 0 0 0 0 0 0 0 0 0 9184 0 0 1005068158 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 0 344 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 344 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25422 0 0 0 0 0 0 0 0 0 0 0 0 0 25422 0 0 1005068472 1548591712 10 Physicians JABLONSKI RENEA P 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 272 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 1968 0 0 0 0 0 0 1968 0 0 1005068476 1710328224 13 Podiatrists LANTZ PAUL G 999999999 30 DuPage 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 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 1130 0 0 0 0 0 0 1130 0 0 1005068555 89 Physician Assistant Only(Encounter Only) 92 Schuyler 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 0 159 0 0 0 0 0 0 159 0 0 1005068660 1053675124 10 Physicians DHUYVETTER AMANDA 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 187 0 0 1005068926 1467730192 10 Physicians SALEEM KHURRAM 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 14 0 97 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 497 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 497 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 5974 0 0 0 0 0 0 5989 0 0 1005068976 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 17361 0 0 0 0 0 0 0 0 0 0 0 0 0 17361 0 0 1005069065 89 Physician Assistant Only(Encounter Only) 47 Jackson 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 0 230 0 0 0 0 0 0 230 0 0 1005069225 93 Waiver service provider--HIV/AIDS (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5973 0 0 0 0 0 0 0 0 0 0 0 0 0 5973 0 0 1005069251 1154646792 10 Physicians SZCZODRY MICHAL 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 15 0 97 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 198 0 7123 0 0 0 0 0 0 7321 0 0 1005069321 1184966509 10 Physicians REBEDEW DAVID L 999999999 89 Rock Island 0 1 General Practice 0 0 0 0 1 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 1 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 0 507 0 0 0 0 0 0 507 0 0 1005069336 22 Physical Therapists 109 Winnebago 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 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 0 327 327 0 0 1005069653 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 1005069704 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 0 321 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 26685 0 0 0 0 0 0 0 0 0 0 0 0 0 26685 0 0 1005069819 1598835308 30 General Hospitals SSM HEALTH DEPAUL HOSPITAL ST 630442512 826 Missouri 0 0 General Hospital - Adult and Child 0 0 0 0 0 60 0 0 0 0 55 0 0 0 105 0 0 0 0 0 0 0 0 0 80 0 0 0 0 60 0 0 0 186 0 0 0 0 0 0 0 0 0 80 0 0 0 0 391 0 0 0 186 0 0 0 0 0 0 0 0 0 9335 0 0 0 0 84599 0 0 0 42608 0 0 0 0 0 136542 0 0 1005069845 16 Nurse Practitioners 34 Fayette 0 0 0 0 0 0 0 0 0 0 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 87 0 0 0 0 0 0 87 0 0 1005069921 1477003283 75 Department of Alcohol and Substance Abuse Provider LAWRENCE CO BEHAVIOR HEALTH 999999999 59 Lawrence 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4965 0 0 4965 0 0 1005070218 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 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 10105 0 0 0 0 0 0 0 0 0 0 0 0 0 10105 0 0 1005070303 1235426487 10 Physicians GORANTLA SASIKANTH 999999999 80 Peoria 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 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1339 0 0 0 0 0 0 1339 0 0 1005070432 1477905743 24 Speech Therapists OLVERA ALYSIA A 999999999 30 DuPage 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 0 175 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 15824 15824 0 0 1005070974 92 Waiver service provider--Disability (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 14054 0 0 0 0 0 0 0 0 0 0 0 0 0 14054 0 0 1005071011 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 1005071051 1467863589 10 Physicians MUSA MINHAJ 999999999 57 Lake 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 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 0 657 0 0 0 0 0 0 657 0 0 1005071275 10 Physicians 49 Jefferson 0 0 Neurology 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 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 0 626 0 0 0 0 0 0 626 0 0 1005071480 1043452287 10 Physicians OHLANDER SAMUEL 999999999 200 Cook 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 1 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 4341 0 0 0 0 0 0 4385 0 0 1005071567 1174997431 16 Nurse Practitioners RANDOLPH CAITLIN 999999999 10 Adams 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 0 173 0 0 0 0 0 0 173 0 0 1005071735 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 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 24934 0 0 0 0 0 0 0 0 0 0 0 0 0 24934 0 0 1005071780 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 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 27980 0 0 0 0 0 0 0 0 0 0 0 0 0 27980 0 0 1005071833 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 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 13922 0 0 0 0 0 0 0 0 0 0 0 0 0 13922 0 0 1005072055 1619178050 10 Physicians PEARSON TONI 999999999 24 Coles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 795 0 0 0 0 0 0 795 0 0 1005072271 1740629716 10 Physicians KROLL MELISSA R 999999999 30 DuPage 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 416 0 0 0 0 0 0 416 0 0 1005072305 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 23563 0 0 0 0 0 0 0 0 0 0 0 0 0 23563 0 0 1005072339 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 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 12549 0 0 0 0 0 0 0 0 0 0 0 0 0 12549 0 0 1005072472 1043671068 16 Nurse Practitioners TAYLOR JACLYN G 999999999 63 Macon 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 0 681 0 0 0 0 0 0 681 0 0 1005072504 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 264 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 264 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1005072574 1134598758 16 Nurse Practitioners CORTEZ MARIA S 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1545 0 0 0 0 0 0 1545 0 0 1005072741 1417397688 10 Physicians ADEOYE ORIADE 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 3 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 4750 0 0 0 0 0 0 4792 0 0 1005072817 1184045338 89 Physician Assistant Only(Encounter Only) WILSON MARTY 999999999 91 Sangamon 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 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 0 485 0 0 0 0 0 0 485 0 0 1005073036 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 21686 0 0 0 0 0 0 0 0 0 0 0 0 0 21686 0 0 1005073095 94 Waiver service provider--Children's support (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 0 172 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 16950 0 0 0 0 0 0 0 0 0 0 0 0 0 16950 0 0 1005073673 1336695550 22 Physical Therapists MARTIN OLIVIA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 580 580 0 0 1005074166 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 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 20785 0 0 0 0 0 0 0 0 0 0 0 0 0 20785 0 0 1005074277 1083977367 10 Physicians KANG PETER 999999999 49 Jefferson 0 0 Neurology 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 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 1869 0 0 0 0 0 0 1869 0 0 1005074409 1649577628 10 Physicians WAKIM NICHOLAS J 999999999 89 Rock Island 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 410 0 0 0 0 0 0 410 0 0 1005074446 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 25446 0 0 0 0 0 0 0 0 0 0 0 0 0 25446 0 0 1005074602 1922307115 10 Physicians WRIGHT ERIN M 999999999 65 Madison 0 0 Obstetric-Gynecology 0 0 0 0 3 0 0 0 0 0 0 3 0 31 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 3 0 48 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 3 0 48 0 0 0 0 0 0 0 0 0 255 0 0 0 0 0 0 10 0 2601 0 0 0 0 0 0 2866 0 0 1005074806 1174866859 10 Physicians CHANG WAN TAN 999999999 19 Champaign 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 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 0 388 0 0 0 0 0 0 388 0 0 1005074991 1649438565 16 Nurse Practitioners ASIMA SIKA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 391 0 0 0 0 0 0 391 0 0 1005075015 1376869396 10 Physicians PARKS BRIAN 999999999 63 Macon 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 0 100 0 0 0 0 0 0 100 0 0 1005075130 1619265329 10 Physicians MATTAR CALINE S 999999999 91 Sangamon 0 0 Internal 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 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 0 221 0 0 0 0 0 0 221 0 0 1005075219 1649628009 40 Federally Qualified Health Centers SIU CENTER FOR FAMILY MEDICINE 999999999 77 Morgan 0 1 0 0 81 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 200 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 200 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11657 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11657 0 0 1005075239 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 7723 0 0 0 0 0 0 0 0 0 0 0 0 0 7723 0 0 1005075501 1912163189 89 Physician Assistant Only(Encounter Only) OAKLEY MICAH 999999999 47 Jackson 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 0 108 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 2116 0 0 0 0 0 0 2116 0 0 1005075522 1407296171 13 Podiatrists BERNSTEIN JENNIFER 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 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 256 0 0 0 0 0 0 256 0 0 1005075584 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 0 294 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 28460 0 0 0 0 0 0 0 0 0 0 0 0 0 28460 0 0 1005075686 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14341 0 0 0 0 0 0 0 0 0 0 0 0 0 14341 0 0 1005075749 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 6038 0 0 0 0 0 0 0 0 0 0 0 0 0 6038 0 0 1005076031 1255618237 89 Physician Assistant Only(Encounter Only) LORINSKAS ALEXIS 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 0 428 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 0 0 0 0 0 0 0 0 0 0 5954 0 0 0 0 0 0 5954 0 0 1005076297 1962716514 89 Physician Assistant Only(Encounter Only) ZAMBRANO ANIRDNAGELA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 118 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 3728 0 0 0 0 0 0 3728 0 0 1005076414 1881662385 89 Physician Assistant Only(Encounter Only) KERR RICHARD T 999999999 80 Peoria 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 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 1087 0 0 0 0 0 0 1087 0 0 1005076469 10 Physicians 200 Cook 0 0 Radiology Diagnosis 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 0 192 0 0 0 0 0 0 0 0 192 0 0 1005076810 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 5593 0 0 0 0 0 0 0 0 0 0 0 0 0 5593 0 0 1005076859 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 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 5305 0 0 0 0 0 0 0 0 0 0 0 0 0 5305 0 0 1005076971 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27210 0 0 0 0 0 0 0 0 0 0 0 0 0 27210 0 0 1005077231 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 13225 0 0 0 0 0 0 0 0 0 0 0 0 0 13225 0 0 1005077297 10 Physicians 200 Cook 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 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 0 145 0 0 0 0 0 0 145 0 0 1005077570 1710370283 11 Dentists ZAIDI EMAD 601931602 200 Cook 0 0 General Dentistry 0 0 0 16 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 2399 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2399 0 0 1005077666 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 14415 0 0 0 0 0 0 0 0 0 0 0 0 0 14415 0 0 1005077688 1821450149 10 Physicians WONG CLAIRE 999999999 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 12 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 220 0 767 0 0 0 0 0 0 987 0 0 1005077739 1013262195 10 Physicians SIDES CHARLES C 999999999 826 Missouri 0 0 Obstetric-Gynecology 0 0 0 0 1 0 0 0 0 0 0 3 0 7 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 4 0 15 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 4 0 15 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 144 0 2291 0 0 0 0 0 0 2451 0 0 1005077806 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 0 122 0 0 0 0 0 0 122 0 0 1005077873 1063966158 16 Nurse Practitioners PEDERSON JENNA 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 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 1413 0 0 0 0 0 0 1413 0 0 1005077896 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 3190 0 0 0 0 0 0 0 0 0 0 0 0 0 3190 0 0 1005078129 1013372440 30 General Hospitals ADVENTIST BOLINGBROOK HOSPITAL 999999999 107 Will DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 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 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005078805 1245506435 10 Physicians MAJID SOPHIA 999999999 200 Cook 0 0 Internal 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 0 377 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 377 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7536 0 0 0 0 0 0 7536 0 0 1005079010 1922405521 10 Physicians TONG JEFFREY L 999999999 30 DuPage 0 0 Anesthesiology 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 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 7113 0 0 0 0 0 0 7113 0 0 1005079173 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 19328 0 0 0 0 0 0 0 0 0 0 0 0 0 19328 0 0 1005079357 91 Waiver service provider--Adults (DHS/DDD) 49 Jefferson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1810 0 0 0 0 0 0 0 0 0 0 0 0 0 1810 0 0 1005079362 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 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 1391 0 0 0 0 0 0 0 0 0 0 0 0 0 1391 0 0 1005079622 1831328038 10 Physicians ZIVIN SEAN P 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 269 0 139 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 348 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 348 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5790 0 2418 0 0 0 0 0 0 8208 0 0 1005079700 1275992851 60 Pharmacies SAV-MOR PHARMACY 999999999 82 Piatt 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 0 494 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15380 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20595 0 0 0 20595 0 0 1005080080 1912037201 89 Physician Assistant Only(Encounter Only) HAYDEN FREDERICK K 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 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 0 270 0 0 0 0 0 0 270 0 0 1005080204 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 305 0 0 0 0 0 0 0 0 0 0 0 0 0 305 0 0 1005080529 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 717 0 0 0 0 0 0 0 0 0 0 0 0 0 717 0 0 1005080616 1134595531 97 Waiver service provider--Children's residential (DHS/DDD) BROWN KAREN 627124210 91 Sangamon 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 0 886 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 886 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35355 0 0 0 0 0 0 0 0 0 0 0 0 0 35355 0 0 1005080642 1558740167 16 Nurse Practitioners CHEATHAM SARAH M 999999999 19 Champaign 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 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 1273 0 0 0 0 0 0 1273 0 0 1005080647 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3561 0 0 0 0 0 0 3561 0 0 1005080723 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 24504 0 0 0 0 0 0 0 0 0 0 0 0 0 24504 0 0 1005080830 1033548045 16 Nurse Practitioners JACOB MICHELLE 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 123 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 2976 0 0 0 0 0 0 2976 0 0 1005080964 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3093 0 0 0 0 0 0 0 0 0 0 0 0 0 3093 0 0 1005081088 1629287966 10 Physicians TROTTER ANDREW 999999999 200 Cook 0 0 Internal Medicine 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 0 139 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 7393 0 0 0 0 0 0 7393 0 0 1005081327 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5152 0 0 0 0 0 0 0 0 0 0 0 0 0 5152 0 0 1005081391 1265718993 89 Physician Assistant Only(Encounter Only) SEYMOURE RALPH 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 287 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 0 0 0 0 0 0 0 0 0 0 0 0 12843 0 0 0 0 0 0 12843 0 0 1005081467 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 4932 0 0 0 0 0 0 0 0 0 0 0 0 0 4932 0 0 1005081492 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 17494 0 0 0 0 0 0 0 0 0 0 0 0 0 17494 0 0 1005081596 1013168202 28 Waiver service provider--Supportive living facility (HFS) EVERGREEN PLACE ALTON 999999999 65 Madison 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 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2542 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 233184 0 0 0 0 0 0 0 0 0 0 0 0 0 233184 0 0 1005081687 1164743118 10 Physicians SAPER DAVID 999999999 200 Cook 0 0 Orthopedic Surgery 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 33 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57 0 406 0 0 0 0 0 0 463 0 0 1005081803 1053758029 10 Physicians BAYOUMI MOHAMED 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 132 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 4527 0 0 0 0 0 0 4527 0 0 1005082043 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1239 0 0 0 0 0 0 0 0 0 0 0 0 0 1239 0 0 1005082255 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 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 1005082585 1285917542 89 Physician Assistant Only(Encounter Only) MULE NANCY 999999999 47 Jackson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 729 0 0 0 0 0 0 729 0 0 1005082735 1386084044 10 Physicians PATEL JAYMON 999999999 80 Peoria 0 0 Internal 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 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 2693 0 0 0 0 0 0 2693 0 0 1005082872 1598088981 22 Physical Therapists TAYLOR APRIL 999999999 50 Jersey 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 0 122 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 1028 1028 0 0 1005082903 1245678135 10 Physicians FISCHER ASHLEY M 999999999 98 Tazewell 0 0 Pediatrics 0 0 0 0 56 0 0 0 0 0 0 12 0 30 0 0 0 0 0 0 0 0 0 139 0 0 0 0 0 0 13 0 33 0 0 0 0 0 0 0 0 0 139 0 0 0 0 0 0 13 0 33 0 0 0 0 0 0 0 0 0 4963 0 0 0 0 0 0 42 0 1596 0 0 0 0 0 0 6601 0 0 1005083147 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 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 3321 0 0 0 0 0 0 0 0 0 0 0 0 0 3321 0 0 1005083175 1649226051 89 Physician Assistant Only(Encounter Only) MCMURPHY-QUICK CAROLYN 999999999 49 Jefferson 0 0 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 37 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 1271 0 0 0 0 0 0 1392 0 0 1005083404 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 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 4590 0 0 0 0 0 0 0 0 0 0 0 0 0 4590 0 0 1005083530 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 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29025 0 0 0 0 0 0 0 0 0 0 0 0 0 29025 0 0 1005083706 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 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 0 463 0 0 0 0 0 0 463 0 0 1005083710 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 0 155 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 11973 0 0 0 0 0 0 0 0 0 0 0 0 0 11973 0 0 1005084249 10 Physicians 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 45 0 0 0 0 0 0 116 0 0 1005084276 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 17 0 0 0 0 0 0 17 0 0 1005084436 1750753844 16 Nurse Practitioners FARNAN CHRISTOPHER 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 155 0 0 0 0 0 0 155 0 0 1005084465 89 Physician Assistant Only(Encounter Only) 24 Coles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005084687 1013376581 16 Nurse Practitioners TURNER JACQUELINE 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 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 1079 0 0 0 0 0 0 1079 0 0 1005084698 1871940775 91 Waiver service provider--Adults (DHS/DDD) DINWIDDIE CHRISTABEL 999999999 200 Cook 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 1484 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1484 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 192804 0 0 0 0 0 0 0 0 0 0 0 0 0 192804 0 0 1005084936 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19131 0 0 0 0 0 0 0 0 0 0 0 0 0 19131 0 0 1005084958 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 0 167 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 0 0 0 0 0 29010 0 0 0 0 0 0 0 0 0 0 0 0 0 29010 0 0 1005085618 1437597093 10 Physicians MARTINEZ EDMUNDO 999999999 80 Peoria 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 277 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 277 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63194 0 0 0 0 0 0 63194 0 0 1005085743 10 Physicians 57 Lake 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 4 0 0 0 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 1 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 66 0 0 0 0 0 0 84 0 0 1005086007 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8619 0 0 0 0 0 0 0 0 0 0 0 0 0 8619 0 0 1005086487 1760842579 36 Community mental health provider AID DIAMOND I 999999999 55 Kendall 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 938 0 0 201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 938 0 0 6644 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 76472 0 0 83116 0 0 1005086632 1780837922 10 Physicians CHOWDHRY SAEED 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 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 2071 0 0 0 0 0 0 2071 0 0 1005086745 1851734040 10 Physicians REID JOHN P 999999999 53 Kane 0 0 Internal Medicine 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 0 167 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 0 0 0 0 0 3368 0 0 0 0 0 0 3368 0 0 1005086925 1396030094 10 Physicians LAMBA NEERAV N 999999999 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 2 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 374 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 374 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 22138 0 0 0 0 0 0 22213 0 0 1005087316 1972878288 10 Physicians LAURSEN LAURA E 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 27 0 560 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 653 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 653 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 946 0 552017 0 0 0 0 0 0 552963 0 0 1005087333 1215480587 16 Nurse Practitioners BRANDT ASHLEY 999999999 200 Cook 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 0 0 0 223 0 0 0 0 0 0 0 0 2794 0 0 0 0 0 0 3017 0 0 1005087343 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 19489 0 0 0 0 0 0 0 0 0 0 0 0 0 19489 0 0 1005087368 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 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27977 0 0 0 0 0 0 0 0 0 0 0 0 0 27977 0 0 1005087383 1336481779 10 Physicians MEHTA GAUTAM R 999999999 200 Cook 0 0 Internal Medicine 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 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 1057 0 0 0 0 0 0 1057 0 0 1005087466 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16839 0 0 0 0 0 0 0 0 0 0 0 0 0 16839 0 0 1005087502 1407309982 16 Nurse Practitioners GREEN DANIEL R 999999999 109 Winnebago 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 0 121 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 0 928 0 0 0 0 0 0 928 0 0 1005087529 1275947756 65 Independent Diagnostic Testing Facility (IDTF) BELLEVILLE DIAGNOSTIC CENTER L 999999999 96 St Clair 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 1357 0 0 0 0 0 0 0 0 1357 0 0 1005087866 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 18472 0 0 0 0 0 0 0 0 0 0 0 0 0 18472 0 0 1005088108 1518263714 16 Nurse Practitioners THOMPSON MARY 999999999 70 McDonough 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 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4755 0 0 0 0 0 0 4755 0 0 1005088304 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19839 0 0 0 0 0 0 0 0 0 0 0 0 0 19839 0 0 1005088451 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 6109 0 0 0 0 0 0 0 0 0 0 0 0 0 6109 0 0 1005088579 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1005088588 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 6413 0 0 0 0 0 0 0 0 0 0 0 0 0 6413 0 0 1005088787 1255797825 16 Nurse Practitioners GRAZAITIS JOSEPH 999999999 25 Crawford 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 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 1866 0 0 0 0 0 0 1866 0 0 1005089034 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 42922 0 0 0 0 0 0 0 0 0 0 0 0 0 42922 0 0 1005089279 1831572718 11 Dentists BURSETH BRIAN G 999999999 200 Cook 0 0 General Dentistry 0 0 0 196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1064 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1064 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28402 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28402 0 0 1005089328 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 8554 0 0 0 0 0 0 0 0 0 0 0 0 0 8554 0 0 1005089429 1538611561 91 Waiver service provider--Adults (DHS/DDD) AMARO EVELYN 999999999 30 DuPage 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 1583 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1583 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 168687 0 0 0 0 0 0 0 0 0 0 0 0 0 168687 0 0 1005089635 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 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 38961 0 0 0 0 0 0 0 0 0 0 0 0 0 38961 0 0 1005089722 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 162 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 162 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9903 0 0 0 0 0 0 0 0 0 0 0 0 0 9903 0 0 1005089825 4005089825 90 Waiver service provider--Elderly (DOA) "HELP AT HOME, LLC" 999999999 200 Cook 0 0 0 0 0 0 0 0 535 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30868 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30868 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2393110 0 0 0 0 0 0 0 0 0 0 0 0 0 2393110 0 0 1005089918 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 28880 0 0 0 0 0 0 0 0 0 0 0 0 0 28880 0 0 1005090709 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6658 0 0 0 0 0 0 0 0 0 0 0 0 0 6658 0 0 1005090964 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1867 0 0 0 0 0 0 0 0 0 0 0 0 0 1867 0 0 1005091046 1750604963 36 Community mental health provider SPERO FAMILY SERVICES 999999999 49 Jefferson 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 754 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 754 0 0 371 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83794 0 0 84165 0 0 1005091184 1316398415 16 Nurse Practitioners KILZER AMANDA J 999999999 91 Sangamon 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 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 1242 0 0 0 0 0 0 1242 0 0 1005091196 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 8957 0 0 0 0 0 0 0 0 0 0 0 0 0 8957 0 0 1005091305 1912457730 16 Nurse Practitioners WALSH OLIVIA K 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 378 0 0 0 0 0 0 378 0 0 1005091460 1184044174 10 Physicians KUMAR PRERNA 999999999 30 DuPage 0 0 Internal Medicine 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 0 361 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 0 0 0 0 0 0 0 0 0 0 0 0 3291 0 0 0 0 0 0 3291 0 0 1005091651 1891963641 10 Physicians PANDURANGADU ANANDA V 999999999 80 Peoria 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 366 0 0 0 0 0 0 366 0 0 1005091749 98 Waiver service provider--TBI (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 15391 0 0 0 0 0 0 0 0 0 0 0 0 0 15391 0 0 1005091782 1851787865 60 Pharmacies WALGREENS #16093 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 337 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 2127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 105418 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 406 0 0 373905 0 0 0 374311 0 0 1005091830 1396196895 22 Physical Therapists KORDE PAYAL 999999999 200 Cook 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 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1532 1532 0 0 1005091928 1053608208 10 Physicians PARULKAR SURAJ 999999999 200 Cook 0 0 Anesthesiology 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 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 2833 0 0 0 0 0 0 2833 0 0 1005092021 1174520050 10 Physicians BERIS ALEXANDRA 999999999 46 Iroquois 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 88 0 0 0 0 0 0 88 0 0 1005092780 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 34754 0 0 0 0 0 0 0 0 0 0 0 0 0 34754 0 0 1005092886 98 Waiver service provider--TBI (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 26351 0 0 0 0 0 0 0 0 0 0 0 0 0 26351 0 0 1005092927 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 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17818 0 0 0 0 0 0 0 0 0 0 0 0 0 17818 0 0 1005093531 24 Speech Therapists 97 Stephenson 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 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 2393 2393 0 0 1005093753 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 0 168 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 27847 0 0 0 0 0 0 0 0 0 0 0 0 0 27847 0 0 1005093758 1912263963 16 Nurse Practitioners REXROAD KRISTINA M 999999999 20 Christian 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 83 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 83 0 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 1759 0 0 0 0 0 0 1861 0 0 1005094048 1154789964 16 Nurse Practitioners SAXSMA MARIE ARLENE J 999999999 53 Kane 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 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1042 0 0 0 0 0 0 1042 0 0 1005094077 1093702094 89 Physician Assistant Only(Encounter Only) HSIEH CHENG 999999999 80 Peoria 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 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 1482 0 0 0 0 0 0 1482 0 0 1005094484 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 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 17550 0 0 0 0 0 0 0 0 0 0 0 0 0 17550 0 0 1005094548 1932382652 89 Physician Assistant Only(Encounter Only) FINCHUM JENNICA M 999999999 80 Peoria 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 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 1573 0 0 0 0 0 0 1573 0 0 1005094619 1063862266 12 Optometrists BEYER EMILY M 999999999 91 Sangamon 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 0 172 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 2616 0 0 0 0 0 0 2616 0 0 1005094749 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 18306 0 0 0 0 0 0 0 0 0 0 0 0 0 18306 0 0 1005094778 10 Physicians 53 Kane 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 0 0 0 0 0 338 0 0 1005094795 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 0 364 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 18291 0 0 0 0 0 0 0 0 0 0 0 0 0 18291 0 0 1005094826 1114994928 89 Physician Assistant Only(Encounter Only) REITEN SHELLY 999999999 19 Champaign 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 2942 0 0 0 0 0 0 2974 0 0 1005095253 1487014627 16 Nurse Practitioners SWAYZE ROBERT M 999999999 34 Fayette 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 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 0 171 0 0 0 0 0 0 171 0 0 1005095345 1093060584 10 Physicians HARDMAN JAMIE L 999999999 65 Madison 0 0 Obstetric-Gynecology 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 3877 0 0 0 0 0 0 3877 0 0 1005095452 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 1005095779 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 19215 0 0 0 0 0 0 0 0 0 0 0 0 0 19215 0 0 1005095872 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 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16208 0 0 0 0 0 0 0 0 0 0 0 0 0 16208 0 0 1005095987 1861869687 25 Audiologists JANSEN JACLYN N 999999999 19 Champaign 0 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 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 16881 16881 0 0 1005096171 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 134 0 0 0 0 0 0 0 0 0 0 0 0 0 134 0 0 1005096215 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 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 25580 0 0 0 0 0 0 0 0 0 0 0 0 0 25580 0 0 1005096326 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 0 192 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 30261 0 0 0 0 0 0 0 0 0 0 0 0 0 30261 0 0 1005096333 39 Hospice 200 Cook 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 0 0 0 0 0 0 0 0 0 0 0 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 78204 0 0 0 0 0 0 0 0 0 0 0 78204 0 0 1005096429 1114367778 10 Physicians OLEKSIAK MICHAEL 999999999 53 Kane 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 71 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 14 0 6084 0 0 0 0 0 0 6098 0 0 1005096524 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 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 0 423 0 0 0 0 0 0 423 0 0 1005096573 1124362538 89 Physician Assistant Only(Encounter Only) VOYLES AUDREY B 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 0 480 0 0 0 0 0 0 480 0 0 1005096719 1255322764 16 Nurse Practitioners GOETZ CAROL 999999999 60 Lee 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 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 1195 0 0 0 0 0 0 1195 0 0 1005097703 1891724597 10 Physicians BAUM MARGARET 999999999 65 Madison 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 8 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 179 0 89572 0 0 0 0 0 0 89751 0 0 1005097765 16 Nurse Practitioners 50 Jersey 0 0 0 0 0 0 0 0 0 0 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 78 0 0 0 0 0 0 78 0 0 1005097859 1083899710 89 Physician Assistant Only(Encounter Only) FISK HOLLY 999999999 80 Peoria 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 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 0 920 0 0 0 0 0 0 920 0 0 1005098378 1912456997 91 Waiver service provider--Adults (DHS/DDD) MEYER TRINA L 999999999 200 Cook 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 1335 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1335 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80834 0 0 0 0 0 0 0 0 0 0 0 0 0 80834 0 0 1005098384 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 0 143 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 28085 0 0 0 0 0 0 0 0 0 0 0 0 0 28085 0 0 1005098791 1558526574 10 Physicians SIYAM FADI F 999999999 826 Missouri 0 0 Internal Medicine 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 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1129 0 0 0 0 0 0 1129 0 0 1005099114 71 Medicar Provider 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 658 0 0 0 0 0 0 658 0 0 1005099166 1114271905 89 Physician Assistant Only(Encounter Only) BEER DANIELLE E 999999999 80 Peoria 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 0 145 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 3601 0 0 0 0 0 0 3601 0 0 1005099186 1487012860 10 Physicians YOUSUF SAMINA 999999999 80 Peoria 0 0 Pediatrics 0 0 0 0 26 0 0 0 0 0 0 8 0 40 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 9 0 142 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 9 0 142 0 0 0 0 0 0 0 0 0 2589 0 0 0 0 0 0 38 0 5794 0 0 0 0 0 0 8421 0 0 1005099229 1245671783 10 Physicians AKEPATI ANUSHA R 999999999 80 Peoria 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 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 0 332 0 0 0 0 0 0 332 0 0 1005099294 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 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27581 0 0 0 0 0 0 0 0 0 0 0 0 0 27581 0 0 1005099316 1811202146 89 Physician Assistant Only(Encounter Only) SMITH LAUREN 999999999 64 Macoupin 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 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 0 516 0 0 0 0 0 0 516 0 0 1005099427 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 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16893 0 0 0 0 0 0 0 0 0 0 0 0 0 16893 0 0 1005099442 1972989838 16 Nurse Practitioners PRAY DANIELLE R. 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4538 0 0 0 0 0 0 4538 0 0 1005099641 1619106242 10 Physicians UMSTEAD ERIC 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 157 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2508 0 47 0 0 0 0 0 0 2555 0 0 1005099692 1639519861 10 Physicians DEPTULA NICOLE C 999999999 30 DuPage 0 0 Pediatrics 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 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 4799 0 0 0 0 0 0 4799 0 0 1005099886 1720448848 30 General Hospitals FRESENIUS MEDICAL CARE LEMONT 999999999 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 778 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4677 0 0 0 0 0 4677 0 0 1005099944 1598216657 16 Nurse Practitioners GILE STEPHANIE M 999999999 109 Winnebago 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 0 132 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 1623 0 0 0 0 0 0 1623 0 0 1005100257 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 22459 0 0 0 0 0 0 0 0 0 0 0 0 0 22459 0 0 1005100500 1366671091 10 Physicians NAVALKELE POURNIMA 999999999 109 Winnebago 0 0 Pediatrics 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 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 1294 0 0 0 0 0 0 1294 0 0 1005100508 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3610 0 0 0 0 0 0 0 0 0 0 0 0 0 3610 0 0 1005100558 91 Waiver service provider--Adults (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 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 30133 0 0 0 0 0 0 0 0 0 0 0 0 0 30133 0 0 1005100569 1629524251 89 Physician Assistant Only(Encounter Only) COLLINS STEVEN M 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 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 0 359 0 0 0 0 0 0 359 0 0 1005100604 1952653438 16 Nurse Practitioners HEWITT MARY 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 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 0 349 0 0 0 0 0 0 349 0 0 1005100882 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 13041 0 0 0 0 0 0 0 0 0 0 0 0 0 13041 0 0 1005101336 1437466158 10 Physicians NANDA VISHAKHA 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 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 1585 0 0 0 0 0 0 1585 0 0 1005101397 1013300839 13 Podiatrists EL-CHAMI FAHED N 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 153 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 0 897 0 0 0 0 0 0 897 0 0 1005101410 1265412084 89 Physician Assistant Only(Encounter Only) TAYLOR SHANNON V. 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 201 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 2174 0 0 0 0 0 0 2174 0 0 1005101465 1134415805 10 Physicians LI PULSAR 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4368 0 0 0 0 0 0 4368 0 0 1005101596 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 14234 0 0 0 0 0 0 0 0 0 0 0 0 0 14234 0 0 1005101656 1881089662 10 Physicians JOHNSON LAURA J 999999999 200 Cook 0 0 0 0 0 0 2 0 0 0 0 0 0 3 0 68 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 4 0 156 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 4 0 156 0 0 0 0 0 0 0 0 0 358 0 0 0 0 0 0 21 0 4264 0 0 0 0 0 0 4643 0 0 1005101940 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 42662 0 0 0 0 0 0 0 0 0 0 0 0 0 42662 0 0 1005101969 1215383070 16 Nurse Practitioners HUGHES BRITTNEY N 999999999 89 Rock Island 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 0 715 0 0 0 0 0 0 715 0 0 1005102287 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 27847 0 0 0 0 0 0 0 0 0 0 0 0 0 27847 0 0 1005102370 1649657024 16 Nurse Practitioners RODICH COURTNEY L 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 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 0 612 0 0 0 0 0 0 612 0 0 1005102485 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10844 0 0 0 0 0 0 0 0 0 0 0 0 0 10844 0 0 1005102790 1629140934 36 Community mental health provider HOLY CROSS HOSPITAL 999999999 200 Cook 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 271 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 271 0 0 711 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29478 0 0 30189 0 0 1005102806 1528513124 22 Physical Therapists HARTMAN REBECCA 999999999 53 Kane 0 0 0 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 0 197 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 3060 3060 0 0 1005102960 10 Physicians 91 Sangamon 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 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 1005103090 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 0 156 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 0 0 0 0 0 30248 0 0 0 0 0 0 0 0 0 0 0 0 0 30248 0 0 1005103191 1164650248 10 Physicians KANJAMA THEODORA K 999999999 91 Sangamon 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 0 473 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 0 0 0 0 0 0 0 0 0 0 0 0 4656 0 0 0 0 0 0 4656 0 0 1005103267 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 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 1762 0 0 0 0 0 0 1762 0 0 1005103545 1306161880 10 Physicians CHUI CECILIA 999999999 53 Kane 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 72 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 131 0 176 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 131 0 176 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5820 0 8474 0 0 0 0 0 0 14294 0 0 1005103648 1164875852 16 Nurse Practitioners BYERS BRYN 999999999 109 Winnebago 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 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 1256 0 0 0 0 0 0 1256 0 0 1005103778 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 0 101 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 13969 0 0 0 0 0 0 0 0 0 0 0 0 0 13969 0 0 1005103877 1215240585 10 Physicians O'CONNOR SHAWN D 999999999 200 Cook 0 0 Pediatrics 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 0 204 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 18732 0 0 0 0 0 0 18732 0 0 1005104000 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10372 0 0 0 0 0 0 0 0 0 0 0 0 0 10372 0 0 1005104019 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 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 28429 0 0 0 0 0 0 0 0 0 0 0 0 0 28429 0 0 1005104064 1063898393 20 Registered nurse NOLAN BRIANNE 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005104315 1124304407 16 Nurse Practitioners MCQUEARY MELISSA R 999999999 80 Peoria 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 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 0 538 0 0 0 0 0 0 538 0 0 1005104585 1760938583 16 Nurse Practitioners VOGEL MEGAN 999999999 19 Champaign 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 761 0 0 0 0 0 0 761 0 0 1005104751 1235199738 10 Physicians ELROD WALTER L 999999999 19 Champaign 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2324 0 0 0 0 0 0 2324 0 0 1005104782 1295175487 10 Physicians PATEL PRAYAG 614553313 70 McDonough 0 0 General Practice 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 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1514 0 0 0 0 0 0 1514 0 0 1005104876 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 0 591 0 0 0 0 0 0 0 0 0 0 0 0 0 591 0 0 1005104946 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 0 0 17496 0 0 0 0 0 0 0 0 0 0 0 0 0 17496 0 0 1005104984 1205222197 30 General Hospitals FRESENIUS MEDICAL CARE WAUKEGA 999999999 57 Lake DIALYSIS Outpatient dialysis centers. 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 0 307 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2302 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61391 0 0 0 0 0 61391 0 0 1005105416 1972790889 48 Rural Health Clinics SPRINGFIELD CLINIC NEOGA RURAL 624471629 26 Cumberland 0 0 0 0 48 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 151 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 151 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3946 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3946 0 0 1005105418 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 74 0 0 0 0 0 0 74 0 0 1005105761 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 754 0 0 0 0 0 0 0 0 0 0 0 0 0 754 0 0 1005105787 1215273131 10 Physicians PEGG EDWARD W 999999999 80 Peoria 0 0 Neurology 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 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 1273 0 0 0 0 0 0 1273 0 0 1005105853 92 Waiver service provider--Disability (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 31188 0 0 0 0 0 0 0 0 0 0 0 0 0 31188 0 0 1005105884 88 Other behavior health professional 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 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 0 0 0 0 0 0 0 0 0 0 1005106027 1538405931 89 Physician Assistant Only(Encounter Only) SOLUM STEPHEN M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 286 0 0 0 0 0 0 286 0 0 1005106154 16 Nurse Practitioners 47 Jackson 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 0 133 0 0 0 0 0 0 133 0 0 1005106243 1659665263 10 Physicians GUPTA NISHA 999999999 30 DuPage 0 0 Ophthalmology 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5251 0 0 0 0 0 0 5251 0 0 1005106378 1417247776 16 Nurse Practitioners LANE TERESA A 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 835 0 0 0 0 0 0 835 0 0 1005106535 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 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 2031 0 0 0 0 0 0 0 0 0 0 0 0 0 2031 0 0 1005106714 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 10759 0 0 0 0 0 0 0 0 0 0 0 0 0 10759 0 0 1005107042 1780799254 89 Physician Assistant Only(Encounter Only) MORRISON RACHEL 999999999 24 Coles 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 532 0 0 0 0 0 0 0 0 2024 0 0 0 0 0 0 2556 0 0 1005107494 16 Nurse Practitioners 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 417 0 0 0 0 0 0 417 0 0 1005107624 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2162 0 0 0 0 0 0 0 0 0 0 0 0 0 2162 0 0 1005107818 1053619676 10 Physicians RADOVIC ALEKSANDAR 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 20 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 482 0 813 0 0 0 0 0 0 1295 0 0 1005107965 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 0 129 0 0 1005108167 1316351315 10 Physicians MIKSANEK ZACHARY A 999999999 80 Peoria 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 168 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 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 6944 0 0 0 0 0 0 6944 0 0 1005108248 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 1005108688 1184089351 16 Nurse Practitioners DUERINCK ANDREA C 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 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 0 269 0 0 0 0 0 0 269 0 0 1005108757 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 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 48241 0 0 0 0 0 0 0 0 0 0 0 0 0 48241 0 0 1005108822 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 13848 0 0 0 0 0 0 0 0 0 0 0 0 0 13848 0 0 1005109793 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 0 108 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 27298 0 0 0 0 0 0 0 0 0 0 0 0 0 27298 0 0 1005109899 1467767855 10 Physicians ANDERSON MARTIN E 999999999 200 Cook 0 0 Otolaryngology 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 0 148 0 0 0 0 0 0 0 0 0 1 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 7577 0 0 0 0 0 0 7577 0 0 1005110001 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 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18468 0 0 0 0 0 0 0 0 0 0 0 0 0 18468 0 0 1005110041 1528413945 60 Pharmacies EVANSTON HEALTHMART PHARMACY 999999999 200 Cook 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 0 313 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15986 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3807 0 0 0 3807 0 0 1005110151 1336507037 30 General Hospitals FRESENIUS MEDICAL CARE SUMMIT 999999999 200 Cook DIALYSIS Outpatient dialysis centers. 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 0 215 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1594 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 28 0 0 1005110216 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 14295 0 0 0 0 0 0 0 0 0 0 0 0 0 14295 0 0 1005110488 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 50 0 0 1005110582 1205243433 57 Home Nursing Agency "DYNAMIC HEALTHCARE SERVICES, I" 999999999 200 Cook 0 0 0 0 0 0 0 0 11 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1295 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1295 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 475441 30091 0 0 0 0 0 0 0 0 0 0 0 0 505532 0 0 1005110597 1154587426 10 Physicians WILLIAMS KIM 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 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 0 153 0 0 0 0 0 0 153 0 0 1005110638 1346694981 10 Physicians GURUNG SUBINA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 417 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 417 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5538 0 0 0 0 0 0 5538 0 0 1005110769 1356684070 10 Physicians HOSKINS JUSTIN T 999999999 19 Champaign 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 164 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 7989 0 0 0 0 0 0 7989 0 0 1005110846 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 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 0 150 0 0 150 0 0 1005111014 1437499803 16 Nurse Practitioners KENDRICK KRISTIN 999999999 80 Peoria 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 0 0 0 706 0 0 0 0 0 0 0 0 2908 0 0 0 0 0 0 3614 0 0 1005111107 60 Pharmacies 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3118 0 0 0 3118 0 0 1005111144 16 Nurse Practitioners 57 Lake 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 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 0 272 0 0 0 0 0 0 272 0 0 1005111405 1639478027 10 Physicians GOYAL SANDRA 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1662 0 0 0 0 0 0 1662 0 0 1005111474 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 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 1005111808 1194172932 55 Early Intervention Services DYSON EMILY S 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 423 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 423 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26672 0 0 0 0 0 0 26672 0 0 1005111834 4005111834 90 Waiver service provider--Elderly (DOA) "HELP AT HOME, LLC" 999999999 200 Cook 0 0 0 0 0 0 0 0 689 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49772 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49772 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5054554 0 0 0 0 0 0 0 0 0 0 0 0 0 5054554 0 0 1005111918 92 Waiver service provider--Disability (DHS/DRS) 106 Whiteside 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 6509 0 0 0 0 0 0 0 0 0 0 0 0 0 6509 0 0 1005112340 1487855854 10 Physicians SALDANA SANDRA 999999999 89 Rock Island 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 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 0 206 0 0 0 0 0 0 0 0 206 0 0 1005112641 1821265182 10 Physicians SHAKIR NASEEM T 999999999 27 Dekalb 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 503 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 749 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 749 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7573 0 355 0 0 0 0 0 0 7928 0 0 1005112801 1336263201 10 Physicians CHAUDHRY KANWAL 999999999 19 Champaign 0 0 Emergency Medicine 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 0 133 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 5113 0 0 0 0 0 0 5113 0 0 1005113380 94 Waiver service provider--Children's support (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 0 240 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 17746 0 0 0 0 0 0 0 0 0 0 0 0 0 17746 0 0 1005113593 10 Physicians 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 92 0 0 0 0 0 0 0 0 92 0 0 1005113628 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1468 0 0 0 0 0 0 0 0 0 0 0 0 0 1468 0 0 1005114712 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 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 8002 0 0 0 0 0 0 0 0 0 0 0 0 0 8002 0 0 1005115027 1871784405 89 Physician Assistant Only(Encounter Only) SIGWARTH BENJAMIN 999999999 200 Cook 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 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 3292 0 0 0 0 0 0 3292 0 0 1005115263 92 Waiver service provider--Disability (DHS/DRS) 836 Ohio 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11250 0 0 0 0 0 0 0 0 0 0 0 0 0 11250 0 0 1005115811 1497201172 16 Nurse Practitioners BLOSSER SUSAN R 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 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 0 240 0 0 0 0 0 0 240 0 0 1005115865 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 0 101 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 1629 0 0 0 0 0 0 0 0 0 0 0 0 0 1629 0 0 1005115999 1851640825 16 Nurse Practitioners CARMACK CHERYL A 999999999 80 Peoria 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 185 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 185 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 3667 0 0 0 0 0 0 3731 0 0 1005116197 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 0 156 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 0 0 0 0 0 28452 0 0 0 0 0 0 0 0 0 0 0 0 0 28452 0 0 1005116210 1699063792 10 Physicians BHAGI NEHA 999999999 200 Cook 0 0 Pediatrics 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 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 0 419 0 0 0 0 0 0 419 0 0 1005116702 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 1005116738 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 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 3054 0 0 0 0 0 0 0 0 0 0 0 0 0 3054 0 0 1005116958 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 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 42834 0 0 0 0 0 0 0 0 0 0 0 0 0 42834 0 0 1005117046 1215389531 16 Nurse Practitioners HEAL MICHELLE L 999999999 37 Fulton 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 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 67 0 0 0 0 0 0 67 0 0 1005117049 1225588759 75 Department of Alcohol and Substance Abuse Provider NICASA 600892717 57 Lake 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 0 144 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 8974 0 0 8974 0 0 1005117149 1457774044 10 Physicians YADAV VARUN CHAKKA 999999999 47 Jackson 0 0 Internal Medicine 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 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2975 0 0 0 0 0 0 2975 0 0 1005117708 1609187186 10 Physicians MERCHANT MONISH 999999999 30 DuPage 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 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 1188 0 0 0 0 0 0 0 0 1188 0 0 1005117786 1205286747 16 Nurse Practitioners UMALI SHIRLENE A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3059 0 0 0 0 0 0 3059 0 0 1005117798 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 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 40592 0 0 0 0 0 0 0 0 0 0 0 0 0 40592 0 0 1005118157 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 11211 0 0 0 0 0 0 0 0 0 0 0 0 0 11211 0 0 1005118239 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 464 0 0 0 0 0 0 0 0 0 0 0 0 0 464 0 0 1005118373 93 Waiver service provider--HIV/AIDS (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6536 0 0 0 0 0 0 0 0 0 0 0 0 0 6536 0 0 1005118444 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 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3421 0 0 0 0 0 0 0 0 0 0 0 0 0 3421 0 0 1005118485 1518315811 16 Nurse Practitioners BEDWELL LYNDSAY J 999999999 91 Sangamon 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 246 0 0 0 0 0 0 0 0 1380 0 0 0 0 0 0 1626 0 0 1005118489 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 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 28036 0 0 0 0 0 0 0 0 0 0 0 0 0 28036 0 0 1005118552 1609121748 16 Nurse Practitioners ZWANZIGER REBECCA 999999999 22 Clay 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 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 0 156 0 0 0 0 0 0 156 0 0 1005118622 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 0 335 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 335 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 1005118645 1003255308 10 Physicians DABABNEH EHAB 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 3 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 4096 0 0 0 0 0 0 4102 0 0 1005118721 1922543636 40 Federally Qualified Health Centers COMMUNITY HEALTH PARTNERSHIP O 999999999 71 McHenry 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6984 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6984 0 0 1005118872 10 Physicians 91 Sangamon 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 155 0 0 0 0 0 0 0 0 155 0 0 1005118929 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28447 0 0 0 0 0 0 0 0 0 0 0 0 0 28447 0 0 1005118935 91 Waiver service provider--Adults (DHS/DDD) 826 Missouri 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105 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 7642 0 0 0 0 0 0 0 0 0 0 0 0 0 7642 0 0 1005119203 1861845240 16 Nurse Practitioners MUNROE MICHELLE J. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 375 0 0 0 0 0 0 375 0 0 1005119301 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 358 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 358 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29127 0 0 0 0 0 0 0 0 0 0 0 0 0 29127 0 0 1005119369 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005119696 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 20726 0 0 0 0 0 0 0 0 0 0 0 0 0 20726 0 0 1005120000 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 7567 0 0 0 0 0 0 0 0 0 0 0 0 0 7567 0 0 1005120224 94 Waiver service provider--Children's support (DHS/DDD) 57 Lake 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 457 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 0 0 0 0 0 0 0 0 0 0 0 0 22131 0 0 0 0 0 0 0 0 0 0 0 0 0 22131 0 0 1005120601 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5838 0 0 0 0 0 0 0 0 0 0 0 0 0 5838 0 0 1005120898 1831553908 16 Nurse Practitioners MCFADIN THERESA 999999999 91 Sangamon 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 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 0 481 0 0 0 0 0 0 481 0 0 1005120907 1992259642 16 Nurse Practitioners HITESMAN HEATHER M 999999999 89 Rock Island 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 0 559 0 0 0 0 0 0 559 0 0 1005120915 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 22949 0 0 0 0 0 0 0 0 0 0 0 0 0 22949 0 0 1005121249 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 0 157 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 25651 0 0 0 0 0 0 0 0 0 0 0 0 0 25651 0 0 1005121394 10 Physicians 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 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 1005121686 1740443837 10 Physicians STEED ASHLEY L 999999999 200 Cook 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 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 2985 0 0 0 0 0 0 2985 0 0 1005122343 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 0 269 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 269 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26402 0 0 0 0 0 0 0 0 0 0 0 0 0 26402 0 0 1005122521 11 Dentists 12 Bond 0 0 General Dentistry 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 214 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 214 0 0 1005122702 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 0 145 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 12069 0 0 0 0 0 0 0 0 0 0 0 0 0 12069 0 0 1005122786 1043507866 10 Physicians FREDERICK LUKE R 999999999 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95 0 4572 0 0 0 0 0 0 4667 0 0 1005122857 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 0 184 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 24067 0 0 0 0 0 0 0 0 0 0 0 0 0 24067 0 0 1005122940 1831649029 89 Physician Assistant Only(Encounter Only) CARDEN JATAME 999999999 57 Lake 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 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 0 101 0 0 0 0 0 0 101 0 0 1005123044 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 20509 0 0 0 0 0 0 0 0 0 0 0 0 0 20509 0 0 1005123166 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17829 0 0 0 0 0 0 0 0 0 0 0 0 0 17829 0 0 1005123434 94 Waiver service provider--Children's support (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 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 11053 0 0 0 0 0 0 0 0 0 0 0 0 0 11053 0 0 1005123728 1679912687 10 Physicians VELASQUEZ GLADYS 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1652 0 0 0 0 0 0 1652 0 0 1005123740 1073969044 16 Nurse Practitioners SOPER NICOLE S 999999999 91 Sangamon 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 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4043 0 0 0 0 0 0 4043 0 0 1005123793 1700230398 40 Federally Qualified Health Centers PRIMECARE WICKER PARK 999999999 200 Cook 0 0 0 0 537 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2371 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2371 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 158028 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 158028 0 0 1005123942 4005123942 90 Waiver service provider--Elderly (DOA) "HELP AT HOME, LLC" 999999999 200 Cook 0 0 0 0 0 0 0 0 583 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37182 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37182 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3023500 0 0 0 0 0 0 0 0 0 0 0 0 0 3023500 0 0 1005124427 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 91 0 0 1005124689 92 Waiver service provider--Disability (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3899 0 0 0 0 0 0 0 0 0 0 0 0 0 3899 0 0 1005124929 1578931051 63 Other Providers of Medical Equipment/Supplies (Non-registered) D & M MEDICAL SUPPLY 600893708 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 560 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19611 0 199 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19611 0 199 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1146428 0 16018 0 0 0 0 1162446 0 0 1005124941 1366573495 86 Clinical Social Worker(Encounter Only) HOLLAND JENNIFER 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 0 184 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 2841 0 0 0 0 0 0 2841 0 0 1005125073 1972883254 10 Physicians BHAT GIFTY 999999999 200 Cook 0 0 Pediatrics 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 2522 0 0 0 0 0 0 2522 0 0 1005125278 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 31529 0 0 0 0 0 0 0 0 0 0 0 0 0 31529 0 0 1005125384 1396000378 10 Physicians LIU JASON 999999999 19 Champaign 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 5 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 8670 0 0 0 0 0 0 8708 0 0 1005125499 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30261 0 0 0 0 0 0 0 0 0 0 0 0 0 30261 0 0 1005125618 1114216413 10 Physicians ZHOU DELU 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 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 0 328 0 0 0 0 0 0 0 0 328 0 0 1005125833 1548429509 16 Nurse Practitioners DOSE AMI M 999999999 80 Peoria 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 103 0 0 0 0 0 0 0 0 2566 0 0 0 0 0 0 2669 0 0 1005126072 94 Waiver service provider--Children's support (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 0 205 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 40309 0 0 0 0 0 0 0 0 0 0 0 0 0 40309 0 0 1005126245 16 Nurse Practitioners 81 Perry 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 0 292 0 0 0 0 0 0 292 0 0 1005126679 1528226941 10 Physicians RAYANI SHAYAN 999999999 30 DuPage 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 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 3162 0 0 0 0 0 0 3162 0 0 1005126703 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005126763 1861652455 10 Physicians LINDGREN MICHELLE 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 38 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 695 0 1472 0 0 0 0 0 0 2167 0 0 1005126824 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 16643 0 0 0 0 0 0 0 0 0 0 0 0 0 16643 0 0 1005126856 10 Physicians 89 Rock Island 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 0 188 0 0 0 0 0 0 188 0 0 1005126953 1245316199 10 Physicians HUSSAIN MAHA H.A. 999999999 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 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 9818 0 0 0 0 0 0 9818 0 0 1005127001 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1951 0 0 0 0 0 0 0 0 0 0 0 0 0 1951 0 0 1005127114 1578958435 30 General Hospitals FRESENIUS MEDICAL CARE ROUND L 999999999 57 Lake DIALYSIS Outpatient dialysis centers. 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 0 215 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95360 0 0 0 0 0 95360 0 0 1005127129 1841446473 10 Physicians MANEK MEGHA 999999999 91 Sangamon 0 0 Family Practice 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 0 168 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 3548 0 0 0 0 0 0 3548 0 0 1005127501 1538424098 10 Physicians MORGAN KRISTINA 999999999 61 Livingston 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3970 0 0 0 0 0 0 3970 0 0 1005127549 1790988905 10 Physicians HOLT ROXANE 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 61 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2786 0 2385 0 0 0 0 0 0 5171 0 0 1005127718 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 0 211 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 211 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18148 0 0 0 0 0 0 0 0 0 0 0 0 0 18148 0 0 1005128058 10 Physicians 200 Cook 0 0 Emergency Medicine 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 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 106 0 0 0 0 0 0 145 0 0 1005128247 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 112 0 0 1005128300 1427495241 10 Physicians SAGE ALISON 999999999 63 Macon 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 893 0 0 0 0 0 0 0 0 572 0 0 0 0 0 0 1465 0 0 1005128422 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005128740 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 27542 0 0 0 0 0 0 0 0 0 0 0 0 0 27542 0 0 1005128766 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 390 0 0 0 0 0 0 0 0 0 0 0 0 0 390 0 0 1005128788 1881613297 10 Physicians AHMAD SAAD 999999999 30 DuPage 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 8 0 146 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 1770 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 1770 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 324 0 156402 0 0 0 0 0 0 156726 0 0 1005129315 16 Nurse Practitioners 10 Adams 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 125 0 0 1005129354 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 0 102 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 16325 0 0 0 0 0 0 0 0 0 0 0 0 0 16325 0 0 1005129779 1043669419 11 Dentists AL OBAIDI MUSTAFA 999999999 200 Cook 0 0 General Dentistry 0 0 0 19 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 1813 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1813 0 0 1005129831 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 25711 0 0 0 0 0 0 0 0 0 0 0 0 0 25711 0 0 1005129852 1861853517 16 Nurse Practitioners PARAMBEN LEKHA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2414 0 0 0 0 0 0 2414 0 0 1005130143 1679925887 16 Nurse Practitioners STEWART THOMAS T 999999999 91 Sangamon 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 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 1365 0 0 0 0 0 0 1365 0 0 1005130162 10 Physicians 200 Cook 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 22 0 0 0 0 0 0 0 0 22 0 0 1005130223 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 21581 0 0 0 0 0 0 0 0 0 0 0 0 0 21581 0 0 1005130878 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 0 144 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 28101 0 0 0 0 0 0 0 0 0 0 0 0 0 28101 0 0 1005131005 1780950782 10 Physicians KRUEGER ERIC 999999999 200 Cook 0 0 Emergency Medicine 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 0 221 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 6993 0 0 0 0 0 0 6993 0 0 1005131299 1023479417 16 Nurse Practitioners PATTON MICIAH B 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 47 0 0 0 0 0 0 47 0 0 1005131729 1801863469 10 Physicians LAVINE STEVEN J 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 172 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 0 786 0 0 0 0 0 0 786 0 0 1005132083 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 0 129 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 6080 0 0 0 0 0 0 0 0 0 0 0 0 0 6080 0 0 1005132142 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 19887 0 0 0 0 0 0 0 0 0 0 0 0 0 19887 0 0 1005132198 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 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 3865 0 0 0 0 0 0 0 0 0 0 0 0 0 3865 0 0 1005132313 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 27619 0 0 0 0 0 0 0 0 0 0 0 0 0 27619 0 0 1005132419 10 Physicians 30 DuPage 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 1 0 0 0 0 0 0 1 0 0 1005132462 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 0 430 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 54815 0 0 0 0 0 0 0 0 0 0 0 0 0 54815 0 0 1005132514 1992258438 16 Nurse Practitioners DOTY KRYSTYNE 999999999 53 Kane 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 0 127 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 1396 0 0 0 0 0 0 1396 0 0 1005132588 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 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 86 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 0 1005132741 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 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 6220 0 0 0 0 0 0 0 0 0 0 0 0 0 6220 0 0 1005132790 1437434982 16 Nurse Practitioners CARR ABBI D 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1785 0 0 0 0 0 0 1785 0 0 1005132912 1922550300 16 Nurse Practitioners TATE SHAKIRA N 999999999 50 Jersey 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 72 0 0 0 0 0 0 72 0 0 1005133670 10 Physicians 200 Cook 0 0 Otolaryngology 0 0 0 0 0 0 0 0 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 26 0 0 0 0 0 0 26 0 0 1005133805 10 Physicians 80 Peoria 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 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 0 445 0 0 0 0 0 0 445 0 0 1005133939 1033422811 10 Physicians CHET ANDREW 999999999 200 Cook 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 0 326 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 0 0 0 0 0 0 0 0 0 0 0 0 5809 0 0 0 0 0 0 5809 0 0 1005133961 1326060039 60 Pharmacies CVS PHARMACY #16999 606324010 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 837 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30810 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37785 0 0 0 37785 0 0 1005134230 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 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 24150 0 0 0 0 0 0 0 0 0 0 0 0 0 24150 0 0 1005134486 94 Waiver service provider--Children's support (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 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 1758 0 0 0 0 0 0 0 0 0 0 0 0 0 1758 0 0 1005134556 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39680 0 0 0 0 0 0 0 0 0 0 0 0 0 39680 0 0 1005135169 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 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 39506 0 0 0 0 0 0 0 0 0 0 0 0 0 39506 0 0 1005135193 16 Nurse Practitioners 815 Indiana 0 0 0 0 0 0 0 0 0 0 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 1005135311 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 7000 0 0 0 0 0 0 0 0 0 0 0 0 0 7000 0 0 1005135528 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 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 32676 0 0 0 0 0 0 0 0 0 0 0 0 0 32676 0 0 1005135541 1174977631 91 Waiver service provider--Adults (DHS/DDD) PALMER MELISSA 999999999 200 Cook 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 0 108 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 2066 0 0 0 0 0 0 0 0 0 0 0 0 0 2066 0 0 1005135644 1053622290 10 Physicians WALKER HOLLIS 999999999 200 Cook 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 0 158 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 1523 0 0 0 0 0 0 1523 0 0 1005135698 1013464031 16 Nurse Practitioners ENGELE CHRISTOPHER G 999999999 47 Jackson 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 0 127 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 1166 0 0 0 0 0 0 1166 0 0 1005135707 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34598 0 0 0 0 0 0 0 0 0 0 0 0 0 34598 0 0 1005136010 4005136010 92 Waiver service provider--Disability (DHS/DRS) "HELP AT HOME, LLC" 999999999 200 Cook 0 0 0 0 0 0 0 0 409 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5672907 0 0 0 0 0 0 0 0 0 0 0 0 0 5672907 0 0 1005136197 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 137 0 0 0 0 0 0 0 0 0 0 0 0 0 137 0 0 1005136230 1083062285 16 Nurse Practitioners BOORE HEATHER A. 999999999 80 Peoria 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 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 9299 0 0 0 0 0 0 9299 0 0 1005136273 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1856 0 0 0 0 0 0 0 0 0 0 0 0 0 1856 0 0 1005136315 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6577 0 0 0 0 0 0 0 0 0 0 0 0 0 6577 0 0 1005136429 1437440633 10 Physicians CAMACHO-SOTO ALEJANDRA 999999999 70 McDonough 0 0 Physical Medicine/Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 67 0 0 1005136503 92 Waiver service provider--Disability (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 13549 0 0 0 0 0 0 0 0 0 0 0 0 0 13549 0 0 1005137068 1043574312 10 Physicians NEAHRING MARK E 999999999 200 Cook 0 0 Psychiatry 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 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 1244 0 0 0 0 0 0 1244 0 0 1005137143 1619264538 10 Physicians PITRODA SEAN P 999999999 30 DuPage 0 0 Radiation Oncology 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 0 134 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 1776 0 0 0 0 0 0 1776 0 0 1005137180 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21809 0 0 0 0 0 0 0 0 0 0 0 0 0 21809 0 0 1005137322 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 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 16638 0 0 0 0 0 0 0 0 0 0 0 0 0 16638 0 0 1005137339 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 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 0 111 0 0 111 0 0 1005137543 10 Physicians 852 Wisconsin 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005137651 1861406431 89 Physician Assistant Only(Encounter Only) WILSON JENNIFER L 999999999 89 Rock Island 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 0 108 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 0 605 0 0 0 0 0 0 605 0 0 1005137756 10 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 44 0 0 1005137972 1801242631 23 Occupational Therapists CHEN SHU HUA 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 401 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 401 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32872 32872 0 0 1005138029 1811344096 16 Nurse Practitioners KRESS MARGARET A 999999999 53 Kane 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 47 0 0 0 0 0 0 47 0 0 1005138296 1124482252 16 Nurse Practitioners DEUSHANE RYAN 999999999 80 Peoria 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 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 1133 0 0 0 0 0 0 1133 0 0 1005138543 1003132549 10 Physicians DESAI VIKAS 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 145 0 8930 0 0 0 0 0 0 9075 0 0 1005138651 16 Nurse Practitioners 109 Winnebago 0 0 0 0 0 0 0 0 0 0 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 0 145 0 0 0 0 0 0 145 0 0 1005138926 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 31 0 0 1005139051 1740698562 89 Physician Assistant Only(Encounter Only) NILES SARA 999999999 200 Cook 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 0 153 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 8431 0 0 0 0 0 0 8431 0 0 1005139055 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 16578 0 0 0 0 0 0 0 0 0 0 0 0 0 16578 0 0 1005139550 1437435997 16 Nurse Practitioners MAY CARRIE 999999999 57 Lake 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 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 3086 0 0 0 0 0 0 3086 0 0 1005139612 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 0 274 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 28435 0 0 0 0 0 0 0 0 0 0 0 0 0 28435 0 0 1005139650 1255562146 10 Physicians BAZAVAN MUGUREL 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 526 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 990 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 990 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10092 0 0 0 0 0 0 10092 0 0 1005139732 1649292434 60 Pharmacies CVS PHARMACY #16283 605109209 53 Kane 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 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2721 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1640 0 0 0 1640 0 0 1005140003 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 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28313 0 0 0 0 0 0 0 0 0 0 0 0 0 28313 0 0 1005140278 1710347406 89 Physician Assistant Only(Encounter Only) HATTAR ADINA 999999999 200 Cook 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 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 0 377 0 0 0 0 0 0 377 0 0 1005140283 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1154 0 0 0 0 0 0 0 0 0 0 0 0 0 1154 0 0 1005140345 92 Waiver service provider--Disability (DHS/DRS) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15220 0 0 0 0 0 0 0 0 0 0 0 0 0 15220 0 0 1005140381 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 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 3157 0 0 0 0 0 0 0 0 0 0 0 0 0 3157 0 0 1005140975 1114360252 10 Physicians IVES LAUREN A 999999999 109 Winnebago 0 1 Family Practice 0 0 0 0 7 0 0 0 0 0 0 3 0 16 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 4 0 28 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 4 0 28 0 0 0 0 0 0 0 0 0 443 0 0 0 0 0 0 140 0 868 0 0 0 0 0 0 1451 0 0 1005141097 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 0 324 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 324 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27820 0 0 0 0 0 0 0 0 0 0 0 0 0 27820 0 0 1005141285 1750749503 16 Nurse Practitioners PACEVICIUS LINA 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 0 483 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 483 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6049 0 0 0 0 0 0 6049 0 0 1005141369 1417211780 10 Physicians DERANI LENA 999999999 200 Cook 0 0 Neurology 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 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1609 0 0 0 0 0 0 1609 0 0 1005141440 1225478027 10 Physicians SHAMS SHAHED M 999999999 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1469 0 0 0 0 0 0 1469 0 0 1005141990 1407295363 89 Physician Assistant Only(Encounter Only) SENECZKO KAILIE 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 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 1489 0 0 0 0 0 0 1489 0 0 1005141999 92 Waiver service provider--Disability (DHS/DRS) 34 Fayette 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1291 0 0 0 0 0 0 0 0 0 0 0 0 0 1291 0 0 1005142025 1093034498 10 Physicians SWEIS RANDY F 999999999 30 DuPage 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 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 0 211 0 0 0 0 0 0 211 0 0 1005142029 1881047660 22 Physical Therapists AGUILAR MARY DELANIE B 999999999 30 DuPage 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 0 365 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 2283 2283 0 0 1005142329 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 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 1005142685 1720234743 10 Physicians TRAGOS CHRISTINA 606751611 200 Cook 0 0 Plastic Surgery 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 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7974 0 0 0 0 0 0 7974 0 0 1005142702 87 Psychologist(Encounter Only) 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005142730 91 Waiver service provider--Adults (DHS/DDD) 107 Will 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 0 508 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 508 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47352 0 0 0 0 0 0 0 0 0 0 0 0 0 47352 0 0 1005142742 1659741239 60 Pharmacies MARIANOS PHARMACY #8534 999999999 200 Cook 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 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2536 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1810 0 0 0 1810 0 0 1005142860 1124472501 24 Speech Therapists SHERLOCK ELYSE 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 7413 7413 0 0 1005142871 1912368994 16 Nurse Practitioners RENNER ASHLEY 999999999 58 La Salle 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 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 1375 0 0 0 0 0 0 1375 0 0 1005143273 1164887519 16 Nurse Practitioners MEEHAN LAURA 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 3908 0 0 0 0 0 0 3908 0 0 1005143334 1245677749 10 Physicians SHATAT TAHREER 999999999 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 75 0 78 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2028 0 2017 0 0 0 0 0 0 4045 0 0 1005143672 1245786417 24 Speech Therapists TIERNEY ELAINE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 403 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 0 0 0 0 0 0 0 0 0 0 0 0 28542 28542 0 0 1005143717 1720391360 10 Physicians HAWKINS CHERIE B 999999999 80 Peoria 0 1 Family Practice 0 0 0 0 2 0 0 0 0 0 0 1 0 54 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 1 0 106 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 1 0 106 0 0 0 0 0 0 0 0 0 193 0 0 0 0 0 0 15 0 2571 0 0 0 0 0 0 2779 0 0 1005143881 1831549443 16 Nurse Practitioners UNDERWOOD JANE E 999999999 80 Peoria 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 1637 0 0 0 0 0 0 1806 0 0 1005143954 1497098289 10 Physicians EDWARDS SHAMECKA 999999999 65 Madison 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 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 0 458 0 0 0 0 0 0 458 0 0 1005144082 10 Physicians 66 Marion 0 0 Anesthesiology 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 37 0 0 0 0 0 0 37 0 0 1005144218 1619264041 13 Podiatrists KELLY CAROLYN 999999999 200 Cook 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 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 0 604 0 0 0 0 0 0 604 0 0 1005144317 1568691459 10 Physicians TRIVEDI ITISHREE 999999999 200 Cook 0 0 Internal Medicine 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 0 137 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 12819 0 0 0 0 0 0 12819 0 0 1005144504 1437586096 16 Nurse Practitioners GREENWOOD ANGELLA M 999999999 15 Bureau 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 176 0 0 0 0 0 0 0 0 859 0 0 0 0 0 0 1035 0 0 1005145076 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 85 0 0 0 0 0 0 85 0 0 1005145478 92 Waiver service provider--Disability (DHS/DRS) 27 Dekalb 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1658 0 0 0 0 0 0 0 0 0 0 0 0 0 1658 0 0 1005145749 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 25630 0 0 0 0 0 0 0 0 0 0 0 0 0 25630 0 0 1005145811 10 Physicians 89 Rock Island 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005146146 92 Waiver service provider--Disability (DHS/DRS) 85 Pulaski 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2246 0 0 0 0 0 0 0 0 0 0 0 0 0 2246 0 0 1005146391 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 42 0 0 0 0 0 0 42 0 0 1005146734 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 0 136 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 21959 0 0 0 0 0 0 0 0 0 0 0 0 0 21959 0 0 1005146805 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 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 15740 0 0 0 0 0 0 0 0 0 0 0 0 0 15740 0 0 1005147064 92 Waiver service provider--Disability (DHS/DRS) 826 Missouri 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5746 0 0 0 0 0 0 0 0 0 0 0 0 0 5746 0 0 1005147117 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 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 0 333 0 0 0 0 0 0 333 0 0 1005147188 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 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 4640 0 0 0 0 0 0 0 0 0 0 0 0 0 4640 0 0 1005147843 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5686 0 0 0 0 0 0 0 0 0 0 0 0 0 5686 0 0 1005147891 1497111785 16 Nurse Practitioners HORN JENIFER 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 147 0 0 0 0 0 0 147 0 0 1005148172 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 18182 0 0 0 0 0 0 0 0 0 0 0 0 0 18182 0 0 1005148237 1922159110 89 Physician Assistant Only(Encounter Only) MEDLER JEREMY 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 281 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 466 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 466 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7694 0 0 0 0 0 0 7694 0 0 1005148267 1164619771 89 Physician Assistant Only(Encounter Only) LIPE SHILOH M 999999999 76 Montgomery 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 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 0 618 0 0 0 0 0 0 618 0 0 1005148463 1033542022 10 Physicians DESAI KUSH M 999999999 200 Cook 0 0 Family Practice 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 0 326 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 0 0 0 0 0 0 0 0 0 0 0 0 2929 0 0 0 0 0 0 2929 0 0 1005148473 1518328186 60 Pharmacies BARTLETT PHARMACY 999999999 200 Cook 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 0 213 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7393 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2565 0 0 0 2565 0 0 1005148604 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 0 181 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 26077 0 0 0 0 0 0 0 0 0 0 0 0 0 26077 0 0 1005148659 1659669794 10 Physicians DORIN NICHOLAS 999999999 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2150 0 0 0 0 0 0 2150 0 0 1005148717 1336161140 60 Pharmacies CVS PHARMACY #16316 601734939 200 Cook 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 0 318 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12526 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40336 0 0 0 40336 0 0 1005148784 1740633510 16 Nurse Practitioners KOZLOWSKI ANGELICA 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 0 321 0 0 0 0 0 0 321 0 0 1005148839 1710437249 16 Nurse Practitioners STREMMEL CHRISTIAN 999999999 80 Peoria 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 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 2332 0 0 0 0 0 0 2332 0 0 1005148901 1811256399 10 Physicians GUPTA SHRUTI 999999999 200 Cook 0 0 Family Practice 0 0 0 0 5 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 393 0 0 0 0 0 0 0 0 1669 0 0 0 0 0 0 2062 0 0 1005149073 1376926832 16 Nurse Practitioners BACHTOLD CATHERINE E 999999999 80 Peoria 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0 0 0 0 3089 0 0 0 0 0 0 0 0 3585 0 0 0 0 0 0 6674 0 0 1005149340 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 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 16884 0 0 0 0 0 0 0 0 0 0 0 0 0 16884 0 0 1005149542 87 Psychologist(Encounter Only) 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 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 1005149587 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 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 6143 0 0 0 0 0 0 0 0 0 0 0 0 0 6143 0 0 1005149939 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 9680 0 0 0 0 0 0 0 0 0 0 0 0 0 9680 0 0 1005149989 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 0 231 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 0 0 0 0 0 0 0 0 0 0 0 0 19727 0 0 0 0 0 0 0 0 0 0 0 0 0 19727 0 0 1005149998 1932513934 10 Physicians VANDER ROEST DAPHNE L 999999999 200 Cook 0 0 Pediatrics 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 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 4396 0 0 0 0 0 0 4396 0 0 1005150261 1619328614 16 Nurse Practitioners JOHNSON MICHELLE 999999999 80 Peoria 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 105 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 141 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 141 0 0 0 0 0 0 0 0 0 1616 0 0 0 0 0 0 0 0 4371 0 0 0 0 0 0 5987 0 0 1005150301 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5446 0 0 0 0 0 0 0 0 0 0 0 0 0 5446 0 0 1005150532 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 6226 0 0 0 0 0 0 0 0 0 0 0 0 0 6226 0 0 1005150689 1114360013 10 Physicians SMITH STEVEN JOHN 999999999 200 Cook 0 0 Family Practice 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 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 666 0 0 0 0 0 0 666 0 0 1005150751 1073066437 16 Nurse Practitioners LAWRENCE JENNIFER M 999999999 53 Kane 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 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 0 880 0 0 0 0 0 0 880 0 0 1005150909 1427287812 10 Physicians GEISLER STEFANIE 999999999 200 Cook 0 0 Neurology 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 13 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 4 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 70 0 0 1005150996 1811334626 10 Physicians ARCE YESENIA 999999999 200 Cook 0 0 General Practice 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 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 0 890 0 0 0 0 0 0 890 0 0 1005151072 1780763284 30 General Hospitals SSM HEALTH ST MARYS HOSPITAL S 631171811 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 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 8 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 1062 0 0 0 0 0 0 0 0 0 1062 0 564 1005151223 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 0 330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24040 0 0 0 0 0 0 0 0 0 0 0 0 0 24040 0 0 1005151511 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 552 0 0 0 0 0 0 0 0 0 0 0 0 0 552 0 0 1005151534 1790133429 10 Physicians KHATTAK ANMOL 999999999 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 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 1057 0 0 0 0 0 0 1057 0 0 1005151633 1053718700 16 Nurse Practitioners MURPHY SARA D 999999999 91 Sangamon 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 153 0 0 0 0 0 0 0 0 2698 0 0 0 0 0 0 2851 0 0 1005152244 1548715527 16 Nurse Practitioners LEARMAN DIANE L 999999999 200 Cook 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 87 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 87 0 0 0 0 0 0 0 0 0 221 0 0 0 0 0 0 0 0 2669 0 0 0 0 0 0 2890 0 0 1005152324 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0 0 1005152370 92 Waiver service provider--Disability (DHS/DRS) 27 Dekalb 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3612 0 0 0 0 0 0 0 0 0 0 0 0 0 3612 0 0 1005152385 1831455922 10 Physicians RABI JOSEPH 999999999 30 DuPage 0 0 Physical Medicine/Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2360 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 0 0 0 0 0 0 0 0 0 0 0 0 6828 0 0 0 0 0 0 6828 0 0 1005152399 1275714735 10 Physicians MCELVEEN RUSSELL L 999999999 200 Cook 0 0 Thoracic Surgery 0 0 0 0 0 0 0 0 0 0 0 1 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8684 0 0 0 0 0 0 8684 0 0 1005152606 1467909549 16 Nurse Practitioners THEIS ERICA 999999999 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 408 0 0 0 0 0 0 408 0 0 1005152788 1902246820 10 Physicians WOLF MATTHEW J 999999999 106 Whiteside 0 1 Family Practice 0 0 0 0 8 0 0 0 0 0 0 2 0 46 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 2 0 115 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 2 0 115 0 0 0 0 0 0 0 0 0 859 0 0 0 0 0 0 10 0 1252 0 0 0 0 0 0 2121 0 0 1005153071 1699039404 10 Physicians GRAHAM LOUIS K 999999999 852 Wisconsin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 523 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 0 0 0 0 0 0 0 0 0 0 0 0 14742 0 0 0 0 0 0 14742 0 0 1005153166 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 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 6091 0 0 0 0 0 0 0 0 0 0 0 0 0 6091 0 0 1005153238 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 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7340 0 0 0 0 0 0 0 0 0 0 0 0 0 7340 0 0 1005153311 1215301221 16 Nurse Practitioners GARMON GREGORY R. 999999999 80 Peoria 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 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1180 0 0 0 0 0 0 1180 0 0 1005153886 1548662844 16 Nurse Practitioners OSINSKI KATARZYNA ANNA 606313222 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 710 0 0 0 0 0 0 726 0 0 1005153897 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 168 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 168 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14631 0 0 0 0 0 0 0 0 0 0 0 0 0 14631 0 0 1005154334 98 Waiver service provider--TBI (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 33916 0 0 0 0 0 0 0 0 0 0 0 0 0 33916 0 0 1005154553 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 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 2358 0 0 0 0 0 0 0 0 0 0 0 0 0 2358 0 0 1005154616 1962850719 16 Nurse Practitioners NUNEZ JOSUE 999999999 200 Cook 0 0 0 0 0 0 5 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 0 173 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 173 0 0 0 0 0 0 0 0 0 374 0 0 0 0 0 0 0 0 4379 0 0 0 0 0 0 4753 0 0 1005154730 1811344567 10 Physicians MADDRELL REBECCA GRACE 999999999 200 Cook 0 0 Family Practice 0 0 0 0 5 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 1426 0 0 0 0 0 0 1554 0 0 1005154864 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 29 0 0 0 0 0 0 29 0 0 1005154936 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9870 0 0 0 0 0 0 0 0 0 0 0 0 0 9870 0 0 1005155297 10 Physicians 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 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 3 0 0 0 0 0 0 3 0 0 1005155366 10 Physicians 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005155420 98 Waiver service provider--TBI (DHS/DRS) 27 Dekalb 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 22538 0 0 0 0 0 0 0 0 0 0 0 0 0 22538 0 0 1005155583 92 Waiver service provider--Disability (DHS/DRS) 79 Ogle 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17037 0 0 0 0 0 0 0 0 0 0 0 0 0 17037 0 0 1005155592 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 28 0 0 1005156021 1558434795 89 Physician Assistant Only(Encounter Only) JONES DAVID R 999999999 47 Jackson 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 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 0 161 0 0 0 0 0 0 161 0 0 1005156068 1306284161 10 Physicians BLEESS BRANDON 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2522 0 0 0 0 0 0 2522 0 0 1005156090 98 Waiver service provider--TBI (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 16524 0 0 0 0 0 0 0 0 0 0 0 0 0 16524 0 0 1005156216 1336580273 10 Physicians PATEL PREETI 999999999 80 Peoria 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 238 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 238 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5478 0 0 0 0 0 0 5478 0 0 1005156359 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 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 1844 0 0 0 0 0 0 0 0 0 0 0 0 0 1844 0 0 1005156545 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 0 287 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 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1005156686 1720309339 10 Physicians MARCELINO RYAN 999999999 200 Cook 0 0 Anesthesiology 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 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6170 0 0 0 0 0 0 6170 0 0 1005156710 92 Waiver service provider--Disability (DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 23424 0 0 0 0 0 0 0 0 0 0 0 0 0 23424 0 0 1005156807 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 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 23598 0 0 0 0 0 0 0 0 0 0 0 0 0 23598 0 0 1005156939 1336534791 16 Nurse Practitioners DRUCK DENISE L 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 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 0 285 0 0 0 0 0 0 285 0 0 1005156947 1326240102 10 Physicians LUDWIG OLIVIA J 999999999 200 Cook 0 0 Clinical Pathology 0 0 0 0 0 0 0 0 0 0 0 199 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 399 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 399 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3079 0 0 0 0 0 0 0 0 3079 0 0 1005156985 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 30049 0 0 0 0 0 0 0 0 0 0 0 0 0 30049 0 0 1005157066 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 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 36701 0 0 0 0 0 0 0 0 0 0 0 0 0 36701 0 0 1005157275 1962761551 10 Physicians FEATHER RANDALL R. 999999999 47 Jackson 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 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4831 0 0 0 0 0 0 4831 0 0 1005157403 1407858012 10 Physicians HEANEY MICHAEL L 999999999 49 Jefferson 0 0 Anesthesiology 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 0 139 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 12617 0 0 0 0 0 0 12617 0 0 1005157418 1326598319 60 Pharmacies CVS PHARMACY #17686 999999999 841 Rhode Island 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 0 266 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8358 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7304 0 0 0 7304 0 0 1005157744 1588664940 65 Independent Diagnostic Testing Facility (IDTF) REACTDX 999999999 810 Florida 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 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 642 0 0 0 0 0 0 0 0 642 0 0 1005158065 1942596135 10 Physicians CHAWA VIKRAM S 999999999 200 Cook 0 0 Anesthesiology 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 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 2454 0 0 0 0 0 0 2454 0 0 1005158140 1104835768 89 Physician Assistant Only(Encounter Only) YOUNG LEANN B 999999999 80 Peoria 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 0 121 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 1166 0 0 0 0 0 0 1166 0 0 1005158526 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 76 0 0 0 0 0 0 76 0 0 1005158668 1619386836 50 Home Health Agencies - In Home OSF SAINT ANTHONYS HOME HEALTH 620025919 65 Madison 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 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 4329 0 0 0 0 0 0 4329 0 0 1005158708 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 0 167 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 0 0 0 0 0 21323 0 0 0 0 0 0 0 0 0 0 0 0 0 21323 0 0 1005158873 1336181528 60 Pharmacies CVS PHARMACY 08528 611152405 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1532 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58761 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81846 0 0 0 81846 0 0 1005159126 1437580560 91 Waiver service provider--Adults (DHS/DDD) BUTLER SAMANTHA 999999999 96 St Clair 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 0 940 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 940 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55292 0 0 0 0 0 0 0 0 0 0 0 0 0 55292 0 0 1005159205 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 24022 0 0 0 0 0 0 0 0 0 0 0 0 0 24022 0 0 1005159267 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 20522 0 0 0 0 0 0 0 0 0 0 0 0 0 20522 0 0 1005159325 10 Physicians 200 Cook 0 0 Obstetric-Gynecology 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 0 232 0 0 0 0 0 0 232 0 0 1005159942 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 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 30559 0 0 0 0 0 0 0 0 0 0 0 0 0 30559 0 0 1005160140 1205236569 89 Physician Assistant Only(Encounter Only) PILLARD JANELLE E 999999999 45 Henry 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 0 432 0 0 0 0 0 0 432 0 0 1005160280 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 26730 0 0 0 0 0 0 0 0 0 0 0 0 0 26730 0 0 1005160298 1033131842 60 Pharmacies CVS PHARMACY # 16421 600472356 57 Lake 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 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2381 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1203 0 0 0 1203 0 0 1005160408 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 0 226 0 0 0 0 0 0 0 0 0 0 0 0 0 226 0 0 1005160625 1982913661 10 Physicians GEORGE MEENA 999999999 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 6 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 327 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 327 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 134 0 13069 0 0 0 0 0 0 13203 0 0 1005160660 1215481247 16 Nurse Practitioners SHARPE ROCHELL G 999999999 10 Adams 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 0 151 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 7655 0 0 0 0 0 0 7655 0 0 1005160928 1427499441 10 Physicians SREEDHARAN MANOJ 999999999 70 McDonough 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 26 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 531 0 1509 0 0 0 0 0 0 2040 0 0 1005161092 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 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 1394 0 0 0 0 0 0 1394 0 0 1005161150 1902992050 89 Physician Assistant Only(Encounter Only) CRANICK SCOTT W 999999999 47 Jackson 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 0 127 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 2290 0 0 0 0 0 0 2290 0 0 1005161261 1194183392 16 Nurse Practitioners ANHUT KATELYN 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 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 0 464 0 0 0 0 0 0 464 0 0 1005161535 1699138990 16 Nurse Practitioners THORSTENSON RACHEL 999999999 19 Champaign 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 0 204 0 0 0 0 0 0 204 0 0 1005161672 16 Nurse Practitioners 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005161698 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 0 120 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 25224 0 0 0 0 0 0 0 0 0 0 0 0 0 25224 0 0 1005161701 1053470526 10 Physicians HAIDER BUSHRA K 999999999 30 DuPage 0 0 Family Practice 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 90 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 883 0 0 0 0 0 0 915 0 0 1005161917 1578852836 10 Physicians AUH SOGYONG 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 0 456 0 0 0 0 0 0 456 0 0 1005162091 1912012626 87 Psychologist(Encounter Only) CONARD MARK W 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 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 2314 0 0 0 0 0 0 2314 0 0 1005162136 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 10573 0 0 0 0 0 0 0 0 0 0 0 0 0 10573 0 0 1005162162 1821433137 10 Physicians RODRIGUEZ ALEIDA A 999999999 109 Winnebago 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 8 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 3076 0 0 0 0 0 0 3112 0 0 1005162340 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 9542 0 0 0 0 0 0 0 0 0 0 0 0 0 9542 0 0 1005162374 1467474254 60 Pharmacies CVS PHARMACY #16285 606295813 200 Cook 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 0 345 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12428 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13575 0 0 0 13575 0 0 1005162776 1578942686 16 Nurse Practitioners WEED AMANDA L 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 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 0 265 0 0 0 0 0 0 265 0 0 1005162827 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 7365 0 0 0 0 0 0 0 0 0 0 0 0 0 7365 0 0 1005162886 1992109755 16 Nurse Practitioners SMITH KATHLEEN W 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 641 0 0 0 0 0 0 641 0 0 1005163118 92 Waiver service provider--Disability (DHS/DRS) 102 Warren 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17934 0 0 0 0 0 0 0 0 0 0 0 0 0 17934 0 0 1005163545 1598077273 10 Physicians STOJANAC DANIJELA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5706 0 0 0 0 0 0 5706 0 0 1005163547 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 18400 0 0 0 0 0 0 0 0 0 0 0 0 0 18400 0 0 1005163647 1346551280 10 Physicians IVY ANDRE 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 20 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 185 0 1865 0 0 0 0 0 0 2050 0 0 1005163906 1285909382 10 Physicians BAIG ABDUL R 999999999 30 DuPage 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1465 0 0 0 0 0 0 1465 0 0 1005163925 1245593086 10 Physicians TYLER MATTHEW J 999999999 200 Cook 0 0 Internal Medicine 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 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 142 0 0 0 0 0 0 142 0 0 1005163949 1780947226 10 Physicians MALIK AAMIRA 999999999 200 Cook 0 0 General Practice 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 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 0 889 0 0 0 0 0 0 889 0 0 1005164131 1780133595 60 Pharmacies OSCO DRUG #3061 999999999 57 Lake 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 0 176 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8352 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10200 0 0 0 10200 0 0 1005164279 1265871750 10 Physicians HUTCHERSON BRETT L 999999999 96 St Clair 0 0 Family Practice 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 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 0 593 0 0 0 0 0 0 593 0 0 1005164649 1194195297 23 Occupational Therapists HEIEN ELLEN R. 999999999 91 Sangamon 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 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 0 408 408 0 0 1005164658 1235417627 10 Physicians ADELEKE IBUKUNOLUWA 999999999 200 Cook 0 0 Anesthesiology 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 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 2374 0 0 0 0 0 0 2374 0 0 1005164772 1275986051 86 Clinical Social Worker(Encounter Only) TOWNE TRAVIS E. 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 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 0 246 0 0 0 0 0 0 246 0 0 1005164889 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 1005164983 10 Physicians 91 Sangamon 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 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 0 527 0 0 0 0 0 0 527 0 0 1005165196 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 34840 0 0 0 0 0 0 0 0 0 0 0 0 0 34840 0 0 1005165535 1255644779 10 Physicians AL WAFAI AMEER TAMMAM 999999999 200 Cook 0 0 Neurology 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 0 240 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 0 699 0 0 0 0 0 0 699 0 0 1005165834 89 Physician Assistant Only(Encounter Only) 58 La Salle 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 66 0 0 1005166068 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 28282 0 0 0 0 0 0 0 0 0 0 0 0 0 28282 0 0 1005166391 16 Nurse Practitioners 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 55 0 0 1005166506 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 0 172 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 27831 0 0 0 0 0 0 0 0 0 0 0 0 0 27831 0 0 1005166730 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 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 16307 0 0 0 0 0 0 0 0 0 0 0 0 0 16307 0 0 1005166742 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 0 146 0 0 0 0 0 0 146 0 0 1005166769 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 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25324 0 0 0 0 0 0 0 0 0 0 0 0 0 25324 0 0 1005166817 1639530298 16 Nurse Practitioners MITSDARFFER CHRISTINA M 999999999 30 DuPage 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1228 0 0 0 0 0 0 1228 0 0 1005166885 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 13 0 0 0 0 0 0 13 0 0 1005166958 1306189790 10 Physicians HARRIS BHRANDON ALLISTER 999999999 200 Cook 0 0 Family Practice 0 0 0 0 5 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 0 350 0 0 0 0 0 0 0 0 5201 0 0 0 0 0 0 5551 0 0 1005167049 1982816237 10 Physicians VISHWANATH ANU 999999999 80 Peoria 0 0 Pediatrics 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 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9128 0 0 0 0 0 0 9128 0 0 1005167055 1770525578 10 Physicians KORALNIK IGOR J 606118709 200 Cook 0 0 Neurology 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 0 204 0 0 0 0 0 0 204 0 0 1005167195 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 13186 0 0 0 0 0 0 0 0 0 0 0 0 0 13186 0 0 1005167341 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 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 0 502 0 0 0 0 0 0 0 0 0 0 0 0 0 502 0 0 1005167518 10 Physicians 63 Macon 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 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 1377 0 0 0 0 0 0 1377 0 0 1005167555 1174887871 10 Physicians ZLATAROV NIKOLAY 999999999 200 Cook 0 0 Internal Medicine 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 0 144 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 2354 0 0 0 0 0 0 2354 0 0 1005167775 1871878249 25 Audiologists RAGUSA JENNIFER 999999999 72 McLean 0 0 0 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 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24514 24514 0 0 1005168035 1568836286 89 Physician Assistant Only(Encounter Only) MEEKER JENNIFER L 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 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 572 0 0 0 0 0 0 572 0 0 1005168116 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 5795 0 0 0 0 0 0 0 0 0 0 0 0 0 5795 0 0 1005168131 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 14923 0 0 0 0 0 0 0 0 0 0 0 0 0 14923 0 0 1005168150 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 4609 0 0 0 0 0 0 0 0 0 0 0 0 0 4609 0 0 1005168168 89 Physician Assistant Only(Encounter Only) 19 Champaign 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 62 0 0 0 0 0 0 62 0 0 1005168359 1093178576 16 Nurse Practitioners KRUSE MICHAEL 999999999 19 Champaign 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 0 240 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 4482 0 0 0 0 0 0 4482 0 0 1005168420 1235324450 89 Physician Assistant Only(Encounter Only) MURPHY LYLE A 999999999 80 Peoria 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 0 146 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 3044 0 0 0 0 0 0 3044 0 0 1005169048 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 0 147 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 18488 0 0 0 0 0 0 0 0 0 0 0 0 0 18488 0 0 1005169081 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 8780 0 0 0 0 0 0 0 0 0 0 0 0 0 8780 0 0 1005169413 1871643072 16 Nurse Practitioners HOGAN MICHELE L. 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 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 0 184 0 0 0 0 0 0 184 0 0 1005169497 10 Physicians 109 Winnebago 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 1005169815 1811296627 10 Physicians TANTOCO ANTHONY 999999999 200 Cook 0 0 Anesthesiology 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 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 7431 0 0 0 0 0 0 7431 0 0 1005169882 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 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 4965 0 0 0 0 0 0 0 0 0 0 0 0 0 4965 0 0 1005170187 1003088279 10 Physicians HOROWITZ PELEG M 999999999 30 DuPage 0 0 Neurology Surgery 0 0 0 0 0 0 0 0 0 0 0 1 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10372 0 0 0 0 0 0 10372 0 0 1005170262 1063434777 60 Pharmacies CVS PHARMACY #16664 601742424 53 Kane 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 0 121 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4735 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4092 0 0 0 4092 0 0 1005170546 1861824278 89 Physician Assistant Only(Encounter Only) NGUYEN LAURIE NGUYEN 999999999 200 Cook 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 0 101 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 6336 0 0 0 0 0 0 6336 0 0 1005170664 75 Department of Alcohol and Substance Abuse Provider 83 Pike 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 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 0 389 0 0 389 0 0 1005170735 1407932114 16 Nurse Practitioners STOWE CATHERINE 999999999 55 Kendall 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 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 0 119 0 0 0 0 0 0 0 0 587 0 0 0 0 0 0 706 0 0 1005170896 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 0 240 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 20088 0 0 0 0 0 0 0 0 0 0 0 0 0 20088 0 0 1005171202 1457634693 16 Nurse Practitioners LANGLEY MEROPI I 999999999 80 Peoria 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 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 0 529 0 0 0 0 0 0 529 0 0 1005171694 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 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19267 0 0 0 0 0 0 0 0 0 0 0 0 0 19267 0 0 1005171712 1477985547 16 Nurse Practitioners FLINN LAURA E 999999999 80 Peoria 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 8 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 375 0 0 0 0 0 0 0 0 652 0 0 0 0 0 0 1027 0 0 1005171848 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 0 132 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 16975 0 0 0 0 0 0 0 0 0 0 0 0 0 16975 0 0 1005172046 16 Nurse Practitioners 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141 0 0 0 0 0 0 141 0 0 1005172186 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 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 36266 0 0 0 0 0 0 0 0 0 0 0 0 0 36266 0 0 1005172312 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16504 0 0 0 0 0 0 0 0 0 0 0 0 0 16504 0 0 1005172330 10 Physicians 47 Jackson 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 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 43 0 0 0 0 0 0 43 0 0 1005172361 1366612012 10 Physicians KLOVNING JASON J 999999999 109 Winnebago 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 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 2461 0 0 0 0 0 0 2461 0 0 1005172776 1558717280 22 Physical Therapists GROVER ASHLEY A. 999999999 109 Winnebago 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 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 0 856 856 0 0 1005173017 10 Physicians 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 2 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 187 0 0 0 0 0 0 209 0 0 1005173277 1316349830 16 Nurse Practitioners TURNBULL CARA A 999999999 62 Logan 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 1542 0 0 0 0 0 0 1627 0 0 1005173335 1073064952 16 Nurse Practitioners SMITH MKENZEE B 999999999 80 Peoria 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 565 0 0 0 0 0 0 565 0 0 1005173485 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 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 13221 0 0 0 0 0 0 0 0 0 0 0 0 0 13221 0 0 1005173613 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2997 0 0 0 0 0 0 0 0 0 0 0 0 0 2997 0 0 1005173713 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 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 2012 0 0 0 0 0 0 0 0 0 0 0 0 0 2012 0 0 1005173783 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 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 30879 0 0 0 0 0 0 0 0 0 0 0 0 0 30879 0 0 1005173870 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38704 0 0 0 0 0 0 0 0 0 0 0 0 0 38704 0 0 1005173918 92 Waiver service provider--Disability (DHS/DRS) 23 Clinton 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 20601 0 0 0 0 0 0 0 0 0 0 0 0 0 20601 0 0 1005174252 1871047423 60 Pharmacies CVS PHARMACY 10660 999999999 53 Kane 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 0 374 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14275 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9022 0 0 0 9022 0 0 1005174282 1659325389 10 Physicians AHMAD JAMAL 999999999 200 Cook 0 0 Orthopedic Surgery 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 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14083 0 0 0 0 0 0 14083 0 0 1005174619 1710172325 89 Physician Assistant Only(Encounter Only) WENDT DONALD 999999999 36 Franklin 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 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 0 734 0 0 0 0 0 0 734 0 0 1005174686 1548471204 10 Physicians MASOOD SYED A 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 12 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 144 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 144 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 534 0 4385 0 0 0 0 0 0 4919 0 0 1005174839 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 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 21221 0 0 0 0 0 0 0 0 0 0 0 0 0 21221 0 0 1005175001 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 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 0 119 0 0 0 0 0 0 119 0 0 1005175046 1922398262 10 Physicians SANAN PRATEEK 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 495 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 703 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 703 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14019 0 148 0 0 0 0 0 0 14167 0 0 1005175157 1982050985 10 Physicians CHANG TIFFANY DIANA 999999999 200 Cook 0 0 Family Practice 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 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 0 614 0 0 0 0 0 0 614 0 0 1005175618 1629361829 10 Physicians MERRICK MARIA C 999999999 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1176 0 0 0 0 0 0 1176 0 0 1005175625 1962827881 16 Nurse Practitioners BURDA JANET E 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 212 0 0 0 0 0 0 212 0 0 1005175968 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30008 0 0 0 0 0 0 0 0 0 0 0 0 0 30008 0 0 1005175973 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 2779 0 0 0 0 0 0 0 0 0 0 0 0 0 2779 0 0 1005175990 1235479783 10 Physicians IRRINKI KRISHNA M 999999999 19 Champaign 0 0 Clinical Pathology 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 0 196 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 1746 0 0 0 0 0 0 0 0 1746 0 0 1005176112 1356782288 30 General Hospitals HOME DIALYSIS SERVICES OLYMPIA 999999999 200 Cook 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 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2453 0 0 0 0 0 2453 0 0 1005176446 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8615 0 0 0 0 0 0 0 0 0 0 0 0 0 8615 0 0 1005176658 1073985727 61 Independent Laboratories "TOXUSA LABS, LLC" 999999999 815 Indiana 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 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 2116 0 0 0 0 0 0 0 0 2116 0 0 1005176960 1467895128 10 Physicians HUANG FELIX Y 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 5345 0 0 0 0 0 0 5366 0 0 1005177061 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 0 259 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 26632 0 0 0 0 0 0 0 0 0 0 0 0 0 26632 0 0 1005177113 1639532609 16 Nurse Practitioners LONG ANGELA L 999999999 66 Marion 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 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 740 0 0 0 0 0 0 740 0 0 1005177131 91 Waiver service provider--Adults (DHS/DDD) 94 Shelby 0 0 0 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 0 514 0 0 0 0 0 0 0 0 0 0 0 0 0 514 0 0 1005177275 1386002145 60 Pharmacies ROUNDYS SUPERMARKETS INC 999999999 30 DuPage 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1668 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2585 0 0 0 2585 0 0 1005177438 1558598102 86 Clinical Social Worker(Encounter Only) HEMANN AMY L 999999999 65 Madison 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 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 1416 0 0 0 0 0 0 1416 0 0 1005177498 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 10802 0 0 0 0 0 0 0 0 0 0 0 0 0 10802 0 0 1005177648 1093071680 10 Physicians JOHNSON JESSICA D 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 240 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 240 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8074 0 0 0 0 0 0 8074 0 0 1005177683 92 Waiver service provider--Disability (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2420 0 0 0 0 0 0 0 0 0 0 0 0 0 2420 0 0 1005177765 1730528944 10 Physicians WADLINGTON ADAM R 999999999 108 Williamson 0 0 Family Practice 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 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 649 0 0 0 0 0 0 649 0 0 1005178065 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 0 196 0 0 0 0 0 0 196 0 0 1005178125 1215062419 87 Psychologist(Encounter Only) SMITH MICHAEL C 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 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 1015 0 0 0 0 0 0 1015 0 0 1005178330 1588091425 63 Other Providers of Medical Equipment/Supplies (Non-registered) MED RESOURCES 620024319 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 88 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 564 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 564 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8185 0 2464 0 0 0 0 10649 0 0 1005178341 89 Physician Assistant Only(Encounter Only) 30 DuPage 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 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 0 122 0 0 0 0 0 0 122 0 0 1005178363 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 18 0 0 0 0 0 0 18 0 0 1005178452 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 1005178515 1447604947 24 Speech Therapists DECANT JENNIFER 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 0 201 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 14414 14414 0 0 1005178865 1588927164 89 Physician Assistant Only(Encounter Only) GENISIO ANGELA R 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 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 0 258 0 0 0 0 0 0 258 0 0 1005178897 1730319336 10 Physicians YANG WAYNE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4021 0 0 0 0 0 0 4021 0 0 1005179004 1962873919 30 General Hospitals "RENVIVA, LLC" 999999999 109 Winnebago 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 905 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 78129 0 0 0 0 0 78129 0 0 1005179195 1710270376 11 Dentists CHANG YONG 999999999 53 Kane 0 0 General Dentistry 0 0 0 23 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 2731 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2731 0 0 1005179258 1619422870 22 Physical Therapists COOK JILL 999999999 83 Pike 0 0 0 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 0 101 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 1568 1568 0 0 1005179541 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 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 0 109 0 0 0 0 0 0 109 0 0 1005179707 92 Waiver service provider--Disability (DHS/DRS) 47 Jackson 0 0 0 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 50410 0 0 0 0 0 0 0 0 0 0 0 0 0 50410 0 0 1005179852 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 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 18928 0 0 0 0 0 0 0 0 0 0 0 0 0 18928 0 0 1005180086 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 9535 0 0 0 0 0 0 0 0 0 0 0 0 0 9535 0 0 1005180231 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8427 0 0 0 0 0 0 0 0 0 0 0 0 0 8427 0 0 1005180277 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 358 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 358 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1005180280 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 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 28638 0 0 0 0 0 0 0 0 0 0 0 0 0 28638 0 0 1005180427 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 14661 0 0 0 0 0 0 0 0 0 0 0 0 0 14661 0 0 1005180527 1346532371 10 Physicians CHEON ERIC C. 999999999 200 Cook 0 0 Anesthesiology 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 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4697 0 0 0 0 0 0 4697 0 0 1005180550 1043453806 10 Physicians QURESHI SHERAZUDDIN 999999999 53 Kane 0 0 Vascular Surgery 0 0 0 0 0 0 0 0 0 0 0 6 0 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 3186 0 0 0 0 0 0 3206 0 0 1005180764 1821541582 16 Nurse Practitioners SPURLOCK ADAM 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 157 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 4447 0 0 0 0 0 0 4447 0 0 1005180779 16 Nurse Practitioners 34 Fayette 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 0 0 0 0 0 0 0 0 0 0 1005180860 1023167327 10 Physicians RANGALA SANGITA 999999999 30 DuPage 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 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 2097 0 0 0 0 0 0 2097 0 0 1005181090 1659820280 16 Nurse Practitioners GEBHARDT KATIE L 999999999 200 Cook 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 1709 0 0 0 0 0 0 0 0 1244 0 0 0 0 0 0 2953 0 0 1005181091 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18620 0 0 0 0 0 0 0 0 0 0 0 0 0 18620 0 0 1005181146 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 22840 0 0 0 0 0 0 0 0 0 0 0 0 0 22840 0 0 1005181376 1831308840 10 Physicians KRESOWIK TIMOTHY P 999999999 200 Cook 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 1 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1463 0 0 0 0 0 0 1463 0 0 1005181520 1285077024 10 Physicians ELGAR CALLINA N 999999999 97 Stephenson 0 1 Family Practice 0 0 0 0 1 0 0 0 0 0 0 5 0 45 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 6 0 106 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 6 0 106 0 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 9 0 2244 0 0 0 0 0 0 2329 0 0 1005181538 1982153425 29 ICF/MR MARKLUND WASMOND CENTER 999999999 200 Cook 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 1264 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38265 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9703256 0 0 0 0 0 0 0 0 0 0 9703256 0 0 1005181857 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 0 126 0 0 0 0 0 0 126 0 0 1005182476 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 14845 0 0 0 0 0 0 0 0 0 0 0 0 0 14845 0 0 1005182667 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 4246 0 0 0 0 0 0 0 0 0 0 0 0 0 4246 0 0 1005182781 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 24287 0 0 0 0 0 0 0 0 0 0 0 0 0 24287 0 0 1005182807 1770882177 10 Physicians STOKAS MICHAEL R 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 14 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 161 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 161 0 0 0 0 0 0 0 0 0 1099 0 0 0 0 0 0 0 0 4684 0 0 0 0 0 0 5783 0 0 1005183051 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 0 348 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 20428 0 0 0 0 0 0 0 0 0 0 0 0 0 20428 0 0 1005183231 1053856260 11 Dentists VENUGOPAL SHWETA 999999999 200 Cook 0 0 General Dentistry 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5197 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5197 0 0 1005183441 10 Physicians 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005183914 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 15638 0 0 0 0 0 0 0 0 0 0 0 0 0 15638 0 0 1005184016 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 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 22887 0 0 0 0 0 0 0 0 0 0 0 0 0 22887 0 0 1005184036 1669820791 16 Nurse Practitioners HINDLEY NATALIE 999999999 71 McHenry 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 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 2186 0 0 0 0 0 0 2186 0 0 1005184096 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 7734 0 0 0 0 0 0 0 0 0 0 0 0 0 7734 0 0 1005184213 4005184213 92 Waiver service provider--Disability (DHS/DRS) CARE FOR SOUL INC 999999999 200 Cook 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 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 82224 0 0 0 0 0 0 0 0 0 0 0 0 0 82224 0 0 1005184369 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 47 0 0 1005184381 1437414695 10 Physicians HUSSAIN SYED B 999999999 30 DuPage 0 0 Psychiatry 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 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3907 0 0 0 0 0 0 3907 0 0 1005184420 1083042766 89 Physician Assistant Only(Encounter Only) WHITE KARA M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2112 0 0 0 0 0 0 2112 0 0 1005184518 1538617402 16 Nurse Practitioners MONTEIRO BETHANY L 999999999 98 Tazewell 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 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 0 511 0 0 0 0 0 0 511 0 0 1005184542 1093844169 63 Other Providers of Medical Equipment/Supplies (Non-registered) INTERACTIVE PHYSICIANS LTD 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 166 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 166 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4085 0 1448 0 0 0 0 5533 0 0 1005184565 1154717916 89 Physician Assistant Only(Encounter Only) WEN FENG 999999999 71 McHenry 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 137 0 0 0 0 0 0 0 0 1987 0 0 0 0 0 0 2124 0 0 1005184623 10 Physicians 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 180 0 0 1005185018 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 24854 0 0 0 0 0 0 0 0 0 0 0 0 0 24854 0 0 1005185161 1720461858 16 Nurse Practitioners LOSIK STEFANIE J 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 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 1149 0 0 0 0 0 0 1149 0 0 1005185171 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 19083 0 0 0 0 0 0 0 0 0 0 0 0 0 19083 0 0 1005185364 1447610027 29 ICF/MR ROSEMARY HOME 606601017 200 Cook 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 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10797 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1593965 0 0 0 0 0 0 0 0 0 0 1593965 0 0 1005185721 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 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 14179 0 0 0 0 0 0 0 0 0 0 0 0 0 14179 0 0 1005185843 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 0 156 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 0 0 0 0 0 13543 0 0 0 0 0 0 0 0 0 0 0 0 0 13543 0 0 1005186210 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 4017 0 0 0 0 0 0 0 0 0 0 0 0 0 4017 0 0 1005186248 91 Waiver service provider--Adults (DHS/DDD) 66 Marion 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 155 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 13658 0 0 0 0 0 0 0 0 0 0 0 0 0 13658 0 0 1005186327 1801141569 10 Physicians ZAHARIA ALEXANDRE 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2782 0 0 0 0 0 0 2782 0 0 1005186864 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 26435 0 0 0 0 0 0 0 0 0 0 0 0 0 26435 0 0 1005187038 1578645537 16 Nurse Practitioners DESHON DANA J 999999999 110 Woodford 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 0 0 123 0 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 0 0 123 0 0 0 0 0 0 0 0 0 2533 0 0 0 0 0 0 0 0 4730 0 0 0 0 0 0 7263 0 0 1005187180 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 0 271 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 271 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30272 0 0 0 0 0 0 0 0 0 0 0 0 0 30272 0 0 1005187516 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 9860 0 0 0 0 0 0 0 0 0 0 0 0 0 9860 0 0 1005188259 1407223183 63 Other Providers of Medical Equipment/Supplies (Non-registered) CENTRAL NURSING HOME 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 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 4746 0 0 0 0 0 0 4746 0 0 1005188389 10 Physicians 70 McDonough 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 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 0 192 0 0 0 0 0 0 192 0 0 1005188592 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 620 0 0 0 0 0 0 0 0 0 0 0 0 0 620 0 0 1005188802 88 Other behavior health professional 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 52 0 0 0 0 0 0 52 0 0 1005188851 1376622092 10 Physicians KALRA SANDEEP 999999999 107 Will 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1197 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1197 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3255 0 0 0 0 0 0 3255 0 0 1005188921 1659617561 89 Physician Assistant Only(Encounter Only) BARTELS LARA B 999999999 19 Champaign 0 0 0 0 0 0 63 0 0 0 0 0 0 0 0 94 0 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 0 0 103 0 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 0 0 103 0 0 0 0 0 0 0 0 0 7304 0 0 0 0 0 0 0 0 4041 0 0 0 0 0 0 11345 0 0 1005189059 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005189177 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 0 156 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 0 0 0 0 0 16903 0 0 0 0 0 0 0 0 0 0 0 0 0 16903 0 0 1005189299 1285929414 10 Physicians KOWALCZYK JAMES 731279742 200 Cook 0 0 Emergency Medicine 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 0 303 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 303 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9789 0 0 0 0 0 0 9789 0 0 1005189541 1609139393 10 Physicians SIMON JULIA C 999999999 30 DuPage 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 3 0 44 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 88 0 6726 0 0 0 0 0 0 6814 0 0 1005189867 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 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20816 0 0 0 0 0 0 0 0 0 0 0 0 0 20816 0 0 1005189960 1346533866 10 Physicians LUTTIG CHRISTOPHER T 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102 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 4491 0 0 0 0 0 0 4491 0 0 1005189973 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3041 0 0 0 0 0 0 0 0 0 0 0 0 0 3041 0 0 1005189985 1629301890 10 Physicians SAHAY MANISHA 999999999 57 Lake 0 0 Neurology 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 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 7 0 0 0 0 0 0 7 0 0 1005190017 1669824983 91 Waiver service provider--Adults (DHS/DDD) RANGEL DALINA 999999999 200 Cook 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1524 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1524 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 113078 0 0 0 0 0 0 0 0 0 0 0 0 0 113078 0 0 1005190098 16 Nurse Practitioners 43 Hardin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 25 0 0 1005190101 16 Nurse Practitioners 30 DuPage 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 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 13 0 0 0 0 0 0 13 0 0 1005190187 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 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 6757 0 0 0 0 0 0 0 0 0 0 0 0 0 6757 0 0 1005190194 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 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 6901 0 0 0 0 0 0 0 0 0 0 0 0 0 6901 0 0 1005190288 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 6721 0 0 0 0 0 0 0 0 0 0 0 0 0 6721 0 0 1005190345 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 0 197 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 20104 0 0 0 0 0 0 0 0 0 0 0 0 0 20104 0 0 1005190483 1578585360 60 Pharmacies CVS PHARMACY #16278 601235525 53 Kane 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 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11668 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8921 0 0 0 8921 0 0 1005190757 1205214103 46 Ambulatory Surgical 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 999999999 80 Peoria 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 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 1613 0 0 0 0 0 0 1613 0 0 1005192539 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 0 154 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 21077 0 0 0 0 0 0 0 0 0 0 0 0 0 21077 0 0 1005192583 1518118140 89 Physician Assistant Only(Encounter Only) MEJORADO TERESA D 999999999 80 Peoria 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 0 266 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 3965 0 0 0 0 0 0 3965 0 0 1005192931 1770036436 70 Ambulance Service Providers AIR EVAC EMS INC 999999999 90 Saline 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 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 21886 0 0 0 0 0 0 21886 0 0 1005193265 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 40627 0 0 0 0 0 0 0 0 0 0 0 0 0 40627 0 0 1005193570 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3126 0 0 0 0 0 0 0 0 0 0 0 0 0 3126 0 0 1005193661 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005193924 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2774 0 0 0 0 0 0 0 0 0 0 0 0 0 2774 0 0 1005193983 1346403961 10 Physicians CHANG JONATHAN S 999999999 80 Peoria 0 0 Ophthalmology 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 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 3991 0 0 0 0 0 0 3991 0 0 1005194094 1154610681 10 Physicians SHAH SANKET C 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 332 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 481 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 481 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8240 0 787 0 0 0 0 0 0 9027 0 0 1005194156 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5801 0 0 0 0 0 0 0 0 0 0 0 0 0 5801 0 0 1005194197 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 13541 0 0 0 0 0 0 0 0 0 0 0 0 0 13541 0 0 1005194259 1962780155 10 Physicians 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 0 0 1005196060 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 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 8946 0 0 0 0 0 0 0 0 0 0 0 0 0 8946 0 0 1005196260 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 11327 0 0 0 0 0 0 0 0 0 0 0 0 0 11327 0 0 1005196277 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 992 0 0 0 0 0 0 0 0 0 0 0 0 0 992 0 0 1005196432 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 20344 0 0 0 0 0 0 0 0 0 0 0 0 0 20344 0 0 1005196440 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 0 0 0 0 0 26354 0 0 1005197744 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 9913 0 0 0 0 0 0 0 0 0 0 0 0 0 9913 0 0 1005197966 1548621121 16 Nurse Practitioners GERVASI KRISTEN M 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 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 838 0 0 0 0 0 0 838 0 0 1005198182 10 Physicians 200 Cook 0 0 Otolaryngology 0 0 0 0 0 0 0 0 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 0 258 0 0 0 0 0 0 258 0 0 1005198208 24 Speech Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 77 77 0 0 1005198495 1306292248 36 Community mental health provider THRESHOLDS 999999999 57 Lake 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 980 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2135 0 0 980 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2135 0 0 135181 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 352282 0 0 487463 0 0 1005198496 1083974885 10 Physicians GLASER LAURA M 999999999 200 Cook 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 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 3210 0 0 0 0 0 0 3210 0 0 1005198627 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 30595 0 0 0 0 0 0 0 0 0 0 0 0 0 30595 0 0 1005198681 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 559 0 0 0 0 0 0 0 0 0 0 0 0 0 559 0 0 1005198773 1073952396 10 Physicians SULLIVAN STEPHANIE L 999999999 80 Peoria 0 0 Emergency Medicine 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 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 2890 0 0 0 0 0 0 2890 0 0 1005198818 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 42 0 0 0 0 0 0 42 0 0 1005198844 1194064279 10 Physicians VENNAVARAM SWETHA 999999999 80 Peoria 0 0 Neurology 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 0 158 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 3081 0 0 0 0 0 0 3081 0 0 1005199557 92 Waiver service provider--Disability (DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 20530 0 0 0 0 0 0 0 0 0 0 0 0 0 20530 0 0 1005199655 16 Nurse Practitioners 25 Crawford 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84 0 0 1005199727 10 Physicians 65 Madison 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 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 49 0 0 0 0 0 0 49 0 0 1005199892 1619230794 10 Physicians PATCHALA SRI K 999999999 91 Sangamon 0 0 Physical Medicine/Rehabilitation 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 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 2998 0 0 0 0 0 0 2998 0 0 1005199949 1891920120 10 Physicians RAJJOUB SAMER R 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 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 3071 0 0 0 0 0 0 3071 0 0 1005200101 1932519766 13 Podiatrists BASSI CHADWICK A 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 309 0 0 0 0 0 0 309 0 0 1005200259 1679877674 16 Nurse Practitioners SCHWARTZ BETH 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 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 2593 0 0 0 0 0 0 2593 0 0 1005200275 1205924099 89 Physician Assistant Only(Encounter Only) HEEREN SARAH THERICA 999999999 106 Whiteside 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 0 123 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 0 646 0 0 0 0 0 0 646 0 0 1005200470 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005200572 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7945 0 0 0 0 0 0 0 0 0 0 0 0 0 7945 0 0 1005200605 1295194496 75 Department of Alcohol and Substance Abuse Provider "TASC, INC." 606085146 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 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 1757 0 0 1757 0 0 1005200829 1740638915 87 Psychologist(Encounter Only) HARTMAN ELIZABETH R. 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 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 0 163 0 0 0 0 0 0 163 0 0 1005201017 1952496564 89 Physician Assistant Only(Encounter Only) MCKINNEY DALE T 999999999 91 Sangamon 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 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 0 663 0 0 0 0 0 0 663 0 0 1005201077 1194036210 10 Physicians FULLER ERIC B 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 1 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 9948 0 0 0 0 0 0 9970 0 0 1005201379 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16586 0 0 0 0 0 0 0 0 0 0 0 0 0 16586 0 0 1005201408 1760828842 10 Physicians JASTI SRAVAN K 999999999 19 Champaign 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 539 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 539 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3629 0 0 0 0 0 0 3629 0 0 1005201459 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 32471 0 0 0 0 0 0 0 0 0 0 0 0 0 32471 0 0 1005201470 10 Physicians 65 Madison 0 0 Emergency 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 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 0 263 0 0 0 0 0 0 263 0 0 1005201649 1265583694 16 Nurse Practitioners BAILEY SHERRY 999999999 80 Peoria 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 0 134 0 0 0 0 0 0 134 0 0 1005201968 1548719610 33 Nursing Facilities "WATERFORD CARE CENTER, THE" 999999999 200 Cook 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 0 345 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8513 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1075664 0 0 0 0 0 0 0 1075664 0 0 1005202019 1134576804 60 Pharmacies CVS PHARMACY #10677 999999999 30 DuPage 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 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3381 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5176 0 0 0 5176 0 0 1005202262 1245688209 16 Nurse Practitioners CONNOR LINDSAY 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1141 0 0 0 0 0 0 1141 0 0 1005202311 1467455998 10 Physicians MCCONNELL KEVIN W 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 642 0 0 0 0 0 0 642 0 0 1005202473 1881141125 16 Nurse Practitioners BUTLER TRACY L 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 132 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 7515 0 0 0 0 0 0 7515 0 0 1005202567 1245606276 16 Nurse Practitioners MEINERT ALICIA 999999999 80 Peoria 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 94 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 94 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 2097 0 0 0 0 0 0 2327 0 0 1005202649 1033570452 16 Nurse Practitioners FRANZETTI SHAWN M 999999999 107 Will 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 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 0 519 0 0 0 0 0 0 519 0 0 1005203061 1326338948 11 Dentists HAN MICHAEL DAVID 999999999 200 Cook 0 0 Maxillofacial Surgery 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9114 0 0 1005203215 1982980421 89 Physician Assistant Only(Encounter Only) KAWA ANNA 999999999 200 Cook 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 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 1583 0 0 0 0 0 0 1583 0 0 1005203250 1225469752 16 Nurse Practitioners SANDLER HEATHER 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 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 5340 0 0 0 0 0 0 5340 0 0 1005203312 1912196726 10 Physicians WRIGHT KHADIJAH 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 514 0 0 0 0 0 0 514 0 0 1005203854 1235151945 60 Pharmacies CVS PHARMACY #17001 604048845 107 Will 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 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6020 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4772 0 0 0 4772 0 0 1005203928 98 Waiver service provider--TBI (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 31129 0 0 0 0 0 0 0 0 0 0 0 0 0 31129 0 0 1005203970 1053620930 89 Physician Assistant Only(Encounter Only) KISTENFEGER CAMI J 999999999 63 Macon 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 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 0 226 0 0 0 0 0 0 226 0 0 1005204268 1316139793 10 Physicians OSBUN JOSHUA W 999999999 200 Cook 0 0 Neurology Surgery 0 0 0 0 0 0 0 0 0 0 0 5 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 9846 0 0 0 0 0 0 9861 0 0 1005204314 1295104487 16 Nurse Practitioners SWEENEY DENNIS P 999999999 91 Sangamon 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 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1778 0 0 0 0 0 0 1778 0 0 1005204583 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 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 11977 0 0 0 0 0 0 0 0 0 0 0 0 0 11977 0 0 1005204821 1942755574 16 Nurse Practitioners NAVO KATHERINE ANNE 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 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 47 0 0 0 0 0 0 47 0 0 1005204862 1477795607 10 Physicians MEHTA-SHAH NEHA 999999999 49 Jefferson 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 200 0 0 0 0 0 0 200 0 0 1005205222 16 Nurse Practitioners 50 Jersey 0 0 0 0 0 0 0 0 0 0 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 65 0 0 0 0 0 0 65 0 0 1005205349 4005205349 90 Waiver service provider--Elderly (DOA) VIETNAMESE ASSOCIATION OF ILL 999999999 200 Cook 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 3938 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3938 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 328617 0 0 0 0 0 0 0 0 0 0 0 0 0 328617 0 0 1005205454 1932185154 10 Physicians BRINSER SHERI E 999999999 89 Rock Island 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 23 0 0 0 0 0 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 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1205 0 0 0 0 0 0 1205 0 0 1005205574 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 298 0 0 0 0 0 0 298 0 0 1005205620 1851495899 30 General Hospitals RUSH UNIVERSITY MEDICAL CENTER 999999999 200 Cook DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 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 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 802 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 419810 0 0 0 0 0 0 0 0 0 419810 0 0 1005205657 91 Waiver service provider--Adults (DHS/DDD) 66 Marion 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 324 0 0 0 0 0 0 0 0 0 0 0 0 0 324 0 0 1005205674 1912347329 10 Physicians JESWANI SARINA 999999999 63 Macon 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 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1904 0 0 0 0 0 0 1904 0 0 1005205678 87 Psychologist(Encounter Only) 71 McHenry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 197 0 0 0 0 0 0 197 0 0 1005205688 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 19163 0 0 0 0 0 0 0 0 0 0 0 0 0 19163 0 0 1005205729 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 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17856 0 0 0 0 0 0 0 0 0 0 0 0 0 17856 0 0 1005205756 1891717500 60 Pharmacies CVS PHARMACY # 16527 600148016 71 McHenry 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 43 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 0 0 0 0 0 0 0 0 0 0 0 0 1455 0 0 0 1455 0 0 1005205788 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 171 0 0 1005206068 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 24008 0 0 0 0 0 0 0 0 0 0 0 0 0 24008 0 0 1005206251 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 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28879 0 0 0 0 0 0 0 0 0 0 0 0 0 28879 0 0 1005206318 92 Waiver service provider--Disability (DHS/DRS) 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 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 149913 0 0 0 0 0 0 0 0 0 0 0 0 0 149913 0 0 1005206357 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 203 0 0 0 0 0 0 0 0 0 0 0 0 0 203 0 0 1005206487 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 4373 0 0 0 0 0 0 0 0 0 0 0 0 0 4373 0 0 1005206600 1063724664 10 Physicians KOCHAR KUNAL 999999999 200 Cook 0 0 Colon - Rectal Surgery 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 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 2959 0 0 0 0 0 0 2959 0 0 1005206804 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 22847 0 0 0 0 0 0 0 0 0 0 0 0 0 22847 0 0 1005207171 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 4 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 0 922 922 0 0 1005207451 1336161041 60 Pharmacies CVS PHARMACY #16741 605438333 55 Kendall 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 0 326 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14035 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6159 0 0 0 6159 0 0 1005207512 1447498563 89 Physician Assistant Only(Encounter Only) SEE ANITA J 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 403 0 0 0 0 0 0 403 0 0 1005207770 92 Waiver service provider--Disability (DHS/DRS) 836 Ohio 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 11269 0 0 0 0 0 0 0 0 0 0 0 0 0 11269 0 0 1005207975 1659710218 11 Dentists JOHNSON JAROD W 999999999 65 Madison 0 0 Pedodontics 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6930 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6930 0 0 1005208024 1386059624 10 Physicians AVILA CARLOS 999999999 80 Peoria 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 9 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 0 1762 0 0 0 0 0 0 1829 0 0 1005208249 1144563594 10 Physicians SIDDIQI RAYYAN M 999999999 30 DuPage 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 0 164 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 2418 0 0 0 0 0 0 2418 0 0 1005208860 1841501434 10 Physicians MUNNS JUSTIN J 999999999 89 Rock Island 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 41 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68 0 132 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68 0 132 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 964 0 4786 0 0 0 0 0 0 5750 0 0 1005209062 1033425145 89 Physician Assistant Only(Encounter Only) JOHNSON TIMOTHY W 999999999 56 Knox 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3858 0 0 0 0 0 0 3858 0 0 1005209091 1881034478 10 Physicians NAVARRETE THERESA A 999999999 200 Cook 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 0 211 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 211 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6041 0 0 0 0 0 0 6041 0 0 1005209488 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 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 49709 0 0 0 0 0 0 0 0 0 0 0 0 0 49709 0 0 1005209997 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 7668 0 0 0 0 0 0 0 0 0 0 0 0 0 7668 0 0 1005210116 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 278 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 0 0 0 0 0 0 0 0 0 0 0 0 13679 0 0 0 0 0 0 0 0 0 0 0 0 0 13679 0 0 1005210264 16 Nurse Practitioners 108 Williamson 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 110 0 0 1005210272 4005210272 90 Waiver service provider--Elderly (DOA) "HELP AT HOME, LLC" 999999999 200 Cook 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 19536 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19536 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1459389 0 0 0 0 0 0 0 0 0 0 0 0 0 1459389 0 0 1005210303 1922374842 10 Physicians SAHA KANTA 999999999 200 Cook 0 0 Radiology Diagnosis 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 0 193 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 4435 0 0 0 0 0 0 4435 0 0 1005210506 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 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 7949 0 0 0 0 0 0 0 0 0 0 0 0 0 7949 0 0 1005210541 1437603719 16 Nurse Practitioners HAEFELI AMY N 999999999 91 Sangamon 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 0 136 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 3307 0 0 0 0 0 0 3307 0 0 1005210639 1457749079 16 Nurse Practitioners MERCADO LLOYD 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1653 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1653 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8310 0 0 0 0 0 0 8310 0 0 1005210909 1255568986 10 Physicians MEINTS LAURA 999999999 80 Peoria 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 32 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1181 0 1178 0 0 0 0 0 0 2359 0 0 1005211009 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 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 1005211066 1932551058 11 Dentists NAKIB RANDA 999999999 200 Cook 0 0 General Dentistry 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 341 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 341 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 13807 0 0 0 0 0 0 0 0 0 0 0 2220 0 0 0 0 16027 0 0 1005211258 25 Audiologists 65 Madison 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 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 0 728 728 0 0 1005211348 1508145327 10 Physicians BUDDHARAJU VENKATA L.N.V.K 999999999 107 Will 0 0 Internal 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 0 656 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 656 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11296 0 0 0 0 0 0 11296 0 0 1005211355 1467611095 23 Occupational Therapists ANGELI JEANINE 999999999 27 Dekalb 0 0 0 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 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 2397 2397 0 0 1005211448 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 0 304 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 304 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12495 0 0 0 0 0 0 0 0 0 0 0 0 0 12495 0 0 1005211449 10 Physicians 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 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 0 548 0 0 0 0 0 0 548 0 0 1005212005 1881694990 10 Physicians LEVINE JOHN 999999999 815 Indiana 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 76 0 0 0 0 0 0 76 0 0 1005212095 10 Physicians 30 DuPage 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 216 0 0 1005212155 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 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 9313 0 0 0 0 0 0 0 0 0 0 0 0 0 9313 0 0 1005212356 1376862540 10 Physicians BAESHU ASHRAF 999999999 200 Cook 0 0 Pediatrics 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 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44370 0 0 0 0 0 0 44370 0 0 1005212412 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 129 0 0 0 0 0 0 0 0 0 0 0 0 0 129 0 0 1005212520 1992904221 10 Physicians GARCIA OTANO ANGEL M 999999999 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 2 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 147 0 391 0 0 0 0 0 0 538 0 0 1005212616 1730580572 89 Physician Assistant Only(Encounter Only) ZUBER STEPHANIE 999999999 88 Richland 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2283 0 0 0 0 0 0 2283 0 0 1005212737 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 11147 0 0 0 0 0 0 0 0 0 0 0 0 0 11147 0 0 1005212760 1285998088 10 Physicians SHIMAK MORTON CHRISTINA 999999999 89 Rock Island 0 0 Emergency Medicine 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 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 2640 0 0 0 0 0 0 2640 0 0 1005212979 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 659 0 0 0 0 0 0 0 0 0 0 0 0 0 659 0 0 1005213337 1528409034 10 Physicians RAFAQUAT AYSHA 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 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 3313 0 0 0 0 0 0 3313 0 0 1005214122 1083962500 16 Nurse Practitioners JOHANN JESSICA L 999999999 80 Peoria 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 153 0 0 0 0 0 0 0 0 585 0 0 0 0 0 0 738 0 0 1005214651 1457652208 89 Physician Assistant Only(Encounter Only) MCKINLEY MONICA 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 121 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 5792 0 0 0 0 0 0 5792 0 0 1005214687 10 Physicians 24 Coles 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 12 0 0 0 0 0 0 0 0 12 0 0 1005214742 1407200421 11 Dentists PATEL KRUPA 999999999 200 Cook 0 0 General Dentistry 0 0 0 15 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 2070 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2070 0 0 1005214795 1184009102 89 Physician Assistant Only(Encounter Only) VILLANUEVA NICOLE S 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2540 0 0 0 0 0 0 2540 0 0 1005214879 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 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 30620 0 0 0 0 0 0 0 0 0 0 0 0 0 30620 0 0 1005214999 10 Physicians 10 Adams 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 141 0 0 0 0 0 0 160 0 0 1005215237 60 Pharmacies 826 Missouri 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 10 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 0 111 0 0 0 111 0 0 1005215632 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27999 0 0 0 0 0 0 0 0 0 0 0 0 0 27999 0 0 1005215730 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 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27847 0 0 0 0 0 0 0 0 0 0 0 0 0 27847 0 0 1005215817 1083047401 10 Physicians MOOTS PAUL S 999999999 80 Peoria 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 172 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 2362 0 0 0 0 0 0 2362 0 0 1005216095 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 14030 0 0 0 0 0 0 0 0 0 0 0 0 0 14030 0 0 1005216141 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 81 0 0 1005216202 1881049781 36 Community mental health provider THRESHOLDS 999999999 200 Cook 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 955 0 0 110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 955 0 0 7436 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 113981 0 0 121417 0 0 1005216204 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 13090 0 0 0 0 0 0 0 0 0 0 0 0 0 13090 0 0 1005216295 1922313238 89 Physician Assistant Only(Encounter Only) ELLIS STEPHANIE M 999999999 200 Cook 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 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4751 0 0 0 0 0 0 4751 0 0 1005216298 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15939 0 0 0 0 0 0 0 0 0 0 0 0 0 15939 0 0 1005216390 89 Physician Assistant Only(Encounter Only) 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 213 0 0 0 0 0 0 213 0 0 1005216461 1073894481 16 Nurse Practitioners MCDERMOTT NICOLE M 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 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 0 236 0 0 0 0 0 0 236 0 0 1005216575 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 0 241 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 17943 0 0 0 0 0 0 0 0 0 0 0 0 0 17943 0 0 1005217058 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6242 0 0 0 0 0 0 0 0 0 0 0 0 0 6242 0 0 1005217133 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 92 0 0 0 0 0 0 92 0 0 1005217143 1881086304 16 Nurse Practitioners MELNIC NATALIA 999999999 53 Kane 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 0 330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7944 0 0 0 0 0 0 7944 0 0 1005217613 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 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 4517 0 0 0 0 0 0 0 0 0 0 0 0 0 4517 0 0 1005217833 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 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18122 0 0 0 0 0 0 0 0 0 0 0 0 0 18122 0 0 1005217927 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16130 0 0 0 0 0 0 0 0 0 0 0 0 0 16130 0 0 1005217958 1780784611 16 Nurse Practitioners GUIDO BARBARA A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 31 0 0 1005218028 1205272317 10 Physicians VIG KARA S 999999999 200 Cook 0 1 Pediatrics 0 0 0 0 5 0 0 0 0 0 0 2 0 8 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 2 0 9 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 2 0 9 0 0 0 0 0 0 0 0 0 507 0 0 0 0 0 0 144 0 515 0 0 0 0 0 0 1166 0 0 1005218043 16 Nurse Practitioners 30 DuPage 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 0 100 0 0 0 0 0 0 100 0 0 1005218340 1740619840 89 Physician Assistant Only(Encounter Only) HEISE MICHAEL 999999999 24 Coles 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 199 0 0 0 0 0 0 0 0 1491 0 0 0 0 0 0 1690 0 0 1005218520 1760809198 10 Physicians ARORA AVI 999999999 200 Cook 0 0 Internal Medicine 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 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 0 718 0 0 0 0 0 0 718 0 0 1005219050 1962838862 16 Nurse Practitioners HERMOSILLO CHRISTINE E 999999999 15 Bureau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 511 0 0 0 0 0 0 511 0 0 1005219132 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 17242 0 0 0 0 0 0 0 0 0 0 0 0 0 17242 0 0 1005219555 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 318 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 318 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13134 0 0 0 0 0 0 0 0 0 0 0 0 0 13134 0 0 1005219604 86 Clinical Social Worker(Encounter Only) 62 Logan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1652 0 0 0 0 0 0 1652 0 0 1005219684 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11938 0 0 0 0 0 0 0 0 0 0 0 0 0 11938 0 0 1005219689 1881030963 10 Physicians DYER SEAN P 999999999 10 Adams 0 0 Emergency Medicine 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 0 144 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 6744 0 0 0 0 0 0 6744 0 0 1005219755 1285921429 10 Physicians SAMEE IRFAN 999999999 71 McHenry 0 0 Anesthesiology 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 6588 0 0 0 0 0 0 6588 0 0 1005219862 1598008278 10 Physicians HENSCHEN ELIZABETH 999999999 200 Cook 0 0 Pediatrics 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 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 3187 0 0 0 0 0 0 3187 0 0 1005220062 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 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 0 534 0 0 0 0 0 0 0 0 0 0 0 0 0 534 0 0 1005220167 92 Waiver service provider--Disability (DHS/DRS) 50 Jersey 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 11694 0 0 0 0 0 0 0 0 0 0 0 0 0 11694 0 0 1005220182 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4002 0 0 0 0 0 0 0 0 0 0 0 0 0 4002 0 0 1005220380 1194042242 10 Physicians SHAH SUBIR B 999999999 200 Cook 0 0 Internal Medicine 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 0 414 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 0 0 0 0 0 0 0 0 0 0 0 0 5194 0 0 0 0 0 0 5194 0 0 1005220486 1811281843 10 Physicians VEALEY RYAN J 999999999 30 DuPage 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1613 0 0 0 0 0 0 1613 0 0 1005220600 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 34912 0 0 0 0 0 0 0 0 0 0 0 0 0 34912 0 0 1005220653 10 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 335 0 0 0 0 0 0 335 0 0 1005220792 1538508148 10 Physicians WOO JOYCE LEYI 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 4 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 172 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 172 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 0 3618 0 0 0 0 0 0 3726 0 0 1005220980 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 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10430 0 0 0 0 0 0 0 0 0 0 0 0 0 10430 0 0 1005221069 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28405 0 0 0 0 0 0 0 0 0 0 0 0 0 28405 0 0 1005221101 1770809444 10 Physicians MADANI SYEDA W 999999999 200 Cook 0 0 Anesthesiology 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 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 0 706 0 0 0 0 0 0 706 0 0 1005221276 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 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 52150 0 0 0 0 0 0 0 0 0 0 0 0 0 52150 0 0 1005221371 1356700744 60 Pharmacies OAK LAWN HEALTH MART PHARMACY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 521 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 19574 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 20235 0 0 0 20269 0 0 1005221440 91 Waiver service provider--Adults (DHS/DDD) 62 Logan 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 146 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 14310 0 0 0 0 0 0 0 0 0 0 0 0 0 14310 0 0 1005221441 1023270279 10 Physicians GANGOPADHYAY NOOPUR 999999999 200 Cook 0 0 Plastic Surgery 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 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 4839 0 0 0 0 0 0 4839 0 0 1005221568 10 Physicians 108 Williamson 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 0 171 0 0 0 0 0 0 171 0 0 1005221786 1225470511 10 Physicians SKINNER ANDREW MICHAEL 999999999 200 Cook 0 0 Internal Medicine 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 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 1212 0 0 0 0 0 0 1212 0 0 1005221813 10 Physicians 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005222097 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 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54583 0 0 0 0 0 0 0 0 0 0 0 0 0 54583 0 0 1005222114 1821238783 10 Physicians REHMAN NADIA Q 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 956 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 956 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2161 0 163193 0 0 0 0 0 0 165354 0 0 1005222249 1235293622 10 Physicians FUNG JOHN 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 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 0 180 0 0 0 0 0 0 180 0 0 1005222634 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 29268 0 0 0 0 0 0 0 0 0 0 0 0 0 29268 0 0 1005222665 1942632567 89 Physician Assistant Only(Encounter Only) BAILEY DEBORAH L 999999999 200 Cook 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 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 2673 0 0 0 0 0 0 2673 0 0 1005222819 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25263 0 0 0 0 0 0 0 0 0 0 0 0 0 25263 0 0 1005223015 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 14355 0 0 0 0 0 0 0 0 0 0 0 0 0 14355 0 0 1005223078 1932561966 16 Nurse Practitioners WELCH DYLAN 999999999 19 Champaign 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 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 1863 0 0 0 0 0 0 1863 0 0 1005223109 1770505588 60 Pharmacies CVS PHARMACY #16219 608043637 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 823 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33346 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53767 0 0 0 53767 0 0 1005223168 1497067615 10 Physicians ALIA YAZAN M 999999999 200 Cook 0 0 Internal Medicine 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 0 113 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 2795 0 0 0 0 0 0 2795 0 0 1005223492 1417182882 89 Physician Assistant Only(Encounter Only) BROWNING LAURA 999999999 35 Ford 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 0 249 0 0 0 0 0 0 249 0 0 1005223631 1780968198 10 Physicians SIEBERT RYAN 999999999 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 195 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 236 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 236 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3196 0 87 0 0 0 0 0 0 3283 0 0 1005223799 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3776 0 0 0 0 0 0 0 0 0 0 0 0 0 3776 0 0 1005224074 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 0 264 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 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1005224197 1548673866 86 Clinical Social Worker(Encounter Only) MCKERNAN EMILY 999999999 57 Lake 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 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 0 575 0 0 0 0 0 0 575 0 0 1005224354 1215373865 10 Physicians STEKER DANIELLE 999999999 200 Cook 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 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1483 0 0 0 0 0 0 1483 0 0 1005224650 1396293593 16 Nurse Practitioners STEINBERG KAITLYN 999999999 200 Cook 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 1203 0 0 0 0 0 0 1251 0 0 1005224757 1194017525 10 Physicians ANGELOTTA CARA 999999999 200 Cook 0 0 Psychiatry 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 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 1115 0 0 0 0 0 0 1115 0 0 1005224761 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 60207 0 0 0 0 0 0 0 0 0 0 0 0 0 60207 0 0 1005225301 10 Physicians 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 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 30 0 0 0 0 0 0 30 0 0 1005225320 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 36 0 0 1005225828 1588949861 89 Physician Assistant Only(Encounter Only) RALLS DANIEL W 999999999 47 Jackson 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 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 0 194 0 0 0 0 0 0 194 0 0 1005225888 1700239449 16 Nurse Practitioners TAPIA LINDSAY ANN 999999999 19 Champaign 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 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 0 758 0 0 0 0 0 0 758 0 0 1005226096 1164683025 10 Physicians ECKHOUSE SHAINA 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 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 0 671 0 0 0 0 0 0 671 0 0 1005226244 1477713824 16 Nurse Practitioners CHASE SUSAN G 999999999 71 McHenry 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 0 276 0 0 0 0 0 0 276 0 0 1005226347 10 Physicians 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 112 0 0 0 0 0 0 112 0 0 1005226460 1265747596 10 Physicians PATEL DHIREN 999999999 823 Michigan 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 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 4588 0 0 0 0 0 0 4588 0 0 1005226465 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 6023 0 0 0 0 0 0 0 0 0 0 0 0 0 6023 0 0 1005226525 1639186638 30 General Hospitals PRESENCE MERCY MEDICAL CENTER 605061449 53 Kane DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 162 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 328870 0 0 0 0 0 0 0 0 0 328870 0 0 1005226570 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 13634 0 0 0 0 0 0 0 0 0 0 0 0 0 13634 0 0 1005226639 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 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 14605 0 0 0 0 0 0 0 0 0 0 0 0 0 14605 0 0 1005226684 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 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 18423 0 0 0 0 0 0 0 0 0 0 0 0 0 18423 0 0 1005226954 1902352735 16 Nurse Practitioners VANDECAVEYE ANNA E. 999999999 58 La Salle 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 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 0 919 0 0 0 0 0 0 919 0 0 1005227034 1750612297 89 Physician Assistant Only(Encounter Only) WEINER KATIE K 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 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 0 419 0 0 0 0 0 0 419 0 0 1005227632 1558724310 16 Nurse Practitioners KIRBY CARRIE L 999999999 35 Ford 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 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 0 114 0 0 0 0 0 0 114 0 0 1005227734 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 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 13157 0 0 0 0 0 0 0 0 0 0 0 0 0 13157 0 0 1005227766 1912347204 10 Physicians KUSTON TREVOR R 999999999 200 Cook 0 0 Emergency Medicine 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 0 209 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 9056 0 0 0 0 0 0 9056 0 0 1005227784 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 1561 0 0 0 0 0 0 0 0 0 0 0 0 0 1561 0 0 1005227930 1255545695 10 Physicians DOLL DANA D 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 336 0 0 0 0 0 0 336 0 0 1005228069 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 464 0 0 0 0 0 0 0 0 0 0 0 0 0 464 0 0 1005228086 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 1005228651 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2236 0 0 0 0 0 0 0 0 0 0 0 0 0 2236 0 0 1005228944 1962897348 16 Nurse Practitioners HITCHINS LAUREN 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 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 2629 0 0 0 0 0 0 2629 0 0 1005229116 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 0 168 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 28408 0 0 0 0 0 0 0 0 0 0 0 0 0 28408 0 0 1005229123 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 20393 0 0 0 0 0 0 0 0 0 0 0 0 0 20393 0 0 1005229293 92 Waiver service provider--Disability (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4302 0 0 0 0 0 0 0 0 0 0 0 0 0 4302 0 0 1005229331 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 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 31590 0 0 0 0 0 0 0 0 0 0 0 0 0 31590 0 0 1005229554 1467506329 88 Other behavior health professional BARNFIELD JILL 999999999 104 Wayne 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 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4079 0 0 0 0 0 0 4079 0 0 1005229730 1164733440 10 Physicians WIEBE ERICA 999999999 19 Champaign 0 0 Pediatrics 0 0 0 0 9 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 103 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 103 0 0 0 0 0 0 0 0 0 284 0 0 0 0 0 0 0 0 3916 0 0 0 0 0 0 4200 0 0 1005229789 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 0 178 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 21775 0 0 0 0 0 0 0 0 0 0 0 0 0 21775 0 0 1005230175 1730525361 10 Physicians SMITH JANELLE R B 999999999 91 Sangamon 0 0 Internal Medicine 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 0 122 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 2946 0 0 0 0 0 0 2946 0 0 1005230280 1760742753 10 Physicians ANTONIOLLI MOLLY PROSKINE 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 8 0 0 0 0 0 0 3 0 9 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 4 0 9 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 4 0 9 0 0 0 0 0 0 0 0 0 739 0 0 0 0 0 0 176 0 547 0 0 0 0 0 0 1462 0 0 1005230393 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 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 0 401 0 0 0 0 0 0 0 0 0 0 0 0 0 401 0 0 1005230441 1376099127 16 Nurse Practitioners FORMAN COURTNEY 999999999 109 Winnebago 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 0 168 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 1505 0 0 0 0 0 0 1505 0 0 1005230497 1932334067 10 Physicians HASSAN SOBIA 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 12 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 3533 0 0 0 0 0 0 3564 0 0 1005230675 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 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 0 355 0 0 0 0 0 0 355 0 0 1005230842 1184010993 10 Physicians KRASAEATH REBECCA 999999999 200 Cook 0 0 Family Practice 0 0 0 0 3 0 0 0 0 0 0 5 0 21 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 11 0 25 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 11 0 25 0 0 0 0 0 0 0 0 0 464 0 0 0 0 0 0 280 0 1141 0 0 0 0 0 0 1885 0 0 1005230928 1295046795 11 Dentists MANLOVE ASHLEY 999999999 19 Champaign 0 0 Maxillofacial Surgery 0 0 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12619 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12619 0 0 1005231142 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 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 23392 0 0 0 0 0 0 0 0 0 0 0 0 0 23392 0 0 1005231762 4005231762 71 Medicar Provider CITY OF OTTAWA 999999999 58 La Salle 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 5245 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5245 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39530 0 0 0 0 0 0 39530 0 0 1005231854 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28447 0 0 0 0 0 0 0 0 0 0 0 0 0 28447 0 0 1005231890 1366679060 10 Physicians SIMON VALERIA B 999999999 53 Kane 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 59 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2042 0 2331 0 0 0 0 0 0 4373 0 0 1005231899 60 Pharmacies 200 Cook 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 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 619 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005231972 1386084259 10 Physicians KIMBELL JOSEPH C 999999999 109 Winnebago 0 0 Family Practice 0 0 0 0 2 0 0 0 0 0 0 7 0 21 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 13 0 32 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 13 0 32 0 0 0 0 0 0 0 0 0 93 0 0 0 0 0 0 158 0 1067 0 0 0 0 0 0 1318 0 0 1005232032 1295042422 89 Physician Assistant Only(Encounter Only) WITT KRISTA N 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1329 0 0 0 0 0 0 1329 0 0 1005232293 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 26935 0 0 0 0 0 0 0 0 0 0 0 0 0 26935 0 0 1005232340 1619320207 25 Audiologists MCFADDEN JACLYN M 999999999 91 Sangamon 0 0 0 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 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 0 655 655 0 0 1005232916 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 0 180 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 28382 0 0 0 0 0 0 0 0 0 0 0 0 0 28382 0 0 1005233018 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 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 7873 0 0 0 0 0 0 0 0 0 0 0 0 0 7873 0 0 1005233034 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 19572 0 0 0 0 0 0 0 0 0 0 0 0 0 19572 0 0 1005233127 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1347 0 0 0 0 0 0 0 0 0 0 0 0 0 1347 0 0 1005233345 1861752123 10 Physicians GORSKI JULIE 999999999 53 Kane 0 0 Family Practice 0 0 0 0 3 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 317 0 0 0 0 0 0 0 0 513 0 0 0 0 0 0 830 0 0 1005233653 1841624624 60 Pharmacies CVS PHARMACY #17591 606101746 200 Cook 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 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5049 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6102 0 0 0 6102 0 0 1005233786 10 Physicians 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 87 0 0 0 0 0 0 87 0 0 1005233943 75 Department of Alcohol and Substance Abuse Provider 47 Jackson 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 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 1021 0 0 1021 0 0 1005234103 1922241207 10 Physicians RAJMANE OOJWALA 999999999 30 DuPage 0 0 Internal Medicine 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 0 215 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 0 604 0 0 0 0 0 0 604 0 0 1005234203 10 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 1 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 114 0 0 1005234224 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 18271 0 0 0 0 0 0 0 0 0 0 0 0 0 18271 0 0 1005234289 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 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 0 475 0 0 0 0 0 0 0 0 0 0 0 0 0 475 0 0 1005234296 10 Physicians 10 Adams 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 233 0 0 0 0 0 0 233 0 0 1005234375 4005234375 46 Ambulatory Surgical Treatment Centers MARION EYE SURGERY CTR LLC 999999999 49 Jefferson 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 0 487 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 487 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47049 0 0 0 0 0 47049 0 0 1005234497 1538401849 10 Physicians SHAH RIDDHI 999999999 80 Peoria 0 0 Family Practice 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 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 3277 0 0 0 0 0 0 3277 0 0 1005234521 1679932875 75 Department of Alcohol and Substance Abuse Provider "TASC, INC." 606074350 200 Cook 0 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 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 12924 0 0 12924 0 0 1005234844 1669562336 10 Physicians HORWITZ LAWRENCE D 999999999 200 Cook 0 0 Internal Medicine 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 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 0 162 0 0 0 0 0 0 162 0 0 1005234917 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21430 0 0 0 0 0 0 0 0 0 0 0 0 0 21430 0 0 1005234932 1275904427 60 Pharmacies OSCO DRUG #3495 999999999 30 DuPage 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 0 453 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13804 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27069 0 0 0 27069 0 0 1005235014 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 0 190 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 27129 0 0 0 0 0 0 0 0 0 0 0 0 0 27129 0 0 1005235082 91 Waiver service provider--Adults (DHS/DDD) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 142 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 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 1005235876 94 Waiver service provider--Children's support (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 0 274 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 34597 0 0 0 0 0 0 0 0 0 0 0 0 0 34597 0 0 1005236075 1871046516 16 Nurse Practitioners GSCHWIND MICHELLE 999999999 80 Peoria 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 147 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 217 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 217 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 4779 0 0 0 0 0 0 4843 0 0 1005236438 1134388598 10 Physicians PAUL SONALI 999999999 30 DuPage 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 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 1377 0 0 0 0 0 0 1377 0 0 1005236650 1497047567 10 Physicians WAGNER BENJAMIN J. 999999999 47 Jackson 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 162 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 3996 0 0 0 0 0 0 3996 0 0 1005236761 1780826560 10 Physicians GLEASON LAUREN 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2863 0 0 0 0 0 0 2863 0 0 1005236850 1669833026 16 Nurse Practitioners MILBURN JESSICA 999999999 47 Jackson 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 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 918 0 0 0 0 0 0 918 0 0 1005237108 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 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 0 826 0 0 0 0 0 0 0 0 0 0 0 0 0 826 0 0 1005237179 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 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 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 1005237188 1720304298 10 Physicians MUDALIAR KUMARAN 999999999 200 Cook 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 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 0 364 0 0 0 0 0 0 0 0 364 0 0 1005237332 1598109258 10 Physicians VILLENA SHEYLA E 999999999 200 Cook 0 0 Internal Medicine 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 66 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 1033 0 0 0 0 0 0 1053 0 0 1005237483 1881899714 10 Physicians KACHROO PUJA 999999999 200 Cook 0 0 Thoracic Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3351 0 0 0 0 0 0 3351 0 0 1005237570 1205981081 60 Pharmacies JACKSON PARK PHARMACY 606493954 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 275 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 51497 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94 0 0 41785 0 0 0 41879 0 0 1005237831 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 13288 0 0 0 0 0 0 0 0 0 0 0 0 0 13288 0 0 1005237914 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 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 33429 0 0 0 0 0 0 0 0 0 0 0 0 0 33429 0 0 1005237998 1992142483 10 Physicians MALIK NIDA 999999999 30 DuPage 0 1 Family Practice 0 0 0 0 3 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 222 0 0 0 0 0 0 0 0 2339 0 0 0 0 0 0 2561 0 0 1005238077 1952764722 16 Nurse Practitioners GULOY RANIER 999999999 200 Cook 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 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 1089 0 0 0 0 0 0 1089 0 0 1005238080 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1811 0 0 0 0 0 0 0 0 0 0 0 0 0 1811 0 0 1005238136 1871040923 16 Nurse Practitioners LITTLE MICHELLE D 999999999 80 Peoria 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 0 110 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 3197 0 0 0 0 0 0 3197 0 0 1005238174 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3582 0 0 0 0 0 0 0 0 0 0 0 0 0 3582 0 0 1005238219 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005238234 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 1246 0 0 0 0 0 0 0 0 0 0 0 0 0 1246 0 0 1005238436 1609220276 10 Physicians BARRIOS ANTONIO 999999999 805 California 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 0 295 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 295 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3337 0 0 0 0 0 0 3337 0 0 1005238949 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 8131 0 0 0 0 0 0 0 0 0 0 0 0 0 8131 0 0 1005239095 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 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 4887 0 0 0 0 0 0 0 0 0 0 0 0 0 4887 0 0 1005239337 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 0 121 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 23789 0 0 0 0 0 0 0 0 0 0 0 0 0 23789 0 0 1005239812 16 Nurse Practitioners 80 Peoria 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 13 0 0 0 0 0 0 13 0 0 1005240313 1003179912 10 Physicians BHASIN AJAY 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1190 0 0 0 0 0 0 1190 0 0 1005240607 92 Waiver service provider--Disability (DHS/DRS) 30 DuPage 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17747 0 0 0 0 0 0 0 0 0 0 0 0 0 17747 0 0 1005240690 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28266 0 0 0 0 0 0 0 0 0 0 0 0 0 28266 0 0 1005240710 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 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 35891 0 0 0 0 0 0 0 0 0 0 0 0 0 35891 0 0 1005240723 10 Physicians 200 Cook 0 0 Emergency 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 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 0 319 0 0 0 0 0 0 319 0 0 1005241037 1366513467 10 Physicians SHHADEH AKRAM 999999999 80 Peoria 0 0 Neurology 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 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 0 402 0 0 0 0 0 0 402 0 0 1005241347 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 13999 0 0 0 0 0 0 0 0 0 0 0 0 0 13999 0 0 1005241467 1962740852 89 Physician Assistant Only(Encounter Only) FARA KRISTYN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 130 0 0 1005241645 1851559421 10 Physicians MOREIRA DANIEL 999999999 200 Cook 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 9 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 177 0 8698 0 0 0 0 0 0 8875 0 0 1005241817 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 7814 0 0 0 0 0 0 0 0 0 0 0 0 0 7814 0 0 1005241903 1053653535 10 Physicians ALFIERI NINA 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 19 0 0 0 0 0 0 3 0 19 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 3 0 38 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 3 0 38 0 0 0 0 0 0 0 0 0 1812 0 0 0 0 0 0 4 0 2084 0 0 0 0 0 0 3900 0 0 1005241923 1972891257 10 Physicians BARNETT DANIEL H 999999999 19 Champaign 0 0 Radiation Oncology 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 0 158 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 3429 0 0 0 0 0 0 3429 0 0 1005242003 1255578316 89 Physician Assistant Only(Encounter Only) CHANDLER JAMES T 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 79 0 0 1005242166 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 28989 0 0 0 0 0 0 0 0 0 0 0 0 0 28989 0 0 1005242327 22 Physical Therapists 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2288 2288 0 0 1005242451 75 Department of Alcohol and Substance Abuse Provider 109 Winnebago 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 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 580 0 0 580 0 0 1005242500 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 0 361 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 0 0 0 0 0 0 0 0 0 0 0 0 26875 0 0 0 0 0 0 0 0 0 0 0 0 0 26875 0 0 1005242597 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 0 311 0 0 0 0 0 0 0 0 0 0 0 0 0 311 0 0 1005242663 1366708117 10 Physicians PARCELLANO RIA L 999999999 200 Cook 0 0 Family Practice 0 0 0 0 5 0 0 0 0 0 0 8 0 68 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 10 0 137 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 10 0 137 0 0 0 0 0 0 0 0 0 293 0 0 0 0 0 0 93 0 4120 0 0 0 0 0 0 4506 0 0 1005243180 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 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 5386 0 0 0 0 0 0 0 0 0 0 0 0 0 5386 0 0 1005243490 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 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30257 0 0 0 0 0 0 0 0 0 0 0 0 0 30257 0 0 1005243706 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 24 0 0 0 0 0 0 24 0 0 1005243900 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 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23544 0 0 0 0 0 0 0 0 0 0 0 0 0 23544 0 0 1005244090 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 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 21387 0 0 0 0 0 0 0 0 0 0 0 0 0 21387 0 0 1005244332 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6125 0 0 0 0 0 0 0 0 0 0 0 0 0 6125 0 0 1005244378 1750524575 10 Physicians CASEY JENNIFER 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 3 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 133 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 133 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 1235 0 0 0 0 0 0 1241 0 0 1005244503 1992195051 16 Nurse Practitioners WHETSTINE CHRISTOPHER K 999999999 30 DuPage 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 0 298 0 0 0 0 0 0 298 0 0 1005244549 1467861005 23 Occupational Therapists GILMAN ANDREA P 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 306 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 306 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21510 21510 0 0 1005244838 1225371370 10 Physicians GANDHI SONIA 999999999 200 Cook 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 0 122 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 1594 0 0 0 0 0 0 1594 0 0 1005244865 10 Physicians 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 42 0 0 1005244876 1154610475 10 Physicians TUCKER ALLISON 999999999 89 Rock Island 0 0 Anesthesiology 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 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 5427 0 0 0 0 0 0 5427 0 0 1005244992 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 0 364 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 27410 0 0 0 0 0 0 0 0 0 0 0 0 0 27410 0 0 1005245108 1164885745 16 Nurse Practitioners HERNANDEZ ANGEL C 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 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 0 231 0 0 0 0 0 0 231 0 0 1005245305 92 Waiver service provider--Disability (DHS/DRS) 77 Morgan 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19882 0 0 0 0 0 0 0 0 0 0 0 0 0 19882 0 0 1005245313 10 Physicians 91 Sangamon 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 102 0 0 0 0 0 0 102 0 0 1005245526 1346683075 10 Physicians SZAFLARSKI NATALIA 999999999 200 Cook 0 0 Internal Medicine 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 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4532 0 0 0 0 0 0 4532 0 0 1005246304 98 Waiver service provider--TBI (DHS/DRS) 77 Morgan 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 631 0 0 0 0 0 0 0 0 0 0 0 0 0 631 0 0 1005246477 1144628348 89 Physician Assistant Only(Encounter Only) KHINE THINZAR 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1685 0 0 0 0 0 0 1685 0 0 1005246542 98 Waiver service provider--TBI (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 23673 0 0 0 0 0 0 0 0 0 0 0 0 0 23673 0 0 1005246832 1306394051 60 Pharmacies CVS PHARMACY 10628 999999999 71 McHenry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 709 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27823 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37256 0 0 0 37256 0 0 1005246844 1437519345 75 Department of Alcohol and Substance Abuse Provider KISHHEALTH SYSTEM BEHAVIORAL S 999999999 27 Dekalb 0 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 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 5735 0 0 5735 0 0 1005246889 1679712483 12 Optometrists ADENWALLA ZAHRA 999999999 200 Cook 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 182 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 4896 0 0 0 0 0 0 4896 0 0 1005247213 1548623572 10 Physicians ARMBRUST DANIEL J 999999999 53 Kane 0 0 Family Practice 0 0 0 0 3 0 0 0 0 0 0 1 0 19 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 2 0 39 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 2 0 39 0 0 0 0 0 0 0 0 0 276 0 0 0 0 0 0 67 0 1227 0 0 0 0 0 0 1570 0 0 1005247424 1285097113 10 Physicians ABRAHAM JEEVAN C 999999999 57 Lake 0 0 Family Practice 0 0 0 0 7 0 0 0 0 0 0 3 0 64 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 4 0 134 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 4 0 134 0 0 0 0 0 0 0 0 0 315 0 0 0 0 0 0 0 0 4355 0 0 0 0 0 0 4670 0 0 1005247437 1326140583 30 General Hospitals RUSH UNIVERSITY MEDICAL CENTER 606123833 200 Cook DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 0 0 252 0 0 0 0 0 0 0 82 0 0 0 0 0 0 0 0 0 0 935 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 0 935 0 0 0 0 0 0 0 537 0 0 0 0 0 0 0 0 0 0 23647 0 0 0 0 0 0 0 96607 0 0 0 0 0 0 0 0 0 120254 0 0 1005247555 1780729384 11 Dentists GEHA CARLA 999999999 49 Jefferson 0 0 General Dentistry 0 0 0 21 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 1827 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1827 0 0 1005247875 1508312034 16 Nurse Practitioners PISZCZATOWSKI MAREK J 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 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 0 120 0 0 0 0 0 0 120 0 0 1005247893 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 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 1005248083 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 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 32631 0 0 0 0 0 0 0 0 0 0 0 0 0 32631 0 0 1005248126 1356311583 10 Physicians GALLENTINE MICHAEL 999999999 200 Cook 0 0 Urology 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 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 494 0 0 0 0 0 0 494 0 0 1005248472 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 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1005248570 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 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 18116 0 0 0 0 0 0 0 0 0 0 0 0 0 18116 0 0 1005248870 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5175 0 0 0 0 0 0 0 0 0 0 0 0 0 5175 0 0 1005248905 1629331145 10 Physicians SARWARK JOHN 999999999 82 Piatt 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6813 0 0 0 0 0 0 6813 0 0 1005248929 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2279 0 0 0 0 0 0 0 0 0 0 0 0 0 2279 0 0 1005249011 1770913709 89 Physician Assistant Only(Encounter Only) PETERS SARAH J 999999999 19 Champaign 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 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 0 649 0 0 0 0 0 0 649 0 0 1005249109 1427492024 10 Physicians SCHILDZ MICHAEL 999999999 19 Champaign 0 0 Pediatrics 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 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 2992 0 0 0 0 0 0 2992 0 0 1005249164 1952733818 89 Physician Assistant Only(Encounter Only) SAMVEL KSENIA 999999999 47 Jackson 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 0 175 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 5848 0 0 0 0 0 0 5848 0 0 1005249628 1568472892 89 Physician Assistant Only(Encounter Only) STEWART CRAIG S 999999999 53 Kane 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 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 0 942 0 0 0 0 0 0 942 0 0 1005249836 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 25254 0 0 0 0 0 0 0 0 0 0 0 0 0 25254 0 0 1005249888 1770845596 10 Physicians PATEL UTSAHI R 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 25 0 0 0 0 0 0 2 0 26 0 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 2 0 82 0 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 2 0 82 0 0 0 0 0 0 0 0 0 1772 0 0 0 0 0 0 5 0 5453 0 0 0 0 0 0 7230 0 0 1005249955 1831563980 24 Speech Therapists MEDEMA BRIANNA 999999999 107 Will 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 0 108 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 8800 8800 0 0 1005249958 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 0 0 0 0 0 0 1005250057 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 0 180 0 0 0 0 0 0 180 0 0 1005250066 1508120981 10 Physicians ARREDONDO RUPP MELISSA M 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2727 0 0 0 0 0 0 2727 0 0 1005250083 1881033710 10 Physicians ELLEBY ERYNN E 999999999 91 Sangamon 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 1 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 1379 0 0 0 0 0 0 1384 0 0 1005250086 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1247 0 0 0 0 0 0 0 0 0 0 0 0 0 1247 0 0 1005250107 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 15193 0 0 0 0 0 0 0 0 0 0 0 0 0 15193 0 0 1005250200 1073855466 10 Physicians HANNA MICHELLE M 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 88 0 0 0 0 0 0 3 0 73 0 0 0 0 0 0 0 0 0 218 0 0 0 0 0 0 3 0 89 0 0 0 0 0 0 0 0 0 218 0 0 0 0 0 0 3 0 89 0 0 0 0 0 0 0 0 0 7388 0 0 0 0 0 0 11 0 3202 0 0 0 0 0 0 10601 0 0 1005250332 1629425665 10 Physicians HUR MOON HEE 999999999 200 Cook 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 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 0 904 0 0 0 0 0 0 904 0 0 1005250415 1003953613 10 Physicians KAUFMAN CHARLES K 999999999 109 Winnebago 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 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 31613 0 0 0 0 0 0 31613 0 0 1005250462 16 Nurse Practitioners 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 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 0 147 0 0 0 0 0 0 147 0 0 1005250767 1194161992 16 Nurse Practitioners GARCEAU JESSICA E 999999999 80 Peoria 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 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 0 424 0 0 0 0 0 0 424 0 0 1005250866 1629422001 16 Nurse Practitioners BANNERMAN ERIN 999999999 87 Randolph 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 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 0 690 0 0 0 0 0 0 690 0 0 1005250982 1386995322 89 Physician Assistant Only(Encounter Only) MIRAL EMILY K 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 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 5199 0 0 0 0 0 0 5199 0 0 1005251475 1952642126 10 Physicians KHAN SHAEMAH Z 999999999 30 DuPage 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 28 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 256 0 1515 0 0 0 0 0 0 1771 0 0 1005251534 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 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 623 0 0 0 0 0 0 0 0 0 0 0 0 0 623 0 0 1005251628 1972925097 16 Nurse Practitioners WEBER KELLY 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 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 1147 0 0 0 0 0 0 1147 0 0 1005251771 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 25510 0 0 0 0 0 0 0 0 0 0 0 0 0 25510 0 0 1005251916 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 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 21085 0 0 0 0 0 0 0 0 0 0 0 0 0 21085 0 0 1005251963 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 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 0 117 0 0 0 0 0 0 117 0 0 1005252225 1154331809 63 Other Providers of Medical Equipment/Supplies (Non-registered) BJC HOME CARE SERVICES 631145825 826 Missouri 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 1069 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1069 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83255 0 0 0 0 0 0 83255 0 0 1005252305 1568802734 13 Podiatrists COHN KELLEN A. 999999999 57 Lake 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 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 0 586 0 0 0 0 0 0 586 0 0 1005252320 10 Physicians 53 Kane 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 51 0 0 1005252992 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 0 177 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 9217 0 0 0 0 0 0 0 0 0 0 0 0 0 9217 0 0 1005253202 1639522337 89 Physician Assistant Only(Encounter Only) CORKERY KATHLEEN 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 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 2297 0 0 0 0 0 0 2297 0 0 1005253232 1982797254 16 Nurse Practitioners WATSON LISA M 999999999 80 Peoria 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 105 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 105 0 0 0 0 0 0 0 0 0 668 0 0 0 0 0 0 0 0 3199 0 0 0 0 0 0 3867 0 0 1005253261 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 470 0 0 0 0 0 0 0 0 0 0 0 0 0 470 0 0 1005253372 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 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 12 0 0 0 0 0 0 12 0 0 1005253373 91 Waiver service provider--Adults (DHS/DDD) 68 Mason 0 0 0 0 0 0 0 0 1 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 28771 0 0 0 0 0 0 0 0 0 0 0 0 0 28771 0 0 1005253538 1093104655 16 Nurse Practitioners WELKER MICHELLE 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 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 0 217 0 0 0 0 0 0 217 0 0 1005253631 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 13921 0 0 0 0 0 0 0 0 0 0 0 0 0 13921 0 0 1005254068 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5971 0 0 0 0 0 0 0 0 0 0 0 0 0 5971 0 0 1005254321 1194160333 87 Psychologist(Encounter Only) SWENSEN JENNIFER 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 0 133 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 0 130 0 0 0 0 0 0 130 0 0 1005254667 1124441340 30 General Hospitals FRESENIUS MEDICAL CARE NORMAL 617616195 72 McLean DIALYSIS Outpatient dialysis centers. 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 0 164 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 0 0 0 0 0 551 0 0 0 0 0 551 0 0 1005254855 1265753867 10 Physicians CHOUDHRY ASIFA 999999999 842 South Carolina 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 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4234 0 0 0 0 0 0 4234 0 0 1005254876 1992095723 10 Physicians PRICE SARAH J 999999999 200 Cook 0 1 Pediatrics 0 0 0 0 90 0 0 0 0 0 0 17 0 103 0 0 0 0 0 0 0 0 0 308 0 0 0 0 0 0 23 0 171 0 0 0 0 0 0 0 0 0 308 0 0 0 0 0 0 23 0 171 0 0 0 0 0 0 0 0 0 10352 0 0 0 0 0 0 212 0 3886 0 0 0 0 0 0 14450 0 0 1005255058 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 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 0 145 0 0 0 0 0 0 145 0 0 1005255210 16 Nurse Practitioners 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005255489 1184174203 11 Dentists SUNKARA PRASUDHA K 999999999 30 DuPage 0 0 General Dentistry 0 0 0 159 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 970 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 970 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26881 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26881 0 0 1005255859 1588990931 16 Nurse Practitioners LIN LISA S 999999999 30 DuPage 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 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 0 605 0 0 0 0 0 0 605 0 0 1005255880 1023329240 10 Physicians LIDDY WHITNEY 999999999 200 Cook 0 0 Otolaryngology 0 0 0 0 0 0 0 0 0 0 0 2 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68 0 856 0 0 0 0 0 0 924 0 0 1005256343 1598211427 23 Occupational Therapists HUSCHEN ALYSSA M 999999999 80 Peoria 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 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 2078 2078 0 0 1005256420 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 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 4877 0 0 0 0 0 0 0 0 0 0 0 0 0 4877 0 0 1005256519 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005256555 87 Psychologist(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 276 0 0 0 0 0 0 276 0 0 1005256794 1346648573 16 Nurse Practitioners PETTIT LINDA 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 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 0 376 0 0 0 0 0 0 376 0 0 1005256843 1831183334 89 Physician Assistant Only(Encounter Only) MCFARLIN COURTNEY M 999999999 80 Peoria 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1450 0 0 0 0 0 0 1450 0 0 1005256954 1952856080 16 Nurse Practitioners HECHT MEGAN M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 260 0 0 0 0 0 0 260 0 0 1005257092 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 0 192 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 30222 0 0 0 0 0 0 0 0 0 0 0 0 0 30222 0 0 1005257225 1538439609 10 Physicians SPRINGMAN GRANT 999999999 53 Kane 0 0 Internal Medicine 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 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4025 0 0 0 0 0 0 4025 0 0 1005257266 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 36551 0 0 0 0 0 0 0 0 0 0 0 0 0 36551 0 0 1005257311 1487097838 10 Physicians STACKHOUSE NATHAN 999999999 200 Cook 0 0 General Practice 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 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 2573 0 0 0 0 0 0 2573 0 0 1005257821 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 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28089 0 0 0 0 0 0 0 0 0 0 0 0 0 28089 0 0 1005258076 1447627773 16 Nurse Practitioners COURI CANDACE D. 999999999 80 Peoria 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 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 0 800 0 0 0 0 0 0 800 0 0 1005258266 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 570 0 0 0 0 0 0 609 0 0 1005258481 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 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 0 307 0 0 0 0 0 0 0 0 0 0 0 0 0 307 0 0 1005258572 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 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27216 0 0 0 0 0 0 0 0 0 0 0 0 0 27216 0 0 1005258609 1033452966 10 Physicians RICHMAN MICHAEL A 999999999 200 Cook 0 0 Internal 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 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 0 190 0 0 0 0 0 0 190 0 0 1005258622 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 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 0 824 0 0 0 0 0 0 0 0 0 0 0 0 0 824 0 0 1005258862 1194179705 16 Nurse Practitioners PARK BOBBI J 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 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 0 204 0 0 0 0 0 0 204 0 0 1005258920 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 0 144 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 14978 0 0 0 0 0 0 0 0 0 0 0 0 0 14978 0 0 1005259093 1518339167 28 Waiver service provider--Supportive living facility (HFS) EAGLES VIEW SUPPORTIVE LIVING 618663628 19 Champaign 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 0 110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3022 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300457 0 0 0 0 0 0 0 0 0 0 0 0 0 300457 0 0 1005259123 30 General Hospitals 200 Cook DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 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 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10639 0 0 0 0 0 0 0 0 0 10639 0 0 1005259436 91 Waiver service provider--Adults (DHS/DDD) 30 DuPage 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 0 109 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 5682 0 0 0 0 0 0 0 0 0 0 0 0 0 5682 0 0 1005259462 89 Physician Assistant Only(Encounter Only) 109 Winnebago 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 0 0 0 0 0 0 0 0 0 0 1005259469 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5250 0 0 0 0 0 0 0 0 0 0 0 0 0 5250 0 0 1005260711 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 7283 0 0 0 0 0 0 0 0 0 0 0 0 0 7283 0 0 1005260919 1215257076 10 Physicians NIZAMUDDIN SARAH L 999999999 30 DuPage 0 0 Anesthesiology 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 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 7663 0 0 0 0 0 0 7663 0 0 1005261146 10 Physicians 65 Madison 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 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 0 241 0 0 0 0 0 0 241 0 0 1005261343 1730623786 91 Waiver service provider--Adults (DHS/DDD) A NEW AGE HUMAN SERVICES CORP. 999999999 200 Cook 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 2293 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2293 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 550054 0 0 0 0 0 0 0 0 0 0 0 0 0 550054 0 0 1005261444 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 15796 0 0 0 0 0 0 0 0 0 0 0 0 0 15796 0 0 1005261626 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 0 364 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 28382 0 0 0 0 0 0 0 0 0 0 0 0 0 28382 0 0 1005261785 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 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 34267 0 0 0 0 0 0 0 0 0 0 0 0 0 34267 0 0 1005261794 1912450941 16 Nurse Practitioners CAVETT JENNIFER L 999999999 30 DuPage 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 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 899 0 0 0 0 0 0 899 0 0 1005261985 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42557 0 0 0 0 0 0 0 0 0 0 0 0 0 42557 0 0 1005262754 92 Waiver service provider--Disability (DHS/DRS) 10 Adams 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 31784 0 0 0 0 0 0 0 0 0 0 0 0 0 31784 0 0 1005262919 92 Waiver service provider--Disability (DHS/DRS) 56 Knox 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 26061 0 0 0 0 0 0 0 0 0 0 0 0 0 26061 0 0 1005263214 1063891646 75 Department of Alcohol and Substance Abuse Provider ROSECRANCE LAKE VIEW OUTPATIEN 999999999 200 Cook 0 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 0 352 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 352 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32957 0 0 32957 0 0 1005263521 1902185564 87 Psychologist(Encounter Only) SIKORA ZACHARY J 601228942 53 Kane 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 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 1296 0 0 0 0 0 0 1296 0 0 1005263595 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3400 0 0 0 0 0 0 0 0 0 0 0 0 0 3400 0 0 1005263748 1447638887 16 Nurse Practitioners ALTGILBERS ANN 999999999 87 Randolph 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 497 0 0 0 0 0 0 497 0 0 1005263818 1073816013 16 Nurse Practitioners WINTERBAUER SUSAN C. 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 201 0 0 0 0 0 0 201 0 0 1005264069 16 Nurse Practitioners 10 Adams 0 0 0 0 0 0 0 0 0 0 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 78 0 0 0 0 0 0 78 0 0 1005264249 1558639609 10 Physicians BASSI SHRUTI 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4187 0 0 0 0 0 0 4187 0 0 1005264460 1124494711 10 Physicians KHAN OSAAMA H 999999999 200 Cook 0 0 Neurology Surgery 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 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 4766 0 0 0 0 0 0 4766 0 0 1005264468 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 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17143 0 0 0 0 0 0 0 0 0 0 0 0 0 17143 0 0 1005264530 1194773374 10 Physicians BARROW FIRAS 999999999 200 Cook 0 0 Internal Medicine 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 0 137 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 2483 0 0 0 0 0 0 2483 0 0 1005264556 1437492493 10 Physicians MULVIHILL ASHLEY A 999999999 200 Cook 0 0 Psychiatry 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 0 181 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 11979 0 0 0 0 0 0 11979 0 0 1005264752 1124488945 36 Community mental health provider AID EAST TAYLOR STREET 999999999 27 Dekalb 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 248 0 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 248 0 0 2074 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26845 0 0 28919 0 0 1005264762 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 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22537 0 0 0 0 0 0 0 0 0 0 0 0 0 22537 0 0 1005264799 91 Waiver service provider--Adults (DHS/DDD) 39 Greene 0 0 0 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 8259 0 0 0 0 0 0 0 0 0 0 0 0 0 8259 0 0 1005264993 1366702870 10 Physicians KONDOWE CRYSTAL V 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1222 0 0 0 0 0 0 1222 0 0 1005265139 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 29699 0 0 0 0 0 0 0 0 0 0 0 0 0 29699 0 0 1005265162 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 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 28865 0 0 0 0 0 0 0 0 0 0 0 0 0 28865 0 0 1005265265 1013185842 10 Physicians DALENCOURT GREGORY 999999999 65 Madison 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 0 105 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 3403 0 0 0 0 0 0 3403 0 0 1005265361 1649620865 16 Nurse Practitioners GRAY NATASHA 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 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 0 197 0 0 0 0 0 0 197 0 0 1005265395 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 0 240 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 60539 0 0 0 0 0 0 0 0 0 0 0 0 0 60539 0 0 1005265455 1043760416 16 Nurse Practitioners TALKINGTON ASHLEY R 999999999 64 Macoupin 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 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 1026 0 0 0 0 0 0 1026 0 0 1005265515 1215235007 89 Physician Assistant Only(Encounter Only) VANDERVEEN DANIELLE 999999999 80 Peoria 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 998 0 0 0 0 0 0 0 0 1585 0 0 0 0 0 0 2583 0 0 1005265925 89 Physician Assistant Only(Encounter Only) 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 47 0 0 0 0 0 0 47 0 0 1005266004 1295175990 10 Physicians BAJAJ SARVOTTAM 999999999 53 Kane 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 0 329 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 329 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6737 0 0 0 0 0 0 6737 0 0 1005266407 16 Nurse Practitioners 62 Logan 0 0 0 0 0 0 0 0 0 0 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 1005266410 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 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 18198 0 0 0 0 0 0 0 0 0 0 0 0 0 18198 0 0 1005266556 1528351962 16 Nurse Practitioners WILLIAMS KRISTI K 999999999 80 Peoria 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 0 102 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 0 739 0 0 0 0 0 0 739 0 0 1005266609 1992256218 36 Community mental health provider CTSHEALTH 999999999 200 Cook 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 1093 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2524 0 0 1093 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2524 0 0 152465 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 484024 0 0 636489 0 0 1005266646 10 Physicians 109 Winnebago 0 0 Plastic 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 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 0 117 0 0 0 0 0 0 117 0 0 1005266971 91 Waiver service provider--Adults (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 139 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 6648 0 0 0 0 0 0 0 0 0 0 0 0 0 6648 0 0 1005266980 10 Physicians 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 9 0 0 0 0 0 0 37 0 0 1005267128 16 Nurse Practitioners 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005267172 1346561883 10 Physicians SHARMA ANKIT 999999999 91 Sangamon 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 3 0 19 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 3 0 20 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 3 0 20 0 0 0 0 0 0 0 0 0 521 0 0 0 0 0 0 9 0 863 0 0 0 0 0 0 1393 0 0 1005267541 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 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 8 0 0 1005267563 1639522873 16 Nurse Practitioners MCALLISTER MANDY J 999999999 10 Adams 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 0 103 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 1222 0 0 0 0 0 0 1222 0 0 1005267777 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 179 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 179 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15471 0 0 0 0 0 0 0 0 0 0 0 0 0 15471 0 0 1005267884 1871740506 16 Nurse Practitioners GOLDEN AMY L 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 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 2570 0 0 0 0 0 0 2570 0 0 1005267953 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 0 225 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 25515 0 0 0 0 0 0 0 0 0 0 0 0 0 25515 0 0 1005268184 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 236 0 0 1005268283 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 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 4180 0 0 0 0 0 0 0 0 0 0 0 0 0 4180 0 0 1005268312 1811298045 10 Physicians MALHOTRA GAUTAM 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 1 0 105 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 13629 0 0 0 0 0 0 13629 0 0 1005268454 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 20807 0 0 0 0 0 0 0 0 0 0 0 0 0 20807 0 0 1005268496 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 6950 0 0 0 0 0 0 0 0 0 0 0 0 0 6950 0 0 1005268689 1982096160 23 Occupational Therapists BROWN JENNIFER A 999999999 200 Cook 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 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 5161 5161 0 0 1005268871 10 Physicians 200 Cook 0 0 General Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 85 0 0 1005268884 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1820 0 0 0 0 0 0 0 0 0 0 0 0 0 1820 0 0 1005268969 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 73 0 0 0 0 0 0 73 0 0 1005269054 1023244522 10 Physicians KELLY BRIAN 999999999 19 Champaign 0 0 Orthopedic Surgery 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 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 2564 0 0 0 0 0 0 2564 0 0 1005269176 1407259559 16 Nurse Practitioners GORHAM CARISSA R 999999999 80 Peoria 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 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 1159 0 0 0 0 0 0 1159 0 0 1005269214 1306849765 10 Physicians JACOB PRADEEP K 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 1 378 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 596 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 596 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 18626 0 159 0 0 0 0 0 0 18796 0 0 1005269276 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 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 0 637 0 0 0 0 0 0 0 0 0 0 0 0 0 637 0 0 1005269721 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 15320 0 0 0 0 0 0 0 0 0 0 0 0 0 15320 0 0 1005269884 1063774289 10 Physicians FITZGERALD MAX A 999999999 200 Cook 0 0 Physical Medicine/Rehabilitation 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 0 275 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 13856 0 0 0 0 0 0 13856 0 0 1005269915 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2291 0 0 0 0 0 0 0 0 0 0 0 0 0 2291 0 0 1005270084 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 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 1020 0 0 0 0 0 0 0 0 0 0 0 0 0 1020 0 0 1005270093 94 Waiver service provider--Children's support (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 0 237 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 237 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15271 0 0 0 0 0 0 0 0 0 0 0 0 0 15271 0 0 1005270617 16 Nurse Practitioners 89 Rock Island 0 0 0 0 0 0 0 0 0 0 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 79 0 0 0 0 0 0 79 0 0 1005270816 20 Registered nurse 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 128 0 0 1005270878 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26212 0 0 0 0 0 0 0 0 0 0 0 0 0 26212 0 0 1005271017 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5680 0 0 0 0 0 0 0 0 0 0 0 0 0 5680 0 0 1005271037 1134432479 10 Physicians REDDY REDDY SUPRAJA R 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 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 0 312 0 0 0 0 0 0 312 0 0 1005271107 1497764526 30 General Hospitals CENTEGRA HOSPITAL MCHENRY 600508409 71 McHenry DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 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 0 437 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 163190 0 0 0 0 0 0 0 0 0 163190 0 0 1005271205 16 Nurse Practitioners 77 Morgan 0 0 0 0 0 0 0 0 0 0 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 1005271814 1073973095 89 Physician Assistant Only(Encounter Only) FLEMING ERYN L 999999999 80 Peoria 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 0 127 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 5237 0 0 0 0 0 0 5237 0 0 1005272428 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3382 0 0 0 0 0 0 0 0 0 0 0 0 0 3382 0 0 1005272953 1871962183 16 Nurse Practitioners AFARIN JESSICA 999999999 27 Dekalb 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2918 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2918 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26835 0 0 0 0 0 0 26835 0 0 1005273007 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 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9907 0 0 0 0 0 0 0 0 0 0 0 0 0 9907 0 0 1005273076 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 1005273078 47 Local Education Agencies 200 Cook 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 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 0 201 0 201 0 0 1005273175 1790235398 16 Nurse Practitioners PHELPS CLARE M 999999999 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 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 0 263 0 0 0 0 0 0 263 0 0 1005273276 1649361163 16 Nurse Practitioners REXROAD MARIA E 999999999 91 Sangamon 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 792 0 0 0 0 0 0 890 0 0 1005273334 1942543178 10 Physicians WAWRZYNIAK MICHAEL 999999999 200 Cook 0 0 Emergency Medicine 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 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5357 0 0 0 0 0 0 5357 0 0 1005273335 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26872 0 0 0 0 0 0 0 0 0 0 0 0 0 26872 0 0 1005273449 1033132311 60 Pharmacies CVS PHARMACY #16326 604351166 841 Rhode Island 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 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4475 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2506 0 0 0 2506 0 0 1005273458 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 14087 0 0 0 0 0 0 0 0 0 0 0 0 0 14087 0 0 1005273490 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 47 0 0 0 0 0 0 47 0 0 1005273492 1326200536 10 Physicians BAHUVA RUBIN D 999999999 200 Cook 0 0 Internal Medicine 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 1935 0 0 0 0 0 0 1935 0 0 1005273720 10 Physicians 19 Champaign 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 1005274064 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 0 332 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 23955 0 0 0 0 0 0 0 0 0 0 0 0 0 23955 0 0 1005274134 98 Waiver service provider--TBI (DHS/DRS) 80 Peoria 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 18372 0 0 0 0 0 0 0 0 0 0 0 0 0 18372 0 0 1005274269 1679559553 30 General Hospitals MMC - REHAB UNIT 627810001 91 Sangamon DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 General Hospital - Adult and Child 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 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 747 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104275 0 0 0 0 0 0 0 0 0 104275 0 0 1005274423 1295188803 16 Nurse Practitioners MILANI NICOLE M 999999999 15 Bureau 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 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 0 624 0 0 0 0 0 0 624 0 0 1005274464 91 Waiver service provider--Adults (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27069 0 0 0 0 0 0 0 0 0 0 0 0 0 27069 0 0 1005274544 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 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 5961 0 0 0 0 0 0 0 0 0 0 0 0 0 5961 0 0 1005274560 1720393945 89 Physician Assistant Only(Encounter Only) TERRAZAS CHRISTINA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2831 0 0 0 0 0 0 2831 0 0 1005274578 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 1005275015 1376983882 10 Physicians SHAH HARSHIT 999999999 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2659 0 0 0 0 0 0 2659 0 0 1005275198 12 Optometrists 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 62 0 0 1005275248 1992164883 63 Other Providers of Medical Equipment/Supplies (Non-registered) LEHAN'S MEDICAL EQUIPMENT 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 283 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1947 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1947 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48023 0 355 0 0 0 0 48378 0 0 1005275572 1922446186 10 Physicians KHAN SARAH M 999999999 53 Kane 0 0 Pediatrics 0 0 0 0 12 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 814 0 0 0 0 0 0 0 0 366 0 0 0 0 0 0 1180 0 0 1005275574 1184006272 16 Nurse Practitioners SCOTT DARCIE M 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 776 0 0 0 0 0 0 776 0 0 1005275941 1316978992 16 Nurse Practitioners BROADSTREET MARIA B 999999999 62 Logan 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 0 510 0 0 0 0 0 0 510 0 0 1005275972 1740223031 60 Pharmacies CVS PHARMACY #17042 607072312 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 147 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 1067 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 45235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 269 0 0 57644 0 0 0 57913 0 0 1005276042 1326064361 60 Pharmacies COUNTY MARKET PHARMACY 224 626292018 91 Sangamon 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 0 192 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6182 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4606 0 0 0 4606 0 0 1005276173 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 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 1069 0 0 0 0 0 0 0 0 0 0 0 0 0 1069 0 0 1005276269 89 Physician Assistant Only(Encounter Only) 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005276599 1194166595 10 Physicians RENGARAJAN DINESH KUMAR 999999999 65 Madison 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 0 798 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 798 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24455 0 0 0 0 0 0 24455 0 0 1005276613 1942662291 10 Physicians DELCONTE ADAM C 999999999 200 Cook 0 0 Family Practice 0 0 0 0 3 0 0 0 0 0 0 47 0 85 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 81 0 111 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 81 0 111 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 1934 0 4002 0 0 0 0 0 0 6032 0 0 1005276706 1083845945 10 Physicians PATEL NIRAL B 999999999 71 McHenry 0 0 General Practice 0 0 0 0 0 0 0 0 0 0 0 9 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 314 0 707 0 0 0 0 0 0 1021 0 0 1005276906 1083073977 36 Community mental health provider HOYLETON YOUTH AND FAMILY SERV 999999999 96 St Clair 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 214 0 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 214 0 0 2480 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21650 0 0 24130 0 0 1005276948 1659741312 89 Physician Assistant Only(Encounter Only) ECHOLS MORGAN L 999999999 63 Macon 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 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 1637 0 0 0 0 0 0 1637 0 0 1005277017 98 Waiver service provider--TBI (DHS/DRS) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 16804 0 0 0 0 0 0 0 0 0 0 0 0 0 16804 0 0 1005277078 1871856377 13 Podiatrists CHOI GENE Y 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 0 578 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 578 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5532 0 0 0 0 0 0 5532 0 0 1005277265 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 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68237 0 0 0 0 0 0 0 0 0 0 0 0 0 68237 0 0 1005277307 1578921532 16 Nurse Practitioners RAASCH CHRISTOPHER 999999999 200 Cook 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 0 0 326 0 0 0 0 0 0 532 0 0 1005277524 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 9115 0 0 0 0 0 0 0 0 0 0 0 0 0 9115 0 0 1005277686 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 0 323 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 323 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40041 0 0 0 0 0 0 0 0 0 0 0 0 0 40041 0 0 1005277889 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 25390 0 0 0 0 0 0 0 0 0 0 0 0 0 25390 0 0 1005278046 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 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23428 0 0 0 0 0 0 0 0 0 0 0 0 0 23428 0 0 1005278206 1871961813 16 Nurse Practitioners MOORE LESLIE 999999999 200 Cook 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 0 539 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 539 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86406 0 0 0 0 0 0 86406 0 0 1005278509 1477717080 10 Physicians OCHIENG' MILTON O 999999999 19 Champaign 0 0 Internal 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 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 0 746 0 0 0 0 0 0 746 0 0 1005278765 1548626773 60 Pharmacies HEALTHDIRECT INSTITUTIONAL PHA 999999999 826 Missouri 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 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 709 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3894 0 0 0 3894 0 0 1005278940 92 Waiver service provider--Disability (DHS/DRS) 99 Union 0 0 0 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 11447 0 0 0 0 0 0 0 0 0 0 0 0 0 11447 0 0 1005279431 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005279432 10 Physicians 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 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005279541 1043690282 10 Physicians ELIOS MEGAN CHRISTINE 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 6 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 347 0 0 0 0 0 0 0 0 179 0 0 0 0 0 0 526 0 0 1005279738 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8424 0 0 0 0 0 0 0 0 0 0 0 0 0 8424 0 0 1005279949 1982029856 16 Nurse Practitioners CASEY JENNIFER 999999999 35 Ford 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 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 0 254 0 0 0 0 0 0 254 0 0 1005280022 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 0 361 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 0 0 0 0 0 0 0 0 0 0 0 0 24927 0 0 0 0 0 0 0 0 0 0 0 0 0 24927 0 0 1005280317 16 Nurse Practitioners 31 Edgar 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 81 0 0 0 0 0 0 81 0 0 1005280545 1689029993 16 Nurse Practitioners BROWN ASHLEY L 999999999 47 Jackson 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 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3202 0 0 0 0 0 0 3202 0 0 1005280554 1659581262 10 Physicians JOHNSTON DOUGLAS R 999999999 63 Macon 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 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10522 0 0 0 0 0 0 10522 0 0 1005281047 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 10876 0 0 0 0 0 0 0 0 0 0 0 0 0 10876 0 0 1005281114 1649579939 10 Physicians AARDSMA NATHAN 999999999 200 Cook 0 0 Clinical Pathology 0 0 0 0 0 0 0 0 0 0 0 55 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 392 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 392 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3351 0 80 0 0 0 0 0 0 3431 0 0 1005281293 10 Physicians 815 Indiana 0 0 Psychiatry 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005281490 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 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1005281505 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 209 0 0 0 0 0 0 209 0 0 1005281853 1629521109 16 Nurse Practitioners PARKER LYNN A 999999999 80 Peoria 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 124 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 124 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 2441 0 0 0 0 0 0 2601 0 0 1005282116 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 0 259 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 27062 0 0 0 0 0 0 0 0 0 0 0 0 0 27062 0 0 1005282180 16 Nurse Practitioners 96 St Clair 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 0 147 0 0 0 0 0 0 147 0 0 1005282522 1073836706 10 Physicians GONG CHAO 999999999 53 Kane 0 0 Neurology 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 0 140 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 2042 0 0 0 0 0 0 2042 0 0 1005282527 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 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 36235 0 0 0 0 0 0 0 0 0 0 0 0 0 36235 0 0 1005282678 1922448018 10 Physicians GEORGE THOMAS 999999999 58 La Salle 0 0 Internal Medicine 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 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 0 433 0 0 0 0 0 0 433 0 0 1005283159 1346569563 10 Physicians KRUCZEK KIMBERLY R 999999999 30 DuPage 0 0 Internal Medicine 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 0 405 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 0 0 0 0 0 4380 0 0 0 0 0 0 4380 0 0 1005283366 1407119779 10 Physicians WALLACE LAURA 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 4 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 1564 0 0 0 0 0 0 1575 0 0 1005283428 1588004246 11 Dentists GOLAM ISRAA 999999999 53 Kane 0 0 General Dentistry 0 0 0 134 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 788 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 788 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 21575 0 0 0 0 0 0 0 0 0 0 0 888 0 0 0 0 22463 0 0 1005283736 1215248588 10 Physicians XIONG LINGYUN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 774 0 87 0 0 0 0 0 0 861 0 0 1005283794 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 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 1302 0 0 0 0 0 0 0 0 0 0 0 0 0 1302 0 0 1005284024 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 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 18351 0 0 0 0 0 0 0 0 0 0 0 0 0 18351 0 0 1005284066 98 Waiver service provider--TBI (DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5155 0 0 0 0 0 0 0 0 0 0 0 0 0 5155 0 0 1005284240 1972552131 89 Physician Assistant Only(Encounter Only) FULCOMER ANDREA B 999999999 109 Winnebago 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 518 0 0 0 0 0 0 0 0 1319 0 0 0 0 0 0 1837 0 0 1005284441 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 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 2822 0 0 0 0 0 0 0 0 0 0 0 0 0 2822 0 0 1005284501 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 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19492 0 0 0 0 0 0 0 0 0 0 0 0 0 19492 0 0 1005284504 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 14833 0 0 0 0 0 0 0 0 0 0 0 0 0 14833 0 0 1005284712 1578593737 16 Nurse Practitioners YANOVSKAYA YULIYA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 143 0 0 0 0 0 0 143 0 0 1005284768 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 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15703 0 0 0 0 0 0 0 0 0 0 0 0 0 15703 0 0 1005284897 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 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 0 874 0 0 0 0 0 0 0 0 0 0 0 0 0 874 0 0 1005284977 1073883674 10 Physicians MUKKAMALLA VIJAYALAKSHMI 999999999 200 Cook 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 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 1639 0 0 0 0 0 0 1639 0 0 1005285021 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 815 0 0 0 0 0 0 0 0 0 0 0 0 0 815 0 0 1005285362 1710381181 16 Nurse Practitioners WICKS KIMBERLY T 999999999 30 DuPage 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 0 166 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 4220 0 0 0 0 0 0 4220 0 0 1005285479 1801108279 10 Physicians MANTHA SUPARNA 999999999 19 Champaign 0 0 Internal Medicine 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 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4573 0 0 0 0 0 0 4573 0 0 1005285511 1760936090 16 Nurse Practitioners MANCO GENTI 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 813 0 0 0 0 0 0 813 0 0 1005285652 36 Community mental health provider 200 Cook 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3258 0 0 3409 0 0 1005285703 98 Waiver service provider--TBI (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 35307 0 0 0 0 0 0 0 0 0 0 0 0 0 35307 0 0 1005285732 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 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 7409 0 0 0 0 0 0 0 0 0 0 0 0 0 7409 0 0 1005285816 1154343861 60 Pharmacies CVS PHARMACY #16792 604302007 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 11257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 6880 0 0 0 6931 0 0 1005285878 1174538953 22 Physical Therapists WIGGAN MARILYN 999999999 30 DuPage 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 0 111 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 0 914 914 0 0 1005285914 1538615539 22 Physical Therapists BEYER JESSICA 999999999 200 Cook 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 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 974 974 0 0 1005286002 1285975680 10 Physicians QURESHI AMBER A 999999999 200 Cook 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 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 0 816 0 0 0 0 0 0 816 0 0 1005286178 92 Waiver service provider--Disability (DHS/DRS) 62 Logan 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 10552 0 0 0 0 0 0 0 0 0 0 0 0 0 10552 0 0 1005286355 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 779 0 0 0 0 0 0 0 0 0 0 0 0 0 779 0 0 1005286474 1710346309 16 Nurse Practitioners ESKEN DARLENE G 999999999 80 Peoria 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 109 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 109 0 0 0 0 0 0 0 0 0 109 0 0 0 0 0 0 0 0 3056 0 0 0 0 0 0 3165 0 0 1005286567 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 0 127 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 6972 0 0 0 0 0 0 0 0 0 0 0 0 0 6972 0 0 1005286663 1396017877 16 Nurse Practitioners CURTIS BENJAMIN 999999999 88 Richland 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 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 1981 0 0 0 0 0 0 1981 0 0 1005286706 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15719 0 0 0 0 0 0 0 0 0 0 0 0 0 15719 0 0 1005286774 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 15 0 0 0 0 0 0 15 0 0 1005286824 1982043105 10 Physicians BLUMENFELD-KOUCHNER FRANCOIS 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1261 0 0 0 0 0 0 1261 0 0 1005286902 1265660393 10 Physicians BALDEA KRISTIN G 999999999 200 Cook 0 0 Urology 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 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 1981 0 0 0 0 0 0 1988 0 0 1005286916 1669790697 10 Physicians KENNELL KELLY A 999999999 98 Tazewell 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 286 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 405 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 405 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3765 0 1450 0 0 0 0 0 0 5215 0 0 1005287044 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 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 38521 0 0 0 0 0 0 0 0 0 0 0 0 0 38521 0 0 1005287075 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 0 359 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 359 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28360 0 0 0 0 0 0 0 0 0 0 0 0 0 28360 0 0 1005287390 91 Waiver service provider--Adults (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 277 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 277 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27834 0 0 0 0 0 0 0 0 0 0 0 0 0 27834 0 0 1005287454 1164876967 16 Nurse Practitioners VENTOCILLA NICHOLAS K 999999999 25 Crawford 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 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 5205 0 0 0 0 0 0 5205 0 0 1005287628 10 Physicians 200 Cook 0 0 Psychiatry 0 0 0 0 0 0 0 0 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 62 0 0 0 0 0 0 62 0 0 1005287644 1750737243 16 Nurse Practitioners VERKLER LORI 999999999 80 Peoria 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 3062 0 0 0 0 0 0 3257 0 0 1005287779 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3868 0 0 0 0 0 0 0 0 0 0 0 0 0 3868 0 0 1005287949 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 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28398 0 0 0 0 0 0 0 0 0 0 0 0 0 28398 0 0 1005287974 94 Waiver service provider--Children's support (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 0 146 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 17645 0 0 0 0 0 0 0 0 0 0 0 0 0 17645 0 0 1005288034 1538181342 60 Pharmacies CVS PHARMACY #16303 600314591 57 Lake 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 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9321 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27554 0 0 0 27554 0 0 1005288402 10 Physicians 53 Kane 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 348 0 0 0 0 0 0 348 0 0 1005289201 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 7555 0 0 0 0 0 0 0 0 0 0 0 0 0 7555 0 0 1005289392 1023465408 28 Waiver service provider--Supportive living facility (HFS) ASBURY OF KANKAKEE SUPPORTIVE 609012781 54 Kankakee 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 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 549296 0 0 0 0 0 0 0 0 0 0 0 0 0 549296 0 0 1005289537 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 36473 0 0 0 0 0 0 0 0 0 0 0 0 0 36473 0 0 1005289617 1316223746 89 Physician Assistant Only(Encounter Only) WALLON REBECCA C 999999999 19 Champaign 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 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 1400 0 0 0 0 0 0 1400 0 0 1005289623 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 0 361 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 0 0 0 0 0 0 0 0 0 0 0 0 13008 0 0 0 0 0 0 0 0 0 0 0 0 0 13008 0 0 1005289716 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 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 3539 0 0 0 0 0 0 0 0 0 0 0 0 0 3539 0 0 1005290019 63 Other Providers of Medical Equipment/Supplies (Non-registered) 816 Iowa 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 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 1463 0 0 0 0 0 0 1463 0 0 1005290028 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 11199 0 0 0 0 0 0 0 0 0 0 0 0 0 11199 0 0 1005290329 1629207477 10 Physicians ABO-SALEM ELSAYED 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 5 0 260 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 531 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 531 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3755 0 0 0 0 0 0 3755 0 0 1005290439 1689024036 60 Pharmacies FORUM EXTENDED CARE SERVICES O 999999999 91 Sangamon 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 0 879 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25006 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9041 0 0 0 9041 0 0 1005290822 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 0 120 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 20375 0 0 0 0 0 0 0 0 0 0 0 0 0 20375 0 0 1005290856 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 11363 0 0 0 0 0 0 0 0 0 0 0 0 0 11363 0 0 1005290901 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 33775 0 0 0 0 0 0 0 0 0 0 0 0 0 33775 0 0 1005290963 1851680037 10 Physicians RUSIECKI JENNIFER M 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 105 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 200 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 2025 0 0 0 0 0 0 2025 0 0 1005291018 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 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 37393 0 0 0 0 0 0 0 0 0 0 0 0 0 37393 0 0 1005291534 1174976286 16 Nurse Practitioners PANOZZO NEELIE M 999999999 54 Kankakee 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 0 172 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 0 656 0 0 0 0 0 0 656 0 0 1005291545 1700176450 10 Physicians SHARIEFF AMIN O 999999999 80 Peoria 0 0 Internal Medicine 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 0 468 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 468 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4332 0 0 0 0 0 0 4332 0 0 1005291774 1306189261 10 Physicians VAN GENDEREN KRISTIN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3446 0 0 0 0 0 0 3446 0 0 1005291978 10 Physicians 99 Union 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005292156 1225394018 10 Physicians LYONS PATRICK 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2167 0 0 0 0 0 0 2167 0 0 1005292185 1245542869 10 Physicians CLUSTER ANDREW S 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 561 0 0 0 0 0 0 561 0 0 1005292281 1770839987 10 Physicians CHOKSI TATVAM 999999999 200 Cook 0 0 Internal Medicine 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 0 284 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 1831 0 0 0 0 0 0 1831 0 0 1005292311 1053764365 16 Nurse Practitioners STEPHENS MICHELLE M 999999999 80 Peoria 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 0 0 0 856 0 0 0 0 0 0 0 0 3051 0 0 0 0 0 0 3907 0 0 1005292391 1700131182 10 Physicians ATIENZA MATTHEW C 999999999 63 Macon 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 0 529 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 529 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9142 0 0 0 0 0 0 9142 0 0 1005292542 1528323979 10 Physicians CATON REBECCA 999999999 200 Cook 0 0 Emergency Medicine 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 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4207 0 0 0 0 0 0 4207 0 0 1005292767 1770030801 16 Nurse Practitioners MARSHALL MARY L 999999999 80 Peoria 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 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 0 364 0 0 0 0 0 0 364 0 0 1005292992 91 Waiver service provider--Adults (DHS/DDD) 107 Will 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 310 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 310 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55581 0 0 0 0 0 0 0 0 0 0 0 0 0 55581 0 0 1005293683 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 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 45875 0 0 0 0 0 0 0 0 0 0 0 0 0 45875 0 0 1005294009 1063408417 89 Physician Assistant Only(Encounter Only) CAPINA ELMER 999999999 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 62 0 0 0 0 0 0 62 0 0 1005294076 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 11923 0 0 0 0 0 0 0 0 0 0 0 0 0 11923 0 0 1005294180 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 0 172 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 40225 0 0 0 0 0 0 0 0 0 0 0 0 0 40225 0 0 1005294469 16 Nurse Practitioners 82 Piatt 0 0 0 0 0 0 0 0 0 0 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 96 0 0 0 0 0 0 96 0 0 1005294766 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 27797 0 0 0 0 0 0 0 0 0 0 0 0 0 27797 0 0 1005294977 1619130697 10 Physicians MARINESCU VICTOR 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 177 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 307 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 307 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 4002 0 0 0 0 0 0 4038 0 0 1005295028 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 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 10178 0 0 0 0 0 0 0 0 0 0 0 0 0 10178 0 0 1005295697 1972056109 16 Nurse Practitioners WILSON NICOLE 999999999 55 Kendall 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 1071 0 0 0 0 0 0 0 0 1223 0 0 0 0 0 0 2294 0 0 1005295879 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 6835 0 0 0 0 0 0 0 0 0 0 0 0 0 6835 0 0 1005295895 1184078081 10 Physicians MEHTA PARIN P 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 239 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 311 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 311 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5285 0 666 0 0 0 0 0 0 5951 0 0 1005295942 86 Clinical Social Worker(Encounter Only) 19 Champaign 0 0 0 0 0 0 0 0 0 0 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 0 415 0 0 0 0 0 0 415 0 0 1005296007 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1489 0 0 0 0 0 0 0 0 0 0 0 0 0 1489 0 0 1005296058 1235502246 16 Nurse Practitioners BLACK CANDACE 999999999 80 Peoria 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 0 612 0 0 0 0 0 0 612 0 0 1005296110 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21874 0 0 0 0 0 0 0 0 0 0 0 0 0 21874 0 0 1005296174 10 Physicians 200 Cook 0 0 Pediatrics 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 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 82 0 0 1005296421 1275973620 10 Physicians FIGURA ROBERT M. 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 293 0 0 0 0 0 0 293 0 0 1005296469 1164856704 13 Podiatrists GONZALEZ GRANT W 999999999 82 Piatt 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 142 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 541 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 541 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2168 0 0 0 0 0 0 2168 0 0 1005296565 1619278074 89 Physician Assistant Only(Encounter Only) ZWIEFEL WESLEY 999999999 91 Sangamon 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 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 0 300 0 0 0 0 0 0 300 0 0 1005296620 1285787226 60 Pharmacies AXLINE PHARMACY 614221353 70 McDonough 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 0 742 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21776 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43635 0 0 0 43635 0 0 1005296646 1730443334 10 Physicians THOMSON JONGJIN 999999999 91 Sangamon 0 0 0 0 0 0 3 0 0 0 0 0 0 2 0 78 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 2 0 124 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 2 0 124 0 0 0 0 0 0 0 0 0 337 0 0 0 0 0 0 17 0 19118 0 0 0 0 0 0 19472 0 0 1005296736 91 Waiver service provider--Adults (DHS/DDD) 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 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 1933 0 0 0 0 0 0 0 0 0 0 0 0 0 1933 0 0 1005296970 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3271 0 0 0 0 0 0 0 0 0 0 0 0 0 3271 0 0 1005298214 1013250661 60 Pharmacies GENOA HEALTHCARE LLC 616033802 80 Peoria 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 0 833 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 99571 0 0 0 99571 0 0 1005298444 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 25784 0 0 0 0 0 0 0 0 0 0 0 0 0 25784 0 0 1005298490 1497203434 16 Nurse Practitioners SAYI MARIA P 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10804 0 0 0 0 0 0 10804 0 0 1005298626 1437303138 89 Physician Assistant Only(Encounter Only) ZIMMERMAN PHILIP A 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 0 461 0 0 0 0 0 0 461 0 0 1005298653 91 Waiver service provider--Adults (DHS/DDD) 64 Macoupin 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 137 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 8881 0 0 0 0 0 0 0 0 0 0 0 0 0 8881 0 0 1005298896 10 Physicians 109 Winnebago 0 0 Anesthesiology 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 10 0 0 0 0 0 0 10 0 0 1005298974 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 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 31 0 0 0 0 0 0 31 0 0 1005299096 1811393564 39 Hospice KINDRED HOSPICE 999999999 91 Sangamon 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 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3070 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 421207 0 0 0 0 0 0 0 0 0 0 0 421207 0 0 1005299128 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 7053 0 0 0 0 0 0 0 0 0 0 0 0 0 7053 0 0 1005299134 1669807798 30 General Hospitals NXSTAGE KIDNEY CARE OAK BROOK 999999999 30 DuPage DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 939 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2892 0 0 0 0 0 2892 0 0 1005299159 22 Physical Therapists 80 Peoria 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 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 0 389 389 0 0 1005299258 1992175467 16 Nurse Practitioners VAICKUS LINDA K 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 0 435 0 0 0 0 0 0 435 0 0 1005299394 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 28894 0 0 0 0 0 0 0 0 0 0 0 0 0 28894 0 0 1005299417 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 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 1801 0 0 0 0 0 0 1801 0 0 1005299448 92 Waiver service provider--Disability (DHS/DRS) 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 10498 0 0 0 0 0 0 0 0 0 0 0 0 0 10498 0 0 1005299526 1154615656 10 Physicians WALDINGER RACHEL 999999999 200 Cook 0 0 Anesthesiology 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 14051 0 0 0 0 0 0 14051 0 0 1005299527 1487837027 10 Physicians BOOKER TIMBERLY E 999999999 200 Cook 0 0 Emergency Medicine 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 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 2348 0 0 0 0 0 0 2348 0 0 1005299578 1447610472 48 Rural Health Clinics IMH MULTI-SPECIALTY PHYSICIANS 609701644 46 Iroquois 0 0 0 0 248 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1262 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1262 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19795 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19795 0 0 1005299579 1164814000 16 Nurse Practitioners FALCONE THOMAS 999999999 88 Richland 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 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 2353 0 0 0 0 0 0 2353 0 0 1005299788 16 Nurse Practitioners 72 McLean 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 68 0 0 0 0 0 0 68 0 0 1005299836 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 0 639 0 0 0 0 0 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 8300 0 0 1005301084 1891241022 28 Waiver service provider--Supportive living facility (HFS) GATEWAY AT RIVER CITY 616052301 80 Peoria 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 0 166 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4814 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 513318 0 0 0 0 0 0 0 0 0 0 0 0 0 513318 0 0 1005301430 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27376 0 0 0 0 0 0 0 0 0 0 0 0 0 27376 0 0 1005301580 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 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 5275 0 0 0 0 0 0 0 0 0 0 0 0 0 5275 0 0 1005301644 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 0 334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19877 0 0 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 1417242314 10 Physicians KING MICHAEL R 999999999 200 Cook 0 0 Anesthesiology 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 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 6677 0 0 0 0 0 0 6677 0 0 1005302431 4005302431 93 Waiver service provider--HIV/AIDS (DHS/DRS) "HELP AT HOME, LLC" 999999999 200 Cook 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 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 202874 0 0 0 0 0 0 0 0 0 0 0 0 0 202874 0 0 1005302622 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 0 1005302740 1598879884 89 Physician Assistant Only(Encounter Only) WILLIS MICHELLE 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 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 1729 0 0 0 0 0 0 1729 0 0 1005302851 1770804312 10 Physicians ARPS DAVID P 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 22 0 0 1005303156 1972999860 30 General Hospitals FRESENIUS MEDICAL CARE ANTIOCH 999999999 845 Texas DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 660 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2992 0 0 0 0 0 2992 0 0 1005303174 11 Dentists 57 Lake 0 0 Orthodontist 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 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141 0 0 1005303268 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 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 12785 0 0 0 0 0 0 0 0 0 0 0 0 0 12785 0 0 1005303426 92 Waiver service provider--Disability (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22327 0 0 0 0 0 0 0 0 0 0 0 0 0 22327 0 0 1005303457 1750595112 10 Physicians CHERENFANT JOVENEL 999999999 823 Michigan 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 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 4775 0 0 0 0 0 0 4775 0 0 1005303654 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25203 0 0 0 0 0 0 0 0 0 0 0 0 0 25203 0 0 1005303725 1528356292 10 Physicians ARAUZ VERONICA 604332548 107 Will 0 0 Obstetric-Gynecology 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 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 3913 0 0 0 0 0 0 3913 0 0 1005303911 10 Physicians 109 Winnebago 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005304316 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1005304801 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 1005304872 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3152 0 0 0 0 0 0 0 0 0 0 0 0 0 3152 0 0 1005305358 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 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 2376 0 0 0 0 0 0 0 0 0 0 0 0 0 2376 0 0 1005305442 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 0 122 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 29565 0 0 0 0 0 0 0 0 0 0 0 0 0 29565 0 0 1005305716 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33193 0 0 0 0 0 0 0 0 0 0 0 0 0 33193 0 0 1005305925 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27211 0 0 0 0 0 0 0 0 0 0 0 0 0 27211 0 0 1005305931 1992067094 10 Physicians LOPES PERDIGAO JOANA R 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 20 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 697 0 2507 0 0 0 0 0 0 3204 0 0 1005306009 75 Department of Alcohol and Substance Abuse Provider 42 Hancock 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 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 1973 0 0 1973 0 0 1005306288 10 Physicians 96 St Clair 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 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 0 253 0 0 0 0 0 0 253 0 0 1005306300 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 7408 0 0 0 0 0 0 0 0 0 0 0 0 0 7408 0 0 1005306910 1629461694 16 Nurse Practitioners KUBIELEWICZ KRISTA L 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 303 0 0 0 0 0 0 303 0 0 1005306934 36 Community mental health provider 107 Will 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 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 2198 0 0 2198 0 0 1005307041 10 Physicians 824 Minnesota 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 219 0 0 0 0 0 0 219 0 0 1005307172 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 12256 0 0 0 0 0 0 0 0 0 0 0 0 0 12256 0 0 1005307321 89 Physician Assistant Only(Encounter Only) 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 89 0 0 0 0 0 0 89 0 0 1005307330 1053460634 87 Psychologist(Encounter Only) MITCHELL KIRSTEN 999999999 54 Kankakee 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 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 0 545 0 0 0 0 0 0 545 0 0 1005307335 1346390689 60 Pharmacies CVS PHARMACY #17175 604532675 200 Cook 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 0 231 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8069 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7827 0 0 0 7827 0 0 1005307405 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 34361 0 0 0 0 0 0 0 0 0 0 0 0 0 34361 0 0 1005307505 75 Department of Alcohol and Substance Abuse Provider 91 Sangamon 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 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 0 654 0 0 654 0 0 1005307894 91 Waiver service provider--Adults (DHS/DDD) 99 Union 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 266 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 266 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19171 0 0 0 0 0 0 0 0 0 0 0 0 0 19171 0 0 1005307947 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 0 330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6506 0 0 0 0 0 0 0 0 0 0 0 0 0 6506 0 0 1005307994 98 Waiver service provider--TBI (DHS/DRS) 24 Coles 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 30592 0 0 0 0 0 0 0 0 0 0 0 0 0 30592 0 0 1005308019 1578750469 16 Nurse Practitioners TRAVIS CYNTHIA 999999999 107 Will 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 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 0 440 0 0 0 0 0 0 440 0 0 1005308031 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 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 0 426 0 0 0 0 0 0 0 0 0 0 0 0 0 426 0 0 1005308085 1568628865 10 Physicians BALACH TESSA 999999999 30 DuPage 0 0 Orthopedic 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 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 0 746 0 0 0 0 0 0 746 0 0 1005308618 16 Nurse Practitioners 72 McLean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 78 0 0 1005308625 1780060517 16 Nurse Practitioners NELSON DANAE A 999999999 58 La Salle 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 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 0 844 0 0 0 0 0 0 844 0 0 1005308897 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3163 0 0 0 0 0 0 0 0 0 0 0 0 0 3163 0 0 1005309193 1851845952 16 Nurse Practitioners PETERSEN PATRICIA 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 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1757 0 0 0 0 0 0 1757 0 0 1005309318 1497126783 16 Nurse Practitioners CURRY-EDWARDS REBECCA 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 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 0 902 0 0 0 0 0 0 902 0 0 1005309404 10 Physicians 30 DuPage 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 1005309748 1750669354 10 Physicians EL BITAR YOUSSEF 999999999 91 Sangamon 0 0 Orthopedic Surgery 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 0 285 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 285 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19157 0 0 0 0 0 0 19157 0 0 1005309907 10 Physicians 200 Cook 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 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 0 0 0 0 0 0 0 0 0 0 1005309948 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 3534 0 0 0 0 0 0 0 0 0 0 0 0 0 3534 0 0 1005310064 1902355316 40 Federally Qualified Health Centers LEGACY MEDICAL CARE INC 999999999 30 DuPage 0 0 0 0 154 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 614 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 614 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56519 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56519 0 0 1005310188 1558606053 89 Physician Assistant Only(Encounter Only) PETRAK ALLISON 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 0 0 0 0 0 0 0 0 0 0 1005310357 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 29062 0 0 0 0 0 0 0 0 0 0 0 0 0 29062 0 0 1005310956 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 0 156 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 0 0 0 0 0 17342 0 0 0 0 0 0 0 0 0 0 0 0 0 17342 0 0 1005311019 1407110034 10 Physicians ESCH LINDSAY M 999999999 53 Kane 0 0 Internal Medicine 0 0 0 0 1 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 899 0 0 0 0 0 0 1020 0 0 1005311051 1598067522 10 Physicians BABIREDDY PHANIVARDHAN 999999999 89 Rock Island 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 0 122 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 3352 0 0 0 0 0 0 3352 0 0 1005311283 1003298803 12 Optometrists RYAN MONICA ANN 999999999 91 Sangamon 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 158 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 158 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1822 0 37 0 0 0 0 1859 0 0 1005311284 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 0 360 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 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1005311406 16 Nurse Practitioners 36 Franklin 0 0 0 0 0 0 0 0 0 0 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 1005311510 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 0 287 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 0 0 0 0 0 0 0 0 0 0 0 0 29030 0 0 0 0 0 0 0 0 0 0 0 0 0 29030 0 0 1005311645 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 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1005311698 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5920 0 0 0 0 0 0 0 0 0 0 0 0 0 5920 0 0 1005311880 1831498377 10 Physicians SEY NASHIRA 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 6 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 2516 0 0 0 0 0 0 2603 0 0 1005311925 10 Physicians 47 Jackson 0 0 Psychiatry 0 0 0 0 0 0 0 0 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 87 0 0 0 0 0 0 87 0 0 1005312068 1508181140 10 Physicians IYER SHILPA V. 999999999 30 DuPage 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 4 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 2541 0 0 0 0 0 0 2547 0 0 1005312245 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 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 0 892 0 0 1005312472 1467868141 10 Physicians AUSTIN RICHARD L 999999999 91 Sangamon 0 0 Emergency Medicine 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 0 105 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 2093 0 0 0 0 0 0 2093 0 0 1005312625 1861790362 10 Physicians MINCA EUGEN C 999999999 63 Macon 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 0 237 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 237 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3415 0 0 0 0 0 0 0 0 3415 0 0 1005312683 1558722835 16 Nurse Practitioners LANGELLIER TODD E. 999999999 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 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 0 368 0 0 0 0 0 0 368 0 0 1005312722 1255880647 40 Federally Qualified Health Centers ILLINI FAMILY MEDICINE 622235000 96 St Clair 0 1 0 0 107 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 425 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 425 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19743 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19743 0 0 1005312946 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 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 1168 0 0 0 0 0 0 0 0 0 0 0 0 0 1168 0 0 1005312953 1558720888 16 Nurse Practitioners CABRERA FLOR D 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 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 1254 0 0 0 0 0 0 1254 0 0 1005313240 1235687989 16 Nurse Practitioners GOSNELL JODY 999999999 200 Cook 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 0 409 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 409 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2855 0 0 0 0 0 0 2855 0 0 1005313899 1356790141 89 Physician Assistant Only(Encounter Only) MULROW JAMIE 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005314173 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 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22651 0 0 0 0 0 0 0 0 0 0 0 0 0 22651 0 0 1005314174 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 84 0 0 0 0 0 0 84 0 0 1005314202 91 Waiver service provider--Adults (DHS/DDD) 97 Stephenson 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 649 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 649 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56714 0 0 0 0 0 0 0 0 0 0 0 0 0 56714 0 0 1005314304 1194934554 10 Physicians ARGHAVANI TRACY S 999999999 53 Kane 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 4 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 7268 0 0 0 0 0 0 7288 0 0 1005314428 1740573427 10 Physicians JAMISON JUSTIN 999999999 200 Cook 0 0 Psychiatry 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3387 0 0 0 0 0 0 3387 0 0 1005314560 1770036584 16 Nurse Practitioners CULLICK CARRIE 999999999 80 Peoria 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 83 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 140 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 140 0 0 0 0 0 0 0 0 0 1021 0 0 0 0 0 0 0 0 3683 0 0 0 0 0 0 4704 0 0 1005314655 1497150486 89 Physician Assistant Only(Encounter Only) LESS DIANE M 999999999 30 DuPage 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 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 23 0 0 0 0 0 0 23 0 0 1005314933 12 Optometrists 200 Cook 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 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 15 0 0 0 0 0 0 15 0 0 1005314983 1225376288 10 Physicians IQBAL SUMAIRA 999999999 109 Winnebago 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 156 0 0 0 0 0 0 221 0 0 1005315372 1467995407 91 Waiver service provider--Adults (DHS/DDD) GALL BRIAN M 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 2015 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2015 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 154033 0 0 0 0 0 0 0 0 0 0 0 0 0 154033 0 0 1005315495 1891084927 10 Physicians MARK LAURIE 999999999 200 Cook 0 0 Anesthesiology 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 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 0 702 0 0 0 0 0 0 702 0 0 1005316365 1699020800 10 Physicians DZAKA-DIZDAREVIC EMA 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 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 0 925 0 0 0 0 0 0 925 0 0 1005316531 10 Physicians 109 Winnebago 0 0 Anesthesiology 0 0 0 0 0 0 0 0 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 43 0 0 0 0 0 0 43 0 0 1005316906 1598119596 16 Nurse Practitioners LOMBARDO THERESA A. 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 0 112 0 0 0 0 0 0 112 0 0 1005317021 1780969634 89 Physician Assistant Only(Encounter Only) BOUFERRACHE KARIM H 999999999 91 Sangamon 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 0 112 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 1635 0 0 0 0 0 0 1635 0 0 1005317057 1255398558 89 Physician Assistant Only(Encounter Only) CONNOLLY LAURA 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 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 0 223 0 0 0 0 0 0 223 0 0 1005317490 1104272962 16 Nurse Practitioners WALTERS JAMIE L 999999999 80 Peoria 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 0 362 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 2604 0 0 0 0 0 0 2604 0 0 1005317826 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 1005317918 1497054944 10 Physicians RODRIGUEZ SARAH H 999999999 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 1 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 14921 0 0 0 0 0 0 14953 0 0 1005318300 1649620352 89 Physician Assistant Only(Encounter Only) ROTH BENJAMIN J 999999999 106 Whiteside 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 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 0 336 0 0 0 0 0 0 336 0 0 1005318404 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 0 178 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 7452 0 0 0 0 0 0 0 0 0 0 0 0 0 7452 0 0 1005318411 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005318512 1518310531 16 Nurse Practitioners AUGUST ANNA 999999999 200 Cook 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 0 221 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 2922 0 0 0 0 0 0 2922 0 0 1005318675 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 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 4079 0 0 0 0 0 0 0 0 0 0 0 0 0 4079 0 0 1005318689 1093006181 10 Physicians CHU ANDREW 999999999 200 Cook 0 0 Clinical Pathology 0 0 0 0 0 0 0 0 0 0 0 317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9850 0 0 0 0 0 0 0 0 9850 0 0 1005318781 1932653516 16 Nurse Practitioners DOLAN TIMOTHY M. 999999999 109 Winnebago 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 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 0 645 0 0 0 0 0 0 645 0 0 1005318834 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 29392 0 0 0 0 0 0 0 0 0 0 0 0 0 29392 0 0 1005318905 94 Waiver service provider--Children's support (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 0 180 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 9849 0 0 0 0 0 0 0 0 0 0 0 0 0 9849 0 0 1005318909 1871946681 24 Speech Therapists BOUMA ALLISON 999999999 200 Cook 0 0 0 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 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4801 4801 0 0 1005318951 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 18137 0 0 0 0 0 0 0 0 0 0 0 0 0 18137 0 0 1005318999 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 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 35200 0 0 0 0 0 0 0 0 0 0 0 0 0 35200 0 0 1005319610 87 Psychologist(Encounter Only) 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 71 0 0 0 0 0 0 71 0 0 1005319683 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3789 0 0 0 0 0 0 0 0 0 0 0 0 0 3789 0 0 1005319705 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 1005320132 1487758892 89 Physician Assistant Only(Encounter Only) DOSS CARMELLA JO 999999999 36 Franklin 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 0 293 0 0 0 0 0 0 293 0 0 1005320277 1831574987 16 Nurse Practitioners HUFFORD KRISTEN L 625263226 63 Macon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3021 0 0 0 0 0 0 3021 0 0 1005320393 1346553450 10 Physicians DESAI ANKIT 999999999 107 Will 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 2 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 307 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 307 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 12931 0 0 0 0 0 0 12950 0 0 1005320444 1659689040 89 Physician Assistant Only(Encounter Only) HOGE KRISTIN 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 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 1738 0 0 0 0 0 0 1738 0 0 1005320535 1659475655 89 Physician Assistant Only(Encounter Only) SUNDERLAND JENNIFER R 999999999 20 Christian 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 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 0 631 0 0 0 0 0 0 631 0 0 1005320553 1144345364 13 Podiatrists ABRAHAM BIJOY 999999999 30 DuPage 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 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 0 435 0 0 0 0 0 0 435 0 0 1005320617 16 Nurse Practitioners 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83 0 0 0 0 0 0 83 0 0 1005320701 1679800866 89 Physician Assistant Only(Encounter Only) BRAMER ANDREW 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 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 77 0 0 0 0 0 0 77 0 0 1005320738 89 Physician Assistant Only(Encounter Only) 109 Winnebago 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 0 118 0 0 0 0 0 0 118 0 0 1005320998 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4403 0 0 0 0 0 0 0 0 0 0 0 0 0 4403 0 0 1005321155 1639412745 10 Physicians ISSA RASHA N 999999999 30 DuPage 0 0 Internal Medicine 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 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1483 0 0 0 0 0 0 1483 0 0 1005321374 1023247236 10 Physicians JENKINS VOGEL MARY TILLEY 999999999 200 Cook 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 0 119 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 4896 0 0 0 0 0 0 4896 0 0 1005321978 1508294455 23 Occupational Therapists EGAN ASHLEY 999999999 45 Henry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 614 614 0 0 1005322054 1679939516 16 Nurse Practitioners SCHMEES GLADYS M 999999999 10 Adams 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 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 4121 0 0 0 0 0 0 4121 0 0 1005322077 10 Physicians 89 Rock Island 0 0 Psychiatry 0 0 0 0 0 0 0 0 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 0 182 0 0 0 0 0 0 182 0 0 1005322333 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 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 2035 0 0 0 0 0 0 2035 0 0 1005322753 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 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56862 0 0 0 0 0 0 0 0 0 0 0 0 0 56862 0 0 1005322926 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 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 36113 0 0 0 0 0 0 0 0 0 0 0 0 0 36113 0 0 1005323017 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 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58060 0 0 0 0 0 0 0 0 0 0 0 0 0 58060 0 0 1005323214 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 355 0 0 1005323220 1053549287 10 Physicians PATHIREDDY SAMATA 999999999 47 Jackson 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 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 0 572 0 0 0 0 0 0 572 0 0 1005323243 1437599925 10 Physicians BALA SHAWN 999999999 53 Kane 0 0 Emergency Medicine 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 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4051 0 0 0 0 0 0 4051 0 0 1005323421 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 33531 0 0 0 0 0 0 0 0 0 0 0 0 0 33531 0 0 1005323484 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 0 486 0 0 0 0 0 0 0 0 0 0 0 0 0 486 0 0 1005323745 1245633742 10 Physicians SERAFINI ANNA 999999999 65 Madison 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 0 389 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 389 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42445 0 0 0 0 0 0 42445 0 0 1005323751 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 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 0 423 0 0 0 0 0 0 423 0 0 1005323988 1689818098 10 Physicians MITCHELL JUSTIN E 999999999 200 Cook 0 0 Internal Medicine 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 0 305 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 305 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8836 0 0 0 0 0 0 8836 0 0 1005324259 1275821225 89 Physician Assistant Only(Encounter Only) SHEERS SARAH E 999999999 19 Champaign 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 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 0 765 0 0 0 0 0 0 765 0 0 1005324379 1386987238 10 Physicians CABUGASON ELAINE 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 0 166 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 0 169 0 0 0 0 0 0 169 0 0 1005324407 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 19148 0 0 0 0 0 0 0 0 0 0 0 0 0 19148 0 0 1005324717 1407206337 16 Nurse Practitioners BERE LAUREN N. 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 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 0 138 0 0 0 0 0 0 138 0 0 1005324840 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 17664 0 0 0 0 0 0 0 0 0 0 0 0 0 17664 0 0 1005325007 1235365586 10 Physicians FRAIDENBURG DUSTIN RYAN 999999999 200 Cook 0 0 Internal Medicine 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 0 186 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 8230 0 0 0 0 0 0 8230 0 0 1005325032 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4378 0 0 0 0 0 0 0 0 0 0 0 0 0 4378 0 0 1005325066 1588972749 89 Physician Assistant Only(Encounter Only) BELL NATHAN H 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 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 0 101 0 0 0 0 0 0 101 0 0 1005325132 1942657390 36 Community mental health provider ROSECRANCE CHAMPAIGN/URBANA 999999999 19 Champaign 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 305 0 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 305 0 0 9697 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20050 0 0 29747 0 0 1005325229 1194900134 10 Physicians PETERSON LINDSAY L 999999999 200 Cook 0 0 Internal 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 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 3109 0 0 0 0 0 0 3109 0 0 1005325281 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 103 0 0 1005325525 60 Pharmacies 817 Kansas 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 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5677 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2616 0 0 0 2616 0 0 1005326139 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 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27675 0 0 0 0 0 0 0 0 0 0 0 0 0 27675 0 0 1005326535 1437604543 22 Physical Therapists FERGUSON CHELSEY 999999999 89 Rock Island 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 0 213 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 0 0 0 0 0 0 0 0 0 0 0 0 3772 3772 0 0 1005326678 1053549121 10 Physicians KAUFMANN BRENT 999999999 88 Richland 0 0 Internal 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 0 267 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 5010 0 0 0 0 0 0 5010 0 0 1005326884 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 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 6 0 0 0 0 0 0 6 0 0 1005326895 1467442673 60 Pharmacies LOMBARD PHARMACY 601482678 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 524 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 14424 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 221 0 0 64570 0 0 0 64791 0 0 1005327027 1396000337 10 Physicians GIRARD ORIETTA 999999999 91 Sangamon 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3319 0 0 0 0 0 0 3319 0 0 1005327176 1316324015 89 Physician Assistant Only(Encounter Only) JAPP JOYCE RACHEL A 999999999 107 Will 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 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 0 486 0 0 0 0 0 0 486 0 0 1005327205 1215377841 13 Podiatrists LE AN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 564 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 564 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3719 0 0 0 0 0 0 3719 0 0 1005327374 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 8864 0 0 0 0 0 0 0 0 0 0 0 0 0 8864 0 0 1005327606 92 Waiver service provider--Disability (DHS/DRS) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 1005327856 1992090674 10 Physicians DARSIE JAMES 999999999 834 North Carolina 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 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 0 232 0 0 0 0 0 0 0 0 232 0 0 1005328086 1245488949 10 Physicians MARINESCU KAROLINA K. 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 354 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 354 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3208 0 0 0 0 0 0 3208 0 0 1005328108 1336162650 60 Pharmacies CVS PHARMACY #16492 607145658 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 399 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14864 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21098 0 0 0 21098 0 0 1005328183 1700102332 10 Physicians PATEL NEEL 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 0 306 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 306 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8251 0 0 0 0 0 0 8251 0 0 1005328187 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005328209 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5206 0 0 0 0 0 0 0 0 0 0 0 0 0 5206 0 0 1005328327 1780606491 60 Pharmacies CVS PHARMACY #17022 605553934 30 DuPage 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 30 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 0 0 0 0 0 0 0 0 0 0 0 0 608 0 0 0 608 0 0 1005328336 16 Nurse Practitioners 10 Adams 0 0 0 0 0 0 0 0 0 0 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 13 0 0 0 0 0 0 13 0 0 1005328546 1720326069 16 Nurse Practitioners FRANCE DIANA L 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1224 0 0 0 0 0 0 1224 0 0 1005328807 1659717841 10 Physicians SMITH ABIGAIL L 999999999 200 Cook 0 0 General Practice 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 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 2605 0 0 0 0 0 0 2605 0 0 1005328931 1467772376 10 Physicians WEBER NICHOLAS 999999999 200 Cook 0 0 Physical Medicine/Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 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 1456 0 0 0 0 0 0 1456 0 0 1005329095 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 0 358 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 27054 0 0 0 0 0 0 0 0 0 0 0 0 0 27054 0 0 1005329184 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 376 0 0 0 0 0 0 0 0 0 0 0 0 0 376 0 0 1005329358 10 Physicians 53 Kane 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 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 1005329419 86 Clinical Social Worker(Encounter Only) 76 Montgomery 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005329579 91 Waiver service provider--Adults (DHS/DDD) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 123 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 3936 0 0 0 0 0 0 0 0 0 0 0 0 0 3936 0 0 1005329938 1497207799 16 Nurse Practitioners COURSON BRITTANY N 999999999 200 Cook 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 120 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 120 0 0 0 0 0 0 0 0 0 443 0 0 0 0 0 0 0 0 2762 0 0 0 0 0 0 3205 0 0 1005329966 1508219288 48 Rural Health Clinics CERRO GORDO RURAL HEALTH CLINI 999999999 82 Piatt 0 0 0 0 65 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6187 0 0 1005330243 1114263738 60 Pharmacies CVS PHARMACY #17656 616112445 98 Tazewell 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 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3259 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3100 0 0 0 3100 0 0 1005330480 1902257587 11 Dentists ABOURASS TAREK 999999999 200 Cook 0 0 General Dentistry 0 0 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 487 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 487 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17533 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17533 0 0 1005330528 1164735403 10 Physicians JASINSKI GREGORY B 999999999 80 Peoria 0 0 Psychiatry 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 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 2693 0 0 0 0 0 0 2693 0 0 1005330658 1609142520 10 Physicians KIRKWOOD MARK K 999999999 88 Richland 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6368 0 0 0 0 0 0 6368 0 0 1005330666 1518367556 89 Physician Assistant Only(Encounter Only) ALBIAN ALLISON 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 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 1141 0 0 0 0 0 0 1141 0 0 1005330695 1255789285 87 Psychologist(Encounter Only) MATYJA ANNA 999999999 57 Lake 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 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 0 926 0 0 0 0 0 0 926 0 0 1005330713 1124573084 16 Nurse Practitioners PACELLA AMY 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 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 87 0 0 0 0 0 0 87 0 0 1005330781 10 Physicians 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 2 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 530 0 228 0 0 0 0 0 0 758 0 0 1005330801 1295280790 16 Nurse Practitioners BERG KRISTINA 999999999 31 Edgar 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 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6136 0 0 0 0 0 0 6136 0 0 1005330931 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 0 170 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 0 0 0 0 0 0 0 0 0 0 14385 0 0 0 0 0 0 0 0 0 0 0 0 0 14385 0 0 1005330966 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 21177 0 0 0 0 0 0 0 0 0 0 0 0 0 21177 0 0 1005331170 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12830 0 0 0 0 0 0 0 0 0 0 0 0 0 12830 0 0 1005331650 1821284803 10 Physicians VOURGANTI SRINIVAS 999999999 200 Cook 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 5 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 227 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 227 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 6532 0 0 0 0 0 0 6556 0 0 1005331666 1023054533 60 Pharmacies HY-VEE PHARMACY 1075 999999999 816 Iowa 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 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3052 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5986 0 0 0 5986 0 0 1005331987 1154876217 89 Physician Assistant Only(Encounter Only) LUKOSE MERIAM 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 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 0 122 0 0 0 0 0 0 122 0 0 1005332099 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3560 0 0 0 0 0 0 0 0 0 0 0 0 0 3560 0 0 1005332315 1831450667 16 Nurse Practitioners STRICKLAND BROOK DIANE 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 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 0 212 0 0 0 0 0 0 212 0 0 1005332470 63 Other Providers of Medical Equipment/Supplies (Non-registered) 822 Massachusetts 0 0 0 0 0 0 0 0 0 0 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 0 831 0 0 0 0 0 0 831 0 0 1005332486 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 12164 0 0 0 0 0 0 0 0 0 0 0 0 0 12164 0 0 1005332488 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 26772 0 0 0 0 0 0 0 0 0 0 0 0 0 26772 0 0 1005332707 1639397359 10 Physicians SUBLETTE MATTHEW L 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 215 0 2132 0 0 0 0 0 0 2347 0 0 1005332754 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 10970 0 0 0 0 0 0 0 0 0 0 0 0 0 10970 0 0 1005332831 1396150280 16 Nurse Practitioners MOOL JENNIFER 999999999 80 Peoria 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 88 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 88 0 0 0 0 0 0 0 0 0 786 0 0 0 0 0 0 0 0 3331 0 0 0 0 0 0 4117 0 0 1005332907 1295289148 16 Nurse Practitioners WOLKEN DEREK 999999999 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 1 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 0 418 0 0 0 0 0 0 418 0 0 1005333022 1083046403 10 Physicians ROSARIO JENNIFER M 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 1 0 72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 4672 0 0 0 0 0 0 4686 0 0 1005333198 1174930887 89 Physician Assistant Only(Encounter Only) DZIDZA THOMPSON 999999999 200 Cook 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 0 156 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 0 0 0 0 0 2794 0 0 0 0 0 0 2794 0 0 1005333422 88 Other behavior health professional 98 Tazewell 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 114 0 0 1005333635 1497109284 75 Department of Alcohol and Substance Abuse Provider ABOVE AND BEYOND FAMILY RECOVE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 487 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 487 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32177 0 0 32177 0 0 1005333669 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 0 167 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 0 0 0 0 0 25952 0 0 0 0 0 0 0 0 0 0 0 0 0 25952 0 0 1005333799 1053762344 75 Department of Alcohol and Substance Abuse Provider ROSECRANCE LAGRANGE 999999999 200 Cook 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 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 1997 0 0 1997 0 0 1005333800 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 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 7726 0 0 0 0 0 0 0 0 0 0 0 0 0 7726 0 0 1005333818 1033651567 91 Waiver service provider--Adults (DHS/DDD) DIAZ HOLLY 999999999 30 DuPage 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 0 762 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 762 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115553 0 0 0 0 0 0 0 0 0 0 0 0 0 115553 0 0 1005334168 1164793311 10 Physicians BHATTARAI BIKASH 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 5055 0 0 0 0 0 0 5077 0 0 1005334185 22 Physical Therapists 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 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 0 622 622 0 0 1005334192 1306206545 16 Nurse Practitioners OCHON JOY 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 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005334267 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 31 0 0 0 0 0 0 31 0 0 1005334434 1689612608 89 Physician Assistant Only(Encounter Only) STRYCZEK SONYA R 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 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 1664 0 0 0 0 0 0 1664 0 0 1005334519 1396721189 89 Physician Assistant Only(Encounter Only) GRANT EMILYE J 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 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 0 0 0 0 0 0 0 0 0 0 1005334582 1497982813 13 Podiatrists TRAVERSO VINCENT J 601486108 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 383 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2509 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2509 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3833 0 0 0 0 0 0 3833 0 0 1005334794 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 0 145 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 24453 0 0 0 0 0 0 0 0 0 0 0 0 0 24453 0 0 1005334984 1336502681 16 Nurse Practitioners NELSON TALIA 999999999 200 Cook 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 1764 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1764 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19724 0 0 0 0 0 0 19724 0 0 1005335078 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 0 275 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 25864 0 0 0 0 0 0 0 0 0 0 0 0 0 25864 0 0 1005335452 10 Physicians 200 Cook 0 0 Otolaryngology 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 189 0 0 1005335515 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 29616 0 0 0 0 0 0 0 0 0 0 0 0 0 29616 0 0 1005335540 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 33638 0 0 0 0 0 0 0 0 0 0 0 0 0 33638 0 0 1005335599 1922328103 10 Physicians VALENZUELA REUBEN M 999999999 91 Sangamon 0 0 Neurology 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 0 281 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 281 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4276 0 0 0 0 0 0 4276 0 0 1005336016 1184049108 16 Nurse Practitioners BUCHKOVA GERGANA G 999999999 50 Jersey 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 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 1613 0 0 0 0 0 0 1613 0 0 1005336069 1043303399 16 Nurse Practitioners DECKER PATRICIA 999999999 80 Peoria 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 95 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 95 0 0 0 0 0 0 0 0 0 993 0 0 0 0 0 0 0 0 3125 0 0 0 0 0 0 4118 0 0 1005336201 93 Waiver service provider--HIV/AIDS (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11534 0 0 0 0 0 0 0 0 0 0 0 0 0 11534 0 0 1005336261 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 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6615 0 0 0 0 0 0 0 0 0 0 0 0 0 6615 0 0 1005336276 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 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 1005336354 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 0 213 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 0 0 0 0 0 0 0 0 0 0 0 0 29224 0 0 0 0 0 0 0 0 0 0 0 0 0 29224 0 0 1005336534 1114051455 16 Nurse Practitioners ASHBACHER JULIE E. 999999999 80 Peoria 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 108 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 157 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 157 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 3329 0 0 0 0 0 0 3361 0 0 1005336750 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 21485 0 0 0 0 0 0 0 0 0 0 0 0 0 21485 0 0 1005336760 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 15644 0 0 0 0 0 0 0 0 0 0 0 0 0 15644 0 0 1005336792 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25060 0 0 0 0 0 0 0 0 0 0 0 0 0 25060 0 0 1005337037 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 9210 0 0 0 0 0 0 0 0 0 0 0 0 0 9210 0 0 1005337149 1376817668 16 Nurse Practitioners MORGAN CAITLIN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 632 0 0 0 0 0 0 632 0 0 1005337212 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 21210 0 0 0 0 0 0 0 0 0 0 0 0 0 21210 0 0 1005337377 1922310481 10 Physicians SMITH RADHIKA K 999999999 200 Cook 0 0 Colon - Rectal Surgery 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 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 1285 0 0 0 0 0 0 1285 0 0 1005337482 10 Physicians 200 Cook 0 0 Otolaryngology 0 0 0 0 0 0 0 0 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 0 310 0 0 0 0 0 0 310 0 0 1005337524 1386096907 11 Dentists AL-KHARSA SALEH S 606255009 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 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 6245 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6245 0 0 1005337546 1063705259 10 Physicians DAVE ANKUR 999999999 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 12 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1614 0 0 0 0 0 0 1614 0 0 1005337752 1821440405 16 Nurse Practitioners HONG-CONDER SARAH 999999999 19 Champaign 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 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 0 929 0 0 0 0 0 0 929 0 0 1005337792 1205993193 11 Dentists SHUAIPAJ MAZAR 999999999 200 Cook 0 0 General Dentistry 0 0 0 220 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 928 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 928 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 39893 0 0 0 0 0 0 0 0 0 0 0 1708 0 0 0 0 41601 0 0 1005338077 1184077844 11 Dentists RASHID DINA 999999999 30 DuPage 0 0 General Dentistry 0 0 0 70 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 0 0 0 0 0 0 0 0 0 0 0 0 403 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9627 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9627 0 0 1005338116 1588956635 10 Physicians EVANS CHADRICK 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 136 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 3463 0 0 0 0 0 0 3463 0 0 1005338201 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 0 259 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 30274 0 0 0 0 0 0 0 0 0 0 0 0 0 30274 0 0 1005338204 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 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 2209 0 0 0 0 0 0 0 0 0 0 0 0 0 2209 0 0 1005338530 1588016091 87 Psychologist(Encounter Only) MILLER JENNIFER R 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 0 119 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 3551 0 0 0 0 0 0 3551 0 0 1005338553 1720465693 91 Waiver service provider--Adults (DHS/DDD) MOORMAN JOHANNA 999999999 90 Saline 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 2787 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2787 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 146367 0 0 0 0 0 0 0 0 0 0 0 0 0 146367 0 0 1005338814 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 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12725 0 0 0 0 0 0 0 0 0 0 0 0 0 12725 0 0 1005338826 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 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 35615 0 0 0 0 0 0 0 0 0 0 0 0 0 35615 0 0 1005338856 1942754767 16 Nurse Practitioners ROSE ANNE M 999999999 47 Jackson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 314 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 314 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2449 0 0 0 0 0 0 2449 0 0 1005338931 1720465834 57 Home Nursing Agency "PHOENIX HOME CARE, INC" 622692088 96 St Clair 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 2323 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2323 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 908937 0 0 0 0 0 0 0 0 0 0 0 0 0 908937 0 0 1005338972 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 584 0 0 0 0 0 0 584 0 0 1005339227 1134475940 30 General Hospitals PROCTOR HOSPITAL 616145069 80 Peoria DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 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 17 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 6618 0 0 0 0 0 0 0 0 0 6618 0 0 1005339486 1851671622 10 Physicians MALY MICHELLE R 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 3 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 709 0 0 0 0 0 0 737 0 0 1005339614 1548347263 89 Physician Assistant Only(Encounter Only) JAHANBIGLAR NASER 999999999 19 Champaign 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 123 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 124 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 124 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 3110 0 0 0 0 0 0 3194 0 0 1005339673 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 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 19001 0 0 0 0 0 0 0 0 0 0 0 0 0 19001 0 0 1005339880 92 Waiver service provider--Disability (DHS/DRS) 10 Adams 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 19878 0 0 0 0 0 0 0 0 0 0 0 0 0 19878 0 0 1005339956 1902294754 89 Physician Assistant Only(Encounter Only) BLANK SARAH L 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 443 0 0 0 0 0 0 443 0 0 1005339996 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 0 193 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 27106 0 0 0 0 0 0 0 0 0 0 0 0 0 27106 0 0 1005340057 1154606325 16 Nurse Practitioners MUELLER AMY L 999999999 75 Monroe 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 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 0 256 0 0 0 0 0 0 256 0 0 1005340116 1184064917 10 Physicians MOTLEY MARA 999999999 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 590 0 0 0 0 0 0 590 0 0 1005340121 16 Nurse Practitioners 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 111 0 0 0 0 0 0 111 0 0 1005340147 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 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 0 126 0 0 0 0 0 0 126 0 0 1005342133 1760680912 10 Physicians HUSSAIN ASIF 999999999 200 Cook 0 0 Internal Medicine 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 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 37 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 1005342371 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 0 156 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 0 0 0 0 0 12733 0 0 0 0 0 0 0 0 0 0 0 0 0 12733 0 0 1005342429 1942511076 10 Physicians CARLILE KEVIN R 999999999 80 Peoria 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 36 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 112 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 112 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 843 0 4546 0 0 0 0 0 0 5389 0 0 1005342438 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13374 0 0 0 0 0 0 0 0 0 0 0 0 0 13374 0 0 1005342639 1740662949 60 Pharmacies ILLINOIS CANCERCARE PHARMACY 999999999 72 McLean 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 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1970 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53321 0 0 0 53321 0 0 1005342764 1831329267 10 Physicians WICKMAN CHRISTOPHER T 999999999 71 McHenry 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 228 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 333 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 333 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3704 0 128 0 0 0 0 0 0 3832 0 0 1005342778 89 Physician Assistant Only(Encounter Only) 98 Tazewell 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 313 0 0 0 0 0 0 313 0 0 1005342871 1255885570 16 Nurse Practitioners LANGLEY ASHLEY 999999999 72 McLean 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 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 1310 0 0 0 0 0 0 1310 0 0 1005342935 1467400945 89 Physician Assistant Only(Encounter Only) DEUTSCH JAUHNA K 999999999 30 DuPage 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 31 0 0 0 0 0 0 31 0 0 1005343061 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 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 0 332 0 0 0 0 0 0 0 0 0 0 0 0 0 332 0 0 1005343261 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 14635 0 0 0 0 0 0 0 0 0 0 0 0 0 14635 0 0 1005343266 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 30249 0 0 0 0 0 0 0 0 0 0 0 0 0 30249 0 0 1005343503 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 23342 0 0 0 0 0 0 0 0 0 0 0 0 0 23342 0 0 1005343559 1659757581 11 Dentists KRUPA GRZEGORZ 999999999 200 Cook 0 0 General Dentistry 0 0 0 240 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1315 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1315 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 45030 0 0 0 0 0 0 0 0 0 0 0 444 0 0 0 0 45474 0 0 1005343771 10 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 412 0 0 0 0 0 0 412 0 0 1005343786 1952420671 10 Physicians CORREA CANDACE 999999999 80 Peoria 0 0 Radiation Oncology 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 0 285 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 285 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3743 0 0 0 0 0 0 3743 0 0 1005344101 1477920353 16 Nurse Practitioners MILHOAN RENAE D. 999999999 80 Peoria 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 0 199 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 3479 0 0 0 0 0 0 3479 0 0 1005344135 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 0 314 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 314 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24084 0 0 0 0 0 0 0 0 0 0 0 0 0 24084 0 0 1005344155 10 Physicians 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005344498 1104271352 10 Physicians KUMAR SURINA R 999999999 19 Champaign 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 8 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 182 0 1406 0 0 0 0 0 0 1588 0 0 1005344516 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 31833 0 0 0 0 0 0 0 0 0 0 0 0 0 31833 0 0 1005344613 1790782480 63 Other Providers of Medical Equipment/Supplies (Non-registered) HOME AIR JOLIET 999999999 107 Will 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 0 465 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 465 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6200 0 0 0 0 0 0 6200 0 0 1005344722 1366777856 10 Physicians ZAID UWAIS B 999999999 80 Peoria 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 12 0 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 6089 0 0 0 0 0 0 6135 0 0 1005344874 1619256534 10 Physicians NOWAK WALDEMAR M 999999999 200 Cook 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 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 1582 0 0 0 0 0 0 1582 0 0 1005345040 1598120719 16 Nurse Practitioners HOSKINS LANESIA D 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 0 325 0 0 0 0 0 0 325 0 0 1005345196 1306236625 57 Home Nursing Agency SHILOH HEALTHCARE SERVICES INC 999999999 200 Cook 0 0 0 0 0 0 0 0 7 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 598 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 598 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 186294 10569 0 0 0 0 0 0 0 0 0 0 0 0 196863 0 0 1005345402 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5881 0 0 0 0 0 0 0 0 0 0 0 0 0 5881 0 0 1005345580 1255790986 33 Nursing Facilities ABINGTON OF GLENVIEW NURSING & 600252467 200 Cook 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 1962 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 284339 0 0 0 0 0 0 0 284339 0 0 1005346197 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 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 27407 0 0 0 0 0 0 0 0 0 0 0 0 0 27407 0 0 1005346199 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 30279 0 0 0 0 0 0 0 0 0 0 0 0 0 30279 0 0 1005346237 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6799 0 0 0 0 0 0 0 0 0 0 0 0 0 6799 0 0 1005346327 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26352 0 0 0 0 0 0 0 0 0 0 0 0 0 26352 0 0 1005346339 1073889242 10 Physicians DOWNING JOHN T 999999999 91 Sangamon 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 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 2099 0 0 0 0 0 0 2099 0 0 1005346396 10 Physicians 109 Winnebago 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 998 0 0 0 0 0 0 998 0 0 1005346468 1598128282 16 Nurse Practitioners WIEBEL MOLLY 999999999 89 Rock Island 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 129 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 129 0 0 0 0 0 0 0 0 0 1154 0 0 0 0 0 0 0 0 4376 0 0 0 0 0 0 5530 0 0 1005346480 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 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 8978 0 0 0 0 0 0 0 0 0 0 0 0 0 8978 0 0 1005346575 1710223433 89 Physician Assistant Only(Encounter Only) VRAGEL JUSTIN 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 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 0 149 0 0 0 0 0 0 149 0 0 1005346861 1558718650 16 Nurse Practitioners WOODALL BRIDGETTE A 999999999 106 Whiteside 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 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 0 308 0 0 0 0 0 0 308 0 0 1005346984 1518219401 89 Physician Assistant Only(Encounter Only) EICHELBERGER KYLE S 999999999 19 Champaign 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 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 1572 0 0 0 0 0 0 1572 0 0 1005346992 1952754798 16 Nurse Practitioners DODD AMY 999999999 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48235 0 0 0 0 0 0 48235 0 0 1005347342 16 Nurse Practitioners 70 McDonough 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 367 0 0 0 0 0 0 367 0 0 1005347552 1497849749 91 Waiver service provider--Adults (DHS/DDD) DUNCAN CONNIE L 629662057 47 Jackson 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 1327 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1327 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33486 0 0 0 0 0 0 0 0 0 0 0 0 0 33486 0 0 1005347749 1831548916 24 Speech Therapists LOFTUS MARGARET 999999999 200 Cook 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 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 5769 5769 0 0 1005347819 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1196 0 0 0 0 0 0 0 0 0 0 0 0 0 1196 0 0 1005347865 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 16476 0 0 0 0 0 0 0 0 0 0 0 0 0 16476 0 0 1005347960 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28013 0 0 0 0 0 0 0 0 0 0 0 0 0 28013 0 0 1005348026 89 Physician Assistant Only(Encounter Only) 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 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 99 0 0 0 0 0 0 99 0 0 1005348169 1679837470 10 Physicians TOTTLEBEN JONATHAN M. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 121 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 142 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 142 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 1005348197 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 30436 0 0 0 0 0 0 0 0 0 0 0 0 0 30436 0 0 1005348204 1053544627 10 Physicians TELLAGORRY JAVIER A 999999999 53 Kane 0 0 Vascular Surgery 0 0 0 0 0 0 0 0 0 0 0 2 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1872 0 0 0 0 0 0 1872 0 0 1005348264 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 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 17376 0 0 0 0 0 0 0 0 0 0 0 0 0 17376 0 0 1005348398 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 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 29322 0 0 0 0 0 0 0 0 0 0 0 0 0 29322 0 0 1005348695 1457648073 10 Physicians JAYABALAN PRAKASH S 999999999 200 Cook 0 0 Physical Medicine/Rehabilitation 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 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 0 875 0 0 0 0 0 0 875 0 0 1005348741 1760793889 10 Physicians ALVI HASHAM M 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 29 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 4819 0 0 0 0 0 0 4936 0 0 1005349136 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 479 0 0 0 0 0 0 0 0 0 0 0 0 0 479 0 0 1005349381 1356705297 16 Nurse Practitioners PASTORAL LINDSEY 999999999 200 Cook 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 0 239 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 40834 0 0 0 0 0 0 40834 0 0 1005349564 1043754310 10 Physicians MOHSIN SAAD 999999999 200 Cook 0 0 Family Practice 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 0 442 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 0 0 0 0 0 0 0 0 0 0 0 0 4887 0 0 0 0 0 0 4887 0 0 1005349737 1518352467 30 General Hospitals FRESENIUS MEDICAL CARE GURNEE 999999999 57 Lake DIALYSIS Outpatient dialysis centers. 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 0 321 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2858 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39215 0 0 0 0 0 39215 0 0 1005350305 1083668461 89 Physician Assistant Only(Encounter Only) WATSON JOY M 999999999 80 Peoria 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 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 8 0 0 0 0 0 0 8 0 0 1005350622 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 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17836 0 0 0 0 0 0 0 0 0 0 0 0 0 17836 0 0 1005351056 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2203 0 0 0 0 0 0 0 0 0 0 0 0 0 2203 0 0 1005351132 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 0 342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19562 0 0 0 0 0 0 0 0 0 0 0 0 0 19562 0 0 1005351135 1699128082 11 Dentists KHAN HIDAYATHULLA 999999999 200 Cook 0 0 General Dentistry 0 0 0 158 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 987 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 987 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 42184 0 0 0 0 0 0 0 0 0 0 0 5773 0 0 0 0 47957 0 0 1005351203 1811215064 10 Physicians MATRISCH MELISSA S 999999999 10 Adams 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 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 72 0 0 0 0 0 0 72 0 0 1005351359 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 352 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 352 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29403 0 0 0 0 0 0 0 0 0 0 0 0 0 29403 0 0 1005351416 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3470 0 0 0 0 0 0 0 0 0 0 0 0 0 3470 0 0 1005351456 1124041405 60 Pharmacies CVS PHARMACY #16306 604451458 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 284 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 8492 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 10652 0 0 0 10835 0 0 1005351476 1891134151 10 Physicians BROWN KYLE F 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 7 0 136 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 109 0 5959 0 0 0 0 0 0 6068 0 0 1005351567 1760878656 30 General Hospitals FRESENIUS MEDICAL CARE MCHENRY 999999999 71 McHenry DIALYSIS Outpatient dialysis centers. 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 916 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005351831 1912352089 16 Nurse Practitioners DUNLOP JENNIFER 999999999 200 Cook 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 101 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 101 0 0 0 0 0 0 0 0 0 271 0 0 0 0 0 0 0 0 2006 0 0 0 0 0 0 2277 0 0 1005352120 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 0 132 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 26632 0 0 0 0 0 0 0 0 0 0 0 0 0 26632 0 0 1005352713 1851656847 12 Optometrists COY ERIC D 999999999 97 Stephenson 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 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4220 0 0 0 0 0 0 4220 0 0 1005352955 10 Physicians 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2308 0 0 0 0 0 0 2308 0 0 1005353079 16 Nurse Practitioners 57 Lake 0 0 0 0 0 0 0 0 0 0 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 96 0 0 0 0 0 0 96 0 0 1005353098 1437443884 10 Physicians CONWAY JASON A 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 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 0 263 0 0 0 0 0 0 263 0 0 1005353193 88 Other behavior health professional 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 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 0 0 0 0 0 0 0 0 0 0 1005353220 16 Nurse Practitioners 58 La Salle 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 152 0 0 0 0 0 0 152 0 0 1005353543 1336403500 10 Physicians KRITS SEMEON I 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 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 0 360 0 0 0 0 0 0 360 0 0 1005353746 1770710287 10 Physicians SETLUR LAURA 999999999 200 Cook 0 0 Internal Medicine 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 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 1010 0 0 0 0 0 0 1010 0 0 1005353775 1629311220 10 Physicians OLORODE GBEMISOLA T 999999999 72 McLean 0 0 General Practice 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 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2927 0 0 0 0 0 0 2927 0 0 1005353864 1851496152 30 General Hospitals SSM HEALTH ST CLARE HOSPITAL F 630262394 826 Missouri ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 8 0 0 0 0 26 0 0 0 57 0 0 0 0 0 0 0 0 0 12 0 0 0 0 26 0 0 0 106 0 0 0 0 0 0 0 0 0 12 0 0 0 0 192 0 0 0 113 0 0 0 0 0 0 0 0 0 1623 0 0 0 0 64746 0 0 0 7386 0 0 0 0 0 73755 0 0 1005353886 1851350318 10 Physicians ZIMMERMAN RENA B 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2501 0 0 0 0 0 0 2501 0 0 1005354054 1164786836 10 Physicians GILFILLAN REBECCA 999999999 200 Cook 0 0 Psychiatry 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 0 379 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 379 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8554 0 0 0 0 0 0 8554 0 0 1005354415 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 42 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 1005354431 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 31 0 0 0 0 0 0 31 0 0 1005354734 1740558261 10 Physicians SHAH JYOTI 999999999 200 Cook 0 0 Psychiatry 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 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7063 0 0 0 0 0 0 7063 0 0 1005354873 1740678572 16 Nurse Practitioners HAMELL HEATHER A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 319 0 0 0 0 0 0 319 0 0 1005355046 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 10623 0 0 0 0 0 0 0 0 0 0 0 0 0 10623 0 0 1005355116 1891153888 16 Nurse Practitioners DEYOUNG BARBARA 999999999 54 Kankakee 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 0 137 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 0 878 0 0 0 0 0 0 878 0 0 1005355403 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 8536 0 0 0 0 0 0 0 0 0 0 0 0 0 8536 0 0 1005355424 1417401985 16 Nurse Practitioners SCHAFER KERRI J 999999999 80 Peoria 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 482 0 0 0 0 0 0 514 0 0 1005355440 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 19014 0 0 0 0 0 0 0 0 0 0 0 0 0 19014 0 0 1005355542 1053754549 10 Physicians SPAGGIARI MARIO 999999999 200 Cook 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 0 197 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 2516 0 0 0 0 0 0 2516 0 0 1005355565 75 Department of Alcohol and Substance Abuse Provider 65 Madison 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 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 1266 0 0 1266 0 0 1005355591 1518305390 10 Physicians LEE CATHRYN T 999999999 30 DuPage 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 0 110 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 1826 0 0 0 0 0 0 1826 0 0 1005355828 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 0 173 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 18455 0 0 0 0 0 0 0 0 0 0 0 0 0 18455 0 0 1005356322 1629417019 10 Physicians GALLEGOS NAKAYLA J 999999999 15 Bureau 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 9024 0 0 0 0 0 0 9038 0 0 1005356609 10 Physicians 54 Kankakee 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 0 442 0 0 0 0 0 0 442 0 0 1005356663 1750692216 10 Physicians MOMIN NADIA K 999999999 200 Cook 0 0 Family Practice 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 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 75 0 0 0 0 0 0 75 0 0 1005356685 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 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 5313 0 0 0 0 0 0 0 0 0 0 0 0 0 5313 0 0 1005356702 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3700 0 0 0 0 0 0 0 0 0 0 0 0 0 3700 0 0 1005356747 1407086564 10 Physicians CHANG-PANESSO MONICA 999999999 826 Missouri 0 0 Internal Medicine 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 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 4165 0 0 0 0 0 0 4165 0 0 1005356813 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 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 0 173 0 0 0 0 0 0 0 0 0 0 0 0 0 173 0 0 1005356819 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 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 39758 0 0 0 0 0 0 0 0 0 0 0 0 0 39758 0 0 1005356972 1134368194 89 Physician Assistant Only(Encounter Only) GRIFFITH CARISSA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 67 0 0 0 0 0 0 67 0 0 1005357168 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 0 264 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 20963 0 0 0 0 0 0 0 0 0 0 0 0 0 20963 0 0 1005357358 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 0 142 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 0 0 0 0 0 0 0 0 0 0 7622 0 0 0 0 0 0 0 0 0 0 0 0 0 7622 0 0 1005357820 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 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 13262 0 0 0 0 0 0 0 0 0 0 0 0 0 13262 0 0 1005357991 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 7748 0 0 0 0 0 0 0 0 0 0 0 0 0 7748 0 0 1005358002 1033584016 91 Waiver service provider--Adults (DHS/DDD) AGNEW KRISTIN 999999999 107 Will 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 0 469 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 469 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27342 0 0 0 0 0 0 0 0 0 0 0 0 0 27342 0 0 1005358549 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 480 0 0 0 0 0 0 0 0 0 0 0 0 0 480 0 0 1005358672 1134440555 89 Physician Assistant Only(Encounter Only) DEETS RACHEL 999999999 106 Whiteside 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 0 179 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 1744 0 0 0 0 0 0 1744 0 0 1005358697 1902112188 10 Physicians UDDIN MOINA 999999999 82 Piatt 0 0 Pediatrics 0 0 0 0 6 0 0 0 0 0 0 10 0 22 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 21 0 58 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 21 0 58 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 82 0 1729 0 0 0 0 0 0 1865 0 0 1005359066 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 0 106 0 0 0 0 0 0 106 0 0 1005359086 1962866525 60 Pharmacies MEIJER PHARMACY #280 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 622 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18768 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31755 0 0 0 31755 0 0 1005359181 1184170391 16 Nurse Practitioners JISOOK PRAPIS B 999999999 19 Champaign 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 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 1078 0 0 0 0 0 0 1078 0 0 1005359344 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 212 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 212 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24572 0 0 0 0 0 0 0 0 0 0 0 0 0 24572 0 0 1005359541 1336533264 10 Physicians HARRISON MARGO 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1749 0 0 0 0 0 0 1749 0 0 1005359557 1437523677 16 Nurse Practitioners LUDWIG KRISTA NICOLE 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 170 0 0 0 0 0 0 170 0 0 1005359725 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 12619 0 0 0 0 0 0 0 0 0 0 0 0 0 12619 0 0 1005360043 13 Podiatrists 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005360208 1982915302 10 Physicians ZELKOVICH WILLIAM 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 868 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1395 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1395 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13367 0 103 0 0 0 0 0 0 13470 0 0 1005360822 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 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28278 0 0 0 0 0 0 0 0 0 0 0 0 0 28278 0 0 1005360970 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 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 6751 0 0 0 0 0 0 0 0 0 0 0 0 0 6751 0 0 1005361014 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 190 0 0 0 0 0 0 190 0 0 1005361035 1184930604 10 Physicians SAHLOL MARK H 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3011 0 0 0 0 0 0 3011 0 0 1005361083 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 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 0 118 0 0 0 0 0 0 0 0 0 0 0 0 0 118 0 0 1005361106 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005361128 1366702078 10 Physicians MATICS TRAVIS J 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 0 107 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 16616 0 0 0 0 0 0 16616 0 0 1005361201 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 16769 0 0 0 0 0 0 0 0 0 0 0 0 0 16769 0 0 1005361519 1285085118 55 Early Intervention Services BOLK JENNAN M 999999999 65 Madison 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 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 3303 0 0 0 0 0 0 3303 0 0 1005361567 91 Waiver service provider--Adults (DHS/DDD) 53 Kane 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2488 0 0 0 0 0 0 0 0 0 0 0 0 0 2488 0 0 1005361638 10 Physicians 10 Adams 0 0 Anesthesiology 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 1151 0 0 0 0 0 0 1151 0 0 1005361676 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 6489 0 0 0 0 0 0 0 0 0 0 0 0 0 6489 0 0 1005361953 1073950622 10 Physicians GARLAND LISA M 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 7 0 164 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 4222 0 0 0 0 0 0 4276 0 0 1005362129 10 Physicians 106 Whiteside 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 132 0 0 0 0 0 0 0 0 132 0 0 1005362180 1548625551 60 Pharmacies MARIANO'S PHARMACY 999999999 200 Cook 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 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 0 0 0 0 0 0 0 0 0 0 0 0 3695 0 0 0 3695 0 0 1005362187 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 13184 0 0 0 0 0 0 0 0 0 0 0 0 0 13184 0 0 1005362223 89 Physician Assistant Only(Encounter Only) 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 1005362299 1689059024 60 Pharmacies MARIANOS PHARMACY 8533 600622805 200 Cook 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 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2061 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 295 0 0 0 295 0 0 1005362371 60 Pharmacies 852 Wisconsin 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 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 749 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 487 0 0 0 487 0 0 1005362396 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 32296 0 0 0 0 0 0 0 0 0 0 0 0 0 32296 0 0 1005363084 10 Physicians 30 DuPage 0 0 0 0 0 0 0 0 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 13 0 0 0 0 0 0 0 0 13 0 0 1005363315 1093004491 10 Physicians O'DWYER REBECCA 999999999 200 Cook 0 0 Neurology 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 0 200 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 3721 0 0 0 0 0 0 3721 0 0 1005363316 1629458252 61 Independent Laboratories TRILAB LLC 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 533 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4259 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4259 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 258029 0 0 0 0 0 0 0 0 258029 0 0 1005363348 1346689411 10 Physicians FITZGERALD RYAN 999999999 200 Cook 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 1 0 29 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 69 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 69 0 0 0 0 0 0 0 0 0 77 0 0 0 0 0 0 0 0 1476 0 0 0 0 0 0 1553 0 0 1005363542 10 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 139 0 0 0 0 0 0 0 0 147 0 0 0 0 0 0 286 0 0 1005363611 10 Physicians 109 Winnebago 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 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 1779 0 0 0 0 0 0 1779 0 0 1005363880 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 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1005363892 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 0 0 0 0 0 0 0 0 0 0 1005363900 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22873 0 0 0 0 0 0 0 0 0 0 0 0 0 22873 0 0 1005363995 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 17668 0 0 0 0 0 0 0 0 0 0 0 0 0 17668 0 0 1005364340 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 1540 0 0 0 0 0 0 1540 0 0 1005364628 1780818195 10 Physicians VITTAL PADMAJA 999999999 53 Kane 0 0 Neurology 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 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 4210 0 0 0 0 0 0 4210 0 0 1005364993 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 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 30492 0 0 0 0 0 0 0 0 0 0 0 0 0 30492 0 0 1005365171 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 923 0 0 0 0 0 0 0 0 0 0 0 0 0 923 0 0 1005365274 1295789972 10 Physicians TSIMERINOV EVGENY 999999999 805 California 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 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 0 547 0 0 0 0 0 0 547 0 0 1005365518 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 0 361 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 0 0 0 0 0 0 0 0 0 0 0 0 20232 0 0 0 0 0 0 0 0 0 0 0 0 0 20232 0 0 1005365745 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2333 0 0 0 0 0 0 0 0 0 0 0 0 0 2333 0 0 1005365902 1841742475 16 Nurse Practitioners ZHOU MINNIE 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 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 0 574 0 0 0 0 0 0 574 0 0 1005365972 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 21103 0 0 0 0 0 0 0 0 0 0 0 0 0 21103 0 0 1005366069 1073659280 56 School Based / Linked Health Clinics EVANSTON TOWNSHIP HIGH SCHOOL 999999999 200 Cook 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 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 1007 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1007 0 0 1005366835 1336135680 89 Physician Assistant Only(Encounter Only) RUNGE KEVIN 999999999 200 Cook 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 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 62 0 0 1005366887 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 0 265 0 0 0 0 0 0 0 0 0 0 0 0 0 265 0 0 1005366933 1164740874 10 Physicians KATO CAROLINE Y 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 100 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 886 0 0 0 0 0 0 0 0 886 0 0 1005367393 1194067348 10 Physicians TOLE MATEO 999999999 200 Cook 0 0 Internal Medicine 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 0 176 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 4788 0 0 0 0 0 0 4788 0 0 1005367607 1437538790 60 Pharmacies CVS PHARMACY #17670 999999999 57 Lake 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 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4381 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6155 0 0 0 6155 0 0 1005367610 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 0 122 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 12363 0 0 0 0 0 0 0 0 0 0 0 0 0 12363 0 0 1005367646 1639623457 11 Dentists SON SEOKJAE 999999999 19 Champaign 0 0 General Dentistry 0 0 0 76 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 9152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9152 0 0 1005368053 1154309292 10 Physicians PATHI JANNA R 999999999 90 Saline 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 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 2130 0 0 0 0 0 0 2130 0 0 1005368085 70 Ambulance Service Providers 844 Tennessee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005368240 10 Physicians 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 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 1306 0 0 0 0 0 0 1306 0 0 1005368373 1962643452 10 Physicians SMITH-GARCIA JENNIFER 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 4 0 111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 5541 0 0 0 0 0 0 5572 0 0 1005368970 1780972182 10 Physicians ONYENWENYI CHIOMA A. 999999999 63 Macon 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 1391 0 0 0 0 0 0 1402 0 0 1005369049 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 36098 0 0 0 0 0 0 0 0 0 0 0 0 0 36098 0 0 1005369229 1659733913 16 Nurse Practitioners SLANE KATHRYN E 999999999 57 Lake 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 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 0 473 0 0 0 0 0 0 473 0 0 1005369269 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 18412 0 0 0 0 0 0 0 0 0 0 0 0 0 18412 0 0 1005369391 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 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 7565 0 0 0 0 0 0 0 0 0 0 0 0 0 7565 0 0 1005369798 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 12787 0 0 0 0 0 0 0 0 0 0 0 0 0 12787 0 0 1005369922 1689079212 16 Nurse Practitioners MAJOR ROBIN G 999999999 54 Kankakee 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 0 185 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 3625 0 0 0 0 0 0 3625 0 0 1005370005 1053519595 10 Physicians SHETH SEEMA S 999999999 200 Cook 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 1 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 151 0 0 0 0 0 0 173 0 0 1005370025 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 13 0 0 0 0 0 0 13 0 0 1005370071 1932333457 10 Physicians PATEL PRASHANT S 999999999 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 453 0 0 0 0 0 0 453 0 0 1005370279 1184986861 10 Physicians CARLOS CHRISTINE A 999999999 80 Peoria 0 0 Pediatrics 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 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39516 0 0 0 0 0 0 39516 0 0 1005370524 1447526629 10 Physicians PATEL PRAMOD 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3702 0 0 0 0 0 0 3702 0 0 1005370526 1982159901 16 Nurse Practitioners GETZ ASHLEY 999999999 80 Peoria 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 63 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 63 0 0 0 0 0 0 0 0 0 123 0 0 0 0 0 0 0 0 1934 0 0 0 0 0 0 2057 0 0 1005370610 1710377510 10 Physicians RUSSELL MARGARET T 999999999 200 Cook 0 0 Family Practice 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 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 4242 0 0 0 0 0 0 4242 0 0 1005370756 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 18905 0 0 0 0 0 0 0 0 0 0 0 0 0 18905 0 0 1005370798 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 0 131 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 12218 0 0 0 0 0 0 0 0 0 0 0 0 0 12218 0 0 1005371019 1093940751 10 Physicians MALONE JAY R 999999999 91 Sangamon 0 0 Pediatrics 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 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 4162 0 0 0 0 0 0 4162 0 0 1005371226 1801184403 10 Physicians PATWARY MAHBUBUL 999999999 65 Madison 0 0 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 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 160 0 0 0 0 0 0 161 0 0 1005371230 36 Community mental health provider 200 Cook 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 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 2295 0 0 2295 0 0 1005371269 16 Nurse Practitioners 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 16 0 0 0 0 0 0 16 0 0 1005371389 1215318027 11 Dentists TIEN CHIEHLI 999999999 200 Cook 0 0 General Dentistry 0 0 0 15 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 4770 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4770 0 0 1005371454 10 Physicians 65 Madison 0 0 Emergency 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 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 1005371692 1770025868 16 Nurse Practitioners LYTLE ANGELA M 999999999 65 Madison 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 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 0 475 0 0 0 0 0 0 475 0 0 1005371778 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005371829 1811017841 16 Nurse Practitioners MALUSKY SHEILA 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 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 0 709 0 0 0 0 0 0 709 0 0 1005371918 1396296554 36 Community mental health provider LAKEVIEW HEALTH CENTER 999999999 200 Cook 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 682 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 0 682 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 0 74539 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34833 0 0 109372 0 0 1005372184 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22095 0 0 0 0 0 0 0 0 0 0 0 0 0 22095 0 0 1005372246 1578820510 10 Physicians JOSEPH CINDY 999999999 57 Lake 0 0 Neurology 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 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 259 0 0 0 0 0 0 259 0 0 1005372494 1659811024 16 Nurse Practitioners TENNANT AMY 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 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 1929 0 0 0 0 0 0 1929 0 0 1005372818 1073051330 89 Physician Assistant Only(Encounter Only) SLODYCZKA EDYTA 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 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 1746 0 0 0 0 0 0 1746 0 0 1005372918 1982022851 10 Physicians ROSS SHANA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 271 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 332 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 332 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9273 0 0 0 0 0 0 9273 0 0 1005372949 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 18 0 0 1005372973 1932648318 16 Nurse Practitioners HESS JENNIFER J 999999999 24 Coles 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 0 200 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 2359 0 0 0 0 0 0 2359 0 0 1005373000 89 Physician Assistant Only(Encounter Only) 72 McLean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005373203 1891153417 16 Nurse Practitioners BOKUS ANDREW T 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 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 2783 0 0 0 0 0 0 2783 0 0 1005373499 1174069512 16 Nurse Practitioners ADICHITHARA MICHELLE 999999999 80 Peoria 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 0 147 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 2669 0 0 0 0 0 0 2669 0 0 1005373628 1104056654 10 Physicians ARMSTRONG CHAD 999999999 30 DuPage 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 445 0 0 0 0 0 0 445 0 0 1005374109 1891943007 16 Nurse Practitioners CORRAL KATHI 999999999 200 Cook 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 0 112 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 5207 0 0 0 0 0 0 5207 0 0 1005374251 1063820231 13 Podiatrists COCKAYNE THOMAS 999999999 91 Sangamon 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 0 339 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 339 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3525 0 0 0 0 0 0 3525 0 0 1005374773 86 Clinical Social Worker(Encounter Only) 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 109 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 0 349 0 0 0 0 0 0 349 0 0 1005374810 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 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 0 851 851 0 0 1005374848 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 106 0 0 0 0 0 0 106 0 0 1005374853 1992199947 10 Physicians JANDURA DAVID MARK 999999999 80 Peoria 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102 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 3053 0 0 0 0 0 0 3053 0 0 1005374874 1659765535 10 Physicians CRITTLE KRISTEN N 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 55 0 0 0 0 0 0 55 0 0 1005375101 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3640 0 0 0 0 0 0 0 0 0 0 0 0 0 3640 0 0 1005375293 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5585 0 0 0 0 0 0 0 0 0 0 0 0 0 5585 0 0 1005375858 1942542618 10 Physicians BROMBERG DAVID J 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2510 0 0 0 0 0 0 2510 0 0 1005376411 1477873693 10 Physicians HUNGERFORD OLENA 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 3 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 567 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 567 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 7775 0 0 0 0 0 0 7807 0 0 1005376992 1447782446 16 Nurse Practitioners COUDRON KELLY E 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 168 0 0 0 0 0 0 168 0 0 1005377099 1386099448 16 Nurse Practitioners CAMPOS MATTHEW 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 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 0 190 0 0 0 0 0 0 190 0 0 1005377557 16 Nurse Practitioners 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 47 0 0 1005377672 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 16551 0 0 0 0 0 0 0 0 0 0 0 0 0 16551 0 0 1005378093 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 28243 0 0 0 0 0 0 0 0 0 0 0 0 0 28243 0 0 1005378772 1962556365 89 Physician Assistant Only(Encounter Only) ENGER RYAN M 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 1076 0 0 0 0 0 0 1076 0 0 1005379534 1104230218 10 Physicians TALEB AMEEN 999999999 91 Sangamon 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 415 0 0 0 0 0 0 415 0 0 1005380070 1528321551 10 Physicians PHILLIPS ELIZABETH F 999999999 107 Will 0 0 Family Practice 0 0 0 0 2 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 193 0 0 0 0 0 0 0 0 600 0 0 0 0 0 0 793 0 0 1005380225 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 78 0 0 0 0 0 0 78 0 0 1005380316 1639120967 89 Physician Assistant Only(Encounter Only) DURBIN THERESA M 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 176 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 1962 0 0 0 0 0 0 1962 0 0 1005380319 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6212 0 0 0 0 0 0 0 0 0 0 0 0 0 6212 0 0 1005380377 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 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 1005380871 1588765820 16 Nurse Practitioners DANIELS CARLA J 999999999 91 Sangamon 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 0 431 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 431 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27933 0 0 0 0 0 0 27933 0 0 1005381025 1407397862 16 Nurse Practitioners THOLE KELLSEY R 999999999 91 Sangamon 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1147 0 0 0 0 0 0 1147 0 0 1005381293 1891038204 10 Physicians CHRISTIAN SONIA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 530 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 530 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 155 0 68692 0 0 0 0 0 0 68847 0 0 1005381651 1568805703 10 Physicians AHMED MOHSINA 999999999 98 Tazewell 0 0 Psychiatry 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 0 441 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 0 0 0 0 0 0 0 0 0 0 0 0 17575 0 0 0 0 0 0 17575 0 0 1005381661 1306206305 16 Nurse Practitioners GALLEGOS MARIA 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 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 0 497 0 0 0 0 0 0 497 0 0 1005381860 1326363656 10 Physicians BROWN KRISTAL M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 188 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 3042 0 0 0 0 0 0 3042 0 0 1005381939 1134576093 29 ICF/MR HARTEMAYER HOME 606601017 200 Cook 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 0 346 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10389 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1422389 0 0 0 0 0 0 0 0 0 0 1422389 0 0 1005382060 1982121521 24 Speech Therapists STEPANEK BRITTANY 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 360 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 26392 26392 0 0 1005382417 1972850048 24 Speech Therapists DENNIE CANDICE L 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1989 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1989 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152093 152093 0 0 1005382554 1598170847 10 Physicians TETREAULT STEPHANIE M 999999999 200 Cook 0 0 Family Practice 0 0 0 0 5 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 0 0 0 277 0 0 0 0 0 0 0 0 1046 0 0 0 0 0 0 1323 0 0 1005382566 1477807196 16 Nurse Practitioners SCIACCHITANO MIRIAM 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 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 4556 0 0 0 0 0 0 4556 0 0 1005382706 1417315144 60 Pharmacies DURAND TELEPHARMACY INC 999999999 109 Winnebago 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 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2314 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4277 0 0 0 4277 0 0 1005382847 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 0 129 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 16936 0 0 0 0 0 0 0 0 0 0 0 0 0 16936 0 0 1005383117 1982015079 10 Physicians QURESHI ABDULLAH 999999999 200 Cook 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 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3250 0 0 0 0 0 0 3250 0 0 1005383345 1366855454 10 Physicians ROSS MICHAEL 999999999 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 95 0 0 0 0 0 0 95 0 0 1005383703 1033660303 89 Physician Assistant Only(Encounter Only) MCCALEB MEGAN L 999999999 30 DuPage 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 649 0 0 0 0 0 0 734 0 0 1005383766 1396077970 89 Physician Assistant Only(Encounter Only) BLOWERS DIANE 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 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 0 245 0 0 0 0 0 0 245 0 0 1005383896 1831540228 55 Early Intervention Services HALL CHRISTINE 999999999 71 McHenry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14597 0 0 0 0 0 0 14597 0 0 1005384331 1063778413 10 Physicians KARAS VASILI 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 134 0 153 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 280 0 476 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 280 0 476 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1849 0 30189 0 0 0 0 0 0 32038 0 0 1005384360 1497910814 89 Physician Assistant Only(Encounter Only) BRAMLETTE KELLY A 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 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 0 577 0 0 0 0 0 0 577 0 0 1005384395 1275845208 10 Physicians MOSS JIMMY L 999999999 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3942 0 0 0 0 0 0 3942 0 0 1005384604 1043594872 89 Physician Assistant Only(Encounter Only) ANDALKAR KRUPA G 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 569 0 0 0 0 0 0 569 0 0 1005384889 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 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 4646 0 0 0 0 0 0 0 0 0 0 0 0 0 4646 0 0 1005385115 1841738283 36 Community mental health provider LIFELINKS MENTAL HEALTH 999999999 33 Effingham 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11236 0 0 11287 0 0 1005385132 1609049279 10 Physicians KIM JOAN THERESA 999999999 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 3 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 1775 0 0 0 0 0 0 1784 0 0 1005385782 1811289424 10 Physicians DUKKIPATI HARITHA V 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 661 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1054 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1054 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11992 0 305 0 0 0 0 0 0 12297 0 0 1005385838 1215469069 10 Physicians BYRNE MICHELLE 999999999 200 Cook 0 0 Family Practice 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 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 5593 0 0 0 0 0 0 5593 0 0 1005386035 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 0 0 0 0 0 0 1005386105 1497206551 89 Physician Assistant Only(Encounter Only) MENENDEZ JENNIFER V. 999999999 200 Cook 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 0 332 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 7318 0 0 0 0 0 0 7318 0 0 1005386170 1659824928 87 Psychologist(Encounter Only) CRISANTI LAUREN K 999999999 30 DuPage 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 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 1835 0 0 0 0 0 0 1835 0 0 1005386254 1558812800 16 Nurse Practitioners MISZCZYSZYN LISA 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 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 0 886 0 0 0 0 0 0 886 0 0 1005386317 1508902941 86 Clinical Social Worker(Encounter Only) EGIZIO JILL 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 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 1325 0 0 0 0 0 0 1325 0 0 1005386529 1427344258 10 Physicians VAN BEEK DARREN B 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 1 197 0 133 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 242 0 211 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 242 0 211 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 273 1099 0 2242 0 0 0 0 0 0 3614 0 0 1005386614 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 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 2883 0 0 0 0 0 0 0 0 0 0 0 0 0 2883 0 0 1005386637 1194808451 13 Podiatrists DUNN BRIAN H 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 736 0 0 0 0 0 0 736 0 0 1005386852 1346668217 10 Physicians TAHERI SEAN 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 1930 0 0 0 0 0 0 2046 0 0 1005387404 1194882548 89 Physician Assistant Only(Encounter Only) HIXSON ETHAN R 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 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 0 284 0 0 0 0 0 0 284 0 0 1005387405 1699069138 10 Physicians MIILLER JASON J 999999999 200 Cook 0 0 Psychiatry 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 81 0 0 0 0 0 0 81 0 0 1005387430 1114456183 24 Speech Therapists HATFILL BAILEY 999999999 91 Sangamon 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 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16128 16128 0 0 1005387798 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 8914 0 0 0 0 0 0 0 0 0 0 0 0 0 8914 0 0 1005388729 1114461019 89 Physician Assistant Only(Encounter Only) WESTON LAUREN 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 715 0 0 0 0 0 0 715 0 0 1005388872 1811940893 61 Independent Laboratories ASSOCIATED PHYSICIANS GROUP LT 622691848 96 St Clair 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 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 2536 0 0 0 0 0 0 0 0 2536 0 0 1005388985 1740733658 16 Nurse Practitioners WILLIAMS TAMRA 999999999 107 Will 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 19 0 0 0 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 33 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 829 0 0 0 0 0 0 833 0 0 1005389274 1477644656 16 Nurse Practitioners ESSLINGER CONSTANCE L 999999999 91 Sangamon 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 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 0 531 0 0 0 0 0 0 531 0 0 1005389304 10 Physicians 25 Crawford 0 0 0 0 0 0 0 0 0 0 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 0 184 0 0 0 0 0 0 184 0 0 1005389445 1043599152 10 Physicians MENDELSON SCOTT J 999999999 30 DuPage 0 0 Neurology 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 0 172 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 4543 0 0 0 0 0 0 4543 0 0 1005389720 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 0 123 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 12773 0 0 0 0 0 0 0 0 0 0 0 0 0 12773 0 0 1005389795 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 31 0 0 0 0 0 0 31 0 0 1005389818 1881951630 10 Physicians UPPULURI SREEKANTH 999999999 30 DuPage 0 0 Internal 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 0 201 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 3582 0 0 0 0 0 0 3582 0 0 1005389876 1356788285 10 Physicians DOBITSCH DENNIS M 999999999 30 DuPage 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 0 170 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 0 0 0 0 0 0 0 0 0 0 5674 0 0 0 0 0 0 5674 0 0 1005390614 1871854307 10 Physicians YOU ALEX 999999999 34 Fayette 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 153 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 5003 0 0 0 0 0 0 5003 0 0 1005390670 1801209671 10 Physicians DIA ABDULRAHMAN 999999999 30 DuPage 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 0 109 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 1586 0 0 0 0 0 0 1586 0 0 1005390718 1669705471 10 Physicians AHMED TARIG 999999999 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3082 0 0 0 0 0 0 3082 0 0 1005390895 1023422797 10 Physicians WANG ANDREW 999999999 80 Peoria 0 0 Psychiatry 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 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 4595 0 0 0 0 0 0 4595 0 0 1005391004 1992237762 10 Physicians SMYRE CHRISTOPHER 999999999 200 Cook 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 1 0 22 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 25 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 25 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 1873 0 0 0 0 0 0 1887 0 0 1005391023 11 Dentists 91 Sangamon 0 0 General Dentistry 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1756 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1756 0 0 1005391133 1841589165 10 Physicians NOVAK JOSHUA A 999999999 24 Coles 0 0 Emergency Medicine 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 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4586 0 0 0 0 0 0 4586 0 0 1005391189 10 Physicians 19 Champaign 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 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 1845 0 0 0 0 0 0 1845 0 0 1005391540 1336565134 16 Nurse Practitioners TODD ANGELA 999999999 40 Grundy 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 59 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 59 0 0 0 0 0 0 0 0 0 112 0 0 0 0 0 0 0 0 2546 0 0 0 0 0 0 2658 0 0 1005391664 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 11038 0 0 0 0 0 0 0 0 0 0 0 0 0 11038 0 0 1005392123 87 Psychologist(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 647 0 0 0 0 0 0 647 0 0 1005392182 10 Physicians 91 Sangamon 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 87 0 0 0 0 0 0 87 0 0 1005392187 10 Physicians 30 DuPage 0 0 Otolaryngology 0 0 0 0 0 0 0 0 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 0 342 0 0 0 0 0 0 342 0 0 1005392328 1982041471 10 Physicians NORMAN LAURA 604405125 107 Will 0 0 Family Practice 0 0 0 0 7 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 740 0 0 0 0 0 0 0 0 509 0 0 0 0 0 0 1249 0 0 1005392352 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 0 318 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 27208 0 0 0 0 0 0 0 0 0 0 0 0 0 27208 0 0 1005392434 1073554739 60 Pharmacies EVANSTON HOSPITAL OUTPATIENT P 602011718 200 Cook 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 0 792 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31888 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 297140 0 0 0 297140 0 0 1005392678 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 7369 0 0 0 0 0 0 0 0 0 0 0 0 0 7369 0 0 1005392755 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 0 156 0 0 0 0 0 0 156 0 0 1005392815 14 Chiropractors 57 Lake 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 1005392985 1356651178 89 Physician Assistant Only(Encounter Only) WARMAN CHERYL M 999999999 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 942 0 0 0 0 0 0 975 0 0 1005392990 4005392990 16 Nurse Practitioners CLUSKEY JACLYN 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 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 0 842 0 0 0 0 0 0 842 0 0 1005393029 1285168120 16 Nurse Practitioners DEROSE DONNA L 999999999 71 McHenry 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 0 182 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 0 676 0 0 0 0 0 0 676 0 0 1005393242 10 Physicians 107 Will 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 337 0 0 0 0 0 0 337 0 0 1005393906 1992223895 16 Nurse Practitioners REED CASSANDRA K 999999999 97 Stephenson 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 725 0 0 0 0 0 0 725 0 0 1005394007 1255399481 10 Physicians RAO ANUPAMA K 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 10 0 144 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 238 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 238 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 1827 0 0 0 0 0 0 1979 0 0 1005394142 90 Waiver service provider--Elderly (DOA) 107 Will 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 0 492 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 0 0 0 0 0 0 0 0 0 0 0 0 49570 0 0 0 0 0 0 0 0 0 0 0 0 0 49570 0 0 1005394154 1578904892 10 Physicians LAKE EDEN LOUISE 999999999 200 Cook 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1692 0 0 0 0 0 0 1692 0 0 1005394788 1689038911 10 Physicians THAKER SARANG BHADRESH 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1333 0 0 0 0 0 0 1333 0 0 1005394791 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 27983 0 0 0 0 0 0 0 0 0 0 0 0 0 27983 0 0 1005394889 1871945725 16 Nurse Practitioners BELL ASHLEY R 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 272 0 0 0 0 0 0 272 0 0 1005394928 1902126097 10 Physicians PELLENBERG ROD 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 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 2359 0 0 0 0 0 0 2359 0 0 1005395084 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 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 1005395215 1093233173 16 Nurse Practitioners NIERHOFF BRANDON N 999999999 80 Peoria 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 386 0 0 0 0 0 0 0 0 1746 0 0 0 0 0 0 2132 0 0 1005395537 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 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23603 0 0 0 0 0 0 0 0 0 0 0 0 0 23603 0 0 1005395635 1144531666 10 Physicians AJDINOVICH JOSEPH M 999999999 24 Coles 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 1 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 239 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 239 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 8741 0 0 0 0 0 0 8752 0 0 1005395756 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 29279 0 0 0 0 0 0 0 0 0 0 0 0 0 29279 0 0 1005396111 1689125700 89 Physician Assistant Only(Encounter Only) BEDI PRIYA 999999999 30 DuPage 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 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 78 0 0 0 0 0 0 78 0 0 1005396755 1326376443 89 Physician Assistant Only(Encounter Only) SHEAHAN WILLIAM P 999999999 89 Rock Island 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 0 120 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 7572 0 0 0 0 0 0 7572 0 0 1005396988 83 Prepaid health plan--Managed care community network 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005397221 1205125598 10 Physicians STULCE CASEY W 999999999 30 DuPage 0 0 Pediatrics 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 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18102 0 0 0 0 0 0 18102 0 0 1005398224 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 0 215 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 27685 0 0 0 0 0 0 0 0 0 0 0 0 0 27685 0 0 1005398330 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2603 0 0 0 0 0 0 0 0 0 0 0 0 0 2603 0 0 1005398535 1144583287 10 Physicians COOPER JAC 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2378 0 0 0 0 0 0 2378 0 0 1005398558 1386768992 89 Physician Assistant Only(Encounter Only) OWENS KELLY A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 531 0 0 0 0 0 0 531 0 0 1005398775 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005398845 1467974196 16 Nurse Practitioners MCLEOD ELIZABETH A 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 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 1226 0 0 0 0 0 0 1226 0 0 1005399260 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 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 0 217 0 0 0 0 0 0 217 0 0 1005399301 1699030551 10 Physicians KIMPLE DANIEL 999999999 10 Adams 0 0 Neurology 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 0 185 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 7165 0 0 0 0 0 0 7165 0 0 1005399314 1922557370 16 Nurse Practitioners ESTRELLA ROCHIE V 999999999 94 Shelby 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 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 0 451 0 0 0 0 0 0 451 0 0 1005399381 89 Physician Assistant Only(Encounter Only) 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 2 0 0 0 0 0 0 2 0 0 1005399658 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 44 0 0 0 0 0 0 44 0 0 1005399797 1003221490 10 Physicians CIRONE MICHAEL 999999999 200 Cook 0 0 Emergency Medicine 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 0 103 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 3989 0 0 0 0 0 0 3989 0 0 1005399909 1679866305 10 Physicians LAKE KATRINA 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 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 1088 0 0 0 0 0 0 1088 0 0 1005400104 1346614864 24 Speech Therapists MAMMOLITO ANGELA P 999999999 107 Will 0 0 0 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 1598 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1598 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117221 117221 0 0 1005400112 1205125952 10 Physicians PETERSEN REBECCA Y 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 0 144 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 28107 0 0 0 0 0 0 28107 0 0 1005400293 40 Federally Qualified Health Centers 200 Cook 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 286 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 286 0 0 1005400375 1003285560 89 Physician Assistant Only(Encounter Only) PEREZ MATTISON N 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 239 0 0 0 0 0 0 239 0 0 1005400462 10 Physicians 30 DuPage 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 75 0 0 0 0 0 0 75 0 0 1005400685 1841372638 60 Pharmacies HOME CARE SOLUTIONS INC 605175084 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 953 0 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 953 0 0 1248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 103568 0 0 23398 0 0 0 126966 0 0 1005400687 10 Physicians 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005400833 1871024414 10 Physicians WANG DANIEL 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 6867 0 0 0 0 0 0 6879 0 0 1005400923 1730610668 10 Physicians QIAN SHUO 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 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4833 0 0 0 0 0 0 4833 0 0 1005401064 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 17968 0 0 0 0 0 0 0 0 0 0 0 0 0 17968 0 0 1005401079 1588969836 89 Physician Assistant Only(Encounter Only) RECKER LORI B 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 407 0 0 0 0 0 0 407 0 0 1005401412 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 28817 0 0 0 0 0 0 0 0 0 0 0 0 0 28817 0 0 1005401593 1598105835 10 Physicians JUAREZ LOURDES 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 9 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 622 0 4241 0 0 0 0 0 0 4863 0 0 1005401707 1386900892 10 Physicians TSAO MICHELLE 999999999 200 Cook 0 0 Anesthesiology 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 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 9716 0 0 0 0 0 0 9716 0 0 1005401712 4005401712 71 Medicar Provider COOK COUNTY MEDICAR INC 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 0 795 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 795 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4983 0 0 0 0 0 0 4983 0 0 1005402255 1750778429 10 Physicians ROWAN DANIEL 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 118 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 2631 0 0 0 0 0 0 2631 0 0 1005402902 1780900308 10 Physicians GARZA REBECCA M 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 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 1595 0 0 0 0 0 0 1595 0 0 1005403144 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 0 200 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 28915 0 0 0 0 0 0 0 0 0 0 0 0 0 28915 0 0 1005403442 1407387020 16 Nurse Practitioners HARMON KAMELA 999999999 53 Kane 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 0 119 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 1122 0 0 0 0 0 0 1122 0 0 1005403608 1558706168 10 Physicians GRGURICH ERIN 999999999 10 Adams 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 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 0 253 0 0 0 0 0 0 253 0 0 1005403863 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005404149 1730106238 10 Physicians SEED PATRICK 999999999 200 Cook 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 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 0 385 0 0 0 0 0 0 385 0 0 1005404284 16 Nurse Practitioners 71 McHenry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 16 0 0 0 0 0 0 16 0 0 1005404318 1184074916 60 Pharmacies MARIANO''S PHARMACY #8538 606575316 200 Cook 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 12 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 0 0 0 0 0 0 0 0 0 0 0 0 336 0 0 0 336 0 0 1005404700 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 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 6787 0 0 0 0 0 0 0 0 0 0 0 0 0 6787 0 0 1005404742 1386806115 10 Physicians AGRAWAL DIVYA 999999999 200 Cook 0 0 Physical Medicine/Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 14 0 72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 352 0 930 0 0 0 0 0 0 1282 0 0 1005405085 1932630993 10 Physicians CHENG HAO 999999999 200 Cook 0 0 Psychiatry 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 0 151 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 3544 0 0 0 0 0 0 3544 0 0 1005405385 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5751 0 0 0 0 0 0 0 0 0 0 0 0 0 5751 0 0 1005405624 1245216993 10 Physicians QURESHI ABDUL R 999999999 80 Peoria 0 0 Internal 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 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 6 0 0 0 0 0 0 6 0 0 1005405687 1053764878 16 Nurse Practitioners PATEL PINKI 999999999 200 Cook 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 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 1386 0 0 0 0 0 0 1386 0 0 1005405968 1497198832 10 Physicians FUQUA GABRIEL 999999999 71 McHenry 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 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8293 0 0 0 0 0 0 8293 0 0 1005406986 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2475 0 0 0 0 0 0 0 0 0 0 0 0 0 2475 0 0 1005407124 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 25001 0 0 0 0 0 0 0 0 0 0 0 0 0 25001 0 0 1005407154 1184741951 10 Physicians VASA FALGUNI R 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 7 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 5913 0 0 0 0 0 0 5983 0 0 1005407567 1417043175 89 Physician Assistant Only(Encounter Only) SCHULTZ MELISSA L 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 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 0 189 0 0 0 0 0 0 189 0 0 1005407674 1346487881 10 Physicians ZEVALLOS JOSE P 999999999 19 Champaign 0 0 Otolaryngology 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 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 0 410 0 0 0 0 0 0 410 0 0 1005407870 89 Physician Assistant Only(Encounter Only) 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 232 0 0 0 0 0 0 232 0 0 1005407998 1942720123 16 Nurse Practitioners VELASQUEZ NICHOLAS 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 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 0 430 0 0 0 0 0 0 430 0 0 1005408049 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3056 0 0 0 0 0 0 3056 0 0 1005408100 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 94 0 0 0 0 0 0 0 0 0 0 0 0 0 94 0 0 1005408738 1043757867 16 Nurse Practitioners RUWE ALYSSA M 999999999 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 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 0 717 0 0 0 0 0 0 717 0 0 1005409041 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 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 71 0 0 0 0 0 0 71 0 0 1005409109 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 298 0 0 0 0 0 0 298 0 0 1005409174 1164964342 16 Nurse Practitioners LEE JOANNA 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 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 0 691 0 0 0 0 0 0 691 0 0 1005409320 1992097075 16 Nurse Practitioners HAUCH AMY C 999999999 65 Madison 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 530 0 0 0 0 0 0 636 0 0 1005409380 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 15287 0 0 0 0 0 0 0 0 0 0 0 0 0 15287 0 0 1005409407 1598200701 16 Nurse Practitioners MANGANO SUSAN 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 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 0 347 0 0 0 0 0 0 347 0 0 1005409479 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 21250 0 0 0 0 0 0 0 0 0 0 0 0 0 21250 0 0 1005409744 1356891022 12 Optometrists COLLISON FREDERICK T 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 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 0 377 0 0 0 0 0 0 377 0 0 1005409823 1457722506 87 Psychologist(Encounter Only) SIMMONS ELIZABETH 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 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 1364 0 0 0 0 0 0 1364 0 0 1005409954 1871943308 10 Physicians JOHNSTON CURTIS 999999999 91 Sangamon 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 347 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 347 0 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 4348 0 0 0 0 0 0 4469 0 0 1005410052 16 Nurse Practitioners 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 20 0 0 1005410085 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 8946 0 0 0 0 0 0 0 0 0 0 0 0 0 8946 0 0 1005410514 1073952172 10 Physicians WEISS MELINDA J 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 3 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 1900 0 0 0 0 0 0 1910 0 0 1005410603 10 Physicians 89 Rock Island 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 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 0 147 0 0 0 0 0 0 147 0 0 1005410813 1144665993 87 Psychologist(Encounter Only) TRIVEDI MEHUL 999999999 91 Sangamon 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 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 2140 0 0 0 0 0 0 2140 0 0 1005411415 1073927612 10 Physicians MURPHY THOMAS L 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 427 0 2645 0 0 0 0 0 0 3072 0 0 1005411434 1164838900 89 Physician Assistant Only(Encounter Only) KELLY CHRISTOPHER T 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 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 0 839 0 0 0 0 0 0 839 0 0 1005412062 10 Physicians 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 31 0 0 1005412307 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005412424 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 48841 0 0 0 0 0 0 0 0 0 0 0 0 0 48841 0 0 1005412540 1699049874 16 Nurse Practitioners BOEHLER GINGER P 999999999 91 Sangamon 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 0 1 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 1740 0 0 0 0 0 0 1740 0 0 1005412914 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 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 1005413142 1114389160 10 Physicians GUTSELL PHILIP C 999999999 200 Cook 0 0 0 0 0 0 15 0 0 0 0 0 0 4 0 69 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 6 0 102 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 6 0 102 0 0 0 0 0 0 0 0 0 1853 0 0 0 0 0 0 31 0 2818 0 0 0 0 0 0 4702 0 0 1005413170 1447592753 10 Physicians SHERMAN JOSHUA 999999999 200 Cook 0 0 Emergency Medicine 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 0 181 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 7041 0 0 0 0 0 0 7041 0 0 1005413330 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 17677 0 0 0 0 0 0 0 0 0 0 0 0 0 17677 0 0 1005413493 1285016915 10 Physicians BAUK SOLMAZ 999999999 91 Sangamon 0 0 Family Practice 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 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 1442 0 0 0 0 0 0 1442 0 0 1005413652 1083621452 89 Physician Assistant Only(Encounter Only) BRANNAN MICHELE D 999999999 53 Kane 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 0 332 0 0 0 0 0 0 332 0 0 1005413802 1902219611 10 Physicians YANG CHANG 999999999 91 Sangamon 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 0 153 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 5880 0 0 0 0 0 0 5880 0 0 1005414250 1316304637 16 Nurse Practitioners THOMAS SHENELL E 999999999 80 Peoria 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 253 0 0 0 0 0 0 0 0 3845 0 0 0 0 0 0 4098 0 0 1005414473 1275828394 10 Physicians BARRIOS CHRISTOPHER 999999999 98 Tazewell 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 2268 0 0 0 0 0 0 2276 0 0 1005414724 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 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 10035 0 0 0 0 0 0 0 0 0 0 0 0 0 10035 0 0 1005414820 1356786214 10 Physicians IMMEN STEVEN W 999999999 76 Montgomery 0 0 Anesthesiology 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 0 832 0 0 0 0 0 0 832 0 0 1005414980 1609316710 16 Nurse Practitioners MURPHY NICKIE 999999999 87 Randolph 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 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 0 425 0 0 0 0 0 0 425 0 0 1005415059 1710434832 22 Physical Therapists BAN NELLI A 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 484 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 484 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4162 4162 0 0 1005415116 1679930457 10 Physicians ALPERT LINDSAY 999999999 30 DuPage 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 0 291 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 291 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2176 0 0 0 0 0 0 0 0 2176 0 0 1005415282 1447783915 60 Pharmacies BIENESTAR PHARMACY III 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1563 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 91648 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 167246 0 0 0 167246 0 0 1005415614 1356639942 10 Physicians BAIG HUMERA 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 471 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 722 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 722 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9497 0 578 0 0 0 0 0 0 10075 0 0 1005415716 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3745 0 0 0 0 0 0 0 0 0 0 0 0 0 3745 0 0 1005415728 10 Physicians 200 Cook 0 0 Pediatrics 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 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 2149 0 0 0 0 0 0 2149 0 0 1005415867 1154731107 10 Physicians FRITZ ADAM 999999999 87 Randolph 0 0 Internal Medicine 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 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 1565 0 0 0 0 0 0 1565 0 0 1005415885 1346560448 10 Physicians BENNETT MICHAEL C 999999999 200 Cook 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 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 1499 0 0 0 0 0 0 1499 0 0 1005416281 1134415821 10 Physicians MUELLER JASON BENJAMIN 999999999 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 111 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2455 0 331 0 0 0 0 0 0 2786 0 0 1005416715 1336503226 10 Physicians MCCAFFREY PATRICK OWEN 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 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 3495 0 0 0 0 0 0 3495 0 0 1005416729 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 0 329 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 329 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55354 0 0 0 0 0 0 0 0 0 0 0 0 0 55354 0 0 1005416777 1083966790 10 Physicians ORIAIFO IRENE 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 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 2433 0 0 0 0 0 0 2433 0 0 1005417043 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 0 170 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 0 0 0 0 0 0 0 0 0 0 22552 0 0 0 0 0 0 0 0 0 0 0 0 0 22552 0 0 1005417101 1275822090 10 Physicians GRANT TERRANCE 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 554 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 791 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 791 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10462 0 1465 0 0 0 0 0 0 11927 0 0 1005417155 1184052516 16 Nurse Practitioners SWANSON DINA 999999999 30 DuPage 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 151 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 151 0 0 0 0 0 0 0 0 0 483 0 0 0 0 0 0 0 0 4236 0 0 0 0 0 0 4719 0 0 1005417354 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 0 121 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 30275 0 0 0 0 0 0 0 0 0 0 0 0 0 30275 0 0 1005417481 25 Audiologists 91 Sangamon 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 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 0 177 177 0 0 1005418175 16 Nurse Practitioners 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005418550 1972885705 89 Physician Assistant Only(Encounter Only) LESLIE AUDREY 999999999 30 DuPage 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 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 0 231 0 0 0 0 0 0 231 0 0 1005418641 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 18254 0 0 0 0 0 0 0 0 0 0 0 0 0 18254 0 0 1005418879 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 196 0 0 0 0 0 0 196 0 0 1005418955 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 18412 0 0 0 0 0 0 0 0 0 0 0 0 0 18412 0 0 1005419207 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 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 38523 0 0 0 0 0 0 0 0 0 0 0 0 0 38523 0 0 1005419208 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 0 142 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 0 0 0 0 0 0 0 0 0 0 19420 0 0 0 0 0 0 0 0 0 0 0 0 0 19420 0 0 1005419870 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1949 0 0 0 0 0 0 0 0 0 0 0 0 0 1949 0 0 1005420161 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 0 157 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 8138 0 0 0 0 0 0 0 0 0 0 0 0 0 8138 0 0 1005420265 1366885444 10 Physicians SIHABDEEN SAMIRA F 999999999 200 Cook 0 0 Anesthesiology 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 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6299 0 0 0 0 0 0 6299 0 0 1005420660 1881005692 13 Podiatrists SINGHA JEETEN 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1822 0 0 0 0 0 0 1822 0 0 1005420689 86 Clinical Social Worker(Encounter Only) 76 Montgomery 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 354 0 0 0 0 0 0 354 0 0 1005421077 1619303070 12 Optometrists KERR-NIERMANN CATHERINE D 999999999 108 Williamson 0 0 Diagnostic Pharmaceutical Agents 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 0 752 0 0 0 0 0 0 752 0 0 1005421393 1508217118 10 Physicians GERALD MILLER 999999999 91 Sangamon 0 0 Pediatrics 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 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10768 0 0 0 0 0 0 10768 0 0 1005421610 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005422246 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 291 0 0 0 0 0 0 0 0 0 0 0 0 0 291 0 0 1005422406 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 28382 0 0 0 0 0 0 0 0 0 0 0 0 0 28382 0 0 1005422775 1629512850 16 Nurse Practitioners REBOLLEDO CATHERINE AN 999999999 200 Cook 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 1161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 188620 0 0 0 0 0 0 188620 0 0 1005423059 1801101720 10 Physicians NARTATEZ SERAG EVELYN GRACE 999999999 200 Cook 0 0 Family Practice 0 0 0 0 9 0 0 0 0 0 0 7 0 98 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 16 0 219 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 16 0 219 0 0 0 0 0 0 0 0 0 741 0 0 0 0 0 0 62 0 4621 0 0 0 0 0 0 5424 0 0 1005423320 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 10848 0 0 0 0 0 0 0 0 0 0 0 0 0 10848 0 0 1005423419 1407384423 16 Nurse Practitioners REED AMANDA S. 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 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 0 174 0 0 0 0 0 0 174 0 0 1005423522 1043638042 10 Physicians CANTU-MANLEY HAYDEE 999999999 71 McHenry 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 741 0 0 0 0 0 0 741 0 0 1005423589 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 0 924 0 0 0 0 0 0 924 0 0 1005423993 1326573155 60 Pharmacies PRIMERXPHARMACY 999999999 200 Cook 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 0 891 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42695 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8941 0 0 0 8941 0 0 1005424265 10 Physicians 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 1005424459 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 0 356 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 356 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25756 0 0 0 0 0 0 0 0 0 0 0 0 0 25756 0 0 1005425313 1376937599 10 Physicians BROWN LISA ANN 999999999 200 Cook 0 0 Otolaryngology 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 0 111 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 3318 0 0 0 0 0 0 3318 0 0 1005425329 1720491343 10 Physicians HOPE KATINA R 999999999 200 Cook 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 3 0 108 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 6 0 229 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 6 0 229 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 21 0 2813 0 0 0 0 0 0 2938 0 0 1005425560 1922261742 10 Physicians BANDT SARAH K 999999999 53 Kane 0 0 Neurology Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 240 0 0 0 0 0 0 240 0 0 1005425639 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 10789 0 0 0 0 0 0 0 0 0 0 0 0 0 10789 0 0 1005425640 1003234386 10 Physicians SRIVASTAVA VIDHI 999999999 30 DuPage 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 3 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2758 0 0 0 0 0 0 2758 0 0 1005425817 1750823183 16 Nurse Practitioners BLUNDY KAYLA M 999999999 19 Champaign 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 61 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 61 0 0 0 0 0 0 0 0 0 1 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 1815 0 0 0 0 0 0 1815 0 0 1005426330 1902331184 16 Nurse Practitioners BOLSER BRYAN A 999999999 19 Champaign 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 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 2642 0 0 0 0 0 0 2642 0 0 1005426787 1235492281 10 Physicians FRAUM TYLER J 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 59 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 98 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 98 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1964 0 387 0 0 0 0 0 0 2351 0 0 1005427111 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 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18863 0 0 0 0 0 0 0 0 0 0 0 0 0 18863 0 0 1005427514 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 74 0 0 0 0 0 0 74 0 0 1005427917 1417372772 89 Physician Assistant Only(Encounter Only) STUART MARY K 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 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 0 325 0 0 0 0 0 0 325 0 0 1005428174 1659329845 10 Physicians LUFT THOMAS 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 16 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 259 0 3080 0 0 0 0 0 0 3339 0 0 1005428261 4005428261 16 Nurse Practitioners GARDNER CHRISTINE C 999999999 80 Peoria 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 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 2794 0 0 0 0 0 0 2794 0 0 1005428312 1992238810 16 Nurse Practitioners MCCORMICK ANGELA 999999999 91 Sangamon 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 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 2353 0 0 0 0 0 0 2353 0 0 1005428639 1336501550 16 Nurse Practitioners CHAPTERS DANIEL 999999999 200 Cook 0 0 Child/Adolescent Psychiatry Residency 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 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8756 0 0 0 0 0 0 8756 0 0 1005428738 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 25741 0 0 0 0 0 0 0 0 0 0 0 0 0 25741 0 0 1005428751 1023563335 16 Nurse Practitioners MENDOZA MAE G 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1039 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1039 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6007 0 0 0 0 0 0 6007 0 0 1005428825 1851591044 10 Physicians RIVAS ERICK 999999999 30 DuPage 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 1674 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1674 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11289 0 0 0 0 0 0 11289 0 0 1005428989 1700839651 89 Physician Assistant Only(Encounter Only) YUNG SILVIA 999999999 109 Winnebago 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 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 0 439 0 0 0 0 0 0 439 0 0 1005429201 1083076798 16 Nurse Practitioners PHU KYLA R 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 826 0 0 0 0 0 0 826 0 0 1005429437 1073054979 16 Nurse Practitioners DENTON BRITTANY 999999999 91 Sangamon 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 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 0 630 0 0 0 0 0 0 630 0 0 1005429557 1437310455 10 Physicians RAIJI MANISH T 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53 0 3663 0 0 0 0 0 0 3716 0 0 1005429834 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 26697 0 0 0 0 0 0 0 0 0 0 0 0 0 26697 0 0 1005429865 1770901852 10 Physicians EVANS KALEIGH L 999999999 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 121 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 243 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 243 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2975 0 0 0 0 0 0 2975 0 0 1005430307 1043667900 29 ICF/MR KAPERL HOME 999999999 200 Cook 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 0 333 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10002 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1349404 0 0 0 0 0 0 0 0 0 0 1349404 0 0 1005430327 1093163180 10 Physicians KALINA MICHAEL LAWRENCE 999999999 200 Cook 0 0 Internal Medicine 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3955 0 0 0 0 0 0 3955 0 0 1005430555 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 49 0 0 1005430636 1336568450 10 Physicians EGGEMAN DANIEL R 999999999 53 Kane 0 0 Emergency 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 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 2264 0 0 0 0 0 0 2264 0 0 1005431269 1447240171 10 Physicians DAVIS CHARLES 999999999 53 Kane 0 0 Radiology Diagnosis 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 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 572 0 0 0 0 0 0 0 0 572 0 0 1005431326 1508315516 30 General Hospitals ADVOCATE CHILDRENS HOSPITAL 999999999 200 Cook CHILDRENS Hospital designated as childrens hospitals and paid a Per Diem rate. 0 0 General Hospital - Children Section 0 0 0 0 0 1690 0 0 0 0 377 0 0 0 720 0 0 0 0 0 0 0 0 0 2026 0 0 0 0 430 0 0 0 1007 0 0 0 0 0 0 0 0 0 2026 0 0 0 0 5460 0 0 0 1007 0 0 0 0 0 0 0 0 0 444802 0 0 0 0 21805163 0 0 0 635882 0 0 0 0 0 22885847 0 0 1005431451 1780926527 10 Physicians SELESKI NILI 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 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 1444 0 0 0 0 0 0 1444 0 0 1005431473 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1085 0 0 0 0 0 0 0 0 0 0 0 0 0 1085 0 0 1005431827 1891086146 10 Physicians FORD CATHERINE 999999999 200 Cook 0 0 Obstetric-Gynecology 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 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 7688 0 0 0 0 0 0 7688 0 0 1005432605 10 Physicians 30 DuPage 0 0 Urology 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 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 204 0 0 0 0 0 0 216 0 0 1005432642 1326458332 10 Physicians PATEL MOSAM B 999999999 91 Sangamon 0 0 Family Practice 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 0 312 0 0 0 0 0 0 312 0 0 1005432727 1295259901 16 Nurse Practitioners THIES LAINE K 999999999 80 Peoria 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 146 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 201 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 201 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 4276 0 0 0 0 0 0 4340 0 0 1005432860 1245765296 16 Nurse Practitioners THACKER KELSEY M 999999999 82 Piatt 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 492 0 0 0 0 0 0 492 0 0 1005433071 1104848332 10 Physicians SANDERS MICHAEL 999999999 80 Peoria 0 0 0 0 0 0 31 0 0 0 0 0 0 14 0 29 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 19 0 36 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 19 0 36 0 0 0 0 0 0 0 0 0 2433 0 0 0 0 0 0 201 0 1666 0 0 0 0 0 0 4300 0 0 1005433137 1770011397 16 Nurse Practitioners BLOUGH ASHLEY G 999999999 40 Grundy 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 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 0 359 0 0 0 0 0 0 359 0 0 1005433419 1770932204 10 Physicians FATOOREHCHI SAM 999999999 91 Sangamon 0 0 Family Practice 0 0 0 0 6 0 0 0 0 0 0 0 0 63 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 205 0 0 0 0 0 0 0 0 3949 0 0 0 0 0 0 4154 0 0 1005433479 86 Clinical Social Worker(Encounter Only) 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005433535 1760927800 16 Nurse Practitioners FOWLER BRENDA 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 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 2314 0 0 0 0 0 0 2314 0 0 1005433550 1184897001 16 Nurse Practitioners BONNETT KRISTINE M 999999999 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 248 0 0 0 0 0 0 248 0 0 1005434106 1477828085 10 Physicians CANTRELL DONALD R 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 9 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 605 0 690 0 0 0 0 0 0 1295 0 0 1005434672 1215347125 10 Physicians HUSSAINI KAMRAN 999999999 30 DuPage 0 0 Internal Medicine 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 0 158 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 2848 0 0 0 0 0 0 2848 0 0 1005435019 91 Waiver service provider--Adults (DHS/DDD) 30 DuPage 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 768 0 0 0 0 0 0 0 0 0 0 0 0 0 768 0 0 1005435119 1558735274 63 Other Providers of Medical Equipment/Supplies (Non-registered) MEDSERV EQUIPMENT CORP 999999999 19 Champaign 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 0 133 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 4040 0 0 0 0 0 0 4040 0 0 1005435267 89 Physician Assistant Only(Encounter Only) 53 Kane 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 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 0 198 0 0 0 0 0 0 198 0 0 1005435399 1336554658 10 Physicians BERG CARLY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1010 0 0 0 0 0 0 1010 0 0 1005435698 1316488976 16 Nurse Practitioners QUACH STEPHANIE 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 0 170 0 0 0 0 0 0 170 0 0 1005436004 1609139120 10 Physicians PINTO NISHA 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 7609 0 0 0 0 0 0 7609 0 0 1005436499 1831583723 10 Physicians ASH DANIEL 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4031 0 0 0 0 0 0 4031 0 0 1005436928 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 0 193 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 26315 0 0 0 0 0 0 0 0 0 0 0 0 0 26315 0 0 1005436944 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 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 13080 0 0 0 0 0 0 0 0 0 0 0 0 0 13080 0 0 1005437611 1902194822 10 Physicians VAUGHN SHANELE M 999999999 200 Cook 0 0 Neurology 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 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 1192 0 0 0 0 0 0 1192 0 0 1005437730 1235395591 10 Physicians ZENGOU RYAN 999999999 30 DuPage 0 0 Neurology Surgery 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 3467 0 0 0 0 0 0 3467 0 0 1005437821 1700339694 16 Nurse Practitioners MILLER LISA D 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 282 0 0 0 0 0 0 282 0 0 1005437826 10 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 570 0 0 0 0 0 0 570 0 0 1005437847 1366882862 10 Physicians HUGHES KRISTIN 999999999 30 DuPage 0 0 Emergency Medicine 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 0 0 0 0 0 0 0 0 0 0 1005437859 10 Physicians 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0 119 0 0 0 0 0 0 351 0 0 1005438259 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 0 264 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 29211 0 0 0 0 0 0 0 0 0 0 0 0 0 29211 0 0 1005438417 1669489878 89 Physician Assistant Only(Encounter Only) FREEMAN DAVID 999999999 80 Peoria 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 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2212 0 0 0 0 0 0 2212 0 0 1005439166 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 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 0 175 0 0 0 0 0 0 175 0 0 1005439510 10 Physicians 80 Peoria 0 0 Emergency 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 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 0 207 0 0 0 0 0 0 207 0 0 1005439645 1497286645 16 Nurse Practitioners SEPLAK NINA R 999999999 40 Grundy 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 786 0 0 0 0 0 0 0 0 1232 0 0 0 0 0 0 2018 0 0 1005439701 1245525807 10 Physicians FOLLMER RACHEL 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 2 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 3089 0 0 0 0 0 0 3181 0 0 1005439922 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 14099 0 0 0 0 0 0 0 0 0 0 0 0 0 14099 0 0 1005439967 16 Nurse Practitioners 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 190 0 0 0 0 0 0 190 0 0 1005440026 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 78 0 0 1005440084 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 49 0 0 0 0 0 0 49 0 0 1005440207 10 Physicians 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 0 145 0 0 0 0 0 0 145 0 0 1005440491 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 16506 0 0 0 0 0 0 0 0 0 0 0 0 0 16506 0 0 1005440609 1942472915 10 Physicians JEZIORCZAK PAUL M 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 163 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 163 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 12694 0 0 0 0 0 0 12702 0 0 1005440781 1972846236 10 Physicians SOULII LIOUBOV 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 145 0 766 0 0 0 0 0 0 911 0 0 1005440920 1750789756 16 Nurse Practitioners LIMON NICOLE 999999999 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 980 0 0 0 0 0 0 1013 0 0 1005441225 16 Nurse Practitioners 63 Macon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 42 0 0 1005441330 1982831699 10 Physicians SIGMAN MICHAEL M 999999999 200 Cook 0 0 Colon - Rectal Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 215 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 2631 0 0 0 0 0 0 2631 0 0 1005441555 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 10978 0 0 0 0 0 0 0 0 0 0 0 0 0 10978 0 0 1005441586 1871661504 87 Psychologist(Encounter Only) ROZAK ANGELA M 999999999 30 DuPage 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 0 113 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 2792 0 0 0 0 0 0 2792 0 0 1005441999 1023261138 10 Physicians SONABEND WORTHALTER ADAM M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5542 0 0 0 0 0 0 5542 0 0 1005442036 1508306861 40 Federally Qualified Health Centers CRUSADER COMMUNITY HEALTH ON A 999999999 109 Winnebago 0 0 0 0 1532 0 281 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5107 0 866 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5107 0 866 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 355852 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 355852 0 0 1005442525 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 0 196 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 18908 0 0 0 0 0 0 0 0 0 0 0 0 0 18908 0 0 1005443125 1710320767 10 Physicians ABATE MALLORY 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 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 0 168 0 0 0 0 0 0 168 0 0 1005443269 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 0 0 0 0 0 0 0 0 0 0 1005443391 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 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 46 0 0 0 0 0 0 46 0 0 1005443500 1629344064 10 Physicians HOUSER DAVID E 999999999 24 Coles 0 0 Internal Medicine 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 0 475 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 475 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7439 0 0 0 0 0 0 7439 0 0 1005443726 1396968889 10 Physicians MERKOW RYAN P 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 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 1465 0 0 0 0 0 0 1465 0 0 1005443955 1588186308 48 Rural Health Clinics WABASH GENERAL HOSPITAL 999999999 101 Wabash 0 0 0 0 142 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 624 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 624 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5724 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5724 0 0 1005444167 1194269043 16 Nurse Practitioners BUXTON PATRICK T 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 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 1213 0 0 0 0 0 0 1213 0 0 1005444752 1629068234 89 Physician Assistant Only(Encounter Only) DRESSLER SCHORR STEPHANIE 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 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 32 0 0 0 0 0 0 32 0 0 1005444908 1245787373 16 Nurse Practitioners PERROT AMANDA 999999999 53 Kane 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 0 154 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 4834 0 0 0 0 0 0 4834 0 0 1005445044 1013320100 10 Physicians KUNICKAITE JURATE 999999999 200 Cook 0 0 Family Practice 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 0 102 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 0 637 0 0 0 0 0 0 637 0 0 1005445104 16 Nurse Practitioners 40 Grundy 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 23 0 0 0 0 0 0 23 0 0 1005445629 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 0 209 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 17257 0 0 0 0 0 0 0 0 0 0 0 0 0 17257 0 0 1005446143 1083147763 16 Nurse Practitioners ROBISON JENNIFER E 999999999 80 Peoria 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 3718 0 0 0 0 0 0 3750 0 0 1005446202 1740335975 16 Nurse Practitioners WELLS MARY B 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 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 0 0 0 0 0 0 0 0 0 0 1005446376 14 Chiropractors 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 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005446516 1528374030 10 Physicians SAINI ABHIMANYU 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 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 0 322 0 0 0 0 0 0 322 0 0 1005446648 30 General Hospitals 74 Mercer DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 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 0 0 0 0 0 0 0 0 0 0 0 0 171 0 0 0 0 0 171 0 0 1005446856 1336697234 16 Nurse Practitioners GRECO LAURA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 464 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5960 0 0 0 0 0 0 5960 0 0 1005446968 1104168772 10 Physicians ROSSOFF JENNA 999999999 200 Cook 0 0 Pediatrics 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 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 1472 0 0 0 0 0 0 1472 0 0 1005447133 1982030037 16 Nurse Practitioners LUCE STEPHANIE 999999999 30 DuPage 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 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 0 566 0 0 0 0 0 0 566 0 0 1005447284 1487052098 16 Nurse Practitioners HENDRIX LEAH C 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 460 0 0 0 0 0 0 460 0 0 1005447526 1942744495 16 Nurse Practitioners JOHNSON MELISSA K. 999999999 106 Whiteside 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 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 1132 0 0 0 0 0 0 1132 0 0 1005447534 1073776530 10 Physicians FLEISHER JORI E 999999999 200 Cook 0 0 Neurology 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 0 162 0 0 0 0 0 0 162 0 0 1005447623 1013451509 16 Nurse Practitioners ELYEA HEIDIJO 999999999 53 Kane 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 0 190 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 3419 0 0 0 0 0 0 3419 0 0 1005447668 1912458399 11 Dentists DZIARSKI MATTHEW 999999999 53 Kane 0 0 General Dentistry 0 0 0 406 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 2057 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 2057 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 76783 0 0 0 0 0 0 0 0 0 0 0 10658 0 0 0 0 87441 0 0 1005447729 1538121462 10 Physicians ROGERS JR SELWYN O 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1238 0 0 0 0 0 0 1238 0 0 1005448053 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 4249 0 0 0 0 0 0 0 0 0 0 0 0 0 4249 0 0 1005448105 1376095505 16 Nurse Practitioners HAMM AMANDA 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 47 0 0 0 0 0 0 47 0 0 1005448195 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141 0 0 0 0 0 0 141 0 0 1005448304 1134402670 10 Physicians EZEANI CHIOMA PAMELA 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 496 0 0 0 0 0 0 496 0 0 1005448311 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 294 0 0 0 0 0 0 294 0 0 1005448546 1063818094 16 Nurse Practitioners HECKENKAMP MADELEINE D 999999999 91 Sangamon 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0 0 0 0 1 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 2149 0 0 0 0 0 0 2149 0 0 1005448862 1578826061 10 Physicians PATTON JASON G 999999999 200 Cook 0 0 Orthopedic Surgery 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 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 16 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 1005448870 1306370838 16 Nurse Practitioners MIRANDA CORRIN 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 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 3399 0 0 0 0 0 0 3399 0 0 1005449079 1558683144 87 Psychologist(Encounter Only) SAMSI MEKHALA 999999999 200 Cook 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1480 0 0 0 0 0 0 1480 0 0 1005449441 1467742577 10 Physicians LANDPHAIR WILLIAM R 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 11 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 6502 0 0 0 0 0 0 6516 0 0 1005449622 1629314398 16 Nurse Practitioners BANEK JENNIFER L 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4698 0 0 0 0 0 0 4698 0 0 1005450142 1578980785 10 Physicians CHUZI SARAH E 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 885 0 0 0 0 0 0 885 0 0 1005450221 1124566526 89 Physician Assistant Only(Encounter Only) MUCHOW MEGAN E 999999999 91 Sangamon 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 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5426 0 0 0 0 0 0 5426 0 0 1005450222 87 Psychologist(Encounter Only) 72 McLean 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 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 50 0 0 0 0 0 0 50 0 0 1005450337 1225309230 16 Nurse Practitioners USSELMAN CHELESSA L 606731285 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 353 0 0 0 0 0 0 353 0 0 1005450428 1740505569 10 Physicians O'NEILL MEGHAN 999999999 91 Sangamon 0 0 Pediatrics 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 23 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 155 0 0 0 0 0 0 0 0 1684 0 0 0 0 0 0 1839 0 0 1005450835 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 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 62 0 0 1005450841 1871694117 89 Physician Assistant Only(Encounter Only) COWELL MARISSA M 999999999 91 Sangamon 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 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 0 401 0 0 0 0 0 0 401 0 0 1005450994 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 17045 0 0 0 0 0 0 0 0 0 0 0 0 0 17045 0 0 1005451119 98 Waiver service provider--TBI (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 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 11479 0 0 0 0 0 0 0 0 0 0 0 0 0 11479 0 0 1005451277 1588037915 16 Nurse Practitioners MCCLAIN HEIDI R 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 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 47 0 0 0 0 0 0 47 0 0 1005451298 1841644507 16 Nurse Practitioners SOLAR TATJANA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 483 0 0 0 0 0 0 483 0 0 1005451375 1982128021 24 Speech Therapists GOODWIN QUINN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 268 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 20331 20331 0 0 1005451397 1346641487 89 Physician Assistant Only(Encounter Only) DESAI PINAL K 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 293 0 0 0 0 0 0 293 0 0 1005451398 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2167 0 0 0 0 0 0 0 0 0 0 0 0 0 2167 0 0 1005452305 1326386921 87 Psychologist(Encounter Only) HICKEY ANNA 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5623 0 0 0 0 0 0 5623 0 0 1005452369 1154702116 10 Physicians SIDDIQUI NABEEL M 999999999 20 Christian 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95 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 1268 0 0 0 0 0 0 1268 0 0 1005452851 10 Physicians 20 Christian 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 55 0 0 0 0 0 0 55 0 0 1005452969 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 6822 0 0 0 0 0 0 0 0 0 0 0 0 0 6822 0 0 1005453183 1659754323 89 Physician Assistant Only(Encounter Only) LYONS KELLY J 999999999 30 DuPage 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 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 795 0 0 0 0 0 0 795 0 0 1005453495 1518284348 16 Nurse Practitioners HORACK CARRIE 999999999 200 Cook 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 0 625 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 625 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110463 0 0 0 0 0 0 110463 0 0 1005453746 1548585128 10 Physicians GRAF STACI L 999999999 200 Cook 0 0 Neurology 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 0 121 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 2099 0 0 0 0 0 0 2099 0 0 1005453852 1639585136 10 Physicians ISAWI DANNY 999999999 97 Stephenson 0 0 0 0 0 0 3 0 0 0 0 0 0 6 0 50 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 7 0 122 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 7 0 122 0 0 0 0 0 0 0 0 0 179 0 0 0 0 0 0 9 0 1535 0 0 0 0 0 0 1723 0 0 1005454376 16 Nurse Practitioners 109 Winnebago 0 0 0 0 0 0 0 0 0 0 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 0 252 0 0 0 0 0 0 252 0 0 1005454434 1194107532 10 Physicians TANNER JAMES CHRISTOPHER 999999999 200 Cook 0 0 Neurology 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 0 111 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 1513 0 0 0 0 0 0 1513 0 0 1005454840 1194164350 10 Physicians ALBERTSON ASHER JEFFERSON 999999999 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 398 0 0 0 0 0 0 398 0 0 1005455002 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 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 11015 0 0 0 0 0 0 0 0 0 0 0 0 0 11015 0 0 1005455056 1073604260 16 Nurse Practitioners FOSTER RICHARD M 999999999 91 Sangamon 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 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1202 0 0 0 0 0 0 1202 0 0 1005455330 87 Psychologist(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 109 0 0 0 0 0 0 109 0 0 1005455504 1053601146 10 Physicians ORWIG JOSHUA L 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 13 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 397 0 12 0 0 0 0 0 0 409 0 0 1005455872 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 1005456281 10 Physicians 30 DuPage 0 0 Anesthesiology 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 0 429 0 0 0 0 0 0 429 0 0 1005456301 1043520869 89 Physician Assistant Only(Encounter Only) MONSIVAIS JACOB 999999999 91 Sangamon 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 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7117 0 0 0 0 0 0 7117 0 0 1005456578 10 Physicians 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005456787 1780088948 16 Nurse Practitioners ZIELINSKI KATHLEEN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1792 0 0 0 0 0 0 1792 0 0 1005456983 1659773901 10 Physicians PANDEY SUBASH 999999999 91 Sangamon 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 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1217 0 0 0 0 0 0 1217 0 0 1005456987 1457882417 16 Nurse Practitioners ALTMAN ASHLEY N 999999999 91 Sangamon 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 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 0 172 0 0 0 0 0 0 172 0 0 1005456998 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 27 0 0 0 0 0 0 27 0 0 1005457277 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 557 0 0 0 0 0 0 0 0 0 0 0 0 0 557 0 0 1005457469 1326588963 16 Nurse Practitioners LONG LAURA J 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2090 0 0 0 0 0 0 2090 0 0 1005457663 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 0 360 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 52589 0 0 0 0 0 0 0 0 0 0 0 0 0 52589 0 0 1005457703 1205195849 10 Physicians MEHTA BRINDA M. 999999999 80 Peoria 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 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 2952 0 0 0 0 0 0 2952 0 0 1005457960 1639531411 10 Physicians LANDI ANDREA J 999999999 30 DuPage 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 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1165 0 0 0 0 0 0 1165 0 0 1005458093 1356897540 16 Nurse Practitioners CHREST DANYEL 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 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 0 387 0 0 0 0 0 0 387 0 0 1005458204 16 Nurse Practitioners 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 109 0 0 0 0 0 0 109 0 0 1005458207 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005458383 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 34609 0 0 0 0 0 0 0 0 0 0 0 0 0 34609 0 0 1005458401 24 Speech Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 912 912 0 0 1005458463 1922331354 89 Physician Assistant Only(Encounter Only) DAVENPORT AMANDA C 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 29 0 0 0 0 0 0 29 0 0 1005458662 1073035085 33 Nursing Facilities ACCOLADE HEALTHCARE OF PONTIAC 999999999 61 Livingston 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 0 201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 639014 0 0 0 0 0 0 0 639014 0 0 1005458791 1285184713 16 Nurse Practitioners DAVIDSON KAITLYN R 999999999 91 Sangamon 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 0 199 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 2768 0 0 0 0 0 0 2768 0 0 1005458793 1902192677 10 Physicians MESSINGER MARINA 999999999 200 Cook 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 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36804 0 0 0 0 0 0 36804 0 0 1005459009 1124382783 10 Physicians BOND JENNIFER K 999999999 107 Will 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 6 0 120 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 513 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 513 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 10512 0 0 0 0 0 0 10612 0 0 1005459191 1417390584 10 Physicians CUNNINGHAM CHRISTY M 999999999 90 Saline 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 1 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 136 0 0 0 0 0 0 136 0 0 1005459197 1740225226 10 Physicians SAHNI ADARSH 999999999 96 St Clair 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 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 2843 0 0 0 0 0 0 2843 0 0 1005459392 1053854554 16 Nurse Practitioners ROBERTS EMILY 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 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 0 570 0 0 0 0 0 0 570 0 0 1005459567 1568730323 10 Physicians WINSTON JONATHAN D 999999999 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 132 0 1229 0 0 0 0 0 0 1361 0 0 1005459726 1609007582 10 Physicians MALIK RIZWAN 999999999 200 Cook 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 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 0 635 0 0 0 0 0 0 635 0 0 1005459781 1104222389 89 Physician Assistant Only(Encounter Only) GALAN MICHELLE 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 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 0 143 0 0 0 0 0 0 143 0 0 1005460931 1881031474 10 Physicians PUGNALE MICHAEL P 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 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 0 218 0 0 0 0 0 0 218 0 0 1005461224 1912391392 10 Physicians NG LOUISA 999999999 24 Coles 0 0 Emergency Medicine 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 0 162 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 8263 0 0 0 0 0 0 8263 0 0 1005461238 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 1005462034 1154743805 89 Physician Assistant Only(Encounter Only) SCOPP LAUREN R 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 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 1153 0 0 0 0 0 0 1153 0 0 1005462357 10 Physicians 200 Cook 0 0 Psychiatry 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 39 0 0 0 0 0 0 39 0 0 1005462518 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 16246 0 0 0 0 0 0 0 0 0 0 0 0 0 16246 0 0 1005462595 1881006435 10 Physicians ELLIS ANDREW J 999999999 200 Cook 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 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 2009 0 0 0 0 0 0 2009 0 0 1005462761 1851753305 10 Physicians BOBKO AIMEE ELIZABETH 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 6 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 3303 0 0 0 0 0 0 3374 0 0 1005462812 1316461957 11 Dentists HYKER JESSICA 999999999 200 Cook 0 0 General Dentistry 0 0 0 235 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 1400 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 1400 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 60845 0 0 0 0 0 0 0 0 0 0 0 1494 0 0 0 0 62339 0 0 1005463100 1619370392 89 Physician Assistant Only(Encounter Only) HANNA EMALEE J 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 846 0 0 0 0 0 0 846 0 0 1005464124 1700237583 13 Podiatrists ST. PETER RACHAEL M 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 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 24 0 0 0 0 0 0 24 0 0 1005464216 1740460286 16 Nurse Practitioners ROCHE THERESE H 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 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 0 180 0 0 0 0 0 0 180 0 0 1005464427 1851719645 10 Physicians LIU ALFRED 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 168 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 204 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 9741 0 0 0 0 0 0 9741 0 0 1005464622 1548617350 10 Physicians O''BRIEN REGINA L 999999999 30 DuPage 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 470 0 0 0 0 0 0 470 0 0 1005465189 1982134953 89 Physician Assistant Only(Encounter Only) FRAWLEY KATHERINE ANNE 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 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 0 149 0 0 0 0 0 0 149 0 0 1005465223 1659756716 10 Physicians EVANS MATTHEW 999999999 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 358 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 453 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 453 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5018 0 219 0 0 0 0 0 0 5237 0 0 1005465314 16 Nurse Practitioners 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005465548 1326337932 10 Physicians "HELLER, III RANDALL L" 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 337 0 205 0 0 0 0 0 0 542 0 0 1005465582 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 0 275 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 25015 0 0 0 0 0 0 0 0 0 0 0 0 0 25015 0 0 1005465986 1073809760 10 Physicians FEINSTEIN MATTHEW J 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1109 0 0 0 0 0 0 1109 0 0 1005466288 4005466288 91 Waiver service provider--Adults (DHS/DDD) KROEGER STEPHANIE 999999999 91 Sangamon 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 1032 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1032 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45086 0 0 0 0 0 0 0 0 0 0 0 0 0 45086 0 0 1005466749 1962795450 10 Physicians CHAN CHRISTINE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10418 0 0 0 0 0 0 10418 0 0 1005466773 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 0 716 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 0 0 0 0 0 54432 0 0 0 0 0 0 0 0 0 0 0 0 0 54432 0 0 1005466882 1679704100 10 Physicians MAMOU DANY 999999999 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 2 0 99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 118 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 118 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 142 0 2843 0 0 0 0 0 0 2985 0 0 1005467046 1699943902 23 Occupational Therapists NASO MARK 999999999 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 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 0 284 284 0 0 1005467055 1497285977 16 Nurse Practitioners HOGAN JORDAN E 999999999 10 Adams 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 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1195 0 0 0 0 0 0 1195 0 0 1005467228 10 Physicians 30 DuPage 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 106 0 0 1005467349 1689119752 16 Nurse Practitioners MEIER KATIE L 999999999 200 Cook 0 0 General Psychiatry Residency 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 0 101 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 2800 0 0 0 0 0 0 2800 0 0 1005467407 16 Nurse Practitioners 49 Jefferson 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 0 140 0 0 0 0 0 0 140 0 0 1005467652 1215223581 10 Physicians PATEL NINA 999999999 200 Cook 0 0 Internal Medicine 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 0 300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9886 0 0 0 0 0 0 9886 0 0 1005467684 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 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 1005468077 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13572 0 0 0 0 0 0 0 0 0 0 0 0 0 13572 0 0 1005468166 1104258284 24 Speech Therapists LANGENSTEIN JONELYN R 999999999 200 Cook 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 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 0 192 192 0 0 1005468223 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 0 259 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 28007 0 0 0 0 0 0 0 0 0 0 0 0 0 28007 0 0 1005468432 1396199162 10 Physicians EHLBECK KATHLEEN M 999999999 91 Sangamon 0 0 0 0 0 0 2 0 0 0 0 0 0 11 0 62 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 11 0 151 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 11 0 151 0 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 85 0 2249 0 0 0 0 0 0 2410 0 0 1005468487 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 0 127 0 0 0 0 0 0 127 0 0 1005468919 1447593629 16 Nurse Practitioners SAATKAMP MEGAN N 999999999 19 Champaign 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 81 0 0 0 0 0 0 81 0 0 1005469198 1548622178 16 Nurse Practitioners FULLER STEPHANIE N 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 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 0 170 0 0 0 0 0 0 170 0 0 1005469367 1063886935 89 Physician Assistant Only(Encounter Only) JOHNSON JEFFREY 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 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 0 199 0 0 0 0 0 0 199 0 0 1005469530 1699932640 10 Physicians VIRMANI SUMEET 606751611 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 8 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 221 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 221 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 112 0 3988 0 0 0 0 0 0 4100 0 0 1005469681 1952728958 10 Physicians HUSAIN ZAYN S 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 1 0 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 158 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 158 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 315 0 0 3835 0 0 0 0 0 0 4150 0 0 1005469695 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 22311 0 0 0 0 0 0 0 0 0 0 0 0 0 22311 0 0 1005469709 1235667445 16 Nurse Practitioners ROMERO GINA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1035 0 0 0 0 0 0 1035 0 0 1005469863 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 20793 0 0 0 0 0 0 0 0 0 0 0 0 0 20793 0 0 1005469872 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 0 177 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 15001 0 0 0 0 0 0 0 0 0 0 0 0 0 15001 0 0 1005470064 1821401506 10 Physicians BARNELL MORGAN COLE 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 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 0 730 0 0 0 0 0 0 730 0 0 1005471309 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 0 361 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 0 0 0 0 0 0 0 0 0 0 0 0 15444 0 0 0 0 0 0 0 0 0 0 0 0 0 15444 0 0 1005471345 1720215387 10 Physicians BEASER ANDREW D 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 751 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1082 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1082 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 6501 0 0 0 0 0 0 6504 0 0 1005471434 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1341 0 0 0 0 0 0 1341 0 0 1005471776 1710241260 16 Nurse Practitioners TAYLOR JENNIFER H. 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005471907 1770039075 33 Nursing Facilities "ALDEN COURTS OF SHOREWOOD, INC" 999999999 107 Will 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 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1360 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 158712 0 0 0 0 0 0 0 158712 0 0 1005472058 1164955142 16 Nurse Practitioners CHIMA KELECHI R 999999999 107 Will 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 479 0 0 0 0 0 0 479 0 0 1005472114 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 13745 0 0 0 0 0 0 0 0 0 0 0 0 0 13745 0 0 1005472117 1386932192 10 Physicians STORK ANGELA K 999999999 89 Rock Island 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 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4143 0 0 0 0 0 0 4143 0 0 1005472186 1033550660 89 Physician Assistant Only(Encounter Only) ROCHE NORA A 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 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 0 604 0 0 0 0 0 0 604 0 0 1005472596 21 Licensed Practical Nurses 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 216 0 0 1005472636 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 743 0 0 0 0 0 0 743 0 0 1005472976 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 27963 0 0 0 0 0 0 0 0 0 0 0 0 0 27963 0 0 1005473206 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 15823 0 0 0 0 0 0 0 0 0 0 0 0 0 15823 0 0 1005473281 1568877959 10 Physicians BRINK LINDSAY M 999999999 10 Adams 0 0 Pediatrics 0 0 0 0 5 0 0 0 0 0 0 4 0 18 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 4 0 52 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 4 0 52 0 0 0 0 0 0 0 0 0 91 0 0 0 0 0 0 17 0 2929 0 0 0 0 0 0 3037 0 0 1005473288 1841518818 10 Physicians HOLLIS TAEMYN K 999999999 200 Cook 0 0 Pediatrics 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 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 11768 0 0 0 0 0 0 11768 0 0 1005473318 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 0 159 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 21986 0 0 0 0 0 0 0 0 0 0 0 0 0 21986 0 0 1005473750 10 Physicians 109 Winnebago 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 78 0 0 0 0 0 0 78 0 0 1005473921 10 Physicians 109 Winnebago 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 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 1491 0 0 0 0 0 0 1491 0 0 1005474011 1548689870 10 Physicians KUMAR ANUP 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 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 4828 0 0 0 0 0 0 4828 0 0 1005474032 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 251 0 0 0 0 0 0 251 0 0 1005474048 1346770914 16 Nurse Practitioners GUIAB MARK NORBERT 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 527 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3367 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3367 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18100 0 0 0 0 0 0 18100 0 0 1005474128 1841501962 10 Physicians HO BRYANT 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 962 0 0 0 0 0 0 1033 0 0 1005474288 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 137 0 0 1005475003 10 Physicians 30 DuPage 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 119 0 0 0 0 0 0 119 0 0 1005475127 30 General Hospitals 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 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 0 378 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 822 0 0 0 0 0 822 0 0 1005475250 1497298996 16 Nurse Practitioners SIDBERRY REBECCA L 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 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 53 0 0 0 0 0 0 53 0 0 1005475524 1891057568 10 Physicians ALNIEMI SABA 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 245 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 245 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 10125 0 0 0 0 0 0 10134 0 0 1005476018 1275995722 10 Physicians GOODMAN COLIN DOUGLAS 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 4 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 9529 0 0 0 0 0 0 9549 0 0 1005476394 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 0 259 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 26632 0 0 0 0 0 0 0 0 0 0 0 0 0 26632 0 0 1005476546 1992124143 10 Physicians EJIDIKE MARYANNE N 999999999 80 Peoria 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 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005477372 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 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 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 1005477615 1467763599 10 Physicians GARCIA-SOSA REBECCA 999999999 200 Cook 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 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 5924 0 0 0 0 0 0 5924 0 0 1005477660 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5320 0 0 0 0 0 0 0 0 0 0 0 0 0 5320 0 0 1005477924 1063860187 16 Nurse Practitioners ATCHLEY ROBERT 999999999 24 Coles 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 0 139 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 4834 0 0 0 0 0 0 4834 0 0 1005478123 1518379239 10 Physicians RAHMANI SOLMAZ 999999999 47 Jackson 0 0 Family Practice 0 0 0 0 4 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 173 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 173 0 0 0 0 0 0 0 0 0 545 0 0 0 0 0 0 0 0 4213 0 0 0 0 0 0 4758 0 0 1005478262 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 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25812 0 0 0 0 0 0 0 0 0 0 0 0 0 25812 0 0 1005478354 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 26938 0 0 0 0 0 0 0 0 0 0 0 0 0 26938 0 0 1005478381 87 Psychologist(Encounter Only) 53 Kane 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 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 1380 0 0 0 0 0 0 1380 0 0 1005478675 1386646032 89 Physician Assistant Only(Encounter Only) BROOKS DAVID ETHAN 999999999 106 Whiteside 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 0 107 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 2406 0 0 0 0 0 0 2406 0 0 1005478809 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 0 199 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 16781 0 0 0 0 0 0 0 0 0 0 0 0 0 16781 0 0 1005478825 1366880908 10 Physicians BROWN STACY S 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 1 0 0 0 0 0 0 6 0 37 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 6 0 59 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 6 0 59 0 0 0 0 0 0 0 0 0 119 0 0 0 0 0 0 164 0 4892 0 0 0 0 0 0 5175 0 0 1005479341 1407080575 10 Physicians WOO VINCENT K 999999999 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 409 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 639 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 639 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9905 0 0 0 0 0 0 9905 0 0 1005479773 89 Physician Assistant Only(Encounter Only) 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 14 0 0 1005479868 1720427859 10 Physicians SCHMIDT MAGDALENA 999999999 53 Kane 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 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 4080 0 0 0 0 0 0 4080 0 0 1005480091 1093264756 16 Nurse Practitioners KUNZ DAWN 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 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 0 505 0 0 0 0 0 0 505 0 0 1005480220 1902249105 13 Podiatrists AHMED SYED 999999999 200 Cook 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 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 960 0 0 0 0 0 0 960 0 0 1005480271 1558806539 16 Nurse Practitioners ARIAS GIOCONDA C 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 109 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 1001 0 0 0 0 0 0 1001 0 0 1005480359 1891962148 10 Physicians CHU DAVID 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5782 0 0 0 0 0 0 5782 0 0 1005480444 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 23457 0 0 0 0 0 0 0 0 0 0 0 0 0 23457 0 0 1005480526 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 9071 0 0 0 0 0 0 0 0 0 0 0 0 0 9071 0 0 1005480546 1881009082 10 Physicians ALEXANDER ARISTIDES 999999999 200 Cook 0 0 Internal 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 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 3549 0 0 0 0 0 0 3549 0 0 1005480914 1699120188 10 Physicians BOYD THOMAS M 999999999 80 Peoria 0 0 Psychiatry 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 0 518 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 518 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23992 0 0 0 0 0 0 23992 0 0 1005481412 1982051017 10 Physicians LAYER SENURI NIMAYA 999999999 200 Cook 0 0 Internal Medicine 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 0 747 0 0 0 0 0 0 747 0 0 1005481608 10 Physicians 91 Sangamon 0 0 Urology 0 0 0 0 0 0 0 0 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 16 0 0 0 0 0 0 16 0 0 1005481795 1043625270 10 Physicians BARNARD MELANIE 999999999 91 Sangamon 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 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 4461 0 0 0 0 0 0 4461 0 0 1005481850 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 11472 0 0 0 0 0 0 0 0 0 0 0 0 0 11472 0 0 1005482315 1053842039 10 Physicians KHAN ADIBA NASEEM 999999999 200 Cook 0 0 Family Practice 0 0 0 0 13 0 0 0 0 0 0 3 0 113 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 3 0 193 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 3 0 193 0 0 0 0 0 0 0 0 0 644 0 0 0 0 0 0 26 0 8144 0 0 0 0 0 0 8814 0 0 1005482789 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 121 0 0 1005482919 1285909481 10 Physicians SALAH AHMAD M 999999999 91 Sangamon 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 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 0 275 0 0 0 0 0 0 275 0 0 1005483009 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 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 0 294 294 0 0 1005483648 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 2 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 0 171 171 0 0 1005483661 1437681970 10 Physicians MARTIN JEROME JAMEEL 999999999 200 Cook 0 0 Emergency Medicine 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 0 159 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 2912 0 0 0 0 0 0 2912 0 0 1005483678 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 30900 0 0 0 0 0 0 0 0 0 0 0 0 0 30900 0 0 1005483728 1356861942 10 Physicians HUNTINGTON BRIAN THOMAS 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 9607 0 0 0 0 0 0 9607 0 0 1005483935 1689081861 10 Physicians DIEBOLD TODD 999999999 91 Sangamon 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 9 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 692 0 2725 0 0 0 0 0 0 3417 0 0 1005484008 1366521296 30 General Hospitals PRESENCE SAINT JOSEPH CHICAGO 606575640 200 Cook DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 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 0 118 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 0 0 0 0 0 0 0 0 0 0 0 0 128418 0 0 0 0 0 0 0 0 0 128418 0 0 1005484508 1932514106 10 Physicians EICHENAUER STOSH T 999999999 80 Peoria 0 0 Internal Medicine 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 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2016 0 0 0 0 0 0 2016 0 0 1005484642 10 Physicians 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 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 1005485042 1760688378 10 Physicians METZGER PAUL D. 999999999 53 Kane 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 27 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 545 0 6422 0 0 0 0 0 0 6967 0 0 1005485096 1023421807 10 Physicians LAGEDROST SARAH 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 171 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 2131 0 0 0 0 0 0 2131 0 0 1005485559 1356885453 16 Nurse Practitioners KURZE ANNE 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 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 1509 0 0 0 0 0 0 1509 0 0 1005485816 1184685174 89 Physician Assistant Only(Encounter Only) BARNES LAWRENCE C 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 0 200 0 0 0 0 0 0 200 0 0 1005486028 10 Physicians 200 Cook 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 22 0 0 0 0 0 0 0 0 22 0 0 1005486042 1245644152 10 Physicians BRUTON BLAKE A 999999999 96 St Clair 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 7337 0 0 0 0 0 0 7366 0 0 1005486091 10 Physicians 30 DuPage 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 66 0 0 0 0 0 0 66 0 0 1005486182 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 9260 0 0 0 0 0 0 0 0 0 0 0 0 0 9260 0 0 1005486218 1316231202 10 Physicians PATEL HIREN R 999999999 49 Jefferson 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 11 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 424 0 1402 0 0 0 0 0 0 1826 0 0 1005486444 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 1648 0 0 0 0 0 0 0 0 0 0 0 0 0 1648 0 0 1005486571 1306103577 10 Physicians SEARS NATHANIEL C 999999999 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 2 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 11 0 0 0 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 26 0 142 0 0 0 0 0 0 168 0 0 1005486575 1417488503 10 Physicians AL-GHAMDI RANA SAUD 999999999 200 Cook 0 0 Pediatrics 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 1025 0 0 0 0 0 0 1025 0 0 1005486614 1790010320 89 Physician Assistant Only(Encounter Only) CONCORDIA KEVIN C 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 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1922 0 0 0 0 0 0 1922 0 0 1005486679 12 Optometrists 200 Cook 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 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 0 106 0 0 0 0 0 0 106 0 0 1005487132 10 Physicians 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 0 106 0 0 0 0 0 0 106 0 0 1005487601 1275976144 10 Physicians ABDALLAH OSAMAH 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 346 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 346 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2130 0 0 0 0 0 0 2130 0 0 1005488275 1528508678 16 Nurse Practitioners FADONUGBO JOAN O 999999999 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 918 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 918 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 4466 0 0 0 0 0 0 4501 0 0 1005488294 1013464692 16 Nurse Practitioners WALKER MEGAN 999999999 108 Williamson 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 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 2512 0 0 0 0 0 0 2512 0 0 1005488320 16 Nurse Practitioners 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 62 0 0 1005488647 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 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 11653 0 0 0 0 0 0 0 0 0 0 0 0 0 11653 0 0 1005488745 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 0 304 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 304 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27777 0 0 0 0 0 0 0 0 0 0 0 0 0 27777 0 0 1005488812 1699937292 10 Physicians PRAKASH PRIYA S 999999999 30 DuPage 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 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 10538 0 0 0 0 0 0 10538 0 0 1005489322 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 18198 0 0 0 0 0 0 0 0 0 0 0 0 0 18198 0 0 1005489677 10 Physicians 65 Madison 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005490526 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 224 0 0 0 0 0 0 224 0 0 1005490610 24 Speech Therapists 80 Peoria 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 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 2568 2568 0 0 1005490677 1083158380 89 Physician Assistant Only(Encounter Only) GRANDI CATHERINE 999999999 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 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 0 631 0 0 0 0 0 0 631 0 0 1005490909 10 Physicians 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 173 0 0 0 0 0 0 173 0 0 1005491032 1659664985 10 Physicians ZIEGELBEIN JOEL DAVID 999999999 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 129 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2775 0 273 0 0 0 0 0 0 3048 0 0 1005491277 1194029876 91 Waiver service provider--Adults (DHS/DDD) OSWALD 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 Clinical Social Worker(Encounter Only) 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 109 0 0 0 0 0 0 109 0 0 1005493742 1033641279 16 Nurse Practitioners SHANKLIN KERRY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 116 0 0 1005494481 1043692007 10 Physicians LANKALA SHREYA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 307 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 12053 0 0 0 0 0 0 12053 0 0 1005495036 87 Psychologist(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 750 0 0 0 0 0 0 750 0 0 1005495366 1164861308 10 Physicians MILLER CHARLES R 999999999 80 Peoria 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 31 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 173 0 4529 0 0 0 0 0 0 4702 0 0 1005495461 1144774266 10 Physicians O'BRIEN FRANK J 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 163 0 0 0 0 0 0 165 0 0 1005495729 1356616494 10 Physicians HOLDER DEREK 999999999 200 Cook 0 0 Neurology 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 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 0 795 0 0 0 0 0 0 795 0 0 1005495737 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 662 0 0 0 0 0 0 0 0 0 0 0 0 0 662 0 0 1005495743 1609396860 16 Nurse 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 1063803476 10 Physicians HYON KATHERINE S 999999999 53 Kane 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 5 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 161 0 760 0 0 0 0 0 0 921 0 0 1005505275 1891165809 89 Physician Assistant Only(Encounter Only) BRIDGES ASHLEY 999999999 91 Sangamon 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 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1079 0 0 0 0 0 0 1079 0 0 1005505430 1386697191 89 Physician Assistant Only(Encounter Only) SALTZMAN JINA A 999999999 30 DuPage 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 0 173 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 2039 0 0 0 0 0 0 2039 0 0 1005505467 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 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 1478 0 0 0 0 0 0 0 0 0 0 0 0 0 1478 0 0 1005505816 1386856961 89 Physician Assistant Only(Encounter Only) WALKO KIMBERLY 999999999 53 Kane 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 70 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 458 0 0 0 0 0 0 0 0 3385 0 0 0 0 0 0 3843 0 0 1005506012 1184035578 10 Physicians MANKUS MARGARITA 999999999 54 Kankakee 0 0 Pediatrics 0 0 0 0 39 0 0 0 0 0 0 16 0 56 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 28 0 102 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 28 0 102 0 0 0 0 0 0 0 0 0 4121 0 0 0 0 0 0 714 0 3449 0 0 0 0 0 0 8284 0 0 1005506079 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12808 0 0 0 0 0 0 0 0 0 0 0 0 0 12808 0 0 1005506421 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 12006 0 0 0 0 0 0 0 0 0 0 0 0 0 12006 0 0 1005506813 1528473311 10 Physicians STEFFENS ASHLEY 999999999 80 Peoria 0 0 Dermatology 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 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 0 652 0 0 0 0 0 0 652 0 0 1005506882 1609181056 89 Physician Assistant Only(Encounter Only) SEDIVY AMANDA L 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1660 0 0 0 0 0 0 1660 0 0 1005506966 1447781224 16 Nurse Practitioners CARRICO JENNIFER L 999999999 63 Macon 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 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 1835 0 0 0 0 0 0 1835 0 0 1005507102 1275916918 10 Physicians SIDDIQUI SAUD A 999999999 30 DuPage 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 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 0 191 0 0 0 0 0 0 191 0 0 1005507210 1629041710 10 Physicians ANANI ASHRAF 999999999 200 Cook 0 0 Internal Medicine 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 1324 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1324 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12747 0 0 0 0 0 0 12747 0 0 1005507444 1346601895 86 Clinical Social Worker(Encounter Only) MARKOVITCH BROOKE A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 196 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 5598 0 0 0 0 0 0 5598 0 0 1005507453 1790947224 10 Physicians TRIKALINOS NIKOLAOS 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 0 278 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 0 0 0 0 0 0 0 0 0 0 0 0 108666 0 0 0 0 0 0 108666 0 0 1005508106 10 Physicians 53 Kane 0 0 Emergency 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 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 242 0 0 1005508223 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 0 349 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 349 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23959 0 0 0 0 0 0 0 0 0 0 0 0 0 23959 0 0 1005508310 1700308996 16 Nurse Practitioners MATTHEWS AMANDA S 999999999 80 Peoria 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 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 1321 0 0 0 0 0 0 1321 0 0 1005508775 1407118318 10 Physicians MORITZ MICHAEL S 999999999 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 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 58 0 0 0 0 0 0 0 0 58 0 0 1005508874 1609290840 89 Physician Assistant Only(Encounter Only) JAVAID BASMA 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 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 66 0 0 0 0 0 0 66 0 0 1005509350 1417224098 10 Physicians PATEL MILAP 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 973 0 7805 0 0 0 0 0 0 8778 0 0 1005509436 1376072009 10 Physicians POLUS HANNAH CLAIRE 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 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 0 748 0 0 0 0 0 0 748 0 0 1005510022 1336589480 10 Physicians TRILLO ALVAREZ LUDWIG 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 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 0 540 0 0 0 0 0 0 540 0 0 1005510417 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2555 0 0 0 0 0 0 0 0 0 0 0 0 0 2555 0 0 1005510881 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5154 0 0 0 0 0 0 0 0 0 0 0 0 0 5154 0 0 1005511432 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 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 0 126 126 0 0 1005511655 10 Physicians 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 170 0 0 0 0 0 0 170 0 0 1005511963 1154717569 89 Physician Assistant Only(Encounter Only) HORNADAY KRISTIN 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 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 72 0 0 0 0 0 0 72 0 0 1005512202 1578013215 16 Nurse Practitioners WILLIAMS SONAL 999999999 109 Winnebago 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 0 112 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 6324 0 0 0 0 0 0 6324 0 0 1005512258 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 248 0 0 0 0 0 0 248 0 0 1005512416 1710249610 10 Physicians BREWER ERIC 999999999 24 Coles 0 0 Orthopedic Surgery 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 0 466 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 466 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14582 0 0 0 0 0 0 14582 0 0 1005512447 1447515374 10 Physicians ADARAMOLA DORCAS 999999999 91 Sangamon 0 0 Psychiatry 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 0 203 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 7324 0 0 0 0 0 0 7324 0 0 1005512572 1003216953 10 Physicians BANGASH IMTIAZ H 999999999 91 Sangamon 0 0 Internal Medicine 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 0 270 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 1558 0 0 0 0 0 0 1558 0 0 1005512607 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 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 1005512876 1477819258 10 Physicians SUM DAVID K 999999999 71 McHenry 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6014 0 0 0 0 0 0 6014 0 0 1005513188 1689112096 87 Psychologist(Encounter Only) PANDIT ANJALI 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 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 0 404 0 0 0 0 0 0 404 0 0 1005513695 1043628589 10 Physicians MANSOUR WALEED 999999999 80 Peoria 0 0 Emergency Medicine 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 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 1769 0 0 0 0 0 0 1769 0 0 1005514165 1578012084 48 Rural Health Clinics WABASH GENERAL HOSPITAL PRIMAR 999999999 101 Wabash 0 0 0 0 360 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1535 0 142 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1535 0 142 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44371 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44371 0 0 1005514556 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 489 0 0 0 0 0 0 489 0 0 1005514736 87 Psychologist(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 132 0 0 0 0 0 0 132 0 0 1005514738 1538439799 89 Physician Assistant Only(Encounter Only) CRACKEL CASSANDRA L 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 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 0 142 0 0 0 0 0 0 142 0 0 1005514992 87 Psychologist(Encounter Only) 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 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 1005515071 1083970602 10 Physicians DESOUCHES STEPHANE L 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 5 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 304 0 21 0 0 0 0 0 0 325 0 0 1005515140 1164962817 16 Nurse Practitioners DUMM CONNIE 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 0 164 0 0 0 0 0 0 164 0 0 1005515150 1508942319 10 Physicians CHALLA HARIGOVINDA 999999999 24 Coles 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 400 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 641 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 641 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7564 0 262 0 0 0 0 0 0 7826 0 0 1005515220 1902871742 10 Physicians WILSON KENNETH L 999999999 30 DuPage 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4579 0 0 0 0 0 0 4579 0 0 1005515243 1992992804 89 Physician Assistant Only(Encounter Only) MYREN MARK F 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 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 0 315 0 0 0 0 0 0 315 0 0 1005515274 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 0 190 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 23771 0 0 0 0 0 0 0 0 0 0 0 0 0 23771 0 0 1005515298 1316177587 10 Physicians SHARMA ANKUR 999999999 107 Will 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 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6211 0 0 0 0 0 0 6211 0 0 1005515361 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 34461 0 0 0 0 0 0 0 0 0 0 0 0 0 34461 0 0 1005515741 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3364 0 0 0 0 0 0 0 0 0 0 0 0 0 3364 0 0 1005515915 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 23788 0 0 0 0 0 0 0 0 0 0 0 0 0 23788 0 0 1005515984 1861873226 10 Physicians COHEN JOSEPH 999999999 200 Cook 0 0 Orthopedic Surgery 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 0 105 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 16859 0 0 0 0 0 0 16859 0 0 1005516141 1134350366 87 Psychologist(Encounter Only) BERNHARDT NICOLETTE 999999999 30 DuPage 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 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 1398 0 0 0 0 0 0 1398 0 0 1005516161 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 4548 0 0 0 0 0 0 0 0 0 0 0 0 0 4548 0 0 1005516200 1568996213 89 Physician Assistant Only(Encounter Only) FRANKLIN BRIDGET Q 999999999 65 Madison 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 834 0 0 0 0 0 0 918 0 0 1005516815 1497276505 16 Nurse Practitioners SCHULTZ LAURIE 999999999 27 Dekalb 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 362 0 0 0 0 0 0 362 0 0 1005517007 60 Pharmacies 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 690 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4261 0 0 0 4261 0 0 1005517143 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 0 168 0 0 0 0 0 0 168 0 0 1005517293 1700337474 16 Nurse Practitioners SMITH ANNELISE 999999999 80 Peoria 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 181 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 181 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 4139 0 0 0 0 0 0 4161 0 0 1005517304 1942591433 10 Physicians GHADIALI QURAISH 999999999 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 4 0 110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 375 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 375 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 62934 0 0 0 0 0 0 62964 0 0 1005517349 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 429 0 0 0 0 0 0 0 0 0 0 0 0 0 429 0 0 1005517664 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 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 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68 0 0 0 0 0 68 0 0 1005518184 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 22082 0 0 0 0 0 0 0 0 0 0 0 0 0 22082 0 0 1005518403 1265788632 89 Physician Assistant Only(Encounter Only) BELL BROOKE N 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 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 1334 0 0 0 0 0 0 1334 0 0 1005518418 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 23439 0 0 0 0 0 0 0 0 0 0 0 0 0 23439 0 0 1005518814 1891052817 10 Physicians FARLEY LEAH F 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 6 0 0 0 0 0 0 1 0 4 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 1 0 6 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 1 0 6 0 0 0 0 0 0 0 0 0 531 0 0 0 0 0 0 15 0 306 0 0 0 0 0 0 852 0 0 1005519112 1427408459 10 Physicians PURSEGLOVE HANNAH 999999999 91 Sangamon 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 0 265 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 3815 0 0 0 0 0 0 3815 0 0 1005519318 70 Ambulance Service Providers 852 Wisconsin 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 1254 0 0 0 0 0 0 1254 0 0 1005519542 1366982233 16 Nurse Practitioners OLUWOLE OLUMIDE 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 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 0 898 0 0 0 0 0 0 898 0 0 1005519681 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 0 168 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 27237 0 0 0 0 0 0 0 0 0 0 0 0 0 27237 0 0 1005519842 1902172083 10 Physicians MARTIN JONATHAN W 999999999 200 Cook 0 0 Internal Medicine 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 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 73 0 0 0 0 0 0 73 0 0 1005519874 1578095147 16 Nurse Practitioners SCHRAM NICOLE 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 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 1309 0 0 0 0 0 0 1309 0 0 1005520025 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 13 0 0 1005520495 1265759716 10 Physicians SUN JEAN 999999999 200 Cook 0 0 Neurology 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 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 0 657 0 0 0 0 0 0 657 0 0 1005520540 1134495658 10 Physicians PALE JOSEPH R 999999999 71 McHenry 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 856 0 0 0 0 0 0 856 0 0 1005520543 1881014967 10 Physicians PETERS KRYSTA 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 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 2733 0 0 0 0 0 0 2733 0 0 1005520905 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 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 0 635 635 0 0 1005521459 1881913499 10 Physicians LEWIS CHRISTOPHER B 999999999 91 Sangamon 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 1 0 7 0 0 0 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 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 868 0 0 0 0 0 0 874 0 0 1005521500 1508963604 89 Physician Assistant Only(Encounter Only) ROYER ANGELIA K 999999999 91 Sangamon 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 0 124 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 2102 0 0 0 0 0 0 2102 0 0 1005521827 1932644036 16 Nurse Practitioners BAXTER JOSHUA DANE 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 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 3527 0 0 0 0 0 0 3527 0 0 1005521904 10 Physicians 65 Madison 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83 0 0 0 0 0 0 83 0 0 1005522269 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005522485 1487174744 16 Nurse Practitioners WILKINSON JOSHUA J 999999999 37 Fulton 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 0 304 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 304 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6842 0 0 0 0 0 0 6842 0 0 1005522489 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 1005522565 1194269738 16 Nurse Practitioners YEAGER ERIC M 999999999 10 Adams 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 0 157 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 5581 0 0 0 0 0 0 5581 0 0 1005522647 1376985630 10 Physicians SHAH NIKET 999999999 200 Cook 0 0 Internal Medicine 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 0 112 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 3483 0 0 0 0 0 0 3483 0 0 1005522928 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 0 260 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 28145 0 0 0 0 0 0 0 0 0 0 0 0 0 28145 0 0 1005523729 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 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13732 0 0 0 0 0 0 0 0 0 0 0 0 0 13732 0 0 1005523909 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 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28722 0 0 0 0 0 0 0 0 0 0 0 0 0 28722 0 0 1005524167 1770037947 16 Nurse Practitioners VICK JASON 999999999 30 DuPage 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 6 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 24 0 0 0 0 0 0 0 0 0 364 0 0 0 0 0 0 0 0 638 0 0 0 0 0 0 1002 0 0 1005524324 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 0 122 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 18792 0 0 0 0 0 0 0 0 0 0 0 0 0 18792 0 0 1005524397 1780121756 16 Nurse Practitioners TINSLEY JENNIFER K 999999999 91 Sangamon 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 0 204 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 6392 0 0 0 0 0 0 6392 0 0 1005524549 1588795819 87 Psychologist(Encounter Only) PEARMAN TIMOTHY P 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 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 0 353 0 0 0 0 0 0 353 0 0 1005524726 1477530186 89 Physician Assistant Only(Encounter Only) HANNA BECKY 999999999 91 Sangamon 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 306 0 0 0 0 0 0 671 0 0 1005525092 1518401090 16 Nurse Practitioners ANDREWS THERESA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 679 0 0 0 0 0 0 679 0 0 1005525272 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 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1005525561 1851746101 16 Nurse Practitioners AICHER TRACY M 999999999 200 Cook 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 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 0 308 0 0 0 0 0 0 308 0 0 1005526085 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 1005526147 1598122178 10 Physicians WILLIAMS JAMES R 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 1005526166 1063952000 16 Nurse Practitioners ANDERSON ALLYSON 999999999 63 Macon 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 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 1585 0 0 0 0 0 0 1585 0 0 1005526562 10 Physicians 106 Whiteside 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 81 0 0 0 0 0 0 81 0 0 1005526606 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 18732 0 0 0 0 0 0 0 0 0 0 0 0 0 18732 0 0 1005526747 1407392491 16 Nurse Practitioners RIGGINS MICHELLE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 971 0 0 0 0 0 0 971 0 0 1005526851 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 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 1486 0 0 0 0 0 0 0 0 0 0 0 0 0 1486 0 0 1005526906 10 Physicians 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 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 0 293 0 0 0 0 0 0 293 0 0 1005527045 1912432766 89 Physician Assistant Only(Encounter Only) CONTI JOHN RICHARD 999999999 24 Coles 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 0 109 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 1001 0 0 0 0 0 0 1001 0 0 1005527063 1215479654 16 Nurse Practitioners INGOLD JENNIFER 999999999 30 DuPage 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 0 251 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 3499 0 0 0 0 0 0 3499 0 0 1005527125 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1005527321 1003365412 40 Federally Qualified Health Centers LEGACY MEDICAL CARE INC. 999999999 53 Kane 0 0 0 0 130 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34466 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34466 0 0 1005527397 1942414875 10 Physicians GAMBOA DAVID G 999999999 30 DuPage 0 0 Pediatrics 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 0 201 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 6011 0 0 0 0 0 0 6011 0 0 1005527897 1841712486 16 Nurse Practitioners BYTNAR SARA E 999999999 89 Rock Island 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 0 549 0 0 0 0 0 0 549 0 0 1005527956 1083096895 16 Nurse Practitioners KELLER RANITA R 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1256 0 0 0 0 0 0 1256 0 0 1005528063 1295197697 16 Nurse Practitioners GORDON SHINA K 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 967 0 0 0 0 0 0 967 0 0 1005528075 1518282565 10 Physicians NARANG VIVEK 999999999 200 Cook 0 0 Internal Medicine 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 0 274 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 8274 0 0 0 0 0 0 8274 0 0 1005528111 1912132580 10 Physicians SINGH MANMEET B 999999999 200 Cook 0 0 Clinical Pathology 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 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 3216 0 0 0 0 0 0 0 0 3216 0 0 1005528663 1689198335 91 Waiver service provider--Adults (DHS/DDD) KUCHAN COURTNEY 999999999 200 Cook 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 1552 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1552 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101404 0 0 0 0 0 0 0 0 0 0 0 0 0 101404 0 0 1005528874 1831646991 16 Nurse Practitioners SHELHORSE KRISTEN A 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 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 2206 0 0 0 0 0 0 2206 0 0 1005529701 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 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 0 302 0 0 0 0 0 0 0 0 0 0 0 0 0 302 0 0 1005529865 1972899748 10 Physicians BROWN NICHOLAS 999999999 91 Sangamon 0 0 Orthopedic Surgery 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 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10464 0 0 0 0 0 0 10464 0 0 1005530485 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 13 13 0 0 1005530918 10 Physicians 57 Lake 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105 0 0 0 0 0 0 0 0 105 0 0 1005530984 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 16200 0 0 0 0 0 0 0 0 0 0 0 0 0 16200 0 0 1005531044 1932335627 89 Physician Assistant Only(Encounter Only) PANJWANI POORNIMA 999999999 107 Will 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 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 68 0 0 0 0 0 0 68 0 0 1005531056 1790050953 10 Physicians TSAI RICHARD 999999999 200 Cook 0 0 Radiology Diagnosis 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 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 0 371 0 0 0 0 0 0 0 0 371 0 0 1005531367 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 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 0 991 0 0 0 0 0 0 991 0 0 1005531413 1396159075 10 Physicians PALMA ALEJANDRO A 999999999 30 DuPage 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 231 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 249 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 249 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 5749 0 0 0 0 0 0 5799 0 0 1005531416 1669788162 89 Physician Assistant Only(Encounter Only) GUERRA KATHLEEN 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 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 0 445 0 0 0 0 0 0 445 0 0 1005531456 10 Physicians 58 La Salle 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 1005531564 16 Nurse Practitioners 45 Henry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 108 0 0 0 0 0 0 108 0 0 1005531583 1740697853 10 Physicians MAYUGA VALERIE V 999999999 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 326 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1524 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1524 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15592 0 0 0 0 0 0 15592 0 0 1005531601 1912261306 10 Physicians BAILEY ERIN E 999999999 37 Fulton 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3259 0 0 0 0 0 0 3259 0 0 1005532463 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 13752 0 0 0 0 0 0 0 0 0 0 0 0 0 13752 0 0 1005532588 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 0 133 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 26753 0 0 0 0 0 0 0 0 0 0 0 0 0 26753 0 0 1005532856 1295001659 10 Physicians KALATHIYA ROHAN J 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 5 0 674 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 1039 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 1039 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85 0 13298 0 0 0 0 0 0 13383 0 0 1005533138 1003213364 10 Physicians SAHA DEBJIT 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4190 0 0 0 0 0 0 4190 0 0 1005533139 10 Physicians 89 Rock Island 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 62 0 0 0 0 0 0 62 0 0 1005533281 1104196641 10 Physicians ADEKOLA HENRY 999999999 97 Stephenson 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 233 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 429 0 107 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 429 0 107 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47580 0 10294 0 0 0 0 0 0 57874 0 0 1005533574 1386694040 10 Physicians PIAMPIANO PETER 999999999 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 14 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 673 0 48 0 0 0 0 0 0 721 0 0 1005533595 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1610 0 0 0 0 0 0 0 0 0 0 0 0 0 1610 0 0 1005533657 1699086173 10 Physicians KIM JOSEPHINE S 999999999 200 Cook 0 0 Obstetric-Gynecology 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 3489 0 0 0 0 0 0 3489 0 0 1005533737 1174055966 16 Nurse Practitioners BROWN DENEE 999999999 49 Jefferson 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 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 0 451 0 0 0 0 0 0 451 0 0 1005533919 1275581803 10 Physicians YUEN LAWRENCE M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2910 0 0 0 0 0 0 2910 0 0 1005534118 1790226900 10 Physicians JACOB PRESTON ROBERT 999999999 200 Cook 0 0 Emergency Medicine 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 0 154 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 5979 0 0 0 0 0 0 5979 0 0 1005534188 1164979399 16 Nurse Practitioners JONES MILENA 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 853 0 0 0 0 0 0 853 0 0 1005534456 1144771981 24 Speech Therapists HOFFER LINDSAY J 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 465 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 465 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33841 33841 0 0 1005534635 1962865519 16 Nurse Practitioners WOLAK JACQUELINE 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 0 383 0 0 0 0 0 0 383 0 0 1005534919 1184086332 10 Physicians FRALINGER DAVID 999999999 200 Cook 0 0 Orthopedic Surgery 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 0 433 0 0 0 0 0 0 433 0 0 1005535211 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 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 6326 0 0 0 0 0 0 0 0 0 0 0 0 0 6326 0 0 1005535479 1881840791 16 Nurse Practitioners GRAVEN STACEY A 999999999 91 Sangamon 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 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 0 279 0 0 0 0 0 0 279 0 0 1005535556 1588105944 16 Nurse Practitioners JELLEN PAMELA 999999999 49 Jefferson 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 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 4528 0 0 0 0 0 0 4528 0 0 1005535967 16 Nurse Practitioners 57 Lake 0 0 0 0 0 0 0 0 0 0 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 1005536006 1114464625 16 Nurse Practitioners TER SAAKYANTS MILA 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 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 0 538 0 0 0 0 0 0 538 0 0 1005536263 1457733438 10 Physicians WILSON CRAIG J 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 271 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 271 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 7327 0 0 0 0 0 0 7355 0 0 1005536276 1679911333 10 Physicians D''SOUZA SHERRY M 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 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 0 769 0 0 0 0 0 0 769 0 0 1005536614 1255781886 10 Physicians KRUS AMANDA 999999999 91 Sangamon 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 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 0 394 0 0 0 0 0 0 394 0 0 1005536704 1952340754 10 Physicians MEHL ROBERT 999999999 200 Cook 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 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 0 230 0 0 0 0 0 0 0 0 230 0 0 1005536710 1972844199 16 Nurse Practitioners DOSHI SONAL R 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 23 0 0 1005537095 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 10151 0 0 0 0 0 0 0 0 0 0 0 0 0 10151 0 0 1005537282 1831551332 10 Physicians BROOK MELISSA JOY 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 199 0 0 0 0 0 0 199 0 0 1005537311 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 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27497 0 0 0 0 0 0 0 0 0 0 0 0 0 27497 0 0 1005537444 1124557939 10 Physicians WHITE OLIVIA 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 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 0 537 0 0 0 0 0 0 537 0 0 1005537564 1659744167 48 Rural Health Clinics IVCH MEDICAL GROUP PERU MEDICA 999999999 58 La Salle 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1526 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1526 0 0 1005537748 1629459078 10 Physicians WUNDER JOSHUA A 999999999 200 Cook 0 0 Emergency Medicine 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 0 132 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 8218 0 0 0 0 0 0 8218 0 0 1005537825 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 0 204 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 16329 0 0 0 0 0 0 0 0 0 0 0 0 0 16329 0 0 1005538033 1316399421 86 Clinical Social Worker(Encounter Only) KELLY CAROLYN 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 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 0 846 0 0 0 0 0 0 846 0 0 1005538040 94 Waiver service provider--Children's support (DHS/DDD) 96 St Clair 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 18136 0 0 0 0 0 0 0 0 0 0 0 0 0 18136 0 0 1005538505 1487974267 10 Physicians PRADHAN NRIPESH 999999999 109 Winnebago 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 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 0 689 0 0 0 0 0 0 689 0 0 1005538509 1578877924 10 Physicians BRAWLEY MEREDITH C 999999999 109 Winnebago 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 19 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1237 0 9368 0 0 0 0 0 0 10605 0 0 1005539004 1679015358 87 Psychologist(Encounter Only) GATTUSO JONNA L 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 3557 0 0 0 0 0 0 3557 0 0 1005539269 1629458526 10 Physicians SEHRING MATTHEW 999999999 80 Peoria 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 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2179 0 0 0 0 0 0 2179 0 0 1005539332 1114301975 89 Physician Assistant Only(Encounter Only) MALLARD DAINA M. 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 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 1039 0 0 0 0 0 0 1039 0 0 1005539462 1235659723 11 Dentists PATEL PARTH K 999999999 200 Cook 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 326 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 326 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 17849 0 0 0 0 0 0 0 0 0 0 0 1776 0 0 0 0 19625 0 0 1005540092 23 Occupational Therapists 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 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 2198 2198 0 0 1005540207 1497884134 89 Physician Assistant Only(Encounter Only) BEVERLIN STEFANI 999999999 33 Effingham 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 0 190 0 0 0 0 0 0 190 0 0 1005540245 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 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 2 0 0 1005540663 1255763561 10 Physicians RUKMANGADACHAR LOKESH ANKENAHA 999999999 200 Cook 0 0 Neurology 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 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 0 804 0 0 0 0 0 0 804 0 0 1005540857 10 Physicians 19 Champaign 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 0 105 0 0 0 0 0 0 105 0 0 1005541065 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 214 0 0 0 0 0 0 214 0 0 1005541291 10 Physicians 10 Adams 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 23 0 0 0 0 0 0 23 0 0 1005541634 1700337417 87 Psychologist(Encounter Only) THORRUD KATIE MUN-MING CHAN 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 0 342 0 0 0 0 0 0 342 0 0 1005541768 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 16563 0 0 0 0 0 0 0 0 0 0 0 0 0 16563 0 0 1005542041 1831480888 10 Physicians ARCOS VICENTE 999999999 200 Cook 0 0 Colon - Rectal Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1483 0 0 0 0 0 0 1483 0 0 1005542281 1710185392 10 Physicians VRECENAK JESSE 999999999 53 Kane 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 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 3040 0 0 0 0 0 0 3040 0 0 1005542499 1710392428 10 Physicians HOSSLER ANDREW J 999999999 91 Sangamon 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 3 0 30 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 3 0 104 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 3 0 104 0 0 0 0 0 0 0 0 0 77 0 0 0 0 0 0 20 0 1040 0 0 0 0 0 0 1137 0 0 1005542734 1114455573 12 Optometrists BRENART ROBERT F 999999999 55 Kendall 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 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1983 0 0 0 0 0 0 1983 0 0 1005542795 10 Physicians 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0 122 0 0 1005542944 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 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 6630 0 0 0 0 0 0 0 0 0 0 0 0 0 6630 0 0 1005542945 1417241944 10 Physicians GENTILE NICOLE MARIE 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 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3239 0 0 0 0 0 0 3239 0 0 1005543036 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005543070 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 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 2972 0 0 0 0 0 0 0 0 0 0 0 0 0 2972 0 0 1005543123 1487069266 10 Physicians RATNARAJ FELICIA 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 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 0 548 0 0 0 0 0 0 548 0 0 1005543796 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 0 337 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 337 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33253 0 0 0 0 0 0 0 0 0 0 0 0 0 33253 0 0 1005543888 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 20315 0 0 0 0 0 0 0 0 0 0 0 0 0 20315 0 0 1005544142 1629332754 10 Physicians GANDAM VENKATA SHYAM KIRAN 999999999 91 Sangamon 0 0 Internal 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 0 139 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 2715 0 0 0 0 0 0 2715 0 0 1005544155 1790190999 10 Physicians HAGENE MICHELLE L 999999999 60 Lee 0 0 Pediatrics 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 5 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 0 636 0 0 0 0 0 0 746 0 0 1005544157 1306282561 10 Physicians HENSLEY LAUREN 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 1 0 0 0 0 0 0 69 0 34 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 99 0 42 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 99 0 42 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 4401 0 3203 0 0 0 0 0 0 7708 0 0 1005544159 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 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 0 681 0 0 0 0 0 0 0 0 0 0 0 0 0 681 0 0 1005544171 1174842926 89 Physician Assistant Only(Encounter Only) PATEL ISHANI P 999999999 30 DuPage 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 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 0 362 0 0 0 0 0 0 362 0 0 1005544184 1558897421 16 Nurse Practitioners MAYER DEANA M 999999999 80 Peoria 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 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 0 380 0 0 0 0 0 0 380 0 0 1005544353 1417476375 24 Speech Therapists RIVERA MORGAN 999999999 91 Sangamon 0 0 0 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 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 428 428 0 0 1005544524 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 3 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 1641 1641 0 0 1005544542 1689009516 10 Physicians JAFRI MOHSIN 999999999 24 Coles 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8643 0 0 0 0 0 0 8643 0 0 1005544618 10 Physicians 108 Williamson 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 1005544755 60 Pharmacies 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 59 0 0 0 59 0 0 1005544857 1902096928 10 Physicians KENTOSH JOSHUA B 999999999 80 Peoria 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 0 320 0 0 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 0 0 0 0 0 0 0 0 0 0 6468 0 0 0 0 0 0 6468 0 0 1005545074 1629499769 87 Psychologist(Encounter Only) FANK PATRICIA 999999999 91 Sangamon 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 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 1240 0 0 0 0 0 0 1240 0 0 1005545130 1972757557 89 Physician Assistant Only(Encounter Only) TURNER MEAGAN M 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 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 3346 0 0 0 0 0 0 3346 0 0 1005545352 1013444934 16 Nurse Practitioners ANTICEVICH SHERYL 999999999 200 Cook 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 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 5860 0 0 0 0 0 0 5860 0 0 1005545354 1336541192 24 Speech Therapists SMITH ERIKA 999999999 91 Sangamon 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 0 103 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 0 948 948 0 0 1005545520 1023373198 10 Physicians GRIFFIN LINDSAY M 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 216 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5729 0 1046 0 0 0 0 0 0 6775 0 0 1005545702 1558523464 10 Physicians TAYLOR MONTOYA 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 2325 0 0 0 0 0 0 2329 0 0 1005545856 1699193490 10 Physicians THOMAS ANN 999999999 200 Cook 0 0 Pediatrics 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 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 3899 0 0 0 0 0 0 3899 0 0 1005546435 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1625 0 0 0 0 0 0 0 0 0 0 0 0 0 1625 0 0 1005546525 1639600034 36 Community mental health provider "GATEWAY SERVICES, INC" 999999999 15 Bureau 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 411 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 411 0 0 626 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44947 0 0 45573 0 0 1005546600 1982989687 89 Physician Assistant Only(Encounter Only) DECKER COURTNEY A 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 0 174 0 0 0 0 0 0 174 0 0 1005547082 1740670736 16 Nurse Practitioners ROTHERT HEATHER N 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3004 0 0 0 0 0 0 3004 0 0 1005547141 1386735074 89 Physician Assistant Only(Encounter Only) HOFNER MAURYA E 999999999 91 Sangamon 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 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 987 0 0 0 0 0 0 987 0 0 1005547410 10 Physicians 200 Cook 0 0 Plastic Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1376 0 0 0 0 0 0 1376 0 0 1005547906 1588108203 16 Nurse Practitioners LATORIA SARAH 999999999 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 2476 0 0 0 0 0 0 2496 0 0 1005548639 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 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 0 243 0 0 0 0 0 0 0 0 0 0 0 0 0 243 0 0 1005548649 1457893661 16 Nurse Practitioners SANCHEZ ELIZABETH 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 936 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 936 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9605 0 0 0 0 0 0 9605 0 0 1005549366 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 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16305 0 0 0 0 0 0 0 0 0 0 0 0 0 16305 0 0 1005549849 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 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27347 0 0 0 0 0 0 0 0 0 0 0 0 0 27347 0 0 1005550204 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 174 0 0 0 0 0 0 174 0 0 1005550266 89 Physician Assistant Only(Encounter Only) 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005550309 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 14256 0 0 0 0 0 0 0 0 0 0 0 0 0 14256 0 0 1005550479 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 1005550515 1578911756 10 Physicians GOYAL ANITA VIJAY 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 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 2283 0 0 0 0 0 0 2283 0 0 1005550651 1114449519 16 Nurse Practitioners SHIRO LYNDA A 999999999 97 Stephenson 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 929 0 0 0 0 0 0 929 0 0 1005550680 1508283599 10 Physicians VIEN ALBERT C 999999999 30 DuPage 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 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6432 0 0 0 0 0 0 6432 0 0 1005550691 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 87 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 0 1005550701 1417299330 10 Physicians TAYLOR RYAN J 999999999 30 DuPage 0 0 Physical Medicine/Rehabilitation 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1207 0 0 0 0 0 0 1207 0 0 1005550778 1245520410 10 Physicians HINZ ERICA 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 11 0 292 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 336 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 336 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 444 0 247659 0 0 0 0 0 0 248103 0 0 1005550967 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 0 166 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 23443 0 0 0 0 0 0 0 0 0 0 0 0 0 23443 0 0 1005551028 10 Physicians 200 Cook 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 30 0 0 0 0 0 0 0 0 30 0 0 1005551195 10 Physicians 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 0 125 0 0 0 0 0 0 125 0 0 1005551605 1902287956 10 Physicians PATEL NAEEM I 999999999 200 Cook 0 0 Family Practice 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 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2021 0 0 0 0 0 0 2021 0 0 1005551642 1629528443 16 Nurse Practitioners PATEL SEJALBEN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4678 0 0 0 0 0 0 4678 0 0 1005551998 1477949204 10 Physicians KOMISAR MIRIAM ALANA 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 9 0 0 0 0 0 0 3 0 6 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 3 0 7 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 3 0 7 0 0 0 0 0 0 0 0 0 1500 0 0 0 0 0 0 6 0 191 0 0 0 0 0 0 1697 0 0 1005552170 1316481898 60 Pharmacies PRIME PLUS PHARMACY 999999999 200 Cook 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 0 962 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33444 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74593 0 0 0 74593 0 0 1005552296 1629595749 24 Speech Therapists BUKSA KATARZYNA T 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 344 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 344 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26080 26080 0 0 1005552429 1598074353 10 Physicians GILLETTE NICKOLAS J 999999999 10 Adams 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 38 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 482 0 1794 0 0 0 0 0 0 2276 0 0 1005552682 1780830703 10 Physicians BOULOS DANY 999999999 97 Stephenson 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 721 0 0 0 0 0 0 721 0 0 1005553088 1821348988 16 Nurse Practitioners EDWARDS ELLA 999999999 47 Jackson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 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 1501 0 0 0 0 0 0 1501 0 0 1005554246 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2713 0 0 0 0 0 0 0 0 0 0 0 0 0 2713 0 0 1005554541 1992228365 16 Nurse Practitioners MADSEN BECKY L 999999999 109 Winnebago 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 1718 0 0 0 0 0 0 1718 0 0 1005554591 1447788393 10 Physicians BOCK KATHLEEN M 999999999 53 Kane 0 0 Family Practice 0 0 0 0 7 0 0 0 0 0 0 4 0 50 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 7 0 96 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 7 0 96 0 0 0 0 0 0 0 0 0 336 0 0 0 0 0 0 35 0 2601 0 0 0 0 0 0 2972 0 0 1005554744 22 Physical Therapists 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 63 63 0 0 1005554782 10 Physicians 30 DuPage 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 1005554881 1801145891 10 Physicians OCONNELL JOSEPH M 999999999 30 DuPage 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 0 336 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 52322 0 0 0 0 0 0 52322 0 0 1005555226 1518328624 16 Nurse Practitioners STONE CRYSTAL L 999999999 96 St Clair 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 167 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 167 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 2059 0 0 0 0 0 0 2070 0 0 1005555397 1417210931 10 Physicians LAYNE MIA 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 9 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 534 0 0 0 0 0 0 651 0 0 1005555473 1699967463 16 Nurse Practitioners DENNISON TONYA L 999999999 98 Tazewell 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 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 0 344 0 0 0 0 0 0 344 0 0 1005555726 87 Psychologist(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 441 0 0 0 0 0 0 441 0 0 1005555843 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1455 0 0 0 0 0 0 0 0 0 0 0 0 0 1455 0 0 1005555858 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9682 0 0 0 0 0 0 0 0 0 0 0 0 0 9682 0 0 1005555864 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28325 0 0 0 0 0 0 0 0 0 0 0 0 0 28325 0 0 1005556129 1730224908 10 Physicians KELLY KENNETH J 999999999 109 Winnebago 0 0 Emergency Medicine 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 0 233 0 0 0 0 0 0 233 0 0 1005556349 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 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20062 0 0 0 0 0 0 0 0 0 0 0 0 0 20062 0 0 1005556615 1962781559 10 Physicians BHUPALI DEEPA 999999999 200 Cook 0 0 Neurology 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 0 111 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 2105 0 0 0 0 0 0 2105 0 0 1005556923 1629388483 89 Physician Assistant Only(Encounter Only) JONES LUCAS 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 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 80 0 0 0 0 0 0 80 0 0 1005556947 1881134781 16 Nurse Practitioners FABIAN LETITIA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 785 0 0 0 0 0 0 785 0 0 1005557294 1891241329 16 Nurse Practitioners NELSON JENNIFER B 999999999 91 Sangamon 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 0 172 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 4765 0 0 0 0 0 0 4765 0 0 1005557465 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 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22442 0 0 0 0 0 0 0 0 0 0 0 0 0 22442 0 0 1005558333 1215348149 10 Physicians DINIOTIS BOBBY 999999999 200 Cook 0 0 Internal Medicine 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 0 132 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 1953 0 0 0 0 0 0 1953 0 0 1005558734 1053795765 10 Physicians SHARMA VIJAY K 999999999 15 Bureau 0 0 Family Practice 0 0 0 0 2 0 0 0 0 0 0 1 0 52 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 1 0 107 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 1 0 107 0 0 0 0 0 0 0 0 0 300 0 0 0 0 0 0 4 0 3002 0 0 0 0 0 0 3306 0 0 1005558984 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 106 0 0 1005559123 1316259799 10 Physicians SINHA JYOTSANA 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 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 1116 0 0 0 0 0 0 1116 0 0 1005559264 1053850586 16 Nurse Practitioners PENAS ALGER 999999999 19 Champaign 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 0 124 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 2619 0 0 0 0 0 0 2619 0 0 1005559525 1699855007 16 Nurse Practitioners COLLOPY JANET L 999999999 80 Peoria 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 576 0 0 0 0 0 0 0 0 729 0 0 0 0 0 0 1305 0 0 1005559787 89 Physician Assistant Only(Encounter Only) 109 Winnebago 0 0 0 0 0 0 0 0 0 0 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 1005559888 1306366794 16 Nurse Practitioners KOWALEWSKI CHRISTINE E 999999999 53 Kane 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 0 173 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 5714 0 0 0 0 0 0 5714 0 0 1005560065 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 18688 0 0 0 0 0 0 0 0 0 0 0 0 0 18688 0 0 1005560200 1447659800 10 Physicians KOTECHA TULSI J 999999999 200 Cook 0 0 Internal Medicine 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 0 143 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 2859 0 0 0 0 0 0 2859 0 0 1005560363 1811418718 10 Physicians THOMULKA JONATHAN 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 5 0 0 0 0 0 0 3 0 41 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 7 0 71 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 7 0 71 0 0 0 0 0 0 0 0 0 438 0 0 0 0 0 0 85 0 4083 0 0 0 0 0 0 4606 0 0 1005560459 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 25 0 0 1005560607 1386969079 10 Physicians WALLACE ADAM D 999999999 53 Kane 0 0 Neurology 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 2659 0 0 0 0 0 0 2659 0 0 1005560795 1609310960 16 Nurse Practitioners WIEZOREK EMILY A 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5305 0 0 0 0 0 0 5305 0 0 1005560853 1407254337 16 Nurse Practitioners GAVIOLA LADY ARIANE GARCIA 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 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 0 739 0 0 0 0 0 0 739 0 0 1005561181 14 Chiropractors 56 Knox 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 31 0 0 1005561448 1669883971 89 Physician Assistant Only(Encounter Only) RAJU JENNA M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 125 0 0 0 0 0 0 125 0 0 1005562320 1639593395 10 Physicians TELESFORD NATASHA A 999999999 200 Cook 0 0 Internal Medicine 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 0 175 0 0 0 0 0 0 175 0 0 1005562817 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 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13299 0 0 0 0 0 0 0 0 0 0 0 0 0 13299 0 0 1005563182 1750812145 10 Physicians TOBIN JAMES ROBERT 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 478 0 0 0 0 0 0 478 0 0 1005563294 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 0 569 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 569 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58753 0 0 0 0 0 0 0 0 0 0 0 0 0 58753 0 0 1005563464 1205135944 10 Physicians BURGE BETHANY 999999999 200 Cook 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 6 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 2995 0 0 0 0 0 0 3023 0 0 1005563478 1740579325 10 Physicians WOLFE KATIE 999999999 54 Kankakee 0 0 Pediatrics 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 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 6068 0 0 0 0 0 0 6068 0 0 1005563524 1629510581 16 Nurse Practitioners THOMPSON HEIDI 999999999 66 Marion 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 239 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 239 0 0 0 0 0 0 0 0 0 1002 0 0 0 0 0 0 0 0 7233 0 0 0 0 0 0 8235 0 0 1005563715 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 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 11223 0 0 0 0 0 0 0 0 0 0 0 0 0 11223 0 0 1005564380 1104002245 10 Physicians KUMAR NITIN 999999999 91 Sangamon 0 0 Internal Medicine 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 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2533 0 0 0 0 0 0 2533 0 0 1005564436 1184145682 10 Physicians AL-BAST BASMA 999999999 91 Sangamon 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 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 0 434 0 0 0 0 0 0 434 0 0 1005564707 1598130379 16 Nurse Practitioners DUFFY LAURA 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 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 2038 0 0 0 0 0 0 2038 0 0 1005564824 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005565062 1215393145 16 Nurse Practitioners VOSKUIL JANA 999999999 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 567 0 0 0 0 0 0 599 0 0 1005565370 1588973234 89 Physician Assistant Only(Encounter Only) GILBERTSON TIMOTHY 999999999 109 Winnebago 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 0 108 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 1036 0 0 0 0 0 0 1036 0 0 1005565424 1659511202 10 Physicians MAXWELL RYAN 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1335 0 0 0 0 0 0 1335 0 0 1005565484 1447516778 10 Physicians OLAFSEN NATHAN PARKE 999999999 200 Cook 0 0 Physical Medicine/Rehabilitation 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 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 135 0 0 0 0 0 0 146 0 0 1005565816 1609327212 16 Nurse Practitioners VISSER ALLISON 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 659 0 0 0 0 0 0 659 0 0 1005566125 1609259084 11 Dentists PALIN CHARLES 999999999 200 Cook 0 0 Maxillofacial Surgery 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 2561 0 0 0 0 0 0 0 0 0 0 0 1776 0 0 0 0 4337 0 0 1005566144 1750713541 89 Physician Assistant Only(Encounter Only) CRABTREE SHANNON E 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 156 0 0 0 0 0 0 156 0 0 1005566209 4005566209 16 Nurse Practitioners GULIK MICHELLE 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 157 0 0 0 0 0 0 157 0 0 1005566563 1023455680 10 Physicians FIGURA ANASTASIA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 129 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 4509 0 0 0 0 0 0 4509 0 0 1005566724 1740653872 16 Nurse Practitioners RODRIGUEZ NICOLE 999999999 106 Whiteside 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 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 0 143 0 0 0 0 0 0 143 0 0 1005566893 10 Physicians 89 Rock Island 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 174 0 0 1005567217 1174075204 16 Nurse Practitioners PASTOR SUSAN 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 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 0 272 0 0 0 0 0 0 272 0 0 1005567228 1235680521 16 Nurse Practitioners KUHN ELIZABETH A 999999999 53 Kane 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 0 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 449 0 0 0 0 0 0 449 0 0 1005567575 1124018817 89 Physician Assistant Only(Encounter Only) DABROWSKI SARA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 94 0 0 0 0 0 0 94 0 0 1005567720 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8327 0 0 0 0 0 0 0 0 0 0 0 0 0 8327 0 0 1005567767 1124375274 10 Physicians BLOCK ALEC 999999999 200 Cook 0 0 Radiation Oncology 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 0 175 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 2851 0 0 0 0 0 0 2851 0 0 1005567806 1720524911 16 Nurse Practitioners OAKLEY ARON R. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 422 0 0 0 0 0 0 422 0 0 1005567870 1558704700 10 Physicians ZAVERI RISHI 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 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1859 0 0 0 0 0 0 1859 0 0 1005567980 1801028162 10 Physicians JAMALVI SMZIA UL WAHAB 999999999 200 Cook 0 0 Internal 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 0 523 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 0 0 0 0 0 0 0 0 0 0 0 0 4658 0 0 0 0 0 0 4658 0 0 1005568009 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 0 192 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 30229 0 0 0 0 0 0 0 0 0 0 0 0 0 30229 0 0 1005568132 1932645165 16 Nurse Practitioners MAYER KYLE L 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 0 307 0 0 0 0 0 0 307 0 0 1005568197 1417914466 10 Physicians SANCHEZ-PALACIOS CARLA A 999999999 57 Lake 0 0 Dermatology 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 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 990 0 0 0 0 0 0 1008 0 0 1005569145 1164748026 10 Physicians SPENCER DREW A 999999999 200 Cook 0 0 Neurology Surgery 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 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 0 769 0 0 0 0 0 0 769 0 0 1005569557 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 0 184 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 6953 0 0 0 0 0 0 0 0 0 0 0 0 0 6953 0 0 1005569669 1700232733 10 Physicians HARRIETT LAUREN 999999999 30 DuPage 0 0 General 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 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 0 511 0 0 0 0 0 0 511 0 0 1005569937 1598920274 10 Physicians GULATI DHIRAJ 999999999 53 Kane 0 0 Internal Medicine 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 0 220 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 15982 0 0 0 0 0 0 15982 0 0 1005570011 1609845460 10 Physicians ALLY SAEED 999999999 19 Champaign 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 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 16560 0 0 0 0 0 0 16560 0 0 1005570027 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 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 19605 0 0 0 0 0 0 0 0 0 0 0 0 0 19605 0 0 1005570092 1851704043 10 Physicians KHADER SHAGUFTA 999999999 107 Will 0 0 0 0 0 0 2 0 0 0 0 0 0 7 0 17 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 11 0 37 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 11 0 37 0 0 0 0 0 0 0 0 0 153 0 0 0 0 0 0 64 0 1977 0 0 0 0 0 0 2194 0 0 1005570549 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 13 0 0 0 0 0 0 13 0 0 1005570563 1477843597 10 Physicians MCQUEEN PETER DOUGLAS 999999999 30 DuPage 0 0 Orthopedic Surgery 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 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4044 0 0 0 0 0 0 4044 0 0 1005570598 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 10582 0 0 0 0 0 0 0 0 0 0 0 0 0 10582 0 0 1005570893 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 24656 0 0 0 0 0 0 0 0 0 0 0 0 0 24656 0 0 1005570996 1740579531 10 Physicians DANG SABIN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 231 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 231 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9988 0 0 0 0 0 0 9988 0 0 1005571765 1932490075 10 Physicians WIGGINTON CHRISTINE A 999999999 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 148 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1392 0 751 0 0 0 0 0 0 2143 0 0 1005571774 1215466008 12 Optometrists HENNIG DEREK B 999999999 24 Coles 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 0 109 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 1037 0 0 0 0 0 0 1037 0 0 1005571798 1821334442 23 Occupational Therapists KRILL CHRISTINE ELIZABETH 999999999 91 Sangamon 0 0 0 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 0 372 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 372 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30163 30163 0 0 1005571841 1376917138 16 Nurse Practitioners NEGRETE MARIA F 999999999 107 Will 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 0 148 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 1526 0 0 0 0 0 0 1526 0 0 1005571860 1235671355 16 Nurse Practitioners BARLOCK BRIDGET M 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 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 1499 0 0 0 0 0 0 1499 0 0 1005572100 1295032555 10 Physicians MADUEKE-LAVEAUX OBIANUJU S 999999999 30 DuPage 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4016 0 0 0 0 0 0 4016 0 0 1005572411 1609306711 10 Physicians MONTES CORKERY NICOLE 999999999 91 Sangamon 0 0 Internal Medicine 0 0 0 0 1 0 0 0 0 0 0 1 0 33 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 54 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 760 0 0 0 0 0 0 770 0 0 1005572429 1013324748 10 Physicians KUMAR PARDEEP 999999999 19 Champaign 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 0 137 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 1723 0 0 0 0 0 0 1723 0 0 1005572452 10 Physicians 89 Rock Island 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 106 0 0 0 0 0 0 106 0 0 1005572469 1871030643 60 Pharmacies HEALTHDIRECT INSTITUTIONAL PHA 999999999 91 Sangamon 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 0 0 0 0 0 0 0 0 0 0 19662 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 514065 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 280264 0 0 0 280264 0 0 1005572636 1093078115 10 Physicians OHMAN JOHN W 999999999 200 Cook 0 0 Vascular Surgery 0 0 0 0 0 0 0 0 0 0 0 4 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2242 0 0 0 0 0 0 2242 0 0 1005573106 1740519552 16 Nurse Practitioners NEWTOFF MARISSA K 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 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 0 125 0 0 0 0 0 0 125 0 0 1005573115 1356894521 10 Physicians ZHANG TIAN R 999999999 91 Sangamon 0 0 Vascular Surgery 0 0 0 0 0 0 0 0 0 0 0 3 0 121 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 199 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 199 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 11248 0 0 0 0 0 0 11293 0 0 1005573133 1881905750 10 Physicians KING ADAM C 999999999 91 Sangamon 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 774 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1059 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1059 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9938 0 817 0 0 0 0 0 0 10755 0 0 1005573149 1811054620 89 Physician Assistant Only(Encounter Only) PATEL AVNI R 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 0 0 0 0 0 0 0 0 0 0 1005573406 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 27927 0 0 0 0 0 0 0 0 0 0 0 0 0 27927 0 0 1005573472 1174885792 10 Physicians WELLISCH LAWREN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32160 0 0 0 0 0 0 32160 0 0 1005573522 1841603750 10 Physicians GILL SAHIB S 999999999 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2772 0 0 0 0 0 0 2772 0 0 1005573841 1225263866 10 Physicians KRUPER GREGORY J 999999999 57 Lake 0 0 Otolaryngology 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 0 119 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 1878 0 0 0 0 0 0 1878 0 0 1005573851 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 6566 0 0 0 0 0 0 0 0 0 0 0 0 0 6566 0 0 1005573859 1164787792 10 Physicians HASHMI SYED AFFAN UL HAQ 999999999 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 862 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 862 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14575 0 0 0 0 0 0 14575 0 0 1005573973 1376098749 16 Nurse Practitioners BROUGHTON AMI L 999999999 91 Sangamon 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 1098 0 0 0 0 0 0 1183 0 0 1005575133 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 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 354 354 0 0 1005575641 1154396182 10 Physicians ARSHAD SYED M 999999999 65 Madison 0 0 Internal Medicine 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 820 0 0 0 0 0 0 820 0 0 1005575785 1326486895 10 Physicians PAINTER DANIEL C 999999999 109 Winnebago 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 0 101 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 2746 0 0 0 0 0 0 2746 0 0 1005575936 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 1005576005 1598031205 10 Physicians MIHALCIK STEPHEN ANDREW 999999999 200 Cook 0 0 Radiation Oncology 0 0 0 0 0 0 0 0 0 0 0 1 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 818 0 0 0 0 0 0 827 0 0 1005576100 1790071199 10 Physicians PATWA TANMAY P 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 423 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 423 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6951 0 0 0 0 0 0 6951 0 0 1005576573 1710434105 47 Local Education Agencies PLANO AREA SPECIAL EDUCATION C 999999999 55 Kendall 0 0 0 0 0 0 948 0 0 0 0 0 0 0 0 0 0 0 0 0 410 0 0 0 0 1859 0 0 0 0 0 0 0 0 0 0 0 0 0 9541 0 0 0 0 1859 0 0 0 0 0 0 0 0 0 0 0 0 0 9541 0 0 0 0 13006 0 0 0 0 0 0 0 0 0 0 0 0 0 163068 0 176074 0 0 1005576852 1891016606 10 Physicians KARUSH JUSTIN M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2699 0 0 0 0 0 0 2699 0 0 1005577088 1780613067 89 Physician Assistant Only(Encounter Only) KROHSE JOSHUA O 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 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 1505 0 0 0 0 0 0 1505 0 0 1005577248 1912248535 86 Clinical Social Worker(Encounter Only) VITT COLLEEN 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 0 124 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 0 877 0 0 0 0 0 0 877 0 0 1005577304 1508238221 16 Nurse Practitioners SULTANOVA GULZHAZIRA B 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3220 0 0 0 0 0 0 3220 0 0 1005577477 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 30268 0 0 0 0 0 0 0 0 0 0 0 0 0 30268 0 0 1005577603 1578019303 16 Nurse Practitioners KEMP LAUREN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 319 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 0 0 0 0 0 0 0 0 0 0 0 0 3411 0 0 0 0 0 0 3411 0 0 1005577658 1932116159 16 Nurse Practitioners GETTY KATHRYN 999999999 19 Champaign 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 207 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 207 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 7318 0 0 0 0 0 0 7332 0 0 1005577666 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 106 0 0 1005577832 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 23 0 0 1005577945 1225106420 10 Physicians JONES MYRON 999999999 10 Adams 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 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 0 658 0 0 0 0 0 0 658 0 0 1005578132 1679007629 16 Nurse Practitioners CARMONA CYNTHIA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 297 0 0 0 0 0 0 297 0 0 1005578364 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 0 156 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 0 0 0 0 0 10557 0 0 0 0 0 0 0 0 0 0 0 0 0 10557 0 0 1005578403 1316209844 10 Physicians CRAWFORD MEGAN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 2986 0 0 0 0 0 0 3017 0 0 1005578670 1558738237 89 Physician Assistant Only(Encounter Only) MOORE CHRISTINA L 999999999 63 Macon 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 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 0 140 0 0 0 0 0 0 140 0 0 1005578750 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 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 0 297 297 0 0 1005579064 1801186044 10 Physicians KAULAS HIMANSHU 999999999 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1661 0 0 0 0 0 0 1661 0 0 1005579161 1780002360 10 Physicians YOVANKIN TIMOTHY GEORGE 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 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 0 210 0 0 0 0 0 0 210 0 0 1005579211 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 0 146 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 17582 0 0 0 0 0 0 0 0 0 0 0 0 0 17582 0 0 1005579300 1639444110 89 Physician Assistant Only(Encounter Only) MARCIANO JANETTE 999999999 24 Coles 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 0 360 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 6593 0 0 0 0 0 0 6593 0 0 1005579493 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 0 185 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 17418 0 0 0 0 0 0 0 0 0 0 0 0 0 17418 0 0 1005579522 10 Physicians 65 Madison 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 10 0 0 0 0 0 0 10 0 0 1005579540 1174075147 16 Nurse Practitioners DONNELLY LORALEE 999999999 91 Sangamon 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 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5152 0 0 0 0 0 0 5152 0 0 1005580199 1073975728 10 Physicians LADNER BENJAMIN GRANT 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 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 1943 0 0 0 0 0 0 1943 0 0 1005580223 10 Physicians 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 18 0 0 1005580259 1639616543 10 Physicians BERMAN SAMANTHA A 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 166 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 3328 0 0 0 0 0 0 3328 0 0 1005580859 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 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10627 0 0 0 0 0 0 0 0 0 0 0 0 0 10627 0 0 1005580887 1629418454 10 Physicians MCCOY KARA 999999999 91 Sangamon 0 0 Obstetric-Gynecology 0 0 0 0 5 0 0 0 0 0 0 21 0 40 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 48 0 107 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 48 0 107 0 0 0 0 0 0 0 0 0 190 0 0 0 0 0 0 1883 0 6660 0 0 0 0 0 0 8733 0 0 1005581137 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 13267 0 0 0 0 0 0 0 0 0 0 0 0 0 13267 0 0 1005581224 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 28395 0 0 0 0 0 0 0 0 0 0 0 0 0 28395 0 0 1005581307 1689195778 10 Physicians MOHAMMED ASIYA S 999999999 91 Sangamon 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 118 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 4464 0 0 0 0 0 0 4464 0 0 1005581539 1164700399 89 Physician Assistant Only(Encounter Only) KEMPTON JESSICA N 999999999 30 DuPage 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 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 0 267 0 0 0 0 0 0 267 0 0 1005581721 1457883969 10 Physicians DEPIETRO REGINA H 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 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 0 637 0 0 0 0 0 0 637 0 0 1005582041 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 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 32 0 0 0 0 0 0 32 0 0 1005582576 10 Physicians 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 4 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 2 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 1005583081 1386907772 10 Physicians GAYESKI MEGAN A 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 241 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 3267 0 0 0 0 0 0 3267 0 0 1005583294 1972551737 11 Dentists MAZZOTTI ANN E 999999999 107 Will 0 0 0 0 0 14 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 1134 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1134 0 0 1005583926 1346617628 22 Physical Therapists INTERIAL NICHOLAS 999999999 45 Henry 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 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1587 1587 0 0 1005583946 1528439346 89 Physician Assistant Only(Encounter Only) MAY TRACEY 999999999 91 Sangamon 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 225 0 0 0 0 0 0 385 0 0 1005583969 1316280647 10 Physicians HORBERG JOHN V 999999999 91 Sangamon 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 42 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 681 0 1729 0 0 0 0 0 0 2410 0 0 1005584116 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 15890 0 0 0 0 0 0 0 0 0 0 0 0 0 15890 0 0 1005584269 75 Department of Alcohol and Substance Abuse Provider 72 McLean 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 1061 0 0 1061 0 0 1005584276 1427374891 10 Physicians CHRISTOPHER DERRICK 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 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 3799 0 0 0 0 0 0 3799 0 0 1005584613 1669886818 10 Physicians KONERU SRAVANTIKA 999999999 80 Peoria 0 0 Family Practice 0 0 0 0 9 0 0 0 0 0 0 0 0 70 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 0 993 0 0 0 0 0 0 0 0 2896 0 0 0 0 0 0 3889 0 0 1005584690 1033652243 16 Nurse Practitioners PATEL SONAL M 999999999 80 Peoria 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 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 0 511 0 0 0 0 0 0 511 0 0 1005584959 1154787182 86 Clinical Social Worker(Encounter Only) FEILER REBECCA 999999999 57 Lake 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2844 0 0 0 0 0 0 2844 0 0 1005585057 1669836706 10 Physicians DIAZ-RAMOS ALEXIS 999999999 53 Kane 0 0 Emergency Medicine 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 0 237 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 237 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6496 0 0 0 0 0 0 6496 0 0 1005585092 10 Physicians 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 118 0 0 1005585418 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 0 209 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 20007 0 0 0 0 0 0 0 0 0 0 0 0 0 20007 0 0 1005585456 1790228930 86 Clinical Social Worker(Encounter Only) BUTCHER JESSICA 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 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 1524 0 0 0 0 0 0 1524 0 0 1005585881 10 Physicians 200 Cook 0 0 Neurology 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 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 0 742 0 0 0 0 0 0 742 0 0 1005586045 1871831495 89 Physician Assistant Only(Encounter Only) KNIPPEL KAITLIN M 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 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 1228 0 0 0 0 0 0 1228 0 0 1005586149 1104258144 10 Physicians ANDROSOV ALEKSEY 999999999 24 Coles 0 0 Neurology Surgery 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 26 0 0 0 0 0 0 26 0 0 1005586356 1760909626 16 Nurse Practitioners CORLEY HANNAH K 999999999 58 La Salle 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 146 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 203 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 203 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 4619 0 0 0 0 0 0 4683 0 0 1005586697 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 0 121 0 0 0 0 0 0 121 0 0 1005586824 1396008116 10 Physicians SULEIMAN LINDA I 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 49 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 181 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 181 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 443 0 7337 0 0 0 0 0 0 7780 0 0 1005587041 1821493040 89 Physician Assistant Only(Encounter Only) BUTCHER MARISSA 999999999 91 Sangamon 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 0 184 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 7647 0 0 0 0 0 0 7647 0 0 1005587081 1033659081 16 Nurse Practitioners KNOCHEL RICK 999999999 10 Adams 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 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 0 437 0 0 0 0 0 0 437 0 0 1005587375 1265895239 13 Podiatrists BELL RICHARD H 999999999 97 Stephenson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 601 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 0 0 0 0 3884 0 0 0 0 0 0 3884 0 0 1005587498 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 0 123 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 11469 0 0 0 0 0 0 0 0 0 0 0 0 0 11469 0 0 1005587619 10 Physicians 53 Kane 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 320 0 0 0 0 0 0 320 0 0 1005587791 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 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 4325 0 0 0 0 0 0 0 0 0 0 0 0 0 4325 0 0 1005587992 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005588390 1417374356 10 Physicians CANTEY ERIC P 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 972 0 0 0 0 0 0 972 0 0 1005588413 10 Physicians 20 Christian 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 125 0 0 0 0 0 0 125 0 0 1005588429 1053576579 10 Physicians MEHTA AVANI TUSHAR 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1573 0 0 0 0 0 0 1573 0 0 1005588473 1992249585 16 Nurse Practitioners PANGANIBAN KAREN DIOMAMPO 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 483 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 483 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1364 0 0 0 0 0 0 1364 0 0 1005588783 1710285630 10 Physicians SIMPSON DUSTIN L 999999999 200 Cook 0 0 Radiology Diagnosis 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 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 0 135 0 0 0 0 0 0 0 0 135 0 0 1005588980 1568812279 12 Optometrists MCLAUGHLIN MALLORY J 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 119 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2892 0 1272 0 0 0 0 4164 0 0 1005589032 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 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 0 207 0 0 0 0 0 0 207 0 0 1005589346 1063846467 16 Nurse Practitioners JOHNSON MIKA 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 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 0 812 0 0 0 0 0 0 812 0 0 1005589432 1952539371 10 Physicians MARMA AMANDA 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 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 0 706 0 0 0 0 0 0 706 0 0 1005589656 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005589911 1497208011 23 Occupational Therapists GARCIA LAMAREE C 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 466 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 466 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35655 35655 0 0 1005590079 10 Physicians 200 Cook 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 0 231 0 0 0 0 0 0 231 0 0 1005590292 1053632422 10 Physicians HARTUPEE JUSTIN C 999999999 10 Adams 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 1364 0 0 0 0 0 0 1381 0 0 1005590445 16 Nurse Practitioners 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005590695 1689916785 10 Physicians KAPOOR VICTOR 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 0 143 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 2661 0 0 0 0 0 0 2661 0 0 1005590755 1245781558 89 Physician Assistant Only(Encounter Only) KRIPPINGER SHANNON M 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 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 31 0 0 0 0 0 0 31 0 0 1005590930 1518403716 16 Nurse Practitioners SOMMER ASHLEIGH 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 243 0 0 0 0 0 0 243 0 0 1005591067 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 38486 0 0 0 0 0 0 0 0 0 0 0 0 0 38486 0 0 1005591081 30 General Hospitals 818 Kentucky ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Children Section 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 213 0 0 0 0 0 213 0 0 1005591180 1952753576 16 Nurse Practitioners HEICHER HEATHER 999999999 24 Coles 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 0 181 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 2083 0 0 0 0 0 0 2083 0 0 1005591429 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005591468 1205923539 30 General Hospitals PRESENCE RESURRECTION MED CTR 606313707 200 Cook DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 General Hospital - Adult and Child 0 0 0 0 0 1472 0 0 0 0 870 0 0 0 2284 0 0 0 0 0 0 0 0 0 1943 0 0 0 0 1028 0 0 0 5325 0 0 0 0 0 0 0 0 0 1943 0 0 0 0 6481 0 0 0 5327 0 0 0 0 0 0 0 0 0 290378 0 0 0 0 3860223 0 0 0 622713 0 0 0 0 0 4773314 0 0 1005591847 1639693237 11 Dentists PATEL HARSHIL V 999999999 71 McHenry 0 0 General Dentistry 0 0 0 110 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 542 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 542 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 16910 0 0 0 0 0 0 0 0 0 0 0 3552 0 0 0 0 20462 0 0 1005591901 1013451681 23 Occupational Therapists KRONBERG JESSICA 999999999 200 Cook 0 0 0 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 0 407 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 407 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32720 32720 0 0 1005592121 1942734520 10 Physicians CHAPMAN JOHNE PHILIP 999999999 10 Adams 0 0 Emergency Medicine 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 0 139 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 3821 0 0 0 0 0 0 3821 0 0 1005592463 1609260561 10 Physicians ZAPATER JOSEPH LOUIS 999999999 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 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 0 743 0 0 0 0 0 0 743 0 0 1005593047 1487197034 16 Nurse Practitioners MCLAIN AMY 999999999 24 Coles 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 111 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 145 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 145 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 2495 0 0 0 0 0 0 2543 0 0 1005593072 1770025603 16 Nurse Practitioners HENRY JOHN C 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 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 609 0 0 0 0 0 0 609 0 0 1005593091 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 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 6 0 0 0 0 0 0 6 0 0 1005593784 1558746701 16 Nurse Practitioners COOPER ROBIN 999999999 80 Peoria 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 0 270 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 5597 0 0 0 0 0 0 5597 0 0 1005594047 1699036574 10 Physicians GOODLOE JEAN 999999999 80 Peoria 0 0 Anesthesiology 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 13 0 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 0 0 774 0 0 0 0 0 0 774 0 0 1005594282 24 Speech Therapists 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 222 222 0 0 1005594401 1417302316 36 Community mental health provider NORTH SUBURBS WRIGHT TERRACE C 600772387 200 Cook 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 776 0 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 776 0 0 3196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 78675 0 0 81871 0 0 1005594590 1982973459 10 Physicians VASNANI RAJ 999999999 107 Will 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 271 0 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 416 0 361 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 416 0 361 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5111 0 4198 0 0 0 0 0 0 9309 0 0 1005594680 1629384573 86 Clinical Social Worker(Encounter Only) COOK PATTY L 999999999 89 Rock Island 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 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 0 716 0 0 0 0 0 0 716 0 0 1005595225 1942651781 10 Physicians TWEET MARIT 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2504 0 0 0 0 0 0 2504 0 0 1005595428 1477091726 16 Nurse Practitioners IKENS TONI L 999999999 106 Whiteside 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 145 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 145 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 2143 0 0 0 0 0 0 2228 0 0 1005595588 1922366632 10 Physicians BELIKOFF BRYAN G 999999999 92 Schuyler 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 762 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1061 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1061 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12114 0 65 0 0 0 0 0 0 12179 0 0 1005595767 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 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28374 0 0 0 0 0 0 0 0 0 0 0 0 0 28374 0 0 1005596045 1316465297 91 Waiver service provider--Adults (DHS/DDD) MOSER RACHEL 999999999 96 St Clair 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 1504 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1504 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102868 0 0 0 0 0 0 0 0 0 0 0 0 0 102868 0 0 1005596181 1396832622 30 General Hospitals PRESENCE RESURRECTION MED CTR 606313707 200 Cook DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 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 0 459 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 267180 0 0 0 0 0 0 0 0 0 267180 0 0 1005596204 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 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 17766 0 0 0 0 0 0 0 0 0 0 0 0 0 17766 0 0 1005596231 1649709668 10 Physicians GUILLOTTE KENNETH 999999999 91 Sangamon 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7147 0 0 0 0 0 0 7147 0 0 1005596423 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 0 177 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 11061 0 0 0 0 0 0 0 0 0 0 0 0 0 11061 0 0 1005596696 1780948703 10 Physicians GUERRA RODAS DANIEL 999999999 200 Cook 0 0 Internal Medicine 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 1445 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1445 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12871 0 0 0 0 0 0 12871 0 0 1005597156 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 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 4039 0 0 0 0 0 0 0 0 0 0 0 0 0 4039 0 0 1005597286 1497172845 10 Physicians ABRAHAM IVY E 999999999 30 DuPage 0 0 Internal Medicine 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 0 279 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 3939 0 0 0 0 0 0 3939 0 0 1005597489 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 41 0 0 0 0 0 0 41 0 0 1005598175 1609216399 10 Physicians GADDIKERI RAMYA S 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1506 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2406 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2406 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16102 0 5 0 0 0 0 0 0 16107 0 0 1005598389 1164836722 10 Physicians SYED TAHA 999999999 19 Champaign 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 0 190 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 5224 0 0 0 0 0 0 5224 0 0 1005598509 1700308913 10 Physicians SANCHEZ GOMEZ JOSE R 999999999 109 Winnebago 0 0 Family Practice 0 0 0 0 6 0 0 0 0 0 0 6 0 41 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 13 0 65 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 13 0 65 0 0 0 0 0 0 0 0 0 906 0 0 0 0 0 0 85 0 1500 0 0 0 0 0 0 2491 0 0 1005598845 1861745218 10 Physicians MARELLA SRIMANNARAYANA 620628501 65 Madison 0 0 Family Practice 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 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 0 214 0 0 0 0 0 0 214 0 0 1005599616 1588607683 10 Physicians CHIDI ARATI 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 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 3549 0 0 0 0 0 0 3549 0 0 1005599741 89 Physician Assistant Only(Encounter Only) 96 St Clair 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 110 0 0 1005599935 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 778 0 0 0 0 0 0 0 0 0 0 0 0 0 778 0 0 1005599937 1619311644 10 Physicians DALAL ANKITA 999999999 200 Cook 0 0 Family Practice 0 0 0 0 9 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 59 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 59 0 0 0 0 0 0 0 0 0 621 0 0 0 0 0 0 0 0 1759 0 0 0 0 0 0 2380 0 0 1005600226 1942543665 10 Physicians MUNOZ JASMINE A 999999999 107 Will 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 63 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 82 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 82 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5189 0 7713 0 0 0 0 0 0 12902 0 0 1005600230 1225423668 10 Physicians MCGUIRE LAURA 999999999 200 Cook 0 0 Neurology Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9756 0 0 0 0 0 0 9756 0 0 1005600499 1558599175 10 Physicians HOOD KEITH C 999999999 53 Kane 0 0 Plastic Surgery 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 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 12831 0 0 0 0 0 0 12831 0 0 1005600517 1609230887 16 Nurse Practitioners GLAVIN SUZANNE R 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 288 0 0 0 0 0 0 288 0 0 1005601431 1871502955 16 Nurse Practitioners KEANE JANICE L 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 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 34 0 0 0 0 0 0 34 0 0 1005601496 1619233277 10 Physicians GARG ANJALI R 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 129 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 221 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 221 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 5406 0 0 0 0 0 0 5453 0 0 1005601889 89 Physician Assistant Only(Encounter Only) 30 DuPage 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 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 0 0 0 0 0 0 0 0 0 0 1005601922 1629336524 10 Physicians MANDAL RAKESH 999999999 89 Rock Island 0 0 Clinical Pathology 0 0 0 0 0 0 0 0 0 0 0 179 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 707 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 707 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5007 0 1371 0 0 0 0 0 0 6378 0 0 1005601978 1487819827 10 Physicians SHEIKH MARYAM 999999999 53 Kane 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 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 2910 0 0 0 0 0 0 2910 0 0 1005602458 1508131046 16 Nurse Practitioners HOLST LAURA 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 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 0 580 0 0 0 0 0 0 580 0 0 1005602730 1558733428 89 Physician Assistant Only(Encounter Only) RADEMACHER RACHEL A 999999999 80 Peoria 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 0 108 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 0 613 0 0 0 0 0 0 613 0 0 1005602761 1740725704 75 Department of Alcohol and Substance Abuse Provider GATEWAY FOUNDATION INC GURNEE 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 129 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 13323 0 0 13323 0 0 1005603167 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 24737 0 0 0 0 0 0 0 0 0 0 0 0 0 24737 0 0 1005603384 1851740161 10 Physicians KINSLEY KAREN 999999999 30 DuPage 0 0 Family Practice 0 0 0 0 7 0 0 0 0 0 0 4 0 36 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 5 0 65 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 5 0 65 0 0 0 0 0 0 0 0 0 678 0 0 0 0 0 0 28 0 1607 0 0 0 0 0 0 2313 0 0 1005603429 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0 122 0 0 1005603438 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 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 0 125 0 0 0 0 0 0 125 0 0 1005603498 1528359106 10 Physicians MILLER MARK D. 999999999 80 Peoria 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 0 112 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 9372 0 0 0 0 0 0 9372 0 0 1005603569 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 174 0 0 1005603677 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 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 0 460 0 0 0 0 0 0 0 0 0 0 0 0 0 460 0 0 1005603692 1972048528 16 Nurse Practitioners BUTTS CARRISSA A 999999999 53 Kane 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 0 118 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 1100 0 0 0 0 0 0 1100 0 0 1005604348 1306136668 10 Physicians MAYEKAR EMILY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66 0 1493 0 0 0 0 0 0 1559 0 0 1005604362 10 Physicians 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005604422 1245590330 10 Physicians WEINBERG STACY LAUREN 999999999 200 Cook 0 0 Internal Medicine 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 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 1229 0 0 0 0 0 0 1229 0 0 1005604730 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 6554 0 0 0 0 0 0 0 0 0 0 0 0 0 6554 0 0 1005605001 1598106882 10 Physicians LOMBARDI PAMELA 999999999 200 Cook 0 0 Radiology Diagnosis 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 0 176 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 0 987 0 0 0 0 0 0 0 0 987 0 0 1005605042 10 Physicians 30 DuPage 0 0 Anesthesiology 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 0 407 0 0 0 0 0 0 407 0 0 1005605186 16 Nurse Practitioners 72 McLean 0 0 0 0 0 0 0 0 0 0 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 1005605259 1275820359 10 Physicians MALIAKKAL JOSEPH 999999999 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 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 1422 0 0 0 0 0 0 1422 0 0 1005605508 1043755044 16 Nurse Practitioners CRAIG MARJORIE 999999999 80 Peoria 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 430 0 0 0 0 0 0 0 0 729 0 0 0 0 0 0 1159 0 0 1005605770 1073963799 10 Physicians PAGANI RODRIGO 999999999 200 Cook 0 0 Urology 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 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 3182 0 0 0 0 0 0 3182 0 0 1005605868 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 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 62 0 0 0 0 0 0 62 0 0 1005606044 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 27796 0 0 0 0 0 0 0 0 0 0 0 0 0 27796 0 0 1005606124 1518981752 10 Physicians ROONEY WALTER G 999999999 54 Kankakee 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 0 237 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 237 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3597 0 0 0 0 0 0 3597 0 0 1005606824 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 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 47 0 0 0 0 0 0 47 0 0 1005607025 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 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 1005607117 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 209 0 0 0 0 0 0 209 0 0 1005607199 1871736413 10 Physicians SUBOC TISHA MARIE B 999999999 200 Cook 0 0 Internal Medicine 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 0 425 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 0 0 0 0 0 0 0 0 0 0 0 0 7821 0 0 0 0 0 0 7821 0 0 1005607472 89 Physician Assistant Only(Encounter Only) 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 196 0 0 0 0 0 0 196 0 0 1005607495 1851849269 33 Nursing Facilities "ALDEN COURTS OF WATERFORD, LLC" 999999999 53 Kane 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 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2490 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 264425 0 0 0 0 0 0 0 264425 0 0 1005607515 1083917090 10 Physicians YASEEN ALSABBAGH MOHAMMED EYAD 999999999 89 Rock Island 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 594 0 0 0 0 0 0 594 0 0 1005607517 1356752679 10 Physicians CHEN MARGARET 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 3 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 4 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 17 0 0 0 0 0 0 0 0 0 232 0 0 0 0 0 0 0 0 1217 0 0 0 0 0 0 1449 0 0 1005607563 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26334 0 0 0 0 0 0 0 0 0 0 0 0 0 26334 0 0 1005607578 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 0 218 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 56880 0 0 0 0 0 0 0 0 0 0 0 0 0 56880 0 0 1005608211 1740574748 10 Physicians CIESLAK JOHN 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 9 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 3612 0 0 0 0 0 0 3682 0 0 1005609179 1952643694 10 Physicians ARIALIS AMY E 999999999 200 Cook 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 223 0 0 1005609279 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 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 1456 0 0 0 0 0 0 0 0 0 0 0 0 0 1456 0 0 1005609725 86 Clinical Social Worker(Encounter Only) 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 349 0 0 0 0 0 0 349 0 0 1005609969 10 Physicians 89 Rock Island 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 0 190 0 0 0 0 0 0 190 0 0 1005610258 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 0 167 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 0 0 0 0 0 12746 0 0 0 0 0 0 0 0 0 0 0 0 0 12746 0 0 1005610334 1912453945 16 Nurse Practitioners WICKENHAUSER DESIREE A 999999999 91 Sangamon 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 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 2512 0 0 0 0 0 0 2512 0 0 1005610377 1780122044 16 Nurse Practitioners DOBSCHUETZ DWAYNE C 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 599 0 0 0 0 0 0 599 0 0 1005610756 1588001275 10 Physicians CAVANAUGH ERIN 999999999 200 Cook 0 0 Obstetric-Gynecology 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 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 6987 0 0 0 0 0 0 6987 0 0 1005610777 1063772572 10 Physicians JONAS EMILY K 999999999 200 Cook 0 0 Emergency 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 0 153 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 3255 0 0 0 0 0 0 3255 0 0 1005610785 10 Physicians 109 Winnebago 0 0 General Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 80 0 0 0 0 0 0 80 0 0 1005611183 1528367836 10 Physicians MILLER JOHN R 999999999 200 Cook 0 0 Orthopedic Surgery 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 0 103 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 6708 0 0 0 0 0 0 6708 0 0 1005611454 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 0 226 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 29403 0 0 0 0 0 0 0 0 0 0 0 0 0 29403 0 0 1005611844 1922426618 10 Physicians CHANG JILL 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 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 3327 0 0 0 0 0 0 3327 0 0 1005611866 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 4738 0 0 0 0 0 0 0 0 0 0 0 0 0 4738 0 0 1005612629 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 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 3997 0 0 0 0 0 0 0 0 0 0 0 0 0 3997 0 0 1005612753 10 Physicians 89 Rock Island 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0 0 0 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 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 39 0 0 1005612847 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 17402 0 0 0 0 0 0 0 0 0 0 0 0 0 17402 0 0 1005612945 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 27616 0 0 0 0 0 0 0 0 0 0 0 0 0 27616 0 0 1005613013 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5109 0 0 0 0 0 0 0 0 0 0 0 0 0 5109 0 0 1005613135 1609118116 10 Physicians BYRNE ELIZABETH Z 999999999 91 Sangamon 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 0 181 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 5195 0 0 0 0 0 0 5195 0 0 1005613177 1023452661 10 Physicians MCLACHLAN BRETT M 999999999 200 Cook 0 0 Emergency Medicine 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 0 263 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 12002 0 0 0 0 0 0 12002 0 0 1005613188 16 Nurse Practitioners 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 251 0 0 0 0 0 0 251 0 0 1005613335 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 62 0 0 0 0 0 0 62 0 0 1005613401 1578096806 16 Nurse Practitioners AMPADU CLARA M 999999999 36 Franklin 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 0 245 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 1827 0 0 0 0 0 0 1827 0 0 1005613436 10 Physicians 200 Cook 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 83 0 0 0 0 0 0 0 0 83 0 0 1005613474 22 Physical Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 442 442 0 0 1005613539 1023223021 10 Physicians PEACOCK DENNIS A 999999999 200 Cook 0 0 Internal 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 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 1076 0 0 0 0 0 0 1076 0 0 1005613759 1740597111 10 Physicians NOEL NATASHA D 999999999 60 Lee 0 0 Pediatrics 0 0 0 0 35 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 0 0 0 103 0 0 0 0 0 0 0 0 137 0 0 0 0 0 0 0 0 0 103 0 0 0 0 0 0 0 0 137 0 0 0 0 0 0 0 0 0 3259 0 0 0 0 0 0 0 0 4805 0 0 0 0 0 0 8064 0 0 1005614221 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1919 0 0 0 0 0 0 0 0 0 0 0 0 0 1919 0 0 1005614249 1194767483 89 Physician Assistant Only(Encounter Only) RUZGA CLAUDINE 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 0 379 0 0 0 0 0 0 379 0 0 1005614268 1326329269 16 Nurse Practitioners SCHEIDING KATHRYN 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 142 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 0 0 0 0 0 0 0 0 0 0 5224 0 0 0 0 0 0 5224 0 0 1005614682 1780044156 30 General Hospitals FRESENIUS MEDICAL CARE SILVIS 999999999 89 Rock Island DIALYSIS Outpatient dialysis centers. 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 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1962 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48580 0 0 0 0 0 48580 0 0 1005615277 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 91 0 0 1005615491 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 42 0 0 1005615620 1982737789 16 Nurse Practitioners BRODT PAMELA S 999999999 91 Sangamon 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 0 110 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 1198 0 0 0 0 0 0 1198 0 0 1005615727 1699180950 10 Physicians KHAN AMIR A 999999999 53 Kane 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 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1512 0 0 0 0 0 0 1512 0 0 1005616425 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 0 266 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 19735 0 0 0 0 0 0 0 0 0 0 0 0 0 19735 0 0 1005616436 1508214669 10 Physicians BLANK KORY D 999999999 91 Sangamon 0 0 Orthopedic Surgery 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 0 196 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 4110 0 0 0 0 0 0 4110 0 0 1005616458 1659675601 16 Nurse Practitioners GUBBINS KIMBERLY A 999999999 30 DuPage 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 0 0 0 1471 0 0 0 0 0 0 0 0 3838 0 0 0 0 0 0 5309 0 0 1005616486 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 1005616512 1174069728 16 Nurse Practitioners DEUBLER MELYSSA K 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 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 0 689 0 0 0 0 0 0 689 0 0 1005616698 1194133850 10 Physicians ROY ASHISH K 999999999 80 Peoria 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 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4334 0 0 0 0 0 0 4334 0 0 1005616943 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 0 168 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 22776 0 0 0 0 0 0 0 0 0 0 0 0 0 22776 0 0 1005617060 1356402812 10 Physicians ARIKAN ISTIKLAL 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 433 0 2147 0 0 0 0 0 0 2580 0 0 1005617370 1255787156 16 Nurse Practitioners SCHNELL STEPHANIE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 429 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 429 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 1005617449 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005617455 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48920 0 0 0 0 0 0 0 0 0 0 0 0 0 48920 0 0 1005617497 1164876488 10 Physicians BODNAR SOPHIA NATALIE 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 203 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 4427 0 0 0 0 0 0 4427 0 0 1005617536 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 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 3879 0 0 0 0 0 0 0 0 0 0 0 0 0 3879 0 0 1005617633 1780066738 10 Physicians DAUGHERTY TIMOTHY H 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 497 0 0 0 0 0 0 497 0 0 1005617827 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005617894 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 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 80 0 0 0 0 0 0 80 0 0 1005618097 1184151177 16 Nurse Practitioners CUNNINGHAM ANNE T 999999999 109 Winnebago 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 0 1775 0 0 0 0 0 0 0 0 3298 0 0 0 0 0 0 5073 0 0 1005618547 1659316990 10 Physicians GARD SCOTT A 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 9 0 0 1005618655 1366982860 16 Nurse Practitioners MCGREAL KATHLEEN B 999999999 200 Cook 0 0 General Psychiatry Residency 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 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 1175 0 0 0 0 0 0 1175 0 0 1005619005 1730565649 87 Psychologist(Encounter Only) TOMASINO KATHRYN N 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 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 0 291 0 0 0 0 0 0 291 0 0 1005619162 1801910914 89 Physician Assistant Only(Encounter Only) RANTISSI LIZABETH S 999999999 109 Winnebago 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 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 2335 0 0 0 0 0 0 2335 0 0 1005619592 1194052829 10 Physicians KHAN RAFFAY S 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 9 0 270 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 995 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 995 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 14517 0 0 0 0 0 0 14526 0 0 1005619693 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 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 4649 0 0 0 0 0 0 0 0 0 0 0 0 0 4649 0 0 1005619935 1467902809 87 Psychologist(Encounter Only) PHILLIPS DEREK 999999999 24 Coles 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 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 2002 0 0 0 0 0 0 2002 0 0 1005620001 1023250511 10 Physicians TANNOUS PAUL 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19539 0 0 0 0 0 0 19539 0 0 1005620005 70 Ambulance Service Providers 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1243 0 0 0 0 0 0 1243 0 0 1005620434 1912265430 10 Physicians ALEXANDER ANUP J. 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1040 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1667 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1667 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9414 0 154 0 0 0 0 0 0 9568 0 0 1005620532 1295013100 10 Physicians MITRIC SLADJANA 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2082 0 0 0 0 0 0 2082 0 0 1005620730 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 28399 0 0 0 0 0 0 0 0 0 0 0 0 0 28399 0 0 1005621689 1447693577 10 Physicians SIDDIQUI FAIZA Q 999999999 200 Cook 0 0 Internal Medicine 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 0 356 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 356 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5645 0 0 0 0 0 0 5645 0 0 1005621880 1760681225 10 Physicians EL-SKEIKH OMAR M 999999999 53 Kane 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 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 0 584 0 0 0 0 0 0 584 0 0 1005621916 1376958637 10 Physicians SADOWSKI DANIEL J 999999999 109 Winnebago 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 8 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 97 0 5605 0 0 0 0 0 0 5702 0 0 1005621924 86 Clinical Social Worker(Encounter Only) 57 Lake 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 90 0 0 0 0 0 0 90 0 0 1005622118 1366671802 89 Physician Assistant Only(Encounter Only) BROWN DERRICK M 999999999 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 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 45 0 0 0 0 0 0 45 0 0 1005622181 1225479280 10 Physicians CHAN EDWIN Y 999999999 80 Peoria 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 2 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 404 0 0 0 0 0 0 404 0 0 1005622269 1851502421 89 Physician Assistant Only(Encounter Only) HAND KELLY R 999999999 47 Jackson 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 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 0 138 0 0 0 0 0 0 138 0 0 1005622298 1811447857 16 Nurse Practitioners KUBIS ERICA A 999999999 107 Will 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 0 291 0 0 0 0 0 0 291 0 0 1005622308 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 15079 0 0 0 0 0 0 0 0 0 0 0 0 0 15079 0 0 1005622421 1336692367 10 Physicians DALVI RUCHA H 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 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 1226 0 0 0 0 0 0 1226 0 0 1005622679 86 Clinical Social Worker(Encounter Only) 57 Lake 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 0 141 0 0 0 0 0 0 141 0 0 1005623700 1922426931 10 Physicians BIESIADA IZABELA 999999999 200 Cook 0 0 Neurology 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 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 0 155 0 0 0 0 0 0 155 0 0 1005624062 1023088655 89 Physician Assistant Only(Encounter Only) LANE LANCE 999999999 200 Cook 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 0 154 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 1035 0 0 0 0 0 0 1035 0 0 1005624238 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 29250 0 0 0 0 0 0 0 0 0 0 0 0 0 29250 0 0 1005624504 1952720377 10 Physicians ZARLENGO DOMINIC J 999999999 200 Cook 0 0 Pediatrics 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 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 4246 0 0 0 0 0 0 4246 0 0 1005624902 1063660611 10 Physicians HAN SEUNGHYE 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 66 0 0 0 0 0 0 66 0 0 1005624909 1770027369 55 Early Intervention Services JARMAN JESSICA M 999999999 91 Sangamon 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 1058 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1058 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65355 0 0 0 0 0 0 65355 0 0 1005625497 1518213537 10 Physicians ATRI GAURIKA M 999999999 200 Cook 0 0 Internal Medicine 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 1754 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1754 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9852 0 0 0 0 0 0 9852 0 0 1005625601 1811412885 16 Nurse Practitioners ARING MISCHAELA N 999999999 72 McLean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 193 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 4484 0 0 0 0 0 0 4484 0 0 1005625903 1891099776 16 Nurse Practitioners ABASOLO ROWENA 999999999 80 Peoria 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 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 1117 0 0 0 0 0 0 1117 0 0 1005626127 1548702954 16 Nurse Practitioners FOTI VICKI H 999999999 109 Winnebago 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 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 0 947 0 0 0 0 0 0 947 0 0 1005626403 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 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 1445 0 0 0 0 0 0 0 0 0 0 0 0 0 1445 0 0 1005626636 1215229935 10 Physicians ALIKHAN MIR B. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 524 0 48 0 0 0 0 0 0 572 0 0 1005626774 1316482557 16 Nurse Practitioners DELLAS CHRISTINE T 999999999 30 DuPage 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 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 1985 0 0 0 0 0 0 1985 0 0 1005627766 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 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 1704 0 0 0 0 0 0 0 0 0 0 0 0 0 1704 0 0 1005627887 1477968832 10 Physicians BURKOVA MARINA 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 153 0 0 0 0 0 0 153 0 0 1005628054 1255673570 10 Physicians KHAN YASMEEN JAMAL 999999999 200 Cook 0 0 Family Practice 0 0 0 0 5 0 0 0 0 0 0 1 0 36 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 1 0 77 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 1 0 77 0 0 0 0 0 0 0 0 0 415 0 0 0 0 0 0 2 0 1342 0 0 0 0 0 0 1759 0 0 1005628530 1770917288 65 Independent Diagnostic Testing Facility (IDTF) XCEL DIAGNOSTICS LLC 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1690 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4308 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4308 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7268 0 0 0 0 0 0 0 0 7268 0 0 1005628705 1902038094 10 Physicians O''SULLIVAN KATIE L 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 5 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 2602 0 0 0 0 0 0 2639 0 0 1005629034 1225471824 10 Physicians GARIBASHVILI KONSTANTIN Y 999999999 200 Cook 0 0 Anesthesiology 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 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3502 0 0 0 0 0 0 3502 0 0 1005629583 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 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 6083 0 0 0 0 0 0 0 0 0 0 0 0 0 6083 0 0 1005629698 1639613623 16 Nurse Practitioners SHTURMAK LARISA 999999999 30 DuPage 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 0 286 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 2325 0 0 0 0 0 0 2325 0 0 1005629855 1124441068 86 Clinical Social Worker(Encounter Only) FERNANDEZ LIZABETH 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 0 120 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 5469 0 0 0 0 0 0 5469 0 0 1005630091 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 0 344 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 344 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16679 0 0 0 0 0 0 0 0 0 0 0 0 0 16679 0 0 1005630160 1073913356 23 Occupational Therapists MCGAUGHY ASHLEY 999999999 107 Will 0 0 0 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 0 151 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 12931 12931 0 0 1005630821 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 0 118 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 9262 0 0 0 0 0 0 0 0 0 0 0 0 0 9262 0 0 1005631288 1912430703 16 Nurse Practitioners SINHA RAHUL 999999999 35 Ford 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 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 0 893 0 0 0 0 0 0 893 0 0 1005631620 10 Physicians 91 Sangamon 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 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 0 377 0 0 0 0 0 0 377 0 0 1005631641 1477973691 10 Physicians NAUGHTON MARY BRENNAN 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 188 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 324 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 324 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 5309 0 0 0 0 0 0 5314 0 0 1005631782 10 Physicians 88 Richland 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 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 0 156 0 0 1005631814 1861758849 10 Physicians BURJEK NICHOLAS 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 7841 0 0 0 0 0 0 7841 0 0 1005631881 1760899090 16 Nurse Practitioners ONWUEKWE OBIAJULU 999999999 19 Champaign 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 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2591 0 0 0 0 0 0 2591 0 0 1005631976 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 0 285 0 0 0 0 0 0 0 0 0 0 0 0 0 285 0 0 1005632003 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 420 0 0 0 0 0 0 0 0 0 0 0 0 0 420 0 0 1005632091 1972896447 10 Physicians LANGENFELD DEAN T 999999999 47 Jackson 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 0 228 0 0 0 0 0 0 228 0 0 1005632350 1255539789 10 Physicians CHAHIN SALIM 999999999 30 DuPage 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 166 0 0 0 0 0 0 166 0 0 1005632473 1285999334 10 Physicians GOTH STEPHEN 999999999 98 Tazewell 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 623 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 779 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 779 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9177 0 820 0 0 0 0 0 0 9997 0 0 1005632475 1295049377 10 Physicians JAWAD AHMED 999999999 200 Cook 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 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 1983 0 0 0 0 0 0 1983 0 0 1005632738 94 Waiver service provider--Children's support (DHS/DDD) 89 Rock Island 0 0 0 0 0 0 0 0 2 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 0 0 0 0 0 0 0 0 0 0 142 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2600 0 0 0 0 0 0 0 0 0 0 0 0 0 2600 0 0 1005632824 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 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 0 844 0 0 0 0 0 0 0 0 0 0 0 0 0 844 0 0 1005633002 1902210792 10 Physicians BROTHERTON GUSSIE D 999999999 826 Missouri 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 299 0 0 0 0 0 0 299 0 0 1005633453 1780014647 89 Physician Assistant Only(Encounter Only) CASALI KELSEY 999999999 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005633715 89 Physician Assistant Only(Encounter Only) 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 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 51 0 0 0 0 0 0 51 0 0 1005634107 1972049641 40 Federally Qualified Health Centers SIU CENTER FOR FAMILY MEDICINE 626562604 62 Logan 0 1 0 0 343 0 3 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 2213 0 3 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 2213 0 3 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 92132 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92132 0 0 1005634230 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 9297 0 0 0 0 0 0 0 0 0 0 0 0 0 9297 0 0 1005634318 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 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 0 516 0 0 0 0 0 0 0 0 0 0 0 0 0 516 0 0 1005634388 1518215318 11 Dentists LABLONDE BRIAN 999999999 200 Cook 0 0 0 0 0 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28902 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28902 0 0 1005634522 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 134 0 0 0 0 0 0 0 0 0 0 0 0 0 134 0 0 1005634619 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 0 249 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 30274 0 0 0 0 0 0 0 0 0 0 0 0 0 30274 0 0 1005635355 1891158960 24 Speech Therapists FLAJOLE MOLLY ALEXANDRA 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 0 324 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 324 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22957 22957 0 0 1005635376 1487195905 16 Nurse Practitioners BOS ASHLEY N 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 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 0 575 0 0 0 0 0 0 575 0 0 1005635762 16 Nurse Practitioners 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3 0 0 1005636023 1699177030 10 Physicians LEMOINE CAROLINE 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 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 3613 0 0 0 0 0 0 3613 0 0 1005636489 1689110850 16 Nurse Practitioners MORALES DENISE J 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 251 0 0 0 0 0 0 251 0 0 1005636738 1508194663 86 Clinical Social Worker(Encounter Only) INGRAM DORDANA 999999999 91 Sangamon 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 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 2285 0 0 0 0 0 0 2285 0 0 1005636962 1518282938 10 Physicians GRENNAN DARA B 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 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 0 361 0 0 0 0 0 0 361 0 0 1005637304 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 19516 0 0 0 0 0 0 0 0 0 0 0 0 0 19516 0 0 1005637350 10 Physicians 109 Winnebago 0 0 Vascular 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 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 0 220 0 0 0 0 0 0 220 0 0 1005637420 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 8269 0 0 0 0 0 0 0 0 0 0 0 0 0 8269 0 0 1005637491 1043670417 30 General Hospitals FRESENIUS MEDICAL CARE ROCK IS 999999999 89 Rock Island DIALYSIS Outpatient dialysis centers. 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 0 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1279 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5480 0 0 0 0 0 5480 0 0 1005637501 1891175576 10 Physicians MONNEY KARISSA 999999999 107 Will 0 0 0 0 0 0 8 0 0 0 0 0 0 1 0 59 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 2 0 105 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 2 0 105 0 0 0 0 0 0 0 0 0 721 0 0 0 0 0 0 7 0 2528 0 0 0 0 0 0 3256 0 0 1005637625 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28447 0 0 0 0 0 0 0 0 0 0 0 0 0 28447 0 0 1005637989 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 0 156 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 0 0 0 0 0 27847 0 0 0 0 0 0 0 0 0 0 0 0 0 27847 0 0 1005638101 1083145940 10 Physicians GILLENWATER LANE ANNE 999999999 200 Cook 0 0 Family Practice 0 0 0 0 2 0 0 0 0 0 0 20 0 100 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 51 0 254 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 51 0 254 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 149 0 8130 0 0 0 0 0 0 8343 0 0 1005638133 16 Nurse Practitioners 30 DuPage 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 0 274 0 0 0 0 0 0 274 0 0 1005638213 1346551561 10 Physicians BARBER EMMA L 999999999 200 Cook 0 0 Obstetric-Gynecology 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 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24537 0 0 0 0 0 0 24537 0 0 1005638336 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 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005638869 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3398 0 0 0 0 0 0 0 0 0 0 0 0 0 3398 0 0 1005639010 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 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 13 13 0 0 1005639027 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 0 100 0 0 0 0 0 0 100 0 0 1005639582 1306292412 10 Physicians JOSHI NEERJA SHAILESH 999999999 200 Cook 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 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 24 0 0 0 0 0 0 24 0 0 1005639758 1558815282 24 Speech Therapists GROSMAN JEANETTE D 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 103 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 7444 7444 0 0 1005639859 1699299776 11 Dentists KOSHIYA CHAITALI 999999999 30 DuPage 0 0 0 0 0 13 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 1119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1119 0 0 1005639913 1811425085 11 Dentists ABDELRAHIM SAMI M 999999999 200 Cook 0 0 General Dentistry 0 0 0 26 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 4026 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4026 0 0 1005640019 24 Speech Therapists 96 St Clair 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 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 0 726 726 0 0 1005640411 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1352 0 0 0 0 0 0 0 0 0 0 0 0 0 1352 0 0 1005640493 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 0 121 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 16637 0 0 0 0 0 0 0 0 0 0 0 0 0 16637 0 0 1005640709 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 16495 0 0 0 0 0 0 0 0 0 0 0 0 0 16495 0 0 1005640975 1710250444 60 Pharmacies GENOA HEALTHCARE LLC 999999999 53 Kane 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 0 525 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13460 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39520 0 0 0 39520 0 0 1005641029 1013307347 89 Physician Assistant Only(Encounter Only) DUBIN ELANA R 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 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 0 322 0 0 0 0 0 0 322 0 0 1005641276 1730175894 89 Physician Assistant Only(Encounter Only) TUSEK ALYSSA L 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 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 0 472 0 0 0 0 0 0 472 0 0 1005641436 1831502269 10 Physicians HOLCOMB RACHEL 999999999 200 Cook 0 0 0 0 0 0 26 0 0 0 0 0 0 17 0 49 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 32 0 77 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 32 0 77 0 0 0 0 0 0 0 0 0 2385 0 0 0 0 0 0 1528 0 3531 0 0 0 0 0 0 7444 0 0 1005641483 1730372392 10 Physicians PLACZEK ELIZABETH A 999999999 19 Champaign 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 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 1065 0 0 0 0 0 0 1065 0 0 1005641667 1942747803 16 Nurse Practitioners PHILLIPS MELISSA S 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 0 137 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 2592 0 0 0 0 0 0 2592 0 0 1005641677 1205272341 10 Physicians MASSA KATHERINE 999999999 10 Adams 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 13 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 293 0 955 0 0 0 0 0 0 1248 0 0 1005641683 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 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27537 0 0 0 0 0 0 0 0 0 0 0 0 0 27537 0 0 1005641701 1275069296 89 Physician Assistant Only(Encounter Only) KOCEN LAWRENCE C 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 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 83 0 0 0 0 0 0 83 0 0 1005641715 1982053294 10 Physicians KULACH EMANUELA 999999999 30 DuPage 0 0 Family Practice 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 0 330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4988 0 0 0 0 0 0 4988 0 0 1005641717 1982043097 10 Physicians KOOPERMAN RYAN S 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 1 0 0 0 0 0 0 2 0 30 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 44 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 44 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 143 0 2478 0 0 0 0 0 0 2721 0 0 1005641733 24 Speech Therapists 10 Adams 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 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 1005641765 10 Physicians 36 Franklin 0 0 Psychiatry 0 0 0 0 0 0 0 0 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 0 167 0 0 0 0 0 0 167 0 0 1005642165 1255620282 10 Physicians GOETZ CELINE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2888 0 0 0 0 0 0 2888 0 0 1005642975 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 0 332 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 28131 0 0 0 0 0 0 0 0 0 0 0 0 0 28131 0 0 1005643027 1922455336 16 Nurse Practitioners KESTERSON JESSICA 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 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 1065 0 0 0 0 0 0 1065 0 0 1005643420 1851720304 16 Nurse Practitioners BOHLING TIFFANY R 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1080 0 0 0 0 0 0 1080 0 0 1005643488 1326574666 16 Nurse Practitioners TVRTKOVIC ZORAN 999999999 200 Cook 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 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 0 843 0 0 0 0 0 0 843 0 0 1005643795 1245651009 10 Physicians GUO HUAZHANG 999999999 200 Cook 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 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 1470 0 0 0 0 0 0 0 0 1470 0 0 1005644155 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 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 1005644565 1659807253 16 Nurse Practitioners O''DONNELL BRYNN NICOLE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 78 0 0 1005644996 1902333743 10 Physicians HERANO KIRUBEL A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 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 4534 0 0 0 0 0 0 4534 0 0 1005645219 1699085464 89 Physician Assistant Only(Encounter Only) DAVIS SHERRI M 999999999 40 Grundy 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 0 0 0 4698 0 0 0 0 0 0 0 0 4175 0 0 0 0 0 0 8873 0 0 1005645939 1700218799 10 Physicians KHAN MOHAMMED F 999999999 109 Winnebago 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 15 0 45 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 20 0 92 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 20 0 92 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 164 0 2159 0 0 0 0 0 0 2371 0 0 1005646483 10 Physicians 91 Sangamon 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 13 0 0 0 0 0 0 13 0 0 1005646959 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 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 1005646998 16 Nurse Practitioners 70 McDonough 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 49 0 0 0 0 0 0 49 0 0 1005647089 1053653634 10 Physicians ZIMMERMAN JOSHUA D 999999999 53 Kane 0 0 Emergency 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 0 172 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 7621 0 0 0 0 0 0 7621 0 0 1005647104 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 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 64 0 0 0 0 0 0 64 0 0 1005647112 1306131974 10 Physicians KAO JEROME L 999999999 200 Cook 0 0 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 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 462 0 0 0 0 0 0 474 0 0 1005647184 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 22668 0 0 0 0 0 0 0 0 0 0 0 0 0 22668 0 0 1005647371 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 0 157 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 18305 0 0 0 0 0 0 0 0 0 0 0 0 0 18305 0 0 1005647953 1881127991 16 Nurse Practitioners GUNSTEEN CYNTHIA 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 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 3152 0 0 0 0 0 0 3152 0 0 1005648526 11 Dentists 200 Cook 0 0 0 0 0 5 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 0 708 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 708 0 0 1005648551 1225397219 10 Physicians HAFIZ ABDUL 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 147 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 147 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24164 0 0 0 0 0 0 24164 0 0 1005648898 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 0 110 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 27750 0 0 0 0 0 0 0 0 0 0 0 0 0 27750 0 0 1005648983 16 Nurse Practitioners 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 74 0 0 1005649000 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 4195 0 0 0 0 0 0 0 0 0 0 0 0 0 4195 0 0 1005649158 1841640265 16 Nurse Practitioners FAULKNER JESSE 999999999 49 Jefferson 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 3071 0 0 0 0 0 0 3071 0 0 1005649269 1154697274 10 Physicians MOIOLI EDUARDO K 999999999 30 DuPage 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 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 0 215 0 0 0 0 0 0 215 0 0 1005649362 1588924328 10 Physicians SLADE JAMIE 999999999 54 Kankakee 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 0 153 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 2038 0 0 0 0 0 0 0 0 2038 0 0 1005649589 1386063782 10 Physicians PATEL KUSHAL R 999999999 200 Cook 0 0 Internal Medicine 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 0 154 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 1407 0 0 0 0 0 0 1407 0 0 1005649976 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24826 0 0 0 0 0 0 0 0 0 0 0 0 0 24826 0 0 1005650047 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 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1005650445 1881009637 10 Physicians HAIDER BAQER A 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 163 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 3718 0 0 0 0 0 0 3718 0 0 1005650453 1629212725 10 Physicians WIGGINS ANDREW C 999999999 91 Sangamon 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 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 0 241 0 0 0 0 0 0 241 0 0 1005650481 1407304397 16 Nurse Practitioners JOHNSON MAGGIE E 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6037 0 0 0 0 0 0 6037 0 0 1005650727 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 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 1005650776 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 18817 0 0 0 0 0 0 0 0 0 0 0 0 0 18817 0 0 1005650790 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3045 0 0 0 0 0 0 0 0 0 0 0 0 0 3045 0 0 1005651791 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 6997 0 0 0 0 0 0 0 0 0 0 0 0 0 6997 0 0 1005652136 4005652136 10 Physicians BECK MICHELLE L 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 1 0 0 0 0 0 0 9 0 42 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 14 0 68 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 14 0 68 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 603 0 2977 0 0 0 0 0 0 3665 0 0 1005652806 1700290921 13 Podiatrists THAKRAR AMEET 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 0 175 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 0 460 0 0 0 0 0 0 460 0 0 1005653063 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 0 185 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 28382 0 0 0 0 0 0 0 0 0 0 0 0 0 28382 0 0 1005653083 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 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 4783 0 0 0 0 0 0 0 0 0 0 0 0 0 4783 0 0 1005653120 10 Physicians 54 Kankakee 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 47 0 0 0 0 0 0 47 0 0 1005653128 80 Prepaid health plan--Health maintenance organization 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005653276 1508892126 10 Physicians RAHMAN TAHIR 999999999 817 Kansas 0 0 Psychiatry 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 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 0 982 0 0 0 0 0 0 982 0 0 1005653290 16 Nurse Practitioners 87 Randolph 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 74 0 0 1005653340 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 25229 0 0 0 0 0 0 0 0 0 0 0 0 0 25229 0 0 1005653663 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33354 0 0 0 0 0 0 0 0 0 0 0 0 0 33354 0 0 1005653838 1235563271 16 Nurse Practitioners WILKS SARAH L 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 117 0 0 1005653990 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 30275 0 0 0 0 0 0 0 0 0 0 0 0 0 30275 0 0 1005654227 1588906168 10 Physicians KONDRAGUNTA VINOD 999999999 200 Cook 0 0 Internal Medicine 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 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 0 235 0 0 0 0 0 0 235 0 0 1005654375 1114281920 10 Physicians THOMAS JACOB A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 731 0 0 0 0 0 0 731 0 0 1005654505 10 Physicians 200 Cook 0 0 Clinical 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 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 51 0 0 0 0 0 0 0 0 51 0 0 1005654620 10 Physicians 65 Madison 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 4 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 2 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 13 0 0 1005654689 1891247748 16 Nurse Practitioners WRIGHT MANDY M 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 78 0 0 1005655196 1891176830 10 Physicians GAW JODIE 999999999 200 Cook 0 0 Family Practice 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 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 1671 0 0 0 0 0 0 1671 0 0 1005655372 1255348694 10 Physicians HAMPTON DAVID A 999999999 30 DuPage 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 0 212 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 8873 0 0 0 0 0 0 8873 0 0 1005655598 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 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 1005656136 1548447113 10 Physicians SUMOZA ILIA R 999999999 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 207 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 2759 0 0 0 0 0 0 2759 0 0 1005656203 1992259410 16 Nurse Practitioners VALENCIA CINDY E 999999999 200 Cook 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 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 0 413 0 0 0 0 0 0 413 0 0 1005656297 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 27653 0 0 0 0 0 0 0 0 0 0 0 0 0 27653 0 0 1005656459 1386184307 16 Nurse Practitioners OGDEN SHANNON E 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 344 0 0 0 0 0 0 344 0 0 1005656462 1043469471 10 Physicians PENUMETSA MARUTHI SRIKANTH 999999999 200 Cook 0 0 Internal Medicine 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 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 0 930 0 0 0 0 0 0 930 0 0 1005656684 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 19145 0 0 0 0 0 0 0 0 0 0 0 0 0 19145 0 0 1005656792 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 30274 0 0 0 0 0 0 0 0 0 0 0 0 0 30274 0 0 1005657135 1417376898 10 Physicians BRAY-ASCHENBRENNER AMELIA G 999999999 80 Peoria 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 708 0 0 0 0 0 0 708 0 0 1005657308 1346569480 10 Physicians BLACKWELL ROBERT 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 78 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 166 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 166 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 22314 0 0 0 0 0 0 22363 0 0 1005657526 1720317910 10 Physicians SPITZ JAMIE A 999999999 200 Cook 0 0 Plastic Surgery 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 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 16506 0 0 0 0 0 0 16506 0 0 1005657592 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 0 159 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 23376 0 0 0 0 0 0 0 0 0 0 0 0 0 23376 0 0 1005658101 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 23173 0 0 0 0 0 0 0 0 0 0 0 0 0 23173 0 0 1005658129 1699209528 16 Nurse Practitioners STREICHER BRENDA 999999999 200 Cook 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 373 0 0 0 0 0 0 542 0 0 1005658157 1013274349 10 Physicians ANIS MARIAM 999999999 30 DuPage 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 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3996 0 0 0 0 0 0 3996 0 0 1005658331 16 Nurse Practitioners 24 Coles 0 0 0 0 0 0 0 0 0 0 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 0 208 0 0 0 0 0 0 208 0 0 1005658550 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 0 168 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 26001 0 0 0 0 0 0 0 0 0 0 0 0 0 26001 0 0 1005658799 1386187912 16 Nurse Practitioners VICENTENO AZALEA 999999999 30 DuPage 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2690 0 0 0 0 0 0 2690 0 0 1005658829 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 107 0 0 0 0 0 0 107 0 0 1005659037 1356873004 89 Physician Assistant Only(Encounter Only) GLOWICKI ALLYSON 999999999 76 Montgomery 0 0 Breast Cancer Screening 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 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 1386 0 0 0 0 0 0 1386 0 0 1005659769 1902195514 10 Physicians COSGROVE NATALIE D 999999999 816 Iowa 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 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 0 180 0 0 0 0 0 0 180 0 0 1005659862 1184087454 10 Physicians SANYAL SHUVANI 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 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 1843 0 0 0 0 0 0 1843 0 0 1005659960 1487920450 10 Physicians HOPKINS GIL HEATHER A 999999999 200 Cook 0 0 Physical Medicine/Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2968 0 0 0 0 0 0 2968 0 0 1005659997 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 0 113 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 0 191 0 0 0 0 0 0 191 0 0 1005660031 1194195818 24 Speech Therapists COSENTINO CALLI 999999999 200 Cook 0 0 0 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 0 587 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 587 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43049 43049 0 0 1005660200 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 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24854 0 0 0 0 0 0 0 0 0 0 0 0 0 24854 0 0 1005660429 1346780756 16 Nurse Practitioners CAVALIERE CARLA 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 0 0 0 160 0 0 0 0 0 0 160 0 0 1005660432 1174612980 89 Physician Assistant Only(Encounter Only) SWITALSKI MARTIN 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 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 1006 0 0 0 0 0 0 1006 0 0 1005660529 1316396179 12 Optometrists SZWAJCA GABRIELLE 999999999 200 Cook 0 0 Diagnostic Pharmaceutical Agents 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 0 0 0 0 0 0 0 0 0 0 1005660558 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 21743 0 0 0 0 0 0 0 0 0 0 0 0 0 21743 0 0 1005660625 10 Physicians 91 Sangamon 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 0 0 0 0 0 0 0 0 0 0 1005660742 1023554706 22 Physical Therapists SNODGRASS MICHELLE 999999999 89 Rock Island 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 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 0 862 862 0 0 1005660989 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120 0 0 0 0 0 0 120 0 0 1005661092 1083064679 16 Nurse Practitioners SGRO JENNIFER L 999999999 200 Cook 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 0 389 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 389 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2289 0 0 0 0 0 0 2289 0 0 1005661408 1134678683 89 Physician Assistant Only(Encounter Only) EARNEST LAURA 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 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 0 194 0 0 0 0 0 0 194 0 0 1005661498 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2791 0 0 0 0 0 0 0 0 0 0 0 0 0 2791 0 0 1005661871 16 Nurse Practitioners 89 Rock Island 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 0 0 0 0 0 0 0 0 0 0 1005661942 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 345 0 0 0 0 0 0 0 0 0 0 0 0 0 345 0 0 1005662140 1326260902 55 Early Intervention Services HEKTOEN INSTITUTE FOR MEDICAL 999999999 200 Cook 0 0 0 1106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6590 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6590 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 761399 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 761399 0 0 1005662832 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 4236 0 0 0 0 0 0 0 0 0 0 0 0 0 4236 0 0 1005662997 10 Physicians 58 La Salle 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005663067 1205253887 10 Physicians IMAYAMA IKUYO 999999999 200 Cook 0 0 Internal Medicine 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 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20467 0 0 0 0 0 0 20467 0 0 1005663306 1114324324 16 Nurse Practitioners VARANDA MELISSA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 445 0 0 0 0 0 0 445 0 0 1005663470 1679851984 10 Physicians LEGEL MATHEW T 999999999 109 Winnebago 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 18 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 7447 0 0 0 0 0 0 7582 0 0 1005663592 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 0 0 0 0 0 0 0 0 0 0 1005664310 1598152324 10 Physicians SERGEYENKO ARTEM M 999999999 200 Cook 0 0 Dermatology 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 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 407 0 0 0 0 0 0 407 0 0 1005664492 16 Nurse Practitioners 35 Ford 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 0 175 0 0 0 0 0 0 175 0 0 1005664509 1912972902 89 Physician Assistant Only(Encounter Only) MONAGAN ALISON C 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 171 0 0 0 0 0 0 171 0 0 1005664576 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 9502 0 0 0 0 0 0 0 0 0 0 0 0 0 9502 0 0 1005664896 1417473141 16 Nurse Practitioners DYNKOWSKI MICHAEL J. 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 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 0 832 0 0 0 0 0 0 832 0 0 1005664930 10 Physicians 51 Jo Daviess 0 0 Physical Medicine/Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005665076 1689775736 30 General Hospitals PRESENCE HOLY FAMILY MEDCL CTR 999999999 200 Cook ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 0 0 0 0 0 107 0 0 0 423 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 735 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4880 0 0 0 735 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2260173 0 0 0 118509 0 0 0 0 0 2378682 0 0 1005665334 1649320789 39 Hospice LOYOLA MEDICINE HOSPICE 605234104 30 DuPage 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 240 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47619 0 0 0 0 0 0 0 0 0 0 0 47619 0 0 1005665620 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 26253 0 0 0 0 0 0 0 0 0 0 0 0 0 26253 0 0 1005665702 1093000614 10 Physicians OBRINGER EMILY MARIE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3189 0 0 0 0 0 0 3189 0 0 1005665915 1912943937 89 Physician Assistant Only(Encounter Only) VANDER MEEDEN MARISA 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 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 0 331 0 0 0 0 0 0 331 0 0 1005665937 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 30267 0 0 0 0 0 0 0 0 0 0 0 0 0 30267 0 0 1005666010 1861627184 13 Podiatrists VARGAS JON IVELISSE 999999999 57 Lake 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 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 633 0 0 0 0 0 0 633 0 0 1005666850 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 9 0 0 0 0 0 0 9 0 0 1005666991 1235390469 10 Physicians BALOUCH MUHAMMAD A 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 290 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 290 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 2989 0 0 1005667053 1013322973 10 Physicians TEHRANI NADER M 999999999 200 Cook 0 0 Vascular Surgery 0 0 0 0 0 0 0 0 0 0 0 7 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 6811 0 0 0 0 0 0 6852 0 0 1005667074 1356635205 10 Physicians HEARD-GARRIS NIA J 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 13 0 0 0 0 0 0 2 0 16 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 2 0 20 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 2 0 20 0 0 0 0 0 0 0 0 0 952 0 0 0 0 0 0 4 0 807 0 0 0 0 0 0 1763 0 0 1005667340 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 6408 0 0 0 0 0 0 0 0 0 0 0 0 0 6408 0 0 1005667345 1164786166 10 Physicians LANNAMAN KIA S 999999999 88 Richland 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 119 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3493 0 2181 0 0 0 0 0 0 5674 0 0 1005667368 1295022739 10 Physicians EL TERS NATHALIE 999999999 30 DuPage 0 0 Pediatrics 0 0 0 0 2 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 6752 0 0 0 0 0 0 6800 0 0 1005667653 10 Physicians 200 Cook 0 0 Clinical Pathology 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 67 0 0 1005667874 1417305277 10 Physicians BHANDARI PRIYANKA 999999999 91 Sangamon 0 0 Family Practice 0 0 0 0 2 0 0 0 0 0 0 1 0 28 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 1 0 38 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 1 0 38 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 1222 0 0 0 0 0 0 1280 0 0 1005668060 22 Physical Therapists 109 Winnebago 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 25 25 0 0 1005668524 1144665654 10 Physicians PAPUGA ALYSSA 999999999 200 Cook 0 0 Family Practice 0 0 0 0 5 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 673 0 0 0 0 0 0 0 0 319 0 0 0 0 0 0 992 0 0 1005668713 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 0 168 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 14372 0 0 0 0 0 0 0 0 0 0 0 0 0 14372 0 0 1005668783 12 Optometrists 100 Vermilion 0 0 0 0 0 0 0 0 0 0 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 64 0 0 0 0 0 0 64 0 0 1005668992 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 1005669241 1245527142 10 Physicians DENTON COLE 999999999 89 Rock Island 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 5 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234 0 0 0 0 0 0 0 0 234 0 0 1005669256 1861643520 89 Physician Assistant Only(Encounter Only) GUTE LAUREN M 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 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 0 113 0 0 0 0 0 0 113 0 0 1005669339 1336698901 16 Nurse Practitioners BALOCH AMINA S 999999999 30 DuPage 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 0 934 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 934 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8913 0 0 0 0 0 0 8913 0 0 1005669392 1417408832 11 Dentists JUNG PAMELA 999999999 200 Cook 0 0 General Dentistry 0 0 0 36 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 0 0 0 0 0 0 0 0 0 0 0 0 287 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 0 0 0 7819 0 0 1005669594 1447605092 10 Physicians HERRERA JAVIER 999999999 80 Peoria 0 0 Emergency Medicine 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 0 196 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 5278 0 0 0 0 0 0 5278 0 0 1005669609 1699213728 16 Nurse Practitioners SHERRY KENNETH V 999999999 91 Sangamon 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 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 1316 0 0 0 0 0 0 1316 0 0 1005669664 1861640930 16 Nurse Practitioners HUFF VICTORIA 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 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 1907 0 0 0 0 0 0 1907 0 0 1005669727 1770973505 16 Nurse Practitioners LOVE CAMILLE 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 0 276 0 0 0 0 0 0 276 0 0 1005669737 1285162867 86 Clinical Social Worker(Encounter Only) LOPEZ INGRID 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 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 0 289 0 0 0 0 0 0 289 0 0 1005669807 1134661994 16 Nurse Practitioners GAUL LEIGH ANN 999999999 53 Kane 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 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 2413 0 0 0 0 0 0 2413 0 0 1005669866 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 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13446 0 0 0 0 0 0 0 0 0 0 0 0 0 13446 0 0 1005669929 1043509607 89 Physician Assistant Only(Encounter Only) MAMTORA SEEMA R 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 707 0 0 0 0 0 0 707 0 0 1005669976 1487010807 16 Nurse Practitioners PFOFF DARBY 999999999 19 Champaign 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 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 0 415 0 0 0 0 0 0 415 0 0 1005670080 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 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 4267 0 0 0 0 0 0 0 0 0 0 0 0 0 4267 0 0 1005670355 1750560983 10 Physicians TATACHAR PRIYAMVADA 999999999 200 Cook 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 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 5623 0 0 0 0 0 0 5623 0 0 1005670943 16 Nurse Practitioners 36 Franklin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005670946 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 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 20842 0 0 0 0 0 0 0 0 0 0 0 0 0 20842 0 0 1005671272 1245581867 89 Physician Assistant Only(Encounter Only) HAWKINS ALETA J 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 111 0 0 0 0 0 0 111 0 0 1005671378 1083979124 10 Physicians SHARMA RAHUL 999999999 53 Kane 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 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 0 713 0 0 0 0 0 0 713 0 0 1005671421 1407260110 10 Physicians PATEL ANJU 999999999 15 Bureau 0 0 Pediatrics 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 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 2441 0 0 0 0 0 0 2441 0 0 1005671459 1699063644 10 Physicians SAHA POORNIMA 999999999 200 Cook 0 0 Internal Medicine 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 0 120 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 5066 0 0 0 0 0 0 5066 0 0 1005671545 1528427861 89 Physician Assistant Only(Encounter Only) MANSHAEM AARON 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 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 0 476 0 0 0 0 0 0 476 0 0 1005671636 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 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 0 214 0 0 0 0 0 0 214 0 0 1005671870 1295277077 89 Physician Assistant Only(Encounter Only) WEBER MALLORY B 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 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 1038 0 0 0 0 0 0 1038 0 0 1005672080 89 Physician Assistant Only(Encounter Only) 63 Macon 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 75 0 0 0 0 0 0 75 0 0 1005672484 1336428010 10 Physicians FLANAGAN BRIAN P 999999999 53 Kane 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 58 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 268 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 268 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 598 0 12781 0 0 0 0 0 0 13379 0 0 1005672554 16 Nurse Practitioners 42 Hancock 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 65 0 0 1005672637 10 Physicians 91 Sangamon 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 44 0 0 0 0 0 0 44 0 0 1005672686 1740717719 60 Pharmacies HARDIN COUNTY PHARMACY LLC 999999999 43 Hardin 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 1166 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32525 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44329 0 0 0 44329 0 0 1005672743 1578763256 22 Physical Therapists LAVERY MICHELLE K 999999999 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 128 128 0 0 1005672823 1053772178 16 Nurse Practitioners CUDAL KATRINA 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 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 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 1490 0 0 1005672949 1922427004 10 Physicians SHARMA VINNY 999999999 200 Cook 0 0 Neurology 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 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1336 0 0 0 0 0 0 1336 0 0 1005672988 10 Physicians 10 Adams 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 1005673182 89 Physician Assistant Only(Encounter Only) 15 Bureau 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 2 0 0 0 0 0 0 2 0 0 1005673282 89 Physician Assistant Only(Encounter Only) 30 DuPage 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 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 0 988 0 0 0 0 0 0 988 0 0 1005673522 16 Nurse Practitioners 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 3 0 0 1005673624 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 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 10302 0 0 0 0 0 0 0 0 0 0 0 0 0 10302 0 0 1005673913 1396933271 89 Physician Assistant Only(Encounter Only) YUTMEYER CATHERINE E 999999999 33 Effingham 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 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 0 254 0 0 0 0 0 0 254 0 0 1005674084 1023472883 10 Physicians FOSSEN ERIK 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 268 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 290 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 290 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 8837 0 0 0 0 0 0 8858 0 0 1005674437 1265827018 10 Physicians MEFTAH NASRIN 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 290 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 420 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 420 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7600 0 260 0 0 0 0 0 0 7860 0 0 1005674982 1639516313 10 Physicians BRADLEY LAURENCE M 999999999 80 Peoria 0 0 Dermatology 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 0 243 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 0 0 0 0 0 0 0 0 0 0 0 0 3055 0 0 0 0 0 0 3055 0 0 1005675183 1396026506 10 Physicians ALI ABDULMONAM 999999999 200 Cook 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 0 188 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 5048 0 0 0 0 0 0 5048 0 0 1005675384 1881843480 87 Psychologist(Encounter Only) PEACE MEGAN M 999999999 53 Kane 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 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 0 985 0 0 0 0 0 0 985 0 0 1005675431 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 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 24302 0 0 0 0 0 0 0 0 0 0 0 0 0 24302 0 0 1005675593 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 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 2069 0 0 0 0 0 0 0 0 0 0 0 0 0 2069 0 0 1005675662 10 Physicians 31 Edgar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005675922 1417474669 10 Physicians DABBAS WALAA SAID 999999999 200 Cook 0 0 Internal 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 0 486 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 4729 0 0 0 0 0 0 4729 0 0 1005676489 1568832137 89 Physician Assistant Only(Encounter Only) MANIVANNAN TAYLOR M 999999999 91 Sangamon 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 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 1068 0 0 0 0 0 0 1068 0 0 1005676517 1801234133 10 Physicians HOFFMAN JAMES PATRICK 999999999 200 Cook 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 0 158 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 7752 0 0 0 0 0 0 7752 0 0 1005677096 1487188546 91 Waiver service provider--Adults (DHS/DDD) MCPHERSON SHAWNA 999999999 96 St Clair 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 2017 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2017 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130293 0 0 0 0 0 0 0 0 0 0 0 0 0 130293 0 0 1005677099 1427425164 89 Physician Assistant Only(Encounter Only) LAGRANGE CHELSEA N 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 791 0 0 0 0 0 0 791 0 0 1005677617 1952705188 24 Speech Therapists CERVANTEZ WHITNEY 999999999 106 Whiteside 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 205 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 17870 17870 0 0 1005677634 1992234934 24 Speech Therapists HOFFMIRE BRITTANY 999999999 80 Peoria 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 0 156 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 0 0 0 0 0 11406 11406 0 0 1005677789 1265775365 10 Physicians BINDER ASHLEY KAYE 999999999 200 Cook 0 0 Emergency Medicine 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 0 218 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 11204 0 0 0 0 0 0 11204 0 0 1005677953 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005678085 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005678155 10 Physicians 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 162 0 0 0 0 0 0 162 0 0 1005678175 1245670207 10 Physicians AVILAS MABEL 999999999 200 Cook 0 0 Psychiatry 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 0 342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4598 0 0 0 0 0 0 4598 0 0 1005678288 1629389226 10 Physicians FALCON SARAH 999999999 80 Peoria 0 0 Psychiatry 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 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 1304 0 0 0 0 0 0 1304 0 0 1005678380 1255696290 10 Physicians ROMBA COURTNEY 999999999 200 Cook 0 0 Psychiatry 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 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 1051 0 0 0 0 0 0 1051 0 0 1005678407 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 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 0 301 0 0 0 0 0 0 0 0 0 0 0 0 0 301 0 0 1005678570 1497011407 10 Physicians MEHTA NEAL A 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 10 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 5234 0 0 0 0 0 0 5240 0 0 1005678686 1134415565 10 Physicians DAVIS MAURICE 999999999 200 Cook 0 0 Anesthesiology 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 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 4818 0 0 0 0 0 0 4818 0 0 1005678796 1396105631 10 Physicians PATTERSON MARK 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 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 68 0 0 0 0 0 0 68 0 0 1005678986 1396752531 16 Nurse Practitioners HARRIGER LAURA 999999999 19 Champaign 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 101 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 233 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 233 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 5770 0 0 0 0 0 0 5855 0 0 1005679122 1215488697 16 Nurse Practitioners TOAL JACQUELINE J 999999999 80 Peoria 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 0 120 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 4006 0 0 0 0 0 0 4006 0 0 1005679489 1699134973 89 Physician Assistant Only(Encounter Only) BERKLEY-VIGIL BRANDON A 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 627 0 0 0 0 0 0 627 0 0 1005679702 1366822918 10 Physicians DRURY BERTRAM E 999999999 30 DuPage 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 56 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2359 0 5725 0 0 0 0 0 0 8084 0 0 1005679827 1801865282 86 Clinical Social Worker(Encounter Only) KULYS RUTA 999999999 91 Sangamon 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 0 103 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 0 750 0 0 0 0 0 0 750 0 0 1005680055 1497021497 10 Physicians HARPER GLORILEE B 999999999 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 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 1168 0 0 0 0 0 0 1168 0 0 1005680148 1992792345 60 Pharmacies FAMILY DRUG STORE 625659571 94 Shelby 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 1119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28020 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61569 0 0 0 61569 0 0 1005680229 1982801908 10 Physicians GUAN HUI 999999999 80 Peoria 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 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 1185 0 0 0 0 0 0 0 0 1185 0 0 1005680239 1417307430 11 Dentists JOSHUA RAMYA R 999999999 30 DuPage 0 0 General Dentistry 0 0 0 104 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 687 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 687 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 20743 0 0 0 0 0 0 0 0 0 0 0 2664 0 0 0 0 23407 0 0 1005680285 16 Nurse Practitioners 31 Edgar 0 0 0 0 0 0 0 0 0 0 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 0 614 0 0 0 0 0 0 614 0 0 1005680344 1568487346 10 Physicians KRISHNAMURTHY RAJLAKSHMI 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105 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 1789 0 0 0 0 0 0 1789 0 0 1005680366 1316365869 10 Physicians MORRISON THOMAS A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 134 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 2813 0 0 0 0 0 0 2813 0 0 1005680503 1780106997 10 Physicians VERMA NUPUR 999999999 91 Sangamon 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 4 0 39 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 4 0 82 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 4 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 2190 0 0 0 0 0 0 2218 0 0 1005680632 1093111544 60 Pharmacies GENOA HEALTHCARE LLC 601873977 30 DuPage 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 0 928 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75977 0 0 0 75977 0 0 1005681017 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 24375 0 0 0 0 0 0 0 0 0 0 0 0 0 24375 0 0 1005681081 1669789327 10 Physicians SHIMA MARK T 999999999 19 Champaign 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 0 113 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 6170 0 0 0 0 0 0 6170 0 0 1005681097 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11723 0 0 0 0 0 0 0 0 0 0 0 0 0 11723 0 0 1005681806 1093058190 10 Physicians CASNER MICHAEL 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 137 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 8768 0 0 0 0 0 0 8797 0 0 1005681969 1952797110 10 Physicians LOZA JULIE 999999999 200 Cook 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 64 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 148 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 148 0 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 1 0 6697 0 0 0 0 0 0 6800 0 0 1005682586 1356888515 75 Department of Alcohol and Substance Abuse Provider LAKE COUNTY HEALTH DEPARTMENT 600852321 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3630 0 0 3630 0 0 1005682606 1104087014 10 Physicians CHENG GEORGINA 999999999 19 Champaign 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2098 0 0 0 0 0 0 2098 0 0 1005682705 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 38546 0 0 0 0 0 0 0 0 0 0 0 0 0 38546 0 0 1005682830 1356874093 60 Pharmacies CANCER CARE SPECIALISTS OF ILL 625265858 63 Macon 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 0 156 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3938 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 616057 0 0 0 616057 0 0 1005682933 10 Physicians 96 St Clair 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 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 44 0 0 0 0 0 0 44 0 0 1005683007 1609302900 10 Physicians GONZALEZ CLEMEN O 999999999 200 Cook 0 0 General Practice 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 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 1832 0 0 0 0 0 0 1832 0 0 1005683008 1417943523 10 Physicians STIVERS MARK R 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 525 0 0 0 0 0 0 525 0 0 1005683043 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 0 132 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 14150 0 0 0 0 0 0 0 0 0 0 0 0 0 14150 0 0 1005683523 1396173753 13 Podiatrists THOUVENOT MIA C 999999999 80 Peoria 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 0 352 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 352 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1994 0 0 0 0 0 0 1994 0 0 1005683596 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25644 0 0 0 0 0 0 0 0 0 0 0 0 0 25644 0 0 1005683652 1659890267 23 Occupational Therapists MATHEWS MARGARET A 999999999 200 Cook 0 0 0 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 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19300 19300 0 0 1005683700 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 0 204 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 28447 0 0 0 0 0 0 0 0 0 0 0 0 0 28447 0 0 1005683874 1053760355 10 Physicians KASPER ROBERT J 999999999 53 Kane 0 0 Family Practice 0 0 0 0 4 0 0 0 0 0 0 6 0 97 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 8 0 175 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 8 0 175 0 0 0 0 0 0 0 0 0 211 0 0 0 0 0 0 263 0 3248 0 0 0 0 0 0 3722 0 0 1005683891 1356750830 10 Physicians ALLANAH UCHE F 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 2046 0 0 0 0 0 0 2089 0 0 1005684247 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 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30112 0 0 0 0 0 0 0 0 0 0 0 0 0 30112 0 0 1005684577 1164650859 10 Physicians MAHALINGAM DEVALINGAM 999999999 200 Cook 0 0 Internal Medicine 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 0 367 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 367 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 78540 0 0 0 0 0 0 78540 0 0 1005684645 1588083257 10 Physicians SHANKAR SHILPA 999999999 200 Cook 0 0 0 0 0 0 8 0 0 0 0 0 0 3 0 9 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 3 0 11 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 3 0 11 0 0 0 0 0 0 0 0 0 667 0 0 0 0 0 0 354 0 599 0 0 0 0 0 0 1620 0 0 1005684769 57 Home Nursing Agency 200 Cook 0 0 0 0 0 0 0 0 2 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5805 960 0 0 0 0 0 0 0 0 0 0 0 0 6765 0 0 1005684842 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1562 0 0 0 0 0 0 0 0 0 0 0 0 0 1562 0 0 1005684964 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 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 1005684989 1205372901 89 Physician Assistant Only(Encounter Only) GEISLER MARGARET ANNE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 31 0 0 1005685122 87 Psychologist(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 88 0 0 0 0 0 0 88 0 0 1005685794 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 753 0 0 0 0 0 0 0 0 0 0 0 0 0 753 0 0 1005685831 1003158403 10 Physicians SHIRANI LIZA A DAFCHAHI 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 33 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 0 0 2676 0 0 0 0 0 0 2676 0 0 1005686204 1518498971 16 Nurse Practitioners GOODWIN RAYMOND J 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 414 0 0 0 0 0 0 414 0 0 1005686211 1013229368 10 Physicians TITSWORTH WILLIAM L 999999999 89 Rock Island 0 0 Neurology Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 304 0 0 0 0 0 0 304 0 0 1005686757 1487106597 16 Nurse Practitioners GARRIOTT JENNIFER 999999999 106 Whiteside 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 111 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 111 0 0 0 0 0 0 0 0 0 623 0 0 0 0 0 0 0 0 2143 0 0 0 0 0 0 2766 0 0 1005687062 1346770377 10 Physicians LEUNG HERMAN 999999999 91 Sangamon 0 0 General Practice 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 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 0 547 0 0 0 0 0 0 547 0 0 1005687160 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 41902 0 0 0 0 0 0 0 0 0 0 0 0 0 41902 0 0 1005687259 1235517228 10 Physicians CHONILLO CARLA 999999999 57 Lake 0 0 General Practice 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 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 2486 0 0 0 0 0 0 2486 0 0 1005687484 89 Physician Assistant Only(Encounter Only) 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 1005687633 1922088749 10 Physicians BOSNER MATTHEW S 999999999 200 Cook 0 0 Internal Medicine 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 54 0 0 0 0 0 0 54 0 0 1005687739 1790096592 10 Physicians SAWLANI RAHUL N 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 107 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7995 0 21 0 0 0 0 0 0 8016 0 0 1005687855 1639517618 10 Physicians DAUM MICHAEL R 999999999 200 Cook 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 0 113 0 0 0 0 0 0 113 0 0 1005687856 1881097236 89 Physician Assistant Only(Encounter Only) SULLIVAN MICHAEL J 999999999 80 Peoria 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 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3185 0 0 0 0 0 0 3185 0 0 1005688666 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 12 0 0 1005689079 16 Nurse Practitioners 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 4 0 0 1005689095 1760822845 89 Physician Assistant Only(Encounter Only) KETTER RACHEL 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 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 22 0 0 0 0 0 0 22 0 0 1005689121 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 0 956 0 0 0 0 0 0 0 0 0 0 0 0 0 956 0 0 1005690016 1922522267 11 Dentists ARORA NITIKA 999999999 200 Cook 0 0 General Dentistry 0 0 0 158 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 1029 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 1029 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 49069 0 0 0 0 0 0 0 0 0 0 0 2664 0 0 0 0 51733 0 0 1005690821 1659809945 10 Physicians BLAISE BRITTANY 999999999 91 Sangamon 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 1 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 278 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 278 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 7606 0 0 0 0 0 0 7614 0 0 1005691006 1720345085 10 Physicians MILLER MELINDA D 999999999 88 Richland 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1062 0 0 0 0 0 0 1062 0 0 1005691323 1548714694 60 Pharmacies COMMUNITY A WALGREENS PHARMACY 999999999 200 Cook 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 0 498 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17533 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 201202 0 0 0 201202 0 0 1005691334 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 173 0 0 0 0 0 0 173 0 0 1005691637 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 23 0 0 0 0 0 0 23 0 0 1005691659 89 Physician Assistant Only(Encounter Only) 30 DuPage 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 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 1093 0 0 0 0 0 0 1093 0 0 1005691790 1730615030 16 Nurse Practitioners YOUNG DEBORAH L 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 0 335 0 0 0 0 0 0 335 0 0 1005691972 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 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 2626 0 0 0 0 0 0 0 0 0 0 0 0 0 2626 0 0 1005692597 1669668869 10 Physicians SLATER BETHANY J 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4628 0 0 0 0 0 0 4628 0 0 1005692619 1467907196 30 General Hospitals FRESENIUS MEDICAL CARE CHICAGO 999999999 200 Cook DIALYSIS Outpatient dialysis centers. 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 0 287 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2513 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9529 0 0 0 0 0 9529 0 0 1005692646 1184834467 89 Physician Assistant Only(Encounter Only) LYMAN DIANE 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 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 5206 0 0 0 0 0 0 5206 0 0 1005692802 1427390244 10 Physicians THEODOROU MARIA E 999999999 200 Cook 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 0 144 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 0 930 0 0 0 0 0 0 930 0 0 1005692825 1790146868 16 Nurse Practitioners LONG ASHLIE L 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 952 0 0 0 0 0 0 952 0 0 1005693409 1003264177 10 Physicians MOSER KRISTEN M 999999999 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 291 0 0 0 0 0 0 291 0 0 1005693694 1568695799 89 Physician Assistant Only(Encounter Only) KELLY COLLEEN E 999999999 91 Sangamon 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 59 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 59 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 5195 0 0 0 0 0 0 0 0 2423 0 0 0 0 0 0 7618 0 0 1005693751 1346689734 10 Physicians ALLEN VALERIE A. 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 1 0 0 0 0 0 0 3 0 9 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 4 0 11 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 4 0 11 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 203 0 476 0 0 0 0 0 0 763 0 0 1005693772 1316232796 10 Physicians PEREZ ELIZABETH M 999999999 200 Cook 0 0 Family Practice 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 0 611 0 0 0 0 0 0 611 0 0 1005693802 30 General Hospitals 66 Marion DIALYSIS Outpatient dialysis centers. 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 0 955 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005694139 1336692359 40 Federally Qualified Health Centers PRIMECARE MICHAEL MICHELINI CE 999999999 200 Cook 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9198 0 0 1005694872 30 General Hospitals 805 California 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 672 0 0 0 0 0 0 0 0 0 672 0 0 1005695165 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 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8994 0 0 0 0 0 0 0 0 0 0 0 0 0 8994 0 0 1005695286 1427323864 10 Physicians VETRI FRANCESCO 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 2 0 72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 213 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 213 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 1852 0 0 0 0 0 0 1899 0 0 1005696119 1841652302 10 Physicians KALISK JOSH HOWARD 999999999 200 Cook 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 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 0 845 0 0 0 0 0 0 845 0 0 1005696123 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 0 192 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 29111 0 0 0 0 0 0 0 0 0 0 0 0 0 29111 0 0 1005696125 1043627219 10 Physicians GALANOS KELLY 999999999 80 Peoria 0 0 Emergency Medicine 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 0 146 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 5350 0 0 0 0 0 0 5350 0 0 1005696327 1164776639 10 Physicians BIERNACKA ANNA 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 66 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2294 0 11 0 0 0 0 0 0 2305 0 0 1005696806 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 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 0 692 0 0 0 0 0 0 0 0 0 0 0 0 0 692 0 0 1005697013 1174935274 10 Physicians BUNYAN ANN S 999999999 200 Cook 0 0 Internal 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 0 350 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 0 0 0 0 0 0 0 0 0 0 0 0 3534 0 0 0 0 0 0 3534 0 0 1005697028 1265872329 10 Physicians HARRIGAN RAYMOND J 999999999 80 Peoria 0 0 Internal Medicine 0 0 0 0 6 0 0 0 0 0 0 1 0 76 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 1 0 188 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 1 0 188 0 0 0 0 0 0 0 0 0 234 0 0 0 0 0 0 2 0 2444 0 0 0 0 0 0 2680 0 0 1005697054 1922333491 22 Physical Therapists SHTERNBERG VALERY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2805 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2805 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20753 20753 0 0 1005697145 1235490400 10 Physicians POLK BROOKE I 999999999 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 1824 0 0 0 0 0 0 1840 0 0 1005697157 1972811974 10 Physicians DEEPAK PARAKKAL 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 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 4470 0 0 0 0 0 0 4470 0 0 1005697170 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005697319 1336445717 89 Physician Assistant Only(Encounter Only) SHULL KATERINA D 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 60 0 0 0 0 0 0 60 0 0 1005697361 1578925020 10 Physicians SIEGLER JESSICA H 999999999 200 Cook 0 0 Obstetric-Gynecology 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 0 744 0 0 0 0 0 0 744 0 0 1005697550 86 Clinical Social Worker(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 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 58 0 0 0 0 0 0 58 0 0 1005697561 1578588232 89 Physician Assistant Only(Encounter Only) JOHNSON ROBERT D 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 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 0 377 0 0 0 0 0 0 377 0 0 1005697644 1235578550 10 Physicians GOLDBERG ALAN B 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 339 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 689 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 689 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5717 0 0 0 0 0 0 5717 0 0 1005697696 1285175562 16 Nurse Practitioners RODRIGUEZ MICHELLE L 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 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 0 681 0 0 0 0 0 0 681 0 0 1005698077 1689006660 16 Nurse Practitioners DE GUZMAN ERIN 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 0 0 0 0 0 0 0 0 0 0 0 0 0 1005698234 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 0 117 0 0 0 0 0 0 117 0 0 1005698291 1699212043 16 Nurse Practitioners RUPNOW TIMOTHY D 999999999 97 Stephenson 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 99 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 99 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 2165 0 0 0 0 0 0 2394 0 0 1005698387 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 180 0 0 1005698409 1356895627 89 Physician Assistant Only(Encounter Only) LEVINE CAITLIN SLOAN 999999999 200 Cook 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 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1733 0 0 0 0 0 0 1733 0 0 1005698417 1003867342 89 Physician Assistant Only(Encounter Only) HART JULIE C 999999999 91 Sangamon 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 882 0 0 0 0 0 0 946 0 0 1005698498 10 Physicians 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 114 0 0 0 0 0 0 114 0 0 1005698608 1619186269 10 Physicians WARD TIFFANY 999999999 47 Jackson 0 0 Neurology 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 0 291 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 291 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5888 0 0 0 0 0 0 5888 0 0 1005698676 1295153922 10 Physicians ASHU MUNJUM RICHARD 999999999 63 Macon 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 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3524 0 0 0 0 0 0 3524 0 0 1005698684 1316136674 10 Physicians SERRONE JOSEPH 999999999 200 Cook 0 0 Neurology Surgery 0 0 0 0 0 0 0 0 0 0 0 5 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 8898 0 0 0 0 0 0 8922 0 0 1005698995 1861634776 10 Physicians TREVICK STEPHEN A 999999999 200 Cook 0 0 Neurology 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 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 859 0 0 0 0 0 0 859 0 0 1005699142 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 94 0 0 0 0 0 0 94 0 0 1005699182 1316283161 86 Clinical Social Worker(Encounter Only) WINSTON BARBARA G 602013428 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 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 80 0 0 0 0 0 0 80 0 0 1005699247 1295050466 10 Physicians KULKARNI HRISHIKESH S. 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 532 0 0 0 0 0 0 532 0 0 1005699467 1780016162 16 Nurse Practitioners STRAUSBAUGH KRISTIN 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 0 120 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 3611 0 0 0 0 0 0 3611 0 0 1005699763 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 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7642 0 0 0 0 0 0 0 0 0 0 0 0 0 7642 0 0 1005700066 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005700143 1205978475 10 Physicians CROWLEY ANGELA 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 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 1005700145 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 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 0 423 0 0 0 0 0 0 0 0 0 0 0 0 0 423 0 0 1005700286 1427497122 10 Physicians LEUNG JASON G 999999999 200 Cook 0 0 Physical Medicine/Rehabilitation 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 0 259 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 4325 0 0 0 0 0 0 4325 0 0 1005700337 1295110146 10 Physicians LIAO TSAILING 999999999 109 Winnebago 0 0 Family Practice 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 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 21679 0 0 0 0 0 0 21679 0 0 1005700465 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 104 0 0 0 0 0 0 104 0 0 1005700734 1710439526 16 Nurse Practitioners SHAH KUNJAL 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 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 62 0 0 0 0 0 0 62 0 0 1005700784 1427598903 16 Nurse Practitioners CROSS JAMIE L 999999999 63 Macon 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 0 176 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 3588 0 0 0 0 0 0 3588 0 0 1005701052 1043553571 10 Physicians MUGVE NEAL 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 3 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5961 0 0 0 0 0 0 5961 0 0 1005701117 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 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 1005701118 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 17314 0 0 0 0 0 0 0 0 0 0 0 0 0 17314 0 0 1005701126 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 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 0 455 0 0 0 0 0 0 0 0 0 0 0 0 0 455 0 0 1005701307 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 26112 0 0 0 0 0 0 0 0 0 0 0 0 0 26112 0 0 1005701334 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 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 1005701487 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1163 0 0 0 0 0 0 0 0 0 0 0 0 0 1163 0 0 1005701586 1477096568 70 Ambulance Service Providers FIRST FIRE PROTECTION DISTRICT 999999999 57 Lake 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 0 923 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 0 0 0 0 0 745746 0 0 0 0 0 0 745746 0 0 1005702277 1831269943 10 Physicians WALDMAN ELISHA DAVID 999999999 200 Cook 0 0 Pediatrics 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 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 1532 0 0 0 0 0 0 1532 0 0 1005702368 1295182467 10 Physicians VOLLE MEREDITH 999999999 91 Sangamon 0 0 Pediatrics 0 0 0 0 60 0 0 0 0 0 0 8 0 56 0 0 0 0 0 0 0 0 0 227 0 0 0 0 0 0 8 0 101 0 0 0 0 0 0 0 0 0 227 0 0 0 0 0 0 8 0 101 0 0 0 0 0 0 0 0 0 25513 0 0 0 0 0 0 31 0 5978 0 0 0 0 0 0 31522 0 0 1005702485 1942405592 10 Physicians LO ALEXANDER S 999999999 200 Cook 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 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5609 0 0 0 0 0 0 5609 0 0 1005702912 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 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 0 604 0 0 0 0 0 0 0 0 0 0 0 0 0 604 0 0 1005703398 1831408889 89 Physician Assistant Only(Encounter Only) BALANEY RUCHI 999999999 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 375 0 0 0 0 0 0 391 0 0 1005703457 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 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21416 0 0 0 0 0 0 0 0 0 0 0 0 0 21416 0 0 1005703497 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 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 0 864 0 0 0 0 0 0 0 0 0 0 0 0 0 864 0 0 1005703916 1336567478 10 Physicians ROS SARA 999999999 200 Cook 0 0 Pediatrics 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 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 2440 0 0 0 0 0 0 2440 0 0 1005703950 10 Physicians 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005704054 1730479932 10 Physicians JOHNSON DANE 999999999 200 Cook 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 3 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 451 0 0 0 0 0 0 453 0 0 1005704214 1215226865 10 Physicians EDEN CATHERINE L 999999999 109 Winnebago 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 3 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 137 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 137 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73 0 7047 0 0 0 0 0 0 7120 0 0 1005704233 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 0 287 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 0 0 0 0 0 0 0 0 0 0 0 0 29866 0 0 0 0 0 0 0 0 0 0 0 0 0 29866 0 0 1005704327 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 14282 0 0 0 0 0 0 0 0 0 0 0 0 0 14282 0 0 1005704438 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 0 170 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 0 0 0 0 0 0 0 0 0 0 27457 0 0 0 0 0 0 0 0 0 0 0 0 0 27457 0 0 1005704511 12 Optometrists 65 Madison 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 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 49 0 0 0 0 0 0 49 0 0 1005704828 1568908283 89 Physician Assistant Only(Encounter Only) MEYERS ROBERT S 999999999 89 Rock Island 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 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 0 169 0 0 0 0 0 0 169 0 0 1005704943 1891157921 10 Physicians MIER MADELINE 999999999 200 Cook 0 0 Pediatrics 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 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 3210 0 0 0 0 0 0 3210 0 0 1005704983 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 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 5000 0 0 0 0 0 0 0 0 0 0 0 0 0 5000 0 0 1005705298 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5 0 0 1005705303 1255862157 10 Physicians WESLEY GIBBERT 999999999 200 Cook 0 0 Family Practice 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 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 6016 0 0 0 0 0 0 6016 0 0 1005705455 1275058687 16 Nurse Practitioners STOFFEL CYNTHIA 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 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 3570 0 0 0 0 0 0 3570 0 0 1005705613 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 0 313 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 313 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26650 0 0 0 0 0 0 0 0 0 0 0 0 0 26650 0 0 1005706161 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 0 0 26369 0 0 0 0 0 0 0 0 0 0 0 0 0 26369 0 0 1005706317 16 Nurse Practitioners 108 Williamson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 106 0 0 0 0 0 0 106 0 0 1005706790 1588983829 10 Physicians FARRAG SAFA E 999999999 200 Cook 0 0 Internal Medicine 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 0 216 0 0 0 0 0 0 216 0 0 1005707238 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005708323 1629457163 10 Physicians HAROLD KATHLEEN 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1202 0 0 0 0 0 0 1202 0 0 1005708390 93 Waiver service provider--HIV/AIDS (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14607 0 0 0 0 0 0 0 0 0 0 0 0 0 14607 0 0 1005709288 1831115229 10 Physicians LUFT ULRICH C 999999999 200 Cook 0 0 Internal 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 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 523 0 0 0 0 0 0 523 0 0 1005709370 1134121965 89 Physician Assistant Only(Encounter Only) OGINO-MCELLIGOTT MAKIKO 999999999 47 Jackson 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 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 0 125 0 0 0 0 0 0 125 0 0 1005709382 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 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28430 0 0 0 0 0 0 0 0 0 0 0 0 0 28430 0 0 1005709615 10 Physicians 30 DuPage 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 0 620 0 0 0 0 0 0 620 0 0 1005709662 1366857906 10 Physicians TOONE ERIC S 999999999 80 Peoria 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 208 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 10363 0 0 0 0 0 0 10363 0 0 1005709955 1831637040 16 Nurse Practitioners CLINE MARTHA 999999999 91 Sangamon 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 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1118 0 0 0 0 0 0 1118 0 0 1005710356 1144679085 10 Physicians NGUYEN THUY T 999999999 107 Will 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 561 0 0 0 0 0 0 0 0 825 0 0 0 0 0 0 1386 0 0 1005710358 1669990396 11 Dentists GAUBA ARJUN 999999999 200 Cook 0 0 0 0 0 310 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 1718 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 1718 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 51581 0 0 0 0 0 0 0 0 0 0 0 12817 0 0 0 0 64398 0 0 1005710426 1912265018 10 Physicians TAYLOR RENWICK 999999999 200 Cook 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 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 1186 0 0 0 0 0 0 1186 0 0 1005711472 1780099747 10 Physicians MAYFIELD ALLISON E 999999999 91 Sangamon 0 0 Orthopedic Surgery 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 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 2515 0 0 0 0 0 0 2515 0 0 1005711487 1952609828 10 Physicians MODY NITESH S 999999999 200 Cook 0 0 Anesthesiology 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 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 4916 0 0 0 0 0 0 4916 0 0 1005711882 1982688669 89 Physician Assistant Only(Encounter Only) NIELSEN LISA K 999999999 98 Tazewell 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 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 0 612 0 0 0 0 0 0 612 0 0 1005711991 1164712873 10 Physicians VAN STRATEN JOHN 999999999 57 Lake 0 0 Anesthesiology 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 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 1350 0 0 0 0 0 0 1350 0 0 1005712004 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3 0 0 0 0 0 0 3 0 0 1005712436 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 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 2950 0 0 0 0 0 0 0 0 0 0 0 0 0 2950 0 0 1005712660 1437247996 89 Physician Assistant Only(Encounter Only) VESPA SALLY A 999999999 91 Sangamon 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 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 0 330 0 0 0 0 0 0 330 0 0 1005712807 1508967837 16 Nurse Practitioners AMIDON LAURA J 999999999 91 Sangamon 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 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 0 518 0 0 0 0 0 0 518 0 0 1005713072 1417362542 10 Physicians REGAN ELIZABETH 999999999 200 Cook 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 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 3521 0 0 0 0 0 0 3521 0 0 1005713223 1164970273 16 Nurse Practitioners VALJEVCIC ALMEDIN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 984 0 0 0 0 0 0 984 0 0 1005713632 1942564869 10 Physicians DOWNS DAVID T 999999999 96 St Clair 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 674 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 995 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 995 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12970 0 355 0 0 0 0 0 0 13325 0 0 1005713648 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 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 1382 0 0 0 0 0 0 0 0 0 0 0 0 0 1382 0 0 1005713773 1427112176 10 Physicians MAZZONI PIETRO 999999999 53 Kane 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 47 0 0 0 0 0 0 47 0 0 1005713846 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 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 0 0 0 0 0 0 0 0 0 0 0 27993 0 0 1005713989 1437444163 89 Physician Assistant Only(Encounter Only) SHAW EVERETT L 999999999 63 Macon 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 2 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 274 0 0 0 0 0 0 0 0 1796 0 0 0 0 0 0 2070 0 0 1005714107 1740693449 10 Physicians AL-ABBOUD OMAR A 999999999 30 DuPage 0 0 Internal Medicine 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 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 0 138 0 0 0 0 0 0 138 0 0 1005714242 1306387774 10 Physicians HALEES WALID YOUSEF 999999999 81 Perry 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 0 363 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 2794 0 0 0 0 0 0 2794 0 0 1005714752 10 Physicians 200 Cook 0 0 Otolaryngology 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 658 0 0 0 0 0 0 658 0 0 1005714807 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 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 1366 0 0 0 0 0 0 1366 0 0 1005715235 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 0 200 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 28454 0 0 0 0 0 0 0 0 0 0 0 0 0 28454 0 0 1005715263 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 880 0 0 0 0 0 0 0 0 0 0 0 0 0 880 0 0 1005715641 1902339864 91 Waiver service provider--Adults (DHS/DDD) CHANCEY CHRISTINA 999999999 47 Jackson 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 1433 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 0 0 0 0 0 0 0 0 0 0 0 0 85335 0 0 0 0 0 0 0 0 0 0 0 0 0 85335 0 0 1005715705 1295149284 10 Physicians FLETCHER MICHELLE L 999999999 200 Cook 0 0 Internal Medicine 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 0 184 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 1846 0 0 0 0 0 0 1846 0 0 1005715746 1588953897 10 Physicians MAREK STEVEN 999999999 200 Cook 0 0 Pediatrics 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 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 4449 0 0 0 0 0 0 4449 0 0 1005715804 1275853335 10 Physicians OGILVIE MICHAEL PATRICK 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1769 0 0 0 0 0 0 1769 0 0 1005715992 1942524962 10 Physicians AHMED MOHAMMED S 999999999 19 Champaign 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 0 239 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 2850 0 0 0 0 0 0 2850 0 0 1005716143 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 1005716313 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 0 313 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 313 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27771 0 0 0 0 0 0 0 0 0 0 0 0 0 27771 0 0 1005716693 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 29153 0 0 0 0 0 0 0 0 0 0 0 0 0 29153 0 0 1005717356 10 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 1 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 179 0 0 0 0 0 0 243 0 0 1005717403 1184714198 89 Physician Assistant Only(Encounter Only) FIELDS KRISTIN 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 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 1138 0 0 0 0 0 0 1138 0 0 1005717676 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 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 64 0 0 0 0 0 0 64 0 0 1005717732 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 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 0 495 0 0 0 0 0 0 495 0 0 1005717810 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 211 0 0 0 0 0 0 211 0 0 1005718347 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 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25396 0 0 0 0 0 0 0 0 0 0 0 0 0 25396 0 0 1005718349 1629367966 10 Physicians LODHI ATENA W 999999999 30 DuPage 0 0 Internal Medicine 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 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 3966 0 0 0 0 0 0 3966 0 0 1005718639 1174962732 10 Physicians EFAM TOLULOPE T 999999999 91 Sangamon 0 0 Family Practice 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 0 159 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 4330 0 0 0 0 0 0 4330 0 0 1005718828 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1895 0 0 0 0 0 0 1895 0 0 1005718868 1659761567 89 Physician Assistant Only(Encounter Only) EVERTSEN LISA 999999999 71 McHenry 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 0 295 0 0 0 0 0 0 295 0 0 1005719352 1437686821 16 Nurse Practitioners SANJUAN APRIL L 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 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 1222 0 0 0 0 0 0 1222 0 0 1005719549 1720056229 89 Physician Assistant Only(Encounter Only) RUTHERFORD ANDREA I 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 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 0 630 0 0 0 0 0 0 630 0 0 1005720051 1235556333 10 Physicians RICHARDSON JESSICA 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 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 0 701 0 0 0 0 0 0 701 0 0 1005720126 10 Physicians 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 24 0 0 1005720191 1043756083 16 Nurse Practitioners BATTISTA MELISSA K 999999999 53 Kane 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 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 2662 0 0 0 0 0 0 2662 0 0 1005721133 1275898744 10 Physicians PATTEN KELLEN 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 11 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 634 0 1425 0 0 0 0 0 0 2059 0 0 1005721151 87 Psychologist(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 21 0 0 0 0 0 0 21 0 0 1005721248 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 0 142 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 0 0 0 0 0 0 0 0 0 0 7227 0 0 0 0 0 0 0 0 0 0 0 0 0 7227 0 0 1005721778 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 31 0 0 0 0 0 0 31 0 0 1005721851 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 22910 0 0 0 0 0 0 0 0 0 0 0 0 0 22910 0 0 1005722159 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 0 266 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 25625 0 0 0 0 0 0 0 0 0 0 0 0 0 25625 0 0 1005722269 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005722276 1821228321 10 Physicians RAHMAN SOPHIA 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 298 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5064 0 0 0 0 0 0 5064 0 0 1005722417 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 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 1005722526 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 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 1005722635 1235675091 16 Nurse Practitioners WARAMIT CASSANDRA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 380 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 380 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2404 0 0 0 0 0 0 2404 0 0 1005723208 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 0 204 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 18321 0 0 0 0 0 0 0 0 0 0 0 0 0 18321 0 0 1005723274 1881122844 10 Physicians GOLITKO AARON M 999999999 62 Logan 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 145 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 4998 0 0 0 0 0 0 4998 0 0 1005723358 1902242373 10 Physicians GRAFF NICHOLAS 999999999 53 Kane 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 9 0 204 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 267 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 267 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 6319 0 0 0 0 0 0 6345 0 0 1005723514 1306376496 10 Physicians NAUGHTON LAURA 999999999 91 Sangamon 0 0 Obstetric-Gynecology 0 0 0 0 2 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 146 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 146 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 16407 0 0 0 0 0 0 16446 0 0 1005723539 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 1005723937 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 0 212 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 14874 0 0 0 0 0 0 0 0 0 0 0 0 0 14874 0 0 1005724220 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 70521 0 0 0 0 0 0 0 0 0 0 0 0 0 70521 0 0 1005724233 94 Waiver service provider--Children's support (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 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7854 0 0 0 0 0 0 0 0 0 0 0 0 0 7854 0 0 1005724565 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 0 134 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 27987 0 0 0 0 0 0 0 0 0 0 0 0 0 27987 0 0 1005724676 1487034195 10 Physicians ALI FARAHNAZ 999999999 30 DuPage 0 0 Family Practice 0 0 0 0 23 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 1972 0 0 0 0 0 0 0 0 4177 0 0 0 0 0 0 6149 0 0 1005724798 1780604546 16 Nurse Practitioners KOTEK SARAH 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 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 1111 0 0 0 0 0 0 1111 0 0 1005724906 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2485 0 0 0 0 0 0 0 0 0 0 0 0 0 2485 0 0 1005724985 1750605788 10 Physicians KAN KRISTIN H 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 19 0 0 0 0 0 0 2 0 17 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 2 0 19 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 2 0 19 0 0 0 0 0 0 0 0 0 1648 0 0 0 0 0 0 6 0 958 0 0 0 0 0 0 2612 0 0 1005725143 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 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 1163 0 0 0 0 0 0 0 0 0 0 0 0 0 1163 0 0 1005725361 1215348545 10 Physicians HAMID MAHVISH 999999999 200 Cook 0 0 0 0 0 0 3 0 0 0 0 0 0 5 0 24 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 6 0 37 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 6 0 37 0 0 0 0 0 0 0 0 0 304 0 0 0 0 0 0 93 0 1049 0 0 0 0 0 0 1446 0 0 1005725495 1952432239 16 Nurse Practitioners GULINO THOMAS A 999999999 30 DuPage 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 0 134 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 3739 0 0 0 0 0 0 3739 0 0 1005725689 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 18767 0 0 0 0 0 0 0 0 0 0 0 0 0 18767 0 0 1005726014 1093151573 10 Physicians SHETH PUJA R 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 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 3377 0 0 0 0 0 0 3377 0 0 1005726246 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 30213 0 0 0 0 0 0 0 0 0 0 0 0 0 30213 0 0 1005726337 1174510960 10 Physicians BENNETT PATRICK J 999999999 24 Coles 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 643 0 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1268 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1268 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12229 0 1260 0 0 0 0 0 0 13489 0 0 1005726351 1235675620 16 Nurse Practitioners BERGER KRISTEN 999999999 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 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 0 318 0 0 0 0 0 0 318 0 0 1005726991 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 422 0 0 0 0 0 0 422 0 0 1005727026 1154735041 10 Physicians WONG NATALYN 999999999 30 DuPage 0 0 Emergency Medicine 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 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7277 0 0 0 0 0 0 7277 0 0 1005727322 1619354719 63 Other Providers of Medical Equipment/Supplies (Non-registered) "SCHECK AND SIRESS PROSTHETICS," 601427655 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 653 0 14455 0 0 0 0 15108 0 0 1005727366 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 26802 0 0 0 0 0 0 0 0 0 0 0 0 0 26802 0 0 1005727435 90 Waiver service provider--Elderly (DOA) 30 DuPage 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 0 501 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 0 0 0 0 0 62705 0 0 0 0 0 0 0 0 0 0 0 0 0 62705 0 0 1005727483 10 Physicians 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 161 0 0 0 0 0 0 161 0 0 1005728032 1417184169 10 Physicians NELSEN DAVID D 999999999 90 Saline 0 0 Dermatology 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 3 0 7 0 0 0 0 0 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 0 0 96 0 0 0 0 0 0 96 0 0 1005728183 1124412416 10 Physicians STOLBERG NISSIM GEDALIAH 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 2 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 2461 0 0 0 0 0 0 2525 0 0 1005728345 1063701241 10 Physicians SULLIVAN RYAN R 999999999 200 Cook 0 0 Orthopedic Surgery 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 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 1174 0 0 0 0 0 0 1174 0 0 1005729067 1548670623 10 Physicians SCAVONE ANTHONY 999999999 200 Cook 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 0 137 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 3740 0 0 0 0 0 0 3740 0 0 1005729147 16 Nurse Practitioners 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 0 0 0 0 0 253 0 0 1005729358 1679659585 30 General Hospitals PRESENCE SAINT JOSEPH CHICAGO 999999999 200 Cook DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 0 0 18 0 0 769 0 0 0 0 435 0 0 0 1345 0 0 0 0 0 0 84 0 0 1101 0 0 0 0 493 0 0 0 3136 0 0 0 0 0 0 84 0 0 1101 0 0 0 0 2584 0 0 0 3136 0 0 0 0 0 0 15192 0 0 122489 0 0 0 0 2767472 0 0 0 281834 0 0 0 0 0 3186987 0 0 1005729793 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 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 15754 0 0 0 0 0 0 0 0 0 0 0 0 0 15754 0 0 1005729856 1730578535 89 Physician Assistant Only(Encounter Only) CASTONGUAY DESIREE A 999999999 47 Jackson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 299 0 0 0 0 0 0 299 0 0 1005729889 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 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6756 0 0 0 0 0 0 0 0 0 0 0 0 0 6756 0 0 1005729926 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 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 1036 0 0 0 0 0 0 0 0 0 0 0 0 0 1036 0 0 1005729962 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 32933 0 0 0 0 0 0 0 0 0 0 0 0 0 32933 0 0 1005730027 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1684 0 0 0 0 0 0 0 0 0 0 0 0 0 1684 0 0 1005730193 1861797276 10 Physicians KHAN FAROOQ H 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 109 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 2024 0 0 0 0 0 0 2024 0 0 1005730522 1962798652 10 Physicians MURPHY GREGORY 999999999 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 367 0 0 0 0 0 0 369 0 0 1005730824 1962761742 10 Physicians BURKE MICHAEL C 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1035 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1327 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1327 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20914 0 697 0 0 0 0 0 0 21611 0 0 1005731214 1356797260 16 Nurse Practitioners ROSEN COLLEEN E. 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 1398 0 0 0 0 0 0 1398 0 0 1005731228 10 Physicians 200 Cook 0 0 Thoracic 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 10 0 0 0 0 0 0 10 0 0 1005731323 1194130302 10 Physicians CONCEPCION CARLOS D 999999999 200 Cook 0 0 Internal Medicine 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 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4281 0 0 0 0 0 0 4281 0 0 1005731980 1790198976 10 Physicians SALLEN DAVID A 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 193 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 12898 0 0 0 0 0 0 12942 0 0 1005732127 1043318397 87 Psychologist(Encounter Only) REILLY JAMES 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 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 0 444 0 0 0 0 0 0 444 0 0 1005732284 1285933549 10 Physicians ALFANO DANIELLE N 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 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 4912 0 0 0 0 0 0 4912 0 0 1005732363 1043440316 16 Nurse Practitioners TREPS VANESSA 999999999 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 1 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 0 801 0 0 0 0 0 0 801 0 0 1005732475 1538507561 10 Physicians THIBODEAU SETH 999999999 10 Adams 0 0 Emergency Medicine 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 0 181 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 6349 0 0 0 0 0 0 6349 0 0 1005733178 10 Physicians 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005733291 1932356763 10 Physicians GULLAPALLI SRINIVAS 999999999 80 Peoria 0 0 Internal Medicine 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 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4110 0 0 0 0 0 0 4110 0 0 1005733340 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 19 0 0 1005734236 1760855274 48 Rural Health Clinics IVCH MEDICAL GROUP OGLESBY MED 999999999 58 La Salle 0 0 0 0 77 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 204 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 204 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6416 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6416 0 0 1005734588 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 145 0 0 0 0 0 0 145 0 0 1005734602 1003121310 10 Physicians ZIA HAMID M 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 572 0 153 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3242 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3242 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18954 0 17815 0 0 0 0 0 0 36769 0 0 1005734671 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 9143 0 0 0 0 0 0 0 0 0 0 0 0 0 9143 0 0 1005734824 10 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 135 0 0 0 0 0 0 135 0 0 1005735132 1780883876 10 Physicians YOUSEF NIDA T 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 1 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 57 0 0 0 0 0 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 64 0 2173 0 0 0 0 0 0 2237 0 0 1005735310 1316384886 10 Physicians CHEN TINA H 999999999 826 Missouri 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 697 0 0 0 0 0 0 697 0 0 1005735384 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 0 168 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 28123 0 0 0 0 0 0 0 0 0 0 0 0 0 28123 0 0 1005735411 1356654735 10 Physicians DA SILVA IVAN ROCHA FERREIRA 999999999 200 Cook 0 0 Neurology 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 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7363 0 0 0 0 0 0 7363 0 0 1005735437 1730506718 10 Physicians SINHA JASMINE 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 489 0 0 0 0 0 0 489 0 0 1005735639 10 Physicians 30 DuPage 0 0 Psychiatry 0 0 0 0 0 0 0 0 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 46 0 0 0 0 0 0 46 0 0 1005735725 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 226 0 0 0 0 0 0 0 0 0 0 0 0 0 226 0 0 1005735799 1962923201 60 Pharmacies EXCLUSIVE RX INC 999999999 200 Cook 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 0 437 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20630 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6750 0 0 0 6750 0 0 1005736128 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 31958 0 0 0 0 0 0 0 0 0 0 0 0 0 31958 0 0 1005736233 1104965565 87 Psychologist(Encounter Only) SEGAL EVELYN 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 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 0 924 0 0 0 0 0 0 924 0 0 1005736423 1336670181 10 Physicians KILLIAN BRYAN 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 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 0 551 0 0 0 0 0 0 551 0 0 1005736485 4005736485 10 Physicians JAFFERY ZEHRA 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 302 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 423 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 423 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3761 0 0 0 0 0 0 3761 0 0 1005736683 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3159 0 0 0 0 0 0 0 0 0 0 0 0 0 3159 0 0 1005736757 1700328093 89 Physician Assistant Only(Encounter Only) GREITER AMANDA GRACE 999999999 200 Cook 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 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 0 628 0 0 0 0 0 0 628 0 0 1005736777 1780695585 10 Physicians TANG PING 999999999 200 Cook 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 0 139 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 2242 0 0 0 0 0 0 0 0 2242 0 0 1005736824 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 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 18242 0 0 0 0 0 0 0 0 0 0 0 0 0 18242 0 0 1005736831 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 265 0 0 1005737646 1922414036 10 Physicians QAZI AFTAB 999999999 80 Peoria 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 5 0 109 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 18 0 246 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 18 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 4302 0 0 0 0 0 0 4373 0 0 1005737786 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 254 0 0 1005737880 1033134424 89 Physician Assistant Only(Encounter Only) SIMS ZACHARY 999999999 91 Sangamon 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 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 0 468 0 0 0 0 0 0 468 0 0 1005737990 87 Psychologist(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 804 0 0 0 0 0 0 804 0 0 1005738007 1376535435 10 Physicians QUEENAN JAMES F 999999999 37 Fulton 0 0 Orthopedic Surgery 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 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 2885 0 0 0 0 0 0 2885 0 0 1005738503 1013370691 10 Physicians KOSLOFF ADAM BENJAMIN 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8366 0 0 0 0 0 0 8366 0 0 1005738755 1366426033 10 Physicians LONDON BEVERLY 999999999 19 Champaign 0 0 Obstetric-Gynecology 0 0 0 0 1 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 1144 0 0 0 0 0 0 1229 0 0 1005738855 1275965220 89 Physician Assistant Only(Encounter Only) ROY CRYSTAL L 999999999 19 Champaign 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 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 536 0 0 0 0 0 0 536 0 0 1005739028 1649700238 91 Waiver service provider--Adults (DHS/DDD) MANGINO JENNIFER 999999999 30 DuPage 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 0 881 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 881 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53057 0 0 0 0 0 0 0 0 0 0 0 0 0 53057 0 0 1005739041 1477830511 10 Physicians GARDNER KASEY S 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 555 0 0 0 0 0 0 555 0 0 1005740050 1427379189 10 Physicians DEBARTOLO MERRIT M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2238 0 0 0 0 0 0 2239 0 0 1005740122 1578003588 16 Nurse Practitioners DEMARCO ANDREW J 999999999 91 Sangamon 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 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 0 563 0 0 0 0 0 0 563 0 0 1005740224 1528370624 10 Physicians GRANT RANDALL D 999999999 200 Cook 0 0 Emergency Medicine 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 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7718 0 0 0 0 0 0 7718 0 0 1005740257 1538605134 87 Psychologist(Encounter Only) RIEHL HUDSON 999999999 19 Champaign 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 2270 0 0 0 0 0 0 2270 0 0 1005740286 1104844240 87 Psychologist(Encounter Only) DAVISON KENNETH P 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 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 0 268 0 0 0 0 0 0 268 0 0 1005741164 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 224 0 0 0 0 0 0 224 0 0 1005741273 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 4588 0 0 0 0 0 0 0 0 0 0 0 0 0 4588 0 0 1005741679 1891238200 16 Nurse Practitioners BASAS MALDA PAMELA 999999999 57 Lake 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 0 499 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 0 0 0 0 0 0 0 0 0 0 0 0 4104 0 0 0 0 0 0 4104 0 0 1005742225 1043762453 16 Nurse Practitioners TAMALA NELSON P 999999999 57 Lake 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 2869 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2869 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17712 0 0 0 0 0 0 17712 0 0 1005742495 10 Physicians 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 168 0 0 0 0 0 0 168 0 0 1005742521 12 Optometrists 80 Peoria 0 0 Therapeutic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 28 0 0 1005742555 1205099298 10 Physicians VELDMAN PETER B 999999999 30 DuPage 0 0 Ophthalmology 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 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 11259 0 0 0 0 0 0 11259 0 0 1005742674 1891830741 10 Physicians KANDIAR ANITA 999999999 200 Cook 0 0 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 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 0 593 0 0 0 0 0 0 595 0 0 1005742856 1770846974 10 Physicians LANGE KRYSTLE N 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5262 0 0 0 0 0 0 5262 0 0 1005743116 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 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13753 0 0 0 0 0 0 0 0 0 0 0 0 0 13753 0 0 1005743230 1649243395 12 Optometrists CAMPBELL KATARI D 999999999 200 Cook 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 0 275 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 8680 0 0 0 0 0 0 8680 0 0 1005743331 1366995474 24 Speech Therapists KAELIN KELSEY 999999999 91 Sangamon 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 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25231 25231 0 0 1005743478 1821010281 16 Nurse Practitioners MOON ELLEN J 999999999 30 DuPage 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 0 124 0 0 0 0 0 0 124 0 0 1005743584 1710244991 10 Physicians PERGJIKA ALBA 999999999 200 Cook 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 34 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 2363 0 0 0 0 0 0 2392 0 0 1005743990 1720472780 10 Physicians ATISHA PATRICK NAJAH 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 303 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 303 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4770 0 0 0 0 0 0 4770 0 0 1005744327 1174903843 10 Physicians CHMIEL KATHLEEN A 999999999 200 Cook 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 1 0 60 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 105 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 105 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 2 0 2580 0 0 0 0 0 0 2667 0 0 1005744447 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005744643 1457804692 16 Nurse Practitioners MARSHALL DAWN 999999999 27 Dekalb 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 1965 0 0 0 0 0 0 1965 0 0 1005744846 1841736857 16 Nurse Practitioners ROTH DIANA L. 999999999 10 Adams 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 0 111 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 3247 0 0 0 0 0 0 3247 0 0 1005744998 1104234046 10 Physicians NEPAL HITEKSHYA 999999999 91 Sangamon 0 0 Psychiatry 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 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15338 0 0 0 0 0 0 15338 0 0 1005745009 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 0 353 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 353 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30253 0 0 0 0 0 0 0 0 0 0 0 0 0 30253 0 0 1005745026 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 0 557 0 0 0 0 0 0 0 0 0 0 0 0 0 557 0 0 1005745030 1841647062 10 Physicians SADIQ MAHNIYA 999999999 200 Cook 0 0 Anesthesiology 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 0 670 0 0 0 0 0 0 670 0 0 1005745069 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 43543 0 0 0 0 0 0 0 0 0 0 0 0 0 43543 0 0 1005745453 1427348333 10 Physicians BERENZ ANDREW J 999999999 200 Cook 0 0 Pediatrics 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 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43927 0 0 0 0 0 0 43927 0 0 1005745592 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2674 0 0 0 0 0 0 0 0 0 0 0 0 0 2674 0 0 1005746369 89 Physician Assistant Only(Encounter Only) 91 Sangamon 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 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 1005746468 1073040895 10 Physicians RIZVI INSIA F 999999999 200 Cook 0 0 Internal Medicine 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 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 2489 0 0 0 0 0 0 2489 0 0 1005746851 22 Physical 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 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 0 538 538 0 0 1005747065 1801815212 16 Nurse Practitioners TESKE PEGGY J 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 123 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 2912 0 0 0 0 0 0 2912 0 0 1005747071 1811347214 10 Physicians FEIMSTER JAMES 999999999 91 Sangamon 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 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 6612 0 0 0 0 0 0 6612 0 0 1005747187 10 Physicians 101 Wabash 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005747315 87 Psychologist(Encounter Only) 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 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 0 287 0 0 0 0 0 0 287 0 0 1005747389 1487031407 10 Physicians GLEASON LUCIA 999999999 200 Cook 0 0 General Practice 0 0 0 0 1 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 2830 0 0 0 0 0 0 2839 0 0 1005747537 1508163577 10 Physicians LIEDER CHARLES M 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 66 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1645 0 44350 0 0 0 0 0 0 45995 0 0 1005747605 1972829455 10 Physicians ENGLISH TESHA 999999999 89 Rock Island 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 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 2817 0 0 0 0 0 0 2817 0 0 1005747681 1275947095 10 Physicians BAO JENNY 999999999 80 Peoria 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 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 0 533 0 0 0 0 0 0 533 0 0 1005747916 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1721 0 0 0 0 0 0 0 0 0 0 0 0 0 1721 0 0 1005748062 1508209750 10 Physicians TUN SANDY T 999999999 30 DuPage 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 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 1046 0 0 0 0 0 0 1046 0 0 1005748200 1437441672 10 Physicians AVVARI SUNIL 999999999 200 Cook 0 0 Internal 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 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 0 325 0 0 0 0 0 0 325 0 0 1005748272 1174940001 10 Physicians WOLFORD KATHRYN A 999999999 200 Cook 0 0 Emergency Medicine 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 0 275 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 8675 0 0 0 0 0 0 8675 0 0 1005749080 1417244617 10 Physicians CLUKIES LINDSAY D 999999999 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 1096 0 0 0 0 0 0 1096 0 0 1005749117 1003067240 10 Physicians SMEDS MATTHEW 999999999 66 Marion 0 0 Vascular Surgery 0 0 0 0 0 0 0 0 0 0 0 2 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 1724 0 0 0 0 0 0 1737 0 0 1005749219 1245612142 10 Physicians NAYEEMUDDIN FARAAZ 999999999 91 Sangamon 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 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5022 0 0 0 0 0 0 5022 0 0 1005749317 1043227689 16 Nurse Practitioners HINTON CATHY 999999999 19 Champaign 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 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 1832 0 0 0 0 0 0 1832 0 0 1005749371 63 Other Providers of Medical Equipment/Supplies (Non-registered) 852 Wisconsin 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 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 4794 0 0 0 0 4794 0 0 1005749781 30 General Hospitals 844 Tennessee ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 3 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 3 0 0 0 0 1 0 0 0 2 0 0 0 0 0 0 0 0 0 3 0 0 0 0 2 0 0 0 2 0 0 0 0 0 0 0 0 0 140 0 0 0 0 1297 0 0 0 121 0 0 0 0 0 1558 0 0 1005750228 1235513458 11 Dentists SHAH RACHIT 999999999 71 McHenry 0 0 General Dentistry 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11431 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11431 0 0 1005750529 1366869570 10 Physicians GALEANO XOCHIL 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 74 0 0 0 0 0 0 16 0 35 0 0 0 0 0 0 0 0 0 228 0 0 0 0 0 0 17 0 49 0 0 0 0 0 0 0 0 0 228 0 0 0 0 0 0 17 0 49 0 0 0 0 0 0 0 0 0 8490 0 0 0 0 0 0 136 0 2547 0 0 0 0 0 0 11173 0 0 1005750887 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 28743 0 0 0 0 0 0 0 0 0 0 0 0 0 28743 0 0 1005751231 1912294000 10 Physicians BRENNAN COLLEEN C 999999999 53 Kane 0 0 Pediatrics 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 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 8464 0 0 0 0 0 0 8464 0 0 1005751316 1669660874 89 Physician Assistant Only(Encounter Only) JOSEFOWICZ MEGAN 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 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 0 583 0 0 0 0 0 0 583 0 0 1005751489 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 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 1005751504 1336555911 10 Physicians WATT LAURA J 999999999 76 Montgomery 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 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 1254 0 0 0 0 0 0 1254 0 0 1005751507 1619327061 16 Nurse Practitioners KRUPA BEATA A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1488 0 0 0 0 0 0 1488 0 0 1005751688 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 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27669 0 0 0 0 0 0 0 0 0 0 0 0 0 27669 0 0 1005751960 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 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21257 0 0 0 0 0 0 0 0 0 0 0 0 0 21257 0 0 1005752474 1457711301 16 Nurse Practitioners SPORAR MELISSA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 308 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 49893 0 0 0 0 0 0 49893 0 0 1005752487 1396757928 10 Physicians MALIK AAMIR I 999999999 80 Peoria 0 0 Internal Medicine 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 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1613 0 0 0 0 0 0 1613 0 0 1005752537 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 11074 0 0 0 0 0 0 0 0 0 0 0 0 0 11074 0 0 1005752631 1548424567 14 Chiropractors CREECH WESLEY 999999999 10 Adams 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 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 0 124 0 0 0 0 0 0 124 0 0 1005752686 1124431895 10 Physicians MAALOUF MONICA 999999999 200 Cook 0 0 Internal Medicine 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 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4511 0 0 0 0 0 0 4511 0 0 1005752732 1700112521 89 Physician Assistant Only(Encounter Only) FRITCHER LISA 999999999 80 Peoria 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 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5135 0 0 0 0 0 0 5135 0 0 1005752871 1922410117 16 Nurse Practitioners TAFAZOLI SHIVA 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 0 429 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 429 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005752963 24 Speech Therapists 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1091 1091 0 0 1005753015 1023317450 10 Physicians KAY SETH T 999999999 53 Kane 0 0 Otolaryngology 0 0 0 0 0 0 0 0 0 0 0 4 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 204 0 4009 0 0 0 0 0 0 4213 0 0 1005753174 1184986135 10 Physicians TOAZ ERIN 999999999 200 Cook 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 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 5188 0 0 0 0 0 0 5188 0 0 1005753204 1265718886 10 Physicians AHMED FAIZA 999999999 53 Kane 0 0 Internal Medicine 0 0 0 0 8 0 0 0 0 0 0 13 0 117 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 29 0 276 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 29 0 276 0 0 0 0 0 0 0 0 0 906 0 0 0 0 0 0 332 0 8628 0 0 0 0 0 0 9866 0 0 1005753351 30 General Hospitals 30 DuPage 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 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 555 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005753352 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 10793 0 0 0 0 0 0 0 0 0 0 0 0 0 10793 0 0 1005753588 1376870311 10 Physicians JOHN JOBIN 999999999 200 Cook 0 0 Family Practice 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 0 573 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 573 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6970 0 0 0 0 0 0 6970 0 0 1005753845 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 175 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 175 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16730 0 0 0 0 0 0 0 0 0 0 0 0 0 16730 0 0 1005753871 16 Nurse Practitioners 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 15 0 0 1005754291 1942737606 36 Community mental health provider KENDALL COUNTY HEALTH DEPARTME 999999999 55 Kendall 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 222 0 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 222 0 0 1964 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17929 0 0 19893 0 0 1005754335 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 83 0 0 0 0 0 0 83 0 0 1005754343 1669814349 89 Physician Assistant Only(Encounter Only) DEZOUTE MELISSA L 999999999 30 DuPage 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 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 0 165 0 0 0 0 0 0 165 0 0 1005754933 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005755101 1255874392 16 Nurse Practitioners RASTELLO ALITA 999999999 91 Sangamon 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 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 2094 0 0 0 0 0 0 2094 0 0 1005755213 1255646675 10 Physicians ZAIDI SYED JAVED H 999999999 82 Piatt 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 20 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 392 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 392 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 632 0 10587 0 0 0 0 0 0 11219 0 0 1005755389 1518315415 89 Physician Assistant Only(Encounter Only) WEHRHEIM ERIN E 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 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 0 171 0 0 0 0 0 0 171 0 0 1005755450 1114367356 10 Physicians IDANGODAGE HASITHA 999999999 63 Macon 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 0 159 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 2148 0 0 0 0 0 0 2148 0 0 1005755504 1114369170 10 Physicians ISMAIL IMTIAZ 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 204 0 0 0 0 0 0 204 0 0 1005755913 16 Nurse Practitioners 42 Hancock 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3 0 0 1005757246 1699020305 22 Physical Therapists GOSNELL MICHAEL 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2504 2504 0 0 1005757260 1225197148 12 Optometrists MYERS TERESA 999999999 108 Williamson 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 0 144 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 3020 0 0 0 0 0 0 3020 0 0 1005757326 10 Physicians 66 Marion 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 1005757607 1952694242 22 Physical Therapists WAEL ELFEQY 999999999 200 Cook 0 0 0 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 0 346 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 346 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3680 3680 0 0 1005757805 1013394246 16 Nurse Practitioners ZEDNIK TERESA R 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 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 1903 0 0 0 0 0 0 1903 0 0 1005757808 1689123010 89 Physician Assistant Only(Encounter Only) MCCORMICK AMANDA N 999999999 19 Champaign 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 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 4033 0 0 0 0 0 0 4033 0 0 1005758038 1255883674 16 Nurse Practitioners MASSUTTI ANGELA 999999999 15 Bureau 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 0 0 377 0 0 0 0 0 0 481 0 0 1005758067 1841305877 60 Pharmacies PRESENCE NAZARETH FAMILY CTR 999999999 200 Cook 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 0 331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11847 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39034 0 0 0 39034 0 0 1005758453 1083818561 10 Physicians SIMMONS ALAN 999999999 47 Jackson 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 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 2061 0 0 0 0 0 0 2061 0 0 1005758529 1003348103 16 Nurse Practitioners ENGER IVY M 999999999 107 Will 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 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 1768 0 0 0 0 0 0 1768 0 0 1005759035 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 12511 0 0 0 0 0 0 0 0 0 0 0 0 0 12511 0 0 1005759114 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 28460 0 0 0 0 0 0 0 0 0 0 0 0 0 28460 0 0 1005759195 4005759195 91 Waiver service provider--Adults (DHS/DDD) BELL EMISA 999999999 200 Cook 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 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5874 0 0 0 0 0 0 0 0 0 0 0 0 0 5874 0 0 1005759319 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 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 15863 0 0 0 0 0 0 0 0 0 0 0 0 0 15863 0 0 1005759369 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 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 1110 0 0 0 0 0 0 1110 0 0 1005759434 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 0 190 0 0 0 0 0 0 190 0 0 1005759499 1699095828 10 Physicians WHEATLEY CATHERINE 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 1 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 11271 0 0 0 0 0 0 11273 0 0 1005759969 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 0 333 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 333 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26353 0 0 0 0 0 0 0 0 0 0 0 0 0 26353 0 0 1005760172 1073549028 89 Physician Assistant Only(Encounter Only) RIEGER MATTHEW 999999999 40 Grundy 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 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 1345 0 0 0 0 0 0 1345 0 0 1005760394 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 26099 0 0 0 0 0 0 0 0 0 0 0 0 0 26099 0 0 1005760477 1205942539 89 Physician Assistant Only(Encounter Only) HOUSNER RYAN J 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 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 0 441 0 0 0 0 0 0 441 0 0 1005760743 1699039586 10 Physicians MONTANA MICHAEL C 999999999 824 Minnesota 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 0 445 0 0 0 0 0 0 445 0 0 1005760830 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 29470 0 0 0 0 0 0 0 0 0 0 0 0 0 29470 0 0 1005761481 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 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 13274 0 0 0 0 0 0 0 0 0 0 0 0 0 13274 0 0 1005761865 1912424649 16 Nurse Practitioners COLLIER MEGAN J 999999999 10 Adams 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 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 49 0 0 0 0 0 0 49 0 0 1005762132 1811289192 10 Physicians CERASALE MATTHEW T 999999999 30 DuPage 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 0 164 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 1600 0 0 0 0 0 0 1600 0 0 1005762181 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005762268 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 0 430 0 0 0 0 0 0 430 0 0 1005762336 87 Psychologist(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 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 5 0 0 0 0 0 0 5 0 0 1005762381 1114091642 86 Clinical Social Worker(Encounter Only) LYONS KATIE P 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 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 1614 0 0 0 0 0 0 1614 0 0 1005762878 1922533157 16 Nurse Practitioners BROCKMEYER NICHOLE 999999999 91 Sangamon 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 1267 0 0 0 0 0 0 1352 0 0 1005762880 1538693536 13 Podiatrists LALIOS NICHOLAS 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 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 0 116 0 0 0 0 0 0 116 0 0 1005762977 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 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 6647 0 0 0 0 0 0 0 0 0 0 0 0 0 6647 0 0 1005763348 1710984638 10 Physicians HEMELT VIRGINIA B 999999999 200 Cook 0 0 Neurology 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 0 382 0 0 0 0 0 0 382 0 0 1005763618 1942747480 89 Physician Assistant Only(Encounter Only) BALLINGER CHRISTOPHER 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 69 0 0 0 0 0 0 69 0 0 1005763621 1720493216 10 Physicians FAULK CAROL H 999999999 81 Perry 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 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 0 106 0 0 0 0 0 0 106 0 0 1005764047 1306231931 10 Physicians SEFCOVIC SARAH ELIZABETH 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 3 0 0 0 0 0 0 1 0 15 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 1 0 40 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 1 0 40 0 0 0 0 0 0 0 0 0 527 0 0 0 0 0 0 0 0 720 0 0 0 0 0 0 1247 0 0 1005764121 1174899207 10 Physicians WALLACE SARA J 999999999 30 DuPage 0 0 Orthopedic Surgery 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 0 231 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 0 0 0 0 0 0 0 0 0 0 0 0 19754 0 0 0 0 0 0 19754 0 0 1005764322 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1157 0 0 0 0 0 0 0 0 0 0 0 0 0 1157 0 0 1005764570 1639584899 10 Physicians SINGHAL MADHAVI 999999999 30 DuPage 0 0 Pediatrics 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 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21320 0 0 0 0 0 0 21320 0 0 1005764594 1437565561 10 Physicians GODER TAARIQ 999999999 200 Cook 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 2 0 22 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 57 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 57 0 0 0 0 0 0 0 0 0 211 0 0 0 0 0 0 18 0 1168 0 0 0 0 0 0 1397 0 0 1005764789 1205272960 10 Physicians KESHARY SANJEEV 999999999 200 Cook 0 0 Neurology 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 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 1776 0 0 0 0 0 0 1776 0 0 1005765323 86 Clinical Social Worker(Encounter Only) 57 Lake 0 0 0 0 0 0 0 0 0 0 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 52 0 0 0 0 0 0 52 0 0 1005765464 1649526013 16 Nurse Practitioners REED HANNAH B 999999999 80 Peoria 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 2098 0 0 0 0 0 0 2183 0 0 1005765533 1780125278 16 Nurse Practitioners MCKINNIE MALLORY 999999999 91 Sangamon 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 0 162 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 9149 0 0 0 0 0 0 9149 0 0 1005766073 1144771692 16 Nurse Practitioners WERNSMAN MISTY DAWN 631955860 57 Lake 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 0 282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2334 0 0 0 0 0 0 2334 0 0 1005766076 1427407568 11 Dentists BAROT KHUSHBU R 999999999 53 Kane 0 0 General Dentistry 0 0 0 51 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 0 0 0 0 0 156 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5278 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5278 0 0 1005766213 1639607054 89 Physician Assistant Only(Encounter Only) CABALLERO ALEXIA S 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 0 222 0 0 0 0 0 0 222 0 0 1005766271 16 Nurse Practitioners 63 Macon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 782 0 0 0 0 0 0 782 0 0 1005766404 1366439234 89 Physician Assistant Only(Encounter Only) NOONAN COLLEEN 999999999 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 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 70 0 0 0 0 0 0 70 0 0 1005766420 1366998270 16 Nurse Practitioners SZERLAG KATARZYNA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 537 0 0 0 0 0 0 537 0 0 1005766627 1972042968 16 Nurse Practitioners JONES MICHELLE L 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 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 0 248 0 0 0 0 0 0 248 0 0 1005766947 1821345349 10 Physicians GHEE LAUREN M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3229 0 0 0 0 0 0 3229 0 0 1005766974 1174985493 16 Nurse Practitioners WOOD BRIANNA L 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 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 0 384 0 0 0 0 0 0 384 0 0 1005767645 1750799920 16 Nurse Practitioners EDWARD BRITTANY A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 846 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 846 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 19 0 0 1005767824 1164827333 89 Physician Assistant Only(Encounter Only) MONTANARI ANNA C 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 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 78 0 0 0 0 0 0 78 0 0 1005768173 4005768173 16 Nurse Practitioners RIVERA VIVIANA L 999999999 50 Jersey 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 0 294 0 0 0 0 0 0 294 0 0 1005768373 1205374964 40 Federally Qualified Health Centers PRIMECARE WEST TOWN DENTAL 999999999 200 Cook 0 0 0 0 212 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1329 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1329 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48510 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48510 0 0 1005768567 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 26001 0 0 0 0 0 0 0 0 0 0 0 0 0 26001 0 0 1005769075 16 Nurse Practitioners 42 Hancock 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 41 0 0 1005769146 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 22400 0 0 0 0 0 0 0 0 0 0 0 0 0 22400 0 0 1005769150 1548502958 10 Physicians TRYBULA MICHAEL J 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 507 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 507 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 11003 0 0 0 0 0 0 11043 0 0 1005769654 1235561101 89 Physician Assistant Only(Encounter Only) HSU JERRY J 999999999 104 Wayne 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 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 0 131 0 0 0 0 0 0 131 0 0 1005769681 89 Physician Assistant Only(Encounter Only) 89 Rock Island 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 0 335 0 0 0 0 0 0 335 0 0 1005769953 1447646641 10 Physicians RODRIGUEZ GARY O 999999999 89 Rock Island 0 0 Family Practice 0 0 0 0 2 0 0 0 0 0 0 0 0 77 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 167 0 0 0 0 0 0 0 0 2803 0 0 0 0 0 0 2970 0 0 1005770002 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 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 12994 0 0 0 0 0 0 0 0 0 0 0 0 0 12994 0 0 1005770088 91 Waiver service provider--Adults (DHS/DDD) 56 Knox 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12753 0 0 0 0 0 0 0 0 0 0 0 0 0 12753 0 0 1005770111 1992950166 10 Physicians KAMRAN SHAZIA 999999999 200 Cook 0 0 Neurology 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 0 759 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 759 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 17463 0 0 1005770231 1255635835 86 Clinical Social Worker(Encounter Only) VERDERAME DENA 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1491 0 0 0 0 0 0 1491 0 0 1005770520 1992068019 10 Physicians KIM ERIC H 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 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 0 180 0 0 0 0 0 0 180 0 0 1005770674 1013327758 10 Physicians NGUYEN JENNIFER M 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 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 2446 0 0 0 0 0 0 2446 0 0 1005770700 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 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 43 0 0 0 0 0 0 43 0 0 1005771463 1659827418 16 Nurse Practitioners VIVIANO GAIL R 999999999 15 Bureau 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 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 0 732 0 0 0 0 0 0 732 0 0 1005771706 1629498555 10 Physicians LAMBETH JENNIFER L 999999999 200 Cook 0 0 Pediatrics 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 0 911 0 0 0 0 0 0 911 0 0 1005771716 1538608443 75 Department of Alcohol and Substance Abuse Provider CORNERSTONE RECOVERING COMMUNI 999999999 200 Cook 0 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 0 275 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 21313 0 0 21313 0 0 1005771835 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 1005772290 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 16936 0 0 0 0 0 0 0 0 0 0 0 0 0 16936 0 0 1005772487 10 Physicians 50 Jersey 0 0 Neurology 0 0 0 0 0 0 0 0 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 1005772908 16 Nurse Practitioners 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 20 0 0 0 0 0 0 20 0 0 1005772929 1437413861 10 Physicians SANDLER VICTORIA 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 11 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 3831 0 0 0 0 0 0 3883 0 0 1005772997 1801200142 10 Physicians GRIFFITH ERIN E 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 78 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 304 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 304 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61 0 0 1882 0 0 0 0 0 0 1943 0 0 1005773069 1023304425 86 Clinical Social Worker(Encounter Only) KWON MISA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1169 0 0 0 0 0 0 1169 0 0 1005773471 1093263121 16 Nurse Practitioners SPEER BRANDY M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1007 0 0 0 0 0 0 1007 0 0 1005773595 1104243823 90 Waiver service provider--Elderly (DOA) RINCON FAMILY SERVICES 606184504 200 Cook 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1654 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1654 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 184292 0 0 0 0 0 0 0 0 0 0 0 0 0 184292 0 0 1005774195 1013329523 24 Speech Therapists KANDER JULIE 600052410 200 Cook 0 0 0 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 0 173 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 13766 13766 0 0 1005774664 10 Physicians 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005774901 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 1663 0 0 0 0 0 0 0 0 0 0 0 0 0 1663 0 0 1005774950 1598299000 16 Nurse Practitioners PULTE NOREEN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 865 0 0 0 0 0 0 865 0 0 1005774999 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 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 2099 0 0 2099 0 0 1005775043 1588105654 16 Nurse Practitioners TULL JANA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 155 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 1450 0 0 0 0 0 0 1450 0 0 1005775060 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1382 0 0 0 0 0 0 0 0 0 0 0 0 0 1382 0 0 1005775086 1720460363 10 Physicians FUNK RYAN 999999999 91 Sangamon 0 0 Otolaryngology 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1419 0 0 0 0 0 0 1419 0 0 1005775178 1245402080 10 Physicians GOWDA CHETAN N 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2352 0 0 0 0 0 0 2352 0 0 1005775275 1144760836 16 Nurse Practitioners KOERNER REBECCA C 999999999 46 Iroquois 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 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 1738 0 0 0 0 0 0 1738 0 0 1005775461 1881983765 10 Physicians ROBEN EMILY 999999999 200 Cook 0 0 Emergency Medicine 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 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3411 0 0 0 0 0 0 3411 0 0 1005775837 1083026314 63 Other Providers of Medical Equipment/Supplies (Non-registered) SCHECK AND SIRESS PROSTHETICS 606155512 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 677 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 677 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5284 0 147742 0 0 0 0 153026 0 0 1005775937 1770950107 89 Physician Assistant Only(Encounter Only) GENIN MICHAEL R 999999999 91 Sangamon 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 0 214 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 2557 0 0 0 0 0 0 2557 0 0 1005775966 1013233022 10 Physicians WEHRHEIM KARLA K 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 17 0 145 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 319 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 319 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1176 0 6862 0 0 0 0 0 0 8038 0 0 1005776159 1194793711 16 Nurse Practitioners LAWRENCE ELAINE 999999999 200 Cook 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 1478 0 0 0 0 0 0 1608 0 0 1005776478 1104374727 16 Nurse Practitioners RADE NATHALIE 999999999 65 Madison 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 0 143 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 8234 0 0 0 0 0 0 8234 0 0 1005776513 1578868832 10 Physicians MOORE PAUL Q 999999999 30 DuPage 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 177 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 190 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 190 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 3298 0 0 0 0 0 0 3327 0 0 1005776932 1598054470 10 Physicians HOLLAND MICHAEL 999999999 200 Cook 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 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 7831 0 0 0 0 0 0 7831 0 0 1005777185 1457645822 10 Physicians SHULAN JOSEPH MICHAEL 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 3892 0 0 0 0 0 0 3898 0 0 1005777746 1891945184 10 Physicians NYATSANZA IGNATIUS 999999999 200 Cook 0 0 Internal Medicine 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 0 196 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 2546 0 0 0 0 0 0 2546 0 0 1005778183 10 Physicians 107 Will 0 0 Thoracic Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 592 0 0 0 0 0 0 592 0 0 1005778804 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 55 0 0 0 0 0 0 55 0 0 1005779411 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 6656 0 0 0 0 0 0 0 0 0 0 0 0 0 6656 0 0 1005779716 10 Physicians 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 145 0 0 0 0 0 0 145 0 0 1005780034 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 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25704 0 0 0 0 0 0 0 0 0 0 0 0 0 25704 0 0 1005780279 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 27787 0 0 0 0 0 0 0 0 0 0 0 0 0 27787 0 0 1005780740 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18260 0 0 0 0 0 0 0 0 0 0 0 0 0 18260 0 0 1005780849 16 Nurse Practitioners 109 Winnebago 0 0 0 0 0 0 0 0 0 0 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 33 0 0 0 0 0 0 33 0 0 1005781510 1649700782 10 Physicians MATTSON CHRISTOPHER D 999999999 30 DuPage 0 0 Pediatrics 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 1210 0 0 0 0 0 0 1210 0 0 1005781520 1275957334 10 Physicians GUASTALLI NICHOLAS V 999999999 54 Kankakee 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2436 0 0 0 0 0 0 2437 0 0 1005781527 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 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 98 0 0 0 0 0 0 98 0 0 1005781736 1245677319 10 Physicians NAIR LEKSHMI T 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 529 0 0 0 0 0 0 547 0 0 1005781782 1043741192 10 Physicians MORENO JASMINE 999999999 200 Cook 0 0 Pediatrics 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 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 0 984 0 0 0 0 0 0 984 0 0 1005782146 1932531407 10 Physicians ZHOU MEI 999999999 30 DuPage 0 0 Ophthalmology 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 0 134 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 134 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 9492 0 0 0 0 0 0 9557 0 0 1005782301 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 0 120 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 27826 0 0 0 0 0 0 0 0 0 0 0 0 0 27826 0 0 1005782453 1588195903 86 Clinical Social Worker(Encounter Only) ALBERT SABRINA 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 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9233 0 0 0 0 0 0 9233 0 0 1005782530 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 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25660 0 0 0 0 0 0 0 0 0 0 0 0 0 25660 0 0 1005782560 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 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 0 360 0 0 0 0 0 0 0 0 0 0 0 0 0 360 0 0 1005782691 1992090930 10 Physicians LARSON JILL E. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 185 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 15027 0 0 0 0 0 0 15027 0 0 1005782971 1275829723 10 Physicians WALIULLAH KHALID I 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 3 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 470 0 0 0 0 0 0 472 0 0 1005783409 1205296456 55 Early Intervention Services ALBUS AMBER 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 279 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 17720 0 0 0 0 0 0 17720 0 0 1005783751 10 Physicians 51 Jo Daviess 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005784057 1629426184 16 Nurse Practitioners ZEE CAROLINE 999999999 107 Will 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 103 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 103 0 0 0 0 0 0 0 0 0 4345 0 0 0 0 0 0 0 0 4004 0 0 0 0 0 0 8349 0 0 1005784108 1518499664 16 Nurse Practitioners REED MONET 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 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 1562 0 0 0 0 0 0 1562 0 0 1005784660 1215458187 16 Nurse Practitioners DEDDO ELIZABETH L 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2473 0 0 0 0 0 0 2473 0 0 1005784765 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 0 284 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 12733 0 0 0 0 0 0 0 0 0 0 0 0 0 12733 0 0 1005784843 1659786317 10 Physicians ABRAMS RACHEL F 999999999 53 Kane 0 0 Emergency Medicine 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 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4823 0 0 0 0 0 0 4823 0 0 1005785401 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 9769 0 0 0 0 0 0 0 0 0 0 0 0 0 9769 0 0 1005785849 12 Optometrists 200 Cook 0 0 Therapeutic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 263 0 0 0 0 0 0 263 0 0 1005785864 1083969513 10 Physicians ALLIOWE NICKYLA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 9917 0 0 0 0 0 0 9952 0 0 1005785884 1396278255 16 Nurse Practitioners HOWARD ALISSA 999999999 66 Marion 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2362 0 0 0 0 0 0 2362 0 0 1005786153 1356880470 89 Physician Assistant Only(Encounter Only) PTACK MATTHEW ALLEN 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 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 0 149 0 0 0 0 0 0 149 0 0 1005786232 1104846633 16 Nurse Practitioners DANNER-KOPTIK KARINA E. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1357 0 0 0 0 0 0 1357 0 0 1005786449 1669784559 10 Physicians ALLAM HESHAM 999999999 63 Macon 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 163 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 5528 0 0 0 0 0 0 5528 0 0 1005786554 40 Federally Qualified Health Centers 200 Cook 0 0 0 0 4 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 0 762 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 762 0 0 1005786652 1356737308 10 Physicians MASKELL KENNETH LOGAN 999999999 200 Cook 0 0 Internal Medicine 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 0 186 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 2489 0 0 0 0 0 0 2489 0 0 1005786869 1154578870 10 Physicians MILLER MELISSA J 999999999 53 Kane 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1585 0 0 0 0 0 0 1585 0 0 1005787054 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 0 221 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 26519 0 0 0 0 0 0 0 0 0 0 0 0 0 26519 0 0 1005787268 1235671264 16 Nurse Practitioners SETTU KARPAGAM 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 510 0 0 0 0 0 0 510 0 0 1005787274 1205365129 11 Dentists AL MUFTI FAHAD 999999999 200 Cook 0 0 General Dentistry 0 0 0 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 650 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 650 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30052 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30052 0 0 1005787305 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 29524 0 0 0 0 0 0 0 0 0 0 0 0 0 29524 0 0 1005787413 1003347212 24 Speech Therapists AMIDEI ALYSSA 999999999 57 Lake 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 0 111 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 7347 7347 0 0 1005787650 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 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19122 0 0 0 0 0 0 0 0 0 0 0 0 0 19122 0 0 1005787846 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1070 0 0 0 0 0 0 0 0 0 0 0 0 0 1070 0 0 1005787909 1053854323 16 Nurse Practitioners LAYTON ALICIA C 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 0 258 0 0 0 0 0 0 258 0 0 1005788172 1699189332 10 Physicians NORTH AMY 999999999 10 Adams 0 0 0 0 0 0 1 0 0 0 0 0 0 3 0 35 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 3 0 76 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 3 0 76 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 15 0 673 0 0 0 0 0 0 720 0 0 1005788386 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 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 53 0 0 0 0 0 0 53 0 0 1005788815 1235579491 10 Physicians SAHRMANN JULIE M 999999999 89 Rock Island 0 0 Family Practice 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 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 1037 0 0 0 0 0 0 1037 0 0 1005789047 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 245 0 0 0 0 0 0 0 0 0 0 0 0 0 245 0 0 1005789190 87 Psychologist(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005789476 1326588336 16 Nurse Practitioners TREAT DIANE 999999999 91 Sangamon 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 0 399 0 0 0 0 0 0 399 0 0 1005789560 1609187590 10 Physicians WIERZBICKI JACLYN 999999999 53 Kane 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 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 4579 0 0 0 0 0 0 4579 0 0 1005790360 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 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 0 114 0 0 0 0 0 0 0 0 114 0 0 1005791239 1073069381 10 Physicians ARGENTINE SARAH E 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1593 0 0 0 0 0 0 1593 0 0 1005791325 1013464304 16 Nurse Practitioners SAVANI RUCHI 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 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 1412 0 0 0 0 0 0 1412 0 0 1005791447 1598170458 10 Physicians SHAH SONAL DIVENDRA 999999999 47 Jackson 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 0 278 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 0 0 0 0 0 0 0 0 0 0 0 0 3454 0 0 0 0 0 0 3454 0 0 1005791957 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005792002 1255657540 16 Nurse Practitioners HEESCH JACOB R 999999999 91 Sangamon 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 1271 0 0 0 0 0 0 1271 0 0 1005792583 1063941847 10 Physicians FOSSES VUONG MICHAELIA 999999999 200 Cook 0 0 Emergency Medicine 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 0 136 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 4681 0 0 0 0 0 0 4681 0 0 1005792603 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 28845 0 0 0 0 0 0 0 0 0 0 0 0 0 28845 0 0 1005792649 1841721180 12 Optometrists BANDSTRA ALAINA R 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2905 0 0 0 0 0 0 2905 0 0 1005793063 1730405812 10 Physicians HOLDEN SARA 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 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 0 249 0 0 0 0 0 0 249 0 0 1005793336 1407970395 89 Physician Assistant Only(Encounter Only) VANBEVERN PAMELA A 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 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 0 235 0 0 0 0 0 0 235 0 0 1005793368 1619267572 10 Physicians COLEMAN JOHNATHAN 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 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 1188 0 0 0 0 0 0 1188 0 0 1005793756 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 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 0 758 0 0 0 0 0 0 758 0 0 1005793774 1548554157 10 Physicians WATSON MARK 600165337 200 Cook 0 0 Family Practice 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 0 409 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 409 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2626 0 0 0 0 0 0 2626 0 0 1005793805 1780979302 10 Physicians NELSON KELLY KELLY 999999999 30 DuPage 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 0 340 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 340 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54747 0 0 0 0 0 0 54747 0 0 1005793869 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 0 320 0 0 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 0 0 0 0 0 0 0 0 0 0 22339 0 0 0 0 0 0 0 0 0 0 0 0 0 22339 0 0 1005794288 1962668160 10 Physicians ALLEN KIONA 999999999 200 Cook 0 0 Pediatrics 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16016 0 0 0 0 0 0 16016 0 0 1005794298 1659434710 16 Nurse Practitioners EADS JAMES A 999999999 96 St Clair 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 562 0 0 0 0 0 0 562 0 0 1005794340 1649697855 10 Physicians BEELER WILLIAM 999999999 200 Cook 0 0 Emergency Medicine 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 0 134 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 6339 0 0 0 0 0 0 6339 0 0 1005794603 1487074407 10 Physicians ZACK ETANA 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 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 4106 0 0 0 0 0 0 4106 0 0 1005795041 1487108312 16 Nurse Practitioners BELLAK SHEILA 999999999 30 DuPage 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 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 851 0 0 0 0 0 0 851 0 0 1005795065 1720318538 89 Physician Assistant Only(Encounter Only) BUHNERKEMPE BILLIE L 999999999 91 Sangamon 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 0 155 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 3059 0 0 0 0 0 0 3059 0 0 1005795891 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2969 0 0 0 0 0 0 0 0 0 0 0 0 0 2969 0 0 1005795996 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 0 168 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 13914 0 0 0 0 0 0 0 0 0 0 0 0 0 13914 0 0 1005796026 1124161872 10 Physicians WAGNER LLOYD D 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 18 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 172 0 55 0 0 0 0 0 0 227 0 0 1005796050 1568996320 10 Physicians BURKE SHANE PATRICK 999999999 200 Cook 0 0 Psychiatry 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 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 0 945 0 0 0 0 0 0 945 0 0 1005796064 16 Nurse Practitioners 87 Randolph 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 63 0 0 0 0 0 0 63 0 0 1005796085 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 0 321 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 28272 0 0 0 0 0 0 0 0 0 0 0 0 0 28272 0 0 1005796215 10 Physicians 200 Cook 0 0 Plastic Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2810 0 0 0 0 0 0 2810 0 0 1005796876 10 Physicians 65 Madison 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 0 102 0 0 0 0 0 0 102 0 0 1005796916 16 Nurse Practitioners 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005796985 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 69514 0 0 0 0 0 0 0 0 0 0 0 0 0 69514 0 0 1005797246 1750815981 16 Nurse Practitioners SUTHAR CINDY 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 0 194 0 0 0 0 0 0 194 0 0 1005798208 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 67 0 0 0 0 0 0 67 0 0 1005798311 1891223814 16 Nurse Practitioners FLOYD REBECCA M 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 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 2678 0 0 0 0 0 0 2678 0 0 1005798338 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005798348 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 42 0 0 0 0 0 0 42 0 0 1005798667 10 Physicians 91 Sangamon 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 23 0 0 1005798983 1063826006 16 Nurse Practitioners CORSO MARGARET 999999999 24 Coles 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 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 1956 0 0 0 0 0 0 1956 0 0 1005799218 1417052325 89 Physician Assistant Only(Encounter Only) DUGGAL ABEER 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 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 1137 0 0 0 0 0 0 1137 0 0 1005799316 1437573706 87 Psychologist(Encounter Only) DOYLE TODD 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 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 1369 0 0 0 0 0 0 1369 0 0 1005799352 1285170746 16 Nurse Practitioners REYES MARION 999999999 87 Randolph 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72 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 4669 0 0 0 0 0 0 4669 0 0 1005799401 1083979181 10 Physicians KIRK CARTER N 999999999 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 8 0 120 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 280 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 280 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 5215 0 0 0 0 0 0 5243 0 0 1005799465 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 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 1954 0 0 0 0 0 0 0 0 0 0 0 0 0 1954 0 0 1005799766 1578002853 91 Waiver service provider--Adults (DHS/DDD) COX HUNTER 999999999 200 Cook 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 0 420 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 420 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30236 0 0 0 0 0 0 0 0 0 0 0 0 0 30236 0 0 1005800024 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22506 0 0 0 0 0 0 0 0 0 0 0 0 0 22506 0 0 1005800068 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 0 156 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 0 0 0 0 0 30261 0 0 0 0 0 0 0 0 0 0 0 0 0 30261 0 0 1005800117 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 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 2561 0 0 0 0 0 0 0 0 0 0 0 0 0 2561 0 0 1005800477 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 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 0 864 0 0 0 0 0 0 0 0 0 0 0 0 0 864 0 0 1005800496 1679514038 12 Optometrists WOLLENBERG LYNN A 999999999 72 McLean 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 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 96 0 0 0 0 0 0 96 0 0 1005800531 1962821892 10 Physicians ZAHRAEE KEVIN A 999999999 40 Grundy 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 0 161 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 2016 0 0 0 0 0 0 2016 0 0 1005800773 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 43 0 0 0 0 0 0 43 0 0 1005800797 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 30038 0 0 0 0 0 0 0 0 0 0 0 0 0 30038 0 0 1005801211 1861469132 10 Physicians KARIMPOUR SHERVIN E 999999999 200 Cook 0 0 Radiation Oncology 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 0 203 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 4408 0 0 0 0 0 0 4408 0 0 1005801295 1629232087 10 Physicians DELACRUZ MICHAEL 999999999 22 Clay 0 0 Internal Medicine 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 0 507 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 507 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7187 0 0 0 0 0 0 7187 0 0 1005801407 1497271035 16 Nurse Practitioners WORKMAN ASHLEY N 999999999 80 Peoria 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 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 3077 0 0 0 0 0 0 3077 0 0 1005801717 1801335914 16 Nurse Practitioners DAVENPORT CHRISTINA M 999999999 53 Kane 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 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 1380 0 0 0 0 0 0 1380 0 0 1005801771 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 0 199 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 26231 0 0 0 0 0 0 0 0 0 0 0 0 0 26231 0 0 1005801821 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 24906 0 0 0 0 0 0 0 0 0 0 0 0 0 24906 0 0 1005802067 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 0 106 0 0 0 0 0 0 106 0 0 1005802442 1114238276 10 Physicians ALNAJAR TAREK 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3189 0 0 0 0 0 0 3189 0 0 1005802780 1063831477 10 Physicians CARDOSO RUBEN 999999999 80 Peoria 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 202 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 11355 0 0 0 0 0 0 11355 0 0 1005802839 1396186300 10 Physicians KWAK HEEWON A 999999999 200 Cook 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 0 620 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 0 0 0 0 0 0 0 0 0 0 0 0 5071 0 0 0 0 0 0 0 0 5071 0 0 1005802999 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 216 0 0 0 0 0 0 216 0 0 1005803302 1851816482 33 Nursing Facilities APERION CARE FAIRFIELD 999999999 104 Wayne 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 0 181 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 531765 0 0 0 0 0 0 0 531765 0 0 1005803308 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 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28391 0 0 0 0 0 0 0 0 0 0 0 0 0 28391 0 0 1005803336 1336680925 16 Nurse Practitioners SMITH JAMIE R 999999999 49 Jefferson 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 0 683 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 683 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10889 0 0 0 0 0 0 10889 0 0 1005803358 1003045097 10 Physicians KIM ELIJAH 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 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 1501 0 0 0 0 0 0 1501 0 0 1005803437 1891085395 10 Physicians SCHIVONE GILLIAN B 999999999 51 Jo Daviess 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 1 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28725 0 0 0 0 0 0 28725 0 0 1005803929 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 9703 0 0 0 0 0 0 0 0 0 0 0 0 0 9703 0 0 1005804336 16 Nurse Practitioners 30 DuPage 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 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 41 0 0 0 0 0 0 41 0 0 1005804464 10 Physicians 200 Cook 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 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 106 0 0 0 0 0 0 135 0 0 1005804584 1326429242 10 Physicians MANSURI KAIF M 999999999 47 Jackson 0 0 Family Practice 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 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 1293 0 0 0 0 0 0 1293 0 0 1005804750 1316983794 89 Physician Assistant Only(Encounter Only) WOELTJEN BONNIE LANE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 24 0 0 1005804993 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 26558 0 0 0 0 0 0 0 0 0 0 0 0 0 26558 0 0 1005805225 1902843782 16 Nurse Practitioners CROSS PATRICK R 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 0 157 0 0 0 0 0 0 157 0 0 1005805372 1285185173 40 Federally Qualified Health Centers SHAWNEE HEALTH CARE SAME DAY 629013547 47 Jackson 0 0 0 0 724 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2549 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2549 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 144680 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 144680 0 0 1005805388 86 Clinical Social Worker(Encounter Only) 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005805596 1841581956 10 Physicians O'REILLY SHAWNA M 999999999 57 Lake 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 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 0 746 0 0 0 0 0 0 746 0 0 1005805601 1245691799 16 Nurse Practitioners CZERNECKI DOROTA 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 0 459 0 0 0 0 0 0 459 0 0 1005806029 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 39480 0 0 0 0 0 0 0 0 0 0 0 0 0 39480 0 0 1005806698 1770561417 10 Physicians VAN AMERONGEN ALEXANDER W 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 237 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1370 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1370 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25737 0 46 0 0 0 0 0 0 25783 0 0 1005806824 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 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 3581 0 0 0 0 0 0 0 0 0 0 0 0 0 3581 0 0 1005806841 1154639771 10 Physicians JI PENG 999999999 200 Cook 0 0 Clinical Pathology 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 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 1022 0 0 0 0 0 0 0 0 1022 0 0 1005806902 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 18794 0 0 0 0 0 0 0 0 0 0 0 0 0 18794 0 0 1005807265 1871668418 86 Clinical Social Worker(Encounter Only) HENDERSON ALDRIDGE MARTRICE 999999999 109 Winnebago 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 0 214 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 13890 0 0 0 0 0 0 13890 0 0 1005807727 1023479508 16 Nurse Practitioners BAKER MANISA 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 0 106 0 0 0 0 0 0 106 0 0 1005807820 10 Physicians 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 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 0 116 0 0 0 0 0 0 116 0 0 1005807993 16 Nurse Practitioners 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 37 0 0 1005808074 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 0 208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17645 0 0 0 0 0 0 0 0 0 0 0 0 0 17645 0 0 1005808136 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 14860 0 0 0 0 0 0 0 0 0 0 0 0 0 14860 0 0 1005808308 1154334258 89 Physician Assistant Only(Encounter Only) FAIRFIELD ANNE E 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 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 0 232 0 0 0 0 0 0 232 0 0 1005808598 1043508724 10 Physicians KENKARE SONYA 999999999 200 Cook 0 0 Dermatology 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 0 136 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 2739 0 0 0 0 0 0 2739 0 0 1005809452 1750641692 13 Podiatrists TRIVEDI ASHKA 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 188 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 0 592 0 0 0 0 0 0 592 0 0 1005809488 1487181608 22 Physical Therapists THORSEN MITCHELL T 999999999 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 361 361 0 0 1005810169 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 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 0 253 0 0 0 0 0 0 253 0 0 1005810461 1104169994 10 Physicians JEN ROBERT 999999999 200 Cook 0 0 Internal Medicine 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 0 279 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 5689 0 0 0 0 0 0 5689 0 0 1005810546 1053658237 89 Physician Assistant Only(Encounter Only) SEIBERT NATALIE L 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 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 1447 0 0 0 0 0 0 1447 0 0 1005811560 1265974604 16 Nurse Practitioners BORJON JULIE 627083428 91 Sangamon 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 113 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3241 0 0 0 0 0 0 3241 0 0 1005811651 1396033825 10 Physicians SAHA NARAYAN M 999999999 200 Cook 0 0 Internal Medicine 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 0 388 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 388 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3366 0 0 0 0 0 0 3366 0 0 1005811759 1477081453 10 Physicians MURPHY BREEANNA L 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 165 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 0 0 7469 0 0 0 0 0 0 7469 0 0 1005811761 1679848998 10 Physicians KETTERHAGEN TIMOTHY M 999999999 200 Cook 0 0 Pediatrics 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 0 112 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 4181 0 0 0 0 0 0 4181 0 0 1005811762 1295819019 60 Pharmacies THE MONROE CLINIC 535661569 852 Wisconsin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 789 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 674 0 0 0 695 0 0 1005811801 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 0 178 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 29727 0 0 0 0 0 0 0 0 0 0 0 0 0 29727 0 0 1005811821 1972943850 10 Physicians MARINO JOANNA 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 190 0 0 5137 0 0 0 0 0 0 5327 0 0 1005812030 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 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 0 113 0 0 0 0 0 0 113 0 0 1005812131 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 22675 0 0 0 0 0 0 0 0 0 0 0 0 0 22675 0 0 1005812924 1508301433 91 Waiver service provider--Adults (DHS/DDD) ACTIVE DAY IN INC. 999999999 89 Rock Island 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 1403 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1403 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81359 0 0 0 0 0 0 0 0 0 0 0 0 0 81359 0 0 1005812948 1346781655 16 Nurse Practitioners STRAJACK SABRINA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 119 0 0 0 0 0 0 119 0 0 1005812966 16 Nurse Practitioners 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 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 1005813132 1740710631 10 Physicians SCHNIETZ ROBERT 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 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 39 0 0 0 0 0 0 39 0 0 1005813331 1780918920 89 Physician Assistant Only(Encounter Only) AZARCON DOMINIQUE 999999999 200 Cook 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 1513 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1513 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13873 0 0 0 0 0 0 13873 0 0 1005813601 80 Prepaid health plan--Health maintenance organization 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005813935 10 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005814043 16 Nurse Practitioners 96 St Clair 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 0 210 0 0 0 0 0 0 210 0 0 1005814084 1356799282 16 Nurse Practitioners AFRIFAH SANDRA 999999999 30 DuPage 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 500 0 0 0 0 0 0 0 0 2339 0 0 0 0 0 0 2839 0 0 1005814302 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25357 0 0 0 0 0 0 0 0 0 0 0 0 0 25357 0 0 1005814782 1104116151 10 Physicians SCHWARTZ BRIAN E 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 14 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 136 0 2631 0 0 0 0 0 0 2767 0 0 1005814942 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 0 122 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 3823 0 0 0 0 0 0 0 0 0 0 0 0 0 3823 0 0 1005815502 87 Psychologist(Encounter Only) 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1001 0 0 0 0 0 0 1001 0 0 1005815555 1871682294 89 Physician Assistant Only(Encounter Only) AGUILAR JEFFREY 999999999 40 Grundy 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 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 78 0 0 0 0 0 0 78 0 0 1005815914 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 23750 0 0 0 0 0 0 0 0 0 0 0 0 0 23750 0 0 1005816174 1104113398 10 Physicians CHARBEK EDWARD 999999999 54 Kankakee 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 2798 0 0 0 0 0 0 2798 0 0 1005816371 1467626184 10 Physicians KOO NATHANIEL 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 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 5765 0 0 0 0 0 0 5765 0 0 1005816416 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 22951 0 0 0 0 0 0 0 0 0 0 0 0 0 22951 0 0 1005816613 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005816816 1750803490 16 Nurse Practitioners CADAYONA JOSEPH 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 645 0 0 0 0 0 0 645 0 0 1005816930 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 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1749 1749 0 0 1005817032 1699180729 10 Physicians HOGANSON GEORGE M 999999999 109 Winnebago 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 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 1678 0 0 0 0 0 0 1678 0 0 1005817446 1386194744 89 Physician Assistant Only(Encounter Only) PERSCHBACHER KAYLA M 999999999 101 Wabash 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 0 154 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 2930 0 0 0 0 0 0 2930 0 0 1005817501 11 Dentists 89 Rock Island 0 0 General Dentistry 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 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 1005817728 1255567962 10 Physicians BHARARA AMIT 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 10639 0 0 0 0 0 0 10644 0 0 1005818365 1508282377 10 Physicians PADOWSKI MACIEJ 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 176 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 8918 0 0 0 0 0 0 8918 0 0 1005818422 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 73 0 0 1005819850 1700954419 87 Psychologist(Encounter Only) ROGERS LESLIE S 999999999 30 DuPage 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 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 1083 0 0 0 0 0 0 1083 0 0 1005820144 22 Physical Therapists 107 Will 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 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 74 74 0 0 1005820387 1548519580 87 Psychologist(Encounter Only) WOOL LAURA 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 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 0 896 0 0 0 0 0 0 896 0 0 1005820808 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 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 1028 0 0 0 0 0 0 0 0 0 0 0 0 0 1028 0 0 1005821120 1225355167 10 Physicians INDORKAR RAKSHA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 344 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 625 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 625 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 76 0 4208 0 0 0 0 0 0 4284 0 0 1005821247 1619396207 10 Physicians JACOB ANN 999999999 91 Sangamon 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 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 3265 0 0 0 0 0 0 3265 0 0 1005821577 1336458959 89 Physician Assistant Only(Encounter Only) HARRIS ALYSSA M 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 226 0 0 0 0 0 0 226 0 0 1005821581 1922331578 16 Nurse Practitioners ELLIS DONNA B 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 69 0 0 0 0 0 0 69 0 0 1005821709 30 General Hospitals 200 Cook DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 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 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 0 455 0 0 0 0 0 455 0 0 1005821804 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 28386 0 0 0 0 0 0 0 0 0 0 0 0 0 28386 0 0 1005822168 1164753281 86 Clinical Social Worker(Encounter Only) ADAMS LINDSEY M 999999999 49 Jefferson 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 0 176 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 6482 0 0 0 0 0 0 6482 0 0 1005822537 16 Nurse Practitioners 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 11 0 0 1005822743 1255863023 16 Nurse Practitioners LUETKENS JUDITH M 999999999 53 Kane 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 0 789 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 789 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2002 0 0 0 0 0 0 2002 0 0 1005822930 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005823713 1386890150 10 Physicians JOHNSON ANDREW K 999999999 200 Cook 0 0 Neurology Surgery 0 0 0 0 0 0 0 0 0 0 0 5 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 237 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 237 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 25276 0 0 0 0 0 0 25324 0 0 1005823796 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 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 1162 0 0 0 0 0 0 0 0 0 0 0 0 0 1162 0 0 1005823879 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 0 132 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 27783 0 0 0 0 0 0 0 0 0 0 0 0 0 27783 0 0 1005824010 1417107087 10 Physicians WALSH ANUJA THAKKAR 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 2063 0 0 0 0 0 0 2063 0 0 1005824483 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 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 87 0 0 0 0 0 0 87 0 0 1005824883 1750342200 10 Physicians SAPRE NANDITA A 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 444 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 444 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7109 0 0 0 0 0 0 7109 0 0 1005825131 1902223209 10 Physicians GONZALEZ COTTO JAVIER V 999999999 200 Cook 0 0 Internal Medicine 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 0 213 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 0 0 0 0 0 0 0 0 0 0 0 0 4682 0 0 0 0 0 0 4682 0 0 1005825265 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 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17917 0 0 0 0 0 0 0 0 0 0 0 0 0 17917 0 0 1005825380 1972989929 70 Ambulance Service Providers FREEDOM EMS LLC 999999999 107 Will 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 4406 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4406 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94308 0 0 0 0 0 0 94308 0 0 1005825585 1184004293 89 Physician Assistant Only(Encounter Only) LEE HESTER 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 0 419 0 0 0 0 0 0 419 0 0 1005825802 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 0 323 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 323 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27805 0 0 0 0 0 0 0 0 0 0 0 0 0 27805 0 0 1005825815 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 13 0 0 0 0 0 0 13 0 0 1005826303 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 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27408 0 0 0 0 0 0 0 0 0 0 0 0 0 27408 0 0 1005826409 1225478191 10 Physicians TSAMBARLIS ALLISON A 606118709 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 5 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72 0 2656 0 0 0 0 0 0 2728 0 0 1005826441 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 18 0 0 0 0 0 0 18 0 0 1005826668 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 1005826913 1942616578 10 Physicians KANDULA MANASA 999999999 80 Peoria 0 0 Internal Medicine 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 0 157 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 0 740 0 0 0 0 0 0 740 0 0 1005827387 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 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 112 112 0 0 1005827481 1770606634 10 Physicians SIMPSON DINEE C 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 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 3213 0 0 0 0 0 0 3213 0 0 1005827850 1811315682 10 Physicians ROSENBERG MICHAEL 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 589 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 930 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 930 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19614 0 341 0 0 0 0 0 0 19955 0 0 1005828019 1982996104 10 Physicians CHIU MICHAEL 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 313 0 0 0 0 0 0 329 0 0 1005828427 1588051767 87 Psychologist(Encounter Only) SANCHEZ HOPE 999999999 200 Cook 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 0 185 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 2418 0 0 0 0 0 0 2418 0 0 1005828577 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 0 182 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 24457 0 0 0 0 0 0 0 0 0 0 0 0 0 24457 0 0 1005828715 1407260227 10 Physicians GIDAY GENET F 999999999 89 Rock Island 0 0 Pediatrics 0 0 0 0 82 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 203 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 203 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 7000 0 0 0 0 0 0 0 0 6877 0 0 0 0 0 0 13877 0 0 1005828781 1629127543 60 Pharmacies HARVEY HEALTH CENTER PHARMACY 604284047 200 Cook 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 0 701 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18857 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15888 0 0 0 15888 0 0 1005829047 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 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 6393 0 0 0 0 0 0 0 0 0 0 0 0 0 6393 0 0 1005829153 1528580917 16 Nurse Practitioners ZIMMER NATALIE J 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 112 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 2465 0 0 0 0 0 0 2465 0 0 1005829299 16 Nurse Practitioners 66 Marion 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95 0 0 0 0 0 0 95 0 0 1005829764 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005829773 1194135400 10 Physicians HUSSAIN SAMIRA 999999999 31 Edgar 0 0 Pediatrics 0 0 0 0 6 0 0 0 0 0 0 1 0 11 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 1 0 21 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 1 0 21 0 0 0 0 0 0 0 0 0 481 0 0 0 0 0 0 45 0 178 0 0 0 0 0 0 704 0 0 1005829805 1346793742 16 Nurse Practitioners STASKOWICZ JENNIFER J 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 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2556 0 0 0 0 0 0 2556 0 0 1005829904 1205014107 10 Physicians JENKINS BRENTON C 999999999 19 Champaign 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 3796 0 0 0 0 0 0 3796 0 0 1005830287 16 Nurse Practitioners 72 McLean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005830390 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 17835 0 0 0 0 0 0 0 0 0 0 0 0 0 17835 0 0 1005830478 89 Physician Assistant Only(Encounter Only) 107 Will 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 28 0 0 0 0 0 0 28 0 0 1005830616 1225340045 10 Physicians ANEGONDHI SUDHINDRA PRAVEEN R 999999999 200 Cook 0 0 Internal Medicine 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 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4785 0 0 0 0 0 0 4785 0 0 1005830750 1891806782 10 Physicians NAZARIAN SARKIS M 999999999 10 Adams 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 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 0 687 0 0 0 0 0 0 687 0 0 1005830898 1558650101 10 Physicians COHEN BLAKE E 999999999 98 Tazewell 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 841 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1163 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1163 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12552 0 85 0 0 0 0 0 0 12637 0 0 1005831531 1548536428 10 Physicians FROYSHTETER ALEXANDER B 999999999 200 Cook 0 0 Anesthesiology 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 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 9777 0 0 0 0 0 0 9777 0 0 1005831866 1558800656 16 Nurse Practitioners SAWYER DARREN M 999999999 72 McLean 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 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 0 962 0 0 0 0 0 0 962 0 0 1005832116 1033572904 10 Physicians HASSAN AHMAD M 999999999 91 Sangamon 0 0 Internal Medicine 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 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 3949 0 0 0 0 0 0 3949 0 0 1005832189 1114289725 10 Physicians L''HEUREUX DANIEL R 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 528 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 809 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 809 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12771 0 1305 0 0 0 0 0 0 14076 0 0 1005832200 10 Physicians 47 Jackson 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2472 0 0 0 0 0 0 2472 0 0 1005832358 1720421720 10 Physicians SINGH ROHIT 999999999 57 Lake 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 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 0 239 0 0 0 0 0 0 239 0 0 1005832576 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 34686 0 0 0 0 0 0 0 0 0 0 0 0 0 34686 0 0 1005832627 1962727875 10 Physicians HAMILTON ZACHARY 999999999 96 St Clair 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 2148 0 0 0 0 0 0 2175 0 0 1005832968 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 16839 0 0 0 0 0 0 0 0 0 0 0 0 0 16839 0 0 1005833465 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 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 45838 0 0 0 0 0 0 0 0 0 0 0 0 0 45838 0 0 1005833489 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5227 0 0 0 0 0 0 0 0 0 0 0 0 0 5227 0 0 1005833523 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 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17022 0 0 0 0 0 0 0 0 0 0 0 0 0 17022 0 0 1005833683 1124479571 12 Optometrists COFFEY BRIAN 999999999 200 Cook 0 0 Diagnostic Pharmaceutical Agents 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 134 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 134 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2249 0 1627 0 0 0 0 3876 0 0 1005833726 1508120528 10 Physicians KUNTZ EDWARD 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 2 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 0 0 0 0 0 219 0 0 1005834421 1346781572 10 Physicians BERMUDEZ ANGEL 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 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14619 0 0 0 0 0 0 14619 0 0 1005834662 1508215708 10 Physicians ZAHEER ZUBAIR 999999999 108 Williamson 0 0 Family Practice 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 0 225 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 3412 0 0 0 0 0 0 3412 0 0 1005834669 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27862 0 0 0 0 0 0 0 0 0 0 0 0 0 27862 0 0 1005834961 1366785362 10 Physicians MUDD PHILIP A 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 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 0 401 0 0 0 0 0 0 401 0 0 1005834980 1790223295 60 Pharmacies GENOA HEALTHCARE LLC 999999999 200 Cook 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 0 608 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16712 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40244 0 0 0 40244 0 0 1005835236 1407395551 16 Nurse Practitioners MCDONOUGH ERIN 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 0 733 0 0 0 0 0 0 733 0 0 1005835246 1932649720 16 Nurse Practitioners GALLINERO EDEN 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 396 0 0 0 0 0 0 396 0 0 1005835269 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3953 0 0 0 0 0 0 0 0 0 0 0 0 0 3953 0 0 1005835328 1801221510 11 Dentists PARDESI AYESHA 999999999 30 DuPage 0 0 General Dentistry 0 0 0 15 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 1361 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1361 0 0 1005835459 10 Physicians 53 Kane 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 18 0 0 1005835461 1285893446 16 Nurse Practitioners WELLS ROBIN J 999999999 91 Sangamon 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 426 0 0 0 0 0 0 0 0 968 0 0 0 0 0 0 1394 0 0 1005835732 16 Nurse Practitioners 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 73 0 0 1005835747 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 29443 0 0 0 0 0 0 0 0 0 0 0 0 0 29443 0 0 1005835787 1629495023 10 Physicians PRICE CAROLYNN 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 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 3428 0 0 0 0 0 0 3428 0 0 1005835962 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 6238 0 0 0 0 0 0 0 0 0 0 0 0 0 6238 0 0 1005836087 1174057434 24 Speech Therapists BROWN SAMANTHA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 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 13398 13398 0 0 1005836327 1396943635 10 Physicians MONTOYA BARRAZA ROBERTO CARLOS 999999999 200 Cook 0 0 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 0 168 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 168 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 69711 0 0 0 0 0 0 69716 0 0 1005836331 1891112231 10 Physicians PATEL KETAN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 643 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 891 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 891 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11386 0 382 0 0 0 0 0 0 11768 0 0 1005836511 1083001077 10 Physicians ZIMMERMANN JASON RICHARD 999999999 200 Cook 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 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9444 0 0 0 0 0 0 9444 0 0 1005836869 1730456914 10 Physicians FISCHER JUSTIN L 999999999 80 Peoria 0 0 Colon - Rectal Surgery 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 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 2500 0 0 0 0 0 0 2500 0 0 1005836916 1588920516 10 Physicians ORJI OBINNA O 999999999 63 Macon 0 0 Anesthesiology 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 0 608 0 0 0 0 0 0 608 0 0 1005837537 16 Nurse Practitioners 91 Sangamon 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 0 0 0 0 0 0 0 0 0 0 1005837775 1649534447 10 Physicians MORAN THOMAS A. 999999999 200 Cook 0 0 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 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1529 0 0 0 0 0 0 1529 0 0 1005838396 1750802237 10 Physicians RAMANI NIRALI BABUBHAI 999999999 53 Kane 0 0 Internal Medicine 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 0 109 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 0 840 0 0 0 0 0 0 840 0 0 1005838886 10 Physicians 200 Cook 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 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 3834 0 0 0 0 0 0 3834 0 0 1005838955 24 Speech Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 64 64 0 0 1005839135 1821522376 10 Physicians MENSEN TROY J 999999999 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 1 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 2509 0 0 0 0 0 0 2512 0 0 1005839188 1073802435 10 Physicians KATSOULIS MICHAEL J 999999999 200 Cook 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 0 269 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 269 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7406 0 0 0 0 0 0 7406 0 0 1005839212 1164960001 16 Nurse Practitioners PAIRITZ ABIGAIL C 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 485 0 0 0 0 0 0 485 0 0 1005839237 1235519901 10 Physicians PENDERGAST JAYNEE E 999999999 40 Grundy 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 0 0 13 0 0 0 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 19 0 0 0 0 0 0 0 0 0 161 0 0 0 0 0 0 0 0 382 0 0 0 0 0 0 543 0 0 1005839515 1538588447 10 Physicians OTTMAN ALBARA W 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 233 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 2777 0 0 0 0 0 0 2777 0 0 1005839573 1649566753 10 Physicians MANGA ARUSHI 999999999 107 Will 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5240 0 0 0 0 0 0 5240 0 0 1005839864 1679003628 16 Nurse Practitioners JOHNSON SONDA 999999999 96 St Clair 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 344 0 0 0 0 0 0 344 0 0 1005839929 1740438050 89 Physician Assistant Only(Encounter Only) MACAROL SOPHIA 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 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 0 318 0 0 0 0 0 0 318 0 0 1005840094 1295810422 60 Pharmacies MARTINSVILLE PHARMACY 999999999 21 Clark 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 0 271 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6712 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4664 0 0 0 4664 0 0 1005840464 1639518913 10 Physicians PATEL BINDU N 999999999 91 Sangamon 0 0 Obstetric-Gynecology 0 0 0 0 3 0 0 0 0 0 0 5 0 35 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 5 0 45 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 5 0 45 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 24 0 9916 0 0 0 0 0 0 10004 0 0 1005840637 1659800316 11 Dentists DAMODARAN LOKESH K 999999999 71 McHenry 0 0 General Dentistry 0 0 0 404 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 2496 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 2496 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 74415 0 0 0 0 0 0 0 0 0 0 0 10658 0 0 0 0 85073 0 0 1005840816 1891240875 22 Physical Therapists NEIDENBACH JAIME 999999999 71 McHenry 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 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 3980 3980 0 0 1005840870 1679725097 89 Physician Assistant Only(Encounter Only) GROEZINGER TERRI L 999999999 97 Stephenson 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 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 0 413 0 0 0 0 0 0 413 0 0 1005840981 1215487830 89 Physician Assistant Only(Encounter Only) DAVISSON RYAN 999999999 24 Coles 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 0 112 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 3570 0 0 0 0 0 0 3570 0 0 1005841025 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 358 0 0 0 0 0 0 358 0 0 1005841042 86 Clinical Social Worker(Encounter Only) 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 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 1005841166 1932528114 10 Physicians ATHER NAZNEEN 999999999 30 DuPage 0 0 Pediatrics 0 0 0 0 13 0 0 0 0 0 0 6 0 10 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 6 0 14 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 6 0 14 0 0 0 0 0 0 0 0 0 1437 0 0 0 0 0 0 85 0 1057 0 0 0 0 0 0 2579 0 0 1005841207 1255787081 10 Physicians GUZMAN YASMIN MEHRPOOYAN 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 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 0 178 0 0 0 0 0 0 178 0 0 1005841211 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 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 6362 0 0 0 0 0 0 0 0 0 0 0 0 0 6362 0 0 1005841482 1699107953 25 Audiologists BARTELT CHRISTINE E 999999999 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 177 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 5493 5493 0 0 1005841606 1568844827 10 Physicians CHUA MARY FRANCINE 999999999 91 Sangamon 0 0 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 0 151 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 5950 0 0 0 0 0 0 5950 0 0 1005841708 1043348717 89 Physician Assistant Only(Encounter Only) FOSTER LARRY L 999999999 200 Cook 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 0 166 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 6624 0 0 0 0 0 0 6624 0 0 1005841823 1417283938 89 Physician Assistant Only(Encounter Only) GOULSON HALEY R 999999999 53 Kane 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 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 447 0 0 0 0 0 0 447 0 0 1005841909 1114380235 16 Nurse Practitioners FRANCIS ELIZABETH C 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 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 0 309 0 0 0 0 0 0 309 0 0 1005842143 1821254830 10 Physicians YEH RICK 999999999 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 351 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 481 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 481 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5405 0 1472 0 0 0 0 0 0 6877 0 0 1005842217 1982142527 16 Nurse Practitioners JENKINS EDITH A 999999999 109 Winnebago 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 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3588 0 0 0 0 0 0 3588 0 0 1005842385 1891015079 10 Physicians SOBINSKY JUSTIN DANIEL 999999999 200 Cook 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 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 0 569 0 0 0 0 0 0 569 0 0 1005842689 1215270178 10 Physicians CRUZ CELESTE GERALDINA 999999999 200 Cook 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 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1794 0 0 0 0 0 0 1794 0 0 1005842920 1649697517 10 Physicians KIM CHLOE H 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 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 1073 0 0 0 0 0 0 1073 0 0 1005842938 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 11364 0 0 0 0 0 0 0 0 0 0 0 0 0 11364 0 0 1005843087 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 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 13948 0 0 0 0 0 0 0 0 0 0 0 0 0 13948 0 0 1005843177 1902160617 10 Physicians PEARSON CHAUHAN KRISTINE M 999999999 53 Kane 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 3 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 26 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 1005843399 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 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18761 0 0 0 0 0 0 0 0 0 0 0 0 0 18761 0 0 1005843685 10 Physicians 98 Tazewell 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 44 0 0 0 0 0 0 44 0 0 1005843954 1780734616 10 Physicians BAUMANN HOLGER M 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 9 0 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 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 673 0 0 0 0 0 0 673 0 0 1005844131 1972848794 89 Physician Assistant Only(Encounter Only) CARUSO DANA M 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 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 0 361 0 0 0 0 0 0 361 0 0 1005844284 1427463801 10 Physicians ROGOWSKI LAUREN M 999999999 53 Kane 0 0 Pediatrics 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 1577 0 0 0 0 0 0 1577 0 0 1005844419 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 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 2983 0 0 0 0 0 0 0 0 0 0 0 0 0 2983 0 0 1005844422 1144766817 16 Nurse Practitioners SLICK WENDY S. 999999999 80 Peoria 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 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 0 779 0 0 0 0 0 0 779 0 0 1005844469 1649479866 10 Physicians ZIA SUBAILA 999999999 47 Jackson 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 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 34 0 0 0 0 0 0 34 0 0 1005844570 1306276597 63 Other Providers of Medical Equipment/Supplies (Non-registered) PRAIRIE CROSSING LIVING AND RE 999999999 27 Dekalb 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2203 0 0 0 0 0 0 2203 0 0 1005844760 87 Psychologist(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 168 0 0 0 0 0 0 168 0 0 1005844839 1477873578 10 Physicians SINGH SAVITHA 999999999 31 Edgar 0 0 Obstetric-Gynecology 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 1217 0 0 0 0 0 0 1217 0 0 1005844921 4005844921 91 Waiver service provider--Adults (DHS/DDD) LYDON SYDNEY 999999999 91 Sangamon 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 0 813 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 0 0 0 0 0 0 0 0 0 0 0 0 74016 0 0 0 0 0 0 0 0 0 0 0 0 0 74016 0 0 1005845150 1336675610 16 Nurse Practitioners DIMARIA NICHOLE MARIE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 906 0 0 0 0 0 0 906 0 0 1005845410 1689005977 89 Physician Assistant Only(Encounter Only) SANDS ERIN E 999999999 53 Kane 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 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 1441 0 0 0 0 0 0 1441 0 0 1005845434 1104111855 10 Physicians BATRA AYUSH 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 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 2705 0 0 0 0 0 0 2705 0 0 1005845686 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 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17165 0 0 0 0 0 0 0 0 0 0 0 0 0 17165 0 0 1005845687 1740695949 10 Physicians EWING ELIZABETH C 999999999 80 Peoria 0 0 Pediatrics 0 0 0 0 12 0 0 0 0 0 0 3 0 18 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 3 0 18 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 3 0 18 0 0 0 0 0 0 0 0 0 928 0 0 0 0 0 0 42 0 690 0 0 0 0 0 0 1660 0 0 1005845808 1740500826 10 Physicians ABEGUNDE VERONICA O 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 7 0 0 0 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 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 165 0 0 0 0 0 0 180 0 0 1005845825 1427495803 10 Physicians ANDERSON HALLEY C 999999999 10 Adams 0 0 Family Practice 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 0 109 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 0 137 0 0 0 0 0 0 137 0 0 1005845902 16 Nurse Practitioners 63 Macon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 462 0 0 0 0 0 0 462 0 0 1005846141 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 12365 0 0 0 0 0 0 0 0 0 0 0 0 0 12365 0 0 1005846580 1497765663 89 Physician Assistant Only(Encounter Only) BETTLACH LAURIE L 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 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 0 118 0 0 0 0 0 0 118 0 0 1005846790 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 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 6047 0 0 0 0 0 0 0 0 0 0 0 0 0 6047 0 0 1005846874 16 Nurse Practitioners 70 McDonough 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 10 0 0 0 0 0 0 10 0 0 1005847350 10 Physicians 53 Kane 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 15 0 0 0 0 0 0 15 0 0 1005847727 1588082507 10 Physicians COBB REBECCA L 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 25 0 0 0 0 0 0 7 0 39 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 9 0 48 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 9 0 48 0 0 0 0 0 0 0 0 0 3696 0 0 0 0 0 0 173 0 2450 0 0 0 0 0 0 6319 0 0 1005847776 10 Physicians 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 0 0 0 0 0 0 108 0 0 1005847908 1467478206 10 Physicians MURPHY ELIZABETH A 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1013 0 0 0 0 0 0 1013 0 0 1005847919 1750768685 10 Physicians ATALLAH RASHA 999999999 200 Cook 0 0 0 0 0 0 3 0 0 0 0 0 0 3 0 45 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 6 0 129 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 6 0 129 0 0 0 0 0 0 0 0 0 366 0 0 0 0 0 0 33 0 4252 0 0 0 0 0 0 4651 0 0 1005848025 1760863716 10 Physicians ALTHEIMER ALICIA 999999999 91 Sangamon 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 1 0 56 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 1 0 148 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 1 0 148 0 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 0 0 1357 0 0 0 0 0 0 1467 0 0 1005848479 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 26071 0 0 0 0 0 0 0 0 0 0 0 0 0 26071 0 0 1005848723 1235573247 16 Nurse Practitioners MANZARA LAUREN 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 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 0 888 0 0 0 0 0 0 888 0 0 1005848980 10 Physicians 97 Stephenson 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005849047 1376920215 10 Physicians CEPAITIS EGLE 999999999 200 Cook 0 0 Anesthesiology 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 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 0 899 0 0 0 0 0 0 899 0 0 1005849069 1750703641 87 Psychologist(Encounter Only) YORK CATHERINE M 999999999 19 Champaign 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 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 0 719 0 0 0 0 0 0 719 0 0 1005849373 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 27361 0 0 0 0 0 0 0 0 0 0 0 0 0 27361 0 0 1005849734 1710365358 10 Physicians MERLO ALEX 999999999 107 Will 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 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 2418 0 0 0 0 0 0 2418 0 0 1005850042 1467866475 10 Physicians DESAI NIMIT JATIN 999999999 53 Kane 0 0 Internal Medicine 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 0 348 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 3710 0 0 0 0 0 0 3710 0 0 1005850379 1013207331 10 Physicians JEELANI SEEMA 999999999 30 DuPage 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 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 2833 0 0 0 0 0 0 2833 0 0 1005850424 1821257049 10 Physicians STRANE NICHOLAS 999999999 47 Jackson 0 0 Emergency 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 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 1398 0 0 0 0 0 0 1398 0 0 1005850911 1043608631 16 Nurse Practitioners JOHNSON YVETTE M 999999999 200 Cook 0 0 General Psychiatry Residency 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 0 348 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 13679 0 0 0 0 0 0 13679 0 0 1005851296 1477903615 10 Physicians HELD KENDALL 999999999 91 Sangamon 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 0 131 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 3760 0 0 0 0 0 0 3760 0 0 1005851619 1043606668 16 Nurse Practitioners FERGUSON ALICIA M 999999999 57 Lake 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 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 1360 0 0 0 0 0 0 1360 0 0 1005851720 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 11662 0 0 0 0 0 0 0 0 0 0 0 0 0 11662 0 0 1005851728 1891113643 10 Physicians HODA SANA 999999999 200 Cook 0 0 Pediatrics 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 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 2682 0 0 0 0 0 0 2682 0 0 1005851790 1871940734 29 ICF/MR CARR HOME 606601017 200 Cook 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 0 358 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10765 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1442277 0 0 0 0 0 0 0 0 0 0 1442277 0 0 1005851985 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 50 0 0 0 0 0 0 50 0 0 1005851991 1356531107 10 Physicians MCINTIRE MARIA G 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 223 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 0 485 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2987 0 0 0 0 0 0 0 0 2987 0 0 1005852321 1831649730 89 Physician Assistant Only(Encounter Only) DIESNER PAIGE C 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 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 0 882 0 0 0 0 0 0 882 0 0 1005852463 16 Nurse Practitioners 200 Cook 0 0 Breast Cancer Screening 0 0 0 0 0 0 0 0 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 84 0 0 0 0 0 0 84 0 0 1005852745 1043606841 10 Physicians EMMERICH KEVIN P 999999999 53 Kane 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 0 446 0 0 0 0 0 0 446 0 0 1005852896 1356703763 10 Physicians WOO EMILY 999999999 200 Cook 0 0 Internal Medicine 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 0 0 0 0 0 278 0 0 0 0 0 0 278 0 0 1005852935 1932441771 10 Physicians JOSEPH KEVIN 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 21 0 0 0 0 0 0 14 0 42 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 27 0 63 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 27 0 63 0 0 0 0 0 0 0 0 0 2091 0 0 0 0 0 0 1252 0 2788 0 0 0 0 0 0 6131 0 0 1005853512 1417245499 10 Physicians ALDAAS FADI 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 6 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 502 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 502 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 0 4585 0 0 0 0 0 0 4652 0 0 1005853576 1255727129 10 Physicians HOHBEIN JANAE L 999999999 80 Peoria 0 0 Emergency Medicine 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 0 192 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 4321 0 0 0 0 0 0 4321 0 0 1005854031 1144515115 10 Physicians NAYANI RAHUL 999999999 91 Sangamon 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 0 199 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 8988 0 0 0 0 0 0 8988 0 0 1005854376 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 20816 0 0 0 0 0 0 0 0 0 0 0 0 0 20816 0 0 1005854395 10 Physicians 89 Rock Island 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 0 567 0 0 0 0 0 0 567 0 0 1005854430 1205372612 16 Nurse Practitioners ZIKE SARA H. 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 0 353 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 353 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1890 0 0 0 0 0 0 1890 0 0 1005854456 1871928838 97 Waiver service provider--Children's residential (DHS/DDD) LANG TIFFANY 622233944 96 St Clair 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 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 7556 0 0 0 0 0 0 0 0 0 0 0 0 0 7556 0 0 1005854551 1518371889 10 Physicians JONES SABRINA K 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 0 214 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 2965 0 0 0 0 0 0 2965 0 0 1005854678 1902288988 10 Physicians PANDEY ANSHUL L 999999999 91 Sangamon 0 0 Psychiatry 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 0 950 0 0 0 0 0 0 950 0 0 1005854819 1366858797 10 Physicians CABRERA NICOLO 999999999 200 Cook 0 0 Internal 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 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 0 257 0 0 0 0 0 0 257 0 0 1005854871 1154396745 89 Physician Assistant Only(Encounter Only) BRAWLEY KELLY 999999999 57 Lake 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 7 0 0 0 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 14 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 145 0 0 0 0 0 0 177 0 0 1005855057 86 Clinical Social Worker(Encounter Only) 57 Lake 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 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 0 369 0 0 0 0 0 0 369 0 0 1005855127 1871926618 16 Nurse Practitioners HAWKINS DAWN 999999999 200 Cook 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 113 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 113 0 0 0 0 0 0 0 0 0 226 0 0 0 0 0 0 0 0 1327 0 0 0 0 0 0 1553 0 0 1005855217 1164626826 16 Nurse Practitioners DENNISON STACIA A 999999999 24 Coles 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 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 2112 0 0 0 0 0 0 2112 0 0 1005855225 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7719 0 0 0 0 0 0 0 0 0 0 0 0 0 7719 0 0 1005855537 1821416587 10 Physicians ROBINSON N''DJAMINA 999999999 200 Cook 0 0 0 0 0 0 6 0 0 0 0 0 0 13 0 66 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 15 0 139 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 15 0 139 0 0 0 0 0 0 0 0 0 192 0 0 0 0 0 0 40 0 1393 0 0 0 0 0 0 1625 0 0 1005855735 1710249503 10 Physicians MURTY PAVAN 999999999 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 278 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 0 0 0 0 0 0 0 0 0 0 0 0 5701 0 0 0 0 0 0 5701 0 0 1005855747 1003231267 10 Physicians BEN AYAD AIMEN E 999999999 80 Peoria 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 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 2798 0 0 0 0 0 0 2798 0 0 1005855821 1609138213 10 Physicians HOU RONG 999999999 107 Will 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 0 513 0 0 0 0 0 0 513 0 0 1005855854 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 0 176 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 15892 0 0 0 0 0 0 0 0 0 0 0 0 0 15892 0 0 1005855858 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 63 0 0 0 0 0 0 63 0 0 1005855929 11 Dentists 200 Cook 0 0 Maxillofacial Surgery 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 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276 0 0 1005855969 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 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8620 0 0 0 0 0 0 0 0 0 0 0 0 0 8620 0 0 1005856125 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 1005856450 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 1005856702 1215203658 10 Physicians READER SARA 999999999 200 Cook 0 0 Anesthesiology 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 2449 0 0 0 0 0 0 2449 0 0 1005856876 1912269366 10 Physicians MORRIS MERRIDETH ASHLEY 999999999 200 Cook 0 0 Internal Medicine 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 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 0 498 0 0 0 0 0 0 498 0 0 1005856886 1134578420 10 Physicians CAMPOS ROSALINDA 999999999 42 Hancock 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 332 0 0 0 0 0 0 332 0 0 1005857025 1710424965 16 Nurse Practitioners JOHNSON APRIL D 999999999 19 Champaign 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 0 0 0 7286 0 0 0 0 0 0 0 0 2711 0 0 0 0 0 0 9997 0 0 1005857462 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 8825 0 0 0 0 0 0 0 0 0 0 0 0 0 8825 0 0 1005857516 1295025534 10 Physicians CONE JENNIFER T 999999999 30 DuPage 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 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11498 0 0 0 0 0 0 11498 0 0 1005857765 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 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 0 466 0 0 0 0 0 0 466 0 0 1005857824 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 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 0 432 0 0 0 0 0 0 432 0 0 1005857941 1942752548 63 Other Providers of Medical Equipment/Supplies (Non-registered) SUHARK HEALTHCARE AND MEDICAL 999999999 53 Kane 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 0 351 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 351 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26162 0 0 0 0 0 0 26162 0 0 1005858067 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 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16432 0 0 0 0 0 0 0 0 0 0 0 0 0 16432 0 0 1005858273 86 Clinical Social Worker(Encounter Only) 107 Will 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 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 87 0 0 0 0 0 0 87 0 0 1005858734 1881031730 13 Podiatrists THOUVENOT DANIEL J 999999999 96 St Clair 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 382 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 382 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2746 0 0 0 0 0 0 2746 0 0 1005858874 1265751317 10 Physicians MULLIN JONATHAN E 999999999 200 Cook 0 0 Pediatrics 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 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 1691 0 0 0 0 0 0 1691 0 0 1005859184 1730470444 87 Psychologist(Encounter Only) WALTER JAMIE 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 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 0 698 0 0 0 0 0 0 698 0 0 1005859263 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 69 0 0 1005859352 1497173223 10 Physicians BREGGER MELISSA D 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 162 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 1938 0 0 0 0 0 0 1938 0 0 1005859576 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005859637 1164836409 10 Physicians SCHRAM ANDREW W 999999999 30 DuPage 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 0 118 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 1688 0 0 0 0 0 0 1688 0 0 1005859668 1821064692 10 Physicians CHARLTON MICHAEL R 999999999 30 DuPage 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 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 1683 0 0 0 0 0 0 1683 0 0 1005859729 87 Psychologist(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 758 0 0 0 0 0 0 758 0 0 1005859903 1386062552 10 Physicians LIU WENDY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2328 0 0 0 0 0 0 2328 0 0 1005860154 1871835603 10 Physicians KANG KAI 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 265 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 265 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 12663 0 0 0 0 0 0 12670 0 0 1005860194 1174691745 87 Psychologist(Encounter Only) STRAND ANGELIQUE M 999999999 53 Kane 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 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 1167 0 0 0 0 0 0 1167 0 0 1005860249 1801215900 10 Physicians PARIMI SHANNON D 999999999 109 Winnebago 0 0 Pediatrics 0 0 0 0 42 0 0 0 0 0 0 17 0 54 0 0 0 0 0 0 0 0 0 176 0 0 0 0 0 0 21 0 80 0 0 0 0 0 0 0 0 0 176 0 0 0 0 0 0 21 0 80 0 0 0 0 0 0 0 0 0 5617 0 0 0 0 0 0 407 0 2937 0 0 0 0 0 0 8961 0 0 1005860434 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005860437 1104848662 10 Physicians NELLESTEIN MICHAEL E 999999999 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 60 0 215 0 0 0 0 0 0 275 0 0 1005860593 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 0 166 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 20215 0 0 0 0 0 0 0 0 0 0 0 0 0 20215 0 0 1005861248 10 Physicians 53 Kane 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 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 1005861280 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 6845 0 0 0 0 0 0 0 0 0 0 0 0 0 6845 0 0 1005861353 1538447529 10 Physicians LANGER MONICA 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 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 4821 0 0 0 0 0 0 4821 0 0 1005861396 1003211160 89 Physician Assistant Only(Encounter Only) BREN JENNIFER L 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 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 0 395 0 0 0 0 0 0 395 0 0 1005861484 1982143582 16 Nurse Practitioners ANUKWU IJEOMA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 182 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 2179 0 0 0 0 0 0 2179 0 0 1005861822 1982044848 10 Physicians ROBINSON CAROLINE 999999999 57 Lake 0 0 Dermatology 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 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 0 193 0 0 0 0 0 0 193 0 0 1005862163 1427312727 10 Physicians SHAH SWETA K 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 112 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 118 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 4512 0 0 0 0 0 0 4512 0 0 1005862624 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 27823 0 0 0 0 0 0 0 0 0 0 0 0 0 27823 0 0 1005862753 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 25994 0 0 0 0 0 0 0 0 0 0 0 0 0 25994 0 0 1005862848 16 Nurse Practitioners 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005863033 16 Nurse Practitioners 108 Williamson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 54 0 0 1005863175 1881074599 10 Physicians OSMAN ZOHEB 999999999 200 Cook 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 2 0 10 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 2 0 20 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 2 0 20 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 342 0 0 0 0 0 0 426 0 0 1005863595 1295965945 89 Physician Assistant Only(Encounter Only) LYNCH LINDSEY A 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 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 0 458 0 0 0 0 0 0 458 0 0 1005863735 1528430725 16 Nurse Practitioners MESSERGES SHANNON 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 242 0 0 0 0 0 0 242 0 0 1005864024 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 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 4681 0 0 0 0 0 0 0 0 0 0 0 0 0 4681 0 0 1005864067 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 0 113 0 0 1005864104 1265725592 10 Physicians HAGEN PATRICK 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 120 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 120 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2608 0 0 0 0 0 0 2608 0 0 1005864353 1104168558 10 Physicians SELOUNSKI VLADIMIR 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 113 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 1994 0 0 0 0 0 0 1994 0 0 1005864425 1942236658 16 Nurse Practitioners SPRIETLER CHERI 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 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 1140 0 0 0 0 0 0 1140 0 0 1005864457 1275951808 10 Physicians MARABELLA JESSICA N 999999999 200 Cook 0 0 Family Practice 0 0 0 0 3 0 0 0 0 0 0 1 0 20 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 1 0 44 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 1 0 44 0 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 741 0 0 0 0 0 0 839 0 0 1005865165 1326061284 60 Pharmacies TOLEDO PHARMACY 999999999 63 Macon 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 1386 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33515 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44795 0 0 0 44795 0 0 1005865355 11 Dentists 53 Kane 0 0 General Dentistry 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005865409 1013350230 10 Physicians ROBERTS LEANNE J 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 605 0 0 0 0 0 0 676 0 0 1005865739 10 Physicians 30 DuPage 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 0 150 0 0 0 0 0 0 150 0 0 1005865857 1275951527 10 Physicians CHEN THOMAS 999999999 30 DuPage 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 0 334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3688 0 0 0 0 0 0 3688 0 0 1005865859 1497277263 10 Physicians DUTT JONATHAN R 999999999 91 Sangamon 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 0 0 0 900 0 0 0 0 0 0 0 0 1231 0 0 0 0 0 0 2131 0 0 1005866160 1033474192 10 Physicians CHRISINGER JOHN SPELLMAN ARAN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1389 0 0 0 0 0 0 0 0 1389 0 0 1005866170 1386962389 10 Physicians OKWUOSA IKE S 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 2 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 458 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 458 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 5044 0 0 0 0 0 0 5059 0 0 1005866236 1699046870 60 Pharmacies GENOA HEALTHCARE LLC 620406805 65 Madison 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 1648 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41895 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 181768 0 0 0 181768 0 0 1005866331 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 109 0 0 0 0 0 0 109 0 0 1005866445 1932188729 10 Physicians GIOIA GIUSEPPE 999999999 80 Peoria 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 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 1899 0 0 0 0 0 0 1899 0 0 1005867075 1073855292 10 Physicians CHARLTON BRANDON T 999999999 24 Coles 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 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 0 157 0 0 0 0 0 0 157 0 0 1005867361 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 0 313 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 313 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28460 0 0 0 0 0 0 0 0 0 0 0 0 0 28460 0 0 1005867365 1073065140 16 Nurse Practitioners VAUGHN JODIE L 999999999 35 Ford 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 0 460 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 460 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1508 0 0 0 0 0 0 1508 0 0 1005867842 1447406368 10 Physicians SIERRA CINTRON KEILA 999999999 80 Peoria 0 0 Psychiatry 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 0 105 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 5593 0 0 0 0 0 0 5593 0 0 1005867980 1306203757 16 Nurse Practitioners MAYER-ZICH SHELLEY K 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 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 0 559 0 0 0 0 0 0 559 0 0 1005868637 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005869053 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 0 170 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 0 0 0 0 0 0 0 0 0 0 27430 0 0 0 0 0 0 0 0 0 0 0 0 0 27430 0 0 1005869659 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 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 0 125 0 0 0 0 0 0 125 0 0 1005869692 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 0 304 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 304 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28908 0 0 0 0 0 0 0 0 0 0 0 0 0 28908 0 0 1005869696 1750796066 10 Physicians SLAVSKY SHANNON ANNETTE 999999999 200 Cook 0 0 Family Practice 0 0 0 0 2 0 0 0 0 0 0 6 0 28 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 8 0 30 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 8 0 30 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 365 0 918 0 0 0 0 0 0 1307 0 0 1005869894 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3766 0 0 0 0 0 0 0 0 0 0 0 0 0 3766 0 0 1005870002 30 General Hospitals 45 Henry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 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 0 213 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005870340 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 20719 0 0 0 0 0 0 0 0 0 0 0 0 0 20719 0 0 1005870382 4005870382 94 Waiver service provider--Children's support (DHS/DDD) LYDON SYDNEY 999999999 91 Sangamon 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 0 572 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 572 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57147 0 0 0 0 0 0 0 0 0 0 0 0 0 57147 0 0 1005870405 1801345160 16 Nurse Practitioners HUSTON JANA L 999999999 98 Tazewell 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 0 890 0 0 0 0 0 0 890 0 0 1005870453 1700887296 10 Physicians MCGILL RITA L 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 509 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 509 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8455 0 0 0 0 0 0 8455 0 0 1005870545 1821535618 75 Department of Alcohol and Substance Abuse Provider "WESTCARE ILLINIOS, INC." 999999999 200 Cook 0 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 0 500 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 36863 0 0 36863 0 0 1005870657 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 28313 0 0 0 0 0 0 0 0 0 0 0 0 0 28313 0 0 1005870659 1821330481 10 Physicians STANFORD KIMBERLY A 999999999 30 DuPage 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 6 0 134 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 76 0 3383 0 0 0 0 0 0 3459 0 0 1005870926 1851726004 89 Physician Assistant Only(Encounter Only) BAZZETTA ELIZABETH G 999999999 200 Cook 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 0 103 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 0 929 0 0 0 0 0 0 929 0 0 1005871417 1285176610 16 Nurse Practitioners MODI REENA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 898 0 0 0 0 0 0 898 0 0 1005871616 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 0 151 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 10757 0 0 0 0 0 0 0 0 0 0 0 0 0 10757 0 0 1005871654 1558898510 16 Nurse Practitioners MOORE SHAUNTE R 999999999 10 Adams 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 1125 0 0 0 0 0 0 0 0 6137 0 0 0 0 0 0 7262 0 0 1005871659 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 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 17 0 0 1005871765 1811361868 16 Nurse Practitioners EICH KATIE 999999999 80 Peoria 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 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 1759 0 0 0 0 0 0 1759 0 0 1005872006 1740546589 10 Physicians BALTRUSHES-HUGHES NICOLE 999999999 200 Cook 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 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 24 0 0 0 0 0 0 24 0 0 1005872273 1275825978 10 Physicians ALI AHMER M 999999999 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 3 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 432 0 0 0 0 0 0 694 0 0 1005872299 1962952283 60 Pharmacies BASINGER'S WILL COUNTY PHARMAC 999999999 107 Will 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 0 849 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33445 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94156 0 0 0 94156 0 0 1005872339 1275069379 10 Physicians FISHER STEVEN JAMES 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 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 0 285 0 0 0 0 0 0 285 0 0 1005872507 1952733180 10 Physicians GARCIA BENJAMIN 999999999 30 DuPage 0 0 Emergency Medicine 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 0 227 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 6633 0 0 0 0 0 0 6633 0 0 1005872810 1821531849 55 Early Intervention Services BURGENER JAMIE 999999999 33 Effingham 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 0 278 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 0 0 0 0 0 0 0 0 0 0 0 0 17657 0 0 0 0 0 0 17657 0 0 1005873009 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 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 0 288 0 0 0 0 0 0 288 0 0 1005873019 1023376951 10 Physicians ALSAWAF ABDULLAH 999999999 91 Sangamon 0 0 Neurology 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 0 352 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 352 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21448 0 0 0 0 0 0 21448 0 0 1005873221 1528375078 10 Physicians TESTA ABRAHAM 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 209 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 6123 0 0 0 0 0 0 6123 0 0 1005873296 1003874652 60 Pharmacies GENOA HEALTHCARE LLC 622233809 96 St Clair 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 1606 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42742 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72023 0 0 0 72023 0 0 1005873321 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 57 0 0 1005873603 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 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 67 0 0 0 0 0 0 67 0 0 1005873609 1215324769 10 Physicians LANE TIMOTHY AUSTIN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 144 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 144 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11150 0 0 0 0 0 0 11150 0 0 1005873743 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 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 91 0 0 0 0 0 0 91 0 0 1005873879 1598214512 60 Pharmacies WALGREENS #16501 999999999 200 Cook 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 0 618 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25009 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 324422 0 0 0 324422 0 0 1005873971 1609009646 13 Podiatrists YAU SYDNEY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 690 0 0 0 0 0 0 690 0 0 1005874111 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 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 84 0 0 0 0 0 0 84 0 0 1005874368 1538681317 91 Waiver service provider--Adults (DHS/DDD) EMRY RYAN 999999999 200 Cook 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 2338 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 0 0 0 0 0 157471 0 0 0 0 0 0 0 0 0 0 0 0 0 157471 0 0 1005874481 30 General Hospitals 60 Lee DIALYSIS Outpatient dialysis centers. 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 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 43 0 0 1005874739 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 12461 0 0 0 0 0 0 0 0 0 0 0 0 0 12461 0 0 1005875074 1750813739 10 Physicians MULWA EGGERS CATHERINE NDANU 999999999 200 Cook 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 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 0 831 0 0 0 0 0 0 831 0 0 1005875145 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 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 10694 0 0 0 0 0 0 0 0 0 0 0 0 0 10694 0 0 1005875447 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 73 0 0 0 0 0 0 73 0 0 1005875454 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005875544 1841617396 10 Physicians SPEWAK MICHAEL 999999999 200 Cook 0 0 Pediatrics 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 4257 0 0 0 0 0 0 4257 0 0 1005875715 1487882791 10 Physicians BARNES SYLVESTER 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3071 0 0 0 0 0 0 3071 0 0 1005875717 1851675979 89 Physician Assistant Only(Encounter Only) MICHELSEN ASHLEY 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63 0 0 0 0 0 0 63 0 0 1005876107 1982124566 16 Nurse Practitioners GIBSON DANA 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 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 1342 0 0 0 0 0 0 1342 0 0 1005876389 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 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 18532 0 0 0 0 0 0 0 0 0 0 0 0 0 18532 0 0 1005876510 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 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11048 0 0 0 0 0 0 0 0 0 0 0 0 0 11048 0 0 1005876714 1588075584 13 Podiatrists MIRKOVIC DIJANA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 199 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 1471 0 0 0 0 0 0 1471 0 0 1005876771 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 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 1005877041 1790219459 16 Nurse Practitioners BOND LATOYA L 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 112 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 3590 0 0 0 0 0 0 3590 0 0 1005877201 1871558924 10 Physicians DONART TERESA 999999999 200 Cook 0 0 Anesthesiology 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 1 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 320 0 0 0 0 0 0 320 0 0 1005877301 1528471059 16 Nurse Practitioners EDWARDS CANDICE M 999999999 200 Cook 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 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 1833 0 0 0 0 0 0 1833 0 0 1005877337 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 4748 0 0 0 0 0 0 0 0 0 0 0 0 0 4748 0 0 1005877506 1447707229 10 Physicians MARRERO-RIVERA GABRIEL E 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 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3174 0 0 0 0 0 0 3174 0 0 1005877704 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 18808 0 0 0 0 0 0 0 0 0 0 0 0 0 18808 0 0 1005877812 1295118610 16 Nurse Practitioners WYDRA MARIE 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 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 0 219 0 0 0 0 0 0 219 0 0 1005878073 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 0 110 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 6943 0 0 0 0 0 0 0 0 0 0 0 0 0 6943 0 0 1005878213 1275772766 89 Physician Assistant Only(Encounter Only) STANTON ELIZABETH 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 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 2487 0 0 0 0 0 0 2487 0 0 1005878226 1811334691 10 Physicians BHATTACHARYA SHALINI 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 1 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 639 0 0 0 0 0 0 708 0 0 1005878292 1699204883 10 Physicians ATTARWALA HAIDER 999999999 91 Sangamon 0 0 Family Practice 0 0 0 0 10 0 0 0 0 0 0 8 0 95 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 20 0 155 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 20 0 155 0 0 0 0 0 0 0 0 0 359 0 0 0 0 0 0 117 0 1966 0 0 0 0 0 0 2442 0 0 1005878364 87 Psychologist(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 43 0 0 0 0 0 0 43 0 0 1005878478 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5080 0 0 0 0 0 0 0 0 0 0 0 0 0 5080 0 0 1005878728 1558819664 16 Nurse Practitioners IHLITSKAYA YULIYA 999999999 200 Cook 0 0 Child/Adolescent Psychiatry Residency 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 0 105 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 1135 0 0 0 0 0 0 1135 0 0 1005879037 1316365950 10 Physicians REYNOLDS JONATHAN E 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 158 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 2055 0 0 0 0 0 0 2055 0 0 1005879087 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 0 120 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 30261 0 0 0 0 0 0 0 0 0 0 0 0 0 30261 0 0 1005879093 1962638130 89 Physician Assistant Only(Encounter Only) SHULL AMANDA L 999999999 91 Sangamon 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 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 0 559 0 0 0 0 0 0 559 0 0 1005879295 1245591924 10 Physicians BAHU RAMEZ 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 2066 0 0 0 0 0 0 2072 0 0 1005879360 1538368204 10 Physicians ENDALE BRUK 999999999 19 Champaign 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 746 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1129 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1129 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13361 0 46 0 0 0 0 0 0 13407 0 0 1005879471 1518409259 16 Nurse Practitioners DECKER MARY B 999999999 10 Adams 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 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6340 0 0 0 0 0 0 6340 0 0 1005879941 1295146421 10 Physicians ALI ARFAA 999999999 47 Jackson 0 0 Internal Medicine 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 5 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 2506 0 0 0 0 0 0 2550 0 0 1005879953 1952729915 10 Physicians KHAN SHADAB 999999999 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 263 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 369 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 369 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3292 0 2427 0 0 0 0 0 0 5719 0 0 1005880084 1841740339 16 Nurse Practitioners CARRERA-MURILLO LILIANA 999999999 200 Cook 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 70 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 179 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 179 0 0 0 0 0 0 0 0 0 1225 0 0 0 0 0 0 0 0 5436 0 0 0 0 0 0 6661 0 0 1005880127 1043566094 86 Clinical Social Worker(Encounter Only) ONSGARD ERIC 999999999 109 Winnebago 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 0 156 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 0 0 0 0 0 7567 0 0 0 0 0 0 7567 0 0 1005880534 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 42 0 0 0 0 0 0 42 0 0 1005881276 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 16524 0 0 0 0 0 0 0 0 0 0 0 0 0 16524 0 0 1005881501 1508301706 40 Federally Qualified Health Centers ARTHUR HEALTH CENTER 999999999 29 Douglas 0 0 0 0 29 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7279 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7279 0 0 1005881723 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 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 26297 0 0 0 0 0 0 0 0 0 0 0 0 0 26297 0 0 1005881732 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 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 4370 0 0 0 0 0 0 0 0 0 0 0 0 0 4370 0 0 1005882118 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 21405 0 0 0 0 0 0 0 0 0 0 0 0 0 21405 0 0 1005882437 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 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 2520 0 0 0 0 0 0 0 0 0 0 0 0 0 2520 0 0 1005882527 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 6015 0 0 0 0 0 0 0 0 0 0 0 0 0 6015 0 0 1005882668 10 Physicians 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 0 190 0 0 0 0 0 0 190 0 0 1005882769 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 0 180 0 0 0 0 0 0 180 0 0 1005883071 1265963631 10 Physicians RIVERA-PINEDA MINERVA 999999999 200 Cook 0 0 Family Practice 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 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 334 0 0 0 0 0 0 414 0 0 1005883088 70 Ambulance Service Providers 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4230 0 0 0 0 0 0 4230 0 0 1005883264 1245556547 10 Physicians HARYANI ASHISH 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 308 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 308 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4185 0 0 0 0 0 0 4185 0 0 1005883462 1003340753 22 Physical Therapists FRANK BRENDEN M 999999999 200 Cook 0 0 0 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 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 730 730 0 0 1005883475 1720320526 10 Physicians SIDDIQUI AMIR 999999999 200 Cook 0 0 Pediatrics 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 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 4815 0 0 0 0 0 0 4815 0 0 1005883565 1740720143 16 Nurse Practitioners HUNDELT ASHLEY N 999999999 87 Randolph 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 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 0 644 0 0 0 0 0 0 644 0 0 1005883698 1437414596 12 Optometrists KACHEROVA VERONICA O 999999999 57 Lake 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 0 847 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 847 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18201 0 0 0 0 0 0 18201 0 0 1005883896 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 1005883938 1649442096 89 Physician Assistant Only(Encounter Only) POMAZAL ERIC K 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 149 0 0 0 0 0 0 149 0 0 1005884185 1194039198 10 Physicians ILIAS BASHA HASEEB 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 422 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 570 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 570 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4811 0 0 0 0 0 0 4811 0 0 1005884230 1265968713 16 Nurse Practitioners ERNST KATHERYN 999999999 19 Champaign 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 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 0 257 0 0 0 0 0 0 257 0 0 1005884384 1922026780 10 Physicians SECCOMBE JOHN 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 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 3573 0 0 0 0 0 0 3573 0 0 1005884549 10 Physicians 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 17 0 0 0 0 0 0 22 0 0 1005884714 1245752237 16 Nurse Practitioners SCHIELER EMILY J 999999999 80 Peoria 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 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 2682 0 0 0 0 0 0 2682 0 0 1005884886 1225120934 89 Physician Assistant Only(Encounter Only) THALHEIMER QUINN M 999999999 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 614 0 0 0 0 0 0 614 0 0 1005884928 1588918395 10 Physicians VAIDADI RAJA KUMARI 999999999 47 Jackson 0 0 Family Practice 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 0 249 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 3825 0 0 0 0 0 0 3825 0 0 1005885133 1639504640 10 Physicians PATEL KUSHAL 999999999 200 Cook 0 0 Emergency Medicine 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 0 151 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 4662 0 0 0 0 0 0 4662 0 0 1005885181 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 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 88 0 0 0 0 0 0 88 0 0 1005885271 1831455666 10 Physicians TANNA SAJAL D 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 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 0 641 0 0 0 0 0 0 641 0 0 1005885631 1881979623 22 Physical Therapists CUNNINGHAM MARIA L 999999999 96 St Clair 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 305 305 0 0 1005885893 1265775571 10 Physicians FORRESTER KATHERINE R 999999999 108 Williamson 0 0 Pediatrics 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 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 3572 0 0 0 0 0 0 3572 0 0 1005885963 10 Physicians 51 Jo Daviess 0 0 Otolaryngology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 24 0 0 1005886241 89 Physician Assistant Only(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 0 0 0 0 0 0 0 0 0 0 1005886256 60 Pharmacies 826 Missouri 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 7 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 99 0 0 0 99 0 0 1005886587 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38154 0 0 0 0 0 0 0 0 0 0 0 0 0 38154 0 0 1005886648 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 0 184 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 13628 0 0 0 0 0 0 0 0 0 0 0 0 0 13628 0 0 1005886779 10 Physicians 30 DuPage 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 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 0 119 0 0 0 0 0 0 119 0 0 1005886952 1861856247 10 Physicians KHAN ASFAHAN 999999999 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 405 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 0 0 0 0 0 8750 0 0 0 0 0 0 8750 0 0 1005887375 30 General Hospitals 815 Indiana ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 379 0 0 0 0 0 0 0 0 0 0 0 0 0 0 379 0 0 1005887393 1962817494 10 Physicians HAN ANKITABEN 999999999 200 Cook 0 0 Family Practice 0 0 0 0 7 0 0 0 0 0 0 3 0 44 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 5 0 90 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 5 0 90 0 0 0 0 0 0 0 0 0 778 0 0 0 0 0 0 16 0 2380 0 0 0 0 0 0 3174 0 0 1005887528 1306288840 89 Physician Assistant Only(Encounter Only) HERRIG WHITNEY S 999999999 30 DuPage 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 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 512 0 0 0 0 0 0 512 0 0 1005887539 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 0 281 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 281 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24931 0 0 0 0 0 0 0 0 0 0 0 0 0 24931 0 0 1005887839 10 Physicians 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 65 0 0 1005887979 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 66 0 0 1005888248 1780651588 87 Psychologist(Encounter Only) MUMBY PATRICIA 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 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 3219 0 0 0 0 0 0 3219 0 0 1005888304 1194986703 10 Physicians MYRE BRIAN C 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2773 0 0 0 0 0 0 2773 0 0 1005888516 1003357849 16 Nurse Practitioners FOGUS KELSEY E 999999999 53 Kane 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 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 0 320 0 0 0 0 0 0 320 0 0 1005888596 24 Speech Therapists 10 Adams 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 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 25 25 0 0 1005888729 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 0 350 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 0 0 0 0 0 0 0 0 0 0 0 0 23074 0 0 0 0 0 0 0 0 0 0 0 0 0 23074 0 0 1005888734 1326585605 60 Pharmacies KREMER PHARMACY 999999999 33 Effingham 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 0 910 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27074 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29476 0 0 0 29476 0 0 1005888750 1174930754 16 Nurse Practitioners WRIGHT LINDSEY 999999999 91 Sangamon 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 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 0 441 0 0 0 0 0 0 441 0 0 1005888856 1881739050 10 Physicians KILLEN MICHAEL S 999999999 34 Fayette 0 0 Emergency Medicine 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 0 146 0 0 0 0 0 0 146 0 0 1005889256 1871849331 10 Physicians TAILOR URVI 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 26 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 1049 0 0 0 0 0 0 1165 0 0 1005889343 1669761441 16 Nurse Practitioners RAWSKI JENNA M 999999999 91 Sangamon 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 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 0 592 0 0 0 0 0 0 592 0 0 1005889611 10 Physicians 19 Champaign 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 69 0 0 0 0 0 0 69 0 0 1005889828 1457881765 10 Physicians VU JOHN 999999999 10 Adams 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 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 0 636 0 0 0 0 0 0 636 0 0 1005890237 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 0 306 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 306 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24391 0 0 0 0 0 0 0 0 0 0 0 0 0 24391 0 0 1005890368 16 Nurse Practitioners 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005890411 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 0 106 0 0 0 0 0 0 106 0 0 1005890477 1003105511 10 Physicians TOBIN VEALEY KRISTEN 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 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 0 111 0 0 0 0 0 0 111 0 0 1005890505 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 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 207 207 0 0 1005890808 1487746939 89 Physician Assistant Only(Encounter Only) PITTMAN THOMAS L 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 0 0 0 0 0 0 0 0 0 0 1005891204 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 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 3067 0 0 0 0 0 0 0 0 0 0 0 0 0 3067 0 0 1005891373 1386165389 13 Podiatrists THOMETZ JOHN MICHAEL 999999999 71 McHenry 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 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2128 0 0 0 0 0 0 2128 0 0 1005891389 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 12587 0 0 0 0 0 0 0 0 0 0 0 0 0 12587 0 0 1005891446 1922410927 16 Nurse Practitioners NORRIS KIMBERLY 503054827 49 Jefferson 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 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 0 0 0 0 0 0 0 0 0 0 1005891459 1316491335 60 Pharmacies IMMEDIATE CARE PHARMACY 999999999 30 DuPage 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 0 275 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7793 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12059 0 0 0 12059 0 0 1005891492 1053725994 10 Physicians HENRIQUEZ HANS J 999999999 30 DuPage 0 0 0 0 0 0 27 0 0 0 0 0 0 5 0 83 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 5 0 266 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 5 0 266 0 0 0 0 0 0 0 0 0 2309 0 0 0 0 0 0 163 0 8305 0 0 0 0 0 0 10777 0 0 1005891561 1053851626 16 Nurse Practitioners REYNOLDS YANA V 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 303 0 0 0 0 0 0 303 0 0 1005891951 1861680704 89 Physician Assistant Only(Encounter Only) SOWA ZACHARY 999999999 91 Sangamon 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 0 304 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 304 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10713 0 0 0 0 0 0 10713 0 0 1005891959 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 19184 0 0 0 0 0 0 0 0 0 0 0 0 0 19184 0 0 1005891976 93 Waiver service provider--HIV/AIDS (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24274 0 0 0 0 0 0 0 0 0 0 0 0 0 24274 0 0 1005892152 1679968432 10 Physicians OTOOLE MATTHEW JOHN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 129 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 1149 0 0 0 0 0 0 1149 0 0 1005892499 1740665082 16 Nurse Practitioners BABU SWAPNA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 666 0 0 0 0 0 0 666 0 0 1005892664 1366804056 10 Physicians ATKINSON SARAH E 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 2 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16307 0 0 0 0 0 0 16307 0 0 1005893043 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 28580 0 0 0 0 0 0 0 0 0 0 0 0 0 28580 0 0 1005893254 1952700973 10 Physicians SYED ANWARUDDIN K 999999999 80 Peoria 0 0 Internal Medicine 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 0 173 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 2149 0 0 0 0 0 0 2149 0 0 1005893515 16 Nurse Practitioners 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 96 0 0 0 0 0 0 96 0 0 1005893825 10 Physicians 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2937 0 0 0 0 0 0 2937 0 0 1005893913 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005894257 1770882029 10 Physicians DABBOUSEH NOURA 999999999 80 Peoria 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 0 417 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 417 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 1005894625 1093014144 89 Physician Assistant Only(Encounter Only) YOUNG RYAN S 999999999 30 DuPage 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 0 0 0 153 0 0 0 0 0 0 153 0 0 1005894660 1598294696 10 Physicians BUKEY BENJAMIN 999999999 91 Sangamon 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 1 0 61 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 213 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 213 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 6 0 3153 0 0 0 0 0 0 3191 0 0 1005894802 1386022168 89 Physician Assistant Only(Encounter Only) MCCANNON VALERIE M 999999999 109 Winnebago 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 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 0 311 0 0 0 0 0 0 311 0 0 1005894835 1992004162 10 Physicians TAUCHEN ALEXANDER J 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 5 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 4597 0 0 0 0 0 0 4648 0 0 1005894885 86 Clinical Social Worker(Encounter Only) 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 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 0 970 0 0 0 0 0 0 970 0 0 1005894915 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 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 0 414 414 0 0 1005895083 10 Physicians 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 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 0 169 0 0 0 0 0 0 169 0 0 1005895113 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 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 7144 0 0 0 0 0 0 0 0 0 0 0 0 0 7144 0 0 1005895159 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 0 0 0 0 0 0 0 0 0 0 1005895178 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3480 0 0 0 0 0 0 0 0 0 0 0 0 0 3480 0 0 1005895369 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 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 0 421 0 0 0 0 0 0 421 0 0 1005895438 1740728039 16 Nurse Practitioners SCHRAGE JENNA 999999999 49 Jefferson 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 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 13 0 0 0 0 0 0 13 0 0 1005895606 1760927057 60 Pharmacies WELLCARE PHARMACY 999999999 200 Cook 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 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10105 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6537 0 0 0 6537 0 0 1005895679 1023404324 11 Dentists HILL BRITTANEY 999999999 200 Cook 0 0 General Dentistry 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 627 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 627 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16277 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16277 0 0 1005895812 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 0 178 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 24057 0 0 0 0 0 0 0 0 0 0 0 0 0 24057 0 0 1005896090 1144658709 16 Nurse Practitioners ARNDT TODD D 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 307 0 0 0 0 0 0 307 0 0 1005896122 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 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 46615 0 0 0 0 0 0 0 0 0 0 0 0 0 46615 0 0 1005896153 1902333842 91 Waiver service provider--Adults (DHS/DDD) KLOTH RACHEL L 999999999 91 Sangamon 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 1666 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1666 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169013 0 0 0 0 0 0 0 0 0 0 0 0 0 169013 0 0 1005896206 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 21468 0 0 0 0 0 0 0 0 0 0 0 0 0 21468 0 0 1005896321 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 4274 0 0 0 0 0 0 0 0 0 0 0 0 0 4274 0 0 1005896885 1073856498 10 Physicians LEE KRISTIN 999999999 200 Cook 0 0 Dermatology 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 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 1019 0 0 0 0 0 0 1019 0 0 1005897105 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005897166 89 Physician Assistant Only(Encounter Only) 106 Whiteside 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005897595 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 1005897643 1669913836 10 Physicians SINGH AMIT KUMAR 999999999 30 DuPage 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2176 0 0 0 0 0 0 2176 0 0 1005897659 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 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 47 0 0 1005897875 1053846816 16 Nurse Practitioners VOYDA BRITTNEY S 999999999 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 736 0 0 0 0 0 0 736 0 0 1005897993 1215292933 10 Physicians GERDELMAN GRANT 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4153 0 0 0 0 0 0 4153 0 0 1005897994 1659668804 10 Physicians GUPTA RAGHAV 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 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1981 0 0 0 0 0 0 1981 0 0 1005898128 1265878193 10 Physicians DIMARCO MICHAEL J 999999999 89 Rock Island 0 0 Family Practice 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 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 1100 0 0 0 0 0 0 1100 0 0 1005898201 1720284367 10 Physicians BAKAR AYLA 999999999 53 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 12 0 88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 3596 0 0 0 0 0 0 3640 0 0 1005898248 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 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28231 0 0 0 0 0 0 0 0 0 0 0 0 0 28231 0 0 1005898288 1295090330 10 Physicians KUZHIVELY JOSE 999999999 80 Peoria 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 0 522 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 522 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 8563 0 0 0 0 0 0 8569 0 0 1005898289 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 6098 0 0 0 0 0 0 0 0 0 0 0 0 0 6098 0 0 1005898798 24 Speech Therapists 106 Whiteside 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 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 0 299 299 0 0 1005899028 1831634146 28 Waiver service provider--Supportive living facility (HFS) HERITAGE WOODS OF MINOOKA 604478281 40 Grundy 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 0 193 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 401346 0 0 0 0 0 0 0 0 0 0 0 0 0 401346 0 0 1005899444 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 1005899984 1992906689 10 Physicians LI HUNG-KEI 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 677 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6686 0 0 0 0 0 0 6686 0 0 1005900023 1164783619 10 Physicians NEWMAN JAMES P 999999999 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 295 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 295 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5764 0 0 0 0 0 0 5764 0 0 1005900368 1245775147 16 Nurse Practitioners ORJI JULIET 999999999 200 Cook 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 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3046 0 0 0 0 0 0 3046 0 0 1005900696 1942542022 10 Physicians SWANSON KATHERINE J 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 583 0 1996 0 0 0 0 0 0 2579 0 0 1005900802 1114448578 11 Dentists MAGALLANES JACQUELINE 999999999 200 Cook 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 445 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 445 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12703 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12703 0 0 1005900852 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 33980 0 0 0 0 0 0 0 0 0 0 0 0 0 33980 0 0 1005900928 25 Audiologists 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 16 16 0 0 1005901020 1306297130 10 Physicians WILLIAMS VANESSA 999999999 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 9 0 107 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 346 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 346 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6856 0 0 0 0 0 0 6856 0 0 1005901330 10 Physicians 30 DuPage 0 0 Anesthesiology 0 0 0 0 0 0 0 0 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 0 506 0 0 0 0 0 0 506 0 0 1005901333 16 Nurse Practitioners 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 23 0 0 0 0 0 0 23 0 0 1005901519 1053623504 10 Physicians SHUSTER DMITRY 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 5402 0 0 0 0 0 0 5422 0 0 1005901570 1295152155 10 Physicians PATEL SAURABHKUMAR 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 326 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 0 0 0 0 0 0 0 0 0 0 0 0 112393 0 0 0 0 0 0 112393 0 0 1005901937 1598105546 10 Physicians ANQUANDAH JULIANA 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1460 0 577 0 0 0 0 0 0 2037 0 0 1005902085 1750680120 10 Physicians KASI REKHA B 999999999 200 Cook 0 0 Psychiatry 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 6435 0 0 0 0 0 0 6435 0 0 1005902252 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 333 0 0 0 0 0 0 333 0 0 1005902510 1225443542 10 Physicians IBRAHIM DAVID 999999999 81 Perry 0 0 Family Practice 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 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 2838 0 0 0 0 0 0 2838 0 0 1005902584 16 Nurse Practitioners 97 Stephenson 0 0 0 0 0 0 0 0 0 0 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 8 0 0 0 0 0 0 8 0 0 1005902627 1215371810 10 Physicians TAN AINAH 999999999 200 Cook 0 0 Dermatology 0 0 0 0 0 0 0 0 0 0 0 3 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 995 0 0 0 0 0 0 1066 0 0 1005902666 1588079966 10 Physicians KENNEDY MICHAEL R 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 4631 0 0 0 0 0 0 4652 0 0 1005902836 1679977631 16 Nurse Practitioners VELAZQUEZ VERENICE J 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 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 71 0 0 0 0 0 0 71 0 0 1005903084 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 0 155 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 15684 0 0 0 0 0 0 0 0 0 0 0 0 0 15684 0 0 1005903158 1891006276 10 Physicians VAN STRATEN MARTA M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72 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 1319 0 0 0 0 0 0 0 0 1319 0 0 1005903541 1235446543 10 Physicians PASCUALGARRIDO CECILIA 999999999 200 Cook 0 0 Orthopedic Surgery 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 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 0 774 0 0 0 0 0 0 774 0 0 1005903613 4005903613 91 Waiver service provider--Adults (DHS/DDD) TARDIF LAURA 999999999 91 Sangamon 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 0 542 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 542 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35385 0 0 0 0 0 0 0 0 0 0 0 0 0 35385 0 0 1005903842 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 152 0 0 1005903914 1467763441 10 Physicians WADHWANI SHIKHA 999999999 200 Cook 0 0 Internal Medicine 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 0 314 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 314 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 1005903919 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 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 12374 0 0 0 0 0 0 0 0 0 0 0 0 0 12374 0 0 1005904000 60 Pharmacies 825 Mississippi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 10 0 0 0 10 0 0 1005904026 1669996781 16 Nurse Practitioners BROQUARD RACHEL 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 499 0 0 0 0 0 0 499 0 0 1005904171 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 10047 0 0 0 0 0 0 0 0 0 0 0 0 0 10047 0 0 1005904560 1326589680 16 Nurse Practitioners WILLIS AMBER D 999999999 99 Union 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 0 110 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 1487 0 0 0 0 0 0 1487 0 0 1005904580 1770757288 10 Physicians NAZIR NOREEN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 314 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 468 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 468 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 526 0 19078 0 0 0 0 0 0 19604 0 0 1005904937 1578910741 10 Physicians HOLLAND BRADLEY C 999999999 10 Adams 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 1 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1306 0 0 0 0 0 0 1306 0 0 1005905204 1760776173 10 Physicians QAYYUM IMAD 999999999 200 Cook 0 0 Internal Medicine 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 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2695 0 0 0 0 0 0 2695 0 0 1005905274 1336522390 30 General Hospitals HOME DIALYSIS SERVICES FRANKFO 999999999 107 Will DIALYSIS Outpatient dialysis centers. 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 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45301 0 0 0 0 0 45301 0 0 1005905693 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 0 345 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 345 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30176 0 0 0 0 0 0 0 0 0 0 0 0 0 30176 0 0 1005905843 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 35049 0 0 0 0 0 0 0 0 0 0 0 0 0 35049 0 0 1005905868 1326033366 10 Physicians KIM JENNIFER 999999999 200 Cook 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 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 0 348 0 0 0 0 0 0 0 0 348 0 0 1005906087 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 25164 0 0 0 0 0 0 0 0 0 0 0 0 0 25164 0 0 1005906842 1306266341 10 Physicians SOONG LILLIAN K 999999999 200 Cook 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 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6623 0 0 0 0 0 0 6623 0 0 1005906999 1417483322 16 Nurse Practitioners MEHLBAUM ANDREA K 999999999 109 Winnebago 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 489 0 0 0 0 0 0 489 0 0 1005907119 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 0 123 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 16956 0 0 0 0 0 0 0 0 0 0 0 0 0 16956 0 0 1005907295 1073872982 10 Physicians AGHAJANI KATAYOUN 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 2 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2376 0 0 0 0 0 0 2376 0 0 1005907316 1891722849 10 Physicians DRUMMOND ALTRESSA D 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 955 0 0 0 0 0 0 955 0 0 1005907474 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 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 90 90 0 0 1005907518 1558665844 10 Physicians SAIF UR REHMAN SANA 999999999 200 Cook 0 0 Internal 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 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 2044 0 0 0 0 0 0 2044 0 0 1005907596 1487911459 10 Physicians MACGILLIS KYLE JOHN 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 9 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 189 0 3066 0 0 0 0 0 0 3255 0 0 1005907795 1144673401 16 Nurse Practitioners STOLL AARON L 999999999 44 Henderson 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 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 97 0 0 0 0 0 0 97 0 0 1005907932 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 29774 0 0 0 0 0 0 0 0 0 0 0 0 0 29774 0 0 1005908536 21 Licensed Practical Nurses 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 1005908639 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 961 0 0 0 0 0 0 961 0 0 1005908723 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 43 0 0 0 0 0 0 43 0 0 1005908892 1235527003 91 Waiver service provider--Adults (DHS/DDD) SHEPPARD MONICA 999999999 200 Cook 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 1743 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1743 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141548 0 0 0 0 0 0 0 0 0 0 0 0 0 141548 0 0 1005909276 1700336682 22 Physical Therapists GARCIA ELIZABETH G 999999999 200 Cook 0 0 0 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 0 366 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 366 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27471 27471 0 0 1005909477 1023490950 10 Physicians MOVVA KOWSIKA 999999999 91 Sangamon 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 1 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 1305 0 0 0 0 0 0 1305 0 0 1005909480 1659500601 10 Physicians AMIN ANISH 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 390 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 390 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4157 0 0 0 0 0 0 4157 0 0 1005909562 1831195841 13 Podiatrists KRUSE TIMOTHY S 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 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 0 137 0 0 0 0 0 0 137 0 0 1005909579 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 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 1909 0 0 0 0 0 0 0 0 0 0 0 0 0 1909 0 0 1005909680 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 11108 0 0 0 0 0 0 0 0 0 0 0 0 0 11108 0 0 1005909754 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 27621 0 0 0 0 0 0 0 0 0 0 0 0 0 27621 0 0 1005909765 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 4 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 3315 3315 0 0 1005909910 1659647865 10 Physicians ANGULO MARIA 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 41 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 228 0 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 228 0 0 0 0 0 0 0 0 0 3440 0 0 0 0 0 0 0 0 7219 0 0 0 0 0 0 10659 0 0 1005909963 16 Nurse Practitioners 23 Clinton 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 974 0 0 0 0 0 0 974 0 0 1005910385 1285028118 10 Physicians LASKY ALEXANDRA 999999999 200 Cook 0 0 Emergency Medicine 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 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4876 0 0 0 0 0 0 4876 0 0 1005910409 1831476795 89 Physician Assistant Only(Encounter Only) FELLER JESSICA E 999999999 200 Cook 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 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 1792 0 0 0 0 0 0 1792 0 0 1005910559 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3518 0 0 0 0 0 0 0 0 0 0 0 0 0 3518 0 0 1005910705 10 Physicians 200 Cook 0 0 General Practice 0 0 0 0 0 0 0 0 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 1005910760 1336683655 16 Nurse Practitioners PADUA RANDELL J 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 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 1033 0 0 0 0 0 0 1033 0 0 1005910863 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 15417 0 0 0 0 0 0 0 0 0 0 0 0 0 15417 0 0 1005911037 16 Nurse Practitioners 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5 0 0 1005911221 1437677846 11 Dentists DEENA DAYALU NAIDU JYOTHI 999999999 80 Peoria 0 0 General Dentistry 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 76 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 76 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 3468 0 0 0 0 0 0 0 0 0 0 0 3996 0 0 0 0 7464 0 0 1005911476 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 5573 0 0 0 0 0 0 0 0 0 0 0 0 0 5573 0 0 1005911480 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 186 0 0 0 0 0 0 186 0 0 1005911618 1730594128 10 Physicians HEALY SAMUEL 999999999 10 Adams 0 0 Pediatrics 0 0 0 0 7 0 0 0 0 0 0 3 0 25 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 3 0 64 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 3 0 64 0 0 0 0 0 0 0 0 0 146 0 0 0 0 0 0 13 0 3510 0 0 0 0 0 0 3669 0 0 1005911718 1063851038 89 Physician Assistant Only(Encounter Only) MCCARTT MATTHEW M 999999999 30 DuPage 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 0 142 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 0 0 0 0 0 0 0 0 0 0 3617 0 0 0 0 0 0 3617 0 0 1005911925 10 Physicians 109 Winnebago 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 42 0 0 0 0 0 0 42 0 0 1005912522 10 Physicians 80 Peoria 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 213 0 0 0 0 0 0 213 0 0 1005912637 1245606367 30 General Hospitals FRESENIUS MEDICAL CARE ABERDEE 999999999 200 Cook DIALYSIS Outpatient dialysis centers. 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 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3301 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2314 0 0 0 0 0 2314 0 0 1005912838 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 12403 0 0 0 0 0 0 0 0 0 0 0 0 0 12403 0 0 1005913887 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 0 227 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 35737 0 0 0 0 0 0 0 0 0 0 0 0 0 35737 0 0 1005914050 1588958987 10 Physicians LIAO CHIH-YI 999999999 30 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1463 0 0 0 0 0 0 1463 0 0 1005914748 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 22 0 0 1005914785 1306259817 10 Physicians ARSHAD KHALID N 999999999 54 Kankakee 0 0 Psychiatry 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 0 446 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 446 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26452 0 0 0 0 0 0 26452 0 0 1005914916 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 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 39101 0 0 0 0 0 0 0 0 0 0 0 0 0 39101 0 0 1005915204 1861491599 10 Physicians SMITH MICHAEL J 999999999 82 Piatt 0 0 Emergency Medicine 0 0 0 0 11 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 167 0 0 0 0 0 0 0 0 1878 0 0 0 0 0 0 2045 0 0 1005915427 1174947204 30 General Hospitals WEST SIDE DIALYSIS 999999999 200 Cook DIALYSIS Outpatient dialysis centers. 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 0 134 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1496 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45902 0 0 0 0 0 45902 0 0 1005915700 1073958658 10 Physicians THIBODEAUX SUZANNE R 999999999 200 Cook 0 0 Clinical Pathology 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 0 0 1005915740 1346699618 11 Dentists NARAYANASWAMY SHILPA 999999999 57 Lake 0 0 General Dentistry 0 0 0 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 316 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 316 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7916 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7916 0 0 1005915801 1518482074 86 Clinical Social Worker(Encounter Only) ANTHONY AMY 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 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 4551 0 0 0 0 0 0 4551 0 0 1005915812 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 27403 0 0 0 0 0 0 0 0 0 0 0 0 0 27403 0 0 1005915999 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5048 0 0 0 0 0 0 0 0 0 0 0 0 0 5048 0 0 1005916033 1467904789 10 Physicians ECKERSTROM EMILY N 999999999 53 Kane 0 0 Family Practice 0 0 0 0 10 0 0 0 0 0 0 8 0 92 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 9 0 137 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 9 0 137 0 0 0 0 0 0 0 0 0 614 0 0 0 0 0 0 46 0 2831 0 0 0 0 0 0 3491 0 0 1005916222 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 0 118 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 12598 0 0 0 0 0 0 0 0 0 0 0 0 0 12598 0 0 1005916901 1366767766 10 Physicians SAPPINGTON JOSHUA 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 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 1341 0 0 0 0 0 0 1341 0 0 1005917425 1295760163 89 Physician Assistant Only(Encounter Only) WALSH VINCENT J 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 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 0 209 0 0 0 0 0 0 209 0 0 1005917784 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26060 0 0 0 0 0 0 0 0 0 0 0 0 0 26060 0 0 1005917792 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 0 105 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 4973 0 0 0 0 0 0 0 0 0 0 0 0 0 4973 0 0 1005917848 1245687425 10 Physicians HANSEN RACHEL F 999999999 109 Winnebago 0 0 Family Practice 0 0 0 0 6 0 0 0 0 0 0 7 0 24 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 8 0 35 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 8 0 35 0 0 0 0 0 0 0 0 0 275 0 0 0 0 0 0 65 0 828 0 0 0 0 0 0 1168 0 0 1005918011 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 10481 0 0 0 0 0 0 0 0 0 0 0 0 0 10481 0 0 1005918143 1285936310 89 Physician Assistant Only(Encounter Only) WHITING DENNIS C 999999999 30 DuPage 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 0 104 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 1405 0 0 0 0 0 0 1405 0 0 1005918411 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 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7379 0 0 0 0 0 0 0 0 0 0 0 0 0 7379 0 0 1005918515 11 Dentists 200 Cook 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 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 1005918687 16 Nurse Practitioners 72 McLean 0 0 0 0 0 0 0 0 0 0 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 0 113 0 0 0 0 0 0 113 0 0 1005918942 1679913768 10 Physicians GOKHALE NISHA S 999999999 200 Cook 0 0 Psychiatry 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 0 102 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 1698 0 0 0 0 0 0 1698 0 0 1005919115 1376776831 89 Physician Assistant Only(Encounter Only) WILSON AMBER 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 165 0 0 0 0 0 0 165 0 0 1005919251 1598059826 10 Physicians PATEL AMITKUMAR 999999999 89 Rock Island 0 0 Internal Medicine 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 0 180 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 13369 0 0 0 0 0 0 13369 0 0 1005919850 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 32756 0 0 0 0 0 0 0 0 0 0 0 0 0 32756 0 0 1005919941 1275540064 89 Physician Assistant Only(Encounter Only) GILL ANDREA 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 0 333 0 0 0 0 0 0 333 0 0 1005920181 1689890014 16 Nurse Practitioners JUENGER KIMBERLY S 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1326 0 0 0 0 0 0 1326 0 0 1005920462 1821350455 10 Physicians GOULD AARON 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 610 0 88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 792 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 792 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6832 0 808 0 0 0 0 0 0 7640 0 0 1005920650 10 Physicians 815 Indiana 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 0 291 0 0 0 0 0 0 291 0 0 1005920707 1386989564 89 Physician Assistant Only(Encounter Only) SEARS DAN 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 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 0 152 0 0 0 0 0 0 152 0 0 1005920925 1366960130 16 Nurse Practitioners ALTHIDE JESSICA 999999999 10 Adams 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 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1064 0 0 0 0 0 0 1064 0 0 1005920993 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 0 127 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 5564 0 0 0 0 0 0 0 0 0 0 0 0 0 5564 0 0 1005921100 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 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16710 0 0 0 0 0 0 0 0 0 0 0 0 0 16710 0 0 1005921181 1780090472 10 Physicians FREEDLE RYAN 999999999 200 Cook 0 0 Internal Medicine 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 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 2568 0 0 0 0 0 0 2568 0 0 1005921203 1609218361 10 Physicians CHEE RU-IK 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 880 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 880 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1089 0 57237 0 0 0 0 0 0 58326 0 0 1005921314 1114212040 10 Physicians GRANT CHRISTOPHER W 999999999 30 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 140 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 197 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 197 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3442 0 422 0 0 0 0 0 0 3864 0 0 1005921590 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 43 0 0 1005921716 1316495765 16 Nurse Practitioners JOLLIFF ANGELA V 999999999 66 Marion 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 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 0 240 0 0 0 0 0 0 240 0 0 1005921939 1396284188 33 Nursing Facilities SALINE CARE NURSING & REHABILI 629461849 90 Saline 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 0 269 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 514007 0 0 0 0 0 0 0 514007 0 0 1005921996 1265478119 10 Physicians WOLINSKY JEAN-PAUL 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 34 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 1005922177 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 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 14681 0 0 0 0 0 0 0 0 0 0 0 0 0 14681 0 0 1005922479 1073952768 10 Physicians PREYSS MELISSA A 999999999 200 Cook 0 0 Obstetric-Gynecology 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 3186 0 0 0 0 0 0 3186 0 0 1005922542 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 0 454 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 454 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57412 0 0 0 0 0 0 0 0 0 0 0 0 0 57412 0 0 1005922550 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 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29587 0 0 0 0 0 0 0 0 0 0 0 0 0 29587 0 0 1005923053 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 0 120 0 0 0 0 0 0 120 0 0 1005923556 1952577504 10 Physicians SINGH AMITA 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 15 0 251 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 352 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 352 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 294 0 4214 0 0 0 0 0 0 4508 0 0 1005923777 1891129557 89 Physician Assistant Only(Encounter Only) HOPPES MEGHAN E 999999999 200 Cook 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 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1640 0 0 0 0 0 0 1640 0 0 1005923828 1750813580 16 Nurse Practitioners KANADY INGRID C 999999999 53 Kane 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 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 0 197 0 0 0 0 0 0 197 0 0 1005924055 1881959872 10 Physicians TAN TISHA JOERLA 999999999 107 Will 0 0 Internal Medicine 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 0 487 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 487 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10129 0 0 0 0 0 0 10129 0 0 1005924149 1780971523 13 Podiatrists SIDDIQUI BILAL 999999999 57 Lake 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 0 336 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 1080 0 0 0 0 0 0 1080 0 0 1005924230 1255673364 10 Physicians DIKOPF MARK 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 170 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 808 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 808 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66 0 20828 0 0 0 0 0 0 20894 0 0 1005924384 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 170 0 0 0 0 0 0 170 0 0 1005924427 21 Licensed Practical Nurses 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 106 0 0 1005924452 1932553583 10 Physicians ALLABABIDI ANAS F 999999999 107 Will 0 0 Internal Medicine 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 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8349 0 0 0 0 0 0 8349 0 0 1005924518 1770032948 89 Physician Assistant Only(Encounter Only) STALLINGS AUSTIN M 999999999 47 Jackson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2487 0 0 0 0 0 0 2487 0 0 1005925023 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 1 0 0 0 0 0 0 1 0 0 1005925119 1154497063 22 Physical Therapists THOMAS ALFONZO 999999999 200 Cook 0 0 0 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 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 0 642 642 0 0 1005925824 1073930137 10 Physicians REMSKI KIMBERLY THERESE 999999999 30 DuPage 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 4 0 388 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 951 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 951 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 220 0 227613 0 0 0 0 0 0 227833 0 0 1005925915 1992139281 89 Physician Assistant Only(Encounter Only) CHRAPEK KRISTINE 999999999 30 DuPage 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 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1083 0 0 0 0 0 0 1083 0 0 1005926094 22 Physical Therapists 72 McLean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 42 42 0 0 1005926203 16 Nurse Practitioners 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 51 0 0 1005926479 1750721254 10 Physicians YANGER THOMAS S 999999999 200 Cook 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 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 1093 0 0 0 0 0 0 1093 0 0 1005926680 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 176 0 0 0 0 0 0 176 0 0 1005927246 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 4 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 1146 1146 0 0 1005927291 1679987267 10 Physicians DUNSTONE ADAM J 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 0 380 0 0 0 0 0 0 380 0 0 1005927610 1639572902 89 Physician Assistant Only(Encounter Only) OKRAY JUSTIN L 999999999 30 DuPage 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 0 101 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 0 594 0 0 0 0 0 0 594 0 0 1005928458 1629296892 10 Physicians SANDMAN DAVID 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 10 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 241 0 0 0 0 0 0 0 0 241 0 0 1005928818 1528467552 10 Physicians KHALIFA MOHAMED 999999999 80 Peoria 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 1863 0 0 0 0 0 0 1863 0 0 1005928831 40 Federally Qualified Health Centers 200 Cook 0 0 0 0 4 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 790 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 790 0 0 1005928852 1306378518 10 Physicians KAHN LAURA 999999999 200 Cook 0 0 Family Practice 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 7 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 136 0 122 0 0 0 0 0 0 258 0 0 1005928863 1023459088 10 Physicians LEGASPI HENRY 999999999 200 Cook 0 0 Physical Medicine/Rehabilitation 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 0 113 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 1772 0 0 0 0 0 0 1772 0 0 1005929016 10 Physicians 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 110 0 0 1005929742 1790229763 13 Podiatrists HUSSAIN SYED A 999999999 200 Cook 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 0 310 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 310 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7028 0 0 0 0 0 0 7028 0 0 1005929750 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 11522 0 0 0 0 0 0 0 0 0 0 0 0 0 11522 0 0 1005929942 1588984454 10 Physicians WALTER JAMES M 999999999 200 Cook 0 0 Internal 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 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 1155 0 0 0 0 0 0 1155 0 0 1005929957 1508394008 12 Optometrists REEVES CASSIE J 999999999 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 264 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 612 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 612 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16583 0 28 0 0 0 0 16611 0 0 1005930008 16 Nurse Practitioners 108 Williamson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1005930083 1760824114 89 Physician Assistant Only(Encounter Only) GEORGIAFANDIS KAITLIN 999999999 109 Winnebago 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 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 0 583 0 0 0 0 0 0 583 0 0 1005930439 10 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 62 0 0 1005930555 1154724623 16 Nurse Practitioners MAISON JOANITA 999999999 19 Champaign 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 109 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 3251 0 0 0 0 0 0 3258 0 0 1005931227 23 Occupational Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 68 68 0 0 1005931405 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 27 0 0 0 0 0 0 27 0 0 1005931411 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 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 15877 0 0 0 0 0 0 0 0 0 0 0 0 0 15877 0 0 1005931765 30 General Hospitals 200 Cook DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 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 0 207 0 0 0 0 0 207 0 0 1005932029 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 30261 0 0 0 0 0 0 0 0 0 0 0 0 0 30261 0 0 1005932242 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 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 1005932388 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 30665 0 0 0 0 0 0 0 0 0 0 0 0 0 30665 0 0 1005932477 4005932477 90 Waiver service provider--Elderly (DOA) GOODHOPE HEALTHCARE AND HOME H 999999999 71 McHenry 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 1704 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1704 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 198057 0 0 0 0 0 0 0 0 0 0 0 0 0 198057 0 0 1005932511 1528353034 10 Physicians CHAUDHRY HINA S 999999999 80 Peoria 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 372 0 0 0 0 0 0 372 0 0 1005932522 1669917654 16 Nurse Practitioners MANGRUM DEBRA 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 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 0 628 0 0 0 0 0 0 628 0 0 1005933189 1992095160 10 Physicians HABIB AMINA S 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 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 1467 0 0 0 0 0 0 1467 0 0 1005933420 1649405341 10 Physicians WADE JAMES R 999999999 53 Kane 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 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 2489 0 0 0 0 0 0 2489 0 0 1005933833 1255876496 16 Nurse Practitioners HENRY JACQUELYN L 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 0 0 0 0 0 0 0 0 0 0 1005933913 1285099374 89 Physician Assistant Only(Encounter Only) KOVARIK SARAH W 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 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 0 235 0 0 0 0 0 0 235 0 0 1005933960 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 330 0 0 0 0 0 0 0 0 0 0 0 0 0 330 0 0 1005934046 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 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 14191 0 0 0 0 0 0 0 0 0 0 0 0 0 14191 0 0 1005934091 24 Speech Therapists 71 McHenry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 499 499 0 0 1005934152 1306376488 10 Physicians AGBISIT CHRISTIAN B 999999999 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 161 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 3894 0 0 0 0 0 0 3894 0 0 1005934187 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 0 182 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 15046 0 0 0 0 0 0 0 0 0 0 0 0 0 15046 0 0 1005934230 1184000929 86 Clinical Social Worker(Encounter Only) CESTARO MICHELLE M 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 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 946 0 0 0 0 0 0 946 0 0 1005934297 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 109 0 0 0 0 0 0 109 0 0 1005934426 1184044828 10 Physicians PYPUR JAYACHANDRUDU VINAY 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1217 0 0 0 0 0 0 1217 0 0 1005934570 16 Nurse Practitioners 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005934629 1558656108 10 Physicians FINKEL LEAH 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 1 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 3976 0 0 0 0 0 0 4008 0 0 1005934762 1689093544 10 Physicians WAITE ALICIA M 999999999 53 Kane 0 0 Family Practice 0 0 0 0 8 0 0 0 0 0 1 12 0 91 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 1 13 0 185 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 1 13 0 185 0 0 0 0 0 0 0 0 0 1094 0 0 0 0 0 0 113 0 6206 0 0 0 0 0 0 7413 0 0 1005934770 1366739104 10 Physicians REICH STEVEN E 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 306 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 471 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 471 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6563 0 2829 0 0 0 0 0 0 9392 0 0 1005934946 1629229794 86 Clinical Social Worker(Encounter Only) LOSCHEN REBECCA 999999999 91 Sangamon 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 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 5076 0 0 0 0 0 0 5076 0 0 1005935035 1023403565 10 Physicians TRIFAN GABRIELA 999999999 80 Peoria 0 0 Neurology 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 0 166 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 9580 0 0 0 0 0 0 9580 0 0 1005935113 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 11340 0 0 0 0 0 0 0 0 0 0 0 0 0 11340 0 0 1005935145 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 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 2034 0 0 0 0 0 0 2034 0 0 1005935306 1366673733 16 Nurse Practitioners KAESEBIER ASHLEY J 999999999 91 Sangamon 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 94 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 94 0 0 0 0 0 0 0 0 0 77 0 0 0 0 0 0 0 0 2475 0 0 0 0 0 0 2552 0 0 1005935335 1194014647 10 Physicians PARDIWALA KRUNAL 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2525 0 0 0 0 0 0 2525 0 0 1005935465 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 1005935591 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 122 0 0 1005935940 1851730717 89 Physician Assistant Only(Encounter Only) DOERSAM MICHELLE 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 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 0 153 0 0 0 0 0 0 153 0 0 1005936060 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5080 0 0 0 0 0 0 0 0 0 0 0 0 0 5080 0 0 1005936182 1851744833 89 Physician Assistant Only(Encounter Only) KOLODZIEJ ELZBIETA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1732 0 0 0 0 0 0 1732 0 0 1005936316 1497104335 10 Physicians PATEL NISHANT N 999999999 30 DuPage 0 0 Family Practice 0 0 0 0 6 0 0 0 0 0 0 1 0 11 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 1 0 22 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 1 0 22 0 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 11 0 685 0 0 0 0 0 0 902 0 0 1005936421 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 818 0 0 0 0 0 0 818 0 0 1005936633 86 Clinical Social Worker(Encounter Only) 40 Grundy 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 1016 0 0 0 0 0 0 1016 0 0 1005936860 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 18143 0 0 0 0 0 0 0 0 0 0 0 0 0 18143 0 0 1005936943 1598950883 89 Physician Assistant Only(Encounter Only) GUARDIA ANDREW K 999999999 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 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17926 0 0 0 0 0 0 17926 0 0 1005937057 22 Physical Therapists 107 Will 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 0 119 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 0 913 913 0 0 1005937101 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 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 21732 0 0 0 0 0 0 0 0 0 0 0 0 0 21732 0 0 1005937484 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 0 0 0 0 0 0 0 0 0 0 0 0 0 110 0 0 1005937678 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 6172 0 0 0 0 0 0 0 0 0 0 0 0 0 6172 0 0 1005937679 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 5566 0 0 0 0 0 0 0 0 0 0 0 0 0 5566 0 0 1005938342 1568993962 16 Nurse Practitioners YUNKER KRISTEN N 999999999 54 Kankakee 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3790 0 0 0 0 0 0 3790 0 0 1005938381 1467999821 89 Physician Assistant Only(Encounter Only) LITTRELL DANIELLE 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 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 0 500 0 0 0 0 0 0 500 0 0 1005938397 1902142037 16 Nurse Practitioners GARCIA KYLE 999999999 53 Kane 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 481 0 0 0 0 0 0 0 0 711 0 0 0 0 0 0 1192 0 0 1005938433 1023371499 10 Physicians DRYLEWICZ MONICA R 999999999 80 Peoria 0 0 Radiology Diagnosis 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 0 322 0 2 0 0 0 0 0 0 324 0 0 1005938477 10 Physicians 200 Cook 0 0 Clinical Pathology 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 2 0 0 1005938523 1467992974 16 Nurse Practitioners VROMAN SHELLY S 999999999 57 Lake 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 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 0 291 0 0 0 0 0 0 291 0 0 1005938706 1073599767 10 Physicians BADEJO ERHIME T 999999999 200 Cook 0 0 Family Practice 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 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 1030 0 0 0 0 0 0 1030 0 0 1005938896 1275950354 10 Physicians ROBERTS CHAD ALAN 999999999 200 Cook 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 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 1097 0 0 0 0 0 0 1097 0 0 1005939059 1659809440 89 Physician Assistant Only(Encounter Only) ATKINSON TAYLOR RAE 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 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 0 277 0 0 0 0 0 0 277 0 0 1005939214 1437142197 16 Nurse Practitioners JANNISCH ERICA C 999999999 30 DuPage 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 77 0 0 0 0 0 0 0 0 0 134 0 0 0 0 0 0 0 0 146 0 0 0 0 0 0 0 0 0 134 0 0 0 0 0 0 0 0 146 0 0 0 0 0 0 0 0 0 4286 0 0 0 0 0 0 0 0 6623 0 0 0 0 0 0 10909 0 0 1005939664 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 28350 0 0 0 0 0 0 0 0 0 0 0 0 0 28350 0 0 1005939950 1336427863 10 Physicians NACHEF ZAHI 999999999 63 Macon 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 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5955 0 0 0 0 0 0 5955 0 0 1005940105 1467985853 88 Other behavior health professional CRAWFORD PATRICIA 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 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 1271 0 0 0 0 0 0 1271 0 0 1005940297 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005940337 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 0 345 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 345 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29471 0 0 0 0 0 0 0 0 0 0 0 0 0 29471 0 0 1005940357 1073983789 16 Nurse Practitioners SCHEMBRI ELODIE 999999999 107 Will 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 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 1109 0 0 0 0 0 0 1109 0 0 1005940705 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 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 9454 0 0 0 0 0 0 0 0 0 0 0 0 0 9454 0 0 1005940716 1558800813 16 Nurse Practitioners POIROT SARAH 999999999 91 Sangamon 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 99 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 99 0 0 0 0 0 0 0 0 0 119 0 0 0 0 0 0 0 0 1968 0 0 0 0 0 0 2087 0 0 1005940888 1326271743 10 Physicians RIZVI SYED M 999999999 109 Winnebago 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 11 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 175 0 2386 0 0 0 0 0 0 2561 0 0 1005941281 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 20711 0 0 0 0 0 0 0 0 0 0 0 0 0 20711 0 0 1005941365 1730440116 10 Physicians WODZIAK MATTHEW 999999999 200 Cook 0 0 Neurology 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 2820 0 0 0 0 0 0 2820 0 0 1005941590 1114337805 10 Physicians PARIKH RONAK AMRISH 999999999 200 Cook 0 0 Internal Medicine 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 0 231 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 0 0 0 0 0 0 0 0 0 0 0 0 4218 0 0 0 0 0 0 4218 0 0 1005941751 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 0 146 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 30225 0 0 0 0 0 0 0 0 0 0 0 0 0 30225 0 0 1005942183 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 695 0 0 0 0 0 0 0 0 0 0 0 0 0 695 0 0 1005942284 10 Physicians 89 Rock Island 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 1005942316 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 35 0 0 0 0 0 0 35 0 0 1005942397 1639493372 89 Physician Assistant Only(Encounter Only) WIESNER ERIN K 999999999 91 Sangamon 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 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 0 360 0 0 0 0 0 0 360 0 0 1005942600 1801200837 10 Physicians ROYAL NICHOLAS J 999999999 19 Champaign 0 0 Family Practice 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 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 1549 0 0 0 0 0 0 1549 0 0 1005942725 1932465259 10 Physicians DETWILER KATHLEEN E 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 328 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 328 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3925 0 0 0 0 0 0 3925 0 0 1005942813 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 173 0 0 0 0 0 0 173 0 0 1005942904 1437508371 10 Physicians KALAFUT KEVIN 999999999 30 DuPage 0 0 Family Practice 0 0 0 0 23 0 0 0 0 0 0 5 0 55 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 7 0 84 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 7 0 84 0 0 0 0 0 0 0 0 0 889 0 0 0 0 0 0 199 0 1784 0 0 0 0 0 0 2872 0 0 1005943092 4005943092 71 Medicar Provider CRIS RURAL MASS TRANSIT DISTRI 999999999 100 Vermilion 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 0 313 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 313 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2358 0 0 0 0 0 0 2358 0 0 1005943245 1396277406 10 Physicians PATEL CHIRAG 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5989 0 0 0 0 0 0 5989 0 0 1005943285 1013154327 10 Physicians HUMAYUN WASAY 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1066 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1066 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7911 0 0 0 0 0 0 7911 0 0 1005943930 1427591726 16 Nurse Practitioners RAMIREZ RAQUEL 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 224 0 0 0 0 0 0 224 0 0 1005944859 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 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 1005944901 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005944953 1952832891 10 Physicians HAEMER ZOE ELIZABETH 999999999 200 Cook 0 0 Internal Medicine 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 0 175 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 5224 0 0 0 0 0 0 5224 0 0 1005944988 10 Physicians 88 Richland 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005945253 1841581220 10 Physicians BLANK ALAN TODD 999999999 200 Cook 0 0 Orthopedic Surgery 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 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14941 0 0 0 0 0 0 14941 0 0 1005945317 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 0 199 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 13290 0 0 0 0 0 0 0 0 0 0 0 0 0 13290 0 0 1005945728 46 Ambulatory Surgical Treatment Centers 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 77 0 0 0 0 0 77 0 0 1005946076 87 Psychologist(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 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 0 177 0 0 0 0 0 0 177 0 0 1005946541 1508032715 10 Physicians O'DONOGHUE CRISTINA M 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 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 5859 0 0 0 0 0 0 5859 0 0 1005946551 1376080630 16 Nurse Practitioners ALLEN MAGIC M 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 187 0 0 1005946616 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 0 159 0 0 0 0 0 0 159 0 0 1005946647 1467873562 24 Speech Therapists SHANNON JANET L 999999999 91 Sangamon 0 0 0 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 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 7818 7818 0 0 1005947159 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 10187 0 0 0 0 0 0 0 0 0 0 0 0 0 10187 0 0 1005947374 1609304401 16 Nurse Practitioners DENMON BETH A 999999999 109 Winnebago 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 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 0 587 0 0 0 0 0 0 587 0 0 1005947955 1902335789 10 Physicians WOJDYLA MARK 999999999 200 Cook 0 0 Emergency Medicine 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 0 137 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 4598 0 0 0 0 0 0 4598 0 0 1005947963 1295132199 89 Physician Assistant Only(Encounter Only) BRITTON ALYSSA 999999999 200 Cook 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 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 1188 0 0 0 0 0 0 1188 0 0 1005948679 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 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1005949145 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 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 21 21 0 0 1005949304 1366985798 16 Nurse Practitioners OMOYENI FOLUKE 999999999 55 Kendall 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 1445 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1445 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5682 0 0 0 0 0 0 5682 0 0 1005949592 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 29054 0 0 0 0 0 0 0 0 0 0 0 0 0 29054 0 0 1005949631 1235154154 10 Physicians ASHWATH MAHI L 999999999 815 Indiana 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 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 0 181 0 0 0 0 0 0 181 0 0 1005950084 1790224970 16 Nurse Practitioners OSTMANN TONI L 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 170 0 0 0 0 0 0 170 0 0 1005950421 16 Nurse Practitioners 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005950430 1427439363 10 Physicians ALEXANDER KACI 999999999 91 Sangamon 0 0 Internal Medicine 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 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 1790 0 0 0 0 0 0 1790 0 0 1005950545 1104359603 91 Waiver service provider--Adults (DHS/DDD) KUNCE REBECCA 999999999 200 Cook 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 1140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64415 0 0 0 0 0 0 0 0 0 0 0 0 0 64415 0 0 1005950874 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 26367 0 0 0 0 0 0 0 0 0 0 0 0 0 26367 0 0 1005951084 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 0 163 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 25261 0 0 0 0 0 0 0 0 0 0 0 0 0 25261 0 0 1005951580 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 8845 0 0 0 0 0 0 0 0 0 0 0 0 0 8845 0 0 1005951716 30 General Hospitals 829 Nevada 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005951741 1619417649 89 Physician Assistant Only(Encounter Only) LANDACIHE JESSICA 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 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 0 0 0 0 0 0 0 0 0 0 1005952020 1063957348 16 Nurse Practitioners SMITH JOYCE L 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 660 0 0 0 0 0 0 660 0 0 1005952078 24 Speech Therapists 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2685 2685 0 0 1005952395 1801322730 40 Federally Qualified Health Centers SIHF HEALTHCARE - SWANSEA 999999999 96 St Clair 0 1 0 0 62 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 184 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 184 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15930 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15930 0 0 1005952741 1487048922 10 Physicians KLEMINE HELEN NIKOLAYEVNA 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 927 0 0 0 0 0 0 927 0 0 1005952807 1396951661 10 Physicians BHAGAVATHI SHARATHKUMAR M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 17 0 0 0 0 0 0 278 0 0 1005952949 1366580763 22 Physical Therapists SCHUMAN BRIAN 999999999 30 DuPage 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 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 0 211 211 0 0 1005953335 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1849 0 0 0 0 0 0 0 0 0 0 0 0 0 1849 0 0 1005953376 1518351758 10 Physicians LEUNG VANIA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 378 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 378 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6773 0 0 0 0 0 0 6773 0 0 1005953773 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 0 182 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 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1005953944 1134667793 16 Nurse Practitioners COLLINS KEVIN 999999999 63 Macon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11230 0 0 0 0 0 0 11230 0 0 1005954111 1194131813 10 Physicians BURKS ELI M 999999999 30 DuPage 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 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 69 0 0 0 0 0 0 69 0 0 1005954141 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 910 0 0 0 0 0 0 0 0 0 0 0 0 0 910 0 0 1005954475 1740736719 16 Nurse Practitioners WALTER MEREDITH 999999999 96 St Clair 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 27 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 16 0 0 0 0 0 0 0 0 1911 0 0 0 0 0 0 1927 0 0 1005954541 1003890856 10 Physicians SWAYZE MATTHEW D 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 203 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 215 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 215 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 8812 0 0 0 0 0 0 8842 0 0 1005955011 4005955011 16 Nurse Practitioners CARDENAS DEPRINCE L 999999999 80 Peoria 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 0 389 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 389 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9072 0 0 0 0 0 0 9072 0 0 1005955047 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 1005955106 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 0 149 0 0 0 0 0 0 149 0 0 1005955126 10 Physicians 63 Macon 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 0 313 0 0 0 0 0 0 313 0 0 1005955698 1003278151 10 Physicians PHAM AMY MINH-HANH 999999999 200 Cook 0 0 Pediatrics 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 14214 0 0 0 0 0 0 14214 0 0 1005955750 1063959708 22 Physical Therapists BRAND EMILEY E 999999999 89 Rock Island 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 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 0 803 803 0 0 1005956064 1962922187 10 Physicians PATEL SAGARKUMAR 999999999 200 Cook 0 0 Family Practice 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 0 140 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 2690 0 0 0 0 0 0 2690 0 0 1005956098 1982149159 16 Nurse Practitioners MURILLO CARMEN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 137 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 7292 0 0 0 0 0 0 7292 0 0 1005956170 1316236524 10 Physicians REMO MYLENE 999999999 30 DuPage 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 0 179 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 4418 0 0 0 0 0 0 4418 0 0 1005956380 1801084793 10 Physicians SIVALINGAM SENTHIL K 999999999 19 Champaign 0 0 Internal Medicine 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 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1984 0 0 0 0 0 0 1984 0 0 1005956610 1295115913 10 Physicians PATEL NEIL B 999999999 91 Sangamon 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 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2365 0 0 0 0 0 0 2365 0 0 1005956631 1720431026 87 Psychologist(Encounter Only) KENNEDY MEGHAN T 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 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 0 0 0 0 0 0 0 0 0 0 1005956798 1316479421 10 Physicians CHOLST REBECCA CYNTHIA 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 4 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 235 0 0 0 0 0 0 0 0 406 0 0 0 0 0 0 641 0 0 1005956857 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 0 215 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 28460 0 0 0 0 0 0 0 0 0 0 0 0 0 28460 0 0 1005957019 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 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27207 0 0 0 0 0 0 0 0 0 0 0 0 0 27207 0 0 1005957024 1255744785 10 Physicians SHAW ELLIS ELYSE A 999999999 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 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 2119 0 0 0 0 0 0 2119 0 0 1005957654 75 Department of Alcohol and Substance Abuse Provider 28 De Witt 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 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 0 814 0 0 814 0 0 1005957684 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 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27202 0 0 0 0 0 0 0 0 0 0 0 0 0 27202 0 0 1005957973 1720498660 10 Physicians KAPLAR KATHERINE JANE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5717 0 0 0 0 0 0 5717 0 0 1005958406 1790996890 10 Physicians KAO WYNN H 999999999 72 McLean 0 0 Dermatology 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 0 208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1125 0 0 0 0 0 0 1125 0 0 1005958967 1881013514 10 Physicians HYDE ROBERT ALEXANDER 999999999 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 3 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 91 0 25150 0 0 0 0 0 0 25241 0 0 1005959022 1396296851 60 Pharmacies COMMUNITY A WALGREENS PHARMACY 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 916 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 32043 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1756 0 0 900194 0 0 0 901950 0 0 1005959052 86 Clinical Social Worker(Encounter Only) 64 Macoupin 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 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 3423 0 0 0 0 0 0 3423 0 0 1005959271 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3176 0 0 0 0 0 0 0 0 0 0 0 0 0 3176 0 0 1005959278 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30251 0 0 0 0 0 0 0 0 0 0 0 0 0 30251 0 0 1005959371 1083991939 89 Physician Assistant Only(Encounter Only) SUTTON CHRISTINE 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 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 0 280 0 0 0 0 0 0 280 0 0 1005959442 1225495898 89 Physician Assistant Only(Encounter Only) COON CAROLINE 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 0 120 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 5739 0 0 0 0 0 0 5739 0 0 1005959537 1922478726 16 Nurse Practitioners DANIELS DARCY 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 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 19 0 0 0 0 0 0 19 0 0 1005959824 1497205504 16 Nurse Practitioners SCHAEFER KELLY L 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 667 0 0 0 0 0 0 667 0 0 1005960030 1902233984 89 Physician Assistant Only(Encounter Only) SWEITZER ELIZABETH K 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2806 0 0 0 0 0 0 2806 0 0 1005960108 1992948152 10 Physicians SHERGILL ARDAMAN P 999999999 200 Cook 0 0 Internal Medicine 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 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 0 938 0 0 0 0 0 0 938 0 0 1005960401 1982143772 33 Nursing Facilities DUQUOIN NURSING & REHABILITATI 999999999 81 Perry 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 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4424 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 329681 0 0 0 0 0 0 0 329681 0 0 1005960411 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 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 2524 0 0 0 0 0 0 0 0 0 0 0 0 0 2524 0 0 1005960542 22 Physical Therapists 19 Champaign 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 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 1016 1016 0 0 1005961011 1356790653 10 Physicians EETTICKAL SHEENA 999999999 107 Will 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 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 337 0 0 0 0 0 0 339 0 0 1005961106 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2447 0 0 0 0 0 0 0 0 0 0 0 0 0 2447 0 0 1005961253 1649538638 10 Physicians PHILLIPS DAVID L. 999999999 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 4826 0 0 0 0 0 0 4843 0 0 1005961440 1871514836 60 Pharmacies THE APOTHECARY CHICAGO 606313745 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 281 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7887 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9955 0 0 0 9955 0 0 1005961730 1477993053 10 Physicians ARNOLD NICOLE L 999999999 19 Champaign 0 0 Family Practice 0 0 0 0 3 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 61 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 61 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 2241 0 0 0 0 0 0 2457 0 0 1005961796 1598138000 48 Rural Health Clinics IVCH MEDICAL GROUP WOMEN'S HEA 999999999 58 La Salle 0 0 0 0 120 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 594 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 594 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17497 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17497 0 0 1005961952 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 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1005961982 1487034716 10 Physicians SCHUERMANN JENNIFER 999999999 91 Sangamon 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 2 0 45 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 3 0 79 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 3 0 79 0 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 10 0 1630 0 0 0 0 0 0 1716 0 0 1005962079 87 Psychologist(Encounter Only) 30 DuPage 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 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 1067 0 0 0 0 0 0 1067 0 0 1005962131 1881145159 16 Nurse Practitioners KAGE ANGELA 999999999 65 Madison 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 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3459 0 0 0 0 0 0 3459 0 0 1005962340 1710274808 10 Physicians GROTHAUS JUSTYNA 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 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15477 0 0 0 0 0 0 15477 0 0 1005962405 1922413335 10 Physicians JUNG ERIC D 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 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 2061 0 0 0 0 0 0 2061 0 0 1005962536 1740628726 10 Physicians SINHA VIKASH 999999999 107 Will 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 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 0 195 0 0 0 0 0 0 195 0 0 1005962664 1699027391 22 Physical Therapists GOSHALIA EESHA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2184 2184 0 0 1005962666 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 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 0 322 0 0 0 0 0 0 322 0 0 1005962714 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 0 341 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 341 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45986 0 0 0 0 0 0 0 0 0 0 0 0 0 45986 0 0 1005962891 91 Waiver service provider--Adults (DHS/DDD) 56 Knox 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 7779 0 0 0 0 0 0 0 0 0 0 0 0 0 7779 0 0 1005962939 10 Physicians 109 Winnebago 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 1005963011 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 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15434 0 0 0 0 0 0 0 0 0 0 0 0 0 15434 0 0 1005964160 1073899548 89 Physician Assistant Only(Encounter Only) MIS JACLYN L 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 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 0 512 0 0 0 0 0 0 512 0 0 1005964514 1306232947 10 Physicians KING RACHAEL ALEXIS 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 133 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 267 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 267 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 6804 0 0 0 0 0 0 6833 0 0 1005964553 1467981571 16 Nurse Practitioners MAYTUM KARMEN D 999999999 200 Cook 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 0 140 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 1695 0 0 0 0 0 0 1695 0 0 1005965340 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 0 124 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 6406 0 0 0 0 0 0 0 0 0 0 0 0 0 6406 0 0 1005965394 10 Physicians 53 Kane 0 0 Physical Medicine/Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 3 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 1005965396 10 Physicians 200 Cook 0 0 Radiation Oncology 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 248 0 0 0 0 0 0 257 0 0 1005965614 1558803791 16 Nurse Practitioners SAENGMANY JACQUELYN V 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 735 0 0 0 0 0 0 735 0 0 1005965639 1306360383 16 Nurse Practitioners SCHNIEPP ANNE 999999999 63 Macon 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 21 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 153 0 0 0 0 0 0 0 0 768 0 0 0 0 0 0 921 0 0 1005965893 10 Physicians 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005965920 1144438169 89 Physician Assistant Only(Encounter Only) SABATINI JOEY 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 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 0 111 0 0 0 0 0 0 111 0 0 1005966064 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 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9601 0 0 0 0 0 0 0 0 0 0 0 0 0 9601 0 0 1005966234 1851764369 48 Rural Health Clinics IVCH MEDICAL GROUP PERU PRIMAR 999999999 58 La Salle 0 0 0 0 95 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 221 0 99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 221 0 99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8847 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8847 0 0 1005966239 1891162459 24 Speech Therapists MILLER-LEE ZOE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 134 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 10178 10178 0 0 1005966288 1447620463 16 Nurse Practitioners DONOGHUE JENNIFER 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 647 0 0 0 0 0 0 647 0 0 1005966651 1912369000 23 Occupational Therapists MACDONALD LYNANNE 999999999 71 McHenry 0 0 0 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 0 139 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 10947 10947 0 0 1005966726 1104239664 60 Pharmacies GENOA HEALTHCARE LLC 604022112 200 Cook 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 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8129 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3725 0 0 0 3725 0 0 1005966742 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 0 218 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 24688 0 0 0 0 0 0 0 0 0 0 0 0 0 24688 0 0 1005967462 1114345584 10 Physicians TENNANT DAVID 999999999 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1356 0 0 0 0 0 0 1356 0 0 1005967778 1881747301 10 Physicians DHINDSA SANDEEP 999999999 49 Jefferson 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 778 0 0 0 0 0 0 784 0 0 1005968051 1750836490 40 Federally Qualified Health Centers METROPOLIS MEDICAL CLINIC 999999999 69 Massac 0 1 0 0 177 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1193 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1193 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47834 0 643 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48477 0 0 1005968104 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 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27945 0 0 0 0 0 0 0 0 0 0 0 0 0 27945 0 0 1005968106 87 Psychologist(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 70 0 0 0 0 0 0 70 0 0 1005968181 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 0 337 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 337 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27592 0 0 0 0 0 0 0 0 0 0 0 0 0 27592 0 0 1005968410 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 16970 0 0 0 0 0 0 0 0 0 0 0 0 0 16970 0 0 1005968534 1710320189 10 Physicians MIKKILINENI VINAY K 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 4705 0 0 0 0 0 0 4747 0 0 1005968553 1013357987 10 Physicians STURM EMILY 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4828 0 0 0 0 0 0 4828 0 0 1005968884 1578882221 10 Physicians PURI ADITI 999999999 200 Cook 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 0 159 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 2242 0 0 0 0 0 0 2242 0 0 1005968929 13 Podiatrists 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 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 71 0 0 0 0 0 0 71 0 0 1005969443 1174977482 16 Nurse Practitioners VIVONA DANA M 999999999 200 Cook 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 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5813 0 0 0 0 0 0 5813 0 0 1005969645 1821537739 75 Department of Alcohol and Substance Abuse Provider CORNERSTONE RECOVERING COMMUNI 999999999 200 Cook 0 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 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18952 0 0 18952 0 0 1005970009 1336407378 89 Physician Assistant Only(Encounter Only) CORBIN TYSON J 999999999 91 Sangamon 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 0 103 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 1156 0 0 0 0 0 0 1156 0 0 1005970022 1477964138 86 Clinical Social Worker(Encounter Only) DAMES SUSAN 999999999 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 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 0 174 0 0 0 0 0 0 174 0 0 1005970364 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 0 142 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 0 0 0 0 0 0 0 0 0 0 17917 0 0 0 0 0 0 0 0 0 0 0 0 0 17917 0 0 1005970670 1205275377 10 Physicians CHAN PHILIP 999999999 97 Stephenson 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 700 0 0 0 0 0 0 700 0 0 1005970721 1528297348 10 Physicians ZOLLER JONATHAN K 999999999 19 Champaign 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 2 0 10 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 1130 0 0 0 0 0 0 1130 0 0 1005971448 1003270463 10 Physicians HOLT HUNTER KEGAN 999999999 200 Cook 0 0 Family Practice 0 0 0 0 3 0 0 0 0 0 0 1 0 20 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 1 0 28 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 1 0 28 0 0 0 0 0 0 0 0 0 371 0 0 0 0 0 0 8 0 1975 0 0 0 0 0 0 2354 0 0 1005971561 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005971689 1164950234 91 Waiver service provider--Adults (DHS/DDD) DIAZ SARAH 999999999 200 Cook 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 0 811 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 811 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130013 0 0 0 0 0 0 0 0 0 0 0 0 0 130013 0 0 1005971772 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 47 0 0 0 0 0 0 47 0 0 1005971853 1518386366 10 Physicians PICKENS CHIAGOZIE I 999999999 200 Cook 0 0 Internal Medicine 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 0 170 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 0 0 0 0 0 0 0 0 0 0 4698 0 0 0 0 0 0 4698 0 0 1005972124 1225418981 10 Physicians DAMROW TIMOTHY 999999999 54 Kankakee 0 0 0 0 0 0 1 0 0 0 0 0 0 9 0 74 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 9 0 166 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 9 0 166 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 2804 0 0 0 0 0 0 2822 0 0 1005972755 1669714978 10 Physicians MCCRACKEN WARD H. 999999999 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 1 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3156 0 0 0 0 0 0 3156 0 0 1005972757 1124438411 10 Physicians FABIAN MADONNA 999999999 200 Cook 0 0 Internal 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 0 121 0 0 0 0 0 0 121 0 0 1005972905 10 Physicians 24 Coles 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300 0 13 0 0 0 0 0 0 313 0 0 1005972949 10 Physicians 19 Champaign 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005972962 1952506313 10 Physicians BOYD BRIAN 999999999 109 Winnebago 0 0 Radiology Diagnosis 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 52 0 0 0 0 0 0 0 0 52 0 0 1005972988 24 Speech Therapists 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 13 0 0 1005973219 1487932398 10 Physicians DEVARAKONDA SIDDHARTHA H K 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 0 209 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 36191 0 0 0 0 0 0 36191 0 0 1005973381 1144517707 10 Physicians SHODUNKE TEMITOPE 999999999 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5453 0 0 0 0 0 0 5453 0 0 1005973525 1467794883 10 Physicians BHADULA RAGINI 999999999 200 Cook 0 0 Internal 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 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005973584 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 0 264 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 30222 0 0 0 0 0 0 0 0 0 0 0 0 0 30222 0 0 1005973819 1467740894 10 Physicians HUSSEINI OMAR 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 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 0 663 0 0 0 0 0 0 663 0 0 1005974494 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 0 168 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 27767 0 0 0 0 0 0 0 0 0 0 0 0 0 27767 0 0 1005974556 1417366063 16 Nurse Practitioners MAFOKOU JEANNE 999999999 10 Adams 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 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 1455 0 0 0 0 0 0 1455 0 0 1005974607 1891972055 10 Physicians HODGES BETHANY K 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 1249 0 0 0 0 0 0 1249 0 0 1005975212 1124465844 10 Physicians ROGALA KATARZYNA 999999999 107 Will 0 0 Family Practice 0 0 0 0 7 0 0 0 0 0 0 8 0 50 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 20 0 138 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 20 0 138 0 0 0 0 0 0 0 0 0 614 0 0 0 0 0 0 58 0 2189 0 0 0 0 0 0 2861 0 0 1005975350 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 141 0 0 0 0 0 0 141 0 0 1005975605 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 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 3758 0 0 0 0 0 0 0 0 0 0 0 0 0 3758 0 0 1005975993 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 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 12339 0 0 0 0 0 0 0 0 0 0 0 0 0 12339 0 0 1005976073 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12441 0 0 0 0 0 0 0 0 0 0 0 0 0 12441 0 0 1005976188 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7185 0 0 0 0 0 0 0 0 0 0 0 0 0 7185 0 0 1005976210 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 1005976405 1972910172 10 Physicians VARNEY JACOB A 999999999 91 Sangamon 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 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2582 0 0 0 0 0 0 2582 0 0 1005976440 1689092793 13 Podiatrists JASONOWICZ STEVEN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 175 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 1287 0 0 0 0 0 0 1287 0 0 1005976543 1215296215 10 Physicians HAFIZ BEENISH 999999999 91 Sangamon 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 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 4280 0 0 0 0 0 0 4280 0 0 1005976725 1154867034 16 Nurse Practitioners WINTERS MEGAN A 999999999 91 Sangamon 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 82 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 82 0 0 0 0 0 0 0 0 0 458 0 0 0 0 0 0 0 0 2113 0 0 0 0 0 0 2571 0 0 1005976894 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2325 0 0 0 0 0 0 0 0 0 0 0 0 0 2325 0 0 1005976895 1770960007 10 Physicians BREMER WILLIAM 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 487 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 794 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 794 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10025 0 4088 0 0 0 0 0 0 14113 0 0 1005977140 1013358639 10 Physicians JOGINPALLY TEJASWINI 999999999 19 Champaign 0 0 Internal Medicine 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 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4498 0 0 0 0 0 0 4498 0 0 1005977629 1972949584 10 Physicians KWAKYE-ACKAH GRAZELDA 999999999 54 Kankakee 0 0 Obstetric-Gynecology 0 0 0 0 8 0 0 0 0 0 0 20 0 150 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 26 0 298 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 26 0 298 0 0 0 0 0 0 0 0 0 653 0 0 0 0 0 0 110 0 19635 0 0 0 0 0 0 20398 0 0 1005977784 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 16797 0 0 0 0 0 0 0 0 0 0 0 0 0 16797 0 0 1005978112 1467708305 10 Physicians GREBENCIUCOVA ELENA 999999999 200 Cook 0 0 Neurology 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 0 171 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 68244 0 0 0 0 0 0 68244 0 0 1005978464 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 30028 0 0 0 0 0 0 0 0 0 0 0 0 0 30028 0 0 1005978594 10 Physicians 25 Crawford 0 0 Pediatrics 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 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 0 667 0 0 0 0 0 0 667 0 0 1005979141 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 24121 0 0 0 0 0 0 0 0 0 0 0 0 0 24121 0 0 1005979199 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 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 1455 0 0 0 0 0 0 0 0 0 0 0 0 0 1455 0 0 1005979586 1437423613 16 Nurse Practitioners TRICKEY BROOKE Y 999999999 91 Sangamon 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 0 208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10692 0 0 0 0 0 0 10692 0 0 1005979850 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 37 0 0 0 0 0 0 37 0 0 1005979969 1407056526 10 Physicians DAVIS ELIZABETH S 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 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2697 0 0 0 0 0 0 2697 0 0 1005980008 1265977656 16 Nurse Practitioners HENSLEY KRISTA G 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1187 0 0 0 0 0 0 1187 0 0 1005980140 1326562323 16 Nurse Practitioners NOBLITT ERIN E 999999999 63 Macon 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 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1615 0 0 0 0 0 0 1615 0 0 1005980221 1932633443 16 Nurse Practitioners KAMP TIMOTHY M 999999999 50 Jersey 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 0 147 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 1356 0 0 0 0 0 0 1356 0 0 1005980258 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 0 108 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 13154 0 0 0 0 0 0 0 0 0 0 0 0 0 13154 0 0 1005980317 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 0 132 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 27734 0 0 0 0 0 0 0 0 0 0 0 0 0 27734 0 0 1005980544 1407823206 87 Psychologist(Encounter Only) WALSH SUSAN 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 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 0 0 0 0 0 0 0 0 0 0 1005980661 1598036840 10 Physicians AMARAH AMATUR R. 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 25 0 0 0 0 0 0 25 0 0 1005980778 10 Physicians 47 Jackson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 17 0 0 0 0 0 0 17 0 0 1005980840 1598171548 10 Physicians BADAR AMIR 999999999 107 Will 0 0 Psychiatry 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 0 330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5618 0 0 0 0 0 0 5618 0 0 1005980993 1336501337 10 Physicians SWAKOW JAMES 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 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 3521 0 0 0 0 0 0 3521 0 0 1005981368 1710439112 16 Nurse Practitioners BOYD NICOLE 999999999 96 St Clair 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 209 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 2785 0 0 0 0 0 0 2785 0 0 1005981632 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 190 0 0 0 0 0 0 190 0 0 1005981642 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 0 182 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 9465 0 0 0 0 0 0 0 0 0 0 0 0 0 9465 0 0 1005981711 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 9910 0 0 0 0 0 0 0 0 0 0 0 0 0 9910 0 0 1005982146 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2457 0 0 0 0 0 0 0 0 0 0 0 0 0 2457 0 0 1005982483 1811272438 10 Physicians ANOKWUTE CHIEDOZIE 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 489 0 0 0 0 0 0 489 0 0 1005982668 1386018885 30 General Hospitals MORRIS COMMUNITY DIALYSIS 999999999 40 Grundy DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 475 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1226 0 0 0 0 0 1226 0 0 1005982740 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 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 0 110 0 0 0 0 0 0 110 0 0 1005982749 1992241061 16 Nurse Practitioners FREITAS NDEMBELEKI R 999999999 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 25 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 85 0 0 0 0 0 0 0 0 1141 0 0 0 0 0 0 1226 0 0 1005982945 1659354553 10 Physicians COLLAR MARK W 999999999 200 Cook 0 0 Anesthesiology 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 0 230 0 0 0 0 0 0 230 0 0 1005983214 1346768751 24 Speech Therapists EBLIN SHAE N 999999999 96 St Clair 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 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3802 3802 0 0 1005983399 1104835412 10 Physicians REID SHERRY A 999999999 91 Sangamon 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 0 270 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 6255 0 0 0 0 0 0 6255 0 0 1005983406 1609313758 16 Nurse Practitioners GUTHRIE MARIANNE 999999999 103 Washington 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 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 0 448 0 0 0 0 0 0 448 0 0 1005983568 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 0 132 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 28406 0 0 0 0 0 0 0 0 0 0 0 0 0 28406 0 0 1005983960 1194278929 16 Nurse Practitioners HASHIM MOHAMMED H 999999999 200 Cook 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 0 199 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 10362 0 0 0 0 0 0 10362 0 0 1005984377 1477099646 60 Pharmacies ATHENS PHARMACY 626137665 73 Menard 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 0 557 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18633 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16402 0 0 0 16402 0 0 1005985439 1710242516 10 Physicians ZULFIQAR MARIA 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 23 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 413 0 45 0 0 0 0 0 0 458 0 0 1005985536 16 Nurse Practitioners 51 Jo Daviess 0 0 0 0 0 0 0 0 0 0 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 0 230 0 0 0 0 0 0 230 0 0 1005985933 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 47 0 0 0 0 0 0 47 0 0 1005985987 1467494054 60 Pharmacies ST. FRANCIS HOSP PROF BLDG PHA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15877 0 0 0 15877 0 0 1005986106 16 Nurse Practitioners 54 Kankakee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005986293 1487902847 10 Physicians RYBAK SABINA 999999999 19 Champaign 0 0 Anesthesiology 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 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1353 0 0 0 0 0 0 1353 0 0 1005986696 55 Early Intervention Services 98 Tazewell 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 449 0 0 0 0 0 0 449 0 0 1005986722 1265978449 16 Nurse Practitioners WALSH JENNIFER MARIE 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 0 650 0 0 0 0 0 0 650 0 0 1005987009 1922447135 10 Physicians HOBSON MICHAEL R 999999999 200 Cook 0 0 Family Practice 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 678 0 0 0 0 0 0 678 0 0 1005987057 1518365428 30 General Hospitals BELVIDERE DIALYSIS 999999999 13 Boone DIALYSIS Outpatient dialysis centers. 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 88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1015 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41447 0 0 0 0 0 41447 0 0 1005987617 1861849721 29 ICF/MR WALSH HOME 999999999 200 Cook 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 0 331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9884 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1355202 0 0 0 0 0 0 0 0 0 0 1355202 0 0 1005987657 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 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 11255 0 0 0 0 0 0 0 0 0 0 0 0 0 11255 0 0 1005987830 1497160352 10 Physicians RAHMAN SYED H 999999999 200 Cook 0 0 Family Practice 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 0 178 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 4442 0 0 0 0 0 0 4442 0 0 1005987851 1346781879 16 Nurse Practitioners VAIDYA KELLIE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 197 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 4531 0 0 0 0 0 0 4531 0 0 1005988003 1417338799 86 Clinical Social Worker(Encounter Only) AGADA LATAVIA 999999999 109 Winnebago 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 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 0 0 0 0 0 0 0 0 0 0 1005988039 1053847186 10 Physicians CARLSON-DEXTER PHILIP 999999999 109 Winnebago 0 0 General Practice 0 0 0 0 7 0 0 0 0 0 0 10 0 55 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 20 0 158 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 20 0 158 0 0 0 0 0 0 0 0 0 738 0 0 0 0 0 0 157 0 7618 0 0 0 0 0 0 8513 0 0 1005988368 10 Physicians 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 1005988602 1225424575 10 Physicians WESSEL SEAN ROBERT 999999999 200 Cook 0 0 Internal Medicine 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 0 142 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 0 0 0 0 0 0 0 0 0 0 3167 0 0 0 0 0 0 3167 0 0 1005988795 10 Physicians 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 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 0 669 0 0 0 0 0 0 669 0 0 1005988865 1104277607 10 Physicians CORKERY ANDREW 999999999 91 Sangamon 0 0 Internal Medicine 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 0 315 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 315 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10369 0 0 0 0 0 0 10369 0 0 1005989235 1851708408 10 Physicians RIZVI HIRA F 999999999 19 Champaign 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 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 0 384 0 0 0 0 0 0 384 0 0 1005989282 1295286045 48 Rural Health Clinics MIDWEST HEALTH CLINIC OF ELIZA 999999999 51 Jo Daviess 0 0 0 0 56 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 189 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 189 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5623 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5623 0 0 1005989393 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005989536 1225476302 10 Physicians WALSH JACLYN A 999999999 200 Cook 0 0 Pediatrics 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 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 1791 0 0 0 0 0 0 1791 0 0 1005989735 1316986292 89 Physician Assistant Only(Encounter Only) SINGH NISHA R 999999999 30 DuPage 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 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 1242 0 0 0 0 0 0 1242 0 0 1005989746 16 Nurse Practitioners 57 Lake 0 0 0 0 0 0 0 0 0 0 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 31 0 0 0 0 0 0 31 0 0 1005989828 10 Physicians 10 Adams 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005989833 1346228822 89 Physician Assistant Only(Encounter Only) WILLIAMS REGINA 999999999 200 Cook 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 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1272 0 0 0 0 0 0 1272 0 0 1005990839 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 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 36898 0 0 0 0 0 0 0 0 0 0 0 0 0 36898 0 0 1005991013 16 Nurse Practitioners 63 Macon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 1005991064 1629070933 16 Nurse Practitioners RAHN SUSAN K 999999999 97 Stephenson 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 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2429 0 0 0 0 0 0 2429 0 0 1005991248 1609280502 10 Physicians MANIEV DIANA 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 13 0 0 0 0 0 0 8 0 17 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 8 0 18 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 8 0 18 0 0 0 0 0 0 0 0 0 1305 0 0 0 0 0 0 457 0 965 0 0 0 0 0 0 2727 0 0 1005991293 1407827751 16 Nurse Practitioners ENRIGHT CHRISTY L 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 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 1353 0 0 0 0 0 0 1353 0 0 1005991458 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 0 168 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 15552 0 0 0 0 0 0 0 0 0 0 0 0 0 15552 0 0 1005991959 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 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 8 0 0 0 0 0 0 8 0 0 1005992017 1023109899 10 Physicians SAWAQED RAY S 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 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 0 961 0 0 0 0 0 0 961 0 0 1005992084 1568725521 10 Physicians ALEXANDER-ANYAOGU NICOLE K 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 260 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 11252 0 0 0 0 0 0 11273 0 0 1005992162 1235471251 10 Physicians GRIFFITH ALEXANDER 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10227 0 0 0 0 0 0 10227 0 0 1005992415 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8995 0 0 0 0 0 0 0 0 0 0 0 0 0 8995 0 0 1005992591 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 25151 0 0 0 0 0 0 0 0 0 0 0 0 0 25151 0 0 1005992601 1033558283 10 Physicians RIZZO ANTHONY 999999999 53 Kane 0 0 Family Practice 0 0 0 0 10 0 0 0 0 0 0 9 0 123 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 24 0 232 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 24 0 232 0 0 0 0 0 0 0 0 0 962 0 0 0 0 0 0 72 0 2880 0 0 0 0 0 0 3914 0 0 1005992611 1851406870 89 Physician Assistant Only(Encounter Only) GILBERTSON MICHAEL 999999999 109 Winnebago 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 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 387 0 0 0 0 0 0 387 0 0 1005992715 1033210166 30 General Hospitals PRESENCE SAINT FRANCIS HOSP 999999999 200 Cook DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 0 0 0 0 0 2049 0 0 0 0 990 0 0 0 1464 0 0 0 0 0 0 0 0 0 3169 0 0 0 0 1235 0 0 0 3505 0 0 0 0 0 0 0 0 0 3169 0 0 0 0 6626 0 0 0 3505 0 0 0 0 0 0 0 0 0 370731 0 0 0 0 4311923 0 0 0 528683 0 0 0 0 0 5211337 0 0 1005992861 1750814349 52 Certified local public health department MACOUPIN COUNTY PUBLIC HEALTH 999999999 64 Macoupin 0 0 0 0 13 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 440 0 163 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 603 0 0 1005992940 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 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 1005993046 1659521037 22 Physical Therapists ROUNTREE LISA B 999999999 91 Sangamon 0 0 0 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 0 591 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 591 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50897 50897 0 0 1005993118 1518315241 10 Physicians JIN KINSLEY 999999999 200 Cook 0 0 Family Practice 0 0 0 0 12 0 0 0 0 0 0 1 0 79 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 1 0 253 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 1 0 253 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 0 0 2730 0 0 0 0 0 0 2895 0 0 1005993206 1225471915 10 Physicians KIRKPATRICK JAMES 999999999 87 Randolph 0 0 General 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 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 0 672 0 0 0 0 0 0 672 0 0 1005993302 1770563462 10 Physicians BURDO-HARTMAN WENDELIN A 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 6401 0 0 0 0 0 0 6401 0 0 1005993564 1386176659 10 Physicians MARREDDY RAKESH 999999999 57 Lake 0 0 Internal Medicine 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 0 336 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 7166 0 0 0 0 0 0 7166 0 0 1005993638 1306286703 10 Physicians REJOWSKI BENJAMIN 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30932 0 0 0 0 0 0 30932 0 0 1005993822 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 0 164 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 17058 0 0 0 0 0 0 0 0 0 0 0 0 0 17058 0 0 1005994512 1205033156 10 Physicians SINGH RAMAN P 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 146 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 146 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 222 0 2309 0 0 0 0 0 0 2531 0 0 1005994558 1366708471 10 Physicians CORCORAN AMY R 999999999 200 Cook 0 0 Psychiatry 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 0 286 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 10688 0 0 0 0 0 0 10688 0 0 1005995213 1316190028 10 Physicians RIVERA GUERRERO JOSE F 999999999 200 Cook 0 0 Internal Medicine 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 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1578 0 0 0 0 0 0 1578 0 0 1005995307 1730561796 10 Physicians WINTERS JAMES N 999999999 91 Sangamon 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 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 11361 0 0 0 0 0 0 11361 0 0 1005995366 1932376092 10 Physicians FISHMAN FELICITY 999999999 30 DuPage 0 0 Orthopedic Surgery 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 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 4872 0 0 0 0 0 0 4872 0 0 1005995497 10 Physicians 65 Madison 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 845 0 0 0 0 0 0 845 0 0 1005995584 1710252465 10 Physicians SHAHEEN SARWAT 999999999 19 Champaign 0 0 Family Practice 0 0 0 0 7 0 0 0 0 0 0 7 0 107 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 7 0 167 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 7 0 167 0 0 0 0 0 0 0 0 0 672 0 0 0 0 0 0 90 0 3437 0 0 0 0 0 0 4199 0 0 1005995617 1568916880 16 Nurse Practitioners HUNTER HAILEY E 999999999 65 Madison 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 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 0 455 0 0 0 0 0 0 455 0 0 1005996313 16 Nurse Practitioners 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1005996319 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 10272 0 0 0 0 0 0 0 0 0 0 0 0 0 10272 0 0 1005996360 1508957036 16 Nurse Practitioners STEPHENS TERESA L 999999999 91 Sangamon 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 457 0 0 0 0 0 0 541 0 0 1005996364 1912277005 89 Physician Assistant Only(Encounter Only) GOOD MARY ANN 999999999 62 Logan 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 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 0 757 0 0 0 0 0 0 757 0 0 1005996479 1336673243 16 Nurse Practitioners BLEZIEN MONICA 999999999 200 Cook 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 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 2028 0 0 0 0 0 0 2028 0 0 1005996691 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 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 1225 0 0 0 0 0 0 0 0 0 0 0 0 0 1225 0 0 1005996736 10 Physicians 30 DuPage 0 0 Allergy-Immunization 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005996769 1255694170 10 Physicians KESSLER VEAR ALLISON B 999999999 200 Cook 0 0 Physical Medicine/Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 6 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 186 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 186 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 2471 0 0 0 0 0 0 2535 0 0 1005997164 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 0 227 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 22793 0 0 0 0 0 0 0 0 0 0 0 0 0 22793 0 0 1005997319 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 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 3564 0 0 0 0 0 0 0 0 0 0 0 0 0 3564 0 0 1005997390 1902350499 16 Nurse Practitioners SCHNEPPER KRISTINA M 999999999 91 Sangamon 0 0 0 0 0 0 4 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 37 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 246 0 0 0 0 0 0 0 0 931 0 0 0 0 0 0 1177 0 0 1005997397 1144452624 89 Physician Assistant Only(Encounter Only) GREGOIRE NATHANIEL S 999999999 91 Sangamon 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 0 250 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 4709 0 0 0 0 0 0 4709 0 0 1005997448 1023351509 10 Physicians WOOLLEY MARK N 999999999 33 Effingham 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 0 597 0 0 0 0 0 0 597 0 0 1005997748 1831628833 16 Nurse Practitioners MCKENNEY AMY 999999999 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 613 0 0 0 0 0 0 613 0 0 1005998023 87 Psychologist(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1283 0 0 0 0 0 0 1283 0 0 1005998052 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 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20112 0 0 0 0 0 0 0 0 0 0 0 0 0 20112 0 0 1005998085 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 8618 0 0 0 0 0 0 0 0 0 0 0 0 0 8618 0 0 1005998317 1912298571 10 Physicians PETKOVIC DJURO 999999999 200 Cook 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 0 37 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 247 0 956 0 0 0 0 0 0 1203 0 0 1005998880 1760765887 10 Physicians PHILLIPS MOLLY KATHRYN 999999999 200 Cook 0 0 Pediatrics 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 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 12982 0 0 0 0 0 0 12982 0 0 1005999053 10 Physicians 89 Rock Island 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 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 10 0 0 0 0 0 0 0 0 10 0 0 1005999233 1427595156 16 Nurse Practitioners TASE FLORENTINA 999999999 54 Kankakee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 239 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 9046 0 0 0 0 0 0 9046 0 0 1005999237 1265886873 10 Physicians ANDERSEN MOLLY MCCORMACK 999999999 91 Sangamon 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 153 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 153 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 5407 0 0 0 0 0 0 5413 0 0 1005999285 1205356821 10 Physicians JEBRAN ANWAR ANTOINE 999999999 200 Cook 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 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4104 0 0 0 0 0 0 4104 0 0 1005999625 1164864625 10 Physicians LEE FRANCIS 999999999 19 Champaign 0 0 Family Practice 0 0 0 0 1 0 0 0 0 0 0 24 0 104 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 85 0 236 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 85 0 236 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 424 0 3445 0 0 0 0 0 0 3953 0 0 1006000135 1447692678 10 Physicians ROSAS EDWIN 999999999 200 Cook 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 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1356 0 0 0 0 0 0 1356 0 0 1006000207 10 Physicians 51 Jo Daviess 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1006000364 16 Nurse Practitioners 63 Macon 0 0 0 0 0 0 0 0 0 0 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 25 0 0 0 0 0 0 25 0 0 1006000726 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 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 4621 0 0 0 0 0 0 0 0 0 0 0 0 0 4621 0 0 1006000928 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 8395 0 0 0 0 0 0 0 0 0 0 0 0 0 8395 0 0 1006001140 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 0 116 0 0 0 0 0 0 116 0 0 1006001198 1316387947 10 Physicians RAW ALEXANDER 999999999 91 Sangamon 0 0 Obstetric-Gynecology 0 0 0 0 3 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 192 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 192 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 24132 0 0 0 0 0 0 24163 0 0 1006001206 1073784583 10 Physicians FARAH JAREER OTHAM BAKER 999999999 30 DuPage 0 0 Internal 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1166 0 0 0 0 0 0 1166 0 0 1006001522 1043304694 89 Physician Assistant Only(Encounter Only) WOLFINGER VICTORIA 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 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 8 0 0 0 0 0 0 8 0 0 1006001649 1780670141 89 Physician Assistant Only(Encounter Only) EVANS DIANA M 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 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 0 458 0 0 0 0 0 0 458 0 0 1006001955 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 3 0 0 0 0 0 0 3 0 0 1006002103 4006002103 89 Physician Assistant Only(Encounter Only) THOMAS ALLEN 600185621 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 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 0 133 0 0 0 0 0 0 133 0 0 1006002284 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 4900 0 0 0 0 0 0 0 0 0 0 0 0 0 4900 0 0 1006002524 1780022301 10 Physicians OVSEVITZ KATHERINE ELIZABETH 999999999 200 Cook 0 0 Anesthesiology 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 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 16776 0 0 0 0 0 0 16776 0 0 1006002587 1285952572 10 Physicians TEMIYAKARN LOYRIRK 999999999 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 118 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 164 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 164 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2401 0 5116 0 0 0 0 0 0 7517 0 0 1006002728 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 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 9 0 0 0 0 0 0 9 0 0 1006002880 89 Physician Assistant Only(Encounter Only) 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1006002935 1821309279 10 Physicians LAOHATHAI CHRISTOPHER 999999999 200 Cook 0 0 Neurology 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 0 123 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 3572 0 0 0 0 0 0 3572 0 0 1006003521 1790234045 10 Physicians ELKE DANIEL 999999999 30 DuPage 0 0 Family Practice 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 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 3207 0 0 0 0 0 0 3207 0 0 1006003863 10 Physicians 65 Madison 0 0 Radiation Oncology 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 0 228 0 0 0 0 0 0 228 0 0 1006004044 1194741389 10 Physicians GRAY DANA A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 420 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 600 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 600 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14099 0 299 0 0 0 0 0 0 14398 0 0 1006004051 1841725611 86 Clinical Social Worker(Encounter Only) JOHNSTONE CARIE 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 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 3498 0 0 0 0 0 0 3498 0 0 1006004306 10 Physicians 108 Williamson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 102 0 0 1006004693 1891180170 10 Physicians SABHAPATHY SURYA 999999999 200 Cook 0 0 Psychiatry 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 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11959 0 0 0 0 0 0 11959 0 0 1006004849 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 439 0 0 0 0 0 0 439 0 0 1006005250 1548640675 10 Physicians HUSSAIN IFFATH 999999999 200 Cook 0 0 General Practice 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 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 1173 0 0 0 0 0 0 1173 0 0 1006005258 16 Nurse Practitioners 96 St Clair 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 0 296 0 0 0 0 0 0 296 0 0 1006005441 1629427968 16 Nurse Practitioners KIM EUNICE 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 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 0 721 0 0 0 0 0 0 721 0 0 1006005809 1508301656 16 Nurse Practitioners ALAGNA MICHAEL 999999999 200 Cook 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 0 192 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 5397 0 0 0 0 0 0 5397 0 0 1006006089 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 27826 0 0 0 0 0 0 0 0 0 0 0 0 0 27826 0 0 1006006163 1386989549 89 Physician Assistant Only(Encounter Only) NEWGENT CASEY A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 430 0 0 0 0 0 0 430 0 0 1006006175 10 Physicians 200 Cook 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 0 289 0 0 0 0 0 0 0 0 289 0 0 1006006226 1518402064 16 Nurse Practitioners BONE BLAIR 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 341 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 341 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 848 0 0 0 0 0 0 848 0 0 1006006411 1427584259 16 Nurse Practitioners MESCHEWSKI MARIA 999999999 42 Hancock 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 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 1815 0 0 0 0 0 0 1815 0 0 1006006431 86 Clinical Social Worker(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 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 0 174 0 0 0 0 0 0 174 0 0 1006006553 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 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 32 32 0 0 1006006587 1659729721 10 Physicians DIPOMPEO CHRISTINE M 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 88 0 0 0 0 0 0 163 0 0 1006006950 1811314792 10 Physicians SHAH ROHAN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 112 0 1474 0 0 0 0 0 0 1586 0 0 1006006994 1548512262 10 Physicians KOU ANITA W 999999999 30 DuPage 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 0 354 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 354 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29774 0 0 0 0 0 0 29774 0 0 1006007542 1013439777 16 Nurse Practitioners LIEFER KATHY L 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 277 0 0 0 0 0 0 277 0 0 1006008123 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 0 259 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 26632 0 0 0 0 0 0 0 0 0 0 0 0 0 26632 0 0 1006008171 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 0 146 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 26434 0 0 0 0 0 0 0 0 0 0 0 0 0 26434 0 0 1006008517 1508205147 10 Physicians HOLLAND STEPHEN 999999999 91 Sangamon 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 22 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 175 0 3312 0 0 0 0 0 0 3487 0 0 1006008545 1881952448 10 Physicians VARMA GOTAM T 999999999 19 Champaign 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 0 455 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 455 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3540 0 0 0 0 0 0 3540 0 0 1006008844 1689036659 16 Nurse Practitioners GONZALES JESSICA 999999999 200 Cook 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 162 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 162 0 0 0 0 0 0 0 0 0 1436 0 0 0 0 0 0 0 0 4749 0 0 0 0 0 0 6185 0 0 1006008893 1275821878 10 Physicians SUKHAL SHASHVAT 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 3 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 339 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 339 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 2479 0 0 0 0 0 0 2496 0 0 1006009225 1003235250 13 Podiatrists LIANG JASON 999999999 47 Jackson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 516 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 0 0 0 0 0 0 0 0 0 0 0 0 6708 0 0 0 0 0 0 6708 0 0 1006009535 1689969206 10 Physicians SOKOL ELIZABETH A 999999999 200 Cook 0 0 Pediatrics 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 1433 0 0 0 0 0 0 1433 0 0 1006009568 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 28377 0 0 0 0 0 0 0 0 0 0 0 0 0 28377 0 0 1006009909 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 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 0 459 0 0 0 0 0 0 0 0 0 0 0 0 0 459 0 0 1006009920 10 Physicians 89 Rock Island 0 0 Urology 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 60 0 0 0 0 0 0 60 0 0 1006010075 23 Occupational Therapists 55 Kendall 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 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 1225 1225 0 0 1006010307 89 Physician Assistant Only(Encounter Only) 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 1006010837 1972879088 10 Physicians THOMPSON MICHAEL D 999999999 200 Cook 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 5 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 5 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 5 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 332 0 0 0 0 0 0 348 0 0 1006011160 1730561903 10 Physicians AL-AKCHAR MOHAMMAD 999999999 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 474 0 0 0 0 0 0 474 0 0 1006011247 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 0 111 0 0 0 0 0 0 111 0 0 1006011427 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 0 176 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 16260 0 0 0 0 0 0 0 0 0 0 0 0 0 16260 0 0 1006012013 10 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 64 0 0 1006012270 1093254906 75 Department of Alcohol and Substance Abuse Provider CORNERSTONE RECOVERING COMMUNI 999999999 200 Cook 0 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 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23565 0 0 23565 0 0 1006012296 1629121009 89 Physician Assistant Only(Encounter Only) KADAR JASON A 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 779 0 0 0 0 0 0 779 0 0 1006012866 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 7741 0 0 0 0 0 0 0 0 0 0 0 0 0 7741 0 0 1006012959 1881048825 24 Speech Therapists DUDESEK GAIL 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14750 14750 0 0 1006013056 1528508074 89 Physician Assistant Only(Encounter Only) HOWELL WESLEY R 999999999 47 Jackson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 294 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 2596 0 0 0 0 0 0 2596 0 0 1006013421 1083152359 75 Department of Alcohol and Substance Abuse Provider CORNERSTONE RECOVERING COMMUNI 999999999 200 Cook 0 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 0 495 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 495 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50081 0 0 50081 0 0 1006013597 1043624760 10 Physicians QUINTANA PABLO N 999999999 30 DuPage 0 0 Internal Medicine 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 0 157 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 157 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 7033 0 0 0 0 0 0 7039 0 0 1006014629 1386180032 22 Physical Therapists BOUCHARD COLLEEN 999999999 89 Rock Island 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 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 2042 2042 0 0 1006014770 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 0 250 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 24931 0 0 0 0 0 0 0 0 0 0 0 0 0 24931 0 0 1006015375 1922544089 16 Nurse Practitioners GRIESEMER EMILY 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 0 607 0 0 0 0 0 0 607 0 0 1006015598 1407388598 16 Nurse Practitioners SNYDER KENTON W 999999999 10 Adams 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 0 121 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 1808 0 0 0 0 0 0 1808 0 0 1006015726 1275680043 10 Physicians FLORES R MICHAEL 999999999 107 Will 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4108 0 0 0 0 0 0 4108 0 0 1006015739 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 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3755 0 0 0 0 0 0 0 0 0 0 0 0 0 3755 0 0 1006015934 1295091403 10 Physicians MACHNICA KAROLINA WOLOSZYN 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 3 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 1727 0 0 0 0 0 0 1764 0 0 1006016470 1619407863 16 Nurse Practitioners WIETFELDT DEBBIE 999999999 72 McLean 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 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 0 372 0 0 0 0 0 0 372 0 0 1006016515 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 82 0 0 0 0 0 0 82 0 0 1006016641 1427407105 16 Nurse Practitioners PATEL ARTI 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 0 0 0 0 0 261 0 0 1006016891 1609954668 90 Waiver service provider--Elderly (DOA) MJM HEALTH AGENCY INC 999999999 107 Will 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 0 440 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 440 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46725 0 0 0 0 0 0 0 0 0 0 0 0 0 46725 0 0 1006017506 1265981583 16 Nurse Practitioners KUBASTA SARAH 999999999 10 Adams 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 1865 0 0 0 0 0 0 1865 0 0 1006018058 1780030163 60 Pharmacies "OPTUM PHARMACY 801, INC." 999999999 803 Arizona 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 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58867 0 0 0 58867 0 0 1006018157 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 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 0 105 0 0 0 0 0 0 105 0 0 1006018483 1962701318 16 Nurse Practitioners NESEMEYER STEPHANIE A 999999999 200 Cook 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 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2528 0 0 0 0 0 0 2528 0 0 1006018710 1093069528 10 Physicians HERSKOVIC ALEX C 999999999 54 Kankakee 0 0 Radiation Oncology 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 0 156 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 0 0 0 0 0 2041 0 0 0 0 0 0 2041 0 0 1006019052 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14553 0 0 0 0 0 0 0 0 0 0 0 0 0 14553 0 0 1006019224 1497887004 89 Physician Assistant Only(Encounter Only) WALKER HOLLY 999999999 80 Peoria 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 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 1006019368 16 Nurse Practitioners 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 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 47 0 0 0 0 0 0 47 0 0 1006019489 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 7865 0 0 0 0 0 0 0 0 0 0 0 0 0 7865 0 0 1006019547 1093268583 16 Nurse Practitioners BRASEL JULIE 999999999 63 Macon 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 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 2124 0 0 0 0 0 0 2124 0 0 1006019658 1720427230 10 Physicians CORONA CANDELARIO LAURA P 999999999 200 Cook 0 0 Internal Medicine 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 0 250 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 5816 0 0 0 0 0 0 5816 0 0 1006020124 1003351115 89 Physician Assistant Only(Encounter Only) PRIDDY JERRY 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 493 0 0 0 0 0 0 493 0 0 1006020126 1265727606 10 Physicians SCHRADER ALICIA ELIZABETH 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 8 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 34 0 0 0 0 0 0 0 0 34 0 0 1006020902 1144639048 10 Physicians KALMAN ROSS 999999999 200 Cook 0 0 Emergency 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 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 2501 0 0 0 0 0 0 2501 0 0 1006021002 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 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 2141 0 0 2141 0 0 1006021092 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 0 184 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 29014 0 0 0 0 0 0 0 0 0 0 0 0 0 29014 0 0 1006021375 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 0 641 0 0 1006021519 1154308815 89 Physician Assistant Only(Encounter Only) LAW LAURA 999999999 91 Sangamon 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 160 0 0 0 0 0 0 0 0 480 0 0 0 0 0 0 640 0 0 1006021523 10 Physicians 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1006021553 10 Physicians 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 712 0 0 0 0 0 0 712 0 0 1006021913 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 418 0 0 0 0 0 0 0 0 0 0 0 0 0 418 0 0 1006022257 1568718526 10 Physicians PEREZ GOMEZ CRISTINA A 999999999 107 Will 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 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 0 677 0 0 0 0 0 0 677 0 0 1006022478 1063808954 10 Physicians HIRSCHFELD ARIELLE TZIPORA 999999999 200 Cook 0 0 Family Practice 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 31 0 0 0 0 0 0 31 0 0 1006022675 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 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 4341 0 0 0 0 0 0 0 0 0 0 0 0 0 4341 0 0 1006022691 1467870204 10 Physicians PATEL ANAND A 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 0 161 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 1719 0 0 0 0 0 0 1719 0 0 1006022757 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 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8066 0 0 0 0 0 0 0 0 0 0 0 0 0 8066 0 0 1006022925 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 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 49 0 0 0 0 0 0 49 0 0 1006023090 10 Physicians 66 Marion 0 0 0 0 0 0 0 0 0 0 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 1006023515 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 28304 0 0 0 0 0 0 0 0 0 0 0 0 0 28304 0 0 1006023911 1114478500 60 Pharmacies WELLCREEK PHARMACY-CHARLESTON 999999999 24 Coles 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 0 724 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19651 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16902 0 0 0 16902 0 0 1006024050 1699962597 16 Nurse Practitioners EY HEATHER C 999999999 91 Sangamon 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 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 0 735 0 0 0 0 0 0 735 0 0 1006024805 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 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 9922 0 0 0 0 0 0 0 0 0 0 0 0 0 9922 0 0 1006024843 91 Waiver service provider--Adults (DHS/DDD) 30 DuPage 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29259 0 0 0 0 0 0 0 0 0 0 0 0 0 29259 0 0 1006024935 1982078572 89 Physician Assistant Only(Encounter Only) MCDANIEL CHRISTINA L 999999999 91 Sangamon 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 581 0 0 0 0 0 0 600 0 0 1006024990 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 49 0 0 1006025333 1407122849 10 Physicians DANAVI JOSEPH VARTAN 999999999 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 581 0 0 0 0 0 0 581 0 0 1006025346 1538618483 70 Ambulance Service Providers LEXINGTON FPD 999999999 72 McLean 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 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 15459 0 0 0 0 0 0 15459 0 0 1006025378 1538440573 10 Physicians COLLIER PATRICK 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2749 0 0 0 0 0 0 2749 0 0 1006025679 1457896623 16 Nurse Practitioners MEINHART JENNIFER N 999999999 19 Champaign 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 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 1023 0 0 0 0 0 0 1023 0 0 1006025795 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 4 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 3730 3730 0 0 1006025985 10 Physicians 10 Adams 0 0 0 0 0 0 0 0 0 0 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 61 0 0 0 0 0 0 61 0 0 1006026112 1467614750 10 Physicians KHAN HUMA ALI 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 3 0 0 0 0 0 0 1 0 19 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 1 0 46 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 1 0 46 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 2460 0 0 0 0 0 0 2492 0 0 1006026217 1992060271 10 Physicians SIERRA-MORALES FABIAN 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2151 0 0 0 0 0 0 2151 0 0 1006026308 1336492198 16 Nurse Practitioners KINNAS RACHEL R 999999999 53 Kane 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 537 0 0 0 0 0 0 556 0 0 1006026357 1841738606 16 Nurse Practitioners WARD ASHLEY N 999999999 57 Lake 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 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 76 0 0 0 0 0 0 76 0 0 1006026425 1447697396 10 Physicians BABBITT MICHAEL TYLER 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 536 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 893 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 893 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13250 0 797 0 0 0 0 0 0 14047 0 0 1006026433 1023564432 24 Speech Therapists POLISTCHUK MARIANA 999999999 57 Lake 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 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17287 17287 0 0 1006026546 10 Physicians 200 Cook 0 0 Plastic 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 45 0 0 0 0 0 0 45 0 0 1006026629 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 35343 0 0 0 0 0 0 0 0 0 0 0 0 0 35343 0 0 1006026642 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 25732 0 0 0 0 0 0 0 0 0 0 0 0 0 25732 0 0 1006026986 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 7594 0 0 0 0 0 0 0 0 0 0 0 0 0 7594 0 0 1006027266 1265800163 89 Physician Assistant Only(Encounter Only) HAMILTON JOSIAH T 999999999 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 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 0 375 0 0 0 0 0 0 375 0 0 1006027595 22 Physical Therapists 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 92 0 0 1006027601 1134393267 10 Physicians POTANOS KRISTINA M 999999999 47 Jackson 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 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 1758 0 0 0 0 0 0 1758 0 0 1006027652 1295178804 10 Physicians KAMARIA KARTIK 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 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3196 0 0 0 0 0 0 3196 0 0 1006027679 1760913750 89 Physician Assistant Only(Encounter Only) MCGRATH JULIA A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 432 0 0 0 0 0 0 432 0 0 1006027784 1144661448 89 Physician Assistant Only(Encounter Only) MERRYWEATHER JOSEPH 999999999 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 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 0 520 0 0 0 0 0 0 520 0 0 1006027974 1255746509 10 Physicians GRIMM TRENTON 999999999 200 Cook 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 0 456 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 4144 0 0 0 0 0 0 4144 0 0 1006028016 1285940171 10 Physicians IBRAHIM ZEINA S 999999999 200 Cook 0 0 Internal Medicine 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 0 756 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 756 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19918 0 0 0 0 0 0 19918 0 0 1006028208 1891720868 89 Physician Assistant Only(Encounter Only) SCHORR PETER C 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 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 0 163 0 0 0 0 0 0 163 0 0 1006028516 1881039493 10 Physicians VARADE REENA S 999999999 200 Cook 0 0 Dermatology 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 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 0 958 0 0 0 0 0 0 958 0 0 1006028624 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 26137 0 0 0 0 0 0 0 0 0 0 0 0 0 26137 0 0 1006028825 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 0 0 0 0 0 0 0 1006028892 1710437991 40 Federally Qualified Health Centers HOWARD BROWN HEALTH 55TH ST 999999999 200 Cook 0 0 0 0 204 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 585 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 585 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42126 0 0 1006029110 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 19247 0 0 0 0 0 0 0 0 0 0 0 0 0 19247 0 0 1006029113 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 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29008 0 0 0 0 0 0 0 0 0 0 0 0 0 29008 0 0 1006029140 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 9784 0 0 0 0 0 0 0 0 0 0 0 0 0 9784 0 0 1006029176 1952739641 87 Psychologist(Encounter Only) FISHER SHEEHAN D 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 944 0 0 0 0 0 0 944 0 0 1006029366 1417239583 10 Physicians MCMAHON KACIE 999999999 200 Cook 0 0 Pediatrics 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 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36007 0 0 0 0 0 0 36007 0 0 1006029483 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 0 325 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 27219 0 0 0 0 0 0 0 0 0 0 0 0 0 27219 0 0 1006031127 1629482872 10 Physicians CHAWLA SHWETA 999999999 200 Cook 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 1496 0 0 0 0 0 0 0 0 390 0 0 0 0 0 0 1886 0 0 1006031141 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 0 121 0 0 0 0 0 0 121 0 0 1006031480 1275060709 23 Occupational Therapists LOPEZ CHELSEA 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 0 181 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 12765 12765 0 0 1006031500 89 Physician Assistant Only(Encounter Only) 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 66 0 0 0 0 0 0 66 0 0 1006031553 1891140117 10 Physicians KELLNER KENNETH MARTIN LESTER 999999999 200 Cook 0 0 Pediatrics 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 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 2032 0 0 0 0 0 0 2032 0 0 1006031881 1407122591 89 Physician Assistant Only(Encounter Only) TOFT-DUPUY TUCKER D 999999999 57 Lake 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 0 304 0 0 0 0 0 0 304 0 0 1006031929 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 22865 0 0 0 0 0 0 0 0 0 0 0 0 0 22865 0 0 1006032107 1699147215 16 Nurse Practitioners SIDENER KELLIE E 999999999 91 Sangamon 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 0 182 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 5585 0 0 0 0 0 0 5585 0 0 1006032370 1669927984 16 Nurse Practitioners ELLISON JENNIFER J 999999999 91 Sangamon 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 199 0 0 0 0 0 0 0 0 2257 0 0 0 0 0 0 2456 0 0 1006033189 1811150394 10 Physicians REYNOLDS MATTHEW 999999999 200 Cook 0 0 Neurology Surgery 0 0 0 0 0 0 0 0 0 0 0 2 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10737 0 0 0 0 0 0 10737 0 0 1006033500 10 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 4 0 0 1006033725 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 1006033818 1083952618 10 Physicians MOSCOSO-CORDERO MARIA CLAUDIA 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 3 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 1835 0 0 0 0 0 0 1855 0 0 1006033849 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 30839 0 0 0 0 0 0 0 0 0 0 0 0 0 30839 0 0 1006033856 1639357585 10 Physicians BECHARA CARLOS 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 1 6 0 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 12 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 12 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 19 0 2913 0 0 0 0 0 0 2953 0 0 1006034169 1831638089 16 Nurse Practitioners SIMKUS ELIZABETH A 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1373 0 0 0 0 0 0 1373 0 0 1006034652 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 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23781 0 0 0 0 0 0 0 0 0 0 0 0 0 23781 0 0 1006034887 1700314218 11 Dentists DEMIAN FLORINA M 999999999 200 Cook 0 0 General Dentistry 0 0 0 9 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 0 974 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 974 0 0 1006035041 1023382652 16 Nurse Practitioners HEIM TONYA L 999999999 91 Sangamon 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 61 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 61 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 1478 0 0 0 0 0 0 1574 0 0 1006035047 89 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 332 0 0 0 0 0 0 332 0 0 1006035072 1295039865 10 Physicians YAZICI CEMAL 999999999 200 Cook 0 0 Internal Medicine 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 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8450 0 0 0 0 0 0 8450 0 0 1006035184 1740709336 16 Nurse Practitioners GESIN CHRISTIE JO 999999999 80 Peoria 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 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 677 0 0 0 0 0 0 677 0 0 1006035335 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 0 309 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 41516 0 0 0 0 0 0 0 0 0 0 0 0 0 41516 0 0 1006035572 1538683032 16 Nurse Practitioners OLMSTEAD SAMANTHA M 999999999 91 Sangamon 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 0 137 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 3551 0 0 0 0 0 0 3551 0 0 1006035814 1427594167 22 Physical Therapists NELSON JORDAN 999999999 91 Sangamon 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 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 0 282 282 0 0 1006036154 1356869234 22 Physical Therapists LOGGINS ALLISON 999999999 106 Whiteside 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 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 2408 2408 0 0 1006036171 1558312363 10 Physicians LINDER JEFFREY A 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 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 0 805 0 0 0 0 0 0 805 0 0 1006036258 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 371 0 0 0 0 0 0 371 0 0 1006036327 1871889063 10 Physicians PANBEHI BEHNAM 999999999 91 Sangamon 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 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 457 0 0 0 0 0 0 457 0 0 1006036396 1073951067 10 Physicians SUHS KALEIGH 999999999 200 Cook 0 0 Family Practice 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 0 200 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 5507 0 0 0 0 0 0 5507 0 0 1006036415 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 59 0 0 1006036664 10 Physicians 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 373 0 0 0 0 0 0 373 0 0 1006036851 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 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 0 488 0 0 0 0 0 0 0 0 0 0 0 0 0 488 0 0 1006036954 1801201538 10 Physicians HASSAN TASMEER 999999999 108 Williamson 0 0 Family Practice 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 0 153 0 0 0 0 0 0 153 0 0 1006037196 1639317902 87 Psychologist(Encounter Only) ROSENSTEIN FRANCES 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 0 316 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 316 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1490 0 0 0 0 0 0 1490 0 0 1006037201 1669888327 10 Physicians AHMAD THAER R 999999999 200 Cook 0 0 Emergency Medicine 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 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 3098 0 0 0 0 0 0 3098 0 0 1006037571 1437470762 10 Physicians CASILLAS BERUMEN SERGIO 999999999 54 Kankakee 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 231 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 231 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 4160 0 0 0 0 0 0 4177 0 0 1006038110 1568689511 86 Clinical Social Worker(Encounter Only) JENNINGS RUTH A 999999999 80 Peoria 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 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6220 0 0 0 0 0 0 6220 0 0 1006038150 1154796902 16 Nurse Practitioners SLANA JEAN M 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 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 4292 0 0 0 0 0 0 4292 0 0 1006038427 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 1046 0 0 0 0 0 0 0 0 0 0 0 0 0 1046 0 0 1006038955 1699192690 10 Physicians CARVALHO PRISCILLA MEDEIROS 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 17 0 0 0 0 0 0 11 0 27 0 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 13 0 34 0 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 13 0 34 0 0 0 0 0 0 0 0 0 1932 0 0 0 0 0 0 109 0 995 0 0 0 0 0 0 3036 0 0 1006039379 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 0 122 0 0 1006039476 1861865370 48 Rural Health Clinics IVCH MEDICAL GROUP LASALLE MED 999999999 58 La Salle 0 0 0 0 39 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 109 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 109 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3883 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3883 0 0 1006039732 1609314194 16 Nurse Practitioners ZUBER MACKENZIE L 999999999 88 Richland 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 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 0 580 0 0 0 0 0 0 580 0 0 1006039852 1639468135 10 Physicians HEITHAUS JENNIFER L 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 762 0 0 0 0 0 0 762 0 0 1006040095 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1006040200 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 10737 0 0 0 0 0 0 0 0 0 0 0 0 0 10737 0 0 1006040378 1629591854 11 Dentists TADAKAMALLA PRAMOD 999999999 72 McLean 0 0 General Dentistry 0 0 0 300 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 1836 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 1836 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 51899 0 0 0 0 0 0 0 0 0 0 0 6661 0 0 0 0 58560 0 0 1006040443 10 Physicians 200 Cook 0 0 Colon - Rectal 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 0 0 0 0 0 0 0 0 0 0 1006040509 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 24631 0 0 0 0 0 0 0 0 0 0 0 0 0 24631 0 0 1006040600 1114185394 10 Physicians TADROS NICHOLAS 999999999 91 Sangamon 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 3 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 132 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 132 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 10604 0 0 0 0 0 0 10607 0 0 1006041710 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 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 1755 0 0 0 0 0 0 0 0 0 0 0 0 0 1755 0 0 1006042221 1013368646 10 Physicians MCCARTY RYAN 999999999 91 Sangamon 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 0 371 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 371 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9310 0 0 0 0 0 0 9310 0 0 1006042407 1326456419 10 Physicians KAUR MANINDER 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 252 0 0 0 0 0 0 252 0 0 1006042650 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 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27153 0 0 0 0 0 0 0 0 0 0 0 0 0 27153 0 0 1006042673 1689834418 10 Physicians GUPTA CHARU 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 196 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 4033 0 0 0 0 0 0 4033 0 0 1006042850 16 Nurse Practitioners 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1006043002 1487021119 86 Clinical Social Worker(Encounter Only) OSTROV RACHEL 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 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 1298 0 0 0 0 0 0 1298 0 0 1006043310 10 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 2 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 146 0 0 0 0 0 0 0 0 363 0 0 0 0 0 0 509 0 0 1006043702 1770831158 10 Physicians POLLAK TAL 999999999 25 Crawford 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 0 171 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 1876 0 0 0 0 0 0 1876 0 0 1006044445 1699723783 87 Psychologist(Encounter Only) MACLAREN JOYCE 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 0 112 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 0 778 0 0 0 0 0 0 778 0 0 1006044684 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 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 6092 0 0 0 0 0 0 0 0 0 0 0 0 0 6092 0 0 1006044739 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 1006044742 1265818405 10 Physicians JAHANGIR NAUMAN 999999999 91 Sangamon 0 0 Neurology 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 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 3439 0 0 0 0 0 0 3439 0 0 1006044873 1801275144 16 Nurse Practitioners KNOWLES GRACE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2281 0 0 0 0 0 0 2281 0 0 1006045057 1164956066 16 Nurse Practitioners BURGESS KIMBERLY A 999999999 91 Sangamon 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 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 0 585 0 0 0 0 0 0 585 0 0 1006045102 1952577306 11 Dentists STUTZ MICHAEL 999999999 108 Williamson 0 0 General Dentistry 0 0 0 19 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 1622 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1622 0 0 1006045129 1134484488 10 Physicians KRUEGER KAREN M 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 0 129 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 1763 0 0 0 0 0 0 1763 0 0 1006045240 1730569807 89 Physician Assistant Only(Encounter Only) AVINA DAVID 999999999 200 Cook 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2905 0 0 0 0 0 0 2905 0 0 1006045508 1225456056 10 Physicians WARD JAMES N 999999999 53 Kane 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 0 167 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 0 0 0 0 0 5500 0 0 0 0 0 0 5500 0 0 1006045573 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 0 278 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 0 0 0 0 0 0 0 0 0 0 0 0 51664 0 0 0 0 0 0 0 0 0 0 0 0 0 51664 0 0 1006045604 1609923598 10 Physicians AHMAD FARHAAN A 999999999 10 Adams 0 0 Internal Medicine 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 0 326 0 0 0 0 0 0 326 0 0 1006045612 1528334208 10 Physicians TIMBERS KAY CHOW 999999999 54 Kankakee 0 0 Surgery General 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 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2684 0 0 0 0 0 0 2684 0 0 1006045614 1679739866 10 Physicians NOWICKI SARA E 999999999 200 Cook 0 0 Emergency Medicine 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 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 0 230 0 0 0 0 0 0 230 0 0 1006045740 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 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1006045809 1164953352 16 Nurse Practitioners REED KELSEY L 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 137 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 3839 0 0 0 0 0 0 3839 0 0 1006045930 10 Physicians 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 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 0 349 0 0 0 0 0 0 349 0 0 1006046162 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 0 239 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 23230 0 0 0 0 0 0 0 0 0 0 0 0 0 23230 0 0 1006046267 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 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22307 0 0 0 0 0 0 0 0 0 0 0 0 0 22307 0 0 1006046689 1639518707 10 Physicians WALSH ANNMARIE R 999999999 200 Cook 0 0 Family Practice 0 0 0 0 21 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 95 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 95 0 0 0 0 0 0 0 0 0 1729 0 0 0 0 0 0 0 0 2493 0 0 0 0 0 0 4222 0 0 1006046697 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 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25456 0 0 0 0 0 0 0 0 0 0 0 0 0 25456 0 0 1006046720 16 Nurse Practitioners 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 130 0 0 1006046737 1467729897 89 Physician Assistant Only(Encounter Only) LEVERENTZ ALEX 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 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 0 251 0 0 0 0 0 0 251 0 0 1006046828 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2951 0 0 0 0 0 0 0 0 0 0 0 0 0 2951 0 0 1006047142 1437492451 10 Physicians HE WEI 999999999 200 Cook 0 0 Neurology 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 0 122 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 2095 0 0 0 0 0 0 2095 0 0 1006047336 1437668696 28 Waiver service provider--Supportive living facility (HFS) GRAND PRAIRIE SUPPORTIVE LIVIN 999999999 70 McDonough 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 0 171 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4717 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 409436 0 0 0 0 0 0 0 0 0 0 0 0 0 409436 0 0 1006047574 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1006047912 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 0 178 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 27799 0 0 0 0 0 0 0 0 0 0 0 0 0 27799 0 0 1006048006 1003096918 16 Nurse Practitioners LOSURDO JUNE R 605323661 30 DuPage 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 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 0 247 0 0 0 0 0 0 247 0 0 1006048018 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 3742 0 0 0 0 0 0 0 0 0 0 0 0 0 3742 0 0 1006048126 1811307846 10 Physicians PATEL KUSHAL R 999999999 200 Cook 0 0 Orthopedic Surgery 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 0 122 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 4039 0 0 0 0 0 0 4039 0 0 1006048475 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 0 163 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 10570 0 0 0 0 0 0 0 0 0 0 0 0 0 10570 0 0 1006048647 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 27843 0 0 0 0 0 0 0 0 0 0 0 0 0 27843 0 0 1006048690 1528516853 10 Physicians MOCAN MEHMET 999999999 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 5 0 153 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120 0 14852 0 0 0 0 0 0 14972 0 0 1006048878 1073963344 10 Physicians TRAN ANN V 999999999 200 Cook 0 0 Family Practice 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 0 330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6791 0 0 0 0 0 0 6791 0 0 1006049066 1538699558 10 Physicians HODGE DAVID 999999999 200 Cook 0 0 Internal Medicine 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 0 192 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 2401 0 0 0 0 0 0 2401 0 0 1006049448 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 27734 0 0 0 0 0 0 0 0 0 0 0 0 0 27734 0 0 1006049568 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 0 509 0 0 0 0 0 0 0 0 0 0 0 0 0 509 0 0 1006050047 10 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2177 0 0 0 0 0 0 2177 0 0 1006050130 1013303890 10 Physicians DAKIS KRISTINA EVELYN 999999999 80 Peoria 0 0 Family Practice 0 0 0 0 15 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 0 0 0 1625 0 0 0 0 0 0 0 0 4449 0 0 0 0 0 0 6074 0 0 1006050193 1124314349 10 Physicians GUJARATHI GAURANG 999999999 200 Cook 0 0 Internal Medicine 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 0 0 0 0 0 516 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 0 0 0 0 0 0 0 0 0 0 0 0 4016 0 0 0 0 0 0 4016 0 0 1006050247 10 Physicians 80 Peoria 0 0 Family Practice 0 0 0 0 2 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 143 0 0 1006050275 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 10134 0 0 0 0 0 0 0 0 0 0 0 0 0 10134 0 0 1006050316 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 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 1886 0 0 0 0 0 0 0 0 0 0 0 0 0 1886 0 0 1006050442 1770890162 89 Physician Assistant Only(Encounter Only) MUMBOWER BETHANY J 999999999 91 Sangamon 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 207 0 0 0 0 0 0 0 0 802 0 0 0 0 0 0 1009 0 0 1006050553 1174057269 16 Nurse Practitioners AL-KHENAIZI CHELSI E 999999999 80 Peoria 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 2566 0 0 0 0 0 0 2566 0 0 1006050689 1710115712 10 Physicians BROGAN DAVID MICAH 999999999 826 Missouri 0 0 Orthopedic Surgery 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 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 1596 0 0 0 0 0 0 1596 0 0 1006050824 1548611296 10 Physicians FULKS TYLER 999999999 91 Sangamon 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 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2921 0 0 0 0 0 0 2921 0 0 1006050854 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 49 0 0 0 0 0 0 49 0 0 1006050995 1538166137 60 Pharmacies THE PHARMACIE SHOPPE 624201024 21 Clark 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 142 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 1030 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 27410 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 275 0 0 47982 0 0 0 48257 0 0 1006051450 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 0 192 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 28431 0 0 0 0 0 0 0 0 0 0 0 0 0 28431 0 0 1006051638 1649529306 10 Physicians JWALA CHANDRAKIRAN 999999999 89 Rock Island 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 0 151 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 2099 0 0 0 0 0 0 2099 0 0 1006051902 10 Physicians 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 193 0 0 0 0 0 0 0 0 193 0 0 1006051929 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 0 123 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 9128 0 0 0 0 0 0 0 0 0 0 0 0 0 9128 0 0 1006052360 1336406834 10 Physicians BURNS KATRINA E 999999999 200 Cook 0 0 Psychiatry 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 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1728 0 0 0 0 0 0 1728 0 0 1006052747 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 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 2107 2107 0 0 1006052827 1558776807 10 Physicians STICH ADRIENNE 999999999 91 Sangamon 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 0 180 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 1156 0 0 0 0 0 0 1156 0 0 1006053056 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 29548 0 0 0 0 0 0 0 0 0 0 0 0 0 29548 0 0 1006053251 1164850244 89 Physician Assistant Only(Encounter Only) SALMINEN KIMBERLY R 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 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 0 338 0 0 0 0 0 0 338 0 0 1006053582 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 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 11668 0 0 0 0 0 0 0 0 0 0 0 0 0 11668 0 0 1006053872 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 24656 0 0 0 0 0 0 0 0 0 0 0 0 0 24656 0 0 1006054101 1770023608 16 Nurse Practitioners HU JARED 999999999 51 Jo Daviess 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 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 0 231 0 0 0 0 0 0 231 0 0 1006054105 12 Optometrists 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 28 0 0 0 0 0 0 28 0 0 1006054194 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 15624 0 0 0 0 0 0 0 0 0 0 0 0 0 15624 0 0 1006054205 1205123841 10 Physicians MEHTA KARTIK 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 553 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 553 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3536 0 0 0 0 0 0 3536 0 0 1006054210 1730508300 16 Nurse Practitioners PELC JENNA R 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 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1743 0 0 0 0 0 0 1743 0 0 1006054402 10 Physicians 81 Perry 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 1006054431 1336377977 10 Physicians SHAREEF NAUSHIN 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 211 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 211 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4061 0 0 0 0 0 0 4061 0 0 1006054839 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 0 240 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 55468 0 0 0 0 0 0 0 0 0 0 0 0 0 55468 0 0 1006054854 1457694481 13 Podiatrists JACOBY CORY 601234703 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2610 0 0 0 0 0 0 2610 0 0 1006054959 1104196294 89 Physician Assistant Only(Encounter Only) GOOD JEREMY 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 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 0 936 0 0 0 0 0 0 936 0 0 1006055307 1518305721 10 Physicians MURRAY MARK H 999999999 54 Kankakee 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 10 0 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 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1545 0 0 0 0 0 0 1545 0 0 1006055547 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 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 20703 0 0 0 0 0 0 0 0 0 0 0 0 0 20703 0 0 1006055866 1528166352 97 Waiver service provider--Children's residential (DHS/DDD) HALL KELLY 627035771 91 Sangamon 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 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 35027 0 0 0 0 0 0 0 0 0 0 0 0 0 35027 0 0 1006056106 1043620610 10 Physicians SHAIKH IRFAN 999999999 19 Champaign 0 0 Internal Medicine 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 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 1402 0 0 0 0 0 0 1402 0 0 1006056154 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 73 0 0 0 0 0 0 73 0 0 1006056183 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 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9900 0 0 0 0 0 0 0 0 0 0 0 0 0 9900 0 0 1006056541 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 29884 0 0 0 0 0 0 0 0 0 0 0 0 0 29884 0 0 1006056591 1629421722 16 Nurse Practitioners BUKHARI PAURAVI T 999999999 30 DuPage 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 0 244 0 0 0 0 0 0 244 0 0 1006057063 1326576968 10 Physicians KIM ERIC Y 999999999 30 DuPage 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 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 3 0 0 0 0 0 0 3 0 0 1006057366 1992111009 10 Physicians SHAHID NOMAN 999999999 200 Cook 0 0 Family Practice 0 0 0 0 4 0 0 0 0 0 0 2 0 72 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 2 0 170 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 2 0 170 0 0 0 0 0 0 0 0 0 307 0 0 0 0 0 0 6 0 4191 0 0 0 0 0 0 4504 0 0 1006057659 1265879738 10 Physicians MCCONOMY BRYAN C 999999999 19 Champaign 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2136 0 0 0 0 0 0 2136 0 0 1006057827 1184153637 16 Nurse Practitioners RZEPKA STEPHANIE 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 1895 0 0 0 0 0 0 1895 0 0 1006057880 1972668077 89 Physician Assistant Only(Encounter Only) OZOG KARA M 999999999 107 Will 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 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 0 218 0 0 0 0 0 0 218 0 0 1006058524 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 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 6812 0 0 0 0 0 0 0 0 0 0 0 0 0 6812 0 0 1006058635 1366819971 16 Nurse Practitioners MOUNCE MICHELE L 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 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 62 0 0 0 0 0 0 62 0 0 1006058661 1932375565 10 Physicians MOULI SAMDEEP K 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 4591 0 0 0 0 0 0 4662 0 0 1006059472 1154634996 10 Physicians STRAUB CORY LYNN 999999999 89 Rock Island 0 0 Internal Medicine 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 3 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 304 0 0 0 0 0 0 304 0 0 1006059669 1548621642 16 Nurse Practitioners BERUMEN CECILIA 999999999 53 Kane 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 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 31 0 0 0 0 0 0 31 0 0 1006059913 1689111585 16 Nurse Practitioners MEDINA CRYSTAL 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 879 0 0 0 0 0 0 879 0 0 1006060515 86 Clinical Social Worker(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 942 0 0 0 0 0 0 942 0 0 1006060674 1700275385 10 Physicians SHALILEH KEIVAN 999999999 91 Sangamon 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 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10365 0 0 0 0 0 0 10365 0 0 1006060893 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 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 49 0 0 0 0 0 0 49 0 0 1006061067 1275082513 16 Nurse Practitioners SMITH STACY M 999999999 10 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 275 0 0 0 0 0 0 275 0 0 1006061164 24 Speech Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1940 1940 0 0 1006061165 1619285723 10 Physicians SHARMA PRANJAL 999999999 96 St Clair 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 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 0 178 0 0 0 0 0 0 178 0 0 1006061177 1275509804 87 Psychologist(Encounter Only) PETERSEN GREGORY E 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 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 0 272 0 0 0 0 0 0 272 0 0 1006061286 1497107502 11 Dentists ORI MICHAEL 999999999 200 Cook 0 0 General Dentistry 0 0 0 12 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 2508 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2508 0 0 1006061623 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 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 1006061759 1174062368 16 Nurse Practitioners GREENQUIST SHANNON 999999999 54 Kankakee 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 0 140 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 1560 0 0 0 0 0 0 1560 0 0 1006061762 1467808584 16 Nurse Practitioners FOX TASHIA I 999999999 90 Saline 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 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 0 191 0 0 0 0 0 0 191 0 0 1006062030 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 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 4219 0 0 0 0 0 0 0 0 0 0 0 0 0 4219 0 0 1006062212 1841736642 16 Nurse Practitioners BELLE JOHNSON EBONY 999999999 200 Cook 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 0 622 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 622 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5366 0 0 0 0 0 0 5366 0 0 1006062347 1336539022 10 Physicians VASKO JOHN 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 3 0 166 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4941 0 0 0 0 0 0 4941 0 0 1006062572 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 16230 0 0 0 0 0 0 0 0 0 0 0 0 0 16230 0 0 1006062740 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 0 235 0 0 0 0 0 0 235 0 0 1006062959 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 12294 0 0 0 0 0 0 0 0 0 0 0 0 0 12294 0 0 1006063017 1750822516 23 Occupational Therapists ROBERT MARRA I 999999999 91 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4162 4162 0 0 1006063266 1457745432 10 Physicians ADAMS KATHRYN ANNE 999999999 200 Cook 0 0 Emergency Medicine 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 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 2399 0 0 0 0 0 0 2399 0 0 1006063395 1144752403 10 Physicians MARTINEZ KEVIN D 999999999 65 Madison 0 0 Family Practice 0 0 0 0 9 0 0 0 0 0 0 1 0 36 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 1 0 74 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 1 0 74 0 0 0 0 0 0 0 0 0 530 0 0 0 0 0 0 4 0 1843 0 0 0 0 0 0 2377 0 0 1006063414 87 Psychologist(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 116 0 0 0 0 0 0 116 0 0 1006063454 1891100749 24 Speech Therapists DEVORE KATHERINE E 999999999 91 Sangamon 0 0 0 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 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16658 16658 0 0 1006063471 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 30083 0 0 0 0 0 0 0 0 0 0 0 0 0 30083 0 0 1006063503 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 2565 0 0 0 0 0 0 0 0 0 0 0 0 0 2565 0 0 1006063806 1154585412 89 Physician Assistant Only(Encounter Only) CARRICO MIRANDA K 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 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 0 212 0 0 0 0 0 0 212 0 0 1006064333 1255560264 10 Physicians GOMETZ EDWARD DANIEL 999999999 200 Cook 0 0 Internal Medicine 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 0 358 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 2771 0 0 0 0 0 0 2771 0 0 1006064356 1851441349 10 Physicians MBANU IBEAWUCHI 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 358 0 0 0 0 0 0 358 0 0 1006065135 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 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 3413 0 0 0 0 0 0 0 0 0 0 0 0 0 3413 0 0 1006065199 1013356930 10 Physicians FORAY NATHALIE L 999999999 91 Sangamon 0 0 Internal Medicine 0 0 0 0 0 0 0 0