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Hospitals GOTTLIEB MEMORIAL HOSPITAL 601601612 200 Cook DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 General Hospital - Adult and Child 0 0 0 0 1454 0 0 0 0 669 0 0 0 1701 0 0 0 0 0 0 0 0 0 1934 0 0 0 0 852 0 0 0 3171 0 0 0 0 0 0 0 0 0 1934 0 0 0 0 4150 0 0 0 3398 0 0 0 0 0 0 0 0 0 357773 0 0 0 0 1874131 0 0 0 698426 0 0 0 0 0 "2,930,330.00" 0 0 608 1017191597 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 13270 0 0 0 0 0 0 0 0 0 0 0 0 0 "13,270.00" 0 0 609 1101492833 010 Physicians 200 Cook 0 1 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 610 1012544275 1023580099 016 Nurse Practitioners NGO AMY 999999999 057 Lake 0 0 0 0 0 0 0 0 0 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 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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 22737 0 0 0 0 0 0 "22,737.00" 0 0 1344 1101055957 1255522108 024 Speech Therapists THREW MICHELLE 605380702 053 Kane 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 0 177 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 13962 "13,962.00" 0 0 1345 1101091439 1457525792 040 Federally Qualified Health Centers FRIEND HEALTH 606294438 200 Cook 0 1 0 489 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1784 0 364 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1784 0 364 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 136522 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "136,522.00" 0 0 1346 1101337121 1790717502 010 Physicians KAWADRY BASSAM 604991208 200 Cook 0 0 Emergency Medicine 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 0 114 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 8786 0 0 0 0 0 0 "8,786.00" 0 0 1347 1014439482 1386278687 016 Nurse 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"JH Stroger, Oak Forest and Provident Hospitals, paid under an alternate reimbursement system" 0 1 Direct Access 0 2732 0 153 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 9748 0 302 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 9748 0 302 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 1916482 0 34519 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "1,951,001.00" 0 0 5655 1101141927 010 Physicians 200 Cook 0 0 Radiology Diagnosis 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 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 0 111 0 0 0 0 0 0 0 0 111 0 0 5656 1101183630 1558389288 010 Physicians GORDON JOE E 191787642 019 Champaign 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 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 1343 0 0 0 0 0 0 "1,343.00" 0 0 5657 1101405290 1184818825 016 Nurse Practitioners JOHNSON AMANDA 604464987 107 Will 0 0 0 0 0 0 0 0 0 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 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(DHS/DRS) 091 Sangamon 0 0 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 9772 0 0 0 0 0 0 0 0 0 0 0 0 0 "9,772.00" 0 0 10400 1003130007 091 Waiver service provider--Adults (DHS/DDD) 071 McHenry 0 0 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 29467 0 0 0 0 0 0 0 0 0 0 0 0 0 "29,467.00" 0 0 10401 1101410548 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 3897 0 0 0 0 0 0 0 0 0 0 0 0 0 "3,897.00" 0 0 10402 1020167980 022 Physical Therapists 107 Will 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 11 11 0 0 10403 1014637646 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 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Physicians 104 Wayne 0 0 0 0 0 0 0 0 0 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 0 151 0 0 0 0 0 0 151 0 0 10439 1016065000 1386094860 010 Physicians FAIN SIMMI 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 1 120 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 158 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 158 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 2585 0 551 0 0 0 0 0 0 "3,141.00" 0 0 10440 1014131846 010 Physicians 815 Indiana 0 0 Internal Medicine 0 0 0 0 0 0 0 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 0 208 0 0 0 0 0 0 208 0 0 10441 1015064164 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 14766 0 0 0 0 0 0 0 0 0 0 0 0 0 "14,766.00" 0 0 10442 1101012313 1821091539 010 Physicians BECK 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1003994810 1437401718 089 Physician Assistant Only(Encounter Only) SHAH BINITA P 606123714 200 Cook 0 0 0 0 0 0 0 0 0 0 0 6 0 0 78 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 339 0 0 3633 0 0 0 0 0 0 "3,972.00" 0 0 10676 1101360302 092 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12898 0 0 0 0 0 0 0 0 0 0 0 0 0 "12,898.00" 0 0 10677 1101262502 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 10862 0 0 0 0 0 0 0 0 0 0 0 0 0 "10,862.00" 0 0 10678 1101535857 1952452922 010 Physicians STACY GREGORY 605276686 030 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 1 1006 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1585 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11036 0 0 0 0 0 0 0 0 0 0 0 0 0 "11,036.00" 0 0 10683 1101253938 1356495634 010 Physicians AWAD MICHAEL 631600352 080 Peoria 0 0 0 0 0 0 0 0 0 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 0 186 0 0 0 0 0 0 186 0 0 10684 1005744846 1841736857 016 Nurse Practitioners ROTH DIANA L. 999999999 010 Adams 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 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 1479 0 0 0 0 0 0 "1,479.00" 0 0 10685 1013058250 1043748098 055 Early Intervention Services CROOKS AMANDA F 999999999 091 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 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 8862 0 0 0 0 0 0 "8,862.00" 0 0 10686 1101380082 1487672994 060 Pharmacies WALMART PHARMACY 10-0237 629462346 090 Saline 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 1905 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53551 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 78371 0 0 0 "78,371.00" 0 0 10687 1016051807 098 Waiver service provider--TBI (DHS/DRS) 091 Sangamon 0 0 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 5791 0 0 0 0 0 0 0 0 0 0 0 0 0 "5,791.00" 0 0 10688 1016528813 093 Waiver service provider--HIV/AIDS (DHS/DRS) 091 Sangamon 0 0 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 5656 0 0 0 0 0 0 0 0 0 0 0 0 0 "5,656.00" 0 0 10689 1016580712 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 15269 0 0 0 0 0 0 0 0 0 0 0 0 0 "15,269.00" 0 0 10690 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17320 0 0 0 0 0 0 0 0 0 0 0 0 0 "17,320.00" 0 0 10694 1101432959 1831205657 010 Physicians REUTER ROBERT 619389253 024 Coles 0 0 Pathology 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 0 569 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 5039 0 0 0 0 0 0 0 0 "5,039.00" 0 0 10695 1011249221 1700356912 012 Optometrists IBISCH ANDREW 999999999 096 St Clair 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 0 631 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 12817 0 0 0 0 0 0 "12,817.00" 0 0 10696 1101070797 1801095245 022 Physical Therapists MORROW MELANIE 606081858 200 Cook 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 0 408 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 34725 "34,725.00" 0 0 10697 1101518176 024 Speech Therapists 200 Cook 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 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0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 14846 1101304203 1063637684 036 Community mental health provider LSSI MENTAL HEALTH SERVICE 606412712 200 Cook 0 0 282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1363 0 0 3163 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6139 0 0 3163 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6139 0 0 548432 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 962071 0 0 "1,510,503.00" 0 0 14847 1015741052 1730538745 010 Physicians HASHMI ASAD S 999999999 089 Rock Island 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 14 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 902 0 545 0 0 0 0 0 0 "1,447.00" 0 0 14848 1101318109 1831201433 010 Physicians JOHN VIJU 605276017 030 DuPage 0 1 Internal Medicine 0 0 0 0 0 0 0 0 0 0 10 0 153 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 271 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 271 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 6897 0 0 0 0 0 0 "6,957.00" 0 0 14849 1101320374 1003982877 010 Physicians SHAIKH AHMARI 601692426 200 Cook 0 1 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CHARLES O 604632391 200 Cook 0 0 Urological Surgery 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 6 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 73 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 14854 1004921990 013 Podiatrists 053 Kane 0 0 0 0 0 0 0 0 0 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 14855 1101294638 1629037304 063 Other Providers of Medical Equipment/Supplies (Non-registered) LANTZ MEDICAL INC 462685128 815 Indiana 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 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 17 0 2963 0 0 0 0 "2,980.00" 0 0 14856 1014945768 1215570908 089 Physician Assistant Only(Encounter Only) HOMANN BROOKE L 999999999 200 Cook 0 0 0 0 0 0 0 0 0 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 8 0 0 0 0 0 0 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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 10502 0 0 0 0 0 0 0 0 0 0 0 0 0 "10,502.00" 0 0 14861 1101488526 010 Physicians 200 Cook 0 0 Pediatrics 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 14862 1014914324 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 7590 0 0 0 0 0 0 0 0 0 0 0 0 0 "7,590.00" 0 0 14863 1101266744 1396774055 016 Nurse Practitioners ZINANNI JANIS 606116649 200 Cook 0 0 0 0 0 0 0 0 0 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 0 966 0 0 0 0 0 0 966 0 0 14864 1004439882 1174510200 089 Physician Assistant Only(Encounter Only) AARON TRACI L 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 2 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 1374 0 0 0 0 0 0 "1,557.00" 0 0 14865 1004222119 1962458208 089 Physician Assistant Only(Encounter Only) MAROGOL JOHN M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 2 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 146 0 0 1702 0 0 0 0 0 0 "1,848.00" 0 0 14866 1019490293 023 Occupational Therapists 200 Cook 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 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 3428 "3,428.00" 0 0 14867 1006648597 1073039863 016 Nurse Practitioners HILL NATALIE B 999999999 200 Cook 0 0 0 0 0 0 0 0 0 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 0 886 0 0 0 0 0 0 886 0 0 14868 1014854105 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 27150 0 0 0 0 0 0 0 0 0 0 0 0 0 "27,150.00" 0 0 14869 1015150971 094 Waiver service provider--Children's support (DHS/DDD) 091 Sangamon 0 0 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 0 312 0 0 0 0 0 0 0 0 0 0 0 0 0 312 0 0 14870 1014472512 016 Nurse Practitioners 065 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 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 14871 1101109867 1285799908 091 Waiver service provider--Adults (DHS/DDD) THOMAS DIANA 46311 815 Indiana 0 0 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 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 17636 0 0 0 0 0 0 0 0 0 0 0 0 0 "17,636.00" 0 0 14872 1014901743 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 23801 0 0 0 0 0 0 0 0 0 0 0 0 0 "23,801.00" 0 0 14873 1016037714 1760149900 016 Nurse Practitioners WASCHER STEPHANIE 999999999 200 Cook 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 0 107 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 3113 0 0 0 0 0 0 "3,113.00" 0 0 14874 1014812955 1588215214 063 Other Providers of Medical Equipment/Supplies (Non-registered) APERION CARE BRADLEY 999999999 054 Kankakee 0 0 0 0 0 0 0 0 0 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 5420 0 0 0 0 0 0 "5,420.00" 0 0 14875 1016113736 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21012 0 0 0 0 0 0 0 0 0 0 0 0 0 "21,012.00" 0 0 14876 1101042962 1316002538 010 Physicians RUPANI GITA 117474300 047 Jackson 0 0 Anesthesiology 0 0 0 0 0 0 0 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 0 356 0 0 0 0 0 0 356 0 0 14877 1011312130 1487118550 016 Nurse Practitioners CHINAVONG NAOMI 999999999 200 Cook 0 0 0 0 0 0 0 0 0 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 98 0 0 0 0 0 0 98 0 0 14878 1014884226 4014884226 090 Waiver service provider--Elderly (DOA) ALYCE ADULT DAY CARE AND INHOM 999999999 200 Cook 0 0 0 0 0 0 0 6 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 99844 0 0 0 0 0 0 0 0 0 0 0 0 0 "99,844.00" 0 0 14879 1101130505 1316901234 010 Physicians MAYER JOSEPH H 606740018 200 Cook 0 0 Neurology 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 2661 0 0 0 0 0 0 "2,661.00" 0 0 14880 1019619190 091 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 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 6827 0 0 0 0 0 0 0 0 0 0 0 0 0 "6,827.00" 0 0 14881 1101344253 092 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 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 39330 0 0 0 0 0 0 0 0 0 0 0 0 0 "39,330.00" 0 0 14882 1016382727 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 1025 0 0 0 0 0 0 0 0 0 0 0 0 0 "1,025.00" 0 0 14883 1004590826 089 Physician Assistant Only(Encounter Only) 060 Lee 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 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0 0 0 0 0 0 0 14888 1010962856 1851826507 016 Nurse Practitioners WILEY ARIELLE J. 999999999 200 Cook 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 1053 0 0 0 0 0 0 "1,053.00" 0 0 14889 1005656792 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 27413 0 0 0 0 0 0 0 0 0 0 0 0 0 "27,413.00" 0 0 14890 1014534523 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 28969 0 0 0 0 0 0 0 0 0 0 0 0 0 "28,969.00" 0 0 14891 1014499693 098 Waiver service provider--TBI (DHS/DRS) 091 Sangamon 0 0 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 1805 0 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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 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 1324 0 0 0 0 0 0 "1,324.00" 0 0 15641 1011312393 1568934941 016 Nurse Practitioners SABAS LAURIE J 999999999 200 Cook 0 0 0 0 0 0 0 0 0 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 1114 0 0 0 0 0 0 "1,114.00" 0 0 15642 1101451555 1306890728 010 Physicians SAMETT EVAN J 609012901 054 Kankakee 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 1 530 0 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 880 0 147 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 880 0 147 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 5791 0 1202 0 0 0 0 0 0 "7,001.00" 0 0 15643 1017105457 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 10729 0 0 0 0 0 0 0 0 0 0 0 0 0 "10,729.00" 0 0 15644 1011005800 092 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Sangamon 0 0 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 1937 0 0 0 0 0 0 0 0 0 0 0 0 0 "1,937.00" 0 0 15649 1101460056 1821158940 011 Dentists NAVARRO LARISSA 606071111 200 Cook 0 0 General Dentistry 0 0 226 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 0 995 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25464 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "25,464.00" 0 0 15650 1013542720 010 Physicians 080 Peoria 0 0 Psychiatry 0 0 0 0 0 0 0 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 1157 0 0 0 0 0 0 "1,157.00" 0 0 15651 1016220731 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 6487 0 0 0 0 0 0 0 0 0 0 0 0 0 "6,487.00" 0 0 15652 1101324450 010 Physicians 057 Lake 0 0 0 0 0 0 0 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0 0 0 0 0 0 0 0 0 0 5546 0 0 0 0 0 0 0 0 0 0 0 0 0 "5,546.00" 0 0 15672 1017935346 1841717345 010 Physicians VONK JONATHAN 999999999 200 Cook 0 0 Radiology Diagnosis 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 0 151 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 3783 0 0 0 0 0 0 0 0 "3,783.00" 0 0 15673 1101268149 1972681245 016 Nurse Practitioners BRAUN KRISTEN A 616151941 080 Peoria 0 0 0 0 0 24 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 94 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 94 0 0 0 0 0 0 0 0 0 2219 0 0 0 0 0 0 0 0 2095 0 0 0 0 0 0 "4,314.00" 0 0 15674 1101235847 1295702314 010 Physicians FELDENBERG LOUIS 631032236 010 Adams 0 0 Pediatric Nephrology 0 0 0 0 0 0 0 0 0 0 0 0 19 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 2510 0 0 0 0 0 0 "2,510.00" 0 0 15675 1013471920 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 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"19,796.00" 0 0 15683 1016521839 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 31506 0 0 0 0 0 0 0 0 0 0 0 0 0 "31,506.00" 0 0 15684 1015884366 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 10617 0 0 0 0 0 0 0 0 0 0 0 0 0 "10,617.00" 0 0 15685 1101078362 2100068780 090 Waiver service provider--Elderly (DOA) URHAI COMMUNITY SERVICE CENTER 606593811 200 Cook 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 15478 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15478 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1837607 0 0 0 0 0 0 0 0 0 0 0 0 0 "1,837,607.00" 0 0 15686 1101392745 1881706455 010 Physicians RADO JEFFREY T. 606118709 200 Cook 0 0 Psychiatry 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 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0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 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 15691 1013675289 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 5927 0 0 0 0 0 0 0 0 0 0 0 0 0 "5,927.00" 0 0 15692 1002750675 1376781252 010 Physicians GUPTA SHWETA 606123714 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 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 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 0 109 0 0 15693 1013718458 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 13146 0 0 0 0 0 0 0 0 0 0 0 0 0 "13,146.00" 0 0 15694 1101241416 1285653485 070 Ambulance Service Providers EAST PEORIA FIRE DEPT 616112416 098 Tazewell 0 0 0 0 0 0 0 0 0 0 0 1 0 0 693 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 2101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 2101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1762 0 0 1726372 0 0 0 0 0 0 "1,728,134.00" 0 0 15695 1015866546 010 Physicians 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 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 15696 1016109187 1760987929 016 Nurse Practitioners GABRIEL LEANNE C 999999999 200 Cook 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 0 293 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 3091 0 0 0 0 0 0 "3,091.00" 0 0 15697 1011032087 1356825483 060 Pharmacies ST. 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Randolph 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 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 0 259 0 0 0 0 0 0 259 0 0 16323 1014606406 1912544180 016 Nurse Practitioners KANDA JYOTI 999999999 200 Cook 0 0 0 0 0 0 0 0 0 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 1815 0 0 0 0 0 0 "1,815.00" 0 0 16324 1013801942 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 25434 0 0 0 0 0 0 0 0 0 0 0 0 0 "25,434.00" 0 0 16325 1002610278 1730212309 016 Nurse Practitioners NETTGEN NICOLE 463080083 080 Peoria 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 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 3704 0 0 0 0 0 0 "3,704.00" 0 0 16326 1004550467 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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 0 137 0 0 16330 1014779858 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 11122 0 0 0 0 0 0 0 0 0 0 0 0 0 "11,122.00" 0 0 16331 1010311454 1003266586 010 Physicians BAKEER FARIS 999999999 089 Rock Island 0 0 Internal Medicine 0 0 0 0 0 0 0 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 0 498 0 0 0 0 0 0 498 0 0 16332 1016576388 098 Waiver service provider--TBI (DHS/DRS) 091 Sangamon 0 0 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 51695 0 0 0 0 0 0 0 0 0 0 0 0 0 "51,695.00" 0 0 16333 1020432687 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 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0 0 0 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 0 129 0 0 0 0 0 0 129 0 0 16338 1010164592 1619404969 010 Physicians PETROPULOS PETER A 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 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 0 640 0 0 0 0 0 0 640 0 0 16339 1014189594 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 4467 0 0 0 0 0 0 0 0 0 0 0 0 0 "4,467.00" 0 0 16340 1011042935 010 Physicians 010 Adams 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 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 17 0 0 16341 1101389134 1629024807 070 Ambulance Service Providers MORTON FIRE DEPARTMENT 615501409 098 Tazewell 0 0 0 0 0 0 0 0 0 0 0 0 0 0 255 0 0 0 0 0 0 0 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0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 200 0 0 16373 1010547840 1699933903 010 Physicians JOHNSON WILLIAM A 999999999 098 Tazewell 0 0 Otolaryngology 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 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 0 0 1476 0 0 0 0 0 0 "1,476.00" 0 0 16374 1010707264 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 26771 0 0 0 0 0 0 0 0 0 0 0 0 0 "26,771.00" 0 0 16375 1014957514 086 Clinical Social Worker 200 Cook 0 0 0 0 0 0 0 0 0 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 75 0 0 0 0 0 0 75 0 0 16376 1015674698 1356808984 055 Early Intervention Services TAYLOR-MASON DESHELLE 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0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20021 0 0 0 0 0 0 0 0 0 0 0 0 0 "20,021.00" 0 0 17815 1101073428 1538209077 040 Federally Qualified Health Centers AUNT MARTHAS CARPENTERSVILLE C 601102422 053 Kane 0 1 0 473 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3831 0 504 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3831 0 504 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 215623 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "215,623.00" 0 0 17816 1101305650 1932110749 010 Physicians ALIKHAN NADIRA 606243312 200 Cook 0 0 Internal Medicine 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 0 225 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 225 0 0 0 0 0 0 0 0 0 131 0 0 0 0 0 0 0 0 4125 0 0 0 0 0 0 "4,256.00" 0 0 17817 1004436660 030 General Hospitals 049 Jefferson DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 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 11865 0 0 0 0 0 0 0 0 0 "11,865.00" 0 0 17818 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Physicians GREENBERG JARED A 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 1 0 131 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 370 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 370 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9225 0 0 0 0 0 0 "9,225.00" 0 0 18664 1004700370 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 10475 0 0 0 0 0 0 0 0 0 0 0 0 0 "10,475.00" 0 0 18665 1005821804 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29834 0 0 0 0 0 0 0 0 0 0 0 0 0 "29,834.00" 0 0 18666 1010843766 1033693742 016 Nurse Practitioners MEMON AHMED H 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 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 1573 0 0 0 0 0 0 "1,573.00" 0 0 18667 1006759548 1427430446 010 Physicians HASKAMP RYAN J 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 39 0 0 273 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3334 0 0 17230 0 0 0 0 0 0 "20,564.00" 0 0 18668 1014623105 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 24575 0 0 0 0 0 0 0 0 0 0 0 0 0 "24,575.00" 0 0 18669 1020392452 065 Independent Diagnostic Testing Facility (IDTF) 200 Cook 0 0 0 0 0 0 0 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 0 129 0 0 0 0 0 0 0 0 129 0 0 18670 1101029523 092 Waiver service provider--Disability (DHS/DRS) 065 Madison 0 0 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 15213 0 0 0 0 0 0 0 0 0 0 0 0 0 "15,213.00" 0 0 18671 1012375831 1497220743 016 Nurse Practitioners DANIELS KENISHA L 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 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 0 791 0 0 0 0 0 0 791 0 0 18672 1005241347 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 29516 0 0 0 0 0 0 0 0 0 0 0 0 0 "29,516.00" 0 0 18673 1012534523 1821448663 010 Physicians CHANG KEVIN M 999999999 080 Peoria 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 15 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 284 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 284 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1400 0 0 12249 0 0 0 0 0 0 "13,649.00" 0 0 18674 1012432460 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 8408 0 0 0 0 0 0 0 0 0 0 0 0 0 "8,408.00" 0 0 18675 1101185174 022 Physical Therapists 089 Rock Island 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 0 767 767 0 0 18676 1004045727 091 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 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 30430 0 0 0 0 0 0 0 0 0 0 0 0 0 "30,430.00" 0 0 18677 1001184373 1356750590 060 Pharmacies MAC RX LLC 600181811 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2982 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20869 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 470332 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 688524 0 0 0 "688,524.00" 0 0 18678 1016328218 1548977960 016 Nurse Practitioners LANGFIELD CHRISTINE 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 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 0 385 0 0 0 0 0 0 385 0 0 18679 1002561786 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 27894 0 0 0 0 0 0 0 0 0 0 0 0 0 "27,894.00" 0 0 18680 1005678570 1497011407 010 Physicians MEHTA NEAL A 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 11 0 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6383 0 0 0 0 0 0 "6,383.00" 0 0 18681 1101424269 1841461233 010 Physicians MARFIA PAULA 601533328 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 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 0 365 0 0 0 0 0 0 365 0 0 18682 1001660912 1962714428 010 Physicians BHAMBRI AMIT 602011700 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 18 0 0 184 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 193 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 193 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1424 0 0 8194 0 0 0 0 0 0 "9,618.00" 0 0 18683 1101284505 1033421615 016 Nurse Practitioners HELAL OMAR A 605638113 030 DuPage 0 0 0 0 0 0 0 0 0 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 0 667 0 0 0 0 0 0 667 0 0 18684 1017068139 016 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 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 0 363 0 0 0 0 0 0 363 0 0 18685 1014415454 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 17835 0 0 0 0 0 0 0 0 0 0 0 0 0 "17,835.00" 0 0 18686 1004425261 1528214855 010 Physicians KONTZIALIS MARINOS 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 1 366 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 511 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 511 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63 14576 0 37 0 0 0 0 0 0 "14,676.00" 0 0 18687 1006473486 091 Waiver service provider--Adults (DHS/DDD) 107 Will 0 0 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 5926 0 0 0 0 0 0 0 0 0 0 0 0 0 "5,926.00" 0 0 18688 1101027666 010 Physicians 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 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 18689 1015583872 1659909943 089 Physician Assistant Only(Encounter Only) BANTZ HALEY 999999999 096 St Clair 0 0 0 0 0 0 0 0 0 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 0 463 0 0 0 0 0 0 463 0 0 18690 1005843685 010 Physicians 098 Tazewell 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 18691 1019776044 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 2986 0 0 0 0 0 0 0 0 0 0 0 0 0 "2,986.00" 0 0 18692 1004016769 1689059305 011 Dentists KAUR NAVJIT 999999999 030 DuPage 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 698 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 698 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 41915 0 0 0 0 0 0 0 0 0 0 0 7105 0 0 0 0 "49,020.00" 0 0 18693 1101127079 016 Nurse Practitioners 034 Fayette 0 0 0 0 0 0 0 0 0 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 0 260 0 0 0 0 0 0 260 0 0 18694 1004395735 1376974527 040 Federally Qualified Health Centers WABASH VALLEY HEALTH CENTER 478071648 815 Indiana 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 315 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 315 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 12530 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "12,530.00" 0 0 18695 1015285334 010 Physicians 080 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 18696 1020420306 098 Waiver service provider--TBI (DHS/DRS) 091 Sangamon 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 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 "1,513.00" 0 0 18697 1010678855 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 25447 0 0 0 0 0 0 0 0 0 0 0 0 0 "25,447.00" 0 0 18698 1019446573 1467224113 016 Nurse Practitioners NEMETH MANDIE L 999999999 080 Peoria 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 18699 1005698291 1699212043 016 Nurse Practitioners RUPNOW TIMOTHY D 999999999 097 Stephenson 0 0 0 0 0 2 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 0 144 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 144 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 3198 0 0 0 0 0 0 "3,278.00" 0 0 18700 1010503731 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 518 0 0 18701 1005054027 1750702882 016 Nurse Practitioners TORRACO CARLY E 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 424 0 0 0 0 0 0 424 0 0 18702 1101133704 1821084047 089 Physician Assistant Only(Encounter Only) JOHNSON JOHN P 503061455 089 Rock Island 0 0 0 0 0 25 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 0 2767 0 0 0 0 0 0 0 0 1784 0 0 0 0 0 0 "4,551.00" 0 0 18703 1016514886 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 0 0 0 0 0 1 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 15523 0 0 0 0 0 0 0 0 0 0 0 0 0 "15,523.00" 0 0 18704 1006398202 1659762524 060 Pharmacies PANTHERX SPECIALTY PHARMACY 999999999 839 Pennsylvania 0 0 0 0 0 0 0 0 0 0 0 0 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 0 992 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105459 0 0 0 "105,459.00" 0 0 18705 1016814341 1962140004 016 Nurse Practitioners POTTS AMBER 600251419 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 54 0 0 18706 1101513972 1518055524 030 General Hospitals LA RABIDA CHILDRENS HOSP 606491003 200 Cook 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 0 134 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 327686 0 0 0 0 0 "327,686.00" 0 0 18707 1018173974 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 0 974 0 0 0 0 0 0 0 0 0 0 0 0 0 974 0 0 18708 1101020999 1871671990 040 Federally Qualified Health Centers DES PLAINES VALLEY HEALTH CTR 605011816 200 Cook 0 1 0 500 0 83 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 2290 0 240 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 2290 0 240 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 169968 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "169,968.00" 0 0 18709 1010902004 092 Waiver service provider--Disability (DHS/DRS) 030 DuPage 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24500 0 0 0 0 0 0 0 0 0 0 0 0 0 "24,500.00" 0 0 18710 1005823272 1194254243 010 Physicians GRIMMER RACHEL LYNNE 999999999 200 Cook 0 0 Family Practice 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 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 32 0 0 0 0 0 0 0 0 596 0 0 0 0 0 0 628 0 0 18711 1101220330 1881624831 010 Physicians GOTTEINER NINA 606112991 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 9 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 220 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 220 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 522 0 4716 0 0 0 0 0 0 "5,238.00" 0 0 18712 1006992567 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 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 27 0 0 18713 1101525577 022 Physical Therapists 200 Cook 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 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 73 73 0 0 18714 1010825046 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 44327 0 0 0 0 0 0 0 0 0 0 0 0 0 "44,327.00" 0 0 18715 1003106515 1518001189 016 Nurse Practitioners GIGLIOTTI PATRICIA 601545716 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 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 0 848 0 0 0 0 0 0 848 0 0 18716 1101496743 1669545943 010 Physicians MAHMOOD SAMAR 605639697 030 DuPage 0 0 Psychiatry 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 0 343 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 12486 0 0 0 0 0 0 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GORDON WESTON 999999999 826 Missouri 0 0 Neurology 0 0 0 0 0 0 0 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 1390 0 0 0 0 0 0 "1,390.00" 0 0 20612 1006518735 1104335546 016 Nurse Practitioners SPANGLER LINDSEY M 999999999 080 Peoria 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 0 242 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 4816 0 0 0 0 0 0 "4,848.00" 0 0 20613 1016616720 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 31512 0 0 0 0 0 0 0 0 0 0 0 0 0 "31,512.00" 0 0 20614 1101061680 1821075797 010 Physicians IQBAL NASIR 604631029 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 4 890 0 192 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 1332 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 1332 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 303 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1496 0 0 0 0 0 0 "1,496.00" 0 0 20619 1005968929 1255866737 013 Podiatrists TANWIR RAMSHA ALI 999999999 030 DuPage 0 0 0 0 0 0 0 0 0 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 0 137 0 0 0 0 0 0 137 0 0 20620 1101118879 1871528653 010 Physicians BARTMAN HOWARD M 606072703 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 4 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 167 0 773 0 0 0 0 0 0 940 0 0 20621 1010280111 1487127734 016 Nurse Practitioners BECKSTROM STEPHANIE S 999999999 080 Peoria 0 0 0 0 0 0 0 0 0 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 0 557 0 0 0 0 0 0 557 0 0 20622 1015758813 094 Waiver service provider--Children's support (DHS/DDD) 107 Will 0 0 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 11848 0 0 0 0 0 0 0 0 0 0 0 0 0 "11,848.00" 0 0 20623 1015298098 1205405644 016 Nurse Practitioners KACKER ESHA 999999999 200 Cook 0 0 General Psychiatry Residency 0 0 0 0 0 0 0 0 0 0 0 0 15 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 6190 0 0 0 0 0 0 "6,190.00" 0 0 20624 1017115201 1518530435 011 Dentists BARON SERGIO 999999999 030 DuPage 0 0 0 0 25 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 3795 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "3,795.00" 0 0 20625 1001244365 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 17531 0 0 0 0 0 0 0 0 0 0 0 0 0 "17,531.00" 0 0 20626 1015620860 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 0 0 0 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3500 0 0 0 0 0 0 0 0 0 0 0 0 0 "3,500.00" 0 0 21216 1020223707 1902503055 016 Nurse Practitioners KRONCKE ELISHA J 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 2 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2284 0 0 218 0 0 0 0 0 0 "2,502.00" 0 0 21217 1101172164 1831255108 060 Pharmacies SNYDERS PHARMACY 610108612 079 Ogle 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 0 741 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22501 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19604 0 0 0 "19,604.00" 0 0 21218 1019728734 1184074924 010 Physicians ASAD HUSSEIN R 999999999 065 Madison 0 0 0 0 0 0 0 0 0 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 0 222 0 0 0 0 0 0 222 0 0 21219 1101207850 1164451696 010 Physicians PATEL ASHRUTA 604022240 200 Cook 0 1 Internal Medicine 0 0 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0 0 0 0 0 0 0 18934 0 0 0 0 0 0 0 0 0 0 0 0 0 "18,934.00" 0 0 22432 1013725123 1326506080 010 Physicians ESLINGER HEATHER E 999999999 061 Livingston 0 0 0 0 0 0 0 0 0 0 0 8 0 0 131 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 137 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 137 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 787 0 0 4327 0 0 0 0 0 0 "5,114.00" 0 0 22433 1005902085 1750680120 010 Physicians KASI REKHA B 999999999 200 Cook 0 0 Psychiatry 0 0 0 0 0 0 0 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 2421 0 0 0 0 0 0 "2,421.00" 0 0 22434 1010662869 1548558950 089 Physician Assistant Only(Encounter Only) WILLIAMS NICKOLAS A 999999999 024 Coles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 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 1124 0 0 0 0 0 0 "1,124.00" 0 0 22435 1004900494 010 Physicians 019 Champaign 0 0 Physical Medicine/Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 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Occupational Therapists 036 Franklin 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 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 1198 "1,198.00" 0 0 22448 1014629629 098 Waiver service provider--TBI (DHS/DRS) 091 Sangamon 0 0 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 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 22449 1101204891 1801813167 060 Pharmacies WALMART PHARMACY 10-0798 624413995 021 Clark 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 0 734 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21439 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37079 0 0 0 "37,079.00" 0 0 22450 1016248156 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 3074 0 0 0 0 0 0 0 0 0 0 0 0 0 "3,074.00" 0 0 22451 1016501651 091 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 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 0 466 0 0 0 0 0 0 0 0 0 0 0 0 0 466 0 0 22452 1001357741 1225151830 016 Nurse Practitioners LA POINT ANGELA M 631600352 010 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 339 0 0 0 0 0 0 339 0 0 22453 1101012065 1407969645 010 Physicians LARSON BETH 601897813 030 DuPage 0 1 Family Practice 0 0 0 1 0 0 0 0 0 0 2 0 22 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 3 0 65 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 3 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 910 0 0 0 0 0 0 934 0 0 22454 1015789544 1871260281 016 Nurse Practitioners HALLOW AMY L 999999999 200 Cook 0 0 0 0 0 0 0 0 0 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 0 200 0 0 0 0 0 0 200 0 0 22455 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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 "1,144.00" 0 0 22459 1101420393 1134110786 036 Community mental health provider DUPAGE COUNTY HEALTH DEPARTMEN 605591502 030 DuPage 0 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 151 0 0 374 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 743 0 0 374 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 743 0 0 19983 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 79850 0 0 "99,833.00" 0 0 22460 1101193963 010 Physicians 816 Iowa 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22461 1101153852 030 General Hospitals 815 Indiana ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 4 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 577 0 0 0 0 5377 0 0 0 0 0 0 0 0 0 "5,954.00" 0 0 22462 1015817787 1881804748 010 Physicians CHIHADA ALHARIRI BASHAR 999999999 053 Kane 0 0 Internal Medicine 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 3915 0 0 0 0 0 0 "3,915.00" 0 0 22463 1019636482 094 Waiver service provider--Children's support (DHS/DDD) 091 Sangamon 0 0 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 1909 0 0 0 0 0 0 0 0 0 0 0 0 0 "1,909.00" 0 0 22464 1019735180 1316514003 011 Dentists ABOZOR BASEL 999999999 030 DuPage 0 0 General Dentistry 0 0 35 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 197 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 197 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 10391 0 0 0 0 0 0 0 0 0 0 0 888 0 0 0 0 "11,279.00" 0 0 22465 1015102700 4015102700 091 Waiver service provider--Adults (DHS/DDD) "AMAZING SENSORY DESIGNS, LLC" 999999999 200 Cook 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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1629545595 016 Nurse Practitioners LAWRENCE EMILY 999999999 200 Cook 0 0 0 0 0 1 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 0 277 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 277 0 0 0 0 0 0 0 0 0 61 0 0 0 0 0 0 0 0 3504 0 0 0 0 0 0 "3,565.00" 0 0 22474 1101417701 1639144579 010 Physicians GONZALEZ JULIO 601374418 030 DuPage 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 7 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 1333 0 0 0 0 0 0 "1,420.00" 0 0 22475 1013377073 089 Physician Assistant Only(Encounter Only) 108 Williamson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 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 22476 1014945785 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 27509 0 0 0 0 0 0 0 0 0 0 0 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"58,089.00" 0 0 22876 1006875841 089 Physician Assistant Only(Encounter Only) 057 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 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 22877 1002779936 010 Physicians 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 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 22878 1006936994 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 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 0 0 0 0 0 0 0 "5,782.00" 0 0 22879 1101416681 1407821077 010 Physicians WATTANAKIT KEATTIYOAT 615202444 037 Fulton 0 0 Cardiovascular Diseases 0 0 0 0 0 0 0 0 0 1 7 0 449 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 9 0 663 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 9 0 663 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 237 0 5384 0 0 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 6537 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 136573 0 0 8759867 0 0 0 0 0 0 "8,896,440.00" 0 0 22888 1101268105 1730180332 010 Physicians DUBIN ADAM 601486110 030 DuPage 0 0 0 0 0 0 0 0 0 0 0 1 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 336 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 336 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 5086 0 0 0 0 0 0 0 0 "5,100.00" 0 0 22889 1013465697 010 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 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 22890 1101012269 1194724088 010 Physicians BARDOUNIOTIS GEORGE 606740018 200 Cook 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 9746 0 0 0 0 0 0 "9,746.00" 0 0 22891 1016789013 1336708247 011 Dentists AHMED AMARAH 999999999 200 Cook 0 0 General Dentistry 0 0 62 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 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622012917 096 St Clair 0 0 Anesthesiology 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 0 114 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 2274 0 0 0 0 0 0 "2,274.00" 0 0 22908 1017087366 1134878051 016 Nurse Practitioners AKINYEMI PIPELAYO GRACE 999999999 200 Cook 0 0 Child/Adolescent Psychiatry Residency 0 0 0 0 0 0 0 0 0 0 0 0 30 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 7867 0 0 0 0 0 0 "7,867.00" 0 0 22909 1010727366 1003334459 016 Nurse Practitioners MCGUIRE WHITNEY C 999999999 047 Jackson 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 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 1159 0 0 0 0 0 0 "1,159.00" 0 0 22910 1101522986 1760622740 010 Physicians KRAD MUHAMAD 604318313 107 Will 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 48 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 1384 0 0 0 0 0 0 "1,384.00" 0 0 22911 1015096929 1841424751 016 Nurse Practitioners LUSTER SONIA A 999999999 063 Macon 0 0 0 0 0 0 0 0 0 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 1471 0 0 0 0 0 0 "1,471.00" 0 0 22912 1101347368 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 29705 0 0 0 0 0 0 0 0 0 0 0 0 0 "29,705.00" 0 0 22913 1101146142 1770528994 060 Pharmacies PENTEC HEALTH INC 190613132 839 Pennsylvania 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102 0 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102 0 0 335 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 352 0 0 20276 0 0 0 "20,628.00" 0 0 22914 1009667432 1093100554 010 Physicians FLORENCE NICHOLAS 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 4 331 0 32 0 0 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0 0 0 0 0 2 0 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 5321 0 0 0 0 0 0 "5,501.00" 0 0 26930 1003972025 1144681081 016 Nurse Practitioners LADAGE TODD 999999999 040 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 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 0 162 0 0 0 0 0 0 162 0 0 26931 1013945803 1841385184 010 Physicians FRALEY ALEXANDER 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 2 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 306 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 306 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 5078 0 0 0 0 0 0 "5,084.00" 0 0 26932 1015981714 091 Waiver service provider--Adults (DHS/DDD) 055 Kendall 0 0 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 30002 0 0 0 0 0 0 0 0 0 0 0 0 0 "30,002.00" 0 0 26933 1015953635 1013663186 016 Nurse Practitioners BELL AARON T 999999999 063 Macon 0 0 0 0 0 0 0 0 0 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 0 228 0 0 0 0 0 0 228 0 0 26934 1001589332 1366860355 024 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 43 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 46509 "46,509.00" 0 0 26935 1019956813 1013335876 010 Physicians AHMED MOHAMMED 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 16 0 1 0 0 0 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 23 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 407 0 0 0 0 0 0 0 0 407 0 0 26936 1020088486 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 2546 0 0 0 0 0 0 0 0 0 0 0 0 0 "2,546.00" 0 0 26937 1020097601 1578069282 010 Physicians LIU EDEN 999999999 200 Cook 0 0 Family 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0 0 927072 0 0 0 0 0 0 0 0 0 0 0 0 0 "927,072.00" 0 0 26949 1101486991 1538247762 040 Federally Qualified Health Centers BOOKER FAMILY HEALTH CENTER 606534224 200 Cook 0 1 0 292 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 986 0 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 986 0 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68499 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "68,499.00" 0 0 26950 1015093339 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 11090 0 0 0 0 0 0 0 0 0 0 0 0 0 "11,090.00" 0 0 26951 1004861868 1407269038 016 Nurse Practitioners FILL KAROLEE M 999999999 050 Jersey 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 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 1344 0 0 0 0 0 0 "1,344.00" 0 0 26952 1101113493 1487963286 055 Early Intervention Services DAVIS LISA 627621000 091 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 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 18704 0 0 0 0 0 0 "18,704.00" 0 0 26953 1004979591 1740423623 010 Physicians WINDER ABIGAIL 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 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 2882 0 0 0 0 0 0 "2,882.00" 0 0 26954 1101277872 1194733584 010 Physicians AMPALLOOR GEORGE 606222790 200 Cook 0 1 Pediatrics 0 0 0 62 0 0 0 0 0 0 2 0 31 0 0 0 0 0 0 0 0 0 393 0 0 0 0 0 0 2 0 41 0 0 0 0 0 0 0 0 0 393 0 0 0 0 0 0 2 0 41 0 0 0 0 0 0 0 0 0 12673 0 0 0 0 0 0 7 0 1579 0 0 0 0 0 0 "14,259.00" 0 0 26955 1014467734 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 7115 0 0 0 0 0 0 0 0 0 0 0 0 0 "7,115.00" 0 0 26956 1101359787 2100350205 010 Physicians SIMONAITIS LINAS 605322329 030 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 26957 1020393876 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 2776 0 0 0 0 0 0 0 0 0 0 0 0 0 "2,776.00" 0 0 26958 1020212817 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 5105 0 0 0 0 0 0 0 0 0 0 0 0 0 "5,105.00" 0 0 26959 1019940646 010 Physicians 019 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 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 32 0 0 26960 1101431830 1497808174 024 Speech Therapists RUZICH MARGARET 627621000 091 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1117 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 0 0 0 0 0 0 0 0 0 0 0 0 89273 "89,273.00" 0 0 26961 1020441064 091 Waiver service provider--Adults (DHS/DDD) 109 Winnebago 0 0 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 9084 0 0 0 0 0 0 0 0 0 0 0 0 0 "9,084.00" 0 0 26962 1006751590 091 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 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 28306 0 0 0 0 0 0 0 0 0 0 0 0 0 "28,306.00" 0 0 26963 1010643331 016 Nurse Practitioners 030 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 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 26964 1101239372 010 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 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 26965 1001296075 1396187753 024 Speech Therapists LOCKART ASHLEY E 625654561 094 Shelby 0 0 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 0 662 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 0 0 0 0 0 61000 "61,000.00" 0 0 26966 1005513188 1689112096 087 Psychologist PANDIT ANJALI 999999999 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 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 0 775 0 0 0 0 0 0 775 0 0 26967 1017159428 4017159428 090 Waiver service provider--Elderly (DOA) AVESENA HOME HEALTH CARE 999999999 030 DuPage 0 0 0 0 0 0 0 20 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 0 0 0 0 0 0 0 0 0 0 0 0 1392 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150476 0 0 0 0 0 0 0 0 0 0 0 0 0 "150,476.00" 0 0 26968 1101365091 1538473640 010 Physicians RAZIUDDIN AHMED 322266975 030 DuPage 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 4 0 0 379 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 668 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 668 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 400 0 0 10400 0 0 0 0 0 0 "10,800.00" 0 0 26969 1101014959 1639181647 016 Nurse Practitioners AGNICH ANGELA 604488683 107 Will 0 0 0 0 0 0 0 0 0 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 0 303 0 0 0 0 0 0 303 0 0 26970 1016166811 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 29077 0 0 0 0 0 0 0 0 0 0 0 0 0 "29,077.00" 0 0 26971 1004988605 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 25832 0 0 0 0 0 0 0 0 0 0 0 0 0 "25,832.00" 0 0 26972 1013565901 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26838 0 0 0 0 0 0 0 0 0 0 0 0 0 "26,838.00" 0 0 26973 1003526524 1225308281 016 Nurse Practitioners ADER ALI 606081732 852 Wisconsin 0 0 0 0 0 0 0 0 0 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 1244 0 0 0 0 0 0 "1,244.00" 0 0 26974 1101233359 1265400253 010 Physicians ROSSEAU RICHARD 606740018 200 Cook 0 0 Orthopedic Surgery 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 21 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 159 0 2181 0 0 0 0 0 0 "2,340.00" 0 0 26975 1005159205 092 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25406 0 0 0 0 0 0 0 0 0 0 0 0 0 "25,406.00" 0 0 26976 1101502918 1669578191 011 Dentists EADIE JEFFREY 601103345 053 Kane 0 0 General Dentistry 0 0 55 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 18132 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "18,132.00" 0 0 26977 1003863930 1285720268 022 Physical Therapists LARUE ANGELA 999999999 030 DuPage 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 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 0 548 548 0 0 26978 1101112963 1487672903 010 Physicians SANTOS MELODY 633012913 200 Cook 0 1 Pediatrics 0 0 0 44 0 0 0 0 0 0 10 0 29 0 0 0 0 0 0 0 0 0 156 0 0 0 0 0 0 11 0 47 0 0 0 0 0 0 0 0 0 156 0 0 0 0 0 0 11 0 47 0 0 0 0 0 0 0 0 0 5970 0 0 0 0 0 0 115 0 2556 0 0 0 0 0 0 "8,641.00" 0 0 26979 1004144238 1003010059 010 Physicians PARDO ANDREA C. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 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Hospitals OSF LITTLE COMPANY OF MARY MED 999999999 200 Cook DRG Hospitals reimbursed under our Diagnosis Related Group (DRG) system. 0 0 1 4 0 0 3820 0 0 0 0 1781 0 0 0 4193 0 0 0 0 0 1 11 0 0 5273 0 0 0 0 2371 0 0 0 11383 0 0 0 0 0 3 34 0 0 5273 0 0 0 0 10892 0 0 0 11431 0 0 0 0 0 0 264 0 0 537738 0 0 0 0 2615193 0 0 0 1494463 0 0 0 0 0 "4,647,658.00" 0 0 28839 1014656991 091 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 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 10494 0 0 0 0 0 0 0 0 0 0 0 0 0 "10,494.00" 0 0 28840 1101132556 1386739225 060 Pharmacies PRESCRIPTION PLUS LTD 622541570 096 St Clair 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 0 544 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14763 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16135 0 0 0 "16,135.00" 0 0 28841 1101062143 1750398731 060 Pharmacies BOND DRUG COMPANY OF ILLINOIS 606341817 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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0 0 0 894 0 0 0 0 0 0 894 0 0 32903 1016683663 1710337977 010 Physicians MINARDI LAURA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 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 35 0 0 0 0 0 0 35 0 0 32904 1015395461 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 12980 0 0 0 0 0 0 0 0 0 0 0 0 0 "12,980.00" 0 0 32905 1006365343 016 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 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 0 281 0 0 0 0 0 0 281 0 0 32906 1101086674 091 Waiver service provider--Adults (DHS/DDD) 057 Lake 0 0 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 18106 0 0 0 0 0 0 0 0 0 0 0 0 0 "18,106.00" 0 0 32907 1101490741 1013166305 075 Department of Alcohol and Substance Abuse Provider GATEWAY COM CONS CTR FOX VAL N 605062447 053 Kane 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 418 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 418 0 0 0 0 0 0 0 0 0 0 0 426 0 0 0 0 0 0 46945 0 0 "47,371.00" 0 0 32908 1004537024 092 Waiver service provider--Disability (DHS/DRS) 030 DuPage 0 0 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 48706 0 0 0 0 0 0 0 0 0 0 0 0 0 "48,706.00" 0 0 32909 1014027163 1932559143 010 Physicians IRIARTE OPORTO BLANCA E 999999999 030 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 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 0 571 0 0 0 0 0 0 571 0 0 32910 1004906932 092 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10811 0 0 0 0 0 0 0 0 0 0 0 0 0 "10,811.00" 0 0 32911 1020482721 1851084206 089 Physician Assistant Only(Encounter Only) AHMED SUMAYYAH 999999999 080 Peoria 0 0 0 0 0 0 0 0 0 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 1007 0 0 0 0 0 0 "1,007.00" 0 0 32912 1101203112 1750372785 010 Physicians CHAN JENNIFER L 606118709 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 3 0 0 137 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 297 0 0 5548 0 0 0 0 0 0 "5,845.00" 0 0 32913 1005942600 1801200837 010 Physicians ROYAL NICHOLAS J 999999999 019 Champaign 0 0 Family Practice 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 2195 0 0 0 0 0 0 "2,195.00" 0 0 32914 1004672508 010 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 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 1874 0 0 0 0 0 0 "1,874.00" 0 0 32915 1015908035 094 Waiver service provider--Children's support (DHS/DDD) 091 Sangamon 0 0 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 19221 0 0 0 0 0 0 0 0 0 0 0 0 0 "19,221.00" 0 0 32916 1101093934 1285719260 010 Physicians CHANDRA TANMOY 604611021 200 Cook 0 0 Psychiatry 0 0 0 4 0 0 0 0 0 0 0 0 23 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 0 101 0 0 0 0 0 0 0 0 1427 0 0 0 0 0 0 "1,528.00" 0 0 32917 1010638942 022 Physical Therapists 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 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 0 434 434 0 0 32918 1005413142 1114389160 010 Physicians GUTSELL PHILIP C 999999999 200 Cook 0 0 0 0 0 17 0 0 0 0 0 0 5 0 71 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 5 0 124 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 5 0 124 0 0 0 0 0 0 0 0 0 1597 0 0 0 0 0 0 15 0 1990 0 0 0 0 0 0 "3,602.00" 0 0 32919 1101261716 1518193192 010 Physicians TAI JAHANGIR 999999999 097 Stephenson 0 0 0 0 0 0 0 0 0 0 0 84 0 0 285 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85 0 0 287 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85 0 0 287 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5325 0 0 13338 0 0 0 0 0 0 "18,663.00" 0 0 32920 1014439445 1043325335 010 Physicians YELAMANCHILI BHASKARA R 999999999 080 Peoria 0 0 Internal Medicine 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 0 202 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 2449 0 0 0 0 0 0 "2,449.00" 0 0 32921 1014759950 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 11096 0 0 0 0 0 0 0 0 0 0 0 0 0 "11,096.00" 0 0 32922 1001077288 1134258023 023 Occupational Therapists SOAVE LYNETTE 622261197 096 St Clair 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 0 142 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 1393 "1,393.00" 0 0 32923 1003893189 1083978886 010 Physicians ZICKUHR LISA A 631600352 030 DuPage 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 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 0 406 0 0 0 0 0 0 406 0 0 32924 1017003916 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1541 0 0 0 0 0 0 0 0 0 0 0 0 0 "1,541.00" 0 0 32925 1101173075 1992875090 010 Physicians TOPIN JEREMY 619389253 024 Coles 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 1 0 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 0 10806 0 0 0 0 0 0 "10,850.00" 0 0 32926 1019453905 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 0 454 0 0 32927 1003929445 1780977975 016 Nurse Practitioners RODRIGUEZ ROWENA G 999999999 200 Cook 0 0 0 0 0 0 0 0 0 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 98 0 0 0 0 0 0 98 0 0 32928 1101180865 2100171283 010 Physicians VARGAS LEONARDO 606118709 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 36 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2533 0 867 0 0 0 0 0 0 "3,400.00" 0 0 32929 1015877302 1083625909 010 Physicians PATEL ASHISH V 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 6 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105 0 2332 0 0 0 0 0 0 "2,437.00" 0 0 32930 1013561535 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 11919 0 0 0 0 0 0 0 0 0 0 0 0 0 "11,919.00" 0 0 32931 1101092954 1568460145 010 Physicians KUMAR SAMIR 605231557 030 DuPage 0 0 Nephrology 0 0 0 0 0 0 0 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 1007 0 0 0 0 0 0 "1,007.00" 0 0 32932 1101431662 1760429203 033 Nursing Facilities PROMEDICA SKILLED NURSING LIB 600483723 057 Lake 0 0 0 0 0 0 0 0 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 0 499 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 88396 0 0 0 0 0 0 0 "88,396.00" 0 0 32933 1101051783 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 31634 0 0 0 0 0 0 0 0 0 0 0 0 0 "31,634.00" 0 0 32934 1010745754 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22758 0 0 0 0 0 0 0 0 0 0 0 0 0 "22,758.00" 0 0 32935 1001672465 1609201060 040 Federally Qualified Health Centers ASIAN HUMAN SERVICES FAMILY 606594108 200 Cook 0 1 0 580 0 68 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 2950 0 263 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 2950 0 263 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 191456 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "191,456.00" 0 0 32936 1017336163 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 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 0 300 0 0 32937 1017005058 1306575717 011 Dentists IMTIAZ SARA AHMAD 999999999 057 Lake 0 0 0 0 85 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 429 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 429 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 22988 0 0 0 0 0 0 0 0 0 0 0 444 0 0 0 0 "23,432.00" 0 0 32938 1015143459 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 20515 0 0 0 0 0 0 0 0 0 0 0 0 0 "20,515.00" 0 0 32939 1101048929 025 Audiologists 826 Missouri 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 25 25 0 0 32940 1101378505 063 Other Providers of Medical Equipment/Supplies (Non-registered) 077 Morgan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 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 32941 1013774406 1841682374 010 Physicians BLACKWELL DUSTIN 999999999 200 Cook 0 0 Obstetric-Gynecology 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 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 0 0 269 0 0 0 0 0 0 269 0 0 32942 1101490293 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 17181 0 0 0 0 0 0 0 0 0 0 0 0 0 "17,181.00" 0 0 32943 1101052212 1669488029 036 Community mental health provider THE THRESHOLDS 606132193 200 Cook 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107 0 0 9106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2765 0 0 9106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2765 0 0 1058855 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 458267 0 0 "1,517,122.00" 0 0 32944 1014950410 1336777515 016 Nurse Practitioners ROBERTS PAULA L 999999999 080 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1905 0 0 0 0 0 0 "1,905.00" 0 0 32945 1019957934 098 Waiver service provider--TBI (DHS/DRS) 091 Sangamon 0 0 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 7910 0 0 0 0 0 0 0 0 0 0 0 0 0 "7,910.00" 0 0 32946 1014621467 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 18604 0 0 0 0 0 0 0 0 0 0 0 0 0 "18,604.00" 0 0 32947 1004615225 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 18432 0 0 0 0 0 0 0 0 0 0 0 0 0 "18,432.00" 0 0 32948 1002845224 1851589212 010 Physicians CRISOSTOMO PAUL 601545716 200 Cook 0 0 0 0 0 0 0 0 0 0 0 1 22 0 190 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 38 0 537 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 38 0 537 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 111 0 13755 0 0 0 0 0 0 "13,879.00" 0 0 32949 1003007996 1780909705 010 Physicians RUSSELL SHARMAN 631600352 200 Cook 0 0 Obstetric-Gynecology 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 29 0 1051 0 0 0 0 0 0 "1,080.00" 0 0 32950 1003870553 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 11613 0 0 0 0 0 0 0 0 0 0 0 0 0 "11,613.00" 0 0 32951 1101326951 1154322337 010 Physicians IANNANTUONI KIERA 600052453 200 Cook 0 1 Pediatrics 0 0 0 3 0 0 0 0 0 0 1 0 9 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 3 0 10 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 3 0 10 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 56 0 477 0 0 0 0 0 0 564 0 0 32952 1005285732 092 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 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 1587 0 0 0 0 0 0 0 0 0 0 0 0 0 "1,587.00" 0 0 32953 1020133325 1013361666 010 Physicians PETERSON JESSICA A 999999999 200 Cook 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 8 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 332 0 1517 0 0 0 0 0 0 "1,849.00" 0 0 32954 1101323262 010 Physicians 037 Fulton 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32955 1101493944 1033163720 010 Physicians BUTLER MARTIN 605238723 030 DuPage 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 5 385 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 535 0 137 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 535 0 137 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 707 8264 0 3694 0 0 0 0 0 0 "12,665.00" 0 0 32956 1010742618 1851360820 089 Physician Assistant Only(Encounter Only) SCHEETZ GAYLE M 999999999 200 Cook 0 0 0 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Community mental health provider NORTH CENTRAL BEHAVIORAL HEALT 999999999 058 La Salle 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 667 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 667 0 0 2355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85114 0 0 "87,469.00" 0 0 35794 1011363468 016 Nurse Practitioners 053 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 35795 1001581191 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 28440 0 0 0 0 0 0 0 0 0 0 0 0 0 "28,440.00" 0 0 35796 1005786232 1104846633 016 Nurse Practitioners DANNER-KOPTIK KARINA E. 999999999 200 Cook 0 0 0 0 0 0 0 0 0 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 0 976 0 0 0 0 0 0 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 9092 0 0 0 0 0 0 0 0 0 0 0 0 0 "9,092.00" 0 0 35805 1019460227 1497217871 010 Physicians BURHANI MANSOOR 999999999 200 Cook 0 0 0 0 0 0 0 0 0 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 0 281 0 0 0 0 0 0 281 0 0 35806 1101219077 1255594073 010 Physicians MEERAPATEL SHAKILABANU 606771525 200 Cook 0 1 Family Practice 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 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 15 0 2109 0 0 0 0 0 0 "2,124.00" 0 0 35807 1101528913 1366475113 063 Other Providers of Medical Equipment/Supplies (Non-registered) WILLIAMS BROS HEALTH CARE 475916329 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 577 0 0 199 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 577 0 0 4028 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14675 0 0 4026 0 0 0 "18,701.00" 0 0 35808 1013308042 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 9918 0 0 0 0 0 0 0 0 0 0 0 0 0 "9,918.00" 0 0 35809 1003496012 1417297946 011 Dentists LI QINGSHAN 604675407 200 Cook 0 0 General Dentistry 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 0 690 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 690 0 0 35810 1013679277 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 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 61312 0 0 0 0 0 0 0 0 0 0 0 0 0 "61,312.00" 0 0 35811 1016028019 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 29127 0 0 0 0 0 0 0 0 0 0 0 0 0 "29,127.00" 0 0 35812 1101164955 1033398482 063 Other Providers of Medical Equipment/Supplies (Non-registered) HUEY''S HOME MEDICAL INC. 618214862 019 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 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 6469 0 0 0 0 0 0 "6,469.00" 0 0 35813 1014676624 1891322350 010 Physicians BLACHOWICZ ALEXANDER 999999999 053 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 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 1938 0 0 0 0 0 0 "1,938.00" 0 0 35814 1014976529 1700478328 016 Nurse Practitioners BROCK RACHEL 999999999 065 Madison 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 0 945 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 0 0 0 0 0 0 0 0 0 0 0 0 3207 0 0 0 0 0 0 "3,207.00" 0 0 35815 1004859132 1164878542 016 Nurse Practitioners WAGSCHAL REBECCA 999999999 089 Rock Island 0 0 0 0 0 0 0 0 0 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 0 571 0 0 0 0 0 0 571 0 0 35816 1101490882 1417903139 012 Optometrists STELMACK JOAN 606081288 200 Cook 0 0 Therapeutic Pharmaceutical Agents 0 0 0 0 0 0 0 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 0 220 0 0 0 0 0 0 220 0 0 35817 1101425382 1790978252 010 Physicians MIKOLAJCZAK PETER 631955534 010 Adams 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 632 0 0 0 0 0 0 632 0 0 35818 1101238695 1598817314 047 Local Education Agencies TAYLORVILLE CUSD 3 625681849 020 Christian 0 0 0 0 0 170 0 0 0 0 0 0 0 0 0 0 0 0 0 162 0 0 0 0 322 0 0 0 0 0 0 0 0 0 0 0 0 0 6648 0 0 0 0 322 0 0 0 0 0 0 0 0 0 0 0 0 0 6648 0 0 0 0 1970 0 0 0 0 0 0 0 0 0 0 0 0 0 75356 0 "77,326.00" 0 0 35819 1101449751 1851510416 010 Physicians MATHIAS MARY ANN M 606118709 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 1 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 250 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 250 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11352 0 0 0 0 0 0 "11,352.00" 0 0 35820 1013554235 1982256632 033 Nursing Facilities CRESTWOOD TERRACE 999999999 200 Cook 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 2908 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 451286 0 0 0 0 0 0 0 "451,286.00" 0 0 35821 1101291530 1326161365 055 Early Intervention Services BULTHUIS JENNIFER 604233005 107 Will 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 0 184 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 17495 0 0 0 0 0 0 "17,495.00" 0 0 35822 1101427954 010 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 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 0 233 0 0 35823 1001086706 023 Occupational Therapists 200 Cook 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 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 2220 "2,220.00" 0 0 35824 1101294611 1801091673 010 Physicians LEE RAY 605277594 030 DuPage 0 0 Physical Medicine/Rehabilitation 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 0 346 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 7264 0 0 0 0 0 0 "7,264.00" 0 0 35825 1003798916 098 Waiver service provider--TBI (DHS/DRS) 091 Sangamon 0 0 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 32624 0 0 0 0 0 0 0 0 0 0 0 0 0 "32,624.00" 0 0 35826 1014509330 1831611367 010 Physicians KHALID MUHAMMAD T 999999999 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 0 234 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 1836 0 0 0 0 0 0 "1,836.00" 0 0 35827 1014690206 1336626910 089 Physician Assistant Only(Encounter Only) GUSS ADAM J 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 1 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 105 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 105 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 2951 0 0 0 0 0 0 "3,057.00" 0 0 35828 1006587346 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 17580 0 0 0 0 0 0 0 0 0 0 0 0 0 "17,580.00" 0 0 35829 1015916151 016 Nurse Practitioners 010 Adams 0 0 0 0 0 0 0 0 0 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 0 136 0 0 0 0 0 0 136 0 0 35830 1006695773 010 Physicians 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 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 35831 1101120665 1134112097 010 Physicians BARTLEY WILLIAM R 620026722 065 Madison 0 1 Internal Medicine 0 0 0 0 0 0 0 0 0 0 6 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124 0 1061 0 0 0 0 0 0 "1,185.00" 0 0 35832 1020002142 1992324560 010 Physicians SUH MICHELLE I 999999999 030 DuPage 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 2 0 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 2640 0 0 0 0 0 0 "2,820.00" 0 0 35833 1101348832 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 13549 0 0 0 0 0 0 0 0 0 0 0 0 0 "13,549.00" 0 0 35834 1015288996 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 9343 0 0 0 0 0 0 0 0 0 0 0 0 0 "9,343.00" 0 0 35835 1004004243 1700252095 016 Nurse Practitioners OKRASINSKI THOMAS F. 999999999 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 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 0 294 0 0 0 0 0 0 294 0 0 35836 1101176768 2100167186 010 Physicians WITZEL STEVEN 606405714 200 Cook 0 0 Internal Medicine 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 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 2 0 630 0 0 0 0 0 0 632 0 0 35837 1016131550 010 Physicians 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 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 1036 0 0 0 0 0 0 "1,036.00" 0 0 35838 1014731663 010 Physicians 091 Sangamon 0 0 0 0 0 0 0 0 0 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 1801 0 0 0 0 0 0 "1,801.00" 0 0 35839 1101345141 1093798662 010 Physicians ALBOVIAS MICHELLE 606781034 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 7 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 392 0 4509 0 0 0 0 0 0 "4,901.00" 0 0 35840 1017122455 091 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 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 31008 0 0 0 0 0 0 0 0 0 0 0 0 0 "31,008.00" 0 0 35841 1101149724 1184652158 010 Physicians CHUNG ELIZABETH K 606733039 200 Cook 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 0 116 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 1688 0 0 0 0 0 0 "1,688.00" 0 0 35842 1014464060 1891909941 061 Independent Laboratories SIPARADIGM LLC 999999999 831 New Jersey 0 0 0 0 0 0 0 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 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Champaign 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 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 1058 0 0 0 0 0 0 "1,058.00" 0 0 40006 1005893515 1740514546 016 Nurse Practitioners RADEMAKER TIA M 999999999 091 Sangamon 0 0 0 0 0 0 0 0 0 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 0 144 0 0 0 0 0 0 144 0 0 40007 1101519636 092 Waiver service provider--Disability (DHS/DRS) 080 Peoria 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5994 0 0 0 0 0 0 0 0 0 0 0 0 0 "5,994.00" 0 0 40008 1101060305 1366574451 010 Physicians ROMERO IRIS 605276686 030 DuPage 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 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 3505 0 0 0 0 0 0 "3,505.00" 0 0 40009 1006874201 010 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 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 40010 1020060933 094 Waiver service provider--Children's support (DHS/DDD) 030 DuPage 0 0 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 16323 0 0 0 0 0 0 0 0 0 0 0 0 0 "16,323.00" 0 0 40011 1014931997 1124656079 010 Physicians MILLA LIRIJE 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 11 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 0 945 0 0 0 0 0 0 945 0 0 40012 1002924897 098 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 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 1150 0 0 0 0 0 0 0 0 0 0 0 0 0 "1,150.00" 0 0 40013 1013230489 1114584992 063 Other 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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 1785 0 0 0 0 0 0 "1,785.00" 0 0 40025 1101101497 1154500031 023 Occupational Therapists FLORCZAK-WIESER LINDA S. 627621000 091 Sangamon 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 0 455 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 38667 "38,667.00" 0 0 40026 1101150643 091 Waiver service provider--Adults (DHS/DDD) 030 DuPage 0 0 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 31032 0 0 0 0 0 0 0 0 0 0 0 0 0 "31,032.00" 0 0 40027 1101130066 1043280589 010 Physicians FRANKLIN MALCOM 606740018 200 Cook 0 1 Internal Medicine 0 0 0 0 0 0 0 0 0 0 4 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 99 0 448 0 0 0 0 0 0 547 0 0 40028 1004995575 1609192277 010 Physicians KAVALI PAVAN K 999999999 826 Missouri 0 0 Radiology 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Sangamon 0 0 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 33627 0 0 0 0 0 0 0 0 0 0 0 0 0 "33,627.00" 0 0 40033 1101112141 1194981514 010 Physicians JONES AMANDA 606118709 200 Cook 0 0 Emergency Medicine 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 0 183 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 0 883 0 0 0 0 0 0 883 0 0 40034 1014665406 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 34502 0 0 0 0 0 0 0 0 0 0 0 0 0 "34,502.00" 0 0 40035 1101261001 1942295878 010 Physicians MAIZELS MAX 606116649 200 Cook 0 0 Urology 0 0 0 0 0 0 0 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 3314 0 0 0 0 0 0 "3,314.00" 0 0 40036 1019483940 092 Waiver 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1020447643 1871367805 033 Nursing Facilities LOFT REHABILITATION OF EAST PE 999999999 098 Tazewell 0 0 0 0 0 0 0 0 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 0 396 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61716 0 0 0 0 0 0 0 "61,716.00" 0 0 48578 1019822976 094 Waiver service provider--Children's support (DHS/DDD) 091 Sangamon 0 0 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 3960 0 0 0 0 0 0 0 0 0 0 0 0 0 "3,960.00" 0 0 48579 1016207038 092 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 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 12625 0 0 0 0 0 0 0 0 0 0 0 0 0 "12,625.00" 0 0 48580 1101038401 1407945553 010 Physicians CASTILLO GONZALO D 605638113 030 DuPage 0 0 Anesthesiology 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 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WILLIAM H 999999999 030 DuPage 0 0 0 0 0 0 0 0 0 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 1060 0 0 0 0 0 0 "1,060.00" 0 0 48597 1010964939 089 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 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 48598 1004731434 1013364926 016 Nurse Practitioners SHANNON KRISTIN W 999999999 200 Cook 0 0 0 0 0 3 0 0 0 0 0 0 0 0 15 0 0 0 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 5 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 430 0 0 0 0 0 0 0 0 1561 0 0 0 0 0 0 "1,991.00" 0 0 48599 1005056970 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 21411 0 0 0 0 0 0 0 0 0 0 0 0 0 "21,411.00" 0 0 48600 1101300092 1598013864 060 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VALLEY 999999999 015 Bureau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 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 16550 0 0 0 0 0 0 "16,550.00" 0 0 50058 1014822769 098 Waiver service provider--TBI (DHS/DRS) 091 Sangamon 0 0 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 1536 0 0 0 0 0 0 0 0 0 0 0 0 0 "1,536.00" 0 0 50059 1101150742 092 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 278 0 0 50060 1101261346 092 Waiver service provider--Disability (DHS/DRS) 072 McLean 0 0 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 30776 0 0 0 0 0 0 0 0 0 0 0 0 0 "30,776.00" 0 0 50061 1013534632 1770044711 016 Nurse Practitioners DANIEL JESSICA 999999999 200 Cook 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 0 177 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 3191 0 0 0 0 0 0 "3,191.00" 0 0 50062 1016398802 012 Optometrists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 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 50063 1002994488 1093962896 010 Physicians WIKIERA RICHARD 620628501 065 Madison 0 0 0 0 0 0 0 0 0 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 3878 0 0 0 0 0 0 "3,878.00" 0 0 50064 1015048223 1992238786 013 Podiatrists KUNZ BRANDON T 999999999 091 Sangamon 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 0 257 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 7813 0 0 0 0 0 0 "7,813.00" 0 0 50065 1001473393 091 Waiver service 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1042386 0 0 0 0 0 0 0 0 0 0 "1,042,386.00" 0 0 51304 1101212421 1063423655 010 Physicians THOMAS ABRAHAM 606731258 200 Cook 0 1 Internal Medicine 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 0 521 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 2862 0 0 0 0 0 0 "2,862.00" 0 0 51305 1101028018 094 Waiver service provider--Children's support (DHS/DDD) 087 Randolph 0 0 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 0 294 0 0 0 0 0 0 0 0 0 0 0 0 0 294 0 0 51306 1020453227 1205894045 022 Physical Therapists FITZGERALD MICHAEL 999999999 107 Will 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 0 117 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 0 897 897 0 0 51307 1015274371 1043637150 010 Physicians RUSSEAU ANDREW P 999999999 200 Cook 0 0 0 0 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Facilities SYMPHONY ENCORE 999999999 200 Cook 0 0 0 0 0 0 0 0 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 1845 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 355019 0 0 0 0 0 0 0 "355,019.00" 0 0 51312 1101113704 1780650481 025 Audiologists FABER LORI 627810001 091 Sangamon 0 0 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 0 143 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 1672 "1,672.00" 0 0 51313 1015911291 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 4737 0 0 0 0 0 0 0 0 0 0 0 0 0 "4,737.00" 0 0 51314 1014376980 1407476096 016 Nurse Practitioners BUTKUS KRISTIN M 999999999 091 Sangamon 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 0 119 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 2573 0 0 0 0 0 0 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17564 0 0 0 0 0 0 0 0 0 0 0 0 0 "17,564.00" 0 0 54792 1010831716 1073051314 036 Community mental health provider ONE HOPE UNITED 624502114 088 Richland 0 0 Childrens Mental Health/SASS 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 79 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 79 0 0 25258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17724 0 0 "42,982.00" 0 0 54793 1012623129 1184771172 010 Physicians KIM SAMUEL S 999999999 053 Kane 0 0 Thoracic Surgery 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 0 154 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 4506 0 0 0 0 0 0 "4,506.00" 0 0 54794 1002923764 1588063994 016 Nurse Practitioners CASSIDY GWEN M. 606118709 200 Cook 0 0 0 0 0 0 0 0 0 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 0 934 0 0 0 0 0 0 934 0 0 54795 1019960025 092 Waiver service 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999999999 106 Whiteside 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 0 179 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 0 964 0 0 0 0 0 0 964 0 0 54811 1101257489 023 Occupational Therapists 091 Sangamon 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 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 1988 "1,988.00" 0 0 54812 1013903293 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 3445 0 0 0 0 0 0 0 0 0 0 0 0 0 "3,445.00" 0 0 54813 1020481285 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 12309 0 0 0 0 0 0 0 0 0 0 0 0 0 "12,309.00" 0 0 54814 1015424857 023 Occupational Therapists 030 DuPage 0 0 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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 6191 0 0 0 0 0 0 "6,191.00" 0 0 54818 1016432078 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 15857 0 0 0 0 0 0 0 0 0 0 0 0 0 "15,857.00" 0 0 54819 1020208113 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 "2,236.00" 0 0 54820 1007011410 1689638595 010 Physicians KAMALESH MASOOR 999999999 200 Cook 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 0 370 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 370 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2226 0 0 0 0 0 0 "2,226.00" 0 0 54821 1016365966 010 Physicians 065 Madison 0 0 0 0 0 0 0 0 0 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 55 0 0 0 0 0 0 55 0 0 54822 1005229116 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 30524 0 0 0 0 0 0 0 0 0 0 0 0 0 "30,524.00" 0 0 54823 1017343617 091 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 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 24054 0 0 0 0 0 0 0 0 0 0 0 0 0 "24,054.00" 0 0 54824 1020086783 1114645470 060 Pharmacies ADVOCATE PHARMACY 1510 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 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 0 841 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4456 0 0 0 "4,456.00" 0 0 54825 1101138704 1508907726 010 Physicians HIDALGO RAYNELDA 606930623 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 9 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 790 0 7167 0 0 0 0 0 0 "7,957.00" 0 0 54826 1013338153 1669961173 011 Dentists SUSARREY AZIZ 999999999 200 Cook 0 0 General Dentistry 0 0 237 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 1194 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 1194 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 58202 0 0 0 0 0 0 0 0 0 0 0 4440 0 0 0 0 "62,642.00" 0 0 54827 1019437339 098 Waiver service provider--TBI (DHS/DRS) 091 Sangamon 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 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 "1,561.00" 0 0 54828 1101060219 091 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 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 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 40809 0 0 0 0 0 0 0 0 0 0 0 0 0 "40,809.00" 0 0 54829 1014197162 1184272411 016 Nurse Practitioners O'DONNELL ALISON 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Obstetric-Gynecology 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 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 30 0 203 0 0 0 0 0 0 233 0 0 54834 1005474838 1639107832 016 Nurse Practitioners FITZPATRICK AMY J. 999999999 057 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 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 54835 1101383530 1104951250 010 Physicians MIHAILESCU DAN V 606123714 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 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 0 264 0 0 0 0 0 0 264 0 0 54836 1018056231 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 32001 0 0 0 0 0 0 0 0 0 0 0 0 0 "32,001.00" 0 0 54837 1000046449 1740346279 016 Nurse Practitioners GUZMAN LAURA L 601220021 053 Kane 0 0 0 0 0 0 0 0 0 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 0 267 0 0 0 0 0 0 267 0 0 54838 1015582876 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 17676 0 0 0 0 0 0 0 0 0 0 0 0 0 "17,676.00" 0 0 54839 1016001665 1992230387 010 Physicians BROOKS CAROLINE 999999999 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 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 1280 0 0 0 0 0 0 "1,280.00" 0 0 54840 1006060229 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 12735 0 0 0 0 0 0 0 0 0 0 0 0 0 "12,735.00" 0 0 54841 1101392220 1669420766 030 General Hospitals MCDONOUGH DISTRICT HOSP 614553313 070 McDonough ARS-PD Hospitals paid a Per Diem rate. 0 0 General Hospital - Adult and Child 1 0 0 0 692 0 0 0 0 121 0 0 1 884 0 0 0 0 0 1 0 0 0 1145 0 0 0 0 129 0 0 1 2023 0 0 0 0 0 1 0 0 0 1147 0 0 0 0 369 0 0 1 2046 0 0 0 0 0 5 0 0 0 184267 0 0 0 0 85951 0 0 4256 292435 0 0 0 0 0 "566,914.00" 0 0 54842 1005973525 1467794883 010 Physicians BHADULA RAGINI 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 54843 1101268972 092 Waiver service provider--Disability (DHS/DRS) 055 Kendall 0 0 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 43339 0 0 0 0 0 0 0 0 0 0 0 0 0 "43,339.00" 0 0 54844 1013878053 1376923748 010 Physicians BROWN JUDITH N 999999999 053 Kane 0 0 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Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 2208 0 0 0 0 0 0 0 0 0 0 0 0 0 "2,208.00" 0 0 54853 1101479088 091 Waiver service provider--Adults (DHS/DDD) 053 Kane 0 0 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 19536 0 0 0 0 0 0 0 0 0 0 0 0 0 "19,536.00" 0 0 54854 1016159522 022 Physical Therapists 200 Cook 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 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 0 215 215 0 0 54855 1006590238 1427559186 016 Nurse Practitioners CASHEN AGNES G 999999999 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 24 0 0 0 0 0 0 0 0 0 0 0 0 0 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 54856 1003741461 016 Nurse Practitioners 200 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0 0 56187 1004018040 1891192670 016 Nurse Practitioners THOMAS EVELYNE E 999999999 826 Missouri 0 0 0 0 0 0 0 0 0 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 0 294 0 0 0 0 0 0 294 0 0 56188 1101094006 022 Physical Therapists 017 Carroll 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 94 94 0 0 56189 1101189993 022 Physical Therapists 091 Sangamon 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 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 4868 "4,868.00" 0 0 56190 1019461380 1801410592 010 Physicians ELSHAROUD AMRO M 999999999 080 Peoria 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 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 0 143 0 1825 0 0 0 0 0 0 "1,968.00" 0 0 56191 1011124605 1255848214 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Practitioners 080 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 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 61454 1101092456 1285983437 016 Nurse Practitioners SZYMANSKI MELANIE S. 602011718 200 Cook 0 0 0 0 0 0 0 0 0 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 0 245 0 0 0 0 0 0 245 0 0 61455 1101371008 1326257098 010 Physicians DELA CRUZ MARTHE 627949639 091 Sangamon 0 1 Pediatrics 0 0 0 60 0 0 0 0 0 0 20 0 71 0 0 0 0 0 0 0 0 0 215 0 0 0 0 0 0 20 0 110 0 0 0 0 0 0 0 0 0 215 0 0 0 0 0 0 20 0 110 0 0 0 0 0 0 0 0 0 23593 0 0 0 0 0 0 66 0 8419 0 0 0 0 0 0 "32,078.00" 0 0 61456 1004363680 010 Physicians 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61457 1101404860 1558391706 030 General Hospitals 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0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 245 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 26867 0 0 0 0 0 0 0 0 0 0 0 0 0 "26,867.00" 0 0 64328 1005273078 1497205744 047 Local Education Agencies BETTY SHABAZZ INTERNATIONAL CH 999999999 200 Cook 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 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 0 855 0 855 0 0 64329 1101206381 010 Physicians 815 Indiana 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 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 64330 1101172655 1093761181 010 Physicians DOUKKY RAMI 606751611 200 Cook 0 0 Internal Medicine 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 0 164 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 1636 0 0 0 0 0 0 "1,636.00" 0 0 64331 1101328388 1275551137 010 Physicians OCHS 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Washington 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 149 0 0 0 0 0 0 149 0 0 68981 1101151958 1164437489 060 Pharmacies BOND DRUG COMPANY OF ILLINOIS 605382170 055 Kendall 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 722 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 4562 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 148102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 88 0 0 271777 0 0 0 "271,865.00" 0 0 68982 1101399701 010 Physicians 109 Winnebago 0 0 Oncology 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68983 1015255353 010 Physicians 053 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 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 0 376 0 0 0 0 0 0 376 0 0 68984 1020225298 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 0 0 0 0 0 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0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 290 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 290 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 502 0 4779 0 0 0 0 0 0 "5,281.00" 0 0 69011 1014273546 010 Physicians 200 Cook 0 0 Internal Medicine 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 69012 1017218567 1417672585 016 Nurse Practitioners ASRANOVA GULBAHAR 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 11 0 0 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1007 0 0 4804 0 0 0 0 0 0 "5,811.00" 0 0 69013 1101445600 010 Physicians 852 Wisconsin 0 0 Pathology 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 69014 1101138946 1023037462 010 Physicians SILVERS ROBERT I. 602011700 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 3 324 0 9 0 0 0 0 0 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 "3,435.00" 0 0 71457 1006311535 1568889558 010 Physicians SAVAGE DANIEL 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 1 0 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 204 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 204 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 6256 0 0 0 0 0 0 "6,362.00" 0 0 71458 1016959898 1801381868 010 Physicians COZZI NICHOLAS P 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 8 2 0 171 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 2 0 274 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 2 0 274 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 815 5 0 7104 0 0 0 0 0 0 "7,924.00" 0 0 71459 1101069919 1467426676 063 Other Providers of Medical Equipment/Supplies (Non-registered) MEADOWBROOK MANOR OF LAGRANGE 605256429 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 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 15060 0 0 0 0 0 0 "15,060.00" 0 0 71460 1101446128 1659353779 010 Physicians BLOOM RONALD 600761260 200 Cook 0 0 Gastroenterology 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 1404 0 0 0 0 0 0 "1,404.00" 0 0 71461 1003871578 1770870222 010 Physicians HINZMAN JUSTIN M 612656812 089 Rock Island 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 65 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 151 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 151 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5869 0 14691 0 0 0 0 0 0 "20,560.00" 0 0 71462 1015857672 1992244164 010 Physicians SHAH SHUCHI 999999999 091 Sangamon 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 0 186 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 3788 0 0 0 0 0 0 "3,788.00" 0 0 71463 1006974275 1235454968 010 Physicians RIGAMER MARGARET 999999999 200 Cook 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 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 12302 0 0 0 0 0 0 "12,302.00" 0 0 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21 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 "1,084.00" 0 0 71468 1020778955 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 16505 0 0 0 0 0 0 0 0 0 0 0 0 0 "16,505.00" 0 0 71469 1005194055 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 3800 0 0 0 0 0 0 0 0 0 0 0 0 0 "3,800.00" 0 0 71470 1019947844 098 Waiver service provider--TBI (DHS/DRS) 091 Sangamon 0 0 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 9293 0 0 0 0 0 0 0 0 0 0 0 0 0 "9,293.00" 0 0 71471 1101390765 2100381183 090 Waiver service provider--Elderly (DOA) UNIVERSAL INDUSTRIES 606451510 200 Cook 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1932 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1932 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 103112 0 0 0 0 0 0 0 0 0 0 0 0 0 "103,112.00" 0 0 71472 1101494801 1154401198 010 Physicians TRIVEDI KIRITKUMAR 606174221 200 Cook 0 1 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 14 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 1024 0 0 0 0 0 0 "1,024.00" 0 0 71473 1101234359 1982868774 060 Pharmacies WALGREENS #12890 629662203 047 Jackson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 170 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 891 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 30353 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 0 35599 0 0 0 "35,643.00" 0 0 71474 1013855794 010 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 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 71475 1101250793 2100241211 091 Waiver service provider--Adults (DHS/DDD) TRADE INDUSTRIES 628592149 041 Hamilton 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9497 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9497 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1372581 0 0 0 0 0 0 0 0 0 0 0 0 0 "1,372,581.00" 0 0 71476 1003632542 1649564980 010 Physicians ALVARADO ROSALINDA 606313222 200 Cook 0 0 Surgery General 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 0 187 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 20292 0 0 0 0 0 0 "20,292.00" 0 0 71477 1010654853 1003396219 016 Nurse Practitioners CALZONZI MARIA E 999999999 030 DuPage 0 0 0 0 0 0 0 0 0 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 1487 0 0 0 0 0 0 "1,487.00" 0 0 71478 1015254009 1932633120 010 Physicians GLASSER NATHANIEL J 999999999 030 DuPage 0 0 Internal Medicine 0 0 0 0 0 0 0 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 0 277 0 0 0 0 0 0 277 0 0 71479 1101277589 1881609915 060 Pharmacies WALGREENS #13826 607074227 200 Cook 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 0 781 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37987 0 0 0 "37,987.00" 0 0 71480 1016786684 023 Occupational Therapists 200 Cook 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 56 56 0 0 71481 1015660440 091 Waiver service provider--Adults (DHS/DDD) 019 Champaign 0 0 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 30442 0 0 0 0 0 0 0 0 0 0 0 0 0 "30,442.00" 0 0 71482 1101180012 1437262631 010 Physicians MUTHEKEPALLI SUDHA 618012529 019 Champaign 0 1 Internal Medicine 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 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 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0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2370 "2,370.00" 0 0 71487 1101403563 1801801097 060 Pharmacies WALGREEN CO 05976 626561406 062 Logan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 329 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 2148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 62736 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 574 0 0 49364 0 0 0 "49,938.00" 0 0 71488 1006714174 1396231767 016 Nurse Practitioners WRIGHT LAUREN 999999999 035 Ford 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 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 0 512 0 0 0 0 0 0 512 0 0 71489 1015733057 1851778674 010 Physicians MOORE FLETCHER B 999999999 098 Tazewell 0 0 0 0 0 0 0 0 0 0 0 1 706 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 892 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 892 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 11079 0 117 0 0 0 0 0 0 "11,248.00" 0 0 71490 1101170451 1134167935 010 Physicians PREKEZES CHRISTINE 605061449 053 Kane 0 0 Anesthesiology 0 0 0 0 0 0 0 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 0 632 0 0 0 0 0 0 632 0 0 71491 1015289714 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 29724 0 0 0 0 0 0 0 0 0 0 0 0 0 "29,724.00" 0 0 71492 1011062445 098 Waiver service provider--TBI (DHS/DRS) 091 Sangamon 0 0 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 3532 0 0 0 0 0 0 0 0 0 0 0 0 0 "3,532.00" 0 0 71493 1015345834 016 Nurse Practitioners 080 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 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 71494 1015328170 1790206951 016 Nurse Practitioners NAIR SUPRIYA 999999999 091 Sangamon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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LEAH 606405255 200 Cook 0 0 Obstetric-Gynecology 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 28 0 0 0 0 0 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 7 0 1848 0 0 0 0 0 0 "1,855.00" 0 0 73360 1014718681 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 6507 0 0 0 0 0 0 0 0 0 0 0 0 0 "6,507.00" 0 0 73361 1019668945 061 Independent Laboratories 089 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 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 24 0 0 73362 1101520373 1447252457 010 Physicians KAUFMAN GARY 606081732 200 Cook 0 1 Internal Medicine 0 0 0 37 0 0 0 0 0 0 0 0 133 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 283 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 283 0 0 0 0 0 0 0 0 0 2959 0 0 0 0 0 0 0 0 20497 0 0 0 0 0 0 "23,456.00" 0 0 73363 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Diseases 0 0 0 0 0 0 0 0 0 1 1 0 625 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1107 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1107 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 9837 0 0 0 0 0 0 "9,848.00" 0 0 73371 1101031541 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 28774 0 0 0 0 0 0 0 0 0 0 0 0 0 "28,774.00" 0 0 73372 1101177892 2100168310 090 Waiver service provider--Elderly (DOA) UNITED REHAB PROVIDERS PC 604532706 200 Cook 0 0 0 0 0 0 0 20 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 0 0 0 0 0 0 0 0 0 0 0 0 2828 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 331068 0 0 0 0 0 0 0 0 0 0 0 0 0 "331,068.00" 0 0 73373 1101281421 1790732279 010 Physicians KIMOVEC MARIA 601181416 053 Kane 0 0 Anesthesiology 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 6094 0 0 0 0 0 0 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1101158030 1396876207 047 Local Education Agencies COMMUNITY CSD 59 600073443 200 Cook 0 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 34060 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34060 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 597793 0 "597,793.00" 0 0 73379 1101109052 1417252917 055 Early Intervention Services MCFALLS JODI 624013200 033 Effingham 0 0 0 0 0 0 0 0 0 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 1550 0 0 0 0 0 0 "1,550.00" 0 0 73380 1013862833 1437564804 010 Physicians TRAYLOR PHILLIP R 999999999 200 Cook 0 0 Anesthesiology 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 0 175 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 11385 0 0 0 0 0 0 "11,385.00" 0 0 73381 1004565373 1548249352 016 Nurse Practitioners DECKERT JUDITH 999999999 053 Kane 0 0 0 0 0 0 0 0 0 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 59 0 0 0 0 0 0 59 0 0 73382 1101302793 1386836435 010 Physicians TUETING JONATHAN L 605047597 030 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 58 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 113 0 188 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 113 0 188 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1240 0 11338 0 0 0 0 0 0 "12,578.00" 0 0 73383 1017073333 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 6946 0 0 0 0 0 0 0 0 0 0 0 0 0 "6,946.00" 0 0 73384 1014000454 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 305 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 305 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23978 0 0 0 0 0 0 0 0 0 0 0 0 0 "23,978.00" 0 0 73385 1016277767 1164085742 010 Physicians VANG KABAO 999999999 200 Cook 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 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0 0 0 104 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 234 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 234 0 0 0 0 0 0 0 0 0 746 0 0 0 0 0 0 0 0 4455 0 0 0 0 0 0 "5,201.00" 0 0 73390 1101382588 092 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 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 16962 0 0 0 0 0 0 0 0 0 0 0 0 0 "16,962.00" 0 0 73391 1011252152 1477947075 010 Physicians VARMA SELINA 999999999 200 Cook 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 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 4720 0 0 0 0 0 0 "4,720.00" 0 0 73392 1015605424 1104599059 016 Nurse Practitioners BRONSON JULIE Y 999999999 080 Peoria 0 0 0 0 0 0 0 0 0 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 0 522 0 0 0 0 0 0 522 0 0 73393 1020104128 016 Nurse Practitioners 041 Hamilton 0 0 0 0 0 0 0 0 0 0 0 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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 76174 1101065086 1568417319 063 Other Providers of Medical Equipment/Supplies (Non-registered) ABSOLUTE MEDICAL INC 606226236 200 Cook 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 5057 0 0 0 0 0 0 "5,057.00" 0 0 76175 1020466290 1952765497 010 Physicians DREXLER KATHLEEN A 999999999 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 1 31 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 45 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 45 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 840 0 498 0 0 0 0 0 0 "1,385.00" 0 0 76176 1006792739 1205354024 011 Dentists HAMDI AHMED 999999999 200 Cook 0 0 General Dentistry 0 0 158 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 943 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 943 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 36679 0 0 0 0 0 0 0 0 0 0 0 1708 0 0 0 0 "38,387.00" 0 0 76177 1014366410 1821352428 010 Physicians NOTTINGHAM CHARLES 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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 4003 0 0 0 0 0 0 "4,003.00" 0 0 76824 1101225326 1144236613 010 Physicians LAGONE CYNTHIA 606118709 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 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 0 540 0 0 0 0 0 0 540 0 0 76825 1101300915 010 Physicians 815 Indiana 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 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 76826 1007073621 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 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 40488 0 0 0 0 0 0 0 0 0 0 0 0 0 "40,488.00" 0 0 76827 1016184432 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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(DHS/DRS) 091 Sangamon 0 0 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 18682 0 0 0 0 0 0 0 0 0 0 0 0 0 "18,682.00" 0 0 76832 1101355365 1376516468 010 Physicians MAJOR COLETTE 606890001 200 Cook 0 0 Anesthesiology 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 5131 0 0 0 0 0 0 "5,131.00" 0 0 76833 1010717739 1326546185 089 Physician Assistant Only(Encounter Only) WOODBRIDGE WHITNEY K 999999999 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 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 1382 0 0 0 0 0 0 "1,382.00" 0 0 76834 1101462358 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 15619 0 0 0 0 0 0 0 0 0 0 0 0 0 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0 0 0 0 0 0 0 0 0 155 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 3962 0 0 0 0 0 0 "3,962.00" 0 0 76843 1101527654 1669488029 036 Community mental health provider WEST SUBURBS OAK PARK CILA 603021429 200 Cook 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 599 0 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 599 0 0 6128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65506 0 0 "71,634.00" 0 0 76844 1006874250 1881128494 010 Physicians LANE ALEX 999999999 076 Montgomery 0 0 0 0 0 0 0 0 0 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 0 271 0 0 0 0 0 0 271 0 0 76845 1101217227 010 Physicians 091 Sangamon 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 32 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 "3,557.00" 0 0 76846 1101430100 091 Waiver service provider--Adults (DHS/DDD) 011 Alexander 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 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0 0 279 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26417 0 0 0 0 0 0 0 0 0 0 0 0 0 "26,417.00" 0 0 81690 1101484155 1578630059 023 Occupational Therapists NICKELS JULIE 601263746 030 DuPage 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 0 138 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 11471 "11,471.00" 0 0 81691 1014453764 1376839969 010 Physicians BACHIER-RODRIGUEZ MARIELENA 999999999 030 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 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 3031 0 0 0 0 0 0 "3,031.00" 0 0 81692 1003937503 1053783522 091 Waiver service provider--Adults (DHS/DDD) "AT HOME MISSION, NFP" 999999999 200 Cook 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4901 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4901 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1482152 0 0 0 0 0 0 0 0 0 0 0 0 0 "1,482,152.00" 0 0 81693 1002629277 092 Waiver service provider--Disability 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"JH Stroger, Oak Forest and Provident Hospitals, paid under an alternate reimbursement system" 0 1 Direct Access 0 2052 0 28 0 0 0 0 0 6 0 0 1 0 0 0 0 0 0 0 9513 0 47 0 0 0 0 0 7 0 0 2 0 0 0 0 0 0 0 9513 0 47 0 0 0 0 0 7 0 0 2 0 0 0 0 0 0 0 1848119 0 2026 0 0 0 0 0 405 0 0 405 0 0 0 0 0 0 "1,850,955.00" 0 0 81712 1101535219 1891958880 010 Physicians AHMED SARAH 605044511 053 Kane 0 1 Family Practice 0 0 0 8 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 67 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 1 0 67 0 0 0 0 0 0 0 0 0 1349 0 0 0 0 0 0 2 0 1285 0 0 0 0 0 0 "2,636.00" 0 0 81713 1101168327 1659426864 016 Nurse Practitioners KROWIAK MONICA 606162441 200 Cook 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 0 120 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 120 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 4476 0 0 0 0 0 0 "4,497.00" 0 0 81714 1012692899 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 15515 0 0 0 0 0 0 0 0 0 0 0 0 0 "15,515.00" 0 0 81715 1101513521 1598707796 060 Pharmacies CVS PHARMACY 08698 606102702 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 303 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 11513 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66 0 0 16777 0 0 0 "16,843.00" 0 0 81716 1101455098 010 Physicians 852 Wisconsin 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 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 81717 1016657150 1891175022 023 Occupational Therapists STEINWART NATALIE C 999999999 200 Cook 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 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 0 744 744 0 0 81718 1101240616 1699728550 030 General Hospitals MERCY WALWORTH HOS AND MED CTR 531472655 852 Wisconsin NON-COST "Non-cost reporting hospitals, paid a Per Diem rate." 0 0 General Hospital - Adult and Child 0 0 0 0 15 0 0 0 0 6 0 0 0 57 0 0 0 0 0 0 0 0 0 16 0 0 0 0 6 0 0 0 111 0 0 0 0 0 0 0 0 0 16 0 0 0 0 14 0 0 0 111 0 0 0 0 0 0 0 0 0 1997 0 0 0 0 3445 0 0 0 2011 0 0 0 0 0 "7,453.00" 0 0 81719 1101426241 1235100546 010 Physicians SALHADAR ALIA 600680578 200 Cook 0 0 Clinical Pathology 0 0 0 0 0 0 0 0 0 0 472 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2747 0 88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2747 0 88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13179 0 6628 0 0 0 0 0 0 "19,807.00" 0 0 81720 1015771067 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 32219 0 0 0 0 0 0 0 0 0 0 0 0 0 "32,219.00" 0 0 81721 1101509645 016 Nurse Practitioners 826 Missouri 0 0 0 0 0 0 0 0 0 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 67 0 0 0 0 0 0 67 0 0 81722 1005566125 1609259084 011 Dentists PALIN CHARLES 999999999 200 Cook 0 0 Maxillofacial Surgery 0 0 89 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 225 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 225 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 15905 0 0 0 0 0 0 0 0 0 0 0 4749 0 0 0 0 "20,654.00" 0 0 81723 1016654159 1750848461 010 Physicians PALLOK KRISTEN N 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 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 0 245 0 0 0 0 0 0 245 0 0 81724 1014841008 010 Physicians 109 Winnebago 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 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 81725 1001556682 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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AHMAD ABDUR RAHMAN 999999999 200 Cook 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 0 195 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 1116 0 0 0 0 0 0 "1,116.00" 0 0 87164 1101036572 1568461697 070 Ambulance Service Providers VILLAGE OF HAZEL CREST 604291175 200 Cook 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 1158 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 0 0 0 0 0 1521404 0 0 0 0 0 0 "1,521,404.00" 0 0 87165 1101192244 010 Physicians 200 Cook 0 0 Endocrinology 0 0 0 0 0 0 0 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 0 149 0 0 0 0 0 0 149 0 0 87166 1101393449 010 Physicians 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 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 0 433 0 0 0 0 0 0 433 0 0 87167 1101245443 092 Waiver service provider--Disability (DHS/DRS) 056 Knox 0 0 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 37605 0 0 0 0 0 0 0 0 0 0 0 0 0 "37,605.00" 0 0 87168 1101244631 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 27873 0 0 0 0 0 0 0 0 0 0 0 0 0 "27,873.00" 0 0 87169 1020411634 1124720859 011 Dentists KIM SUMIN 999999999 200 Cook 0 0 0 0 165 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 689 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 689 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 25783 0 0 0 0 0 0 0 0 0 0 0 2664 0 0 0 0 "28,447.00" 0 0 87170 1020228106 010 Physicians 030 DuPage 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 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 87171 1003848675 091 Waiver service provider--Adults 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87175 1001469688 098 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 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 0 0 0 0 0 0 0 "3,354.00" 0 0 87176 1101033819 2100024237 016 Nurse Practitioners COOK TRACIE 600106025 057 Lake 0 0 0 0 0 0 0 0 0 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 0 251 0 0 0 0 0 0 251 0 0 87177 1010764185 016 Nurse Practitioners 091 Sangamon 0 0 0 0 0 0 0 0 0 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 87178 1005522647 1376985630 010 Physicians SHAH NIKET 999999999 200 Cook 0 0 Internal Medicine 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 0 219 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 5207 0 0 0 0 0 0 "5,207.00" 0 0 87179 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Anesthesiology 0 0 0 0 0 0 0 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 1875 0 0 0 0 0 0 "1,875.00" 0 0 87187 1013359124 1982018271 010 Physicians LOGEMAN ANDREW W 999999999 088 Richland 0 0 Otolaryngology 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 0 201 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 4588 0 0 0 0 0 0 "4,588.00" 0 0 87188 1013787072 1922652197 089 Physician Assistant Only(Encounter Only) KUICK DONALD E 999999999 109 Winnebago 0 0 0 0 0 0 0 0 0 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 0 692 0 0 0 0 0 0 692 0 0 87189 1101072378 010 Physicians 826 Missouri 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 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 87190 1004101735 010 Physicians 200 Cook 0 0 Pediatrics 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 43 0 0 87191 1004288527 1922326297 010 Physicians SPEC ANDREJ 999999999 200 Cook 0 0 0 0 0 0 0 0 0 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 0 153 0 0 0 0 0 0 153 0 0 87192 1101504303 1578672325 010 Physicians PIPER PATRICK M 606313222 200 Cook 0 1 Family Practice 0 0 0 5 0 0 0 0 0 0 1 0 69 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 1 0 134 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 1 0 134 0 0 0 0 0 0 0 0 0 379 0 0 0 0 0 0 1 0 3004 0 0 0 0 0 0 "3,384.00" 0 0 87193 1004742777 1225452261 016 Nurse Practitioners GUARDI JODIE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 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 0 186 0 0 0 0 0 0 186 0 0 87194 1101150621 1558440776 010 Physicians NASH ANNE 622062822 096 St Clair 0 0 Family Practice 0 0 0 0 0 0 0 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 0 345 0 0 0 0 0 0 345 0 0 87195 1101436719 1528020690 010 Physicians AMATO LAWRENCE 600731302 057 Lake 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300 0 0 0 0 0 0 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 1438 0 0 0 0 0 0 "1,438.00" 0 0 87196 1101292101 098 Waiver service provider--TBI (DHS/DRS) 091 Sangamon 0 0 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 10162 0 0 0 0 0 0 0 0 0 0 0 0 0 "10,162.00" 0 0 87197 1101441800 1154515377 061 Independent Laboratories MEDLAB INC 606593271 200 Cook 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 0 352 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 10021 0 0 0 0 0 0 0 0 "10,021.00" 0 0 87198 1020464898 089 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 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 87199 1015210691 010 Physicians 080 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87200 1007051328 087 Psychologist 109 Winnebago 0 0 0 0 0 0 0 0 0 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 1234 0 0 0 0 0 0 "1,234.00" 0 0 87201 1014870288 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19449 0 0 0 0 0 0 0 0 0 0 0 0 0 "19,449.00" 0 0 87202 1101013101 1548532591 016 Nurse Practitioners FLOWERS DARLENE 604358200 107 Will 0 0 General Psychiatry Residency 0 0 0 0 0 0 0 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 4509 0 0 0 0 0 0 "4,509.00" 0 0 87203 1101228580 1407873730 060 Pharmacies WAL MART STORES EAST LP 100609 634012480 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1177 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 657 0 0 0 657 0 0 87204 1010952550 1588168751 010 Physicians ARIEL DARLENE TERESA 999999999 200 Cook 0 0 Obstetric-Gynecology 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 20 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 703 0 3996 0 0 0 0 0 0 "4,699.00" 0 0 87205 1004324802 091 Waiver service provider--Adults (DHS/DDD) 053 Kane 0 0 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 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ROTHSTEIN CORE CENTER 606123741 200 Cook 0 1 Direct Access 0 884 0 7 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 4674 0 10 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 4674 0 10 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 803104 0 810 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "803,914.00" 0 0 88002 1006176613 1174069363 089 Physician Assistant Only(Encounter Only) HUNNELL LAURA E 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 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 88003 1006995616 1235683798 046 Ambulatory Surgical Treatment Centers ASSOCIATED SURGICAL CENTER 600043142 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 0 249 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 5701 0 0 0 0 0 "5,701.00" 0 0 88004 1010210120 1891114278 089 Physician Assistant Only(Encounter Only) HARRIS DANIEL 999999999 053 Kane 0 0 0 0 0 0 0 0 0 0 0 3 0 0 107 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 122 0 0 0 0 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Physicians SIEGEL MAYA E 999999999 200 Cook 0 0 Family Practice 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 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 4 0 4040 0 0 0 0 0 0 "4,044.00" 0 0 88051 1019762966 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 0 543 0 0 0 0 0 0 0 0 0 0 0 0 0 543 0 0 88052 1101322851 1043431661 010 Physicians FUNG FRANK 601901222 030 DuPage 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 119 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 162 0 97 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 162 0 97 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2153 0 2012 0 0 0 0 0 0 "4,165.00" 0 0 88053 1101414512 010 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 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 0 174 0 0 0 0 0 0 174 0 0 88054 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0 0 0 0 0 0 0 0 0 1 304 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 4063 0 471 0 0 0 0 0 0 "4,539.00" 0 0 88062 1001723507 1013255942 048 Rural Health Clinics SPRINGFIELD CLINIC RAYMOND RUR 625605283 076 Montgomery 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 0 576 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 576 0 0 88063 1014811089 1326689696 089 Physician Assistant Only(Encounter Only) MAAS LINDSAY 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 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 0 119 0 0 0 0 0 0 119 0 0 88064 1005573522 1841603750 010 Physicians GILL SAHIB S 999999999 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 36 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 1780 0 0 0 0 0 0 "1,780.00" 0 0 88065 1101267856 1104861665 010 Physicians MADDEN TESSA E 631082810 200 Cook 0 0 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0 0 "36,078.00" 0 0 88073 1012340939 1366003071 023 Occupational Therapists BRINKMEIER CIARA 999999999 109 Winnebago 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 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 4634 "4,634.00" 0 0 88074 1014038891 1124524467 010 Physicians SHAH NUPUR 999999999 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 3 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 186 0 0 3437 0 0 0 0 0 0 "3,623.00" 0 0 88075 1005265139 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 22039 0 0 0 0 0 0 0 0 0 0 0 0 0 "22,039.00" 0 0 88076 1014155693 091 Waiver service provider--Adults (DHS/DDD) 096 St Clair 0 0 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 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(Non-registered) VONO MEDICAL SUPPLIES 620561066 076 Montgomery 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 610 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 610 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18698 0 376 0 0 0 0 "19,074.00" 0 0 88081 1101162657 1457396566 010 Physicians SARNOV OLGA 531427884 852 Wisconsin 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 5 0 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 533 0 0 3324 0 0 0 0 0 0 "3,857.00" 0 0 88082 1017828565 016 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 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 0 129 0 0 0 0 0 0 129 0 0 88083 1101211513 1295848109 010 Physicians DUDKIEWICZ BRIAN 606127232 200 Cook 0 1 Family Practice 0 0 0 10 0 0 0 0 0 0 5 0 86 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 5 0 161 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 5 0 161 0 0 0 0 0 0 0 0 0 1909 0 0 0 0 0 0 13 0 8465 0 0 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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 5483 0 0 0 0 0 0 0 0 0 0 0 0 0 "5,483.00" 0 0 88092 1001157957 1841509304 010 Physicians VARDAROS ISIDOROS F 626811465 092 Schuyler 0 0 Family Practice 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 0 314 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 2582 0 0 0 0 0 0 "2,582.00" 0 0 88093 1005667345 1164786166 010 Physicians LANNAMAN KIA S 999999999 088 Richland 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 148 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 224 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 224 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4652 0 2642 0 0 0 0 0 0 "7,294.00" 0 0 88094 1101438374 098 Waiver service provider--TBI (DHS/DRS) 107 Will 0 0 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 42147 0 0 0 0 0 0 0 0 0 0 0 0 0 "42,147.00" 0 0 88095 1101430340 1386853471 010 Physicians WOJNARSKI AGNES 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Internal Medicine 0 0 0 0 0 0 0 0 0 2 0 0 1797 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 3229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 3229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 21964 0 0 0 0 0 0 "21,986.00" 0 0 88179 1010557533 1396087318 010 Physicians CHANG LAURA S. 999999999 200 Cook 0 0 Psychiatry 0 0 0 0 0 0 0 0 0 0 0 0 11 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 1787 0 0 0 0 0 0 "1,787.00" 0 0 88180 1101462785 1972683373 060 Pharmacies FIRSTMED PHARMACY 528032459 816 Iowa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 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 0 920 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86536 0 0 0 "86,536.00" 0 0 88181 1101307963 1851496814 010 Physicians UNTERMAN TERRY 606743462 200 Cook 0 0 Endocrinology 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 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 88182 1101138059 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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 88452 1005387405 010 Physicians 200 Cook 0 0 Psychiatry 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 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 88453 1014542891 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 2135 0 0 0 0 0 0 0 0 0 0 0 0 0 "2,135.00" 0 0 88454 1019863542 091 Waiver service provider--Adults (DHS/DDD) 010 Adams 0 0 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 10175 0 0 0 0 0 0 0 0 0 0 0 0 0 "10,175.00" 0 0 88455 1002925731 1093028359 010 Physicians MACAGBA GLADYS 606313222 200 Cook 0 0 Internal Medicine 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 0 336 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 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1120 0 0 0 0 0 0 "3,990.00" 0 0 88463 1101096804 091 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 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 26244 0 0 0 0 0 0 0 0 0 0 0 0 0 "26,244.00" 0 0 88464 1014012518 1396301057 010 Physicians ALTER DAVID 999999999 200 Cook 0 0 Internal Medicine 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 0 266 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 6506 0 0 0 0 0 0 "6,506.00" 0 0 88465 1101435949 1891754404 010 Physicians SPECTOR DAVID M 612656812 089 Rock Island 0 0 Internal Medicine 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 4648 0 0 0 0 0 0 "4,648.00" 0 0 88466 1006620299 098 Waiver service provider--TBI (DHS/DRS) 091 Sangamon 0 0 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 30770 0 0 0 0 0 0 0 0 0 0 0 0 0 "30,770.00" 0 0 88467 1101205862 1962525691 040 Federally Qualified Health Centers COMMUNITY HEALTH PARTNERSHIP O 605054291 053 Kane 0 0 Homeless 0 41 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 11408 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "11,408.00" 0 0 88468 1004842817 1760708416 010 Physicians THYPARAMPIL PREETI J 999999999 200 Cook 0 0 Ophthalmology 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 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 1959 0 0 0 0 0 0 "1,959.00" 0 0 88469 1020387162 098 Waiver service provider--TBI (DHS/DRS) 091 Sangamon 0 0 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 2914 0 0 0 0 0 0 0 0 0 0 0 0 0 "2,914.00" 0 0 88470 1010793431 1609018050 010 Physicians NIEMEYER MATTHEW 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 2 96 0 176 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 110 0 468 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 110 0 468 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 954 894 0 64447 0 0 0 0 0 0 "66,295.00" 0 0 88471 1015357509 010 Physicians 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 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 0 349 0 0 0 0 0 0 349 0 0 88472 1013741472 1679729628 010 Physicians DILMAN BORIS 999999999 057 Lake 0 0 Ophthalmology 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 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 0 133 0 0 0 0 0 0 133 0 0 88473 1101355294 1831113851 010 Physicians SHARIF MUHAMMAD 601882703 030 DuPage 0 0 Pulmonary Diseases 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 0 179 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 0 0 0 0 0 0 0 0 0 0 88474 1101118952 016 Nurse Practitioners 057 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 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 88475 1015005835 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 1275 0 0 0 0 0 0 0 0 0 0 0 0 0 "1,275.00" 0 0 88476 1013338425 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 3400 0 0 0 0 0 0 0 0 0 0 0 0 0 "3,400.00" 0 0 88477 1015256308 1477074060 010 Physicians IYI-OJO OLATOLA O 999999999 054 Kankakee 0 0 Psychiatry 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 0 491 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 20613 0 0 0 0 0 0 "20,613.00" 0 0 88478 1014473378 1265896260 010 Physicians LUO LARKIN X 999999999 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 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 1308 0 0 0 0 0 0 "1,308.00" 0 0 88479 1101121116 1588662605 052 Certified local public health department EGYPTIAN HEALTH DEPT 629303766 090 Saline 0 0 0 45 0 33 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 57 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 57 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 890 0 683 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "1,573.00" 0 0 88480 1016543547 1952757973 016 Nurse Practitioners WANG ADA 999999999 054 Kankakee 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 0 189 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 5510 0 0 0 0 0 0 "5,510.00" 0 0 88481 1015775444 1760136618 089 Physician Assistant Only(Encounter Only) MILLER SIDNEY 999999999 200 Cook 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 0 137 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 4478 0 0 0 0 0 0 "4,478.00" 0 0 88482 1016485549 094 Waiver service provider--Children's support (DHS/DDD) 091 Sangamon 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 88483 1007077531 1750794137 016 Nurse Practitioners SMYTH SARAH E 999999999 200 Cook 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 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 1027 0 0 0 0 0 0 "1,027.00" 0 0 88484 1101059227 1376571844 010 Physicians NILLES JOEL 617613558 072 McLean 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 1 0 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73 0 0 2244 0 0 0 0 0 0 "2,317.00" 0 0 88485 1001359589 098 Waiver service provider--TBI (DHS/DRS) 091 Sangamon 0 0 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 26943 0 0 0 0 0 0 0 0 0 0 0 0 0 "26,943.00" 0 0 88486 1014087806 1336783067 091 Waiver service provider--Adults (DHS/DDD) MOTA JUAN L 999999999 200 Cook 0 0 0 0 0 0 0 21 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 95903 0 0 0 0 0 0 0 0 0 0 0 0 0 "95,903.00" 0 0 88487 1001217663 091 Waiver service provider--Adults (DHS/DDD) 072 McLean 0 0 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 2283 0 0 0 0 0 0 0 0 0 0 0 0 0 "2,283.00" 0 0 88488 1101021825 1568527679 060 Pharmacies SHERMANS PHARMACY 615178010 080 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 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 2616 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8469 0 0 0 "8,469.00" 0 0 88489 1101519307 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 88494 1005207770 092 Waiver service provider--Disability (DHS/DRS) 836 Ohio 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1002 0 0 0 0 0 0 0 0 0 0 0 0 0 "1,002.00" 0 0 88495 1015536919 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 11386 0 0 0 0 0 0 0 0 0 0 0 0 0 "11,386.00" 0 0 88496 1016961625 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 13409 0 0 0 0 0 0 0 0 0 0 0 0 0 "13,409.00" 0 0 88497 1006427149 1194291237 016 Nurse Practitioners DEPA ANGELA R 999999999 057 Lake 0 0 0 0 0 0 0 0 0 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 1099 0 0 0 0 0 0 "1,099.00" 0 0 88498 1016609230 1194016659 010 Physicians LONGENECKER LOREN G 999999999 051 Jo Daviess 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 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 0 0 375 0 0 88499 1011186871 1447732953 016 Nurse Practitioners WEBB LUCAS C 999999999 047 Jackson 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 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 1264 0 0 0 0 0 0 "1,264.00" 0 0 88500 1101251645 1821065392 010 Physicians DABABNEH NADER J 629023988 047 Jackson 0 0 Gastroenterology 0 0 0 0 0 0 0 0 0 0 1 0 214 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 395 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 395 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 22608 0 0 0 0 0 0 "22,637.00" 0 0 88501 1016209018 091 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 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 7104 0 0 0 0 0 0 0 0 0 0 0 0 0 "7,104.00" 0 0 88502 1005236650 1497047567 010 Physicians WAGNER BENJAMIN J. 999999999 047 Jackson 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 1 0 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 179 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 179 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73 0 0 4640 0 0 0 0 0 0 "4,713.00" 0 0 88503 1010501070 1649685306 010 Physicians BECHIR GEORGE H 999999999 200 Cook 0 0 Internal Medicine 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 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 2671 0 0 0 0 0 0 "2,671.00" 0 0 88504 1003954974 1558771543 089 Physician Assistant Only(Encounter Only) LISUZZO ANTHONY D 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 262 0 0 0 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FLAHIVE MEGAN C 999999999 053 Kane 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 12 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 78 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 78 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 118 0 5507 0 0 0 0 0 0 "5,625.00" 0 0 89412 1015460756 094 Waiver service provider--Children's support (DHS/DDD) 091 Sangamon 0 0 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 2470 0 0 0 0 0 0 0 0 0 0 0 0 0 "2,470.00" 0 0 89413 1012510473 1477904662 010 Physicians WANG QIAN 999999999 065 Madison 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 25 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 0 263 0 0 0 0 0 0 263 0 0 89414 1016977056 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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Physicians SHATAT TAHREER 999999999 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 105 0 88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 158 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 158 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1550 0 1674 0 0 0 0 0 0 "3,224.00" 0 0 89720 1004026489 1114214996 010 Physicians PRASAD NEENU 999999999 200 Cook 0 0 Family Practice 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 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 2873 0 0 0 0 0 0 "2,873.00" 0 0 89721 1101264674 1659526077 022 Physical Therapists PERKINS MICHELLE 618012500 019 Champaign 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 0 651 651 0 0 89722 1006831544 022 Physical Therapists 200 Cook 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 61 61 0 0 89723 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Physician Assistant Only(Encounter Only) JERGE KATHERINE D 999999999 030 DuPage 0 0 0 0 0 0 0 0 0 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 0 686 0 0 0 0 0 0 686 0 0 91388 1019958116 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 8464 0 0 0 0 0 0 0 0 0 0 0 0 0 "8,464.00" 0 0 91389 1004105117 1013982610 010 Physicians WONG HUMPHREY 999999999 109 Winnebago 0 0 Internal Medicine 0 0 0 0 0 0 0 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 80 0 0 0 0 0 0 80 0 0 91390 1016364299 1104261601 010 Physicians BIR JASMIN K 999999999 200 Cook 0 0 0 0 0 0 0 0 0 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 0 284 0 0 0 0 0 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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 0 708 0 0 0 0 0 0 708 0 0 92170 1016631004 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 27120 0 0 0 0 0 0 0 0 0 0 0 0 0 "27,120.00" 0 0 92171 1101187020 1679844534 060 Pharmacies RIGG FAMILYCARE PHARMACY 628061006 032 Edwards 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 1053 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27610 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33516 0 0 0 "33,516.00" 0 0 92172 1014946346 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 16876 0 0 0 0 0 0 0 0 0 0 0 0 0 "16,876.00" 0 0 92173 1101309900 010 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 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SARAH K 999999999 200 Cook 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 0 193 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 16139 "16,139.00" 0 0 92178 1101267631 1184618258 010 Physicians BREWER BENJAMIN 617419369 061 Livingston 0 0 Family Practice 0 0 0 0 0 0 0 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 5741 0 0 0 0 0 0 "5,741.00" 0 0 92179 1101334107 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 1036 0 0 0 0 0 0 0 0 0 0 0 0 0 "1,036.00" 0 0 92180 1019503965 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 3984 0 0 0 0 0 0 0 0 0 0 0 0 0 "3,984.00" 0 0 92181 1101424807 1134139363 010 Physicians BENZINGER TAMMIE 631101016 826 Missouri 0 0 Radiology Diagnosis 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 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 2271 0 0 0 0 0 0 0 0 "2,271.00" 0 0 92182 1101446814 1992754766 010 Physicians CHAUDHRY VIVEK 606124325 200 Cook 0 0 Colon - Rectal Surgery 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 0 193 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 25734 0 0 0 0 0 0 "25,734.00" 0 0 92183 1101346854 091 Waiver service provider--Adults (DHS/DDD) 096 St Clair 0 0 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 30839 0 0 0 0 0 0 0 0 0 0 0 0 0 "30,839.00" 0 0 92184 1001615526 092 Waiver service provider--Disability (DHS/DRS) 099 Union 0 0 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 0 864 0 0 0 0 0 0 0 0 0 0 0 0 0 864 0 0 92185 1010571990 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 4910 0 0 0 0 0 0 0 0 0 0 0 0 0 "4,910.00" 0 0 92186 1005742856 1770846974 010 Physicians LANGE KRYSTLE N 999999999 109 Winnebago 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 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 0 0 3308 0 0 0 0 0 0 "3,308.00" 0 0 92187 1101354375 092 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 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 9607 0 0 0 0 0 0 0 0 0 0 0 0 0 "9,607.00" 0 0 92188 1015881093 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 38138 0 0 0 0 0 0 0 0 0 0 0 0 0 "38,138.00" 0 0 92189 1017337811 4017337811 071 Medicar Provider OHENESAMLOGISTICSCORP 999999999 030 DuPage 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 2454 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 0 0 0 0 0 0 0 0 0 0 0 0 42822 0 0 0 0 0 0 "42,822.00" 0 0 92190 1004103548 1992816524 060 Pharmacies OMNICARE OF QUINCY 48244 623012810 010 Adams 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 0 380 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10675 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5504 0 0 0 "5,504.00" 0 0 92191 1101222685 1306827001 010 Physicians PYLE WILLIAM 627949639 091 Sangamon 0 0 Thoracic Surgery 0 0 0 0 0 0 0 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 8777 0 0 0 0 0 0 "8,777.00" 0 0 92192 1004124205 1487941738 089 Physician Assistant Only(Encounter Only) CHIERO KAITLYN M 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 3 0 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 139 0 0 1673 0 0 0 0 0 0 "1,812.00" 0 0 92193 1101155797 1467647859 010 Physicians HEERALALL RAMANAND 462601317 010 Adams 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 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 92194 1101102066 1124044318 075 Department of Alcohol and Substance Abuse Provider NORTH CENTRAL BEHAVIORAL HLTH 613501040 058 La Salle 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 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 13161 0 0 "13,161.00" 0 0 92195 1101109778 1568664027 047 Local Education Agencies WEST CENTRAL CUSD 235 614189711 044 Henderson 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 465 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 465 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 3933 0 "3,944.00" 0 0 92196 1101418325 060 Pharmacies 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 15 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 1430 0 0 0 "1,430.00" 0 0 92197 1101351889 092 Waiver service provider--Disability (DHS/DRS) 039 Greene 0 0 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 25991 0 0 0 0 0 0 0 0 0 0 0 0 0 "25,991.00" 0 0 92198 1015614285 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 10944 0 0 0 0 0 0 0 0 0 0 0 0 0 "10,944.00" 0 0 92199 1101185533 1871875286 055 Early Intervention Services HUTCHCRAFT TAYLOR 999999999 080 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 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 17403 0 0 0 0 0 0 "17,403.00" 0 0 92200 1101248461 1124067541 070 Ambulance Service Providers OAK LAWN FIRE DEPT 604532236 200 Cook 0 0 0 0 0 0 0 0 0 0 0 8 0 0 1149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 3047 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 3047 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30524 0 0 5024375 0 0 0 0 0 0 "5,054,899.00" 0 0 92201 1016725708 1770220188 011 Dentists TAHIR ANALIA 999999999 200 Cook 0 0 General Dentistry 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 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 2203 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "2,203.00" 0 0 92202 1101334025 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 6650 0 0 0 0 0 0 0 0 0 0 0 0 0 "6,650.00" 0 0 92203 1101228925 091 Waiver service provider--Adults (DHS/DDD) 089 Rock Island 0 0 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 28875 0 0 0 0 0 0 0 0 0 0 0 0 0 "28,875.00" 0 0 92204 1101439165 1003849647 070 Ambulance Service Providers SPRING GROVE FIRE PROTECTION D 600819429 071 McHenry 0 0 0 0 0 0 0 0 0 0 0 1 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2447 0 0 118488 0 0 0 0 0 0 "120,935.00" 0 0 92205 1002766389 016 Nurse Practitioners 091 Sangamon 0 0 0 0 0 0 0 0 0 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 0 153 0 0 0 0 0 0 153 0 0 92206 1018679990 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 6462 0 0 0 0 0 0 0 0 0 0 0 0 0 "6,462.00" 0 0 92207 1014334689 089 Physician Assistant Only(Encounter Only) 200 Cook 0 0 0 0 0 0 0 0 0 0 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0 0 0 0 0 0 0 1 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 190 0 0 2066 0 0 0 0 0 0 "2,256.00" 0 0 95742 1016199411 1508599754 016 Nurse Practitioners SWANBERG JORDAN M 999999999 091 Sangamon 0 0 0 0 0 0 0 0 0 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 0 432 0 0 0 0 0 0 432 0 0 95743 1012641713 1912488164 010 Physicians HAMID ABDULLGABBAR 999999999 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 14 1233 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 1892 0 326 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 1892 0 326 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 838 28767 0 2438 0 0 0 0 0 0 "32,043.00" 0 0 95744 1101394650 1932172848 063 Other Providers of Medical Equipment/Supplies (Non-registered) "NATIONAL SEATING & MOBILITY, I" 616072812 080 Peoria 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 5609 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 0 0 0 0 0 0 0 0 0 0 0 0 524321 0 0 0 0 0 0 "524,321.00" 0 0 95745 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0 0 0 0 0 0 0 0 59 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 532 0 0 0 0 0 0 0 0 532 0 0 95765 1101143832 092 Waiver service provider--Disability (DHS/DRS) 030 DuPage 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 196 0 0 95766 1101026374 1245395466 010 Physicians GLICK DAVID 605276686 030 DuPage 0 0 Anesthesiology 0 0 0 0 0 0 0 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 3476 0 0 0 0 0 0 "3,476.00" 0 0 95767 1101233432 1023207115 010 Physicians ELAYYAN IBRAHIM 605212962 030 DuPage 0 0 Internal Medicine 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 2938 0 0 0 0 0 0 "2,938.00" 0 0 95768 1019732334 1851946321 010 Physicians OLUFAWO SOFOLUWE OLUYINKA 999999999 024 Coles 0 0 Pediatrics 0 0 0 0 0 0 0 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 2685 0 0 0 0 0 0 "2,685.00" 0 0 95769 1101365246 092 Waiver service provider--Disability (DHS/DRS) 096 St Clair 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 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 0 870 0 0 95770 1015571951 1265845010 013 Podiatrists DOMAAS MARK 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 1 0 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 574 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 574 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53 0 0 21426 0 0 0 0 0 0 "21,479.00" 0 0 95771 1015800528 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 11500 0 0 0 0 0 0 0 0 0 0 0 0 0 "11,500.00" 0 0 95772 1019466992 091 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 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 0 722 0 0 0 0 0 0 0 0 0 0 0 0 0 722 0 0 95773 1001357061 098 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 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 1070 0 0 0 0 0 0 0 0 0 0 0 0 0 "1,070.00" 0 0 95774 1016805114 1013676709 016 Nurse Practitioners HELBIG MORGAN E 999999999 024 Coles 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 0 145 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 1997 0 0 0 0 0 0 "1,997.00" 0 0 95775 1101233207 1558426619 010 Physicians WU GREGORY 631600352 030 DuPage 0 0 Neurology 0 0 0 0 0 0 0 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 4 0 0 0 0 0 0 4 0 0 95776 1006027974 1255746509 010 Physicians GRIMM TRENTON 999999999 200 Cook 0 0 0 0 0 0 0 0 0 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Physicians KHAN MOHAMMED S 999999999 080 Peoria 0 0 Family Practice 0 0 0 2 0 0 0 0 0 0 2 0 76 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 4 0 133 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 4 0 133 0 0 0 0 0 0 0 0 0 91 0 0 0 0 0 0 16 0 3024 0 0 0 0 0 0 "3,131.00" 0 0 95781 1101313633 092 Waiver service provider--Disability (DHS/DRS) 080 Peoria 0 0 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 16557 0 0 0 0 0 0 0 0 0 0 0 0 0 "16,557.00" 0 0 95782 1016373540 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 24526 0 0 0 0 0 0 0 0 0 0 0 0 0 "24,526.00" 0 0 95783 1101518022 1467470815 010 Physicians FOOSANER DAVID E 606731081 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 18 625 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 936 0 105 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 936 0 105 0 0 0 0 0 0 0 0 0 0 0 0 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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 97346 1016182649 1932197290 010 Physicians DARBARI SUNIL 999999999 053 Kane 0 0 Internal Medicine 0 0 0 0 0 0 0 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 0 155 0 0 0 0 0 0 155 0 0 97347 1006053056 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 14075 0 0 0 0 0 0 0 0 0 0 0 0 0 "14,075.00" 0 0 97348 1006198879 1609217371 010 Physicians FRIEDMAN MAX 999999999 030 DuPage 0 0 Anesthesiology 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 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 5342 0 0 0 0 0 0 "5,342.00" 0 0 97349 1014321008 098 Waiver service provider--TBI (DHS/DRS) 091 Sangamon 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 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Ambulance Service Providers LYONS FIRE DEPT VILLAGE OF 605341324 200 Cook 0 0 0 0 0 0 0 0 0 0 0 2 0 0 157 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 400 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 400 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 791 0 0 67251 0 0 0 0 0 0 "68,042.00" 0 0 97358 1101507887 1942206172 013 Podiatrists HUSS FRED E 606453029 200 Cook 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 0 292 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 0 504 0 0 0 0 0 0 504 0 0 97359 1101203416 010 Physicians 053 Kane 0 0 Anesthesiology 0 0 0 0 0 0 0 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 38 0 0 0 0 0 0 38 0 0 97360 1101442734 1619921541 010 Physicians BURFORD FOGGS ADRIENNE 606112917 200 Cook 0 1 Internal Medicine 0 0 0 0 0 0 0 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 0 169 0 0 0 0 0 0 169 0 0 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0 0 0 0 0 0 0 "1,295,999.00" 0 0 97365 1015518260 1619586096 089 Physician Assistant Only(Encounter Only) SHAH SONIYA 999999999 200 Cook 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 0 790 0 0 0 0 0 0 790 0 0 97366 1101455214 1811199375 047 Local Education Agencies ASTORIA CUSD 1 615018670 037 Fulton 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 1172 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 0 0 0 0 0 0 0 0 0 0 0 0 14739 0 "14,739.00" 0 0 97367 1101180208 1831348952 016 Nurse Practitioners CAPPELLA ELIZABETH 606112991 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 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 97368 1101455296 1982847810 010 Physicians MOORTHIE MYDHILI 605047222 030 DuPage 0 0 Emergency Medicine 0 0 0 2 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 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1101425257 1285631838 010 Physicians SAGAN ANNA 601302529 200 Cook 0 1 Family Practice 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 0 433 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 16935 0 0 0 0 0 0 "16,935.00" 0 0 98159 1002820995 1245548809 010 Physicians CHEN MCCRACKEN ALLISON E 606751611 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 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 6522 0 0 0 0 0 0 "6,522.00" 0 0 98160 1101112937 1104815562 011 Dentists MAYER CARL ERIC 600719253 071 McHenry 0 0 General Dentistry 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 1503 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "1,503.00" 0 0 98161 1016022634 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19694 0 0 0 0 0 0 0 0 0 0 0 0 0 "19,694.00" 0 0 98162 1004093861 1174914246 016 Nurse Practitioners TAYLOR LISA 604405125 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 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 1178 0 0 0 0 0 0 "1,178.00" 0 0 98163 1016761615 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 10051 0 0 0 0 0 0 0 0 0 0 0 0 0 "10,051.00" 0 0 98164 1007030890 1366989899 022 Physical Therapists JONES MARGARET 999999999 089 Rock Island 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 1450 "1,450.00" 0 0 98165 1020253327 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 11376 0 0 0 0 0 0 0 0 0 0 0 0 0 "11,376.00" 0 0 98166 1011268681 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 20976 0 0 0 0 0 0 0 0 0 0 0 0 0 "20,976.00" 0 0 98167 1101160735 1174619225 010 Physicians TURNER GEOFFREY 620026751 065 Madison 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 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 7489 0 0 0 0 0 0 "7,489.00" 0 0 98168 1101470794 091 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 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 3055 0 0 0 0 0 0 0 0 0 0 0 0 0 "3,055.00" 0 0 98169 1014388830 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 0 0 0 0 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Practitioners YANKELLOW IRENE 999999999 200 Cook 0 0 0 0 0 0 0 0 0 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 0 339 0 0 0 0 0 0 339 0 0 98422 1020276104 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 2785 0 0 0 0 0 0 0 0 0 0 0 0 0 "2,785.00" 0 0 98423 1101236490 1932417201 091 Waiver service provider--Adults (DHS/DDD) DWORKIN LISA 600314263 057 Lake 0 0 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 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 41320 0 0 0 0 0 0 0 0 0 0 0 0 0 "41,320.00" 0 0 98424 1016902708 1013647296 011 Dentists AL GAILANI MAHMOOD 999999999 200 Cook 0 0 0 0 258 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 1970 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 1970 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 97782 0 0 0 0 0 0 0 0 0 0 0 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Physicians 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 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 98836 1001475596 091 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 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 4687 0 0 0 0 0 0 0 0 0 0 0 0 0 "4,687.00" 0 0 98837 1101238547 098 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 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 2188 0 0 0 0 0 0 0 0 0 0 0 0 0 "2,188.00" 0 0 98838 1015680578 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 14428 0 0 0 0 0 0 0 0 0 0 0 0 0 "14,428.00" 0 0 98839 1015924954 091 Waiver service 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 208466 0 1117 0 0 0 0 "209,583.00" 0 0 98843 1101483556 1629014022 010 Physicians EDGCOMB LESLIE 616151941 080 Peoria 0 0 Vascular Surgery 0 0 0 0 0 0 0 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 0 175 0 0 0 0 0 0 175 0 0 98844 1012631454 1447813787 064 Imaging Services MEDICAL IMAGING SPECIALIST INC 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 13 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 112 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 112 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95 0 141 0 0 0 0 0 0 236 0 0 98845 1101412470 1205805488 030 General Hospitals RUSHVILLE DIALYSIS 626811293 092 Schuyler DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 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 0 391 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 98846 1014671849 1467946335 010 Physicians DIAZ GABRIEL E 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 36 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 1309 0 0 0 0 0 0 "1,309.00" 0 0 98847 1006824543 1417343567 010 Physicians ZINCONE RACHEL 999999999 200 Cook 0 0 0 0 0 0 0 0 0 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 1643 0 0 0 0 0 0 "1,643.00" 0 0 98848 1019330591 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 5389 0 0 0 0 0 0 0 0 0 0 0 0 0 "5,389.00" 0 0 98849 1013560794 1952954919 010 Physicians CHO NICOLE 999999999 200 Cook 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 0 366 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 6042 0 0 0 0 0 0 "6,042.00" 0 0 98850 1101081876 1265465652 033 Nursing Facilities WALKER NURSING HOME 626911400 018 Cass 0 0 0 0 0 0 0 0 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 0 922 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 131338 0 0 0 0 0 0 0 "131,338.00" 0 0 98851 1014319843 098 Waiver service provider--TBI (DHS/DRS) 091 Sangamon 0 0 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 11299 0 0 0 0 0 0 0 0 0 0 0 0 0 "11,299.00" 0 0 98852 1101463328 1578564654 010 Physicians ZABIEGA MARGARET 606740018 200 Cook 0 0 Internal Medicine 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 0 228 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 2922 0 0 0 0 0 0 "2,922.00" 0 0 98853 1101486309 1154426161 047 Local Education Agencies STEWARDSON STRASBURG CU DIS 5A 624654102 094 Shelby 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 0 250 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 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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 95 0 0 0 0 0 0 95 0 0 98858 1011276286 1699032516 010 Physicians KUMAR MADAN 999999999 030 DuPage 0 0 0 0 0 0 0 0 0 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 2177 0 0 0 0 0 0 "2,177.00" 0 0 98859 1014115496 1548736481 030 General Hospitals EDGEMONT DIALYSIS 999999999 096 St Clair 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 1411 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12181 0 0 0 40190 0 0 0 0 0 "52,371.00" 0 0 98860 1004398923 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 26070 0 0 0 0 0 0 0 0 0 0 0 0 0 "26,070.00" 0 0 98861 1014782781 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 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Cook 0 0 0 0 0 0 0 0 0 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 4121 0 0 0 0 0 0 "4,121.00" 0 0 99054 1015087765 098 Waiver service provider--TBI (DHS/DRS) 091 Sangamon 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18011 0 0 0 0 0 0 0 0 0 0 0 0 0 "18,011.00" 0 0 99055 1004418972 1417231515 024 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 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 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 9294 "9,294.00" 0 0 99056 1101447445 092 Waiver service provider--Disability (DHS/DRS) 065 Madison 0 0 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 23783 0 0 0 0 0 0 0 0 0 0 0 0 0 "23,783.00" 0 0 99057 1101169198 1124110820 030 General Hospitals TRINITY QC TERRACE PARK 527221626 816 Iowa NON-COST "Non-cost reporting hospitals, paid a Per Diem rate." 0 0 General Hospital - Adult and Child 0 0 0 0 122 0 0 0 0 137 0 0 0 347 0 0 0 0 0 0 0 0 0 141 0 0 0 0 142 0 0 0 563 0 0 0 0 0 0 0 0 0 141 0 0 0 0 377 0 0 0 605 0 0 0 0 0 0 0 0 0 28529 0 0 0 0 127984 0 0 0 64585 0 0 0 0 0 "221,098.00" 0 0 99058 1013531125 1518068337 014 Chiropractors LYELL PAUL G 999999999 077 Morgan 0 0 0 0 0 0 0 0 0 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 0 193 0 0 0 0 0 0 193 0 0 99059 1101457271 1548418239 010 Physicians TESIC VERA 605275965 030 DuPage 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 0 282 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 0 660 0 0 0 0 0 0 0 0 660 0 0 99060 1017045492 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 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Sangamon 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 0 106 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 1280 0 0 0 0 0 0 "1,280.00" 0 0 99087 1101130696 036 Community mental health provider 089 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1201 0 0 "1,201.00" 0 0 99088 1001660941 1134425085 010 Physicians BOSHRA NASSER A 605270822 030 DuPage 0 0 Internal Medicine 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 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 1774 0 0 0 0 0 0 "1,774.00" 0 0 99089 1014866124 1295098457 010 Physicians GREMIDA ANAS 999999999 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 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 1972 0 0 0 0 0 0 "1,972.00" 0 0 99090 1020494971 1588356885 086 Clinical Social Worker RAMIREZ ANGELICA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 99091 1101231167 1790909984 029 ICF/MR MILESTONE INC ELMWOOD EAST 611031573 109 Winnebago 0 0 0 0 0 0 0 0 0 0 10 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 7300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 914006 0 0 0 0 0 0 0 0 0 0 "914,006.00" 0 0 99092 1012442012 1467832691 010 Physicians AHMAD MUHAMMAD 999999999 200 Cook 0 0 0 0 0 1 0 0 0 0 0 0 0 0 107 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 586 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 586 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 5368 0 0 0 0 0 0 "5,453.00" 0 0 99093 1011051061 1902192438 010 Physicians OMODON MELVIN 999999999 010 Adams 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 232 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 316 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 316 0 15 0 0 0 0 0 0 0 0 0 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Sangamon 0 0 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 16161 0 0 0 0 0 0 0 0 0 0 0 0 0 "16,161.00" 0 0 99098 1101108043 1871591115 010 Physicians COPLEY KEVIN A 601239406 030 DuPage 0 0 Admitting Privileges 0 0 0 0 0 0 0 0 0 0 7 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 90 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 0 0 0 0 0 0 0 0 0 0 625 0 13981 0 0 0 0 0 0 "14,606.00" 0 0 99099 1101246522 1992732754 010 Physicians OLEKSYN ANDREW P 606118709 200 Cook 0 0 Emergency Medicine 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 8 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 130 0 0 0 0 0 0 178 0 0 99100 1004895999 1740509264 010 Physicians PARMA CAROLYN 627047450 091 Sangamon 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 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 18 0 2109 0 0 0 0 0 0 "2,127.00" 0 0 99101 1101025024 1689676033 016 Nurse Practitioners PIERCY DAPHNE 619193312 029 Douglas 0 1 0 0 0 0 0 0 0 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 1191 0 0 0 0 0 0 "1,191.00" 0 0 99102 1015009766 1356963458 010 Physicians D''ALOIA MITCHELL ROBERT 999999999 200 Cook 0 0 Emergency Medicine 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 1626 0 0 0 0 0 0 "1,626.00" 0 0 99103 1015024833 1417302126 010 Physicians NAIK VISHAL V 999999999 200 Cook 0 0 0 0 0 0 0 0 0 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 2674 0 0 0 0 0 0 "2,674.00" 0 0 99104 1101331823 092 Waiver service provider--Disability (DHS/DRS) 077 Morgan 0 0 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 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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 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 56 0 0 0 0 0 0 56 0 0 101702 1001544766 010 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 74 0 0 101703 1101447035 1194741322 010 Physicians GLEVA MARYE 631082212 826 Missouri 0 0 Cardiology 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 0 203 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 1442 0 0 0 0 0 0 "1,442.00" 0 0 101704 1013643626 094 Waiver service provider--Children's support (DHS/DDD) 091 Sangamon 0 0 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 18826 0 0 0 0 0 0 0 0 0 0 0 0 0 "18,826.00" 0 0 101705 1002724419 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 2587 0 0 0 0 0 0 0 0 0 0 0 0 0 "2,587.00" 0 0 101706 1004825828 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 2006 0 0 0 0 0 0 0 0 0 0 0 0 0 "2,006.00" 0 0 101707 1019556350 010 Physicians 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 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 60 0 0 101708 1015019939 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 30559 0 0 0 0 0 0 0 0 0 0 0 0 0 "30,559.00" 0 0 101709 1101293912 1033372727 010 Physicians CLARK ROBERT E 600315711 057 Lake 0 0 Gastroenterology 0 0 0 0 0 0 0 0 0 0 0 0 24 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 10997 0 0 0 0 0 0 "10,997.00" 0 0 101710 1003905948 1215272406 061 Independent Laboratories GENOTOX LABORATORIES LTD 999999999 845 Texas 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 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 3054 0 0 0 0 0 0 0 0 "3,054.00" 0 0 101711 1101270603 1831389204 060 Pharmacies OSCO DRUG 3776 604519507 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 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 8686 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32547 0 0 0 "32,547.00" 0 0 101712 1003393254 1104114826 010 Physicians CHANDRA GOPIKA 606930623 200 Cook 0 1 Internal Medicine 0 0 0 0 0 0 0 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 3489 0 0 0 0 0 0 "3,489.00" 0 0 101713 1101388061 092 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 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 10121 0 0 0 0 0 0 0 0 0 0 0 0 0 "10,121.00" 0 0 101714 1013877808 1336633494 025 Audiologists SCHWED ALLISON 999999999 091 Sangamon 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 0 197 197 0 0 101715 1013442705 1497160725 010 Physicians PATEL GOPI 999999999 080 Peoria 0 0 Neurology 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 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 2873 0 0 0 0 0 0 "2,873.00" 0 0 101716 1003982275 024 Speech Therapists 091 Sangamon 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 1269 "1,269.00" 0 0 101717 1019825299 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 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 0 0 0 0 0 0 0 "1,615.00" 0 0 101718 1016601293 016 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 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 82 0 0 0 0 0 0 82 0 0 101719 1101356352 1679552517 010 Physicians RAJENDRAN VIJAY 610811279 106 Whiteside 0 0 Cardiovascular Diseases 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 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 1081 0 0 0 0 0 0 "1,081.00" 0 0 101720 1101103349 1578728549 010 Physicians PATEL SATISH N 600052453 200 Cook 0 0 General Practice 0 0 0 0 0 0 0 0 0 0 16 0 129 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 927 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 927 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 10753 0 0 0 0 0 0 "10,790.00" 0 0 101721 1101298602 2100289020 090 Waiver service provider--Elderly (DOA) UNITED REHAB PROVIDERS PC 604532706 200 Cook 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3306 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3306 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 382961 0 0 0 0 0 0 0 0 0 0 0 0 0 "382,961.00" 0 0 101722 1101149231 010 Physicians 836 Ohio 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 101723 1101075371 1225098791 010 Physicians BOHN ROGER A. 611144937 109 Winnebago 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 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 1280 0 0 0 0 0 0 "1,280.00" 0 0 101724 1014294517 1336758812 016 Nurse Practitioners SIMS JUSTINE 999999999 072 McLean 0 0 0 0 0 5 0 0 0 0 0 0 0 0 18 0 0 0 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 5 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 347 0 0 0 0 0 0 0 0 2752 0 0 0 0 0 0 "3,099.00" 0 0 101725 1014919346 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8907 0 0 0 0 0 0 0 0 0 0 0 0 0 "8,907.00" 0 0 101726 1016343886 091 Waiver service provider--Adults (DHS/DDD) 107 Will 0 0 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 2603 0 0 0 0 0 0 0 0 0 0 0 0 0 "2,603.00" 0 0 101727 1101364529 1265659221 091 Waiver service provider--Adults (DHS/DDD) STELLING FREDERICK O 626503202 077 Morgan 0 0 0 0 0 0 0 25 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 12626 0 0 0 0 0 0 0 0 0 0 0 0 0 "12,626.00" 0 0 101728 1101396442 1114154853 010 Physicians HERNANDEZ JULIA 606740018 200 Cook 0 0 Internal Medicine 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 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 2408 0 0 0 0 0 0 "2,408.00" 0 0 101729 1101258756 092 Waiver service provider--Disability (DHS/DRS) 080 Peoria 0 0 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 7774 0 0 0 0 0 0 0 0 0 0 0 0 0 "7,774.00" 0 0 101730 1101285102 1285803775 063 Other Providers of Medical Equipment/Supplies (Non-registered) TOTAL HOME HEALTH 601247892 053 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2264 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1315735 0 0 0 0 0 0 "1,315,735.00" 0 0 101731 1101536637 1134192578 010 Physicians PREMKUMAR ASHVINI P 602011718 200 Cook 0 0 Neurology 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 1308 0 0 0 0 0 0 "1,308.00" 0 0 101732 1101109385 010 Physicians 057 Lake 0 0 Otolaryngology 0 0 0 0 0 0 0 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 31 0 0 0 0 0 0 31 0 0 101733 1101456537 1609037308 010 Physicians DUDAS ANDRZEJ 147310500 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 13 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 671 0 0 0 0 0 0 865 0 0 101734 1003205913 016 Nurse Practitioners 106 Whiteside 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 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 101735 1101358411 1093735144 010 Physicians JUN DAVID & C 600688428 200 Cook 0 1 Internal Medicine 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 0 380 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 3219 0 0 0 0 0 0 "3,219.00" 0 0 101736 1006284952 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 6353 0 0 0 0 0 0 0 0 0 0 0 0 0 "6,353.00" 0 0 101737 1006239009 1770617052 089 Physician Assistant Only(Encounter Only) BARNES BRENDA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 24 0 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1560 0 0 5683 0 0 0 0 0 0 "7,243.00" 0 0 101738 1005565484 1447516778 010 Physicians OLAFSEN NATHAN PARKE 999999999 051 Jo Daviess 0 0 Physical Medicine/Rehabilitation 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 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 33 0 708 0 0 0 0 0 0 741 0 0 101739 1101243584 1386690055 060 Pharmacies OSCO DRUG 3491 600081818 200 Cook 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 0 351 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 0 0 0 0 0 24059 0 0 0 "24,059.00" 0 0 101740 1010833067 1760898936 010 Physicians FATIMA NISHAT 999999999 047 Jackson 0 0 Internal Medicine 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 0 217 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 6 0 3085 0 0 0 0 0 0 "3,091.00" 0 0 101741 1016121389 091 Waiver service provider--Adults (DHS/DDD) 091 Sangamon 0 0 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 32870 0 0 0 0 0 0 0 0 0 0 0 0 0 "32,870.00" 0 0 101742 1101512615 1013913615 010 Physicians KOMNICK KEITH 605323661 030 DuPage 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 16 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 134 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 134 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 346 0 4948 0 0 0 0 0 0 "5,294.00" 0 0 101743 1013555370 1093365553 016 Nurse Practitioners HAMILTON COURTNEY 999999999 080 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 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 1355 0 0 0 0 0 0 "1,355.00" 0 0 101744 1101241096 092 Waiver service provider--Disability (DHS/DRS) 103 Washington 0 0 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 9733 0 0 0 0 0 0 0 0 0 0 0 0 0 "9,733.00" 0 0 101745 1004509365 1750446142 024 Speech Therapists LEDESMA ELLEN 605380702 053 Kane 0 0 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 1181 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 0 0 0 0 0 0 0 0 0 0 0 0 92144 "92,144.00" 0 0 101746 1001408323 091 Waiver service provider--Adults (DHS/DDD) 053 Kane 0 0 0 0 0 0 0 3 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 87333 0 0 0 0 0 0 0 0 0 0 0 0 0 "87,333.00" 0 0 101747 1014999486 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 6215 0 0 0 0 0 0 0 0 0 0 0 0 0 "6,215.00" 0 0 101748 1005054788 092 Waiver service provider--Disability (DHS/DRS) 050 Jersey 0 0 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 4915 0 0 0 0 0 0 0 0 0 0 0 0 0 "4,915.00" 0 0 101749 1101404762 010 Physicians 030 DuPage 0 0 Anesthesiology 0 0 0 0 0 0 0 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 40 0 0 0 0 0 0 40 0 0 101750 1101038747 1861403891 010 Physicians AGOS ANDREW S. 602011700 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 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 4000 0 0 0 0 0 0 "4,000.00" 0 0 101751 1014275572 1467912774 010 Physicians PATEL ANANDBHAI K 999999999 200 Cook 0 0 Psychiatry 0 0 0 0 0 0 0 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 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 2333 0 0 0 0 0 0 "2,333.00" 0 0 101752 1014608185 016 Nurse Practitioners 030 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 2 0 0 0 0 0 0 0 0 0 0 0 0 0 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 101753 1101508985 1487606810 010 Physicians BICALHO PAULO 620628566 065 Madison 0 0 Orthopedic Surgery 0 0 0 0 0 0 0 0 0 0 12 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 2003 0 0 0 0 0 0 "2,023.00" 0 0 101754 1016200999 1164912341 010 Physicians DUTTULURI MANIDEEP 999999999 080 Peoria 0 0 Internal Medicine 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 0 273 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 2059 0 0 0 0 0 0 "2,059.00" 0 0 101755 1015076608 092 Waiver service provider--Disability (DHS/DRS) 091 Sangamon 0 0 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 14048 0 0 0 0 0 0 0 0 0 0 0 0 0 "14,048.00" 0 0 101756 1101536920 080 Prepaid health plan--Health maintenance organization "MOLINA HEALTHCARE OF ILLINOIS," 60515 030 DuPage 0 0 360193 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "2,102,977,428.98" 0 101757 1101492788 083 Prepaid health plan--Managed care community network BLUE CROSS BLUE SHIELD MMAI 60601 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 0 580.45 0 101758 1000008275 080 Prepaid health plan--Health maintenance organization MERIDIAN HEALTH PLAN OF ILLINO 60604 200 Cook 0 0 890174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "4,991,079,753.11" 0 101759 1000008278 083 Prepaid health plan--Managed care community network MERIDIAN HEALTH PLAN OF ILLINO 60604 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 0 488.81 0 101760 1101536931 080 Prepaid health plan--Health maintenance organization HUMANA HEALTH PLAN INC MMAI 60661 200 Cook 0 0 17009 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "166,607,227.60" 0 101761 1003742332 083 Prepaid health plan--Managed care community network COOK COUNTY HEALTH OPERATING A 60612 200 Cook 0 0 438447 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "2,948,738,827.47" 0 101762 1101492783 080 Prepaid health plan--Health maintenance organization BLUE CROSS BLUE SHIELD MMAI 60601 200 Cook 0 0 782320 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "4,950,735,708.49" 0 101763 1101536933 080 Prepaid health plan--Health maintenance organization AETNA BETTER HEALTH INC MMAI 60606 200 Cook 0 0 437455 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "3,019,044,224.75" 0 101764 1003742345 080 Prepaid health plan--Health maintenance organization COOK COUNTY HEALTH OPERATING A 60612 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 "1,642.80" 0