2018 ILLINOIS PROVIDER DIRECTORY Adams, Brown, Calhoun, Cass, Champaign, Christian, Clark, Coles, Cumberland, De Witt, Douglas, Edgar, Ford, Greene, Hancock, Iroquois, Jersey, Livingston, Logan, Macon, Macoupin, Mason, McDonough, McLean, Menard, Montgomery, Morgan, Moultrie, Piatt, Pike, Sangamon, Schuyler, Scott, Shelby, Vermillion

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Table of Contents Provider Directory Introduction How to Read Our Provider Listings Icon Guide

I II II

List of Plan Providers Primary Care Physicians Adams Brown Cass Christian Coles Cumberland Douglas Greene Hancock Iroquois Macon Macoupin Mason McDonough McLean Morgan Piatt Pike Sangamon Shelby Specialty Physicians Adams Brown Cass Champaign Christian Coles Douglas Greene Hancock

1 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24

IL8CADDIR12075M_00CL

25 33 34 35 37 38 39 40 41

List of Plan Providers Specialty Physicians Iroquois Jersey Livingston Logan Macon Macoupin Mason McDonough McLean Montgomery Morgan Piatt Pike Sangamon Schuyler Scott Shelby Hospitals Adams Greene Hancock Iroquois Mason McDonough Piatt Schuyler Ancillary Providers Adams All Brown Calhoun Cass Champaign Christian

43 45 46 47 48 52 55 56 58 61 62 63 64 66 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90

List of Plan Providers Ancillary Providers Clark Coles Cumberland Douglas Edgar Ford Greene Hancock Iroquois Jersey Livingston Logan Macon Macoupin Mason McDonough McLean Menard Montgomery Morgan Moultrie Piatt Pike Sangamon Schuyler Scott Shelby Allied Providers Adams Brown Cass Champaign Coles Cumberland

91 92 93 94 95 96 97 98 99 100 101 102 103 105 106 107 108 109 110 111 112 113 114 115 117 118 119 120 126 127 128 129 130

List of Plan Providers Allied Providers Douglas Greene Hancock Iroquois Jersey Livingston Logan Macon Macoupin Mason McDonough McLean Morgan Piatt Pike Sangamon Scott Shelby Long Term Services And Supports Adams Champaign Christian Clark Coles Cumberland De Witt Douglas Edgar Ford Hancock Iroquois Jersey Livingston Macon

131 132 133 134 138 139 140 141 142 143 144 145 147 148 149 151 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169

List of Plan Providers Long Term Services And Supports Macoupin McDonough McLean Montgomery Morgan Moultrie Piatt Pike Sangamon Shelby Pharmacy Adams Brown Calhoun Cass Champaign Christian Clark Coles Cumberland De Witt Douglas Edgar Ford Greene Hancock Iroquois Jersey Livingston Logan Macon Macoupin Mason McDonough

170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 202 203 204

List of Plan Providers Pharmacy McLean Menard Montgomery Morgan Moultrie Piatt Pike Sangamon Schuyler Scott Shelby

205 207 208 209 210 211 212 213 216 217 218

Indexes Alternate Languages Index Specialty Index Extended Hours Index Provider Index

219 221 226 234

Here is your Harmony Health Plan provider directory. It lists all of the providers in our network. These providers include: • Primary care providers (PCPs) and specialists • Hospitals • Pharmacies Each of these providers will make his or her own decisions about the care you need. Harmony Health Plan is not responsible for these decisions. Some providers may not perform certain services due to their religious or moral beliefs. We've listed all of the providers by county. Then we've grouped them together by the type of care or services they give. We've also included: • The providers' addresses and phone numbers • Symbols to tell you whether the provider is accepting new patients, board certified or wheelchair accessible We have a provider look-up tool on our website. Go to www.harmonyhpi.com. Then click on the "Find a Provider" icon. You'll be able to search for providers right in your area. This is the best place to get our most current directory information. You can report an inaccurate provider listing by emailing us at [email protected] or by calling our toll-free number 1-800-608-8158. TTY/TDD users can call 1-877-650-0952. Call us if you have questions about this directory. We can help you find a provider. We can even help set up an appointment for you. Our toll-free number is 1-800-608-8158. TTY/TDD users can call 1-877-650-0952. You can reach us Monday-Friday, 8 a.m. to 5 p.m. We wish you good health.

www.harmonyhpi.com | I

How to Read Our Provider Listings

Indicates provider is board certified Indicates provider has wheelchair access Provider name

Smith, Joe, MD Provider ID: 111111

Practice name

Your Family Medical Center

Provider gender

Male

Provider address and phone number

{

Indicates provider is not accepting new patients

123 Main Street Anytown, FL 12345 (555) 555-5555 00 Yrs/99 Yrs

Ages of patients seen by provider

Sunshine Hospital

Hospital the provider is associated with

Language: Spanish

Language spoken by provider or staff

9:00 am-5:00 pm

Hours of operation

PCMH: YES/NO. Level 1, 2, 3

Takes part in the PCMH* Model

Icon Guide Indicates provider is board certified

Indicates provider has wheelchair access

Indicates provider is not accepting new patients

*PCMH stands for Patient Centered Medical Home. This is a way of giving care that involves a team of health care professionals. The team works together to meet the needs of each patient. Providers are placed in one of three levels; Level 1 (lowest), Level 2 and Level 3 (highest). www.harmonyhpi.com | II

Este es su directorio de proveedores de Harmony Health Plan. Aquí se listan todos los proveedores en nuestra red. Estos proveedores incluyen: • Proveedores de cuidado primario (PCP) y especialistas • Hospitales • Farmacias Cada uno de estos proveedores tomará sus propias decisiones sobre el cuidado que usted necesita. Harmony Health Plan no es responsable de esas decisiones. Es posible que algunos proveedores no proporcionen ciertos servicios debido a sus creencias religiosas o morales. Hemos listado a todos los proveedores por condado. Luego los hemos agrupado por el tipo de cuidado o servicios que ofrecen. También hemos incluido: • Las direcciones y los números de teléfono de los proveedores • Símbolos para indicarle si el proveedor está aceptando nuevos pacientes, si es certificado por una junta o si cuenta con acceso para silla de ruedas En nuestro sitio web contamos con una herramienta de búsqueda de proveedores. Visite www.harmonyhpi.com. Luego haga clic en el icono “Find a Provider” (Buscar un proveedor). Usted podrá buscar proveedores exactamente en su área. Este es el mejor lugar para obtener nuestra información de directorio más actual. Puede reportar una lista de proveedores inexactos enviándonos un correo elcetrónico a [email protected] o llamando a nuestro número gratuito 1-800-608-8158. Los usuarios de TTY/TDD pueden llamar al 1-877-650-0952. Si tiene alguna pregunta sobre este directorio, llámenos. Podemos ayudarle a encontrar un proveedor. Incluso podemos ayudarle a programar una cita. Nuestro número sin cargo es 1-800-608-8158. Los usuarios de TTY/TDD pueden llamar al 1-877-650-0952. Puede comunicarse con nosotros de lunes a viernes de 8 a.m. a 5 p.m. Le deseamos una buena salud.

www.harmonyhpi.com | III

Cómo leer nuestros listados de proveedores

Indica que el proveedor es certificado por la junta médica Indica que el proveedor tiene acceso para silla de ruedas

Nombre del proveedor

Smith, Joe, MD Provider ID: 111111

Nombre de la práctica

Your Family Medical Center

Sexo del proveedor

Male

Dirección y número de teléfono del proveedor

123 Main Street Anytown, FL 12345 (555) 555-5555

{

Indica que el proveedor no está aceptando a nuevos pacientes

00 Yrs/99 Yrs

Edades de pacientes vistos por el proveedor

Sunshine Hospital

Hospital con el que está asociado el proveedor

Language: Spanish

Idioma hablado por el proveedor o personal

9:00 am-5:00 pm

Horario de atención

PCMH: YES/NO. Level 1, 2, 3 Participa en el modelo PCMH*

Guía de íconos Indica que el proveedor es certificado por la junta médica

Indica que el proveedor tiene acceso para silla de ruedas

Indica que el proveedor no está aceptando a nuevos pacientes

*PCMH se refiere a Hogar Médico Enfocado en el Paciente. Es una manera de proporcionar cuidado que involucra a un equipo de profesionales de la salud. El equipo trabaja en conjunto para satisfacer las necesidades de cada paciente. Los proveedores son asignados a uno de tres niveles: Nivel 1 (el más bajo), Nivel 2 y Nivel 3 (el más alto). www.harmonyhpi.com | IV

Spanish to English Provider Types*/Tipos de proveedores de español a inglés* Español

Inglés

Español

Inglés

Acupuntura

Acupuncture

Psiquiatría de adicciones Medicina para adolescentes

Addiction Psychiatry

Electrofisiología cardíaca

Cardiac Electrophysiology

Monitoreo cardíaco

Cardiac Monitoring

Cardiología

Cardiology

Servicios de acompañante para adultos Cuidado diurno para adultos Hogar de cuidado sustituto para adultos

Adult Companion Services

Cuidado médico diurno para adultos

Adult Medical Day Care

Cuidado residencial para adultos Administración de casos enfocados en adultos

Adult Residential Care Home Adult Targeted Case Management

Adolescent Medicine

Adult Day Care Adult Foster Care Home

Centro para tratar AIDS Center el SIDA Alergias e inmunología Allergy & Immunology Centro de cirugía ambulatoria Servicios de vida asistida Audiología

Ambulatory Surgery Center Assisted Living Services Audiology

Asesoramiento en salud del comportamiento Centro de salud del comportameinto

Behavioral Health Counseling Behavioral Health Facility

Centro de maternidad Birthing Center Laboratorio de Cardiac Cath cateterismo cardíaco Laboratory

Cirugía cardiovascular Cardiovascular Surgery Cirugía cardiovascular Cardiovascular Surgery Servicios de Case Management administración Services de casos Pediatría de abuso Child Abuse infantil Pediatrics Centro de desarrollo Child Development para niños Center Administración de Children Targeted casos enfocados Case Management en niños Niños con necesidades Children With especiales de cuidado Special Health Care de la salud Needs Quiropráctica Chiropractic Servicios de tareas Chore/Housekeeping domésticas y limpieza Services del hogar Clínica Clinic Neurofisiología clínica Cirugía de colon y recto Centro de salud comunitario Centro de salud mental comunitario Junta de servicios a la comunidad

www.harmonyhpi.com | V

Clinical Neurophysiology Colon & Rectal Surgery Community Health Center Community Mental Health Center Community Service Board

Español

Inglés

Español

Inglés

Cirugía cardíaca congénita

Congenital Cardiac Surgery

Servicios de suministros médicos descartables Clínica de cuidado conveniente Hospital de acceso crítico Odontología

Consumable Medical Supply Services

Planificación familiar Medicina familiar Servicios de capacitación familiar

Family Planning Family Practice Family Training Services

Dermatología

Dermatology

Dermatopatología

Dermatopathology

Centro designado para el sida Educación sobre la diabetes Centro de diagnóstico y tratamiento Centro de diagnóstico

Designated Aids Center Diabetes Education

Diagnóstico por imágenes Diálisis

Diagnostic Imaging

Convenient Care Clinic Critical Access Hospital Dentistry

Diagnostic And Treatment Center Diagnostic Center

Dialysis

Equipo médico Durable Medical duradero Equipment Otorrinolaringología Ear, Nose & Throat Endocrinología, diabetes, metabolismo Endodoncia Servicios de adaptaciones de accesibilidad al entorno Servicios especiales de EPSDT Servicios de acompañante

Endocrinology, Diabetes, Metabolism Endodontics Environmental Accessibility Adaptation Services EPSDT Special Services Escort Services

Centro de salud con Federally Qualified calificación federal Health Center Servicios de Financial Risk evaluación/reducción Assessment/Risk de riesgos financieros Reduction Services Centro de aptitud física Gastroenterología

Fitness Center

Gastroenterología y hepatología

Gastroenterology & Hepatology

Medicina general

General Practice

Cirugía general

General Surgery

Asesoramiento genético

Genetic Counseling

Medicina geriátrica

Geriatric Medicine

Psiquiatría geriátrica

Geriatric Psychiatry

Oncología ginecológica Ginecología Cirugía de la mano

Gynecological Oncology Gynecology Hand Surgery

Oncología de cabeza y cuello Cirugía de cabeza y cuello Control de la seguridad de la salud

Head & Neck Oncology Head & Neck Surgery Health Safety Monitoring

Proveedor de audífonos Terapia y especialista en audífonos Hematología

Hearing Aid Supplier

www.harmonyhpi.com | VI

Gastroenterology

Hearing Aid Therapy & Specialist Hematology

Español

Inglés

Español

Inglés

Hematología y oncología

Hematology & Oncology

Mobile Diagnostic

VIH/SIDA

HIV/AIDS

Diagnóstico con equipos portátiles MRI, equipos abiertos Medicina perinatal neonatal Nefrología Neurooncología

Neuro Oncology

Discapacidades del desarrollo neurológico Neurodiagnóstico

Neurodevelopmental Disabilities Neurodiagnostic

Neurología

Neurology

Comidas entregadas Home-Delivered a domicilio Meals Cuidado de la salud Home Health Care en el hogar Hospicio

Hospice

Cuidado de hospicio Hospice & Palliative y paliativo Care Hospital Hospital Servicios de limpieza Housekeeping/ del hogar y tareas Chore Services domésticas Medicina hiperbárica Hyperbaric Medicine

MRI Open Neonatal Perinatal Medicine Nephrology

Neurología/otología Neurology/Otology

Enfermedades infecciosas Terapia de infusión

Infectious Disease

Medicina neuromuscular Neurooncología

Infusion Therapy

Neuropsicología

Neuropsychology

Medicina interna

Internal Medicine

Neurorradiología

Neuroradiology

Neurocirugía

Neurosurgery

Pruebas de laboratorio Laboratory de patología Pathology Testing

Neuromuscular Medicine Neuro-Oncology

Agencia licenciada de servicios de cuidado en el hogar

Licensed Home Care Service Agency

Servicios de transporte Non-Emergency sin carácter de Transportation emergencia Cardiología nuclear Nuclear Cardiology

Litotripsia

Lithotripsy

Medicina nuclear

Nuclear Medicine

Radiología nuclear

Nuclear Radiology

Enfermeras parteras Nutrición Obstetricia Obstetricia/ Ginecología Medicina ocupacional

Nurse Midwife Nutrition Obstetrics Obstetrics/ Gynecology Occupational Medicine Occupational Therapy Ophthalmology

Imágenes por Magnetic Resonance resonancia magnética Imaging Mamografía

Mammography

Masoterapia

Massage Therapy

Medicina maternofetal Genética médica

Maternal Fetal Medicine Medical Genetics

Oncología médica

Medical Oncology

Administración de medicamentos

Medication Administration

Terapia ocupacional Oftalmología

www.harmonyhpi.com | VII

Español

Inglés

Español

Inglés

Óptico Optometría Cirugía oral y maxilofacial Ortodoncia Cirugía ortopédica Ortésica Ortopedia y prostética Establecimiento quirúrgico para pacientes ambulatorios Tratamiento del dolor Apoyo para el tratamiento del el dolor Alergias e inmunología pediátricas Medicina pediátrica del comportamiento Monitoreo cardíaco pediátrico Cardiología pediátrica Cirugía cardiovascular pediátrica Dermatología pediátrica Otorrinolaringología pediáatrica Endocrinología pediátrica Gastroenterología pediátrica

Optician Optometry Oral & Maxillofacial Surgery Orthodontics Orthopaedic Surgery Orthotics Orthotics & Prosthetics Outpatient Surgical Facility

Hematología/ Pediatric Hematology/ oncología pediátricas Oncology

Genética pediátrica

Pediatric Genetics

Enfermedades Pediatric Infectious infecciosas pediátricas Disease Nefrología pediátrica Pediatric Nephrology Neurología pediátrica Pediatric Neurology Neurocirugía pediátrica

Pediatric Neurosurgery

Oncología pediátrica Pediatric Oncology Oftalmología Pediatric pediátrica Ophthalmology Ortopedia pediátrica Pediatric Orthopaedics

Pain Management

Cirugía ortopédica pediátrica

Pain Management Support

Psiquiatría pediátrica Pediatric Psychiatry

Pediatric Orthopedic Surgery

Neumonología pediátrica

Pediatric Pulmonology

Medicina de rehabilitación pediátrica

Pediatric Rehabilitation Medicine

Pediatric Cardiac Monitoring Pediatric Cardiology Pediatric Cardiovascular Surgery Pediatric Dermatology

Reumatología pediátrica

Pediatric Rheumatology

Medicina deportiva pediátrica

Pediatric Sports Medicine

Cirugía pediátrica

Pediatric Surgery

Pediatric Ear, Nose & Throat Pediatric Endocrinology Pediatric Gastroenterology

Urología pediátrica

Pediatric Urology

Pediatría

Pediatrics

Comportamiento y desarollo pediátrico

Pediatrics Behavioral & Developmental

Pedodoncia Periodoncia

Pedodontics Periodontics

Pediatric Allergy & Immunology

Pediatric Behavioral Medicine

Hepatología pediátrica Pediatric Transplant y trasplante Hepatology

www.harmonyhpi.com | VIII

Español

Inglés

Servicios de cuidado Personal Care personal Services Servicios personales de respuesta de emergencias

Personal Emergency Response System

Farmacia

Pharmacy

Medicina física y rehabilitación

Physical Medicine & Rehabilitation

Terapia física

Physical Therapy

Laboratorio de fisiología

Physiological Lab

Cirugía plástica y reconstructiva

Plastic & Reconstructive Surgery

Podiatría

Podiatry

Medicina preventiva Preventive Medicine Centro de cuidado primario

Primary Care Center

Aparatos protésicos

Prosthetics

Prostodoncia

Prosthodontics

Psiquiatría

Psychiatry

Psicología

Psychology

Medicina psicosomática

Psychosomatic Medicine

Enfermedad pulmonar Oncología radioterápica Radioterapia

Pulmonary Disease

Centro de radioterapia

Radiation Therapy Center

Radiología intervencional y vascular

Radiology Interventional & Vascular

Radiation Oncology Radiation Therapy

Español

Inglés

Centro de rehabilitación Medicina de rehabilitación Terapia de rehabilitación Endocrinología reproductiva Terapia respiratoria

Rehabilitation Facility Rehabilitation Medicine Rehabilitation Therapy Reproductive Endocrinology Respiratory Therapy

Servicios de cuidado Respite Care de relevo Services Reumatología Rheumatology Centro de salud rural Rural Health Center Cuidado autodirigido Self-Directed Care Centro de enfermería especializada Estudios de diagnóstico del sueño Medicina del sueño

Skilled Nursing Facility Sleep Diagnostic Studies Sleep Medicine

Cuidado diurno social Terapia del habla

Social Day Care

Medicina para lesiones de médula espinal Medicina deportiva

Spinal Cord Injury Medicine

Cuidado subagudo

Sub-Acute Care

Speech Therapy

Sports Medicine

Abuso de sustancias Substance Abuse Oncología quirúrgica Surgical Oncology Monitoreo telecardíaco Cirugía torácica y cardiovascular

Tele-Cardiac Monitoring Thoracic & Cardiovascular Surgery

Cirugía torácica

Thoracic Surgery

www.harmonyhpi.com | IX

Español

Inglés

Español

Inglés

Tórax/sistema vascular Hepatología de trasplante

Thoracic/Vascular

Oncología urológica

Urology Oncology

Centro de cuidado urgente

Urgent Care Center

Urología

Urology

Urología/ginecología Urology/Gynecology

Transplant Hepatology

Laboratorio vascular Vascular Lab Medicina vascular

Vascular Medicine

Cirugía vascular

Vascular Surgery

*These are only some of the provider types. You can find a specific kind of provider in the Specialty Index. It can be found in the back of this book. *Estos son solo algunos de los tipos de proveedores. Usted puede encontrar un tipo específico de proveedor en el Índice de especialidades que encontrará en la parte posterior de este libro. www.harmonyhpi.com | X

List of Plan Providers

Updated: 03/08/2018

Primary Care Physicians Adams Family Practice Allen, Tawny DO Provider ID: 1491896 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 1089354 Altman, Dana DO Provider ID: 1491897 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 1089353 Arndt, David DO Provider ID: 1491905 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Maximus ID: 1089351 Asbury, Kathy MD Provider ID: 1491908 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 1089350

Batra, Divya MD Provider ID: 1491920 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 1089347 Beth, Timothi DO Provider ID: 1539060 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Child, Daniel DO Provider ID: 1539065 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Connolly, Michael MD Provider ID: 1539465 Gender: Male Blessing Hospital 102 Prairie Mills Rd Golden, IL 62339 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No

Cormier, Matthew DO Provider ID: 1539068 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Dierker, Shanna Apn Provider ID: 1539077 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Dixon, William MD Provider ID: 1539469 Gender: Male Blessing Hospital 102 Prairie Mills Rd Golden, IL 62339 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No Dunn, Andrew DO Provider ID: 1539081 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

www.harmonyhpi.com | 1

Eling, Michael MD Provider ID: 1491979 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Frazier, Eldon MD Provider ID: 1491987 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 1089340 Gillette, Nickolas DO Provider ID: 1539088 Gender: Male Blessing Corporate Services Db 1005 Broadway St Quincy, IL 62301 (217) 223-1200 00 Yrs/130 Yrs MTWTHFSatSun 6:00 AM 10:00 PM PCMH: No Gillette, Nickolas DO Provider ID: 1539090 Gender: Male Blessing Corporate Services Db 1400 Harrison St Quincy, IL 62301 (217) 214-9696 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Updated: 03/08/2018

Primary Care Physicians Adams Family Practice - cont. Gillette, Nickolas DO Provider ID: 1539482 Gender: Male Blessing Hospital 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No Gillette, Nickolas DO Provider ID: 1539484 Gender: Male Blessing Hospital 3200 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No Ginos, Steven MD Provider ID: 1539092 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Goetz, Jeffrey Np Provider ID: 1539095 Gender: Male Blessing Corporate Services Db 1005 Broadway St Quincy, IL 62301 (217) 223-1200 00 Yrs/130 Yrs MTWTHFSatSun 6:00 AM 10:00 PM PCMH: No

Henderson, Kerri Apn Provider ID: 1539509 Gender: Female Blessing Hospital 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No Holcomb, Shawn DO Provider ID: 1539519 Gender: Male Blessing Hospital 102 Prairie Mills Rd Golden, IL 62339 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No Jacobs, Timothy DO Provider ID: 1492031 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Maximus ID: 1089339 Kimber, Scott MD Provider ID: 1492040 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 1089336

Kirkpatrick, Michael MD Provider ID: 1539113 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Lane, Joseph MD Provider ID: 1539116 Gender: Male Blessing Corporate Services Db 1005 Broadway St Quincy, IL 62301 (217) 223-1200 00 Yrs/130 Yrs MTWTHFSatSun 6:00 AM 10:00 PM PCMH: No Lane, Joseph MD Provider ID: 1539117 Gender: Male Blessing Corporate Services Db 1400 Harrison St Quincy, IL 62301 (217) 214-9696 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Lane, Joseph MD Provider ID: 1539547 Gender: Male Blessing Hospital 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No

www.harmonyhpi.com | 2

Lane, Joseph MD Provider ID: 1539548 Gender: Male Blessing Hospital 3200 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No Lockhart, David MD Provider ID: 1539119 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Mackrides, Paula DO Provider ID: 1539564 Gender: Female Blessing Hospital 102 Prairie Mills Rd Golden, IL 62339 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No Minnick, Larry MD Provider ID: 1492074 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 1089330

Updated: 03/08/2018

Primary Care Physicians Adams Family Practice - cont. Moore, Taylor DO Provider ID: 1492075 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 1089329 Moore, Travis DO Provider ID: 1492077 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Maximus ID: 1089331 Nieters, Abigail Apn Provider ID: 1539133 Gender: Female Blessing Corporate Services Db 1005 Broadway St Quincy, IL 62301 (217) 223-1200 00 Yrs/130 Yrs MTWTHFSatSun 6:00 AM 10:00 PM PCMH: No Noble, Richard MD Provider ID: 1492088 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 1089328

Odumosu, Ochuele MD Provider ID: 1539142 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Odumosu, Oluwaseun MD Provider ID: 1539140 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Odumosu, Oluwaseun MD Provider ID: 1539141 Gender: Male Blessing Corporate Services Db 1005 Broadway St Quincy, IL 62301 (217) 223-1200 00 Yrs/130 Yrs MTWTHFSatSun 6:00 AM 10:00 PM PCMH: No Odumosu, Oluwaseun MD Provider ID: 1539587 Gender: Male Blessing Hospital 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No

Ott, Timothy DO Provider ID: 1539592 Gender: Male Blessing Hospital 102 Prairie Mills Rd Golden, IL 62339 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No Perry, Crystal MD Provider ID: 1539147 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Perry, Crystal MD Provider ID: 1539148 Gender: Female Blessing Corporate Services Db 1005 Broadway St Quincy, IL 62301 (217) 223-1200 00 Yrs/130 Yrs MTWTHFSatSun 6:00 AM 10:00 PM PCMH: No Perry, Crystal MD Provider ID: 1539594 Gender: Female Blessing Hospital 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No

www.harmonyhpi.com | 3

Real, Lance DO Provider ID: 1492119 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 1089326 Reyburn, Stephanie MD Provider ID: 1492123 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 1089324 Seaman, Nathan DO Provider ID: 1492210 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 1089322 Sharp, Jason MD Provider ID: 1539174 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Updated: 03/08/2018

Primary Care Physicians Adams Family Practice - cont. Shaughnessy, Meghan DO Provider ID: 1539176 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Snyder, Brian DO Provider ID: 1539178 Gender: Male Blessing Corporate Services Db 1005 Broadway St Quincy, IL 62301 (217) 223-1200 00 Yrs/130 Yrs MTWTHFSatSun 6:00 AM 10:00 PM PCMH: No Snyder, Brian DO Provider ID: 1539180 Gender: Male Blessing Corporate Services Db 1400 Harrison St Quincy, IL 62301 (217) 214-9696 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Snyder, Brian DO Provider ID: 1539611 Gender: Male Blessing Hospital 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No

Snyder, Brian DO Provider ID: 1539613 Gender: Male Blessing Hospital 3200 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No Stoops, Bruce DO Provider ID: 1539620 Gender: Male Blessing Hospital 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No Wallace, Ernest MD Provider ID: 1492304 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Maximus ID: 1089317 Wells, Jeffrey DO Provider ID: 1492314 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 1089315

Wilford, Jonathan DO Provider ID: 1539201 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Wilford, Jonathan DO Provider ID: 1539202 Gender: Male Blessing Corporate Services Db 1005 Broadway St Quincy, IL 62301 (217) 223-1200 00 Yrs/130 Yrs MTWTHFSatSun 6:00 AM 10:00 PM PCMH: No Wilford, Jonathan DO Provider ID: 1539643 Gender: Male Blessing Hospital 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No

Federally Qualified Health Center

Internal Medicine Andrews, Gregory MD Provider ID: 1491901 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 1089349 Evans, Dan MD Provider ID: 1491980 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 1089342 Kim, Louis MD Provider ID: 1492039 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 1089337

Clarity Healthcare Provider ID: 1349690 Preferred Family Healthcare In Leimbach, Kurt MD Provider ID: 1492061 540 Harrison St Gender: Male Quincy, IL 62301 Quincy Physicians and (573) 603-1460 Surgeons Fax: (573) 603-1462 1025 Maine St 18 Yrs/130 Yrs Quincy, IL 62301 PCMH: No (217) 222-6550 Maximus ID: 1054097 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 1089335

www.harmonyhpi.com | 4

Updated: 03/08/2018

Primary Care Physicians Adams Internal Medicine - cont. Brink, Lindsay DO Reyburn, Adam MD Provider ID: 1492122 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 1089325

Provider ID: 1491933 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 7:00 AM - 7:00 PM Sat 8:00 AM - 4:00 PM PCMH: No Maximus ID: 1042216

Scott, John MD Provider ID: 1492206 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 1089323

Collins, Katherine MD Provider ID: 1491952 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 1089344

Pediatrics Baustian, Loretta DO Provider ID: 1539056 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/18 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Contreras, Liz MD Provider ID: 1539066 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/18 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Go, Dennis MD Provider ID: 1491997 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 1089341

Raad, Pierre MD Provider ID: 1539156 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/18 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Schlepphorst, Richard MD Provider ID: 1492202 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 1089321 Tolbert, Charone MD Provider ID: 1539197 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/18 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Torre Hilotin, Temotea MD Provider ID: 1492276 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 1089319

www.harmonyhpi.com | 5

Updated: 03/08/2018

Primary Care Physicians Brown Family Practice Schroeder, Jennifer MD Provider ID: 1492204 Gender: Female Quincy Physicians and Surgeons 521 E Main St Mount Sterling, IL 62353 (217) 773-3963 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 1489360 Waheed, Khalid MD Provider ID: 1492296 Gender: Male Quincy Physicians and Surgeons 521 E Main St Mount Sterling, IL 62353 (217) 773-3963 00 Yrs/130 Yrs Languages: Hindi M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 1489358

www.harmonyhpi.com | 6

Updated: 03/08/2018

Primary Care Physicians Cass Family Practice Royeen, Abdul MD Provider ID: 1500516 Gender: Male Cass County Public Health Dept 8590 Saint Lukes Dr Beardstown, IL 62618 (217) 452-3057 00 Yrs/130 Yrs Languages: Spanish, French, Persian - Farsi MWTHF 8:30 AM - 4:30 PM T 10:00 AM - 6:00 PM PCMH: Yes, Level 3 Maximus ID: 1890132 Royeen, Abdul MD Provider ID: 1530001 Gender: Male Cass County Public Health Dept 331 S Main St Virginia, IL 62691 (217) 452-3057 Fax: (217) 452-7245 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Maximus ID: 1890133

Federally Qualified Health Center Cass County Public Health Clinic Provider ID: 1529987 Cass County Public Health Dept 8590 St Lukes Dr Beardstown, IL 62618 (217) 323-2242 Fax: (217) 323-2210 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Maximus ID: 1890086

www.harmonyhpi.com | 7

Updated: 03/08/2018

Primary Care Physicians Christian Federally Qualified Health Center Central Counties Health Center Provider ID: 1501617 1141 N Cheney St Taylorville, IL 62568 (217) 788-2300 Fax: (217) 788-2343 00 Yrs/130 Yrs MTTHF 8:00 AM - 5:00 PM W 10:00 AM - 7:00 PM Sat 9:00 AM - 1:00 PM PCMH: No Maximus ID: 2092965

www.harmonyhpi.com | 8

Updated: 03/08/2018

Primary Care Physicians Coles Federally Qualified Health Center Sihf Charleston Medical Center Provider ID: 1051374 Southern Illinois Healthcare F 415 18th St Charleston, IL 61920 (217) 345-7702 Fax: (217) 345-7705 00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM PCMH: No Maximus ID: 2454107

www.harmonyhpi.com | 9

Updated: 03/08/2018

Primary Care Physicians Cumberland Federally Qualified Health Center Sihf Cumberland County Health Care Center Provider ID: 1051380 Southern Illinois Healthcare F 302 N Mill St Greenup, IL 62428 (217) 923-3311 Fax: (217) 923-5160 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Maximus ID: 2654099

www.harmonyhpi.com | 10

Updated: 03/08/2018

Primary Care Physicians Douglas Family Practice Bowsher, Tanya Apn Provider ID: 1487948 Gender: Female Kirby Medical Center 108 S Main St Atwood, IL 61913 (217) 578-3814 00 Yrs/130 Yrs MWTH 8:00 AM - 4:30 PM T 8:00 AM - 12:00 PM F 8:00 AM - 4:00 PM PCMH: No Maximus ID: 8281890 Guzlas, Kelly Np Provider ID: 1487953 Gender: Female Kirby Medical Center 108 S Main St Atwood, IL 61913 (217) 578-3814 00 Yrs/130 Yrs MWTH 8:00 AM - 4:30 PM T 8:00 AM - 12:00 PM F 8:00 AM - 4:00 PM PCMH: No Maximus ID: 8281889 Huang, Evelyn MD Provider ID: 1487958 Gender: Female Kirby Medical Center 108 S Main St Atwood, IL 61913 (217) 578-3814 00 Yrs/130 Yrs MWTH 8:00 AM - 4:30 PM T 8:00 AM - 12:00 PM F 8:00 AM - 4:00 PM PCMH: No Maximus ID: 8281888 Manint, James DO Provider ID: 1487993 Gender: Male Kirby Medical Center 108 S Main St Atwood, IL 61913 (217) 578-3814 00 Yrs/130 Yrs M 1:00 AM - 5:00 PM PCMH: No Maximus ID: 8281885

Soper, Nicole Apn Provider ID: 1488016 Gender: Female Kirby Medical Center 108 S Main St Atwood, IL 61913 (217) 578-3814 00 Yrs/130 Yrs MWTH 8:00 AM - 4:30 PM T 8:00 AM - 12:00 PM F 8:00 AM - 4:00 PM PCMH: No Maximus ID: 8281884 Yocks, Brian MD Provider ID: 1488030 Gender: Male Kirby Medical Center 108 S Main St Atwood, IL 61913 (217) 578-3814 00 Yrs/130 Yrs M 1:00 AM - 5:00 PM PCMH: No Maximus ID: 8281883

Federally Qualified Health Center Southern Illinois Healthcare Foundation Provider ID: 1497179 Southern Illinois Healthcare F 525 N Vine St Arthur, IL 61911 (217) 543-2446 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Maximus ID: 2989771

Internal Medicine Mandhan, Narain MD Provider ID: 1487989 Gender: Male Kirby Medical Center 108 S Main St Atwood, IL 61913 (217) 578-3814 00 Yrs/130 Yrs Languages: Hindi, Urdu, Sindhi M 1:00 AM - 5:00 PM PCMH: No Maximus ID: 8281886

www.harmonyhpi.com | 11

Updated: 03/08/2018

Primary Care Physicians Greene Family Practice Fry, Shawn MD Provider ID: 1499927 Gender: Female Thomas H Boyd Memorial Hospita 132 W Lorton St Roodhouse, IL 62082 (217) 589-4629 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Fry, Shawn MD Provider ID: 1499927 Gender: Female Thomas H Boyd Memorial Hospita 800 School St Carrollton, IL 62016 (217) 942-3600 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Gill, Gultasib MD Provider ID: 1499933 Gender: Male Thomas H Boyd Memorial Hospita 800 School St Carrollton, IL 62016 (217) 942-6946 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Kulp, Melissa Np Provider ID: 1499953 Gender: Female Thomas H Boyd Memorial Hospita 800 School St Carrollton, IL 62016 (217) 942-6946 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Staten, Rosemary Np Provider ID: 1499956 Gender: Female Thomas H Boyd Memorial Hospita 116 N Main St Ste A White Hall, IL 62092 (217) 374-2188 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Staten, Rosemary Np Provider ID: 1499956 Gender: Female Thomas H Boyd Memorial Hospita 800 School St Carrollton, IL 62016 (217) 942-3600 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Internal Medicine Ali, Mohammed MD Provider ID: 1499924 Gender: Male Thomas H Boyd Memorial Hospita 800 School St Carrollton, IL 62016 (217) 942-6946 00 Yrs/130 Yrs Languages: Hindi, Urdu M-F 9:00 AM - 5:00 PM PCMH: No Mapue, Renan MD Provider ID: 1499935 Gender: Male Thomas H Boyd Memorial Hospita 712 College St Greenfield, IL 62044 (217) 368-3051 00 Yrs/130 Yrs Languages: Tagalog M-F 9:00 AM - 5:00 PM PCMH: No

Mapue, Renan MD Provider ID: 1499935 Gender: Male Thomas H Boyd Memorial Hospita 800 School St Carrollton, IL 62016 (217) 942-3600 00 Yrs/130 Yrs Languages: Tagalog M-F 9:00 AM - 5:00 PM PCMH: No Siddiqui, Mohammed MD Provider ID: 1499945 Gender: Male Thomas H Boyd Memorial Hospita 800 School St Carrollton, IL 62016 (217) 942-6946 Fax: (217) 942-9349 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Rural Health Center Boyd Fillager Clinic Provider ID: 1499923 Thomas H Boyd Memorial Hospita 712 College St Greenfield, IL 62044 (217) 368-3051 Fax: (217) 368-2213 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Maximus ID: 3992796 Greene County Rural Health Clinic Provider ID: 1499919 Thomas H Boyd Memorial Hospita 116 N Main St Ste A White Hall, IL 62092 (217) 374-2188 Fax: (217) 374-2189 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Maximus ID: 3992963

www.harmonyhpi.com | 12

Rural Health Center of Roodhouse Provider ID: 1499920 Thomas H Boyd Memorial Hospita 132 W Lorton St Roodhouse, IL 62082 (217) 589-4629 Fax: (217) 589-4070 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Maximus ID: 3992797 Thomas H Boyd Rural Health Clinic Provider ID: 1499916 Thomas H Boyd Memorial Hospita 800 School St Carrollton, IL 62016 (217) 942-3600 Fax: (217) 942-3785 00 Yrs/130 Yrs M-F 7:00 AM - 7:00 PM Sat-Sun 8:00 AM - 4:00 PM PCMH: No Maximus ID: 3992956

Updated: 03/08/2018

Primary Care Physicians Hancock Family Practice Burgard, Tracey Np Provider ID: 1510447 Gender: Female Memorial Hospital Association 1450 N County Rd 2050 Carthage, IL 62321 (217) 357-2173 00 Yrs/130 Yrs M-TH 7:00 AM - 5:00 PM F 7:00 AM - 6:00 PM PCMH: No Maximus ID: 4253564 Cousins, Dawn Apn Provider ID: 1510455 Gender: Female Memorial Hospital Association 1450 N County Rd 2050 Carthage, IL 62321 (217) 357-2173 00 Yrs/130 Yrs M-TH 7:00 AM - 5:00 PM F 7:00 AM - 6:00 PM PCMH: No Maximus ID: 4253563 Ginos, Steven MD Provider ID: 1539093 Gender: Male Blessing Corporate Services Db 1102 N County Rd 700 Warsaw, IL 62379 (217) 256-4100 Fax: (217) 256-3800 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Heighton, Douglas MD Provider ID: 1510467 Gender: Male Memorial Hospital Association 1450 N County Rd 2050 Carthage, IL 62321 (217) 357-2173 00 Yrs/130 Yrs M-TH 7:00 AM - 5:00 PM F 7:00 AM - 6:00 PM PCMH: No Maximus ID: 4253561

Wisslead, Melissa Apn Provider ID: 1510498 Gender: Female Memorial Hospital Association 1450 N County Rd 2050 Carthage, IL 62321 (217) 357-2173 00 Yrs/130 Yrs M-TH 7:00 AM - 5:00 PM F 7:00 AM - 6:00 PM PCMH: No Maximus ID: 4253558

Pediatrics Senthe, Nileshwa MD Provider ID: 1510488 Gender: Male Memorial Hospital Association 1450 N County Rd 2050 Carthage, IL 62321 (217) 357-2173 00 Yrs/21 Yrs M-TH 7:00 AM - 5:00 PM F 7:00 AM - 6:00 PM PCMH: No Maximus ID: 4253560

Memorial Medical Clinic Nauvoo Provider ID: 1500591 Memorial Hospital Association 1370 Mulholland St Nauvoo, IL 62354 (217) 453-6802 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Maximus ID: 4292801 Women and Family Medical Group Provider ID: 1500590 Memorial Hospital Association 630 Locust St Carthage, IL 62321 (217) 357-0617 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Maximus ID: 4292800

Rural Health Center Memorial Medical Clinic Bowen Provider ID: 1500589 Memorial Hospital Association 209 E 5th St Bowen, IL 62316 (217) 842-5211 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Maximus ID: 4292799 Memorial Medical Clinic Laharpe Provider ID: 1500592 Memorial Hospital Association 501 E Main St Laharpe, IL 61450 (217) 659-3844 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Maximus ID: 7092802

www.harmonyhpi.com | 13

Updated: 03/08/2018

Primary Care Physicians Iroquois Family Practice Khaper, Bhupinder MD Provider ID: 1307811 Gender: Male Riverside Health Systems 1490 E Walnut St Ste A Watseka, IL 60970 (815) 432-7693 Fax: (815) 936-7228 02 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Maximus ID: 4695238 Torres, Teresita MD Provider ID: 1538614 Gender: Female Iroquois Memorial Hospital and 200 Fairman Ave Watseka, IL 60970 (815) 432-5411 Fax: (815) 432-3955 00 Yrs/130 Yrs M-TH 8:00 AM - 6:00 PM F 7:00 AM - 5:00 PM Sat 8:00 AM - 2:00 PM PCMH: No Torres, Teresita MD Provider ID: 1538616 Gender: Female Iroquois Memorial Hospital and 34 E Jones St Milford, IL 60953 (815) 889-4241 Fax: (815) 889-4244 00 Yrs/130 Yrs M 8:30 AM - 5:00 PM TTH 8:00 AM - 6:00 PM WF 8:00 AM - 5:00 PM PCMH: No

Torres, Teresita MD Provider ID: 1538619 Gender: Female Iroquois Memorial Hospital and 508 E Crescent St Gilman, IL 60938 (815) 265-8889 Fax: (815) 265-8332 00 Yrs/130 Yrs MF 7:00 AM - 5:00 PM TTH 8:30 AM - 6:30 PM W 8:30 AM - 5:00 PM PCMH: No

Dodia, Naran MD Provider ID: 1538647 Gender: Male Iroquois Memorial Hospital and 34 E Jones St Milford, IL 60953 (815) 889-4241 Fax: (815) 889-4244 00 Yrs/130 Yrs M 8:30 AM - 5:00 PM TTH 8:00 AM - 6:00 PM WF 8:00 AM - 5:00 PM PCMH: No

Florido, Gonzalo MD Provider ID: 1538600 Gender: Male Iroquois Memorial Hospital and 34 E Jones St Milford, IL 60953 (815) 889-4241 Fax: (815) 889-4244 00 Yrs/130 Yrs M 8:30 AM - 5:00 PM TTH 8:00 AM - 6:00 PM WF 8:00 AM - 5:00 PM PCMH: No

Varghese, Reenu Np Provider ID: 1490335 Gender: Female Aunt Martha's Youth Service Center 200 E Walnut St Watseka, IL 60970 (877) 692-8686 Fax: (815) 432-3483 00 Yrs/130 Yrs Languages: Spanish MTH 8:30 AM - 5:00 PM TWF 8:00 AM - 5:00 PM PCMH: No

Dodia, Naran MD Provider ID: 1538651 Gender: Male Iroquois Memorial Hospital and 508 E Crescent St Gilman, IL 60938 (815) 265-8889 Fax: (815) 265-8332 00 Yrs/130 Yrs MF 7:00 AM - 5:00 PM TTH 8:30 AM - 6:30 PM W 8:30 AM - 5:00 PM PCMH: No

Florido, Gonzalo MD Provider ID: 1538602 Gender: Male Iroquois Memorial Hospital and 508 E Crescent St Gilman, IL 60938 (815) 265-8889 Fax: (815) 265-8332 00 Yrs/130 Yrs MF 7:00 AM - 5:00 PM TTH 8:30 AM - 6:30 PM W 8:30 AM - 5:00 PM PCMH: No

Internal Medicine

Florido, Gonzalo MD Provider ID: 1538597 Gender: Male Iroquois Memorial Hospital and 200 Fairman Ave Watseka, IL 60970 (815) 432-5411 Fax: (815) 432-3955 00 Yrs/130 Yrs M-TH 8:00 AM - 6:00 PM F 7:00 AM - 5:00 PM Sat 8:00 AM - 2:00 PM PCMH: No

Dodia, Naran MD Provider ID: 1538645 Gender: Male Iroquois Memorial Hospital and 200 Fairman Ave Watseka, IL 60970 (815) 432-5411 Fax: (815) 432-3955 00 Yrs/130 Yrs M-TH 8:00 AM - 6:00 PM F 7:00 AM - 5:00 PM Sat 8:00 AM - 2:00 PM PCMH: No

www.harmonyhpi.com | 14

Updated: 03/08/2018

Primary Care Physicians Macon Internal Medicine Ahmad, Ahmad MD Provider ID: 1492592 Gender: Male Ahmad H Ahmad MD SC 1770 E Lake Shore Dr Ste 201 Decatur, IL 62521 (217) 849-2545 Fax: (217) 849-2485 00 Yrs/130 Yrs Languages: Arabic M-F 9:00 AM - 5:00 PM PCMH: No Maximus ID: 6389361 Khan, Muhammad MD Provider ID: 1487784 Gender: Male Midwest Internal Medicine SC 2975 N Water St Decatur, IL 62526 (217) 875-3810 Fax: (217) 875-5015 00 Yrs/130 Yrs Languages: Urdu, Arabic, Punjabi M-F 8:00 AM - 5:00 PM PCMH: No Maximus ID: 6386076 Newlin, John MD Provider ID: 719789 Gender: Male John W Newlin MD 302 W Hay St Ste 130 Decatur, IL 62526 (217) 872-8100 Fax: (217) 872-8101 18 Yrs/130 Yrs MTWF 8:00 AM - 5:00 PM TH 7:00 AM - 12:00 PM PCMH: No Maximus ID: 6395237

www.harmonyhpi.com | 15

Updated: 03/08/2018

Primary Care Physicians Macoupin Family Practice Poirot, Chris MD Provider ID: 1532698 Gender: Male Macoupin Family Practice Center 715 Broadway St Gillespie, IL 62033 (217) 839-4491 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Poirot, Chris MD Provider ID: 1532699 Gender: Male Macoupin Family Practice Center 115 N Poplar St Mount Olive, IL 62069 (217) 999-4751 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Quarton, Brian MD Provider ID: 1532683 Gender: Male Macoupin Family Practice Center 15574 Rte 108 Carlinville, IL 62626 (217) 854-4319 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Weber, Bruce MD Provider ID: 1532686 Gender: Male Macoupin Family Practice Center 715 Broadway St Gillespie, IL 62033 (217) 839-4491 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

Weber, Bruce MD Provider ID: 1532696 Gender: Male Macoupin Family Practice Center 115 N Poplar St Mount Olive, IL 62069 (217) 999-4751 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

Federally Qualified Health Center Macoupin County Public Health Department Provider ID: 1506436 Macoupin County Public Health 805 N Broad St Carlinville, IL 62626 (217) 854-3223 Fax: (217) 854-3225 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Maximus ID: 6494961 Sihf Bunker Hill Health Center Provider ID: 983778 Southern Illinois Healthcare F 144 N Washington St Bunker Hill, IL 62014 (618) 585-6290 Fax: (618) 585-6295 00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM PCMH: No Maximus ID: 6454112

Internal Medicine Jain, Rajneesh MD Provider ID: 1525107 Gender: Male Staunton Clinic LLC 444 N Edwardsville St Staunton, IL 62088 (618) 635-3800 Fax: (618) 635-3952 00 Yrs/130 Yrs MTTHF 8:30 AM - 5:00 PM W 11:00 AM - 7:00 PM Sat 8:00 AM - 12:00 PM PCMH: No Maximus ID: 6490100 Mathur, Manish MD Provider ID: 1525132 Gender: Male Staunton Clinic LLC 444 N Edwardsville St Staunton, IL 62088 (618) 635-3800 Fax: (618) 635-3952 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Maximus ID: 6490120 Siegfried, Bryan MD Provider ID: 1525136 Gender: Male Staunton Clinic LLC 444 N Edwardsville St Staunton, IL 62088 (618) 635-3800 Fax: (618) 635-3952 12 Yrs/130 Yrs MTTHF 8:30 AM - 5:00 PM W 11:00 AM - 7:00 PM PCMH: No Maximus ID: 6490141

www.harmonyhpi.com | 16

Updated: 03/08/2018

Primary Care Physicians Mason Family Practice Bitner, Bethany MD Provider ID: 1533688 Gender: Female Mason Hospital District 615 N Promenade St Havana, IL 62644 (309) 543-6600 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Markley, Michael MD Provider ID: 1533706 Gender: Male Mason Hospital District 615 N Promenade St Havana, IL 62644 (309) 543-6600 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Schultz, Bruce MD Provider ID: 1533700 Gender: Male Mason Hospital District 615 N Promenade St Havana, IL 62644 (309) 543-6600 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Pediatrics Hunter, Erika MD Provider ID: 1533693 Gender: Female Mason Hospital District 615 N Promenade St Havana, IL 62644 (309) 543-6600 00 Yrs/18 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

www.harmonyhpi.com | 17

Updated: 03/08/2018

Primary Care Physicians McDonough Family Practice Arnold, John MD Provider ID: 1507474 Gender: Male McDonough Physician Hospital O 1150 N Cole St Bushnell, IL 61422 (309) 772-9444 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Maximus ID: 7060738 Bedwell, Lyndsay Np Provider ID: 1507485 Gender: Female McDonough Physician Hospital O 1600 E Jackson St Macomb, IL 61455 (309) 836-1700 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Maximus ID: 7060735 Helle, Carrie Np Provider ID: 1507555 Gender: Female McDonough Physician Hospital O 1150 N Cole St Bushnell, IL 61422 (309) 772-9444 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Maximus ID: 7060737 Minter, Richard DO Provider ID: 1507626 Gender: Male McDonough Physician Hospital O 515 E Grant St Ste 213 Macomb, IL 61455 (309) 833-1729 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Maximus ID: 7060728

Patel, Prayag MD Provider ID: 1507632 Gender: Male McDonough Physician Hospital O 515 E Grant St Ste 213 Macomb, IL 61455 (309) 837-6937 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Maximus ID: 7060726 Stone, Kaye Np Provider ID: 1507688 Gender: Female McDonough Physician Hospital O 1600 E Jackson St Macomb, IL 61455 (309) 836-1700 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Maximus ID: 7060724 Wagner, Krystal Np Provider ID: 1508653 Gender: Female McDonough Physician Hospital O 1600 E Jackson St Macomb, IL 61455 (309) 836-1700 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Maximus ID: 7060722 Wehner, Brianne DO Provider ID: 1508658 Gender: Female McDonough Physician Hospital O 515 E Grant St Ste 213 Macomb, IL 61455 (309) 837-6937 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Maximus ID: 7060723

Zhang, Weili DO Provider ID: 1508685 Gender: Female McDonough Physician Hospital O 515 E Grant St Ste 213 Macomb, IL 61455 (309) 837-6937 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Maximus ID: 7060721

Pediatrics Balbort, Liberty MD Provider ID: 1507480 Gender: Female McDonough Physician Hospital O 505 E Grant St Ste 202 Macomb, IL 61455 (309) 833-1729 00 Yrs/18 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Maximus ID: 7060736 Lockard, Mary Kathleen MD Provider ID: 1531222 Gender: Female McDonough Physician Hospital O 505 E Grant St Ste 103 Macomb, IL 61455 (309) 833-1303 00 Yrs/130 Yrs McDonough District Hospital M-F 9:00 AM - 5:00 PM PCMH: No Maximus ID: 7092157

www.harmonyhpi.com | 18

Updated: 03/08/2018

Primary Care Physicians McLean Federally Qualified Health Center Chestnut Family Health Center Provider ID: 1075487 Chestnut Health Systems 720 W Chestnut St Bloomington, IL 61701 (309) 557-1400 Fax: (309) 557-1461 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Maximus ID: 7254077

www.harmonyhpi.com | 19

Updated: 03/08/2018

Primary Care Physicians Morgan Federally Qualified Health Center Central Counties Health Center Provider ID: 1501587 1440 W Walnut St Ste 2 Jacksonville, IL 62650 (217) 788-2300 Fax: (217) 788-2343 00 Yrs/130 Yrs MTTHF 8:00 AM - 5:00 PM W 10:00 AM - 7:00 PM Sat 9:00 AM - 1:00 PM PCMH: No Maximus ID: 7792966

www.harmonyhpi.com | 20

Updated: 03/08/2018

Primary Care Physicians Piatt Family Practice Huang, Evelyn MD Provider ID: 1487955 Gender: Female Kirby Medical Center 1000 Medical Center Dr Monticello, IL 61856 (217) 762-6241 00 Yrs/130 Yrs M-TH 7:00 AM - 6:00 PM F 7:00 AM - 4:00 PM Sat 8:00 AM - 12:00 PM PCMH: No Maximus ID: 8281993 Manint, James DO Provider ID: 1487990 Gender: Male Kirby Medical Center 1000 Medical Center Dr Monticello, IL 61856 (217) 762-6241 40 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Maximus ID: 8281990

Internal Medicine Mandhan, Narain MD Provider ID: 1487986 Gender: Male Kirby Medical Center 1000 Medical Center Dr Monticello, IL 61856 (217) 762-6241 Fax: (217) 762-1702 00 Yrs/130 Yrs Languages: Hindi, Urdu, Sindhi MTTH 8:30 AM - 5:00 PM W 8:30 AM - 6:00 PM F 8:30 AM - 12:00 PM PCMH: No Maximus ID: 8281991

Soper, Nicole Apn Provider ID: 1488011 Gender: Female Kirby Medical Center 1000 Medical Center Dr Monticello, IL 61856 (217) 762-6241 00 Yrs/130 Yrs M-TH 7:00 AM - 6:00 PM F 7:00 AM - 4:00 PM Sat 8:00 AM - 12:00 PM PCMH: No Maximus ID: 8281989 Yocks, Brian MD Provider ID: 1488024 Gender: Male Kirby Medical Center 1000 Medical Center Dr Monticello, IL 61856 (217) 762-6241 Fax: (217) 762-1702 00 Yrs/130 Yrs M-TH 7:00 AM - 6:00 PM F 7:00 AM - 4:00 PM Sat 8:00 AM - 12:00 PM PCMH: No Maximus ID: 8281988

www.harmonyhpi.com | 21

Updated: 03/08/2018

Primary Care Physicians Pike Family Practice Baginski, Sebastian MD Provider ID: 1491912 Gender: Male Quincy Physicians and Surgeons 320 N Madison St Pittsfield, IL 62363 (217) 285-9601 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 8389770

Johnson, Ronald MD Provider ID: 1492034 Gender: Male Quincy Physicians and Surgeons 320 N Madison St Pittsfield, IL 62363 (217) 285-9601 Fax: (217) 285-6188 00 Yrs/130 Yrs M 8:00 AM - 5:00 PM TWTH 8:30 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 8389763

Pediatrics Raif, Ayca MD Provider ID: 1492113 Gender: Female Quincy Physicians and Surgeons 320 N Madison St Pittsfield, IL 62363 (217) 285-9601 Fax: (217) 285-6188 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 8389762

Wagoner, Christopher MD

Davenport, Craig MD Provider ID: 1491962 Gender: Male Quincy Physicians and Surgeons 320 N Madison St Pittsfield, IL 62363 (217) 285-9601 Fax: (217) 285-6188 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 8389769 Dean, Amelia MD Provider ID: 1491964 Gender: Female Quincy Physicians and Surgeons 320 N Madison St Pittsfield, IL 62363 (217) 285-9601 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 8389766

Provider ID: 1538985 Gender: Male Blessingcare Corporation DBA 640 W Washington St Pittsfield, IL 62363 (217) 285-9447 Fax: (217) 285-9448 00 Yrs/130 Yrs PCMH: No

Internal Medicine Raif, Korhan MD Provider ID: 1492115 Gender: Male Quincy Physicians and Surgeons 868 Mortimer St Barry, IL 62312 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 8389356

Hibbert, Paul MD Provider ID: 1492017 Gender: Male Quincy Physicians and Surgeons 320 N Madison St Pittsfield, IL 62363 (217) 285-9601 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 8389765

www.harmonyhpi.com | 22

Updated: 03/08/2018

Primary Care Physicians Sangamon Family Practice Ayorinde, Sheila MD Provider ID: 1540218 Gender: Female Central Counties Health Center 2239 E Cook St Springfield, IL 62703 (217) 788-2300 Fax: (217) 788-2342 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

Federally Qualified Health Center Central Counties Health Center Provider ID: 1501552 Central Counties Health Center 2239 E Cook St Springfield, IL 62703 (217) 788-2300 Fax: (217) 788-2343 00 Yrs/130 Yrs MTTHF 8:00 AM - 5:00 PM W 10:00 AM - 7:00 PM Sat 9:00 AM - 1:00 PM PCMH: No Maximus ID: 9192967 Central Counties Health Center Provider ID: 1501569 221 N 11th St Springfield, IL 62703 (217) 788-2300 Fax: (217) 788-2343 00 Yrs/130 Yrs MTTHF 8:00 AM - 5:00 PM W 10:00 AM - 7:00 PM Sat 9:00 AM - 1:00 PM PCMH: No Maximus ID: 9192969

Central Counties Health Center Provider ID: 1501602 1023 E Washington St Springfield, IL 62703 (217) 788-2300 Fax: (217) 788-2343 00 Yrs/130 Yrs MTTHF 8:00 AM - 5:00 PM W 10:00 AM - 7:00 PM Sat 9:00 AM - 1:00 PM PCMH: No Maximus ID: 9192968

Tolentino, Gerard MD Provider ID: 1540231 Gender: Male Central Counties Health Center 2239 E Cook St Springfield, IL 62703 (217) 788-2300 Fax: (217) 788-2342 00 Yrs/18 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

Internal Medicine Indlamuri, Mastan MD Provider ID: 1540227 Gender: Male Central Counties Health Center 2239 E Cook St Springfield, IL 62703 (217) 788-2300 Fax: (217) 788-2342 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

Pediatrics Dasaraju, Radhika MD Provider ID: 1540220 Gender: Female Central Counties Health Center 2239 E Cook St Springfield, IL 62703 (217) 788-2300 Fax: (217) 788-2342 00 Yrs/18 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Ramos, Dora MD Provider ID: 1540230 Gender: Female Central Counties Health Center 2239 E Cook St Springfield, IL 62703 (217) 788-2300 Fax: (217) 788-2342 00 Yrs/18 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.harmonyhpi.com | 23

Updated: 03/08/2018

Primary Care Physicians Shelby Family Practice Altherr, Kathryn Apn Provider ID: 1501156 Gender: Female Cowden Medical Clinic LLC 209 E Elm St Cowden, IL 62422 (217) 783-6565 Fax: (217) 783-6577 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Maximus ID: 9494930

www.harmonyhpi.com | 24

Updated: 03/08/2018

Specialty Physicians Adams Allergy & Immunology Carpenter, Gary MD Provider ID: 1491945 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Knuffman, Jason MD Provider ID: 1492045 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Cardiac Electrophysiology Hammock, John MD Provider ID: 1539099 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Cardiology Baig, Sara MD Provider ID: 1539053 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Nissenbaum, Eliot DO Provider ID: 1539134 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Salem, Yasser MD Provider ID: 1539167 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Schwartz, Irving MD Provider ID: 1539172 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Chiropractic Creech, Wesley DC Provider ID: 1539072 Gender: Male Blessing Corporate Services Db 332 S 36th St Ste 3 Quincy, IL 62301 (217) 222-5800 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Colon & Rectal Surgery Polavarapu, Harsha MD Provider ID: 1539150 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Dermatology Bonish, Brian MD Provider ID: 1539062 Gender: Male Blessing Corporate Services Db 1132 Broadway St Ste 200 Quincy, IL 62301 (217) 214-6250 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Gandhi, Sumul MD Provider ID: 1491991 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Levin, Anna MD Provider ID: 1492063 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.harmonyhpi.com | 25

Quintero, Louis MD Provider ID: 1539155 Gender: Male Blessing Corporate Services Db 1132 Broadway St Ste 200 Quincy, IL 62301 (217) 214-6250 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Ear, Nose & Throat Jones, Myron MD Provider ID: 1539111 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Endocrinology, Diabetes, Metabolism Harris, Sharon MD Provider ID: 1492012 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Higgins, Dustin DO Provider ID: 1492021 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

Updated: 03/08/2018

Specialty Physicians Adams Family Practice Daniels, James MD Provider ID: 1488770 Gender: Male Adams County Health Department 330 Vermont St Quincy, IL 62301 (217) 222-8440 Fax: (217) 222-8508 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

Gastroenterology Balouch, Imran MD Provider ID: 1539055 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Greenspan, Aaron MD Provider ID: 1539094 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Moore, Daniel MD Provider ID: 1539131 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Rafiq, Asad MD Provider ID: 1539157 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

General Dentistry Castro, Sharon DDS Provider ID: TPVP37419-01 Gender: Female Clarity Healthcare 540 Harrison St Quincy, IL 62301 (217) 222-6277 Fax: (573) 603-1462 00 Yrs/99 Yrs MT 1:00 AM - 5:00 PM PCMH: No Castro, Sharon DDS Provider ID: TPVP37419-02 Gender: Female Clarity Healthcare 639 York St Quincy, IL 62301 (217) 222-6277 Fax: (573) 603-1462 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Cavitt, Mary DDS Provider ID: TPVP63677-06 Gender: Female Adams County Health Department 330 Vermont Quincy, IL 62301 (217) 222-8440 Fax: (217) 222-8508 00 Yrs/99 Yrs M-F 7:00 AM - 5:00 PM PCMH: No

Corona, Aleena DDS Provider ID: TPVP152193-01 Gender: Female Clarity Healthcare 639 York St Quincy, IL 62301 (217) 222-6277 Fax: (573) 603-1462 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Corona, Aleena DDS Provider ID: TPVP152193-02 Gender: Female Clarity Healthcare 540 Harrison St Quincy, IL 62301 (217) 222-6277 Fax: (573) 603-1462 00 Yrs/99 Yrs MT 1:00 AM - 5:00 PM PCMH: No Crocks, Sara DMD Provider ID: TPVP156419-01 Gender: Female Adams County Health Department 330 Vermont Quincy, IL 62301 (217) 222-8440 Fax: (217) 222-8508 00 Yrs/99 Yrs M-F 7:00 AM - 5:00 PM PCMH: No Gregory, Richard DDS Provider ID: TPVP152178-01 Gender: Male Adams County Health Department 330 Vermont Quincy, IL 62301 (217) 222-8440 Fax: (217) 222-8508 00 Yrs/99 Yrs M-F 7:00 AM - 5:00 PM PCMH: No

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Lucas Stoner, Tina DMD Provider ID: TPVP134521-01 Gender: Female Adams County Health Department 330 Vermont Quincy, IL 62301 (217) 222-8440 Fax: (217) 222-8508 00 Yrs/99 Yrs M-F 7:00 AM - 5:00 PM PCMH: No Pritts, Jennifer DMD Provider ID: TPVP147216-01 Gender: Female Adams County Health Department 330 Vermont Quincy, IL 62301 (217) 222-8440 Fax: (217) 222-8508 00 Yrs/99 Yrs M-F 7:00 AM - 5:00 PM PCMH: No Shah, Sayed Haroon DMD Provider ID: TPVP64787-03 Gender: Male Adams County Health Department 330 Vermont Quincy, IL 62301 (217) 222-8440 Fax: (217) 222-8508 00 Yrs/99 Yrs M-F 7:00 AM - 5:00 PM PCMH: No Smith, Douglas DDS Provider ID: TPVP152285-01 Gender: Male Clarity Healthcare 639 York St Quincy, IL 62301 (217) 222-6277 Fax: (573) 603-1462 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

Updated: 03/08/2018

Specialty Physicians Adams General Dentistry - cont. Khan, Javeed MD Smith, Douglas DDS Provider ID: TPVP152285-02 Gender: Male Clarity Healthcare 540 Harrison St Quincy, IL 62301 (217) 222-6277 Fax: (573) 603-1462 00 Yrs/99 Yrs MT 1:00 AM - 5:00 PM PCMH: No Terstriep, Christina DMD Provider ID: TPVP153324-01 Gender: Female Adams County Health Department 330 Vermont Quincy, IL 62301 (217) 222-8440 Fax: (217) 222-8508 00 Yrs/99 Yrs M-F 7:00 AM - 5:00 PM PCMH: No

General Surgery Bessay, Emmanuel MD Provider ID: 1539059 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Khan, Javeed MD Provider ID: 1539112 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Provider ID: 1539536 Gender: Male Blessing Hospital 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No

Petty, Todd MD Provider ID: 1492105 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

Geriatric Medicine Anderson, Halley DO Provider ID: 1491900 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Hematology & Oncology Ali, Muhammad MD Provider ID: 1491895 Gender: Male Quincy Physicians and Surgeons 1005 Broadway St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

El Khoury, Christian MD Provider ID: 1491978 Gender: Male Quincy Physicians and Surgeons 1005 Broadway St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs Languages: French, Arabic M-F 8:00 AM - 5:00 PM PCMH: No Jallad, Bassel MD Provider ID: 1539527 Gender: Male Blessing Hospital 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No Koduru, Karthik MD Provider ID: 1492047 Gender: Male Quincy Physicians and Surgeons 1005 Broadway St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Pastorini Filho, Vitor Hugo MD Provider ID: 1492097 Gender: Male Quincy Physicians and Surgeons 1005 Broadway St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs Languages: Spanish, Portuguese M-F 8:00 AM - 5:00 PM PCMH: No

www.harmonyhpi.com | 27

Smith, Raymond MD Provider ID: 1492242 Gender: Male Quincy Physicians and Surgeons 1005 Broadway St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-7223 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

Infectious Disease Mushtaq, Adnan MD Provider ID: 1492083 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs Languages: Urdu M-F 8:00 AM - 5:00 PM PCMH: No

Internal Medicine Barthel, Mary MD Provider ID: 1539448 Gender: Female Blessing Hospital 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No Findlater, Malcolm MD Provider ID: 1539474 Gender: Male Blessing Hospital 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No

Updated: 03/08/2018

Specialty Physicians Adams Internal Medicine - cont. Krinochkin, Olexandr MD Findlater, Malcolm MD Provider ID: 1539476 Gender: Male Blessing Hospital 102 Prairie Mills Rd Golden, IL 62339 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No Ginos, Steven MD Provider ID: 1539487 Gender: Male Blessing Hospital 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No Hamadah, Abdurrahman MD Provider ID: 1539503 Gender: Male Blessing Hospital 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No Koduru, Pranathi MD Provider ID: 1492049 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3

Provider ID: 1539542 Gender: Male Blessing Hospital 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No McKeown, John MD Provider ID: 1539576 Gender: Male Blessing Hospital 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No Nsima-Obto, Eno MD Provider ID: 1539585 Gender: Female Blessing Hospital 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No Pastorini Filho, Vitor Hugo MD Provider ID: 1492097 Gender: Male Quincy Physicians and Surgeons 1005 Broadway St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs Languages: Spanish, Portuguese M-F 8:00 AM - 5:00 PM PCMH: No

Patel, Pravinchandra MD Provider ID: 1492101 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Pypur Jayachandrudy, Vinay MD Provider ID: 1539598 Gender: Male Blessing Hospital 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No Reich, Abby MD Provider ID: 1539163 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Shah, Sayed MD Provider ID: 1539605 Gender: Male Blessing Hospital 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No

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Interventional Cardiology Cook, Jeffrey MD Provider ID: 1539067 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Krause, Steven DO Provider ID: 1539115 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Licensed Clinical Social Worker Lunt, Kelli LMSW Provider ID: 1539558 Gender: Female Blessing Hospital 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No

Nephrology Ghanekar, Hrishikesh MD Provider ID: 1491994 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 228-6891 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3

Updated: 03/08/2018

Specialty Physicians Adams Nephrology - cont. Podaralla, Prashanth MD Provider ID: 1539149 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Safar, Elyas MD Provider ID: 1539166 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Tanios, Roula MD Provider ID: 1539195 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Neurology Hafez, Walid MD Provider ID: 1539097 Gender: Male Blessing Corporate Services Db 1107 College Ave Ste 1 Quincy, IL 62301 (217) 214-3472 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Hafez, Walid MD Provider ID: 1539097 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Dietrich, Gina DO Provider ID: 1539078 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Zayas Rodriguez, Luis MD

Friye, Pamela DO Provider ID: 1539087 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Provider ID: 1539205 Gender: Male Blessing Corporate Services Db 1107 College Ave Ste 1 Quincy, IL 62301 (217) 214-3472 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Zayas Rodriguez, Luis MD Provider ID: 1539205 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Obstetrics/Gynecology Curry, Jessica MD Provider ID: 1539074 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Kagumba, Ada MD Provider ID: 1492035 Gender: Female Quincy Physicians and Surgeons 1118 Hampshire St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Maduakor, Obioma MD Provider ID: 1492066 Gender: Female Quincy Physicians and Surgeons 1118 Hampshire St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

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Optometry Blackford, Mindy OD Provider ID: 1524856 Gender: Female International Eyecare Center I 2445 Broadway St Quincy, IL 62301 (217) 222-8880 Fax: (217) 222-8881 00 Yrs/130 Yrs M 8:30 AM - 7:00 PM TWTHF 8:30 AM - 5:00 PM Sat 8:30 AM - 12:00 PM PCMH: No Botts, Eric OD Provider ID: TPV1457301368-0 Gender: Male Dr Eric Botts Associates 5211 Broadway St Quincy, IL 62305 (217) 223-9980 Fax: (217) 223-9983 01 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 12:00 PM PCMH: No Brand, Ronald OD Provider ID: 1524857 Gender: Male International Eyecare Center I 2445 Broadway St Quincy, IL 62301 (217) 222-8800 Fax: (217) 222-8801 00 Yrs/130 Yrs M 8:30 AM - 7:00 PM TWTHF 8:30 AM - 5:00 PM Sat 8:30 AM - 12:00 PM PCMH: No Chevalier, Kristie OD Provider ID: 1524858 Gender: Female International Eyecare Center I 2445 Broadway St Quincy, IL 62301 (217) 222-8800 Fax: (217) 222-8801 00 Yrs/130 Yrs M 8:30 AM - 7:00 PM TWTHF 8:30 AM - 5:00 PM Sat 8:30 AM - 12:00 PM PCMH: No

Updated: 03/08/2018

Specialty Physicians Adams Optometry - cont.

Pediatrics Mueller, Kenneth OD Provider ID: 1524865 Eilenfeldt, Pamela OD Reich, Abby MD Gender: Male Provider ID: TPV1114075645-0 International Eyecare Center I Provider ID: 1539163 Gender: Female 2445 Broadway St Gender: Female Dr Eric Botts Associates Quincy, IL 62301 Blessing Corporate Services Db 5211 Broadway St (217) 222-8800 927 Broadway St Quincy, IL 62305 Fax: (217) 222-8801 Quincy, IL 62301 (217) 223-9980 00 Yrs/130 Yrs (217) 223-8400 Fax: (217) 223-9983 M-F 9:00 AM - 5:00 PM Fax: (217) 228-2390 01 Yrs/99 Yrs PCMH: No 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Obrien, Eric OD M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 12:00 PM Provider ID: TPV1386931921-0 PCMH: No PCMH: No Gender: Male Physical Medicine & Krohn, Austin OD Dr Eric Botts Associates Rehabilitation Provider ID: 1524859 5211 Broadway St Gender: Not Available Quincy, IL 62305 Deguzman, John MD International Eyecare Center I (217) 223-9980 2445 Broadway St Fax: (217) 223-9983 Provider ID: 1539076 Quincy, IL 62301 01 Yrs/99 Yrs Gender: Male (217) 222-8800 M-F 9:00 AM - 5:00 PM Blessing Corporate Services Db 00 Yrs/130 Yrs Sat 9:00 AM - 12:00 PM 927 Broadway St M-F 9:00 AM - 5:00 PM PCMH: No Quincy, IL 62301 PCMH: No Vogelpohl, Derek OD (217) 223-8400 McDougall, John OD Provider ID: 1524868 Fax: (217) 228-2390 Provider ID: 1524861 Gender: Not Available 00 Yrs/130 Yrs Gender: Male International Eyecare Center I M-F 9:00 AM - 5:00 PM International Eyecare Center I 2445 Broadway St PCMH: No 2445 Broadway St Quincy, IL 62301 Espejo, Carol MD Quincy, IL 62301 (217) 222-8800 Provider ID: 1539086 (217) 222-8800 00 Yrs/130 Yrs Gender: Female Fax: (217) 222-8801 M-F 9:00 AM - 5:00 PM Blessing Corporate Services 00 Yrs/130 Yrs PCMH: No Db M 8:30 AM - 7:00 PM Orthopaedic Surgery 1107 College Ave Ste 1 TWTHF 8:30 AM - 5:00 PM Quincy, IL 62301 Sat 8:30 AM - 12:00 PM Morton, Steven DO (217) 214-3472 PCMH: No 00 Yrs/130 Yrs Provider ID: 1492080 Monroe, Elizabeth OD M-F 9:00 AM - 5:00 PM Gender: Male PCMH: No Provider ID: 1524864 Quincy Physicians and Surgeons Gender: Female Espejo, Carol MD International Eyecare Center I 1005 Broadway St Provider ID: 1539086 Quincy, IL 62301 2445 Broadway St Gender: Female (217) 222-6550 Quincy, IL 62301 Blessing Corporate Services 00 Yrs/130 Yrs (217) 222-8800 Db M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs 927 Broadway St PCMH: No Languages: Spanish Quincy, IL 62301 M-F 9:00 AM - 5:00 PM (217) 223-8400 PCMH: No Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

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Plastic & Reconstructive Surgery Hagan, Warren MD Provider ID: 1539098 Gender: Male Blessing Corporate Services Db 1132 Broadway St Ste 200 Quincy, IL 62301 (217) 214-6250 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Podiatry Hanzel, Duane DPM Provider ID: 1539100 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Swanson, Brock DPM Provider ID: 1539194 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Psychiatry Djuric, Milena MD Provider ID: 1539080 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Updated: 03/08/2018

Specialty Physicians Adams Psychiatry - cont. Humphrey, Erin DO Provider ID: 1539523 Gender: Female Blessing Hospital 102 Prairie Mills Rd Golden, IL 62339 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No John, Bejoy MD Provider ID: 1539109 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No John, Bejoy MD Provider ID: 1539529 Gender: Male Blessing Hospital 1107 College Ave Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No Johnson, Lee Roy MD Provider ID: 1539110 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Sanchez Zuniga, Salvador MD Provider ID: 1539169 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Khil, Mark MD Provider ID: 1539539 Gender: Male Blessing Hospital 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No

Sports Medicine

Arguelles, Cesar MD Provider ID: 1539052 Gender: Male Dionysus-Rouintree, Kimberly Blessing Corporate Services PsyD Db Provider ID: 1491969 927 Broadway St Gender: Female Quincy, IL 62301 Quincy Physicians and (217) 223-8400 Surgeons Fax: (217) 228-2390 1025 Maine St 00 Yrs/130 Yrs Quincy, IL 62301 M-F 9:00 AM - 5:00 PM (217) 222-6550 PCMH: No 00 Yrs/130 Yrs Daniels, James MD M-F 8:00 AM - 5:00 PM PCMH: No Provider ID: 1488770 Gender: Male Patel, Jessica PHD Adams County Health Provider ID: 1492099 Department Gender: Female 330 Vermont St Quincy Physicians and Quincy, IL 62301 Surgeons (217) 222-8440 1025 Maine St Fax: (217) 222-8508 Quincy, IL 62301 00 Yrs/130 Yrs (217) 222-6550 M-F 8:00 AM - 5:00 PM Fax: (217) 222-2253 PCMH: No 00 Yrs/130 Yrs Daniels, James MD MT 9:00 AM - 6:00 PM Provider ID: 1539075 PCMH: No Gender: Male Radiation Oncology Blessing Corporate Services Db Johnson, Robert MD 927 Broadway St Provider ID: 1539531 Quincy, IL 62301 Gender: Male (217) 223-8400 Blessing Hospital Fax: (217) 228-2390 1005 Broadway St 00 Yrs/130 Yrs Quincy, IL 62301 M-F 9:00 AM - 5:00 PM (217) 223-8400 PCMH: No Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No

Psychology

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Miller, Thomas MD Provider ID: 1539580 Gender: Male Blessing Hospital 102 Prairie Mills Rd Golden, IL 62339 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No

Substance Abuse Preferred Family Healthcare Inc Provider ID: 1160124 Preferred Family Healthcare In 428 S 36th St Quincy, IL 62301 (217) 224-6300 Fax: (217) 224-4329 18 Yrs/130 Yrs PCMH: No

Thoracic & Cardiovascular Surgery Garcia, Carlos MD Provider ID: 1539480 Gender: Male Blessing Hospital 927 Broadway St Ste 231 Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No Nellestein, Michael MD Provider ID: 1539132 Gender: Male Blessing Corporate Services Db 1107 College Ave Ste 1 Quincy, IL 62301 (217) 214-3472 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Updated: 03/08/2018

Specialty Physicians Adams Thoracic Surgery Arnold, John MD Provider ID: 1539446 Gender: Male Blessing Hospital 927 Broadway St Ste 231 Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No

Urology Dooley, Randall MD Provider ID: 1491972 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (212) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Miller, Roger MD Provider ID: 1539129 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No O'Halloran, Richard MD Provider ID: 1539143 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Ouwenga, Michael MD Provider ID: 1492092 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Sandhu, Gurdarshan MD Provider ID: 1539171 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Schneider, Daniel MD Provider ID: 1492203 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Steinberg, Abraham MD

Vascular Surgery Sethi, Gulshan DO Provider ID: 1492213 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Smith, Timothy DO Provider ID: 1492244 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Zwick, Christian DO Provider ID: 1492338 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

Provider ID: 1539189 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

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Updated: 03/08/2018

Specialty Physicians Brown Psychiatry Woerner, Philip MD Provider ID: 1519037 Gender: Male Mental Health Centers of Weste 700 SE Cross St Mt Sterling, IL 62353 (217) 773-3325 Fax: (217) 773-2425 05 Yrs/130 Yrs M-W 8:00 AM - 4:30 PM PCMH: No

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Updated: 03/08/2018

Specialty Physicians Cass General Dentistry Aleman, Erin DMD Provider ID: TPVP152532-01 Gender: Female Cass County Public Health Dental Clinic 331 S Main St Virginia, IL 62691 (217) 452-3057 00 Yrs/99 Yrs Languages: Spanish MTWF 8:30 AM - 4:30 PM TH 10:00 AM - 6:00 PM PCMH: No

Psychiatry Woerner, Philip MD Provider ID: 1531939 Gender: Male Cass County Mental Health Assoc 121 E 2nd St Beardstown, IL 62618 (217) 323-2980 Fax: (217) 323-3731 00 Yrs/130 Yrs M-TH 8:00 AM - 5:00 PM F 8:00 AM - 4:00 PM PCMH: No

www.harmonyhpi.com | 34

Updated: 03/08/2018

Specialty Physicians Champaign General Dentistry

Ophthalmology Kim, Ilsoon DDS Provider ID: TPVP145534-03 Choi, Han-Tae DDS Kresca, James MD Gender: Male Provider ID: TPVP145533-03 Familia Dental Champaign LLC Provider ID: TPV1073694303-0 Gender: Male 1905 W Springfield Ave Gender: Male Familia Dental Champaign LLC Champaign, IL 61821 Eye Center LLC 1905 W Springfield Ave (888) 988-4066 2151 S Neil St Champaign, IL 61821 Fax: (847) 496-4850 Champaign, IL 61820 (888) 988-4066 00 Yrs/99 Yrs (217) 352-2020 Fax: (847) 496-4850 Languages: Spanish Fax: (217) 398-4040 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM 05 Yrs/99 Yrs Languages: Spanish Sat 10:00 AM - 4:00 PM M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 6:00 PM PCMH: No PCMH: No Sat 10:00 AM - 4:00 PM Xu, Yudong DDS Sayegh, Samir MD PCMH: No Provider ID: TPVP64870-01 Provider ID: TPV1104918176-0 Deena Dayalu Naidu, Jyothi Gender: Male Gender: Male DDS Angel Smiles Dental Center Eye Center LLC Provider ID: TPVP167809-03 730 Enterprise Dr 2151 S Neil St Gender: Female Rantoul, IL 61866 Champaign, IL 61820 Familia Dental Champaign LLC (217) 892-8868 (217) 352-2020 1905 W Springfield Ave Fax: (217) 892-8869 Fax: (217) 398-4040 Champaign, IL 61821 00 Yrs/99 Yrs 01 Yrs/99 Yrs (888) 988-4066 M-TH 8:30 AM - 5:00 PM Provena Covenant Medical Fax: (847) 496-4850 Center PCMH: No 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM General Surgery Languages: Spanish PCMH: No M-F 9:00 AM - 6:00 PM Optician Jones, Douglas MD Sat 10:00 AM - 4:00 PM PCMH: No Provider ID: 1487960 Eyemart Express LLC Gender: Male Jae, Seunghyun DMD Provider ID: TPV1093113078-0 Kirby Medical Center Provider ID: TPVP145522-03 2515 N Prospect Ave 101 W University Ave Christie Gender: Male Clinic Champaign, IL 61822 Familia Dental Champaign LLC Champaign, IL 61820 (217) 355-0354 1905 W Springfield Ave (217) 366-1228 Fax: (903) 831-5672 Champaign, IL 61821 Fax: (217) 366-6130 01 Yrs/99 Yrs (888) 988-4066 00 Yrs/130 Yrs M-F 9:00 AM - 7:00 PM Fax: (847) 496-4850 M-F 8:00 AM - 5:00 PM Sat 9:00 AM - 5:00 PM 00 Yrs/99 Yrs PCMH: No PCMH: No Languages: Spanish, Korean Optometry Singh, Harbinder MD M-F 9:00 AM - 6:00 PM Sat 10:00 AM - 4:00 PM Kruger, David OD Provider ID: 1114598 PCMH: No Provider ID: TPV1063524775-0 Gender: Male Cardiac Surgery Associates SC Gender: Male David P Kruger OD 1405 W Park St Ste 303 845 Broadmeadow Rd Urbana, IL 61801 Rantoul, IL 61866 (217) 337-2924 (217) 892-5095 Fax: (217) 337-2703 Fax: (217) 892-5097 18 Yrs/130 Yrs 03 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 6:00 PM PCMH: No Sat 9:00 AM - 4:00 PM PCMH: No

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Twenhafel, Stacy OD Provider ID: TPV1407901051-0 Gender: Female Jak Enterprises Inc 907 Marketview Dr Champaign, IL 61822 (217) 351-8822 Fax: (217) 351-8879 01 Yrs/99 Yrs MTTHF 9:00 AM - 6:00 PM W 9:00 AM - 8:00 PM Sat 9:00 AM - 3:00 PM PCMH: No

Psychology Davanay, Athena PHD Provider ID: 1527986 Gender: Female Psychology Specialists 2500 Galen Dr Ste 104 Champaign, IL 61821 (217) 693-6072 Fax: (309) 588-4115 00 Yrs/130 Yrs Languages: Tagalog M-F 8:00 AM - 5:00 PM PCMH: No O Brien, Heather PsyD Provider ID: 1526265 Gender: Female Psychology Specialists 2500 Galen Dr Ste 104 Champaign, IL 61821 (309) 706-3190 Fax: (309) 588-4115 00 Yrs/130 Yrs M 9:00 AM - 6:00 PM TTH 11:00 AM - 7:00 PM W 10:00 AM - 7:00 PM F 9:00 AM - 5:00 PM PCMH: No

Updated: 03/08/2018

Specialty Physicians Champaign Substance Abuse Pats Prevention and Treatment Servic Provider ID: 1334756 Pats Prevention and Treatment 300 S Broadway Ave Ste 110A Urbana, IL 61801 (217) 954-1128 Fax: (217) 954-1514 12 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM PCMH: No

Tuchek, James DO Provider ID: 403418 Gender: Male Cardiac Surgery Associates SC 1405 W Park St Ste 303 Urbana, IL 61801 (217) 337-2924 Fax: (708) 327-2382 18 Yrs/130 Yrs M-F 9:00 AM - 4:00 PM PCMH: No

Treatment Alternatives For Safe Communi Provider ID: 1286034 Tasc Inc 116 W Main St Urbana, IL 61801 (217) 344-4546 Fax: (217) 344-4541 12 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM PCMH: No

Thoracic & Cardiovascular Surgery Lutrin, Frank MD Provider ID: 403331 Gender: Male Cardiac Surgery Associates SC 1405 W Park St Ste 303 Urbana, IL 61801 (217) 337-2924 Fax: (217) 337-2703 00 Yrs/130 Yrs Languages: French M-F 9:00 AM - 4:00 PM PCMH: No Singh, Harbinder MD Provider ID: 1114598 Gender: Male Cardiac Surgery Associates SC 1405 W Park St Ste 303 Urbana, IL 61801 (217) 337-2924 Fax: (217) 337-2703 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

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Updated: 03/08/2018

Specialty Physicians Christian General Dentistry Pladziewicz, Paul DDS Provider ID: TPVP142467-01 Gender: Male Paul A Pladziewicz 118 S Main St Taylorville, IL 62568 (217) 824-7285 Fax: (847) 954-2630 00 Yrs/99 Yrs M-W 8:00 AM - 5:00 PM TH 8:00 AM - 12:00 PM PCMH: No

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Updated: 03/08/2018

Specialty Physicians Coles Cardiology Dande, Amit MD Provider ID: 953159 Gender: Male Prairie Cardiovascular Consult 500 Health Center Dr Ste 107 Mattoon, IL 61938 (217) 348-4960 Fax: (217) 348-4951 18 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No

Dermatology Leone, Douglas MD Provider ID: 1174799 Gender: Male Dermatology and Mohs Surgery L 100 Deerpath Rd Charleston, IL 61920 (309) 451-3376 Fax: (309) 452-3376 00 Yrs/130 Yrs M-F 8:00 AM - 4:30 PM PCMH: No Schupbach, Adrienne MD Provider ID: 1157870 Gender: Female Dermatology and Mohs Surgery L 100 Deerpath Rd Charleston, IL 61920 (309) 451-3376 Fax: (309) 452-3376 00 Yrs/130 Yrs M-F 8:00 AM - 4:30 PM PCMH: No

Ophthalmology Miller, Ronald MD Provider ID: 1032049 Gender: Male Jfj Eyecare LTD 220 Richmond Ave E Mattoon, IL 61938 (217) 234-3937 Fax: (217) 234-3930 00 Yrs/130 Yrs St Anthonys Memorial Hospita M-F 9:00 AM - 5:00 PM PCMH: No

Radiation Oncology Cho, Seong MD Provider ID: 1091738 Gender: Male Cancer Care Specialists of Center 1000 Health Center Dr Sarah Bush Lincoln Cancer Center Mattoon, IL 61938 (217) 258-2250 Fax: (217) 258-2249 00 Yrs/130 Yrs Languages: Korean M-F 8:00 AM - 5:00 PM PCMH: No

General Dentistry Riegel, Daniela DMD Provider ID: TPVP132137-02 Gender: Female Sihf Charleston Medical Center 626 W Lincoln Ave Charleston, IL 61920 (217) 345-7702 Fax: (217) 345-7705 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

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Updated: 03/08/2018

Specialty Physicians Douglas General Dentistry Lin, Chan DMD Provider ID: TPVP129770-01 Gender: Female Douglas County Health Department 1250 E US Hwy 36 Tuscola, IL 61953 (217) 253-4137 Fax: (217) 253-3421 00 Yrs/99 Yrs Languages: Spanish M-TH 8:00 AM - 4:00 PM PCMH: No

Sullivan, Donald MD Provider ID: 1488104 Gender: Male Kirby Medical Center 108 S Main St Atwood, IL 61913 (217) 578-3814 00 Yrs/130 Yrs M 9:00 AM - 5:00 PM PCMH: No

Martinez, Austin DDS Provider ID: TPVP137760-01 Gender: Male Douglas County Health Department 1250 E US Hwy 36 Tuscola, IL 61953 (217) 253-4137 Fax: (217) 253-3421 00 Yrs/99 Yrs Languages: Spanish M-TH 8:00 AM - 4:00 PM PCMH: No Winfield, James DDS Provider ID: TPVP159225-01 Gender: Male Douglas County Health Department 1250 E US Hwy 36 Tuscola, IL 61953 (217) 253-4137 Fax: (217) 253-3421 00 Yrs/99 Yrs Languages: Spanish M-TH 8:00 AM - 4:00 PM PCMH: No

Orthopaedic Surgery Sams, Jacob MD Provider ID: 1488101 Gender: Male Kirby Medical Center 108 S Main St Atwood, IL 61913 (217) 578-3814 00 Yrs/130 Yrs M 9:00 AM - 5:00 PM PCMH: No

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Updated: 03/08/2018

Specialty Physicians Greene General Surgery Schulz, Malcolm MD Provider ID: 1499939 Gender: Male Thomas H Boyd Memorial Hospita 800 School St Carrollton, IL 62016 (217) 942-6946 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

www.harmonyhpi.com | 40

Updated: 03/08/2018

Specialty Physicians Hancock Cardiology Nissenbaum, Eliot DO Provider ID: 1539351 Gender: Male Blessing Corporate Services Db 1102 N County Rd 700 Warsaw, IL 62379 (217) 256-4100 Fax: (217) 256-3800 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Endocrinology, Diabetes, Metabolism Higgins, Dustin DO Provider ID: 1510469 Gender: Male Memorial Hospital Association 1450 N County Rd 2050 Carthage, IL 62321 (217) 222-6550 00 Yrs/130 Yrs PCMH: No

Family Practice

Nephrology Safar, Elyas MD Provider ID: 1539354 Gender: Male Blessing Corporate Services Db 1102 N County Rd 700 Warsaw, IL 62379 (217) 256-4100 Fax: (217) 256-3800 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Neurology Sullivant, Douglas MD Provider ID: 1510492 Gender: Male Memorial Hospital Association 1450 N County Rd 2050 Carthage, IL 62321 (217) 222-6550 00 Yrs/130 Yrs M-TH 7:00 AM - 5:00 PM F 7:00 AM - 6:00 PM PCMH: No

Obstetrics/Gynecology

Orthopaedic Surgery Tallerico, Brian DO Provider ID: 1510493 Gender: Male Memorial Hospital Association 1450 N County Rd 2050 Carthage, IL 62321 (217) 357-2173 00 Yrs/130 Yrs M-TH 7:00 AM - 5:00 PM F 7:00 AM - 6:00 PM PCMH: No

Podiatry Swanson, Brock DPM Provider ID: 1539358 Gender: Male Blessing Corporate Services Db 1102 N County Rd 700 Warsaw, IL 62379 (217) 256-4100 Fax: (217) 256-3800 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Psychiatry

Popela Kalivoda, Victoria DO Provider ID: 1510486 Gender: Female Memorial Hospital Association 1454 N County Rd 2050 Carthage, IL 62321 (217) 357-8500 00 Yrs/130 Yrs PCMH: No

General Surgery

Jones, Christopher MD Provider ID: 1510473 Gender: Male Memorial Hospital Association 630 Locust St Carthage, IL 62321 (217) 357-0617 00 Yrs/130 Yrs M-TH 8:00 AM - 8:00 PM F 8:00 AM - 5:00 PM PCMH: No

John, Bejoy MD Provider ID: 1539347 Gender: Male Blessing Corporate Services Db 1102 N County Rd 700 Warsaw, IL 62379 (217) 256-4100 Fax: (217) 256-3800 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Peters, Randall MD Provider ID: 1510484 Gender: Male Memorial Hospital Association 1450 N County Rd 2050 Carthage, IL 62321 (217) 357-2173 00 Yrs/130 Yrs M-TH 7:00 AM - 5:00 PM F 7:00 AM - 6:00 PM PCMH: No

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Woerner, Philip MD Provider ID: 1519037 Gender: Male Mental Health Centers of Weste 607 Buchanan St Carthage, IL 62321 (217) 357-3176 Fax: (217) 357-6609 05 Yrs/130 Yrs MTTHF 8:00 AM - 4:30 PM W 8:00 AM - 7:00 PM PCMH: No

Rheumatology Horvath, Jeffrey MD Provider ID: 1510471 Gender: Male Memorial Hospital Association 1450 N County Rd 2050 Carthage, IL 62321 (217) 528-7541 00 Yrs/130 Yrs M-TH 7:00 AM - 5:00 PM F 7:00 AM - 6:00 PM PCMH: No

Urology O'Halloran, Richard MD Provider ID: 1539352 Gender: Male Blessing Corporate Services Db 1102 N County Rd 700 Warsaw, IL 62379 (217) 256-4100 Fax: (217) 256-3800 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Updated: 03/08/2018

Specialty Physicians Hancock Urology - cont. Ouwenga, Michael MD Provider ID: 1510482 Gender: Male Memorial Hospital Association 1450 N County Rd 2050 Carthage, IL 62321 (217) 222-6550 00 Yrs/130 Yrs M-TH 7:00 AM - 5:00 PM F 7:00 AM - 6:00 PM PCMH: No

www.harmonyhpi.com | 42

Updated: 03/08/2018

Specialty Physicians Iroquois General Surgery Beck, M Hytham MD Provider ID: 1538639 Gender: Male Iroquois Memorial Hospital and 200 Fairman Ave Watseka, IL 60970 (815) 432-5411 Fax: (815) 432-3955 00 Yrs/130 Yrs M-TH 8:00 AM - 6:00 PM F 7:00 AM - 5:00 PM Sat 8:00 AM - 2:00 PM PCMH: No Beck, M Hytham MD Provider ID: 1539914 Gender: Male Iroquois Memorial Hospital and 34 E Jones St Milford, IL 60953 (815) 889-4241 Fax: (815) 889-4244 00 Yrs/130 Yrs M 8:30 AM - 5:00 PM TTH 8:00 AM - 6:00 PM WF 8:00 AM - 5:00 PM PCMH: No Beck, M Hytham MD Provider ID: 1539921 Gender: Male Iroquois Memorial Hospital and 508 E Crescent St Gilman, IL 60938 (815) 265-8889 Fax: (815) 265-8332 00 Yrs/130 Yrs MF 7:00 AM - 5:00 PM TTH 8:30 AM - 6:30 PM W 8:30 AM - 5:00 PM PCMH: No

Williams, Gretchen DO Provider ID: 1313137 Gender: Female Riverside Health Systems 1490 E Walnut St Ste A Watseka, IL 60970 (815) 432-7693 Fax: (815) 936-7228 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Gynecology Helwig, Glenn MD Provider ID: 1538642 Gender: Male Iroquois Memorial Hospital and 200 Fairman Ave Watseka, IL 60970 (815) 432-5411 Fax: (815) 432-3955 00 Yrs/130 Yrs M-TH 8:00 AM - 6:00 PM F 7:00 AM - 5:00 PM Sat 8:00 AM - 2:00 PM PCMH: No Helwig, Glenn MD Provider ID: 1539924 Gender: Male Iroquois Memorial Hospital and 34 E Jones St Milford, IL 60953 (815) 889-4241 Fax: (815) 889-4244 00 Yrs/130 Yrs M 8:30 AM - 5:00 PM TTH 8:00 AM - 6:00 PM WF 8:00 AM - 5:00 PM PCMH: No

Helwig, Glenn MD Provider ID: 1539928 Gender: Male Iroquois Memorial Hospital and 508 E Crescent St Gilman, IL 60938 (815) 265-8889 Fax: (815) 265-8332 00 Yrs/130 Yrs MF 7:00 AM - 5:00 PM TTH 8:30 AM - 6:30 PM W 8:30 AM - 5:00 PM PCMH: No

Hematology & Oncology Basha, Ahsan MD Provider ID: 1166542 Gender: Male Riverside Health Systems 1490 W Walnut St Ste B Watseka, IL 60970 (815) 432-0250 Fax: (815) 432-5217 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Sipahi, Mehmet MD Provider ID: 1163004 Gender: Male Riverside Health Systems 1490 E Walnut St Ste A Watseka, IL 60970 (815) 432-0250 Fax: (815) 432-5217 18 Yrs/130 Yrs M 8:30 AM - 3:00 PM PCMH: No

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Internal Medicine Reyes, Crisanto MD Provider ID: 1538558 Gender: Male Iroquois Memorial Hospital and 34 E Jones St Milford, IL 60953 (815) 889-4241 Fax: (815) 889-4244 00 Yrs/130 Yrs M 8:30 AM - 5:00 PM TTH 8:00 AM - 6:00 PM WF 8:00 AM - 5:00 PM PCMH: No Reyes, Crisanto MD Provider ID: 1539903 Gender: Male Iroquois Memorial Hospital and 508 E Crescent St Gilman, IL 60938 (815) 265-8889 Fax: (815) 265-8332 00 Yrs/130 Yrs MF 7:00 AM - 5:00 PM TTH 8:30 AM - 6:30 PM W 8:30 AM - 5:00 PM PCMH: No Reyes, Crisanto MD Provider ID: 1539906 Gender: Male Iroquois Memorial Hospital and 200 Fairman Ave Watseka, IL 60970 (815) 432-5411 Fax: (815) 432-3955 00 Yrs/130 Yrs M-TH 8:00 AM - 6:00 PM F 7:00 AM - 5:00 PM Sat 8:00 AM - 2:00 PM PCMH: No

Updated: 03/08/2018

Specialty Physicians Iroquois Neurology Dodt, Bruce MD Provider ID: 1159810 Gender: Male Riverside Health Systems 1490 E Walnut St Ste A Watseka, IL 60970 (815) 432-0250 Fax: (815) 432-5217 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Neurosurgery Harvey, Charles MD Provider ID: 1159360 Gender: Male Riverside Health Systems 1490 E Walnut St Watseka, IL 60970 (815) 932-7200 Fax: (815) 935-7874 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Orthodontics Rose, John DDS Provider ID: TPVP138639-02 Gender: Male Drs Martin Rose 316 E Lincoln Ave Watseka, IL 60970 (815) 432-4924 Fax: (815) 432-5291 00 Yrs/99 Yrs M-TH 8:00 AM - 5:00 PM PCMH: No

Rheumatology Sibai, Firas MD Provider ID: 1158462 Gender: Male Riverside Health Systems 1490 E Walnut St Ste A Watseka, IL 60970 (815) 432-0250 Fax: (815) 432-5217 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Obstetrics/Gynecology Kim, Jun DO Provider ID: 1473220 Gender: Male Riverside Health Systems 1490 E Walnut St Ste A Watseka, IL 60970 (815) 432-7693 Fax: (815) 936-7228 00 Yrs/130 Yrs Languages: Korean M-TH 9:00 AM - 5:00 PM F 9:00 AM - 3:00 PM PCMH: No

www.harmonyhpi.com | 44

Updated: 03/08/2018

Specialty Physicians Jersey Cardiology Al-Joundi, Bassam MD Provider ID: 1118830 Gender: Male SSM Managed Care Organization 270 Maple Summit Rd Jerseyville, IL 62052 (618) 498-7652 Fax: (314) 729-3963 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Al-Joundi, Bassam MD Provider ID: 1118830 Gender: Male SSM Managed Care Organization 390 Maple Summit Rd Jerseyville, IL 62052 (618) 498-7652 Fax: (314) 729-3963 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Assi, Nizar MD Provider ID: 1108296 Gender: Male SSM Managed Care Organization 270 Maple Summit Rd Jerseyville, IL 62052 (618) 498-7453 Fax: (314) 729-3963 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Assi, Nizar MD Provider ID: 1108296 Gender: Male SSM Managed Care Organization 390 Maple Summit Rd Jerseyville, IL 62052 (618) 498-7652 Fax: (314) 729-3963 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Younis, Liwa MD Provider ID: 743067 Gender: Male SSM Managed Care Organization 270 Maple Summit Rd Jerseyville, IL 62052 (618) 498-7453 Fax: (314) 729-3963 00 Yrs/130 Yrs Languages: French, Arabic M-F 9:00 AM - 5:00 PM PCMH: No Younis, Liwa MD Provider ID: 743067 Gender: Male SSM Managed Care Organization 390 Maple Summitt Rd Jerseyville, IL 62052 (618) 498-7652 Fax: (314) 729-3963 00 Yrs/130 Yrs Languages: French, Arabic M-F 9:00 AM - 5:00 PM PCMH: No

Psychiatry Webster, Metodia MD Provider ID: 1044809 Gender: Female Jersey Community Hospital DBA 270 Maple Summit Rd Jerseyville, IL 62052 (618) 498-7108 Fax: (618) 498-7919 18 Yrs/130 Yrs Saint Anthonys Health Center M-F 9:00 AM - 5:00 PM PCMH: No

Internal Medicine Younis, Liwa MD Provider ID: 743067 Gender: Male SSM Managed Care Organization 270 Maple Summit Rd Jerseyville, IL 62052 (618) 498-7453 Fax: (314) 729-3963 00 Yrs/130 Yrs Languages: French, Arabic M-F 9:00 AM - 5:00 PM PCMH: No Younis, Liwa MD Provider ID: 743067 Gender: Male SSM Managed Care Organization 390 Maple Summitt Rd Jerseyville, IL 62052 (618) 498-7652 Fax: (314) 729-3963 00 Yrs/130 Yrs Languages: French, Arabic M-F 9:00 AM - 5:00 PM PCMH: No

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Updated: 03/08/2018

Specialty Physicians Livingston Dermatology Leone, Douglas MD Provider ID: 1174799 Gender: Male Dermatology and Mohs Surgery L 1508 W Reynolds St Ste C Pontiac, IL 61764 (815) 842-4000 Fax: (815) 842-3700 00 Yrs/130 Yrs M-F 8:00 AM - 4:00 PM PCMH: No Schupbach, Adrienne MD Provider ID: 1157870 Gender: Female Dermatology and Mohs Surgery L 1508 W Reynolds St Ste C Pontiac, IL 61764 (217) 234-8000 Fax: (217) 234-8003 00 Yrs/130 Yrs M-F 8:00 AM - 4:30 PM PCMH: No

Optometry Henson, Brian OD Provider ID: TPV1184782112-0 Gender: Male Jak Enterprises Inc 1712 W Reynolds Rd Pontiac, IL 61764 (815) 419-2019 Fax: (815) 419-2021 01 Yrs/99 Yrs MTWF 9:00 AM - 6:00 PM TH 9:00 AM - 7:00 PM Sat 9:00 AM - 3:00 PM PCMH: No

www.harmonyhpi.com | 46

Updated: 03/08/2018

Specialty Physicians Logan Dermatology Kao, Wynn MD Provider ID: 1470473 Gender: Male Dermatology and Mohs Surgery L 626 N Chicago St Lincoln, IL 62656 (309) 451-3376 Fax: (309) 452-3376 00 Yrs/130 Yrs Languages: Spanish M-F 8:00 AM - 4:30 PM PCMH: No

Walsh, James OD Provider ID: TPV1144230210-0 Gender: Male James P Walsh 825 Malerich DR Lincoln, IL 62656 (217) 732-4285 Fax: (217) 732-4290 05 Yrs/99 Yrs MT 9:00 AM - 6:00 PM W 9:00 AM - 4:00 PM PCMH: No

Leone, Douglas MD Provider ID: 1174799 Gender: Male Dermatology and Mohs Surgery L 626 N Chicago St Lincoln, IL 62656 (309) 451-3376 Fax: (309) 452-3376 00 Yrs/130 Yrs M-F 8:00 AM - 4:30 PM PCMH: No

Optometry Pelfrey Jones, Sandra OD Provider ID: TPV1770589244-0 Gender: Female Jak Enterprises Inc 1481 Woodlawn Rd Lincoln, IL 62656 (217) 735-1707 Fax: (217) 735-1903 01 Yrs/99 Yrs MTTHF 9:00 AM - 6:00 PM W 9:00 AM - 8:00 PM Sat 9:00 AM - 3:00 PM PCMH: No

www.harmonyhpi.com | 47

Updated: 03/08/2018

Specialty Physicians Macon Cardiology Addai, Theodore MD Provider ID: 1146963 Gender: Male Prairie Cardiovascular Consult 1800 E Lake Shore Dr Ste 6 Decatur, IL 62521 (217) 422-6100 Fax: (217) 422-3217 12 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No Caceres, Luis MD Provider ID: 953407 Gender: Male Prairie Cardiovascular Consult 1800 E Lake Shore Dr Decatur, IL 62521 (217) 422-6100 Fax: (217) 422-7897 00 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No Hall, Jack MD Provider ID: 1164519 Gender: Male Prairie Cardiovascular Consult 1800 E Lake Shore Dr Ste 6 Decatur, IL 62521 (217) 422-6100 Fax: (217) 422-3217 00 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No Kairouz, Jeanne MD Provider ID: 953165 Gender: Female Prairie Cardiovascular Consult 1800 E Lake Shore Dr Decatur, IL 62521 (217) 422-6100 Fax: (217) 422-7897 00 Yrs/00 Yrs M-F 7:30 AM - 5:00 PM PCMH: No

Kola, Manohar MD Provider ID: 927676 Gender: Male Prairie Cardiovascular Consult 1800 E Lake Shore Dr Decatur, IL 62521 (217) 422-6100 Fax: (217) 422-3217 18 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No Patel, Krishankumar MD Provider ID: 953462 Gender: Male Prairie Cardiovascular Consult 1800 E Lake Shore Dr Decatur, IL 62521 (217) 422-6100 Fax: (217) 422-7897 00 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No

General Dentistry

Gulati, Jaswinder DMD Provider ID: TPVP157692-01 Gender: Female Familia Dental 141 E Pershing Rd Decatur, IL 62526 (888) 988-4066 Fax: (847) 496-4850 00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 4:00 PM PCMH: No Huff, Atwood DMD Provider ID: TPVP63282-02 Gender: Male Macon County Health Department 1221 E Condit St Decatur, IL 62521 (217) 423-9930 Fax: (217) 423-2006 00 Yrs/99 Yrs M-F 8:00 AM - 4:00 PM PCMH: No

Augend, Arsaland DDS Provider ID: TPVP152831-01 Gender: Male Familia Dental 141 E Pershing Rd Decatur, IL 62526 (888) 988-4066 Fax: (847) 496-4850 00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 4:00 PM PCMH: No

Wong, Irene DDS Provider ID: TPVP129251-01 Gender: Female Familia Dental 141 E Pershing Rd Decatur, IL 62526 (888) 988-4066 Fax: (847) 496-4850 00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 4:00 PM PCMH: No

Deena Dayalu Naidu, Jyothi DDS Provider ID: TPVP167809-01 Gender: Female Familia Dental 141 E Pershing Rd Decatur, IL 62526 (888) 988-4066 Fax: (847) 496-4850 00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 4:00 PM PCMH: No

Yasunaga, Hannah DDS Provider ID: TPVP170521-01 Gender: Female Macon County Health Department 1221 E Condit St Decatur, IL 62521 (217) 423-9930 Fax: (217) 423-2006 00 Yrs/99 Yrs M-F 8:00 AM - 4:00 PM PCMH: No

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Gynecological Oncology Semaan, Assaad MD Provider ID: 1499486 Gender: Male Vita Center For Women LLC 544 W Pershing Rd Ste A Decatur, IL 62526 (217) 872-2400 Fax: (217) 875-4680 18 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM PCMH: No

Hematology & Oncology Guaglianone, Perry MD Provider ID: 1117152 Gender: Male Cancer Care Specialists of Center 210 W McKinley Ave Ste 1 Decatur, IL 62526 (217) 876-6600 Fax: (217) 876-6606 00 Yrs/130 Yrs M-TH 8:00 AM - 4:30 PM PCMH: No Kairouz, Sebastien MD Provider ID: 1091734 Gender: Male Cancer Care Specialists of Center 210 W McKinley Ave Ste 1 Decatur, IL 62526 (217) 876-6600 Fax: (217) 876-6606 00 Yrs/130 Yrs Languages: French, Arabic M-F 8:00 AM - 4:30 PM PCMH: No

Updated: 03/08/2018

Specialty Physicians Macon Internal Medicine Addai, Theodore MD Provider ID: 1146963 Gender: Male Prairie Cardiovascular Consult 1800 E Lake Shore Dr Ste 6 Decatur, IL 62521 (217) 422-6100 Fax: (217) 422-3217 12 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No Esparaz, Benjamin MD Provider ID: 1105062 Gender: Male Cancer Care Specialists of Center 210 W McKinley Ave Ste 1 Decatur, IL 62526 (217) 846-6600 Fax: (217) 876-6606 12 Yrs/130 Yrs M-F 8:00 AM - 4:30 PM PCMH: No Kairouz, Sebastien MD Provider ID: 1091734 Gender: Male Cancer Care Specialists of Center 210 W McKinley Ave Ste 1 Decatur, IL 62526 (217) 876-6600 Fax: (217) 876-6606 00 Yrs/130 Yrs Languages: French, Arabic M-F 8:00 AM - 4:30 PM PCMH: No Wade, James MD Provider ID: 1087040 Gender: Male Cancer Care Specialists of Center 210 W McKinley Ave Ste 1 Decatur, IL 62526 (217) 876-6600 Fax: (217) 876-6606 18 Yrs/130 Yrs M 8:00 AM - 9:30 PM TWTHF 8:00 AM - 4:30 PM PCMH: No

Interventional Cardiology Wade, James MD Hall, Jack MD Provider ID: 1164519 Gender: Male Prairie Cardiovascular Consult 1800 E Lake Shore Dr Ste 6 Decatur, IL 62521 (217) 422-6100 Fax: (217) 422-3217 00 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No

Medical Oncology Esparaz, Benjamin MD Provider ID: 1105062 Gender: Male Cancer Care Specialists of Center 210 W McKinley Ave Ste 1 Decatur, IL 62526 (217) 846-6600 Fax: (217) 876-6606 12 Yrs/130 Yrs M-F 8:00 AM - 4:30 PM PCMH: No Ontiveros, Evelena MD Provider ID: 1465544 Gender: Female Cancer Care Specialists of Center 1990 E Lake Shore Dr Decatur, IL 62521 (217) 876-6600 18 Yrs/130 Yrs M-F 8:00 AM - 4:30 PM PCMH: No Ontiveros, Evelena MD Provider ID: 1465544 Gender: Female Cancer Care Specialists of Center 210 W McKinley Ave Ste 1 Decatur, IL 62526 (217) 876-6600 18 Yrs/130 Yrs M-F 8:00 AM - 4:30 PM PCMH: No

Provider ID: 1087040 Gender: Male Cancer Care Specialists of Center 210 W McKinley Ave Ste 1 Decatur, IL 62526 (217) 876-6600 Fax: (217) 876-6606 18 Yrs/130 Yrs M 8:00 AM - 9:30 PM TWTHF 8:00 AM - 4:30 PM PCMH: No

Obstetrics/Gynecology Echeazu, Chinelo MD Provider ID: 1499501 Gender: Female Vita Center For Women LLC 1750 E Lake Shore Dr Ste 110 Decatur, IL 62521 (217) 422-2500 Fax: (217) 422-2521 18 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM PCMH: No Hanna, Adel MD Provider ID: 1492570 Gender: Male Lake Shore OB/GYN of Decatur SC 1770 E Lake Shore Dr Ste 303 Decatur, IL 62521 (217) 429-4119 Fax: (217) 429-0108 00 Yrs/130 Yrs Languages: Arabic M-W 9:00 AM - 5:00 PM TH 9:00 AM - 2:00 PM PCMH: No Hanna, Adel MD Provider ID: 713540 Gender: Male Lakeshore OB/GYN 1770 E Lake Shore Dr Ste 303 Decatur, IL 62521 (217) 429-4119 Fax: (217) 429-0108 16 Yrs/130 Yrs M 12:00 AM - 5:00 PM TW 9:00 AM - 5:00 PM TH 10:00 AM - 1:00 PM PCMH: No

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Keller, Jay MD Provider ID: 1499479 Gender: Male Vita Center For Women LLC 544 W Pershing Rd Ste A Decatur, IL 62526 (217) 872-2400 Fax: (217) 875-4680 18 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM PCMH: No Lord, Nicole Np Provider ID: 1529642 Gender: Female Laurel Walton DO SC 1770 E Lake Shore Dr Ste 309 Decatur, IL 62521 (217) 422-9740 00 Yrs/130 Yrs M-TH 9:00 AM - 5:00 PM PCMH: No Moodalagiriaiah, Mamatha MD Provider ID: 1499481 Gender: Female Vita Center For Women LLC 544 W Pershing Rd Ste A Decatur, IL 62526 (217) 872-2400 Fax: (217) 875-4680 00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM PCMH: No Pfeiffer, Jeffrey MD Provider ID: 1499477 Gender: Male Vita Center For Women LLC 544 W Pershing Rd Ste A Decatur, IL 62526 (217) 872-2400 Fax: (217) 875-4680 00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM PCMH: No

Updated: 03/08/2018

Specialty Physicians Macon Obstetrics/Gynecology - Lane, Steven OD cont. Provider ID: TPV1952427262-0 Walton, Laurel DO Provider ID: 1529639 Gender: Female Laurel Walton DO SC 1770 E Lake Shore Dr Ste 309 Decatur, IL 62521 (217) 422-9740 Fax: (217) 422-7813 00 Yrs/130 Yrs M-TH 9:00 AM - 5:00 PM PCMH: No Winter, Sarah MD Provider ID: 1499483 Gender: Female Vita Center For Women LLC 544 W Pershing Rd Ste A Decatur, IL 62526 (217) 872-2400 Fax: (217) 875-4680 18 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM PCMH: No

Optometry Davis, James OD Provider ID: TPV1366492357-0 Gender: Male James Davis 3411 N Woodford Decatur, IL 62526 (217) 877-0312 Fax: (217) 877-0397 02 Yrs/99 Yrs M 8:00 AM - 6:00 PM TWTH 8:00 AM - 5:00 PM PCMH: No Jones, Deborah OD Provider ID: TPV1043373871-0 Gender: Female Jak Enterprises Inc 331 W 1st Dr Decatur, IL 62521 (217) 422-3881 Fax: (217) 422-3881 01 Yrs/99 Yrs MTWF 9:00 AM - 6:00 PM TH 9:00 AM - 7:00 PM Sat 9:00 AM - 3:00 PM PCMH: No

Gender: Male Jak Enterprises Inc 1351 Hickory Point Dr Ste B Forsyth, IL 62535 (217) 875-3724 Fax: (217) 875-3840 01 Yrs/99 Yrs M 9:00 AM - 7:00 PM TWTHF 9:00 AM - 6:00 PM Sat 9:00 AM - 3:00 PM PCMH: No

Richmond, Ronald OD Provider ID: TPV1184611766-0 Gender: Male Jak Enterprises Inc 1351 Hickory Point Dr Ste B Forsyth, IL 62535 (217) 875-3724 Fax: (217) 875-3840 01 Yrs/99 Yrs M 9:00 AM - 7:00 PM TWTHF 9:00 AM - 6:00 PM Sat 9:00 AM - 3:00 PM PCMH: No

Orthodontics Sanfelippo, Lisa DDS Provider ID: TPVP158349-01 Gender: Female Familia Dental 141 E Pershing Rd Decatur, IL 62526 (888) 988-4066 Fax: (847) 496-4850 00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 4:00 PM PCMH: No

Orthopaedic Surgery Sams, Jacob MD Provider ID: 1488008 Gender: Male Kirby Medical Center 104 E Ashland Ave Decatur Orthopedic Center Mount Zion, IL 62549 (217) 864-2665 00 Yrs/130 Yrs MTH 7:30 AM - 5:00 PM TW 8:00 AM - 5:00 PM PCMH: No

Thoele, Ryan OD Provider ID: 1524867 Gender: Male International Eyecare Center I Sullivan, Donald MD Provider ID: 1488018 1505 W Main St Gender: Male Mt Zion, IL 62549 Kirby Medical Center (217) 228-6313 104 E Ashland Ave Fax: (217) 641-0028 Mount Zion, IL 62549 00 Yrs/130 Yrs (217) 864-2665 M-F 8:30 AM - 5:00 PM Fax: (217) 864-8042 PCMH: No 00 Yrs/130 Yrs Walsh, James OD M-F 8:00 AM - 5:00 PM Provider ID: TPV1144230210-0 PCMH: No Gender: Male Psychiatry James P Walsh 4224 N Prospect St Decatur, IL 62526 Kavuri, Choudary MD (217) 875-0212 Provider ID: 848182 Fax: (217) 875-0201 Gender: Male 05 Yrs/99 Yrs Choudary V Kavuri MD M 9:00 AM - 6:00 PM 1770 E Lake Shore Dr Ste 208 PCMH: No Decatur, IL 62521 (217) 428-1900 Fax: (217) 428-1900 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

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Psychology Hall, Leroy PsyD Provider ID: 1526626 Gender: Male Psychology Specialists 102 W Kenwood Ave Ste 102 Decatur, IL 62526 (217) 520-1047 Fax: (309) 452-9028 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Peek, Keena PsyD Provider ID: 1526248 Gender: Female Psychology Specialists 102 W Kenwood Ave Ste 102 Decatur, IL 62526 (217) 520-1047 Fax: (309) 588-4115 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Stoklas, Randy PsyD Provider ID: 1528229 Gender: Male Psychology Specialists 102 W Kenwood Ave Ste 120A Decatur, IL 62526 (217) 520-1047 Fax: (309) 588-4115 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

Substance Abuse Heritage At Crossing Healthcare Provider ID: 1536027 Heritage Behavioral Health Center 1029 N Water St Dacatur, IL 62523 (217) 362-6262 Fax: (217) 362-6290 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

Updated: 03/08/2018

Specialty Physicians Macon Substance Abuse - cont. Heritage Behavioral Health Center Provider ID: 1536182 Heritage Behavioral Health Center 151 N Main St Dacatur, IL 62521 (217) 362-6262 Fax: (217) 362-6290 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

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Updated: 03/08/2018

Specialty Physicians Macoupin Endocrinology, Diabetes, Boente, Katherine DMD Metabolism Provider ID: TPVP158354-01 Razavi, Christie MD Provider ID: 1242906 Gender: Female Hshs Medical Group Inc 20733 N Broad St Carlinville, IL 62626 (217) 787-8870 Fax: (217) 787-6158 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

General Dentistry Bassi, Isha DMD Provider ID: TPVP125527-03 Gender: Female Advanced Family Dental Orthodontics of Mt Olive 312 W Main St Mount Olive, IL 62069 (217) 999-6211 Fax: (217) 999-4587 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM PCMH: No Beckmann, Cheryl DMD Provider ID: TPVP158348-01 Gender: Female Maple Street Clinic 109 E Maple St Gillespie, IL 62033 (217) 839-4110 Fax: (217) 839-4108 00 Yrs/99 Yrs M 8:00 AM - 5:00 PM TTH 8:00 AM - 7:00 PM W 8:00 AM - 6:00 PM F 9:00 AM - 5:00 PM PCMH: No

Gender: Female Maple Street Clinic 109 E Maple St Gillespie, IL 62033 (217) 839-4110 Fax: (217) 839-4108 00 Yrs/99 Yrs M 8:00 AM - 5:00 PM TTH 8:00 AM - 7:00 PM W 8:00 AM - 6:00 PM F 9:00 AM - 5:00 PM PCMH: No

Cairns, John DDS Provider ID: TPVP153089-01 Gender: Male Advanced Family Dental Orthodontics of Mt Olive 312 W Main St Mount Olive, IL 62069 (217) 999-6211 Fax: (217) 999-4587 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM PCMH: No

Dave, Abdul-Aleem DDS Provider ID: TPVP133003-02 Gender: Male Advanced Family Dental Orthodontics of Mt Olive 312 W Main St Mount Olive, IL 62069 (217) 999-6211 Fax: (217) 999-4587 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM PCMH: No Drescher, Matthew DDS Provider ID: TPVP121383-04 Gender: Male Advanced Family Dental Orthodontics of Mt Olive 312 W Main St Mount Olive, IL 62069 (217) 999-6211 Fax: (217) 999-4587 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM PCMH: No

Cairns, John DDS Provider ID: TPVP153089-02 Duggirala, Swetha DDS Gender: Male Advanced Family Dental Provider ID: TPV019027628-37 Orthodontics of Carlinville PC Gender: Female 201 McCausland St Ste A Advanced Family Dental Carlinville, IL 62626 Orthodontics of Mt Olive (217) 854-4059 312 W Main St Fax: (217) 854-9518 Mount Olive, IL 62069 00 Yrs/99 Yrs (217) 999-6211 MTWF 9:00 AM - 5:00 PM Fax: (217) 999-4587 TH 9:00 AM - 7:00 PM 00 Yrs/99 Yrs PCMH: No M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM Choi, Jun DMD PCMH: No Provider ID: TPVP145521-02 Gender: Male Advanced Family Dental Orthodontics of Mt Olive 312 W Main St Mount Olive, IL 62069 (217) 999-6211 Fax: (217) 999-4587 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM PCMH: No

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Fazili, Snowber DDS Provider ID: TPVP67591-03 Gender: Female Advanced Family Dental Orthodontics of Mt Olive 312 W Main St Mount Olive, IL 62069 (217) 999-6211 Fax: (217) 999-4587 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM PCMH: No Fazili, Snowber DDS Provider ID: TPVP67591-13 Gender: Female Advanced Family Dental Orthodontics of Carlinville PC 201 McCausland St Ste A Carlinville, IL 62626 (217) 854-4059 Fax: (217) 854-9518 00 Yrs/99 Yrs MTWF 9:00 AM - 5:00 PM TH 9:00 AM - 7:00 PM PCMH: No Ferando, Blake DMD Provider ID: TPVP153478-01 Gender: Male Advanced Family Dental Orthodontics of Carlinville PC 201 McCausland St Ste A Carlinville, IL 62626 (217) 854-4059 Fax: (217) 854-9518 00 Yrs/99 Yrs MTWF 9:00 AM - 5:00 PM TH 9:00 AM - 7:00 PM PCMH: No Ferando, Blake DMD Provider ID: TPVP153478-02 Gender: Male Maple Street Clinic 109 E Maple St Gillespie, IL 62033 (217) 839-4110 Fax: (217) 839-4108 00 Yrs/99 Yrs M 8:00 AM - 5:00 PM TTH 8:00 AM - 7:00 PM W 8:00 AM - 6:00 PM F 9:00 AM - 5:00 PM PCMH: No

Updated: 03/08/2018

Specialty Physicians Macoupin General Dentistry - cont. Muddasani, Padmini DDS Guadiz, Michael DDS Provider ID: TPVP142321-02 Gender: Male Advanced Family Dental Orthodontics of Mt Olive 312 W Main St Mount Olive, IL 62069 (217) 999-6211 Fax: (217) 999-4587 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM PCMH: No Hong, Sung DDS Provider ID: TPVP90322-04 Gender: Male Advanced Family Dental Orthodontics of Mt Olive 312 W Main St Mount Olive, IL 62069 (217) 999-6211 Fax: (217) 999-4587 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM PCMH: No Kempf, Paul DDS Provider ID: TPVP61140-05 Gender: Male Advanced Family Dental Orthodontics of Mt Olive 312 W Main St Mount Olive, IL 62069 (217) 999-6211 Fax: (217) 999-4587 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM PCMH: No Kizior, Joseph DDS Provider ID: TPVP66245-04 Gender: Male Advanced Family Dental Orthodontics of Mt Olive 312 W Main St Mount Olive, IL 62069 (217) 999-6211 Fax: (217) 999-4587 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM PCMH: No

Provider ID: TPVP27222-01 Gender: Female Advanced Family Dental Orthodontics of Mt Olive 312 W Main St Mount Olive, IL 62069 (217) 999-6211 Fax: (217) 999-4587 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM PCMH: No

Reiser-Loeber, Elizabeth DDS Provider ID: TPVP125546-03 Gender: Female Advanced Family Dental Orthodontics of Mt Olive 312 W Main St Mount Olive, IL 62069 (217) 999-6211 Fax: (217) 999-4587 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM PCMH: No

Rubis, Joseph DDS Provider ID: TPVP64964-15 Gender: Male Advanced Family Dental Orthodontics of Carlinville PC 201 McCausland St Ste A Carlinville, IL 62626 (217) 854-4059 Fax: (217) 854-9518 00 Yrs/99 Yrs MTWF 9:00 AM - 5:00 PM TH 9:00 AM - 7:00 PM PCMH: No

Muthuramaswami, Sethurama Scanlon, Brittany DMD DDS Rubis, David DDS Provider ID: TPVP165888-01 Provider ID: TPVP62790-04 Gender: Female Provider ID: TPV19016447-12 Gender: Male Maple Street Clinic Gender: Male Advanced Family Dental 109 E Maple St Advanced Family Dental Orthodontics of Carlinville PC Orthodontics of Carlinville PC Gillespie, IL 62033 201 McCausland St Ste A 201 McCausland St Ste A (217) 839-4110 Carlinville, IL 62626 Carlinville, IL 62626 Fax: (217) 839-4108 (217) 854-4059 (217) 854-4059 00 Yrs/99 Yrs Fax: (217) 854-9518 Fax: (217) 854-9518 M 8:00 AM - 5:00 PM 00 Yrs/99 Yrs 00 Yrs/99 Yrs TTH 8:00 AM - 7:00 PM MTWF 9:00 AM - 5:00 PM MTWF 9:00 AM - 5:00 PM W 8:00 AM - 6:00 PM TH 9:00 AM - 7:00 PM TH 9:00 AM - 7:00 PM F 9:00 AM - 5:00 PM PCMH: No PCMH: No PCMH: No Ozyurt, Tulin DDS Rubis, David DDS Provider ID: TPV2009016288-0 Provider ID: TPV19016447-14 Gender: Female Gender: Male Maple Street Clinic Advanced Family Dental 109 E Maple St Orthodontics of Mt Olive Gillespie, IL 62033 312 W Main St (217) 839-4110 Mount Olive, IL 62069 Fax: (217) 839-4108 (217) 999-6211 00 Yrs/99 Yrs Fax: (217) 999-4587 Languages: Spanish 00 Yrs/99 Yrs M 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM TTH 8:00 AM - 7:00 PM Sat 9:00 AM - 1:00 PM W 8:00 AM - 6:00 PM PCMH: No F 9:00 AM - 5:00 PM Rubis, Joseph DDS PCMH: No Provider ID: TPVP64964-09 Gender: Male Advanced Family Dental Orthodontics of Mt Olive 312 W Main St Mount Olive, IL 62069 (217) 999-6211 Fax: (217) 999-4587 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM PCMH: No

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Shafer, Kathy DMD Provider ID: TPVP166434-01 Gender: Female Maple Street Clinic 109 E Maple St Gillespie, IL 62033 (217) 839-4110 Fax: (217) 839-4108 00 Yrs/99 Yrs M 8:00 AM - 5:00 PM TTH 8:00 AM - 7:00 PM W 8:00 AM - 6:00 PM F 9:00 AM - 5:00 PM PCMH: No

Updated: 03/08/2018

Specialty Physicians Macoupin General Dentistry - cont. Zaidi, Tabassum DDS Weber, Mary DDS Provider ID: TPVP107947-02 Gender: Female Maple Street Clinic 109 E Maple St Gillespie, IL 62033 (217) 839-4110 Fax: (217) 839-4108 00 Yrs/99 Yrs M 8:00 AM - 5:00 PM TTH 8:00 AM - 7:00 PM W 8:00 AM - 6:00 PM F 9:00 AM - 5:00 PM PCMH: No

Provider ID: TPVP141938-02 Gender: Female Advanced Family Dental Orthodontics of Mt Olive 312 W Main St Mount Olive, IL 62069 (217) 999-6211 Fax: (217) 999-4587 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM PCMH: No

Wolf, Daniel OD Provider ID: 967021 Gender: Male Jfj Eyecare LTD 208 Main St Staunton, IL 62088 (618) 635-8082 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Wolf, Daniel OD Provider ID: 967021 Gender: Male Jfj Eyecare LTD Optometry 314D Fountains Pkwy Staunton, IL 62088 Bachman, Dena OD (618) 622-3013 Provider ID: TPV1285695585-0 Yeager, Brandon DMD 00 Yrs/130 Yrs Gender: Female Provider ID: TPVP159222-01 M-F 9:00 AM - 5:00 PM Southwestern Eye Care Gender: Male PCMH: No 101 N Maple Advanced Family Dental Brighton, IL 62012 Orthodontics of Carlinville PC Orthodontics (618) 372-7000 201 McCausland St Ste A Fax: (618) 372-7003 Carlinville, IL 62626 Alavi, Debra DDS 05 Yrs/99 Yrs (217) 854-4059 Provider ID: TPVP61217-07 MT 8:30 AM 6:00 PM Fax: (217) 854-9518 Gender: Female WTHFSat 8:30 AM 5:00 PM 00 Yrs/99 Yrs Advanced Family Dental PCMH: No MTWF 9:00 AM - 5:00 PM Orthodontics of Mt Olive TH 9:00 AM - 7:00 PM 312 W Main St Ernst, David OD PCMH: No Mount Olive, IL 62069 Provider ID: 983892 (217) 999-6211 Gender: Male Yeager, Brandon DMD Fax: (217) 999-4587 Jfj Eyecare LTD Provider ID: TPVP159222-02 00 Yrs/99 Yrs 208 W Main St Gender: Male M-F 9:00 AM - 5:00 PM Staunton, IL 62088 Advanced Family Dental Sat 9:00 AM - 1:00 PM (618) 635-8082 Orthodontics of Mt Olive PCMH: No Fax: (618) 277-4917 312 W Main St 00 Yrs/130 Yrs Mount Olive, IL 62069 Atsawasuwan, Phimon DDS M-TH 8:00 AM - 5:00 PM (217) 999-6211 F 8:00 AM - 3:00 PM Fax: (217) 999-4587 Provider ID: TPVP128186-02 Sat 8:00 AM - 12:00 PM 00 Yrs/99 Yrs Gender: Male PCMH: No M-F 9:00 AM - 5:00 PM Advanced Family Dental Sat 9:00 AM - 1:00 PM Orthodontics of Mt Olive Smith, Stefan OD PCMH: No 312 W Main St Provider ID: 986494 Mount Olive, IL 62069 Gender: Male (217) 999-6211 Jfj Eyecare LTD Fax: (217) 999-4587 208 W Main St 00 Yrs/99 Yrs Staunton, IL 62088 M-F 9:00 AM - 5:00 PM (618) 635-8082 Sat 9:00 AM - 1:00 PM Fax: (618) 635-3535 PCMH: No 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Sat 8:00 AM - 3:00 PM Sun 8:00 AM - 12:00 PM PCMH: No

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Taha, Hala DDS Provider ID: TPVP135164-02 Gender: Female Advanced Family Dental Orthodontics of Mt Olive 312 W Main St Mount Olive, IL 62069 (217) 999-6211 Fax: (217) 999-4587 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM PCMH: No Taneva, Emiliya DDS Provider ID: TPVP141036-08 Gender: Female Advanced Family Dental Orthodontics of Mt Olive 312 W Main St Mount Olive, IL 62069 (217) 999-6211 Fax: (217) 999-4587 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM PCMH: No Wang, Xin DDS Provider ID: TPVP67180-05 Gender: Female Advanced Family Dental Orthodontics of Mt Olive 312 W Main St Mount Olive, IL 62069 (217) 999-6211 Fax: (217) 999-4587 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM PCMH: No

Orthopaedic Surgery Sola, James MD Provider ID: 253190 Gender: Male Granite City Orthopedic Physic 400 N Caldwell St Staunton, IL 62088 (618) 288-4388 Fax: (888) 987-5870 00 Yrs/130 Yrs Gateway Regional Medical Center and Beha M-F 9:00 AM - 5:00 PM PCMH: No

Updated: 03/08/2018

Specialty Physicians Mason Ear, Nose & Throat Shaw, Gary MD Provider ID: 1533701 Gender: Male Mason Hospital District 615 N Promenade St Havana, IL 62644 (309) 543-6600 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Rheumatology Kohli, Manoj MD Provider ID: 1533695 Gender: Male Mason Hospital District 615 N Promenade St Havana, IL 62644 (309) 543-6600 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Internal Medicine Urdininea Kirkwood, Carlos MD Provider ID: 1533702 Gender: Male Mason Hospital District 615 N Promenade St Havana, IL 62644 (309) 543-6600 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Wagoner, Richard MD Provider ID: 1533703 Gender: Male Mason Hospital District 615 N Promenade St Havana, IL 62644 (309) 543-6600 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Yetter, Tad MD Provider ID: 1533704 Gender: Male Mason Hospital District 615 N Promenade St Havana, IL 62644 (309) 543-6600 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

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Updated: 03/08/2018

Specialty Physicians McDonough Advance Registered Nurse Practitioner Psychiatrist Stambaugh, Layne Np Provider ID: 1507683 Gender: Female McDonough Physician Hospital O 515 E Grant St Ste 212 Macomb, IL 61455 (309) 836-6400 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

Allergy & Immunology Smart, Steven MD Provider ID: 1523693 Gender: Male Allergy & Asthma of Illinois S 527 E Grant St Macomb, IL 61455 (309) 691-5200 00 Yrs/130 Yrs M 9:00 AM - 5:00 PM PCMH: No

Colon & Rectal Surgery Ruiz, Dan MD Provider ID: 1507664 Gender: Male McDonough Physician Hospital O 515 E Grant St Ste 211 Macomb, IL 61455 (309) 833-3706 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

Ear, Nose & Throat Sparks, Jeffrey DO Provider ID: 1507680 Gender: Male McDonough Physician Hospital O 515 E Grant St Ste 113 Macomb, IL 61455 (309) 833-6937 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

Family Practice Adams, Susan Apn Provider ID: 1507466 Gender: Female McDonough Physician Hospital O 1600 E Jackson St Macomb, IL 61455 (309) 836-1700 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Adams, Susan Apn Provider ID: 1507466 Gender: Female McDonough Physician Hospital O 505 E Grant St Ste 202 Macomb, IL 61455 (309) 833-1729 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Hartman, Michelle Apn Provider ID: 1507550 Gender: Female McDonough Physician Hospital O 1600 E Jackson St Macomb, IL 61455 (309) 836-1700 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Heller, Jodi Np Provider ID: 1507560 Gender: Female McDonough Physician Hospital O 1600 E Jackson St Macomb, IL 61455 (309) 836-1700 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

Heller, Jodi Np Provider ID: 1507560 Gender: Female McDonough Physician Hospital O 515 E Grant St Ste 213 Macomb, IL 61455 (309) 837-6937 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

Gastroenterology Biagini, Tim MD Provider ID: 1531214 Gender: Male McDonough Physician Hospital O 5 Doctors Ln Macomb, IL 61455 (309) 836-3387 00 Yrs/130 Yrs McDonough District Hospital M-F 9:00 AM - 5:00 PM PCMH: No

General Surgery Card, Edwin MD Provider ID: 1507506 Gender: Male McDonough Physician Hospital O 515 E Grant St Ste 211 Macomb, IL 61455 (309) 833-3706 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Gonzales, James MD Provider ID: 1507533 Gender: Male McDonough Physician Hospital O 515 E Grant St Ste 211 Macomb, IL 61455 (309) 833-3706 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

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Internal Medicine Flores, Noel MD Provider ID: 1507529 Gender: Male McDonough Physician Hospital O 515 E Grant St Ste 111 Macomb, IL 61455 (309) 837-9926 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Jalil, Yousaf MD Provider ID: 1507584 Gender: Male McDonough Physician Hospital O 515 E Grant St Ste 111 Macomb, IL 61455 (309) 837-9926 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Miller, David DO Provider ID: 1531224 Gender: Male McDonough Physician Hospital O 505 E Grant St Ste 103 Macomb, IL 61455 (309) 833-3536 00 Yrs/130 Yrs McDonough District Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Neurology Dhuna, Anil MD Provider ID: 1531206 Gender: Male McDonough Physician Hospital O 527 E Grant St Macomb, IL 61455 (309) 836-1683 00 Yrs/130 Yrs McDonough District Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Updated: 03/08/2018

Specialty Physicians McDonough Neurology - cont. Raval, Jugalkishor MD Provider ID: 1531207 Gender: Male McDonough Physician Hospital O 527 E Grant St Macomb, IL 61455 (309) 836-1683 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Obstetrics/Gynecology Smith, Tamara DO Provider ID: 1507678 Gender: Female McDonough Physician Hospital O 505 E Grant St Ste 102 Macomb, IL 61455 (309) 836-6937 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

Ophthalmology Brody, Jill MD Provider ID: 1531218 Gender: Female McDonough Physician Hospital O 505 E Grant St Ste 206 Macomb, IL 61455 (309) 836-3937 00 Yrs/130 Yrs McDonough District Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Optometry Botts, Eric OD Provider ID: TPV1457301368-0 Gender: Male Dr Eric Botts Associates 1730 E Jackson St Macomb, IL 61455 (309) 836-3373 Fax: (309) 836-3375 01 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM Sat 10:00 AM - 2:00 PM PCMH: No

Eilenfeldt, Pamela OD Provider ID: TPV1114075645-0 Gender: Female Dr Eric Botts Associates 1730 E Jackson St Macomb, IL 61455 (309) 836-3373 Fax: (309) 836-3375 01 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM Sat 10:00 AM - 2:00 PM PCMH: No

White, Drake MD Provider ID: 1531216 Gender: Male McDonough Physician Hospital O 505 E Grant St Ste 205 Macomb, IL 61455 (309) 833-3800 00 Yrs/130 Yrs McDonough District Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Obrien, Eric OD Provider ID: TPV1386931921-0 Gender: Male Dr Eric Botts Associates 1730 E Jackson St Macomb, IL 61455 (309) 836-3373 Fax: (309) 836-3375 01 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM Sat 10:00 AM - 2:00 PM PCMH: No

Podiatry

Williams, Timothy OD Provider ID: 1531220 Gender: Male McDonough Physician Hospital O 505 E Grant St Ste 206 Macomb, IL 61455 (309) 836-3937 00 Yrs/130 Yrs McDonough District Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Orthopaedic Surgery

Mitchell, Idol DPM Provider ID: 1507628 Gender: Male McDonough Physician Hospital O 437 E Grant St Macomb, IL 61455 (309) 837-3964 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

Psychiatry Wright, Scott MD Provider ID: 1508679 Gender: Male McDonough Physician Hospital O 515 E Grant St Ste 212 Macomb, IL 61455 (309) 836-6400 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

Urch, Scott MD Provider ID: 1508648 Gender: Male McDonough Physician Hospital O 503 E Grant St Macomb, IL 61455 (309) 833-5917 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

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Updated: 03/08/2018

Specialty Physicians McLean Dermatology

General Dentistry

Kao, Wynn MD Provider ID: 1470473 Gender: Male Dermatology and Mohs Surgery L 3024 E Empire St Ste E and F Bloomington, IL 61704 (309) 451-3376 Fax: (309) 452-3376 00 Yrs/130 Yrs Languages: Spanish M-F 8:00 AM - 4:30 PM PCMH: No

Anne, Hari Priya DDS Provider ID: TPVP147725-01 Gender: Female Lakewood Family Dental PC 1407 N Veterans Pkwy Ste 12 Bloomington, IL 61704 (309) 661-2999 Fax: (309) 585-1038 00 Yrs/99 Yrs Languages: Hindi M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 4:00 PM PCMH: No

Leone, Douglas MD

Caruso, Diane DDS Provider ID: TPVP138726-01 Gender: Female McLean County Health Department 200 W Front St Bloomington, IL 61701 (309) 888-5450 Fax: (309) 888-5896 00 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM PCMH: No

Provider ID: 1174799 Gender: Male Dermatology and Mohs Surgery L 3024 E Empire St Ste E and F Bloomington, IL 61704 (309) 451-3376 Fax: (309) 452-3376 00 Yrs/130 Yrs M-F 8:00 AM - 4:30 PM PCMH: No McKenna, Jeffrey MD Provider ID: 726245 Gender: Male Dermatology and Mohs Surgery L 3024 E Empire St Ste E and F Bloomington, IL 61704 (309) 451-3376 Fax: (309) 452-3376 00 Yrs/130 Yrs M-F 8:00 AM - 4:30 PM PCMH: No Schupbach, Adrienne MD Provider ID: 1157870 Gender: Female Dermatology and Mohs Surgery L 3024 E Empire St Ste E and F Bloomington, IL 61704 (309) 451-3376 Fax: (309) 452-3376 00 Yrs/130 Yrs M-F 8:00 AM - 4:30 PM PCMH: No

Chow, James DDS Provider ID: TPVP137670-02 Gender: Male McLean County Health Department 200 W Front St Bloomington, IL 61701 (309) 888-5450 Fax: (309) 888-5896 00 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM PCMH: No Durshanapalli, Srinivas DDS Provider ID: TPV019028802-10 Gender: Male Optim Dental Bloomington 401 N Veteran Pkwy Unit 4 Bloomington, IL 61704 (309) 808-1317 Fax: (309) 585-2249 00 Yrs/99 Yrs Languages: Spanish M-TH 8:00 AM - 6:00 PM F 9:00 AM - 6:00 PM Sat 8:00 AM - 3:00 PM PCMH: No

Gade, Hanuman DDS Provider ID: TPV019028770-17 Gender: Male Lakewood Family Dental PC 1407 N Veterans Pkwy Ste 12 Bloomington, IL 61704 (309) 661-2999 Fax: (309) 585-1038 00 Yrs/99 Yrs Languages: Hindi M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 4:00 PM PCMH: No Haider, Yazdan DDS Provider ID: TPVP144463-19 Gender: Male Everyones Family Dental St Charles LLC 1604 Visa Dr Ste 3 Normal, IL 61761 (309) 660-9159 Fax: (773) 887-4294 00 Yrs/99 Yrs Languages: Spanish, Urdu M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 6:00 PM PCMH: No

Mitchell, Jerome DDS Provider ID: TPVP63425-02 Gender: Male McLean County Health Department 200 W Front St Bloomington, IL 61701 (309) 888-5450 Fax: (309) 888-5896 00 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM PCMH: No Patel, Dhaval DDS Provider ID: TPVP152182-01 Gender: Male Everyones Family Dental St Charles LLC 1604 Visa Dr Ste 3 Normal, IL 61761 (309) 660-9159 Fax: (773) 887-4294 00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 6:00 PM PCMH: No

Kakollu, Srinivaulu DDS Provider ID: TPVP101838-03 Gender: Male Lakewood Family Dental PC 1407 N Veterans Pkwy Ste 12 Bloomington, IL 61704 (309) 661-2999 Fax: (309) 585-1038 00 Yrs/99 Yrs Languages: Hindi M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 4:00 PM PCMH: No

Patel, Harshil DMD Provider ID: TPVP166487-04 Gender: Female Everyones Family Dental St Charles LLC 1604 Visa Dr Ste 3 Normal, IL 61761 (309) 660-9159 Fax: (773) 887-4294 00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 6:00 PM PCMH: No

Ko, Ronald DMD Provider ID: TPVP156464-02 Gender: Male Optim Dental Bloomington 401 N Veteran Pkwy Unit 4 Bloomington, IL 61704 (309) 808-1317 Fax: (309) 585-2249 00 Yrs/99 Yrs Languages: Spanish M-TH 8:00 AM - 6:00 PM F 9:00 AM - 6:00 PM Sat 8:00 AM - 3:00 PM PCMH: No

Quadri, Fatima DDS Provider ID: TPVP157410-02 Gender: Female Optim Dental Bloomington 401 N Veteran Pkwy Unit 4 Bloomington, IL 61704 (309) 808-1317 Fax: (309) 585-2249 00 Yrs/99 Yrs Languages: Spanish M-TH 8:00 AM - 6:00 PM F 9:00 AM - 6:00 PM Sat 8:00 AM - 3:00 PM PCMH: No

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Updated: 03/08/2018

Specialty Physicians McLean General Dentistry - cont. Thota, Sandeep DDS Rahnamayi, Roya DDS Provider ID: TPVP148846-02 Gender: Female Lakewood Family Dental PC 1407 N Veterans Pkwy Ste 12 Bloomington, IL 61704 (309) 661-2999 Fax: (309) 585-1038 00 Yrs/99 Yrs Languages: Hindi M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 4:00 PM PCMH: No Sangha, Henna DDS Provider ID: TPVP166362-01 Gender: Female Lakewood Family Dental PC 1407 N Veterans Pkwy Ste 12 Bloomington, IL 61704 (309) 661-2999 Fax: (309) 585-1038 00 Yrs/99 Yrs Languages: Hindi M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 4:00 PM PCMH: No Shah, Khantil DMD Provider ID: TPVP140693-01 Gender: Male Lakewood Family Dental PC 1407 N Veterans Pkwy Ste 12 Bloomington, IL 61704 (309) 661-2999 Fax: (309) 585-1038 00 Yrs/99 Yrs Languages: Hindi M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 4:00 PM PCMH: No Shaik, Ali Basha DMD Provider ID: TPVP147967-01 Gender: Male Lakewood Family Dental PC 1407 N Veterans Pkwy Ste 12 Bloomington, IL 61704 (309) 661-2999 Fax: (309) 585-1038 00 Yrs/99 Yrs Languages: Hindi M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 4:00 PM PCMH: No

Provider ID: TPVP145364-01 Gender: Male Lakewood Family Dental PC 1407 N Veterans Pkwy Ste 12 Bloomington, IL 61704 (309) 661-2999 Fax: (309) 585-1038 00 Yrs/99 Yrs Languages: Hindi M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 4:00 PM PCMH: No

Nephrology Bruha, Robert MD Provider ID: 1157590 Gender: Male Renal Care Associates 1404 Eastland Dr Ste 103 Bloomington, IL 61701 (309) 664-0351 Fax: (309) 663-7238 00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM PCMH: No

Vemula, Roja DDS Provider ID: TPVP150085-01 Gender: Female Lakewood Family Dental PC 1407 N Veterans Pkwy Ste 12 Bloomington, IL 61704 (309) 661-2999 Fax: (309) 585-1038 00 Yrs/99 Yrs Languages: Hindi M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 4:00 PM PCMH: No

Rahman, Saadur DO

Vildaver, Eliot DMD Provider ID: TPVP157823-04 Gender: Male Everyones Family Dental St Charles LLC 1604 Visa Dr Ste 3 Normal, IL 61761 (309) 660-9159 Fax: (773) 887-4294 00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 6:00 PM PCMH: No

Zafar, Mohammad MD

Provider ID: 1447133 Gender: Male Kidney Care Center Bloomington 3901 General Electric Rd Ste 1 Bloomington, IL 61704 (309) 642-6705 Fax: (309) 402-0180 16 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Provider ID: 1443163 Gender: Male Kidney Care Center Bloomington 3901 General Electric Rd Ste 1 Bloomington, IL 61704 (309) 642-6705 Fax: (309) 402-0180 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Obstetrics/Gynecology Gratkins, Lawrence MD Provider ID: 525419 Gender: Male Obstetrics & Gynecology II LTD 1302 Franklin Ave Ste 2800 Normal, IL 61761 (309) 454-1074 Fax: (888) 739-7557 00 Yrs/130 Yrs M-TH 8:00 AM - 5:00 PM F 9:00 AM - 1:00 PM PCMH: No

Optometry Klein, Drew OD Provider ID: TPV1710039003-0 Gender: Male Bnl Eyecare Inc 2225 W Market St Bloomington, IL 61705 (309) 829-0636 Fax: (309) 829-0977 04 Yrs/99 Yrs MT 9:30 AM - 5:30 PM WTH 9:30 AM - 4:00 PM PCMH: No

Infectious Disease

Mahaffey, Thomas OD Provider ID: TPV1669401139-0 Gender: Male Central Illinois Eyecare LLC 407 Kays Dr Ste A Normal, IL 61761 (309) 454-1010 Fax: (309) 454-1077 04 Yrs/99 Yrs MTTHF 8:00 AM - 5:00 PM W 9:00 AM - 5:00 PM PCMH: No

Park, An Na MD Provider ID: 722127 Gender: Female Metro Infectious Disease Consu 1300 Franklin Ave Ste 230B Normal, IL 61761 (309) 585-6029 Fax: (309) 585-6036 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Norell, Eric OD Provider ID: TPV1902961824-0 Gender: Male Central Illinois Eyecare LLC 407 Kays Dr Ste A Normal, IL 61761 (309) 454-1010 Fax: (309) 454-1077 01 Yrs/99 Yrs MTTHF 8:00 AM - 5:00 PM W 9:00 AM - 5:00 PM PCMH: No

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Updated: 03/08/2018

Specialty Physicians McLean Optometry - cont.

Psychology

Portillo, Barbara OD Provider ID: TPV1952454035-0 Gender: Female Jak Enterprises Inc 1700 Pkwy Plaza Dr Ste 4 Normal, IL 61761 (309) 454-2233 Fax: (309) 454-2210 01 Yrs/99 Yrs MTWF 9:00 AM - 6:00 PM TH 9:00 AM - 7:00 PM Sat 9:00 AM - 3:00 PM PCMH: No

Brown, Blair PsyD Provider ID: 1527985 Gender: Female Psychology Specialists 808 S Eldorado Rd Ste 102 Bloomington, IL 61704 (309) 706-3190 Fax: (309) 588-4115 00 Yrs/130 Yrs MW 9:00 AM - 5:00 PM TTH 12:00 AM - 7:00 PM F 8:00 AM - 4:00 PM PCMH: No

Willenbring, Michelle OD

Carter, Cheryl PsyD Provider ID: 1528066 Gender: Female Psychology Specialists 808 S Eldorado Rd Ste 102 Bloomington, IL 61704 (309) 706-3190 Fax: (309) 588-4115 00 Yrs/130 Yrs M-F 8:00 AM - 7:00 PM PCMH: No

Provider ID: TPV1679517353-0 Gender: Female Central Illinois Eyecare LLC 407 Kays Dr Ste A Normal, IL 61761 (309) 454-1010 Fax: (309) 454-1077 01 Yrs/99 Yrs MTTHF 8:00 AM - 5:00 PM W 9:00 AM - 5:00 PM PCMH: No

Pedodontics Dardis, Sara DDS Provider ID: TPVP147344-01 Gender: Female Pediatric Smiles of Bloomington 1112 Trinity Ln Bloomington, IL 61704 (309) 663-7339 Fax: (309) 663-7131 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Hall, Thomas DMD Provider ID: TPVP144184-01 Gender: Male Pediatric Smiles of Bloomington 1112 Trinity Ln Bloomington, IL 61704 (309) 663-7339 Fax: (309) 663-7131 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

Dalfiume, Luke PHD Provider ID: 1524836 Gender: Male John R Day and Associates LTD 1520 E College Ave Ste M Normal, IL 61761 (309) 692-7755 Fax: (309) 692-2262 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Foster, Phillip PHD Provider ID: 1526854 Gender: Male Psychology Specialists 808 S Eldorado Rd Ste 102 Bloomington, IL 61704 (309) 706-3190 Fax: (309) 588-4115 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

Hatlelid, Seth PsyD Provider ID: 1527028 Gender: Male Psychology Specialists 2406 E Empire St Bloomington, IL 61704 (309) 706-3190 Fax: (309) 588-4115 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

McCray, Mikell PsyD Provider ID: 1524844 Gender: Female John R Day and Associates LTD 1520 E College Ave Ste M Normal, IL 61761 (309) 692-7755 Fax: (309) 692-2262 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

Jepson, Neil PHD Provider ID: 1526616 Gender: Male Psychology Specialists 808 S Eldorado Rd Ste 102 Bloomington, IL 61704 (309) 706-3190 Fax: (309) 588-4115 00 Yrs/130 Yrs M-TH 8:00 AM - 7:00 PM F 8:00 AM - 5:00 PM PCMH: No

Willett, Paul PHD Provider ID: 1526747 Gender: Male Psychology Specialists 808 S Eldorado Rd Ste 102 Bloomington, IL 61704 (309) 706-3190 Fax: (309) 588-4115 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

Kahwaji, Michael PsyD Provider ID: 1536392 Gender: Male Psychology Specialists 808 Eldorado Rd Ste 102 Bloomington, IL 61704 (309) 706-3190 Fax: (309) 588-4115 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Knutson, Kelly PsyD Provider ID: 1526658 Gender: Female Psychology Specialists 808 S Eldorado Rd Ste 102 Bloomington, IL 61704 (309) 706-3190 Fax: (309) 588-4115 00 Yrs/130 Yrs M 12:00 AM - 6:00 PM T 9:00 AM - 7:00 PM WTH 10:00 AM - 7:00 PM PCMH: No

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Substance Abuse Chestnut Health Systems Inc Provider ID: 1428012 Chestnut Health Systems 702 W Chestnut St Bloomington, IL 61701 (309) 827-6026 Fax: (309) 827-3615 M-F 9:00 AM - 5:00 PM PCMH: No Chestnut Health Systems Inc Provider ID: 1455850 Chestnut Health Systems 702 W Chestnut St Bloomington, IL 61701 (309) 827-6026 Fax: (309) 827-3615 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Updated: 03/08/2018

Specialty Physicians Montgomery Urology Bitzer, David MD Provider ID: 1512654 Gender: Male David J Bitzer MD LLC 1204 E Tremont St Hillsboro, IL 62049 (217) 532-6266 Fax: (217) 532-4410 00 Yrs/130 Yrs M 9:00 AM - 11:30 PM PCMH: No

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Updated: 03/08/2018

Specialty Physicians Morgan General Dentistry Arnold, Samantha DMD Provider ID: TPVP170699-02 Gender: Female Central Counties Health Centers Inc 1440 W Walnut St Ste 2 Jacksonville, IL 62650 (217) 788-2300 Fax: (217) 788-2342 00 Yrs/99 Yrs MTTH 8:00 AM - 5:00 PM W 9:00 AM - 6:00 PM PCMH: No Buskirk, Mary DDS Provider ID: TPVP137737-02 Gender: Female Central Counties Health Centers Inc 1440 W Walnut St Ste 2 Jacksonville, IL 62650 (217) 788-2300 Fax: (217) 788-2342 00 Yrs/99 Yrs MTTH 8:00 AM - 5:00 PM W 9:00 AM - 6:00 PM PCMH: No Duewer, Ethan DMD Provider ID: TPVP170698-02 Gender: Male Central Counties Health Centers Inc 1440 W Walnut St Ste 2 Jacksonville, IL 62650 (217) 788-2300 Fax: (217) 788-2342 00 Yrs/99 Yrs MTTH 8:00 AM - 5:00 PM W 9:00 AM - 6:00 PM PCMH: No Kaja, Veera DMD Provider ID: TPVP15822-03 Gender: Female Jacksonville Family Dental 1614 W Lafayette Ave Ste 4 Jacksonville, IL 62650 (217) 243-4032 Fax: (217) 243-4353 00 Yrs/99 Yrs M-W 8:00 AM - 5:00 PM PCMH: No

Looker, Mary-Margaret DDS

Optometry

Provider ID: TPVP137740-02 Gender: Female Central Counties Health Centers Inc 1440 W Walnut St Ste 2 Jacksonville, IL 62650 (217) 788-2300 Fax: (217) 788-2342 00 Yrs/99 Yrs MTTH 8:00 AM - 5:00 PM W 9:00 AM - 6:00 PM PCMH: No

McDowell, Jason OD Provider ID: 1524863 Gender: Not Available International Eyecare Center I 1689 W Morton Ave Jacksonville, IL 62650 (217) 285-4800 Fax: (217) 285-4850 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Ozyurt, Tulin DDS Provider ID: TPV2009016288-0 Gender: Female Central Counties Health Centers Inc 1440 W Walnut St Ste 2 Jacksonville, IL 62650 (217) 788-2300 Fax: (217) 788-2342 00 Yrs/99 Yrs Languages: Spanish MTTH 8:00 AM - 5:00 PM W 9:00 AM - 6:00 PM PCMH: No

Ryan, Rebecca OD Provider ID: TPV1891748984-0 Gender: Female Jak Enterprises Inc 901 W Morton Ave Ste 113 Jacksonville, IL 62650 (217) 243-6506 Fax: (217) 243-4902 01 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 3:00 PM PCMH: No

Tibbs-Hnizdo, Kylea DMD Provider ID: TPVP112231-04 Gender: Female Central Counties Health Centers Inc 1440 W Walnut St Ste 2 Jacksonville, IL 62650 (217) 788-2300 Fax: (217) 788-2342 00 Yrs/99 Yrs Languages: Spanish MTTH 8:00 AM - 5:00 PM W 9:00 AM - 6:00 PM PCMH: No

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Updated: 03/08/2018

Specialty Physicians Piatt General Surgery Jones, Douglas MD Provider ID: 1488084 Gender: Male Kirby Medical Center 1000 Medical Center Dr Monticello, IL 61856 (217) 762-6241 00 Yrs/130 Yrs M 8:00 AM - 5:00 PM PCMH: No

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Updated: 03/08/2018

Specialty Physicians Pike General Dentistry Perry, Crystal MD Provider ID: 1538844 Liesen, Mathew DMD Schwartz, Irving MD Gender: Female Blessingcare Corporation DBA Provider ID: TPVP145466-01 Provider ID: 1539172 640 W Washington St Gender: Male Gender: Male Pittsfield, IL 62363 Pike County Health Blessing Corporate Services Department Db (217) 285-9447 606 W Adams St 640 W Washington St Fax: (217) 285-9448 Pittsfield, IL 62363 Pittsfield, IL 62363 00 Yrs/130 Yrs (217) 285-4407 (217) 285-2113 PCMH: No Fax: (217) 285-6838 00 Yrs/130 Yrs Richards, Douglas DO 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Provider ID: 1538858 Languages: Spanish PCMH: No Gender: Male M-TH 8:00 AM - 5:00 PM Colon & Rectal Surgery Blessingcare Corporation DBA PCMH: No 640 W Washington St Polavarapu, Harsha MD Liesen, Stephen DMD Pittsfield, IL 62363 Provider ID: TPVP138520-01 (217) 285-9447 Gender: Male Provider ID: 1539150 Fax: (217) 285-9448 Pike County Health Gender: Male 00 Yrs/130 Yrs Department Blessing Corporate Services PCMH: No 606 W Adams St Db Sreedharan, Manoj MD Pittsfield, IL 62363 640 W Washington St (217) 285-4407 Pittsfield, IL 62363 Fax: (217) 285-6838 (217) 285-2113 Provider ID: 1538974 00 Yrs/99 Yrs 00 Yrs/130 Yrs Gender: Male M-F 9:00 AM - 5:00 PM Blessingcare Corporation DBA Languages: Spanish M-TH 8:00 AM - 5:00 PM PCMH: No 640 W Washington St PCMH: No Pittsfield, IL 62363 Family Practice (217) 285-9447 Hematology & Oncology Fax: (217) 285-9448 Alzein, Bashar MD 00 Yrs/130 Yrs Ali, Muhammad MD Provider ID: 1538819 PCMH: No Provider ID: 1538818 Gender: Male Gender: Male Gastroenterology Blessingcare Corporation DBA Blessingcare Corporation DBA 640 W Washington St 640 W Washington St Pittsfield, IL 62363 Moore, Daniel MD Pittsfield, IL 62363 (217) 285-9447 Provider ID: 1539131 (217) 285-9447 Fax: (217) 285-9448 Gender: Male Fax: (217) 285-9448 00 Yrs/130 Yrs Blessing Corporate Services 00 Yrs/130 Yrs PCMH: No Db PCMH: No 640 W Washington St Di Iorio, Daniel MD Pittsfield, IL 62363 Arrambide, Kathryn MD Provider ID: 1538828 (217) 285-2113 Gender: Male 00 Yrs/130 Yrs Blessingcare Corporation DBA M-F 9:00 AM - 5:00 PM Provider ID: 1538820 640 W Washington St Gender: Female PCMH: No Pittsfield, IL 62363 Blessingcare Corporation DBA (217) 285-9447 640 W Washington St Fax: (217) 285-9448 Pittsfield, IL 62363 00 Yrs/130 Yrs (217) 285-9447 PCMH: No Fax: (217) 285-9448 00 Yrs/130 Yrs PCMH: No Cardiology

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Elkhoury, Christian MD Provider ID: 1538829 Gender: Male Blessingcare Corporation DBA 640 W Washington St Pittsfield, IL 62363 (217) 285-9447 Fax: (217) 285-9448 00 Yrs/130 Yrs PCMH: No Koduru, Karthik MD Provider ID: 1538839 Gender: Male Blessingcare Corporation DBA 640 W Washington St Pittsfield, IL 62363 (217) 285-9447 Fax: (217) 285-9448 00 Yrs/130 Yrs PCMH: No Smith, Ramyond MD Provider ID: 1538966 Gender: Male Blessingcare Corporation DBA 640 W Washington St Pittsfield, IL 62363 (217) 285-9447 Fax: (217) 285-9448 00 Yrs/130 Yrs PCMH: No

Internal Medicine Alfrhan, Almuhannan MD Provider ID: 1538817 Gender: Male Blessingcare Corporation DBA 640 W Washington St Pittsfield, IL 62363 (217) 285-9447 Fax: (217) 285-9448 00 Yrs/130 Yrs PCMH: No

Updated: 03/08/2018

Specialty Physicians Pike Internal Medicine - cont.

Nephrology

Swanson, Brock DPM Provider ID: 1539194 Gender: Male Blessing Corporate Services Db 640 W Washington St Pittsfield, IL 62363 (217) 285-2113 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Jabri, Mohamed MD Safar, Elyas MD Provider ID: 1538836 Provider ID: 1539166 Gender: Male Gender: Male Blessingcare Corporation DBA Blessing Corporate Services Db 640 W Washington St 640 W Washington St Pittsfield, IL 62363 Pittsfield, IL 62363 (217) 285-9447 (217) 285-2113 Fax: (217) 285-9448 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Psychiatry PCMH: No Kumar, Ramana MD Sanchez-Zuniga, Salvador MD Optometry Provider ID: 1538840 Gender: Male Blessingcare Corporation DBA Leahy, Timothy OD Provider ID: 1538957 Provider ID: 1524860 640 W Washington St Gender: Male Gender: Not Available Pittsfield, IL 62363 Blessingcare Corporation DBA International Eyecare Center I 640 W Washington St (217) 285-9447 201 N Madison St Fax: (217) 285-9448 Pittsfield, IL 62363 Pittsfield, IL 62363 00 Yrs/130 Yrs (217) 285-9447 (217) 285-4800 PCMH: No Fax: (217) 285-9448 00 Yrs/130 Yrs 00 Yrs/130 Yrs Raif, Korhan MD M-F 9:00 AM - 5:00 PM PCMH: No Provider ID: 1492114 PCMH: No Woerner, Philip MD Gender: Male Thoele, Jonathon OD Quincy Physicians and Surgeons Provider ID: 1524866 Provider ID: 1519037 405 E State St Gender: Not Available Gender: Male Pleasant Hill, IL 62366 International Eyecare Center I Mental Health Centers of (217) 222-6550 105 W Main St Weste Fax: (217) 277-2253 Mt Sterling, IL 62363 120 N Williams Industrial Dr 00 Yrs/130 Yrs (217) 773-3055 Pittsfield, IL 62363 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs (217) 285-4436 PCMH: Yes, Level 3 M-F 9:00 AM - 5:00 PM Fax: (217) 285-2804 PCMH: No 05 Yrs/130 Yrs Interventional Cardiology MTTHF 8:00 AM - 4:30 PM Podiatry W 8:00 AM - 7:00 PM Krause, Steven DO PCMH: No Hanzel, Duane DPM Provider ID: 1539115 Rheumatology Gender: Male Provider ID: 1539100 Blessing Corporate Services Gender: Male Db Guthrie, Jason MD Blessing Corporate Services 640 W Washington St Db Provider ID: 1538831 Pittsfield, IL 62363 640 W Washington St Gender: Male (217) 285-2113 Pittsfield, IL 62363 Blessingcare Corporation DBA 00 Yrs/130 Yrs (217) 285-2113 640 W Washington St M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Pittsfield, IL 62363 PCMH: No M-F 9:00 AM - 5:00 PM (217) 285-9447 PCMH: No Fax: (217) 285-9448 00 Yrs/130 Yrs PCMH: No

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Updated: 03/08/2018

Specialty Physicians Sangamon Cardiac Electrophysiology Aguirre, Frank MD Kalra, Vikas MD Provider ID: 1474332 Gender: Male Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 525-2535 18 Yrs/130 Yrs Memorial Hospital Carbondale St Joseph Memorial Hospital Languages: Hindi M-F 7:30 AM - 5:00 PM PCMH: No Mullin, James MD Provider ID: 1177842 Gender: Male Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 525-2535 18 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No

Cardiology Aguirre, Frank MD Provider ID: 949351 Gender: Male Prairie Cardiovascular Consult 401 E Carpenter St Springfield, IL 62702 (217) 788-0706 Fax: (217) 788-7032 00 Yrs/130 Yrs St Anthonys Memorial Hospita M-F 9:00 AM - 5:00 PM PCMH: No

Provider ID: 949351 Gender: Male Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 525-2535 00 Yrs/130 Yrs St Anthonys Memorial Hospita M-F 7:30 AM - 5:00 PM PCMH: No

Al-Dadah, Ashraf MD Provider ID: 1143349 Gender: Male Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 525-2546 12 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No

Burri, Manjula MD Provider ID: 955481 Gender: Female Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 788-7032 00 Yrs/130 Yrs Languages: Hindi, Tamil, Telugu M-F 7:30 AM - 5:00 PM PCMH: No

Ghani, Mansura MD Provider ID: 953164 Gender: Female Prairie Cardiovascular Consult 401 E Carpenter St Springfield, IL 62702 (217) 788-0706 Fax: (217) 525-2535 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Chokkalingam, Shobashalini MD Provider ID: 1146961 Gender: Female Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 422-6100 Fax: (217) 422-3217 00 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No

Provider ID: 953164 Gender: Female Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 525-2535 18 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No

Fanari, Zaher MD Provider ID: 1306821 Gender: Male Provider ID: 1475459 Prairie Cardiovascular Consult Gender: Male 401 E Carpenter St Prairie Cardiovascular Consult Springfield, IL 62702 619 E Mason St Ste 4p57 (217) 788-0706 Springfield, IL 62701 Fax: (217) 525-2535 (217) 788-0706 18 Yrs/130 Yrs Fax: (217) 525-2535 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs St Elizabeths Hospital Bellville PCMH: No Languages: Arabic Fanari, Zaher MD M-F 7:30 AM - 5:00 PM Provider ID: 1306821 PCMH: No Gender: Male Prairie Cardiovascular Consult Burri, Manjula MD 619 E Mason St Ste 4p57 Provider ID: 955481 Springfield, IL 62701 Gender: Female (217) 788-0706 Prairie Cardiovascular Consult Fax: (217) 525-2535 401 E Carpenter St 18 Yrs/130 Yrs Springfield, IL 62702 M-F 7:30 AM - 5:00 PM (217) 788-0706 PCMH: No Fax: (217) 525-2535 00 Yrs/130 Yrs Languages: Hindi, Tamil, Telugu M-F 9:00 AM - 5:00 PM PCMH: No Alharbi, Waleed MD

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Ghani, Mansura MD

Gill, John MD Provider ID: 1158465 Gender: Male Prairie Cardiovascular Consult 401 E Carpenter St Springfield, IL 62702 (217) 788-0706 Fax: (217) 523-4520 12 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No Goel, Sachin MD Provider ID: 1146958 Gender: Male Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 525-2546 12 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No

Updated: 03/08/2018

Specialty Physicians Sangamon Cardiology - cont. Goldstein, Jeffrey MD Provider ID: 1164520 Gender: Male Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 252-2546 12 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No Goldstein, Jeffrey MD Provider ID: 912206 Gender: Male Prairie Cardiovascular Consult 619 East Mason Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 788-0848 18 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No Goswami, Nilesh MD Provider ID: 915690 Gender: Male Prairie Cardiovascular Consult 619 E Mason St Ste 4957 Springfield, IL 62701 (217) 788-0706 Fax: (217) 525-2535 18 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No Kalra, Vikas MD Provider ID: 1474332 Gender: Male Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 525-2535 18 Yrs/130 Yrs Memorial Hospital Carbondale St Joseph Memorial Hospital Languages: Hindi M-F 7:30 AM - 5:00 PM PCMH: No

Katholi, Richard MD Provider ID: 929630 Gender: Male Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 788-0848 18 Yrs/130 Yrs St Anthonys Memorial Hospita M-F 7:30 AM - 5:00 PM PCMH: No Kelley, Michael MD Provider ID: 446539 Gender: Male Prairie Cardiovascular Consult 619 E Mason Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 525-2535 00 Yrs/130 Yrs St Anthonys Memorial Hospita M-F 7:30 AM - 5:00 PM PCMH: No Matos, Gabor MD Provider ID: 929325 Gender: Male Prairie Cardiovascular Consult 747 N Rutledge St 4th Fl Springfield, IL 62702 (217) 788-0706 Fax: (217) 788-7032 00 Yrs/130 Yrs St Anthonys Memorial Hospita M-F 9:00 AM - 5:00 PM PCMH: No Mayer, Stephen MD Provider ID: 927675 Gender: Male Prairie Cardiovascular Consult 747 N Rutledge St 4th Fl Springfield, IL 62702 (217) 788-0706 Fax: (217) 788-7032 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Miller, Brian MD Provider ID: 1142560 Gender: Male Prairie Cardiovascular Consult 747 N Rutledge St Ste 4 Springfield, IL 62702 (217) 788-0706 Fax: (217) 525-2546 18 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No

Novak, Holly MD Provider ID: 927618 Gender: Female Prairie Cardiovascular Consult 619 E Mason Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 788-0848 18 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No

Mishkel, Gregory MD

Pacheco, Roberto MD

Provider ID: 1159775 Gender: Male Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 525-2535 18 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No Moulton, Kriegh MD Provider ID: 929732 Gender: Male Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 00 Yrs/130 Yrs Boyd Healthcare Services M-F 9:00 AM - 5:00 PM PCMH: No Nandish, Shailesh MD Provider ID: 929736 Gender: Male Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

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Provider ID: 938861 Gender: Male Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 788-0848 00 Yrs/130 Yrs SSM Health St Clare Hospital Fenton Languages: Spanish M-F 9:00 AM - 5:00 PM PCMH: No Rocha-Singh, Krishna MD Provider ID: 929316 Gender: Male Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 788-0848 18 Yrs/130 Yrs St Anthonys Memorial Hospita M-F 7:30 AM - 5:00 PM PCMH: No Scherschel, John MD Provider ID: 1161095 Gender: Male Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 525-2546 12 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No

Updated: 03/08/2018

Specialty Physicians Sangamon Cardiology - cont. Trask, Robert MD Provider ID: 928041 Gender: Male Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 788-0848 18 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No Woodruff, Robert MD Provider ID: 927994 Gender: Male Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 788-0848 18 Yrs/130 Yrs Boyd Healthcare Services M-F 7:30 AM - 5:00 PM PCMH: No Zuck, Vincent MD Provider ID: 1158433 Gender: Male Prairie Cardiovascular Consult 401 E Carpenter St Springfield, IL 62702 (217) 788-0706 Fax: (217) 523-4520 12 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No

Endocrinology, Diabetes, Metabolism Russo, Marina MD Provider ID: 1234093 Gender: Female Hshs Medical Group Inc 1118 W Legacy Pointe Dr Springfield, IL 62711 (618) 589-9051 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

General Dentistry Arnold, Samantha DMD Provider ID: TPVP170699-01 Gender: Female Central Counties Health Centers 2239 E Cook St Springfield, IL 62703 (217) 788-2300 Fax: (217) 788-2343 00 Yrs/99 Yrs MTTH 8:00 AM - 5:00 PM W 10:00 AM - 7:00 PM PCMH: No Arnold, Samantha DMD Provider ID: TPVP170699-03 Gender: Female Central Counties Health Centers Inc 800 E Carpenter St Springfield, IL 62702 (217) 788-2300 Fax: (217) 788-2342 00 Yrs/99 Yrs MTTH 8:00 AM - 5:00 PM W 10:00 AM - 7:00 PM PCMH: No Arnold, Samantha DMD Provider ID: TPVP170699-04 Gender: Female Central Counties Health Centers Inc 5220 6th St Ste 2100 Springfield, IL 62703 (217) 788-2300 Fax: (217) 788-2341 00 Yrs/99 Yrs MTTH 8:00 AM - 5:00 PM W 9:00 AM - 6:00 PM PCMH: No Buskirk, Mary DDS Provider ID: TPVP137737-01 Gender: Female Central Counties Health Centers 2239 E Cook St Springfield, IL 62703 (217) 788-2300 Fax: (217) 788-2343 00 Yrs/99 Yrs MTTH 8:00 AM - 5:00 PM W 10:00 AM - 7:00 PM PCMH: No

Buskirk, Mary DDS Provider ID: TPVP137737-03 Gender: Female Central Counties Health Centers Inc 800 E Carpenter St Springfield, IL 62702 (217) 788-2300 Fax: (217) 788-2342 00 Yrs/99 Yrs MTTH 8:00 AM - 5:00 PM W 10:00 AM - 7:00 PM PCMH: No

Duewer, Ethan DMD Provider ID: TPVP170698-01 Gender: Male Central Counties Health Centers 2239 E Cook St Springfield, IL 62703 (217) 788-2300 Fax: (217) 788-2343 00 Yrs/99 Yrs MTTH 8:00 AM - 5:00 PM W 10:00 AM - 7:00 PM PCMH: No

Buskirk, Mary DDS Provider ID: TPVP137737-04 Gender: Female Central Counties Health Centers Inc 5220 6th St Ste 2100 Springfield, IL 62703 (217) 788-2300 Fax: (217) 788-2341 00 Yrs/99 Yrs MTTH 8:00 AM - 5:00 PM W 9:00 AM - 6:00 PM PCMH: No

Duewer, Ethan DMD Provider ID: TPVP170698-03 Gender: Male Central Counties Health Centers Inc 800 E Carpenter St Springfield, IL 62702 (217) 788-2300 Fax: (217) 788-2342 00 Yrs/99 Yrs MTTH 8:00 AM - 5:00 PM W 10:00 AM - 7:00 PM PCMH: No

Choi, Ji DDS Provider ID: TPVP169629-01 Gender: Male Secure Dental Springfield 687 E Linton Ave Springfield, IL 62703 (217) 522-1111 Fax: (888) 511-5875 00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 2:00 PM PCMH: No

Duewer, Ethan DMD Provider ID: TPVP170698-04 Gender: Male Central Counties Health Centers Inc 5220 6th St Ste 2100 Springfield, IL 62703 (217) 788-2300 Fax: (217) 788-2341 00 Yrs/99 Yrs MTTH 8:00 AM - 5:00 PM W 9:00 AM - 6:00 PM PCMH: No

Deena Dayalu Naidu, Jyothi DDS Provider ID: TPVP167809-08 Gender: Female Familia Dental 802 N 9th St Springfield, IL 62702 (217) 801-9077 Fax: (217) 679-2899 00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 4:00 PM PCMH: No

Durshanapalli, Srinivas DDS

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Provider ID: TPV019028802-09 Gender: Male Optim Dental LLC 907 S 6th St Springfield, IL 62703 (217) 971-3432 Fax: (217) 679-7220 00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 6:00 PM Sat 8:00 AM - 3:00 PM PCMH: No

Updated: 03/08/2018

Specialty Physicians Sangamon General Dentistry - cont. Jamil, Samira DDS Elugbadebo, Toni DMD Provider ID: TPVP145532-08 Gender: Female Familia Dental 802 N 9th St Springfield, IL 62702 (217) 801-9077 Fax: (217) 679-2899 00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 4:00 PM PCMH: No Fatima, Sara DDS Provider ID: TPVP156398-01 Gender: Female Familia Dental 802 N 9th St Springfield, IL 62702 (217) 801-9077 Fax: (217) 679-2899 00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 4:00 PM PCMH: No Hassan, Refaat DDS Provider ID: TPVP64897-01 Gender: Male Southernview Dental Group 2743 S 6th St Springfield, IL 62703 (217) 522-4121 Fax: (217) 522-7140 00 Yrs/99 Yrs Languages: Arabic M-TH 8:00 AM - 5:00 PM F 8:00 AM - 12:00 PM PCMH: No Jafri, Nazish DDS Provider ID: TPVP103084-20 Gender: Female Secure Dental Springfield 687 E Linton Ave Springfield, IL 62703 (217) 522-1111 Fax: (888) 511-5875 00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 2:00 PM PCMH: No

Provider ID: TPVP156595-01 Gender: Female Secure Dental Springfield 687 E Linton Ave Springfield, IL 62703 (217) 522-1111 Fax: (888) 511-5875 00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 2:00 PM PCMH: No

Ko, Ronald DMD Provider ID: TPVP156464-01 Gender: Male Optim Dental LLC 907 S 6th St Springfield, IL 62703 (217) 971-3432 Fax: (217) 679-7220 00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 6:00 PM Sat 8:00 AM - 3:00 PM PCMH: No Lee, Kayoun DMD Provider ID: TPVP157785-02 Gender: Female Secure Dental Springfield 687 E Linton Ave Springfield, IL 62703 (217) 522-1111 Fax: (888) 511-5875 00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 2:00 PM PCMH: No Liu, Noel DDS Provider ID: TPVP102406-20 Gender: Male Secure Dental Springfield 687 E Linton Ave Springfield, IL 62703 (217) 522-1111 Fax: (888) 511-5875 00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 2:00 PM PCMH: No

Looker, Mary-Margaret DDS Provider ID: TPVP137740-01 Gender: Female Central Counties Health Centers 2239 E Cook St Springfield, IL 62703 (217) 788-2300 Fax: (217) 788-2343 00 Yrs/99 Yrs MTTH 8:00 AM - 5:00 PM W 10:00 AM - 7:00 PM PCMH: No Looker, Mary-Margaret DDS Provider ID: TPVP137740-03 Gender: Female Central Counties Health Centers Inc 800 E Carpenter St Springfield, IL 62702 (217) 788-2300 Fax: (217) 788-2342 00 Yrs/99 Yrs MTTH 8:00 AM - 5:00 PM W 10:00 AM - 7:00 PM PCMH: No Looker, Mary-Margaret DDS Provider ID: TPVP137740-04 Gender: Female Central Counties Health Centers Inc 5220 6th St Ste 2100 Springfield, IL 62703 (217) 788-2300 Fax: (217) 788-2341 00 Yrs/99 Yrs MTTH 8:00 AM - 5:00 PM W 9:00 AM - 6:00 PM PCMH: No

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MA, Ji DDS Provider ID: TPVP142268-02 Gender: Female Secure Dental Springfield 687 E Linton Ave Springfield, IL 62703 (217) 522-1111 Fax: (888) 511-5875 00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 2:00 PM PCMH: No Massoud, Ibrahim DDS Provider ID: TPVP64853-01 Gender: Female Southernview Dental Group 2743 S 6th St Springfield, IL 62703 (217) 522-4121 Fax: (217) 522-7140 00 Yrs/99 Yrs Languages: Arabic M-TH 8:00 AM - 5:00 PM F 8:00 AM - 12:00 PM PCMH: No Ozyurt, Tulin DDS Provider ID: TPV2009016288-0 Gender: Female Central Counties Health Centers 2239 E Cook St Springfield, IL 62703 (217) 788-2300 Fax: (217) 788-2343 00 Yrs/99 Yrs Languages: Spanish MTTH 8:00 AM - 5:00 PM W 10:00 AM - 7:00 PM PCMH: No Ozyurt, Tulin DDS Provider ID: TPV2009016288-0 Gender: Female Central Counties Health Centers Inc 800 E Carpenter St Springfield, IL 62702 (217) 788-2300 Fax: (217) 788-2342 00 Yrs/99 Yrs Languages: Spanish MTTH 8:00 AM - 5:00 PM W 10:00 AM - 7:00 PM PCMH: No

Updated: 03/08/2018

Specialty Physicians Sangamon General Dentistry - cont. Quadri, Fatima DDS

Provider ID: TPVP157410-01 Gender: Female Optim Dental LLC 907 S 6th St Springfield, IL 62703 (217) 971-3432 Fax: (217) 679-7220 00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 6:00 PM Sat 8:00 AM - 3:00 PM PCMH: No

Ozyurt, Tulin DDS Provider ID: TPV2009016288-0 Gender: Female Central Counties Health Centers Inc 5220 6th St Ste 2100 Springfield, IL 62703 (217) 788-2300 Fax: (217) 788-2341 00 Yrs/99 Yrs Languages: Spanish MTTH 8:00 AM - 5:00 PM Son, Seokjae DMD W 9:00 AM - 6:00 PM PCMH: No Provider ID: TPVP157118-02 Gender: Male Park, Joon DDS Secure Dental Springfield Provider ID: TPVP167699-01 687 E Linton Ave Gender: Male Springfield, IL 62703 Secure Dental Springfield (217) 522-1111 687 E Linton Ave Fax: (888) 511-5875 Springfield, IL 62703 00 Yrs/99 Yrs (217) 522-1111 Languages: Spanish, Korean Fax: (888) 511-5875 M-F 9:00 AM - 5:00 PM 00 Yrs/99 Yrs Sat 9:00 AM - 2:00 PM Languages: Spanish PCMH: No M-F 9:00 AM - 5:00 PM Tibbs-Hnizdo, Kylea DMD Sat 9:00 AM - 2:00 PM PCMH: No Provider ID: TPVP112231-03 Gender: Female Patel, Pratik DMD Central Counties Health Provider ID: TPVP147724-01 Centers Gender: Male 2239 E Cook St Optim Dental LLC Springfield, IL 62703 907 S 6th St (217) 788-2300 Springfield, IL 62703 Fax: (217) 788-2343 (217) 971-3432 00 Yrs/99 Yrs Fax: (217) 679-7220 Languages: Spanish 00 Yrs/99 Yrs MTTH 8:00 AM - 5:00 PM Languages: Spanish W 10:00 AM - 7:00 PM M-F 9:00 AM - 6:00 PM PCMH: No Sat 8:00 AM - 3:00 PM Tibbs-Hnizdo, Kylea DMD PCMH: No Provider ID: TPVP112231-05 Gender: Female Central Counties Health Centers Inc 800 E Carpenter St Springfield, IL 62702 (217) 788-2300 Fax: (217) 788-2342 00 Yrs/99 Yrs Languages: Spanish MTTH 8:00 AM - 5:00 PM W 10:00 AM - 7:00 PM PCMH: No

Tibbs-Hnizdo, Kylea DMD Provider ID: TPVP112231-06 Gender: Female Central Counties Health Centers Inc 5220 6th St Ste 2100 Springfield, IL 62703 (217) 788-2300 Fax: (217) 788-2341 00 Yrs/99 Yrs Languages: Spanish MTTH 8:00 AM - 5:00 PM W 9:00 AM - 6:00 PM PCMH: No

Internal Medicine Al-Dadah, Ashraf MD Provider ID: 1143349 Gender: Male Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 525-2546 12 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No Gill, John MD Provider ID: 1158465 Gender: Male Prairie Cardiovascular Consult 401 E Carpenter St Springfield, IL 62702 (217) 788-0706 Fax: (217) 523-4520 12 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No Goel, Sachin MD Provider ID: 1146958 Gender: Male Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 525-2546 12 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No

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Goldstein, Jeffrey MD Provider ID: 1164520 Gender: Male Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 252-2546 12 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No Gomez Abundis, Gerardo MD Provider ID: 1540224 Gender: Male Central Counties Health Center 2239 E Cook St Springfield, IL 62703 (217) 788-2300 Fax: (217) 788-2342 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Khurana, Aman MD Provider ID: 1167171 Gender: Male Prairie Cardiovascular Consult 401 E Carpenter St Springfield, IL 62702 (217) 788-0706 Fax: (217) 523-4520 18 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No Miller, Brian MD Provider ID: 1142560 Gender: Male Prairie Cardiovascular Consult 747 N Rutledge St Ste 4 Springfield, IL 62702 (217) 788-0706 Fax: (217) 525-2546 18 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No

Updated: 03/08/2018

Specialty Physicians Sangamon Internal Medicine - cont. Zuck, Vincent MD Mishkel, Gregory MD Provider ID: 1159775 Gender: Male Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 525-2535 18 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No Murphy, Michael MD Provider ID: 1540229 Gender: Male Central Counties Health Center 2239 E Cook St Springfield, IL 62703 (217) 788-2300 Fax: (217) 788-2342 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Pathak, Himanshu MD

Provider ID: 1158433 Gender: Male Prairie Cardiovascular Consult 401 E Carpenter St Springfield, IL 62702 (217) 788-0706 Fax: (217) 523-4520 12 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No

Interventional Cardiology Dukkipati, Madhu MD Provider ID: 1168553 Gender: Male Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 525-2546 00 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No

Licensed Professional Counselor

Provider ID: 1157629 Gender: Male Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 525-2546 12 Yrs/130 Yrs Languages: Hindi M-F 7:30 AM - 5:00 PM PCMH: No

Scheirl, Dawn Provider ID: TPV100329-01 Gender: Female Family Guidance Centers, Inc 120 N. Eleventh St. Springfield, IL 62703 (217) 544-9858 00 Yrs/99 Yrs MTWTHFSatSun 8:00 AM 5:00 PM PCMH: No

Scherschel, John MD Provider ID: 1161095 Gender: Male Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 525-2546 12 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No

Neurology Khoury, Naim MD Provider ID: 1223152 Gender: Male Hshs Medical Group Inc 421 N 9th St Springfield, IL 62702 (217) 757-6868 Fax: (217) 757-6869 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Mueed, Sajjad MD Provider ID: 1527166 Gender: Male Southern Illinois Medical Services 301 N 8th St PO Box 19658 Springfield, IL 62701 (217) 545-9706 Fax: (217) 545-4117 00 Yrs/130 Yrs Herrin Hospital Memorial Hospital Carbondale St Joseph Memorial Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Optician Eyemart Express LLC Provider ID: TPV1134527112-0 3427 Freedom DR Springfield, IL 62704 (217) 718-3480 Fax: (318) 746-0871 01 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM Sat 9:00 AM - 5:00 PM PCMH: No

Optometry Atkins, Charles OD Provider ID: TPV1154318749-0 Gender: Male Jak Enterprises Inc 3055 W Wabash Ave Springfield, IL 62704 (217) 793-2273 Fax: (217) 793-2278 01 Yrs/99 Yrs MTTHF 9:00 AM - 6:00 PM W 9:00 AM - 8:00 PM Sat 9:00 AM - 3:00 PM PCMH: No

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Edwards, Robert OD Provider ID: TPV1396753059-0 Gender: Male Robert P Edwards 2760 N Dirksen Pkwy Springfield, IL 62702 (217) 522-4396 Fax: (217) 522-4861 04 Yrs/99 Yrs M-TH 9:30 AM - 6:00 PM F 9:00 AM - 1:00 PM PCMH: No Guithues, Molly OD Provider ID: TPV1023480316-0 Gender: Female Jak Enterprises Inc 2409 N Dirksen Pkwy Springfield, IL 62702 (217) 679-5251 Fax: (217) 679-7640 01 Yrs/99 Yrs MWTHF 9:00 AM - 6:00 PM T 9:00 AM - 8:00 PM Sat 9:00 AM - 3:00 PM PCMH: No

Pediatric Gastroenterology Strople, Jennifer MD Provider ID: 296210 Gender: Female Childrens Hospital of Chicago 2515 N Clark 9th Fl Springfield, IL 62708 (800) 543-7362 00 Yrs/18 Yrs Ann& Robert H. Lurie Children's Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Substance Abuse Gateway Foundation Inc Provider ID: 1353637 2323 Stevenson Dr Springfield, IL 62703 (877) 505-4673 Fax: (217) 529-9151 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Updated: 03/08/2018

Specialty Physicians Sangamon Substance Abuse - cont. Treatment Alternatives For Safe Communi Provider ID: 1286035 Tasc Inc 630 E Washington St Springfield, IL 62701 (217) 544-0842 Fax: (217) 544-0847 12 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM PCMH: No

Urology Bitzer, David MD Provider ID: 1512654 Gender: Male David J Bitzer MD LLC 2930 Montvale Dr Ste C Springfield, IL 62704 (217) 546-1094 Fax: (217) 546-1098 00 Yrs/130 Yrs M-F 8:00 AM - 4:00 PM PCMH: No

Thoracic & Cardiovascular Surgery Casillan, Alfred MD Provider ID: 1316116 Gender: Male Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 525-2535 00 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No Christy, Jeffrey MD Provider ID: 911365 Gender: Male Prairie Cardiovascular Consult 619 East Mason Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 525-2535 00 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No Gopaldas, Raja MD Provider ID: 744279 Gender: Male Prairie Cardiovascular Consult 619 E Mason Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 525-2546 00 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM PCMH: No

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Updated: 03/08/2018

Specialty Physicians Schuyler Psychiatry Pittman, Glen MD Provider ID: 1524537 Gender: Male Schuyler County Mental Health 127 S Liberty St Rushville, IL 62681 (217) 322-4373 Fax: (217) 322-2138 12 Yrs/130 Yrs MWF 8:00 AM - 4:00 PM TTH 8:00 AM - 7:00 PM PCMH: No

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Updated: 03/08/2018

Specialty Physicians Scott Family Practice Johnson, Ronald MD Provider ID: 1492033 Gender: Male Quincy Physicians and Surgeons 231 W Cherry St Winchester, IL 62694 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3

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Updated: 03/08/2018

Specialty Physicians Shelby Endocrinology, Diabetes, Metabolism Razavi, Christie MD Provider ID: 1242906 Gender: Female Hshs Medical Group Inc 200 S Cedar St Shelbyville, IL 62565 (217) 774-3691 Fax: (217) 774-5100 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Hematology & Oncology Guaglianone, Perry MD Provider ID: 1117152 Gender: Male Cancer Care Specialists of Center 200 S Cedar St Shelby Memorial Hospital Shelbyville, IL 62565 (217) 876-6600 Fax: (217) 876-6606 00 Yrs/130 Yrs M 8:00 AM - 4:30 PM PCMH: No

Substance Abuse Shelby County Community Services Inc Provider ID: 1524771 Shelby County Community Servic 101 E North 12th St Shelbyville, IL 62565 (217) 774-1400 Fax: (217) 774-1426 00 Yrs/21 Yrs M-TH 8:00 AM - 6:30 PM PCMH: No

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Updated: 03/08/2018

Hospitals Adams Hospital Blessing Hospital Provider ID: 21367 1005 Broadway Quincy, IL 62301 (217) 223-8400 Fax: (217) 224-9383 00 Yrs/130 Yrs Blessing Hospital Provider ID: 21367 1415 Vermont St Quincy, IL 62301 (217) 223-8400 Fax: (217) 224-9383 00 Yrs/130 Yrs

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Updated: 03/08/2018

Hospitals Greene Critical Access Hospital Boyd Healthcare Services Provider ID: 389447 800 School St Carrollton, IL 62016 (217) 942-6946 Fax: (217) 942-9349 00 Yrs/130 Yrs M-F 7:00 AM - 7:00 PM Sat-Sun 8:00 AM - 4:00 PM

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Updated: 03/08/2018

Hospitals Hancock Critical Access Hospital Memorial Hospital Association Provider ID: 229809 1454 N County Rd Carthage, IL 62321 (217) 357-8500 Fax: (217) 357-6564 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

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Updated: 03/08/2018

Hospitals Iroquois Acute Care Hospital Iroquois Memorial Hospital Provider ID: 198101 Iroquois Memorial Hospital and 200 E Fairman Ave Watseka, IL 60970 (815) 432-4841 Fax: (815) 432-7821 00 Yrs/130 Yrs

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Updated: 03/08/2018

Hospitals Mason Critical Access Hospital Mason District Hospital Provider ID: 280246 615 N Promenade St Havana, IL 62644 (309) 543-4431 Fax: (309) 543-8528 00 Yrs/130 Yrs

www.harmonyhpi.com | 80

Updated: 03/08/2018

Hospitals McDonough Acute Care Hospital McDonough District Hospital Provider ID: 1515372 McDonough Physician Hospital O 525 E Grant St Macomb, IL 61455 (309) 833-4101 Fax: (309) 836-1510 00 Yrs/130 Yrs

www.harmonyhpi.com | 81

Updated: 03/08/2018

Hospitals Piatt Critical Access Hospital Kirby Medical Center Provider ID: 650473 1000 Medical Center Dr Monticello, IL 61856 (217) 762-2115 Fax: (217) 762-1511 00 Yrs/130 Yrs

www.harmonyhpi.com | 82

Updated: 03/08/2018

Hospitals Schuyler Critical Access Hospital Sarah D Culbertson Memorial Hospital Provider ID: 1542045 238 S Congress St Rushville, IL 62681 (217) 322-4321 Fax: (217) 322-6459

www.harmonyhpi.com | 83

Updated: 03/08/2018

Ancillary Providers Adams Behavioral Health Facility

Dialysis

Transitions of Western Illinois Adams County Dialysis

Durable Medical Equipment Denman Medical Supply

Provider ID: 1524869 Transitions of Western Illinoi 927 Broadway St Quincy, IL 62301 (217) 223-0413 Fax: (217) 223-0461 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Transitions of Western Illinois Provider ID: 1528734 Transitions of Western Illinoi 4409 Maine St Quincy, IL 62305 (217) 223-0413 Fax: (217) 223-0461 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Provider ID: 754485 Davita Inc 436 N 10th St Quincy, IL 62301 (217) 223-7913 Fax: (217) 223-7934 18 Yrs/130 Yrs MTWTHFSat 4:30 AM - 5:00 PM

Distinct Part Unit Psych Blessing Hospital Provider ID: 21367 1005 Broadway Quincy, IL 62301 (217) 223-8400 Fax: (217) 224-9383 00 Yrs/130 Yrs

Transitions of Western Illinois Blessing Hospital Provider ID: 21367 1415 Vermont St Provider ID: 1528737 Quincy, IL 62301 Transitions of Western Illinoi (217) 223-8400 631 N 48th Fax: (217) 224-9383 Quincy, IL 62305 00 Yrs/130 Yrs (217) 223-0413 Fax: (217) 223-0461 Distinct Part Unit Rehab 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Blessing Hospital Transitions of Western Illinois Provider ID: 21367 1005 Broadway Quincy, IL 62301 Provider ID: 1528739 (217) 223-8400 Transitions of Western Illinoi Fax: (217) 224-9383 1529 Locust St 00 Yrs/130 Yrs Quincy, IL 62301 (217) 223-0413 Blessing Hospital Fax: (217) 223-0461 Provider ID: 21367 00 Yrs/130 Yrs 1415 Vermont St M-F 9:00 AM - 5:00 PM Quincy, IL 62301 (217) 223-8400 Community Mental Fax: (217) 224-9383 Health Center 00 Yrs/130 Yrs Chaddock Provider ID: 1537341 205 S 24th St Quincy, IL 62301 (217) 222-0034 Fax: (217) 222-3865 12 Yrs/35 Yrs M-F 8:00 AM - 5:00 PM

Provider ID: 1536940 Denman Services DBA Denman Med 1020 Broadway Quincy, IL 62301 (217) 224-9164 Fax: (217) 223-2281 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Home Care Medical Equipment Provider ID: 917175 Rotech Healthcare Inc 2439 Broadway St Quincy, IL 62301 (217) 223-0035 Fax: (217) 222-5215 00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM Lincare Inc Provider ID: 918563 615 Jersey St Quincy, IL 62301 (217) 222-1983 Fax: (217) 222-1581 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Hospice Blessing Hospice and Palliative Care Provider ID: 746886 Blessing Hospital 936 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-8231 00 Yrs/130 Yrs

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Orthotics & Prosthetics Hanger Clinic Provider ID: 134894 Linkia LLC 307 N 36th St Ste 205 Quincy, IL 62301 (217) 222-3680 Fax: (217) 222-3832 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Rural Health Center Quincy Physicians and Surgeons Clinic SC Provider ID: 1492112 Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2553 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Updated: 03/08/2018

Ancillary Providers All Laboratory Pathology Testing Labcorp For Providers and Locations Please Call: (888) 522-2677 Quest Diagnostics For Providers and Locations Please Call: (888) 277-8772

Medically Necessary Transportation Medical Transportation Management For Providers and Locations Please Call: (877) 248-1338

www.harmonyhpi.com | 85

Updated: 03/08/2018

Ancillary Providers Brown Community Mental Health Center Mental Health Centers of Western Illinoi Provider ID: 1199509 Mental Health Centers of Weste 700 SE Cross St Mt Sterling, IL 62353 (217) 773-3325 Fax: (217) 773-2425 05 Yrs/130 Yrs MTTHF 8:00 AM - 4:30 PM W 8:00 AM - 6:00 PM

Rural Health Center Mt Sterling Rural Health Provider ID: 1492081 Quincy Physicians and Surgeons 521 E Main St Mount Sterling, IL 62353 (217) 773-3963 Fax: (217) 773-3426 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Skilled Nursing Facility Heritage Manor Mt Sterling LLC DBA H Provider ID: 1491260 Heritage Enterprises Inc 435 Camden Rd Mount Sterling, IL 62353 (309) 828-4361 Fax: (309) 829-5477 00 Yrs/130 Yrs

www.harmonyhpi.com | 86

Updated: 03/08/2018

Ancillary Providers Calhoun Skilled Nursing Facility Calhoun Nursing and Rehabilitation Center Provider ID: 1539345 Calhoun Nursing and Rehabilita 1 Myrtle Lane Hardin, IL 62047 (618) 576-2278 Fax: (618) 576-2487 M-F 9:00 AM - 5:00 PM

www.harmonyhpi.com | 87

Updated: 03/08/2018

Ancillary Providers Cass Community Mental Health Center

Hospice Cass Schuyler Area Hospice

Cass County Mental Health Provider ID: 1531952 Cass County Mental Health Assoc 121 E 2nd St Beardstown, IL 62618 (217) 323-2980 Fax: (217) 323-3731 00 Yrs/130 Yrs M-TH 8:00 AM - 5:00 PM F 8:00 AM - 4:00 PM Cass County Mental Health Provider ID: 1532773 Cass County Mental Health Assoc 415 Clendenin St Beardstown, IL 62618 (217) 323-3230 Fax: (217) 323-3191 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Cass County Mental Health Provider ID: 1532791 Cass County Mental Health Assoc 7 Bridgeview Beardstown, IL 62618 (217) 323-1239 Fax: (217) 323-4036 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Provider ID: 1525074 Cass County Public Health Dept 331 S Main St Virginia, IL 62691 (217) 452-3057 Fax: (217) 452-7245 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Skilled Nursing Facility Heritage Manor Beardstown South LLC Provider ID: 1491215 Heritage Enterprises Inc 8306 Saint Lukes Dr Beardstown, IL 62618 (217) 323-4055 Fax: (217) 323-9454 65 Yrs/130 Yrs Walker Nursing Home Inc Provider ID: 1508904 530 E Beardstown St Virginia, IL 62691 (217) 452-3218 Fax: (217) 452-7746 00 Yrs/130 Yrs

Home Health Care Cass County Public Health Department Provider ID: 1524554 Cass County Public Health Dept 331 S Main St Virginia, IL 62691 (217) 452-3057 Fax: (217) 452-7245 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

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Updated: 03/08/2018

Ancillary Providers Champaign Community Mental Health Center Crosspoint Human Services Provider ID: 1249324 1801 Fox Dr Champaign, IL 61820 (217) 351-9744 Fax: (217) 351-9746 00 Yrs/130 Yrs M-W 8:30 AM - 5:00 PM TH 83:00 AM - 5:00 PM F 83:0 AM - 5:00 PM

Dialysis Illini Renal Dialysis Provider ID: 754723 Davita Inc 507 E University Ave Champaign, IL 61820 (217) 378-7800 Fax: (217) 378-7820 18 Yrs/130 Yrs MWF 6:30 AM - 6:00 PM TTHSat 6:30 AM - 5:30 PM

Durable Medical Equipment

Cunningham Childrens Home Provider ID: 1475979 Cunningham Childrens Home of U 1301 N Cunningham Ave Urbana, IL 61802 (217) 531-2360 Fax: (217) 352-2635 00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM Cunningham Childrens Home Provider ID: 1475979 Cunningham Childrens Home of U 701 Devonshire Dr Ste B16-18 Champaign, IL 61820 (217) 531-2360 Fax: (217) 352-2635 00 Yrs/130 Yrs M-TH 8:30 AM - 6:00 PM F 8:30 AM - 12:30 PM The Center For Youth and Family Solution Provider ID: 1109669 The Center For Youth and Famil 1315 Curt Dr Ste A Champaign, IL 61821 (271) 352-5179 Fax: (217) 352-7817 05 Yrs/130 Yrs Languages: Spanish M-F 9:00 AM - 5:00 PM

Apria Healthcare LLC Provider ID: 109938 Apria Healthcare Inc 407 Devonshire Dr Champaign, IL 61821 (217) 352-7483 Fax: (217) 352-8498 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Lincare Inc Provider ID: 378075 1211 Parkland Ct Champaign, IL 61821 (217) 398-8191 Fax: (217) 398-8075 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Lincare Inc Provider ID: 378075 602 S Staley Rd Champaign, IL 61821 (217) 398-8191 Fax: (217) 398-8075 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM National Wound Care Provider ID: 1519057 National Wound Care LLC 3356 Big Pine Trl Ste D Champaign, IL 61822 (800) 982-1835 Fax: (800) 808-8768 00 Yrs/130 Yrs M-F 9:00 AM - 4:30 PM

Respiracare Provider ID: 467224 Rotech Healthcare Inc 3109 E Tatman Ct Ste 103 Urbana, IL 61802 (217) 367-5930 Fax: (217) 367-5947 00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM

Orthotics & Prosthetics Hanger Clinic Provider ID: 134894 Linkia LLC 805 N Lincoln Ave Ste A Urbana, IL 61801 (217) 367-9771 Fax: (217) 367-9670 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Psych Hospital The Pavilion Foundation Hospital Provider ID: 367932 The Pavilion Foundation 809 W Church St Champaign, IL 61820 (217) 373-1708 Fax: (217) 373-1706 00 Yrs/130 Yrs

Skilled Nursing Facility Champaign Urbana Nursing and Rehab Provider ID: 622188 Management and Network Service 302 Burwash Ave Savoy, IL 61874 (217) 402-9700 Fax: (217) 402-9750 00 Yrs/130 Yrs Languages: Spanish Country Health Care and Rehab Provider ID: 1491159 Country Health Inc 2304 County Rd 3000 N Gifford, IL 61847 (217) 568-7362 Fax: (217) 568-7314 65 Yrs/130 Yrs

www.harmonyhpi.com | 89

Updated: 03/08/2018

Ancillary Providers Christian Community Mental Health Center Christian County Mental Health Associati Provider ID: 1496519 Christian County Mental Health 730 N Pawnee St Taylorville, IL 62568 (217) 824-4905 Fax: (217) 824-3570 05 Yrs/130 Yrs MTTH 8:00 AM - 5:00 PM W 8:00 AM - 6:00 PM F 8:00 AM - 4:00 PM

Dialysis Taylorville Dialysis Provider ID: 932172 Davita Inc 901 W Spresser St Taylorville, IL 62568 (217) 824-5460 Fax: (217) 824-5967 00 Yrs/130 Yrs MWF 6:00 AM - 3:30 PM TTHSat 6:00 AM - 12:00 PM

Prairie Rose Health Care Center Provider ID: 878222 Management and Network Service 900 S Chestnut St Pana, IL 62557 (217) 562-3996 Fax: (217) 562-4005 00 Yrs/130 Yrs Taylorville Care Center Inc Provider ID: 1510221 Taylorville Care Center, Inc 600 S Houston St Taylorville, IL 62568 (217) 824-9636 Fax: (217) 824-8437 50 Yrs/110 Yrs

Skilled Nursing Facility Heritage Health Pana LLC Provider ID: 1491211 Heritage Enterprises Inc 1000 E 6th St Pana, IL 62557 (217) 562-2174 Fax: (217) 562-7242 65 Yrs/110 Yrs Meadow Manor Skilled Nursing and Rehab C Provider ID: 1241202 Management and Network Service 800 McAdam Dr Taylorville, IL 62568 (217) 824-2277 Fax: (217) 287-7763 00 Yrs/130 Yrs

www.harmonyhpi.com | 90

Updated: 03/08/2018

Ancillary Providers Clark Skilled Nursing Facility Burnsides Community Health Center Nfp Provider ID: 1491872 Burnsides Community Health Center 410 N 2nd St Ste 412 Marshall, IL 62441 (217) 826-2358 Fax: (217) 826-2358 65 Yrs/130 Yrs Casey Health Care Center Provider ID: 878285 Management and Network Service 100 NE 15th St Casey, IL 62420 (217) 932-5217 Fax: (217) 932-5408 00 Yrs/130 Yrs

www.harmonyhpi.com | 91

Updated: 03/08/2018

Ancillary Providers Coles Dialysis Mattoon Dialysis Provider ID: 949806 Davita Inc 6051 Development Dr Charleston, IL 61920 (217) 345-2550 Fax: (317) 345-5770 00 Yrs/130 Yrs MWF 6:00 AM - 16:00 PM TTHSat 6:00 AM - 15:30 PM

Skilled Nursing Facility Charleston Rehab & Healthcare Center Provider ID: 501180 Management and Network Service 716 18th St Charleston, IL 61920 (217) 345-7054 Fax: (217) 348-1264 00 Yrs/130 Yrs Hilltop Skilled Nursing and Rehabilitati Provider ID: 1244812 Management and Network Service 910 W Polk Ave Charleston, IL 61920 (217) 345-7066 Fax: (217) 345-6017 00 Yrs/130 Yrs Odd Fellow Rebekah Home Inc Provider ID: 1492544 201 Lafayette Ave E Mattoon, IL 61938 (217) 235-5449 Fax: (217) 235-0611 65 Yrs/130 Yrs

www.harmonyhpi.com | 92

Updated: 03/08/2018

Ancillary Providers Cumberland Skilled Nursing Facility Cumberland Rehab And Health Care Center Provider ID: 490209 Management and Network Service 300 N Marietta St Greenup, IL 62428 (217) 923-3166 Fax: (217) 923-5226 00 Yrs/130 Yrs

www.harmonyhpi.com | 93

Updated: 03/08/2018

Ancillary Providers Douglas Community Mental Health Center Douglas County Mental Health and Family Provider ID: 1489770 Douglas County Mental Health A 114 W Houghton St Tuscola, IL 61953 (217) 253-4731 Fax: (217) 253-4733 05 Yrs/130 Yrs MW 9:00 AM - 5:00 PM TTH 9:00 AM - 8:00 PM F 9:00 AM - 12:00 PM

Durable Medical Equipment Convacare Services Inc Provider ID: 379414 Lincare Inc 4 North Main St Villa Grove, IL 61956 (217) 681-1014 Fax: (866) 265-1035 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Rural Health Center Atwood Rural Health Clinic Provider ID: 1487941 Kirby Medical Center 108 S Main St Atwood, IL 61913 (217) 578-3814 Fax: (217) 762-3100 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Skilled Nursing Facility Tuscola Health Center Provider ID: 478160 Management and Network Service 1203 Egyptian Trl Tuscola, IL 61953 (217) 253-4791 Fax: (217) 253-3754 00 Yrs/130 Yrs

www.harmonyhpi.com | 94

Updated: 03/08/2018

Ancillary Providers Edgar Durable Medical Equipment Pearman Pharmacy Inc Provider ID: 1480655 116 W Court St Paris, IL 61944 (217) 465-8455 Fax: (217) 463-1967 00 Yrs/130 Yrs M-F 8:00 AM - 6:00 PM Sat 8:00 AM - 5:00 PM

Skilled Nursing Facility Paris Health Care Center Provider ID: 1495747 Paris Health Care Center Inves 1011 N Main St Paris, IL 61944 (217) 465-5376 Fax: (217) 466-6776 00 Yrs/130 Yrs Pleasant Meadows Senior Living Provider ID: 1212741 Management and Network Service 400 W Washington Ave Chrisman, IL 61924 (217) 269-2396 Fax: (217) 269-2603 00 Yrs/130 Yrs Twin Lakes Rehab & Health Care Provider ID: 480447 Management and Network Service 310 S Eads Ave Paris, IL 61944 (217) 465-5395 Fax: (217) 463-7905 00 Yrs/130 Yrs

www.harmonyhpi.com | 95

Updated: 03/08/2018

Ancillary Providers Ford Community Mental Health Center Community Resource Counseling Center Provider ID: 1529653 Community Resource and Counsel 1510 W Ottawa Rd Paxton, IL 60957 (217) 319-4302 Fax: (217) 319-4304 05 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Skilled Nursing Facility Accolade Healthcare of Paxton LLC Provider ID: 1482282 Accolade Healthcare of Paxton 1240 N Market St Paxton, IL 60957 (217) 379-4896 Fax: (217) 379-2561 21 Yrs/130 Yrs Languages: Spanish, German, Polish Heritage Manor Gibson City LLC Provider ID: 1491175 Heritage Enterprises Inc 620 E 1st St Gibson City, IL 60936 (217) 784-4257 Fax: (217) 784-5086 65 Yrs/130 Yrs Piper City Rehab Living Center Provider ID: 878295 Management and Network Service 600 S Maple St Piper City, IL 60959 (815) 686-2277 Fax: (815) 686-2812 00 Yrs/130 Yrs

www.harmonyhpi.com | 96

Updated: 03/08/2018

Ancillary Providers Greene Hospice Blessing Hospice and Palliative Care Provider ID: 746886 Blessing Hospital 330 5th St Carrollton, IL 62016 (217) 942-3775 Fax: (217) 942-9057 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Skilled Nursing Facility White Hall Nursing and Rehabilitation CT Provider ID: 1542829 White Hall Nursing and Rehab 620 W Bridgeport St White Hall, IL 62092 (217) 374-2144 Fax: (217) 374-6714 60 Yrs/130 Yrs

www.harmonyhpi.com | 97

Updated: 03/08/2018

Ancillary Providers Hancock Community Mental Health Center Mental Health Centers of Western Illinoi Provider ID: 1199509 Mental Health Centers of Weste 607 Buchanan St Carthage, IL 62321 (217) 357-3176 Fax: (217) 357-6609 05 Yrs/130 Yrs MTTHF 8:00 AM - 4:30 PM W 8:00 AM - 6:00 PM

Rural Health Center Hamilton Warsaw Clinic Provider ID: 1539206 Blessing Corporate Services Db 1102 N County Rd 700 Warsaw, IL 62379 (217) 256-4100 Fax: (217) 256-3800 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Skilled Nursing Facility Laharpe Davier Health Care Center Provider ID: 878245 Management and Network Service 101 N B St LA Harpe, IL 61450 (217) 659-3222 Fax: (217) 659-3017 00 Yrs/130 Yrs

www.harmonyhpi.com | 98

Updated: 03/08/2018

Ancillary Providers Iroquois Community Mental Health Center Iroquois Mental Health Center Provider ID: 1475380 200 S Locust St Loda, IL 60948 (815) 432-5241 Fax: (815) 432-4537 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Hospice Iroquois Memorial Hospice

Imh Multi Specialty Physicians Provider ID: 1538552 Iroquois Memorial Hospital and 200 Fairman Ave Watseka, IL 60970 (815) 432-5411 Fax: (815) 432-3955 00 Yrs/130 Yrs M-TH 8:00 AM - 6:00 PM F 7:00 AM - 5:00 PM Sat 8:00 AM - 2:00 PM

Skilled Nursing Facility Gilman Healthcare Center

Provider ID: 1523649 Iroquois Memorial Hospital and 200 Laird Ln Watseka, IL 60970 (815) 432-0185 Fax: (815) 432-6199 00 Yrs/130 Yrs M-F 8:00 AM - 4:30 PM

Rural Health Center Imh Gilman Clinic Provider ID: 1538484 Iroquois Memorial Hospital and 508 E Crescent St Gilman, IL 60938 (815) 265-8889 Fax: (815) 265-8332 00 Yrs/130 Yrs MF 7:00 AM - 5:00 PM TTH 8:30 AM - 6:30 PM W 8:30 AM - 5:00 PM Imh Milford Clinic Provider ID: 1538490 Iroquois Memorial Hospital and 34 E Jones St Milford, IL 60953 (815) 889-4241 Fax: (815) 889-4244 00 Yrs/130 Yrs M 8:30 AM - 5:00 PM TTH 8:00 AM - 6:00 PM WF 8:00 AM - 5:00 PM

Provider ID: 1116187 Management and Network Service 1390 S Crescent St Gilman, IL 60938 (815) 265-7208 Fax: (815) 265-7770 00 Yrs/130 Yrs Iroiquois Resident Home Provider ID: 1523822 Iroquois Memorial Hospital and 200 E Fairman Ave Watseka, IL 60970 (815) 432-7768 Fax: (815) 432-7870 00 Yrs/130 Yrs Watseka Rehab & Healthcare Center Provider ID: 478285 Management and Network Service 715 E Raymond Rd Watseka, IL 60970 (815) 432-5476 Fax: (815) 432-5669 00 Yrs/130 Yrs

www.harmonyhpi.com | 99

Updated: 03/08/2018

Ancillary Providers Jersey Community Mental Health Center Centerstone of Illinois Inc Provider ID: 1250765 118 Krause Dr Jerseyville, IL 62052 (618) 462-2331 Fax: (618) 462-2504 00 Yrs/130 Yrs M-F 6:00 AM - 8:30 PM

Dialysis Jerseyville Dialysis Provider ID: 790930 Davita Inc 917 S State St Jerseyville, IL 62052 (618) 498-9532 Fax: (618) 498-1012 18 Yrs/130 Yrs MWF 4:00 AM - 8:00 PM TTHSat 4:00 AM - 6:30 PM

Skilled Nursing Facility Jerseyville Manor Provider ID: 924355 Unlimited Development of Illin 1251 N State St Jerseyville, IL 62052 (618) 498-6441 Fax: (618) 498-9025 Willow Rose Rehab & Health Care Provider ID: 478232 Management and Network Service 410 Fletcher Jerseyville, IL 62052 (618) 498-6427 Fax: (618) 639-3339 00 Yrs/130 Yrs

www.harmonyhpi.com | 100

Updated: 03/08/2018

Ancillary Providers Livingston Community Mental Health Center Institute For Human Resources Provider ID: 1199797 310 E Torrance Ave Pontiac, IL 61764 (815) 844-6109 Fax: (815) 844-3561 02 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Skilled Nursing Facility Flanagan Rehab & Healthcare Center Provider ID: 478173 Management and Network Service 201 E Falcon Hwy Flanagan, IL 61740 (815) 796-2267 Fax: (815) 796-4434 00 Yrs/130 Yrs Heritage Manor Dwight LLC DBA Hertiage H Provider ID: 1491228 Heritage Enterprises Inc 300 E Mazon Ave Dwight, IL 60420 (815) 584-1240 Fax: (815) 584-1267 00 Yrs/130 Yrs

www.harmonyhpi.com | 101

Updated: 03/08/2018

Ancillary Providers Logan Community Mental Health Center The Center For Youth and Family Solution Provider ID: 1109661 The Center For Youth and Famil 2100 5th St Lincoln, IL 62656 (217) 732-3771 Fax: (217) 735-1738 05 Yrs/130 Yrs Languages: Spanish M-F 9:00 AM - 5:00 PM

Dialysis Lincoln Dialysis Provider ID: 754730 Davita Inc 2100 5th St Lincoln, IL 62656 (217) 732-6798 Fax: (217) 732-7076 18 Yrs/130 Yrs M-W 6:00 AM - 4:30 PM

Hospice Safe Haven Hospice LLC Provider ID: 1143896 628 1 2 Broadway St Lincoln, IL 62656 (217) 732-5180 Fax: (217) 735-1092 00 Yrs/130 Yrs

Skilled Nursing Facility St Claras Manor DBA St Claras Manor Provider ID: 1487389 St Claras Manor 1450 Castle Manor Dr Lincoln, IL 62656 (217) 735-1507 Fax: (217) 732-3188 50 Yrs/110 Yrs

www.harmonyhpi.com | 102

Updated: 03/08/2018

Ancillary Providers Macon Community Mental Health Center Heritage At Crossing Healthcare Provider ID: 1536029

Heritage Behavioral Health

Center

320 Central Ave

Dacatur, IL 62521

(217) 362-6262

Fax: (217) 362-6290

00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM

Heritage At Eisenhower High School Provider ID: 1536149

Heritage Behavioral Health

Center

1200 S 16th St

Dacatur, IL 62521

(217) 362-6262

Fax: (217) 362-6290

00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM

Heritage At Garfield Provider ID: 1536148

Heritage Behavioral Health

Center

300 Meadow Terrace Pl

Dacatur, IL 62521

(217) 362-6262

Fax: (217) 362-6290

00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM

Heritage At Hope Academy Provider ID: 1536151

Heritage Behavioral Health

Center

955 N Illinois St

Dacatur, IL 62521

(217) 362-6262

Fax: (217) 362-6290

00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM

Heritage At MacArthur Provider ID: 1536152

Heritage Behavioral Health

Center

1499 W Grand Ave

Dacatur, IL 62522

(217) 362-6262

Fax: (217) 362-6290

00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM

Heritage Behavioral Health Center Provider ID: 1536039

Heritage Behavioral Health

Center

327 W Prairie Ave

Dacatur, IL 62522

(217) 362-6262

Fax: (217) 362-6290

00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM

Heritage At Phoenix Academy Heritage Behavioral Health Center Provider ID: 1536144

Provider ID: 1536147

Heritage Behavioral Health

Heritage Behavioral Health

Center

Center

788 E Clay St

300 E Eldorado St

Dacatur, IL 62521

Dacatur, IL 62523

(217) 362-6262

(217) 362-6262

Fax: (217) 362-6290

Fax: (217) 362-6290

00 Yrs/130 Yrs

00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM

M-F 8:00 AM - 5:00 PM

Heritage Behavioral Health Heritage At Sdms Center Provider ID: 1536153

Provider ID: 1536145

Heritage Behavioral Health

Heritage Behavioral Health

Center

Center

1 Educational Park

631 W Main St

Dacatur, IL 62526

Dacatur, IL 62522

(217) 362-6262

(217) 362-6262

Fax: (217) 362-6290

Fax: (217) 362-6290

00 Yrs/130 Yrs

00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM

M-F 8:00 AM - 5:00 PM

Heritage At Tjms Heritage Behavioral Health Provider ID: 1536150

Center Heritage Behavioral Health

Provider ID: 1536146

Center

Heritage Behavioral Health

4735 E Cantrell St

Center

Dacatur, IL 62521

1421 E Orchard St

(217) 362-6262

Dacatur, IL 62521

Fax: (217) 362-6290

(217) 362-6262

00 Yrs/130 Yrs

Fax: (217) 362-6290

M-F 8:00 AM - 5:00 PM

00 Yrs/130 Yrs

Heritage Behavioral Health Center Provider ID: 1536025

Heritage Behavioral Health

Center

151 N Main St

Dacatur, IL 62521

(217) 362-6262

Fax: (217) 362-6290

00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM

M-F 8:00 AM - 5:00 PM

www.harmonyhpi.com | 103

Dialysis Decatur East Wood Dialysis Provider ID: 929021 Davita Inc 794 E Wood St Decatur, IL 62523 (217) 425-6403 Fax: (217) 425-8724 18 Yrs/130 Yrs MTWTHFSat 6:00 AM - 4:00 PM Macon County Dialysis Provider ID: 950175 Davita Inc 1090 W McKinley Ave Decatur, IL 62526 (217) 877-9351 Fax: (217) 877-2137 00 Yrs/130 Yrs MTWTHFSat 6:00 AM - 5:00 PM

Durable Medical Equipment Lincare Inc Provider ID: 378045 5995 E US Rte 36 Ste 3 Decatur, IL 62521 (217) 864-2893 Fax: (217) 864-3038 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Orthotics & Prosthetics Hanger Clinic Provider ID: 134894

Linkia LLC

1910 S Mount Zion Rd

Decatur, IL 62521

(217) 429-6656

Fax: (217) 429-5368

00 Yrs/130 Yrs

M-F 9:00 AM - 5:00 PM

Updated: 03/08/2018

Ancillary Providers Macon Skilled Nursing Facility Heritage Manor Mt Zion DBA Heritage Hea Provider ID: 1491200 Heritage Enterprises Inc 1225 Woodland Mount Zion, IL 62549 (309) 828-4361 Fax: (309) 829-5477 02 Yrs/130 Yrs

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Ancillary Providers Macoupin Community Mental Health Center Locust Street Resource Center Provider ID: 1185420 320 S Locust St Carlinville, IL 62626 (217) 854-3166 Fax: (217) 854-9729 00 Yrs/130 Yrs M 8:30 AM - 5:00 PM T 8:30 AM - 7:00 PM W 83:00 AM - 5:00 PM TH 83:0 AM - 8:00 PM F 8:30 AM - 4:00 PM

Durable Medical Equipment Mid Central Medical Inc DBA American Med Provider ID: 1480652 American Medical Supply & Services 281 E Jackson St Virden, IL 62690 (217) 965-3734 Fax: (217) 965-3371 50 Yrs/110 Yrs M-F 8:00 AM - 4:30 PM

Rural Health Center

Mt Olive Family Practice Center Provider ID: 1532703 Macoupin Family Practice Center 115 N Poplar St Mount Olive, IL 62069 (217) 999-4751 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Staunton Clinic LLC Provider ID: 1521657 444 N Edwardsville St Staunton, IL 62088 (618) 635-3800 Fax: (618) 635-3952 00 Yrs/130 Yrs Languages: Hindi M-F 9:00 AM - 5:00 PM

Heritage Manor Staunton LLC Provider ID: 1491850 Heritage Enterprises Inc 215 W Pennsylvania St Staunton, IL 62088 (309) 828-4361 Fax: (309) 829-5477 00 Yrs/130 Yrs Sunrise Skilled Nursing and Rehabilitati Provider ID: 1240688 Management and Network Service 333 Wrightsman St Virden, IL 62690 (217) 965-4715 Fax: (217) 965-5530 00 Yrs/130 Yrs

Skilled Nursing Facility Friendship Skilled Nursing and Rehab Cen Provider ID: 1251318 Management and Network Service 826 N High St Carlinville, IL 62626 (217) 854-9606 Fax: (217) 854-8484 00 Yrs/130 Yrs

Carlinville Family Practice Center Provider ID: 1532702 Macoupin Family Practice Center 15574 Rte 108 Carlinville, IL 62626 (217) 854-4319 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Sat 8:00 AM - 12:00 PM

Heritage Manor Carlinville LLC Provider ID: 1492545 Heritage Enterprises Inc 1200 University St Carlinville, IL 62626 (309) 828-4361 Fax: (309) 829-5477 00 Yrs/130 Yrs

Gillespie Family Practice Center Provider ID: 1532701 Macoupin Family Practice Center 715 Broadway St Gillespie, IL 62033 (217) 839-4491 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Provider ID: 1491250 Heritage Enterprises Inc 7588 Staunton Rd Gillespie, IL 62033 (217) 839-2171 Fax: (217) 439-1372 00 Yrs/130 Yrs

Heritage Manor Gillespie

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Ancillary Providers Mason Home Health Care Mason District Hospital Home Health Provider ID: 1533683 Mason Hospital District 615 N Promenade St Havana, IL 62644 (309) 543-4431 Fax: (309) 543-8528 00 Yrs/130 Yrs MTWTHFSat 9:00 AM - 5:00 PM

Rural Health Center Havana Medical Associates Provider ID: 1533685 Mason Hospital District 615 N Promenade St Havana, IL 62644 (309) 543-6600 00 Yrs/130 Yrs MTWTHFSat 9:00 AM - 5:00 PM Mason City Associates Provider ID: 1533686 Mason Hospital District 122 E Elm St Mason City, IL 62664 (217) 482-3400 00 Yrs/130 Yrs MTWTHFSat 9:00 AM - 5:00 PM

Skilled Nursing Facility Havana Health Care Center Provider ID: 493120 Management and Network Service 609 N Harpham St Havana, IL 62644 (309) 543-6121 Fax: (309) 543-1233 00 Yrs/130 Yrs

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Ancillary Providers McDonough Community Mental Health Center

Durable Medical Equipment

North Central Behavioral Health Systems Provider ID: 1528315 North Central Behavioral Healt 301 E Jefferson St Macomb, IL 61455 (309) 647-1881 Fax: (815) 223-1634 00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM

Macomb Medical Equipment and Supply Provider ID: 1537031 Denman Services DBA Denman Med 531 E Grant Macomb, IL 61455 (309) 837-6161 Fax: (309) 837-2002 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

North Central Behavioral Health Systems Provider ID: 1528398 North Central Behavioral Healt 301 E Jefferson St Macomb, IL 61455 (309) 647-1881 Fax: (815) 223-1634 00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM

Home Health Care

The Center For Youth and Family Solution Provider ID: 1109633 The Center For Youth and Famil 123 S McArthur St Macomb, IL 61455 (309) 833-1791 Fax: (309) 836-1462 05 Yrs/130 Yrs Languages: Spanish M-F 9:00 AM - 5:00 PM

Prairie City Rehab and Health Care Provider ID: 878219 Management and Network Service 825 E Main St Prairie City, IL 61470 (309) 775-3313 Fax: (309) 775-3311 00 Yrs/130 Yrs

Mdh Home Health Provider ID: 1525846 McDonough Physician Hospital O 525 East Grant St Macomb, IL 61455 (309) 836-1544 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Hospice Mdh Hospice Provider ID: 1515377 McDonough Physician Hospital O 525 E Grant St Macomb, IL 61455 (309) 836-1543 Fax: (309) 836-1525 00 Yrs/130 Yrs M-F 8:00 AM - 4:30 PM

Distinct Part Unit Psych

Rural Health Center

McDonough District Hospital

McDonough Medical Group/Bushnell Family Provider ID: 1525842 McDonough Physician Hospital O 1150 N Cole St Bushnell, IL 61422 (309) 772-9444 00 Yrs/130 Yrs MTTHF 8:00 AM - 5:00 PM W 8:00 AM - 12:00 PM

Provider ID: 1515372 McDonough Physician Hospital O 525 E Grant St Macomb, IL 61455 (309) 833-4101 Fax: (309) 836-1510 00 Yrs/130 Yrs

Skilled Nursing Facility

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Ancillary Providers McLean Community Mental Health Center The Baby Fold Provider ID: 1519915 108 E Willow St Normal, IL 61761 (309) 454-1770 Fax: (309) 452-0115 00 Yrs/18 Yrs M-F 9:00 AM - 5:00 PM The Center For Youth and Family Solution Provider ID: 1109625 The Center For Youth and Famil 502 S Morris Ave Bloomington, IL 61701 (309) 820-7616 Fax: (309) 820-7657 00 Yrs/130 Yrs Languages: Spanish M-F 9:00 AM - 5:00 PM

Durable Medical Equipment Carepaks Health Services Inc Provider ID: 1479299 209 Susan Dr Normal, IL 61761 (309) 454-1000 Fax: (309) 454-5000 00 Yrs/130 Yrs M-F 8:00 AM - 5:30 PM Sat 8:00 AM - 12:00 PM Lincare Inc Provider ID: 378045 1613 Commerce Pkwy Bloomington, IL 61704 (309) 661-7349 Fax: (309) 661-4385 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Med Source LLC Provider ID: 1093080 3002 Gill St Bloomington, IL 61704 (888) 510-5100 Fax: (888) 510-5200 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Orthotics & Prosthetics Med Source LLC Provider ID: 1093080 3002 Gill St Bloomington, IL 61704 (888) 510-5100 Fax: (888) 510-5200 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Skilled Nursing Facility Heritage Manor Bloomington LLC Provider ID: 1491221 Heritage Enterprises Inc 700 E Walnut St Bloomington, IL 61701 (309) 827-8004 Fax: (309) 827-0256 65 Yrs/130 Yrs Heritage Manor Normal Lcc Provider ID: 1491829 Heritage Enterprises Inc 509 N Adelaide St Normal, IL 61761 (309) 452-7468 Fax: (309) 862-3148 65 Yrs/130 Yrs Leroy Manor Provider ID: 972842 Unlimited Development of Illin 509 S Buck Rd Le Roy, IL 61752 (309) 962-5000 Fax: (309) 962-6227 00 Yrs/130 Yrs Meadows Mennonite Retirement Community Provider ID: 650961 Management and Network Service 24588 Church St Chenoa, IL 61726 (309) 747-2702 Fax: (309) 747-2944 00 Yrs/130 Yrs

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Ancillary Providers Menard Skilled Nursing Facility Sunny Acres Menard County DBA Sunny AC Provider ID: 1492596 Sunny Acres (Menard County) 19130 Sunny Acres Rd Petersburg, IL 62675 (217) 632-2334 Fax: (217) 632-7092 00 Yrs/130 Yrs

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Ancillary Providers Montgomery Dialysis Litchfield Dialysis Provider ID: 905929 Davita Inc 915 Saint Francis Way Litchfield, IL 62056 (217) 324-2200 Fax: (217) 324-2077 18 Yrs/130 Yrs MWF 6:00 AM - 7:00 PM TTHSat 6:00 AM - 4:00 PM

Home Health Care Alterna Care Inc Provider ID: 1259851 913 W Union Ave Ste C Litchfield, IL 62056 (217) 324-0334 18 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM

Skilled Nursing Facility Heritage Manor Litchfield LLC DBA Herita Provider ID: 1491254 Heritage Enterprises Inc 628 South Illinois Ave Litchfield, IL 62056 (309) 828-4361 Fax: (309) 829-5477 00 Yrs/130 Yrs Nokomis Rehab & Health Care Center Provider ID: 478325 Management and Network Service 505 Stevens St Nokomis, IL 62075 (217) 563-7725 Fax: (217) 563-8518 00 Yrs/130 Yrs

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Ancillary Providers Morgan Community Mental Health Center Elm City Rehabilitation Center Inc Provider ID: 1488241 Elm City Rehabilitation Center 1314 W Walnut St Jacksonville, IL 62650 (217) 245-9504 Fax: (217) 245-2350 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Dialysis Jacksonville Dialysis Provider ID: 930419 Davita Inc 1515 W Walnut St Jacksonville, IL 62650 (217) 243-3042 Fax: (217) 243-1365 18 Yrs/130 Yrs MTWTHFSat 6:00 AM - 6:00 PM

Home Health Care Alterna Care Inc Provider ID: 1259851 1515 W Walnut St Ste 13 Jacksonville, IL 62650 (217) 245-2154 Fax: (217) 245-2192 18 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM

Skilled Nursing Facility Jacksonville Skilled Nursing and Rehab C Provider ID: 1282804 Management and Network Service 1517 W Walnut St Jacksonville, IL 62650 (217) 243-6451 Fax: (217) 243-8295 00 Yrs/130 Yrs

Durable Medical Equipment Lincare Inc Provider ID: 918563 2126 E Morton Ave Ste D Jacksonville, IL 62650 (217) 243-2403 Fax: (217) 243-2401 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Longs Oxygen and Medical Equipment Provider ID: 918142 Rotech Healthcare Inc 901 W Morton Ave Ste 16 Jacksonville, IL 62650 (217) 245-9100 Fax: (217) 497-0003 00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM

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Ancillary Providers Moultrie Community Mental Health Center Moultrie County Counseling Center Provider ID: 1487782 Moultrie County Counseling Center 12 W Harrison St Sullivan, IL 61951 (217) 728-4358 Fax: (217) 728-2270 00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM

Skilled Nursing Facility Eastview Terrace Provider ID: 878226 Management and Network Service 100 Eastview Pl Sullivan, IL 61951 (217) 728-7367 Fax: (217) 728-2112 00 Yrs/130 Yrs Mason Point Provider ID: 1068359 Management and Network Service 1 Masonic Way Sullivan, IL 61951 (217) 728-4394 Fax: (217) 728-4221 00 Yrs/130 Yrs Sullivan Rehabilitaition & Healthcare Provider ID: 475419 Management and Network Service 11 Hawthorne Ln Sullivan, IL 61951 (217) 728-4327 Fax: (217) 728-2263 00 Yrs/130 Yrs

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Ancillary Providers Piatt Behavioral Health Facility Piatt County Mental Health Center Provider ID: 1508279 Piatt County Mental Health Center 1921 N Market St Monticello, IL 61856 (217) 762-5371 Fax: (217) 762-4066 00 Yrs/130 Yrs M-F 8:30 AM - 4:30 PM

Rural Health Center Cerro Gordo Rural Health Clinic Provider ID: 1487943 Kirby Medical Center 407 S Jackson St Ste A Cerro Gordo, IL 61818 (217) 763-6010 Fax: (217) 763-6012 00 Yrs/130 Yrs M-TH 8:00 AM - 4:30 PM F 8:00 AM - 4:00 PM Kirby Medical Group Provider ID: 1487940 Kirby Medical Center 1000 Medical Center Dr Monticello, IL 61856 (217) 762-6241 Fax: (217) 762-1702 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Skilled Nursing Facility Bement Health Care Center Provider ID: 493702 Management and Network Service 601 N Morgan St Bement, IL 61813 (217) 678-2191 Fax: (217) 678-3602 00 Yrs/130 Yrs

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Ancillary Providers Pike Community Mental Health Center Mental Health Centers of Western Illinoi Provider ID: 1199509 Mental Health Centers of Weste 120 N Williams Industrial Dr Pittsfield, IL 62363 (217) 285-4436 Fax: (217) 285-2804 05 Yrs/130 Yrs MTTHF 8:00 AM - 4:30 PM W 8:00 AM - 6:00 PM

Dialysis Pittsfield Dialysis Provider ID: 780200 Davita Inc 640 W Washington St Pittsfield, IL 62363 (217) 285-2780 Fax: (217) 285-4549 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Durable Medical Equipment Illini Health Services LLC Provider ID: 1537059 Denman Services DBA Denman Med 121 N Franklin St Pittsfield, IL 62363 (217) 285-1914 Fax: (217) 285-9433 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Rural Health Center Barry Rural Health Clinic Provider ID: 1491917 Quincy Physicians and Surgeons 868 Mortimer St Barry, IL 62312 (217) 335-2343 Fax: (217) 335-2443 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Illini Community Hospital Rural Health Provider ID: 1531404 Blessingcare Corporation DBA 640 W Washington St Pittsfield, IL 62363 (217) 285-9447 Fax: (217) 285-9447 00 Yrs/130 Yrs M-F 7:00 AM - 5:00 PM Pleasant Hill Rural Health Clinic Provider ID: 1492107 Quincy Physicians and Surgeons 405 E State St Pleasant Hill, IL 62366 (217) 734-2545 Fax: (217) 734-2677 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Pttsfield Rural Health Clinic Provider ID: 1492110 Quincy Physicians and Surgeons 320 N Madison St Pittsfield, IL 62363 (217) 285-9601 Fax: (217) 285-6188 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Skilled Nursing Facility Eastside Health and Rehabilitation Center Provider ID: 468864 Management and Network Service 1400 E Washington St Pittsfield, IL 62363 (217) 285-4491 Fax: (217) 285-4242 00 Yrs/130 Yrs Pittsfield Manor Provider ID: 923954 Unlimited Development of Illin 610 Lowry St Pittsfield, IL 62363 (217) 285-5200 Fax: (217) 285-5212

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Ancillary Providers Sangamon Community Mental Health Center

Dialysis Springfield Central Dialysis

Camelot Care Center Inc Provider ID: 1116179 Camelot Care Centers Inc 2924 Stanton St Springfield, IL 62703 (217) 585-9185 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Gateway Foundation Inc Provider ID: 1353637 2323 Stevenson Dr Springfield, IL 62703 (877) 505-4673 Fax: (217) 529-9151 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM The Center For Youth and Family Solution Provider ID: 1109618 The Center For Youth and Famil 614 N 6th St Springfield, IL 62702 (217) 528-3694 Fax: (217) 528-1580 05 Yrs/130 Yrs Languages: Spanish M-F 9:00 AM - 5:00 PM Treatment Alternatives For Safe Communit Provider ID: 1289789 Tasc Inc 630 E Washington St Springfield, IL 62701 (217) 544-0842 Fax: (217) 544-0847 00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM

Provider ID: 932335 Davita Inc 932 N Rutledge St Springfield, IL 62702 (217) 788-3688 Fax: (217) 788-5573 18 Yrs/130 Yrs MWF 6:00 AM - 8:30 PM TTHSat 6:00 AM - 4:30 PM Springfield Montvale Dialysis Provider ID: 929011 Davita Inc 2930 Montvale Dr Ste A Springfield, IL 62704 (217) 793-2781 Fax: (217) 793-2845 18 Yrs/130 Yrs MWF 6:00 AM - 8:30 PM TTHSat 6:00 AM - 5:00 PM Springfield South Dialysis Provider ID: 778890 Davita Inc 2930 S 6th St Springfield, IL 62703 (217) 528-1745 Fax: (217) 528-8972 18 Yrs/130 Yrs M-W 6:00 AM - 4:00 PM

Durable Medical Equipment American Homepatient Provider ID: 360330 2733 E Ash St Springfield, IL 62703 (217) 753-1528 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Apria Healthcare LLC Provider ID: 109938 Apria Healthcare Inc 775 E Linton Ave Springfield, IL 62703 (217) 789-0461 Fax: (217) 522-0967 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Heart 4 Heart Inc DBA Personal Mobility Provider ID: 1482316 Heart 4 Heart Inc DBA Personal 2924 N Dirksen Pkwy Springfield, IL 62702 (217) 241-1548 Fax: (217) 241-0931 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Lincare Inc Provider ID: 378045 1150 N Bradfordton Rd Springfield, IL 62711 (217) 793-6029 Fax: (217) 793-6421 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Rotech Provider ID: 918141 Rotech Healthcare Inc 3430 Constitution Dr Ste 116 Springfield, IL 62711 (217) 726-8546 Fax: (217) 726-9043 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Home Health Care Alterna Care Inc Provider ID: 1259851 319 E Madison St Ste 3L Springfield, IL 62701 (217) 525-3733 Fax: (217) 525-3739 18 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM

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Home Bound Healthcare Inc Provider ID: 1151734 421 S Grand Ave W Ste B Springfield, IL 62704 (217) 753-2260 Fax: (217) 753-2270 21 Yrs/130 Yrs Languages: Spanish, Russian, Tagalog M-F 9:00 AM - 5:00 PM

Orthotics & Prosthetics Hanger Clinic Provider ID: 134894 Linkia LLC 2050 W Iles Ave Ste A Springfield, IL 62704 (217) 523-9679 Fax: (217) 523-6279 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Hanger Clinic Provider ID: 134894 Linkia LLC 355 W. Carpenter St Ste B Springfield, IL 62702 (217) 789-1450 Fax: (217) 789-1454 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Psych Hospital Lincoln Prarie Behavorial Health Center Provider ID: 554685 Lincoln Prarie Behavorial Health 5230 S 6th St Rd Springfield, IL 62703 (217) 585-1180 Fax: (217) 585-4747 05 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Updated: 03/08/2018

Ancillary Providers Sangamon Skilled Nursing Facility Rutledge Joint Ventures LLC DBA Heritag Provider ID: 1487376 Rutledge Joint Ventures LLC 900 N Rutledge St Springfield, IL 62702 (217) 789-0930 Fax: (217) 789-6465 60 Yrs/130 Yrs Rutledge Regency Operations LLC DBA Reg Provider ID: 1487382 Rutledge Regency Operations LL 2120 W Washington St Springfield, IL 62702 (217) 793-4880 Fax: (217) 793-4894 60 Yrs/130 Yrs Villa Health Care Inc DBA The Villas SE Provider ID: 1495716 Villa Health Care Inc 100 Marian Pkwy Sherman, IL 62684 (217) 744-2299 Fax: (217) 496-3165 00 Yrs/130 Yrs

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Ancillary Providers Schuyler Community Mental Health Center Schuyler County Mental Health Center Provider ID: 1524539 Schuyler County Mental Health 127 S Liberty St Rushville, IL 62681 (217) 322-4373 00 Yrs/130 Yrs MWF 8:00 AM - 4:00 PM TTH 8:00 AM - 7:00 PM

Dialysis Rushville Dialysis Provider ID: 1068382 Davita Inc 112 Sullivan Dr Rushville, IL 62681 (217) 322-2652 Fax: (217) 322-4893 18 Yrs/130 Yrs MWF 6:00 AM - 6:00 PM TTHSat 7:00 AM - 4:00 PM

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Ancillary Providers Scott Rural Health Center Winchester Family Practice Provider ID: 1492329 Quincy Physicians and Surgeons 231 W Cherry St Winchester, IL 62694 (217) 742-3117 Fax: (217) 742-3988 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

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Ancillary Providers Shelby Community Mental Health Center Shelby County Community Services Inc Provider ID: 1524766 Shelby County Community Servic 314 N Cedar St Shelbyville, IL 62565 (217) 774-2113 Fax: (217) 774-2256 00 Yrs/21 Yrs M-TH 8:00 AM - 6:30 PM Shelby County Community Services Inc Provider ID: 1524770 Shelby County Health Departmen 1810 W South 3rd St Shelbyville, IL 62565 (217) 774-5587 Fax: (217) 774-5202 21 Yrs/130 Yrs M-F 8:00 AM - 4:30 PM

Rural Health Center Cowden Medical Clinic LLC Provider ID: 1501153 209 E Elm St Cowden, IL 62422 (217) 783-6565 Fax: (217) 783-6577 00 Yrs/130 Yrs M-TH 8:00 AM - 5:00 PM F 8:00 AM - 12:00 PM

Skilled Nursing Facility Shelbyville Manor Provider ID: 923957 Unlimited Development of Illin 1111 W North 12th St Shelbyville, IL 62565 (217) 774-2111 Fax: (217) 774-2209

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Allied Providers Adams Audiology Welch, Lauren AUD Provider ID: 1539200 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Endocrinology, Diabetes, Metabolism Stembridge, Melissa APRN Provider ID: 1492254 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Maximus ID: 1089320

Family Practice Barry, Julie CNP Provider ID: 1539054 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Behrens, Michael CNP Provider ID: 1539058 Gender: Male Blessing Corporate Services Db 1005 Broadway St Quincy, IL 62301 (217) 223-1200 00 Yrs/130 Yrs MTWTHFSatSun 6:00 AM 10:00 PM

Behrens, Michael CNP Provider ID: 1539450 Gender: Male Blessing Hospital 3200 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs

Goetz, Jeffrey CNP Provider ID: 1539491 Gender: Male Blessing Hospital 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs

Brown, Glenda ARNP Provider ID: 1539063 Gender: Female Blessing Corporate Services Db 1005 Broadway St Quincy, IL 62301 (217) 223-1200 00 Yrs/130 Yrs MTWTHFSatSun 6:00 AM 10:00 PM

Hageman, Linda CNP Provider ID: 1492006 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Brown, Glenda CNP Provider ID: 1539455 Gender: Female Blessing Hospital 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs Ellingson, Brenda CNP Provider ID: 1539085 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Fessenden, Katelyn CNP Provider ID: 1491983 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Maximus ID: 1089343

Haubrich, Nicollette CNP Provider ID: 1539101 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Heinecke, Brandi APRN Provider ID: 1539103 Gender: Female Blessing Corporate Services Db 1005 Broadway St Quincy, IL 62301 (217) 223-1200 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Heinecke, Brandi CNP Provider ID: 1539504 Gender: Female Blessing Hospital 3200 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs

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Herzing, Lisa CNP Provider ID: 1539106 Gender: Female Blessing Corporate Services Db 1005 Broadway St Quincy, IL 62301 (217) 223-1200 00 Yrs/130 Yrs MTWTHFSatSun 6:00 AM 10:00 PM Herzing, Lisa CNP Provider ID: 1539514 Gender: Female Blessing Hospital 3200 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs Knochel, Rick CNP Provider ID: 1539540 Gender: Male Blessing Hospital 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs Kruthoff, Courtney APRN Provider ID: 1492055 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Maximus ID: 1089338

Updated: 03/08/2018

Allied Providers Adams Family Practice - cont. Leindecker, Heather APRN Provider ID: 1492062 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Maximus ID: 1089334 Leone, Andrea CNP Provider ID: 1539553 Gender: Female Blessing Hospital 927 Broadway St Ste 231 Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs Logsdon, Mary CNP Provider ID: 1539121 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Logsdon, Mary CNP Provider ID: 1539555 Gender: Female Blessing Hospital 102 Prairie Mills Rd Golden, IL 62339 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs

Mafokou, Jeanne APRN Provider ID: 1539124 Gender: Female Blessing Corporate Services Db 1005 Broadway St Quincy, IL 62301 (217) 223-1200 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Mafokou, Jeanne CNP Provider ID: 1539565 Gender: Female Blessing Hospital 3200 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs Martin, Sara APRN Provider ID: 1539125 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Maxeiner, Angelia APRN Provider ID: 1492071 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Maximus ID: 1089332

Metternich, Christina APRN Provider ID: 1539126 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Metzger, Teresa CNP Provider ID: 1539127 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Nieters, Abigail CNP Provider ID: 1539583 Gender: Female Blessing Hospital 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs Peterson, Jane CNP Provider ID: 1492104 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Maximus ID: 1089327

Powers, Karen APRN Provider ID: 1492108 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2553 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Rankin, Jessica APRN Provider ID: 1539158 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Reed, Rebecca APRN Provider ID: 1539162 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Rife, Kelly APRN Provider ID: 1539164 Gender: Female Blessing Corporate Services Db 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Rife, Kelly CNP Provider ID: 1539599 Gender: Female Blessing Hospital 3200 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs

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Updated: 03/08/2018

Allied Providers Adams Family Practice - cont. Sharpe, Rochell APRN Provider ID: 1539175 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Shields, Alfreda CNP Provider ID: 1539609 Gender: Female Blessing Hospital 3200 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs Snyder, Kenton APRN Provider ID: 1492249 Gender: Male Quincy Physicians and Surgeons 1005 Broadway St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Steffen, Patricia CNP Provider ID: 1539618 Gender: Female Blessing Hospital 102 Prairie Mills Rd Golden, IL 62339 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs Todd, Heather APRN Provider ID: 1492274 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Vahle, Mary CNP Provider ID: 1492279 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Vogt, Richard CNP Provider ID: 1539637 Gender: Male Blessing Hospital 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs Voss, Daveda CNP Provider ID: 1539639 Gender: Female Blessing Hospital 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs Walker, Jennifer CNP Provider ID: 1492302 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Maximus ID: 1089318 White, Donna CRNA Provider ID: 1539641 Gender: Female Blessing Hospital 102 Prairie Mills Rd Golden, IL 62339 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs

Geriatric Medicine Heming, Leah CNP Provider ID: 1539507 Gender: Female Blessing Hospital 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs Pollock, Ashley CNP Provider ID: 1539152 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Hematology & Oncology Knuffman, Lisa APRN Provider ID: 1492046 Gender: Female Quincy Physicians and Surgeons 1005 Broadway St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Internal Medicine Adhikari, Rachana CNP Provider ID: 1539051 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

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Aronberg, Fiona APRN Provider ID: 1491907 Gender: Female Quincy Physicians and Surgeons 1005 Broadway St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Olson, Sharon CNP Provider ID: 1539589 Gender: Female Blessing Hospital 936 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs

Licensed Clinical Social Worker Berhorst, Billy LCSW Provider ID: 1491924 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Bockhold, Joy LCSW Provider ID: 1491928 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Updated: 03/08/2018

Allied Providers Adams Licensed Clinical Social Worker - cont. Bockhold, Sarah LCSW Provider ID: 1539061 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Bockhold, Sarah LCSW Provider ID: 1539453 Gender: Female Blessing Hospital 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs Carlson, Lori LCSW Provider ID: 1491944 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Eftink, Julie LCSW Provider ID: 1539083 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Hodges, Kettisha LCSW Provider ID: 1492025 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Krueger, Tara LCSW Provider ID: 1492053 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Lunt, Kelli LCSW Provider ID: 1539122 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Miller, Sean LCSW Provider ID: 1539128 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Obert, Alan LCSW Provider ID: 1539139 Gender: Male Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Ormond, Bridget LCSW Provider ID: 1539145 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Frese, Cristina LPC Provider ID: 1491989 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Ormond, Bridget CSW Provider ID: 1539590 Gender: Female Blessing Hospital 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs

Guilfoyle, Jennifer LPC Provider ID: 1492002 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Saunders, Katherine LCSW Provider ID: 1492196 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Hildebrand, Melissa LPC Provider ID: 1492022 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Schultz, Eric LCSW Provider ID: 1539603 Gender: Male Blessing Hospital 102 Prairie Mills Rd Golden, IL 62339 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs

Poyser, Joseph LPC Provider ID: 1492109 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Licensed Professional Counselor Douglas, Kathryn LPC Provider ID: 1491973 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

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Prow, Tracy LPC Provider ID: 1539153 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Updated: 03/08/2018

Allied Providers Adams Licensed Professional Counselor - cont. Rains, Tiffaney LPC Provider ID: 1492116 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Sanders, Katharine LPC Provider ID: 1539170 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Shields, Nicole LPC Provider ID: 1492227 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Medical Oncology Weems, Karen APRN Provider ID: 1492307 Gender: Female Quincy Physicians and Surgeons 1005 Broadway St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Nurse Practitioner Hudson, Tammy APRN Provider ID: 1492027 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Occupational Therapy Adams, Amanda OT Provider ID: 1491889 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Adams, Erin OT Provider ID: 1491890 Gender: Female Quincy Physicians and Surgeons 1118 Hampshire St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Twaddle, Deanna OT Provider ID: 1492278 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Orthopaedic Surgery Martin, Rita PA Provider ID: 1492069 Gender: Female Quincy Physicians and Surgeons 1118 Hampshire St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Maximus ID: 1089333

Palliative Care Greiman, Tiffany ARNP Provider ID: 1492000 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Pediatrics Ayres, Catherine APRN Provider ID: 1491910 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM Maximus ID: 1089352 Batley, Chaka APRN Provider ID: 1491919 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM Maximus ID: 1089348

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Campbell, Becky CNP Provider ID: 1491942 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM Maximus ID: 1089345 Ourth-Finlay, Joni APRN Provider ID: 1492091 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM Vander Ley, Alison APRN Provider ID: 1492284 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Maximus ID: 1089316

Physical Therapy Whittaker, Julia PT Provider ID: 1492319 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Updated: 03/08/2018

Allied Providers Adams Physical Therapy - cont. Wilson, Samantha PT Provider ID: 1492326 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Speech & Language Pathology Kemner-Schoen, Kristie SLP Provider ID: 1492037 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Speech Therapy Frageman, Angela SLP Provider ID: 1491986 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Harmer, Leigh SLP Provider ID: 1492010 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Siemens(Watson), Megan SLP Provider ID: 1492231 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Vonderhaar, Kelsey SLP Provider ID: 1492288 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Wagner, Amanda SLP Provider ID: 1492293 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Zinn, Anne SLP Provider ID: 1492335 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Sports Medicine Miller Spears, Erica PA Provider ID: 1539130 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Stewart, Christie PA Provider ID: 1539190 Gender: Female Blessing Corporate Services Db 927 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Urology Rosen, Steven PA Provider ID: 1492129 Gender: Male Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Vascular Surgery Shields, Donna ARNP Provider ID: 1492225 Gender: Female Quincy Physicians and Surgeons 1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

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Allied Providers Brown Family Practice Sipes, Kayla APRN Provider ID: 1492233 Gender: Female Quincy Physicians and Surgeons 521 E Main St Mount Sterling, IL 62353 (217) 773-3963 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Maximus ID: 1489359 Vallee, Tasha APRN Provider ID: 1492280 Gender: Female Quincy Physicians and Surgeons 521 E Main St Mount Sterling, IL 62353 (217) 773-3963 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Maximus ID: 1489357

Licensed Clinical Social Worker Perry, Nancy LCSW Provider ID: 1492103 Gender: Female Quincy Physicians and Surgeons 521 E Main St Mount Sterling, IL 62353 (217) 773-3963 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Physical Therapy Blakeley, Martha PT Provider ID: 1491926 Gender: Female Quincy Physicians and Surgeons 521 E Main St Mount Sterling, IL 62353 (217) 773-3963 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

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Updated: 03/08/2018

Allied Providers Cass Family Practice Boyd, Emily APRN Provider ID: 1529994 Gender: Female Cass County Public Health Dept 331 S Main St Virginia, IL 62691 (217) 452-3057 Fax: (217) 452-7245 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Maximus ID: 1890078

Seely, Sarah LPC Provider ID: 1530006 Gender: Female Cass County Public Health Dept 8590 St Lukes Dr Beardstown, IL 62618 (217) 323-2242 Fax: (217) 323-2210 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Boyd, Emily APRN Provider ID: 1529998 Gender: Female Cass County Public Health Dept 8590 St Lukes Dr Beardstown, IL 62618 (217) 323-2242 Fax: (217) 323-2210 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Maximus ID: 1890079

Licensed Clinical Social Worker Briney, Rochelle LCSW Provider ID: 1531946 Gender: Female Cass County Mental Health Assoc 121 E 2nd St Beardstown, IL 62618 (217) 323-2980 Fax: (217) 323-3731 00 Yrs/130 Yrs M-TH 8:00 AM - 5:00 PM F 8:00 AM - 4:00 PM

Licensed Professional Counselor Seely, Sarah LPC Provider ID: 1530006 Gender: Female Cass County Public Health Dept 331 S Main St Virginia, IL 62691 (217) 452-3057 Fax: (217) 452-7245 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

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Updated: 03/08/2018

Allied Providers Champaign Behavioral Health Counseling Roberts Neukomm, Nancy LPC Provider ID: 1343166 Gender: Female Healthy Thoughts Wellness Center 2205 E University Ave Ste A Urbana, IL 61802 (217) 419-4713 Fax: (217) 367-1058 12 Yrs/130 Yrs M-F 9:00 AM - 7:30 PM

Licensed Clinical Social Worker Donsbach, Jamie LCSW Provider ID: 1239095 Gender: Female Kevin Elliott Counseling Inc. 309 W Clark St Champaign, IL 61820 (217) 398-9066 Fax: (217) 398-9077 00 Yrs/130 Yrs M-TH 8:00 AM - 8:00 PM F 8:00 AM - 5:00 PM Sat 8:00 AM - 2:00 PM Senoff, Lauren LCSW Provider ID: 1431055 Gender: Female Lauren Senoff LCSW SC 206 N Randolph St Ste 9 Champaign, IL 61820 (217) 359-4066 Fax: (217) 621-3903 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Sweet, Cynthia LCSW Provider ID: 960940 Gender: Female The Center For Youth and Famil 1315 Curt Dr Ste A Champaign, IL 61821 (217) 352-5179 Fax: (217) 352-7817 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Tullis, Debra LCSW Provider ID: 962337 Gender: Female Debra Tullis Counseling 6 Dunlap Ct Savoy, IL 61874 (217) 493-8186 Fax: (217) 359-3931 00 Yrs/130 Yrs M-F 8:00 AM - 4:00 PM Sat 8:00 AM - 12:00 PM Welter, Carolyn LCSW Provider ID: 1526665 Gender: Female Psychology Specialists 2500 Galen Dr Ste 104 Champaign, IL 61821 (309) 706-3190 Fax: (309) 588-4115 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Obstetrics/Gynecology Burke, Roseanne APRN

Enoch, Jennifer APRN Provider ID: 1357619 Gender: Female Planned Parenthood of Illinois 302 E Stoughton St Champaign, IL 61820 (217) 359-8022 Fax: (217) 359-9625 12 Yrs/130 Yrs M 8:00 AM - 4:00 PM TTH 9:30 AM - 5:30 PM W 11:00 AM - 7:00 PM F 8:00 AM - 3:30 PM Fairfield, Mitzie APRN Provider ID: 956189 Gender: Female Planned Parenthood of Illinois 302 E Stoughton St Champaign, IL 61820 (217) 359-8022 Fax: (217) 359-9625 00 Yrs/130 Yrs MT 9:00 AM - 5:00 PM W 8:00 AM - 5:00 PM TH 11:00 AM - 7:00 PM F 8:00 AM - 3:00 PM

Provider ID: 957163 Johnson, Kerianne APRN Gender: Female Planned Parenthood of Illinois 302 E Stoughton St Provider ID: 956217 Champaign, IL 61820 Gender: Female (217) 359-8022 Planned Parenthood of Illinois Fax: (217) 359-9625 302 E Stoughton St 00 Yrs/130 Yrs Champaign, IL 61820 MT 9:00 AM - 5:00 PM (217) 359-8022 W 8:00 AM - 5:00 PM Fax: (217) 359-9625 TH 11:00 AM - 7:00 PM 00 Yrs/130 Yrs F 8:00 AM - 3:00 PM MT 9:00 AM - 5:00 PM W 8:00 AM - 5:00 PM Cox, Stephani APRN TH 11:00 AM - 7:00 PM Provider ID: 959324 F 8:00 AM - 3:00 PM Gender: Female Planned Parenthood of Illinois Schafer, Kathy APRN 302 E Stoughton St Provider ID: 976658 Champaign, IL 61820 Gender: Female (217) 359-8022 Planned Parenthood of Illinois Fax: (217) 359-9625 302 E Stoughton St 00 Yrs/130 Yrs Champaign, IL 61820 MT 9:00 AM - 5:00 PM (217) 359-8022 W 8:00 AM - 5:00 PM Fax: (217) 359-9625 TH 11:00 AM - 7:00 PM 00 Yrs/130 Yrs F 8:00 AM - 3:00 PM MT 9:00 AM - 5:00 PM W 8:00 AM - 5:00 PM TH 11:00 AM - 7:00 PM F 8:00 AM - 3:00 PM

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Updated: 03/08/2018

Allied Providers Coles Dermatology Pasley, Stephanie APRN Provider ID: 1492651 Gender: Female Dermatology and Mohs Surgery L 100 Deerpath Charleston, IL 61920 (309) 451-3376 Fax: (309) 452-3376 00 Yrs/130 Yrs M-F 8:00 AM - 4:30 PM

Family Practice Jackson, Danelle ARNP Provider ID: 1324419 Gender: Female Southern Illinois Healthcare F 626 W Lincoln Ave Charleston, IL 61920 (217) 345-7702 Fax: (217) 345-7705 00 Yrs/130 Yrs M-TH 8:00 AM - 5:00 PM Maximus ID: 2495240 McGuire, Mary APRN Provider ID: 1323820 Gender: Female Southern Illinois Healthcare F 700 Broadway Ave E Ste 39 Mattoon, IL 61938 (217) 234-3091 Fax: (217) 234-3094 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Maximus ID: 2495241

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Updated: 03/08/2018

Allied Providers Cumberland Family Practice Miller, Janis ARNP Provider ID: 1324420 Gender: Female Southern Illinois Healthcare F 302 N Mill St Greenup, IL 62428 (217) 923-3311 Fax: (217) 923-5160 00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM Maximus ID: 2695230

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Updated: 03/08/2018

Allied Providers Douglas Family Practice Liss, David ARNP Provider ID: 1487975 Gender: Male Kirby Medical Center 108 S Main St Atwood, IL 61913 (217) 578-3814 00 Yrs/130 Yrs MWTH 8:00 AM - 4:30 PM T 8:00 AM - 12:00 PM F 8:00 AM - 4:00 PM Maximus ID: 8281887 Zerrusen, Kendra ARNP Provider ID: 1480544 Gender: Female Southern Illinois Healthcare F 525 N Vine St Arthur, IL 61911 (217) 543-2446 Fax: (217) 543-2548 00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM

Licensed Clinical Social Worker Donsbach, Jamie LCSW Provider ID: 1239095 Gender: Female Kevin Elliott Counseling Inc. 704 N Main St Tuscola, IL 61953 (217) 398-9066 Fax: (217) 398-9077 00 Yrs/130 Yrs M-TH 8:00 AM - 9:00 PM F 8:00 AM - 5:00 PM Sat 9:00 AM - 4:00 PM Porter, Jaime LCSW Provider ID: 1488099 Gender: Female Kirby Medical Center 108 S Main St Atwood, IL 61913 (217) 578-3814 00 Yrs/130 Yrs M 7:00 AM - 6:00 PM

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Updated: 03/08/2018

Allied Providers Greene Family Practice Beavers, Laurie APRN Provider ID: 1499948 Gender: Female Thomas H Boyd Memorial Hospita 712 College St Greenfield, IL 62044 (217) 368-3051 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Stewart, Keli APRN Provider ID: 1499959 Gender: Female Thomas H Boyd Memorial Hospita 800 School St Carrollton, IL 62016 (217) 942-3600 Fax: (217) 942-3785 00 Yrs/130 Yrs MTWTHFSatSun 7:00 AM 7:00 PM

Holbert, Tracie APRN Provider ID: 1499949 Gender: Female Thomas H Boyd Memorial Hospita 132 W Lorton St Roodhouse, IL 62082 (217) 589-4629 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Holbert, Tracie APRN Provider ID: 1499949 Gender: Female Thomas H Boyd Memorial Hospita 800 School St Carrollton, IL 62016 (217) 942-3600 Fax: (217) 942-3785 00 Yrs/130 Yrs M-F 7:00 AM - 7:00 PM Stewart, Keli APRN Provider ID: 1499959 Gender: Female Thomas H Boyd Memorial Hospita 712 College St Greenfield, IL 62044 (217) 368-3051 Fax: (217) 368-2213 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

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Updated: 03/08/2018

Allied Providers Hancock Family Practice Carle, Krista ARNP Provider ID: 1510449 Gender: Female Memorial Hospital Association 1450 N County Rd 2050 Carthage, IL 62321 (217) 357-2173 00 Yrs/130 Yrs M-TH 7:00 AM - 5:00 PM F 7:00 AM - 6:00 PM Maximus ID: 4253565 Crim, Monica ARNP Provider ID: 1510458 Gender: Female Memorial Hospital Association 501 E Main St LA Harpe, IL 61450 (217) 659-3844 00 Yrs/130 Yrs MTTH 8:00 AM - 8:00 PM WF 8:00 AM - 5:00 PM Maximus ID: 7053568 Glass, Janette ARNP Provider ID: 1510465 Gender: Female Memorial Hospital Association 1450 N County Rd 2050 Carthage, IL 62321 (217) 357-2173 00 Yrs/130 Yrs M-TH 7:00 AM - 5:00 PM F 7:00 AM - 6:00 PM Maximus ID: 4253562 Leon, Jeffery PA Provider ID: 1510476 Gender: Male Memorial Hospital Association 209 E 5th St Bowen, IL 62316 (217) 842-5211 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Maximus ID: 4253557

Voss, Daveda ARNP Provider ID: 1510494 Gender: Female Memorial Hospital Association 1450 N County Rd 2050 Carthage, IL 62321 (217) 357-2173 00 Yrs/130 Yrs M-TH 7:00 AM - 5:00 PM F 7:00 AM - 6:00 PM Maximus ID: 4253559 Wasielewski, Anthony ARNP Provider ID: 1510495 Gender: Male Memorial Hospital Association 1370 Mulholland St Nauvoo, IL 62354 (217) 453-6802 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Maximus ID: 4253567

Licensed Clinical Social Worker Bockhold, Sarah LCSW Provider ID: 1539340 Gender: Female Blessing Corporate Services Db 1102 N County Rd 700 Warsaw, IL 62379 (217) 256-4100 Fax: (217) 256-3800 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Nurse Midwife Fritz, Lila CNM Provider ID: 1510463 Gender: Female Memorial Hospital Association 630 Locust St Carthage, IL 62321 (217) 357-0617 00 Yrs/130 Yrs M-TH 8:00 AM - 8:00 PM F 8:00 AM - 5:00 PM

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Updated: 03/08/2018

Allied Providers Iroquois Audiology Braun, Sarah AUD Provider ID: 1158450 Gender: Female Riverside Health Systems 1490 E Walnut St Ste A Watseka, IL 60970 (815) 432-2025 Fax: (815) 432-5217 00 Yrs/130 Yrs M-F 8:30 AM - 4:30 PM

Family Practice Allen, Sarah ARNP Provider ID: 1519675 Gender: Female Riverside Health Systems 720B S Crescent St Gilman, IL 60938 (815) 265-4255 Fax: (815) 265-4257 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Denny, Kyle PA Provider ID: 1282420 Gender: Male Riverside Health Systems 720 S Crescent St Ste B Gilman, IL 60938 (815) 265-4255 Fax: (815) 265-4257 00 Yrs/130 Yrs M-F 9:00 AM - 8:30 PM Sat-Sun 8:00 AM - 5:00 PM Forsythe, Ashton APRN Provider ID: 1334291 Gender: Female Riverside Health Systems 720B S Crescent St Gilman, IL 60938 (815) 265-4255 Fax: (815) 265-4257 00 Yrs/130 Yrs M-F 8:00 AM - 8:30 PM Sat-Sun 8:00 AM - 4:30 PM Henderson, Tammie APRN

Cavender, Kaitlain CNP Provider ID: 1324421 Gender: Female Riverside Health Systems 720B S Crescent St Gilman, IL 60938 (815) 265-4255 Fax: (815) 265-4257 00 Yrs/130 Yrs M-F 8:00 AM - 8:30 PM Sat-Sun 8:00 AM - 4:30 PM Chambers, Shambre ARNP Provider ID: 1538519 Gender: Female Riverside Health Systems 720B S Crescent St Gilman, IL 60938 (815) 265-4255 Fax: (815) 265-4257 00 Yrs/130 Yrs M 9:00 AM - 1:00 PM TWTHF 8:00 AM - 8:30 PM Sat 8:00 AM - 4:30 PM Sun 9:00 AM - 4:30 PM

Provider ID: 1315554 Gender: Female Riverside Health Systems 720B S Crescent St Gilman, IL 60938 (815) 265-4255 Fax: (815) 265-4257 00 Yrs/130 Yrs M-F 8:00 AM - 8:30 PM Sat-Sun 8:00 AM - 4:30 PM Hoffner, Christin APRN Provider ID: 1421080 Gender: Female Riverside Health Systems 1490 E Walnut St Ste A Watseka, IL 60970 (815) 432-7693 Fax: (815) 936-7228 00 Yrs/130 Yrs MT 8:00 AM - 8:30 PM WTHF 9:00 AM - 8:30 PM Sat-Sun 8:00 AM - 4:30 PM

Lopez, Georgina APRN Provider ID: 1262232 Gender: Female Riverside Health Systems 720B S Crescent St Gilman, IL 60938 (815) 265-4255 Fax: (815) 265-4257 00 Yrs/130 Yrs Languages: Spanish M-F 9:00 AM - 8:30 PM Sat 9:00 AM - 5:00 PM Sun 10:00 AM - 5:00 PM Schroeder, Janella APRN Provider ID: 1306091 Gender: Female Riverside Health Systems 720B S Crescent St Gilman, IL 60938 (815) 265-4255 Fax: (815) 265-4257 00 Yrs/130 Yrs M-F 8:00 AM - 8:30 PM Sat-Sun 8:00 AM - 4:30 PM Seagren, Brittani APRN Provider ID: 1519674 Gender: Female Riverside Health Systems 1490 E Walnut St Ste A Watseka, IL 60970 (815) 432-7693 Fax: (815) 936-7228 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Seagren, Brittani APRN Provider ID: 1519674 Gender: Female Riverside Health Systems 720B S Crescent St Gilman, IL 60938 (815) 265-4255 Fax: (815) 265-4257 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

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Shule, Laree APRN Provider ID: 1172449 Gender: Female Riverside Health Systems 1490 E Walnut St Ste A Watseka, IL 60970 (815) 432-0250 Fax: (815) 432-5217 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Wright, Jeremy APRN Provider ID: 1317468 Gender: Male Riverside Health Systems 720B S Crescent St Gilman, IL 60938 (815) 265-4255 Fax: (815) 265-4257 00 Yrs/130 Yrs Riverside Medical Center M-F 8:00 AM - 8:30 PM Sat-Sun 8:00 AM - 4:30 PM Yunker, Kristen APRN Provider ID: 1513448 Gender: Female Riverside Health Systems 1490 E Walnut St Ste A Watseka, IL 60970 (815) 432-7693 Fax: (815) 936-7228 00 Yrs/130 Yrs MT 8:00 AM - 8:30 PM WTHF 9:00 AM - 8:30 PM Sat-Sun 8:00 AM - 4:30 PM Yunker, Kristen APRN Provider ID: 1513448 Gender: Female Riverside Health Systems 720B S Crescent St Gilman, IL 60938 (815) 265-4255 Fax: (815) 265-4257 00 Yrs/130 Yrs MT 8:00 AM - 8:30 PM WTHF 9:00 AM - 8:30 PM Sat-Sun 8:00 AM - 4:30 PM

Updated: 03/08/2018

Allied Providers Iroquois Licensed Professional Counselor Sabo, Jamie LPC Provider ID: 1490203 Gender: Female Iroquois Mental Health Center 323 W Mulberry St Watseka, IL 60970 (815) 432-5241 Fax: (815) 432-4537 00 Yrs/130 Yrs M-TH 8:00 AM - 9:00 PM FSat 8:00 AM - 5:00 PM

Neurosurgery Balthazor, Kristin PA Provider ID: 1404425 Gender: Female Riverside Health Systems 1490 E Walnut St Ste A Watseka, IL 60970 (815) 432-7693 Fax: (815) 936-7228 00 Yrs/130 Yrs M-TH 8:30 AM - 5:00 PM F 8:30 AM - 4:00 PM Hamblen, Kathryn APRN Provider ID: 1508805 Gender: Female Riverside Health Systems 1490 E Walnut St Ste A Watseka, IL 60970 (815) 432-7693 Fax: (815) 936-7228 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Nurse Practitioner Adult Nurse Practitioner Family Johandes, Amy CNP Health Medicine Provider ID: 1538674 Schoolman, Dianne CNP Provider ID: 1538683 Gender: Female Iroquois Memorial Hospital and 200 Fairman Ave Watseka, IL 60970 (815) 432-5411 Fax: (815) 432-3955 00 Yrs/130 Yrs M-TH 8:00 AM - 6:00 PM F 7:00 AM - 5:00 PM Sat 8:00 AM - 2:00 PM Schoolman, Dianne CNP Provider ID: 1538686 Gender: Female Iroquois Memorial Hospital and 34 E Jones St Milford, IL 60953 (815) 889-4241 Fax: (815) 889-4244 00 Yrs/130 Yrs M 8:30 AM - 5:00 PM TTH 8:00 AM - 6:00 PM WF 8:00 AM - 5:00 PM Schoolman, Dianne CNP Provider ID: 1538690 Gender: Female Iroquois Memorial Hospital and 508 E Crescent St Gilman, IL 60938 (815) 265-8889 Fax: (815) 265-8332 00 Yrs/130 Yrs MF 7:00 AM - 5:00 PM TTH 8:30 AM - 6:30 PM W 8:30 AM - 5:00 PM

Henderson, Colleen CNP Provider ID: 1538608 Gender: Female Iroquois Memorial Hospital and 200 Fairman Ave Watseka, IL 60970 (815) 432-5411 Fax: (815) 432-3955 00 Yrs/130 Yrs M-TH 8:00 AM - 6:00 PM F 7:00 AM - 5:00 PM Sat 8:00 AM - 2:00 PM Henderson, Colleen CNP Provider ID: 1538610 Gender: Female Iroquois Memorial Hospital and 34 E Jones St Milford, IL 60953 (815) 889-4241 Fax: (815) 889-4244 00 Yrs/130 Yrs M 8:30 AM - 5:00 PM TTH 8:00 AM - 6:00 PM WF 8:00 AM - 5:00 PM Henderson, Colleen CNP Provider ID: 1538612 Gender: Female Iroquois Memorial Hospital and 508 E Crescent St Gilman, IL 60938 (815) 265-8889 Fax: (815) 265-8332 00 Yrs/130 Yrs MF 7:00 AM - 5:00 PM TTH 8:30 AM - 6:30 PM W 8:30 AM - 5:00 PM

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Gender: Female Iroquois Memorial Hospital and 200 Fairman Ave Watseka, IL 60970 (815) 432-5411 Fax: (815) 432-3955 00 Yrs/130 Yrs M-TH 8:00 AM - 6:00 PM F 7:00 AM - 5:00 PM Sat 8:00 AM - 2:00 PM

Johandes, Amy CNP Provider ID: 1538677 Gender: Female Iroquois Memorial Hospital and 34 E Jones St Milford, IL 60953 (815) 889-4241 Fax: (815) 889-4244 00 Yrs/130 Yrs M 8:30 AM - 5:00 PM TTH 8:00 AM - 6:00 PM WF 8:00 AM - 5:00 PM Johandes, Amy CNP Provider ID: 1538681 Gender: Female Iroquois Memorial Hospital and 508 E Crescent St Gilman, IL 60938 (815) 265-8889 Fax: (815) 265-8332 00 Yrs/130 Yrs MF 7:00 AM - 5:00 PM TTH 8:30 AM - 6:30 PM W 8:30 AM - 5:00 PM Keller, Karen CNP Provider ID: 1538653 Gender: Female Iroquois Memorial Hospital and 200 Fairman Ave Watseka, IL 60970 (815) 432-5411 Fax: (815) 432-3955 00 Yrs/130 Yrs M-TH 8:00 AM - 6:00 PM F 7:00 AM - 5:00 PM Sat 8:00 AM - 2:00 PM

Updated: 03/08/2018

Allied Providers Iroquois Nurse Practitioner Family Koerner, Rebecca CNP Medicine - cont. Provider ID: 1538629 Keller, Karen CNP Provider ID: 1538655 Gender: Female Iroquois Memorial Hospital and 34 E Jones St Milford, IL 60953 (815) 889-4241 Fax: (815) 889-4244 00 Yrs/130 Yrs M 8:30 AM - 5:00 PM TTH 8:00 AM - 6:00 PM WF 8:00 AM - 5:00 PM Keller, Karen CNP Provider ID: 1538659 Gender: Female Iroquois Memorial Hospital and 508 E Crescent St Gilman, IL 60938 (815) 265-8889 Fax: (815) 265-8332 00 Yrs/130 Yrs MF 7:00 AM - 5:00 PM TTH 8:30 AM - 6:30 PM W 8:30 AM - 5:00 PM Koerner, Rebecca CNP Provider ID: 1538627 Gender: Female Iroquois Memorial Hospital and 200 Fairman Ave Watseka, IL 60970 (815) 432-5411 Fax: (815) 432-3955 00 Yrs/130 Yrs M-TH 8:00 AM - 6:00 PM F 7:00 AM - 5:00 PM Sat 8:00 AM - 2:00 PM

Gender: Female Iroquois Memorial Hospital and 34 E Jones St Milford, IL 60953 (815) 889-4241 Fax: (815) 889-4244 00 Yrs/130 Yrs M 8:30 AM - 5:00 PM TTH 8:00 AM - 6:00 PM WF 8:00 AM - 5:00 PM

Koerner, Rebecca CNP Provider ID: 1538632 Gender: Female Iroquois Memorial Hospital and 508 E Crescent St Gilman, IL 60938 (815) 265-8889 Fax: (815) 265-8332 00 Yrs/130 Yrs MF 7:00 AM - 5:00 PM TTH 8:30 AM - 6:30 PM W 8:30 AM - 5:00 PM Lafayette, K Shayla CNP Provider ID: 1538563 Gender: Female Iroquois Memorial Hospital and 34 E Jones St Milford, IL 60953 (815) 889-4241 Fax: (815) 889-4244 00 Yrs/130 Yrs M 8:30 AM - 5:00 PM TTH 8:00 AM - 6:00 PM WF 8:00 AM - 5:00 PM Lafayette, K Shayla CNP Provider ID: 1538568 Gender: Female Iroquois Memorial Hospital and 200 Fairman Ave Watseka, IL 60970 (815) 432-5411 Fax: (815) 432-3955 00 Yrs/130 Yrs M-TH 8:00 AM - 6:00 PM F 7:00 AM - 5:00 PM Sat 8:00 AM - 2:00 PM

Lafayette, K Shayla CNP Provider ID: 1538572 Gender: Female Iroquois Memorial Hospital and 508 E Crescent St Gilman, IL 60938 (815) 265-8889 Fax: (815) 265-8332 00 Yrs/130 Yrs MF 7:00 AM - 5:00 PM TTH 8:30 AM - 6:30 PM W 8:30 AM - 5:00 PM Mattox, Judith CNP Provider ID: 1538663 Gender: Female Iroquois Memorial Hospital and 200 Fairman Ave Watseka, IL 60970 (815) 432-5411 Fax: (815) 432-3955 00 Yrs/130 Yrs M-TH 8:00 AM - 6:00 PM F 7:00 AM - 5:00 PM Sat 8:00 AM - 2:00 PM Mattox, Judith CNP Provider ID: 1538665 Gender: Female Iroquois Memorial Hospital and 34 E Jones St Milford, IL 60953 (815) 889-4241 Fax: (815) 889-4244 00 Yrs/130 Yrs M 8:30 AM - 5:00 PM TTH 8:00 AM - 6:00 PM WF 8:00 AM - 5:00 PM Mattox, Judith CNP Provider ID: 1538671 Gender: Female Iroquois Memorial Hospital and 508 E Crescent St Gilman, IL 60938 (815) 265-8889 Fax: (815) 265-8332 00 Yrs/130 Yrs MF 7:00 AM - 5:00 PM TTH 8:30 AM - 6:30 PM W 8:30 AM - 5:00 PM

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Schroeder, Janella CNP Provider ID: 1538622 Gender: Female Iroquois Memorial Hospital and 200 Fairman Ave Watseka, IL 60970 (815) 432-5411 Fax: (815) 432-3955 00 Yrs/130 Yrs M-TH 8:00 AM - 6:00 PM F 7:00 AM - 5:00 PM Sat 8:00 AM - 2:00 PM Schroeder, Janella CNP Provider ID: 1538623 Gender: Female Iroquois Memorial Hospital and 34 E Jones St Milford, IL 60953 (815) 889-4241 Fax: (815) 889-4244 00 Yrs/130 Yrs M 8:30 AM - 5:00 PM TTH 8:00 AM - 6:00 PM WF 8:00 AM - 5:00 PM Schroeder, Janella CNP Provider ID: 1538625 Gender: Female Iroquois Memorial Hospital and 508 E Crescent St Gilman, IL 60938 (815) 265-8889 Fax: (815) 265-8332 00 Yrs/130 Yrs MF 7:00 AM - 5:00 PM TTH 8:30 AM - 6:30 PM W 8:30 AM - 5:00 PM

Updated: 03/08/2018

Allied Providers Iroquois Nurse Practitioner Family St John, Jessica CNP Medicine - cont. Provider ID: 1538578 Seplak, Nina CNP Provider ID: 1538634 Gender: Female Iroquois Memorial Hospital and 200 Fairman Ave Watseka, IL 60970 (815) 432-5411 Fax: (815) 432-3955 00 Yrs/130 Yrs M-TH 8:00 AM - 6:00 PM F 7:00 AM - 5:00 PM Sat 8:00 AM - 2:00 PM Seplak, Nina CNP Provider ID: 1538635 Gender: Female Iroquois Memorial Hospital and 34 E Jones St Milford, IL 60953 (815) 889-4241 Fax: (815) 889-4244 00 Yrs/130 Yrs M 8:30 AM - 5:00 PM TTH 8:00 AM - 6:00 PM WF 8:00 AM - 5:00 PM Seplak, Nina CNP Provider ID: 1538637 Gender: Female Iroquois Memorial Hospital and 508 E Crescent St Gilman, IL 60938 (815) 265-8889 Fax: (815) 265-8332 00 Yrs/130 Yrs MF 7:00 AM - 5:00 PM TTH 8:30 AM - 6:30 PM W 8:30 AM - 5:00 PM

Gender: Female Iroquois Memorial Hospital and 508 E Crescent St Gilman, IL 60938 (815) 265-8889 Fax: (815) 265-8332 00 Yrs/130 Yrs MF 7:00 AM - 5:00 PM TTH 8:30 AM - 6:30 PM W 8:30 AM - 5:00 PM

Walczak, Karen CNP Provider ID: 1538591 Gender: Female Iroquois Memorial Hospital and 34 E Jones St Milford, IL 60953 (815) 889-4241 Fax: (815) 889-4244 00 Yrs/130 Yrs M 8:30 AM - 5:00 PM TTH 8:00 AM - 6:00 PM WF 8:00 AM - 5:00 PM

St John, Jessica CNP Provider ID: 1538580 Gender: Female Iroquois Memorial Hospital and 200 Fairman Ave Watseka, IL 60970 (815) 432-5411 Fax: (815) 432-3955 00 Yrs/130 Yrs M-TH 8:00 AM - 6:00 PM F 7:00 AM - 5:00 PM Sat 8:00 AM - 2:00 PM

Walczak, Karen CNP Provider ID: 1538593 Gender: Female Iroquois Memorial Hospital and 508 E Crescent St Gilman, IL 60938 (815) 265-8889 Fax: (815) 265-8332 00 Yrs/130 Yrs MF 7:00 AM - 5:00 PM TTH 8:30 AM - 6:30 PM W 8:30 AM - 5:00 PM

St John, Jessica CNP Provider ID: 1538583 Gender: Female Iroquois Memorial Hospital and 34 E Jones St Milford, IL 60953 (815) 889-4241 Fax: (815) 889-4244 00 Yrs/130 Yrs M 8:30 AM - 5:00 PM TTH 8:00 AM - 6:00 PM WF 8:00 AM - 5:00 PM Walczak, Karen CNP Provider ID: 1538588 Gender: Female Iroquois Memorial Hospital and 200 Fairman Ave Watseka, IL 60970 (815) 432-5411 Fax: (815) 432-3955 00 Yrs/130 Yrs M-TH 8:00 AM - 6:00 PM F 7:00 AM - 5:00 PM Sat 8:00 AM - 2:00 PM

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Updated: 03/08/2018

Allied Providers Jersey Licensed Clinical Social Worker Jarman, Diana LCSW Provider ID: 935587 Gender: Female Wellspring Resources 221 E County Rd Jerseyville, IL 62052 (618) 208-2206 Fax: (618) 462-2504 00 Yrs/130 Yrs M 8:00 AM - 5:00 PM TTH 8:00 AM - 8:00 PM W 8:00 AM - 6:00 PM

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Updated: 03/08/2018

Allied Providers Livingston Dermatology Stern, Jennifer APRN Provider ID: 1188527 Gender: Female Dermatology and Mohs Surgery L 1508 W Reynolds St Ste C Pontiac, IL 61764 (815) 842-4000 Fax: (815) 842-3700 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Family Practice Allen, Sarah ARNP Provider ID: 1519675 Gender: Female Riverside Health Systems 106B Watters Dr Dwight, IL 60420 (815) 584-2719 Fax: (815) 936-3851 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Forsythe, Ashton APRN Provider ID: 1334291 Gender: Female Riverside Health Systems 106B Watters Dr Dwight, IL 60420 (815) 584-2719 Fax: (815) 936-3851 00 Yrs/130 Yrs M-F 8:00 AM - 8:30 PM Sat-Sun 8:00 AM - 4:30 PM Henderson, Tammie APRN Provider ID: 1315554 Gender: Female Riverside Health Systems 106B Watters Dr Dwight, IL 60420 (815) 584-2719 Fax: (815) 936-3851 00 Yrs/130 Yrs M-F 8:00 AM - 8:30 PM Sat-Sun 8:00 AM - 4:30 PM

O'Connell, Naila APRN Provider ID: 1456454 Gender: Female Riverside Health Systems 106B Watters Dr Dwight, IL 60420 (815) 584-2719 Fax: (815) 936-3851 00 Yrs/130 Yrs M 8:00 AM - 9:30 PM TWTH 8:00 AM - 8:30 PM F 8:00 AM - 8:00 PM Sat-Sun 8:00 AM - 4:30 PM Seagren, Brittani APRN Provider ID: 1519674 Gender: Female Riverside Health Systems 106B Watters Dr Dwight, IL 60420 (815) 584-2719 Fax: (815) 936-3851 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Wourms, Jamie APRN Provider ID: 1317437 Gender: Female Riverside Health Systems 106B Watters Dr Dwight, IL 60420 (815) 584-2719 Fax: (815) 584-3851 00 Yrs/130 Yrs Riverside Medical Center M-F 8:00 AM - 8:30 PM Sat-Sun 8:00 AM - 4:30 PM

Licensed Professional Counselor Burns, Andrea LPC Provider ID: 1536388 Gender: Female Psychology Specialists 102 W Kenwood Ave Ste 102 Decatur, IL 61764 (309) 706-3190 Fax: (309) 588-4115 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Mueller, Amy LPC Provider ID: 1536394 Gender: Female Psychology Specialists 102 W Kenwood Ave Ste 102 Decatur, IL 61764 (309) 706-3190 Fax: (309) 588-4115 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Pediatrics Bojak, Sarah APRN Provider ID: 1336311 Gender: Female Riverside Health Systems 106B Watters Dr Dwight, IL 60420 (815) 584-2719 Fax: (815) 936-3851 00 Yrs/130 Yrs M-F 8:00 AM - 8:30 PM Sat 8:00 AM - 4:30 PM Sun 8:00 AM - 5:30 PM

Yunker, Kristen APRN Provider ID: 1513448 Gender: Female Riverside Health Systems 106B Watters Dr Dwight, IL 60420 (815) 584-2719 Fax: (815) 936-3851 00 Yrs/130 Yrs MT 8:00 AM - 8:30 PM WTHF 9:00 AM - 8:30 PM Sat-Sun 8:00 AM - 4:30 PM

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Updated: 03/08/2018

Allied Providers Logan Dermatology Stern, Jennifer APRN Provider ID: 1188527 Gender: Female Dermatology and Mohs Surgery L 626 N Chicago St Lincoln, IL 62656 (309) 451-3376 Fax: (309) 452-3376 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

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Updated: 03/08/2018

Allied Providers Macon Cardiology Eden, Brenda APRN Provider ID: 1144753 Gender: Female Prairie Cardiovascular Consult 1800 E Lake Shore Dr 6th Fl Decatur, IL 62521 (217) 422-6100 Fax: (217) 422-3217 00 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM Wallace, Deanna APRN Provider ID: 1236506 Gender: Female Prairie Cardiovascular Consult 1800 E Lake Shore Dr Decatur, IL 62521 (217) 422-6100 Fax: (217) 422-3217 00 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM Zindel, Ellen APRN Provider ID: 1167855 Gender: Female Prairie Cardiovascular Consult 1800 E Lake Shore Dr Ste 6 Decatur, IL 62521 (217) 422-6100 Fax: (217) 422-3217 00 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM

Certified Nurse Midwife Daugherty, Kelli CNM Provider ID: 1499490 Gender: Female Vita Center For Women LLC 544 W Pershing Rd Ste A Decatur, IL 62526 (217) 872-2400 Fax: (217) 875-4680 18 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM

Hufford, Kristen CNM Provider ID: 1499488 Gender: Female Vita Center For Women LLC 544 W Pershing Rd Ste A Decatur, IL 62526 (217) 872-2400 Fax: (217) 875-4680 18 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM Lowrance, Debra CNM Provider ID: 1499499 Gender: Female Vita Center For Women LLC 1750 E Lake Shore Dr Ste 110 Decatur, IL 62521 (217) 422-2500 Fax: (217) 422-2521 18 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM Meyer, Monica CNM Provider ID: 1499497 Gender: Female Vita Center For Women LLC 544 W Pershing Rd Ste A Decatur, IL 62526 (217) 872-2400 Fax: (217) 875-4680 00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM Naron, Kathryn APRN Provider ID: 1499494 Gender: Female Vita Center For Women LLC 544 W Pershing Rd Ste A Decatur, IL 62526 (217) 872-2400 Fax: (217) 875-4680 00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM

Licensed Clinical Social Worker Crumpler, Ann LCSW Provider ID: 1528067 Gender: Female Psychology Specialists 102 W Kenwood Ave Ste 102 Decatur, IL 62526 (309) 706-3190 Fax: (309) 588-4115 00 Yrs/130 Yrs M-TH 8:00 AM - 5:00 PM

Obstetrics/Gynecology Beyers, Heather APRN Provider ID: 1203158 Gender: Female Planned Parenthood of Illinois 3021 N Oakland Ave Decatur, IL 62526 (217) 877-6474 Fax: (217) 877-9452 00 Yrs/130 Yrs MT 8:00 AM - 5:30 PM WTH 9:30 AM - 6:00 PM Burke, Roseanne APRN

Johnson, Kerianne APRN Provider ID: 956217 Gender: Female Planned Parenthood of Illinois 3021 N Oakland Ave Decatur, IL 62526 (217) 877-6474 Fax: (217) 877-9452 00 Yrs/130 Yrs MTTH 8:00 AM - 5:30 PM W 9:30 AM - 6:30 PM F 8:00 AM - 1:00 PM

Johnson, Mois APRN Provider ID: 1198912 Provider ID: 957163 Gender: Female Gender: Female Planned Parenthood of Illinois Planned Parenthood of Illinois 3021 N Oakland Ave 3021 N Oakland Ave Decatur, IL 62526 Decatur, IL 62526 (217) 877-6474 (217) 877-6474 Fax: (217) 877-9452 Fax: (217) 877-9452 00 Yrs/130 Yrs 00 Yrs/130 Yrs MT 8:00 AM - 5:30 PM MTTH 8:00 AM - 5:30 PM WTH 9:30 AM - 6:00 PM W 9:30 AM - 6:30 PM Schafer, Kathy APRN F 8:00 AM - 1:00 PM Provider ID: 976658 Cox, Stephani APRN Gender: Female Provider ID: 959324 Planned Parenthood of Illinois Gender: Female 3021 N Oakland Ave Planned Parenthood of Illinois Decatur, IL 62526 3021 N Oakland Ave (217) 877-6474 Decatur, IL 62526 Fax: (217) 877-9452 (217) 877-6474 00 Yrs/130 Yrs Fax: (217) 877-9452 MTH 8:00 AM - 5:30 PM 00 Yrs/130 Yrs T 9:00 AM - 5:00 PM MTTH 8:00 AM - 5:30 PM W 12:00 AM - 8:00 PM W 9:30 AM - 6:30 PM F 8:00 AM - 3:00 PM F 8:00 AM - 1:00 PM Valentine, Sue APRN Fairfield, Mitzie APRN Provider ID: 1499489 Provider ID: 956189 Gender: Female Gender: Female Vita Center For Women LLC Planned Parenthood of Illinois 544 W Pershing Rd Ste A 3021 N Oakland Ave Decatur, IL 62526 Decatur, IL 62526 (217) 872-2400 (217) 877-6474 Fax: (217) 875-4680 Fax: (217) 877-9452 18 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM MTTH 8:00 AM - 5:30 PM W 9:30 AM - 6:30 PM F 8:00 AM - 1:00 PM

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Allied Providers Macoupin Family Practice Blevins, Wayne PA Provider ID: 1532697 Gender: Male Macoupin Family Practice Center 15574 Rte 108 Carlinville, IL 62626 (217) 854-4319 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Knoche, Maria ARNP Provider ID: 1525057 Gender: Female Staunton Clinic LLC 444 N Edwardsville St Staunton, IL 62088 (618) 635-3800 Fax: (618) 635-3952 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Maximus ID: 6490109 Manthei, Jason PA Provider ID: 1532693 Gender: Male Macoupin Family Practice Center 115 N Poplar St Mount Olive, IL 62069 (217) 999-4751 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Manthei, Jason PA Provider ID: 1532695 Gender: Male Macoupin Family Practice Center 715 Broadway St Gillespie, IL 62033 (217) 839-4491 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Pittman, Mary ARNP Provider ID: 1532692 Gender: Female Macoupin Family Practice Center 115 N Poplar St Mount Olive, IL 62069 (217) 999-4751 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Trettenero, Hollie ARNP Provider ID: 1532700 Gender: Female Macoupin Family Practice Center 15574 Rte 108 Carlinville, IL 62626 (217) 854-4319 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Nurse Practitioner Ventimiglia, Amanda ARNP Provider ID: 796956 Gender: Female SSM Managed Care Organization 400 N Caldwell St Staunton, IL 62088 (314) 741-0911 Fax: (314) 741-0501 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Pittman, Mary ARNP Provider ID: 1532688 Gender: Male Macoupin Family Practice Center 715 Broadway St Gillespie, IL 62033 (217) 839-4491 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

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Allied Providers Mason Family Practice Falke, Crystal PA Provider ID: 1533690 Gender: Female Mason Hospital District 615 N Promenade St Havana, IL 62644 (309) 543-6600 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Fleenor, Nancy CNP Provider ID: 1533691 Gender: Female Mason Hospital District 615 N Promenade St Havana, IL 62644 (309) 543-6600 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Fry, Kathryn CNP Provider ID: 1533692 Gender: Female Mason Hospital District 615 N Promenade St Havana, IL 62644 (309) 543-6600 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Noll, Cindy CNP Provider ID: 1533698 Gender: Female Mason Hospital District 615 N Promenade St Havana, IL 62644 (309) 543-6600 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Licensed Professional Counselor Chaplin, Robert LPC Provider ID: 1533689 Gender: Male Mason Hospital District 615 N Promenade St Havana, IL 62644 (309) 543-6600 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

Kirchner, Marsha CNP Provider ID: 1533694 Gender: Female Mason Hospital District 615 N Promenade St Havana, IL 62644 (309) 543-6600 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Lane, Cristy CNP Provider ID: 1533697 Gender: Female Mason Hospital District 615 N Promenade St Havana, IL 62644 (309) 543-6600 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

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Allied Providers McDonough Certified Nurse Midwife Clemens, Megan CNP Harden, Sharie CNM Provider ID: 1507546 Gender: Female McDonough Physician Hospital O 505 E Grant St Ste 102 Macomb, IL 61455 (309) 836-6937 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Thompson, Mary CNM Provider ID: 1508637 Gender: Female McDonough Physician Hospital O 505 E Grant St Ste 102 Macomb, IL 61455 (309) 836-6937 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Ear, Nose & Throat McKee, Kamie CNP Provider ID: 1507620 Gender: Female McDonough Physician Hospital O 515 E Grant St Ste 113 Macomb, IL 61455 (309) 833-6937 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Provider ID: 1507511 Gender: Female McDonough Physician Hospital O 515 E Grant St Ste 213 Macomb, IL 61455 (309) 837-6937 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Maximus ID: 7060733

Martin, Ashley ARNP Provider ID: 1510478 Gender: Female Memorial Hospital Association 110 E Market St Colchester, IL 62326 (217) 392-2108 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Maximus ID: 7053566 Potter, Orie PA Provider ID: 1507642 Gender: Male McDonough Physician Hospital O 1600 E Jackson St Macomb, IL 61455 (309) 836-1700 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Maximus ID: 7060725

Family Practice Alimi, Olabimpe PA Provider ID: 1507468 Gender: Female McDonough Physician Hospital O 1600 E Jackson St Macomb, IL 61455 (309) 836-1700 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

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Allied Providers McLean Dermatology Pasley, Stephanie APRN Provider ID: 1492651 Gender: Female Dermatology and Mohs Surgery L 3024 E Empire St Ste E and F Bloomington, IL 61704 (309) 451-3376 Fax: (309) 452-3376 00 Yrs/130 Yrs M-F 8:00 AM - 4:30 PM Stern, Jennifer APRN Provider ID: 1188527 Gender: Female Dermatology and Mohs Surgery L 3024 E Empire St Fl 2 Ste E E and F Bloomington, IL 61704 (309) 451-3376 Fax: (309) 452-3376 00 Yrs/130 Yrs M-F 8:00 AM - 4:30 PM

Infectious Disease Winquist, Heather APRN Provider ID: 1529163 Gender: Female Metro Infectious Disease Consu 1300 Franklin Ave Ste 230C Normal, IL 61761 (309) 585-6029 Fax: (309) 585-6036 18 Yrs/130 Yrs MF 8:00 AM - 12:00 PM TW 8:00 AM - 4:00 PM TH 8:00 AM - 10:00 PM

Licensed Clinical Social Worker Cain, Sarah LCSW Provider ID: 1526825 Gender: Female Psychology Specialists 808 S Eldorado Rd Ste 102 Bloomington, IL 61704 (309) 706-3190 Fax: (309) 588-4115 00 Yrs/130 Yrs M-F 9:00 AM - 6:00 PM Farnham, Pamala LCSW

Licensed Professional Counselor Barisch, Stephanie LPC Provider ID: 939169 Gender: Female The Center For Youth and Famil 502 S Morris Ave Bloomington, IL 61701 (309) 820-7616 Fax: (309) 820-7657 00 Yrs/130 Yrs M-W 9:00 AM - 5:30 PM

Provider ID: 939025 Gender: Female The Center For Youth and Famil 502 S Morris Ave Bloomington, IL 61701 (309) 820-7616 Fax: (309) 820-7657 00 Yrs/130 Yrs M-TH 8:00 AM - 4:00 PM

Brooks, Donna LPC Provider ID: 1524845 Gender: Female John R Day and Associates LTD 1520 E College Ave Ste M Normal, IL 61761 (309) 692-7755 Fax: (309) 692-2262 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Malott, Trisha LCSW Provider ID: 1526635 Gender: Female Psychology Specialists 808 S Eldorado Rd Ste 102 Bloomington, IL 61704 (309) 706-3190 Fax: (309) 588-4115 00 Yrs/130 Yrs Languages: Spanish M-TH 8:00 AM - 7:00 PM F 8:00 AM - 5:00 PM

Holland, Sarah Kate LPC Provider ID: 1524846 Gender: Female John R Day and Associates LTD 1520 E College Ave Ste M Normal, IL 61761 (309) 692-7755 Fax: (309) 692-2262 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Meister, Mary Jennifer LCSW Provider ID: 1524849 Gender: Female John R Day and Associates LTD 1520 E College Ave Ste M Normal, IL 61761 (309) 692-7755 Fax: (309) 692-2262 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Ladd, Phillip LPC Provider ID: 1524847 Gender: Male John R Day and Associates LTD 1520 E College Ave Ste M Normal, IL 61761 (309) 692-7755 Fax: (309) 692-2262 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

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Madison, Jenny LPC Provider ID: 1536393 Gender: Female Psychology Specialists 808 Eldorado Rd Ste 102 Bloomington, IL 61704 (309) 706-3190 Fax: (309) 588-4115 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Martin-Corcoran, Kimberly LPC Provider ID: 938902 Gender: Female The Center For Youth and Famil 502 S Morris Ave Bloomington, IL 61701 (309) 820-7616 Fax: (309) 820-7657 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Merrick, John LPC Provider ID: 1533287 Gender: Male Chestnut Health Systems 1003 Martin Luther King Dr Bloomington, IL 61701 (309) 827-6026 Fax: (309) 820-3506 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Vanne, Beth LPC Provider ID: 1524848 Gender: Female John R Day and Associates LTD 1520 E College Ave Ste M Normal, IL 61761 (309) 692-7755 Fax: (309) 692-2262 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Waselkow, David LPC Provider ID: 1536397 Gender: Male Psychology Specialists 808 Eldorado Rd Ste 102 Bloomington, IL 61704 (309) 706-3190 Fax: (309) 588-4115 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Updated: 03/08/2018

Allied Providers McLean Obstetrics/Gynecology

Schafer, Kathy APRN Provider ID: 976658 Burke, Roseanne APRN Gender: Female Planned Parenthood of Illinois 1319 N Veterans Pkwy Provider ID: 957163 Bloomington, IL 61704 Gender: Female Planned Parenthood of Illinois (309) 827-4014 Fax: (309) 828-6626 1319 N Veterans Pkwy 00 Yrs/130 Yrs Bloomington, IL 61704 MTH 8:00 AM - 8:00 PM (309) 827-4014 TW 9:00 AM - 5:00 PM Fax: (309) 828-6626 F 8:00 AM - 4:00 PM 00 Yrs/130 Yrs M-W 8:00 AM - 4:00 PM TH 11:00 AM - 7:00 PM F 8:00 AM - 3:00 PM Cox, Stephani APRN Provider ID: 959324 Gender: Female Planned Parenthood of Illinois 1319 N Veterans Pkwy Bloomington, IL 61704 (309) 827-4014 Fax: (309) 828-6626 00 Yrs/130 Yrs M-W 9:00 AM - 5:00 PM TH 8:00 AM - 8:00 PM F 8:00 AM - 4:00 PM Fairfield, Mitzie APRN Provider ID: 956189 Gender: Female Planned Parenthood of Illinois 1319 N Veterans Pkwy Bloomington, IL 61704 (309) 827-4014 Fax: (309) 828-6626 00 Yrs/130 Yrs M-W 9:00 AM - 5:00 PM TH 8:00 AM - 8:00 PM F 8:00 AM - 4:00 PM Johnson, Kerianne APRN Provider ID: 956217 Gender: Female Planned Parenthood of Illinois 1319 N Veterans Pkwy Bloomington, IL 61704 (309) 827-4014 Fax: (309) 828-6626 00 Yrs/130 Yrs M-W 9:00 AM - 5:00 PM TH 8:00 AM - 8:00 PM F 8:00 AM - 4:00 PM

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Allied Providers Morgan Cardiology Lafrenz, Angela APRN Provider ID: 1420913 Gender: Female Prairie Cardiovascular Consult 1515 W Walnut St Ste 9 Jacksonville, IL 62650 (217) 788-0706 Fax: (217) 525-2535 18 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM

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Allied Providers Piatt Family Practice Guzlas, Kelly APRN Provider ID: 1487950 Gender: Female Kirby Medical Center 1000 Medical Center Dr Monticello, IL 61856 (217) 762-6241 Fax: (217) 762-1542 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Maximus ID: 8281994 Liss, David APRN Provider ID: 1487961 Gender: Male Kirby Medical Center 1000 Medical Center Dr Monticello, IL 61856 (217) 762-6241 Fax: (217) 762-1702 00 Yrs/130 Yrs M-TH 7:00 AM - 6:00 PM F 7:00 AM - 12:00 PM Sat 8:00 AM - 12:00 PM Maximus ID: 8281992

Licensed Clinical Social Worker Porter, Jaime LCSW Provider ID: 1488002 Gender: Female Kirby Medical Center 1000 Medical Center Dr Monticello, IL 61856 (217) 762-6241 00 Yrs/130 Yrs M-W 7:00 AM - 6:00 PM TH 7:00 AM - 4:00 PM F 8:00 AM - 12:00 PM

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Allied Providers Pike Clinical Social Work

Samson, Kristina PA Provider ID: 1492194 House, Nathaniel CSW Gender: Female Quincy Physicians and Surgeons Provider ID: 1538834 320 N Madison St Gender: Male Blessingcare Corporation DBA Pittsfield, IL 62363 (217) 285-9601 640 W Washington St 00 Yrs/130 Yrs Pittsfield, IL 62363 M-F 8:00 AM - 5:00 PM (217) 285-9447 Maximus ID: 8389761 Fax: (217) 285-9448 00 Yrs/130 Yrs Sprague, Lisa ARNP Provider ID: 1492252 Family Practice Gender: Female Quincy Physicians and Downs, Alexis CNP Surgeons Provider ID: 1491974 868 Mortimer St Gender: Female Barry, IL 62312 Quincy Physicians and (217) 335-2343 Surgeons Fax: (217) 335-2443 320 N Madison St 00 Yrs/130 Yrs Pittsfield, IL 62363 M-F 8:00 AM - 5:00 PM (217) 285-9601 Maximus ID: 8389355 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Licensed Clinical Social Maximus ID: 8389767

Worker

Hancock, Rachel APRN Provider ID: 1492008 Gender: Female Quincy Physicians and Surgeons 320 N Madison St Pittsfield, IL 62363 (217) 285-9601 Fax: (217) 285-6188 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Maximus ID: 8389764

Bentele, Jessica LCSW Provider ID: 1491923 Gender: Female Quincy Physicians and Surgeons 320 N Madison St Pittsfield, IL 62363 (217) 285-9601 Fax: (217) 285-6188 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Hancock, Rachel CNP Provider ID: 1492009 Gender: Female Quincy Physicians and Surgeons 405 E State St Pleasant Hill, IL 62366 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Bentele, Jessica LCSW Provider ID: 1491923 Gender: Female Quincy Physicians and Surgeons 868 Mortimer St Barry, IL 62312 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Perry, Nancy LCSW Provider ID: 1492103 Gender: Female Quincy Physicians and Surgeons 320 N Madison St Pittsfield, IL 62363 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Licensed Professional Counselor

Nurse Practitioner Family Medicine Baker, Michelle CNP Provider ID: 1538833 Gender: Female Blessingcare Corporation DBA 101 E Washington St Pittsfield, IL 62363 (217) 285-9447 Fax: (217) 285-9448 00 Yrs/130 Yrs

Bunch, Joanna CNP Provider ID: 1538822 Sanders, Katherine LPC Gender: Female Blessingcare Corporation DBA Provider ID: 1538959 640 W Washington St Gender: Female Pittsfield, IL 62363 Blessingcare Corporation DBA (217) 285-9447 640 W Washington St Fax: (217) 285-9448 Pittsfield, IL 62363 00 Yrs/130 Yrs (217) 285-9447 Hartman, Michelle CNP Fax: (217) 285-9448 00 Yrs/130 Yrs Provider ID: 1538841 Nurse Practitioner Adult Gender: Female Health Blessingcare Corporation DBA 101 E Washington St Knuffman, Lisa CNP Pittsfield, IL 62363 Provider ID: 1538837 (217) 285-9447 Gender: Female Fax: (217) 285-9448 Blessingcare Corporation DBA 00 Yrs/130 Yrs 640 W Washington St Holcomb, Jennifer CNP Pittsfield, IL 62363 (217) 285-9447 Fax: (217) 285-9448 Provider ID: 1538832 00 Yrs/130 Yrs Gender: Female Blessingcare Corporation DBA Pollock, Ashley ARNP 640 W Washington St Provider ID: 1538862 Pittsfield, IL 62363 Gender: Female (217) 285-9447 Blessingcare Corporation DBA Fax: (217) 285-9448 101 E Washington St 00 Yrs/130 Yrs Pittsfield, IL 62363 Miller, Jill CNP (217) 285-9447 Fax: (217) 285-9448 Provider ID: 1538842 00 Yrs/130 Yrs Gender: Female Blessingcare Corporation DBA 640 W Washington St Pittsfield, IL 62363 (217) 285-9447 Fax: (217) 285-9448 00 Yrs/130 Yrs

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Allied Providers Pike Nurse Practitioner Family Torrez, Ginger CNP Medicine - cont. Provider ID: 1538976 Parker, Lynn CNP Provider ID: 1538860 Gender: Female Blessingcare Corporation DBA 101 E Washington St Pittsfield, IL 62363 (217) 285-9447 Fax: (217) 285-9448 00 Yrs/130 Yrs

Gender: Female Blessingcare Corporation DBA 640 W Washington St Pittsfield, IL 62363 (217) 285-9447 Fax: (217) 285-9448 00 Yrs/130 Yrs

Nurse Practitioner Gerentology

Rankin, Jessica CNP White, Sherri CNP Provider ID: 1538854 Provider ID: 1538986 Gender: Female Gender: Female Blessingcare Corporation DBA Blessingcare Corporation DBA 640 W Washington St 640 W Washington St Pittsfield, IL 62363 Pittsfield, IL 62363 (217) 285-9447 (217) 285-9447 Fax: (217) 285-9448 Fax: (217) 285-9448 00 Yrs/130 Yrs 00 Yrs/130 Yrs

Nurse Practitioner Roth, Diana CNP Psychiatric Mental Health Provider ID: 1538962 Gender: Female Blessingcare Corporation DBA O'Rourke, Verna CNP 101 E Washington St Provider ID: 1538843 Pittsfield, IL 62363 Gender: Female (217) 285-9447 Blessingcare Corporation DBA Fax: (217) 285-9448 640 W Washington St 00 Yrs/130 Yrs Pittsfield, IL 62363 (217) 285-9447 Stamper, Tonya CNP Fax: (217) 285-9448 Provider ID: 1538981 00 Yrs/130 Yrs Gender: Female Physical Therapy Blessingcare Corporation DBA 101 E Washington St Pittsfield, IL 62363 Ruzich, Brandi PT (217) 285-9447 Provider ID: 1492133 Fax: (217) 285-9448 Gender: Female 00 Yrs/130 Yrs Quincy Physicians and Surgeons Taylor, Brittney CNP 320 N Madison St Provider ID: 1538983 Pittsfield, IL 62363 Gender: Female (217) 285-9601 Blessingcare Corporation DBA 00 Yrs/130 Yrs 101 E Washington St M-F 8:00 AM - 5:00 PM Pittsfield, IL 62363 (217) 285-9447 Fax: (217) 285-9448 00 Yrs/130 Yrs

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Allied Providers Sangamon Cardiology Borjon, Julie ARNP Provider ID: 1420900 Gender: Female Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 525-2535 18 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM Fleming, Meredith APRN Provider ID: 1167172 Gender: Female Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 525-2546 00 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM Grubb, Laura APRN Provider ID: 1466328 Gender: Female Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 525-2535 18 Yrs/130 Yrs MTWF 7:30 AM - 5:00 PM TH 73:0 AM - 5:00 PM Lucca, Jessica APRN Provider ID: 1170368 Gender: Female Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 525-2535 18 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM

Mahaney, Gretchen APRN Provider ID: 1168555 Gender: Female Prairie Cardiovascular Consult 747 N Rutledge St St Ste 4 Springfield, IL 62702 (217) 788-0706 Fax: (217) 788-7032 18 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM Nichelson, Jennifer APRN Provider ID: 1301778 Gender: Female Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 525-2535 18 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM Schindler, Jill APRN Provider ID: 1158404 Gender: Female Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 525-2546 18 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM Siegrist, Megan CNP Provider ID: 1511909 Gender: Female Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 525-2535 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Vaughan, Meleah APRN Provider ID: 1248731 Gender: Female Prairie Cardiovascular Consult 619 E Mason St Ste 4957 Springfield, IL 62701 (217) 788-0706 Fax: (217) 525-2535 18 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM

Family Practice Bartels, Ashlyn CNP Provider ID: 1540221 Gender: Female Central Counties Health Center 2239 E Cook St Springfield, IL 62703 (217) 788-2300 Fax: (217) 788-2342 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Dyas, Ashley CNP Provider ID: 1540222 Gender: Female Central Counties Health Center 2239 E Cook St Springfield, IL 62703 (217) 788-2300 Fax: (217) 788-2342 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Farris, Leslie CNP Provider ID: 1540223 Gender: Female Central Counties Health Center 2239 E Cook St Springfield, IL 62703 (217) 788-2300 Fax: (217) 788-2342 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Henderson, Lisa CNP Provider ID: 1540225 Gender: Female Central Counties Health Center 1023 E Washington St Springfield, IL 62703 (217) 788-2300 Fax: (217) 788-2342 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

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Jahns, Corinne CNP Provider ID: 1540228 Gender: Female Central Counties Health Center 2239 E Cook St Springfield, IL 62703 (217) 788-2300 Fax: (217) 788-2342 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Porter, Jennifer CNP Provider ID: 1540232 Gender: Female Central Counties Health Center 2239 E Cook St Springfield, IL 62703 (217) 788-2300 Fax: (217) 788-2342 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Shallow, Charlene APRN Provider ID: 1170728 Gender: Female Prairie Cardiovascular Consult 401 E Carpenter St Springfield, IL 62702 (217) 788-0706 Fax: (217) 523-4520 00 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM Vogler, Shauna ARNP Provider ID: 1188368 Gender: Female Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62701 (217) 788-0706 Fax: (217) 525-2535 18 Yrs/130 Yrs MWTHF 7:30 AM - 5:00 PM T 7:00 AM - 5:00 PM

Updated: 03/08/2018

Allied Providers Sangamon Licensed Clinical Social Worker Holland, Rebecca LCSW Provider ID: 1540233 Gender: Female Central Counties Health Center 2239 E Cook St Springfield, IL 62703 (217) 788-2300 Fax: (217) 788-2342 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Obstetrics/Gynecology Fairfield, Mitzie APRN Provider ID: 956189 Gender: Female Planned Parenthood of Illinois 601 N Bruns Ln Springfield, IL 62703 (217) 546-1060 00 Yrs/130 Yrs M-W 9:00 AM - 5:00 PM TH 8:00 AM - 8:00 PM F 8:00 AM - 4:00 PM

Wound, Ostomy and Continence Care Chatham, Nancy APRN Provider ID: 1301777 Gender: Female Prairie Cardiovascular Consult 619 E Mason St Ste 4p57 Springfield, IL 62769 (217) 788-0706 Fax: (217) 525-2535 00 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM

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Allied Providers Scott Family Practice Ray, Danita PA Provider ID: 1492118 Gender: Female Quincy Physicians and Surgeons 231 W Cherry St Winchester, IL 62694 (217) 742-3117 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Maximus ID: 9389947

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Updated: 03/08/2018

Allied Providers Shelby Family Practice Rich, Cindy APRN Provider ID: 1501154 Gender: Female Cowden Medical Clinic LLC 209 E Elm St Cowden, IL 62422 (217) 783-6565 Fax: (217) 783-6577 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Maximus ID: 9494929

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Updated: 03/08/2018

Long Term Services And Supports Adams Skilled Nursing Facility Sycamore Healthcare Provider ID: TPV000000071601 720 Sycamore St Quincy, IL 62301 (217) 222-1480 Fax: (217) 222-0962 00 Yrs/99 Yrs

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Updated: 03/08/2018

Long Term Services And Supports Champaign Skilled Nursing Facility Champaign Urbana Nursingand Rehab Provider ID: TPV000000056801 302 Burwash Ave Savoy, IL 61874 (217) 402-9700 Fax: (217) 402-9700 00 Yrs/99 Yrs Country Health Inc Provider ID: TPV000000064901 2304 County Rd Gifford, IL 61847 (217) 568-7362 Fax: (217) 568-7314 00 Yrs/99 Yrs Illini Heritage Rehab Health Care Provider ID: TPV000000052101 1315 Curt Dr Champaign, IL 61820 (217) 352-5707 Fax: (217) 352-5707 00 Yrs/99 Yrs

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Updated: 03/08/2018

Long Term Services And Supports Christian Skilled Nursing Facility Meadow Manor Skilled Nursing Rehab Center Provider ID: TPV000000057001 800 McAdam Dr Taylorville, IL 62568 (217) 824-2277 Fax: (217) 824-2277 00 Yrs/99 Yrs Prairie Rose Health Carecenter Provider ID: TPV000000045001 900 S Chestnut St Pana, IL 62557 (217) 562-3996 Fax: (217) 562-3996 00 Yrs/99 Yrs

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Updated: 03/08/2018

Long Term Services And Supports Clark Skilled Nursing Facility Casey Health Care Center Provider ID: TPV000000043601 100 NE 15th St Casey, IL 62420 (217) 932-5217 Fax: (217) 932-5217 00 Yrs/99 Yrs

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Updated: 03/08/2018

Long Term Services And Supports Coles Case Management Services Help At Home Provider ID: TPV000000062901 2128 Woodfall Dr Ste 7 Charleston, IL 61920 (217) 345-4930 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM

Skilled Nursing Facility Charleston Rehab Healthcare Center Provider ID: TPV000000049601 716 18th St Charleston, IL 61920 (217) 345-7054 Fax: (217) 345-7054 00 Yrs/99 Yrs Hilltop Skilled Nursingand Rehab Center Provider ID: TPV000000046901 910 W Polk Ave Charleston, IL 61920 (217) 345-7066 Fax: (217) 345-7066 00 Yrs/99 Yrs Palm Terrace of Mattoon Provider ID: TPV000000048901 1000 Palm Ave Mattoon, IL 61938 (217) 234-7403 Fax: (217) 234-7403 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM

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Updated: 03/08/2018

Long Term Services And Supports Cumberland Skilled Nursing Facility Cumberland Rehab And Health Care Center Provider ID: TPV000000051701 300 N Marietta St Greenup, IL 62428 (217) 923-3166 Fax: (217) 923-3166 00 Yrs/99 Yrs

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Updated: 03/08/2018

Long Term Services And Supports De Witt Skilled Nursing Facility Farmer City Rehab and Health Care Provider ID: TPV000000049001 404 Brookview Dr Farmer City, IL 61842 (309) 928-2118 Fax: (309) 928-2118 00 Yrs/99 Yrs Manor Court of Clinton Provider ID: TPV000000051201 1 Park Ln W Clinton, IL 61727 (217) 935-8500 Fax: (217) 935-8500 00 Yrs/99 Yrs

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Updated: 03/08/2018

Long Term Services And Supports Douglas Skilled Nursing Facility Arcola Health Care Center Provider ID: TPV000000048501 422 E Fourth South St Arcola, IL 61910 (217) 268-3022 Fax: (217) 268-3022 00 Yrs/99 Yrs Newman Rehab Health Carecenter Provider ID: TPV000000050801 418 S Memorial Park Rd Newman, IL 61942 (800) 949-2159 Fax: (800) 949-2159 00 Yrs/99 Yrs Tuscola Health Center Provider ID: TPV000000052001 1203 Egyptian Trl Tuscola, IL 61953 (217) 253-4791 Fax: (217) 253-4791 00 Yrs/99 Yrs

www.harmonyhpi.com | 162

Updated: 03/08/2018

Long Term Services And Supports Edgar Skilled Nursing Facility Twin Lakes Rehab Health Care Provider ID: TPV000000064601 310 S Eads Ave Paris, IL 61944 (217) 465-5395 Fax: (217) 465-5395 00 Yrs/99 Yrs

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Updated: 03/08/2018

Long Term Services And Supports Ford Skilled Nursing Facility Accolade Healthcare of Paxton LLC Provider ID: TPV000000052301 1240 N Market St Paxton, IL 60957 (217) 379-4896 Fax: (217) 379-4896 00 Yrs/99 Yrs Piper City Rehab Livingcenter Provider ID: TPV000000064401 600 S Maple St Piper City, IL 60959 (815) 686-2277 Fax: (815) 686-2277 00 Yrs/99 Yrs

www.harmonyhpi.com | 164

Updated: 03/08/2018

Long Term Services And Supports Hancock Skilled Nursing Facility Laharpe Davier Health Care Center Provider ID: TPV000000042801 101 N B St LA Harpe, IL 61450 (217) 659-3222 Fax: (217) 659-3222 00 Yrs/99 Yrs

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Updated: 03/08/2018

Long Term Services And Supports Iroquois Skilled Nursing Facility Gilman Healthcare Center Provider ID: TPV000000053501 1390 S Crescent St Gilman, IL 60938 (815) 265-7208 Fax: (815) 265-7208 00 Yrs/99 Yrs Watseka Rehab Healthcare Center Provider ID: TPV000000056101 715 E Raymond Rd Watseka, IL 60970 (815) 432-5476 Fax: (815) 432-5476 00 Yrs/99 Yrs

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Updated: 03/08/2018

Long Term Services And Supports Jersey Skilled Nursing Facility Jerseyville Manor Provider ID: TPV000000050701 1251 N State St Jerseyville, IL 62052 (618) 498-6441 Fax: (618) 498-6441 00 Yrs/99 Yrs Willow Rose Rehab Health Care Center Provider ID: TPV000000050301 410 Fletcher Jerseyville, IL 62052 (618) 498-6427 Fax: (618) 498-6427 00 Yrs/99 Yrs

www.harmonyhpi.com | 167

Updated: 03/08/2018

Long Term Services And Supports Livingston Skilled Nursing Facility Flanagan Rehab Healthcare Center Provider ID: TPV000000064001 201 E Falcon Hwy Flanagan, IL 61740 (815) 796-2267 Fax: (815) 796-2267 00 Yrs/99 Yrs

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Updated: 03/08/2018

Long Term Services And Supports Macon Case Management Services Help At Home Provider ID: TPV000000062901 747 W Pershing Rd Decatur, IL 62526 (217) 875-7026 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM

Skilled Nursing Facility Decatur Manor Healthcare Provider ID: TPV000000062601 1016 W Pershing Rd Decatur, IL 62526 (217) 875-0833 Fax: (217) 875-6851 00 Yrs/99 Yrs

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Updated: 03/08/2018

Long Term Services And Supports Macoupin Skilled Nursing Facility Friendship Skilled Nursing Rehab Center Provider ID: TPV000000050201 826 N High St Carlinville, IL 62626 (217) 854-9606 Fax: (217) 854-9606 00 Yrs/99 Yrs Robings Manor Rehab Healthcare Center Provider ID: TPV000000055201 502 N Main St Brighton, IL 62012 (618) 372-3232 Fax: (618) 372-3232 00 Yrs/99 Yrs Sunrise Skilled Nursingand Rehab Provider ID: TPV000000051001 333 Wrightsman St Virden, IL 62690 (217) 965-4715 Fax: (217) 965-4715 00 Yrs/99 Yrs

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Updated: 03/08/2018

Long Term Services And Supports McDonough Case Management Services Help At Home Provider ID: TPV000000062901 133 S Randolph St Ste 203 Macomb, IL 61455 (309) 833-2444 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM

Skilled Nursing Facility Prairie City Rehab and Health Care Provider ID: TPV000000063701 825 E Main St Prairie City, IL 61470 (309) 775-3313 Fax: (309) 775-3313 00 Yrs/99 Yrs

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Updated: 03/08/2018

Long Term Services And Supports McLean Home Health Care Carepaks Health Servicesinc Provider ID: TPV000000038801 209 Susan DR Normal, IL 61761 (309) 454-1000 Fax: (309) 454-5000 00 Yrs/99 Yrs

Skilled Nursing Facility Leroy Manor Provider ID: TPV000000053301 509 S Buck Rd Le Roy, IL 61752 (309) 962-5000 Fax: (309) 962-5000 00 Yrs/99 Yrs Meadows Mennonite Retirement Community Provider ID: TPV000000056401 24588 Church St Chenoa, IL 61726 (309) 747-2702 Fax: (309) 747-2702 00 Yrs/99 Yrs

www.harmonyhpi.com | 172

Updated: 03/08/2018

Long Term Services And Supports Montgomery Case Management Services Help At Home Provider ID: TPV000000062901 904A W Union Ave Litchfield, IL 62056 (217) 324-2248 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM

Skilled Nursing Facility Nokomis Rehab Health Care Center Provider ID: TPV000000064201 505 Stevens St Nokomis, IL 62075 (217) 563-7725 Fax: (217) 563-7725 00 Yrs/99 Yrs

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Updated: 03/08/2018

Long Term Services And Supports Morgan Skilled Nursing Facility Jacksonville Skilled Nursing Rehab Center Provider ID: TPV000000056901 1517 W Walnut St Jacksonville, IL 62650 (217) 243-6451 Fax: (217) 243-6451 00 Yrs/99 Yrs

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Updated: 03/08/2018

Long Term Services And Supports Moultrie Personal Emergency Response System Healthcom Inc Provider ID: TPV000000015501 1600 W Jackson St Sullivan, IL 61951 (800) 525-6237 Fax: (217) 728-2107 00 Yrs/99 Yrs

Skilled Nursing Facility Eastview Terrace Provider ID: TPV000000054501 100 Eastview Pl Sullivan, IL 61951 (217) 728-7367 Fax: (217) 728-7367 00 Yrs/99 Yrs Mason Point Provider ID: TPV000000044301 1 Masonic Way Sullivan, IL 61951 (217) 728-4394 Fax: (217) 728-4394 00 Yrs/99 Yrs Sullivan Rehab and Health Care Center Provider ID: TPV000000048401 11 Hawthorne Ln Sullivan, IL 61951 (217) 728-4327 Fax: (217) 728-4327 00 Yrs/99 Yrs

www.harmonyhpi.com | 175

Updated: 03/08/2018

Long Term Services And Supports Piatt Skilled Nursing Facility Bement Health Care Center Provider ID: TPV000000051501 601 N Morgan St Bement, IL 61813 (217) 678-2191 Fax: (217) 678-2191 00 Yrs/99 Yrs

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Updated: 03/08/2018

Long Term Services And Supports Pike Case Management Services Help At Home Provider ID: TPV000000062901 1259 W Washington St Pittsfield, IL 62363 (217) 285-5363 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM

Skilled Nursing Facility Eastside Health and Rehab Center Provider ID: TPV000000046801 1400 E Washington St Pittsfield, IL 62363 (217) 285-4491 Fax: (217) 285-4491 00 Yrs/99 Yrs Pittsfield Manor Provider ID: TPV000000064501 610 Lowry St Pittsfield, IL 62363 (217) 285-5200 Fax: (217) 285-5200 00 Yrs/99 Yrs

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Updated: 03/08/2018

Long Term Services And Supports Sangamon Case Management Services Help At Home Provider ID: TPV000000062901 1873 E Sangamon Ave Springfield, IL 62702 (217) 753-0211 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Help At Home Provider ID: TPV000000062901 919 S Spring St Springfield, IL 62704 (217) 523-7800 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM

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Updated: 03/08/2018

Long Term Services And Supports Shelby Skilled Nursing Facility Shelbyville Manor Provider ID: TPV000000057101 1111 W North 12th St Shelbyville, IL 62565 (217) 774-2111 Fax: (217) 774-2111 00 Yrs/99 Yrs

www.harmonyhpi.com | 179

Updated: 03/08/2018

Pharmacy Adams Retail

KMART Provider ID: TPV1205867355-0 Brown Drug Company 3701 Broadway St Provider ID: TPV1790868636-0 Quincy, IL 62305 1121 Maine St (217) 224-9070 Quincy, IL 62301 Fax: (217) 224-1950 (217) 228-6400 00 Yrs/99 Yrs Fax: (217) 228-6423 M-F 9:00 AM - 8:00 PM 00 Yrs/99 Yrs Sat 9:00 AM - 5:00 PM M-F 8:00 AM - 7:00 PM Sun 10:00 AM - 4:00 PM Sat 8:00 AM - 5:00 PM Omnicare of Quincy CVS Provider ID: TPV1992816524-0 Provider ID: TPV1184665051-0 1114 Broadway St 436 N 30th St Quincy, IL 62301 Quincy, IL 62301 (217) 228-6275 (217) 224-2828 Fax: (217) 228-9118 Fax: (217) 224-3608 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 8:00 AM - 6:00 PM M-F 8:00 AM - 9:00 PM Sat 9:00 AM - 5:00 PM Sat 9:00 AM - 6:00 PM SAMS CLUB Sun 9:00 AM - 5:00 PM Provider ID: TPV1881841690-0 Denman Country Drug 700 N 54th St Provider ID: TPV1629099197-0 Quincy, IL 62305 102 Prairie Mills Rd (217) 222-6682 Golden, IL 62339 Fax: (217) 222-7445 (217) 696-2820 00 Yrs/99 Yrs Fax: (217) 696-2821 M-F 9:00 AM - 7:00 PM 00 Yrs/99 Yrs Sat 9:00 AM - 6:00 PM M-F 8:00 AM - 5:00 PM Shopko Pharmacy Hy-Vee Pharmacy Provider ID: TPV1295761252-0 Provider ID: TPV1134158934-0 3200 Broadway St 1400 Harrison St Quincy, IL 62301 Quincy, IL 62301 (217) 224-0776 (217) 222-2930 Fax: (217) 224-0890 Fax: (217) 221-9135 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 8:00 AM - 9:00 PM M-F 8:00 AM - 9:00 PM Sat 9:00 AM - 6:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Sun 10:00 AM - 4:00 PM Walgreens Hy-Vee Pharmacy Provider ID: TPV1811902950-0 Provider ID: TPV1750310579-0 Walgreens 3700 Broadway St 1723 Broadway St Quincy, IL 62305 Quincy, IL 62301 (217) 224-7555 (217) 222-0792 Fax: (217) 228-0352 Fax: (217) 222-1065 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 8:00 AM - 10:00 PM MTWTHFSatSun 8:00 AM 10:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM

Walmart Pharmacy Provider ID: TPV1427076934-0 3800 Broadway St Quincy, IL 62305 (217) 228-2331 Fax: (217) 228-2339 00 Yrs/99 Yrs M-F 8:00 AM - 9:00 PM Sat 8:00 AM - 7:00 PM Sun 9:00 AM - 6:00 PM

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Updated: 03/08/2018

Pharmacy Brown Retail Moreland And Devitt Inc Provider ID: TPV1447354485-0 200 Pittsfield Rd Ste B Mount Sterling, IL 62353 (217) 773-2020 Fax: (217) 773-2832 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 12:00 PM

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Updated: 03/08/2018

Pharmacy Calhoun Retail Fox Family Pharmacy Provider ID: TPV1710080874-0 110 N County Rd Hardin, IL 62047 (618) 576-2619 Fax: (618) 576-2275 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 12:00 PM

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Updated: 03/08/2018

Pharmacy Cass Retail Moreland Devitt Provider ID: TPV1134671324-0 118 E Beardstown St Virginia, IL 62691 (217) 452-3301 Fax: (217) 452-7532 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Moreland Devitt Pharmacy Provider ID: TPV1235506106-0 201 S State St Beardstown, IL 62618 (217) 909-4333 Fax: (217) 909-4494 00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 1:00 PM Pamidaa RX Provider ID: TPV1285987347-0 113 W 3rd St Beardstown, IL 62618 (217) 323-4422 Fax: (217) 323-4480 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 1:00 PM Walmart Pharmacy Provider ID: TPV1023035391-0 100 Lincoln Ave Beardstown, IL 62618 (217) 323-1327 Fax: (217) 323-1329 00 Yrs/99 Yrs MTWTHFSat 9:00 AM - 7:00 PM

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Updated: 03/08/2018

Pharmacy Champaign Retail Complete Care Pharmacy Provider ID: TPV1619213097-0 14 E Washington St Ste C Champaign, IL 61820 (217) 355-6607 Fax: (217) 355-6639 00 Yrs/99 Yrs M-F 8:00 AM - 6:00 PM Sat 9:00 AM - 1:00 PM Coram Specialty Infusion Srvcs Provider ID: TPV1104103290-0 2022 Glen Park Dr Champaign, IL 61821 (217) 356-7900 Fax: (217) 356-7953 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM County Market Pharmacy 518 Provider ID: TPV1437409851-0 2901 W Kirby Ave Champaign, IL 61821 (217) 351-3108 Fax: (217) 351-3128 00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 4:00 PM Covenant Outpatient Pharmacy Provider ID: TPV1841303708-0 1400 W Park St Urbana, IL 61801 (217) 337-4545 Fax: (217) 337-4546 00 Yrs/99 Yrs Languages: Spanish, Vietnamese M-F 9:00 AM - 5:00 PM CVS Provider ID: TPV1073555264-0 243 S Mattis Ave Champaign, IL 61821 (217) 352-9665 Fax: (217) 352-9969 00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM Sat-Sun 10:00 AM - 5:00 PM

CVS Provider ID: TPV1093756967-0 1818 Philo Rd Urbana, IL 61802 (217) 337-1192 Fax: (217) 337-1358 00 Yrs/99 Yrs M-F 8:00 AM - 9:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM

CVS Provider ID: TPV1861414674-0 2102 N Prospect Ave Champaign, IL 61822 (217) 355-3345 Fax: (217) 693-6110 00 Yrs/99 Yrs M-F 10:00 AM - 6:00 PM Sat 12:00 AM - 5:00 PM Sun 11:00 AM - 5:00 PM

Schnucks Pharmacy Provider ID: TPV1376731273-0 1301 Savoy Plaza Ln Savoy, IL 61874 (217) 373-0702 Fax: (217) 373-0703 00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 4:00 PM

CVS Provider ID: TPV1194828863-0 1205 E Grove Ave Rantoul, IL 61866 (217) 892-8122 Fax: (217) 892-8962 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat-Sun 10:00 AM - 6:00 PM

Meijer Pharmacy Provider ID: TPV1215207006-0 2401 N Prospect Ave Champaign, IL 61822 (217) 353-4010 Fax: (217) 353-4065 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat 9:00 AM - 7:00 PM Sun 10:00 AM - 6:00 PM

Schnucks Pharmacy Provider ID: TPV1457387706-0 200 N Vine St Urbana, IL 61802 (217) 337-6551 Fax: (217) 337-6183 00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM Sat 9:00 AM - 6:00 PM Sun 11:00 AM - 4:00 PM

Meijer Pharmacy Provider ID: TPV1497025290-0 2500 Philo Rd Urbana, IL 61802 (217) 365-5210 Fax: (217) 365-5265 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat 9:00 AM - 7:00 PM Sun 10:00 AM - 6:00 PM

Walgreens Provider ID: TPV1003108135-0 Walgreens 1001 Heather Dr Mahomet, IL 61853 (217) 586-2317 Fax: (217) 586-8475 00 Yrs/99 Yrs M-F 8:00 AM - 6:00 PM

CVS Provider ID: TPV1285675157-0 107 W Green St Champaign, IL 61820 (217) 355-8123 Fax: (217) 355-8688 00 Yrs/99 Yrs M-F 8:00 AM - 10:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM CVS Provider ID: TPV1285737957-0 804 Eastwood Dr Ste B Mahomet, IL 61853 (217) 586-2137 Fax: (217) 586-7914 00 Yrs/99 Yrs M-F 9:00 AM - 8:00 PM Sat-Sun 10:00 AM - 5:00 PM CVS Provider ID: TPV1427393115-0 1111 N Dunlap St Savoy, IL 61874 (217) 351-2123 Fax: (217) 351-2198 00 Yrs/99 Yrs M-F 8:00 AM - 9:00 PM Sat 9:00 AM - 6:00 PM Sun 9:00 AM - 5:00 PM

Walgreens Provider ID: TPV1083906267-0 SAMS CLUB Walgreens Provider ID: TPV1669499950-0 602 W University Ave 915 W Marketview Dr Urbana, IL 61801 Champaign, IL 61822 (217) 344-9148 (217) 352-1987 Fax: (217) 383-3524 Fax: (217) 352-2356 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 8:00 AM - 9:00 PM M-F 9:00 AM - 7:00 PM Sat 9:00 AM - 6:00 PM Sat 9:00 AM - 6:00 PM Sun 9:00 AM - 5:00 PM Schnucks Pharmacy Walgreens Provider ID: TPV1376579623-0 Provider ID: TPV1134139090-0 109 N Mattis Ave Walgreens Champaign, IL 61821 1509 S Neil St (217) 351-8497 Champaign, IL 61820 Fax: (217) 351-8056 (217) 351-1516 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM M-F 8:00 AM - 10:00 PM Sat 9:00 AM - 6:00 PM Sat 9:00 AM - 6:00 PM Sun 11:00 AM - 4:00 PM Sun 10:00 AM - 6:00 PM

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Updated: 03/08/2018

Pharmacy Champaign Retail - cont.

Walgreens Walgreens Walmart Pharmacy Provider ID: TPV1568754695-0 Provider ID: TPV1710119201-0 Provider ID: TPV1871510156-0 Walgreens Walgreens Walgreens 913 W Marketview Dr Provider ID: TPV1225320260-0 1701 Curtis Rd Ste 1024 104 N Lombard St Champaign, IL 61822 Walgreens Champaign, IL 61822 Mahomet, IL 61853 (217) 352-1490 1757 W Kirby Ave (217) 355-6853 (217) 586-3460 Fax: (217) 352-2238 Champaign, IL 61821 Fax: (217) 326-1405 00 Yrs/99 Yrs 00 Yrs/99 Yrs (217) 351-0665 00 Yrs/99 Yrs M-F 8:00 AM - 10:00 PM M-F 9:00 AM - 9:00 PM Fax: (217) 359-7063 M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 6:00 PM Sat 9:00 AM - 7:00 PM 00 Yrs/99 Yrs Sat 8:30 AM - 5:00 PM Sun 10:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM M-F 9:00 AM - 6:00 PM Sun 9:00 AM - 1:00 PM Walgreens Sat 9:00 AM - 1:00 PM Walgreens Provider ID: TPV1922013036-0 Walgreens Provider ID: TPV1578578688-0 Walgreens Provider ID: TPV1235404245-0 Walgreens 841 Bloomington Rd Walgreens 302 E University Ave Champaign, IL 61820 1801 Windsor Rd Ste 101 Champaign, IL 61820 (217) 356-8237 Champaign, IL 61822 (217) 344-7201 Fax: (217) 356-8272 (217) 366-1225 Fax: (217) 344-7290 00 Yrs/99 Yrs Fax: (217) 366-8058 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM 00 Yrs/99 Yrs MTWTHFSatSun 8:00 AM Sat-Sun 10:00 AM - 6:00 PM 10:00 PM M-F 8:00 AM - 7:00 PM Walmart Pharmacy Walgreens Walgreens Provider ID: TPV1528085891-0 Provider ID: TPV1649287673-0 Provider ID: TPV1306949433-0 845 Broadmeadow Rd Walgreens Walgreens Rantoul, IL 61866 1809 Philo Rd Ste A 220 S Century Blvd (217) 892-9171 Urbana, IL 61802 Rantoul, IL 61866 Fax: (217) 892-9565 (217) 367-5486 (217) 892-8415 00 Yrs/99 Yrs Fax: (217) 367-2437 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 6:00 PM M-F 8:00 AM - 10:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Walmart Pharmacy Walgreens Provider ID: TPV1588681878-0 Walgreens Provider ID: TPV1316331630-0 505 S Dunlap Ave Walgreens Prescription Center Provider ID: TPV1669487773-0 Savoy, IL 61874 Walgreens 407 E Green St (217) 356-2867 2402 Village Green Pl Champaign, IL 61820 Fax: (217) 356-2901 Champaign, IL 61822 (224) 323-5095 00 Yrs/99 Yrs (217) 398-2764 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Fax: (217) 398-4009 MTWTHFSat 8:00 AM - 9:00 Sat 9:00 AM - 7:00 PM PM 00 Yrs/99 Yrs Sun 10:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM M-F 8:00 AM - 10:00 PM Sat 9:00 AM - 6:00 PM Walmart Pharmacy Walgreens Sun 10:00 AM - 6:00 PM Provider ID: TPV1669499968-0 Provider ID: TPV1558636555-0 100 S High Cross Rd Walgreens Walgreens 101 W University Ave Ste 102 Provider ID: TPV1689689705-0 Urbana, IL 61802 (217) 344-6190 Champaign, IL 61820 Walgreens Fax: (217) 344-6199 (217) 366-1278 1713 W Springfield Ave 00 Yrs/99 Yrs Fax: (217) 366-6897 Champaign, IL 61821 M-F 9:00 AM - 9:00 PM 00 Yrs/99 Yrs (217) 356-2529 Sat 9:00 AM - 7:00 PM M-F 8:00 AM - 6:00 PM Fax: (217) 356-1423 Sun 10:00 AM - 6:00 PM 00 Yrs/99 Yrs

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Pharmacy Christian Retail CVS Provider ID: TPV1275636045-0 504 N Webster St Taylorville, IL 62568 (217) 287-7951 Fax: (217) 287-2639 00 Yrs/99 Yrs M-F 8:00 AM - 9:00 PM Sat 9:00 AM - 5:00 PM Sun 10:00 AM - 6:00 PM Renes Drug Store Provider ID: TPV1114095320-0 201 W Main Cross St Taylorville, IL 62568 (217) 824-5323 Fax: (217) 824-3800 00 Yrs/99 Yrs M-F 8:00 AM - 7:00 PM Sat 8:00 AM - 5:00 PM Sun 9:00 AM - 12:00 PM

Walmart Pharmacy Provider ID: TPV1609894112-0 1530 W Springfield Rd Taylorville, IL 62568 (217) 287-1121 Fax: (217) 287-1193 00 Yrs/99 Yrs M-F 8:00 AM - 9:00 PM Sat 9:00 AM - 7:00 PM Sun 10:00 AM - 6:00 PM Walmart Pharmacy Provider ID: TPV1962429258-0 10 W 2nd St Pana, IL 62557 (217) 562-7205 Fax: (217) 562-7207 00 Yrs/99 Yrs M-F 9:00 AM - 8:00 PM Sat 9:00 AM - 6:00 PM

The Pharmacy Provider ID: TPV1609905702-0 600 N Main St Taylorville, IL 62568 (217) 824-3411 Fax: (217) 824-3492 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM Walgreens Provider ID: TPV1003041674-0 Walgreens 108 S Poplar St Pana, IL 62557 (217) 562-2770 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 6:00 PM Walgreens Provider ID: TPV1831104942-0 Walgreens 315 N Webster St Taylorville, IL 62568 (217) 824-8154 Fax: (217) 824-8165 00 Yrs/99 Yrs M-F 8:00 AM - 10:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM

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Updated: 03/08/2018

Pharmacy Clark Retail Martinsville Pharmacy Provider ID: TPV1295810422-0 890 Ridgelawn Rd Martinsville, IL 62442 (217) 382-4004 Fax: (217) 382-3476 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM The Medicine Shoppe Provider ID: TPV1558455964-0 201 Archer Ave Marshall, IL 62441 (217) 826-6374 Fax: (217) 826-2602 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM The Pharmacie Shoppe Provider ID: TPV1538166137-0 202 W Edgar Ave Casey, IL 62420 (217) 932-4004 Fax: (217) 932-2396 00 Yrs/99 Yrs M-F 8:00 AM - 6:00 PM Sat 8:00 AM - 2:00 PM Walmart Pharmacy Provider ID: TPV1801813167-0 108 Brysta Dr Marshall, IL 62441 (217) 826-8013 Fax: (217) 826-8183 00 Yrs/99 Yrs MTWTHFSat 9:00 AM - 7:00 PM

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Updated: 03/08/2018

Pharmacy Coles Retail CVS Provider ID: TPV1063454254-0 1316 Charleston Ave Mattoon, IL 61938 (217) 258-2920 Fax: (217) 235-4190 00 Yrs/99 Yrs M-F 7:00 AM - 11:00 PM Sat 8:00 AM - 7:00 PM Sun 8:00 AM - 6:00 PM CVS Provider ID: TPV1639110505-0 501 W Lincoln Ave Charleston, IL 61920 (217) 345-7111 Fax: (217) 345-7015 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Prairie Medical Pharmacy Provider ID: TPV1801970017-0 1000 Health Center Dr Mattoon, IL 61938 (217) 258-2411 Fax: (217) 258-4095 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM

Walmart Pharmacy Provider ID: TPV1124045406-0 101 Dettro Dr Mattoon, IL 61938 (217) 258-6313 Fax: (217) 235-6324 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat 9:00 AM - 7:00 PM Sun 10:00 AM - 6:00 PM Walmart Pharmacy Provider ID: TPV1851318141-0 2250 Lincoln Ave Charleston, IL 61920 (217) 345-9458 Fax: (217) 345-5185 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat 9:00 AM - 5:00 PM Sun 10:00 AM - 6:00 PM Wellcreek Pharmacy Charleston Provider ID: TPV1114478500-0 1 W. Lincoln Ave Charleston, IL 61920 (217) 512-2817 Fax: (217) 512-2818 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM

Walgreens Provider ID: TPV1427063650-0 Walgreens 411 W Lincoln Ave Charleston, IL 61920 (217) 345-2233 Fax: (217) 345-2194 00 Yrs/99 Yrs M-F 8:00 AM - 10:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Walgreens Provider ID: TPV1629083761-0 Walgreens 212 S Logan Ave Mattoon, IL 61938 (217) 235-3126 Fax: (217) 234-3675 00 Yrs/99 Yrs M-F 7:00 AM - 11:00 PM Sat-Sun 9:00 AM - 9:00 PM

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Updated: 03/08/2018

Pharmacy Cumberland Retail Sav-Mor Pharmacy Provider ID: TPV1376554873-0 596 Oak St Neoga, IL 62447 (217) 895-2238 Fax: (217) 895-2423 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 2:00 PM Toledo Pharmacy Provider ID: TPV1326061284-0 104 Courthouse Square Toledo, IL 62468 (217) 849-2666 Fax: (217) 849-2015 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM

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Updated: 03/08/2018

Pharmacy De Witt Retail CVS Provider ID: TPV1659474328-0 60 Clinton Plz Clinton, IL 61727 (217) 935-4545 Fax: (217) 935-0595 00 Yrs/99 Yrs M-F 9:00 AM - 8:00 PM Sat 10:00 AM - 8:00 PM Sun 10:00 AM - 5:00 PM The Medicine Shoppe of Farmer City Provider ID: TPV1265897409-0 217 S Main St Farmer City, IL 61842 (309) 928-2491 Fax: (309) 928-2493 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Walgreens Provider ID: TPV1164624870-0 Walgreens 424 W Van Buren St Clinton, IL 61727 (217) 935-3126 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Walmart Pharmacy Provider ID: TPV1003834524-0 10 Clinton Plz Clinton, IL 61727 (217) 935-8644 Fax: (217) 935-3656 00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 4:00 PM

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Updated: 03/08/2018

Pharmacy Douglas Retail Brownes Pharmacy Provider ID: TPV1215002894-0 121 W Springfield Rd Arcola, IL 61910 (217) 268-3838 Fax: (217) 268-3858 00 Yrs/99 Yrs Languages: Spanish MTWTHFSat 9:00 AM - 5:00 PM

Villa Grove Pharmacy Provider ID: TPV1700178670-0 4 N Main St Villa Grove, IL 61956 (217) 681-1014 Fax: (217) 681-1043 00 Yrs/99 Yrs Languages: Hindi M-F 9:00 AM - 7:00 PM Sat 10:00 AM - 6:00 PM

Lehmans Pharmacy Provider ID: TPV1467556415-0 101 N Main St Ste A Tuscola, IL 61953 (217) 253-5878 Fax: (217) 253-3238 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Sat 8:00 AM - 12:00 PM Sav-Mor Pharmacy Provider ID: TPV1093726598-0 104 E Southline Rd Tuscola, IL 61953 (217) 253-2309 Fax: (217) 253-5073 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 2:00 PM Sav-Mor Pharmacy Provider ID: TPV1275992851-0 112 S. Main Atwood, IL 61913 (217) 578-2850 Fax: (217) 578-2853 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Shopko Pharmacy Provider ID: TPV1316976558-0 700 Progress Blvd Tuscola, IL 61953 (217) 253-5123 Fax: (217) 253-5124 00 Yrs/99 Yrs M-F 9:00 AM - 6:30 PM Sat 9:00 AM - 3:00 PM

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Updated: 03/08/2018

Pharmacy Edgar Retail CVS Provider ID: TPV1740383413-0 808 S Main St Paris, IL 61944 (217) 465-8477 Fax: (217) 466-5050 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Paris Clinic Pharmacy Provider ID: TPV1750455853-0 719 E Court St Paris, IL 61944 (217) 465-4114 Fax: (217) 463-5801 00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 5:00 PM Pearman Pharmacy Provider ID: TPV1013081140-0 116 W Court St Paris, IL 61944 (217) 465-8455 Fax: (217) 463-1967 00 Yrs/99 Yrs Languages: Spanish M-F 8:00 AM - 6:00 PM Sat 8:00 AM - 5:00 PM Walmart Pharmacy Provider ID: TPV1497772784-0 15150 US Hwy 150 Paris, IL 61944 (217) 466-5818 Fax: (217) 466-5819 00 Yrs/99 Yrs MTWTHFSat 9:00 AM - 7:00 PM Sun 10:00 AM - 6:00 PM

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Updated: 03/08/2018

Pharmacy Ford Retail Hudson Drug Shop Provider ID: TPV1639223084-0 108 N Market St Paxton, IL 60957 (217) 379-4858 Fax: (217) 379-3917 00 Yrs/99 Yrs Languages: Spanish M-F 8:00 AM - 6:00 PM Sat 8:00 AM - 5:00 PM Sun 12:00 AM - 1:00 PM Scotts Family Pharmacy Provider ID: TPV1073658589-0 220 N Sangamon Ave Gibson City, IL 60936 (217) 784-8241 Fax: (217) 784-5506 00 Yrs/99 Yrs The Medicine Shoppe Provider ID: TPV1477570166-0 104 N Sangamon Ave Gibson City, IL 60936 (217) 784-8545 Fax: (217) 784-8039 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM

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Updated: 03/08/2018

Pharmacy Greene Retail 5 Guys Medicine Shoppe Provider ID: TPV1023464187-0 333 W Bethalto Dr Ste B Bethalto, IL 62016 (618) 377-5356 Fax: (618) 377-0159 00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM Sat 9:00 AM - 3:00 PM Gable Family Pharmacy Co Provider ID: TPV1033179668-0 502 Chestnut St Greenfield, IL 62044 (217) 368-2667 Fax: (217) 368-3140 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Pharmacy Plus Inc Provider ID: TPV1023198785-0 213 W Clay Roodhouse, IL 62082 (217) 589-4313 Fax: (217) 589-5121 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 2:00 PM Pharmacy Plus Inc Provider ID: TPV1568557593-0 508 N Main St Carrollton, IL 62016 (217) 942-3427 Fax: (217) 942-3130 00 Yrs/99 Yrs M-F 8:00 AM - 6:00 PM Sat 8:00 AM - 5:00 PM Pharmacy Plus, Inc Provider ID: TPV1295078137-0 116 N Main St White Hall, IL 62092 (217) 374-2222 Fax: (217) 374-2220 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 12:00 PM

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Updated: 03/08/2018

Pharmacy Hancock Retail Hy-Vee Clinic Pharmacy Provider ID: TPV1962715102-0 1075 Broadway St Hamilton, IL 62341 (217) 847-2214 Fax: (217) 847-6681 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 1:00 PM McHugh Drug Store LLC Provider ID: TPV1427124817-0 70 S Madison St Carthage, IL 62321 (217) 357-2623 Fax: (217) 357-9515 00 Yrs/99 Yrs M-F 8:00 AM - 6:00 PM Sat 8:00 AM - 1:00 PM Wear Drug Provider ID: TPV1932113867-0 408 Walnut St Ste B Carthage, IL 62321 (217) 357-9327 Fax: (217) 357-9225 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 2:00 PM

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Updated: 03/08/2018

Pharmacy Iroquois Retail CVS Provider ID: TPV1003919770-0 300 E Walnut St Watseka, IL 60970 (815) 432-4172 Fax: (815) 432-5794 00 Yrs/99 Yrs M-F 8:00 AM - 9:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM CVS Provider ID: TPV1437234564-0 720 S Crescent St Gilman, IL 60938 (815) 265-4730 Fax: (815) 265-4742 00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM Sat 9:00 AM - 3:00 PM Sun 9:00 AM - 1:00 PM Iroquois Memorial Hospital Provider ID: TPV1629003470-0 200 E Fairman Ave Watseka, IL 60970 (815) 432-7746 Fax: (815) 432-7887 00 Yrs/99 Yrs Languages: Chinese MTWTHFSatSun 6:00 AM 5:00 PM Kelly Drugs Provider ID: TPV1881735975-0 105 E Jones St Milford, IL 60953 (815) 889-4326 Fax: (815) 889-4326 00 Yrs/99 Yrs MTWF 9:00 AM - 5:00 PM TH 9:00 AM - 1:00 PM Sat 9:00 AM - 12:00 PM Walmart Pharmacy Provider ID: TPV1104843473-0 1790 E Walnut St Watseka, IL 60970 (815) 432-2208 Fax: (815) 432-2250 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM

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Updated: 03/08/2018

Pharmacy Jersey Retail Brighton Pharmacy Provider ID: TPV1073620985-0 108 Ransom St Brighton, IL 62012 (618) 372-3313 Fax: (618) 372-8332 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 1:00 PM CVS Provider ID: TPV1942684287-0 303 S State St Jerseyville, IL 62052 (618) 498-1144 Fax: (618) 509-4974 00 Yrs/99 Yrs M-F 8:00 AM - 10:00 PM Sat 8:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM The Medicine Shoppe Provider ID: TPV1023363025-0 400A W Carpenter Jerseyville, IL 62052 (618) 498-6461 Fax: (618) 639-9450 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 2:00 PM Walgreens Provider ID: TPV1104847375-0 Walgreens 705 S State St Jerseyville, IL 62052 (618) 498-4989 00 Yrs/99 Yrs M-F 8:00 AM - 10:00 PM Sat 8:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Walmart Pharmacy Provider ID: TPV1437176799-0 1316 S State St Jerseyville, IL 62052 (618) 498-6864 Fax: (618) 498-7008 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat 9:00 AM - 7:00 PM Sun 10:00 AM - 6:00 PM

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Updated: 03/08/2018

Pharmacy Livingston Retail CVS Provider ID: TPV1154491884-0 902 E. Oak St Fairbury, IL 61739 (815) 692-2132 Fax: (815) 692-2393 00 Yrs/99 Yrs M-F 8:30 AM - 7:00 PM Sat 8:30 AM - 3:00 PM

Walmart Pharmacy Provider ID: TPV1922025295-0 1706 W Reynolds St Pontiac, IL 61764 (815) 842-2230 Fax: (815) 844-5377 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 10:00 AM - 6:00 PM Sun 9:00 AM - 7:00 PM

CVS Provider ID: TPV1326123340-0 1034 W. Reynolds St Pontiac, IL 61764 (815) 842-6774 Fax: (815) 842-2648 00 Yrs/99 Yrs M-F 8:30 AM - 8:00 PM Sat 8:30 AM - 5:00 PM Sun 9:00 AM - 3:00 PM CVS Provider ID: TPV1558446633-0 106 Watters DR Dwight, IL 60420 (815) 584-2140 Fax: (518) 584-1722 00 Yrs/99 Yrs M-F 8:30 AM - 6:30 PM Sat 9:00 AM - 3:00 PM Flanagan Health Mart Pharmacy Provider ID: TPV1376593483-0 116 S Main St Flanagan, IL 61740 (815) 796-2274 Fax: (815) 796-3277 00 Yrs/99 Yrs MTWF 8:00 AM - 5:00 PM TH 8:00 AM - 1:00 PM Walgreens Provider ID: TPV1245245422-0 Walgreens 1001 W Reynolds St Pontiac, IL 61764 (815) 844-4767 Fax: (815) 844-4467 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat-Sun 9:00 AM - 5:00 PM

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Updated: 03/08/2018

Pharmacy Logan Retail Atlanta Telepharmacy Provider ID: TPV1437519667-0 107 SE Vine St Atlanta, IL 61723 (217) 308-1021 Fax: (217) 308-1022 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM

Walmart Pharmacy Provider ID: TPV1295752566-0 825 Malerich Dr Lincoln, IL 62656 (217) 735-3344 Fax: (217) 735-2687 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 7:00 PM Sun 10:00 AM - 6:00 PM

CVS Provider ID: TPV1285737056-0 534 Woodlawn Rd Lincoln, IL 62656 (217) 735-1548 Fax: (217) 735-2578 00 Yrs/99 Yrs M-F 8:00 AM - 9:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Kroger Provider ID: TPV1407929029-0 1475 Woodlawn Rd Lincoln, IL 62656 (217) 732-8115 Fax: (217) 732-8398 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat 10:00 AM - 4:00 PM Sun 12:00 AM - 5:00 PM Stacys Family Pharmacy Provider ID: TPV1588714893-0 709 Woodlawn Rd Lincoln, IL 62656 (217) 735-1972 Fax: (217) 732-9827 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 1:00 PM Walgreens Provider ID: TPV1801801097-0 Walgreens 603 Woodlawn Rd Lincoln, IL 62656 (217) 732-1825 Fax: (217) 732-7796 00 Yrs/99 Yrs M-F 8:00 AM - 10:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM

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Updated: 03/08/2018

Pharmacy Macon Retail Cancer Care Specialists of Illinois Provider ID: TPV1356874093-0 210 W McKinley Ave Ste 6 Decatur, IL 62526 (217) 329-3239 Fax: (217) 876-9829 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Colees Community Pharmacy Provider ID: TPV1386096170-0 320 E Central Ave Decatur, IL 62521 (217) 330-5004 Fax: (217) 330-5873 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM

CVS Provider ID: TPV1154363349-0 1595 E Cantrell St Decatur, IL 62521 (217) 429-4248 Fax: (217) 429-9551 00 Yrs/99 Yrs M-F 8:00 AM - 9:00 PM Sat-Sun 10:00 AM - 6:00 PM CVS Provider ID: TPV1306163837-0 570 N Fairview Ave Decatur, IL 62522 (217) 422-1570 Fax: (217) 422-2368 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM

Genoa-QOL Healthcare Provider ID: TPV1295045573-0 151 N Main St Rm 332 Decatur, IL 62523 (217) 619-0950 Fax: (217) 329-1250 00 Yrs/99 Yrs M-F 8:00 AM - 4:00 PM Illini Pharmacy Services LLC Provider ID: TPV1205146917-0 675 W Imboden Dr Decatur, IL 62521 (217) 791-6340 Fax: (217) 791-6568 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 12:00 PM

Kroger CVS Provider ID: TPV1235202854-0 Provider ID: TPV1487695359-0 Colees Corner Drugs 1401 W King St 2990 N Monroe St Decatur, IL 62522 Provider ID: TPV1265863468-0 Decatur, IL 62526 (217) 429-0514 845 S US Rte 51 Unit B (217) 877-1703 Fax: (217) 429-0482 Forsyth, IL 62535 Fax: (217) 876-7540 00 Yrs/99 Yrs (217) 330-9552 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Fax: (217) 791-6280 M-F 8:00 AM - 9:00 PM Sat 10:00 AM - 4:00 PM 00 Yrs/99 Yrs Sat 9:00 AM - 6:00 PM Sun 12:00 AM - 5:00 PM M-F 8:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Sat 8:00 AM - 1:00 PM Kroger Dales Southlake Pharmacy County Market Pharmacy Provider ID: TPV1699848218-0 1818 Airport Plz Provider ID: TPV1962613612-0 Provider ID: TPV1588613384-0 Decatur, IL 62521 1400 E Pershing Rd 245 W First Dr Ste B (217) 877-1327 Decatur, IL 62526 Decatur, IL 62521 Fax: (217) 864-4861 (217) 221-5615 (217) 429-5165 00 Yrs/99 Yrs Fax: (217) 221-5915 Fax: (217) 429-5172 M-F 9:00 AM - 9:00 PM 00 Yrs/99 Yrs 00 Yrs/99 Yrs Sat 10:00 AM - 4:00 PM M-F 9:00 AM - 7:00 PM M-F 8:00 AM - 6:00 PM Sun 12:00 AM - 5:00 PM Sat 9:00 AM - 4:00 PM Sat 8:00 AM - 3:00 PM Sun 10:00 AM - 4:00 PM Kroger Extended Living Pharmacy LLC CVS Provider ID: TPV1992899306-0 Provider ID: TPV1932272242-0 255 W 1st Dr Provider ID: TPV1124040837-0 2459 E Federal Dr Decatur, IL 62521 355 W Mound Rd Decatur, IL 62526 (217) 428-1778 Decatur, IL 62526 (217) 875-7147 Fax: (217) 424-2614 (217) 875-6550 Fax: (217) 875-7081 00 Yrs/99 Yrs Fax: (217) 330-5380 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sat 10:00 AM - 4:00 PM M-F 9:00 AM - 7:00 PM Sat 10:00 AM - 2:00 PM Sun 12:00 AM - 5:00 PM Sat 9:00 AM - 5:00 PM Sun 11:00 AM - 5:00 PM

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Kroger Savon Pharmacy Provider ID: TPV1992878516-0 3070 N Water St Decatur, IL 62526 (217) 877-1327 Fax: (217) 877-1329 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat 10:00 AM - 4:00 PM Sun 12:00 AM - 5:00 PM Omnicare of Decatur Provider ID: TPV1871529560-0 796 N Sunnyside Rd Decatur, IL 62522 (217) 428-8575 Fax: (217) 428-1142 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 4:00 PM Sav-Mor Pharmacy Provider ID: TPV1699119644-0 1410 Village Pkwy Mt Zion, IL 62549 (217) 864-0910 Fax: (217) 864-0915 00 Yrs/99 Yrs M-F 8:00 AM - 6:00 PM Sat 8:00 AM - 2:00 PM Walgreens Provider ID: TPV1114932415-0 Walgreens 4995 E US Rte 36 Decatur, IL 62521 (217) 864-9866 Fax: (217) 864-6986 00 Yrs/99 Yrs M-F 8:00 AM - 10:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Walgreens Provider ID: TPV1225307986-0 Walgreens 420 W First DR Decatur, IL 62521 (217) 422-3801 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM

Updated: 03/08/2018

Pharmacy Macon Retail - cont. Walgreens Provider ID: TPV1366457558-0 Walgreens 225 E Ash Ave Decatur, IL 62526 (217) 872-1758 Fax: (217) 872-1797 00 Yrs/99 Yrs M-F 8:00 AM - 10:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Walgreens Provider ID: TPV1730195181-0 Walgreens 1311 N. State Rt 48 Decatur, IL 62526 (217) 429-1988 Fax: (217) 429-9577 00 Yrs/99 Yrs Walgreens Provider ID: TPV1922013226-0 Walgreens 625 W Pershing Rd Decatur, IL 62526 (217) 875-2751 Fax: (217) 875-6631 00 Yrs/99 Yrs M-F 8:00 AM - 10:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Walmart Pharmacy Provider ID: TPV1235156514-0 4224 N Prospect St Decatur, IL 62526 (217) 875-0190 Fax: (217) 875-0186 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat 9:00 AM - 7:00 PM Sun 10:00 AM - 6:00 PM Walmart Pharmacy Provider ID: TPV1407873797-0 4625 E Maryland St Decatur, IL 62521 (217) 864-9288 Fax: (217) 864-6526 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat 9:00 AM - 7:00 PM Sun 10:00 AM - 6:00 PM

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Updated: 03/08/2018

Pharmacy Macoupin Retail

Sullivan Drugs Provider ID: TPV1821049594-0 CVS 920 W Main St Provider ID: TPV1750758496-0 Carlinville, IL 62626 506 E Main St (217) 854-6121 Staunton, IL 62088 Fax: (217) 854-6131 (618) 635-2538 00 Yrs/99 Yrs Fax: (618) 623-0991 M-F 9:00 AM - 8:00 PM 00 Yrs/99 Yrs Sat 9:00 AM - 3:00 PM M-F 8:00 AM - 8:00 PM Sun 11:00 AM - 5:00 PM Sat 9:00 AM - 6:00 PM Sullivan Drugs Inc Sun 11:00 AM - 4:00 PM Provider ID: TPV1134104219-0 Michelles Pharmacy Inc 113 S Macoupin St Provider ID: TPV1306953013-0 Gillespie, IL 62033 120 S Macoupin St (217) 839-2877 Gillespie, IL 62033 Fax: (217) 839-3233 (217) 839-9901 00 Yrs/99 Yrs Fax: (217) 839-3612 M-F 9:00 AM - 6:00 PM 00 Yrs/99 Yrs Sat 9:00 AM - 3:00 PM M-F 9:00 AM - 6:00 PM Sullivan Drugs Inc Sat 9:00 AM - 2:00 PM Provider ID: TPV1902881097-0 Michelles Pharmacy Inc 101 E Main St Provider ID: TPV1669518270-0 Staunton, IL 62088 494 W Side Sq (618) 635-2595 Carlinville, IL 62626 Fax: (618) 635-5590 (217) 854-4022 00 Yrs/99 Yrs Fax: (217) 854-4300 M-F 9:00 AM - 7:00 PM 00 Yrs/99 Yrs Sat 9:00 AM - 6:00 PM Languages: Spanish Sun 9:00 AM - 1:00 PM M-F 8:00 AM - 5:00 PM Sullivans Drugs Inc Sat 8:00 AM - 2:00 PM Provider ID: TPV1871578583-0 105 W Main St Michelles Pharmacy, Inc Mount Olive, IL 62069 Provider ID: TPV1952759623-0 (217) 999-7321 809 S Franklin St Fax: (217) 999-3233 Bunker Hill, IL 62014 00 Yrs/99 Yrs (618) 585-1293 M-F 10:00 AM - 6:00 PM Fax: (618) 585-6869 Sat 10:00 AM - 2:00 PM 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Walmart Pharmacy Sat 9:00 AM - 2:00 PM Provider ID: TPV1760409031-0 18600 Shipman Rd Sav-Mor Drugs Carlinville, IL 62626 Provider ID: TPV1902817406-0 (217) 854-2660 105 E Jackson St Fax: (217) 854-3541 Virden, IL 62690 00 Yrs/99 Yrs (217) 965-4926 M-F 8:00 AM - 9:00 PM Fax: (217) 965-5620 Sat 9:00 AM - 7:00 PM 00 Yrs/99 Yrs Sun 10:00 AM - 6:00 PM M-F 8:00 AM - 6:00 PM Sat 8:00 AM - 2:00 PM

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Updated: 03/08/2018

Pharmacy Mason Retail CVS Provider ID: TPV1902909674-0 320 E Dearborn St Havana, IL 62644 (309) 543-6603 Fax: (309) 543-6666 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat 9:00 AM - 5:00 PM Sun 10:00 AM - 5:00 PM Mason City Pharmacy Provider ID: TPV1639184278-0 149 E Chestnut Mason City, IL 62664 (217) 482-5985 Fax: (217) 482-5715 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Wolters Drug Store Provider ID: TPV1225032071-0 201 W Main St Havana, IL 62644 (309) 543-2444 Fax: (309) 543-3471 00 Yrs/99 Yrs Languages: Spanish M-F 8:00 AM - 6:00 PM Sat 8:00 AM - 1:00 PM Sun 9:00 AM - 12:00 PM

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Updated: 03/08/2018

Pharmacy McDonough Retail Axline Pharmacy Provider ID: TPV1285787226-0 401 W Main St Bushnell, IL 61422 (309) 772-3155 Fax: (309) 772-3156 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM CVS Provider ID: TPV1134162514-0 1401 E Jackson St Ste 9 Macomb, IL 61455 (309) 833-1750 Fax: (309) 837-6004 00 Yrs/99 Yrs M-F 8:00 AM - 7:00 PM Sat 9:00 AM - 5:00 PM Sun 10:00 AM - 5:00 PM Hy-Vee Pharmacy Provider ID: TPV1679502462-0 1600 E Jackson St Macomb, IL 61455 (309) 833-3750 Fax: (309) 836-8407 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 4:00 PM Walgreens Provider ID: TPV1245245406-0 Walgreens 300 E Jackson St Macomb, IL 61455 (309) 837-2436 Fax: (309) 837-9024 00 Yrs/99 Yrs M-F 8:00 AM - 10:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Walmart Pharmacy Provider ID: TPV1992722250-0 1730 E Jackson St Macomb, IL 61455 (309) 833-1456 Fax: (309) 833-1400 00 Yrs/99 Yrs M-F 9:00 AM - 8:00 PM Sat 9:00 AM - 7:00 PM Sun 10:00 AM - 6:00 PM

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Updated: 03/08/2018

Pharmacy McLean Retail Axline Advanced Provider ID: TPV1215237359-0 1210 Towanda Ave Unit 10 Bloomington, IL 61701 (309) 828-6767 Fax: (309) 828-6970 00 Yrs/99 Yrs Languages: Spanish MTWTHFSat 8:00 AM - 6:00 PM Sun 9:00 AM - 12:00 PM

CVS Provider ID: TPV1467493411-0 210 N Center St Bloomington, IL 61701 (309) 829-1287 Fax: (309) 821-1557 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM Sat 10:00 AM - 3:00 PM

Kroger Savon Pharmacy Provider ID: TPV1184797706-0 2507 E Oakland Ave Bloomington, IL 61701 (309) 663-0423 Fax: (309) 663-6241 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat 10:00 AM - 4:00 PM Sun 12:00 AM - 5:00 PM

CVS Provider ID: TPV1558592949-0 Kroger Savon Pharmacy 1701 Fort Jesse Rd Provider ID: TPV1629141247-0 Normal, IL 61761 1550 E College Ave (309) 452-1370 Axline Pharmacy Normal, IL 61761 Provider ID: TPV1982945556-0 Fax: (309) 888-5861 (309) 452-7475 00 Yrs/99 Yrs 1210 Towanda Ave Unit 11 Fax: (309) 452-0943 M-F 7:00 AM - 9:00 PM Bloomington, IL 61701 00 Yrs/99 Yrs Sat-Sun 9:00 AM - 6:00 PM (309) 828-6767 M-F 9:00 AM - 9:00 PM Fax: (309) 828-6970 Sat 10:00 AM - 4:00 PM Eastland Pharmacy 00 Yrs/99 Yrs Sun 12:00 AM - 5:00 PM Provider ID: TPV1942219316-0 M-F 8:00 AM - 5:00 PM 1505 Eastland Dr Leroy Pharmacy Bloomington, IL 61701 Chenoa RX Provider ID: TPV1861811549-0 (309) 664-0505 304 Sunset Dr Provider ID: TPV1972600716-0 Fax: (309) 661-0220 Leroy, IL 61752 209 Green St 00 Yrs/99 Yrs (309) 962-3627 Chenoa, IL 61726 M-F 8:00 AM - 5:00 PM Fax: (309) 962-3122 (815) 945-4211 00 Yrs/99 Yrs Fax: (815) 945-7466 Hy-Vee Pharmacy M-F 9:00 AM - 6:00 PM 00 Yrs/99 Yrs Provider ID: TPV1962891820-0 Sat 9:00 AM - 3:00 PM Languages: Spanish 1403 N Veterans Pkwy M-F 9:00 AM - 6:00 PM Bloomington, IL 61704 Meijer Pharmacy Sat 9:00 AM - 12:00 PM (309) 663-3052 Provider ID: TPV1518237312-0 Fax: (309) 662-7326 CVS 1900 E College Ave 00 Yrs/99 Yrs Provider ID: TPV1144540725-0 Normal, IL 61761 M-F 8:00 AM - 9:00 PM 100 S Fell Ave Ste 103 (309) 888-0810 Sat-Sun 9:00 AM - 6:00 PM Normal, IL 61761 Fax: (309) 888-0865 (309) 452-0393 00 Yrs/99 Yrs IL State Univ Student Health Fax: (309) 454-1697 M-F 9:00 AM - 9:00 PM Phc 00 Yrs/99 Yrs Provider ID: TPV1952460388-0 Sat 9:00 AM - 7:00 PM M-F 9:00 AM - 7:00 PM Sun 10:00 AM - 6:00 PM 201 N University Sat-Sun 10:00 AM - 5:00 PM Normal, IL 61761 Merle Pharmacy, Inc (309) 438-8713 CVS Provider ID: TPV1407815061-0 Fax: (309) 438-7569 Provider ID: TPV1316178064-0 203 E Locust St Ste 1 00 Yrs/99 Yrs 1130 S Veterans Pkwy Bloomington, IL 61701 Languages: Italian, Filipino Bloomington, IL 61704 (309) 828-2242 M-F 8:00 AM 5:00 PM (309) 661-1839 Fax: (309) 827-4638 Fax: (309) 661-8160 00 Yrs/99 Yrs Illinois Cancer Care 00 Yrs/99 Yrs Provider ID: TPV1740662949-0 Languages: Spanish, Russian M-F 7:00 AM - 11:00 PM M-F 9:00 AM - 5:00 PM 3105 Magory DR Sat-Sun 8:00 AM - 8:00 PM Sat 9:00 AM - 12:00 PM Bloomington, IL 61704 (309) 243-3018 Fax: (309) 243-3075 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM

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Osco Drug Provider ID: TPV1508812215-0 2103 N Veterans Pkwy Unit 3 Bloomington, IL 61704 (309) 664-1333 Fax: (309) 664-1326 00 Yrs/99 Yrs M-F 8:00 AM - 9:00 PM Sat 9:00 AM - 6:00 PM Sun 9:00 AM - 5:00 PM Osco Pharmacy Provider ID: TPV1194771865-0 2201 E Oakland Ave Bloomington, IL 61701 (309) 663-6341 Fax: (309) 663-6910 00 Yrs/99 Yrs Osco Pharmacy Provider ID: TPV1487600151-0 901 S Cottage Ave Normal, IL 61761 (309) 454-6080 Fax: (309) 862-2231 00 Yrs/99 Yrs M-F 8:00 AM - 9:00 PM Sat-Sun 9:00 AM - 6:00 PM SAMS CLUB Provider ID: TPV1215954516-0 2151 Shepard Rd Normal, IL 61761 (309) 454-5478 Fax: (309) 454-5528 00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM Sat 9:00 AM - 6:00 PM Schnucks Pharmacy Provider ID: TPV1467488718-0 1701 E Empire St Bloomington, IL 61704 (309) 662-7004 Fax: (309) 662-6650 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 4:00 PM The Atrium Pharmacy Provider ID: TPV1962489815-0 1304 Franklin Ave Normal, IL 61761 (309) 454-0783 Fax: (309) 268-5524 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM

Updated: 03/08/2018

Pharmacy McLean Retail - cont. Walgreens Provider ID: TPV1235144478-0 Walgreens 505 W Raab Rd Normal, IL 61761 (309) 454-7347 Fax: (309) 454-3915 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Walgreens Provider ID: TPV1265447445-0 Walgreens 1525 N Veterans Pkwy Bloomington, IL 61704 (309) 661-8613 Fax: (309) 661-8619 00 Yrs/99 Yrs Walgreens Provider ID: TPV1396750402-0 Walgreens 1502 Fort Jesse Rd Normal, IL 61761 (309) 862-4156 Fax: (309) 862-2196 00 Yrs/99 Yrs M-F 8:00 AM - 10:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM

Walgreens Provider ID: TPV1922256825-0 Walgreens 909 S Main St Bloomington, IL 61701 (309) 829-1540 00 Yrs/99 Yrs M-F 8:00 AM - 10:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Walmart Pharmacy Provider ID: TPV1619994985-0 300 Greenbriar Dr Normal, IL 61761 (309) 451-1200 Fax: (309) 451-1302 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat 9:00 AM - 7:00 PM Sun 10:00 AM - 6:00 PM Walmart Pharmacy Provider ID: TPV1932126224-0 2225 W Market St Bloomington, IL 61705 (309) 828-8626 Fax: (309) 828-8717 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat 9:00 AM - 7:00 PM Sun 10:00 AM - 6:00 PM

Walgreens Provider ID: TPV1861407983-0 Walgreens 2611 E Oakland Ave Bloomington, IL 61701 (309) 663-8344 Fax: (309) 663-6182 00 Yrs/99 Yrs M-F 8:00 AM - 10:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Walgreens Provider ID: TPV1881609014-0 Walgreens 1110 N Main St Bloomington, IL 61701 (309) 827-3069 Fax: (309) 827-5881 00 Yrs/99 Yrs M-F 8:00 AM - 10:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM

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Updated: 03/08/2018

Pharmacy Menard Retail Athens Pharmacy Provider ID: TPV1477099646-0 202 N W. St Athens, IL 62613 (217) 636-3888 Fax: (217) 636-3887 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Petersburg Pharmacy Provider ID: TPV1538259403-0 1 Centre Dr Ste 100 Petersburg, IL 62675 (217) 632-7778 Fax: (217) 632-7618 00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 12:00 PM Potter Drug Provider ID: TPV1598145724-0 200 S 6th St Petersburg, IL 62675 (217) 632-2288 Fax: (217) 632-2033 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM

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Updated: 03/08/2018

Pharmacy Montgomery Retail CVS Provider ID: TPV1386747053-0 608 S Main St Hillsboro, IL 62049 (217) 532-9477 Fax: (217) 532-9486 00 Yrs/99 Yrs M-F 8:00 AM - 7:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 5:00 PM Johns Medical Pharmacy Provider ID: TPV1205983129-0 300 S Main St Hillsboro, IL 62049 (217) 532-5060 Fax: (217) 532-5003 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 3:00 PM Sav Mor Drug Provider ID: TPV1366453862-0 110 E State St Nokomis, IL 62075 (217) 563-8346 Fax: (217) 563-2418 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 2:00 PM

Sullivans Drugs Inc Provider ID: TPV1053396028-0 325 S Main St Hillsboro, IL 62049 (217) 532-2377 Fax: (217) 532-3037 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 4:00 PM Walgreens Provider ID: TPV1548467996-0 Walgreens 1202 W Union Ave Litchfield, IL 62056 (217) 324-7670 00 Yrs/99 Yrs M-F 8:00 AM - 10:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Walmart Pharmacy Provider ID: TPV1841217114-0 1205 W Ferdon St Litchfield, IL 62056 (217) 324-6197 Fax: (217) 324-6320 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat 9:00 AM - 7:00 PM Sun 10:00 AM - 6:00 PM

Sullivan Drug Provider ID: TPV1477539732-0 801 N O'Bannon St Raymond, IL 62560 (217) 229-3022 Fax: (217) 229-3065 00 Yrs/99 Yrs MTWF 9:00 AM - 5:00 PM TH 1:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM Sullivan Drugs Provider ID: TPV1568733673-0 320 E Union Ave Litchfield, IL 62056 (217) 324-2001 Fax: (217) 324-6001 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 3:00 PM

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Updated: 03/08/2018

Pharmacy Morgan Retail CVS Provider ID: TPV1497993232-0 936 S Main St Jacksonville, IL 62650 (217) 243-1728 Fax: (217) 243-8380 00 Yrs/99 Yrs M-F 8:00 AM - 9:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM

Walmart Pharmacy Provider ID: TPV1568489839-0 1941 W Morton Ave Jacksonville, IL 62650 (217) 243-2152 Fax: (217) 245-5829 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 7:00 PM Sun 10:00 AM - 6:00 PM

Shopko Pharmacy Provider ID: TPV1912933961-0 1964 W Morton Ave Jacksonville, IL 62650 (217) 245-6259 Fax: (217) 243-9251 00 Yrs/99 Yrs M-F 8:00 AM - 9:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM The Medicine Shoppe Jacksonville Provider ID: TPV1942606132-0 200 W Morton Ave Jacksonville, IL 62650 (217) 245-1551 Fax: (217) 245-6825 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 1:00 PM Walgreens Provider ID: TPV1073528204-0 Walgreens 134 W Morton Ave Jacksonville, IL 62650 (217) 243-7818 Fax: (217) 243-1915 00 Yrs/99 Yrs Walgreens Provider ID: TPV1578578787-0 Walgreens 1800 W Morton Ave Jacksonville, IL 62650 (217) 479-0693 Fax: (217) 479-0895 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM

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Updated: 03/08/2018

Pharmacy Moultrie Retail CVS Provider ID: TPV1023111796-0 423 S Hamilton St Sullivan, IL 61951 (217) 728-7216 Fax: (217) 728-2816 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 7:00 PM Sun 10:00 AM - 5:00 PM Dicks Pharmacy Provider ID: TPV1285727958-0 118 S Vine St Arthur, IL 61911 (217) 543-2913 Fax: (217) 543-2943 00 Yrs/99 Yrs Languages: Spanish M-F 8:00 AM - 6:00 PM Sat 8:00 AM - 4:00 PM Oakwood Apothecary Provider ID: TPV1669724001-0 17 N Hamilton St Sullivan, IL 61951 (217) 728-2760 Fax: (217) 728-4078 00 Yrs/99 Yrs M-F 8:00 AM - 6:00 PM Sat 8:00 AM - 2:00 PM The Sullivan Pharmacy Provider ID: TPV1932208907-0 102 E Harrison St Sullivan, IL 61951 (217) 728-2331 Fax: (217) 728-2223 00 Yrs/99 Yrs M-F 8:00 AM - 6:00 PM Sat 8:00 AM - 2:00 PM

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Updated: 03/08/2018

Pharmacy Piatt Retail Lynns Family Pharmacy Provider ID: TPV1205260544-0 1402 N Market St Monticello, IL 61856 (217) 762-3377 Fax: (217) 762-4499 00 Yrs/99 Yrs M-F 8:00 AM - 6:00 PM Sat 8:00 AM - 12:00 PM Senior Care Pharmacy LLC Provider ID: TPV1811933013-0 1212 Bear Ln Monticello, IL 61856 (217) 762-3950 Fax: (217) 762-3949 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Walgreens Provider ID: TPV1427340462-0 Walgreens 108 N Market St Monticello, IL 61856 (217) 762-2056 Fax: (217) 762-9401 00 Yrs/99 Yrs M-F 8:00 AM - 7:00 PM Sat 9:00 AM - 1:00 PM

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Updated: 03/08/2018

Pharmacy Pike Retail County Market Pharmacy Provider ID: TPV1619024767-0 825 W Washington St Pittsfield, IL 62363 (217) 285-5515 Fax: (217) 285-1326 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 2:00 PM IHS Pharmacy Provider ID: TPV1346392024-0 121 N Franklin St Pittsfield, IL 62363 (217) 285-4214 Fax: (217) 285-6235 00 Yrs/99 Yrs M-F 8:00 AM - 6:00 PM Sat 8:00 AM - 1:00 PM Pharmacy Plus Inc Provider ID: TPV1700278934-0 693 Bainbridge St Barry, IL 62312 (217) 335-4444 Fax: (217) 335-3333 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Walmart Pharmacy Provider ID: TPV1912925439-0 151 Shetland Dr Pittsfield, IL 62363 (217) 285-9709 Fax: (217) 285-6761 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat 9:00 AM - 7:00 PM Sun 10:00 AM - 6:00 PM

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Updated: 03/08/2018

Pharmacy Sangamon Retail

County Market Pharmacy 228 CVS Provider ID: TPV1558464321-0 Complete Care Pharmacy 2703 Stevenson Dr Provider ID: TPV1821100769-0 Provider ID: TPV1669498606-0 1903 W Monroe St Springfield, IL 62703 201 N 5th St (217) 529-5468 Springfield, IL 62704 Springfield, IL 62701 Fax: (217) 529-5270 (217) 787-2830 (217) 528-8096 00 Yrs/99 Yrs Fax: (217) 787-4520 Fax: (217) 528-8152 M-F 8:00 AM - 8:00 PM 00 Yrs/99 Yrs 00 Yrs/99 Yrs Sat 9:00 AM - 6:00 PM M-F 7:00 AM - 9:00 PM M-F 8:00 AM - 5:00 PM Sun 10:00 AM - 6:00 PM Sat 9:00 AM - 6:00 PM Sat 9:00 AM - 1:00 PM Sun 10:00 AM - 6:00 PM CVS County Market Pharmacy Provider ID: TPV1558473496-0 2777 S 6th St Springfield, IL 62703 (217) 744-2296 Fax: (217) 744-9826 00 Yrs/99 Yrs M-F 8:00 AM - 9:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM County Market Pharmacy Provider ID: TPV1558606327-0 210 E Carpenter St Springfield, IL 62702 (217) 528-3182 Fax: (217) 528-3193 00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM Sat-Sun 10:00 AM - 6:00 PM

Currys Family Pharmacy Provider ID: TPV1982768883-0 1279 N 7th St Riverton, IL 62561 (217) 629-7001 Fax: (217) 629-6344 00 Yrs/99 Yrs M-F 8:00 AM - 6:00 PM Sat 8:00 AM - 12:00 PM CVS Provider ID: TPV1245272434-0 920 N Grand Ave E Springfield, IL 62702 (217) 522-6596 Fax: (217) 525-8683 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat-Sun 10:00 AM - 6:00 PM

CVS County Market Pharmacy 083 Provider ID: TPV1538262019-0 1879 E Sangamon Ave Springfield, IL 62702 Provider ID: TPV1568593663-0 (217) 525-7030 3001 S Veterans Pkwy Fax: (217) 525-8507 Springfield, IL 62704 00 Yrs/99 Yrs (217) 793-4091 M-F 9:00 AM - 8:00 PM Fax: (217) 793-6468 Sat 10:00 AM - 8:00 PM 00 Yrs/99 Yrs Sun 10:00 AM - 5:00 PM M-F 9:00 AM - 7:00 PM Sat-Sun 10:00 AM - 6:00 PM CVS County Market Pharmacy 224 Provider ID: TPV1538262308-0 2001 W Washington St Springfield, IL 62702 Provider ID: TPV1326064361-0 (217) 546-8610 1099 Jason Pl Fax: (217) 546-1891 Chatham, IL 62629 00 Yrs/99 Yrs (217) 483-2496 M-F 8:00 AM - 8:00 PM Fax: (217) 483-5772 Sat 9:00 AM - 6:00 PM 00 Yrs/99 Yrs Sun 10:00 AM - 6:00 PM M-F 8:00 AM - 6:00 PM Sat 9:00 AM - 1:00 PM

Provider ID: TPV1598868051-0 211 E Carpenter St Springfield, IL 62702 (217) 528-7529 Fax: (217) 528-6963 00 Yrs/99 Yrs M-F 8:00 AM - 11:00 PM Sat-Sun 9:00 AM - 8:00 PM

CVS Provider ID: TPV1750303541-0 3445 Freedom Dr Springfield, IL 62704 (217) 546-3270 Fax: (217) 801-9487 00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM Sat 9:00 AM - 5:00 PM Sun 11:00 AM - 5:00 PM CVS Provider ID: TPV1881636074-0 3100 S MacArthur Blvd Springfield, IL 62704 (217) 528-4926 Fax: (217) 528-5163 00 Yrs/99 Yrs M-F 8:00 AM - 9:00 PM Sat-Sun 10:00 AM - 6:00 PM

Harrys Pharmacy Provider ID: TPV1215951991-0 620 E Jackson St Auburn, IL 62615 (217) 438-6141 Fax: (217) 438-3447 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 3:00 PM Healthdirect Instututional Pharmacy Provider ID: TPV1871030643-0 1053 Jason Place Chatham, IL 62629 (217) 483-7431 Fax: (217) 483-7491 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Hy-Vee Pharmacy Provider ID: TPV1891113973-0 2115 S MacArthur Blvd Springfield, IL 62704 (217) 726-1003 Fax: (217) 546-2567 00 Yrs/99 Yrs M-F 8:00 AM - 9:00 PM Sat 8:00 AM - 6:00 PM Sun 9:00 AM - 6:00 PM KMART Provider ID: TPV1265463327-0 3250 Clear Lake Rd Springfield, IL 62702 (217) 544-3735 Fax: (217) 528-9545 00 Yrs/99 Yrs M-F 9:00 AM - 8:00 PM Sat 9:00 AM - 5:00 PM Sun 10:00 AM - 4:00 PM

Forum Ext Care Svcs of Cntrl I Meijer Pharmacy Provider ID: TPV1689024036-0 Provider ID: TPV1013287853-0 614 N Sixth St, Unit 200 4200 Conestoga Dr Springfield, IL 62702 Springfield, IL 62711 (217) 717-4407 (217) 547-2410 Fax: (847) 673-5953 Fax: (217) 547-2465 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat 9:00 AM - 7:00 PM Sun 10:00 AM - 6:00 PM

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Pharmacy Sangamon Retail - cont. Osco Pharmacy Provider ID: TPV1497806673-0 1755 Wabash Ave Springfield, IL 62704 (217) 546-2573 Fax: (217) 546-2597 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 4:00 PM Osco Pharmacy Provider ID: TPV1639200314-0 1501 S Dirksen Pkwy Springfield, IL 62703 (217) 527-8408 Fax: (217) 527-8416 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 4:00 PM Osco Pharmacy Provider ID: TPV1821245887-0 200 N Grand Ave W Springfield, IL 62702 (217) 523-7002 Fax: (217) 523-7127 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 4:00 PM SAMS CLUB Provider ID: TPV1033136338-0 2300 W White Oaks Dr Springfield, IL 62704 (217) 698-5938 Fax: (217) 698-6427 00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM Sat 9:00 AM - 6:00 PM Schnucks Pharmacy Provider ID: TPV1255698189-0 301 N 8th St Springfield, IL 62701 (217) 753-1956 Fax: (217) 753-8340 00 Yrs/99 Yrs M-F 8:00 AM - 5:30 PM

Schnucks Pharmacy Provider ID: TPV1548205552-0 1911 E Sangamon Ave Springfield, IL 62702 (217) 744-2523 Fax: (217) 744-2526 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 4:00 PM

Walgreens Provider ID: TPV1215229836-0 Walgreens 106 Corvette Dr Sherman, IL 62684 (217) 496-2392 00 Yrs/99 Yrs M-F 7:00 AM - 10:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM

Schnucks Pharmacy Provider ID: TPV1639114648-0 2801 Chatham Rd Springfield, IL 62704 (217) 698-3441 Fax: (217) 698-3439 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 4:00 PM

Walgreens Provider ID: TPV1235144460-0 Walgreens 2305 W Monroe St Springfield, IL 62704 (217) 546-9558 00 Yrs/99 Yrs

The Medicine Shoppe Provider ID: TPV1235426057-0 133 N Grand Ave E Springfield, IL 62702 (217) 525-0058 Fax: (217) 525-0034 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 1:00 PM Walgreens Provider ID: TPV1144235300-0 Walgreens 2945 S 6th St Springfield, IL 62703 (217) 788-5846 Fax: (217) 788-8128 00 Yrs/99 Yrs M-F 7:00 AM - 10:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Walgreens Provider ID: TPV1194898056-0 Walgreens 3132 Old Jackson Rd Springfield, IL 62704 (217) 793-0388 00 Yrs/99 Yrs M-F 8:30 AM - 6:00 PM Sat 9:00 AM - 1:00 PM

Walgreens Provider ID: TPV1407039159-0 Walgreens 2500 Koke Mill Rd Springfield, IL 62711 (217) 726-0979 00 Yrs/99 Yrs M-F 7:00 AM - 10:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Walgreens Provider ID: TPV1407228224-0 Walgreens 106 Illini Blvd Ste A Sherman, IL 62684 (224) 323-5074 00 Yrs/99 Yrs M-F 8:00 AM - 10:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Walgreens Provider ID: TPV1437165933-0 Walgreens 3400 Freedom Dr Springfield, IL 62704 (217) 726-0177 Fax: (217) 726-0961 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM

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Walgreens Provider ID: TPV1457366593-0 Walgreens 2020 S MacArthur Blvd Springfield, IL 62704 (217) 744-1880 Fax: (217) 744-1432 00 Yrs/99 Yrs Walgreens Provider ID: TPV1558376764-0 Walgreens 2625 Stevenson Dr Springfield, IL 62703 (217) 529-8185 Fax: (217) 529-8341 00 Yrs/99 Yrs M-F 7:00 AM - 10:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Walgreens Provider ID: TPV1629084181-0 Walgreens 3216 E Clear Lake Ave Springfield, IL 62702 (217) 544-7948 Fax: (217) 544-0793 00 Yrs/99 Yrs M-F 7:00 AM - 10:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Walgreens Provider ID: TPV1720093933-0 Walgreens 1900 W Jefferson St Springfield, IL 62702 (217) 787-0648 Fax: (217) 787-0911 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Walgreens Provider ID: TPV1730194036-0 Walgreens 2140 N Peoria Rd Springfield, IL 62702 (217) 544-2925 Fax: (217) 544-1282 00 Yrs/99 Yrs M-F 7:00 AM - 10:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM

Updated: 03/08/2018

Pharmacy Sangamon Retail - cont. Walgreens Provider ID: TPV1841364635-0 Walgreens 747 N Rutledge St Springfield, IL 62702 (217) 757-2226 00 Yrs/99 Yrs M-F 8:30 AM - 5:30 PM Walgreens Provider ID: TPV1891701397-0 Walgreens 1310 S 5th St Springfield, IL 62703 (217) 544-2709 Fax: (217) 544-3175 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM

Walmart Pharmacy Provider ID: TPV1649432782-0 1100 Lejune Dr Springfield, IL 62703 (217) 529-6221 Fax: (217) 529-6326 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat 9:00 AM - 7:00 PM Sun 10:00 AM - 6:00 PM Walmart Pharmacy Provider ID: TPV1659398923-0 3401 Freedom Dr Springfield, IL 62704 (217) 793-3368 Fax: (217) 793-3396 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat 9:00 AM - 7:00 PM Sun 10:00 AM - 6:00 PM

Walgreens Provider ID: TPV1932114048-0 Walgreens 1050 N Main St Chatham, IL 62629 (217) 483-5505 Fax: (217) 483-5529 00 Yrs/99 Yrs M-F 7:00 AM - 10:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Walgreens Provider ID: TPV1992169668-0 Walgreens Prescription Center 3220 Atlanta St Springfield, IL 62707 (224) 323-5092 00 Yrs/99 Yrs MTWTHFSatSun 7:00 AM 10:00 PM Walmart Pharmacy Provider ID: TPV1396762688-0 2760 N Dirksen Pkwy Springfield, IL 62702 (217) 522-4054 Fax: (217) 522-4075 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat 9:00 AM - 7:00 PM Sun 10:00 AM - 6:00 PM

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Updated: 03/08/2018

Pharmacy Schuyler Retail County Market Pharmacy Provider ID: TPV1821369224-0 218 N Congress St Rushville, IL 62681 (217) 322-3383 Fax: (217) 322-6033 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 1:00 PM Moreland Devitt Drug Provider ID: TPV1235249756-0 124 N Congress St Rushville, IL 62681 (217) 322-3333 Fax: (217) 322-6229 00 Yrs/99 Yrs Languages: Spanish, French M-F 8:00 AM - 6:00 PM Sat 9:00 AM - 2:00 PM Sun 11:00 AM - 12:00 PM

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Updated: 03/08/2018

Pharmacy Scott Retail Pharmacy Plus, Inc Provider ID: TPV1679997795-0 41 S Main St Winchester, IL 62694 (217) 742-3333 Fax: (217) 742-3323 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM

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Updated: 03/08/2018

Pharmacy Shelby Retail CVS Provider ID: TPV1992808760-0 110 N Cedar St Shelbyville, IL 62565 (217) 774-5513 Fax: (217) 774-5653 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 5:00 PM Family Drug Provider ID: TPV1992792345-0 1603 W Main St Shelbyville, IL 62565 (217) 774-7838 Fax: (217) 774-2058 00 Yrs/99 Yrs M-F 8:00 AM - 6:00 PM Sat 8:00 AM - 5:00 PM Moweaqua Pharmacy Provider ID: TPV1407806607-0 620 N Putnam St Moweaqua, IL 62550 (217) 768-3832 Fax: (217) 768-3077 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Walmart Pharmacy Provider ID: TPV1710042833-0 2607 W Main St Shelbyville, IL 62565 (217) 774-1571 Fax: (217) 774-1573 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM

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ALTERNATE LANGUAGES INDEX You can find a provider who speaks a different language in this index. First look for the language you need. Then check the specialty and provider name. Indice de idiomas alternativos: En este índice, usted puede encontrar un proveedor que hable otro idioma. Primero busque el idioma que necesita, y luego verifique la especialidad y el nombre del proveedor. Arabic Cardiology Alharbi, Waleed MD Younis, Liwa MD General Dentistry Hassan, Refaat DDS Massoud, Ibrahim DDS Hematology & Oncology El Khoury, Christian MD Kairouz, Sebastien MD

Retail Moreland Devitt Drug

Italian Retail IL State Univ Student Health Phc

Thoracic & Cardiovascular Surgery Korean Lutrin, Frank MD German Skilled Nursing Facility Accolade Healthcare of Paxton LLC Hindi

General Dentistry Jae, Seunghyun DMD Son, Seokjae DMD Obstetrics/Gynecology Kim, Jun DO

Internal Medicine Ahmad, Ahmad MD Kairouz, Sebastien MD Khan, Muhammad MD Younis, Liwa MD

Cardiac Electrophysiology Kalra, Vikas MD

Radiation Oncology Cho, Seong MD

Cardiology Burri, Manjula MD Kalra, Vikas MD

Persian - Farsi

Obstetrics/Gynecology Hanna, Adel MD

Family Practice Waheed, Khalid MD

Polish

Chinese

General Dentistry Anne, Hari Priya DDS Gade, Hanuman DDS Kakollu, Srinivaulu DDS Rahnamayi, Roya DDS Sangha, Henna DDS Shah, Khantil DMD Shaik, Ali Basha DMD Thota, Sandeep DDS Vemula, Roja DDS

Retail Iroquois Memorial Hospital Filipino Retail IL State Univ Student Health Phc French Cardiology Younis, Liwa MD Family Practice Royeen, Abdul MD Hematology & Oncology El Khoury, Christian MD Kairouz, Sebastien MD Internal Medicine Kairouz, Sebastien MD Younis, Liwa MD

Internal Medicine Ali, Mohammed MD Mandhan, Narain MD Pathak, Himanshu MD Retail Villa Grove Pharmacy Rural Health Center Staunton Clinic LLC

Family Practice Royeen, Abdul MD

Skilled Nursing Facility Accolade Healthcare of Paxton LLC Portuguese Hematology & Oncology Pastorini Filho, Vitor Hugo MD Internal Medicine Pastorini Filho, Vitor Hugo MD Punjabi Internal Medicine Khan, Muhammad MD Russian Home Health Care Home Bound Healthcare Inc Retail Merle Pharmacy, Inc Sindhi Internal Medicine Mandhan, Narain MD

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ALTERNATE LANGUAGES INDEX Spanish Cardiology Pacheco, Roberto MD

Hematology & Oncology Pastorini Filho, Vitor Hugo MD

Home Health Care Community Mental Health Center Home Bound Healthcare Inc The Center For Youth and Family Internal Medicine Solution Pastorini Filho, Vitor Hugo MD Dermatology Licensed Clinical Social Worker Kao, Wynn MD Malott, Trisha LCSW Family Practice Optometry Lopez, Georgina APRN Monroe, Elizabeth OD Royeen, Abdul MD Varghese, Reenu Np Orthodontics Sanfelippo, Lisa DDS General Dentistry Aleman, Erin DMD Retail Augend, Arsaland DDS Axline Advanced Choi, Han-Tae DDS Brownes Pharmacy Choi, Ji DDS Chenoa RX Deena Dayalu Naidu, Jyothi DDS Covenant Outpatient Pharmacy Durshanapalli, Srinivas DDS Dicks Pharmacy Elugbadebo, Toni DMD Hudson Drug Shop Fatima, Sara DDS Merle Pharmacy, Inc Gulati, Jaswinder DMD Michelles Pharmacy Inc Haider, Yazdan DDS Moreland Devitt Drug Jae, Seunghyun DMD Moreland Devitt Pharmacy Jafri, Nazish DDS Paris Clinic Pharmacy Jamil, Samira DDS Pearman Pharmacy Kim, Ilsoon DDS Petersburg Pharmacy Ko, Ronald DMD Wolters Drug Store Lee, Kayoun DMD Skilled Nursing Facility Liesen, Mathew DMD Accolade Healthcare of Paxton LLC Liesen, Stephen DMD Lin, Chan DMD Champaign Urbana Nursing and Liu, Noel DDS Rehab MA, Ji DDS Tagalog Martinez, Austin DDS Ozyurt, Tulin DDS Home Health Care Park, Joon DDS Home Bound Healthcare Inc Patel, Dhaval DDS Internal Medicine Patel, Harshil DMD Mapue, Renan MD Patel, Pratik DMD Quadri, Fatima DDS Psychology Son, Seokjae DMD Davanay, Athena PHD Tibbs-Hnizdo, Kylea DMD Vildaver, Eliot DMD Winfield, James DDS Wong, Irene DDS

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Tamil Cardiology Burri, Manjula MD Telugu Cardiology Burri, Manjula MD Urdu General Dentistry Haider, Yazdan DDS Infectious Disease Mushtaq, Adnan MD Internal Medicine Ali, Mohammed MD Khan, Muhammad MD Mandhan, Narain MD Vietnamese Retail Covenant Outpatient Pharmacy

Specialty Provider At-A-Glance You can find a specific kind of provider in this index. First look for the type of care you need. Then check the county and page number. You can go to that page to get the provider's information. Un vistazo a los proveedores especializados: En este índice, usted puede encontrar un tipo específico de proveedor. Primero busque el tipo de cuidado que necesita, y luego verifiqe el condado y el número de página. Consulte esa página para obtener la información del proveedor Pike Sangamon

A Acute Care Hospital Iroquois McDonough Advance Registered Nurse Practitioner Psychiatrist McDonough Allergy & Immunology Adams McDonough Audiology Adams Iroquois

79 Certified Nurse Midwife 81 Macon McDonough Chiropractic 56 Adams Clinical Social Work 25 Pike 56 Colon & Rectal Surgery Adams 120 McDonough 134 Pike

B Behavioral Health Counseling Champaign 128 Behavioral Health Facility Adams Piatt

84 113

C Cardiac Electrophysiology Adams Sangamon Cardiology Adams Coles Hancock Jersey Macon Morgan Pike Sangamon

25 66

25 38 41 45 48, 141 147 64 66, 67, 68, 151

Case Management Services Coles Macon McDonough Montgomery

159 169 171 173

177 Mason 178 Piatt Schuyler 141 D 144 Dermatology Adams 25 Coles Livingston Logan 149 McLean

Dialysis 25 Adams 56 Champaign 64 Christian Community Mental Health Center Coles Adams 84 Jersey Brown 86 Logan Cass 88 Macon Champaign 89 Montgomery Christian 90 Morgan Douglas 94 Pike Ford 96 Sangamon Hancock 98 Schuyler Iroquois 99 Distinct Part Unit Psych Jersey 100 Adams Livingston 101 McDonough Logan 102 Macon 103 Distinct Part Unit Rehab Macoupin 105 Adams McDonough 107 Durable Medical Equipment McLean 108 Adams Morgan 111 Champaign Moultrie 112 Douglas Pike 114 Edgar Sangamon 115 Macon Schuyler 117 Macoupin Shelby 119 McDonough Critical Access Hospital McLean Greene 77 Morgan Hancock 78 Pike

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80 82 83

25 38, 129 46, 139 47, 140 58, 145 84 89 90 92 100 102 103 110 111 114 115 117 84 107 84 84 89 94 95 103 105 107 108 111 114

Specialty Provider At-A-Glance Sangamon

D - cont. Durable Medical Equipment - cont. Sangamon 115 E Ear, Nose & Throat Adams Mason McDonough

25 55 56, 144

Endocrinology, Diabetes, Metabolism Adams Hancock Macoupin Sangamon Shelby

25, 120 41 52 68 75

F Family Practice Adams 1, 2, 3, 4, 26, 120, 121, 122 Brown 6, 126 Cass 7, 127 Coles 129 Cumberland 130 Douglas 11, 131 Greene 12, 132 Hancock 13, 41, 133 Iroquois 14, 134 Livingston 139 Macoupin 16, 142 Mason 17, 143 McDonough 18, 56, 144 Piatt 21, 148 Pike 22, 64, 149 Sangamon 23, 151 Scott 74, 153 Shelby 24, 154 Federally Qualified Health Center Adams 4 Cass 7 Christian 8 Coles 9 Cumberland 10 Douglas 11 Macoupin 16 McLean 19 Morgan 20

23 McDonough 107 McLean 172 G Montgomery 110 Gastroenterology Morgan 111 Adams 26 Sangamon 115 McDonough 56 Hospice Pike 64 Adams 84 General Dentistry Cass 88 Adams 26, 27 Greene 97 Cass 34 Iroquois 99 Champaign 35 Logan 102 Christian 37 McDonough 107 Coles 38 Hospital Douglas 39 Adams 76 Macon 48 Macoupin 52, 53, 54 I McLean 58, 59 Infectious Disease Morgan 62 Adams 27 Pike 64 McLean 59, 145 Sangamon 68, 69, 70 Internal Medicine General Surgery Adams 4, 5, 27, 28, 122 Adams 27 Douglas 11 Champaign 35 Greene 12 Greene 40 Iroquois 14, 43 Hancock 41 Jersey 45 Iroquois 43 Macon 15, 49 McDonough 56 Macoupin 16 Piatt 63 Mason 55 Geriatric Medicine McDonough 56 Adams 27, 122 Piatt 21 Pike 22, 64, 65 Gynecological Oncology Sangamon 23, 70, 71 Macon 48 Interventional Cardiology Gynecology Adams 28 Iroquois 43 Macon 49 H Pike 65 Sangamon 71 Hematology & Oncology Adams 27, 122 L Iroquois 43 Laboratory Pathology Testing Macon 48 All 85 Pike 64 Shelby 75 Licensed Clinical Social Worker Adams 28, 122, 123 Home Health Care Brown 126 Cass 88 Cass 127 Mason 106

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Specialty Provider At-A-Glance L - cont.

McDonough McLean 133 Morgan Nurse Practitioner Pike Adams 124 Sangamon Macoupin 142 Orthodontics Nurse Practitioner Adult Health Iroquois Iroquois 135 Macon Pike 149 Macoupin

57 59, 60 62 65 71

Nurse Midwife Hancock

Licensed Clinical Social Worker cont. Champaign 128 Douglas 131 Hancock 133 Jersey 138 Macon 141 McLean 145 Piatt 148 Pike 149 Nurse Practitioner Family Medicine 135, 136, 137 Sangamon 152 Iroquois Pike 149, 150 Licensed Professional Counselor Adams 123, 124 Nurse Practitioner Gerentology 150 Cass 127 Pike Iroquois 135 Nurse Practitioner Psychiatric Livingston 139 Mental Health Mason 143 Pike 150 McLean 145 Pike 149 O Sangamon 71 Obstetrics/Gynecology Adams 29 M Champaign 128 Medical Oncology Hancock 41 Adams 124 Iroquois 44 Macon 49 Macon 49, 50, 141 McDonough 57 Medically Necessary McLean 59, 146 Transportation Sangamon 152 All 85 Occupational Therapy N Adams 124 Nephrology Adams 28, 29 Ophthalmology 35 Hancock 41 Champaign Coles 38 McLean 59 57 Pike 65 McDonough Optician Neurology 35 Adams 29 Champaign 71 Hancock 41 Sangamon Iroquois 44 Optometry McDonough 56, 57 Adams 29, 30 Sangamon 71 Champaign 35 Livingston 46 Neurosurgery Logan 47 Iroquois 44, 135 Macon 50 Macoupin 54

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44 50 54

Orthopaedic Surgery Adams Douglas Hancock Macon Macoupin McDonough

30, 124 39 41 50 54 57

Orthotics & Prosthetics Adams Champaign Macon McLean Sangamon

84 89 103 108 115

P Palliative Care Adams

124

Pediatric Gastroenterology Sangamon

71

Pediatrics Adams Hancock Livingston Mason McDonough Pike Sangamon

5, 30, 124 13 139 17 18 22 23

Pedodontics McLean

60

Personal Emergency Response System Moultrie 175 Physical Medicine & Rehabilitation Adams 30

Specialty Provider At-A-Glance P - cont. Physical Therapy Adams Brown Pike

124, 125 126 150

Plastic & Reconstructive Surgery Adams 30 Podiatry Adams Hancock McDonough Pike

30 41 57 65

Psych Hospital Champaign Sangamon

89 115

Psychiatry Adams Brown Cass Hancock Jersey Macon McDonough Pike Schuyler Psychology Adams Champaign Macon McLean R Radiation Oncology Adams Coles Retail Adams Brown Calhoun Cass Champaign Christian Clark Coles

Cumberland De Witt Douglas Edgar Ford Greene Hancock Iroquois Jersey Livingston Logan Macon Macoupin Mason McDonough McLean Menard Montgomery Morgan Moultrie Piatt Pike Sangamon Schuyler Scott Shelby

30, 31 33 34 41 45 50 57 65 73 Rheumatology Hancock 31 Iroquois 35 Mason 50 Pike 60 Rural Health Center Adams Brown Douglas 31 Greene 38 Hancock Iroquois 180 Macoupin 181 Mason 182 McDonough 183 Piatt 184, 185 Pike 186 Scott 187 Shelby

189 190 191 192 193 194 195 196 197 198 199 200, 201 202 203 204 205, 206 207 208 209 210 211 212 213, 214, 215 216 217 218 41 44 55 65 84 86 94 12 13, 98 99 105 106 107 113 114 118 119

188

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S Skilled Nursing Facility Adams Brown Calhoun Cass Champaign Christian Clark Coles Cumberland De Witt Douglas Edgar Ford Greene Hancock Iroquois Jersey Livingston Logan Macon Macoupin Mason McDonough McLean Menard Montgomery Morgan Moultrie Piatt Pike Sangamon Shelby

155 86 87 88 89, 156 90, 157 91, 158 92, 159 93, 160 161 94, 162 95, 163 96, 164 97 98, 165 99, 166 100, 167 101, 168 102 104, 169 105, 170 106 107, 171 108, 172 109 110, 173 111, 174 112, 175 113, 176 114, 177 116 119, 179

Speech & Language Pathology Adams 125 Speech Therapy Adams

125

Sports Medicine Adams

31, 125

Substance Abuse Adams Champaign Macon McLean

31 36 50, 51 60

Specialty Provider At-A-Glance S - cont. Substance Abuse - cont. Sangamon Shelby

71, 72 75

T Thoracic & Cardiovascular Surgery Adams 31 Champaign 36 Sangamon 72 Thoracic Surgery Adams

32

U Urology Adams Hancock Montgomery Sangamon

32, 125 41, 42 61 72

V Vascular Surgery Adams

32, 125

W Wound, Ostomy and Continence Care Sangamon 152

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EXTENDED HOURS INDEX You can find a provider who has longer office hours in this index. First look for the provider’s name. Then check the county and page number. You can go to that page to get the provider’s office hours. Indice de horarios extendidos: En este índice, usted puede encontrar un proveedor con horario más prolongado de atención en el consultorio. Primero busque el nombre del proveedor, y luego verifique el condado y el número de página. Consulte esa página para obtener el horario de atención del proveedor. Adams Dialysis Adams County Dialysis Distinct Part Unit Psych Blessing Hospital Distinct Part Unit Rehab Blessing Hospital

White, Donna CRNA Wilford, Jonathan DO

122 Obrien, Eric OD 4 Pediatrics 84 Federally Qualified Health Center Brink, Lindsay DO Clarity Healthcare 4 Psychiatry 84 General Surgery Humphrey, Erin DO Khan, Javeed MD 27 John, Bejoy MD 84 Geriatric Medicine Heming, Leah CNP

Durable Medical Equipment Home Care Medical Equipment 84 Hematology & Oncology Jallad, Bassel MD Family Practice Behrens, Michael CNP Brown, Glenda ARNP Brown, Glenda CNP Connolly, Michael MD Dixon, William MD Gillette, Nickolas DO Goetz, Jeffrey CNP Goetz, Jeffrey Np Heinecke, Brandi CNP Henderson, Kerri Apn Herzing, Lisa CNP Holcomb, Shawn DO Knochel, Rick CNP Lane, Joseph MD Leone, Andrea CNP Logsdon, Mary CNP Mackrides, Paula DO Mafokou, Jeanne CNP Nieters, Abigail Apn Nieters, Abigail CNP Odumosu, Oluwaseun MD Ott, Timothy DO Perry, Crystal MD Rife, Kelly CNP Shields, Alfreda CNP Snyder, Brian DO Steffen, Patricia CNP Stoops, Bruce DO Vogt, Richard CNP Voss, Daveda CNP

120 120 120 1 1 1, 2 120 2 120 2 120 2 120 2 121 121 2 121 3 121 3 3 3 121 122 4 122 4 122 122

30 5 31 31

Psychology 122 Patel, Jessica PHD

31

Radiation Oncology 27 Johnson, Robert MD Khil, Mark MD

31 31

Hospice Blessing Hospice and Palliative Care Retail 84 Brown Drug Company 180 CVS 180 Hospital Hy-Vee Pharmacy 180 Blessing Hospital 76 KMART 180 Internal Medicine Omnicare of Quincy 180 Barthel, Mary MD 27 SAMS CLUB 180 Findlater, Malcolm MD 27, 28 Shopko Pharmacy 180 Ginos, Steven MD 28 Walgreens 180 Hamadah, Abdurrahman MD 28 Walmart Pharmacy 180 Krinochkin, Olexandr MD 28 Sports Medicine McKeown, John MD 28 Miller, Thomas MD 31 Nsima-Obto, Eno MD 28 Olson, Sharon CNP 122 Substance Abuse Pypur Jayachandrudy, Vinay MD 28 Preferred Family Healthcare Inc 31 Shah, Sayed MD 28 Thoracic & Cardiovascular Surgery Licensed Clinical Social Worker Garcia, Carlos MD 31 Bockhold, Sarah LCSW 123 Thoracic Surgery Lunt, Kelli LMSW 28 Arnold, John MD 32 Ormond, Bridget CSW 123 Schultz, Eric LCSW 123 Brown Optometry Blackford, Mindy OD Botts, Eric OD Brand, Ronald OD Chevalier, Kristie OD Eilenfeldt, Pamela OD McDougall, John OD

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29 29 29 29 30 30

Community Mental Health Center Mental Health Centers of Western Illinoi 86 Retail Moreland And Devitt Inc

181

EXTENDED HOURS INDEX Enoch, Jennifer APRN Fairfield, Mitzie APRN Skilled Nursing Facility Johnson, Kerianne APRN Heritage Manor Mt Sterling LLC DBA H 86 Schafer, Kathy APRN Optician Calhoun Eyemart Express LLC Retail Fox Family Pharmacy 182 Optometry Kruger, David OD Cass Twenhafel, Stacy OD Brown - cont.

Family Practice Royeen, Abdul MD

7

General Dentistry Aleman, Erin DMD

34

Retail Moreland Devitt Pharmacy Pamidaa RX Walmart Pharmacy

183 183 183

Skilled Nursing Facility Heritage Manor Beardstown South LLC 88 Walker Nursing Home Inc 88 Champaign

128 Retail 128 CVS 128 Renes Drug Store 128 The Pharmacy Walgreens 35 Walmart Pharmacy

186 186 186 186 186

Skilled Nursing Facility 35 Heritage Health Pana LLC 90 35 Meadow Manor Skilled Nursing and Rehab C 90 Psych Hospital Prairie Rose Health Care Center 90 The Pavilion Foundation Hospital Taylorville Care Center Inc 90 89 Clark Psychology O Brien, Heather PsyD 35 Retail The Medicine Shoppe 187 Retail The Pharmacie Shoppe 187 Complete Care Pharmacy 184 Walmart Pharmacy 187 County Market Pharmacy 518 184 CVS 184 Skilled Nursing Facility Meijer Pharmacy 184 Burnsides Community Health SAMS CLUB 184 Center 91 Nfp Schnucks Pharmacy 184 91 Walgreens 184, 185 Casey Health Care Center Walmart Pharmacy 185 Coles

Behavioral Health Counseling Skilled Nursing Facility Dialysis Roberts Neukomm, Nancy LPC 128 Champaign Urbana Nursing and Mattoon Dialysis Rehab 89 Community Mental Health Center Retail Cunningham Childrens Home 89 Country Health Care and Rehab 89 CVS Substance Abuse Walgreens Dialysis Pats Prevention and Treatment Walmart Pharmacy Illini Renal Dialysis 89 Servic 36 Skilled Nursing Facility Durable Medical Equipment Christian Charleston Rehab & Healthcare Respiracare 89 Community Mental Health Center Center General Dentistry Hilltop Skilled Nursing and Choi, Han-Tae DDS 35 Christian County Mental Health 90 Rehabilitati Deena Dayalu Naidu, Jyothi DDS 35 Associati Odd Fellow Rebekah Home Inc Jae, Seunghyun DMD 35 Dialysis Kim, Ilsoon DDS 35 Taylorville Dialysis 90 Cumberland Licensed Clinical Social Worker Federally Qualified Health Center Donsbach, Jamie LCSW 128 Central Counties Health Center 8 Tullis, Debra LCSW 128 General Dentistry Obstetrics/Gynecology Pladziewicz, Paul DDS 37 Burke, Roseanne APRN 128 Cox, Stephani APRN 128

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Retail Sav-Mor Pharmacy

92 188 188 188

92 92 92

189

Skilled Nursing Facility Cumberland Rehab And Health Care Center 93

EXTENDED HOURS INDEX Heritage Manor Gibson City LLC

De Witt Retail CVS Walgreens Walmart Pharmacy Douglas

190 Piper City Rehab Living Center 190 Greene 190 Critical Access Hospital Boyd Healthcare Services

Obstetrics/Gynecology 96 Jones, Christopher MD 96 Orthopaedic Surgery Tallerico, Brian DO 77

Pediatrics Senthe, Nileshwa MD

41 41 13

Community Mental Health Center Family Practice Douglas County Mental Health and Holbert, Tracie APRN Family 94 Stewart, Keli APRN Durable Medical Equipment Convacare Services Inc

94

Licensed Clinical Social Worker Donsbach, Jamie LCSW 131 Porter, Jaime LCSW 131 Retail Brownes Pharmacy Lehmans Pharmacy Sav-Mor Pharmacy Shopko Pharmacy Villa Grove Pharmacy

191 191 191 191 191

Skilled Nursing Facility Tuscola Health Center

94

Edgar Durable Medical Equipment Pearman Pharmacy Inc Retail CVS Pearman Pharmacy Walmart Pharmacy

Psychiatry 132 Woerner, Philip MD 41 132 Retail Retail Hy-Vee Clinic Pharmacy 195 5 Guys Medicine Shoppe 194 McHugh Drug Store LLC 195 Pharmacy Plus Inc 194 Wear Drug 195 Pharmacy Plus, Inc 194 Rheumatology Rural Health Center Horvath, Jeffrey MD 41 Thomas H Boyd Rural Health Clinic 12 Skilled Nursing Facility Laharpe Davier Health Care Center Skilled Nursing Facility 98 White Hall Nursing and Rehabilitation CT 97 Urology Ouwenga, Michael MD 42 Hancock Iroquois Community Mental Health Center Mental Health Centers of Western Acute Care Hospital Illinoi 98 Iroquois Memorial Hospital 79

Endocrinology, Diabetes, 95 Metabolism Higgins, Dustin DO

192 Family Practice 192 Burgard, Tracey Np 192 Carle, Krista ARNP Cousins, Dawn Apn Skilled Nursing Facility Crim, Monica ARNP Paris Health Care Center 95 Glass, Janette ARNP Pleasant Meadows Senior Living 95 Heighton, Douglas MD Twin Lakes Rehab & Health Care Popela Kalivoda, Victoria DO 95 Voss, Daveda ARNP Wisslead, Melissa Apn Ford Retail Hudson Drug Shop Scotts Family Pharmacy

General Surgery 193 Peters, Randall MD 193 Neurology

Sullivant, Douglas MD Skilled Nursing Facility Accolade Healthcare of Paxton LLC Nurse Midwife 96 Fritz, Lila CNM

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41

Family Practice Cavender, Kaitlain CNP Chambers, Shambre ARNP Denny, Kyle PA Forsythe, Ashton APRN Henderson, Tammie APRN Hoffner, Christin APRN Lopez, Georgina APRN Schroeder, Janella APRN Torres, Teresita MD Wright, Jeremy APRN Yunker, Kristen APRN

13 133 13 133 133 13 41 133 13 General Surgery Beck, M Hytham MD 41 Gynecology Helwig, Glenn MD

41 Internal Medicine Dodia, Naran MD 133 Florido, Gonzalo MD

134 134 134 134 134 134 134 134 14 134 134 43 43 14 14

EXTENDED HOURS INDEX The Medicine Shoppe 197 Walgreens 197 Internal Medicine - cont. Walmart Pharmacy 197 Reyes, Crisanto MD 43 Skilled Nursing Facility Licensed Professional Counselor 100 Sabo, Jamie LPC 135 Jerseyville Manor Willow Rose Rehab & Health Care Nurse Practitioner Adult Health 100 Schoolman, Dianne CNP 135 Livingston Nurse Practitioner Family Medicine Henderson, Colleen CNP 135 Family Practice 139 Johandes, Amy CNP 135 Forsythe, Ashton APRN Henderson, Tammie APRN 139 Keller, Karen CNP 135, 136 139 Koerner, Rebecca CNP 136 O'Connell, Naila APRN Wourms, Jamie APRN 139 Lafayette, K Shayla CNP 136 139 Mattox, Judith CNP 136 Yunker, Kristen APRN Schroeder, Janella CNP 136 Optometry Seplak, Nina CNP 137 Henson, Brian OD 46 St John, Jessica CNP 137 Walczak, Karen CNP 137 Pediatrics Bojak, Sarah APRN 139 Retail CVS 196 Retail 198 Iroquois Memorial Hospital 196 CVS 198 Kelly Drugs 196 Walgreens Walmart Pharmacy 198 Walmart Pharmacy 196 Skilled Nursing Facility Rural Health Center Imh Gilman Clinic 99 Flanagan Rehab & Healthcare 101 Imh Milford Clinic 99 Center Imh Multi Specialty Physicians 99 Heritage Manor Dwight LLC DBA Hertiage H 101 Skilled Nursing Facility Gilman Healthcare Center 99 Logan Iroiquois Resident Home 99 Hospice Watseka Rehab & Healthcare Safe Haven Hospice LLC 102 Center 99 Optometry Jersey Pelfrey Jones, Sandra OD 47 47 Community Mental Health Center Walsh, James OD Iroquois - cont.

Centerstone of Illinois Inc

100 Retail CVS Dialysis Jerseyville Dialysis 100 Kroger Stacys Family Pharmacy Licensed Clinical Social Worker Walgreens Jarman, Diana LCSW 138 Walmart Pharmacy

199 199 199 199 199

Retail Brighton Pharmacy CVS

102

Skilled Nursing Facility 197 St Claras Manor DBA St Claras 197 Manor

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Macon Dialysis Decatur East Wood Dialysis Macon County Dialysis

103 103

General Dentistry Augend, Arsaland DDS 48 Deena Dayalu Naidu, Jyothi DDS 48 Gulati, Jaswinder DMD 48 Wong, Irene DDS 48 Internal Medicine Wade, James MD

49

Medical Oncology Wade, James MD

49

Obstetrics/Gynecology Beyers, Heather APRN Burke, Roseanne APRN Cox, Stephani APRN Fairfield, Mitzie APRN Johnson, Kerianne APRN Johnson, Mois APRN Schafer, Kathy APRN

141 141 141 141 141 141 141

Optometry Davis, James OD Jones, Deborah OD Lane, Steven OD Richmond, Ronald OD Walsh, James OD

50 50 50 50 50

Orthodontics Sanfelippo, Lisa DDS

50

Retail Colees Corner Drugs 200 County Market Pharmacy 200 CVS 200 Dales Southlake Pharmacy 200 Extended Living Pharmacy LLC 200 Illini Pharmacy Services LLC 200 Kroger 200 Kroger Savon Pharmacy 200 Omnicare of Decatur 200 Sav-Mor Pharmacy 200 Walgreens 200, 201 Walmart Pharmacy 201

EXTENDED HOURS INDEX Taha, Hala DDS Taneva, Emiliya DDS Wang, Xin DDS

Macon - cont. Skilled Nursing Facility Heritage Manor Mt Zion DBA Heritage Hea

104

Macoupin Community Mental Health Center Locust Street Resource Center 105 General Dentistry Bassi, Isha DMD 52 Beckmann, Cheryl DMD 52 Boente, Katherine DMD 52 Cairns, John DDS 52 Choi, Jun DMD 52 Dave, Abdul-Aleem DDS 52 Drescher, Matthew DDS 52 Duggirala, Swetha DDS 52 Fazili, Snowber DDS 52 Ferando, Blake DMD 52 Guadiz, Michael DDS 53 Hong, Sung DDS 53 Kempf, Paul DDS 53 Kizior, Joseph DDS 53 Muddasani, Padmini DDS 53 Muthuramaswami, Sethurama DDS 53 Ozyurt, Tulin DDS 53 Reiser-Loeber, Elizabeth DDS 53 Rubis, David DDS 53 Rubis, Joseph DDS 53 Scanlon, Brittany DMD 53 Shafer, Kathy DMD 53 Weber, Mary DDS 54 Yeager, Brandon DMD 54 Zaidi, Tabassum DDS 54 Internal Medicine Jain, Rajneesh MD Siegfried, Bryan MD

16 16

Optometry Bachman, Dena OD Ernst, David OD Smith, Stefan OD

54 54 54

Orthodontics Alavi, Debra DDS Atsawasuwan, Phimon DDS

54 54

54 Optometry 54 Botts, Eric OD 57 54 Eilenfeldt, Pamela OD 57 Retail Obrien, Eric OD 57 CVS 202 Retail Michelles Pharmacy Inc 202 Axline Pharmacy 204 Michelles Pharmacy, Inc 202 CVS 204 Sav-Mor Drugs 202 Hy-Vee Pharmacy 204 Sullivan Drugs 202 Walgreens 204 Sullivan Drugs Inc 202 Walmart Pharmacy 204 Sullivans Drugs Inc 202 Walmart Pharmacy 202 Skilled Nursing Facility Prairie City Rehab and Health Care Rural Health Center 107 Carlinville Family Practice Center 105 McLean Skilled Nursing Facility Friendship Skilled Nursing and Rehab Cen Heritage Manor Carlinville LLC Heritage Manor Gillespie Heritage Manor Staunton LLC Sunrise Skilled Nursing and Rehabilitati

Durable Medical Equipment Carepaks Health Services Inc

108

105 General Dentistry 105 Anne, Hari Priya DDS 58 105 Durshanapalli, Srinivas DDS 58 105 Gade, Hanuman DDS 58 Haider, Yazdan DDS 58 105 Kakollu, Srinivaulu DDS 58 Mason Ko, Ronald DMD 58 Patel, Dhaval DDS 58 Critical Access Hospital Patel, Harshil DMD 58 Mason District Hospital 80 Quadri, Fatima DDS 58 Home Health Care Rahnamayi, Roya DDS 59 Mason District Hospital Home Sangha, Henna DDS 59 Health 106 Shah, Khantil DMD 59 Shaik, Ali Basha DMD 59 Retail Thota, Sandeep DDS 59 CVS 203 Vemula, Roja DDS 59 Wolters Drug Store 203 Vildaver, Eliot DMD 59 Rural Health Center Licensed Clinical Social Worker Havana Medical Associates 106 Cain, Sarah LCSW 145 Mason City Associates 106 Malott, Trisha LCSW 145 Skilled Nursing Facility Obstetrics/Gynecology Havana Health Care Center 106 Burke, Roseanne APRN 146 McDonough Cox, Stephani APRN 146 Fairfield, Mitzie APRN 146 Acute Care Hospital Johnson, Kerianne APRN 146 McDonough District Hospital 81 Schafer, Kathy APRN 146 Distinct Part Unit Psych McDonough District Hospital 107

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EXTENDED HOURS INDEX Sav Mor Drug 208 Sullivan Drug 208 Optometry Sullivan Drugs 208 Klein, Drew OD 59 208 Portillo, Barbara OD 60 Sullivans Drugs Inc Walgreens 208 Psychology Walmart Pharmacy 208 Brown, Blair PsyD 60 Carter, Cheryl PsyD 60 Skilled Nursing Facility Jepson, Neil PHD 60 Heritage Manor Litchfield LLC DBA 110 Knutson, Kelly PsyD 60 Herita Nokomis Rehab & Health Care Retail Center 110 Axline Advanced 205 Chenoa RX 205 Morgan CVS 205 Dialysis Hy-Vee Pharmacy 205 Jacksonville Dialysis 111 Kroger Savon Pharmacy 205 Leroy Pharmacy 205 Durable Medical Equipment Meijer Pharmacy 205 Longs Oxygen and Medical 111 Merle Pharmacy, Inc 205 Equipment Osco Drug 205 Federally Qualified Health Center Osco Pharmacy 205 Central Counties Health Center 20 SAMS CLUB 205 Schnucks Pharmacy 205 General Dentistry 62 Walgreens 206 Arnold, Samantha DMD Buskirk, Mary DDS 62 Walmart Pharmacy 206 Duewer, Ethan DMD 62 Skilled Nursing Facility Looker, Mary-Margaret DDS 62 Heritage Manor Bloomington LLC Ozyurt, Tulin DDS 62 108 Tibbs-Hnizdo, Kylea DMD 62 Heritage Manor Normal Lcc 108 Leroy Manor 108 Optometry Ryan, Rebecca OD 62 Meadows Mennonite Retirement Community 108 Retail CVS 209 Menard Shopko Pharmacy 209 Retail The Medicine Shoppe Jacksonville Petersburg Pharmacy 207 209 Walgreens 209 Skilled Nursing Facility Walmart Pharmacy 209 Sunny Acres Menard County DBA McLean - cont.

Sunny AC

109

Montgomery Dialysis Litchfield Dialysis Retail CVS Johns Medical Pharmacy

110 208 208

Oakwood Apothecary The Sullivan Pharmacy Skilled Nursing Facility Eastview Terrace Mason Point Sullivan Rehabilitaition & Healthcare

112 112 112

Piatt Critical Access Hospital Kirby Medical Center

82

Family Practice Huang, Evelyn MD Liss, David APRN Soper, Nicole Apn Yocks, Brian MD

21 148 21 21

Internal Medicine Mandhan, Narain MD

21

Licensed Clinical Social Worker Porter, Jaime LCSW 148 Retail Lynns Family Pharmacy Walgreens

211 211

Skilled Nursing Facility Bement Health Care Center

113

Pike Clinical Social Work House, Nathaniel CSW

149

Community Mental Health Center Mental Health Centers of Western Illinoi 114

Family Practice Alzein, Bashar MD Di Iorio, Daniel MD Perry, Crystal MD Skilled Nursing Facility Richards, Douglas DO Jacksonville Skilled Nursing and Sreedharan, Manoj MD Rehab C 111 Wagoner, Christopher MD Moultrie Hematology & Oncology Retail Ali, Muhammad MD CVS 210 Arrambide, Kathryn MD Dicks Pharmacy 210 Elkhoury, Christian MD

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210 210

64 64 64 64 64 22 64 64 64

EXTENDED HOURS INDEX Pike - cont.

Sangamon

Hematology & Oncology - cont. Dialysis Koduru, Karthik MD 64 Springfield Central Dialysis Smith, Ramyond MD 64 Springfield Montvale Dialysis Internal Medicine Alfrhan, Almuhannan MD Jabri, Mohamed MD Kumar, Ramana MD

115 115

Durable Medical Equipment 64 American Homepatient 115 65 Federally Qualified Health Center 65 Central Counties Health Center 23 Licensed Professional Counselor General Dentistry Sanders, Katherine LPC 149 Arnold, Samantha DMD 68 Nurse Practitioner Adult Health Buskirk, Mary DDS 68 Knuffman, Lisa CNP 149 Choi, Ji DDS 68 Pollock, Ashley ARNP 149 Deena Dayalu Naidu, Jyothi DDS 68 Nurse Practitioner Family Medicine Duewer, Ethan DMD 68 Baker, Michelle CNP 149 Durshanapalli, Srinivas DDS 68 Bunch, Joanna CNP 149 Elugbadebo, Toni DMD 69 Hartman, Michelle CNP 149 Fatima, Sara DDS 69 Holcomb, Jennifer CNP 149 Jafri, Nazish DDS 69 Miller, Jill CNP 149 Jamil, Samira DDS 69 Parker, Lynn CNP 150 Ko, Ronald DMD 69 Rankin, Jessica CNP 150 Lee, Kayoun DMD 69 Roth, Diana CNP 150 Liu, Noel DDS 69 Stamper, Tonya CNP 150 Looker, Mary-Margaret DDS 69 Taylor, Brittney CNP 150 MA, Ji DDS 69 Torrez, Ginger CNP 150 Ozyurt, Tulin DDS 69, 70 Nurse Practitioner Gerentology Park, Joon DDS 70 White, Sherri CNP 150 Patel, Pratik DMD 70 Quadri, Fatima DDS 70 Nurse Practitioner Psychiatric Son, Seokjae DMD 70 Mental Health 70 O'Rourke, Verna CNP 150 Tibbs-Hnizdo, Kylea DMD Psychiatry Sanchez-Zuniga, Salvador MD Woerner, Philip MD Retail County Market Pharmacy IHS Pharmacy Walmart Pharmacy Rheumatology Guthrie, Jason MD

County Market Pharmacy 213 County Market Pharmacy 083 213 County Market Pharmacy 224 213 County Market Pharmacy 228 213 Currys Family Pharmacy 213 CVS 213 Forum Ext Care Svcs of Cntrl I 213 Harrys Pharmacy 213 Hy-Vee Pharmacy 213 KMART 213 Meijer Pharmacy 213 Osco Pharmacy 214 SAMS CLUB 214 Schnucks Pharmacy 214 The Medicine Shoppe 214 Walgreens 214, 215 Walmart Pharmacy 215 Skilled Nursing Facility Rutledge Joint Ventures LLC DBA Heritag 116 Rutledge Regency Operations LLC DBA Reg 116 Villa Health Care Inc DBA The Villas SE 116 Schuyler Community Mental Health Center Schuyler County Mental Health Center 117 Critical Access Hospital Sarah D Culbertson Memorial Hospital

Licensed Professional Counselor Dialysis 71 Rushville Dialysis 65 Scheirl, Dawn 65 Obstetrics/Gynecology Psychiatry Fairfield, Mitzie APRN 152 Pittman, Glen MD 212 Optician Retail 212 Eyemart Express LLC 71 County Market Pharmacy 212 Moreland Devitt Drug Optometry Atkins, Charles OD 65 Edwards, Robert OD Guithues, Molly OD

Skilled Nursing Facility Eastside Health and Rehabilitation Retail Center 114 Complete Care Pharmacy Pittsfield Manor 114

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83 117 73 216 216

71 Shelby 71 71 Community Mental Health Center Shelby County Community Services Inc 119 213

EXTENDED HOURS INDEX Shelby - cont. Retail CVS Family Drug Walmart Pharmacy

218 218 218

Skilled Nursing Facility Shelbyville Manor

119

Substance Abuse Shelby County Community Services Inc

75

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PROVIDER INDEX Augend, Arsaland DDS 194 Axline Advanced Axline Pharmacy A Accolade Healthcare of Paxton LLC Ayorinde, Sheila MD 96, 164 Ayres, Catherine APRN Numerics 5 Guys Medicine Shoppe

Adams County Dialysis 84 Adams, Amanda OT 124 Adams, Erin OT 124 Adams, Susan Apn 56 Addai, Theodore MD 48, 49 Adhikari, Rachana CNP 122 Aguirre, Frank MD 66 Ahmad, Ahmad MD 15 Alavi, Debra DDS 54 Al-Dadah, Ashraf MD 66, 70 Aleman, Erin DMD 34 Alfrhan, Almuhannan MD 64 Alharbi, Waleed MD 66 Ali, Mohammed MD 12 Ali, Muhammad MD 27, 64 Alimi, Olabimpe PA 144 Al-Joundi, Bassam MD 45 Allen, Sarah ARNP 134, 139 Allen, Tawny DO 1 Alterna Care Inc 110, 111, 115 Altherr, Kathryn Apn 24 Altman, Dana DO 1 Alzein, Bashar MD 64 American Homepatient 115 Anderson, Halley DO 27 Andrews, Gregory MD 4 Anne, Hari Priya DDS 58 Apria Healthcare LLC 89, 115 Arcola Health Care Center 162 Arguelles, Cesar MD 31 Arndt, David DO 1 Arnold, John MD 18, 32 Arnold, Samantha DMD 62, 68 Aronberg, Fiona APRN 122 Arrambide, Kathryn MD 64 Asbury, Kathy MD 1 Assi, Nizar MD 45 Athens Pharmacy 207 Atkins, Charles OD 71 Atlanta Telepharmacy 199 Atsawasuwan, Phimon DDS 54 Atwood Rural Health Clinic 94

48 205 204, 205 23 124

B Bachman, Dena OD 54 Baginski, Sebastian MD 22 Baig, Sara MD 25 Baker, Michelle CNP 149 Balbort, Liberty MD 18 Balouch, Imran MD 26 Balthazor, Kristin PA 135 Barisch, Stephanie LPC 145 Barry Rural Health Clinic 114 Barry, Julie CNP 120 Bartels, Ashlyn CNP 151 Barthel, Mary MD 27 Basha, Ahsan MD 43 Bassi, Isha DMD 52 Batley, Chaka APRN 124 Batra, Divya MD 1 Baustian, Loretta DO 5 Beavers, Laurie APRN 132 Beck, M Hytham MD 43 Beckmann, Cheryl DMD 52 Bedwell, Lyndsay Np 18 Behrens, Michael CNP 120 Bement Health Care Center 113, 176 Bentele, Jessica LCSW 149 Berhorst, Billy LCSW 122 Bessay, Emmanuel MD 27 Beth, Timothi DO 1 Beyers, Heather APRN 141 Biagini, Tim MD 56 Bitner, Bethany MD 17 Bitzer, David MD 61, 72 Blackford, Mindy OD 29 Blakeley, Martha PT 126 Blessing Hospice and Palliative Care 84, 97 Blessing Hospital 76, 84 Blevins, Wayne PA 142 Bockhold, Joy LCSW 122 Bockhold, Sarah LCSW 123, 133 Boente, Katherine DMD 52 Bojak, Sarah APRN 139

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Bonish, Brian MD 25 Borjon, Julie ARNP 151 Botts, Eric OD 29, 57 Bowsher, Tanya Apn 11 Boyd Fillager Clinic 12 Boyd Healthcare Services 77 Boyd, Emily APRN 127 Brand, Ronald OD 29 Braun, Sarah AUD 134 Brighton Pharmacy 197 Briney, Rochelle LCSW 127 Brink, Lindsay DO 5 Brody, Jill MD 57 Brooks, Donna LPC 145 Brown Drug Company 180 Brown, Blair PsyD 60 Brown, Glenda ARNP 120 Brown, Glenda CNP 120 Brownes Pharmacy 191 Bruha, Robert MD 59 Bunch, Joanna CNP 149 Burgard, Tracey Np 13 Burke, Roseanne APRN 128, 141, 146 Burns, Andrea LPC 139 Burnsides Community Health Center 91 Nfp Burri, Manjula MD 66 Buskirk, Mary DDS 62, 68 C Caceres, Luis MD 48 Cain, Sarah LCSW 145 Cairns, John DDS 52 Calhoun Nursing and Rehabilitation Center 87 Camelot Care Center Inc 115 Campbell, Becky CNP 124 Cancer Care Specialists of Illinois 200 Card, Edwin MD 56 Carepaks Health Services Inc 108 Carepaks Health Servicesinc 172 Carle, Krista ARNP 133 Carlinville Family Practice Center 105 Carlson, Lori LCSW 123 Carpenter, Gary MD 25 Carter, Cheryl PsyD 60

PROVIDER INDEX C - cont. Caruso, Diane DDS 58 Casey Health Care Center 91, 158 Casillan, Alfred MD 72 Cass County Mental Health 88 Cass County Public Health Clinic 7 Cass County Public Health Department 88 Cass Schuyler Area Hospice 88 Castro, Sharon DDS 26 Cavender, Kaitlain CNP 134 Cavitt, Mary DDS 26 Centerstone of Illinois Inc 100 Central Counties Health Center 8, 20, 23 Cerro Gordo Rural Health Clinic 113 Chaddock 84 Chambers, Shambre ARNP 134 Champaign Urbana Nursing and Rehab 89 Champaign Urbana Nursingand Rehab 156 Chaplin, Robert LPC 143 Charleston Rehab & Healthcare Center 92 Charleston Rehab Healthcare Center 159 Chatham, Nancy APRN 152 Chenoa RX 205 Chestnut Family Health Center 19 Chestnut Health Systems Inc 60 Chevalier, Kristie OD 29 Child, Daniel DO 1 Cho, Seong MD 38 Choi, Han-Tae DDS 35 Choi, Ji DDS 68 Choi, Jun DMD 52 Chokkalingam, Shobashalini MD 66 Chow, James DDS 58 Christian County Mental Health Associati 90 Christy, Jeffrey MD 72 Clarity Healthcare 4 Clemens, Megan CNP 144 Colees Community Pharmacy 200 Colees Corner Drugs 200 Collins, Katherine MD 5

Community Resource Counseling Center 96 Complete Care Pharmacy 184, 213 Connolly, Michael MD 1 Contreras, Liz MD 5 Convacare Services Inc 94 Cook, Jeffrey MD 28 Coram Specialty Infusion Srvcs 184 Cormier, Matthew DO 1 Corona, Aleena DDS 26 Country Health Care and Rehab 89 Country Health Inc 156 County Market Pharmacy 200, 212, 213, 216 County Market Pharmacy 083 213 County Market Pharmacy 224 213 County Market Pharmacy 228 213 County Market Pharmacy 518 184 Cousins, Dawn Apn 13 Covenant Outpatient Pharmacy 184 Cowden Medical Clinic LLC 119 Cox, Stephani APRN 128, 141, 146 Creech, Wesley DC 25 Crim, Monica ARNP 133 Crocks, Sara DMD 26 Crosspoint Human Services 89 Crumpler, Ann LCSW 141 Cumberland Rehab And Health Care Center 93, 160 Cunningham Childrens Home 89 Curry, Jessica MD 29 Currys Family Pharmacy 213 CVS 180, 184, 186, 188, 190, 192, 196, 197, 198, 199, 200, 202, 203, 204, 205, 208, 209, 210, 213, 218 D Dales Southlake Pharmacy Dalfiume, Luke PHD Dande, Amit MD Daniels, James MD Dardis, Sara DDS Dasaraju, Radhika MD Daugherty, Kelli CNM Davanay, Athena PHD Dave, Abdul-Aleem DDS Davenport, Craig MD

200 60 38 26, 31 60 23 141 35 52 22

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Davis, James OD 50 Dean, Amelia MD 22 Decatur East Wood Dialysis 103 Decatur Manor Healthcare 169 Deena Dayalu Naidu, Jyothi DDS 35, 48, 68 Deguzman, John MD 30 Denman Country Drug 180 Denman Medical Supply 84 Denny, Kyle PA 134 Dhuna, Anil MD 56 Di Iorio, Daniel MD 64 Dicks Pharmacy 210 Dierker, Shanna Apn 1 Dietrich, Gina DO 29 Dionysus-Rouintree, Kimberly PsyD 31 Dixon, William MD 1 Djuric, Milena MD 30 Dodia, Naran MD 14 Dodt, Bruce MD 44 Donsbach, Jamie LCSW 128, 131 Dooley, Randall MD 32 Douglas County Mental Health and Family 94 Douglas, Kathryn LPC 123 Downs, Alexis CNP 149 Drescher, Matthew DDS 52 Duewer, Ethan DMD 62, 68 Duggirala, Swetha DDS 52 Dukkipati, Madhu MD 71 Dunn, Andrew DO 1 Durshanapalli, Srinivas DDS 58, 68 Dyas, Ashley CNP 151 E Eastland Pharmacy 205 Eastside Health and Rehab Center 177 Eastside Health and Rehabilitation Center 114 Eastview Terrace 112, 175 Echeazu, Chinelo MD 49 Eden, Brenda APRN 141 Edwards, Robert OD 71 Eftink, Julie LCSW 123 Eilenfeldt, Pamela OD 30, 57 El Khoury, Christian MD 27

PROVIDER INDEX E - cont. Eling, Michael MD 1 Elkhoury, Christian MD 64 Ellingson, Brenda CNP 120 Elm City Rehabilitation Center Inc 111 Elugbadebo, Toni DMD 69 Enoch, Jennifer APRN 128 Ernst, David OD 54 Esparaz, Benjamin MD 49 Espejo, Carol MD 30 Evans, Dan MD 4 Extended Living Pharmacy LLC 200 Eyemart Express LLC 35, 71 F Fairfield, Mitzie APRN 128, 141, 146, 152 Falke, Crystal PA 143 Family Drug 218 Fanari, Zaher MD 66 Farmer City Rehab and Health Care 161 Farnham, Pamala LCSW 145 Farris, Leslie CNP 151 Fatima, Sara DDS 69 Fazili, Snowber DDS 52 Ferando, Blake DMD 52 Fessenden, Katelyn CNP 120 Findlater, Malcolm MD 27, 28 Flanagan Health Mart Pharmacy 198 Flanagan Rehab & Healthcare Center 101 Flanagan Rehab Healthcare Center 168 Fleenor, Nancy CNP 143 Fleming, Meredith APRN 151 Flores, Noel MD 56 Florido, Gonzalo MD 14 Forsythe, Ashton APRN 134, 139 Forum Ext Care Svcs of Cntrl I 213 Foster, Phillip PHD 60 Fox Family Pharmacy 182 Frageman, Angela SLP 125 Frazier, Eldon MD 1 Frese, Cristina LPC 123

Friendship Skilled Nursing and Rehab Cen 105 Friendship Skilled Nursing Rehab Center 170 Fritz, Lila CNM 133 Friye, Pamela DO 29 Fry, Kathryn CNP 143 Fry, Shawn MD 12 G Gable Family Pharmacy Co 194 Gade, Hanuman DDS 58 Gandhi, Sumul MD 25 Garcia, Carlos MD 31 Gateway Foundation Inc 71, 115 Genoa-QOL Healthcare 200 Ghanekar, Hrishikesh MD 28 Ghani, Mansura MD 66 Gill, Gultasib MD 12 Gill, John MD 66, 70 Gillespie Family Practice Center 105 Gillette, Nickolas DO 1, 2 Gilman Healthcare Center 99, 166 Ginos, Steven MD 2, 13, 28 Glass, Janette ARNP 133 Go, Dennis MD 5 Goel, Sachin MD 66, 70 Goetz, Jeffrey CNP 120 Goetz, Jeffrey Np 2 Goldstein, Jeffrey MD 67, 70 Gomez Abundis, Gerardo MD 70 Gonzales, James MD 56 Gopaldas, Raja MD 72 Goswami, Nilesh MD 67 Gratkins, Lawrence MD 59 Greene County Rural Health Clinic 12 Greenspan, Aaron MD 26 Gregory, Richard DDS 26 Greiman, Tiffany ARNP 124 Grubb, Laura APRN 151 Guadiz, Michael DDS 53 Guaglianone, Perry MD 48, 75 Guilfoyle, Jennifer LPC 123 Guithues, Molly OD 71 Gulati, Jaswinder DMD 48 Guthrie, Jason MD 65 Guzlas, Kelly APRN 148

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Guzlas, Kelly Np

11

H Hafez, Walid MD 29 Hagan, Warren MD 30 Hageman, Linda CNP 120 Haider, Yazdan DDS 58 Hall, Jack MD 48, 49 Hall, Leroy PsyD 50 Hall, Thomas DMD 60 Hamadah, Abdurrahman MD 28 Hamblen, Kathryn APRN 135 Hamilton Warsaw Clinic 98 Hammock, John MD 25 Hancock, Rachel APRN 149 Hancock, Rachel CNP 149 Hanger Clinic 84, 89, 103, 115 Hanna, Adel MD 49 Hanzel, Duane DPM 30, 65 Harden, Sharie CNM 144 Harmer, Leigh SLP 125 Harris, Sharon MD 25 Harrys Pharmacy 213 Hartman, Michelle Apn 56 Hartman, Michelle CNP 149 Harvey, Charles MD 44 Hassan, Refaat DDS 69 Hatlelid, Seth PsyD 60 Haubrich, Nicollette CNP 120 Havana Health Care Center 106 Havana Medical Associates 106 Healthcom Inc 175 Healthdirect Instututional Pharmacy 213 Heart 4 Heart Inc DBA Personal Mobility 115 Heighton, Douglas MD 13 Heinecke, Brandi APRN 120 Heinecke, Brandi CNP 120 Helle, Carrie Np 18 Heller, Jodi Np 56 Help At Home 159, 169, 171, 173, 177, 178 Helwig, Glenn MD 43 Heming, Leah CNP 122 Henderson, Colleen CNP 135 Henderson, Kerri Apn 2 Henderson, Lisa CNP 151

PROVIDER INDEX H - cont. Henderson, Tammie APRN 134, 139 Henson, Brian OD 46 Heritage At Crossing Healthcare 50, 103 Heritage At Eisenhower High School 103 Heritage At Garfield 103 Heritage At Hope Academy 103 Heritage At MacArthur 103 Heritage At Phoenix Academy 103 Heritage At Sdms 103 Heritage At Tjms 103 Heritage Behavioral Health Center 51, 103 Heritage Health Pana LLC 90 Heritage Manor Beardstown South LLC 88 Heritage Manor Bloomington LLC 108 Heritage Manor Carlinville LLC 105 Heritage Manor Dwight LLC DBA Hertiage H 101 Heritage Manor Gibson City LLC 96 Heritage Manor Gillespie 105 Heritage Manor Litchfield LLC DBA Herita 110 Heritage Manor Mt Sterling LLC DBA H 86 Heritage Manor Mt Zion DBA Heritage Hea 104 Heritage Manor Normal Lcc 108 Heritage Manor Staunton LLC 105 Herzing, Lisa CNP 120 Hibbert, Paul MD 22 Higgins, Dustin DO 25, 41 Hildebrand, Melissa LPC 123 Hilltop Skilled Nursing and Rehabilitati 92 Hilltop Skilled Nursingand Rehab Center 159 Hodges, Kettisha LCSW 123 Hoffner, Christin APRN 134 Holbert, Tracie APRN 132 Holcomb, Jennifer CNP 149 Holcomb, Shawn DO 2 Holland, Rebecca LCSW 152

Holland, Sarah Kate LPC 145 Home Bound Healthcare Inc 115 Home Care Medical Equipment 84 Hong, Sung DDS 53 Horvath, Jeffrey MD 41 House, Nathaniel CSW 149 Huang, Evelyn MD 11, 21 Hudson Drug Shop 193 Hudson, Tammy APRN 124 Huff, Atwood DMD 48 Hufford, Kristen CNM 141 Humphrey, Erin DO 31 Hunter, Erika MD 17 Hy-Vee Clinic Pharmacy 195 Hy-Vee Pharmacy 180, 204, 205, 213

Jahns, Corinne CNP Jain, Rajneesh MD Jalil, Yousaf MD Jallad, Bassel MD Jamil, Samira DDS Jarman, Diana LCSW Jepson, Neil PHD Jerseyville Dialysis Jerseyville Manor Johandes, Amy CNP John, Bejoy MD Johns Medical Pharmacy Johnson, Kerianne APRN

151 16 56 27 69 138 60 100 100, 167 135 31, 41 208

128, 141, 146 Johnson, Lee Roy MD 31 Johnson, Mois APRN 141 I Johnson, Robert MD 31 IHS Pharmacy 212 Johnson, Ronald MD 22, 74 IL State Univ Student Health Phc Jones, Christopher MD 41 205 Jones, Deborah OD 50 Illini Community Hospital Rural Jones, Douglas MD 35, 63 Health 114 Jones, Myron MD 25 Illini Health Services LLC 114 Illini Heritage Rehab Health Care K 156 Kagumba, Ada MD 29 Illini Pharmacy Services LLC 200 Kahwaji, Michael PsyD 60 Illini Renal Dialysis 89 Kairouz, Jeanne MD 48 Illinois Cancer Care 205 Kairouz, Sebastien MD 48, 49 Imh Gilman Clinic 99 Kaja, Veera DMD 62 Imh Milford Clinic 99 Kakollu, Srinivaulu DDS 58 Imh Multi Specialty Physicians 99 Kalra, Vikas MD 66, 67 Indlamuri, Mastan MD 23 Kao, Wynn MD 47, 58 Institute For Human Resources 101 Katholi, Richard MD 67 Iroiquois Resident Home 99 Kavuri, Choudary MD 50 Iroquois Memorial Hospice 99 Keller, Jay MD 49 Iroquois Memorial Hospital 79, 196 Keller, Karen CNP 135, 136 Iroquois Mental Health Center 99 Kelley, Michael MD 67 Kelly Drugs 196 J Kemner-Schoen, Kristie SLP 125 Jabri, Mohamed MD 65 Kempf, Paul DDS 53 Jackson, Danelle ARNP 129 Khan, Javeed MD 27 Jacksonville Dialysis 111 Khan, Muhammad MD 15 Jacksonville Skilled Nursing and Khaper, Bhupinder MD 14 Rehab C 111 Khil, Mark MD 31 Jacksonville Skilled Nursing Rehab Khoury, Naim MD 71 Center 174 Khurana, Aman MD 70 Jacobs, Timothy DO 2 Kim, Ilsoon DDS 35 Jae, Seunghyun DMD 35 Kim, Jun DO 44 Jafri, Nazish DDS 69

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PROVIDER INDEX K - cont. Leindecker, Heather APRN 121 Kim, Louis MD 4 Leon, Jeffery PA 133 Kimber, Scott MD 2 Leone, Andrea CNP 121 Kirby Medical Center 82 Leone, Douglas MD 38, 46, 47, 58 Kirby Medical Group 113 Leroy Manor 108, 172 Kirchner, Marsha CNP 143 Leroy Pharmacy 205 Kirkpatrick, Michael MD 2 Levin, Anna MD 25 Kizior, Joseph DDS 53 Liesen, Mathew DMD 64 Klein, Drew OD 59 Liesen, Stephen DMD 64 KMART 180, 213 Lin, Chan DMD 39 Knoche, Maria ARNP 142 Lincare Inc 84, 89, 103, 108, 111, 115 Knochel, Rick CNP 120 Lincoln Dialysis 102 Knuffman, Jason MD 25 Lincoln Prarie Behavorial Health Knuffman, Lisa APRN 122 Center 115 Knuffman, Lisa CNP 149 Liss, David APRN 148 Knutson, Kelly PsyD 60 Liss, David ARNP 131 Ko, Ronald DMD 58, 69 Litchfield Dialysis 110 Koduru, Karthik MD 27, 64 Liu, Noel DDS 69 Koduru, Pranathi MD 28 Lockard, Mary Kathleen MD 18 Koerner, Rebecca CNP 136 Lockhart, David MD 2 Kohli, Manoj MD 55 Locust Street Resource Center 105 Kola, Manohar MD 48 Logsdon, Mary CNP 121 Krause, Steven DO 28, 65 Longs Oxygen and Medical Kresca, James MD 35 Equipment 111 Krinochkin, Olexandr MD 28 Looker, Mary-Margaret DDS 62, 69 Kroger 199, 200 Lopez, Georgina APRN 134 Kroger Savon Pharmacy 200, 205 Lord, Nicole Np 49 Krohn, Austin OD 30 Lowrance, Debra CNM 141 Krueger, Tara LCSW 123 Lucas Stoner, Tina DMD 26 Kruger, David OD 35 Lucca, Jessica APRN 151 Kruthoff, Courtney APRN 120 Lunt, Kelli LCSW 123 Kulp, Melissa Np 12 Lunt, Kelli LMSW 28 Kumar, Ramana MD 65 Lutrin, Frank MD 36 Lynns Family Pharmacy 211 L Labcorp 85 Ladd, Phillip LPC 145 Lafayette, K Shayla CNP 136 Lafrenz, Angela APRN 147 Laharpe Davier Health Care Center 98, 165 Lane, Cristy CNP 143 Lane, Joseph MD 2 Lane, Steven OD 50 Leahy, Timothy OD 65 Lee, Kayoun DMD 69 Lehmans Pharmacy 191 Leimbach, Kurt MD 4

M MA, Ji DDS 69 Mackrides, Paula DO 2 Macomb Medical Equipment and Supply 107 Macon County Dialysis 103 Macoupin County Public Health Department 16 Madison, Jenny LPC 145 Maduakor, Obioma MD 29 Mafokou, Jeanne APRN 121 Mafokou, Jeanne CNP 121 Mahaffey, Thomas OD 59

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Mahaney, Gretchen APRN 151 Malott, Trisha LCSW 145 Mandhan, Narain MD 11, 21 Manint, James DO 11, 21 Manor Court of Clinton 161 Manthei, Jason PA 142 Mapue, Renan MD 12 Markley, Michael MD 17 Martin, Ashley ARNP 144 Martin, Rita PA 124 Martin, Sara APRN 121 Martin-Corcoran, Kimberly LPC 145 Martinez, Austin DDS 39 Martinsville Pharmacy 187 Mason City Associates 106 Mason City Pharmacy 203 Mason District Hospital 80 Mason District Hospital Home Health 106 Mason Point 112, 175 Massoud, Ibrahim DDS 69 Mathur, Manish MD 16 Matos, Gabor MD 67 Mattoon Dialysis 92 Mattox, Judith CNP 136 Maxeiner, Angelia APRN 121 Mayer, Stephen MD 67 McCray, Mikell PsyD 60 McDonough District Hospital 81, 107 McDonough Medical Group /Bushnell Family 107 McDougall, John OD 30 McDowell, Jason OD 62 McGuire, Mary APRN 129 McHugh Drug Store LLC 195 McKee, Kamie CNP 144 McKenna, Jeffrey MD 58 McKeown, John MD 28 Mdh Home Health 107 Mdh Hospice 107 Meadow Manor Skilled Nursing and Rehab C 90 Meadow Manor Skilled Nursing Rehab Center 157 Meadows Mennonite Retirement Community 108, 172 Med Source LLC 108

PROVIDER INDEX M - cont. Medical Transportation Management 85 Meijer Pharmacy 184, 205, 213 Meister, Mary Jennifer LCSW 145 Memorial Hospital Association 78 Memorial Medical Clinic Bowen 13 Memorial Medical Clinic Laharpe 13 Memorial Medical Clinic Nauvoo 13 Mental Health Centers of Western Illinoi 86, 98, 114 Merle Pharmacy, Inc 205 Merrick, John LPC 145 Metternich, Christina APRN 121 Metzger, Teresa CNP 121 Meyer, Monica CNM 141 Michelles Pharmacy Inc 202 Michelles Pharmacy, Inc 202 Mid Central Medical Inc DBA American Med 105 Miller Spears, Erica PA 125 Miller, Brian MD 67, 70 Miller, David DO 56 Miller, Janis ARNP 130 Miller, Jill CNP 149 Miller, Roger MD 32 Miller, Ronald MD 38 Miller, Sean LCSW 123 Miller, Thomas MD 31 Minnick, Larry MD 2 Minter, Richard DO 18 Mishkel, Gregory MD 67, 71 Mitchell, Idol DPM 57 Mitchell, Jerome DDS 58 Monroe, Elizabeth OD 30 Moodalagiriaiah, Mamatha MD 49 Moore, Daniel MD 26, 64 Moore, Taylor DO 3 Moore, Travis DO 3 Moreland And Devitt Inc 181 Moreland Devitt 183 Moreland Devitt Drug 216 Moreland Devitt Pharmacy 183 Morton, Steven DO 30 Moulton, Kriegh MD 67 Moultrie County Counseling Center 112

Moweaqua Pharmacy 218 Omnicare of Decatur 200 Mt Olive Family Practice Center Omnicare of Quincy 180 105 Ontiveros, Evelena MD 49 Mt Sterling Rural Health 86 Ormond, Bridget CSW 123 Muddasani, Padmini DDS 53 Ormond, Bridget LCSW 123 Mueed, Sajjad MD 71 O'Rourke, Verna CNP 150 Mueller, Amy LPC 139 Osco Drug 205 Mueller, Kenneth OD 30 Osco Pharmacy 205, 214 Mullin, James MD 66 Ott, Timothy DO 3 Murphy, Michael MD 71 Ourth-Finlay, Joni APRN 124 Mushtaq, Adnan MD 27 Ouwenga, Michael MD 32, 42 Muthuramaswami, Sethurama DDS Ozyurt, Tulin DDS 53, 62, 69, 70 53 P N Pacheco, Roberto MD 67 Nandish, Shailesh MD 67 Palm Terrace of Mattoon 159 Naron, Kathryn APRN 141 Pamidaa RX 183 National Wound Care 89 Paris Clinic Pharmacy 192 Nellestein, Michael MD 31 Paris Health Care Center 95 Newlin, John MD 15 Park, An Na MD 59 Newman Rehab Health Carecenter Park, Joon DDS 70 162 Parker, Lynn CNP 150 Nichelson, Jennifer APRN 151 Pasley, Stephanie APRN 129, 145 Nieters, Abigail Apn 3 Pastorini Filho, Vitor Hugo MD Nieters, Abigail CNP 121 27, 28 Nissenbaum, Eliot DO 25, 41 Patel, Dhaval DDS 58 Noble, Richard MD 3 Patel, Harshil DMD 58 Nokomis Rehab & Health Care Patel, Jessica PHD 31 Center 110 Patel, Krishankumar MD 48 Nokomis Rehab Health Care Patel, Pratik DMD 70 Center 173 Patel, Pravinchandra MD 28 Noll, Cindy CNP 143 Patel, Prayag MD 18 Norell, Eric OD 59 Pathak, Himanshu MD 71 North Central Behavioral Health Pats Prevention and Treatment Systems 107 Servic 36 Novak, Holly MD 67 Pearman Pharmacy 192 Nsima-Obto, Eno MD 28 Pearman Pharmacy Inc 95 Peek, Keena PsyD 50 O Pelfrey Jones, Sandra OD 47 O Brien, Heather PsyD 35 Perry, Crystal MD 3, 64 Oakwood Apothecary 210 Perry, Nancy LCSW 126, 149 Obert, Alan LCSW 123 Peters, Randall MD 41 Obrien, Eric OD 30, 57 Petersburg Pharmacy 207 O'Connell, Naila APRN 139 Peterson, Jane CNP 121 Odd Fellow Rebekah Home Inc 92 Petty, Todd MD 27 Odumosu, Ochuele MD 3 Pfeiffer, Jeffrey MD 49 Odumosu, Oluwaseun MD 3 Pharmacy Plus Inc 194, 212 O'Halloran, Richard MD 32, 41 Pharmacy Plus, Inc 194, 217 Olson, Sharon CNP 122

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PROVIDER INDEX P - cont. Piatt County Mental Health Center 113 Piper City Rehab Living Center 96 Piper City Rehab Livingcenter 164 Pittman, Glen MD 73 Pittman, Mary ARNP 142 Pittsfield Dialysis 114 Pittsfield Manor 114, 177 Pladziewicz, Paul DDS 37 Pleasant Hill Rural Health Clinic 114 Pleasant Meadows Senior Living 95 Podaralla, Prashanth MD 29 Poirot, Chris MD 16 Polavarapu, Harsha MD 25, 64 Pollock, Ashley ARNP 149 Pollock, Ashley CNP 122 Popela Kalivoda, Victoria DO 41 Porter, Jaime LCSW 131, 148 Porter, Jennifer CNP 151 Portillo, Barbara OD 60 Potter Drug 207 Potter, Orie PA 144 Powers, Karen APRN 121 Poyser, Joseph LPC 123 Prairie City Rehab and Health Care 107, 171 Prairie Medical Pharmacy 188 Prairie Rose Health Care Center 90 Prairie Rose Health Carecenter 157 Preferred Family Healthcare Inc 31 Pritts, Jennifer DMD 26 Prow, Tracy LPC 123 Pttsfield Rural Health Clinic 114 Pypur Jayachandrudy, Vinay MD 28 Q Quadri, Fatima DDS 58, 70 Quarton, Brian MD 16 Quest Diagnostics 85 Quincy Physicians and Surgeons Clinic SC 84 Quintero, Louis MD 25 R Raad, Pierre MD Rafiq, Asad MD Rahman, Saadur DO Rahnamayi, Roya DDS

5 26 59 59

Raif, Ayca MD 22 Raif, Korhan MD 22, 65 Rains, Tiffaney LPC 124 Ramos, Dora MD 23 Rankin, Jessica APRN 121 Rankin, Jessica CNP 150 Raval, Jugalkishor MD 57 Ray, Danita PA 153 Razavi, Christie MD 52, 75 Real, Lance DO 3 Reed, Rebecca APRN 121 Reich, Abby MD 28, 30 Reiser-Loeber, Elizabeth DDS 53 Renes Drug Store 186 Respiracare 89 Reyburn, Adam MD 5 Reyburn, Stephanie MD 3 Reyes, Crisanto MD 43 Rich, Cindy APRN 154 Richards, Douglas DO 64 Richmond, Ronald OD 50 Riegel, Daniela DMD 38 Rife, Kelly APRN 121 Rife, Kelly CNP 121 Roberts Neukomm, Nancy LPC 128 Robings Manor Rehab Healthcare Center 170 Rocha-Singh, Krishna MD 67 Rose, John DDS 44 Rosen, Steven PA 125 Rotech 115 Roth, Diana CNP 150 Royeen, Abdul MD 7 Rubis, David DDS 53 Rubis, Joseph DDS 53 Ruiz, Dan MD 56 Rural Health Center of Roodhouse 12 Rushville Dialysis 117 Russo, Marina MD 68 Rutledge Joint Ventures LLC DBA Heritag 116 Rutledge Regency Operations LLC DBA Reg 116 Ruzich, Brandi PT 150 Ryan, Rebecca OD 62

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S Sabo, Jamie LPC 135 Safar, Elyas MD 29, 41, 65 Safe Haven Hospice LLC 102 Salem, Yasser MD 25 SAMS CLUB 180, 184, 205, 214 Sams, Jacob MD 39, 50 Samson, Kristina PA 149 Sanchez Zuniga, Salvador MD 31 Sanchez-Zuniga, Salvador MD 65 Sanders, Katharine LPC 124 Sanders, Katherine LPC 149 Sandhu, Gurdarshan MD 32 Sanfelippo, Lisa DDS 50 Sangha, Henna DDS 59 Sarah D Culbertson Memorial Hospital 83 Saunders, Katherine LCSW 123 Sav Mor Drug 208 Sav-Mor Drugs 202 Sav-Mor Pharmacy 189, 191, 200 Sayegh, Samir MD 35 Scanlon, Brittany DMD 53 Schafer, Kathy APRN 128, 141, 146 Scheirl, Dawn 71 Scherschel, John MD 67, 71 Schindler, Jill APRN 151 Schlepphorst, Richard MD 5 Schneider, Daniel MD 32 Schnucks Pharmacy 184, 205, 214 Schoolman, Dianne CNP 135 Schroeder, Janella APRN 134 Schroeder, Janella CNP 136 Schroeder, Jennifer MD 6 Schultz, Bruce MD 17 Schultz, Eric LCSW 123 Schulz, Malcolm MD 40 Schupbach, Adrienne MD 38, 46, 58 Schuyler County Mental Health Center 117 Schwartz, Irving MD 25, 64 Scott, John MD 5 Scotts Family Pharmacy 193 Seagren, Brittani APRN 134, 139 Seaman, Nathan DO 3 Seely, Sarah LPC 127 Semaan, Assaad MD 48

PROVIDER INDEX S - cont. Senior Care Pharmacy LLC 211 Senoff, Lauren LCSW 128 Senthe, Nileshwa MD 13 Seplak, Nina CNP 137 Sethi, Gulshan DO 32 Shafer, Kathy DMD 53 Shah, Khantil DMD 59 Shah, Sayed Haroon DMD 26 Shah, Sayed MD 28 Shaik, Ali Basha DMD 59 Shallow, Charlene APRN 151 Sharp, Jason MD 3 Sharpe, Rochell APRN 122 Shaughnessy, Meghan DO 4 Shaw, Gary MD 55 Shelby County Community Services Inc 75, 119 Shelbyville Manor 119, 179 Shields, Alfreda CNP 122 Shields, Donna ARNP 125 Shields, Nicole LPC 124 Shopko Pharmacy 180, 191, 209 Shule, Laree APRN 134 Sibai, Firas MD 44 Siddiqui, Mohammed MD 12 Siegfried, Bryan MD 16 Siegrist, Megan CNP 151 Siemens(Watson), Megan SLP 125 Sihf Bunker Hill Health Center 16 Sihf Charleston Medical Center 9 Sihf Cumberland County Health Care Center 10 Singh, Harbinder MD 35, 36 Sipahi, Mehmet MD 43 Sipes, Kayla APRN 126 Smart, Steven MD 56 Smith, Douglas DDS 26, 27 Smith, Ramyond MD 64 Smith, Raymond MD 27 Smith, Stefan OD 54 Smith, Tamara DO 57 Smith, Timothy DO 32 Snyder, Brian DO 4 Snyder, Kenton APRN 122 Sola, James MD 54 Son, Seokjae DMD 70 Soper, Nicole Apn 11, 21

Southern Illinois Healthcare Foundation 11 Sparks, Jeffrey DO 56 Sprague, Lisa ARNP 149 Springfield Central Dialysis 115 Springfield Montvale Dialysis 115 Springfield South Dialysis 115 Sreedharan, Manoj MD 64 St Claras Manor DBA St Claras Manor 102 St John, Jessica CNP 137 Stacys Family Pharmacy 199 Stambaugh, Layne Np 56 Stamper, Tonya CNP 150 Staten, Rosemary Np 12 Staunton Clinic LLC 105 Steffen, Patricia CNP 122 Steinberg, Abraham MD 32 Stembridge, Melissa APRN 120 Stern, Jennifer APRN 139, 140, 145 Stewart, Christie PA 125 Stewart, Keli APRN 132 Stoklas, Randy PsyD 50 Stone, Kaye Np 18 Stoops, Bruce DO 4 Strople, Jennifer MD 71 Sullivan Drug 208 Sullivan Drugs 202, 208 Sullivan Drugs Inc 202 Sullivan Rehab and Health Care Center 175 Sullivan Rehabilitaition & Healthcare 112 Sullivan, Donald MD 39, 50 Sullivans Drugs Inc 202, 208 Sullivant, Douglas MD 41 Sunny Acres Menard County DBA Sunny AC 109 Sunrise Skilled Nursing and Rehabilitati 105 Sunrise Skilled Nursingand Rehab 170 Swanson, Brock DPM 30, 41, 65 Sweet, Cynthia LCSW 128 Sycamore Healthcare 155 T Taha, Hala DDS

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Tallerico, Brian DO 41 Taneva, Emiliya DDS 54 Tanios, Roula MD 29 Taylor, Brittney CNP 150 Taylorville Care Center Inc 90 Taylorville Dialysis 90 Terstriep, Christina DMD 27 The Atrium Pharmacy 205 The Baby Fold 108 The Center For Youth and Family Solution 89, 102, 107, 108, 115 The Medicine Shoppe 187, 193, 197, 214 The Medicine Shoppe Jacksonville 209 The Medicine Shoppe of Farmer City 190 The Pavilion Foundation Hospital 89 The Pharmacie Shoppe 187 The Pharmacy 186 The Sullivan Pharmacy 210 Thoele, Jonathon OD 65 Thoele, Ryan OD 50 Thomas H Boyd Rural Health Clinic 12 Thompson, Mary CNM 144 Thota, Sandeep DDS 59 Tibbs-Hnizdo, Kylea DMD 62, 70 Todd, Heather APRN 122 Tolbert, Charone MD 5 Toledo Pharmacy 189 Tolentino, Gerard MD 23 Torre Hilotin, Temotea MD 5 Torres, Teresita MD 14 Torrez, Ginger CNP 150 Transitions of Western Illinois 84 Trask, Robert MD 68 Treatment Alternatives For Safe Communi 36, 72 Treatment Alternatives For Safe Communit 115 Trettenero, Hollie ARNP 142 Tuchek, James DO 36 Tullis, Debra LCSW 128 Tuscola Health Center 94, 162 Twaddle, Deanna OT 124 54 Twenhafel, Stacy OD 35

PROVIDER INDEX T - cont. Twin Lakes Rehab & Health Care Twin Lakes Rehab Health Care

95 163

U Urch, Scott MD 57 Urdininea Kirkwood, Carlos MD 55 V Vahle, Mary CNP 122 Valentine, Sue APRN 141 Vallee, Tasha APRN 126 Vander Ley, Alison APRN 124 Vanne, Beth LPC 145 Varghese, Reenu Np 14 Vaughan, Meleah APRN 151 Vemula, Roja DDS 59 Ventimiglia, Amanda ARNP 142 Vildaver, Eliot DMD 59 Villa Grove Pharmacy 191 Villa Health Care Inc DBA The Villas SE 116 Vogelpohl, Derek OD 30 Vogler, Shauna ARNP 151 Vogt, Richard CNP 122 Vonderhaar, Kelsey SLP 125 Voss, Daveda ARNP 133 Voss, Daveda CNP 122 W Wade, James MD 49 Wagner, Amanda SLP 125 Wagner, Krystal Np 18 Wagoner, Christopher MD 22 Wagoner, Richard MD 55 Waheed, Khalid MD 6 Walczak, Karen CNP 137 Walgreens 180, 184, 185, 186, 188, 190, 197, 198, 199, 200, 201, 204, 206, 208, 209, 211, 214, 215 Walker Nursing Home Inc 88 Walker, Jennifer CNP 122 Wallace, Deanna APRN 141 Wallace, Ernest MD 4 Walmart Pharmacy 180, 183, 185, 186, 187, 188, 190, 192, 196, 197, 198, 199, 201, 202, 204, 206, 208, 209, 212, 215, 218

Walsh, James OD 47, 50 Walton, Laurel DO 50 Wang, Xin DDS 54 Waselkow, David LPC 145 Wasielewski, Anthony ARNP 133 Watseka Rehab & Healthcare Center 99 Watseka Rehab Healthcare Center 166 Wear Drug 195 Weber, Bruce MD 16 Weber, Mary DDS 54 Webster, Metodia MD 45 Weems, Karen APRN 124 Wehner, Brianne DO 18 Welch, Lauren AUD 120 Wellcreek Pharmacy Charleston 188 Wells, Jeffrey DO 4 Welter, Carolyn LCSW 128 White Hall Nursing and Rehabilitation CT 97 White, Donna CRNA 122 White, Drake MD 57 White, Sherri CNP 150 Whittaker, Julia PT 124 Wilford, Jonathan DO 4 Willenbring, Michelle OD 60 Willett, Paul PHD 60 Williams, Gretchen DO 43 Williams, Timothy OD 57 Willow Rose Rehab & Health Care 100 Willow Rose Rehab Health Care Center 167 Wilson, Samantha PT 125 Winchester Family Practice 118 Winfield, James DDS 39 Winquist, Heather APRN 145 Winter, Sarah MD 50 Wisslead, Melissa Apn 13 Woerner, Philip MD 33, 34, 41, 65 Wolf, Daniel OD 54 Wolters Drug Store 203 Women and Family Medical Group 13 Wong, Irene DDS 48 Woodruff, Robert MD 68

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Wourms, Jamie APRN Wright, Jeremy APRN Wright, Scott MD X Xu, Yudong DDS Y Yasunaga, Hannah DDS Yeager, Brandon DMD Yetter, Tad MD Yocks, Brian MD Younis, Liwa MD Yunker, Kristen APRN Z Zafar, Mohammad MD Zaidi, Tabassum DDS Zayas Rodriguez, Luis MD Zerrusen, Kendra ARNP Zhang, Weili DO Zindel, Ellen APRN Zinn, Anne SLP Zuck, Vincent MD Zwick, Christian DO

139 134 57 35 48 54 55 11, 21 45 134, 139 59 54 29 131 18 141 125 68, 71 32

Discrimination is Against the Law Harmony Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Harmony Health Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Harmony Health Plan: • Provides free aids and services to people with disabilities to communicate effectively with us, such as: – Qualified sign language interpreters – Written information in other formats (large print, audio, Braille, accessible electronic formats, other formats) • Provides free language services to people whose primary language is not English, such as: – Qualified interpreters – Information written in other languages If you need these services, contact Harmony Member Services at 1-800-608-8158 (TTY: 1-877-650-0952), Monday – Friday from 8 a.m. to 5 p.m., for help or you can ask Member Services to put you in touch with a Civil Rights Coordinator who works for Harmony Health Plan. If you believe that Harmony Health Plan has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Harmony Health Plan, Grievance Department, P.O. Box 31384, Tampa, FL 33631-3384; Telephone 1-866-530-9491; TTY number 1-877-247-6272; Fax: 1-866-388-1769; OperationalGrievance@wellcare. com. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, a Harmony Civil Rights Coordinator is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019, 800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-608-8158 (TTY: 1-877-650-0952). IL036085_CAD_INS_ENG ©WellCare 2016 IL_11_16

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ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-800-608-8158 (TTY: 1-877-650-0952).

IL6CADLAN79705E_1116

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-800-608-8158 (TTY: 1-877-650-0952).

ATTENTION: Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-800-608-8158 (TTY: 1-877-650-0952).

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-800-608-8158 (TTY: 1-877-650-0952).

1-800-608-8158 (TTY/TDD 1-877-650-0952) www.harmonyhpi.com