2018 ILLINOIS - Wellcare

2018

ILLINOIS PROVIDER DIRECTORY

Boone, Bureau, Carroll, Dekalb, Fulton, Henderson, Henry, Jo Daviess,Knox, La Salle, Lee, Marshall, Mercer, Ogle, Peoria, Putnam, Rock

Island, Stark, Stephenson, Tazewell, Warren, Whiteside, Winnebago,Woodford

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©WellCare 2018

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Table of ContentsProvider Directory

Introduction IHow to Read Our Provider Listings IIIcon Guide II

List of Plan ProvidersPrimary Care Physicians

Boone 1Bureau 4Carroll 5Clinton 6Fulton 8Henderson 9Henry 10Jo Daviess 11Knox 12LA Salle 13Lee 16Marshall 18Ogle 19Peoria 21Putnam 36Rock 37Stark 42Tazewell 43Walworth 44Whiteside 45Winnebago 49

Specialty PhysiciansBoone 63Bureau 65Clinton 66Dekalb 69Fulton 72Henderson 74Henry 75Jo Daviess 76Knox 77LA Salle 79Lee 82Mercer 87

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List of Plan ProvidersSpecialty Physicians

Muscatine 88Ogle 89Peoria 90Rock 107Rock Island 121Scott 124Stark 125Stephenson 126Tazewell 127Walworth 131Warren 134Whiteside 135Winnebago 141Woodford 174

HospitalsBureau 175Fulton 176Jo Daviess 177LA Salle 178Lee 179Ogle 180Rock 181Walworth 182Whiteside 183Winnebago 184

Ancillary ProvidersAll 185Boone 186Bureau 187Carroll 188Clinton 189Fulton 190Henderson 191Henry 192Jo Daviess 193Knox 194LA Salle 195Lee 196

List of Plan ProvidersAncillary Providers

Ogle 197Peoria 198Rock 200Rock Island 201Scott 202Stephenson 203Tazewell 204Warren 205Whiteside 206Winnebago 207Woodford 209

Allied ProvidersBoone 210Bureau 213Carroll 214Clinton 215Fulton 216Henderson 217Henry 218Jo Daviess 219Knox 220LA Salle 221Lee 223Ogle 225Peoria 226Rock 231Rock Island 238Tazewell 239Walworth 241Warren 243Whiteside 244Winnebago 247Woodford 265

Long Term Services And SupportsBureau 267Fulton 268Henry 269Jo Daviess 270

List of Plan ProvidersLong Term Services And Supports

Knox 271LA Salle 272Lee 273Mercer 274Ogle 275Peoria 276Rock Island 277Stephenson 278Tazewell 279Warren 280Whiteside 281Winnebago 282Woodford 283

PharmacyBoone 284Bureau 285Carroll 286Clinton 287Dekalb 288Fulton 289Henry 290Jo Daviess 291Knox 292LA Salle 293Lee 295Marshall 296Mercer 297Muscatine 298Ogle 299Peoria 300Putnam 303Rock 304Rock Island 305Scott 307Stephenson 308Tazewell 309Walworth 311Warren 312Whiteside 313

List of Plan ProvidersPharmacy

Winnebago 314Woodford 317

IndexesAlternate Languages Index 318Specialty Index 322Extended Hours Index 328Provider Index 337

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 [email protected] or by calling our toll-free number 1-800-608-8158. TTY/TDD users can call 711 .

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 users can call 711 . You can reach us Monday-Friday, 8 a.m. to 5 p.m.

We wish you good health.

www.harmonyhpi.com | I

mailto:[email protected]

www.harmonyhpi.com

www.harmonyhpi.com

How to Read Our Provider Listings

Smith, Joe, MD Provider ID: 111111

Your Family Medical Center

Male

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

00 Yrs/99 Yrs

Sunshine Hospital

Language: Spanish

9:00 am-5:00 pm

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

Provider name

Practice name

Provider gender

Language spoken by provider or staff

Hours of operation

Takes part in the PCMH* Model

Provider address and phone number {

Indicates provider has wheelchair access

Indicates provider is board certified

Indicates provider is not accepting new patients

Hospital the provider is associated with

Ages of patients seen by provider

Indicates provider is board certified

Indicates provider has wheelchair access

Indicates provider is not accepting new patients

Icon Guide

www.harmonyhpi.com | II

*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 | III

Este es su directorio de proveedores de Harmony Health Plan. Aquí se listan todos los proveedores en nuestrared. 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. HarmonyHealth Plan no es responsable de esas decisiones. Es posible que algunos proveedores no proporcionen ciertosservicios debido a sus creencias religiosas o morales.

Hemos listado a todos los proveedores por condado. Luego los hemos agrupado por el tipo de cuidado oservicios 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. Visitewww.harmonyhpi.com . Luego haga clic en el icono “Find a Provider” (Buscar un proveedor). Usted podrábuscar proveedores exactamente en su área. Este es el mejor lugar para obtener nuestra información dedirectorio más actual.

Puede reportar una lista de proveedores inexactos enviándonos un correo elcetrónico [email protected] o llamando a nuestro número gratuito 1-800-608-8158. Los usuarios deTTY/TDD pueden llamar al 711 .

Si tiene alguna pregunta sobre este directorio, llámenos. Podemos ayudarle a encontrar un proveedor. Inclusopodemos ayudarle a programar una cita. Nuestro número sin cargo es1-800-608-8158. Los usuarios de TTYpueden llamar al 711 . Puede comunicarse con nosotros de lunes a viernes de 8 a.m. a 5 p.m.

Le deseamos una buena salud.

www.harmonyhpi.com

mailto:[email protected]

Cómo leer nuestros listados de proveedores

Sexo del proveedor

Idioma hablado por el proveedor o personal

Horario de atención

Participa en el modelo PCMH*

Dirección y número de teléfono del proveedor

Indica que el proveedor tiene acceso para silla de ruedas

Indica que el proveedor no está aceptando a nuevos pacientes

Hospital con el que está asociado el proveedor

Edades de pacientes vistos por el proveedor

Nombre del proveedor

Nombre de la práctica

{

Smith, Joe, MD Provider ID: 111111

Your Family Medical Center

Male

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

00 Yrs/99 Yrs

Sunshine Hospital

Language: Spanish

9:00 am-5:00 pm

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

Indica que el proveedor es certificado por la junta médica

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 InglésAcupuntura Acupuncture

Psiquiatría de adicciones

Addiction Psychiatry

Medicina para adolescentes

Adolescent Medicine

Servicios de acompañante para adultos

Adult Companion Services

Cuidado diurno para adultos

Adult Day Care

Hogar de cuidado sustituto para adultos

Adult Foster Care Home

Cuidado médico diurno para adultos

Adult Medical Day Care

Cuidado residencial para adultos

Adult Residential Care Home

Administración de casos enfocados en adultos

Adult Targeted Case Management

Centro para tratar el SIDA

AIDS Center

Alergias e inmunología Allergy & Immunology

Centro de cirugía ambulatoria

Ambulatory Surgery Center

Servicios de vida asistida

Assisted Living Services

Audiología Audiology

Asesoramiento en salud del comportamiento

Behavioral Health Counseling

Centro de salud del comportameinto

Behavioral Health Facility

Centro de maternidad Birthing Center

Laboratorio de cateterismo cardíaco

Cardiac Cath Laboratory

Español InglésElectrofisiología cardíaca

Cardiac Electrophysiology

Monitoreo cardíaco Cardiac Monitoring

Cardiología Cardiology

Cirugía cardiovascular Cardiovascular Surgery

Cirugía cardiovascular Cardiovascular Surgery

Servicios de administración de casos

Case Management Services

Pediatría de abuso infantil

Child Abuse Pediatrics

Centro de desarrollo para niños

Child Development Center

Administración de casos enfocados en niños

Children Targeted Case Management

Niños con necesidades especiales de cuidado de la salud

Children With Special Health Care Needs

Quiropráctica Chiropractic

Servicios de tareas domésticas y limpieza del hogar

Chore/Housekeeping Services

Clínica Clinic

Neurofisiología clínica

Clinical Neurophysiology

Cirugía de colon y recto

Colon & Rectal Surgery

Centro de salud comunitario

Community Health Center

Centro de salud mental comunitario

Community Mental Health Center

Junta de servicios a la comunidad

Community Service Board

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Español InglésCirugía cardíaca congénita

Congenital Cardiac Surgery

Servicios de suministros médicos descartables

Consumable Medical Supply Services

Clínica de cuidado conveniente

Convenient Care Clinic

Hospital de acceso crítico

Critical Access Hospital

Odontología Dentistry

Dermatología Dermatology

Dermatopatología Dermatopathology

Centro designado para el sida

Designated Aids Center

Educación sobre la diabetes

Diabetes Education

Centro de diagnósticoy tratamiento

Diagnostic And Treatment Center

Centro de diagnóstico Diagnostic Center

Diagnóstico por imágenes

Diagnostic Imaging

Diálisis Dialysis

Equipo médico duradero

Durable Medical Equipment

Otorrinolaringología Ear, Nose & Throat

Endocrinología, diabetes, metabolismo

Endocrinology, Diabetes, Metabolism

Endodoncia EndodonticsServicios de adaptaciones de accesibilidad al entorno

Environmental Accessibility Adaptation Services

Servicios especiales de EPSDT

EPSDT Special Services

Servicios de acompañante

Escort Services

Español InglésPlanificación familiar Family Planning

Medicina familiar Family Practice

Servicios de capacitación familiar

Family Training Services

Centro de salud con calificación federal

Federally Qualified Health Center

Servicios de evaluación/reducción de riesgos financieros

Financial Risk Assessment/Risk Reduction Services

Centro de aptitud física

Fitness Center

Gastroenterología Gastroenterology

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

Gynecological Oncology

Ginecología Gynecology

Cirugía de la mano Hand Surgery

Oncología de cabezay cuello

Head & Neck Oncology

Cirugía de cabeza y cuello

Head & Neck Surgery

Control de la seguridad de la salud

Health Safety Monitoring

Proveedor de audífonos

Hearing Aid Supplier

Terapia y especialistaen audífonos

Hearing Aid Therapy & Specialist

Hematología Hematology

www.harmonyhpi.com | VI

Español InglésHematología y oncología

Hematology & Oncology

VIH/SIDA HIV/AIDS

Comidas entregadas a domicilio

Home-Delivered Meals

Cuidado de la salud en el hogar

Home Health Care

Hospicio Hospice

Cuidado de hospicio y paliativo

Hospice & Palliative Care

Hospital Hospital

Servicios de limpieza del hogar y tareas domésticas

Housekeeping/Chore Services

Medicina hiperbárica Hyperbaric Medicine

Enfermedades infecciosas

Infectious Disease

Terapia de infusión Infusion Therapy

Medicina interna Internal Medicine

Pruebas de laboratorio de patología

Laboratory Pathology Testing

Agencia licenciada de servicios de cuidado en el hogar

Licensed Home Care Service Agency

Litotripsia Lithotripsy

Imágenes por resonancia magnética

Magnetic Resonance Imaging

Mamografía Mammography

Masoterapia Massage Therapy

Medicina maternofetal

Maternal Fetal Medicine

Genética médica Medical Genetics

Oncología médica Medical Oncology

Administración de medicamentos

Medication Administration

Español InglésDiagnóstico con equipos portátiles

Mobile Diagnostic

MRI, equipos abiertos MRI Open

Medicina perinatal neonatal

Neonatal Perinatal Medicine

Nefrología Nephrology

Neurooncología Neuro Oncology

Discapacidades del desarrollo neurológico

Neurodevelopmental Disabilities

Neurodiagnóstico Neurodiagnostic

Neurología Neurology

Neurología/otología Neurology/Otology

Medicina neuromuscular

Neuromuscular Medicine

Neurooncología Neuro-Oncology

Neuropsicología Neuropsychology

Neurorradiología Neuroradiology

Neurocirugía Neurosurgery

Servicios de transporte sin carácter de emergencia

Non-Emergency Transportation

Cardiología nuclear Nuclear Cardiology

Medicina nuclear Nuclear Medicine

Radiología nuclear Nuclear Radiology

Enfermeras parteras Nurse Midwife

Nutrición NutritionObstetricia ObstetricsObstetricia/Ginecología

Obstetrics/Gynecology

Medicina ocupacional Occupational Medicine

Terapia ocupacional Occupational Therapy

Oftalmología Ophthalmology

www.harmonyhpi.com | VII

Español InglésÓptico OpticianOptometría OptometryCirugía oral y maxilofacial

Oral & Maxillofacial Surgery

Ortodoncia OrthodonticsCirugía ortopédica Orthopaedic SurgeryOrtésica OrthoticsOrtopedia y prostética

Orthotics & Prosthetics

Establecimiento quirúrgico para pacientes ambulatorios

Outpatient Surgical Facility

Tratamiento del dolor

Pain Management

Apoyo para el tratamiento del el dolor

Pain Management Support

Alergias e inmunología pediátricas

Pediatric Allergy & Immunology

Medicina pediátrica del comportamiento

Pediatric Behavioral Medicine

Monitoreo cardíaco pediátrico

Pediatric Cardiac Monitoring

Cardiología pediátrica Pediatric CardiologyCirugía cardiovascular pediátrica

Pediatric Cardiovascular Surgery

Dermatología pediátrica

Pediatric Dermatology

Otorrinolaringología pediáatrica

Pediatric Ear, Nose & Throat

Endocrinología pediátrica

Pediatric Endocrinology

Gastroenterología pediátrica

Pediatric Gastroenterology

Genética pediátrica Pediatric Genetics

Español InglésHematología/oncología pediátricas

Pediatric Hematology/Oncology

Enfermedades infecciosas pediátricas

Pediatric Infectious Disease

Nefrología pediátrica Pediatric Nephrology

Neurología pediátrica Pediatric Neurology

Neurocirugía pediátrica

Pediatric Neurosurgery

Oncología pediátrica Pediatric Oncology

Oftalmología pediátrica

Pediatric Ophthalmology

Ortopedia pediátrica Pediatric Orthopaedics

Cirugía ortopédica pediátrica

Pediatric Orthopedic Surgery

Psiquiatría pediátrica Pediatric Psychiatry

Neumonología pediátrica

Pediatric Pulmonology

Medicina de rehabilitación pediátrica

Pediatric Rehabilitation Medicine

Reumatología pediátrica

Pediatric Rheumatology

Medicina deportiva pediátrica

Pediatric Sports Medicine

Cirugía pediátrica Pediatric Surgery

Hepatología pediátrica y trasplante

Pediatric Transplant Hepatology

Urología pediátrica Pediatric Urology

Pediatría Pediatrics

Comportamiento y desarollo pediátrico

Pediatrics Behavioral & Developmental

Pedodoncia Pedodontics

Periodoncia Periodontics

www.harmonyhpi.com | VIII

Servicios de cuidado personal

Personal Care 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

Pulmonary Disease

Oncología radioterápica

Radiation Oncology

Radioterapia Radiation Therapy

Centro de radioterapia

Radiation Therapy Center

Radiología intervencional y vascular

Radiology - Interventional & Vascular

Español InglésCentro de rehabilitación

Rehabilitation Facility

Medicina de rehabilitación

Rehabilitation Medicine

Terapia de rehabilitación

Rehabilitation Therapy

Endocrinología reproductiva

Reproductive Endocrinology

Terapia respiratoria Respiratory Therapy

Servicios de cuidado de relevo

Respite Care Services

Reumatología Rheumatology

Centro de salud rural Rural Health Center

Cuidado autodirigido Self-Directed Care

Centro de enfermería especializada

Skilled Nursing Facility

Estudios de diagnóstico del sueño

Sleep Diagnostic Studies

Medicina del sueño Sleep Medicine

Cuidado diurno social

Social Day Care

Terapia del habla Speech Therapy

Medicina para lesiones de médula espinal

Spinal Cord Injury Medicine

Medicina deportiva Sports Medicine

Cuidado subagudo Sub-Acute Care

Abuso de sustancias Substance Abuse

Oncología quirúrgica Surgical Oncology

Monitoreo telecardíaco

Tele-Cardiac Monitoring

Cirugía torácica y cardiovascular

Thoracic & Cardiovascular Surgery

Cirugía torácica Thoracic Surgery

Español Inglés

www.harmonyhpi.com | IX

Tórax/sistema vascular

Thoracic/Vascular

Hepatología de trasplante

Transplant Hepatology

Centro de cuidado urgente

Urgent Care Center

Urología Urology

Oncología urológica Urology Oncology

Urología/ginecología Urology/Gynecology

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.

Español Inglés Español Inglés

www.harmonyhpi.com | X

List of Plan Providers

Primary Care PhysiciansBoone

Updated: 11/09/2018

www.harmonyhpi.com | 1

Family Practice

Cunningham, Anne Apn

Provider ID: 1543205Gender: FemaleSA Belvidere Clinic1700 Henry Luckow LnBelvidere, IL 61008(779) 696-8650Fax: (815) 544-469100 Yrs/130 YrsSwedish American HospitalMF 8:00 AM - 5:00 PMTWTH 8:00 AM - 7:00 PMSat 8:30 AM - 12:00 PMPCMH: NoMaximus ID: 01353605

Durani, Hina MDProvider ID: 1560411Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Giamalva, Andrea MDProvider ID: 1543275Gender: FemaleSA Belvidere Clinic1700 Henry Luckow LnBelvidere, IL 61008(779) 696-8650Fax: (815) 544-469100 Yrs/130 YrsSwedish American HospitalMF 8:00 AM - 5:00 PMTWTH 8:00 AM - 7:00 PMSat 8:30 AM - 12:00 PMPCMH: NoMaximus ID: 01353715

Gorham, Stephanie MD

Provider ID: 1543282Gender: FemaleSA Belvidere Clinic1700 Henry Luckow LnBelvidere, IL 61008(779) 696-8650Fax: (815) 544-469100 Yrs/130 YrsSwedish American HospitalMF 8:00 AM - 5:00 PMTWTH 8:00 AM - 7:00 PMSat 8:30 AM - 12:00 PMPCMH: NoMaximus ID: 01353712

Kaur, Maninder MDProvider ID: 1561419Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Kellenberger, Neal MDProvider ID: 1543404Gender: MaleSA Belvidere Clinic1700 Henry Luckow LnBelvidere, IL 61008(779) 696-8650Fax: (815) 544-469100 Yrs/130 YrsSwedish American HospitalMF 8:00 AM - 5:00 PMTWTH 8:00 AM - 7:00 PMSat 8:30 AM - 12:00 PMPCMH: NoMaximus ID: 01359635

Koneru, Sravantika MDProvider ID: 1561467Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Labak, Sandra DOProvider ID: 1546127Gender: FemaleRockford Health Physicians1747 Henry Luckow LnBelvidere, IL 61008(815) 544-0100Fax: (815) 971-989500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 01359676

Lopez, Cassandra MDProvider ID: 1543467Gender: FemaleSA Belvidere Clinic1700 Henry Luckow LnBelvidere, IL 61008(779) 696-8650Fax: (815) 544-469100 Yrs/130 YrsSwedish American HospitalMF 8:00 AM - 5:00 PMTWTH 8:00 AM - 7:00 PMSat 8:30 AM - 12:00 PMPCMH: NoMaximus ID: 01359691

Miller, Kimberly MDProvider ID: 1499981Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: Yes, Level 3

Okeson, Edwin MDProvider ID: 1499996Gender: MaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: SwedishM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 01389912

Oloriegbe, Fatimah MD

Provider ID: 1560098Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-160000 Yrs/130 YrsLanguages: YorubaM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 01381820

Phoenix, James MDProvider ID: 1546123Gender: MaleRockford Health Physicians1747 Henry Luckow LnBelvidere, IL 61008(815) 544-0100Fax: (815) 971-989500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 01359778


Updated: 11/09/2018


Family Practice - cont.

Ritter, Amanda ApnProvider ID: 1543598Gender: FemaleSA Belvidere Clinic1700 Henry Luckow LnBelvidere, IL 61008(779) 696-8650Fax: (815) 544-469100 Yrs/130 YrsSwedish American HospitalMF 8:00 AM - 5:00 PMTWTH 8:00 AM - 7:00 PMSat 8:30 AM - 12:00 PMPCMH: NoMaximus ID: 01359820

Schaefer, Jennifer ApnProvider ID: 1560276Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 01381964

Schultz, Diana ApnProvider ID: 1543663Gender: FemaleSA Belvidere Clinic1700 Henry Luckow LnBelvidere, IL 61008(779) 696-8650Fax: (815) 544-469100 Yrs/130 YrsSwedish American HospitalMF 8:00 AM - 5:00 PMTWTH 8:00 AM - 7:00 PMSat 8:30 AM - 12:00 PMPCMH: NoMaximus ID: 01359833

Simmons, Mary MDProvider ID: 1543689Gender: FemaleSA Belvidere Clinic1700 Henry Luckow LnBelvidere, IL 61008(779) 696-8650Fax: (815) 544-469100 Yrs/130 YrsSwedish American HospitalMF 8:00 AM - 5:00 PMTWTH 8:00 AM - 7:00 PMSat 8:30 AM - 12:00 PMPCMH: NoMaximus ID: 01353864

Ulmer, Meredith DOProvider ID: 1546145Gender: FemaleRockford Health Physicians1747 Henry Luckow LnBelvidere, IL 61008(815) 544-0100Fax: (815) 971-989500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 01359933

Zavala, Molly MDProvider ID: 1560696Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 01382355

Federally QualifiedHealth Center

Crusader Clinic BelvidereProvider ID: 1500067Crusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-160000 Yrs/130 YrsMTHF 8:00 AM - 5:00 PMTW 8:00 AM - 8:00 PMPCMH: Yes, Level 3Maximus ID: 01389934

Internal Medicine

Sanz, Jaime MDProvider ID: 1543649Gender: MaleSA Belvidere Clinic1700 Henry Luckow LnBelvidere, IL 61008(779) 696-8650Fax: (815) 544-469112 Yrs/130 YrsSwedish American HospitalMF 8:00 AM - 5:00 PMTWTH 8:00 AM - 7:00 PMSat 8:30 AM - 12:00 PMPCMH: NoMaximus ID: 01359846

Syed, Javeria MDProvider ID: 1560528Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 01382289


Arynova, Bakytbubu MDProvider ID: 1499938Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Pediatrics

Anaene, Mutimbwa MDProvider ID: 1559992Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 01381458

Castillo Clavijo, Maria MD

Provider ID: 1560122Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 01381652


Updated: 11/09/2018


Pediatrics - cont.

Malabanan, Raquel MD

Provider ID: 1559970Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 01381733

Sharp, Heather ApnProvider ID: 1560292Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-160000 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 01382154

Zibert, Sara MDProvider ID: 1560705Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 01382351

Primary Care PhysiciansBureau

Updated: 11/09/2018


Family Practice

Armstrong, Melissa Apn

Provider ID: 1538056Gender: FemaleCgh Home Nursing131 Jackson StWalnut, IL 61376(815) 379-2161Fax: (815) 379-241600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 01547306

Eggers, Karen NpProvider ID: 1560420Gender: FemaleSt Marg Family Health Center1916 N Main StPrinceton, IL 61356(815) 663-2811Fax: (815) 664-599000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Khan, Fazal MDProvider ID: 1509412Gender: MaleSt Marg Family Health Center415 E Second StSpring Valley, IL 61362(815) 664-2367Fax: (815) 663-598000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 01553589

Lewis, Britnae NpProvider ID: 1567852Gender: FemaleIvch Medical Group WomensHealth Ca530 Park Ave E Ste 403Princeton, IL 61356(815) 223-2944Fax: (815) 223-409500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 01587597

Shepherd, Benjamin MD

Provider ID: 1509456Gender: MaleSMH Center For Family Health1916 N Main StPrinceton, IL 61356(815) 663-2165Fax: (815) 664-050900 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 01553582

Swink, Travis DOProvider ID: 1610398Gender: MaleSt Margarets Health1916 N Main StPrinceton, IL 61356(815) 664-0605Fax: (815) 879-061000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 01565848

Internal Medicine

Lukancic, Louis MDProvider ID: 1509418Gender: MaleSt Marg Family Health Center415 E Second StSpring Valley, IL 61362(815) 664-1595Fax: (815) 664-598000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 01553588

Morrow, Michael MDProvider ID: 1509427Gender: MaleSt Marg Family Health Center415 E Second StSpring Valley, IL 61362(815) 664-2366Fax: (815) 663-001400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 01553587

Morrow, Robert MDProvider ID: 1509429Gender: MaleSt Marg Family Health Center415 E Second StSpring Valley, IL 61362(815) 664-2365Fax: (815) 663-219100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 01553586

Tun, Thaw MDProvider ID: 1509470Gender: MaleSt Marg Spring Valley Clinic1302 N Greenwood StSpring Valley, IL 61362(815) 664-4308Fax: (815) 663-193800 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 01553585


Rosanwo, Gabriel MDProvider ID: 1609713Gender: MaleIvch Medical Group WomensHealth Ca530 Park Ave E Ste 403Princeton, IL 61356(815) 223-294400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 01565849

Pediatrics

Lukancic, Louis MDProvider ID: 1509418Gender: MaleSt Marg Family Health Center415 E Second StSpring Valley, IL 61362(815) 664-1595Fax: (815) 664-598000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 01553588

Morrow, Robert MDProvider ID: 1509429Gender: MaleSt Marg Family Health Center415 E Second StSpring Valley, IL 61362(815) 664-2365Fax: (815) 663-219100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 01553586

Primary Care PhysiciansCarroll

Updated: 11/09/2018


Family Practice

Coffey, Lynne ApnProvider ID: 1538099Gender: FemaleCgh Home Nursing601 E Old Mill StMilledgeville, IL 61051(815) 225-5040Fax: (815) 225-503800 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 01747363

Primary Care PhysiciansClinton

Updated: 11/09/2018


Family Practice

Dixon, John MDProvider ID: 1533630Gender: MaleMedical Associates of ClintonIA Pl915 13th Ave NClinton, IA 52732(563) 243-2511Fax: (563) 243-241900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 91992111

Flory, Donald MDProvider ID: 1533633Gender: MaleMedical Associates of ClintonIA Pl915 13th Ave NClinton, IA 52732(563) 243-2511Fax: (563) 519-031300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 91992112

Harrison, Stephen MD

Provider ID: 1533638Gender: MaleMedical Associates of ClintonIA Pl915 13th Ave NClinton, IA 52732(563) 243-2511Fax: (563) 243-947100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 91992138

Hoff, Stephanie MD

Provider ID: 1533640Gender: FemaleMedical Associates of ClintonIA Pl915 13th Ave NClinton, IA 52732(563) 243-2511Fax: (563) 243-241900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 91992142

Johnson, Jill DOProvider ID: 1533642Gender: FemaleMedical Associates of ClintonIA Pl915 13th Ave NClinton, IA 52732(563) 243-2511Fax: (563) 243-363500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 91992146

Kibler, Amy DOProvider ID: 1533645Gender: FemaleMedical Associates of ClintonIA Pl915 13th Ave NClinton, IA 52732(563) 243-2511Fax: (563) 243-241900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 91992148

Laureijs, Peter MDProvider ID: 1533648Gender: MaleDewitt Family Health Clinic1021 11th StDewitt, IA 52742(563) 659-9294Fax: (563) 659-810400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Marilim, Mel MDProvider ID: 1533653Gender: MaleMedical Associates of ClintonIA Pl915 13th Ave NClinton, IA 52732(563) 243-2511Fax: (563) 519-031300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 91992162

Monahan, Joseph DO

Provider ID: 1533654Gender: MaleMedical Associates of ClintonIA Pl915 13th Ave NClinton, IA 52732(563) 243-251100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 91992172

Monahan, Joseph DO

Provider ID: 1533655Gender: MaleMedical Associates UrgentCare2400 Lillian WyClinton, IA 52732(563) 243-120000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 91992173

Oshea, John MDProvider ID: 1533660Gender: MaleMedical Associates of ClintonIA Pl915 13th Ave NClinton, IA 52732(563) 243-2511Fax: (563) 243-241900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 91992175

Internal Medicine

Barakat, Suheil MD


Pla Jr, Ramon MDProvider ID: 1533663Gender: MaleMedical Associates of ClintonIA Pl915 13th Ave NClinton, IA 52732(563) 243-2511Fax: (563) 243-729000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 91992197

Pediatrics

Aggarwal, Neeru MD

Provider ID: 1533619Gender: FemaleMedical Associates of ClintonIA Pl915 13th Ave NClinton, IA 52732(563) 243-2511Fax: (563) 243-081700 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 91992077

Primary Care PhysiciansClinton

Updated: 11/09/2018


Pediatrics - cont.

Corpuz, Virgilio MD


Gucilatar, Max MDProvider ID: 1533636Gender: MaleMedical Associates of ClintonIA Pl915 13th Ave NClinton, IA 52732(563) 243-2511Fax: (563) 243-081700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 91992119

Spellman, Luke DO


Primary Care PhysiciansFulton

Updated: 11/09/2018


Family Practice

Bowers, Joshua MDProvider ID: 1548185Gender: MaleGraham Medical Group180 S Main StCanton, IL 61520(309) 647-0201Fax: (309) 647-063600 Yrs/130 YrsM-F 8:00 AM - 6:00 PMPCMH: NoMaximus ID: 03772283

Chaffin, Cindy NpProvider ID: 1543879Gender: FemaleSarah D Culbertson MemorialHospita135 W BroadwayAstoria, IL 61501(309) 329-2926Fax: (309) 329-265600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 03753599

Rakita, Jason MDProvider ID: 1543900Gender: MaleSarah D Culbertson MemorialHospita135 W BroadwayAstoria, IL 61501(309) 329-2926Fax: (309) 329-265600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 03753812

Savegnago, Allen MDProvider ID: 1548192Gender: MaleGraham Medical Group180 S Main StCanton, IL 61520(309) 647-0201Fax: (309) 647-063600 Yrs/130 YrsM-F 8:00 AM - 6:00 PMPCMH: NoMaximus ID: 03772793

Rural Health Center

Community Medical Clinic

Provider ID: 1543880Sarah D Culbertson MemorialHospita135 W BroadwayAstoria, IL 61501(217) 322-4321Fax: (217) 322-645900 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 03753608

Community Medical Clinic ofTable Grove

Provider ID: 1543882Sarah D Culbertson MemorialHospita130 N Broadway StTable Grove, IL 61482(309) 758-5070Fax: (309) 758-500700 Yrs/130 YrsM-W 7:30 AM - 5:00 PMPCMH: NoMaximus ID: 03753607

Graham Medical Group

Provider ID: 1548194Graham Medical GroupCanton180 S Main StCanton, IL 61520(309) 647-0201Fax: (309) 647-861300 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 03793244

Medical GroupProvider ID: 1580572Graham Medical Group114 S 4th StCuba, IL 61427(309) 647-020100 Yrs/130 YrsM-F 7:30 AM - 5:30 PMPCMH: No

Primary Care PhysiciansHenderson

Updated: 11/09/2018


Family Practice

Abouassaly, Michael MD

Provider ID: 1585721Gender: MaleGreat River Medical Center1204 Hwy 164 EOquawka, IL 61469(309) 867-220200 Yrs/130 YrsM-TH 6:30 AM - 5:00 PMF 11:00 AM - 7:00 PMPCMH: NoMaximus ID: 04464342

Abouassaly, Michael MD

Provider ID: 1585723Gender: MaleEagle View CommunityHealth System101 S Division StStronghurst, IL 61480(309) 867-220200 Yrs/130 YrsM-TH 6:30 AM - 5:00 PMPCMH: NoMaximus ID: 04464343

Hartman, Michelle NpProvider ID: 1536142Gender: FemaleEagle View CommunityHealth System1204 Hwy 164 EOquawka, IL 61469(309) 867-2202Fax: (309) 867-320500 Yrs/130 YrsM-F 6:30 AM - 5:00 PMPCMH: NoMaximus ID: 04447601

Hartman, Michelle NpProvider ID: 1561331Gender: FemaleEagle View CommunityHealth System101 S Division StStronghurst, IL 61480(309) 867-2735Fax: (309) 867-278900 Yrs/130 YrsM-F 6:30 AM - 5:00 PMPCMH: No

Welty, Laurel NpProvider ID: 1536143Gender: FemaleEagle View CommunityHealth System1204 Hwy 164 EOquawka, IL 61469(309) 867-2202Fax: (309) 867-278900 Yrs/130 YrsM-F 6:30 AM - 5:00 PMPCMH: NoMaximus ID: 04448096

Welty, Laurel NpProvider ID: 1560629Gender: FemaleEagle View CommunityHealth System101 S Division StStronghurst, IL 61480(309) 924-1381Fax: (309) 924-138900 Yrs/130 YrsM-F 6:30 AM - 5:00 PMPCMH: NoMaximus ID: 04482347


Eagle View Community HealthSystem

Provider ID: 1496915Eagle View CommunityHealth Center101 S Division StStronghurst, IL 61480(309) 924-242400 Yrs/130 YrsM-TH 6:30 AM - 5:00 PMF 7:00 AM - 4:00 PMPCMH: NoMaximus ID: 04492804

Internal Medicine

Reed, Jennifer MDProvider ID: 1536141Gender: FemaleEagle View CommunityHealth System1204 Hwy 164 EOquawka, IL 61469(309) 867-2202Fax: (309) 867-278900 Yrs/130 YrsM-F 6:30 AM - 5:00 PMPCMH: NoMaximus ID: 04447973

Reed, Jennifer MDProvider ID: 1560233Gender: FemaleEagle View CommunityHealth System101 S Division StStronghurst, IL 61480(308) 924-2424Fax: (309) 924-138900 Yrs/130 YrsM-F 6:30 AM - 5:00 PMPCMH: NoMaximus ID: 04481906

Primary Care PhysiciansHenry

Updated: 11/09/2018


Family Practice

Ahearn, Michael MDProvider ID: 1524777Gender: MaleAhern and Associates MedicalCenter519 Elliott St Ste 1Kewanee, IL 61443(309) 853-2442Fax: (309) 853-243500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Primary Care PhysiciansJo Daviess

Updated: 11/09/2018


Family Practice

Bernard, Gary MDProvider ID: 1556694Gender: MaleMidwest Medical Center1 Medical Center DrGalena, IL 61036(815) 777-1340Fax: (815) 777-256000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Crist, Gene MDProvider ID: 1556696Gender: MaleMidwest Medical Center1 Medical Center DrGalena, IL 61036(815) 777-1340Fax: (815) 777-256000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Gullone, Elizabeth MDProvider ID: 1550314Gender: FemaleMidwest Health Clinic1 Medical Center DrGalena, IL 61036(815) 777-1340Fax: (815) 777-256000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 05159555

Gullone, Matthew MDProvider ID: 1550318Gender: MaleMidwest Health Clinic1 Medical Center DrGalena, IL 61036(815) 777-1340Fax: (815) 777-256000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 05159556

Harmston, Greg MDProvider ID: 1550333Gender: MaleMidwest Health Clinic1 Medical Center DrGalena, IL 61036(815) 777-1340Fax: (815) 777-256000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 05159574

Koenigs, Mary MDProvider ID: 1556698Gender: FemaleMidwest Medical Center1 Medical Center DrGalena, IL 61036(815) 777-1340Fax: (815) 777-256000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Wells, Michael MDProvider ID: 1550322Gender: MaleMidwest Health Clinic1 Medical Center DrGalena, IL 61036(815) 777-1340Fax: (815) 777-256000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 05159940

Internal Medicine

Farrell, Richard MDProvider ID: 1550338Gender: MaleMidwest Health Clinic1 Medical Center DrGalena, IL 61036(815) 777-1340Fax: (815) 777-256000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 05159539

Primary Care PhysiciansKnox

Updated: 11/09/2018



Knox Community HealthCenter

Provider ID: 1496018Knox Community HealthCenter Nfp1361 W Fremont StGalesburg, IL 61401(309) 344-2225Fax: (309) 344-223000 Yrs/130 YrsM-F 7:30 AM - 6:00 PMPCMH: NoMaximus ID: 05692970

Primary Care PhysiciansLA Salle

Updated: 11/09/2018


Family Practice

Bernal, Alejandro MDProvider ID: 1509377Gender: MaleMidtown Health Clinic1650 Midtown RdPeru, IL 61354(815) 223-2645Fax: (815) 223-680600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05853579

Bond, Jamie ApnProvider ID: 1567763Gender: FemaleHygienic Institute CommunityHealth2970 Chartres StLA Salle, IL 61301(815) 223-0196Fax: (815) 223-035800 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05887574

Calderon, Ricardo MDProvider ID: 1567767Gender: MaleIvch Medical Group LasalleMedical128 Bucklin StLA Salle, IL 61301(815) 220-7170Fax: (815) 220-717600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05887573

Crist, Mary NpProvider ID: 1567769Gender: FemaleHygienic Institute CommunityHealth2970 Chartres StLA Salle, IL 61301(815) 223-0196Fax: (815) 223-035800 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05887572

Deboer, Kelly MDProvider ID: 1567771Gender: FemaleIvch Medical Group OglesbyMedical520 W Walnut StOglesby, IL 61348(815) 883-3588Fax: (815) 883-360400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05887578

Deboer, Kelly MDProvider ID: 1567851Gender: FemaleIvch Care Today310 Walnut StPeru, IL 61354(815) 780-3855Fax: (815) 883-360400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05887594

Fess, Kara MDProvider ID: 1567777Gender: FemaleHygienic Institute CommunityHealth2970 Chartres StLA Salle, IL 61301(815) 223-0196Fax: (815) 223-035800 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05887571

Fess, Kara MDProvider ID: 1567856Gender: FemaleIvch Care Today310 Walnut StPeru, IL 61354(815) 780-3855Fax: (815) 780-386600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05887592

Greenwood, Angella Np

Provider ID: 1561284Gender: FemaleSMH Community ClinicGranville1650 Midtown RdPeru, IL 61354(815) 339-6245Fax: (815) 925-794000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Lewis, Britnae NpProvider ID: 1567796Gender: FemaleIvch Medical Group OglesbyMedical520 W Walnut StOglesby, IL 61348(815) 883-3588Fax: (815) 883-360400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05887577

Lewis, Britnae NpProvider ID: 1567850Gender: FemaleIvch Medical Group WomensHealth Ca920 W. St Bldg BPeru, IL 61354(815) 223-2944Fax: (815) 223-409500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05887589

Lewis, Britnae NpProvider ID: 1567867Gender: FemaleIvch Medical Group PeruPrimary Car920 W. St Ste 311Peru, IL 61354(815) 223-9214Fax: (815) 223-932200 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05887588

Massutti, Angela ApnProvider ID: 1567798Gender: FemaleIvch Medical Group OglesbyMedical520 W Walnut StOglesby, IL 61348(815) 883-3588Fax: (815) 883-360400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05887576

O'Donnell, David DOProvider ID: 1567812Gender: MaleIvch Care Today310 Walnut StPeru, IL 61354(815) 780-3855Fax: (815) 780-386600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05887585

O'Donnell, David DOProvider ID: 1567849Gender: MaleIvch Medical GroupConcussion Clini310 Walnut StPeru, IL 61354(815) 780-3855Fax: (815) 883-360400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05887584

O'Donnell, David DOProvider ID: 1567869Gender: MaleIvch Medical Group OglesbyMedical520 W Walnut StOglesby, IL 61348(815) 883-3588Fax: (815) 883-360400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05887575


Updated: 11/09/2018



Olesen, Jennifer ApnProvider ID: 1567814Gender: FemaleIvch Medical Group PeruPrimary Car920 W. St Ste 311Peru, IL 61354(815) 223-9214Fax: (815) 223-932200 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05887587

Olesen, Jennifer ApnProvider ID: 1567870Gender: FemaleIvch Medical GroupConcussion Clini310 Walnut StPeru, IL 61354(815) 780-3855Fax: (815) 883-360400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05887586

Reed, Grant DOProvider ID: 1509448Gender: MaleMidtown Health Center1650 Midtown RdPeru, IL 61354(815) 223-2807Fax: (815) 223-286800 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05853574

Sampat, Rahul MDProvider ID: 1567824Gender: MaleIvch Care Today310 Walnut StPeru, IL 61354(815) 780-3855Fax: (815) 780-386600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05887582

Strom, Melissa ApnProvider ID: 1567830Gender: FemaleIvch Medical Group LasalleMedical128 Bucklin StLA Salle, IL 61301(815) 220-7170Fax: (815) 220-717600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05887570

Valdez, Yesenia MDProvider ID: 1567836Gender: FemaleHygienic Institute CommunityHealth2970 Chartres StLA Salle, IL 61301(815) 223-0196Fax: (815) 223-035800 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05887569

Vasquez, Michelle MDProvider ID: 1567838Gender: FemaleIvch Medical Group PeruPrimary Car920 W. St Ste 311Peru, IL 61354(815) 223-9214Fax: (815) 883-360400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05887580

General Practice

Birkey, Elizabeth NpProvider ID: 1567759Gender: FemaleIvch Medical Group PeruPrimary Car920 W. St Ste 311Peru, IL 61354(815) 223-9214Fax: (815) 223-932202 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05887596

Internal Medicine

Angeles, Dexter MDProvider ID: 1509363Gender: MaleMidtown Health Center1650 Midtown RdPeru, IL 61354(815) 223-2807Fax: (815) 220-843800 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05853581

Angeles, Dexter MDProvider ID: 1509365Gender: MaleSMH Community ClinicOglesby402 W Walnut StOglesby, IL 61348(815) 883-3241Fax: (815) 883-334700 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05853572

Cote, Mario MDProvider ID: 1567768Gender: MaleIvch Medical Group PeruMedical Cli710 Peoria StPeru, IL 61354(815) 223-3500Fax: (815) 223-179012 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05887595

Fernandez, Mark MDProvider ID: 1567775Gender: MaleIvch Medical Group PeruPrimary Car920 W. St Ste 311Peru, IL 61354(815) 223-9214Fax: (815) 223-932212 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05887593

Karkera, Damodara MDProvider ID: 1567789Gender: MaleIvch Medical Group StreatorMedical104 E Bridge St Ste BStreator, IL 61364(815) 673-1565Fax: (815) 673-553912 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05887676

Pal, Indra MDProvider ID: 1567816Gender: MaleIvch Medical Group StreatorMedical104 E Bridge St Ste AStreator, IL 61364(815) 672-0567Fax: (815) 672-893312 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05887675

Persaud, Pitamber MDProvider ID: 1555566Gender: MaleCommunity HealthPartnership of Ill1009 Main StMendota, IL 61342(815) 539-6124Fax: (815) 539-901500 Yrs/130 YrsMTTH 8:00 AM - 5:00 PMW 8:00 AM - 8:00 PMPCMH: NoMaximus ID: 05872712

Tieman, Lyman MDProvider ID: 1567832Gender: MaleIvch Medical Group AdultMedicine C920 W. St Ste 218Peru, IL 61354(815) 223-6443Fax: (815) 223-701912 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05887581


Updated: 11/09/2018


Internal Medicine - cont.

Urrutia Potter, Irma MD

Provider ID: 1537133Gender: FemaleCommunity HealthPartnership of Ill1009 Main StMendota, IL 61342(815) 539-612400 Yrs/130 YrsMTTH 8:00 AM - 5:00 PMW 8:00 AM - 8:00 PMPCMH: No


Rosanwo, Gabriel MDProvider ID: 1609709Gender: MaleIvch Medical Group WomensHealth Ca920 W. St Bldg BPeru, IL 61354(815) 223-294400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05865847

Pediatrics

Dave, Amar MDProvider ID: 1547241Gender: MaleAmar Dave Pedicatric Center1209 Starfire Dr Ste 1Ottawa, IL 61350(815) 434-2115Fax: (815) 410-198800 Yrs/21 YrsM-TH 9:00 AM - 4:00 PMPCMH: NoMaximus ID: 05859515

Patel, Anju MDProvider ID: 1567819Gender: FemaleIvch Medical Group PeruPrimary Car920 W. St Ste 311Peru, IL 61354(815) 223-9214Fax: (815) 223-932200 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05887583

San Gabriel, Rosvida MD

Provider ID: 1637835Gender: FemaleStreator Childrens Clinic DBAStre104 W 6th St Ste 303Streator, IL 61364(815) 673-2353Fax: (815) 673-248600 Yrs/21 YrsMTH 9:00 AM - 5:00 PMTW 8:30 AM - 4:30 PMF 8:00 AM - 4:00 PMPCMH: NoMaximus ID: 05880469

Rural Health Center

Lasalle Medical ClinicProvider ID: 1640648Illinois Valley PHO Inc128 Bucklin StLA Salle, IL 61301(815) 220-7170Fax: (815) 220-717600 Yrs/130 YrsMW 9:00 AM - 8:00 PMTTH 9:00 AM - 6:00 PMF 8:30 AM - 4:30 PMPCMH: NoMaximus ID: 05877082

Oglesby Medical ClinicProvider ID: 1606206520 W Walnut StOglesby, IL 61348(815) 883-3588Fax: (815) 883-360400 Yrs/130 YrsM-F 8:00 AM - 8:00 PMPCMH: NoMaximus ID: 05865846

Peru Medical ClinicProvider ID: 1644898710 Peoria StPeru, IL 61354(815) 223-3500Fax: (815) 223-179000 Yrs/130 YrsMW 9:00 AM - 4:00 PMT 9:00 AM - 5:00 PMTH 9:00 AM - 6:00 PMF 9:00 AM - 3:00 PMPCMH: NoMaximus ID: 05877084

Peru Primary Care Clinic

Provider ID: 1649391920 W. St Ste 311Peru, IL 61354(815) 223-2944Fax: (815) 223-409500 Yrs/130 YrsMTTH 8:00 AM - 5:00 PMW 8:00 AM - 6:00 PMF 8:00 AM - 4:00 PMPCMH: NoMaximus ID: 05880456

Womens Health Care Center

Provider ID: 1645796920 W. StPeru, IL 61354(815) 223-9214Fax: (815) 223-932200 Yrs/130 YrsM 9:00 AM - 7:00 PMTTH 8:00 AM - 7:00 PMW 9:00 AM - 5:00 PMF 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 05877083

Primary Care PhysiciansLee

Updated: 11/09/2018


Family Practice

Bocker, Emilee MDProvider ID: 1536418Gender: FemaleKsb Medical Group Inc305 Joe Dr W Ste 120Amboy, IL 61310(815) 857-3044Fax: (815) 857-201000 Yrs/130 YrsM-TH 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 06047348

Crowe, Kurt MDProvider ID: 1536420Gender: MaleKsb Medical Group Inc305 E Joe DrAmboy, IL 61310(815) 857-3044Fax: (815) 857-201000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 06047398

Hernandez, Juan MDProvider ID: 1536443Gender: MaleKsb Medical Group Inc102 S Hennepin AveDixon, IL 61021(815) 288-7711Fax: (815) 285-589300 Yrs/130 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 06047625

Hernandez, Juan MDProvider ID: 1558989Gender: MaleKsb Medical Group/EdwardsClinic102 S Hennepin AveDixon, IL 61021(815) 288-7711Fax: (815) 285-589300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 06076111

Jain, Sameer MDProvider ID: 1536448Gender: MaleKsb Medical Group Inc102 S Hennepin AveDixon, IL 61021(815) 288-7711Fax: (815) 285-589300 Yrs/130 YrsLanguages: Hindi, PunjabiM-F 8:30 AM - 5:00 PMPCMH: NoMaximus ID: 06047656

Jamal, Asad MDProvider ID: 1536450Gender: MaleKsb Medical Group Inc403 E 1st StDixon, IL 61021(815) 284-7733Fax: (815) 285-563400 Yrs/130 YrsLanguages: Russian, UrduM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 06047657

Johnson, Joyce MDProvider ID: 1536453Gender: FemaleKsb Medical Group Inc102 S Hennepin AveDixon, IL 61021(815) 288-7711Fax: (815) 285-589300 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 06047651

Pultorak, Kristine DOProvider ID: 1536493Gender: FemaleKsb Medical Group Inc403 E 1st StDixon, IL 61021(815) 284-7733Fax: (815) 285-586500 Yrs/130 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 12:00 PMPCMH: NoMaximus ID: 06047980

Sachdev, Poonam MDProvider ID: 1536503Gender: FemaleKsb Medical Group Inc102 S Hennepin AveDixon, IL 61021(815) 288-7711Fax: (815) 285-589300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 06047998

Selgestad, John MDProvider ID: 1536505Gender: MaleKsb Medical Group Inc102 S Hennepin AveDixon, IL 61021(815) 288-7711Fax: (815) 285-589300 Yrs/130 YrsMT 9:00 AM - 5:00 PMWTH 9:00 AM - 12:00 PMPCMH: NoMaximus ID: 06047991

Welty, Joseph MDProvider ID: 1536518Gender: MaleKsb Medical Group Inc102 S Hennepin AveDixon, IL 61021(815) 288-7711Fax: (815) 285-589300 Yrs/130 YrsM-TH 9:00 AM - 7:00 PMPCMH: NoMaximus ID: 06048095

Internal Medicine

Alkhalaf, Abdulhamid MD

Provider ID: 1536410Gender: MaleKsb Medical Group Inc215 E 1st St Ste 212Dixon, IL 61021(815) 285-5979Fax: (815) 285-584512 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 06076080

Atuahene, Nana MDProvider ID: 1536413Gender: FemaleKsb Medical Group Inc403 E 1st StDixon, IL 61021(815) 285-5629Fax: (815) 285-563412 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 06076077

El Bzour, Monther MDProvider ID: 1536425Gender: MaleKsb Medical Group Inc215 E 1st St Ste 214Dixon, IL 61021(815) 285-5678Fax: (815) 285-589812 Yrs/130 YrsLanguages: ArabicM-TH 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 06076093

Gale, Eric MDProvider ID: 1538139Gender: MaleCgh Home Nursing1321 N Galena AveDixon, IL 61021(815) 284-1600Fax: (815) 285-506500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 06047562

Gehlbach, Thomas MD

Provider ID: 1536431Gender: MaleKsb Medical Group Inc215 E 1st St Ste 111Dixon, IL 61021(815) 285-5477Fax: (815) 285-547912 Yrs/130 YrsM-TH 8:30 AM - 5:00 PMPCMH: NoMaximus ID: 06076097

Primary Care PhysiciansLee

Updated: 11/09/2018



Hedayati, Hadi MDProvider ID: 1536439Gender: MaleKsb Medical Group Inc102 S Hennepin AveDixon, IL 61021(815) 288-7711Fax: (815) 285-589312 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 06076112

Iyer, Laxman MDProvider ID: 1536447Gender: MaleKsb Medical Group Inc215 E 1st St Ste 212Dixon, IL 61021(815) 285-5979Fax: (815) 285-584512 Yrs/130 YrsLanguages: HindiM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 06076123

Luchici, Danca MDProvider ID: 1538196Gender: FemaleCgh Home Nursing1321 N Galena AveDixon, IL 61021(815) 284-1600Fax: (815) 285-506500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 06047790

Muhsin, Adnan MDProvider ID: 1536471Gender: MaleKsb Medical Group Inc144 N Court StDixon, IL 61021(815) 284-7733Fax: (815) 288-148712 Yrs/130 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 12:00 PMPCMH: NoMaximus ID: 06076138

Mustapha, Fadi MDProvider ID: 1536474Gender: MaleKsb Medical Group Inc215 E 1st St Ste 211Dixon, IL 61021(815) 285-5843Fax: (815) 285-584612 Yrs/130 YrsLanguages: ArabicM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 06076136

Prendergast, Gail MDProvider ID: 1536492Gender: FemaleKsb Medical Group Inc403 E 1st StDixon, IL 61021(815) 285-5629Fax: (815) 285-563412 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 06076146

Sawlani, Manish MDProvider ID: 1536504Gender: MaleKsb Medical Group Inc403 E 1st StDixon, IL 61021(815) 285-5629Fax: (815) 285-563412 Yrs/130 YrsLanguages: Hindi, Sindhi,MarathiM-TH 7:00 AM - 7:00 PMPCMH: NoMaximus ID: 06076153

Singh, Bhupinder MDProvider ID: 1536511Gender: MaleKsb Medical Group Inc403 E 1st StDixon, IL 61021(815) 285-562912 Yrs/130 YrsLanguages: Hindi, Urdu,PunjabiM-TH 7:00 AM - 7:00 PMPCMH: NoMaximus ID: 06076159

Pediatrics

Nag, Pratip MDProvider ID: 1536477Gender: MaleKsb Medical Group Inc102 S Hennepin AveDixon, IL 61021(815) 288-7711Fax: (815) 285-589300 Yrs/18 YrsLanguages: BengaliM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 06047872

Pragneshkumar, Mistry MD

Provider ID: 1548412Gender: Male102 S Hennepin Ave Ste 101Dixon, IL 61021(815) 288-7711Fax: (815) 285-890300 Yrs/18 YrsLanguages: HindiM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 06059774

Rivera, Maria MDProvider ID: 1536500Gender: FemaleKsb Medical Group Inc102 S Hennepin AveDixon, IL 61021(815) 288-7711Fax: (815) 285-589300 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 06047982

Primary Care PhysiciansMarshall

Updated: 11/09/2018


Family Practice

Swink, Travis DOProvider ID: 1610400Gender: MaleSt Margarets Health528 Edward StHenry, IL 61537(815) 796-459100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 06765845

Internal Medicine

Tun, Thaw MDProvider ID: 1509472Gender: MaleSt Marg Comm Clinic Henry528 Edwards StHenry, IL 61537(309) 364-3088Fax: (309) 364-320100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 06753569

Primary Care PhysiciansOgle

Updated: 11/09/2018


Family Practice

Drengenberg, Debra MD

Provider ID: 1536424Gender: FemaleKsb Medical Group Inc1107 S Division AvePolo, IL 61064(815) 946-3453Fax: (815) 946-390800 Yrs/130 YrsM-W 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 07947444

Flynn, Timothy MDProvider ID: 1543250Gender: MaleSA Davis Junction Clinic5665 N Junction WayDavis Junction, IL 61020(779) 696-9200Fax: (779) 696-140700 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 07953704

Gorman, Christine MDProvider ID: 1556633Gender: FemaleRcha Walk-In Clinic/Convenient Care900 N 2nd St Ste 200Rochelle, IL 61068(815) 562-2181Fax: (815) 561-312000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 07972342

Gorman, Christine MDProvider ID: 1556654Gender: FemaleRcha DBA Medical Group ofRochelle900 N 2nd St Ste 200Rochelle, IL 61068(815) 562-2181Fax: (815) 561-312000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 07972343

Kimbell, Joseph DOProvider ID: 1543418Gender: MaleSA Byron Clinic230 W Blackhawk DrByron, IL 61010(779) 696-1300Fax: (815) 234-231400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 07959654

Kimbell, Kayla DOProvider ID: 1543422Gender: FemaleSA Davis Junction Clinic5665 N Junction WayDavis Junction, IL 61020(779) 696-9200Fax: (779) 696-140700 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 07953761

McFadden, Jeffrey DOProvider ID: 1546130Gender: MaleRockford Health Physicians130 Kysor DrByron, IL 61010(815) 971-3000Fax: (815) 971-986500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 07959715

Myers, Mark MDProvider ID: 1536476Gender: MaleKsb Medical Group Inc1307 W Washington StOregon, IL 61061(815) 732-3151Fax: (815) 732-371800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 06047875

OH, Henry DOProvider ID: 1538212Gender: MaleCgh Home Nursing711 S Division AvePolo, IL 61064(815) 946-3661Fax: (815) 946-229900 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 07947925

O'Malleyfranks, Maggie Apn

Provider ID: 1543541Gender: FemaleSA Davis Junction Clinic5665 N Junction WayDavis Junction, IL 61020(779) 696-9200Fax: (779) 696-140700 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 07959739

Plescia, John MDProvider ID: 1536490Gender: MaleKsb Medical Group Inc405 Charles StMt Morris, IL 61054(815) 734-6061Fax: (815) 734-902100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 07947929

Popp, Jason MDProvider ID: 1547279Gender: MaleRcha DBA Medical Group ofRochelle900 N 2nd St Ste 200Rochelle, IL 61068(815) 561-8335Fax: (815) 561-312000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 07959771

Reckamp, Gregory MDProvider ID: 1536497Gender: MaleKsb Medical Group Inc1307 W Washington StOregon, IL 61061(815) 732-3151Fax: (815) 732-371800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 06047961

Retzer, Daniel MDProvider ID: 1543584Gender: MaleSA Davis Junction Clinic5665 N Junction WayDavis Junction, IL 61020(779) 696-9200Fax: (779) 696-140700 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 07959785

Rogers, Emily MDProvider ID: 1543608Gender: FemaleSA Byron Clinic230 W Blackhawk DrByron, IL 61010(779) 696-1300Fax: (815) 234-231400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 07959818

Primary Care PhysiciansOgle

Updated: 11/09/2018



Saintlouis, Margret Apn

Provider ID: 1543639Gender: FemaleSA Davis Junction Clinic5665 N Junction WayDavis Junction, IL 61020(779) 696-9200Fax: (779) 696-140700 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 07959844

Soriano, Christina MDProvider ID: 1543702Gender: FemaleSA Byron Clinic230 W Blackhawk DrByron, IL 61010(779) 696-1300Fax: (815) 234-231400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 07959873

Surjit, Thiara MDProvider ID: 1556666Gender: FemaleMedical Group of Rochelle900 N 2nd St Ste 200Rochelle, IL 61068(815) 562-2181Fax: (815) 561-312000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 07972960

Tchapnda, Luc MDProvider ID: 1543736Gender: MaleSA Rochelle Clinic380 E IL Rte 38Rochelle, IL 61068(779) 696-9050Fax: (779) 696-907100 Yrs/130 YrsSwedish American HospitalM 8:00 AM - 7:00 PMT 8:00 AM - 1:00 PMWTH 7:00 AM - 5:00 PMF 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 07959918

General Practice

Surjit, Thiara MDProvider ID: 1556649Gender: FemaleRcha Walk-In Clinic/Convenient Care900 N 2nd St Ste 200Rochelle, IL 61068(815) 562-2181Fax: (815) 561-312000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 07972959

Internal Medicine

Persaud, Pitamber MDProvider ID: 1547278Gender: MaleRcha DBA Medical Group ofRochelle900 N 2nd StRochelle, IL 61068(815) 561-8335Fax: (815) 561-312000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 07987567

Primary Care PhysiciansPeoria

Updated: 11/09/2018


Family Practice

Ali, Syed MDProvider ID: 1511418Gender: MaleGlen Avenue Family Practice4930 N Executive DrPeoria, IL 61614(309) 691-3707Fax: (309) 692-027000 Yrs/130 YrsLanguages: Urdu, ArabicM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08072246

Andrews, Melanie MDProvider ID: 1497896Gender: FemaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-7600Fax: (309) 671-218800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092795

Andrews, Melanie MDProvider ID: 1497897Gender: FemaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092794

Andrews, Melanie MDProvider ID: 1560002Gender: FemaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081514

Andrews, Melanie MDProvider ID: 1560004Gender: FemaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081515

Andrews, Melanie MDProvider ID: 1560006Gender: FemaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-7600Fax: (309) 671-218800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081516

Barnett, James MDProvider ID: 1497902Gender: MaleHeartland Community HealthClinic2321 N Wisconsin Ave Ste 2Peoria, IL 61603(309) 680-7600Fax: (309) 681-468100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: Yes, Level 3Maximus ID: 08092953

Barnett, James MDProvider ID: 1560035Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081522

Barnett, James MDProvider ID: 1560037Gender: MaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081523

Barnett, James MDProvider ID: 1560039Gender: MaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081524

Endress, Kathryn NpProvider ID: 1497949Gender: FemaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-7600Fax: (309) 680-764800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092770

Endress, Kathryn NpProvider ID: 1497950Gender: FemaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 671-8000Fax: (309) 671-371100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: Yes, Level 3Maximus ID: 08092918

Endress, Kathryn NpProvider ID: 1560422Gender: FemaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 671-800000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Endress, Kathryn NpProvider ID: 1560423Gender: FemaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 671-800000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Ferguson, Bethany NpProvider ID: 1497961Gender: FemaleHeartland Community HealthClinic2321 N Wisconsin Ave Ste 2Peoria, IL 61603(309) 680-7600Fax: (309) 681-468100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: Yes, Level 3Maximus ID: 08092921

Ferguson, Bethany NpProvider ID: 1497962Gender: FemaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092772


Updated: 11/09/2018



Ferguson, Bethany NpProvider ID: 1560436Gender: FemaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Ferguson, Bethany NpProvider ID: 1560437Gender: FemaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Ferguson, Bethany NpProvider ID: 1560440Gender: FemaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Gregory, David MDProvider ID: 1532350Gender: MaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61603(309) 680-7600Fax: (309) 680-768600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Gregory, David MDProvider ID: 1553977Gender: MaleHeartland Community HealthClinic228 NE Jefferson AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08062915

Griebel, Craig MDProvider ID: 1497973Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-7600Fax: (309) 671-218800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092768

Griebel, Craig MDProvider ID: 1497974Gender: MaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-7600Fax: (309) 680-763700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092767

Griebel, Craig MDProvider ID: 1561286Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081724

Griebel, Craig MDProvider ID: 1561287Gender: MaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081725

Griebel, Craig MDProvider ID: 1561289Gender: MaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081726

Harris, Towanda MDProvider ID: 1497997Gender: FemaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-7600Fax: (309) 681-468100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092906

Harris, Towanda MDProvider ID: 1498000Gender: FemaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092762

Harris, Towanda MDProvider ID: 1561327Gender: FemaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Harris, Towanda MDProvider ID: 1561328Gender: FemaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Harris, Towanda MDProvider ID: 1561330Gender: FemaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Holden, David MDProvider ID: 1498014Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-7600Fax: (309) 681-468100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: Yes, Level 3Maximus ID: 08092895


Updated: 11/09/2018



Holden, David MDProvider ID: 1561379Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Holden, David MDProvider ID: 1561381Gender: MaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Holden, David MDProvider ID: 1561382Gender: MaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Johnson, Aretha NpProvider ID: 1498029Gender: FemaleHeartland Community HealthClinic2321 N Wisconsin Ave Ste 2Peoria, IL 61603(309) 680-7600Fax: (309) 681-468100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: Yes, Level 3Maximus ID: 08092892

Johnson, Aretha NpProvider ID: 1498030Gender: FemaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092751

Johnson, Aretha NpProvider ID: 1561403Gender: FemaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Johnson, Aretha NpProvider ID: 1561404Gender: FemaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Johnson, Aretha NpProvider ID: 1561406Gender: FemaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Koscica, Sarah MDProvider ID: 1498043Gender: FemaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-7600Fax: (309) 680-768600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: Yes, Level 3Maximus ID: 08092749

Koscica, Sarah MDProvider ID: 1498045Gender: FemaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-7600Fax: (309) 680-768600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092889

Koscica, Sarah MDProvider ID: 1561468Gender: FemaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 680-768600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Koscica, Sarah MDProvider ID: 1561470Gender: FemaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Na'Allah, Rahmat MDProvider ID: 1497986Gender: FemaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-7600Fax: (309) 671-218800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092731

Na'Allah, Rahmat MDProvider ID: 1560042Gender: FemaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081762

Na'Allah, Rahmat MDProvider ID: 1560044Gender: FemaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081763

Na'Allah, Rahmat MDProvider ID: 1560046Gender: FemaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081764


Updated: 11/09/2018



Oliver Payne, Roxie MD

Provider ID: 1497996Gender: FemaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-7600Fax: (309) 671-218800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: Yes, Level 3Maximus ID: 08092733


Provider ID: 1497999Gender: FemaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092867


Provider ID: 1560084Gender: FemaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081831


Provider ID: 1560086Gender: FemaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081832


Provider ID: 1560088Gender: FemaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081833

Pyle, Shannon NpProvider ID: 1498027Gender: FemaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-7600Fax: (309) 680-763700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: Yes, Level 3Maximus ID: 08092723

Pyle, Shannon NpProvider ID: 1498028Gender: FemaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-7600Fax: (309) 671-371100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092852

Pyle, Shannon NpProvider ID: 1560192Gender: FemaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 671-800000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081912

Pyle, Shannon NpProvider ID: 1560194Gender: FemaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 671-800000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081913

Pyle, Shannon NpProvider ID: 1560196Gender: FemaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 671-800000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081914

Shotick, George MDProvider ID: 1498064Gender: MaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 671-8000Fax: (309) 671-469500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092843

Shotick, George MDProvider ID: 1498065Gender: MaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-7600Fax: (309) 680-768600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092717

Shotick, George MDProvider ID: 1560306Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-7600Fax: (309) 671-218800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08082184

Shotick, George MDProvider ID: 1560308Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-7600Fax: (309) 681-468100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08082185

Shotick, George MDProvider ID: 1560311Gender: MaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08082186


Updated: 11/09/2018



Stoner, Gregg MDProvider ID: 1498073Gender: MaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-7600Fax: (309) 680-768600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: Yes, Level 3Maximus ID: 08092703

Stoner, Gregg MDProvider ID: 1498075Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092822

Stoner, Gregg MDProvider ID: 1560400Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08082196

Stoner, Gregg MDProvider ID: 1560402Gender: MaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08082197

Tharenos, Christine MD

Provider ID: 1498082Gender: FemaleHeartland Community HealthClinic2321 N Wisconsin Ave Ste 2Peoria, IL 61603(309) 680-7600Fax: (309) 681-468100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092828






Provider ID: 1560547Gender: FemaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08082228



Wallis, Jessica NpProvider ID: 1560617Gender: FemaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08082313

Wallis, Jessica NpProvider ID: 1560619Gender: FemaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08082316

Wallis, Jessica NpProvider ID: 1560621Gender: FemaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08082317

Whitelow, Michelle Np

Provider ID: 1498102Gender: FemaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-7600Fax: (309) 671-218800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: Yes, Level 3Maximus ID: 08092700








Updated: 11/09/2018






Heartland Community HealthClinic

Provider ID: 1057680Heartland Community HealthClinic A2321 N Wisconsin AvePeoria, IL 61603(309) 680-7600Fax: (309) 681-862000 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 4:30 PMSat 9:00 AM - 2:00 PMPCMH: Yes, Level 3Maximus ID: 20254177


Provider ID: 1093314Heartland Community HealthClinic A320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: NoMaximus ID: 08054104


Provider ID: 1338892Heartland Community HealthClinic A711 W John Gwynn Jr AvePeoria, IL 61605(309) 680-7600Fax: (309) 671-218800 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 4:30 PMPCMH: Yes, Level 3Maximus ID: 20254210

Heartland Community HealthClinic At Hum

Provider ID: 1335045Heartland Community HealthClinic A228 NE Jefferson AvePeoria, IL 61603(309) 671-8000Fax: (309) 671-469500 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 4:30 PMPCMH: NoMaximus ID: 08054105

Internal Medicine

Bansal, Saurabh MDProvider ID: 1497898Gender: MaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092950

Bansal, Saurabh MDProvider ID: 1497900Gender: MaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092790

Bansal, Saurabh MDProvider ID: 1560018Gender: MaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081540

Bansal, Saurabh MDProvider ID: 1560020Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081538

Bansal, Saurabh MDProvider ID: 1560022Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081539

Blascyk, Daniel MDProvider ID: 1560059Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081542

Blascyk, Daniel MDProvider ID: 1560062Gender: MaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081543

Blascyk, Daniel MDProvider ID: 1560064Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081545

Camacho, Benito MDProvider ID: 1497924Gender: MaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092937

Camacho, Benito MDProvider ID: 1560110Gender: MaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081636


Updated: 11/09/2018



Camacho, Benito MDProvider ID: 1560112Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081637

Camacho, Benito MDProvider ID: 1560114Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081639

Chalmers, Sarah MDProvider ID: 1532340Gender: FemaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Chambers-Damm, Kristen MD

Provider ID: 1497927Gender: FemaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092940




Provider ID: 1560131Gender: FemaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 681-4606Fax: (309) 676-550600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081573



Conner-Garcia, Thembi MD

Provider ID: 1497930Gender: MaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092934


Provider ID: 1497931Gender: MaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092780


Provider ID: 1560173Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081672


Provider ID: 1560175Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081673


Provider ID: 1560180Gender: MaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081674

Davis, Rachael MDProvider ID: 1560227Gender: FemaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081683

Davis, Rachael MDProvider ID: 1560229Gender: FemaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081684

Davis, Rachael MDProvider ID: 1560231Gender: FemaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081686

Deese, Shaun MDProvider ID: 1560234Gender: FemaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 681-460600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081687


Updated: 11/09/2018



Deese, Shaun MDProvider ID: 1560236Gender: FemaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081688

Deese, Shaun MDProvider ID: 1560238Gender: FemaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081689

Fahnhorst, Sarah MDProvider ID: 1560428Gender: FemaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Fahnhorst, Sarah MDProvider ID: 1560432Gender: FemaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Fahnhorst, Sarah MDProvider ID: 1560434Gender: FemaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Fonge Jr, John MDProvider ID: 1532349Gender: MaleHeartland Community HealthClinic2321 N WisconsinPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Hanks, Jessica MDProvider ID: 1497987Gender: FemaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092907

Hanks, Jessica MDProvider ID: 1497989Gender: FemaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092760

Hanks, Jessica MDProvider ID: 1561322Gender: FemaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Hanks, Jessica MDProvider ID: 1561324Gender: FemaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Hanks, Jessica MDProvider ID: 1561325Gender: FemaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Harvey, Richard MDProvider ID: 1561337Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Harvey, Richard MDProvider ID: 1561339Gender: MaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Harvey, Richard MDProvider ID: 1561341Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Horvath, Emily MDProvider ID: 1498019Gender: FemaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092898

Horvath, Emily MDProvider ID: 1498021Gender: FemaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092755


Updated: 11/09/2018



Horvath, Emily MDProvider ID: 1561383Gender: FemaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Horvath, Emily MDProvider ID: 1561384Gender: FemaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Horvath, Emily MDProvider ID: 1561386Gender: FemaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Jager, Matthew DOProvider ID: 1498025Gender: MaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092901

Jager, Matthew DOProvider ID: 1498026Gender: MaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092757

Jager, Matthew DOProvider ID: 1561400Gender: MaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Jager, Matthew DOProvider ID: 1561401Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Jager, Matthew DOProvider ID: 1561402Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Kim Kupfer, Caroline MD


Lindahl, Larry MDProvider ID: 1497958Gender: MaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092884

Lindahl, Larry MDProvider ID: 1497959Gender: MaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092745

Lindahl, Larry MDProvider ID: 1561483Gender: MaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Lindahl, Larry MDProvider ID: 1561485Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Lindahl, Larry MDProvider ID: 1561486Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Lynch, Teresa MDProvider ID: 1497967Gender: FemaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 681-862000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092881

Lynch, Teresa MDProvider ID: 1497969Gender: FemaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092743


Updated: 11/09/2018



Lynch, Teresa MDProvider ID: 1561493Gender: FemaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Lynch, Teresa MDProvider ID: 1561494Gender: FemaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Lynch, Teresa MDProvider ID: 1561496Gender: FemaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Martial, Annia MDProvider ID: 1532355Gender: FemaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861412 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Molina, Marijo-Anne MD

Provider ID: 1532359Gender: FemaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Nulty, William MDProvider ID: 1497992Gender: MaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092870

Nulty, William MDProvider ID: 1497994Gender: MaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092735

Nulty, William MDProvider ID: 1560074Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081789

Nulty, William MDProvider ID: 1560076Gender: MaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081790

Nulty, William MDProvider ID: 1560078Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081791

Oliver, Bradley MDProvider ID: 1532361Gender: MaleHeartland Community HealthClinic2321 N Wisconsin Ave Ste 2Peoria, IL 61603(309) 680-7600Fax: (309) 681-468100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Palmer Hill, Sidney MD











Updated: 11/09/2018



Patel, Jaymon MDProvider ID: 1560137Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081803

Patel, Jaymon MDProvider ID: 1560139Gender: MaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081804

Patel, Jaymon MDProvider ID: 1560141Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081805

Patel, Preeti MDProvider ID: 1560144Gender: FemaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Patel, Preeti MDProvider ID: 1560146Gender: FemaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Patel, Preeti MDProvider ID: 1560148Gender: FemaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Pflederer, Benjamin MD

Provider ID: 1532424Gender: MaleHeartland Community HealthClinic A1701 W Garden StPeoria, IL 61605(309) 680-7600Fax: (309) 680-768618 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: NoMaximus ID: 08092180


Provider ID: 1560174Gender: MaleHeartland Community HealthClinic A2321 N Wisconsin AvePeoria, IL 61603(309) 680-7600Fax: (309) 680-768618 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: NoMaximus ID: 08081888


Provider ID: 1560178Gender: MaleHeartland Community HealthClinic A711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-7600Fax: (309) 680-768618 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: NoMaximus ID: 08081889

Rosenbaum, Kaylee MD










Shaw, Crystal MDProvider ID: 1560295Gender: FemaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08082161

Shaw, Crystal MDProvider ID: 1560296Gender: FemaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08082162


Updated: 11/09/2018



Shaw, Crystal MDProvider ID: 1560298Gender: FemaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08082163

Smith, Terry MDProvider ID: 1498068Gender: MaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092831

Smith, Terry MDProvider ID: 1498069Gender: MaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092709

Smith, Terry MDProvider ID: 1560371Gender: MaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08082181

Smith, Terry MDProvider ID: 1560373Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-7600Fax: (309) 671-218800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08082182

Smith, Terry MDProvider ID: 1560375Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08082183

Vazquez-Melendez, Elsa MD










Yadav, Manajyoti MDProvider ID: 1498116Gender: MaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092810

Yadav, Manajyoti MDProvider ID: 1498118Gender: MaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092696

Yadav, Manajyoti MDProvider ID: 1560678Gender: MaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08082363

Yadav, Manajyoti MDProvider ID: 1560681Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08082364

Yadav, Manajyoti MDProvider ID: 1560683Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08082365


Updated: 11/09/2018



Rose, Elizabeth DOProvider ID: 1498035Gender: FemaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092849

Pediatrics

Chalmers, Sarah MDProvider ID: 1532340Gender: FemaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Fonge Jr, John MDProvider ID: 1532349Gender: MaleHeartland Community HealthClinic2321 N WisconsinPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Healy, Samuel DOProvider ID: 1561355Gender: Male2321 N Wisconsin AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/18 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Healy, Samuel DOProvider ID: 1561357Gender: Male711 W John Gwynn AvePeoria, IL 61605(309) 680-7600Fax: (309) 495-861400 Yrs/18 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Healy, Samuel DOProvider ID: 1561358Gender: Male1701 W Garden StPeoria, IL 61605(309) 680-7600Fax: (309) 495-861400 Yrs/18 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Martinez, Edmundo MD

Provider ID: 1559975Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081743


Provider ID: 1559977Gender: MaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081744


Provider ID: 1559979Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081745

Moeenuddin, Zohra MD










Molina, Marijo-Anne MD


Oliver, Bradley MDProvider ID: 1532361Gender: MaleHeartland Community HealthClinic2321 N Wisconsin Ave Ste 2Peoria, IL 61603(309) 680-7600Fax: (309) 681-468100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Pediatrics - cont.

Owchar, Erica MDProvider ID: 1498001Gender: FemaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092855

Owchar, Erica MDProvider ID: 1498004Gender: FemaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092725

Owchar, Erica MDProvider ID: 1560106Gender: FemaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081824

Owchar, Erica MDProvider ID: 1560109Gender: FemaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081825

Owchar, Erica MDProvider ID: 1560111Gender: FemaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081826

Parkin-Cohen, Ann MD

Provider ID: 1560124Gender: FemaleHeartland Community HealthClinic A711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-7600Fax: (309) 495-869800 Yrs/18 YrsM-F 8:00 AM - 4:30 PMPCMH: NoMaximus ID: 08081819


Provider ID: 1560126Gender: FemaleHeartland Community HealthClinic A2321 N Wisconsin AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-869800 Yrs/18 YrsM-F 8:00 AM - 4:30 PMPCMH: NoMaximus ID: 08081797


Provider ID: 1560128Gender: FemaleHeartland Community HealthClinic A1701 W Garden StPeoria, IL 61605(309) 680-7600Fax: (309) 495-869800 Yrs/18 YrsM-F 8:00 AM - 4:30 PMPCMH: NoMaximus ID: 08081798

Rose, Elizabeth DOProvider ID: 1498036Gender: FemaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092721

Rose, Elizabeth DOProvider ID: 1560244Gender: FemaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081938

Rose, Elizabeth DOProvider ID: 1560246Gender: FemaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081939

Rose, Elizabeth DOProvider ID: 1560248Gender: FemaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08081940

Shallat, Shelly MDProvider ID: 1498051Gender: FemaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092837

Shallat, Shelly MDProvider ID: 1498052Gender: FemaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092713

Shallat, Shelly MDProvider ID: 1560287Gender: FemaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08082158

Shallat, Shelly MDProvider ID: 1560288Gender: FemaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08082159


Updated: 11/09/2018


Pediatrics - cont.

Shallat, Shelly MDProvider ID: 1560289Gender: FemaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08082160

Streater, Gail MDProvider ID: 1498077Gender: FemaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092825

Streater, Gail MDProvider ID: 1498078Gender: FemaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092705

Streater, Gail MDProvider ID: 1560406Gender: FemaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08082192

Streater, Gail MDProvider ID: 1560408Gender: FemaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08082193

Streater, Gail MDProvider ID: 1560410Gender: FemaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08082194

Woerner, John MDProvider ID: 1498111Gender: MaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092807

Woerner, John MDProvider ID: 1498114Gender: MaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08092694

Woerner, John MDProvider ID: 1560656Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08082330

Woerner, John MDProvider ID: 1560660Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08082331

Woerner, John MDProvider ID: 1560662Gender: MaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 08082332

Primary Care PhysiciansPutnam

Updated: 11/09/2018


Family Practice

Bailey, Shawn MDProvider ID: 1509372Gender: MaleSMH Community ClinicGranville309 S McCoy StGranville, IL 61326(815) 339-6245Fax: (815) 339-261700 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 08653571

Primary Care PhysiciansRock

Updated: 11/09/2018


Family Practice

Anderson, Jane MDProvider ID: 1545380Gender: FemaleMercy Clinic South849 Kellogg AveJanesville, WI 53546(608) 755-7960Fax: (608) 755-787300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Anjum, Shamshad MDProvider ID: 1488725Gender: FemaleBeloit Health System WestSide1735 Madison RdBeloit, WI 53511(608) 363-7510Fax: (608) 363-752800 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 91982029

Bentkowski, Marek MD

Provider ID: 1488701Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (815) 525-450500 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 91982028

Bowers, Ronald MDProvider ID: 1546418Gender: MaleMercy North3400 Deerfield DrJanesville, WI 53546(608) 314-3600Fax: (608) 314-364000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Cooper, Keith DOProvider ID: 1545389Gender: MaleMercy Clinic South849 Kellogg AveJanesville, WI 53546(608) 755-7960Fax: (608) 755-787300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Dabson, Janet MDProvider ID: 1546422Gender: FemaleMercy North3400 Deerfield DrJanesville, WI 53546(608) 314-3600Fax: (608) 314-364000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Elezi, Luan MDProvider ID: 1488782Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 364-127100 Yrs/130 YrsLanguages: Spanish, Albanian,MacedonianM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 91982024

Frey, Justin MDProvider ID: 1545608Gender: MaleMercy Edgerton MedicalCenter217 N Main StEdgerton, WI 53534(608) 884-9431Fax: (608) 884-773800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Goetzen, Maria MDProvider ID: 1488535Gender: FemaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737400 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 91982020

Gonzales, Eugene MDProvider ID: 1488746Gender: MaleBeloit Health System WestSide1735 Madison RdBeloit, WI 53511(608) 363-7510Fax: (608) 363-752800 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 91982021

Hahn, Leanne MDProvider ID: 1545273Gender: FemaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-8484Fax: (608) 756-470500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Horton, James MDProvider ID: 1545409Gender: MaleMercy Clinic South849 Kellogg AveJanesville, WI 53546(608) 755-7960Fax: (608) 755-787300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Hussli, Jennifer MDProvider ID: 1545280Gender: FemaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-7100Fax: (608) 756-729300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Klespis-Wick, Kathleen MD

Provider ID: 1488849Gender: FemaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737400 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 91982012

Kramer, Tamara MDProvider ID: 1546439Gender: FemaleMercy North3400 Deerfield DrJanesville, WI 53546(608) 314-3600Fax: (608) 314-364000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Kulas, Daniel MDProvider ID: 1546412Gender: MaleMercy Milton Medical Center725 S Janesville StMilton, WI 53563(608) 868-5800Fax: (608) 868-585800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018



Patel, Tejesh MDProvider ID: 1488707Gender: MaleBeloit Health System ClintonClinic307 Ogden AveClinton, WI 53525(608) 676-2206Fax: (608) 676-402900 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 85282033

Perez, Enrique MDProvider ID: 1545707Gender: MaleMercy Health Mall Clinic1010 N Washington St Ste 109Janesville, WI 53548(608) 741-2430Fax: (608) 741-242800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Poste, Alethea MDProvider ID: 1545344Gender: FemaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-8484Fax: (608) 756-470500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Rejon, Veronica MDProvider ID: 1545611Gender: FemaleMercy Edgerton MedicalCenter217 N Main StEdgerton, WI 53534(608) 884-9431Fax: (608) 884-773800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Rudisill, Stephen MDProvider ID: 1488497Gender: MaleBeloit Health System OccHealth Fam1650 Lee LnBeloit, WI 53511(608) 364-4666Fax: (608) 364-467000 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 91982002

Shaikh, Suhail MDProvider ID: 1545422Gender: MaleMercy Clinic South849 Kellogg AveJanesville, WI 53546(608) 755-7960Fax: (608) 755-787300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

So, Jason DOProvider ID: 1545173Gender: MaleMercy Beloit Medical Center2825 Prairie AveBeloit, WI 53511(608) 363-5500Fax: (608) 363-553900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Tecarro, Christel MDProvider ID: 1488618Gender: FemaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737400 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 91982000

Van Beek, Rodney MDProvider ID: 1546415Gender: MaleMercy Milton Medical Center725 S Janesville StMilton, WI 53563(608) 868-5800Fax: (608) 868-585800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Wang, Jack Ky MDProvider ID: 1488557Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737400 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 91981999

White, Samuel MDProvider ID: 1545619Gender: MaleMercy Evansville MedicalCenter300 Union StEvansville, WI 53536(608) 882-5613Fax: (608) 882-633900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Internal Medicine

Akbar, Muhammad MD

Provider ID: 1545603Gender: MaleMercy Edgerton MedicalCenter217 N Main StEdgerton, WI 53534(608) 884-9431Fax: (608) 884-773800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Akbar, Muhammad MD

Provider ID: 1545606Gender: MaleMercy Hospital and TraumaCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-600000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Angevine, Mark MDProvider ID: 1545212Gender: MaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-710000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Arayan, Asma MDProvider ID: 1545154Gender: FemaleMercy Beloit Medical Center2825 Prairie AveBeloit, WI 53511(608) 363-5500Fax: (608) 363-553900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Arayan, Asma MDProvider ID: 1545155Gender: FemaleMercy Hospital and TraumaCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-6000Fax: (608) 743-321400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018



Bautista, Ryndon MDProvider ID: 1545220Gender: MaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-8484Fax: (608) 756-470500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Fitzgerald, William MDProvider ID: 1488531Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737418 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 91982023

Gold, Kenneth MDProvider ID: 1488833Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737418 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 91982019

Honarkhah, Nader MDProvider ID: 1545276Gender: MaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-8484Fax: (608) 756-729300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Juan, Henry MDProvider ID: 1545162Gender: MaleMercy Beloit Medical Center2825 Prairie AveBeloit, WI 53511(608) 363-5500Fax: (608) 363-553900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Khan, Kauseruzzaman MD

Provider ID: 1545309Gender: MaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-8484Fax: (608) 756-470500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Khan, Kauseruzzaman MD

Provider ID: 1545312Gender: MaleMercy Hospital and TraumaCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-6000Fax: (608) 756-685300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Kodras, Ronald MDProvider ID: 1488642Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737418 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 91982013

Lisek, Robert MDProvider ID: 1488777Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (815) 525-450518 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 91982008

Miller, Cheryl MDProvider ID: 1488766Gender: FemaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737418 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 91982006

Olszewski, Pawel MDProvider ID: 1488787Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737418 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 91982005

Pogorelova, Mariya MD

Provider ID: 1545709Gender: FemaleMercy Health Mall Clinic1010 N Washington St Ste 109Janesville, WI 53548(608) 741-2430Fax: (608) 741-242800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Tolentino, Annabelle MD


Pediatrics

Bindl, Nicole NpProvider ID: 1488538Gender: FemaleBeloit Health System BeloitClinic1969 W Hart RdBeloit, WI 53511(608) 364-5011Fax: (608) 363-737700 Yrs/21 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 91982027

Dygart, Kristy NpProvider ID: 1488794Gender: FemaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737400 Yrs/21 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 91982026

Eley, Cindy NpProvider ID: 1488762Gender: FemaleSchool District of BeloitHealth An1430 4th StBeloit, WI 53511(608) 361-195000 Yrs/21 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 91982025


Updated: 11/09/2018


Pediatrics - cont.

Farley, Leah MDProvider ID: 1488832Gender: FemaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-736800 Yrs/18 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 91982022

Gianvecchio, Christopher MD


Goelzer, Kristen MDProvider ID: 1545258Gender: FemaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-8484Fax: (608) 756-470500 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Goelzer, Mark MDProvider ID: 1545264Gender: MaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-8484Fax: (608) 756-470500 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Gordon, Christal MDProvider ID: 1545268Gender: FemaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-8484Fax: (608) 756-470500 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Green, Terra NpProvider ID: 1488684Gender: FemaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737400 Yrs/21 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 91982016

Grinols, James MDProvider ID: 1488504Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-220000 Yrs/18 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 91982015

Hamann, Madelene Np


Jackson, Sara NpProvider ID: 1488495Gender: FemaleBeloit Health SystemCardiology1969 W Hart RdBeloit, WI 53511(608) 364-5205Fax: (608) 363-737700 Yrs/21 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 91982014

Karmakar, Nivedita MD


Link, Helen NpProvider ID: 1488705Gender: FemaleBeloit Health SystemCounseling Car1969 W Hart RdBeloit, WI 53511(608) 364-5686Fax: (608) 363-575600 Yrs/21 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 91982009

Loconto, Elizabeth DO

Provider ID: 1545317Gender: FemaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-8484Fax: (608) 756-470500 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Mahaffey, Pamela NpProvider ID: 1488567Gender: FemaleBeloit Health System BeloitCollege700 College StBeloit, WI 53511(608) 363-233100 Yrs/21 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 91982010

Managbanag, Jenny Np

Provider ID: 1488752Gender: FemaleBeloit Health SystemCardiology1969 W Hart RdBeloit, WI 53511(608) 364-5205Fax: (608) 363-737700 Yrs/21 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 91982007

Nowak, Blaine MDProvider ID: 1545338Gender: MaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-8484Fax: (608) 756-470500 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Orcholski, Angela NpProvider ID: 1488711Gender: FemaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2220Fax: (608) 363-739500 Yrs/21 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 91982004


Updated: 11/09/2018


Pediatrics - cont.

Peete, Emarcia MDProvider ID: 1545167Gender: FemaleMercy Beloit Medical Center2825 Prairie AveBeloit, WI 53511(608) 363-5500Fax: (608) 363-553900 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Rodriguez, Abraham MD


Roe, Jonathan MDProvider ID: 1546450Gender: MaleMercy North3400 Deerfield DrJanesville, WI 53546(608) 314-3600Fax: (608) 314-364000 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Primary Care PhysiciansStark

Updated: 11/09/2018


Family Practice

Wiechert, Mark MDProvider ID: 1490341Gender: Maleam Great River Toulon120 E Court StToulon, IL 61483(877) 692-8686Fax: (309) 286-749000 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 09581877

Internal Medicine

Alford, Rodney MDProvider ID: 1559985Gender: Maleam Kankakee CHC120 E Court StToulon, IL 61483(877) 692-8686Fax: (815) 928-622500 Yrs/130 YrsLanguages: SpanishMWTHF 8:30 AM - 5:00 PMT 10:30 AM - 7:00 PMPCMH: NoMaximus ID: 09581453

Primary Care PhysiciansTazewell

Updated: 11/09/2018




Provider ID: 1501365Heartland Health Services3422 Court StPekin, IL 61554(309) 680-7600Fax: (309) 495-869800 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: NoMaximus ID: 09872351


Provider ID: 1501378Heartland Community HealthClinic B2709 Broadway StPekin, IL 61554(309) 680-7600Fax: (309) 681-844300 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Pediatrics


Provider ID: 1532423Gender: FemaleHeartland Community HealthClinic A3422 Court StPekin, IL 61554(309) 477-6000Fax: (309) 681-844300 Yrs/18 YrsM-F 8:00 AM - 4:30 PMPCMH: NoMaximus ID: 09872716

Primary Care PhysiciansWalworth

Updated: 11/09/2018


Family Practice

Allison, Daniel MDProvider ID: 1546739Gender: MaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-0535Fax: (262) 245-461900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Draper, Dominic MDProvider ID: 1545496Gender: MaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-4990Fax: (262) 245-461900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Gronau, Rachel MDProvider ID: 1545596Gender: FemaleMercy Delavan MedicalCenter1038 E Geneva StDelavan, WI 53115(262) 728-4301Fax: (262) 728-830400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Harris, Nancy MDProvider ID: 1545664Gender: FemaleMercy Whitewater MedicalCenter507 W Main StWhitewater, WI 53190(262) 473-0400Fax: (262) 473-040800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Kowalski, Jeffrey MDProvider ID: 1545616Gender: MaleMercy Elkhorn Medical Center839 N Wisconsin StElkhorn, WI 53121(262) 741-1400Fax: (262) 741-383700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

McCoy, James MDProvider ID: 1545559Gender: MaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-0535Fax: (262) 245-499800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Myron, Gary MDProvider ID: 1545562Gender: MaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-4990Fax: (262) 245-224800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Terry, Richard DOProvider ID: 1545597Gender: MaleMercy Delavan MedicalCenter1038 E Geneva StDelavan, WI 53115(262) 728-4301Fax: (608) 757-404200 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Pediatrics

Klawitter, Joseph MDProvider ID: 1596557Gender: MaleMercy Walworth Hospital andMed CenterN2950 State Rd 67Lake Geneva, WI 53147(262) 245-2230Fax: (262) 245-224800 Yrs/21 YrsMercy Health Hospital andMed Center WalworthM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 91956308

Lyon, Shaunna MDProvider ID: 1545558Gender: FemaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-0535Fax: (262) 245-237000 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Potsch, Shirley MDProvider ID: 1545580Gender: FemaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-4990Fax: (262) 245-224800 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Primary Care PhysiciansWhiteside

Updated: 11/09/2018


Family Practice

Alvarado-Urrutia, Norma Apn

Provider ID: 1538055Gender: FemaleCgh Home Nursing15 W 3rd StSterling, IL 61081(815) 564-1999Fax: (815) 632-588300 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10647311

Bird, William MDProvider ID: 1538070Gender: MaleCgh Home Nursing105 S Heaton StMorrison, IL 61270(815) 772-8100Fax: (815) 772-716300 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10647354

Blazquez, Angel MDProvider ID: 1538074Gender: MaleCgh Home Nursing15 W 3rd St Ste D1Sterling, IL 61081(815) 625-0226Fax: (815) 625-955800 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10647350

Callan, Laurie NpProvider ID: 1530067Gender: FemaleWhiteshire CountyCommunity Health1300 W 2nd StRock Falls, IL 61071(815) 626-2230Fax: (815) 626-372900 Yrs/130 YrsM-F 0:80 AM - 4:30 PMPCMH: Yes, Level 3

Cook, Donna ApnProvider ID: 1538102Gender: FemaleCgh Home Nursing100 W 1st StRock Falls, IL 61071(815) 632-5350Fax: (815) 632-585500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10647402

Dang, Phong MDProvider ID: 1538107Gender: MaleCgh Home Nursing15 W 3rd St Ste D1Sterling, IL 61081(815) 625-0226Fax: (815) 625-955800 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10647384

Devine, Jordanna ApnProvider ID: 1538110Gender: FemaleCgh Home Nursing15 W 3rd StSterling, IL 61081(815) 632-5285Fax: (815) 632-582400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10647451

Ernst, Stephanie ApnProvider ID: 1538136Gender: FemaleCgh Home Nursing15 W 3rd StSterling, IL 61081(815) 564-1999Fax: (815) 632-588300 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10647474

Garriott, Jennifer ApnProvider ID: 1538141Gender: FemaleCgh Home Nursing100 W 1st StRock Falls, IL 61071(815) 625-4790Fax: (815) 632-585500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10647479

Guthrie, Kelley MDProvider ID: 1530057Gender: FemaleWhiteshire CountyCommunity Health1300 W 2nd StRock Falls, IL 61071(815) 626-2230Fax: (815) 626-372900 Yrs/130 YrsM-F 0:80 AM - 4:30 PMPCMH: Yes, Level 3

Harrison, Stephen MD

Provider ID: 1533637Gender: MaleFulton Family Health Clinic1705 16th AveFulton, IL 61252(815) 589-2121Fax: (815) 589-446800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10692137

Health, Virginia ApnProvider ID: 1538157Gender: FemaleCgh Home Nursing15 W 3rd StSterling, IL 61081(815) 564-1999Fax: (815) 632-588300 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10647600

Ikens, Toni ApnProvider ID: 1538168Gender: FemaleCgh Home Nursing123 S Main StTampico, IL 61283(815) 438-2538Fax: (815) 632-594500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10647653

Ikens, Toni ApnProvider ID: 1561393Gender: FemaleCgh Home Nursing100 W 1st StRock Falls, IL 61071(815) 438-2538Fax: (815) 632-594500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Ikens, Toni ApnProvider ID: 1561394Gender: FemaleCgh Home Nursing15 W 3rd StSterling, IL 61081(815) 438-2538Fax: (815) 632-594500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Johnson, Brian ApnProvider ID: 1538170Gender: MaleCgh Medical Center100 E Lefevre RdSterling, IL 61081(815) 625-0400Fax: (815) 625-951400 Yrs/130 YrsPCMH: No


Updated: 11/09/2018



Jones, Marcia MDProvider ID: 1538173Gender: FemaleCgh Home Nursing3010 E Lynn BlvdSterling, IL 61081(815) 625-6750Fax: (815) 625-672800 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10647650

Jundi, Iyad MDProvider ID: 1538174Gender: MaleCgh Medical Center100 E Lefevre RdSterling, IL 61081(815) 625-4790Fax: (815) 632-584700 Yrs/130 YrsPCMH: NoMaximus ID: 10647759

Jundi, Iyad MDProvider ID: 1538175Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585100 Yrs/130 YrsPCMH: NoMaximus ID: 10647760

Krueger, Theresa NpProvider ID: 1538183Gender: FemaleCgh Medical Center1809 N Locust StSterling, IL 61081(815) 564-4002Fax: (815) 625-015400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10647765

Krueger, Theresa NpProvider ID: 1561473Gender: FemaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 564-4002Fax: (815) 625-015400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Kuhns, Eric MDProvider ID: 1538184Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-590400 Yrs/130 YrsPCMH: NoMaximus ID: 10647768

Luckey, John MDProvider ID: 1538197Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 622-1205Fax: (815) 632-584600 Yrs/130 YrsPCMH: NoMaximus ID: 10647793

Luckey, John MDProvider ID: 1538198Gender: MaleCgh Home Nursing15 W 3rd StSterling, IL 61081(815) 564-1999Fax: (815) 632-588300 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10647794

Malki, Afrem MDProvider ID: 1538201Gender: MaleCgh Home Nursing3010 E Lynn BlvdSterling, IL 61081(815) 625-6750Fax: (815) 625-672800 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10647787

Murphy, Aja DOProvider ID: 1538209Gender: FemaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-584700 Yrs/130 YrsPCMH: NoMaximus ID: 10647874

Nailor, Jeanne NpProvider ID: 1530072Gender: FemaleWhiteshire CountyCommunity Health1300 W 2nd StRock Falls, IL 61071(815) 626-2230Fax: (815) 626-372900 Yrs/130 YrsMF 0:80 AM - 4:30 PMTWTH 7:30 AM - 6:30 PMPCMH: No

O’brien, Jill NpProvider ID: 1530064Gender: FemaleWhiteshire CountyCommunity Health1300 W 2nd StRock Falls, IL 61071(815) 626-2230Fax: (815) 626-372900 Yrs/130 YrsMF 0:80 AM - 4:30 PMTWTH 7:30 AM - 6:30 PMPCMH: Yes, Level 3

Page, Gaye ApnProvider ID: 1538213Gender: FemaleCgh Home Nursing15 W 3rd St Ste D1Sterling, IL 61081(815) 625-0226Fax: (815) 625-955800 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10647879

Raju, Bharat MDProvider ID: 1538220Gender: MaleCgh Medical Center100 E Lefevre RdSterling, IL 61081(815) 625-0400Fax: (815) 625-951400 Yrs/130 YrsPCMH: NoMaximus ID: 10647979

Reter, Jason DOProvider ID: 1538221Gender: MaleCgh Home Nursing3010 E Lynn BlvdSterling, IL 61081(815) 625-6750Fax: (815) 625-672800 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10647977

Schaffert, Eric MDProvider ID: 1538228Gender: MaleCgh Medical Center100 E Lefevre RdSterling, IL 61081(815) 625-0400Fax: (815) 632-588100 Yrs/130 YrsPCMH: NoMaximus ID: 10647990


Updated: 11/09/2018



Scroggins, Shannon ApnProvider ID: 1538229Gender: FemaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-584600 Yrs/130 YrsPCMH: NoMaximus ID: 10647992

Scroggins, Shannon ApnProvider ID: 1560284Gender: FemaleCgh Medical Center15 W 3rd StSterling, IL 61081(815) 622-1205Fax: (815) 632-584600 Yrs/130 YrsPCMH: NoMaximus ID: 10682175

Smith, Denice MDProvider ID: 1530059Gender: FemaleWhiteshire CountyCommunity Health1300 W 2nd StRock Falls, IL 61071(815) 626-2230Fax: (815) 626-372900 Yrs/130 YrsMF 0:80 AM - 4:30 PMTWTH 7:30 AM - 6:30 PMPCMH: NoMaximus ID: 10672956

Steinke, Paul DOProvider ID: 1538237Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585100 Yrs/130 YrsPCMH: NoMaximus ID: 10648013

Stralow, Angela NpProvider ID: 1538239Gender: FemaleCgh Home Nursing105 S Heaton StMorrison, IL 61270(815) 772-8100Fax: (815) 772-716300 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10648044

Stralow, Angela NpProvider ID: 1560404Gender: FemaleCgh Home Nursing212 E Railroad StProphetstown, IL 61277(815) 632-5285Fax: (815) 632-582400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10682191

Toth, Peter MDProvider ID: 1538244Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-587400 Yrs/130 YrsPCMH: No

Wardell, Julie ApnProvider ID: 1538251Gender: FemaleCgh Home Nursing15 W 3rd StSterling, IL 61081(815) 564-1999Fax: (815) 632-588300 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10648066

Whelchel, Laurie NpProvider ID: 1530069Gender: FemaleWhiteshire CountyCommunity Health1300 W 2nd StRock Falls, IL 61071(815) 626-2230Fax: (815) 626-372900 Yrs/130 YrsM-F 0:80 AM - 4:30 PMPCMH: No

White, Jessica ApnProvider ID: 1560631Gender: FemaleCgh Home Nursing101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10682348

Wiersema, Cassie ApnProvider ID: 1538256Gender: FemaleCgh Home Nursing3010 E Lynn BlvdSterling, IL 61081(815) 625-4790Fax: (815) 625-672800 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10648094

Wolf, Matthew MDProvider ID: 1538257Gender: MaleCgh Home Nursing105 S Heaton StMorrison, IL 61270(815) 772-8100Fax: (815) 772-716300 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10648081

Wolf, Matthew MDProvider ID: 1538259Gender: MaleCgh Home Nursing212 E Railroad StProphetstown, IL 61277(815) 537-5050Fax: (815) 632-587300 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10648082

Wolfe, Kim ApnProvider ID: 1538260Gender: FemaleCgh Home Nursing3010 E Lynn BlvdSterling, IL 61081(815) 625-6750Fax: (815) 625-672600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10648083

Woods, Mark MDProvider ID: 1533677Gender: MaleMorrison Family Health Clinic635 E LincolnwayMorrison, IL 61270(815) 772-7491Fax: (815) 772-789100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10692233


Whiteside CountyCommunity Health Clini

Provider ID: 1530056Whiteside CountyCommunity Health Center1300 W 2nd StRock Falls, IL 61071(815) 626-2230Fax: (815) 626-372900 Yrs/130 YrsMF 0:80 AM - 4:30 PMTWTH 7:30 AM - 6:30 PMPCMH: NoMaximus ID: 10687568


Updated: 11/09/2018


Internal Medicine

Gopal, Suman MDProvider ID: 1538144Gender: FemaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-584700 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10647563

Maini, Ashok MDProvider ID: 1538200Gender: MaleCgh Medical Center100 E Lefevre RdSterling, IL 61081(815) 625-0400Fax: (815) 625-274700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10647782

Styczynski, Richard MD

Provider ID: 1538240Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-584700 Yrs/130 YrsPCMH: NoMaximus ID: 10648040

Pediatrics

Cannell, Warren MDProvider ID: 1538095Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585200 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10647356

Hart, Rita DOProvider ID: 1538155Gender: FemaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 622-1204Fax: (815) 632-585200 Yrs/18 YrsPCMH: NoMaximus ID: 10647599

Hermon, Manorama MD

Provider ID: 1538161Gender: FemaleCgh Home Nursing100 W 1st StRock Falls, IL 61071(815) 625-4790Fax: (815) 632-585500 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10647624

Salzmann, Chloe MDProvider ID: 1538227Gender: FemaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585100 Yrs/18 YrsPCMH: NoMaximus ID: 10648007

Rural Health Center

Morrison CommunityHospital Family Care

Provider ID: 1550707Morrison CommunityHospital Family303 N Jackson StMorrison, IL 61270(815) 772-4003Fax: (815) 772-555900 Yrs/130 YrsMTWTHFSatSun 8:00 AM -8:00 PMPCMH: NoMaximus ID: 10693249

Primary Care PhysiciansWinnebago

Updated: 11/09/2018


Family Practice

Amirkhan, Mohammed MD

Provider ID: 1543105Gender: MaleSA Immediate Care2473 McFarland RdRockford, IL 61107(779) 696-9202Fax: (779) 696-779400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 8:00 PMSat-Sun 10:00 AM - 6:00 PMPCMH: NoMaximus ID: 10959416

Amirkhan, Mohammed MD

Provider ID: 1543106Gender: MaleSA Stateline Clinic4282 E Rockton RdRoscoe, IL 61073(779) 696-9000Fax: (779) 696-817000 Yrs/130 YrsSwedish American HospitalM-F 11:00 AM - 8:00 PMSat-Sun 11:00 AM - 4:00 PMPCMH: NoMaximus ID: 10959417

Ansari, Mohammed MD

Provider ID: 1546119Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-986500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959418

Baris, Alvydas MDProvider ID: 1543121Gender: MaleSA Valley Clinic6824 Newburg RdRockford, IL 61108(779) 696-7610Fax: (779) 696-859200 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10953580

Bentkowski, Marek MD

Provider ID: 1488699Gender: MaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-4500Fax: (815) 525-450500 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 10981987

Bogie, Harlan MDProvider ID: 1546120Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-950100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959439

Boparai, Gurpreet MDProvider ID: 1543149Gender: FemaleSA Five Points Clinic2404 Charles StRockford, IL 61108(815) 391-7910Fax: (779) 696-791800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10959438

Bryant, Suzanne ApnProvider ID: 1543166Gender: FemaleSA Immediate Care2473 McFarland RdRockford, IL 61107(779) 696-9202Fax: (779) 696-779400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 8:00 PMSat-Sun 10:00 AM - 6:00 PMPCMH: NoMaximus ID: 10959465

Choi, Hannah MDProvider ID: 1543181Gender: FemaleSA Immediate Care2473 McFarland RdRockford, IL 61107(779) 696-9202Fax: (779) 696-779400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 8:00 PMSat-Sun 10:00 AM - 6:00 PMPCMH: NoMaximus ID: 10953597

Choi, Hannah MDProvider ID: 1543183Gender: FemaleSA Stateline Clinic4282 E Rockton RdRoscoe, IL 61073(779) 696-9000Fax: (779) 696-817000 Yrs/130 YrsSwedish American HospitalM-F 11:00 AM - 8:00 PMSat-Sun 11:00 AM - 4:00 PMPCMH: NoMaximus ID: 10959480

Christiansen, Beth Apn

Provider ID: 1543192Gender: FemaleSA Five Points Clinic2404 Charles StRockford, IL 61108(815) 391-7910Fax: (779) 696-791800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10959473

Crays, Gayle MDProvider ID: 1543202Gender: FemaleSA Stateline Clinic4282 E Rockton RdRoscoe, IL 61073(779) 696-9000Fax: (779) 696-817000 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959499

Dahm, Renee ApnProvider ID: 1543212Gender: FemaleSA Immediate Care2473 McFarland RdRockford, IL 61107(779) 696-9202Fax: (779) 696-779400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 8:00 PMSat-Sun 10:00 AM - 6:00 PMPCMH: NoMaximus ID: 10959511


Updated: 11/09/2018



Dahm, Renee ApnProvider ID: 1543215Gender: FemaleSA Stateline Clinic4282 E Rockton RdRoscoe, IL 61073(779) 696-9000Fax: (779) 696-817000 Yrs/130 YrsSwedish American HospitalM-F 11:00 AM - 8:00 PMSat-Sun 11:00 AM - 4:00 PMPCMH: NoMaximus ID: 10953604

Deladisma, Marconi MD

Provider ID: 1546121Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-943300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959506

Durani, Hina MDProvider ID: 1499987Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Durani, Hina MDProvider ID: 1560405Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Durani, Hina MDProvider ID: 1560407Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Durani, Hina MDProvider ID: 1560409Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Elezi, Luan MDProvider ID: 1488781Gender: MaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-4500Fax: (815) 525-450500 Yrs/130 YrsLanguages: Spanish, Albanian,MacedonianM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 10981986

Everson, Ralph MDProvider ID: 1543243Gender: MaleSA Valley Clinic6824 Newburg RdRockford, IL 61108(779) 696-7610Fax: (779) 696-859200 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10953645

Ferry, Tiffanie MDProvider ID: 1543247Gender: FemaleSA Woodside Clinic3775 N Mulford RdRockford, IL 61114(815) 636-6400Fax: (779) 696-848100 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10953646

Foti, Vicki ApnProvider ID: 1543255Gender: FemaleSA Stateline Clinic4282 E Rockton RdRoscoe, IL 61073(779) 696-9000Fax: (779) 696-817000 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10953705

Freeman, Lawrence Apn


Guenev, Perka MDProvider ID: 1546128Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-943300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959562

Guffey, Jennifer MDProvider ID: 1543294Gender: FemaleSA Valley Clinic6824 Newburg RdRockford, IL 61108(779) 696-7610Fax: (779) 696-859200 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10953723

Gurney, Sarah ApnProvider ID: 1543301Gender: FemaleSA Five Points Clinic2404 Charles StRockford, IL 61108(815) 391-7910Fax: (779) 696-791800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10953724

Gurtizen, Jeffrey DOProvider ID: 1543304Gender: MaleSA Stateline Clinic4282 E Rockton RdRoscoe, IL 61073(779) 696-9000Fax: (779) 696-817000 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10953725

Herman, Luke MDProvider ID: 1546124Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-950100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959596


Updated: 11/09/2018



Hitt, Rockton MDProvider ID: 1546125Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-950100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959597

Huber, Amanda ApnProvider ID: 1543354Gender: FemaleSA Stateline Clinic4282 E Rockton RdRoscoe, IL 61073(779) 696-9000Fax: (779) 696-817000 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10953748

Ives, Lauren MDProvider ID: 1543360Gender: FemaleSA Valley Clinic6824 Newburg RdRockford, IL 61108(779) 696-7610Fax: (779) 696-859200 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10953745

Johnson, Megan ApnProvider ID: 1543383Gender: FemaleSA Immediate Care2473 McFarland RdRockford, IL 61107(779) 696-9202Fax: (779) 696-779400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 8:00 PMSat-Sun 10:00 AM - 6:00 PMPCMH: NoMaximus ID: 10959613

Kafka, Julie MDProvider ID: 1546126Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-950100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959636

Kaur, Maninder MDProvider ID: 1500006Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Kaur, Maninder MDProvider ID: 1561421Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Kaur, Maninder MDProvider ID: 1561423Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Kaur, Maninder MDProvider ID: 1561428Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Kimbell, Kayla DOProvider ID: 1543426Gender: FemaleSA Brookside Specialty Center1253 N Alpine RdRockford, IL 61107(779) 696-9201Fax: (779) 696-787000 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 9:00 AM - 12:00 PMPCMH: NoMaximus ID: 10959655

Koneru, Sravantika MD

Provider ID: 1500015Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Koneru, Sravantika MDProvider ID: 1561459Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Koneru, Sravantika MDProvider ID: 1561462Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Koneru, Sravantika MDProvider ID: 1561465Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Liao, Tsai Ling MDProvider ID: 1696648Gender: FemaleUniversity Family HealthCenter1221 E State StRockford, IL 61104(815) 972-1000Fax: (815) 972-108600 Yrs/130 YrsMTH 8:00 AM - 8:00 PMTWF 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10994085


Updated: 11/09/2018



Lin, Billie MDProvider ID: 1543458Gender: FemaleSA Immediate Care2473 McFarland RdRockford, IL 61107(779) 696-9202Fax: (779) 696-779400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 8:00 PMSat-Sun 10:00 AM - 6:00 PMPCMH: NoMaximus ID: 10959693

Lin, Billie MDProvider ID: 1543461Gender: FemaleSA Stateline Clinic4282 E Rockton RdRoscoe, IL 61073(779) 696-9000Fax: (779) 696-817000 Yrs/130 YrsSwedish American HospitalM-F 11:00 AM - 8:00 PMSat-Sun 11:00 AM - 4:00 PMPCMH: NoMaximus ID: 10953775

Longnecker, Monica Apn

Provider ID: 1543465Gender: FemaleSA Valley Clinic6824 Newburg RdRockford, IL 61108(779) 696-7610Fax: (779) 696-859200 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10953777

Lupei, Nichole DOProvider ID: 1546129Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-200000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959680

Martinez, Leynard MDProvider ID: 1543482Gender: MaleSA Five Points Clinic2404 Charles StRockford, IL 61108(815) 391-7910Fax: (779) 696-791800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10959699

McNamara, Mary ApnProvider ID: 1543487Gender: FemaleSA Woodside Clinic3775 N Mulford RdRockford, IL 61114(815) 636-6400Fax: (779) 696-848100 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10959713

Michalsen, Brian DOProvider ID: 1546131Gender: MaleRockford Health Physicans102 Landmark DrWinnebago, IL 61088(815) 971-3200Fax: (815) 971-907600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959710

Miller, Kimberly MDProvider ID: 1499981Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PMPCMH: No

Miller, Kimberly MD

Provider ID: 1560001Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10981747

Miller, Kimberly MD

Provider ID: 1560003Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10981748

Miller, Kimberly MD

Provider ID: 1560005Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10981758

Nicolosi, Francis MDProvider ID: 1546122Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-950100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Norder-Brandli, Chandra Apn

Provider ID: 1543532Gender: FemaleSA Immediate Care2473 McFarland RdRockford, IL 61107(779) 696-9202Fax: (779) 696-779400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 8:00 PMSat-Sun 10:00 AM - 6:00 PMPCMH: NoMaximus ID: 10959740

Nowak, Magdalena MD

Provider ID: 1546132Gender: FemaleRockford Health Physicians3401 N Perryville Rd Ste 100Rockford, IL 61114(815) 971-2790Fax: (815) 971-747600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959747


Updated: 11/09/2018



Okeson, Edwin MDProvider ID: 1593794Gender: MaleCrusaders Central ClinicAssociatio1100 BroadwayRockford, IL 61104(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10953374

Okeson, Edwin MDProvider ID: 1593821Gender: MaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10953365

Okeson, Edwin MDProvider ID: 1593824Gender: MaleCrusaders Central ClinicAssociatio1215 N Alpine RdRockford, IL 61107(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10953380

Okeson, Edwin MDProvider ID: 1593828Gender: MaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsMTWTHFSat 8:00 AM - 5:00PMPCMH: NoMaximus ID: 10956085


Provider ID: 1499999Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-160000 Yrs/130 YrsLanguages: YorubaM-F 8:00 AM - 5:00 PMPCMH: No


Provider ID: 1560100Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: YorubaM-F 8:00 AM - 5:00 PMPCMH: Yes, Level 3Maximus ID: 10981821


Provider ID: 1560102Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-160000 Yrs/130 YrsLanguages: YorubaM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10981822


Provider ID: 1560104Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: YorubaM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10981823

Prathipati, Sushmita MD

Provider ID: 1546133Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-991600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959775

Rhyne, Christopher MD

Provider ID: 1543589Gender: MaleSA Valley Clinic6824 Newburg RdRockford, IL 61108(779) 696-7610Fax: (779) 696-859200 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10959788

Rizzo, Anthony DOProvider ID: 1546134Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-943300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959814

Rohrbacher, Melissa DO

Provider ID: 1546135Gender: FemaleRockford Health Physicians3401 N Perryville Rd Ste 100Rockford, IL 61114(815) 971-2790Fax: (815) 971-747600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959819

Rudolph, Hahn DOProvider ID: 1546136Gender: FemaleRockford Health Physicians102 Landmark DrWinnebago, IL 61088(815) 971-3200Fax: (815) 971-907600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959800

Salgado, Hugo MDProvider ID: 1543647Gender: MaleSA Immediate Care2473 McFarland RdRockford, IL 61107(779) 696-9202Fax: (779) 696-779400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 8:00 PMSat-Sun 10:00 AM - 6:00 PMPCMH: NoMaximus ID: 10959836


Updated: 11/09/2018



Salgado, Hugo MDProvider ID: 1543648Gender: MaleSA Stateline Clinic4282 E Rockton RdRoscoe, IL 61073(779) 696-9000Fax: (779) 696-817000 Yrs/130 YrsSwedish American HospitalM-F 11:00 AM - 8:00 PMSat-Sun 11:00 AM - 4:00 PMPCMH: NoMaximus ID: 10959837

Sapron, Andrea ApnProvider ID: 1543650Gender: FemaleSA Valley Clinic6824 Newburg RdRockford, IL 61108(779) 696-7610Fax: (779) 696-859200 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10953830

Schaefer, Jennifer ApnProvider ID: 1500014Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Schaefer, Jennifer ApnProvider ID: 1560270Gender: FemaleCrusaders Central ClinicAssociatio1215 N Alpine RdRockford, IL 61107(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10981960

Schaefer, Jennifer ApnProvider ID: 1560271Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10981961

Schaefer, Jennifer ApnProvider ID: 1560273Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10981962

Schaefer, Jennifer ApnProvider ID: 1560274Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10981963

Schermer, Ian MDProvider ID: 1546137Gender: MaleRockford Health Physicians3401 N Perryville Rd Ste 100Rockford, IL 61114(815) 971-2790Fax: (815) 971-747600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959823

Schiller, Thomas MDProvider ID: 1543652Gender: MaleSA Valley Clinic (CoverageOnly)6824 Newburg RdRockford, IL 61108(779) 696-7610Fax: (779) 696-859200 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10959824

Scholcoff, Eduardo MD


Schroeder, Paul MDProvider ID: 1546139Gender: MaleRockford Health Physicians3401 N Perryville Rd Ste 100Rockford, IL 61114(815) 971-2790Fax: (815) 971-747600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959829

Shrestha, Patricia MDProvider ID: 1543682Gender: FemaleSA Midtown Clinic1340 Charles St Ste 405Rockford, IL 61104(815) 967-5353Fax: (779) 696-531000 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10959851

Soni, Zinal MDProvider ID: 1543695Gender: FemaleSA Immediate Care2473 McFarland RdRockford, IL 61107(779) 696-9202Fax: (779) 696-779400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 8:00 PMSat-Sun 10:00 AM - 6:00 PMPCMH: NoMaximus ID: 10953862

Soni, Zinal MDProvider ID: 1543697Gender: FemaleSA Stateline Clinic4282 E Rockton RdRoscoe, IL 61073(779) 696-9000Fax: (779) 696-817000 Yrs/130 YrsSwedish American HospitalM-F 11:00 AM - 8:00 PMSat-Sun 11:00 AM - 4:00 PMPCMH: NoMaximus ID: 10959872

Soufan, Bassam MDProvider ID: 1546141Gender: MaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-985100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959865


Updated: 11/09/2018



Sreedharan, Manoj MD


Sreedharan, Manoj MD

Provider ID: 1543713Gender: MaleSA Stateline Clinic4282 E Rockton RdRoscoe, IL 61073(779) 696-9000Fax: (779) 696-817000 Yrs/130 YrsSwedish American HospitalM-F 11:00 AM - 8:00 PMSat-Sun 11:00 AM - 4:00 PMPCMH: NoMaximus ID: 10959866

Sridhar, Srivani MDProvider ID: 1543715Gender: FemaleSA Woodside Clinic3775 N Mulford RdRockford, IL 61114(815) 636-6400Fax: (779) 696-848100 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10959867

Sridhar, Srivani MDProvider ID: 1543718Gender: FemaleSA Regional Cancer Center3535 N Bell School RdRockford, IL 61114(779) 696-9400Fax: (779) 696-933400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959868

Stiles, Bruce MDProvider ID: 1543726Gender: MaleSA Valley Clinic6824 Newburg RdRockford, IL 61108(779) 696-7610Fax: (779) 696-859200 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10959904

Stocker, Rose DOProvider ID: 1543728Gender: FemaleSA Five Points Clinic2404 Charles StRockford, IL 61108(815) 391-7910Fax: (779) 696-791800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10953871

Strutzenberg, Jon DOProvider ID: 1546140Gender: MaleRockford Health Physicians102 Landmark DrWinnebago, IL 61088(815) 971-3200Fax: (815) 971-907600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959903

Sy, Esther MDProvider ID: 1543730Gender: FemaleSA Immediate Care2473 McFarland RdRockford, IL 61107(779) 696-9202Fax: (779) 696-779400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 8:00 PMSat-Sun 10:00 AM - 6:00 PMPCMH: NoMaximus ID: 10959892

Sy, Esther MDProvider ID: 1546142Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-950100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959893

Tase, Florentina ApnProvider ID: 1543734Gender: FemaleSA Immediate Care2473 McFarland RdRockford, IL 61107(779) 696-9202Fax: (779) 696-779400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 8:00 PMSat-Sun 10:00 AM - 6:00 PMPCMH: NoMaximus ID: 10959891

Tidwell, Tonya ApnProvider ID: 1543740Gender: FemaleSA Stateline Clinic4282 E Rockton RdRoscoe, IL 61073(779) 696-9000Fax: (779) 696-817000 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959915

Torrijos, Marden MDProvider ID: 1543742Gender: MaleSA Five Points Clinic2404 Charles StRockford, IL 61108(779) 696-7910Fax: (779) 696-791800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10959908

Trautmann, Eric MDProvider ID: 1543745Gender: MaleSA Midtown Clinic1340 Charles St Ste 405Rockford, IL 61104(815) 967-5353Fax: (779) 696-531000 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10959909

Villacorta, Jorge MDProvider ID: 1543753Gender: MaleSA Midtown Clinic1340 Charles St Ste 405Rockford, IL 61104(815) 967-5353Fax: (779) 696-531000 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10959922


Updated: 11/09/2018



Volety, Snigdha MDProvider ID: 1543754Gender: MaleSA Five Points Clinic2404 Charles StRockford, IL 61108(815) 391-7910Fax: (779) 696-791800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10953889

Walsh, Jean DOProvider ID: 1546147Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-200000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959923

Wang, Jack Ky MDProvider ID: 1488555Gender: MaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-4500Fax: (815) 525-450500 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 10981979

Warden, Fikisha MDProvider ID: 1546148Gender: FemaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-200000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10960011

Washington, Charles MD

Provider ID: 1546149Gender: MaleRockford Health Physicians2350 N Rockton Ave Ste 302Rockford, IL 61103(815) 971-7448Fax: (815) 971-985100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959941

Wolf, Katie ApnProvider ID: 1543769Gender: FemaleSA Woodside Clinic3775 N Mulford RdRockford, IL 61114(815) 636-6400Fax: (779) 696-848100 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10953909

Worthington, MacKenzie DO

Provider ID: 1543771Gender: FemaleSA Five Points Clinic2404 Charles StRockford, IL 61108(779) 696-7910Fax: (779) 696-791800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10960024

Zavala, Molly MDProvider ID: 1500060Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Zavala, Molly MDProvider ID: 1560698Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10982356

Zavala, Molly MDProvider ID: 1560700Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10982349

Zhu, Chunliu MDProvider ID: 1546150Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-950100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10960016


Aunt Marthas Health andWellness

Provider ID: 1580545Aunt Marthas RockfordCommunity1401 E State St Ste 3000Rockford, IL 61104(877) 692-868600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10996945

Crusader ClinicProvider ID: 1500070Crusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-160000 Yrs/130 YrsMTHF 8:00 AM - 5:00 PMTW 8:00 AM - 8:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10989578

Crusader ClinicProvider ID: 1580624Crusader Clinic Homeless1720 18th AveRockford, IL 61104(815) 490-1601Fax: (815) 490-162500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10993248

Crusader ClinicProvider ID: 1580625Crusader Community Health1200 W State StRockford, IL 61102(815) 490-1601Fax: (815) 490-162500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10993247

Crusader Clinic BroadwayProvider ID: 1500069Crusaders Central ClinicAssociatio1100 BroadwayRockford, IL 61104(815) 490-160000 Yrs/130 YrsMTHF 8:00 AM - 5:00 PMTW 8:00 AM - 8:00 PMSat 8:00 AM - 12:00 PMPCMH: Yes, Level 3Maximus ID: 10989628


Updated: 11/09/2018


Federally QualifiedHealth Center - cont.

Crusader Comm HealthAuburn

Provider ID: 1500075Crusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10989529

Crusader Community Health

Provider ID: 1500074Crusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-160000 Yrs/130 YrsMTH 8:00 AM - 8:00 PMTWF 8:00 AM - 5:00 PMPCMH: Yes, Level 3Maximus ID: 10989750

Crusader Community HealthSouth

Provider ID: 1500077Crusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-160000 Yrs/130 YrsM-TH 1:00 AM - 5:00 PMPCMH: NoMaximus ID: 10989468

Crusader Community HealthSouth

Provider ID: 1500078Crusaders Central ClinicAssociatio840 Blackhawk BlvdSouth Beloit, IL 61080(815) 490-160000 Yrs/130 YrsM-TH 8:30 AM - 12:00 PMPCMH: NoMaximus ID: 10989469

Crusaders Central ClinicAssoc

Provider ID: 1500072Crusaders Central ClinicAssociatio1215 N Alpine RdRockford, IL 61107(815) 490-160000 Yrs/130 YrsMW 8:00 AM - 8:00 PMTTHF 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10989684

Rosecrance Ware CenterProvider ID: 1500079Crusaders Central ClinicAssociatio2704 N Main StRockford, IL 61103(815) 490-160000 Yrs/130 YrsM 1:00 AM - 5:00 PMPCMH: NoMaximus ID: 10989589

General Practice

Michalsen, Thomas DO

Provider ID: 1530961Gender: MalePhysicians Associates LTDDBA Cherr1848 Daimler RdRockford, IL 61112(815) 229-2500Fax: (815) 229-898200 Yrs/130 YrsMTH 9:00 AM - 12:30 PMTW 1:00 AM - 5:00 PMPCMH: NoMaximus ID: 10992166

Internal Medicine

Brito, Tracy MDProvider ID: 1546206Gender: FemaleRockford Health Physicians3401 N Perryville RdRockford, IL 61114(815) 971-2000Fax: (815) 971-944700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959467

Brown, Mary MDProvider ID: 1560089Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10981562

Brown, Mary MDProvider ID: 1560091Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10981563

Brown, Mary MDProvider ID: 1560093Gender: FemaleCrusaders Central ClinicAssociatio1215 N Alpine RdRockford, IL 61107(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10981564

Bucha, Jurate MDProvider ID: 1543169Gender: FemaleSA Woodside Clinic3775 N Mulford RdRockford, IL 61114(815) 636-6400Fax: (779) 696-848112 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10959454

Coates, Aaron MDProvider ID: 1546207Gender: MaleRockford Health Physicians3401 N Perryville Rd Ste 100Rockford, IL 61114(815) 971-2790Fax: (815) 971-747600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959503

Deguide, Susan MDProvider ID: 1543224Gender: FemaleSA North Main Clinic2601 N Main StRockford, IL 61103(779) 696-8350Fax: (815) 987-180612 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959505

Glovsky, Robert MDProvider ID: 1546208Gender: MaleRockford Health Physicians7702 N Alpine RdLoves Park, IL 61111(815) 971-2000Fax: (815) 654-626600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959542


Updated: 11/09/2018



Hansen, David MDProvider ID: 1546209Gender: MaleRockford Health Physicians5000 Prairie Rose DrRoscoe, IL 61073(815) 971-2000Fax: (815) 971-907000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959584

Herdeman, Daniel MDProvider ID: 1543334Gender: MaleSA Woodside Clinic3775 N Mulford RdRockford, IL 61114(815) 636-6400Fax: (779) 696-848112 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10953733

Lisek, Robert MDProvider ID: 1488776Gender: MaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-4500Fax: (815) 525-450518 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 10981982

Mitchell, David MDProvider ID: 1546210Gender: MaleRockford Health Physicians5970 Churchview DrRockford, IL 61107(815) 971-2000Fax: (815) 971-997800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959738

Monkemeyer, Jon MDProvider ID: 1546211Gender: MaleRockford Health Physicians5970 Churchview DrRockford, IL 61107(815) 971-2000Fax: (815) 971-997800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959731

Muhammad, Tracy MDProvider ID: 1546212Gender: FemaleRockford Health Physicians3401 N Perryville Rd Ste 100Rockford, IL 61114(815) 971-2790Fax: (815) 971-944700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959719

Norem, Dennis MDProvider ID: 1546213Gender: MaleRockford Health Physicians5970 Churchview DrRockford, IL 61107(815) 971-2000Fax: (815) 971-997800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959743

Petersen, Kenneth MDProvider ID: 1546214Gender: MaleRockford Health Physicians7702 N Alpine RdLoves Park, IL 61111(815) 971-2000Fax: (815) 971-926600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959781

Phelan, Peter MDProvider ID: 1543568Gender: MaleSA Woodside Clinic3775 N Mulford RdRockford, IL 61114(815) 636-6400Fax: (779) 696-848112 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10959784

Racanelli, Vincent DOProvider ID: 1546215Gender: MaleRockford Health Physicians2400 N Rockton AveRockford, IL 61103(815) 971-2404Fax: (815) 971-258500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959794

Razbadouski, Linda MD

Provider ID: 1543579Gender: FemaleSA North Main Clinic2601 N Main StRockford, IL 61103(815) 987-1802Fax: (815) 987-180612 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959789

Rizvi, Syed MDProvider ID: 1543602Gender: MaleSA Midtown Clinic1340 Charles St Ste 405Rockford, IL 61104(815) 967-5353Fax: (779) 696-531012 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10959813

Rogers, Craig MDProvider ID: 1546216Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-943300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959817

Rone, Arthur MDProvider ID: 1546217Gender: MaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-7210Fax: (815) 971-995400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959815

Salazar, Jose MDProvider ID: 1543643Gender: MaleSA Woodside Clinic3775 N Mulford RdRockford, IL 61114(815) 636-6400Fax: (779) 696-848112 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10959845

Sekulic, Dusica MDProvider ID: 1546218Gender: FemaleRockford Health Physicians5000 Prairie Rose DrRoscoe, IL 61073(815) 971-2000Fax: (815) 971-903200 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959828


Updated: 11/09/2018



Steffen, Jane ApnProvider ID: 1543722Gender: FemaleSA North Main Clinic2601 N Main StRockford, IL 61103(815) 987-1802Fax: (815) 987-180612 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959901

Sy, Larry MDProvider ID: 1560518Gender: MaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10982283

Sy, Larry MDProvider ID: 1560521Gender: MaleCrusaders Central ClinicAssociatio1215 N Alpine RdRockford, IL 61107(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10982284

Sy, Larry MDProvider ID: 1560523Gender: MaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10982285

Sy, Larry MDProvider ID: 1560526Gender: MaleCrusaders Central ClinicAssociatio1100 BroadwayRockford, IL 61104(815) 490-1600Fax: (815) 490-148500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: Yes, Level 3Maximus ID: 10982286

Syed, Javeria MDProvider ID: 1500028Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10989543

Syed, Javeria MDProvider ID: 1560527Gender: FemaleCrusaders Central ClinicAssociatio1100 BroadwayRockford, IL 61104(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10982287

Syed, Javeria MDProvider ID: 1560531Gender: FemaleCrusaders Central ClinicAssociatio1215 N Alpine RdRockford, IL 61107(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10982292

Syed, Javeria MDProvider ID: 1560535Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10982293

Williams, Allen MDProvider ID: 1543765Gender: MaleSA Woodside Clinic3775 N Mulford RdRockford, IL 61114(815) 636-6400Fax: (779) 696-848112 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10953899


Al Khabbaz, Antoun MD

Provider ID: 1499925Gender: MaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: Spanish, ArabicM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10992081


Provider ID: 1593839Gender: MaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10953388


Provider ID: 1593843Gender: MaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10956084

Arynova, Bakytbubu MDProvider ID: 1499938Gender: FemaleCrusaders Central ClinicAssociatio1100 BroadwayRockford, IL 61104(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Arynova, Bakytbubu MDProvider ID: 1499938Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Obstetrics/Gynecology -cont.

Arynova, Bakytbubu MDProvider ID: 1499938Gender: FemaleCrusaders Central ClinicAssociatio1215 N Alpine RdRockford, IL 61107(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Arynova, Bakytbubu MDProvider ID: 1499938Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Pediatrics

Anaene, Mutimbwa MDProvider ID: 1499930Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Anaene, Mutimbwa MDProvider ID: 1559995Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-160000 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10981459

Anaene, Mutimbwa MDProvider ID: 1559997Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10981460

Anaene, Mutimbwa MDProvider ID: 1559999Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-160000 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10981461

Beaves, Sarah MDProvider ID: 1546495Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-943300 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959428

Bhateja, Manika MDProvider ID: 1543140Gender: FemaleSA Stateline Clinic4282 E Rockton RdRoscoe, IL 61073(779) 696-9000Fax: (779) 696-817000 Yrs/18 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959451

Castillo Clavijo, Maria MDProvider ID: 1499973Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-160000 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Provider ID: 1560120Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10981651


Provider ID: 1560125Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-160000 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10981649


Provider ID: 1560127Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-160000 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10981650

Davis, Raymond MDProvider ID: 1546498Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-943300 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959513

Geddes, Andrew MDProvider ID: 1543270Gender: MaleSA Woodside Clinic3775 N Mulford RdRockford, IL 61114(815) 636-6400Fax: (779) 696-848100 Yrs/18 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10953693

Green, Terra NpProvider ID: 1488682Gender: FemaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-450000 Yrs/21 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 10981984

Hall, Kendra MDProvider ID: 1543313Gender: FemaleSA Rock Valley6861 Villagreen ViewRockford, IL 61107(779) 696-1815Fax: (815) 637-199800 Yrs/18 YrsSwedish American HospitalM-F 8:00 AM - 4:30 PMPCMH: NoMaximus ID: 10953718


Updated: 11/09/2018


Pediatrics - cont.

Hart, John MDProvider ID: 1546501Gender: MaleRockford Health Physicians5727 Strathmoor Dr Ste 1Rockford, IL 61107(815) 971-3160Fax: (815) 398-162900 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959571

Hornbach, Mark MDProvider ID: 1546504Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-943300 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959587

Hutt, William MDProvider ID: 1546507Gender: MaleRockford Health Physicians5970 Churchview DrRockford, IL 61107(815) 971-2000Fax: (815) 971-997800 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959633

Karmakar, Nivedita MD

Provider ID: 1488640Gender: FemaleBeloit Health SystemNorthpointe5605 E Rockton Rd Fl 2Roscoe, IL 61073(815) 525-4500Fax: (815) 525-450500 Yrs/18 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 10981983

Kaskavage, Jillian MDProvider ID: 1546509Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-200000 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959638

Malabanan, Raquel MDProvider ID: 1500020Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No


Provider ID: 1559972Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10981734


Provider ID: 1561498Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No


Provider ID: 1561500Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Martinez, Maria MDProvider ID: 1546512Gender: FemaleRockford Health Physicians5970 Churchview DrRockford, IL 61107(815) 971-2000Fax: (815) 971-997800 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959700

Moody, Patricia MDProvider ID: 1546515Gender: FemaleRockford Health Physicians2780 McFarland RdRockford, IL 61107(815) 971-2000Fax: (815) 971-994100 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959736

Mulder, Brian NpProvider ID: 1488753Gender: MaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-4410Fax: (815) 525-441500 Yrs/21 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 10981981

Ortega, Romulo MDProvider ID: 1546517Gender: MaleRockford Health Physicians7702 N Alpine RdLoves Park, IL 61111(815) 971-2000Fax: (815) 971-926600 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959764

Panzica, Patricia MDProvider ID: 1546519Gender: FemaleRockford Health Physicians5727 Strathmoor Dr Ste 1Rockford, IL 61107(815) 971-3160Fax: (815) 398-162900 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959770

Perryman, John MDProvider ID: 1546520Gender: MaleRockford Health Physicians7702 N Alpine RdLoves Park, IL 61111(815) 971-200000 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959779

Phelan, Karen MDProvider ID: 1546526Gender: FemaleRockford Health Physicians2780 McFarland RdRockford, IL 61107(815) 971-2000Fax: (815) 971-994100 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959782


Updated: 11/09/2018


Pediatrics - cont.

Potts, Michael MDProvider ID: 1546523Gender: MaleRockford Health Physicians2780 McFarland RdRockford, IL 61107(815) 971-2000Fax: (815) 971-994100 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959772

Ramilo, Anselma MDProvider ID: 1500007Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Ramilo, Anselma MDProvider ID: 1560201Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10981907

Ramilo, Anselma MDProvider ID: 1560203Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10981908

Renk, William MDProvider ID: 1543582Gender: MaleSA Woodside Clinic3775 N Mulford RdRockford, IL 61114(815) 636-6400Fax: (779) 696-848100 Yrs/18 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: NoMaximus ID: 10953825

Rhodes, Sharon MDProvider ID: 1546528Gender: FemaleRockford Health Physicians5970 Churchview DrRockford, IL 61107(815) 971-2000Fax: (815) 971-997800 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959786

Rodriguez, Abraham MD

Provider ID: 1488659Gender: MaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-4500Fax: (815) 525-450500 Yrs/18 YrsM-F 8:30 AM - 5:30 PMPCMH: NoMaximus ID: 10981980

Sharp, Heather ApnProvider ID: 1500016Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-160000 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Sharp, Heather ApnProvider ID: 1560291Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10982153

Sharp, Heather ApnProvider ID: 1560293Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-160000 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10982156

Sharp, Heather ApnProvider ID: 1560294Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10982157

Taylor, Jane MDProvider ID: 1546531Gender: FemaleRockford Health Physicians5000 Prairie Rose DrRoscoe, IL 61073(815) 971-2000Fax: (815) 971-907000 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 10959917

Zibert, Sara MDProvider ID: 1560703Gender: FemaleCrusaders Central ClinicAssociatio2704 N Main StRockford, IL 61103(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10982350

Zibert, Sara MDProvider ID: 1560707Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10982352

Zibert, Sara MDProvider ID: 1560708Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10982353

Zibert, Sara MDProvider ID: 1560709Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 10982354

Specialty PhysiciansBoone

Updated: 11/09/2018


General Dentistry

Bartman, Holly DDSProvider ID: TPVP82240-01Gender: FemaleCrusader Central ClinicAssociation1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Girgis, Dina DDSProvider ID: TPVP138202-01Gender: FemaleCrusader Central ClinicAssociation1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Ikram, Moeen DDSProvider ID: TPV019026480-02Gender: MaleConfident Smile Dental PC360 W Chrysler DrBelvidere, IL 61008(815) 975-9048Fax: (815) 975-905600 Yrs/99 YrsLanguages: KoreanM-F 10:00 AM - 6:00 PMSat 9:00 AM - 2:00 PMPCMH: No

Kim, Hyun DDSProvider ID: TPVP141150-03Gender: MaleConfident Smile Dental PC360 W Chrysler DrBelvidere, IL 61008(815) 975-9048Fax: (815) 975-905600 Yrs/99 YrsLanguages: KoreanM-F 10:00 AM - 6:00 PMSat 9:00 AM - 2:00 PMPCMH: No

Lallas, June DDSProvider ID: TPVP138201-01Gender: FemaleCrusader Central ClinicAssociation1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Lodhi, Tania DDSProvider ID: TPVP88439-13Gender: MaleConfident Smile Dental PC360 W Chrysler DrBelvidere, IL 61008(815) 975-9048Fax: (815) 975-905600 Yrs/99 YrsLanguages: KoreanM-F 10:00 AM - 6:00 PMSat 9:00 AM - 2:00 PMPCMH: No

Lofvall, Cristian DDSProvider ID: TPVP144328-01Gender: MaleCrusader Central ClinicAssociation1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Moustafa, Tamer DDSProvider ID: TPVP147377-01Gender: MaleCrusader Central ClinicAssociation1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: Spanish, ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Newcomer, Isabella DDSProvider ID: TPVP169911-01Gender: FemaleCrusader Central ClinicAssociation1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Sannapareddy, Umapriya DDS

Provider ID: TPVP127815-06Gender: FemaleConfident Smile Dental PC360 W Chrysler DrBelvidere, IL 61008(815) 975-9048Fax: (815) 975-905600 Yrs/99 YrsLanguages: KoreanM-F 10:00 AM - 6:00 PMSat 9:00 AM - 2:00 PMPCMH: No

Setti, Sony DDSProvider ID: TPVP110569-28Gender: MaleConfident Smile Dental PC360 W Chrysler DrBelvidere, IL 61008(815) 975-9048Fax: (815) 975-905600 Yrs/99 YrsLanguages: KoreanM-F 10:00 AM - 6:00 PMSat 9:00 AM - 2:00 PMPCMH: No

Syed, Mazher DDSProvider ID: TPVP147180-03Gender: MaleConfident Smile Dental PC360 W Chrysler DrBelvidere, IL 61008(815) 975-9048Fax: (815) 975-905600 Yrs/99 YrsLanguages: KoreanM-F 10:00 AM - 6:00 PMSat 9:00 AM - 2:00 PMPCMH: No

Tarapore, Roxanne DDSProvider ID: TPVP163864-01Gender: FemaleCrusader Central ClinicAssociation1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Gynecology

Bush, Amanda MDProvider ID: 1543171Gender: FemaleSA Belvidere Clinic1700 Henry Luckow LnBelvidere, IL 61008(779) 696-8650Fax: (815) 544-469100 Yrs/130 YrsSwedish American HospitalMF 8:00 AM - 5:00 PMTWTH 8:00 AM - 7:00 PMSat 8:30 AM - 12:00 PMPCMH: No

Hoyer, Erica ApnProvider ID: 1543349Gender: FemaleSA Belvidere Clinic1700 Henry Luckow LnBelvidere, IL 61008(779) 696-8650Fax: (815) 544-469100 Yrs/130 YrsSwedish American HospitalMF 8:00 AM - 5:00 PMTWTH 8:00 AM - 7:00 PMSat 8:30 AM - 12:00 PMPCMH: No

Specialty PhysiciansBoone

Updated: 11/09/2018



Edwards, Vernee MDProvider ID: 1499990Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Nanabawa, Zakera MDProvider ID: 1499993Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Yarr Zandri, Jessica MDProvider ID: 1500055Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Optometry

Pawlak, William ODProvider ID: TPV1518936715-0Gender: MaleWilliam Pawlak PC2101 Gateway Center DRBelvidere, IL 61008(815) 547-5950Fax: (815) 547-705701 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 12:00 AM - 5:00 PMPCMH: No

Pedodontics

Malcolm, Andy DDSProvider ID: TPVP67278-01Gender: MaleMalcolm Pediatric Dentistry163 Cadillac Ct Ste 3Belvidere, IL 61008(815) 544-0909Fax: (815) 544-092200 Yrs/99 YrsLanguages: SpanishM-TH 7:30 AM - 4:30 PMPCMH: No

Patel, Dhara DDSProvider ID: TPVP138867-01Gender: FemaleConfident Smile Dental PC360 W Chrysler DrBelvidere, IL 61008(815) 975-9048Fax: (815) 975-905600 Yrs/99 YrsLanguages: KoreanM-F 10:00 AM - 6:00 PMSat 9:00 AM - 2:00 PMPCMH: No

Podiatry

Corcoran, Michael DPM

Provider ID: 1543199Gender: MaleSA Belvidere Clinic1700 Henry Luckow LnBelvidere, IL 61008(779) 696-8650Fax: (815) 544-469100 Yrs/130 YrsSwedish American HospitalMF 8:00 AM - 5:00 PMTWTH 8:00 AM - 7:00 PMSat 8:30 AM - 12:00 PMPCMH: No

Mertzenich, Edmond DPMProvider ID: 1499978Gender: MaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Psychiatry

Dsouza, Anthony MDProvider ID: 1627065Gender: MaleRosecrance Inc915 Alexandra DrBelvidere, IL 61008(888) 928-527800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Substance Abuse

Rosecrance IncProvider ID: 1636792Rosecrance Belvidere Clinic915 Alexandra DrBelvidere, IL 61008(888) 928-527813 Yrs/65 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Specialty PhysiciansBureau

Updated: 11/09/2018


Allergy & Immunology

Ewbank, Penelope MDProvider ID: 1524475Gender: FemaleAllergy and Asthma of IllinoisSC530 Park Ave E Ste 409Princeton, IL 61356(309) 691-5200Fax: (309) 691-520100 Yrs/130 YrsM 9:00 AM - 2:30 PMPCMH: No

Smart, Stephen MDProvider ID: 1523693Gender: MaleAllergy and Asthma of Illinois530 Park Ave East Ste 409Princeton, IL 61356(309) 691-520000 Yrs/130 YrsM 9:00 AM - 5:00 PMPCMH: No

Gastroenterology

Muller, Jo NpProvider ID: 1609701Gender: FemaleAssoc GastroenterologyConsultants531 Park Ave E Ste 207Ottawa, IL 61356(815) 875-866700 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Edwards, Jeffrey MDProvider ID: 1567855Gender: MaleIvch Medical Group WomensHealth Ca530 Park Ave E Ste 403Princeton, IL 61356(815) 223-2944Fax: (815) 223-409500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Granberry, Kemoria MDProvider ID: 1567857Gender: FemaleIvch Medical Group WomensHealth Ca530 Park Ave E Ste 403Princeton, IL 61356(815) 223-2944Fax: (815) 223-409500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Maschmann, Jennifer MD

Provider ID: 1509422Gender: FemaleSMH Women's Health Clinic600 E First StSpring Valley, IL 61362(815) 663-2300Fax: (815) 663-330200 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Narinedhat, Ralph MDProvider ID: 1509431Gender: MaleSMH Center For Family Health1916 N Main StPrinceton, IL 61356(815) 875-4428Fax: (815) 879-061000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Narinedhat, Ralph MDProvider ID: 1509431Gender: MaleSt Marg Womens HealthCenter600 E First StSpring Valley, IL 61362(815) 663-2300Fax: (815) 663-330200 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Toraason, Norah MDProvider ID: 1509467Gender: FemaleSt Marg Women's HealthClinic600 E First StSpring Valley, IL 61362(815) 663-2300Fax: (815) 663-330200 Yrs/130 YrsPCMH: No

Whatcott, Craig MDProvider ID: 1509476Gender: MaleSt Marg Womens HealthClinic600 E First StSpring Valley, IL 61362(815) 663-2300Fax: (815) 663-330200 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Optometry

Dzik, Jeffrey ODProvider ID: TPV1912932807-0Gender: MaleJeffrey D Dzik2111 Claude Bailey PkwyPrinceton, IL 61356(815) 879-3210Fax: (815) 879-371003 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat 8:00 AM - 7:00 PMSun 12:00 AM - 5:00 PMPCMH: No

Psychiatry

Shepherd, Benjamin MD

Provider ID: 1509456Gender: MaleSMH Center For Family Health1916 N Main StPrinceton, IL 61356(815) 663-2165Fax: (815) 664-050900 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 01553582

Psychology

Dalfiume, Luke PHDProvider ID: 1524836Gender: MaleJohn R Day and AssociatesLTD28 E Marion StPrinceton, IL 61356(309) 692-7755Fax: (309) 692-226202 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

McCray, Mikell PsyDProvider ID: 1524844Gender: FemaleJohn R Day Associates LTDDBA Chri28 E Marion StPrinceton, IL 61356(309) 692-7755Fax: (309) 692-226202 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

McCray, Mikell PsyDProvider ID: 1524844Gender: FemaleJohn R Day and AssociatesLTD8 S Main St Ste 200Princeton, IL 51356(309) 692-7755Fax: (309) 692-226202 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Morrison, Jennifer PsyDProvider ID: 1542212Gender: FemaleJohn R Day and AssociatesLTD28 E Marion St Ste 4Princeton, IL 61356(309) 692-7755Fax: (309) 692-226200 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Specialty PhysiciansClinton

Updated: 11/09/2018


Cardiology

Albaghdadi, Ali MD

Provider ID: 1533620Gender: MaleDewitt Family Health Clinic1021 11th StDewitt, IA 52742(563) 659-9294Fax: (563) 659-810400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Albaghdadi, Ali MD

Provider ID: 1533620Gender: MaleMedical Associates of ClintonIA Pl915 13th Ave NClinton, IA 52732(563) 243-2511Fax: (563) 243-729000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Albaghdadi, Saadi MD


Rasheed, Qaiser MDProvider ID: 1533667Gender: Male1410 N 4th St Ste A102Clinton, IA 52732(563) 244-555500 Yrs/130 YrsPCMH: No

Rasheed, Qaiser MD


Ear, Nose & Throat

Carney, Cassie DOProvider ID: 1533626Gender: Female1021 11th StDe Witt, IA 52742(563) 659-9294Fax: (563) 659-810400 Yrs/130 YrsPCMH: No

Carney, Cassie DOProvider ID: 1533626Gender: FemaleMedical Associates of ClintonIA Pl915 13th Ave NClinton, IA 52732(563) 243-2511Fax: (563) 519-191700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Giesler, Melanie DO

Provider ID: 1533635Gender: FemaleMedical Associates of ClintonIA Pl915 13th Ave NClinton, IA 52732(563) 243-2511Fax: (563) 519-191700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

General Dentistry

Bidkar, Vibhor DMDProvider ID: TPVP143690-01Gender: MaleCommunity Health Care Inc925 S 4th StClinton, IA 52732(563) 336-300000 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Bittner, Kelsey DDSProvider ID: TPVP166425-01Gender: FemaleCommunity Health Care Inc925 S 4th StClinton, IA 52732(563) 336-300000 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Hendricks, Demi DDSProvider ID: TPVP157368-01Gender: FemaleCommunity Health Care Inc925 S 4th StClinton, IA 52732(563) 336-300000 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Horihan, Kate DDSProvider ID: TPVP157369-01Gender: FemaleCommunity Health Care Inc925 S 4th StClinton, IA 52732(563) 336-300000 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Obah, Uzoma DDSProvider ID: TPVP151799-01Gender: FemaleCommunity Health Care Inc925 S 4th StClinton, IA 52732(563) 336-300000 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Singh, Anupam DMDProvider ID: TPVP163530-01Gender: MaleCommunity Health Care Inc925 S 4th StClinton, IA 52732(563) 336-300000 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Stumphy, Mark DMDProvider ID: TPVP151917-02Gender: MaleCommunity Health Care Inc925 S 4th StClinton, IA 52732(563) 336-300000 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Virdi, Manisha DDSProvider ID: TPVP157363-01Gender: FemaleCommunity Health Care Inc925 S 4th StClinton, IA 52732(563) 336-300000 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


General Surgery

Hibler, Betty MDProvider ID: 1533639Gender: FemaleMedical Associates of ClintonIA Pl915 13th Ave NClinton, IA 52732(563) 243-2511Fax: (563) 243-357000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Olney, James MDProvider ID: 1533659Gender: Male1410 N 4th St Ste A102Clinton, IA 52732(563) 244-555500 Yrs/130 YrsPCMH: No

Olney, James MDProvider ID: 1533659Gender: MaleMedical Associates of ClintonIA Pl915 13th Ave NClinton, IA 52732(563) 243-2511Fax: (563) 243-357000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Aggarwal, Anoop MD


Nephrology

Ansari, Anis MDProvider ID: 1533623Gender: Male1410 N 4th StClinton, IA 52732(563) 244-555500 Yrs/130 YrsPCMH: No

Ansari, Anis MDProvider ID: 1533623Gender: MaleMedical Associates of ClintonIA Pl915 13th Ave NClinton, IA 52732(563) 243-2511Fax: (563) 243-947100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Anderson, Mary MD


Donnelly, Robert MDProvider ID: 1533631Gender: Male1410 N 4th StClinton, IA 52732(563) 244-555500 Yrs/130 YrsPCMH: No

Donnelly, Robert MDProvider ID: 1533631Gender: Male841 Springdale DrClinton, IA 52732(563) 244-9955Fax: (563) 243-346100 Yrs/130 YrsPCMH: No

Donnelly, Robert MD


Lopez Cortes, Anthonie MD


Ophthalmology

Borgwardt, Brad MD


Orthopaedic Surgery

Colah, Xerxes MDProvider ID: 1533628Gender: Male1410 N 4th StClinton, IA 52732(563) 244-555500 Yrs/130 YrsPCMH: No

Colah, Xerxes MDProvider ID: 1533628Gender: Male2400 Lillian WayClinton, IA 52732(563) 243-1200Fax: (563) 242-067100 Yrs/130 YrsPCMH: No

Colah, Xerxes MDProvider ID: 1533628Gender: MaleMedical Associates of ClintonIA Pl915 13th Ave NClinton, IA 52732(563) 243-2511Fax: (563) 243-081700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Podiatry

Nickles, William DPM



Updated: 11/09/2018


Rheumatology

Rasheed, Anwer MD


Urology

Wolf, Margaret MDProvider ID: 1533676Gender: Female1410 N 4th St Ste A102Clinton, IA 52732(563) 244-555500 Yrs/130 YrsPCMH: No

Wolf, Margaret MD


Specialty PhysiciansDekalb

Updated: 11/09/2018


General Dentistry

Aliaj, Erid DDSProvider ID: TPVP145733-04Gender: MaleDental Fields2235 Sycamore RdDekalb, IL 60115(630) 530-9000Fax: (815) 901-031100 Yrs/99 YrsLanguages: Spanish, AlbanianMTTH 10:00 AM - 6:00 PMW 9:00 AM - 6:00 PMF 10:00 AM - 7:00 PMSat 9:00 AM - 2:00 PMPCMH: No

Alsibaie, Lina DMDProvider ID: TPVP175151-04Gender: FemaleOrthodontic Experts2335 Sycamore RdDekalb, IL 60115(815) 756-520000 Yrs/99 YrsLanguages: RussianMT 10:00 AM - 3:00 PMWTH 9:00 AM - 3:00 PMF 8:00 AM - 3:00 PMPCMH: No

Guevarra, Mark DMDProvider ID: TPVP175245-04Gender: MaleOrthodontic Experts2335 Sycamore RdDekalb, IL 60115(815) 756-520000 Yrs/99 YrsLanguages: RussianMT 10:00 AM - 3:00 PMWTH 9:00 AM - 3:00 PMF 8:00 AM - 3:00 PMPCMH: No

Hackney, Henry DMDProvider ID: TPVP158469-01Gender: MaleDekamore Dental PC2563 Sycamore RdDekalb, IL 60115(815) 748-2666Fax: (815) 748-398100 Yrs/99 YrsLanguages: SpanishMW 9:30 AM - 6:30 PMTTH 9:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Kaczynski, Thomas DDSProvider ID: TPVP129226-02Gender: MaleDekamore Dental PC2563 Sycamore RdDekalb, IL 60115(815) 748-2666Fax: (815) 748-398100 Yrs/99 YrsLanguages: Spanish, PolishMW 9:30 AM - 6:30 PMTTH 9:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Lablonde, Brian DDSProvider ID: TPVP122325-05Gender: MaleOrthodontic Experts2335 Sycamore RdDekalb, IL 60115(815) 756-520000 Yrs/99 YrsLanguages: RussianMT 10:00 AM - 3:00 PMWTH 9:00 AM - 3:00 PMF 8:00 AM - 3:00 PMPCMH: No

Layer, Theron DDSProvider ID: TPVP153521-01Gender: MaleDekamore Dental PC2563 Sycamore RdDekalb, IL 60115(815) 748-2666Fax: (815) 748-398100 Yrs/99 YrsLanguages: SpanishMW 9:30 AM - 6:30 PMTTH 9:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Locascio, Vincent DMDProvider ID: TPVP168050-01Gender: MaleDekamore Dental PC2563 Sycamore RdDekalb, IL 60115(815) 748-2666Fax: (815) 748-398100 Yrs/99 YrsLanguages: SpanishMW 9:30 AM - 6:30 PMTTH 9:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Ninan, Elizabeth DMDProvider ID: TPVP170087-01Gender: FemaleDental Fields2235 Sycamore RdDekalb, IL 60115(630) 530-9000Fax: (815) 901-031100 Yrs/99 YrsLanguages: SpanishMTTH 10:00 AM - 6:00 PMW 9:00 AM - 6:00 PMF 10:00 AM - 7:00 PMSat 9:00 AM - 2:00 PMPCMH: No

OH, Hyun DDSProvider ID: TPV019029167-36Gender: MaleDekamore Dental PC2563 Sycamore RdDekalb, IL 60115(815) 748-2666Fax: (815) 748-398100 Yrs/99 YrsLanguages: SpanishMW 9:30 AM - 6:30 PMTTH 9:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Patel, Amee DMDProvider ID: TPVP163668-01Gender: FemaleDental Fields2235 Sycamore RdDekalb, IL 60115(630) 530-9000Fax: (815) 901-031100 Yrs/99 YrsLanguages: SpanishMTTH 10:00 AM - 6:00 PMW 9:00 AM - 6:00 PMF 10:00 AM - 7:00 PMSat 9:00 AM - 2:00 PMPCMH: No

Patel, Jabal DDSProvider ID: TPVP65436-01Gender: MaleDekamore Dental PC2563 Sycamore RdDekalb, IL 60115(815) 748-2666Fax: (815) 748-398100 Yrs/99 YrsLanguages: Spanish, HindiMW 9:30 AM - 6:30 PMTTH 9:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No


Updated: 11/09/2018


General Dentistry - cont.

Revich, Yelena DDSProvider ID: TPVP65644-02Gender: FemaleDekamore Dental PC2563 Sycamore RdDekalb, IL 60115(815) 748-2666Fax: (815) 748-398100 Yrs/99 YrsLanguages: Spanish, RussianMW 9:30 AM - 6:30 PMTTH 9:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Sharma, Nishu DDSProvider ID: TPV019028703-34Gender: FemaleDental Fields2235 Sycamore RdDekalb, IL 60115(630) 530-9000Fax: (815) 901-031100 Yrs/99 YrsLanguages: SpanishMTTH 10:00 AM - 6:00 PMW 9:00 AM - 6:00 PMF 10:00 AM - 7:00 PMSat 9:00 AM - 2:00 PMPCMH: No

Srinivasa, Aparna DDSProvider ID: TPVP102559-01Gender: FemaleDekamore Dental PC2563 Sycamore RdDekalb, IL 60115(815) 748-2666Fax: (815) 748-398100 Yrs/99 YrsLanguages: SpanishMW 9:30 AM - 6:30 PMTTH 9:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Vasudevan, Paridhie DMDProvider ID: TPVP175105-01Gender: FemaleDekamore Dental PC2563 Sycamore RdDekalb, IL 60115(815) 748-2666Fax: (815) 748-398100 Yrs/99 YrsLanguages: SpanishMW 9:30 AM - 6:30 PMTTH 9:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Waid, Kory DDSProvider ID: TPVP78399-02Gender: MaleDekamore Dental PC2563 Sycamore RdDekalb, IL 60115(815) 748-2666Fax: (815) 748-398100 Yrs/99 YrsLanguages: SpanishMW 9:30 AM - 6:30 PMTTH 9:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Zhang, Taoran DDSProvider ID: TPVP157733-06Gender: MaleOrthodontic Experts2335 Sycamore RdDekalb, IL 60115(815) 756-520000 Yrs/99 YrsLanguages: RussianMT 10:00 AM - 3:00 PMWTH 9:00 AM - 3:00 PMF 8:00 AM - 3:00 PMPCMH: No

Zhou, Yang DMDProvider ID: TPVP175521-01Gender: MaleDental Fields2235 Sycamore RdDekalb, IL 60115(630) 530-9000Fax: (815) 901-031100 Yrs/99 YrsLanguages: SpanishMTTH 10:00 AM - 6:00 PMW 9:00 AM - 6:00 PMF 10:00 AM - 7:00 PMSat 9:00 AM - 2:00 PMPCMH: No

Optometry

Caron, Jeffrey ODProvider ID: TPV1194701490-0Gender: MaleJeffrey T Caron PC318 W Main St Ste 2Genoa, IL 60135(815) 784-6480Fax: (815) 784-460401 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 12:00 PMPCMH: No

Ebbesen, Jay ODProvider ID: TPV1801940580-0Gender: MaleDekalb OptometricAssociates PC121 East Locust StDekalb, IL 60115(815) 756-6388Fax: (815) 756-486101 Yrs/99 YrsMTWF 8:30 AM - 5:15 PMTH 8:30 AM - 12:00 PMSat 8:30 AM - 12:30 PMPCMH: No

Frank, Jeffrey ODProvider ID: TPV1871552174-0Gender: MaleSpex Express Inc2570 Dekalb AveSycamore, IL 60178(815) 758-1039Fax: (815) 756-139601 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 8:00 AM - 2:00 PMPCMH: No

Frank, Kristy ODProvider ID: TPV1174582191-0Gender: FemaleSpex Express Inc2570 Dekalb AveSycamore, IL 60178(815) 758-1039Fax: (815) 756-139601 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 8:00 AM - 2:00 PMPCMH: No

Loydall, Viktoria ODProvider ID: TPV1194080226-0Gender: FemaleSpex Express Inc2570 Dekalb AveSycamore, IL 60178(815) 758-1039Fax: (815) 756-139601 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 8:00 AM - 2:00 PMPCMH: No

Tweed, Megan ODProvider ID: TPV1467628180-0Gender: FemaleWink Eyecare2300 Sycamore Rd WalmartVision CenterDekalb, IL 60115(815) 758-3825Fax: (815) 758-121404 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat 8:00 AM - 6:00 PMSun 12:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Optometry - cont.

Verbic, Victor ODProvider ID: TPV1194939769-0Gender: MaleDekalb OptometricAssociates PC121 East Locust StDekalb, IL 60115(815) 756-6388Fax: (815) 756-486101 Yrs/99 YrsMTWF 8:30 AM - 5:15 PMTH 8:30 AM - 12:00 PMSat 8:30 AM - 12:30 PMPCMH: No

Wenzel, Victoria ODProvider ID: TPV1568727311-0Gender: FemaleDekalb OptometricAssociates PC121 East Locust StDekalb, IL 60115(815) 756-6388Fax: (815) 756-486101 Yrs/99 YrsMTWF 8:30 AM - 5:15 PMTH 8:30 AM - 12:00 PMSat 8:30 AM - 12:30 PMPCMH: No

Orthodontics

Agarwal, Manika DMDProvider ID: TPVP170293-06Gender: MaleOrthodontic Experts2335 Sycamore RdDekalb, IL 60115(815) 756-520000 Yrs/99 YrsLanguages: RussianMT 10:00 AM - 3:00 PMWTH 9:00 AM - 3:00 PMF 8:00 AM - 3:00 PMPCMH: No

Yarmolyuk, Yaroslav DDS

Provider ID: TPVP102408-24Gender: MaleOrthodontic Experts2335 Sycamore RdDekalb, IL 60115(815) 756-520000 Yrs/99 YrsLanguages: RussianMT 10:00 AM - 3:00 PMWTH 9:00 AM - 3:00 PMF 8:00 AM - 3:00 PMPCMH: No

Specialty PhysiciansFulton

Updated: 11/09/2018


General Dentistry

Herberger, Gary DDSProvider ID: TPVP144196-03Gender: MaleFulton County HealthDepartment700 E Oak StCanton, IL 61520(309) 647-1134Fax: (309) 647-954500 Yrs/99 YrsM-F 8:00 AM - 4:00 PMPCMH: No

Klinski, Albert DDSProvider ID: TPVP137630-02Gender: MaleFulton County HealthDepartment700 E Oak StCanton, IL 61520(309) 647-1134Fax: (309) 647-954500 Yrs/99 YrsM-F 8:00 AM - 4:00 PMPCMH: No

Wright, Yolanda DMDProvider ID: TPVP148158-02Gender: FemaleFulton County HealthDepartment700 E Oak StCanton, IL 61520(309) 647-1134Fax: (309) 647-954500 Yrs/99 YrsM-F 8:00 AM - 4:00 PMPCMH: No

General Surgery

Gowda, Ramayya MDProvider ID: 1548187Gender: MaleGraham Medical Group180 S Main StCanton, IL 61520(309) 647-0201Fax: (309) 647-063600 Yrs/130 YrsM-F 8:00 AM - 6:00 PMPCMH: No

Kent, Michael MDProvider ID: 1548189Gender: MaleGraham Medical Group180 S Main StCanton, IL 61520(309) 647-0201Fax: (309) 647-063600 Yrs/130 YrsM-F 8:00 AM - 6:00 PMPCMH: No

Hematology

Fishkin, Paul MDProvider ID: 788781Gender: Male210 W Walnut StCanton, IL 61520(309) 647-524000 Yrs/130 YrsGraham HospitalPCMH: No

Medical Oncology

Fishkin, Paul MDProvider ID: 788781Gender: Male210 W Walnut StCanton, IL 61520(309) 647-524000 Yrs/130 YrsGraham HospitalPCMH: No


Jensen, Donna MDProvider ID: 1639298Gender: FemaleGraham Medical Group180 S Main StCanton, IL 61520(309) 647-5240Fax: (309) 649-510100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Qiao, Jing MDProvider ID: 1548191Gender: MaleGraham Medical Group180 S Main StCanton, IL 61520(309) 647-0201Fax: (309) 647-063600 Yrs/130 YrsM-F 8:00 AM - 6:00 PMPCMH: No

Ophthalmology

Tennant, Jeffrey MDProvider ID: TPV1396713251-0Gender: MaleBond Eye Associates SC180 S Main St Ste 2GCanton, IL 61520(309) 647-3937Fax: (309) 647-431105 Yrs/99 YrsGraham HospitalM-F 8:30 AM - 5:00 PMPCMH: No

Optometry

Croland, Roger OD

Provider ID: 792287Gender: MaleBond Eye Associates SC180 S Main StCanton, IL 61520(309) 353-1579Fax: (309) 353-766400 Yrs/130 YrsM 8:30 AM - 5:00 PMPCMH: No

Croland, Roger ODProvider ID: TPV1144256652-0Gender: MaleBond Eye Associates SC180 S Main St Ste 2GCanton, IL 61520(309) 647-3937Fax: (309) 647-431105 Yrs/99 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Henline, Jeffrey ODProvider ID: TPV1275526790-0Gender: MaleBond Eye Associates SC180 S Main St Ste 2GCanton, IL 61520(309) 647-3937Fax: (309) 647-431102 Yrs/99 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Morgret, David ODProvider ID: TPV1922109172-0Gender: MaleJak Enterprises Inc125 N Main StCanton, IL 61520(309) 647-0366Fax: (309) 647-036701 Yrs/99 YrsM 9:00 AM - 7:00 PMTWTHF 9:00 AM - 6:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Wiltz, Sharna ODProvider ID: TPV1407019946-1Gender: FemaleJak Enterprises Inc125 N Main StCanton, IL 61520(309) 647-0366Fax: (309) 647-036701 Yrs/99 YrsM 9:00 AM - 7:00 PMTWTHF 9:00 AM - 6:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Orthopaedic Surgery

Barnhart, Brett MDProvider ID: 1548183Gender: MaleGraham Medical Group180 S Main StCanton, IL 61520(309) 647-0201Fax: (309) 647-063600 Yrs/130 YrsM-F 8:00 AM - 6:00 PMPCMH: No

Specialty PhysiciansFulton

Updated: 11/09/2018


Orthopaedic Surgery -cont.

Queenan, James DOProvider ID: 1548190Gender: MaleGraham Medical Group180 S Main StCanton, IL 61520(309) 647-0201Fax: (309) 647-063600 Yrs/130 YrsM-F 8:00 AM - 6:00 PMPCMH: No

Pain Management

Feather, Glen DOProvider ID: 1548193Gender: MaleGraham Medical Group180 S Main StCanton, IL 61520(309) 647-0201Fax: (309) 647-063600 Yrs/130 YrsM-F 8:00 AM - 6:00 PMPCMH: No

Psychology

Dalfiume, Luke PHDProvider ID: 1524836Gender: MaleJohn R Day and AssociatesLTD8 S Main St Ste 200Canton, IL 61520(309) 692-7755Fax: (309) 692-226202 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Harris, Janel PHDProvider ID: 1526176Gender: FemalePsychology Specialists180 S Main St Fl 4Canton, IL 61520(309) 706-3190Fax: (309) 588-411500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Morrison, Jennifer PsyDProvider ID: 1542212Gender: FemaleJohn R Day and AssociatesLTD8 S Main St Ste 200Canton, IL 61520(309) 692-7755Fax: (309) 692-226200 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Substance Abuse

North Central BehavioralHealth Systems

Provider ID: 1528392North Central Canton Office229 Martin AveCanton, IL 61520(309) 647-1881Fax: (815) 223-163400 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Specialty PhysiciansHenderson

Updated: 11/09/2018


General Dentistry

Howell., Richard DDSProvider ID: TPVP146173-02Gender: MaleEagle View CommunityHealth System101 S DivisionStronghurst, IL 61480(309) 924-2424Fax: (309) 924-138900 Yrs/99 YrsLanguages: SpanishM-TH 6:30 AM - 4:30 PMPCMH: No

Kukarans, Krista DDSProvider ID: TPVP144839-02Gender: FemaleEagle View CommunityHealth System101 S DivisionStronghurst, IL 61480(309) 924-2424Fax: (309) 924-138900 Yrs/99 YrsLanguages: SpanishM-TH 6:30 AM - 4:30 PMPCMH: No

Oria, Valente DDSProvider ID: TPVP144800-01Gender: MaleEagle View CommunityHealth System1204 Hwy 164 EastOquawka, IL 61469(309) 867-2202Fax: (309) 867-320500 Yrs/99 YrsLanguages: SpanishM-F 6:30 AM - 5:00 PMPCMH: No

Oria, Valente DDSProvider ID: TPVP144800-02Gender: MaleEagle View CommunityHealth System101 S DivisionStronghurst, IL 61480(309) 924-2424Fax: (309) 924-138900 Yrs/99 YrsLanguages: SpanishM-TH 6:30 AM - 4:30 PMPCMH: No

Shah, Obaid DMDProvider ID: TPVP177399-01Gender: MaleEagle View CommunityHealth System1204 Hwy 164 EastOquawka, IL 61469(309) 867-2202Fax: (309) 867-320500 Yrs/99 YrsLanguages: SpanishM-F 6:30 AM - 5:00 PMPCMH: No

Shah, Obaid DMDProvider ID: TPVP177399-02Gender: MaleEagle View CommunityHealth System101 S DivisionStronghurst, IL 61480(309) 924-2424Fax: (309) 924-138900 Yrs/99 YrsLanguages: SpanishM-TH 6:30 AM - 4:30 PMPCMH: No

Simpson, Crystal DMDProvider ID: TPVP145848-01Gender: FemaleEagle View CommunityHealth System1204 Hwy 164 EastOquawka, IL 61469(309) 867-2202Fax: (309) 867-320500 Yrs/99 YrsLanguages: SpanishM-F 6:30 AM - 5:00 PMPCMH: No

Simpson, Crystal DMDProvider ID: TPVP145848-02Gender: FemaleEagle View CommunityHealth System101 S DivisionStronghurst, IL 61480(309) 924-2424Fax: (309) 924-138900 Yrs/99 YrsLanguages: SpanishM-TH 6:30 AM - 4:30 PMPCMH: No

Villasenor, Martha DDSProvider ID: TPVP103737-11Gender: FemaleEagle View CommunityHealth System1204 Hwy 164 EastOquawka, IL 61469(309) 867-2202Fax: (309) 867-320500 Yrs/99 YrsLanguages: SpanishM-F 6:30 AM - 5:00 PMPCMH: No

Villasenor, Martha DDSProvider ID: TPVP103737-12Gender: FemaleEagle View CommunityHealth System101 S DivisionStronghurst, IL 61480(309) 924-2424Fax: (309) 924-138900 Yrs/99 YrsLanguages: SpanishM-TH 6:30 AM - 4:30 PMPCMH: No

Specialty PhysiciansHenry

Updated: 11/09/2018


Family Practice

Carton, Jennifer ApnProvider ID: 1495098Gender: FemaleCounty of Henry DBA HenryCounty He103 1st StColona, IL 61241(309) 792-4011Fax: (309) 792-401300 Yrs/130 YrsM-F 8:00 AM - 4:00 PMPCMH: No

Foreman, Josefina ApnProvider ID: 1495100Gender: FemaleCounty of Henry DBA HenryCounty He4424 US Hwy 34Kewanee, IL 61443(309) 792-4011Fax: (309) 852-059500 Yrs/130 YrsM-F 8:00 AM - 4:00 PMPCMH: No

General Dentistry

Rider, Stephen DDSProvider ID: TPVP138541-01Gender: MaleStephen L Rider125 W S St Ste 10Kewanee, IL 61443(309) 852-2525Fax: (309) 854-550500 Yrs/99 YrsM-F 8:30 AM - 2:30 PMPCMH: No

Hematology

Jujjavarapu, Srinivas MDProvider ID: 1198908Gender: Male1051 W South St Fl 2Kewanee, IL 61443(309) 243-300018 Yrs/130 YrsLanguages: TeluguPCMH: No

Medical Oncology

Jujjavarapu, Srinivas MDProvider ID: 1198908Gender: Male1051 W South St Fl 2Kewanee, IL 61443(309) 243-300018 Yrs/130 YrsLanguages: TeluguPCMH: No

Psychiatry

Sami, Mohammad MD

Provider ID: 1008711Gender: MaleBridgeway Inc137 E College StKewanee, IL 61443(309) 852-4331Fax: (309) 854-012218 Yrs/130 YrsMT 8:00 AM - 5:00 PMPCMH: No

Substance Abuse

Bridgeway IncProvider ID: 1570561137 E College StKewanee, IL 61443(309) 852-433100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Bridgeway IncProvider ID: 1583726137 E College StKewanee, IL 61443(309) 852-433100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Specialty PhysiciansJo Daviess

Updated: 11/09/2018


Cardiology

Martin, Timothy MDProvider ID: 1556688Gender: MaleMidwest Medical Center1 Medical Center DrGalena, IL 61036(815) 777-1340Fax: (815) 777-256000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

General Surgery

Oppert, David MDProvider ID: 1553590Gender: MaleMidwest Medical Center1 Medical Center DrGalena, IL 61036(815) 777-1340Fax: (815) 777-256000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Wagner, Jacob MDProvider ID: 1556700Gender: MaleMidwest Medical Center1 Medical Center DrGalena, IL 61036(815) 777-1340Fax: (815) 777-256000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Optometry

Machala, Sarah ODProvider ID: TPV1407934961-0Gender: FemaleSarah A Machala OD991 Galena Square DrGalena, IL 61036(815) 777-2440Fax: (815) 777-224001 Yrs/99 YrsM 9:00 AM - 4:00 PMTTH 9:00 AM - 6:00 PMWF 9:00 AM - 1:00 PMPCMH: No

Orthopaedic Surgery

Lindsey, Joshua MDProvider ID: 1553584Gender: MaleMidwest Medical Center1 Medical Center DrGalena, IL 61036(815) 777-1340Fax: (815) 777-256000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Psychiatry

Boxleiter, Thomas MDProvider ID: 1556709Gender: MaleMidwest Medical Center1 Medical Center DrGalena, IL 61036(815) 777-1340Fax: (815) 777-256000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Sleep Medicine

Dhuna, Anil MDProvider ID: 1556714Gender: FemaleMidwest Medical Center1 Medical Center DrGalena, IL 61036(815) 777-1340Fax: (815) 777-256000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Substance Abuse

Galena Clinic IncProvider ID: 1557142939 Galena Square DrGalena, IL 61036(815) 777-1300Fax: (518) 777-130800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Specialty PhysiciansKnox

Updated: 11/09/2018


Chiropractic

Wilson, Jeffery DCProvider ID: 1529999Gender: MalePain Relief Chiropractic1128 Monroe StGalesburg, IL 61401(309) 342-9147Fax: (309) 343-019100 Yrs/130 YrsMWTH 8:00 AM - 5:30 PMT 8:00 AM - 12:00 PMPCMH: No

Family Practice

Mixon, Kelly ApnProvider ID: 1496021Gender: FemaleKnox Community HealthCenter Nfp1361 W Fremont StGalesburg, IL 61401(309) 344-2225Fax: (309) 344-223000 Yrs/130 YrsM-F 7:30 AM - 6:00 PMPCMH: No

Searles, Hillary ApnProvider ID: 1496023Gender: FemaleKnox Community HealthCenter Nfp1361 W Fremont StGalesburg, IL 61401(309) 344-2225Fax: (309) 344-223000 Yrs/130 YrsM-F 7:30 AM - 6:00 PMPCMH: No

West, Tommy MDProvider ID: 1496020Gender: MaleKnox Community HealthCenter Nfp1361 W Fremont StGalesburg, IL 61401(309) 344-2225Fax: (309) 344-223000 Yrs/130 YrsM-F 7:30 AM - 6:00 PMPCMH: No

General Dentistry

Patel, Akash DDSProvider ID: TPVP170033-01Gender: MaleKnox Community HealthCenter1361 W Fremont StGalesburg, IL 61401(309) 344-2225Fax: (309) 344-223000 Yrs/99 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Petoskey, Collin DDSProvider ID: TPVP149015-01Gender: MaleKnox Community HealthCenter1361 W Fremont StGalesburg, IL 61401(309) 344-2225Fax: (309) 344-223000 Yrs/99 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Rozny, Matthew DMDProvider ID: TPVP134071-01Gender: MaleKnox Community HealthCenter1361 W Fremont StGalesburg, IL 61401(309) 344-2225Fax: (309) 344-223000 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Hematology

Prager, Diane MDProvider ID: 1161099Gender: Female336 Home BlvdGalesburg, IL 61401(309) 341-3000Fax: (309) 344-104000 Yrs/130 YrsPCMH: No

Internal Medicine

Geoffroy, Francois MDProvider ID: 1345047Gender: Male336 Home BlvdGalesburg, IL 61401(309) 341-3000Fax: (309) 344-104018 Yrs/130 YrsPCMH: No

Medical Oncology

Geoffroy, Francois MDProvider ID: 1345047Gender: Male336 Home BlvdGalesburg, IL 61401(309) 341-3000Fax: (309) 344-104018 Yrs/130 YrsPCMH: No

Prager, Diane MDProvider ID: 1161099Gender: Female336 Home BlvdGalesburg, IL 61401(309) 341-3000Fax: (309) 344-104000 Yrs/130 YrsPCMH: No

Ophthalmology

Ruppel, James MDProvider ID: 1138094Gender: MaleJames R Ruppel834 N Seminary St Ste 105Galesburg, IL 61401(309) 345-2020Fax: (309) 341-202000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Optometry

Botts, Eric ODProvider ID: TPV1457301368-0Gender: MaleDr Eric Botts Associates659 Knox Square DrGalesburg, IL 61401(309) 343-6870Fax: (309) 343-689901 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 10:00 AM - 2:00 PMPCMH: No

Eilenfeldt, Pamela ODProvider ID: TPV1114075645-0Gender: FemaleDr Eric Botts Associates659 Knox Square DrGalesburg, IL 61401(309) 343-6870Fax: (309) 343-689901 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 10:00 AM - 2:00 PMPCMH: No

Eyler, Elizabeth ODProvider ID: 1130094Gender: Female834 N Seminary St Ste 105Galesburg, IL 61401(309) 345-2020Fax: (309) 341-202000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Obrien, Eric ODProvider ID: TPV1386931921-0Gender: MaleDr Eric Botts Associates659 Knox Square DrGalesburg, IL 61401(309) 343-6870Fax: (309) 343-689901 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 10:00 AM - 2:00 PMPCMH: No

Specialty PhysiciansKnox

Updated: 11/09/2018


Optometry - cont.

Rimkus, John ODProvider ID: TPV1346347044-0Gender: MaleJak Enterprises Inc1265 N Henderson StGalesburg, IL 61401(309) 343-7799Fax: (309) 343-793401 Yrs/99 YrsMTWF 9:00 AM - 6:00 PMTH 9:00 AM - 7:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Wiltz, Sharna ODProvider ID: TPV1407019946-0Gender: FemaleJak Enterprises Inc1265 N Henderson StGalesburg, IL 61401(309) 343-7799Fax: (309) 343-793401 Yrs/99 YrsMTWF 9:00 AM - 6:00 PMTH 9:00 AM - 7:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Pediatric Psychiatry

Delgado-Serrano, Lourdes MD

Provider ID: 1311473Gender: FemaleBridgeway Inc2323 Windish DrGalesburg, IL 61401(309) 344-2323Fax: (309) 344-428100 Yrs/18 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Periodontics

Rubnich, Kevin DMDProvider ID: TPVP64805-02Gender: MaleKnox Community HealthCenter1361 W Fremont StGalesburg, IL 61401(309) 344-2225Fax: (309) 344-223000 Yrs/99 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Psychiatry

Sami, Mohammad MD

Provider ID: 1008711Gender: MaleBridgeway Inc2323 Windish DrGalesburg, IL 61401(309) 344-2323Fax: (309) 344-428118 Yrs/130 YrsMW 8:00 AM - 12:00 PMT 1:00 AM - 6:00 PMTH 8:00 AM - 2:00 PMPCMH: No

Shwarz, Eitan MDProvider ID: 1496029Gender: MaleKnox Community HealthCenter Nfp1361 W Fremont StGalesburg, IL 61401(309) 344-2225Fax: (309) 344-223000 Yrs/130 YrsM-F 7:30 AM - 6:00 PMPCMH: No

Radiation Oncology

Carpenter, Matthew MD

Provider ID: 1491580Gender: MaleWestern Illinois CancerTreatment C450 Mayo DrGalesburg, IL 61401(309) 344-2831Fax: (309) 344-201418 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Lal, Adhinayak DOProvider ID: 1491578Gender: MaleWestern Illinois CancerTreatment C450 Mayo DrGalesburg, IL 61401(309) 344-2831Fax: (309) 344-201418 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Substance Abuse

Bridgeway IncProvider ID: 15696522323 Windish DrGalesburg, IL 61401(309) 344-232300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Specialty PhysiciansLA Salle

Updated: 11/09/2018


Dermatology

Leone, Douglas MD

Provider ID: 1174799Gender: Male925 W. St Ste 212Peru, IL 61354(815) 842-4000Fax: (815) 223-873600 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Schupbach, Adrienne MD

Provider ID: 1157870Gender: Female925 W. St Ste 212Peru, IL 61354(815) 842-4000Fax: (815) 223-873600 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Ear, Nose & Throat

Musgrave, Brandon MDProvider ID: 1567811Gender: MaleIvch Medical Group ENT andAllergy920 W. St Ste 312Peru, IL 61354(815) 223-4400Fax: (815) 223-440100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Younes, Maher MDProvider ID: 1567844Gender: MaleIvch Medical Group ENT andAllergy920 W. St Ste 312Peru, IL 61354(815) 223-4400Fax: (815) 780-440100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

General Dentistry

Damodarah, Lokesh DDSProvider ID: TPVP165995-02Gender: MaleEveryones Family Dental UticaLLC2937 N State Rte 178Utica, IL 61373(815) 993-3101Fax: (773) 628-772900 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PMSat 9:00 AM - 4:00 PMPCMH: No

Hussain, Iffat DDSProvider ID: TPVP62807-02Gender: FemaleCommunity HealthPartnership of Illinois1009 Main StMendota, IL 61342(815) 539-612400 Yrs/99 YrsLanguages: SpanishM 10:00 AM - 7:00 PMTW 8:00 AM - 6:00 PMTH 9:00 AM - 5:00 PMPCMH: No

Koro, Rami DDSProvider ID: TPVP165754-02Gender: MaleEveryones Family Dental UticaLLC2937 N State Rte 178Utica, IL 61373(815) 993-3101Fax: (773) 628-772900 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PMSat 9:00 AM - 4:00 PMPCMH: No

Morrissette, Debra DDSProvider ID: TPVP152662-01Gender: FemaleCommunity HealthPartnership of Illinois1009 Main StMendota, IL 61342(815) 539-612400 Yrs/99 YrsLanguages: SpanishM 10:00 AM - 7:00 PMTW 8:00 AM - 6:00 PMTH 9:00 AM - 5:00 PMPCMH: No

Shah, Sayed Haroon DMDProvider ID: TPVP64787-04Gender: MaleCommunity HealthPartnership of Illinois1009 Main StMendota, IL 61342(815) 539-612400 Yrs/99 YrsLanguages: SpanishM 10:00 AM - 7:00 PMTW 8:00 AM - 6:00 PMTH 9:00 AM - 5:00 PMPCMH: No

Shah, Shashi DDSProvider ID: TPVP157119-01Gender: MaleEveryones Family Dental UticaLLC2937 N State Rte 178Utica, IL 61373(815) 993-3101Fax: (773) 628-772900 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PMSat 9:00 AM - 4:00 PMPCMH: No

White, William DDSProvider ID: TPVP62155-01Gender: MaleDr William White PC225 Gooding StLA Salle, IL 61301(815) 224-186500 Yrs/99 YrsMT 9:00 AM - 5:00 PMW 9:00 AM - 1:00 PMPCMH: No

Hematology

Bajaj, Madhuri MDProvider ID: 1173963Gender: Female4391 Venture Dr Ste APeru, IL 61354(309) 243-3000Fax: (309) 243-304018 Yrs/130 YrsPCMH: No

Macvicar, Gary MDProvider ID: 1161098Gender: Male1200 Starfire Dr Ste 2Ottawa, IL 61350(309) 243-3000Fax: (309) 243-306918 Yrs/130 YrsPCMH: No


Kumar, Pankaj MDProvider ID: 1334680Gender: Male1200 Starfire Dr Ste 2Ottawa, IL 61350(815) 431-3270Fax: (815) 431-958918 Yrs/130 YrsPCMH: No

Macvicar, Gary MDProvider ID: 1161098Gender: Male1200 Starfire Dr Ste 2Ottawa, IL 61350(309) 243-3000Fax: (309) 243-306918 Yrs/130 YrsPCMH: No


Updated: 11/09/2018


Infectious Disease

Zaioor, Hussein MDProvider ID: 1567845Gender: MaleIvch Medical Group InfectiousDisea925 W. St Lower LevelPeru, IL 61354(815) 780-5399Fax: (815) 780-383300 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Zaioor, Hussein MDProvider ID: 1567845Gender: MaleIvch Wound and HyperbaricCenter1403 6th StPeru, IL 61354(815) 780-3834Fax: (815) 780-383300 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Medical Oncology

Bajaj, Madhuri MDProvider ID: 1173963Gender: Female4391 Venture Dr Ste APeru, IL 61354(309) 243-3000Fax: (309) 243-304018 Yrs/130 YrsPCMH: No

Neurology

Garg, Rakesh MDProvider ID: 1691638Gender: MaleRakesh K Garg MD4231 Progress BlvdPeru, IL 61354(815) 223-7144Fax: (815) 223-798918 Yrs/130 YrsMT 8:00 AM - 4:00 PMWTHF 9:00 AM - 5:00 PMPCMH: No


Baum, Margaret MDProvider ID: 1564501Gender: Female612 Court StOttawa, IL 61350(815) 433-4111Fax: (630) 585-558800 Yrs/130 YrsMWTH 8:00 AM - 5:00 PMT 9:00 AM - 6:00 PMPCMH: No

Edwards, Jeffrey MDProvider ID: 1567774Gender: MaleIvch Medical Group WomensHealth Ca920 W. St Bldg BPeru, IL 61354(815) 223-2944Fax: (815) 223-409500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Granberry, Kemoria MDProvider ID: 1567783Gender: FemaleIvch Medical Group WomensHealth Ca920 W. St Bldg BPeru, IL 61354(815) 223-2944Fax: (815) 223-409500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Hoke, Caroline MDProvider ID: 1564780Gender: Female612 Court StOttawa, IL 61350(815) 433-4111Fax: (815) 433-943400 Yrs/130 YrsMWTH 8:00 AM - 5:00 PMT 9:00 AM - 6:00 PMPCMH: No

Loberg, Andrea MDProvider ID: 1564989Gender: Female612 Court StOttawa, IL 61350(815) 433-4111Fax: (630) 585-558800 Yrs/130 YrsMWTH 8:00 AM - 5:00 PMT 9:00 AM - 6:00 PMPCMH: No

Sweetland, Donna MDProvider ID: 1509464Gender: FemaleOB and Gynecology CenterPeru1436 Midtown RdPeru, IL 61354(815) 220-3111Fax: (815) 220-314600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Ophthalmology

Kishore, Kamal MD

Provider ID: 1162988Gender: MaleIllinois Retina Institute3602 Marquette RdPeru, IL 61354(815) 223-7400Fax: (815) 223-747700 Yrs/130 YrsM-F 8:00 AM - 4:00 PMPCMH: No

Optometry

Bhar, Nina ODProvider ID: 1699936Gender: FemaleWalmart Vision Center4041 Veterans DrOttawa, IL 61350(815) 431-1972Fax: (815) 431-197500 Yrs/130 YrsMTH 10:00 AM - 5:00 PMTW 10:00 AM - 7:00 PMF 9:00 AM - 3:00 PMPCMH: No

Jackson, Joseph ODProvider ID: TPV1649352691-0Gender: MaleJak Enterprises Inc3323 Frontage RdPeru, IL 61354(815) 220-0652Fax: (815) 220-073201 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Trzepacz, Steven ODProvider ID: TPV1740270453-0Gender: MaleSteven J Trzepacz223 E Main StStreator, IL 61364(815) 673-1591Fax: (815) 672-520301 Yrs/99 YrsMTH 9:00 AM - 5:00 PMTW 8:00 AM - 5:00 PMF 9:00 AM - 1:00 PMPCMH: No

Wiltz, Sharna ODProvider ID: TPV1407019946-1Gender: FemaleJak Enterprises Inc3323 Frontage RdPeru, IL 61354(815) 220-0652Fax: (815) 220-073201 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Orthodontics

Alamir, George DDSProvider ID: TPVP129790-04Gender: MaleEveryones Family Dental UticaLLC2937 N State Rte 178Utica, IL 61373(815) 993-3101Fax: (773) 628-772900 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PMSat 9:00 AM - 4:00 PMPCMH: No


Updated: 11/09/2018


Orthodontics - cont.

Kunnel, Joseph DDSProvider ID: TPVP64218-03Gender: MaleJoseph Kunnel DDS PHD PC4105 Front RdPeru, IL 61354(815) 223-0204Fax: (815) 223-095700 Yrs/99 YrsLanguages: SpanishM-W 9:00 AM - 4:00 PMTH 8:30 AM - 6:00 PMF 8:00 AM - 5:00 PMPCMH: No

Orthopaedic Surgery

Meier, Peter MDProvider ID: 1567800Gender: MaleIvch Medical Group IllinoisValley920 W. St Ste 211Peru, IL 61354(815) 223-2143Fax: (815) 209-061900 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Mitchell, Robert DOProvider ID: 1567804Gender: MaleIvch Medical Group IllinoisValley920 W. St Ste 211Peru, IL 61354(815) 223-2143Fax: (815) 209-061900 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Murphy, James MDProvider ID: 1567806Gender: MaleIvch Medical Group IllinoisValley920 W. St Ste 211Peru, IL 61354(815) 223-2143Fax: (815) 223-744300 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Sinha, Upendra MDProvider ID: 1567827Gender: MaleIvch Medical Group StreatorOrthope501 Oakley AveStreator, IL 61364(815) 672-2829Fax: (815) 673-124000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Psychiatry

Shah, Trilok MDProvider ID: 1586147Gender: MaleNorth Central BehavioralHealth Sys2960 Chartres StLA Salle, IL 61301(815) 223-016016 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Psychology

Brainard, Ginger PHDProvider ID: 1567765Gender: FemaleHygienic Institute CommunityHealth2970 Chartres StLA Salle, IL 61301(815) 223-0196Fax: (815) 223-035800 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Radiation Oncology

Oyedijo, Dotun MDProvider ID: 1703255Gender: MaleAdvanced Medical TherapyLLC4391 Venture DrPeru, IL 61354(815) 224-5511Fax: (815) 224-555018 Yrs/130 YrsSt Margarets Hospital DBA StMargaret'sM-F 8:00 AM - 5:00 PMPCMH: No

Sleep Medicine

Karkatzounis, Ioannis MDProvider ID: 1567786Gender: MaleIvch Medical Group SleepClinic925 W. StPeru, IL 61354(815) 223-4400Fax: (815) 780-379400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Substance Abuse


Provider ID: 1528329North Central Streator Office111 Spring St Ste 28Streator, IL 61364(815) 224-1610Fax: (815) 223-163400 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No


Provider ID: 1528395North Central Lasalle Office2960 Chartres St Ste 5TLasalle, IL 61301(815) 223-0160Fax: (815) 223-163400 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No


Provider ID: 1528401North Central Ottawa Office737 E Etna RdOttawa, IL 61350(814) 224-1610Fax: (815) 223-163400 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Specialty PhysiciansLee

Updated: 11/09/2018


Cardiology

Hanif, Sohail MDProvider ID: 1536437Gender: MaleKsb Medical Group Inc215 E 1st St Ste 214Dixon, IL 61021(815) 285-5572Fax: (815) 285-557300 Yrs/130 YrsLanguages: UrduM-F 9:00 AM - 5:00 PMPCMH: No

Dermatology

Payne, Chloe MDProvider ID: 1538216Gender: FemaleCgh Home Nursing1321 N Galena AveDixon, IL 61021(815) 284-1600Fax: (815) 285-506500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Stees, Marc MDProvider ID: 1538236Gender: MaleCgh Home Nursing1321 N Galena AveDixon, IL 61021(815) 284-1600Fax: (815) 285-506500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Ear, Nose & Throat

Kemker, Bryan MDProvider ID: 1538179Gender: MaleCgh Home Nursing1321 N Galena AveDixon, IL 61021(815) 284-1600Fax: (815) 632-589100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Family Practice

Appenheimer, Alpheus MD

Provider ID: 1536412Gender: MaleKsb Medical Group Inc403 E 1st StDixon, IL 61021(815) 285-850400 Yrs/130 YrsM 1:00 AM - 5:00 PMTTHF 9:00 AM - 5:00 PMW 9:00 AM - 12:00 PMPCMH: NoMaximus ID: 06047310

General Dentistry

Appell, Aaron DDSProvider ID: TPV019028654-09Gender: MaleDixon Family Dentistry LLC1355 N Galena AveDixon, IL 61021(815) 847-9273Fax: (773) 628-772900 Yrs/99 YrsLanguages: ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Damodarah, Lokesh DDSProvider ID: TPVP165995-07Gender: MaleDixon Family Dentistry LLC1355 N Galena AveDixon, IL 61021(815) 847-9273Fax: (773) 628-772900 Yrs/99 YrsLanguages: ArabicM-F 8:00 AM - 5:00 PMPCMH: No

German, Mark DDSProvider ID: TPVP138077-01Gender: MaleBrokaw and German123 N HennepinDixon, IL 61021(815) 284-6807Fax: (815) 284-876400 Yrs/99 YrsM-W 8:00 AM - 5:00 PMTHF 8:00 AM - 12:00 PMPCMH: No

Gomaa, Munir DMDProvider ID: TPVP168497-05Gender: MaleDixon Family Dentistry LLC1355 N Galena AveDixon, IL 61021(815) 847-9273Fax: (773) 628-772900 Yrs/99 YrsLanguages: ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Haider, Yazdan DDSProvider ID: TPVP144463-21Gender: MaleDixon Family Dentistry LLC1355 N Galena AveDixon, IL 61021(815) 847-9273Fax: (773) 628-772900 Yrs/99 YrsLanguages: Urdu, ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Koro, Rami DDSProvider ID: TPVP165754-07Gender: MaleDixon Family Dentistry LLC1355 N Galena AveDixon, IL 61021(815) 847-9273Fax: (773) 628-772900 Yrs/99 YrsLanguages: ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Lee-Lim, Esther DDSProvider ID: TPVP110550-26Gender: FemaleDixon Family Dentistry LLC1355 N Galena AveDixon, IL 61021(815) 847-9273Fax: (773) 628-772900 Yrs/99 YrsLanguages: ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Min, David DDSProvider ID: TPVP64569-09Gender: MaleDixon Family Dentistry LLC1355 N Galena AveDixon, IL 61021(815) 847-9273Fax: (773) 628-772900 Yrs/99 YrsLanguages: ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Patel, Dhaval DDSProvider ID: TPVP152182-06Gender: MaleDixon Family Dentistry LLC1355 N Galena AveDixon, IL 61021(815) 847-9273Fax: (773) 628-772900 Yrs/99 YrsLanguages: ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Patel, Meha DDSProvider ID: TPVP175540-06Gender: FemaleDixon Family Dentistry LLC1355 N Galena AveDixon, IL 61021(815) 847-9273Fax: (773) 628-772900 Yrs/99 YrsLanguages: ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Rajagopal, Srinivasan DDSProvider ID: TPVP102002-15Gender: MaleDixon Family Dentistry LLC1355 N Galena AveDixon, IL 61021(815) 847-9273Fax: (773) 628-772900 Yrs/99 YrsLanguages: ArabicM-F 8:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018



Shah, Shashi DDSProvider ID: TPVP157119-06Gender: MaleDixon Family Dentistry LLC1355 N Galena AveDixon, IL 61021(815) 847-9273Fax: (773) 628-772900 Yrs/99 YrsLanguages: ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Sweis, Jubrail DDSProvider ID: TPV019028603-15Gender: MaleDixon Family Dentistry LLC1355 N Galena AveDixon, IL 61021(815) 847-9273Fax: (773) 628-772900 Yrs/99 YrsLanguages: ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Vildaver, Eliot DMDProvider ID: TPVP157823-06Gender: MaleDixon Family Dentistry LLC1355 N Galena AveDixon, IL 61021(815) 847-9273Fax: (773) 628-772900 Yrs/99 YrsLanguages: ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Vitanov, Milen DMDProvider ID: TPVP170197-06Gender: MaleDixon Family Dentistry LLC1355 N Galena AveDixon, IL 61021(815) 847-9273Fax: (773) 628-772900 Yrs/99 YrsLanguages: ArabicM-F 8:00 AM - 5:00 PMPCMH: No

General Surgery

Khawaja, Osmaan MDProvider ID: 1536457Gender: MaleKsb Medical Group Inc403 E 1st StDixon, IL 61021(815) 288-553100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

King, Thomas DOProvider ID: 1538182Gender: MaleCgh Home Nursing1321 N Galena AveDixon, IL 61021(815) 284-1600Fax: (815) 632-589100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Player, John DOProvider ID: 1536488Gender: MaleKsb Medical Group Inc215 E 1st St Ste 212Dixon, IL 61021(815) 285-5842Fax: (815) 285-584500 Yrs/130 YrsM-TH 9:00 AM - 5:00 PMPCMH: No

Powers, David MDProvider ID: 1536491Gender: MaleKsb Medical Group Inc102 S Hennepin Ave Ste 103Dixon, IL 61021(815) 288-1035Fax: (815) 284-058400 Yrs/130 YrsMTTHF 1:00 AM - 5:00 PMW 8:00 AM - 11:00 PMPCMH: No

Strom, John MDProvider ID: 1536513Gender: MaleKsb Medical Group Inc403 E 1st StDixon, IL 61021(815) 285-5600Fax: (815) 285-560200 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Wakefield, Heather MD

Provider ID: 1538250Gender: FemaleCgh Home Nursing1321 N Galena AveDixon, IL 61021(815) 284-1600Fax: (815) 632-589100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Alikhan, Mir MDProvider ID: 1538052Gender: MaleCgh Home Nursing1321 N Galena AveDixon, IL 61021(815) 284-1600Fax: (815) 285-506500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Medical Oncology

Limesand, Dianne ApnProvider ID: 1538193Gender: FemaleCgh Home Nursing1321 N Galena AveDixon, IL 61021(815) 284-1600Fax: (815) 632-589100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

McDermott, Mia ApnProvider ID: 1538204Gender: FemaleCgh Home Nursing1321 N Galena AveDixon, IL 61021(815) 284-1600Fax: (815) 632-589100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Neurology

Garg, Rakesh MDProvider ID: 1536430Gender: MaleKsb Medical Group Inc215 E 1st St Ste 111Dixon, IL 61021(815) 285-5477Fax: (815) 285-547900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Bida-Dudun, Anna MDProvider ID: 1536416Gender: FemaleKsb Medical Group Inc215 E 1st St Ste 215Dixon, IL 61021(815) 285-5421Fax: (815) 285-542600 Yrs/130 YrsM-TH 8:00 AM - 4:30 PMPCMH: No

Long, William DOProvider ID: 1536462Gender: Male403 E 1st StDixon, IL 61021(815) 288-553100 Yrs/130 YrsPCMH: No


Updated: 11/09/2018



Long, William DOProvider ID: 1536462Gender: MaleKsb Medical Group Inc215 E 1st St Ste 215Dixon, IL 61021(815) 285-5421Fax: (815) 285-542800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Rydzynski, Robb DOProvider ID: 1536502Gender: Male403 E 1st StDixon, IL 61021(815) 288-553100 Yrs/130 YrsPCMH: No

Rydzynski, Robb DOProvider ID: 1536502Gender: MaleKsb Medical Group Inc215 E 1st St Ste 212Dixon, IL 61021(815) 285-5422Fax: (815) 285-542600 Yrs/130 YrsM-TH 9:00 AM - 5:00 PMPCMH: No

Stone, Shirley MDProvider ID: 1536512Gender: Female403 E 1st StDixon, IL 61021(815) 288-553100 Yrs/130 YrsPCMH: No

Stone, Shirley MDProvider ID: 1536512Gender: FemaleKsb Medical Group Inc215 E 1st St Ste 215Dixon, IL 61021(815) 285-5421Fax: (815) 285-542600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Ophthalmology

Hahn, John MDProvider ID: 1538148Gender: MaleCgh Home Nursing1321 N Galena AveDixon, IL 61021(815) 284-1600Fax: (815) 632-589700 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Sutton, David MDProvider ID: 1536514Gender: MaleKsb Medical Group Inc102 S Hennepin AveDixon, IL 61021(815) 288-7711Fax: (815) 285-890100 Yrs/130 YrsM-W 8:00 AM - 6:00 PMPCMH: No

Optometry

Hanlon, Edward ODProvider ID: 1538150Gender: MaleCgh Home Nursing1321 N Galena AveDixon, IL 61021(815) 284-1600Fax: (815) 632-589700 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Klein, Kelly ODProvider ID: 1536459Gender: FemaleKsb Medical Group Inc511 Palmyra StDixon, IL 61021(815) 284-2020Fax: (815) 284-832600 Yrs/130 YrsMW 9:00 AM - 7:00 PMTF 9:00 AM - 5:00 PMTH 9:00 AM - 6:00 PMSat 9:00 AM - 1:00 PMPCMH: No

Richardson, Emily ODProvider ID: 1536499Gender: FemaleKsb Medical Group Inc511 Palmyra StDixon, IL 61021(815) 284-2020Fax: (815) 284-832600 Yrs/130 YrsM-TH 9:00 AM - 5:00 PMPCMH: No

Orthodontics

Alamir, George DDSProvider ID: TPVP129790-08Gender: MaleDixon Family Dentistry LLC1355 N Galena AveDixon, IL 61021(815) 847-9273Fax: (773) 628-772900 Yrs/99 YrsLanguages: ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Orthopaedic Surgery

Gabriel, Stephen MDProvider ID: 1536427Gender: MaleKsb Medical Group Inc215 E 1st St Ste 305Dixon, IL 61021(815) 285-5800Fax: (815) 285-569100 Yrs/130 YrsM-TH 8:00 AM - 4:30 PMPCMH: No

Gunderson, Tyler MDProvider ID: 1536436Gender: MaleKsb Medical Group Inc215 E 1st St Ste 326Dixon, IL 61021(815) 285-5800Fax: (815) 285-569100 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMPCMH: No

Hernandez, Thomas MD

Provider ID: 1536444Gender: MaleKsb Medical Group Inc215 E 1st St Ste 326Dixon, IL 61021(815) 285-5800Fax: (815) 285-569100 Yrs/130 YrsM-TH 9:00 AM - 5:00 PMPCMH: No

Physical Medicine &Rehabilitation

Khanna, Priti MDProvider ID: 1072834Gender: Female1672 S Galena AveDixon, IL 61021(847) 653-0130Fax: (815) 986-421700 Yrs/130 YrsM-F 7:30 AM - 8:00 PMSat 8:00 AM - 4:00 PMSun 8:00 AM - 4:30 PMPCMH: No

Podiatry

Gumbiner, Brandon MD

Provider ID: 1688042Gender: MaleKsb Medical Group215 E 1st St Ste 310Dixon, IL 61021(815) 285-5801Fax: (815) 285-569900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Meshulam, Eric DPMProvider ID: 1647870Gender: MaleKsb Medical Group215 E 1st St Ste 310Dixon, IL 61021(815) 285-5801Fax: (815) 285-569900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Psychiatry

Burckhartzmeyer, Lisa MD

Provider ID: 1579146Gender: FemaleSinnissippi Centers, Inc325 IL Rte 2Dixon, IL 61021(815) 284-661100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Fernald, Jorge MDProvider ID: 1579140Gender: MaleSinnissippi Centers, Inc325 IL Rte 2Dixon, IL 61021(815) 284-661100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Floreani, Christina MDProvider ID: 1536426Gender: FemaleKsb Medical Group Inc403 E 1st StDixon, IL 61021(815) 285-5638Fax: (815) 285-585000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Rahman, Desiree MDProvider ID: 1536496Gender: FemaleKsb Medical Group Inc403 E 1st StDixon, IL 61021(815) 284-7733Fax: (815) 285-586500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Shah, Hemant MDProvider ID: 1536507Gender: MaleKsb Medical Group Inc403 E 1st StDixon, IL 61021(815) 285-5593Fax: (815) 285-586600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Shah, Trilok MDProvider ID: 1536508Gender: MaleKsb Medical Group Inc403 E 1st StDixon, IL 61021(815) 285-563800 Yrs/130 YrsLanguages: GujaratiM-F 9:00 AM - 5:00 PMPCMH: No

Syed, Saba MDProvider ID: 1592472Gender: FemaleSinnissippi Centers Inc325 IL Rte 2Dixon, IL 61021(815) 284-6611Fax: (815) 284-283400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Psychology

Heffelfinger, Susan PHD

Provider ID: 1536440Gender: FemaleKsb Medical Group Inc403 E 1st StDixon, IL 61021(815) 284-7733Fax: (815) 285-585000 Yrs/130 YrsM-W 8:00 AM - 2:00 PMPCMH: No

Hellmich, Linda PsyDProvider ID: 1536441Gender: FemaleKsb Medical Group Inc403 E 1st StDixon, IL 61021(815) 284-7733Fax: (815) 285-585000 Yrs/130 YrsMW 2:00 AM - 5:00 PMTTH 8:00 AM - 5:00 PMPCMH: No

Pulmonary Disease

Treviranus, Kim MDProvider ID: 1538246Gender: MaleCgh Home Nursing1321 N Galena AveDixon, IL 61021(815) 284-1600Fax: (815) 285-506500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Radiation Oncology

Miles, Edward MDProvider ID: 1533528Gender: MaleNorthern Illinois CancerTreatment327 IL Rte 2Dixon, IL 61021(815) 284-1111Fax: (815) 284-230600 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Rheumatology

Alghafeer, Ibrahim MDProvider ID: 1649869Gender: MaleKsb Medical Group215 E 1st St Ste 111Dixon, IL 61021(815) 285-8536Fax: (815) 285-595200 Yrs/130 YrsM 11:00 AM - 7:00 PMPCMH: No

Buddaraju, Ajay MDProvider ID: 1538081Gender: MaleCgh Home Nursing1321 N Galena AveDixon, IL 61021(815) 284-1600Fax: (815) 285-506500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Duncan, Melissa ApnProvider ID: 1538113Gender: FemaleCgh Home Nursing1321 N Galena AveDixon, IL 61021(815) 284-1600Fax: (815) 632-587300 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Substance Abuse

Lutheran Social Services ofIllinois

Provider ID: 1214458Lutheran Social Services1261 Illinois Rt 38Nachusa, IL 61057(815) 284-7796Fax: (815) 284-253700 Yrs/130 YrsLanguages: Spanish, Hindi,PolishPCMH: No

Sinnissippi Centers IncProvider ID: 1077930325 IL Rte 2Dixon, IL 61021(815) 284-6611Fax: (815) 284-860100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Sinnissippi Centers IncProvider ID: 1594083922 Washington AveDixon, IL 61021(815) 285-661100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Substance Abuse - cont.

Sinnissippi Centers IncProvider ID: 1597076325 IL Rte 2Dixon, IL 61021(815) 284-661100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Urology

Mathew, Mathew MDProvider ID: 1536467Gender: MaleKsb Medical Group Inc215 E 1st St Ste 305Dixon, IL 61021(815) 285-548400 Yrs/130 YrsLanguages: MalayalamM-F 9:00 AM - 5:00 PMPCMH: No

Specialty PhysiciansMercer

Updated: 11/09/2018


Optometry

Arbet, Timothy ODProvider ID: TPV1508859265-0Gender: MaleRock Island OptometricCenter LTD106 S College AveAledo, IL 61231(309) 582-2421Fax: (309) 582-227203 Yrs/99 YrsM-TH 8:30 AM - 5:00 PMF 8:30 AM - 12:00 PMPCMH: No

Hays, Jill ODProvider ID: TPV1932192697-0Gender: FemaleRock Island OptometricCenter LTD106 S College AveAledo, IL 61231(309) 582-2421Fax: (309) 582-227203 Yrs/99 YrsM-TH 8:30 AM - 5:00 PMF 8:30 AM - 12:00 PMPCMH: No

Lear, Christopher ODProvider ID: TPV1225021983-0Gender: MaleRock Island OptometricCenter LTD106 S College AveAledo, IL 61231(309) 582-2421Fax: (309) 582-227204 Yrs/99 YrsM-TH 8:30 AM - 5:00 PMF 8:30 AM - 12:00 PMPCMH: No

Ledford, Abigail ODProvider ID: TPV1639665540-0Gender: FemaleRock Island OptometricCenter LTD106 S College AveAledo, IL 61231(309) 582-2421Fax: (309) 582-227205 Yrs/99 YrsM-TH 8:30 AM - 5:00 PMF 8:30 AM - 12:00 PMPCMH: No

Nordquist, Joseph ODProvider ID: TPV1790778454-0Gender: MaleRock Island OptometricCenter LTD106 S College AveAledo, IL 61231(309) 582-2421Fax: (309) 582-227204 Yrs/99 YrsM-TH 8:30 AM - 5:00 PMF 8:30 AM - 12:00 PMPCMH: No

Specialty PhysiciansMuscatine

Updated: 11/09/2018


Pedodontics

Johnson, Jarod DDSProvider ID: TPVP155391-01Gender: MaleArctic Dental2023 Cedar Plz DrMuscatine, IA 52761(563) 607-5979Fax: (563) 316-238500 Yrs/99 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Specialty PhysiciansOgle

Updated: 11/09/2018


General Dentistry

Anderson, Abram DDSProvider ID: TPVP66214-03Gender: MaleMalta Family Dental820 S 7th StRochelle, IL 61068(815) 561-9100Fax: (815) 516-020500 Yrs/99 YrsMT 9:00 AM - 7:00 PMWTH 9:00 AM - 5:00 PMF 8:00 AM - 3:00 PMSat 8:00 AM - 1:30 PMPCMH: No

Internal Medicine

Jabshetty, Sangmesh MD

Provider ID: 1556650Gender: MaleRcha DBA Medical Group ofRochelle900 N 2nd St Ste 200Rochelle, IL 61068(815) 562-2181Fax: (815) 561-312000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Brawley, Meredith DOProvider ID: 1543156Gender: FemaleSA Byron Clinic230 W Blackhawk DrByron, IL 61010(779) 696-1300Fax: (815) 234-231400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Durkee, Timothy MDProvider ID: 1543232Gender: MaleSA Rochelle Clinic380 E IL Rte 38Rochelle, IL 61068(779) 696-9050Fax: (779) 696-907100 Yrs/130 YrsSwedish American HospitalM 8:00 AM - 7:00 PMT 8:00 AM - 1:00 PMWTH 7:00 AM - 5:00 PMF 8:00 AM - 5:00 PMPCMH: No

Martin, Keith MDProvider ID: 1538202Gender: MaleCgh Home Nursing711 S Division AvePolo, IL 61064(815) 946-3661Fax: (815) 946-229900 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Smith, Sara ApnProvider ID: 1538233Gender: FemaleCgh Home Nursing711 S Division AvePolo, IL 61064(815) 632-5290Fax: (815) 946-229900 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Substance Abuse

Sinnissippi Centers IncProvider ID: 13179251321 N 7th StRochelle, IL 61068(815) 562-3801Fax: (815) 562-448100 Yrs/130 YrsMWF 8:00 AM - 5:00 PMTTH 8:00 AM - 7:00 PMPCMH: No

Sinnissippi Centers IncProvider ID: 1321116100 Jefferson StOregon, IL 61061(815) 732-3157Fax: (815) 732-475900 Yrs/130 YrsMTTHF 8:00 AM - 5:00 PMW 8:00 AM - 6:30 PMPCMH: No

Sinnissippi Centers IncProvider ID: 1569215100 Jefferson StOregon, IL 61061(815) 732-315700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Sinnissippi Centers IncProvider ID: 15948481321 N 7th StRochelle, IL 61068(815) 562-380100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Specialty PhysiciansPeoria

Updated: 11/09/2018



Ewbank, Penelope MDProvider ID: 1524475Gender: FemaleAllergy and Asthma of IllinoisSC6615 N Big Hollow RdPeoria, IL 61615(309) 691-5200Fax: (309) 691-520100 Yrs/130 YrsM-TH 8:30 AM - 5:00 PMPCMH: No

Smart, Stephen MDProvider ID: 1523693Gender: MaleAllergy and Asthma of Illinois6615 N Big Hollow RdPeoria, IL 61615(309) 691-5200Fax: (309) 691-520100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Behavioral HealthCounseling

Childrens Home Associationof IL

Provider ID: 15010392011 N Knoxville AvePeoria, IL 61603(309) 685-1047Fax: (309) 687-799900 Yrs/21 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No


Bonello, Julius MDProvider ID: 1524381Gender: Male1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 692-144100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Tsoraides, Steven MDProvider ID: 1524393Gender: Male1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 676-654500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Family Practice

Farr, Breann ApnProvider ID: 1532346Gender: FemaleHeartland Community HealthClinic3422 Court StPekin, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Miller, Angela ApnProvider ID: 1532357Gender: FemaleHeartland Community HealthClinic2321 N Wisconsin Ave Ste 2Peoria, IL 61603(309) 680-7600Fax: (309) 681-468100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Qazi, Aftab MDProvider ID: 1596556Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-7600Fax: (309) 681-468100 Yrs/130 YrsM-TH 8:00 AM - 9:00 PMF 8:00 AM - 4:30 PMSat 9:00 AM - 2:00 PMPCMH: No

Saddler, Tina ApnProvider ID: 1532419Gender: Female1701 W Garden StPeoria, IL 61605(309) 680-7600Fax: (309) 680-768600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Saddler, Tina ApnProvider ID: 1532419Gender: Female320 E Armstrong AvePeoria, IL 61603(309) 671-8000Fax: (309) 681-844300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Gastroenterology

Al Rashdan, Abdullah MD

Provider ID: 914603Gender: Male1001 Main St Ste 500APeoria, IL 61606(309) 672-4980Fax: (309) 671-297918 Yrs/130 YrsM-F 8:30 AM - 4:30 PMPCMH: No

Baldwin, Terry MDProvider ID: 912172Gender: Male1001 Main St Ste 500APeoria, IL 61606(309) 672-4980Fax: (309) 353-200118 Yrs/130 YrsM-F 8:30 AM - 4:30 PMPCMH: No

Camacho, Kenneth MD


Ellahi, Wasim MDProvider ID: 927574Gender: Male1001 Main St Ste 500APeoria, IL 61606(309) 672-4980Fax: (309) 671-297918 Yrs/130 YrsM-F 8:30 AM - 4:30 PMPCMH: No

Kuganeswaran, Eliathamby MD


Treanor, Michael MD


Wu, Scott MDProvider ID: 795987Gender: Male1001 Main St Ste 500APeoria, IL 61606(309) 672-4980Fax: (309) 671-297918 Yrs/130 YrsM-F 8:30 AM - 4:30 PMPCMH: No


Updated: 11/09/2018


General Dentistry

Acosta-Lenis, Claudia DDSProvider ID: TPVP121564-09Gender: FemaleFamilia Dental1403 W Glen AvePeoria, IL 61614(888) 988-4066Fax: (847) 496-485000 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 9:00 AM - 4:00 PMPCMH: No

Anne, Hari Priya DDSProvider ID: TPVP147725-07Gender: FemaleFamilia Dental1403 W Glen AvePeoria, IL 61614(888) 988-4066Fax: (847) 496-485000 Yrs/99 YrsLanguages: Spanish, HindiM-F 9:00 AM - 6:00 PMSat 9:00 AM - 4:00 PMPCMH: No

Anne, Hari Priya DDSProvider ID: TPVP147725-14Gender: FemaleOptim Dental1200 W Main St Ste 9Peoria, IL 61606(309) 777-9777Fax: (309) 296-005500 Yrs/99 YrsLanguages: Spanish, HindiM-F 9:00 AM - 6:00 PMSat 8:00 AM - 3:00 PMPCMH: No

Anne, Hari Priya DDSProvider ID: TPVP147725-15Gender: FemaleVogue Dental3510 N University St Ste APeoria, IL 61604(309) 306-8888Fax: (309) 296-088800 Yrs/99 YrsLanguages: Spanish, HindiM-F 8:00 AM - 5:00 PMSat 8:00 AM - 2:00 PMPCMH: No

Avadhani, Rahul DDSProvider ID: TPVP170336-03Gender: MaleOptim Dental1200 W Main St Ste 9Peoria, IL 61606(309) 777-9777Fax: (309) 296-005500 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 8:00 AM - 3:00 PMPCMH: No

Bai, Allen DDSProvider ID: TPVP173163-04Gender: MaleOptim Dental1200 W Main St Ste 9Peoria, IL 61606(309) 777-9777Fax: (309) 296-005500 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 8:00 AM - 3:00 PMPCMH: No

Bordenave-Bishop, SusanDMD

Provider ID: TPVP137629-01Gender: FemalePeoria Citycounty HealthDepartment - Dental Clinic2116 N Sheridan RdPeoria, IL 61604(309) 679-6141Fax: (309) 679-661000 Yrs/99 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Chiang, James DDSProvider ID: TPVP144506-02Gender: MaleSecure Dental LLC3127 N University StPeoria, IL 61604(309) 681-8888Fax: (888) 293-999100 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMPCMH: No

Cho, Jai DDSProvider ID: TPVP137974-02Gender: MaleSecure Dental LLC3127 N University StPeoria, IL 61604(309) 681-8888Fax: (888) 293-999100 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMPCMH: No

Choudhary, Nikhilesh DMD

Provider ID: TPVP164359-05Gender: MaleOptim Dental1200 W Main St Ste 9Peoria, IL 61606(309) 777-9777Fax: (309) 296-005500 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 8:00 AM - 3:00 PMPCMH: No

Choudhary, Nikhilesh DMD

Provider ID: TPVP164359-06Gender: MaleVogue Dental3510 N University St Ste APeoria, IL 61604(309) 306-8888Fax: (309) 296-088800 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMSat 8:00 AM - 2:00 PMPCMH: No

Durshanapalli, Srinivas DDS

Provider ID: TPV019028802-12Gender: MaleOptim Dental1200 W Main St Ste 9Peoria, IL 61606(309) 777-9777Fax: (309) 296-005500 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 8:00 AM - 3:00 PMPCMH: No

Durshanapalli, Srinivas DDS

Provider ID: TPV019028802-14Gender: MaleVogue Dental3510 N University St Ste APeoria, IL 61604(309) 306-8888Fax: (309) 296-088800 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMSat 8:00 AM - 2:00 PMPCMH: No

George, Rita DMDProvider ID: TPVP176120-04Gender: FemaleOptim Dental1200 W Main St Ste 9Peoria, IL 61606(309) 777-9777Fax: (309) 296-005500 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 8:00 AM - 3:00 PMPCMH: No

Herberger, Gary DDSProvider ID: TPVP144196-01Gender: MalePeoria Citycounty HealthDepartment - Dental Clinic2116 N Sheridan RdPeoria, IL 61604(309) 679-6141Fax: (309) 679-661000 Yrs/99 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Jafri, Nazish DDSProvider ID: TPVP103084-18Gender: FemaleSecure Dental LLC3127 N University StPeoria, IL 61604(309) 681-8888Fax: (888) 293-999100 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMPCMH: No


Updated: 11/09/2018



Jamil, Samira DDSProvider ID: TPVP156595-02Gender: FemaleSecure Dental LLC3127 N University StPeoria, IL 61604(309) 681-8888Fax: (888) 293-999100 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMPCMH: No

Kang, Navtej DMDProvider ID: TPVP168563-04Gender: MaleOptim Dental1200 W Main St Ste 9Peoria, IL 61606(309) 777-9777Fax: (309) 296-005500 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 8:00 AM - 3:00 PMPCMH: No

Klinski, Albert DDSProvider ID: TPVP137630-01Gender: MalePeoria Citycounty HealthDepartment - Dental Clinic2116 N Sheridan RdPeoria, IL 61604(309) 679-6141Fax: (309) 679-661000 Yrs/99 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Kondapalli, Venkat DDSProvider ID: TPVP174194-03Gender: MaleOptim Dental1200 W Main St Ste 9Peoria, IL 61606(309) 777-9777Fax: (309) 296-005500 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 8:00 AM - 3:00 PMPCMH: No

Liu, Noel DDSProvider ID: TPVP102406-18Gender: MaleSecure Dental LLC3127 N University StPeoria, IL 61604(309) 681-8888Fax: (888) 293-999100 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMPCMH: No

MA, Ji DDSProvider ID: TPVP142268-01Gender: FemaleSecure Dental LLC3127 N University StPeoria, IL 61604(309) 681-8888Fax: (888) 293-999100 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMPCMH: No

Naser, Ashraf DDSProvider ID: TPVP154789-04Gender: MaleOptim Dental1200 W Main St Ste 9Peoria, IL 61606(309) 777-9777Fax: (309) 296-005500 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 8:00 AM - 3:00 PMPCMH: No

Naser, Ashraf DDSProvider ID: TPVP154789-05Gender: MaleVogue Dental3510 N University St Ste APeoria, IL 61604(309) 306-8888Fax: (309) 296-088800 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMSat 8:00 AM - 2:00 PMPCMH: No

Pudik, Bethelen DDSProvider ID: TPVP137956-01Gender: MalePeoria Citycounty HealthDepartment - Dental Clinic2116 N Sheridan RdPeoria, IL 61604(309) 679-6141Fax: (309) 679-661000 Yrs/99 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Roo, Kunho DDSProvider ID: TPVP156883-01Gender: MaleSecure Dental LLC3127 N University StPeoria, IL 61604(309) 681-8888Fax: (888) 293-999100 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMPCMH: No

Sanku Lakshmi, Prasada DDS

Provider ID: TPVP143087-04Gender: MaleOptim Dental1200 W Main St Ste 9Peoria, IL 61606(309) 777-9777Fax: (309) 296-005500 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 8:00 AM - 3:00 PMPCMH: No

Soofi, Saad DDSProvider ID: TPVP175727-02Gender: MaleSecure Dental LLC3127 N University StPeoria, IL 61604(309) 681-8888Fax: (888) 293-999100 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMPCMH: No

Sreekantam, Bharath DDSProvider ID: TPVP175366-04Gender: MaleOptim Dental1200 W Main St Ste 9Peoria, IL 61606(309) 777-9777Fax: (309) 296-005500 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 8:00 AM - 3:00 PMPCMH: No

Tadakamalla, Pramod DDSProvider ID: TPVP170440-03Gender: MaleOptim Dental1200 W Main St Ste 9Peoria, IL 61606(309) 777-9777Fax: (309) 296-005500 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 8:00 AM - 3:00 PMPCMH: No

Thota, Sandeep DDSProvider ID: TPVP145364-07Gender: MaleFamilia Dental1403 W Glen AvePeoria, IL 61614(888) 988-4066Fax: (847) 496-485000 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 9:00 AM - 4:00 PMPCMH: No

General Surgery

Alley, Robin MDProvider ID: 1524397Gender: Female1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 676-654500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


General Surgery - cont.

Anderson, Marla MDProvider ID: 1524436Gender: Female1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 676-654500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Anderson, Richard MD

Provider ID: 919537Gender: Male1001 Main St Fl 3Peoria, IL 61606(309) 495-0200Fax: (309) 676-654500 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Bonello, Julius MDProvider ID: 1524381Gender: Male1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 692-144100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Chiou, Andy MDProvider ID: 1524416Gender: Male1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 676-654500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Crawford, David MDProvider ID: 1524383Gender: Male1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 676-654500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Debord, James MDProvider ID: 1524386Gender: Male1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 676-654500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Elwood, Eric MDProvider ID: 1524418Gender: Male1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 676-654500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Evans, Chadrick MD


Howe, Heather ApnProvider ID: 1524408Gender: Female1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 676-654500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Mammolito, Denise MD

Provider ID: 1524414Gender: FemalePeoria Surgical Group, LTD1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 495-027500 Yrs/130 YrsMTWTHFSat 8:00 AM - 5:00PMPCMH: No

Marshall, John MDProvider ID: 1524388Gender: Male1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 676-554500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Moazzam, Farnaz MD

Provider ID: 1112454Gender: Female1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 676-654500 Yrs/130 YrsMTH 9:00 AM - 10:30 PMT 9:30 AM - 1:00 PMW 9:00 AM - 3:00 PMPCMH: No

Orcutt, Sonia MDProvider ID: 1524401Gender: FemalePeoria Surgical Group LTD1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 676-654500 Yrs/130 YrsM-F 8:00 AM - 4:00 PMPCMH: No

Rammos, Charalambos MD

Provider ID: 1524435Gender: Male1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 676-654500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Rossi, Thomas MDProvider ID: 1524390Gender: Male1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 676-654500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Tsoraides, Steven MDProvider ID: 1524393Gender: Male1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 676-654500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Byler Dann, Rebecca MD

Provider ID: 1161101Gender: FemaleOncology HematologyAssociates of C8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-304400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Hematology

Bajaj, Madhuri MDProvider ID: 1173963Gender: FemaleIllinois Cancer Care8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-304018 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Fishkin, Paul MDProvider ID: 788781Gender: Male8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-307000 Yrs/130 YrsGraham HospitalM-F 9:00 AM - 5:00 PMPCMH: No

Gomez, Patrick MD

Provider ID: 906192Gender: Male8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 662-879000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Jujjavarapu, Srinivas MD

Provider ID: 1198908Gender: MaleOncology HematologyAssociates of C8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-304018 Yrs/130 YrsLanguages: TeluguM-F 8:00 AM - 5:00 PMPCMH: No

Liu, Jijun MDProvider ID: 905881Gender: Female8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-304400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Macvicar, Gary MD

Provider ID: 1161098Gender: MaleIllinois Cancer Care PC8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-306918 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Prager, Diane MDProvider ID: 1161099Gender: FemaleIllinois Cancer Care8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-305000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Kumar, Pankaj MDProvider ID: 1334680Gender: Male8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 662-879018 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Le Lindqwister, Nguyet MD

Provider ID: 728848Gender: Female8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-304500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Macvicar, Gary MD

Provider ID: 1161098Gender: MaleIllinois Cancer Care PC8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-306918 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Infectious Disease

Azar, Aline MDProvider ID: 1141586Gender: Female1120 E War Memorial DrPeoria Heights, IL 61616(309) 268-2950Fax: (630) 734-471500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Azar, Aline MDProvider ID: 1141586Gender: Female1200 W Loucks AvePeoria, IL 61604(309) 306-7421Fax: (630) 654-425300 Yrs/130 YrsPCMH: No

Doughty, Stephen MDProvider ID: 491248Gender: Male1200 W Loucks AvePeoria, IL 61604(309) 306-7421Fax: (630) 654-425318 Yrs/130 YrsLanguages: Spanish, Hindi,Polish, RomanianPCMH: No

Doughty, Stephen MDProvider ID: 491248Gender: MaleMetro Infectious DiseaseConsultant9118 N Lindbergh DrPeoria, IL 61615(888) 220-6432Fax: (630) 654-425318 Yrs/130 YrsLanguages: Spanish, Hindi,Polish, RomanianM 1:00 AM - 4:00 PMPCMH: No

Farrell, John MDProvider ID: 1645156Gender: MaleSt Francis Medical Center530 NE Glen Oak AvePeoria, IL 61637(309) 655-200000 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Internal Medicine

Geoffroy, Francois MD



Updated: 11/09/2018



Houser, David MDProvider ID: 1439024Gender: Male420 NE Glen Oak Ave Ste 401Peoria, IL 61603(309) 676-8123Fax: (309) 676-845500 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Khan, Usman MDProvider ID: 1302351Gender: Male200 E Pennsylvania Ave Ste212Peoria, IL 61603(309) 676-8123Fax: (309) 676-845500 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Medical Oncology

Bajaj, Madhuri MDProvider ID: 1173963Gender: FemaleIllinois Cancer Care8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-304018 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Fishkin, Paul MDProvider ID: 788781Gender: Male8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-307000 Yrs/130 YrsGraham HospitalM-F 9:00 AM - 5:00 PMPCMH: No

Geoffroy, Francois MD


Gomez, Patrick MD


Jujjavarapu, Srinivas MD

Provider ID: 1198908Gender: MaleOncology HematologyAssociates of C8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-304018 Yrs/130 YrsLanguages: TeluguM-F 8:00 AM - 5:00 PMPCMH: No

Liu, Jijun MDProvider ID: 905881Gender: Female8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-304400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Prager, Diane MDProvider ID: 1161099Gender: FemaleIllinois Cancer Care8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-305000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Veeder, Michael MD


Nephrology

Bruha, Robert MDProvider ID: 1157590Gender: Male420 NE Glen Oak Ave Ste 401Peoria, IL 61603(309) 663-4766Fax: (309) 663-723800 Yrs/130 YrsPCMH: No

Houser, David MDProvider ID: 1439024Gender: Male420 NE Glen Oak Ave Ste 401Peoria, IL 61603(309) 676-8123Fax: (309) 676-845500 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

James, Gordon MDProvider ID: 1157586Gender: Male200 E Pennsylvania Ave Ste212Peoria, IL 61603(309) 676-8123Fax: (309) 676-845500 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

James, Gordon MDProvider ID: 1157586Gender: Male420 NE Glen Oak Ave Ste 401Peoria, IL 61603(309) 676-812300 Yrs/130 YrsPCMH: No

Khan, Usman MDProvider ID: 1302351Gender: Male200 E Pennsylvania Ave Ste212Peoria, IL 61603(309) 676-8123Fax: (309) 676-845500 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Pflederer, Benjamin MDProvider ID: 1532424Gender: MaleHeartland Community HealthClinic A1701 W Garden StPeoria, IL 61605(309) 680-7600Fax: (309) 680-768618 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: NoMaximus ID: 08092180


Updated: 11/09/2018


Nephrology - cont.

Pflederer, Timothy MD

Provider ID: 1123468Gender: Male200 E Pennsylvania Ave Ste212Peoria, IL 61603(309) 676-8123Fax: (309) 676-845518 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Pflederer, Timothy MDProvider ID: 1123468Gender: Male420 NE Glen Oak Ave Ste 401Peoria, IL 61603(309) 676-8123Fax: (309) 676-845518 Yrs/130 YrsPCMH: No

Rahman, Saadur DO

Provider ID: 1447133Gender: MaleKidney Care CenterBloomington LLC719 Main St Ste CPeoria, IL 61602(309) 839-8364Fax: (309) 713-125716 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Zafar, Mohammad MD

Provider ID: 1443163Gender: MaleKidney Care CenterBloomington LLC719 Main StPeoria, IL 61602(309) 642-6705Fax: (309) 402-018000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Ali, Maqbool MDProvider ID: 1508450Gender: FemaleGreater Peoria ObstetricsGynecolo4930 N Executive DrPeoria, IL 61614(309) 692-7575Fax: (309) 692-027000 Yrs/130 YrsLanguages: UrduM-F 10:30 AM - 5:00 PMPCMH: No

Baum, Margaret MDProvider ID: 1564501Gender: Female2709 N Knoxville AvePeoria, IL 61604(309) 681-0350Fax: (630) 585-558800 Yrs/130 YrsM 9:00 AM - 5:00 PMT 8:00 AM - 4:00 PMW 10:00 AM - 6:00 PMTH 11:00 AM - 7:00 PMF 8:00 AM - 3:30 PMPCMH: No


Provider ID: 1497919Gender: FemaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Provider ID: 1497919Gender: FemaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-7600Fax: (309) 671-218800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Provider ID: 1497919Gender: FemaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-7600Fax: (309) 681-468100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No




Provider ID: 1497919Gender: FemaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-7600Fax: (309) 671-218800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Crawley, Katie DOProvider ID: 1499375Gender: FemaleJody L Kelly MD andAssociates LLC2901 N Knoxville AvePeoria, IL 61603(309) 688-7010Fax: (309) 688-704416 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Croland, Joshua MDProvider ID: 1497933Gender: MaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Croland, Joshua MDProvider ID: 1497933Gender: MaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Croland, Joshua MDProvider ID: 1497933Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-7600Fax: (309) 681-468100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Croland, Joshua MDProvider ID: 1497933Gender: MaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018



Croland, Joshua MDProvider ID: 1497933Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Dixon-Shambley, Kamilah MD


Elkattah, Rayan MDProvider ID: 1497942Gender: MaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Elkattah, Rayan MDProvider ID: 1497942Gender: MaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Elkattah, Rayan MDProvider ID: 1497942Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Elkattah, Rayan MDProvider ID: 1497942Gender: MaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Elkattah, Rayan MDProvider ID: 1497942Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Gibson, Jack MDProvider ID: 1497965Gender: MaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Gibson, Jack MDProvider ID: 1497965Gender: MaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Gibson, Jack MDProvider ID: 1497965Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Gibson, Jack MDProvider ID: 1497965Gender: MaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Gibson, Jack MDProvider ID: 1497965Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Graczykowski, Jacek MD

Provider ID: 1497968Gender: MaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Provider ID: 1497968Gender: MaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Provider ID: 1497968Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Provider ID: 1497968Gender: MaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018




Provider ID: 1497968Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Harrington, Douglas MD

Provider ID: 1497993Gender: MaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-7600Fax: (309) 680-768600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Provider ID: 1497993Gender: MaleHeartland Community HealthClinic228 NE Jefferson AvePeoria, IL 61603(309) 671-8000Fax: (309) 671-469500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Provider ID: 1497993Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-7600Fax: (309) 681-468100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No




Provider ID: 1497993Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-7600Fax: (309) 671-218800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Hodel, Kenneth MDProvider ID: 1498008Gender: MaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Hodel, Kenneth MDProvider ID: 1498008Gender: MaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-7600Fax: (309) 671-218800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Hodel, Kenneth MDProvider ID: 1498008Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-7600Fax: (309) 681-468100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Hodel, Kenneth MDProvider ID: 1498008Gender: MaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Hodel, Kenneth MDProvider ID: 1498008Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-7600Fax: (309) 671-218800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Hoke, Caroline MDProvider ID: 1564780Gender: Female2709 N Knoxville AvePeoria, IL 61604(309) 681-0350Fax: (630) 585-558800 Yrs/130 YrsM 9:00 AM - 5:00 PMT 8:00 AM - 4:00 PMW 10:00 AM - 6:00 PMTH 11:00 AM - 7:00 PMF 8:00 AM - 3:30 PMPCMH: No

Kelly, Jody MDProvider ID: 1499374Gender: FemaleJody L Kelly MD andAssociates LLC2901 N Knoxville AvePeoria, IL 61603(309) 688-7010Fax: (309) 688-704416 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Kerns, James MDProvider ID: 1498034Gender: MaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-7600Fax: (309) 680-763700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Kerns, James MDProvider ID: 1498034Gender: MaleHeartland Community HealthClinic228 NE Jefferson AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Kerns, James MDProvider ID: 1498034Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-7600Fax: (309) 681-468100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018



Kerns, James MDProvider ID: 1498034Gender: MaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Kerns, James MDProvider ID: 1498034Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-7600Fax: (309) 671-218800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Lee, Thomas DOProvider ID: 1498049Gender: MaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Lee, Thomas DOProvider ID: 1498049Gender: MaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Lee, Thomas DOProvider ID: 1498049Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Lee, Thomas DOProvider ID: 1498049Gender: MaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Lee, Thomas DOProvider ID: 1498049Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Loberg, Andrea MDProvider ID: 1564989Gender: Female2709 N Knoxville AvePeoria, IL 61604(309) 681-0350Fax: (312) 592-680100 Yrs/130 YrsM 9:00 AM - 5:00 PMT 8:00 AM - 4:00 PMW 10:00 AM - 6:00 PMTH 11:00 AM - 7:00 PMF 8:00 AM - 3:30 PMPCMH: No

Lococo, Salvatore MDProvider ID: 1497963Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-7600Fax: (309) 681-468100 Yrs/130 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PMPCMH: No

Saad, Edward MDProvider ID: 1498047Gender: MaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Saad, Edward MDProvider ID: 1498047Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Saad, Edward MDProvider ID: 1498047Gender: MaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Saad, Edward MDProvider ID: 1498047Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Swingler, James MDProvider ID: 1498080Gender: MaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Swingler, James MDProvider ID: 1498080Gender: MaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Swingler, James MDProvider ID: 1498080Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018



Swingler, James MDProvider ID: 1498080Gender: MaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Swingler, James MDProvider ID: 1498080Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Thompson, Stephen MD

Provider ID: 1498087Gender: MaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-7600Fax: (309) 680-768600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Provider ID: 1498087Gender: MaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 671-800000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Provider ID: 1498087Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-7600Fax: (309) 681-468100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No




Provider ID: 1498087Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-7600Fax: (309) 671-218800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Verma, Neelam MDProvider ID: 1569917Gender: FemaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Ophthalmology

Adler, Roger MDProvider ID: 1181242Gender: MaleBond Eye Associates6800 N Knoxville AvePeoria, IL 61614(309) 692-2020Fax: (309) 692-218105 Yrs/130 YrsM-F 7:40 AM - 4:00 PMPCMH: No

Bond, William MDProvider ID: 901071Gender: MaleBond Eye Associates6800 N Knoxville AvePeoria, IL 61614(309) 692-2020Fax: (309) 692-218100 Yrs/130 YrsM-TH 8:30 AM - 5:30 PMF 8:30 AM - 5:00 PMPCMH: No

Bond, William MDProvider ID: TPV1184653644-0Gender: MaleBond Eye Associates SC6800 N KnoxvillePeoria, IL 61614(309) 692-2020Fax: (309) 692-218105 Yrs/99 YrsGraham HospitalMethodist Medical Center ofIllinoisPekin HospitalM-F 8:30 AM - 5:00 PMPCMH: No

Kishore, Kamal MD

Provider ID: 1162988Gender: MaleIllinois Retina Institute4505 N Rockwood Dr Ste 1Peoria, IL 61615(309) 589-1880Fax: (309) 589-188500 Yrs/130 YrsM-F 8:00 AM - 4:00 PMPCMH: No

Tennant, Jeffrey MD

Provider ID: 817923Gender: MaleBond Eye Associates SC6800 N Knoxville AvePeoria, IL 61614(309) 692-2020Fax: (309) 692-218100 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Willi, Martha MDProvider ID: 1498107Gender: FemaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-7600Fax: (309) 680-768600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Optometry

Anderson, Thomas ODProvider ID: TPV1023104437-0Gender: MaleFitch Enterprises of Peoria LLC3311 N Sterling Ave Ste 9Peoria, IL 61604(309) 685-2020Fax: (309) 681-795601 Yrs/99 YrsM-F 8:00 AM - 4:00 PMPCMH: No

Atkins, Charles ODProvider ID: TPV1154318749-0Gender: MaleJak Enterprises Inc4620 N UniversityPeoria, IL 61614(309) 692-8222Fax: (309) 692-822601 Yrs/99 YrsMTTHF 9:00 AM - 6:00 PMW 10:00 AM - 8:00 PMSat 9:00 AM - 3:00 PMPCMH: No


Updated: 11/09/2018


Optometry - cont.

Croland, Roger OD

Provider ID: 792287Gender: MaleBond Eye Associates SC6800 N KnoxvillePeoria, IL 61614(309) 692-2020Fax: (309) 692-218100 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Croland, Roger ODProvider ID: TPV1144256652-0Gender: MaleBond Eye Associates SC6800 N KnoxvillePeoria, IL 61614(309) 692-2020Fax: (309) 692-218105 Yrs/99 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Dameron, Rhonda ODProvider ID: TPV1306952072-0Gender: FemaleJak Enterprises Inc4620 N UniversityPeoria, IL 61614(309) 692-8222Fax: (309) 692-822601 Yrs/99 YrsMTTHF 9:00 AM - 6:00 PMW 10:00 AM - 8:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Dameron, Rhonda ODProvider ID: TPV1306952072-0Gender: FemaleJak Enterprises Inc8309 N Knoxville Ave Ste 1Peoria, IL 61615(309) 713-3664Fax: (309) 839-007801 Yrs/99 YrsMTWF 9:00 AM - 6:00 PMTH 10:00 AM - 7:00 PMSat 9:00 AM - 1:00 PMPCMH: No

Fitch, Roger ODProvider ID: TPV1306837307-0Gender: MaleFitch Enterprises of Peoria LLC3311 N Sterling Ave Ste 9Peoria, IL 61604(309) 685-2020Fax: (309) 681-795601 Yrs/99 YrsM-F 8:00 AM - 4:00 PMPCMH: No

Guithues, Molly ODProvider ID: TPV1023480316-0Gender: FemaleJak Enterprises Inc4620 N UniversityPeoria, IL 61614(309) 692-8222Fax: (309) 692-822601 Yrs/99 YrsMTTHF 9:00 AM - 6:00 PMW 10:00 AM - 8:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Gysin, John ODProvider ID: TPV1598757304-0Gender: MaleJohn P Gysin OD5901 N Prospect Rd Ste 11Peoria, IL 61614(309) 692-2525Fax: (309) 692-252705 Yrs/99 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Hahn, Mark ODProvider ID: TPV1528055969-0Gender: MaleJak Enterprises Inc4620 N UniversityPeoria, IL 61614(309) 692-8222Fax: (309) 692-822601 Yrs/99 YrsMTTHF 9:00 AM - 6:00 PMW 10:00 AM - 8:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Heden, Jeffrey ODProvider ID: TPV1770580797-0Gender: MaleJak Enterprises Inc4620 N UniversityPeoria, IL 61614(309) 692-8222Fax: (309) 692-822601 Yrs/99 YrsMTTHF 9:00 AM - 6:00 PMW 10:00 AM - 8:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Henline, Jeffrey ODProvider ID: TPV1275526790-0Gender: MaleBond Eye Associates SC6800 N KnoxvillePeoria, IL 61614(309) 692-2020Fax: (309) 692-218102 Yrs/99 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Henson, Brian ODProvider ID: TPV1184782112-0Gender: MaleJak Enterprises Inc4620 N UniversityPeoria, IL 61614(309) 692-8222Fax: (309) 692-822601 Yrs/99 YrsMTTHF 9:00 AM - 6:00 PMW 10:00 AM - 8:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Jackson, Joseph ODProvider ID: TPV1649352691-0Gender: MaleJak Enterprises Inc4620 N UniversityPeoria, IL 61614(309) 692-8222Fax: (309) 692-822601 Yrs/99 YrsMTTHF 9:00 AM - 6:00 PMW 10:00 AM - 8:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Jensen, Nicole ODProvider ID: TPV1790072924-0Gender: FemaleJak Enterprises Inc4620 N UniversityPeoria, IL 61614(309) 692-8222Fax: (309) 692-822601 Yrs/99 YrsMTTHF 9:00 AM - 6:00 PMW 10:00 AM - 8:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Jensen, Nicole ODProvider ID: TPV1790072924-0Gender: FemaleJak Enterprises Inc8309 N Knoxville Ave Ste 1Peoria, IL 61615(309) 713-3664Fax: (309) 839-007801 Yrs/99 YrsMTWF 9:00 AM - 6:00 PMTH 10:00 AM - 7:00 PMSat 9:00 AM - 1:00 PMPCMH: No

Jones, Deborah ODProvider ID: TPV1043373871-0Gender: FemaleJak Enterprises Inc4620 N UniversityPeoria, IL 61614(309) 692-8222Fax: (309) 692-822601 Yrs/99 YrsMTTHF 9:00 AM - 6:00 PMW 10:00 AM - 8:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Lane, Steven ODProvider ID: TPV1952427262-0Gender: MaleJak Enterprises Inc4620 N UniversityPeoria, IL 61614(309) 692-8222Fax: (309) 692-822601 Yrs/99 YrsMTTHF 9:00 AM - 6:00 PMW 10:00 AM - 8:00 PMSat 9:00 AM - 3:00 PMPCMH: No


Updated: 11/09/2018


Optometry - cont.

Morgret, David ODProvider ID: TPV1922109172-0Gender: MaleJak Enterprises Inc4620 N UniversityPeoria, IL 61614(309) 692-8222Fax: (309) 692-822601 Yrs/99 YrsMTTHF 9:00 AM - 6:00 PMW 10:00 AM - 8:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Pelfrey Jones, Sandra OD

Provider ID: TPV1770589244-0Gender: FemaleJak Enterprises Inc4620 N UniversityPeoria, IL 61614(309) 692-8222Fax: (309) 692-822601 Yrs/99 YrsMTTHF 9:00 AM - 6:00 PMW 10:00 AM - 8:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Richard, Lori ODProvider ID: TPV1598720724-0Gender: FemaleLori Sarver OD937 N 2nd StChillicothe, IL 61523(309) 274-6404Fax: (309) 274-640401 Yrs/99 YrsMTTHF 8:00 AM - 5:00 PMW 8:00 AM - 7:00 PMSat 8:00 AM - 12:00 PMPCMH: No

Richmond, Ronald ODProvider ID: TPV1184611766-0Gender: MaleJak Enterprises Inc4620 N UniversityPeoria, IL 61614(309) 692-8222Fax: (309) 692-822601 Yrs/99 YrsMTTHF 9:00 AM - 6:00 PMW 10:00 AM - 8:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Rimkus, John ODProvider ID: TPV1346347044-0Gender: MaleJak Enterprises Inc4620 N UniversityPeoria, IL 61614(309) 692-8222Fax: (309) 692-822601 Yrs/99 YrsMTTHF 9:00 AM - 6:00 PMW 10:00 AM - 8:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Sarmiento, Marc ODProvider ID: TPV1932116449-0Gender: MaleJak Enterprises Inc4620 N UniversityPeoria, IL 61614(309) 692-8222Fax: (309) 692-822601 Yrs/99 YrsMTTHF 9:00 AM - 6:00 PMW 10:00 AM - 8:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Schaidle, Kenneth ODProvider ID: TPV1639166226-0Gender: MaleJak Enterprises Inc4620 N UniversityPeoria, IL 61614(309) 692-8222Fax: (309) 692-822601 Yrs/99 YrsMTTHF 9:00 AM - 6:00 PMW 10:00 AM - 8:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Schaidle, Kenneth ODProvider ID: TPV1639166226-0Gender: MaleJak Enterprises Inc8309 N Knoxville Ave Ste 1Peoria, IL 61615(309) 713-3664Fax: (309) 839-007801 Yrs/99 YrsMTWF 9:00 AM - 6:00 PMTH 10:00 AM - 7:00 PMSat 9:00 AM - 1:00 PMPCMH: No

Schussele, Jennifer ODProvider ID: TPV1942551619-0Gender: FemaleJak Enterprises Inc4620 N UniversityPeoria, IL 61614(309) 692-8222Fax: (309) 692-822601 Yrs/99 YrsMTTHF 9:00 AM - 6:00 PMW 10:00 AM - 8:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Schussele, Jennifer ODProvider ID: TPV1942551619-0Gender: FemaleJak Enterprises Inc1200 W Main St Ste 21Peoria, IL 61606(309) 672-2273Fax: (309) 672-227401 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 1:00 PMPCMH: No

Shelley, T ODProvider ID: TPV1699762047-0Gender: MaleJak Enterprises Inc4620 N UniversityPeoria, IL 61614(309) 692-8222Fax: (309) 692-822601 Yrs/99 YrsMTTHF 9:00 AM - 6:00 PMW 10:00 AM - 8:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Suarez, Ronald ODProvider ID: TPV1376521146-0Gender: MaleFitch Enterprises of Peoria LLC3311 N Sterling Ave Ste 9Peoria, IL 61604(309) 685-2020Fax: (309) 681-795601 Yrs/99 YrsM-F 8:00 AM - 4:00 PMPCMH: No

Twenhafel, Stacy ODProvider ID: TPV1407901051-0Gender: FemaleJak Enterprises Inc4620 N UniversityPeoria, IL 61614(309) 692-8222Fax: (309) 692-822601 Yrs/99 YrsMTTHF 9:00 AM - 6:00 PMW 10:00 AM - 8:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Willingham, Victoria ODProvider ID: TPV1447234273-0Gender: FemaleJak Enterprises Inc4620 N UniversityPeoria, IL 61614(309) 692-8222Fax: (309) 692-822601 Yrs/99 YrsMTTHF 9:00 AM - 6:00 PMW 10:00 AM - 8:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Wilshire, Laura ODProvider ID: TPV1063965515-0Gender: FemaleJak Enterprises Inc4620 N UniversityPeoria, IL 61614(309) 692-8222Fax: (309) 692-822601 Yrs/99 YrsMTTHF 9:00 AM - 6:00 PMW 10:00 AM - 8:00 PMSat 9:00 AM - 3:00 PMPCMH: No


Updated: 11/09/2018


Optometry - cont.

Wilshire, Laura ODProvider ID: TPV1063965515-0Gender: FemaleJak Enterprises Inc7715 N Grand Prairie DrPeoria, IL 61615(309) 691-1320Fax: (309) 691-134401 Yrs/99 YrsMWTHF 9:00 AM - 6:00 PMT 10:00 AM - 7:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Wilson, James ODProvider ID: 1651993Gender: MaleBond Eye Associates6800 N Knoxville AvePeoria, IL 61614(309) 692-2020Fax: (309) 692-218100 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Wilson, James ODProvider ID: TPV1952330425-0Gender: MaleBond Eye Associates SC6800 N KnoxvillePeoria, IL 61614(309) 692-2020Fax: (309) 692-218101 Yrs/99 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Wiltz, Sharna ODProvider ID: TPV1407019946-0Gender: FemaleJak Enterprises Inc4620 N UniversityPeoria, IL 61614(309) 692-8222Fax: (309) 692-822601 Yrs/99 YrsMTTHF 9:00 AM - 6:00 PMW 10:00 AM - 8:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Wiltz, Sharna ODProvider ID: TPV1407019946-0Gender: FemaleJak Enterprises Inc7715 N Grand Prairie DrPeoria, IL 61615(309) 691-1320Fax: (309) 691-134401 Yrs/99 YrsMWTHF 9:00 AM - 6:00 PMT 10:00 AM - 7:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Wiltz, Sharna ODProvider ID: TPV1407019946-1Gender: FemaleJak Enterprises Inc1200 W Main St Ste 21Peoria, IL 61606(309) 672-2273Fax: (309) 672-227401 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 1:00 PMPCMH: No

Wiltz, Sharna ODProvider ID: TPV1407019946-2Gender: FemaleJak Enterprises Inc8309 N Knoxville Ave Ste 1Peoria, IL 61615(309) 713-3664Fax: (309) 839-007801 Yrs/99 YrsMTWF 9:00 AM - 6:00 PMTH 10:00 AM - 7:00 PMSat 9:00 AM - 1:00 PMPCMH: No


Jesudas, Rohith MD

Provider ID: 1710196Gender: MaleMichael D Tarantino MD SC9128 N Lindbergh DrPeoria, IL 61615(309) 692-5337Fax: (309) 693-391300 Yrs/21 YrsM-F 8:00 AM - 4:00 PMPCMH: No

Tarantino, Michael MD

Provider ID: 1692286Gender: MaleMichael D Tarantino MD SC9128 N Lindbergh DrPeoria, IL 61615(309) 692-5337Fax: (309) 693-391300 Yrs/18 YrsM-F 8:00 AM - 4:00 PMPCMH: No

Pedodontics

Rick, Edward DDSProvider ID: TPVP138558-01Gender: MaleDr Edward Rick DDS MS PC6926 N University St Ste CPeoria, IL 61614(309) 839-1677Fax: (309) 689-303100 Yrs/99 YrsMWTHF 8:00 AM - 4:00 PMT 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: No

Plastic & ReconstructiveSurgery

Elwood, Eric MDProvider ID: 1524418Gender: Male1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 676-654500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Jones, Glyn MDProvider ID: 1524412Gender: MalePeoria Surgical Group LTD1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 676-654500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Rammos, Charalambos MD

Provider ID: 1524435Gender: Male1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 676-654500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Podiatry

Evans, Gretchen DPM

Provider ID: 1490209Gender: FemaleHealth Community HealthClinic At E2321 N Wisconsin AvePeoria, IL 61603(309) 680-7600Fax: (309) 681-862000 Yrs/130 YrsM-TH 8:00 AM - 8:30 PMF 8:00 AM - 4:30 PMSat 9:00 AM - 2:00 PMPCMH: No

Evans, Gretchen DPM

Provider ID: 1490209Gender: FemaleHeartland Community HealthClinic A1701 W Garden StPeoria, IL 61605(309) 680-7600Fax: (309) 680-768600 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Karas, Todd DPMProvider ID: 785299Gender: MaleAssociates of SterlingPodiatry4507 N Sterling Ave Ste 102Peoria, IL 61615(309) 272-7322Fax: (309) 272-225100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Podiatry - cont.

White, Suzanne DPMProvider ID: 1497271Gender: FemaleHeartland Community HealthClinic A1701 W Garden StPeoria, IL 61605(309) 680-7600Fax: (309) 680-768600 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No

White, Suzanne DPMProvider ID: 1497271Gender: FemaleHeartland Community HealthClinic A320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Psychiatry

Alahi, Peter MDProvider ID: 1497895Gender: MaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-760018 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Alahi, Peter MDProvider ID: 1497895Gender: MaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760018 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Alahi, Peter MDProvider ID: 1497895Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760018 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Alahi, Peter MDProvider ID: 1497895Gender: MaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861418 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Alahi, Peter MDProvider ID: 1497895Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760018 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Pinto, Arun MDProvider ID: 1498023Gender: MaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 671-800000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Pinto, Arun MDProvider ID: 1498023Gender: MaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 671-8000Fax: (309) 671-469500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Pinto, Arun MDProvider ID: 1498023Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 671-800000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Pinto, Arun MDProvider ID: 1498023Gender: MaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 671-800000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Pinto, Arun MDProvider ID: 1498023Gender: MaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 671-800000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Reddy, Narayana MDProvider ID: 1498031Gender: MaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 671-800018 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Reddy, Narayana MDProvider ID: 1498031Gender: MaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 671-8040Fax: (309) 671-469518 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Reddy, Narayana MDProvider ID: 1498031Gender: MaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 671-800018 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Reddy, Narayana MDProvider ID: 1498031Gender: MaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 671-800018 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Psychiatry - cont.

Reddy, Narayana MDProvider ID: 1498031Gender: MaleHeartland Community HealthClinic711 W John Gwynn Jr AvePeoria, IL 61605(390) 671-800018 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Reddy, Narayana MD

Provider ID: 915204Gender: Male228 NE Jefferson AvePeoria, IL 61603(309) 671-8040Fax: (309) 671-469518 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Psychology

Dalfiume, Luke PHDProvider ID: 1524836Gender: MaleJohn R Day and AssociatesLTD3716 W Brighton AvePeoria, IL 61615(309) 692-7755Fax: (309) 692-226202 Yrs/130 YrsM 7:00 AM - 12:00 PMT 7:00 AM - 8:00 PMW 7:00 AM - 5:00 PMPCMH: No

Day, John PHDProvider ID: 1691009Gender: MaleJohn R Day and AssociatesLTD3716 W Brighton AvePeoria, IL 61615(306) 692-7755Fax: (309) 692-226202 Yrs/130 YrsM-TH 7:00 AM - 8:00 PMF 7:00 AM - 5:00 PMPCMH: No

McCray, Mikell PsyDProvider ID: 1524844Gender: FemaleJohn R Day Associates LTDDBA Chri4017 E Center StEureka, IL 61615(309) 692-7755Fax: (309) 692-226202 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

McCray, Mikell PsyDProvider ID: 1524844Gender: FemaleJohn R Day and AssociatesLTD3716 W Brighton AvePeoria, IL 61615(309) 692-7755Fax: (309) 692-226202 Yrs/130 YrsMT 10:00 AM - 8:00 PMPCMH: No

Morrison, Jennifer PsyDProvider ID: 1542212Gender: FemaleJohn R Day and AssociatesLTD3716 W Brighton AvePeoria, IL 61615(309) 692-7755Fax: (309) 692-226200 Yrs/130 YrsM-F 9:00 AM - 8:00 PMPCMH: No

Noble, Nicole PsyDProvider ID: 1536395Gender: FemalePsychology Specialists900 Main St Ste 780Peoria, IL 61602(309) 672-5946Fax: (309) 588-411500 Yrs/130 YrsM-W 8:00 AM - 5:30 PMPCMH: No


Attaluri, Pratap MD

Provider ID: 847833Gender: MaleMehtodist Medical GroupPsychiatry900 Main St Ste 400Peoria, IL 61602(309) 672-3100Fax: (309) 672-313118 Yrs/130 YrsM 8:30 AM - 5:00 PMPCMH: No

Substance Abuse


Provider ID: 15010555401 N Knoxville Ave Ste 412APeoria, IL 61603(309) 685-1047Fax: (309) 687-799900 Yrs/21 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No


Provider ID: 15010607225 W Plank RdPeoria, IL 61604(309) 685-1047Fax: (309) 687-661500 Yrs/21 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

HSC HamiltonProvider ID: 9275571200 Hamilton BlvdPeoria, IL 61606(309) 671-8040Fax: (309) 589-798100 Yrs/130 YrsM-TH 7:30 AM - 7:30 PMF 7:30 AM - 4:30 PMPCMH: No

Human Service CenterJefferson

Provider ID: 906402228 NE Jefferson AvePeoria, IL 61603(309) 671-8000Fax: (309) 671-469500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Human Service CenterRochelle

Provider ID: 9057133420 N Rochelle LnPeoria, IL 61604(309) 222-2185Fax: (309) 382-108900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Surgical Oncology

Orcutt, Sonia MDProvider ID: 1524401Gender: FemalePeoria Surgical Group LTD1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 676-654500 Yrs/130 YrsM-F 8:00 AM - 4:00 PMPCMH: No

Thoracic & CardiovascularSurgery

Anderson, Richard MD



Updated: 11/09/2018


Vascular Surgery

Chiou, Andy MDProvider ID: 1524416Gender: Male1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 676-654500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Debord, James MDProvider ID: 1524386Gender: Male1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 676-654500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Secor, Jessica MDProvider ID: 1524437Gender: FemalePeoria Surgical Group1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 676-654500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Specialty PhysiciansRock

Updated: 11/09/2018



Johnson, Tad MDProvider ID: 1545304Gender: MaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-8484Fax: (608) 756-470500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Ragotzy, Ronald MDProvider ID: 1488648Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737400 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Ragotzy, Ronald MDProvider ID: 1545351Gender: MaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-8484Fax: (608) 756-470500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Ahmed, Imdad MDProvider ID: 1545714Gender: MaleMercy Heart and VascularCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-6868Fax: (608) 756-628900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Narra, Leela MDProvider ID: 1545747Gender: FemaleMercy Heart and VascularCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-686800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Cardiology

Chilukuri, Karuna MDProvider ID: 1545717Gender: FemaleMercy Heart and VascularCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-6868Fax: (800) 261-686800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Egbujiobi, Leo MDProvider ID: 1488847Gender: MaleBeloit Health SystemCardiology1969 W Hart RdBeloit, WI 53511(608) 364-5205Fax: (608) 363-739200 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Ezidinma, Afoma MDProvider ID: 1488842Gender: FemaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-739500 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Gulliver, Eugene MDProvider ID: 1545733Gender: MaleMercy Heart and VascularCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-686800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Kokanovic, Obrad MDProvider ID: 1545739Gender: MaleMercy Heart and VascularCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-686800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Montilla, Jorge MDProvider ID: 1488715Gender: MaleBeloit Health SystemCardiology1969 W Hart RdBeloit, WI 53511(608) 364-5205Fax: (608) 363-737700 Yrs/130 YrsLanguages: SpanishM-F 8:30 AM - 5:30 PMPCMH: No

Rengel, Lenore MDProvider ID: 1545751Gender: FemaleMercy Heart and VascularCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-6868Fax: (608) 756-628900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Stoiber, Thomas MDProvider ID: 1545762Gender: MaleMercy Heart and VascularCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-686800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Syed, Zubair MDProvider ID: 1545766Gender: MaleMercy Heart and VascularCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-6868Fax: (608) 756-628900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Taveras, Maria MDProvider ID: 1488595Gender: FemaleBeloit Health SystemCardiology1969 W Hart RdBeloit, WI 53511(608) 364-501100 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Volkert, Paul MDProvider ID: 1545768Gender: MaleMercy Heart and VascularCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-6868Fax: (608) 756-628900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Cardiology - cont.

Zaidi, Syed MDProvider ID: 1545775Gender: MaleMercy Heart and VascularCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-686800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Chiropractic

Bridge, Karen DCProvider ID: 1545452Gender: FemaleMercy ComplementaryMedicine Center1010 N Washington StJanesville, WI 53548(608) 741-6799Fax: (608) 741-243500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Dermatology

Kapoor, Roger MDProvider ID: 1488579Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737400 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Nelsen, David MDProvider ID: 1545331Gender: MaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-710000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Segal, Paul MDProvider ID: 1488802Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737400 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Ear, Nose & Throat

Yang, Eric MDProvider ID: 1545371Gender: MaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-7100Fax: (608) 756-712500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Endocrinology, Diabetes,Metabolism

Weirich, Richard MDProvider ID: 1488734Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737400 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Family Practice

Bean, Ryne MDProvider ID: 1545224Gender: Male849 Kellogg AveJanesville, WI 53546(608) 755-7960Fax: (608) 755-787300 Yrs/130 YrsPCMH: No

Bean, Ryne MDProvider ID: 1545224Gender: MaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-7129Fax: (608) 756-470000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Bean, Ryne MDProvider ID: 1545224Gender: MaleMercy North3400 Deerfield DrJanesville, WI 53546(608) 314-3600Fax: (608) 314-360100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Maldonado, Dennys MD

Provider ID: 1545321Gender: MaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-8484Fax: (608) 756-470500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

McNulty, Garrett MDProvider ID: 1545667Gender: Male849 Kellogg AveJanesville, WI 53546(608) 755-796000 Yrs/130 YrsPCMH: No

Stahlecker, Jared MDProvider ID: 1545423Gender: MaleMercy Clinic South849 Kellogg AveJanesville, WI 53546(608) 755-7960Fax: (608) 755-787300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Woodrum, Jacqueline DO

Provider ID: 1545369Gender: FemaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-710000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Gastroenterology

Hosler, James MDProvider ID: 1546376Gender: MaleMercy Michael Berry Clinic1000 Mineral Point AveJanesville, WI 53547(608) 756-658800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Johanson, John MDProvider ID: 1488719Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737400 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Khoury, Ramez MDProvider ID: 1546378Gender: MaleMercy Michael Berry Clinic1000 Mineral Point AveJanesville, WI 53547(608) 756-6588Fax: (608) 756-470400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Gastroenterology - cont.

Lillich, Maureen MDProvider ID: 1488732Gender: FemaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-220000 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Lotsu, Dzifaa MDProvider ID: 1488805Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-220000 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

OH, Chang MDProvider ID: 1546384Gender: MaleMercy Michael Berry Clinic1000 Mineral Point AveJanesville, WI 53547(608) 756-658800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Stratton, Amy DOProvider ID: 1546393Gender: FemaleMercy Michael Berry Clinic1000 Mineral Point AveJanesville, WI 53547(608) 756-658800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Sullivan, Harold MDProvider ID: 1546388Gender: MaleMercy Michael Berry Clinic1000 Mineral Point AveJanesville, WI 53547(608) 756-658800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Wang, Tsu Hon MDProvider ID: 1488713Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737400 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Yoon, David MDProvider ID: 1488559Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737400 Yrs/130 YrsLanguages: Spanish, KoreanM-F 8:30 AM - 5:30 PMPCMH: No

General Surgery

Cadet, Nissage MDProvider ID: 1488736Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2400Fax: (608) 363-737600 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Choi, Kent MDProvider ID: 1645400Gender: MaleMercy Terrace510 N Terrace StJanesville, WI 53548(608) 756-6869Fax: (608) 373-311500 Yrs/130 YrsMercy Health Hospital andTrauma CenterM-F 9:00 AM - 5:00 PMPCMH: No

Douglas, Geoffrey MDProvider ID: 1645410Gender: MaleMercy Terrace510 N Terrace StJanesville, WI 53548(608) 756-6869Fax: (608) 373-311500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Erickson, Lief MDProvider ID: 1488814Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-220000 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Eyberg, Erin MDProvider ID: 1488784Gender: FemaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-220000 Yrs/130 YrsLanguages: SpanishM-F 8:30 AM - 5:30 PMPCMH: No

Karne, Neel MDProvider ID: 1488827Gender: Male1969 W Hart Rd N/ABeloit, WI 53511(608) 364-5011Fax: (608) 364-535600 Yrs/130 YrsPCMH: No

Karne, Neel MDProvider ID: 1488827Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737400 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Lederer, Howard MDProvider ID: 1546719Gender: MaleMercy Terrace510 N Terrace StJanesville, WI 53548(608) 756-686900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Lee, James MDProvider ID: 1488637Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-220000 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Lynn, David MDProvider ID: 1546722Gender: Male1000 Mineral Point AveJanesville, WI 53548(608) 756-650000 Yrs/130 YrsPCMH: No


Updated: 11/09/2018



Lynn, David MDProvider ID: 1546722Gender: MaleMercy Terrace510 N Terrace StJanesville, WI 53548(608) 756-6869Fax: (608) 373-311500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Markus, Stan MDProvider ID: 1645441Gender: MaleMercy Terrace510 N Terrace StJanesville, WI 53548(608) 756-6869Fax: (608) 373-311500 Yrs/130 YrsMercy Health Hospital andTrauma CenterM-F 9:00 AM - 5:00 PMPCMH: No

McGauley, Michael DO

Provider ID: 1546725Gender: MaleMercy Terrace510 N Terrace StJanesville, WI 53548(608) 756-6869Fax: (608) 373-311500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Meghoo, Colin MDProvider ID: 1546715Gender: MaleMercy Terrace510 N Terrace StJanesville, WI 53548(608) 756-6869Fax: (608) 373-311500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Meier, Mark MDProvider ID: 1546727Gender: MaleMercy Terrace510 N Terrace StJanesville, WI 53548(608) 756-686900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Nelson, Lawrence DOProvider ID: 1567137Gender: MaleMercy Terrace510 N Terrace StJanesville, WI 53548(608) 756-6869Fax: (608) 373-311500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Pasch, Allan MDProvider ID: 1546729Gender: MaleMercy Terrace510 N Terrace StJanesville, WI 53548(608) 756-6869Fax: (608) 373-311500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Pelehac, Kenneth DOProvider ID: 1488721Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-220000 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Sauter, Douglas MDProvider ID: 1645451Gender: MaleMercy Terrace510 N Terrace StJanesville, WI 53548(608) 756-6869Fax: (608) 373-311500 Yrs/130 YrsMercy Health Hospital andMed Center WalworthMercy Health Hospital andTrauma CenterM-F 9:00 AM - 5:00 PMPCMH: No

Snyder, Edward MDProvider ID: 1546733Gender: MaleMercy Terrace510 N Terrace StJanesville, WI 53548(608) 756-686900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Squires, William MDProvider ID: 1546735Gender: MaleMercy Terrace510 N Terrace StJanesville, WI 53548(608) 756-686900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Wells, Kristen MDProvider ID: 1546737Gender: FemaleMercy Terrace510 N Terrace StJanesville, WI 53548(608) 756-686900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Geriatric Medicine

Altbuch, Arthur MDProvider ID: 1545202Gender: MaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-8484Fax: (608) 756-470500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Altbuch, Arthur MDProvider ID: 1545206Gender: MaleMercy Clinic South849 Kellogg AveJanesville, WI 53546(608) 755-7960Fax: (608) 755-787300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Bamrolia, Anshul MDProvider ID: 1605348Gender: MaleMercy Clinic West1000 Mineral Point AveJanesville, WI 53548(608) 756-6871Fax: (608) 756-683600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Grewal, Sandeep MDProvider ID: 1545782Gender: MaleMercy Hematology OncologyClinic1000 Mineral Point AveJanesville, WI 53547(608) 756-687100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Hematology & Oncology- cont.

Naik, Niravkumar MDProvider ID: 1545789Gender: MaleMercy Hematology OncologyClinic1000 Mineral Point AveJanesville, WI 53547(608) 756-687100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Robinson, Emily MDProvider ID: 1545792Gender: FemaleMercy Hematology OncologyClinic1000 Mineral Point AveJanesville, WI 53547(608) 756-6871Fax: (608) 756-683600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Shekhani, Shahid MDProvider ID: 1545795Gender: MaleMercy Hematology OncologyClinic1000 Mineral Point AveJanesville, WI 53547(608) 756-6871Fax: (608) 756-683600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Vogel, Walter MDProvider ID: 1488769Gender: Male1969 W Hart RdBeloit, WI 53511(608) 364-5011Fax: (608) 364-535600 Yrs/130 YrsPCMH: No

Vogel, Walter MDProvider ID: 1488769Gender: MaleBeloit Health System UwCancer Center1670 Lee LnBeloit, WI 53511(608) 364-5253Fax: (608) 364-526200 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Infectious Disease

Baig, Mirza MDProvider ID: 1545430Gender: MaleMercy Clinic West1000 Mineral Point AveJanesville, WI 53547(608) 756-6800Fax: (608) 756-629100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Konkol, Keith MDProvider ID: 1545434Gender: MaleMercy Clinic West1000 Mineral Point AveJanesville, WI 53547(608) 756-6800Fax: (608) 756-629100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Somaraju, Vijaya MDProvider ID: 1488506Gender: Female1969 W Hart RdBeloit, WI 53511(608) 364-5011Fax: (608) 364-535600 Yrs/130 YrsPCMH: No

Somaraju, Vijaya MDProvider ID: 1488506Gender: FemaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-739500 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Urban, Andrew MDProvider ID: 1634166Gender: MaleBeloit Area CommunityHealth Center74 Eclipse CenterBeloit, WI 53511(608) 361-031100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Internal Medicine

Beris, Alexandra MDProvider ID: 1488585Gender: FemaleBeloit Health System BeloitClinic1969 W Hart RdBeloit, WI 53511(608) 364-5011Fax: (608) 363-579418 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Fitzgerald, William MD

Provider ID: 1562574Gender: MaleBeloit Health System BeloitClinic1969 W Hart RdBeloit, WI 53511(608) 364-5011Fax: (608) 364-535618 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Helmi, Mohamed MDProvider ID: 1649081Gender: MaleMercy Hospital Janesville1000 Mineral Point AveJanesville, WI 53548(608) 756-6261Fax: (608) 743-321400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Marina, Shadi MDProvider ID: 1488848Gender: MaleBeloit Health System BeloitClinic1969 W Hart RdBeloit, WI 53511(608) 364-5011Fax: (608) 363-575618 Yrs/130 YrsLanguages: ArabicM-F 8:30 AM - 5:30 PMPCMH: No

Mrani, Jan MDProvider ID: 1488788Gender: MaleBeloit Health System BeloitClinic1969 W Hart RdBeloit, WI 53511(608) 364-501118 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Nwadike, Emmanuel MD



Updated: 11/09/2018



Paladugu, Bhanu MDProvider ID: 1488500Gender: MaleBeloit Health System BeloitClinic1969 W Hart RdBeloit, WI 53511(608) 364-501118 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Prokopiv, Halyna MDProvider ID: 1488540Gender: FemaleBeloit Health System BeloitClinic1969 W Hart RdBeloit, WI 53511(608) 364-501118 Yrs/130 YrsLanguages: Russian, UkrainianM-F 8:30 AM - 5:30 PMPCMH: No

Shittu, Shefiu MDProvider ID: 1488583Gender: MaleBeloit Health System BeloitClinic1969 W Hart RdBeloit, WI 53511(608) 364-501118 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Teehan, Robert MDProvider ID: 1488676Gender: MaleBeloit Health System BeloitClinic1969 W Hart RdBeloit, WI 53511(608) 364-5011Fax: (608) 363-579418 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Interventional Cardiology

Chughtai, Haroon MDProvider ID: 1488718Gender: MaleBeloit Health SystemCardiology1969 W Hart RdBeloit, WI 53511(608) 364-5205Fax: (608) 363-737700 Yrs/130 YrsLanguages: Hindi, Urdu,PunjabiM-F 8:30 AM - 5:30 PMPCMH: No


Rogers, Dennie MDProvider ID: 1545701Gender: FemaleMercy Womens HealthCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-6800Fax: (608) 756-629200 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Nephrology

Ahmad, Mashood MDProvider ID: 1488510Gender: MaleRockford NephrologyAssociates1969 W Hart RdBeloit, WI 53511(815) 227-8300Fax: (608) 364-530600 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Anjum, Ehteshamul MDProvider ID: 1545426Gender: Male903 Mineral Point AveJanesville, WI 53548(608) 741-3814Fax: (608) 741-381600 Yrs/130 YrsPCMH: No

Anjum, Ehteshamul MD

Provider ID: 1545426Gender: MaleMercy Clinic West1000 Mineral Point Ave Fl 2WJanesville, WI 53548(608) 756-6800Fax: (608) 756-629100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Niemiec, Joanna MDProvider ID: 1488819Gender: MaleRockford NephrologyAssociates1969 W Hart RdBeloit, WI 53511(608) 363-7300Fax: (608) 364-530600 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Robertson, Michael MD

Provider ID: 1488549Gender: MaleRockford NephrologyAssociates1969 W Hart RdBeloit, WI 53511(608) 363-7300Fax: (608) 364-530600 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Shaikh, Sumaira MDProvider ID: 1545438Gender: FemaleMercy Clinic West1000 Mineral Point Ave Fl 2WJanesville, WI 53548(608) 756-680000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Yeboah, Michael MDProvider ID: 1545449Gender: MaleMercy Clinic West1000 Mineral Point AveJanesville, WI 53547(608) 756-6800Fax: (608) 756-629100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Neurology

Bhattacharyya, Debasish MD


Goetzen, Krzysztof MD

Provider ID: 1488674Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737400 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Holla, Smitha MDProvider ID: 1546581Gender: FemaleMercy Regional NeurosurgeryCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-6826Fax: (608) 756-616000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Neurology - cont.

Iqbal, Javaid MDProvider ID: 1488844Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737400 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Iqbal, Javaid MDProvider ID: 1488844Gender: MaleBeloit Health SystemCounseling Car1969 W Hart RdBeloit, WI 53511(608) 364-5685Fax: (608) 364-121400 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Kumar, Devakumaran MD

Provider ID: 1567129Gender: MaleMercy Michael Berry Clinic1000 Mineral Point AveJanesville, WI 53548(608) 756-658800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Levine, Ross MDProvider ID: 1545460Gender: MaleMercy ComprehensiveInpatient Rehab1000 Mineral Point AveJanesville, WI 53547(608) 756-6822Fax: (608) 741-695300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Orozco, Daniel MDProvider ID: 1545853Gender: MaleMercy Michael Berry Clinic1000 Mineral Point AveJanesville, WI 53547(608) 756-658800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Wallery, Shawn MDProvider ID: 1545861Gender: MaleMercy Regional NeurosurgeryCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-6826Fax: (608) 756-616000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Neurosurgery

Hill, Michael DOProvider ID: 1546577Gender: MaleMercy Regional NeurosurgeryCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-6826Fax: (608) 756-616000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Illig, Joseph MDProvider ID: 1645422Gender: MaleMercy Clinic West1000 Mineral Point AveJanesville, WI 53548(608) 756-6826Fax: (608) 756-616000 Yrs/130 YrsMercy Health Hospital andTrauma CenterM-F 9:00 AM - 5:00 PMPCMH: No

Khan, Mohammed MDProvider ID: 1546584Gender: MaleMercy Regional NeurosurgeryCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-6826Fax: (608) 756-616000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Lake, Wendell MDProvider ID: 1488785Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2240Fax: (608) 364-162200 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Lake, Wendell MDProvider ID: 1636347Gender: MaleBeloit Clinic Neurosurgery1905 Huebbe PkwyBeloit, WI 53511(608) 364-2240Fax: (608) 364-162200 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Malone, Hani MDProvider ID: 1694963Gender: MaleMercy Clinic West1000 Mineral Point AveJanesville, WI 53548(608) 756-6826Fax: (608) 756-616000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Mbabuike, Nnenna MD

Provider ID: 1546588Gender: FemaleMercy Regional NeurosurgeryCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-682600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Owen, Michael MDProvider ID: 1546591Gender: MaleMercy Regional NeurosurgeryCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-682600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Rust, Merle MDProvider ID: 1546598Gender: MaleMercy Regional NeurosurgeryCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-682600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Sharma, Abhishiek MDProvider ID: 1546604Gender: MaleMercy Regional NeurosurgeryCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-6826Fax: (608) 756-616000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Neurosurgery - cont.

Sturm, Christopher MD

Provider ID: 1546608Gender: MaleMercy Regional NeurosurgeryCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-6826Fax: (608) 756-629100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Trost, Gregory MDProvider ID: 1634088Gender: MaleBeloit Clinic Neurosurgery1905 Huebbe PkwyBeloit, WI 53511(608) 364-224000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Albert, Russell MDProvider ID: 1488816Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737400 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Dojacques, Sophie MDProvider ID: 1488783Gender: FemaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-220000 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Kaldor, Katheryn DOProvider ID: 1545688Gender: FemaleMercy Beloit Medical Center2825 Prairie AveBeloit, WI 53511(608) 363-5500Fax: (608) 363-553900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Kaldor, Katheryn DOProvider ID: 1545688Gender: FemaleMercy Womens HealthCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-6800Fax: (608) 756-629200 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Loftus, Kerilynn MDProvider ID: 1488768Gender: FemaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737400 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Mahdavi, Ali MDProvider ID: 1546381Gender: MaleMercy Michael Berry Clinic1000 Mineral Point AveJanesville, WI 53547(608) 756-6588Fax: (608) 756-473700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

McMaster, Jason MDProvider ID: 1488600Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-220000 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Nahn, Patricia MDProvider ID: 1545693Gender: FemaleMercy Womens HealthCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-6800Fax: (608) 756-629200 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Okocha, ChukwunonyeluanyiMD

Provider ID: 1545699Gender: FemaleMercy Womens HealthCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-6800Fax: (608) 756-629200 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Palabrica, Cynthia MDProvider ID: 1488630Gender: FemaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-730600 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Tan, Glenn MDProvider ID: 1488797Gender: Male1969 W Hart RdBeloit, WI 53511(608) 364-5011Fax: (608) 364-535600 Yrs/130 YrsPCMH: No

Tan, Glenn MDProvider ID: 1488797Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737400 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Vircks, Julie DOProvider ID: 1488810Gender: FemaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-220000 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Wistrom, Elana DOProvider ID: 1545177Gender: FemaleMercy Beloit Medical Center2825 Prairie AveBeloit, WI 53511(608) 363-5500Fax: (608) 363-553900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Wistrom, Elana DOProvider ID: 1545177Gender: FemaleMercy Milton Medical Center725 S Janesville StMilton, WI 53563(608) 868-5800Fax: (608) 868-585800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Occupational Medicine

Dolan, Lynn MDProvider ID: 1545684Gender: FemaleMercy Health Mall UrgentCare1010 N Washington StJanesville, WI 53548(608) 741-380000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Marshall, Robert MDProvider ID: 1545689Gender: MaleMercy Health Mall UrgentCare1010 N Washington StJanesville, WI 53548(608) 741-3800Fax: (608) 741-383800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Zenebe, Wondwossen MD

Provider ID: 1545711Gender: MaleMercy Health Mall Clinic1010 N Washington StJanesville, WI 53548(608) 741-2430Fax: (608) 741-679800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Ophthalmology

Bussa, John MDProvider ID: 1546502Gender: MaleMercy Regional Eye CenterJanesvil3524 E Milwaukee StJanesville, WI 53546(608) 756-7110Fax: (608) 756-710600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Lovelace, Kimberley MD

Provider ID: 1546508Gender: FemaleMercy Regional Eye CenterJanesvil3524 E Milwaukee StJanesville, WI 53546(608) 756-7110Fax: (608) 756-710600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Luellwitz, David DOProvider ID: 1546511Gender: MaleMercy Regional Eye CenterJanesvil3524 E Milwaukee StJanesville, WI 53546(608) 756-7110Fax: (608) 756-710600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Rojas, Mario MDProvider ID: 1488657Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737400 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Townshend, Alice MDProvider ID: 1488702Gender: FemaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737400 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Whitehead, Allan MDProvider ID: 1546559Gender: MaleMercy Regional Eye CenterJanesvil3524 E Milwaukee StJanesville, WI 53546(608) 756-8484Fax: (608) 756-470500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Optometry

Dunphy, Erin ODProvider ID: 1546505Gender: FemaleMercy Health Mall VisionCenter1010 N Washington StJanesville, WI 53548(608) 741-6794Fax: (608) 741-383800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Dunphy, Erin ODProvider ID: 1546505Gender: FemaleMercy Regional Eye CenterJanesvil3524 E Milwaukee StJanesville, WI 53546(608) 756-7110Fax: (608) 756-710600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

McLaughlin, Michelle OD

Provider ID: 1545697Gender: FemaleMercy Health Mall VisionCenter1010 N Washington StJanesville, WI 53548(608) 741-6794Fax: (608) 741-383800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

McLaughlin, Michelle OD

Provider ID: 1545697Gender: FemaleMercy Regional Eye CenterJanesvill3524 E Milwaukee StJanesville, WI 53546(608) 756-7110Fax: (608) 756-710600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Rehbein, Alan ODProvider ID: 1488588Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737400 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Rockwell, John ODProvider ID: 1545700Gender: MaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-710000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Rockwell, John ODProvider ID: 1545700Gender: MaleMercy Health Mall VisionCenter1010 N Washington StJanesville, WI 53548(608) 741-679400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Optometry - cont.

Sheetz, Brandon ODProvider ID: 1545703Gender: MaleMercy Health Mall VisionCenter1010 N Washington StJanesville, WI 53548(608) 741-6794Fax: (608) 741-383800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Orthodontics

Najjar, Anas DMDProvider ID: TPVP127027-04Gender: MaleThe Orthodontic Care Center2359 Murphy Woods RdBeloit, WI 53511(608) 362-6969Fax: (414) 771-251300 Yrs/99 YrsLanguages: ArabicM-W 9:00 AM - 5:00 PMPCMH: No

Orthopaedic Surgery

Angeline, Michael MDProvider ID: 1545209Gender: MaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-8484Fax: (608) 756-470500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Deroos, Jan MDProvider ID: 1488737Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-220000 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Frantz, Jamie MDProvider ID: 1488754Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2230Fax: (608) 363-739400 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Gray, Jason MDProvider ID: 1488625Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-220000 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Johnson, Leighton MDProvider ID: 1488817Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737400 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Klean, Kevin DOProvider ID: 1546681Gender: MaleMercy Sports MedicineJanesville557 N Washington StJanesville, WI 53548(608) 754-6000Fax: (608) 755-789200 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Matloob, Ajmal MDProvider ID: 1488695Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2230Fax: (608) 363-739400 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Palmer, Douglas MDProvider ID: 1545340Gender: MaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-8484Fax: (608) 756-470500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Pittenger, David MDProvider ID: 1546695Gender: MaleMercy Regional Hand Center1000 Mineral Point AveJanesville, WI 53547(608) 756-600000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Pittenger, David MDProvider ID: 1546695Gender: MaleMercy Sports MedicineJanesville557 N Washington StJanesville, WI 53548(608) 754-6000Fax: (608) 755-789200 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Schulman, Sidney MDProvider ID: 1545366Gender: Male1000 Mineral Point AveJanesville, WI 53548(608) 756-600000 Yrs/130 YrsPCMH: No

Schulman, Sidney MDProvider ID: 1545366Gender: MaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-8484Fax: (608) 756-470500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Sellman, Daniel MDProvider ID: 1488740Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-739500 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Pain Management

Shah, Jaymin DOProvider ID: 1546472Gender: MaleMercy Pain Center1000 Mineral Point AveJanesville, WI 53547(608) 756-6049Fax: (608) 756-652100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Thaxton, Lora MDProvider ID: 1694967Gender: FemaleMercy Hospital and TraumaCenter1000 Mineral Point AveJanesville, WI 53548(608) 756-6049Fax: (608) 756-652100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Pediatric Cardiology

Kazmouz, Suhaib MDProvider ID: 1545736Gender: MaleMercy Heart and VascularCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-686800 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Masood, Syed MDProvider ID: 1545744Gender: MaleMercy Heart and VascularCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-686800 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

PediatricGastroenterology

Burress, Glendon MDProvider ID: 1545233Gender: MaleMercy Michael Berry Clinic1000 Mineral Point AveJanesville, WI 53547(608) 756-658800 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Deutsch, David MDProvider ID: 1545247Gender: MaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-7100Fax: (608) 756-722500 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Nguyen, Kim Doan MD


Vortia, Eugene MDProvider ID: 1545367Gender: MaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-710000 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Vortia, Eugene MDProvider ID: 1545367Gender: MaleMercy Michael Berry Clinic1000 Mineral Point AveJanesville, WI 53547(608) 756-658800 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Pediatrics

Mohr, Emma MDProvider ID: 1488760Gender: FemaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-220000 Yrs/18 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Weimer, Kenneth MDProvider ID: 1488591Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-220000 Yrs/18 YrsM-F 8:30 AM - 5:30 PMPCMH: No


Clemons, Kristin MDProvider ID: 1545455Gender: FemaleMercy ComprehensiveInpatient Rehab1000 Mineral Point AveJanesville, WI 53547(608) 756-682200 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Garcia, Ronald MDProvider ID: 1546667Gender: MaleMercy Sports MedicineJanesville557 N Washington StJanesville, WI 53548(608) 754-6000Fax: (608) 755-789200 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Klein, Kenneth MDProvider ID: 1488831Gender: MaleBeloit Health System OccHealth Fam1650 Lee LnBeloit, WI 53511(815) 525-4400Fax: (608) 365-604800 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No


Paulius Quinn, Karina MD

Provider ID: 1546621Gender: FemaleMercy Regional PlasticSurgery Skin1000 Mineral Point AveJanesville, WI 53547(608) 756-6300Fax: (608) 756-683700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Podiatry

Feuerstein, Catherine DPM

Provider ID: 1545254Gender: FemaleMercy Beloit Medical Center2825 Prairie AveBeloit, WI 53511(608) 363-5500Fax: (608) 363-553900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Feuerstein, Catherine DPM


Kind, Charles DPMProvider ID: 1488622Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-739300 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No


Updated: 11/09/2018


Podiatry - cont.

Reinicke, Lisa DPMProvider ID: 1488697Gender: FemaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737400 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Sage, Robert DPMProvider ID: 1488826Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 362-0758Fax: (608) 363-739300 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Psychiatry

Anleu, Maria Maria MD

Provider ID: 1488710Gender: FemaleBeloit Health SystemCounseling Car1969 W Hart RdBeloit, WI 53511(608) 364-5686Fax: (608) 363-575600 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Checo, Frinette MDProvider ID: 1488690Gender: FemaleBeloit Health SystemCounseling Car1969 W Hart RdBeloit, WI 53511(608) 364-5686Fax: (608) 363-575600 Yrs/130 YrsLanguages: SpanishM-F 8:30 AM - 5:30 PMPCMH: No

Dhruve, Utpal MDProvider ID: 1567110Gender: MaleMercy Options InpatientPsychiatric1000 Mineral Point AveJanesville, WI 53548(608) 756-6508Fax: (608) 741-691800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Iqbal, Javaid MDProvider ID: 1488844Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737400 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Iqbal, Javaid MDProvider ID: 1488844Gender: MaleBeloit Health SystemCounseling Car1969 W Hart RdBeloit, WI 53511(608) 364-5685Fax: (608) 364-121400 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Khoga, Yehia MDProvider ID: 1488511Gender: MaleBeloit Health SystemCounseling Car1969 W Hart RdBeloit, WI 53511(608) 364-5686Fax: (608) 363-575600 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Paul, Howard MDProvider ID: 1488632Gender: MaleBeloit Health SystemCounseling Car1969 W Hart RdBeloit, WI 53511(608) 364-5686Fax: (608) 363-575600 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Poehm, Erika MDProvider ID: 1546594Gender: FemaleMercy Regional NeurosurgeryCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-6826Fax: (608) 756-616000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Pulmonary Disease

Almusaddy, Mousab MD

Provider ID: 1545807Gender: MaleMercy Hospital and TraumaCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-6000Fax: (608) 741-692400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Cook, Robert MDProvider ID: 1546563Gender: Male1000 Mineral Point Ave Fl 2WJanesville, WI 53548(608) 756-600000 Yrs/130 YrsPCMH: No

Lababidy, Muhammed MD


Nadeem, Rashid MDProvider ID: 1545868Gender: MaleMercy Hospital and TraumaCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-6000Fax: (608) 756-667300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Shamsuddin, Laeeq MD


Radiation Oncology

Burr, Adam MDProvider ID: 1587742Gender: MaleMercy Clinic West1000 Mineral Point AveJanesville, WI 53548(608) 756-6500Fax: (608) 756-650100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Radiation Oncology -cont.

Debenham, Douglas MD

Provider ID: 1488820Gender: MaleBeloit Health System UwCancer Center1650 Lee LnBeloit, WI 53511(608) 364-525300 Yrs/130 YrsLanguages: SpanishM-F 8:30 AM - 5:30 PMPCMH: No

Decosta, Anna Maria MD

Provider ID: 1546490Gender: FemaleMercy Regional CancerCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-650000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Hullett, Craig MDProvider ID: 1546493Gender: MaleMercy Regional CancerCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-650000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Kantorowitz, David MD

Provider ID: 1488650Gender: MaleBeloit Health System UwCancer Center1650 Lee LnBeloit, WI 53511(608) 364-525300 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Kozak, Kevin MDProvider ID: 1546496Gender: MaleMercy Regional CancerCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-6500Fax: (608) 756-650100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Rosenberg, Stephen MD

Provider ID: 1546499Gender: MaleMercy Regional CancerCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-650000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Rheumatology

Bolek Berquist, Jilaine MD


Fanopoulos, Dimitrios MD

Provider ID: 1488651Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737400 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Sarakbi, Housam MDProvider ID: 1545363Gender: MaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-7100Fax: (608) 756-470500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Sleep Medicine

Elghannam, Hesham MD

Provider ID: 1488502Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-220000 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Sports Medicine

Defauw, Nicholas DOProvider ID: 1545401Gender: MaleMercy Clinic South849 Kellogg AveJanesville, WI 53546(608) 755-7960Fax: (608) 755-787300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Hudson, Hilton MDProvider ID: 1488795Gender: MaleBeloit Health SystemCardiology1969 W Hart RdBeloit, WI 53511(608) 363-7300Fax: (608) 363-737700 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Marks, Peter MDProvider ID: 1488743Gender: MaleBeloit Health SystemCardiology1969 W Hart RdBeloit, WI 53511(608) 364-5205Fax: (608) 363-737700 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Thoracic Surgery

Cowgill, Lale MDProvider ID: 1545725Gender: MaleMercy Heart and VascularCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-686800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Goldstein, Allan MDProvider ID: 1545731Gender: MaleMercy Heart and VascularCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-686800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Snider, John MDProvider ID: 1545759Gender: MaleMercy Heart and VascularCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-6868Fax: (608) 756-628900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Thoracic Surgery - cont.

Wolnak, Kenneth DOProvider ID: 1545772Gender: MaleMercy Heart and VascularCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-6868Fax: (608) 756-628900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Urology

Donnelly, Michael DOProvider ID: 1488823Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-737400 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Gianitsos, Anestis MDProvider ID: 1546633Gender: MaleMercy Regional UrologyCenter1000 Mineral Point AveJanesville, WI 53547(608) 741-6990Fax: (608) 756-607900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Gudeman, Suzanne MD

Provider ID: 1488493Gender: FemaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-220000 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Kaveggia, Francis MDProvider ID: 1546638Gender: MaleMercy Regional UrologyCenter1000 Mineral Point AveJanesville, WI 53547(608) 741-6990Fax: (608) 756-607900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Masterson, James MDProvider ID: 1488778Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-220000 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Ojeda, Larry MDProvider ID: 1488638Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-220000 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Tomera, Kevin MDProvider ID: 1488624Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2470Fax: (608) 363-737800 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Vascular Surgery

Cadet, Nissage MDProvider ID: 1488736Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2400Fax: (608) 363-737600 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Specialty PhysiciansRock Island

Updated: 11/09/2018


General Dentistry

Acosta-Lenis, Claudia DDSProvider ID: TPVP121564-05Gender: FemaleFamilia Dental Moline1102 4th AveMoline, IL 61265(888) 988-4066Fax: (847) 496-485000 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 10:00 AM - 4:00 PMPCMH: No

Bishop, James DDSProvider ID: TPVP138116-01Gender: MaleBethany For Children Families1830 6th AveMoline, IL 61265(309) 797-7700Fax: (309) 797-238600 Yrs/99 YrsM-F 9:00 AM - 2:00 PMPCMH: No

Bittner, Kelsey DDSProvider ID: TPVP166425-03Gender: FemaleCommunity Health Care2750 11th StRock Island, IL 61201(563) 327-2100Fax: (563) 327-210200 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Blew, Bryan DDSProvider ID: TPVP144843-01Gender: MaleBethany For Children Families1830 6th AveMoline, IL 61265(309) 797-7700Fax: (309) 797-238600 Yrs/99 YrsM-F 9:00 AM - 2:00 PMPCMH: No

Chiang, James DDSProvider ID: TPVP144506-01Gender: MaleBest Smiles Family Dental106 19th Ave Ste 90Moline, IL 61265(309) 277-6567Fax: (309) 764-140200 Yrs/99 YrsLanguages: SpanishMT 9:00 AM - 6:00 PMWTH 10:00 AM - 7:00 PMFSat 9:00 AM - 5:00 PMPCMH: No

Chughtai, Abdullah DMDProvider ID: TPVP170231-02Gender: MaleFamilia Dental Moline1102 4th AveMoline, IL 61265(888) 988-4066Fax: (847) 496-485000 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 10:00 AM - 4:00 PMPCMH: No

Deena Dayalu Naidu, JyothiDDS

Provider ID: TPVP167809-02Gender: FemaleFamilia Dental Moline1102 4th AveMoline, IL 61265(888) 988-4066Fax: (847) 496-485000 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 10:00 AM - 4:00 PMPCMH: No

Hanlin, Brent DDSProvider ID: TPVP142592-01Gender: MaleBrent Hanlin DDS310 46th AveEast Moline, IL 61244(309) 792-2815Fax: (309) 792-291500 Yrs/99 YrsM 9:08 AM - 5:00 PMTTH 8:00 AM - 5:00 PMW 1:00 AM - 7:00 PMPCMH: No

Hendricks, Demi DDSProvider ID: TPVP157368-03Gender: FemaleCommunity Health Care2750 11th StRock Island, IL 61201(563) 327-2100Fax: (563) 327-210200 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Jackson, Joseph DMDProvider ID: TPVP144032-01Gender: MaleBethany For Children Families1830 6th AveMoline, IL 61265(309) 797-7700Fax: (309) 797-238600 Yrs/99 YrsM-F 9:00 AM - 2:00 PMPCMH: No

Jafri, Nazish DDSProvider ID: TPVP103084-19Gender: FemaleSecure Dental Moline4601 16th St Unit 12Moline, IL 61265(309) 797-0888Fax: (888) 392-865600 Yrs/99 YrsLanguages: KoreanM 9:00 AM - 7:00 PMTWTHF 9:00 AM - 6:00 PMSat 9:00 AM - 2:00 PMPCMH: No

Kawamura, Janna DDSProvider ID: TPVP156645-02Gender: FemaleFamilia Dental Moline1102 4th AveMoline, IL 61265(888) 988-4066Fax: (847) 496-485000 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 10:00 AM - 4:00 PMPCMH: No

Kim, Sung DDSProvider ID: TPVP132020-01Gender: MaleSecure Dental Moline4601 16th St Unit 12Moline, IL 61265(309) 797-0888Fax: (888) 392-865600 Yrs/99 YrsLanguages: KoreanM 9:00 AM - 7:00 PMTWTHF 9:00 AM - 6:00 PMSat 9:00 AM - 2:00 PMPCMH: No

Krutzfeldt, Danae DDSProvider ID: TPVP138386-01Gender: FemaleBethany For Children Families1830 6th AveMoline, IL 61265(309) 797-7700Fax: (309) 797-238600 Yrs/99 YrsM-F 9:00 AM - 2:00 PMPCMH: No

Lee, Kayoun DMDProvider ID: TPVP157785-01Gender: FemaleSecure Dental Moline4601 16th St Unit 12Moline, IL 61265(309) 797-0888Fax: (888) 392-865600 Yrs/99 YrsLanguages: KoreanM 9:00 AM - 7:00 PMTWTHF 9:00 AM - 6:00 PMSat 9:00 AM - 2:00 PMPCMH: No

Lin, Shawn DDSProvider ID: TPVP156614-02Gender: MaleFamilia Dental Moline1102 4th AveMoline, IL 61265(888) 988-4066Fax: (847) 496-485000 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 10:00 AM - 4:00 PMPCMH: No


Updated: 11/09/2018



Liu, Noel DDSProvider ID: TPVP102406-19Gender: MaleSecure Dental Moline4601 16th St Unit 12Moline, IL 61265(309) 797-0888Fax: (888) 392-865600 Yrs/99 YrsLanguages: KoreanM 9:00 AM - 7:00 PMTWTHF 9:00 AM - 6:00 PMSat 9:00 AM - 2:00 PMPCMH: No

MA, Ji DDSProvider ID: TPVP142268-03Gender: FemaleSecure Dental Moline4601 16th St Unit 12Moline, IL 61265(309) 797-0888Fax: (888) 392-865600 Yrs/99 YrsLanguages: KoreanM 9:00 AM - 7:00 PMTWTHF 9:00 AM - 6:00 PMSat 9:00 AM - 2:00 PMPCMH: No

Mehlhoff, Michael DDSProvider ID: TPVP140559-01Gender: MaleBest Smiles Family Dental106 19th Ave Ste 90Moline, IL 61265(309) 277-6567Fax: (309) 764-140200 Yrs/99 YrsLanguages: SpanishMT 9:00 AM - 6:00 PMWTH 10:00 AM - 7:00 PMFSat 9:00 AM - 5:00 PMPCMH: No

Murphy, Gregory DDSProvider ID: TPVP138804-01Gender: MaleBethany For Children Families1830 6th AveMoline, IL 61265(309) 797-7700Fax: (309) 797-238600 Yrs/99 YrsM-F 9:00 AM - 2:00 PMPCMH: No

Murphy, Ryan DDSProvider ID: TPVP144253-01Gender: MaleBethany For Children Families1830 6th AveMoline, IL 61265(309) 797-7700Fax: (309) 797-238600 Yrs/99 YrsM-F 9:00 AM - 2:00 PMPCMH: No

Mysore Rajagopal, SowmyaDDS

Provider ID: TPVP145839-02Gender: FemaleBest Smiles Family Dental106 19th Ave Ste 90Moline, IL 61265(309) 277-6567Fax: (309) 764-140200 Yrs/99 YrsLanguages: SpanishMT 9:00 AM - 6:00 PMWTH 10:00 AM - 7:00 PMFSat 9:00 AM - 5:00 PMPCMH: No

Nourahmed, Hibba DDSProvider ID: TPVP130441-01Gender: FemaleBest Smiles Family Dental106 19th Ave Ste 90Moline, IL 61265(309) 277-6567Fax: (309) 764-140200 Yrs/99 YrsLanguages: SpanishMT 9:00 AM - 6:00 PMWTH 10:00 AM - 7:00 PMFSat 9:00 AM - 5:00 PMPCMH: No

Obah, Uzoma DDSProvider ID: TPVP151799-03Gender: FemaleCommunity Health Care2750 11th StRock Island, IL 61201(563) 327-2100Fax: (563) 327-210200 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Pins, Katharine DDSProvider ID: TPVP86774-04Gender: FemaleBethany For Children Families1830 6th AveMoline, IL 61265(309) 797-7700Fax: (309) 797-238600 Yrs/99 YrsM-F 9:00 AM - 2:00 PMPCMH: No

Richardson, Jacquelyn DDSProvider ID: TPVP138117-01Gender: FemaleBethany For Children Families1830 6th AveMoline, IL 61265(309) 797-7700Fax: (309) 797-238600 Yrs/99 YrsM-F 9:00 AM - 2:00 PMPCMH: No

Singh, Anupam DMDProvider ID: TPVP163530-03Gender: MaleCommunity Health Care2750 11th StRock Island, IL 61201(563) 327-2100Fax: (563) 327-210200 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Son, Seokjae DMDProvider ID: TPVP157118-01Gender: MaleSecure Dental Moline4601 16th St Unit 12Moline, IL 61265(309) 797-0888Fax: (888) 392-865600 Yrs/99 YrsLanguages: KoreanM 9:00 AM - 7:00 PMTWTHF 9:00 AM - 6:00 PMSat 9:00 AM - 2:00 PMPCMH: No

Stumphy, Mark DMDProvider ID: TPVP151917-01Gender: MaleCommunity Health Care2750 11th StRock Island, IL 61201(563) 327-2100Fax: (563) 327-210200 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Virdi, Manisha DDSProvider ID: TPVP157363-03Gender: FemaleCommunity Health Care2750 11th StRock Island, IL 61201(563) 327-2100Fax: (563) 327-210200 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

General Surgery

Chaudhry, Alyas MD

Provider ID: 1120335Gender: MaleCardiac Surgery Associates2560 24th St Ste 201Rock Island, IL 61201(309) 779-3111Fax: (309) 779-311518 Yrs/130 YrsM-F 9:00 AM - 4:00 PMPCMH: No


Updated: 11/09/2018


Optometry

Arbet, Timothy ODProvider ID: TPV1508859265-0Gender: MaleRock Island OptometricCenter LTD2501 24th StRock Island, IL 61201(309) 788-0604Fax: (309) 788-061103 Yrs/99 YrsM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: No

Hays, Jill ODProvider ID: TPV1932192697-0Gender: FemaleRock Island OptometricCenter LTD2501 24th StRock Island, IL 61201(309) 788-0604Fax: (309) 788-061103 Yrs/99 YrsM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: No

Heden, Jeffrey ODProvider ID: TPV1770580797-0Gender: MaleJak Enterprises Inc4032 Blackhawk RdRock Island, IL 61201(309) 786-9734Fax: (309) 786-979001 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Judge, Quinn ODProvider ID: TPV1205065620-0Gender: FemaleSara Kurtis OD3930 44th Ave DrMoline, IL 61265(309) 736-2280Fax: (309) 736-228803 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat 8:00 AM - 7:00 PMSun 12:00 AM - 5:00 PMPCMH: No

Kurtis, Sara ODProvider ID: TPV1043283146-0Gender: FemaleSara Kurtis OD3930 44th Ave DrMoline, IL 61265(309) 736-2280Fax: (309) 736-228803 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat 8:00 AM - 7:00 PMSun 12:00 AM - 5:00 PMPCMH: No

Lapp, Cameron ODProvider ID: TPV1780709840-0Gender: MaleSara Kurtis OD3930 44th Ave DrMoline, IL 61265(309) 736-2280Fax: (309) 736-228801 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat 8:00 AM - 7:00 PMSun 12:00 AM - 5:00 PMPCMH: No

Lear, Christopher ODProvider ID: TPV1225021983-0Gender: MaleRock Island OptometricCenter LTD2501 24th StRock Island, IL 61201(309) 788-0604Fax: (309) 788-061104 Yrs/99 YrsM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: No

Ledford, Abigail ODProvider ID: TPV1639665540-0Gender: FemaleRock Island OptometricCenter LTD2501 24th StRock Island, IL 61201(309) 788-0604Fax: (309) 788-061105 Yrs/99 YrsM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: No

Nordquist, Joseph ODProvider ID: TPV1790778454-0Gender: MaleRock Island OptometricCenter LTD2501 24th StRock Island, IL 61201(309) 788-0604Fax: (309) 788-061104 Yrs/99 YrsM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: No

Wiltz, Sharna ODProvider ID: TPV1407019946-0Gender: FemaleJak Enterprises Inc4032 Blackhawk RdRock Island, IL 61201(309) 786-9734Fax: (309) 786-979001 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Oral & MaxillofacialSurgery

Lutchka, Bradley DDSProvider ID: TPVP134930-01Gender: MaleRiver Valley Oral andMaxillofacial Surgery ClinicLTD930 16th AveMoline, IL 61265(309) 797-1770Fax: (309) 797-179100 Yrs/99 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Thatcher, Craig DDSProvider ID: TPVP134929-01Gender: MaleRiver Valley Oral andMaxillofacial Surgery ClinicLTD930 16th AveMoline, IL 61265(309) 797-1770Fax: (309) 797-179100 Yrs/99 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Psychology

Johnson, Benton PHDProvider ID: 941256Gender: MaleEphphatha ConsultingServices Inc2424 40th AveMoline, IL 61265(309) 269-3100Fax: (309) 269-310000 Yrs/130 YrsM-F 8:00 AM - 7:00 PMPCMH: No

Substance Abuse

Treatment Alternatives ForSafe Communit

Provider ID: 1286036Tasc Inc1504 3rd AveRock Island, IL 61201(309) 788-0816Fax: (309) 788-158012 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Thoracic Surgery

Chaudhry, Alyas MD

Provider ID: 1120335Gender: MaleCardiac Surgery Associates2560 24th St Ste 201Rock Island, IL 61201(309) 779-3111Fax: (309) 779-311518 Yrs/130 YrsM-F 9:00 AM - 4:00 PMPCMH: No

Specialty PhysiciansScott

Updated: 11/09/2018


General Dentistry

Amelon, Ashlynn DDSProvider ID: TPVP138195-01Gender: FemaleCommunity Health Care125 Scott StDavenport, IA 52801(563) 336-3222Fax: (563) 336-322900 Yrs/99 YrsLanguages: SpanishM 7:00 AM - 6:00 PMTWTHF 7:00 AM - 8:00 PMPCMH: No

Bidkar, Vibhor DMDProvider ID: TPVP143690-02Gender: MaleCommunity Health Care125 Scott StDavenport, IA 52801(563) 336-3222Fax: (563) 336-322900 Yrs/99 YrsLanguages: SpanishM 7:00 AM - 6:00 PMTWTHF 7:00 AM - 8:00 PMPCMH: No

Bittner, Kelsey DDSProvider ID: TPVP166425-02Gender: FemaleCommunity Health Care125 Scott StDavenport, IA 52801(563) 336-3222Fax: (563) 336-322900 Yrs/99 YrsLanguages: SpanishM 7:00 AM - 6:00 PMTWTHF 7:00 AM - 8:00 PMPCMH: No

Hendricks, Demi DDSProvider ID: TPVP157368-02Gender: FemaleCommunity Health Care125 Scott StDavenport, IA 52801(563) 336-3222Fax: (563) 336-322900 Yrs/99 YrsLanguages: SpanishM 7:00 AM - 6:00 PMTWTHF 7:00 AM - 8:00 PMPCMH: No

Horihan, Kate DDSProvider ID: TPVP157369-02Gender: FemaleCommunity Health Care125 Scott StDavenport, IA 52801(563) 336-3222Fax: (563) 336-322900 Yrs/99 YrsLanguages: SpanishM 7:00 AM - 6:00 PMTWTHF 7:00 AM - 8:00 PMPCMH: No

Obah, Uzoma DDSProvider ID: TPVP151799-02Gender: FemaleCommunity Health Care125 Scott StDavenport, IA 52801(563) 336-3222Fax: (563) 336-322900 Yrs/99 YrsLanguages: SpanishM 7:00 AM - 6:00 PMTWTHF 7:00 AM - 8:00 PMPCMH: No

Singh, Anupam DMDProvider ID: TPVP163530-02Gender: MaleCommunity Health Care125 Scott StDavenport, IA 52801(563) 336-3222Fax: (563) 336-322900 Yrs/99 YrsLanguages: SpanishM 7:00 AM - 6:00 PMTWTHF 7:00 AM - 8:00 PMPCMH: No

Stumphy, Mark DMDProvider ID: TPVP151917-03Gender: MaleCommunity Health Care125 Scott StDavenport, IA 52801(563) 336-3222Fax: (563) 336-322900 Yrs/99 YrsLanguages: SpanishM 7:00 AM - 6:00 PMTWTHF 7:00 AM - 8:00 PMPCMH: No

Virdi, Manisha DDSProvider ID: TPVP157363-02Gender: FemaleCommunity Health Care125 Scott StDavenport, IA 52801(563) 336-3222Fax: (563) 336-322900 Yrs/99 YrsLanguages: SpanishM 7:00 AM - 6:00 PMTWTHF 7:00 AM - 8:00 PMPCMH: No

Infectious Disease

Brobbey, Wahab MD

Provider ID: 500488Gender: MaleMetro Infectious DiseaseConsultant4425 Welcome Way Ste E109Davenport, IA 52807(630) 655-7290Fax: (630) 734-471518 Yrs/130 YrsPresence Saint JosephHospitalLanguages: SpanishM-F 8:00 AM - 4:00 PMPCMH: No

Casey, Ines MDProvider ID: 540467Gender: FemaleMetro Infectious DiseaesConsultant4425 Welcome Way E109Davenport, IA 52806(630) 655-7290Fax: (630) 734-471518 Yrs/130 YrsHoly Cross HospitalMetrosouth Medical CenterM-F 9:00 AM - 5:00 PMPCMH: No

Yoon, Jungwon MDProvider ID: 1254388Gender: Not Available4425 Welcome Way Ste 1Davenport, IA 52806(563) 386-7860Fax: (563) 386-785618 Yrs/130 YrsLanguages: KoreanPCMH: No

Specialty PhysiciansStark

Updated: 11/09/2018


General Dentistry

Ali, Saima DDSProvider ID: TPVP153772-01Gender: FemaleAunt Marthas Great RiverCHC120 E Ct StToulon, IL 61483(877) 692-8686Fax: (309) 286-749000 Yrs/99 YrsLanguages: SpanishM 8:00 AM - 5:00 PMT 7:30 AM - 4:00 PMWTHF 9:30 AM - 4:00 PMPCMH: No

Substance Abuse


Provider ID: 1528326North Central Stark County120 E Court StTouton, IL 61483(309) 647-1881Fax: (815) 223-163400 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Specialty PhysiciansStephenson

Updated: 11/09/2018


General Dentistry

Grinter, Jason DDSProvider ID: TPVP65534-10Gender: MalePark City Dental PC10 W Linden StFreeport, IL 61032(815) 708-6556Fax: (815) 708-647700 Yrs/99 YrsLanguages: SpanishM 9:00 AM - 5:00 PMPCMH: No

Patel, Shweta DDSProvider ID: TPVP98196-02Gender: FemalePark City Dental PC10 W Linden StFreeport, IL 61032(815) 708-6556Fax: (815) 708-647700 Yrs/99 YrsLanguages: SpanishM 9:00 AM - 5:00 PMPCMH: No

Ophthalmology

Altaweel, Michael MDProvider ID: 1630713Gender: MaleFreeport Memorial Hospital1045 W Stephenson StFreeport, IL 61032(815) 599-6290Fax: (815) 599-642400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Mititelu, Mihai MDProvider ID: 1631005Gender: MaleFreeport Memorial Hospital1045 W Stephenson StFreeport, IL 61032(815) 599-629000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Substance Abuse

Sojourn HouseProvider ID: 1555587565 N Turner AveFreeport, IL 61032(815) 232-5121Fax: (815) 233-459112 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Vascular Surgery

Boone, Kendall MDProvider ID: 1543144Gender: Male1036 W Stephenson StFreeport, IL 61032(779) 696-8799Fax: (815) 599-710700 Yrs/130 YrsSwedish American HospitalPCMH: No

Specialty PhysiciansTazewell

Updated: 11/09/2018



Smart, Stephen MDProvider ID: 1523693Gender: MaleAllergy and Asthma of Illinois2355 BroadwayPekin, IL 61554(309) 347-270000 Yrs/130 YrsM 9:00 AM - 5:00 PMPCMH: No

Family Practice

Farr, Breann ApnProvider ID: 1532346Gender: FemaleHeartland Community HealthClinic2709 Broadway StPekin, IL 61554(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Gastroenterology

Baldwin, Terry MDProvider ID: 912172Gender: Male600 S 13th StPekin, IL 61554(309) 672-498018 Yrs/130 YrsPCMH: No

Camacho, Kenneth MDProvider ID: 924333Gender: Male600 S 13th StPekin, IL 61554(309) 672-498018 Yrs/130 YrsPCMH: No

Kuganeswaran, Eliathamby MD

Provider ID: 780213Gender: Male600 S 13th StPekin, IL 61554(309) 672-498018 Yrs/130 YrsPCMH: No

Penn Jr, Donald MDProvider ID: 797891Gender: Male600 S 13th StPekin, IL 61554(309) 672-498018 Yrs/130 YrsPCMH: No

Treanor, Michael MDProvider ID: 325284Gender: Male600 S 13th StPekin, IL 61554(309) 672-498000 Yrs/130 YrsPCMH: No

Wu, Scott MDProvider ID: 795987Gender: Male600 S 13th StPekin, IL 61554(309) 672-498018 Yrs/130 YrsPCMH: No

General Dentistry

Chiang, James DDSProvider ID: TPVP144506-03Gender: MaleSecure Dental East Peoria502 Riverside DrEast Peoria, IL 61611(309) 606-5008Fax: (888) 557-697900 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PMPCMH: No

Dietz, Renee DDSProvider ID: TPVP102458-01Gender: FemaleTazewell County HealthDepartment Dental HealthCenter135 Radio City DrNorth Pekin, IL 61554(309) 382-2229Fax: (309) 382-115500 Yrs/99 YrsM-W 7:30 AM - 5:30 PMTH 7:30 AM - 5:00 PMPCMH: No

Glesne, Brian DMDProvider ID: TPVP126515-01Gender: MaleTazewell County HealthDepartment Dental HealthCenter135 Radio City DrNorth Pekin, IL 61554(309) 382-2229Fax: (309) 382-115500 Yrs/99 YrsM-W 7:30 AM - 5:30 PMTH 7:30 AM - 5:00 PMPCMH: No

Glesne, Mark DDSProvider ID: TPVP155406-01Gender: MaleTazewell County HealthDepartment Dental HealthCenter135 Radio City DrNorth Pekin, IL 61554(309) 382-2229Fax: (309) 382-115500 Yrs/99 YrsM-W 7:30 AM - 5:30 PMTH 7:30 AM - 5:00 PMPCMH: No

Herberger, Gary DDSProvider ID: TPVP144196-02Gender: MaleTazewell County HealthDepartment Dental HealthCenter135 Radio City DrNorth Pekin, IL 61554(309) 382-2229Fax: (309) 382-115500 Yrs/99 YrsM-W 7:30 AM - 5:30 PMTH 7:30 AM - 5:00 PMPCMH: No

Jafri, Nazish DDSProvider ID: TPVP103084-21Gender: FemaleSecure Dental East Peoria502 Riverside DrEast Peoria, IL 61611(309) 606-5008Fax: (888) 557-697900 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PMPCMH: No

Liu, Noel DDSProvider ID: TPVP102406-21Gender: MaleSecure Dental East Peoria502 Riverside DrEast Peoria, IL 61611(309) 606-5008Fax: (888) 557-697900 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PMPCMH: No

Soofi, Saad DDSProvider ID: TPVP175727-01Gender: MaleSecure Dental East Peoria502 Riverside DrEast Peoria, IL 61611(309) 606-5008Fax: (888) 557-697900 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PMPCMH: No

Wright, Yolanda DMDProvider ID: TPVP148158-01Gender: FemaleTazewell County HealthDepartment Dental HealthCenter135 Radio City DrNorth Pekin, IL 61554(309) 382-2229Fax: (309) 382-115500 Yrs/99 YrsM-W 7:30 AM - 5:30 PMTH 7:30 AM - 5:00 PMPCMH: No

General Surgery

Moazzam, Farnaz MDProvider ID: 1112454Gender: Female2205 State StPekin, IL 61554(309) 353-1833Fax: (309) 353-438000 Yrs/130 YrsPCMH: No


Updated: 11/09/2018



Moazzam, Farnaz MDProvider ID: 1112454Gender: Female600 S 13th St Ste IPekin, IL 61554(309) 346-110200 Yrs/130 YrsPCMH: No

Nephrology

James, Gordon MDProvider ID: 1157586Gender: Male2355 Broadway StPekin, IL 61554(309) 676-8123Fax: (309) 676-845500 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

James, Gordon MDProvider ID: 1157586Gender: Male3521 Veterans DrPekin, IL 61554(309) 243-2200Fax: (309) 347-030100 Yrs/130 YrsPCMH: No

James, Gordon MDProvider ID: 1157586Gender: Male430 Maxine DrMorton, IL 61550(309) 266-7600Fax: (309) 266-768000 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Pflederer, Timothy MDProvider ID: 1123468Gender: Male3300 N Main StEast Peoria, IL 61611(309) 698-8300Fax: (309) 698-830318 Yrs/130 YrsPCMH: No

Pflederer, Timothy MD

Provider ID: 1123468Gender: Male430 Maxine DrMorton, IL 61550(309) 266-7600Fax: (309) 676-845518 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No


Baum, Margaret MDProvider ID: 1564501Gender: Female328 S 4th StPekin, IL 61554(309) 347-1274Fax: (630) 585-558800 Yrs/130 YrsM 10:30 AM - 5:00 PMTW 9:00 AM - 3:30 PMPCMH: No

Harrington, Douglas MDProvider ID: 1497993Gender: Male2709 Broadway StPekin, IL 61554(309) 353-3330Fax: (309) 353-333400 Yrs/130 YrsPCMH: No

Harrington, Douglas MDProvider ID: 1497993Gender: Male600 S 13th StPekin, IL 61554(309) 347-115100 Yrs/130 YrsPCMH: No

Harrington, Douglas MDProvider ID: 1497993Gender: MaleHeartland Community HealthClinic3422 Court StPekin, IL 61554(309) 347-115100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Hoke, Caroline MDProvider ID: 1564780Gender: Female328 S 4th StPekin, IL 61554(309) 347-1274Fax: (309) 347-628300 Yrs/130 YrsM 10:30 AM - 5:00 PMTW 9:00 AM - 3:30 PMPCMH: No

Kerns, James MDProvider ID: 1498034Gender: MaleHeartland Community HealthClinic2709 Broadway StPekin, IL 61554(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Kerns, James MDProvider ID: 1498034Gender: MaleHeartland Community HealthClinic3422B Court StPekin, IL 61554(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Loberg, Andrea MDProvider ID: 1564989Gender: Female328 S 4th StPekin, IL 61554(309) 347-1274Fax: (630) 585-558800 Yrs/130 YrsM 10:30 AM - 5:00 PMTW 9:00 AM - 3:30 PMPCMH: No

Ophthalmology

Adler, Roger MDProvider ID: 1181242Gender: Male725 S 14th StPekin, IL 61554(309) 353-6660Fax: (309) 353-766405 Yrs/130 YrsM-F 7:40 AM - 3:40 PMPCMH: No

Bond, William MDProvider ID: 901071Gender: MaleBond Eye Associates725 S 14th StPekin, IL 61554(309) 353-6660Fax: (309) 620-906400 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Bond, William MDProvider ID: TPV1184653644-0Gender: MaleBond Eye Associates SC725 S 14th StPekin, IL 61554(309) 353-6660Fax: (309) 353-228905 Yrs/99 YrsGraham HospitalMethodist Medical Center ofIllinoisPekin HospitalM-F 8:30 AM - 5:00 PMPCMH: No

Tennant, Jeffrey MD

Provider ID: 817923Gender: MaleBond Eye Associates SC725 S 14th StPekin, IL 61554(309) 353-6660Fax: (309) 620-906400 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Optometry

Croland, Roger ODProvider ID: 792287Gender: Male725 S 14th StPekin, IL 61554(309) 353-666000 Yrs/130 YrsPCMH: No

Daccache, Ivetta ODProvider ID: 906631Gender: FemaleBond Eye Associates SC725 S 14th StPekin, IL 61554(309) 353-6660Fax: (309) 353-228900 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Daccache, Ivetta ODProvider ID: TPV1790772143-0Gender: FemaleBond Eye Associates SC725 S 14th StPekin, IL 61554(309) 353-6660Fax: (309) 353-228905 Yrs/99 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Hahn, Mark ODProvider ID: TPV1528055969-0Gender: MaleJak Enterprises Inc8 Cherry Tree ShoppingCenterWashington, IL 61571(309) 444-2277Fax: (309) 444-249801 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Haider, Jawad ODProvider ID: TPV1326387457-0Gender: MaleJawad Haider Co LTD3320 Veterans DRPekin, IL 61554(309) 353-4220Fax: (309) 353-422203 Yrs/99 YrsMT 9:00 AM - 6:00 PMW 10:00 AM - 7:00 PMTH 9:00 AM - 5:00 PMF 9:00 AM - 2:00 PMPCMH: No

Henline, Jeffrey ODProvider ID: TPV1275526790-0Gender: MaleBond Eye Associates SC725 S 14th StPekin, IL 61554(309) 353-6660Fax: (309) 353-228902 Yrs/99 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Johnson, Brendon ODProvider ID: TPV1194774174-0Gender: MaleBrendon J Johnson OD PC2611 BroadwayPekin, IL 61554(309) 347-5989Fax: (309) 347-431503 Yrs/99 YrsMW 9:00 AM - 7:00 PMTTH 8:30 AM - 5:00 PMF 8:30 AM - 12:00 PMPCMH: No

Sarmiento, Marc ODProvider ID: TPV1932116449-0Gender: MaleJak Enterprises Inc412 Riverside DrEast Peoria, IL 61611(309) 694-2273Fax: (309) 698-299401 Yrs/99 YrsMWTHF 9:00 AM - 6:00 PMT 9:00 AM - 7:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Shelley, T ODProvider ID: TPV1699762047-0Gender: MaleJak Enterprises Inc3287 Court StPekin, IL 61554(309) 353-9313Fax: (309) 353-496201 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Wilson, James ODProvider ID: 1651993Gender: MaleBond Eye Associates725 S 14th StPekin, IL 61554(309) 353-6660Fax: (309) 620-906400 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Wilson, James ODProvider ID: TPV1952330425-0Gender: MaleBond Eye Associates SC725 S 14th StPekin, IL 61554(309) 353-6660Fax: (309) 353-228901 Yrs/99 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Wiltz, Sharna ODProvider ID: TPV1407019946-0Gender: FemaleJak Enterprises Inc3287 Court StPekin, IL 61554(309) 353-9313Fax: (309) 353-496201 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Wiltz, Sharna ODProvider ID: TPV1407019946-0Gender: FemaleJak Enterprises Inc412 Riverside DrEast Peoria, IL 61611(309) 694-2273Fax: (309) 698-299401 Yrs/99 YrsMWTHF 9:00 AM - 6:00 PMT 9:00 AM - 7:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Wiltz, Sharna ODProvider ID: TPV1407019946-1Gender: FemaleJak Enterprises Inc8 Cherry Tree ShoppingCenterWashington, IL 61571(309) 444-2277Fax: (309) 444-249801 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Psychology

Brian, Regina PsyDProvider ID: 1536385Gender: FemalePsychology Specialists2205 State StPekin, IL 61554(309) 706-3190Fax: (309) 588-411500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Dalfiume, Luke PHDProvider ID: 1524836Gender: MaleJohn R Day and AssociatesLTD137 N Pkwy Dr Ste 4Pekin, IL 61554(309) 692-7755Fax: (309) 692-226202 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Psychology - cont.

Jiao, Jie PHDProvider ID: 1526602Gender: FemalePsychology Specialists2205 State StPekin, IL 61554(309) 648-0782Fax: (309) 620-823700 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Mammen, Andrea PsyDProvider ID: 1526044Gender: FemalePsychology Specialists2205 State StPekin, IL 61554(309) 706-3190Fax: (309) 588-411500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

McCray, Mikell PsyDProvider ID: 1524844Gender: FemaleJohn R Day Associates LTDDBA Chri137 N Pkwy Dr Ste 4Pekin, IL 61554(309) 692-7755Fax: (309) 692-226202 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Morrison, Jennifer PsyDProvider ID: 1542212Gender: FemaleJohn R Day and AssociatesLTD137 N Pkwy Dr Ste 4Pekin, IL 61554(309) 692-7755Fax: (309) 692-226200 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Attaluri, Pratap MD

Provider ID: 847833Gender: MaleTazwood Mental HealthCenter3248 Vandever AvePekin, IL 61554(309) 347-5522Fax: (309) 347-730218 Yrs/130 YrsM 8:00 AM - 5:00 PMTW 12:00 AM - 5:00 PMTH 12:00 AM - 4:00 PMPCMH: No

Substance Abuse

Gateway Foundation Inc

Provider ID: 1216219Gateway Foundation, IncPekin11 S Capitol StPekin, IL 61554(877) 505-4673Fax: (309) 346-279900 Yrs/130 YrsM-F 8:00 AM - 7:00 PMPCMH: No

Tazwood Mental HealthCenter

Provider ID: 15500983248 Vandever AvePekin, IL 61554(309) 477-5552Fax: (309) 477-559312 Yrs/130 YrsM-TH 8:00 AM - 8:00 PMF 8:00 AM - 5:00 PMPCMH: No


Provider ID: 1550103Tazwood Mental HealthCenter111 W Washington St Ste 230East Peoria, IL 61611(309) 477-5552Fax: (309) 477-559312 Yrs/130 YrsM-TH 8:00 AM - 8:00 PMF 8:00 AM - 5:00 PMPCMH: No

Specialty PhysiciansWalworth

Updated: 11/09/2018


Cardiology

Bortin, Kenneth MDProvider ID: 1546779Gender: MaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-0535Fax: (262) 245-461900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Gulliver, Eugene MDProvider ID: 1545733Gender: MaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-499000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Dermatology

Compton, Marguerite MD

Provider ID: 1546788Gender: FemaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-0535Fax: (262) 245-462700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Gharia, Manish MDProvider ID: 1545512Gender: MaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-0535Fax: (262) 245-467200 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Ear, Nose & Throat

Yang, Eric MDProvider ID: 1545371Gender: MaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-0535Fax: (262) 245-499800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Family Practice

Furey, Jessica DOProvider ID: 1545614Gender: FemaleMercy Elkhorn Medical Center839 N Wisconsin StElkhorn, WI 53121(262) 741-1400Fax: (262) 741-383700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

McNulty, Garrett MDProvider ID: 1545667Gender: MaleMercy Whitewater MedicalCenter507 W Main StWhitewater, WI 53190(262) 473-0400Fax: (262) 473-040800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Gastroenterology

Khoury, Ramez MDProvider ID: 1546378Gender: MaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-0535Fax: (262) 245-499800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Sullivan, Harold MDProvider ID: 1546388Gender: MaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-499000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

General Surgery

Greenberg, James MDProvider ID: 1545524Gender: MaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-0535Fax: (262) 245-219800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Lorimer, Monica MDProvider ID: 1545532Gender: FemaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-499000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Wilczak, Emily MDProvider ID: 1645457Gender: FemaleMercy Walworth Hospital andMed CenterN2950 State Rd 67Lake Geneva, WI 53147(262) 245-0535Fax: (262) 245-224800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Robinson, Emily MDProvider ID: 1545792Gender: FemaleN2950 State Rd 67 Rm G218Lake Geneva, WI 53147(262) 245-053500 Yrs/130 YrsPCMH: No

Shekhani, Shahid MDProvider ID: 1545795Gender: MaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-053500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Internal Medicine

Hobson, Margaret MDProvider ID: 1546328Gender: FemaleMercy Lake Geneva MedicalCenter350 Peller RdLake Geneva, WI 53147(262) 249-0221Fax: (262) 249-063300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Hobson, Margaret MDProvider ID: 1546328Gender: FemaleMercy Whitewater MedicalCenter507 W Main StWhitewater, WI 53190(262) 473-040000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Nephrology

Shaikh, Sumaira MDProvider ID: 1545438Gender: FemaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-053500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Neurology

Gorelik, Maxim MDProvider ID: 1545515Gender: MaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-0535Fax: (262) 245-499800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Nahn, Patricia MDProvider ID: 1545693Gender: FemaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-499000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Osipova, Anastasia MD


Skaggs, Katherine MDProvider ID: 1545593Gender: FemaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-499000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Villegas Van Der Linde, SilviaMD

Provider ID: 1545618Gender: Female1038 E Geneva StDelavan, WI 53115(262) 728-4301Fax: (262) 728-830400 Yrs/130 YrsPCMH: No

Villegas Van Der Linde, SilviaMD



Marshall, Robert MDProvider ID: 1545689Gender: MaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-499000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Ophthalmology

Luellwitz, David DOProvider ID: 1546511Gender: MaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-0535Fax: (262) 245-461700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Whitehead, Allan MDProvider ID: 1546559Gender: MaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-053500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Orthopaedic Surgery

Fideler, Bradley MDProvider ID: 1545507Gender: MaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-4990Fax: (262) 245-498300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Knavel, James MDProvider ID: 1546329Gender: MaleMercy Elkhorn Medical Center839 N Wisconsin StElkhorn, WI 53121(262) 741-1400Fax: (262) 741-383700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Knavel, James MDProvider ID: 1546329Gender: MaleMercy Lakeside Orthopaedics350 Peller RdLake Geneva, WI 53147(262) 248-4467Fax: (262) 248-726200 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Lyon, Craig MDProvider ID: 1545555Gender: MaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-0535Fax: (262) 245-499800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Lyon, Craig MDProvider ID: 1545555Gender: MaleMercy Whitewater MedicalCenter507 W Main StWhitewater, WI 53190(262) 473-0400Fax: (262) 473-040800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Pain Management

Nemerovski, Randall MD

Provider ID: 1545567Gender: MaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-0535Fax: (262) 245-224800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Pediatrics

Caceres, Antonio MDProvider ID: 1546783Gender: MaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-4990Fax: (262) 245-224800 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Grinols, James MDProvider ID: 1645416Gender: MaleMercy Walworth Hospital andMed CenterN2950 State Rd 67Lake Geneva, WI 53147(262) 245-0535Fax: (262) 245-224800 Yrs/21 YrsMercy Health Hospital andMed Center WalworthM-F 9:00 AM - 5:00 PMPCMH: No

Petro, Rachel MDProvider ID: 1545576Gender: FemaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-499000 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Zapata, Jasmine MDProvider ID: 1545626Gender: FemaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-499000 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Garcia, Ronald MDProvider ID: 1546667Gender: MaleMercy Walworth SportsMedicine CenterN2950 State Rd 67Lake Geneva, WI 53147(262) 245-0535Fax: (262) 245-499800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Paulius Quinn, Karina MD

Provider ID: 1546621Gender: FemaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-499000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Podiatry

Loch, Archibald DPMProvider ID: 1545549Gender: Male507 W Main StWhitewater, WI 53190(262) 473-0400Fax: (262) 473-040800 Yrs/130 YrsPCMH: No

Loch, Archibald DPMProvider ID: 1545549Gender: MaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-4990Fax: (262) 245-224800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Pulmonary Disease

Balagani, Rajesh DOProvider ID: 1546747Gender: MaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-7730Fax: (262) 245-786500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Urology

Gianitsos, Anestis MDProvider ID: 1546633Gender: MaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-0535Fax: (262) 245-499800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Kaveggia, Francis MDProvider ID: 1546638Gender: MaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-053500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Specialty PhysiciansWarren

Updated: 11/09/2018


General Dentistry

Good, Brian DMDProvider ID: TPVP175725-01Gender: MaleWarren County Dental Clinic304 S Main StMonmouth, IL 61462(309) 734-7402Fax: (309) 734-998400 Yrs/99 YrsLanguages: SpanishMT 8:00 AM - 5:00 PMPCMH: No

Specialty PhysiciansWhiteside

Updated: 11/09/2018


Cardiology

Eide, Jennifer ApnProvider ID: 1538116Gender: FemaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 622-1206Fax: (815) 632-584300 Yrs/130 YrsPCMH: No

Gopal, Rajan MDProvider ID: 1538143Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-584300 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Khawaja, Abbas MDProvider ID: 1553408Gender: Not Available303 N Jackson StMorrison, IL 61270(815) 772-400300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Mackay, Steven DOProvider ID: 1538199Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585100 Yrs/130 YrsPCMH: No

Dermatology

Payne, Chloe MDProvider ID: 1538216Gender: FemaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 632-5355Fax: (815) 632-584400 Yrs/130 YrsPCMH: No

Stees, Marc MDProvider ID: 1538236Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 632-5355Fax: (815) 632-584400 Yrs/130 YrsPCMH: No

Ear, Nose & Throat

Kemker, Bryan MDProvider ID: 1538179Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-584500 Yrs/130 YrsPCMH: No


Gauravi, Priyanka MDProvider ID: 1553352Gender: FemaleMorrison CommunityHospital303 N Jackson St Fl 2Morrison, IL 61270(815) 772-5590Fax: (815) 772-557400 Yrs/130 YrsM-F 8:30 AM - 4:30 PMPCMH: No

Family Practice

Armstrong, Melissa ApnProvider ID: 1538057Gender: Female101 E Miller RdSterling, IL 61081(815) 625-479000 Yrs/130 YrsPCMH: No

Armstrong, Melissa ApnProvider ID: 1538057Gender: Female123 S Main StTampico, IL 61283(815) 438-253800 Yrs/130 YrsPCMH: No

Armstrong, Melissa ApnProvider ID: 1538057Gender: FemaleCgh Medical Center100 E Lefevre RdSterling, IL 61081(815) 625-0400Fax: (815) 625-951400 Yrs/130 YrsPCMH: No

Dehkordi, Behrang MDProvider ID: 1553347Gender: MaleMorrison CommunityHospital303 N Jackson StMorrison, IL 61270(815) 772-4003Fax: (815) 772-559500 Yrs/130 YrsPCMH: No

Dinkha, Duncan MDProvider ID: 1553386Gender: Not Available303 N Jackson StMorrison, IL 61270(815) 772-400300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Erl, James ApnProvider ID: 1538134Gender: MaleCgh Medical Center100 E Lefevre RdSterling, IL 61081(815) 625-0400Fax: (815) 625-951400 Yrs/130 YrsPCMH: No

Eustace, Nicole MDProvider ID: 1553349Gender: FemaleMorrison CommunityHospital303 N Jackson StMorrison, IL 61270(815) 772-5511Fax: (815) 772-556600 Yrs/130 YrsPCMH: No

Gueorguiev, Gueorgui MD

Provider ID: 1553356Gender: MaleMorrison CommunityHospital303 N Jackson StMorrison, IL 61270(815) 772-5511Fax: (815) 772-556600 Yrs/130 YrsPCMH: No

Keys, Niko MDProvider ID: 1553367Gender: MaleFamily Care Clinic303 N Jackson StMorrison, IL 61270(815) 772-400300 Yrs/130 YrsMTWTHFSatSun 8:00 AM -8:00 PMPCMH: No

Klein, James MDProvider ID: 1553393Gender: Not Available303 N Jackson StMorrison, IL 61270(815) 772-400300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018



Mansour, Ibrahim MDProvider ID: 1553369Gender: Not AvailableFamily Care Clinic303 N Jackson StMorrison, IL 61270(815) 772-4003Fax: (815) 772-559500 Yrs/130 YrsMTWTHFSatSun 8:00 AM -8:00 PMPCMH: No

Miranda, Armand DOProvider ID: 1553372Gender: Not Available303 N Jackson StMorrison, IL 61270(815) 772-4003Fax: (815) 772-559500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Muhammad, Tracy MDProvider ID: 1553374Gender: Not Available303 N Jackson StMorrison, IL 61270(815) 772-400300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Nobis, Polly ApnProvider ID: 1538211Gender: FemaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585100 Yrs/130 YrsPCMH: No

Nyabuti, Jared MDProvider ID: 1553378Gender: MaleFamily Care Clinic303 N Jackson StMorrison, IL 61270(815) 772-4003Fax: (815) 772-559500 Yrs/130 YrsMTWTHFSatSun 8:00 AM -8:00 PMPCMH: No

Patel, Ashish MDProvider ID: 1553380Gender: MaleFamily Care Clinic303 N Jackson StMorrison, IL 61270(815) 772-400300 Yrs/130 YrsMTWTHFSatSun 8:00 AM -8:00 PMPCMH: No

Rhyne, Christopher MD

Provider ID: 1553411Gender: Not Available303 N Jackson StMorrison, IL 61270(815) 772-400300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Roberts, Jennifer ApnProvider ID: 1538224Gender: FemaleCgh Medical Center100 E Lefevre RdSterling, IL 61081(815) 625-0400Fax: (815) 625-951400 Yrs/130 YrsPCMH: No

Sadler, Richard MDProvider ID: 1553382Gender: Not Available303 N Jackson StMorrison, IL 61270(815) 772-4003Fax: (815) 772-559500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Sitter, Concha ApnProvider ID: 1538230Gender: FemaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585800 Yrs/130 YrsPCMH: No

Zaheer, Badar MDProvider ID: 1553404Gender: Not Available303 N Jackson StMorrison, IL 61270(815) 772-400300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Gastroenterology

Friend, Rahsaan DOProvider ID: 1538138Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585800 Yrs/130 YrsM 8:00 AM - 5:00 PMPCMH: No

Irshad, Mohammed MD

Provider ID: 1553359Gender: Not Available303 N Jackson StMorrison, IL 61270(815) 772-5590Fax: (815) 772-557400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Monteagudo, Jorge MD

Provider ID: 1538207Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585800 Yrs/130 YrsPCMH: No

General Dentistry

Cavitt, Mary DDSProvider ID: TPVP63677-11Gender: FemaleWhiteside CountyCommunity Health Clinic1300 W 2nd StRock Falls, IL 61071(815) 626-2230Fax: (815) 626-633900 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 4:30 PMPCMH: No

Johnson, Charles DDSProvider ID: TPV019012497-01Gender: MaleWhiteside CountyCommunity Health Clinic1300 W 2nd StRock Falls, IL 61071(815) 626-2230Fax: (815) 626-633900 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 4:30 PMPCMH: No

Le, Huong DDSProvider ID: TPVP149843-01Gender: MaleWhiteside CountyCommunity Health Clinic1300 W 2nd StRock Falls, IL 61071(815) 626-2230Fax: (815) 626-633900 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 4:30 PMPCMH: No


Updated: 11/09/2018



Le, Huy DMDProvider ID: TPVP175619-01Gender: MaleWhiteside CountyCommunity Health Clinic1300 W 2nd StRock Falls, IL 61071(815) 626-2230Fax: (815) 626-633900 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 4:30 PMPCMH: No

Shah, Sayed Haroon DMDProvider ID: TPVP64787-01Gender: MaleWhiteside CountyCommunity Health Clinic1300 W 2nd StRock Falls, IL 61071(815) 626-2230Fax: (815) 626-633900 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 4:30 PMPCMH: No

Sultana, Yasmeen DMDProvider ID: TPVP155413-02Gender: FemaleWhiteside CountyCommunity Health Clinic1300 W 2nd StRock Falls, IL 61071(815) 626-2230Fax: (815) 626-633900 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 4:30 PMPCMH: No

Wertz, Jacob DDSProvider ID: TPVP134960-01Gender: MaleWhiteside CountyCommunity Health Clinic1300 W 2nd StRock Falls, IL 61071(815) 626-2230Fax: (815) 626-633900 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 4:30 PMPCMH: No

Wilwert, Monica DDSProvider ID: TPV019026652-01Gender: FemaleWhiteside CountyCommunity Health Clinic1300 W 2nd StRock Falls, IL 61071(815) 626-2230Fax: (815) 626-633900 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 4:30 PMPCMH: No

Yemm, William DDSProvider ID: TPV019017688-01Gender: MaleWhiteside CountyCommunity Health Clinic1300 W 2nd StRock Falls, IL 61071(815) 626-2230Fax: (815) 626-633900 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 4:30 PMPCMH: No

General Surgery

Canady, Ashlea MDProvider ID: 1538093Gender: FemaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Hopping, Jacob MDProvider ID: 1538165Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Khawaja, Osmaan MDProvider ID: 1553391Gender: MaleMorrison CommunityHospital303 N Jackson StMorrison, IL 61270(815) 772-5511Fax: (815) 772-556600 Yrs/130 YrsPCMH: No

King, Thomas DOProvider ID: 1538182Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585100 Yrs/130 YrsPCMH: No

McGlone, Thomas MDProvider ID: 1538205Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 622-1201Fax: (815) 632-585600 Yrs/130 YrsPCMH: No

Wakefield, Heather MD

Provider ID: 1538250Gender: FemaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585600 Yrs/130 YrsPCMH: No

Geriatric Medicine

Lawrence, Jill NpProvider ID: 1538187Gender: FemaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-584300 Yrs/130 YrsPCMH: NoMaximus ID: 10647781


Alikhan, Mir MDProvider ID: 1538052Gender: MaleCgh Home Nursing105 S Heaton StMorrison, IL 61270(815) 772-8100Fax: (815) 772-716300 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Alikhan, Mir MDProvider ID: 1538052Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585000 Yrs/130 YrsM 8:00 AM - 5:00 PMPCMH: No

Internal Medicine

Karingada, Mathai MDProvider ID: 1538177Gender: MaleCgh Medical Center100 E Lefevre RdSterling, IL 61081(815) 625-0400Fax: (815) 625-951400 Yrs/130 YrsPCMH: NoMaximus ID: 10647763


Updated: 11/09/2018



Bello, Ismaila MDProvider ID: 1538065Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Kurian, Thomas MDProvider ID: 1538186Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585100 Yrs/130 YrsPCMH: No

Medical Oncology

Limesand, Dianne ApnProvider ID: 1538193Gender: FemaleCgh Home Nursing105 S Heaton StMorrison, IL 61270(815) 772-8100Fax: (815) 772-716300 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Limesand, Dianne ApnProvider ID: 1538193Gender: FemaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585000 Yrs/130 YrsPCMH: No

McDermott, Mia ApnProvider ID: 1538204Gender: FemaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585100 Yrs/130 YrsPCMH: No

Neurology

Ahmad, Waseem MDProvider ID: 1553402Gender: Male303 N Jackson StMorrison, IL 61270(815) 772-5507Fax: (815) 772-559900 Yrs/130 YrsPCMH: No

Dela Cruz, Chester MD

Provider ID: 1538109Gender: MaleCgh Home Nursing105 S Heaton StMorrison, IL 61270(815) 772-8100Fax: (815) 772-716300 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Dela Cruz, Chester MD

Provider ID: 1538109Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-584800 Yrs/130 YrsM-W 8:00 AM - 5:00 PMPCMH: No


Almasy, David MDProvider ID: 1538054Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-584900 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Johnson, Meredith ApnProvider ID: 1538171Gender: FemaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-584900 Yrs/130 YrsPCMH: No

Lemay, Jeffrey MDProvider ID: 1538190Gender: Male100 E Le Fevre RdSterling, IL 61081(815) 625-0400Fax: (815) 632-584900 Yrs/130 YrsPCMH: No

Lemay, Jeffrey MDProvider ID: 1538190Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585100 Yrs/130 YrsPCMH: No

Martin, Keith MDProvider ID: 1538202Gender: Male100 E Le Fevre RdSterling, IL 61081(815) 625-0400Fax: (815) 625-482500 Yrs/130 YrsPCMH: No

Tugwell, Frank MDProvider ID: 1538247Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-584900 Yrs/130 YrsPCMH: No

Ophthalmology

Hahn, John MDProvider ID: 1538148Gender: MaleCgh Home Nursing10 W 3rd StSterling, IL 61081(815) 622-1208Fax: (815) 622-125700 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Optometry

Cutter, Matthew ODProvider ID: 1538106Gender: MaleCgh Home Nursing10 W 3rd StSterling, IL 61081(815) 622-1208Fax: (815) 632-587700 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Hogge, Thomas ODProvider ID: TPV1649452145-0Gender: MaleThomas R Hogge PC4006 E LincolnwaySterling, IL 61081(815) 625-8006Fax: (815) 625-879901 Yrs/99 YrsM-W 8:30 AM - 4:00 PMTH 8:00 AM - 1:00 PMPCMH: No


Updated: 11/09/2018


Optometry - cont.

Willingham, Victoria ODProvider ID: TPV1447234273-0Gender: FemaleJak Enterprises Inc3209 E LincolnwaySterling, IL 61081(815) 626-600601 Yrs/99 YrsMTWF 9:00 AM - 6:00 PMTH 9:00 AM - 7:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Wiltz, Sharna ODProvider ID: TPV1407019946-1Gender: FemaleJak Enterprises Inc3209 E LincolnwaySterling, IL 61081(815) 626-600601 Yrs/99 YrsMTWF 9:00 AM - 6:00 PMTH 9:00 AM - 7:00 PMSat 9:00 AM - 3:00 PMPCMH: No


Whittaker, Robert MDProvider ID: 1538254Gender: MaleCgh Home Nursing10 W 3rd StSterling, IL 61081(815) 632-5300Fax: (815) 632-587600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Orthopaedic Surgery

Hanlon, Shawn MDProvider ID: 1538152Gender: Male100 E Le Fevre RdSterling, IL 61081(815) 625-0400Fax: (815) 625-482500 Yrs/130 YrsPCMH: No

Hanlon, Shawn MDProvider ID: 1538152Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585100 Yrs/130 YrsPCMH: No

Thormeyer, Jeffrey MD

Provider ID: 1538241Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585100 Yrs/130 YrsPCMH: No

Pain Management

Ibarra, Juan MDProvider ID: 1538167Gender: MaleCgh Medical Center100 E Lefevre RdSterling, IL 61081(815) 625-0400Fax: (815) 564-493500 Yrs/130 YrsPCMH: No

Pedodontics

Rick, Edward DDSProvider ID: TPVP138558-02Gender: MaleEdward L Rick DDS MS PC1808 1st AveSterling, IL 61081(815) 625-2112Fax: (815) 625-214300 Yrs/99 YrsLanguages: SpanishMT 8:00 AM - 4:30 PMW 8:30 AM - 4:00 PMPCMH: No

Podiatry

Riley, Eric DPMProvider ID: 1538222Gender: MaleCgh Home Nursing105 S Heaton StMorrison, IL 61270(815) 772-8100Fax: (815) 772-716300 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Riley, Eric DPMProvider ID: 1538222Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 622-1201Fax: (815) 632-585100 Yrs/130 YrsPCMH: No

Williams, Michael DPM

Provider ID: 1553385Gender: Not Available303 N Jackson StMorrison, IL 61270(815) 772-5590Fax: (815) 772-557400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Psychiatry

Blackmer, Michelle NpProvider ID: 1530068Gender: FemaleWhiteshire CountyCommunity Health1300 W 2nd StRock Falls, IL 61071(815) 626-2230Fax: (815) 626-372900 Yrs/130 YrsM-F 0:80 AM - 4:30 PMPCMH: Yes, Level 3

Dennison, Thomas MDProvider ID: 1530062Gender: MaleWhiteshire CountyCommunity Health1300 W 2nd StRock Falls, IL 61071(815) 626-2230Fax: (815) 626-372900 Yrs/130 YrsM-F 0:80 AM - 4:30 PMPCMH: Yes, Level 3

Lopez, David MDProvider ID: 1553388Gender: Not Available303 N Jackson St Fl 2Morrison, IL 61270(815) 772-5590Fax: (815) 772-557400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Pulmonary Disease

Alderman, Sarah MDProvider ID: 1538051Gender: FemaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 632-5350Fax: (815) 632-584500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Treviranus, Kim MDProvider ID: 1538246Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-584600 Yrs/130 YrsPCMH: No


Updated: 11/09/2018


Pulmonary Disease - cont.

West, David MDProvider ID: 1538252Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 622-1209Fax: (815) 632-584500 Yrs/130 YrsPCMH: No

Rheumatology

Anand, Amritpal MDProvider ID: 1553340Gender: MaleMorrison CommunityHospital303 N Jackson StMorrison, IL 61270(815) 772-5590Fax: (815) 772-557400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Buddaraju, Ajay MDProvider ID: 1538081Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Duncan, Melissa ApnProvider ID: 1538113Gender: FemaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-584700 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Substance Abuse


Provider ID: 11158261901 1st AveSterling, IL 61081(815) 626-733300 Yrs/130 YrsLanguages: Spanish, Hindi,PolishM-F 9:00 AM - 5:00 PMPCMH: No

Urology

Mathew, Mathew MDProvider ID: 1553396Gender: MaleMorrison CommunityHospital303 N Jackson StMorrison, IL 61270(815) 772-5511Fax: (815) 772-556600 Yrs/130 YrsPCMH: No

Rogers, Kevin ApnProvider ID: 1538226Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585100 Yrs/130 YrsPCMH: No

Song, Young DOProvider ID: 1538234Gender: FemaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585100 Yrs/130 YrsPCMH: No

Specialty PhysiciansWinnebago

Updated: 11/09/2018



Cook, Marisha MDProvider ID: 1545888Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-943300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Mohiuddin, Fatima MD

Provider ID: 1543501Gender: FemaleSA Brookside Specialty Center1253 N Alpine RdRockford, IL 61107(779) 696-9201Fax: (779) 696-787000 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 9:00 AM - 12:00 PMPCMH: No

Ragotzy, Ronald MDProvider ID: 1488648Gender: MaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(608) 364-224000 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No


Narra, Leela MDProvider ID: 1545993Gender: FemaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-2200Fax: (815) 971-909700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Smith, Jeffrey MDProvider ID: 1545983Gender: Male2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/130 YrsPCMH: No

Smith, Jeffrey MDProvider ID: 1545983Gender: MaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-2200Fax: (815) 971-909700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Cardiology

Ahmed, Imdad MDProvider ID: 1545973Gender: MaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-220000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Anna, Manjusha MDProvider ID: 1545975Gender: FemaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-2200Fax: (815) 971-909700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Christenson, Kim ApnProvider ID: 1543188Gender: FemaleSwedishamerican HeartInstitute1340 Charles St Ste 300Rockford, IL 61104(815) 490-5888Fax: (779) 696-589800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Deveshwar, Sangita MD

Provider ID: 1545979Gender: FemaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-2200Fax: (815) 971-909700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Dhingra, Ravi MDProvider ID: 1543226Gender: MaleCardiovascular Surgery1340 Charles St Ste 300Rockford, IL 61104(779) 696-8800Fax: (778) 696-589800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Ezidinma, Afoma MDProvider ID: 1488842Gender: FemaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-4500Fax: (815) 525-403500 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Goldberg, Ian DOProvider ID: 1543280Gender: MaleSwedishamerican HeartInstitute1340 Charles St Ste 300Rockford, IL 61104(779) 696-5888Fax: (779) 696-589800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Green, John MDProvider ID: 1543290Gender: MaleSwedishamerican HeartInstitute1340 Charles St Ste 300Rockford, IL 61104(779) 696-5888Fax: (779) 696-589800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Hale, David MDProvider ID: 1543309Gender: MaleSwedishamerican HeartInstitute1340 Charles St Ste 300Rockford, IL 61104(779) 696-5888Fax: (779) 696-589800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Hayes, Richard MDProvider ID: 1545987Gender: Male2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/130 YrsPCMH: No


Updated: 11/09/2018


Cardiology - cont.

Hayes, Richard MDProvider ID: 1545987Gender: Male3401 N Perryville Rd Ste 203Rockford, IL 61114(815) 971-1010Fax: (815) 971-901000 Yrs/130 YrsPCMH: No

Hayes, Richard MDProvider ID: 1545987Gender: MaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-2200Fax: (815) 971-909700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Johnson, Maryl MDProvider ID: 1543379Gender: FemaleCardiovascular Surgery1340 Charles St Ste 300Rockford, IL 61104(779) 696-8800Fax: (778) 696-589800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Kaminski, John MDProvider ID: 1543393Gender: MaleSwedishamerican HeartInstitute1340 Charles St Ste 300Rockford, IL 61104(815) 490-5888Fax: (779) 696-589800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Kao, Walter MDProvider ID: 1543396Gender: MaleCardiovascular Surgery1340 Charles St Ste 300Rockford, IL 61104(779) 696-8800Fax: (779) 696-604500 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Kilaru, Prasad MDProvider ID: 1545990Gender: MaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-990100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Nowak, Gregory MDProvider ID: 1545981Gender: Male3401 N Perryville Rd Ste 203Rockford, IL 61114(815) 971-1010Fax: (815) 971-901000 Yrs/130 YrsPCMH: No

Nowak, Gregory MDProvider ID: 1545981Gender: MaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-2200Fax: (815) 971-909700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Padron, Laura ApnProvider ID: 1543552Gender: FemaleSwedishamerican HeartInstitute1340 Charles St Ste 300Rockford, IL 61104(815) 490-5888Fax: (779) 696-589800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Russell, Elissa ApnProvider ID: 1543624Gender: FemaleSwedishamerican HeartInstitute1340 Charles St Ste 300Rockford, IL 61104(815) 490-5888Fax: (779) 696-589800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Shah, Samir MDProvider ID: 1545994Gender: MaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-220000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Singh, Mukesh MDProvider ID: 1543691Gender: MaleSwedishamerican HeartInstitute1340 Charles St Ste 300Rockford, IL 61104(815) 490-5888Fax: (779) 696-589800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Taveras, Maria MDProvider ID: 1488595Gender: FemaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-450000 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Valaitis, Joseph MDProvider ID: 1546010Gender: MaleRockford Health Physicians2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Child Neurology

Domnitz Gebet, Avi DO


Dudeck, Lindsay MDProvider ID: 1546416Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-200000 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Child Neurology - cont.

Gibbons, Vincent MDProvider ID: 1546421Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-200000 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Miner, Philip MDProvider ID: 1546423Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-943300 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Schuman, Gail DOProvider ID: 1546428Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-991600 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Chiropractic

Noe, Colleen DCProvider ID: 1509903Gender: FemaleIntegrative Family Health Care3626 E State StRockford, IL 61108(779) 423-170000 Yrs/130 YrsM-F 8:30 AM - 8:00 PMSat 10:00 AM - 5:00 PMPCMH: No


McCanse, Donald MDProvider ID: 1546016Gender: MaleRockford Health Physicians2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Dermatology

Kapoor, Roger MDProvider ID: 1488579Gender: MaleBeloit Health SystemNorthpointe5605 E Rockton Rd Fl 2Roscoe, IL 61073(815) 525-4500Fax: (815) 525-408400 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Segal, Paul MDProvider ID: 1488802Gender: MaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-4500Fax: (815) 525-450500 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Ear, Nose & Throat

Severson, James MDProvider ID: 1546389Gender: MaleRockford Health Physicians3401 N Perryville Rd Ste 203Rockford, IL 61114(815) 971-1010Fax: (815) 971-901000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Wieland, Aaron MDProvider ID: 1637328Gender: MaleSwedishamerican RegionalCancer Center3535 N Bell School RdRockford, IL 61114(779) 696-940000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Zaharullah, Fazlur MDProvider ID: 1546391Gender: Male2300 N Rockton AveRockford, IL 61103(815) 971-200000 Yrs/130 YrsPCMH: No

Zaharullah, Fazlur MDProvider ID: 1546391Gender: MaleRockford Health Physicians3401 N Perryville Rd Ste 100Rockford, IL 61114(815) 971-2790Fax: (815) 971-747600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Hovis, John MDProvider ID: 1546116Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-943300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Logli, Kelly ApnProvider ID: 1543463Gender: FemaleSA Brookside Specialty Center1253 N Alpine RdRockford, IL 61107(779) 696-9201Fax: (779) 696-787000 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 9:00 AM - 12:00 PMPCMH: No

Nagavalli, Sravanthi MD

Provider ID: 1543525Gender: FemaleSA Brookside Specialty Center1253 N Alpine RdRockford, IL 61107(779) 696-9201Fax: (779) 696-787000 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 9:00 AM - 12:00 PMPCMH: No

Naseer, Aliya MDProvider ID: 1546117Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-943300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Family Practice

Lucietto-Sieradzki, ThereseMD

Provider ID: 1610921Gender: FemaleRosecrance Inc3815 Harrison AveRockford, IL 61108(815) 391-100000 Yrs/130 YrsSwedish American HospitalM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018



Neubauer, Joseph MDProvider ID: 1610834Gender: MaleRosecrance Inc3815 Harrison AveRockford, IL 61108(815) 391-100000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Nika, Vasil MDProvider ID: 1638954Gender: MaleIn Home Medical Group LLC2222 E State St Ste 209Rockford, IL 61104(815) 988-850000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Sharkey, Carrie MDProvider ID: 1610840Gender: FemaleRosecrance Inc1601 University DrRockford, IL 61107(815) 391-100000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Gastroenterology

Bowyer, Brad MDProvider ID: 1533075Gender: MaleRockford GastroenterologyAssociate401 Roxbury RdRockford, IL 61107(815) 397-7340Fax: (815) 397-738800 Yrs/130 YrsM-F 7:00 AM - 5:00 PMPCMH: No

Deguide, John MDProvider ID: 1533079Gender: Male401 Roxbury RdRockford, IL 61107(815) 397-7340Fax: (815) 397-738800 Yrs/130 YrsM-F 7:00 AM - 5:00 PMPCMH: No

Gibbs, Christopher MD

Provider ID: 1533086Gender: Male401 Roxbury RdRockford, IL 61107(815) 397-7340Fax: (815) 397-738800 Yrs/130 YrsM-F 7:00 AM - 5:00 PMPCMH: No

Ikenberry, Steven MDProvider ID: 1533089Gender: MaleRockford GastroenterologyAssociate401 Roxbury RdRockford, IL 61107(815) 397-7340Fax: (815) 397-738800 Yrs/130 YrsM-F 7:00 AM - 5:00 PMPCMH: No

Johanson, John MDProvider ID: 1488719Gender: MaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-4500Fax: (815) 525-450500 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Manley, Michael MDProvider ID: 1533100Gender: Male401 Roxbury RdRockford, IL 61107(815) 397-7340Fax: (815) 397-738800 Yrs/130 YrsM-F 7:00 AM - 5:00 PMPCMH: No

Nonevski, Ilche MDProvider ID: 1533106Gender: Male401 Roxbury RdRockford, IL 61107(815) 397-7340Fax: (815) 397-738800 Yrs/130 YrsM-F 7:00 AM - 5:00 PMPCMH: No

O'Riordan, Kenneth MD

Provider ID: 1546152Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-551000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Patel, Sunil MDProvider ID: 1533142Gender: MaleRockford GastroenterologyAssociate401 Roxbury RdRockford, IL 61107(815) 397-7340Fax: (815) 397-738800 Yrs/130 YrsM-F 7:00 AM - 5:00 PMPCMH: No

Peifer, Kevin MDProvider ID: 1533109Gender: MaleRockford GastroenterologyAssociate401 Roxbury RdRockford, IL 61107(815) 397-7340Fax: (815) 397-738800 Yrs/130 YrsM-F 7:00 AM - 5:30 PMPCMH: NoMaximus ID: 10992179

Rayapudi, Krishna MDProvider ID: 1546156Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-200000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Sherid, Muhammed MD

Provider ID: 1546153Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-943300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Shiels, Aaron MDProvider ID: 1533157Gender: Male401 Roxbury RdRockford, IL 61107(815) 397-7340Fax: (815) 397-738800 Yrs/130 YrsM-F 7:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Gastroenterology - cont.

Snedegar, Clinton MD

Provider ID: 1533167Gender: MaleRoxford GastroenterologyAssociates401 Roxbury RdRockford, IL 61107(815) 397-7340Fax: (815) 397-738800 Yrs/130 YrsM-F 7:00 AM - 5:00 PMPCMH: No

Steinberg, Eric MDProvider ID: 1546154Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-551000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Tannous, George MDProvider ID: 1533249Gender: MaleRockford GastroenterologyAssociate401 Roxbury RdRockford, IL 61107(815) 397-7340Fax: (815) 397-738800 Yrs/130 YrsM-F 7:00 AM - 5:00 PMPCMH: No

Tewani, Sumeet MDProvider ID: 1533257Gender: Male401 Roxbury RdRockford, IL 61107(815) 397-7340Fax: (815) 397-738800 Yrs/130 YrsM-F 7:00 AM - 5:00 PMPCMH: No

Thukral, Chandrashekhar MD

Provider ID: 1533188Gender: Male401 Roxbury RdRockford, IL 61107(815) 397-7340Fax: (815) 397-738800 Yrs/130 YrsM-F 7:00 AM - 5:00 PMPCMH: No

Vicari, Joseph MDProvider ID: 1533265Gender: Not Available401 Roxbury RdRockford, IL 61107(815) 397-7340Fax: (815) 397-738800 Yrs/130 YrsM-F 7:00 AM - 5:00 PMPCMH: No

Wang, Tsu Hon MDProvider ID: 1488713Gender: MaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-4500Fax: (815) 525-450500 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Yoon, David MDProvider ID: 1488559Gender: MaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-450000 Yrs/130 YrsLanguages: Spanish, KoreanM-F 8:30 AM - 5:30 PMPCMH: No

General Dentistry

Adams, Marlene DDSProvider ID: TPVP166399-22Gender: FemaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Akhras, Saleh DDSProvider ID: TPVP139543-01Gender: MaleInternational Dental Center3502 E State StRockford, IL 61108(815) 227-1050Fax: (815) 227-105700 Yrs/99 YrsLanguages: ArabicM-F 9:30 AM - 6:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Alsibaie, Lina DMDProvider ID: TPVP175151-05Gender: FemaleOrthodontic Experts LTD5051 E State StRockford, IL 61108(815) 918-4427Fax: (847) 739-757000 Yrs/99 YrsLanguages: RussianM-F 9:00 AM - 5:00 PMPCMH: No

Anumula, Saila DDSProvider ID: TPVP138703-16Gender: FemaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Bartman, Holly DDSProvider ID: TPVP82240-02Gender: FemaleCrusader Community Health6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Bartman, Holly DDSProvider ID: TPVP82240-03Gender: FemaleCrusader Central ClinicAssociation1100 BroadwayRockford, IL 61104(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Bartman, Holly DDSProvider ID: TPVP82240-04Gender: FemaleCrusader Central ClinicAssociation1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Bartman, Holly DDSProvider ID: TPVP82240-05Gender: FemaleCrusader Community HealthAuburn Campus1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018



Barysenka, Piotr DDSProvider ID: TPVP138182-18Gender: MaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Beltran, Liset DDSProvider ID: TPVP138354-35Gender: FemaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Casey, Patricia DDSProvider ID: TPVP147930-16Gender: FemaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Chang, Yong DDSProvider ID: TPVP98204-01Gender: MalePerryville Dentist845 S Perryville Rd Ste 127Rockford, IL 61108(779) 423-213500 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 8:00 PMFSat 8:00 AM - 3:00 PMPCMH: No

Compton, Anne-Ashley DDS

Provider ID: TPVP130823-14Gender: FemaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Del Carmen, Orleanys DDS


Dziarski, Matthew DMDProvider ID: TPVP165126-01Gender: MalePerryville Dentist845 S Perryville Rd Ste 127Rockford, IL 61108(779) 423-213500 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 8:00 PMFSat 8:00 AM - 3:00 PMPCMH: No

Finlay, Colleen DDSProvider ID: TPVP147257-13Gender: FemaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Girgis, Dina DDSProvider ID: TPVP138202-02Gender: FemaleCrusader Community Health6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Girgis, Dina DDSProvider ID: TPVP138202-03Gender: FemaleCrusader Central ClinicAssociation1100 BroadwayRockford, IL 61104(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Girgis, Dina DDSProvider ID: TPVP138202-04Gender: FemaleCrusader Central ClinicAssociation1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Girgis, Dina DDSProvider ID: TPVP138202-05Gender: FemaleCrusader Community HealthAuburn Campus1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Grinter, Jason DDSProvider ID: TPVP65534-07Gender: MaleOnsite Dental555 N Ct St Ste 100Rockford, IL 61103(815) 708-6556Fax: (815) 708-647700 Yrs/99 YrsLanguages: SpanishM-TH 9:00 AM - 4:00 PMPCMH: No

Grinter, Jason DDSProvider ID: TPVP65534-08Gender: MalePark City Dental PC555 N Ct St Ste 100Rockford, IL 61103(815) 708-6556Fax: (815) 708-647700 Yrs/99 YrsLanguages: SpanishM-TH 9:00 AM - 4:00 PMF 8:00 AM - 2:00 PMPCMH: No

Grinter, Jason DDSProvider ID: TPVP65534-09Gender: MaleOnsite Dental555 N Ct St Ste 100Rockford, IL 61103(815) 708-6556Fax: (815) 708-647700 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 5:00 PMPCMH: No

Guevarra, Mark DMDProvider ID: TPVP175245-05Gender: MaleOrthodontic Experts LTD5051 E State StRockford, IL 61108(815) 918-4427Fax: (847) 739-757000 Yrs/99 YrsLanguages: RussianM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018



Hafeez, Sabeen DDSProvider ID: TPVP139792-14Gender: FemaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Hansen, Duane DDSProvider ID: TPVP142044-01Gender: MaleRock River Dental318 College AveRockford, IL 61104(815) 965-5555Fax: (815) 965-556100 Yrs/99 YrsLanguages: SpanishMWF 9:00 AM - 9:00 PMTTH 9:00 AM - 2:00 PMPCMH: No

Kil, Haein DMDProvider ID: TPVP153348-14Gender: FemaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Lallas, June DDSProvider ID: TPVP138201-02Gender: FemaleCrusader Community Health6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Lallas, June DDSProvider ID: TPVP138201-03Gender: FemaleCrusader Central ClinicAssociation1100 BroadwayRockford, IL 61104(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Lallas, June DDSProvider ID: TPVP138201-04Gender: FemaleCrusader Central ClinicAssociation1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Lallas, June DDSProvider ID: TPVP138201-05Gender: FemaleCrusader Community HealthAuburn Campus1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Lofvall, Cristian DDSProvider ID: TPVP144328-02Gender: MaleCrusader Community Health6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Lofvall, Cristian DDSProvider ID: TPVP144328-03Gender: MaleCrusader Central ClinicAssociation1100 BroadwayRockford, IL 61104(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Lofvall, Cristian DDSProvider ID: TPVP144328-04Gender: MaleCrusader Central ClinicAssociation1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Lofvall, Cristian DDSProvider ID: TPVP144328-05Gender: MaleCrusader Community HealthAuburn Campus1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Min, David DDSProvider ID: TPVP64569-03Gender: MaleIdeal Dental Care5876 E State StRockford, IL 61108(815) 901-1044Fax: (779) 210-456800 Yrs/99 YrsLanguages: ArabicM 11:00 AM - 7:00 PMTWF 9:00 AM - 5:00 PMTH 10:00 AM - 4:00 PMPCMH: No

Mirza, Taha DDSProvider ID: TPVP175726-01Gender: MalePerryville Dentist845 S Perryville Rd Ste 127Rockford, IL 61108(779) 423-213500 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 8:00 PMFSat 8:00 AM - 3:00 PMPCMH: No

Mohammad-Salamah, RabehDDS

Provider ID: TPVP63585-03Gender: MaleInternational Dental Center3502 E State StRockford, IL 61108(815) 227-1050Fax: (815) 227-105700 Yrs/99 YrsLanguages: ArabicM-F 9:30 AM - 6:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Moustafa, Tamer DDSProvider ID: TPVP147377-02Gender: MaleCrusader Community Health6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: Spanish, ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Moustafa, Tamer DDSProvider ID: TPVP147377-03Gender: MaleCrusader Central ClinicAssociation1100 BroadwayRockford, IL 61104(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: Spanish, ArabicM-F 8:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018



Moustafa, Tamer DDSProvider ID: TPVP147377-04Gender: MaleCrusader Central ClinicAssociation1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: Spanish, ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Moustafa, Tamer DDSProvider ID: TPVP147377-05Gender: MaleCrusader Community HealthAuburn Campus1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: Spanish, ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Nasreen, Taiba DDSProvider ID: TPVP62719-03Gender: FemaleAce Dental Center129 S Phelps Ave Ste 108Rockford, IL 61108(630) 613-8942Fax: (630) 519-417000 Yrs/99 YrsLanguages: SpanishMT 10:00 AM - 8:00 PMW 10:00 AM - 6:00 PMPCMH: No

Navarrete, Odilia DDSProvider ID: TPV019023511-65Gender: FemaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Newcomer, Isabella DDSProvider ID: TPVP169911-02Gender: FemaleCrusader Community Health6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Newcomer, Isabella DDSProvider ID: TPVP169911-03Gender: FemaleCrusader Central ClinicAssociation1100 BroadwayRockford, IL 61104(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Newcomer, Isabella DDSProvider ID: TPVP169911-04Gender: FemaleCrusader Central ClinicAssociation1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Newcomer, Isabella DDSProvider ID: TPVP169911-05Gender: FemaleCrusader Community HealthAuburn Campus1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Oluyemi, Morolayo DMDProvider ID: TPVP166074-14Gender: FemaleAll Family Dental and Braces6585 E State StRockford, IL 61108(815) 553-253000 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Pane, Lary DDSProvider ID: TPVP61327-05Gender: MaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Patel, Dhara DMDProvider ID: TPVP156913-14Gender: FemaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Patel, Jabal DDSProvider ID: TPVP65436-06Gender: MalePerryville Dentist845 S Perryville Rd Ste 127Rockford, IL 61108(779) 423-213500 Yrs/99 YrsLanguages: Spanish, HindiM-TH 8:00 AM - 8:00 PMFSat 8:00 AM - 3:00 PMPCMH: No

Patel, Satyam DDSProvider ID: TPVP170481-01Gender: MalePerryville Dentist845 S Perryville Rd Ste 127Rockford, IL 61108(779) 423-213500 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 8:00 PMFSat 8:00 AM - 3:00 PMPCMH: No

Patel, Shweta DDSProvider ID: TPVP98196-01Gender: FemalePark City Dental PC555 N Ct St Ste 100Rockford, IL 61103(815) 708-6556Fax: (815) 708-647700 Yrs/99 YrsLanguages: SpanishM-TH 9:00 AM - 4:00 PMF 8:00 AM - 2:00 PMPCMH: No

Paul, Bart DDSProvider ID: TPVP138791-01Gender: MaleCherryvale Dental Center1957 Pawlisch DrRockford, IL 61112(815) 332-3477Fax: (815) 332-347000 Yrs/99 YrsLanguages: SpanishM-W 9:00 AM - 6:00 PMTH 9:00 AM - 2:00 PMF 8:00 AM - 12:00 PMPCMH: No

Pineschi, Kenneth DDSProvider ID: TPVP142228-01Gender: MaleDr Kenneth V Pineschi DDSLTD1506 N Rockton AveRockford, IL 61103(815) 968-6688Fax: (815) 968-898900 Yrs/99 YrsM-W 8:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018



Pladziewicz, Paul DDSProvider ID: TPVP142467-02Gender: MalePaul A Pladziewicz5411 E State St Ste 1Rockford, IL 61108(779) 423-0727Fax: (847) 954-263000 Yrs/99 YrsM 10:00 AM - 4:00 PMPCMH: No

Ristevski, Igor DDSProvider ID: TPVP102845-06Gender: MaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Saeed, Azam DDSProvider ID: TPVP138599-03Gender: MaleAce Dental Center129 S Phelps Ave Ste 108Rockford, IL 61108(630) 613-8942Fax: (630) 519-417000 Yrs/99 YrsLanguages: SpanishMT 10:00 AM - 8:00 PMW 10:00 AM - 6:00 PMPCMH: No

Safavinejad, Sadaf DDSProvider ID: TPVP140565-01Gender: FemaleIdeal Dental Care5876 E State StRockford, IL 61108(815) 901-1044Fax: (779) 210-456800 Yrs/99 YrsLanguages: ArabicM 11:00 AM - 7:00 PMTWF 9:00 AM - 5:00 PMTH 10:00 AM - 4:00 PMPCMH: No

Sam, Sima DDSProvider ID: TPVP135150-11Gender: FemaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Shah, Yashoni DDSProvider ID: TPVP155382-03Gender: FemaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Shivakumar, Preeti DDSProvider ID: TPVP135157-06Gender: FemaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Tang, Minghui DDSProvider ID: TPVP164014-25Gender: MaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Tarapore, Roxanne DDSProvider ID: TPVP163864-02Gender: FemaleCrusader Community Health6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Tarapore, Roxanne DDSProvider ID: TPVP163864-03Gender: FemaleCrusader Central ClinicAssociation1100 BroadwayRockford, IL 61104(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Tarapore, Roxanne DDSProvider ID: TPVP163864-04Gender: FemaleCrusader Central ClinicAssociation1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Tarapore, Roxanne DDSProvider ID: TPVP163864-05Gender: FemaleCrusader Community HealthAuburn Campus1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-184500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Todorova, Irena DMDProvider ID: TPVP166270-12Gender: FemaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Vanney, Emily DDSProvider ID: TPV019028977-47Gender: FemaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Walton, Elizabeth DDSProvider ID: TPV019026919-20Gender: FemaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

White, Mark DMDProvider ID: TPVP153986-15Gender: MaleAll Family Dental and Braces6585 E State StRockford, IL 61108(815) 553-253000 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No


Updated: 11/09/2018



Wolf, Harvey DDSProvider ID: TPVP63308-04Gender: MaleInternational Dental Center3502 E State StRockford, IL 61108(815) 227-1050Fax: (815) 227-105700 Yrs/99 YrsLanguages: ArabicM-F 9:30 AM - 6:00 PMSat 9:00 AM - 3:00 PMPCMH: No

Yasmeen, Naheed DDSProvider ID: TPVP138270-07Gender: FemaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Yusaf, Saima DDSProvider ID: TPVP144405-01Gender: FemaleIdeal Dental Care5876 E State StRockford, IL 61108(815) 901-1044Fax: (779) 210-456800 Yrs/99 YrsLanguages: ArabicM 11:00 AM - 7:00 PMTWF 9:00 AM - 5:00 PMTH 10:00 AM - 4:00 PMPCMH: No

Zhang, Taoran DDSProvider ID: TPVP157733-04Gender: MaleOrthodontic Experts LTD5051 E State StRockford, IL 61108(815) 918-4427Fax: (847) 739-757000 Yrs/99 YrsLanguages: RussianM-F 9:00 AM - 5:00 PMPCMH: No

General Surgery

Appavu, Samuel MDProvider ID: 1543111Gender: MaleSah Surgery1401 E State StRockford, IL 61104(779) 696-440000 Yrs/130 YrsSwedish American HospitalMTWTHFSatSun 6:00 AM -6:00 PMPCMH: No

Badruddoja, Mohammed MD

Provider ID: 1545416Gender: MaleMohammed Badruddoja MD7716 Creek BndRockford, IL 61114(815) 398-7264Fax: (815) 977-531518 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Bates, Maria MDProvider ID: 1543125Gender: FemaleUw Health General Surgery1340 Charles St Ste 100Rockford, IL 61104(779) 696-8700Fax: (779) 696-874500 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Batty, Paul MDProvider ID: 1543128Gender: MaleUw Health General Surgery1340 Charles St Ste 100Rockford, IL 61104(779) 696-8700Fax: (779) 696-874500 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Bowen, Sarah ApnProvider ID: 1543151Gender: FemaleUw Health General Surgery1340 Charles St Ste 100Rockford, IL 61104(779) 696-8700Fax: (779) 696-874500 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Cadet, Nissage MDProvider ID: 1488736Gender: MaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-4500Fax: (608) 363-737600 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Colejr, James DOProvider ID: 1543193Gender: MaleUw Health General Surgery1340 Charles St Ste 100Rockford, IL 61104(779) 696-8700Fax: (779) 696-874500 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Johnson, Mary ApnProvider ID: 1543375Gender: FemaleUw Health General Surgery1340 Charles St Ste 100Rockford, IL 61104(779) 696-8700Fax: (815) 967-552200 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Klovning, Jason MDProvider ID: 1543429Gender: MaleSA Valley Clinic6824 Newburg RdRockford, IL 61108(779) 696-7610Fax: (779) 696-859200 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Klovning, Jason MDProvider ID: 1543429Gender: MaleUw Health General Surgery1340 Charles St Ste 100Rockford, IL 61104(779) 696-8700Fax: (779) 696-874500 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Lange, Krystle DOProvider ID: 1543447Gender: FemaleUw Health General Surgery1340 Charles St Ste 100Rockford, IL 61104(779) 696-8700Fax: (779) 696-874500 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Mahatme, Arvind MDProvider ID: 1546165Gender: MaleRockford Health Physicians7180 Spring Brook RdRockford, IL 61114(815) 971-2299Fax: (815) 971-995900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018



McCarthy, Michael DOProvider ID: 1546162Gender: Male2350 N Rockton Ave Ste 510Rockford, IL 61103(815) 963-3426Fax: (815) 963-342800 Yrs/130 YrsPCMH: No

McCarthy, Michael DO


Mijal, Sara MDProvider ID: 1546164Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Pickering, Dacia MDProvider ID: 1543569Gender: FemaleUw Health General Surgery1340 Charles St Ste 100Rockford, IL 61104(779) 696-8700Fax: (779) 696-874500 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Schneider, David MDProvider ID: 1543659Gender: MaleUw Health General Surgery1340 Charles St Ste 100Rockford, IL 61104(779) 696-8700Fax: (779) 696-874500 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Wilke, Lee MDProvider ID: 1543764Gender: FemaleUw Health General Surgery1340 Charles St Ste 100Rockford, IL 61104(779) 696-8700Fax: (779) 696-874500 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Zappia, Anthony MDProvider ID: 1546167Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-991600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Zarnke, Mark MDProvider ID: 1546168Gender: Male2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/130 YrsPCMH: No

Zarnke, Mark MDProvider ID: 1546168Gender: MaleRockford Health Physicians2350 N Rockton Ave Bldg 2Rockford, IL 61103(815) 971-2000Fax: (815) 963-342800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Al-Niaimi, Ahmed MDProvider ID: 1543102Gender: MaleSA Obstetrics andGynecology209 9th St Ste 200Rockford, IL 61104(779) 696-2750Fax: (779) 696-419600 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Barroilhet, Lisa MDProvider ID: 1543123Gender: FemaleSA Obstetrics andGynecology209 9th St Ste 200Rockford, IL 61104(779) 696-2750Fax: (779) 696-419600 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Kushner, David MDProvider ID: 1543440Gender: MaleSA Obstetrics andGynecology209 9th St Ste 200Rockford, IL 61104(779) 696-2750Fax: (779) 696-419600 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Rose, Stephen MDProvider ID: 1543611Gender: MaleSA Obstetrics andGynecology209 9th St Ste 200Rockford, IL 61104(779) 696-2750Fax: (779) 696-419600 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Spencer, Ryan MDProvider ID: 1543708Gender: MaleSA Obstetrics andGynecology209 9th St Ste 200Rockford, IL 61104(779) 696-2750Fax: (779) 696-419600 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Wallace, Sumer MDProvider ID: 1543758Gender: FemaleSA Obstetrics andGynecology209 9th St Ste 200Rockford, IL 61104(779) 696-2750Fax: (779) 696-419600 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Gynecology

Hull, Lois ApnProvider ID: 1543357Gender: FemaleSA Obstetrics andGynecology209 9th St Ste 200Rockford, IL 61104(779) 696-2750Fax: (779) 696-419600 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Gynecology - cont.

Moore, David MDProvider ID: 1543506Gender: MaleSA Obstetrics andGynecology209 9th St Ste 200Rockford, IL 61104(779) 696-2750Fax: (779) 696-419600 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Hand Surgery

Fritz, Germaine DOProvider ID: 1546299Gender: FemaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-740000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Frye, Brandon DOProvider ID: 1546301Gender: MaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-740000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Edwards, William MDProvider ID: 1543236Gender: MaleSA Regional Cancer Center3535 N Bell School RdRockford, IL 61114(779) 696-9400Fax: (779) 696-933400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Einhorn, Harvey MDProvider ID: 1543238Gender: MaleSA Regional Cancer Center3535 N Bell School RdRockford, IL 61114(779) 696-9400Fax: (779) 696-933400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Karbasian-Esfahani, Merat MD

Provider ID: 1543399Gender: MaleSA Regional Cancer Center3535 N Bell School RdRockford, IL 61114(779) 696-9400Fax: (779) 696-933400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Khattak, Fauzia MDProvider ID: 1543410Gender: FemaleSA Regional Cancer Center3535 N Bell School RdRockford, IL 61114(779) 696-9400Fax: (779) 696-933400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Mardini, Nameer MDProvider ID: 1543478Gender: MaleSA Regional Cancer Center3535 N Bell School RdRockford, IL 61114(779) 696-9400Fax: (779) 696-933400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Schulz, William MDProvider ID: 1543666Gender: MaleSA Regional Cancer Center3535 N Bell School RdRockford, IL 61114(779) 696-9400Fax: (779) 696-933400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Shipp, Sharon MDProvider ID: 1543680Gender: FemaleSA Regional Cancer Center3535 N Bell School RdRockford, IL 61114(779) 696-9400Fax: (779) 696-933400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Hospice and PalliativeCare

Gentz, Catherine ApnProvider ID: 1543274Gender: FemaleSA Palliative Care1401 E State StRockford, IL 61104(779) 696-2460Fax: (815) 967-547000 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Henrey, Andrea ApnProvider ID: 1543330Gender: FemaleSA Palliative Care1401 E State StRockford, IL 61104(779) 696-2460Fax: (815) 967-547000 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Kalweit, Juliette MDProvider ID: 1543388Gender: FemaleSA Palliative Care1401 E State StRockford, IL 61104(779) 696-2460Fax: (815) 967-547000 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Kalweit, Juliette MDProvider ID: 1543388Gender: FemaleSA Regional Cancer Center3535 N Bell School RdRockford, IL 61114(779) 696-9400Fax: (779) 696-933400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Stevens, Tracy ApnProvider ID: 1543723Gender: FemaleSA Palliative Care1401 E State StRockford, IL 61104(779) 696-2460Fax: (815) 967-547000 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Infectious Disease

Homann, Scott MDProvider ID: 1500004Gender: MaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Infectious Disease - cont.

Homann, Scott MDProvider ID: 1543346Gender: Male1401 E State StRockford, IL 61104(815) 968-440000 Yrs/130 YrsSwedish American HospitalPCMH: No

Homann, Scott MDProvider ID: 1543346Gender: MaleSA Infectious DiseaseConsultants1340 Charles St Ste 404Rockford, IL 61104(779) 696-1890Fax: (779) 696-241000 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Tsaras, Geoffrey MDProvider ID: 1500042Gender: MaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Tsaras, Geoffrey MDProvider ID: 1543749Gender: MaleSA Infectious DiseaseConsultants1340 Charles St Ste 404Rockford, IL 61104(815) 229-2300Fax: (779) 696-241000 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Internal Medicine

Ahmed Khan, Mohammed MD

Provider ID: 1546219Gender: MaleRockford Health Physicians2400 N Rockton Ave Ste A3Rockford, IL 61103(815) 971-500000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Gold, Kenneth MDProvider ID: 1609181Gender: MaleIn Home Medical Group2222 E State St Ste 209Rockford, IL 61104(815) 988-8500Fax: (815) 977-595618 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Nabolotny, Michael MD

Provider ID: 1639022Gender: MaleIn Home Medical Group2222 E State St Ste 209Rockford, IL 61104(815) 988-850000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Cacares, Erbert MDProvider ID: 1545977Gender: MaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-2200Fax: (815) 971-909700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Hadid, Mazen MDProvider ID: 1543307Gender: MaleSwedishamerican HeartInstitute1340 Charles St Ste 300Rockford, IL 61104(779) 696-5888Fax: (779) 696-589800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Larson, Lisa ApnProvider ID: 1543452Gender: FemaleSwedishamerican HeartInstitute1340 Charles St Ste 300Rockford, IL 61104(815) 490-5888Fax: (779) 696-589800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Rasmussen, Kelly ApnProvider ID: 1543577Gender: FemaleSwedishamerican HeartInstitute1340 Charles St Ste 300Rockford, IL 61104(779) 696-5888Fax: (779) 696-589800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Sheikh, Rehmat MDProvider ID: 1543678Gender: MaleSwedishamerican HeartInstitute1340 Charles St Ste 300Rockford, IL 61104(779) 696-5888Fax: (779) 696-589800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Siraj, Yaser MDProvider ID: 1543693Gender: MaleSwedishamerican HeartInstitute1340 Charles St Ste 300Rockford, IL 61104(779) 696-5888Fax: (779) 696-589800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Taylor, Montoya MDProvider ID: 1546222Gender: MaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-220000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Webb, Kipp MDProvider ID: 1545985Gender: MaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-220000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Licensed ProfessionalCounselor

Reilly, EllenProvider ID: TPV100038-01Gender: FemaleAdapt of Illinois321 Arnold AveRockford, IL 61108(815) 397-410321 Yrs/99 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018



Cordoba Munoz, Marcos MD

Provider ID: 1546223Gender: MaleRockford Memorial Hospital2400 N Rockton AveRockford, IL 61103(815) 971-200000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Evans, Wayne MDProvider ID: 1543241Gender: MaleMaternal-Fetal Medicine1401 E State St Ste 5WRockford, IL 61104(779) 696-4970Fax: (815) 490-587200 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 4:30 PMPCMH: No

Kaufman, Howard DOProvider ID: 1543402Gender: MaleMaternal-Fetal Medicine1401 E State St Ste 5WRockford, IL 61104(779) 696-4970Fax: (815) 490-587200 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 4:30 PMPCMH: No

Kovilam, Oormila MDProvider ID: 1546226Gender: FemaleRockford Memorial Hospital2400 N Rockton AveRockford, IL 61103(815) 971-631000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Patel, Rupesh DOProvider ID: 1546227Gender: MaleRockford Memorial Hospital2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Platt, Julie MDProvider ID: 1546228Gender: FemaleRockford Memorial Hospital2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Robinson, Royland MD

Provider ID: 1546229Gender: MaleRockford Memorial Hospital2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Rogers, Dennie MDProvider ID: 1545701Gender: FemaleRockford Health PhysiciansBuildin2300 N Rockton AveRockford, IL 61103(815) 971-651000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Rogers, Dennie MDProvider ID: 1546230Gender: FemaleRockford Memorial Hospital2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Taylor, Funminiyi MDProvider ID: 1546231Gender: FemaleRockford Health Physicians2400 N Rockton AveRockford, IL 61103(815) 971-631000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Yang, Lee DOProvider ID: 1545869Gender: MaleRockford Health PhysiciansRMH Mat2400 N Rockton AveRockford, IL 61103(815) 971-631000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Yang, Lee DOProvider ID: 1546232Gender: MaleRockford Memorial Hospital2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Medical Genetics

Hoganson, George MDProvider ID: 1546157Gender: MaleRockford Health Physicians2400 N Rockton AveRockford, IL 61103(815) 971-200000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Medical Oncology

Begum, Hosne MDProvider ID: 1546235Gender: FemaleRockford Memorial Hospital2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Decosta, Anna Maria MD

Provider ID: 1546236Gender: FemaleRockford Health Physicians2400 N Rockton AveRockford, IL 61103(815) 971-618800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Khan, Ajaz MDProvider ID: 1546237Gender: MaleRockford Memorial Hospital2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

McFarland, Thomas MD



Updated: 11/09/2018


Medical Oncology - cont.

Shareef, Naushin MDProvider ID: 1546239Gender: FemaleRockford Health Physicians2400 N Rockton AveRockford, IL 61103(815) 971-618800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Nephrology

Ahmad, Mashood MDProvider ID: 1488510Gender: Male612 Roxbury RdRockford, IL 61107(815) 227-8300Fax: (815) 227-830100 Yrs/130 YrsPCMH: No

Aziz, Fahad MDProvider ID: 1630778Gender: MaleRockford NephrologyAssociates LLC612 Roxbury RdRockford, IL 61107(608) 263-953100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Mahmood, Talal MD

Provider ID: 417989Gender: MaleKidney Care Center RockfordLLC6940 Villagreen VwRockford, IL 61107(779) 774-9272Fax: (779) 774-927316 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Manda, Krishna MD

Provider ID: 1414060Gender: MaleKidney Care Center RockfordLLC6940 Villagreen VwRockford, IL 61107(779) 774-9272Fax: (779) 774-927316 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Mohamed, Maha MDProvider ID: 1631016Gender: FemaleRockford NephrologyAssociates LLC612 Roxbury RdRockford, IL 61107(608) 263-953100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Niemiec, Joanna MDProvider ID: 1488819Gender: Male612 Roxbury RdRockford, IL 61107(815) 227-8300Fax: (815) 227-830100 Yrs/130 YrsPCMH: No

Robertson, Michael MDProvider ID: 1488549Gender: Male612 Roxbury RdRockford, IL 61107(815) 227-8300Fax: (815) 227-830100 Yrs/130 YrsPCMH: No

Neurology

Bhattacharyya, Debasish MD

Provider ID: 1488634Gender: MaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-4500Fax: (815) 525-450500 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Dasilva, Leonard MDProvider ID: 1546251Gender: MaleRockford Health Physicians2400 N Rockton AveRockford, IL 61103(815) 971-650000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Iqbal, Javaid MDProvider ID: 1488844Gender: MaleBeloit Health SystemNorthpointe5605 E Rockton Rd Fl 2Roscoe, IL 61073(815) 525-4500Fax: (815) 525-450500 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Khan, Mohsin MDProvider ID: 1546252Gender: Male3401 N Perryville Rd Ste 303Rockford, IL 61114(815) 971-7600Fax: (815) 971-990100 Yrs/130 YrsPCMH: No

Khan, Mohsin MDProvider ID: 1546252Gender: MaleRockford Health Physicians2350 N Rockton Ave Ste 502Rockford, IL 61103(815) 971-7600Fax: (815) 971-990100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

McBurney, John MDProvider ID: 1546253Gender: MaleRockford Health Physicians2400 N Rockton AveRockford, IL 61103(815) 971-650000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Omar, Ayman MDProvider ID: 1546254Gender: MaleRockford Health Physicians2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Orozco, Daniel MDProvider ID: 1545853Gender: MaleRockford Health PhysiciansBrain A2350 N Rockton AveMachesney Park, IL 61103(815) 971-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Orozco, Daniel MDProvider ID: 1546255Gender: MaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Neurology - cont.

Raja, Faisal MDProvider ID: 1546256Gender: MaleRockford Health Physicians2350 N Rockton Ave Ste 502Rockford, IL 61103(815) 971-7600Fax: (815) 971-990100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Sajed, Mohammad MD

Provider ID: 1543642Gender: MaleNeurosurgery/HeadacheMedicine1340 Charles St Ste 400Rockford, IL 61104(779) 696-9512Fax: (779) 696-548800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Wallery, Shawn MDProvider ID: 1545861Gender: MaleRockford Health PhysiciansBuildin2350 N Rockton Ave Ste 502Rockford, IL 61103(815) 971-7600Fax: (815) 971-990100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Wallery, Shawn MDProvider ID: 1546260Gender: MaleRockford Health Physicians2350 N Rockton Ave Ste 502Rockford, IL 61103(815) 971-7600Fax: (815) 971-990100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Neurosurgery

Asner, Nesher MDProvider ID: 1543116Gender: MaleNeurosurgery/HeadacheMedicine1340 Charles St Ste 400Rockford, IL 61104(815) 489-9512Fax: (779) 696-548800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Cook, Erica ApnProvider ID: 1543196Gender: FemaleNeurosurgery/HeadacheMedicine1340 Charles St Ste 400Rockford, IL 61104(779) 696-9512Fax: (779) 696-548800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Farhat, Hamad MDProvider ID: 1546249Gender: MaleRockford Health Physcians2350 N Rockton AveRockford, IL 61103(815) 971-200000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Ghaly, Ramsis MDProvider ID: 1546250Gender: MaleRockford Health Physcians2350 N Rockton AveRockford, IL 61103(815) 971-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Gryfinski, Martin MDProvider ID: 1543292Gender: MaleNeurosurgery/HeadacheMedicine1340 Charles St Ste 400Rockford, IL 61104(815) 489-9512Fax: (779) 696-548800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Royce, Jeffrey MDProvider ID: 1543618Gender: MaleNeurosurgery/HeadacheMedicine1340 Charles St Ste 400Rockford, IL 61104(815) 489-9512Fax: (779) 696-548800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Sonti, Gayatri DOProvider ID: 1543699Gender: FemaleNeurosurgery/HeadacheMedicine1340 Charles St Ste 400Rockford, IL 61104(779) 696-9512Fax: (779) 696-548800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No


Albert, Russell MDProvider ID: 1488816Gender: MaleBeloit Health SystemNorthpointe5605 E Rockton Rd Fl 2Roscoe, IL 61073(815) 525-4500Fax: (815) 525-450500 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Ali, Kaneez MDProvider ID: 1543095Gender: FemaleSA Rock Valley6861 Villagreen ViewRockford, IL 61107(779) 696-1815Fax: (815) 637-199800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 4:30 PMPCMH: No

Bhattacharya, SumoulindraMD

Provider ID: 1546261Gender: Male2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-982300 Yrs/130 YrsPCMH: No


Provider ID: 1546261Gender: Male2780 McFarland RdRockford, IL 61107(815) 971-3340Fax: (815) 971-994100 Yrs/130 YrsPCMH: No


Provider ID: 1546261Gender: MaleRockford Health Physicians3401 N Perryville Rd Ste 100Rockford, IL 61114(815) 971-2790Fax: (815) 971-747600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018



Brandis, Olesya MDProvider ID: 1543153Gender: FemaleSA Obstetrics andGynecology209 9th St Ste 200Rockford, IL 61104(779) 696-2750Fax: (779) 696-419600 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Brandis, Olesya MDProvider ID: 1543153Gender: FemaleSA Rock Valley6861 Villagreen ViewRockford, IL 61107(779) 696-1815Fax: (815) 637-199800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 4:30 PMPCMH: No

Brawley, Meredith DOProvider ID: 1543156Gender: FemaleSA Rock Valley6861 Villagreen ViewRockford, IL 61107(779) 696-1815Fax: (815) 637-199800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 4:30 PMPCMH: No

Cunningham, William MD

Provider ID: 1543207Gender: MaleSA State Street OB/GYN1415 E State St 8th FlRockford, IL 61104(779) 696-9120Fax: (779) 696-959300 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Durkee, Timothy MDProvider ID: 1543232Gender: MaleSA Rock Valley6861 Villagreen ViewRockford, IL 61107(779) 696-1815Fax: (815) 637-199800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 4:30 PMPCMH: No

Edwards, Vernee MDProvider ID: 1499990Gender: FemaleCrusaders Central ClinicAssociatio1100 BroadwayRockford, IL 61104(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Edwards, Vernee MDProvider ID: 1499990Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Edwards, Vernee MDProvider ID: 1499990Gender: FemaleCrusaders Central ClinicAssociatio1215 N Alpine RdRockford, IL 61107(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Edwards, Vernee MDProvider ID: 1499990Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Elliott-Zippe, Cynthia Apn

Provider ID: 1543240Gender: FemaleSA Obstetrics andGynecology209 9th St Ste 200Rockford, IL 61104(779) 696-2750Fax: (779) 696-419600 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Frisella, Brittany ApnProvider ID: 505906Gender: FemaleCornerstone Clinic LTD9721 N Alpine RdMachesney Park, IL 61115(815) 484-6300Fax: (815) 395-202100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Gates, Candace MDProvider ID: 1543268Gender: FemaleSA Obstetrics andGynecology209 9th St Ste 200Rockford, IL 61104(779) 696-2750Fax: (779) 696-419600 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Granzeier, Gregory DO

Provider ID: 1546262Gender: MaleRockford Health Physicians5000 Prairie Rose DrRoscoe, IL 61073(815) 971-2000Fax: (815) 971-903200 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Harb, Tarek MDProvider ID: 1543320Gender: MaleSA Obstetrics andGynecology209 9th St Ste 200Rockford, IL 61104(779) 696-2750Fax: (779) 696-419600 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Harb, Tarek MDProvider ID: 1543320Gender: MaleSA Stateline Clinic4282 E Rockton RdRoscoe, IL 61073(779) 696-9000Fax: (779) 696-419600 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Hasken, Laurie ApnProvider ID: 1543328Gender: FemaleSA Obstetrics andGynecology209 9th St Ste 200Rockford, IL 61104(779) 696-2750Fax: (779) 696-419600 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018



Higgins, Phillip MDProvider ID: 1546263Gender: Male2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/130 YrsPCMH: No

Higgins, Phillip MDProvider ID: 1546263Gender: Male2780 McFarland RdRockford, IL 61107(815) 971-3340Fax: (815) 971-994100 Yrs/130 YrsPCMH: No

Higgins, Phillip MDProvider ID: 1546263Gender: MaleRockford Health Physicians3401 N Perryville Rd Ste 100Rockford, IL 61114(815) 971-2790Fax: (815) 971-747600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Holbrook, Jodi MD

Provider ID: 1531071Gender: FemaleCornerstone Clinic LTD9721 N Alpine RdMachesney Park, IL 61115(815) 484-6300Fax: (815) 395-202100 Yrs/130 YrsMercy Health HospitalRockton AveM-F 8:00 AM - 5:00 PMPCMH: No

Johnson, Alan MDProvider ID: 1546270Gender: MaleRockford Memorial Hospital2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Jurgens, Lester MDProvider ID: 1546269Gender: MaleRockford Memorial Hospital2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Loftus, Kerilynn MDProvider ID: 1488768Gender: FemaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-450000 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Macauley, Nicole MDProvider ID: 1546265Gender: FemaleRockford Health Physicians3401 N Perryville RdRockford, IL 61114(815) 971-200000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Mahdavi, Ali MDProvider ID: 1546268Gender: MaleRockford Health Physicians7180 Spring Brook RdRockford, IL 61114(815) 971-2299Fax: (815) 971-959900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Manas, Arturo MDProvider ID: 1543475Gender: MaleSA State Street OB/GYN1415 E State St 8th FlRockford, IL 61104(779) 696-9120Fax: (779) 696-959300 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Nanabawa, Zakera MDProvider ID: 1499993Gender: FemaleCrusaders Central ClinicAssociatio1100 BroadwayRockford, IL 61104(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Nanabawa, Zakera MDProvider ID: 1499993Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Nanabawa, Zakera MDProvider ID: 1499993Gender: FemaleCrusaders Central ClinicAssociatio1215 N Alpine RdRockford, IL 61107(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Nanabawa, Zakera MDProvider ID: 1499993Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Palmore, Renatta ApnProvider ID: 1543558Gender: FemaleSA Rock Valley6861 Villagreen ViewRockford, IL 61107(779) 696-1815Fax: (815) 637-199800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 4:30 PMPCMH: No

Pena, Brittany ApnProvider ID: 1543562Gender: FemaleSA State Street OB/GYN1415 E State St 8th FlRockford, IL 61104(779) 696-9120Fax: (779) 696-959300 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Ryan, Alta ApnProvider ID: 1543634Gender: FemaleSA Obstetrics andGynecology209 9th St Ste 200Rockford, IL 61104(779) 696-2750Fax: (779) 696-419600 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018



Saengmany, Jacquelyn Apn

Provider ID: 1543637Gender: FemaleSA State Street OB/GYN1415 E State St 8th FlRockford, IL 61104(779) 696-9120Fax: (779) 696-959300 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Schleicher, David MDProvider ID: 1543654Gender: MaleSA Obstetrics andGynecology209 9th St Ste 200Rockford, IL 61104(779) 696-2750Fax: (779) 696-419600 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Sesslar, Lee MDProvider ID: 1543675Gender: MaleSA Rock Valley6861 Villagreen ViewRockford, IL 61107(779) 696-1815Fax: (815) 637-199800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 4:30 PMPCMH: No

Tan, Glenn MDProvider ID: 1488797Gender: MaleBeloit Health SystemNorthpointe5605 E Rockton Rd Fl 2Roscoe, IL 61073(815) 525-4500Fax: (815) 525-450500 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Taylor, Bryan MDProvider ID: 1546266Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-200000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Trapp, John MDProvider ID: 1543744Gender: MaleSA Obstetrics andGynecology209 9th St Ste 200Rockford, IL 61104(779) 696-2750Fax: (779) 696-419600 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Vircks, Julie DOProvider ID: 1488810Gender: FemaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-4500Fax: (815) 525-450500 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Wang, Jeannie MDProvider ID: 1546267Gender: FemaleRockford Health Physicians5970 Churchview DrRockford, IL 61107(815) 971-2000Fax: (815) 971-997800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Weberg, Jill ApnProvider ID: 1543760Gender: FemaleSA State Street OB/GYN1415 E State St 8th FlRockford, IL 61104(779) 696-9120Fax: (779) 696-959300 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Yarr Zandri, Jessica MDProvider ID: 1500055Gender: FemaleCrusaders Central ClinicAssociatio1100 BroadwayRockford, IL 61104(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Yarr Zandri, Jessica MDProvider ID: 1500055Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Yarr Zandri, Jessica MDProvider ID: 1500055Gender: FemaleCrusaders Central ClinicAssociatio1215 N Alpine RdRockford, IL 61107(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Yarr Zandri, Jessica MDProvider ID: 1500055Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Marshall, Robert MDProvider ID: 1546233Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Zenebe, Wondwossen MD


Ophthalmology

Boone, Diane MDProvider ID: 1546272Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-943300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Ophthalmology - cont.

Burkat, Cathy MDProvider ID: 1631222Gender: FemaleUw Health Eye ClinicRockford7019 Rote Rd Ste 101Rockford, IL 61107(815) 399-1141Fax: (815) 397-781600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Chang, Jonathan MDProvider ID: 1631360Gender: MaleUw Health Eye ClinicRockford7019 Rote Rd Ste 101Rockford, IL 61107(815) 399-1141Fax: (815) 397-781600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Gottlieb, Justin MDProvider ID: 1633814Gender: MaleUw Health Eye ClinicRockford7019 Rote Rd Ste 101Rockford, IL 61107(815) 399-1141Fax: (815) 397-781600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Kapur, Rashmi MDProvider ID: 1074254Gender: FemaleRetina Consultants LTD2929 McFarland RdRockford, IL 61107(847) 299-0700Fax: (847) 390-061600 Yrs/130 YrsM 1:00 AM - 4:30 PMT 9:00 AM - 12:30 PMWTH 1:00 AM - 5:00 PMPCMH: No

Lucarelli, Mark MDProvider ID: 1636493Gender: MaleUw Health Eye ClinicRockford7019 Rote Rd Ste 101Rockford, IL 61107(815) 399-114100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Luellwitz, David DOProvider ID: 1546276Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-943300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Mathew, Benjamin MDProvider ID: 1546290Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-992200 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Mititelu, Mihai MDProvider ID: 1631005Gender: MaleUw Health Eye ClinicRockford7019 Rote Rd Ste 101Rockford, IL 61107(815) 399-1141Fax: (815) 397-781600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Rahman, Azizur MDProvider ID: 1562203Gender: MaleGlaucoma Associates ofIllinois LLC695 N Perryville RdRockford, IL 61107(630) 242-6500Fax: (815) 399-554321 Yrs/130 YrsLanguages: Hindi, UrduM-TH 8:00 AM - 5:00 PMF 8:00 AM - 3:00 PMPCMH: No

Townshend, Alice MDProvider ID: 1488702Gender: FemaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-450000 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Optician

Eyemart Express LLCProvider ID: TPV1447658364-0575 S Perryville Rd Ste 119Rockford, IL 61108(815) 209-9369Fax: (225) 927-828901 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 5:00 PMPCMH: No

Optometry

Alexander, Cathy ODProvider ID: 1546273Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-258500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Alexander, John ODProvider ID: 1546274Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-258500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Cleland, Erika ODProvider ID: TPV1740577956-0Gender: FemalePrimary Eye Care Centers PC1603 N Alpine Rd Ste 121Rockford, IL 61107(815) 397-5959Fax: (815) 261-597101 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 8:00 AM - 1:00 PMPCMH: No

Cleland, Erika ODProvider ID: TPV1740577956-0Gender: FemalePrimary Eye Care Centers PC1200 W. State StRockford, IL 61102(815) 209-9642Fax: (815) 261-597101 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 8:00 AM - 1:00 PMPCMH: No

Hillmann, William ODProvider ID: TPV1629039789-0Gender: MalePrimary Eye Care Centers PC1603 N Alpine Rd Ste 121Rockford, IL 61107(815) 397-5959Fax: (815) 261-597101 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 8:00 AM - 1:00 PMPCMH: No


Updated: 11/09/2018


Optometry - cont.

Hillmann, William ODProvider ID: TPV1629039789-0Gender: MalePrimary Eye Care Centers PC1200 W. State StRockford, IL 61102(815) 209-9642Fax: (815) 261-597101 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 8:00 AM - 1:00 PMPCMH: No

Koteles, Gary ODProvider ID: 1546275Gender: MaleRockford Health Physicians3401 N Perryville RdRockford, IL 61114(815) 971-2000Fax: (815) 971-944700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Lerdvoratavee, Vasana OD

Provider ID: TPV1356332423-0Gender: FemalePrimary Eye Care Centers PC1603 N Alpine Rd Ste 121Rockford, IL 61107(815) 397-5959Fax: (815) 261-597101 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 8:00 AM - 1:00 PMPCMH: No

Lerdvoratavee, Vasana OD

Provider ID: TPV1356332423-0Gender: FemalePrimary Eye Care Centers PC1200 W. State StRockford, IL 61102(815) 209-9642Fax: (815) 261-597101 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 8:00 AM - 1:00 PMPCMH: No

Pawlak, William ODProvider ID: TPV1518936715-0Gender: MaleWilliam Pawlak PC7219 Walton StRockford, IL 61108(815) 394-1643Fax: (815) 394-167201 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat 9:00 AM - 5:00 PMSun 12:00 AM - 5:00 PMPCMH: No

Rutkowski, Irina ODProvider ID: TPV1568839231-0Gender: FemalePrimary Eye Care Centers PC1603 N Alpine Rd Ste 121Rockford, IL 61107(815) 397-5959Fax: (815) 261-597101 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 8:00 AM - 1:00 PMPCMH: No

Rutkowski, Irina ODProvider ID: TPV1568839231-0Gender: FemalePrimary Eye Care Centers PC1200 W. State StRockford, IL 61102(815) 209-9642Fax: (815) 261-597101 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 8:00 AM - 1:00 PMPCMH: No

Weingart, Ronald ODProvider ID: TPV1639169998-0Gender: MalePrimary Eye Care Centers PC1603 N Alpine Rd Ste 121Rockford, IL 61107(815) 397-5959Fax: (815) 261-597101 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 8:00 AM - 1:00 PMPCMH: No

Weingart, Ronald ODProvider ID: TPV1639169998-0Gender: MalePrimary Eye Care Centers PC1200 W. State StRockford, IL 61102(815) 209-9642Fax: (815) 261-597101 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 8:00 AM - 1:00 PMPCMH: No

Wight, Donald ODProvider ID: TPV1043260144-0Gender: MaleLucem LLC6256 E Riverside BlvdLoves Park, IL 61111(815) 708-7083Fax: (815) 904-629404 Yrs/99 YrsMT 8:00 AM - 6:00 PMWF 8:00 AM - 5:00 PMTH 8:00 AM - 3:00 PMSat-Sun 8:00 AM - 1:00 PMPCMH: No


Valladares, Alejandro DDS

Provider ID: TPVP148498-04Gender: MaleAll Family Dental and Braces6585 E State StRockford, IL 61108(815) 553-253000 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Orthodontics

Agarwal, Manika DMDProvider ID: TPVP170293-04Gender: MaleOrthodontic Experts LTD5051 E State StRockford, IL 61108(815) 918-4427Fax: (847) 739-757000 Yrs/99 YrsLanguages: RussianM-F 9:00 AM - 5:00 PMPCMH: No

Arboleda-Lopez, Cleidy DDS


Aylward, Gerard DDSProvider ID: TPVP129538-03Gender: MaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Benjamin, Dale DMDProvider ID: TPVP137975-18Gender: MaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No


Updated: 11/09/2018


Orthodontics - cont.

Hosomura, Naoshi DDS

Provider ID: TPVP141053-21Gender: MaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Jazaierly, Aeiman DDSProvider ID: TPVP135193-22Gender: FemaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Kristofor, Colleen DDSProvider ID: TPVP63819-05Gender: FemaleOrthodontic Experts LTD5051 E State StRockford, IL 61108(815) 918-4427Fax: (847) 739-757000 Yrs/99 YrsLanguages: RussianM-F 9:00 AM - 5:00 PMPCMH: No

Riccio, Nick DMDProvider ID: TPVP165792-14Gender: MaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Sydorak, Inna DDSProvider ID: TPVP166122-04Gender: FemaleOrthodontic Experts LTD5051 E State StRockford, IL 61108(815) 918-4427Fax: (847) 739-757000 Yrs/99 YrsLanguages: RussianM-F 9:00 AM - 5:00 PMPCMH: No

Torres-Gorena, Ariadna DDS


Vij, Kapil DDSProvider ID: TPVP66290-08Gender: MaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Whitesman, Louis DDSProvider ID: TPVP67539-23Gender: MaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Yang, Mona DDSProvider ID: TPVP148140-19Gender: FemaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Yang, Mona DDSProvider ID: TPVP148140-25Gender: FemaleAll Family Dental and Braces6585 E State StRockford, IL 61108(815) 553-253000 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Yarmolyuk, Yaroslav DDS

Provider ID: TPVP102408-22Gender: MaleOrthodontic Experts LTD5051 E State StRockford, IL 61108(815) 918-4427Fax: (847) 739-757000 Yrs/99 YrsLanguages: RussianM-F 9:00 AM - 5:00 PMPCMH: No

Orthopaedic Surgery

Anton, Oscar MDProvider ID: 1543108Gender: Male1401 E State StRockford, IL 61104(815) 968-440000 Yrs/130 YrsSwedish American HospitalPCMH: No

Anton, Oscar MDProvider ID: 1543108Gender: MaleLundholm Orthopedics1340 Charles St Ste 100Rockford, IL 61104(779) 696-1900Fax: (779) 696-889400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Chandler, Steven DOProvider ID: 1546492Gender: MaleRockford Memorial Hospital2300 N Rockton AveRockford, IL 61103(815) 971-200000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Dannenmaier, William MD

Provider ID: 1543221Gender: MaleLundholm Orthopedics1340 Charles St Ste 100Rockford, IL 61104(779) 696-1900Fax: (779) 696-889400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Decoons, Ryan MDProvider ID: 1546295Gender: MaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-740000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018



Earhart, Jeffrey MDProvider ID: 1543234Gender: Male324 Roxbury RdRockford, IL 61107(815) 398-9491Fax: (815) 381-733300 Yrs/130 YrsSwedish American HospitalPCMH: No

Earhart, Jeffrey MDProvider ID: 1543234Gender: MaleSah Surgery Ed1401 E State StRockford, IL 61104(779) 696-440000 Yrs/130 YrsSwedish American HospitalMTWTHFSatSun 6:00 AM -6:00 PMPCMH: No

Ferry, Scott MDProvider ID: 1543246Gender: Male324 Roxbury RdRockford, IL 61107(815) 398-9491Fax: (815) 381-749800 Yrs/130 YrsSwedish American HospitalPCMH: No

Ferry, Scott MDProvider ID: 1543246Gender: MaleSah Surgery Ed1401 E State StRockford, IL 61104(779) 696-440000 Yrs/130 YrsSwedish American HospitalMTWTHFSatSun 6:00 AM -6:00 PMPCMH: No

Focios, Dean MDProvider ID: 1546297Gender: MaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-7400Fax: (815) 971-946000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Frantz, Jamie MDProvider ID: 1488754Gender: MaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-4500Fax: (815) 525-450500 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Gower, Joseph MDProvider ID: 1546304Gender: MaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-740000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Henderson, Chance MD


Johnson, Leighton MDProvider ID: 1488817Gender: MaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-4500Fax: (815) 525-455100 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Konstantakos, Emmanuel MD

Provider ID: 1546323Gender: MaleRockford Health Physicians2350 N Rockton Ave Fl 1Rockford, IL 61103(815) 971-7400Fax: (815) 971-946000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Krpan, Marko DOProvider ID: 1546316Gender: MaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-7400Fax: (815) 971-946000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Legel, Mathew DOProvider ID: 1543455Gender: MaleLundholm Orthopedics1340 Charles St Ste 100Rockford, IL 61104(779) 696-1900Fax: (779) 696-889400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Leu, David MDProvider ID: 1546385Gender: MaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-200000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Lewellyn, Brett MDProvider ID: 1546318Gender: MaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-740000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Milos, Steven MDProvider ID: 1543497Gender: MaleLundholm Orthopedics1340 Charles St Ste 100Rockford, IL 61104(779) 696-1900Fax: (779) 696-889400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Nyquist, Scott MDProvider ID: 1543536Gender: MaleLundholm Orthopedics1340 Charles St Ste 100Rockford, IL 61104(779) 696-1900Fax: (779) 696-889400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018



Sellman, Daniel MDProvider ID: 1488740Gender: MaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-4500Fax: (815) 525-450500 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Starr, Adam MDProvider ID: 1546319Gender: MaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-740000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Zlowodski, Michael MD

Provider ID: 1546387Gender: MaleRockford Health Physicians2350 N Rockton Ave Ste 210Rockford, IL 61103(815) 971-5000Fax: (815) 971-946000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Pain Management

Gorelik, Maxim MDProvider ID: 1546395Gender: MaleRockford Health Physicians2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Oteng Bediako, Evelyn MD

Provider ID: 1546397Gender: FemaleRockford Health Physicians2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Singh, Ishmeet MDProvider ID: 1546400Gender: MaleRockford Health Physicians2400 N Rockton AveRockford, IL 61103(815) 971-643100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Pediatric Cardiology

Foran, Ronald MDProvider ID: 1546535Gender: MaleRockford Health Physicians5727 Strathmoor Dr Ste 1Rockford, IL 61107(815) 971-3160Fax: (815) 398-162900 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Greco, Margaret MDProvider ID: 1543288Gender: FemaleSwedishamerican HeartInstitute1340 Charles St Ste 300Rockford, IL 61104(779) 696-2411Fax: (779) 696-800000 Yrs/18 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Hambrook, John MDProvider ID: 1543316Gender: MaleSwedishamerican HeartInstitute1340 Charles St Ste 300Rockford, IL 61104(779) 696-5888Fax: (779) 696-589800 Yrs/18 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Hokanson, John MDProvider ID: 1543343Gender: MaleSwedishamerican HeartInstitute1340 Charles St Ste 300Rockford, IL 61104(779) 696-5888Fax: (779) 696-589800 Yrs/18 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Hoyme, Derek MDProvider ID: 1543351Gender: MaleSwedishamerican HeartInstitute1340 Charles St Ste 300Rockford, IL 61104(779) 696-5888Fax: (779) 696-589800 Yrs/18 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Kazmouz, Suhaib MDProvider ID: 1546014Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-943300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Lamers, Luke MDProvider ID: 1543443Gender: MaleSwedishamerican HeartInstitute1340 Charles St Ste 300Rockford, IL 61104(779) 696-5888Fax: (779) 696-589800 Yrs/18 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Maginot, Kathleen MDProvider ID: 1543472Gender: FemaleSwedishamerican HeartInstitute1340 Charles St Ste 300Rockford, IL 61104(779) 696-5888Fax: (779) 696-589800 Yrs/18 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Masood, Syed MDProvider ID: 1546012Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-991600 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Peterson, Amy MDProvider ID: 1543565Gender: FemaleSwedishamerican HeartInstitute1340 Charles St Ste 300Rockford, IL 61104(779) 696-5888Fax: (779) 696-589800 Yrs/18 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Pediatric Cardiology -cont.

Ralphe, John MDProvider ID: 1543576Gender: MaleSwedishamerican HeartInstitute1340 Charles St Ste 300Rockford, IL 61104(779) 696-5888Fax: (779) 696-589800 Yrs/18 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Srinivasan, Shardha MD

Provider ID: 1543720Gender: FemaleSwedishamerican HeartInstitute1340 Charles St Ste 300Rockford, IL 61104(779) 696-5888Fax: (779) 696-589800 Yrs/18 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Vonbergen, Nicholas MD

Provider ID: 1543757Gender: MaleSwedishamerican HeartInstitute1340 Charles St Ste 300Rockford, IL 61104(779) 696-5888Fax: (779) 696-589800 Yrs/18 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Pediatric CardiovascularSurgery

Backer, Carl MDProvider ID: 1546008Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-200000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Pediatric Ear, Nose &Throat

Heatley, Diane MDProvider ID: 1637306Gender: FemaleSwedishamerican BrooksideSpecialty1253 N Alpine RdRockford, IL 61108(779) 696-9201Fax: (779) 696-787000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Van Beek King, Jessica MD

Provider ID: 1637326Gender: FemaleSwedishamerican BrooksideSpecialty1253 N Alpine RdRockford, IL 61108(779) 696-920100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Pediatric Endocrinology

Carrion, Francisco MDProvider ID: 1546402Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-943300 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

PediatricGastroenterology

Burress, Glendon MDProvider ID: 1546404Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-943300 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Deutsch, David MDProvider ID: 1546406Gender: Male2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/18 YrsPCMH: No

Deutsch, David MDProvider ID: 1546406Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-7667Fax: (815) 971-992900 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Nguyen, Kim Doan MD


Vortia, Eugene MDProvider ID: 1546410Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-943300 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Hoover Regan, Margo MD

Provider ID: 1637308Gender: FemaleSwedishamerican WoodsideClinic Pe3775 N Mulford RdRockford, IL 61114(779) 696-849900 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Pediatric OrthopedicSurgery

Pickvance, Elizabeth MDProvider ID: 1546382Gender: Female2300 N Rockton AveRockford, IL 61103(815) 971-5550Fax: (815) 971-682500 Yrs/130 YrsPCMH: No

Pickvance, Elizabeth MD



Updated: 11/09/2018


Pediatric Psychiatry

Clemons, Kristin MDProvider ID: 1546432Gender: FemaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-210000 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Pediatric Pulmonology

Balasubramaniam, Vivek MD

Provider ID: 1637293Gender: MaleSwedishamerican WoodsideClinic Pe3775 N Mulford RdRockford, IL 61114(779) 696-849900 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Shoberg, David MDProvider ID: 1546536Gender: MaleRockford Health Physicians7144 Kleckner DRRockford, IL 61107(815) 636-7111Fax: (815) 639-352600 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Co, Dominic MDProvider ID: 1637297Gender: MaleSwedishamerican WoodsideClinic Pe3775 N Mulford RdRockford, IL 61114(779) 696-849900 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Pediatric Surgery

Askew, Allyson MDProvider ID: 1546434Gender: FemaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-725500 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Garland, Catharine MD

Provider ID: 1637302Gender: FemaleSwedishamerican WoodsideClinic Pe3775 N Mulford RdRockford, IL 61114(779) 696-849900 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Kohler, Jonathan MDProvider ID: 1637309Gender: MaleSwedishamerican WoodsideClinic Pe3775 N Mulford RdRockford, IL 61114(779) 696-849900 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Leys, Charles MDProvider ID: 1637310Gender: MaleSwedishamerican WoodsideClinic Pe3775 N Mulford RdRockford, IL 61114(779) 696-849900 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Mount, Delora MDProvider ID: 1637316Gender: FemaleSwedishamerican WoodsideClinic Pe3775 N Mulford RdRockford, IL 61114(779) 696-849900 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Shahzad, Farooq MDProvider ID: 1546442Gender: MaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-725500 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Thayer, Kristine MDProvider ID: 1546437Gender: Female2350 N Rockton Ave Ste 210Rockford, IL 61103(815) 971-5000Fax: (815) 971-946000 Yrs/18 YrsPCMH: No

Thayer, Kristine MDProvider ID: 1546437Gender: FemaleRockford Health Physicians2400 N Rockton AveRockford, IL 61103(815) 971-200000 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Pediatric Urology

Cheng, Earl MDProvider ID: 1546538Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-200000 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

McKenna, Patrick MDProvider ID: 1637315Gender: MaleSwedishamerican WoodsideClinic Pe3775 N Mulford RdRockford, IL 61114(779) 696-849900 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Pedodontics

Davenport, Megan DDS


Goldman, Scott DDSProvider ID: TPVP66995-37Gender: MaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No

Rajesh, Mythili DDSProvider ID: TPVP135166-11Gender: FemaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No


Updated: 11/09/2018


Pedodontics - cont.

Rutherford, Leslee DDS


Siddiqui, Saleem DDSProvider ID: TPVP142028-06Gender: MaleWinnebago Braces555 N Ct St Ste 110Rockford, IL 61103(815) 733-2550Fax: (815) 733-230400 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMFSat 8:00 AM - 2:00 PMPCMH: No


Klein, Kenneth MDProvider ID: 1488831Gender: MaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(608) 364-5484Fax: (815) 525-440500 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Knight, Ricardo MDProvider ID: 1176043Gender: Male950 S Mulford RdRockford, IL 61108(815) 381-850018 Yrs/130 YrsPCMH: No

Knight, Ricardo MD

Provider ID: 1176043Gender: MaleIntegrative Rehabmedicine SC345 Executive Pkwy Ste M4Rockford, IL 61107(847) 305-1954Fax: (815) 229-943018 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Painter, Daniel MDProvider ID: 1543556Gender: MaleLundholm Orthopedics1340 Charles St Ste 100Rockford, IL 61104(779) 696-1900Fax: (779) 696-531000 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No


Burkat, Cathy MDProvider ID: 1631222Gender: FemaleUw Health Eye ClinicRockford7019 Rote Rd Ste 101Rockford, IL 61107(815) 399-1141Fax: (815) 397-781600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Frye, Aaron MDProvider ID: 1546541Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-943300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Hasan, Jafar MDProvider ID: 1546543Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-200000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Lucarelli, Mark MDProvider ID: 1636493Gender: MaleUw Health Eye ClinicRockford7019 Rote Rd Ste 101Rockford, IL 61107(815) 399-114100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Podiatry

Chase, Kari DPMProvider ID: 1546546Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-991600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Corcoran, Michael DPM

Provider ID: 1543199Gender: MaleSA Brookside Specialty Center1253 N Alpine RdRockford, IL 61107(779) 696-9201Fax: (779) 696-787000 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 9:00 AM - 12:00 PMPCMH: No

Hoffman, Heath DPMProvider ID: 1543340Gender: MaleSA Brookside Specialty Center1253 N Alpine RdRockford, IL 61107(779) 696-9201Fax: (779) 696-787000 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 9:00 AM - 12:00 PMPCMH: No

Holmbeck, Ryan DPMProvider ID: 1546550Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-991600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Nielsen, John DPMProvider ID: 1543529Gender: MaleSA Brookside Specialty Center1253 N Alpine RdRockford, IL 61107(779) 696-9201Fax: (779) 696-787000 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 9:00 AM - 12:00 PMPCMH: No

Norem, Nathan DPMProvider ID: 1546553Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-943300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Podiatry - cont.

Reinicke, Lisa DPMProvider ID: 1488697Gender: FemaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-4500Fax: (815) 525-450500 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Roshan, Syeda DPMProvider ID: 1543614Gender: FemaleSA Brookside Specialty Center1253 N Alpine RdRockford, IL 61107(779) 696-9201Fax: (779) 696-787000 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 9:00 AM - 12:00 PMPCMH: No

Roshan, Syeda DPMProvider ID: 1543614Gender: FemaleSA Stateline Clinic4282 E Rockton RdRoscoe, IL 61073(779) 696-9000Fax: (779) 696-817000 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Sage, Robert DPMProvider ID: 1488826Gender: MaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-450000 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Psychiatry

Baris, Alvydas MDProvider ID: 1649837Gender: MaleRosecrance Inc1601 University DrRockford, IL 61107(815) 391-100000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Baris, Alvydas MDProvider ID: 1649837Gender: MaleRosecrance Inc3815 Harrison AveRockford, IL 61108(815) 391-1000Fax: (815) 387-790600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Brightwell, Dennis MDProvider ID: 1610931Gender: MaleRosecrance Inc3815 Harrison AveRockford, IL 61108(815) 391-100000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Brightwell, Dennis MDProvider ID: 1610931Gender: MaleRosecrance Inc605 Mulberry StRockford, IL 61103(815) 720-496000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Corbin, Michael MDProvider ID: 1546557Gender: MaleRockford Health Physicians2400 N Rockton AveRockford, IL 61103(815) 971-200000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Craig, Carol MDProvider ID: 1610944Gender: FemaleRosecrance Griffin1601 University DrRockford, IL 61107(815) 391-100005 Yrs/17 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Craig, Carol MDProvider ID: 1610944Gender: FemaleRosecrance Griffin8616 Northern AveRockford, IL 61107(815) 332-8003Fax: (815) 332-609005 Yrs/17 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Fernald, Jorge MDProvider ID: 1610925Gender: MaleRosecrance Inc1601 University DrRockford, IL 61107(815) 391-100000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Gaonkar, Balamoorti MD


Garcia, Raymond PsyDProvider ID: 1610838Gender: MaleRosecrance Harrison Campus3815 Harrison AveRockford, IL 61108(815) 387-2466Fax: (815) 394-140100 Yrs/18 YrsMTWTHFSatSun 6:00 AM -6:00 PMPCMH: No

Givens, Reginald MDProvider ID: 1543279Gender: MaleSA Psychiatry1401 E State StRockford, IL 61104(815) 489-4123Fax: (815) 967-548100 Yrs/130 YrsSwedish American HospitalMTWTHFSatSun 6:00 AM -6:00 PMPCMH: No

Iqbal, Javaid MDProvider ID: 1488844Gender: MaleBeloit Health SystemNorthpointe5605 E Rockton Rd Fl 2Roscoe, IL 61073(815) 525-4500Fax: (815) 525-450500 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Irfan, Syed MDProvider ID: 1546562Gender: MaleRockford Health Physicians2819 Glenwood AveRockford, IL 61101(815) 971-4060Fax: (815) 971-906000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Psychiatry - cont.

Jaconette, Richard MDProvider ID: 1610845Gender: MaleRosecrance8616 Northern AveRockford, IL 61107(815) 332-8003Fax: (815) 332-609000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Jafry, Shahina MDProvider ID: 1610868Gender: FemaleRosecrance Ware Center2704 N Main StRockford, IL 61103(815) 968-9300Fax: (815) 520-505200 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Kuna, Michael MDProvider ID: 1654730Gender: MaleRosecrance Inc2704 N Main StRockford, IL 61103(815) 968-9300Fax: (815) 520-505218 Yrs/65 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Kuna, Michael MDProvider ID: 1654730Gender: MaleRosecrance Inc3815 Harrison AveRockford, IL 61108(815) 968-9300Fax: (815) 391-504018 Yrs/65 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Kuna, Michael MDProvider ID: 1654730Gender: MaleRosecrance Inc526 W State StRockford, IL 61101(815) 387-5600Fax: (815) 316-472618 Yrs/65 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Latif, Sheikh MDProvider ID: 1546565Gender: MaleRockford Health Physicians2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Mostad, Lorri ApnProvider ID: 1543514Gender: FemaleSA Psychiatry1401 E State StRockford, IL 61104(815) 489-4123Fax: (815) 967-548100 Yrs/130 YrsSwedish American HospitalMTWTHFSatSun 6:00 AM -6:00 PMPCMH: No

Rahman, Desiree MDProvider ID: 1610860Gender: FemaleRosecrance2704 N Main StRockford, IL 61103(815) 387-5600Fax: (815) 316-472600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Rahman, Desiree MDProvider ID: 1610860Gender: FemaleRosecrance Inc605 Mulberry StRockford, IL 61103(815) 720-4960Fax: (815) 312-577000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Shankar, Guru MDProvider ID: 1546566Gender: MaleRockford Memorial Hospital2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Silvi, Evan MDProvider ID: 1543684Gender: MaleSA Psychiatry1401 E State StRockford, IL 61104(815) 489-4123Fax: (815) 967-548100 Yrs/130 YrsSwedish American HospitalMTWTHFSatSun 6:00 AM -6:00 PMPCMH: No

Srivastava, UMA MDProvider ID: 1610928Gender: FemaleRosecrance Inc2704 N Main StRockford, IL 61103(815) 968-9300Fax: (815) 520-505200 Yrs/130 YrsSwedish American HospitalM-F 9:00 AM - 5:00 PMPCMH: No

Vaid, Khatija MDProvider ID: 1546570Gender: FemaleRockford Memorial Hospital2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Wright, Thomas MDProvider ID: 1639622Gender: MaleRosecrance3815 Harrison AveRockford, IL 61108(815) 391-100000 Yrs/21 YrsMTWTHFSatSun 8:00 AM -8:00 PMPCMH: No

Wright, Thomas MDProvider ID: 1639622Gender: MaleRosecrance526 W State StRockford, IL 61101(815) 391-100000 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Wright, Thomas MDProvider ID: 1639622Gender: MaleRosecrance Griffin Williamson1601 University DrRockford, IL 61107(815) 391-1000Fax: (815) 391-504000 Yrs/21 YrsMTWTHFSatSun 8:00 AM -8:00 PMPCMH: No


Updated: 11/09/2018


Psychology

Nackers, Lisa PHDProvider ID: 1637318Gender: FemaleSwedishamerican Five PointsClinic2404 Charles StRockford, IL 61108(608) 265-709000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Pulmonary Disease

Altayeh, Abdullah MDProvider ID: 1546573Gender: Male2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-943300 Yrs/130 YrsPCMH: No

Altayeh, Abdullah MDProvider ID: 1546573Gender: MaleRockford Health Physicians2350 N Rockton Ave Ste 310Rockford, IL 61103(815) 971-2060Fax: (815) 971-958100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Bopanna, Suraj MDProvider ID: 1543146Gender: MalePulmonology and SleepDisorders1401 E State StRockford, IL 61104(779) 696-6102Fax: (779) 696-602600 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Dealwis, Aulbrey ApnProvider ID: 1543223Gender: FemalePulmonology and SleepDisorders1401 E State StRockford, IL 61104(779) 696-6102Fax: (779) 696-602600 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Kelling, Cynthia ApnProvider ID: 1543407Gender: FemalePulmonology and SleepDisorders1401 E State StRockford, IL 61104(779) 696-6102Fax: (779) 696-602600 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Nafsi, Tabassum MDProvider ID: 1543522Gender: FemalePulmonology and SleepDisorders1401 E State StRockford, IL 61104(779) 696-6102Fax: (779) 696-602600 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Qassem, Zaher MDProvider ID: 1546579Gender: Male2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-943300 Yrs/130 YrsPCMH: No

Qassem, Zaher MDProvider ID: 1546579Gender: MaleRockford Health Physicians2350 N Rockton Ave Ste 310Rockford, IL 61103(815) 971-2060Fax: (815) 971-958100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Roy, Bharati MDProvider ID: 1546576Gender: Female2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-943300 Yrs/130 YrsPCMH: No

Roy, Bharati MDProvider ID: 1546576Gender: FemaleRockford Health Physicians2350 N Rockton Ave Ste 310Rockford, IL 61103(815) 971-2060Fax: (815) 971-958100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Thappa, Vivek MDProvider ID: 1543738Gender: MalePulmonology and SleepDisorders1401 E State StRockford, IL 61104(779) 696-6102Fax: (779) 696-602600 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Zeater, Mohamed MDProvider ID: 1543772Gender: MalePulmonology and SleepDisorders1401 E State StRockford, IL 61104(779) 696-6102Fax: (779) 696-602600 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Radiation Oncology

Au, Kin MDProvider ID: 1546583Gender: MaleRockford Health Physicians2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Durkee, Benjamin MDProvider ID: 1543229Gender: MaleSA Regional Cancer Center3535 N Bell School RdRockford, IL 61114(779) 696-9400Fax: (779) 696-933400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Hamidi, Maryam MDProvider ID: 1546587Gender: FemaleRockford Health Physicians2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Radiation Oncology -cont.

Pedapati, Prakash MDProvider ID: 1543560Gender: MaleSA Regional Cancer Center3535 N Bell School RdRockford, IL 61114(779) 696-9400Fax: (779) 696-933400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Speight, Joycelyn MDProvider ID: 1543706Gender: FemaleSA Regional Cancer Center3535 N Bell School RdRockford, IL 61114(779) 696-9400Fax: (779) 696-933400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Radiology - Interventional& Vascular

Shaheen, Fawad MDProvider ID: 1546259Gender: MaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-200000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Rheumatology

Dietz, Frederick MDProvider ID: 1546678Gender: MaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-943300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Fanopoulos, Dimitrios MD

Provider ID: 1488651Gender: MaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-4500Fax: (815) 525-455100 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Hovis, Robin MDProvider ID: 1546680Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-943300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Kozlowski, Stephen MD

Provider ID: 1546682Gender: MaleRockford Health Physicians2300 N Rockton Ave Bldg 1Rockford, IL 61103(815) 971-2007Fax: (815) 971-991300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Substance Abuse

Remedies Renewing Lives

Provider ID: 1547276220 Easton PkwyRockford, IL 61108(815) 966-1285Fax: (815) 962-789518 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 1:00 PMPCMH: No

Rosecrance Berry Campus

Provider ID: 16363958616 Northern AveRockford, IL 61107(815) 332-800300 Yrs/21 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Rosecrance Harrison Campus

Provider ID: 14715853815 Harrison AveRockford, IL 61108(815) 391-100018 Yrs/65 YrsPCMH: No

Rosecrance IncProvider ID: 1471195Rosecrance Harrison Campus3815 Harrison AveRockford, IL 61108(815) 391-100018 Yrs/65 YrsPCMH: No

Rosecrance IncProvider ID: 1611118Rosecrance Harrison Campus3815 Harrison AveRockford, IL 61108(815) 391-100018 Yrs/65 YrsM-TH 8:00 AM - 9:00 PMF 8:00 AM - 5:00 PMPCMH: No

Rosecrance IncProvider ID: 1611123Rosecrance Harrison Detox A13815 Harrison AveRockford, IL 61108(815) 391-100018 Yrs/65 YrsPCMH: No

Rosecrance IncProvider ID: 1611512Rosecrance Harrison Mens3815 Harrison AveRockford, IL 61108(815) 391-100018 Yrs/65 YrsPCMH: No

Rosecrance IncProvider ID: 1635073Rosecrance Ware Center2704 N Main StRockford, IL 61103(815) 968-930012 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Rosecrance IncProvider ID: 1636822Ric Center526 W State StRockford, IL 61101(815) 387-560018 Yrs/65 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Rosecrance IncProvider ID: 1636864Winnebago County JusticeCenter650 W State StRockford, IL 61102(815) 391-100018 Yrs/65 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Rosecrance MulberryProvider ID: 1471618605 Mulberry StRockford, IL 61103(815) 720-496018 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No


Provider ID: 1286037Tasc Inc401 W State StRockford, IL 61101(816) 965-1106Fax: (816) 964-578412 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Surgical Oncology

Winslow, Emily MDProvider ID: 1637330Gender: FemaleSwedishamerican RegionalCancer Center3535 N Bell School RdRockford, IL 61114(779) 696-9400Fax: (779) 696-933400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Behling, Rebecca ApnProvider ID: 1543133Gender: FemaleCardiovascular Surgery1340 Charles St Ste 300Rockford, IL 61104(815) 490-5888Fax: (779) 696-589800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Bonilla, Juan MDProvider ID: 1543142Gender: MaleSwedishamerican Hospital1401 E State StRockford, IL 61104(815) 315-6102Fax: (815) 315-602600 Yrs/130 YrsSwedish American HospitalMTWTHFSatSun 6:00 AM -6:00 PMPCMH: No

Boonswang, Narongsak MD


Braxton, John MDProvider ID: 1543162Gender: MaleCardiovascular Surgery1340 Charles St Ste 300Rockford, IL 61104(815) 490-5888Fax: (779) 696-589800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Chaudhry, Ahmad MDProvider ID: 1545998Gender: MaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-220000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Cziperle, David MDProvider ID: 1543209Gender: MaleSwedishamerican Hospital1401 E State StRockford, IL 61104(815) 315-6102Fax: (815) 315-602600 Yrs/130 YrsSwedish American HospitalMTWTHFSatSun 6:00 AM -6:00 PMPCMH: No

Gramm, James MDProvider ID: 1543284Gender: MaleSwedishamerican Hospital1401 E State StRockford, IL 61104(815) 315-6102Fax: (815) 315-602600 Yrs/130 YrsSwedish American HospitalMTWTHFSatSun 6:00 AM -6:00 PMPCMH: No

Kolla, Srinivas MDProvider ID: 1543433Gender: MaleCardiovascular Surgery1340 Charles St Ste 300Rockford, IL 61104(779) 696-8800Fax: (815) 315-604500 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Ramirez, Alfredo MDProvider ID: 1546001Gender: MaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-220000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Russell, John ApnProvider ID: 1543628Gender: MaleCardiovascular Surgery1340 Charles St Ste 300Rockford, IL 61104(815) 490-5888Fax: (779) 696-589800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Tuchek, James DOProvider ID: 1543751Gender: MaleSwedishamerican Hospital1401 E State StRockford, IL 61104(815) 315-6102Fax: (815) 315-602600 Yrs/130 YrsSwedish American HospitalMTWTHFSatSun 6:00 AM -6:00 PMPCMH: No

Wolnak, Kenneth DOProvider ID: 1546003Gender: MaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-220000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Yee, Edward MDProvider ID: 1546005Gender: MaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-220000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Urology

Ojeda, Larry MDProvider ID: 1488638Gender: MaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-450000 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Vascular Surgery

Boone, Kendall MDProvider ID: 1543144Gender: MaleRockford Vascular Surgery1340 Charles St Ste 200Rockford, IL 61104(779) 696-8799Fax: (779) 696-874800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No


Updated: 11/09/2018


Vascular Surgery - cont.

Cadet, Nissage MDProvider ID: 1488736Gender: MaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-4500Fax: (608) 363-737600 Yrs/130 YrsM-F 8:30 AM - 5:30 PMPCMH: No

Calabrese, Emilio MDProvider ID: 1546687Gender: MaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-220000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Choi, Lorraine MDProvider ID: 1546689Gender: FemaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-220000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Dimusto, Paul MDProvider ID: 1543227Gender: MaleRockford Vascular Surgery1340 Charles St Ste 200Rockford, IL 61104(779) 696-8799Fax: (779) 696-874800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Fuller, Michelle ApnProvider ID: 1543265Gender: FemaleSA Wound Care1415 E State St Ste 101Rockford, IL 61104(815) 489-4891Fax: (815) 967-531200 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Hall, Heather MDProvider ID: 1546692Gender: FemaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-2200Fax: (815) 971-909700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Kikta, Michael MDProvider ID: 1543415Gender: MaleRockford Vascular Surgery1340 Charles St Ste 200Rockford, IL 61104(779) 696-8799Fax: (779) 696-335200 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Matsumura, Jon MDProvider ID: 1543484Gender: MaleRockford Vascular Surgery1340 Charles St Ste 200Rockford, IL 61104(779) 696-8799Fax: (779) 696-874800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

McDonnell, Peter MDProvider ID: 1546694Gender: MaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-220000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Mehlbaum, Andrea Apn

Provider ID: 1543490Gender: FemaleRockford Vascular Surgery1340 Charles St Ste 200Rockford, IL 61104(779) 696-8799Fax: (779) 696-874800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Mijal, Sara MDProvider ID: 1543495Gender: FemaleRockford Vascular Surgery1340 Charles St Ste 200Rockford, IL 61104(779) 696-8799Fax: (779) 696-874800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Morgan, Courtney MDProvider ID: 1543511Gender: FemaleRockford Vascular Surgery1340 Charles St Ste 200Rockford, IL 61104(779) 696-8799Fax: (779) 696-874800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Myers, Stuart MDProvider ID: 1546696Gender: MaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-220000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Rogers, Catherine ApnProvider ID: 1543605Gender: FemaleSA Wound Care1415 E State St Ste 101Rockford, IL 61104(815) 489-4891Fax: (815) 967-531200 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Simmons, Jessica ApnProvider ID: 1543686Gender: FemaleSA Wound Care1415 E State St Ste 101Rockford, IL 61104(815) 489-4891Fax: (815) 967-531200 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Williams, Kathleen Apn

Provider ID: 1543766Gender: FemaleRockford Vascular Surgery1340 Charles St Ste 200Rockford, IL 61104(779) 696-8799Fax: (779) 696-874800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Specialty PhysiciansWoodford

Updated: 11/09/2018


Dermatology

Schupbach, Adrienne MD

Provider ID: 1157870Gender: FemaleAdvocate Eureka Hospital101 S Major StEureka, IL 61530(309) 481-3021Fax: (309) 452-337600 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Gastroenterology

Penn Jr, Donald MDProvider ID: 797891Gender: Male101 S Major StEureka, IL 61530(309) 467-237118 Yrs/130 YrsPCMH: No

Psychology

Dalfiume, Luke PHDProvider ID: 1524836Gender: MaleJohn R Day and AssociatesLTD407 E Center StPeoria, IL 61615(309) 692-7755Fax: (309) 692-226202 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Morrison, Jennifer PsyDProvider ID: 1542212Gender: FemaleJohn R Day and AssociatesLTD407 E Center StEureka, IL 61530(309) 692-7755Fax: (309) 692-226200 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

HospitalsBureau

Updated: 11/09/2018


Acute Care Hospital

St Margarets Hospital DBA StMargaret's

Provider ID: 211637St Margarets Hospital600 E First StSpring Valley, IL 61362(815) 664-531100 Yrs/130 Yrs

HospitalsFulton

Updated: 11/09/2018


Acute Care Hospital

Graham HospitalProvider ID: 421332210 W Walnut StCanton, IL 61520(309) 647-5240Fax: (309) 649-510100 Yrs/130 Yrs

HospitalsJo Daviess

Updated: 11/09/2018



Midwest Medical Center

Provider ID: 5577301 Medical Center DrGalena, IL 61036(815) 777-1340Fax: (815) 777-256000 Yrs/130 Yrs

HospitalsLA Salle

Updated: 11/09/2018


Acute Care Hospital

Ill Valley Community Hospital

Provider ID: 283228925 W. StPeru, IL 61354(815) 223-3300Fax: (815) 780-319800 Yrs/130 Yrs

HospitalsLee

Updated: 11/09/2018


Hospital

Katherine Shaw BetheaHospital

Provider ID: 286084403 E 1st StDixon, IL 61021(815) 288-5531Fax: (815) 285-585900 Yrs/130 Yrs

HospitalsOgle

Updated: 11/09/2018



Rochelle Community Hospital

Provider ID: 316706900 N 2nd StRochelle, IL 61068(815) 562-2181Fax: (815) 561-312000 Yrs/130 Yrs

HospitalsRock

Updated: 11/09/2018


Acute Care Hospital

Beloit Memorial Hospital

Provider ID: 2330221969 W Hart RdBeloit, WI 53511(608) 364-2200Fax: (608) 364-739500 Yrs/130 YrsLanguages: Spanish

HospitalsWalworth

Updated: 11/09/2018



Mercy Health Hospital andMed Center Walworth

Provider ID: 1544902N2950 State Rd 67Lake Geneva, WI 53147(262) 245-053500 Yrs/130 Yrs

HospitalsWhiteside

Updated: 11/09/2018



Morrison CommunityHospital

Provider ID: 1561647303 N Jackson StMorrison, IL 61270(815) 772-5507Fax: (815) 772-559900 Yrs/130 Yrs

Hospital

Cgh Medical CenterProvider ID: 264341100 E Le Fevre RdSterling, IL 61081(815) 625-040000 Yrs/130 Yrs

HospitalsWinnebago

Updated: 11/09/2018


Acute Care Hospital

Swedish American Hospital

Provider ID: 1932101401 E State StRockford, IL 61104(779) 696-440000 Yrs/130 Yrs

Hospital

Mercy Health HospitalRockton Ave

Provider ID: 2707662400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/130 Yrs

Ancillary ProvidersAll

Updated: 11/09/2018


Laboratory PathologyTesting

LabcorpFor Providers and LocationsPlease Call:(888) 522-2677

Quest DiagnosticsFor Providers and LocationsPlease Call:(888) 277-8772

Medically NecessaryTransportation

Medical TransportationManagement

For Providers and LocationsPlease Call:(877) 248-1338

Ancillary ProvidersBoone

Updated: 11/09/2018


Community MentalHealth Center

Rosecrance Belvidere Clinic

Provider ID: 1630537915 Alexandra DrBelvidere, IL 61008(888) 928-527814 Yrs/130 YrsM-F 8:30 AM - 5:00 PM

Dialysis

Belvidere DialysisProvider ID: 17133401751 Henry Luckow LnBelvidere, IL 61008(815) 544-0311Fax: (815) 544-929200 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Ancillary ProvidersBureau

Updated: 11/09/2018



Gateway Services IncProvider ID: 1576463526 S Bureau Valley Pkwy SteBPrinceton, IL 61356(815) 875-454818 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Provider ID: 1528310Columbus Noose GroupHome219 North Main StPrinceton, IL 61356(815) 224-1610Fax: (815) 223-163400 Yrs/130 YrsM-F 8:30 AM - 5:00 PM


Provider ID: 1528320North Central PrincetonOffice526 Bureau Valley PkwyPrinceton, IL 61356(815) 224-1610Fax: (815) 223-163400 Yrs/130 YrsM-F 8:30 AM - 5:00 PM


Provider ID: 1528406North Central PrincetonOffice526 Bureau Valley PkwyPrinceton, IL 61356(815) 224-1610Fax: (815) 223-163400 Yrs/130 YrsM-F 8:30 AM - 5:00 PM

Durable MedicalEquipment

St Margarets Home MedicalEquipment

Provider ID: 1504851416 E Dakota StSpring Valley, IL 61362(815) 664-4663Fax: (815) 663-158900 Yrs/130 YrsM-F 8:00 AM - 4:30 PM

Home Health Care

Prairieland Home CareProvider ID: 1517751409 E 2nd StSpring Valley, IL 61362(815) 663-2229Fax: (815) 663-202500 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Hospice

St Margarets Hospice

Provider ID: 1506566600 E 1st StSpring Valley, IL 61362(815) 664-531100 Yrs/130 Yrs


Heritage Manor Walnut

Provider ID: 1491867Heritage Manor Walnut LLC308 S Second StWalnut, IL 61376(309) 828-4361Fax: (309) 829-547700 Yrs/130 Yrs

Ancillary ProvidersCarroll

Updated: 11/09/2018



Sinnissippi Centers IncProvider ID: 13183461122 Healthcare DrMount Carroll, IL 61053(815) 244-1376Fax: (815) 244-307400 Yrs/130 YrsM 8:00 AM - 8:00 PMTWTHF 9:00 AM - 5:00 PM

Sinnissippi Centers IncProvider ID: 15814691126 Healthcare DrMount Carroll, IL 61053(815) 284-661100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Good Samaritan SocietyMount Carroll

Provider ID: 1506353Good Samaritan SocietyMount Carrol1006 N Lowden RdMount Carroll, IL 61053(815) 244-7715Fax: (815) 244-312760 Yrs/130 Yrs

Ancillary ProvidersClinton

Updated: 11/09/2018


Ambulatory SurgeryCenter

Gateway Surgery Center LLC

Provider ID: 1516504841 Springdale DrClinton, IA 52732(563) 244-9955Fax: (563) 243-346100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Ancillary ProvidersFulton

Updated: 11/09/2018




Provider ID: 1528311North Central Canton Office229 Martin AveCanton, IL 61520(309) 647-1881Fax: (815) 223-163400 Yrs/130 YrsM-F 8:30 AM - 5:00 PM


Graham Home MedicalEquipment

Provider ID: 1548195101 S Main StCanton, IL 61520(309) 647-7207Fax: (309) 649-723600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMSat 8:00 AM - 1:00 PM

Home Health Care

Spoon River Home HealthServices Inc

Provider ID: 1479851Spoon River Home HealthServices In48 N East StFarmington, IL 61531(309) 245-0723Fax: (309) 245-071300 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Rural Health Center


Provider ID: 1556986Graham Medical GroupFarmington601 E Fort StFarmington, IL 61531(309) 245-2406Fax: (309) 647-861300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Provider ID: 1556987Graham Medical GroupLewistown408 S Main StLewistown, IL 61542(309) 547-9700Fax: (309) 647-861300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Heartland HealthcareCenter-Canton

Provider ID: 4690772081 N Main StCanton, IL 61520(309) 647-6135Fax: (309) 647-614100 Yrs/130 Yrs

Ancillary ProvidersHenderson

Updated: 11/09/2018


Hospice

Henderson County HealthDepartment

Provider ID: 1531115208 W Elm StGladstone, IL 61437(309) 627-2812Fax: (309) 627-230550 Yrs/110 YrsM-TH 8:00 AM - 4:00 PMF 8:00 AM - 12:00 PM

Ancillary ProvidersHenry

Updated: 11/09/2018



Bridgeway IncProvider ID: 15695141220 W Division StKewanee, IL 61443(309) 853-432500 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Bridgeway IncProvider ID: 1571234137 E College StKewanee, IL 61443(309) 852-4331Fax: (309) 854-012200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Bridgeway IncProvider ID: 1583425501 N Grove StKewanee, IL 61443(309) 852-652600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Bridgeway IncProvider ID: 15837331023 Dewey AveKewanee, IL 61443(309) 852-718900 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Preferred Home Health CareMidwest

Provider ID: 1519215945 SE 2nd StGalva, IL 61434(309) 932-3000Fax: (309) 932-303300 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 4:30 PM

Rural Health Center

Ahern Associates MedicalCenter Inc

Provider ID: 1524776Ahern Associates MedicalCenter519 Elliott St Ste S1Kewanee, IL 61443(309) 853-2442Fax: (309) 853-243500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Good Samaritan SocietyGeneseo Village

Provider ID: 1506369Good Samaritan SocietyGeneseo Vill704 S Illinois StGeneseo, IL 61254(309) 944-6424Fax: (309) 944-660560 Yrs/130 Yrs

Hillcrest HomeProvider ID: 150940314688 IL Hwy 82Geneseo, IL 61254(309) 944-2147Fax: (309) 944-841740 Yrs/130 Yrs

Ancillary ProvidersJo Daviess

Updated: 11/09/2018



Galena Clinic IncProvider ID: 1557143939 Galena Square DrGalena, IL 61036(815) 777-1300Fax: (518) 777-130800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Rural Health Center

Midwest Health ClinicProvider ID: 15503091 Medical Center DrGalena, IL 61036(815) 777-1340Fax: (815) 777-256000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Midwest Health Clinic of Eliza

Provider ID: 1550312Midwest Health Clinic117 N Main StElizabeth, IL 61028(815) 858-2238Fax: (815) 858-223900 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Waverly Place of StocktonProvider ID: 1356430501 E Front AveStockton, IL 61085(815) 947-2215Fax: (815) 947-202700 Yrs/130 Yrs

Ancillary ProvidersKnox

Updated: 11/09/2018



Bridgeway IncProvider ID: 15696231077 Hawkinson AveGalesburg, IL 61401(309) 343-263900 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Bridgeway IncProvider ID: 15697791084 Lawrence AveGalesburg, IL 61401(309) 343-229000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Bridgeway IncProvider ID: 15735321191 Jefferson StGalesburg, IL 61401(309) 342-521100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Bridgeway IncProvider ID: 15820371974 Windish DrGalesburg, IL 61401(309) 344-475100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Bridgeway IncProvider ID: 15828471235 W Carl Sandburg DrGalesburg, IL 61401(309) 344-620700 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Bridgeway IncProvider ID: 15837202323 Windish DrGalesburg, IL 61401(309) 344-232300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Bridgeway IncProvider ID: 15837311089 Hawkinson AveGalesburg, IL 61401(309) 344-232300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

The Center For Youth andFamily Solution

Provider ID: 1109600292 N Chambers StGalesburg, IL 61401(309) 342-1136Fax: (309) 342-189100 Yrs/130 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PM


Lincare IncProvider ID: 37804553 E Simmons StGalesburg, IL 61401(309) 343-2776Fax: (309) 343-274300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Hospice

Community Hospices ofAmerica LLC

Provider ID: 1602305755 N Henderson StGalesburg, IL 61401(309) 342-3007Fax: (309) 342-697300 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Harbor Light HospiceProvider ID: 15467231865 N Henderson St Ste 10Galesburg, IL 61401(309) 343-3030Fax: (630) 942-809000 Yrs/130 Yrs


Care Center of Abingdon

Provider ID: 924327801 W Martin StAbingdon, IL 61410(309) 462-2356Fax: (309) 343-0981

Heartland Health Care CenterGalesburg

Provider ID: 463433280 E Losey StGalesburg, IL 61401(309) 343-2166Fax: (309) 343-328900 Yrs/130 Yrs

Rosewood Care Center ofGalesburg

Provider ID: 9767761250 W Carl Sandburg DrGalesburg, IL 61401(309) 344-5400Fax: (309) 344-734700 Yrs/130 YrsLanguages: Spanish

Seminary ManorProvider ID: 9826172345 N Seminary StGalesburg, IL 61401(309) 344-1300Fax: (309) 344-2473

Ancillary ProvidersLA Salle

Updated: 11/09/2018




Provider ID: 1528312North Central Lasalle Office2960 Chartres 5TLasalle, IL 61301(815) 223-0160Fax: (815) 223-163400 Yrs/130 YrsM-F 8:30 AM - 5:00 PM


Provider ID: 1528317North Central Ottawa Office737 Etna RdOttawa, IL 61350(814) 224-1610Fax: (815) 223-163400 Yrs/130 YrsM-F 8:30 AM - 5:00 PM


Provider ID: 1528408North Central Streator Office111 Spring St Ste 28Streator, IL 61364(815) 224-1610Fax: (815) 223-163400 Yrs/130 YrsM-F 8:30 AM - 5:00 PM


Provider ID: 1109610815 2nd StLA Salle, IL 61301(815) 223-4007Fax: (815) 244-455005 Yrs/130 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PM


Lincare IncProvider ID: 378045205 W Etna RdOttawa, IL 61350(815) 443-1281Fax: (815) 433-129600 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Community HealthPartnership of Illinois

Provider ID: 1539705Community HealthPartnership of Ill1009 Main StMendota, IL 61342(815) 539-160400 Yrs/130 YrsLanguages: SpanishMWTH 8:00 AM - 6:00 PMT 10:00 AM - 4:00 PMF 9:00 AM - 5:00 PM

Hospice

Hospice Advantage LLC

Provider ID: 1631218Compassus-Chicago4371 Venture Dr Ste 4373Peru, IL 61354(815) 220-1390Fax: (815) 220-172200 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Illinois Valley HospiceProvider ID: 15637641305 Sixth StPeru, IL 61354(815) 224-1307Fax: (815) 780-319800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Vitas Healthcare Corporationof Illinois

Provider ID: 754734105 Marquette St Ste ALA Salle, IL 61301(815) 220-0021Fax: (815) 220-011518 Yrs/130 YrsLanguages: Spanish, Ukrainian


Heritage Manor Mendota LLC

Provider ID: 14918241201 1st AveMendota, IL 61342(815) 539-6745Fax: (815) 538-201700 Yrs/130 Yrs

Heritage Manor Peru LLC

Provider ID: 14918331301 21st StPeru, IL 61354(309) 828-4361Fax: (309) 829-547700 Yrs/130 Yrs

Heritage Manor Steator LLCDBA Heritage

Provider ID: 1491860Heritage Manor Streator LLC1525 E Main StStreator, IL 61364(309) 828-4361Fax: (309) 829-547700 Yrs/130 Yrs

Manor Court of Peru

Provider ID: 9850843230 Becker DrPeru, IL 61354(815) 220-1400Fax: (815) 220-158100 Yrs/130 Yrs

Ottawa PavilionProvider ID: 1554284704 E Glover StOttawa, IL 61350(815) 431-4900Fax: (815) 431-490000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Parker Nursing andRehabilitation Center

Provider ID: 1151623Parker Nursing andRehabilitation C516 W. Frech StStreator, IL 61364(815) 672-2600Fax: (815) 672-228200 Yrs/130 Yrs

Ancillary ProvidersLee

Updated: 11/09/2018




Provider ID: 1581528Lssi Nachusa1261 Illinois Rte 38Nachusa, IL 61057(815) 284-779600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Sinnissippi Centers IncProvider ID: 1077930325 IL Rte 2Dixon, IL 61021(815) 284-6611Fax: (815) 284-860100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Sinnissippi Centers IncProvider ID: 1570467325 IL Rte 2Dixon, IL 61021(815) 284-661100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Sinnissippi Centers IncProvider ID: 1581474322 Depot AveDixon, IL 61021(815) 284-661100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Sinnissippi Centers IncProvider ID: 1581484922 Washington AveDixon, IL 61021(815) 284-661100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Dialysis

Dixon Kidney Center

Provider ID: 7544931131 N Galena AveDixon, IL 61021(815) 284-0595Fax: (815) 284-054718 Yrs/130 YrsMWF 6:00 AM - 6:00 PMTTHSat 7:00 AM - 1:00 PM

Distinct Part Unit Psych

Katherine Shaw BetheaHospital

Provider ID: 286084403 E 1st StDixon, IL 61021(815) 288-5531Fax: (815) 285-585900 Yrs/130 Yrs

Ancillary ProvidersOgle

Updated: 11/09/2018



Sinnissippi Centers IncProvider ID: 13179251321 N 7th StRochelle, IL 61068(815) 562-3801Fax: (815) 562-448100 Yrs/130 YrsMWF 8:00 AM - 5:00 PMTTH 8:00 AM - 7:00 PM

Sinnissippi Centers IncProvider ID: 1321116100 Jefferson StOregon, IL 61061(815) 732-3157Fax: (815) 732-475900 Yrs/130 YrsMTTHF 8:00 AM - 5:00 PMW 8:00 AM - 6:30 PM

Sinnissippi Centers IncProvider ID: 1581480555 Fairview DrRochelle, IL 61068(815) 284-661100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Hospice

Serenity Hospice and Home

Provider ID: 15777361658 S IL Rte 2Oregon, IL 61061(815) 732-2499Fax: (815) 732-607700 Yrs/130 Yrs


Oregon Living andRehabilitation Center

Provider ID: 1591640Oregon Living andRehabilitation Center811 S 10th StOregon, IL 61061(815) 732-7994Fax: (815) 732-799800 Yrs/130 Yrs

Ancillary ProvidersPeoria

Updated: 11/09/2018


Behavioral Health Facility

Human Service CenterRochelle

Provider ID: 9057133420 N Rochelle LnPeoria, IL 61604(309) 222-2185Fax: (309) 382-108900 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Camelot Care Center Inc

Provider ID: 11196762396 W Nebraska AvePeoria, IL 61604(309) 676-630500 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

FamilycoreProvider ID: 1645153330 SW Washington StPeoria, IL 61602(309) 676-2400Fax: (309) 676-602205 Yrs/130 YrsMTF 9:00 AM - 5:30 PMWTH 12:00 AM - 8:00 PM

HSC HamiltonProvider ID: 9275571200 Hamilton BlvdPeoria, IL 61606(309) 671-8040Fax: (309) 589-798100 Yrs/130 YrsM-TH 7:30 AM - 7:30 PMF 7:30 AM - 4:30 PM

HSC Willow KnollsProvider ID: 9058342101 N Willow Knolls RdPeoria, IL 61614(309) 689-3074Fax: (309) 693-834200 Yrs/130 Yrs

Human Service CenterProvider ID: 15819061005 NE Jefferson AvePeoria, IL 61603(309) 671-8805Fax: (309) 671-802100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Human Service CenterProvider ID: 15819423400 W New Leaf LnPeoria, IL 61615(309) 671-8805Fax: (309) 671-802100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM



Human Service CenterProvider ID: 1581949600 Fayette StPeoria, IL 61603(309) 671-8805Fax: (309) 671-802100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Human Service CenterJefferson

Provider ID: 906402228 NE Jefferson AvePeoria, IL 61603(309) 671-8000Fax: (309) 671-469500 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Provider ID: 1581534Lutheran Social Services of IL3000 W Rohmann AveWest Peoria, IL 61604(309) 671-030000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Provider ID: 1109034The Center For Youth andFamily Sol2610 W Richwoods BlvdPeoria, IL 61604(309) 323-6604Fax: (309) 681-810705 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Provider ID: 1581761The Center For Youth2900 W Heading Ave Bldg AbWest Peoria, IL 61604(309) 671-5700Fax: (309) 671-133105 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

The Childrens HomeAssociation of IL

Provider ID: 1537336The Childrens HomeAssociation2130 N Knoxville AvePeoria, IL 61603(309) 685-1047Fax: (309) 687-729900 Yrs/21 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PM


Provider ID: 1289793Tasc Inc108 SW Madison AvePeoria, IL 61602(309) 673-3769Fax: (309) 673-407600 Yrs/130 YrsM-F 8:30 AM - 5:00 PM


Provider ID: 1429250Tasc Inc108 SW Madison AvePeoria, IL 61602(309) 673-3769Fax: (309) 673-407600 Yrs/130 YrsM-F 8:30 AM - 5:00 PM

Dialysis

Home Dialysis Services PeoriaLLC

Provider ID: 1466155719 Main St Ste BPeoria, IL 61602(309) 966-0802Fax: (309) 713-125716 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


American Homepatient

Provider ID: 3603301724 W Chanute RdPeoria, IL 61615(309) 691-720000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Apria Healthcare LLCProvider ID: 109938Apria Health Care LLC1015 W Detweiller DrPeoria, IL 61615(309) 691-1012Fax: (309) 691-135100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Complete Home RespiratoryCare LLC

Provider ID: 15990632108 W Townline RdPeoria, IL 61615(309) 689-5038Fax: (309) 689-507400 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Ancillary ProvidersPeoria

Updated: 11/09/2018


Durable MedicalEquipment - cont.

Lincare IncProvider ID: 3780452425 W Pk 74 DrPeoria, IL 61615(309) 691-1596Fax: (309) 691-221000 Yrs/130 Yrs

Lincare IncProvider ID: 3780454808 N Sheridan RdPeoria, IL 61614(309) 679-2093Fax: (309) 679-497100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Home Health Care

Home Bound Healthcare Inc

Provider ID: 11505112322 W Willow Knolls DrPeoria, IL 61614(309) 589-0888Fax: (309) 589-088921 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Maxim Healthcare ServicesInc

Provider ID: 10935454450 N Prospect Rd Ste S8Peoria Heights, IL 61616(309) 566-080000 Yrs/130 YrsM-F 8:00 AM - 6:00 PM

Hospice


Provider ID: 1602510Hospice CompassusNorthwest Illinoi2000 W Pioneer Pkwy Ste 24Peoria, IL 61615(306) 969-1028Fax: (309) 691-039200 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Comprehensive Prostheticsand Orthotics

Provider ID: 1532369Comprehensive Prostheticsand Ortho741 Main StPeoria, IL 61606(309) 676-2276Fax: (309) 676-227900 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Hanger ClinicProvider ID: 134894Hanger Prosthetics &Orthotics Inc311 W Rb Garrett Ave Ste APeoria, IL 61605(309) 682-1382Fax: (309) 682-712500 Yrs/130 YrsM-F 9:00 AM - 5:00 PM



Provider ID: 1501043404 NE Madison AvePeoria, IL 61603(309) 685-1047Fax: (309) 687-764300 Yrs/21 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PM

HSC New LeafProvider ID: 9099103500 W New Leaf LnPeoria, IL 61615(309) 689-3078Fax: (309) 689-307200 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Heartland Health CareCenter-Peoria #402

Provider ID: 4666975600 Glen Elm DrPeoria, IL 61614(309) 693-8777Fax: (309) 693-879400 Yrs/130 Yrs

Heritage Manor ChillicotheLLC

Provider ID: 14912251028 W Hillcrest DrChillicothe, IL 61523(309) 274-2194Fax: (309) 274-219865 Yrs/110 Yrs

Manor Court of Peoria

Provider ID: 9818696900 N Stalworth DrPeoria, IL 61615(309) 693-1400Fax: (309) 693-349000 Yrs/130 Yrs

Rosewood Care Center ofPeoria

Provider ID: 9777031500 W Northmoor RdPeoria, IL 61614(309) 691-2200Fax: (309) 691-154800 Yrs/130 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PM

Sharon Health Care Elms Inc

Provider ID: 15545063611 N Rochelle LnPeoria, IL 61604(309) 688-4412Fax: (309) 688-448000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Ancillary ProvidersRock

Updated: 11/09/2018


Hospice

Beloit Regional Hospice

Provider ID: 1496480655 Third St Ste 200Beloit, WI 53511(608) 364-7421Fax: (608) 363-7426M-F 8:00 AM - 8:00 PM

Ancillary ProvidersRock Island

Updated: 11/09/2018




Provider ID: 11096574703 44th StRock Island, IL 61201(309) 788-9581Fax: (309) 786-385605 Yrs/130 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PM

Transitions NfpProvider ID: 1526339Transitions Mental HealthServices2326 16th StMoline, IL 61265(309) 793-4993Fax: (309) 743-227705 Yrs/130 YrsM-F 8:00 AM - 4:30 PM

Dialysis

Moline Home TrainingProvider ID: 10643904650 38th AveMoline, IL 61265(309) 736-4260Fax: (309) 736-429618 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Home Health Care

Home Bound Healthcare Inc

Provider ID: 11500783401 16th StMoline, IL 61265(309) 762-7900Fax: (309) 762-690921 Yrs/130 YrsLanguages: Spanish, Russian,TagalogM-F 9:00 AM - 5:00 PM

Hospice


Provider ID: 1602496Hospice CompassusNorthwest Illinoi3910 38th AveMoline, IL 61265(309) 757-4760Fax: (309) 757-477800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Heartland Hospice ServicesLLC DBA Heart

Provider ID: 1536371Heartland Hospice Services2525 24th St Ste 104Rock Island, IL 61201(309) 757-7152Fax: (309) 757-716518 Yrs/130 YrsM-F 8:30 AM - 5:00 PM

Infusion Therapy

Option Health LTDProvider ID: 1072360985 Ave of The Cities Ste 105Silvis, IL 61282(309) 792-7200Fax: (309) 762-809400 Yrs/130 YrsM-F 8:30 AM - 5:00 PM


American Prosthetics andOrthotics Inc

Provider ID: 1503032American Prosthetics andOrthotics515 Valley View DrMoline, IL 61265(309) 757-1061Fax: (309) 757-106202 Yrs/130 YrsM-F 8:30 AM - 5:00 PM

Comprehensive Prostheticsand Orthotics

Provider ID: 1532381Comprehensive Prostheticsand Ortho908 N Hershey Rd Ste 1Rock Island, IL 61204(309) 664-6930Fax: (309) 664-693200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Heartland Health Care CenterMoline#3081

Provider ID: 467590833 16th AveMoline, IL 61265(309) 764-6744Fax: (309) 764-817600 Yrs/130 Yrs

Hope Creek Care Center

Provider ID: 15740004343 Kennedy DrEast Moline, IL 61244(309) 796-6600Fax: (309) 796-660140 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Rosewood Care Center ofMoline

Provider ID: 9770477300 34th AveMoline, IL 61265(309) 792-5940Fax: (309) 792-597518 Yrs/110 YrsLanguages: Spanish

Ancillary ProvidersScott

Updated: 11/09/2018



Apria Healthcare LLCProvider ID: 1099385000 Tremont Ave Ste 101Davenport, IA 52807(563) 388-9530Fax: (563) 388-059200 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

RotechProvider ID: 11176065131 Grand AveDavenport, IA 52807(563) 359-3556Fax: (563) 359-356200 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


American Prosthetics andOrthotics Inc

Provider ID: 1492679American Prosthetics andOrthotics1351 W Central Park Ave Ste450Davenport, IA 52804(563) 324-7707Fax: (563) 324-261500 Yrs/130 YrsM-F 8:30 AM - 5:00 PM

Hanger ClinicProvider ID: 134894Hanger Prosthetics andOrthotics In4505 Utica Ridge RdBettendorf, IA 52722(563) 359-1943Fax: (563) 359-187500 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Ancillary ProvidersStephenson

Updated: 11/09/2018


Dialysis

DriftwoodProvider ID: 9184851808 S W. AveFreeport, IL 61032(815) 232-0295Fax: (815) 232-163518 Yrs/130 YrsM-W 4:30 AM - 7:30 PM

Freeport DialysisProvider ID: 7780181028 S Kunkle BlvdFreeport, IL 61032(815) 232-2477Fax: (815) 233-082400 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Freeport Rehab and HealthCare Center

Provider ID: 1016427900 Kiwanis DrFreeport, IL 61032(815) 235-6196Fax: (815) 235-536500 Yrs/130 Yrs

Lena Living Center LLCProvider ID: 12355491010 S Logan StLena, IL 61048(815) 369-4561Fax: (815) 369-290000 Yrs/130 Yrs

Manor Court of Freeport

Provider ID: 969237Residential Alternatives ofIllinoi2170 W Navajo DrFreeport, IL 61032(815) 233-2400Fax: (815) 297-076700 Yrs/130 Yrs

Ancillary ProvidersTazewell

Updated: 11/09/2018



Bridgeway IncProvider ID: 15837362077 Edgewater DrPekin, IL 61554(309) 382-200600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Gateway Foundation Inc

Provider ID: 1216219Gateway Foundation, IncPekin11 S Capitol StPekin, IL 61554(877) 505-4673Fax: (309) 346-279900 Yrs/130 YrsM-F 8:00 AM - 7:00 PM


Provider ID: 15499543248 Vandever AvePekin, IL 61554(309) 477-5552Fax: (309) 477-559312 Yrs/130 YrsM-TH 8:00 AM - 8:00 PMF 8:00 AM - 5:00 PM


Provider ID: 1549960Tazwood Mental HealthCenter111 W Washington St Ste 230East Peoria, IL 61611(309) 477-5552Fax: (309) 477-559312 Yrs/130 YrsM-TH 8:00 AM - 8:00 PMF 8:00 AM - 5:00 PM


Provider ID: 15499621421 Valle Vista BlvdPekin, IL 61554(309) 477-555212 Yrs/130 YrsM-TH 8:00 AM - 8:00 PMF 8:00 AM - 5:00 PM


Provider ID: 15501001425 Valle Vista BlvdPekin, IL 61554(309) 477-5552Fax: (309) 477-559312 Yrs/130 YrsM-TH 8:00 AM - 8:00 PMF 8:00 AM - 5:00 PM


Provider ID: 1550104601 Taylor StEast Peoria, IL 61611(309) 477-5570Fax: (309) 477-559312 Yrs/130 YrsM-F 8:00 AM - 8:00 PM


Provider ID: 1581771The Center For Youth andFamil260 E Queenwood RdMorton, IL 61550(303) 263-448705 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Provider ID: 1581772The Center For Youth andFamil260 E Queenwood RdMorton, IL 61550(303) 263-448705 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Dialysis

Tazewell County DialysisProvider ID: 11377841021 Court St Ste APekin, IL 61554(309) 346-0159Fax: (304) 346-136918 Yrs/130 YrsMWF 6:00 AM - 4:00 PMTTH 8:00 AM - 4:00 PM

Hospice

Harbor Light HospiceProvider ID: 15463483000 N Main StEast Peoria, IL 61611(309) 698-3060Fax: (630) 942-809000 Yrs/130 Yrs


Pekin ManorProvider ID: 9239491520 El Camino DrPekin, IL 61554(309) 353-1099Fax: (309) 353-1363

Rosewood Care Center ofEast Peoria

Provider ID: 977746900 Centennial DrEast Peoria, IL 61611(309) 699-5400Fax: (309) 699-163221 Yrs/130 YrsLanguages: Spanish

Ancillary ProvidersWarren

Updated: 11/09/2018



Bridgeway IncProvider ID: 1582152301 Industrial Park RdMonmouth, IL 61462(309) 734-946105 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Ancillary ProvidersWhiteside

Updated: 11/09/2018




Provider ID: 11158261901 1st AveSterling, IL 61081(815) 626-733300 Yrs/130 YrsLanguages: Spanish, Hindi,PolishM-F 9:00 AM - 5:00 PM

Sinnissippi Centers IncProvider ID: 13173602611 Woodlawn RdSterling, IL 61081(815) 625-0013Fax: (815) 625-019700 Yrs/130 YrsMTTH 8:00 AM - 8:00 PMWF 8:00 AM - 5:00 PM

Sinnissippi Centers IncProvider ID: 15692002104 E 23rd StSterling, IL 61081(815) 284-661100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Dialysis

Whiteside DialysisProvider ID: 7912452600 Locust St Ste DSterling, IL 61081(815) 626-3173Fax: (815) 626-394818 Yrs/130 YrsMWF 5:00 AM - 8:30 PMTTHSat 5:00 AM - 4:30 PM


Cgh Home InfusionProvider ID: 15450303010 E Lynn BlvdSterling, IL 61081(815) 622-0836Fax: (815) 622-945600 Yrs/130 YrsM-F 8:00 AM - 4:30 PM

Lincare IncProvider ID: 378045812 12th Ave Ste 2Rock Falls, IL 61071(815) 632-0757Fax: (815) 632-075800 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Citadel Care Center Sterling

Provider ID: 1643991105 E 23rd StSterling, IL 61081(815) 626-4264Fax: (815) 626-325400 Yrs/130 Yrs

Good Samaritan SocietyProphets Rivervie

Provider ID: 1506384Good Samaritan SocietyProphets Riv310 Mosher DrProphetstown, IL 61277(815) 577-5175Fax: (815) 537-262860 Yrs/130 Yrs

Ancillary ProvidersWinnebago

Updated: 11/09/2018


Ambulatory SurgeryCenter

Rockford Endoscopy Center

Provider ID: 1542020401 Roxbury RdRockford, IL 61107(815) 397-734018 Yrs/110 YrsM-F 7:00 AM - 5:30 PM


Adapt of Illinois IncProvider ID: 1041818Adapt of Illinois Inc - Fairview321 Arnold AveRockford, IL 61108(815) 397-4103Fax: (815) 397-060221 Yrs/130 YrsM-F 7:00 AM - 6:30 PM

Camelot Care Center Inc

Provider ID: 11196895301 E State St Ste 208Rockford, IL 61108(815) 484-918000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Childrens Home and Aid

Provider ID: 1593736424 7th StRockford, IL 61104(814) 962-104300 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Provider ID: 1581536Lutheran Social Services of IL321 W State St 4th & 5th FlRockford, IL 61101(815) 969-883600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Rosecrance AuburnSupervised Living

Provider ID: 16375242014 Auburn StRockford, IL 61103(815) 391-1000Fax: (815) 316-472618 Yrs/65 Yrs

Rosecrance Benton House

Provider ID: 16314501509-1517 Benton StRockford, IL 61107(815) 391-100018 Yrs/65 Yrs

Rosecrance Berry Campus

Provider ID: 10621428616 Northern AveRockford, IL 61107(815) 332-800300 Yrs/21 YrsM-F 8:30 AM - 5:00 PM

Rosecrance Harbor HouseProvider ID: 1637516410 and 707 N Court StRockford, IL 61103(815) 391-100018 Yrs/65 Yrs

Rosecrance IncProvider ID: 1636366Ric Center526 W State StRockford, IL 61101(815) 516-260018 Yrs/65 YrsM-F 8:30 AM - 5:00 PM

Rosecrance MulberryProvider ID: 1632732605 Mulberry StRockford, IL 61103(815) 720-4960Fax: (815) 316-472618 Yrs/65 YrsM-F 8:30 AM - 5:00 PM

Rosecrance Ware Center

Provider ID: 16328982704 N Main StRockford, IL 61103(815) 968-930000 Yrs/130 YrsM-F 8:30 AM - 5:00 PM

Stepping Stones of RockfordInc

Provider ID: 1533604706 N Main StRockford, IL 61103(815) 963-068318 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Provider ID: 1533605817 Haskell AveRockford, IL 61103(815) 963-068318 Yrs/130 Yrs


Provider ID: 15336062871 City View DrRockford, IL 61103(815) 963-068318 Yrs/130 Yrs


Provider ID: 15336072830 Overdene AveRockford, IL 61101(815) 963-068318 Yrs/130 Yrs


Provider ID: 1533608420 S 3rd StRockford, IL 61104(815) 963-068318 Yrs/130 Yrs


Provider ID: 1533609904 N Church StRockford, IL 61103(815) 963-068318 Yrs/130 Yrs


Provider ID: 1533610315 S 5th StRockford, IL 61104(815) 963-068318 Yrs/130 Yrs


Provider ID: 15336114505 N Main StRockford, IL 61103(815) 963-068318 Yrs/130 YrsMTWTHFSatSun 6:00 AM -10:00 PM


Provider ID: 15336122825 Glenwood AveRockford, IL 61101(815) 963-068318 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Provider ID: 15336133729 N Main StRockford, IL 61103(815) 963-068318 Yrs/130 Yrs


Provider ID: 15336143319 Darwood DrRockford, IL 61101(815) 963-068318 Yrs/130 YrsMTWTHFSatSun 6:00 AM -6:00 PM


Provider ID: 1429248Tasc Inc401 W State StRockford, IL 61101(815) 965-1106Fax: (815) 964-578400 Yrs/130 YrsM-F 8:30 AM - 5:00 PM

Ancillary ProvidersWinnebago

Updated: 11/09/2018


Community MentalHealth Center - cont.

Youth Services Network Inc

Provider ID: 1584807107 N 3rd StRockford, IL 61107(215) 986-1954Fax: (815) 986-195400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Dialysis

Churchview DialysisProvider ID: 790934417 Ware AveRockford, IL 61107(815) 397-4123Fax: (815) 397-305918 Yrs/130 YrsMWF 5:00 AM - 8:00 PMTTHSat 8:00 AM - 3:00 PM

Home Dialysis ServicesRockford LLC

Provider ID: 14771826940 Villagreen ViewRockford, IL 61107(779) 774-9272Fax: (779) 774-927300 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Machesney Park DialysisProvider ID: 17134347170 N Perryville RdMachesney Park, IL 61115(815) 885-8132Fax: (815) 885-817800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Rockford DialysisProvider ID: 11300483339 N Rockton AveRockford, IL 61103(815) 636-4493Fax: (815) 637-481418 Yrs/130 YrsMTWTHFSat 5:00 AM - 10:00PM

Roxbury Dialysis Center

Provider ID: 953166622 Roxbury RdRockford, IL 61107(815) 397-0713Fax: (815) 397-079618 Yrs/130 YrsMWF 5:00 AM - 5:45 PMTTHSat 5:00 AM - 8:45 PM

Stonecrest Dialysis

Provider ID: 7788931302 E State StRockford, IL 61104(815) 968-5794Fax: (815) 968-866918 Yrs/130 YrsMTH 5:00 AM - 7:30 PMTWF 5:00 AM - 8:00 PM

Distinct Part Unit Psych

Swedish American Hospital

Provider ID: 1932101401 E State StRockford, IL 61104(779) 696-440000 Yrs/130 Yrs


Apria Healthcare LLCProvider ID: 109938Apria Health Care LLC10910 N 2nd StMachesney Park, IL 61115(815) 633-7778Fax: (815) 633-788300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Lincare IncProvider ID: 3780457104 N Alpine RdLoves Park, IL 61111(815) 636-9770Fax: (815) 636-974400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Rockford OrthopedicAppliance

Provider ID: 1483708422 E State StRockford, IL 61104(815) 965-7759Fax: (815) 965-946600 Yrs/130 YrsLanguages: SpanishM-F 8:30 AM - 5:30 PMSat 8:30 AM - 12:30 PM

Home Health Care

Swedishamerican HomeHealth Care

Provider ID: 15765052550 Charles StRockford, IL 61108(779) 696-755000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Hospice

Heartland Hospice Services

Provider ID: 1554924363 Financial Ct Unit 300Rockford, IL 61107(815) 282-2279Fax: (518) 282-256918 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Van Matre RehibilitationCenter LLC

Provider ID: 1476349950 S Mulford RdRockford, IL 61108(815) 381-855100 Yrs/130 Yrs


Ambd Properties LLCAmberwood Care Centr

Provider ID: 14803792313 N Rockton AveRockford, IL 61103(815) 964-2200Fax: (815) 965-772250 Yrs/110 Yrs

East Bank CenterProvider ID: 1495619East Bank Center LLC6131 Park Ridge RdLoves Park, IL 61111(815) 633-681000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

PA Peterson At The Citadel

Provider ID: 14469951311 Parkview AveRockford, IL 61107(815) 399-8832Fax: (815) 399-834260 Yrs/130 Yrs

Rosewood Care Center ofRockford

Provider ID: 9765591660 S Mulford RdRockford, IL 61108(815) 397-6700Fax: (815) 397-488021 Yrs/130 YrsLanguages: Spanish

Ancillary ProvidersWoodford

Updated: 11/09/2018




Provider ID: 1549961101 S Major StEureka, IL 61530(309) 477-5552Fax: (309) 477-559312 Yrs/130 YrsM-TH 8:00 AM - 8:00 PMF 8:00 AM - 5:00 PM


Heritage Health Minok LLCDBA Heritage H

Provider ID: 1491177Heritage Manor Minonk LLC201 Locust StMinonk, IL 61760(309) 432-2557Fax: (309) 432-267465 Yrs/130 Yrs

Heritage Manor El Paso

Provider ID: 1491230555 E ClayEl Paso, IL 61738(309) 527-6240Fax: (309) 527-624360 Yrs/130 Yrs

Allied ProvidersBoone

Updated: 11/09/2018


Certified Nurse Midwife

Dobson, Jennifer CNMProvider ID: 1499985Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Hahn, Amanda CNMProvider ID: 1499998Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Keeney, Renee CNMProvider ID: 1500008Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Oerkftiz, Jennifer CNMProvider ID: 1499995Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Osborne, Victoria CNM

Provider ID: 1500002Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PM

Piper, Heather CNMProvider ID: 1500003Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Rehberg, Stephanie CNMProvider ID: 1500009Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Wodell, Deborah CNMProvider ID: 1500043Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Family Practice

Adamson, John PAProvider ID: 1559971Gender: MaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 01381429

Brady, Michelle APRNProvider ID: 1560081Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMMaximus ID: 01381568

Cobb, Joan APRNProvider ID: 1560155Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 01381679

Crum, Christina PAProvider ID: 1560191Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 547-0282Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 01381707

Dall, Jeanne APRNProvider ID: 1560214Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMMaximus ID: 01381713

Digvonni, Traci APRNProvider ID: 1560368Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Eggers, Gordon PAProvider ID: 1560414Gender: MaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Gonzalez, Jacqueline APRN

Provider ID: 1560465Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-160000 Yrs/130 YrsLanguages: SpanishMTHF 8:00 AM - 5:00 PMTW 8:00 AM - 8:00 PMSat 9:00 AM - 12:00 PM


Updated: 11/09/2018



Hartzell, Melissa PAProvider ID: 1561335Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 547-0282Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Hitz, Leonard APRNProvider ID: 1561373Gender: MaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Kitts-Faron, Angela APRNProvider ID: 1561448Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Maher, Karen APRNProvider ID: 1500018Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 01389920

Nagus, Lindsay APRNProvider ID: 1560050Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188102 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 01381794

Rantissi, Lizabeth PAProvider ID: 1560215Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 01381905

Schenck, Katherine PAProvider ID: 1560281Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 01381949

Sheahan, Theresa APRNProvider ID: 1560299Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 01382165

Slavicek, Laura PAProvider ID: 1560316Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 547-0282Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Sultanova, Gulzhazira APRN

Provider ID: 1560498Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: RussianM-F 8:00 AM - 5:00 PMMaximus ID: 01382279

Taylor, Jennifer APRNProvider ID: 1500032Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 01389901

Taylor, Trisha PAProvider ID: 1560538Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 01382275

Tiegs, Micah PAProvider ID: 1560565Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 01382230

Vold, Jordan PAProvider ID: 1560615Gender: MaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 01382326

Licensed Clinical SocialWorker

Geiselhart, Christina LCSW

Provider ID: 1499991Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

McNeal, Carol LCSWProvider ID: 1500023Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Updated: 11/09/2018



Gonzalez, Marie APRNProvider ID: 1499997Gender: FemaleCrusader Community Health1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PM

Naleway, Karen APRNProvider ID: 1499992Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PM

Pediatrics

Benters, Jennifer APRNProvider ID: 1560055Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMMaximus ID: 01381555

Blaser, Carrie APRNProvider ID: 1560066Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsM 8:00 AM - 8:00 PMTWTHF 8:00 AM - 5:00 PMMaximus ID: 01381546

Bustle, Amanda APRNProvider ID: 1560107Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsMTHF 8:00 AM - 5:00 PMTW 8:00 AM - 8:00 PMSat 8:00 AM - 12:00 PMMaximus ID: 01381638

Cummins, Kerin APRNProvider ID: 1560197Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 01381714

Meyer, Debra APRNProvider ID: 1559993Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-160000 Yrs/21 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 01381749

Morgan, Barbara APRNProvider ID: 1560019Gender: FemaleCrusaders Central ClinicAssociatio1050 Logan AveBelvidere, IL 61008(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMMaximus ID: 01381768

Allied ProvidersBureau

Updated: 11/09/2018



Hoffman, Dana CNMProvider ID: 1567784Gender: FemaleIvch Medical Group WomensHealth Ca530 Park Ave E Ste 403Princeton, IL 61356(815) 223-2944Fax: (815) 223-409500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Kerrschneider, Karli CNMProvider ID: 1567861Gender: FemaleIvch Medical Group WomensHealth Ca530 Park Ave E Ste 403Princeton, IL 61356(815) 223-2944Fax: (815) 223-409500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Koehler, Pam CNMProvider ID: 1567792Gender: FemaleIvch Medical Group WomensHealth Ca530 Park Ave E Ste 403Princeton, IL 61356(815) 223-2944Fax: (815) 223-409500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Lange, Brittany CNMProvider ID: 1567865Gender: FemaleIvch Medical Group WomensHealth Ca530 Park Ave E Ste 403Princeton, IL 61356(815) 223-2944Fax: (815) 223-409500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Tieman, Barbara CNMProvider ID: 1567872Gender: FemaleIvch Medical Group WomensHealth Ca530 Park Ave E Ste 403Princeton, IL 61356(815) 223-2944Fax: (815) 223-409500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Meister, Mary Jennifer LCSW

Provider ID: 1524849Gender: FemaleJohn R Day and AssociatesLTD28 E Marion St Ste 4Princeton, IL 61356(309) 692-7755Fax: (309) 692-226200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Brooks, Donna LPCProvider ID: 1524845Gender: FemaleJohn R Day and AssociatesLTD28 E Marion StPrinceton, IL 61356(309) 692-7755Fax: (309) 692-226200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Holland, Sarah LPCProvider ID: 1524846Gender: FemaleJohn R Day and AssociatesLTD28 E Marion StPrinceton, IL 61356(309) 692-7755Fax: (309) 692-226200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Vanne, Bethany LPCProvider ID: 1524848Gender: FemaleJohn R Day and AssociatesLTD28 E Marion StPrinceton, IL 61356(309) 692-7755Fax: (309) 692-226200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Physician Assistant

Hansen, Pamela PAProvider ID: 1599810Gender: FemaleSMH Center For Family Health1916 N Main StPrinceton, IL 61356(815) 915-8748Fax: (815) 664-050700 Yrs/130 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 1:00 PM

Workman, Tamara PAProvider ID: 1599805Gender: FemaleSMH Center For Family Health1916 N Main StPrinceton, IL 61356(815) 663-2165Fax: (815) 664-050900 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Allied ProvidersCarroll

Updated: 11/09/2018


Family Practice

Hess, Karri PAProvider ID: 1538162Gender: FemaleCgh Home Nursing106 E Market StMt Carroll, IL 61053(815) 946-3661Fax: (815) 946-229900 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 01747636

Allied ProvidersClinton

Updated: 11/09/2018


Audiology

Eno, Gary AUDProvider ID: 1533632Gender: MaleMedical Associates of ClintonIA Pl915 13th Ave NClinton, IA 52732(563) 243-2511Fax: (563) 243-947100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Cardiology

Maddasion, Mary ARNP

Provider ID: 1533650Gender: FemaleMedical Associates of ClintonIA Pl915 13th Ave NClinton, IA 52732(563) 243-251100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Family Practice

Coffey, Lynne ARNP

Provider ID: 1533627Gender: FemaleMedical Associates of ClintonIA Pl915 13th Ave NClinton, IA 52732(563) 243-2511Fax: (563) 243-081700 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Kauffman, Thersa ARNP

Provider ID: 1533644Gender: FemaleMedical Associates of ClintonIA Pl915 13th Ave NClinton, IA 52732(563) 243-2511Fax: (563) 243-241900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 91992152

Marguglio, Sharon ARNP

Provider ID: 1533652Gender: FemaleMedical Associates UrgentCare2400 Lillian WyClinton, IA 52732(563) 243-1200Fax: (563) 242-067100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Peth, Mara PAProvider ID: 1533661Gender: FemaleMedical Associates of ClintonIA Pl915 13th Ave NClinton, IA 52732(563) 243-2511Fax: (563) 243-947100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Raasch, Jessica PAProvider ID: 1533664Gender: Female915 13th Ave NClinton, IA 52732(563) 243-2511Fax: (563) 243-241900 Yrs/130 Yrs

Raasch, Jessica PAProvider ID: 1533664Gender: FemaleMedical Associates UrgentCare2400 Lillian WyClinton, IA 52732(563) 243-120000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Speer, Chelsea PAProvider ID: 1533668Gender: FemaleMedical Associates of ClintonIA Pl915 13th Ave NClinton, IA 52732(563) 243-251100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Speer, Chelsea PAProvider ID: 1533668Gender: FemaleMedical Associates UrgentCare2400 Lillian WyClinton, IA 52732(563) 243-1200Fax: (563) 242-067100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

West, Rebecca ARNPProvider ID: 1533674Gender: Female915 13th Ave NClinton, IA 52732(563) 243-2511Fax: (563) 243-241900 Yrs/130 Yrs

Zellmer, Megan PAProvider ID: 1533678Gender: FemaleMedical Associates UrgentCare2400 Lillian WyClinton, IA 52732(563) 243-120000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Kilburg, Jodi ARNP

Provider ID: 1533646Gender: FemaleMedical Associates of ClintonIA Pl915 13th Ave NClinton, IA 52732(563) 243-2511Fax: (563) 243-947100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Tack, Billie ARNPProvider ID: 1533670Gender: FemaleMedical Associates of ClintonIA Pl915 13th Ave NClinton, IA 52732(563) 243-2511Fax: (563) 243-241900 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Tubbs, Kami ARNPProvider ID: 1533672Gender: FemaleMedical Associates of ClintonIA Pl915 13th Ave NClinton, IA 52732(563) 243-2511Fax: (563) 519-187200 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Urology

Zimmerman, Brian PA

Provider ID: 1533680Gender: MaleMedical Associates of ClintonIA Pl915 13th Ave NClinton, IA 52732(563) 243-2511Fax: (563) 243-241900 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Zimmerman, Brian PA

Provider ID: 1533680Gender: MaleMedical Associates UrgentCare2400 Lillian WyClinton, IA 52732(563) 243-1200Fax: (563) 242-067100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Allied ProvidersFulton

Updated: 11/09/2018


Family Practice

Farr, Breann APRNProvider ID: 1578549Gender: FemaleGraham Medical Group180 S Main StCanton, IL 61520(309) 647-0201Fax: (309) 649-688000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Gibbs, Cody APRNProvider ID: 1596676Gender: MaleGraham Medical Group180 S Main StCanton, IL 61520(309) 647-0201Fax: (309) 649-688000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 03758333



Provider ID: 1524849Gender: FemaleJohn R Day and AssociatesLTD8 S Main St Ste 200Canton, IL 61520(309) 692-7755Fax: (309) 692-226200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Brooks, Donna LPCProvider ID: 1524845Gender: FemaleJohn R Day and AssociatesLTD8 S Main St Ste 200Canton, IL 61520(309) 692-7755Fax: (309) 692-226200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Fanning, Debra LPCProvider ID: 1536391Gender: FemalePsychology Specialists180 S Main StCanton, IL 61520(309) 706-3190Fax: (309) 588-411500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Holland, Sarah LPCProvider ID: 1524846Gender: FemaleJohn R Day and AssociatesLTD8 S Main St Ste 200Canton, IL 61520(309) 692-7755Fax: (309) 692-226200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Vanne, Bethany LPCProvider ID: 1524848Gender: FemaleJohn R Day and AssociatesLTD8 S Main St Ste 200Canton, IL 61520(309) 692-7755Fax: (309) 692-226200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Allied ProvidersHenderson

Updated: 11/09/2018


Family Practice

Abel, Naomi APRNProvider ID: 1713331Gender: FemaleEagle View CommunityHealth System101 S Division StStronghurst, IL 61480(309) 924-2424Fax: (309) 867-278900 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Abel, Naomi APRNProvider ID: 1713334Gender: FemaleEagle View CommunityHealth System1204 Hwy 164 EOquawka, IL 61469(309) 867-2202Fax: (309) 867-278900 Yrs/130 YrsM-W 6:30 AM - 5:00 PMTH 7:00 AM - 1:00 PMF 9:00 AM - 5:00 PM

Internal Medicine

Holman, Debbie APRNProvider ID: 1549164Gender: FemaleEagle View CommunityHealth System1204 Hwy 164 EOquawka, IL 61469(309) 867-2202Fax: (309) 867-320500 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Allied ProvidersHenry

Updated: 11/09/2018


Family Practice

O'Neill, Karol APRNProvider ID: 1524778Gender: FemaleAhearn Associates MedicalCenter519 Elliott St Ste 1Kewanee, IL 61443(309) 853-2442Fax: (309) 853-243500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 04572683


Deesmcmahon, Rebekah LPC

Provider ID: 1528003Gender: Female137 E College StKewanee, IL 61443(309) 852-4331Fax: (309) 854-012212 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

King, Denise LPCProvider ID: 1523608Gender: FemaleBridgeway Inc137 E College StKewanee, IL 61443(309) 852-433118 Yrs/130 YrsMT 8:00 AM - 5:00 PM

Allied ProvidersJo Daviess

Updated: 11/09/2018


Family Practice

Dittmar, Margaret ARNP

Provider ID: 1550324Gender: FemaleMidwest Health Clinic1 Medical Center DrGalena, IL 61036(815) 777-1340Fax: (815) 777-256000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 05159525

Rambousek, Diane ARNP

Provider ID: 1550329Gender: FemaleMidwest Health Clinic1 Medical Center DrGalena, IL 61036(815) 777-1340Fax: (815) 777-256000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 05159792


Cocagne, Stephanie LPC

Provider ID: 1505749Gender: FemaleGalena Clinic Inc939 Galena Square DrGalena, IL 61036(815) 777-1300Fax: (815) 777-130800 Yrs/130 YrsM-TH 9:00 AM - 6:00 PMF 9:00 AM - 4:00 PM

Allied ProvidersKnox

Updated: 11/09/2018


Clinical Social Work

Rohl, Wanda CSWProvider ID: 1496028Gender: FemaleKnox Community HealthCenter Nfp1361 W Fremont StGalesburg, IL 61401(309) 344-2225Fax: (309) 344-223000 Yrs/130 YrsM-F 7:30 AM - 6:00 PM

Shannon, Paula CSWProvider ID: 1501184Gender: FemaleKnox Community HealthCenter Nfp1361 W Fremont StGalesburg, IL 61401(309) 344-2225Fax: (309) 344-223000 Yrs/130 YrsM-F 7:30 AM - 6:00 PM

Family Practice

Elmer, Renee APRNProvider ID: 1496019Gender: FemaleKnox Community HealthCenter Nfp1361 W Fremont StGalesburg, IL 61401(309) 344-2224Fax: (309) 344-504900 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Licensed Marriage andFamily Therapist

Donaldson, Jessica LMFT

Provider ID: 1523610Gender: Not Available2323 Windish DrGalesburg, IL 61401(309) 344-2323Fax: (309) 344-428118 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Brown, Stacy LPCProvider ID: 1528002Gender: Female2323 Windish DrGalesburg, IL 61401(309) 344-232305 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Burnett, Lenna LPCProvider ID: 1306031Gender: FemaleBridgeway Inc2323 Windish DrGalesburg, IL 61401(309) 344-2323Fax: (309) 344-428112 Yrs/130 YrsM 8:00 AM - 4:00 PMTW 8:00 AM - 5:00 PM

King, Denise LPCProvider ID: 1523608Gender: FemaleBridgeway Inc2323 Windish DrGalesburg, IL 61401(309) 344-2323Fax: (309) 344-428118 Yrs/130 YrsM-W 8:00 AM - 5:00 PM

McElwain, Mary LPCProvider ID: 1307810Gender: FemaleBridgeway Inc2323 Windish DrGalesburg, IL 61401(309) 344-2323Fax: (309) 344-428116 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Allied ProvidersLA Salle

Updated: 11/09/2018


Audiology

Sangston, Jennifer AUDProvider ID: 1567825Gender: FemaleIvch Medical Group ENT andAllergy920 W. St Ste 312Peru, IL 61354(815) 223-4400Fax: (815) 223-440100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Hoffman, Dana CNMProvider ID: 1567858Gender: FemaleIvch Medical Group WomensHealth Ca920 W. St Bldg BPeru, IL 61354(815) 223-2944Fax: (815) 223-409500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Kerrschneider, Karli CNMProvider ID: 1567790Gender: FemaleIvch Medical Group WomensHealth Ca920 W. St Bldg BPeru, IL 61354(815) 223-2944Fax: (815) 223-409500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Koehler, Pam CNMProvider ID: 1567863Gender: FemaleIvch Medical Group WomensHealth Ca920 W. St Bldg BPeru, IL 61354(815) 223-2944Fax: (815) 223-409500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Lange, Brittany CNMProvider ID: 1567794Gender: FemaleIvch Medical Group WomensHealth Ca920 W. St Bldg BPeru, IL 61354(815) 223-2944Fax: (815) 223-409500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Tieman, Barbara CNMProvider ID: 1567831Gender: FemaleIvch Medical Group WomensHealth Ca920 W. St Bldg BPeru, IL 61354(815) 223-2944Fax: (815) 223-409500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Dermatology

Stern, Jennifer APRNProvider ID: 1188527Gender: Female925 W. St Ste 212Peru, IL 61354(815) 842-4000Fax: (815) 223-873600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Stern, Jennifer APRNProvider ID: 1188527Gender: FemaleDermatology and MohsSurgery Instit104 W 6th St Ste 301Streator, IL 61364(309) 451-3376Fax: (309) 452-337600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Ear, Nose & Throat

Vezzetti, Angela PAProvider ID: 1567840Gender: FemaleIvch Medical Group ENT andAllergy920 W. St Ste 312Peru, IL 61354(815) 223-4400Fax: (815) 223-440100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Zuber, Stephanie PAProvider ID: 1567846Gender: FemaleIvch Medical Group ENT andAllergy920 W. St Ste 312Peru, IL 61354(815) 223-4400Fax: (815) 780-440100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Family Planning

Moore, Tara ARNPProvider ID: 1707223Gender: FemalePlanned Parenthood of Illinois612 Court StOttawa, IL 61350(312) 592-6861Fax: (630) 585-558800 Yrs/130 YrsMWTH 8:00 AM - 5:00 PMT 9:00 AM - 6:00 PM

Family Practice

Blackburn, Patricia PAProvider ID: 1567760Gender: FemaleIvch Medical Group OglesbyMedical520 W Walnut StOglesby, IL 61348(815) 883-3588Fax: (815) 883-360400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 05887579

Figueiredo, Margaret ARNP

Provider ID: 1564735Gender: Female612 Court StOttawa, IL 61350(815) 433-4111Fax: (630) 585-558800 Yrs/130 YrsMWTH 8:00 AM - 5:00 PMT 9:00 AM - 6:00 PM

Foster, Christine APRN

Provider ID: 1550719Gender: FemaleCommunity HealthPartnership of Ill1009 Main StMendota, IL 61342(815) 539-612400 Yrs/130 YrsMTTH 8:00 AM - 5:00 PMW 8:00 AM - 8:00 PMMaximus ID: 05872338

Jaegle, Constance PAProvider ID: 1567785Gender: FemaleIvch Care Today310 Walnut StPeru, IL 61354(815) 780-3855Fax: (815) 780-386600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 05887591

Miskell, Jessica APRNProvider ID: 1567641Gender: FemaleMiskell Medical LLC218 W Madison StOttawa, IL 61350(815) 431-1122Fax: (877) 503-285100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMSat 11:00 AM - 1:00 PMMaximus ID: 05889766

Allied ProvidersLA Salle

Updated: 11/09/2018



Rufus, Deborah APRNProvider ID: 1334685Gender: Female1200 Starfire Dr Ste 2Ottawa, IL 61350(815) 431-9270Fax: (815) 431-958918 Yrs/130 Yrs

Hematology

Gamblin, Jessica APRNProvider ID: 1327079Gender: Female1200 Starfire Dr Ste 2Ottawa, IL 61350(815) 431-9270Fax: (815) 431-958918 Yrs/130 Yrs

Internal Medicine

Kuzma, John PAProvider ID: 1567793Gender: MaleIvch Medical Group PeruMedical Cli710 Peoria StPeru, IL 61354(815) 223-3500Fax: (815) 223-179012 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 05887590

Preciado, Joy APRNProvider ID: 1543676Gender: FemaleCommunity HealthPartnership of Ill1009 Main StMendota, IL 61342(815) 539-612400 Yrs/130 YrsMTTH 8:00 AM - 5:00 PMW 8:00 AM - 8:00 PMMaximus ID: 05872726


Mercer, Kimberly LMFT

Provider ID: 959278Gender: FemaleThe Center For Youth andFamily Sol815 2nd StLA Salle, IL 61301(815) 223-4007Fax: (815) 224-455000 Yrs/130 YrsMWTHF 9:00 AM - 5:00 PMT 9:00 AM - 8:00 PM

Nurse Midwife

Childs, Meghan CNMProvider ID: 1564521Gender: Female612 Court StOttawa, IL 61350(815) 433-4111Fax: (630) 585-558800 Yrs/130 YrsMWTH 8:00 AM - 5:00 PMT 9:00 AM - 6:00 PM

Ger, Constance CNMProvider ID: 1564760Gender: Female612 Court StOttawa, IL 61350(815) 433-4111Fax: (630) 585-558800 Yrs/130 YrsMWTH 8:00 AM - 5:00 PMT 9:00 AM - 6:00 PM

Nurse PractitionerWomens Health

Horack, Carrie ARNPProvider ID: 1564797Gender: Female612 Court StOttawa, IL 61350(815) 433-4111Fax: (630) 585-558800 Yrs/130 YrsMWTH 8:00 AM - 5:00 PMT 9:00 AM - 6:00 PM

Miller, Emily ARNPProvider ID: 1564993Gender: Female612 Court StOttawa, IL 61350(815) 433-4111Fax: (630) 585-558800 Yrs/130 YrsMWTH 8:00 AM - 5:00 PMT 9:00 AM - 6:00 PM

Orthopaedic Surgery

Pyszka, Debra PAProvider ID: 1567821Gender: FemaleIvch Medical Group IllinoisValley920 W. St Ste 211Peru, IL 61354(815) 223-2143Fax: (815) 223-744300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Renk, Catherine PAProvider ID: 1567823Gender: FemaleIvch Medical Group IllinoisValley920 W. St Ste 211Peru, IL 61354(815) 223-2143Fax: (815) 223-744300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Shaw, William PAProvider ID: 1567826Gender: MaleIvch Medical Group IllinoisValley920 W. St Ste 211Peru, IL 61354(815) 223-2143Fax: (815) 209-061900 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Physician Assistant

Workman, Tamara PAProvider ID: 1599805Gender: FemaleMidtown Health Center WalkIn Clini1650 Midtown RdPeru, IL 61354(815) 223-0203Fax: (815) 223-006400 Yrs/130 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 1:00 PM

Allied ProvidersLee

Updated: 11/09/2018


Audiology

Doty, Lydia AUDProvider ID: 1536423Gender: FemaleKsb Medical Group Inc215 E 1st St Ste 317Dixon, IL 61021(815) 285-5918Fax: (815) 285-559200 Yrs/130 YrsM-TH 8:00 AM - 5:30 PM

Cardiology

Gibbs, Adria APRNProvider ID: 1536432Gender: FemaleKsb Medical Group Inc144 N Court StDixon, IL 61021(815) 284-7733Fax: (815) 285-586500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Dermatology

Deets, Rachel PAProvider ID: 1538108Gender: FemaleCgh Home Nursing1321 N Galena AveDixon, IL 61021(815) 284-1600Fax: (815) 285-506500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Family Practice

Iyer, Christina APRNProvider ID: 1536446Gender: FemaleKsb Medical Group Inc403 E 1st StDixon, IL 61021(815) 284-7733Fax: (815) 285-586500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 06076122

Murrin, Lee APRNProvider ID: 1536472Gender: FemaleKsb Medical Group Inc305 E Joe DrAmboy, IL 61310(815) 285-5973Fax: (815) 857-201000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 06047876

Teller, Courtney PAProvider ID: 1536517Gender: FemaleKsb Medical Group Inc102 S Hennepin AveDixon, IL 61021(815) 285-5973Fax: (815) 285-890200 Yrs/130 YrsM-TH 9:00 AM - 5:00 PMMaximus ID: 06076164

Woodall, Bridgette APRN

Provider ID: 1536519Gender: FemaleKsb Medical Group Inc215 E 1st St Ste 215Dixon, IL 61021(815) 285-5421Fax: (815) 285-542800 Yrs/130 YrsM-TH 9:00 AM - 5:00 PMMaximus ID: 06048079


Andrews, Natalie LCSW

Provider ID: 1445483Gender: FemaleSinnissippi Centers325 IL Rte 2Dixon, IL 61021(815) 284-6611Fax: (815) 284-283400 Yrs/130 YrsMF 8:00 AM - 5:00 PMTWTH 8:00 AM - 7:30 PM

Lafever, Margaret LCSW

Provider ID: 1579142Gender: FemaleSinnissippi Centers, Inc325 IL Rte 2Dixon, IL 61021(815) 284-6611Fax: (815) 284-664500 Yrs/130 YrsMF 8:00 AM - 5:00 PMTWTH 8:00 AM - 7:30 PM

Roberts, Valerie LCSWProvider ID: 1536501Gender: FemaleKsb Medical Group Inc403 E 1st StDixon, IL 61021(815) 284-773300 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Woodrum, Helen LCSW

Provider ID: 1536520Gender: FemaleKsb Medical Group Inc403 E 1st StDixon, IL 61021(815) 284-7733Fax: (815) 285-858000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Dean, Shannon LPCProvider ID: 1592471Gender: FemaleSinnissippi Centers Inc325 IL Rte 2Dixon, IL 61021(815) 284-6611Fax: (815) 284-283400 Yrs/130 YrsMF 8:00 AM - 5:00 PMTW 8:00 AM - 7:30 PMTH 8:01 AM - 7:30 PM

Heise, Scott LPCProvider ID: 1565022Gender: MaleSinnissippi Centers Inc325 IL Rte 2Dixon, IL 61021(815) 284-661100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Hott, Sarah LPCProvider ID: 1586924Gender: FemaleSinnissippi Centers Inc325 IL Rte 2Dixon, IL 61021(815) 284-661100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Schulfer, Sara LPCProvider ID: 1579150Gender: FemaleSinnissippi Centers, Inc325 IL Rte 2Dixon, IL 61021(815) 284-661100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Thomason, Jennifer LPC

Provider ID: 1579152Gender: FemaleSinnissippi Centers, Inc325 IL Rte 2Dixon, IL 61021(815) 284-6611Fax: (815) 284-664200 Yrs/130 YrsMWF 8:00 AM - 5:00 PMTTH 8:00 AM - 7:30 PM

Wright, Andrea LPCProvider ID: 1564690Gender: FemaleSinnissippi Centers Inc325 IL Rte 2Dixon, IL 61021(815) 284-661100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Allied ProvidersLee

Updated: 11/09/2018


Orthopaedic Surgery

Shaw, William PAProvider ID: 1649117Gender: MaleKsb Medical Group215 E 1st St Ste 326Dixon, IL 61021(815) 285-5800Fax: (815) 285-582100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Otolaryngology FacialPlastic Surgery

Heeren, Sarah PAProvider ID: 1538158Gender: FemaleCgh Home Nursing1321 N Galena AveDixon, IL 61021(815) 284-1600Fax: (815) 285-506500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Pediatrics

Gortowski, Deborah APRN

Provider ID: 1536433Gender: FemaleKsb Medical Group Inc102 S Hennepin AveDixon, IL 61021(815) 288-771100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 06076103

Vascular Surgery

Hegner, Theodore PAProvider ID: 1538159Gender: MaleCgh Home Nursing1321 N Galena AveDixon, IL 61021(815) 284-1600Fax: (815) 632-589100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Allied ProvidersOgle

Updated: 11/09/2018


Family Practice

Balch, Marilyn APRNProvider ID: 1556630Gender: FemaleRcha DBA Medical Group ofRochelle900 N 2nd St Ste 200Rochelle, IL 61068(815) 562-2181Fax: (815) 561-312000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 07972266

Crawford, Stephanie ARNP

Provider ID: 1547277Gender: FemaleRcha DBA Medical Group ofRochelle900 N 2nd St Ste 200Rochelle, IL 61068(815) 561-8335Fax: (815) 561-312000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 07959497

Mueller, Susan APRNProvider ID: 1556641Gender: FemaleRcha DBA Medical Group ofRochelle900 N 2nd St Ste 200Rochelle, IL 61068(815) 562-2181Fax: (815) 561-312000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Mueller, Susan APRNProvider ID: 1556641Gender: FemaleRcha Walk-In Clinic/Convenient Care900 N 2nd StRochelle, IL 61068(815) 562-2181Fax: (815) 561-312000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Nesemeier, Mindy APRN

Provider ID: 1536479Gender: FemaleKsb Medical Group Inc1307 W Washington St Ste 145Oregon, IL 61061(815) 732-3151Fax: (815) 732-371800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 07976140

Nicholson, Karen APRN

Provider ID: 1536481Gender: FemaleKsb Medical Group Inc1307 W Washington StOregon, IL 61061(815) 732-3151Fax: (815) 732-371800 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 07976141

Oliveros, Arthur APRN

Provider ID: 1556643Gender: MaleRcha Walk-In Clinic/Convenient Care900 N 2nd StRochelle, IL 61068(815) 562-2181Fax: (815) 561-312000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Powell, Christina ARNP

Provider ID: 1556644Gender: FemaleRcha DBA Medical Group ofRochelle900 N 2nd St Ste 200Rochelle, IL 61068(815) 562-2181Fax: (815) 561-312000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Russom, Briana PAProvider ID: 1543630Gender: FemaleSA Rochelle Clinic380 E IL Rte 38Rochelle, IL 61068(779) 696-9050Fax: (779) 696-907100 Yrs/130 YrsSwedish American HospitalM 8:00 AM - 7:00 PMT 8:00 AM - 1:00 PMWTH 7:00 AM - 5:00 PMF 8:00 AM - 5:00 PMMaximus ID: 07959801

Russom, Briana PAProvider ID: 1543631Gender: FemaleSA Byron Clinic230 W Blackhawk DrByron, IL 61010(779) 696-1300Fax: (815) 234-231400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMMaximus ID: 07959802

Walker, Cynthia ARNPProvider ID: 1547280Gender: FemaleRcha DBA Medical Group ofRochelle900 N 2nd StRochelle, IL 61068(815) 561-8335Fax: (815) 561-312000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 07987566

Pediatrics

Danielson, Angela PAProvider ID: 1536421Gender: FemaleKsb Medical Group Inc1307 W Washington StOregon, IL 61061(815) 284-773300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 07976090

Allied ProvidersPeoria

Updated: 11/09/2018



Enright, Christy CNM

Provider ID: 1488869Gender: FemaleHealth Community HealthClinic At E2321 N Wisconsin AvePeoria, IL 61603(309) 680-7600Fax: (309) 681-862000 Yrs/130 YrsM-TH 8:00 AM - 8:30 PMF 8:00 AM - 4:30 PMSat 9:00 AM - 2:00 PM


Provider ID: 1488869Gender: FemaleHeartland Community HealthClinic A1701 W Garden StPeoria, IL 61605(309) 680-7600Fax: (309) 680-768600 Yrs/130 YrsM-F 8:00 AM - 4:30 PM


Provider ID: 1488869Gender: FemaleHeartland Community HealthClinic A320 E Armstrong AvePeoria, IL 61603(309) 680-7600Fax: (309) 495-861400 Yrs/130 YrsM-F 8:00 AM - 4:30 PM


Provider ID: 1488869Gender: FemaleHeartland Community HealthClinic A711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-7600Fax: (309) 671-218800 Yrs/130 YrsM-F 8:00 AM - 4:30 PM

Martin, Samantha CNM

Provider ID: 1504843Gender: FemaleHeartland Community HealthClinic2321 N Wisconsin Ave Ste 2Peoria, IL 61603(309) 680-7600Fax: (309) 681-468100 Yrs/130 YrsM-TH 8:00 AM - 8:30 PMF 8:00 AM - 4:30 PMSat 9:00 AM - 2:00 PM

Family Practice

Blodgett, Rachel APRN

Provider ID: 1572245Gender: FemaleOncology HematologyAssociates of C8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-327418 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Doubet, Kami APRNProvider ID: 1598155Gender: FemaleOncology HematologyAssociates of C8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-354818 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Durst, Amy ARNPProvider ID: 1580286Gender: FemaleIllinois Cancer Care8940 S Wood Sage RdPeoria, IL 61615(309) 243-300018 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Endress, Kathryn APRN

Provider ID: 1553975Gender: FemaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 08062913


Provider ID: 1564735Gender: Female2709 N Knoxville AvePeoria, IL 61604(309) 681-0350Fax: (630) 585-558800 Yrs/130 YrsM 9:00 AM - 5:00 PMT 8:00 AM - 4:00 PMW 10:00 AM - 6:00 PMTH 11:00 AM - 7:00 PMF 8:00 AM - 3:30 PM

Foreman, Jodi APRNProvider ID: 1330981Gender: Female8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-327418 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

McCall, Yvonne PAProvider ID: 1502300Gender: FemaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-7600Fax: (309) 680-764300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 08092741

McCall, Yvonne PAProvider ID: 1502302Gender: FemaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 08092878

McCall, Yvonne PAProvider ID: 1559986Gender: FemaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 08081740

McCall, Yvonne PAProvider ID: 1559988Gender: FemaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 08081741

Rufus, Deborah APRNProvider ID: 1334685Gender: Female8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-354818 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Schertz, Robin ARNP

Provider ID: 1323057Gender: Female8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-354818 Yrs/110 YrsM-F 8:00 AM - 5:00 PM


Updated: 11/09/2018



Tauke, Kimberly ARNPProvider ID: 1323834Gender: Female8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-354818 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Williamson, Judith ARNP


Gastroenterology

Cinnamon, Brynn APRN

Provider ID: 938456Gender: Female1001 Main St Ste 500APeoria, IL 61606(309) 672-4980Fax: (309) 671-293118 Yrs/130 YrsM-F 8:30 AM - 4:30 PM

General Surgery

Canty, Susan PAProvider ID: 1524422Gender: Female1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 676-654500 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Delong, Rachel APRNProvider ID: 1524410Gender: FemalePeoria Surgical Group LTD1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 676-654500 Yrs/130 YrsM-W 8:00 AM - 4:00 PM

Health, Michelle APRN

Provider ID: 1524433Gender: Female1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 495-027600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Ultch, Rebecca PAProvider ID: 1524420Gender: Female1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 676-654500 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Geriatric Medicine

Hertz, Laura APRNProvider ID: 1582789Gender: FemaleIllinois Cancer Care PC8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-304518 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Hematology

Gamblin, Jessica APRNProvider ID: 1327079Gender: Female8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-327418 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Beach, Debra APRNProvider ID: 1591651Gender: FemaleIllinois Cancer Care8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-354818 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Lindsey, Sarah APRNProvider ID: 1591669Gender: FemaleOncology Hematology Assocof Centra8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-322318 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Link, Doreen APRN


Stewart, Jessica ARNPProvider ID: 1321838Gender: Female8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-354818 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Taylor, Jessica APRNProvider ID: 1591677Gender: FemaleOncology Hematology Assocof Centra8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-354818 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Infectious Disease

Winquist, Heather APRN

Provider ID: 1529163Gender: FemaleMetro Infectious DiseaseConsultant1200 W Loucks AvePeoria, IL 61604(309) 306-7421Fax: (309) 966-309118 Yrs/130 YrsM 2:00 AM - 4:00 PM

Internal Medicine

Daily, Tamera ARNPProvider ID: 1573542Gender: FemaleOncology Hematology Assocof Centra8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-354818 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Sreniawski, Meghan PA

Provider ID: 1502309Gender: FemaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 08092834


Provider ID: 1502314Gender: FemaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 08092711


Updated: 11/09/2018




Provider ID: 1560386Gender: FemaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 08082199


Provider ID: 1560389Gender: FemaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 680-7600Fax: (309) 681-468100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 08082200


Provider ID: 1560392Gender: FemaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 08082201


Evens, Sonja LCSWProvider ID: 1497951Gender: FemaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-7600Fax: (309) 680-768618 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Evens, Sonja LCSWProvider ID: 1497951Gender: FemaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 680-760018 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Evens, Sonja LCSWProvider ID: 1497951Gender: FemaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 680-760018 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Evens, Sonja LCSWProvider ID: 1497951Gender: FemaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-760018 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Gunther, Krystyn LCSW

Provider ID: 1497978Gender: FemaleHeartland Community HealthClinic1701 W Garden StPeoria, IL 61605(309) 680-7600Fax: (309) 681-844318 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Provider ID: 1497978Gender: FemaleHeartland Community HealthClinic228 NE Jefferson StPeoria, IL 61603(309) 671-8000Fax: (309) 671-469518 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Provider ID: 1497978Gender: FemaleHeartland Community HealthClinic2321 N Wisconsin AvePeoria, IL 61603(309) 671-800018 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Provider ID: 1497978Gender: FemaleHeartland Community HealthClinic320 E Armstrong AvePeoria, IL 61603(309) 671-800018 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Provider ID: 1497978Gender: FemaleHeartland Community HealthClinic711 W John H Gwynn Jr AvePeoria, IL 61605(309) 680-7600Fax: (309) 681-844318 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Provider ID: 1524849Gender: FemaleJohn R Day and AssociatesLTD3716 W Brighton AvePeoria, IL 61615(309) 692-7755Fax: (309) 692-226200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Provider ID: 1524849Gender: FemaleJohn R Day and AssociatesLTD407 E Center St 4017 E CenterStEureka, IL 61530(309) 692-7755Fax: (309) 692-226200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Brooks, Donna LPCProvider ID: 1524845Gender: FemaleJohn R Day and AssociatesLTD3716 W Brighton AvePeoria, IL 61615(309) 692-7755Fax: (309) 692-226200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Brooks, Donna LPCProvider ID: 1524845Gender: FemaleJohn R Day and AssociatesLTD4017 E Center StEureka, IL 61615(309) 692-7755Fax: (309) 692-226200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Updated: 11/09/2018


Licensed ProfessionalCounselor - cont.

Dunaway, Britain LPCProvider ID: 1536389Gender: Female5901 N Prospect Rd Ste 201APeoria, IL 6161400 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Dunaway, Britain LPCProvider ID: 1536389Gender: FemalePsychology Specialists5401 N Knoxville Ave Ste 416Peoria, IL 61614(309) 706-3190Fax: (309) 588-411500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Fanning, Debra LPCProvider ID: 1536391Gender: FemalePsychology Specialists900 Main St Ste 780Peoria, IL 61602(309) 706-3190Fax: (309) 588-411500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Holland, Sarah LPCProvider ID: 1524846Gender: FemaleJohn R Day and AssociatesLTD3716 W Brighton AvePeoria, IL 61615(309) 692-7755Fax: (309) 692-226200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Holland, Sarah LPCProvider ID: 1524846Gender: FemaleJohn R Day and AssociatesLTD407 E Center St 4017 E CenterStEureka, IL 61530(309) 692-7755Fax: (309) 692-226200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Ladd, Phillip LPCProvider ID: 1524847Gender: MaleJohn R Day and AssociatesLTD3716 W Brighton AvePeoria, IL 61615(309) 692-7755Fax: (309) 692-226200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Ladd, Phillip LPCProvider ID: 1524847Gender: MaleJohn R Day and AssociatesLTD4017 E Center StEureka, IL 61615(309) 692-7755Fax: (309) 692-226200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Vanne, Bethany LPCProvider ID: 1524848Gender: FemaleJohn R Day and AssociatesLTD3716 W Brighton AvePeoria, IL 61615(309) 692-7755Fax: (309) 692-226200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Vanne, Bethany LPCProvider ID: 1524848Gender: FemaleJohn R Day and AssociatesLTD4017 E Center StEureka, IL 61615(309) 692-7755Fax: (309) 692-226200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Waselkow, David LPCProvider ID: 1536397Gender: MalePsychology Specialists5401 N Knoxville Ave Ste 416Peoria, IL 61614(309) 706-3190Fax: (309) 588-411500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Waselkow, David LPCProvider ID: 1536397Gender: MalePsychology Specialists900 Main St Ste 780Peoria, IL 61602(309) 706-3190Fax: (309) 588-411500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Medical Oncology

Cook, Jamie APRNProvider ID: 1581505Gender: FemaleIllinois Cancer Care PC8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-327418 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Jones, Carrie APRNProvider ID: 1580293Gender: FemaleOncology HematologyAssociates of C8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-304518 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Runyon, Jennifer APRN

Provider ID: 1582316Gender: FemaleIllinois Cancer Care PC8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-354818 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Nephrology

Dehne, Michelle APRN

Provider ID: 1651390Gender: FemaleRenal Care Associates420 NE Glen Oak Ave Ste 401Peoria, IL 61603(309) 676-8123Fax: (309) 676-845500 Yrs/130 YrsM-F 8:30 AM - 5:00 PM

McDougall, Tonya APRN

Provider ID: 1162973Gender: FemaleRenalcare Associates200 E Pennsylvania Ave Ste212Peoria, IL 61603(309) 676-8123Fax: (309) 676-845500 Yrs/130 YrsM-F 8:30 AM - 5:00 PM

Moore, Tonya APRNProvider ID: 1246506Gender: FemaleRenalcare Associates200 E Pennsylvania Ave Ste212Peoria, IL 61603(309) 676-8123Fax: (309) 676-845500 Yrs/130 YrsM-F 8:30 AM - 5:00 PM

Nurse Midwife

Childs, Meghan CNMProvider ID: 1564521Gender: Female2709 N Knoxville AvePeoria, IL 61604(309) 681-0350Fax: (630) 585-558800 Yrs/130 YrsM 9:00 AM - 5:00 PMT 8:00 AM - 4:00 PMW 10:00 AM - 6:00 PMTH 11:00 AM - 7:00 PMF 8:00 AM - 3:30 PM


Updated: 11/09/2018


Nurse Midwife - cont.

Ger, Constance CNMProvider ID: 1564760Gender: Female2709 N Knoxville AvePeoria, IL 61604(309) 681-0350Fax: (630) 585-558800 Yrs/130 YrsM 9:00 AM - 5:00 PMT 8:00 AM - 4:00 PMW 10:00 AM - 6:00 PMTH 11:00 AM - 7:00 PMF 8:00 AM - 3:30 PM

Nurse Practitioner AcuteCare

Dudek, Susan APRNProvider ID: 1558987Gender: FemaleIllinois Cancer Care8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-354818 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Nurse PractitionerGeriatric

Neys, Tammy APRNProvider ID: 1123424Gender: Female8940 N Wood Sage RdPeoria, IL 61615(309) 243-3000Fax: (309) 243-305018 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Horack, Carrie ARNPProvider ID: 1564797Gender: Female2709 N Knoxville AvePeoria, IL 61604(309) 253-1701Fax: (630) 585-558800 Yrs/130 YrsM 9:00 AM - 5:00 PMT 8:00 AM - 4:00 PMW 10:00 AM - 6:00 PMTH 11:00 AM - 7:00 PMF 8:00 AM - 3:30 PM

Miller, Emily ARNPProvider ID: 1564993Gender: Female2709 N Knoxville AvePeoria, IL 61604(309) 681-0350Fax: (630) 585-558800 Yrs/130 YrsM 9:00 AM - 5:00 PMT 8:00 AM - 4:00 PMW 10:00 AM - 6:00 PMTH 11:00 AM - 7:00 PMF 8:00 AM - 3:30 PM


Cole, Kelly APRNProvider ID: 1499379Gender: FemaleJody L Kelly MD andAssociates LLC2901 N Knoxville AvePeoria, IL 61603(309) 688-7010Fax: (309) 688-704416 Yrs/130 YrsM-F 8:30 AM - 5:00 PM

Eeten, Alison CNM

Provider ID: 1499376Gender: FemaleJody L Kelly MD andAssociates LLC2901 N Knoxville AvePeoria, IL 61603(309) 688-7010Fax: (309) 688-704400 Yrs/130 YrsM-F 8:30 AM - 5:00 PM

Overcash, Erin ARNPProvider ID: 1477061Gender: FemaleWomen's Health Institute7309 N Knoxville Ave Ste 300Peoria, IL 61614(309) 671-5100Fax: (309) 671-515500 Yrs/130 YrsM-W 9:00 AM - 4:00 PMTH 9:00 AM - 1:00 PM

Tucker, Sarah APRN

Provider ID: 1499381Gender: FemaleJody L Kelly MD andAssociates LLC2901 N Knoxville AvePeoria, IL 61603(309) 688-7010Fax: (309) 688-704400 Yrs/130 YrsM-F 8:30 AM - 5:00 PM


Fraley, Melissa PAProvider ID: 1524431Gender: FemalePeoria Surgical Group1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 676-654500 Yrs/130 YrsM-TH 7:00 AM - 5:00 PM

Ultch, Rebecca PAProvider ID: 1524420Gender: Female1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 676-654500 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Psychiatry

Weaver, Rebecca APRN

Provider ID: 1508446Gender: Female228 NE Jefferson AvePeoria, IL 61603(309) 680-7600Fax: (309) 681-844318 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Vascular Surgery

Regehr, Michelle APRN

Provider ID: 1524424Gender: FemalePeoria Surgical Group LTD1001 Main St Ste 300Peoria, IL 61606(309) 495-0200Fax: (309) 495-027600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Allied ProvidersRock

Updated: 11/09/2018


Audiology

Freeman, Monica AUDProvider ID: 1488597Gender: FemaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 364-244300 Yrs/130 YrsM-F 8:30 AM - 5:30 PM

Kosmicki, Lisa AUDProvider ID: 1488806Gender: FemaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-220000 Yrs/130 YrsM-F 8:30 AM - 5:30 PM

Cardiology

Devries, Stephen PAProvider ID: 1545726Gender: MaleMercy Heart and VascularCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-686800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Dermatology

Schnell, Tina PAProvider ID: 1567144Gender: FemaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-7100Fax: (608) 756-712500 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Family Practice

Baird, Susan APRNProvider ID: 1545216Gender: FemaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-7217Fax: (608) 756-470500 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Berner, Julie APRNProvider ID: 1546714Gender: FemaleMercy Terrace510 N Terrace StJanesville, WI 53548(608) 756-6869Fax: (608) 373-311500 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Bestland, Jennifer APRN

Provider ID: 1546571Gender: FemaleMercy Regional NeurosurgeryCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-6826Fax: (608) 756-629100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Bourdeaux, Erika APRN

Provider ID: 1545159Gender: FemaleMercy Beloit Medical Center2825 Prairie AveBeloit, WI 53511(608) 363-5500Fax: (608) 363-550200 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Castelein, Courtney APRN

Provider ID: 1546574Gender: FemaleMercy Regional NeurosurgeryCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-6826Fax: (608) 756-616000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Chady, Heather APRNProvider ID: 1545828Gender: FemaleMercy Hospital and TraumaCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-6000Fax: (608) 756-685300 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Christianson, Jacqueline APRN

Provider ID: 1567098Gender: FemaleMercy North3400 Deerfield DrJanesville, WI 53546(608) 314-3600Fax: (608) 314-366100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Cleveland, Michelle APRN

Provider ID: 1545683Gender: FemaleMercy Health Mall UrgentCare1010 N Washington StJanesville, WI 53548(608) 741-3800Fax: (608) 741-383800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Conway, Diane APRNProvider ID: 1545721Gender: FemaleMercy Heart and VascularCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-686800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Dahl, Carrie PAProvider ID: 1567104Gender: FemaleMercy Milton Medical Center725 S Janesville StMilton, WI 53563(608) 868-5800Fax: (608) 868-585800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 91985575

Disch, Nicole APRNProvider ID: 1545779Gender: FemaleMercy Hematology OncologyClinic1000 Mineral Point AveJanesville, WI 53547(608) 756-687100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Going, Sharon APRNProvider ID: 1546717Gender: FemaleMercy Terrace510 N Terrace StJanesville, WI 53548(608) 756-686900 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Hamman, Rebecca APRN

Provider ID: 1546396Gender: FemaleMercy Milton Medical Center725 S Janesville StMilton, WI 53563(608) 868-5800Fax: (608) 868-585800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Updated: 11/09/2018



Jensen, Nichelle APRNProvider ID: 1545851Gender: FemaleMercy Hospital and TraumaCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-6000Fax: (608) 743-321400 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Kindig Oguzlu, Sandi APRN

Provider ID: 1546436Gender: FemaleMercy North3400 Deerfield DrJanesville, WI 53546(608) 314-3600Fax: (608) 314-360100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Kostantacos, Maria APRN

Provider ID: 1545685Gender: FemaleMercy Health Mall UrgentCare1010 N Washington StJanesville, WI 53548(608) 741-3800Fax: (608) 741-380800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Kostantacos, Maria APRN

Provider ID: 1545685Gender: FemaleMercy Terrace510 N Terrace StJanesville, WI 53548(608) 756-686900 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Martin, Jennifer APRNProvider ID: 1545741Gender: FemaleMercy Heart and VascularCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-686800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Parker, Natalie APRNProvider ID: 1545165Gender: FemaleMercy Beloit Medical Center2825 Prairie AveBeloit, WI 53511(608) 363-5500Fax: (608) 363-553900 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Ratzlaff, Karri APRNProvider ID: 1546625Gender: FemaleMercy Regional PlasticSurgery Skin1000 Mineral Point AveJanesville, WI 53547(608) 756-6300Fax: (608) 756-668300 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Rye, Heidi APRNProvider ID: 1545754Gender: FemaleMercy Heart and VascularCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-686800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Salter Braun, Nicole APRN

Provider ID: 1545895Gender: FemaleMercy Hospital and TraumaCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-6000Fax: (608) 756-470400 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Slater, Anne APRNProvider ID: 1546455Gender: FemaleMercy North3400 Deerfield DrJanesville, WI 53546(608) 314-3606Fax: (608) 314-360700 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Spors, Kathryn APRNProvider ID: 1545694Gender: FemaleMercy Health Mall UrgentCare1010 N Washington StJanesville, WI 53548(608) 741-3800Fax: (608) 741-380800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Spors, Kathryn APRNProvider ID: 1545694Gender: FemaleMercy North3400 Deerfield DrJanesville, WI 53546(608) 314-360000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Van Veldhuisen, KathleenAPRN

Provider ID: 1545142Gender: FemaleHenry Palmer Building903 Mineral Point AveJanesville, WI 53548(608) 563-7720Fax: (608) 756-822400 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Wimmer, Jennifer APRN

Provider ID: 1545445Gender: FemaleMercy Clinic West1000 Mineral Point AveJanesville, WI 53547(608) 756-6800Fax: (608) 756-687000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Gastroenterology

Hughes, Angela PAProvider ID: 1567124Gender: FemaleMercy Michael Berry Clinic1000 Mineral Point AveJanesville, WI 53548(608) 756-6588Fax: (608) 756-470400 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

General Surgery

Amponsah, Kwabena PA

Provider ID: 1546710Gender: FemaleMercy Terrace510 N Terrace StJanesville, WI 53548(608) 756-6869Fax: (608) 373-311500 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Dorshorst, Robert PAProvider ID: 1545729Gender: MaleMercy Heart and VascularCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-686800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Winkels, Joyce PAProvider ID: 1567166Gender: FemaleMercy Terrace510 N Terrace StJanesville, WI 53548(608) 756-6869Fax: (608) 373-311500 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Updated: 11/09/2018



Johnson, Amanda PAProvider ID: 1545786Gender: FemaleMercy Hematology OncologyClinic1000 Mineral Point AveJanesville, WI 53547(608) 756-6871Fax: (608) 756-683600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Wojczak, Karleen PAProvider ID: 1649094Gender: FemaleMercy Clinic West1000 Mineral Point AveJanesville, WI 53548(608) 756-6871Fax: (608) 756-683600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Internal Medicine

Leffel, Erin PAProvider ID: 1546433Gender: FemaleMercy North3400 Deerfield DrJanesville, WI 53546(608) 314-3660Fax: (608) 314-360100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Dudzek, Georgien LCSW

Provider ID: 1488693Gender: FemaleBeloit Health SystemCounseling Car1969 W Hart RdBeloit, WI 53511(608) 364-5686Fax: (608) 363-575600 Yrs/130 YrsM-F 8:30 AM - 5:30 PM

Neurosurgery

Watring, Allysa PAProvider ID: 1546613Gender: FemaleMercy Regional NeurosurgeryCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-6826Fax: (608) 756-629100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Occupational Therapy

Alderman, Heidi OTProvider ID: 1546460Gender: FemaleMercy OccupationalConditioning Center1010 N Washington StJanesville, WI 53548(608) 755-799800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Boettcher, Chel OTProvider ID: 1488748Gender: MaleBeloit Health System1969 W Hart RdBeloit, WI 53511(608) 364-501100 Yrs/130 YrsM-F 8:30 AM - 5:30 PM

Borgerding, Kristin OTProvider ID: 1546462Gender: FemaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-710000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Borgerding, Kristin OTProvider ID: 1546462Gender: FemaleMercy OccupationalConditioning Center1010 N Washington StJanesville, WI 53548(608) 755-799800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Brandl, Megan OTProvider ID: 1546647Gender: FemaleMercy Milton Medical Center725 S Janesville StMilton, WI 53563(608) 868-580000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Brandl, Megan OTProvider ID: 1546647Gender: FemaleMercy Sports MedicineJanesville557 N Washington StJanesville, WI 53548(608) 754-600000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Brickler, Lisa OTProvider ID: 1567086Gender: FemaleMercy Sports MedicineJanesville557 N Washington StJanesville, WI 53548(608) 754-6000Fax: (608) 755-789200 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Dorn, Alita OTProvider ID: 1546469Gender: FemaleMercy OccupationalConditioning Center1010 N Washington StJanesville, WI 53548(608) 755-799800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Engelking, Kayla OTProvider ID: 1567117Gender: FemaleMercy Sports MedicineJanesville557 N Washington StJanesville, WI 53548(608) 754-600000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Ewert, Brittany OTProvider ID: 1645412Gender: FemaleMercy Manor TransitionCenter1000 Mineral Point AveJanesville, WI 53548(608) 756-6050Fax: (608) 755-385600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Ewing, Alison OTProvider ID: 1567118Gender: FemaleMercy Sports MedicineJanesville557 N Washington StJanesville, WI 53548(608) 754-600000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Jarosch, Callie OTProvider ID: 1545705Gender: FemaleMercy Health Mall Clinic1010 N Washington StJanesville, WI 53548(608) 741-243000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Jarosch, Callie OTProvider ID: 1545705Gender: FemaleMercy Sports MedicineJanesville557 N Washington StJanesville, WI 53548(608) 754-600000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Johnson, Justin OTProvider ID: 1488828Gender: MaleBeloit Health System OccHealth Fam1650 Lee LnBeloit, WI 53511(608) 364-220000 Yrs/130 YrsM-F 8:30 AM - 5:30 PM


Updated: 11/09/2018


Occupational Therapy -cont.

Krueger, Stephanie OTProvider ID: 1645428Gender: FemaleMercy Sports MedicineJanesville557 N Washington StJanesville, WI 53548(608) 754-6000Fax: (608) 755-789200 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Lichty, Carrin OTProvider ID: 1545840Gender: FemaleMercy Hospital and TraumaCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-6000Fax: (608) 741-695300 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Liebherr, Susan OTProvider ID: 1645434Gender: FemaleMercy Manor TransitionCenter1000 Mineral Point AveJanesville, WI 53548(608) 756-6050Fax: (608) 755-385600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

McAlpine, Calli OTProvider ID: 1645443Gender: FemaleMercy Hospital and TraumaCenter1000 Mineral Point AveJanesville, WI 53548(608) 756-6842Fax: (608) 741-695300 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Pickett, Joanne OTProvider ID: 1488544Gender: FemaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-738700 Yrs/130 YrsM-F 8:30 AM - 5:30 PM

Platts, Cristine OTProvider ID: 1545171Gender: FemaleMercy Beloit Medical Center2825 Prairie AveBeloit, WI 53511(608) 363-5500Fax: (608) 363-553900 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Platts, Cristine OTProvider ID: 1545171Gender: FemaleMercy Sports MedicineJanesville557 N Washington StJanesville, WI 53548(608) 754-6000Fax: (608) 755-789200 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Stair, Ashton OTProvider ID: 1546330Gender: FemaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-710000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Stair, Ashton OTProvider ID: 1546330Gender: FemaleMercy Manor TransitionCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-605000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Stanek, Christopher OT

Provider ID: 1567149Gender: MaleMercy Hospital and TraumaCenter1000 Mineral Point AveJanesville, WI 53548(608) 756-600000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Tracy, Rachel OTProvider ID: 1488767Gender: FemaleBeloit Health System1969 W Hart RdBeloit, WI 53511(608) 364-501100 Yrs/130 YrsM-F 8:30 AM - 5:30 PM

Warnke, Judith OTProvider ID: 1488520Gender: FemaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-738700 Yrs/130 YrsM-F 8:30 AM - 5:30 PM

Orthopaedic Surgery

Curtis, Stephanie PAProvider ID: 1567101Gender: FemaleMercy Sports MedicineJanesville557 N Washington StJanesville, WI 53548(608) 754-6000Fax: (608) 755-789200 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Imhoff, Tiana PAProvider ID: 1545285Gender: FemaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-7100Fax: (608) 756-848800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Schulz, Eric PAProvider ID: 1567146Gender: MaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-7100Fax: (608) 756-848800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Pain Management

Dombeck, Nathan PAProvider ID: 1567112Gender: MaleMercy Pain Center1000 Mineral Point AveJanesville, WI 53548(608) 756-6049Fax: (608) 756-652100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Palliative Care

Schlueter, Stephanie APRN

Provider ID: 1546386Gender: FemaleMercy Michael Berry Clinic1000 Mineral Point AveJanesville, WI 53547(608) 756-6588Fax: (608) 756-473700 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Updated: 11/09/2018


Physical Therapy

Adams, Ryan PTProvider ID: 1545628Gender: MaleMercy Sports MedicineJanesville557 N Washington StJanesville, WI 53548(608) 754-600000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Baldry, Jolyn PTProvider ID: 1545671Gender: FemaleMercy Sports MedicineJanesville557 N Washington StJanesville, WI 53548(608) 754-600000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Bednarek, Debra PTProvider ID: 1546757Gender: FemaleMercy Sports MedicineJanesville557 N Washington StJanesville, WI 53548(608) 754-600000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Bothfeld, Nathaniel PT

Provider ID: 1488564Gender: MaleBeloit Health System OccHealth Fam1650 Lee LnBeloit, WI 53511(608) 364-220000 Yrs/130 YrsM-F 8:30 AM - 5:30 PM

Brotherton, Jana PTProvider ID: 1488800Gender: FemaleBeloit Health System OccHealth Fam1650 Lee LnBeloit, WI 53511(608) 364-220000 Yrs/130 YrsM-F 8:30 AM - 5:30 PM

Clausen, Ryan PTProvider ID: 1546661Gender: MaleMercy Manor TransitionCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-605000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Clausen, Ryan PTProvider ID: 1546661Gender: MaleMercy Sports MedicineJanesville557 N Washington StJanesville, WI 53548(608) 754-600000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Custer, Rebecca PTProvider ID: 1545238Gender: FemaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-7100Fax: (608) 756-470000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Denning, Dina PTProvider ID: 1567108Gender: FemaleMercy Sports MedicineJanesville557 N Washington StJanesville, WI 53548(608) 754-600000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Draeving, Tiffany PTProvider ID: 1567115Gender: FemaleMercy Sports MedicineJanesville557 N Washington StJanesville, WI 53548(608) 754-600000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Droese, Stefanie PTProvider ID: 1545652Gender: FemaleMercy Sports MedicineJanesville557 N Washington StJanesville, WI 53548(608) 754-600000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Duffield, Karin PTProvider ID: 1545160Gender: FemaleMercy Beloit Medical Center2825 Prairie AveBeloit, WI 53511(608) 363-5500Fax: (608) 363-553900 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Froeming, Rebecca PTProvider ID: 1488688Gender: FemaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-2200Fax: (608) 363-738700 Yrs/130 YrsM-F 8:30 AM - 5:30 PM

Goelz, Carly PTProvider ID: 1546407Gender: FemaleMercy Milton Medical Center725 S Janesville StMilton, WI 53563(608) 868-580000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Goelz, Carly PTProvider ID: 1546407Gender: FemaleMercy Sports MedicineJanesville557 N Washington StJanesville, WI 53548(608) 754-600000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Hart, Christopher PTProvider ID: 1488527Gender: MaleBeloit Health System OccHealth Fam1650 Lee LnBeloit, WI 53511(608) 364-220000 Yrs/130 YrsM-F 8:30 AM - 5:30 PM

Jessie, Brooke PTProvider ID: 1545290Gender: FemaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-8484Fax: (608) 756-470500 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Jessie, Brooke PTProvider ID: 1545290Gender: FemaleMercy Sports MedicineJanesville557 N Washington StJanesville, WI 53548(608) 754-600000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Johnson, Ashleigh PTProvider ID: 1567126Gender: FemaleMercy Sports MedicineJanesville557 N Washington StJanesville, WI 53548(608) 754-6000Fax: (608) 755-789200 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Johnson, Bringa PTProvider ID: 1488592Gender: FemaleBeloit Health System1969 W Hart RdBeloit, WI 53511(608) 364-501100 Yrs/130 YrsM-F 8:30 AM - 5:30 PM


Updated: 11/09/2018


Physical Therapy - cont.

Koch, Debra PTProvider ID: 1488840Gender: FemaleBeloit Health System1969 W Hart RdBeloit, WI 53511(608) 364-501100 Yrs/130 YrsM-F 8:30 AM - 5:30 PM

Latka, Kristie PTProvider ID: 1488571Gender: FemaleBeloit Health System1969 W Hart RdBeloit, WI 53511(608) 364-501100 Yrs/130 YrsM-F 8:30 AM - 5:30 PM

Liautaud, Angela PTProvider ID: 1546683Gender: FemaleMercy Sports MedicineJanesville557 N Washington StJanesville, WI 53548(608) 754-600000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Nettesheim, Jennifer PT

Provider ID: 1546686Gender: FemaleMercy Beloit Medical Center2825 Prairie AveBeloit, WI 53511(608) 363-550000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Nettesheim, Jennifer PT

Provider ID: 1546686Gender: FemaleMercy Sports MedicineJanesville557 N Washington StJanesville, WI 53548(608) 754-6000Fax: (608) 755-789200 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Shucha, Josh PTProvider ID: 1488679Gender: MaleBeloit Health System BeloitClinic1905 E Huebbe PkwyBeloit, WI 53511(608) 364-220000 Yrs/130 YrsM-F 8:30 AM - 5:30 PM

Tu, Brienne PTProvider ID: 1567161Gender: FemaleMercy Sports MedicineJanesville557 N Washington StJanesville, WI 53548(608) 754-600000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Veit, Lisa PTProvider ID: 1567163Gender: FemaleMercy ComprehensiveInpatient Rehab1000 Mineral Point AveJanesville, WI 53548(608) 756-682200 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Vrydaghs Hansing, Kathy PT

Provider ID: 1567165Gender: Female901 Mineral Point AveJanesville, WI 53548(800) 369-220100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Walker, Laura PTProvider ID: 1546707Gender: FemaleMercy Clinic East3524 E Milwaukee StJanesville, WI 53546(608) 756-710000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Walker, Laura PTProvider ID: 1546707Gender: FemaleMercy Sports MedicineJanesville557 N Washington StJanesville, WI 53548(608) 754-600000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


De Vos, Alissa PAProvider ID: 1546617Gender: FemaleMercy North3400 Deerfield DrJanesville, WI 53546(608) 314-360000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

De Vos, Alissa PAProvider ID: 1546617Gender: FemaleMercy Regional PlasticSurgery Skin1000 Mineral Point AveJanesville, WI 53547(608) 756-630000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Speech & LanguagePathology

Hatchett, Lauren SLPProvider ID: 1545526Gender: FemaleMercy Sports MedicineJanesville557 N Washington StJanesville, WI 53548(608) 754-600000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Houk, Emily SLPProvider ID: 1546673Gender: FemaleMercy Hospital and TraumaCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-600000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Houk, Emily SLPProvider ID: 1546673Gender: FemaleMercy Sports MedicineJanesville557 N Washington StJanesville, WI 53548(608) 754-6000Fax: (608) 755-789200 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Jones, Olivia SLPProvider ID: 1546677Gender: FemaleMercy Sports MedicineJanesville557 N Washington StJanesville, WI 53548(608) 754-600000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Parenti, Christina SLPProvider ID: 1546693Gender: FemaleMercy Sports MedicineJanesville557 N Washington StJanesville, WI 53548(608) 754-600000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Van Rens, Jessica SLPProvider ID: 1545917Gender: FemaleMercy Hospital and TraumaCenter1000 Mineral Point AveJanesville, WI 53547(608) 756-600000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Updated: 11/09/2018


Speech Therapy

Frantz, Jessica SLPProvider ID: 1488505Gender: FemaleBeloit Health System1969 W Hart RdBeloit, WI 53511(608) 364-501100 Yrs/130 YrsM-F 8:30 AM - 5:30 PM

Petska, Allison SLPProvider ID: 1488830Gender: FemaleBeloit Health System1969 W Hart RdBeloit, WI 53511(608) 364-501100 Yrs/130 YrsM-F 8:30 AM - 5:30 PM

Tregoning, Andrea SLPProvider ID: 1488780Gender: FemaleBeloit Health System1969 W Hart RdBeloit, WI 53511(608) 364-501100 Yrs/130 YrsM-F 8:30 AM - 5:30 PM


Streff, Scott PAProvider ID: 1567154Gender: MaleMercy Heart and VascularCenter1000 Mineral Point AveJanesville, WI 53548(608) 756-686800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Allied ProvidersRock Island

Updated: 11/09/2018



Carlson, Patrick LCSWProvider ID: 937444Gender: MaleThe Center For Youth andFamily Sol4703 44th St Ste 3Rock Island, IL 61201(309) 788-9581Fax: (309) 786-385600 Yrs/130 YrsM-TH 9:00 AM - 6:00 PMF 9:00 AM - 5:00 PM


Riordan, Anthony LMFT

Provider ID: 1032828Gender: MaleThe Center For Youth andFamily Sol4703 44th StRock Island, IL 61201(309) 788-9581Fax: (309) 786-385600 Yrs/130 YrsM-TH 9:00 AM - 6:00 PMF 9:00 AM - 5:00 PM


Delp, Brittney LPCProvider ID: 1600495Gender: FemaleTransitions Nfp1314 10th StSilvis, IL 61282(309) 793-499318 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Delp, Brittney LPCProvider ID: 1600495Gender: FemaleTransitions Nfp2326 16th StMoline, IL 61265(309) 283-122818 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Delp, Brittney LPCProvider ID: 1600495Gender: FemaleTransitions Nfp2508 25th St Ste ARock Island, IL 61201(309) 793-499318 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Delp, Brittney LPCProvider ID: 1600495Gender: FemaleTransitions Nfp805 19th StRock Island, IL 61201(309) 793-499318 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Delp, Brittney LPCProvider ID: 1600495Gender: FemaleTransitions Nfp827 19th StRock Island, IL 61201(309) 793-499318 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Psychiatry

Alden, Susan APRNProvider ID: 1556626Gender: FemaleTransitions Mental Health2327 16th AveMoline, IL 61265(309) 743-227700 Yrs/130 YrsMTWF 8:00 AM - 4:30 PMTH 10:00 AM - 4:30 PM

Allied ProvidersTazewell

Updated: 11/09/2018



Martin, Samantha CNM

Provider ID: 1504843Gender: FemaleHeartland Community HealthClinic2709 Broadway StPekin, IL 61554(309) 680-760000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Tisdale, Mary CNMProvider ID: 1599531Gender: FemaleHeartland Community HealthClinic A3422 Court StPekin, IL 61554(309) 680-7600Fax: (309) 495-869800 Yrs/130 YrsM-F 8:00 AM - 4:30 PM

Family Practice


Provider ID: 1564735Gender: Female328 S 4th StPekin, IL 61554(309) 347-1274Fax: (630) 585-558800 Yrs/130 YrsM 10:30 AM - 5:00 PMTW 9:00 AM - 3:30 PM


Betzelberger, Edward LCSW

Provider ID: 1566577Gender: MaleTazwood Center For Wellness111 W Washington St Ste 230East Peoria, IL 61611(309) 694-6462Fax: (309) 694-781213 Yrs/130 YrsM 8:00 AM - 5:00 PM

Betzelberger, Edward LCSW

Provider ID: 1566577Gender: MaleTazwood Center For Wellness3248 Vandever AvePekin, IL 61554(309) 347-5522Fax: (309) 477-559313 Yrs/130 YrsMWTH 8:00 AM - 5:00 PMT 8:00 AM - 10:00 PM

Conlin, Holly LCSWProvider ID: 1566576Gender: Female3248 Vandever AvePekin, IL 61554(309) 347-5522Fax: (309) 347-426413 Yrs/130 YrsM-TH 8:00 AM - 8:00 PMF 8:00 AM - 5:00 PM

Conlin, Holly LCSWProvider ID: 1566576Gender: Female601 Taylor StEast Peoria, IL 61611(309) 694-6462Fax: (309) 694-781213 Yrs/130 YrsM-F 8:00 AM - 3:00 PM


Provider ID: 1524849Gender: FemaleJohn R Day and AssociatesLTD137 N Pkwy Dr Ste 4Peklin, IL 61554(309) 692-7755Fax: (309) 692-226200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Bohls, Ann LPCProvider ID: 966356Gender: Female3248 Vandever AvePekin, IL 61554(309) 347-5522Fax: (309) 347-730200 Yrs/130 YrsM 10:00 AM - 8:00 PMTW 11:00 AM - 8:00 PM

Brooks, Donna LPCProvider ID: 1524845Gender: FemaleJohn R Day and AssociatesLTD137 N Pkwy Dr Ste 4Peklin, IL 61554(309) 692-7755Fax: (309) 692-226200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Fanning, Debra LPCProvider ID: 1536391Gender: FemalePsychology Specialists2205 State StPekin, IL 61554(309) 706-3190Fax: (309) 588-411500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Holland, Sarah LPCProvider ID: 1524846Gender: FemaleJohn R Day and AssociatesLTD137 N Pkwy Dr Ste 4Peklin, IL 61554(309) 692-7755Fax: (309) 692-226200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Howerter Zulawski, Jody LPC

Provider ID: 1576238Gender: FemaleTazwood Center For Wellness3248 Vandever AvePekin, IL 61554(309) 347-5522Fax: (309) 347-426412 Yrs/130 YrsM 8:30 AM - 5:00 PMT 8:30 AM - 12:00 PM

Ladd, Phillip LPCProvider ID: 1524847Gender: MaleJohn R Day and AssociatesLTD137 N Pkwy Dr Ste 4Peklin, IL 61554(309) 692-7755Fax: (309) 692-226200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Larson, Patricia LPCProvider ID: 1576237Gender: FemaleTazwood Center For Wellness111 W Washington St Ste 230East Peoria, IL 61611(309) 694-6462Fax: (309) 694-781212 Yrs/130 YrsMT 8:30 AM - 5:00 PM

Larson, Patricia LPCProvider ID: 1576237Gender: FemaleTazwood Center For Wellness3248 Vandever AvePekin, IL 61554(309) 347-5522Fax: (309) 347-730212 Yrs/130 YrsM-F 8:30 AM - 5:00 PM

Mingus, David LPCProvider ID: 966343Gender: Male111 W Washington St Ste 230East Peoria, IL 61611(309) 694-6462Fax: (309) 347-426400 Yrs/130 YrsMT 11:00 AM - 12:00 PMW 10:30 AM - 12:00 PM

Allied ProvidersTazewell

Updated: 11/09/2018


Licensed ProfessionalCounselor - cont.

Mingus, David LPCProvider ID: 966343Gender: MaleTazwood Mental HealthCenter3248 Vandever AvePekin, IL 61554(309) 347-5522Fax: (309) 347-730200 Yrs/130 YrsMWTH 8:00 AM - 11:00 PMTF 8:00 AM - 12:00 PM

Mooney, Robert LPC

Provider ID: 1223153Gender: MaleTazwood Mental HealthCenter, Inc.3248 Vandever AvePekin, IL 61554(309) 347-5522Fax: (309) 347-426402 Yrs/130 YrsMW 3:00 AM - 7:00 PMT 3:30 AM - 7:00 PM

Suryk, Stephanie LPCProvider ID: 1644538Gender: FemalePsychology Specialists2205 State StPekin, IL 61554(309) 648-0782Fax: (309) 663-299500 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Vanne, Bethany LPCProvider ID: 1524848Gender: FemaleJohn R Day and AssociatesLTD137 N Pkwy Dr Ste 4Peklin, IL 61554(309) 692-7755Fax: (309) 692-226200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Wolter, Robert LPCProvider ID: 1228383Gender: Male3248 Vandever AvePekin, IL 61554(309) 347-5522Fax: (309) 347-426400 Yrs/130 YrsM 11:30 AM - 8:00 PMTW 8:30 AM - 5:00 PMTH 8:00 AM - 12:00 PM

Nurse Midwife

Childs, Meghan CNMProvider ID: 1564521Gender: Female328 S 4th StPekin, IL 61554(309) 347-1274Fax: (630) 585-558800 Yrs/130 YrsM 10:30 AM - 5:00 PMTW 9:00 AM - 3:30 PM

Ger, Constance CNMProvider ID: 1564760Gender: Female328 S 4th StPekin, IL 61554(309) 347-1274Fax: (630) 585-558800 Yrs/130 YrsM 10:30 AM - 5:00 PMTW 9:00 AM - 3:30 PM


Horack, Carrie ARNPProvider ID: 1564797Gender: Female328 S 4th StPekin, IL 61554(309) 347-1274Fax: (630) 585-558800 Yrs/130 YrsM 10:30 AM - 5:00 PMTW 9:00 AM - 3:30 PM

Miller, Emily ARNPProvider ID: 1564993Gender: Female328 S 4th StPekin, IL 61554(309) 347-1274Fax: (630) 585-558800 Yrs/130 YrsM 10:30 AM - 5:00 PMTW 9:00 AM - 3:30 PM

Allied ProvidersWalworth

Updated: 11/09/2018


Audiology

Leung, Connie AUDProvider ID: 1545530Gender: FemaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-499000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Dermatology

Burns, Kevin PAProvider ID: 1567096Gender: MaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-0535Fax: (262) 245-462700 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Family Practice

Bertram, Deborah APRN

Provider ID: 1546761Gender: FemaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-4990Fax: (262) 245-224800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Farrell, Amanda APRNProvider ID: 1545501Gender: FemaleMercy Lake Geneva MedicalCenter350 Peller RdLake Geneva, WI 53147(262) 728-4301Fax: (262) 249-063300 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Farrell, Amanda APRNProvider ID: 1545501Gender: FemaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-4990Fax: (262) 245-224800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Junghen, Jennifer APRN

Provider ID: 1545538Gender: FemaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-0535Fax: (262) 245-224800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Wang, Lisa APRNProvider ID: 1545600Gender: FemaleMercy Delavan MedicalCenter1038 E Geneva StDelavan, WI 53115(262) 728-4301Fax: (262) 728-830400 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Wang, Lisa APRNProvider ID: 1545601Gender: FemaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-499000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Harvey, Sarah OTProvider ID: 1545656Gender: FemaleMercy Walworth SportsMedicine CenterN2950 State Rd 67Lake Geneva, WI 53147(800) 637-290100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Orthopaedic Surgery

Houtakker, Jeremy PAProvider ID: 1545536Gender: MaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-0535Fax: (262) 245-461400 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Palecek, Erin PAProvider ID: 1567139Gender: FemaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-4990Fax: (262) 245-461400 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Dama, Kimberly PTProvider ID: 1545643Gender: FemaleMercy Walworth SportsMedicine CenterN2950 State Rd 67Lake Geneva, WI 53147(800) 637-290100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Physical Therapy

Adams, Ryan PTProvider ID: 1545628Gender: MaleMercy Walworth SportsMedicine CenterN2950 State Rd 67Lake Geneva, WI 53147(262) 245-053500 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Baldry, Jolyn PTProvider ID: 1545671Gender: FemaleMercy Whitewater SportsMedicine An519 W Main StWhitewater, WI 53190(262) 473-041000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Bednarek, Debra PTProvider ID: 1546757Gender: FemaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-499000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Davey, Kathryn PTProvider ID: 1545645Gender: FemaleMercy Walworth SportsMedicine CenterN2950 State Rd 67Lake Geneva, WI 53147(262) 245-0535Fax: (262) 245-224800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Davey, Kathryn PTProvider ID: 1545645Gender: FemaleMercy Whitewater SportsMedicine An519 W Main StWhitewater, WI 53190(262) 473-041000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Allied ProvidersWalworth

Updated: 11/09/2018



Droese, Stefanie PTProvider ID: 1545652Gender: FemaleMercy Walworth SportsMedicine CenterN2950 State Rd 67Lake Geneva, WI 53147(800) 637-290100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Hall, Jenna PTProvider ID: 1545734Gender: FemaleMercy Walworth SportsMedicine CenterN2950 State Rd 67Lake Geneva, WI 53147(800) 637-290100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Janicke, Kyle PTProvider ID: 1545660Gender: MaleMercy Walworth SportsMedicine CenterN2950 State Rd 67Lake Geneva, WI 53147(800) 637-290100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Lembezeder, Michael PT

Provider ID: 1567131Gender: MaleMercy Walworth SportsMedicine CenterN2950 State Rd 67Lake Geneva, WI 53147(800) 637-290100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Stengel, Kyle PTProvider ID: 1545679Gender: MaleMercy Walworth SportsMedicine CenterN2950 State Rd 67Lake Geneva, WI 53147(800) 637-290100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Virag, Tiffany PTProvider ID: 1545682Gender: FemaleMercy Walworth SportsMedicine CenterN2950 State Rd 67Lake Geneva, WI 53147(800) 637-290100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Hatchett, Lauren SLPProvider ID: 1545526Gender: FemaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-499000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Jones, Olivia SLPProvider ID: 1546677Gender: FemaleMercy Walworth SportsMedicine CenterN2950 State Rd 67Lake Geneva, WI 53147(800) 637-290100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Van Rens, Jessica SLPProvider ID: 1545917Gender: FemaleMercy Walworth Hospital andMedicalN2950 State Rd 67Lake Geneva, WI 53147(262) 245-499000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Allied ProvidersWarren

Updated: 11/09/2018



Burnett, Lenna LPCProvider ID: 1306031Gender: FemaleBridgeway Inc301 Industrial Park RdMonmouth, IL 61462(309) 734-9461Fax: (309) 734-390912 Yrs/130 YrsM 4:30 AM - 7:00 PMTW 8:00 AM - 5:00 PM

Allied ProvidersWhiteside

Updated: 11/09/2018


Audiology

Martin, Mary AUDProvider ID: 1538203Gender: FemaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 632-5400Fax: (815) 632-584500 Yrs/130 Yrs

Zollinger, Laurie AUDProvider ID: 1538265Gender: FemaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585900 Yrs/130 Yrs

Cardiology

Aude, Tracey APRNProvider ID: 1538060Gender: FemaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10647283

Dermatology

Deets, Rachel PAProvider ID: 1538108Gender: FemaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 632-5355Fax: (815) 632-584400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Moran, Mark PAProvider ID: 1538208Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-584400 Yrs/130 Yrs

Family Practice

Bland, Kayla PAProvider ID: 1538072Gender: FemaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-588900 Yrs/130 YrsM 8:00 AM - 5:00 PMMaximus ID: 10647355

Johnson, Cynthia APRN

Provider ID: 1553362Gender: Not Available303 N Jackson StMorrison, IL 61270(815) 772-5511Fax: (815) 772-556600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Long, Miranda PAProvider ID: 1538195Gender: FemaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585000 Yrs/130 YrsMaximus ID: 10647798

Raasch, Jessica PAProvider ID: 1533664Gender: FemaleFulton Family Health Clinic1705 16th AveFulton, IL 61252(815) 589-212100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Valdez, Ava PAProvider ID: 1533673Gender: FemaleMorrison Family Health Clinic635 E LincolnwayMorrison, IL 61270(815) 772-7491Fax: (815) 772-789100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

West, Rebecca ARNP

Provider ID: 1533674Gender: FemaleMorrison Family Health Clinic635 E LincolnwayMorrison, IL 61270(815) 772-7491Fax: (815) 772-789100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Gastroenterology

Phalen, Cara PAProvider ID: 1538217Gender: FemaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585100 Yrs/130 Yrs


Agada, Latavia LCSWProvider ID: 1594833Gender: FemaleWhiteside CountyCommunity Health Center1300 W 2nd StRock Falls, IL 61071(815) 626-2230Fax: (815) 626-372900 Yrs/130 YrsM-F 8:00 AM - 4:30 PM

Bank Geiger, Tracy LCSW

Provider ID: 1553344Gender: FemaleMorrison CommunityHospital303 N Jackson StMorrison, IL 61270(815) 772-5590Fax: (815) 772-557400 Yrs/130 Yrs

Hart, Kristin LCSWProvider ID: 1530087Gender: FemaleWhiteshire CountyCommunity Health1300 W 2nd StRock Falls, IL 61071(815) 626-2230Fax: (815) 626-372900 Yrs/130 YrsMF 0:80 AM - 4:30 PMTWTH 7:30 AM - 6:30 PM

Mahar, Carrie LCSWProvider ID: 1530081Gender: FemaleWhiteshire CountyCommunity Health1300 W 2nd StRock Falls, IL 61071(815) 626-2230Fax: (815) 626-372900 Yrs/130 YrsM-F 0:80 AM - 4:30 PM

Miller, Whitney LCSWProvider ID: 1530083Gender: FemaleWhiteshire CountyCommunity Health1300 W 2nd StRock Falls, IL 61071(815) 626-2230Fax: (815) 626-372900 Yrs/130 YrsM-F 0:80 AM - 4:30 PM


Updated: 11/09/2018


Licensed Mental HealthCounselor

Engelkens, Andrea LPCProvider ID: 1530085Gender: FemaleWhiteshire CountyCommunity Health1300 W 2nd StRock Falls, IL 61071(815) 626-2230Fax: (815) 626-372900 Yrs/130 YrsMF 0:80 AM - 4:30 PMTWTH 7:30 AM - 6:30 PM

Hooker, Jennifer LPCProvider ID: 1530074Gender: FemaleWhiteshire CountyCommunity Health1300 W 2nd StRock Falls, IL 61071(815) 626-2230Fax: (815) 626-372900 Yrs/130 YrsMWTHF 0:80 AM - 4:30 PMT 0:80 AM - 6:00 PM

Lutz, Christina LPCProvider ID: 1530077Gender: FemaleWhiteshire CountyCommunity Health1300 W 2nd StRock Falls, IL 61071(815) 626-2230Fax: (815) 626-372900 Yrs/130 YrsMWTHF 0:80 AM - 4:30 PMT 0:80 AM - 6:00 PM


Beien, Adam OTProvider ID: 1538064Gender: MaleCgh Home Nursing1809 N Locust StSterling, IL 61081(815) 622-1211Fax: (815) 632-585300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Habben, Karen OTProvider ID: 1538147Gender: FemaleCgh Home Nursing1809 N Locust StSterling, IL 61081(815) 622-1210Fax: (815) 632-585300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Orthopaedic Surgery

Brooks, David PAProvider ID: 1538076Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Wade, Joshua PAProvider ID: 1538249Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-585100 Yrs/130 Yrs


Heeren, Sarah PAProvider ID: 1538158Gender: FemaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-584500 Yrs/130 Yrs

Physical Therapy

Burke, Wendy PTProvider ID: 1538089Gender: FemaleCgh Home Nursing1809 N Locust StSterling, IL 61081(815) 622-1211Fax: (815) 632-585300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Burn, Trevan PTProvider ID: 1538091Gender: MaleCgh Home Nursing1809 N Locust StSterling, IL 61081(815) 622-1210Fax: (815) 632-585300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Carroll, Drew PTProvider ID: 1538097Gender: MaleCgh Home Nursing1809 N Locust StSterling, IL 61081(815) 622-1210Fax: (815) 632-585300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Dyke, Jeffrey PTProvider ID: 1538114Gender: MaleCgh Home Nursing1809 N Locust StSterling, IL 61081(815) 625-4790Fax: (815) 632-585300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Kester, Penny PTProvider ID: 1538181Gender: FemaleCgh Home Nursing1809 N Locust StSterling, IL 61081(815) 622-1211Fax: (815) 632-585300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Loggins, Allison PTProvider ID: 1538194Gender: FemaleCgh Home Nursing1809 N Locust StSterling, IL 61081(815) 622-1211Fax: (815) 632-585300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Riley, Susanna PTProvider ID: 1538223Gender: FemaleCgh Home Nursing1809 N Locust StSterling, IL 61081(815) 622-1211Fax: (815) 632-585300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Wright, Geoffrey PTProvider ID: 1538263Gender: MaleCgh Home Nursing1809 N Locust StSterling, IL 61081(815) 622-1211Fax: (815) 632-585300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Yemm, Allison PTProvider ID: 1538264Gender: FemaleCgh Home Nursing1809 N Locust StSterling, IL 61081(815) 622-1211Fax: (815) 632-585300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Zuidema, Julie PTProvider ID: 1538266Gender: FemaleCgh Home Nursing1809 N Locust StSterling, IL 61081(815) 625-4790Fax: (815) 632-585300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Updated: 11/09/2018



Dirks, Staci SLPProvider ID: 1538111Gender: FemaleCgh Home Nursing1809 N Locust StSterling, IL 61081(815) 622-1211Fax: (815) 632-585300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Lemay, Lyndi SLPProvider ID: 1538192Gender: FemaleCgh Home Nursing1809 N Locust StSterling, IL 61081(815) 622-1211Fax: (815) 632-585300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Smith, Erika SLPProvider ID: 1538231Gender: FemaleCgh Home Nursing1809 N Locust StSterling, IL 61081(815) 622-1211Fax: (815) 632-585300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Vascular Surgery

Hegner, Theodore PAProvider ID: 1538159Gender: MaleCgh Medical Center101 E Miller RdSterling, IL 61081(815) 625-4790Fax: (815) 632-584700 Yrs/130 Yrs

Allied ProvidersWinnebago

Updated: 11/09/2018


Audiology

Awender, Carolyn AUD

Provider ID: 1543118Gender: FemaleSA Brookside Specialty Center1253 N Alpine RdRockford, IL 61107(779) 696-9201Fax: (779) 696-787000 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 9:00 AM - 12:00 PM

Broughton, Ann AUDProvider ID: 1543164Gender: FemaleSA Brookside Specialty Center1253 N Alpine RdRockford, IL 61107(779) 696-9201Fax: (779) 696-787000 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 9:00 AM - 12:00 PM

Dopkins, Machelle AUD

Provider ID: 1546728Gender: FemaleRockford Health Physicians3401 N Perryville RdRockford, IL 61114(815) 971-200000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Hartman, Melody AUD

Provider ID: 1543324Gender: FemaleSA Brookside Specialty Center1253 N Alpine RdRockford, IL 61107(779) 696-9201Fax: (779) 696-787000 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 9:00 AM - 12:00 PM

Marshall, Susan AUDProvider ID: 1543480Gender: FemaleSA Brookside Specialty Center1253 N Alpine RdRockford, IL 61107(779) 696-9201Fax: (779) 696-787000 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 9:00 AM - 12:00 PM


Boettner, Karen CNMProvider ID: 1546701Gender: FemaleRockford Health Physicians5970 Churchview DrRockford, IL 61107(815) 971-200000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Bustle, Lindsay CNMProvider ID: 1546705Gender: FemaleRockford Health Physicians5970 Churchview DrRockford, IL 61107(815) 971-200000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Cascio, Paula CNMProvider ID: 1546713Gender: FemaleRockford Health Physicians2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Dobson, Jennifer CNMProvider ID: 1499985Gender: FemaleCrusaders Central ClinicAssociatio1100 BroadwayRockford, IL 61104(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PM

Dobson, Jennifer CNMProvider ID: 1499985Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Dobson, Jennifer CNMProvider ID: 1499985Gender: FemaleCrusaders Central ClinicAssociatio1215 N Alpine RdRockford, IL 61107(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Dobson, Jennifer CNMProvider ID: 1499985Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PM

Huntley, Alicia CNMProvider ID: 1546759Gender: FemaleRockford Health Physicians5970 Churchview DrRockford, IL 61107(815) 971-2000Fax: (815) 971-926700 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Latsch, Amber CNMProvider ID: 1546776Gender: FemaleRockford Health Physicians5970 Churchview DrRockford, IL 61107(815) 971-2000Fax: (815) 971-997800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Oerkftiz, Jennifer CNMProvider ID: 1499995Gender: FemaleCrusaders Central ClinicAssociatio1100 BroadwayRockford, IL 61104(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Oerkftiz, Jennifer CNMProvider ID: 1499995Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Oerkftiz, Jennifer CNMProvider ID: 1499995Gender: FemaleCrusaders Central ClinicAssociatio1215 N Alpine RdRockford, IL 61107(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Updated: 11/09/2018


Certified Nurse Midwife -cont.


Provider ID: 1500002Gender: FemaleCrusaders Central ClinicAssociatio1100 BroadwayRockford, IL 61104(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PM


Provider ID: 1500002Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PM


Provider ID: 1500002Gender: FemaleCrusaders Central ClinicAssociatio1215 N Alpine RdRockford, IL 61107(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PM


Provider ID: 1500002Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-160000 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PM

Piper, Heather CNMProvider ID: 1500003Gender: FemaleCrusaders Central ClinicAssociatio1100 BroadwayRockford, IL 61104(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Piper, Heather CNMProvider ID: 1500003Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Piper, Heather CNMProvider ID: 1500003Gender: FemaleCrusaders Central ClinicAssociatio1215 N Alpine RdRockford, IL 61107(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Piper, Heather CNMProvider ID: 1500003Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Rawajih, Sadie CNMProvider ID: 1546807Gender: FemaleRockford Health Physicians2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Rehberg, Stephanie CNMProvider ID: 1500009Gender: FemaleCrusaders Central ClinicAssociatio1100 BroadwayRockford, IL 61104(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Rehberg, Stephanie CNMProvider ID: 1500009Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Rehberg, Stephanie CNMProvider ID: 1500009Gender: FemaleCrusaders Central ClinicAssociatio1215 N Alpine RdRockford, IL 61107(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Rehberg, Stephanie CNMProvider ID: 1500009Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Wodell, Deborah CNMProvider ID: 1500043Gender: FemaleCrusaders Central ClinicAssociatio1100 BroadwayRockford, IL 61104(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Wodell, Deborah CNMProvider ID: 1500043Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Wodell, Deborah CNMProvider ID: 1500043Gender: FemaleCrusaders Central ClinicAssociatio1215 N Alpine RdRockford, IL 61107(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Wodell, Deborah CNMProvider ID: 1500043Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Updated: 11/09/2018


Dermatology

Taylor, Shannon PAProvider ID: 1546816Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-200000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Family Practice

Abunaw, Mercy APRNProvider ID: 1610456Gender: FemaleIn Home Medical Group LLC2222 E State St Ste 209Rockford, IL 61104(815) 988-850000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Adamson, John PAProvider ID: 1500082Gender: MaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Adamson, John PAProvider ID: 1559968Gender: MaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10981427

Adamson, John PAProvider ID: 1559969Gender: MaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10981428

Adamson, John PAProvider ID: 1559974Gender: MaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10981430

Barr, Jessica CNPProvider ID: 1546697Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-200000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Bowmar, Andrea CNPProvider ID: 1546703Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2404Fax: (815) 971-994500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 10959445

Brady, Michelle APRNProvider ID: 1499960Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-160000 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PM

Brady, Michelle APRNProvider ID: 1560075Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMMaximus ID: 10981565

Brady, Michelle APRNProvider ID: 1560077Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMMaximus ID: 10981566

Brady, Michelle APRNProvider ID: 1560079Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMMaximus ID: 10981567

Brokaw, Kristen APRNProvider ID: 1610874Gender: FemaleRosecrance Harrison Campus3815 Harrison AveRockford, IL 61108(815) 391-100000 Yrs/18 YrsMTWTHFSatSun 6:00 AM -5:30 PM

Brokaw, Kristen APRNProvider ID: 1610874Gender: FemaleRosecrance Inc1601 University DrRockford, IL 61107(815) 391-100000 Yrs/18 YrsMTWTHFSatSun 6:00 AM -5:30 PM

Buchenau, Amy CNPProvider ID: 1546704Gender: FemaleRockford Health Physicians2300 N Rockton Ave 2350 NRockton AveRockford, IL 61103(815) 971-5550Fax: (815) 971-682500 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Campbell, Gregory PAProvider ID: 1543175Gender: MaleSA Valley Clinic6824 Newburg RdRockford, IL 61108(779) 696-7610Fax: (779) 696-859200 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMMaximus ID: 10959458

Cleveland, Michelle CNP

Provider ID: 1546718Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-200000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Updated: 11/09/2018



Cobb, Joan APRNProvider ID: 1499975Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Cobb, Joan APRNProvider ID: 1560151Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10981677

Cobb, Joan APRNProvider ID: 1560153Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10981678

Cobb, Joan APRNProvider ID: 1560157Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10981680

Cox Rodriguez, Donna CNP

Provider ID: 1546721Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-200000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 10959491

Crum, Christina PAProvider ID: 1500085Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Crum, Christina PAProvider ID: 1560187Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10981705

Crum, Christina PAProvider ID: 1560189Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10981706

Crum, Christina PAProvider ID: 1560193Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-148500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10981708

Dall, Jeanne APRNProvider ID: 1499980Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PM

Dall, Jeanne APRNProvider ID: 1560206Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMMaximus ID: 10981710

Dall, Jeanne APRNProvider ID: 1560210Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMMaximus ID: 10981711

Dall, Jeanne APRNProvider ID: 1560212Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMMaximus ID: 10981712

Digvonni, Traci APRNProvider ID: 1499983Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Digvonni, Traci APRNProvider ID: 1560364Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Digvonni, Traci APRNProvider ID: 1560366Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Updated: 11/09/2018



Digvonni, Traci APRNProvider ID: 1560370Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Dinges, Jennifer CNPProvider ID: 1546726Gender: FemaleRockford Health Physicians102 Landmark DrWinnebago, IL 61088(815) 971-3200Fax: (815) 971-907600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 10959507

Eggers, Gordon PAProvider ID: 1500086Gender: MaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Eggers, Gordon PAProvider ID: 1560413Gender: MaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Eggers, Gordon PAProvider ID: 1560415Gender: MaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Eggers, Gordon PAProvider ID: 1560419Gender: MaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Elliott McCandless, ColleenAPRN

Provider ID: 1639010Gender: FemaleIn Home Medical Group2222 E State St Ste 209Rockford, IL 61104(815) 988-850000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Evans, Lisa CNPProvider ID: 1546734Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-943300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 10959538

Fanco, Josephine CNPProvider ID: 1546736Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-551000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Finnegan, Heather ARNP

Provider ID: 1637831Gender: FemaleIn Home Medical Group LLC2222 E State St Ste 209Rockford, IL 61104(815) 988-8500Fax: (815) 977-595600 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Forman, Courtney ARNP


Fulcomer, Andrea PAProvider ID: 1543263Gender: FemaleSA Five Points Clinic2404 Charles StRockford, IL 61108(779) 696-7910Fax: (779) 696-791800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMMaximus ID: 10953691

Gawaran, Emily CNPProvider ID: 1546738Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-5550Fax: (815) 971-682500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 10959546

Giardono, Angela ARNP


Gibbs, Tarah APRNProvider ID: 1639055Gender: MaleIn Home Medical Group, LLC2222 E State St Ste 209Rockford, IL 61104(815) 988-850000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Provider ID: 1499994Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-160000 Yrs/130 YrsLanguages: SpanishMTHF 8:00 AM - 5:00 PMTW 8:00 AM - 8:00 PMSat 9:00 AM - 12:00 PM


Provider ID: 1560468Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-160000 Yrs/130 YrsLanguages: SpanishMTHF 8:00 AM - 5:00 PMTW 8:00 AM - 8:00 PMSat 9:00 AM - 12:00 PM


Provider ID: 1560471Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-160000 Yrs/130 YrsLanguages: SpanishMTHF 8:00 AM - 5:00 PMTW 8:00 AM - 8:00 PMSat 9:00 AM - 12:00 PM


Updated: 11/09/2018




Provider ID: 1560473Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-160000 Yrs/130 YrsLanguages: SpanishMTHF 8:00 AM - 5:00 PMTW 8:00 AM - 8:00 PMSat 9:00 AM - 12:00 PM

Gonzalez, Nicole APRN

Provider ID: 1605011Gender: FemaleIn Home Medical Group2222 E State St Ste 209Rockford, IL 61104(815) 988-8500Fax: (815) 977-595600 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Gosnell, Jody APRNProvider ID: 1639020Gender: FemaleIn Home Medical Group2222 E State St Ste 209Rockford, IL 61104(815) 988-8500Fax: (815) 977-595600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Guiab, Mark APRNProvider ID: 1627378Gender: MaleIn Home Medical Group, LLC2222 E State St Ste 209Rockford, IL 61104(815) 988-8500Fax: (815) 977-595600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Hadie, Angela APRNProvider ID: 1545884Gender: FemaleRockford Health Physicians2400 N Rockton AveRockford, IL 6110300 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Hammond, Cynthia APRN

Provider ID: 1558983Gender: FemaleIn Home Medical Group LLC2222 E State St Ste 209Rockford, IL 61104(815) 988-8500Fax: (815) 977-595600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 10976104

Hartzell, Melissa PAProvider ID: 1500087Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Hartzell, Melissa PAProvider ID: 1561332Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Hartzell, Melissa PAProvider ID: 1561334Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Hartzell, Melissa PAProvider ID: 1561336Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Hedberg, Alina CNPProvider ID: 1546746Gender: FemaleRockford Health Physicians3401 N Perryville RdRockford, IL 61114(815) 971-2000Fax: (815) 971-944700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 10959576

Henriquez, Whitney CNM

Provider ID: 1546748Gender: FemaleRockford Health Physicians5970 Churchview DrRockford, IL 61107(815) 971-2000Fax: (815) 971-926700 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Hess, Meghan CNPProvider ID: 1546755Gender: FemaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-2200Fax: (815) 971-909700 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Hitz, Leonard APRNProvider ID: 1500000Gender: MaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Hitz, Leonard APRNProvider ID: 1561372Gender: MaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Hitz, Leonard APRNProvider ID: 1561374Gender: MaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Hitz, Leonard APRNProvider ID: 1561376Gender: MaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Jack, Cynthia CNPProvider ID: 1546760Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-200000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Johnson, Megan APRNProvider ID: 1638938Gender: FemaleIn Home Medical Group LLC2222 E State St Ste 209Rockford, IL 61104(815) 988-8500Fax: (815) 977-595600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Updated: 11/09/2018



Kitts-Faron, Angela APRNProvider ID: 1500010Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Kitts-Faron, Angela APRNProvider ID: 1561442Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Kitts-Faron, Angela APRNProvider ID: 1561445Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Kitts-Faron, Angela APRNProvider ID: 1561452Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Korbol, Michael PAProvider ID: 1543436Gender: MaleSA Immediate Care2473 McFarland RdRockford, IL 61107(779) 696-9202Fax: (779) 696-779400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 8:00 PMSat-Sun 10:00 AM - 6:00 PMMaximus ID: 10959649

Laput, Kenneth APRNProvider ID: 1567130Gender: Male2400 N Rockford AveRockford, IL 61103(815) 971-631000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Lewis, Sarah CNPProvider ID: 1546789Gender: FemaleRockford Health Physicians3401 N Perryville RdRockford, IL 61114(815) 971-200000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 10959696

Maas, Sarah ARNPProvider ID: 1605015Gender: FemaleIn Home Medical Group2222 E State St Ste 209Rockford, IL 61104(815) 988-8500Fax: (815) 977-595600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Magdadaro, Dennis CNP

Provider ID: 1546793Gender: MaleRockford Health Physicians3401 N Perryville RdRockford, IL 61114(815) 971-200000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 10959687

Maher, Karen APRNProvider ID: 1593820Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10953366

Maher, Karen APRNProvider ID: 1593823Gender: FemaleCrusaders Central ClinicAssociatio1215 N Alpine RdRockford, IL 61107(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10953382

Maher, Karen APRNProvider ID: 1593827Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10953386

Mork, Joseph PAProvider ID: 1553816Gender: MaleCrusader Community Health1100 BroadwayRockford, IL 61102(815) 490-1416Fax: (815) 490-188100 Yrs/130 YrsMTH 8:00 AM - 8:00 PMTWF 8:00 AM - 5:00 PM

Mork, Joseph PAProvider ID: 1560025Gender: MaleCrusader Community Health1200 W State StRockford, IL 61102(815) 490-1416Fax: (815) 490-188100 Yrs/130 YrsM 8:00 AM - 8:00 PMTWTHF 8:00 AM - 5:00 PMMaximus ID: 10981772

Mork, Joseph PAProvider ID: 1560027Gender: MaleCrusader Community Health1002 N Pierpont AveRockford, IL 61101(815) 490-1416Fax: (815) 490-188100 Yrs/130 YrsM 8:00 AM - 8:00 PMTWTHF 8:00 AM - 5:00 PMMaximus ID: 10981773

Mork, Joseph PAProvider ID: 1560029Gender: MaleCrusader Community Health245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-1416Fax: (815) 490-188100 Yrs/130 YrsM 8:00 AM - 8:00 PMTWTHF 8:00 AM - 5:00 PMMaximus ID: 10981774

Mork, Joseph PAProvider ID: 1560031Gender: MaleCrusader Community Health6115 N 2nd StLoves Park, IL 61111(815) 490-1416Fax: (815) 490-188100 Yrs/130 YrsM 8:00 AM - 8:00 PMTWTHF 8:00 AM - 5:00 PMMaximus ID: 10981775


Updated: 11/09/2018



Murtaugh, Mary APRNProvider ID: 1499986Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10989506

Murtaugh, Mary APRNProvider ID: 1593834Gender: FemaleCrusaders Central ClinicAssociatio1100 BroadwayRockford, IL 61104(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10953375

Murtaugh, Mary APRNProvider ID: 1593837Gender: FemaleCrusaders Central ClinicAssociatio1215 N Alpine RdRockford, IL 61107(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10953381

Murtaugh, Mary APRNProvider ID: 1593838Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10953362

Murtaugh, Mary APRNProvider ID: 1593841Gender: FemaleCrusaders Central ClinicAssociatio840 Blackhawk BlvdSouth Beloit, IL 61080(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10953361

Nagus, Lindsay APRNProvider ID: 1499989Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-188102 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Nagus, Lindsay APRNProvider ID: 1560048Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188102 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10981793

Nagus, Lindsay APRNProvider ID: 1560052Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-1600Fax: (815) 490-188102 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10981795

Nagus, Lindsay APRNProvider ID: 1560054Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188102 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10981796

Opakunle, AdeshalewaAdemoyo APRN


Ostrander, Lu CNPProvider ID: 1546798Gender: FemaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-2200Fax: (815) 971-909700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 10959769

Pearson, Angela CNPProvider ID: 1546799Gender: FemaleRockford Health Physicians7402 E Riverside BlvdLoves Park, IL 61111(815) 226-9642Fax: (815) 226-967200 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Pinawin, Maxita CNPProvider ID: 1546801Gender: Female2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-964000 Yrs/130 Yrs

Pinawin, Maxita CNPProvider ID: 1546801Gender: FemaleRockford Health Physicians3401 N Perryville Rd Ste 100Rockford, IL 61114(815) 971-2790Fax: (815) 971-901000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Powell, Christina CNPProvider ID: 1546803Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-200000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 10959773

Rantissi, Lizabeth PAProvider ID: 1500089Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Rantissi, Lizabeth PAProvider ID: 1560209Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10981902

Rantissi, Lizabeth PAProvider ID: 1560211Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10981903


Updated: 11/09/2018



Rantissi, Lizabeth PAProvider ID: 1560213Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10981904

Ranz, Niccole APRNProvider ID: 1639307Gender: FemaleIn Home Medical Group LLC2222 E State St Ste 209Rockford, IL 61104(815) 988-8500Fax: (815) 977-595600 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Reinagle, Rachael APRN

Provider ID: 1640887Gender: FemaleIn Home Medical Group LLC2222 E State St Ste 209Rockford, IL 61104(815) 988-850000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Rieches, Beth APRNProvider ID: 1639632Gender: FemaleIn Home Medical Group LLC2222 E State St Ste 209Rockford, IL 61104(815) 988-8500Fax: (815) 977-595600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Russom, Briana PAProvider ID: 1543633Gender: FemaleSA Immediate Care2473 McFarland RdRockford, IL 61107(779) 696-9202Fax: (779) 696-779400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 8:00 PMSat-Sun 10:00 AM - 6:00 PMMaximus ID: 10953835

Schenck, Katherine PAProvider ID: 1500090Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Schenck, Katherine PAProvider ID: 1560277Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10981946

Schenck, Katherine PAProvider ID: 1560278Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10981947

Schenck, Katherine PAProvider ID: 1560279Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10981948

Schroeder, Judy APRNProvider ID: 1558985Gender: FemaleIn Home Medical Group LLC2222 E State St Ste 209Rockford, IL 61104(815) 988-8500Fax: (815) 977-595600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 10976151

Sheahan, Theresa APRNProvider ID: 1500019Gender: FemaleCrusaders Central ClinicAssociatio1100 BroadwayRockford, IL 61104(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Sheahan, Theresa APRNProvider ID: 1560301Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10982168

Sheahan, Theresa APRNProvider ID: 1560302Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10982170

Sheahan, Theresa APRNProvider ID: 1560303Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10982171

Sheahan, Theresa APRNProvider ID: 1560304Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10982173

Slavicek, Laura PAProvider ID: 1500091Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Updated: 11/09/2018



Slavicek, Laura PAProvider ID: 1560314Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Slavicek, Laura PAProvider ID: 1560317Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Slavicek, Laura PAProvider ID: 1560319Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Sternhagen, Deeann CNP

Provider ID: 1546811Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-221200 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 10959906

Strombeck, Juliette ARNP



Provider ID: 1500021Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: Russian, TurkishM-F 8:00 AM - 5:00 PM


Provider ID: 1560412Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-162500 Yrs/130 YrsLanguages: RussianM-F 8:00 AM - 5:00 PMMaximus ID: 10982278


Provider ID: 1560504Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: RussianM-F 8:00 AM - 5:00 PMMaximus ID: 10982280


Provider ID: 1560511Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: RussianM-F 8:00 AM - 5:00 PMMaximus ID: 10982281

Taylor, Jennifer APRNProvider ID: 1593791Gender: FemaleCrusaders Central ClinicAssociatio1100 BroadwayRockford, IL 61104(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10953373

Taylor, Jennifer APRNProvider ID: 1593799Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10953364

Taylor, Jennifer APRNProvider ID: 1593803Gender: FemaleCrusaders Central ClinicAssociatio1215 N Alpine RdRockford, IL 61107(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10953379

Taylor, Jennifer APRNProvider ID: 1593806Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10953384

Taylor, Trisha PAProvider ID: 1500092Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Taylor, Trisha PAProvider ID: 1560537Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10982274

Taylor, Trisha PAProvider ID: 1560540Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10982276


Updated: 11/09/2018



Taylor, Trisha PAProvider ID: 1560542Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10982277

Thompson, Beth CNPProvider ID: 1546820Gender: FemaleRockford Health Physicians102 Landmark DrWinnebago, IL 61088(815) 971-3200Fax: (815) 971-907600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 10959914

Tiegs, Micah PAProvider ID: 1500098Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Tiegs, Micah PAProvider ID: 1560560Gender: FemaleCrusaders Central ClinicAssociatio1100 BroadwayRockford, IL 61104(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10982222

Tiegs, Micah PAProvider ID: 1560562Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10982225

Tiegs, Micah PAProvider ID: 1560563Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10982226

Toribio, Daramis APRNProvider ID: 1500036Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Toribio, Daramis APRNProvider ID: 1560568Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10982303

Toribio, Daramis APRNProvider ID: 1560570Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10982304

Toribio, Daramis APRNProvider ID: 1560573Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10982305

Van Daele, Sallie CNPProvider ID: 1546823Gender: FemaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-2200Fax: (815) 971-909700 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Vold, Jordan PAProvider ID: 1500102Gender: MaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Vold, Jordan PAProvider ID: 1560607Gender: MaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10982319

Vold, Jordan PAProvider ID: 1560610Gender: MaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10982324

Vold, Jordan PAProvider ID: 1560612Gender: MaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10982325

Wendt, Lauran ARNPProvider ID: 1638982Gender: FemaleIn Home Medical Group LLC2222 E State St Ste 209Rockford, IL 61104(815) 988-8500Fax: (815) 977-595600 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Updated: 11/09/2018



Whitney, Mark PAProvider ID: 1543762Gender: MaleSA Immediate Care2473 McFarland RdRockford, IL 61107(779) 696-9202Fax: (779) 696-779400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 8:00 PMSat-Sun 10:00 AM - 6:00 PMMaximus ID: 10959935

Woker, Rachel CNPProvider ID: 1546830Gender: FemaleRockford Health Physicians2300 N Rockton Ave Bldg 1Rockford, IL 61103(815) 971-2007Fax: (815) 971-991300 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Young, Amy APRNProvider ID: 1610856Gender: FemaleRosecrance Inc1601 University DrRockford, IL 61107(815) 391-100000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Young, Amy APRNProvider ID: 1610856Gender: FemaleRosecrance Inc3815 Harrison AveRockford, IL 61108(815) 391-100000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Young, Amy APRNProvider ID: 1610856Gender: FemaleRosecrance Inc8616 Northern AveRockford, IL 61107(815) 391-100000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Gastroenterology

Hotopp, Marjorie APRN

Provider ID: 1533286Gender: Female401 Roxbury RdRockford, IL 61107(815) 397-7340Fax: (815) 397-738800 Yrs/130 YrsM-F 7:00 AM - 5:00 PM

Sackmaster, Stacia APRN

Provider ID: 1533295Gender: Female401 Roxbury RdRockford, IL 61107(815) 397-7340Fax: (815) 397-738800 Yrs/130 YrsM-F 7:30 AM - 5:00 PM

Scott, Corrie APRNProvider ID: 1548986Gender: FemaleRockford GastroenterologyAssociate401 Roxbury RdRockford, IL 61107(815) 397-7340Fax: (815) 397-738818 Yrs/130 YrsM-F 7:00 AM - 5:00 PM

Vernon, Dawn APRNProvider ID: 1533279Gender: Female401 Roxbury RdRockford, IL 61107(815) 397-7340Fax: (815) 397-738800 Yrs/130 YrsM-F 7:00 AM - 5:00 PM

Washo, Audra APRNProvider ID: 1533303Gender: Female401 Roxbury RdRockford, IL 61107(815) 397-7340Fax: (815) 397-738800 Yrs/130 YrsM-F 7:00 AM - 5:00 PM

Geriatric Medicine

Antle, Lisa ARNPProvider ID: 1639303Gender: FemaleIn Home Medical Group2222 E State St Ste 209Rockford, IL 61104(815) 988-850000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Engelkes, Molly ARNPProvider ID: 1607962Gender: FemaleIn Home Medical Group2222 E State St Ste 209Rockford, IL 61104(815) 988-8500Fax: (815) 977-595600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Gisel, Lynnette CNPProvider ID: 1546740Gender: FemaleRockford Health Physicians3401 N Perryville RdRockford, IL 61114(815) 971-200000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Lee, Sandra CNPProvider ID: 1546780Gender: FemaleRockford Health Physicians5000 Prairie Rose DrRoscoe, IL 61073(815) 971-3403Fax: (815) 971-907000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Royer Patel, Elizabeth ARNP

Provider ID: 1606203Gender: FemaleIn Home Medical Group2222 E State St Ste 209Rockford, IL 61104(815) 988-8500Fax: (815) 977-595600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Sargent, Judith APRNProvider ID: 1639027Gender: FemaleIn Home Medical Group2222 E State St Ste 209Rockford, IL 61104(815) 988-850000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Schier, Andrea CNPProvider ID: 1546809Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2000Fax: (815) 971-943300 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Wilkinson, Michele CNP


Gynecology

Koch, Laura CNPProvider ID: 1546770Gender: FemaleRockford Health Physicians3401 N Perryville RdRockford, IL 61114(815) 971-3340Fax: (815) 971-982300 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Celner, Anne CNPProvider ID: 1546716Gender: FemaleRockford Health Physicians2400 N Rockton Ave Ste A3Rockford, IL 61103(815) 971-500000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Updated: 11/09/2018


Hematology & Oncology- cont.

Johnson, Amanda PAProvider ID: 1546763Gender: FemaleRockford Health Physicians7180 Spring Brook Rd Ste BRockford, IL 61114(815) 971-2299Fax: (815) 971-995900 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Rindt, Kristin PAProvider ID: 1543593Gender: FemaleSA Regional Cancer Center3535 N Bell School RdRockford, IL 61114(779) 696-9400Fax: (779) 696-933400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PM

Internal Medicine

Carter, Colette CNPProvider ID: 1546709Gender: FemaleRockford Health Physicians3401 N Perryville RdRockford, IL 61114(815) 971-200000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 10959485



Provider ID: 1499991Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Provider ID: 1499991Gender: FemaleCrusaders Central ClinicAssociatio1100 BroadwayRockford, IL 61104(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Provider ID: 1499991Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Provider ID: 1499991Gender: FemaleCrusaders Central ClinicAssociatio1215 N Alpine RdRockford, IL 61107(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Provider ID: 1499991Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Provider ID: 1499991Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Provider ID: 1499991Gender: FemaleCrusaders Central ClinicAssociatio840 Blackhawk BlvdSouth Beloit, IL 61080(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

McNeal, Carol LCSWProvider ID: 1500023Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

McNeal, Carol LCSWProvider ID: 1500023Gender: FemaleCrusaders Central ClinicAssociatio1100 BroadwayRockford, IL 61104(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

McNeal, Carol LCSWProvider ID: 1500023Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

McNeal, Carol LCSWProvider ID: 1500023Gender: FemaleCrusaders Central ClinicAssociatio1215 N Alpine RdRockford, IL 61107(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

McNeal, Carol LCSWProvider ID: 1500023Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

McNeal, Carol LCSWProvider ID: 1500023Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

McNeal, Carol LCSWProvider ID: 1500023Gender: FemaleCrusaders Central ClinicAssociatio840 Blackhawk BlvdSouth Beloit, IL 61080(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Ryall, Andrew LPCProvider ID: 1500012Gender: MaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Updated: 11/09/2018


Neonatology

Damon, Sandra CNPProvider ID: 1546724Gender: FemaleRockford Health Physicians2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/18 YrsM-F 9:00 AM - 5:00 PM

Ellingdon, Antoinette CNP

Provider ID: 1546730Gender: FemaleRockford Health Physicians-2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/18 YrsM-F 9:00 AM - 5:00 PM

Lenox, Marjorie CNPProvider ID: 1546785Gender: FemaleRockford Health Physicians2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Mommer, Joan CNPProvider ID: 1546795Gender: FemaleRockford Health Physicians2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Swanson, Susan CNPProvider ID: 1546813Gender: FemaleRockford Health Physicians2400 N Rockton AveRockford, IL 61103(815) 971-500000 Yrs/18 YrsM-F 9:00 AM - 5:00 PM

Nephrology

Turk, Jennifer CNPProvider ID: 1634094Gender: FemaleRockford NephrologyAssociates LLC612 Roxbury RdRockford, IL 61107(608) 263-953100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Neurology

Cain, Maureen APRNProvider ID: 1546708Gender: FemaleRockford Health Physicians2350 N Rockton Ave Ste 502Rockford, IL 61103(815) 971-7600Fax: (815) 971-990100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Neurosurgery

Zingre, Mary PAProvider ID: 1543774Gender: FemaleNeurosurgery/HeadacheMedicine1340 Charles St Ste 400Rockford, IL 61104(815) 489-9512Fax: (779) 696-548800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PM

Nurse Practitioner AcuteCare

Harmon, Kamela CNPProvider ID: 1546744Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-2555Fax: (815) 971-258500 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Huber, Alysia CNPProvider ID: 1546758Gender: FemaleRockford Health Physicians2400 N Rockton Ave 2350 NRockton AveRockford, IL 61103(815) 971-740000 Yrs/18 YrsM-F 9:00 AM - 5:00 PM

Jordal, Danielle ARNPProvider ID: 1645199Gender: FemaleIn Home Medical Group LLC2222 E State St Ste 209Rockford, IL 61104(815) 988-8500Fax: (815) 977-595600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Van Vleet, Stacy CNPProvider ID: 1546826Gender: FemaleRockford Health Physicians2300 N Rockton Ave 2350 NRockton AveRockford, IL 61103(815) 971-5550Fax: (815) 971-682500 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Zimmerman, Rebecca CNP

Provider ID: 1546832Gender: FemaleRockford Health Physicians2300 N Rockton Ave 2350 NRockton AveRockford, IL 61103(815) 971-5550Fax: (815) 971-682500 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Nurse Practitioner AdultHealth

Karugu, Caroline APRN


Nurse PractitionerGerentology

Liebendorfer, Jaycie APRN

Provider ID: 1640846Gender: FemaleIn Home Medical Group LLC2222 E State St Ste 209Rockford, IL 61104(815) 988-850000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Bass, Joyce CNPProvider ID: 1546699Gender: FemaleRockford Health Physicians7180 Spring Brook Rd Ste BRockford, IL 61114(815) 971-2299Fax: (815) 971-995900 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Carey, Rebekah APRNProvider ID: 1531830Gender: FemaleCornerstone Clinic LTD9721 N Alpine RdMachesney Park, IL 61115(815) 484-6300Fax: (815) 395-202100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Updated: 11/09/2018



Gonzalez, Marie APRNProvider ID: 1499997Gender: FemaleCrusader Community Health1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PM

Gonzalez, Marie APRNProvider ID: 1499997Gender: FemaleCrusader Community Health1215 N Alpine RdRockford, IL 61107(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PM

Gonzalez, Marie APRNProvider ID: 1499997Gender: FemaleCrusader Community Health245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-160000 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PM

Gonzalez, Marie APRNProvider ID: 1499997Gender: FemaleCrusader Community Health6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PM

Gonzalez, Marie APRNProvider ID: 1499997Gender: FemaleCrusader Community Health840 Blackhawk BlvdSouth Beloit, IL 61080(815) 490-160000 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PM

Gonzalez, Marie APRNProvider ID: 1499997Gender: FemaleCrusaders Central ClinicAssociatio1100 BroadwayRockford, IL 61104(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: SpanishMTHF 8:00 AM - 5:00 PMTW 8:00 AM - 8:00 PMSat 9:00 AM - 12:00 PM

Naleway, Karen APRNProvider ID: 1499992Gender: FemaleCrusaders Central ClinicAssociatio1100 BroadwayRockford, IL 61104(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: SpanishMTHF 8:00 AM - 5:00 PMTW 8:00 AM - 8:00 PMSat 8:00 AM - 12:00 PM

Naleway, Karen APRNProvider ID: 1499992Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PM

Naleway, Karen APRNProvider ID: 1499992Gender: FemaleCrusaders Central ClinicAssociatio1215 N Alpine RdRockford, IL 61107(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PM

Naleway, Karen APRNProvider ID: 1499992Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PM


Branstiter, Nicole OTProvider ID: 1488741Gender: FemaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-450000 Yrs/130 YrsM-F 8:30 AM - 5:30 PM

Krueger, Stephanie OTProvider ID: 1488644Gender: FemaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-450000 Yrs/130 YrsM-F 8:30 AM - 5:30 PM

Orthopaedic Surgery

Jacobson, Justin PAProvider ID: 1543363Gender: MaleLundholm Orthopedics1340 Charles St Ste 100Rockford, IL 61104(779) 696-1900Fax: (779) 696-889400 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PM


Muccianti, Jessica PAProvider ID: 1543517Gender: FemaleSA Brookside Specialty Center1253 N Alpine RdRockford, IL 61107(779) 696-9201Fax: (779) 696-787000 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PMSat 9:00 AM - 12:00 PM

Pain Management

Wojciechowski, Tamara CRNAProvider ID: 1500047Gender: Female1100 BroadwayRockford, IL 61104(815) 490-1600Fax: (815) 490-188100 Yrs/130 Yrs

Wojciechowski, Tamara CRNA

Provider ID: 1500047Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Updated: 11/09/2018



Dean, Joni CNPProvider ID: 1637299Gender: FemaleSwedishamerican WoodsideClinic Pe3775 N Mulford RdRockford, IL 61114(779) 696-8499Fax: (779) 696-848600 Yrs/18 YrsM-F 8:00 AM - 5:00 PM

Pediatric Urology

Thaker, Patricia CNPProvider ID: 1637323Gender: FemaleSwedishamerican WoodsideClinic Pe3775 N Mulford RdRockford, IL 61114(779) 696-849900 Yrs/18 YrsM-F 8:00 AM - 5:00 PM

Pediatrics

Benters, Jennifer APRNProvider ID: 1499946Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PM

Benters, Jennifer APRNProvider ID: 1560051Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMMaximus ID: 10981553

Benters, Jennifer APRNProvider ID: 1560053Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMMaximus ID: 10981554

Benters, Jennifer APRNProvider ID: 1560057Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMMaximus ID: 10981558

Blaser, Carrie APRNProvider ID: 1560068Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-160000 Yrs/21 YrsM 8:00 AM - 8:00 PMTWTHF 8:00 AM - 5:00 PMMaximus ID: 10981547

Blaser, Carrie APRNProvider ID: 1560070Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsM 8:00 AM - 8:00 PMTWTHF 8:00 AM - 5:00 PMMaximus ID: 10981548

Blaser, Carrie APRNProvider ID: 1560073Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsM 8:00 AM - 8:00 PMTWTHF 8:00 AM - 5:00 PMMaximus ID: 10981549

Bustle, Amanda APRNProvider ID: 1499970Gender: FemaleCrusaders Central ClinicAssociatio1100 BroadwayRockford, IL 61104(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsMTHF 8:00 AM - 5:00 PMTW 8:00 AM - 8:00 PMSat 8:00 AM - 12:00 PM

Bustle, Amanda APRNProvider ID: 1560101Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsMTHF 8:00 AM - 5:00 PMTW 8:00 AM - 8:00 PMSat 8:00 AM - 12:00 PMMaximus ID: 10981655

Bustle, Amanda APRNProvider ID: 1560103Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsMTHF 8:00 AM - 5:00 PMTW 8:00 AM - 8:00 PMSat 8:00 AM - 12:00 PMMaximus ID: 10981656

Bustle, Amanda APRNProvider ID: 1560105Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsMTHF 8:00 AM - 5:00 PMTW 8:00 AM - 8:00 PMSat 8:00 AM - 12:00 PMMaximus ID: 10981657

Cummins, Kerin APRNProvider ID: 1499977Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsM-F 8:00 AM - 5:00 PM

Cummins, Kerin APRNProvider ID: 1560200Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10981715

Cummins, Kerin APRNProvider ID: 1560202Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-160000 Yrs/21 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10981716


Updated: 11/09/2018


Pediatrics - cont.

Cummins, Kerin APRNProvider ID: 1560204Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10981717

Meyer, Debra APRNProvider ID: 1499979Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-160000 Yrs/21 YrsM-F 8:00 AM - 5:00 PM

Meyer, Debra APRNProvider ID: 1559996Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-160000 Yrs/21 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10981750

Meyer, Debra APRNProvider ID: 1559998Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-160000 Yrs/21 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10981751

Meyer, Debra APRNProvider ID: 1560000Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10981757

Morgan, Barbara APRNProvider ID: 1499984Gender: FemaleCrusaders Central ClinicAssociatio1002 N Pierpont AveRockford, IL 61101(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PM

Morgan, Barbara APRNProvider ID: 1560015Gender: FemaleCrusaders Central ClinicAssociatio245 Prairie Hill RdSouth Beloit, IL 61080(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMMaximus ID: 10981766

Morgan, Barbara APRNProvider ID: 1560017Gender: FemaleCrusaders Central ClinicAssociatio6115 N 2nd StLoves Park, IL 61111(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMMaximus ID: 10981767

Morgan, Barbara APRNProvider ID: 1560021Gender: FemaleCrusaders Central ClinicAssociatio1200 W State StRockford, IL 61102(815) 490-1600Fax: (815) 490-188100 Yrs/21 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMMaximus ID: 10981769

Sniderman, Elizabeth CNP



Barnes, Katarzyna ARNP

Provider ID: 1330977Gender: FemaleIntegrative Rehabmedicine SC345 Executive PkwyRockford, IL 61107(888) 521-2224Fax: (847) 577-982312 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Binder, Jennifer APRN

Provider ID: 1330978Gender: FemaleIntegrative Rehabmedicine SC345 Executive Pkwy Ste M4Rockford, IL 61107(847) 305-1954Fax: (815) 229-943012 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Patel, Minal PAProvider ID: 1407883Gender: FemaleIntegrative Rehabmedicine SC345 Executive Pkwy Ste M4Rockford, IL 61107(847) 305-1954Fax: (815) 229-943012 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Piwko Matenko, KarolinaARNP

Provider ID: 1363326Gender: Female345 Executive Pkwy Ste M4Rockford, IL 61107(847) 305-1954Fax: (815) 229-943012 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Walsh, Jennifer APRNProvider ID: 1331518Gender: FemaleIntegrative Rehabmedicine SC345 Executive Pkwy Ste M4Rockford, IL 61107(847) 305-1954Fax: (815) 229-943012 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Physical Therapy

Brown, Rebecca PTProvider ID: 1488575Gender: FemaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-450000 Yrs/130 YrsM-F 8:30 AM - 5:30 PM


Updated: 11/09/2018



Fischer, K. PTProvider ID: 1543248Gender: MaleNeurosurgery/HeadacheMedicine1340 Charles St Ste 400Rockford, IL 61104(779) 696-9512Fax: (779) 696-548800 Yrs/130 YrsSwedish American HospitalM-F 8:00 AM - 5:00 PM

Hart, Lauren PTProvider ID: 1488647Gender: FemaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-450000 Yrs/130 YrsM-F 8:30 AM - 5:30 PM

Hawley, Nathan PTProvider ID: 1488834Gender: MaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-450000 Yrs/130 YrsM-F 8:30 AM - 5:30 PM

Hoffman, Matthew PTProvider ID: 1488492Gender: MaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-450000 Yrs/130 YrsM-F 8:30 AM - 5:30 PM

Jay, Gina PTProvider ID: 1488681Gender: FemaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-450000 Yrs/130 YrsM-F 8:30 AM - 5:30 PM

Keyes, Brittany PTProvider ID: 1488751Gender: FemaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-450000 Yrs/130 YrsM-F 8:30 AM - 5:30 PM

Leach, Kelley PTProvider ID: 1488698Gender: FemaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-450000 Yrs/130 YrsM-F 8:30 AM - 5:30 PM

McManus, Gayle PTProvider ID: 1488639Gender: FemaleBeloit Health SystemNorthpointe5605 E Rockton RdRoscoe, IL 61073(815) 525-450000 Yrs/130 YrsM-F 8:30 AM - 5:30 PM

Physician Assistant

Kucia, Tammy PAProvider ID: 1546772Gender: FemaleRockford Health Physicians2300 N Rockton AveRockford, IL 61103(815) 971-200000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Physician Assistant AcuteCare

Maher, Karen APRNProvider ID: 1593817Gender: FemaleCrusaders Central ClinicAssociatio1100 BroadwayRockford, IL 61104(815) 490-160000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMMaximus ID: 10953376

Psychiatry

Aleksich, Sherry APRN

Provider ID: 1610837Gender: FemaleRosecrance Inc1601 University DrRockford, IL 61107(815) 391-1000Fax: (815) 316-472618 Yrs/65 YrsM-F 9:00 AM - 5:00 PM

Aleksich, Sherry APRN

Provider ID: 1610837Gender: FemaleRosecrance Inc8616 Northern AveRockford, IL 61107(815) 332-8003Fax: (815) 316-472618 Yrs/65 YrsM-F 9:00 AM - 5:00 PM

Nelson, Lori ARNPProvider ID: 1627386Gender: FemaleIn Home Medical Group LLC2222 E State St Ste 209Rockford, IL 61104(815) 988-8500Fax: (815) 977-595600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Vascular Surgery

Terasa, Matthew PAProvider ID: 1546818Gender: MaleRockford Health Physicians2350 N Rockton AveRockford, IL 61103(815) 971-220000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Allied ProvidersWoodford

Updated: 11/09/2018


Dermatology

Stern, Jennifer APRNProvider ID: 1188527Gender: FemaleAdvocate Eureka Hospital101 S Major StEureka, IL 61530(309) 481-3021Fax: (309) 452-337600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

List of Plan Providers for Long Term Services and Supports

(LTSS)

Lista de proveedores del plan para servicios de apoyo a largo plazo

(LTSS)

The providers in this section may only be selected by LTSS members. If you have questions, call the LTSS Customer Service Department toll-free at

Los proveedores en esta sección solo pueden ser seleccionados por miembros de LTSS. Si tiene preguntas, llame sin cargo al Departamento de Servicio al Cliente de LTSS al 1-800-608-8158 (TTY 711).000000000000000

1-800-608-8158 (TTY 711).000000000000000

Long Term Services And SupportsBureau

Updated: 11/09/2018



Colonial Healthcare AndrehabCenter

Provider ID: TPV004990101-01515 S Bureau Valley PkwyPrinceton, IL 61356(815) 875-3347Fax: (815) 875-334700 Yrs/99 Yrs

Manor Court of PrincetonProvider ID: TPV004350101-01140 N 6th StPrinceton, IL 61356(815) 875-6600Fax: (815) 875-660000 Yrs/99 Yrs

Long Term Services And SupportsFulton

Updated: 11/09/2018


Home Health Care

Help At HomeProvider ID: TPV006290140-02700 E Oak St Ste 301Canton, IL 61520(309) 647-903600 Yrs/99 YrsM-F 8:00 AM - 5:00 PM

Spoon River Home HealthsvcsProvider ID: TPV008140101-0148 N East StFarmington, IL 61531(309) 245-0723Fax: (309) 245-072300 Yrs/99 YrsMTWTHFSatSun 9:00 AM -5:00 PM

Homemaker Service

Spoon River Home HealthsvcsProvider ID: TPV008140101-0248 N East StFarmington, IL 61531(309) 245-0723Fax: (309) 245-072300 Yrs/99 YrsMTWTHFSatSun 9:00 AM -5:00 PM


Renaissance Care CenterProvider ID: TPV004320101-011675 E Ash StCanton, IL 61520(309) 647-5631Fax: (309) 647-563100 Yrs/99 Yrs

Sunset Rehab Health CareCenter

Provider ID: TPV004370101-01129 S 1st AveCanton, IL 61520(309) 647-4327Fax: (309) 647-432700 Yrs/99 Yrs

Long Term Services And SupportsHenry

Updated: 11/09/2018



Hillcrest HomeProvider ID: TPV008850101-0114688 Illinois Hwy 82Geneseo, IL 61254(309) 944-841700 Yrs/99 Yrs

Kewanee Care HomeProvider ID: TPV005290101-01144 Junior AveKewanee, IL 61443(309) 853-4429Fax: (309) 853-442900 Yrs/99 YrsMTWTHFSatSun 9:00 AM -5:00 PM

Kewanee Care HomeProvider ID: TPV005290102-01144 Junior AveKewanee, IL 61443(309) 853-442900 Yrs/99 YrsMTWTHFSatSun 9:00 AM -5:00 PM

Royal Oaks Care CenterProvider ID: TPV004450101-01605 E Church StKewanee, IL 61443(309) 852-3389Fax: (309) 852-338900 Yrs/99 Yrs

Long Term Services And SupportsJo Daviess

Updated: 11/09/2018



Waverly Place StocktonProvider ID: TPV004750101-01501 E Front AveStockton, IL 61085(815) 947-2215Fax: (815) 947-221500 Yrs/99 Yrs

Long Term Services And SupportsKnox

Updated: 11/09/2018


Home Health Care

Help At HomeProvider ID: TPV006290124-02256 S Soangetaha Rd Ste 101Galesburg, IL 61401(309) 343-111800 Yrs/99 YrsM-F 8:00 AM - 5:00 PM


Care Center of AbingdonProvider ID: TPV005760101-01801 W Martin StAbingdon, IL 61410(309) 462-2356Fax: (309) 462-235600 Yrs/99 Yrs

County of Knox DBAKnoxcounty Nursing H

Provider ID: TPV008910101-01800 N Market StKnoxville, IL 61448(309) 289-2338Fax: (309) 289-233800 Yrs/99 YrsMTWTHFSatSun 0:00 AM -11:59 PM

Marigold Rehab andHealthcare Center

Provider ID: TPV005750101-01275 E Carl Sandburg DrGalesburg, IL 61401(309) 344-1151Fax: (309) 344-115100 Yrs/99 Yrs

Rosewood Care CenterOfgalesburg

Provider ID: TPV004920101-011250 W Carl Sandburg DrGalesburg, IL 61401(309) 344-5400Fax: (309) 344-540000 Yrs/99 Yrs

Seminary ManorProvider ID: TPV005320101-012345 N Seminary StGalesburg, IL 61401(309) 344-1300Fax: (309) 344-130000 Yrs/99 Yrs

Long Term Services And SupportsLA Salle

Updated: 11/09/2018


Home Health Care

Help At HomeProvider ID: TPV006290114-011689 N 31st RdOttawa, IL 61350(815) 434-110000 Yrs/99 YrsM-F 8:00 AM - 5:00 PM

Homemaker Service

Help At HomeProvider ID: TPV006290114-021689 N 31st RdOttawa, IL 61350(815) 434-110000 Yrs/99 YrsM-F 8:00 AM - 5:00 PM


Manor Court of PeruProvider ID: TPV006360101-013230 Becker DrPeru, IL 61354(815) 220-1400Fax: (815) 220-140000 Yrs/99 Yrs

Ottawa PavilionProvider ID: TPV007980101-01704 E Glover StOttawa, IL 61350(815) 431-490000 Yrs/99 YrsMTWTHFSatSun 0:00 AM -11:59 PM

Parker Nursing andRehabilitation Center

Provider ID: TPV004410101-01516 W. Frech StStreator, IL 61364(815) 672-2600Fax: (815) 672-260000 Yrs/99 Yrs

Long Term Services And SupportsLee

Updated: 11/09/2018


Homemaker Service

Genesis Home HealthcareProvider ID: TPV008810101-043550 Hobson Rd Ste 104Woodridge, IL 61021(815) 625-1115Fax: (815) 625-111500 Yrs/99 YrsMTWTHFSatSun 9:00 AM -5:00 PM


Genesis Home HealthcareProvider ID: TPV008810101-053550 Hobson Rd Ste 104Woodridge, IL 61021(815) 625-1115Fax: (815) 625-111500 Yrs/99 YrsMTWTHFSatSun 9:00 AM -5:00 PM

Long Term Services And SupportsMercer

Updated: 11/09/2018


Homemaker Service

Mercer County Health DeptProvider ID: TPV007990101-01305 NW 7th StAledo, IL 61231(309) 582-3759Fax: (309) 582-375900 Yrs/99 YrsMTWTHFSatSun 9:00 AM -5:00 PM


Aledo RehabilitationAndhealthcare Center

Provider ID: TPV005490101-01304 SW 12th StAledo, IL 61231(309) 582-5376Fax: (309) 582-537600 Yrs/99 Yrs

Long Term Services And SupportsOgle

Updated: 11/09/2018



Generations At NeighborsProvider ID: TPV005160101-01811 W 2nd StByron, IL 61010(815) 234-2511Fax: (815) 234-251100 Yrs/99 Yrs

Polo Rehab and Health CareCenter

Provider ID: TPV004710101-01703 E BuffaloPolo, IL 61064(815) 946-2203Fax: (815) 946-220300 Yrs/99 Yrs

Rochelle Gardens Care CenterProvider ID: TPV005310101-011021 N Caron RdRochelle, IL 61068(815) 562-4047Fax: (815) 562-404700 Yrs/99 Yrs

Rochelle Rehab and HealthCare Center

Provider ID: TPV005720101-01900 N 3rd StRochelle, IL 61068(815) 562-4111Fax: (815) 562-411100 Yrs/99 Yrs

Long Term Services And SupportsPeoria

Updated: 11/09/2018


Home Health Care

Help At HomeProvider ID: TPV006290146-027820 N University St Ste 108Peoria, IL 61614(309) 688-011600 Yrs/99 YrsM-F 8:00 AM - 5:00 PM

Homemaker Service

Advantage Nursing ServicesInc

Provider ID: TPV005250102-027501 N University St Ste 100Peoria, IL 61614(866) 383-353500 Yrs/99 YrsM-F 8:00 AM - 5:00 PM

Advantage Nursing ServicesInc

Provider ID: TPV008220101-047501 N University St Ste 100Peoria, IL 61614(866) 383-3535Fax: (866) 383-353500 Yrs/99 YrsMTWTHFSatSun 9:00 AM -5:00 PM


Heights Healthcare andRehabilitation

Provider ID: TPV004940101-011629 E Gardner LnPeoria, IL 61614(309) 685-1545Fax: (309) 685-154500 Yrs/99 Yrs

Manor Court of PeoriaProvider ID: TPV005460101-016900 N Stalworth DrPeoria, IL 61615(309) 693-1400Fax: (309) 693-140000 Yrs/99 Yrs

Rosewood Care CenterOfpeoria

Provider ID: TPV004460101-011500 W Northmoor RdPeoria, IL 61614(309) 691-2200Fax: (309) 691-220000 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Sharon Health Care WoodsProvider ID: TPV008070101-013223 W Richwoods BlvdPeoria, IL 61604(309) 685-5241Fax: (309) 685-524100 Yrs/99 YrsMTWTHFSatSun 0:00 AM -11:59 PM

Sharon Healthcare ElmsProvider ID: TPV008480101-013611 N Rochelle LnPeoria, IL 61604(309) 688-4412Fax: (309) 688-441200 Yrs/99 YrsMTWTHFSatSun 0:00 AM -11:59 PM

Long Term Services And SupportsRock Island

Updated: 11/09/2018


Home Health Care

Help At HomeProvider ID: TPV006290118-022020 52nd AveMoline, IL 61265(309) 764-770000 Yrs/99 YrsM-F 8:00 AM - 5:00 PM

Home Bound Healthcare IncProvider ID: TPV008890101-083401 16th StMoline, IL 61265(309) 762-7900Fax: (309) 762-790000 Yrs/99 YrsMTWTHFSatSun 9:00 AM -5:00 PM


Generations At Rock IslandProvider ID: TPV005740101-042545 24th StRock Island, IL 61201(800) 949-2159Fax: (800) 949-215900 Yrs/99 Yrs

Rosewood Care CenterOfmoline

Provider ID: TPV005510101-017300 34th AveMoline, IL 61265(309) 792-5940Fax: (309) 792-594000 Yrs/99 Yrs

Long Term Services And SupportsStephenson

Updated: 11/09/2018


Home Health Care

Help At HomeProvider ID: TPV006290107-021255 W Empire StFreeport, IL 61032(815) 232-085100 Yrs/99 YrsM-F 8:00 AM - 5:00 PM


Freeport Rehab and HealthCare Center

Provider ID: TPV005220101-01900 Kiwanis DrFreeport, IL 61032(815) 235-6196Fax: (815) 235-619600 Yrs/99 Yrs

Lena Living Center LLCProvider ID: TPV004600101-011010 S Logan StLena, IL 61048(815) 369-4561Fax: (815) 369-456100 Yrs/99 Yrs

Manor Court of FreeportProvider ID: TPV004310101-012170 W Navajo DrFreeport, IL 61032(815) 233-2400Fax: (815) 233-240000 Yrs/99 Yrs

Long Term Services And SupportsTazewell

Updated: 11/09/2018


Home Health Care

Community Care Systems IncProvider ID: TPV008520101-012810 Court StPekin, IL 61554(309) 353-2110Fax: (309) 353-211000 Yrs/99 YrsMTWTHFSatSun 9:00 AM -5:00 PM

Help At HomeProvider ID: TPV006290120-02236 Broadway StPekin, IL 61554(309) 353-465600 Yrs/99 YrsM-F 8:00 AM - 5:00 PM

Homemaker Service





Fondulac Rehab HealthcareCenter

Provider ID: TPV004560101-01901 Illini DrEast Peoria, IL 61611(309) 694-6446Fax: (309) 694-644600 Yrs/99 Yrs

Hallmark House NursingCenter

Provider ID: TPV008380101-012501 Allentown RdPekin, IL 61554(309) 347-3121Fax: (309) 347-312100 Yrs/99 YrsMTWTHFSatSun 0:00 AM -11:59 PM

Morton VillaHealthcarerehabilitation

Provider ID: TPV004480101-01190 E Queenwood RdMorton, IL 61550(309) 266-9741Fax: (309) 266-974100 Yrs/99 Yrs

Pekin ManorProvider ID: TPV005540101-011520 El Camino DrPekin, IL 61554(309) 353-1099Fax: (309) 353-109900 Yrs/99 Yrs

Rosewood Care CenterOfeast Peoria

Provider ID: TPV004380101-01900 Centennial DrEast Peoria, IL 61611(309) 699-5400Fax: (309) 699-540000 Yrs/99 Yrs

Timbercreek Rehab andHealth Care

Provider ID: TPV004810101-012220 State StPekin, IL 61554(309) 347-1110Fax: (309) 347-111000 Yrs/99 Yrs

Long Term Services And SupportsWarren

Updated: 11/09/2018



Roseville RehabilitationhealthCare

Provider ID: TPV005470101-01145 S Chamberlain StRoseville, IL 61473(309) 426-2134Fax: (309) 426-213400 Yrs/99 Yrs

Long Term Services And SupportsWhiteside

Updated: 11/09/2018


Home Health Care

Help At HomeProvider ID: TPV006290112-021611 1st AveRock Falls, IL 61071(815) 535-083000 Yrs/99 YrsM-F 8:00 AM - 5:00 PM


Pleasant View RehabAndhealth Care

Provider ID: TPV004400101-01500 N Jackson StMorrison, IL 61270(815) 772-7288Fax: (815) 772-728800 Yrs/99 Yrs

Regency Care of SterlingProvider ID: TPV004640101-01612 W. St Marys StSterling, IL 61081(815) 626-9020Fax: (815) 626-902000 Yrs/99 Yrs

Rock Falls Rehab and HealthCare Center

Provider ID: TPV004980101-01430 Martin RdRock Falls, IL 61071(815) 686-4575Fax: (815) 686-457500 Yrs/99 Yrs

Sterling PavilionProvider ID: TPV008440101-01105 E 23rd StSterling, IL 61081(815) 626-4264Fax: (815) 626-426400 Yrs/99 YrsMTWTHFSatSun 0:00 AM -11:59 PM

Long Term Services And SupportsWinnebago

Updated: 11/09/2018


Adult Day Care

Lifescape CommunityServices I

Provider ID: TPV008470101-01705 Kilburn AveRockford, IL 61101(815) 963-1609Fax: (815) 963-160900 Yrs/99 YrsMTWTHFSatSun 9:00 AM -5:00 PM

Home Delivered Meals



Home Health Care

Community Care Systems IncProvider ID: TPV008030101-013600 East State St Ste 328Rockford, IL 61108(815) 397-0410Fax: (815) 397-041000 Yrs/99 YrsMTWTHFSatSun 9:00 AM -5:00 PM

Help At HomeProvider ID: TPV006290131-024777 E State St Ste 10Rockford, IL 61108(815) 395-040000 Yrs/99 YrsM-F 8:00 AM - 5:00 PM

Homemaker Service







Amberwood Care CentreProvider ID: TPV004580101-012313 N Rockton AveRockford, IL 61103(815) 964-2200Fax: (815) 964-220000 Yrs/99 Yrs

Rosewood Care CenterOfrockford

Provider ID: TPV004260101-011660 S Mulford RdRockford, IL 61108(815) 397-6700Fax: (815) 397-670000 Yrs/99 Yrs

The Villa PA PetersonProvider ID: TPV006300101-011311 Parkview AveRockford, IL 61107(815) 399-8832Fax: (815) 399-883200 Yrs/99 Yrs

Long Term Services And SupportsWoodford

Updated: 11/09/2018



El Paso Health Care CenterProvider ID: TPV005060101-01850 E 2nd StEl Paso, IL 61738(309) 527-2700Fax: (309) 527-270000 Yrs/99 Yrs

PharmacyBoone

Updated: 11/09/2018


Retail

Shopko PharmacyProvider ID: TPV1487680443-01400 Big Thunder BlvdBelvidere, IL 61008(815) 547-3440Fax: (815) 547-881200 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Snyder PharmacyProvider ID: TPV1326202441-013521 IL Rt 76Poplar Grove, IL 61065(815) 765-1300Fax: (815) 765-232800 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 6:00 PM

WalgreensProvider ID: TPV1083629216-0Walgreens230 Chrysler DrBelvidere, IL 61008(815) 544-4790Fax: (815) 547-482700 Yrs/99 YrsMTWTHFSat 8:00 AM - 10:00PMSun 9:00 AM - 5:00 PM

Walmart PharmacyProvider ID: TPV1942227244-02101 Gateway Center DrBelvidere, IL 61008(815) 547-5724Fax: (815) 547-580100 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacyBureau

Updated: 11/09/2018


Retail

Fawcetts PharmacyProvider ID: TPV1871581926-0519 S Main StPrinceton, IL 61356(815) 872-3251Fax: (815) 872-159400 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 3:00 PM

Johnsons PharmacyProvider ID: TPV1316104144-0203 E Saint Paul StSpring Valley, IL 61362(815) 664-5050Fax: (815) 663-406900 Yrs/99 YrsM-F 8:00 AM - 5:00 PM

Princeton PharmacyProvider ID: TPV1396959938-0610 N Main StPrinceton, IL 61356(815) 875-1237Fax: (815) 872-174700 Yrs/99 YrsM-W 8:00 AM - 5:00 PMTHF 8:00 AM - 7:00 PMSat 8:00 AM - 3:00 PM

Sheffield PharmacyProvider ID: TPV1962867929-0134 S Main StSheffield, IL 61361(815) 454-8054Fax: (815) 454-800000 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 12:00 PM

Walmart PharmacyProvider ID: TPV1275550535-02111 Claude Bailey PkwyPrinceton, IL 61356(815) 875-4551Fax: (815) 875-802200 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 5:00 PM

PharmacyCarroll

Updated: 11/09/2018


Retail

Hartig Drug CoProvider ID: TPV1295897924-0218 Chicago AveSavanna, IL 61074(815) 273-2713Fax: (815) 273-738100 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 1:00 PM

Lanark PharmacyProvider ID: TPV1871975268-0102 N Broad StLanark, IL 61046(815) 493-2080Fax: (815) 493-208100 Yrs/99 YrsM-F 9:00 AM - 5:30 PMSat 9:00 AM - 12:00 PM

Mount Carroll PharmacyProvider ID: TPV1538582382-0101 W Market StMount Carroll, IL 61053(815) 244-2171Fax: (815) 244-117400 Yrs/99 YrsLanguages: SpanishMTWTHFSat 8:00 AM - 5:00PM

Shopko PharmacyProvider ID: TPV1154350387-0251 S 4th StSavanna, IL 61074(815) 273-3581Fax: (815) 273-359100 Yrs/99 YrsMTWTHFSatSun 7:00 AM -9:00 PM

PharmacyClinton

Updated: 11/09/2018


Retail

Hy-Vee PharmacyProvider ID: TPV1023054533-0901 S 4th StClinton, IA 52732(563) 243-6063Fax: (563) 244-090300 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 8:00 AM - 5:00 PMSun 9:00 AM - 6:00 PM

Osco PharmacyProvider ID: TPV1023064557-01307 N 2nd StClinton, IA 52732(563) 243-6641Fax: (563) 243-835400 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 8:00 AM - 6:00 PMSun 9:00 AM - 6:00 PM

Wagner Clinic PharmacyProvider ID: TPV1528155116-0915 13th Ave NClinton, IA 52732(563) 242-5944Fax: (563) 243-409400 Yrs/99 YrsM-F 8:00 AM - 6:00 PM

Wagner PharmacyProvider ID: TPV1154405538-01726 N 2nd StClinton, IA 52732(563) 242-0626Fax: (563) 242-672900 Yrs/99 YrsLanguages: RussianM-F 8:00 AM - 6:00 PMSat 8:00 AM - 4:00 PM

WalgreensProvider ID: TPV1134135726-0Walgreens1905 N 2nd StClinton, IA 52732(563) 243-2247Fax: (563) 243-233100 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1285649590-0Walgreens806 S 4th StClinton, IA 52732(563) 242-8011Fax: (563) 242-164600 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1730106121-02715 S 25th StClinton, IA 52732(563) 243-0600Fax: (563) 243-022200 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Wrightway LTC PharmacyProvider ID: TPV1730394826-01726 N 2nd StClinton, IA 52732(563) 242-9376Fax: (563) 242-149700 Yrs/99 YrsLanguages: RussianM-F 8:00 AM - 6:00 PMSat 8:00 AM - 4:00 PMSun 10:00 AM - 12:00 PM

PharmacyDekalb

Updated: 11/09/2018


Retail

CVSProvider ID: TPV1043232853-02555 Sycamore RdDekalb, IL 60115(815) 787-6971Fax: (815) 787-697000 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat-Sun 9:00 AM - 6:00 PM

CVSProvider ID: TPV1861756090-01022 W Lincoln HwyDekalb, IL 60115(815) 748-0648Fax: (815) 748-064900 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat-Sun 10:00 AM - 5:00 PM

Genoa PharmacyProvider ID: TPV1386078830-0228 W Main StGenoa, IL 60135(815) 784-2122Fax: (815) 784-213600 Yrs/99 YrsLanguages: HindiMTWTHFSun 10:00 AM - 7:00PMSat 10:00 AM - 2:00 PM

Hwy 72 PharmacyProvider ID: TPV1619285509-0527 W. Main St Unit 1WKirkland, IL 60146(815) 522-3898Fax: (815) 522-385900 Yrs/99 YrsLanguages: Spanish, HindiM-F 2:00 AM - 6:00 PM

Hy-Vee PharmacyProvider ID: TPV1215227673-02700 Dekalb AveSycamore, IL 60178(815) 758-8995Fax: (815) 756-381700 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 8:00 AM - 5:00 PMSun 10:00 AM - 5:00 PM

Lehan DrugsProvider ID: TPV1336219419-01407 S 4th StDekalb, IL 60115(815) 758-0911Fax: (815) 758-266900 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 3:00 PM

Lehan Drugs At The DekalbClinic

Provider ID: TPV1821239419-01850 Gateway Dr Ste ASycamore, IL 60178(815) 217-3890Fax: (815) 748-416900 Yrs/99 YrsM-F 9:00 AM - 5:30 PM

Osco DrugProvider ID: TPV1689845075-0220 W Peace RdSycamore, IL 60178(815) 895-9435Fax: (815) 895-747600 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat-Sun 9:00 AM - 5:00 PM

Osco PharmacyProvider ID: TPV1568418234-01322 Sycamore RdDekalb, IL 60115(815) 756-1328Fax: (815) 756-560700 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 8:00 AM - 6:00 PMSun 9:00 AM - 5:00 PM

Schnucks PharmacyProvider ID: TPV1467634337-0975 S Annie Glidden RdDekalb, IL 60115(815) 748-6202Fax: (815) 748-620300 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 4:00 PM

WalgreensProvider ID: TPV1255346425-0Walgreens100 W Lincoln HwyDekalb, IL 60115(815) 756-1815Fax: (815) 748-552700 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 9:00 AM - 5:00 PM

WalgreensProvider ID: TPV1386659597-0Walgreens30 W Church StSandwich, IL 60548(815) 786-8653Fax: (815) 786-876600 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 9:00 AM - 5:00 PM

WalgreensProvider ID: TPV1548275738-0Walgreens1340 Dekalb AveSycamore, IL 60178(815) 895-4609Fax: (815) 895-576900 Yrs/99 Yrs

Walmart PharmacyProvider ID: TPV1356368617-02300 Sycamore RdDekalb, IL 60115(815) 758-6284Fax: (815) 758-620400 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacyFulton

Updated: 11/09/2018


Retail

County Market PharmacyProvider ID: TPV1144231648-01050 E Fort St Ste 290Farmington, IL 61531(309) 245-2335Fax: (309) 245-263200 Yrs/99 YrsLanguages: GermanM-F 9:00 AM - 6:00 PMSat 9:00 AM - 2:00 PM

County Market PharmacyProvider ID: TPV1841558012-0518 S Main StLewistown, IL 61542(309) 547-3731Fax: (309) 547-204000 Yrs/99 YrsM-F 9:00 AM - 5:30 PMSat 9:00 AM - 1:00 PM

County Market PharmacyProvider ID: TPV1851677629-0180 S Main StFulton, IL 61520(309) 649-3385Fax: (309) 649-338600 Yrs/99 YrsM-F 8:30 AM - 6:00 PMSat 9:00 AM - 2:00 PM

CVSProvider ID: TPV1376646141-01773 E Chestnut StCanton, IL 61520(309) 647-1321Fax: (309) 647-676500 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat-Sun 10:00 AM - 5:00 PM

Graham Hospital PharmacyProvider ID: TPV1376659029-0210 W Walnut StCanton, IL 61520(309) 647-5240Fax: (309) 649-512400 Yrs/99 YrsM-F 7:00 AM - 6:00 PMSat-Sun 8:00 AM - 6:00 PM

Hy-Vee PharmacyProvider ID: TPV1023175338-0825 N Main StCanton, IL 61520(309) 647-2610Fax: (309) 647-278800 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 10:00 AM - 6:00 PMSun 10:00 AM - 5:00 PM

WalgreensProvider ID: TPV1497839633-0Walgreens555 N Main StCanton, IL 61520(309) 647-7610Fax: (309) 647-158800 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1053338335-02071 N Main StCanton, IL 61520(309) 647-8100Fax: (309) 647-858000 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 8:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

PharmacyHenry

Updated: 11/09/2018


Retail

Alwood PharmacyProvider ID: TPV1053838458-0211 S. 1st StAlpha, IL 61413(309) 629-4506Fax: (309) 629-261100 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

CVSProvider ID: TPV1558302505-0444 S Main StKewanee, IL 61443(309) 853-3562Fax: (309) 854-050200 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat-Sun 10:00 AM - 5:00 PM

Galva PharmacyProvider ID: TPV1295754380-0120 Exchange StGalva, IL 61434(309) 932-3440Fax: (309) 932-322000 Yrs/99 YrsM-F 9:30 AM - 5:00 PM

Northside Rexall Pharmacy

Provider ID: TPV1407954431-0201 N State StGeneseo, IL 61254(309) 944-2442Fax: (309) 944-458800 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 8:00 AM - 1:00 PM

Orion Family Pharmacy LLC

Provider ID: TPV1952631053-0201 11th Ave.Orion, IL 61273(309) 526-8008Fax: (309) 526-802100 Yrs/99 YrsM-F 9:00 AM - 5:30 PMSat 9:00 AM - 12:00 PM

Preferred PharmacyProvider ID: TPV1174897508-0150 W South StKewanee, IL 61443(309) 853-8000Fax: (309) 853-100100 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 6:00 PMSat 8:00 AM - 2:00 PM

Vorac PharmacyProvider ID: TPV1871845776-0114 S State StGeneseo, IL 61254(309) 944-2166Fax: (309) 944-357400 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 8:00 AM - 12:00 PM

WalgreensProvider ID: TPV1295979789-0Walgreens1009 S Oakwood AveGeneseo, IL 61254(309) 944-3784Fax: (309) 944-276800 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1982619169-0Walgreens500 S Main StKewanee, IL 61443(309) 853-4412Fax: (309) 853-981000 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 8:00 AM - 6:00 PMSun 9:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1174540439-0125 E Bestor DrGeneseo, IL 61254(309) 944-5675Fax: (309) 944-451000 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 5:00 PMSun 10:00 AM - 5:00 PM

Walmart PharmacyProvider ID: TPV1548287808-0730 Tenney StKewanee, IL 61443(309) 852-4676Fax: (309) 852-467800 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 8:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

PharmacyJo Daviess

Updated: 11/09/2018


Retail

Hartig Drug CoProvider ID: TPV1154428720-0117 S Main StStockton, IL 61085(815) 947-3411Fax: (815) 947-283700 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 8:00 AM - 1:00 PM

Hartig Drug CoProvider ID: TPV1346347903-011002 Bartell BlvdGalena, IL 61036(815) 777-2700Fax: (815) 777-426500 Yrs/99 YrsM-F 8:00 AM - 7:00 PMSat 8:30 AM - 1:00 PM

Walmart PharmacyProvider ID: TPV1205853504-010000 Bartel BlvdGalena, IL 61036(815) 777-1301Fax: (815) 777-147600 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 6:00 PMSun 11:00 AM - 5:00 PM

Warren Drug StoreProvider ID: TPV1942388038-0137 E Main StWarren, IL 61087(815) 745-3700Fax: (815) 745-366300 Yrs/99 YrsM-F 8:00 AM - 5:00 PM

PharmacyKnox

Updated: 11/09/2018


Retail

Abingdon TelepharmacyProvider ID: TPV1033579255-0503 S Commercial DrAbingdon, IL 61410(309) 703-1094Fax: (309) 703-109300 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 12:00 PM

CVSProvider ID: TPV1245252055-01071 W Carl Sandburg DrGalesburg, IL 61401(309) 344-7886Fax: (309) 344-788600 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat-Sun 9:00 AM - 6:00 PM

Hy-Vee PharmacyProvider ID: TPV1235164146-02030 E Main StGalesburg, IL 61401(309) 342-1619Fax: (309) 342-299300 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 5:00 PMSun 10:00 AM - 5:00 PM

Hy-Vee PharmacyProvider ID: TPV1851324602-01975 National BlvdGalesburg, IL 61401(309) 344-1101Fax: (309) 344-206300 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 5:00 PMSun 10:00 AM - 5:00 PM

Illinois CancercareProvider ID: TPV1477943819-0336 Home BlvdGalesburg, IL 61401(309) 243-3017Fax: (309) 243-303200 Yrs/99 YrsM-F 8:00 AM - 5:00 PM

WalgreensProvider ID: TPV1437164662-0Walgreens844 W Fremont StGalesburg, IL 61401(309) 343-5141Fax: (309) 343-682100 Yrs/99 Yrs

WalgreensProvider ID: TPV1457366650-0Walgreens1057 E Main StGalesburg, IL 61401(309) 341-2446Fax: (309) 341-251700 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1447277702-0659 Knox Square DrGalesburg, IL 61401(309) 344-2279Fax: (309) 344-270300 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 8:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

PharmacyLA Salle

Updated: 11/09/2018


Retail

Arkins Rexall Drug StoreProvider ID: TPV1619027901-01033 8th StLA Salle, IL 61301(815) 223-0460Fax: (815) 223-046200 Yrs/99 YrsLanguages: Spanish, GermanMTWF 8:00 AM - 6:00 PMTH 8:00 AM - 5:00 PMSat 8:00 AM - 4:00 PM

CVSProvider ID: TPV1124520424-0110 East Norris DrOttawa, IL 61350(815) 431-0122Fax: (815) 207-821500 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 9:00 AM - 5:00 PM

CVSProvider ID: TPV1275574147-01004 Shooting Park RdPeru, IL 61354(815) 224-1411Fax: (815) 224-179000 Yrs/99 Yrs

CVSProvider ID: TPV1316969124-04370 Venture DrPeru, IL 61354(815) 224-2408Fax: (815) 410-326300 Yrs/99 YrsM-F 10:00 AM - 6:00 PMSat-Sun 11:00 AM - 5:00 PM

CVSProvider ID: TPV1376646042-01212 13th AveMendota, IL 61342(815) 538-2095Fax: (815) 538-405000 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 9:00 AM - 5:00 PM

Hy-Vee PharmacyProvider ID: TPV1437195161-01651 Midtown RdPeru, IL 61354(815) 223-4276Fax: (815) 223-495700 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 4:00 PM

Illinois Cancer CareProvider ID: TPV1700232394-04391 Venture DrPeru, IL 61354(309) 243-3019Fax: (309) 243-303200 Yrs/99 YrsM-F 8:00 AM - 5:00 PM

KrogerProvider ID: TPV1326111949-02399 N Bloomington StStreator, IL 61364(815) 672-6874Fax: (815) 672-687500 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 11:00 AM - 6:00 PM

KrogerProvider ID: TPV1538232152-02701 Columbus StOttawa, IL 61350(815) 434-1395Fax: (815) 434-139600 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 11:00 AM - 6:00 PM

Medi-RX Pharmacy IncProvider ID: TPV1750332763-0411 W Main StOttawa, IL 61350(815) 433-2255Fax: (815) 434-039100 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 1:00 PM

Ottawa Health MartProvider ID: TPV1194057646-0900 1st AveOttawa, IL 61350(815) 434-6337Fax: (866) 416-423500 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 1:00 PM

Pharmblue Illinois LLCProvider ID: TPV1699146720-02960 Chartres St Ste 100LA Salle, IL 61301(815) 220-5768Fax: (844) 873-875800 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Schotts Pharmacy IncProvider ID: TPV1932245149-01272 Glen AveMarseilles, IL 61341(815) 795-2700Fax: (815) 795-237900 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 3:00 PM

Streator DrugsProvider ID: TPV1437183688-0109 E Main StStreator, IL 61364(815) 672-2968Fax: (815) 672-480600 Yrs/99 YrsMTWTHFSatSun 9:00 AM -9:00 PM

The Pharmacy StopProvider ID: TPV1841224003-0113 W Michigan StOttawa, IL 61350(815) 434-5355Fax: (815) 434-945700 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 5:00 PM

The Pharmacy Stop MedicalCenter

Provider ID: TPV1467515080-01614 E Norris DrOttawa, IL 61350(815) 433-4666Fax: (815) 433-471900 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 2:00 PM

WalgreensProvider ID: TPV1740295047-0Walgreens1033 Shooting Park RdPeru, IL 61354(815) 223-7853Fax: (815) 223-097800 Yrs/99 Yrs

WalgreensProvider ID: TPV1881609030-0Walgreens120 E Main StStreator, IL 61364(815) 673-2439Fax: (815) 673-117900 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat-Sun 9:00 AM - 5:00 PM

WalgreensProvider ID: TPV1962417097-0Walgreens545 E Norris DrOttawa, IL 61350(815) 433-0485Fax: (815) 433-384300 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 9:00 AM - 5:00 PM

Walmart PharmacyProvider ID: TPV1316226376-02415 N Bloomington StStreator, IL 61364(815) 672-3517Fax: (815) 672-371900 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 4:00 PM

PharmacyLA Salle

Updated: 11/09/2018


Retail - cont.

Walmart PharmacyProvider ID: TPV1538187042-05307 State Rte 251Peru, IL 61354(815) 224-1508Fax: (815) 224-292600 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1629096136-04041 Veterans DrOttawa, IL 61350(815) 434-0176Fax: (815) 434-159100 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacyLee

Updated: 11/09/2018


Retail

Amboy Hometown Pharmacy

Provider ID: TPV1033476494-0221 E Main StAmboy, IL 61310(815) 857-7005Fax: (815) 857-711900 Yrs/99 YrsLanguages: Hindi, VietnameseM-F 10:00 AM - 1:00 PM

Felkers Snyder PharmacyProvider ID: TPV1780625640-0301 N Galena AveDixon, IL 61021(815) 284-8000Fax: (815) 284-800500 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 6:00 PM

Shopko PharmacyProvider ID: TPV1376579334-01350 N Galena AveDixon, IL 61021(815) 284-4127Fax: (815) 284-609400 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1467467761-0Walgreens1275 N Galena AveDixon, IL 61021(815) 288-7844Fax: (815) 288-695300 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1396762696-01640 S Galena AveDixon, IL 61021(815) 288-7797Fax: (815) 288-780400 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacyMarshall

Updated: 11/09/2018


Retail

CVSProvider ID: TPV1407830003-0415 5th StLacon, IL 61540(309) 246-2555Fax: (309) 246-238700 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 1:00 PM

CVSProvider ID: TPV1508941667-0808 University AveHenry, IL 61537(309) 364-4320Fax: (309) 364-435300 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 3:00 PM

Tyner PharmacyProvider ID: TPV1144336439-0120 Chestnut StWenona, IL 61377(815) 853-4342Fax: (815) 853-464800 Yrs/99 YrsMTWF 9:00 AM - 6:00 PMTH 9:00 AM - 5:00 PM

PharmacyMercer

Updated: 11/09/2018


Retail

Genesis Firstmed Pharmacy

Provider ID: TPV1003361114-0105 S College AveAledo, IL 61231(309) 582-9390Fax: (309) 582-939900 Yrs/99 YrsM-F 8:30 AM - 6:00 PMSat 8:30 AM - 2:00 PM

Genesis Medical Center,Aledo

Provider ID: TPV1225380967-0409 NW 9th AveAledo, IL 61231(309) 582-9184Fax: (309) 582-918900 Yrs/99 YrsM-F 8:00 AM - 4:30 PM

Walmart PharmacyProvider ID: TPV1184641441-01500 SE 5th StAledo, IL 61231(309) 582-5108Fax: (309) 582-524200 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 9:00 AM - 5:00 PM

PharmacyMuscatine

Updated: 11/09/2018


Retail

WalgreensProvider ID: TPV1992710206-0Walgreens1703 Park AveMuscatine, IA 52761(563) 263-2724Fax: (563) 262-949900 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1194742585-03003 N Hwy 61Muscatine, IA 52761(563) 262-3755Fax: (563) 262-509800 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacyOgle

Updated: 11/09/2018


Retail

Felker Snyder PharmacyProvider ID: TPV1831255108-0100 W Blackhawk DrByron, IL 61010(815) 234-5466Fax: (815) 234-470900 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 6:00 PM

Oregon Healthcare PharmacyServices

Provider ID: TPV1699838227-01100 Pines RdOregon, IL 61061(815) 732-1422Fax: (815) 732-153200 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 10:00 AM - 4:00 PM

Oregon Snyder PharmacyProvider ID: TPV1740346014-0201 N 4th StOregon, IL 61061(815) 732-7340Fax: (815) 732-722800 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 6:00 PM

Rochelle PharmacyProvider ID: TPV1740389527-0314 Lincoln HwyRochelle, IL 61068(815) 562-4444Fax: (815) 562-507900 Yrs/99 YrsLanguages: Spanish, HindiM-F 9:00 AM - 6:00 PMSat 8:00 AM - 4:00 PMSun 10:00 AM - 1:00 PM

WalgreensProvider ID: TPV1073787164-0Walgreens1080 N 7th StRochelle, IL 61068(815) 562-6473Fax: (815) 562-873700 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat-Sun 9:00 AM - 5:00 PM

Walmart PharmacyProvider ID: TPV1083631345-0311 E Rte 38Rochelle, IL 61068(815) 562-3414Fax: (815) 562-341600 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacyPeoria

Updated: 11/09/2018


Retail

Alwan PharmacyProvider ID: TPV1871546432-0311 N Western AvePeoria, IL 61604(309) 676-6333Fax: (309) 676-192800 Yrs/99 YrsLanguages: ArabicM-F 9:00 AM - 6:00 PMSat 9:00 AM - 1:00 PM

Critical Care RX LLCProvider ID: TPV1720574676-0126 Oak StPeoria, IL 61602(309) 690-7790Fax: (866) 385-494800 Yrs/99 Yrs

CVSProvider ID: TPV1093818866-03015 N Sterling AvePeoria, IL 61604(309) 685-4048Fax: (309) 685-085300 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat-Sun 10:00 AM - 5:00 PM

CVSProvider ID: TPV1114020880-09315 N Lindbergh DrPeoria, IL 61615(309) 691-7738Fax: (309) 692-785800 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1114021052-04521 N Prospect RdPeoria Heights, IL 61616(309) 682-1250Fax: (309) 682-114700 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat-Sun 10:00 AM - 5:00 PM

CVSProvider ID: TPV1124126958-03034 W. Lincoln AvePeoria, IL 61604(309) 672-3262Fax: (309) 672-257500 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 5:00 PM

CVSProvider ID: TPV1265539753-06820 N Peartree LnPeoria, IL 61615(309) 689-1873Fax: (309) 689-344900 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1396848065-0603 S 4th StChillicothe, IL 61523(309) 274-6261Fax: (309) 274-507500 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 5:00 PM

CVSProvider ID: TPV1518989326-05001 N Big Hollow RdPeoria, IL 61615(309) 691-9310Fax: (309) 550-993000 Yrs/99 YrsM-F 10:00 AM - 6:00 PMSat-Sun 11:00 AM - 5:00 PM

CVSProvider ID: TPV1649373317-01200 W Main StPeoria, IL 61606(309) 673-6272Fax: (309) 673-607600 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat-Sun 10:00 AM - 5:00 PM

CVSProvider ID: TPV1902909773-01008 W Garfield StBartonville, IL 61607(309) 697-8122Fax: (309) 697-169500 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Elmwood PharmacyProvider ID: TPV1457358202-0108 E Main StElmwood, IL 61529(309) 742-2611Fax: (309) 742-326100 Yrs/99 YrsM-F 8:00 AM - 5:30 PM

Essential Wellness Pharmacy

Provider ID: TPV1548496409-04625 N University StPeoria, IL 61614(309) 681-8850Fax: (309) 681-885600 Yrs/99 YrsLanguages: SpanishM-F 8:30 AM - 5:30 PMSat 8:30 AM - 12:00 PM

Extended Pharmacy LLCProvider ID: TPV1700014446-0121 State St Ste 1APeoria, IL 61602(309) 676-4831Fax: (309) 676-701600 Yrs/99 YrsM-F 8:30 AM - 5:00 PM

Genoa-QOL HealthcareProvider ID: TPV1013250661-0228 NE Jefferson Ave Ste 207Peoria, IL 61603(309) 285-8231Fax: (309) 213-945000 Yrs/99 YrsM-F 8:00 AM - 5:00 PM

Hy-Vee PharmacyProvider ID: TPV1730490673-04125 N Sheridan Rd Ste 20Peoria, IL 61614(309) 686-7058Fax: (309) 686-711900 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Hy-Vee PharmacyProvider ID: TPV1831573021-07610 N Orange Prairie RdPeoria, IL 61615(309) 589-1003Fax: (309) 693-326700 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

KrogerProvider ID: TPV1417020033-09219 N Lindbergh DrPeoria, IL 61615(309) 692-0473Fax: (309) 692-058300 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 11:00 AM - 6:00 PM

KrogerProvider ID: TPV1508939125-0801 W Lake AvePeoria, IL 61614(309) 682-2983Fax: (309) 682-312800 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 11:00 AM - 6:00 PM

KrogerProvider ID: TPV1780757302-0603 S 4th StChillicothe, IL 61523(309) 274-3419Fax: (309) 274-250600 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 11:00 AM - 6:00 PM

PharmacyPeoria

Updated: 11/09/2018


Retail - cont.

KrogerProvider ID: TPV1962575589-01405 W Garfield AveBartonville, IL 61607(309) 697-0589Fax: (309) 697-122700 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 11:00 AM - 6:00 PM

Kroger Savon PharmacyProvider ID: TPV1710050331-03311 N Sterling AvePeoria, IL 61604(309) 679-2855Fax: (309) 679-285600 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 11:00 AM - 6:00 PM

Medi-Park PharmacyProvider ID: TPV1639188006-0420 NE Glen Oak Ave Ste 102Peoria, IL 61603(309) 655-3799Fax: (309) 655-307200 Yrs/99 YrsMTWTHFSat 8:00 AM - 10:00PMSun 10:00 AM - 10:00 PM

Omnicare of PeoriaProvider ID: TPV1033149158-02305 W Altorfer DrPeoria, IL 61615(309) 691-2010Fax: (217) 362-920100 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat 9:00 AM - 5:00 PM

Oncology Hematology Assocof Ctl IL

Provider ID: TPV1053463059-08940 N Woodsage RdPeoria, IL 61615(309) 243-3404Fax: (309) 243-303200 Yrs/99 YrsM-F 8:00 AM - 5:00 PM

Osf Home Infusion Pharmacy

Provider ID: TPV1750396461-02265 W Altorfer DrPeoria, IL 61615(309) 683-7821Fax: (309) 624-837400 Yrs/99 YrsM-F 8:00 AM - 5:00 PM

Princeville Pharmacy LLCProvider ID: TPV1750455127-0206 E Main StPrinceville, IL 61559(309) 385-4955Fax: (309) 285-156100 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 5:30 PMSat 9:00 AM - 12:00 PM

SAMS CLUBProvider ID: TPV1114944402-04100 W Willow Knolls DrPeoria, IL 61615(309) 692-1508Fax: (309) 692-181400 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 6:00 PM

Schnucks PharmacyProvider ID: TPV1497790406-04800 N University StPeoria, IL 61614(309) 690-3250Fax: (309) 690-325100 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 4:00 PM

Schnucks PharmacyProvider ID: TPV1770035636-010405 N Centerway DrPeoria, IL 61615(309) 621-7342Fax: (309) 621-734300 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 4:00 PM

Shermans PharmacyProvider ID: TPV1568527679-091E Knoxville AveBrimfield, IL 61517(309) 446-3292Fax: (309) 446-969600 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 5:30 PMSat 9:00 AM - 12:00 PM

Smith PharmacyProvider ID: TPV1003986019-04600 N Prospect Rd Ste 2Peoria Heights, IL 61616(309) 688-3684Fax: (309) 688-594700 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 12:00 PM

WalgreensProvider ID: TPV1023025053-0Walgreens2515 N Knoxville AvePeoria, IL 61604(309) 685-2012Fax: (309) 685-172600 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat-Sun 9:00 AM - 5:00 PM

WalgreensProvider ID: TPV1235501057-0Walgreens1919 W Pioneer Pkwy Ste APeoria, IL 61615(309) 692-004500 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1275548463-0Walgreens4814 N Sheridan RdPeoria, IL 61614(309) 688-6752Fax: (309) 688-710600 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat-Sun 9:00 AM - 5:00 PM

WalgreensProvider ID: TPV1346255569-0Walgreens1200 E War Memorial DrPeoria Heights, IL 61616(309) 682-3844Fax: (309) 682-487200 Yrs/99 YrsM-F 7:00 AM - 10:00 PMSat-Sun 9:00 AM - 9:00 PM

WalgreensProvider ID: TPV1508871732-0Walgreens3524 N University StPeoria, IL 61604(309) 686-1933Fax: (309) 686-118700 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1518972736-0Walgreens1919 W Pioneer PkwyPeoria, IL 61615(309) 692-0045Fax: (309) 692-286900 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1518974559-0Walgreens2324 W War Memorial DrPeoria, IL 61614(309) 685-5209Fax: (309) 688-509900 Yrs/99 Yrs

WalgreensProvider ID: TPV1619982832-0Walgreens221 N Western AveWest Peoria, IL 61604(309) 673-0665Fax: (309) 673-359300 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

PharmacyPeoria

Updated: 11/09/2018


Retail - cont.

WalgreensProvider ID: TPV1629440458-0Walgreens4814 N Sheridan Rd Ste APeoria, IL 61614(309) 688-675200 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat-Sun 9:00 AM - 5:00 PM

WalgreensProvider ID: TPV1659610509-0Walgreens221 NE Glen Oak Ave Ste APeoria, IL 61636(309) 671-5151Fax: (309) 676-721500 Yrs/99 YrsM-F 8:00 AM - 5:00 PM

WalgreensProvider ID: TPV1770844623-0Walgreens10613 N Knoxville AvePeoria, IL 61615(309) 243-1176Fax: (309) 243-118700 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat-Sun 9:00 AM - 5:00 PM

Walmart PharmacyProvider ID: TPV1043237324-03315 N University StPeoria, IL 61604(309) 682-0280Fax: (309) 682-029100 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1578580866-08915 N Allen RdPeoria, IL 61615(309) 693-9854Fax: (309) 693-986200 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacyPutnam

Updated: 11/09/2018


Retail

Axline PharmacyProvider ID: TPV1407286941-0324 S McCoy StGranville, IL 61326(815) 339-2323Fax: (815) 339-232400 Yrs/99 YrsM-F 8:30 AM - 5:00 PM

PharmacyRock

Updated: 11/09/2018


Retail

CVSProvider ID: TPV1114172400-02149 Prairie AveBeloit, WI 53511(608) 362-1767Fax: (608) 362-283000 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat-Sun 10:00 AM - 5:00 PM

CVSProvider ID: TPV1255373445-01063 4th StBeloit, WI 53511(608) 362-4566Fax: (608) 362-403100 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat 9:00 AM - 5:00 PMSun 10:00 AM - 5:00 PM

CVSProvider ID: TPV1700827672-01832 W Court StJanesville, WI 53548(608) 752-9286Fax: (608) 752-452800 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat 9:00 AM - 5:00 PMSun 10:00 AM - 5:00 PM

Shopko PharmacyProvider ID: TPV1265488613-02761 Prairie AveBeloit, WI 53511(608) 365-4418Fax: (608) 365-202300 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1396750444-0Walgreens1933 W Court StJanesville, WI 53548(608) 755-9805Fax: (608) 755-028000 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1396908935-0Walgreens910 Broad StBeloit, WI 53511(608) 362-6047Fax: (608) 362-648000 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1720093719-0Walgreens1901 Prairie AveBeloit, WI 53511(608) 365-2001Fax: (608) 365-378600 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1912173162-0Walgreens1531 Madison RdBeloit, WI 53511(608) 365-1904Fax: (608) 365-237100 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

PharmacyRock Island

Updated: 11/09/2018


Retail

Bioscrip Infusion ServicesProvider ID: TPV1104845106-0985 Ave of The CitiesSilvis, IL 61282(309) 792-7200Fax: (309) 792-729000 Yrs/99 YrsLanguages: SpanishM-F 8:30 AM - 5:00 PM

CVSProvider ID: TPV1053352922-0910 4th St WMilan, IL 61264(309) 787-5020Fax: (309) 787-986400 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1144261017-02617 18th AveRock Island, IL 61201(309) 788-7677Fax: (309) 788-173400 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat-Sun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1144488750-02250 41st StMoline, IL 61265(309) 736-7183Fax: (309) 736-719700 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 5:00 PM

CVSProvider ID: TPV1952323768-0900 42nd Ave DrMoline, IL 61265(309) 764-7518Fax: (309) 517-226400 Yrs/99 YrsM-F 10:00 AM - 7:00 PMSat-Sun 11:00 AM - 5:00 PM

District Drugs andCompounding Cntr

Provider ID: TPV1043371529-0319 18th StRock Island, IL 61201(309) 786-8431Fax: (309) 794-648100 Yrs/99 YrsLanguages: Spanish, ItalianM-F 9:00 AM - 5:30 PM

DivvydoseProvider ID: TPV1437541869-03416 46th Ave Ste 104Rock Island, IL 61201(844) 693-4889Fax: (309) 807-246200 Yrs/99 YrsM-F 8:00 AM - 7:30 PM

Hy-Vee PharmacyProvider ID: TPV1275562092-02001 5th StSilvis, IL 61282(309) 792-1531Fax: (309) 792-151800 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 8:00 AM - 5:00 PMSun 9:00 AM - 1:00 PM

Hy-Vee PharmacyProvider ID: TPV1285676791-02930 18th AveRock Island, IL 61201(309) 788-7434Fax: (309) 794-215200 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 8:00 AM - 6:00 PMSun 10:00 AM - 5:00 PM

Hy-Vee PharmacyProvider ID: TPV1346279130-04218 Ave of The CitiesMoline, IL 61265(309) 764-4373Fax: (309) 764-459300 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 8:00 AM - 5:00 PMSun 10:00 AM - 5:00 PM

Hy-Vee PharmacyProvider ID: TPV1538304696-0750 42nd Ave DrMoline, IL 61265(309) 757-1812Fax: (309) 757-715000 Yrs/99 YrsM-F 8:00 AM - 7:00 PMSat 9:00 AM - 5:00 PMSun 10:00 AM - 5:00 PM

Hy-Vee PharmacyProvider ID: TPV1821027616-0201 10th Ave WMilan, IL 61264(309) 756-9907Fax: (309) 756-991400 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 8:00 AM - 6:00 PMSun 9:00 AM - 5:00 PM

Illini Clinic PharmacyProvider ID: TPV1356561039-0855 Illini Dr Ste 200Silvis, IL 61282(309) 792-7002Fax: (309) 792-700300 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 9:00 AM - 1:00 PM

Osco DrugProvider ID: TPV1962458596-02014 1st St AMoline, IL 61265(309) 797-9320Fax: (309) 797-019900 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 9:00 AM - 5:00 PM

Osco PharmacyProvider ID: TPV1538115928-0107 Ave of The CitiesEast Moline, IL 61244(309) 751-0960Fax: (309) 751-098500 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 9:00 AM - 5:00 PM

Osco PharmacyProvider ID: TPV1831145507-01312 John Deere ExpySilvis, IL 61282(309) 792-5990Fax: (309) 792-613600 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 9:00 AM - 5:00 PM

Trinity Retail PharmacyProvider ID: TPV1306924816-0500 John Deere RdMoline, IL 61265(309) 779-5011Fax: (309) 779-501800 Yrs/99 YrsLanguages: SpanishM 8:00 AM - 6:00 PMTWTHF 9:00 AM - 5:00 PM

WalgreensProvider ID: TPV1023023132-0Walgreens1301 Ave of The CitiesEast Moline, IL 61244(309) 755-0325Fax: (309) 755-051400 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1114932225-0Walgreens440 10th Ave WMilan, IL 61264(309) 787-2161Fax: (309) 787-267300 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1154336329-0Walgreens301 30th AveEast Moline, IL 61244(309) 755-4857Fax: (309) 755-588600 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

PharmacyRock Island

Updated: 11/09/2018


Retail - cont.

WalgreensProvider ID: TPV1164437380-0Walgreens3100 11th StRock Island, IL 61201(309) 786-4312Fax: (309) 786-161900 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1275549750-0Walgreens2955 18th AveRock Island, IL 61201(309) 786-4362Fax: (309) 786-535200 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1407863400-0Walgreens4000 Ave of The CitiesMoline, IL 61265(309) 797-2588Fax: (309) 762-914500 Yrs/99 Yrs

WalgreensProvider ID: TPV1609883644-0Walgreens3601 16th StMoline, IL 61265(309) 797-5865Fax: (309) 797-062200 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1700891926-0Walgreens555 19th AveMoline, IL 61265(309) 762-1820Fax: (309) 762-497300 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1306022793-01601 18th StSilvis, IL 61282(309) 796-3673Fax: (309) 796-368000 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1871510164-03930 44th Ave DrMoline, IL 61265(309) 736-2275Fax: (309) 736-056200 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacyScott

Updated: 11/09/2018


Retail

Amicare Pharmacy, IncProvider ID: TPV1114934239-03740 Utica Ridge RdBettendorf, IA 52722(563) 344-7450Fax: (563) 344-748300 Yrs/99 YrsM-TH 8:00 AM - 7:00 PMF 8:00 AM - 6:00 PMSat 9:00 AM - 1:00 PM

Community Health CarePharmacy

Provider ID: TPV1861518276-0500 W River DrDavenport, IA 52801(563) 336-3025Fax: (563) 336-314600 Yrs/99 YrsLanguages: Spanish,VietnameseM-W 9:00 AM - 7:00 PMTHF 9:00 AM - 5:00 PM

Coram Cvssplty Infusion SvcsProvider ID: TPV1245286756-05327 Carey Ave Ste ADavenport, IA 52807(563) 499-9292Fax: (563) 499-929000 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PM

CVSProvider ID: TPV1477597847-01777 N Division StDavenport, IA 52804(563) 323-1074Fax: (563) 323-145200 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

First Med East PharmacyProvider ID: TPV1972683373-01227 E Rusholme StDavenport, IA 52803(563) 421-6366Fax: (563) 421-637900 Yrs/99 YrsM-F 8:00 AM - 6:00 PM

First Medical PharmacyProvider ID: TPV1740337278-01803 E Kimberly Rd Ste ADavenport, IA 52807(563) 421-3308Fax: (563) 421-330700 Yrs/99 YrsM-F 8:00 AM - 5:00 PM

Hy-Vee PharmacyProvider ID: TPV1225064405-02351 W Locust StDavenport, IA 52804(563) 324-3900Fax: (563) 323-412800 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat-Sun 9:00 AM - 6:00 PM

Hy-Vee PharmacyProvider ID: TPV1326077959-04064 E 53rd StDavenport, IA 52807(563) 359-3120Fax: (563) 359-113700 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat-Sun 9:00 AM - 6:00 PM

Main At Locust PharmacyProvider ID: TPV1184781940-0129 W Locust StDavenport, IA 52803(563) 324-1641Fax: (563) 884-448000 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 8:00 AM - 2:00 PM

Main Healthcare Pharmacy

Provider ID: TPV1699832451-02151 Kimberly RdBettendorf, IA 52722(563) 324-5004Fax: (563) 324-330500 Yrs/99 YrsM-F 8:00 AM - 5:00 PM

Omnicare of The Quad Cities

Provider ID: TPV1922040393-02660 E 53rd St Ste 1Davenport, IA 52807(563) 388-1887Fax: (800) 211-107400 Yrs/99 YrsM-F 8:00 AM - 7:00 PMSat 9:00 AM - 4:00 PM

SAMS CLUBProvider ID: TPV1093732489-03887 Elmore AveDavenport, IA 52807(563) 344-4232Fax: (563) 344-474400 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 6:00 PM

WalgreensProvider ID: TPV1023024429-0Walgreens3425 Middle RdBettendorf, IA 52722(563) 332-6049Fax: (563) 332-616200 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1093720302-0Walgreens1805 Brady StDavenport, IA 52803(563) 322-5933Fax: (563) 322-385000 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1104832799-0Walgreens4011 E 53rd StDavenport, IA 52807(563) 359-3438Fax: (563) 359-376200 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1356356661-0Walgreens1525 E Kimberly RdDavenport, IA 52807(563) 386-6883Fax: (563) 386-658600 Yrs/99 Yrs

WalgreensProvider ID: TPV1376558684-0Walgreens830 Middle RdBettendorf, IA 52722(563) 355-5345Fax: (563) 355-690800 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1447265756-0Walgreens1660 W Locust StDavenport, IA 52804(563) 324-3508Fax: (563) 324-402500 Yrs/99 Yrs

WalgreensProvider ID: TPV1538174842-0Walgreens1720 W Kimberly RdDavenport, IA 52806(563) 386-2070Fax: (563) 386-234000 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1013934496-05811 Elmore AveDavenport, IA 52807(563) 359-4874Fax: (563) 355-312500 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacyStephenson

Updated: 11/09/2018


Retail

Cub PharmacyProvider ID: TPV1538274667-01512 IL Rte 26 NFreeport, IL 61032(815) 297-0881Fax: (815) 297-097200 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1457392326-01535 W Galena AveFreeport, IL 61032(815) 232-0053Fax: (815) 232-417800 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 5:00 PM

CVSProvider ID: TPV1972546141-0721 W South StFreeport, IL 61032(815) 232-6129Fax: (815) 297-806300 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 9:00 AM - 5:00 PM

Lena Drug StoreProvider ID: TPV1578677167-0154 W Main StLena, IL 61048(815) 369-4111Fax: (815) 369-260200 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 8:00 AM - 12:00 PM

Shopko PharmacyProvider ID: TPV1760418701-0555 W South StFreeport, IL 61032(815) 232-2724Fax: (815) 232-221800 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1174761381-0Walgreens1732 S W. AveFreeport, IL 61032(815) 235-8148Fax: (815) 235-863400 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 9:00 AM - 5:00 PM

WalgreensProvider ID: TPV1871508010-0Walgreens835 W Galena AveFreeport, IL 61032(815) 232-8320Fax: (815) 232-147100 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 9:00 AM - 5:00 PM

Walmart PharmacyProvider ID: TPV1598782872-02545 IL Rte 26 SFreeport, IL 61032(815) 232-8141Fax: (815) 232-814600 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacyTazewell

Updated: 11/09/2018


Retail

CVSProvider ID: TPV1104929876-0200 N Main StEast Peoria, IL 61611(309) 694-1496Fax: (309) 694-209700 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 5:00 PM

CVSProvider ID: TPV1114263738-0480 W Washington StEast Peoria, IL 61611(309) 407-3046Fax: (309) 407-305600 Yrs/99 YrsM-F 10:00 AM - 6:00 PMSat 12:00 AM - 5:00 PM

CVSProvider ID: TPV1174620660-02540 E Washington StEast Peoria, IL 61611(309) 698-3018Fax: (309) 694-276800 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat-Sun 10:00 AM - 5:00 PM

CVSProvider ID: TPV1366545139-01101 Peoria StWashington, IL 61571(309) 444-2301Fax: (309) 444-994200 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 5:00 PM

CVSProvider ID: TPV1841393519-0910 Court StPekin, IL 61554(309) 347-6617Fax: (309) 347-687900 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 5:00 PM

CVSProvider ID: TPV1932202603-01005 W Jackson StMorton, IL 61550(309) 266-5396Fax: (309) 263-810300 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Delavan Easy Care Pharmacy

Provider ID: TPV1578598108-0402 Pine StDelavan, IL 61734(309) 244-7115Fax: (309) 244-715100 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PMSat 9:00 AM - 12:00 PM

Hopedale PharmacyProvider ID: TPV1306977699-0107 Tremont StHopedale, IL 61747(309) 449-6206Fax: (309) 449-433600 Yrs/99 YrsM-F 8:30 AM - 5:30 PMSat 8:30 AM - 12:00 PM

KrogerProvider ID: TPV1316010937-020 Cherry Tree ShoppingCenterWashington, IL 61571(309) 886-2408Fax: (309) 886-241500 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 11:00 AM - 6:00 PM

KrogerProvider ID: TPV1457424079-01607 Broadway StPekin, IL 61554(309) 353-5333Fax: (309) 353-396800 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 11:00 AM - 6:00 PM

Kroger Savon PharmacyProvider ID: TPV1275606899-0201 S Main StEast Peoria, IL 61611(309) 694-6451Fax: (309) 694-645300 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 11:00 AM - 6:00 PM

Mackinaw PharmacyProvider ID: TPV1235157264-0116 S Main StMackinaw, IL 61755(309) 659-5960Fax: (309) 359-693000 Yrs/99 YrsM-F 9:00 AM - 5:30 PMSat 9:00 AM - 12:00 PM

Manito PharmacyProvider ID: TPV1376547133-0406 S Adams StManito, IL 61546(309) 968-2800Fax: (309) 968-280700 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Morton Alwan PharmacyProvider ID: TPV1114288628-0419 Maxine DrMorton, IL 61550(309) 291-0180Fax: (309) 291-018100 Yrs/99 YrsM-F 8:00 AM - 6:30 PMSat 8:00 AM - 1:00 PM

Park Court PharmacyProvider ID: TPV1790892818-0600 S 13th StPekin, IL 61554(309) 347-9455Fax: (309) 347-188600 Yrs/99 YrsM-F 8:00 AM - 6:00 PM

Pekin Prescription Laboratory

Provider ID: TPV1487603296-01016 Court StPekin, IL 61554(309) 346-2141Fax: (309) 346-790300 Yrs/99 YrsM-F 8:00 AM - 7:00 PMSat 8:00 AM - 3:00 PM

WalgreensProvider ID: TPV1063427292-0Walgreens1400 Broadway StPekin, IL 61554(309) 346-7880Fax: (309) 346-134900 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1205841319-0Walgreens1011 Peoria StWashington, IL 61571(309) 444-1681Fax: (309) 444-175800 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1376550301-0Walgreens2020 Court StPekin, IL 61554(309) 347-5589Fax: (309) 347-395700 Yrs/99 Yrs

WalgreensProvider ID: TPV1447265624-0Walgreens300 N Main StEast Peoria, IL 61611(309) 694-7661Fax: (309) 694-870600 Yrs/99 Yrs

PharmacyTazewell

Updated: 11/09/2018


Retail - cont.

WalgreensProvider ID: TPV1962873208-0Walgreens1400 Broadway StPekin, IL 61554(224) 323-5080Fax: (844) 230-906100 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1114944485-01980 Freedom PkwyWashington, IL 61571(309) 745-3476Fax: (309) 745-348700 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 8:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1164449427-0401 River RdEast Peoria, IL 61611(309) 694-0261Fax: (309) 694-798000 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1538186895-03320 Veterans DrPekin, IL 61554(309) 353-2995Fax: (309) 353-977500 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1588681886-0155 E Courtland StMorton, IL 61550(309) 263-6728Fax: (309) 263-673400 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacyWalworth

Updated: 11/09/2018


Retail

Mercy Walworth Pharmacy

Provider ID: TPV1851327639-0N2950 State Rd 67Lake Geneva, WI 53147(262) 245-2319Fax: (262) 245-499500 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 9:00 AM - 1:00 PM

WalgreensProvider ID: TPV1245488139-0Walgreens1041 W Main StWhitewater, WI 53190(262) 472-0238Fax: (262) 472-029400 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1467467365-0Walgreens445 S Wright StDelavan, WI 53115(262) 728-3999Fax: (262) 728-073400 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1487849477-0Walgreens839 N Wisconsin StElkhorn, WI 53121(262) 723-5055Fax: (262) 723-506500 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1902811805-0Walgreens351 N Edwards BlvdLake Geneva, WI 53147(262) 248-7885Fax: (262) 248-108900 Yrs/99 Yrs

PharmacyWarren

Updated: 11/09/2018


Retail

Axline PharmacyProvider ID: TPV1255344883-0125 N Main StRoseville, IL 61473(309) 426-2954Fax: (309) 426-181600 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 5:30 PM

Axline PharmacyProvider ID: TPV1801850276-0220 N Main StMonmouth, IL 61462(309) 734-7019Fax: (309) 734-535600 Yrs/99 YrsLanguages: SpanishM-F 8:30 AM - 6:00 PMSat 9:00 AM - 1:00 PM

Shopko PharmacyProvider ID: TPV1912933813-01190 North Sixth St RdMonmouth, IL 61462(309) 734-7579Fax: (309) 734-811100 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1811225915-0Walgreens600 N Main StMonmouth, IL 61462(309) 734-6644Fax: (309) 734-666300 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat-Sun 9:00 AM - 5:00 PM

PharmacyWhiteside

Updated: 11/09/2018


Retail

CVSProvider ID: TPV1972545168-02301 North Locust StSterling, IL 61081(815) 626-9031Fax: (815) 626-889500 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat-Sun 9:00 AM - 5:00 PM

Erie TelepharmacyProvider ID: TPV1164882379-0707 Main StErie, IL 61250(309) 588-4064Fax: (309) 515-906800 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PM

Fitzgerald PharmacyProvider ID: TPV1801076344-0124 E Main StMorrison, IL 61270(815) 772-3415Fax: (815) 772-724000 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 5:00 PMSun 9:00 AM - 1:00 PM

Hartig Drug CoProvider ID: TPV1902903560-0316-318 Washington StProphetstown, IL 61277(815) 537-2400Fax: (815) 537-240400 Yrs/99 YrsM-F 9:00 AM - 6:00 PM

The Medicine ShoppeProvider ID: TPV1598820920-04 W 3rd StSterling, IL 61081(815) 622-5000Fax: (815) 622-313600 Yrs/99 YrsM-F 9:00 AM - 5:30 PMSat 9:00 AM - 12:00 PM

WalgreensProvider ID: TPV1063427284-0Walgreens1700 1st AveRock Falls, IL 61071(815) 626-9562Fax: (815) 626-025600 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1174538219-0Walgreens2506 E LincolnwaySterling, IL 61081(815) 626-4920Fax: (815) 626-367600 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1265459523-01901 1st AveRock Falls, IL 61071(815) 626-6803Fax: (815) 626-681800 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 8:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1346267606-04115 E LincolnwaySterling, IL 61081(815) 626-7703Fax: (815) 626-955700 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 8:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

PharmacyWinnebago

Updated: 11/09/2018


Retail

CVSProvider ID: TPV1114968088-0110 S. Alpine RdRockford, IL 61108(815) 399-1015Fax: (815) 399-954000 Yrs/99 Yrs

CVSProvider ID: TPV1164464350-06506 N Alpine RdLoves Park, IL 61111(815) 633-6666Fax: (815) 633-892300 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1336181528-08001 N 2nd StMachesney Park, IL 61115(815) 636-2949Fax: (815) 636-394000 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1366483232-03134 11th StRockford, IL 61109(815) 398-0048Fax: (815) 398-968700 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat-Sun 9:00 AM - 6:00 PM

CVSProvider ID: TPV1548201411-03718 N Main StRockford, IL 61103(815) 877-9620Fax: (815) 877-224900 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 5:00 PMSun 10:00 AM - 5:00 PM

CVSProvider ID: TPV1710909528-06560 E State StRockford, IL 61108(815) 227-9777Fax: (815) 977-931800 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat-Sun 9:00 AM - 6:00 PM

CVSProvider ID: TPV1881616597-09833 N Alpine RdMachesney Park, IL 61115(815) 639-3301Fax: (815) 977-933200 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat-Sun 9:00 AM - 6:00 PM

CVSProvider ID: TPV1952342826-04843 Bluestem RdRoscoe, IL 61073(815) 623-1696Fax: (815) 623-384900 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 9:00 AM - 5:00 PM

CVSProvider ID: TPV1952344335-02454 S Alpine RdRockford, IL 61108(815) 399-5421Fax: (815) 399-122700 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat-Sun 10:00 AM - 5:00 PM

Downtown Discount Drugs

Provider ID: TPV1013139591-0325 W State StRockford, IL 61101(815) 962-2166Fax: (815) 962-953900 Yrs/99 YrsLanguages: HindiM-F 9:00 AM - 5:00 PM

Durand Telepharmacy IncProvider ID: TPV1417315144-0202 N. Center StDurand, IL 61024(815) 248-3850Fax: (815) 248-385100 Yrs/99 YrsLanguages: HindiM-F 9:00 AM - 6:00 PMSat 9:00 AM - 2:00 PM

Genoa-QOL HealthcareProvider ID: TPV1013289610-02662 Elmwood Rd Ste 101Rockford, IL 61103(815) 516-0246Fax: (779) 221-224400 Yrs/99 YrsM-F 7:30 AM - 4:30 PM

Genoa-QOL HealthcareProvider ID: TPV1174865133-02704 N Main St Rm A104Rockford, IL 61103(815) 977-9046Fax: (815) 220-542300 Yrs/99 YrsLanguages: SpanishM-F 8:30 AM - 5:00 PM

Meijer PharmacyProvider ID: TPV1114314986-01770 W. LaneMachesney Park, IL 61115(815) 721-8710Fax: (815) 721-871000 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Meijer PharmacyProvider ID: TPV1205223070-02013 McFarland RdRockford, IL 61107(815) 721-8610Fax: (815) 721-856500 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

North Park PharmacyProvider ID: TPV1841319027-07924 N 2nd StMachesney Park, IL 61115(815) 633-3431Fax: (815) 636-765400 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 8:00 AM - 4:00 PMSun 9:00 AM - 1:00 PM

Osf Home Infusion Pharmacy

Provider ID: TPV1831104546-09951 Rock Cut CrossingLoves Park, IL 61111(815) 921-8780Fax: (815) 381-633100 Yrs/99 YrsM-F 9:00 AM - 4:00 PM

Osf PharmacyProvider ID: TPV1265929749-05666 E State St Ste 101Rockford, IL 61108(815) 395-6010Fax: (815) 227-284500 Yrs/99 YrsLanguages: VietnameseM-F 9:00 AM - 5:00 PM

Pecatonica PharmacyProvider ID: TPV1649387838-0413 Main StPecatonica, IL 61063(815) 239-1200Fax: (815) 239-101100 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 1:00 PM

Rock Valley CompoundingPharmacy

Provider ID: TPV1376802462-0811 S Perryville Rd Ste 109Rockford, IL 61108(779) 423-0542Fax: (779) 545-227700 Yrs/99 YrsM-F 8:00 AM - 5:00 PM

PharmacyWinnebago

Updated: 11/09/2018


Retail - cont.

Rubens PharmacyProvider ID: TPV1669532651-01029 S Main StRockford, IL 61101(815) 968-5779Fax: (815) 968-577900 Yrs/99 YrsLanguages: SpanishMTWTHFSat 9:00 AM - 5:00PM

SAMS CLUBProvider ID: TPV1750308045-07151 Walton StRockford, IL 61108(815) 397-4291Fax: (815) 397-484200 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 6:00 PM

Schnucks PharmacyProvider ID: TPV1245390285-02642 Charles StRockford, IL 61108(815) 484-2461Fax: (815) 484-246200 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 4:00 PM

Schnucks PharmacyProvider ID: TPV1275569527-01810 Harlem RdLoves Park, IL 61111(815) 637-8908Fax: (815) 637-890900 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 4:00 PM

Schnucks PharmacyProvider ID: TPV1407138480-04860 Hononegah RdRoscoe, IL 61073(815) 623-7798Fax: (815) 623-947900 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 4:00 PM

Schnucks PharmacyProvider ID: TPV1578599098-06410 E State StRockford, IL 61108(815) 397-2127Fax: (815) 397-274700 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 4:00 PM

Schnucks PharmacyProvider ID: TPV1609158682-02206 Barnes BlvdRockford, IL 61112(815) 332-7078Fax: (815) 332-740800 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 4:00 PM

Swedish American HospitalProvider ID: TPV1588093942-01401 E State StRockford, IL 61104(779) 696-1130Fax: (779) 696-959000 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

WalgreensProvider ID: TPV1033368618-0Walgreens1704 E Riverside BlvdLoves Park, IL 61111(815) 633-0475Fax: (815) 633-085300 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat-Sun 9:00 AM - 5:00 PM

WalgreensProvider ID: TPV1093720294-0Walgreens5690 E State StRockford, IL 61108(815) 395-1828Fax: (815) 395-814700 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat-Sun 9:00 AM - 5:00 PM

WalgreensProvider ID: TPV1164437315-0Walgreens1602 Kishwaukee StRockford, IL 61104(815) 967-9054Fax: (815) 967-887200 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat-Sun 9:00 AM - 5:00 PM

WalgreensProvider ID: TPV1235144403-0Walgreens2525 S Alpine RdRockford, IL 61108(815) 227-9861Fax: (815) 227-563600 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat-Sun 9:00 AM - 5:00 PM

WalgreensProvider ID: TPV1265447452-0Walgreens5065 Hononegah RdRoscoe, IL 61073(815) 623-5079Fax: (815) 623-508300 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat-Sun 9:00 AM - 5:00 PM

WalgreensProvider ID: TPV1326053562-0Walgreens1145 N Alpine RdRockford, IL 61107(815) 398-2443Fax: (815) 398-286100 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat-Sun 9:00 AM - 5:00 PM

WalgreensProvider ID: TPV1336302512-0Walgreens1680 W Lane RdMachesney Park, IL 61115(815) 282-1203Fax: (815) 282-194900 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat-Sun 9:00 AM - 5:00 PM

WalgreensProvider ID: TPV1376785667-0Walgreens2404 S Perryville RdRockford, IL 61108(815) 332-3256Fax: (815) 332-418000 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat-Sun 9:00 AM - 5:00 PM

WalgreensProvider ID: TPV1437164654-0Walgreens5900 N 2nd StLoves Park, IL 61111(815) 282-2077Fax: (815) 282-437600 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat-Sun 9:00 AM - 5:00 PM

WalgreensProvider ID: TPV1467467654-0Walgreens1201 E State StRockford, IL 61104(815) 962-2812Fax: (815) 962-325900 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat-Sun 9:00 AM - 5:00 PM

WalgreensProvider ID: TPV1639184773-0Walgreens3325 N Main StRockford, IL 61103(815) 877-6084Fax: (815) 877-276300 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat-Sun 9:00 AM - 5:00 PM

WalgreensProvider ID: TPV1659386860-0Walgreens3929 N Mulford RdRockford, IL 61114(815) 633-9157Fax: (815) 639-807700 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat-Sun 9:00 AM - 5:00 PM

PharmacyWinnebago

Updated: 11/09/2018


Retail - cont.

WalgreensProvider ID: TPV1699780841-0Walgreens3803 Auburn StRockford, IL 61101(815) 963-3705Fax: (815) 963-177600 Yrs/99 YrsMTWTHFSat 8:00 AM - 10:00PMSun 9:00 AM - 5:00 PM

WalgreensProvider ID: TPV1831558618-0Walgreens1100 Broadway St Ste 102Rockford, IL 61104(224) 323-5069Fax: (844) 882-579800 Yrs/99 YrsM-F 9:00 AM - 10:00 PMSat 9:00 AM - 7:00 PM

WalgreensProvider ID: TPV1861851438-0Walgreens1200 W State St Ste 102Rockford, IL 61102(815) 490-1630Fax: (815) 977-993100 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

WalgreensProvider ID: TPV1891700084-0Walgreens3336 11th StRockford, IL 61109(815) 394-0357Fax: (815) 394-087100 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat-Sun 9:00 AM - 5:00 PM

WalgreensProvider ID: TPV1932116969-0Walgreens2323 Charles StRockford, IL 61104(815) 399-1474Fax: (815) 399-256000 Yrs/99 Yrs

Walmart PharmacyProvider ID: TPV1104950906-04781 E. Rockton RdRockton, IL 61072(815) 389-4940Fax: (815) 389-746000 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1114944410-03902 W Riverside BlvdRockford, IL 61101(815) 962-4763Fax: (815) 962-484300 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1497772776-03849 Northridge DrRockford, IL 61114(815) 636-0333Fax: (815) 636-014900 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1669499935-07219 Walton StRockford, IL 61108(815) 399-7195Fax: (815) 399-725500 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Winnebago Snyder Pharmacy

Provider ID: TPV1730246158-0101 Landmark DrWinnebago, IL 61088(815) 335-3535Fax: (815) 335-118600 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 6:00 PM

PharmacyWoodford

Updated: 11/09/2018


Retail

CVSProvider ID: TPV1093818767-0501 W Center StEureka, IL 61530(309) 467-3161Fax: (309) 467-349700 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 5:00 PMSun 10:00 AM - 5:00 PM

CVSProvider ID: TPV1619052701-0137 W. Front StEl Paso, IL 61738(309) 527-3627Fax: (309) 527-363000 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 3:00 PM

CVSProvider ID: TPV1821073156-0117 W Mt. VernonMetamora, IL 61548(309) 367-9701Fax: (309) 524-536000 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 1:00 PM

Green Tree PharmacyProvider ID: TPV1245221068-01305 Carolyn DrMinonk, IL 61760(309) 432-3451Fax: (309) 432-362500 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PMSat 9:00 AM - 2:00 PM

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.

Albanian

Family PracticeElezi, Luan MD

General DentistryAliaj, Erid DDS

Arabic

Family PracticeAli, Syed MD

General DentistryAkhras, Saleh DDSAppell, Aaron DDSDamodarah, Lokesh DDSGomaa, Munir DMDHaider, Yazdan DDSKoro, Rami DDSLee-Lim, Esther DDSMin, David DDSMohammad-Salamah, Rabeh DDSMoustafa, Tamer DDSPatel, Dhaval DDSPatel, Meha DDSRajagopal, Srinivasan DDSSafavinejad, Sadaf DDSShah, Shashi DDSSweis, Jubrail DDSVildaver, Eliot DMDVitanov, Milen DMDWolf, Harvey DDSYusaf, Saima DDS

Internal MedicineEl Bzour, Monther MDMarina, Shadi MDMustapha, Fadi MD

Obstetrics/GynecologyAl Khabbaz, Antoun MD

OrthodonticsAlamir, George DDSNajjar, Anas DMD

RetailAlwan Pharmacy

Bengali

PediatricsNag, Pratip MD

German

RetailArkins Rexall Drug StoreCounty Market Pharmacy

Gujarati

PsychiatryShah, Trilok MD

Hindi

Community Mental Health CenterLutheran Social Services of Illinois

Family PracticeJain, Sameer MD

General DentistryAnne, Hari Priya DDSPatel, Jabal DDS

Infectious DiseaseDoughty, Stephen MD

Internal MedicineIyer, Laxman MDSawlani, Manish MDSingh, Bhupinder MD

Interventional CardiologyChughtai, Haroon MD

OphthalmologyRahman, Azizur MD

PediatricsPragneshkumar, Mistry MD

RetailAmboy Hometown Pharmacy

Downtown Discount DrugsDurand Telepharmacy IncGenoa PharmacyHwy 72 PharmacyRochelle Pharmacy

Substance AbuseLutheran Social Services of Illinois

Italian

RetailDistrict Drugs and CompoundingCntr

Korean

GastroenterologyYoon, David MD

General DentistryIkram, Moeen DDSJafri, Nazish DDSKim, Hyun DDSKim, Sung DDSLee, Kayoun DMDLiu, Noel DDSLodhi, Tania DDSMA, Ji DDSSannapareddy, Umapriya DDSSetti, Sony DDSSon, Seokjae DMDSyed, Mazher DDS

Infectious DiseaseYoon, Jungwon MD

PedodonticsPatel, Dhara DDS

Macedonian

Family PracticeElezi, Luan MD

Malayalam

UrologyMathew, Mathew MD



Marathi

Internal MedicineSawlani, Manish MD

Polish

Community Mental Health CenterLutheran Social Services of Illinois

General DentistryKaczynski, Thomas DDS



Punjabi

Family PracticeJain, Sameer MD

Internal MedicineSingh, Bhupinder MD


Romanian


Russian

Family PracticeJamal, Asad MDSultanova, Gulzhazira APRN

General DentistryAlsibaie, Lina DMDGuevarra, Mark DMDLablonde, Brian DDSRevich, Yelena DDSZhang, Taoran DDS

Home Health CareHome Bound Healthcare Inc

Internal MedicineProkopiv, Halyna MD

OrthodonticsAgarwal, Manika DMDKristofor, Colleen DDS

Sydorak, Inna DDSYarmolyuk, Yaroslav DDS

RetailWagner PharmacyWrightway LTC Pharmacy

Sindhi

Internal MedicineSawlani, Manish MD

Spanish

Acute Care HospitalBeloit Memorial Hospital

Behavioral Health CounselingChildrens Home Association of IL

CardiologyMontilla, Jorge MD

Certified Nurse MidwifeOsborne, Victoria CNM

Community Mental Health CenterLutheran Social Services of IllinoisThe Center For Youth and FamilySolutionThe Childrens Home Association ofIL

Durable Medical EquipmentPreferred Home Health CareMidwestRockford Orthopedic Appliance

Family PracticeBrady, Michelle APRNDall, Jeanne APRNElezi, Luan MDGonzalez, Jacqueline APRNHernandez, Juan MDMiller, Kimberly MDWiechert, Mark MD

Federally Qualified Health CenterCommunity Health Partnership ofIllinoisHeartland Community HealthClinicHeartland Community HealthClinic At Hum

GastroenterologyYoon, David MD

General DentistryAcosta-Lenis, Claudia DDSAdams, Marlene DDSAli, Saima DDSAliaj, Erid DDSAmelon, Ashlynn DDSAnne, Hari Priya DDSAnumula, Saila DDSAvadhani, Rahul DDSBai, Allen DDSBartman, Holly DDSBarysenka, Piotr DDSBeltran, Liset DDSBidkar, Vibhor DMDBittner, Kelsey DDSCasey, Patricia DDSCavitt, Mary DDSChang, Yong DDSChiang, James DDSCho, Jai DDSChoudhary, Nikhilesh DMDChughtai, Abdullah DMDCompton, Anne-Ashley DDSDamodarah, Lokesh DDSDel Carmen, Orleanys DDSDurshanapalli, Srinivas DDSDziarski, Matthew DMDFinlay, Colleen DDSGeorge, Rita DMDGirgis, Dina DDSGood, Brian DMDGrinter, Jason DDSHackney, Henry DMDHafeez, Sabeen DDSHansen, Duane DDSHendricks, Demi DDSHorihan, Kate DDSHowell., Richard DDSHussain, Iffat DDSJafri, Nazish DDSJamil, Samira DDSJohnson, Charles DDSKaczynski, Thomas DDSKang, Navtej DMDKil, Haein DMD



Spanish - cont.

General Dentistry - cont.Kondapalli, Venkat DDSKoro, Rami DDSKukarans, Krista DDSLallas, June DDSLayer, Theron DDSLe, Huong DDSLe, Huy DMDLiu, Noel DDSLocascio, Vincent DMDLofvall, Cristian DDSMA, Ji DDSMehlhoff, Michael DDSMirza, Taha DDSMorrissette, Debra DDSMoustafa, Tamer DDSMysore Rajagopal, Sowmya DDSNaser, Ashraf DDSNasreen, Taiba DDSNavarrete, Odilia DDSNewcomer, Isabella DDSNinan, Elizabeth DMDNourahmed, Hibba DDSObah, Uzoma DDSOH, Hyun DDSOluyemi, Morolayo DMDOria, Valente DDSPane, Lary DDSPatel, Amee DMDPatel, Dhara DMDPatel, Jabal DDSPatel, Satyam DDSPatel, Shweta DDSPaul, Bart DDSRevich, Yelena DDSRistevski, Igor DDSRoo, Kunho DDSRozny, Matthew DMDSaeed, Azam DDSSam, Sima DDSSanku Lakshmi, Prasada DDSShah, Obaid DMDShah, Sayed Haroon DMDShah, Shashi DDSShah, Yashoni DDSSharma, Nishu DDS

Shivakumar, Preeti DDSSimpson, Crystal DMDSingh, Anupam DMDSoofi, Saad DDSSreekantam, Bharath DDSSrinivasa, Aparna DDSStumphy, Mark DMDSultana, Yasmeen DMDTadakamalla, Pramod DDSTang, Minghui DDSTarapore, Roxanne DDSThota, Sandeep DDSTodorova, Irena DMDVanney, Emily DDSVasudevan, Paridhie DMDVillasenor, Martha DDSVirdi, Manisha DDSWaid, Kory DDSWalton, Elizabeth DDSWertz, Jacob DDSWhite, Mark DMDWilwert, Monica DDSYasmeen, Naheed DDSYemm, William DDSZhou, Yang DMD

General SurgeryEyberg, Erin MD


HospiceVitas Healthcare Corporation ofIllinois

Infectious DiseaseBrobbey, Wahab MDDoughty, Stephen MD

Internal MedicineAlford, Rodney MD

Obstetrics/GynecologyAl Khabbaz, Antoun MDGonzalez, Marie APRNLococo, Salvatore MDNaleway, Karen APRN

Oral & Maxillofacial SurgeryValladares, Alejandro DDS

OrthodonticsAlamir, George DDSArboleda-Lopez, Cleidy DDSAylward, Gerard DDSBenjamin, Dale DMDHosomura, Naoshi DDSJazaierly, Aeiman DDSKunnel, Joseph DDSRiccio, Nick DMDTorres-Gorena, Ariadna DDSVij, Kapil DDSWhitesman, Louis DDSYang, Mona DDS

Pediatric PsychiatryDelgado-Serrano, Lourdes MD

PediatricsBenters, Jennifer APRNMalabanan, Raquel MDMorgan, Barbara APRN

PedodonticsDavenport, Megan DDSGoldman, Scott DDSMalcolm, Andy DDSRajesh, Mythili DDSRick, Edward DDSRutherford, Leslee DDSSiddiqui, Saleem DDS

PsychiatryCheco, Frinette MD

Radiation OncologyDebenham, Douglas MD

Rehabilitation FacilityChildrens Home Association of IL

RetailArkins Rexall Drug StoreAxline PharmacyBioscrip Infusion ServicesCommunity Health Care PharmacyCoram Cvssplty Infusion SvcsDelavan Easy Care PharmacyDistrict Drugs and CompoundingCntrErie TelepharmacyEssential Wellness Pharmacy



Spanish - cont.

Retail - cont.Genoa-QOL HealthcareGreen Tree PharmacyHwy 72 PharmacyIllini Clinic PharmacyMount Carroll PharmacyPreferred PharmacyPrinceville Pharmacy LLCRochelle PharmacyRubens PharmacyShermans PharmacyTrinity Retail Pharmacy

Skilled Nursing FacilityRosewood Care Center of EastPeoriaRosewood Care Center ofGalesburgRosewood Care Center of MolineRosewood Care Center of PeoriaRosewood Care Center ofRockford

Substance AbuseChildrens Home Association of ILLutheran Social Services of Illinois

Swedish

Family PracticeOkeson, Edwin MD

Tagalog


Telugu

HematologyJujjavarapu, Srinivas MD

Medical OncologyJujjavarapu, Srinivas MD

Turkish

Family PracticeSultanova, Gulzhazira APRN

Ukrainian

HospiceVitas Healthcare Corporation ofIllinois

Internal MedicineProkopiv, Halyna MD

Urdu

CardiologyHanif, Sohail MD

Family PracticeAli, Syed MDJamal, Asad MD

General DentistryHaider, Yazdan DDS

Internal MedicineSingh, Bhupinder MD


Obstetrics/GynecologyAli, Maqbool MD

OphthalmologyRahman, Azizur MD

Vietnamese

RetailAmboy Hometown PharmacyCommunity Health Care PharmacyOsf Pharmacy

Yoruba

Family PracticeOloriegbe, Fatimah MD

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 thecounty 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 deproveedor. Primero busque el tipo de cuidado que necesita, y luego verifique el condado y el número depágina. Consulte esa página para obtener la información del proveedor.

A

Acute Care HospitalBureau 175Fulton 176LA Salle 178Rock 181Winnebago 184

Adult Day CareWinnebago 282

Allergy & ImmunologyBureau 65Peoria 90Rock 107Tazewell 127Winnebago 141

Ambulatory Surgery CenterClinton 189Winnebago 207

AudiologyClinton 215LA Salle 221Lee 223Rock 231Walworth 241Whiteside 244Winnebago 247

B

Behavioral Health CounselingPeoria 90

Behavioral Health FacilityPeoria 198

C

Cardiac ElectrophysiologyRock 107Winnebago 141

CardiologyClinton 66, 215

Jo Daviess 76Lee 82, 223Rock 107, 108, 231Walworth 131Whiteside 135, 244Winnebago 141, 142

Certified Nurse MidwifeBoone 210Bureau 213LA Salle 221Peoria 226Tazewell 239Winnebago 247, 248

Child NeurologyWinnebago 142, 143

ChiropracticKnox 77Rock 108Winnebago 143

Clinical Social WorkKnox 220

Colon & Rectal SurgeryPeoria 90Winnebago 143

Community Mental Health CenterBoone 186Bureau 187Carroll 188Fulton 190Henry 192Jo Daviess 193Knox 194LA Salle 195Lee 196Ogle 197Peoria 198Rock Island 201Tazewell 204Warren 205

Whiteside 206Winnebago 207, 208Woodford 209

Critical Access HospitalJo Daviess 177Ogle 180Walworth 182Whiteside 183

D

DermatologyLA Salle 79, 221Lee 82, 223Rock 108, 231Walworth 131, 241Whiteside 135, 244Winnebago 143, 249Woodford 174, 265

DialysisBoone 186Lee 196Peoria 198Rock Island 201Stephenson 203Tazewell 204Whiteside 206Winnebago 208

Distinct Part Unit PsychLee 196Winnebago 208

Durable Medical EquipmentBureau 187Fulton 190Henry 192Knox 194LA Salle 195Peoria 198, 199Scott 202Whiteside 206Winnebago 208



E

Ear, Nose & ThroatClinton 66LA Salle 79, 221Lee 82Rock 108Walworth 131Whiteside 135Winnebago 143

Endocrinology, Diabetes,MetabolismRock 108Whiteside 135Winnebago 143

F

Family PlanningLA Salle 221

Family PracticeBoone 1, 2, 210, 211Bureau 4Carroll 5, 214Clinton 6, 215Fulton 8, 216Henderson 9, 217Henry 10, 75, 218Jo Daviess 11, 219Knox 77, 220LA Salle 13, 14, 221, 222Lee 16, 82, 223Marshall 18Ogle 19, 20, 225Peoria

21, 22, 23, 24, 25, 26, 90, 226, 227Putnam 36Rock 37, 38, 108, 231, 232Stark 42Tazewell 127, 239Walworth 44, 131, 241Whiteside 45, 46, 47, 135, 136, 244Winnebago49, 50, 51, 52, 53, 54, 55, 56, 143, 144,249, 250, 251, 252, 253, 254, 255, 256,257, 258

Federally Qualified Health CenterBoone 2

Henderson 9Knox 12LA Salle 195Peoria 26Tazewell 43Whiteside 47Winnebago 56, 57

G

GastroenterologyBureau 65Peoria 90, 227Rock 108, 109, 232Tazewell 127Walworth 131Whiteside 136, 244Winnebago 144, 145, 258Woodford 174

General DentistryBoone 63Clinton 66Dekalb 69, 70Fulton 72Henderson 74Henry 75Knox 77LA Salle 79Lee 82, 83Ogle 89Peoria 91, 92Rock Island 121, 122Scott 124Stark 125Stephenson 126Tazewell 127Warren 134Whiteside 136, 137Winnebago

145, 146, 147, 148, 149, 150

General PracticeLA Salle 14Ogle 20Winnebago 57

General SurgeryClinton 67Fulton 72

Jo Daviess 76Lee 83Peoria 92, 93, 227Rock 109, 110, 232Rock Island 122Tazewell 127, 128Walworth 131Whiteside 137Winnebago 150, 151

Geriatric MedicinePeoria 227Rock 110Whiteside 137Winnebago 258

Gynecological OncologyPeoria 93Winnebago 151

GynecologyBoone 63Winnebago 151, 152, 258

H

Hand SurgeryWinnebago 152

HematologyFulton 72Henry 75Knox 77LA Salle 79, 222Peoria 94, 227

Hematology & OncologyClinton 67LA Salle 79Lee 83Peoria 94, 227Rock 110, 111, 233Walworth 131Whiteside 137Winnebago 152, 258, 259

Home Delivered MealsWinnebago 282

Home Health CareBureau 187Fulton 190, 268



H - cont.

Home Health Care - cont.Knox 271LA Salle 272Peoria 199, 276Rock Island 201, 277Stephenson 278Tazewell 279Whiteside 281Winnebago 208, 282

Homemaker ServiceFulton 268LA Salle 272Lee 273Mercer 274Peoria 276Tazewell 279Winnebago 282

HospiceBureau 187Henderson 191Knox 194LA Salle 195Ogle 197Peoria 199Rock 200Rock Island 201Tazewell 204Winnebago 208

Hospice and Palliative CareWinnebago 152

HospitalLee 179Whiteside 183Winnebago 184

I

Infectious DiseaseLA Salle 80Peoria 94, 227Rock 111Scott 124Winnebago 152, 153

Infusion TherapyRock Island 201

Internal MedicineBoone 2Bureau 4Clinton 6Henderson 9, 217Jo Daviess 11Knox 77LA Salle 14, 15, 222Lee 16, 17Marshall 18Ogle 20, 89Peoria26, 27, 28, 29, 30, 31, 32, 94, 95, 227,228Rock 38, 39, 111, 112, 233Stark 42Walworth 131Whiteside 48, 137Winnebago 57, 58, 59, 153, 259

Interventional CardiologyRock 112Whiteside 138Winnebago 153

L

Laboratory Pathology TestingAll 185

Licensed Clinical Social WorkerBoone 211Bureau 213Fulton 216Lee 223Peoria 228Rock 233Rock Island 238Tazewell 239Whiteside 244Winnebago 259

Licensed Marriage and FamilyTherapistKnox 220LA Salle 222Rock Island 238

Licensed Mental Health CounselorWhiteside 245

Licensed Professional CounselorBureau 213Fulton 216Henry 218Jo Daviess 219Knox 220Lee 223Peoria 228, 229Rock Island 238Tazewell 239, 240Warren 243Winnebago 153, 259

M

Maternal Fetal MedicineRock 112Winnebago 154

Medical GeneticsWinnebago 154

Medical OncologyFulton 72Henry 75Knox 77LA Salle 80Lee 83Peoria 95, 229Whiteside 138Winnebago 154, 155

Medically NecessaryTransportationAll 185

N

NeonatologyWinnebago 260

NephrologyClinton 67Peoria 95, 96, 229Rock 112Tazewell 128Walworth 132Winnebago 155, 260

NeurologyLA Salle 80Lee 83



N - cont.

Neurology - cont.Rock 112, 113Walworth 132Whiteside 138Winnebago 155, 156, 260

NeurosurgeryRock 113, 114, 233Winnebago 156, 260

Nurse MidwifeLA Salle 222Peoria 229, 230Tazewell 240

Nurse Practitioner Acute CarePeoria 230Winnebago 260

Nurse Practitioner Adult HealthWinnebago 260

Nurse Practitioner GerentologyWinnebago 260

Nurse Practitioner GeriatricPeoria 230

Nurse Practitioner Womens HealthLA Salle 222Peoria 230Tazewell 240

O

Obstetrics/GynecologyBoone 2, 64, 212Bureau 4, 65Clinton 67, 215Fulton 72LA Salle 15, 80Lee 83, 84Ogle 89Peoria 33, 96, 97, 98, 99, 100, 230Rock 114Tazewell 128Walworth 132Whiteside 138Winnebago

59, 60, 156, 157, 158, 159, 260, 261

Occupational MedicineRock 115Walworth 132Winnebago 159

Occupational TherapyRock 233, 234Walworth 241Whiteside 245Winnebago 261

OphthalmologyClinton 67Fulton 72Knox 77LA Salle 80Lee 84Peoria 100Rock 115Stephenson 126Tazewell 128Walworth 132Whiteside 138Winnebago 159, 160

OpticianWinnebago 160

OptometryBoone 64Bureau 65Dekalb 70, 71Fulton 72Jo Daviess 76Knox 77, 78LA Salle 80Lee 84Mercer 87Peoria 100, 101, 102, 103Rock 115, 116Rock Island 123Tazewell 129Whiteside 138, 139Winnebago 160, 161

Oral & Maxillofacial SurgeryRock Island 123Whiteside 139Winnebago 161

OrthodonticsDekalb 71LA Salle 80, 81Lee 84Rock 116Winnebago 161, 162

Orthopaedic SurgeryClinton 67Fulton 72, 73Jo Daviess 76LA Salle 81, 222Lee 84, 224Rock 116, 234Walworth 132, 241Whiteside 139, 245Winnebago 162, 163, 164, 261

Orthotics & ProstheticsPeoria 199Rock Island 201Scott 202

Otolaryngology Facial PlasticSurgeryLee 224Whiteside 245Winnebago 261

P

Pain ManagementFulton 73Rock 116, 234Walworth 132Whiteside 139Winnebago 164, 261

Palliative CareRock 234

Pediatric CardiologyRock 117Winnebago 164, 165

Pediatric Cardiovascular SurgeryWinnebago 165

Pediatric Ear, Nose & ThroatWinnebago 165

Pediatric EndocrinologyWinnebago 165



P - cont.

Pediatric GastroenterologyRock 117Winnebago 165

Pediatric Hematology/OncologyPeoria 103Winnebago 165

Pediatric Orthopedic SurgeryWinnebago 165

Pediatric PsychiatryKnox 78Winnebago 166

Pediatric PulmonologyWinnebago 166

Pediatric RheumatologyWinnebago 166, 262

Pediatric SurgeryWinnebago 166

Pediatric UrologyWinnebago 166, 262

PediatricsBoone 2, 3, 212Bureau 4Clinton 6, 7LA Salle 15Lee 17, 224Ogle 225Peoria 33, 34, 35Rock 39, 40, 41, 117Tazewell 43Walworth 44, 133Whiteside 48Winnebago 60, 61, 62, 262, 263

PedodonticsBoone 64Muscatine 88Peoria 103Whiteside 139Winnebago 166, 167

PeriodonticsKnox 78

Physical Medicine & RehabilitationLee 84Rock 117Walworth 133, 241Winnebago 167, 263

Physical TherapyRock 235, 236Walworth 241, 242Whiteside 245Winnebago 263, 264

Physician AssistantBureau 213LA Salle 222Winnebago 264

Physician Assistant Acute CareWinnebago 264

Plastic & Reconstructive SurgeryPeoria 103, 230Rock 117, 236Walworth 133Winnebago 167

PodiatryBoone 64Clinton 67Lee 84Peoria 103, 104Rock 117, 118Walworth 133Whiteside 139Winnebago 167, 168

PsychiatryBoone 64Bureau 65Henry 75Jo Daviess 76Knox 78LA Salle 81Lee 85Peoria 104, 105, 230Rock 118Rock Island 238Whiteside 139Winnebago 168, 169, 264

PsychologyBureau 65Fulton 73LA Salle 81Lee 85Peoria 105Rock Island 123Tazewell 129, 130Winnebago 170Woodford 174

Psychosomatic MedicinePeoria 105Tazewell 130

Pulmonary DiseaseLee 85Rock 118Walworth 133Whiteside 139, 140Winnebago 170

R

Radiation OncologyKnox 78LA Salle 81Lee 85Rock 118, 119Winnebago 170, 171

Radiology - Interventional &VascularWinnebago 171

Rehabilitation FacilityPeoria 199Winnebago 208

Respite Care ServicesLee 273Tazewell 279Winnebago 282

RetailBoone 284Bureau 285Carroll 286Clinton 287Dekalb 288Fulton 289Henry 290



R - cont.

Retail - cont.Jo Daviess 291Knox 292LA Salle 293, 294Lee 295Marshall 296Mercer 297Muscatine 298Ogle 299Peoria 300, 301, 302Putnam 303Rock 304Rock Island 305, 306Scott 307Stephenson 308Tazewell 309, 310Walworth 311Warren 312Whiteside 313Winnebago 314, 315, 316Woodford 317

RheumatologyClinton 68Lee 85Rock 119Whiteside 140Winnebago 171

Rural Health CenterFulton 8, 190Henry 192Jo Daviess 193LA Salle 15Whiteside 48

S

Skilled Nursing FacilityBureau 187, 267Carroll 188Fulton 190, 268Henry 192, 269Jo Daviess 193, 270Knox 194, 271LA Salle 195, 272Mercer 274Ogle 197, 275

Peoria 199, 276Rock Island 201, 277Stephenson 203, 278Tazewell 204, 279Warren 280Whiteside 206, 281Winnebago 208, 282Woodford 209, 283

Sleep MedicineJo Daviess 76LA Salle 81Rock 119

Speech & Language PathologyRock 236Walworth 242Whiteside 246

Speech TherapyRock 237

Sports MedicineRock 119

Substance AbuseBoone 64Fulton 73Henry 75Jo Daviess 76Knox 78LA Salle 81Lee 85, 86Ogle 89Peoria 105Rock Island 123Stark 125Stephenson 126Tazewell 130Whiteside 140Winnebago 171

Surgical OncologyPeoria 105Winnebago 172

T

Thoracic & Cardiovascular SurgeryPeoria 105Rock 119, 237Winnebago 172

Thoracic SurgeryRock 119, 120Rock Island 123

U

UrologyClinton 68, 215Lee 86Rock 120Walworth 133Whiteside 140Winnebago 172

V

Vascular SurgeryLee 224Peoria 106, 230Rock 120Stephenson 126Whiteside 246Winnebago 172, 173, 264

EXTENDED HOURS INDEX


You can find a provider who has longer office hours in this index. First look for the provider’s name. Then checkthe county and page number. You can go to that page to get the provider’s office hours.

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 esapágina para obtener el horario de atención del proveedor.

Boone

Family PracticeCunningham, Anne Apn 1Giamalva, Andrea MD 1Gonzalez, Jacqueline APRN 210Gorham, Stephanie MD 1Kellenberger, Neal MD 1Lopez, Cassandra MD 1Ritter, Amanda Apn 2Schultz, Diana Apn 2Simmons, Mary MD 2

Federally Qualified Health CenterCrusader Clinic Belvidere 2

General DentistryIkram, Moeen DDS 63Kim, Hyun DDS 63Lodhi, Tania DDS 63Sannapareddy, Umapriya DDS 63Setti, Sony DDS 63Syed, Mazher DDS 63

GynecologyBush, Amanda MD 63Hoyer, Erica Apn 63

Internal MedicineSanz, Jaime MD 2

OptometryPawlak, William OD 64

PediatricsBlaser, Carrie APRN 212Bustle, Amanda APRN 212

PedodonticsPatel, Dhara DDS 64

PodiatryCorcoran, Michael DPM 64

RetailShopko Pharmacy 284Snyder Pharmacy 284

Walgreens 284Walmart Pharmacy 284

Bureau

Acute Care HospitalSt Margarets Hospital DBA StMargaret's 175

HospiceSt Margarets Hospice 187

Obstetrics/GynecologyToraason, Norah MD 65

OptometryDzik, Jeffrey OD 65

Physician AssistantHansen, Pamela PA 213

RetailFawcetts Pharmacy 285Princeton Pharmacy 285Sheffield Pharmacy 285Walmart Pharmacy 285

Skilled Nursing FacilityHeritage Manor Walnut 187

Carroll

Community Mental Health CenterSinnissippi Centers Inc 188

RetailHartig Drug Co 286Lanark Pharmacy 286Mount Carroll Pharmacy 286Shopko Pharmacy 286

Skilled Nursing FacilityGood Samaritan Society MountCarroll 188

Clinton

RetailHy-Vee Pharmacy 287

Osco Pharmacy 287Wagner Clinic Pharmacy 287Wagner Pharmacy 287Walgreens 287Walmart Pharmacy 287Wrightway LTC Pharmacy 287

Dekalb

General DentistryAliaj, Erid DDS 69Hackney, Henry DMD 69Kaczynski, Thomas DDS 69Layer, Theron DDS 69Locascio, Vincent DMD 69Ninan, Elizabeth DMD 69OH, Hyun DDS 69Patel, Amee DMD 69Patel, Jabal DDS 69Revich, Yelena DDS 70Sharma, Nishu DDS 70Srinivasa, Aparna DDS 70Vasudevan, Paridhie DMD 70Waid, Kory DDS 70Zhou, Yang DMD 70

OptometryCaron, Jeffrey OD 70Ebbesen, Jay OD 70Frank, Jeffrey OD 70Frank, Kristy OD 70Loydall, Viktoria OD 70Tweed, Megan OD 70Verbic, Victor OD 71Wenzel, Victoria OD 71

RetailCVS 288Genoa Pharmacy 288Hwy 72 Pharmacy 288Hy-Vee Pharmacy 288Lehan Drugs 288Osco Drug 288Osco Pharmacy 288



Dekalb - cont.

Retail - cont.Schnucks Pharmacy 288Walgreens 288Walmart Pharmacy 288

Fulton

Acute Care HospitalGraham Hospital 176

Durable Medical EquipmentGraham Home Medical Equipment

190

Family PracticeBowers, Joshua MD 8Savegnago, Allen MD 8

General SurgeryGowda, Ramayya MD 72Kent, Michael MD 72

Home Health CareSpoon River Home Healthsvcs 268

Homemaker ServiceSpoon River Home Healthsvcs 268

Obstetrics/GynecologyQiao, Jing MD 72

OptometryMorgret, David OD 72Wiltz, Sharna OD 72

Orthopaedic SurgeryBarnhart, Brett MD 72Queenan, James DO 73

Pain ManagementFeather, Glen DO 73

RetailCounty Market Pharmacy 289CVS 289Graham Hospital Pharmacy 289Hy-Vee Pharmacy 289Walgreens 289Walmart Pharmacy 289

Skilled Nursing FacilityHeartland Healthcare Center-Canton 190

Henderson

Family PracticeAbouassaly, Michael MD 9

Henry

RetailCVS 290Northside Rexall Pharmacy 290Orion Family Pharmacy LLC 290Preferred Pharmacy 290Vorac Pharmacy 290Walgreens 290Walmart Pharmacy 290

Skilled Nursing FacilityGood Samaritan Society GeneseoVillage 192Hillcrest Home 192Kewanee Care Home 269

Jo Daviess

Critical Access HospitalMidwest Medical Center 177

Licensed Professional CounselorCocagne, Stephanie LPC 219

OptometryMachala, Sarah OD 76

RetailHartig Drug Co 291Walmart Pharmacy 291

Skilled Nursing FacilityWaverly Place of Stockton 193

Knox

Clinical Social WorkRohl, Wanda CSW 220Shannon, Paula CSW 220

Family PracticeMixon, Kelly Apn 77Searles, Hillary Apn 77West, Tommy MD 77

Federally Qualified Health CenterKnox Community Health Center 12

HospiceHarbor Light Hospice 194

OptometryBotts, Eric OD 77Eilenfeldt, Pamela OD 77Obrien, Eric OD 77Rimkus, John OD 78Wiltz, Sharna OD 78

PsychiatrySami, Mohammad MD 78Shwarz, Eitan MD 78

RetailAbingdon Telepharmacy 292CVS 292Hy-Vee Pharmacy 292Walgreens 292Walmart Pharmacy 292

Skilled Nursing FacilityCare Center of Abingdon 194County of Knox DBA KnoxcountyNursing H 271Heartland Health Care CenterGalesburg 194Rosewood Care Center ofGalesburg 194Seminary Manor 194

LA Salle

Acute Care HospitalIll Valley Community Hospital 178

Family PlanningMoore, Tara ARNP 221

Family PracticeFigueiredo, Margaret ARNP 221Foster, Christine APRN 221Miskell, Jessica APRN 221

Federally Qualified Health CenterCommunity Health Partnership ofIllinois 195

General DentistryDamodarah, Lokesh DDS 79Hussain, Iffat DDS 79Koro, Rami DDS 79



LA Salle - cont.

General Dentistry - cont.Morrissette, Debra DDS 79Shah, Sayed Haroon DMD 79Shah, Shashi DDS 79

HospiceVitas Healthcare Corporation ofIllinois 195

Internal MedicinePersaud, Pitamber MD 14Preciado, Joy APRN 222Urrutia Potter, Irma MD 15

Licensed Marriage and FamilyTherapistMercer, Kimberly LMFT 222

Nurse MidwifeChilds, Meghan CNM 222Ger, Constance CNM 222

Nurse Practitioner Womens HealthHorack, Carrie ARNP 222Miller, Emily ARNP 222

Obstetrics/GynecologyBaum, Margaret MD 80Hoke, Caroline MD 80Loberg, Andrea MD 80

OptometryBhar, Nina OD 80Jackson, Joseph OD 80Trzepacz, Steven OD 80Wiltz, Sharna OD 80

OrthodonticsAlamir, George DDS 80Kunnel, Joseph DDS 81

Physician AssistantWorkman, Tamara PA 222

RetailArkins Rexall Drug Store 293CVS 293Hy-Vee Pharmacy 293Kroger 293Medi-RX Pharmacy Inc 293Ottawa Health Mart 293Schotts Pharmacy Inc 293

Streator Drugs 293The Pharmacy Stop 293The Pharmacy Stop Medical Center

293Walgreens 293Walmart Pharmacy 293, 294

Rural Health CenterLasalle Medical Clinic 15Oglesby Medical Clinic 15Peru Medical Clinic 15Peru Primary Care Clinic 15Womens Health Care Center 15

Skilled Nursing FacilityHeritage Manor Mendota LLC 195Heritage Manor Peru LLC 195Heritage Manor Steator LLC DBAHeritage 195Manor Court of Peru 195Ottawa Pavilion 272Parker Nursing and RehabilitationCenter 195

Lee

DialysisDixon Kidney Center 196

Distinct Part Unit PsychKatherine Shaw Bethea Hospital

196

Family PracticeJain, Sameer MD 16Pultorak, Kristine DO 16Welty, Joseph MD 16

General DentistryGerman, Mark DDS 82

Homemaker ServiceGenesis Home Healthcare 273

HospitalKatherine Shaw Bethea Hospital

179

Internal MedicineMuhsin, Adnan MD 17Sawlani, Manish MD 17Singh, Bhupinder MD 17

Licensed Clinical Social WorkerAndrews, Natalie LCSW 223Lafever, Margaret LCSW 223

Licensed Professional CounselorDean, Shannon LPC 223Thomason, Jennifer LPC 223

OphthalmologySutton, David MD 84

OptometryKlein, Kelly OD 84

PediatricsRivera, Maria MD 17

Physical Medicine & RehabilitationKhanna, Priti MD 84

Respite Care ServicesGenesis Home Healthcare 273

RetailFelkers Snyder Pharmacy 295Shopko Pharmacy 295Walgreens 295Walmart Pharmacy 295

RheumatologyAlghafeer, Ibrahim MD 85


85

Marshall

RetailCVS 296Tyner Pharmacy 296

Mercer

Homemaker ServiceMercer County Health Dept 274

OptometryArbet, Timothy OD 87Hays, Jill OD 87Lear, Christopher OD 87Ledford, Abigail OD 87Nordquist, Joseph OD 87



Mercer - cont.

RetailGenesis Firstmed Pharmacy 297Walmart Pharmacy 297

Muscatine

RetailWalgreens 298Walmart Pharmacy 298

Ogle


Critical Access HospitalRochelle Community Hospital 180

Family PracticeFlynn, Timothy MD 19Kimbell, Kayla DO 19O'Malleyfranks, Maggie Apn 19Retzer, Daniel MD 19Russom, Briana PA 225Saintlouis, Margret Apn 20Tchapnda, Luc MD 20

General DentistryAnderson, Abram DDS 89

HospiceSerenity Hospice and Home 197

Obstetrics/GynecologyDurkee, Timothy MD 89

RetailFelker Snyder Pharmacy 299Oregon Healthcare PharmacyServices 299Oregon Snyder Pharmacy 299Rochelle Pharmacy 299Walgreens 299Walmart Pharmacy 299

Skilled Nursing FacilityOregon Living and RehabilitationCenter 197

Substance AbuseSinnissippi Centers Inc 89

Peoria

Certified Nurse MidwifeEnright, Christy CNM 226Martin, Samantha CNM 226

Community Mental Health CenterFamilycore 198HSC Hamilton 198HSC Willow Knolls 198

Durable Medical EquipmentAmerican Homepatient 198

Family PracticeFigueiredo, Margaret ARNP 226Qazi, Aftab MD 90

Federally Qualified Health CenterHeartland Community HealthClinic 26

General DentistryAcosta-Lenis, Claudia DDS 91Anne, Hari Priya DDS 91Avadhani, Rahul DDS 91Bai, Allen DDS 91Chiang, James DDS 91Cho, Jai DDS 91Choudhary, Nikhilesh DMD 91Durshanapalli, Srinivas DDS 91George, Rita DMD 91Jafri, Nazish DDS 91Jamil, Samira DDS 92Kang, Navtej DMD 92Kondapalli, Venkat DDS 92Liu, Noel DDS 92MA, Ji DDS 92Naser, Ashraf DDS 92Roo, Kunho DDS 92Sanku Lakshmi, Prasada DDS 92Soofi, Saad DDS 92Sreekantam, Bharath DDS 92Tadakamalla, Pramod DDS 92Thota, Sandeep DDS 92

General SurgeryMammolito, Denise MD 93

Home Health CareMaxim Healthcare Services Inc 199

Homemaker ServiceAdvantage Nursing Services Inc

276

Nurse MidwifeChilds, Meghan CNM 229Ger, Constance CNM 230

Nurse Practitioner Womens HealthHorack, Carrie ARNP 230Miller, Emily ARNP 230

Obstetrics/GynecologyBaum, Margaret MD 96Hoke, Caroline MD 98Loberg, Andrea MD 99

OptometryAtkins, Charles OD 100Dameron, Rhonda OD 101Guithues, Molly OD 101Hahn, Mark OD 101Heden, Jeffrey OD 101Henson, Brian OD 101Jackson, Joseph OD 101Jensen, Nicole OD 101Jones, Deborah OD 101Lane, Steven OD 101Morgret, David OD 102Pelfrey Jones, Sandra OD 102Richard, Lori OD 102Richmond, Ronald OD 102Rimkus, John OD 102Sarmiento, Marc OD 102Schaidle, Kenneth OD 102Schussele, Jennifer OD 102Shelley, T OD 102Twenhafel, Stacy OD 102Willingham, Victoria OD 102Wilshire, Laura OD 102, 103Wiltz, Sharna OD 103

PedodonticsRick, Edward DDS 103

PodiatryEvans, Gretchen DPM 103

PsychologyDalfiume, Luke PHD 105Day, John PHD 105



Peoria - cont.

Psychology - cont.McCray, Mikell PsyD 105Morrison, Jennifer PsyD 105

RetailAlwan Pharmacy 300Critical Care RX LLC 300CVS 300Essential Wellness Pharmacy 300Hy-Vee Pharmacy 300Kroger 300, 301Kroger Savon Pharmacy 301Medi-Park Pharmacy 301Omnicare of Peoria 301Princeville Pharmacy LLC 301SAMS CLUB 301Schnucks Pharmacy 301Shermans Pharmacy 301Smith Pharmacy 301Walgreens 301, 302Walmart Pharmacy 302

Skilled Nursing FacilityHeartland Health Care Center-Peoria #402 199Heritage Manor Chillicothe LLC 199Manor Court of Peoria 199Sharon Health Care Woods 276Sharon Healthcare Elms 276

Substance AbuseHSC Hamilton 105

Rock Island

General DentistryAcosta-Lenis, Claudia DDS 121Chiang, James DDS 121Chughtai, Abdullah DMD 121Deena Dayalu Naidu, Jyothi DDS

121Hanlin, Brent DDS 121Jafri, Nazish DDS 121Kawamura, Janna DDS 121Kim, Sung DDS 121Lee, Kayoun DMD 121Lin, Shawn DDS 121Liu, Noel DDS 122MA, Ji DDS 122

Mehlhoff, Michael DDS 122Mysore Rajagopal, Sowmya DDS

122Nourahmed, Hibba DDS 122Son, Seokjae DMD 122

Home Health CareHome Bound Healthcare Inc 277

Licensed Clinical Social WorkerCarlson, Patrick LCSW 238

Licensed Marriage and FamilyTherapistRiordan, Anthony LMFT 238

OptometryArbet, Timothy OD 123Hays, Jill OD 123Heden, Jeffrey OD 123Judge, Quinn OD 123Kurtis, Sara OD 123Lapp, Cameron OD 123Lear, Christopher OD 123Ledford, Abigail OD 123Nordquist, Joseph OD 123Wiltz, Sharna OD 123

PsychologyJohnson, Benton PHD 123

RetailCVS 305Divvydose 305Hy-Vee Pharmacy 305Illini Clinic Pharmacy 305Osco Drug 305Osco Pharmacy 305Trinity Retail Pharmacy 305Walgreens 305, 306Walmart Pharmacy 306

Skilled Nursing FacilityHeartland Health Care CenterMoline#3081 201Rosewood Care Center of Moline

201

Rock

Acute Care HospitalBeloit Memorial Hospital 181

HospiceBeloit Regional Hospice 200

RetailCVS 304Shopko Pharmacy 304Walgreens 304

Scott

General DentistryAmelon, Ashlynn DDS 124Bidkar, Vibhor DMD 124Bittner, Kelsey DDS 124Hendricks, Demi DDS 124Horihan, Kate DDS 124Obah, Uzoma DDS 124Singh, Anupam DMD 124Stumphy, Mark DMD 124Virdi, Manisha DDS 124

RetailAmicare Pharmacy, Inc 307Community Health Care Pharmacy

307CVS 307First Med East Pharmacy 307Hy-Vee Pharmacy 307Main At Locust Pharmacy 307Omnicare of The Quad Cities 307SAMS CLUB 307Walgreens 307Walmart Pharmacy 307

Stark

Internal MedicineAlford, Rodney MD 42

Stephenson

DialysisDriftwood 203

RetailCub Pharmacy 308CVS 308Lena Drug Store 308Shopko Pharmacy 308Walgreens 308Walmart Pharmacy 308



Stephenson - cont.

Skilled Nursing FacilityFreeport Rehab and Health CareCenter 203Lena Living Center LLC 203Manor Court of Freeport 203

Tazewell

Community Mental Health CenterGateway Foundation Inc 204Tazwood Mental Health Center

204

Home Health CareCommunity Care Systems Inc 279

Homemaker ServiceCommunity Care Systems Inc 279

HospiceHarbor Light Hospice 204

Licensed Clinical Social WorkerConlin, Holly LCSW 239

Licensed Professional CounselorBohls, Ann LPC 239Howerter Zulawski, Jody LPC 239Mooney, Robert LPC 240Wolter, Robert LPC 240

OptometryHahn, Mark OD 129Haider, Jawad OD 129Johnson, Brendon OD 129Sarmiento, Marc OD 129Shelley, T OD 129Wiltz, Sharna OD 129

Respite Care ServicesCommunity Care Systems Inc 279

RetailCVS 309Delavan Easy Care Pharmacy 309Hopedale Pharmacy 309Kroger 309Kroger Savon Pharmacy 309Mackinaw Pharmacy 309Morton Alwan Pharmacy 309Park Court Pharmacy 309

Pekin Prescription Laboratory 309Walgreens 309, 310Walmart Pharmacy 310

Skilled Nursing FacilityHallmark House Nursing Center

279Pekin Manor 204Rosewood Care Center of EastPeoria 204

Substance AbuseGateway Foundation Inc 130Tazwood Mental Health Center

130

Walworth

Critical Access HospitalMercy Health Hospital and MedCenter Walworth 182

RetailMercy Walworth Pharmacy 311Walgreens 311

Warren

General DentistryGood, Brian DMD 134

Licensed Professional CounselorBurnett, Lenna LPC 243

RetailAxline Pharmacy 312Shopko Pharmacy 312Walgreens 312

Whiteside

AudiologyMartin, Mary AUD 244Zollinger, Laurie AUD 244

CardiologyEide, Jennifer Apn 135Gopal, Rajan MD 135Mackay, Steven DO 135


Critical Access HospitalMorrison Community Hospital 183

DermatologyDeets, Rachel PA 244Moran, Mark PA 244Payne, Chloe MD 135Stees, Marc MD 135

DialysisWhiteside Dialysis 206

Ear, Nose & ThroatKemker, Bryan MD 135

Family PracticeArmstrong, Melissa Apn 135Bland, Kayla PA 244Dehkordi, Behrang MD 135Erl, James Apn 135Eustace, Nicole MD 135Gueorguiev, Gueorgui MD 135Johnson, Brian Apn 45Jundi, Iyad MD 46Keys, Niko MD 135Kuhns, Eric MD 46Long, Miranda PA 244Luckey, John MD 46Mansour, Ibrahim MD 136Murphy, Aja DO 46Nailor, Jeanne Np 46Nobis, Polly Apn 136Nyabuti, Jared MD 136O’brien, Jill Np 46Patel, Ashish MD 136Raju, Bharat MD 46Roberts, Jennifer Apn 136Schaffert, Eric MD 46Scroggins, Shannon Apn 47Sitter, Concha Apn 136Smith, Denice MD 47Steinke, Paul DO 47Toth, Peter MD 47

Federally Qualified Health CenterWhiteside County CommunityHealth Clini 47

GastroenterologyFriend, Rahsaan DO 136Monteagudo, Jorge MD 136Phalen, Cara PA 244



Whiteside - cont.

General SurgeryKhawaja, Osmaan MD 137King, Thomas DO 137McGlone, Thomas MD 137Wakefield, Heather MD 137

Geriatric MedicineLawrence, Jill Np 137

Hematology & OncologyAlikhan, Mir MD 137

HospitalCgh Medical Center 183

Internal MedicineGopal, Suman MD 48Karingada, Mathai MD 137Styczynski, Richard MD 48

Interventional CardiologyKurian, Thomas MD 138

Licensed Clinical Social WorkerBank Geiger, Tracy LCSW 244Hart, Kristin LCSW 244

Licensed Mental Health CounselorEngelkens, Andrea LPC 245Hooker, Jennifer LPC 245Lutz, Christina LPC 245

Medical OncologyLimesand, Dianne Apn 138McDermott, Mia Apn 138

NeurologyAhmad, Waseem MD 138Dela Cruz, Chester MD 138

Obstetrics/GynecologyJohnson, Meredith Apn 138Lemay, Jeffrey MD 138Tugwell, Frank MD 138

OptometryHogge, Thomas OD 138Willingham, Victoria OD 139Wiltz, Sharna OD 139

Orthopaedic SurgeryHanlon, Shawn MD 139

Thormeyer, Jeffrey MD 139Wade, Joshua PA 245

Otolaryngology Facial PlasticSurgeryHeeren, Sarah PA 245

Pain ManagementIbarra, Juan MD 139

PediatricsHart, Rita DO 48Salzmann, Chloe MD 48

PodiatryRiley, Eric DPM 139

Pulmonary DiseaseTreviranus, Kim MD 139West, David MD 140

RetailCVS 313Fitzgerald Pharmacy 313Hartig Drug Co 313The Medicine Shoppe 313Walgreens 313Walmart Pharmacy 313

Rural Health CenterMorrison Community HospitalFamily Care 48

Skilled Nursing FacilityCitadel Care Center Sterling 206Good Samaritan Society ProphetsRivervie 206Sterling Pavilion 281

UrologyMathew, Mathew MD 140Rogers, Kevin Apn 140Song, Young DO 140

Vascular SurgeryHegner, Theodore PA 246

Winnebago

Acute Care HospitalSwedish American Hospital 184

Adult Day CareLifescape Community Services I

282

Allergy & ImmunologyMohiuddin, Fatima MD 141

AudiologyAwender, Carolyn AUD 247Broughton, Ann AUD 247Hartman, Melody AUD 247Marshall, Susan AUD 247

Certified Nurse MidwifeDobson, Jennifer CNM 247

ChiropracticNoe, Colleen DC 143

Community Mental Health CenterAdapt of Illinois Inc 207Rosecrance Auburn SupervisedLiving 207Rosecrance Benton House 207Rosecrance Harbor House 207Stepping Stones of Rockford Inc

207

DialysisChurchview Dialysis 208Rockford Dialysis 208Roxbury Dialysis Center 208Stonecrest Dialysis 208

Distinct Part Unit PsychSwedish American Hospital 208

Durable Medical EquipmentRockford Orthopedic Appliance

208

Endocrinology, Diabetes,MetabolismLogli, Kelly Apn 143Nagavalli, Sravanthi MD 143

Family PracticeAmirkhan, Mohammed MD 49Baris, Alvydas MD 49Boparai, Gurpreet MD 49Brokaw, Kristen APRN 249Bryant, Suzanne Apn 49Campbell, Gregory PA 249Choi, Hannah MD 49Christiansen, Beth Apn 49Dahm, Renee Apn 49, 50



Winnebago - cont.

Family Practice - cont.Everson, Ralph MD 50Ferry, Tiffanie MD 50Freeman, Lawrence Apn 50Fulcomer, Andrea PA 251Gonzalez, Jacqueline APRN 251, 252Guffey, Jennifer MD 50Gurney, Sarah Apn 50Ives, Lauren MD 51Johnson, Megan Apn 51Kimbell, Kayla DO 51Korbol, Michael PA 253Liao, Tsai Ling MD 51Lin, Billie MD 52Longnecker, Monica Apn 52Martinez, Leynard MD 52McNamara, Mary Apn 52Mork, Joseph PA 253Norder-Brandli, Chandra Apn 52Okeson, Edwin MD 53Rhyne, Christopher MD 53Russom, Briana PA 255Salgado, Hugo MD 53, 54Sapron, Andrea Apn 54Schiller, Thomas MD 54Scholcoff, Eduardo MD 54Shrestha, Patricia MD 54Soni, Zinal MD 54Sreedharan, Manoj MD 55Sridhar, Srivani MD 55Stiles, Bruce MD 55Stocker, Rose DO 55Sy, Esther MD 55Tase, Florentina Apn 55Torrijos, Marden MD 55Trautmann, Eric MD 55Villacorta, Jorge MD 55Volety, Snigdha MD 56Whitney, Mark PA 258Wolf, Katie Apn 56Worthington, MacKenzie DO 56

Federally Qualified Health CenterCrusader Clinic 56Crusader Clinic Broadway 56Crusader Community Health 57Crusaders Central Clinic Assoc 57

General DentistryAdams, Marlene DDS 145Akhras, Saleh DDS 145Anumula, Saila DDS 145Barysenka, Piotr DDS 146Beltran, Liset DDS 146Casey, Patricia DDS 146Chang, Yong DDS 146Compton, Anne-Ashley DDS 146Del Carmen, Orleanys DDS 146Dziarski, Matthew DMD 146Finlay, Colleen DDS 146Grinter, Jason DDS 146Hafeez, Sabeen DDS 147Hansen, Duane DDS 147Kil, Haein DMD 147Min, David DDS 147Mirza, Taha DDS 147Mohammad-Salamah, Rabeh DDS

147Nasreen, Taiba DDS 148Navarrete, Odilia DDS 148Oluyemi, Morolayo DMD 148Pane, Lary DDS 148Patel, Dhara DMD 148Patel, Jabal DDS 148Patel, Satyam DDS 148Patel, Shweta DDS 148Paul, Bart DDS 148Ristevski, Igor DDS 149Saeed, Azam DDS 149Safavinejad, Sadaf DDS 149Sam, Sima DDS 149Shah, Yashoni DDS 149Shivakumar, Preeti DDS 149Tang, Minghui DDS 149Todorova, Irena DMD 149Vanney, Emily DDS 149Walton, Elizabeth DDS 149White, Mark DMD 149Wolf, Harvey DDS 150Yasmeen, Naheed DDS 150Yusaf, Saima DDS 150

General SurgeryAppavu, Samuel MD 150

Home Delivered MealsLifescape Community Services I

282

Home Health CareCommunity Care Systems Inc 282

Homemaker ServiceCommunity Care Systems Inc 282Lifescape Community Services I

282

HospitalMercy Health Hospital RocktonAve 184

Internal MedicineBucha, Jurate MD 57Herdeman, Daniel MD 58Phelan, Peter MD 58Rizvi, Syed MD 58Salazar, Jose MD 58Williams, Allen MD 59

Obstetrics/GynecologyGonzalez, Marie APRN 261Naleway, Karen APRN 261

OpticianEyemart Express LLC 160

OptometryCleland, Erika OD 160Hillmann, William OD 160, 161Lerdvoratavee, Vasana OD 161Pawlak, William OD 161Rutkowski, Irina OD 161Weingart, Ronald OD 161Wight, Donald OD 161

Oral & Maxillofacial SurgeryValladares, Alejandro DDS 161

OrthodonticsArboleda-Lopez, Cleidy DDS 161Aylward, Gerard DDS 161Benjamin, Dale DMD 161Hosomura, Naoshi DDS 162Jazaierly, Aeiman DDS 162Riccio, Nick DMD 162Torres-Gorena, Ariadna DDS 162Vij, Kapil DDS 162



Winnebago - cont.

Orthodontics - cont.Whitesman, Louis DDS 162Yang, Mona DDS 162

Orthopaedic SurgeryEarhart, Jeffrey MD 163Ferry, Scott MD 163

Otolaryngology Facial PlasticSurgeryMuccianti, Jessica PA 261

PediatricsBlaser, Carrie APRN 262Bustle, Amanda APRN 262Geddes, Andrew MD 60Renk, William MD 62

PedodonticsDavenport, Megan DDS 166Goldman, Scott DDS 166Rajesh, Mythili DDS 166Rutherford, Leslee DDS 167Siddiqui, Saleem DDS 167

PodiatryCorcoran, Michael DPM 167Hoffman, Heath DPM 167Nielsen, John DPM 167Roshan, Syeda DPM 168

PsychiatryGarcia, Raymond PsyD 168Givens, Reginald MD 168Mostad, Lorri Apn 169Silvi, Evan MD 169Wright, Thomas MD 169

Rehabilitation FacilityVan Matre Rehibilitation CenterLLC 208

Respite Care ServicesCommunity Care Systems Inc 282

RetailCVS 314Durand Telepharmacy Inc 314Meijer Pharmacy 314North Park Pharmacy 314Pecatonica Pharmacy 314

Rubens Pharmacy 315SAMS CLUB 315Schnucks Pharmacy 315Walgreens 315, 316Walmart Pharmacy 316Winnebago Snyder Pharmacy 316

Skilled Nursing FacilityAmbd Properties LLC AmberwoodCare Centr 208PA Peterson At The Citadel 208Rosewood Care Center ofRockford 208

Substance AbuseRosecrance Harrison Campus 171Rosecrance Inc 171

Thoracic & Cardiovascular SurgeryBonilla, Juan MD 172Cziperle, David MD 172Gramm, James MD 172Tuchek, James DO 172

Woodford

Community Mental Health CenterTazwood Mental Health Center

209

RetailCVS 317Green Tree Pharmacy 317

Skilled Nursing FacilityHeritage Health Minok LLC DBAHeritage H 209Heritage Manor El Paso 209

PROVIDER INDEX


AAbel, Naomi APRN 217Abingdon Telepharmacy 292Abouassaly, Michael MD 9Abunaw, Mercy APRN 249Acosta-Lenis, Claudia DDS 91, 121Adams, Marlene DDS 145Adams, Ryan PT 235, 241Adamson, John PA 210, 249Adapt of Illinois Inc 207Adler, Roger MD 100, 128Advantage Nursing Services Inc

276Agada, Latavia LCSW 244Agarwal, Manika DMD 71, 161Aggarwal, Anoop MD 67Aggarwal, Neeru MD 6Ahearn, Michael MD 10Ahern Associates Medical CenterInc 192Ahmad, Mashood MD 112, 155Ahmad, Waseem MD 138Ahmed Khan, Mohammed MD 153Ahmed, Imdad MD 107, 141Akbar, Muhammad MD 38Akhras, Saleh DDS 145Al Khabbaz, Antoun MD 59Al Rashdan, Abdullah MD 90Alahi, Peter MD 104Alamir, George DDS 80, 84Albaghdadi, Ali MD 66Albaghdadi, Saadi MD 66Albert, Russell MD 114, 156Alden, Susan APRN 238Alderman, Heidi OT 233Alderman, Sarah MD 139Aledo Rehabilitation AndhealthcareCenter 274Aleksich, Sherry APRN 264Alexander, Cathy OD 160Alexander, John OD 160Alford, Rodney MD 42Alghafeer, Ibrahim MD 85Ali, Kaneez MD 156Ali, Maqbool MD 96Ali, Saima DDS 125Ali, Syed MD 21Aliaj, Erid DDS 69

Alikhan, Mir MD 83, 137Alkhalaf, Abdulhamid MD 16Alley, Robin MD 92Allison, Daniel MD 44Almasy, David MD 138Almusaddy, Mousab MD 118Al-Niaimi, Ahmed MD 151Alsibaie, Lina DMD 69, 145Altaweel, Michael MD 126Altayeh, Abdullah MD 170Altbuch, Arthur MD 110Alvarado-Urrutia, Norma Apn 45Alwan Pharmacy 300Alwood Pharmacy 290Ambd Properties LLC AmberwoodCare Centr 208Amberwood Care Centre 282Amboy Hometown Pharmacy 295Amelon, Ashlynn DDS 124American Homepatient 198American Prosthetics andOrthotics Inc 201, 202Amicare Pharmacy, Inc 307Amirkhan, Mohammed MD 49Amponsah, Kwabena PA 232Anaene, Mutimbwa MD 2, 60Anand, Amritpal MD 140Anderson, Abram DDS 89Anderson, Jane MD 37Anderson, Marla MD 93Anderson, Mary MD 67Anderson, Richard MD 93, 105Anderson, Thomas OD 100Andrews, Melanie MD 21Andrews, Natalie LCSW 223Angeles, Dexter MD 14Angeline, Michael MD 116Angevine, Mark MD 38Anjum, Ehteshamul MD 112Anjum, Shamshad MD 37Anleu, Maria Maria MD 118Anna, Manjusha MD 141Anne, Hari Priya DDS 91Ansari, Anis MD 67Ansari, Mohammed MD 49Antle, Lisa ARNP 258Anton, Oscar MD 162Anumula, Saila DDS 145

Appavu, Samuel MD 150Appell, Aaron DDS 82Appenheimer, Alpheus MD 82Apria Healthcare LLC 198, 202, 208Arayan, Asma MD 38Arbet, Timothy OD 87, 123Arboleda-Lopez, Cleidy DDS 161Arkins Rexall Drug Store 293Armstrong, Melissa Apn 4, 135Arynova, Bakytbubu MD 2, 59, 60Askew, Allyson MD 166Asner, Nesher MD 156Atkins, Charles OD 100Attaluri, Pratap MD 105, 130Atuahene, Nana MD 16Au, Kin MD 170Aude, Tracey APRN 244Aunt Marthas Health and Wellness

56Avadhani, Rahul DDS 91Awender, Carolyn AUD 247Axline Pharmacy 303, 312Aylward, Gerard DDS 161Azar, Aline MD 94Aziz, Fahad MD 155

BBacker, Carl MD 165Badruddoja, Mohammed MD 150Bai, Allen DDS 91Baig, Mirza MD 111Bailey, Shawn MD 36Baird, Susan APRN 231Bajaj, Madhuri MD 79, 80, 94, 95Balagani, Rajesh DO 133Balasubramaniam, Vivek MD 166Balch, Marilyn APRN 225Baldry, Jolyn PT 235, 241Baldwin, Terry MD 90, 127Bamrolia, Anshul MD 110Bank Geiger, Tracy LCSW 244Bansal, Saurabh MD 26Barakat, Suheil MD 6Baris, Alvydas MD 49, 168Barnes, Katarzyna ARNP 263Barnett, James MD 21Barnhart, Brett MD 72Barr, Jessica CNP 249

PROVIDER INDEX


B - cont.Barroilhet, Lisa MD 151Bartman, Holly DDS 63, 145Barysenka, Piotr DDS 146Bass, Joyce CNP 260Bates, Maria MD 150Batty, Paul MD 150Baum, Margaret MD 80, 96, 128Bautista, Ryndon MD 39Beach, Debra APRN 227Bean, Ryne MD 108Beaves, Sarah MD 60Bednarek, Debra PT 235, 241Begum, Hosne MD 154Behling, Rebecca Apn 172Beien, Adam OT 245Bello, Ismaila MD 138Beloit Memorial Hospital 181Beloit Regional Hospice 200Beltran, Liset DDS 146Belvidere Dialysis 186Benjamin, Dale DMD 161Benters, Jennifer APRN 212, 262Bentkowski, Marek MD 37, 49Beris, Alexandra MD 111Bernal, Alejandro MD 13Bernard, Gary MD 11Berner, Julie APRN 231Bertram, Deborah APRN 241Bestland, Jennifer APRN 231Betzelberger, Edward LCSW 239Bhar, Nina OD 80Bhateja, Manika MD 60Bhattacharya, Sumoulindra MD 156Bhattacharyya, Debasish MD

112, 155Bida-Dudun, Anna MD 83Bidkar, Vibhor DMD 66, 124Binder, Jennifer APRN 263Bindl, Nicole Np 39Bioscrip Infusion Services 305Bird, William MD 45Birkey, Elizabeth Np 14Bishop, James DDS 121Bittner, Kelsey DDS 66, 121, 124Blackburn, Patricia PA 221Blackmer, Michelle Np 139Bland, Kayla PA 244

Blascyk, Daniel MD 26Blaser, Carrie APRN 212, 262Blazquez, Angel MD 45Blew, Bryan DDS 121Blodgett, Rachel APRN 226Bocker, Emilee MD 16Boettcher, Chel OT 233Boettner, Karen CNM 247Bogie, Harlan MD 49Bohls, Ann LPC 239Bolek Berquist, Jilaine MD 119Bond, Jamie Apn 13Bond, William MD 100, 128Bonello, Julius MD 90, 93Bonilla, Juan MD 172Boone, Diane MD 159Boone, Kendall MD 126, 172Boonswang, Narongsak MD 172Bopanna, Suraj MD 170Boparai, Gurpreet MD 49Bordenave-Bishop, Susan DMD 91Borgerding, Kristin OT 233Borgwardt, Brad MD 67Bortin, Kenneth MD 131Bothfeld, Nathaniel PT 235Botts, Eric OD 77Bourdeaux, Erika APRN 231Bowen, Sarah Apn 150Bowers, Joshua MD 8Bowers, Ronald MD 37Bowmar, Andrea CNP 249Bowyer, Brad MD 144Boxleiter, Thomas MD 76Brady, Michelle APRN 210, 249Brainard, Ginger PHD 81Brandis, Olesya MD 157Brandl, Megan OT 233Branstiter, Nicole OT 261Brawley, Meredith DO 89, 157Braxton, John MD 172Brian, Regina PsyD 129Brickler, Lisa OT 233Bridge, Karen DC 108Bridgeway Inc

75, 78, 192, 194, 204, 205Brightwell, Dennis MD 168Brito, Tracy MD 57Brobbey, Wahab MD 124

Brokaw, Kristen APRN 249Brooks, David PA 245Brooks, Donna LPC

213, 216, 228, 239Brotherton, Jana PT 235Broughton, Ann AUD 247Brown, Mary MD 57Brown, Rebecca PT 263Brown, Stacy LPC 220Bruha, Robert MD 95Bryant, Suzanne Apn 49Bucha, Jurate MD 57Buchenau, Amy CNP 249Buddaraju, Ajay MD 85, 140Burckhartzmeyer, Lisa MD 85Burkat, Cathy MD 160, 167Burke, Wendy PT 245Burn, Trevan PT 245Burnett, Lenna LPC 220, 243Burns, Kevin PA 241Burr, Adam MD 118Burress, Glendon MD 117, 165Bush, Amanda MD 63Bussa, John MD 115Bustle, Amanda APRN 212, 262Bustle, Lindsay CNM 247Byler Dann, Rebecca MD 93, 96

CCacares, Erbert MD 153Caceres, Antonio MD 133Cadet, Nissage MD 109, 120, 150, 173Cain, Maureen APRN 260Calabrese, Emilio MD 173Calderon, Ricardo MD 13Callan, Laurie Np 45Camacho, Benito MD 26, 27Camacho, Kenneth MD 90, 127Camelot Care Center Inc 198, 207Campbell, Gregory PA 249Canady, Ashlea MD 137Cannell, Warren MD 48Canty, Susan PA 227Care Center of Abingdon 194, 271Carey, Rebekah APRN 260Carlson, Patrick LCSW 238Carney, Cassie DO 66Caron, Jeffrey OD 70

PROVIDER INDEX


C - cont.Carpenter, Matthew MD 78Carrion, Francisco MD 165Carroll, Drew PT 245Carter, Colette CNP 259Carton, Jennifer Apn 75Cascio, Paula CNM 247Casey, Ines MD 124Casey, Patricia DDS 146Castelein, Courtney APRN 231Castillo Clavijo, Maria MD 2, 60Cavitt, Mary DDS 136Celner, Anne CNP 258Cgh Home Infusion 206Cgh Medical Center 183Chady, Heather APRN 231Chaffin, Cindy Np 8Chalmers, Sarah MD 27, 33Chambers-Damm, Kristen MD 27Chandler, Steven DO 162Chang, Jonathan MD 160Chang, Yong DDS 146Chase, Kari DPM 167Chaudhry, Ahmad MD 172Chaudhry, Alyas MD 122, 123Checo, Frinette MD 118Cheng, Earl MD 166Chiang, James DDS 91, 121, 127Childrens Home and Aid 207Childrens Home Association of IL

90, 105, 199Childs, Meghan CNM 222, 229, 240Chilukuri, Karuna MD 107Chiou, Andy MD 93, 106Cho, Jai DDS 91Choi, Hannah MD 49Choi, Kent MD 109Choi, Lorraine MD 173Choudhary, Nikhilesh DMD 91Christenson, Kim Apn 141Christiansen, Beth Apn 49Christianson, Jacqueline APRN 231Chughtai, Abdullah DMD 121Chughtai, Haroon MD 112Churchview Dialysis 208Cinnamon, Brynn APRN 227Citadel Care Center Sterling 206Clausen, Ryan PT 235

Cleland, Erika OD 160Clemons, Kristin MD 117, 166Cleveland, Michelle APRN 231Cleveland, Michelle CNP 249Co, Dominic MD 166Coates, Aaron MD 57Cobb, Joan APRN 210, 250Cocagne, Stephanie LPC 219Coffey, Lynne Apn 5Coffey, Lynne ARNP 215Colah, Xerxes MD 67Cole, Kelly APRN 230Colejr, James DO 150Colonial Healthcare AndrehabCenter 267Community Care Systems Inc

279, 282Community Health Care Pharmacy

307Community Health Partnership ofIllinois 195Community Hospices of AmericaLLC 194, 199, 201Community Medical Clinic 8Community Medical Clinic of TableGrove 8Complete Home Respiratory CareLLC 198Comprehensive Prosthetics andOrthotics 199, 201Compton, Anne-Ashley DDS 146Compton, Marguerite MD 131Conlin, Holly LCSW 239Conner-Garcia, Thembi MD 27Conway, Diane APRN 231Cook, Donna Apn 45Cook, Erica Apn 156Cook, Jamie APRN 229Cook, Marisha MD 141Cook, Robert MD 118Cooper, Keith DO 37Coram Cvssplty Infusion Svcs 307Corbin, Michael MD 168Corcoran, Michael DPM 64, 167Cordoba Munoz, Marcos MD 154Corpuz, Virgilio MD 7Cote, Mario MD 14County Market Pharmacy 289

County of Knox DBA KnoxcountyNursing H 271Cowgill, Lale MD 119Cox Rodriguez, Donna CNP 250Craig, Carol MD 168Crawford, David MD 93Crawford, Stephanie ARNP 225Crawley, Katie DO 96Crays, Gayle MD 49Crist, Gene MD 11Crist, Mary Np 13Critical Care RX LLC 300Croland, Joshua MD 96, 97Croland, Roger OD 72, 101, 129Crowe, Kurt MD 16Crum, Christina PA 210, 250Crusader Clinic 56Crusader Clinic Belvidere 2Crusader Clinic Broadway 56Crusader Comm Health Auburn 57Crusader Community Health 57Crusader Community Health South

57Crusaders Central Clinic Assoc 57Cub Pharmacy 308Cummins, Kerin APRN 212, 262, 263Cunningham, Anne Apn 1Cunningham, William MD 157Curtis, Stephanie PA 234Custer, Rebecca PT 235Cutter, Matthew OD 138CVS288, 289, 290, 292, 293, 296, 300,304, 305, 307, 308, 309, 313, 314, 317Cziperle, David MD 172

DDabson, Janet MD 37Daccache, Ivetta OD 129Dahl, Carrie PA 231Dahm, Renee Apn 49, 50Daily, Tamera ARNP 227Dalfiume, Luke PHD

65, 73, 105, 129, 174Dall, Jeanne APRN 210, 250Dama, Kimberly PT 241Dameron, Rhonda OD 101Damodarah, Lokesh DDS 79, 82Damon, Sandra CNP 260

PROVIDER INDEX


D - cont.Dang, Phong MD 45Danielson, Angela PA 225Dannenmaier, William MD 162Dasilva, Leonard MD 155Dave, Amar MD 15Davenport, Megan DDS 166Davey, Kathryn PT 241Davis, Rachael MD 27Davis, Raymond MD 60Day, John PHD 105De Vos, Alissa PA 236Dealwis, Aulbrey Apn 170Dean, Joni CNP 262Dean, Shannon LPC 223Debenham, Douglas MD 119Deboer, Kelly MD 13Debord, James MD 93, 106Decoons, Ryan MD 162Decosta, Anna Maria MD 119, 154Deena Dayalu Naidu, Jyothi DDS

121Deese, Shaun MD 27, 28Deesmcmahon, Rebekah LPC 218Deets, Rachel PA 223, 244Defauw, Nicholas DO 119Deguide, John MD 144Deguide, Susan MD 57Dehkordi, Behrang MD 135Dehne, Michelle APRN 229Del Carmen, Orleanys DDS 146Dela Cruz, Chester MD 138Deladisma, Marconi MD 50Delavan Easy Care Pharmacy 309Delgado-Serrano, Lourdes MD 78Delong, Rachel APRN 227Delp, Brittney LPC 238Denning, Dina PT 235Dennison, Thomas MD 139Deroos, Jan MD 116Deutsch, David MD 117, 165Deveshwar, Sangita MD 141Devine, Jordanna Apn 45Devries, Stephen PA 231Dhingra, Ravi MD 141Dhruve, Utpal MD 118Dhuna, Anil MD 76Dietz, Frederick MD 171

Dietz, Renee DDS 127Digvonni, Traci APRN 210, 250, 251Dimusto, Paul MD 173Dinges, Jennifer CNP 251Dinkha, Duncan MD 135Dirks, Staci SLP 246Disch, Nicole APRN 231District Drugs and CompoundingCntr 305Dittmar, Margaret ARNP 219Divvydose 305Dixon Kidney Center 196Dixon, John MD 6Dixon-Shambley, Kamilah MD 97Dobson, Jennifer CNM 210, 247Dojacques, Sophie MD 114Dolan, Lynn MD 115Dombeck, Nathan PA 234Domnitz Gebet, Avi DO 142Donaldson, Jessica LMFT 220Donnelly, Michael DO 120Donnelly, Robert MD 67Dopkins, Machelle AUD 247Dorn, Alita OT 233Dorshorst, Robert PA 232Doty, Lydia AUD 223Doubet, Kami APRN 226Doughty, Stephen MD 94Douglas, Geoffrey MD 109Downtown Discount Drugs 314Draeving, Tiffany PT 235Draper, Dominic MD 44Drengenberg, Debra MD 19Driftwood 203Droese, Stefanie PT 235, 242Dsouza, Anthony MD 64Dudeck, Lindsay MD 142Dudek, Susan APRN 230Dudzek, Georgien LCSW 233Duffield, Karin PT 235Dunaway, Britain LPC 229Duncan, Melissa Apn 85, 140Dunphy, Erin OD 115Durand Telepharmacy Inc 314Durani, Hina MD 1, 50Durkee, Benjamin MD 170Durkee, Timothy MD 89, 157Durshanapalli, Srinivas DDS 91

Durst, Amy ARNP 226Dygart, Kristy Np 39Dyke, Jeffrey PT 245Dziarski, Matthew DMD 146Dzik, Jeffrey OD 65

EEagle View Community HealthSystem 9Earhart, Jeffrey MD 163East Bank Center 208Ebbesen, Jay OD 70Edwards, Jeffrey MD 65, 80Edwards, Vernee MD 64, 157Edwards, William MD 152Eeten, Alison CNM 230Egbujiobi, Leo MD 107Eggers, Gordon PA 210, 251Eggers, Karen Np 4Eide, Jennifer Apn 135Eilenfeldt, Pamela OD 77Einhorn, Harvey MD 152El Bzour, Monther MD 16El Paso Health Care Center 283Eley, Cindy Np 39Elezi, Luan MD 37, 50Elghannam, Hesham MD 119Elkattah, Rayan MD 97Ellahi, Wasim MD 90Ellingdon, Antoinette CNP 260Elliott McCandless, Colleen APRN

251Elliott-Zippe, Cynthia Apn 157Elmer, Renee APRN 220Elmwood Pharmacy 300Elwood, Eric MD 93, 103Endress, Kathryn APRN 226Endress, Kathryn Np 21Engelkens, Andrea LPC 245Engelkes, Molly ARNP 258Engelking, Kayla OT 233Eno, Gary AUD 215Enright, Christy CNM 226Erickson, Lief MD 109Erie Telepharmacy 313Erl, James Apn 135Ernst, Stephanie Apn 45Essential Wellness Pharmacy 300

PROVIDER INDEX


E - cont.Eustace, Nicole MD 135Evans, Chadrick MD 93Evans, Gretchen DPM 103Evans, Lisa CNP 251Evans, Wayne MD 154Evens, Sonja LCSW 228Everson, Ralph MD 50Ewbank, Penelope MD 65, 90Ewert, Brittany OT 233Ewing, Alison OT 233Extended Pharmacy LLC 300Eyberg, Erin MD 109Eyemart Express LLC 160Eyler, Elizabeth OD 77Ezidinma, Afoma MD 107, 141

FFahnhorst, Sarah MD 28Familycore 198Fanco, Josephine CNP 251Fanning, Debra LPC 216, 229, 239Fanopoulos, Dimitrios MD 119, 171Farhat, Hamad MD 156Farley, Leah MD 40Farr, Breann Apn 90, 127Farr, Breann APRN 216Farrell, Amanda APRN 241Farrell, John MD 94Farrell, Richard MD 11Fawcetts Pharmacy 285Feather, Glen DO 73Felker Snyder Pharmacy 299Felkers Snyder Pharmacy 295Ferguson, Bethany Np 21, 22Fernald, Jorge MD 85, 168Fernandez, Mark MD 14Ferry, Scott MD 163Ferry, Tiffanie MD 50Fess, Kara MD 13Feuerstein, Catherine DPM 117Fideler, Bradley MD 132Figueiredo, Margaret ARNP

221, 226, 239Finlay, Colleen DDS 146Finnegan, Heather ARNP 251First Med East Pharmacy 307First Medical Pharmacy 307

Fischer, K. PT 264Fishkin, Paul MD 72, 94, 95Fitch, Roger OD 101Fitzgerald Pharmacy 313Fitzgerald, William MD 39, 111Floreani, Christina MD 85Flory, Donald MD 6Flynn, Timothy MD 19Focios, Dean MD 163Fondulac Rehab Healthcare Center

279Fonge Jr, John MD 28, 33Foran, Ronald MD 164Foreman, Jodi APRN 226Foreman, Josefina Apn 75Forman, Courtney ARNP 251Foster, Christine APRN 221Foti, Vicki Apn 50Fraley, Melissa PA 230Frank, Jeffrey OD 70Frank, Kristy OD 70Frantz, Jamie MD 116, 163Frantz, Jessica SLP 237Freeman, Lawrence Apn 50Freeman, Monica AUD 231Freeport Dialysis 203Freeport Rehab and Health CareCenter 203, 278Frey, Justin MD 37Friend, Rahsaan DO 136Frisella, Brittany Apn 157Fritz, Germaine DO 152Froeming, Rebecca PT 235Frye, Aaron MD 167Frye, Brandon DO 152Fulcomer, Andrea PA 251Fuller, Michelle Apn 173Furey, Jessica DO 131

GGabriel, Stephen MD 84Gale, Eric MD 16Galena Clinic Inc 76, 193Galva Pharmacy 290Gamblin, Jessica APRN 222, 227Gaonkar, Balamoorti MD 168Garcia, Raymond PsyD 168Garcia, Ronald MD 117, 133

Garg, Rakesh MD 80, 83Garland, Catharine MD 166Garriott, Jennifer Apn 45Gates, Candace MD 157Gateway Foundation Inc 130, 204Gateway Services Inc 187Gateway Surgery Center LLC 189Gauravi, Priyanka MD 135Gawaran, Emily CNP 251Geddes, Andrew MD 60Gehlbach, Thomas MD 16Geiselhart, Christina LCSW 211, 259Generations At Neighbors 275Generations At Rock Island 277Genesis Firstmed Pharmacy 297Genesis Home Healthcare 273Genesis Medical Center, Aledo 297Genoa Pharmacy 288Genoa-QOL Healthcare 300, 314Gentz, Catherine Apn 152Geoffroy, Francois MD 77, 94, 95George, Rita DMD 91Ger, Constance CNM 222, 230, 240German, Mark DDS 82Ghaly, Ramsis MD 156Gharia, Manish MD 131Giamalva, Andrea MD 1Gianitsos, Anestis MD 120, 133Gianvecchio, Christopher MD 40Giardono, Angela ARNP 251Gibbons, Vincent MD 143Gibbs, Adria APRN 223Gibbs, Christopher MD 144Gibbs, Cody APRN 216Gibbs, Tarah APRN 251Gibson, Jack MD 97Giesler, Melanie DO 66Girgis, Dina DDS 63, 146Gisel, Lynnette CNP 258Givens, Reginald MD 168Glesne, Brian DMD 127Glesne, Mark DDS 127Glovsky, Robert MD 57Goelz, Carly PT 235Goelzer, Kristen MD 40Goelzer, Mark MD 40Goetzen, Krzysztof MD 112Goetzen, Maria MD 37

PROVIDER INDEX


G - cont.Going, Sharon APRN 231Gold, Kenneth MD 39, 153Goldberg, Ian DO 141Goldman, Scott DDS 166Goldstein, Allan MD 119Gomaa, Munir DMD 82Gomez, Patrick MD 94, 95Gonzales, Eugene MD 37Gonzalez, Jacqueline APRN

210, 251, 252Gonzalez, Marie APRN 212, 261Gonzalez, Nicole APRN 252Good Samaritan Society GeneseoVillage 192Good Samaritan Society MountCarroll 188Good Samaritan Society ProphetsRivervie 206Good, Brian DMD 134Gopal, Rajan MD 135Gopal, Suman MD 48Gordon, Christal MD 40Gorelik, Maxim MD 132, 164Gorham, Stephanie MD 1Gorman, Christine MD 19Gortowski, Deborah APRN 224Gosnell, Jody APRN 252Gottlieb, Justin MD 160Gowda, Ramayya MD 72Gower, Joseph MD 163Graczykowski, Jacek MD 97, 98Graham Home Medical Equipment

190Graham Hospital 176Graham Hospital Pharmacy 289Graham Medical Group 8, 190Gramm, James MD 172Granberry, Kemoria MD 65, 80Granzeier, Gregory DO 157Gray, Jason MD 116Greco, Margaret MD 164Green Tree Pharmacy 317Green, John MD 141Green, Terra Np 40, 60Greenberg, James MD 131Greenwood, Angella Np 13Gregory, David MD 22

Grewal, Sandeep MD 110Griebel, Craig MD 22Grinols, James MD 40, 133Grinter, Jason DDS 126, 146Gronau, Rachel MD 44Gryfinski, Martin MD 156Gucilatar, Max MD 7Gudeman, Suzanne MD 120Guenev, Perka MD 50Gueorguiev, Gueorgui MD 135Guevarra, Mark DMD 69, 146Guffey, Jennifer MD 50Guiab, Mark APRN 252Guithues, Molly OD 101Gulliver, Eugene MD 107, 131Gullone, Elizabeth MD 11Gullone, Matthew MD 11Gumbiner, Brandon MD 84Gunderson, Tyler MD 84Gunther, Krystyn LCSW 228Gurney, Sarah Apn 50Gurtizen, Jeffrey DO 50Guthrie, Kelley MD 45Gysin, John OD 101

HHabben, Karen OT 245Hackney, Henry DMD 69Hadid, Mazen MD 153Hadie, Angela APRN 252Hafeez, Sabeen DDS 147Hahn, Amanda CNM 210Hahn, John MD 84, 138Hahn, Leanne MD 37Hahn, Mark OD 101, 129Haider, Jawad OD 129Haider, Yazdan DDS 82Hale, David MD 141Hall, Heather MD 173Hall, Jenna PT 242Hall, Kendra MD 60Hallmark House Nursing Center

279Hamann, Madelene Np 40Hambrook, John MD 164Hamidi, Maryam MD 170Hamman, Rebecca APRN 231Hammond, Cynthia APRN 252

Hanger Clinic 199, 202Hanif, Sohail MD 82Hanks, Jessica MD 28Hanlin, Brent DDS 121Hanlon, Edward OD 84Hanlon, Shawn MD 139Hansen, David MD 58Hansen, Duane DDS 147Hansen, Pamela PA 213Harb, Tarek MD 157Harbor Light Hospice 194, 204Harmon, Kamela CNP 260Harmston, Greg MD 11Harrington, Douglas MD 98, 128Harris, Janel PHD 73Harris, Nancy MD 44Harris, Towanda MD 22Harrison, Stephen MD 6, 45Hart, Christopher PT 235Hart, John MD 61Hart, Kristin LCSW 244Hart, Lauren PT 264Hart, Rita DO 48Hartig Drug Co 286, 291, 313Hartman, Melody AUD 247Hartman, Michelle Np 9Hartzell, Melissa PA 211, 252Harvey, Richard MD 28Harvey, Sarah OT 241Hasan, Jafar MD 167Hasken, Laurie Apn 157Hatchett, Lauren SLP 236, 242Hawley, Nathan PT 264Hayes, Richard MD 141, 142Hays, Jill OD 87, 123Health, Michelle APRN 227Health, Virginia Apn 45Healy, Samuel DO 33Heartland Community HealthClinic 26, 43Heartland Community HealthClinic At Hum 26Heartland Health Care CenterGalesburg 194Heartland Health Care CenterMoline#3081 201Heartland Health Care Center-Peoria #402 199

PROVIDER INDEX


H - cont.Heartland Healthcare Center-Canton 190Heartland Hospice Services 208Heartland Hospice Services LLCDBA Heart 201Heatley, Diane MD 165Hedayati, Hadi MD 17Hedberg, Alina CNP 252Heden, Jeffrey OD 101, 123Heeren, Sarah PA 224, 245Heffelfinger, Susan PHD 85Hegner, Theodore PA 224, 246Heights Healthcare andRehabilitation 276Heise, Scott LPC 223Hellmich, Linda PsyD 85Helmi, Mohamed MD 111Help At Home268, 271, 272, 276, 277, 278, 279, 281,282Henderson County HealthDepartment 191Henderson, Chance MD 163Hendricks, Demi DDS 66, 121, 124Henline, Jeffrey OD 72, 101, 129Henrey, Andrea Apn 152Henriquez, Whitney CNM 252Henson, Brian OD 101Herberger, Gary DDS 72, 91, 127Herdeman, Daniel MD 58Heritage Health Minok LLC DBAHeritage H 209Heritage Manor Chillicothe LLC 199Heritage Manor El Paso 209Heritage Manor Mendota LLC 195Heritage Manor Peru LLC 195Heritage Manor Steator LLC DBAHeritage 195Heritage Manor Walnut 187Herman, Luke MD 50Hermon, Manorama MD 48Hernandez, Juan MD 16Hernandez, Thomas MD 84Hertz, Laura APRN 227Hess, Karri PA 214Hess, Meghan CNP 252Hibler, Betty MD 67

Higgins, Phillip MD 158Hill, Michael DO 113Hillcrest Home 192, 269Hillmann, William OD 160, 161Hitt, Rockton MD 51Hitz, Leonard APRN 211, 252Hobson, Margaret MD 131Hodel, Kenneth MD 98Hoff, Stephanie MD 6Hoffman, Dana CNM 213, 221Hoffman, Heath DPM 167Hoffman, Matthew PT 264Hoganson, George MD 154Hogge, Thomas OD 138Hokanson, John MD 164Hoke, Caroline MD 80, 98, 128Holbrook, Jodi MD 158Holden, David MD 22, 23Holla, Smitha MD 112Holland, Sarah LPC

213, 216, 229, 239Holman, Debbie APRN 217Holmbeck, Ryan DPM 167Homann, Scott MD 152, 153Home Bound Healthcare Inc

199, 201, 277Home Dialysis Services Peoria LLC

198Home Dialysis Services RockfordLLC 208Honarkhah, Nader MD 39Hooker, Jennifer LPC 245Hoover Regan, Margo MD 165Hope Creek Care Center 201Hopedale Pharmacy 309Hopping, Jacob MD 137Horack, Carrie ARNP 222, 230, 240Horihan, Kate DDS 66, 124Hornbach, Mark MD 61Horton, James MD 37Horvath, Emily MD 28, 29Hosler, James MD 108Hosomura, Naoshi DDS 162Hospice Advantage LLC 195Hotopp, Marjorie APRN 258Hott, Sarah LPC 223Houk, Emily SLP 236Houser, David MD 95

Houtakker, Jeremy PA 241Hovis, John MD 143Hovis, Robin MD 171Howe, Heather Apn 93Howell., Richard DDS 74Howerter Zulawski, Jody LPC 239Hoyer, Erica Apn 63Hoyme, Derek MD 164HSC Hamilton 105, 198HSC New Leaf 199HSC Willow Knolls 198Huber, Alysia CNP 260Huber, Amanda Apn 51Hudson, Hilton MD 119Hughes, Angela PA 232Hull, Lois Apn 151Hullett, Craig MD 119Human Service Center 198Human Service Center Jefferson

105, 198Human Service Center Rochelle

105, 198Huntley, Alicia CNM 247Hussain, Iffat DDS 79Hussli, Jennifer MD 37Hutt, William MD 61Hwy 72 Pharmacy 288Hy-Vee Pharmacy287, 288, 289, 292, 293, 300, 305, 307

IIbarra, Juan MD 139Ikenberry, Steven MD 144Ikens, Toni Apn 45Ikram, Moeen DDS 63Ill Valley Community Hospital 178Illig, Joseph MD 113Illini Clinic Pharmacy 305Illinois Cancer Care 293Illinois Cancercare 292Illinois Valley Hospice 195Imhoff, Tiana PA 234Iqbal, Javaid MD 113, 118, 155, 168Irfan, Syed MD 168Irshad, Mohammed MD 136Ives, Lauren MD 51Iyer, Christina APRN 223Iyer, Laxman MD 17

PROVIDER INDEX


JJabshetty, Sangmesh MD 89Jack, Cynthia CNP 252Jackson, Joseph DMD 121Jackson, Joseph OD 80, 101Jackson, Sara Np 40Jacobson, Justin PA 261Jaconette, Richard MD 169Jaegle, Constance PA 221Jafri, Nazish DDS 91, 121, 127Jafry, Shahina MD 169Jager, Matthew DO 29Jain, Sameer MD 16Jamal, Asad MD 16James, Gordon MD 95, 128Jamil, Samira DDS 92Janicke, Kyle PT 242Jarosch, Callie OT 233Jay, Gina PT 264Jazaierly, Aeiman DDS 162Jensen, Donna MD 72Jensen, Nichelle APRN 232Jensen, Nicole OD 101Jessie, Brooke PT 235Jesudas, Rohith MD 103Jiao, Jie PHD 130Johanson, John MD 108, 144Johnson, Alan MD 158Johnson, Amanda PA 233, 259Johnson, Aretha Np 23Johnson, Ashleigh PT 235Johnson, Benton PHD 123Johnson, Brendon OD 129Johnson, Brian Apn 45Johnson, Bringa PT 235Johnson, Charles DDS 136Johnson, Cynthia APRN 244Johnson, Jarod DDS 88Johnson, Jill DO 6Johnson, Joyce MD 16Johnson, Justin OT 233Johnson, Leighton MD 116, 163Johnson, Mary Apn 150Johnson, Maryl MD 142Johnson, Megan Apn 51Johnson, Megan APRN 252Johnson, Meredith Apn 138Johnson, Tad MD 107

Johnsons Pharmacy 285Jones, Carrie APRN 229Jones, Deborah OD 101Jones, Glyn MD 103Jones, Marcia MD 46Jones, Olivia SLP 236, 242Jordal, Danielle ARNP 260Juan, Henry MD 39Judge, Quinn OD 123Jujjavarapu, Srinivas MD 75, 94, 95Jundi, Iyad MD 46Junghen, Jennifer APRN 241Jurgens, Lester MD 158

KKaczynski, Thomas DDS 69Kafka, Julie MD 51Kaldor, Katheryn DO 114Kalweit, Juliette MD 152Kaminski, John MD 142Kang, Navtej DMD 92Kantorowitz, David MD 119Kao, Walter MD 142Kapoor, Roger MD 108, 143Kapur, Rashmi MD 160Karas, Todd DPM 103Karbasian-Esfahani, Merat MD 152Karingada, Mathai MD 137Karkatzounis, Ioannis MD 81Karkera, Damodara MD 14Karmakar, Nivedita MD 40, 61Karne, Neel MD 109Karugu, Caroline APRN 260Kaskavage, Jillian MD 61Katherine Shaw Bethea Hospital

179, 196Kauffman, Thersa ARNP 215Kaufman, Howard DO 154Kaur, Maninder MD 1, 51Kaveggia, Francis MD 120, 133Kawamura, Janna DDS 121Kazmouz, Suhaib MD 117, 164Keeney, Renee CNM 210Kellenberger, Neal MD 1Kelling, Cynthia Apn 170Kelly, Jody MD 98Kemker, Bryan MD 82, 135Kent, Michael MD 72

Kerns, James MD 98, 99, 128Kerrschneider, Karli CNM 213, 221Kester, Penny PT 245Kewanee Care Home 269Keyes, Brittany PT 264Keys, Niko MD 135Khan, Ajaz MD 154Khan, Fazal MD 4Khan, Kauseruzzaman MD 39Khan, Mohammed MD 113Khan, Mohsin MD 155Khan, Usman MD 95Khanna, Priti MD 84Khattak, Fauzia MD 152Khawaja, Abbas MD 135Khawaja, Osmaan MD 83, 137Khoga, Yehia MD 118Khoury, Ramez MD 108, 131Kibler, Amy DO 6Kikta, Michael MD 173Kil, Haein DMD 147Kilaru, Prasad MD 142Kilburg, Jodi ARNP 215Kim Kupfer, Caroline MD 29Kim, Hyun DDS 63Kim, Sung DDS 121Kimbell, Joseph DO 19Kimbell, Kayla DO 19, 51Kind, Charles DPM 117Kindig Oguzlu, Sandi APRN 232King, Denise LPC 218, 220King, Thomas DO 83, 137Kishore, Kamal MD 80, 100Kitts-Faron, Angela APRN 211, 253Klawitter, Joseph MD 44Klean, Kevin DO 116Klein, James MD 135Klein, Kelly OD 84Klein, Kenneth MD 117, 167Klespis-Wick, Kathleen MD 37Klinski, Albert DDS 72, 92Klovning, Jason MD 150Knavel, James MD 132Knight, Ricardo MD 167Knox Community Health Center 12Koch, Debra PT 236Koch, Laura CNP 258Kodras, Ronald MD 39

PROVIDER INDEX


K - cont.Koehler, Pam CNM 213, 221Koenigs, Mary MD 11Kohler, Jonathan MD 166Kokanovic, Obrad MD 107Kolla, Srinivas MD 172Kondapalli, Venkat DDS 92Koneru, Sravantika MD 1, 51Konkol, Keith MD 111Konstantakos, Emmanuel MD 163Korbol, Michael PA 253Koro, Rami DDS 79, 82Koscica, Sarah MD 23Kosmicki, Lisa AUD 231Kostantacos, Maria APRN 232Koteles, Gary OD 161Kovilam, Oormila MD 154Kowalski, Jeffrey MD 44Kozak, Kevin MD 119Kozlowski, Stephen MD 171Kramer, Tamara MD 37Kristofor, Colleen DDS 162Kroger 293, 300, 301, 309Kroger Savon Pharmacy 301, 309Krpan, Marko DO 163Krueger, Stephanie OT 234, 261Krueger, Theresa Np 46Krutzfeldt, Danae DDS 121Kucia, Tammy PA 264Kuganeswaran, Eliathamby MD

90, 127Kuhns, Eric MD 46Kukarans, Krista DDS 74Kulas, Daniel MD 37Kumar, Devakumaran MD 113Kumar, Pankaj MD 79, 94Kuna, Michael MD 169Kunnel, Joseph DDS 81Kurian, Thomas MD 138Kurtis, Sara OD 123Kushner, David MD 151Kuzma, John PA 222

LLababidy, Muhammed MD 118Labak, Sandra DO 1Labcorp 185Lablonde, Brian DDS 69

Ladd, Phillip LPC 229, 239Lafever, Margaret LCSW 223Lake, Wendell MD 113Lal, Adhinayak DO 78Lallas, June DDS 63, 147Lamers, Luke MD 164Lanark Pharmacy 286Lane, Steven OD 101Lange, Brittany CNM 213, 221Lange, Krystle DO 150Lapp, Cameron OD 123Laput, Kenneth APRN 253Larson, Lisa Apn 153Larson, Patricia LPC 239Lasalle Medical Clinic 15Latif, Sheikh MD 169Latka, Kristie PT 236Latsch, Amber CNM 247Laureijs, Peter MD 6Lawrence, Jill Np 137Layer, Theron DDS 69Le Lindqwister, Nguyet MD 94Le, Huong DDS 136Le, Huy DMD 137Leach, Kelley PT 264Lear, Christopher OD 87, 123Lederer, Howard MD 109Ledford, Abigail OD 87, 123Lee, James MD 109Lee, Kayoun DMD 121Lee, Sandra CNP 258Lee, Thomas DO 99Lee-Lim, Esther DDS 82Leffel, Erin PA 233Legel, Mathew DO 163Lehan Drugs 288Lehan Drugs At The Dekalb Clinic

288Lemay, Jeffrey MD 138Lemay, Lyndi SLP 246Lembezeder, Michael PT 242Lena Drug Store 308Lena Living Center LLC 203, 278Lenox, Marjorie CNP 260Leone, Douglas MD 79Lerdvoratavee, Vasana OD 161Leu, David MD 163Leung, Connie AUD 241

Levine, Ross MD 113Lewellyn, Brett MD 163Lewis, Britnae Np 4, 13Lewis, Sarah CNP 253Leys, Charles MD 166Liao, Tsai Ling MD 51Liautaud, Angela PT 236Lichty, Carrin OT 234Liebendorfer, Jaycie APRN 260Liebherr, Susan OT 234Lifescape Community Services I

282Lillich, Maureen MD 109Limesand, Dianne Apn 83, 138Lin, Billie MD 52Lin, Shawn DDS 121Lincare Inc 194, 195, 199, 206, 208Lindahl, Larry MD 29Lindsey, Joshua MD 76Lindsey, Sarah APRN 227Link, Doreen APRN 227Link, Helen Np 40Lisek, Robert MD 39, 58Liu, Jijun MD 94, 95Liu, Noel DDS 92, 122, 127Loberg, Andrea MD 80, 99, 128Locascio, Vincent DMD 69Loch, Archibald DPM 133Lococo, Salvatore MD 99Loconto, Elizabeth DO 40Lodhi, Tania DDS 63Loftus, Kerilynn MD 114, 158Lofvall, Cristian DDS 63, 147Loggins, Allison PT 245Logli, Kelly Apn 143Long, Miranda PA 244Long, William DO 83, 84Longnecker, Monica Apn 52Lopez Cortes, Anthonie MD 67Lopez, Cassandra MD 1Lopez, David MD 139Lorimer, Monica MD 131Lotsu, Dzifaa MD 109Lovelace, Kimberley MD 115Loydall, Viktoria OD 70Lucarelli, Mark MD 160, 167Luchici, Danca MD 17Lucietto-Sieradzki, Therese MD 143

PROVIDER INDEX


L - cont.Luckey, John MD 46Luellwitz, David DO 115, 132, 160Lukancic, Louis MD 4Lupei, Nichole DO 52Lutchka, Bradley DDS 123Lutheran Social Services of Illinois

85, 140, 196, 198, 206, 207Lutz, Christina LPC 245Lynch, Teresa MD 29, 30Lynn, David MD 109, 110Lyon, Craig MD 132Lyon, Shaunna MD 44

MMA, Ji DDS 92, 122Maas, Sarah ARNP 253Macauley, Nicole MD 158Machala, Sarah OD 76Machesney Park Dialysis 208Mackay, Steven DO 135Mackinaw Pharmacy 309Macvicar, Gary MD 79, 94Maddasion, Mary ARNP 215Magdadaro, Dennis CNP 253Maginot, Kathleen MD 164Mahaffey, Pamela Np 40Mahar, Carrie LCSW 244Mahatme, Arvind MD 150Mahdavi, Ali MD 114, 158Maher, Karen APRN 211, 253, 264Mahmood, Talal MD 155Main At Locust Pharmacy 307Main Healthcare Pharmacy 307Maini, Ashok MD 48Malabanan, Raquel MD 3, 61Malcolm, Andy DDS 64Maldonado, Dennys MD 108Malki, Afrem MD 46Malone, Hani MD 113Mammen, Andrea PsyD 130Mammolito, Denise MD 93Managbanag, Jenny Np 40Manas, Arturo MD 158Manda, Krishna MD 155Manito Pharmacy 309Manley, Michael MD 144Manor Court of Freeport 203, 278

Manor Court of Peoria 199, 276Manor Court of Peru 195, 272Manor Court of Princeton 267Mansour, Ibrahim MD 136Mardini, Nameer MD 152Marguglio, Sharon ARNP 215Marigold Rehab and HealthcareCenter 271Marilim, Mel MD 6Marina, Shadi MD 111Marks, Peter MD 119Markus, Stan MD 110Marshall, John MD 93Marshall, Robert MD 115, 132, 159Marshall, Susan AUD 247Martial, Annia MD 30Martin, Jennifer APRN 232Martin, Keith MD 89, 138Martin, Mary AUD 244Martin, Samantha CNM 226, 239Martin, Timothy MD 76Martinez, Edmundo MD 33Martinez, Leynard MD 52Martinez, Maria MD 61Maschmann, Jennifer MD 65Masood, Syed MD 117, 164Massutti, Angela Apn 13Masterson, James MD 120Mathew, Benjamin MD 160Mathew, Mathew MD 86, 140Matloob, Ajmal MD 116Matsumura, Jon MD 173Maxim Healthcare Services Inc 199Mbabuike, Nnenna MD 113McAlpine, Calli OT 234McBurney, John MD 155McCall, Yvonne PA 226McCanse, Donald MD 143McCarthy, Michael DO 151McCoy, James MD 44McCray, Mikell PsyD 65, 105, 130McDermott, Mia Apn 83, 138McDonnell, Peter MD 173McDougall, Tonya APRN 229McElwain, Mary LPC 220McFadden, Jeffrey DO 19McFarland, Thomas MD 154McGauley, Michael DO 110

McGlone, Thomas MD 137McKenna, Patrick MD 166McLaughlin, Michelle OD 115McManus, Gayle PT 264McMaster, Jason MD 114McNamara, Mary Apn 52McNeal, Carol LCSW 211, 259McNulty, Garrett MD 108, 131Medical Group 8Medical TransportationManagement 185Medi-Park Pharmacy 301Medi-RX Pharmacy Inc 293Meghoo, Colin MD 110Mehlbaum, Andrea Apn 173Mehlhoff, Michael DDS 122Meier, Mark MD 110Meier, Peter MD 81Meijer Pharmacy 314Meister, Mary Jennifer LCSW

213, 216, 228, 239Mercer County Health Dept 274Mercer, Kimberly LMFT 222Mercy Health Hospital and MedCenter Walworth 182Mercy Health Hospital RocktonAve 184Mercy Walworth Pharmacy 311Mertzenich, Edmond DPM 64Meshulam, Eric DPM 84Meyer, Debra APRN 212, 263Michalsen, Brian DO 52Michalsen, Thomas DO 57Midwest Health Clinic 193Midwest Health Clinic of Eliza 193Midwest Medical Center 177Mijal, Sara MD 151, 173Miles, Edward MD 85Miller, Angela Apn 90Miller, Cheryl MD 39Miller, Emily ARNP 222, 230, 240Miller, Kimberly MD 1, 52Miller, Whitney LCSW 244Milos, Steven MD 163Min, David DDS 82, 147Miner, Philip MD 143Mingus, David LPC 239, 240Miranda, Armand DO 136

PROVIDER INDEX


M - cont.Mirza, Taha DDS 147Miskell, Jessica APRN 221Mitchell, David MD 58Mitchell, Robert DO 81Mititelu, Mihai MD 126, 160Mixon, Kelly Apn 77Moazzam, Farnaz MD 93, 127, 128Moeenuddin, Zohra MD 33Mohamed, Maha MD 155Mohammad-Salamah, Rabeh DDS

147Mohiuddin, Fatima MD 141Mohr, Emma MD 117Molina, Marijo-Anne MD 30, 33Moline Home Training 201Mommer, Joan CNP 260Monahan, Joseph DO 6Monkemeyer, Jon MD 58Monteagudo, Jorge MD 136Montilla, Jorge MD 107Moody, Patricia MD 61Mooney, Robert LPC 240Moore, David MD 152Moore, Tara ARNP 221Moore, Tonya APRN 229Moran, Mark PA 244Morgan, Barbara APRN 212, 263Morgan, Courtney MD 173Morgret, David OD 72, 102Mork, Joseph PA 253Morrison Community Hospital 183Morrison Community HospitalFamily Care 48Morrison, Jennifer PsyD

65, 73, 105, 130, 174Morrissette, Debra DDS 79Morrow, Michael MD 4Morrow, Robert MD 4Morton Alwan Pharmacy 309Morton VillaHealthcarerehabilitation 279Mostad, Lorri Apn 169Mount Carroll Pharmacy 286Mount, Delora MD 166Moustafa, Tamer DDS 63, 147, 148Mrani, Jan MD 111Muccianti, Jessica PA 261

Mueller, Susan APRN 225Muhammad, Tracy MD 58, 136Muhsin, Adnan MD 17Mulder, Brian Np 61Muller, Jo Np 65Murphy, Aja DO 46Murphy, Gregory DDS 122Murphy, James MD 81Murphy, Ryan DDS 122Murrin, Lee APRN 223Murtaugh, Mary APRN 254Musgrave, Brandon MD 79Mustapha, Fadi MD 17Myers, Mark MD 19Myers, Stuart MD 173Myron, Gary MD 44Mysore Rajagopal, Sowmya DDS

122

NNa'Allah, Rahmat MD 23Nabolotny, Michael MD 153Nackers, Lisa PHD 170Nadeem, Rashid MD 118Nafsi, Tabassum MD 170Nag, Pratip MD 17Nagavalli, Sravanthi MD 143Nagus, Lindsay APRN 211, 254Nahn, Patricia MD 114, 132Naik, Niravkumar MD 111Nailor, Jeanne Np 46Najjar, Anas DMD 116Naleway, Karen APRN 212, 261Nanabawa, Zakera MD 64, 158Narinedhat, Ralph MD 65Narra, Leela MD 107, 141Naseer, Aliya MD 143Naser, Ashraf DDS 92Nasreen, Taiba DDS 148Navarrete, Odilia DDS 148Nelsen, David MD 108Nelson, Lawrence DO 110Nelson, Lori ARNP 264Nemerovski, Randall MD 132Nesemeier, Mindy APRN 225Nettesheim, Jennifer PT 236Neubauer, Joseph MD 144Newcomer, Isabella DDS 63, 148

Neys, Tammy APRN 230Nguyen, Kim Doan MD 117, 165Nicholson, Karen APRN 225Nickles, William DPM 67Nicolosi, Francis MD 52Nielsen, John DPM 167Niemiec, Joanna MD 112, 155Nika, Vasil MD 144Ninan, Elizabeth DMD 69Nobis, Polly Apn 136Noble, Nicole PsyD 105Noe, Colleen DC 143Nonevski, Ilche MD 144Norder-Brandli, Chandra Apn 52Nordquist, Joseph OD 87, 123Norem, Dennis MD 58Norem, Nathan DPM 167North Central Behavioral HealthSystems 73, 81, 125, 187, 190, 195North Park Pharmacy 314Northside Rexall Pharmacy 290Nourahmed, Hibba DDS 122Nowak, Blaine MD 40Nowak, Gregory MD 142Nowak, Magdalena MD 52Nulty, William MD 30Nwadike, Emmanuel MD 111Nyabuti, Jared MD 136Nyquist, Scott MD 163

OO’brien, Jill Np 46Obah, Uzoma DDS 66, 122, 124Obrien, Eric OD 77O'Donnell, David DO 13Oerkftiz, Jennifer CNM 210, 247Oglesby Medical Clinic 15OH, Chang MD 109OH, Henry DO 19OH, Hyun DDS 69Ojeda, Larry MD 120, 172Okeson, Edwin MD 1, 53Okocha, Chukwunonyeluanyi MD

114Olesen, Jennifer Apn 14Oliver Payne, Roxie MD 24Oliver, Bradley MD 30, 33Oliveros, Arthur APRN 225

PROVIDER INDEX


O - cont.Olney, James MD 67Oloriegbe, Fatimah MD 1, 53Olszewski, Pawel MD 39Oluyemi, Morolayo DMD 148O'Malleyfranks, Maggie Apn 19Omar, Ayman MD 155Omnicare of Peoria 301Omnicare of The Quad Cities 307Oncology Hematology Assoc ofCtl IL 301O'Neill, Karol APRN 218Opakunle, Adeshalewa AdemoyoAPRN 254Oppert, David MD 76Option Health LTD 201Orcholski, Angela Np 40Orcutt, Sonia MD 93, 105Oregon Healthcare PharmacyServices 299Oregon Living and RehabilitationCenter 197Oregon Snyder Pharmacy 299Oria, Valente DDS 74Orion Family Pharmacy LLC 290O'Riordan, Kenneth MD 144Orozco, Daniel MD 113, 155Ortega, Romulo MD 61Osborne, Victoria CNM 210, 248Osco Drug 288, 305Osco Pharmacy 287, 288, 305Osf Home Infusion Pharmacy

301, 314Osf Pharmacy 314Oshea, John MD 6Osipova, Anastasia MD 132Ostrander, Lu CNP 254Oteng Bediako, Evelyn MD 164Ottawa Health Mart 293Ottawa Pavilion 195, 272Overcash, Erin ARNP 230Owchar, Erica MD 34Owen, Michael MD 113Oyedijo, Dotun MD 81

PPA Peterson At The Citadel 208Padron, Laura Apn 142

Page, Gaye Apn 46Painter, Daniel MD 167Pal, Indra MD 14Palabrica, Cynthia MD 114Paladugu, Bhanu MD 112Palecek, Erin PA 241Palmer Hill, Sidney MD 30Palmer, Douglas MD 116Palmore, Renatta Apn 158Pane, Lary DDS 148Panzica, Patricia MD 61Parenti, Christina SLP 236Park Court Pharmacy 309Parker Nursing and RehabilitationCenter 195, 272Parker, Natalie APRN 232Parkin-Cohen, Ann MD 34, 43Pasch, Allan MD 110Patel, Akash DDS 77Patel, Amee DMD 69Patel, Anju MD 15Patel, Ashish MD 136Patel, Dhara DDS 64Patel, Dhara DMD 148Patel, Dhaval DDS 82Patel, Jabal DDS 69, 148Patel, Jaymon MD 31Patel, Meha DDS 82Patel, Minal PA 263Patel, Preeti MD 31Patel, Rupesh DO 154Patel, Satyam DDS 148Patel, Shweta DDS 126, 148Patel, Sunil MD 144Patel, Tejesh MD 38Paul, Bart DDS 148Paul, Howard MD 118Paulius Quinn, Karina MD 117, 133Pawlak, William OD 64, 161Payne, Chloe MD 82, 135Pearson, Angela CNP 254Pecatonica Pharmacy 314Pedapati, Prakash MD 171Peete, Emarcia MD 41Peifer, Kevin MD 144Pekin Manor 204, 279Pekin Prescription Laboratory 309Pelehac, Kenneth DO 110

Pelfrey Jones, Sandra OD 102Pena, Brittany Apn 158Penn Jr, Donald MD 127, 174Perez, Enrique MD 38Perryman, John MD 61Persaud, Pitamber MD 14, 20Peru Medical Clinic 15Peru Primary Care Clinic 15Petersen, Kenneth MD 58Peterson, Amy MD 164Peth, Mara PA 215Petoskey, Collin DDS 77Petro, Rachel MD 133Petska, Allison SLP 237Pflederer, Benjamin MD 31, 95Pflederer, Timothy MD 96, 128Phalen, Cara PA 244Pharmblue Illinois LLC 293Phelan, Karen MD 61Phelan, Peter MD 58Phoenix, James MD 1Pickering, Dacia MD 151Pickett, Joanne OT 234Pickvance, Elizabeth MD 165Pinawin, Maxita CNP 254Pineschi, Kenneth DDS 148Pins, Katharine DDS 122Pinto, Arun MD 104Piper, Heather CNM 210, 248Pittenger, David MD 116Piwko Matenko, Karolina ARNP 263Pla Jr, Ramon MD 6Pladziewicz, Paul DDS 149Platt, Julie MD 154Platts, Cristine OT 234Player, John DO 83Pleasant View Rehab AndhealthCare 281Plescia, John MD 19Poehm, Erika MD 118Pogorelova, Mariya MD 39Polo Rehab and Health Care Center

275Popp, Jason MD 19Poste, Alethea MD 38Potsch, Shirley MD 44Potts, Michael MD 62Powell, Christina ARNP 225

PROVIDER INDEX


P - cont.Powell, Christina CNP 254Powers, David MD 83Prager, Diane MD 77, 94, 95Pragneshkumar, Mistry MD 17Prairieland Home Care 187Prathipati, Sushmita MD 53Preciado, Joy APRN 222Preferred Home Health CareMidwest 192Preferred Pharmacy 290Prendergast, Gail MD 17Princeton Pharmacy 285Princeville Pharmacy LLC 301Prokopiv, Halyna MD 112Pudik, Bethelen DDS 92Pultorak, Kristine DO 16Pyle, Shannon Np 24Pyszka, Debra PA 222

QQassem, Zaher MD 170Qazi, Aftab MD 90Qiao, Jing MD 72Queenan, James DO 73Quest Diagnostics 185

RRaasch, Jessica PA 215, 244Racanelli, Vincent DO 58Ragotzy, Ronald MD 107, 141Rahman, Azizur MD 160Rahman, Desiree MD 85, 169Rahman, Saadur DO 96Raja, Faisal MD 156Rajagopal, Srinivasan DDS 82Rajesh, Mythili DDS 166Raju, Bharat MD 46Rakita, Jason MD 8Ralphe, John MD 165Rambousek, Diane ARNP 219Ramilo, Anselma MD 62Ramirez, Alfredo MD 172Rammos, Charalambos MD 93, 103Rantissi, Lizabeth PA 211, 254, 255Ranz, Niccole APRN 255Rasheed, Anwer MD 68Rasheed, Qaiser MD 66Rasmussen, Kelly Apn 153

Ratzlaff, Karri APRN 232Rawajih, Sadie CNM 248Rayapudi, Krishna MD 144Razbadouski, Linda MD 58Reckamp, Gregory MD 19Reddy, Narayana MD 104, 105Reed, Grant DO 14Reed, Jennifer MD 9Regehr, Michelle APRN 230Regency Care of Sterling 281Rehbein, Alan OD 115Rehberg, Stephanie CNM 210, 248Reilly, Ellen 153Reinagle, Rachael APRN 255Reinicke, Lisa DPM 118, 168Rejon, Veronica MD 38Remedies Renewing Lives 171Renaissance Care Center 268Rengel, Lenore MD 107Renk, Catherine PA 222Renk, William MD 62Reter, Jason DO 46Retzer, Daniel MD 19Revich, Yelena DDS 70Rhodes, Sharon MD 62Rhyne, Christopher MD 53, 136Riccio, Nick DMD 162Richard, Lori OD 102Richardson, Emily OD 84Richardson, Jacquelyn DDS 122Richmond, Ronald OD 102Rick, Edward DDS 103, 139Rider, Stephen DDS 75Rieches, Beth APRN 255Riley, Eric DPM 139Riley, Susanna PT 245Rimkus, John OD 78, 102Rindt, Kristin PA 259Riordan, Anthony LMFT 238Ristevski, Igor DDS 149Ritter, Amanda Apn 2Rivera, Maria MD 17Rizvi, Syed MD 58Rizzo, Anthony DO 53Roberts, Jennifer Apn 136Roberts, Valerie LCSW 223Robertson, Michael MD 112, 155Robinson, Emily MD 111, 131

Robinson, Royland MD 154Rochelle Community Hospital 180Rochelle Gardens Care Center 275Rochelle Pharmacy 299Rochelle Rehab and Health CareCenter 275Rock Falls Rehab and Health CareCenter 281Rock Valley CompoundingPharmacy 314Rockford Dialysis 208Rockford Endoscopy Center 207Rockford Orthopedic Appliance

208Rockwell, John OD 115Rodriguez, Abraham MD 41, 62Roe, Jonathan MD 41Rogers, Catherine Apn 173Rogers, Craig MD 58Rogers, Dennie MD 112, 154Rogers, Emily MD 19Rogers, Kevin Apn 140Rohl, Wanda CSW 220Rohrbacher, Melissa DO 53Rojas, Mario MD 115Rone, Arthur MD 58Roo, Kunho DDS 92Rosanwo, Gabriel MD 4, 15Rose, Elizabeth DO 33, 34Rose, Stephen MD 151Rosecrance Auburn SupervisedLiving 207Rosecrance Belvidere Clinic 186Rosecrance Benton House 207Rosecrance Berry Campus 171, 207Rosecrance Harbor House 207Rosecrance Harrison Campus 171Rosecrance Inc 64, 171, 207Rosecrance Mulberry 171, 207Rosecrance Ware Center 57, 207Rosenbaum, Kaylee MD 31Rosenberg, Stephen MD 119Roseville Rehabilitationhealth Care

280Rosewood Care Center of EastPeoria 204Rosewood Care Center ofGalesburg 194

PROVIDER INDEX


R - cont.Rosewood Care Center of Moline

201Rosewood Care Center of Peoria

199Rosewood Care Center ofRockford 208Rosewood Care Center OfeastPeoria 279Rosewood Care CenterOfgalesburg 271Rosewood Care Center Ofmoline

277Rosewood Care Center Ofpeoria

276Rosewood Care Center Ofrockford

282Roshan, Syeda DPM 168Rossi, Thomas MD 93Rotech 202Roxbury Dialysis Center 208Roy, Bharati MD 170Royal Oaks Care Center 269Royce, Jeffrey MD 156Royer Patel, Elizabeth ARNP 258Rozny, Matthew DMD 77Rubens Pharmacy 315Rubnich, Kevin DMD 78Rudisill, Stephen MD 38Rudolph, Hahn DO 53Rufus, Deborah APRN 222, 226Runyon, Jennifer APRN 229Ruppel, James MD 77Russell, Elissa Apn 142Russell, John Apn 172Russom, Briana PA 225, 255Rust, Merle MD 113Rutherford, Leslee DDS 167Rutkowski, Irina OD 161Ryall, Andrew LPC 259Ryan, Alta Apn 158Rydzynski, Robb DO 84Rye, Heidi APRN 232

SSaad, Edward MD 99Sachdev, Poonam MD 16Sackmaster, Stacia APRN 258

Saddler, Tina Apn 90Sadler, Richard MD 136Saeed, Azam DDS 149Saengmany, Jacquelyn Apn 159Safavinejad, Sadaf DDS 149Sage, Robert DPM 118, 168Saintlouis, Margret Apn 20Sajed, Mohammad MD 156Salazar, Jose MD 58Salgado, Hugo MD 53, 54Salter Braun, Nicole APRN 232Salzmann, Chloe MD 48Sam, Sima DDS 149Sami, Mohammad MD 75, 78Sampat, Rahul MD 14SAMS CLUB 301, 307, 315San Gabriel, Rosvida MD 15Sangston, Jennifer AUD 221Sanku Lakshmi, Prasada DDS 92Sannapareddy, Umapriya DDS 63Sanz, Jaime MD 2Sapron, Andrea Apn 54Sarakbi, Housam MD 119Sargent, Judith APRN 258Sarmiento, Marc OD 102, 129Sauter, Douglas MD 110Savegnago, Allen MD 8Sawlani, Manish MD 17Schaefer, Jennifer Apn 2, 54Schaffert, Eric MD 46Schaidle, Kenneth OD 102Schenck, Katherine PA 211, 255Schermer, Ian MD 54Schertz, Robin ARNP 226Schier, Andrea CNP 258Schiller, Thomas MD 54Schleicher, David MD 159Schlueter, Stephanie APRN 234Schneider, David MD 151Schnell, Tina PA 231Schnucks Pharmacy 288, 301, 315Scholcoff, Eduardo MD 54Schotts Pharmacy Inc 293Schroeder, Judy APRN 255Schroeder, Paul MD 54Schulfer, Sara LPC 223Schulman, Sidney MD 116Schultz, Diana Apn 2

Schulz, Eric PA 234Schulz, William MD 152Schuman, Gail DO 143Schupbach, Adrienne MD 79, 174Schussele, Jennifer OD 102Scott, Corrie APRN 258Scroggins, Shannon Apn 47Searles, Hillary Apn 77Secor, Jessica MD 106Segal, Paul MD 108, 143Sekulic, Dusica MD 58Selgestad, John MD 16Sellman, Daniel MD 116, 164Seminary Manor 194, 271Serenity Hospice and Home 197Sesslar, Lee MD 159Setti, Sony DDS 63Severson, James MD 143Shah, Hemant MD 85Shah, Jaymin DO 116Shah, Obaid DMD 74Shah, Samir MD 142Shah, Sayed Haroon DMD 79, 137Shah, Shashi DDS 79, 83Shah, Trilok MD 81, 85Shah, Yashoni DDS 149Shaheen, Fawad MD 171Shahzad, Farooq MD 166Shaikh, Suhail MD 38Shaikh, Sumaira MD 112, 132Shallat, Shelly MD 34, 35Shamsuddin, Laeeq MD 118Shankar, Guru MD 169Shannon, Paula CSW 220Shareef, Naushin MD 155Sharkey, Carrie MD 144Sharma, Abhishiek MD 113Sharma, Nishu DDS 70Sharon Health Care Elms Inc 199Sharon Health Care Woods 276Sharon Healthcare Elms 276Sharp, Heather Apn 3, 62Shaw, Crystal MD 31, 32Shaw, William PA 222, 224Sheahan, Theresa APRN 211, 255Sheetz, Brandon OD 116Sheffield Pharmacy 285Sheikh, Rehmat MD 153

PROVIDER INDEX


S - cont.Shekhani, Shahid MD 111, 131Shelley, T OD 102, 129Shepherd, Benjamin MD 4, 65Sherid, Muhammed MD 144Shermans Pharmacy 301Shiels, Aaron MD 144Shipp, Sharon MD 152Shittu, Shefiu MD 112Shivakumar, Preeti DDS 149Shoberg, David MD 166Shopko Pharmacy

284, 286, 295, 304, 308, 312Shotick, George MD 24Shrestha, Patricia MD 54Shucha, Josh PT 236Shwarz, Eitan MD 78Siddiqui, Saleem DDS 167Silvi, Evan MD 169Simmons, Jessica Apn 173Simmons, Mary MD 2Simpson, Crystal DMD 74Singh, Anupam DMD 66, 122, 124Singh, Bhupinder MD 17Singh, Ishmeet MD 164Singh, Mukesh MD 142Sinha, Upendra MD 81Sinnissippi Centers Inc

85, 86, 89, 188, 196, 197, 206Siraj, Yaser MD 153Sitter, Concha Apn 136Skaggs, Katherine MD 132Slater, Anne APRN 232Slavicek, Laura PA 211, 255, 256Smart, Stephen MD 65, 90, 127Smith Pharmacy 301Smith, Denice MD 47Smith, Erika SLP 246Smith, Jeffrey MD 141Smith, Sara Apn 89Smith, Terry MD 32Snedegar, Clinton MD 145Snider, John MD 119Sniderman, Elizabeth CNP 263Snyder Pharmacy 284Snyder, Edward MD 110So, Jason DO 38Sojourn House 126

Somaraju, Vijaya MD 111Son, Seokjae DMD 122Song, Young DO 140Soni, Zinal MD 54Sonti, Gayatri DO 156Soofi, Saad DDS 92, 127Soriano, Christina MD 20Soufan, Bassam MD 54Speer, Chelsea PA 215Speight, Joycelyn MD 171Spellman, Luke DO 7Spencer, Ryan MD 151Spoon River Home Health ServicesInc 190Spoon River Home Healthsvcs 268Spors, Kathryn APRN 232Squires, William MD 110Sreedharan, Manoj MD 55Sreekantam, Bharath DDS 92Sreniawski, Meghan PA 227, 228Sridhar, Srivani MD 55Srinivasa, Aparna DDS 70Srinivasan, Shardha MD 165Srivastava, UMA MD 169St Margarets Home MedicalEquipment 187St Margarets Hospice 187St Margarets Hospital DBA StMargaret's 175Stahlecker, Jared MD 108Stair, Ashton OT 234Stanek, Christopher OT 234Starr, Adam MD 164Stees, Marc MD 82, 135Steffen, Jane Apn 59Steinberg, Eric MD 145Steinke, Paul DO 47Stengel, Kyle PT 242Stepping Stones of Rockford Inc

207Sterling Pavilion 281Stern, Jennifer APRN 221, 265Sternhagen, Deeann CNP 256Stevens, Tracy Apn 152Stewart, Jessica ARNP 227Stiles, Bruce MD 55Stocker, Rose DO 55Stoiber, Thomas MD 107

Stone, Shirley MD 84Stonecrest Dialysis 208Stoner, Gregg MD 25Stralow, Angela Np 47Stratton, Amy DO 109Streater, Gail MD 35Streator Drugs 293Streff, Scott PA 237Strom, John MD 83Strom, Melissa Apn 14Strombeck, Juliette ARNP 256Strutzenberg, Jon DO 55Stumphy, Mark DMD 66, 122, 124Sturm, Christopher MD 114Styczynski, Richard MD 48Suarez, Ronald OD 102Sullivan, Harold MD 109, 131Sultana, Yasmeen DMD 137Sultanova, Gulzhazira APRN

211, 256Sunset Rehab Health Care Center

268Surjit, Thiara MD 20Suryk, Stephanie LPC 240Sutton, David MD 84Swanson, Susan CNP 260Swedish American Hospital

184, 208, 315Swedishamerican Home HealthCare 208Sweetland, Donna MD 80Sweis, Jubrail DDS 83Swingler, James MD 99, 100Swink, Travis DO 4, 18Sy, Esther MD 55Sy, Larry MD 59Sydorak, Inna DDS 162Syed, Javeria MD 2, 59Syed, Mazher DDS 63Syed, Saba MD 85Syed, Zubair MD 107

TTack, Billie ARNP 215Tadakamalla, Pramod DDS 92Tan, Glenn MD 114, 159Tang, Minghui DDS 149Tannous, George MD 145

PROVIDER INDEX


T - cont.Tarantino, Michael MD 103Tarapore, Roxanne DDS 63, 149Tase, Florentina Apn 55Tauke, Kimberly ARNP 227Taveras, Maria MD 107, 142Taylor, Bryan MD 159Taylor, Funminiyi MD 154Taylor, Jane MD 62Taylor, Jennifer APRN 211, 256Taylor, Jessica APRN 227Taylor, Montoya MD 153Taylor, Shannon PA 249Taylor, Trisha PA 211, 256, 257Tazewell County Dialysis 204Tazwood Mental Health Center

130, 204, 209Tchapnda, Luc MD 20Tecarro, Christel MD 38Teehan, Robert MD 112Teller, Courtney PA 223Tennant, Jeffrey MD 72, 100, 128Terasa, Matthew PA 264Terry, Richard DO 44Tewani, Sumeet MD 145Thaker, Patricia CNP 262Thappa, Vivek MD 170Tharenos, Christine MD 25Thatcher, Craig DDS 123Thaxton, Lora MD 116Thayer, Kristine MD 166The Center For Youth and FamilySolution 194, 195, 198, 201, 204The Childrens Home Association ofIL 198The Medicine Shoppe 313The Pharmacy Stop 293The Pharmacy Stop Medical Center

293The Villa PA Peterson 282Thomason, Jennifer LPC 223Thompson, Beth CNP 257Thompson, Stephen MD 100Thormeyer, Jeffrey MD 139Thota, Sandeep DDS 92Thukral, Chandrashekhar MD 145Tidwell, Tonya Apn 55Tiegs, Micah PA 211, 257

Tieman, Barbara CNM 213, 221Tieman, Lyman MD 14Timbercreek Rehab and HealthCare 279Tisdale, Mary CNM 239Todorova, Irena DMD 149Tolentino, Annabelle MD 39Tomera, Kevin MD 120Toraason, Norah MD 65Toribio, Daramis APRN 257Torres-Gorena, Ariadna DDS 162Torrijos, Marden MD 55Toth, Peter MD 47Townshend, Alice MD 115, 160Tracy, Rachel OT 234Transitions Nfp 201Trapp, John MD 159Trautmann, Eric MD 55Treanor, Michael MD 90, 127Treatment Alternatives For SafeCommunit 123, 171, 198, 207Tregoning, Andrea SLP 237Treviranus, Kim MD 85, 139Trinity Retail Pharmacy 305Trost, Gregory MD 114Trzepacz, Steven OD 80Tsaras, Geoffrey MD 153Tsoraides, Steven MD 90, 93Tu, Brienne PT 236Tubbs, Kami ARNP 215Tuchek, James DO 172Tucker, Sarah APRN 230Tugwell, Frank MD 138Tun, Thaw MD 4, 18Turk, Jennifer CNP 260Tweed, Megan OD 70Twenhafel, Stacy OD 102Tyner Pharmacy 296

UUlmer, Meredith DO 2Ultch, Rebecca PA 227, 230Urban, Andrew MD 111Urrutia Potter, Irma MD 15

VVaid, Khatija MD 169Valaitis, Joseph MD 142Valdez, Ava PA 244

Valdez, Yesenia MD 14Valladares, Alejandro DDS 161Van Beek King, Jessica MD 165Van Beek, Rodney MD 38Van Daele, Sallie CNP 257Van Matre Rehibilitation CenterLLC 208Van Rens, Jessica SLP 236, 242Van Veldhuisen, Kathleen APRN

232Van Vleet, Stacy CNP 260Vanne, Bethany LPC

213, 216, 229, 240Vanney, Emily DDS 149Vasquez, Michelle MD 14Vasudevan, Paridhie DMD 70Vazquez-Melendez, Elsa MD 32Veeder, Michael MD 95Veit, Lisa PT 236Verbic, Victor OD 71Verma, Neelam MD 100Vernon, Dawn APRN 258Vezzetti, Angela PA 221Vicari, Joseph MD 145Vij, Kapil DDS 162Vildaver, Eliot DMD 83Villacorta, Jorge MD 55Villasenor, Martha DDS 74Villegas Van Der Linde, Silvia MD

132Virag, Tiffany PT 242Vircks, Julie DO 114, 159Virdi, Manisha DDS 66, 122, 124Vitanov, Milen DMD 83Vitas Healthcare Corporation ofIllinois 195Vogel, Walter MD 111Vold, Jordan PA 211, 257Volety, Snigdha MD 56Volkert, Paul MD 107Vonbergen, Nicholas MD 165Vorac Pharmacy 290Vortia, Eugene MD 117, 165Vrydaghs Hansing, Kathy PT 236

WWade, Joshua PA 245Wagner Clinic Pharmacy 287

PROVIDER INDEX


W - cont.Wagner Pharmacy 287Wagner, Jacob MD 76Waid, Kory DDS 70Wakefield, Heather MD 83, 137Walgreens284, 287, 288, 289, 290, 292, 293,295, 298, 299, 301, 302, 304, 305,306, 307, 308, 309, 310, 311, 312, 313,315, 316Walker, Cynthia ARNP 225Walker, Laura PT 236Wallace, Sumer MD 151Wallery, Shawn MD 113, 156Wallis, Jessica Np 25Walmart Pharmacy284, 285, 287, 288, 289, 290, 291,292, 293, 294, 295, 297, 298, 299,302, 306, 307, 308, 310, 313, 316Walsh, Jean DO 56Walsh, Jennifer APRN 263Walton, Elizabeth DDS 149Wang, Jack Ky MD 38, 56Wang, Jeannie MD 159Wang, Lisa APRN 241Wang, Tsu Hon MD 109, 145Wardell, Julie Apn 47Warden, Fikisha MD 56Warnke, Judith OT 234Warren Drug Store 291Waselkow, David LPC 229Washington, Charles MD 56Washo, Audra APRN 258Watring, Allysa PA 233Waverly Place of Stockton 193Waverly Place Stockton 270Weaver, Rebecca APRN 230Webb, Kipp MD 153Weberg, Jill Apn 159Weimer, Kenneth MD 117Weingart, Ronald OD 161Weirich, Richard MD 108Wells, Kristen MD 110Wells, Michael MD 11Welty, Joseph MD 16Welty, Laurel Np 9Wendt, Lauran ARNP 257Wenzel, Victoria OD 71Wertz, Jacob DDS 137

West, David MD 140West, Rebecca ARNP 215, 244West, Tommy MD 77Whatcott, Craig MD 65Whelchel, Laurie Np 47White, Jessica Apn 47White, Mark DMD 149White, Samuel MD 38White, Suzanne DPM 104White, William DDS 79Whitehead, Allan MD 115, 132Whitelow, Michelle Np 25, 26Whiteside County CommunityHealth Clini 47Whiteside Dialysis 206Whitesman, Louis DDS 162Whitney, Mark PA 258Whittaker, Robert MD 139Wiechert, Mark MD 42Wieland, Aaron MD 143Wiersema, Cassie Apn 47Wight, Donald OD 161Wilczak, Emily MD 131Wilke, Lee MD 151Wilkinson, Michele CNP 258Willi, Martha MD 100Williams, Allen MD 59Williams, Kathleen Apn 173Williams, Michael DPM 139Williamson, Judith ARNP 227Willingham, Victoria OD 102, 139Wilshire, Laura OD 102, 103Wilson, James OD 103, 129Wilson, Jeffery DC 77Wiltz, Sharna OD

72, 78, 80, 103, 123, 129, 139Wilwert, Monica DDS 137Wimmer, Jennifer APRN 232Winkels, Joyce PA 232Winnebago Snyder Pharmacy 316Winquist, Heather APRN 227Winslow, Emily MD 172Wistrom, Elana DO 114Wodell, Deborah CNM 210, 248Woerner, John MD 35Wojciechowski, Tamara CRNA 261Wojczak, Karleen PA 233Woker, Rachel CNP 258

Wolf, Harvey DDS 150Wolf, Katie Apn 56Wolf, Margaret MD 68Wolf, Matthew MD 47Wolfe, Kim Apn 47Wolnak, Kenneth DO 120, 172Wolter, Robert LPC 240Womens Health Care Center 15Woodall, Bridgette APRN 223Woodrum, Helen LCSW 223Woodrum, Jacqueline DO 108Woods, Mark MD 47Workman, Tamara PA 213, 222Worthington, MacKenzie DO 56Wright, Andrea LPC 223Wright, Geoffrey PT 245Wright, Thomas MD 169Wright, Yolanda DMD 72, 127Wrightway LTC Pharmacy 287Wu, Scott MD 90, 127

YYadav, Manajyoti MD 32Yang, Eric MD 108, 131Yang, Lee DO 154Yang, Mona DDS 162Yarmolyuk, Yaroslav DDS 71, 162Yarr Zandri, Jessica MD 64, 159Yasmeen, Naheed DDS 150Yeboah, Michael MD 112Yee, Edward MD 172Yemm, Allison PT 245Yemm, William DDS 137Yoon, David MD 109, 145Yoon, Jungwon MD 124Younes, Maher MD 79Young, Amy APRN 258Youth Services Network Inc 208Yusaf, Saima DDS 150

ZZafar, Mohammad MD 96Zaharullah, Fazlur MD 143Zaheer, Badar MD 136Zaidi, Syed MD 108Zaioor, Hussein MD 80Zapata, Jasmine MD 133Zappia, Anthony MD 151Zarnke, Mark MD 151

PROVIDER INDEX


Z - cont.Zavala, Molly MD 2, 56Zeater, Mohamed MD 170Zellmer, Megan PA 215Zenebe, Wondwossen MD 115, 159Zhang, Taoran DDS 70, 150Zhou, Yang DMD 70Zhu, Chunliu MD 56Zibert, Sara MD 3, 62Zimmerman, Brian PA 215Zimmerman, Rebecca CNP 260Zingre, Mary PA 260Zlowodski, Michael MD 164Zollinger, Laurie AUD 244Zuber, Stephanie PA 221Zuidema, Julie PT 245

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5

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 electronicformats, 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; [email protected]. 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.

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).

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

IL6CADLAN79705E_1116

mailto:OperationalGrievance@wellcare

https://ocrportal.hhs.gov/ocr/portal/lobby.jsf

http://www.hhs.gov/ocr/office/file/index.html

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 711)www.harmonyhpi.com

www.harmonyhpi.com

2018 ILLINOIS - Wellcare

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