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IllinoisHealth Alliance MAPD HMO Plan

Provider Directory

This directory provides a list of Health Alliance MAPD HMOs network providers. This directory is for benefi ciaries in Alexander, Carroll, Clark, Clay, Crawford, Edgar, Edwards, Effi ngham, Fayette, Franklin, Gallatin, Grundy, Hamilton, Hancock, Hardin, Henderson, Henry, Iroquois, Jackson, Jasper, Jefferson, JoDaviess, Johnson, Kankakee, Lake, LaSalle, Lawrence, Macoupin, Marion, Massac, McDonough, Mercer, Montgomery, Perry, Pope, Pulaski, Putnam, Richland, Rock Island, Saline, Schuyler, Union, Wabash, Warren, Wayne, Whiteside, White and Williamson counties in Illinois.

This directory is current as of October 1, 2015. Some network providers may have been added or removed from our network after this directory was printed. We do not guarantee that each provider is still accepting new members. To get the most up-to-date information about Health Alliance MAPD HMOs network providers in your area, you can visit HealthAllianceRetiree.org/SOI or call our Customer Service Department at 1-877-795-6131, Monday through Friday, 8 a.m. to 8 p.m. TTY/TDD users should call 711.

Health Alliance MAPD HMO is an HMO plan with a Medicare contract. Enrollment in Health Alliance MAPD HMO depends on contract renewal.

This information is available for free in other languages. Please call our Customer Service Department at 1-877-795-6131, Monday through Friday, 8 a.m. to 8 p.m. TTY/TDD users should call 711.

cps-STEHMOproviderdirectory-0815

1-877-795-6131TTY/TDD 711

HealthAllianceRetiree.org/SOI

i

Section 1 IntroductionThis directory provides a list of Health Alliance MAPD HMOs network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage.

You will have to choose one of our network providers who are listed in this directory to be your Primary Care Physician (PCP). The term PCP will be used throughout this directory. Generally, you must get your health care coverage from your PCP. In most situations, your PCP must give you approval in advance before you can use other providers in the Plans network, such as Specialists, Hospitals, Skilled Nursing Facilities or home health care agencies. This is called giving you a referral.

Referrals from your PCP are not required for Emergency Care or Urgently Needed Care. You can receive some other kinds of care without approval in advance from your PCP.

Routine womens health care, which include breast exams, mammograms (X-rays of the breast), Pap tests and pelvic exams, as long as you get them from a Network Provider.

Flu shots and pneumonia vaccinations, as long as you get them from a Network Provider.

The Network Providers listed in this directory have agreed to provide you with your health care coverage. You may go to any of our network providers listed in this directory. However, some services may require a referral. If you have been going to one network provider, you are not required to continue going to that same provider. In some cases, you may get covered services from non-network providers. If you have any questions about whether we will pay for any medical services or care that you are considering, you have the right to ask us whether we will cover it before you get the service or care.

If you receive care from a non-network provider and receive a bill from that provider, you should not pay it. Instead, please submit it to Health Alliance Medicare so we can determine what, if any, of the fees you actually must pay.

If you are using an out-of-network provider for Emergency Care, Urgently Needed Care or out-of-area dialysis, you may not have to pay a higher cost-sharing amount.

If you obtain routine care from out-of-network providers, it may cost more than if you went to an in-network provider.

HMO members:

Emergency care can always be obtained in or out of the service area from the nearest available provider. If you have a medical emergency:

Get help as quickly as possible. Call 911 for help or go to the nearest emergency room, Hospital or urgent care center. Call for an ambulance if you need it. You do not need to get approval or a referral fi rst.

As soon as possible, make sure to tell Health Alliance about your emergency. We need to follow up on your Emergency Care. You or someone else should call to tell us about your Emergency Care, usually within 48 hours.

You must use plan providers except in emergency or urgent care situations or for out-of-area renal dialysis or other services. When out of the service area, urgent care may be obtained from the fi rst available provider.

If you obtain routine care from out-of-network providers, neither Medicare nor Health Alliance will be responsible for the costs.

What is the service area for Health Alliance MAPD HMO?The counties in our service area are listed below.

Alexander, Carroll, Clark, Clay, Crawford, Edgar, Edwards, Effi ngham, Fayette, Franklin, Gallatin, Grundy, Hamilton, Hancock, Hardin, Henderson, Henry, Iroquois, Jackson, Jasper, Jefferson, JoDaviess, Johnson, Kankakee, Lake, LaSalle, Lawrence, Macoupin, Marion, Massac, McDonough, Mercer, Montgomery, Perry, Pope, Pulaski, Putnam, Richland, Rock Island, Saline, Schuyler, Union, Wabash, Warren, Wayne, Whiteside, White and Williamson counties in Illinois.

How do you fi nd Health Alliance MAPD HMO providers in your area? This directory is organized by category (Primary Care Physicians, Specialty Care, etc.) and then alphabetically by city. Or you can use the index that begins on page 1438 to fi nd an alphabetical listing of all providers.

If you have questions about Health Alliance MAPD HMO or require assistance in selecting a PCP, please call our Customer Service Department at 1-877-795-6131, Monday through Friday, 8 a.m. to 8 p.m. TTY\TDD users should call 711. Or, visit HealthAllianceRetiree.org/SOI.

Section 2 List of Network Providers

ii

Primary Care Physicians

Midlevel providers (including nurse practitioners and physician assistants) cannot be selected as Primary Care Physicians. However, you may use the services of a midlevel provider by selecting his or her supervising physician as your designated Primary Care Physician. Midlevel providers are indicated by italics.

* Please contact Health Alliance at the number on the back of your member ID card.

11

1

ADULT/INTERNAL MEDICINELIU, YAN, MD

GENDER: FPROVIDER #: 280151NPI #: 1366540684E-PRESCRIBE: NOOSF MEDICAL GROUP100 N MONROE STABINGDON, IL 61410PHONE: (309) 462-2343E-PRESCRIBE: NO

STONEKING, ERIN I., MDGENDER: FPROVIDER #: 166727NPI #: 1083758403E-PRESCRIBE: NOOSF MEDICAL GROUP100 N MONROE STABINGDON, IL 61410PHONE: (309) 462-2343E-PRESCRIBE: NO

FAMILY PRACTICECONLEE, ANNEVAY D., MD

GENDER: FPROVIDER #: 226186NPI #: 1053540237E-PRESCRIBE: NOOSF MEDICAL GROUP100 N MONROE STABINGDON, IL 61410PHONE: (309) 462-2343E-PRESCRIBE: NO

ADULT/INTERNAL MEDICINEFIGANBAUM, TRAVIS L., MD

GENDER: MPROVIDER #: 149567NPI #: 1881603165E-PRESCRIBE: NOMEDICAL ASSOCIATES CLINIC1007 NW 3RD STALEDO, IL 61231PHONE: (309) 582-3789E-PRESCRIBE: NO

FAMILY PRACTICECLOOS, CARLA R., MD

GENDER: FPROVIDER #: 222307NPI #: 1649439175E-PRESCRIBE: NOGENESIS MEDICAL CENTER ALEDO - ER DEPARTMENT409 NW 9TH AVEALEDO, IL 61231PHONE: (309) 582-3701E-PRESCRIBE: NO

ADULT/INTERNAL MEDICINESYED, SHAHWAR F., MD

GENDER: FPROVIDER #: 178878NPI #: 1679687750E-PRESCRIBE: NOSYED S ASGHAR MD PC2575 W ALGONQUIN RD SUITE CALGONQUIN, IL 60102PHONE: (847) 854-8595E-PRESCRIBE: NO

GENERAL PRACTICECAJIGAL, ARTEMIO L., MD

GENDER: MPROVIDER #: 020328NPI #: 1609871540E-PRESCRIBE: NOGENESIS HEALTH GROUP202 PICARD STALPHA, IL 61413-0419PHONE: (309) 629-4601E-PRESCRIBE: NO

ABINGDON, IL ALEDO, IL ALGONQUIN, IL

ALPHA, IL

ABINGDON, ILALPHA, IL


* Restricted panel. Please contact Medicare Services at the number on the back of your ID card.

22

2

FAMILY PRACTICEBLOEMER, ERIC A., MD

GENDER: MPROVIDER #: 223295NPI #: 1073742664E-PRESCRIBE: YESMID ILLINOIS MEDICAL CARE ASSOC8 N 3RD STALTAMONT, IL 62411PHONE: (618) 881-4973E-PRESCRIBE: YES

FROST, ROBERT W., MDGENDER: MPROVIDER #: 186801NPI #: 1568449098E-PRESCRIBE: NOMARSHALL CLINIC EFFINGHAM205 N MAIN STALTAMONT, IL 62411PHONE: (618) 483-6131E-PRESCRIBE: NO

OPILKA, JOHN, MDGENDER: MPROVIDER #: 055846NPI #: 1497715056E-PRESCRIBE: NOMID-ILLINOIS MEDICAL CARE ASSOCIATES8 N 3RD STALTAMONT, IL 62411PHONE: (618) 483-6151DUNN, JULIE A., FNP; PROVIDER #: 084103WAGNER, DIANNE B., FNP; PROVIDER #: 074337E-PRESCRIBE: NO

FAMILY PRACTICE OBFROST, ROBERT W., MD

GENDER: MPROVIDER #: 186801NPI #: 1568449098E-PRESCRIBE: NOMARSHALL CLINIC EFFINGHAM205 N MAIN STALTAMONT, IL 62411PHONE: (618) 483-6131E-PRESCRIBE: NO

ADULT/INTERNAL MEDICINEATON, GUY W., MD

GENDER: MPROVIDER #: 291912NPI #: 1265424295E-PRESCRIBE: NOATON & RIEDEL3550 COLLEGE AVE #BALTON, IL 62002PHONE: (618) 462-3200E-PRESCRIBE: NO

BLAIR JR, EDWARD B., MDGENDER: MPROVIDER #: 209508NPI #: 1093821605E-PRESCRIBE: NOSAINT ANTHONYS PHYSICIAN GROUP2 SAINT ANTHONYS WAY SUITE 205ALTON, IL 62002PHONE: (618) 462-2222KRUPSKA-BUCKLEY, MONIKA, PA; PROVIDER #: 269027MCFARLIN, COURTNEY M., PA; PROVIDER #: 289380RYNDERS, ELAINE A., PA; PROVIDER #: 181077E-PRESCRIBE: NO

BUTTERFIELD, COLIN M., MD

GENDER: MPROVIDER #: 089222NPI #: 1952417578E-PRESCRIBE: NOSAINT ANTHONYS PHYSICIAN GROUP2 SAINT ANTHONYS WAY SUITE 205ALTON, IL 62002PHONE: (618) 462-2222VINCENT, BILLIE L., APN; PROVIDER #: 289401E-PRESCRIBE: NO

GREEN, CHRISTOPHER R., MD

GENDER: MPROVIDER #: 100005NPI #: 1568479939E-PRESCRIBE: NOALTON INTERNAL MEDICINE#220 2 MEMORIAL DRALTON, IL 62002PHONE: (618) 474-1723E-PRESCRIBE: NO

HOELSCHER, JOHN A., MD

GENDER: MPROVIDER #: 099986NPI #: 1447267810E-PRESCRIBE: NOALTON INTERNAL MEDICINE#220 2 MEMORIAL DRALTON, IL 62002PHONE: (618) 474-1723E-PRESCRIBE: NO

ALTAMONT, IL

ALTON, IL

ALTAMONT, ILALTON, IL



3

MOSSMAN, BARRY M., MDGENDER: MPROVIDER #: 169535NPI #: 1053516294E-PRESCRIBE: NOALTON INTERNAL MEDICINE#220 2 MEMORIAL DRALTON, IL 62002PHONE: (618) 474-1723E-PRESCRIBE: NO

RICCI, JAMES D., MDGENDER: MPROVIDER #: 103861NPI #: 1710994181E-PRESCRIBE: NOALTON INTERNAL MEDICINE#220 2 MEMORIAL DRALTON, IL 62002PHONE: (618) 474-1723E-PRESCRIBE: NO

WHITE, ALISHA A., MDGENDER: FPROVIDER #: 186483NPI #: 1467600155E-PRESCRIBE: NOALTON INTERNAL MEDICINE#220 2 MEMORIAL DRALTON, IL 62002PHONE: (618) 474-1723E-PRESCRIBE: NO

WUELLNER, JOHN C., MDGENDER: MPROVIDER #: 101706NPI #: 1558378927E-PRESCRIBE: NOALTON INTERNAL MEDICINE#220 2 MEMORIAL DRALTON, IL 62002PHONE: (618) 474-1723E-PRESCRIBE: NO

FAMILY PRACTICEBOYD, KEVIN D., DO

GENDER: MPROVIDER #: 107348NPI #: 1407962012E-PRESCRIBE: YESSAINT ANTHONYS PHYSICIAN GROUP2 SAINT ANTHONYS WAY SUITE 205ALTON, IL 62002PHONE: (618) 462-0499E-PRESCRIBE: YES

COKER, OLUSEGUN A., MD

GENDER: MPROVIDER #: 204366NPI #: 1295998748E-PRESCRIBE: NOFAMILY PHYSICIANS OF ALTON#1 MEMORIAL DR 1ST FLOORALTON, IL 62002PHONE: (618) 465-7080E-PRESCRIBE: NO4 MEMORIAL DR #230BALTON, IL 62002PHONE: (618) 463-7777E-PRESCRIBE: NO

KLEIN, MICHAEL S., MDGENDER: MPROVIDER #: 192627NPI #: 1790834737E-PRESCRIBE: NOSAINT ANTHONYS PHYSICIAN GROUP2 SAINT ANTHONYS WAY SUITE 205ALTON, IL 62002PHONE: (618) 462-2222E-PRESCRIBE: NO

KUMARAGURU, PRIYA, MD

GENDER: FPROVIDER #: 215718NPI #: 1902062862E-PRESCRIBE: NOSAINT ANTHONYS PHYSICIAN GROUP2 SAINT ANTHONYS WAY SUITE 205ALTON, IL 62002PHONE: (618) 462-2222E-PRESCRIBE: NO

LUANGJAMEKORN, MENA M., MD

GENDER: FPROVIDER #: 201627NPI #: 1255320578E-PRESCRIBE: NOFAMILY PHYSICIANS OF ALTON#4 MEMORIAL DR #230BALTON, IL 62002PHONE: (618) 463-7777E-PRESCRIBE: NO

PORTILLO-ROMERO, JESSICA, MD

GENDER: FPROVIDER #: 239440NPI #: 1972731958E-PRESCRIBE: NOFAMILY PHYSICIANS OF ALTON#4 MEMORIAL DR #230BALTON, IL 62002PHONE: (618) 463-7777E-PRESCRIBE: NO

ALTON, ILALTON, IL



44

4

RAMCHANDANI, MANJU, MD

GENDER: FPROVIDER #: 199686NPI #: 1114125028E-PRESCRIBE: NOSAINT ANTHONYS PHYSICIAN GROUP2 SAINT ANTHONYS WAY SUITE 205ALTON, IL 62002PHONE: (618) 462-2222E-PRESCRIBE: NO

TALBERT, DAWN N., DOGENDER: FPROVIDER #: 258209NPI #: 1962713073E-PRESCRIBE: NOFAMILY PHYSICIANS OF ALTON#4 MEMORIAL DR #230BALTON, IL 62002PHONE: (618) 463-7777E-PRESCRIBE: NO

FAMILY PRACTICECROWE, KURT R., MD

GENDER: MPROVIDER #: 122821NPI #: 1831130129E-PRESCRIBE: NOKSB MEDICAL GROUP305 E JOE DR SUITE 231AMBOY, IL 61310PHONE: (815) 857-3044E-PRESCRIBE: NO

DRENGENBERG, DEBRA C., MD

GENDER: FPROVIDER #: 073778NPI #: 1669443966E-PRESCRIBE: NOKSB MEDICAL GROUP305 E JOE DR SUITE 231AMBOY, IL 61310PHONE: (815) 857-3044GUSSE, COLLINE N., PA-C; PROVIDER #: 069060E-PRESCRIBE: NO

ADULT/INTERNAL MEDICINEBEATTY, STEVEN, MD

GENDER: MPROVIDER #: 028006NPI #: 1851399232E-PRESCRIBE: NORURAL HEALTH INC513 N MAIN STANNA, IL 62906PHONE: (618) 833-4471E-PRESCRIBE: NO

FAMILY PRACTICECERNY, J MICHAEL, MD

GENDER: MPROVIDER #: 029385NPI #: 1407852825E-PRESCRIBE: NO515 N MAIN STANNA, IL 62906PHONE: (618) 833-8555E-PRESCRIBE: NO

ECK, MICHAEL, MDGENDER: MPROVIDER #: 049959NPI #: 1891888665E-PRESCRIBE: NOCONVENIENT CARE CLINIC517 N MAIN STANNA, IL 62906PHONE: (618) 833-2295BARNES, JACQUELYN K., PA; PROVIDER #: 270554BRADDOCK, TERRI, FNP; PROVIDER #: 167480CHAPMAN, MARY K., FNP; PROVIDER #: 178771FRIZZELL, JESSICA L., PA; PROVIDER #: 191913HAUENSTEIN, NAARAH L., PA; PROVIDER #: 199530KINSEY, RUSSELL J., PA-C; PROVIDER #: 247079MARTINEZ, STEVEN L., PA; PROVIDER #; 177636SARGENT, RACHEL M., PA: PROVIDER #; 166732SCHIERBAUM, KATHY, FNP; PROVIDER #; 034031E-PRESCRIBE: NO

HUNTER-REACH, PAMELA, MD

GENDER: FPROVIDER #: 180124NPI #: 1942208988E-PRESCRIBE: NOHUNTER REACH FAMILY MEDICINE LLC98 PEACH RIDGE RDANNA, IL 62906PHONE: (618) 614-1400E-PRESCRIBE: NO

AMBOY, IL

ANNA, IL

ALTON, ILANNA, IL



5

LIU, QI, MDGENDER: FPROVIDER #: 117166NPI #: 1255383535E-PRESCRIBE: NORURAL HEALTH INC513 N MAIN STANNA, IL 62906PHONE: (618) 833-4471BARKE, HALLEY M., PA; PROVIDER #: 160008E-PRESCRIBE: NO

LUCAS, CHRISTINE M., MD

GENDER: FPROVIDER #: 048870NPI #: 1346248374E-PRESCRIBE: NORURAL HEALTH INC513 N MAIN STANNA, IL 62906PHONE: (618) 833-4471FULLER, CHERYL, CFNP; PROVIDER #: 186509E-PRESCRIBE: NO

RIBBING, WILLIAM, MDGENDER: MPROVIDER #: 028299NPI #: 1245238625E-PRESCRIBE: NORURAL HEALTH INC513 N MAIN STANNA, IL 62906PHONE: (618) 833-4471BRANDT, LEEANN, PA; PROVIDER #: 049736ENDRIZZI, AMANDA, PA; PROVIDER #: 258809MARKS, VIVIAN L., NP; PROVIDER #: 259957MILLER, BROOKE A., PA-C; PROVIDER #: 147000SHERRILL, JEFFREY A., PA-C; PROVIDER #: 245595TREECE, CHELSEA, PA-C; PROVIDER #: 296613E-PRESCRIBE: NO

STRACK, KAREN, DOGENDER: FPROVIDER #: 234731NPI #: 1700855871E-PRESCRIBE: NORURAL HEALTH INC513 N MAIN STANNA, IL 62906PHONE: (618) 833-4471E-PRESCRIBE: NO

VERCIDE, JOEL M., MDGENDER: MPROVIDER #: 180103NPI #: 1134211139E-PRESCRIBE: NOCONVENIENT CARE CLINIC517 N MAIN STANNA, IL 62906PHONE: (618) 833-2295SARGENT, RACHEL M., PA; PROVIDER #: 166732E-PRESCRIBE: NO

VERCIDE, JOEL, MDGENDER: MPROVIDER #: 055164NPI #: 1134211139E-PRESCRIBE: NOUNION COUNTY FAMILY PRACTICE515 N MAIN ST SUITE CANNA, IL 62906PHONE: (618) 833-2872BARNES, JACQUELYN K., PA; PROVIDER #: 248951E-PRESCRIBE: NO

GENERAL PRACTICEAITI, TAMER, MD

GENDER: MPROVIDER #: 223679NPI #: 1801043864E-PRESCRIBE: NOUNION COUNTY FAMILY PRACTICE515 N MAIN ST SUITE DANNA, IL 62906PHONE: (618) 833-2872E-PRESCRIBE: NO

FAMILY PRACTICERUDY, PAUL M., MD

GENDER: MPROVIDER #: 046219NPI #: 1093794745E-PRESCRIBE: YESTRINITY FAMILY MEDICAL ASSOCIATES110 S DEPOTANNAWAN, IL 61234PHONE: (309) 935-6778E-PRESCRIBE: YES

FAMILY PRACTICE OBRUDY, PAUL M., MD

GENDER: MPROVIDER #: 046219NPI #: 1093794745E-PRESCRIBE: YESTRINITY FAMILY MEDICAL ASSOCIATES110 S DEPOTANNAWAN, IL 61234PHONE: (309) 935-6778E-PRESCRIBE: YES

ANNAWAN, IL

ANNA, ILANNAWAN, IL



66

6

FAMILY PRACTICEBIGGS, ROBERT, MD

GENDER: MPROVIDER #: 247111NPI #: 1699094995E-PRESCRIBE: NOSARAH BUSH LINCOLN HEALTH CENTER241 W SPRINGFIELD RDARCOLA, IL 61910PHONE: (217) 268-4444E-PRESCRIBE: NO

WADE, VIRGINIA A., MDGENDER: FPROVIDER #: 047861NPI #: 1720012024E-PRESCRIBE: NO600 E COUNTY RD 300 NARCOLA, IL 61910PHONE: (217) 268-5008E-PRESCRIBE: NO

GENERAL PRACTICECLIMACO, RAMON U., MD

GENDER: MPROVIDER #: 006108NPI #: 1932195906E-PRESCRIBE: NO120 S LOCUSTARCOLA, IL 61910PHONE: (217) 268-4323E-PRESCRIBE: NO

GENERAL PRACTICEZETTER, DAVID R., MD

GENDER: MPROVIDER #: 096828NPI #: 1598711756E-PRESCRIBE: NODAVID R ZETTER MDHWY 80 EARLINGTON, KY 42021PHONE: (270) 655-6231E-PRESCRIBE: NO

FAMILY PRACTICEELLINGTON, CHARLES R., MD

GENDER: MPROVIDER #: 061404NPI #: 1407833130E-PRESCRIBE: NOARTHUR MEDICAL CENTER650 COLUMBIAARTHUR, IL 61911PHONE: (217) 543-3869E-PRESCRIBE: NO

HARTMAN, PATRICK, MDGENDER: MPROVIDER #: 053300NPI #: 1861508160E-PRESCRIBE: NOSBL ARTHUR CLINIC211 S WALNUTARTHUR, IL 61911PHONE: (217) 543-3444E-PRESCRIBE: NO

PABALATE, ROBERTO G., MD

GENDER: MPROVIDER #: 203189NPI #: 1528221504E-PRESCRIBE: NO650 WEST COLUMBIAARTHUR, IL 61911PHONE: (217) 543-3869E-PRESCRIBE: NO

FAMILY PRACTICEJAIN, SAMEER S., MD

GENDER: MPROVIDER #: 189423NPI #: 1699987230E-PRESCRIBE: NOKSB MEDICAL GROUP707 MAIN STASHTON, IL 61006PHONE: (815) 453-1212E-PRESCRIBE: NO

PRATHIPATI, SUSHMITA N., MD

GENDER: FPROVIDER #: 257836NPI #: 1740581776E-PRESCRIBE: NOASHTON FAMILY HEALTH CENTER320 N FIRST STASHTON, IL 61006PHONE: (815) 453-2681E-PRESCRIBE: NO

ARCOLA, IL ARLINGTON, KY

ARTHUR, IL

ASHTON, IL

ARCOLA, ILASHTON, IL



7

FAMILY PRACTICECUNNINGTON, WALTER H., MD

GENDER: MPROVIDER #: 133335NPI #: 1811024508E-PRESCRIBE: NOCOMMUNITY MEDICAL CLINIC OF ASSUMPTION118 N WALNUTASSUMPTION, IL 62510PHONE: (217) 226-3133E-PRESCRIBE: NO

TEODORO, CATHERINE D., MD

GENDER: FPROVIDER #: 225034NPI #: 1720373574E-PRESCRIBE: YESCOMMUNITY MEDICAL CLINIC118 N WALNUTASSUMPTION, IL 62510PHONE: (217) 226-3133E-PRESCRIBE: YES

FAMILY PRACTICEMITCHELL, PHILIP, MD

GENDER: MPROVIDER #: 028458NPI #: 1508839895E-PRESCRIBE: NOADVOCATE MEDICAL GROUP307 W MAINATLANTA, IL 61723PHONE: (309) 365-8608E-PRESCRIBE: NO

FAMILY PRACTICEMANINT, JAMES E., DO

GENDER: MPROVIDER #: 002832NPI #: 1376534420E-PRESCRIBE: NOATWOOD RURAL HEALTH CLINIC108 S MAIN STATWOOD, IL 61913PHONE: (217) 578-3814MCFARLIN, DANNY L., PA; PROVIDER #: 127751E-PRESCRIBE: NO

SAWLAW, JOSHUA E., MDGENDER: MPROVIDER #: 222916NPI #: 1922235944E-PRESCRIBE: NOATWOOD RURAL HEALTH108 N MAIN STATWOOD, IL 61913PHONE: (217) 578-3814E-PRESCRIBE: NO

ADULT/INTERNAL MEDICINEBURGNER, KAREN M., MD

GENDER: FPROVIDER #: 205751NPI #: 1598785792E-PRESCRIBE: NODREYER CLINIC WEST AURORA1870 W GALENA BLVDAURORA, IL 60506PHONE: (630) 859-6700E-PRESCRIBE: NO

COLLINS, MICHAEL, MDGENDER: MPROVIDER #: 016446NPI #: 1366467680E-PRESCRIBE: NODREYER CLINIC-FOX VALLEY4100 HEALTHWAY DRIVEAURORA, IL 60504PHONE: (630) 851-3105E-PRESCRIBE: NO

DREYER CLINIC-WEST AURORA1870 WEST GALENA BOULEVARDAURORA, IL 60506PHONE: (630) 859-6700E-PRESCRIBE: NO

DAGIANTIS, WILLIAM P., MD

GENDER: MPROVIDER #: 205715NPI #: 1972511822E-PRESCRIBE: NODREYER CLINIC WEST AURORA1870 W GALENA BLVDAURORA, IL 60506PHONE: (630) 859-6700E-PRESCRIBE: NO

DAS, PRASUN K., MDGENDER: MPROVIDER #: 069838NPI #: 1295768778E-PRESCRIBE: NODREYER CLINIC-FOX VALLEY4100 HEALTHWAY DRIVEAURORA, IL 60504PHONE: (630) 851-3105E-PRESCRIBE: NO

ASSUMPTION, IL

ATLANTA, IL

ATWOOD, IL

AURORA, IL

ASSUMPTION, ILAURORA, IL



88

8


DAVE, SHILPA S., DOGENDER: FPROVIDER #: 120679NPI #: 1881624245E-PRESCRIBE: NODREYER CLINIC-WEST AURORA1870 WEST GALENA BOULEVARDAURORA, IL 60506PHONE: (630) 859-6700E-PRESCRIBE: NO

DREYER, ROMAN, MDGENDER: MPROVIDER #: 133533NPI #: 1376576793E-PRESCRIBE: NODREYER CLINIC-FOX VALLEY4100 HEALTHWAY DRIVEAURORA, IL 60504PHONE: (630) 851-3105E-PRESCRIBE: NO

HARNACK, STEVEN C., MD

GENDER: MPROVIDER #: 099880NPI #: 1982622387E-PRESCRIBE: NODREYER CLINIC-WEST AURORA1870 WEST GALENA BOULEVARDAURORA, IL 60506PHONE: (630) 859-6700E-PRESCRIBE: NO

HEASER, AMITA, MDGENDER: FPROVIDER #: 205750NPI #: 1902062219E-PRESCRIBE: NODREYER CLINIC-WEST AURORA1870 W GALENA BLVDAURORA, IL 60506PHONE: (630) 859-6700E-PRESCRIBE: NO

KAPUR, KULJIT S., DOGENDER: FPROVIDER #: 223596NPI #: 1831399518E-PRESCRIBE: NODREYER CLINIC-WEST AURORA1870 W GALENA BLVDAURORA, IL 60506PHONE: (630) 859-6700E-PRESCRIBE: NO

LEE, KAREN M., MDGENDER: FPROVIDER #: 181176NPI #: 1417022351E-PRESCRIBE: NODREYER CLINIC-FOX VALLEY4100 HEALTHWAY DRAURORA, IL 60504PHONE: (630) 851-3105E-PRESCRIBE: NO

LEUNG, DOMINIC K., MDGENDER: MPROVIDER #: 193413NPI #: 1144230335E-PRESCRIBE: NODREYER CLINIC-WEST AURORA1870 WEST GALENA BOULEVARDAURORA, IL 60506PHONE: (630) 859-6700E-PRESCRIBE: NO

MALKANI, SUNIL K., MDGENDER: MPROVIDER #: 202058NPI #: 1538153655E-PRESCRIBE: NODREYER CLINIC-FOX VALLEY4100 HEALTHWAY DRAURORA, IL 60504PHONE: (630) 851-3105E-PRESCRIBE: NO

MARZEC, MICHAEL F., MDGENDER: MPROVIDER #: 205749NPI #: 1205847613E-PRESCRIBE: NODREYER CLINIC-WEST AURORA1870 W GALENA BLVDAURORA, IL 60506PHONE: (630) 859-6700E-PRESCRIBE: NO

OLLEE, SHARON C., MDGENDER: FPROVIDER #: 139006NPI #: 1013076504E-PRESCRIBE: NODREYER CLINIC-FOX VALLEY4100 HEALTHWAY DRIVEAURORA, IL 60504PHONE: (630) 851-3105E-PRESCRIBE: NO

PALMER, JOHN O., MDGENDER: MPROVIDER #: 205752NPI #: 1598778706E-PRESCRIBE: NODREYER CLINIC-FOX VALLEY4100 HEALTHWAY DRAURORA, IL 60504PHONE: (630) 851-3105E-PRESCRIBE: NO

AURORA, ILAURORA, IL



9

DREYER CLINIC-WEST AURORA1870 W GALENA BLVDAURORA, IL 60506PHONE: (630) 859-6700E-PRESCRIBE: NO

SAPYTA, STEVEN J., MDGENDER: MPROVIDER #: 093995NPI #: 1518071323E-PRESCRIBE: NODREYER CLINIC-WEST AURORA1870 WEST GALENA BLVDAURORA, IL 60506PHONE: (630) 859-6700E-PRESCRIBE: NO

SETHI, AMAN, MDGENDER: MPROVIDER #: 248765NPI #: 1447446349E-PRESCRIBE: NODREYER CLINIC RUSH COPLEY2040 OGDEN AVE STE 401AURORA, IL 60504PHONE: (630) 585-7100E-PRESCRIBE: NO

TIWARI, NIDHI, MDGENDER: FPROVIDER #: 176619NPI #: 1053415067E-PRESCRIBE: NOPROVENA MEDICAL GROUP444 N EOLA RD SUITE 110AURORA, IL 60502PHONE: (630) 499-8758E-PRESCRIBE: NO

YIN, JENNIFER K., MDGENDER: FPROVIDER #: 182590NPI #: 1528224169E-PRESCRIBE: NODREYER CLINIC-HIGHLAND1221 NORTH HIGHLAND AVENUEAURORA, IL 60506PHONE: (630) 859-3248E-PRESCRIBE: NO

FAMILY PRACTICEAGHIA, GEORGE A., MD

GENDER: MPROVIDER #: 255232NPI #: 1811218142E-PRESCRIBE: NODREYER CLINIC-FOX VALLEY4100 HEALTHWAY DRAURORA, IL 60504PHONE: (630) 851-3105E-PRESCRIBE: NO

ALAM, HUMA, MDGENDER: FPROVIDER #: 290360NPI #: 1639362544E-PRESCRIBE: NOPRIME HEALTHCARE SERVICES01900 OGDEN AVE SUITE 200AURORA, IL 60504PHONE: E-PRESCRIBE: NO

ALAM, SAROOR, MDGENDER: PROVIDER #: 136181NPI #: 1013064138E-PRESCRIBE: NOPRIME HEALTHCARE SERVICES01900 OGDEN AVE SUITE 200AURORA, IL 60504PHONE: E-PRESCRIBE: NO

ALLEN, JAMISON D., DOGENDER: MPROVIDER #: 105156NPI #: 1184614760E-PRESCRIBE: NOJAMISON ALLEN DO LLC1300 N HIGHLAND SUITE 10AURORA, IL 60506PHONE: (630) 892-7629NARDONE, MARIE, NP; PROVIDER #: 171783E-PRESCRIBE: NO

BAJWA, TEHMINA A., MDGENDER: FPROVIDER #: 205755NPI #: 1922083476E-PRESCRIBE: NODREYER CLINIC ORCHARD2424 W INDIAN TRAIL SUITE BAURORA, IL 60506PHONE: (630) 907-2424E-PRESCRIBE: NO

BIELAT, JULIA L., MDGENDER: FPROVIDER #: 216036NPI #: 1477689081E-PRESCRIBE: NOCADENCE PHYSICIAN GROUP2800 BEVERLY DRIVEAURORA, IL 60502-8516PHONE: (630) 315-8700E-PRESCRIBE: NO

BOWMAN, GARY G., MDGENDER: MPROVIDER #: 019568NPI #: 1821023748E-PRESCRIBE: NODREYER CLINIC-FOX VALLEY4100 HEALTHWAY DRIVEAURORA, IL 60504PHONE: (630) 851-3105E-PRESCRIBE: NO




1010

10


BOWMAN, MARK J., DOGENDER: MPROVIDER #: 057258NPI #: 1194750075E-PRESCRIBE: NODREYER CLINIC -WEST AURORA1870 WEST GALENA BOULEVARDAURORA, IL 60506PHONE: (830) 859-6700E-PRESCRIBE: NO

DREYER CLINIC-FOX VALLEY4100 HEALTHWAY DRIVEAURORA, IL 60504PHONE: (630) 851-3105E-PRESCRIBE: NO

COSGROVE COUNTS, KRISTEN M., MD

GENDER: FPROVIDER #: 150228NPI #: 1255393732E-PRESCRIBE: NODREYER CLINIC-WEST AURORA1870 WEST GALENA BOULEVARDAURORA, IL 60506PHONE: (630) 859-6700E-PRESCRIBE: NO

GALLA-PAGADALA, ARUNA, MD

GENDER: FPROVIDER #: 255250NPI #: 1033310024E-PRESCRIBE: NODREYER CLINIC-WEST AURORA1870 W GALENA BLVDAURORA, IL 60506PHONE: (630) 859-6700E-PRESCRIBE: NO

HO, VIVIEN T., MDGENDER: FPROVIDER #: 205761NPI #: 1083897888E-PRESCRIBE: NODREYER CLINIC-WEST AURORA1870 W GALENA BLVDAURORA, IL 60506PHONE: (630) 859-6700E-PRESCRIBE: NO

HUBBARD, BRIAN T., DOGENDER: MPROVIDER #: 124884NPI #: 1447284476E-PRESCRIBE: NODREYER CLINIC-FOX VALLEY4100 HEALTHWAY DRIVEAURORA, IL 60504PHONE: (630) 851-3105E-PRESCRIBE: NO

DREYER CLINIC-WEST AURORA1870 WEST GALENA BOULEVARDAURORA, IL 60506-2091PHONE: (630) 859-6700E-PRESCRIBE: NO

IRELAND, CHARLES R., DO

GENDER: MPROVIDER #: 024359NPI #: 1346268604E-PRESCRIBE: NODREYER CLINIC-FOX VALLEY4100 HEALTHWAY DRIVEAURORA, IL 60504PHONE: (630) 851-3105E-PRESCRIBE: NO


IRELAND, ROBERT G., DOGENDER: MPROVIDER #: 176670NPI #: 1235154337E-PRESCRIBE: NODREYER CLINIC-FOX VALLEY4100 HEALTHWAY DRIVEAURORA, IL 60504PHONE: (630) 851-3105E-PRESCRIBE: NO





11

KUMAR, ASHWIN, MDGENDER: MPROVIDER #: 205767NPI #: 1457517005E-PRESCRIBE: NODREYER CLINIC-WEST AURORA1870 W GALENA BLVDAURORA, IL 60506PHONE: (630) 859-6700E-PRESCRIBE: NO

OOSTMAN, BRIAN D., DOGENDER: MPROVIDER #: 205695NPI #: 1316950496E-PRESCRIBE: NODREYER CLINIC-HIGHLAND1221 N HIGHLAND AVEAURORA, IL 60506PHONE: (630) 859-8700E-PRESCRIBE: NO

PATEL, BHARTI K., MDGENDER: FPROVIDER #: 055367NPI #: 1902819139E-PRESCRIBE: NODREYER CLINIC-WEST AURORA1870 WEST GALENA BOULEVARDAURORA, IL 60506PHONE: (630) 859-6700E-PRESCRIBE: NO

DREYER CLNIC-FOX VALLEY4100 HEALTHWAY DRIVEAURORA, IL 60504PHONE: (630) 851-3105E-PRESCRIBE: NO

PULS, RICHARD W., MDGENDER: MPROVIDER #: 145514NPI #: 1407818230E-PRESCRIBE: NODREYER CLINIC-FOX VALLEY4100 HEALTHWAY DRIVEAURORA, IL 60504PHONE: (630) 851-3105E-PRESCRIBE: NO


PURI, JIGNASA M., DOGENDER: FPROVIDER #: 171193NPI #: 1447283908E-PRESCRIBE: NODREYER CLINIC-FOX VALLEY4100 HEALTHWAY DRIVEAURORA, IL 60504PHONE: (630) 851-3105E-PRESCRIBE: NO


SHETH, MANSI C., DOGENDER: FPROVIDER #: 244946NPI #: 1669600870E-PRESCRIBE: NODREYER MEDICAL GROUP LTD1221 N HIGHLAND AVEAURORA, IL 60506PHONE: (630) 859-8700E-PRESCRIBE: NO

VAIKUTIS, JOHN P., DOGENDER: MPROVIDER #: 159643NPI #: 1528098365E-PRESCRIBE: NOCADENCE PHYSICIAN GROUP2800 BEVERLY DRIVEAURORA, IL 60502-8516PHONE: (630) 315-8700E-PRESCRIBE: NO

WAHEED, MONA H., MDGENDER: FPROVIDER #: 264243NPI #: 1063510659E-PRESCRIBE: NODREYER CLINIC-WEST AURORA1870 W GALENA BOULEVARDAURORA, IL 60506PHONE: (630) 859-6700E-PRESCRIBE: NO

WEILER, KEITH E., MDGENDER: MPROVIDER #: 078777NPI #: 1184733321E-PRESCRIBE: NODREYER CLINIC-FOX VALLEY4100 HEALTHWAY DRIVEAURORA, IL 60504PHONE: (630) 851-3105TAYLOR, JILL M., PA-C; PROVIDER #: 115706E-PRESCRIBE: NO

DREYER CLINIC-WEST AURORA1870 WEST GALENA BLVDAURORA, IL 60506PHONE: (630) 859-6700TAYLOR, JILL M., PA-C; PROVIDER #: 115706E-PRESCRIBE: NO




1212

12

PEDIATRICSABRAMS, BARRY, MD

GENDER: MPROVIDER #: 078774NPI #: 1659305183E-PRESCRIBE: NODREYER CLINIC-FOX VALLEY4100 HEALTHWAY DRAURORA, IL 60504PHONE: (630) 851-3105E-PRESCRIBE: NO

DREYER CLINIC-WEST AURORA1870 W GALENA BLVDAURORA, IL 60506PHONE: (630) 859-6700E-PRESCRIBE: NO

BENZIGER, KEITH E., MDGENDER: MPROVIDER #: 067041NPI #: 1073543112E-PRESCRIBE: NODREYER CLINIC-WEST AURORA1870 WEST GALENA BOULEVARDAURORA, IL 60506PHONE: (630) 859-6700E-PRESCRIBE: NO

DAVE, SHILPA S., DOGENDER: FPROVIDER #: 120679NPI #: 1881624245E-PRESCRIBE: NODREYER CLINIC-WEST AURORA1870 WEST GALENA BOULEVARDAURORA, IL 60506PHONE: (630) 859-6700E-PRESCRIBE: NO

ECKBERG, LORENE S., MDGENDER: FPROVIDER #: 016445NPI #: 1831122043E-PRESCRIBE: NODREYER CLINIC-FOX VALLEY4100 HEALTHWAY DRIVEAURORA, IL 60504PHONE: (630) 851-3105E-PRESCRIBE: NO

JUNG, ANDREW D., MDGENDER: MPROVIDER #: 205760NPI #: 1598814329E-PRESCRIBE: NODREYER CLINIC-WEST AURORA1870 W GALENA BLVDAURORA, IL 60506PHONE: (630) 859-6700E-PRESCRIBE: NO

DREYER MEDICAL GROUP4100 HEALTHWAY DRAURORA, IL 60504PHONE: (630) 851-3105E-PRESCRIBE: NO

OVERCASH, JULIE A., MDGENDER: FPROVIDER #: 016433NPI #: 1881607992E-PRESCRIBE: NODREYER CLINIC-FOX VALLEY4100 HEALTHWAY DRIVEAURORA, IL 60504PHONE: (630) 851-3105E-PRESCRIBE: NO

SCHNELL, LAURIE R., MDGENDER: FPROVIDER #: 016434NPI #: 1447364211E-PRESCRIBE: NODREYER CLINIC-WEST AURORA1870 W GALENA BLVDAURORA, IL 60506PHONE: (630) 859-6700E-PRESCRIBE: NO

SCHULZ, PAMELA J., DOGENDER: FPROVIDER #: 137449NPI #: 1174625206E-PRESCRIBE: NODREYER MEDICAL GROUP4100 HEALTHWAY DRIVEAURORA, IL 60504PHONE: (630) 851-3105E-PRESCRIBE: NO

SHETTY, ANISHA R., MDGENDER: FPROVIDER #: 225462NPI #: 1629247465E-PRESCRIBE: NODREYER CLINIC-WEST AURORA1870 W GALENA BLVDAURORA, IL 60506PHONE: (630) 859-6700E-PRESCRIBE: NO

TREVINO, REYNA M., MDGENDER: FPROVIDER #: 186859NPI #: 1669551115E-PRESCRIBE: NODREYER CLINIC-WEST AURORA1870 WEST GALENA BOULEVARDAURORA, IL 60506PHONE: (630) 859-6700E-PRESCRIBE: NO




13

ADULT/INTERNAL MEDICINEFEINERMAN, ADRIAN D., MD

GENDER: MPROVIDER #: 105069NPI #: 1568484590E-PRESCRIBE: NOFEINERMAN FAMILY PRACTICE205 W DAVIS STAVA, IL 62907PHONE: (618) 426-3394E-PRESCRIBE: NO

GENERAL PRACTICEMEHTA, SHRIKANT A., MD

GENDER: MPROVIDER #: 003043NPI #: 1346358199E-PRESCRIBE: NOSAUNDERS CLINIC1800 23RD AVEAVON, IL 61415PHONE: (309) 465-3129E-PRESCRIBE: NO

FAMILY PRACTICEFREDERICKS, JENNIFER, MD

GENDER: FPROVIDER #: 270184NPI #: 1093743163E-PRESCRIBE: NOCADENCE PHYSICIAN GROUP820 S ROUTE 59 SUITE ABARTLETT, IL 60103-1300PHONE: (630) 483-5930E-PRESCRIBE: NO

PARIKH, NEHA R., DOGENDER: FPROVIDER #: 269500NPI #: 1770561870E-PRESCRIBE: NOCADENCE PHYSICIAN GROUP820 S ROUTE 59BARTLETT, IL 60103-1300PHONE: (630) 483-5930E-PRESCRIBE: NO

STAVIG, ROLF R., MDGENDER: MPROVIDER #: 155581NPI #: 1265462089E-PRESCRIBE: NOCADENCE PHYSICIAN GROUP820 S ROUTE 59 SUITE ABARTLETT, IL 60103-1300PHONE: (630) 483-5930E-PRESCRIBE: NO

ADULT/INTERNAL MEDICINEJUJJAVARAPU, VIJAYA L., MD

GENDER: FPROVIDER #: 057719NPI #: 1750356226E-PRESCRIBE: NOPROCTOR MEDICAL GROUP1506 W GARFIELD AVEBARTONVILLE, IL 61607PHONE: (309) 697-2416ESTEP, PATRICIA J., APN; PROVIDER #: 214206E-PRESCRIBE: NO

FAMILY PRACTICEHICOK, WILLIAM C., MD

GENDER: MPROVIDER #: 039014NPI #: 1457326944E-PRESCRIBE: NOPROCTOR MEDICAL GROUP1506 W GARFIELD AVEBARTONVILLE, IL 61607PHONE: (309) 697-2416ESTEP, PATRICIA J., APN; PROVIDER #: 214206E-PRESCRIBE: NO

ADULT/INTERNAL MEDICINEBLONSKY, ADAM N., MD

GENDER: MPROVIDER #: 104138NPI #: 1326055294E-PRESCRIBE: NODREYER CLINIC-BATAVIA2500 W FABYAN PKWYBATAVIA, IL 60510PHONE: (630) 879-2110E-PRESCRIBE: NO

AVA, IL

AVON, IL

BARTLETT, IL BARTONVILLE, IL

BATAVIA, IL

AVA, ILBATAVIA, IL



1414

14

BOSH, RONALD G., MDGENDER: MPROVIDER #: 044038NPI #: 1811928443E-PRESCRIBE: NODREYER CLINIC-BATAVIA2500 W FABYAN PKWYBATAVIA, IL 60510PHONE: (630) 879-2110E-PRESCRIBE: NO

COLLINS, MICHAEL, MDGENDER: MPROVIDER #: 016446NPI #: 1366467680E-PRESCRIBE: NODREYER CLINIC-BATAVIA2500 W FABYAN PKWYBATAVIA, IL 60510PHONE: (630) 879-2110E-PRESCRIBE: NO

DAGIANTIS, WILLIAM P., MD

GENDER: MPROVIDER #: 205715NPI #: 1972511822E-PRESCRIBE: NODREYER CLINIC BATAVIA2500 W FABYAN PKWYBATAVIA, IL 60510PHONE: (630) 879-2110E-PRESCRIBE: NO

DAS, PRASUN K., MDGENDER: MPROVIDER #: 069838NPI #: 1295768778E-PRESCRIBE: NODREYER CLINIC-BATAVIA2500 W FABYAN PKWYBATAVIA, IL 60510PHONE: (630) 879-2110E-PRESCRIBE: NO

PATEL, RUTUJA D., DOGENDER: FPROVIDER #: 275019NPI #: 1043453608E-PRESCRIBE: NODREYER CLINIC-BATAVIA2500 W FABYAN PARKWAYBATAVIA, IL 60510PHONE: (630) 879-2110E-PRESCRIBE: NO

SHAH, REENA R., DOGENDER: FPROVIDER #: 213662NPI #: 1972597524E-PRESCRIBE: NODREYER CLINIC-BATAVIA2500 W FABYAN PKWYBATAVIA, IL 60510PHONE: (630) 879-2110E-PRESCRIBE: NO

FAMILY PRACTICEAMANI, EBRAHIM, MD

GENDER: MPROVIDER #: 244863NPI #: 1386615904E-PRESCRIBE: NOCADENCE PHYSICIAN GROUP1049 E WILSON STREETBATAVIA, IL 60510-3174PHONE: (630) 232-2776E-PRESCRIBE: NO

BOWMAN, GARY G., MDGENDER: MPROVIDER #: 019568NPI #: 1821023748E-PRESCRIBE: NODREYER CLINIC-BATAVIA2500 W FABYAN PKWYBATAVIA, IL 60510PHONE: (630) 879-2110E-PRESCRIBE: NO

BOWMAN, MARK J., DOGENDER: MPROVIDER #: 057258NPI #: 1194750075E-PRESCRIBE: NODREYER CLINIC-BATAVIA2500 W FABYAN PKWYBATAVIA, IL 60510PHONE: (630) 879-2110E-PRESCRIBE: NO

HUBBARD, BRIAN T., DOGENDER: MPROVIDER #: 124884NPI #: 1447284476E-PRESCRIBE: NODREYER CLINIC-BATAVIA2500 W FABYAN PKWYBATAVIA, IL 60510PHONE: (630) 879-2110E-PRESCRIBE: NO

IRELAND, CHARLES R., DO

GENDER: MPROVIDER #: 024359NPI #: 1346268604E-PRESCRIBE: NODREYER CLINIC-BATAVIA2500 W FABYAN PKWYBATAVIA, IL 60510PHONE: (630) 879-2110E-PRESCRIBE: NO

IRELAND, ROBERT G., DOGENDER: MPROVIDER #: 176670NPI #: 1235154337E-PRESCRIBE: NODREYER CLINIC-BATAVIA2500 W FABYAN PKWYBATAVIA, IL 60510PHONE: (630) 879-2110E-PRESCRIBE: NO

BATAVIA, ILBATAVIA, IL



15

NOVOTA, PETER A., MDGENDER: MPROVIDER #: 270739NPI #: 1124132394E-PRESCRIBE: NODREYER MEDICAL GROUP LTD2500 W FABYAN PARKWAYBATAVIA, IL 60510PHONE: (630) 879-2110E-PRESCRIBE: NO

PATEL, BHARTI K., MDGENDER: FPROVIDER #: 055367NPI #: 1902819139E-PRESCRIBE: NODREYER CLINIC-BATAVIA2500 W FABYAN PKWYBATAVIA, IL 60510PHONE: (630) 879-2110E-PRESCRIBE: NO

POTZICK, JULIE, MDGENDER: MPROVIDER #: 269488NPI #: 1689645202E-PRESCRIBE: NOCADENCE PHYSICIAN GROUP1049 E WILSON STBATAVIA, IL 60510-3174PHONE: (630) 232-2776E-PRESCRIBE: NO

PULS, RICHARD W., MDGENDER: MPROVIDER #: 145514NPI #: 1407818230E-PRESCRIBE: NODREYER CLINIC-BATAVIA2500 W FABYAN PKWYBATAVIA, IL 60510PHONE: (630) 879-2110E-PRESCRIBE: NO

PURI, JIGNASA M., DOGENDER: FPROVIDER #: 171193NPI #: 1447283908E-PRESCRIBE: NODREYER CLINIC-BATAVIA2500 W FABYAN PKWYBATAVIA, IL 60510PHONE: (630) 879-2110E-PRESCRIBE: NO

VASTOLA-LEWAN, BONNIE J., DO

GENDER: FPROVIDER #: 205753NPI #: 1558529909E-PRESCRIBE: NODREYER CLINIC-BATAVIA2500 W FABYAN PKWYBATAVIA, IL 60510PHONE: (630) 879-2110E-PRESCRIBE: NO

WEILER, KEITH E., MDGENDER: MPROVIDER #: 078777NPI #: 1184733321E-PRESCRIBE: NODREYER CLINIC-BATAVIA2500 W FABYAN PKWYBATAVIA, IL 60510PHONE: (630) 879-2110TAYLOR, JILL M., PA-C; PROVIDER #: 115706E-PRESCRIBE: NO

PEDIATRICSABRAMS, BARRY, MD

GENDER: MPROVIDER #: 078774NPI #: 1659305183E-PRESCRIBE: NODREYER MEDICAL CLINIC-BATAVIA2500 W FABYAN PKWYBATAVIA, IL 60510PHONE: (630) 879-2110E-PRESCRIBE: NO

JUNG, ANDREW D., MDGENDER: MPROVIDER #: 205760NPI #: 1598814329E-PRESCRIBE: NODREYER CLINIC-BATAVIA2500 W FABYAN PKWYBATAVIA, IL 60510PHONE: (630) 879-2110E-PRESCRIBE: NO

MURPHY, DENNIS B., MDGENDER: MPROVIDER #: 154130NPI #: 1568473908E-PRESCRIBE: NODREYER CLINIC-BATAVIA2500 W FABYAN PKWYBATAVIA, IL 60510PHONE: (630) 879-2110E-PRESCRIBE: NO

SROKA, JEFFREY D., MDGENDER: MPROVIDER #: 019251NPI #: 1316962012E-PRESCRIBE: NODREYER CLINIC-BATAVIA2500 W FABYAN PKWYBATAVIA, IL 60510PHONE: (630) 879-2110E-PRESCRIBE: NO

WIDMER, LINDA C., MDGENDER: FPROVIDER #: 269075NPI #: 1053434381E-PRESCRIBE: NOCADENCE PHYSICIAN GROUP1049 E WILSON STBATAVIA, IL 60510-3174PHONE: (630) 232-2776E-PRESCRIBE: NO

BATAVIA, ILBATAVIA, IL



1616

16

FAMILY PRACTICECHOUDHARY, BHAVNA, MD

GENDER: FPROVIDER #: 277872NPI #: 1902184708E-PRESCRIBE: YESCASS COUNTY HEALTH CLINIC8590 ST LUKES DRBEARDSTOWN, IL 62618PHONE: (217) 323-2242E-PRESCRIBE: YES

SANCHEZ, DOMINIQUE F., DO

GENDER: FPROVIDER #: 215990NPI #: 1861654857E-PRESCRIBE: YESCASS COUNTY HEALTH CLINIC8590 ST LUKES DRBEARDSTOWN, IL 62618PHONE: (217) 323-2242E-PRESCRIBE: YES

TAILLEFER, MARGUERITE S., MD

GENDER: FPROVIDER #: 217417NPI #: 1588978241E-PRESCRIBE: NOELMER HUGH TAYLOR CLINIC100 W 15TH STBEARDSTOWN, IL 62618PHONE: (217) 323-2445E-PRESCRIBE: NO

ADULT/INTERNAL MEDICINECATH, ANNE M., MD

GENDER: FPROVIDER #: 250371NPI #: 1417937574E-PRESCRIBE: NOPC ASSOCIATES LLC4600 MEMORIAL DR SUITE 440BELLEVILLE, IL 62226PHONE: (618) 236-8000E-PRESCRIBE: NO

HAGEMAN, MATTHEW, MD

GENDER: MPROVIDER #: 082402NPI #: 1376540930E-PRESCRIBE: NOPC ASSOCIATES LLC130 LINCOLN PLACE COURTBELLEVILLE, IL 62221PHONE: (618) 257-1297E-PRESCRIBE: NO

RAMOS-PARDO, BEATRIZ, MD

GENDER: PROVIDER #: 118276NPI #: 1780670844E-PRESCRIBE: NOPC ASSOCIATES LLC4600 MEMORIAL DR SUITE 440BELLEVILLE, IL 62226PHONE: (618) 236-8000E-PRESCRIBE: NO

SHAWAHIN, NIDAL, MDGENDER: MPROVIDER #: 092059NPI #: 1245236884E-PRESCRIBE: NOPC ASSOCIATES LLC4600 MEMORIAL DRIVE SUITE 360BELLEVILLE, IL 62226PHONE: (618) 222-7280E-PRESCRIBE: NO

FAMILY PRACTICEABEL, WALLACE K., MD

GENDER: MPROVIDER #: 103950NPI #: 1003808858E-PRESCRIBE: NOBELLEVILLE FAMILY MEDICAL ASSOC LTD301 W LINCOLN STE 200BELLEVILLE, IL 62220PHONE: (618) 234-2566E-PRESCRIBE: NO

ADAMS, DONALD G., MDGENDER: MPROVIDER #: 216394NPI #: 1508842352E-PRESCRIBE: NOPC ASSOCIATES LLC333 SOUTH ILLINOIS STREET SUITE ABELLEVILLE, IL 62220PHONE: (618) 277-4888E-PRESCRIBE: NO

DESPAIN, DOUGLAS C., MD


BEARDSTOWN, IL BELLEVILLE, IL

BEARDSTOWN, ILBELLEVILLE, IL



17

GARNER, ROBERT W., DOGENDER: MPROVIDER #: 109054NPI #: 1285612242E-PRESCRIBE: NOBELLEVILLE FAMILY MEDICAL ASSOC LTD301 W LINCOLN STE 200BELLEVILLE, IL 62220PHONE: (618) 234-2566E-PRESCRIBE: NO

HITCHCOCK, JAMES M., DO


MANARANG, DON, DOGENDER: MPROVIDER #: 098311NPI #: 1205833860E-PRESCRIBE: NOPC ASSOCIATES LLC130 LINCOLN PLACE CTBELLEVILLE, IL 62221-5884PHONE: (618) 257-2029E-PRESCRIBE: NO

MANNAN-HILALY, SALMA, MD

GENDER: PROVIDER #: 101806NPI #: 1699772251E-PRESCRIBE: NOPC ASSOCIATES LLC4600 MEMORIAL DRIVE SUITE 160BELLEVILLE, IL 62226PHONE: (618) 235-0460E-PRESCRIBE: NO

O'NEILL, BRIAN A., MDGENDER: PROVIDER #: 198773NPI #: 1669466066E-PRESCRIBE: NOPC ASSOCIATES LLC4600 MEMORIAL DRIVE SUITE 220BELLEVILLE, IL 62226PHONE: (618) 235-6191E-PRESCRIBE: NO

O'NEILL, DAVID, DOGENDER: MPROVIDER #: 199236NPI #: 1922092394E-PRESCRIBE: NOPC ASSOCIATES LLC4600 MEMORIAL DRIVE SUITE 220BELLEVILLE, IL 62226PHONE: (618) 235-6191E-PRESCRIBE: NO

RAWDON, DAVID, MDGENDER: MPROVIDER #: 119790NPI #: 1376549139E-PRESCRIBE: NOPC ASSOCIATES LLC4600 MEMORIAL DRIVE SUITE 160BELLEVILLE, IL 62226PHONE: (618) 235-0460E-PRESCRIBE: NO

WADE, JAMES P., MDGENDER: PROVIDER #: 082401NPI #: 1386640399E-PRESCRIBE: NOPC ASSOCIATES LLC3701 MEMORIAL DRIVEBELLEVILLE, IL 62226PHONE: (618) 222-0000E-PRESCRIBE: NO

WALKER, MELINDA S., DOGENDER: FPROVIDER #: 103543NPI #: 1306838156E-PRESCRIBE: NOBELLEVILLE FAMILY MEDICAL ASSOC LTD301 W LINCOLN STE 200BELLEVILLE, IL 62220PHONE: (618) 234-2566E-PRESCRIBE: NO

PEDIATRICSKRUMHOLZ, LINDSEY, MD

GENDER: FPROVIDER #: 299460NPI #: 1053675561E-PRESCRIBE: NOTLC PEDIATRICS LTD4600 MEMORIAL DRIVE STE 280BELLEVILLE, IL 62226PHONE: E-PRESCRIBE: NO

LAFF, STACIE, MDGENDER: FPROVIDER #: 109943NPI #: 1851318489E-PRESCRIBE: NOTLC PEDIATRICS LTD4600 MEMORIAL DRIVE STE 280BELLEVILLE, IL 62226PHONE: E-PRESCRIBE: NO

NGO, KHAI, MDGENDER: PROVIDER #: 188627NPI #: 1205905197E-PRESCRIBE: NOTLC PEDIATRICS LTD4600 MEMORIAL DRIVE STE 280BELLEVILLE, IL 62226PHONE: E-PRESCRIBE: NO

BELLEVILLE, ILBELLEVILLE, IL



1818

18

NORMAN, DAVID C., MDGENDER: MPROVIDER #: 105936NPI #: 1306871660E-PRESCRIBE: NODAVID DORMAN MD INC4600 MEMORIAL DRIVE STE G60BELLEVILLE, IL 62226PHONE: (618) 257-2550E-PRESCRIBE: NO

FAMILY PRACTICEAL-SARAF, ABBAS F., MD

GENDER: PROVIDER #: 165130NPI #: 1245221134E-PRESCRIBE: NOROCKFORD HEALTH PHYSICIANS1747 LUCKOW LANEBELVIDERE, IL 61008PHONE: (815) 971-9030E-PRESCRIBE: NO

ANSARI, MOHAMMED, MDGENDER: PROVIDER #: 200494NPI #: 1649492620E-PRESCRIBE: NOROCKFORD HEALTH PHYSICIANS1747 LUCKOW LANEBELVIDERE, IL 61008PHONE: (815) 971-9030E-PRESCRIBE: NO

CASTELLO, GREGORY C., DO

GENDER: MPROVIDER #: 300556NPI #: 1417939323E-PRESCRIBE: NOPHYSICIANS IMMEDIATE CARE1663 BELVIDERE RDBELVIDERE, IL 61008PHONE: (847) 653-0130E-PRESCRIBE: NO

CLOR, MONA, MDGENDER: PROVIDER #: 123685NPI #: 1932182003E-PRESCRIBE: NOROCKFORD HEALTH PHYSICIANS1747 LUCKOW LANEBELVIDERE, IL 61008PHONE: (815) 971-9030E-PRESCRIBE: NO

DEAN, LESLIE A., MDGENDER: FPROVIDER #: 051441NPI #: 1316912462E-PRESCRIBE: NOUNIVERSITY PRIMARY CARE CLINIC/BELVIDERE2170 PEARL STBELVIDERE, IL 61008PHONE: (815) 395-5886E-PRESCRIBE: NO

DELADISMA, MARCONI, MD

GENDER: MPROVIDER #: 262776NPI #: 1477597342E-PRESCRIBE: NOROCKFORD HEALTH PHYSICIANS1747 LUCKOW LANEBELVIDERE, IL 61008PHONE: (815) 971-9030E-PRESCRIBE: NO

DUDAS, ANDRZEJ M., DOGENDER: MPROVIDER #: 202735NPI #: 1609037308E-PRESCRIBE: NOUIC PRIMARY CARE CLINIC BELVIDERE2170 PEARL STBELVIDERE, IL 61008PHONE: (815) 395-5886E-PRESCRIBE: NO

HERMAN, LUKE, MDGENDER: MPROVIDER #: 204348NPI #: 1457509150E-PRESCRIBE: NOROCKFORD HEALTH PHYSICIANS1747 LUCKOW LANEBELVIDERE, IL 61008PHONE: (815) 971-9030E-PRESCRIBE: NO

HITT, ROCKTON, MDGENDER: MPROVIDER #: 200693NPI #: 1225108947E-PRESCRIBE: NOROCKFORD HEALTH PHYSICIANS1747 LUCKOW LANEBELVIDERE, IL 61008PHONE: (815) 971-9030E-PRESCRIBE: NO

IRONSIDE, MARY J., MDGENDER: FPROVIDER #: 281594NPI #: 1275579658E-PRESCRIBE: NOUIC PRIMARY CARE CLINIC BELVIDERE2170 PEARL STBELVIDERE, IL 61008PHONE: (815) 395-5886E-PRESCRIBE: NO

BELVIDERE, IL

BELLEVILLE, ILBELVIDERE, IL



19

KAUR, AMANDEEP, MDGENDER: MPROVIDER #: 278146NPI #: 1184875072E-PRESCRIBE: NOUIC PRIMARY CARE CLINIC BELVIDERE2170 PEARL STBELVIDERE, IL 61008PHONE: (815) 395-5886E-PRESCRIBE: NO

KING, MITCHELL S., MDGENDER: MPROVIDER #: 109091NPI #: 1225038276E-PRESCRIBE: NOUNIVERSITY PRIMARY CARE CLINIC/BELVIDERE2170 PEARL STBELVIDERE, IL 61008PHONE: (815) 547-5461E-PRESCRIBE: NO

KNABE, BRIAN, MDGENDER: MPROVIDER #: 141981NPI #: 1437192408E-PRESCRIBE: NOUIC PRIMARY CARE CLINIC BELVIDERE2170 PEARL STBELVIDERE, IL 61008PHONE: (815) 395-5886E-PRESCRIBE: NO

LEE, KENTON, MDGENDER: MPROVIDER #: 019581NPI #: 1366426397E-PRESCRIBE: NOUIC PRIMARY CARE CLINIC BELVIDERE2170 PEARL STBELVIDERE, IL 61008PHONE: (815) 395-5886E-PRESCRIBE: NO

LOPEZ, CASSANDRA M., MD

GENDER: FPROVIDER #: 286032NPI #: 1619125317E-PRESCRIBE: NOUIC PRIMARY CARE CLINIC BELVIDERE2170 PEARL STBELVIDERE, IL 61008PHONE: (815) 395-5886E-PRESCRIBE: NO

LUCIETTO-SIERADZKI, THERESE M., MD

GENDER: FPROVIDER #: 068386NPI #: 1699708636E-PRESCRIBE: NOYOUR FAMILY DOCTOR205 CADILLAC COURT SUITE 7BELVIDERE, IL 61008PHONE: (815) 544-0087HYSELL, DEBRA, APN; PROVIDER #: 123918E-PRESCRIBE: NO

NIKA, VASIL, MDGENDER: MPROVIDER #: 077628NPI #: 1811987886E-PRESCRIBE: NOUIC PRIMARY CARE CLINIC BELVIDERE2170 PEARL STBELVIDERE, IL 61008PHONE: (815) 395-5886E-PRESCRIBE: NO

PHOENIX, JAMES W., MDGENDER: MPROVIDER #: 289696NPI #: 1700922267E-PRESCRIBE: NOROCKFORD HEALTH PHYSICIANS1747 HENRY LUCKOW LANEBELVIDERE, IL 61008PHONE: (815) 971-9030E-PRESCRIBE: NO

PLESCIA, JOHN, MDGENDER: MPROVIDER #: 237860NPI #: 1366671463E-PRESCRIBE: NOUIC PRIMARY CARE CLINIC BELVIDERE2170 PEARL STBELVIDERE, IL 61008PHONE: (815) 395-5886E-PRESCRIBE: NO

POCOCK, DAVID G., MDGENDER: MPROVIDER #: 084617NPI #: 1447240445E-PRESCRIBE: NOUIC PRIMARY CARE CLINIC BELVIDERE2170 PEARL STBELVIDERE, IL 61008PHONE: (815) 395-5886E-PRESCRIBE: NO

POLIZZOTTO, MICHAEL J., MD

GENDER: MPROVIDER #: 107575NPI #: 1871595371E-PRESCRIBE: NOUIC PRIMARY CARE CLINIC BELVIDERE2170 PEARL STBELVIDERE, IL 61008PHONE: (815) 395-5886E-PRESCRIBE: NO

BELVIDERE, ILBELVIDERE, IL



2020

20

ROSKA, JOHN M., MDGENDER: MPROVIDER #: 241969NPI #: 1679714216E-PRESCRIBE: NOUIC PRIMARY CARE CLINIC BELVIDERE2170 PEARL STBELVIDERE, IL 61008PHONE: (815) 395-5886E-PRESCRIBE: NO

ROSS, JOSEPH E., MDGENDER: MPROVIDER #: 286073NPI #: 1487682977E-PRESCRIBE: NOUIC PRIMARY CARE CLINIC BELVIDERE2170 PEARL STBELVIDERE, IL 61008PHONE: (815) 395-5886E-PRESCRIBE: NO

ROYCE, JEFFERY S., MDGENDER: MPROVIDER #: 281607NPI #: 1619910635E-PRESCRIBE: NOUIC PRIMARY CARE CLINIC BELVIDERE2170 PEARL STBELVIDERE, IL 61008PHONE: (815) 395-5886E-PRESCRIBE: NO

SAJJADI OSKOUEI, SEYYED A., MD


SANDOVAL, WILLIAM, MDGENDER: MPROVIDER #: 295313NPI #: 1912080912E-PRESCRIBE: NOROCKFORD HEALTH PHYSICIANS1747 HENRY LUCKOW LANEBELVIDERE, IL 61008PHONE: (815) 971-2000E-PRESCRIBE: NO

SAPYING, ATISAK, MDGENDER: MPROVIDER #: 008802NPI #: 1982694980E-PRESCRIBE: NOUNIVERSITY PRIMARY CARE CLINIC BELVIDERE2170 PEARL STBELVIDERE, IL 61008PHONE: (815) 395-5886E-PRESCRIBE: NO

SHARKEY, CARRIE, MDGENDER: FPROVIDER #: 030512NPI #: 1295725323E-PRESCRIBE: NOUIC PRIMARY CARE CLINIC BELVIDERE2170 PEARL STBELVIDERE, IL 61008PHONE: (815) 395-5886E-PRESCRIBE: NO

SHRESTHA, PATRICIA A., MD

GENDER: FPROVIDER #: 286033NPI #: 1720382088E-PRESCRIBE: NOUIC PRIMARY CARE CLINIC BELVIDERE2170 PEARL STBELVIDERE, IL 61008PHONE: (815) 395-5886E-PRESCRIBE: NO

SIMMONS, MARY D., MDGENDER: FPROVIDER #: 282746NPI #: 1457373946E-PRESCRIBE: NOUIC PRIMARY CARE CLINIC BELVIDERE2170 PEARL STBELVIDERE, IL 61008PHONE: (815) 395-5886E-PRESCRIBE: NO

ULMER, MEREDITH M., MD

GENDER: FPROVIDER #: 223423NPI #: 1720216930E-PRESCRIBE: NOROCKFORD HEALTH PHYSICIANS1669 BELVIDERE RDBELVIDERE, IL 61008PHONE: (815) 971-2000E-PRESCRIBE: NO1747 HENRY LUCKLOW LANEBELVIDERE, IL 61008PHONE: (815) 971-9030E-PRESCRIBE: NO

WEDEL, PAUL E., MDGENDER: MPROVIDER #: 008762NPI #: 1700860764E-PRESCRIBE: NOUIC PRIMARY CARE CLINIC BELVIDERE2170 PEARL STBELVIDERE, IL 61008PHONE: (815) 395-5886E-PRESCRIBE: NO

BELVIDERE, ILBELVIDERE, IL



21

WILLIAMS, FARION R., MDGENDER: MPROVIDER #: 071143NPI #: 1568446516E-PRESCRIBE: NOUIC PRIMARY CARE CLINIC BELVIDERE2170 PEARL STBELVIDERE, IL 61008PHONE: (815) 395-5886E-PRESCRIBE: NO

WOLLSTADT, LOYD, MDGENDER: MPROVIDER #: 010897NPI #: 1356332498E-PRESCRIBE: NOADVANCED REPRODUCTIVE CENTER2170 PEARL STBELVIDERE, IL 61008PHONE: (815) 395-5886E-PRESCRIBE: NO

PEDIATRICSDAVIS, RAYMOND A., MD


PHELAN, KAREN W., MDGENDER: FPROVIDER #: 008652NPI #: 1801871017E-PRESCRIBE: NOUIC PRIMARY CARE CLINIC BELVIDERE2170 PEARL STBELVIDERE, IL 61008PHONE: (815) 395-5886E-PRESCRIBE: NO

POTTS, MICHAEL J., MDGENDER: MPROVIDER #: 008720NPI #: 1881679090E-PRESCRIBE: NOUIC PRIMARY CARE CLINIC BELVIDERE2170 PEARL STBELVIDERE, IL 61008PHONE: (815) 395-5886E-PRESCRIBE: NO

ADULT/INTERNAL MEDICINEMANDHAN, NARAIN D., MD

GENDER: MPROVIDER #: 185109NPI #: 1730170655E-PRESCRIBE: NOBEMENT HEALTHCARE CENTER601 N MORGANBEMENT, IL 61813PHONE: (217) 678-2191E-PRESCRIBE: NO

FAMILY PRACTICEIMBURGIA, DOMINIC C., MD

GENDER: MPROVIDER #: 040058NPI #: 1114955960E-PRESCRIBE: NOBEMENT COMMUNITY MEDICAL CENTER120 W BODMANBEMENT, IL 61813PHONE: E-PRESCRIBE: NO

MANINT, JAMES E., DOGENDER: MPROVIDER #: 002832NPI #: 1376534420E-PRESCRIBE: NOBEMENT HEALTH CARE CENTER601 N MORGANBEMENT, IL 61813PHONE: (217) 678-2191MCFARLIN, DANNY L., PA; PROVIDER #: 127751E-PRESCRIBE: NO

SAWLAW, JOSHUA E., MDGENDER: MPROVIDER #: 222916NPI #: 1922235944E-PRESCRIBE: NOBEMENT HEALTHCARE CENTER601 N MORGANBEMENT, IL 61813PHONE: (217) 678-2191E-PRESCRIBE: NO

FAMILY PRACTICEPOOS, JOSHUA D., MD

GENDER: MPROVIDER #: 162610NPI #: 1134142540E-PRESCRIBE: NOCOMMUNITY FAMILY PRACTICE311 E CENTRAL AVEBENLD, IL 62009PHONE: (217) 835-4334E-PRESCRIBE: NO

BEMENT, IL

BENLD, IL

BELVIDERE, ILBENLD, IL



2222

22

ADULT/INTERNAL MEDICINENEELY, MEGAN J., MD

GENDER: FPROVIDER #: 259247NPI #: 1528233681E-PRESCRIBE: NOCROSSROADS FAMILY MEDICINE OF BENTON905 W WASHINGTON ST SUITE ABENTON, IL 62812PHONE: (618) 435-2229E-PRESCRIBE: NO

PARKS, ROBERT J., MDGENDER: MPROVIDER #: 264223NPI #: 1356380497E-PRESCRIBE: YESFRANKLIN HOSPITAL201 BAILEY LNBENTON, IL 62812PHONE: (618) 439-3161E-PRESCRIBE: YES

PARKS, ROBERT, MDGENDER: MPROVIDER #: 254906NPI #: 1356380497E-PRESCRIBE: NOCROSSROADS FAMILY MEDICINE OF BENTON905 W WASHINGTON ST SUITE ABENTON, IL 62812PHONE: (618) 435-2229E-PRESCRIBE: NO

RESABA, GEMILO, MDGENDER: MPROVIDER #: 042552NPI #: 1760427199E-PRESCRIBE: NOFRANKLIN HOSPITAL-FAMILY HEALTHCARE CLINIC201 BAILEY LANEBENTON, IL 62812PHONE: (618) 439-3161GRUNERT, ROSE Y., FNP; PROVIDER #: 138385E-PRESCRIBE: NO

FAMILY PRACTICEHARRISON, BRIAN, MD

GENDER: MPROVIDER #: 111587NPI #: 1518920073E-PRESCRIBE: NOSIH MEDICAL GROUP AT BENTON COMMUNITY HEALTH RHC203 BAILEY LN SUITE 1BENTON, IL 62812-1969PHONE: (618) 438-5670E-PRESCRIBE: NO

HARTMAN, JOHN DAVID, MD

GENDER: MPROVIDER #: 175344NPI #: 1851399976E-PRESCRIBE: YESFRANKLIN HOSPITAL-FAMILY HEALTHCARE CLINIC201 BAILEY LANEBENTON, IL 62812PHONE: (618) 439-3161BRADDOCK, TERRI, FNP; PROVIDER #: 176109HENSON, ANGELA H., PA; PROVIDER #: 166332E-PRESCRIBE: YES

MORTHLAND, TIMOTHY E., MD

GENDER: MPROVIDER #: 257336NPI #: 1255375515E-PRESCRIBE: NOFRANKLIN HOSPITAL FAMILY HEALTHCARE CLINIC201 BAILEY LANEBENTON, IL 62812PHONE: (618) 439-3161DORRIS, JASON, PA-C; PROVIDER #: 263234RICE, HEATHER D., PA; PROVIDER #: 276723E-PRESCRIBE: NO

POSITICO, JOANNA, MDGENDER: FPROVIDER #: 272262NPI #: 1558682864E-PRESCRIBE: YESNATIONAL HEALTHCARE OF MT VERNON INC905 W WASHINGTON ST STE ABENTON, IL 62812PHONE: (618) 435-2229E-PRESCRIBE: YES

RETHORST, RICHARD, MDGENDER: MPROVIDER #: 263240NPI #: 1770530024E-PRESCRIBE: YESFRANKLIN HOSPITAL FAMILY HEALTHCARE CLINIC201 BAILEY LNBENTON, IL 62812PHONE: (618) 439-3161BROWN, NICOLE E., PA-C; PROVIDER #: 272532SULLIVAN, DEBORAH, ARNP; PROVIDER #: 268064E-PRESCRIBE: YES

BENTON, IL

BENTON, ILBENTON, IL



23

SZOKE, DAVID F., MDGENDER: MPROVIDER #: 290052NPI #: 1477531192E-PRESCRIBE: NO905 W WASHINGTON STBENTON, IL 62812PHONE: (618) 435-5444E-PRESCRIBE: NO

WARNER, TRICIA K., MDGENDER: FPROVIDER #: 259248NPI #: 1326029158E-PRESCRIBE: NOCROSSROADS FAMILY MEDICINE OF BENTON905 W WASHINGTON ST SUITE ABENTON, IL 62812PHONE: (618) 435-2229E-PRESCRIBE: NO

PEDIATRICSNWOSU, MARJORIE M., MD

GENDER: FPROVIDER #: 259249NPI #: 1932164951E-PRESCRIBE: NOCROSSROADS FAMILY MEDICINE OF BENTON905 W WASHINGTON ST SUITE ABENTON, IL 62812PHONE: (618) 435-2229E-PRESCRIBE: NO

ADULT/INTERNAL MEDICINEBROWN, CHRISTINA M., DO

GENDER: FPROVIDER #: 225691NPI #: 1598057549E-PRESCRIBE: NOMARSHALL CO HOSP & LONG TERM CARE FAC DBA MARSHALL617 OLD SYMSONIA ROADBENTON, KY 42025PHONE: (270) 527-2411E-PRESCRIBE: NO

HARRIS, ROBERT C., MDGENDER: MPROVIDER #: 245055NPI #: 1265403265E-PRESCRIBE: NOMD PARTNERS PLLC615 OLD SYMSONIA ROADBENTON, KY 42025PHONE: (270) 527-4800E-PRESCRIBE: NO

JESSEE, ALI J., DOGENDER: FPROVIDER #: 296907NPI #: 1396922118E-PRESCRIBE: NOMARSHALL CO HOSP & LONG TERM CARE FAC DBA MARSHALL617 OLD SYMSONIA ROADBENTON, KY 42025PHONE: (270) 527-2411E-PRESCRIBE: NO

LYLES, JULIA T., MDGENDER: FPROVIDER #: 297315NPI #: 1740434307E-PRESCRIBE: NOMARSHALL CO HOSP & LONG TERM CARE FAC DBA MARSHALL617 OLD SYMSONIA RDBENTON, KY 42025PHONE: (270) 527-2411E-PRESCRIBE: NO

FAMILY PRACTICEBOHANNON, TODD L., MD

GENDER: MPROVIDER #: 195263NPI #: 1740381276E-PRESCRIBE: NOMD PARTNERS PLLC615 OLD SYMSONIA RDBENTON, KY 42025PHONE: (270) 527-4800E-PRESCRIBE: NO

HALL, KIM M., MDGENDER: FPROVIDER #: 297317NPI #: 1780660068E-PRESCRIBE: NOMARSHALL CO HOSP & LONG TERM CARE FAC DBA MARSHALL617 OLD SYMSONIA RDBENTON, KY 42025PHONE: (270) 527-2411E-PRESCRIBE: NO

BENTON, KY

BENTON, ILBENTON, KY



2424

24

HEISS, JOHN R., MDGENDER: MPROVIDER #: 297890NPI #: 1013951813E-PRESCRIBE: NOMARSHALL CO HOSP & LONG TERM CARE FAC DBA MARSHALL617 OLD SYMSONIA ROADBENTON, KY 42025PHONE: (270) 527-2411E-PRESCRIBE: NO

MD PARTNERS PLLC615 OLD SYMSONIA ROADBENTON, KY 42025PHONE: (270) 527-4800E-PRESCRIBE: NO

TVEITE, JOHN E., MDGENDER: MPROVIDER #: 297310NPI #: 1205919040E-PRESCRIBE: NOMURRAY CALLOWAY CO HOSP CORP DBA MARSHALL CO FAMIL543 POWELL STBENTON, KY 42025PHONE: (270) 527-2273E-PRESCRIBE: NO

FAMILY PRACTICEHARMS, CRAIG K., MD

GENDER: MPROVIDER #: 198666NPI #: 1598878373E-PRESCRIBE: NOFAMILY PHYSICIANS OF BETHALTO155 E BETHALTO DRBETHALTO, IL 62010PHONE: (618) 377-8961E-PRESCRIBE: NO

ADULT/INTERNAL MEDICINEJEROME, WILLIAM P., MD

GENDER: MPROVIDER #: 179314NPI #: 1215915855E-PRESCRIBE: YESTRINITY MEDICAL CENTER AT TERRACE PARK4500 UTICA RIDGE RDBETTENDORF, IA 52722PHONE: (563) 742-5000E-PRESCRIBE: YES

UNITYPOINT CLINIC-INTERNAL MEDICINE BETTENDORF4480 UTICA RIDGE RD SUITE 2230BETTENDORF, IA 52722PHONE: (563) 742-5150E-PRESCRIBE: YES

KETTELKAMP, JAMES E., MD

GENDER: MPROVIDER #: 073373NPI #: 1346228970E-PRESCRIBE: YESUNITYPOINT CLINIC-INTERNAL MEDICINE BETTENDORF4480 UTICA RIDGE RD SUITE 2230BETTENDORF, IA 52722PHONE: (563) 742-5150E-PRESCRIBE: YES

KING, JAMES D., DOGENDER: MPROVIDER #: 177922NPI #: 1720058019E-PRESCRIBE: YESTRINITY TERRACE PARK FAMILY PRACTICE CLINIC4480 UTICA RIDGE RD SUITE 160BETTENDORF, IA 52722PHONE: (563) 742-4850E-PRESCRIBE: YES

KING, JAMES, DOGENDER: MPROVIDER #: 093413NPI #: 1720058019E-PRESCRIBE: YESUNITYPOINT CLINIC-INTERNAL MEDICINE BETTENDORF4480 UTICA RIDGE RD SUITE 2230BETTENDORF, IA 52722PHONE: (563) 742-5150E-PRESCRIBE: YES

PAREIGIS, ALEX J., MDGENDER: MPROVIDER #: 195070NPI #: 1184603953E-PRESCRIBE: NOTRINITY MEDICAL CENTER AT TERRACE PARK4500 UTICA RIDGE RDBETTENDORF, IA 52722PHONE: (563) 742-5000E-PRESCRIBE: NO

BETHALTO, IL

BETTENDORF, IA

BENTON, KYBETTENDORF, IA



25

SCHLOTFELDT II, RONALD B., MD

GENDER: MPROVIDER #: 224557NPI #: 1033496088E-PRESCRIBE: NOUNITYPOINT CLINIC-INTERNAL MEDICINE BETTENDORF4480 UTICA RIDGE RD SUITE 2230BETTENDORF, IA 52722PHONE: (563) 742-5150E-PRESCRIBE: NO

FAMILY PRACTICEABDULLAH, AFSANA Y., DO

GENDER: FPROVIDER #: 290300NPI #: 1760583066E-PRESCRIBE: NOTRINITY FAMILY PRACTICE4480 UTICA RIDGE RD SUITE 160BETTENDORF, IA 52722PHONE: (563) 742-4850E-PRESCRIBE: NO

AGUILAR, STEVEN J., MDGENDER: MPROVIDER #: 034782NPI #: 1427053842E-PRESCRIBE: NOGENESIS HEALTH GROUP865 LINCOLN RD SUITE 400BETTENDORF, IA 52722PHONE: (563) 359-7548GEORGE, JENNIFER A., ARNP; PROVIDER #: 068802E-PRESCRIBE: NO

ANDERSEN, KURT A., MDGENDER: MPROVIDER #: 059360NPI #: 1477558799E-PRESCRIBE: NOGENESIS HEALTH GROUP HEALTHPLEX2140 53RD AVENUEBETTENDORF, IA 52722PHONE: (563) 421-5700E-PRESCRIBE: NO

ANDERSON, GARY A., DOGENDER: MPROVIDER #: 034792NPI #: 1205831120E-PRESCRIBE: NOGENESIS HEALTH GROUP CONVENIENT CARE CLINICS2140 53RD AVENUEBETTENDORF, IA 52722PHONE: (563) 421-5700E-PRESCRIBE: NO

APPEL, MIKKA M., MDGENDER: FPROVIDER #: 090042NPI #: 1275505505E-PRESCRIBE: NOJOHN DEERE MEDICAL GROUP OF THE QUAD CITIES3740 UTICA RIDGE RD SUITE BBETTENDORF, IA 52722PHONE: (563) 344-7400HANSSEN, MELISSA A., APN; PROVIDER #: 045419E-PRESCRIBE: NO

ARNOLD, DANIEL J., DOGENDER: MPROVIDER #: 192383NPI #: 1033198908E-PRESCRIBE: NOTRINITY TERRACE PARK FAMILY PRACTICE CLINIC4480 UTICA RIDGE RD SUITE 160BETTENDORF, IA 52722PHONE: (563) 742-4850E-PRESCRIBE: NO

BALCIULIS, SUSAN, MDGENDER: FPROVIDER #: 069469NPI #: 1700992401E-PRESCRIBE: NOSTATE STREET WOMENS HEALTH CENTER1004 STATE STBETTENDORF, IA 52722PHONE: (563) 359-5535E-PRESCRIBE: NO

BLECHLE, KEVIN, DOGENDER: MPROVIDER #: 120786NPI #: 1396725768E-PRESCRIBE: YESTRINITY EXPRESS CARE BETTENDORF3415 53RD AVEBETTENDORF, IA 52722PHONE: (563) 742-4350BLAIR, TRINA G., PA-C; PROVIDER #: 221567E-PRESCRIBE: YES

BOONE, CHRISTOPHER R., MD

GENDER: MPROVIDER #: 276225NPI #: 1225324361E-PRESCRIBE: NOGENESIS HEALTH GROUP2140 53RD AVEBETTENDORF, IA 52722PHONE: (563) 421-5700E-PRESCRIBE: NO

BETTENDORF, IABETTENDORF, IA



2626

26

4017 DEVILS GLEN RD SUITE 100BETTENDORF, IA 52722PHONE: (563) 332-6387E-PRESCRIBE: NO

GENESIS HEALTH GROUP CONVENIENT CARE4017 DEVILS GLEN RD SUITE 101BETTENDORF, IA 52722PHONE: (563) 421-3700E-PRESCRIBE: NO

CAMPBELL, MARY M., MDGENDER: FPROVIDER #: 059598NPI #: 1760470454E-PRESCRIBE: NOGENESIS HEALTH GROUP4017 DEVILS GLEN RD SUITE 100BETTENDORF, IA 52722PHONE: (563) 332-6387E-PRESCRIBE: NO

CARDOTT, RANDEL, MDGENDER: MPROVIDER #: 023629NPI #: 1295704674E-PRESCRIBE: NOGENESIS CONVENIENT CARE4017 DEVILS GLEN RDBETTENDORF, IA 52722PHONE: (563) 421-3700E-PRESCRIBE: NO

GENESIS HEALTH GROUP4017 DEVILS GLEN RD SUITE 100BETTENDORF, IA 52722PHONE: (563) 332-6387E-PRESCRIBE: NO

GENESIS HEALTHPLEX2140 53RD AVEBETTENDORF, IA 52722PHONE: (563) 421-5700E-PRESCRIBE: NO

COON, TERESA, MDGENDER: FPROVIDER #: 053409NPI #: 1831205525E-PRESCRIBE: NOSTATE STREET WOMENS HEALTH CENTER1004 STATE STBETTENDORF, IA 52722PHONE: (563) 359-5535E-PRESCRIBE: NO

DANIEL, MYRA S., MDGENDER: FPROVIDER #: 075995NPI #: 1891783569E-PRESCRIBE: NOGENESIS HEALTH GROUP4017 DEVILS GLEN RD SUITE 100BETTENDORF, IA 52722PHONE: (563) 332-6387HAAS, DEBORAH S.; PROVIDER #: 089094E-PRESCRIBE: NO

EDWARDS, ANDREW D., MD

GENDER: MPROVIDER #: 075996NPI #: 1336137009E-PRESCRIBE: NOGENESIS HEALTH GROUP4017 DEVILS GLEN RD SUITE 100BETTENDORF, IA 52722PHONE: (563) 332-6387E-PRESCRIBE: NO

FISHER, JESSICA, DOGENDER: FPROVIDER #: 300479NPI #: 1528311487E-PRESCRIBE: NOTRINITY FAMILY PRACTICE4480 UTICA RIDGE RD SUITE 160BETTENDORF, IA 52722PHONE: (563) 742-4850E-PRESCRIBE: NO

GEICK, LYNN B., MDGENDER: MPROVIDER #: 075390NPI #: 1326010299E-PRESCRIBE: NOJOHN DEERE MEDICAL GROUP OF THE QUAD CITIES3740 UTICA RIDGE RD SUITE BBETTENDORF, IA 52722PHONE: (563) 344-7400HANSSEN, MELISSA A., APN; PROVIDER #: 045419E-PRESCRIBE: NO

HAGEMANN, JASON C., DO

GENDER: MPROVIDER #: 222244NPI #: 1285954594E-PRESCRIBE: NOGENESIS HEALTH GROUP865 LINCOLN RD SUITE 400BETTENDORF, IA 52722PHONE: (563) 359-7548E-PRESCRIBE: NO

HARKER, SHEENA L., DOGENDER: FPROVIDER #: 275301NPI #: 1447544580E-PRESCRIBE: NOGENESIS HEALTH GROUP2140 53RD AVEBETTENDORF, IA 52722PHONE: (563) 421-5700E-PRESCRIBE: NO4017 DEVILS GLEN RD STE 100BETTENDORF, IA 52722PHONE: (563) 332-6387E-PRESCRIBE: NO

GENESIS HEALTH GROUP CONVENIENT CARE4017 DEVILS GLEN RD STE 101BETTENDORF, IA 52722PHONE: (563) 421-3700E-PRESCRIBE: NO




27

HENDERSON, JAMES G., MD

GENDER: MPROVIDER #: 224542NPI #: 1750353223E-PRESCRIBE: NOTRINITY EXPRESS CARE BETTENDORF3415 53RD AVEBETTENDORF, IA 52722PHONE: (563) 742-4350E-PRESCRIBE: NO

HERMANSON, MARK E., MD

GENDER: MPROVIDER #: 034785NPI #: 1639174196E-PRESCRIBE: NOGENESIS HEALTH GROUP865 LINCOLN RD SUITE 400BETTENDORF, IA 52722PHONE: (563) 359-7548GEORGE, JENNIFER A., ARNP; PROVIDER #: 068802E-PRESCRIBE: NO

KANE, FRANCIS L., MDGENDER: MPROVIDER #: 055003NPI #: 1750353744E-PRESCRIBE: NOJOHN DEERE MEDICAL GROUP OF THE QUAD CITIES3740 UTICA RIDGE RD SUITE BBETTENDORF, IA 52722PHONE: (563) 344-7400HANSSEN, MELISSA A., APN; PROVIDER #: 045419JAMES, ELIZABETH, PA; PROVIDER #: 119454E-PRESCRIBE: NO

KNUDSON, ROBERT J., MD

GENDER: MPROVIDER #: 076001NPI #: 1528056207E-PRESCRIBE: NOGENESIS HEALTH GROUP4017 DEVILS GLEN RD SUITE 100BETTENDORF, IA 52722PHONE: (563) 332-6387E-PRESCRIBE: NO

KUMAR, POMILLA C., MDGENDER: FPROVIDER #: 071636NPI #: 1568431880E-PRESCRIBE: NOBETTENDORF PEDIATRIC & FAMILY PRACTICE ASSOCIATES4017 DEVILS GLEN RD SUITE 200BETTENDORF, IA 52722PHONE: (563) 332-3400E-PRESCRIBE: NO

KUMAR, POMILLA, MDGENDER: FPROVIDER #: 295637NPI #: 1568431880E-PRESCRIBE: NOUPC EXPRESS CARE BETTENDORF3415 53RD AVEBETTENDORF, IA 52722PHONE: E-PRESCRIBE: NO

LETNEY, TODD L., MDGENDER: MPROVIDER #: 055007NPI #: 1295709657E-PRESCRIBE: NOJOHN DEERE MEDICAL GROUP OF THE QUAD CITIES3740 UTICA RIDGE RD SUITE BBETTENDORF, IA 52722PHONE: (563) 344-7400HANSSEN, MELISSA A., APN; PROVIDER #: 045419E-PRESCRIBE: NO

LINDLEY, JAMES A., MDGENDER: MPROVIDER #: 224531NPI #: 1528064052E-PRESCRIBE: NOTRINITY EXPRESS CARE BETTENDORF3415 53RD AVEBETTENDORF, IA 52722PHONE: (563) 742-4350E-PRESCRIBE: NO

MARTIN, KENNETH, DOGENDER: MPROVIDER #: 300424NPI #: 1699118356E-PRESCRIBE: NOTRINITY FAMILY PRACTICE4480 UTICA RIDGE RD #160BETTENDORF, IA 52722PHONE: (800) 845-6592E-PRESCRIBE: NO

MCCABE, WILLIAM C., MDGENDER: MPROVIDER #: 124937NPI #: 1730157322E-PRESCRIBE: NOGENESIS CONVIENENT CARE4017 DEVILS GLENN RDBETTENDORF, IA 52722PHONE: (563) 421-3700E-PRESCRIBE: NO




2828

28

MCELHINNEY, BRUCE A., DO

GENDER: MPROVIDER #: 034802NPI #: 1811993371E-PRESCRIBE: NOGENESIS HEALTH GROUP865 LINCOLN RD SUITE 100BETTENDORF, IA 52722PHONE: (563) 441-1843E-PRESCRIBE: NO

MEHTA, FALGUNI, MDGENDER: FPROVIDER #: 176020NPI #: 1831311851E-PRESCRIBE: NOUNITYPOINT CLINIC-FAMILY MEDICINE BETTENDORF4480 UTICA RIDGE RD SUITE 2236BETTENDORF, IA 52722PHONE: (563) 742-5850E-PRESCRIBE: NO

MEHTA, NILESH R., MDGENDER: MPROVIDER #: 176023NPI #: 1982826905E-PRESCRIBE: NOUNITYPOINT CLINIC-FAMILY MEDICINE BETTENDORF4480 UTICA RIDGE RD SUITE 2236BETTENDORF, IA 52722PHONE: (563) 742-5850E-PRESCRIBE: NO

MILLER, JOANNE M., MDGENDER: FPROVIDER #: 052081NPI #: 1093777518E-PRESCRIBE: NOGENESIS CONVENIENT CARE4017 DEVILS GLEN RD SUITE 100BETTENDORF, IA 52722PHONE: (563) 421-3700E-PRESCRIBE: NO

MOTTO, AMANDA M., DOGENDER: FPROVIDER #: 166163NPI #: 1578705653E-PRESCRIBE: YESTRINITY FAMILY PRACTICE CLINIC4480 UTICA RIDGE RD STE 160BETTENDORF, IA 52722PHONE: (563) 742-4850E-PRESCRIBE: YES

SALOWITZ, STACIE L., MDGENDER: FPROVIDER #: 286526NPI #: 1639462443E-PRESCRIBE: NOGENESIS HEALTH GROUP4017 DEVILS GLEN RD SUITE 100BETTENDORF, IA 52722PHONE: (563) 332-6387E-PRESCRIBE: NO

GENESIS HEALTH GROUP CONVENIENT CARE4017 DEVILS GLEN RD SUITE 101BETTENDORF, IA 52722PHONE: (563) 421-3700E-PRESCRIBE: NO

GENESIS HEALTH GROUP HEALTHPLEX2140 53RD AVEBETTENDORF, IA 52722PHONE: (563) 421-5700E-PRESCRIBE: NO

SCHIERBROCK, CATHERINE L., MD

GENDER: FPROVIDER #: 288210NPI #: 1235423377E-PRESCRIBE: NOGENESIS HEALTH GROUP4017 DEVILS GLEN ROAD SUITE 100BETTENDORF, IA 52722PHONE: (563) 332-6387E-PRESCRIBE: NO

GENESIS HEALTH GROUP CONVENIENT CARE4017 DEVILS GLEN ROAD SUITE 101BETTENDORF, IA 52722PHONE: (563) 421-3700E-PRESCRIBE: NO

SINGH, ARMEET, MDGENDER: PROVIDER #: 301102NPI #: 1902056096E-PRESCRIBE: NOUPC PEDIATRICS BETTENDORF4480 UTICA RIDGE RD SUITE 1120BETTENDORF, IA 52722-1656PHONE: E-PRESCRIBE: NO




29

SMITH, DENICE, MDGENDER: FPROVIDER #: 242439NPI #: 1134171085E-PRESCRIBE: YESWOMENS CARE SPECIALISTS DBA INFINITY MEDICAL4480 UTICA RIDGE RD SUITE 140BETTENDORF, IA 52722PHONE: E-PRESCRIBE: YES

SOJKA, MATTHEW L., MDGENDER: MPROVIDER #: 272187NPI #: 1659358471E-PRESCRIBE: NOTRINITY TERRACE PARK FAMILY PRACTICE4480 UTICA RIDGE RDBETTENDORF, IA 52722PHONE: (563) 742-4850E-PRESCRIBE: NO

STALEY, THOMAS R., MDGENDER: MPROVIDER #: 228223NPI #: 1174750855E-PRESCRIBE: NOGENESIS HEALTH GROUP4017 DEVILS GLEN RD SUITE 100BETTENDORF, IA 52722PHONE: (563) 332-6387E-PRESCRIBE: NO

TERRONEZ, JARED A., MDGENDER: MPROVIDER #: 201375NPI #: 1497990667E-PRESCRIBE: NOJOHN DEERE MEDICAL GROUP OF THE QUAD CITIES3740 UTICA RIDGE RD SUITE BBETTENDORF, IA 52722PHONE: (563) 344-7400E-PRESCRIBE: NO

TREIBER, KARL D., DOGENDER: MPROVIDER #: 085064NPI #: 1932105855E-PRESCRIBE: NOGENESIS HEALTH GROUP865 LINCOLN RD SUITE 400BETTENDORF, IA 52722PHONE: (563) 359-7548E-PRESCRIBE: NO

VAMPOLA, STEPHANIE, DO

GENDER: PROVIDER #: 294234NPI #: 1891101457E-PRESCRIBE: NOTRINITY FAMILY PRACTICE4480 UTICA RIDGE RD SUITE 160BETTENDORF, IA 52722PHONE: (563) 742-4850E-PRESCRIBE: NO

WENCK, TODD, MDGENDER: MPROVIDER #: 087306NPI #: 1750353595E-PRESCRIBE: NOJOHN DEERE MEDICAL GROUP OF THE QUAD CITIES3740 UTICA RIDGE RD SUITE BBETTENDORF, IA 52722PHONE: (563) 344-7400HANSSEN, MELISSA A., APN; PROVIDER #: 045419E-PRESCRIBE: NO

PEDIATRICSANDERSON, ROBERT F., MD

GENDER: MPROVIDER #: 034783NPI #: 1932104858E-PRESCRIBE: NOGENESIS HEALTH GROUP865 LINCOLN RD SUITE 200BETTENDORF, IA 52722PHONE: (563) 344-8600DREXLER, ALICE E., ARNP; PROVIDER #: 066648FRENELL, GINA L., FNP; PROVIDER #: 135523E-PRESCRIBE: NO

BEHNKE, AIMEE C., MDGENDER: FPROVIDER #: 200982NPI #: 1508883943E-PRESCRIBE: NOGENESIS HEALTH GROUP865 LINCOLN RD SUITE 200BETTENDORF, IA 52722PHONE: (563) 344-8600E-PRESCRIBE: NO

DELESSIO, LINDA M., MDGENDER: FPROVIDER #: 054372NPI #: 1275538209E-PRESCRIBE: NOGENESIS HEALTH GROUP865 LINCOLN RD SUITE 200BETTENDORF, IA 52722PHONE: (563) 344-8600FRENELL, GINA L., FNP; PROVIDER #: 135523SWANSON, BRENDA L., ARNP; PROVIDER #: 063069E-PRESCRIBE: NO




3030

30

FRYE, CLAUDIA S., MDGENDER: FPROVIDER #: 156783NPI #: 1588644249E-PRESCRIBE: NOUNITYPOINT CLINIC-PEDIATRIC BETTENDORF4480 UTICA RIDGE RD SUITE 1120BETTENDORF, IA 52722PHONE: (563) 742-5750E-PRESCRIBE: NO

HENSCH, JULIA C., MDGENDER: FPROVIDER #: 283402NPI #: 1770879017E-PRESCRIBE: NOGENESIS HEALTH GROUP865 LINCOLN RD STE 200BETTENDORF, IA 52722PHONE: (563) 344-8600E-PRESCRIBE: NO

KUKREJA, GAUTAM, MDGENDER: MPROVIDER #: 286257NPI #: 1205151198E-PRESCRIBE: NOGENESIS HEALTH GROUP CONVENIENT CARE2140 53RD AVEBETTENDORF, IA 52722PHONE: (563) 421-5700E-PRESCRIBE: NO

MAHMOOD, ALASMI, MDGENDER: MPROVIDER #: 236977NPI #: 1215120126E-PRESCRIBE: NOTRINITY MEDICAL CENTER4500 UTICA RIDGE RDBETTENDORF, IA 52722PHONE: (563) 742-5000E-PRESCRIBE: NO

MOSHIER, BRIAN J., DOGENDER: MPROVIDER #: 167081NPI #: 1699860452E-PRESCRIBE: NOGENESIS HEALTH GROUP865 LINCOLN RD SUITE 200BETTENDORF, IA 52722PHONE: (563) 344-8600E-PRESCRIBE: NO

NAGENDRA, BADANAVAL, MD

GENDER: MPROVIDER #: 077004NPI #: 1932177094E-PRESCRIBE: NOBETTENDORF PEDIATRIC & FAMILY PRACTICE ASSOCIATES4017 DEVILS GLEN RD SUITE 200BETTENDORF, IA 52722PHONE: (563) 332-3400E-PRESCRIBE: NO

STECHER, JULIE M., MDGENDER: FPROVIDER #: 285425NPI #: 1215220207E-PRESCRIBE: NOGENESIS HEALTH GROUP865 LINCOLN RD STE 200BETTENDORF, IA 52722PHONE: (563) 344-8600E-PRESCRIBE: NO

FAMILY PRACTICEMCGRAW, MICHAEL J., MD

GENDER: MPROVIDER #: 269883NPI #: 1275568289E-PRESCRIBE: NOCADENCE PHYSICIAN GROUP245 S GARY AVE SUITE 100BLOOMINGDALE, IL 60108-2200PHONE: (630) 924-4009E-PRESCRIBE: NO

MCKINNON, KIMBERLY, DO

GENDER: PROVIDER #: 300142NPI #: 1124257241E-PRESCRIBE: NOCDPG BLOOMINGDALE FAMILY245 SOUTH GARY SUITE LLABLOOMINGDALE, IL 60108-2228PHONE: E-PRESCRIBE: NO

MUSGRAVE, EMILY E., DOGENDER: FPROVIDER #: 209057NPI #: 1750545786E-PRESCRIBE: NOCADENCE PHYSICIAN GROUP245 S GARY AVE SUITE 100BLOOMINGDALE, IL 60108-2200PHONE: (630) 924-4009E-PRESCRIBE: NO

BLOOMINGDALE, IL

BETTENDORF, IABLOOMINGDALE, IL



31

VOSICKY, MICHAEL F., DO

GENDER: MPROVIDER #: 236224NPI #: 1609807908E-PRESCRIBE: NOCADENCE PHYSICIAN GROUP245 S GARY SUITE 100BLOOMINGDALE, IL 60108-2200PHONE: (630) 924-4009E-PRESCRIBE: NO

ZORETIC, NICHOLAS, DOGENDER: MPROVIDER #: 269066NPI #: 1003820820E-PRESCRIBE: NOCADENCE PHYSICIAN GROUP245 S GARY AVE SUITE 100BLOOMINGDALE, IL 60108-2200PHONE: (630) 924-4009E-PRESCRIBE: NO

ADULT/INTERNAL MEDICINEABADEER, PETER S., DO

GENDER: MPROVIDER #: 107004NPI #: 1760469522E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311WILSON, DENISE D., CNP; PROVIDER #: 062426E-PRESCRIBE: NO

BERCK, LILLA, MDGENDER: FPROVIDER #: 134887NPI #: 1396946125E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311WILSON, DENISE D., CNP; PROVIDER #: 062426E-PRESCRIBE: NO

COCHRAN, MICHAEL, MDGENDER: MPROVIDER #: 007301NPI #: 1831176692E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311WILSON, DENISE D., CNP; PROVIDER #: 062426E-PRESCRIBE: NO

DEOSKAR, UDAY L., MDGENDER: PROVIDER #: 281585NPI #: 1386733145E-PRESCRIBE: NOADVOCATE MEDICAL GROUP BLOOMINGTON FAMILY MEDICINE3024 EMPIRE ST SUITE 3ABLOOMINGTON, IL 61704PHONE: (309) 556-7700E-PRESCRIBE: NO

SENIOR HEALTH & GERIATRICS OF CENTRAL ILLINOIS2103 E WASHINGTON ST SUITE 2CBLOOMINGTON, IL 61701PHONE: (309) 663-5810ROOP, JAYCIE N., APN; PROVIDER #: 195083E-PRESCRIBE: NO

DUNCAN, ERIC D., MDGENDER: MPROVIDER #: 000042NPI #: 1841219763E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000KOTT, KATHRYN B., APN; PROVIDER #: 209877ROTH, CAROLYN, NP; PROVIDER #: 022398E-PRESCRIBE: NO

FARINAS, ERIC J., MDGENDER: MPROVIDER #: 078585NPI #: 1841277613E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311WILSON, DENISE D., CNP; PROVIDER #: 062426E-PRESCRIBE: NO

BLOOMINGTON, IL

BLOOMINGDALE, ILBLOOMINGTON, IL



3232

32

FRANCOIS, ANDRE, MDGENDER: MPROVIDER #: 276141NPI #: 1790070837E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311E-PRESCRIBE: NO

GALUE, GUSTAVO A., MDGENDER: MPROVIDER #: 146850NPI #: 1295903359E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO

HALPERIN, IRA L., MDGENDER: MPROVIDER #: 262624NPI #: 1548352107E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61701PHONE: (309) 664-3000E-PRESCRIBE: NO

HALPERIN, IRA, DOGENDER: MPROVIDER #: 032944NPI #: 1548352107E-PRESCRIBE: NOOSF MEDICAL GROUP302 ST JOSEPH DRBLOOMINGTON, IL 61701PHONE: (309) 662-5361E-PRESCRIBE: NO

OSF SJMC WOUND CARE CLINIC1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 661-6230E-PRESCRIBE: NO

HANCOCK, JAMES B., MDGENDER: MPROVIDER #: 106556NPI #: 1235116088E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311WILSON, DENISE D., CNP; PROVIDER #: 062426E-PRESCRIBE: NO

HOSCHEK, JEFFREY C., MD


JANI, JAYDEV Y., MDGENDER: MPROVIDER #: 261534NPI #: 1851559942E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61701PHONE: (309) 664-3000E-PRESCRIBE: NO

OSF PROMPTCARE1505 EASTLAND DR STE 1100BLOOMINGTON, IL 61701PHONE: (309) 663-2100CARR, ABBI D., APN; PROVIDER #: 209082E-PRESCRIBE: NO

KANTAMNENI, ANURADHA, MD

GENDER: FPROVIDER #: 096577NPI #: 1447283015E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO

KIM, DANIELLE F., DOGENDER: FPROVIDER #: 181966NPI #: 1770592487E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311E-PRESCRIBE: NO

KINDRED, STEPHEN L., MD


BLOOMINGTON, ILBLOOMINGTON, IL



33

KLAUSS, SVEN, MDGENDER: MPROVIDER #: 078597NPI #: 1619953486E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311E-PRESCRIBE: NO

KNEEZEL, LAWRENCE D., MD

GENDER: MPROVIDER #: 000014NPI #: 1336174580E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000ROTH, CAROLYN, NP; PROVIDER #: 022398E-PRESCRIBE: NO

KOLAKALETI, SPANDANA, MD

GENDER: FPROVIDER #: 258762NPI #: 1073741021E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO

PEDERSEN, PAUL E., DOGENDER: MPROVIDER #: 008001NPI #: 1053403675E-PRESCRIBE: NOOSF MEDICAL GROUP302 ST JOSEPH DRBLOOMINGTON, IL 61701PHONE: (309) 662-5361NORRIS, PAMELA J., NP; PROVIDER #: 074338E-PRESCRIBE: NO

PEDERSEN, PAUL E., MDGENDER: MPROVIDER #: 262882NPI #: 1053403675E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61701PHONE: (309) 664-3000E-PRESCRIBE: NO

PINTER, LARRY J., MDGENDER: MPROVIDER #: 297537NPI #: 1861429177E-PRESCRIBE: NOCURA MEDICAL GROUP LLC13 RED STONE CTBLOOMINGTON, IL 61704PHONE: (309) 825-5349E-PRESCRIBE: NO

POAG II, JOHN L., MDGENDER: MPROVIDER #: 078592NPI #: 1770569550E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311WILSON, DENISE D., CNP; PROVIDER #: 062426E-PRESCRIBE: NO

POGUE, LUCAS C., MDGENDER: MPROVIDER #: 078595NPI #: 1033195847E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311WILSON, DENISE D., CNP; PROVIDER #: 062426E-PRESCRIBE: NO

RAY, WILLIAM J., MDGENDER: MPROVIDER #: 007311NPI #: 1689672859E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311WILSON, DENISE D., CNP; PROVIDER #: 062426E-PRESCRIBE: NO

SWANSON, JAMES E., MDGENDER: MPROVIDER #: 007314NPI #: 1538146394E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311WILSON, DENISE D., CNP; PROVIDER #: 062426E-PRESCRIBE: NO




3434

34

FAMILY PRACTICEBELGRAVE, STEPHEN J., MD

GENDER: MPROVIDER #: 000672NPI #: 1114951357E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000FURNACE, PATRICIA, NP; PROVIDER #: 000483E-PRESCRIBE: NO

BIRGE, KENNETH, MDGENDER: MPROVIDER #: 004787NPI #: 1194896720E-PRESCRIBE: NOSUMMITT FAMILY MEDICAL CENTER902 N HERSHEY RDBLOOMINGTON, IL 61704PHONE: (309) 662-6880E-PRESCRIBE: NO

BROCKHOUSE, VICTORIA J., DO

GENDER: FPROVIDER #: 283664NPI #: 1790744555E-PRESCRIBE: NOCHESTNUT FAMILY HEALTH CENTER702 W CHESTNUT STBLOOMINGTON, IL 61701PHONE: (309) 557-1400E-PRESCRIBE: NO

DJAGARIAN, ARTUR, MDGENDER: MPROVIDER #: 195260NPI #: 1598971137E-PRESCRIBE: NOCHESTNUT FAMILY HEALTH CENTER702 W CHESTNUTBLOOMINGTON, IL 61701PHONE: (309) 557-1400E-PRESCRIBE: NO

CHESTNUT HEALTH SYSTEMS1003 MARTIN LUTHER KING DRBLOOMINGTON, IL 61701PHONE: (309) 827-6026E-PRESCRIBE: NO

GINNETTI, RICHARD A., MD

GENDER: MPROVIDER #: 006881NPI #: 1336231836E-PRESCRIBE: NOOSF MEDICAL GROUP308 ST JOSEPH DRBLOOMINGTON, IL 61701PHONE: (309) 663-5050WICKENHAUSER, KELSEY B., PA; PROVIDER #: 299424E-PRESCRIBE: NO

HAKES, PAUL E., MDGENDER: MPROVIDER #: 288575NPI #: 1750315602E-PRESCRIBE: NOOSF PROMPTCARE1505 EASTLAND DR SUITE 1100BLOOMINGTON, IL 61701PHONE: (309) 663-2100E-PRESCRIBE: NO

OSF PROMPTCARE-CENTER FOR HEALTH AT NORD FARMS1001 N MITSUBISHI MOTORWAYBLOOMINGTON, IL 61704PHONE: (309) 828-0806E-PRESCRIBE: NO

HILL, STEPHEN W., MDGENDER: MPROVIDER #: 252900NPI #: 1427360429E-PRESCRIBE: NOSTEPHEN C PILCHER MD9 HEARTLAND DR STE BBLOOMINGTON, IL 61704PHONE: (309) 663-7642E-PRESCRIBE: NO

HOLSCHBACH, JUSTIN J., MD

GENDER: MPROVIDER #: 252192NPI #: 1053623330E-PRESCRIBE: NOOSF MEDICAL GROUP308 ST JOSEPH DRBLOOMINGTON, IL 61701PHONE: (309) 663-5050E-PRESCRIBE: NO

OSF MEDICAL GROUP-COLLEGE AVE PROMPTCARE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO

HOUGHTON, ADAM D., MDGENDER: MPROVIDER #: 252898NPI #: 1568783439E-PRESCRIBE: NOSTEPHEN C PILCHER MD9 HEARTLAND DRBLOOMINGTON, IL 61704PHONE: (309) 663-7642E-PRESCRIBE: NO




35

JOHNSON, CHRISTOPHER R., MD

GENDER: MPROVIDER #: 283393NPI #: 1043445869E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000SCHROCK, BRIAN A., PA; PROVIDER #: 291116E-PRESCRIBE: NO

KENNEY, TOM J., MDGENDER: MPROVIDER #: 073321NPI #: 1710070057E-PRESCRIBE: NOOSF MEDICAL GROUP1405 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 661-2400E-PRESCRIBE: NO308 ST JOSEPH DRBLOOMINGTON, IL 61701PHONE: (309) 663-5050E-PRESCRIBE: NO

MARLEY, DANIEL S., MDGENDER: MPROVIDER #: 108737NPI #: 1154348969E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO

MOY, CALVIN, MDGENDER: MPROVIDER #: 239101NPI #: 1154558732E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE PROMPTCARE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO

NASEER, JIBRAN, MDGENDER: MPROVIDER #: 202723NPI #: 1821261892E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO

NEIL, WILLIAM L., MDGENDER: MPROVIDER #: 000654NPI #: 1639286131E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000FURNACE, PATRICIA, NP; PROVIDER #: 000483E-PRESCRIBE: NO

OSBORNE, CHAD S., MDGENDER: MPROVIDER #: 030464NPI #: 1235249921E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO

PILCHER, STEPHEN C., MD

GENDER: MPROVIDER #: 178680NPI #: 1265454607E-PRESCRIBE: NO9 HEARTLAND DR SUITE CBLOOMINGTON, IL 61704PHONE: (309) 663-7642SCANLON, ELIZABETH J., NP; PROVIDER #: 188033E-PRESCRIBE: NO

ROYYURU, SASIKALA D., MD

GENDER: FPROVIDER #: 226914NPI #: 1982800876E-PRESCRIBE: NOADVOCATE MEDICAL GROUP3024 E EMPIRE STBLOOMINGTON, IL 61704PHONE: (309) 556-7337E-PRESCRIBE: NO

SCOTT, TRINA, MDGENDER: FPROVIDER #: 233400NPI #: 1508958307E-PRESCRIBE: NOIMMANUEL HEALTH CENTER502 S MORRIS AVE SUITE DBLOOMINGTON, IL 61701PHONE: (309) 808-2778E-PRESCRIBE: NO

SHANMUGAM, RAJU M., MD

GENDER: MPROVIDER #: 228277NPI #: 1043448111E-PRESCRIBE: NOADVOCATE MEDICAL GROUP3024 E EMPIRE STBLOOMINGTON, IL 61704PHONE: (309) 556-7556E-PRESCRIBE: NO




3636

36

SPANIOL, JACK P., MDGENDER: MPROVIDER #: 118560NPI #: 1356379184E-PRESCRIBE: NOOSF MEDICAL GROUP308 ST JOSEPH DRBLOOMINGTON, IL 61701PHONE: (309) 663-5050E-PRESCRIBE: NO

STEFFEN, SAMUEL E., MDGENDER: MPROVIDER #: 281453NPI #: 1790704435E-PRESCRIBE: NOCHESTNUT FAMILY HEALTH CENTER702 W CHESTNUTBLOOMINGTON, IL 61701PHONE: (309) 557-1400E-PRESCRIBE: NO

STEVENS, JENNIFER E., MD

GENDER: FPROVIDER #: 239592NPI #: 1043412893E-PRESCRIBE: NOOSF CENTER FOR HEALTH AT NORD FARMS-PROMPTCARE1001 N MITSUBISHI MOTORWAYBLOOMINGTON, IL 61704PHONE: (309) 828-0806E-PRESCRIBE: NO

OSF MEDICAL GROUP-COLLEGE AVE PROMPTCARE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000E-PRESCRIBE: NO

OSF PROMPTCARE1505 EASTLAND DR SUITE 1100BLOOMINGTON, IL 61701PHONE: (309) 663-2100E-PRESCRIBE: NO

SYEDA, QAMER F., MDGENDER: FPROVIDER #: 226675NPI #: 1588892509E-PRESCRIBE: NOADVOCATE MEDICAL GROUP3024 E EMPIRE STBLOOMINGTON, IL 61704PHONE: (309) 556-7337E-PRESCRIBE: NO

WOODS, MICHAEL J., MDGENDER: MPROVIDER #: 000674NPI #: 1871698761E-PRESCRIBE: NOOSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3000FURNACE, PATRICIA, NP; PROVIDER #: 000483E-PRESCRIBE: NO

ZACHARIAS, AMY, MDGENDER: FPROVIDER #: 265544NPI #: 1295754984E-PRESCRIBE: NOOBSTETRICS & GYNECOLOGY CARE ASSOC1505 EASTLAND DR SUITE 500BLOOMINGTON, IL 61701PHONE: (309) 662-2273E-PRESCRIBE: NO

PEDIATRICSALBARO, CECILIA A., MD

GENDER: FPROVIDER #: 248567NPI #: 1497879290E-PRESCRIBE: NOCHILDRENS HOSPITAL OF IL-PEDIATRIC CARDIOLOGY302 ST JOSEPH DRBLOOMINGTON, IL 61701PHONE: (309) 655-3453E-PRESCRIBE: NO

BANDY, JOHN R., MDGENDER: MPROVIDER #: 017778NPI #: 1801844063E-PRESCRIBE: NOBLOOMINGTON PEDIATRICS & ALLERGY306 SAINT JOSEPH DRIVEBLOOMINGTON, IL 61701PHONE: (309) 662-0504E-PRESCRIBE: NO

BOE, ERIK P., MDGENDER: MPROVIDER #: 018008NPI #: 1942268271E-PRESCRIBE: NOBLOOMINGTON PEDIATRICS & ALLERGY306 SAINT JOSEPH DRIVEBLOOMINGTON, IL 61701PHONE: (309) 662-0504E-PRESCRIBE: NO

DEWEY, JODIE A., MDGENDER: FPROVIDER #: 009692NPI #: 1275559270E-PRESCRIBE: NOOSF MEDICAL GROUP302 ST JOSEPH DRBLOOMINGTON, IL 61701PHONE: (309) 664-3100BRAUN, KRISTEN A., NP; PROVIDER #: 007424E-PRESCRIBE: NO




37

EMM, BRIAN A., MDGENDER: MPROVIDER #: 119839NPI #: 1043315021E-PRESCRIBE: NOBLOOMINGTON PEDIATRICS & ALLERGY306 SAINT JOSEPH DRIVEBLOOMINGTON, IL 61701PHONE: (309) 662-0504E-PRESCRIBE: NO

FARINAS, ERIC J., MDGENDER: MPROVIDER #: 078585NPI #: 1841277613E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311WILSON, DENISE D., CNP; PROVIDER #: 062426E-PRESCRIBE: NO

HANCOCK, JAMES B., MDGENDER: MPROVIDER #: 106556NPI #: 1235116088E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311WILSON, DENISE D., CNP; PROVIDER #: 062426E-PRESCRIBE: NO

HOSCHEK, JEFFREY C., MD


KNOLL, DEANNA M., DOGENDER: FPROVIDER #: 086028NPI #: 1629026398E-PRESCRIBE: NOBLOOMINGTON PEDIATRICS & ALLERGY306 SAINT JOSEPH DRIVEBLOOMINGTON, IL 61701PHONE: (309) 662-0504E-PRESCRIBE: NO

KOHAUS, ASHLEY S., MDGENDER: FPROVIDER #: 248952NPI #: 1043536295E-PRESCRIBE: NOBLOOMINGTON PEDIATRIC & ALLERGY LTD306 ST JOSEPH DRBLOOMINGTON, IL 61701PHONE: (309) 662-0504E-PRESCRIBE: NO

MARSHALL, KIMBERLY P., MD

GENDER: FPROVIDER #: 177468NPI #: 1255353603E-PRESCRIBE: NOBLOOMINGTON PEDIATRICS & ALLERGY306 SAINT JOSEPH DRIVEBLOOMINGTON, IL 61701PHONE: (309) 662-0504E-PRESCRIBE: NO

PEGRAM, LORI L., MDGENDER: FPROVIDER #: 000567NPI #: 1215947171E-PRESCRIBE: NOOSF MEDICAL GROUP302 ST JOSEPH DRBLOOMINGTON, IL 61701PHONE: (309) 664-3100BRAUN, KRISTEN A., NP; PROVIDER #: 007424E-PRESCRIBE: NO

OSF MEDICAL GROUP-COLLEGE AVE1701 E COLLEGE AVEBLOOMINGTON, IL 61704PHONE: (309) 664-3100BRAUN, KRISTEN A., NP; PROVIDER #: 007424E-PRESCRIBE: NO

POGUE, LUCAS C., MDGENDER: MPROVIDER #: 078595NPI #: 1033195847E-PRESCRIBE: NOMEDICAL HILLS INTERNISTS1401 EASTLAND DRBLOOMINGTON, IL 61701PHONE: (309) 663-8311WILSON, DENISE D., CNP; PROVIDER #: 062426E-PRESCRIBE: NO



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