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MERCYCARE HMO INC. Provider Directory 2018 W9 State of Wisconsin

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Page 1: State of Wisconsin - MercyCare · MercyCare encourages you to visit our website or contact customer service ... Emergency and Urgent Care Clinics ... State of Wisconsin - 2018

Live well.We’ll insure you do.

Live well.We’ll insure you do.

MERCYCARE HMO INC.

Provider Directory 2018 W9

State of Wisconsin

Page 2: State of Wisconsin - MercyCare · MercyCare encourages you to visit our website or contact customer service ... Emergency and Urgent Care Clinics ... State of Wisconsin - 2018
Page 3: State of Wisconsin - MercyCare · MercyCare encourages you to visit our website or contact customer service ... Emergency and Urgent Care Clinics ... State of Wisconsin - 2018

MercyCare ID Card

MercyCare ID cards include:

INSURED NUMBER: Identification number

GROUP NUMBER: How MercyCare identifies your benefit package

MEMBER NUMBER: Personal identification number

PCP NAME: Your primary care physician (family medicine, internal medicine, pediatrician)

PLAN ID: Designates your plan

NAME OF PLAN: Type of plan you have

Customer service department: (800) 895-2421

Important information to know:

This provider list is the only paper version you will receive, unless you call our customer service department at (800) 895-2421 for additional copies.

MercyCare encourages you to visit our website or contact customer service for the most current information regarding your provider network. To ensure accurate provider network listings, the on-line provider directory is continuously updated while the requestable paper directory is updated semi-annually only. Please visit www.mercycarehealthplans.com to see which providers participate in your plan.

Above is an illustration of a MercyCare HMO membership card. To determine which plan you are in, please refer to your ID card.

The card(s) you receive states the plan name, as well as the plan ID. Should you have any questions, or if you are unable to determine your specific plan name and/or plan ID, please call our customer service department at (800) 895-2421.

MercyCare Senior

Insured Number Effective Date Group Numberxxx-xx-xxxx xxxxxx

Member Number Last Name PCP Namexxx-xx-xxxx John Doe Dr. Smith

XX5

1

6

2

3 4

1

5

6

2

3

4

Page 4: State of Wisconsin - MercyCare · MercyCare encourages you to visit our website or contact customer service ... Emergency and Urgent Care Clinics ... State of Wisconsin - 2018

Hospitals, Emergency and Urgent Care Clinics

Skip the waiting room! Visit MercyInQuicker.org to reserve your spot at a participating facility.

Hospitals

Mercyhealth Hospital and Trauma Center 1000 Mineral Point Ave., Janesville (608) 756-6000

Mercyhealth Rockton Avenue Hospital 2400 N. Rockton Ave., Rockford (815) 971-5000

Mercyhealth Walworth Hospital and Medical Center N2950 State Rd. 67, Lake Geneva (262) 245-2230

Mercyhealth Harvard Hospital and Medical Center 901 Grant St., Harvard (815) 943-5431

Fort Memorial Hospital 611 Sherman Ave. East, Fort Atkinson (920) 568-5000

Watertown Memorial Hospital 125 Hospital Dr., Watertown (920) 261-4210

Emergency

Mercyhealth Hospital and Trauma Center 1000 Mineral Point Ave., Janesville (608) 756-6000

Mercyhealth Hospital and Trauma Center Emergency North 1000 Mineral Point Ave., Janesville (608) 756-6000

Mercyhealth Rockton Avenue Hospital 2400 N. Rockton Ave., Rockford (815) 971-5000

Mercyhealth Walworth Hospital and Medical Center N2950 State Rd. 67, Lake Geneva (262) 245-2230

Fort Memorial Hospital 611 Sherman Ave. East, Fort Atkinson (920) 568-5000

Watertown Memorial Hospital 125 Hospital Dr., Watertown (920) 261-4210

Urgent Care Clinics

Mercyhealth McHenry 3922 Mercy Dr., McHenry (815) 578-2020

Mercyhealth Woodstock 2000 Lake Ave., Woodstock (815) 337-1544

Mercyhealth East 3524 E. Milwaukee St., Janesville (608) 756-8484

Mercyhealth South 849 Kellogg Ave., Janesville (608) 755-7960

Mercyhealth North 3400 Deerfield Dr., Janesville (608) 314-3605

Mercyhealth Mall 1010 N. Washington St., Janesville (608) 741-3800

Mercyhealth Beloit 2825 Prairie Ave., Beloit (608) 363-5500

Mercyhealth Walworth N2950 State Rd. 67, Lake Geneva (262) 245-2230

Mercyhealth Whitewater 507 W. Main St., Whitewater (262) 473-0401

Fort HealthCare Lake Mills 200 E. Tyranena Park Rd., Lake Mills (920) 648-3113

Fort Memorial Hospital 611 Sherman Ave. East, Fort Atkinson (920) 568-5000

Watertown Memorial Hospital 125 Hospital Dr., Watertown (920) 261-4210

Mercyhealth Belvidere 1747 Henry Luckow Ln., Belvidere (815) 971-3055

Mercyhealth Byron 130 Kysor Dr., Byron (815) 971-3000

Mercyhealth Cherry Valley 6998 Redansa Dr., Rockford (815) 971-2000

Mercyhealth Rockton Avenue 2300 N. Rockton Ave., Building 1, Rockford (815) 971-2572

Mercyhealth Perryville 3401 N. Perryville Rd., Rockford (815) 971-8000

Mercyhealth Roscoe 5000 Prairie Rose Dr., Roscoe (815) 971-3450

Mercyhealth Winnebago 102 Landmark Dr., Winnebago (815) 971-3250

Page 5: State of Wisconsin - MercyCare · MercyCare encourages you to visit our website or contact customer service ... Emergency and Urgent Care Clinics ... State of Wisconsin - 2018

Index by city

Algonquin, IL ................... 34

Barrington, IL ............. 34-35

Beloit, WI ........................... 1

Belvidere, IL ..................... 35

Brodhead, WI .................. 1-2

Brown Deer, WI ................. 2

Byron, IL .......................... 36

Cambridge, WI .................. 2

Cherry Valley, IL ............... 36

Clinton, WI ......................... 2

Crystal Lake, IL ........... 36-37

Delavan, WI ...................... 2

Edgerton, WI ...................... 3

Elkhorn, WI ....................... 3

Evansville, WI ................ 3-4

Fort Atkinson, WI ............ 4-7

Harvard, IL ................. 37-38

Ixonia, WI ........................... 7

Janesville, WI ................7-19

Jefferson, WI ............. 19-20

Johnson Creek, WI ..... 20-21

Kenosha, WI ..................... 21

Lake Geneva, WI ....... 21-24

Loves Park, IL .................. 38

Lake Mills, WI ............ 24-25

Madison, WI ............... 25-26

Machesney Park, IL .... 39-40

McHenry, IL ..................... 40

Milton, WI ........................ 26

Milwaukee, WI ............ 26-27

Monona, WI ..................... 27

Monroe, WI ...................... 27

Mulford, IL ....................... 38

Niles, IL ............................ 39

Northbrook, IL ................. 40

Oconomowoc, WI............ 27

Racine, WI ........................ 27

Richmond, IL ................... 40

Rockford, IL ................ 41-55

Rockton, IL ....................... 55

Roscoe, IL ................... 55-56

Sheboygan, WI ................ 27

Waterloo, WI ............... 27-28

Watertown, WI ............ 28-32

Waukesha, WI .................. 32

West Allis, WI ................... 32

West Milwaukee, WI........ 32

Whitewater, WI ........... 32-33

Williams Bay, WI ............. 33

Winnebago, IL ................. 56

Woodstock, IL ............. 56-57

Page 6: State of Wisconsin - MercyCare · MercyCare encourages you to visit our website or contact customer service ... Emergency and Urgent Care Clinics ... State of Wisconsin - 2018

MercyCare Health Plans Provider Directory

State of Wisconsin - 2018

Beloit, WI

Beloit Comprehensive Treatment Center

2240 Prairie Ave

(608) 361-7200

Beloit, WI 53511

Methadone Clinic Practice Status:

Beloit Comprehensive Treatment Center, , Open

Board Certified: Council on Accreditation

,

,

Medical School:

Residency:

Beloit Health & Rehabilitation Center

1905 West Hart Rd

(608) 365-2554

Beloit, WI 53511

Skilled Nursing Facility Practice Status:

Beloit Health & Rehabilitation Center, , Open

Board Certified: Not Accredited

Not Applicable,

Not Applicable,

Medical School:

Residency:

Mercyhealth Behavioral Health Clinic - Beloit

2825 Prairie Ave

(608) 756-5555

Beloit, WI 53511

Behavioral Health Clinic Practice Status:

Mercyhealth Behavioral Health Clinic - Beloit, ,

Board Certified: Not Applicable

,

,

Medical School:

Residency:

Licensed Clinical Social Worker Practice Status:

DeGarmo, Karla, LCSW Open

Board Certified: Not Applicable

Univ of Wisconsin, Whitewater, WI

,

Medical School:

Residency:

Mattison, Faith, LCSW Open

Board Certified: Not Applicable

Univ of Wisconsin, Madison, WI

,

Medical School:

Residency:

Mercyhealth Beloit

2825 Prairie Ave

(608) 363-5500

Beloit, WI 53511

Advanced Practice Nurse Prescriber Practice Status:

Bourdeaux, Erka, APNP Open

Board Certified: Pediatric Nursing Certification Board (Certified Pediatric Nurse

Practitioner - Primary Care)Univ of Wisconsin School of Nursing, Madison

,

Medical School:

Residency:

Huenerberg, Carmen, APNP Open

Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

Concordia Univ, Mequon, WI

,

Medical School:

Residency:

Parker, Natalie, APRN Open

Board Certified: National Certification Corporation (Women's Health Care Nurse Practitioner)Univ of Cincinnati, Cincinnati, OH

,

Medical School:

Residency:

Family Medicine Practice Status:

So, Jason, DO Open

Board Certified: American Board of Family Medicine

Des Moines Univ, Des Moines, IA

Univ of Illinois College of Medicine at Peoria, Peoria, IL

Medical School:

Residency:

Internal Medicine Practice Status:

Arayan, Asma, MD Open

Board Certified: American Board of Internal Medicine

Univ of Illinois College of Medicine at Rockford, Rockford, IL

Gundersen Health System, La Crosse, WI

Medical School:

Residency:

Juan, Henry, MD Open

Board Certified: American Board of Internal Medicine

St. Louis University, Baguio Phillipines

Lutheran General Hospital, Park Ridge, IL

Medical School:

Residency:

Obstetrics and Gynecology Practice Status:

Kaldor, Katheryn, DO Open

Board Certified: American Osteopathic Board of Obstetrics and Gynecology

Kansas City Univ of Medicine, Kansas City, MO

Philadelphia College of Osteopathic Medicine, Philadelphia, PA

Medical School:

Residency:

Wistrom, Elana, DO Open

Board Certified: American Osteopathic Board of Obstetrics and Gynecology

A.T. Still Univ, Kirksvill, MO

Henry Ford Macomb Hospital, Clinton Twp, MI

Medical School:

Residency:

Pediatrics Practice Status:

Peete, Emarcia, MD Open

Board Certified: Not Board Certified

Medical College of Wisconsin, Milwaukee, WI

Morehouse School of Medicine, Atlanta, GA

Medical School:

Residency:

Podiatry Practice Status:

Feuerstein, Catherine, DPM Open

Board Certified: American Board of Foot and Ankle Surgery

Scholl College of Podiatric Medicine, North Chicago, IL

North Port VA Residency, North Port, NY

Medical School:

Residency:

Mercyhealth Beloit Urgent Care

2825 Prairie Ave

(608) 363-5500

Beloit, WI 53511

Urgent Care Center Practice Status:

Mercyhealth Beloit Urgent Care, ,

Board Certified: Not Applicable

Not Applicable,

Not Applicable,

Medical School:

Residency:

Brodhead, WI

Mercyhealth Brodhead

2310 First Center Ave

(608) 897-8664

Brodhead, WI 53520

Advanced Practice Nurse Prescriber Practice Status:

Huenerberg, Carmen, APNP Open

Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

Concordia Univ, Mequon, WI

,

Medical School:

Residency:

8/18/2017 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 1 of 57W9

Page 7: State of Wisconsin - MercyCare · MercyCare encourages you to visit our website or contact customer service ... Emergency and Urgent Care Clinics ... State of Wisconsin - 2018

MercyCare Health Plans Provider Directory

State of Wisconsin - 2018

Family Medicine Practice Status:

Bluemel, Kevin, MD Closed

Board Certified: American Board of Family Medicine

Indiana University School of Medicine, Indianapolis, IN

Mercy Health System Family Practice Residency Program, Janesville, WI

Medical School:

Residency:

Wilke Chiropractic Office, SC

E101 4th Street

(608) 897-3010

Brodhead, WI 53520

Chiropractic Practice Status:

Malott, Travis, DC Open

Board Certified: Not Applicable

Palmer College of Chiropractic, Davenport, IA

,

Medical School:

Residency:

Brown Deer, WI

Rogers Memorial Hospital - Brown Deer

4600 Schroeder Dr

(800) 767-4411

Brown Deer, WI 53223

Child & Adolescent Mental Health

ProgramPractice Status:

Rogers Memorial Hospital - Brown Deer, , Child & Adolescent

Board Certified: The Joint Commission

Not Applicable,

Not Applicable,

Medical School:

Residency:

Cambridge, WI

Fort HealthCare Cambridge Clinic

704 Katie Ct

(608) 423-1100

Cambridge, WI 53523

Family Medicine including Obstetrics Practice Status:

Nottestad, Stephanie, MD Open

Board Certified: American Board of Family Medicine

Univ of Wisconsin School of Medicine, Madison, WI

University of Wisconsin-Madison Family Medicine Residency Program,

Madison, WI

Medical School:

Residency:

Physician Assistant Practice Status:

Sund, Joni, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Univ of Nebraska, Lincoln, NE

,

Medical School:

Residency:

Psychology Practice Status:

Mitchell, Colleen, PhD Open

Board Certified: Not Applicable

Adler Univ, Chicago, IL

,

Medical School:

Residency:

Clinton, WI

Alden Meadow Park Health Care Center, Inc.

709 Meadow Park Dr

(608) 676-2202

Clinton, WI 53525

Skilled Nursing Facility Practice Status:

Alden Meadow Park Health Care Center, Inc., , Open

Board Certified: Not Accredited

,

,

Medical School:

Residency:

Delavan, WI

Mercyhealth Delavan

1038 E Geneva St

(262) 728-4301

Delavan, WI 53115

Advanced Practice Nurse Prescriber Practice Status:

Wang, Lisa, APNP Open

Board Certified: American Academy of Nurse Practitioners (Family Nurse Practitioner)

Univ of Massachusetts, Boston, MA

,

Medical School:

Residency:

Family Medicine Practice Status:

Gronau, Rachel, MD Open

Board Certified: American Board of Family Medicine

Medical College of Wisconsin, Milwaukee, WI

St. Luke's Family Medicine Residency, Milwaukee, WI

Medical School:

Residency:

Terry, Richard, DO Open

Board Certified: Not Board Certified

Michigan State Univ College of Osteopathic Medicine, East Lansing, MI

St. Joseph Family Medicine Residency Program, Milwaukee, WI

Medical School:

Residency:

Obstetrics and Gynecology Practice Status:

Villegas Van der Linde, Silvia, MD Open

Board Certified: American Board of Obstetrics and Gynecology

UNIBE - Universidad Iberoamericana, Santo Domingo, Dominican

RepublicMount Sinai Hospital, Chicago, IL

Medical School:

Residency:

Walworth County Chiropractic

1221 E Phoenix St

(262) 728-8208

Delavan, WI 53115

Chiropractic Practice Status:

Heller, Clark, DC Open

Board Certified: Not Applicable

Palmer College of Chiropractic, Davenport, IA

,

Medical School:

Residency:

Willowfield Nursing & Rehabilitation Center

905 E Geneva St

(262) 728-6319

Delavan, WI 53115

Skilled Nursing Facility Practice Status:

Willowfield Nursing & Rehabilitation Center, , Open

Board Certified: Not Accredited

Not Applicable,

Not Applicable,

Medical School:

Residency:

8/18/2017 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 2 of 57W9

Page 8: State of Wisconsin - MercyCare · MercyCare encourages you to visit our website or contact customer service ... Emergency and Urgent Care Clinics ... State of Wisconsin - 2018

MercyCare Health Plans Provider Directory

State of Wisconsin - 2018

Edgerton, WI

Edgerton Care Center

313 Stoughton Rd

(608) 884-1330

Edgerton, WI 53534

Skilled Nursing Facility Practice Status:

Edgerton Care Center, , Open

Board Certified: Not Accredited

,

,

Medical School:

Residency:

Mercyhealth Edgerton

217 N Main St

(608) 884-9431

Edgerton, WI 53534

Family Medicine Practice Status:

Frey, Justin, MD Open

Board Certified: American Board of Family Medicine

Univ of Wisconsin School of Medicine & Public Health, Madison, WI

Mercy Health System, Janesville, WI

Medical School:

Residency:

Rejon, Veronica, MD Open

Board Certified: American Board of Family Medicine

Univ of Wisconsin School of Medicine & Public Health, Madison, WI

Mercy Health System, Janesville, WI

Medical School:

Residency:

Internal Medicine Practice Status:

Akbar, Muhammad, MD Open

Board Certified: American Board of Internal Medicine

Univ of the Punjab - Allama Iqbal Medical College, Lahore, Pakistan

Monmouth Medical Center, Long Branch, NJ

Medical School:

Residency:

Petry Chiropractic & Wellness, LLC

75 West Fulton St

(608) 884-3100

Edgerton, WI 53534

Chiropractic Practice Status:

Houfe, Matthew, DC Open

Board Certified: Not Applicable

Palmer College of Chiropractic, Davenport, IA

,

Medical School:

Residency:

Petry, John, DC Open

Board Certified: Not Applicable

Palmer College of Chiropractic, Davenport, IA

Not Applicable,

Medical School:

Residency:

Elkhorn, WI

Holton Manor

645 N Church St

(262) 723-4963

Elkhorn, WI 53121

Skilled Nursing Facility Practice Status:

Holton Manor, , Open

Board Certified: Not Accredited

,

,

Medical School:

Residency:

Mercyhealth Elkhorn

839 N Wisconsin St

(262) 741-1400

Elkhorn, WI 53121

Family Medicine Practice Status:

Furey, Jessica, DO Open

Board Certified: Not Board Certified

Des Moines Univ, Des Moines, IA

Lakeland Health, St. Joseph, MI

Medical School:

Residency:

Kowalski, Jeffrey, MD Open

Board Certified: American Board of Family Medicine

Ross Univ School of Medicine, North Brunswick, NJ

Medical College of Wisconsin, St. Joseph's, Milwaukee, WI

Medical School:

Residency:

Orthopedic Surgery Practice Status:

Knavel, James, MD Open

Board Certified: American Board of Orthopaedic Surgery

Univ of Iowa College of Medicine, Iowa City, IA

Medical College of Wisconsin, Milwaukee, WI

Medical School:

Residency:

Evansville, WI

Evansville Manor

470 Garfield Ave

(608) 882-5700

Evansville, WI 53536

Skilled Nursing Facility Practice Status:

Evansville Manor, , Open

Board Certified: Not Accredited

Not Applicable,

Not Applicable,

Medical School:

Residency:

Mercyhealth Behavioral Health Clinic - Evansville

300 Union St

(608) 756-5555

Evansville, WI 53536

Behavioral Health Clinic Practice Status:

Mercyhealth Behavioral Health Clinic - Evansville, ,

Board Certified: Not Applicable

,

,

Medical School:

Residency:

Licensed Clinical Social Worker Practice Status:

Otto, Kimberlyn, LCSW Open

Board Certified: Not Applicable

Univ of Wisconsin, Madison, WI

Not Applicable,

Medical School:

Residency:

Licensed Professional Counselor Practice Status:

Quick, Cassandra, LPC Open

Board Certified: Not Applicable

Marquette Univ, Milwaukee, WI

,

Medical School:

Residency:

8/18/2017 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 3 of 57W9

Page 9: State of Wisconsin - MercyCare · MercyCare encourages you to visit our website or contact customer service ... Emergency and Urgent Care Clinics ... State of Wisconsin - 2018

MercyCare Health Plans Provider Directory

State of Wisconsin - 2018

Mercyhealth Evansville

300 Union St

(608) 882-5613

Evansville, WI 53536

Advanced Practice Nurse Prescriber Practice Status:

Huenerberg, Carmen, APNP Open

Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

Concordia Univ, Mequon, WI

,

Medical School:

Residency:

Family Medicine Practice Status:

White, Samuel, MD Open

Board Certified: American Board of Family Medicine

Medical Univ of South Carolina, Charleston, SC

Spartanburg Regional Family Medicine Residency Program, Spartanburg,

SC

Medical School:

Residency:

Wilke Chiropractic Office, SC

503 E Main St

(608) 882-4146

Evansville, WI 53536

Chiropractic Practice Status:

Wilke, Peter, DC Open

Board Certified: Not Applicable

Palmer College of Chiropractic, Davenport, IA

Not Applicable,

Medical School:

Residency:

Fort Atkinson, WI

Fort HealthCare Behavioral Health - Fort Atkinson

500 McMillen St

(920) 563-9542

Fort Atkinson, WI 53538

Behavioral Health Clinic Practice Status:

Fort HealthCare Behavioral Health, Ft, ,

Board Certified: Not Applicable

,

,

Medical School:

Residency:

Psychiatry Practice Status:

Bleak, Jennifer, MD Limited

Board Certified: American Board of Psychiatry and Neurology

Univ of Illinois College of Medicine, Chicago, IL

Univ of Chicago, The Pritzker School of Medicine, Chicago, IL

Medical School:

Residency:

Fudala, Stanley, MD Limited

Board Certified: American Board of Psychiatry and Neurology

Medical Academy of Lubin, Poland

University of Cincinnati, Cincinnati, OH

Medical School:

Residency:

Fort HealthCare Behavioral Health - Fort Atkinson (Madison Ave)

1520 Madison Ave

(920) 563-4028

Fort Atkinson, WI 53538

Behavioral Health Clinic Practice Status:

Fort HealthCare Behavioral Health, Madison Ave, ,

Board Certified: Not Applicable

,

,

Medical School:

Residency:

Fort HealthCare Center for Dermatology

611 Sherman Ave East, 3rd Floor

(920) 568-1000

Fort Atkinson, WI 53538

Dermatology Practice Status:

Glinert, Robert, MD Open

Board Certified: American Board of Dermatology AND American Board of Internal

Medicine AND American Board of Allergy & ImmunologyRush Medical College, Chicago, IL

Univ of Rochester Associated Hospitals, Rochester, NY

Medical School:

Residency:

Okun, Martin, MD Open

Board Certified: American Board of Dermatology

Albert Einstein College of Medicine, New York, NY

Washington Univ School of Medicine, St. Louis, MO

Medical School:

Residency:

Fort HealthCare Center for Womens Health

650 McMillen St

(920) 563-8900

Fort Atkinson, WI 53538

Advanced Practice Nurse Prescriber Practice Status:

Dedrick, Joyce, APNP Open

Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner)

Univ of Wisconsin, Madison, WI

Not Applicable,

Medical School:

Residency:

Obstetrics and Gynecology Practice Status:

Aguirre de Baker, Nancy, MD Open

Board Certified: American Board of Obstetrics and Gynecology

University of WI Madison, Madison, WI

University of WI Madison, Madison, WI

Medical School:

Residency:

Chuppa, Christine, MD Open

Board Certified: American Board of Obstetrics and Gynecology

Univ of WI Medical School, Madison, WI

Univ of MO, Kansas City, MO

Medical School:

Residency:

Lynk, Elizabeth, MD Open

Board Certified: Not Board Certified

Northwestern Univ Feinberg School of Medicine, Chicago, IL

St Joseph Hospital, Denver, CO

Medical School:

Residency:

Mokhtar, Julie, DO Open

Board Certified: American Board of Obstetrics and Gynecology

Univ of Osteopathic Medicine & Health Sciences, Des Moines, IA

Brooklyn Hospital Center, New York

Medical School:

Residency:

Fort HealthCare Ear, Nose and Throat Specialists

512 Wilcox St

(920) 563-6667

Fort Atkinson, WI 53538

Otolaryngology Practice Status:

Anderson, Michael, MD Open

Board Certified: American Board of Otolaryngology

Univ of Wisconsin, Madison, WI

Indiana University, Indianapolis, IN

Medical School:

Residency:

Hofmann, William, MD Open

Board Certified: American Board of Otolaryngology

Univ of Cincinnati College of Medicine, Cincinnati, OH

Indiana Univ Medical Center, Indianapolis, IN

Medical School:

Residency:

8/18/2017 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 4 of 57W9

Page 10: State of Wisconsin - MercyCare · MercyCare encourages you to visit our website or contact customer service ... Emergency and Urgent Care Clinics ... State of Wisconsin - 2018

MercyCare Health Plans Provider Directory

State of Wisconsin - 2018

Fort HealthCare Fort Memorial Hospital

611 Sherman Ave East

(920) 568-5000

Fort Atkinson, WI 53538

Hospital Practice Status:

Fort HealthCare Fort Memorial Hospital, , Open

Board Certified: The Joint Commission

Not Applicable,

Not Applicable,

Medical School:

Residency:

Urgent Care Center Practice Status:

Fort HealthCare Fort Memorial Hospital-Urgent Care, ,

Board Certified: Not Applicable

Not Applicable,

Not Applicable,

Medical School:

Residency:

Fort HealthCare Home Health

611 Sherman Ave East

(920) 568-6500

Fort Atkinson, WI 53538

Home Health Provider Practice Status:

Fort HealthCare Home Health, , Open

Board Certified: The Joint Commission

Not Applicable,

Not Applicable,

Medical School:

Residency:

Fort HealthCare Integrated Family Care Clinic

1520 Madison Ave

(920) 563-5500

Fort Atkinson, WI 53538

Advanced Practice Nurse Prescriber Practice Status:

Ipsen, Susan, APNP Open

Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

Graceland College, Lamour, IA

,

Medical School:

Residency:

Family Medicine Practice Status:

Beck, Aaron, MD Open

Board Certified: American Board of Family Medicine

Medical College of Wisconsin, Milwaukee, WI

Univ of North Carolina at Chapel Hill School of Medicine, Hendersonville,

NC

Medical School:

Residency:

Internal Medicine Practice Status:

Winter, Jennifer, MD Open

Board Certified: American Board of Internal Medicine AND American Board of Pediatrics

Medical College of Wisconsin, Milwaukee, WI

Univ of Illinois College of Medicine, Peoria, IL

Medical School:

Residency:

Psychology Practice Status:

Roets, Cheryl, PhD Open

Board Certified: Not Applicable

Marquette Univ, Milwaukee, WI

Psychology,

Medical School:

Residency:

Fort HealthCare Internal Medicine & Pediatrics

500 McMillen St

(920) 563-5571

Fort Atkinson, WI 53538

Advanced Practice Nurse Prescriber Practice Status:

Jennrich, Heidi, APNP Open

Board Certified: Not Board Certified

Univ of Virginia School of Nursing,

,

Medical School:

Residency:

Mayer, Lauren, APNP Open

Board Certified: Pediatric Nursing Certification Board (Certified Pediatric Nurse Practitioner - Primary Care)Marquette Univ, Milwaukee, WI

,

Medical School:

Residency:

Family Medicine Practice Status:

Smith, Geoffrey, DO Open

Board Certified: American Osteopathic Board of Family Medicine/OMT

Univ of Osteopathic Medicine & Health Sciences, Des Moines, IA

Des Moines General Hospital, Des Moines, IA

Medical School:

Residency:

Internal Medicine Practice Status:

Cannon, William, MD Open

Board Certified: Not Board Certified

Loyola Univ Chicago Stritch School of Medicine, Maywood, IL

Loyola Univ Medical Center, Maywood, IL

Medical School:

Residency:

Tackman, Thomas, MD Open

Board Certified: American Board of Internal Medicine

Medical College of Wisconsin, Milwaukee, WI

Medical College of Wisconsin Affiliated Hospitals,

Medical School:

Residency:

Pediatrics Practice Status:

Dewey, Julia, MD Open

Board Certified: American Board of Pediatrics

Pennsylvania State University College of Medicine, Hershey, PA

University of Wisconsin Medical School, Madison, WI

Medical School:

Residency:

Lemon, Katherine, MD Open

Board Certified: American Board of Pediatrics

Univ of Wisconsin Medical School, Madison, WI

Univ of Wisconsin Medicl School, Madison, WI

Medical School:

Residency:

Williams, Donald, MD Open

Board Certified: American Board of Pediatrics AND American Board of Internal Medicine

Univ of Illinois, Peoria, IL

Akron Children's Hospital, Akron, OH

Medical School:

Residency:

Fort HealthCare Orthopaedic Associates

1504 Madison Ave

(920) 563-7888

Fort Atkinson, WI 53538

Orthopedic Surgery Practice Status:

Foskett, James, MD Open

Board Certified: American Board of Orthopaedic Surgery

Loyola Univ Chicago, Stritch School of Medicine, Maywood, IL

Mayo Clinic, Rochester, MN

Medical School:

Residency:

Schuppner, Paul, DO Open

Board Certified: Not Board Certified

Midwestern Univ Chicago College of Osteopathic Medicine, Downers Grove, ILMichigan State Univ College of Osteopathic Medicine, Lansing, MI

Medical School:

Residency:

8/18/2017 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 5 of 57W9

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MercyCare Health Plans Provider Directory

State of Wisconsin - 2018

Orthopedic Surgery Practice Status:

Zambrano, Isidoro, MD Open

Board Certified: American Board of Orthopaedic Surgery

Medical College of Wisconsin, Milwaukee, WI

State Univ of New York College of Medicine Stony Brook Univ Hospital,

Medical School:

Residency:

Physician Assistant Practice Status:

Degnan, Deborah, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Marquette Univ, Milwaukee, WI

,

Medical School:

Residency:

Fort HealthCare Surgical Associates

212 Milwaukee Ave West

(920) 563-7900

Fort Atkinson, WI 53538

Surgery Practice Status:

Erickson, Marc, MD Open

Board Certified: American Board of Surgery

Medical College of Wisconsin, Milwaukee, WI

Michigan State Univ, Butterworth Hosp,

Medical School:

Residency:

Kontny, Billie Gerard, MD Open

Board Certified: American Board of Surgery

Medical College of Wisconsin, Milwaukee, WI

Loyola Medical Center,, Maywood, IL

Medical School:

Residency:

McLaughlin, Jonathan, MD Open

Board Certified: American Board of Surgery

Univ of Minnesota, Minneapolis, MN

Butterworth Hospital Michigan State Univ, Grand Rapids, MI

Medical School:

Residency:

Fort HealthCare Urology Associates

520 Handeyside Ln, Ste 2

(920) 563-7744

Fort Atkinson, WI 53538

Urology Practice Status:

Kozler, Craig, MD Open

Board Certified: American Board of Urology

Michigan State University, East Lansing, MI

University of Michigan, Ann Arbor, MI

Medical School:

Residency:

Manakas, Christopher, MD Open

Board Certified: American Board of Urology

Indiana Univ School of Medicine, Indianapolis, IN

Univ of WI Hospital & Clinics, Madison, WI

Medical School:

Residency:

Luedtke-Storm-Mackey Chiropractic Clinic

825 Lexington Blvd, Ste 4

(920) 563-4970

Fort Atkinson, WI 53538

Chiropractic Practice Status:

Smith, Luke, DC Open

Board Certified: Not Applicable

National Univ of Health Science, Lombard, IL

,

Medical School:

Residency:

Tesch, Todd, DC Open

Board Certified: Not Applicable

Palmer College of Chiropractic, Davenport, IA

Not Applicable,

Medical School:

Residency:

Chiropractic Practice Status:

Weyenberg, Ryan, DC Open

Board Certified: Not Applicable

Northwestern College of Chiropractic, Minneapolis, MN

,

Medical School:

Residency:

PMRis, SC - Fort Atkinson

611 Sherman Ave East

(877) 337-6747

Fort Atkinson, WI 53538

Physical Medicine & Rehabilitation Practice Status:

Fowler, William, MD Open

Board Certified: American Board of Physicial Medicine and Rehabilitation

Univ of North Dakota School of Medicine, Grand Forks, ND

Univ of Minnesota Hospital & Clinics, Minneapolis, MN

Medical School:

Residency:

Rock River Foot & Ankle Clinic

303 Hake St

(920) 563-2136

Fort Atkinson, WI 53538

Podiatry Practice Status:

Eckerman, Christopher, DPM Open

Board Certified: American Board of Foot and Ankle Surgery

Dr. William Scholl College of Podiatric Medicine, North Chicago, IL

Thoreck Hospital, Chicago, IL

Medical School:

Residency:

Graglia, Greg, DPM Open

Board Certified: American Board Foot and Ankle Surgery (Foot Surgery)

Scholl College of Podiatric Medicine, North Chicago, IL

VA Salt Lake City Health Care Systems, Salt Lake City, UT

Medical School:

Residency:

Soderstrom, Victor, DPM Open

Board Certified: American Board of Podiatric Surgery (Foot and Ankle Surgery)

Illinois College of Podiatric Medicine, Chicago, IL

Northwest General Hospital, Milwaukee, WI

Medical School:

Residency:

Yaeggi, Brent, DPM Open

Board Certified: American Board of Foot and Ankle Surgery (Foot Surgery)

Scholl College of Podiatric Medicine, Chicago, IL

Covenant Medical Center, Waterloo, IA

Medical School:

Residency:

Shopko Optical #4051

1425 Janesville Ave

(920) 563-2171

Fort Atkinson, WI 53538

Optometry Practice Status:

Adler, Brian, OD Open

Board Certified: Not Applicable

Illinois College of Optometry, Chicago, IL

None listed,

Medical School:

Residency:

Cheek, Amanda, OD Open

Board Certified: Not Applicable

Indiana College of Optometry, Bloomington, IN

,

Medical School:

Residency:

Laschen, Anne-Marie, OD Open

Board Certified: Not Applicable

Michigan College of Optometry, Big Rapids, MI

,

Medical School:

Residency:

Moseman, Kristin, OD Open

Board Certified: Not Applicable

Illinois College of Optometry, Chicago, IL

,

Medical School:

Residency:

8/18/2017 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 6 of 57W9

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MercyCare Health Plans Provider Directory

State of Wisconsin - 2018

UW Health Ft Atkinson

1620 Mehta Lane

(920) 563-5544

Fort Atkinson, WI 53538

Family Medicine Practice Status:

Brantmeier, Scott, DO Open

Board Certified: American Board of Family Medicine

Chicago College of Osteopathic Medicine, Downers Grove, IL

Medical College of Wisconsin, Milwaukee, WI

Medical School:

Residency:

McGuire, Jeffrey, MD Open

Board Certified: American Board of Family Medicine

Univ of Wisconsin Medical School, Madison, WI

Univ of Wisconsin, Appleton-Fox Valley Family Practice Residency, Appleton, WI

Medical School:

Residency:

Quinn, Rachel, MD Open

Board Certified: American Board of Family Medicine

Univ of Wisconsin, Madison, WI

UW Family Medicine Residency Program, Madison, WI

Medical School:

Residency:

Family Medicine including Obstetrics Practice Status:

Meyer, Shauna, MD Open

Board Certified: American Board of Family Medicine

Univ of South Dakota School of Medicine, Sioux Falls, SD

UW Family Medicine Residency, St. Mary's Hospital, Madison, WI

Medical School:

Residency:

Ixonia, WI

WRMC Ixonia

W1046 Marietta Ave, Ste 230

(920) 206-6310

Ixonia, WI 53036

Advanced Practice Nurse Prescriber Practice Status:

Stinnett, Dana, APNP Open

Board Certified: American Academy of Nurse Practitioners (Family Nurse Practitioner)

Concordia Univ, Mequon, WI

,

Medical School:

Residency:

Family Medicine Practice Status:

Box, Helen, MD Open

Board Certified: American Board of Family Medicine

Univ of Wisconsin Medical School, Madison, WI

Gunderson Lutheran, LaCrosse, WI

Medical School:

Residency:

Douglas, Linda, MD Open

Board Certified: American Board of Family Medicine

Washington Univ in St. Louis School of Medicine, St. Louis, MO

Carolinas Medical Center, Charlotte, NC

Medical School:

Residency:

Obstetrics and Gynecology Practice Status:

DeJong, Julie, MD Open

Board Certified: American Board of Obstetrics and Gynecology

Univ of Wisconsin, Madison, WI

Univ of Iowa Hospital and Clinics, Iowa City, IA

Medical School:

Residency:

Janesville, WI

Cedar Crest Health Center

1702 S River Rd

(608) 756-0344

Janesville, WI 53546

Skilled Nursing Facility Practice Status:

Cedar Crest Health Center, , Open

Board Certified: Not Accredited

,

,

Medical School:

Residency:

Damrow Chiropractic Office

3628 Ridge Dr

(608) 754-3696

Janesville, WI 53548

Chiropractic Practice Status:

Byrnes-Pierce, Tina, DC Open

Board Certified: Not Applicable

Palmer College of Chiropractic, Davenport, IA

,

Medical School:

Residency:

Damrow, James, DC Open

Board Certified: Not Applicable

Palmer College of Chiropractic, Davenport, IA

Not Applicable,

Medical School:

Residency:

Keehn Chiropractic Office

2707 Kennedy Rd, Ste 202

(608) 755-1035

Janesville, WI 53545

Chiropractic Practice Status:

Hanewold, Lori, DC Open

Board Certified: Not Applicable

Palmer College of Chiropractic, Davenport, IA

Not Applicable,

Medical School:

Residency:

West, Betsy, DC Open

Board Certified: Not Applicable

Palmer College of Chiropractic, Davenport, IA

Not Applicable,

Medical School:

Residency:

Mercy Assisted Care, Inc. Home Health Care

901 Mineral Point Ave

(800) 369-2201

Janesville, WI 53548

Home Health Provider Practice Status:

Mercy Assisted Care, Inc. Home Health Care, , Open

Board Certified: Not Accredited

Not Applicable,

Not Applicable,

Medical School:

Residency:

Mercy Assisted Care, Inc. Hospice Care

901 Mineral Point Ave

(800) 369-2201

Janesville, WI 53548

Hospice Care Practice Status:

Mercy Assisted Care, Inc. Hospice Care, , Open

Board Certified: Not Applicable

Not Applicable,

Not Applicable,

Medical School:

Residency:

8/18/2017 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 7 of 57W9

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MercyCare Health Plans Provider Directory

State of Wisconsin - 2018

Mercyhealth Addiction Day Treatment Program

2600 Humes Rd, Ste 100

(608) 741-2117

Janesville, WI 53545

Advanced Practice Nurse Prescriber Practice Status:

Bunnell, Ann, APNP Open

Board Certified: American Nurses Credentialing Center (Child and Adolescent Mental

Health),

,

Medical School:

Residency:

Child & Adolescent Addictions Program Practice Status:

Mercyhealth Child and Adolescent Day Treatment, , Open

Board Certified:

,

,

Medical School:

Residency:

Licensed Clinical Social Worker Practice Status:

Schlegel, Courtney, LCSW Open

Board Certified: Not Applicable

UW-Madison School of Social Work, Madison, WI

,

Medical School:

Residency:

Psychiatry Practice Status:

Mallela, Rathna, MD Open

Board Certified: American Board of Psychology and Neurology

St George's Univ School of Medicine, Grenada, West Indies

SUNY Stony Brook Univ Hospital, Stony Brook, NY

Medical School:

Residency:

Mercyhealth at Home - Medical Equipment - Janesville

1010 N Washington St

(608) 755-7989

Janesville, WI 53548

Durable Medical Equipment Supplier Practice Status:

Mercyhealth at Home - Medical Equipment - Janesville,

,

Open

Board Certified: Not Applicable

Not Applicable,

Not Applicable,

Medical School:

Residency:

Mercyhealth Autism Program

580 N Washington St

(608) 756-5555

Janesville, WI 53548

Autism Treatment Practice Status:

Mercyhealth Autism Program, , Open

Board Certified: Not Applicable

,

,

Medical School:

Residency:

Behavioral Analyst - Autism Program Practice Status:

Burke, Amie, BA Open

Board Certified: Not Applicable

Southern Illinois Univ, Carbondale, IL

,

Medical School:

Residency:

Licensed Clinical Social Worker Practice Status:

Schlegel, Courtney, LCSW Open

Board Certified: Not Applicable

UW-Madison School of Social Work, Madison, WI

,

Medical School:

Residency:

Psychology Practice Status:

Keller, Kathryn, PhD Open

Board Certified: Not Applicable

,

,

Medical School:

Residency:

Mercyhealth Behavioral Health Clinic - East

3524 E Milwaukee St

(608) 756-5555

Janesville, WI 53546

Behavioral Health Clinic Practice Status:

Mercyhealth Behavioral Health Clinic - East, ,

Board Certified: Not Applicable

,

,

Medical School:

Residency:

Licensed Clinical Social Worker Practice Status:

Kropf, Anita, LCSW Open

Board Certified: Not Applicable

George Williams College,

Not Applicable,

Medical School:

Residency:

Mercyhealth Behavioral Health Clinic - Janesville

903 Mineral Point Ave

(608) 756-6530

Janesville, WI 53548

Substance Abuse Counselor Practice Status:

Grob, Ann, SAC Open

Board Certified: Not Applicable

Univ of Wisconsin, Whitewater, WI

,

Medical School:

Residency:

Mercyhealth Behavioral Health Clinic - Janesville (Henry Palmer Building)

903 Mineral Point Ave

(608) 756-5555

Janesville, WI 53548

Advanced Practice Nurse Prescriber Practice Status:

Addaquay-Corey, Audrey, APNP Open

Board Certified: American Nurses Credentialing Center (Psychiatric-Mental Health Nurse

Practitioner)Univ of Maryland, Baltimore, MD

,

Medical School:

Residency:

Bonaccorsi, Mary, APNP Open

Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

Rush Univ, Chicago, IL

,

Medical School:

Residency:

Bunnell, Ann, APNP Open

Board Certified: American Nurses Credentialing Center (Child and Adolescent Mental Health),

,

Medical School:

Residency:

Westmoreland, Danielle, APNP Open

Board Certified: American Nurses Credentialing Center (Adult Psychiatric & Mental Health

Nurse Practitioner)Univ of Wisconsin, Madison, WI

,

Medical School:

Residency:

8/18/2017 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 8 of 57W9

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MercyCare Health Plans Provider Directory

State of Wisconsin - 2018

Behavioral Health Clinic Practice Status:

Mercyhealth Behavioral Health Clinic - Janesville

(Henry Palmer Building), , Board Certified: Not Applicable

,

,

Medical School:

Residency:

Clinical Substance Abuse Counselor Practice Status:

Hebert, Jaclyn, CSAC; LPC Open

Board Certified: Not Applicable

,

,

Medical School:

Residency:

Johnson, Sally, CSAC, LPC Open

Board Certified: Not Applicable

,

,

Medical School:

Residency:

Wilson, Beverly, CSAC; LPC Open

Board Certified: Not Applicable

Not Applicable,

Not Applicable,

Medical School:

Residency:

Winiecki, Adrienne, CSAC Open

Board Certified: Not Applicable

Indiana Univ Northwest, Gary, IN

,

Medical School:

Residency:

Licensed Clinical Social Worker Practice Status:

Baumel, Victoria, LCSW Open

Board Certified: Not Applicable

Univ of Wisconsin - Milwaukee, Milwuakee, WI

,

Medical School:

Residency:

Benash, Jessica, LCSW Open

Board Certified: Not Applicable

Univ of Wisconsin, Madison, WI

,

Medical School:

Residency:

Friis, Kara, LCSW, SAC Open

Board Certified: Not Applicable

George Williams of Aurora Univ, Williams Bay, WI

,

Medical School:

Residency:

Kollmansberger, Benno, LPC, LCSW Open

Board Certified: Not Applicable

,

,

Medical School:

Residency:

Kropf, Anita, LCSW Open

Board Certified: Not Applicable

George Williams College,

Not Applicable,

Medical School:

Residency:

Mattison, Faith, LCSW Open

Board Certified: Not Applicable

Univ of Wisconsin, Madison, WI

,

Medical School:

Residency:

Otto, Kimberlyn, LCSW Open

Board Certified: Not Applicable

Univ of Wisconsin, Madison, WI

Not Applicable,

Medical School:

Residency:

Licensed Clinical Social Worker Practice Status:

Pedretti, Christine, LCSW Open

Board Certified: Not Applicable

UW-Milwaukee, Milwaukee WI

,

Medical School:

Residency:

Reed, Betsy, LCSW Open

Board Certified: Not Applicable

Barry Univ, Miami Shores, FL

,

Medical School:

Residency:

Splinter, Sarah, LCSW Open

Board Certified: Not Applicable

Univ of Wisconsin, Milwaukee, WI

,

Medical School:

Residency:

Stried, Chantel, LCSW Open

Board Certified: Not Applicable

George Williams College of Aurora Univ, Aurora, IL

Not Applicable,

Medical School:

Residency:

VandenAkker, Tricia, LCSW Open

Board Certified: Not Applicable

Univ of Wisconsin - Madison, Madison, WI

,

Medical School:

Residency:

Licensed Professional Counselor Practice Status:

Chellevold, Jennifer, LPC Open

Board Certified: Not Applicable

Univ of Wisconsin, Whitewater

,

Medical School:

Residency:

Cisneros, Kamela, LPC Open

Board Certified: Not Applicable

Univ of Wisconsin, Whitewater, WI

,

Medical School:

Residency:

DeSloover, Dan, LPC Open

Board Certified: Not Applicable

Univ of Wisconsin, Whitewater

,

Medical School:

Residency:

Hebert, Jaclyn, LPC; CSAC Open

Board Certified: Not Applicable

,

,

Medical School:

Residency:

Johnson, Sally, LPC; CSAC Open

Board Certified: Not Applicable

,

,

Medical School:

Residency:

Laehn, Larry, LPC, SAC Open

Board Certified: Not Applicable

Univ of Wisconsin, Oshkosh, WI

,

Medical School:

Residency:

Littig, Karen, LPC Open

Board Certified: Not Applicable

,

,

Medical School:

Residency:

Loescher, Bret, LPC, SAC Open

Board Certified: Not Applicable

WI School of Professional Psychology, Milwaukee, WI

,

Medical School:

Residency:

8/18/2017 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 9 of 57W9

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MercyCare Health Plans Provider Directory

State of Wisconsin - 2018

Licensed Professional Counselor Practice Status:

Mallon, Jocelyn, LPC, SAC Open

Board Certified: Not Applicable

Univ of Wisconsin-Whitewater, Whitewater, WI

,

Medical School:

Residency:

Mendenhall, Jeanine, LPC Open

Board Certified: Not Applicable

Univ of Wisconsin, Whitewater, WI

,

Medical School:

Residency:

Oczus, Alicia, LPC Open

Board Certified: Not Applicable

Univ of Wisconsin, Whitewater, WI

,

Medical School:

Residency:

Quick, Cassandra, LPC Open

Board Certified: Not Applicable

Marquette Univ, Milwaukee, WI

,

Medical School:

Residency:

Wilson, Beverly, CSAC; LPC Open

Board Certified: Not Applicable

Not Applicable,

Not Applicable,

Medical School:

Residency:

Zamborsky, Melanie, LPC Open

Board Certified: Not Applicable

Seton Hill Univ, Greensburg, PA

,

Medical School:

Residency:

Psychiatry Practice Status:

Babu, Joshua, MD Open

Board Certified: American Board of Psychiatry and Neurology

Univ of Illinois-College of Medicine, Rockford, IL

Univ of Wisconsin, Madison, WI

Medical School:

Residency:

Callison, (Sue) Ann, MD Open

Board Certified: American Board of Psychiatry and Neurology (Child & Adolescent Psychiatry)University of Arizona, Tucson, AZ

Univ. of Arizona, Tucson, AZ

Medical School:

Residency:

Kirmani-Moe, Sobia, MD Open

Board Certified: Not Board Certified

The Texas A & M Health & Science Center, Byron, TX

Hennepin County Medical Center, Minneapolis, MN

Medical School:

Residency:

Kosnar, Tina, MD Open

Board Certified: American Board of Psychiatry and Neurology (Child & Adolescent

Psychiatry)Creighton Univ School of Medicine, Omaha, NE

Creighton-Nebraska Combined, Omaha, NE

Medical School:

Residency:

Wagner, Richard, MD Open

Board Certified: American Board of Psychiatry and Neurology

St. George Univ School of Medicine,

Texas Tech Univ Health Sciences Center, El Paso, TX

Medical School:

Residency:

Psychology Practice Status:

Hanson, Christine, PhD Open

Board Certified: Not Applicable

Ohio State Univ, Columbus, OH

,

Medical School:

Residency:

Psychology Practice Status:

Rose-Barajas, Michelle, PsyD Open

Board Certified: Not Applicable

Illinois School of Professional Psychology, Chicago, IL

,

Medical School:

Residency:

Watermolen, Katherine, PsyD Open

Board Certified: Not Applicable

Argosy Univ (Formerly MN School of Professional Psychology), Eagan,

MN,

Medical School:

Residency:

Substance Abuse Counselor Practice Status:

Friis, Kara, SAC, LCSW Open

Board Certified: Not Applicable

George Williams of Aurora Univ, Williams Bay, WI

,

Medical School:

Residency:

Laehn, Larry, SAC, LPC Open

Board Certified: Not Applicable

Univ of Wisconsin, Oshkosh, WI

,

Medical School:

Residency:

Mallon, Jocelyn, SAC, LPC Open

Board Certified: Not Applicable

Univ of Wisconsin-Whitewater, Whitewater, WI

,

Medical School:

Residency:

Maly, Sara, SAC Open

Board Certified: Not Applicable

Univ of Wisconsin, Whitewater, WI

,

Medical School:

Residency:

Mercyhealth Behavioral Health Clinic - Mall

1010 N Washington St

(608) 756-5555

Janesville, WI 53548

Behavioral Health Clinic Practice Status:

Mercyhealth Behavioral Health Clinic - Mercy Mall, ,

Board Certified: Not Applicable

,

,

Medical School:

Residency:

Mercyhealth Behavioral Health Clinic - MercyCare Building

580 N Washington St

(608) 756-5555

Janesville, WI 53548

Advanced Practice Nurse Prescriber Practice Status:

Bunnell, Ann, APNP Open

Board Certified: American Nurses Credentialing Center (Child and Adolescent Mental

Health),

,

Medical School:

Residency:

Mercyhealth Behavioral Health Clinic - North

3400 Deerfield Dr

(608) 756-5555

Janesville, WI 53546

Behavioral Health Clinic Practice Status:

Mercyhealth Behavioral Health Clinic - North, ,

Board Certified: Not Applicable

,

,

Medical School:

Residency:

8/18/2017 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 10 of 57W9

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Licensed Clinical Social Worker Practice Status:

Kropf, Anita, LCSW Open

Board Certified: Not Applicable

George Williams College,

Not Applicable,

Medical School:

Residency:

Mercyhealth Behavioral Health Clinic - West

1000 Mineral Point Ave

(608) 756-5555

Janesville, WI 53548

Licensed Clinical Social Worker Practice Status:

Otto, Kimberlyn, LCSW Open

Board Certified: Not Applicable

Univ of Wisconsin, Madison, WI

Not Applicable,

Medical School:

Residency:

Mercyhealth Cancer Ctr - Hematology/Medical Oncology

1000 Mineral Point Ave

(608) 756-6871

Janesville, WI 53548

Advanced Practice Nurse Prescriber Practice Status:

Disch, Nicole, APRN Open

Board Certified: American Nurses Credentialing Center (Adult-Gerontology Primary Care

Nurse)Concordia Univ, Mequon, WI

,

Medical School:

Residency:

Hematology and/or Medical Oncology Practice Status:

Robinson, Emily, MD Open

Board Certified: American Board of Internal Medicine (Medical Oncology)

Univ of Wisconsin Medical School, Madison, WI

North Carolina Baptist Hospital, Winston-Salem, NC

Medical School:

Residency:

Shekhani, Shahid, MD Open

Board Certified: American Board of Internal Medicine (Medical Oncology)(Hospice & Palliative Care)Sind Medical College, Karachi, Pakistan

Prince Georges Hospital Center, Cheverly, MD

Medical School:

Residency:

Mercyhealth Cancer Ctr - Radiation Oncology

1000 Mineral Point Ave

(608) 756-6500

Janesville, WI 53548

Physician Assistant Practice Status:

Johnson, Amanda, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Western Michigan Univ, Kalamazoo, MI

None,

Medical School:

Residency:

Radiation Oncology Practice Status:

Kozak, Kevin, MD Open

Board Certified: American Board of Radiology-Radiation Oncology

Vanderbilt Univ School of Medicine, Nashville, TN

Harvard Radiation Oncology Program, Boston, MA

Medical School:

Residency:

Mercyhealth Cardiac Rehabilitiation Center - Janesville

1000 Mineral Point Ave

(608) 756-6868

Janesville, WI 53548

Advanced Practice Nurse Prescriber Practice Status:

Berner, Julie, APRN Open

Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

Concordia Univ, Mequon, WI

,

Medical School:

Residency:

Martin, Jennifer, APNP Open

Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner)

,

,

Medical School:

Residency:

Cardiology Practice Status:

Ahmed, Imdad, MD Open

Board Certified: American Board of Internal Medicine (Cardiovascular

Disease)(Electrophysiology)Gauhati Medical College, Guwahati Assam, India

Bronx Lebanon Hospital Center, Bronx, NY

Medical School:

Residency:

Gulliver, Eugene, MD Open

Board Certified: American Board of Internal Medicine (Cardiovascular

Disease)(Interventional Cardiology)Medical College of Wisconsin, Milwaukee, WI

Medical College of Wisconsin, Milwaukee, WI

Medical School:

Residency:

Rengel, Lenore, MD Open

Board Certified: American Board of Internal Medicine

Saint Louis Univ School of Medicine, St. Louis, MO

Virginia Commonwealth Univ, Richmond, VA

Medical School:

Residency:

Volkert, Paul, MD Open

Board Certified: American Board of Internal Medicine (Cardiovascular

Disease)(Interventional Cardiology)Medical College of Wisconsin, Wauwatosa, WI

Medical College of WI Affiliated Hospitals, Milwaukee, WI

Medical School:

Residency:

Cardiology-Electrophysiology Practice Status:

Narra, Leela, MD Open

Board Certified: American Board of Internal Medicine (Clinical Cardiac

Elecrtophysiology)(Cardiovascular Disease)Guntur Medical College, Andhra Pradesh India

Cook County Hospital, Chicago, IL

Medical School:

Residency:

Smith, Jeffrey, MD Open

Board Certified: American Board of Internal Medicine (Clinical Cardiac Electrophysiology)(Cardiovascular Disease)Univ of Illinois College of Medicine, Chicago, IL

Northwestern Memorial Hospital, Chicago, IL

Medical School:

Residency:

Cardio-Thoracic Surgery Practice Status:

Goldstein, A. Sandor, MD Open

Board Certified: American Board of Thoracic Surgery

McGill University, Canada

University of Toronto, Tononto, Ontario, Canada

Medical School:

Residency:

Snider, John, MD Open

Board Certified: American Board of Thoracic Surgery (Thoracic and Cardiac Surgery)

,

,

Medical School:

Residency:

Wolnak, Kenneth, DO Open

Board Certified: American Osteopathic Board of Thoracic Cardiovascular Surgery

Chicago College of Osteopathic Medicine, Downers Grove, IL

Chicago College of Osteopathic Medicine,

Medical School:

Residency:

8/18/2017 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 11 of 57W9

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MercyCare Health Plans Provider Directory

State of Wisconsin - 2018

Cardiovascular Disease Practice Status:

Chilukuri, Karuna, MD Open

Board Certified: American Board of Internal Medicine (Cardiovascular Disease)

Jawaharlal Institute of Post Graduate Medical Education and Research, Pondicherry, IndiaSt. John Hospital and Medical Center, Detroit, MI

Medical School:

Residency:

Stoiber, Thomas, MD Open

Board Certified: American Board of Internal Medicine (Cardiovascular Disease)

Univ of Wisconsin Medical School, Madison, WI

Medical College of Wisconsin, Madison, WI

Medical School:

Residency:

Interventional Cardiology Practice Status:

Gulliver, Eugene, MD Open

Board Certified: American Board of Internal Medicine (Cardiovascular

Disease)(Interventional Cardiology)Medical College of Wisconsin, Milwaukee, WI

Medical College of Wisconsin, Milwaukee, WI

Medical School:

Residency:

Volkert, Paul, MD Open

Board Certified: American Board of Internal Medicine (Interventional Cardiology) (Cardiovascular Disease )Medical College of Wisconsin, Wauwatosa, WI

Medical College of WI Affiliated Hospitals, Milwaukee, WI

Medical School:

Residency:

Pediatric Cardiology Practice Status:

Kazmouz, Suhaib, MD Open

Board Certified: American Board of Pediatrics (Pediatric Cardiology)

Aleppo Univ, Aleppo, Syria

Crozer Chester Medical Center, Chester, PA

Medical School:

Residency:

Masood, Syed, MD Open

Board Certified: American Board of Pediatrics

Dow Medical Univ - Pakistan, Karachi Sindh Pakistan

Louisiana State Univ Health Science Center, Shreveport, LA

Medical School:

Residency:

Physician Assistant Practice Status:

Dorshorst, Robert, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Univ of Wisconsin - Madison, Madison, WI

,

Medical School:

Residency:

Streff, Scott, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Univ of Wisconsin, Madison, WI

,

Medical School:

Residency:

Mercyhealth Complementary Medicine Center

1010 N Washington St

(608) 741-6799

Janesville, WI 53548

Acupuncture Practice Status:

Warnke, Matthew, Lac Open

Board Certified: Not Applicable

Southwest Acupuncture College, Santa Fe, New Mexico

,

Medical School:

Residency:

Chiropractic Practice Status:

Bridge, Karen, DC Open

Board Certified: Not Applicable

Palmer College of Chiropractic, Davenport, IA

Not Applicable,

Medical School:

Residency:

Chiropractic Practice Status:

Priske, Scott, DC Open

Board Certified: Not Applicable

Palmer College of Chiropractic, Davenport, IA

Not Applicable,

Medical School:

Residency:

Mercyhealth Comprehensive Inpatient Rehab Ctr

1000 Mineral Point Ave

(608) 756-6822

Janesville, WI 53548

Physical Medicine & Rehabilitation Practice Status:

Garcia, Ronald Allan M, MD Open

Board Certified: American Board of Physical Medicine and Rehabilitation

Univ of the East-Ramon Magsaysay Memorial Med Cntr, Philippines

Rehabilitation Insititue of Chicago, Northwestern University Medical

School, Chicago, IL

Medical School:

Residency:

Mercyhealth Diabetes Center

1010 N Washington St

(608) 741-2459

Janesville, WI 53548

Family Medicine Practice Status:

Reid, Timothy, MD Does NOT Practice as a PCP

Board Certified: American Board of Family Medicine

Medical College of Ohio, Toledo, OH

St. Elizabeth Med Cntr-South, Edgewood, KY

Medical School:

Residency:

Mercyhealth Dialysis Center

903 Mineral Point Ave

(608) 741-3814

Janesville, WI 53548

Nephrology Practice Status:

Anjum, Ehteshamul, MD Open

Board Certified: American Board of Internal Medicine (Nephrology)

Patna Medical College, Patna Bihar, India

Metropolitan Hospital Center, New York, NY

Medical School:

Residency:

Mercyhealth East

3524 E Milwaukee St

(608) 756-7100

Janesville, WI 53546

Advanced Practice Nurse Prescriber Practice Status:

Baird, Susan, APNP Open

Board Certified: American Academy of Nurse Practitioners (Family Nurse Practitioner)

Carlow Univ, Pittsburgh, PA

,

Medical School:

Residency:

Allergy & Immunology Practice Status:

Johnson, Tad, MD Open

Board Certified: American Board of Allergy and Immunology AND American Board of

PediatricsMayo Clinic Collegeo f Medicine, Rochester, MN

Children's Hospital of Wisconsin, Milwaukee, WI

Medical School:

Residency:

Ragotzy, Ronald, MD Open

Board Certified: American Board of Allergy and Immunology

Wayne State Univ School of Medicine, Detroit, MI

Southwest MI Area Health Education Center, Kalamazoo, MI

Medical School:

Residency:

Dermatology Practice Status:

Nelsen, David, MD Open

Board Certified: American Board of Dermatology

Univ of Minnesota, Minneapolis, MN

Marshfield Clinic, Marshfield, WI

Medical School:

Residency:

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Endocrinology Practice Status:

Litonjua, Patrick Paul, MD Open

Board Certified: American Board of Internal Medicine (Endocrinology, Diabetes and

Metabolism)Univ of the Philippines College of Medicine, Manila, Philippines

Univ of the Philippines-Philippine General Hospital, Ermita Manila

Philippines

Medical School:

Residency:

Family Medicine Practice Status:

Altbuch, Arthur, MD Open

Board Certified: American Board of Family Medicine (Geriatric Medicine) (Sports

Medicine)Albany Medical College, Albany, NY

Bayfront Medical Center, St. Petersburg, FL

Medical School:

Residency:

Bean, Ryne, MD Open

Board Certified: American Board of Family Medicine

Windsor Univ School of Medicine, Canyon, St Kitts and Nevis

Mercyhealth Family Medicine Residency Program, Janesville, WI

Medical School:

Residency:

Ewing, Debra, DO Open

Board Certified: American Osteopathic Association

Oklahoma State Univ, Tulsa, OK

Via Christi Riverside Medical Center, Wichita, KS

Medical School:

Residency:

Hahn, Leanne, MD Open

Board Certified: American Board of Family Medicine

Medical College of Wisconsin, Milwaukee, WI

Mercy Health System Family Practice Residency Program, Janesville, WI

Medical School:

Residency:

Hussli, Jennifer, MD Open

Board Certified: American Board of Family Medicine

Univ of Sint Eustatius School of Medicine, Goldenrock, Sint Eustatius, Netherlands, Dutch CaribbeanMercy Health System, Janesville, WI

Medical School:

Residency:

Maldonado, Dennys, MD Open

Board Certified: American Board of Family Medicine

Ross University, North Brunswick, NJ

Mercy Health System, Janesville, WI

Medical School:

Residency:

Poste, Alethea, MD Open

Board Certified: American Board of Family Medicine

Univ Autonoma de Guadalajara, Guadalajar, Mexico

Mercy Health System, Janesville, WI

Medical School:

Residency:

Internal Medicine Practice Status:

Bautista, Ryndon, MD Open

Board Certified: American Board of Internal Medicine

Univ of Philippines College of medicine, Manila, Philippines

Univ of Illinois at Chicago - Advocate Christ Medical Center, Oak Lawn, IL

Medical School:

Residency:

Goelzer, Kristen, MD Closed

Board Certified: American Board of Internal Medicine AND American Board of Pediatrics

Medical College of Wisconsin, Milwaukee, WI

Medical College of Wisconsin, Milwaukee, WI

Medical School:

Residency:

Honarkhah, Nader, MD Open

Board Certified: American Board of Internal Medicine

Medical College of Ohio, Toledo, OH

Oakwood Hospital & Medical Center, Dearborn, MI

Medical School:

Residency:

Khan, Kauseruzzaman, MD Open

Board Certified: American Board of Internal Medicine

Dhaka Medical College, Dhaka, Bangladesh

Mercy Catholic Medical Center, Darby, PA

Medical School:

Residency:

Ophthalmology Practice Status:

Lovelace, Kimberley, MD Open

Board Certified: American Board of Ophthalmology

Univ of Arkansas for Medical Sciences, Little Rock, AR

Univ of Tennessee Medical, Memphis, TN

Medical School:

Residency:

Optometry Practice Status:

Rockwell, John, OD Open

Board Certified: Not Applicable

Illinois College of Optometry, Chicago, IL

,

Medical School:

Residency:

Orthopedic Surgery Practice Status:

Angeline, Michael, MD Open

Board Certified: American Board of Orthopaedic Surgery (Orthopaedic Sports Medicine)

Georgetown Univ School of Medicine, Washington, DC

Univ of Chicago Medical Center, Chicago, IL

Medical School:

Residency:

Palmer, Douglas, MD Open

Board Certified: American Board of Orthopaedic Surgery

Medical College of Wisconsin, Milwaukee, WI

Univ of Illinois, Chicago, IL

Medical School:

Residency:

Schulman, Sidney, MD Open

Board Certified: American Board of Orthopaedic Surgery

University of Toronto Faculty of Medicine, Toronto, ON

University of Ottawa, Faculty of Medicine, Ottawa, ON

Medical School:

Residency:

Otolaryngology Practice Status:

Riggs, Landon, MD Open

Board Certified: American Board of Otolaryngology

Loyola Univ of Chicago Stritch School of Medicine, Maywood, IL

Loyola Univ of Chicago, Maywood, IL

Medical School:

Residency:

Yang, Eric, MD Open

Board Certified: American Board of Otolaryngology

Univ of Southern California, Keck School of Medicine, Los Angeles, CA

Univ of Utah, Salt Lake City, UT

Medical School:

Residency:

Pediatric Gastroenterology Practice Status:

Deutsch, David, MD Open

Board Certified: American Board of Pediatrics (Pediatric Gastroenterology)

Univ of Illinois College of Medicine - Rockford, Rockford, IL

Columbus Children's Hospital/The Ohio State Univ, Columbus, OH

Medical School:

Residency:

Nguyen, Kim-Doan, MD Open

Board Certified: American Board of Internal Medicine AND American Board of Pediatrics

(Pediatric Gastroenterology)American Univ of the Caribbean School of Medicine, Coral Gables, FL

Univ of Missouri-Columbia, Columbia, MO

Medical School:

Residency:

Vortia, Eugene, MD Open

Board Certified: American Board of Pediatrics (Pediatric Gastroenterology) and American Board of Internal MedicineUniv of Ghana Medical School, Korle Bu, ACCRA Ghanna

MI State Univ - Kalamazoo Ctr for Medical Studies, Kalamazoo, MI

Medical School:

Residency:

Pediatrics Practice Status:

Goelzer, Mark, MD Open

Board Certified: American Board of Pediatrics

Univ of Wisconsin Medical School, Madison, WI

University of MI Medical Center, Ann Arbor, MI

Medical School:

Residency:

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State of Wisconsin - 2018

Pediatrics Practice Status:

Goelzer, Kristen, MD Closed

Board Certified: American Board of Pediatrics AND American Board of Internal Medicine

Medical College of Wisconsin, Milwaukee, WI

Medical College of Wisconsin, Milwaukee, WI

Medical School:

Residency:

Gordon, Christal, MD Open

Board Certified: American Board of Pediatrics

Creighton Univ School of Medicine, Omaha, NE

Univ of Michigan Hospitals, Ann Arbor, MI

Medical School:

Residency:

Loconto, Elizabeth, DO Open

Board Certified: Not Board Certified

A.T. Still Univ, Kirksville College of Osteopathic Medicine, Kirksville, MO

Children's Hospital of Wisconsin/Medical College of Wisconsin, Milwaukee, WI

Medical School:

Residency:

Nowak, Blaine, MD Open

Board Certified: American Board of Pediatrics

Medical College of Wisconsin, Milwaukee, WI

Milwaukee Childrens Hospital, Milwaukee, WI

Medical School:

Residency:

Physician Assistant Practice Status:

Imhoff, Tiana, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Rosalind Franklin Univ, North Chicago, IL

,

Medical School:

Residency:

Murphy, Cristina, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Midwestern Universit, Downers Grove, IL

,

Medical School:

Residency:

Schnell, Tina, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Univ of Colorado Health Science Center, Denver, CO

Not Applicable,

Medical School:

Residency:

Schulz, Eric, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Rosalind Franklin Univ of Medicine and Science, North Chicago, IL

,

Medical School:

Residency:

Podiatry Practice Status:

Feuerstein, Catherine, DPM Open

Board Certified: American Board of Foot and Ankle Surgery

Scholl College of Podiatric Medicine, North Chicago, IL

North Port VA Residency, North Port, NY

Medical School:

Residency:

Reinicke, Alan, DPM Open

Board Certified: American Board of Foot and Ankle Surgery

Scholl College of Podiatric Medicine, Chicago, IL

Not Applicable,

Medical School:

Residency:

Rheumatology Practice Status:

Bolek Berquist, Jilaine, MD Open

Board Certified: American Board of Internal Medicine (Rheumatology)

Univ of Illinois Collegeof Medicine, Rockford, IL

Univ of Wisconsin Hospital & Clinics, Madison, WI

Medical School:

Residency:

Sarakbi, Housam Aldeen, MD Open

Board Certified: American Board of Internal Medicine (Rheumatology)

Damascus Univ Medical School, Damascus Syria

Finch Univ of Health Sciences/The Chicago Medical School, North Chicago, IL

Medical School:

Residency:

Sports Medicine Practice Status:

Maldonado, Dennys, MD Open

Board Certified: Not Board Certified

Ross University, North Brunswick, NJ

Mercy Heatlh System, Janesville, WI

Medical School:

Residency:

Mercyhealth East Urgent Care

3524 E Milwaukee St

(608) 756-8484

Janesville, WI 53546

Urgent Care Center Practice Status:

Mercyhealth East Urgent Care, ,

Board Certified: Not Applicable

Not Applicable,

Not Applicable,

Medical School:

Residency:

Mercyhealth Eye Center - Janesville

3524 E Milwaukee St

(608) 756-7110

Janesville, WI 53548

Ophthalmology Practice Status:

Bussa, John, MD Open

Board Certified: American Board of Ophthalmology

University of Texas Health Science Center, San Antonio, TX

Walter Reed Army Medical Center, Washington, DC

Medical School:

Residency:

Luellwitz, David, DO Open

Board Certified: American Osteopathic Board of Ophthalmology

Western Univ of Health Sciences, Pomona, CA

Midwestern University, Olympia Fields, IL

Medical School:

Residency:

Thomassen, Thom, MD Open

Board Certified: American Board of Ophthalmology

Duke University, Durham, NC

Walter Reed Army Medical Center, Washington, DC

Medical School:

Residency:

Whitehead, A. Jeffrey, MD Open

Board Certified: American Board of Ophthalmology

Univ of Wisconsin, Madison, WI

Washington Univ in St. Louis, St. Louis, MO

Medical School:

Residency:

Optometry Practice Status:

Dunphy, Erin, OD Open

Board Certified: Not Applicable

Southern College of Optometry, Memphis, TN

Not Applicable,

Medical School:

Residency:

McLaughlin, Michelle, OD Open

Board Certified: Not Applicable

Illinois College of Optometry, Chicago, IL

,

Medical School:

Residency:

Mercyhealth Eye Center - Janesville Health Mall

1010 N Washington St

(608) 741-6794

Janesville, WI 53548

Optometry Practice Status:

Dunphy, Erin, OD Open

Board Certified: Not Applicable

Southern College of Optometry, Memphis, TN

Not Applicable,

Medical School:

Residency:

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Optometry Practice Status:

McLaughlin, Michelle, OD Open

Board Certified: Not Applicable

Illinois College of Optometry, Chicago, IL

,

Medical School:

Residency:

Rockwell, John, OD Open

Board Certified: Not Applicable

Illinois College of Optometry, Chicago, IL

,

Medical School:

Residency:

Sheetz, Brandon, OD Open

Board Certified: Not Applicable

IL College of Optometry, Chicago, Il

,

Medical School:

Residency:

Mercyhealth Hand Center

557 N Washington St

(608) 741-3812

Janesville, WI 53548

Orthopedic Surgery Practice Status:

Palmer, Douglas, MD Open

Board Certified: American Board of Orthopaedic Surgery

Medical College of Wisconsin, Milwaukee, WI

Univ of Illinois, Chicago, IL

Medical School:

Residency:

Pittenger, David, MD Open

Board Certified: American Board of Orthopaedic Surgery

Medical College of Wisconsin, Milwaukee, WI

Blodgett Memorial Medical Center, Grand Rapids MI

Medical School:

Residency:

Mercyhealth Hospital & Trauma Center - Janesville

1000 Mineral Point Ave

(608) 756-6000

Janesville, WI 53548

Adult Addictions Program Practice Status:

Mercyhealth Addiction Day Treatment Program, , Adult

Board Certified: The Joint Commission

Not Applicable,

Not Applicable,

Medical School:

Residency:

Adult Mental Health Program Practice Status:

Mercyhealth WINGS Program, , Adult

Board Certified: The Joint Commission

Not Applicable,

Not Applicable,

Medical School:

Residency:

Hospital Practice Status:

Mercyhealth Hospital & Trauma Center - Janesville, , Open

Board Certified: The Joint Commission

Not Applicable,

Not Applicable,

Medical School:

Residency:

Neurology Practice Status:

Levine, Ross, MD Open

Board Certified: American Board of Psychiatry and Neurology

UW Medical School, Madison, WI

UW Health, Madison, WI

Medical School:

Residency:

Mercyhealth Hospital Emergency Department -Janesville

1000 Mineral Point Ave

(608) 756-6611

Janesville, WI 53548

Emergency Department Practice Status:

Mercyhealth Hospital & Trauma Center - Janesville, , Open

Board Certified: The Joint Commission

,

,

Medical School:

Residency:

Mercyhealth HPB Outpatient Palliative Care Clinic

903 Mineral Point Ave

(608) 563-7720

Janesville, WI 53548

Advanced Practice Nurse Prescriber Practice Status:

van Veldhuisen, Kathleen, APNP Open

Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner)

Univ of Wisconsin, Madison, WI

,

Medical School:

Residency:

Mercyhealth Lung Center

903 Mineral Point Ave

(608) 752-6255

Janesville, WI 53548

Advanced Practice Nurse Prescriber Practice Status:

McCarthy, Leaellyn, APNP Open

Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

Samford University, Birmingham, AL

,

Medical School:

Residency:

Pulmonary Disease Practice Status:

Tuck, Hazen, MD Open

Board Certified: American Board of Internal Medicine (Pulmonary Disease) (Critical Care

MedicineThe Chicago Medical School (Rosalind Franklin Univ), North Chicago, IL

Univ of Illinois, Peoria, IL

Medical School:

Residency:

Pulmonary Disease (Critical Care

Medicine)Practice Status:

Cook, Robert, MD Open

Board Certified: American Board of Internal Medicine (Sleep Medicine)

OH State University College of Medicine, Columbus, OH

Barnes Hosp, Washington U, St. Louis, MO

Medical School:

Residency:

Mercyhealth Mall

1010 N Washington St

(608) 741-2430

Janesville, WI 53548

Family Medicine Practice Status:

Perez, Enrique, MD Open

Board Certified: American Board of Family Medicine

Medical College of Wisconsin, Milwaukee, WI

Medical College of Wisconsin/St. Luke's Hospital, Racine, WI

Medical School:

Residency:

Internal Medicine Practice Status:

Pogorelova, Mariya, MD Open

Board Certified: American Board of Internal Medicine

Karaganda State Medical Institute, Varagana, Vazakhstan

St. Joseph Hospital, Joel, MD

Medical School:

Residency:

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Podiatry Practice Status:

Zainer, Gregory, DPM Open

Board Certified: American Board of Podiatric Medicine

Ohio College of Podiatric Medicine, Clevelan, OH

Not Applicable,

Medical School:

Residency:

Mercyhealth Michael Berry Building

1000 Mineral Point Ave

(608) 756-6588

Janesville, WI 53548

Advanced Practice Nurse Practice Status:

Salter Braun, Nicole, APNP Open

Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

Univ of Wsconsin - Milwaukee, Milwaukee, WI

,

Medical School:

Residency:

Advanced Practice Nurse Prescriber Practice Status:

Schlueter, Stephanie, APNP Open

Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner)

Univ of Wisconsin, Madison, WI

,

Medical School:

Residency:

Gastroenterology Practice Status:

Castillo, Rodrigo, MD Open

Board Certified: American Board of Internal Medicine (Gastroenterology)

P. Universidad Javeriana, Bogota, Columbia

Hahnemann Univ Hospital, Philadelphia, PA

Medical School:

Residency:

Khoury, Ramez, MD Open

Board Certified: American Board of Internal Medicine (Gastroenterology)

Damascus Univ, Damascus, Syria

The Graduate Hospital, Philadelphia, PA

Medical School:

Residency:

Gynecologic Oncology Practice Status:

Mahdavi, Ali, MD Open

Board Certified: American Board of Obstetrics and Gynecology (Gynecologic Oncology)

Tehran Univ of Medical Sciences, Tehran, Iran

Providence Hospital and Medical Center, Southfield, MI

Medical School:

Residency:

Hematology and/or Medical Oncology Practice Status:

Khan, Mohammad, MD Open

Board Certified: American Board of Internal Medicine (Medical Oncology)

Dow Medical College, Karachi, Pakistan

St. Barnabas Hospital, Bronx, NY

Medical School:

Residency:

Neurology Practice Status:

Holla, Smitha, MD Open

Board Certified: American Board of Psychiatry and Neurology

Bangalore Medical College and Research Institute, Bengaluru,

Karnataka, IndiaUniv of Wisconsin Hospital & Clinics, Madison, WI

Medical School:

Residency:

Mercyhealth Neurosurgery Center

1000 Mineral Point Ave

(608) 756-6826

Janesville, WI 53548

Advanced Practice Nurse Prescriber Practice Status:

Bestland, Jennifer, APNP Open

Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner)

Marquette Univ College of Nursing, Milwaukee, WI

Not Applicable,

Medical School:

Residency:

Advanced Practice Nurse Prescriber Practice Status:

Casper, Kelli, APNP Open

Board Certified: American Nurses Credentialing Center (Acute Care Nurse Practitioner)

UW Madison School of Nursing, Madison, WI

,

Medical School:

Residency:

Castelein, Courtney, APNP Open

Board Certified: American Academy of Nurse Practitioners (Family Nurse Practitioner)

Chamerlain College, Downers Grove, IL

,

Medical School:

Residency:

Neurosurgery Practice Status:

Rust, Merle, MD Open

Board Certified: American Board of Neurological Surgery

Univ of Illinois College of Medicine, Peoria, IL

Univ of Illinois College of Medicine, Peoria, IL

Medical School:

Residency:

Sturm, Christopher, MD Open

Board Certified: American Board of Neurological Surgery

St. Louis Univ School of Medicine, St. Louis, MO

St. Louis Univ School of Medicine, St. Louis, MO

Medical School:

Residency:

Physician Assistant Practice Status:

Watring, Allysa, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Univ of Wisconsin, Madison, WI

,

Medical School:

Residency:

Mercyhealth North

3400 Deerfield Dr

(608) 314-3600

Janesville, WI 53546

Family Medicine Practice Status:

Bowers, Ronald, MD Open

Board Certified: Not Board Certified

OH State University College of Medicine, Columbus, OH

St. Francis Hospital Center, Beech Grove, IN

Medical School:

Residency:

Kramer, Tamara, MD Open

Board Certified: American Board of Family Medicine

University of WI- Madison, Madison, WI

Mercy Family Medicine Residency Program, Janesville, WI

Medical School:

Residency:

Family Medicine including Obstetrics Practice Status:

Dabson, Janet, MD Open

Board Certified: American Board of Family Medicine

St. George's Univ, Grenada, West Indies

Mercy Health System Family Practice Residency Program, Janesville, WI

Medical School:

Residency:

Obstetrics and Gynecology Practice Status:

Miller, Kristin, DO Open

Board Certified: American Board of Obstetrics and Gynecology

Des Moines Univ College of Osteopathic Medicine, Des Moines, IA

Tripler Army Medical Center, Honolulu, HI

Medical School:

Residency:

Pediatrics Practice Status:

Roe, Jonathan, MD Open

Board Certified: American Board of Pediatrics

Medical College of Milwaukee, Milwaukee, WI

Univ of Massachusetts Medical Center, Worchester, MA

Medical School:

Residency:

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State of Wisconsin - 2018

Mercyhealth North Emergency

3400 Deerfield Dr

(608) 314-3605

Janesville, WI 53546

Emergency Department Practice Status:

Mercyhealth Hospital & Trauma Center - North, , Open

Board Certified: The Joint Commission

,

,

Medical School:

Residency:

Mercyhealth North Urgent Care

3400 Deerfield Dr

(608) 314-3605

Janesville, WI 53546

Urgent Care Center Practice Status:

Mercyhealth North Urgent Care, ,

Board Certified:

,

,

Medical School:

Residency:

Mercyhealth Pain Center - Janesville

1000 Mineral Point Ave

(608) 756-6049

Janesville, WI 53548

Advanced Practice Nurse Prescriber Practice Status:

Junghen, Jennifer, APNP Open

Board Certified: American Academy of Nurse Practitioners (Adult Nurse Practitioner)

Univ of Wisconsin-Milwaukee, Milwaukee

,

Medical School:

Residency:

Pain Management Practice Status:

Shah, Jaymin, DO Open

Board Certified: American Board of Anesthesiology (Pain Medicine)

Chicago College of Osteopathic Medicine, Downers Grove, IL

Medical College of WI, Milwaukee, WI

Medical School:

Residency:

Physician Assistant Practice Status:

Dombeck, Nathan, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

,

,

Medical School:

Residency:

Mercyhealth Plastic Surgery, Skin & Laser Center

1000 Mineral Point Ave

(608) 756-6300

Janesville, WI 53548

Advanced Practice Nurse Prescriber Practice Status:

Ratzlaff, Karri, APNP Open

Board Certified: American Nurses Credentialing Center (Acute Care Nurse Practitioner)

Univ of Wisconsin School of Nursing, Madison, WI

,

Medical School:

Residency:

Physician Assistant Practice Status:

De Vos, Alissa, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Univ of Wisconsin, Madison, WI

,

Medical School:

Residency:

Plastic Surgery Practice Status:

Paulius Quinn, Karina, MD Open

Board Certified: American Board of Surgery

Univ of Illinois at Chicago, Chicago, IL

Univ of IL - Mt. Sinai Hospital Program, Chicago, IL

Medical School:

Residency:

Mercyhealth Sleep Center - Janesville

903 Mineral Point Ave

(608) 758-5765

Janesville, WI 53548

Pulmonary Disease (Critical Care

Medicine)Practice Status:

Cook, Robert, MD Open

Board Certified: American Board of Internal Medicine (Sleep Medicine)

OH State University College of Medicine, Columbus, OH

Barnes Hosp, Washington U, St. Louis, MO

Medical School:

Residency:

Mercyhealth South

849 Kellogg Ave

(608) 755-7960

Janesville, WI 53546

Family Medicine Practice Status:

Altbuch, Arthur, MD Open

Board Certified: American Board of Family Medicine (Geriatric Medicine) (Sports

Medicine)Albany Medical College, Albany, NY

Bayfront Medical Center, St. Petersburg, FL

Medical School:

Residency:

Cooper, Keith, DO Open

Board Certified: American Osteopathic Association

Chicago College of Osteopathic Medicine, Downers Grove, IL

Medical College of Ohio, Toledo, OH

Medical School:

Residency:

DeFauw, Nicholas, DO Open

Board Certified: American Osteopathic Association (Family Medicine)

Michigan State Univ College of Osteopathic Medicine, East Lansing, MI

St. John Providence Health System, Warren, MI

Medical School:

Residency:

Stahlecker, Jared, MD Open

Board Certified: Not Board Certified

Ross Univ School of Medicine, Roseau, Dominica

Mercyhealth, Janesville, WI

Medical School:

Residency:

Family Medicine including Obstetrics Practice Status:

Anderson, Jane, MD Open

Board Certified: American Board of Family Medicine

Univ of Wisconsin, Madison, WI

Mercy Health System, Janesville, WI

Medical School:

Residency:

Horton, James, MD Open

Board Certified: American Board of Family Medicine

Univ of Texas Medical School at Houston, Houston, TX

UAB-Huntsville Family Medicine Residency, Huntsville, AL

Medical School:

Residency:

Shaikh, Suhail, MD Open

Board Certified: American Board of Family Medicine

Sindh Medical College Univ or Karachi, Karachi, Pakistan

Univ of Texas Medical School at San Antonio, San Antonio, TX

Medical School:

Residency:

Psychology Practice Status:

Wakely, David, PhD Open

Board Certified: Not Applicable

,

,

Medical School:

Residency:

8/18/2017 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 17 of 57W9

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MercyCare Health Plans Provider Directory

State of Wisconsin - 2018

Mercyhealth South Urgent Care

849 Kellogg Ave

(608) 755-7960

Janesville, WI 53546

Urgent Care Center Practice Status:

Mercyhealth South Urgent Care, ,

Board Certified: Not Applicable

Not Applicable,

Not Applicable,

Medical School:

Residency:

Mercyhealth Sports Medicine & Rehab Ctr - Janesville

557 N Washington St

(608) 754-6000

Janesville, WI 53548

Orthopedic Surgery Practice Status:

Klean, Kevin, DO Open

Board Certified: Not Board Certified

Des Moines Univ-College of Osteopathic Medicine, Des Moines, IA

Midwestern Univ-Franciscan St. James Health, Olympia Fields, IL

Medical School:

Residency:

Pittenger, David, MD Open

Board Certified: American Board of Orthopaedic Surgery

Medical College of Wisconsin, Milwaukee, WI

Blodgett Memorial Medical Center, Grand Rapids MI

Medical School:

Residency:

Physical Medicine & Rehabilitation Practice Status:

Garcia, Ronald Allan M, MD Open

Board Certified: American Board of Physical Medicine and Rehabilitation

Univ of the East-Ramon Magsaysay Memorial Med Cntr, Philippines

Rehabilitation Insititue of Chicago, Northwestern University Medical School, Chicago, IL

Medical School:

Residency:

Physician Assistant Practice Status:

Curtis, Stephanie, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Midwestern Univ, Downers Grove, IL

,

Medical School:

Residency:

Psychology Practice Status:

Gartland, Howard, PhD Open

Board Certified: Not Applicable

Texas Woman's University, Denton, TX

Not Applicable,

Medical School:

Residency:

Wakely, David, PhD Open

Board Certified: Not Applicable

,

,

Medical School:

Residency:

Sports Medicine Practice Status:

Rutherford, Darin, MD Open

Board Certified: American Board of Family Medicine (Sports Medicine)

Univ of Iowa College of Medicine, Iowa City,IA

St. Mary's Hospital, Milwaukee, WI

Medical School:

Residency:

Mercyhealth Terrace - Surgery

510 North Terrace St

(608) 756-6869

Janesville, WI 53548

Surgery Practice Status:

Garner, Patricia, MD Open

Board Certified: American Board of Surgery

Univ of Arkansas for Medical Sciences, Little Rock, AR

Naval Medical Center, San Diego, cA

Medical School:

Residency:

Lynn, David, MD Open

Board Certified: American Board of Surgery

Univ of Illinois College of Medicine, Rockford, IL

Baystate Medical Center, Springfield, MA

Medical School:

Residency:

McGauley, Michael, DO Open

Board Certified: American Osteopathic Board of Surgery - General

Kansas City Univ of Medicine and Biosciences, Kansas City, MO

Garden City Osteopathic Hosp-MI State Univ, Garden City, MI

Medical School:

Residency:

Shaaban, Hadi, DO Open

Board Certified: Not Board Certified

Midwestern Univ, Downers Grove, IL

Garden City Hospital, Garden City, MI

Medical School:

Residency:

Mercyhealth Transitional Care Center

1000 Mineral Point Ave

(608) 756-6050

Janesville, WI 53548

Skilled Nursing Facility Practice Status:

Mercy Manor Transition Center Skilled Nursing Facility,

,

Open

Board Certified: The Joint Commission

Not Applicable,

Not Applicable,

Medical School:

Residency:

Mercyhealth Urology Center

1000 Mineral Point Ave

(608) 741-6990

Janesville, WI 53548

Urology Practice Status:

Gianitsos, A. Nicholas, MD Open

Board Certified: American Board of Urology

Boston Univ School of Medicine, Boston, MA

Univ of Wisconsin Hospitals & Clinics, Madison, WI

Medical School:

Residency:

Kaveggia, Francis, MD Open

Board Certified: American Board of Urology

Univ of Wisconsin Medical School, Madison, WI

Univ of Nebraska Medical Center, Omaha, NE

Medical School:

Residency:

Mercyhealth West

1000 Mineral Point Ave

(608) 756-6800

Janesville, WI 53548

Advanced Practice Nurse Prescriber Practice Status:

Wimmer, Jennifer, APNP Open

Board Certified: American Academy of Nurse Practitioners (Family Nurse Practitioner)

Concordia Univ, Mequon, WI

,

Medical School:

Residency:

Infectious Disease Practice Status:

Konkol, Keith, MD Closed

Board Certified: American Board of Internal Medicine (Infectious Disease)(Hospice & Palliative Care)Univ of Wisconsin Medical School, Madison, WI

Walter Reed Army Medical School, Washington, DC

Medical School:

Residency:

8/18/2017 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 18 of 57W9

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MercyCare Health Plans Provider Directory

State of Wisconsin - 2018

Nephrology Practice Status:

Shaikh, Sumaira, MD Open

Board Certified: American Board of Internal Medicine (Nephrology)

Aga Khem Univ, Karachi Pakistan

Univ of Wisconsin Hospital & Clinics, Madison, WI

Medical School:

Residency:

Mercyhealth WINGS Program

903 Mineral Point Ave

(608) 756-6530

Janesville, WI 53548

Licensed Professional Counselor Practice Status:

Davis, Rebecca, LPC, SAC Open

Board Certified: Not Applicable

Univ of Wisconsin, Whitewater, Whitewater, WI

,

Medical School:

Residency:

Substance Abuse Counselor Practice Status:

Davis, Rebecca, SAC, LPC Open

Board Certified: Not Applicable

Univ of Wisconsin, Whitewater, Whitewater, WI

,

Medical School:

Residency:

Mercyhealth Women's Center - Janesville

1000 Mineral Point Ave

(608) 756-6890

Janesville, WI 53548

Advanced Practice Nurse Prescriber Practice Status:

Harris, Margot, APNP Open

Board Certified: National Certification Corporation (Women's Health Care Nurse PractitionerVanderbilt Univ School of Nursing, Nashville, TN

Not Applicable,

Medical School:

Residency:

Gynecology Practice Status:

Neuman, Carol, MD Open

Board Certified: American Board of Obstetrics and Gynecology

Emory Univ School of Medicine, Atlanta, GA

Emory Univ School of Medicine, Atlanta, GA

Medical School:

Residency:

Maternal-Fetal Medicine Practice Status:

Rogers, Dennie, MD Open

Board Certified: American Board of Obstetrics and Gynecology (Maternal-Fetal Medicine)

Univ of Illinois, Chicago, IL

Univ of Illinois @ Chicago, Chicago, IL

Medical School:

Residency:

Obstetrics and Gynecology Practice Status:

Kaldor, Katheryn, DO Open

Board Certified: American Osteopathic Board of Obstetrics and Gynecology

Kansas City Univ of Medicine, Kansas City, MO

Philadelphia College of Osteopathic Medicine, Philadelphia, PA

Medical School:

Residency:

Munns, Meridyth, MD Open

Board Certified: American Board of Obstetrics and Gynecology

Univ of Health Sciences, North Chicago, IL

Univ of WI Hospitals and Clinics, Madison, WI

Medical School:

Residency:

Nahn, Patricia, MD Open

Board Certified: American Board of Obstetrics and Gynecology

Univ of Wisconsin Medical School, Madison, WI

Univ of Texas, Houston, TX

Medical School:

Residency:

Obstetrics and Gynecology Practice Status:

Newmark, Dorothy, MD Open

Board Certified: American Board of Obstetrics and Gynecology

State Univ of New York, Syracuse, NY

Univ of WI Hospital & Clinics, Madison, WI

Medical School:

Residency:

Okocha, Chukwunonyeluanyi, MD Open

Board Certified: American Board of Obstetrics and Gynecology

Univ of Minnesota-Twin Cities, Minneapolis, MN

Univ of Texas Medical Branch, Galveston, TX

Medical School:

Residency:

Wistrom, Elana, DO Open

Board Certified: American Osteopathic Board of Obstetrics and Gynecology

A.T. Still Univ, Kirksvill, MO

Henry Ford Macomb Hospital, Clinton Twp, MI

Medical School:

Residency:

Premier Oral & Maxillofacial Surgery

1602 N Randall Ave

(608) 756-8744

Janesville, WI 53545

Oral & Maxillofacial Surgery Practice Status:

Kuerschner, Thomas, DDS Open

Board Certified: American Board of Oral & Maxillofacial Surgery

Marquette Univ School of Dentistry, Milwaukee, WI

Univ of Louisville, Louisville, KY

Medical School:

Residency:

Meister, Richard, DDS Open

Board Certified: American Board of Oral & Maxillofacial Surgery

Marquette Univ School of Dentistry, Milwaukee, WI

Hosp of St Raphael, New Haven, CT

Medical School:

Residency:

Swantek, Jason, DDS Open

Board Certified: American Board of Oral & Maxillofacial Surgery

UIC College of Dentistry, Chicago, IL

Woodhull Medical Center, Brooklyn, NY

Medical School:

Residency:

Rock Haven

3400 N County HWY F

(608) 757-5000

Janesville, WI 53547

Skilled Nursing Facility Practice Status:

Rock Haven, , Open

Board Certified: Not Accredited

,

,

Medical School:

Residency:

Jefferson, WI

Central Jefferson Chiropractic

202 N Main St

(920) 674-5025

Jefferson, WI 53549

Chiropractic Practice Status:

Lewis, Alan, DC Open

Board Certified: Not Applicable

National College of Chiropractic, Lombard, IL

Not Applicable,

Medical School:

Residency:

8/18/2017 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 19 of 57W9

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MercyCare Health Plans Provider Directory

State of Wisconsin - 2018

Fort HealthCare Jefferson

840 W Racine St

(920) 674-6000

Jefferson, WI 53549

Advanced Practice Nurse Prescriber Practice Status:

Lyons, Noreen, APNP Open

Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

Univ of Wisconsin, Milwaukee, WI

Not Applicable,

Medical School:

Residency:

Physician Assistant Practice Status:

DeThier, Miranda, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Marquette Univ, Milwaukee, WI

,

Medical School:

Residency:

Fort HealthCare Orthopaedic Associates

840 W Racine St

(920) 563-7888

Jefferson, WI 53549

Orthopedic Surgery Practice Status:

Schuppner, Paul, DO Open

Board Certified: Not Board Certified

Midwestern Univ Chicago College of Osteopathic Medicine, Downers

Grove, ILMichigan State Univ College of Osteopathic Medicine, Lansing, MI

Medical School:

Residency:

Jefferson County Human Services

1541 Annex Rd

(920) 674-3105

Jefferson, WI 53549

Licensed Clinical Social Worker Practice Status:

Bykowski, Brandon, LCSW Open

Board Certified: Not Applicable

Univ of WI - Madison, Madison, WI

,

Medical School:

Residency:

Dunham, Lisa, LCSW Open

Board Certified: Not Applicable

Univ of Wisconsin, Milwaukeem WI

,

Medical School:

Residency:

Fischer, David, LCSW Open

Board Certified: Not Applicable

Aurora Univ at George Williams College, Aurora, IL

,

Medical School:

Residency:

Licensed Marriage & Family Therapist Practice Status:

Melvin, Katherin, LMFT Open

Board Certified: Not Applicable

Edgewood College, Madison, WI

,

Medical School:

Residency:

Licensed Professional Counselor Practice Status:

Doerr, Krista, LPC Open

Board Certified: Not Applicable

Univ of Wiscons - Whitewater, Whitewater, WI

,

Medical School:

Residency:

Lightner, Amanda, LPC Open

Board Certified: Not Applicable

Multmomah Dept of Juvinielle Justice, Portland, OR

,

Medical School:

Residency:

Licensed Professional Counselor Practice Status:

Wendt, Jennifer, LPC Open

Board Certified: Not Applicable

Chicago School of Professional Psychology, Chicago, IL

,

Medical School:

Residency:

Johnson Creek, WI

Fort HealthCare Center for Womens Health

400 Doctors Ct

(920) 699-3600

Johnson Creek, WI 53038

Obstetrics and Gynecology Practice Status:

Aguirre de Baker, Nancy, MD Open

Board Certified: American Board of Obstetrics and Gynecology

University of WI Madison, Madison, WI

University of WI Madison, Madison, WI

Medical School:

Residency:

Chuppa, Christine, MD Open

Board Certified: American Board of Obstetrics and Gynecology

Univ of WI Medical School, Madison, WI

Univ of MO, Kansas City, MO

Medical School:

Residency:

Fort HealthCare Johnson Creek

400 Doctors Ct

(920) 699-4000

Johnson Creek, WI 53038

Advanced Practice Nurse Prescriber Practice Status:

Lyons, Noreen, APNP Open

Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

Univ of Wisconsin, Milwaukee, WI

Not Applicable,

Medical School:

Residency:

Family Medicine Practice Status:

Misorski, David, MD Open

Board Certified: American Board of Family Medicine

Medical College of WI-Milwaukee, Milwaukee, WI

Medical College of WI-Milwaukee, Milwaukee, WI

Medical School:

Residency:

Misorski, David, MD Open

Board Certified: American Board of Family Medicine

Medical College of WI-Milwaukee, Milwaukee, WI

Medical College of WI-Milwaukee, Milwaukee, WI

Medical School:

Residency:

Physician Assistant Practice Status:

DeThier, Miranda, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Marquette Univ, Milwaukee, WI

,

Medical School:

Residency:

Urology Practice Status:

Manakas, Christopher, MD Open

Board Certified: American Board of Urology

Indiana Univ School of Medicine, Indianapolis, IN

Univ of WI Hospital & Clinics, Madison, WI

Medical School:

Residency:

8/18/2017 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 20 of 57W9

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MercyCare Health Plans Provider Directory

State of Wisconsin - 2018

Fort HealthCare Wound & Edema Center

400 Doctors Ct

(920) 699-4245

Johnson Creek, WI 53038

Physical Medicine & Rehabilitation Practice Status:

Goldman, Robert, MD Open

Board Certified: American Board of Physicial Medicine and Rehabilitation AND American

Board of Preventive Medicine (Undersea & Hyperbaric Medicine)Univ of Texas Medical Branch at Galveston, Galveston, TX

MCP Hahnemann Univ School of Medicine, Philadephia, PA

Medical School:

Residency:

Podiatry Practice Status:

Yaeggi, Brent, DPM Open

Board Certified: American Board of Foot and Ankle Surgery (Foot Surgery)

Scholl College of Podiatric Medicine, Chicago, IL

Covenant Medical Center, Waterloo, IA

Medical School:

Residency:

Surgery Practice Status:

McLaughlin, Jonathan, MD Open

Board Certified: American Board of Surgery

Univ of Minnesota, Minneapolis, MN

Butterworth Hospital Michigan State Univ, Grand Rapids, MI

Medical School:

Residency:

Three Oaks Health, SC

480 Village Walk Ln, Ste F

(920) 542-3010

Johnson Creek, WI 53038

Family Medicine including Obstetrics Practice Status:

Milford, James, MD Clinic Opening 1/3/17

Board Certified: American Board of Family Medicine

Loyola Univ of Chicago Stritch School of Medicine, Chicago, IL

St. Michael's, Milwaukee, WI

Medical School:

Residency:

UWHP Center for Eye Care - Johnson Creek

540 Village Walk Ln, Ste G

(920) 699-4388

Johnson Creek, WI 53038

Ophthalmology Practice Status:

Van Hecke, Holly, MD Open

Board Certified: American Board of Ophthalmology

Univ of Illinois College of Medicine, Chicago, IL

Univ of Illinois Eye & Ear Infirmary, Chicago, IL

Medical School:

Residency:

Optometry Practice Status:

Anslinger, John, OD Open

Board Certified: Not Applicable

Indiana Univ, Indiana

Not Applicable,

Medical School:

Residency:

WRMC Center for Eye Care - Johnson Creek

540G Village Walk Ln

(920) 699-4388

Johnson Creek, WI 53038

Ophthalmology Practice Status:

Boush, George, MD Open

Board Certified: American Board of Ophthalmology

Univ of Wisconsin, Madison, WI

Univ of Wisconsin Hospital & Clinics, Madison, WI

Medical School:

Residency:

Ophthalmology Practice Status:

Sullivan, Sheila, DO Open

Board Certified: Not Board Certified

DesMoines Univ, College of Osteopathic Medicine, Des Moines, IA

Philadeplphia College of Osteopathic Medicine, Philadelphia, PA

Medical School:

Residency:

Optometry Practice Status:

Roberson, Daniel, OD Open

Board Certified: Not Applicable

New England College of Optometry, Boston, MA

Captain James A. Lovell Federal Health Care Center, N. Chicago, IL

Medical School:

Residency:

WRMC Johnson Creek Clinic

540 Village Walk Ln, Ste J

(920) 699-6200

Johnson Creek, WI 53038

Orthopedic Surgery Practice Status:

Roman, Terry, DO Open

Board Certified: Not Board Certified

A.T. Still University, Kirksville, MO

Michigan State University, Grand Blanc, MI

Medical School:

Residency:

Physician Assistant Practice Status:

Hunter, Cathy, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Marquette Univ, Milwaukee, WI

,

Medical School:

Residency:

Kolkovich, Cheryl, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Finch Univ of Health Sciences, The Chicago Medical School, North

Chicago, ILNot Applicable,

Medical School:

Residency:

Laurent, Allison, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Univ of Colorado, Denver, CO

,

Medical School:

Residency:

Kenosha, WI

Rogers Memorial Hospital - Kenosha

9916 - 75th St

(800) 767-4411

Kenosha, WI 53140

Child & Adolescent Mental Health

ProgramPractice Status:

Rogers Memorial Hospital - Kenosha, , Child & Adolescent

Board Certified: The Joint Commission

Not Applicable,

Not Applicable,

Medical School:

Residency:

Lake Geneva, WI

Geneva Lakes Manor

211 S Curtis St

(262) 248-3145

Lake Geneva, WI 53147

Skilled Nursing Facility Practice Status:

Geneva Lakes Manor, , Open

Board Certified: Not Accredited

,

,

Medical School:

Residency:

8/18/2017 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 21 of 57W9

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MercyCare Health Plans Provider Directory

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Mercyhealth Hospital & Medical Center - Walworth

N2950 State Road 67

(877) 893-5503

Lake Geneva, WI 53147

Advanced Practice Nurse Prescriber Practice Status:

Disch, Nicole, APRN Open

Board Certified: American Nurses Credentialing Center (Adult-Gerontology Primary Care

Nurse)Concordia Univ, Mequon, WI

,

Medical School:

Residency:

Farrell, Amanda, APNP Open

Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

UW- Milwaukee, Milwaukee, WI

,

Medical School:

Residency:

Junghen, Jennifer, APNP Open

Board Certified: American Academy of Nurse Practitioners (Adult Nurse Practitioner)

Univ of Wisconsin-Milwaukee, Milwaukee

,

Medical School:

Residency:

Martin, Jennifer, APNP Open

Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner)

,

,

Medical School:

Residency:

Allergy & Immunology Practice Status:

Johnson, Tad, MD Open

Board Certified: American Board of Allergy and Immunology AND American Board of PediatricsMayo Clinic Collegeo f Medicine, Rochester, MN

Children's Hospital of Wisconsin, Milwaukee, WI

Medical School:

Residency:

Cardiology Practice Status:

Bortin, Kenneth, MD Open

Board Certified: American Board of Internal Medicine (Cardiovascular Disease)

Hahnemann Univ, Philadelphia, PA

Medical College of Pennsylvania, Philadelphia, PA

Medical School:

Residency:

Cardiovascular Disease Practice Status:

Khemani, Anil, MD Open

Board Certified: American Board of Internal Medicine (Cardiovascular Disease)

Patna Med College, Patna, India

All India Inst of Med Sciences, New Delhi, India

Medical School:

Residency:

Dermatology Practice Status:

Compton, Marguerite, MD Open

Board Certified: American Board of Dermatology

Medical College of Wisconsin, Milwaukee, WI

Medical College of WI Clinics at Froedtert Hospital, Milwaukee, WI

Medical School:

Residency:

Gharia, Manish, MD Open

Board Certified: American Board of Dermatology

Medical College of Wisconsin, Milwaukee, WI

Medical College of Wisconsin, Milwaukee, WI

Medical School:

Residency:

Emergency Department Practice Status:

Mercyhealth Walworth Hospital and Medical Center -

Emergency, ,

Open

Board Certified: The Joint Commission

,

,

Medical School:

Residency:

Family Medicine Practice Status:

Allison, Daniel, MD Open

Board Certified: American Board of Family Medicine

Ross Univ School of Medicine, North Brunswick, NJ

Medical College of WI - St. Joseph Hospital, Milwaukee, WI

Medical School:

Residency:

Draper, Dominic, MD Open

Board Certified: American Board of Family Medicine

American Univ of Antigua, New York, NY

Medical College of Wisconsin St. Joseph's/All Saints, Milwaukee, WI

Medical School:

Residency:

McCoy, James, MD Open

Board Certified: American Board of Family Medicine (Geriatric Medicine)

Loyola Univ , Stritch School of Medicine, Maywood, IL

MacNeal Memorial Hospital, Berwyn, IL

Medical School:

Residency:

Gastroenterology Practice Status:

Khoury, Ramez, MD Open

Board Certified: American Board of Internal Medicine (Gastroenterology)

Damascus Univ, Damascus, Syria

The Graduate Hospital, Philadelphia, PA

Medical School:

Residency:

Qazi, Baseer, MD Open

Board Certified: American Board of Internal Medicine (Gastroenterology)

Declan College of Medical Sciences, Hyderabad, India

Advocate Lutheran General Hospital, Park Ridge, IL

Medical School:

Residency:

Hematology and/or Medical Oncology Practice Status:

Shekhani, Shahid, MD Open

Board Certified: American Board of Internal Medicine (Medical Oncology)(Hospice & Palliative Care)Sind Medical College, Karachi, Pakistan

Prince Georges Hospital Center, Cheverly, MD

Medical School:

Residency:

Hospital Practice Status:

Mercyhealth Walworth Hospital and Medical Center, , Open

Board Certified: The Joint Commission

Not Applicable,

Not Applicable,

Medical School:

Residency:

Nephrology Practice Status:

Shaikh, Sumaira, MD Open

Board Certified: American Board of Internal Medicine (Nephrology)

Aga Khem Univ, Karachi Pakistan

Univ of Wisconsin Hospital & Clinics, Madison, WI

Medical School:

Residency:

Neurology Practice Status:

Gorelik, Maxim, MD Open

Board Certified: American Board of Psychiatry and Neurology (Pain Medicine)

Rush Medical College of Rush Univ, Chicago, IL

Univ of California, Davis Medical Center, Sacramento, CA

Medical School:

Residency:

Neurosurgery Practice Status:

Rust, Merle, MD Open

Board Certified: American Board of Neurological Surgery

Univ of Illinois College of Medicine, Peoria, IL

Univ of Illinois College of Medicine, Peoria, IL

Medical School:

Residency:

Obstetrics and Gynecology Practice Status:

Osipova, Anastasia, MD Open

Board Certified: American Board of Obstetrics and Gynecology

Russian State Medical Univ, Moscow, Russia

Russian State Medical Academy of Postgraduate Education, Moscow,

Russia

Medical School:

Residency:

8/18/2017 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 22 of 57W9

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MercyCare Health Plans Provider Directory

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Obstetrics and Gynecology Practice Status:

Villegas Van der Linde, Silvia, MD Open

Board Certified: American Board of Obstetrics and Gynecology

UNIBE - Universidad Iberoamericana, Santo Domingo, Dominican RepublicMount Sinai Hospital, Chicago, IL

Medical School:

Residency:

Ophthalmology Practice Status:

Luellwitz, David, DO Open

Board Certified: American Osteopathic Board of Ophthalmology

Western Univ of Health Sciences, Pomona, CA

Midwestern University, Olympia Fields, IL

Medical School:

Residency:

Whitehead, A. Jeffrey, MD Open

Board Certified: American Board of Ophthalmology

Univ of Wisconsin, Madison, WI

Washington Univ in St. Louis, St. Louis, MO

Medical School:

Residency:

Optometry Practice Status:

Rockwell, John, OD Open

Board Certified: Not Applicable

Illinois College of Optometry, Chicago, IL

,

Medical School:

Residency:

Orthopedic Surgery Practice Status:

Fideler, Bradley, MD Open

Board Certified: American Board of Orthopaedic Surgery

Univ of Iowa College of Medicine, Iowa City, IA

Univ of Southern California, Los Angeles, CA

Medical School:

Residency:

Lyon, Craig, MD Open

Board Certified: American Board of Orthopaedic Surgery

Rush Medical College, Chicago, Il

Univ of Iowa Hospitals & Clinics, Iowa City, IA

Medical School:

Residency:

Otolaryngology Practice Status:

Riggs, Landon, MD Open

Board Certified: American Board of Otolaryngology

Loyola Univ of Chicago Stritch School of Medicine, Maywood, IL

Loyola Univ of Chicago, Maywood, IL

Medical School:

Residency:

Yang, Eric, MD Open

Board Certified: American Board of Otolaryngology

Univ of Southern California, Keck School of Medicine, Los Angeles, CA

Univ of Utah, Salt Lake City, UT

Medical School:

Residency:

Pediatrics Practice Status:

Lyon, Shaunna, MD Open

Board Certified: American Board of Pediatrics

Univ of Illinois College of Medicine, Chicago, IL

Univ of Iowa Hospitals & Clinics, Iowa City, IA

Medical School:

Residency:

Potsch, Shirley, MD Open

Board Certified: Not Board Certified

Southern Illinois Univ School of Medicine, Springfield, IL

Univ of Nebraska Medical Center, Omaha, NE

Medical School:

Residency:

Physical Medicine & Rehabilitation Practice Status:

Garcia, Ronald Allan M, MD Open

Board Certified: American Board of Physical Medicine and Rehabilitation

Univ of the East-Ramon Magsaysay Memorial Med Cntr, Philippines

Rehabilitation Insititue of Chicago, Northwestern University Medical School, Chicago, IL

Medical School:

Residency:

Physician Assistant Practice Status:

Burns, Kevin, PA-C Open

Board Certified: The National Commission on Certification of Physician Assistants

Rosalind Franklin Univ of Medicine and Health Sciences, North Chicago, IL,

Medical School:

Residency:

Houtakker, Jeremy, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

,

,

Medical School:

Residency:

Palecek, Erin, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Univ of Toledo, Toledo, OH

,

Medical School:

Residency:

Schnell, Tina, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Univ of Colorado Health Science Center, Denver, CO

Not Applicable,

Medical School:

Residency:

Plastic Surgery Practice Status:

Paulius Quinn, Karina, MD Open

Board Certified: American Board of Surgery

Univ of Illinois at Chicago, Chicago, IL

Univ of IL - Mt. Sinai Hospital Program, Chicago, IL

Medical School:

Residency:

Podiatry Practice Status:

Loch, Archibald, DPM Open

Board Certified: Not Board Certified

Rosalind Franklin Univ, North Chicago, IL

Massachusetts General Hospital, Boston, MA

Medical School:

Residency:

Psychology Practice Status:

Catuara, Katherine, PsyD Open

Board Certified: Not Applicable

Roosevelt Univ, Chicago, IL

,

Medical School:

Residency:

Gartland, Howard, PhD Open

Board Certified: Not Applicable

Texas Woman's University, Denton, TX

Not Applicable,

Medical School:

Residency:

Hanson, Christine, PhD Open

Board Certified: Not Applicable

Ohio State Univ, Columbus, OH

,

Medical School:

Residency:

Pulmonary Disease Practice Status:

Balagani, Rajesh, DO Open

Board Certified: American Board of Internal Medicine (Pulmonary Disease)(Critical Care Medicine)Chicago College of Osteopathic Medicine, Midwestern Univ, Downers Grove, IL

Evanston Northwestern Hospital, Evanston, IL

Medical School:

Residency:

Surgery Practice Status:

Bryan, Douglas, MD Open

Board Certified: American Board of Surgery (Vascular Surgery)

State Univ of New York HSC & Brooklyn, Brooklyn, NY

Harlem Hospital Medical Center, New York, NY

Medical School:

Residency:

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Surgery Practice Status:

Greenberg, James, MD Open

Board Certified: American Board of Surgery

Univ of Missouri, Kansas City, MO

Loyola Univ Medical Center, Maywood, IL

Medical School:

Residency:

Urology Practice Status:

Gianitsos, A. Nicholas, MD Open

Board Certified: American Board of Urology

Boston Univ School of Medicine, Boston, MA

Univ of Wisconsin Hospitals & Clinics, Madison, WI

Medical School:

Residency:

Kaveggia, Francis, MD Open

Board Certified: American Board of Urology

Univ of Wisconsin Medical School, Madison, WI

Univ of Nebraska Medical Center, Omaha, NE

Medical School:

Residency:

Vascular Surgery Practice Status:

Bryan, Douglas, MD Open

Board Certified: American Board of Surgery (Vascular Surgery)

State Univ of New York HSC & Brooklyn, Brooklyn, NY

Harlem Hospital Medical Center, New York, NY

Medical School:

Residency:

Mercyhealth Lakeside Orthopaedics

352 Peller Rd

(262) 248-4467

Lake Geneva, WI 53147

Orthopedic Surgery Practice Status:

Knavel, James, MD Open

Board Certified: American Board of Orthopaedic Surgery

Univ of Iowa College of Medicine, Iowa City, IA

Medical College of Wisconsin, Milwaukee, WI

Medical School:

Residency:

Mercyhealth Sports Medicine & Rehab Ctr - Walworth

N2950 State Road 67

(877) 893-5503

Lake Geneva, WI 53147

Physical Medicine & Rehabilitation Practice Status:

Garcia, Ronald Allan M, MD Open

Board Certified: American Board of Physical Medicine and Rehabilitation

Univ of the East-Ramon Magsaysay Memorial Med Cntr, Philippines

Rehabilitation Insititue of Chicago, Northwestern University Medical

School, Chicago, IL

Medical School:

Residency:

Mercyhealth Walworth Urgent Care

N2950 State Road 67

(262) 245-2230

Lake Geneva, WI 53147

Urgent Care Center Practice Status:

Mercyhealth Urgent Care - Walworth, ,

Board Certified: Not Applicable

Not Applicable,

Not Applicable,

Medical School:

Residency:

Lake Mills, WI

Fort HealthCare Lake Mills Clinic

200 E Tyranena Park Rd

(920) 648-8393

Lake Mills, WI 53551

Advanced Practice Nurse Prescriber Practice Status:

Runte, Laurel, APNP Open

Board Certified: Pediatric Nursing Certification Board (Certified Pediatric Nurse

Practitioner)Not Applicable,

Not Applicable,

Medical School:

Residency:

Schultz, Kristin, APNP Open

Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner)

Marquette Univ, Milwaukee, WI

,

Medical School:

Residency:

Family Medicine Practice Status:

Flood, James, MD Open

Board Certified: American Board of Family Medicine

University of Michigan Medical School, AnnArbor, MI

Loma Linda University Family Practice Residency Program, Loma Linda, CA

Medical School:

Residency:

Philbin, Jennifer, MD Open

Board Certified: American Board of Family Medicine

Univ of Illinois College of Medicine, Chicago, IL

Univ of Illinois College of Medicine, Chicago, IL

Medical School:

Residency:

Internal Medicine Practice Status:

Wishau, James, MD Open

Board Certified: American Board of Internal Medicine

Univ of Wisconsin Medical School, Madison, WI

Kettering Med Cntr, Wright ST Univ., Dayton, OH

Medical School:

Residency:

Psychology Practice Status:

Mitchell, Colleen, PhD Open

Board Certified: Not Applicable

Adler Univ, Chicago, IL

,

Medical School:

Residency:

Fort HealthCare Lake Mills Urgent Care

200 E Tyranena Park Rd

(920) 648-3113

Lake Mills, WI 53551

Urgent Care Center Practice Status:

Fort HealthCare Lake Mills Urgent Care, , Open

Board Certified: Not Applicable

Not Applicable,

Not Applicable,

Medical School:

Residency:

Fort HealthCare Orthopaedic Associates

200 E Tyranena Park Rd

(920) 563-7888

Lake Mills, WI 53551

Orthopedic Surgery Practice Status:

Zambrano, Isidoro, MD Open

Board Certified: American Board of Orthopaedic Surgery

Medical College of Wisconsin, Milwaukee, WI

State Univ of New York College of Medicine Stony Brook Univ Hospital,

Medical School:

Residency:

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Rock River Foot & Ankle Clinic

1025 Mulberry St

(920) 261-9591

Lake Mills, WI 53551

Podiatry Practice Status:

Yaeggi, Brent, DPM Open

Board Certified: American Board of Foot and Ankle Surgery (Foot Surgery)

Scholl College of Podiatric Medicine, Chicago, IL

Covenant Medical Center, Waterloo, IA

Medical School:

Residency:

WRMC Lake Mills Clinic

1025 Mulberry St

(920) 648-4518

Lake Mills, WI 53551

Advanced Practice Nurse Prescriber Practice Status:

Howard, Karen, APNP Open

Board Certified: National Certification Corporation (Women's Health Care Nurse

Practitioner)Mt. Senario Collge, Ladysmith, WI

,

Medical School:

Residency:

Licensed Clinical Social Worker Practice Status:

Peters, Christopher, LCSW Open

Board Certified: Not Applicable

Not Applicable,

Not Applicable,

Medical School:

Residency:

Obstetrics and Gynecology Practice Status:

DeJong, Julie, MD Open

Board Certified: American Board of Obstetrics and Gynecology

Univ of Wisconsin, Madison, WI

Univ of Iowa Hospital and Clinics, Iowa City, IA

Medical School:

Residency:

Nguyen, VanLy, MD Open

Board Certified: American Board of Obstetrics and Gynecology

Univ of Arkansas for Medical Sciences, Little Rock, AR

Cooper Univ Hospital UMDNJ, Camden, NJ

Medical School:

Residency:

Siddiqui, Danish, MD Open

Board Certified: American Board of Obstetrics and Gynecology

Aga Khan Medical College, Karachi, Pakistan

Bridgeport Hospital, Bridgeport, CT

Medical School:

Residency:

Orthopedic Surgery Practice Status:

Rhodes, Steven, MD Open

Board Certified: American Board of Orthopaedic Surgery

Loyola Univ of Chicago Stritch School of Medicine, Chicago, IL

Medical College of Wisconsin, Milwaukee, WI

Medical School:

Residency:

Physician Assistant Practice Status:

Hunter, Cathy, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Marquette Univ, Milwaukee, WI

,

Medical School:

Residency:

Kolkovich, Cheryl, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Finch Univ of Health Sciences, The Chicago Medical School, North

Chicago, ILNot Applicable,

Medical School:

Residency:

Laurent, Allison, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Univ of Colorado, Denver, CO

,

Medical School:

Residency:

Madison, WI

AIDS Resource Center

600 Williamson Stt, Ste H

(800) 486-6276

Madison, WI 53703

Patient Centered Medical Home Practice Status:

AIDS Resource Center, , Open

Board Certified: NCQA - Patient Centered Medical Home

,

,

Medical School:

Residency:

Madison East Comprehensive Treatment Center

5109 World Dairy Expo Dr

(608) 242-0220

Madison, WI 53718

Methadone Clinic Practice Status:

Madison East Comprehensive Treatment Center, , Open

Board Certified: CARF Accredited

,

,

Medical School:

Residency:

Madison West Comprehensive Treatment Center

151 E Badger Rd, Ste A

(608) 250-2512

Madison, WI 53713

Methadone Clinic Practice Status:

Madison West Comprehensive Treatment Center, , Open

Board Certified: Council on Accreditation

,

,

Medical School:

Residency:

Meriter Hospital

202 South Park St

(608) 267-6000

Madison, WI 53715

Child & Adolescent Addictions Program Practice Status:

Meriter Hospital Inc, , Open

Board Certified: The Joint Commission

Not Applicable,

Not Applicable,

Medical School:

Residency:

Child & Adolescent Mental Health

ProgramPractice Status:

Meriter Hospital Inc, , Open

Board Certified: The Joint Commission

Not Applicable,

Not Applicable,

Medical School:

Residency:

MW Counseling, LLC

429 Gammon Place, Ste 200

(608) 843-7055

Madison, WI 53719

Behavioral Health Clinic Practice Status:

MW Counseling, LLC, , Open

Board Certified:

,

,

Medical School:

Residency:

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Licensed Professional Counselor Practice Status:

Walden, Melissa, LPC Open

Board Certified: Not Applicable

Nova Univ, Fort Lauderdale, FL

,

Medical School:

Residency:

The Integral Psychology Center

1619 Monroe St

(608) 255-9330

Madison, WI 53711

Behavioral Health Clinic Practice Status:

The Integral Psychology Center, ,

Board Certified: Not Applicable

,

,

Medical School:

Residency:

Licensed Clinical Social Worker Practice Status:

Geer, Susan, LCSW Open

Board Certified: Not Applicable

New York University,

Not Applicable,

Medical School:

Residency:

Merritt, Dennis, LCSW Open

Board Certified: Not Applicable

Not Applicable,

Not Applicable,

Medical School:

Residency:

Whelan, Meredith, LCSW Open

Board Certified: Not Applicable

Not Applicable,

Not Applicable,

Medical School:

Residency:

Psychology Practice Status:

Cunningham, Lauren, PhD Open

Board Certified: Not Applicable

Univ of Kentucky, Lexington, KY

,

Medical School:

Residency:

Lund, Erika, PsyD Open

Board Certified: Not Applicable

Illinois School of Professional Psychology, Chicago, IL

,

Medical School:

Residency:

Mahlberg, Arden, PhD Open

Board Certified: Not Applicable

Not Applicable,

Klameth Mental Health Center, Klameth Falls, OR

Medical School:

Residency:

Rissman, Margaret, PsyD Open

Board Certified: Not Applicable

Univ of Illinois at Urbana-Champaign, Urbana, IL

,

Medical School:

Residency:

Milton, WI

Hammer Chiropractic, LLC

840 Arthur Dr

(608) 868-4343

Milton, WI 53563

Chiropractic Practice Status:

Hammer, Christopher, DC Open

Board Certified: Not Applicable

Northwestern College of Chiropractic, Bloomington, MN

Reeve Chiro Clinic, Austin, MN

Medical School:

Residency:

Mercyhealth Behavioral Health Clinic - Milton

725 S Janesville St

(608) 756-5555

Milton, WI 53563

Licensed Clinical Social Worker Practice Status:

Benash, Jessica, LCSW Open

Board Certified: Not Applicable

Univ of Wisconsin, Madison, WI

,

Medical School:

Residency:

Mercyhealth Milton

725 South Janesville St

(608) 868-5800

Milton, WI 53563

Family Medicine Practice Status:

Kulas, Daniel, MD Open

Board Certified: American Board of Family Medicine

Medical College of Wisconsin,

Mercy Health System Family Medicine Residency Program, Janesville, WI

Medical School:

Residency:

Riethmiller, Daniel, MD Open

Board Certified: American Board of Family Medicine

Indiana Univ School of Medicine, Indianapolis, IN

North Colorado Family Medicine, Greeley, CO

Medical School:

Residency:

Van Beek, Rodney, MD Open

Board Certified: American Board of Family Medicine

Univ of Oklahoma College of Medicine, Oklahoma City, OK

Mercy Health System Family Practice Residency Program, Janesville, WI

Medical School:

Residency:

Nephrology Practice Status:

Shaikh, Sumaira, MD Open

Board Certified: American Board of Internal Medicine (Nephrology)

Aga Khem Univ, Karachi Pakistan

Univ of Wisconsin Hospital & Clinics, Madison, WI

Medical School:

Residency:

Obstetrics and Gynecology Practice Status:

Wistrom, Elana, DO Open

Board Certified: American Osteopathic Board of Obstetrics and Gynecology

A.T. Still Univ, Kirksvill, MO

Henry Ford Macomb Hospital, Clinton Twp, MI

Medical School:

Residency:

Physician Assistant Practice Status:

Dahl, Carrie, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Univ of Wisconsin, Madison, WI

,

Medical School:

Residency:

Milwaukee, WI

10th Street Comprehensive Treatment Center

4800 S 10th St, Unit 1

(414) 744-5370

Milwaukee, WI 53221

Methadone Clinic Practice Status:

10th Street Comprehensive Treatment Center, , Open

Board Certified: CARF Accredited

,

,

Medical School:

Residency:

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River's Shore Comprehensive Treatment Center

3707 N Richards St

(414) 967-7012

Milwaukee, WI 53212

Methadone Clinic Practice Status:

River's Shore Comprehensive Treatment Center, , Open

Board Certified: CARF Accredited

,

,

Medical School:

Residency:

Monona, WI

Tellurian Outpatient Clinic

5900 Monona Dr, Ste 300

(608) 442-4333

Monona, WI 53716

Adult Addictions Program Practice Status:

Tellurian Outpatient Clinic, , Open

Board Certified:

,

,

Medical School:

Residency:

Monroe, WI

Monroe Manor

516 26th Ave

(608) 325-9141

Monroe, WI 53566

Skilled Nursing Facility Practice Status:

Monroe Manor Nursing & Rehabilitation Center, , Open

Board Certified: Not Accredited

Not Applicable,

Not Applicable,

Medical School:

Residency:

Premier Oral & Maxillofacial Surgery

1005 16th Ave

(608) 325-7177

Monroe, WI 53566

Oral & Maxillofacial Surgery Practice Status:

Kuerschner, Thomas, DDS Open

Board Certified: American Board of Oral & Maxillofacial Surgery

Marquette Univ School of Dentistry, Milwaukee, WI

Univ of Louisville, Louisville, KY

Medical School:

Residency:

Meister, Richard, DDS Open

Board Certified: American Board of Oral & Maxillofacial Surgery

Marquette Univ School of Dentistry, Milwaukee, WI

Hosp of St Raphael, New Haven, CT

Medical School:

Residency:

Swantek, Jason, DDS Open

Board Certified: American Board of Oral & Maxillofacial Surgery

UIC College of Dentistry, Chicago, IL

Woodhull Medical Center, Brooklyn, NY

Medical School:

Residency:

Oconomowoc, WI

Rogers Memorial Hospital - Oconomowoc

34700 Valley Rd

(800) 767-4411

Oconomowoc, WI 53066

Adult Addictions Program Practice Status:

Rogers Memorial Hospital - Oconomowoc, , Adult

Board Certified: The Joint Commission

Not Applicable,

Not Applicable,

Medical School:

Residency:

Child & Adolescent Mental Health

ProgramPractice Status:

Rogers Memorial Hospital - Oconomowoc, , Child & Adolescent

Board Certified: The Joint Commission

Not Applicable,

Not Applicable,

Medical School:

Residency:

Racine, WI

Racine Comprehensive Treatment Center

5735 Durand Ave, Ste A

(262) 598-1392

Racine, WI 53406

Methadone Clinic Practice Status:

Racine Comprehensive Treatment Center, , Open

Board Certified: Council on Accreditation

,

,

Medical School:

Residency:

Sheboygan, WI

Sheboygan Comprehensive Treatment Center

2842 S Business Dr

(920) 458-6527

Sheboygan, WI 53081

Methadone Clinic Practice Status:

Sheboygan Comprehensive Treatment Center, , Open

Board Certified: Council on Accreditation

,

,

Medical School:

Residency:

Waterloo, WI

WRMC Waterloo Clinic

111 Anna St

(920) 478-3776

Waterloo, WI 53594

Advanced Practice Nurse Prescriber Practice Status:

Howard, Karen, APNP Open

Board Certified: National Certification Corporation (Women's Health Care Nurse Practitioner)Mt. Senario Collge, Ladysmith, WI

,

Medical School:

Residency:

Family Medicine Practice Status:

Siragusa, Jenifer, DO Open

Board Certified: American Board of Family Medicine

Arizona College of Osteopathic Medicine - Midwestern Univ, Glendale, AZ

St. Luke's Family Practice, Milwaukee, WI

Medical School:

Residency:

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Obstetrics and Gynecology Practice Status:

Nguyen, VanLy, MD Open

Board Certified: American Board of Obstetrics and Gynecology

Univ of Arkansas for Medical Sciences, Little Rock, AR

Cooper Univ Hospital UMDNJ, Camden, NJ

Medical School:

Residency:

Orthopedic Surgery Practice Status:

Rhodes, Steven, MD Open

Board Certified: American Board of Orthopaedic Surgery

Loyola Univ of Chicago Stritch School of Medicine, Chicago, IL

Medical College of Wisconsin, Milwaukee, WI

Medical School:

Residency:

Physician Assistant Practice Status:

Laurent, Allison, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Univ of Colorado, Denver, CO

,

Medical School:

Residency:

Marsden, (Gordon) Roy, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Univ of Wisconsin, Madison, WI

,

Medical School:

Residency:

Watertown, WI

Central Otologic, LTD

123 Hospital Dr, Ste 106A

(920) 261-0226

Watertown, WI 53098

Otolaryngology Practice Status:

Janowak, Michael, MD Open

Board Certified: American Board of Otolaryngology

Loyola Univ of Chicago Stritch School of Medicine, Chicago, IL

Med College of Wisconsin, Affiliated Hospitals, Milwaukee, WI

Medical School:

Residency:

Martinelli, Dean, MD Open

Board Certified: American Board of Otolaryngology

Loyola Univ of Chicago Stritch School of Medicine, Chicago, IL

Milwaukee County General Hosp,

Medical School:

Residency:

Directions Counseling Center

129 Hospital Dr

(920) 262-4800

Watertown, WI 53098

Behavioral Health Clinic Practice Status:

Directions Counseling Center, ,

Board Certified: Not Applicable

,

,

Medical School:

Residency:

Clinical Substance Abuse Counselor Practice Status:

Johnson, LeEllen, CSAC Open

Board Certified: Not Applicable

Walden Univ, Minneapolis, MN

,

Medical School:

Residency:

Licensed Clinical Social Worker Practice Status:

Loescher, Janell, LCSW Open

Board Certified: Not Applicable

Univ of Wisconsin Milwaukee, Milwaukee, WI

,

Medical School:

Residency:

Licensed Clinical Social Worker Practice Status:

O'Neill, Kathleen, LCSW Open

Board Certified: Not Applicable

Not Applicable,

Not Applicable,

Medical School:

Residency:

Peters, Christopher, LCSW Open

Board Certified: Not Applicable

Not Applicable,

Not Applicable,

Medical School:

Residency:

Psychology Practice Status:

Beaver, Erik, PhD Open

Board Certified: Not Applicable

Northern IL Univ, Dekalb, IL

Not Applicable,

Medical School:

Residency:

Fort HealthCare Ear, Nose and Throat Specialists

125 Hospital Dr

(920) 563-6667

Watertown, WI 53098

Otolaryngology Practice Status:

Anderson, Michael, MD Open

Board Certified: American Board of Otolaryngology

Univ of Wisconsin, Madison, WI

Indiana University, Indianapolis, IN

Medical School:

Residency:

Hofmann, William, MD Open

Board Certified: American Board of Otolaryngology

Univ of Cincinnati College of Medicine, Cincinnati, OH

Indiana Univ Medical Center, Indianapolis, IN

Medical School:

Residency:

Luedtke-Storm-Mackey Chiropractic Clinic

808 E Main St

(920) 206-7959

Watertown, WI 53094

Chiropractic Practice Status:

Horkan, Jeffrey, DC Open

Board Certified: Not Applicable

Palmer College of Chiropractic, Davenport, IA

,

Medical School:

Residency:

Tesch, Todd, DC Open

Board Certified: Not Applicable

Palmer College of Chiropractic, Davenport, IA

Not Applicable,

Medical School:

Residency:

Meade Medical Clinic

134 Hospital Dr

(920) 261-6500

Watertown, WI 53098

Advanced Practice Nurse Prescriber Practice Status:

Beyer, Jan, APNP Open

Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

Univ of Wisconsin Oshkosh, Oshkosh, WI

,

Medical School:

Residency:

Family Medicine Practice Status:

Meade, James, MD Open

Board Certified: American Board of Family Medicine

Univ of Wisconsin Medical School, Madison, WI

Harrisburg Hospital, Harrisburg, PA

Medical School:

Residency:

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Pediatrics Practice Status:

Hayes, Kevin, DO Open

Board Certified: American Board of Pediatrics

Des Moines Univ, Des Moines, IA

Univ of Wisconsin, Madison, WI

Medical School:

Residency:

Martin, Scott, MD Open

Board Certified: American Board of Pediatrics

Univ of Wisconsin School of Medicine, Madison, WI

Marshfield Clinic/St. Joseph's Hospital, Marshfield, WI

Medical School:

Residency:

Meade, Jeffrey, MD Open

Board Certified: American Board of Pediatrics

Univ of Wisconsin Medical School, Madison, WI

Mercy Hospital of Pittsburgh, Pittsburgh, PA

Medical School:

Residency:

Physician Assistant Practice Status:

Fields, Dana, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Marquette University, Milwaukee, WI

,

Medical School:

Residency:

Philip M. Marden, MD, SC

123 Hospital Dr, Ste 212-East

(920) 261-3898

Watertown, WI 53098

Pediatrics Practice Status:

Marden, Philip, MD Open

Board Certified: American Board of Pediatrics

Univ of Wisconsin, Madison, WI

University of Minnesota, Minneapolis, MN

Medical School:

Residency:

PMRis, SC - Watertown

123 Hospital Dr, Ste 2004

(877) 337-6747

Watertown, WI 53098

Physical Medicine & Rehabilitation Practice Status:

Fowler, William, MD Open

Board Certified: American Board of Physicial Medicine and Rehabilitation

Univ of North Dakota School of Medicine, Grand Forks, ND

Univ of Minnesota Hospital & Clinics, Minneapolis, MN

Medical School:

Residency:

Regional Gen & Vascular Surgeons

123 Hospital Dr

(920) 261-5101

Watertown, WI 53098

Surgery Practice Status:

Markus, Stanley, MD Open

Board Certified: American Board of Surgery

Wright State Univ, Dayton, OH

Mt. Carmel Hospital,

Medical School:

Residency:

Pangallo, Cynthia, MD Open

Board Certified: American Board of Surgery

Univ of Wisconsin, Madison, WI

Hospital of St. Raphael, New Haven, CT

Medical School:

Residency:

Stoddard, Emily, MD Open

Board Certified: American Board of Surgery

Univ of Wisconsin Medical School, Madison, WI

Univ of Wisconsin Hospital and Clinics, Madison, WI

Medical School:

Residency:

Richard Neils, MD Office

123 Hospital Dr, Ste 106

(920) 261-4143

Watertown, WI 53098

Dermatology Practice Status:

Neils, Richard, MD Open

Board Certified: American Board of Dermatology AND American Board of Internal

MedicineUniv of Minnesota, Minneapolis, MN

Roger Williams General Hosp, Providence, RI

Medical School:

Residency:

Rock River Foot & Ankle Clinic

101 Oakridge Court, Ste A

(920) 261-9610

Watertown, WI 53094

Podiatry Practice Status:

Eckerman, Christopher, DPM Open

Board Certified: American Board of Foot and Ankle Surgery

Dr. William Scholl College of Podiatric Medicine, North Chicago, IL

Thoreck Hospital, Chicago, IL

Medical School:

Residency:

Graglia, Greg, DPM Open

Board Certified: American Board Foot and Ankle Surgery (Foot Surgery)

Scholl College of Podiatric Medicine, North Chicago, IL

VA Salt Lake City Health Care Systems, Salt Lake City, UT

Medical School:

Residency:

Soderstrom, Victor, DPM Open

Board Certified: American Board of Podiatric Surgery (Foot and Ankle Surgery)

Illinois College of Podiatric Medicine, Chicago, IL

Northwest General Hospital, Milwaukee, WI

Medical School:

Residency:

Yaeggi, Brent, DPM Open

Board Certified: American Board of Foot and Ankle Surgery (Foot Surgery)

Scholl College of Podiatric Medicine, Chicago, IL

Covenant Medical Center, Waterloo, IA

Medical School:

Residency:

Turke Family Medicine, S.C.

132 Hospital Dr

(920) 261-2020

Watertown, WI 53098

Family Medicine Practice Status:

Turke, Terry, MD Open

Board Certified: American Board of Family Medicine

Univ of Wisconsin Medical School, Madison, WI

Univ of Wisconsin Affiliated Hospitals, Madison, Wi

Medical School:

Residency:

Physician Assistant Practice Status:

Erickson, Kristin, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Univ of St. Francis, Fort Wayne, IN

,

Medical School:

Residency:

Watertown Family Practice Associates, SC

127 Hospital Dr

(920) 261-8500

Watertown, WI 53098

Advanced Practice Nurse Prescriber Practice Status:

Angove, Jessica, APNP Open

Board Certified: American Nurses Credentialing Center (Adult-Gerontology Primary Care

Nurse Practitioner)Marquette Univ, Milwaukee, WI

,

Medical School:

Residency:

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Advanced Practice Nurse Prescriber Practice Status:

Cantwell-Durand, Andrea, APNP Open

Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

Univ of Wisconsin College of Nursing, Milwaukee, WI

,

Medical School:

Residency:

Family Medicine Practice Status:

Basarich, John, MD Open

Board Certified: American Board of Family Medicine (Hospice & Palliative Medicine)

Medical College of Wisconsin, Milwaukee, WI

Univ of Wisconsin Dept of Family Medicine, Madison, WI

Medical School:

Residency:

Cochrane, Bruce, MD Open

Board Certified: American Board of Family Medicine

Chicago Medical School, Chicago, IL

Southern Illiniois Univ School of Medicine, Springfield, IL

Medical School:

Residency:

Golden, Leslie, MD Open

Board Certified: American Board of Family Medicine

Ross Univ School of Medicine, Dominica West Indies

Greenville Memorial Hospital, Greenville, SC

Medical School:

Residency:

LeGrow, Robert, MD Open

Board Certified: American Board of Family Medicine

Univ of Texas Medical School, Houston, TX

Memorial Family Medicine Residency Program, South Bend, IN

Medical School:

Residency:

Sullivan, Michael, MD Open

Board Certified: American Board of Family Medicine

Univ of Illinois College of Medicine at Rockford,

Memorial Family Practice Residency, South Bend, IN

Medical School:

Residency:

Tonelli, Danielle, DO Open

Board Certified: American Board of Family Medicine

Chicago College of Osteopathic Medicine, Chicago, IL

Aurora St. Luke's Family Practice Residency, Milwaukee, WI

Medical School:

Residency:

Physician Assistant Practice Status:

Busalacchi, Rachel, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Marquette Univ, Milwaukee, WI

,

Medical School:

Residency:

Howard, Alysia, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Univ of Wisconsin - Madison, Madison, WI

,

Medical School:

Residency:

Ventura, Margaret, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Marquette Univ, Milwaukee, WI

,

Medical School:

Residency:

Watertown Regional Medical Center, LLC

125 Hospital Dr

(920) 261-4210

Watertown, WI 53098

Hospital Practice Status:

Watertown Regional Medical Center, , Open

Board Certified: The Joint Commission

Not Applicable,

Not Applicable,

Medical School:

Residency:

WRMC Center for Eye Care

123 Hospital Dr, Ste 1002

(920) 261-8225

Watertown, WI 53098

Ophthalmology Practice Status:

Boush, George, MD Open

Board Certified: American Board of Ophthalmology

Univ of Wisconsin, Madison, WI

Univ of Wisconsin Hospital & Clinics, Madison, WI

Medical School:

Residency:

Met, Jay, MD Open

Board Certified: American Board of ophthalmology

Albert Einstein College of Medicine, Bronx, NY

New York Eye & Ear Infirmary, New York, NY

Medical School:

Residency:

Sullivan, Sheila, DO Open

Board Certified: Not Board Certified

DesMoines Univ, College of Osteopathic Medicine, Des Moines, IA

Philadeplphia College of Osteopathic Medicine, Philadelphia, PA

Medical School:

Residency:

Van Hecke, Holly, MD Open

Board Certified: American Board of Ophthalmology

Univ of Illinois College of Medicine, Chicago, IL

Univ of Illinois Eye & Ear Infirmary, Chicago, IL

Medical School:

Residency:

Optometry Practice Status:

Anslinger, John, OD Open

Board Certified: Not Applicable

Indiana Univ, Indiana

Not Applicable,

Medical School:

Residency:

Roberson, Daniel, OD Open

Board Certified: Not Applicable

New England College of Optometry, Boston, MA

Captain James A. Lovell Federal Health Care Center, N. Chicago, IL

Medical School:

Residency:

WRMC Center for Women's Health

128 Hospital Dr

(920) 262-4825

Watertown, WI 53098

Advanced Practice Nurse Prescriber Practice Status:

Howard, Karen, APNP Open

Board Certified: National Certification Corporation (Women's Health Care Nurse

Practitioner)Mt. Senario Collge, Ladysmith, WI

,

Medical School:

Residency:

Obstetrics and Gynecology Practice Status:

DeJong, Julie, MD Open

Board Certified: American Board of Obstetrics and Gynecology

Univ of Wisconsin, Madison, WI

Univ of Iowa Hospital and Clinics, Iowa City, IA

Medical School:

Residency:

Nguyen, VanLy, MD Open

Board Certified: American Board of Obstetrics and Gynecology

Univ of Arkansas for Medical Sciences, Little Rock, AR

Cooper Univ Hospital UMDNJ, Camden, NJ

Medical School:

Residency:

Siddiqui, Danish, MD Open

Board Certified: American Board of Obstetrics and Gynecology

Aga Khan Medical College, Karachi, Pakistan

Bridgeport Hospital, Bridgeport, CT

Medical School:

Residency:

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Urology Practice Status:

Sokovich, Ronald, MD Open

Board Certified: American Board of Urology

Southern Illinois Univ School of Medicine, Springfield, IL

URO Rush Medical Center, Chicago, IL

Medical School:

Residency:

WRMC Doctors Court Clinic

1507 Doctors Ct

(920) 261-4111

Watertown, WI 53094

Advanced Practice Nurse Prescriber Practice Status:

Brown, Casey, APNP Open

Board Certified: American Nurses Credentialing Center (Adult-Gerontology Primary Care Nurse)Marquette Univ, Milwaukee, WI

,

Medical School:

Residency:

Family Medicine including Obstetrics Practice Status:

Grajewski, Michael, MD Open

Board Certified: American Board of Family Medicine

Univ of Wisconsin Medical School, Madison, WI

Univ of Missouri, Kansas City, MO

Medical School:

Residency:

Internal Medicine Practice Status:

Samdani, Moazam Jah, MD Open

Board Certified: American Board of Internal Medicine

Liaquat Medical College, Pakistan,

Louis A. Weiss Mem Hosp,, Chicago, IL

Medical School:

Residency:

Physician Assistant Practice Status:

Barnett, Sarah, PA-C Open

Board Certified: National Commission on Certification of Physican Assistants

Marquette University, Milwaukee, WI

Not Applicable,

Medical School:

Residency:

Kolkovich, Cheryl, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Finch Univ of Health Sciences, The Chicago Medical School, North Chicago, ILNot Applicable,

Medical School:

Residency:

Suwanabol, Promporn (June), PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Univ of Wisconsin-Madison Physician Assistant Program, Madison, WI

,

Medical School:

Residency:

WRMC Heart & Vascular Center

125 Hospital Dr

(920) 262-4434

Watertown, WI 53098

Advanced Practice Nurse Prescriber Practice Status:

Lambrecht, Shauna, APNP Open

Board Certified: American Academy of Nurse Practitioners (Family Nurse Practitioner)

Concordia Univ, Mequon, WI

,

Medical School:

Residency:

Price, Teresa, APNP Open

Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

Alverno College, Milwaukee, WI

,

Medical School:

Residency:

Raatz, Healther, APNP Open

Board Certified: Not Board Certified

Univ of Cincinnati, Cincinnatio, OH

,

Medical School:

Residency:

Cardiology Practice Status:

Cullinane, David, MD Open

Board Certified: American Board of Internal Medicine (Cardiovascular Disease)

UW Medical School, Madison, WI

Medical College of Wisconsin Hospital & Clinics, Milwaukee, WI

Medical School:

Residency:

WRMC Hospital Drive Clinic

123 Hospital Dr, Ste 2009

(920) 262-9833

Watertown, WI 53098

Physician Assistant Practice Status:

Laurent, Allison, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Univ of Colorado, Denver, CO

,

Medical School:

Residency:

WRMC Orthopedics and Sports Medicine

123 Hospital Dr, Ste 1008

(920) 206-6500

Watertown, WI 53098

Advanced Practice Nurse Prescriber Practice Status:

Damon, Rachel, APNP Open

Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

Univ of Wiscons - Oshkosh, Oshkosh, WI

,

Medical School:

Residency:

Weiss, Emily, APNP Open

Board Certified: American Nurses Credentialing Center (Adult-Gerontology Acute Care Nurse Practitioner)Marquette Univ, Milwaukee, WI

,

Medical School:

Residency:

Orthopedic Surgery Practice Status:

O'Halloran, Kevin, MD Open

Board Certified: American Board of Orthopaedic Surgery

Univ of Illinois College of Medicine, Chicago, IL

Rush-Presbyterian-St. Lukes,, Chicago, Il

Medical School:

Residency:

Rhodes, Steven, MD Open

Board Certified: American Board of Orthopaedic Surgery

Loyola Univ of Chicago Stritch School of Medicine, Chicago, IL

Medical College of Wisconsin, Milwaukee, WI

Medical School:

Residency:

Roman, Terry, DO Open

Board Certified: Not Board Certified

A.T. Still University, Kirksville, MO

Michigan State University, Grand Blanc, MI

Medical School:

Residency:

Physician Assistant Practice Status:

Lentscher, Luke, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Midwestern Univ, Downers Grove, IL

,

Medical School:

Residency:

WRMC Pulmonology Center

123 Hospital Dr, Ste 2009

(920) 262-4560

Watertown, WI 53098

Pulmonary Disease Practice Status:

Bawaadam, Hasnain, MD Open

Board Certified: American Board of Internal Medicine (Pulmonary Disease) (Critical Care Medicine)Grant Medical College, Bombay, India

West Suburban Medical Center, Oak Park, IL

Medical School:

Residency:

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Pulmonary Disease Practice Status:

Eyzaguirre, Arturo, MD Open

Board Certified: American Board of Internal Medicine (Pulmonary Disease) (Critical Care

Medicine)Alberto Hurtado Medical School, Lima, Peru

Henry Ford Hospital, Detroit, MI

Medical School:

Residency:

Lisi, Paul, DO Open

Board Certified: American Board of Internal Medicine (Pulmonary Disease) (Critical Care

Medicine)Des Moines Univ - College of Osteopathic Medicine, Des Moines, IA

Medical College of Wisconsin, Milwaukee, WI

Medical School:

Residency:

Mathai, Mathew, MD Open

Board Certified: American Board of Internal Medicine (Pulmonary Disease) (Critical Care Medicine)American Univ of the Caribbean, Plymouth Montserrat British West Indies

,

Medical School:

Residency:

Stuleanu, Florin, MD Open

Board Certified: American Board of Internal Medicine (Pulmonary Disease) (Sleep

Medicine)(Critical Care Medicine)Carol Davile Univ of Medicine & Pharmacy, Bucharest, Romania

The New York Flushing Hospital Medical Center/Cornell Univ, Flushing, NY

Medical School:

Residency:

Weber, Joseph, MD Open

Board Certified: American Board of Internal Medicine (Pulmonary Disease) (Critical Care

Medicine)The Ohio State Univ College of Medicine & Public Health, Columbus, OH

McGaw Medical Center of Northwestern Univ, Chicago, Il

Medical School:

Residency:

WRMC Urgent Care

125 Hospital De

(920) 262-4210

Watertown, WI 53098

Urgent Care Center Practice Status:

Watertown Regional Medical Center, , Open

Board Certified: The Joint Commission

Not Applicable,

Not Applicable,

Medical School:

Residency:

WRMC Urology Clinic

123 Hospital Dr, Ste 2006

(920) 261-1334

Watertown, WI 53098

Urology Practice Status:

Sokovich, Ronald, MD Open

Board Certified: American Board of Urology

Southern Illinois Univ School of Medicine, Springfield, IL

URO Rush Medical Center, Chicago, IL

Medical School:

Residency:

Waukesha, WI

Waukesha Comprehensive Treatment Center

2422 N Grandview Blvd

(262) 549-6600

Waukesha, WI 53188

Methadone Clinic Practice Status:

Waukesha Comprehensive Treatment Center, , Open

Board Certified: Council on Accreditation

,

,

Medical School:

Residency:

West Allis, WI

Rogers Memorial Hospital - West Allis

11101 West Lincoln Ave

(800) 767-4411

West Allis, WI 53227

Child & Adolescent Mental Health

ProgramPractice Status:

Rogers Memorial Hospital - West Allis, , Child & Adolescent

Board Certified: The Joint Commission

Not Applicable,

Not Applicable,

Medical School:

Residency:

Rogers Memorial Hospital - West Allis, , Child & Adolescent

Board Certified: The Joint Commission

Not Applicable,

Not Applicable,

Medical School:

Residency:

West Milwaukee, WI

West Milwaukee Comprehensive Treatment Center

1610 Miller Pkwy

(414) 672-3801

West Milwaukee, WI 53214

Methadone Clinic Practice Status:

West Milwaukee Comprehensive Treatment Center, , Open

Board Certified: Council on Accreditation

,

,

Medical School:

Residency:

Whitewater, WI

Fort HealthCare Center for Womens Health

1461 W Main St

(262) 473-8920

Whitewater, WI 53190

Advanced Practice Nurse Prescriber Practice Status:

Dedrick, Joyce, APNP Open

Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner)

Univ of Wisconsin, Madison, WI

Not Applicable,

Medical School:

Residency:

Obstetrics and Gynecology Practice Status:

Aguirre de Baker, Nancy, MD Open

Board Certified: American Board of Obstetrics and Gynecology

University of WI Madison, Madison, WI

University of WI Madison, Madison, WI

Medical School:

Residency:

Mokhtar, Julie, DO Open

Board Certified: American Board of Obstetrics and Gynecology

Univ of Osteopathic Medicine & Health Sciences, Des Moines, IA

Brooklyn Hospital Center, New York

Medical School:

Residency:

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Fort HealthCare Ear, Nose and Throat Specialists

1461 West Main St

(262) 473-4081

Whitewater, WI 53190

Otolaryngology Practice Status:

Hofmann, William, MD Open

Board Certified: American Board of Otolaryngology

Univ of Cincinnati College of Medicine, Cincinnati, OH

Indiana Univ Medical Center, Indianapolis, IN

Medical School:

Residency:

Fort HealthCare Internal Medicine & Pediatrics

1461 West Main St, Ste A

(262) 473-5888

Whitewater, WI 53190

Internal Medicine Practice Status:

Koenig, Laura, MD Open

Board Certified: American Board of Internal Medicine

Univ of Wisconsin, Madison, WI

Univ of Wisconsin Hospital & Clinics, Madison, WI

Medical School:

Residency:

Pediatrics Practice Status:

Lemon, Katherine, MD Open

Board Certified: American Board of Pediatrics

Univ of Wisconsin Medical School, Madison, WI

Univ of Wisconsin Medicl School, Madison, WI

Medical School:

Residency:

Fort HealthCare Urology Associates

1461 West Main St

(262) 473-7774

Whitewater, WI 53190

Urology Practice Status:

Kozler, Craig, MD Open

Board Certified: American Board of Urology

Michigan State University, East Lansing, MI

University of Michigan, Ann Arbor, MI

Medical School:

Residency:

Luedtke-Storm-Mackey Chiropractic Clinic

1173 West Main St, Ste B

(262) 753-0017

Whitewater, WI 53190

Chiropractic Practice Status:

Tesch, Todd, DC Open

Board Certified: Not Applicable

Palmer College of Chiropractic, Davenport, IA

Not Applicable,

Medical School:

Residency:

Weyenberg, Ryan, DC Open

Board Certified: Not Applicable

Northwestern College of Chiropractic, Minneapolis, MN

,

Medical School:

Residency:

Mercyhealth Behavioral Health Clinic - Whitewater

507 W Main St

(608) 756-5555

Whitewater, WI 53190

Behavioral Health Clinic Practice Status:

Mercyhealth Behavioral Health Clinic - Whitewater, ,

Board Certified: Not Applicable

,

,

Medical School:

Residency:

Clinical Substance Abuse Counselor Practice Status:

Winiecki, Adrienne, CSAC Open

Board Certified: Not Applicable

Indiana Univ Northwest, Gary, IN

,

Medical School:

Residency:

Licensed Clinical Social Worker Practice Status:

Kollmansberger, Benno, LPC, LCSW Open

Board Certified: Not Applicable

,

,

Medical School:

Residency:

Licensed Professional Counselor Practice Status:

Oczus, Alicia, LPC Open

Board Certified: Not Applicable

Univ of Wisconsin, Whitewater, WI

,

Medical School:

Residency:

Mercyhealth Whitewater

507 W Main St

(262) 473-0400

Whitewater, WI 53190

Family Medicine Practice Status:

Harris, Nancy, MD Open

Board Certified: American Board of Family Medicine

Univ of Texas Southwestern Medical Center, Dallas, TX

Commun Hospital, Indianapolis, IN

Medical School:

Residency:

Orthopedic Surgery Practice Status:

Lyon, Craig, MD Open

Board Certified: American Board of Orthopaedic Surgery

Rush Medical College, Chicago, Il

Univ of Iowa Hospitals & Clinics, Iowa City, IA

Medical School:

Residency:

Podiatry Practice Status:

Loch, Archibald, DPM Open

Board Certified: Not Board Certified

Rosalind Franklin Univ, North Chicago, IL

Massachusetts General Hospital, Boston, MA

Medical School:

Residency:

Mercyhealth Whitewater Urgent Care

507 W Main St

(262) 473-0401

Whitewater, WI 53190

Urgent Care Center Practice Status:

Mercyhealth Whitewater Urgent Care, ,

Board Certified: Not Applicable

Not Applicable,

Not Applicable,

Medical School:

Residency:

Rock River Foot & Ankle Clinic

1461 West Main St

(920) 563-2136

Whitewater, WI 53190

Podiatry Practice Status:

Graglia, Greg, DPM Open

Board Certified: American Board Foot and Ankle Surgery (Foot Surgery)

Scholl College of Podiatric Medicine, North Chicago, IL

VA Salt Lake City Health Care Systems, Salt Lake City, UT

Medical School:

Residency:

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Williams Bay, WI

Atrium Post Acute Care of Williams Bay

146 Clover St

(262) 245-6400

Williams Bay, WI 53191

Skilled Nursing Facility Practice Status:

Atrium Post Acute Care of Williams Bay , , Open

Board Certified: Not Accredited

,

,

Medical School:

Residency:

Mercyhealth Behavioral Health Clinic - Walworth

N2846 State Road 67

(262) 245-5608

Williams Bay, WI 53191

Advanced Practice Nurse Prescriber Practice Status:

Bunnell, Ann, APNP Open

Board Certified: American Nurses Credentialing Center (Child and Adolescent Mental Health),

,

Medical School:

Residency:

Behavioral Health Clinic Practice Status:

Mercyhealth Behavioral Health Clinic - Walworth, ,

Board Certified: Not Applicable

,

,

Medical School:

Residency:

Licensed Clinical Social Worker Practice Status:

DeGarmo, Karla, LCSW Open

Board Certified: Not Applicable

Univ of Wisconsin, Whitewater, WI

,

Medical School:

Residency:

Deller, Julia, LCSW Open

Board Certified: Not Applicable

Univ of Chicago, Chicago, IL

Not Applicable,

Medical School:

Residency:

Licensed Professional Counselor Practice Status:

Jedrzejczak, Darolyn, LPC Open

Board Certified: Not Applicable

,

,

Medical School:

Residency:

Littig, Karen, LPC Open

Board Certified: Not Applicable

,

,

Medical School:

Residency:

Rice, Julie, LPC Open

Board Certified: Not Applicable

,

,

Medical School:

Residency:

Psychiatry Practice Status:

Callison, (Sue) Ann, MD Open

Board Certified: American Board of Psychiatry and Neurology (Child & Adolescent Psychiatry)University of Arizona, Tucson, AZ

Univ. of Arizona, Tucson, AZ

Medical School:

Residency:

Algonquin, IL

Mercyhealth Algonquin

2401 Harnish Dr

(847) 458-5440

Algonquin, IL 60102

Otolaryngology Practice Status:

Cundiff, Jason, MD Open

Board Certified: American Board of Otolaryngology

Univ of Illinois at Chicago, Chicago, IL

Univ of Illinois at Chicago-Eye and Ear Infirmary, Chicago, IL

Medical School:

Residency:

Goodman, David, MD Open

Board Certified: American Board of Otolaryngology

State Univ of New York, Syracuse, NY

Univ of Illinois, Chicago, IL

Medical School:

Residency:

Livingston, Gary, MD Open

Board Certified: American Board of Otolaryngology

Loyola Stritch School of Med., Maywood, IL

Univ of Illinois, Chicago, IL

Medical School:

Residency:

Podiatry Practice Status:

Thorud, Jakob, DPM Open

Board Certified: American Board of Podiatric Medicine

Des Moines Univ, Des Moines, IA

Scott & White Memorial Hospital, Temple, TX

Medical School:

Residency:

Barrington, IL

Mercyhealth Barrington

500 W Hwy 22

(847) 381-3000

Barrington, IL 60010

Allergy & Immunology Practice Status:

Vemuri, Preeti, MD Open

Board Certified: American Board of Allergy and Immunology AND American Board of

Internal MedicineBoston Univ School of Medicine, Boston, MA

McGaw Medical Center of Northwestern Univ, Chicago, IL

Medical School:

Residency:

Neurology Practice Status:

Dave, Amarish, DO Open

Board Certified: American Board of Psychiatry and Neurology

Chicago College of Osteopathic Medicine, Downers Grove, IL

University of Illinois at Chicago, Chicago, IL

Medical School:

Residency:

Otolaryngology Practice Status:

Cundiff, Jason, MD Open

Board Certified: American Board of Otolaryngology

Univ of Illinois at Chicago, Chicago, IL

Univ of Illinois at Chicago-Eye and Ear Infirmary, Chicago, IL

Medical School:

Residency:

Goodman, David, MD Open

Board Certified: American Board of Otolaryngology

State Univ of New York, Syracuse, NY

Univ of Illinois, Chicago, IL

Medical School:

Residency:

Livingston, Gary, MD Open

Board Certified: American Board of Otolaryngology

Loyola Stritch School of Med., Maywood, IL

Univ of Illinois, Chicago, IL

Medical School:

Residency:

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Rheumatology Practice Status:

Frank, Benjamin, MD Open

Board Certified: American Board of Internal Medicine (Rheumatology)

Univ of Chicago Pritzker School of Medicine, Chicago, IL

Lutheran General Hospital, Park Ridge, IL

Medical School:

Residency:

Belvidere, IL

Crusader Community Health - Belvidere

1050 Logan Ave

(815) 547-0282

Belvidere, IL 61108

Advanced Practice Nurse Practice Status:

Benters, Jennifer, APN Open

Board Certified: Pediatric Nursing Certification Board (Certified Pediatric Nurse

Practitioner - Primary Care)Univ of Illinois at Chicago, Chicago, IL

,

Medical School:

Residency:

Family Medicine Practice Status:

Okeson, Edwin, MD Open

Board Certified: American Board of Family Medicine

Northwestern Univ Medical School, Chicago, IL

Rockford Medical Education Foundation UIC, Rockford, IL

Medical School:

Residency:

Licensed Clinical Professional

CounselorPractice Status:

Pottinger, Sara, LCPC Open

Board Certified: Not Applicable

Northern Illinois Univ, DeKalb, IL

,

Medical School:

Residency:

Licensed Clinical Social Worker Practice Status:

Geiselhart, Christina, LCSW Open

Board Certified: Not Applicable

Univ of Illinois at Chicago, Chicago, IL

,

Medical School:

Residency:

Nurse-Midwife Practice Status:

Dobson, Jennifer, CNM Open

Board Certified: American Midwifery Certification Board

Marquette Univ, Milwaukee, WI

,

Medical School:

Residency:

Hestrup, Amanda, CNM Open

Board Certified: American Midwifery Certification Board

Univ of Illinois at Chicago, Chicago, IL

,

Medical School:

Residency:

Keeney, Renee, CNM Open

Board Certified: American Midwifery Certification Board

Marquette Univ, Milwaukee, WI

,

Medical School:

Residency:

Oerkfitz, Jennifer, CNM Open

Board Certified: American Midwifery Certification Board

Univ of Illinois at Chicago, Chicago, IL

,

Medical School:

Residency:

Osborne, Victoria, CNM Open

Board Certified: American Midwifery Certification Board

Univ of Illinois - Chicago, Chicago, IL

,

Medical School:

Residency:

Nurse-Midwife Practice Status:

Rehberg, Stephanie, CNM Open

Board Certified: American Midwifery Certification Board

Marquette Univ, Milwaukee, WI

,

Medical School:

Residency:

Obstetrics and Gynecology Practice Status:

Al Khabbaz, Antoun, MD Open

Board Certified: American Board of Obstetrics and Gynecology

American Univ of Beirut, New York, NY

Union Memorial Hospital, Baltimore, MD

Medical School:

Residency:

Arynova, Bakytbubu, MD Open

Board Certified: Not Board Certified

Ege Univ, Izmir, Turkey

Mount Sinai Hospital Medical Center, Chicago, IL

Medical School:

Residency:

Edwards, Vernee, MD Open

Board Certified: Not Board Certified

St. Georges Univ, School of Medicine, Great River, NY

Maimonides Medical Center, Brooklyn, NY

Medical School:

Residency:

Nanabawa, Zakera, MD Open

Board Certified: American Board of Obstetrics and Gynecology

St. Matthews Univ, Orlando, FL

Central Michigan Univ, Saginaw, MI

Medical School:

Residency:

Mercyhealth Belvidere

1747 Henry Luckow Ln

(815) 971-3030

Belvidere, IL 61008

Family Medicine Practice Status:

Phoenix, James, MD Open

Board Certified: American Board of Family Medicine

Springfield Illinois Univ, Springfield, IL

UIC-Rockford, Rockford, IL

Medical School:

Residency:

Sandoval, William, MD Open

Board Certified: American Board of Family Medicine

San Carlos de Guatamala Univ, Guatemala City, Guatemala

Chicago Medical School, North Chicago, IL

Medical School:

Residency:

Ulmer, Meredith, DO Open

Board Certified: American Osteopathic Board of Family Medicine/OMT

Michigan State Univ, East Lansing, MI

Resurrection Hospital, Chicago, IL

Medical School:

Residency:

Remedies Renewing Lives - Belividere

2028 N State St

(815) 547-4502

Belvidere, IL 61108

Adult Addictions Program Practice Status:

Remedies Renewing Lives - Belvidere, , Open

Board Certified: The Joint Commission

,

,

Medical School:

Residency:

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Byron, IL

Mercyhealth Byron

130 Kysor Dr

(815) 971-3000

Byron, IL 61010

Family Medicine Practice Status:

Ansari, Mohammed Sajid, MD Open

Board Certified: American Board of Family Medicine

Deccan College of Medical Sciences, Hyderabad, India

SIU Family Practice Residency, Decatur, IL

Medical School:

Residency:

Gellada, Karen Imma, MD Open

Board Certified: American Board of Family Medicine

Univ of the Philippines - Manila, Ermita, Manila

Univ of Illinois College of Medicine at Peoria, Peoria, IL

Medical School:

Residency:

McFadden, Jeffrey, DO Open

Board Certified: American Board of Family Medicine

Kansas City Univ of Medicine and Biosciences, Kansas City, KS

Univ of Kansas Medical Center, Kansas City, KS

Medical School:

Residency:

Cherry Valley, IL

Drake Healthcare, SC

1860 S Bell School Rd

(815) 580-8270

Cherry Valley, IL 61016

Chiropractic Practice Status:

Drake, James, DC Open

Board Certified: Not Applicable

Palmer College of Chiropractic, Davenport, IA

,

Medical School:

Residency:

Jones Family Chiropractic, PC

706 E State St

(815) 332-5555

Cherry Valley, IL 61016

Chiropractic Practice Status:

Jones, Jason, DC Open

Board Certified: Not Applicable

National College of Chiropractic, Lombard, IL

,

Medical School:

Residency:

Crystal Lake, IL

Mercyhealth Crystal Lake Chiropractic

330 West Terra Cotta, Ste D

(815) 455-1751

Crystal Lake, IL 60014

Chiropractic Practice Status:

Gabbert, Rodney, DC Open

Board Certified: Not Applicable

Palmerc College of Chiropractic, Davenport, IA

,

Medical School:

Residency:

Mercyhealth Crystal Lake East

390 E Congress Pkwy, Ste M

(815) 455-0850

Crystal Lake, IL 60014

Advanced Practice Nurse Practice Status:

Ward, Ashley, APN Open

Board Certified: American Academy of Nurse Practitioners (Family Nurse Practitioner)

St. Joseph's College of Maine, Standish, ME

,

Medical School:

Residency:

Allergy & Immunology Practice Status:

Vemuri, Preeti, MD Open

Board Certified: American Board of Allergy and Immunology AND American Board of

Internal MedicineBoston Univ School of Medicine, Boston, MA

McGaw Medical Center of Northwestern Univ, Chicago, IL

Medical School:

Residency:

Otolaryngology Practice Status:

Cundiff, Jason, MD Open

Board Certified: American Board of Otolaryngology

Univ of Illinois at Chicago, Chicago, IL

Univ of Illinois at Chicago-Eye and Ear Infirmary, Chicago, IL

Medical School:

Residency:

Goodman, David, MD Open

Board Certified: American Board of Otolaryngology

State Univ of New York, Syracuse, NY

Univ of Illinois, Chicago, IL

Medical School:

Residency:

Livingston, Gary, MD Open

Board Certified: American Board of Otolaryngology

Loyola Stritch School of Med., Maywood, IL

Univ of Illinois, Chicago, IL

Medical School:

Residency:

Pulmonary Disease Practice Status:

Mehta, Daksha, MD Open

Board Certified: American Board of Internal Medicine (Pulmonary Disease) (Critical Care

Medicine)NHL Municipal Medical College, Guyarat, India

St. Francis Hospital, Evanston, IL

Medical School:

Residency:

Mercyhealth Crystal Lake OB/GYN

750 E Terra Cotta Ave, Ste B

(815) 459-1212

Crystal Lake, IL 60014

Certified Nurse Practitioner Practice Status:

Hepperlen, Christine, CNP Open

Board Certified: The National Certification Corporation (Women's Health Care Nurse Practitioner)The Catholic Univ of America, Washington, DC

Not Applicable,

Medical School:

Residency:

Mercyhealth Crystal Lake South

415 A Congress Pkwy, Ste E

(815) 356-7494

Crystal Lake, IL 60014

Family Medicine Practice Status:

Seneviratne, Krishanthi, MD Open

Board Certified: American Board of Family Medicine

Faculty of Medicine Univ of Kelaniya, Ragama, WP

Mount Sinai Hospital, Chicago, IL

Medical School:

Residency:

Shen, Emily, MD Open

Board Certified: American Board of Family Medicine

Beijing Medical University, Beijing, China

West Suburban Medical Center, Oak Park, IL 60302

Medical School:

Residency:

Gastroenterology Practice Status:

Hussain, Yasmin, MD Open

Board Certified: American Board of Internal Medicine (Gastroenterology)

Univ of Punjab Fatima Jinnah Medical College, Lahore, Pakistan

Loyola Univ Medical Center/Hines VA Hospital, Maywood, IL

Medical School:

Residency:

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Orthopedic Surgery Practice Status:

DeHaan, Paul, MD Open

Board Certified: American Board of Orthopaedic Surgery

Abraham Lincoln School of Medicine Univ of IL, Chicago, IL

Medical College of Wisconsin Affiliated Hospitals, Milwaukee, WI

Medical School:

Residency:

Physician Assistant Practice Status:

Larson, Don, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Rosalind Franklin Univ of Medicine & Science, North Chicago, IL

,

Medical School:

Residency:

Podiatry Practice Status:

Lisowsky, Mykola, DPM Open

Board Certified: American Board of Podiatric Medicine

Ohio College of Podiatric Medicine, Cleveland, OH

Loyola University Medical Center, Maywood, IL

Medical School:

Residency:

Rusthoven, Timothy, DPM Open

Board Certified: American Board of Lower Extremity Surgery

Dr. William M. Scholl College, Chicago, IL

Colmery-O'Neal Veterans Affairs Med Cntr, Topeka, KS

Medical School:

Residency:

PRA - Crystal Lake Office

350 Congress Pkwy, Ste C

(815) 356-5050

Crystal Lake, IL 60014

Licensed Clinical Professional

CounselorPractice Status:

Westerberg, Shane, LCPC Open

Board Certified: Not Applicable

Argosy Univ, Schaumburg, Il

,

Medical School:

Residency:

Harvard, IL

Mercyhealth at Home - Medical Equipment - Harvard

1819 N Division St

(815) 943-2071

Harvard, IL 60033

Durable Medical Equipment Supplier Practice Status:

Mercyhealth at Home - Medical Equipment - Harvard, , Open

Board Certified: Not Applicable

,

,

Medical School:

Residency:

Mercyhealth Harvard Hospital and Medical Center

901 Grant St

(815) 943-5431

Harvard, IL 60033

Emergency Department Practice Status:

Mercyhealth Harvard Hospital - Emergency, , Open

Board Certified: The Joint Commission

,

,

Medical School:

Residency:

Gastroenterology Practice Status:

Qazi, Baseer, MD Open

Board Certified: American Board of Internal Medicine (Gastroenterology)

Declan College of Medical Sciences, Hyderabad, India

Advocate Lutheran General Hospital, Park Ridge, IL

Medical School:

Residency:

Hospital Practice Status:

Mercyhealth and Medical Center - Harvard, , Open

Board Certified: The Joint Commission

Not Applicable,

Not Applicable,

Medical School:

Residency:

Surgery Practice Status:

Bryan, Douglas, MD Open

Board Certified: American Board of Surgery (Vascular Surgery)

State Univ of New York HSC & Brooklyn, Brooklyn, NY

Harlem Hospital Medical Center, New York, NY

Medical School:

Residency:

Mercyhealth Harvard Hospital Clinic

1001 Grant St

(815) 943-8090

Harvard, IL 60033

Cardiovascular Disease Practice Status:

Khemani, Anil, MD Open

Board Certified: American Board of Internal Medicine (Cardiovascular Disease)

Patna Med College, Patna, India

All India Inst of Med Sciences, New Delhi, India

Medical School:

Residency:

Ophthalmology Practice Status:

Rhee, Jung, MD Open

Board Certified: American Board of Ophthalmology

Univ of Chicago Pritzker School of Medicine, Chicago, IL

Texas Tech University Health Science Center, Lubbock, TX

Medical School:

Residency:

Orthopedic Surgery Practice Status:

DeHaan, Paul, MD Open

Board Certified: American Board of Orthopaedic Surgery

Abraham Lincoln School of Medicine Univ of IL, Chicago, IL

Medical College of Wisconsin Affiliated Hospitals, Milwaukee, WI

Medical School:

Residency:

Podiatry Practice Status:

Lisowsky, Mykola, DPM Open

Board Certified: American Board of Podiatric Medicine

Ohio College of Podiatric Medicine, Cleveland, OH

Loyola University Medical Center, Maywood, IL

Medical School:

Residency:

Pulmonary Disease Practice Status:

Balagani, Rajesh, DO Open

Board Certified: American Board of Internal Medicine (Pulmonary Disease)(Critical Care Medicine)Chicago College of Osteopathic Medicine, Midwestern Univ, Downers Grove, IL

Evanston Northwestern Hospital, Evanston, IL

Medical School:

Residency:

Mehta, Daksha, MD Open

Board Certified: American Board of Internal Medicine (Pulmonary Disease) (Critical Care

Medicine)NHL Municipal Medical College, Guyarat, India

St. Francis Hospital, Evanston, IL

Medical School:

Residency:

Surgery Practice Status:

Bryan, Douglas, MD Open

Board Certified: American Board of Surgery (Vascular Surgery)

State Univ of New York HSC & Brooklyn, Brooklyn, NY

Harlem Hospital Medical Center, New York, NY

Medical School:

Residency:

Greenberg, James, MD Open

Board Certified: American Board of Surgery

Univ of Missouri, Kansas City, MO

Loyola Univ Medical Center, Maywood, IL

Medical School:

Residency:

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Vascular Surgery Practice Status:

Bryan, Douglas, MD Open

Board Certified: American Board of Surgery (Vascular Surgery)

State Univ of New York HSC & Brooklyn, Brooklyn, NY

Harlem Hospital Medical Center, New York, NY

Medical School:

Residency:

Mercyhealth Harvard South

348 S Division St

(815) 943-1122

Harvard, IL 60033

Family Medicine Practice Status:

Khan-Mundozie, Viquar, MD Open

Board Certified: American Board of Family Medicine

Deccan College of Medical Sciences, Hyderabad, AP, India

St. Louis Univ School of Medicine, St. Louis, MO

Medical School:

Residency:

Virani, Shailesh, MD Open

Board Certified: American Board of Family Medicine

Mahatma Gandhi Mission's Medical College, India

Rush Copley Family Practice Residency, Aurora, IL

Medical School:

Residency:

Pediatrics Practice Status:

Castillo, Allen, MD Open

Board Certified: Not Board Certified

Univ of Santo Tomas, Manila, Philippines

Medical City Hospital, Manila, Philippines

Medical School:

Residency:

Mercyhealth Hospital and Medical Center - Harvard

901 Grant St

(815) 943-2961

Harvard, IL 60033

Skilled Nursing Facility Practice Status:

Mercyhealth Harvard Care Center, , Open

Board Certified: The Joint Commission

Not Applicable,

Not Applicable,

Medical School:

Residency:

Loves Park, IL

Budzynski Counseling Services, Inc

7124 Windsor Lake Parkway, #10

(815) 633-8688

Loves Park, IL 61111

Behavioral Health Clinic Practice Status:

Budzynski Counseling Services, Inc., , Open

Board Certified: Not Applicable

,

,

Medical School:

Residency:

Licensed Clinical Professional

CounselorPractice Status:

Budzynski, John, LCPC Open

Board Certified: Not Applicable

Trinity Evangelical Divinity School, Deerfield, IL

,

Medical School:

Residency:

Licensed Professional Counselor Practice Status:

Platzbecker, Karen, LPC Open

Board Certified: Not applicable

Northern Illinois Univ, DeKalb, IL

,

Medical School:

Residency:

Crusader Community Health - Loves Park

6115 N 2nd St

(815) 490-1600

Loves Park, IL 61111

Advanced Practice Nurse Practice Status:

Benters, Jennifer, APN Open

Board Certified: Pediatric Nursing Certification Board (Certified Pediatric Nurse

Practitioner - Primary Care)Univ of Illinois at Chicago, Chicago, IL

,

Medical School:

Residency:

Family Medicine Practice Status:

Miller, Kimberly, MD Open

Board Certified: American Board of Family Medicine

Univ of Minnesota Medical School - Twin Cities, Minneapolis, MN

Ball Memorial Family Medicine Residency, Muncie, IN

Medical School:

Residency:

Okeson, Edwin, MD Open

Board Certified: American Board of Family Medicine

Northwestern Univ Medical School, Chicago, IL

Rockford Medical Education Foundation UIC, Rockford, IL

Medical School:

Residency:

Oloriegbe, Fatimah, MD Open

Board Certified: American Board of Family Medicine

Univ of Ilorin, Kwara State, Nigeria

SIU Family Medicine Residency Program, Springfield, IL

Medical School:

Residency:

Licensed Clinical Professional

CounselorPractice Status:

Jarvi, Therese, LCPC Open

Board Certified: Not Applicable

Northern Illinois Univ, DeKalb, IL

,

Medical School:

Residency:

Pottinger, Sara, LCPC Open

Board Certified: Not Applicable

Northern Illinois Univ, DeKalb, IL

,

Medical School:

Residency:

Licensed Clinical Social Worker Practice Status:

Geiselhart, Christina, LCSW Open

Board Certified: Not Applicable

Univ of Illinois at Chicago, Chicago, IL

,

Medical School:

Residency:

Nurse-Midwife Practice Status:

Dobson, Jennifer, CNM Open

Board Certified: American Midwifery Certification Board

Marquette Univ, Milwaukee, WI

,

Medical School:

Residency:

Hestrup, Amanda, CNM Open

Board Certified: American Midwifery Certification Board

Univ of Illinois at Chicago, Chicago, IL

,

Medical School:

Residency:

Keeney, Renee, CNM Open

Board Certified: American Midwifery Certification Board

Marquette Univ, Milwaukee, WI

,

Medical School:

Residency:

Oerkfitz, Jennifer, CNM Open

Board Certified: American Midwifery Certification Board

Univ of Illinois at Chicago, Chicago, IL

,

Medical School:

Residency:

8/18/2017 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 38 of 57W9

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State of Wisconsin - 2018

Nurse-Midwife Practice Status:

Osborne, Victoria, CNM Open

Board Certified: American Midwifery Certification Board

Univ of Illinois - Chicago, Chicago, IL

,

Medical School:

Residency:

Rehberg, Stephanie, CNM Open

Board Certified: American Midwifery Certification Board

Marquette Univ, Milwaukee, WI

,

Medical School:

Residency:

Obstetrics and Gynecology Practice Status:

Al Khabbaz, Antoun, MD Open

Board Certified: American Board of Obstetrics and Gynecology

American Univ of Beirut, New York, NY

Union Memorial Hospital, Baltimore, MD

Medical School:

Residency:

Arynova, Bakytbubu, MD Open

Board Certified: Not Board Certified

Ege Univ, Izmir, Turkey

Mount Sinai Hospital Medical Center, Chicago, IL

Medical School:

Residency:

Edwards, Vernee, MD Open

Board Certified: Not Board Certified

St. Georges Univ, School of Medicine, Great River, NY

Maimonides Medical Center, Brooklyn, NY

Medical School:

Residency:

Nanabawa, Zakera, MD Open

Board Certified: American Board of Obstetrics and Gynecology

St. Matthews Univ, Orlando, FL

Central Michigan Univ, Saginaw, MI

Medical School:

Residency:

Geiger Psychiatric Care LLC

1752 Windsor Rd, Ste 203

(815) 986-1113

Loves Park, IL 61111

Advanced Practice Nurse Practice Status:

Zahrndt, Eve, APN Open

Board Certified: American Nurses Credentialing Center (Psychiatric - Mental Health Nurse Practitioner)Univ of Illinois - Chicago, Chicago, IL

Glenwood Associates, Rockford, IL

Medical School:

Residency:

Behavioral Health Clinic Practice Status:

Geiger Psychiatric Care LLC, , Open

Board Certified: Not Applicable

,

,

Medical School:

Residency:

Licensed Clinical Social Worker Practice Status:

Benedict, Janice, LCSW Open

Board Certified: Not Applicable

Aurora Univ, Aurora, IL

,

Medical School:

Residency:

Person, Bruce, LCSW Open

Board Certified: Not Applicable

Univ of Illinois at Urbana-Champaign, Urbana, IL

,

Medical School:

Residency:

Razbadouski, Susan, LCSW Open

Board Certified: Not Applicable

Univ of Illinois at Chicago, Chicago, IL

,

Medical School:

Residency:

Licensed Marriage & Family Therapist Practice Status:

Finnan, Kristi, LMFT Open

Board Certified: Not Applicable

Northern Illinois Univ, DeKalb, IL

,

Medical School:

Residency:

Licensed Professional Counselor Practice Status:

Nelson, Leila, LPC Open

Board Certified: Not Applicable

Argosy Univ, Schaumburg, IL

,

Medical School:

Residency:

Psychiatry Practice Status:

Geiger, Marianne, MD Open

Board Certified: American Board of Psychiatry and Neurology

Univ of North Dakota School of Medicine, Grand Forks, ND

Univ of Iowa Hospitals & Clinics, Iowa City, IA

Medical School:

Residency:

Mercyhealth Alpine

7702 N Alpine Rd

(815) 971-2000

Loves Park, IL 61111

Internal Medicine Practice Status:

Glovsky, Robert, MD Open

Board Certified: American Board of Internal Medicine

Boston Univ School of Medicine, Boston, MA

Univ of Massachusetts Medical Center, Worcester, MA

Medical School:

Residency:

Petersen, Kenneth, MD Open

Board Certified: American Board of Internal Medicine

Univ of Illinois College of Medicine, Rockford, IL

St. Joseph's Hospital & Medical Center, Phoenix, AZ

Medical School:

Residency:

Pediatrics Practice Status:

Kaskavage, Jillian, MD Open

Board Certified: American Board of Pediatrics

Univ of Illinois College of Medicine-Rockford, Rockford, IL

Johns Hopkins Hospital, Baltimore, MD

Medical School:

Residency:

Ortega, Romulo, MD Open

Board Certified: American Board of Pediatrics

Univ of Costa Rica, San Jose, Costa Rico

Univ of Illinois Chicago Medical Center, Chicago, IL

Medical School:

Residency:

Machesney Park, IL

Cornerstone Clinic Ltd

9721 N Alpine Rd

(815) 484-6300

Machesney Park, IL 61115

Advanced Practice Nurse Practice Status:

Carey, Rebekah, APN Open

Board Certified: National Certification Corporation (Women's Health Care Nurse Practitioner)Univ of Alabama, Tuscaloosa, AL

,

Medical School:

Residency:

Frisella, Brittany, APN Open

Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

Loyola Univ Chicago, Stritch School of Medicine, Maywood, IL

,

Medical School:

Residency:

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Obstetrics and Gynecology Practice Status:

Holbrook, Jodi, MD Open

Board Certified: American Board of Obstetrics and Gynecology

Univ of Iowa College of Medicine, Iowa City, IA

Univ of South Florida, Tampa, FL

Medical School:

Residency:

McHenry, IL

Mercyhealth Eye Center - McHenry

406 N Front St, Ste C

(815) 363-2021

McHenry, IL 60050

Ophthalmology Practice Status:

Rhee, Jung, MD Open

Board Certified: American Board of Ophthalmology

Univ of Chicago Pritzker School of Medicine, Chicago, IL

Texas Tech University Health Science Center, Lubbock, TX

Medical School:

Residency:

Mercyhealth Immediate Care - McHenry

3922 Mercy Dr

(815) 578-2020

McHenry, IL 60050

Immediate Care Center Practice Status:

Mercyhealth Immediate Care Center - McHenry, , Open

Board Certified: Not Applicable

Not Applicable,

Not Applicable,

Medical School:

Residency:

Mercyhealth McHenry

3922 Mercy Dr

(815) 344-4499

McHenry, IL 60050

Cardiovascular Disease Practice Status:

Khemani, Anil, MD Open

Board Certified: American Board of Internal Medicine (Cardiovascular Disease)

Patna Med College, Patna, India

All India Inst of Med Sciences, New Delhi, India

Medical School:

Residency:

Family Medicine Practice Status:

Ahmed, Muhammad, MD Open

Board Certified: American Board of Family Medicine

Dow Medical College, Karachi, Pakistan

SIU Decatur Family Medical Residency, Decatur, IL

Medical School:

Residency:

Hassan, Syed, MD Open

Board Certified: American Board of Family Medicine

Baqai Medical College, Karachi, Pakistan

MetroHealth Hospital Case Western Reserve Univ, Cleveland, OH

Medical School:

Residency:

Gastroenterology Practice Status:

Qazi, Baseer, MD Open

Board Certified: American Board of Internal Medicine (Gastroenterology)

Declan College of Medical Sciences, Hyderabad, India

Advocate Lutheran General Hospital, Park Ridge, IL

Medical School:

Residency:

Internal Medicine Practice Status:

Fojtik, Joseph, MD Open

Board Certified: American Board of Internal Medicine

Univ of Illinois, Chicago, IL

Northwestern Memorial Hospital, Chicago, IL

Medical School:

Residency:

Orthopedic Surgery Practice Status:

DeHaan, Paul, MD Open

Board Certified: American Board of Orthopaedic Surgery

Abraham Lincoln School of Medicine Univ of IL, Chicago, IL

Medical College of Wisconsin Affiliated Hospitals, Milwaukee, WI

Medical School:

Residency:

Otolaryngology Practice Status:

Cundiff, Jason, MD Open

Board Certified: American Board of Otolaryngology

Univ of Illinois at Chicago, Chicago, IL

Univ of Illinois at Chicago-Eye and Ear Infirmary, Chicago, IL

Medical School:

Residency:

Livingston, Gary, MD Open

Board Certified: American Board of Otolaryngology

Loyola Stritch School of Med., Maywood, IL

Univ of Illinois, Chicago, IL

Medical School:

Residency:

Physician Assistant Practice Status:

Larson, Don, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Rosalind Franklin Univ of Medicine & Science, North Chicago, IL

,

Medical School:

Residency:

Podiatry Practice Status:

Thorud, Jakob, DPM Open

Board Certified: American Board of Podiatric Medicine

Des Moines Univ, Des Moines, IA

Scott & White Memorial Hospital, Temple, TX

Medical School:

Residency:

Pulmonary Disease Practice Status:

Balagani, Rajesh, DO Open

Board Certified: American Board of Internal Medicine (Pulmonary Disease)(Critical Care

Medicine)Chicago College of Osteopathic Medicine, Midwestern Univ, Downers

Grove, IL

Evanston Northwestern Hospital, Evanston, IL

Medical School:

Residency:

Northbrook, IL

Autism Home Support Services, Inc.

5 Revere Dr, Ste 120

(844) 247-7222

Northbrook, IL 60062

Autism Treatment Practice Status:

Autism Home Support Services, Inc., , Open

Board Certified: Not Applicable

,

,

Medical School:

Residency:

Richmond, IL

Mercyhealth Richmond

9715 Prairie Ridge

(815) 678-4528

Richmond, IL 60071

Family Medicine Practice Status:

Hassan, Syed, MD Open

Board Certified: American Board of Family Medicine

Baqai Medical College, Karachi, Pakistan

MetroHealth Hospital Case Western Reserve Univ, Cleveland, OH

Medical School:

Residency:

8/18/2017 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 40 of 57W9

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State of Wisconsin - 2018

Rockford, IL

Ann James Counseling, LLC

1639 N Alpine Rd, Ste 204

(779) 423-0275

Rockford, IL 61107

Licensed Clinical Social Worker Practice Status:

DeRango, Peggy, LCSW Open

Board Certified: Not Applicable

Univ of Chicago, Chicago, IL

,

Medical School:

Residency:

James, Ann, LCSW Open

Board Certified: Not Applicable

Univ of St. Thomas, St. Paul, MN

,

Medical School:

Residency:

Turek, Marcy, LCSW Open

Board Certified: Not Applicable

Univ of Illinois at Urbana-Champaign, Urbana, IL

,

Medical School:

Residency:

Anthony B. D'Souza, MD

6072 Brynwood Dr, Ste 205

(815) 282-9606

Rockford, IL 61101

Psychiatry Practice Status:

D'Souza, Anthony, MD Open

Board Certified: American Board of Psychiatry and Neurology

R.G. Kar Medical College, Calcutta, India

Univ Hospitals & Clinics, Columbia, MO

Medical School:

Residency:

Caraotta Chiropractic Orthopedics

4921 E State St

(815) 398-4004

Rockford, IL 61108

Chiropractic Practice Status:

Caraotta, Jacob, DC Open

Board Certified: Not Applicable

National College of Chiropractic, Lombard, IL

,

Medical School:

Residency:

Cluchey, Agnieszka, DC Open

Board Certified: Not Applicable

National College of Chiropractic, Lombard, IL

,

Medical School:

Residency:

Micka, Nicholas, DC Open

Board Certified: Not Applicable

Palmer College of Chiropractic, Davenport, IA

,

Medical School:

Residency:

Myers, Lance, DC Open

Board Certified: Not Applicable

National College of Chiropractic, Lombard, IL

,

Medical School:

Residency:

Crusader Community Health - Broadway

1100 Broadway

(815) 490-1601

Rockford, IL 61104

Family Medicine Practice Status:

Miller, Kimberly, MD Open

Board Certified: American Board of Family Medicine

Univ of Minnesota Medical School - Twin Cities, Minneapolis, MN

Ball Memorial Family Medicine Residency, Muncie, IN

Medical School:

Residency:

Family Medicine Practice Status:

Okeson, Edwin, MD Open

Board Certified: American Board of Family Medicine

Northwestern Univ Medical School, Chicago, IL

Rockford Medical Education Foundation UIC, Rockford, IL

Medical School:

Residency:

Oloriegbe, Fatimah, MD Open

Board Certified: American Board of Family Medicine

Univ of Ilorin, Kwara State, Nigeria

SIU Family Medicine Residency Program, Springfield, IL

Medical School:

Residency:

Licensed Clinical Professional

CounselorPractice Status:

Pottinger, Sara, LCPC Open

Board Certified: Not Applicable

Northern Illinois Univ, DeKalb, IL

,

Medical School:

Residency:

Licensed Clinical Social Worker Practice Status:

Geiselhart, Christina, LCSW Open

Board Certified: Not Applicable

Univ of Illinois at Chicago, Chicago, IL

,

Medical School:

Residency:

Nurse-Midwife Practice Status:

Dobson, Jennifer, CNM Open

Board Certified: American Midwifery Certification Board

Marquette Univ, Milwaukee, WI

,

Medical School:

Residency:

Hestrup, Amanda, CNM Open

Board Certified: American Midwifery Certification Board

Univ of Illinois at Chicago, Chicago, IL

,

Medical School:

Residency:

Keeney, Renee, CNM Open

Board Certified: American Midwifery Certification Board

Marquette Univ, Milwaukee, WI

,

Medical School:

Residency:

Oerkfitz, Jennifer, CNM Open

Board Certified: American Midwifery Certification Board

Univ of Illinois at Chicago, Chicago, IL

,

Medical School:

Residency:

Osborne, Victoria, CNM Open

Board Certified: American Midwifery Certification Board

Univ of Illinois - Chicago, Chicago, IL

,

Medical School:

Residency:

Rehberg, Stephanie, CNM Open

Board Certified: American Midwifery Certification Board

Marquette Univ, Milwaukee, WI

,

Medical School:

Residency:

Obstetrics and Gynecology Practice Status:

Al Khabbaz, Antoun, MD Open

Board Certified: American Board of Obstetrics and Gynecology

American Univ of Beirut, New York, NY

Union Memorial Hospital, Baltimore, MD

Medical School:

Residency:

Arynova, Bakytbubu, MD Open

Board Certified: Not Board Certified

Ege Univ, Izmir, Turkey

Mount Sinai Hospital Medical Center, Chicago, IL

Medical School:

Residency:

8/18/2017 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 41 of 57W9

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State of Wisconsin - 2018

Obstetrics and Gynecology Practice Status:

Edwards, Vernee, MD Open

Board Certified: Not Board Certified

St. Georges Univ, School of Medicine, Great River, NY

Maimonides Medical Center, Brooklyn, NY

Medical School:

Residency:

Nanabawa, Zakera, MD Open

Board Certified: American Board of Obstetrics and Gynecology

St. Matthews Univ, Orlando, FL

Central Michigan Univ, Saginaw, MI

Medical School:

Residency:

Crusader Community Health - Pierpont

1002 N Pierpont Ave

(815) 490-1600

Rockford, IL 61101

Advanced Practice Nurse Practice Status:

Benters, Jennifer, APN Open

Board Certified: Pediatric Nursing Certification Board (Certified Pediatric Nurse

Practitioner - Primary Care)Univ of Illinois at Chicago, Chicago, IL

,

Medical School:

Residency:

Family Medicine Practice Status:

Miller, Kimberly, MD Open

Board Certified: American Board of Family Medicine

Univ of Minnesota Medical School - Twin Cities, Minneapolis, MN

Ball Memorial Family Medicine Residency, Muncie, IN

Medical School:

Residency:

Oloriegbe, Fatimah, MD Open

Board Certified: American Board of Family Medicine

Univ of Ilorin, Kwara State, Nigeria

SIU Family Medicine Residency Program, Springfield, IL

Medical School:

Residency:

Crusader Community Health - State Street

1200 W State St

(815) 490-1601

Rockford, IL 61102

Advanced Practice Nurse Practice Status:

Benters, Jennifer, APN Open

Board Certified: Pediatric Nursing Certification Board (Certified Pediatric Nurse

Practitioner - Primary Care)Univ of Illinois at Chicago, Chicago, IL

,

Medical School:

Residency:

Family Medicine Practice Status:

Miller, Kimberly, MD Open

Board Certified: American Board of Family Medicine

Univ of Minnesota Medical School - Twin Cities, Minneapolis, MN

Ball Memorial Family Medicine Residency, Muncie, IN

Medical School:

Residency:

Okeson, Edwin, MD Open

Board Certified: American Board of Family Medicine

Northwestern Univ Medical School, Chicago, IL

Rockford Medical Education Foundation UIC, Rockford, IL

Medical School:

Residency:

Oloriegbe, Fatimah, MD Open

Board Certified: American Board of Family Medicine

Univ of Ilorin, Kwara State, Nigeria

SIU Family Medicine Residency Program, Springfield, IL

Medical School:

Residency:

Licensed Clinical Professional

CounselorPractice Status:

Pottinger, Sara, LCPC Open

Board Certified: Not Applicable

Northern Illinois Univ, DeKalb, IL

,

Medical School:

Residency:

Ryall, Andrew, LCPC Open

Board Certified: Not Applicable

Southern New Hampshire Univ, New Hampshire, NH

,

Medical School:

Residency:

Licensed Clinical Social Worker Practice Status:

Geiselhart, Christina, LCSW Open

Board Certified: Not Applicable

Univ of Illinois at Chicago, Chicago, IL

,

Medical School:

Residency:

Nurse-Midwife Practice Status:

Dobson, Jennifer, CNM Open

Board Certified: American Midwifery Certification Board

Marquette Univ, Milwaukee, WI

,

Medical School:

Residency:

Hestrup, Amanda, CNM Open

Board Certified: American Midwifery Certification Board

Univ of Illinois at Chicago, Chicago, IL

,

Medical School:

Residency:

Keeney, Renee, CNM Open

Board Certified: American Midwifery Certification Board

Marquette Univ, Milwaukee, WI

,

Medical School:

Residency:

Oerkfitz, Jennifer, CNM Open

Board Certified: American Midwifery Certification Board

Univ of Illinois at Chicago, Chicago, IL

,

Medical School:

Residency:

Osborne, Victoria, CNM Open

Board Certified: American Midwifery Certification Board

Univ of Illinois - Chicago, Chicago, IL

,

Medical School:

Residency:

Rehberg, Stephanie, CNM Open

Board Certified: American Midwifery Certification Board

Marquette Univ, Milwaukee, WI

,

Medical School:

Residency:

Obstetrics and Gynecology Practice Status:

Al Khabbaz, Antoun, MD Open

Board Certified: American Board of Obstetrics and Gynecology

American Univ of Beirut, New York, NY

Union Memorial Hospital, Baltimore, MD

Medical School:

Residency:

Arynova, Bakytbubu, MD Open

Board Certified: Not Board Certified

Ege Univ, Izmir, Turkey

Mount Sinai Hospital Medical Center, Chicago, IL

Medical School:

Residency:

Edwards, Vernee, MD Open

Board Certified: Not Board Certified

St. Georges Univ, School of Medicine, Great River, NY

Maimonides Medical Center, Brooklyn, NY

Medical School:

Residency:

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Obstetrics and Gynecology Practice Status:

Nanabawa, Zakera, MD Open

Board Certified: American Board of Obstetrics and Gynecology

St. Matthews Univ, Orlando, FL

Central Michigan Univ, Saginaw, MI

Medical School:

Residency:

Dale Gray, MD SC

2829 Glenwood Ave

(815) 962-0633

Rockford, IL 61101

Internal Medicine Practice Status:

Gray, Dale, MD Open

Board Certified: American Board of Internal Medicine

Univ of Illinois, Rockford, IL

Rochester General Hospital, Rochester, NY

Medical School:

Residency:

Errol C. Baptist, MD

461 N Mulford Rd, Ste 4

(815) 397-2400

Rockford, IL 61107

Pediatrics Practice Status:

Baptist, Errol, MD Open

Board Certified: American Board of Pediatrics

Faculty of Medicine, Colombo, Sri Lanka

Univ of Medicine and Dentistry of NJ, Newark, NJ

Medical School:

Residency:

Hulsebus Rockford Chiropractic, LLC

1877 Daimler Rd

(815) 398-3434

Rockford, IL 61112

Chiropractic Practice Status:

Callahan, Christopher, DC Open

Board Certified: Not Applicable

Palmer College of Chiropractic, Davenport, IA

,

Medical School:

Residency:

Field, Brock, DC Open

Board Certified: Not Applicable

Palmer College of Chiropractic, Davenport, IA

,

Medical School:

Residency:

Hays, Nathaniel, DC Open

Board Certified: Not Applicable

Palmer College of Chiropractic, Davenport, IA

,

Medical School:

Residency:

Hulsebus, Brant, DC Open

Board Certified: Not Applicable

Palmer College of Chiropractic, Davenport, IA

,

Medical School:

Residency:

Mueller, Brett, DC Open

Board Certified: Not Applicable

Palmer College of Chiropractic, Davenport, IA

,

Medical School:

Residency:

Stear, Jr, Craig, DC Open

Board Certified: Not Applicable

Palmer College of Chiropractic, Davenport, IA

,

Medical School:

Residency:

Ignacio U. Omengan, MD

461 N Mulford Rd, Ste 10

(815) 394-1930

Rockford, IL 61107

Pediatrics Practice Status:

Omengan, Ignacio, MD Open

Board Certified: American Board of Pediatrics

St Louis Univ College of Medicine, Baguio City, Philippines

The Brookdale Univ Hospital and Medical Center, Brooklyn, NY

Medical School:

Residency:

James D. Koepsell, MD SC

2829 Glenwood Ave

(815) 962-0633

Rockford, IL 61101

Internal Medicine Practice Status:

Koepsell, James, MD Open

Board Certified: American Board of Internal Medicine

Univ of Illinois College of Medicine,

Medical College of Wisconsin Affiliated Hospital, Milwaukee, WI

Medical School:

Residency:

Jody Striker, LCPC

2829 Glenwood Ave

(815) 962-0633

Rockford, IL 61101

Licensed Clinical Professional

CounselorPractice Status:

Striker, Jody, LCPC Open

Board Certified: Not Applicable

Trinity Evangelical Divinity School, Deerfield, IL

,

Medical School:

Residency:

KP Counseling

6392 Linden Rd

(779) 368-0060

Rockford, IL 61109

Advanced Practice Nurse Practice Status:

Wheeler, Lynn, APN Open

Board Certified: American Nurses Credentialing Center (Psychiatric-Mental Health Nurse Practitioner)Univ of Illinois at Chicago, Chicago, IL

,

Medical School:

Residency:

Behavioral Health Clinic Practice Status:

KP Counseling Center, , Open

Board Certified:

,

,

Medical School:

Residency:

Licensed Clinical Professional

CounselorPractice Status:

Higgins, Sheila, LCPC Open

Board Certified: Not Applicable

National Lewis Univ, Chicago, IL

,

Medical School:

Residency:

Parker, Gregory, LCPC Open

Board Certified: Not Applicable

Northern IL Univ, DeKalb, IL

,

Medical School:

Residency:

Spangler, (George) Pat, LCPC Open

Board Certified: Not Applicable

Northern IL Univ, DeKalb, IL

,

Medical School:

Residency:

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Licensed Clinical Social Worker Practice Status:

Anderson, Kevin, LCSW Open

Board Certified: Not Applicable

Univ of Illinois at Urbana-Champaign, Urbana, IL

,

Medical School:

Residency:

Fricke, Jennifer, LCSW Open

Board Certified: Not Applicable

Aurora Univ, Aurora, IL

,

Medical School:

Residency:

Grindle, Delinda, LCSW Open

Board Certified: Not Applicable

Univ of Illinois,

,

Medical School:

Residency:

Polky, Kevin, LCSW Open

Board Certified: Not Applicable

Univ of Illinois at Urbana-Champaign, Urbana, IL

,

Medical School:

Residency:

Warden, Christina, LCSW Open

Board Certified: Not Applicable

Univ of IL at Urbana-Chapaign, Urbana, IL

,

Medical School:

Residency:

Licensed Marriage & Family Therapist Practice Status:

Lauer, Karen, LMFT Open

Board Certified: Not Applicable

Northern Illinois Univ, DeKalb, IL

,

Medical School:

Residency:

Logemann, Gail, LMFT Open

Board Certified: Not Applicable

Northern IL Univ, DeKalb, IL

,

Medical School:

Residency:

M. Asim Mustafa, MD

461 N Mulford Rd, #12

(815) 398-1009

Rockford, IL 61107

Pediatrics Practice Status:

Mustafa, Mohammad, MD Open

Board Certified: American Board of Pediatrics

Sind Medical College, Karachi, Pakistan

Rush-Presbyterian-St. Luke's Medical Center, Chicago, IL

Medical School:

Residency:

Mercyhealth - Convenient Care

2300 N Rockton Ave

(815) 971-2000

Rockford, IL 61103

Convenient Care Practice Status:

Rockford Health Physicians Convenient Care, , Open

Board Certified: The Joint Commission

,

,

Medical School:

Residency:

Mercyhealth at Home - Medical Equipment - Rockford

5970 Churchview Dr

(815) 971-3330

Rockford, IL 61107

Durable Medical Equipment Supplier Practice Status:

Mercyhealth at Home - Medical Equipment - Rockford, , Open

Board Certified: Not Applicable

,

,

Medical School:

Residency:

Mercyhealth Brain and Spine Center

2350 N Rockton Ave Ste 502

(815) 971-7600

Rockford, IL 61103

Advanced Practice Nurse Practice Status:

Cain, Maureen, APN Open

Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

Northern Illinois Univ, Dekalb, IL

,

Medical School:

Residency:

Castronovo, Lynette, APN Open

Board Certified: American Nurses Credentialing Center (Gerontological Nurse Practitioner)

Univ of Michigan School of Medicine, Ann Arbor, MI

,

Medical School:

Residency:

Neurology Practice Status:

Kaufman, Mitchell, MD Open

Board Certified: American Board of Psychiatry and Neurology

Univ of California, Los Angeles, CA

West Los Angeles VA Medical Center, Los Angeles, CA

Medical School:

Residency:

Khan, Moshin, MD Open

Board Certified: American Board of Psychiatry and Neurology (Sleep Medicine)

AYUB Medical College, Abbottabad, Pakistan

Univ of Chicago Hospital, Chicago, IL

Medical School:

Residency:

Orozco, Daniel, MD Open

Board Certified: American Board of Psychiatry and Neurology

Tuft's Medical School, Boston, MA

Univ of Chicago Hospital, Chicago, IL

Medical School:

Residency:

Raja, Faisal, MD Open

Board Certified: American Board of Psychiatry and Neurology

Rawalpindi Medical Center, Rawalpindi, Pakistan

Univ of Missouri, Columbia, MO

Medical School:

Residency:

Sergeant, Michael, MD Open

Board Certified: American Board of Psychiatry and Neurology

Northwestern Univ, Chicago, IL

Northwestern Univ Hospital, Chicago, IL

Medical School:

Residency:

Wallery, Shawn, MD Open

Board Certified: American Board of Psychiatry and Neurology (Neruomuscular Medicine)

Ross Univ School of Medicine, Ediston, NJ

Loyola Medical Center, Maywood, IL

Medical School:

Residency:

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Mercyhealth Cancer Center - Rockford

2400 N Rockton Rd

(815) 971-5000

Rockford, IL 61103

Advanced Practice Nurse Practice Status:

Celner, Anne, APN Open

Board Certified: American Academy of Nurse Practitioners (Adult Nurse Practitioner)

Northern Illinois Graduate School,

,

Medical School:

Residency:

Hematology and/or Medical Oncology Practice Status:

Shekhani, Shahid, MD Open

Board Certified: American Board of Internal Medicine (Medical Oncology)(Hospice & Palliative Care)Sind Medical College, Karachi, Pakistan

Prince Georges Hospital Center, Cheverly, MD

Medical School:

Residency:

Medical Oncology Practice Status:

Begum, Hosne, MD Open

Board Certified: American Board of Internal Medicine (Medical Oncology)

Mymensingh Medical College, Mymensingh, Bangladesh

Brookdale Hospital Medical Center, Brooklyn, NY

Medical School:

Residency:

Radiation Oncology Practice Status:

Hamidi, Maryam, MD Open

Board Certified: Not Board Certified

Univ of Wisconsin School of Medicine, Madison, WI

Columbia New York Presbyterian, New York, NY

Medical School:

Residency:

Mercyhealth Cardiac Rehabilitation Center - Rockford

2350 N Rockton Ave

(815) 971-2200

Rockford, IL 61103

Advanced Practice Nurse Practice Status:

Hess, Meghan, APN Open

Board Certified: American Nurses Credentialing Center (Acute Care Nurse Practitioner)

Univ of Illinois, Oak Lawn, IL

,

Medical School:

Residency:

Van Daele, Sallie, APN Open

Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

Univ of Illinois College of Nursing, Rockford, IL

,

Medical School:

Residency:

Cardiology Practice Status:

Anna, Manjusha, MD Closed

Board Certified: American Board of Internal Medicine

Gandhi Medical College, Secunderbad, India

Newark Beth Isreal Medical Center, Newark, NJ

Medical School:

Residency:

Hayes, Richard, MD Open

Board Certified: American Board of Internal Medicine (Cardiovascular Disease)

Northwestern Univ Medical Sciences, Chicago, IL

Medical College of Wisconsin, Milwaukee, WI

Medical School:

Residency:

Nowak, Gregory, MD Open

Board Certified: American Board of Internal Medicine (Cardiovascular Disease)

Academic Medical School, Gdansk Poland

Louis A Weiss Memorial Hospital, Chicago, IL

Medical School:

Residency:

Cardiology-Electrophysiology Practice Status:

Narra, Leela, MD Open

Board Certified: American Board of Internal Medicine (Clinical Cardiac

Elecrtophysiology)(Cardiovascular Disease)Guntur Medical College, Andhra Pradesh India

Cook County Hospital, Chicago, IL

Medical School:

Residency:

Smith, Jeffrey, MD Open

Board Certified: American Board of Internal Medicine (Clinical Cardiac

Electrophysiology)(Cardiovascular Disease)Univ of Illinois College of Medicine, Chicago, IL

Northwestern Memorial Hospital, Chicago, IL

Medical School:

Residency:

Cardiovascular Disease Practice Status:

Deveshwar, Sangita, MD Open

Board Certified: American Board of Internal Medicine (Cardiovascular Disease)

Government Medical College/Punjab Univ, Punjab, India

Univ of Oklahoma, Oklahoma City, OK

Medical School:

Residency:

Interventional Cardiology Practice Status:

Caceres, Erbert, MD Open

Board Certified: American Board of Internal Medicine (Cardiovascular Disease)(Interventional Cardiology)Universidad Nacional mayor de San Marcos, Lima, Peru

Engelwood Hospital and Medical Center, Englewood, NY

Medical School:

Residency:

Mercyhealth Cherry Valley

6998 Redansa Dr

(815) 971-3110

Rockford, IL 61108

Family Medicine Practice Status:

Guenev, Perka, MD Open

Board Certified: American Board of Family Medicine

Univ of Pleven, Bulgaria

Sparks Regional Medical Center, Fort Smith, AR

Medical School:

Residency:

Michalsen, Brian, DO Open

Board Certified: American Board of Family Medicine (Sports Medicine)

Midwestern Univ, Downers Grove, IL

Advocate Lutheran General Hospital, Park Ridge, IL

Medical School:

Residency:

Immediate Care Center Practice Status:

Mercyhealth Cherry Valley Urgent Care, , Open

Board Certified:

,

,

Medical School:

Residency:

Mercyhealth Glenwood

2819 Glenwood Ave

(815) 971-4060

Rockford, IL 61101

Psychiatry Practice Status:

Irfan, Syed, MD Open

Board Certified: American Board of Psychiatry and Neurology (Child & Adolescent Psychiatry)Dow Medical Collge, Karachi, Pakistan

WV Univ Charleston Area Medical Center, Charleston, WV

Medical School:

Residency:

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MercyHealth Hospital - Rockton Avenue

2400 N Rockton Ave

(815) 971-5000

Rockford, IL 61103

Hospice and Palliative Care Practice Status:

Valaitis, Joseph, MD Open

Board Certified: American Board of Internal Medicine (Cardiovascular Disease)

Loyola Univ Chicago-Stritch Medical School, Maywood, IL

Loyola Univ Medical Center, Maywood, IL

Medical School:

Residency:

Hospital Practice Status:

Mercyhealth Hospital - Rockton Avenue, , Open

Board Certified: The Joint Commission

,

,

Medical School:

Residency:

Mercyhealth Hospital - Rockton Avenue - Emergency Department

2400 N Rockton Ave

(815) 971-3333

Rockford, IL 61103

Emergency Department Practice Status:

Rockford Health Physicians Emergency Department, , Open

Board Certified: The Joint Commission

,

,

Medical School:

Residency:

Mercyhealth McFarland

2780 McFarland Rd

(815) 971-2000

Rockford, IL 61107

Obstetrics and Gynecology Practice Status:

Taylor, Bryan, MD Open

Board Certified: Not Board Certified

St. Matthews Univ, Orlando, FL

Central Michigan Univ, Saginaw, MI

Medical School:

Residency:

Pediatrics Practice Status:

Moody, Patricia, MD Open

Board Certified: American Board of Pediatrics

St. Georges Univ, Great River, NY

Brooklyn Hospital Center, Brooklyn, NY

Medical School:

Residency:

Phelan, Karen, MD Open

Board Certified: American Board of Pediatrics

Pennsylvania State Univ, Hershey, PA

Hershey Medical Center, Hershey, PA

Medical School:

Residency:

Potts, Michael, MD Open

Board Certified: American Board of Pediatrics

Univ of Illinois College of Medicine, Chicago, IL

Children's Hospital of Wisconsin, Milwaukee, WI

Medical School:

Residency:

Mercyhealth Mulford

5970 Churchview Dr

(815) 971-2000

Rockford, IL 61107

Certified Nurse Practitioner Practice Status:

Bustle, Lindsay, CNM Open

Board Certified: American Midwifery Certification Board

Univ of Illinois at Chicago, Chicago, IL

,

Medical School:

Residency:

Internal Medicine Practice Status:

Mitchell, David, MD Open

Board Certified: American Board of Internal Medicine

Univ of Illinois College of Medicine, Chicago, IL

Blodgett Memorial Medical Center/St. Mary's Hospital, Grand Rapids, MI

Medical School:

Residency:

Monkemeyer, Jon, MD Open

Board Certified: American Board of Internal Medicine

Univ of Illinois College of Medicine, Chicago, IL

Lutheran General Medical Center, Park Ridge, IL

Medical School:

Residency:

Norem, Dennis, MD Open

Board Certified: American Board of Internal Medicine

Univ of Illinois College of Medicine, Chicago, IL

Illinois Masonic Medical Center, Chicago, IL

Medical School:

Residency:

Nurse-Midwife Practice Status:

Huntley, Alicia, CNM Open

Board Certified: American Midwifery Certification Board

Univ of Southern California, Los Angeles, CA

,

Medical School:

Residency:

Obstetrics and Gynecology Practice Status:

Macaulay, Nicole, MD Open

Board Certified: American Board of Obstetrics and Gynecology

Northwestern Univ Medical School, Chicago, IL

Emory Univ Hospital, Atlanta, GA

Medical School:

Residency:

Wang, Jeannie, MD Open

Board Certified: American Board of Obstetrics and Gynecology

Loyola Univ Chicago-Stritch Medical School, Maywood, IL

Columbus Hospital, Chicago, IL

Medical School:

Residency:

Pediatrics Practice Status:

Hutt, William, MD Open

Board Certified: American Board of Pediatrics

Medical College of Wisconsin, Milwuakee, WI

Tripler Army Medical Center, Honolulu, HI

Medical School:

Residency:

Martinez, Maria, MD Open

Board Certified: American Board of Pediatrics

Universyt of Santo Tomas, Manila, Philippines

Univ of Florida College of Medicine, Gainesvill, FL

Medical School:

Residency:

Rhodes, Sharon, MD Open

Board Certified: American Board of Pediatrics

Univ of Iowa College of Medicine, Iowa City, IA

Lutheran General Hospital, Park Ridge, IL

Medical School:

Residency:

Mercyhealth North Rockton Ave

2400 N Rockton Ave

(815) 971-6431

Rockford, IL 61103

Pain Management Practice Status:

Oteng-Bediako, Evelyn, MD Open

Board Certified: American Board of Anesthesiology (Pain Medicine)

Univ of Ghana Medical School, Ghana

Univ of Louisville, Dpt of Anesthesiology, Louisville, KY

Medical School:

Residency:

Singh, Ishmeet, MD Open

Board Certified: American Board of Anesthesiology (Pain Medicine)

Rush Medical College of Rush Univ, Chicago, IL

Rush-Presby-St Luke's Medical Center, Chicago, IL

Medical School:

Residency:

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Mercyhealth North Rockton Ave, Bldg 1

2300 N Rockton Ave

(815) 971-2000

Rockford, IL 61103

Advanced Practice Nurse Practice Status:

Barr, Jessica, APN Open

Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

Northern Illinois Univ, Dekalb, IL

,

Medical School:

Residency:

Bowmar, Andrea, APN Open

Board Certified: American Academy of Nurse Practitioners (Family Nurse Practitioner)

Olivet Nazarene Univ, Bourbannais, IL

,

Medical School:

Residency:

Evans, Lisa, APN Open

Board Certified: Pediatric Nursing Certification Board (Primary Care)

SUNY at Tony Brook, Stony Brook, NY

,

Medical School:

Residency:

Jack, Cynthia, APN Open

Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner)

Northern Illinois Univ, Dekalb, IL

,

Medical School:

Residency:

Lewis, Sarah, APN Open

Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

Rush Univ, Chicago, IL

,

Medical School:

Residency:

Schier, Andrea, APN Open

Board Certified: American Nurses Credentialing Center (Adult-Gerontology Primary Care

Nurse Practitioner)Univ of Illinois Chicago Medical Center, Chicago, IL

,

Medical School:

Residency:

White, Roxanne, APN Open

Board Certified: American Academy of Nurse Practitioners (Adult-Gerontology Primary Care Nurse)Northern Illinois Univ, Dekalb, IL

,

Medical School:

Residency:

Advanced Practice Nurse Prescriber Practice Status:

Hadie, Angela, APRN Open

Board Certified: American Nurses Credentialing Center (Adult-Gerontology Primary Care

Nurse Practitioner)Univ of Illinois at Chicago, Chicago, IL

,

Medical School:

Residency:

Allergy & Immunology Practice Status:

Cook, Marisha, MD Open

Board Certified: Not Board Certified in Allergy & Immunology

Rush Medical College, Chicago, IL

Johns Hopkins Hospital, Baltimore, MD

Medical School:

Residency:

Certified Nurse Practitioner Practice Status:

Bustle, Lindsay, CNM Open

Board Certified: American Midwifery Certification Board

Univ of Illinois at Chicago, Chicago, IL

,

Medical School:

Residency:

Endocrinology Practice Status:

Hovis, John, MD Open

Board Certified: American Board of Internal Medicine (Endocrinology, Diabetes and

Metabolism)Duke Univ School of Medicine, Durham NC

Univ of Iowa Hospital, Iowa City, IA

Medical School:

Residency:

Naseer, Aliya, MD Open

Board Certified: American Board of Internal Medicine (Endocrinology, Diabetes and

Metabolism)Dow Medical College, Karachi, Pakistan

Richland Memorial Hospital, Columbia, SC

Medical School:

Residency:

Paturi, Shalini, MD Open

Board Certified: American Board of Internal Medicine (Endocrinology, Diabetes and Metabolism)Sindhartha Medical College, Vijayawada Andhra Pradesh

St. Joseph Hospital, Chicago, IL

Medical School:

Residency:

Family Medicine Practice Status:

Prathipati, Sushmita, MD Open

Board Certified: American Board of Family Medicine

Kamineni Institute of Medical Sciences, Narketpally, India

Jackson Park Hosp & Medical Center, Chicago, IL

Medical School:

Residency:

Rizzo, Anthony, DO Open

Board Certified: American Board of Family Medicine

Midwestern Univ Chicago College of Osteopathic Medicine, Downers

Grove, ILPresence Resurrection Medical Center, Chicago, IL

Medical School:

Residency:

Hospice and Palliative Care Practice Status:

Ahmed Khan, Mohammed Ilyas, MD Open

Board Certified: American Board of Internal Medicine (Hospice & Palliative Care)

Deccan College of Medical Sciences, Hyderabad, India

SUNY-Buffalo, Buffalo, NY

Medical School:

Residency:

Internal Medicine Practice Status:

Racanelli, Vincent, DO Open

Board Certified: American Board of Internal Medicine

New York College of Osteopathic Medicine, Old Westbury, NY

Winthrop-University Hospital, Mineola, NY

Medical School:

Residency:

Rogers, Craig, MD Open

Board Certified: American Board of Internal Medicine

Loyola Univ Chicago-Stritch Medical School, Maywood, IL

Baylor College of Medicine, Houston, TX

Medical School:

Residency:

Neurology Practice Status:

Gorelik, Maxim, MD Open

Board Certified: American Board of Psychiatry and Neurology (Pain Medicine)

Rush Medical College of Rush Univ, Chicago, IL

Univ of California, Davis Medical Center, Sacramento, CA

Medical School:

Residency:

Nurse-Midwife Practice Status:

Boettner, Karen, CNM Open

Board Certified: American Midwifery Certification Board

Marquette Univ, Milwaukee, WI

,

Medical School:

Residency:

Henriquez, Whitney, CNM Open

Board Certified: American Midwifery Certification Board

Frontier School of Midwifery, Hyden, KY

,

Medical School:

Residency:

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Ophthalmology Practice Status:

Boone, Diane, MD Open

Board Certified: American Board of Ophthalmology

Univ of Texas Medical School, San Antonio, TX

Univ of Iowa Hospital & Clinics, Iowa City, IA

Medical School:

Residency:

Luellwitz, David, DO Open

Board Certified: American Osteopathic Board of Ophthalmology

Western Univ of Health Sciences, Pomona, CA

Midwestern University, Olympia Fields, IL

Medical School:

Residency:

Mathew, Benjamin, MD Open

Board Certified: American Board of Ophthalmology

Univ of Manitoba Faculty of Medicine, Winnipeg, Canada

Univ of Ottawa Eye Institute, Ottawa, Canada

Medical School:

Residency:

Optometry Practice Status:

Alexander, John, OD Open

Board Certified: Not Board Certified

Illinois College of Optometry, Chicago, IL

,

Medical School:

Residency:

Alexander, Cathy, OD Open

Board Certified: Not Applicable

Pennsylvania College of Optometry, Philadelphia, PA

,

Medical School:

Residency:

Orthopedic Surgery Practice Status:

Leu, David, MD Open

Board Certified: American Board of Orthopaedic Surgery

Univ of California, San Francisco, CA

John Hopkins Univ School of Medicine, Baltimore, MD

Medical School:

Residency:

Pediatric Cardiology Practice Status:

Kazmouz, Suhaib, MD Open

Board Certified: American Board of Pediatrics (Pediatric Cardiology)

Aleppo Univ, Aleppo, Syria

Crozer Chester Medical Center, Chester, PA

Medical School:

Residency:

Masood, Syed, MD Open

Board Certified: American Board of Pediatrics

Dow Medical Univ - Pakistan, Karachi Sindh Pakistan

Louisiana State Univ Health Science Center, Shreveport, LA

Medical School:

Residency:

Pediatric Endocrinology Practice Status:

Carrion, Francisco, MD Open

Board Certified: American Board of Pediatrics (Pediatric Endocrinology)

Univ of Puerto Rico, San Juan, Puerto Rico

Caguas Regional Hospital, Caguas, Puerto Rico

Medical School:

Residency:

Pediatric Gastroenterology Practice Status:

Burress, Glendon, MD Open

Board Certified: American Board of Pediatrics (Pediatric Gastroenterology)

Univ of Illinois College of Medicine, Champaign, IL

Univ of Chicago Hospital, Chicago, IL

Medical School:

Residency:

Deutsch, David, MD Open

Board Certified: American Board of Pediatrics (Pediatric Gastroenterology)

Univ of Illinois College of Medicine - Rockford, Rockford, IL

Columbus Children's Hospital/The Ohio State Univ, Columbus, OH

Medical School:

Residency:

Pediatric Gastroenterology Practice Status:

Nguyen, Kim-Doan, MD Open

Board Certified: American Board of Internal Medicine AND American Board of Pediatrics

(Pediatric Gastroenterology)American Univ of the Caribbean School of Medicine, Coral Gables, FL

Univ of Missouri-Columbia, Columbia, MO

Medical School:

Residency:

Vortia, Eugene, MD Open

Board Certified: American Board of Pediatrics (Pediatric Gastroenterology) and American

Board of Internal MedicineUniv of Ghana Medical School, Korle Bu, ACCRA Ghanna

MI State Univ - Kalamazoo Ctr for Medical Studies, Kalamazoo, MI

Medical School:

Residency:

Pediatric Neurology Practice Status:

Domnitz-Gebet, Avi, DO Open

Board Certified: Not Board Certified

Chicago College of Osteopathic Medicine, Downers Grove, IL

Univ of Medicine & Dentistry, Newark, NJ

Medical School:

Residency:

Miner, Philip, MD Open

Board Certified: American Board of Pediatrics And American Board of Psychiatry & Neurology (Child Neruology)Jefferson Medical College, Philadelphia, PA

Valley Medical Center, Fresno, CA

Medical School:

Residency:

Schuman, Gail, DO Open

Board Certified: American Board of Psychiatry and Neurology (Neurology with Special

Qualification in Child Neurology)NY College of Osteopathic Medicine, Old Westbury, NY

Good Samaritan Hospital, West Islip, NY

Medical School:

Residency:

Pediatric Pulmonology Practice Status:

Shoberg, David, MD Open

Board Certified: American Board of Pediatrics (Pediatric Pulmonology)

Univ of Illinois College of Medicine, Chicago, IL

Lutheran General Hospital, Park Ridge, IL

Medical School:

Residency:

Pediatrics Practice Status:

Beaves, Sarah, MD Open

Board Certified: American Board of Pediatrics

Univ of Iowa College of Medicine, Iowa City, IA

Univ of Iowa Hospital, Iowa City, IA

Medical School:

Residency:

Davis, Raymond, MD Open

Board Certified: American Board of Pediatrics (Child Abuse Pediatrics)

Univ of Illinois College of Medicine, Peoria, IL

St. Francis Medica Center, Peoria, IL

Medical School:

Residency:

Hornbach, Mark, MD Open

Board Certified: American Board of Pediatrics

Rush Medical College, Chicago, IL

Wyler Children's Hospital, Chicago, IL

Medical School:

Residency:

Physician Assistant Practice Status:

Kucia, Tammy, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Malcom X College, Chicago, IL

,

Medical School:

Residency:

Plastic Surgery Practice Status:

Frye, Aaron, MD Open

Board Certified: American Board of Surgery

St Georges Univ, Great Rivers, NY

New York Medical College Sound Shore, New Rochelle, NY

Medical School:

Residency:

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Podiatry Practice Status:

Chase, Kari, DPM Open

Board Certified: Not Board Certified

Scholl College of Podiatric Medicine at Rosalind Franklin Univ of Medicine & Sciences, North Chicago, ILWeiss Memorial Hospital, Chicago, IL

Medical School:

Residency:

Holmbeck, Ryan, DPM Open

Board Certified: Not Board Certified

Scholl College of Podiatric Medicine, North Chicago, IL

Sts Mary and Elizabeth Medical Center, Chicago, IL

Medical School:

Residency:

Norem, Nathan, DPM Open

Board Certified: Not Board Certified

Scholl College of Podiatric Medicine at Rosalind Franklin Univ, North Chicago, ILHahnemann Univ Hospital/Drexel Univ College of Medicine, Philadelphia,

PA

Medical School:

Residency:

Psychiatry Practice Status:

Vaid, Khatija, MD Open

Board Certified: American Board of Psychiatry and Neurology

Sindh Medical College,

Jinnah Medical Center,

Medical School:

Residency:

Rheumatology Practice Status:

Dietz, Frederick, MD Open

Board Certified: American Board of Internal Medicine (Rheumatology)

Loyola Univ Chicago, Stritch School of Medicine, Maywood, IL

Evanston Northwestern HealthCare, Evanston, IL

Medical School:

Residency:

Hovis, Robin, MD Open

Board Certified: American Board of Internal Medicine (Rheumatology)

Univ of Iowa College of Medicine, Iowa City, OA

Univ of Iowa Hospital, Iowa City, IA

Medical School:

Residency:

Surgery Practice Status:

Appavu, Samuel, MD Open

Board Certified: American Board of Surgery (Surgical Citical Care)

Madras Medical College Univ of Madras, Madras, India

Cook County Hospital, Chicago, IL

Medical School:

Residency:

Breitman, Igal, MD Open

Board Certified: American Board of Surgery

Ben-Gurion Univ of the NegrevFaculty of Health Science, Beer Sheeva,

IsrealIchilov Sourasky Medical Center, Tel Aviv, Isreal

Medical School:

Residency:

Cowden, William, MD Open

Board Certified: American Board of Surgery

Univ of Illinois College of Medicine-Rockford, Rockford, IL

Synergy Medical Education Alliance, Saginaw, MI

Medical School:

Residency:

McCarthy, Michael, DO Open

Board Certified: American Osteopathic Board of Surgery

Des Moines Univ, College of Osteopathic Medicine, Des Moines, IA

St James Hospitals & Health Centers, Olympia Fields, IL

Medical School:

Residency:

Michelotti, Michael, MD Open

Board Certified: American Board of Surgery

Northwestern Univ Medical School, Chicago, IL

Northwestern Memorial Hospital, Chicago, IL

Medical School:

Residency:

Zappia, Anthony, MD Open

Board Certified: American Board of Surgery

Indiana Univ School of Medicine, Indianapolis, IN

Henry Ford Hospital, Detroit, MI

Medical School:

Residency:

Surgery Practice Status:

Zarnke, Mark, MD Open

Board Certified: American Board of Surgery

Univ of Wisconsin Medical School, Madison, WI

Medical College of Ohio, Toledo, OH

Medical School:

Residency:

Mercyhealth Orthopedic Specialists

2350 N Rockton Ave

(815) 971-7400

Rockford, IL 61108

Orthopedic Surgery Practice Status:

Fochios, Dean, MD Open

Board Certified: American Board of Orthopaedic Surgery

George Washington Univ School of Medicine, Washington, DC

Maimonides Medical Centr, Brooklyn, NY

Medical School:

Residency:

Krpan, Marko, DO Open

Board Certified: American Osteopathic Board of Orthopaedic Surgeons

Univ of Oseopathic Medicine & Health Services, Des Moines, IA

Michigan State U, Oakland General Hospital, Madison Heights, MI

Medical School:

Residency:

Pickvance, Elizabeth, MD Open

Board Certified: American Board of Orthopaedic Surgery

Univ of Texas Medical Branch, Galveston, TX

Univ of Minnesota, Minnapolis, MN

Medical School:

Residency:

Mercyhealth Perryville

3401 N Perryville Rd

(815) 971-2000

Rockford, IL 61114

Advanced Practice Nurse Practice Status:

Hedberg, Alina, APN Open

Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

Olivet Nazarene Univ, Bourbonnais, IL

,

Medical School:

Residency:

Pinawin, Maxita, APN Open

Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

Northern Illinois Univ, Dekalb, IL

,

Medical School:

Residency:

Family Medicine Practice Status:

Ansari, Mohammed Sajid, MD Open

Board Certified: American Board of Family Medicine

Deccan College of Medical Sciences, Hyderabad, India

SIU Family Practice Residency, Decatur, IL

Medical School:

Residency:

Nowak, Magdalena, MD Open

Board Certified: American Board of Family Medicine

Pmeraniam Medical Univ, Szczecnin, Poland

Univ of IL at Chicago, Chicago, IL

Medical School:

Residency:

Rohrbacher, Melissa, DO Open

Board Certified: American Board of Family Medicine

Midwestern Univ, Chicago College of Osteopathic Medicine, Downers Grove, ILChrist Hospital & Medical Center, Oak Lawn, IL

Medical School:

Residency:

Schermer, Ian, MD Open

Board Certified: American Board of Family Medicine

Univ of Iowa College of Medicine, Iowa City, IA

Univ of Illinois Chicago Medical Center, Chicago, IL

Medical School:

Residency:

Schroeder, Paul, MD Open

Board Certified: American Board of Family Medicine

Univ of Illinois College of Medicine at Rockford, Rockford, IL

Medical College of Wisconsin, Milwaukee, WI

Medical School:

Residency:

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Internal Medicine Practice Status:

Brito, Tracy, MD Open

Board Certified: American Board of Internal Medicine

Inov pf Cape Town, Faculty of Medicine, Cape Town, South Africa

North Shore Univ Hospital, Manhasset, NY

Medical School:

Residency:

Coates, Aaron, MD Open

Board Certified: American Board of Internal Medicine

MCP Hahnemann Univ College of Medicine, Philadelphia, PA

St. Joseph Mercy Health System, Ann Arbor, MI

Medical School:

Residency:

Muhammad, Tracy, MD Open

Board Certified: American Board of Internal Medicine

Rosalind Franklin Univ, North Chicago, IL

Rosalind Franklin Univ, North Chicago, IL

Medical School:

Residency:

Obstetrics and Gynecology Practice Status:

Bhattacharya, Sumoulindra, MD Open

Board Certified: American Board of Obstetrics and Gynecology

Univ of Tennessee College of Medicine, Memphis, TN

Cook County Hospital, Chicago, IL

Medical School:

Residency:

Higgins, Phillip, MD Open

Board Certified: American Board of Obstetrics and Gynecology

Univ of Floriday College of Medicine, Gainesville, FL

Rush-Presby-St Luke's Medical Center, Chicago, IL

Medical School:

Residency:

Optometry Practice Status:

Koteles, Gary, OD Open

Board Certified: Not Applicable

Illinois College of Optometry, Chicago, IL

,

Medical School:

Residency:

Otolaryngology Practice Status:

Severson, James, MD Open

Board Certified: American Board of Otolaryngology

Southern Illinois Univ School of Medicine, Springfield, IL

Medical College of Wisconsin, Milwaukee, WI

Medical School:

Residency:

Zahurullah, Fazlur, MD Open

Board Certified: American Board of Otolaryngology

Univ of Michigan Medical School, Ann Arbor, MI

Albert Einstein College of Medicine, Bronx, NY

Medical School:

Residency:

Mercyhealth Pulmonary Rehabilitation Center - Rockford

2350 N Rockton Ave

(815) 971-2000

Rockford, IL 61103

Pulmonary Disease Practice Status:

Qassem, Zaher, MD Open

Board Certified: American Board of Internal Medicine (Pulmonary Disease) (Critical Care

Medicine) (Geriatric Medicine)Damascus Univ of Medicine, Damascus, Syria

Morehouse School of Medicine, Atlanta, GA

Medical School:

Residency:

Roy, Bharati, MD Open

Board Certified: American Board of Internal Medicine (Pulmonary Disease) (Sleep

Medicine)Baroda Medical Univ, Baroda, India

Georgetown Univ Hospital, Washington, DC

Medical School:

Residency:

Mercyhealth Strathmoor

5727 Strathmoor Dr, #1

(815) 971-3160

Rockford, IL 61107

Pediatrics Practice Status:

Hart, John, MD Open

Board Certified: American Board of Pediatrics

New York Medical College, Valhalla,

,

Medical School:

Residency:

Panzica, Patricia, MD Open

Board Certified: American Board of Pediatrics

Univ of Illinois - Chicago, Chicago, IL

Rainbow Babies & Child Hospital, Cleaveland, OH

Medical School:

Residency:

Mercyhealth Visiting Nurses Association, Inc.

4223 E State St

(815) 971-3550

Rockford, IL 61108

Home Health Provider Practice Status:

Mercyhealth Visiting Nurses Association, Inc., , Open

Board Certified: The Joint Commission

,

,

Medical School:

Residency:

Hospice Care Practice Status:

Mercyhealth Visiting Nurses Association, Inc., , Open

Board Certified: The Joint Commission

,

,

Medical School:

Residency:

Mercyhealth Women's Center - Rockford

7180 Spring Brook Rd

(815) 971-2299

Rockford, IL 61114

Advanced Practice Nurse Practice Status:

Bass, Joyce, APN Open

Board Certified: National Certification Corporation (Women's Health Care Nurse

Practitioner)Univ of Cincinnati, Cincinnati, OH

,

Medical School:

Residency:

Surgery Practice Status:

Mahatme, Arvind, MD Open

Board Certified: American Board of Surgery

Univ of South Florida College of Medicine, Tampa, FL

Univ of Nebraska Medical Center, Omaha, NE

Medical School:

Residency:

Mercyhealth Wound Center - Rockford

2300 N Rockton Ave

(815) 971-7454

Rockford, IL 61103

Family Medicine Practice Status:

Gellada, Karen Imma, MD Open

Board Certified: American Board of Family Medicine

Univ of the Philippines - Manila, Ermita, Manila

Univ of Illinois College of Medicine at Peoria, Peoria, IL

Medical School:

Residency:

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Plastic Surgery Practice Status:

Frye, Aaron, MD Open

Board Certified: American Board of Surgery

St Georges Univ, Great Rivers, NY

New York Medical College Sound Shore, New Rochelle, NY

Medical School:

Residency:

Podiatry Practice Status:

Chase, Kari, DPM Open

Board Certified: Not Board Certified

Scholl College of Podiatric Medicine at Rosalind Franklin Univ of

Medicine & Sciences, North Chicago, ILWeiss Memorial Hospital, Chicago, IL

Medical School:

Residency:

Holmbeck, Ryan, DPM Open

Board Certified: Not Board Certified

Scholl College of Podiatric Medicine, North Chicago, IL

Sts Mary and Elizabeth Medical Center, Chicago, IL

Medical School:

Residency:

Norem, Nathan, DPM Open

Board Certified: Not Board Certified

Scholl College of Podiatric Medicine at Rosalind Franklin Univ, North Chicago, ILHahnemann Univ Hospital/Drexel Univ College of Medicine, Philadelphia, PA

Medical School:

Residency:

New Vision of Illinois, LLC

2929 McFarland Rd

(815) 654-2020

Rockford, IL 61107

Ophthalmology Practice Status:

Ericson, Eric, MD Open

Board Certified: American Board of Ophthalmology

Univ of Illinois, Chicago, IL

Univ of Illinois Eye and Ear Infirmary, Chicago, IL

Medical School:

Residency:

Romaniv, Natalya, MD Open

Board Certified: American Board of Ophthalmology

Washington Univ, St. Louis, MO

Louisiana State Univ/Ochsner Clinic Foundation, New Orleans, LA

Medical School:

Residency:

Vakharia, Mitul, MD Open

Board Certified: American Board of Ophthalmology

Weill Medical College of Cornell Univ, New York, NY

Univ of Michigan, Ann Arbor, MI

Medical School:

Residency:

Optometry Practice Status:

Hahn, Paul, OD Open

Board Certified: Not Applicable

Illinois College of Optometry, Chicago, IL

,

Medical School:

Residency:

Shumaker, Douglas, OD Open

Board Certified: Not Applicable

Illinois College of Optometry, Chicago, IL

,

Medical School:

Residency:

Northern Illinois Retina

1235 N Mulford Rd, Ste 100

(815) 226-4990

Rockford, IL 61107

Ophthalmology Practice Status:

Fowell, Susan, MD Open

Board Certified: American Board of Ophthalmology

Northwestern Univ Medical School, Chicago, IL

Northwestern Memorial Hospital, Chicago, IL

Medical School:

Residency:

Remedies Renewing Lives - Rockford

220 Easton Pkwy

(815) 962-0871

Rockford, IL 61108

Adult Addictions Program Practice Status:

Remedies Renewing Lives - Rockford, , Open

Board Certified: The Joint Commission

,

,

Medical School:

Residency:

Reproductive Health & Fertility Center

973 Fetherstone Rd

(877) 373-7552

Rockford, IL 61107

Infertility/Reproductive Endocrinology Practice Status:

Graczykowski, Jacek, MD Open

Board Certified: American Board of Obstetrics and Gynecology (Reproductive

Endocrinology/InfertilitySchool of Medicine in Gdansk, Poland, Gdansk, Poland

Univ of Southern California/Los Angeses County Women's Hospital, Los Angeles, CA

Medical School:

Residency:

Sawetawan, Chiravudh, MD Open

Board Certified: American Board of Obstetrics and Gynecology (Reproductive

Endocrinology/InfertilityRush Medical College of Chicago, Chicago, IL

Univ of Illinois College of Medicine at Chicago, Chicago, IL

Medical School:

Residency:

RNA of Rockford, LLC

612 Roxbury Rd

(815) 227-8300

Rockford, IL 61107

Advanced Practice Nurse Practice Status:

Capriola, Kathleen, APN Open

Board Certified: American Nurses Credentialing Center (Clinical Nurse Specialist in Adult

Health)Northern Illinois Univ, DeKalb, IL

,

Medical School:

Residency:

May, Jacqueline, APN Open

Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

Northern Illinois Univ, DeKalb, IL

Northern Illinois Univ, DeKalb, IL

Medical School:

Residency:

Schoonover, Yvonne, APN Open

Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner)

Univ of Wisconsin - Madison School of Nursing, Madison, WI

,

Medical School:

Residency:

Nephrology Practice Status:

Ahmad, Mashood, MD Open

Board Certified: American Board of Internal Medicine (Nephrology)

Dow Medical College, Karachi

Civil Hospital & Usman Memorial Hospital, Karachi

Medical School:

Residency:

Ahmed, Syed, MD Open

Board Certified: American Board of Internal Medicine (Nephrology)

Deccan College of Medical Schiences, Hyderabad

Harbor Hospital Center, Baltimore, MD

Medical School:

Residency:

Maynard, John, MD Open

Board Certified: American Board of Internal Medicine (Nephrology)

Univ of Illinois College of Medicine at Chicago, Chicago, IL

Henry Ford Hospital, Detroit, MI

Medical School:

Residency:

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Nephrology Practice Status:

Murdakes, Charlene, MD Open

Board Certified: American Board of Internal Medicine (Nephrology)

Rusch Univ College of Medicine, Chicago, IL

Rush Univ Medical Center, Chicago, IL

Medical School:

Residency:

Niemiec, Joanna, MD Open

Board Certified: American Board of Internal Medicine (Nephrology)

Jagiellonian Univ Medical College, Krakow

St. Joseph Hospital/Northwestern Univ Feinberg School of Medicine,

Chicago, IL

Medical School:

Residency:

Pavithran, Bindu, MD Open

Board Certified: American Board of Internal Medicine (Nephrology)

Medical College of Trivandrum, Kerala, India

Mercy Hospital of Pittsburgh, Pittsburgh, PA

Medical School:

Residency:

Robertson, Michael, MD Open

Board Certified: American Board of Internal Medicine (Nephrology)

Univ of Illinois College of Medicine at Chicago, Chicago, IL

Univ of Chicago, Chicago, IL

Medical School:

Residency:

Sankaran, Krishna, MD Open

Board Certified: American Board of Internal Medicine (Nephrology)

Univ of Illinois College of Medicine at Rockford, Rockford, IL

Illinois Masonic Medical Center, Chicago, IL

Medical School:

Residency:

Stim, James, MD Open

Board Certified: American Board of Internal Medicine (Nephrology)

Univ of Illinois College of Medicine, Chicago, IL

Univ of Illinois at Chicago, Chicago, IL

Medical School:

Residency:

Sweeney, Charles, MD Open

Board Certified: American Board of Internal Medicine (Nephrology)

Univ of Illinois College of Medicine at Rockford, Rockford, IL

Univ of Illinois at Chicago, Chicago, IL

Medical School:

Residency:

Rockford Gastroenterology Associates, LTD

401 Roxbury Rd

(815) 397-7340

Rockford, IL 61107

Advanced Practice Nurse Practice Status:

Sackmaster, Stacia, APN Open

Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

St Anthony College of Nursing, Rockford, IL

,

Medical School:

Residency:

Vernon, Dawn, APN Open

Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner)

Northern Illinois Univ, DeKalb, IL

,

Medical School:

Residency:

Gastroenterology Practice Status:

Bowyer, Brad, MD Open

Board Certified: American Board of Internal Medicine (Gastroenterology)

Southern Illinois Univ, Springfield, IL

Mayo Graduate School of Medicine, Rochester, MN

Medical School:

Residency:

DeGuide, John, MD Open

Board Certified: American Board of Internal Medicine (Gastorenterology)

Loyola Univ, Stritch School of Medicine, Chicago, IL

Wilford Hall Medical Center, Lackland AFB, TX

Medical School:

Residency:

Gastroenterology Practice Status:

Gibbs, Christopher, MD Open

Board Certified: American Board of Internal Medicine (Gastroenterology)

Creighton Univ School of Medicine, Omaha, NE

Mayo Clinic, Rochester, MN

Medical School:

Residency:

Ikenberry, Steven, MD Open

Board Certified: American Board of Internal Medicine (Gastroenterology)

Loyola Univ Stritch School of Medicine, Chicago, IL

Indiana Univ, Bloomington, IN

Medical School:

Residency:

Manley, Michael, MD Open

Board Certified: American Board of Internal Medicine (Gastroenterology)

Univ of Wisconsin, Madison, WI

Loyola Univ Medical Center, Maywood, Il

Medical School:

Residency:

Nonevski, Ilche, MD Open

Board Certified: American Board of Internal Medicine (Gastroenterology)

Univ of Cincinnati, Cincinnati, OH

Univ Hospitals of Cleveland/Case Wester, Cleveland, OH

Medical School:

Residency:

Patel, Sunil, MD Open

Board Certified: American Board of Internal Medicine (Gastroenterology)

New Jersey Medical School, Newark, NJ

Beth Isreal Deaconess Medical Center, Boston, MA

Medical School:

Residency:

Peifer, Kevin, MD Open

Board Certified: American Board of Internal Medicine (Gastroenterology)

Medical College of Ohio, Toledo, OH

Barnes-Jewish Hospital/Washington, Univ, St Louis, MO

Medical School:

Residency:

Rosen, Arnold, MD Open

Board Certified: American Board of Internal Medicine (Gastroenterology)

Albany Medical College, Albany, NY

Virginia Mason Medical Center, Seattle, WA

Medical School:

Residency:

Shiels, Aaron, MD Open

Board Certified: American Board of Internal Medicine (Gastroenterology)

Washington Univ School of Medicine, St. Louis, MO

Barnes-Jewish Hospital, St. Louis, MO

Medical School:

Residency:

Snedegar, Clinton, MD Open

Board Certified: American Board of Internal Medicine (Gastroenterology)

Vanderbilt Univ School of Medicine, Nashville, TN

Barnes-Jewish Hospital/Washington Univ School of Medicine, St Louis,

MO

Medical School:

Residency:

Tannous, George, MD Open

Board Certified: American Board of Internal Medicine (Gastroenterology)

Univ of Cincinnati College of Medicine, Cincinnati, OH

Univ Hospitals Case Medical Center, Shaker Heights, OH

Medical School:

Residency:

Tewani, Sumeet, MD Open

Board Certified: American Board of Internal Medicine (Gastroenterology)

Boston Univ School of Medicine, Boston, MA

Beth Isreal Deaconess Medical Center, Boston, MA

Medical School:

Residency:

Thukral, Chandrashekhar, MD Open

Board Certified: American Board of Internal Medicine (Gastroenterology)

Univ of Illinois at Chicago College of Medicine, Chicago, IL

Beth Isreal Deaconess Medical Center, Boston, MA

Medical School:

Residency:

Vicari, Joseph, MD Open

Board Certified: American Board of Internal Medicine (Gastroenterology)

Creighton School of Medicine, Omaha, NE

Creighton Univ Medical Center, Omaha, NE

Medical School:

Residency:

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Rockford Health Physicians Child Development and Behavior

2400 N Rockton Ave

(815) 971-4920

Rockford, IL 61103

Advanced Practice Nurse Practice Status:

Etten, Kristen, APN Open

Board Certified: Pediatric Nursing Certification Board (Certified Pediatric Nurse

Practitioner - Primary Care)Univ of Illinois College of Medicine, Chicago, IL

,

Medical School:

Residency:

Rockford Health Physicians Family Practice

2350 N Rockton Ave

(815) 971-2000

Rockford, IL 61103

Family Medicine Practice Status:

Soufan, Bassam, MD Open

Board Certified: Not Board Certified

Damascus Univ of Medicine, Damascus, Syria

St. Mary of Nazareth Hospital, Chicago, IL

Medical School:

Residency:

Washington, Charles, MD Open

Board Certified: American Board of Family Medicine

Univ of Illinois College of Medicine, Chicago, IL

Rockford Medical Education Foundation, Rockford, IL

Medical School:

Residency:

Rockford Health Physicians Internal Medicine

2350 N Rockton Ave

(815) 971-7210

Rockford, IL 61103

Internal Medicine Practice Status:

Rone, Jr., Arthur, MD Open

Board Certified: American Board of Internal Medicine

Univ of Illinois College of Medicine, Chicago, IL

Illinois Masonic Medical Center, Chicago, IL

Medical School:

Residency:

Rockford Health Physicians Maternal Fetal Medicine

2400 N Rockton Ave

(815) 971-6310

Rockford, IL 61103

Maternal-Fetal Medicine Practice Status:

Rogers, Dennie, MD Open

Board Certified: American Board of Obstetrics and Gynecology (Maternal-Fetal Medicine)

Univ of Illinois, Chicago, IL

Univ of Illinois @ Chicago, Chicago, IL

Medical School:

Residency:

Yang, Lee, DO Open

Board Certified: American Osteopathic Association

Chicago College of Osteopathic Medicine, Downers Grove, IL

McLaren Greater Lansing Hospital, Lansing, MI

Medical School:

Residency:

Nurse-Midwife Practice Status:

Cascio, Paula, CNM Open

Board Certified: American Midwifery Certification Board

Marquette Univ, Milwaukee, WI

,

Medical School:

Residency:

Rawajih, Sadie, CNM Open

Board Certified: American Midwifery Certification Board

Frontier Nursing University, Hyden, KY

,

Medical School:

Residency:

Rockford Health Physicians Medical Genetics

2400 N Rockton Ave

(815) 971-5069

Rockford, IL 61103

Clinical Genetics Practice Status:

Hoganson, George, MD Open

Board Certified: American Board of Medical Genetics and Genomics (Clinical Biochemical

Genetics & Clinical Molectular Genetics)and American Board of PediatricsUniv of Illinois College of Medicine, Chicago, IL

Univ of Wisconsin Hospital, Madison, WI

Medical School:

Residency:

Rockford Oral & Maxillofacial Surgery

425 Roxbury Rd

(815) 226-4700

Rockford, IL 61107

Oral & Maxillofacial Surgery Practice Status:

Bruksch, Matthew, DDS Open

Board Certified: American Board of Oral & Maxillofacial Surgery

Univ of Illinois at Chicago College of Dentistry, Chicago, IL

Vanderbilt Univ Hospital, Nashville, TN

Medical School:

Residency:

Rentschler, Edward, DDS Open

Board Certified: American Board of Oral & Maxillofacial Surgery

Univ of Louisville, Louisville, KY

Univ of Louisville School of Dentistry, Louisville, KY

Medical School:

Residency:

Rockford Orthopedic Appliance Co

422 E State Street

(815) 965-7759

Rockford, IL 61104

Durable Medical Equipment Supplier Practice Status:

Rockford Orthopedic Appliance, , Open

Board Certified: Not Applicable

,

,

Medical School:

Residency:

Rockford Psychiatric Medical Services, SC

1639 N Alpine Rd, Ste 260

(815) 395-1500

Rockford, IL 61107

Advanced Practice Nurse Practice Status:

Brechlin, Angeline, APN Open

Board Certified: American Nurses Credentialing Center (Adult Psychiatric & Mental Health Clinical Nurse Specialist)Univ of Illinois College of Medicine at Rockford, Rockford, IL

,

Medical School:

Residency:

Carter, Colette, APN Open

Board Certified: American Nurses Credentialing Center (Adult-Gerontology Primary Care

Nurse Practitioner)Univ of Cincinnati, Cincinnati, OH

,

Medical School:

Residency:

Behavioral Health Clinic Practice Status:

Rockford Psychiatric Medical Services, SC, , Open

Board Certified:

,

,

Medical School:

Residency:

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Licensed Clinical Professional

CounselorPractice Status:

Thomas-Bua, Anita, LCPC Open

Board Certified: Not Applicable

UW-Whitewater, Whitewater, WI

,

Medical School:

Residency:

Licensed Clinical Social Worker Practice Status:

Beard, Brenda, LCSW Open

Board Certified: Not Applicable

Aurora Univ, Aurora, IL

,

Medical School:

Residency:

Seerup, Wendy, LCSW Open

Board Certified: Not Applicable

Univ of Illinois at Urbana-Champaign, Urbana, IL

,

Medical School:

Residency:

Licensed Marriage & Family Therapist Practice Status:

Rothermel, Rachel, LMFT Open

Board Certified: Not Applicable

Northern Illinois Univ, DeKalb, IL

,

Medical School:

Residency:

Psychiatry Practice Status:

Giakas, William, MD Open

Board Certified: American Board of Psychiatry and Neurology (Geriatric and Forensic

Psychiatry)UMDNJ, New Jersey Medical School, Newark, NJ

Yale New Haven Hospital, New Haven, CT

Medical School:

Residency:

Rockford Spine Center

2902 McFarland Rd, Ste 300

(815) 316-2100

Rockford, IL 61107

Advanced Practice Nurse Practice Status:

Johnson, Angela, APN Open

Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner)

St. Anthony's College of Nursing, Rockford, IL

,

Medical School:

Residency:

Orthopedic Surgery Practice Status:

Roh, Michael, MD Open

Board Certified: American Board of Orthopaedic Surgery

Brown Medical School, Providence, RI

New York Orthopaedic Hospital, New York, NY

Medical School:

Residency:

Sliva, Christopher, MD Open

Board Certified: American Board of Orthopaedic Surgery

Rush Medical College of Rush Univ, Chicago, IL

Univ of Iowa Hospitals & Clinics, Iowa City, IA

Medical School:

Residency:

Sweet, Fred, MD Open

Board Certified: American Board of Orthopaedic Surgery

Rush Medical College of Rush Univ, Chicago, IL

Barnes-Jewish Hospital, St. Louis, MO

Medical School:

Residency:

Physical Medicine & Rehabilitation Practice Status:

Walker, Marie, MD Open

Board Certified: American Board of Physicial Medicine and Rehabilitation

Univ of Wisconsin, Eau Claire

Mayo Medical Clinic, Rochester, MN

Medical School:

Residency:

Physician Assistant Practice Status:

Schwabero, Matthew, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Medical College of Ohio, Toledo, OH

,

Medical School:

Residency:

Soare, Sean, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Rocky Mountain College, Billings, MT

,

Medical School:

Residency:

Wolf, Bradley, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Chapman College, Pittsburgh, PA

,

Medical School:

Residency:

Rockford Urological Associates

351 Executive Pkwy

(815) 398-4057

Rockford, IL 61107

Urology Practice Status:

Cormier, Mark, MD Open

Board Certified: American Board of Urology

Rush Medical College of Rush Univ, Chicago, IL

Univ Hospital, Cincinnati, OH

Medical School:

Residency:

Frederick, Luke, MD Open

Board Certified: Not Board Certified

Southern Illinois Univ School of Medicine, Springfield, IL

Southern Illinois Univ School of Medicine, Springfield, IL

Medical School:

Residency:

Fumo, Michael, MD Open

Board Certified: American Board of Urology

Univ of Chicago, The Pritzker School of Medicine, Chicago, IL

Henry Ford Hospital, Detroit, MI

Medical School:

Residency:

Houlihan, Daniel, DO Open

Board Certified: American Board of Urology

Chicago College of Osteopathic Medicine, Chicago, IL

Michael Reese Hospital & Medical Center, Chicago, IL

Medical School:

Residency:

Roegner, Douglas, MD Open

Board Certified: American Board of Urology

Rush Medical College of Rush Univ, Chicago, IL

Naval Medical Center, Portsmouth, VA

Medical School:

Residency:

Taylor, Eric, MD Open

Board Certified: American Board of Urology

Univ of Illinois College of Medicine, Chicago, IL

Southern Illinois Univ School of Medicine, Springfield, IL

Medical School:

Residency:

Valadez, Richard, MD Open

Board Certified: American Board of Urology

Loyola Univ Chicago, Stritch School of Medicine, Maywood, IL

Loyola Strich School of Medicine, Maywood, IL

Medical School:

Residency:

Whelan, Christopher, MD Open

Board Certified: American Board of Urology

Southern Illinois Univ School of Medicine, Springfield, IL

St. John's Hospital, Springfield, IL

Medical School:

Residency:

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Rosecrance Griffin Williamson Campus

1601 University Dr

(815) 391-1000

Rockford, IL 61107

Child & Adolescent Addictions Program Practice Status:

Rosecrance Griffin Williamson Campus, , Child & Adolescent

Board Certified: The Joint Commission

Not Applicable,

Not Applicable,

Medical School:

Residency:

Rosecrance Mulberry Center

605 Mulberry Street

(815) 391-1000

Rockford, IL 61103

Adult Addictions Program Practice Status:

Rosecrance Mulberry Center, , Open

Board Certified: The Joint Commission

Not Applicable,

Not Applicable,

Medical School:

Residency:

Rosecrance on Harrison-Adult Facility

3815 W Harrison St

(815) 391-1000

Rockford, IL 61104

Adult Addictions Program Practice Status:

Rosecrance on Harrison, , Adult

Board Certified: The Joint Commission

Not Applicable,

Not Applicable,

Medical School:

Residency:

Van Matre HealthSouth Rehabilitation Hospital

950 S Mulford Rd

(815) 381-8500

Rockford, IL 61108

Rehabilitation Center Practice Status:

Van Matre HealthSouth Rehabilitation Center, LLC, , Open

Board Certified: The Joint Commission

,

,

Medical School:

Residency:

Rockton, IL

Rockford Health Physicians Pediatric Surgery

2350 N Rockton Ave

(815) 971-7255

Rockton, IL 61103

Pediatric Surgery Practice Status:

Askew, Allyson, MD Open

Board Certified: American Board of Surgery (Pediatric Surgery)

Tulane Univ School of Medicine, New Orleans, LA

The New York Hospital - Cornell Medical Center, New York, NY

Medical School:

Residency:

Roscoe, IL

HOPE Child & Family Counseling, Inc

11447 2nd St, Ste 9b

(815) 601-4673

Roscoe, IL 61073

Behavioral Health Clinic Practice Status:

HOPE Child & Family Counseling, Inc, ,

Board Certified:

,

,

Medical School:

Residency:

Licensed Clinical Professional

CounselorPractice Status:

Petty, Michelle, LCPC Open

Board Certified: Not Applicable

National-Louis Univ, Wheeling, IL

,

Medical School:

Residency:

Schroepfer, Stacy, LCPC Open

Board Certified: Not Applicable

Univ of Wisconsin - Stout, Menomonie, WI

,

Medical School:

Residency:

Wagner, Jamie, LCPC Open

Board Certified: Not Applicable

Mildred Berry Center, Rockford, IL

,

Medical School:

Residency:

Licensed Clinical Social Worker Practice Status:

Marcum, Vicki, LCSW Open

Board Certified: Not Applicable

Univ of Illinois at Urbana-Champaign, Urbana, IL

,

Medical School:

Residency:

Matz, Hanah, LCSW Open

Board Certified: Not Applicable

Aurora Univ, Aurora, IL

,

Medical School:

Residency:

Licensed Professional Counselor Practice Status:

Ebert, Marissa, LPC Open

Board Certified: Not Applicable

Northern Illinois Univ, DeKalb, IL

,

Medical School:

Residency:

Varghese, Grace, LPC Open

Board Certified: Not Applicable

Rosalind Franklin Univ, North Chicago, IL

,

Medical School:

Residency:

Weymer, Jean, LPC Open

Board Certified: Not Applicable

National Louis Univ, Elgin, IL

,

Medical School:

Residency:

Mercyhealth Roscoe

5000 Prairie Rose Dr

(815) 971-2000

Roscoe, IL 61073

Advanced Practice Nurse Practice Status:

Lee, Sandra, APN Open

Board Certified: American Nurses Credentialing Center (Adult-Gerontology Primary Care Nurse Practitioner)Univ of Cincinnati, Cincinnati, OH

,

Medical School:

Residency:

8/18/2017 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 55 of 57W9

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Internal Medicine Practice Status:

Hansen, David, MD Open

Board Certified: American Board of Internal Medicine

Univ of Chicago-Pritzker School of Medicine, Chicago, IL

Milwaukee Medical Complex, Milwaukee, WI

Medical School:

Residency:

Sekulic, Dusica, MD Open

Board Certified: American Board of Internal Medicine

Univ of Pristina, Pristian Yugoslavia

Medical Clinic Center, Titograd Medical Center, Danilovgrad, Yugoslavia

Medical School:

Residency:

Obstetrics and Gynecology Practice Status:

Granzeier, Gregory, DO Open

Board Certified: American Board of Obstetrics and Gynecology

New York College of Osteopathic Medicine, Old Westbury, NY

Lutheran Medical Center, Brooklyn, NY

Medical School:

Residency:

Taylor, Bryan, MD Open

Board Certified: Not Board Certified

St. Matthews Univ, Orlando, FL

Central Michigan Univ, Saginaw, MI

Medical School:

Residency:

Pediatrics Practice Status:

Perryman, John, MD Open

Board Certified: American Board of Pediatrics

Univ of Michigan Medical School, Ann Arbor, MI

Children's Memorial Hospital, Chicago, IL

Medical School:

Residency:

Taylor, Jane, MD Open

Board Certified: American Board of Pediatrics

Univ of IL College of Medicine, Chicago, IL

Southern IL Univ School of Medicine, Springfield, IL

Medical School:

Residency:

Premier Oral & Maxillofacial Surgery

5606 E Rockton Road

(815) 525-4700

Roscoe, IL 61073

Oral & Maxillofacial Surgery Practice Status:

Meister, Richard, DDS Open

Board Certified: American Board of Oral & Maxillofacial Surgery

Marquette Univ School of Dentistry, Milwaukee, WI

Hosp of St Raphael, New Haven, CT

Medical School:

Residency:

Swantek, Jason, DDS Open

Board Certified: American Board of Oral & Maxillofacial Surgery

UIC College of Dentistry, Chicago, IL

Woodhull Medical Center, Brooklyn, NY

Medical School:

Residency:

Schaumburg, IL

PRA - Schaumburg Office

1701 E Woodfield Rd, Ste 1000

(847) 240-2211

Schaumburg, IL 60173

Licensed Clinical Professional

CounselorPractice Status:

Westerberg, Shane, LCPC Open

Board Certified: Not Applicable

Argosy Univ, Schaumburg, Il

,

Medical School:

Residency:

Winnebago, IL

Mercyhealth Winnebago

102 Landmark Dr

(815) 971-3200

Winnebago, IL 61088

Advanced Practice Nurse Practice Status:

Dinges, Jennifer, APN Open

Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

,

,

Medical School:

Residency:

Thompson, Beth Ann, APN Open

Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

Northern Illinois Univ, Dekalb, IL

,

Medical School:

Residency:

Family Medicine Practice Status:

Rudolph, Hahn, DO Open

Board Certified: American Board of Family Medicine

Univ of Osteopathic Medicine and Health Sciences, Des Moines, IA

St. Elizabeth Bassett Hospital, Utica, NY

Medical School:

Residency:

Strutzenberg, Jon, DO Open

Board Certified: American Osteopathic Association (Family Medicine and OMT)

Univ of Oseopathic Med and Health Sciences, Des Moines, IA

Davenport Medical Center, Davenport, IA

Medical School:

Residency:

Woodstock, IL

Mercyhealth Woodstock

2000 Lake Ave

(815) 337-7100

Woodstock, IL 60098

Advanced Practice Nurse Practice Status:

Tamparong, Naomi, APN Open

Board Certified: American Academy of Nurse Practitioners (Family Nurse Practitioner)

Indiana State Univ, Terre Haute, IN

,

Medical School:

Residency:

Winkelman, Kelly, ANP Open

Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner)

Northern Illinois Univ, DeKalb, IL

,

Medical School:

Residency:

Cardiovascular Disease Practice Status:

Khemani, Anil, MD Open

Board Certified: American Board of Internal Medicine (Cardiovascular Disease)

Patna Med College, Patna, India

All India Inst of Med Sciences, New Delhi, India

Medical School:

Residency:

Chiropractic Practice Status:

Gabbert, Rodney, DC Open

Board Certified: Not Applicable

Palmerc College of Chiropractic, Davenport, IA

,

Medical School:

Residency:

Dermatology Practice Status:

Altman, Jeffrey, MD Open

Board Certified: American Board of Dermatology

Rush Medical College, Chicago, IL

Rush Univ Medical Center, Chicago, IL

Medical School:

Residency:

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Endocrinology Practice Status:

Paturi, Shalini, MD Open

Board Certified: American Board of Internal Medicine (Endocrinology, Diabetes and

Metabolism)Sindhartha Medical College, Vijayawada Andhra Pradesh

St. Joseph Hospital, Chicago, IL

Medical School:

Residency:

Family Medicine Practice Status:

Saikh, Shahariar, MD Open

Board Certified: American Board of Family Medicine

International Univ of the Health Sciences, Basseterre, St. Kitts & Nevis

Mid Michigan Medical Center, Midland Family Med Residency Program,

Midland, MI

Medical School:

Residency:

Gastroenterology Practice Status:

Hussain, Yasmin, MD Open

Board Certified: American Board of Internal Medicine (Gastroenterology)

Univ of Punjab Fatima Jinnah Medical College, Lahore, Pakistan

Loyola Univ Medical Center/Hines VA Hospital, Maywood, IL

Medical School:

Residency:

Qazi, Baseer, MD Open

Board Certified: American Board of Internal Medicine (Gastroenterology)

Declan College of Medical Sciences, Hyderabad, India

Advocate Lutheran General Hospital, Park Ridge, IL

Medical School:

Residency:

Gynecology Practice Status:

Osipova, Anastasia, MD Open

Board Certified: American Board of Obstetrics and Gynecology

Russian State Medical Univ, Moscow, Russia

Russian State Medical Academy of Postgraduate Education, Moscow, Russia

Medical School:

Residency:

Immediate Care Center Practice Status:

Mercyhealth Woodstock - Immediate Care, , Open

Board Certified: Not Applicable

Not Applicable,

Not Applicable,

Medical School:

Residency:

Neurology Practice Status:

Dave, Amarish, DO Open

Board Certified: American Board of Psychiatry and Neurology

Chicago College of Osteopathic Medicine, Downers Grove, IL

University of Illinois at Chicago, Chicago, IL

Medical School:

Residency:

Obstetrics and Gynecology Practice Status:

Cook, Richard, MD Open

Board Certified: American Board of Obstetrics and Gynecology AND American Board of

Family MedicineUniv of Iowa, Iowa City, IA

Univ of Iowa Hosp and Clinics, Iowa City, IA

Medical School:

Residency:

Ophthalmology Practice Status:

Kershaw, Jeffrey, MD Open

Board Certified: Not Board Certified

Northwestern Univ Medical School, Chicago, IL

Indiana Univ Medical Center, Indianapolis, IN

Medical School:

Residency:

Orthopedic Surgery Practice Status:

Tarandy, Dana, MD Open

Board Certified: American Board of Orthopaedic Surgery

Rush Medical College, Chicago, IL

Univ of Ilinois at Chicago Medical Center, Chicago, IL

Medical School:

Residency:

Otolaryngology Practice Status:

Goodman, David, MD Open

Board Certified: American Board of Otolaryngology

State Univ of New York, Syracuse, NY

Univ of Illinois, Chicago, IL

Medical School:

Residency:

Physician Assistant Practice Status:

Raju, Jenna, PA-C Open

Board Certified: National Commission on Certification of Physician Assistants

Rush Univ, Chicago, IL

,

Medical School:

Residency:

Podiatry Practice Status:

Lisowsky, Mykola, DPM Open

Board Certified: American Board of Podiatric Medicine

Ohio College of Podiatric Medicine, Cleveland, OH

Loyola University Medical Center, Maywood, IL

Medical School:

Residency:

Rusthoven, Timothy, DPM Open

Board Certified: American Board of Lower Extremity Surgery

Dr. William M. Scholl College, Chicago, IL

Colmery-O'Neal Veterans Affairs Med Cntr, Topeka, KS

Medical School:

Residency:

Pulmonary Disease Practice Status:

Mehta, Daksha, MD Open

Board Certified: American Board of Internal Medicine (Pulmonary Disease) (Critical Care

Medicine)NHL Municipal Medical College, Guyarat, India

St. Francis Hospital, Evanston, IL

Medical School:

Residency:

Rheumatology Practice Status:

Frank, Benjamin, MD Open

Board Certified: American Board of Internal Medicine (Rheumatology)

Univ of Chicago Pritzker School of Medicine, Chicago, IL

Lutheran General Hospital, Park Ridge, IL

Medical School:

Residency:

Surgery Practice Status:

Bryan, Douglas, MD Open

Board Certified: American Board of Surgery (Vascular Surgery)

State Univ of New York HSC & Brooklyn, Brooklyn, NY

Harlem Hospital Medical Center, New York, NY

Medical School:

Residency:

Vascular Surgery Practice Status:

Bryan, Douglas, MD Open

Board Certified: American Board of Surgery (Vascular Surgery)

State Univ of New York HSC & Brooklyn, Brooklyn, NY

Harlem Hospital Medical Center, New York, NY

Medical School:

Residency:

8/18/2017 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 57 of 57W9

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Live well.We’ll insure you do.

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